Hi Secret- go back and read the response from "Hard2Smile" it's some really good advise. I too am plagued by these thoughts...every day...all day... I try to stay focused on how my actions would affect those who care about me. Also, sharing with someone how I feel and speaking the thoughts that are in my mind helps take the power out of the thoughts. BELIEVE that there may be a treatment that could help you feel better... Wish I had a better answer but these are the things that are helping me deal with the intrusive thoughts.
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DX:
MDD- Treatment refractory depression
Total Anhedonia
C-PTSD
Hashimoto's Thyroiditis
RX:FINALLY- found a doc to prescribe an MAOI!! 
Nardil (MAOI)
Lithium
Remeron 15mg
K-pin 0.5 mg/night
Levothyroxine
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