Metacognition (CW: Mental health)

Submitted by TwelvePointFont on March 16, 2026
I recently found out that I have metacognitive OCD. Or, rather, I found out that that’s the term for what I have. See, I’ve always had some OCD, but not necessarily much worse than the amount of OCD the average person experiences. Plus, ever since I was 11 or so I’ve intermittently struggled with mild anxiety, depression, and even suicidal thoughts. It’s gotten better over the past year or so as I’ve been going to the gym consistently for months, hit my stride socially, gotten out on my own more, and just generally been more satisfied with myself and my life.

However, throughout all of this, I’ve never gone to a mental health professional or gotten an actual diagnosis about any of these issues (not that I’ve necessarily needed to, I’ve dealt with them myself on my own). The reason for that is going all the way back to the start of this, any time I’ve thought about my mental state, my brain enters into an overanalytical thought process where I examine my own thoughts and criticize them. It results in a cycle of meta analysis apparently known as “metacognitive rumination,” something that is common in people with highly analytical brains as well as OCD and/or ADHD (I may have ADHD too, my mom has it but I haven’t been diagnosed).

The thought process is essentially this:

“Man, I feel so crappy about myself all the time. Do I have depression? Why am I so awful?”

Then:

“No, I don’t have depression. I just like to feel crappy about myself because then I get to think I have a mental disorder and that makes me special or something. I’m actually fine, I’m just an attention-seeking prick.”

Then:

“But if I know that, then why do I still feel so awful about myself? Do I have depression? What is this? Why am I picking apart my thoughts like this? Is there actually something wrong with me?”

This cycle of meta analysis continues basically unbroken until my brain gets distracted. Feeling like you’re “faking” a mental problem is actually very common among people who experience metacognitive rumination.

Unfortunately, it hasn’t gotten any better ever since I learned what metacognition is, either, because the problem with realizing you’re in a meta loop is that knowing that doesn’t actually get you out of that, it’s just another layer. Meta goes on forever and that’s what’s so maddening about it. It’s frustrating, but at least I actually now have a term for what I experience and I can go see a professional about it to get some advice that hopefully helps me deal with it. And that’s what I’m going to do! I’m hoping to make an appointment with a psychologist soon. It’s almost exciting, but it does still kinda suck.

Anybody else deal with this?

18 Comments
+2
Level 61
Mar 16, 2026
Today I learned I probably have metacognitive OCD. I literally do this all the time

I'm not even going to joke about this right after posting the comment my brain automatically says "you probably don't you just want to feel special" 😭

+1
Level 18
Mar 16, 2026
Right??? Do you ever imagine hypothetical conversations with a psychologist or some other professional where you describe all these feelings to them and they diagnose you with something but then you keep having the spiral?
+1
Level 61
Mar 16, 2026
Not really to a professional specifically, but I do question the reality of everything and my own consciousness whenever I'm in a conversation somewhat related to life in general
+1
Level 18
Mar 16, 2026
Oh okay. Yeah I’m all too familiar with existential crises as well 😅
+3
Level 62
Mar 16, 2026
Sorry to hear that.

Your story reminded me of the period when things were at their worst for me when I was younger. My mind was in a bad state, but what rubbed salt in the wound was my awareness of it - realising that other people were having a great time, having to face the cold reality that the good opportunities I had at that age weren't something I could have. Man, thinking about it made it worse.

Now, if there are negative thoughts rattling about in there, I try and phone a friend for a chat, go and see them, or do some other activity - anything to force something else into my mind. Stick the headphones on and blast some music if there are no other options.

Hope the psychologist can help, and that you're soon on the up.

+1
Level 18
Mar 16, 2026
That sounds really rough, I’m glad you seem to be doing better! As for me I’ve been doing good lately with my general mental health but I do still have meta thought spirals and it gets really frustrating so I’ve decided to get some professional help.
+3
Level 39
Mar 16, 2026
I am so sorry to hear that.

The closest thing I have to OCD is ASD where I do question my thoughts, but not much so in a negative manner.

My thought process is more like

Electrons are particles,

But they exhibit quantum superposition

But again they have mass.

+1
Level 18
Mar 16, 2026
That’s interesting! Can you tell me more about that thought process?
+1
Level 39
Mar 16, 2026
Its almost like an internal debate and by engaging in this thought process I feel I have gotten a better understanding of the world. I wonder if you can try instead of negative comments about yourself have a debate with yourself on an aspect of the world which interests you. Something I usually do is talk to myself about myself in a third person manner
+1
Level 18
Mar 16, 2026
Oh, that's smart
+2
Level 68
Mar 17, 2026
I also like to talk to myself in a third person view. Usually it's for criticism and boosting myself up. I don't know if this is bad or not but I refer to myself using my online name most of the time when I talk to myself alone. Anyone else?
+3
Level 18
Mar 17, 2026
I can’t say I’ve ever referred to myself using an online identity. But I will say I’ve noticed lately my internal dialogues co-opt the voices of different characters from the show BoJack Horseman, which is pretty weird?
+2
Level 68
Mar 16, 2026
Yeah, I get that feeling. I would love to reach out and recieve mental help, but every day I feel like I don't deserve it. I know why, but it's something I'm insecure of.

I wish you luck on your journey to hopefully get rid of these thoughts, or at best minimalize the effects of what the thoughts give.

+2
Level 18
Mar 16, 2026
Thanks! I wish you the best too. It’s okay to feel uncomfortable seeking professional help, I haven’t felt like going to see a professional until, well, now.
+3
Level 78
Mar 16, 2026
All the best with your journey!

While I cannot comment on the other stuff I can share some tips that have helped my ADHD.

It’s a superpower, - we’re just wired differently. Please don’t let anyone tell you anything otherwise or give you negative input about it.

It’s different in guys and girls in some ways. What I’m sharing is common tips. Please do double check with your health provider with these and do your own research.

1) It’s a massive help to eat clean. Eggs in the morning, food/supplements with magnesium, zinc, Vit D can help. Avoid wheat and gluten, minimise milk products, processed and fried food, and eat a good amount of raw veggies as salad or veggie juice with every meal. Including breakfast!

Plus fruits on an empty stomach. Seeds and nuts too. Make it yum n fun so that it’s more sustainable.

2) Morning movement in the sunshine for even 15 mins helps! And movement during the day helps to burn off all that wiggle energy! ;)

3 ) Start n do boring tasks for just 10 mn

+1
Level 18
Mar 16, 2026
Interesting! Thank you!
+2
Level 78
Mar 16, 2026
All the best with your journey! You’ve got people here rooting for you!!
+1
Level 18
Mar 16, 2026
I appreciate it :)