Refractory, severe case of OCD — what now?

I feel quite similar in this situation, as I have talked about this much in my 10+ years of severe OCD. I have done all of what you have done and other settings. I 1000% know the discouraging and hopeless/helpless feelings. Know your feelings are valid, and that others can relate as well. OCD is simply not easy; people say take it day by day yet others like myself might argue to take it hour by hour, minute by minute, maybe even further. It’s a fight, with battles in it throughout. I am trying to get to that point where OCD is managed, yet we all know this takes courageous effort, strength, consistency, and willingness. I guess the best thing that tries to put me in a positive path although I am struggling greatly is recognizing my values and what I want in life. Is OCD more important or what I want in life? That seems to be the classic example yet I think is always helpful. Other than that, I try to look back into when I fell into bad habits (compulsions) and think why I did it and was it really worth it? I also know that reading about OCD articles, stories on others with OCD and how they progressed, and analogies on OCD can help reframe my brain. Now, I know we all know OCD so well and are already experts, yet our body goes into emotional state when doing compulsions, so I think that is what the readings help with - knowing we are more than our OCD. Anywhere I can find motivation or think something can motivate me to do the unfortunate yet difficult and beneficial work seems to help in some way. As far as other things, I think testing or any additional research to see if something underlying that has not been diagnosed or exposed is super important. I did this as I thought something was underlying yet it was not. In the end, it crossed that box off. Last, I think faith has a big role in this, if you are religious or not. You have tried so much, I can tell just by your words! Remember to be compassionate to yourself. As others have said and I am continuing to believe, maybe this is just a part of God’s bigger plan and all the more he has in store for us. Believe in yourself 🫶 I feel for you and relate, yet don’t give up and keep on fighting! With Love ❤️