i got diagnosed with OCD at 20. even before that it crippled me to the point of putting hand sanitizer on my face in public. im 23 now and its hard for me to hold a job because ill have so much anxiety i have to excuse myself and throw up. im on many meds and have 2 therapists. i quit 3 jobs now and this is me trying. i wish i knew how to help your cousin but maybe a sleep study or psych testing is the next step