How to stop catastrophising – an expert’s guide

A clinical psychologist suggests a three-pronged plan for tackling anxiety and approaching each day logically and positively

Let us start by considering why some people catastrophise – that is, on hearing uncertain news, they imagine the worst possible outcome. After all, it is not uncommon and those who catastrophise seem to do it a lot. Catastrophisers tend to be fairly anxious people. Whether this characteristic is principally genetic or more the result of learning is unknown. High levels of anxiety are extremely unpleasant, so we look for ways to discharge those unpleasant feelings as quickly as possible. If a catastrophiser is told something inconclusive – for example, if they go to a GP and are asked to have tests – they look for a way to feel in control again immediately. They learn to choose the worst possible outcome because it allows for the greatest sense of relief when they are reassured.

Considering all possibilities is not a bad strategy if you examine them logically. However, unable to bear their distress, catastrophisers rush to external sources to calm themselves down: checking whether anyone else has “come through” the same problem; matching symptoms online to obtain a diagnosis and treatment options; asking a professional to tell them that they will survive. Once they are reassured, they feel better – in psychological jargon, they have “rewarded” this seeking behaviour. The next time they feel uncertain or threatened, they will ratchet up their anxiety with a catastrophic thought, then look outwards for reassurance even faster than before. In this way, catastrophising soon becomes a well-entrenched habit. The greatest problem with seeking others to alleviate anxiety is that it offers only temporary relief. There is always another source to check or another opinion to be had; as a result, catastrophisers feel anxious again increasingly quickly. The only way to break this cycle is to tame anxiety. After this, you can still seek advice. So, if you are a catastrophiser and you would rather not be, how do you go about making changes?

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