I can only speak for myself in that, when I have intrusive thoughts/violent thoughts; I think it best to report them to a medical professional if they are available.


I have reported violent/kill thoughts to professionals and at support groups and I haven't been hospitalized yet. Ultimately, I would imagine, it's at the discretion of the medical professional as to what constitutes a clear and present danger to self or others. This is not to say I wasn't very very afraid and uncomfortable doing so.


However, the logic, for me, is that, I'd rather be put away, hospitalized, whatever, etc... If I was a danger, rather than be a danger. Unfortunately, this leaves quite a bit of, 'what if', to deal with.

The, 'what if', is two-fold. "What if I do hurt some one, or some one I love or care about." The other what if is, "what if they do commit me, etc.. etc.." Unfortunately, it is the uncertainty that is so distressing. And fortunately I know a big part of dealing with obsessions is that it is the uncertainty that must be accepted and lived with.


And, the hopeful part of me says, perfection and absolute certainty is not necessary for the universe to function. The universe is sort of imperfectly perfect. The universe is not a think, it's not a mental construct. It is continuous. It can't be organized into straight lines. It exists with most likely many more unknowns than knowns. etc.. etc..


I remember when I first was most afflicted by the changes brought about by fear/panic/ocd/etc.. I went to the lake with some new friends and we were sitting by the water. I was watching the tiny ripples in the water. They were so small and so numerous and it made me very uneasy, a bit fearful. I was almost as fascinated by those thousands of ripples in the water as I was of my fear of them (I've never had any fear of water. It was about the randomness.). I can look back now and see my mind just sort of being primal-ly disturbed by the unpredictable nature of the water.

Anywho, my2cents...