Negative Thoughts: A Guide to Mental Health Awareness - Psychiatry

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Hello, Doctor: I don't know why I always have very negative thoughts about what happens to me.
Even if I feel something strange or uncomfortable in a certain part of my body, I immediately think that I might have the worst possible illness.
I know it's pessimistic, but I just can't seem to get past it.
However, I tend to be more optimistic when talking to others about their situations, which feels strange...
I can't even figure it out myself.

Xiao Zhi, 20~29 year old female. Ask Date: 2004/10/11

Dr. Zhang Xuncheng reply Psychiatry


Dear Xiao Zhi,
Hello! It is common for young people to have sharp minds and to think a lot, which is acceptable.
However, if the thoughts are predominantly negative, it can lead to hesitation in actions and hinder achievements.
You mentioned in your letter that you are aware of your pessimism but find it difficult to change.
Does this indicate that your personality has always been inclined towards pessimism? Yet, you seem to express more optimistic views when talking to others, which is puzzling!
Regardless, I encourage you to spend more time with optimistic individuals, read books that promote a positive outlook, watch comedies, and share jokes.
Gradually, you may find that your thoughts become more positive.
If the situation worsens, I recommend seeking a mental health professional for further discussion to uncover the underlying issues.
Wishing you a "bright life and an optimistic personality." Thank you.

Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/10/11

More Info


It's not uncommon to experience negative thoughts, especially when faced with uncertainty or discomfort in our bodies. What you're describing sounds like a common cognitive distortion known as catastrophizing, where one tends to assume the worst possible outcome in any given situation. This can lead to a cycle of anxiety and negative thinking that can be difficult to break.

Firstly, it's important to recognize that having negative thoughts does not mean you are a negative person. Many individuals can be optimistic about others while struggling with their own internal dialogue. This discrepancy often arises from a variety of factors, including personal experiences, mental health conditions, or even learned behaviors from childhood.
When you notice a physical sensation that feels "off," your mind may automatically jump to the worst-case scenario. This is a natural response, often rooted in our survival instincts. Our brains are wired to protect us from danger, and sometimes this can manifest as excessive worry about our health or well-being. However, when this response becomes chronic, it can lead to increased anxiety and stress, which can further exacerbate negative thinking.

Here are some strategies to help manage these negative thoughts:
1. Awareness and Acknowledgment: The first step is to become aware of your thoughts and acknowledge them without judgment. Recognize that these thoughts are just that—thoughts. They do not necessarily reflect reality.

2. Challenge Negative Thoughts: Once you recognize a negative thought, challenge its validity. Ask yourself questions like, "What evidence do I have that supports this thought?" or "What would I tell a friend if they were thinking this way?" This can help you gain perspective and reduce the intensity of the thought.

3. Practice Mindfulness: Mindfulness techniques can help you stay grounded in the present moment and reduce anxiety about the future. This can include deep breathing exercises, meditation, or simply taking a moment to focus on your surroundings.

4. Limit Exposure to Triggers: If certain situations or information sources exacerbate your negative thinking (like excessive health-related news), consider limiting your exposure to them.
5. Seek Professional Help: If negative thoughts are significantly impacting your daily life, it may be beneficial to speak with a mental health professional. They can provide you with tailored strategies and support to help you manage these thoughts effectively.

6. Engage in Positive Activities: Find activities that bring you joy or relaxation, whether it's spending time with loved ones, engaging in hobbies, or exercising. Positive experiences can help counterbalance negative thoughts.

7. Cognitive Behavioral Therapy (CBT): This therapeutic approach is particularly effective for addressing negative thinking patterns. A therapist can work with you to identify and change these patterns, leading to improved mental health.

It's essential to remember that you're not alone in this experience. Many people struggle with negative thoughts, and seeking help is a sign of strength. By taking proactive steps to address these thoughts, you can work towards a more balanced and positive mindset. Remember, mental health is a journey, and it's okay to seek support along the way.

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