Hi Jen...
CD summed it up... You are very brave to write it down as I know most people at one time or another have thought that... but us with anxiety.. .our thoughts just go "haywire"... and I like you get anxiety about having thought thoughts... if that makes any sense. lol...
I've too have had that thought...and like you it is something I would never do... I'm terrified of dying... which is what I think is so ironic... and tells me that it is the panic kicking in. It finds our greatest fears and plays on them... to the extreme unfortunately. You're not alone Jen.. in fact there are more like us than not. I can relate to all that your are saying and can tell you that things do get better and that there is hope and successes. You just need to be patient with yourself and try your best to challenge your thoughts.. much easier said than done.. I know.
It sounds like your medication may be wreaking a little havoc too while your changing doses. For myself (I'm on Paxil) changing my doses can be a bit tricky and takes some time to adjust. At the beginning 20 mg was WAY TO HIGH!! and I was sick..lost weight and my anxiety was crazy wild... and for ages 15 mg was my perfect dose... years actually... And then much to my chagrin.. this past year after my second baby I've had a heck of journey trying to find a balance again... ugh... but slowly but surely things have gotten better...I'm actually taking 20mg now and have not had any of the issues I did years ago.. probably because I'm older and fatter...kidding... well sorta.. lol...
You're not crazy though and you definately don't need to be committed!! It's scary to feel like that but I assure you I have felt all that you have... Thoughts can be scary but they are just thoughts and the fact that your know they are irrational is what makes you sane :).
Be sure you are talking to people about your ups and downs and keep the lines of communication open with your doctor... I myself and still on the hunt for a therapist or support group just to better prepare myself in case a relapse happens again... as it was a real eye opener for me...
Big hugs to you.. and be sure to keep us posted... I have found this site to be so helpful.. Just keep posting and someone will always let you know that you're in good company and not alone.
Take care
DM