It's important to remember that I am not a substitute for professional advice, and for specific situations, it's best to consult a licensed mental health professional.
If you tell your therapist that you have intrusive, violent thoughts about harming yourself but no desire to act on these thoughts, it is unlikely that they would immediately commit you to a mental institution. Therapists are trained to assess the severity of a person's condition and determine the appropriate course of action. Their primary concern will be your safety and well-being.
Intrusive thoughts are not uncommon and do not necessarily mean that someone is a danger to themselves or others. In many cases, they can be a symptom of conditions like obsessive-compulsive disorder (OCD) or other anxiety disorders. Your therapist will likely explore the nature and frequency of these thoughts to better understand the context in which they occur.
The therapist's response will depend on several factors, such as the severity and frequency of the thoughts, any history of self-harm or suicidal ideation, the presence of any other mental health conditions, and your overall level of functioning. They might discuss coping strategies to manage intrusive thoughts or consider a treatment plan, which may include regular therapy sessions, possible medication, or other interventions.
If, during the conversation, the therapist becomes genuinely concerned about your safety or believes that you are at risk of harming yourself or others, they have a legal and ethical obligation to take necessary steps to ensure your safety. This could include involving emergency services or contacting someone close to you who can provide support.
It's important to be open and honest with your therapist about your thoughts and feelings, as they can better support you with accurate information. Trust is essential in the therapeutic relationship, and therapists are there to help you navigate through difficult emotions and experiences. Remember that they are there to support you and your well-being, not to punish or judge you.