According to a post on the Anxiety and Depression Association of America (ADAA) website co-authored by Sally Winston, Psychologist and Founder/Co-Director of the Anxiety and Stress Disorders Institute of Maryland, intrusive thoughts are sudden onset “stuck thoughts that cause great distress,” often focused on scary, sexual, violent, or socially unacceptable images, or even thoughts that go against one’s belief system. They can be anything that strikes you as truly horrifying.
But the good news is, for most of us, these thoughts hold no significance whatsoever, and they can — and do — happen to everyone. “Everybody has thoughts that kind of go against who they are,” says Jonathan S. Abramowitz, Professor of Psychology and Neuroscience at the University of North Carolina at Chapel Hill, and an author of studies on intrusive thoughts.
Abramowitz says intrusive thoughts can be made up of all kinds of troublesome scenarios. “A normal intrusive thought would be, you're sitting around and your wife told you that she was going to be home by 4:00 and now it's 4:15. The thought goes through your mind — what if she had a car accident? You get an image of her body thrown on the street and broken glass everywhere. It's a terribly upsetting idea. Or, you're married or involved in an intimate relationship, and you think — what if I cheated on my partner? Or, people who are very religious will often have some sort of blasphemous image about who they worship, or about acting out in their house of worship,” he explains.