Exhaustion can have several causes. If worry, rumination or repeated checking of how you feel and function takes a lot of energy, metacognitive therapy, MCT, may be a way to work with those particular processes. We explore what part they play for you and what you want to change.
Strain from work, relationships or caring for others can interact with worry, rumination, sleep difficulties or demands you place on yourself. This differs from person to person. We therefore need to understand both what has contributed to the difficulties and what still takes energy.
Tiredness, physical symptoms and changes in memory, concentration and thinking can have several causes. A medical assessment may therefore need to take place alongside the psychological exploration. Neither perspective takes precedence over the other. Together, they help us distinguish possible medical conditions from psychological processes such as worry, rumination, anxiety or low mood that may contribute to or maintain the difficulties.
For some people, worry and rumination continue even when external demands decrease. Attention can get caught on what needs to be done, what could go wrong or how the body and the ability to think are functioning. In MCT, we explore what part these processes play for you and what happens when you try other ways of relating to thoughts and directing attention.
What work with MCT can look like
We begin by mapping concrete situations. What happens when tiredness, demands or the fear of not having enough energy arise? You may start ruminating about why you feel the way you do, avoiding all demands, checking how your body and thinking are functioning or looking for signs that your energy is running out. These are some possible processes, not an explanation assumed to apply to everyone.
We explore what the strategies are intended to help you with, what relief they may bring in the moment and how they affect you over time. You can then try other ways of directing attention, reducing repeated checking and letting thoughts about energy, demands and the future be there without automatically starting to analyse, ruminate or worry.
The aim is not to disregard tiredness or push you to do more. The aim is greater freedom to direct your attention and use your energy for what matters to you. We follow what actually changes in everyday life and adapt the work accordingly.
Privately or through your employer
You can book privately or have your sessions funded by your employer. If your employer pays, we agree on the arrangements beforehand, and the invoice can be addressed to the company. Professional confidentiality still applies, and I do not pass on what you tell me without your approval.
If you come through an insurance company, an intermediary or occupational health services, their terms may govern, for example, the number of sessions, booking, cancellation and invoicing. We go through what applies before the sessions begin.
Common questions
When may MCT be relevant for exhaustion?
MCT may be relevant when worry, rumination or repeated checking of how you feel and function drains more than it helps. We explore the part these processes play in your particular situation. If other factors matter, they also need to be included in our understanding of the difficulties.
How does MCT relate to rest and recovery?
Rest can be an important part of recovery. MCT does not replace rest or changes in workload, responsibilities, boundaries, sleep and other parts of everyday life. The method addresses worry, rumination and checking when these processes continue to take energy and restrict recovery.
Do I need to choose MCT before booking?
No. You do not need to decide which method is suitable before we have met. I present different ways of understanding and working with the problems and make the clinical assessment together with you. If you have particular wishes, we naturally take them into account.
Can my employer pay for the sessions?
Yes. The company can pay and the invoice can be addressed to it. Professional confidentiality still applies, and I do not pass on what you tell me without your approval. If contact is through an insurance company, an intermediary or occupational health services, their terms may govern, for example, the number of sessions, booking and invoicing.
