Always overthinking and thinking the worst about what's going on

Always overthinking and thinking negatively may be related to genetic factors, psychological stress, anxiety disorders, depression, thyroid dysfunction, and other reasons. Intervention can be achieved through psychological counseling, medication treatment, lifestyle adjustments, cognitive-behavioral therapy, regular check ups, and other methods.

1. Genetic factors

The presence of a history of anxiety or depression in a family may increase an individual's likelihood of excessive negative thinking. This type of situation is usually accompanied by persistent symptoms of low mood or irritability, and it is recommended to identify the risk through genetic testing combined with psychological counseling. If diagnosed with genetic correlation, antidepressants such as paroxetine hydrochloride tablets and escitalopram oxalate tablets can be used according to medical advice, and mindfulness training can be used to improve thinking patterns.

2. Psychological stress

Overloaded work and study workload or interpersonal conflicts can lead to recurrent catastrophic thinking. Typical symptoms include difficulty falling asleep with palpitations and sweating. It is recommended to reduce sources of stress through time management and perform 20 minutes of abdominal breathing training daily. When it affects social function, lorazepam tablets can be used for short-term relief of acute anxiety, but strict adherence to medical advice is necessary to avoid dependence.

3. Anxiety disorders

Patients with generalized anxiety disorder often experience uncontrolled negative predictions, which may be accompanied by hand tremors and gastrointestinal discomfort. Diagnosis requires professional psychological assessment, and treatment can use a combination of hydrochloride sertraline capsules and exposure therapy to gradually correct excessive sensitivity to potential threats. Keeping a mind diary helps identify irrational cognitive patterns.

4. Depressive emotions

Negative thinking that lasts for more than two weeks may be a precursor to a depressive episode, often accompanied by decreased interest and changes in appetite. It is recommended to conduct a Hamilton Depression Rating Scale assessment. Mild to moderate patients can use Mirtazapine tablets in combination with phototherapy, while severe cases require repeated transcranial magnetic stimulation. Maintaining regular social activities can improve emotional regulation ability.

5. Thyroid dysfunction

Abnormal levels of thyroid hormones can cause emotional fluctuations and negative thinking, which need to be diagnosed through the five tests of thyroid function. Subclinical hypothyroidism patients can take levothyroxine sodium tablets to regulate hormones, while monitoring thyroid stimulating hormone levels. It is recommended to have a quarterly follow-up thyroid ultrasound to avoid excessive intake of cruciferous vegetables that may affect iodine absorption. Establishing a stable sleep rhythm can help stabilize emotional states. It is recommended to set a fixed bedtime and maintain a dark and quiet bedroom environment. Engaging in 30 minutes of moderate intensity aerobic exercise such as brisk walking daily can promote the secretion of endorphins and improve mood. Add foods rich in omega-3 fatty acids such as salmon and walnuts to your diet, and reduce intake of refined sugars. When the self-regulation effect is limited, it is necessary to seek professional evaluation from a psychiatrist in a timely manner to avoid the continuous deterioration of symptoms affecting the quality of life.