Monday, 30 April 2018

Book Review: Mentalligence

John de Graaf, David Wann, and Thomas H. Naylor call it affluenza. Greg Easterbrook calls it the progress paradox. And Kristin Lee calls it social indoctrination.

What I am referring to is the promise life makes that when we make more money we will be happy, that when we have more we will feel better about ourselves, and that when we live a life that society defines as successful, we will feel fulfilled.

The problem is, as many researchers know, these promises aren’t true. Money, fame, the perfect body, the coveted position, academic success, or athletic prowess doesn’t guarantee happiness. Instead, even when we achieve these things we may still find ourselves is stuck, lost, and unhappy.

One of the best things we can do is rethink and unlearn our thoughts and the behaviors that follow them. In her new book, Mentalligence: A New Psychology of Thinking, Kristin Lee – who is the lead faculty for Behavioral Science at Northeastern University – offers the science, practical advice, and step by step methods to help readers stop sleepwalking through life. She provides insight that can help turn fake thinking into agile thinking, selfish actions into inclusive ones, hiding behaviors into healing behaviors, and false truths into those that bring genuine happiness and fulfillment.

According to Lee, indoctrination “is the process of teaching someone to fully accept the ideas opinions, and beliefs of a particular group and not consider those of other persuasions.”

The result is what she calls Asinine Societal Self-Imposed Expectations (ASSIE).

“ASSIE’s metastasize into an airbrushed you, and although kinda cute, the real you is waaay better,” writes Lee.

Mental intelligence, on the other hand, begins with trading the polished for the naked, the poised for the exposed, and the fake for the real. It draws upon agility, adaptability,  the desire to always continue learning, beliefs and feelings based on reciprocity, collective efficacy, and impact-driven living.

The process also seeks not to find conclusions, but rather to ask the right questions that guide greater consciousness, awareness, clarity, and resilience. It is also not neat.

“Check your pretenses. ‘Control’ and ‘neat’ are illusions. None of us can hold it together every second. We are always spiraling up and down. Chaos and homeostasis are always at odds,” writes Lee.

The conflict is wearing one wardrobe while feeling like wearing a different one. While the first helps us fit in with others, it doesn’t help us fit in with ourselves. Even worse, it holds us hostage.

One of the places this happens rather frequently is in our educational institutions.

“Unfortunately, this type of conscious citizenry gets drowned out in the face of school climates that push for individual and institutional advancements. That we overemphasize personal success, rather than working for the greater good, may be one of the saddest realities of modern-day society,” writes Lee.

The good life doesn’t follow a pattern, isn’t a fixed state, and doesn’t avoid disruption. Instead, disruptions become moments of questioning, reflection, and the beginning of a whole new path, complete with new challenges, new learning, and greater growth.

By finding our signature brand, we can also bring impact to those around us in ways that connect our legacy to those around us in an upward spiral, which might otherwise be called karma.

“Society teaches us to focus on personal success, sometimes to the point where we overlook opportunities for social impact. We are often taught to worry more about looking good than doing good,” writes Lee. Not only does this keep the good life out of reach, it subverts a fundamental component of human life – reciprocity.

And in the age of anxiety, it is easy to fall into the role of over-functioning, over-performing, and being overly dependent on the accolades.

Lee asks: Do you want to be shiny – or do you want to be free? How we answer that question will often determine whether we wake up and stay “woke,” or remain asleep at the wheel of life.

With our eyes open, we often see the many falsehoods propagated throughout our lives, like one Lee calls WEIRD, or Western-Educated Industrialized Rich Democratic.

Yet we can question these falsehoods, move from deficit thinking to strength thinking, employ critical thinking, and trade quick concrete answers for the more valid ambiguity and uncertainty that better define life.

“Our old methods of excavating for problems leaves us with more problems. Everything rides on changing the positions we hold, the questions we ask, and the answers we’re willing to accept. When we only mine for weakness, that’s exactly what we’ll find,” writes Lee.

We don’t have to accept the script that life hands us because we all have our own script, already prepared inside ourselves. We simply have to be willing to explore and exchange the boxed in, depleted versions of life for those that bring us true happiness, connection, and our own definitions of success.

Insightful, timely, and poignant, Mentalligence is a book that has far-reaching and eminently useful impacts for anyone looking to liver a better life.

Mentalligence: A New Psychology of Thinking
Kristin Lee EdD, LICSW
Health Communications Inc.
February 2018
Softcover, 273 Pages



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How to Be the Man Your Partner Deserves

I absolutely love music, a good song can really bring a different side of me out. The other day I was driving in my car and the singer Ne-Yo’s new song came on and I was feeling it. The title of the song is called “Good Man” and basically he sings about what a guy should do in his relationship in order to be a “Good Man.” He is really helping out all the fellas with this one. It’s a great song and many women will be thanking him for releasing it. As someone who works with couples and helps them resolve conflicts the song inspired me to write a blog post about it. Just in case some of my fellow men didn’t totally understand what Ne-Yo was singing about, here are some tips on how to be a “Good Man” to your significant other.

Make Her a Priority

This is easier thank you think. Making her a priority doesn’t mean you have to drop everything, submit your life and every waking moment to her. But you do need to make her #1. It’s the small things, like picking up her call instead of calling her back. Or replying to a text as soon as you get it, instead of waiting 15 minutes. If you are getting off of work late, let her know and send updates. If your children interrupt your conversation, let them know you are talking to mommy. You will talk to them when the two of you finish your conversation.

No woman ever wants to be on the bottom of list in her man’s life and she shouldn’t. As a man it’s your job to make her feel and know that no one comes before her.

Admit You Are Not Perfect

Let’s face it, you will make mistakes, you probably made a couple mistakes today! But guess what? It’s okay. No one is perfect. Admit when you are wrong, take accountability for your actions and learn from your mistakes. When working with couples, one of the most common complaints women have of their husbands is no sort of accountability of their wrong doing. It’s described as frustrating and neglectful of their feelings. Once you begin to acknowledge your mistakes, and learn from them this will allow the two of you to grow and she will be appreciative of it.

Compliment Her

This is probably the easiest of all — just compliment her. Why should she have to ask you how she looks in her outfit? Be proactive, take the initiative and let her know she looks incredible today. You can add a little flirting and some displays of affection to the mix as well. Also, you do not only have to give her compliments on her looks. You can compliment her on her intellect, parenting skills, or anything else she does exceptionally well. Just make sure you compliment her everyday; she will adore you for it. Trust me!

Make Love

Some guys may think they got this one in the bag. I beg to differ. Are you really tending to your woman’s needs? Do you know what she likes? Or what you like? For the most part men are physical and women emotional, so satisfying her comes well before foreplay begins. Combine satisfying her physical needs along with her emotional needs and you might enter another realm. If you go back to the first tip and make her a priority, combine that with the third tip of taking the initiative and complimenting her and mix that with knowing what turns her on sexually. Before you know it you are in business.

Do Not Embarrass Her

When I was younger, my father would tell me not to embarrass him. He would say, “I gave you your name (last name) and you need to carry it with respect, do not ruin it (our last name).” I feel it’s the same thing with your wife or soon to be wife. If she carries your name or is about to, you shouldn’t do anything to embarrass her. Like it or not what you do is a reflection on her. She should be able to trust you whenever and wherever. Showing her respect when she’s not around is as important as when she is around.

Have a Plan

Last but certainly not least is: “Have a Plan.” There is an African Proverb that says “For tomorrow belongs to the people who prepare for it today.” If the two of you intend on spending the rest of your life together you need a plan. You need to let her feel safe; she needs a sense of security. She needs to know that everything is going to be alright.

Also, this helps us out, men. I dislike it when I hear a guy say, “she never supports me in what I do.” Of course she’s not going to support you if you DON’T HAVE A PLAN. Developing a plan shows her you have goals to reach your dreams and aspirations. I guarantee, if you have a well thought out plan. she will be much more supportive towards your goals for your future and your family. A goal without a plan is just a wish. If you lack in this area too long, you may be wishing you didn’t mess things up.

Hopefully these tips are helpful to the men out there. It’s easier than you think to be a “Good Man.” Just be consistent with these tips and you will be in good shape. You can catch Ne-Yo’s song by clicking here. If you have any additional tips leave a comment or tag me on instagram @feelpositivelygood and twitter @MichaelBTherapy. I leave you with this, if you want to be treated as a KING you must first tend to your QUEEN.



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My Boyfriend Doesn’t Trust Me

From a teen in the U.S.: okay so, my boyfriend says he trusts me but I feel like he doesn’t because next week I have to go to another city for a competition with my team and we will be staying there for 2/3 days. That city is only half an hour away from the beach so he thinks that I’m gonna be messing around with guys while I’m there. And I told him that I would never ever in a million years do something to ruin this relationship.

I really do love him. I trust him with all my heart. He keeps telling me that I shouldn’t go and drop out of the team. This is the very first time I am on this team and this is our team’s Final Competition. I can’t just ditch the team in less than a week. He says I can go if I want to but he doesn’t know if we will still be dating when I get back from the competition.

I don’t wanna lose him. And lately, people have been talking crap about me that isn’t true and he somewhat believes them. And he told me if I go to this competition and when we return, if people start telling him that I was doing this and I was doing that (like messing/flirting with other guys) that he was gonna break up with me. What should I do?

A: What you should do is ditch this guy immediately. You may love him but his idea of “love” is all about control and manipulation. Someone who really loves you would be your biggest fan and wouldn’t be threatening to dump you when you have a big opportunity like this. So go to your competition. Have a great time. And give this guy the boot. You deserve so much better.

I wish you well.
Dr. Marie



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This Is What Tells You A Couple Will Divorce

Four things that kill a relationship stone dead.

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What’s up with Bill Cosby? – A perfect example of the duplicitous narcissist

Isn’t it disappointing to watch “America’s Father” be denigrated to nothing more than an over-sexed womanizer, or even worse, a rapist?  Or perhaps “disappointing” is an understatement. Perhaps another term describes it better; “Devastating?” Who saw that coming?  I know I certainly didn’t.

As all the publicity about Bill Cosby’s indiscretions are revealed to the point that now the celebrity has been accused of sexually accosting over 50 women, and charged with three felonies of “sexual assault” with a sentence, at age 80, of 30 years in prison, we are brought face-to-face to the master manipulation capabilities of a narcissist.

I hear day in and day out about how people living with a narcissist experience something vastly different from the person the public sees. Narcissists display two personas – a public self and a private self. Bill Cosby is a perfect example of that. I think it’s important to bring this to light, because victims of abuse are so often dis-believed.  Others doubt them, and in turn, they doubt themselves. They lose their own intuition.

Victims of abuse seek counseling from church pastors, therapists, and other “healers” for their relationship problems with a narcissist, only to be accused of causing or contributing to the relationship problems; when the truth is, the personality disordered person is a fraud, and he creates the problems.

Mark my words: It is impossible to have a healthy relationship with a narcissist.  Yes, you can have a relationship with a narcissist, but it will never be healthy.  You will never have the empathic connection required to live in a state of emotional and mental well-being in that relationship.

On top of that, NO ONE sees it! It is amazing how Bill Cosby pulled this off for decades, if not, almost an entire lifetime. So many abusers get away with their abuse, and this is a perfect example of how it happens. NO ONE wants to believe that the reality of Cosby, which engenders hope in a stable, patriarchal, compassionate father figure, is not who he appears to be.

We all need to believe that goodness exists and Bill Cosby was the personification of light-hearted, fun-loving, security. He represented everyone’s “safe place.”

But, it was all a charade.  The Bill Cosby the public knew was merely smoke and mirrors.

No one sees it; except the victims themselves. And, in families with narcissistic members, the narcissistic parent often seemingly has great relationships with both those in his family and outside of it; but the rub is, narcissists are dedicated to “image management.”  Only the intimate few know that he is a phony and master-manipulator, and he rarely treats those closest to him with true compassion.  He merely acts loving in front of others in order to manage his phony image.

This truth adds insult to injury, as victims of abuse are slandered, not believed, and invalidated by the general public, and even close friends. They usually suffer in silence.

This is why I’m writing this article – because I am so frustrated with seeing how narcissists “get away with it” all the time. I have come to learn that only people in close relationships with narcissists see the truth and so often they stand alone with this truth, struggling to be seen and heard by someone else.

This Bill Cosby scandal is such a perfect example for all to see what people in narcissistic homes already realize. No one sees that, “The Emperor Has No Clothes,” except a few.  Bill Cosby’s nakedness just got exposed (no pun intended.) The world is shocked.

And Cosby’s response when prosecutors were concerned that he might be a flight risk:  “He doesn’t have a plane, you asshole!” I don’t remember Fat Albert of Mr. Huxtable ever calling anyone an “asshole.”  It doesn’t fit. This reality causes cognitive dissonance.

Because I never heard Bill Cosby use such language, I would never have assumed he would talk that way; because of this, I have a hard time even breaking out of my own denial that he would be anyone other than what his mask had so faithfully portrayed throughout all these many decades.

Part of the problem with narcissists, is that they are delusional, become more so with age, and are amazingly convincing because the truth is they are convinced of their delusions; they believe their own lies.

 

Reference:  Reuters Staff. (April 26, 2018). Bill Cosby, once beloved ‘America’s Dad,’ convicted of sexual assault. Reuters. Retrieved from:  https://ift.tt/2HsLC1U



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Preparing Parents for the Commitment of Youth Sports

A Journey of Unknowns

Over 35 million children ages 5-18 take part in youth sports. Some children play because it gives them an opportunity to try something they enjoy. While others participate so they can be with friends.

Some children have to poke and prod their parents to play a sport; while others are registered by their parents then later told about it on the car ride to their first practice. No matter how they are signed up or the motivating factors to participate, when children play a sport, their parents take on their own set of obligations. Some parents are well aware of the responsibilities, but others are surprised to learn what is expected of them.

Just as athletes are expected to give time to participate in an activity, the parents have to be willing to commit themselves in many different ways. It may involve driving to and from practices or games. It may be assisting the coach, baking the highly sought after post-game treats, or organizing a team photo. But from the outset, many parents don’t realize how much time it takes for their child to participate in these activities.

Often, sports are viewed as a benefit for the parents. While their child is at practice or games the parent has a newfound freedom to complete personal or family tasks. But what parents learn quickly is that sports programs require them to spend more time with their kids than they did before. The time spent traveling to and from games and practices is consuming; not too mention the time attending games, matches, or meets. When it all adds up, there is a stark realization that the commitment to youth sports has become much more than what was expected.

Get Ready to Start Early

Kids are starting earlier and earlier. Sixty-seven percent of boys and 47 percent of girls are already on teams by age 6. You read that right! Essentially, if your young family isn’t on a team by kindergarten, their peers likely will be. Studies also show that children are extremely impressionable at this age. This is a golden opportunity to participate with your children at this young age, set a good example, and have some fun.

Your Child is Making a Commitment, and You Should Too

The commitment to youth sports will likely require the parents and other family members to make sacrifices. From leaving work early to catch a late afternoon game or abolishing Taco Tuesday family dinner nights to get to an evening practice, you and your family will have to make sacrifices.

When children invest in something, the parent often becomes part of it as well. This commitment is what helps your child succeed. Having constant support and engagement in their early years of sports provides encouragement and confidence to persevere later in life. For young athletes, one of the most important impressions made is how their parents spend their time in support of their interests. Rushing to a game or volunteering to operate the scoreboard takes effort, but it is worth it. These small acts create a lasting impression that communicates your support to children, not only in sports but in life.

Part of Your Commitment Should Be the Fun Factor

Sports and kids are often a great combination. It’s a great physical release. It teaches teamwork. It teaches overcoming adversity. It teaches how to lose. It teaches how to win. The list goes on and on. Kids should be jumping into sports and staying long-term, right?

Actually, that is wrong. Kids are quitting because they don’t have fun. Statistics from ESPN show that the biggest reason kids quit sports is because they are not having fun (36 percent girls, 39 percent boys).

Part of your commitment as a parent should be to ensure the child has fun. Parents can be really creative in this part of involvement too. This can be the extra ice-cream after a playoff win, playdates with teammates away from sports, listening to fun music and singing to and from the game or the sticky goo of cotton candy between games at a tournament.

Commit to Engage in Youth Sports. Don’t Commit to Live Vicariously in Them.

So far, we have learned that this could be an unknown for you. Your child likely can start early, which isn’t a bad thing. Your child is making a commitment, and you should too. But your commitment should make sports fun for your child. This next commitment tip is very crucial. Pay attention.

Do not live vicariously through your children in their sports. Kids enjoy sports more without pressure. Thirty-seven percent wish no parents would watch them play, according to USA Today. The big reason for that is that parents often project so much pressure on their kids to perform. Your child has enough pressures as it is and they almost always want to please their parents. But when parents start to yell at referees or coaches, or show major disappointment in a simple error, or worse of all — scream at their kids from the sidelines, it has a deadening effect.

How do you ensure that you are not doing this? The answer is shockingly simple. Share. Share their experiences with them. Sharing their experiences places the focus on them. The emphasis is on what the experience means to your children, the emotions they are feeling, the lessons they learn, and the benefits they gain from their sport. Share the joys that they have. Share the mishaps, blunders, and have empathy for them if they screw up. Be there for them, and share in their emotions. Sharing in this manner also removes the sideline parent from the dangerous “Quasi-coach” role. Remember, it’s all about them.

Benefits of Participation

Sports offer children and adolescents many opportunities for growth and development. It is an opportunity to develop skills, experience teamwork, set goals, and learn self-discipline. Laying the foundation to help them throughout life and thrive in their future workplace. Everything a child faces in sports, from victories and achievements to fatigue and injuries, relates to something they will face in the future. Experiencing adversity and learning how to handle it is difficult to teach, but sports are an incubator for this lesson.

So when your child is signed up for a sport, know full well of the commitment involved not only for them but for you. The commitment itself may be the most important concept to come out of participating. Commitments in youth sports affect many people in different ways, but, when broken, the kids are affected the most.

Sports provide a great opportunity for the child and a great opportunity for the parents. Do your part, make sacrifices, and take advantage of the opportunity to interact with them in ways that will enrich the parent-child relationship. Because when both parent and child are committed, sports is a great tool to teach your child about life.



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The Power of the Pause: Saying “YES” to Now

5 Ways to Expand All-or-Nothing ThinkingIt’s ironic that most of us crave a break and yet refuse to take one. It goes without saying that most of us pine for a week off work or away from the kids, vacation-style — those really take some planning and doing. But we refuse to give ourselves the doable, daily vacations — renewing pauses throughout the day.

In the all-or-nothing, Go Big or Go Home culture that surrounds us, many of us find ourselves held hostage to the idea that we should focus on getting substantial quantities of everything and that anything less is a meaningless drop in the bucket with no value added. If we only have 20 minutes to walk on the treadmill instead of go to an hour long workout class, we say “screw it” and do something else that’s a “better” use of the time. If we can’t find a healthy, lite menu choice at the restaurant our friend picked, we call it a day and just get the loaded nachos. If we can’t get a much needed weeklong vacation or an hour for yoga, we just hunker down at work, snack on garbage, and veg in front of the TV at the end of the day. This black-or-white/all-or-nothing thinking is really huge disservice to our wellbeing and in the go-go-go context of our world the Power of the Pause becomes infinitely more important.

Pausing – the deliberate and mindful decision to refrain from action—is not really in our human nature. Our critter selves are wired to go forward. No squirrel ever had a good winter from pausing in collecting of berries and nuts; no predator ever successfully hunted meat by not pouncing; and no human ever got a promotion at work or their kids’ lunch packed by lounging on the couch.

Two important ways that learning to pause can improve your life

1. When you learn to pause, you are giving yourself the opportunity to more fully appreciate and maximize opportunities that do not at first glance appear valuable.

 

 

If we slow down and think about it, we all know that 20 minutes of exercise is substantially more beneficial than no minutes of exercise. Yet somehow, when we’re running late at the end of the day and somehow our gym time has been whittled down from 60 minutes to 30, we’re highly likely to just keep driving on home past the gym. There are a million examples of this relativity that come up in our daily lives, but when we’re moving too fast we default to the all-or-nothing thinking that obscures these important grey areas. Our automatic thinking just jumps right to the “not worth it” thinking pattern. And then we miss out.

If we can learn to insert a pause when automatic thoughts such as “I’ll only have 20 minutes to work out at this point, I might as well go home” pop into our heads, we can then make a different choice that serves us better.

2. When you learn to pause, you are giving yourself the opportunity to experience your precious life

Pausing gives us an opportunity to make sure we are in the moment we in, enjoying and experiencing it to the max. How often do we get to the bottom of a popcorn container in a movie and think, holy cow, who ate all that popcorn? We consumed it without experiencing it because we weren’t paying attention to what we were doing, and we got all of the calories and none of the joy as we mindlessly tossed it into our mouths.

 

 

Pausing is a meaningful way to make sure we are experiencing our experiences . . . tasting the popcorn, so to speak. Practice inserting pauses – even just sixty seconds—into your activities, to check in and make sure your attention is on what you are doing and that you’re experiencing it fully. Otherwise, what’s the point? If we’re not experiencing the pleasure of a $5 coffee, we might as well go get the $.99 sludge from a gas station and save ourselves a bundle. If we’re going to spend our entire time with our families taking pictures and posting them, we might as well just be an onlooker and not a participant.

Pausing will plug you into your life and help you have memorable experiences instead of forgettable consumption. It will help you recognize opportunities that you might otherwise blow by in the whirl of your daily life. Pausing will open space for you to experience the extraordinary already available to you in the seemingly ordinary and routine. Pausing will help you live your life to the fullest, instead of the fastest.  



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The Vitamin That Helps People Recall Their Dreams

People taking the vitamin were more likely to remember their dreams.

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Is This Stress or Mental Illness? Am I Misdiagnosed?

Hello, I’m a 3rd year animation student and I’m concerned about my mental health. For the past few weeks I’ve been shifting from severe depression to a kind of mania. I might have felt this “high”once before but not to this point- especially during finals where most individuals are depressed and stressed. Instead of being depressed or even stressed out over work, I’m not. I’ve even been falling behind on work or being late to class and I simply don’t care.

I can’t focus, and for four days straight I’ve been “drugged” on adrenaline and euphoric moods. Even now my thoughts are all over the place. When I was in high school I would also have these moods but only once in a while and I would use them to be super creative. I once made a fully colored one minute animation in a week (something that takes others more than a month) and I also drew 20 pages of a comic when the teacher asked only for 10. I was the only one who did this in my class both times.That was years ago. Now, this year I was severely depressed from november to december to the point that I was unable to go to class from panic attacks and feelings of worthlessness. I would cry every day and feel horrible for weeks. Even after classes ended, winter break I continued to have these depressed moods up until class started. When class started I began to feel less depressed and more stable and that lasted from february to march when something else happened.
During the second week of march I was depressed again despite having a lot of fun during spring break. The week after however I felt this strange sort of highness and took more than I should out of a bottle of cough syrup. I got high and after that high even though I haven’t taken the drug again, I’ve been feeling crazy. Crying in public, not sleeping for days, dancing and singing.

I was diagnosed with Depression and Generalized Anxiety Disorder. I was seeing a counselor and I was evaluated by the psychiatrist I had for 15 minutes only. I don’t think that was enough time…. I’m worried that I might have been misdiagnosed. I don’t want to speak to counselors anymore, I just want to know what’s wrong.

Thank you so much

A. I would concur. Fifteen minutes is not enough time for a thorough diagnosis. It would be best to consult another psychiatrist. Hopefully, they will spend more than 15 minutes with you. Your symptoms seem more consistent with bipolar disorder than depression and anxiety, but it is impossible to provide a diagnosis over the internet.

Given your mood instability, medication will likely provide the most relief but counseling can help too. Utilize the counseling services that are available to you. Ask your therapist to assist you in regulating your mood. Counseling should help while you’re waiting for another psychiatry appointment.

Counseling and medication are considered comprehensive treatments for most psychological problems. Once you find the right medication and are working with a good therapist, your mood will likely stabilize and you can return to a normal level of functioning. Don’t give up until you find the right professionals and treatment. Good luck and please take care.

Dr. Kristina Randle



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Ep 7: What do our Families Think of us Being so Open About Living With Mental Illness?

 

On this episode, we welcome guest Vincent M. Wales from The Psych Central Show podcast! Gabe and Michelle first talk about what their families think of the podcast, so far.

Gabe’s 80-year-old grandmother shares her thoughts the show, while Michelle’s Jewish mother has concerns about Gabe. But what would Michelle’s grandmother Blanche think? Vincent shares his stories of editing the show. He also shares some hilarious outtake stories.

Gabe, Michelle, and Vincent are enjoying being in Chicago and are so glad they got to do this recording together.

 

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“Dinner and a show…no hanky panky.” ~ Michelle Hammer

Highlights From ‘Open About Mental Illness’ Episode

[4:20] Gabe and Michelle decide to discuss what their families think of the show.

[7:40] Gabe shares his 80-year-old grandmother’s comments on his story about strippers from the first episode.

[9:20] Michelle talks about what her “wild” grandmother Blanche would think of this podcast.

[12:55] Gabe is still mad that his mom yelled at him for something he did at Christmas in 1991.

[17:30]  Vincent shares his opinion of the podcast.

[20:00]  Vincent talks about editing the podcast and the feedback be gives us on each episode.

[26:00] Gabe gets caught saying something stigmatizing.

 

A bipolar, A schizophrenic, and a Podcast

Meet The Hosts of #BSPodcast

GABE HOWARD was formally diagnosed with bipolar and anxiety disorders after being committed to a psychiatric hospital in 2003. Now in recovery, Gabe is a prominent mental health activist and host of the award-winning Psych Central Show podcast. He is also an award-winning writer and speaker, traveling nationally to share the humorous, yet educational, story of his bipolar life. To work with Gabe, visit gabehoward.com.

 

MICHELLE HAMMER was officially diagnosed with schizophrenia at age 22, but incorrectly diagnosed with bipolar disorder at 18. Michelle is an award-winning mental health advocate who has been featured in press all over the world. In May, 2015, Michelle founded the company Schizophrenic.NYC, a mental health clothing line, with the mission of reducing stigma by starting conversations about mental health. She is a firm believer that confidence can get you anywhere. To work with Michelle, visit schizophrenic.NYC.

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The Fractionation of Auditory Semantic Knowledge: Agnosia for Bird Calls




How is semantic knowledge represented and stored in the brain? A classic way of addressing this question is via single-case studies of patients with brain lesions that lead to a unique pattern of deficits. Agnosia is the inability to recognize some class (or classes) of entities such as objects or persons. Agnosia in the visual modality is most widely studied, but agnosias in the auditory and olfactory modalities have been reported as well. A key element is that basic sensory processing is intact, but higher-order recognition of complex entities is impaired.

Agnosias that are specific for items in a particular category (e.g., animals, fruits/vegetables, tools, etc.) are sometimes observed. An ongoing debate posits that some category-specific dissociations may fall out along sensory/functional lines (the Warrington view), or along domain-specific lines (the Caramazza view).1 The former suggests that knowledge of living things is more reliant on vision (you don't pick up and use an alligator), while knowledge of tools is more reliant on how you use them. The latter hypothesis suggests that evolutionary pressures led to distinct neural systems for processing different categories of objects.2

Much less work has examined how nonverbal auditory knowledge is represented in the brain. A new paper reports on a novel category-specific deficit in an expert bird-watcher who developed semantic dementia (Muhammed et al., 2018). Patient BA lost the ability to identify birds by their songs, but not by their appearance. As explained by the authors:
BA is a dedicated amateur birder with some 30 years’ experience, including around 10 weeks each spring spent in birdwatching expeditions and over the years had also regularly attended courses in bird call recognition, visual identification and bird behaviour. He had extensive exposure to a range of bird species representing all major regions and habitats of the British Isles. He had noted waning of his ability to name birds or identify them from their calls over a similar timeframe to his evolving difficulty with general vocabulary. At the time of assessment, he was also becoming less competent at identifying birds visually but he continued to enjoy recognising and feeding the birds that visited his garden. There had been no suggestion of any difficulty recognising familiar faces or household items nor any difficulty recognising the voices of telephone callers or everyday noises. There had been no evident change in BA's appreciation of music.

BA's brain showed a pattern of degeneration characteristic of semantic dementia, with asymmetric atrophy affecting the anterior, medial, and inferior temporal lobes, to a greater extent in the left hemisphere.



Fig. 1 (modified from Muhammed et al., 2018). Note that L side of brain shown on R side of scan. Coronal sections of BA's T1-weighted volumetric brain MRI through (A) temporal poles; (B) mid-anterior temporal lobes; and (C) temporo-parietal junctional zones. There is more severe involvement of the left temporal lobe.



The authors developed a specialized test of bird knowledge in the auditory, visual, and verbal modalities. The performance of BA was compared to that of three birders similar in age and experience.


Results indicated that “BA performed below the control range for bird knowledge derived from calls and names but within the control range for knowledge derived from appearance.” There was a complicated pattern of results for his knowledge of specific semantic characteristics in the different modalities, but the basic finding suggested an agnosia for bird calls. Interestingly, he performed as well as controls on tests of famous voices and famous face pictures.

Thus, the findings suggest separate auditory and visual routes to avian conceptual knowledge, at least in this expert birder. Also fascinating was the preservation of famous person identification via voice and image. The authors conclude with a ringing endorsement of single case studies in neuropsychology:
This analysis transcends the effects of acquired expertise and illustrates how single case experiments that address apparently idiosyncratic phenomena can illuminate neuropsychological processes of more general relevance.

link via @utafrith


References

Caramazza A, Mahon BZ. (2003). The organization of conceptual knowledge: the evidence from category-specific semantic deficits. Trends Cogn Sci. 7(8):354-361.

Muhammed L, Hardy CJD, Russell LL, Marshall CR, Clark CN, Bond RL, Warrington EK, Warren JD. (2018). Agnosia for bird calls. Neuropsychologia 113:61-67.

Warrington EK, McCarthy RA. (1994). Multiple meaning systems in the brain: a case for visual semantics. Neuropsychologia 32(12):1465-73.

Warrington EK, Shallice T. (1984). Category specific semantic impairments. Brain 107(Pt 3):829-54.


Footnotes

1 I'm using this nomenclature as a shorthand, obviously, as many more researchers have been involved in these studies. And this is an oversimplification based on the origins of the debate.

2 In fact, the always-argumentative Prof. Caramazza gave a lecture on The Representation of Objects in the Brain: Nature or Nurture for winning the Fred Kavli Distinguished Career Contributions in Cognitive Neuroscience Award (#CNS2018). Expert live-tweeter @vukovicnikola captured the following series of slides, which summarizes the debate as resolved in Caramazza's favor (to no one's surprise).









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A workshop on music and the brain.

I want to point to this open access article describing an NIH/Kennedy Center workshop on music and the brain, hosted by National Institutes of Health (NIH) Director Francis Collins, soprano Renée Fleming, and Kennedy Center (KC) President Deborah Rutter. Descriptions of the various workshops, in addition to waffling and hot air, include some useful links to basic research articles on music and the brain. Here is a clip from the introduction:
The workshop was organized around the three life stages—childhood, adulthood, and aging. In each session, a panel of 25 experts (listed in Table 1) discussed recent breakthroughs in research and their potential therapeutic applications. Over the course of a day and a half, the panelists recommended basic and applied research that will: (1) increase our understanding of how the brain processes music; (2) lead to scientifically based strategies to enhance normal brain development and function; and (3) result in evidence-based music interventions for brain diseases. In the sections that follow, we will review the discussions from the workshop and highlight the major recommendations that emerged. Finally, we will discuss how funding agencies, scientists, clinicians, and supporters of the arts can work together to catalyze further progress.
The article is worth a read for those (like myself) interested in music and the brain. The workshop on music and the adult brain discusses the effect of musical training on adult brain structure and function. Here are the topics:
“Building”: Music and the Child’s Brain
Music as a Therapeutic Intervention in Children
“Engaging”: Music and the Adult Brain
Music as a Therapeutic Intervention in Adults: Overlapping Circuits Suggest Potential Mechanisms
“Sustaining”: Music and the Aging Brain
Music as a Tool for Restoring Function in the Aging Brain


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Sunday, 29 April 2018

When Do You Discuss Mental Illness During Dating?

Dating is tough.

It’s hard to find someone you click with, but it is even harder when you have an illness. A mental illness.

And online dating? Well, that brings up its own set of difficulties because when you meet someone online you aren’t really talking to them.

They are not able to see you or your personality. And I am not my illness. It is a part of me, but there is a whole lot more to me as a person.

So, how and when do you talk about your mental illness: before the first date or after your second? Perhaps you even wait for a third? Well, it depends.

But me? I tend to bring it up in the first conversation.

I don’t like to hide things and I like everything to be out in the open.

I know my approach is not for everyone. It can be scary and intimidating to a lot of people. But as someone that is very open and honest about my illness, I feel it is imperative to bring it up right away.

I am an advocate; in fact, my dating profiles mention I am an advocate.

But still it can be a tough subject to bring up. I really can’t just blurt it out from nowhere.

What part of the conversation you have gives an opening to bring this sort of thing up?

Of course, I don’t get a lot of answers back after mentioning it, especially when I explain that I have bipolar disorder, an anxiety disorder, and depression. I am dead in the water most of the time. I don’t get a whole lot of first dates.

So, how do you bring up your mental illness? When do you bring up your mental illness? On day one.

In the first conversation because if they can’t deal with it then they can’t deal with me — and why should I waste my time?

That said, some would argue you need to get to know the person first, and they need to get to know you, and I agree with part of that – at least to an extent.

You do need to know the person first but hiding your illness can make things worse in the long run.

They may think, “What else is he hiding or lying about?”

Besides, do you want to be left at the bar or table when they “go to the bathroom” after learning about it?

Make no mistake: some individuals are more understanding than others.

They “get it” or “totally understand” because they know someone with a mental illness.

Because they’ve dated someone else with a mental illness, and maybe they do.

But I’ve noticed that when I mention my bipolar disorder things change. The conversation changes, and that is because the very mention of bipolar brings up a whole host of stigmas.

Am I “bad” or crazy or violent? Am I going to hurt someone – especially them?

The answer is no.

My lows normally mean isolation, so having someone normally helps that. And my highs mean I want to go out and can be hyper sexual with a lot of PDA.

But violent? Violence is something that most with bipolar never exhibit (Not that it doesn’t happen, but statistics show that it is unlikely to happen).

More often you are going to deal with isolation on lows and sometimes highs.

So, when do you bring up your mental illness? How do you bring up your mental illness?

That is the question.

That is my dilemma.

This post courtesy of Mental Health America.



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I Can’t Stop Scratching Up My Face

From a teen in the U.S.: I have a “habit” of picking at my face. I’ve tried to stop, but the thing is I don’t even realize when I’m doing it. I don’t know why I do it or how it even started.

Every time I encounter a mirror, I get the urge to dig my nails and scratch out all the flaws visible on my face. I’ll just be changing in the bathroom and the next thing I know blood is running down my face. Of course, then I end up with awfully nasty scars. My grandmother has no qualms about pointing out how ugly they are, and I feel like that makes things worse. She tells me to stop and I want to, but I really can’t. I’ve broken bad habits before and this is a lot tougher to tackle because of the fact that I don’t know when I’m doing it. It’s like I go into a trance. Whatever good sense I have is gone. I’ve spent an hour locked in the bathroom solely picking at my face.

It’s unsettling to me that I can’t stop. I try really hard to keep my hands busy with little trinkets or keeping them in pockets and even putting gloves on, but I always end up directly in front of the mirror with blood on my face and under my fingernails. Keeping my nails trimmed helps, but I can manage to get the right angle and still do some damage, although much much less than it would have been originally.

Apologies if this is a bit messy, I”m just not sure what to do about it.

A: I’m so glad you wrote. It takes courage to confront a problem when you feel so much shame about it.

I want you to know you are not alone. I’ve heard similar stories many times before. Everyone who falls into skin-picking as a habit for “self-improvement” wants to stop and feels that they can’t. But there is treatment and you can learn to control the urge.

Skin picking is generally a form of Body Dysmorphic Disorder. Dr. Sabine Wilhelm and her team at the Body Dysmorphic Disorder (BDD) Clinic & Research Unit at the Massachusetts General Hospital/Harvard Medical School have dedicated years of research in how best to treat it. A combination of medication, cognitive behavior therapy and support will help you do what you can’t do for yourself. I suggest you go to their website to learn information and to use their therapist locator to find a therapist who specializes in the problem.

Please follow through. The longer you delay getting treatment, the more damaged your skin will be — and the more your self-esteem will suffer. You deserve the good help and support that a therapist can provide.

I wish you well.
Dr. Marie



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A Risky Sign That You Are Smarter Than Average

The behavior is linked to more white matter, the brain's 'superhighway'.

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​Helping Teens Identify and Avoid Cyberbullying

Mallory Grossman was in sixth grade when she began to receive the texts and Snapchat messages. “You are a loser, no one likes you,” some said. Others claimed that she had no friends. Some told her that she should kill herself. It would come to be a tragically prolific taunt as after months of the torment, the 12-year-old girl took her own life.

Her parents, who had spent those months making complaints to the school and talking to the parents of the four bullies, are now suing Copeland Middle School in Rockaway, New Jersey. They allege that educators and administrators did nothing to address the problem, even when it became evident that it was causing severe problems with Mallory and her school life.

As tragic as Mallory’s story is to parents everywhere, her story is not an isolated incident. In fact, cyberbullying is becoming more prevalent as technology makes everyone more accessible.

The Rising Menace of Teen Cyberbullying

In 2017, Florida Atlantic University did a comprehensive study on nationwide bullying figured among teenagers. One of the alarming figures they found was that 70% of participants had experienced someone spreading a rumor about them online.

Bullying has always been a problem young people have faced, some of a severe enough degree that it requires significant interaction to address. Lately, the topic has been especially prevalent as public shootings continue to make headlines across the US.

But cyberbullying is not like other kinds of bullying. The digital age has given access to victims no matter where they are. Where once a child could find solace at home from tormentors, now they are right there, in their pocket at all times. Perhaps this lack of respite could partially explain why the teen suicide rate has increased in recent years, a trend that has followed the uptick in cyberbullying.

Combat Cyberbullying: Arm Teens with Knowledge

There is no easy way around this problem, nor can we protect our kids all the time from the risks in digital media. Cyberbullying is here to stay, regardless of how many campaigns we run to spread awareness. Because it isn’t about warning parents about the prevalence of the issue — for the most part, we are quite aware.

We should be focusing on attacking the problem where it resides — in our teens. By encouraging them to look out for signs of cyberbullying and what to do to stop it, we can help to eliminate one of the most prominent social issues facing our teenagers today.

How Your Teen Can Identify Cyberbullying

Not every kind of cyberbullying will be as blatant as Mallory’s cyberbullies acted. Be sure to teach your teen to look for the following cyberbullying signs:

  • Anxiety when receiving a message
  • Anger when receiving a message
  • Signs of depression
  • Rumors spreading via online or through apps
  • Personal information being spread via online or through apps
  • Bullying in person, which may then carry online

What to Do About Bullying

The best way to avoid cyberbullying is to encourage your teenager to be open with you. Ask them to let you know if any online abuse is going on. Tell them that they can talk to you about anything. If they come to you about cyberbullying happening to someone else, address the issue together. That may include alerting the school and the parents of the victim about what is going on and who the culprit is if they are known.

Be clear with your teen about the seriousness of cyberbullying. Some teens feel it isn’t as bad as physical or face-to-face bullying and so might not take as many steps to report it. They should know about the high number of cases where this type of behavior has led to self-harm and/or suicide.

Finally, you have to be vigilant. Though we aren’t able to be there to shield our children from every risk and hurt in the world, this is one area where we can do our best to be involved. Make sure you know the apps and websites your teen uses. Know their passwords and don’t allow locks on their phones which can keep you out.

When we treat cyberbullying with the care and attention it deserves, we can begin to finally put an end to it.

Resources

Rosenblat, Kalhan, Cyberbullying Tragedy: New Jersey Family to Sue After 12-Year-Old Daughter’s Suicide. Retrieved on 04/18/2018 from https://www.nbcnews.com/news/us-news/new-jersey-family-sue-school-district-after-12-year-old-n788506

Florida Atlantic University, Nationwide teen bullying and cyberbullying study reveals significant issues impacting youth. Retrieved on 04/18/2018 from https://www.sciencedaily.com/releases/2017/02/170221102036.htm

Liahona Academy, The Reality of Teen Depression. Retrieved on 04/18/2018 from http://www.liahonaacademy.com/the-reality-of-teen-depression-infographic.html

Hartwell-Walker, Marie, Cyberbullying and Teen Suicide. Retrieved on 04/18/2018 from https://psychcentral.com/lib/cyberbullying-and-teen-suicide/

Handler, Suzanne, 10 Ways Parents Can Help Prevent Cyberbullying. Retrieved on 04/18/2018 from https://psychcentral.com/blog/10-ways-parents-can-help-prevent-cyberbullying/



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The Most Common Caffeine Withdrawal Symptoms

If you want to quit caffeine, the key is to do it slowly and substitute non-caffeinated products.

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Why Can’t I Love?

Hi, I’m not sure if this is a problem worthy of your time, but it causes me a lot of distress. It’s affecting my life a lot.

I’ve come to realize that I can’t get emotionally attached to people. I mean, I’m very sociable, talkative and get along with everybody. The problem is, I can’t get emotionally attached in a deeper level, like in a relationship.

I never fell in love or anything like that. If I find a guy who gives me attention and is cute, I start to think a lot about him, but as soon as it comes, it also goes. This also tends to happen in my relationships, for example, I find a guy that is really nice to me and I’m convinced that I like him because I’m always wanting to talk to him, but after awhile, everything fades away or I start to feel suffocated for no apparent reason. Then I feel like they start to annoy me for no reason, even just their presence. I end up breaking up with them and feeling really bad and guilty for hurting them.

I don’t know why this happens, I’m actually a very sensitive person, I’m a very good listener and people tend to come and talk to me when they have troubles. I also cry very easy when I see people hurting on tv, like natural disasters, or tv dramas. I’m also very sensitive to people’s troubles and human rights. In some ways I’m very introspective, I like to be alone a lot and need it to recharge my batteries.

I don’t know if this is relevant, but I love my family. When my parents get home from vacation I run down the stairs like a little kid on Christmas morning. Yesterday I sat on the bus on my way home and I saw my brother walking down the street, my mood instantly changed. He didn’t even see me! I just love my family and I never feel as loved and comfortable and happy as when I am home. So why can’t I fall in love?

A. You think that something is wrong, when in fact nothing may be wrong. Perhaps you have yet to meet the right person. That’s what dating is all about. You meet someone, you get to know them and if you don’t like them, you end the relationship. That is how it works. You choose one to marry but only after rejecting many. It takes time to find the right one.

You seem to have expectations or assumptions about love and relationships. I wonder if you are judging yourself against arbitrary standards and inappropriately determining that you don’t make the cut. Perhaps your ideas about love and relationships are based upon popular culture and if so, they could be very skewed. What you see in movies doesn’t accurately reflect real-life relationships.

Abraham Maslow writes about the nature of interpersonal relationships among the most psychologically healthy people. He finds that they have especially deep relationships with few individuals. He notes that their circle of important people is rather small. That’s because getting to know someone on the deep level is time-consuming. “Devotion is not a matter of the moment.” Deep, meaningful relationships — loving relationships — require a great deal of time. They are more demanding when compared to other types of relationships.

You don’t want to waste your time on someone, you have determined through dating, who is not a match. Based on what you have written, you seem to be doing all of the right things. If you continue to be concerned about your ability to connect with people, consult a therapist. An evaluation by an in-person therapist may bring you peace of mind in a way that my internet answer, with all of its generalities, cannot. Good luck.



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How to Really Rest

It seems silly to write an article about rest. After all, rest is kind of like breathing: It’s automatic. Or rest is like brushing your teeth: It’s something we naturally do every day, several times a day. But for many people rest isn’t part of their lives, at least not regularly, or at least not genuine rest. Many of us are too focused on striving and never stopping. Because, we think, to stop is to quit. Because, we think, to stop is to be lazy.

So, we wait to rest until we’re so exhausted we can’t get up.

Many of us find it hard to rest because we’re perfectionists or we fear failure (or both), according to Kelly Vincent, PsyD, a registered psychological assistant who works with young adults, women, professionals and athletes in Lafayette, Calif. “Even though we may not recognize it as perfectionism, at times we are desperately trying so hard to be perfect by doing, accomplishing, and achieving everything we set our minds to.”

We worry that if we rest, our lives will spin out of control, she said.

We also might feel uncomfortable. It’s common for boredom to arise when we try to rest. And beneath this boredom reside “more difficult feelings like loneliness, anger, or feeling trapped,” said Panthea Saidipour, LCSW, a Manhattan psychotherapist who works with young professionals in their 20s and 30s who want to gain a deeper understanding of themselves.

We might be afraid to rest because doing so will just set us back. After resting, we’ll have to work that much faster and that much harder and that much more to make up for the time our tasks went undone. So we wonder, what’s the point?

We might yearn to rest, but our minds are too busy racing, reviewing all the responsibilities that are piling up and spilling over into other days and weeks.

We might even be confused about what rest really is, said Sarah McLaughlin, MFT, a licensed psychotherapist and certified yoga teacher in San Francisco, who works with women who struggle with anxiety and feelings of not good enough-ness.

Many of us think using our phones is resting. After all, we’re sitting and scrolling or playing games. We’re not doing anything else. However, it’s actually exhausting. “We are absorbing the sensory input and our brain is quickly trying to process it all,” Vincent said. And we might start unconsciously comparing ourselves and experiencing negative feelings like envy, jealousy and anger, she said.

We also think we’ll get our rest when we sleep. “But even sleeping isn’t restful for the person who can’t rest when they’re awake,” McLaughlin said. “If the brain is in a constant stress-state during awake hours then, in many cases, it is losing or has lost connective pathways that tell it to decrease or stop the stress response.” For instance, the stress hormone cortisol may be released during sleep.

McLaughlin defined rest as ceasing work and worry, as “being, rather than doing.” “The whole system—mind-body—is engaged in a restful state and we are present in that experience of resting,” which she calls “restful awareness.” (It’s not rest when the body is still but the mind is ruminating, she said.)

Saidipour views rest as “shifting from what’s external to what’s internal and making time and space for our inner selves, our minds, and our creativity.” That is, we might daydream or self-reflect, she said.

Below are ideas on how you can really rest.

Search beneath the surface. Saidipour stressed the importance of getting curious about why you’re not resting, about the thoughts and feelings that are driving your need to stay busy. Maybe by staying busy, you’re trying to protect yourself from certain feelings.

She also suggested exploring these questions: If I weren’t so busy, would I feel like a failure? Would I fear losing others’ approval? Would I fear becoming hopelessly stuck?

Understand the power of rest. So many people are in a constant state of stress. In fact, McLaughlin noted that 70 percent of doctors’ visits are due to stress-related health issues. “Rest is the only way to engage the part of our nervous system that allows for relaxation.” It is literally vital for our physical and mental health.

Rest also helps us show up for others (and for our lives). It “benefit[s] everything we touch and do for the rest of the day. We need to start valuing taking care of ourselves as much as we value accomplishing tasks,” McLaughlin said.

Rethink the narrative. This won’t happen overnight, but it’s important to chip away at the narrative that resting is failing. “Most people tend to attach their successes to their worth, value, and identity,” Vincent said. “We need to reframe and shift the narrative to a more realistic view, such as, ‘[I]f this task does not get done today, it does not mean I have failed. It just means that we will get to it tomorrow.’”

Practice acceptance. Remind yourself regularly that you’re not a robot, and you can’t do everything at once. Some tasks simply won’t get done. Practicing acceptance—accepting things as they are—can help you to temper your stress, and give yourself the mental space to rest. Vincent suggested reminding ourselves: “I did not expect this, but I accept it.”

Be intentional. As you’re about to rest, McLaughlin suggested saying to yourself, “I am going to rest now,” and asking: “Is my mind at rest? Am I truly allowing myself to ‘be’ instead of ‘do’?” She also suggested taking several deep, long, slow breaths. “Really focus on the breathing and connect both your mind and body in this present moment of restful awareness.”

Take in your surroundings. Vincent shared this example: Spend 5 minutes sitting on a bench. Notice the sun on your skin. Notice the colors around you. Notice the sounds. Notice how the bench feels. “Allow yourself to be completely present in the here and now.” 

Focus on yourself. When figuring out how you’d like to rest, focus on what grounds you, helps you feel most alive and connects you to yourself, Saidipour said. This will be different for everyone. For one person, cooking is a meditative practice; for someone else it’s misery. You might find these activities restful (or not): journaling; drawing; sipping coffee while watching the sunrise; practicing yoga; sitting on the beach.

As Saidipour said, “What helps you shift from absorbing external stimuli to tuning into your own body, thoughts, and feelings?”

Many of us have forgotten how to truly rest. We have developed negative narratives about what it means. We’ve replaced real rest with superficial, stimulating activities like scrolling through social media and playing games on our smartphones.

Thankfully, however, we can relearn to rest fully and wholeheartedly. Maybe you’ll even consider practicing today. Or right now.



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Saturday, 28 April 2018

OCD and the Tortures of Scrupulosity

Catholicism, OCD, and puberty often make a disturbing mix. Obsessive-Compulsive Disorder (OCD) can lead to a pathological degree of moral fastidiousness, or scrupulosity, often based on the fear of committing a mortal sin. At the same time, the developmental stage known as puberty unleashes a storm of biological turmoil at odds with the concept of self-restraint.

Stricken with the curse of OCD as a teenager, I also suffered from scrupulosity; in my case, it took the form of primitive self-control. Reared as a Catholic, I was taught to understand that it was a sin to enjoy impure thoughts; however, my rebellious body had secular ideas. According to the Catechism of the Catholic Church, impure thoughts are related to “The deliberate use of the sexual faculty, for whatever reason, outside of marriage…” Needless to say, the practice of masturbation was considered forbidden.

I recall that one priest informed me (during a confessional visit) that “impure thoughts” could be forgiven, if rooted in reluctant habits or uncontrollable desires. But such liberal interpretations of scripture clashed with the Church’s official theological doctrine. Most of my Catechism and CCD teachers insisted that natural sex cravings, if willingly engaged in — were indeed shameful.

Not surprisingly, tons of data can be found on the notorious relationship between scrupulosity and OCD; a frequent topic of the psychological literature. Stringent moral rectitude and ritualistic behavior can be heart-breaking in their mutual collision. My own solution, as it turned out, was to gradually break away from the faith entirely.

Since the election of Pope Francis, there seems a growing semblance of gentler views on God’s eternal judgement. The Church has recently cushioned some of its harder decrees on Hell, reciting the parable of the Prodigal Son. The latter teaches that all sins can be forgiven on the basis of penitence — even “imperfect” penitence, rooted in the terror of eternal damnation. God is merciful. He doesn’t toss people willy-nilly into the Great Abyss; rather, it’s the human soul that chooses a deliberate path from God into darkness.

My own treatment, during my acute teenage phase, was to postpone all fears of Hell until the next morning, so that I could tackle the issues of mortal sin in a more refreshed state. A good night’s sleep often calmed my preoccupations with the possibilities that sinful thoughts could threaten my position in a future afterlife. (Bedtime tranquilizers — prescribed in the eighth grade — also helped to shutter my mind in pursuit of this solution.) After a long period, the obsessions faded into the background of normal teenage noise.

A personal brush with guilt-ridden obsessions at an early age can instill in the mind an “immune response” to the indoctrination of fear. The mental vaccination that results from needless hours of suffering — when followed by enlightenment — can lead to a greater sense of freedom and optimism.

For the faith-seeker with OCD, the spiritual battle should not be a zero-sum game. The ultimate “cure” for scrupulosity shouldn’t lie in the renunciation of one’s religion, or in a personal doctrine of indifference. Such tactics represent a compromise solution.

The condition of OCD, itself, must take on the lion’s share of the blame. But the risk of scrupulosity is amplified in a culture of religious shame. I believe it’s destructive to characterize a primal surge of life — the libido — as a reason for endless guilt or despair. In the face of such ecclesiastical mental intolerance, it makes sense to seek a better solution than a zero-sum compromise. Especially for those with OCD and scrupulosity.



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Does My Dream Mean Something?

From a teen in the U.S.: Last night I had a dream about my uncle he has said things about suicide before but not in awhile but anyway when I was dreaming I was walking outside my apartments and saw my uncle in a car then he sped away and turned around and then drove straight into a wall… does this mean something? Or is it a problem I have

A: I don’t see this as a “problem”. My take on it is that you are worried about your uncle. Often we dream about things that are bothering us.

I encourage you to talk to your parents about your concern. What is being done to help him? Is the crisis truly over? It may be that you haven’t been included in discussions about how he is doing and that you are worrying for nothing. Or it may be that you are picking up anxiety from other members of the family. Whichever is the case, you will feel better if things aren’t left to your imagination — and dreams.

I wish you well.
Dr. Marie



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How to Handle Abuse

Mark’s wife began by verbally abusing him early on in the marriage. As the years progressed, so did her abusive behavior escalating into her throwing and destroying his phone. He wants to get a divorce, but also wants to wait until after his daughter graduates from high school which is about one year away.

Natalie’s boss is overbearing, demanding, sexually harassing, and downright rude. Even though she has reported some of his abusive behavior to Human Resources, he still manages to escape any consequence. Because she is a single parent, she needs the income and cannot quit her job until she has another one lined up.

Neither one wants to be in an abusive relationship and both are in the process of actively looking for ways out of their situation. But how can they survive until they can get away? Try these methods.

Before the abuse starts:

  • Learn about kinds of abuse: There are seven major types of abuse: physical, mental, emotional, verbal, financial, sexual, and spiritual. Mark experienced physical (aggression, hitting, throwing objects), emotional (guilt tripping, anger rages, confusion), and verbal (name calling, belittling, sarcasm). While Natalie experienced financial (threats of losing her job, reducing her pay), mental (Gaslighting, twisting the truth, silent treatment), and sexual (grooming, coercion, inciting fear).
  • Know the person: Mark and Natalie began to study their abusers from the outside looking in on their situation. This perspective allowed them to see their abuser as a tormented soul who needed help from someone other than them.
  • Anticipate type of abuse: The combination of knowing the types of abuse and studying an abuser, allows a person to be able to more accurately anticipate the type of abuse. Most abusers use the same tactics over and over so it is not too difficult to spot.
  • Set reasonable expectations: Instead of believing that the abuse would stop, Mark and Natalie began to realize that their abusers would likely look for another target if they were not there. Unless a person goes through a major transformation, abusive behavior is not likely to change.

During the abuse:

  • Put on protective bubble: Think of the bubble as an invisible force field that no one can penetrate. A person inside the bubble can see outside it just as a person outside the bubble can see inside. However, there is a protective layer that keeps the abuser’s emotions from penetrating the bubble just as it protects the person inside from absorbing the abuse.
  • Slow speech down, talk in a quiet voice: One of the easiest methods to make an abusive person calm down quickly is to slow down the rate of speaking and talk in a very quiet voice. This method almost forces the abuser to match the new speed instead of escalating.
  • Pause for extra breaths: The slower speech allows for deep breathing in between words. This oxygenates the whole body while giving the brain extra time to process. At first, this is difficult, but with practice it becomes easier.
  • Lower heart rate: After slowing the speech and adding more breaths, it is more natural to become aware of an elevated heart rate. Be intentional about slowing it down. This reduces any effect from increased anxiety as a result of the abuse.
  • Say “I’m safe”: The normal response to an abusive moment is to go into survival mode. But this leads to a fight, flight, freeze, or faint response. Once this is activated, the brain shuts down and the response is automated leaving no room for executive thinking. Instead, say the words, “I am safe,” which will prevent the survival mode from activating.
  • Countdown “5, 4, 3, 2, 1, I’m present”: Mark and Natalie discovered that the defense mechanism of dissociation happened during an abusive moment. While this can be useful in some instances, not being present means their response time was greatly reduced. They often wished they had said something in the moment but couldn’t seem to think of it. Counting down and saying, ““5, 4, 3, 2, 1, I’m present” kept them in the present and not far away.

After the abusive behavior:

  • Assess the incident only 2 times: There is nothing good that comes after reviewing an abusive moment more than 2 times. It can lead to absorbing harmful information, obsessing over the incident, and/or believing the lies of the abuser. Replay the abuse only 2 times to learn from the incident and discover ways to improve performance.
  • Look for ways to improve self: The stronger a person is, the harder it is to abuse them. Mark and Natalie worked hard at improving their self-image, gaining confidence from environments outside of the abuse, and engaging with people who loved them.
  • Express stored emotion: During the abusive moment, it is not wise to express any emotion. Rather, shelve it for another time but do come back to when in a safe location. Alone, Mark and Natalie would pretend that they were screaming at the person doing the abuse. This allowed them a chance to release their pent up emotions.
  • Release event: Regardless of a person’s ability to forgive an abusive event, it cannot be and should not be forgotten. While the event doesn’t have to live in the present moment, the lessons learned from the abuse do last a lifetime. Make them valuable.

Eventually Mark and Natalie were able to get out of their abusive situations. The skills they learned during the abuse became valuable life-altering lessons.



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