Unwanted thoughts are those intrusive thoughts that cause high levels of distress. They seemingly come from nowhere, stick with us, and can cause a significant amount of anxiety. Unwanted intrusive thoughts generally consist of repetitive thoughts about relationships, decisions, sexual identity, safety, religion, death, or worries about questions that have no certain answer. When these thoughts are graphic or contain “inappropriate” themes, people can feel embarrassed or ashamed by them, which can cause people to not talk about what is happening.