Hi, Josh. Certainly the emotions and the body are interconnected in ways we don't always understand. For example tumors can affect emotions and behaviors and our thoughts can affect what goes on in our bodies. To answer your specific question - I don't think a doctor would say such thoughts and actions could cause Trigemnal Neuralgia or physical harm like a stroke (but doctors don't know everything, of course). Your symptoms don't sound like TN to me though some others here may have symptoms that are similar, I don't know.

I guess if I were you, I would want to explore what is going on with a neurologist or even a psychologist since strong emotions are involved. It's always good to understand ourselves better and to be sure nothing is wrong that needs treatment - you are obviously concerned.