CBT

What If Everything You Know About Anxiety Is Wrong?

By Annabelle Parr, MA, AMFT

When we experience anxiety, our minds are really good at coming up with all kinds of “what if” thoughts. And those worried thoughts often deal in extremes and absolutes, like the title of this post.  

Good news: it’s unlikely that everything you know about anxiety is wrong.

If you’ve ever experienced anxiety, at the very least you know what it feels like in your mind and your body. But it is possible that some of what you’ve learned about anxiety is not workable (that is, it doesn’t move you toward the kind of life you want to live).

Anxiety in the information age:

These days, the internet is filled with articles and podcasts discussing stress, anxiety, and self-care. It is so important to make information accessible and to talk openly about the difficult and painful parts of being a human. When we are suffering, knowing that we are not alone in our experience can make all the difference.

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As much as it is wonderful that these topics are getting so much air time, the way we talk about them matters.

As anxiety is a rather hot topic these days, we decided to bust some of the common myths that, though well intentioned, can actually keep us stuck.

Myth #1: You can self-care your way out of anxiety.

There is a fair amount of content out there that sends the message that if you just take enough bubble baths, do enough yoga, or drink enough herbal tea, your anxiety will finally go away. Or that if you’re ever going to get a handle on your anxiety, you have to eat healthy, get good sleep, and exercise regularly. None of those activities are bad or wrong, and they can help us feel good.

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But when we engage in a behavior (ANY behavior – even “healthy” behaviors) where the purpose is to control or avoid our internal experience, we may paradoxically find ourselves even more stuck. Our anxiety might go away momentarily, but we may find that in the long term (or even in the middle of downward dog) our anxiety actually gets more powerful. And then when anxiety doesn’t go away, we think that we are doing self-care wrong, or worse, that there is something wrong with us since it’s not working. Cue cycle of chugging herbal tea and feeling anxious about the fact that we are still feeling anxious. 

Myth #2: If you just got the hang of positive thinking, you’d be anxiety-free.

If positive thinking works for you, helps you cope, and allows you to be the person you most want to be, carry on. But if it doesn’t, you are not alone. When I am at my most anxious or upset, trying to convince myself to believe a more positive thought often makes me feel worse. I might be able to come up with a more positive thought, but then I just feel frustrated that I can’t make myself believe it. Research supports that trying to suppress our thoughts can actually increase the frequency and intensity of the very thought we are trying to avoid.  

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While traditional Cognitive Behavioral Therapy works on helping people to engage in more balanced thinking (NOT unrealistically optimistic positive thinking), Acceptance and Commitment Therapy can help us change our relationship to our thoughts. Our thoughts, after all, are just words. Sometimes they have helpful information to share, but they aren’t always great at communicating it to us. 

Myth #3: You need your anxiety to go away before you can do the things that matter to you.

Anxiety is good at convincing us that we can’t or shouldn’t do things that matter to us until we feel less anxious. But the best antidote to anxiety is doing what matters to you even when anxiety is at its loudest. Because here’s the thing: anxiety typically shows up around the things that you care most about. So if you wait for anxiety to go away before you go after the life you want or before you show up as the kind of person you want to be, you may end up waiting forever.

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So is your anxiety coping skills toolkit workable?

Workable simply means: does this behavior help you move in the direction of your values (who and how you want to be in the world) and does it have a cost to you? So if you have a stellar self-care routine that helps you feel more present, engaged and able to show up in your life as the person you want to be, keep doing your thing. And if positive thinking has helped you live a more meaningful, fulfilling life, keep it up.

But if you find that you are trying to control your anxiety and make it go away, and instead it just keeps getting more powerful, more intense, and more uncomfortable as your life gets smaller and more restricted, Acceptance and Commitment Therapy (ACT) may help. ACT is designed to help you change your relationship to anxiety and help you develop psychological flexibility: the ability to do what matters to you no matter what.

IF YOU FIND YOURSELF STRUGGLING, FEELING STUCK, AND/OR COULD USE SOME HELP NAVIGATING YOUR FEELINGS, YOU COULD BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY, ACCEPTANCE AND COMMITMENT THERAPY, MINDFULNESS, AND TELEMENTAL HEALTH SERVICES. SAN DIEGO PSYCHOTHERAPY CAN HELP. WE CAN BE CONTACTED AT 619-269-2377.

Feeling Guilty for Having Feelings?

By Annabelle Parr, MA, AMFT 

The past five months have been painful, and as our world has turned upside down, it makes sense that we may have felt some combination of anxiety, fear, sadness, depression, grief, frustration, and/or anger during this time. Despite the fact that we are in the midst of a global pandemic, our minds are really good at dismissing our very legitimate pain by coming up with all kinds of stories about how things “could be worse,” or how we “should be grateful” for what we have when others are struggling or have struggled more than us.

Perhaps the only thing that can make pain hurt more is feeling guilty for having it.

It goes without saying that pain hurts. And our minds, designed to protect us and keep us safe, want to problem solve our way out of emotions that hurt. So our minds begin to tell us these stories about our pain and how we shouldn’t have it, in hopes that it can be avoided or controlled. But do these stories truly help us move through our pain more effectively? Do they help us show up to this moment as the kind of person we want to be in the world?

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Let’s start with the “it could be worse” story.

It is probably true that things could be worse.

But pain isn’t meant to be compared. Someone always has a more painful or uncomfortable situation, and if we want to compare our pain to that of others, we will find no shortage of suffering. Just because someone else has it worse, that doesn’t mean our pain is insignificant. 

And here’s the thing: we are in the middle of a PANDEMIC.

That’s really hard. It means we are all dealing with some sort of loss. And yes, some losses are bigger or more painful or permanent, but loss is loss and it hurts no matter how big or seemingly small. So yes, perhaps it could be worse. But that doesn’t mean this isn’t painful. 

What about the “we should be grateful” story? Isn’t it good to be grateful and think positive?

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Gratitude is a beautiful thing, but it cannot exist without pain.

Contrary to what our minds may tell us, gratitude and pain are not mutually exclusive. In fact, they are inextricably intertwined. Because in order to experience gratitude, we have to value and care about the person or thing for which we are grateful. And we only feel pain around the things that we care about and value. So when we squelch our pain, we squelch our capacity to care, and we also deny ourselves access to gratitude.

Plus, gratitude loses its goodness when it’s used as a punishment for pain.

Using gratitude as a way to try to chastise ourselves out of our pain (“You should be grateful! Don’t you know it could be worse?”) is unlikely to be effective. The more we try to control our emotions, the more entrenched they become. Not only does this strategy tend to be ineffective, it also warps gratitude from something beautiful and meaningful to a punishment for having legitimate emotions.

It’s not pain OR gratitude. It’s pain AND gratitude.

Rather than using “it could be worse, you should be grateful” stories to try to guilt ourselves out of having any anxiety, anger, pain, or grief, we can let our pain exist, acknowledging that emotions are not problems to solve. They simply are. AND we can also intentionally choose to pay attention to what is good in our lives.  We can even use our pain to help guide our focus toward what is important to us. For example, if I am grieving the loss of hugging loved ones, I can also connect with gratitude for having family that live near me. It’s both/and, not either/or.

Gratitude is an action, as much as it is a feeling.

When we are in the middle of a wave of sadness or anxiety over this whole situation, we might not feel particularly grateful. However, we can still choose to act in a manner that expresses gratitude to those we love or appreciate. We can write thank you notes to our doctors or healthcare workers, or we can call our parents or grandparents, or we can choose to say thank you to the grocery workers in the checkout line.

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None of this erases our pain, nor is it meant to do so.

Instead, it simply connects us with what matters, and helps us to show up in our lives and relationships in a manner consistent with the kind of person we want to be. It helps us be present for the goodness so that the important things don’t pass us by. And it is a reminder that our current emotional state does not control or define who we are, and we do not have to control our emotions in order to choose our actions.

So if you are not feeling grateful (or whatever you think you “should” be feeling), that’s okay.

If you value expressing gratitude, you can choose to take actions consistent with this value whether you feel grateful or not. You get to decide what you do. But you cannot force yourself to feel or not feel something. So give yourself grace, and remind yourself that even if it could be worse, that doesn’t mean this shouldn’t hurt.

IF YOU FIND YOURSELF STRUGGLING, FEELING STUCK, AND/OR COULD USE SOME HELP NAVIGATING YOUR FEELINGS, YOU COULD BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY, ACCEPTANCE AND COMMITMENT THERAPY, MINDFULNESS, AND TELEMENTAL HEALTH SERVICES. SAN DIEGO PSYCHOTHERAPY CAN HELP. WE CAN BE CONTACTED AT 619-269-2377.

I Get Nervous in Social Situations…Do I Have Social Anxiety Disorder?

By Annabelle Parr

Most of us probably know what it’s like to feel nervous about public speaking or before going on a first date. We might feel anxious before a job interview, or find our palms get sweaty right before we shake hands with someone we’ve just met. But for the 7 percent of US adults that experience social anxiety disorder in a given year, the fear of humiliation and embarrassment can be debilitating (National Institute of Mental Health, 2017).

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What is social anxiety disorder?

Getting anxious in a social situation does not mean that you have social anxiety disorder. In order to receive this diagnosis (American Psychiatric Association, 2013), you must experience persistent fear or anxiety about one or more social situations, causing you to either avoid or suffer through the feared situation. In addition, you must also fear that your behavior will reflect your anxiety and that this will lead to negative social repercussions, like humiliation or rejection. Finally, the anxiety must be out of proportion to what might be expected in that context. This fear, anxiety, or avoidance around social situations must last for at least 6 months and it must make it difficult to function in important areas of life, such as work, school, or relationships. 

What are some examples of situations that trigger social anxiety?

Individuals experiencing social anxiety might find themselves feeling anxious about any number of situations, including making small talk with coworkers, interacting with the cashier at the grocery store, ordering a latte, going on dates, attending parties, eating in public, giving a speech or presentation, or performing in front of an audience. The main fear underlying social anxiety is experiencing rejection or humiliation.

Social anxiety isn’t all bad.

Like all anxiety disorders, social anxiety disorder is an adaptive response gone awry. The reason we all know that heart pounding, cheeks flushing, palms sweating reaction to a nerve-wracking social situation is that we have evolved physiologically to avoid any trace of rejection. Humans are inherently social animals, and our survival has depended upon our ability to function in the context of relationships. Beyond basic survival, relationships also add joy and meaning to our lives. As a result, we are literally neurologically wired to connect with one another. We achieve that social connection by concerning ourselves with what those around us think, need, and feel. Imagine a world where everyone only cared about themselves and paid no attention to the impact they had on others…yikes! So a little anxiety around situations that might result in rejection can be a really healthy, adaptive response. However, if you find yourself so afraid of rejection that you can’t be vulnerable enough to engage in necessary or meaningful social interactions, that’s when social anxiety can become problematic.

Risking rejection is part of the process of having deeper connections.

The paradox here is that in order to seek connection, you are also automatically risking rejection. You cannot get the joy and reward of interacting and bonding with others if you are not also willing to accept that this will sometimes result in pain, embarrassment, or rejection. Social anxiety disorder – unlike manageable anxiety that shows up in any number of vulnerable situations – hinders connection because the desire to avoid rejection overwhelms the impulse to seek connection. In other words, you miss out on both the risks and the rewards.

What are the consequences of social anxiety disorder?

When social anxiety reaches disordered levels, it can make it impossible to focus on anything but anxiety, so you are unable to be truly present in the situation and you white-knuckle your way through. Or it is so overwhelming that you avoid the situation entirely, and life becomes restricted by fear. It can result in isolation, loneliness, and underperformance in areas which you might otherwise excel. The catch is that the anxiety is so strong that it prevents you from learning that a positive outcome is possible. In Acceptance and Commitment Therapy (ACT), this is called experiential avoidance.

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Does social anxiety have to rule my life?

No! The good news is that social anxiety is highly treatable. With Cognitive Behavioral Therapy (CBT), clients can learn to reframe their anxious thoughts to be more realistic, as opposed to catastrophic. They can learn that anxiety is not all bad, but how we view it drastically affects how it impacts us. And with the help of a therapist, they can learn to slowly face the things that have come to feel impossible. ACT, the third wave of CBT, can also help clients to get in touch with their values and act in ways that bring meaning to their lives, even when they are experiencing something difficult, like anxiety or fear.

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Getting anxious in social situations is a pretty universal experience. It’s hard to find someone who has never been nervous about some kind of vulnerable, human-to-human experience. But when it becomes something that is making it difficult to engage in life in the ways that bring you purpose and joy, it might be worth reaching out for some help.

IF YOU FIND YOURSELF STRUGGLING, FEELING STUCK, AND/OR COULD USE SOME HELP NAVIGATING YOUR FEELINGS, YOU COULD BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY, ACCEPTANCE AND COMMITMENT THERAPY, AND MINDFULNESS. DR. SHOSHANA SHEA CAN HELP. SHE CAN BE CONTACTED AT 619-269-2377.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

National Institute of Mental Health. (2017). Social anxiety disorder: Statistics [Webpage]. Retrieved from https://www.nimh.nih.gov/health/statistics/social-anxiety-disorder.shtml 

What We Resist Persists

by Shoshana Shea

Have you ever had these thoughts: “Everything REALLY IS fine, so why do I feel so sad?”  Or “I’m unhappy, yet I have nothing to be unhappy about.”  Or “I have a lot of NOISE in my head; I can’t get this nagging feeling to go away, even though I have a ‘good life,’ overall.”  Normally, our first instinct is to rationalize or push away uncomfortable feelings.  We try to think our way out of these painful periods in our lives. And for the most part, that has worked out fine.  On the other hand, we have never fully gotten rid of the thought, “Maybe I could be happier?”  Or perhaps we know we’re not happy, but we feel stuck and don’t know what to do.  Despite trying to push the thoughts away, they can become more intrusive, more frequent, and more oppressive.  In Acceptance and Commitment Therapy (ACT) there is a common saying, originally opined by famous analyst, Carl Jung: “what you resist persists.”  In other words, even our life long strategies of thinking ‘harder,’ or further rationalizing, and/or attempting to ignore our feelings, can become ineffective in pushing pain away.

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This is not necessarily a bad place to be in your life.  According to Buddhist nun, author, and world renown teacher, Pema Chodron (1997), “...feelings like disappointment, embarrassment, irritation, resentment, anger, jealousy, and fear, instead of being bad news, are actually very clear moments that teach us where it is that we’re holding back. They teach us to perk up and lean in when we feel we’d rather collapse and back away. They’re like messengers that show us with terrifying clarity, exactly where we’re stuck. This very moment is the perfect teacher, and lucky for us, it’s with us wherever we are.”

I’m fine, but not really.

This “I’m fine, but not really” experience can happen in any situation in our life – in our romantic relationships, friendships, work, family, and inside ourselves.  Consider this scenario: Sally has a decent paying job, but she is overworked. She comes home feeling drained and anxious, sometimes numb. The boss just gave her a cost of living raise, but not a merit one.  She has the thought, “I should just be happy I have a job at all when so many people don’t.”

Why do the thoughts persist?

The thoughts persist because our body is trying to alert us that ‘an important something’ is needing our attention, and we can no longer continue the way we have been doing so.  Our job is to do a deeper investigation in order to generate more effective coping strategies in our lives and ultimately, to move in a more meaningful life direction.  The thoughts will continue as long as we don’t address the underlying causes.

Our brain runs on templates

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Another reason these thoughts persist is that our brains will engage in familiar behavioral and thinking patterns that maintain the status quo.  We want a quick fix where relief is readily available.  Having to sit and do a deeper investigation of our feelings and possibly take actions that initially heighten our pain for the purpose of getting the long-term pay-off is not to our brain’s liking.  We will, therefore, look for coping strategies that are readily accessible and that we have utilized in the past. Given that our neural pathways like this familiarity and run on these (often outdated) templates to help us cope and navigate any situation, we will avoid trying something new or unfamiliar; even if that familiarity does not involve a happy outcome, it’s a predictable one. 

Forging a new neural pathway is akin to having to cut down a path through a cornfield

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Furthermore, creating a new neural pathway has been compared to walking through an overgrown cornfield, as opposed to a path that is already cut down and well-tread. Forging a new path is akin to taking out a pocket knife and cutting down one stalk at a time.  That can be fairly disheartening and who knows what lies on the other side of the field, so why expend the effort?  An even more unsatisfying work situation or relationship may be at the end of the path.  So we fall back on old “safe” behaviors and continue to feel unsatisfied in our lives.

The paradox in all this is that this built-in mechanism that is meant to protect us is actually keeping us from being more content in our lives.  The Rochester Meditation Center’s Daily Tejaniya for May 2, 2018 captures that idea perfectly: A meditation student said her meditations were deeply unpleasant because she had to face a torrent of random thoughts, distracting fantasies, and harsh self-judgments.  “Do you want it to stop?” Sayadaw asked her.  “Yes!” she said. “That’s the problem,” he said.

So What Can We Do?

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  1. Stop struggling, as the example with the meditation teacher and student above implies, we have to stop pushing back on the thoughts and telling ourselves we can’t think that way. Remember, what we resist persists!
     
  2. Thoughts are not the problem – Acknowledge that the thoughts are there, and know that our brains, albeit exhausting, are trying to find a quick fix to the situation by thinking ‘harder.’ 
     
  3. “You can’t control your first thought, but you can [certainly] control the second” (Hendrix & Hunt, 2013.) The first thought is our primal brain (i.e., the part of the brain that we share with many other species) reacting to pain and perceived danger. The second thought has the potential to engage our higher ordered thinking human brains, in a more fully embodied way, to include more information than our initial thoughts. This is our opportunity to look at the larger picture!
     
  4. Understand that the thoughts and emotions are there for good reason.  Something does need our attention; however, we need to engage our thoughts in a different way, not by pushing back on them or getting pulled down into their content.
     
  5. Sometimes we do have to make some hard choices – Initially, in the short run, we may have to make some difficult decisions and put in some hard work, for the long-term payoff. As in the case of Sally, she may need to find a new job and/or take a pay cut at first, so she can ultimately have more upward mobility.  That will likely involve more pain at first; our brains don’t like that, and will tell us all kinds of stories about why we can’t handle making a change in our lives.
     
  6. The body never lies – If we are in pain, our body is only alerting us to that and wants us to move towards a better quality of life.  The body knows making a mindful change will lead us to a better place.  Instead of loneliness and disconnection, if we tune into our “gut,” ultimately, we will come to a more connected fulfilling place.
     
  7. Therapy can be helpful to make some changes – A therapist can identify where we are getting stuck and help us relate to our thoughts in a more helpful way. By taking us through a deeper investigation, our wisdom can emerge to help facilitate meaningful changes and action in our life.

If you find yourself struggling, feeling stuck, and/or could use some help navigating your feelings, you could benefit from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Mindfulness. Dr. Shoshana Shea can help. She can be contacted at 619-269-2377.

References:

Chodron, P. (1997). When things fall apart. Heart advice for difficult times. Boston, MA: Shambala Publications, Inc.

Hendrix, H.  & Hunt, H.L. (2013). Making marriage simple. 10 relationship-saving truths. New York, NY: Harmony Books.

The Rochester Meditation Center. (May 2, 2018). The Daily Tejaniya.

Reframing “Failure”: Trial and Error or Trial and Adjustment?

by Shoshana Shea and Annabelle Parr

How do we learn new things? Trial and error. Error is vital, but it is not the endpoint the way the phrase “trial and error” suggests. Instead, it is a signal that something needs to change. It gives us the information we need to make an appropriate adjustment to our behavior to either improve or redirect ourselves. So life is not really about trial and error, but trial and adjustment.

We embrace error and adjustment with babies.

We don’t expect an infant to come out of the womb knowing how to walk. We recognize that in order to learn, they will fall and get bruised up, and inevitably encounter pain. But we recognize failure as integral to the growth required to walk.

Furthermore, because we don’t expect instant perfection from young children, we recognize, honor, and validate each milestone on the path toward success. If walking is the end goal, then crawling isn’t failure, but rather a necessary step or adjustment towards the ultimate goal.

So why don’t we embrace erring and adjusting in ourselves as adults?

Before we even have language mastered, we are taught to avoid failure.

After we learn to walk and talk, our world shifts. Our culture exalts strength and success, yet ignores the fact that these things only come from failing and growing as a result. So we are taught that it is no longer okay to fail. That now we must present this image that we have life immediately mastered.

We are all busy hiding our mistakes, so it looks like no one is making any.

We don’t want to admit that we make errors, though one of the only things that we can say about life with certainty is that we all make mistakes. We are all trying to make it appear like we only need one trial to succeed – trial and success, never trial and error. We have created this grand cultural illusion that success is instant, fairly effortless, and painless.

We know that failure hurts.

Our instinct is to shield ourselves from that pain. It feels easier to stay well within our comfort zones, never having to feel unsure of the outcome of our efforts. It’s comfortable to be certain that we will succeed because we have aimed lower than our full potential. So we confine ourselves to crawling because we don’t want the bruises that come with learning to walk.

Here’s the harsh truth: we can choose to act on fear, but we cannot avoid failure.

As J.K. Rowling (2008) reminds us, “it is impossible to live without failing at something, unless you live so cautiously that you might as well not have lived at all – in which case, you fail by default.” Failure does hurt, but we can avoid neither failure nor pain in this life. What ultimately harms us more than either of these things is our refusal to try, err, and adjust; our refusal to live and embrace being human.

Source URL: http://likesuccess.com/img4622268

Source URL: http://likesuccess.com/img4622268

Our rejection of failure…

…affects our kids, their education, and their development.

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As soon as our kids enter elementary school, we no longer allow them to fail. An “F” is a terrible thing – a sign of either laziness or lack of intelligence. We teach them to fear failure and to be ashamed of it. They learn to avoid trying new and challenging things because anything less than immediate success is intolerable.  

 …stunts innovation, creativity, and success.

In her TED Talk on shame, Brené Brown (2012) notes that TEDx should be called the failure conference. She means this as a positive thing because the people who achieve truly innovative solutions to the problems in this world are the people who are not afraid to fail, and have courageously done so over and over again.

I can guarantee that every single “successful” person that you admire failed a whole lot before they became the person that you now look up to. Their failures and mistakes helped to shape them into the admirable, wise, resilient human you now look up to.

…bleeds into every important area of our life, from our careers to our relationships to our education to our physical wellbeing.

When we do not allow ourselves to try and to err, we miss out. We limit ourselves from achieving the height of our potential because we are unwilling to face the depth of our imperfection.

When we allow a fear of failure to run our lives, we do not go after that job that is beyond our comfort zone. We do not take on that project that sounds difficult. We do not engage in the vulnerability required to open our hearts and experience real connection. We take the easy class rather than the challenging one. We do not apply to that reach school. We do not walk in to the gym or join that fitness class.

We limit ourselves and our ability to feel joy and confidence because we are afraid to know the other side of that coin. So instead we confine ourselves to the safety of certainty.

The Rock Garden Metaphor

There is a metaphor in Acceptance and Commitment Therapy that offers much wisdom in the way of uncertainty. It is called the Rock Garden Metaphor (Follette & Pistorello, 2007). In Japan, there is a rock garden with fifteen rocks. From any given point in the garden, one rock is always hidden. In order to view the once hidden rock, one must move to a new spot. But there is no point in the garden where all fifteen rocks are within view.

Such is life. We can’t ever have all the knowledge. There is always something we can’t see or we don’t know yet. Maybe what we can’t foresee is failure or heartbreak or loss. But maybe it is success or love or joy. We won’t know until we take a leap to a new position.

So rather than wait for certainty that won’t come, we can cultivate self-awareness, do our best to make decisions in line with who we are and what we value, and take the leap of faith necessary to move forward and find new perspectives. We can evaluate afterwards how it went, what we learned, and if an adjustment is necessary. But we will remain stagnant if we wait to for that hidden rock to show itself or if we wait until we are no longer afraid to move.

Uncertainty is scary. But we don’t need to eliminate fear in order to act.

As Carrie Fisher wisely instructs us, “stay afraid, but do it anyway. What’s important is the action. You don’t have to wait to be confident. Just do it and eventually the confidence will follow.” We don’t eliminate fear by heeding it, but rather by defying it. Thus allowing ourselves to build the kind of enduring confidence that is only born when we risk failure, allow ourselves to fall and gain the knowledge that we can get back up.

Source URL: https://www.pinterest.com/pin/203787951869050945/

Source URL: https://www.pinterest.com/pin/203787951869050945/

Though acting on fear shuts us off from growth, fear itself is not our enemy.

We can be afraid, allow ourselves to feel that fear, and still choose to act in spite of it. As David Richo (1991) put it, “when change and growth scare me, I still choose them. I may act with fear, but never because of it.” Fear is actually a beautiful thing because it gives us the choice to be brave.

We can learn to welcome fear as a positive sign.

As Pema Chodron notes, “fear is a natural reaction to moving closer to the truth.” Rather than trying to eliminate fear, we can embrace it as a companion, a sign that we are moving towards growth and truth.

Source URL: https://www.pinterest.com/pin/394627986073460265/

Source URL: https://www.pinterest.com/pin/394627986073460265/

Error is vital, but it’s the adjustment that’s important.

Ultimately, life is about trial and adjustment, more than trial and error. Error will always be part of the process; however, reframing this statement can help us to acknowledge that failure is not a permanent state of existence. We will inevitably make mistakes, but this is the place where we learn to adjust our behavior. It is the adjustment, the learning, that we should focus on, rather than the error.

Furthermore, even when we do mess up, it is never an error to live our lives. It is never an error to step out of our comfort zone or take that leap of faith. We may try things and we may fail, but it was not an error to fail. It was simply a necessary step in our journey toward becoming the whole person that we are meant to be.

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If you or a loved one might be interested in mindfulness, acceptance and commitment therapy (ACT) or cognitive behavioral therapy (CBT) for stress, anxiety, depression, trauma, grief, weight, eating, body image, substance use, or challenges related to relationships, work, or other life transitions, Dr. Shoshana Shea can help. If you would like more information or if you are interested in setting up an appointment, please contact her at 619-269-2377 or shoshanashea@gmail.com.

REFERENCES:

Brown, B. (2012). Brené Brown: Listening to shame. [Video file]. Retrieved from https://www.ted.com/talks/brene_brown_listening_to_shame

Follette, V. M., & Pistorello, J. (2007). Finding life beyond trauma: Using acceptance and commitment therapy to heal from post-traumatic stress and trauma-related problems. Oakland, CA: New Harbinger.

Richo, D. (1991). How to be an adult: A handbook on psychological and spiritual integration. Mahwah, NJ: Paulist Press.

Rowling, J. K. (2008). J.K. Rowling: The fringe benefits of failure. [Video file]. Retrieved from https://www.ted.com/talks/jk_rowling_the_fringe_benefits_of_failure

 

Give Yourself the Gift of Kindness This Holiday Season

by Annabelle Parr

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Somehow the holidays have snuck up on us once again. Though this time of year is meant to be filled with joy and cheer, for many of us it is also filled with stress, anxiety, and maybe even sadness or pain. The holiday season does not erase preexisting struggles, and it can add an extra layer of stress on top of what we may already have been dealing with. If you are having a hard time during the holidays, you may not feel like you have permission to be anything but happy.

But it’s important to remember you are not alone if you’re feeling stressed, tired, or less than joyful. The holidays can be difficult for many people and for many reasons. Engaging in the annual holiday traditions may bring back upsetting memories for those who experienced trauma, loss, or pain at this time of year. You may feel the weight of a recent change or loss, or you may notice that things have stayed the same from one holiday season to another when you desired a change. Maybe you have a challenging relationship with a particular family member that you have to navigate during the holidays, or maybe going home and back into your family system brings up unresolved conflicts or issues. Or maybe you enjoy the holidays, but you find yourself rushing around trying to accomplish everything on your to-do list within a budget of both time and money, and as a result you are unable to appreciate a time of year that you love because you are feeling so harried.

Whether your heart is feeling full of joy or full of pain, or some combination of both, here are a list of things that you can do to be kind to yourself and manage the stress that may accompany this season.

1.     Remember that “comparison is the thief of joy.” So, heed Theodore Roosevelt’s wise words, and try not to compare your holiday experience with what you see on TV, in movies, or on Facebook. And try not to set unrealistic expectations for yourself and for whatever holiday you celebrate. As Voltaire wisely put it, “perfect is the enemy of good.” Your holiday doesn’t have to be perfect to be good. So give yourself the grace for a few mistakes or snags in the plan because they are inevitable.

2.     Give yourself permission to say no. There is only so much time in the month of December. Though it is easy to feel the pressure to say yes to everything holiday related, it is important to know your own limits. Setting clear boundaries for yourself, with both your time and your finances, can help to reduce stress. Giving yourself some time to rest can allow you to more fully appreciate those things that you do choose to say yes to.

3.     Acknowledge your feelings. If you are feeling sad, anxious, lonely, or depressed, know that it’s okay. Allow yourself to feel those things without beating yourself up or feeling guilty for feeling this way at the holidays. Remember that we get ourselves into trouble when we try to avoid distressing feelings. And keep in mind that happiness and sadness can coexist. We can have moments of each, and even moments of both. But if we are busy trying to deny or avoid our pain, it’s going to be much harder to feel the joy at all.

4.     Practice self-compassion. Self-compassion means that we “mindfully accept that the moment is painful, and embrace ourselves with kindness and care in response, remembering that imperfection is part of the shared human experience. This allows us to hold ourselves in love and connection, giving ourselves the support and comfort needed to bear the pain, while providing the optimal conditions for growth and transformation” (Neff, 2016).

5.     Practice kind self-talk. Listen to the thoughts running through your mind. Do you talk to yourself the way you would talk to a friend or loved one? Or are you beating yourself up for mistakes, imperfections, or feelings you wish weren’t there? If your self-talk is less than kind, try to remember to give yourself the same grace you would give to the people you love.

6.     Breathe. Frustrated with a long check-out line? Angry that someone cut you off in the parking lot? Feeling overwhelmed with your to-do lists? One of your relatives pushing your buttons? Remember to take a breath. Focus mindfully on each inhalation and exhalation, noticing your belly rise and fall with each breath. Mindful breathing exercises can help center you and calm your nervous system down.

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7.     Take care of yourself. You know what you need better than anyone. Taking care of yourself might mean staying active and setting time aside for exercise – whether that is a long distance run or a stroll through your neighborhood. Or maybe you need a night in, wrapped in a blanket watching your favorite holiday movie. Self-care might mean surrounding yourself with your closest friends or family, or it might look like taking some time to be alone and read a good book. Ask yourself what you need and listen to your body’s response.

8.     Seek support when you need it. If you are feeling overwhelmed and everything is just too much, know that you don’t need to handle it alone. If you have too much to do, consider asking your loved ones to help you tackle a few things. If you’re feeling lonely or down, reach out to a trusted loved one to talk. If you feel you might benefit from some professional support, therapy is a good place to come work things through with an empathic, non-judgmental counselor. Talking with someone who knows how to listen and who can provide you with some coping tools can be incredibly healing.

If you or a loved one might be interested in mindfulness, acceptance and commitment therapy (ACT) or cognitive behavioral therapy (CBT) for stress, anxiety, depression, trauma, grief, weight, eating, body image, substance use, or challenges related to relationships, work, or other life transitions, Dr. Shoshana Shea can help. If you would like more information or if you are interested in setting up an appointment, please contact her at 619-269-2377 or shoshanashea@gmail.com.

References:

Neff, K. (2016). Tips for practice. Self-compassion. Retrieved from http://self-compassion.org/tips-for-practice/