Another diagnosed sufferer here.
I predominantly have issues with contamination and germ phobia but that isn't the whole story.
I WISH it were just handwashing. That's a very very small part of it. I am currently very ill with it, to the point it has led to me being housebound for almost 18 months.
Every single thing I do is done in a particular way because of the ocd. From how I (try to) sleep, how I turn over in bed (making sure I don't touch any contaminants, duvet stays firmly on bed etc can only sleep with tv on can't sleep in silence or in the dark) to how I sit or stand, how I breathe, eat, drink, take meds, talk, where I look..:
That's just daily stuff.
Then there's the much harder stuff to deal with which currently I'm only managing 1-2 times a week. Or in some cases fortnightly.
Self care is through the floor, my hair is matted, teeth uncared for, skin in poor condition because of it.
Leaving my room to do anything is extremely anxiety inducing at the moment and takes me 3-4 hours to build up the courage, and that can be for something as simple as getting a drink.
I wouldn't wish on my worst enemy.
And yes it pisses me off greatly when it's belittled or dismissed like "oh I'm a big ocd with X" Which is bollocks misappropriation in my opinion.
But even among mh experts there's very little help.
Cbt & (hopefully desperately) taking the right meds is pretty much the only treatment option which myself and I've found many other ocd sufferers have not only found not helpful but actually can make it worse.
Why there isn't research into other therapies and better meds I don't know. Even possibly surgical options (controversial I know but honestly at this point I would seriously consider it) because there's a physiological component to the condition.
There's nowhere near enough research done and I suspect this is at least partly because many OCD sufferers don't like to make a fuss, they're generally not attention seekers if anything wishing to be invisible in many ways, and it's a very secretive condition too I hid it for many many years and still find myself doing so at times, certainly no one person knows everything I think and do.
I didn't seek help until I could no longer function as a mother. By that time I was in my 30's so while that was when I was first diagnosed, with hindsight (and my mother agrees - the post upthread about the toddler being insistent on matching cutlery etc - that was me) I've had it all my life.
It ramped up after various traumatic events or periods of stress, but it's always been there.
I've had some good, honest hcps and therapists who've acknowledged there is no cure for it, the best that can be achieved can be to manage it.
Not sure how the other sufferers feel of this accurately represents how it's been for them too.
The thoughts are always present, even when I'm asleep, even in my dreams I have OCD even if the dream has nothing to do with OCD. It permeates everything.
I wish I could just cut out or switch off that part of my brain. I've tried so many things, so many meds, therapies, cbt several times...nothing has helped. Not for any decent period of time anyway.
to all sufferers may you find the peace that has so far eluded me