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How to Restructure Negative Thoughts When They Feel True

Written By Dr Elaine Ryan.

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Dr Ryan is a psychologist with over 20 years of experience. She specialises in OCD and anxiety-related conditions and worked in the NHS in the UK before setting up a private practice in Dublin. Dr Ryan obtained her PsychD from The University of Surrey and is a Member of The British Psychological Society, The UK Society for Behavioural Medicine and EuroPsy registered.

Addressing Cognitive Distortions When Rational Challenges Don’t Seem to Work

Negative thoughts can feel overwhelmingly real, making it hard to shift them—even when you know they are distorted. This can be frustrating, especially if you’ve tried to challenge them logically and it hasn’t worked. If you’ve been in session with me before, you likely heard me say;

Just because something feels true, it doesn’t mean it is true

But yet, this is one of the things I see people struggle with the most when undertaking CBT, is how to work with thoughts that feel true, or even being reluctant to work with them due to the feelings.

If your thoughts tell you:

  • “I’m not good enough.”
  • “I’ll never be happy.”
  • “No one really likes me.”

… and logic doesn’t seem to help, you’re not alone. As I said above, people experience this, and it’s a core reason why therapy or structured cognitive strategies are essential and I’m going to help you with that now. But before I do, I am not going to explain the model in detail here, if you want to read more, please see my Comprehensive Guide to CBT, or read any of my articles on CBT.

image show word 'neative' highlighted in book with words How to Restructure Negative Thoughts When They Feel True and Dr Elaine Ryan logo

Why Do Negative Thoughts Feel So True?

Your brain creates shortcuts based on past experiences. If you’ve struggled with self-doubt, your mind may automatically interpret situations through that lens. Cognitive distortions—such as catastrophizing, black-and-white thinking, and emotional reasoning—reinforce these patterns.

For example:

  • If you’ve been rejected in the past, you might believe “I will always be rejected.”
  • If you make a mistake at work, you might conclude “I am a failure.”

These thoughts aren’t facts, but when they align with deep-seated fears, they feel real. This is why simply telling yourself “think positive” rarely works. Instead, restructuring these thoughts requires a different approach—one that therapy or structured guidance can provide.

5 Techniques to Change Negative Thoughts When Logic Fails

1. Acknowledge the Emotion Before Changing the Thought

Instead of immediately fighting the thought, notice the emotion attached to it:

  • “I feel anxious because…”
  • “This thought makes me feel ashamed because…”

By identifying the emotion behind the thought, you create space to challenge it without resistance.

CBT Online Course – Retrain Your Brain®,

Struggling to shift these patterns alone? My self-help course on overcoming anxious thoughts can guide you step by step.

2. Use Defusion Techniques to Break Free from Thoughts

Rather than debating whether a thought is true, practice distancing yourself from it:
Instead of “I’m a failure,” say: “I’m having the thought that I’m a failure.”
Picture the thought as a cloud drifting past—it exists, but you don’t have to engage with it.

Why this works: Your brain treats thoughts as absolute reality, but when you detach from them, they lose their power.

3. Stop Asking ‘Is This True?’—Ask ‘Is This Helpful?’

If you try to disprove a negative thought, your mind may fight back with counterarguments. Instead, ask:

  • Is this thought moving me forward?
  • What would I say to a friend who had this thought?
  • How can I respond in a way that supports my goals?

4. Introduce Small, Believable Reframes

Rather than forcing an extreme positive belief, try a gradual shift:
Instead of “I’m completely unlovable,”
Try “I’ve struggled with relationships, but that doesn’t mean I’m unlovable.”

Instead of “I’ll always fail,”
Try “I have failed before, but I have also succeeded.”

CBT Online Course – Retrain Your Brain®,

If you need structured help with reframing your thoughts, my guided program walks you through practical exercises step by step.

5. Take Action Instead of Trying to ‘Think’ Your Way Out

Instead of debating with your thoughts, prove them wrong through small actions:

  • If you think “I’m not good at anything,” do something productive and small.
  • If you think “People don’t like me,” text a friend or join a social activity.

Your brain learns from action—not just reasoning. Therapy and structured interventions can help you build real evidence against negative beliefs.

When to Seek Professional Help

If negative thoughts are persistent and interfere with your life, therapy can help you break free from these patterns. I specialise in CBT and anxiety treatment, offering both:

  • 1:1 therapy sessions in Dublin and online across Ireland
  • A self-guided course on managing negative thoughts

Want personalised support? Let’s work together.

Book a Session

HSE has useful information on their site about how to Access CBT

Final Thoughts

Restructuring negative thoughts isn’t just about thinking differently—it’s about learning how to detach from them, engage with emotions in a new way, and take action that rewires your brain. If you struggle with self-defeating thoughts, you don’t have to navigate this alone. Therapy and structured cognitive strategies can help you break free.