Hi Rena,
Sorry your having a rough time again.
I have episodes also that are worse than usual and they do knock me off my feet on a regular basis. I have accepted that now and make the most of the better times when they come.
I also hold on to the fact that the bad times are only temporary and will ease up given time.
I personally think that the more stress going on in your life at the time does worsen the OCD and make it harder to deal with.
For example I suffer from severe intrusive thoughts every single day on and off all day long but a lot of the time they don't bother me, but the more I worry about them and try to stop them the worse they become and take over my life.
I hope things improve soon
Take care
Bridget