Harm ocd

I’ve been through a lot of trauma the past few months and years and had an anxiety breakthrough where I can’t stop having panic and anxiety attacks. I used to be a horror movie addict and one night during an anxiety attack my brain went “Kill your sister” My sister is my whole world. It all went downhill from there. I can’t even be around her when were home alone anymore. Every single day since then my brain is trying to tell me a bunch of different ways to harm her. Its getting to a point where its involving others now. “Kill your sister.” “What if you finally go back to your boyfriends house and kill his family?” “What if you kill mom?” “Kill that lady walking down the aisle at work.” “What if you killed yourself?” “You’re a bad person for thinking all of this.” “You shouldn’t be allowed to sleep, eat or relax. Bad people don’t get to do those things.” “These thoughts are in your head 24/7 because you WANT to do these things!” Its causing me so much anxiety and racing thoughts and I don’t want to become anymore depressed. SSRIs dont work. My doctor wants me to go on antipsychotics but I’m afraid to and I feel like I don’t actually need them and it will cause more damage. My goal is to become the person I was before all of this. Not to change completely. I tried buspirone once and I stopped due to increased health anxiety and often found myself saying “remember when you wanted to kill your sister?” and then brushing it off. It helped in some sort of way. I was only on it for a week. My whole life has changed since then. I dont go to my boyfriends house anymore, I dont see my friends, I can’t play video games anymore. All I do is ruminate and I cant stop. I cant even hold a conversation anymore. The compulsions are horrible. I’m so scared that theres no coming back from this. Its all adding to the anxiety that I don’t want to become severe depression. I just want to be me again. I’m starting off ERP and if it doesn’t work I dont know what to do. Can someone please tell me they have been through similar and have gotten better. I just need to save my life. Its getting to a point where this is convincing me this is all real and its going to happen and that im gonna become a psychopath. Its been going on for 3 months. I used to be so bubbly and happy!! (I am not schizoaffective)

I’ve recently been struggling a lot with OCD. I have had OCD for a long time I just didn’t realize it until more recently. About seven months ago I developed panic attacks one day randomly at work. I thought I was having a heart attack and went to the hospital where they told me it was just a panic attack and I assumed I would snap out and be better within a few days. However it didn’t. Here’s where it gets scary, I was staying at my then boyfriends house while dealing with blurry vision, anxiety attacks everyday, and more (unsure of what was going on). But at some point I saw my bfs (pew pew 🔫) on his table and it sent me into an anxiety attack after sudden thoughts that I was going to hurt myself with it. I begged him to put it away when I’m not looking so I didn’t know where he put it. He did. These thoughts lasted for about four days but began to go away. (I thought that was it and I would be back to normal). Unfortunately though I ended up moving back in with my family when we couldn’t get my panic attacks under control in time for me to get back to work and pay bills. However, coming home brought up a lot of trauma from when I was kid. My anxiety got worse but I didn’t have those thoughts again. About two and half months ago though, I got sick and went to the hospital where they gave me steroid pills and a steroid shot but sent me into some kind of psychiatric event. Ever since then though, I have been suffering from harm OCD, I have had moments of intense anger that I usually have to completely walk away and go on my own because of how intense they are, and it feels like it’s getting worse. Today I felt fine until about and hour and half ago where I started to dwell on the fact that my suicidal thought was influenced by my OCD and at the moment my OCD is at the worst it’s been. This caused me to get suddenly really depressed and I started crying thinking about how I can’t handle this. I then saw a post talking about how suicide rates are high for people with this form of OCD and it made me question if I am mentally strong enough to pull through this. I fear that at times I’m getting worse. I have good days but I have a lot of bad days. Unfortunately this sent me into such a bad panic attack I went over to my nanas crying about how I can’t deal with this. I took a 0.25 mg Xanax which helped calm down the panic attack portion of it but my brain is still uncomfortably active. I guess I just need hope. I’m so saddened by this. It’s like my life took a total 360 in 10 months and got even worse since the steroid shot. Idk what to do about it. I can’t stop the spiral. I talk to two different therapist weekly and start more next week, making it 5 times a week. I feel no improvements…

Finally slept well today! Which is nice. Regardless, I feel like it has destroyed who I am. Its been over a year and a half, and I keep overthinking and questioning my identity and I can’t let it go to the point where I feel that my future is certain, even though I’ve liked myself the entire time and had a pretty stable idea of who I was. My mind has gathered enough proof. I love being a woman, and I don’t want a different body. I wasn’t born in the wrong body. I am obsessing over my voice, which needs no changes, and my chest. After speaking to a friend of a friend, I’m afraid I’ll want a sex change when I finally have a partner. I’m terrified. I don’t know if anyone can relate. I don’t know how to get over this and my first ERP session is in about a week. How do I even go about this? I feel like a monster to my own family.