The term ruminate means to run a thought over and over in your mind. This is the figurative definition. The literal definition refers to cows regurgitating their food to chew it over and over.
Rumination is not a diagnosis all to itself, we see it in depression and anxiety. Rumination causes people to get stuck in their thoughts and even feel stuck in the negativity of their condition. Typical negative depressive ruminations may be things like: why do I always get the short end of the stick? Why can’t I be happy like everyone else?
Anxious ruminations tend to be worrying about things that happened in the past like analyzing past situations and worrying about what kind of impression you left, or what did that person mean by that. At the time she said what she did, you didn’t think that much of it, but when you get to the end of the day and start ruminating over the interaction, what the person said takes on a completely different meaning. And it’s usually a negative meaning.
In both scenarios, it’s repetitive, unhelpful, negative thinking. This is different from deconstructing a past situation so that you can process it and problem solve. In that case, analyzing the past is constructive and you’re not stuck only thinking about the negative aspects of the situation.
Why does this happen?
It’s thought to be related to overactivation of the default mode network in your brain. I talked about this in a video I did on mindfulness and depression. The gist of it is the default mode network is the area of the brain that control stimulus-independent thought. Said another way, the area of your brain that controls what you’re thinking about when you’re not actively focused on something. It’s like background thought. Studies have shown that people are more unhappy when they spend a lot of time with their minds wandering. Functional MRI scans looking at brain activity show that the default mode network in your brain is more activated when you are ruminating.
What’s the difference between this and intrusive thoughts? Intrusive thoughts are thoughts that pop into your mind when you don’t want them to. You’re usually trying not to think about them but they intrude and interrupt what you were thinking about. This is different from rumination where you tend to settle into the thoughts and brood over them, You may not like them because they make you feel bad, but you not working that hard to avoid them and in some cases you may welcome them because some people can feel like they need to think about these things.
What do you do about this?
Two things. One is to spend more time being mindful. Mindfulness is the practice of being fully present in your current circumstance without judgment. If you bring your attention to what you’re currently doing and how it is affecting all five of your senses, you now have dependent thought because you’re actively paying attention to something. Your default mode network where you spend time ruminating is turned off. For more on mindfulness check out the mindfulness video. I also have a body scan audio download that goes along with that video.
The second thing you can do is develop an if/then action plan. The first part is creating a list of outward signs that you are ruminating. This is what you’re feeling at the time. Since you can get lost in your head, you may not always be aware of what you’re feeling. Some outward signs are things like rocking, fidgeting, feeling your heart race or you may start to get a headache. Take note of your signs so you can easily recognize when you’re in this state.
Then you want to write plan for what you’re going to do when you notice that you are ruminating. You want to turn to an activity that will distract you from the rumination.
These activities can be relaxing – like listening to a guided meditation or doing a craft, or putting entries into your gratitude journal
It could be a task like taking a walk, going grocery shopping – if you like to grocery shop.
Or it could be a problem-solving activity. For example, if you’re under a lot of stress and you have a lot of things you’re juggling, you may start ruminating about worst case scenarios. Instead you can set aside time that you use to brainstorm solutions.
Then you want to form your if/then statements with these two pieces of information. You want to write this down to make it official. You don’t want to keep it all in your head. After all you’re trying to get out of your head.
So you want to write, if I notice that I’m feeling tension in my neck, I’ll spend 10 minutes listening to a guided meditation. There’s apps like Calm and Headspace where you can listen to meditations.
Here’s a progressive muscle relaxation for you to download. Enter your name and email below and I will send it to you.
You want to come up with as many if/then scenarios as you can. You definitely want to cover all of your rumination trigger signs. But for each sign, you may want to have 2 or three activities you will engage in so you can have some variety.
Mindfulness and Depression Video
References
Berman MG, Peltier S, Nee DE, Kross E, Deldin PJ, Jonides J. Depression, rumination and the default network. Soc Cogn Affect Neurosci. 2011;6(5):548–555.
Haley
Thank you so much for your videos! They have been so insightful and life saving for me. I recently had a sudden panic episode that suddenly came on out of the blue 2 months ago without any trigger. Because of its suddenness, I’ve had every test the doctors can think of performed and they can find nothing on paper short of a rapid heartbeat. So I was left perplexed at what’s happening to me. Especially since I am very health conscious and always thought I was taking very good care of myself. But perhaps I neglected my mental health. I’m still struggling a lot with the sudden anxiety and depression; it’s almost like something got switched on in my brain overnight and I can’t turn it off. But with the help of medication (Buspirone), I think I might be getting better. Your videos have been so helpful in understanding what’s going on. I’m someone that needs to really understand what’s happening to feel like I can conquer it, and your videos are doing just that. Thank you, from the bottom of my heart.
Vishal
I found it very useful….your videos are like therapy …
I’m suffering from health anxiety since 2 months but hopefully recovering slowly ….
Niloufar Parvin
Hi I am Niloufar from India. I recently discovered your videos. I am 21 and suffered from what I think is lot of anxiety, rumination and negative thoughts all sitting in my bedroom for a whole year. It got pretty ugly this time. Thanks for all the info you have given.
Dr. Tracey Marks
Yes the isolation has really been hard for a lot of people. Hang in there. I hope things get better soon.
EDITH SALAZAR
I saw the major of your videos and they’re interesting. You voice give me calm and relaxation. Don’t stop giving us this valuable information. Best regards
Dr. Tracey Marks
Thanks so much Edith for letting me know this. I don’t plan on stopping with the videos. I’m just getting started.
Caroline
Superb video regarding mindfulness, you are providing such a wonderful service for people who can’t afford private medical help.
Dr. Tracey Marks
Thanks Caroline. I’m so glad you find the videos valuable.
Owl
Dear Dr. Marks..Your YouTube video on rumination “randomly” popped up on my screen and I decided to watch it. WOW! Such fascinating and empowering information. I immediately subscribed to your channel. You’re amazing. Thanks for all you do and for making such accessible and informative videos. Mental Health access and support is so desperately needed (esp.now) and your videos and resources are such a blessing. All the best. In deepest gratitude.
Dr. Tracey Marks
Then I’m so glad for the randomness of Youtube! I’m happy it was helpful and definitely stay tuned for more.
Dr. Tracey Marks
Thanks so much Judy! I really appreciate you saying that.
Judy
You are wonderfully knowledgeable, helpful, intelligent, and a spectacular speaker. Thank you so much for your generosity. I appreciate you.