How do you know?

Hi all, I’m really grateful for all the support I’ve gotten from people in the last few days. My mental health is at an all time low and I really appreciate the relief people have brought. I had a question about whether an intrusive image of a potentially imagined event can feel just as real as a real memory. I’m doing my best to stop ruminating over an image I have in my head, and have gone so far as requested security footage of myself and have been told both through that and by my friends that nothing bad happened, but the image in my head feels just as real as other memories. I was also drinking the night in question, which makes it harder for me to dismiss the image and makes me feel like I shouldn’t. I was just wondering if imagined images can feel just as real? I’m trying to use tools to ignore the image, and have therapy scheduled for tomorrow, but I feel like I can’t responsibly dismiss the image even with the evidence I’ve gathered if there’s something about a real memory that looks different in the brain and that if so, that suggests my memory is real and I should confess it. I’m really working on stopping reassurance seeking as well, especially now that even after being told that nothing bad happened when the establishment I was at reviewed security footage, my brain is telling me “they’re probably just lying and never reviewed it.” I know I need to just stop ruminating, reassurance seeking, and mentally checking the memory, but I just don’t know if I can/should in case the image is what I should trust more, if that makes sense.

Without trying to seek reassurance, I’m wondering if anyone has insight on identifying an intrusive thought vs reality. Something that’s always really helped ground me in moments of false memory ocd is clearly remembering the exact moment the thought arose and how it started as “what if I cheated and don’t remember.” Then the images come and are extremely distressing, but I’ve always found some comfort in coming back to that moment of “this started as what if.” It feels like my brain is almost getting more creative with the thoughts now, and I’ve been having probably the worst anxiety of my life the past couple months after another intrusive thought entered my mind. I woke up after a night drinking and thought to myself “did you kiss your friend and don’t remember?” (Didn’t happen, undeniably proved). The rest of the day I stayed anxious about other things I could have done and poured over all my memories of the night. Then the next day I finally had found some peace based on all the evidence from my friends who were with me that nothing bad happened. I then thought “what about when you went to the bathroom,” which I hadn’t really been thinking about before, and then my mind immediately started flashing with images of me performing sex acts in the bathroom with some person who has no name, face, details, or anything I remember about interacting with them. I think I’m just concerned that this was a moment of genuine memory recall since I hadn’t been thinking about the bathroom before, and it was more of a sudden flash of images and “did you do that” vs “what if you did that.” I’m wondering how others are able to identify that something is an intrusive thought vs reality.

Hey all, I’ve been having some ebbs and flows in recovery, but for the most part I’ve really had a lot of improvements in quality of life since starting treatment in 2023. Something that really trips me up is ruminating on my past and looking for “evidence” or “proof” that the things that I’m obsessed with are real and not OCD. I spend quite a lot of time doing this. I wasn’t fully aware I was doing it until recently. Example: that I’m secretly gay and lying to everyone (I’m bi), that I’m a horrible person deep down, that I’ve never actually loved any person including my family, that I have the “wrong” political or religious beliefs. I look for proof in every corner of my past. It makes some sense that I think this way because with my previous therapist, who I saw for 8 years and did not diagnose me with OCD, we would look for evidence and proof that my obsessions are irrational and I learned to deal with them that way. At the time it was a lot of health concern and contamination themes, but I literally learned to ruminate and search for relief. But I just kept getting sicker and sicker until I got diagnosed with OCD. It’s a frustrating compulsion that keeps showing up for me. What if these scary things are true? What if it’s not OCD at all and I’m in denial? Have I lied my way into thinking I have OCD? It’s so hard. Anyway, I’m curious if anyone else has come across this in recovery? Let me know your thoughts and I hope you’re well. ❤️