I noticed that it is impossible to hold it back indefinitely and I break down once a month or once every 2 weeks and no, this is not what you might have thought, this is different, but I don’t know if it is worth saying what it is with me, since I am not sure that the post will not be deleted for this. For example, the desire to beat the walls until you break your arms.
As an anecdote to attach to the OCD part - My intrusive thoughts can revolve around sex and it gets insanely uncomfortable and drives me into deep depressions that have gotten actionable at times.
Therapy is the way
Depending on the circumstances, sometimes it may not be therapy that is needed, but something different.
To be fair, a professional therapist should have resources to share with you that you can use by yourself, such as stuff for impulse control, organization, etc.
Definitely has better training with that than most life coaches.