So I've for a long time had both self-hating (I'm worthless everyone hates me I'm disgusting blah blah) and delusional (I'm a god in human skin everyone else needs to kneel before me people need to be hurt) and now that I've got a lot better at controlling my depressive episodes I've been able to focus more on containing them.

My strategy has been to simultaneously imagine that the thoughts are coming from a chubby 5-year old with a squeaky voice and also imagine a friendly ghost who questions them. For example, when the 5-year-old says "you're weak, frail, and worthless" the ghost says "didn't you ski 60 miles less than a week ago?" (I did, for thanksgiving). Is this weird as hell? Absolutely. But hey, if it works it works.