Sudden violent impulses to attack people

I don’t know why but I get random thoughts of attacking friends and strangers. The impulse comes out of nowhere without any precursor and I have no clue when they are coming. I don’t have voices and major psychosis at the moment. Like for example this very nice guy was fixing my light and he was touching the naked electric wires and I felt I had this very strong impulse to go turn the light on and basically electrocute him. Or I was sitting calmly and talking to this lady who was the nicest person ever to me, and felt suddenly that I want to stab her with a pencil in the eye.
Or last week I felt I like to stab someone who is very nice to me with a knife in head. I have no idea what to do. I talked about some of the impulses with my psychiatrist, but he doesn’t care much or do anything about them. What should I do?Does anyone else has this kind of impulses? Are these psychosis or mania?

I get impulses like this a lot, but they’re usually also accompanied by voices.

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It could be intrusive thoughts, perhaps. I have exceptionally violent and gruesome thoughts, myself, and have anger issues (they’re tied together). Usually, if something even mildly irritated, I had some very vivid ideas of how to kill/maim/destroy it. I was initially put on a low-dose AP for my aggression (they thought it might be autism-based) before I ever was diagnosed as psychotic, actually.

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No I don’t hear voices it’s just the violent impulses. So there are other people who have impulses like that? It’s really very scary because not only I can hurt someone, I could end up in prison for a very long time.

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I’m being watched.so no comment.

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Dude, if you’re concerned about it, you’re probably fine. That’s what my therapists have told me. Me, I just know I don’t want to go to prison, so I don’t act on the impulses when I get them, even if sometimes I genuinely feel the strongest desire to.

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I’m already on 150 mg of Thorazine and 10 mg of navane and 150 mg of hydroxyzine. Basically I’m taking two antipsychotics but no help.

I should say the APs did not help my aggression. Oops. I’m not scared of the thoughts, myself, but one of the best things I ever did was just let the thoughts happen, pass, and do something positive to get my mind off of whatever made me suddenly feel aggressive.

Some people also get thoughts like that when their brain is trying to tell them NOT to do something. I’ve heard of this happening before to others.

Should I ask my psychiatrist to put me on mood stabilizers like depakote?

i had aggressive thoughts and impulses for a loooong time before ever developing psychotic symptoms, i guess they were maybe from my autism. i found abilify helped them somewhat, personally

Thank you korieve, I’m worried abilify make me gain weight and become diabetic.

I get random impulses like this. Not usually violent, but disturbingly sexual or mean. Like, I’ll be having a pleasant interaction with someone and suddenly my brain will be like, “The meanest possible thing I could say to this person would be x,” and then I would have trouble not thinking about x for the rest of the conversation. Sometimes, when I’m driving my car, I think, “if I just moved my hand an inch to the left, everyone in that car would die.”

The key difference between intrusive thoughts and actual violent tendencies seems to be whether you want to act on them. If you find yourself wanting to actually do these violent things, and you wish you could act on them without getting in trouble, those are dangerous signs and you should tell your doctor right away. You should also remove yourself from any situations where you’re near vulnerable populations (children, animals, disabled or elderly people, etc). If these violent thoughts disturb and upset you, and you have no desire to act on them, you’re probably just experiencing intrusive thoughts and are statistically not likely to act on them.

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Thank you very much ninjastar for your reply. I can’t guarantee that I will not going to act on the impulses. Sometimes the impulse is too strong that I am scared myself. They seem to be bothersome and my concern is that is there a medicine that fixes that. I get there impulses let’s say once every month or like that usually. Is it going to be an antipsychotic that help me not have the impulse or a mood stabilizer. Whatever it is I should take it. I was diagnosed with bipolar first then schizoaffective and then paranoid schizophrenia.

Sounds like intrusive thoughts possibly

I just recently have developed violent impulses to attack others. They’re usually accompanied by paranoia and command voices.

Before I would just get worried thoughts about others hurting/killing me. Not sure why the change. It’s not a welcome one.

I think what ninja said , theres a difference between it being intrusive thought/impulse. And actually have a want to actually carry out that action.
Regardless you’re responsible for your actions. So let those thoughts float by like the wind

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well do you “want” to act on these impulses or do the intrusive thoughts scare you? I get intrusive thoughts that are violent out of nowhere and I get humilated and sad…

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Just remember: you can’t always control your thoughts, but you ALWAYS control your actions. If you hurt someone, you have to face the consequences for those actions. If you think you might actually act on these impulses, you should stay away from anyone who could be hurt by you until you have it under control. And work closely with your doctor to try and manage your impulses.

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When I was in psychotic break in 2012 I used to get the urge to pick up a knife and stab someone.

A few replies will read that you are in control of your actions. I will respectfully disagree with this.

My impulses were borderline out of my control. When I would get these thoughts i would run out of the kitchen so nothing would happen. And nothing did happen…

But to this day EVERYTIME I see a butcher knife i am reminiscent of these impulses.

Well technically you were in control because you ran out of the kitchen. Which was the right thing to do

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