Whats the most my doctor can do for extreme anxiety? its gotten to the point where its almost debilitating and i want to see a doctor but can they do anything besides talk it out with me?

If you are experiencing "extreme anxiety" which is "almost debilitating", and there appears to be limited help, you do need a second opinion. Although medications could assist, it is far better to seek future solutions, and have found success with cognitive-behavioural therapy, and biofeedback. Would contact a psychiatric hospital, or medical school, and obtain appropriate referrals

Have you ever tried psychotherapy? It sounds like you haven't as you seem to think therapy is about a therapist talking things "out of you". An anti-depressant will help take the edge off your anxiety & control your OCD up to a point. There are no quick fixes. You also need a good therapist who can help you understand why you're so anxious and what exactly you're so anxious about.