Some intrusive thoughts are so distressing that they necessitate disrupting one's schedule to manage them.

“like if I start thinking about a blood bank like it ruins my whole I have to cancel everything”

He admits to having intrusive thoughts about driving his car into oncoming traffic.

“You're driving on the freeway and there's a space in the median where you can actually go onto the other side of the road. And you see the oncoming headlights and you think to yourself, Would I survive and you're like there's only one way to find out uh huh, and if I'm right then I live”