robplosions
OCD

Intrusive thoughts don't mean you want it

The short answer

Do intrusive thoughts mean I want to do it?

No. Intrusive thoughts are unwanted thoughts, images or urges, often violent, sexual or blasphemous, that pop into your head. Most people get them. Having one doesn't mean you want it or will act on it; the distress shows it goes against your values. When they get stuck and drive rituals, that can be OCD, which is treatable.

You're holding a knife to cut onions and a picture flashes through your head of turning it on someone you love. You're standing in a quiet room and your brain offers you the most obscene sentence it can find, right there, ready to say out loud. Then comes the cold sweat. What kind of person thinks that?

A pretty normal one, it turns out.

Do intrusive thoughts mean you want to do it? No. That's the plain answer, and it comes from people who study this for a living, not just from me. HereToHelp BC says outright that having obsessions doesn't mean you'll act on them, and that these thoughts often don't reflect your desires, personality or values. The International OCD Foundation says most people have unwanted intrusive thoughts from time to time. Most just shrug and move on.

Why this one hits me close

I've had the kind of thought that makes you go cold. Most people have. But I've also spent a good part of my life blowing up at people. The "robplosion" was a word a friend coined for it, back when I was running a web agency in Vancouver. So when a violent picture went through my head, there was an extra question riding along with it. Am I dangerous?

Here's what I've had to learn. An intrusive thought and the heat of anger are two different animals. Anger is hot. It's aimed at someone, it builds, it wants out, and afterwards I owned it and the shame came. An intrusive thought shows up out of nowhere, usually aimed at someone I'd never want to hurt, and it feels foreign. It horrifies me. That horror is the tell.

I'm not a clinician and I don't have an OCD diagnosis. My anger is its own thing, and I write about it elsewhere. But untangling those two made a real difference to how much I hated myself.

Why the thought sticks

Everybody's brain throws out junk. Weird, ugly, random junk. For most people it slides off. For some, the thought lands like a verdict. "Why did I think that? What does it say about me? What if I do it?" And now you're watching for it, and of course it comes back, because you're watching for it.

Then you try to fix it. You check yourself. You avoid knives. You stay away from the baby. You replay the thought to make sure you didn't enjoy it. You ask your partner, again, if you're a good person. Every one of those brings some relief, and every one teaches your brain the thought was a real threat. That's the loop OCD is built on. I wrote more about the kinds of OCD that have nothing to do with cleaning, and harm thoughts are one of the most common.

What fighting them does

The instinct is to push the thought away. Argue with it. Prove to yourself you're not that person.

I tried that. It made the thought louder. If someone tells you not to think about a white bear, you know what happens.

The approach that works for OCD goes the other way. It's called exposure and response prevention: you let the thought be there, on purpose, without doing the ritual, until your brain learns it isn't an emergency. It's hard, and it works best with a trained therapist. I explain it in how OCD is actually treated. There's also a book that a lot of people with "bad thoughts" swear by, The Imp of the Mind by Lee Baer. It's old, but it's still the one people point to.

When it's something else

This matters, so I'll say it plainly. Intrusive thoughts are unwanted. They scare you because you don't want them.

If you're having thoughts of ending your own life, and they feel more like a wish, a relief, or a plan than an alien thought you're fighting, that's different. Don't sit on it, and don't talk yourself into calling it "just an intrusive thought". Tell someone today. I wrote about how to tell someone you're thinking about suicide. In Canada and the US you can call or text 988. In Québec, 1 866 APPELLE (1-866-277-3553), text 535353, or chat at suicide.ca.

Same thing if you're having urges to hurt someone and they don't feel foreign, they feel like anger looking for a target. Get help with that now, for you and for the people around you. If anyone is in danger, call 911.

Questions people ask

Are intrusive thoughts normal?

Yes. Research summarised by the International OCD Foundation says most people have unwanted intrusive thoughts at some point. The difference with OCD is how stuck they get and how much you do to get rid of them.

Can intrusive thoughts make you do something?

HereToHelp BC is clear that having obsessions doesn't mean you'll act on them, and that the thoughts often run against what the person actually values. The distress you feel is the clue.

How do I make intrusive thoughts stop?

Trying to force them out usually backfires. Therapy for OCD, especially exposure and response prevention, teaches you to let the thought come and go without rituals, and it tends to quiet down over time.

Should I tell my therapist the actual thought?

If you can, yes. Therapists who treat OCD have heard far worse than whatever you're carrying, and saying it out loud is often part of the treatment. Look for one with OCD experience.

Sources

  1. HereToHelp BC, Obsessive-compulsive disorder
  2. International OCD Foundation, About OCD
  3. NHS, Obsessive compulsive disorder overview
  4. suicide.ca, 24/7 help line

Get help now

If you might act on thoughts of suicide or you are in danger, call your local emergency number now.

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