Happens off and on quite a bit, particularly when I'm stressed out (Very prone to stress between my sleep issues and depression. I'm an introvert, so my social anxiety doesn't bother me, usually.), but also when I'm feeling more neutral. They bother me to an extent, but I realize them for what they are: intrusive thoughts. Ergo, I have very little control over their occasional presence in my mind, but I do have a choice in acknowledging that that's not me and in moving on from them. That said, though I'd never act on them, it does become harder to acknowledge how screwy such thoughts are when I'm just really frustrated than it would be when I had a clear mind. I suppose the same is true of "neurotypicals" to an extent, too, however.