Category: Afraid

Robin Williams, Suicide and Depression - Resources Updated

8/12/2014

I thought for a while about whether or not I wanted to write about this, because there are so many armchair psychologists who are ready to explain and point fingers in regard to Robin Williams' suicide. Today, however, after hearing some of my clients' reactions and after hearing some of the things said in the media about it, I feel that I have something to say that might be helpful.

Mr. Williams' struggles with depression and addiction are well-known, and it's very easy to point fingers and say, "that was what did it." I've heard variations on that theme all day, most of them said with the attitude that nothing could help it. One radio host even went as far as to say, "He was beyond help. He was too far gone."

I nearly had to pull my car off the road after hearing that, because I was so angry. I work all day with people who struggle with those feelings and with the pain and hopelessness that goes along with them. To hear a DJ blithely blame the victim was nearly too much for me. NO ONE IS "BEYOND HELP;" AND NO ONE IS "TOO FAR GONE." I can't emphasize that enough.

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When Is It Time To End Therapy?

8/6/2014

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In my work, one of the hardest things I face is letting a client know that it’s time move on. There are many reasons for ending therapy, and I’m going to explain some of them so you can see how complex the decision can be. I’ll start with a couple of reasons why clients end therapy.

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Depression - Dealing with and Taming the Beast Within

7/14/2014

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I think I mentioned this story in another post, but I'll tell it here again because I really like the analogy. This was written by a teenage girl who had been dealing with chronic depression. She wrote that it starts with having a bad day. Everyone has bad days, though, right? You don't think about it too much, and go on living your life. Ok, so you have a few more bad days mixed in here and there, but again - everyone has bad days, so it's nothing to really worry about...Then you realize that you're having more bad days than not, but you don't want to think about it because it might jinx you and bring on more bad days - everyone knows that if you let it get to you, then it gets worse, right? So...finally you realize that the bad days are winning - you feel awful, life doesn't seem to have a whole lot of purpose and the future looks bleak. You realize that the beast has caught up with you again, and that you're depressed.

Depression feels like a heavy weight, a wet blanket, and day upon day of lousy weather all rolled into one. AND, it's more than that. To use the example of an antidepressant commercial, depression hurts in a lot of ways - physically, emotionally, mentally, and interpersonally. You feel rotten, it's hard to think clearly and/or move, life sucks and nobody around you seems to understand or care, or care enough. You feel like things will never change or get better. It's bleak.

I'm not going to lie and say there's an easy way out - there isn't. Honestly, what I've found works the best is a combination of medication and psychotherapy, and I'll tell you why. From what I've seen, it's like fixing a house with a cracked foundation. Having the foundation cracked doesn't mean that the house is broken or useless - far from it. It means that some repair work needs to be done, and that the house can be and is worthy of saving.

So...to begin the repairs, you first have to shore up the house, right? Using medications is like shoring up the foundation - it helps get the biological, chemical piece working again so you can get at the root cause and work on that. That's where psychotherapy comes in. Even if there is no deep, dark past to examine, therapy can help you figure out what triggers depression for you, how to recognize it and the warning signs, how to cope when it hits, and how to let other people know how to help you. Therapy also gives you a chance to really let loose and talk about what it's like to feel and deal with depression - with someone who's not going to judge you, tell you to "pull yourself out of it," or try to fix your problems for you. It will give you someone to talk to, who's got some training in how to deal with it, and can help you develop and practice skills for dealing with it.

Now, that said, I realize that for some people depression is more biochemical than anything else - therapy can help you too, though - in the ways I mentioned above. If you do happen to have things in your past that are affecting your mood, therapy will almost certainly help you with that - but you don't have to have had trauma, abuse, or other painful past experiences in order to benefit from therapy.

Ok, before I start sounding too much like an informercial...what can you do on your own? As trite as it sounds, I usually recommend that people start at the beginning. Accept the reality that you're dealing with depression. For some people, that alone is a huge step - there is still stigma out there about "mental illness" and many people don't understand what depression is, or how it affects you. So, accept reality and then realize you have a choice in how you're going to deal with it. (Yeah, I'm taking a page from my DBT training - radical acceptance again!)

Dealing with depression takes a LOT of energy. Depression is a condition that saps your strength - emotionally and physically. It feels sometimes like you're trying to slog through thick, sticky mud and is every bit as exhausting. You can choose, though, whether you're going to stay in it or not, and there are consequences either way.

Choosing to try to move out of it means choosing that you're going to move, even if it's just a little bit. It's a form of opposite action. It may mean something as simple as getting up and taking a shower, or making yourself go outside for a few minutes.I tell the people I work with that I don't underestimate how much of an accomplishment getting out of bed is. It might be the only major movement someone has made in days or weeks. Moving may mean more - calling a friend, a doctor, or someone you trust and asking for help (and believe me, I know that's HUGE.) Either way - if you're going to choose to deal with it, it means YOU have to do something. And, as I always say (and mean), seeking help really is a sign of strength, and not a weakness in any way, shape, or form. Moving - and then moving consistently are important parts of this process.

If you choose not to deal with it, then you have to be willing to take those consequences - it may mean that someone else has to make decisions for you, if you're not able to do so. It may mean giving up some control so that someone can get help for you...it may even mean hospitalization for some.

One thing I want to make crystal clear here is that I don't think that being hospitalized is shameful. In fact, I believe that it's helpful, and that getting well and being able to function is the goal - and I realize that there are many of you who disagree with me, and I respect your right to do so. After all - I'm not walking in your shoes. However, if you're not able to or are unwilling to make decisions for your care - or if you're self-harming or threatening to self-harm, hospitalization is a possible outcome for your safety and well-being.

The point of all this is that I'm assuming you don't want to deal with feeling depressed. You can't control what's coded in your genes, but you can choose how you're going to deal with it. And I'm not saying that positive thinking, affirmations, etc. are going to magically pull you out of it. These may help, but depression is a lot more complicated than just negative thinking. You can choose to shore up your foundation with meds, or you can choose not to. You can choose to use therapy, or not. You can choose a combination of the two - the point is, you have a choice.

When you're in the throes of a major depression, it may not feel like you have any choices, or that no matter what you do it's not going to work. This is where you have to use your active trust - your emotions are not necessarily giving you the best information, and you may have to let your head overrule your heart on this one. Get help if you need it, and help yourself. Depression is nothing to be ashamed of, any more than kidney disease or diabetes is. It's a treatable condition, and there is hope.

Does getting help mean it's going away for good? For some people, maybe...for others it means that the beast is pushed away again for a while, but will keep following you. For you...well, learning about your triggers, symptoms, etc will help you. Learning this stuff also helps you feel more in control and stronger - nice side effect, huh? One great program, developed by a lady who both does therapy and has bipolar disorder is called the "WRAP program."

WRAP (Wellness Recovery Action Plan) is a system that helps you recognize your triggers and symptoms, and put into place a plan to help yourself feel better. If that plan doesn't work, WRAP also helps you develop a plan that tells who you want involved in your care, how you want to be treated, and who can make decisions for you. It's a great system, and Mary Ellen Copeland (the creator) has some great articles on her website: www.mentalhealthrecovery.com. The purpose of WRAP? "Getting well and staying well." Copeland is also the author of several wonderful self-help books/workbooks for coping with depression and manic-depression - her work is widely respected and used. (I highly recommend her books both to clients and non-clients.)

So, bottom line is that even if it feels like there is nothing you can do or that nothing you do works or has an effect, there ARE things that will help. Talking to a therapist (heck, talking to someone you trust, period!), working with medications, using some great self-help resources, and your own strength all help. (And yes, you ARE strong - it takes a lot of energy to deal with this!) Cognitive behavioral therapy is one route that seems to help a lot of people - Copeland's books actually use a lot of CBT-style work. DBT skills help too - trying them won't hurt, and you have a lot to possibly gain.

Just remember - you're not alone, even if it may feel that way. There are many, many people who are dealing with and have dealt with depression. I have tremendous respect and admiration for those of you dealing with this, whatever the root cause may be. It takes a lot of energy and strength, and pulling yourself out takes even more. You're not alone - really.

As Always:

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral.

If you are in crisis or danger, or are thinking about hurting yourself, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help. Email me at: thepowerofeachother@outlook.com

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You Are Not Your Mood

7/14/2014

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Emotions are weird. They have a way of changing so fast we hardly know what hit us, and they can change our outlook on a situation, person or perception nearly as quickly. It helps to remember that as much as our emotions affect us, they do not define us. We are more than our emotions.

A few months ago, I struggled with this. I was feeling down - I was being impatient and it seemed like nothing was going right. Now, if you've been reading these blogs, you know as well as I do, that this is not the case. Red Flag #1 - feeling down about things does NOT mean that the feeling is reality. Ok, good enough - and I was still feeling lousy.

So, I thought...if I were the client, what would I be doing in therapy? (Yeah, I know... I'm a therapy geek.) Most likely, I'd be looking at the situation and testing out whether my emotions were really reflecting reality, or whether they were masking reality. How do you do this?

Marsha Linehan has a really cool tool that she uses in DBT called "chain analysis." You start with the event, behavior or situation that was the problem. In my case, I looked back to when I started feeling down, and the even had nothing to do with what seemed to be the situation. I was feeling lonely on the afternoon before, because I couldn't reach my family members to talk. That spiraled into feeling somewhat depressed. Specifically, I remember thinking, "I guess no one wants to talk to me. I might as well not exist." Red Flag #2: I was getting caught up in "Stinkin' Thinking."

In doing a chain analysis, you identify the event/situation that started the problem, describe the event, including what you were feeling and/or thinking at the time or what you did as a result of what you felt, and then describe how intensely you behaved, thought, or felt. In my case, the loneliness, sense of failure and depression were pretty strong. I ended up thinking, "I"m never going to be able to do this. I might as well just quit." Red Flag #3 - Stinkin' Thinking again. The idea here is that you want to describe all this in as much detail as you possibly can. Here's a good litmus test: Could someone recreate *exactly* what you went through? If so, then you've done it.

Next, you describe what led up to the feeling, thoughts, or behavior. In my case, not being able to talk to someone was the situation. This "precipitating event" (also called a "prompting event") is usually what we point to when we say that "such and such" caused the problem.

From here, you do a detailed description of all the things that affected the situation - Linehan calls them "vulnerability factors." In my case, I was tired from not sleeping well, I still had an annoying cough from a cold and didn't feel well, I was stressed by all the details stemming from running a new business as well as being worried about several emotionally intense client situations. I was overwhelmed, tired and not feeling good. I was also feeling emotionally exhausted by family situations and childcare issues.

Ok, here's where chain analysis gets tedious - you describle in minute, excruciatingly clear detail the chain of events - starting with the all the way at the beginning with precipitating event(s) and going all the way to the consequences. Ok - here goes: I called my mother and got her answering machine. I then called each of my sisters in turn and had the same result. I started feeling like I didn't matter. I called my husband, who was out at the park with our kids, and he didn't pick up. I started feeling depressed, and went to work on my task list for this week concerning my business and the paperwork I had to complete. Looking at the things I had to do, I felt overwhelmed and incompetent, and felt more depressed. I remember thinking, "Why bother?" and which led to a deeper negative mood. The consequences were that I was not present when my husband did come home and wanted to talk. Right then, I just wanted to be left alone to marinate in my own misery.

At that point, I recognized what was going on, and took steps to counteract the mood. The last step in the process is to describe in detail a prevention strategy and what you are going to do to repair negative consequences that resulted from your behavior or mood. In my case, my prevention strategy was stay mindful of my moods and to write. Writing in my journal, for me, is a safe place to vent and analyze what's going on. When I write, I feel better and so that's a good strategy for me to use. I can also go for a walk, and/or do something artistic. I could take a bubble bath, or have a hot cup of tea. Those are all things that help me - developing a list of what helps you will help you have something to turn to when you get feeling low. Nurturing and caring for yourself really IS important and necessary.

Luckily, the interpersonal consequences here were small. I went upstairs and apologized to my husband, and explained what was going on. I also told him that I needed some extra time to myself to write and sort out the depressed feelings.

If you're interested in more information on doing a chain analysis, you can go to a great website called DBT Self Help (www.dbtselfhelp.com) to get an idea of what this might look like in therapy or in practice. This website has an incredible array of tools, worksheets, handouts and articles.

Hope this helps - DBT helps with a lot of things - I highly recommend looking into it. Even if you don't go for it, learning about these coping tools and other tools available to you can help you get through these tough situations.

As Always:

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral.

If you are in crisis or danger, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help. Email me at: thepowerofeachother@outlook.com

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Tough Times, Resiliency, and The Power of Each Other

7/14/2014

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I've been thinking lately about how things are going here in our world, and I know that life doesn't always fall into these neat little packages, situations, diagnoses - whatever way you can think of to make life seem "simple." Right now, life is tough - financially and societally. Pensions and 401-Ks, the ones that still exist anyway, are pretty much looted and worth (at best) half of what they were. The job market reeks. These are tough times. The world we were raised in, or the world in which our parents were raised- where job loyalty meant employer loyalty, a handshake could really seal a deal, and where anothers' word meant something - just doesn't exist anymore. Life, and the world around us has changed.

And yet I'm finding that even with the hardships and overall socially negative mood, there is hope. We are, overall, a resilient people. We endure, we work, and we survive. We have hope that things won't always be this way - that's what keeps us going sometimes. I see people helping each other in parking lots, or stopping to talk to a little child. I see smiles and sharing at the parks I take my kids to. And I see things that money could never buy, like cerulean blue skies and fields bursting with the color of wildflowersa or the smile of a child and the music in the wind.

Resiliency, in my field, essentially means the ability to bounce back and thrive. I, like all of us, face situations that feel overwhelming. For many years, I was passive and simply gave up and let things happen. Not anymore - I'm going to not just bounce back, but I will thrive. I'll admit I'm scared at times. I'm scared of failing, of financial ruin, of not being good enough - things we ALL feel at one time or another. AND, I'm not going to just bounce back, I'm going to thrive. I am NOT going to let these things stop me.

Resiliency is as much stubborness and determination as anything else - we decide that we are NOT going to let the "tough times" win. I have an "art journal" that I've kept for the last few years - many pages say, "I AM going to get through this," "I am smart enough and prepared enough to do this," or "I'm NOT going to give up." It's not very artistic, but it IS a creative expression of my will and my resiliency. Remaining hopeful in the face of unrelenting discouragement is hard, but not as hard as surviving some of the situations that my friends, clients, and co-workers face. I try to remain hopeful not just for myself, but for them as well.

These are tough times - and honestly, I use every trick in my therapist's bag of tricks to get through sometimes. That's also why I'm sharing them with you - even if they don't cure all the problems, they can help you cope or feel better and have hope in the face of everything that's hard, tough, and discouraging. I go back and read some of my favorite self-help/inspirational books - stuff by Sark, Jennifer Louden and books like "Feel the Fear - and Do It Anyway" by Susan Jeffers. Another favorite is "Broken Open" by Elizabeth Lesser. I talk with other people who have been through what I'm facing - it helps to know it CAN be done, and HAS been done. It might be tougher right, and there might be more obstacles - but it's still possible.

We are a resilient people. And we don't have to go it alone. We can be there for each other - and it doesn't have to be therapy. It can be a smile, or a "good job" or an encouragement like, "I know you can do this." It can be a compliment, or an understanding - we don't HAVE to get mad when the checkout line at the store takes forever. We can tell the cashier, "it looks like you've had a long day. I hope it gets better." The power of each other is us, folks...we can choose to help each other, or not. I can tell you, though - it's a lot easier to hide than it is to stick our necks out, AND it's a lot easier to be resilient when we're there for each other.

We don't have to go it alone - that's a powerful statement. We are NOT alone, and we won't BE alone. There are people who care, and there are people who want to help. Sometimes reaching out and asking is the scariest and hardest thing - we're risking rejection and hurt when we do. And...we don't have to go it alone. Seriously - say it: "I don't have to go it alone. I am NOT alone." It's a powerful, inspiring, comforting thought. And if you're feeling alone - write me. I know what it's like and I'll write back. You - yes, YOU - are not alone. Really.

That's what the power of each other is all about.

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral.

If you are in crisis or danger, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help. Email me at: thepowerofeachother@outlook.com

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CBT: An Introduction to Cognitive Behavioral Therapy

7/14/2014

Ok...I'll be the first to admit that I"m not perfect when it comes to having wonderful, positive, affirming thoughts about myself. One of the reasons I went into counseling psychology as a graduate student was because I wanted to learn everything I could about it, so that I could help myself. I have a LONG history of working on self-esteem issues, negative thinking patterns, and dealing with unnecessary guilt. The reasons don't matter at this point (to me anyway) but dealing with these issues does. I'm imagining that a lot of you are dealing with this too, so I'm going to share some tricks from the therapists' bag.

The cool thing is that you can find a lot of these and more help at your local bookstore. So, a lot of these "tricks" (everyday people-ese for techniques) come from a branch of therapy called "Cognitive Behavioral Therapy" or CBT. CBT has a long history, most of which I'll avoid here except to throw out a couple of names when appropriate. The bottom line with CBT is that therapists with this orientation (and trust me, there are many) ascribe to the idea that our thoughts affect our behavior, and that if we work to change the way we're thinking, then our behavior will be easier to change and we'll feel better. The nice thing about CBT is that a lot of research has been done on it, and most of the research is very positive - it's something that generally works, if done long enough and well enough.

Here's the problem though - a lot of people think that since it seems to be based in common sense, it should be easy and quick. Creating change using CBT isn't a "quick fix" - in fact it takes a lot of commitment and practice to get to where you want to be. If you're really looking for change, though, it's likely that you're feeling lousy to start with and will do what it takes to feel better. And CBT generally helps.

The basics of CBT are grounded in the idea that what we think and how we think about and interpret the world around us affects how we behave. Cognitions are the things that go through our minds: thoughts, interpretations, judgments, hopes, dreams, expectations, reasonings, rationalizations, plants, motivations, doubts, images - pretty much anything that goes on in your conscious mind is a "cognition." (I use conscious mind deliberately here because CBT therapists generally don't work with the subconscious or unconscious mind - that's a more psychoanalytic approach.)

Here are a couple of examples of how these work:, "Geez, that driver is such an IDIOT! He cut me off! He saw me, and he cut me off anyway!" is a cognition that can be taken apart for analysis: the observation: "he cut me off,:, the interpretation: "he cut me off deliberately," the assumption:"he saw me," and the judgment:"what an idiot!" And another: "I can't do anything right. No one wants to be around me anymore because I'm such a failure. I absolutely nose-dived that interview, and I know I came across as stupid. I should have had a job 6 months ago, and I keep screwing it up. No wonder I can't find something." And here's the analysis: The observation: "I don't have a job," the interpretation: "I'm stupid," "I keep screwing up," the assumptions: ""no one wants to be around me," "I can't do anything right," the judgments: "I'm a failure," "I come across as stupid," and "I should have had a job 6 months ago." And this is just one way to take it apart!

On to the "nuts and bolts" - what do you do in CBT? Well, when you're working with a therapist, generally we're pretty empathetic people. We're not out to tell you, "Geez, get your act together...honestly!" Frankly, if most therapists were judgmental, mean people we wouldn't have much worth, now would we? Generally, therapists will sympathize with you and check in with you to see if they're understanding you - a process we call "reflection." It works like this:

Client: I've been feeling really depressed lately. I just look at where my life is and I think I"m just a huge failure. I feel like the worst person in the world.
Therapist: I'm hearing a couple of things here...first is that you've been pretty down lately, is that right?
Client: Yeah, pretty much. I still don't have a job and I just can't seem to get out of this hole.
Therapist: So it seems like you've been pretty hard on yourself...I heard you say that you felt like the worst person in the world. That's pretty harsh. (therapist's interpretation of client's statements)

So, you can see that a therapist - of any orientation - is likely to be sympathetic. From there, where you go with your therapist depends a lot on their orientation, or what style of therapy they do. A CBT therapist will focus on the way you're thinking and how it affects you. The therapist will gently challenge you on negative thinking (or "stinking thinking" as we sometimes call it), and encourage you to think of other interpretations that aren't so negative in nature. Using our earlier example, this is how a CBT therapist might continue:

Therapist: I wonder where that idea that you're the worst person in the world came from? (exploration)
Client: Well, I can't seem to do anything right. Nothing seems to work out the way I want it to. I can't get a job, I can't do things right with my husband. Even my kids are mad at me.
Therapist: Wow...that's a lot of stress. (empathizing) You know, though...somehow I think there are people who are probably a lot closer to being "the worst person in the world" than you are...you know...maybe guys like Hitler? Somehow, I'm guessing that you're a little higher up than he is on that scale. What do you think? (gentle challenge, with a little humor)
Client: <laughing a little> Yeah, you're probably right on that one. I still feel pretty lousy about myself though.
Therapist: I know you've really had a tough time with the job stuff and what's going on at home. Is it possible that maybe it's not all because of you, though? What else could be going on? (reframing)
Client: Well...I guess the economy is probably making it harder to find jobs now. I still feel like I should have gotten something by now.
Therapist: <making time out signal> whoah...hang on there...time-out. Do you remember how we talked about "shoulds"? How they're like guilt-trips inside your head? I just heard you "shoulding" on yourself... (gentle confrontation)
Client: yeah...I guess I am pretty hard on myself.
Therapist: What would it be like to ease up a little? What would change? (challenge and exploration)

And so you see, that the therapist here is working with the client's pattern of thinking negatively about herself. We use gentle challenges, reframing things ("what else could cause this"), turning negative thoughts into positive thoughts, and give clients "homework" - thing to practice and use between sessions. It's actually a pretty cool system. If you've read my posts on DBT (Dialectical Behavior Therapy), you'll recognize some of this. DBT is a specific form of CBT. Another cool thing is that you can find CBT-based self-help in a LOT of places. New Harbinger, a publisher of self-help materials, has a lot of self-help workbooks that have a CBT orientation for dealing with all kinds of issues: depression, anxiety, stress and relaxation, obsessive-complusive disorder (OCD, and I would recommend working with a therapist if you're dealing with this), PTSD, anger, and grief and sorrow. And I'm sure this is only a partial list!

The point is, CBT techniques are relatively easy to teach and learn - the tough part is putting it together, practicing them in real-life and actually continuing to use and practice them. This kind of therapy can help you learn a lot of things: coping skills, relationship skills, and all the nuts and bolts stuff we talked about: reframing, thought changing, challenging negative or all-or-nothing thinking, and a whole host of other things Next up: "Stinkin' Thinking" - how to work with negative thought patterns and some more tricks from the therapists' bag.

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral. If you are in crisis or danger, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help.

Email me at: thepowerofeachother@outlook.com to ask questions or get information.

Being "Cooped Up: Finding Freedom and Safety to be Ourselves

7/13/2014

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Have you ever noticed how kids act up and get into trouble when they're forced to be in a small space for a long period of time? It might (or might not) surprise you, but we "big people" are pretty much the same. These thoughts occurred to me last summer as we drove from our home in Colorado to visit my mom in Utah and from there to visit my husband's folks in Idaho

Now my kids are generally pretty good travelers, and we bring lots for them to do. I found that *I* got pretty cranky though, and felt antsy when I couldn't move a lot. Psychologically, we're like that too - when our minds and spirits are "cooped up," we tend to get irritable, cranky, and antsy.

"Cooped up" is obviously not a psychological or clinical term, but it's good for how we feel when we can't be ourselves - we're mentally and emotionally locked in a room that we can't leave for a variety of reasons. Maybe we're a little eccentric and people just don't understand us or think we're weird. Maybe the people and environment around us is toxic and it's not safe for us to be ourselves. Maybe we risk punishment in a variety of ways (ostracism, abuse, denigrating comments or discrimination) if we truly show who we are. My point is that we can't always be ourselves and that we suffer as a result.

Our world doesn't tolerate diversity and difference very well - we seem to be the kind of being that has to learn the hard way that our behaviors toward those who are different are hurtful and cruel. Sometimes, we don't realize this until we experience it ourselves and our eyes are opened. Some people never realize it, and some people never experience or recognize what it's like to be different. As painful as some of the experiences are, I think that coming through and overcoming them makes us stronger, more compassionate and more willing to change our own behaviors. In short - we grow, and become better people for the growing.

However, being emotionally and/or spiritually "cooped up" damages us while it happens. Part of being human is being able to express ourselves and who we are - it's what brings us joy and peace. Acceptance allows us to feel safe in sharing those soft vulnerable places where we let our humanity shine through. And being safe is crucial to being able to be who we are. When we're not safe, when we feel judged, or when we have to hide who we are, we wall off a part of ourselves that is crucial to being psychologically healthy. We lose the ability not just to play, but to grow, to thrive, to experience and fully immerse ourselves in joy and vitality.

Over time, we become anxious, depressed, angry, lonely, and maybe even traumatized (especially if abuse - ongoing or not - is occurring or has occurred.) We find ourselves "just getting through" - we may have trouble even knowing how to cope in healthy ways. We start to lose respect for and acceptance of ourselves as worthy, beautiful and interesting people. We may become isolated. It's tough to see the beauty in everyday life when we're focused on surviving and making it through instead of on living and thriving. It's next to impossible to feel free when you're cooped up by yourself or others and are unable to even think of breaking out. We become afraid - not just of the what will happen if we be ourselves, but of the punishments that hurt us and break our spirits. Fear becomes the companion of everyday life rather than joy - and the cost is locking up and losing ourselves.

I watch my children develop, and I really try to encourage them to be themselves, even if no one else understands.My son Aidan is different from other people, because he's on the autistic spectrum. Here's the thing - I celebrate those differences even as I worry about how he'll cope with being different once he's in school. My hope and goal, though, is that by showing him acceptance and by celebrating the things that make him unique - the things that make him Aidan - that he'll have the confidence to continue to be himself and have confidence in himself. I try to make his world safe and accepting while also showing him the realities of living in this world. We talk about how people are mean, and that it's ok to ignore that. It's ok to like "red balls" (marker balls), light poles, and power poles and not worry what other people think.

I try to use all the "tools" in my "toolbox" to help not just my kids, but myself break through and let go. I'm not completely successful yet, but realizing that this is a process helps (and that's one of the tools, too!) I use my DBT skills, my mindfulness skills, and my art skills to work on this - and I encourage the same in my children. Together we are curious, and go on "adventures" to see what's out there. I learn so much from THEM, too - noticing small things and seeing the world from such a different place...drawing on the sidewalk, splattering paint, using big, wide strokes to paint the world...there is a lot to learn from children.

We ALL need this kind of safety to grow. Without that safety, we may physically "grow up" - but inside there remains a scared, insecure side of ourselves that is "cooped up" and waiting to be able to run. Art therapists key into this when they encourage us to let go and play. The hard thing is that most of us don't know how to let go. Despite years of training, I include myself in this - even as I watch and encourage my children, I long to be able to release that side of myself.

One of the projects I've been involved with for a couple of years is a self-esteem seminar through Project Self-Sufficiency. I'm lucky enough to have been one of the facilitators, and one of the things I loved to do during that time was take part in providing safe and sacred space for the participants to let go and be who they were. I'd love to work on a "Letting Yourself Go" workshop, where I provide a safe place for music, dance, art and quiet time, all with the idea of breaking out of feeling "cooped up" and letting out who we are inside.

Just like children who get stuck in cars or planes or rooms or houses - we also get cooped up. We also need space, fresh air, play, safety, and love - and those things are not "extras" or "rewards" - they're basic human needs and if we didn't get them when we were little, let's work to have them now. Not just for ourselves - but for everyone. For the children who never get it, for the people we encounter everyday who are "cooped up" by jobs, bills, daily hassles, etc - we can ALL provide the breath of fresh air and just a little permission to let go.

Take care and remember to play!

As Always:

Please Note: The content on this blog is intended for informational purposes only. This is not therapy, and if you wish to work in therapy, please contact your local mental health agency or your physician for a referral.

If you are in crisis or danger, please call 911 for immediate help. Please, again, realize that seeking out help really IS a sign of strength and not a sign of weakness. You don’t have to be alone in facing these things – there are people who care and who will help. Email me at: thepowerofeachother@outlook.com

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