AreasWorry and anxietyBreaking the worry loop

Twenty minutesAny ordinary dayCBTWorry and anxiety

Ask one question about the worry: is there something to be done here that has not been done? If yes, make the plan. If the plan already exists, or there is nothing to plan, the worry gets no more of your time.

Making a study timetable is useful once. Making it for the fourth time is worry wearing the clothes of work. The test is not how serious the topic is but whether the next round would change anything. Write the plan down where you can see it, so that when the thought comes back you can point at the paper rather than start again.

Qur’an and Sunnah

when you have decided on a course of action, put your trust in God (Quran 3:159). Consulting comes first, then a decision, then trust: the stopping rule the loop is missing.

فَبِمَا رَحۡمَةࣲ مِّنَ ٱللَّهِ لِنتَ لَهُمۡۖ وَلَوۡ كُنتَ فَظًّا غَلِيظَ ٱلۡقَلۡبِ لَٱنفَضُّواْ مِنۡ حَوۡلِكَۖ فَٱعۡفُ عَنۡهُمۡ وَٱسۡتَغۡفِرۡ لَهُمۡ وَشَاوِرۡهُمۡ فِي ٱلۡأَمۡرِۖ فَإِذَا عَزَمۡتَ فَتَوَكَّلۡ عَلَى ٱللَّهِۚ إِنَّ ٱللَّهَ يُحِبُّ ٱلۡمُتَوَكِّلِينَ

By an act of mercy from God, you [Prophet] were gentle in your dealings with them- had you been harsh, or hard-hearted, they would have dispersed and left you- so pardon them and ask forgiveness for them. Consult with them about matters, then, when you have decided on a course of action, put your trust in God: God loves those who put their trust in Him

Qur’an 3:159read it in the library

Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.

What the research says

In a randomised trial of internet delivered therapy for mixed anxiety and depression, improvement was carried by reductions in repetitive negative thinking and in the belief that worrying is useful. The belief that all this thinking is productive is part of what keeps it running. Because this was a mediation analysis, it tracks what changed alongside improvement rather than proving the order of cause.

Newby JM, Williams AD, Andrews G. (2014). Reductions in negative repetitive thinking and metacognitive beliefs during transdiagnostic internet cognitive behavioural therapy (iCBT) for mixed anxiety and depression.. Behaviour research and therapy doi

Strength of evidence: one line of research. A single study, or a theoretical account.

Why it works

Planning finishes a real question, while replanning only feeds the loop that keeps asking it.

This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.

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