I haven't had psychotic features ��(kick on wood), however I've had intrusive thoughts. They were awful! I had a great therapist at the time that explained the difference between you actually acting on those thoughts or not. In her practice, she said the ones she worried about were the ones that weren't worried they would do something. The ones that were scared about doing something were fine. Her experience is that when you are worried about it it's totally different. When someone is in a full on psychosis and doesn't seem concerned....that's when hospolization is needed. My two cents and I'm not a doctor. HUGS