Health Conditions A-Z Mental Illness Anxiety What Is Repetitive Thinking? By Colleen Stinchcombe Colleen Stinchcombe Colleen Stinchcombe is a health, environment, and outdoor recreation writer based near Seattle, WA. In addition to Health, her work has been published by SELF, Outside Online, Sierra Magazine, Lonely Planet, and several others. When she’s not at her desk, she’s probably running, hiking, biking, gardening, or otherwise finding a way to sweat outside. health's editorial guidelines Updated on June 29, 2024 Medically reviewed by Kathleen Daly, MD Medically reviewed by Kathleen Daly, MD Kathleen Daly, MD is a board-certified psychiatrist with a specialty in women's and transgender mental health. learn more Jovo Jovanovic / Stocksy Have you ever entered a cycle of repeating negative thoughts, such as "What if I'm not good enough?" or "What if something bad happens?" You could be experiencing repetitive thinking, or rumination, when these thoughts are negative in nature. Rumination itself is not a mental illness. It's common among people with mental health conditions like anxiety and obsessive-compulsive disorder (OCD). There are a few key tools that can help you manage your mind, whether you've just started having these repetitive thoughts or you've been dealing with them for a while. Read on to learn about repetitive thinking and how to stop it. Perfectionism and Anxiety: The Problem With Trying to Be Perfect What Is Rumination? Rumination means obsessive, repetitive thinking that impairs mental activity. These negative thoughts can worsen mood and energy. People sometimes isolate themselves, leading to paranoia, irritability, and anger. Rumination can lead to other complications like: Chronic stress due to prolonged stress responseInflammation Negatively affected mental activity, including thinking and processing emotions Substance use disorders Worsened anxiety, depression, impulsive behaviors, and sleep problems There's a difference between general worry and rumination. Worry is often a future-focused concern like "Am I going to be OK?" or "Will my family be safe?" Rumination tends to be focused on the past or immediate present like, "Am I ever going to feel any better?" or "What did that person think of me?" Causes Rumination can show up with mental health disorders, including anxiety and OCD. It's not always clear whether rumination came first or the disorder did. Both can leave you feeling stuck in a cycle of negative thinking. Several things can trigger repetitive thinking, including: A desire to ruminate to solve or understand a problem A history of emotional or physical traumaStressors, such as those related to health, relationships, school, or work How To Stop Repetitive Thinking It can be hard to stop intrusive, negative thoughts. To break the cycle, you may try identifying and challenging these thoughts as early as possible. Here are a few ways to stop rumination. 1. Challenge the Thoughts Try noticing when repetitive thoughts are happening. Examine whether the thought is moving you forward or leaving you stuck. Ask yourself a few questions: Is this serving you? Are you going to have an answer to this right now? What else can you do? It's time to try a different tactic if you can't solve whatever you're thinking about right now. 2. Consider Therapy Cognitive behavioral therapy (CBT) or talk therapy is a common treatment for people with anxiety and OCD. A therapist can help you figure out why you experience rumination. They can help you identify negative thoughts and possible root causes that you may be able to address. 3. Distract Yourself Taking your mind off the thought your brain is thinking about can bring relief. Puzzles, for example, can improve mindfulness and overall mood states and divert attention from painful rumination. Re-engaging in hobbies and interests that bring you joy can also be effective. Self-expression is another way of helping with rumination and preventing it. Other activities might be checking in with friends and family or engaging in physical activity. Be wary of activities that don't work, and pay attention to substance use. Anything that can be addicting in that way, whether it's screen time or substances, can be short-term fixes as opposed to the long-term. 4. Do Something You Haven't Done Before A lack of novel stimuli—seeing the same four walls, the same people, the same news stories again and again—can often lead to repetitive thoughts. Give yourself some novel stimuli. Changing your environment can be very helpful. Go on a walk in a part of your neighborhood you haven't seen before. Get into nature, maybe a park or a trail you haven't walked before. Consider going to a place where you have positive memories if you want to go somewhere you've already been. 5. Focus On Healthy Habits Get your sleep in order, eat well, and stay in touch with friends and family. Sleep is especially important. You have more control over your brain when you're more rested. It's less likely to fall into the traps of overthinking, rumination, and worry. 6. Identify Triggers It might help to keep track of what triggers repetitive thinking. Keep a journal of what you're doing, what time of day it is, and where you are when these thoughts enter your mind. You may be able to notice a pattern and then take steps to avoid triggers. Research has shown that journaling can also help you relax and ease anxiety symptoms. 7. Talk to Others It's normal to feel isolated if repetitive thinking becomes overwhelming. You may find comfort in confiding in a family member or friend. They might offer a different perspective on your worries, which can break the cycle. 8. Try Relaxation Techniques Relaxation techniques can help ease anxiety symptoms, such as rumination. Try deep breathing, meditation, or practicing mindfulness. These grounding exercises can redirect your focus away from negative thoughts. Find a quiet place to sit down, close your eyes, and take a few breaths. Try repeating some positive affirmations, such as "I am safe." Waking Up With Anxiety in the Middle of the Night A Quick Review The repetition of negative thoughts, or rumination, can significantly impact a person's life. These thoughts can cause a lack of energy or a worsened mood, but they're only temporary. There are plenty of ways to get you out of this headspace and move forward. Try finding a distraction, engaging in a new hobby, or practicing healthy sleep patterns. Frequently Asked Questions What are the 4 types of rumination thoughts? You may experience different types of repetitive thinking, including:Brooding: Negative thoughts about yourself or aspects of your life, including your health, relationships, school, or workDeliberate: Intentional rumination in an effort to understand or solve a problemIntrusive: Unwanted and uncontrollable negative thoughtsReflection: Introspective thoughts about why you're feeling anxious or worried What medication stops rumination? There are no medications that treat rumination. Many people who have repetitive thoughts have a mental health condition like anxiety or OCD. A healthcare provider can prescribe medications to treat these conditions.Medications that can treat rumination as a result include:BenzodiazepinesSelective serotonin reuptake inhibitors (SSRIs)Serotonin-norepinephrine reuptake inhibitors (SNRIs)Tricyclic antidepressants (TCAs) Does rumination ever go away? It can be difficult to stop rumination. There are still several techniques you can try to ease repetitive thoughts. Try identifying and challenging your thoughts, practicing relaxation techniques, or talking to a friend. Was this page helpful? Thanks for your feedback! Tell us why! Other Submit 11 Sources Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Psychiatric Association. Rumination: A cycle of negative thinking. American Psychological Association. APA dictionary of psychology. 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