Rumination: Nature and Therapy

With rumination, one central thought or string of thoughts repeats in your head over and over and over again. You are not simply a detached observer to this process. Instead, you are deeply involved with the thoughts that are repeating. The thoughts can reflect intense stress, and they may be accompanied by the belief that obsessing about your problems will eventually produce a solution.

Generalized Anxiety Disorder

Anxiety disorders differ in both their breadth and their intensity. Panic attacks are notoriously intense. In contrast, Generalized Anxiety Disorder (GAD) probably has the most breadth. The name suggests anxiety about many different events or situations or activities. Anxiety in GAD takes the form of “apprehensive expectation,” or worry. That’s the cardinal symptom of GAD. The other symptoms are restlessness, fatigue, concentration issues, irritability, body tension, and sleep issues.