How do y'all get through the workday with constant intrusive thoughts? Just stay as busy as possible?

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?

What's a piece of advice you give when someone has constantly intrusive thoughts and ruminations that won't stop? Interested to see what you tell others.....more on this when I see some replies!!!