How to deal with intrusive thoughts

How to deal with intrusive thoughts

Struggling with intrusive thoughts? You're not alone. Learn how to manage them with expert advice from Talkiatry's psychiatrists.

Reviewed by:
Sumeet Singh, MD
|
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October 13, 2023
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Key takeaways

Have you ever had a thought you didn’t want to have? It might’ve been something as simple as a flash of fear that you left the stove on, or an embarrassing memory from high school.

Most people experience unwanted thoughts, also called intrusive thoughts, from time to time. But for some people, the frequency or nature of the thoughts can be disturbing. They might think about doing inappropriate things in public or hurting themselves or someone else.

When you’re worried about your intrusive thoughts, you might be scared to tell someone about them. But disturbing thoughts that won’t go away can be a symptom of a mental health condition like an eating disorder or obsessive-compulsive disorder (OCD), depending on what other symptoms they come along with.

So how can you tell if your unwanted thoughts are a sign of a larger issue? We’ll talk you through it.

What exactly are intrusive thoughts?

If you think of your mind as an email inbox, intrusive thoughts are like junk mail. You didn’t ask for them, you don’t know why you’re getting them, but there they are.  

Like junk mail, intrusive thoughts are an unpleasant but common experience. In fact, a 2014 study published in the Journal of Obsessive-Compulsive and Related Disorders found that 94% of people deal with them.

If you’re able to simply push the thought out of your mind and move on with your day as easily as you’d delete an unwanted email, then your intrusive thoughts are probably nothing to worry about.

How do I know if I’m struggling with intrusive thoughts?

Even though occasional intrusive thoughts are normal, certain types of thoughts are more likely to signal an underlying issue or mental health condition. If a particular thought feels very out of character for you, disturbs you, and hurts your quality of life, it could be a sign of a problem. Examples of these types of thoughts include worries about being contaminated by germs, acting inappropriately in social settings like work or church, or violent thoughts.

But what makes an intrusive thought a big problem isn’t the content of the thought, it’s how you react to it. People who struggle with intrusive thoughts can’t just delete these junk messages from their minds. Instead, they open them, pore over their contents, and sign up for more emails, even though they don’t like them.  

In other words, you’ll know your intrusive thoughts have become an issue if you’re obsessing over them to the point that they’re getting in the way of your life.


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What causes unwanted intrusive thoughts?

Intrusive thoughts can be caused by a number of triggers, and really it varies from person to person. To learn more about what could be causing your intrusive thoughts, take our online assessment.  

Eating disorders

People with eating disorders, such as anorexia or bulimia, can struggle with intrusive thoughts about their body or their diet. These can include unhealthy urges to restrict your food intake, or shame about the way your body looks. If you’re dealing with anything like this, you should talk to your doctor or a psychiatrist right away.

To make matters worse, intrusive thoughts aren’t just a symptom of eating disorders—they can also cause them. When you’re struggling with disturbing thoughts, obsessively tracking your eating habits can be an unfortunately effective distraction. That’s why it’s so important to take intrusive thoughts seriously if they’re bothering you, before they have time to cause even more havoc in your mind.

OCD

Intrusive thoughts are a key part of OCD, but it’s important to know the difference between intrusive thoughts (which nearly everyone experiences) and obsessions (which characterize OCD). If you’re able to put an unwanted thought out of your mind pretty easily, then it was probably just an intrusive thought.

But for people with OCD, an intrusive thought can easily become an obsession. That’s because people with OCD tend to believe their disturbing fantasies will become reality unless they take specific actions or repetitive behaviors, called compulsions. You’ll know you’re dealing with an obsession if you’ve started upending your life to avoid or relieve a particular intrusive thought. Examples of intrusive thoughts include washing your hands repeatedly to stave off fears of infection or touching a doorknob because you believe that if you don’t something bad will happen to your family.  

To learn more about OCD and how it’s treated at Talkiatry check out: Online OCD Treatment

PTSD

People with post-traumatic stress disorder (PTSD) sometimes struggle with intrusive thoughts related to a traumatic event in their lives, such as combat experience, a car accident, or a troubled childhood. Unlike other types of intrusive thoughts, which often have little to do with the person thinking them, these thoughts are usually flashbacks to your most unhappy memories.

PTSD flashbacks can be triggered by all sorts of things, depending on your particular experiences, and tend to bring with them other problems, like insomnia or substance abuse. That makes them an especially complicated problem to deal with on your own, so be sure to talk to your doctor or a psychiatrist if you’re relating to this section.

Stress or isolation

You don’t have to have a mental health condition to struggle with intrusive thoughts. Any major uptick in your stress level or the amount of time you spend by yourself can lead to increased intrusive thoughts, even if you don’t have an underlying condition.

Studies show that more isolation can often mean more unwanted thoughts pop up, especially for people with social anxiety.

If this sounds a lot like what you’ve been experiencing over the last few years, you’re not alone. The rise of COVID-19 has left people across the world feeling more anxious and isolated than ever. If you’re feeling this way and need help, you can take our quick assessment to get matched with a psychiatrist who can guide you through it.


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How do I overcome intrusive thoughts?

While there’s no cure for intrusive thoughts, there are plenty of ways to stop them from interfering in your life, including:

  • Mindfulness: Mindfulness involves being fully present in whatever you’re doing, without overreacting to experiences you don’t enjoy. In this case, that means recognizing an intrusive thought for what it is, an unwanted idea that doesn’t mean anything about you, without trying to make it go away or judging yourself for it. Then getting back to the task at hand, whatever that happens to be. It’s a lot harder than it sounds, but practice makes progress (because nothing’s perfect).
  • Therapy: One type of therapy that has helped people who struggle with intrusive thoughts is cognitive behavioral therapy (CBT). CBT involves working with a therapist to understand your thought patterns and learn coping strategies to reframe unpleasant feelings that can come along with unwanted thoughts. That can make intrusive thoughts less frequent and less bothersome when they do come along. If you have a therapist, try asking them about CBT. If you don't have a therapist or the support of another mental health professional, consider seeing one with CBT training.  
  • Psychiatry: CBT helps you understand and manage your thoughts, but sometimes that’s not enough to improve your quality of life. A psychiatrist can work with you to figure out whether medication can help. For people with OCD, selective serotonin reuptake inhibitors (SSRIs) like Zoloft and Buspar can be especially helpful for curbing compulsive behavior.

‍Looking for a psychiatrist? Check out: How to find a psychiatrist who’s a good match for you

When you’re concerned about a disturbing thought, it is hard to live in the present moment because you might worry that one day your unwanted fantasy will become reality. That’s a terrifying possibility, especially if you’re thinking about endangering yourself, a loved one, or a family member.

That’s why it’s so important to remember that the negative thoughts you have aren’t who you are. Your character is determined by the thoughts you choose to express, act on, and believe in. Your thoughts don’t decide who you are—you do.

If intrusive thoughts or obsessive thoughts are preventing you from being the person you’d like to be and making it hard to go about your daily life, you have options. Talking to a psychiatrist is a great way to understand those options and identify the best next step. Get started today with our quick assessment.

Struggling with intrusive thoughts, but not sure where to start?

The first step in treating intrusive thoughts is to make an appointment with a mental health professional to understand if what you are experiencing is a mental health condition. From there, your therapist or psychiatrist will work to create a treatment plan that works best for you.  

If you’re struggling with your mental health or are experiencing unwanted thoughts, intrusive or obsessive thoughts that are making it hard to go about your day, reach out to a mental health professional, like a psychiatrist.  

Take our online, free assessment, to see if Talkiatry is the right fit for you and get matched with a psychiatrist who takes your insurance.  

About Talkiatry

‍Talkiatry is a national psychiatry practice that provides in-network, virtual care. Co-founded by a patient and a triple-board-certified psychiatrist, Talkiatry has over 300 doctors, 60 insurance partners, and first visits available in days. We treat patients with anxiety disorders, depression, bipolar disorder, ADHD, and more. Get started with a short online assessment.      

The information in this article is for informational and educational purposes only and should never be substituted for medical advice, diagnoses, or treatment. If you or someone you know may be in danger, call 911 or the National Suicide and Crisis Lifeline at 988 right away.  

Sources:

Journal of Obsessive- Compulsive and Related Disorders | You can run but you can't hide: Intrusive thoughts on six continents

Matters of Behaviour | Social Anxiety, Loneliness, and Neuroticism in Unwanted Intrusive Thoughts

Psychiatry Research | Self-isolation, psychotic symptoms and cognitive problems during the COVID-19 worldwide outbreak

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Frequently asked questions

Does Talkiatry take my insurance?

We're in network with major insurers, including:

  • Aetna
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Even if your insurer isn't on the list, we might still accept it. Use the insurance eligibility checker in our online assessment to learn more.

Can I get an estimate of my visit cost?

The best way to get a detailed estimate of your cost is to contact your insurance company directly, since your cost will depend on the details of your insurance.  

For some, it’s just a co-pay. If you have an unmet deductible it could be more.  

Call the number on your insurance card and ask about your plan’s coverage for outpatient psychiatric services.

What kind of treatment does Talkiatry provide?

At Talkiatry, we specialize in psychiatry, meaning the diagnosis and treatment of mental health conditions. Your psychiatrist will meet with you virtually on a schedule you set together, devise a treatment plan tailored to your specific needs and preferences, and work with you to adjust your plan as you meet your goals.

If your treatment plan includes medication, your psychiatrist will prescribe and manage it. If needed, your psychiatrist can also refer you to a Talkiatry therapist.

What's the difference between a therapist and psychiatrist?

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start.  

Other signs that you should see a psychiatrist include:  

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral    
  • You are interested in taking medication to treat a mental health condition  
  • Your symptoms are severe enough to regularly interfere with your everyday life

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

How does Talkiatry compare to face-to-face treatment?

For most patients, Talkiatry treatment is just as effective as in-person psychiatry (American Psychiatric Association, 2021), and much more convenient. That said, we don’t currently provide treatment for schizophrenia, primary eating disorder treatment, or Medication Assisted Treatment for substance use disorders.

Who can prescribe medication?

All our psychiatrists (and all psychiatrists in general) are medical doctors with additional training in mental health. They can prescribe any medication they think can help their patients. In order to find out which medications might be appropriate, they need to conduct a full evaluation. At Talkiatry, first visits are generally scheduled for 60 minutes or more to give your psychiatrist time to learn about you, work on a treatment plan, and discuss any medications that might be included.

About
Sumeet Singh, MD

Dr. Sumeet Singh is board-certified by the American Board of Psychiatry and Neurology in General Adult Psychiatry. He completed his psychiatry residency training at Howard University Hospital and Saint Elizabeth's Hospital in Washington, DC., where he was voted as Chief resident. He went on to serve as Vice Chair of the Department of Psychiatry at Adventist HealthCare in Maryland where he worked in both an administrative and clinical role to treat adults in an inpatient setting. Additionally, he served as a Clinical Instructor of Psychiatry at Georgetown University School of Medicine, teaching medical students about the art of medicine. Dr. Singh received his undergraduate degree in Neuroscience from the University of Michigan and received his medical degree from Xavier University School of Medicine.

Most recently, Dr. Singh worked for Life Stance Health, an outpatient telehealth company, where he treated patients between the ages of 18-65 years old with both medication management and therapeutic interventions. Dr. Singh has years of experience treating the following disorders/diagnoses: depression, anxiety and panic attacks, bipolar disorder, PTSD, ADHD, and OCD.

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