It wont be quiet

Its 2am, it wont shut up. I have magical thinking ocd and im so tired of the physical tingling at the base of my skull as it gets louder. Why does it always flare up with demands when im already crying and upset? Sorry to bother you all, but im so tired if it. Any tips on making it quiet? Does anyone else get the unbearable tingling until they do their compulsions?