I worked through some of the origins of my gore fetishes as they tied into poor mental health at the time with a great therapist I had. It's good to have an impartial listening ear, but therapy does not work quickly. It took me a long time to trace it all back to power and image issues and I could've done it without the therapist because I talked to friends about it. If you have no other way to talk about this stuff irl, getting a good liberal-minded therapist can help and also clear away the worry of uncertainty of whether you might actually hurt people. I decided at some point I would only indulge my sadistic fantasies when I am happy and mentally stable, and I would advise the same for you. If you can work out whatever you are worrying about now, then maybe later worry about whether you can ever realize the fantasies. My guro cravings are still thriving but they are no longer obsessive or tied in with depression, and I understand them better. I got in a car crash a few days ago and decided to wear the jeans all week because the blood stains are just so nice. I talk about my feelings in regards to this stuff with close friends, and it is not a problem at all. I've got plenty of time to understand myself better before I consider rashly taking a life, but my desires have never changed. My life is otherwise normal and stable. Good luck, fellow gurofag.