07‏/10‏/2024

Some exercises to help manage overthinking based on different schools of psychotherapy

Overthinking is a common issue that can be addressed through various psychotherapeutic approaches. Here are some exercises to help manage overthinking, each grounded in different schools of psychotherapy:


1.     Cognitive Behavioural Therapy (CBT):

Thought Challenging (Cognitive Restructuring)

   - **Exercise**: Write down your automatic thoughts when you're overthinking a situation. Then, challenge these thoughts by examining the evidence for and against them.

   - **Goal**: Replace irrational or unhelpful thoughts with more balanced, realistic alternatives.

   - **Example**: If you're overthinking a presentation and thinking, "I'll fail," challenge this by asking, "What evidence do I have that I’ll fail?" and, "What past experiences show that I can succeed?"

 

2. Mindfulness-Based Therapy:

  Mindfulness Meditation

   - **Exercise**: Engage in a 5–10 minute mindfulness practice, focusing on your breath or a specific sensation (e.g., sounds or body scans). When overthinking arises, gently bring your attention back to the present.

   - **Goal**: Create a mental gap between yourself and your thoughts, viewing them as passing events rather than truths.

   - **Example**: When overthinking starts, label it as “thinking” and redirect your focus to your breath or immediate surroundings, fostering non-judgmental awareness.

 

3. Acceptance and Commitment Therapy (ACT):

   Diffusion Technique

   - **Exercise**: When overthinking, practice "diffusion" by externalizing your thoughts. You might say, "I'm having the thought that I can't handle this" rather than "I can't handle this."

   - **Goal**: Detach from your thoughts and stop over-identifying with them, reducing their emotional impact.

   - **Example**: Write your thoughts on paper, observe them, and notice how they come and go without reacting to them emotionally.

 

4. Psychodynamic Therapy:

   Free Association or Journaling

   - **Exercise**: Sit with a blank sheet of paper and write whatever comes to mind without censoring yourself. This helps you uncover underlying concerns or unresolved emotional issues that may be fueling the overthinking.

   - **Goal**: Understand the deeper roots of your thoughts, such as past experiences or unconscious conflicts, to process unresolved issues.

   - **Example**: Over time, reviewing your freewriting may reveal patterns or hidden worries connected to past events, relationships, or self-perceptions.

 

5. Dialectical Behaviour Therapy (DBT):

   Opposite Action

   - **Exercise**: Identify the urge that arises from overthinking (e.g., avoiding a task out of fear). Then, take the **opposite action**—in this case, starting the task despite the anxiety.

   - **Goal**: Break the cycle of overthinking by engaging in behaviors that counteract the emotional avoidance that fuels it.

   - **Example**: If you’re overthinking whether to attend a social event, decide to go and commit to staying for a set time, breaking the habit of avoidance.

 

6. Solution-Focused Brief Therapy (SFBT):

  Scaling Exercise

   - **Exercise**: On a scale from 0 to 10, rate how intense your overthinking is. Then, ask yourself what would make it just a little lower, like moving from a 7 to a 6, and take a small step in that direction.

   - **Goal**: Focus on practical, small changes that can reduce overthinking in specific situations.

   - **Example**: If you’re overthinking a conversation, scaling can help you consider small actions to reduce the worry, such as practicing a few key points in advance.

 

7. Gestalt Therapy:

  Chair Dialogue

   - **Exercise**: Set up two chairs. In one chair, sit as the "overthinker," voicing your concerns aloud. In the other, sit as the "wise self" or "problem solver" and offer solutions or a different perspective.

   - **Goal**: Bring your internal conflict to the surface and explore different aspects of the self, leading to resolution or insight.

   - **Example**: If you're overthinking a decision, one part of you might express fear, while the other offers logic or reassurance.

8. Narrative Therapy:

  Externalization

   - **Exercise**: Personify your overthinking by giving it a name or identity (e.g., "The Worrier") and then write or talk about it as a separate entity.

   - **Goal**: Create distance between yourself and the overthinking, so you can address it more objectively.

   - **Example**: You might write, "The Worrier has been very active today, but I’m choosing not to listen to it right now."

 

Each of these exercises corresponds to a different therapeutic framework, offering unique ways to address and manage overthinking. Depending on the client’s preference and psychological needs, a therapist can tailor these techniques to guide them toward healthier thinking patterns.


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