The Neuroscience of Being Human

The Neuroscience of Rumination

Why the depressed brain replays its worst thoughts on a loop, which neural circuits sustain repetitive negative thinking, and how to interrupt a process that the brain mistakes for problem-solving

The Neuroscience of Rumination

1,315-word article with 8 Harvard references.

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Rumination, the tendency to think the same negative thoughts repeatedly without resolution, is one of the strongest cognitive predictors of depression onset, maintenance, and relapse. It feels like thinking. It mimics problem-solving. But neuroimaging reveals that it is something else entirely: a self-reinforcing loop in which the brain's default mode network, the subgenual anterior cingulate cortex, and the prefrontal control regions become locked into a pattern that generates distress without producing solutions. This article explains why the brain ruminates, which circuits sustain the process, why it is so difficult to stop, and what the neuroscience suggests about how to break the loop.

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