Random thoughts may be one of the manifestations of anxiety disorder, but not all random thoughts belong to anxiety disorder. Chaotic thoughts may be caused by physiological factors such as daily stress, emotional fluctuations, and lack of sleep, or may be related to psychological disorders such as generalized anxiety disorder and obsessive-compulsive disorder.

1. Daily stress
Excessive work and study pressure or tense interpersonal relationships may lead to repeated thinking about problems, manifested as short-term delusions. This condition is usually accompanied by symptoms such as scattered attention and difficulty falling asleep, which can be alleviated through regular sleep patterns, mindfulness meditation, and other methods without the need for special treatment.
2. Emotional fluctuations
Physiological changes such as premenstrual syndrome and menopausal hormone changes may trigger emotional sensitivity and overthinking. This type of situation often presents periodic characteristics. It is recommended to maintain moderate exercise and, if necessary, follow the doctor's advice to use drugs that regulate autonomic nervous system function, such as Guwei Su tablets and vitamin B6 tablets.
3. Sleep disorders
Long term sleep deprivation can reduce the regulatory ability of the prefrontal cortex to the amygdala, leading to uncontrollable negative associations. Improving the sleep environment and, if necessary, short-term use of sedatives such as dexmedetomidine and zolpidem tablets can help alleviate symptoms.

4. Generalized Anxiety Disorder
Prolonged excessive worry accompanied by physical symptoms for more than 6 months may indicate the disease, and patients often exhibit symptoms such as palpitations and muscle tension. Clinically, commonly used anti anxiety drugs such as paroxetine hydrochloride tablets and escitalopram oxalate tablets are combined with cognitive-behavioral therapy.
5. Obsessive compulsive disorder
characterized by uncontrollable invasive thinking accompanied by repetitive behavior is a typical manifestation, which may be related to abnormalities in the brain's serotonin system. The combination of fluoxetine hydrochloride capsules, sertraline hydrochloride tablets and other drugs for exposure reaction prevention and treatment can effectively improve symptoms.

It is recommended to maintain regular aerobic exercise such as brisk walking, swimming, etc. 3-5 times a week for more than 30 minutes each time to help regulate neurotransmitter balance. Increase the intake of foods rich in omega-3 fatty acids, such as salmon and walnuts, and reduce caffeine intake. If the symptoms continue to affect daily life, it is necessary to seek timely evaluation at a psychiatric department and avoid using sedatives on one's own.
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