How funny is the transition

I dont know whats going on. I dont know if its OCD anymore. I know it was in the beginning. Ive been through a lot of trauma and had one little scary thought of killing my sister 4 months ago that has blossomed into this giant idea of me being a serial killer and wanting to hurt everyone (I never had any social issues growing up but I have had some trauma). Recently I’ve been having urges to just give in. And my mental images have been horrible and I can’t stop checking if I like them or not. I think I’ve convinced myself I have. This morning I woke up a shaking mess with an urge to unalive my family and when my mom left for work I was alone with my sister and couldnt stop vomiting uncontrollably. I dont know if i’m upset because I cant hurt anyone and I want to, or if I’m scared and just want my old life back. I was an avid horror and gore lover and now I’m convinced I want to do the things I’ve seen in the movies. Someone please help. I’m ready to check into the psych ward.

It is not the thoughts or urges that scare me anymore. It is the way I feel like I’ve absorbed the compulsions into my identity :( I am doing them so automatically that it feels like I am choosing them freely and they’re me. and because of that, it feels like I AM the OCD now, not just someone with OCD. I think I’m just deeply trapped in a loop. I was trying to survive unbearable fear so I started scanning. Then I started pre-scanning. Then checking if I pre-scanned. Then I check how I feel during all that. I run to beat my OCD to the “punchline” (intrusive thought, urge, sensation) because I’m so scared all the time. So scared that I don’t even feel it anymore. I feel numb and all that’s left is this jittery residue and numbness. Now it’s all tangled together in a huge knot. I feel so extremely lost. I think this may just be meta OCD, but I’ve never ever felt so gone before :( I’m really scared.

You can laugh at the title if you want, it’s objectively pretty funny. Hi guys, this is my first time on this app and I mostly just wanted to see if anyone out there is in the same boat as me or works in health care and is dealing with this. I haven’t told anyone what’s going on. I’m in my 4th year of medical school and In the past year I’ve developed what I think is pretty bad health OCD. Now health anxiety is a really common thing for medical students to have, I know that. It wasn’t until recently that I realized that the constant lymph node checking, self diagnosing & examining and reassurance seeking could have definitely had crossed the line into compulsions. Both my parents are cancer survivors which is what originally made me want to become a doctor but now every single physical sensation I have sends me into hours or days of rumination that I or someone I love has stage 4 terminal cancer. I spent an entire vacation with my boyfriend having a silent panic attack and convincing myself that he was dying of pancreatic cancer when he just had food poisoning and was fine days later. I had a complete mental breakdown and told myself I had lymphoma for weeks when I realized I could feel some of my own perfectly normal lymph nodes in my neck. My logical brain knows this is completely ridiculous but the emotional brain will not shut the hell up. It seems cruel that I made it this far only to feel like my own damn brain is betraying my ability to think through health situations clearly. I’m determined to get my symptoms under control before I graduate in a year as I don’t want this to affect patient care. Just wanted to get this off my chest and see if anyone else out there in health care is struggling too.