Is seeking refuge from recurring intrusive thoughts done once, or must it be repeated with each thought? And what should I do if frequent seeking of refuge causes my lips to move, making it apparent to others, especially during marriage?

A person afflicted with obsessive-compulsive disorder (OCD) will not be held accountable by Allah for the evil thoughts that cross their mind. However, they should try to repel these thoughts and seek refuge with Allah from Satan. They should not dwell on them, but rather occupy their mind with something else. It is not necessary to repeat seeking refuge every time a thought arises; instead, one should immediately divert their mind. It is recommended to seek treatment from a specialized Muslim psychiatrist.