heya... man we have a lot in common, don't we? OCD can be what is called "ego dystonic" which means that many obsessions/compulsions are contrary to who we are or what we actually want or believe. It is common for some to have o/c's about causing harm without really any desire to actually cause harm. Some have the pre-harm ones like you describe, while others get them as post-harm ones... meaning they obsess about potentially having harmed someone and checking the rearview mirror to be sure for example.

you have to refrain from engaging the compulsions whenever you have that power, or they do get stronger. If you can't avoid or stop, seek help for this. Stress makes it worse and i already know that you have had a stressful year and any thyroid issues you faced may also mess with your stress tolerance and biorhythms, etc.

stop trying to rationalize the obsessions... you cannot address them as typical distorted thinking, it will make them worse. OCD thoughts come from a faulty neruological issue... you can treat some aspects through a special type of therapy called ERP but that is a route to changing the neural patterns, and does not indicate that "broken thinking" caused it... make sense? You can't just try to analyse or tlak back to obsessive thinking. It will strengthen it if you do.

find ways to reduce your stress, ways to relax, see your doctor if you can't break this

pm me if you need more info or help... you aren't crazy, OCD isn't like many of the other illnesses. It's more like a discreet neural entity... like having a faulty trip switch on a railway track... do anything healthy that reduces your stress/anxiety.

oh yeah... the urge to blurt things out comes from the relationship of the brain structures associated with ocd and with tourettes... same region. It doesnt mean you have tourettes, but it is not uncommon to have scattered things like that pop up

peace