Hello! You’re me and I am you.
I fully get this as someone with harm OCD (towards myself and others, important others). Thoughts so incredibly bad and distressing that I couldn’t even be near my DD through fear of what I thought I was going to, and more scary - what I felt that I WANTED to do.
I know it’s hard but remember: thoughts are not wanted actions, they’re just thoughts! YOU are in control of your actions, not them.
Whenever it happens, just try to sit with the anxiety and discomfort of them. I know it sounds bloody impossible, believe me I get it, but the more you react to them the longer they will hang around in your head..!
When it pops up (and I know it’s 24/7), deep breaths and remind yourself ‘oh that’s an interesting thought, it could happen, it could not, I’ll deal with whatever and I will cope’ and go about your day. Sounds stupid when the thoughts are most likely completely heinous (remember, I am you, been there) but it helps to neutralise the anxiety around the thoughts.
Also remember, any urges that you might feel alongside the intrusive thoughts (for example any sensations linked to it) are also just part of the intrusive thought.
Medication and therapy are a combo that I recommend. Feel free to message me if you need to. Don’t feel alone in this, you’re in control and your anxiety has your ENTIRE imagination to play with. You’re in control, just ride the discomfort.
And try to stop seeking reassurance to validate that you won’t act on the thoughts. That’s a sticking plaster of the highest order - become comfortable with reminding yourself that you are in control, you don’t need reassurance, your bad thoughts are not wanted actions.
xxx