My friend who has Contamination OCD just doesn't know how to cope. She cries, has had breakdowns, and has screamed out loud to herself to fight the paranoid OCD Fear. For example, if a thought comes in mind that says "There is mud on that", she will scream to herself "There's no mud on that" and after that will break down crying sometimes. ( She doesn't have paranoia about mud that's just to convey what she does) She's getting so frustrated and angry about her mental struggles with OCD. She feels more angry now, more bitter and like she just wants to give up so she can just be at peace and not suffer anymore. She just wants to be done with her OCD once and for all.