I recently went to a dietitian and had found out that I was hypoglycemic. For those who don't know; Hypoglycemia is when your bloodsugar drops and it makes you tired, irritable and can in severe cases cause seizures/or make you black out
I mention this for a very important reason. Supposedly low blood sugar can affect anxiety and by doing so, affects OCD symptoms which can make them worse than they otherwise would be.
When I found this out, a lot of things were making sense, I have been changing up my diet. Trying to eat more often, and I am getting better!
I guess what I'm trying to say is. Sometimes the brain can warn you of your physical health and the reason you may have severe OCD, (not always of course) but some of the time could be simply not eating the right things. Eating too much/too little. Eating too much sugar...
I am not a doctor and you should always take a mental disorder seriously. But it never hurts to fix your life style a bit before going on meds. You never know what the cause might be. Or at least why your issues might be elevated.
Hope this helps somehow, stay safe♡