Help on overcoming rumination

I, 27F, have a history of rumination/ reoccurring intrusive thoughts. I have struggled with this for almost 12 year consciously. Today my grandmother fell while we were at the zoo and got pretty hurt under my watch. I am now struggling with thoughts that I could’ve done something different and no matter how hard I try to divert my mind, the accident plays in my mind. Any help on stopping the thoughts/ scene from looping over and over in my head would be appreciated. I slept some before we left the ER but I don’t sleep well when I’m like this, which causes me to spiral. I’m afraid if I can’t get the accident out of my head I will start spinning. Please help.

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