When a record is not the right tool
Thought records are widely used. They aren’t the right tool for every problem, though, and in a few situations they can make things worse.
When the same worry keeps coming back
For some people, going over a fear again and again is part of what keeps it going. In obsessive-compulsive disorder, arguing with an intrusive thought or trying to prove it untrue can work like a compulsion. It brings brief relief and then the doubt returns, stronger. Health anxiety and some kinds of generalized worry can work the same way, where each record becomes a way to seek certainty or reassurance.
Signs this might be happening:
- You write records about the same fear many times a week.
- You feel you have to complete one before you can feel okay.
- The relief lasts minutes, and then the doubt comes back.
- You go looking for more and more evidence to be sure.
If that sounds familiar, the app will notice when several recent records share much the same hot thought, and it will say so. Treatment for these problems usually works on the checking itself rather than the content of the fear. For OCD that often means exposure and response prevention. For health anxiety and persistent worry, it’s CBT that focuses on cutting back checking and reassurance, and on how you relate to the worry. A therapist trained in these approaches can help.
When it turns into rumination
Rumination is going over and over something in an abstract way, asking why this always happens or what’s wrong with you. Research on repetitive thinking suggests the abstract “why” style tends to keep low mood going, while concrete, specific thinking about a particular moment is more useful. A thought record is meant to be concrete. If yours keep drifting into general verdicts about your life, it may be feeding the loop instead of interrupting it.
Trauma
Writing in detail about a traumatic experience without support can bring up more than a person can manage alone. There are trauma-focused therapies with their own worksheets, such as Cognitive Processing Therapy, that are designed to be used with a trained clinician. If the thoughts you’re working with are about a trauma, those are a better fit than this app.
When depression is severe
When mood is very low, it can be hard to concentrate long enough to weigh evidence, and a record that stalls can feel like one more thing gone wrong. At those times, small steps back into activity often help more than writing. In one large trial, this approach, called behavioral activation, did as well as medication for people with more severe depression. If getting out of bed or eating feels hard, that’s a reason to reach out for care.
After a loss
Sadness, longing, and some guilt after someone dies aren’t distorted thoughts to fix. A record can still help with one specific thought that adds weight, like “I should have seen it coming.” But grief mostly needs time, company, and room to feel it. If it stays intense and keeps you from daily life a year or more after the loss, a therapist who works with grief can help.
When the danger is real
A thought record checks whether a thought fits the facts. It can’t make an unsafe situation safe. If someone is hurting, threatening, or controlling you, or you’re being harassed or treated unfairly, fear and anger may be the accurate response, and the next step is getting safe and getting support, not changing how you see it. The same goes for a new or severe physical symptom. Get it checked first, and use a record afterward for the worry that’s left.
When to get more support
Please reach out to a doctor, therapist, or counselor if:
- Low mood, anxiety, or worry has lasted more than a couple of weeks and is getting in the way of work, school, relationships, or sleep.
- Thought records consistently leave you feeling worse.
- Alcohol or drugs, eating, or mood swings with very high energy and little sleep are part of the picture.
- Memories of something traumatic, flashbacks, or nightmares are involved.
- You’re hearing or seeing things other people don’t, or you feel watched, followed, or targeted in ways others don’t see.
If you’re in crisis
If you’re thinking about suicide or about harming yourself or someone else, or you’re in danger, get help now. This site and the app are not a crisis service and nobody reads what you write in it.
- In the United States, call or text 988, or chat at 988lifeline.org. It’s free, confidential, and available any time. For Spanish, call 988 and press 2, or text AYUDA to 988. There are also options for people who are Deaf or hard of hearing.
- Veterans and service members can call 988 and press 1, or text 838255.
- In an emergency, call 911.
- In Mexico, call Línea de la Vida at 800 911 2000. It’s free and available any time.
- Outside the United States, call your local emergency number or find a helpline at findahelpline.com.
References
- Salkovskis, P. M. (1985). Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23(5), 571–583. doi.org/10.1016/0005-7967(85)90105-6
- Salkovskis, P. M., & Warwick, H. M. C. (1986). Morbid preoccupations, health anxiety and reassurance: A cognitive-behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24(5), 597–602. doi.org/10.1016/0005-7967(86)90041-0
- Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163–206. doi.org/10.1037/0033-2909.134.2.163
- Resick, P. A., Monson, C. M., & Chard, K. M. (2024). Cognitive processing therapy for PTSD: A comprehensive therapist manual (2nd ed.). Guilford Press.
- Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins, D. C., Dunner, D. L., & Jacobson, N. S. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74(4), 658–670. doi.org/10.1037/0022-006X.74.4.658
- Shear, M. K. (2015). Complicated grief. New England Journal of Medicine, 372(2), 153–160. doi.org/10.1056/NEJMcp1315618
Helpful links
- 988 Suicide and Crisis Lifeline
- Find a Helpline, for countries outside the United States
- International OCD Foundation: About OCD
- NIMH: Psychotherapies
Educational content, not medical advice or a substitute for professional care. Ready to try one? Fill in a thought record online, read how to do one step by step, or print one.