Not so much random, but as an accepted part of who I am. I had struggled for years, trying to eliminate them, but as that was never successful, I learned to accept the fact that they exist, they aren't going anywhere, and they are irrational and not to be acted upon. That is the most important part...irrational and not to be acted upon. It may take some time, and my advice is layman's at best. Although meds and therapy honestly didn't help me, I saw the vast majority of my fellow patients both inpatient and out, greatly helped by one or both. If distraction helps, by all means engage in something distracting. If it gets too much to handle, get to the ER. Truth be told, I kinda' miss the weeks and months I spent inpatient. One of the only places I felt like I fit in.