Hi bounceback, I understand intrusive thoughts, as I began having them ~30 yrs ago at work! I still have them, even w/all the meds I'm on, so I'm still working on finding a med that will quiet them down. My T told me it has to do w/my mood disorder. It's not our fault that these awful thoughts invade our minds & it's not like we can simply control them w/our minds, either. Pls don't be afraid to be totally open w/your T, as the more she knows the real you, the more she can help. And she works for you, so tell her what you need from her. Good luck!