Abstract
Mental imagery is the ability to mentally simulate sensory experience in the absence of an external stimulus, with individual vividness ranging from extremely weak or absent (aphantasia) to superlative and hyper-realistic (hyperphantasia): these ends of the spectrum are called “imagery extremes”. Though most imagery extremes research is focused on aphantasia, given that mental imagery is thought to play a critical role in the presentation of mental health disorders, as well as being central to many therapeutic interventions, this study aimed to explore the lived mental health experiences of hyperphantasics with anxiety. Eight hyperphantasics were recruited from a database for those interested in taking part in mental imagery research. All participants had a diagnosed anxiety disorder, and experience of accessing mental health services within the UK. Interpretative Phenomenological Analysis was used to analyse their semi-structured interviews. Three Group Experiential Themes were identified for all participants: 1) Blurred Boundaries with Reality, 2) Limitless Imagination, and 3) Pathways to Managing Anxiety. The multisensory and emotional intensity of hyperphantasic imagery experiences related to anxiety created a realness of experience which was difficult for participants to describe and manage. Limitless imagination could be perceived as a threat when participants were not in control of their imagery; however, it was a source of great joy and calmness when participants were in control. Participants managed their anxiety by disconnecting from their mental imagery and engaging in the world around them, or by finding ways to use their abilities to support themselves. Research and clinical implications are discussed.