Intrusive thoughts

Hello, it’s been some time since I’ve been on this platform but I’m not sure where else I feel safe to talk about this. Every minute of every day, I have the most horrible intrusive thoughts imaginable and I am constantly disturbed and horrified with both these thoughts and myself. I understand that these thoughts don’t define who we are, but it constantly raises the moral questions of if my brain is capable of conjuring these thoughts, even if involuntarily, then what does that say about who I am. The only solace I have is that I’m always disgusted with these thoughts but I’m constantly afraid of being some kind of monster because I have these thoughts and I feel like a terrible person for having these intrusive thoughts. I am in therapy and on medication, but neither are making this any easier, at least not yet. I don’t intend on stopping either nor have I felt any urge to actually carry out these thoughts, but they haunt me every minute of every day and I can’t stop them.

I have been dealing with intrusive thoughts for a long time, and while most of them don’t affect me anymore, there are ones that really concern me and make me feel panic. They make me feel like I could actually act on the intrusive thought and I’m just holding myself back from it. It’s really scary and I don’t know who I am anymore.

I don’t really wanna go into detail about what it’s about cause I feel like it’s super embarrassing, but there’s this one specific type of intrusive thought I get that I struggle extremely with ignoring/sitting in discomfort with. Does anyone have tips for managing something like this?