<s>[INST] I have been having overwhelming feelings of violent thoughts no self harm just to others. these events only occur under a peaceful mindset rage and anger dont set them off. When im hyper aggressive or angry thought become blank. im 3o years old male caucasian no family history of mental illness on either maternal or paternal side. This thoughts encompass harming severely anyone around me and have gotten so bad ive broke down into tears and suffered hallucinations of the act being committed. my hands will shake and ill remove my self from the room im in so as to not potentially harm anyone. i really dont think i would but these visions are becoming worse and worse [/INST] Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are extremely distressed by your symptoms. These intrusive violent or aggressive thoughts / images could be part of a psychiatric disorder called obsessive compulsive disorder (OCD). The important features of obsessions in OCD are that the person is able to realize that these thoughts are unwanted and intrusive, but despite attempts to stop these thoughts, they keep coming repetitively, leaving the person very distressed. However, you need a detailed psychological assessment in order to confirm this diagnosis, as well as rule out any other psychiatric disorder such as a psychotic disorder. So, I would advise you to seek professional help urgently - please consult a psychiatrist for a detailed evaluation and further treatment. </s>