The thoughts are there. It's not just the usual thoughts though. It's detailed review of all my poor decisions that led up to the situation I'm in, and what that means about me as a person. Namely, that I'm useless, hopeless, and simultaneously to blame for everything bad that happens while also being hopelessly ineffectual. In short, "everything's fcked, it's all my fault, and there's nothing I can do about it."
Still, it's all just thoughts. From the most banal to the most degenerate, and all the way up to the most praiseworthy thoughts - none have any substance. What matters is what I do and how I treat people.