Do not stay in bed for long. It’s a trap, it’ll leave you alone with thoughts for longer time. GET OUT OF YOUR BED When you feel the compulsive urge of doing something taking over- shut your eyes, squeeze a piece of paper. Throw it out. Go out for a walk. Do not give in to the urges, it’s not worth it Have a routine that you stick to: Not a routine that’s absolutely inflexible, but one that includes some of your best interests. Mine is making coffee, reading something, writing something, sitting with my breakfast near a window. Whenever you feel you are losing your mind - Remind yourself of you. The real you. Look at old pictures of you, look at the human you were - the fierce young soul you were. And you are that - no matter what your mind is tricking you into For the love of hell and heaven, please workout heavily. Join a gym if you want, please start shaking your body to senses. Eat a very good diet. Your diet rules everything. Do not, I repeat, DO NOT mess with your food Take a bath in the first hour or two of waking up. Feel fresh and confident Change your wardrobe to a more confident, yet comfortable clothing style Meditate for a while. It helps a lot. It helps you to calm down. Pray - That’s something you can do your own way. But it’s always okay to ask universe to send some help. Train your brain to do better than this. Take absolute control over your brain again - remember, nobody can get away by tricking you; not even your own brain. Take control of the thoughts. You are not crazy. It’s all right. You are absolutely amazing

No need to start ssri. Educate family members about ocpd.

No

Thank you for your question. A very interesting point you have put forward. Two possibilities here 1. Patient is having no insight about his illness, hence he doesn’t find a problem with it. 2. It is due to OCPD and that can be corrected with psychotherapy. Kindly consult for details