Pessimists may not necessarily be suffering from depression, but long-term pessimism may increase the risk of depression. Pessimism is mainly manifested as negative cognitive tendencies, while depression is a psychological disorder accompanied by physiological symptoms. The key difference between the two lies in the duration, degree of social dysfunction, and diversity of symptoms. Pessimists often hold negative expectations for the development of things, which may stem from their upbringing or personality traits. Typical manifestations include habitual amplification of difficulties, underestimation of one's own coping ability, and lack of confidence in the future. Cognitive behavioral therapy can help adjust this type of automated negative thinking by gradually improving through steps such as recording negative thoughts, seeking counterarguments, and establishing alternative positive cognition. Some pessimists may experience temporary emotional lows in stressful situations, but they can usually restore normalcy through self-regulation or social support. In addition to pessimistic emotions, patients with depression usually experience core symptoms such as loss of interest, sleep disorders, changes in appetite, and decreased attention that last for more than two weeks. Some cases may also exhibit biological characteristics such as physical pain and mild morning and evening symptoms. Neuroimaging studies have shown abnormalities in the functional connectivity between the prefrontal cortex and amygdala in patients with depression, which is fundamentally different from pessimism based solely on psychological tendencies. When pessimistic emotions lead to a significant decrease in work and study efficiency, suicidal thoughts, or persistent early awakening, it is necessary to seek psychiatric evaluation in a timely manner.

Cultivating regular exercise habits can promote the secretion of endorphins, improve emotional states, and maintain sufficient sleep to stabilize nervous system function. It is recommended that pessimistic individuals practice mindfulness meditation to enhance their current awareness and establish supportive social relationships to alleviate psychological stress. If the self-regulation effect is limited or somatic symptoms occur, one should go to the hospital's psychology department for professional scale evaluation and diagnosis, to avoid mixing pathological depression with personality traits.


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