: Beliefs that worry is helpful (e.g., "Worrying helps me prepare").
: Beliefs that thoughts are uncontrollable or dangerous (e.g., "My thoughts will drive me crazy").
: This consists of three main processes:
This article shifted the focus of clinical psychology from "What is the patient thinking?" to "Why is the patient thinking this way?" It explains why some people can experience a negative thought and let it go, while others spiral into anxiety or depression because their metacognitive beliefs force them to engage with the thought.