Anyone on here who has dealt with/ or currently dealing with sexual intrusive thoughts about family members have any advice on reminding yourself that these thoughts aren’t real? They just seem really vivid to me and I’m worried that I’ll act on them somehow

I’m having a very bad evening with my intrusive thoughts. I was doing really good dealing with them but tonight one hit me hard. I’ve been having a lot of different intrusive thoughts but I’ll have one occasionally about hurting my mom or my dog who I love and they’re the only family I have in my life. They’re my world. I was helping my mom put away the dishes and I had the big kitchen knife in my hand and my intrusive thought was you could stab your mom. And then my brain said I had a twitch in my hand and that meant I wanted to do it. Let me just say that I wouldn’t hurt a fly. I actually caught a fly in a glass and put it outside instead of killing it this evening before this intrusive thought happened. I’m such a gentle and compassionate and caring person and these thoughts instantly cause me to have a panic attack. And I have no one to talk to them about. I know they’re hard for my mom to hear and I don’t want to be any more of a burden than I already am. I do desperately want to tell her and have her reassure me that I’m not crazy or a psycho. Then my thoughts wander to if your hand did flinch could you be a psychopath. Is hurting someone in you. I know it’s not but I feel like my mind is out to get me and hurt me. I’m working so hard and I thought I was doing so good but I need to know why I have these thoughts. They’re not ok. I need someone to help me make sense of why. I know we aren’t supposed to ruminate but I shouldn’t have thoughts like this about people I love and care about the most in the world.

I’m sharing this bc I need advice or even support from anyone who can relate. If you can’t relate and don’t think you’ll say anything helpful or kind pls don’t comment anything… I’ve been struggling with somethings that’s making me question myself. There has been moments while self pleasuring when I get intrusive thoughts, in those moments it feels like I’m enjoying or even self pleasuring myself bc of the thought. Right after I immediately have an anxiety attack and my HEART drops bc it feels terrible I feel like a disgusting monster :( ppl have told me I haven’t done a bad bc of how intense my guilt and panic are but I keep thinking that MAYBE I made a horrible decision in the moment and the guilt is just realising that it’s just wrong this doesn’t make sense to me because I’ve always told myself that I would never act on this in 1 million years and I’ve been known that these things are wrong so I’m just like constantly questioning myself these feelings and exact same situation has happened two times already I even promised myself that I wouldn’t act on anything beforehand and yeah, I still felt like I did act on my thought during my alone time I’m genuinely convinced that I’m a horrible and it’s even got into the point where I don’t wanna be here anymore and I don’t even think this is my OCD :( tbh

Does anyone have any advice on how to deal with intrusive thoughts&images. At first i had intrusive thoughts around my partner, now it’s centred around me & I can’t be around window ledges or medication due to a story I read online(it’s too triggering for me) . Sometimes I feel like I can’t leave my bed due to the thoughts being so overwhelming I just break down and want to sleep. I aren’t taking any medication or therapy yet. I worry that if I don’t give my thoughts a reaction that my thoughts are true and not OCD. I’ve had these thoughts 24/7 for 2 months.