Metacognitive Therapy
Metacognitive therapy targets the worry and rumination cycle itself, helping you change your relationship with repetitive thinking rather than the content of every thought.
You are not alone in this
If you have tried to reason your way out of worry or rumination and it just keeps looping, the problem may not be what you are thinking about, it may be the thinking pattern itself.
How does metacognitive therapy help?
Metacognitive therapy focuses on the beliefs you hold about your own thinking, such as the idea that worrying keeps you safe or that you cannot control it, and builds skills to reduce the time spent in worry and rumination itself.
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What to expect when you work together
- A focus on your relationship with worry, not the content of every worry
- Attention to the beliefs that keep rumination and worry going
- Practical exercises to reduce time spent in unhelpful thinking loops
- Less analyzing of every anxious thought, more changing the pattern itself
- A structured, evidence based approach
- Skills that generalize across different worries, not just one specific fear

Benefits of Metacognitive Therapy
Less time spent worrying
Reduce how much of your day gets pulled into repetitive thinking loops.
A different relationship with intrusive thoughts
Learn that a thought does not require your full attention just because it showed up.
Reduced rumination
Build skills to step out of looping, repetitive thinking patterns.
More mental space
As worry takes up less room, there is more room for the rest of your life.
FAQs About Metacognitive Therapy
You are not alone. Many people feel unsure before they begin.
CBT often works with the content of specific worries, while metacognitive therapy targets the worry process itself and the beliefs that keep it going.
The goal is not zero worry, it is a healthier relationship with worry so it does not take over your day.
It was developed with generalized anxiety in mind, but it can also help with rumination related to depression and other forms of repetitive negative thinking.
Yes. Metacognitive therapy blends well with CBT and ACT depending on what fits your situation.