catastrophic thinking
Cognitive distortion where patients anticipate the worst possible outcomes, common in late-life anxiety and depression.
Full Definition
Catastrophic thinking is a cognitive distortion pattern frequently observed in geriatric psychiatric patients, characterized by the tendency to automatically assume that the worst-case scenario will occur. This thinking pattern often involves magnifying the likelihood or severity of negative events while minimizing positive possibilities. In elderly patients, catastrophic thinking may manifest as excessive worry about health decline, financial ruin, or becoming a burden to family members. This cognitive pattern is particularly prevalent in late-life anxiety disorders and can significantly impair functioning and treatment response.
Usage
Usage note: Distinguish from realistic concerns about aging-related challenges.
In Context
- "Cognitive behavioral therapy focused on challenging the patient's catastrophic thinking about minor memory lapses." — Therapy progress note
- "The assessment revealed significant catastrophic thinking contributing to the patient's avoidance of social activities." — Psychological evaluation