Fantasia may not necessarily be depression, but it can be one of the manifestations of depression. Depression is a mental disorder characterized by sustained low mood and decreased interest, and delusions may be related to excessive worry, anxiety, or depressive emotions. If symptoms such as sleep disorders, changes in appetite, and self denial persist for more than two weeks, one should be alert to the possibility of depression. The wild thoughts in daily life are usually caused by stress, fatigue, or short-term emotional fluctuations, which are normal psychological reactions. This type of situation is often related to recent life events, such as work pressure, interpersonal conflicts, etc., which can be alleviated through self-regulation, shifting attention, or short-term rest. Some people may also experience repeated thinking due to personality sensitivity or perfectionism tendencies, but they have not met the disease criteria. Pathological delusions often manifest as uncontrollable negative thoughts, often involving self deprecation, catastrophic expectations, or suicidal ideation. The rumination of depression patients often accompanies a heavy morning and light night emotional rhythm, loss of pleasure, and cognitive decline. Bipolar disorder, anxiety disorder, or obsessive-compulsive disorder may also present with similar symptoms and need to be identified through professional psychiatric examination. Imbalance of neurotransmitters in the brain, chronic stress, or family genetic history are common triggers. If delusions have affected social functioning or persist, it is recommended to seek medical attention from a mental health specialist as soon as possible. Standardized treatment may include psychological interventions such as cognitive-behavioral therapy and mindfulness training, or the use of antidepressants such as fluoxetine hydrochloride capsules and escitalopram oxalate tablets as prescribed. Maintaining a regular schedule, moderate exercise, and social activities can help regulate emotions and avoid excessive self reflection or isolation.



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