Child with OCD - End result

It took about 3 months but we had a big turn around. Not sure exactly why or how but here were the steps we took in the 3 months:

1. Child Psychiatrist we moved the session up to 2 twice a week (worked more on dealing with the Germ freak issue and dealing with her little sister).
2. I got this book called "Helping Your Child with OCD". From this book, there was one part that made sense to our situation. I made up a contract with my daughter for certain things we needed her to stop doing. There was weekly prizes and a big prize at the end if she were to do all these things (don't be too strict on the rules at first). Both needed to agree and sign it.
3. Worked with the teacher and if she acted up in school I needed to know. She was doing a lot of strang things at school and the kids we thinking that she were weird. Also, there was one comment at the beginning I didn't like from the teacher that she was a loner.
4. Communicate (biggest thing that a parent can do)- talk daily on how things went at school and what was bother her. Help tread through the issues by asking many questions as they don't want to reveal everything or try to hid it. Personally, I did not hold back my comments. If she did something at school that made her look weird or dumb. I would tell her straight up that the other kids think she is weird, told her why and what happens if she continues to do it (this took about an hour daily).
   

Today:

I can say she is 90 percent better. Here and there it may come out a little here or she woke up on the wrong side of the bed, but it is way better now. The psychiatrist said this is something she will need to deal with the rest of her life and there are stages in her life it may ramp up so always be on the lookout. Teenager is the next stage which is coming soon.

Important side note: We did not use any medication. We were against it.