I was wondering how to tell if you are just having extreme guilt or delusions with depression? It seems like a fine line and difficult to tell. I was ruminating on past things I felt a lot of guilt about and decided I was nearly evil and a monster which increased my symptoms for a while. I was somewhat aware it was extreme, but it also felt very real. I have never had this with depression before, but I really felt like I deserved bad things to happen to me because I was intrinsically bad and needed to pay for my sins so to speak. Like I must be punished in a violent way. Evidence to the contrary just wasn’t enough to shake this.I Am Concerned about Negative Thoughts and How to Know if They Are Delusions in Depression
Focusing on the guilt is often a way of not focusing on something else. The something else in this case is self-forgiveness. Ruminating about the guilt may be a more familiar place to land your thoughts — and important to help you recover — but the more immediate, and perhaps even more important work is on finding ways to forgive yourself for your transgressions. This article gives a perspective of some of the ways this can happen. This article gives some practical advice.
Wishing you patience and peace,
Proof Positive Blog @ PsychCentral