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So I have adhd and ocd so I can help you distinguish between the two. To me it sounds like you’re battling your intrusive thoughts. Intrusive thoughts: Go against morals Cause anxiety and distress Compulsions relive it (and in my case make me feel guilty) ADHD impulsivity: Unpleasant thoughts Word “vomiting” No control over thoughts and actions for example if I have a thoughts I’ll find myself saying it out-loud as a think it or soon after even if I know it’s not right Hopefully this helps you. I’m no expert but to me it sounds like rumination and compulsions. However, talk to your therapist as if its impulsivity it could be the worlds favorite mix of ADHD/OCD🤣