Question(ing)

Does anyone have any advice for how to know the difference between ocd and real feelings/thoughts? Sometimes an intrusive thought will come in and I immediately know it’s ridiculous and I can just leave it alone and it won’t bother me but other times I really really don’t know. It’s when ocd hijacks and twists my real feelings and thoughts and tries to manipulate me into believing they’re something they’re not or something that doesn’t align with my true morals or intentions. But since it’s twisting and mixing with real feelings I get so confused and scared. Everything gets jumbled and I feel like I can’t trust myself or my own mind. Yet other times and other topics I can laugh off and push away just fine. Make it make sense. And then I start to think well maybe I don’t have ocd at all and I’m just in denial because I don’t want to accept that these scary/concerning things are true about myself. Or maybe that’s just the ocd talking.

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.

I don’t know how to explain this so I’ll do it to the best of my ability. Does anyone experience “co-intrusive” thoughts that try to negatively support the initial intrusive thought? Example: Me: “Thank God I never acted on (scary intrusive thought) & I’m getting better!” Intrusive thought: “What a shame you didn’t” These types of things send me into a spiral. It makes me think that it could lead to a desire instead of staying a fear. Like an intrusive disappointment that I didn’t follow through with the thought? It’s been a long fear/obsession & I think my OCD is trying to trick me that the only satisfaction would be to act on the thought. (I know that’s bs) But IS that why it sends me the negative co-intrusive thoughts? That’s the only explanation that makes sense. Then I wonder is it something else? Am I a grenade waiting to explode??? I simply cannot relax in any moment because I think what’s the use if I’m just going to (xyz) one day?