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Hi Tristan,
I have been having episodes of intrusive thoughts for 2 years now. It is having a much milder impact on my life and I think I had one or another form of OCD since I was a little kid. Washing hands obsessively, remuneration, getting stuck in thought loops. Im kind of used to it now and learnt to live with it. But I signed up for a therapy, my therapist is recommending me to start CBT for me.
I can tell from my experience that just knowing that a thought is just a thought and it comes and goes, not be impacted by it, is not always possible. I am sorry you are going through this. It sounds like it is having a bad impact on your life and health, and I really recommend you sign up for a therapy.
If you want to ask me anything, here to help!