If harm OCD is really impacting your life and your functioning, there is no better advice I can give you than to seek help from a therapist who really knows what they are doing with OCD. Choose a therapist that does Exposure and Response Prevention, and they can help you stay on track ...
Mack and Stanton [81] pointed out that the patients’ co-occurring conditions (i.e., depression, suicidality, obsessive compulsive disorder [OCD], anxiety) were not indicated as being appropriately treated, which may have profoundly impacted motivation, hope for recovery, and engagement ...