therapist was naff. Not at all, they did what they could with a tool that has restrictions on what it could cure. CBT cant cure a broken arm, the process is similar. If your depression and thought patterns are an adverse affect of lack of thyoid, as another example, until you address the thyroid issue, the CBT cant retrain your thought patterns. You'll always be prone to negative thinking as your brain biochemistry is out of sync. My advice is to look at OCD as a symptom of a physical illness. Try and focus on treating the physical illness that is having a negative impact on your mental health and thought patterns, not gun straight for a cure to the symptoms. Its all about addressing the cause, not the symptoms. Thats why psychology fails for lots of us, we are trying to treat a symptom that we are prone to due to an illness. The psychology has limitations.