Cognitive Behavioral Therapy

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.

Navigating Guilt

By Annabelle Parr

Feeling guilty is uncomfortable; it’s a sign that something is amiss. Investigating our guilt can help us to discover why it is present. If we have done something wrong, guilt is our conscience pushing us to adjust our behavior or atone for our mistakes. This sort of guilt is useful and exists for good reason.

But it’s also possible to feel guilty even when we haven’t done anything wrong.

Here’s an example: Lily has to tell her staff that they must come to work one Saturday a month. Although this is a company mandate, she feels guilty.

Lily has not done anything wrong, so apologizing or changing her behavior will not address her feelings of guilt in this situation.

How do we move forward and address our feelings of guilt when we have not done anything wrong?

1. Identify the feelings underlying guilt.

When you do something that upsets another person, it brings up emotions in you. You may say, “I feel guilty!” However, Tina Gilbertson says that guilt isn’t so much an emotion as it is a cue that other emotions are present. We can use guilt as an indication that we are experiencing a highly charged emotional reaction, and then we can investigate and identify the emotions that are hidden by our guilt. Paul Gilbert (2003) notes that in order to feel guilt, we may also be required also to tolerate sadness. In investigating the emotions beneath guilt, we are challenged to tolerate the discomfort they bring.

In the example, underlying Lily’s guilt may be frustration with her company for this new mandate and with the fact that she must be the one to deliver the news to her staff. She may also be feeling anxiety about how her staff will react and whether it will negatively impact her relationship with them.

2. Take note of avoidance behaviors and thoughts.

When we are not sure how to address our feelings of guilt, we may try to avoid taking the necessary action that we feel guilty about.

In the example, Lily may put off telling her staff about the new mandate.

In the Healthcare episode of The Office, Michael Scott offers an example of the extreme lengths a person might go to avoid feelings of guilt. Feeling guilty about having to cut employee health care benefits, Michael tries to pass the responsibility along to Jim and then Dwight (two of his employees). As the episode progresses and this avoidance attempt fails, Michael tries to appease everyone with ice cream sandwiches, and then proceeds to lock himself in his office until 5pm.

Source URL: http://www.gettyimages.co.uk/detail/news-photo/health-care-episode-3-aired-pictured-steve-carell-as-news-photo/141187274#health-care-episode-3-aired-04052005-pictured-steve-carell-as-michael-picture-id141187274

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It’s important to remember that avoiding taking action does not assuage our guilt, but rather prolongs it.

3. Have compassion for yourself.

Acknowledge that you are in a difficult situation. Understand that it may be hard to acknowledge your feelings of discomfort. Remember that inevitably, we all disappoint people at some point or another. But it’s okay to feel disappointed, and you don’t have to “fix” other peoples’ disappointment.

In our example, Lily could be self-compassionate by recognizing that it is not her fault that her staff has to work one Saturday a month, and it is not her fault that they will be disappointed. She could say “it’s hard for me to share this news with you and it’s hard for you to hear it.”

4. Act in a way that is fitting to the situation.

Rather than giving in to avoidance, take the actions required of you even though they may be difficult. Part of acting in a way that is fitting means that you are careful not to be too apologetic. Depending on the scenario, you may share your feelings regarding the situation and the challenging position in which you find yourself, but this does not mean that you need to take on the responsibility for the other person’s disappointment or emotional reaction to your action.

For Lily, appropriate action would be holding a meeting with her staff and explaining the new policy. She does not need to apologize, but she can convey a sense of empathy for the reactions that her staff may have.

5. Step back and pause, allowing the other person/people to have their reaction/s.

If the other person is upset by your action, do not rush in to try to “fix” it or apologize. Allow them to feel their emotions, and notice what comes up for you. Have compassion for others and for yourself. And keep in mind that emotions are never permanent, and that we tend to work through them in our own time when we are allowed to feel them.

Lily might allow her staff to ask questions or express dismay. She may display empathy without wavering on the company policy or apologizing.

Guilt can affect our work, our relationships, and our behavior in all aspects of our lives.

Knowing how to navigate the sort of guilt that does not stem from wrongdoing is important. As author and civil rights activist Audre Lorde put it, “guilt is not a response to anger; it is a response to one’s own actions or lack of action. If it leads to change then it can be useful, since it is then no longer guilt but the beginning of knowledge.”

Have you found yourself struggling with a similar situation? Dr. Shea can help with learning the necessary tools to navigate such circumstances. She can be contacted at 619-269-2377.

References:

Gilbert, P. (2003). Evolution, social roles, and the differences in shame and guilt. Social Research:
An international quarterly, 70
(4), 1205-1230.

 

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/