I get this with my hypomanic or mixed episodes. I get intrusive sexual thoughts and impulses many of which are disgusting to me. I don’t act on them. I also get intrusive “worries” about people talking behind my back or having a low opinion of me. I put that in quotes because I know those worries are not valid. My pdoc says I don’t have OCD because I have no rituals to relieve the obsessive thoughts. I can’t make them stop except if something really distracts me sometimes they lighten up for a bit. Otherwise they are always there unless I’m stable.