Yes!! I totally have this going on right now. I am exhausted - I do have alot going on right now - but I never think that is the reason behind it. My mind keeps thinking there is some major health issue going on and that is the reason I am so tired. (you know - it would have nothing to do with the large amount of demands I have right now, sick kids, and the mild panic attack + slight depressive episode I had a few days ago - why would that make me tired?) Anyway. And YES I have intrusive thoughts even when I am not symptomatic. I am very empathetic toward others. If I focus too much on someone else's situation (which I may view as unpleasant), those thoughts become very intrusive and start to affect my mood especially if I am stressed, overwhelmed, or not doing a good enough job taking care of myself. I hate (and yes that is a strong word) how my mind focuses on things like that. It is literally like crawling out of the hole again - and that is what I am trying to do right now. So ... what I am really saying is ... I totally get it and you are not alone!