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What I try to do is rationalize around the negative thoughts. I first try to think if what I'm thinking is really realistic.
For example if I think "damn I really am worthless" I try to ask myself "For what reason? Is it really true?" and try to find alternate explanations as to why I'm having those negative feelings that don't involve something that is an unmovable fact or trait and work from there.
I also try to separate myself from the thought, as if it was someone else telling me that and how I would react to that, which is normally with disbelief and thinking the other person is being too harsh on themselves. That sometimes breaks the spiral, sometimes it doesn't, ans of course this doesn't work for everyone.
We are our own worst judges and our brains tend to magnify our negative sides more than any external person ever would. I'm no expert in this so take the advice with a grain of salt. Take lots of care ๐