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I think the line is drawn when it starts interfering with your life.
i.e. it's a little weird to wash your hands 10 or 15 times a day and keep sanitizing lotion on your desk. But if you can't leave the house because everywhere else is too dirty.... or if your boss noticed you're not getting as much work done because you're in the bathroom scrubbing... time to check into it!
Many anti-depressants are also good for OCD. I think Prozac is one. Some people have GREAT results from medication alone; some need talk therapy; some do both; some do neither.
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