Do I really have OCD?

This runs through my head 24/7

Not to go about the reassurance route, but do you really have OCD if you haven’t had the “am I SURE this is OCD? This could all be real!” thought? :p Look at the first two words of your second sentence. Catch yourself there!

I spent about four months obsessing about this very question to the point where I could no longer function. I’ve had to learn that you can’t know 100% for sure whether you have OCD (I spent so much time worrying I’d somehow lied or misrepresented my experience to loved ones and therapists), but chances are if you’re worrying about it so much then OCD is very likely!

A few things here- Many regular psychologists don't actually understand OCD. Misdiagnosis seems to be a pretty big issue with it. Regular talk therapy is ineffective for OCD at best, and can actually make OCD worse. ERP therapy (Exposure and Response Prevention) with an OCD expert is the ONLY way forward if you wish to treat your OCD. If you're in regular talk therapy for OCD, you need to switch to ERP to make progress. Many talk therapists claim to treat OCD. They really can't. Far too many therapists don't know that ERP is the only way to progress when OCD is the issue. I am not an expert, but l've never heard of this “four theme“ thing. Here's what I do know for sure: OCD is the doubt disorder and can latch onto and make you doubt things in your life to the point of torturing you. It attaches itself to what you value the most and can cause immense pain, suffering, and debilitation. It has countless subtypes. You could doubt your sexuality, your relationship, contamination, whether or not something really happened, if you're transgender, if you're actually a pedophile, if you're going to lose control and harm yourself/someone, etc. You can research the subtypes for more information and specifics. With these worries comes intense distress, rumination, questioning, endlessly trying to reach answers (“What if’s”), fear, and also compulsions that are designed to provide relief from the fear. This relief is only temporary. In fact, these compulsions actually reinforce the disorder and make it worse over time. Doing what OCD wants you to do actually feeds it and makes it get stronger until you are completely debilitated and under its control. Compulsions will differ depending on the subtype. For instance, with my subtype, Relationship OCD (ROCD), I fear that I don't genuinely love my partner or have the right feelings. Compulsions for me include checking current feelings, mentally reviewing encounters to see how I felt at a certain time, latching onto words or statements and overanalyzing them/comparing them to my values, imagining how I'd feel leaving the relationship, debating if I’d be happier single, asking myself and mentally debating if someone else I know would make me happier, ruminating about how I feel, asking others what they think of my partner, taking relationships quizzes, etc. . . . When I doubt my attraction to my partner, I may scrutinize their appearance, frequently check what I think of their looks, mentally compare their looks to past crushes, research photos of models and compare feelings I have towards them, ask myself if I would be happier with one of them, etc. You get the idea. ERP gives you necessary skills to withstand discomfort, teaches you to identify unhelpful thinking patterns and compulsions, then uses exposures to gradually expose you to discomfort and your fear while not resorting to compulsions. This method of therapy has been shown to give people their lives back. This is not the case with regular talk therapy. If you’re having trouble finding an ERP therapist in your community who specializes in OCD, you could use NOCD therapy, which is what I use. All of their therapists are OCD specialists who use ERP and have at least a Masters-Level certification. All NOCD therapy is via Zoom so you can do it in your own home. They will also make a diagnosis in the first session or two.

From my basic understanding (I've been diagnosed with OCD and GAD).. But I do feel as if I have multiple comorbidties.. Dealing with Trauma and memory issues so I am trying to get a second opinion with a different psychologist

I always get multiple opinions before taking a medication for something I'm diagnosed with. Some psychiatrists said I didn't have OCD while others said I did. It took me two decades to get a correct diagnosis.