Identifying Intrusive thoughts / false memory

Hello all, I’ve dealt with various OCD themes and compulsions for pretty much as long as I can remember. In some periods of my life the thoughts and compulsions have been particularly severe, but I’ve also had years where I’m able to keep it under control. This has made me worry I don’t actually have OCD, especially because I haven’t been doing consistent therapy and my therapists have gone back and forth on whether I have OCD. In the past few years, I’ve struggled immensely with false memory ocd, and right now I’m going through probably the most severe episode of my life. I love my boyfriend with all my heart. A few times that I’ve gone out drinking I’ve had the thought before “what if I lost control and cheated tonight” and it’s bothered me severely. Two times before, it’s gotten to the point of convincing myself that because I talked to a man that meant I had cheated on my boyfriend and just couldn’t remember. It has never turned out to be true. About a month ago, I went out with friends and had too much to drink. I was really ashamed of myself the next morning, particularly because I always try to drink cautiously now that I know it can trigger my anxiety. I am ashamed to admit I do not remember the very end of the night getting in my uber and going home. I woke up anxious and extremely worried and immediately started off by worrying if I could have tried to kiss my friend and not remembered. I called him and was immediately reassured nothing had happened, I simply drank too much and went home at the end of the night. I started feeling better, but then remembered a moment I had been in the bathroom. I remembered chatting with people in line about how long the line was, and then being in the bathroom on my phone. I then felt like I remembered people knocking and saying to myself “that wasn’t that long” and leaving. There is nothing concrete that I remember that in any way indicates I cheated, and in fact I have texts with my boyfriend from the whole night telling him I loved him. My friend told me that the only time I was ever apart from him was about 5 minutes and that when he came back I was in the same exact spot he left me in. However, when I remembered being in the bathroom, I thought to myself “what if you cheated on him in the bathroom”/ “oh my god did you cheat on him in the bathroom” and then a series of images of me performing sexual acts popped into my head. I’ve poured over my memory and truly do not remember meeting anyone, talking to anyone, or even finding anyone attractive that night, but the fact that I was drinking makes me worried I’m just forgetting and these images could be real. I’ve been constantly ruminating on these fears for the past month, to the point that the only relief I feel is when I’m able to fall asleep. I’m a law student and it’s becoming extremely difficult to keep up with my classes. I’ve been google searching, asked chat gpt for advice, confessed my fears to my boyfriend, asked for reassurance from pretty much everyone in my life, and even emailed the bar asking for security footage (which I know all sounds insane). I’m a naturally guilty person and feel bad about small things, so I really don’t think I would be capable of cheating and then nonchalantly texting my boyfriend, but these images feel so real that it’s terrifying. I’ve also seen a lot about how I would “just know” and that begins to scare me because then I think “you do just know, you did it” even though I really don’t think I did. I know these posts are not supposed to be for reassurance seeking, I’m just so exhausted and feeling really depressed. I’m wondering if anyone has experienced something similar and has any advice. I’m also wondering if images can feel more real the more you ruminate on them or if it’s a sign of memory. Thank you so much for listening.

Does anyone have advice on distinguishing between real event ocd and false memory ocd? If my current obsession is whether this intrusive image in my head is a real memory even though there’s no evidence it is, does that seem more like real event ocd or false memory? I feel like I’m getting into a trap of worrying that I’m obsessing over a real event instead of a false image and keep having thoughts that say “you know you did this” even though I really don’t think I did.

Hi all, I’m really grateful for all the support I’ve gotten from people in the last few days. My mental health is at an all time low and I really appreciate the relief people have brought. I had a question about whether an intrusive image of a potentially imagined event can feel just as real as a real memory. I’m doing my best to stop ruminating over an image I have in my head, and have gone so far as requested security footage of myself and have been told both through that and by my friends that nothing bad happened, but the image in my head feels just as real as other memories. I was also drinking the night in question, which makes it harder for me to dismiss the image and makes me feel like I shouldn’t. I was just wondering if imagined images can feel just as real? I’m trying to use tools to ignore the image, and have therapy scheduled for tomorrow, but I feel like I can’t responsibly dismiss the image even with the evidence I’ve gathered if there’s something about a real memory that looks different in the brain and that if so, that suggests my memory is real and I should confess it. I’m really working on stopping reassurance seeking as well, especially now that even after being told that nothing bad happened when the establishment I was at reviewed security footage, my brain is telling me “they’re probably just lying and never reviewed it.” I know I need to just stop ruminating, reassurance seeking, and mentally checking the memory, but I just don’t know if I can/should in case the image is what I should trust more, if that makes sense.