Our thoughts shape our reality, but sometimes, they deceive us. Cognitive distortions are irrational or biased ways of thinking that influence our emotions and behavior. While everyone experiences distorted thinking at times, persistent cognitive distortions can negatively impact mental health, leading to anxiety, depression, and low self-esteem.
At Carencia, we help individuals recognize these thought patterns and develop healthier ways of thinking through evidence-based mental health care.
We’ll explore cognitive distortions, including common types, their neuroscience, and practical strategies for challenging and replacing them with more balanced perspectives.
What Are Cognitive Distortions?
Cognitive distortions are exaggerated or irrational thought patterns that reinforce negative emotions. These mental habits often operate automatically, influencing how we perceive ourselves and the world. The problem is that these thoughts feel real, even when not based on objective reality.
For example, if you make a small mistake at work and immediately think, “I’m a complete failure,” that’s a cognitive distortion. In reality, one mistake does not define your entire capability.
We frequently see how distorted thinking can affect mental health, leading to stress, anxiety, and even depression. Recognizing these thought patterns is the first step toward changing them.
Common Types of Cognitive Distortions
- All-or-Nothing Thinking – Viewing situations in extreme, black-and-white terms.
Example: “If I don’t succeed perfectly, I’ve failed completely.” - Overgeneralization – Making broad, negative conclusions from a single experience.
Example: “I was rejected once, so I’ll always be rejected.” - Mental Filter – Focusing only on negative details and ignoring the positives.
Example: “I got five compliments, but one person criticized me—so my work is terrible.” - Disqualifying the Positive – Dismissing positive experiences by insisting they “don’t count.”
Example: “I only did well because it was easy, not because I’m capable.” - Jumping to Conclusions – Assuming you know what others think (mind reading) or predicting the future negatively (fortune telling).
Example: “They didn’t reply to my message—they must be mad at me.” - Magnification and Minimization – Blowing negatives out of proportion while downplaying positives.
Example: “I made a small mistake, so now everything is ruined.” - Emotional Reasoning – Assuming your emotions reflect reality.
Example: “I feel worthless, so I must be worthless.” - Should Statements – Using rigid “should,” “must,” or “ought to” statements that create unrealistic expectations.
Example: “I should never make mistakes.” - Labeling and Mislabeling – Defining yourself or others with exaggerated labels.
Example: “I failed, so I’m a loser.” - Personalization – Blaming yourself for things beyond your control.
Example: “If my friend is upset, it must be because of something I did.”
The Neuroscience of Cognitive Distortions
Our brains develop patterns of thinking based on experiences and beliefs. Cognitive distortions become ingrained in our neural pathways, making them automatic responses.
The prefrontal cortex (responsible for rational thinking and decision-making) and the amygdala (the brain’s emotional center) play key roles. When we engage in distorted thinking, the amygdala’s emotional responses can overpower the logical reasoning of the prefrontal cortex. This imbalance makes negative thoughts feel overwhelmingly true, even when they are not.
We understand the neuroscience behind these patterns and use cognitive-behavioral therapy (CBT) and other therapeutic approaches to help retrain the brain toward healthier thinking.
How to Challenge and Reduce Cognitive Distortions
Recognizing and addressing distorted thinking is essential for mental well-being. Here are five steps to break free from negative thought patterns:
1. Identify the Distortion
The first step is awareness. Pay attention to negative thoughts and identify which cognitive distortion is at play.
2. Challenge the Thought
Ask yourself:
- What is the evidence for and against this thought?
- Am I basing my thoughts on facts or emotions?
- Could there be another way to interpret this situation?
3. Replace with Balanced Thinking
Once you challenge the distortion, reframe it into a more balanced perspective.
Example: Instead of thinking, “I’m a failure because I messed up a project,” try, “I didn’t do well on this project, but I’ve succeeded in others, and I can learn from this experience.”
4. Practice Mindfulness
Mindfulness helps you observe thoughts without judgment. Instead of reacting to distorted thinking, acknowledge it, let it pass, and refocus on the present moment.
5. Use a Cognitive Distortion Worksheet
We’ve created a Cognitive Distortions Worksheet to help recognize and challenge your thoughts. This tool allows you to break down a situation, identify the distortion, and replace it with a more balanced thought.
Worksheet Example:

6. Seek Professional Help
Cognitive distortions can be deeply ingrained, and working with a mental health professional can be incredibly beneficial. Our therapists specialize in CBT and other evidence-based treatments to help you challenge and change negative thought patterns.
Using Socratic Questioning to Reframe Thoughts
Socratic questioning is a technique to evaluate distorted thoughts critically. Ask yourself:
- What evidence supports or contradicts this thought?
- Am I viewing this in extremes, or is there a middle ground?
- How would I advise a friend who had this thought?
- What are the consequences of continuing to think this way?
Example: Reframing a Negative Thought
Situation: You failed a test.
Distorted Thought: “I’m a complete failure.”
Cognitive Distortion: All-or-Nothing Thinking.
Balanced Thought: “I didn’t do well on this test, but I can improve with more study.”
We can cultivate a healthier mindset by questioning our thoughts and replacing distortions with more rational perspectives.
Overcome Negative Thinking with Carencia
Cognitive distortions can be powerful, but they don’t have to control your life. At Carencia, we help individuals break free from negative thought patterns using proven therapeutic methods, such as CBT, mindfulness, and lifestyle psychiatry.
If you struggle with negative thoughts that impact your daily life, our team is here to support you. Whether you’re dealing with anxiety, depression, or simply want to improve your mindset, professional guidance can make all the difference.
Schedule an appointment with Carencia today and take the first step toward a healthier, more balanced mindset.