Mindfulness meditation enhances the relationship and awareness of one's thinking, while metacognitive therapy focuses on specific beliefs about thinking. For individuals with obsessive-compulsive disorder, they may believe that their automatic thoughts are dangerous and have the power to influence behavior or external events. This conviction changes their interaction with these thoughts. Metacognition also plays a role in rumination and worry. People who worry tend to believe that worrying is helpful and equate it with problem-solving or preparation for adversity.

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