
I don't know about living with OCD, but many of the observations you made apply to me. I am constantly managing my anxiety, and my high level of awareness from that and fear of future failure helps me in my job.
What I have learned:
[1] Things either work for you, or you work for them.
[2] Perfection is a joke. When you are 60% ready, you know for a fact you should have already started. Forward motion and failure are the best teachers. If you only have to fail once to learn a particular lesson, you are way ahead of the curve.
[3] The "day-to-day" "moment-by-moment" is the only thing real in this world.
[4] "Executive control", "willpower", "self-discipline", "self-control", "will-to-change", "will-to-do-what-is-strange-and-difficult" are all the same thing, and you have precious little of it. Precious precious precious little of it - your supply of "willpower" is so very tiny, so very precious, so very dear. You have to use it now to makes decisions and commitments now so you can rely less on that tiny supply of "willpower" in the future, so you can use that little bit of "willpower" on higher-level goals. Or not. But if you are lucky enough to experience what you call "tomorrow" you will know the difference. The goal is to ratchet up to higher and higher levels of moral responsibility. Or not.
I don't know if what I wrote is actually helpful, but it is helpful to talk about these kinds of things, and society does anything except talk about these things, leaving people adrift and in pain. Seek out the very few people talking about such things and make your own reality.
No matter what you decide, I am cheering for you because you are the expert on your own experience. Please take care, all the best!
