I fantasize about crashing my truck into a sturdy building or parked cars sometimes.
I worry that I would survive.

I feel that these are intrusive thoughts and worry that they could intensify to the point that I may act on them. I hear voices and feel that this is different, they tell me to self injure or kill myself but I can usually deflect them easily.

I hesitate to talk to my therapist about this out of fear of being hospitalized.
I don't think it's serious now, but I recognize the potential of it becoming very serious. I guess, now that I think about it, that the smart move is to tell her about it when I see her Wed.. I hope I don't wind up in the hospital again.