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Stop Telling People Not to Worry!

I go through some version of this with nearly every client I meet with.

Client: I feel (insert feeling) and (insert self-defeating thought) keeps running through my head 

Me: Has anyone ever told you to stop feeling that or thinking that?

Client: Yes 

Me: Has it ever worked?  Do you stop thinking or feeling that way?

Client: No!  It never works. 

Me:  Do you ever try to tell yourself ‘just stop’?

Client: Yeah. 

Me: Does that ever work?

Client: No. 

Me:  Okay.  I’m never going to expect you to just stop thinking or just stop feeling anything.

Client: Good.

 

That may sound familiar. Now,  let’s break things down a bit.

Phrases like “don’t worry” or “you don’t have to be angry about this” or “just stop being so sad all the time” can be said with great intentions.  Parents, friends, and spouses want to alleviate pain.  They don’t want to watch their loved ones suffer, so they tell you not to suffer (presumably for your own good).  As the example above illustrates, this never really works.  No one really ever hears the words “don’t worry” then instantly refrains from worrying.  There is no direct switch for thoughts and feelings, so telling someone to stop or change them with any sense of immediacy puts them in a bad spot.  This is especially true when individuals are combating symptoms of depression and anxiety.

When they’re worried, they’re worried.  When they’re worried and they’ve been told to stop (in any myriad of ways), they find themselves in a situation where they’re suffering from their worries AND from their failure to stop worrying.  These well-intentioned comments aimed at reducing suffering can actually have the opposite effect, intensifying the distress despite the great intentions.

What’s a better alternative when you recognize someone you care about it struggling?  What can you provide for others and what can you ask for when you’re facing a challenge?

  1. Acknowledge the emotion/concern/suffering:  It sounds like you’re really worried and feeling overwhelmed about this new position.
  2. Find ways to agree:  There’s a lot to worry about when you’re starting a new job.
  3. Offer support:  Is there anything I can do to help?
  4. Solidify Support/Offer specific support: I’m here for you if you need anything.  Can I help distract you for a while?  Can I tell you about a time I felt worried?  Can I give you a hug?
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10 Most Common Distorted Thinking Patterns: 2

Last time we focused on one distortion that created catastrophes from our imagination and another that was the least helpful filter ever.  Today we’ll explore black-and-white thinking and mind-reading.  We’re on our way to covering all ten…but tackling two at a time seems halfway reasonable.  There was a time when these distorted thinking patterns were referred to as “irrational” thoughts.  While I understand the technical absence of rationale inherent in these thought patterns, “irrational” carries some significant negative connotation.  It’s often an accusation or an insult – “Ughhh!  Stop being so irrational!” or “If you weren’t being so irrational…”  This negative connotation and these types of comments are disproportionately directed at women, but in my experience, men are just as likely to fall into these “irrational” patterns as women.  In order to start from a place from equality (less accusatory and insulting), let’s stick with referring to these extremely normal, yet unhelpful, thought patterns as “distorted.”

  • Catastrophizing
  • The Mental Filter
  • Black-and-White Thinking
  • Mind-Reading
  • Emotional Reasoning
  • ‘Shoulding’
  • Personalization
  • False Permanance
  • Blaming
  • Magical Thinking

Let me remind you – as you begin to challenge these distortions, take the time to write down the specific unhelpful thoughts as you recognize them and write down the alternative thinking patterns that will set you on the path to healthier ways of perceiving your experiences.  You’ll see overlap in how these patterns feed into one another, each one making the others a little easier to believe, creating a seemingly unified (albeit distorted) vision of life.  Don’t be fooled.

  •  Black and White Thinking: This distorted lens can create false dichotomies in any and every situation.  It polarizes every effort, every person, and every experience.  This means that your workout was either AMAZING or absolute MISERABLE.  You looked PERFECT or HORRID.  You’re a great parent or an abject failure.  You’re the best or your nothing.  Your goals DOMINATED or you FAILED.  This distortion also seems to mandate the use of absolute language.  Whenever you hear “always”, “never”, or “everytime”, you’re likely dealing with black-and-white thinking.  Spending too much time thinking this way can easily lead to hopelessness – it becomes almost impossible to feel successful.

Challenging Black and White Thinking:  You may see some significant similarities with the Mental Filter problem.  These two distortions go together.  By filtering out all positive aspects of person, thing, or experience, it quickly becomes an extremely negative version of itself.  Black-and-White thinking confirms and amplifies the contrast between your hopes and your reality.  Your task is to find the gentle middle ground in-between the harsh extremes.  Acknowledge that you weren’t perfect or horrid; your workout wasn’t amazing or miserable.  Most things are someplace in between.  Allow for (and even cultivate) more complex perceptions.  Actively identify the aspects that are going well and the ones that aren’t – incorporate both sides, and avoid the absolutes.  If your mind give you a “never” or “always,” recognize it for what it is, and start to celebrate the successes that will almost certainly be found in the middle-ground.

  • Mind-Reading:  I’d like to believe that if I had the capacity to read minds, I would use it for more than confirming people’s negative perceptions of me.  Unfortunately, this distortion takes the concept of mind-reading to very dark places.  The mind-reading distortion allows us to be fully hooked into the assumptions we make about what others are thinking.  We become certain about their intentions and how they really feel.  It may be something straightforward like, “She thinks I’m stupid” or “He hates me.”  Throw in a few additional layers of social networking and mind-reading becomes extremely complicate and messy.  It can destroy relationships and lead to a sense of constant social pressure when the assumptions are self-critical.  A wave and a smile becomes a sinister ruse aimed at tricking you into foolishly desiring a friendship you don’t deserve (insert evil laugh)!!!  Or…maybe it was just a smile and a wave.

Challenging Mind-Reading:  It wouldn’t be responsible for me to tell you to just stop doing it.  I’ll try to be a bit more helpful.  A large factor in challenging this distortion is simply becoming aware of when you’re doing it and then not buying into the story.  If you’re well practiced at mind-reading (many of us are), the information that was gathered telepathically immediately becomes integrated into the mental narrative as fact.  Recognizing where the information came from can loosen the “fact” label significantly. Ask yourself, do I know this or am I assuming it? When in doubt, stick with external observations.  What did they DO?  What words did they say?  List what you observed, making sure it’s free of assumptions or judgments, then respond accordingly.  They smiled and waved, now I will smile and wave.

Alternatively many times you can just ask what someone is thinking or feeling.  You might say, “I noticed you were scowling, and I’m a little worried you’re upset about something I did.”  No need to assume.  If you insist on assuming, and creating a narrative based on those assumptions, the very least you can do, is build and interesting and helpful narrative rather than one that is destructive and critical.

 

Next we’ll cover Emotional Reasoning and, one of my personal favorites, Shoulding

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IT’S A TRAP! 10 Most Common Distorted Thinking Patterns

We all get ourselves a little twisted sometimes.  I start to think the world will collapse if I miss the trailers that run before the movie starts at the theater.  I question my ability to function as an adult when I occasionally falter in completing my responsibilities (as a parent, business owner, therapist, etc.).  Sometimes, I blame others, complain unnecessarily, and make utterly unhelpful assumptions about my circumstances and the people around me. In summary, I can simply say…I am human.  My mind carries me to places that create and amplify distress without regard to reality.  My thoughts become distorted and I suffer the consequences.  The examples above are a few common iterations of distorted thinking.  Over the next few weeks, I’ll breakdown some of the more destructive patterns and offer tips on how to manage these ten beasts:

  • Catastrophizing
  • The Mental Filter
  • Black-and-White Thinking
  • Mind-Reading
  • Emotional Reasoning
  • ‘Shoulding’
  • Personalization
  • False Permanance
  • Blaming
  • Magical Thinking

As you begin to challenge these distortions, take the time to write down the specific unhelpful thoughts you recognize and the alternative thinking patterns that will set you on the path to healthier ways of perceiving your experiences.  You’ll see overlap in how these patterns feed into one another, each one making the others a little easier to believe, creating a seemingly unified (albeit distorted) vision of life.  Don’t be fooled.

  •  Catastrophizing:  With this distortion, all things become epic disasters (at least in your head).  When we catastrophize, a poor grade on a test becomes a wasted semester.  An unanswered phone-call becomes a break-up, a death, or some sort of missing person scenario.  Stomach pain becomes an aggressive cancerous tumor, and being late for a meeting becomes certain termination and chronic unemployment.

Challenging Catastrophizing:  This negative fortune-telling often stems from the question, “What if…?”  One solution is to answer the “what if…” question in a way that is NOT distressing.  The poor grade on the test merely means some additional studying on the next test.  The unanswered phone call is because of a mid-afternoon nap or a phone that was incapacitated due to being dropped in the toilet.  More important than making a more optimistic prediction is the recognition that the assumptions we make are nothing more than creative thinking, a short-story brainstorming session, a fiction writing workshop. There is no need to respond (emotionally or otherwise) as if those thoughts/prediction/assumptions are reality.  If you “just know” something horrible is going to happy, you’re likely catastrophizing and would benefit from loosening your grip on the negative narrative.

  • Mental Filter:  An oil filter removes foreign objects to keep your engine running smoothly.  A pool filter keeps the water free of debris, allowing you to enjoy a cool dip in pristine water.  The distorted mental filter, however, leaves you with only the gunk, eliminating the helpful, supportive, validating thoughts necessary for us to flourish. There are two major types of filter and they are often applied together.  Both are frequently self-directed, but they can be just as harmful in interpersonal relationships.
    1. Focusing on the negative:  One version of this filter effortlessly and automatically hones in on all the worst aspects of any experience.  Did you misspell one word in that 10-page assignment?  The negative mental filter focuses in on that solitary mistake and shouts “FAILURE” rather that embracing the accomplishment of completing a lengthy assignment (even if there were a few mistakes).  A great evening out with your spouse may go down the tubes because of a 5-minute conflict or one awkward moment.  One small piece of constructive feedback from a boss after heaping praise on you?  Focusing on the negative has you believing the boss is going to fire you (or at least hoping you quit).
    2. Dismissing the positive:  This form of the mental filter often goes hand-in-hand with a negative focus…but it doesn’t even require you to make an actual mistake or have an uncomfortable experience.  When you’re automatic response to a compliment is, “You’re just being nice” or “You don’t really mean that.”  You’re viewing life through this filter.  When you win the gold medal and follow it with a “Yeah, but….” you’re becoming more effective at diluting, dismissing, rejecting, and otherwise avoiding the joyful experiences in your life.  Dismissing the positive means you don’t receive, in any genuine way, the validation, recognition, or appreciation being offered in your daily interactions.

Challenging the Mental Filter:  When you find yourself focusing on the negative, strive for balance – the ability to identify and embrace the dichotomy inherent in everything.  KEYWORD = AND.  “I wrote a great paper AND there were a couple mistakes.”  “My supervisor likes my customer service AND I’ve still got a few things to learn about the computer system.”  To challenge the tendency to dismiss the positive, work on providing yourself a little more validation, recognition, and appreciation on your own terms.  Find a reason to pat yourself on the back.  If you’re not that impressed with winning the gold medal, congratulate yourself on the hard work and commitment the award symbolizes.  Just find the reason.  Some days that reason is small – getting out of bed, eating something besides Doritos for breakfast, or just brushing your teeth.  Don’t let the relative simplicity of the task stop you from celebrating the accomplishment.  When other people compliment you or want to recognize your greatness in some way, say “thank you,” and refrain from discrediting their high opinion of you*.  Also see ‘Coach or Critic‘ for more thoughts on how be be a little less self-critical.

*This pertains to compliments and positive feedback delivered in a respectful way by well meaning individuals.  “Compliments” in the form of cat-calls or unsolicited objectification can be summarily ignored, redirected, rejected or confronted as necessary.

 

Next time, we’ll breakdown how Black-and-White Thinking and Mind-reading can get us into trouble

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Stress Management and Relaxation Workshops

As I’ve developed as a clinician, I’ve slowly molded my view of mental well-being into what it is today.  My perspective has shifted, expanded, conformed, stretched, and reformed.  Preventative mental health care has become increasingly important.  Diagnosis is not a prerequisite of well-being.  No one has to wait until after a heart attack to initiate an exercise plan.  No one demands that you only see a medical doctor when you’re ill.  In fact, regular check-ups are encouraged.  I’d like to see mental health head in the same direction.  One of the ways I’ve decided to move toward preventative intervention is by offering a stress management and relaxation workshop in my community.  If you’re local, you can register here

The three hour workshop will introduce a variety of relaxation and stress management techniques for those occasionally (or frequently) overwhelmed with significant transitions, work responsibilities, family obligations, or life’s less specific burdens.  By developing a greater understanding of the emotional, mental, physiological, and behavior components of stress, strategies for managing it become much more accessible.  Signing up allows you to join a small group (eight or less) engaging in practical exercises and discussions aimed at cultivating a bit more peace in your life.

Choose any one of the four workshops offered and if you find it useful, feel free to up again to repeat the course.  You can join us in Poulsbo City Hall on:

Saturday April 23rd, 2016 from 9:30am to 12:30pm

Saturday May 7th, 2016 from 9:30am to 12:30pm

Saturday June 18th, 2016 from 9:30am to 12:30pm

Saturday August 20th, 2016 from 9:30am to 12:30pm

If you’d like to have this workshop tailored for staff training or as part of an employee wellness plan, contact me directly to discuss details. [contact-form-7 404 "Not Found"]

 

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Think You’re Relaxing? You May Just Be Distracted.

What do you do to relax?

  1. Read a book
  2. Take a bath
  3. Watch a movie
  4. Go for a walk
  5. Talk to a friend
  6. Drink a glass of wine

Those are the most common responses I get when I ask people how they relax.  Video games, social media, television, shopping, eating, and listen to music all make the list of frequent flyers. Everyone gets stressed, anxious, worried, or overwhelmed at some point, and we all find our own ways to cope.  Some strategies, however, are more helpful than others.  If you nodded your head in agreement as you read through the list above, you may be approaching relaxation very inefficiently.

In many circumstance, that temporary reprieve is enough to “reset” your thoughts and feelings back to baseline. 

Reading a book, watching a movie, or chatting with friends functions as a distraction from the physical, mental, and emotional discomfort you’re experiencing.  In many circumstances, that temporary reprieve is enough to “reset” your thoughts and feelings back to baseline.  The movie is over and you’re worries have subsided.  The riveting mystery novel pulls your thoughts away from the dangerous world around you and allows you to ruminate on which character is a red herring and which is the criminal mastermind.  An engaging conversation sometimes provides resolution, occasionally escalates stress, and often allows focus to shift away from your problems onto someone else’s concerns.

Taking a bath by candlelight can provide an alternative, more comfortable, physical experience.  A bath also requires a certain level of unplugging from the day-to-day grind.  Hopefully, you don’t take your laptop or phone into the bath with you.  When you’re in the tub, you’re not expected to cook dinner, fix the faucet, finish homework, fold laundry, pick up the kids, clean the house, or mow the grass.  You’re relieved of those obligations (momentarily).  A brisk walk serves a very similar function in terms of alleviating the sense of obligation and opening yourself up to new sensations – beautiful views, the smell of fresh air, a warm breeze on your face, etc.

The glass of wine chemically alters your experience.  Alcohol is a depressant, so it can mask some of the physical discomfort associated with elevated stress levels.  Some people use wine as an add-on to one of the other strategies.  A good book and wine.  An exciting movie and wine.  A bath and wine.

These strategies are, at best, inefficient methods of relaxation. 

The whole list would best be described as distractions.  Distractions that sometimes help to momentarily reduce stress.  These strategies are, at best, inefficient methods of relaxation.  That’s not to say they don’t work for some people, and they certainly don’t need to be altogether avoided.  Relaxation, I argue, is a skill unto itself.  Therefore, the only proper way to relax is to intentionally and directly practice relaxation.  I know it’s circular logic. “In order to relax, you have to relax.”  Here’s what I mean.  Relaxation is an active reduction in physiological arousal.  It’s a skill you can improve.  With practice, you can achieve deeper relaxation in less time.  All the changes that occur when we are stressed – increased heart rate, muscle tension, altered breathing patterns, increased blood pressure, disruptions to digestion, mental fog, pressured speech, and general unrest – can be actively managed.  Relaxation exercises such as controlled breathing, progressive muscle relaxation, autogenics, mindfulness meditation, and guided imagery offer a concrete tool to reduce the symptoms of stress and anxiety.

By practicing the skill of relaxation, you can effectively move your baseline level of stress.  If you run through your day with baseline stress of 65/100, and when it hits 80, you give yourself permission to regroup with a glass of wine in a warm tub, chances are, by the time you towel off, you’re down to a 65.  Now, 65 is normal, so it feels like you accomplished something and that the bath was effective.  By practicing relaxation skills like the ones listed above, you can shift your baseline.  With consistent practice, 50  (or 40…or 30) becomes the new normal and you’ve got much more bandwidth before you get overwhelmed.  Additionally, the relaxation skills toolbox is filled with strategies that can be applied much more pervasively.  Stressed at work?  Good luck sneaking away to some dark corner to watch a movie.  Anxious about traffic?  There’s no way you’re taking a walk or slipping into a bath.  The most useful strategies for relaxation can be used anywhere at any time (I’m especially talking about controlled breathing here).

This way of looking at relaxation parallels physical fitness.  You don’t go for a jog exclusively when you’re sick, injured, or otherwise sub-optimal in terms of health.  You exercise consistently in order to ensure that your overall fitness helping you enjoy life.  Most days you don’t need to be incredibly fit, but it sure is nice to have it when you need it.  The same goes for relaxation.  You won’t need it every day, but if you haven’t been practicing, you won’t have it when you need it most.

You won’t need it everyday, but if you haven’t been practicing, you won’t have it when you need it most.

Give yourself a week or two, genuinely practicing active relaxation.  Take five to 15 minutes daily to listen to one of the exercises above, and let me know how it changes the way you experience stress.