{"id":83,"date":"2012-11-20T07:04:09","date_gmt":"2012-11-20T15:04:09","guid":{"rendered":"http:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/?p=83"},"modified":"2014-11-22T18:03:29","modified_gmt":"2014-11-23T02:03:29","slug":"catastrophic-thinking-and-postpartum-depression-thought-challenge","status":"publish","type":"post","link":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/catastrophic-thinking-and-postpartum-depression-thought-challenge\/","title":{"rendered":"Catastrophic Thinking and Postpartum Depression &#8211; Thought Challenge"},"content":{"rendered":"<p>I am so used to thinking the worst, that when my therapist suggested I tried doing a <a href=\"http:\/\/www.cbt-examples.com\/postpartum-depression-thought-challenge.html\">Thought Challenge exercise<\/a>, to help me have more balanced thinking, I thought I would never be able to do that. Going through the steps of the Thought Challenge exercise made all the difference.<br \/>\nI&#8217;ve always had a tendency to think about worst case scenarios, but before giving birth to Emma I could let the catastrophic thinking go. I realize now that before having <a href=\"http:\/\/www.cbt-examples.com\/cbt-for-post-partum-depression.html\">postpartum depression<\/a> I was coming up with more balanced thoughts to replace my negative thoughts without even being aware I was doing it. I remember thinking things like &#8220;What if my baby is born dead?&#8221;, but I was able to push that thought out of my mind immediately. I wouldn&#8217;t even start feeling the despair and some healthier part of my mind would come to the rescue saying something like &#8220;that is extremely unlikely and I have no need to think about it&#8221;.<br \/>\nI am not sure what happened to my hormones or my perception of life and myself, but since Emma was born I am no longer able to keep my catastrophic thinking under control. Now I start thinking that Emma is not gaining weight because she has an undiagnosed congenital defect or because I am a completely incompetent mother, and there&#8217;s no stopping me. By the time I realize how negative my thinking is I am already feeling so depressed and in despair that I can&#8217;t get out of the hole.<br \/>\nDoing Thought Challenge exercises has helped me practice healthier coping skills. Here&#8217;s how I challenged the catastrophic idea that Emma was dying.<br \/>\nI started by describing all the reasons I had to believe she was dying:<\/p>\n<ul>\n<li>Maybe she&#8217;s not gaining enough weight because she has a serious illness.<\/li>\n<li>She looks so fragile.<\/li>\n<li>If I am not able to feed her better she will get sick.<\/li>\n<\/ul>\n<p>Then I wrote down the evidence against my automatic catastrophic thinking:<\/p>\n<ul>\n<li>The Dr. said that it is common for newborns to\u00a0 lose some weight on the first few days of life.<\/li>\n<li>The Dr. didn&#8217;t seem worried and said she was doing fine otherwise.<\/li>\n<li>Even if she was sick, she would most likely be treated successfully.<\/li>\n<\/ul>\n<p>And then I came up with a more balanced thought:<br \/>\n&#8220;Emma&#8217;s lack of weight gain is concerning, but she is extremely unlikely to die from it&#8221;<\/p>\n<p>Here&#8217;s a picture of this <a href=\"https:\/\/www.mindquire.com\/activities.php\">CBT activity<\/a>:<\/p>\n<p><a href=\"https:\/\/www.mindquire.com\/index.php\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-85\" title=\"Catastrophic Thinking - Thought Challenge exercise\" src=\"http:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2012\/11\/mia-tc-3.png\" alt=\"\" width=\"1179\" height=\"1077\" srcset=\"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2012\/11\/mia-tc-3.png 1179w, https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2012\/11\/mia-tc-3-300x274.png 300w, https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2012\/11\/mia-tc-3-1024x935.png 1024w\" sizes=\"auto, (max-width: 1179px) 100vw, 1179px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2014\/01\/mia2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-108\" src=\"http:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-content\/uploads\/2014\/01\/mia2.png\" alt=\"mia2\" width=\"160\" height=\"197\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am so used to thinking the worst, that when my therapist suggested I tried doing a Thought Challenge exercise, to help me have more balanced thinking, I thought I would never be able to do that. Going through the steps of the Thought Challenge exercise made all the difference. I&#8217;ve always had a tendency [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-83","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/posts\/83","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/comments?post=83"}],"version-history":[{"count":4,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/posts\/83\/revisions"}],"predecessor-version":[{"id":139,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/posts\/83\/revisions\/139"}],"wp:attachment":[{"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/media?parent=83"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/categories?post=83"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cbt-examples.com\/mia\/cbt-post-partum-depression-blog\/wp-json\/wp\/v2\/tags?post=83"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}