is it possible to stop your intrusive thoughts halfway while they are being said?

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? 😅

So maybe the title wasn't the best to to put it but when you guys start having obsessive thoughts how do you stop them before it turns into compulsions and anxiety?

Anyone ever have a conversation and think you said a intrusive thoughts out loud. Then you panic and go over and over the convo , reviewing it and remembering people's reactions,to see if they noticed your thoughts or read your lips? Sometimes it feels like I have to look away when talking as the thoughts could be shouted out if we make eye contact .such a powerful erge to say thoughts out load . . It's like the more you fight off the thoughts the louder they want to be . You can feel your self bubbling up inside . Then you get one and boom ,you think you've said it out load.