Hey @dementedma I don't actually have any rituals that are counting ones
I have rituals which come out of a compelling fear to neutralise contamination which could in turn harm an unborn baby if I was pregnant (I'm not, so not logical but it still exists just in case I fall pregnant)
I've now done some exposure response prevention therapy which has helped a lot for me to stay with the anxiety more before I carry out a compulsive behaviour (ritual)
Prior I did not cope at all, my whole life was centred around preventing potential contamination. It affected my relationships, I wasn't able to work, I couldn't function at all until I did something - I had many rituals depending on where the threat of contamination came from.
Now I sleep most nights. Before I couldn't go to sleep before showering, changing bedding from fresh out of the wash, turning pillow inside out in case it had touched anything between dryer and bed. I couldn't sleep very well as I was worried that my child or husband might contaminate me accidentally in the night (husband had to sleep elsewhere, now we are divorcing)
I'd highly recommend ERP therapy to other people with OCD as it's been lifechanging for me. Not easy but worth every session.
I also sometimes use CBD oil to help with anxiety