Just curious if this might be OCD: every day, probably 200 times a day, I have thoughts pop in my head of embarrassing things I’ve said, written, or done. Then, in response I either scrunch up my face, dig my fingernails into my palms, or think, “I’m going to kill myself” (don’t mean it). It happens automatically. I’m diagnosed with OCD already but curious if I should look into this being OCD or maybe social anxiety??

Yup, I call it memory scanning. My brain just reviews all the information I have. All the bad memories and tries to add it all is to show me how awful I am. It feels like a form of self harm because I end up feeling really awful and embarrassed. I don’t choose which thoughts to bring up though. I just relive them as my brain brings them to me

I often wonder the same thing about myself. I have really similar compulsions to you too (digging finger nails into palms, making scrunched up facial expressions and thinking "I want to die" compulsively, even though I reeeeeeeally don't. I have never had social anxiety before the past few years but it definitely feels like OCD is the culprit in my situation! I do wonder about social anxiety sometimes, but for me it seems less likely as it tends to be better when my OCD focuses on other obsessions :) wish I could help more ❤ if you suspect social anxiety then I would definitely ask a professional!

Yea twitching, thinking people see it or hear my repeatative thoughts

Yeah, you may definitely ask a therapist... There are no clear cut borders between mentally un/healthy patterns... the DSM is an arbitrary attempt to define different psychological phenomena with clear borders, but things are more mixed & inter/twined in reality... one of the symptoms of OCD is trying to define everything so clearly... Whatever this is labeled, OCD or social anxiety or a mix of both, it's better to try facing it & find a way to accept & heal :-)

exact same thing happens to me too, especially physical reactions like twitching and cringing, and definitely thinking “I’m going to kill myself” when I don’t mean it