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I had really bad incest thoughts as well and to make it worse it's coupled with an existential crisis. But how I got over it honestly was ERP mixed with just spending time with said family that you are so stressed about having intrusive thoughts about. For me since they were related to my brother, I spent time with him and ignored the thoughts they will decrease with time...then set boundaries in our relationship and reframe how your brain sees your relationship with the family member. It really does get better. I hope this helps✨ you can ask me more questions if you want, I'm up for the conversation

I can't seem to paste a post I just saw .i felt like typing it out for you if you havent seen it , it helped me with the same thoughts as you...it said " many people who struggle with ocd describe their intrusive thoughts or unwanted thoughts as "sticky" meaning that the thoughts linger and stick around and they have difficulty letting go of the thoughts. This is a common experience in ocd.. why intrusive thoughts stick it says: 1) ego dystonic they go against your true values and desires this makes you react to the thoughts which then convinces your brain that these thoughts are scary and dangerous , 2) fight or flight your brain send out an alarm and you can't find logic your way out of what feels like an emergency making things feel real and urgent , 3)thought-action fusion you feel like your thoughts are significant and meaningful predictions or reflections of your character ,making it harder to dismiss thoughts and increasing rumination 4)reinforcement doing something in response to an intrusive thought signals to your brain that it is a real threat ,increasing both scary thoughts and anxiety and reinforcing ocd.