When my ocd is bad and I over ruminate on my theme it’s hard to distinguish my thoughts from reality. This is really terrifying :( it all feels like it could be true

I have really bed harming intrusive thoughts and sometimes feels like it’s feeling! The thoughts happening every day and the hardest part is that I’m testing my self in head all the time if that’s what I am or want!!! Also, so many times feels like I’m been tricking myself and doctor or people and maybe I don’t have OCD, just that maybe it’s me really!!!! How can I know who I am really 🥹???!!??

I’ve had different themes of ocd throughout my life. Can they all differ such as how the thoughts may present? Currently my thoughts feel so true immediately (like they genuinely feel like what I think) but in the last theme I feel like it may have been more of a “what if I think this” type of situation

idk why this is such a recurrent thing for me , I get so scared through the day when I’m not distracted when I think about psychosis. or being put in a mental hospital that it gives me bad anxiety, one time I had a panic attack at the thought of having it 💔 I can’t pin point if it’s intrusive thoughts because it’s a fear of mine .. or not. I think this is the worst thought / fear I have