Introduction
You have thoughts that pop into your head - disturbing, unwanted, frightening. You can't control them. They repeat. They scare you.
Those are intrusive thoughts. And you can learn to manage them.
In this guide, I'll share how to stop intrusive thoughts.
What Are Intrusive Thoughts?
Definition
Intrusive thoughts are unwanted, distressing thoughts, images, or impulses that pop into your mind unexpectedly. They're common - everyone has them.
Types
- Violent thoughts
- Sexual thoughts
- Fear-based thoughts
- Doubt thoughts
- Blurry/humiliating thoughts
They're Normal
Everyone experiences intrusive thoughts. Having them doesn't make you bad.
Why We Have Them
The Brain
- Threat detection
- Pattern recognition
- Processing randomness
Anxiety
- Anxiety increases them
- Fighting them makes worse
- They come and go
OCD
- More frequent/intense
- More distressing
- Compulsions follow
How to Stop Them
1. Don't Fight
Fighting intrusive thoughts makes them stronger.
2. Accept
Let them come. Let them go. Don't engage.
3. Label
"It's an intrusive thought." Recognize it as what it is.
4. Redirect
Focus on something else.
5. Challenge
Ask: "Is this 100% true? Would I act on this?"
6. Mindfulness
Notice without engaging. Let thoughts pass.
7. Exposure
Let yourself have the thought. Don't avoid.
CBT Techniques
Thought Records
- Write the thought
- Rate distress
- Challenge it
- Note new response
Cognitive Defusion
- "I'm having the thought that..."
- Notice without believing
Behavioral Experiments
- Test whether you'll act on it
- Usually, you won't
For OCD
ERP Therapy
- Exposure and Response Prevention
- Face thoughts without compulsions
- Gold standard for OCD
Medication
- SSRIs can help
When They're Severe
Signs
- Very frequent
- Very distressing
- Lead to compulsions
- Affect daily life
Get Help
- Therapy (CBT/ERP)
- Medication
- Professional support
Tips for Success
1. Don't Judge
Having thoughts doesn't make you bad.
2. Be Patient
Change takes time.
3. Practice
The more you practice, the easier it gets.
4. Get Support
You don't have to do this alone.
What Not to Do
Don't
- Try to stop them (makes worse)
- Believe them
- Perform compulsions
- Isolate
Do
- Accept them
- Let them pass
- Get help if needed
- Be kind to yourself
Conclusion
Intrusive thoughts are common. Everyone has them. You can learn to manage them. Don't fight. Accept. Redirect. Get help if needed.
Want more help? Paula is a free mental health app with tools for managing thoughts. Download it today.
You Might Also Like
Related Reading
- Intrusive Thoughts: Why You Have Scary Thoughts You Don't Want
- Is It Normal to Have Intrusive Thoughts? A mental health professional's Guide
- Is It Normal to Have Intrusive Thoughts? (A mental health professional's Guide)
Ready to start your mental health journey? Try Paula free today.