08-06-2025 02:44 PM
08-06-2025 02:44 PM
I struggle with rumination as part of Bipolar, OCD, CPTSD. I am also ND and have ADHD and ASD. I have been struggling to function and my productivity has been declining, and I'm often finding myself stuck in rumination for several hours each day. I usually struggle with focus and motivation on a good day, but I think the stress is adding to it. Not being able to do things is also creating stress. I feel like my ADHD is feeding into my mental illness and vice versa. I am finding myself wanting to turn to things that will make things harder in the long term. I know developing addictive behaviours may give me relief in the short run, it'll calm my brain, help me think clearer and make it easier to concentrate on tasks. I am also aware this will create health problems in the long run. I need something to calm my brain and help me function without having negative consequences. I find once I am able to do things, my mental illness symptoms get better. Does anyone have healthy ways to cope with rumination, mental illness and ND? I'm currently on bipolar meds (my pdoc doesn't want me on ADHD meds) which helps me stabilise my mood to a certain degree and I'm trying to work on myself in therapy, but I am still struggling a lot
08-06-2025 05:35 PM
08-06-2025 05:35 PM
Thought I'd respond over here 💜
Ach so rough @creative_writer but thank you for being open and vulnerable with us about where you're at.
I imagine one of your biggest hurdles is that a lotta coping tools are very body-focused, and I know that can end up being triggering for you, am I remembering right?
Hmm.... if one way we cope w physical SH is to try to swap to less harmful methods rather than stop altogether, could the same be true of the 'mental SH' we can cause ourselves when we ruminate?
Like I don't think it's a reasonable goal to just... stop thinking! So maybe it's more about redirecting the thoughts instead, with stuff like compartmentalising, visualisation, imagination, stuff like that!
That's just my two cents. But also, maybe it would help us to know a little more about what 'coping' looks like for you at the moment.
What have you already tried? What tends to work? Is there anything that seems to make you feel worse? All helpful to know!
08-06-2025 05:54 PM
08-06-2025 05:54 PM
Hello @creative_writer!
Thank you so much for sharing where you are at today. Rumination must be so exhausting for you... stress can certainly exacerbate all of our mental health symptoms. So please remember you are not alone, this is very common. 💛
ADHD and OCD can certainly feed into one another, given that they are both experiences related to challenges with self-regulation. Even so, I can see how much growing awareness you have, given that you're able to stop and reflect upon what is happening for you - that's huge!
It sounds like these addictive behaviours that you speak of are able to help you feel more calm (and perhaps more in control)? What other strategies or activities have helped you with this so far, even slightly?
I don't know if you talked about this with your therapist or not, but something that's been helping me is saying, 'I know it feels scary, but I don't need to know right now. I will come back to this thought in 10 minutes when I am feeling more grounded.' This helps because when we are more calm in the body, our relationship to our thoughts shift. In fact, you may notice you forget about it entirely - the key thing is how safe and grounded the body feels. I think movement really helps here. I believe I have chatted with you about this before, so I apologise for any repetition, but shaking can be so beneficial for discharging anxious energy whilst we are trying not to engage with a thought. Let me know how you feel about these ideas!
Also, I am so glad you are sticking with therapy. It can often feel like we aren't making much progress right before we have a breakthrough. Progress is often slow and nuanced, remember that. 💛✨
08-06-2025 06:19 PM
08-06-2025 06:19 PM
08-06-2025 09:01 PM
08-06-2025 09:01 PM
Lots of body conflict for you hey @creative_writer that's so rough.
I'm curious if the reason you haven't tried out the 'worry time' skill is to do with feeling like you won't be able to contain the thoughts or more that you are worried about the painful feelings coming up?
Oh no hun you're sick again? Oof, yes very rough. I hope you are having a slow and restful one tonight hun! 🤞
08-06-2025 09:17 PM
08-06-2025 09:17 PM
09-06-2025 09:11 AM
09-06-2025 09:11 AM
Hello @creative_writer , it's nice to see you around.
Have you tried music? I have different playlists for different moods. And I use the DBT concept of opposite action: so if I'm feeling low, I listen to active music, etc.
I'm also a musician. If I have the concentration for it, I find that playing music is even more effective than listening to it for mindfulness and grounding.
There are plenty of other mindful activities, especially things you do with your hands, like knitting, painting, drawing, origami, etc. Anything to distract from the distressing sensations and thoughts you may be having.
And of course, exercise can also help. Intense exercise is one of the DBT strategies for distressing emotions. But even going for a stroll can already be helpful. I like to take photos of nice things as I walk, it's also very mindful.
Do any of these sound appealing?
09-06-2025 02:35 PM
09-06-2025 02:35 PM
09-06-2025 05:38 PM
09-06-2025 05:38 PM
09-06-2025 06:22 PM
09-06-2025 06:22 PM
If you need urgent assistance, see Need help now
For mental health information, support, and referrals, contact SANE Support Services
SANE Forums is published by SANE with funding from the Australian Government Department of Health
SANE - ABN 92 006 533 606
PO Box 1226, Carlton VIC 3053