Why does ocd have to feel so real. I don’t even know if I have it or not, I’m terrified

It feels like I used to get so many intrusive thoughts in the beginning but now it’s less it’s only thoughts like what if I’m a p what if I’m a p what if I’m lying to myself what if I’m in dentist truly in all this and it was all fake like I’m an imposter, now it’s just feelings and noticing :/ and I hate he feelings that come with it I’m really scared I am one I feel so alone :( I’m taking therapy but my therapist is not specialized in ocd and I don’t think she understands and I don’t want to bring it up bc I brought up a fear that what if I turn into my stepdad and she said “are you attracted to children?” And I said no but it was just an irrational thought that came after I started realizing the trauma that happened to me as a kid, and idk I’m scared to Start with a therapists here bc what if all this just makes it worse and it turns out I am what I fear all along.? :(

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 think when people are saying OCD is egodystonic is really triggering me and I was just wondering if this has happened to anyone else? I’m going through a really bad relapse and right now I’m trying to figure out if my thoughts are truly egodystonic, like I how do I know I won’t act on them, how can I trust my emotions and everything. I feel really confused and I feel like I don’t know who I am anymore or how I carry on with life because it’s so long and I’m so unsure of everything that’s going on in my head. Like how do I know that this is OCD and true desires/urges. I’m so confused.