Could your overthinking be an illness?

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Woman thinking

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Overthinking leads to mental health problems.

Overthinking, that constantly turning problems over in your mind, sometimes called rumination, may be a symptom of an existing or developing


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mental illness. Constantly second-guessing your past leads to depression. Having doubts about the future increase your anxiety. How many of these overthinking problems are you experiencing?

Am I good enough?

Continually wondering how you compare to others can be a sign of social or performance anxiety. Accepting yourself as you are while striving for self-improvement will increase your mental health. Constantly comparing yourself and judging everything you do results in the bias of only seeing your faults and never recognizing your strengths.

Should I have said that?

Extreme concerns over what you should say or didn’t say is another sign of social anxiety. For many situations, there is no correct response. In social situations strive to be your genuine self. You can reduce the number of social errors you make by pausing before speaking. Not every thought should escape from your mouth. Learn from any mistakes you make but avoid continually rehashing every conversation.

You have a bad case of the “what if’s.”

If you are constantly on the alert for any presence of threats, you may have Generalized Anxiety Disorder. Some people develop this condition because of past stress or trauma. But if you instinctively look for every possible way in which something could go wrong, you’ve developed the overanxious condition professionals call Generalized Anxiety Disorder. Most time spent on what if’s will be time wasted on thinking about unlikely possibilities. Focus your efforts on high probability events.

You worry about having an undiagnosed illness.

Worry about having an illness that hasn’t been diagnosed can be the result of a Somatic Symptom Disorder or an Illness Anxiety Disorder. When you have concerns about your health see your Dr. If your symptoms are severe, you may want to get a second opinion. Continuing to worry that you might develop an illness robs you of the opportunity to enjoy the life you have.

You worry about leaving the house.

This condition is called Agoraphobia, which translates to fear of the marketplace. People who worry constantly and excessively about leaving the house can also be afraid of crowds and meeting strangers. If you have this worry, seek professional help before your fears hold you prisoner in your own home. Agoraphobia can hold you hostage and deprive you of your family, friends, and your job.

You worry about having another panic attack.

People who are prone to panic attacks often know that the symptoms they have are from a panic attack. Still, during a panic attack, you may worry that this time you actually are having a heart attack or that you will not be able to catch your breath and will suffocate. It’s common for people with panic disorder to fear being somewhere where they will not be able to get help.

You fear something bad will happen and you need to do a ritual to prevent that.

This type of repetitive overthinking is characteristic of Obsessive-Compulsive Disorder. While the person with this disorder may know, the fear is irrational; they still feel compelled to do a repetitive behavior in the belief that this will prevent the danger.

Overthinking, or rumination can be both a cause of and a symptom of a serious mental health problem. If your overthinking is undermining your happy life, seek help.

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Casino Robbery is a novel about a man with PTSD who must cope with his symptoms to solve a mystery and create a new life.

For these and my upcoming books; please visit my Amazon Author Page – David Joel Miller

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For more about David Joel Miller and my work in the areas of mental health, substance abuse, and Co-occurring disorders see my Facebook author’s page, davidjoelmillerwriter. A list of books I have read and can recommend is over at Recommended Books. If you are in the Fresno California area, information about my private practice is at

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