Hello Jay, You COULD be suffering from Obsessive Compulsive Disorder, and these homicidal thoughts could be obsessions. In OCD, such obsessive thoughts are not uncommon; they are always intrusive and cause a lot of distress. Such thoughts occur as a result of chemical imbalance in the brain, hence you may be getting them despite having no intention to hurt anybody. Remember that getting the thoughts does not automatically mean that you will do something wrong. Is this the first time something like this is happening? Are you feeling an impulse to act out on the thoughts? Do you hear any voices (that other people cannot hear)? With more information, I can offer a more certain diagnosis, but OCD does seem likely. Whether this is OCD or something else, it can be treated. Please obtain a face-to-face psychiatric consultation as soon as possible. Take care, Regards, Dr. Saifuddin Kharawala MBBS, DPM