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My spouse has this exact same thing, the thing that worked for them is OCD therapy.
OCD therapy is a combination of cognitive behavioral therapy, exposure therapy, and occupational therapy (which despite the name is more just about strategies to use for practical things like going to the store, out to a cafe, etc)
It hasn’t been easy but they’ve been keeping at it and it’s really helped them in a way nothing else has.
There are very few problems so large that they can’t be solved, but that doesn’t mean the solutions aren’t big and scary themselves. It’s easy to say “go get therapy” but I know that the reality of doing so is difficult. I’ve seen it now first hand how hard it is, but it’s worth it.
The phone call to discuss whether or not they can help is free, NOCD
Take care of yourself, you deserve it.
On top of this, medications like Sertraline help with OCD. (You'll probably want both until you're steady, not just therapy or meds.)
A BIG thing about OCD is that LMFT's (your standard therapist) can't diagnose it! You need to see a psychiatrist to get a diagnosis.
It's made a huge difference for multiple people in my family once the first one of us got diagnosed.