Always having uncontrollable thoughts in the mind may be caused by 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 [SEP]: A history of mental illness in the SEP family may increase the likelihood of individuals experiencing cognitive dissonance. This type of situation is usually accompanied by symptoms such as distraction and emotional fluctuations. Treatment should be combined with genetic testing and psychological counseling. Medications such as paroxetine hydrochloride tablets, escitalopram oxalate tablets, olanzapine tablets, etc. may be used for symptom control. It is recommended to develop intervention plans under the guidance of professional doctors and avoid self medication.
2. Psychological stress
Long term heavy workload or tense interpersonal relationships can lead to the brain being in a state of sustained stress, manifested as recurrent uncontrollable distractions. May be accompanied by somatic symptoms such as insomnia and palpitations. It can be relieved through non pharmacological means such as mindfulness training and breathing relaxation. If necessary, use anti anxiety drugs such as lorazepam tablets and alprazolam tablets as adjunctive treatment according to medical advice.
3. Anxiety disorder
Generalized anxiety or compulsive thinking can lead patients to fall into meaningless thought cycles, typically manifested as excessive worry about small events. Often accompanied by autonomic nervous system symptoms such as sweating and hand tremors. The commonly used combination therapy in clinical practice is exposure therapy with sertraline hydrochloride tablets and clomipramine tablets, which require continuous treatment for several weeks to show significant efficacy.
4. Depression

Negative rumination during depressive episodes is the core symptom, and patients often fall into a vicious cycle of self blame or pessimistic thoughts. May be accompanied by changes in appetite, heavy morning and light evening. Treatment should be combined with antidepressants such as fluoxetine hydrochloride capsules and olanzapine tablets, as well as regular exercise. In severe cases, transcranial magnetic stimulation therapy should be considered.
5. Thyroid dysfunction
Both hyperthyroidism and hypothyroidism can cause thinking disorders. Hyperthyroidism patients often have runaway thinking, while hypothyroidism manifests as delayed thinking. Diagnosis needs to be confirmed through thyroid hormone testing, and treatment includes medication such as levothyroxine sodium tablets or methimazole tablets to regulate hormone levels, while monitoring changes in electrocardiogram.
It is recommended to maintain a regular daily routine, engaging in 30 minutes of aerobic exercise such as brisk walking or swimming, and adding foods rich in omega-3 fatty acids such as salmon and walnuts to your diet. Avoid excessive intake of caffeine and establish a fixed sleep wake cycle. When symptoms persist for more than two weeks or affect daily life, it is necessary to seek timely treatment at a psychiatric or neurology department, complete psychological scales and biochemical tests. Recording daily changes in thinking can help doctors assess the progression of the condition.

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