Rumination What is it? Rumination is the process of going over critical repetitive thoughts about ourselves and others which feeds into low mood, impacts on our behaviour and also brings us down physically by reducing our energy level. The following behaviours are all examples of rumination: o o o o o o o o worrying overanalysing or over-thinking things obsessing brooding turning a problem over and over in your mind racking your brain about problems stewing about a problem for long periods of time dwelling Rumination is not problem solving and does not lead to any changes to our life. It often involves: “Why?” “If only?” ways of thinking. We need to change the ‘Why’ to a ‘How’ way of thinking and focus on problem solving and taking action. Changing rumination to problem solving takes lots of practise. How to recognise when you are ruminating You know you are ruminating if: • You are thinking over and over about negative thoughts, feelings or situations. • The process of thinking over and over again is not helping you feel less depressed, more hopeful, or less self-critical. • The process of thinking has not helped you to solve a problem. The two minute rule for recognising rumination: Once you think you might be ruminating, continue what you are doing for two minutes. Then stop and ask yourself the following three questions: 1. Have I made any progress towards solving a problem? 2. Do I understand something about a problem (or my feelings about it) that I haven’t understood before? 3. Do I feel less self-critical or less depressed than before I started thinking about this? Unless the answer to one of these questions is a clear YES chances are you’re ruminating. Monitoring Rumination Over the next week, see if you can recognise and label rumination when it occurs. When you recognise it, say to yourself “This is ruminating”. You will be surprised at how powerful it can be to simply increase your awareness of what you’re doing. You will probably find that labelling your rumination will start to help you to control it. Use the table below to monitor ruminating when it happens. In the first column, record the situation in which you observed yourself ruminating. In the second column record exactly what you were ruminating about. In the third column identify the consequences of ruminating. Situation 1. 2. Sorting the washing out Rumination Consequence My life has changed so much. I’ll Felt resentful never be happy or fulfilled in my life and the chore took 20 minutes again. longer than usual. 3. 4. 5. Rumination cues action: This might seem like a strange idea, but you can actually teach yourself to use ruminating as a cue to get active. You can use the acronym RCA, which stands for “Rumination Cues Action”. A cue is something that prompts you to behave in a certain way. For example, a red traffic light is a cue to slow down and eventually stop. Unfortunately, if you tend to ruminate, then many things in your life probably cue you to do so. And, ruminating itself has probably become a cue for more ruminating. But that can change. Use the monitoring table to notice when you ruminate, notice any patterns and times of day that are particularly difficult. Then use this to learn to respond differently to rumination. For example, if you noticed that after dinner you often sit and ruminate, make a list of things you could be doing after dinner instead e.g. reading an enjoyable book, paying bills, taking a walk, watching a movie, or calling family and friends. Over the next few days, try to put this RCA process to work. Whenever you observe yourself ruminating, label it (“This is ruminating”), and then use it as a cue to shift to a different activity. If you stick with it for a few days, you should notice a major decrease in the amount of time you spend ruminating, and your mood should improve. Putting RCA to work 1. Situation Rumination Cues Action Sorting the washing out My life has → changed so much. I’ll never be happy or fulfilled in my life again. Ask if you can do anything about this now using the two minute rule, if not disengage by: 1. Focus on the textures and colours of the clothes 2. Pay attention to what is in your surroundings: sights, sounds, smells. 2. → 1. 2. 3. → 1. 2. 4. → 1. 2. 5. → 1. 2.