AuthoredWhy do I have these terrifying thoughts?
A young man describes evening mood changes and frightening intrusive thoughts about harming himself or others that conflict with his values.
Doctor

Mark Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of experience helping people navigate mental health challenges.
Mark Vigil Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of clinical experience. He specializes in adult neurodiversity, couples therapy, and the treatment of trauma and dissociation.
As a medical writer, Dombeck has published extensively on health policy, advocacy, sexuality, relationships, and emotional well-being. His work combines clinical precision with an accessible style that helps diverse audiences navigate complex psychological issues.
In addition to his writing, Dombeck engages directly with the public through MentalHealth.com Answers (formerly MentalHelp.net), where he provides compassionate, evidence-based guidance. His goal is to help individuals better understand their challenges and move toward meaningful growth with clarity and confidence.
UC San Diego
Doctor of Philosophy (PhD), Clinical Psychology
1989 - 1995
University at Albany
Bachelor of Science (BSc), Psychology
1985 - 1989
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