I can relate to this, although not sure if it's exactly the same as what you are describing. I will worry that I have done something that harmed others even if unintentionally, or that I will be negligent and harm others, that mistakes I made are so bad they are almost like crimes, that kind of stuff. I start to feel paranoid towards myself in a weird way. I actually wonder if I have OCD and will be talking to my therapist about that to find out (I also get intrusive thoughts).

Sorry I have no good answers, but I hope you find something that works. Mindfulness exercises seem to help me a bit, but I really don't have that much control over it.