It really is an issue.
As far as medication, one should make that decision together with one’s therapist. I would be a little suspicious of a therapist who went directly to medication. Probably you should be a more concerned with treating the underlying cause than treating the symptoms.
(Yes, I know some will say the underlying cause is chemical imbalance. I don’t believe that for OCD. Maybe for something like bi-polar, I believe that.)
(Aside: I don’t know why some people think it is easier to deal with having an emotional problem if they write it off as a chemical imbalance. It seems to me that a chemical imbalance is more part of you, than environmental factors are. And neither is your fault.)