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What to Do With Intrusive Thoughts

Aug 19
2 min read

Almost everyone has them. Very few people mention them.


An intrusive thought is an unwanted thought or image that arrives unbidden and is usually disturbing, violent, sexual, or otherwise completely at odds with how you see yourself. Standing on a balcony and picturing jumping. A sudden image of harming someone you love. A thought that contradicts everything you believe.


Research consistently finds these are close to universal. What differs between people isn't whether they occur — it's what happens next.


The Interpretation Is the Problem


Most people have an intrusive thought, register it as strange, and move on without giving it further weight.


Difficulty arises when the thought gets treated as meaningful. If the reaction is *why would I think that — what does it say about me*, the thought acquires significance, and significance is what makes it return.


From there a loop forms. The thought produces distress, the distress produces attention, attention makes the thought more available, and its return seems to confirm that it matters.


Reassurance Makes It Stronger


The natural response is to check. Analysing whether you'd ever act on it. Mentally reviewing evidence about your own character. Asking someone whether they think you're a good person. Avoiding situations that trigger it.


Each of these delivers brief relief and teaches the system that the thought is a genuine threat requiring management. Compulsive reassurance-seeking is one of the most reliable ways to entrench the problem, and it's entirely well-intentioned.


What Helps Instead


Letting it be there without engaging. Not suppressing — allowing. Noticing it, declining to argue with it, and continuing with what you were doing. The thought passes far more quickly when it isn't given a conversation.


Changing your relationship to the words. There's a real difference between *I might do something terrible* and *I'm noticing the thought that I might do something terrible.* The second leaves you room to move.


Dropping the reassurance rituals, gradually. This is uncomfortable at first and is usually the step that produces change.


And, when the thoughts are attached to something, addressing that. Intrusive thoughts often intensify around stress, sleep deprivation, new parenthood, or unprocessed trauma.


When to Get Support


If they're taking up significant time, driving avoidance, or causing real distress. Content involving harm to yourself or a child is worth bringing to a professional promptly — not because it means you're dangerous, but because it's distressing and very treatable.


Saying it out loud to someone who won't be alarmed is often the first relief people get.


If you're in Vernon, BC, reach out to book a free consultation.

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