Looking for “proof” that it’s not OCD

Hello, I was diagnosed with autism and ADHD at 25 years old. I attributed my overthinking to autism but I realised a few months ago that Pure O OCD is the most meaningful explanation for it. I am also an asexual, so I am, simply put, a shitshow of symptoms. I constantly review the past - particularly painful memories. I have a consistent fear of getting cancelled. When I was 18, some YouTubers I followed got accused of sexual misconduct and cancelled. I was obsessed and concerned for them. Others found my obsession strange. I did not like how their lives were ruined over accusation and no trial. (I was naive then to why public accusations are happening, as it is because the legal system often fails to address predatory men.) Even 6 years later, I googled one of them 240 times between January 2020 and April 2020. It was plain obsessive. When I burned bridges, I continued to search the people involved in my past dramas. Often multiple times in the same day with nothing new to see. They would likely be scared if they knew how obsessed I was with them. I have started doing ERP exercises. I wrote a script where I receive public false allegations and my life is ruined. It is forever googleable and I am a complete pariah. Completely unemployable, unliveable, even my family abandons me. I listen to it for 15 minutes on loop per day. What else would you recommend to tackle the ruminating? I wish I had this information at 18. I should have been solving these issues then and enjoying my life, not figuring it all out so much later in life.

I am diagnosed with OCD, ADHD, and mild depression. But my OCD symptoms are so prominent in my daily life where it feels debilitating. It comes in waves, there will be months with very minor symptoms and other times where it comes in random hitting me like a truck making me rethink life. I grew up having intrusive thoughts of all types, and a lot of them sent me over the edge because I couldn’t understand why things of such sort would cross my mind, things that I’m sure to this day that I’m incapable of or would never want to actually do. Yet I find myself in a constant cycle of trying to dig deep in the past and trying to figure out if I ever acted on any of the intrusive thoughts I can remember, yet ofc have no recollection of acting on them because they most likely didn’t happen. However, not having concrete proof of these things makes me not want to see another day sometimes. It is so hard to move into daily basis like this. I’m also in a happy healthy relationship and sometimes I get these thoughts of “what if I’ve done something awful during the relationship (for example, cheat, dishonesty, etc.) and can’t remember?” I know I would never do anything intentionally to harm my relationship and I think that maybe the idea of not having my partner sends me down a rabbit hole to think all these things. This mental fight is getting harder and harder. It feels unbearable. Does anyone have some fruit for thought, relate, or have any tips?

Some background: I’m a woman in my 30s who’s been struggling to find the right diagnosis for years. Since 2022, I’ve had multiple psych hospital stays, and with each stay came a different diagnosis and different sets of medications: Bipolar II, CPTSD, MDD with psychotic features, “high functioning BPD,” and most recently, Schizoaffective Disorder (depressive type). Before all of that happened, I had been seeing a therapist for CPTSD and AuDHD traits for 2 years, but after they left the practice, I struggled to find someone I trusted again. Most of my breakdowns happened during my last relationship. Looking back, I was in survival mode with them, leaving who *I* am behind. I got to the point where I started doubting my own reality from the abuse. This eventually added up and landed me in my first episode of psychosis. That combined with my attempts is what got me my schizoaffective diagnosis. After finally leaving that relationship 1.5 years ago, I’ve slowly rebuilt my life: new town, new job, new friends. Many of my old symptoms (major ones) haven’t returned, which makes me believe I may have been misdiagnosed due to reliving past childhood trauma and stress responses from the abuse. Through all of this, I’ve felt like nothing ever truly fit. I journal, I reflect, I replay the recordings and I’ve even watched old vlogs –the puzzle pieces still don’t come together. It’s left me feeling like I’ll never really know what’s going on, and I’ve started to fear that my diagnoses will just keep stacking up without ever leading to effective treatment. Recently, I opened up to a friend about this. She mentioned that her neighbor went through something similar not exactly like me but she thought it would give me a starting point—multiple diagnoses that never felt right—until a new doctor finally identified it as OCD. That one diagnosis changed everything for her. It made me realize I really don’t know much about OCD beyond the stereotypes. I didn’t know OCD could involve intrusive thoughts, rumination, or mental compulsions. My friend encouraged me to look into it, especially as I start searching for a new therapist. Facebook and Google lead me here… So now I’m wondering: could OCD be a better explanation for what I’ve been experiencing all these years? Questions for the community: 1. What steps did you take to find out if OCD was what you were dealing with? 2. If you had a long history of misdiagnoses, how did you finally find a clinician who got it right? 3. How did you advocate for yourself when people dismissed your concerns? 4. Is there anything you wish you had done earlier in your OCD journey? Thank you so much if you made it this far. I’m really grateful for this space and just want to start finding answers and the right kind of help.