Can ocd makes you doubt about your true self and values in life and whether you really want these awful things to happen?

so I need to get back into ERP, but it’s so hard to manage these thoughts and learn to deal with them. like I swear my mind has to make everything about it. Like every time I clean my room, my mind’s like yup make sure it’s clean so when your parents find you, or something so stupid like if I get a headache, my mind convinces me that I like the pain and that that’s why I get my thoughts because I actually want to do it. It’s so exhausting. Because I know I would never want to take my life and I treasure my life so why does it do it to me? It’s hard to comprehend the fact of these thoughts too because I don’t know many people with this exact theme. It’s such a scary feeling. And I’m constantly questioning whether I have actual depression or if it’s just my OCD. Yes I have been diagnosed with suicidal OCD, but my mind still tries to convince me otherwise. I just don’t know how to let these just sit and pass without panicking.

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.