I have taken several medications for my ocd. my symptoms are still extreme though. rituals can take up 7 hours of my day. what can i try next?

Therapy: This is a difficult disorder and expertise is very important - but there are experts, even programs. W/out challenging persistent courageous effort from you both, it's a big bully. Some programs use ECT too. Each case differs, but you can win - it's quite a battle however. I wish you success. Don't give up up prepare for an intense experience. Search for a good fit.