Jonathan S. Abramowitz, PhD - Clinical Psychologist
Jonathan S. Abramowitz, PhD - Clinical Psychologist
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  • Home
  • About
  • OCD and Anxiety Treatment
    • Consultation
    • Treatment
    • Office location
    • Intensive OCD program
    • For out-of-town patients
    • Patient forms
  • Books and Research
    • Books
    • Research articles
  • Professional Training
    • Workshops
    • OCD and Anxiety Articles and Resources
  • Contact
OCD myths infographic
Why Do I Keep Having Intrusive Thoughts? (And What They Actually Mean)

If you’ve found yourself wondering, “Why do I keep having bad thoughts?” or “Why can’t I stop thinking about this?” you’re definitely not alone. Intrusive thoughts are one of the most common (and most distressing) experiences people have, especially when anxiety or OCD is involved.

The good news is this: having intrusive thoughts doesn’t mean something is wrong with you. But the way you respond to them can make a big difference in whether they stick around.
 
What Are Intrusive Thoughts?
Intrusive thoughts are unwanted, automatic thoughts that pop into your mind. They can be about:
  • Violence (“What if I hurt someone?” or images of committing serious harm)
  • Sexual topics (unwanted doubts or images that go against your sexual preferences)
  • Blasphemy or morality (ideas that go against your religion or morals)
  • Doubt-based (“What if I made a terrible mistake?” or “What if I offended someone?”)
Almost everyone has thoughts like these from time to time. The difference is that some people are able to make room for them (which helps them pass), while others try to fight them (which makes them get more stuck).
 
Why Do Intrusive Thoughts Feel So Real?
One of the most confusing parts is how convincing these thoughts feel.
That’s because your brain is wired to flag anything that seems important, threatening, or out of line with your values.

So when a strange or disturbing thought shows up, your mind basically says: “This matters…. You’d better pay attention!”

The result?
  • The thought feels urgent, like a “call to action”
  • It carries a strong emotional punch (fear, guilt, disgust)
  • It becomes hard to ignore

But here’s the key point: Intensity is not the same as truth.
 
Why Do They Keep Coming Back?
Most people assume the problem is the thought itself. But more often, it’s what happens next.
When a thought feels threatening, it’s natural to try to:
  • Try to figure out what it means
  • Reassure yourself (“I would never do that… right?”)
  • Avoid anything that might trigger it
  • Mentally review what happened
These responses make sense, but they can accidentally teach your brain that the thought is important and dangerous.

And when something feels important, your brain brings it back.
 
Do Intrusive Thoughts Mean Anything About You?
This is one of the most painful questions people ask. If you’re having thoughts that feel out of character, it’s easy to wonder: “Why would I think this if it didn’t mean something?”
But in reality, thoughts are not intentions. In fact, the people most disturbed by these thoughts are often the ones who care the most about not acting on them. The distress says more about you and your values than the thought itself.
 
Why Trying to “Stop” the Thoughts Doesn’t Work
It’s completely understandable to want the thoughts gone. But trying to force them away often has the opposite effect.
You may notice:
  • The more you try not to think something, the more it shows up
  • The more you analyze it, the more tangled it feels
  • The more reassurance you get, the more you seem to need
This is because your brain is learning: “This thought is a problem we need to solve.” And it keeps sending it back for review.
 
What Actually Helps?
Instead of trying to eliminate intrusive thoughts, a more effective approach is to change how you relate and respond to them.
This includes:
  • Learning to “make space” for the thought without fighting with it
  • Learning to letting uncertainty exist (“It could be so, but probably not”)
  • Reducing reassurance and checking
  • Gradually approaching and engaging with situations you’ve been avoiding
These strategies are part of a well-established treatment called Exposure and Response Prevention (ERP), which helps retrain how your brain responds to these thoughts over time.
 
If This Sounds Familiar
If you’re dealing with intrusive thoughts, it can feel isolating, but this is a very common and treatable pattern. You don’t need to solve every thought or figure out what they “mean” to move forward.

With the right approach, people learn to relate to their thoughts in a healthier way. And when that happens, the thoughts tend to lose their grip.
I specialize in evidence-based treatment for OCD and anxiety, including ERP and related approaches. If you’d like to better understand what’s happening or explore treatment options, perhaps i can help. You can learn more about my services or get in touch.
 
You don’t have to win the argument with your thoughts. You can learn to stop engaging in it altogether.



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