I use to struggle with those thoughts a lot. Doctors thought it was caused by depression at first but those meds didn't help. Then I was put on meds for OCD and those helped a lot. I would still get them but I didn't feel as compelled to do them. Then Wellbutrin was added to the Zoloft and that helped more than anything. I can't visualize it in my head anymore, so it's easier to move past them. Has anyone found anything that makes these thoughts completely go away?