Catastrophising 101: Why mind jumps to worst-case scenarios
Your boss schedules an unexpected meeting and your mind immediately jumps to, “I’m getting fired.” A loved one does not answer your call, and suddenly you are imagining an accident. This tendency to assume the worst possible outcome is known as catastrophising.
Catastrophising is a cognitive distortion in which individuals overestimate the likelihood and severity of negative events while underestimating their ability to cope with them (Beck, 1979). Although everyone catastrophises occasionally, frequent catastrophic thinking has been linked to anxiety, depression, stress, chronic pain, and reduced psychological well-being (Simic et al., 2024).
From an evolutionary perspective, the human brain developed to detect threats quickly. For our ancestors, assuming danger often improved survival. A rustle in the bushes could have signalled a predator, making it safer to overreact than to ignore a potential threat. While modern life contains far fewer life-threatening situations, our brains still retain this ancient alarm system. As a result, uncertainty is often interpreted as danger, leading us to imagine worst-case scenarios before considering more realistic possibilities (Riskind, 2024).
One psychological theory that helps explain catastrophising is the Looming Vulnerability Model (LVM) developed by Riskind. According to this model, anxiety increases when people perceive threats as rapidly approaching, escalating, or becoming increasingly difficult to control. Rather than viewing a situation as manageable, the mind imagines it spiralling into disaster. For example, a delayed text message may become evidence that a relationship is ending, while a minor mistake at work may be interpreted as the beginning of career failure. Research continues to support the Looming Vulnerability Model as an important framework for understanding anxiety-related thinking patterns (Riskind, 2024).
Catastrophising is also a central concept within Cognitive Behavioural Theory (CBT). CBT proposes that thoughts, emotions, and behaviours are interconnected. When individuals automatically interpret situations in catastrophic ways, they experience greater anxiety and emotional distress. These intense emotions can then make catastrophic thoughts feel even more believable, creating a self-perpetuating cycle. Recent research suggests that expectancy biases, the tendency to anticipate negative outcomes, play a significant role in maintaining anxiety and emotional distress (Tough et al., 2025).
The effects of catastrophising extend beyond mental health. Research has consistently demonstrated that catastrophic thinking is associated with higher pain intensity, greater disability, increased fear-avoidance behaviours, and poorer recovery outcomes among individuals experiencing chronic pain or physical injury (Simic et al., 2024; Yokoyama et al., 2024). Similarly, studies of individuals recovering from mild traumatic brain injuries have found that catastrophising contributes to persistent symptoms and psychological distress (Hecker et al., 2025).
The encouraging news is that catastrophising is a thinking habit rather than a reality. Cognitive Behavioural Therapy helps individuals identify catastrophic thoughts, evaluate the evidence supporting them, and develop more balanced interpretations. Questions such as “What evidence supports this prediction?” or “What is the most likely outcome?” can help challenge automatic assumptions. Mindfulness-based approaches further encourage individuals to observe thoughts without immediately accepting them as facts.
Ultimately, catastrophising reflects the brain’s attempt to protect us from uncertainty and perceived danger. However, when the mind constantly expects disaster, it can create unnecessary suffering. Learning to recognize and challenge catastrophic thinking allows individuals to approach uncertainty with greater flexibility, resilience, and emotional balance.
If you are experiencing similar challenges and would like professional support, you can book a counselling session here: Book a Session. Together, we can work towards developing healthier, more balanced ways of coping with life’s uncertainties.
References
Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin Books.
Hecker, L., King, S., Wijenberg, M., Geusgens, C., Stapert, S., Verbunt, J., & Van Heugten, C. (2025). Catastrophizing thoughts and fear-avoidance behavior are related to persistent post-concussion symptoms after mild traumatic brain injury. Neurotrauma Reports, 6(1),148-157. https://doi.org/10.1089/neur.2024.0136
Riskind, J. H. (2024). Unscrambling the dynamics of danger: Scientific foundations and evidence for the looming vulnerability model and looming cognitive style in anxiety. Cognitive Therapy and Research, 48, 808–832. https://doi.org/10.1007/s10608-024-10481-1
Simic, K., Savic, B., & Knezevic, N. N. (2024). Pain Catastrophizing: How Far Have We Come. Neurology International, 16(3), 483-501. https://doi.org/10.3390/neurolint16030036
Tough, J., Grafton, B., MacLeod, C., & Van Bockstaele, B. (2025). The contributions of attentional bias and expectancy bias to fluctuations in state anxiety. Cognitive Therapy and Research, 49(1), 75–97. https://doi.org/10.1007/s10608-024-10535-4
Yokoyama, S., Adachi, T., & Yoshino, A. (2024). Unraveling pain experience and catastrophizing after cognitive behavioral therapy. Scientific Reports, 14, Article 17176. https://doi.org/10.1038/s41598-024-68334-6

