cognitive therapy Cognitive therapy (CT) is a type of psychotherapy developed by American psychiatrist Aaron T. Beck. CT is one therapeutic approach within the larger group of cognitive behavioral therapies (CBT) and was first expounded by Beck in the 1960s. Cogn ...

, decatastrophizing or decatastrophization is a

cognitive restructuring Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions,Gladding, Samuel. Counseling: A Comprehensive Review. 6th. Columbus: Pearson Educatio ...

technique to treat

cognitive distortions A cognitive distortion is an exaggerated or irrational thought pattern involved in the onset or perpetuation of psychopathological states, such as depression and anxiety. Cognitive distortions are thoughts that cause individuals to perceive rea ...

, such as magnification and catastrophizing, commonly seen in psychological disorders like

anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...

and

psychosis Psychosis is a condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations, among other features. Additional symptoms are incoherent speech and behavior ...

. The technique consists of confronting the worst-case scenario of a feared event or object, using mental imagery to examine whether the effects of the event or object have been overestimated (magnified or exaggerated) and where the patient's coping skills have been underestimated. The term was coined by

Albert Ellis Albert Ellis (September 27, 1913 – July 24, 2007) was an American psychologist and psychotherapist who founded rational emotive behavior therapy (REBT). He held MA and PhD degrees in clinical psychology from Columbia University, and was certi ...

, and various versions of the technique have been developed, most notably by

Aaron T. Beck Aaron Temkin Beck (July 18, 1921 – November 1, 2021) was an American psychiatrist who was a professor in the department of psychiatry at the University of Pennsylvania.

. Decatastrophizing is also called the "what if" technique,Cognitive-Behavioral Theories of Counseling: Traditional and Nontraditional. IL: Charles C. Thomas, 2004 because the worst-case scenario is confronted by asking: "What if the feared event or object happened, what would occur then?" The following is an example: :"I could make an absolute fool of myself if I say the wrong thing." :"What if you say the wrong thing, what would happen then?" :"He might think I'm weird." ...

References

{{reflist Cognitive therapy