Harm OCD made worse by psychiatrist visit

Basically long story short, ive been dealing with anxiety for a very long time all my life I'm 23 now but about 5 months ago my anxiety started to get really and I overthink a ton and get worried to easily. So my chest hurt for a while from stress at work made me worry why it was hurting, then me worrying and thinking worse case scenarios was making it worse. So i and to go to the doctor and got diagnosed properly with anxiety and I have a med now that I take when I really need it called hydroxyzine but I also have another med that is Zoloft that I have been taking for a about a month now, to help with my intrusive thoughts I have sometimes i only get them when im stressed or when I'm by myself or when i just overthink in general, my loneliness depression is one of the reasons for my anxiety because I wish I had someone as in partner wise to love me and for me to love them. But anyways I've had intrusive thoughts about possibly hurting myself and family, or even my dog. Ive never acted on any of my thoughts in the past and I don't want to but I have had anxiety attacks when everything feels to real and really scares me. I constantly have the thought of am I crazy or am I becoming crazy and stuff and I've done a lot of looking stuff in the past about symptoms but most of them are identical to what anxiety is so it's hard to tell the difference. It's been probably 2 weeks since we last talked. I've been mostly doing good. But I just was wondering if had a little Harm OCD intrusive thought happen yesterday that targeted my Aunt at work she was complaining all day and when it got closer to the end of the shifts for us. I was already annoyed with a situation that happened earlier in the work day. But she came into my department and then went back over to hers and I said it out loud to myself and said you better get back over there or I'll, I tried to say something else because the word I was going to say was kill you. Obviously I don't but that's what my intrusive thought wanted me to say. And made me think thats why i got to hurt her to stop her complaing So the rest of the night I was saying she is safe I am safe I'm control, like this is just anxiety lying to you, it's just because I'm tired and got annoyed earlier. I can't tell if it was working or not because I was so tired and just wanted to go home. But after work her and I spent time together at our house she was on the one couch and I was on the other with a bunch of our dogs in the living room. I tried to keep my mind off of what happened, and I was fighting some stomach achyness already. But I obviously don't want to hurt her and we had conversations just fine. But I went to my other aunt house at night after work to go to bed because she has to watch my aunts dogs because my other aunt and family is on vacation. But anyways I'm trying to get over that word Kill, that word is what is scarring me and sticking. Like my anxiety is lying saying kill, or basically do harm. I don't want to do anything bad but I'm trying to shake that feeling and stickiness of that word. I'm just so scared and worried.

Today I had my follow up appointment with my psychologist, I left feeling worse, I loved the psychologist I spoke to last time he was very informed and understanding, this time I got an appointment with someone who he supervises and I feel like she didn't allow me to speak, she didn't allow me to explain my thoughts or feelings, she told me I have to take my medication or she won't be able to continue helping me, which I understand but im terrified of medication I can't get over it, she said if i start the prozac and it doesn't work then I'll have to get on antipsychotics which seems a bit extreme to me considering i have no psychotic symptoms matter of fact she didn't even allow me to explain my symptoms and i feel like there's so many other antidepressants that could work before getting on antipsychotics🙁 this didn't help me at all considering the episode of ocd i just got through was about me becoming psychotic, I just feel let down and misunderstood, I almost felt as if she was mad at me for the buspar not working she said "you didn't really try it you just took it for a week so if you stopped it it's like you gave up on yourself" but it kept me up 2 nights in a row and i couldnt function from the anxiety 😞

I had a very bad session with a therapist today (NOT FROM NOCD). She basically told me I can’t be helped without medication, said I am too needy and if I keep being needy, people will continue to leave me, and my past trauma from relationships is my fault. I then had a second session with my old therapist who helped process and explain that OCD is lifelong and some people manage it but others have flare ups and I think I’m having a bad flare up (a month long basically) and that I may need medication which I’m terrified to go back on. Does it get better? Will I need meds? I’m scared. I don’t want to get worse and I don’t want these thoughts to scare me.