Monisha Mitchell, LCSW

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Monisha Mitchell, LCSW I am a Licensed Therapist specializing in trauma and mood disorders through whole body healing.

I am a lifelong champion for diversity, advocate for equity and (more recently) a Diversity, Equity and Inclusion subject matter expert. I am passionate about partnering with groups & organizations to start honest dialogue and power through uncomfortable conversations to bring long lasting impactful change around diversity, equity and belonging. I would be honored to partner with your group or organization to create a culture of inclusion that helps it thrive!

The Cost of OverthinkingWe often say things like “my brain is tired” or “I’m mentally drained.”That isn’t metaphorical.F...
10/05/2026

The Cost of Overthinking

We often say things like “my brain is tired” or “I’m mentally drained.”
That isn’t metaphorical.

From a metabolic standpoint, the human brain is the most energy-hungry organ in the body—and prolonged cognitive load, rumination, and anxious overthinking draw heavily from that system.

I do a lot of psychoeducation in session about overthinking. So let’s look at what science actually shows…

⸻

🧠 The Brain Is Small — and Shockingly Expensive

Although the brain accounts for only about 2% of total body weight, it consumes roughly:
• 20% of the body’s resting energy
• 20–25% of total glucose
• A disproportionate share of oxygen and blood flow

This has been consistently demonstrated through neuroimaging and metabolic studies using PET scans and cerebral blood-flow measurements.

In other words:
even when you’re lying still, doing nothing physically, your brain is burning fuel like a high-performance engine.

⸻

⚡ Thinking Is Work — Literally

Neurons communicate through electrical impulses and chemical signaling. Every thought involves:
• Ion pumps restoring electrical gradients
• Neurotransmitter synthesis and recycling
• Maintenance of neural networks
• Increased blood flow to active regions

These processes are metabolically costly.

When you concentrate, worry, problem-solve, replay conversations, or anticipate threats, certain networks—especially in the prefrontal cortex and the default mode network (linked to self-reflection and rumination)—become highly active.

That activity requires glucose and oxygen.

You’re not being dramatic when you say you’re mentally tired.
You’re describing real physiological expenditure.

⸻

🔄 Why Overthinking Feels Draining

Overthinking—particularly anxious rumination—keeps the brain in a high-alert prediction mode:
• Running mental simulations
• Scanning for danger
• Replaying scenarios
• Generating alternate futures
• Monitoring internal sensations

Neuroscience research shows that anxiety recruits both cognitive control circuits and threat-detection systems simultaneously. That dual activation increases metabolic demand and sympathetic nervous system arousal.

This is one reason people with chronic anxiety often report:
• Mental fatigue
• Brain fog
• Physical exhaustion
• Muscle tension
• Sleep disruption

Their brains are working overtime even when their bodies are still.

⸻

🧬 Does Thinking Burn Calories Like Exercise?

Well that would be lovely but here’s an important nuance.

While the brain’s baseline energy use is extremely high, most studies suggest that intense thinking does not dramatically increase total caloric burn the way physical exercise does.

However:
• Local glucose use in specific brain regions does rise during difficult cognitive tasks
• Mental strain alters blood flow patterns
• Prolonged cognitive load is associated with subjective fatigue and reduced executive function

So overthinking may not replace your gym session—but metabolically and neurologically, it is still costly to sustain.

Fatigue is not only about calories burned.
It’s also about neurochemical depletion, autonomic activation, and resource allocation inside the nervous system.

⸻

🧘‍♀️ Why Regulation Restores Energy

When practices such as slow breathing, mindfulness, prayer, body-based grounding, or restorative rest calm the nervous system, neuroimaging studies show:
• Reduced activity in threat circuits
• Shifts out of chronic prefrontal overdrive
• Greater parasympathetic activation
• Improved glucose regulation
• More efficient neural processing

That’s not just emotional relief—it’s metabolic relief.

You are literally allowing your brain to step out of high-cost mode.

⸻

🌿 The Clinical Takeaway

So if you tend toward rumination, hypervigilance, or constant problem-solving:
• Your exhaustion makes sense.
• Your body is not weak.
• Your nervous system is doing exactly what it evolved to do—protect you.

The work becomes helping the brain learn when it is safe enough to stand down.

Not through force.
Through regulation.

📝 Bottom Line

✔️ The brain is the most energy-demanding organ in the body relative to its size.
✔️ Sustained cognitive effort and anxiety recruit metabolically expensive neural networks.
✔️ Overthinking keeps those systems running longer than necessary.
✔️ Nervous-system regulation is not indulgence—it’s physiological maintenance.

⸻

On a Personal Note

I used to be an overthinker.

I replayed interactions.
I fixated on past hurts.
I planned endlessly for the future.

And I found all of it absolutely exhausting—with an incredibly low return on investment.

Those mental loops rarely produced anything useful. Almost every time, they landed me in the same place: familiar thought patterns, cognitive distortions, and eventually a negative belief about myself. When the spiral took hold, the conclusion was nearly always the same—and it was never kind.

While it took me the better part of a decade, I can honestly say that I don’t live there anymore.

I am someone who believes deeply in efficiency. And when I truly understood how inefficient that style of thinking was—neurologically, emotionally, and energetically—I made a deliberate effort to retrain my brain.

Now, I’m human, so this isn’t absolute. There are still moments when my mind wanders off. But when it does, I bring it back.

I bring it back to my body.
I bring it back to the present moment.
I bring it back to my breath.

Sometimes that is tiring. Sometimes it means doing it again…and again…and again.

And when that happens, I gently remind myself: we’re not doing this.

So when I lay out the neuroscience and offer clinical recommendations about overthinking, I’m not speaking only as a therapist.

I’m speaking as a human.

I know how hard it is.
It’s hard. It’s not impossible.

p.s. I wrote this. Ai polished the science 😉 not sure how to correct the “ai content” disclaimer every time 🤷‍♀️

09/27/2026
This.
09/27/2026

This.

09/24/2026
09/23/2026

Somatic Morning Routine ☀️

Starting my morning with a few minutes of intentional movement to wake up my body, get things moving, and support regulation.

✨ Hopping — Rhythmic muscle contractions support lymphatic flow and blood circulation.
This is how I gently say wake up to my body

🌿 Breath + opening — Slow, intentional breathing supports parasympathetic activity and autonomic regulation, while opening through the chest and shoulders.
This is how I create space

🌀 Twisting — Gently mobilizes the spine and trunk and supports flexibility.
This is how I welcome movement into my day (I also do some hip shaking when I brush my teeth:)

🌊 Crashing wave — Coordinated, whole-body movement provides proprioceptive and interoceptive input while allowing the body to move through a larger range of motion.
This is how I release

A little movement, breath, circulation, mobility, and body awareness to begin the day. It is literally 3.5 minutes (no one—and I mean no one—is SO busy they don’t have 3 minutes when they roll out of bed). And doing so is a nice way to set the tone:

“I am worth a few intentional moments of movement. Caring for my body is a gift I give myself.”
p.s. the window is open for fresh air please forgive the background noise

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09/05/2026

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✨ PLEASE WELCOME OUR NEWEST SILVER SPONSOR! ✨

We are excited to welcome Monisha Mitchell, LCSW, as a Silver Sponsor of our 6th Annual End of Summer Dinner & 5-Year Anniversary Celebration! 💙💛

Monisha is a licensed therapist and Certified Clinical Trauma Professional with more than 20 years of experience helping individuals manage grief and loss, life transitions, and anxiety, as well as heal from trauma.

Monisha has also been a member of our AAWI community for the past few years, and we’ve enjoyed having her participate in several of our events, including our End of Summer Dinner and Book Club. 💙

We truly appreciate Monisha choosing to support our celebration this year as a Silver Sponsor!

👏🏾 Thank you, Monisha, for your support of AAWI and our 5-year celebration!

If you’ll be joining us at the dinner, please be sure to say hello to Monisha and learn more about the work she does.

I’ll share her website and page in the comments so you can connect with and support her! 💛

Today I’m grateful for my immune system.The immune system isn’t just something that fights infection—it’s one of the bod...
07/14/2026

Today I’m grateful for my immune system.

The immune system isn’t just something that fights infection—it’s one of the body’s constant protectors. Every moment of every day, it scans, communicates, adapts, repairs, and responds to help keep us alive. Most of its work happens quietly, without us ever noticing.

When we become ill, it’s easy to feel frustrated with our bodies. But many of the symptoms we dislike—fatigue, inflammation, mucus, fever—are often evidence that our body is working hard on our behalf.

Our bodies are not our enemies. They are doing their best with the information and resources they have.

Today, I’m choosing gratitude for the unseen intelligence within me and for a body that never stops trying to protect and heal.

And I’m sharing my favorite meditation that supports my body as it does it’s most essential work

Check out this great listen on Audible.com. This guided meditation contains hypnotic suggestions, healing guided imagery and affirmations for boosting your immune system naturally. It is designed to promote general wellness and resilience, support the body's normal, ongoing protection against any .....

🌿 Building Positive Self-RegardSelf-regard is the ability to see yourself with the same compassion, respect, and appreci...
06/23/2026

🌿 Building Positive Self-Regard

Self-regard is the ability to see yourself with the same compassion, respect, and appreciation you so freely offer others. Most of us have no trouble recognizing bravery, kindness, discipline, or honesty in the people we admire—but when it comes to ourselves, our inner voice often becomes critical, dismissive, or harsh…so your inner critic can take a step back for this exercise; ask your inner cheerleader to step forward!

By identifying qualities you value in others and then recalling moments when you demonstrated those same qualities, you begin to challenge the belief that you are somehow less worthy, less capable, or less admirable.

The truth is, the traits you celebrate in others exist within you, too.

You cannot say you’ve never been brave, kind, honest, disciplined, or resilient. Everyone (yes you too!) has embodied these qualities at some point. Learning to recognize them in yourself is an important step toward building healthier self-esteem and a more compassionate relationship with yourself.

✨ Follow me for exercises to strengthen self-worth, foster healing, and cultivate emotional wellness.

06/19/2026
06/17/2026

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Carmel, IN
46032

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