Lately I’m having a hard time deciphering when I’m “ruminating” and when I’m just having anxiety from an intrusive thought & trying to disregard. Any thoughts?

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? 😅

Does anyone have any advice for how to know the difference between ocd and real feelings/thoughts? Sometimes an intrusive thought will come in and I immediately know it’s ridiculous and I can just leave it alone and it won’t bother me but other times I really really don’t know. It’s when ocd hijacks and twists my real feelings and thoughts and tries to manipulate me into believing they’re something they’re not or something that doesn’t align with my true morals or intentions. But since it’s twisting and mixing with real feelings I get so confused and scared. Everything gets jumbled and I feel like I can’t trust myself or my own mind. Yet other times and other topics I can laugh off and push away just fine. Make it make sense. And then I start to think well maybe I don’t have ocd at all and I’m just in denial because I don’t want to accept that these scary/concerning things are true about myself. Or maybe that’s just the ocd talking.

I have been ruminating on why I have been having intrusive thoughts on a specific topic. Anyone know why? Where do they come from? It freaks me out and makes me think that it came from a real memory (I struggle with false memory OCD)