I understand. Living in a small town can limit your choices. But if your therapist is happy with the diagnosis, then I would focus on that aspect.
There are many things you can do to help yourself cope with these thoughts and compulsions. The trick is trying many things to find what works for you.
OCD thoughts can be handled through a variety of ways:
Learn to relax- this helps a lot because one of the main issues with OCD thoughts and compulsions is the anxiety
you experience with them, triggering the urge to act out. So learning how to keep calm when dealing with these thoughts can help. Here is a link to help you learn Progressive Relaxation, one of the best ways to control your anxiety:
Write down your thoughts- by keeping a journal so you have a place to express your thoughts when they do bother you. It can also help to go back and see your progress or look at repeating patterns and how you handled them.
Make a list of activities- things you can do to distract yourself when you do experience OCD thoughts. Exercise, calling someone or watching a movie for example.
Give yourself a break- realize that OCD is caused by physical imbalances in the brain as well as anxiety. So telling yourself things like "This is just a physical response and it is not my fault" or "I can control this any way I want" and doing another activity instead of giving in helps as well.
Do not give your obsession meaning- The more you focus on it, the more importance you give it. So treat it like it's nothing. "It's only my thoughts. It does not mean anything".
Cognitive behavior therapy, which your therapist practices, can help a lot as well. It assists you in "retraining" your brain to think other thoughts and calming yourself so you don't feel the need to respond to the thoughts as much.
Read as much as you can about OCD and how to address it. The more you educate yourself, the better chance you will find things you can do to help yourself.
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