Hi, I'm new to having an OCD diagnosis. I've experienced symptoms for most of my life, but it was usually written off as me being "particular" or generally anxious.  I have other diagnoses as well and one doctor thought my OCD symptoms were a result of mania because of my bipolar diagnosis. Another practitioner thought it was just an extension of my PTSD. Recently, however, I've been able to talk more about my OCD symptoms in therapy due to some alleviation of my other mental health issues. It's still very difficult to distinguish what symptoms are OCD and what symptoms are something else.  I have a tendency to intellectualize most of the issues I experience with my mental health and it's been frustrating, because my OCD seems very random like a puzzle that's missing pieces and that's in the wrong box altogether. I have these graphic and disturbing intrusive images of harming animals and occasionally people I love and I know that this is not who I am, but I start to feel so guilty and sick when I have these thoughts that I'm going to do something terrible. I sometimes get so lost in these thoughts that I'll have convinced myself it's already happened until I'm able to ground myself. I often dissociate during these times and have occasionally had episodes of derealization where if feels like I'm stuck in some sort of dream or nightmare with this ever-present feeling of dread or guilt that I'm going to do something violent or even sexual. Something weird is that these Obsessions aren't really connected with the compulsions I experience which are more focused on things just being done the "right" way. In the car, I don't let my teeth touch if I'm driving over shadows. I struggle to walk over lines/cracks. When I'm at a desk or table, things have to be arranged a certain way or I become very anxious. Every food I eat has a ritual and I count a lot of things that I do, but the behaviors are subtle and go unnoticed unless someone is paying close attention. Does anyone else have seemingly unconnected subtypes? I deal I have Pure O Harm OCD (with pretty much exclusively mental compulsions) and Perfectionism/Symmetry OCD (with outward compulsions).