The Power of Each Other: Wellness and Well-Being
  • Home
    • About Laura
    • Contact Dr. Burlingame-Lee:
    • News!
  • Resources & FAQs
    • Resources
    • FAQs >
      • Coaching FAQ
      • DBT FAQ >
        • How does DBT work?
        • What are the goals in DBT?
        • How does a DBT Skills Training Group Work?
        • Assumptions about our participants
        • What are some problems that might come up?
        • DBT Skills 1: Introduction and Mindfulness
        • DBT Skills 2: Interpersonal Effectiveness
        • DBT Skills 3: Emotion Regulation
        • DBT Skills 4: Distress Tolerance, Part 1
        • DBT Skills 5: Distress Tolerance, Part 2
      • Payment and Insurance
      • First Appointments: What to expect >
        • What to expect at your first coaching appointment
        • What to expect at your first therapy appointment:
    • Forms
  • Blog: Posts for the Journey
    • Blog Survey!
  • Love the Questions Journal Prompts

Coping With Tough Times, Part 2: Coping Skills

4/28/2014

0 Comments

 
Ok, so what do you DO if things are still tough? "Tough Times" can be found in relationships, financial troubles, work situations, family issues - a whole range of things. What's "tough" for you, may not be tough for someone else, and what's tough for them might not be for you. So, given that these things are different for different people, what are some things that pretty much everyone can use? First of all:

If you have been feeling down for two weeks pretty much every day and for most of the day, if you have thoughts of hurting yourself and/or others, or if you're having trouble functioning, please see your doctor right away -  you may be dealing with clinical depression. If you are feeling that you might hurt yourself or someone else, please call 911.  Please also realize that seeking help really is a sign of strength and belief in yourself and not a sign of weakness.

As part of my training and my work with people in various situations in their lives, I learned a lot about coping skills - the fancy name for "learning to deal with it" - whatever "it" is. As you might imagine, this is a pretty important topic for therapists and their clients. And to be honest - I practice what I preach, and use these myself. There are a LOT of good self-help workbooks out there - I'll give a list at the end of this post - and these may help you structure your coping, if that's what you need. So - on to the meat of the post:

Let's start with things that end up being harmful.  Basically it boils down to two things: Stuff that gets you in trouble, and stuff that ends up hurting you and/or someone else. Stuff that gets you in trouble includes excessive drinking, using mind-altering substances, excessive spending, sex, gambling, not fulfilling responsibilities like going to work, etc. Stuff that hurts you and/or someone else includes: excessive eating or undereating, exercising too much or not enough, losing your temper and abusing yourself or someone else, physically hurting yourself or someone else, beating yourself or someone else up emotionally, getting caught up in or laying on guilt trips, calling names, insulting yourself or others, and talking or thinking in absolutes (like, "I'll never be able to get out of this hole" or "You always ruin my day"). If you're feeling out of control with these things, please find help for them, if for no other reason than it helps yourself and your loved ones.

So what are the things that may help?

First of all - when you're feeling down or really anxious, realize that emotions are like waves - they build up, peak, and then pass. This idea is not new; Marsha Linehan's "dialectical behavior therapy" uses this concept. To cope with strong emotions that really feel like they're going to knock you down, it can sometimes help to remind yourself that the emotion will not last forever, and that it WILL pass. You are not your emotions - your feelings are reactions to things in your environment. Just as your situations change, so will your feelings. For me, I visualize an ocean wave as it builds, swells, and washes over me. You might like this, or maybe a gust of wind - whatever works. The point is, the feelings WILL pass.

Second, you can help the wave pass by distracting yourself. There are many things you can do - I work in my journal, create art, go for a walk, listen to calming music, surf the internet, etc. What you want to do is find something that will take your mind off the "down" feelings - it doesn't have to last forever, but distracting yourself will pay off, even if you only are able to distract for a few minutes. It's at least a few minutes that you weren't focusing on feeling "down" or anxious, right?  There are an infinite number of ways to distract yourself - just use your imagination and see what you can come up with (and yes, this in itself is a distraction!) However, be careful with distractions - don't let them turn into "target behaviors" (the things that get you in trouble or harm you or someone else.)

One thing is important if you're feeling "down"  or super-anxious - do something positive for yourself every day, such as exercise, get involved in doing something you enjoy - a hobby or pastime - , enjoy some quiet time to yourself, etc. Treating yourself as you want other people to treat you (a twist on the golden rule) or as you would treat other people  is very important - you really are worth the effort and deserve to be treated well.

Third, try reframing your thoughts. This is admittedly sometimes a tough thing to do, especially when things feel hopeless or that a situation will never change or end. Sometimes working on changing your thoughts is a conscious effort; if you keep at it, hopefully the positive thinking will feel more natural. If you're having a tough time doing this, try writing down all the negative things you tell yourself and then contradicting them. Here's an example: With my work life, I admit to feeling like sometimes I'm spinning my wheels and not getting anywhere. I remind myself of what I've done (developed a private practice and found work with an amazing group of women at Beyond the Mirror), what I've achieved (my Ph.D., passed my licensing exam), and where I realistically am at (working on new content, expanding into new areas like life coaching, and applying my passions to my work) Reminding myself of the postives can help contradict the negative feelings.

Many therapists recommend keeping a "mood diary" or "thought record" where you can keep track of the thoughts you have, the feelings associated with them, how you changed your thinking, and what the result of the change was. Again, if this works for you - if you need and/or want to see your progress - by all means do it. It can be very simple - a piece of notebook paper divided into four or five columns (if you want to include the dates), and simply keeping track. It can be more complex, for example setting up an Excel spreadsheet. Keep in mind that first, the very act of doing this at all is a distraction (being busy tends to distract us from our feelings) and second of all, productive because you're working on helping yourself. 

Mary Ellen Copeland, a therapist who deals with bipolar disorder, has developed some excellent tools for dealing with stress. She recommends creating a "wellness action plan" that includes 5 distinct parts:

1) Developing a wellness toolbox (similar to the coping skills described above) and keeping track of your moods and activities on a daily basis (the "Daily Maintenance List")

2) Listing the things that trigger feeling rotten and planning on ways to deal with those

3) Listing the "Early Warning Signs" of impending mood changes, and planning on ways to cut off mood changes BEFORE they get too bad

4) What to do when things are breaking down - how to deal with crisis situations: what the signs of this are, who to call/contact in case of an emergency, and how to deal with this when/if it happens

5) Developing a Crisis Plan: How to help other people know when you're in crisis, how other people can help you, and again who to contact

Copeland's web site: http://www.copelandcenter.com has some excellent information and resources related to this program. She also has several workbooks in publication and again, I'll list those here at the end.

There are also the things that we hear everyday from all kinds of experts: eat well and moderately, exercise regularly (this really DOES work to help moods, by the way), limit how much alcohol and other substances you put in your body, get enough rest and/or sleep, and see your physician if you're having problems in any of these areas to rule out physical/medical causes.

Specifically getting involved things that are designed to be relaxing may also help. Again, listening to calming or relaxation music may help. Other tools include meditation, relaxing tense muscles/progressive relaxation (for example, tense and then relax each muscle group in turn, starting at head and working down), using deep breathing from your tummy (diaphramatic breathing) - all of these things (and more) help ease stress and help you cope with feeling in the dumps.

The bottom line is that working to change your thoughts, helping yourself relax, and soothing yourself by doing things that make you feel better help you deal with feeling down. These aren't a be-all and end-all to always feeling down, or a sure-fire "cure" for the blues. They ARE things that may help, though, and are time-tested tools that have been shown to help.

If you have any questions or comments, please contact me here or via email: theothersideofthecouch@live.com . I'll be happy to talk to you and listen to your input. 

Please Note: The information 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. If you wish to contact me, you can call (970) 776-6043 or send email to: thepowerofeachother@outlook.com

Resources:

The Relaxation and Stress Reduction Workbook, 5th ed. - Martha Davis, Elizabeth Robbins Eshelman, & Matthew McKay

The Depression Workbook, 2nd ed. - Mary Ellen Copeland

Mind Over Mood - Dennis Greenberger & Christine A. Padewsky

0 Comments

I Wish There Was a Magic Wand...

4/28/2014

0 Comments

 
I wish there was a magic want. I really do. But...There really is no magic wand.

There. I've said it. It stinks, it hurts sometimes, it's depressing. And it's true: there is no magic wand to wave and make our troubles just disappear.

I always wanted to be Samantha on "Bewitched" - even if she got into messes, she could twitch her nose and all would be well. (Of course, she did have to put up with that dork of a husband Darrin...anyway...) Wouldn't it be nice if we could make ourselves look the way we want, make other people behave the way we want and do the things we want? If we could control everything and have it our way? (OK, there's an Endora streak in me too - I admit it.)

Well, believe it or not...no. As hard as it is sometimes, we learn from our struggles. We don't choose or deserve many of the things that happen to us or are done to us - but we have a choice in terms of learning to how deal with it without letting it control us. I know that sounds harsh, and I apologize - I never, ever want to minimize someone's pain by being flip. Here, though - this really is our choice. Recovery, healing, and moving forward are all "dealing with it." No matter what happens - we always have a choice: We can choose how we react and what we do with it,

The thing is, it's awfully easy to let whatever happened or whoever hurt us control us and I know that from experience. Emotions and mood states are POWERFUL, and can distort how we perceive reality. These things are also REAL - depression, anxiety, PTSD, anger, fear - they all are very real and affect us deeply. As tough as it is, our task is to try to see ourselves objectively and to try to do the best we can without further hurting ourselves or hurting other people. And doing so is not easy at all. It's a growth process, and a rebirth in many ways. It IS a process.

This process is not an easy thing to learn either. When I was doing my training, I used to keep a kid's magic wand in the little office where I did my counseling. Sometimes people would come in and would want to change someone else - like their children or spouse, their boss or coworkers, or extended family members. Other times, I'd hear people talk about how unfair things were and how others should do things/see things their way, or how life should be different. At this point, IF I'd established good rapport with my client, I'd take the magic wand and bang it on the end table or chair and say, "Look...it doesn't work. NOW what are we going to do? We've got to figure how to handle this, because the magic wand doesn't work!"

This almost always got a laugh - and made an important point. There is no easy fix for a lot of these issues. In fact, many of the issues that people talked about WERE unjust. However, we can't change other people, and sometimes we can't change what happens to us.

What we can do, however, is change ourselves. Again, it's not easy - this really is hard work. It involves letting go of our "shoulds" for others, our attempts to make them do what we want them to do or treat us the way we want them to treat us. Our challenge is to accept them as they are, and deal constructively and effectively with the things that happen to us. (For the record: Accepting other people as they are does NOT mean approving of, liking, or agreeing with their behaviors, the harm they do, or the hurt they cause. We're not condoning or accepting in any way, shape, or form abuse or other harmful/hurtful behaviors. What we're doing is letting go of trying to change them, and instead focus on what we can do to help ourselves.)

This is the essence of psychological healing, in my opinion. Therapy ideally gives someone a safe place to learn about and practice letting go, acceptance, and self-change. It's not a magic wand, but it can be a magic place because the work that's done in the therapy room, when successful, is transformational.

The old analogy of the caterpillar going into the cocoon and emerging a butterfly really is apt. It's a cliche, but it's one that fits. The struggle to emerge from the cocoon is not only difficult, it's necessary for the butterfly to survive. Helping the butterfly emerge - even when well-intentioned - kills the butterfly. Human birth is similar - the process of being born and being pushed/squeezed out the birth control compresses the newborn's lungs, so that when s/he emerges, they expand to bring the infant the breath of life. (With humans, we've learned to compensate - the "magic wand" of medical science helps here.)

The point with these analogies is that the "magic wand" - the quick fix, easy way out, getting someone else to do it for us, etc. - robs us of our ability to grow into the person we're meant to be. Without that struggle, we don't get to learn and grow in quite the same way. In my field, we call this ability to "bounce back" and heal resiliency - and resilience can be developed and strengthened over time. We learn to develop healthy boundaries, we learn to cope with strong emotions and tolerate distress, we learn to think in a healther and more effective way, we learn to be mindful of ourselves and all of these things as we grow and heal. We learn - or relearn - how to interact with other people and grow relationships.

These things said, would I wish abusive, harmful, traumatic, or painful experiences on anyone in the sake of growth? NO. I can't say that emphatically enough - NO. We can't control what other people do or many times We CAN work to heal ourselves and grow, though. We can die in our cocoons, or we can struggle and emerge reborn to face the world. It's up to us. It's not easy. It's not pretty - and there really is no magic wand.

The magic is instead in us, in our ability to overcome.

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


0 Comments

Trust the Process

4/14/2014

0 Comments

 
In my work as a therapist, I practice a form of therapy called Dialectical Behavior Therapy, or DBT. I like it because it brings in awareness and mindfulness of the present as well as working on behavioral options. I find that there are generally two ways we can work with people.  One is to be results-oriented -  and in a therapy environment, this is not necessarily a bad thing. We  - my clients and myself - want to see that the therapy we're doing is working, right? Makes sense.

The other way we work is being process-oriented. A process orientation involves more than looking for results - it's looking at what's going on between the two people in the room, in terms of how they're relating to each other, and how this relating reflects what's going on outside the therapy room for the client. It also means paying more attention to the deeper meaning of what clients say, and how their words reflect their emotions and experiences, as well as their growth. 


Process is even more than that, though. Process is the flow of life that runs through us and with us and by us. How we react to life often reflects the process we're experiencing. Trusting the process means letting go of the illusion of control that's keeping us from growing and trusting that our process - our lives - will eventually be ok.

Letting go in this way is a scary thing to do. It's something I learn and re-learn every day, and have to consciously practice - trusting the process is an active trust kind of thing for me.

I have several "mantras" I use to remind me to trust the process. One of my favorites is, "It is what it is." I usually follow that up with a question that gets at the heart of the issue: "Now, how do you want to deal with it?" or "What are my options?"

There are several situations where I'm currently using this process...and none of them are easy. I'm finding for me, though, that letting go and trusting the process at the very least brings me some peace of mind. I take care of what I need to take care of, and the rest will be what it will be.

To me, one key to being able to trust the process is using one of my DBT skills: Radical Acceptance. The basic idea is that you realize that you first have to see what reality IS rather than what you want it to be, and then next, work on accepting that this reality exists. It's a tough process - but once you're there, you're better able to deal with what is, and won't get caught up on what should be, or what's not fair. Radical acceptance is key to learning to trust the process, because you can't begin to see the process until you accept the reality you're facing. It's that simple.

Another key piece is letting go. For me, this also takes conscious thought and action - I ask myself, "Ok, how important is this really? Am I going to be worrying about this, or be angry at this 10 years from now?" If the answer is no, it's probably a good thing for me to let go of. And I again struggle with this a lot - and am learning that the process is again, worth it.

So, trusting the process means first accepting reality for what it is, and then letting go of our expectations of what's fair or what "should be." What next?

Here's where it gets a little less behavioral...one of the things that DBT emphasizes is mindfulness, and I believe that mindfulness is another important key to trusting the process. Once we've accepted and have started letting go, mindfulness (being aware with compassionate nonjudgment) will allow us to be open to the possibilities and opportunities that DO exist. Mindfulness also allows us to be aware of what's going on around us, what triggers us, and what our choices are - it's an incredible tool for increasing awareness and connection, if we choose to use it that way - it's how we see the process part that's going on here.

The final key in trusting the process is simply, trust. Many have us have learned, and learned well that we can't trust anyone. Life has let us be hurt or injured maybe even by people who were supposed to love and protect us. Other people take advantage of us, or make fun of us, or generally make the world an unpleasant place in which to live. And here I'm telling you to trust. Yeah, right....

Here's where you use active trust (see earlier post). If you've learned to trust no one or anything, it may be time to try and see if the time is right to experiment a little with trust. To trust the process though, at some point, you have to take that leap and just let go and trust. Something, someone, sometime...Use your active trust if it helps, and realize that it's likely going to be worth the effort.

Trust the process - and see where life takes you. Even if you trust no other process than the fact that the sun will rise the next day, it's a start - and a good one. You may find yourself going in a direction you'd never considered, or meeting people you'd never have known otherwise. Let go, let yourself have an adventure...and trust the process.

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. 

0 Comments
Forward>>

    Laura Burlingame-Lee:

    I am someone who thoroughly loves life and believes in the power we have to help each other. I think that having a hot cup of tea, a good book, and a warm, purring kitty are some of the most soothing experiences available in life, and loving my family, hearing the sound of children laughing, feeling rain on my skin, and smelling the salt air by the ocean are some of the best possible things in life! 

    I believe we all have inner wisdom, and that learning to listen to it is one of the hardest and most rewarding things we can do. I believe we all have gifts and talents to share, and that we have the opportunity every day to learn something new. We learn, we grow, and we shine!


    I'd love to hear from you!

    Need to find something? Search the blog:
    View my profile on LinkedIn

    RSS Feed

    Home

    Archives

    August 2022
    July 2022
    September 2017
    August 2017
    January 2016
    October 2014
    August 2014
    July 2014
    April 2014
    March 2014

    Categories

    All
    Acceptance
    Accountability
    Accountable
    Accreditation
    Accredited
    Achievement
    Achieving
    Action
    Action Planning
    Active Trust
    Affirmation
    Affirmations
    Afraid
    Alone
    Anger
    Angry
    Antidepressant
    Antidepressants
    Anxiety
    Appointment
    Appointments
    Art Journal
    Assertive
    Assertiveness
    Attitude
    Beck
    Behavior
    Black Or White Thinking
    Boundaries
    Boundary
    Care
    Caring
    Cat-I
    CBT
    Certification
    Certified
    Chain Analysis
    Change
    Changing
    Checking In
    Check-ins
    Choice
    Choices
    Coach
    Coaches
    Coaching
    Code Of Ethics
    Cognitive Behavioral Therapy
    Cognitive Behavioral Therapy For Insomnia
    Cognitive Distortions
    Cognitive Errors
    Cognitive Triad
    Comfort
    Comfortable
    Commitment
    Commitment Planning
    Commitment Strategies
    Compassion
    Compassionate
    Compassionate Detachment
    Control
    Controlling
    Copeland
    Coping
    Coping Skills
    Counseling
    Counselor
    Counselors
    Courage
    COVID
    Cruelty
    Daily Hassles
    DBT
    Depressed
    Depression
    Dialectical Behavioral Therapy
    Dichotic Thinking
    Differences
    Discomfort
    Distorted Thinking
    Distraction
    Distress Tolerance
    Dream
    Dream Analysis
    Dreaming
    Dreams
    Dream Symbols
    Effective
    Ellis
    Emergency Room
    Emotion Regulation
    End
    Ending
    ER
    Ethical
    Ethics
    Ethics Code
    Evaluating Goals
    Fear
    Forgive
    Forgiveness
    Frustrated
    Frustration
    Fun
    Goal Planning
    Goal Progress
    Goals
    Goal Setting
    Goal Strategizing
    Grief
    Happiness
    Happy
    Heal
    Healing
    Health
    Healthy
    Helpless
    Helplessness
    Hero
    Heroes
    Hopeless
    Hopelessness
    Hospital
    Hospitalization
    Hotline
    Hotlines
    Hurt
    ICF
    Identity
    Image Rehearsal Therapy
    Insight
    Insightful
    International Coaching Federation
    Interpersonal Effectiveness
    Introversion
    Irrational Beliefs
    Irrational Thinking
    IRT
    Journal
    Journaling
    Joy
    Judgment
    Judgmental
    Letting Go
    Licensed
    Licensure
    Loneliness
    Lonely
    Mean
    Measurable Goals
    Medical
    Medication
    Mindfulness
    Minimization
    Mistrust
    Mood Stabilizer
    Mood Stabilizers
    Motivate
    Motivation
    Move
    Moving
    Moving On
    Negative Thinking
    Negative Thinking Patterns
    New Normal
    No
    Nonjudgmental
    Nonjudgmental Stance
    Obstacles
    Opposite Action
    Organization
    Organizing
    Overgeneralization
    Pain
    Painful
    Personality
    Personalization
    Plan
    Planning
    Play
    Playful
    Playing
    Positive Psychology
    Post Traumatic Stress Disorder
    Posttraumatic Stress Disorder
    Precipitating Event
    Prioritize
    Prioritizing
    Process
    Process Writing
    Procrastination
    Progress
    Prompting Event
    Psychologist
    Psychologists
    PTSD
    Rabbit Hole
    Radical Acceptance
    Reaching Goals
    React
    Reacting
    Reaction
    Reinforce
    Reinforcement
    Relationship Skills
    Relax
    Relaxation
    Resiliency
    Resources
    Responding
    Responsibility
    Responsible
    Rest
    Restful
    Resting
    Results
    Reward
    Rewards
    Role Play
    Role-play
    Sadness
    Safe
    Safety
    Saying No
    Schedule
    Self Acceptance
    Self Assurance
    Self Awareness
    Self Care
    Self Control
    Self Esteem
    Self Liking
    Self Soothing
    Self-soothing
    Setting Goals
    Should
    Shoulds
    Skills
    Solitude
    Stigma
    Stigmatize
    Stigmatizing
    Stinking Thinking
    Stop
    Stopping
    Strategies
    Strategizing
    Strategy
    Suicidal
    Suicidal Feelings
    Suicidal Thoughts
    Suicide
    Suicide Hotline
    Suicide Hotlines
    Support
    Supporting
    Supportive
    Taking Action
    Task Management
    Termination
    Therapist
    Therapists
    Therapy
    Thinking
    Thinking Patterns
    Thoughts
    Time
    Time Management
    Tough Times
    Trained
    Training
    Transition
    Transitioning
    Trauma
    Traumatic
    Traumatized
    Trigger
    Triggers
    Trust
    Trust The Process
    Uncomfortable
    Visual Journal
    Voice
    Vulnerability
    Vulnerability Factors
    Wellness
    Wellness Action Recovery Plan
    Wise Mind
    WRAP
    Write
    Writing

Proudly powered by Weebly