Rumination-Focused Cognitive Behavioral Therapy in Young Adult Women with Rumination Behavior: A Descriptive Case Study

Rumination is a form of maladaptive emotional regulation that may develop into serious psychological disorders if left untreated. This study aims to describe the diagnostic process and psychological intervention for rumination behavior in a young adult female client using the Rumination-Focused Cognitive Behavioral Therapy (RFCBT) approach. A descriptive case study method was employed within a qualitative framework. Data were collected through clinical interviews, observation, and psychological assessments using the SSCT and graphic tests (DAP, BAUM, HTP). The assessment results revealed the client experienced difficulties in managing negative emotions associated with a dysfunctional maternal relationship and irrational self-beliefs. The intervention consisted of five sessions involving psychoeducation, functional analysis, identification of automatic thoughts, imagery exercises, and coping strategies. After completing the intervention, the client demonstrated a reduction in rumination intensity, improved awareness of irrational beliefs, and the development of more adaptive coping strategies. These outcomes support the effectiveness of RFCBT in addressing rumination and preventing the emergence of depressive symptoms.