Intrusive Thoughts: How to Support a Loved One Struggling

Supporting a loved one who is struggling with intrusive thoughts can feel overwhelming, especially when you’re not sure what to say. Intrusive thoughts are unwanted, distressing, and often repetitive thoughts that can be difficult for the person experiencing them to manage. As a friend or family member, your support is invaluable—but knowing how to help without unintentionally saying the wrong thing is key.

Intrusive thoughts are more common than many realize, often linked to conditions like anxiety, depression, or obsessive-compulsive disorder (OCD). Learning how to help a loved one with intrusive thoughts is an important step toward fostering a safe, understanding, and supportive environment. 

Understanding Intrusive Thoughts

Intrusive thoughts are those that seem to pop up out of nowhere, often causing distress or discomfort. They are typically unrelated to a person’s true desires or intentions, but because they are unwanted, they can be deeply upsetting. Many people experience these thoughts as part of anxiety disorders or OCD, but intrusive thoughts can happen to anyone.

It’s important to understand that intrusive thoughts are not an indication of someone’s character or beliefs. For example, someone might have a thought that makes them fear they could hurt a loved one, but they would never act on it. These thoughts can lead to feelings of guilt, shame, and confusion, making it difficult for the person to reach out for help.

How Intrusive Thoughts Affect Mental Health

Intrusive thoughts can take a serious toll on a person’s mental health. Emotionally, they can lead to feelings of guilt, shame, anxiety, or even depression. A person struggling with these thoughts might start to withdraw from loved ones, avoiding situations where they fear the thoughts could arise. This withdrawal can lead to isolation, making the situation even more difficult for both the individual and their support network.

Psychologically, the constant bombardment of unwanted thoughts can wear someone down, making it harder to focus on daily tasks, maintain relationships, or enjoy life. Physically, the stress caused by intrusive thoughts can manifest as headaches, fatigue, and even digestive issues.

Example: Consider a person named Sarah, who experiences intrusive thoughts about accidentally harming her family. These thoughts, although she knows deep down she would never act on them, cause Sarah severe anxiety. She stops visiting her family as often and avoids spending time with her nephews because the thoughts make her feel too guilty. Over time, this leads to feelings of isolation and sadness, which only worsens her mental state.

Effective Strategies for Supporting Someone with Intrusive Thoughts

Knowing what to say and what not to say when supporting someone with intrusive thoughts is crucial. While your intention may be to offer comfort, some phrases can unintentionally cause more harm than good.

What to Say:

  • “I’m here for you whenever you need to talk.”
  • “I can’t imagine what you’re going through, but I want to support you.”
  • “It’s okay to feel this way. We’ll get through this together.”
  • “I understand that you’re struggling with these thoughts, and I want to help.”

These statements show empathy without minimizing the person’s experience. They also offer reassurance that the person isn’t alone, which is incredibly important when dealing with something as isolating as intrusive thoughts.

What to Avoid Saying:

  • “Just stop thinking about it.”
  • “You’re overreacting.”
  • “Everyone has weird thoughts why is this a big deal?”
  • “It’s all in your head.”

These phrases may seem harmless, but they can make the person feel dismissed, misunderstood, or ashamed of their experience. Intrusive thoughts are not something a person can simply turn off, and minimizing their distress can discourage them from seeking the support they need.

Other Helpful Tips:

  • Encourage Professional Help: Gently suggest that your loved one may benefit from speaking to a therapist, but be mindful not to push too hard.
  • Be Patient: Understand that intrusive thoughts are a long-term challenge, and your loved one’s progress might take time.
  • Set Boundaries: While it’s important to be supportive, remember to set personal boundaries to protect your own mental health as well.

How McNulty Counseling Can Help

At McNulty Counseling and Wellness, we understand how difficult it can be to support a loved one with intrusive thoughts. Our team of compassionate, licensed therapists specializes in helping individuals navigate their mental health struggles, including intrusive thoughts, anxiety, and OCD. Through personalized therapy, we teach strategies to manage these thoughts and reduce their impact on daily life.

Cognitive-behavioral therapy (CBT), mindfulness techniques, and exposure-response prevention (ERP) are some of the methods we use to help clients regain control over their thoughts and improve their mental well-being. We also offer family counseling sessions to provide guidance on how loved ones can best support each other during challenging times.

Conclusion

Supporting a loved one with intrusive thoughts can be challenging, but with the right approach, you can make a meaningful difference in their life. Remember, your role is to listen, provide reassurance, and avoid dismissive language. Encouraging professional help when needed is also a crucial step in their recovery.

If you’re unsure how to best support your loved one or need more guidance, McNulty Counseling and Wellness is here to help. Reach out to us at 727-344-9867 or fill out our contact form today. Together, we can work through these challenges and build a stronger support system for your loved one.

If You’re Experiencing Mental Health Symptoms, It May Be Time For Professional Help.

Ready to get started?