Rewording this question into its true situations, “Which is worse, to be evil or to be sick?” Converting is שמד, and this is a question of guilt or innocence. OTD is not evil. It is a manifestation of someone coping with internal conflict (sometimes even external conflict) and making bad choices. While some who are OTD engage in criminal behavior, requiring the involvement of law enforcement, the OTD piece of the pie belongs in the realm of mental health. Pose this matter to anyone with experience dealing with at-risk and OTD issues, and you will find universal agreement on this.
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