I suffer from dermatillomania and other ocd related symptoms for many years, including alcoholism, cigarettes and overeating. therapy, meds don't work?

Continue: Research shows that the best long term success is through a combination of therapy and medications. Rome wasn't built in a day, so be patient and continue treatment. One of the best things for substance abuse is to remove yourself from the situation. Keep it out of your home, stay away from places that serve it(as able) and don't hang out with people that promote or push it.

You need a plan: When you're ready to truly change your behaviors, work with a professional to get your overall treatment plan in place, one that addresses all of your disorders in a systematic way. Your problems with impulse control and "will power" are significantly related to your addiction (dependence) on substances (especially alcohol), which undermines your ability to stick to your long-term goals.