Panic attacks

How do yall handle intrusive thoughts !? I never realized that was a thing I think I’ve been dealing with this sense I was in elementary school I remember getting on the bus and had the the worry my mom was gonna get in an accident and it’s just gone from there

I am so so upset and anxious right now. At this point I badly need reassurance as Im feeling a whole panic attack coming on. Has anyone ever had the feeling in their head and body like they are actually going to act on a terrible harm related intrusive thought like it actually feels like you are. Im scared as fuck i dont know what to do because What if i actually do that i am so scared does it ever feel like your on the edge of doing it and you get this whole intrusive urge in your body PLEASE REPLY please tell me experiences

I struggle so bad with intrusive thoughts. They can be so bad that I'll cry because I KNOW that's not how I feel or want to do. (Too embarrassed to say what they're about) I'll constantly try to figure out why I have them, and constantly figure out what they mean, causing me to constantly circle around and around. I had to get on anxeity meds, which helped a little but the thoughts still happen. How do you help yourself with this? How do you know that you're just not some physcopath? 😅