What’s can help with intrusive mental images?

I struggle so bad with intrusive thoughts. They can be so bad that I'll cry because I KNOW that's not how I feel or want to do. (Too embarrassed to say what they're about) I'll constantly try to figure out why I have them, and constantly figure out what they mean, causing me to constantly circle around and around. I had to get on anxeity meds, which helped a little but the thoughts still happen. How do you help yourself with this? How do you know that you're just not some physcopath? 😅

When you get a stuck thought in your mind, as stupid or untrue as it may be, how do any of you block them out, or try to at least? It’s like my mind has another voice telling me making up the stupidest things?

Hi all, I’m really grateful for all the support I’ve gotten from people in the last few days. My mental health is at an all time low and I really appreciate the relief people have brought. I had a question about whether an intrusive image of a potentially imagined event can feel just as real as a real memory. I’m doing my best to stop ruminating over an image I have in my head, and have gone so far as requested security footage of myself and have been told both through that and by my friends that nothing bad happened, but the image in my head feels just as real as other memories. I was also drinking the night in question, which makes it harder for me to dismiss the image and makes me feel like I shouldn’t. I was just wondering if imagined images can feel just as real? I’m trying to use tools to ignore the image, and have therapy scheduled for tomorrow, but I feel like I can’t responsibly dismiss the image even with the evidence I’ve gathered if there’s something about a real memory that looks different in the brain and that if so, that suggests my memory is real and I should confess it. I’m really working on stopping reassurance seeking as well, especially now that even after being told that nothing bad happened when the establishment I was at reviewed security footage, my brain is telling me “they’re probably just lying and never reviewed it.” I know I need to just stop ruminating, reassurance seeking, and mentally checking the memory, but I just don’t know if I can/should in case the image is what I should trust more, if that makes sense.