I'm diagnosed with schizo affective disorder but i also have obsessional traits. Like you i have obsessional thoughts that i'm going to hurt someone or embarrass myself in public. My doctor was thinking about starting me on an SSRI for it but because of my bipolar it may effect my mood too much so I'm trying mindfulness and CBT techniques first. He said if that doesn't work he will consider medication.
It's really horrible and debilitating when all you do is obsess over things and can't get day to day tasks done because of it.
Sorry your going through this too.
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