AreasWorry and anxietyObsessions and compulsions

Five minutesAny ordinary dayCBTWorry and anxiety

Notice how when one worry is finally settled, another takes its place. That pattern is the thing you are actually dealing with, more than whichever worry is currently in the chair.

Most people work this out for themselves long before anyone names it. Naming it still helps, because it gives you something to watch that is bigger than today's fear, and it takes the sting out of the line the next worry always uses, which is that this one is different and this one is real.

Before you use this

Obsessive thoughts and compulsions respond well to a specific kind of therapy. What is here is for understanding them, not for treating them by yourself.

Qur’an and Sunnah

Do not follow blindly what you do not know to be true (Quran 17:36). Each new worry arrives insisting it is the real one, and you are allowed not to take that claim at its word.

وَلَا تَقۡفُ مَا لَيۡسَ لَكَ بِهِۦ عِلۡمٌۚ إِنَّ ٱلسَّمۡعَ وَٱلۡبَصَرَ وَٱلۡفُؤَادَ كُلُّ أُوْلَٰٓئِكَ كَانَ عَنۡهُ مَسۡـُٔولࣰ ا

Do not follow blindly what you do not know to be true: ears, eyes, and heart, you will be questioned about all these

Qur’an 17:36read it in the library

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

What the research says

A meta-analysis found that difficulty tolerating not knowing is reliably associated with obsessive-compulsive symptoms and also with worry, social anxiety, panic and depression. That points to a shared vulnerability sitting underneath rather than something that belongs to one worry or one diagnosis. These are associations pooled across studies, so they do not establish which way the influence runs.

McEvoy PM, Hyett MP, Shihata S, Price JE, Strachan L. (2019). The impact of methodological and measurement factors on transdiagnostic associations with intolerance of uncertainty: A meta-analysis.. Clinical psychology review doi

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

Why it works

Watching the pattern puts a little space between you and whichever worry is loudest right now.

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

Near this one

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