Denial: When it helps, when it hurts
Denial is a coping mechanism that gives you time to adjust to distressing situations — but staying in denial can interfere with treatment or your ability to tackle challenges.By Mayo Clinic Staff
If you're in denial, you're trying to protect yourself by refusing to accept the truth about something that's happening in your life.
In some cases, initial short-term denial can be a good thing, giving you time to adjust to a painful or stressful issue. It might also be a precursor to making some sort of change in your life.
But denial has a dark side. Being in denial for too long can prevent you from dealing with issues that require action, such as a health crisis or a financial situation. Find out when denial can help — and when it can be a roadblock.
Understanding denial and its purpose
Refusing to acknowledge that something is wrong is a way of coping with emotional conflict, stress, painful thoughts, threatening information and anxiety. You can be in denial about anything that makes you feel vulnerable or threatens your sense of control, such as an illness, addiction, financial problems or relationship conflicts. You can be in denial about something happening to you or to someone else.
When you're in denial, you:
- Refuse to acknowledge a stressful problem or situation
- Avoid facing the facts of the situation
- Minimize the consequences of the situation
When denial can be helpful
Refusing to face facts might seem unhealthy. Sometimes, though, a short period of denial can be helpful. Being in denial gives your mind the opportunity to unconsciously absorb shocking or distressing information at a pace that won't send you into a psychological tailspin.
For example, after a traumatic event, you might need several days or weeks to process what's happened and come to grips with the challenges ahead. Imagine what might happen if you find a lump in your throat. You might feel a rush of fear and adrenaline as you imagine it's cancer. So you ignore the lump, hoping it'll go away on its own. But when the lump is still there a week later, you consult your doctor.
This type of denial is a helpful response to stressful information. You initially denied the distressing problem. As your mind absorbed it, however, you came to approach it more rationally and took action by seeking help.
May 20, 2014
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- Seaward BL. Managing Stress: Principles and Strategies for Health and Well-Being. 6th ed. Sudbury, Mass.: Jones and Bartlett Publishers; 2009:88.
- Seward BL. Essentials of Managing Stress. 3rd ed. Sudbury, Mass.: Jones and Bartlett Publishers; 2014:70.
- Coping with a diagnosis of a chronic illness. American Psychological Association. http://www.apa.org/helpcenter/chronic-illness.aspx. Accessed Feb. 6, 2014.
- Rabinowitz T, et al. Nothing is wrong, doctor: Understanding and managing denial in patients with cancer. Cancer Investigation. 2006;24:68.
- Telford K, et al. Acceptance and denial: Implications for people adapting to chronic illness: Literature review. Journal of Advanced Nursing. 2006;55:457.
- Adjusting to life after being held hostage or kidnapped. American Psychological Association. http://www.apa.org/helpcenter/hostage-kidnap.aspx. Accessed Feb. 6, 2014.
- Travis AC, et al. Denial: What is it, how do we recognize it and what can we do about it? American Journal of Gastroenterology. 2011;106:1028.
- Sjolander C, et al. Striving to be prepared for the painful: Management strategies following a family member's diagnosis of advanced cancer. BMC Nursing. 2011;10:18.
- Creagan ET (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 10, 2014.