Rumination is one of the co-occurring symptoms found both in anxiety disorders and depression. It is often a primary symptom in Obsessive-compulsive Disorder (OCD) and Generalized Anxiety Disorder. When people are depressed, the themes of rumination are typically about being inadequate or worthless.
Rumination is a core feature of OCD that causes a person to spend an inordinate amount time worrying about, analyzing, and trying to understand or clarify a particular thought or theme.
With obsessive thoughts, you don't feel like you have a choice in thinking about them. On the contrary, rumination is typically viewed as a choice. It's done to try to figure out where your fears are coming from, what you should believe or what you should do to prevent something bad from happening.
Many people experience some of the signs of OCD without meeting the criteria to be diagnosed. It is not uncommon to sometimes obsess over disturbing things or to engage in ritualized actions as a way to cope. Doing this occasionally is not OCD.
People struggling with Obsessive Compulsive Disorder (OCD) are often misdiagnosed as having other psychological conditions. One of the most common misdiagnoses for this population is Generalized Anxiety Disorder (GAD). This diagnostic problem arises for two reasons.
Withdrawing from family and friends because of obsessions with contamination. Avoiding physical intimacy with a partner out of fear of germs, religious impurity, or intrusive violent thoughts. Being late for social events because too much time is spent checking stoves, locks, or light switches.
Rumination involves repetitive thinking or dwelling on negative feelings and distress and their causes and consequences. The repetitive, negative aspect of rumination can contribute to the development of depression or anxiety and can worsen existing conditions.
While both mental health conditions involve repetitive worrying, people with obsessive-compulsive disorder (OCD) often engage in unwanted and repetitive behavior in response to their worry. People with anxiety, however, tend to overthink their worry, but don't act in specific responsive manners.
Rumination is divided into two subtypes, reflective and brooding. Reflective is a cycle of thinking that is analytical and problem-solving, whereas brooding is more negative and self-perpetuating. Brooding rumination leads to negative moods and negative opinions of oneself.
A key difference between worry and rumination is that worry is concerned with danger whilst rumination is concerned with loss, hopelessness and failure. Rumination occurs in the context of sadness, disappointment, loss and depression.
Obsessing and ruminating are often part of living with attention deficit hyperactivity disorder (ADHD). No matter how hard you try to ignore them, those negative thoughts just keep coming back, replaying themselves in an infinite loop. You know it's not healthy, but you can't seem to stop yourself.
Intrusive thoughts are often triggered by stress or anxiety. They may also be a short-term problem brought on by biological factors, such as hormone shifts. For example, a woman might experience an uptick in intrusive thoughts after the birth of a child.
At its core, rumination is a coping mechanism. It's a way of responding to stress by repeatedly focusing on the source of distress. One theory states that people tend to engage in repetitive thinking about the nature of their difficulties.
For example, some ruminative thoughts include "why am I such a loser", "I'm in such a bad mood" or "I just don't feel like doing anything". There exist several types of rumination. State rumination, which involves dwelling on the consequences and feelings associated with the failure.
There's no test for OCD. A healthcare provider makes the diagnosis after asking you about your symptoms and medical and mental health history. Providers use criteria explained in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) to diagnose OCD.
OCD symptoms include obsessions, compulsions, or both. An obsession is an uncontrollable thought or fear that causes stress. A compulsion is a ritual or action that someone repeats a lot. Compulsions may offer some relief, but only for a little while.
Your mind is sending you signals that you need to do something, even though there is no real risk. It is yelling at you that you need to take action. This is why OCD feels so real. There is a very real process taking place in your brain.
Focusing on a problem for more than a few idle minutes. Feeling worse than you started out feeling. No movement toward accepting and moving on. No closer to a viable solution.
Rumination disorder most often occurs in infants and very young children (between 3 and 12 months), and in children with intellectual disabilities. It is rare in older children, adolescents, and adults. It may occur slightly more often in boys than in girls, but few studies of the disorder exist to confirm this.
Finding a pleasurable activity or distraction often helps break the cycle of rumination. Using some of your own unique interests or self care can help find something that works for you. Mindfulness is a mediation practice that focuses on paying attention to your thoughts.
Mild OCD is a subset of OCD in which intrusive thoughts do not consume as much of your energy as with a more severe case of OCD. Their day-to-day life is not impacted to the same degree, even if they have enough symptoms to qualify for an OCD diagnosis.
In the cases of mild OCD, the intrusive thoughts are not time-consuming in a significant way (at least, at first glance). Or maybe, even though the person is troubled by the thoughts, they do not notably impair his or her daily functioning.