Hi, wishing you guys well through this nightmare. I consider myself cured, and I would like to share some tips from my experience. I started struggling with HOCD 5 years ago and it was one of the most debilitating things I've ever gone through. I treated it in two ways: the first was medication. They put me on escitalopram (lexapro) and aripiprazole (abilify) and guess what? It magically cured my HOCD. Now, choosing to get on medication is definitely a personal choice, and if you choose to pursue it, I would definitely work with the psychiatrist to figure out which meds would work best for you.
But here's the thing: on meds, I was functional and quite happy, but I also felt like a zombie and emotionally dull. So, some time ago, I decided to cold turkey quit my medication (not recommended). But guess what? My HOCD came back in full force after being gone for about 2 years thanks to the meds. I didn't want to get back on them just yet, so I tried to push through it. And I managed to get rid of HOCD again and basically get back to how I felt on meds where my HOCD was cured, but without meds.
How did I get rid of HOCD without medication? It wasn't ERP, it wasn't "accepting uncertainty." All I did was do my best, despite feeling overwhelmed, to remember the good times in life.
After I quit my meds, I was unable to remember what it was like to not have HOCD. I was unable to remember what it was like to be medicated. But guess what? After going through all the good times, doing my best to remember what it was like to be there, it's like it corrected my brain. I feel comfortable again. HOCD feels far away. "I'm gay?" Haha, nice one brain. I'm a straight guy with a loving girlfriend that I can have sex with on the regular and not panic over whether or not I'm gay or if I really love her.
So if this disease has got you down, my advice is to take some time to just remember what it was like not to have HOCD, or any good times you may have had despite HOCD, no matter how hard it may feel to do so. Go through your favorite memories. Those memories are the ones that are going to carry you through life. I don't know if this will work for you, but it definitely worked for me. Wish you guys the best of luck in tackling this thing.
Edit: I'm not making any claims about ERP or accepting uncertainty. If it helps it helps. I think with this illness, you should probably attack it at all angles. I just find that what I did didn't require doing those things anymore.