This was a really great piece and touched me quite a bit. I also suffer from the same form of OCD (called Pure-O OCD) and I could identify quite a bit with what he is going through. I never got quite as as "low" as he has but I can identify with the overpowering, nonstop dark/guilty thoughts the second you are alone with yourself.
I had it when I was a kid, mostly to do with religion (grew up in a religious family). It lasted most of my life even though I stopped believing in religion in my teens. I sort of got over it in my 20's but a few years ago it came back worse than it has ever been. It took me about a year and half to get out of it for the most part, though it's still something I deal with every day and from time to time can get pretty bad again.
I don't take any medication for this, but have treated it with CBT.
Similar experience, although my family wasn't particularly religious. Still, the symptoms were to do with religion, such as daily prayers that I HAD to do before bed if I was to get any sleep. These prayers were very formulaic and could last up to an hour or more. If I didn't do them, I was afraid something harmful would happen to somebody else.
My symptoms were actually alleviated when I stopped believing in god for logical reasons, but since OCD isn't rational, whenever I am under stress, I still have to do these prayer-like thought exercises every once in a while...It's weird.
Seems to run in the family on my mother's side. I have mostly the compulsive thoughts, while my younger brother is a compulsive hand-washer.
Anyway, I am glad that some of you feel like this article sheds light on some things in your life for some of you. Talking to professionals helps if you feel like it interferes with your life to such a degree. Don't worry, there is a silver-lining...It is usually correlated with above average intelligence. My mother's cousin has the same issues, and he is a devoutly religious nuclear physicist. Don't see how the 2 go together myself, but I guess he has learned to compartmentalize.
The OCD sufferers also have a mild form of ASD, formerly called Asperger Syndrome, so I am wondering if there is some connection between the two or if its just coincidental. In fact, I find the subject of the relationship between mental illness and genius to be very fascinating. Of course, one isn't NECESSARILY an indicator of the other...For every Nikola Tesla (who also had OCD and other "quirks"), there is a Richard Feynman, who has no known issues.