Showing all posts in April 2017

90 Second Eternity

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90 Second Eternity

The natural lifespan for an emotion is 90 seconds. From the time the emotion is triggered until it passes through our nervous system, 90 seconds pass. Something special happens to turn those 90 seconds of emotion into a mood or a type of day- our thoughts. Most of us aren’t sad or angry or irritated or frustrated or anxious for 90 seconds until we feel better. No, we think some thoughts, feel unpleasant feelings, think some more thoughts, feel a few more unpleasant feelings. We’ll get our behavior involved and maybe yell at the car in front of us or brush hurriedly past someone. Then, we’ll think some more thoughts and feel some more feelings. This can last so much longer than 90 seconds.

 

You know how it goes. You wake up and realize you over slept. First thought of the day, “No!! Why?!!” As you grab your phone to shut off your alarm, you notice that people have already texted and emailed with questions and concerns about pressing issues. You walk the dog, but he takes his sweet time making any progress on his business. You start taking an inventory of all the things you have to do today, all the things that will need your attention until you can finally relax at home again. Your stomach tenses. A neighbor, retired, stops to say good morning and casually chat. You feel kind of bad for pulling your dog away from her and toward home. You take your dog back home and grab everything you’ll need for the day- almost. You forget your lunch. You run to the train stop relieved to see that it hasn’t come yet. You notice that there is an inordinate amount of people waiting at the stop. You can see on train stop display that the wait time is longer than usual. You’re pissed again. Eventually, your train comes, and it’s crowded beyond measure, but you manage to climb in and hang on. You’re glad that you’re moving in the right direction and allow yourself to think, “Maybe because it’s so crowded, the driver won’t make the usual stops, and I won’t actually be that late.” Thanks to the fact that neurons that fire together wire together, your brain is used to feeling anxious about getting to the next thing so, it fires off more thoughts about how much you have to do, how stressful it all is, and how infuriating it is that you are wedged in between what feels like the entire population of the city. You arrive to work, find that people are impatiently waiting for you. As you start to think, “At least I have my delicious lunch waiting for me at lunchtime,” until you remember that you left it sitting on the table in your haste to make the train.

 

Yikes. This morning sounds stressful. We’ve all had them. Sometimes we’re able to regroup and make the next half of the day better, other times we just don’t think we have it in us. We’ve all definitely blamed a bad mood, bad day, even a bad week on a morning like this. Together, the frustrating events and our thoughts created a perfect storm for continued feelings of unpleasantness. (And we all know that it doesn’t even necessarily take an event in tandem with thought to cause more uncomfortable feelings. We can do it all by ourselves armed with only our thoughts.)

 

The thing is, it’s pretty much always our thoughts that create the unpleasantness. Traffic jam got you upset? Thoughts. Colleague irritating you? Thoughts. Afraid you won’t get what you want at work? Thoughts. Resentful that your spouse hasn’t once thought to clean the baseboards? Thoughts. Tired and cranky and stressed and busy? Thoughts.

 

Don’t get me wrong, thinking is totally a part of the human experience, and there is no way to avoid it (unless we experience major cognitive decline). And I’m not saying thoughts are bad; they’re not. They can be really useful to us. It’s the meaning we make of them and the rumination that challenges us. We decide that an event means a certain thing so we think thoughts associated with that thing and they gain momentum. Ultimately, the fear is that we are not ok/will not be ok as a result of it.

 

When we experience and unpleasant feeling, think thoughts associated with it, fear is often at the heart of it; we are usually attuning to some kind of vulnerability of life.

 

We can’t and don’t need to avoid or thoughts, but we could learn how to guide them. We could learn how to use our thoughts instead of being used by our thoughts.

 

Some people are fine with this and don’t experience that much suffering with their thoughts, or they do, but they find purpose in their suffering. To those, people I say, great! Looks like you’ve figured out what works for you and you don’t need me to tell you anything. To everyone else, I feel you.

 

And some of you might say, “Whatever, dude, stuff is stressful!! I can’t just not be stressed. I’m not flakey enough. What, am I suddenly just not going to care about being on time, what my boss thinks of me, or if I’m doing life right?!” And the answer is… kind of. You can be less stressed though it certainly won’t happen suddenly. (And you will also see that you are doing life just fine, but we won’t get to that yet.)

 

When we care about how we feel, we are more deliberate with our thoughts. If we don’t care about how we feel, then we allow ourselves to fall down the rabbit hole of rumination or put our happiness in the hands of other people, places, and things. The trick is to remind ourselves that we care about how we feel. The other trick is to ask ourselves these questions:

 

1)Do I care about how I’m feeling?

2)What am I observing about my experience right now?

3)It’s hard to feel __________.

4)What can I do about the situation I’m in?

5)What can I do to make myself happier/more at peace/neutral (whatever feels doable for you) in this moment?

 

It’s natural to think about what we have next on the agenda, what we have yet to accomplish, the miles to go before we sleep. And feeling time-poor and responsibility-rich is challenging. I’m not saying that you have to get to a place of rapturous joy on that crowded train with your whole day in front of you, but maybe you can feel a little less dread and discomfort. You can feel a little more grounded.

Because we have nervous systems, we won’t always be able to respond like this. And that’s ok. It’s ok to be humans having human experiences.

 

Love and Be Loved,
Natalie

If You Say So…

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If You Say So…

When I was past the fledging-therapist stage, but not yet a seasoned professional (so, maybe the adolescent-therapist stage), I was talking with my mentor about a clinical struggle I was having. I was really going through it. This is the day that he told me about the “If you say so” approach to life. The idea is pretty much “you are what you think,” but with more of an emphasis on personal accountability. He hadn’t said much about it when I had already decided that I hated it and that he was totally wrong. I remember fighting him pretty hard on it and trying to get him to validate that actually; I needed an easier, softer approach. He said, “Soft, yes. Easy, no.”

 

The “If you say so” teaching is easily described as this: the more energy we spend thinking about something, the more of a belief it becomes and the more probable the outcome of its nature. So, if I spend a lot of time thinking, “I can’t mess this up. It would be a disaster. I can’t. mess this. up!!” then, eventually I’ll believe that I really can’t mess whatever it is up because it would be a disaster. The more I believe it, the more pressure I put on myself and the higher the likelihood that I will make a mistake (“mess this up”) because I’m operating in panic or anticipatory anxiety mode. It’s not just about the words, but the feeling behind them. When we’re thinking these thoughts, we’re often feeling/sending ourselves the feeling of fear, dread, threat, or criticism.

 

I hated this approach so much when my mentor first told me about it because I didn’t like the idea that my outcome was my responsibility. I was coming out of a “, but life just happens to me!” phase and although it wasn’t serving me anymore, I was still seeking validation that it could. He wasn’t having any of that, though, so he continued to carry the accountability torch. For months we talked about the truth behind the fact that if we think something enough, we’ll believe it and it will manifest in our life situations. I staunchly defended against it, tried to poke holes in it, anything. Luckily, I failed.

 

After many (m a n y) conversations about it and the eventual incorporation of the practice into my own life, I began to experience the beauty of “If you say so.” I also realized that my mentor was teaching me to hold myself accountable for my choices of thought and responses in an incredibly self-compassionate way. He never used those exact words (it was something more like “show up for yourself” or something), but knowing what I know now, it’s clear that he was teaching me to cultivate self-compassion.

 

It was the “showing up for myself” or self-compassion that really made me adopt the belief that “If I say so,” it’s true. I looked back at all the negative self-beliefs I’d held and made clear associations between my negative thoughts that I’d turned into negative beliefs which turned into real things and situations. Since I had been paying attention to my thoughts and choosing them more deliberately, I was also able to see how I had turned my positive thoughts into positive beliefs which turned into real things and situations. For the first time, I felt empowered. I could decide how I was going to feel. I could decide what my experience was going to be like. I could decide how to respond to something, how much to personalize something, how much to let something go. It was my decision whether I was going to let a rude comment or a mistake or a scary situation ruin my day or week. I knew for the first time that I could let feelings and situations inform me and then let the rest go.

 

Research has confirmed that self-criticism and negative self-beliefs directly impact behavior, achievable outcomes, and self-efficacy in a negative way. Research has also confirmed that self-compassion and positive self-beliefs directly impact behavior, achievable outcomes, and self-efficacy in a positive way. The power in that is crazy!!!

 

Sometimes a lot has to happen before we feel ready to just switch our way of thinking. I get that; this was also true for me. I’d be happy to talk with you about what next steps would be helpful.

 

Give it a try first-

 

Right now, give yourself two minutes to observe your thoughts. If you’re having trouble and you need to jumpstart your thoughts (which almost never happens because they’re so good at flowing on their own except when you suddenly shine a spotlight on them), think about some of your goals or what’s important to you. Some people notice emotions or sensations in their body before they notice their thoughts. If this is you, then observe these feelings and sensations and notice the thoughts with which they’re associated. Do these thoughts, feelings, and sensations feel like a new experience to you or do they feel more familiar? Which beliefs have they fed? And finally, notice how these beliefs have demonstrated themselves in your life through your behavior, through a pattern, or through life situations.

 

The more we realize we really do have the power to create what we want to see in life, the more freedom we get to experience. (But again, I get it. At first, it’s like, “What the hell are you talking about? Shut up. Do you really think that if it were up to me, I’d have created this kind of life for myself?!”)

 

Love and Be Loved,
Natalie

When You’re Stuck on the Corner of Anxiety & Dread

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When You’re Stuck on the Corner of Anxiety & Dread

“My life has been full of terrible misfortunes, most of which never happened.”
Michel de Montaigne

 

You know how when you’re anxious, there are certain thoughts that feel really real? And obviously, you have to engage them because to think of anything else would be irresponsible. You have to figure this out!! And you have to find every possible solution to every possibility so that you can either prevent it or mitigate the damages.

 

You have a weird rash so, you go online, and after reading some stuff, you’ve decided it’s indicative of some terrible health condition. Or you’re thinking about a loved one, and suddenly you’re convinced that the person will die. Or it’s 2:30 in the morning and you’re awake (either because you haven’t fallen to sleep yet or because something woke you up) and you start thinking about your financial situation, the 500 things you have to do tomorrow, and how you never get enough sleep. Or you’re enjoying yourself, and you’re feeling good, but then you think, “I’m so happy right now. What if this all goes away? I’d be devastated.”

 

I know I don’t have to tell you that there are limitless scenarios. 90% of it runs through your mind. We’re usually anxiously replaying something that has already happened or anxiously thinking about something that hasn’t.

 

I’m a big believer in feelings as guides, but sometimes we feel less guided by them and more overwhelmed. They can’t guide us as effectively when we are in a state of overwhelm. Sometimes what we need is to get some space from the intensity, to get some sleep, and to face it with a fresher perspective. (And then sometimes it’s not even trying to guide us. Sometimes it’s just anxiety being anxiety, and it needs us to nip it in the bud.)

 

So, try these evidence-based practices:

 

  • Move from what if-ing/ future-tripping/freaking out to presentifying yourself:

Notice that you’re dwelling or what if-ing the situation to death and pause. Bring your attention to what’s happening now. Some Cognitive and Dialectical Behavioral Therapists call this practice “going from What If to What Is.” Let’s say I’m thinking about an upcoming out-of-state move. I start making a list of what I have to take care of before I move. Then I start thinking of all the different bureaucracies I have to deal with to accomplish my task list. Pretty quickly after that, I’m freaking out about how much there is to do and what if I can’t get it all done and about how bureaucracy makes me crazy and then I’m overwhelmed and spinning. I’ll bring myself out of my unproductive spinning by asking myself, “What is happening right now?” In that moment of right now, I am sitting at the table making a to-do list. Your future self can’t be productive because it doesn’t exist yet. Your present self does. Focus on what you know is happening right now.

 

  • Mindfulness in the present moment:

This is similar to what’s practiced in #1, but it’s slower and more involved. You’ll bring your attention to your senses, one-by-one. Notice how you’re sitting or standing, how it feels, what muscles are tense and which are relaxed. If you want to try progressive muscle relaxation, you can go here for a helpful guide. Notice what you see around you, what it looks like. Notice how you might describe what you see. Observe what you hear, what you feel, what you smell and how you might describe these observations. Mindfulness slows us down and helps us to stay present.

 

  • Exercise self-compassion:

Sometimes (most times) what we need to help us calm our anxious little brains is a little self-compassion. Dr. Kristin Neff, renowned self-compassion researcher, has prescribed these questions to help us get in touch with our compassion as we reflect on our experience.

 

“What am I observing?

“What am I feeling?”

“What am I needing right now?”

“Do I have a request of myself or someone else?”

 

Self-compassion/compassion is proven to be the best resource available to the human brain in times of struggle, anxiety, sadness/depression, anger, frustration, guilt, and shame.

 

  • Square breathing:

Inhale for 4 seconds, hold for 4 seconds, exhale for 4 seconds, hold for 4 seconds. Repeat 4x. Reevaluate and do it again if you need to. Square breathing helps to engage our parasympathetic nervous system (also known as our “rest and digest system”) which is responsible for slowing down our movement and thought.

 

  • Take a moment of gratitude:

Say to yourself, “I’m so grateful for this moment.” This helps us pull ourselves out of the anxiety spins and is another way for us to be present. It is especially helpful when we are thinking about something that makes us feel happy or content only to have fear hijack our thoughts and start to dread the inevitable dissolution of that happiness. We’ve all felt it. “I’m really enjoying my family.” “My life is going so well.” “I don’t want this vacation to end.” “I have never been so happy.” The truth is, we won’t always be the same level of happiness or content for the rest of our lives. But we can’t prepare for how and when things will change. We don’t have to obsess over it. Whenever we notice that familiar dread moving in, we can pause that thought and think, “I’m so grateful for this moment.” Each time a dread thought makes its way in, redirect your thinking back to the gratitude you were feeling just a moment ago. “I’m so grateful for this moment.”

 

 

Try this short, powerful list of practices the next time you’re feeling plagued by the anxiety loop. See what works best for you.

 

Love and Be Loved,
Natalie

You Are Not Crazy

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You Are Not Crazy

Crazy: mentally deranged, especially as manifested in a wild or aggressive way; mad, insane, deranged, demented, unhinged.

 

As women, we have been told that we’re crazy for millennia. Men have told us we’re crazy. Women have called themselves and one another “crazy.” For thousands of years, if our responses or feelings or desires or problems or pain or authenticity were inconvenient or contrary to someone else’s agenda we were labeled “hysterical.” We were called witches and burned at the stake (translation: “Women are evil and need to be killed.”), crazy and handed over to institutions (translation: “Women are fragile and manipulative and need to be locked away for everyone’s protection.”). The earliest record referring to women’s “hysteria” was found in ancient Egypt. Its documentation date is circa 1600 BC. Behaviors deemed problematic were attributed to the spontaneous movement of the uterus. There is documentation that supports a high percentage of female mental health clients, the pathologization of women and subsequent treatment in Ancient Greece, Ancient Rome, the Middle Ages, the Renaissance period, and the Modern Age. By the Contemporary period, more information about differential diagnoses had been discovered. Clinicians organized symptoms into groups and categorized them.

 

Many of us are aware of the diagnoses commonly given to women during the Contemporary period such as Neurasthenia, Depression, Anxiety, and Borderline Personality Disorder. The trend continues. Across the ages, it’s clear that women account for a disproportionately higher number in the consumption of mental health services than men. This is due both to the traumatic impact of gender bias (sexism, misogyny, patriarchy, toxic masculinity) on women and the pathologization of women and our experiences. Not only do women suffer higher incidences of violence, abuse, and disparate rights in our communities; research also shows that clinicians are more likely to diagnose depression in women than men, even when we have similar scores on standardized measures of depression or present with identical symptoms.

 

We need to continue to ask questions that hold our groups and systems accountable:

“Who is more marginalized in our community?”

“What’s happening to these marginalized groups?”

“What are we/am I not seeing? What are we/am I seeing, but not addressing effectively enough?”

“Why is there such a disproportionately higher number of women consuming mental health services?”

“How can we/I be more supportive?”

“How can we/I improve our systems and women’s experience of our systems?”

 

To any woman and girl, genderfluid person, however you identify, you are not crazy. You are not crazy for having feelings, for having trauma and responding to it or for getting activated in certain situations. You are not crazy for having Post Partum Depression or Depression or for self-injuring. You are not crazy for getting fed up with being undervalued, being seen as fragile because you have emotions or being seen as a bitch because you don’t seem fragile enough. You are not crazy for simultaneously wanting to fit in and wanting to be respected. You are not crazy for trying to navigate between being seen as nurturing enough, goal-oriented enough, sexy enough, ladylike enough, professional enough, dependent enough, independent enough, smart enough, nonthreatening enough… The system is rigged. And it can be crazy-making, but you are not crazy. You are operating in an impossible situation designed for your failure. Keep going. Keep fighting.

 

There is a sea of us out here who can and will listen, support you, help you to understand what’s working for you and what isn’t, and plan the next individual and collective action steps to take.

 

I’m with you.

 

Love and Be Loved,
Natalie