I have ocd and am finding it hard to break through the obsessional thoughts when i need to do something important. anxiety spikes to a 10 regardless of general anxiety or erp progress earlier in the day. what do i need to do to get through this?

Intensify Treatment: It doesn't seem that your current treatment program for your OCD is fully effective. The two primary treatments for OCD are pharmacological and cognitive/behavioral psychotherapy. You may already have participated in one or both of these types of treatment. Sometimes one may experience breakthrough symptoms and need to intensify one's treatment. If your symptoms persist see your treating md.

Revisit Tx Plan: Exposure & response prevention= gold standard non-med treatment 4 ocd. Erp is hard as it involves not giving in when ocd orders u 2do something. Requires letting urself experience rising anxiety. Sounds like u'd benefit from having someone especially skilled at erp 2help. It's impt 2review setbacks & modify treatment plan accordingly and 2get ppl close 2u involved in treatment. Meds can help, too.