Category: Attitude

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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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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It's the Little Things...

7/14/2014

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Have you ever noticed how something small can be a "tipping point" that changes your day from "good" to "bad" in an instant? It can be a critical comment from someone at work, or a family member saying or doing something that makes you pause and think, "Wow...that was out of line." It can be something impersonal, like getting flipped off or cut off in traffic because someone else is in a hurry and not driving carefully...there are any number of things that can really mess up our day, and leave us feeling drained, irritated and/or angry, and feeling like everything's going downhill.

Frankly, it sucks. We've all been there, and know what it's like. I'm not going to lie and say I never get stuck in it. It's easy to let things add up and take over, and may feel like we're riding a wild, out-of-control, roller coaster. So, what do you do? Well...as usual, there are some answers and tips from the therapeutic couch that may help. These aren't necessarily the only things you can do, or "THE ULTIMATE COSMIC ANSWER" - rather, they're things you can try to help YOU feel better. Unfortunately, there's no magic wand to change the world around you, and we can't make your husband/kid/boss/coworker/"idiot on the road" change. That's just beyond our control. (In therapy I sometimes take a kid's pretend magic want, whap it on the table or chair and say, "See? It's broken - it doesn't work! NOW what do we do?")

Well...now what do we do? The first thing, in my experience, is to try and separate yourself from what's going on. You can't make your boss be nice, or make that person on the road or in the grocery store be polite and reasonable. You can't make your family members stop making comments about your appearance. However, you can set up some good boundaries and realize that you don't have to allow them to get you upset. I'll fully admit, though - some situations are easier to do this with than are others.

Easier said than done, isn't it? Trust me, I know - from tons of personal experience myself. And yet, it's important to know what's your stuff and what's their stuff. (Remember the definition of a boundary? It's where you end and I begin.) Eastern faith traditions call this compassionate detachment - you can look at what's going on and realize (or even say to yourself) that "this is what's going on for him or her. If I have something to apologize for, I can do it. But their anger or their irritation is NOT me."

It sounds a little weird, I'll admit. And it does take practice to become a habit. But if you think about it, it's incredibly freeing to realize that you're not responsible for someone else's anger, or even their feelings in general. Now, don't get me wrong - certainly what we say or do affects the way other people feel - this isn't a "get out of jail free" card to say or do whatever you want. In fact, our actions can be the tipping point for someone else - so it pays to watch what you say and do as well.

Anyway - realizing that you are separate from someone else's emotional reaction can help you deal with what's going on in a more rational "wise mind" kind of way. (If you don't know what "wise mind" is, see the post for DBT Skills, Part 1 )

So, knowing what's you and what isn't you helps. Another trick from the DBT bag is to try "opposite action" - this is where you do the exact opposite of what you want to do (part of the DBT Emotion Regulation skills). I know...it sounds hard, and it is. When you want to spit back a sarcastic response, you instead say something nice. "Thanks for your input. I hope you have a great day from here on." It might be the last thing in the world that you want to do - and it does help. You'll have to trust me on this one - but think of it this way - if nothing else, it confuses the heck out of the other person!

Another thing to do is just take a quick breathing break - practice distress tolerance skills (another DBT post: Distress Tolerance Skills) or relaxation and stress reduction skills: breathing, distracting yourself, self-soothing (a coffee or tea break can work wonders), a little bit of exercise (say a walk at lunch), or anything that helps you feel better (and doesn't harm anyone - including the person who ticked you off to start with ;p ). All these things can help. Finally - all the CBT stuff I talked about earlier will also help.

These may not completely turn around your day, but they can help you feel better. The key point is to remember that you don't have to let someone else's bad mood or bad day ruin yours. So...have a great day, and remember that someone out here is rooting for you!

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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What Makes You Happy?

7/13/2014

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Here's a story: One day the Master announced that a young monk had reached an advanced state of enlightenment. The news caused some stir and some of the monks went to see their younger brother. "We heard that you are enlightened. Is it true?" they asked. "It is true," he said. They asked him, "And how do you feel?" And the younger monk replied, "As miserable as ever."

What I've found through working with and being around a lot of people is that often we don't know what makes us happy. We seek it in many places, some of them harmful when carried out to excess: drinking, substance use, gambling, spending money. We also seek it in relationships, where we yearn to be with someone who "completes" us (cue Jerry Maguire, "You complete me.") We seek it in doing things, being busy, being "successful" or as perfect as we can be - at many, many things. How often, though, do we look inside and really ask ourselves, "What makes me happy?" If you do it, the answers may surprise you.

There's a whole branch of psychology that is dedicated to understanding happiness - it's relatively new and goes under the heading "Positive psychology." Two of the leading people in this field are David Myers and Martin Seligman - both of whom wondered why psychology focused so much on the negatives. Research in this area has found that (to quote Madame de la Fayette) "if one thinks that one is happy, that is enough to be happy."

Now I know this sounds like a "pat answer platitude" that oversimplifies things. And to some extent, it is - but there is also wisdom in this saying. As I've discussed before, how we think about and perceive ourselves and the world around us affects how we feel. This is definitely true for negative emotional states like depression and anxiety, but it's also true for positive emotional states. It's not a fixed, easy answer, but rather a factor in what makes us happy.

So what are happy people like? Well, David Myers wrote in his book, The Pursuit of Happiness (1992) that the "best predictor of future well-being is past well-being" (p. 106). Does that mean if you've had a miserable, abusive, or depressed past you can't be happy? Heck no. Does it mean that it's one factor in a whole group that affect happiness - yes, and only that. Myers wrote that happy people in general tend to like themselves, feel like they can choose or have power over their destinies, are hope-filled and outgoing. Ok...this is great as far as it goes - what if you don't like yourself, feel helpless or that your life is out of control, feel like there's no hope and that you're an incurable introvert? Well, honestly - you're probably not happy.

I'll tell you that for a very long time, my self-esteem was in the toilet. I felt like I didn't have control, that the future was hopeless, that I was ugly and stupid, and that I was always going to be that way. Obviously, something changed. I won't like and say that everything is sunshiny goodness and happy-happy-joy-joy every day - that's just not realistic for anyone. Overall, though - things did change AND I still struggle with feeling the way I used to sometimes.

The thing is, changing these factors means working on change in yourself. There are certainly things in life we can't control, and we have to learn how to accept and deal with them. Changing ourselves doesn't mean putting on a mask and pretending that everything is hunky-dory fine, either, though. (I have to admit that there are days when it's pretty tempting, though.) What it means is that we learn to look at the world through a different set of lenses (not always rose-colored, either). Ok - you don't like yourself - what do other people like about you? Feel like you can't do anything right? Make yourself write a list of things you have done right. If you feel like everything is out of your control and you're helpless - examine and list everything you CAN control. For example - you can control your reactions to the world around you. Certainly others' actions, words, and ways of being affect us - BUT we choose how we react to those things.

The idea here is that we "act as if." It's a pretty well-known CBT and DBT trick - even if you're not feeling happy, act as if you are. You're not "putting on a mask" because when I say "act as if" I mean completely, fully, and totally immerse yourself in this acting. "Putting on a mask" implies just looking as if you're happy - I'm suggesting not just looking as if, but acting as if and even trying to think and feel as if. It's hard work - I won't lie, but if you try it for a little while you may be surprised at the results.

When people come to see me professionally, they (and/or others) are usually focused on what's wrong. As in, "What's wrong with me/him/her?" One of my favorite questions, when we have a certain amount of trust built is, "What's right with you?" It's a powerful question, and we almost never ask it. It's worth thinking about: What's right with you? Right here, right now. Really - what is right with YOU?

One other thing that I see a lot of people doing is looking for something outside of themselves to fill the emptiness and sadness inside. Things, substances, relationships - none of those can make you happy long-term if you're not accepting and growing inside. Again - they certainly affect how we feel, but if we're looking for things to make us happy long-term, nothing outside will ever completely work. It has to come from inside at its core. While "Jerry Maguire" and other movies may promote the idea of the relationship that fills us, in the end we have to be complete in ourselves before we can truly create a "complete" in a relationship. Asking someone else to fulfill us and fill us up is asking too much of anyone - they can't read our minds, predict what we want when we want it, or somehow just know exactly what we need - we have to communicate and reciprocate for a relationship to work, and that means we have to have to have a strong sense of self from which to work from. (And yes, that's hard experience talking as well as training!)

So, being happy comes as much from us as is it does to us. Which brings me back to my original question - What really, truly, deeply makes you happy? Think about it - and you might just be on your way to finding it.

Until next time...I'll be on the other side of the couch, waiting to hear from you.

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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Robin Williams, Suicide and Depression - Resources Updated

You Are Not Your Mood

It's the Little Things...

What Makes You Happy?

Laura Burlingame-Lee:

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