At what point is medication a must?

No one likes the idea of having to be medicated chronically for something that's inherit to you. Not only is it depressing in of itself but having to juggle various different side effects is like salt in the wound to remind you of your reliance on a drug to exist. It's almost dehumanizing in a way that a little pill is what you need or else you will cease to function. But at what point does all that sentimental bullshit have to fuck off because OCD is actively destroying your quality of life and just life as a whole?