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Psychotherapy and Mental Health questions

Hi Dr. Schwartz,

 I've feeling this way for most of my life. Everytime I get angry as a result of disrespect, my thoughts ALWAYS result in actually killing the person in my mind. The whole scenerio plays out in my head, including the way im going to do it and it's really horrible. The older I get the easier I feel I may act upon these thoughts, seriously. Im generally a very nice person. I'm, for most part, very happy and care free. I get along with everyone, nothing really bothers me and I'm an all around nice person. My question is, why are my thoughts so extreme, from happy to killing, in an instant. Thanks, Craig

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