Getting help (advice PLEASE)

I know we’re not meant to ask for reassurance but I’m currently not in therapy and I need help, it feels scarily real and I feel like I’m not anxious or worried over the thoughts. I had stabbing thoughts about someone I care about and I started deliberately imagining them to test myself to see if I hate it or not but instead it felt like I knew how it feels to stab someone and like the feeling of doing that physical action and I swear it is the worst thing I have ever experienced as well I had moments where it felt like It was about to happen or I keep getting this really sick ‘happy’ feeling that I want to do that and I don’t know what that is but it feels incredibly real almost like I was getting a happy feeling or wanted to do that thing and jsut wasn’t giving into it and now I’m thinking I’m actually evil and it feels like I get a pleasurable feeling over the thought of doing that and would want to do it?? Because I ‘like’ the feeling of doing it or it would ‘feel’ good I swear I really don’t know what to do it feels incredibly real I feel like I can’t even say that I’m worried or scared because I feel like I’m lying and actually want it and have evil desires I’m really concerned, I have never done anything bad in my life, I feel like what if through experimenting and imagining the thoughts to test myself I have suddenly discovered I like it because it feels extremely real that I would ‘enjoy’ or like Doing that evil thing and it’s really concerning, i don’t understand I was fine a few days ago and suddenly I’m experiencing this? Is it possible to suddenly become evil i don’t want to be evil, but what if i like it and my desire to not be evil isn’t as strong as this ‘happy feeling’ i wish I can be normal I don’t want any of this please but I swear I feel like there is something wrong with me, I think this is the worst I’ve ever felt, like it feels like I want it and would enjoy it and it’s making me feel really worried but at the same time I don’t even know if I’m worried please help I need advice

I don’t have an official OCD diagnosis, but I will be asking my doctor tomorrow if I can get referred to a psychiatrist to get an official diagnosis. The way I came to the conclusion that what I’m dealing with is OCD is because a month ago I just started having the most horrible disturbing intrusive thoughts that go against all my values and beliefs and attacking the stuff/people I care about the most. Mind you, I have never had anything like this happen in my life. I feel that I have always been someone with a peaceful mind and one of the worst intrusive thoughts I can ever remember having before this happened, was “what happens if I cut my finger right now” while I was cutting fruit. That’s pretty much it. After this whole horrible intrusive thought spiral started happening I was so scared because I have never had such awful intrusive thoughts like this that were the complete opposite of me, it just quite literally started out of NOWHERE, and that’s what was so scary and terrifying. It was like my whole life got turned upside down because of this and I’ve been mainly isolating in my room, feeling so much anxiety and dread and guilt/shame. I get four of the same thoughts and one intrusive image repeating over and over again even if I would not try to think about them, and it caused me so much distress and anxiety that I would be so anxious and cry everyday just thinking how I could ever possibly think such horrible intrusive thoughts like that. It’s caused me insomnia which I’ve never dealt with before and I went three days in a row without being able to sleep no matter how hard I tried (even while taking melatonin). Other days I struggle so much to fall asleep due to the intrusive thoughts being much more present at nighttime, and even when taking melatonin that doesn’t do anything because of my mind being so active and having so much anxiety. Is this what they call an OCD flare up? After constantly looking up all the symptoms of ocd (the more and lesser known ones alike), I noticed there were some symptoms of it that I displayed in childhood when the ocd could’ve been more dormant or mild you could say (skin picking), because once again I have never had such horrible intrusive thoughts like this out of nowhere and constantly repeating in my mind that felt like they were out of my control. I noticed that these intrusive thoughts started on the second day of my menstruation when I was in a lot of pain and was feeling very emotional/stressed. One of the things I’ve heard a lot is that during the menstruation cycle is when ocd flares can happen more often due to the increase in hormones during that time, and I wonder if that’s what happened to me? I’m also overall such a big over thinker and have been for as long as I can remember. I also have had anxiety and depression since middle school as well. Any insight would be very much appreciated 😭

At this point I feel like I need to get on something ASAP. I know that therapy is a long road and hard work and I am totally down to do it but in the short term (I just started this journey) I think I need pharmaceutical help. Some of the people closest to me agree. I have never been on meds before and it's scary AF but the road I am going down is scarier. Advice?