I'm really truly sorry that you're still struggling like this after two years here,
@twocups88. But... (yep, here's the "BUT") I just don't think you're doing the work. Back in 2020, and then again in 2021, you received incredible advice from some of our most experienced forum luminaries - and yet here you are again starting in spring 2022, still saying "Yes, but... I don't think it's TMS".
The goal of this forum is to accept the TMS diagnosis, do the work, and be willing to acknowledge that any amount of progress is cause to celebrate and to keep going. Doubts are totally normal when you start doing the work, because your brain will fight against it. Recognizing this and fighting back is essential. But you can't progress unless you get started, and you are in the same place you were in two years ago.
It's not you,
@twocups88, it's your brain. Your brain is clearly very resistant to doing the work. It has you convinced that if you just post again, and seek some kind of reassurance, that you're accomplishing something. This, as I love to say, is your brain on TMS.
I think it would be educational for you to revisit those conversations. You started twelve threads, and never posted on any other threads, so it's easy to get through.
Look, I understand that OCD is a really tough one. I've had a lifetime of relatively low-level and non-debilitating anxiety which includes mild OCD behaviors (some weird ones as a kid). The thing is, OCD is just addiction by another name. It's more socially acceptable than substance abuse and other addictive behaviors - but OCD behaviors are addictions nonetheless. As you know and have tried, there are medications that have supposedly helped people with severe OCD, but the ones we see here always say that the meds did not work for them. I think the reason they don't help most people long-term is because the core problem, at its heart, is not biology/physiology or brain chemistry - it's emotional dysfunction. The medications are basically from the family of anti-depressant/anti-anxiety meds -and they are trying to control emotional dysfunction by creating changes in brain chemistry. Sometimes they work, sometimes they don't, and usually not long-term unless the emotional work is also done.
Mind you, I'm a CPA, not a mental health or medical health professional, so all I've got is eleven years of observations on this forum to offer. It is my strong gut feeling that extreme anxiety, depression, OCD, and addictions most likely result from extreme childhood and familial dysfunction, neglect, or outright abuse - in other words, from childhood trauma that is simply not being addressed. Our primitive brains are incredibly resistant to accessing that trauma, but the unfortunate results are physical distress and addictive behaviors which are the result of continued repression.
Your brain is reeeeally resistant to dealing with whatever trauma you probably endured, and have been repressing. You don't mention your childhood or family - and on this forum that tells us a lot. I say this with tough love and an honest desire to that you stop spinning your wheels on this forum, because we don't have the skills that you need. IMHO, your best chance at some kind of recovery will be to find a therapist who not only accepts the mindbody connection, but is particularly skilled at working on childhood trauma, and who, above all, won't let your resistant brain bullshit its way out of having you do the work.
Good luck,
~Jan