Negative Thoughts: A Guide to Mental Health Improvement - Psychiatry

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I'm not sure what the situation is?


Hello, doctor.
Recently, I have been constantly thinking about negative things, such as what my teachers say and my classmates' evaluations of me, as well as small issues in my life, academic pressure, and my parents' expectations.
Although things may not be that bad, I often find myself fixating on the negative aspects, which makes it hard for me to breathe.
I tend to engage in repetitive behaviors, like tapping the table or slapping my thigh to calm down, and I frequently check if my alarm is on.
My attention is often scattered, my mind keeps racing, and I often feel like crying.
Recently, the first thought that comes to my mind in the morning is that I really want to die.
This happens at school as well.
I feel like eating a lot, but then suddenly lose my appetite.
I am overly concerned about what others think and find myself pacing back and forth.
What can I do to improve this situation? Thank you.

Wen, 10~19 year old female. Ask Date: 2022/10/08

Dr. Tang Jiahong reply Psychiatry


Hello, the symptoms of depression and anxiety mentioned above seem to be affecting daily life.
It is recommended to seek consultation with a child and adolescent psychiatrist.
There's no need to worry about being labeled as crazy, as depression and anxiety are common issues in modern society, and with proper treatment, there is a good chance for improvement.

Reply Date: 2022/10/08

More Info


It sounds like you are experiencing a significant amount of distress due to negative thoughts and feelings, which can be overwhelming and exhausting. The symptoms you describe, such as repetitive behaviors, difficulty concentrating, and feelings of sadness or hopelessness, are common indicators of anxiety and depression. It’s important to address these feelings and seek support to improve your mental health.

First, let’s break down some of the factors contributing to your negative thoughts. Academic pressure, parental expectations, and social evaluations can create a heavy burden, especially for students. It’s not uncommon for individuals in such environments to feel trapped in a cycle of negative thinking, where one negative thought leads to another, creating a snowball effect. This can lead to feelings of inadequacy and anxiety, which may manifest in physical symptoms, such as difficulty breathing or the urge to engage in repetitive behaviors to cope.

Here are some strategies that may help you manage these negative thoughts and improve your mental health:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective form of therapy for addressing negative thought patterns. CBT helps individuals identify and challenge distorted thoughts and beliefs, replacing them with more balanced and realistic ones. If possible, consider seeking a mental health professional who specializes in CBT.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your thoughts without judgment. Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and improve your overall mood. When you find yourself overwhelmed, take a moment to breathe deeply and focus on the present moment.

3. Journaling: Writing down your thoughts and feelings can be a powerful way to process emotions. It can help you identify triggers for your negative thoughts and provide an outlet for expressing your feelings. You might find it helpful to write about positive experiences or things you are grateful for, which can shift your focus away from negativity.

4. Physical Activity: Engaging in regular physical exercise can significantly improve your mood and reduce anxiety. Exercise releases endorphins, which are natural mood lifters. Even a short walk or some stretching can help clear your mind and reduce stress.

5. Limit Exposure to Stressors: If certain situations or people contribute to your negative feelings, it may be beneficial to limit your exposure to them when possible. This could mean setting boundaries with peers or finding ways to manage academic stress more effectively.

6. Seek Support: Don’t hesitate to reach out to trusted friends, family members, or a counselor. Sharing your feelings with someone who understands can provide relief and perspective. Sometimes, just talking about what you’re going through can lighten the burden.

7. Professional Help: If your feelings of hopelessness persist or worsen, it’s crucial to seek help from a mental health professional. They can provide a proper assessment and recommend treatment options, which may include therapy or medication if necessary.

8. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, getting enough sleep, and staying hydrated. These factors can significantly impact your mood and energy levels.

Remember, it’s okay to ask for help, and taking the first step towards addressing your mental health is a sign of strength. You are not alone in this, and there are resources and people available to support you. By implementing some of these strategies, you can begin to shift your focus away from negative thoughts and work towards a more positive and fulfilling mindset.

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