How to manage harm ocd and severe ocd?

With intensive tx: Harm OCD is often manageable since it is against the basic values of the person and they'll be cooperative in therapy. If it is part of a severe case (which even w/o harm obsessions) is harder to treat, diligent therapy plus carefully balanced medications and even shock treatments may be needed to break the grip. If you can find a tireless therapist you work well with, be patient and hopeful. Best

Meds and therapy: Meds (usually antianxiety medications, but not always) combined with therapy with a clinician who specializes on OCD is the best combination to treat OCD, typically.