Depressive thinking in bipolar disorder is a pessimistic assessment of one's past, present, and future, low self-esteem, and a sense of being worthless. Sometimes, depressive delusions (inaccurate judgments that the individual considers to be accurate, despite fruitless attempts to confront them with reality). Those concern a sense of guilt, being a sinner, punished, convicted, or concerning poverty, destitution, lack of any prospects for future for oneself and family. The existence of such delusional beliefs is an unquestionable expression for consultation with a specialist.
If a patient with severe depression has severe depressive delusions, then they are convinced of “their reasons”; they are sure of them, and their loved ones, despite attempts, fail to correct this belief, explain to them that it is different, comfort them.
Sometimes, these attempts make the patient feel ununderstood by anyone, lonely in their world of beliefs, alone carrying their burden, or they become suspicious of their loved ones. They are convinced they are trying to hide the truth from them to comfort them in a hopeless situation.