This cycle is partly maintained by positive beliefs held by ruminators that focusing on the causes and consequences of their problems will lead to positive solutions. Rumination triggers negative mood states, which increases rumination and other mood-congruent cognitions, which in turn worsens negative mood. 1 Moberly and Watkins 1 describe rumination as a deleterious, amplifying cycle wherein rumination and negative affect reciprocally worsen each other over time. ![]() Rumination is recursive, prolonged, and recurrent negative thinking about one’s self, emotions, personal concerns, and life experiences. Cross Talk demonstrates that clinical challenges can often be improved upon by leveraging more, rather than fewer, clinical perspectives. *Corresponding author: Alice Flaherty, MD, PhD, Massachusetts General Hospital, 15 Parkman St, Boston, MA 02114 ( here is a series that highlights the discussion of a complex case by several expert clinicians, faculty members of Massachusetts General Hospital/Harvard Medical School, from distinct fields of study. ‡Drs Flaherty and Katz contributed equally to this article. GCenter for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts © 2022 Physicians Postgraduate Press, Inc.ĪDepartments of Neurology and Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MassachusettsīMassachusetts General Hospital, Harvard Medical School, Boston, MassachusettsĬCenter for OCD and Related Disorders, Massachusetts General Hospital, Harvard Medical School, Boston, MassachusettsĭDauten Center for Bipolar Treatment Innovation, Massachusetts General Hospital, Harvard Medical School, Boston, MassachusettsĮDepartment of Psychiatry Center for Diversity, Massachusetts General Hospital, Harvard Medical School, Boston, MassachusettsįProgram in Psychodynamics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Treatment of overthinking: a multidisciplinary approach to rumination and obsession spectrum. ![]() To cite: Flaherty A, Katz D, Chosak A, et al.
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