I have had Exposure Response Prevention therapy for years and haven't been able to address this problem:
I have areas in my apartment I haven't been able to clean in years because it is just too difficult. I have no idea how to clean these areas, just in a practical sense, and also in terms of how much anxiety will result in the attempt. As background, I have had such difficulty in doing certain tasks that it results in rage at myself and hitting myself.
I need help to figure out how to get certain areas clean. Any therapist i see just wants me to put these areas on a scale of 0-10 in terms of anxiety, and the areas are all 10s, and I am never able to do anything about them. No therapist has been able to address what to do with these areas that are objectively dirty...you can see the dirt, it's been there for years, and it all has a gross backstory. I can't really hire just a regular cleaner, because I don't want the dirt to spread.
I know there are other people with OCD who struggle in a similar fashion: they live in unclean and uncomfortable environments because they can't cope with the anxiety that cleaning causes. Therapy can't be the only singular answer--all the money I've spent on it has not been able to fix this issue. I feel very hopeless often, and unhappy about the quality of life I am able to make for myself. I keep trying to hold out for hope, but it seems so unfair that I should have to live this way.
What have other people done? Are there cleaning services provided by people who understand OCD, and will figure out with you how to get the job done without spreading the dirt? I am in LA so I am hoping there's help nearby.
I would so much appreciate other people's insights.