Outsider. My post was not in reply to yours at all. I see now that it can seem that way. I actually think we are on the same page.
From many of the posts it seems like there is little understanding about compulsive disorders (which the OP seems to have). They are not controllable. Yes, for a few minutes or sometimes hours or even a whole day, but by and large it cannot be controlled.
3 compulsive anxiety disorders that everyone should read more about are OCD (obsessive compulsive disorder), tourettes syndrome (vocal and motor tics), and trichotillomania (obsessive hair pulling).
There is also little understanding of hilchos shabbos. Compulsions are not misasek. A person may start off not knowing, but then they do know what they are doing and can’t stop. Compulsions are anus, not misasek. In gemarah times it was called ruach raah. See Eiruvin 41b.
I was not discussing the effects of medicine on these disorders. Medicine is always an option, but its effects are somewhat of a mixed bag.