Can obsessions be delusional? They feel so real sometimes I believe them, but I hear most people with OCD know the obsessions aren’t based in reality. I’m so confused by this.

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.

Is ocd supposed to feel like a genuine belief ? I see or hear some people saying things like « I know it’s not true but …. » while I personally don’t « know that it’s not true » I feels genuinely real and I even find evidence for it