Fulfilling the oaths or promises to Allah (SWT) is compulsory (WAAJIB) as far as the person who made the oath of the promise is Aaqil (Sane). If the Waswasah makes the person insane, then insane person is not responsible for he does or says during that condition.
First step in tackling Waswas and OCD is to know its origin which is Shaitan who wants to harm us in every way. We need to be aware and very careful against Shaitan and Satanic thiuts. We need to repeat Isteghfaar and Salawaat and La Hawla Wala Qowwata Illa Billah. Repeating Laa Ilaha Illallah is also very useful in tackling Satanic thoughts.
Waswas is from Shaitan and no way to get rid of it but to drive Shaitan away. You need to focus on the fact that it is from your worst enemy (Shaitan) and seek help from Allah, The Most Exalted, to protect you from Shaitan.
Repeating Estighfaar, and Salawaat and LA HAWLA WALA QOWWATA ILLA BILLAH can be very helpful.
One of the best ways of removing waswasah is never to accommodate to thinking of such scenarios. Do not create scenarios in your mind, and do not assume najasah at all. Your taklif and duty is to completely dismiss your shakk by ignoring it and considering whatever scenario you are in to be tahir and pure.
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