| I recently came across a term I hadn't heard before, "crisis fatigue" Crisis fatigue occurs when our ability to be resilient (or "bounce back") is flooded with an ongoing series of intense, energy-consuming or traumatic experiences. As best as I can tell, it's a form of burnout. Crisis fatigue, like burnout, is a response to ongoing and intense stress, like that faced by people trying to survive war or armed conflict, economic or financially stressful conditions, political instability, natural disasters, or - yes - a pandemic. Based on what I'm hearing from my colleagues and patients, many of us are facing crisis fatigue. |  Photo Credit: Nataliya Vaitkevich, from: https://www.pexels.com/photo/matchsticks-on-pink-surface-6837623/ |
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 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. If you go into a bookstore, or on a e-commerce site that sells books, you'll notice that the self-help section is huge. Really HUGE. It seems like we want to improve so many areas of our lives - our size and appearance, our love life, our business and work lives, our mental health, and so many others. There are self-improvement programs you can buy online, and the books are full of ideas that you can use and apply to help improve your life. However, when we buy these programs or try these techniques, many times they don't seem to work - why is that?
There are a few reasons that might explain this. One factor is that our time and energy is limited. We get caught up in work and work issues, daily hassles like cooking and paying bills, family responsibilities... If you think about it, you'll find there are many, many reasons that we don't accomplish all the self-help and self-enhancement programs we purchase. All of these activities take time, and they take energy. When we do have a few minutes for leisure, many times we want to do something else. It's understandable - if something feels like too much work, we tend to avoid doing it. Another factor might be lack of support. We know that when people have support, they're more likely to make changes and they're more likely to stick to them. Beginning an exercise program is a great example: You're way more likely to keep moving and exercising when you have someone there with you. They support you, and to some extent, keep you accountable. Your coach is there to mentor you and to cheer you along as you creat the life you want to have. Accountability is the third factor I want to mention. I'm not thinking about accountability in a pressurized "have to" sense. Rather, I am suggesting that having another person to work with who knows your goals, your struggles, and your strengths can be an amazing support for you as you work to reach those goals and change your life! I love the word "coach" - it has such a positive connotation. Coaches share their knowledge with you, support you as you challenge yourself to reach goals (and challenge you themselves by nudging you toward your goals), and celebrate progress and life changes as they happen. It's a life-affirming, positive, and healthy profession.  In my attempt to turn the mood around here a bit, I thought I'd write about one of my favorite wellness tools: Journaling. I have to start by saying that my definition of what makes a "journal" is pretty broad - for years I kept a copy paper box full of file folders with inspiring articles, pictures, quotes - and my comments on them. That, for a while, was my "journal." My bottom line in terms what constitutes a "journal" is that it's anything you want it to be. If you call it a "journal," then in my book, it's a journal. Period. There are way too many things in our lives and our worlds that end up being judged - the last thing we need judged is our creative and psychological expressions. Make it whatever you want it to be! Today, my journals tend to be a little more traditional, but that doesn't mean that I don't branch out on occasion. I usued to keep a "creative journal" which used to be a page-a-day appointment book - I used the pages as something on which to mount my creative expressions. I've been feeling "blocked" creatively for the last couple of months, so there hasn't been anything new to add, but I'm hoping that I'll let loose with a barrage of visual creativity here soon. I also keep a "regular" journal in one of those cheap composition books that you can buy in the grocery store. This is really my therapeutic journal. When I have trouble thinking straight or am feeling overwhelmed, this is the spot where it all comes out. For me, my creative journal is my "public" journal - if anyone sees it, it's not that big of a deal (after all, I posted pictures of it - how picky can I be?). My "regular" journal is a different story, though. This is the private stuff. When I'm really having a tough time coping, I get this out and write until I can't write anymore. If you're going to do this kind of writing, make sure you feel safe, or that you have some safety to do it. You may want or need to hide, lock up, or keep your journal in a place you feel is safe. I'm not kidding about that either - once I was so overwhelmed and feeling so down that I wrote for nine straight pages! I've found that there are some incredible books and systems for journaling - my advice would be to do what works for you. That's an important point, because there's a perception that there are a lot of rules to follow, like you should write every day, or write for a certain amount of time or a certain number of pages. It's really important to do what works for YOU. Forget the rules, and forget the shoulds. Let yourself play, too - this can be fun as well as insightful! I don't put any pressure on myself to write every day, or to write about a certain topic - my journal is MY expression. If you're the kind of person who thinks journaling would help you, I would encourage you to do this - again, do what works for you. Some people have spent lots of money and taken lots of courses on certain systems, like the Progoff system. Others, myself included, buy tons of books on writing and journaling. Other people simply just do it. Some people keep one journal and work through one book at a time. Other people have three or four going at once. The point here is that this is a tool to help you cope, to help you feel better, and to help you deal with the world around you in a healthy way. It's a tool to help you get to know yourself, and to have a safe place to vent, let off steam, ponder deep thoughts, record your history - whatever you want to make it. This is not the only tool, by far - but it is a very helpful one. The hard thing is that I see so many people start this, and then quit because they think they are "not doing it right" or read something that makes them feel they are "not good enough." Frankly, as a journal-ist AND as a mental health professional, I can honestly tell you that there IS no one, right or true way to do this. Anything you do here IS good enough, because it's an expression of who you are, where you are in your life, and what you're dealing with. And if it helps you cope and feel better - as well as be a better person, than it is good enough, right enough, and healthy. If it appeals to you, look up journal prompts, or join a site with an ongoing journal support group. One of my projects that I have going is writing an e-book of journal prompts. I'm excited about it, and hope to offer it in time for the new year. Whatever you do, do what works. It's effective, and it's healthy. 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: [email protected] 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: [email protected] 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: [email protected] Loneliness is something we've all probably experienced at one time or another, and quite frankly it sucks. In my experience, feeling lonely is one of the most intensely uncomfortable, depressing, and isolating feelings that exists. When you're feeling lonely, it seems that the world is going on around you, and that you're invisible or worse, that no one cares.
I mark a difference between loneliness and solitude. Solitude is when YOU want be be alone - it's a very different thing from wanting to be around others but not being able to. There are many reasons for loneliness, among them shyness or social anxiety, or depression and/or thinking that no one wants to be around you (Remember the "stinkin' thinking"? This is an example). Feeling lost in the crowed or different from everyone around you is a factor. Loneliness can come up in different situations - when you're single among couples, childless among families, ill or emotionally traumatized around people who seem healthier than you, a member of a minority group surrounded by the majority...there are any number of situations which may trigger loneliness. There are no easy answers for changing loneliness - this is one of those situations where, if I did have a magic wand, it would be useless. (And trust me, I wish I did have one.) The basic reason there are no easy answers is because the causes are so varied. Cognitive Behavioral Therapy (CBT) helps with some causes like social anxiety, depressive thinking, or dealing with "Shoulds" or "Stinkin' Thinking". Ok...well, that's fine and dandy. I change my thinking and I just feel better, like that? Uh, well...not really. I wish it was that simple. CBT will help you work with your thought patterns AND with the behaviors that get in your way. This is where the "homework" stuff comes in again. If you want to counter loneliness stemming out of anxiety or depression...guess what? You have to interact with people. Typical homework assignments in this realm might be something like, "Talk to five people about a current news topic" or "Compliment 3 people sincerely." The idea here is to get you out and getting experiences that contradict your fears. And also - loneliness is a feeling. I know...some of you are saying, "Well, DUH!" Here's the thing though - you can use your skills to deal with feelings that are overwhelming. Call it "riding the wave," DBT, Coping, Self-Care, Self-Soothing - whatever. The idea is you use the skills you've got and have learned to help yourself feel better. "Emotion Regulation" and "Distress Tolerance" have these names for a reason! Ok, so CBT and DBT help. What if you're stuck in a situation where you really DO "stick out like a sore thumb"? Those are a little harder, to be honest. Your differences will likely be harder to hide, and it may feel as if the situation around you is moving on and leaving you behind, or worse, ignored. I can't tell you what to do in these situations, but I can share what's helped me. First of all... if I seem to be in a completely different, alien, strange, unsual environment or group, I look around and see if there's someone else who seems something like me. By this I mean, "Is there one other person here who looks uncomfortable - for whatever reason - like I do?" If so, then I gather up my assertiveness and interpersonal effectiveness skills and introduce myself. I'll ask an open question like, "What do you think of all this?" and then LISTEN. Nine times out of ten, this helps. Err...what about the 10th time? When the person just kind of looks at me as if I'm an alien from another planet, or as if I've just spilled spinach juice and red wine down the front of my shirt? Well..I politely say, "It was nice to meet you," and then move on to something else. At that point (and this may seem silly), I look for someone who has one thing in common with the way I look, or one thing about them that is intriguing to me - maybe it's wearing the same color, or a similar hairstyle, or style of outfit...maybe it's that the person is wearing some outrageously bright colors that I adore, or has eyes that seem to smile. SOMETHING I notice and can comment on. Y'all are going to think that I'm a pain in the tushie with how I do things, but again, I go up and introduce myself, and say, "Those shoes are so cute! Would you mind telling me where you got them? I love those colors." Or I might say, "You know, I don't know many people here...and honestly, you look like someone I might be able to chat with. I'm Laura. What's your name?" Here's the thing - fundamentally I am a VERY shy person. (You'd never guess it watching me now, but I swear - it's true.) It took me years of practice and yes, therapy to get over it. During this process I learned, though, that most people are generally nice. I also learned that if I say something completely stupid, or fumble for words, saying, "I feel a little awkward - I'm worried I look like a fool" and then laughing, most of the time people will laugh with me. Do they laught AT me? I'm sure some people do. I know for a fact when I was younger, people did. And the sad fact is that there are some people who are judgmental and mean. Appearance seems to be a particularly favored target, and it sucks. People have judged me on my appearance, both when I was thin and now that I'm fat. And you know what? I survived. No matter what other people think of me, my sense of who I am is intact. It took YEARS to get here, and I'm not going to say that other people's perceptions don't matter - they certainly do. What matters the most, though, is what YOU do and what YOU think of yourself. I decided that I would try to like myself, no matter what anyone else thought. I don't know about everyone, but for me it was a choice and a conscious decision. And it took hard work. When you have the sense that you are not just OK, but that you are a worthwhile, interesting, and caring person, loneliness has a harder time getting in. I won't lie - it sure does get in on occasion. But - I have a stronger sense that I can do something important, that I matter, and that I have gifts and talents to share. That goes a long way in pushing loneliness out the door. Even if no one listens, or no one seems to care, I know I matter. So, when I start feeling lonely...well, I do something to kick it on it's butt out the door. I'll go talk to someone, engage myself in something I enjoy, write, read, take a nap, go sit outside, pet my cat... you get the idea. And you know what? You don't have to be lonely - I'll talk with you. Seriously. Send me an email message, and I'll get in touch. I know how hard it is to feel lonely, and I want you to know that 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, 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: [email protected] 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: [email protected] This has been a busy year so far. I've studied for (and passed) the EPPP, psychology's licensing exam, I've finished my supervision hours, and I've done what seems like endless amounts of paperwork. This last week was no different, except that there were more than a usual amount of clinical issues to be documented. I've put in several 11-hour days this week, and I need a break. SO...I'm taking one.
When I work with clients, I'm always encouraging people to be gentle with themselves and to take care of themselves. That doesn't mean not being accountable for your actions, by the way - it does mean if you have to take yourself to task you can do it in a way that's kind and gentle. One of my friends recently talked about how the Golden Rule also means treating yourself the way you'd want to be treated. If you'll notice, the Golden Rule doesn't say, "Treat others as you treat yourself," but rather "as you'd want to be treated." So, why do we have so much trouble treating OURSELVES the way we'd want to be treated? How often do we find ourselves chronically putting our needs last? Or ignoring our bodies' needs for rest and relaxation? How often do we take care of everyone else, leaving no time to do so for ourselves? For women, especially, it's a chronic issue. For parents, it's a necessity a lot of the time. For students, workers...the list of situations in which we put our own care last is nearly endless. When I work with people who chronically ignore or negate their own needs I used what I call "Healthy Selfishness." I use this term for a couple of reasons. One is that "selfishness" has been a label thrown at many us since we were small children, and it has such a negative connotation that reclaiming the word in a different way helps people see that it's NOT a bad thing to take care of themselves. That's the "Healthy" piece. It's healthy to care for ourselves, and to let ourselves enjoy life and things we enjoy. So, last night and today I spent some time playing. My kids like to get air-dry clay, so I made some beads that I will paint and varnish when they're dry. I got out my sketchbook and brainstormed ideas for fun things I want to do in my practice and in my life. I worked a little on a scrapbook of the cruise I went on with my mother. Tonight, I plan on watching a TV show, maybe reading a book or magazine, and (hopefully) going to bed early. Somewhere along the way to being a "responsible adult," I lost all that. I was always the "responsible child" so losing play happened pretty early for me. Today, I find myself yearning to let go, to play, to let loose - and I don't know how. So...I'm going to the best teachers I know - my children. I do have things I "should" do - I should work more on the business side of my job, I should work more on updating the paperwork for my private practice...AND I also should relax, take care of myself and treat myself the way I'd want to be treated. I should also not judge myself as harshly and punitively as I do. I should treat myself gently, respectfully, and lovingly. And that means paying attention to my need to relax, play, and cut loose a little. So, I'm going to attempt more play. I'm going to get my kids to teach me how to make things, like clay representations of the heads on Mt. Rushmore, or how to properly have a combination tea/art party. These are the things that make life rich - and I plan to take a break from being an adult for a while. If you can, I encourage you to find the time and do it yourself. 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: [email protected] 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. 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