I cannot drive anywhere without feeling like I've hit someone. When I see pedestrians I just want to cry because I know I will think I've hit them. People walk through the middle of busy 4 lane roads and it makes me want to scream. I hate myself and I hate ocd I just can't do the ERP it's too much to even imagine. Please anyone who has been through this theme please help

My username comes from my experience with Hit and Run OCD. This is actually a very common Harm OCD thought. The sensation to hit pedestrians is actually an intrusive mental urge. Urges can feel real but is is the combination of feeling out of control and horror associated that lets you know it is OCD talking. I have done extensive ERP on this and the best things I did was watching YouTube videos where there is a person vs auto accident. Remember this urge is just another intrusive experience and is just like a mental fart ?; let it pass and do not analyze.

Driving OCD falls under "false memory OCD". Most people with OCD have had false memory OCD at one point, and the only way to overcome it is to do ERP. You can't avoid driving so you have to confront the OCD thoughts. You have to just let the thoughts sit in your mind when they come to you but just don't consciously react to them or analyse them. No analysing the car journey either.

But do I accept the OCD thoughts as true and convince myself I hit someone or do I label them as OCD and just feel anxious

I totally get this!!! This happens to me ALL the time. You’re not alone.

You don't accept the OCD thoughts as true, you don't accept them at all. You just allow them to sit in your mind without acknowledging them. Don't consciously respond to the thoughts with fear and don't analyse them or the car journey to try figure out if the thoughts are true. You have to rewire your brains response to these thoughts, and the best way to teach your brain is to show it that nothing is wrong by behaving as if there is nothing wrong. Having anxiety is fine as that comes on autopilot, but analysing and powering the thoughts up with conscious fear is a choice and you have to choose not to.