The Cycle of Rumination

Why we can't stop replaying our thoughts

I notice it happening again as I lie in bed: replaying a conversation from earlier that day, analysing each response, wondering if I should have been more direct or perhaps more vulnerable. Could I have been funnier? More interesting? The mental replay loops again, each iteration finding new angles to examine, new missteps to scrutinise. This is rumination, that peculiar human tendency to turn our thoughts over and over like stones, searching for something we can never quite find.

As a psychotherapist, I recognise this pattern in my own life and witness its impact across the diverse experiences of those who enter the consulting room. Rumination represents one of the most common yet misunderstood patterns of thinking that brings people to psychotherapy, and understanding it more fully can illuminate pathways towards greater psychological freedom.

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What is rumination?

Rumination, in psychological terms, refers to repetitive and passive thinking about one’s concerns, problems, or distressing experiences. The term comes from the Latin ruminare, meaning to chew the cud; an apt metaphor for the way we mentally digest and re-digest the same material without reaching resolution (Nolen-Hoeksema et al., 2008).

Unlike productive reflection or problem-solving, rumination tends to be circular rather than linear. We revisit the same thoughts repeatedly without moving towards understanding, resolution, or action. As Watkins and Roberts (2020) describe, rumination is characterised by “repetitive thinking that is experienced as difficult to disengage from and that captures mental capacity” (p. 2).

In my practice, I’ve observed how rumination manifests differently for various individuals. For some, it centres on past events; conversations replayed endlessly, examining what was said or left unsaid. For others it focuses on the future; worrying about potential outcomes, imagining worst-case scenarios. Still others ruminate on existential questions about self-worth, belonging, or meaning. Despite these varied presentations, the underlying process remains remarkably consistent; a mind caught in loops, unable to find the exit.

Why we ruminate

To understand rumination, we must first acknowledge that it rarely occurs without reason. Like most psychological patterns, rumination often serves functions that were adaptive at some point or in some context, even when these functions have outlived their usefulness.

The illusion of control

One primary function of rumination lies in its promise of control. When we ruminate, we’re often attempting to gain mastery over uncertain or distressing situations. By thinking through every angle, examining every possibility, we maintain the feeling that we’re doing something productive. Research by Watkins (2008) suggests that people often believe rumination will help them understand their problems better or prevent future mistakes. This belief persists even when experience repeatedly demonstrates otherwise.

In psychotherapeutic work, I’ve noticed how rumination can represent an unconscious attempt to manage anxiety. The mental activity provides a sense of engagement with a problem, creating the illusion that we’re working towards resolution whilst actually keeping us stuck in place.

Avoiding deeper feelings

Rumination can also function as a defence against more difficult emotional experiences. When we ruminate on the surface details of an interaction or event, we may be unconsciously avoiding deeper feelings of shame, grief, or vulnerability that lie beneath. Whilst rumination feels uncomfortable, it may be preferable to the acute pain of fully experiencing our emotional reality (Cribb et al., 2006).

A person ruminates about whether they said the wrong thing at a social gathering, going over their words again and again. Beneath this surface preoccupation may lie a deeper fear about belonging, a wound around self-worth, or unprocessed experiences of rejection. The rumination keeps attention at a manageable distance from these more threatening truths.

Perfectionism and self-criticism

For many, rumination becomes intertwined with perfectionism and harsh self-judgment. Each mental replay becomes an opportunity for self-criticism, examining where we fell short of impossible standards. Research by Flett et al. (2016) demonstrates strong links between perfectionism and rumination, suggesting that those who hold rigid standards for themselves are more prone to repetitive negative thinking.

This self-critical rumination can feel productive, after all, we’re holding ourselves accountable, striving to do better. However, studies consistently show that self-compassion, rather than self-criticism, better supports genuine learning and growth (Neff & Germer, 2013).

Rumination and depression

The relationship between rumination and depression has been extensively researched. Nolen-Hoeksema’s Response Styles Theory (1991) proposed that rumination represents a key maintaining factor in depression. Individuals who respond to low mood by ruminating tend to experience more severe and prolonged depressive episodes compared to those who engage in more active coping strategies.

The research suggests a bidirectional relationship: depression increases the tendency to ruminate, whilst rumination deepens and extends depressive states. This creates a self-perpetuating cycle where negative thoughts breed negative mood, which in turn fuels further rumination (Nolen-Hoeksema et al., 2008).

In the psychotherapeutic space, addressing rumination often becomes central to working with depression. I’ve observed how helping people recognise and interrupt ruminative patterns can create openings for different ways of relating to difficult emotions.

Rumination and anxiety

Whilst rumination in depression often focuses on the past (‘Why did this happen?’, ‘What’s wrong with me?’), rumination in anxiety frequently orients towards the future. This anticipatory rumination, sometimes called worry, involves repetitively thinking about potential threats, imagining worst-case scenarios, and mentally rehearsing problems that may never occur (Watkins et al., 2005).

Research by Ehring and Watkins (2008) suggests that rumination and worry share core features: both involve repetitive negative thinking, both are difficult to control, and both maintain emotional distress. The primary difference lies in temporal focus rather than fundamental process.

Rumination and trauma

For individuals with trauma histories, rumination can take on particular significance. Post-traumatic rumination involves repetitively thinking about the traumatic event, its causes, and its consequences. Research by Ehlers and Clark (2000) suggests that rumination about trauma can interfere with emotional processing and maintain symptoms of post-traumatic stress.

However, the picture is more nuanced than it might initially appear. Not all repetitive thinking about trauma represents unhelpful rumination. Constructive processing of traumatic experiences (thinking about them in ways that promote understanding and integration) differs markedly from unconstructive rumination that keeps individuals stuck in distress without moving towards resolution (Michael et al., 2007).

The psychotherapeutic task becomes one of discernment: supporting individuals to process trauma in ways that facilitate healing whilst helping them recognise and interrupt patterns of rumination that maintain suffering.

Rumination vs. productive reflection

One question I’m frequently asked in supervision and by those I work with is: how do we distinguish between rumination and helpful reflection? This distinction matters enormously because we don’t want to pathologise all forms of self-reflection or discourage the genuine processing of experience.

Watkins (2008) offers a helpful framework distinguishing between unconstructive and constructive repetitive thought. Unconstructive rumination tends to be:

• Abstract and evaluative: Focused on ‘why’ questions (‘Why did this happen?’, ‘Why am I like this?’) rather than concrete problem-solving.

• Passively circular: Covering the same ground repeatedly without progression.

• Past or future-focused: Dwelling on what cannot be changed or what may never happen.

• Associated with negative mood: Increasing rather than decreasing distress.

• Difficult to disengage from: Feeling stuck or trapped in the thinking pattern.

In contrast, productive reflection tends to be:

• Concrete and specific: Focused on ‘what’ and ‘how’ questions that lead towards action.

• Progressive: Moving towards understanding, insight, or resolution.

• Present-oriented: Considering what can be learned or applied now.

• Associated with decreased distress: Leading to relief, clarity, or peace.

• Voluntary: Feeling like a choice rather than a compulsion.

In psychotherapeutic work, I’ve found it valuable to help people notice these distinctions in their own experience. Often, simply recognising when thinking has shifted from reflection into rumination can create enough space to make different choices.

Rumination and avoidance

Paradoxically, rumination often functions as a form of avoidance. Whilst it appears we’re engaging deeply with our concerns, we may actually be avoiding more difficult aspects of our experience; whether that’s taking concrete action, feeling difficult emotions fully, or confronting uncomfortable truths about ourselves or our circumstances.

Hayes et al. (1996), in their work on experiential avoidance, describe how attempts to control or avoid internal experiences often paradoxically increase their frequency and intensity. Rumination fits this pattern perfectly: the more we try to think our way out of discomfort, the more entrenched the discomfort becomes.

I’ve observed this dynamic repeatedly in psychotherapeutic work. A person may spend session after session ruminating about a difficult relationship, turning over the same concerns without ever taking steps to address the situation directly. The rumination provides the feeling of engagement whilst simultaneously avoiding the vulnerability and risk that actual communication would require.

Overcoming rumination: approaches and interventions

Understanding rumination is valuable, but the question that matters most to those caught in its grip is: how do we move beyond it? Fortunately, research has identified several effective approaches.

Mindfulness

Mindfulness practices offer powerful tools for addressing rumination. By cultivating awareness of present-moment experience and learning to observe thoughts without becoming entangled in them, individuals can develop greater capacity to recognise and disengage from ruminative patterns (Jain et al., 2007).

Research by Raes et al. (2009) demonstrates that mindfulness-based interventions reduce rumination and protect against depressive relapse. The practice of noting when the mind has wandered into rumination and gently returning attention to present experience helps develop what we might call ‘meta-cognitive awareness’, the ability to recognise our thought patterns as patterns rather than as reality.

Compassion-focused approaches

Given the strong links between rumination and self-criticism, compassion-focused approaches offer particularly relevant interventions. Gilbert’s (2009) Compassion-Focused Therapy helps individuals develop a more compassionate relationship with themselves, reducing the harsh self-judgment that often fuels rumination.

Research by Neff and Germer (2013) shows that self-compassion training reduces rumination whilst increasing emotional resilience. Learning to meet our perceived failings and difficulties with kindness rather than criticism can interrupt the cycles that keep rumination active.

Behavioural activation

Sometimes the most effective intervention for rumination involves redirecting attention towards valued action. Behavioural activation, originally developed as a treatment for depression, encourages individuals to engage in activities aligned with their values regardless of mood state (Martell et al., 2001).

This approach recognises that waiting until we’ve ‘thought through’ our problems often keeps us indefinitely stuck. By taking action despite uncertainty, we gather new information and create experiences that can shift both mood and thinking patterns.

The psychotherapeutic relationship and rumination

Beyond specific techniques, the psychotherapeutic relationship itself offers unique opportunities for addressing rumination. When a person brings ruminative patterns into the therapeutic space, the psychotherapist can gently interrupt these patterns in real-time, modelling different ways of engaging with difficult thoughts and feelings.

I’ve noticed how powerfully it can shift things when, in the midst of a person’s rumination, I might gently observe: ‘I notice we’ve been circling around this same question for a while now. What do you notice happening in your body as we do this?’ This invitation to present-moment awareness, offered within the safety of the therapeutic relationship, can create space for a different kind of attention.

The psychotherapeutic relationship also provides a context for exploring the deeper functions rumination can serve for each person. What is the rumination protecting against? What would become available if the rumination were to cease? These questions, explored collaboratively, can reveal pathways towards greater freedom.

Practical suggestions for daily life

For those recognising rumination in their own experience, several practical approaches may offer relief:

Notice and name it: Simply recognising when you’ve shifted from productive reflection into rumination creates space for choice. You might note to yourself: ‘This is rumination’ or ‘my mind is looping’.

Set aside ‘rumination time’: Paradoxically, scheduling specific times to ruminate can reduce its occurrence at other times. Allow yourself 15 minutes of deliberate rumination, then consciously redirect attention when the time expires.

Shift from ‘why’ to ‘what’ or ‘how’: When you notice abstract ‘why’ questions (why did I say that?), experiment with more concrete alternatives (‘what could I do differently next time?’ or ‘how can I repair this if needed?’).

Engage your senses: Ground yourself in present experience through your five senses. What can you see, hear, feel, smell, or taste right now? This interrupts the mental loops by reconnecting with immediate reality.

Move your body: Physical movement can interrupt rumination by redirecting attention and shifting physiological state. Even a brief walk or some gentle stretching can create helpful disruption.

Practice self-compassion: When you notice harsh self-judgment fuelling rumination, experiment with speaking to yourself as you might to a dear friend facing similar struggles.

Seek connection: Share your concerns with a trusted person. Often, the act of articulating our worries to someone else naturally shifts us out of circular thinking and towards more constructive processing.

When to seek professional support

Whilst some rumination is part of normal human experience, persistent rumination that significantly impairs wellbeing or functioning warrants professional support. Consider seeking help from a psychotherapist if:

• Rumination consumes significant portions of your day.

• You feel unable to interrupt ruminative patterns despite your best efforts.

• Rumination interferes with work, relationships, or daily activities.

• You notice increasing mood symptoms (depression, anxiety) alongside rumination.

• Rumination focuses on self-harm or other concerning content.

A skilled psychotherapist can help you understand the specific functions rumination serves in your life and develop tailored approaches for moving beyond it.

Concluding thoughts

Rumination represents a profoundly human tendency; an attempt to find certainty in an uncertain world, to gain control through mental rehearsal, to avoid pain through intellectual engagement. Yet this attempt ultimately keeps us trapped in suffering rather than freeing us from it.

Understanding rumination more fully allows us to meet it with compassion rather than judgment, recognising it as a pattern that made sense at some point even when it no longer serves us. The research demonstrates that change is possible: through mindfulness, through metacognitive awareness, through self-compassion, and through the transformative potential of the psychotherapeutic relationship.

Perhaps the greatest gift we can offer ourselves when caught in rumination is the recognition that our thoughts are not facts, our mental loops are not reality, and the exit from the cycle lies not in thinking more but in relating differently to our thoughts altogether. In this recognition, and in the courage to practise new ways of being with our experience, we find pathways towards genuine freedom.

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References

Cribb, G., Moulds, M. L., & Carter, S. (2006). Rumination and experiential avoidance in depression. Behaviour Change, 23(3), 165-176.

Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319-345.

Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1(3), 192-205.

Flett, G. L., Nepon, T., Hewitt, P. L., & Fitzgerald, K. (2016). Perfectionism, components of stress reactivity, and depressive symptoms. Journal of Psychopathology and Behavioral Assessment, 38(4), 645-654.

Gilbert, P. (2009). The compassionate mind. Constable & Robinson.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 1152-1168.

Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11-21.

Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. W. W. Norton & Company.

Michael, T., Halligan, S. L., Clark, D. M., & Ehlers, A. (2007). Rumination in posttraumatic stress disorder. Depression and Anxiety, 24(5), 307-317.

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28-44.

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569-582.

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400-424.

Raes, F., Dewulf, D., Van Heeringen, C., & Williams, J. M. G. (2009). Mindfulness and reduced cognitive reactivity to sad mood: Evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47(7), 623-627.

Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163-206.

Watkins, E. R., Mullan, E., Wingrove, J., Rimes, K., Steiner, H., Bathurst, N., Eastman, R., & Scott, J. (2011). Rumination-focused cognitive-behavioural therapy for residual depression: Phase II randomised controlled trial. British Journal of Psychiatry, 199(4), 317-322.

Watkins, E. R., & Roberts, H. (2020). Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination. Behaviour Research and Therapy, 127, 103573.

Watkins, E., Moulds, M., & Mackintosh, B. (2005). Comparisons between rumination and worry in a non-clinical population. Behaviour Research and Therapy, 43(12), 1577-1585.