“…Their thinking can become preoperational, egocentric, and sometimes animistic" [25, p. 83]. In fact, the Diagnostic and Statistical Manual of Mental Disorders-4th Edition (DSM-IV) criteria for depression includes "diminished ability to think or concentrate" [26, p. 327] and studies, such as those undertaken by Costello [27], Cutting and Ryan [28], and Slife and Weaver [29], have reported impairment of verbal reasoning and metacognitive deficiencies in depressed patients. A similar presentation is seen among anxious patients where, according to Beck and Emery [30], the presence of high levels of hypervigilance severely limits ability to focus on specific tasks or to engage in reflective thinking.…”