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In cognitive therapy, decatastrophizing or decatastrophization is a cognitive restructuring technique to treat cognitive distortions, such as magnification and catastrophizing, commonly seen in psychological disorders like anxiety[1] and psychosis.[2]

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,[3] and various versions of the technique have been developed, most notably by Aaron T. Beck.[4]

Decatastrophizing is also called the "what if" technique,[5][6] 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." ...


  1. ^ Ryan C. Martin, Eric R. Dahlen (November 2005). "Cognitive emotion regulation in the prediction of depression, anxiety, stress, and anger". Personality and Individual Differences. 39 (November 2005): 1249–1260. doi:10.1016/j.paid.2005.06.004.
  2. ^ Steffen Moritza, Lisa Schillinga, Katja Wingenfeldb, Ulf Köthera, Charlotte Wittekinda, Kirsten Terfehrb, Carsten Spitzerb (September 2011). "Persecutory delusions and catastrophic worry in psychosis: Developing the understanding of delusion distress and persistence". Journal of Behavior Therapy and Experimental Psychiatry. 42 (September 2011): 349–354. doi:10.1016/j.jbtep.2011.02.003. PMID 21411041.
  3. ^ Reason and Emotion In Psychotherapy. NY: Lyle Stuart, 1962
  4. ^ Anxiety Disorders & Phobias. NY: Harper & Row, 1985
  5. ^ Theories of Psychotherapy & Counseling: Concepts and Cases. 5th Ed. CA: Brooks/Cole, 2012
  6. ^ Cognitive-Behavioral Theories of Counseling: Traditional and Nontraditional. IL: Charles C. Thomas, 2004