Overcoming Obstacles in CBT comes to the rescue of anyone struggling with the challenges of practicing CBT, whether you are a trainee working under supervision or a qualified practitioner. It examines key obstacles, issues and difficulties encountered over the course of the therapy, illustrated with extensive case examples. Learning objectives, practice exercises and further reading lists help you engage with and relate the issues to your own practice.

Intrusions, Rumination and Agitation

Intrusions, rumination and agitation
MichaelMcDonough and CraigChigwedere

Learning Objectives

After reading this chapter the reader should:

  • know how to identify and distinguish between the common kinds of (non-psychotic) distressing intrusive thoughts and repetitive (or perseverative) thinking (i.e. obsessions, worry, flashbacks/intrusive memories, negative automatic thoughts, racing thoughts and ruminative thinking);
  • be able to recognise and assess the (non-psychotic) agitated patient;
  • be aware of the common pitfalls when working with such presentations.


When tackling problems involving intrusive thoughts and rumination therapists need to have a detailed understanding of the nature and characteristics of the various subtypes of these patterns of thinking. Clinicians need to be cognisant of similarities and differences, how they interact and overlap and how they connect to deeper cognitive themes such as meta-beliefs, core beliefs and ...

  • Loading...
locked icon

Sign in to access this content

Get a 30 day FREE TRIAL

  • Watch videos from a variety of sources bringing classroom topics to life
  • Read modern, diverse business cases
  • Explore hundreds of books and reference titles