Self sabotage or natural reaction?

I'm 20 weeks pregnant, have suffered with ocd since 16. Had a mental break down over a year ago. Here I am feeling like I am relapsing and the thoughts are out of control, and even worse now that I feel guilty I am causing my baby stress when it's not his fault.

I’ve been triggered so bad this week I’ve had bad anxiety and feel depression coming on. Last night I had a thought oh let’s plan it and I immediately thought why would I think that and started crying bad. I’ve had these thoughts for 7 months I really don’t know why I’m having these thoughts, if I knew I would work on it. Like people say has something happened in your life for you to have these thoughts and nothing has happened, it all started off from what if thoughts , like “what if I’m a psycho” because I saw this fb post saying introverts are more likely to become psychopaths and it all spiralled from there I started getting thoughts about harm towards others and myself. What do you think guys should I treat it like ocd or do you think there’s something seriously wrong with me.

I suffer since 10 - 15 yrs from specific fears. It was years that my OCD constantly wanted to be checked if I have HIV or not. I had a lot of sex and I thought this is normal. But I ruminated in my backhead about and was testing like 5 - 10 times a year. After the test I felt everytime so relieved. In Corona I was addicted to porn and even I lost control and was watching pretty hard stuff. I was chatting with a girl and we fantasized about really disturbing things. I never wanna meet her and for me was sure it's just kinda onlinestuff. I was in a relationship 3 years now. And I lost fear of HIV. But then came Morality OCD, Real Event (this chat) and after some times POCD. This combination was knocking me out, I felt like the badest person on earth. I did everything wrong and searched for relief and reassurance. It put me to the point of suicidal. I never ever hurting somebody, but my brain was making me a monster. I had to quit the relationship because I just couldn't give her what she deserved. I was in a clinic for 3 months. And we tested medication with ERP (before I took escitalopram for years). Anafranil was working first, then too many side-effects. I tried even without meds, but was so depressed. Now on sertralin for 5 weeks, but only 2 weeks on therapeutic dose 200mg. And wow, now I really feel so confused in the brain. I feel like how big my OCD became. The specific thoughts are not anymore, BUT it sticks on EVERYTHING atm. It's delusional how it feels in the brain. I really hope so deep my brain makes finally a reset and I need to wait it out. I could live with OCD for a long time but the last 1-2 yrs it took absolutely everything. I remark that POCD doesn't stick anymore like before but my brain is now constructing a very bad future because of past mistakes (that I all discussed with family, friends for relief over and over and over again). So it's like my OCD is now Real Event (The sexchat) again. Anyone was on the same point in life?