Thought Blocking
9 Minutes
CONTENTS
Have you ever had a moment where you are trying to express your thoughts, but suddenly your mind goes blank? This phenomenon is known as “thought blocking.” It is estimated that up to 90% of people experience occasional thought blocking, which is a common symptom of several mental health conditions, including schizophrenia and depression.
For those living with these disorders, thought blocking can be a debilitating and distressing experience. Let’s take a closer look at what thought blocking is, its causes, diagnosis, and treatment options, and also provide practical tips for managing it yourself.
Thought blocking is a sudden interruption in the flow of thoughts, which can occur during conversations or when trying to express oneself. The person may suddenly stop speaking mid-sentence or remain silent for an extended period. They may also struggle to find the right words to express themselves. The experience can be distressing for the person, as they are unable to articulate their thoughts and ideas [1].
What Is Thought Blocking In Schizophrenia
Thought blocking is a common symptom of schizophrenia, a severe mental illness that affects how a person thinks, feels, and behaves. In schizophrenia, thought blocking occurs when a person’s thoughts are suddenly interrupted, and they are unable to continue with their train of thought. This interruption can last for several seconds to minutes and can occur repeatedly [1].
Mechanism Of Thought Blocking
The exact mechanism of thought blocking is not fully understood. However, research suggests that it may be due to an interruption in the neural circuitry of the brain that controls language and thought processes.
The interruption may occur due to a lack of connectivity between the various brain regions that are responsible for language processing, including the prefrontal cortex and the temporal lobe. This lack of connectivity can result in a disruption in the flow of thoughts and language [3].
Types Of Thought Blocking
There are two main types of thought blocking: subjective and objective thought blocking.
Subjective thought blocking occurs when a person feels as though their thoughts are being blocked or interrupted. They may feel as though their mind has gone blank or that they cannot express themselves correctly.
Objective thought blocking, on the other hand, is when an observer notices that the person has stopped speaking or cannot continue with their train of thought [4].
Risk Factors For Thought Blocking
Several factors can increase the risk of thought blocking, including:
Mental health conditions: Thought blocking is a common symptom of various mental health conditions, including schizophrenia, depression, and anxiety.
Stress: High levels of stress can affect the brain’s ability to process information and can increase the risk of thought blocking.
Substance abuse: Substance abuse can affect the brain’s ability to process information and can lead to thought blocking.
Medications: Some medications used to treat mental health conditions can cause thought blocking as a side effect [5].
While the exact causes of thought blocking are not fully understood, research has identified several factors that can contribute to this phenomenon. Let’s take a closer look at ten causes of thought blocking.
Schizophrenia [1]: Thought blocking is a common symptom of schizophrenia, a severe mental illness that affects how a person thinks, feels, and behaves. In schizophrenia, thought blocking occurs when a person’s thoughts are suddenly interrupted, and they are unable to continue with their train of thought.
Anxiety and Depression [2]: Anxiety and depression can cause thought blocking, particularly during moments of high stress. People with thought-blocking anxiety may experience racing thoughts that suddenly stop, while those with thought-blocking depression may struggle to find the motivation to continue with their thoughts.
Trauma [2]: Trauma can cause thought blocking, particularly in people with post-traumatic stress disorder (PTSD). Trauma can interrupt the brain’s ability to process information, leading to thought blocking.
Psychosis: Thought blocking is commonly associated with psychosis, which is a mental health condition characterized by a break from reality. Thought-blocking psychosis may occur due to difficulty processing thoughts, or it may be a result of the mind being overwhelmed with disorganized or racing thoughts.
Substance Abuse [3]: Substance abuse can cause thought blocking, particularly in people who abuse drugs or alcohol. Substance abuse can affect the brain’s ability to process information, leading to thought blocking.
Medications [4]: Some medications used to treat mental health conditions can cause thought blocking as a side effect. For example, antipsychotic medications used to treat schizophrenia can cause thought-blocking in some people.
Fatigue [5]: Fatigue can cause thought blocking, particularly in people who are sleep-deprived or experiencing chronic fatigue. When the brain is tired, it can struggle to process information, leading to thought blocking.
Brain Injury [3]: Brain injuries, such as concussions, can cause thought blocking. Brain injuries can interrupt the brain’s ability to process information, leading to thought blocking.
Overstimulation [5]: Overstimulation can cause thought blocking, particularly in people who are sensitive to their environment. When the brain is overwhelmed by stimuli, it can struggle to process information, leading to thought blocking.
Lack of Confidence [2]: Lack of confidence can cause thought blocking, particularly in people who struggle with self-esteem. When a person lacks confidence in their ability to express themselves, they may struggle to continue with their train of thought.
Thought blocking can be difficult to diagnose because it is a symptom that is usually reported by the patient rather than observed by a healthcare provider. However, some diagnostic criteria can be used to identify thought blocking.
Clinical Assessment
The diagnosis of thought blocking is usually made by a mental health professional, such as a psychiatrist or psychologist. The clinician will typically perform a clinical assessment that includes a thorough medical and psychiatric history, as well as a physical exam. They will also use various clinical tools, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) [1], to help diagnose the underlying condition that is causing the thought blocking.
Interview and Observation
The clinician will interview the patient to gather information about their experiences of thought blocking. They will ask the patient about the frequency, duration, and severity of the thought blocking, as well as any associated symptoms such as hallucinations, delusions, or disorganized speech. The clinician may also observe the patient’s behavior, speech patterns, and overall presentation to look for signs of thought blocking.
Psychological Testing
In some cases, the clinician may use psychological testing to assess the patient’s cognitive functioning and to rule out other conditions that may be causing the thought blocking. These tests may include measures of memory, attention, and executive functioning [2].
Brain Imaging
Brain imaging techniques, such as magnetic resonance imaging (MRI) or computed tomography (CT) scans, are not typically used to diagnose thought blocking. However, these tests may be ordered to rule out other medical conditions that may be causing the symptoms.
In summary, the diagnosis of thought blocking involves a comprehensive clinical assessment, including an interview and observation of the patient, psychological testing, and ruling out other medical conditions. If you or someone you know is experiencing thought blocking, it is important to seek help from a mental health professional who can provide an accurate diagnosis and appropriate treatment.
Treatment for thought blocking may depend on the underlying condition causing the symptom. Here are some potential treatment options:
Medications
Antipsychotic medications may be prescribed to treat thought blocking that occurs as a symptom of schizophrenia or other psychotic disorders. These medications can help to reduce symptoms such as delusions and hallucinations, which can, in turn, improve thought processes and communication [1].
Therapy
Psychotherapy, such as cognitive-behavioral therapy, may help individuals with thought-blocking learn to recognize and challenge negative thoughts and beliefs that contribute to their symptoms. Therapists may also work on improving communication and social skills to help individuals better connect with others [2].
Stress reduction techniques
Reducing stress and anxiety can help manage thought blocking. Techniques such as deep breathing, meditation, and progressive muscle relaxation can be effective in reducing stress levels and promoting relaxation [5].
Creative therapies
Creative therapies such as art therapy, music therapy, or dance therapy may be beneficial for individuals with thought blocking. These therapies can provide a creative outlet for individuals to express themselves and communicate their thoughts and emotions in different ways [6].
Environmental modifications
Modifying the environment can also help reduce thought blocking. For example, minimizing distractions in the environment, creating a structured routine, and using reminders or cue cards can be effective in improving communication and reducing stress [4].
Memory blocks can be frustrating and hinder daily functioning, but several techniques and strategies can help overcome them. Here are some tips to overcome memory block:
Relaxation Techniques
Stress and anxiety can lead to memory blocks. Relaxation techniques like deep breathing, meditation, and yoga can help alleviate stress and anxiety, which may help reduce memory blocks [4].
Mnemonic Devices
Mnemonic devices are memory aids that help to retain information. They can be acronyms, rhymes, or other memory techniques that make information easier to remember. Mnemonics can be particularly useful for remembering lists, names, or numbers [5].
Visualization
Visualization is a powerful memory tool. It involves creating an image in your mind associated with the information you are trying to remember. For example, if you are trying to remember a list of items, you can visualize each item in a unique and memorable way. This technique can make the information more memorable [5].
Repetition
Repetition is one of the most effective ways to remember something. Repeating information several times can help it stick in your memory. You can repeat the information out loud or write it down multiple times [6].
Chunking
Chunking is the process of breaking up large amounts of information into smaller, more manageable chunks. For example, instead of trying to memorize a long number like 8675309, you can break it down into three chunks, 867, 53, and 09, making it easier to remember [5].
Association
Associating new information with something you already know can help you remember it. For instance, if you meet someone named John and you already know someone else with that name, you can associate the two Johns to remember the new person’s name [4].
Get Adequate Sleep
Getting enough sleep is crucial for memory retention. During sleep, the brain processes and consolidates memories. Lack of sleep can lead to memory difficulties, so make sure to get adequate rest [5].
Stay Organized
Staying organized can help reduce memory blocks. Keeping a calendar or planner can help you remember important dates and events. Writing down to-do lists can also help you remember tasks you need to complete [4].
Stay Focused
Distractions can interfere with memory retrieval. When you need to remember something, try to minimize distractions. Find a quiet place to study or work, turn off your phone, and focus solely on the task at hand [5].
Exercise
Physical exercise has been shown to improve cognitive function and memory. Exercise increases blood flow to the brain, which can improve memory retention [5].
Thought blocking can be a distressing symptom that affects individuals with various mental health conditions, such as schizophrenia, depression, and anxiety disorders. This experience can significantly impact a person’s quality of life, making it challenging to carry out daily activities or socialize with others.
While the exact causes of thought blocking are still unknown, several factors such as stress, trauma, and medications can contribute to its development. Fortunately, there are various treatment options available, including cognitive-behavioral therapy, medications, and mindfulness practices that can help individuals manage their symptoms effectively.
Seeking professional help and support from loved ones can also be beneficial in overcoming thought blocking. With proper treatment and care, individuals experiencing thought blocking can take control of their lives, reduce their symptoms, and improve their overall well-being.
1. Life Adjustment Team. What is Thought Blocking And How Can It Affect Someone with Schizophrenia? https://www.lifeadjustmentteam.com/what-is-thought-blocking-and-how-can-it-affect-someone-with-schizophrenia/
2. Better Help. What Is Thought Blocking, And How Do You Treat It? https://www.betterhelp.com/advice/personality-disorders/what-is-thought-blocking-and-how-can-it-be-treated/
3. Wikipedia. Thought blocking. https://en.wikipedia.org/wiki/Thought_blocking
4. Good Therapy. Thought Blocking. https://www.goodtherapy.org/blog/psychpedia/thought-blocking
5. Medical News Today. What to know about ‘thought blocking’. https://www.medicalnewstoday.com/articles/thought-blocking
6. Study.com. Thought Blocking Techniques & Process. https://study.com/academy/lesson/thought-blocking-process-definition-techniques.html
HOW THE BALANCE CAN HELP WITH Mental Health
The Balance RehabClinic is a leading provider of luxury addiction and mental health treatment for affluent individuals and their families, offering a blend of innovative science and holistic methods with unparalleled individualised care.
A UNIQUE METHOD TREATING Mental Health
a successful and proven concept focusing on underlying causesOur program consists of treating only one client at a time individually designed to help you with all the problematic aspects of your life. All individual treatment sessions will be held at your private residence.
more infoYour program is designed based on your personal needs. The team will exchange daily information and adjust the schedule as we go. Our therapists will work with you treating the root causes and not just the symptoms and goes beyong your stay to ensure lasting success.
more infoOur biochemical imbalance can be affected by diet and stressful life events, but it often goes back to genetics and epigenetics. We do specific biochemical laboratory testing to determine an individual’s biochemical imbalance. Combining the results of the lab tests with anamnestic information and clinical tests, we prescribe an individualized and compounded vitamin, mineral, nutrient protocol to help recover from various disease states.
more infoOur experts combine the best from psychological treatment, holistic medicine to support you individually and providing complementary therapies all coordinated from one source working complementing each other integrative.
more infoUsing latest cutting-edge technology-based therapies such as Neurofeedback, tDCS, and SSP, we can track the biological patterns of your body, giving us valuable insight into your health and well-being as well support your brain and body performance and recovery with neuromodulation.
more infoComplex trauma is often a key factor to distress mental and physical state. The Balance provides a safe space along integrated trauma treatment methods to enable healing.
more infoMental Health TREATMENT LASTING APPROACH
0 Before
Send Admission Request
0 Before
Define Treatment Goals
1 week
Assessments & Detox
1-4 week
Psychological & Holistic Therapy
4 week
Family Therapy
5-8 week
Aftercare
12+ week
Refresher Visit
Mental Health Insights
latest news & research on Mental HealthWorld Mental Health Day
The theme for World Mental Health Day is “mental health in an unequal world,” which highlights the inequalities among people that come in the way of addressing mental health problems. As highlighted by the World Federation for Mental Health, these inequalities are with respect to gender, race, ethnicity, financial income, and sexual orientation.
read moreStatistics On Loneliness
London is the world's loneliest city, with 55 percent of its citizens reporting feelings of loneliness. With those figures in perspective, London would remain the loneliest city in the projected loneliness stats.
read moreAdrenaline Junkie
Adrenaline junkies are a unique breed of thrill-seekers who crave the rush of adrenaline that comes from high-risk activities such as skydiving, bungee jumping, and extreme sports
read more