Saturday, 30 November 2019

The Hot Drink That Reduces Anxiety (M)

The drink affects both serotonin and dopamine receptors.

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Weight Loss Research: This Is The Most Effective Diet

The diet can lead to 5.5 more pounds of weight loss.

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Day #103: A day off…

I've got a lot going on, but today is a day off. It's important to take time for yourself so when you need to do the work, you actually do the work. I'm sure we've all felt that way, where you force yourself to do something and spend 4+ hours doing something that you could do in less than an hour. Sometimes you need a break.

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What Kind of Crazy Am I?

From a teen:  From a young age I knew I was different. I was always top of my class and was often bored with school. My family situation has never been good but never abusive. I have never been social and often keep to my self. Middle school was where everything took a turn for the worst.  I had horrible depression and towards the end of middle school pushed away all my emotions.

Starting high school I felt nothing. I didn’t care and even started doing bad in school. Then my grandmother whom I lived with took me out of school and we began home schooling. It was only then when I started driving my self crazy. I was left alone with my thoughts of the universe, my mortality, and even what would happen if I killed everyone one in my house. I have a god complex were I believe I’m better than everyone else because of my world views and knowledge of the world. At the time I thought I was smart enough to know it was because I was a teenager.

I now know it more than that. I have episodes where my brain goes into overdrive and my thoughts get crazier. I have a large knowledge of the world and psychology but I cant figure out what is wrong with me. My personality and thoughts tend to mold to my surroundings such as what TV I watch or who I spend time with. If anyone has any thoughts on my psychological profile or what I can do to treat it.

Thank you for writing. The fact that you are concerned is an indication that you aren’t as divorced from reality as you think. It is a smart first step to ask for help from us here at PsychCentral. But it is only a start.

You may have learned a great deal about psychology, but the fact is that you don’t have the two graduate level degrees it takes to become a psychologist. The training goes far beyond what you can learn on the internet or in the library. You deserve to get the benefit of that expertise.

It would be irresponsible of me to make a diagnosis on the basis of your letter. What I can do is tell you that you need to make an appointment with someone who can hear your whole story and do a professional assessment.

Assessment is what drives treatment. It does not do any good to start “treating” an illness if you don’t know exactly what you are treating.  Once a qualified mental health counselor assesses your situation, only then will she or he make recommendations for what to do next.

I strongly urge you to make that first appointment. the symptoms you describe may be serious — or maybe not. It will at least give you peace of mind to know if you are dealing with an illness or only an active imagination born of social isolation. If there is a diagnosable illness, you will then learn your options for treatment.

I wish you well.

Dr. Marie



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Psychology Around the Net: November 30, 2019

This week’s Psychology Around the Net addresses how to handle that dreadful job interview anxiety, why stress is necessary for a rich life, dealing with the holiday blues, why depression hits men harder than women in deprived areas, and more.

 

 

 

A Psychologist’s Guide to Managing Your Anxiety Before, During, and Even After a Job Interview: It’s normal to struggle with anxiety right before a job interview or when starting a new job. But how do you turn down the jitters volume so you can give your best performance? Dr. Sherry Benton, founder and chief science officer of Tao Connect, says, “To enter the optimal mental state for peak performance, you need to analyze your thoughts, determine how you’re feeling, and figure out what you need to do to get to a mental state of balanced arousal. Essentially, do you need to calm yourself down or do you need to pump yourself up?” She goes on to give specific tips on how to tweak your thinking to achieve either state.

Why Stress is One of the Best Predictors of High Life Satisfaction: Most of us would gladly choose to avoid any stress or problems throughout our lives. But not only is this an impossible feat — it’s unhealthy to even think that way. Rather, when we begin to see life’s obstacles as necessary for a rich life, we can experience significant growth, develop resilience and gain new meaning. In this article, an accomplished professor who struggles with a stuttering condition shares his story of finding deep meaning in adversity.

Holiday Blues: What Experts Recommend to Help With Holiday Depression: For many people, the holidays bring more stress and depression than joy and comfort. Financial strain and the pressure to have a “perfect” holiday can be one of the biggest stressors this season. So how can we deal with this? Is it helpful to tell your family you don’t have much money to spend this year?

Depression: Men Far More at Risk Than Women in Deprived Areas: Most research on depression has focused on personal risk factors, such as whether a person has a dysfunctional family or is living with a chronic illness, such as diabetes. In a new study, published in the journal BMJ Open, researchers explored risk factors beyond the individual, and discovered that the community in which one lives has a profound effect on mental wellbeing — but mostly in men. So why do men feel this burden more acutely? 

Yoga Poses Can Help You Center Your Harried Life, Improve Your Mental Well-Being: When you’re feeling stressed and mentally frazzled, it’s important to take a moment to ground yourself. In this article, a certified yoga instructor shares two easy-to-do yoga poses that can help you feel more stable and relaxed.

Large Waist in Normal-Weight Elderly Tied to Higher Dementia Risk: Researchers have long looked for links between obesity and dementia, but how should doctors measure excess fat in the elderly? A new study, published in the journal Obesity suggests that, in older people, waist circumference is a much better measure of extra weight than BMI. In fact, they found that normal-weight participants with high levels of abdominal fat had a much greater risk of dementia.



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What Kind of Crazy Am I?

From a teen:  From a young age I knew I was different. I was always top of my class and was often bored with school. My family situation has never been good but never abusive. I have never been social and often keep to my self. Middle school was where everything took a turn for the worst.  I had horrible depression and towards the end of middle school pushed away all my emotions.

Starting high school I felt nothing. I didn’t care and even started doing bad in school. Then my grandmother whom I lived with took me out of school and we began home schooling. It was only then when I started driving my self crazy. I was left alone with my thoughts of the universe, my mortality, and even what would happen if I killed everyone one in my house. I have a god complex were I believe I’m better than everyone else because of my world views and knowledge of the world. At the time I thought I was smart enough to know it was because I was a teenager.

I now know it more than that. I have episodes where my brain goes into overdrive and my thoughts get crazier. I have a large knowledge of the world and psychology but I cant figure out what is wrong with me. My personality and thoughts tend to mold to my surroundings such as what TV I watch or who I spend time with. If anyone has any thoughts on my psychological profile or what I can do to treat it.

Thank you for writing. The fact that you are concerned is an indication that you aren’t as divorced from reality as you think. It is a smart first step to ask for help from us here at PsychCentral. But it is only a start.

You may have learned a great deal about psychology, but the fact is that you don’t have the two graduate level degrees it takes to become a psychologist. The training goes far beyond what you can learn on the internet or in the library. You deserve to get the benefit of that expertise.

It would be irresponsible of me to make a diagnosis on the basis of your letter. What I can do is tell you that you need to make an appointment with someone who can hear your whole story and do a professional assessment.

Assessment is what drives treatment. It does not do any good to start “treating” an illness if you don’t know exactly what you are treating.  Once a qualified mental health counselor assesses your situation, only then will she or he make recommendations for what to do next.

I strongly urge you to make that first appointment. the symptoms you describe may be serious — or maybe not. It will at least give you peace of mind to know if you are dealing with an illness or only an active imagination born of social isolation. If there is a diagnosable illness, you will then learn your options for treatment.

I wish you well.

Dr. Marie



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Pheromone Friday



Pheromones, emitted chemicals that elicit a social response in members of the same species, have been most widely studied in insects as a mode of communication. In the insect world, pheromones can signal alarm, mark trails, control worker bee behavior, and elicit sexual behavior.

Sex pheromones are the chemicals that come to mind in popular lore. Do human beings secrete substances that are likely to attract potential mates? Unscrupulous players in the fragrance industry would like you to believe that's the case. Unable to attract women (or men)? There's a difference between marketing an intoxicating and sensual fragrance that's pleasing to the nose and snake oil such as:




Amazon even cautions prospective customers about SexyLife.





{BTW, humans lack a functional vomeronasal organ, the part of the accessory olfactory system that detects pheromones / chemosignals / non-volatile molecules (Petrulis, 2013).}


Don't we already know that human pheromones are a crock?

It depends on how you define pheromone, some would say.1 “In mammals [rodents], few definitive cases have been identified in which single pheromone compounds evoke robust sexual behaviours, which might reflect an important contribution of signature mixtures in sexual communication” (Gomez-Diaz & Benton 2013, The joy of sex pheromones). In rodents, reproductive responses to “odor blends” or chemosignals are heavily modulated by experience, as opposed to the instinctive and fixed behaviors elicited by pheromones in insects. The evidence supporting the existence of mammalian pheromones is so weak that Richard Doty has called it The Great Pheromone Myth.

If rats don't have “pheromones” per se, why look for them in humans? Tristram Wyatt, who believes that human pheromones probably exist, wrote a paper called The search for human pheromones: the lost decades. He criticized the literature on four androgen-related steroids (androstenone, androstenol, androstadienone and estratetraenol), saying it suffers from publication bias, small sample sizes, lack of replication, and commercial conflicts of interest. There is no bioassay-based evidence that these molecules are human pheromones, yet “the attraction of studies on androstadienone (AND) and/or estratetraenol (EST) seems unstoppable” (Wyatt, 2015).

{Curiously, the SexyLife ad accurately lists the putative male pheromones, although their depicted functions are pure fantasy.}

Unstoppable it is. Supporters of human pheromones have recently published positive results on male sexual cognition, male dominance perception, cross-cultural chemosignaling of emotions, and sex differences in the main olfactory system.2


Olfactory Attraction

On the other hand, a null finding from 2017 drew a lot of attention from popular media outlets and Science magazine, where the senior author stated: “I’ve convinced myself that AND and EST are not worth pursuing.” In that study, AND & EST had no effect on the participants' attractiveness ratings for photographs of opposite-sex faces (Hare et al., 2017).

The evolutionary basis of Smell Dating was given a cold shower by studies showing that the fresh (and odorless) armpit sweat of men and women, when incubated in vitro with bacteria that produce body odor, were rated identically on pleasantness and intensity (reviewed in Doty, 2014). Meanwhile, the day-old smelly armpit sweat of men was rated as equally unpleasant by men and women.3 Likewise, pleasantness and intensity ratings for female armpit sweat did not differ between men and women. This doesn't bode well for heterosexual dating...

Odors and fragrances are an important part of attraction, of course, but don't call them pheromones.


Footnotes

1 There is an accepted definition for "pheromone".

2 Since humans don't have an accessory olfactory system with its fun vomeronasal organ, the main olfactory system would have to do the pheromone-detecting work.

3 This could be due to larger apocrine glands, hairy armpits, and more carnivorous diets in men (Doty, 2014).


Further Reading

Scientific post in favor of human pheromones:
“Whether one chooses to believe in the existence of human pheromones or not, steroids clearly serve an essential olfactory signaling function that impacts broadly ranging aspects of the human condition from gender perception to social behavior to dietary choices.”

PET studies on AND, EST, and sexual orientation:

References

Doty RL. (2014). Human Pheromones: Do They Exist? In: Mucignat-Caretta C, editor. Neurobiology of Chemical Communication. Boca Raton (FL): CRC Press/Taylor & Francis; Chapter 19.

Gomez-Diaz C, Benton R. (2013). The joy of sex pheromones. EMBO Rep. 14(10): 874-83.

Hare RM, Schlatter S, Rhodes G, Simmons LW. (2017). Putative sex-specific humanpheromones do not affect gender perception, attractiveness ratings orunfaithfulness judgements of opposite sex faces. R Soc Open Sci. 4(3):160831.

Petrulis A. (2013). Chemosignals, hormones and mammalian reproduction. Horm Behav. 63(5): 723-41.

Wyatt TD. (2015). The search for human pheromones: the lost decades and the necessity of returning to first principles. Proc Biol Sci. 282(1804):20142994.




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Girlfriend Dislikes My Female Friend

I’ve known my female friend for 7 years. We’ve never liked nor had any sexual relations of any kind for as long as we’ve known each other but we were close friends. I’ve known and been with my girlfriend (gf) for 5 years and everything has been great. My gf and friend even went to the same high school and knew each other.

Last year, I pranked my friend through my gf’’s phone where I pretended to be my gf and told her that things were not so great and that I (my gf) would have to leave the country forever to which my friend was sad (my gf agreed to the prank, watched me do it and thought it was funny as well).
Later that night we all went out together, my friend found out about the prank and hit my face which she thought was playful revenge. My gf was infuriated at this as she views a slap on the face regardless of intention or intensity as extremely disrespectful to which she demanded an apology. My friend responded to my gf’;s messages saying “I’m sorry, but I also didn’t hit him that hard” This enraged my gf further as my friend didn’t understand why hitting the face was SO wrong to my gf.
I had forgiven my friend (during the situation) because of the context of the situation. I know her intention wasn’t to humiliate or injure me and it was because of the prank, so I moved on. My gf dislikes this because she feels like I’m “not on her side” and that her efforts to stand up for me (which I thanked her for) was a waste of time. I’m someone who finds it very easy to trust and love because I expect nothing. My gf is different where building trust is very difficult, easily broken and she expects a standard of behavior from everyone. She now detests the idea of me interacting with my friend because she thinks my friend is toxic. I always ask her if it is ok and if she’d like to come along when my friend invites me to hang out but she declines, so I mostly avoid going because I feel like it’ll just cause problems. I thought I acted rational in the situation but now I’m just confused. Was I wrong to forgive my friend? Did I interpret wrong?

It’s always okay to forgive someone, and it is not unusual for people experiencing the same thing having different takes on what it means. My guess is the slap is being interpreted as a more intimate response of betrayal than your girlfriend would have anticipated. Also, this prank was with the full cooperation, knowledge, and help of your girlfriend — and she didn’t get slapped. You both betrayed her with this prank and you were the one taking the punishment for it.

It is a dangerous game to tug on someone’s feelings of loss and abandonment as a prank. My suggestion? You and your girlfriend apologized for putting your friend in such a bad place, accept your friend’s apology, and work on re-establishing trust with each other.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral



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New Research Shows Screen Time Is Not Directly Increasing Depression or Anxiety in Teenagers

A new study seeking to establish a correlation between the time spent on social media and depression and anxiety in teenagers is causing ripples among both researchers and parents.

Previously it was widely believed that a lot of time spent on social media had an adverse effect on teens’ mental health, increasing the likelihood of developing issues such as depression or anxiety. However, the findings from this new study debunk this belief and show that increased social media time doesn’t directly increase depression or anxiety in teenagers.

Highlights from the Study

It’s no secret that the amount of time teens spend online has increased in the last decade. So much so that parents everywhere began to worry about the effect it had on teens. With 95% of teenagers having access to smartphones and 45% of them reporting being online almost constantly, logging as much as 2.6 hours daily on social media, it seems that parents’ worries were justified- or were they?

It’s against this background that Sarah Coyne, a professor of family life at Brigham Young University, sought to understand the relationship between time spent on social media and depression and anxiety in developing teens. The 8-year-study published in Computers in Human Behavior involved 500 youth aged between 13 and 20.

These teens and young adults completed a questionnaire once a year over the 8 year period of the study where they were asked how much time they spent on different social media platforms. Their anxiety levels and depressive symptoms were then checked and analyzed to see if there was a correlation between the two variables.

Surprisingly, the researchers found that time spent on social media wasn’t directly responsible for increasing either anxiety or depression in teens. If teens spent more time on social media, they didn’t end up more depressed or anxious. Also, decreasing social media time didn’t guarantee lower levels of teen depression or anxiety. Two teens of the same age could spend the same amount of time on social media and still score differently on depressive symptoms and anxiety levels.

What Does This Information Mean for Parents of Teens?

The study by Sarah Coyne opens up an interesting perspective for parents of teens to consider. The researchers suggest that how teens use social media platforms is more impactful than just the amount of time they spend online.

So as a parent, what can you do with this information?

Here are some suggestions:

Lay off nagging your teen about screen time.

The study quoted above shows that screen time isn’t the problem. Instead of constantly nagging your teens or putting arbitrary restrictions on their screen time, maybe you should challenge how they put that time to use. Encourage them to be more intentional in how they use their screen time, e.g. to learn something new or look for certain information instead of just logging in because they’re bored.

Stop demonizing technology.

Your teens have likely grown up with computers, smartphones, and other screens. They probably can’t remember or imagine life without them. It’s natural for you to struggle with their reliance on tech. However, by asking meaningful questions, you can help shape your teen’s thoughts about technology and help them make good decisions about using tech on their own.

Get a new perspective on mental health and factors influencing it.

Mental health is complex and you can’t blame disorders like anxiety or depression on one stressor alone. There are multiple risk factors that determine mental health outcomes in adolescents including their genes and environment. As a parent, you have to minimize your teen’s exposure to some of these risk factors, learn the symptoms of mental health disorders to watch out for in your teen as well as where to go for help if necessary.

Open up a dialogue with your teen about how they use social media. 

Instead of asking your teen to avoid social media completely, teach them to minimize the bad while making the most of its good aspects. The key is to have a responsible and balanced approach towards social media, putting healthy limits around its use and learning how to actively engage and connect with others on these platforms instead of being a passive user.

While increased screen time may have been proven not to lead to teen anxiety or depression, parents should still encourage their teens to find a healthy balance when it comes to social media use and to also prioritize their off-screen time. 



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Friday, 29 November 2019

6 Tips on Surviving the Holidays without a Partner

Dorothy lost her husband of 30 years this past year. She knew the holidays would be hard but didn’t know they would be this difficult. Every ornament she hung reminded...

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Day #102: Finals ahead!

Well it's that time of year again, finals! On one hand I'm excited at the prospect of being done with the term, on the other I'm a notoriously bad test taker. I deal with a lot of anxiety you see and even when I know how to solve the problem, come test day I end up drawing a blank or making very stupid mistakes. Standardized tests are the bane of my existence!!

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Lawsuit Intensifies Focus on Role of College Mental Health Services

One in four members of Harvard University’s Class of 2023 is Asian-American, according to demographic statistics on the university’s website. So, a recent report by the New England Center for...

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The Best Way To Delay Alzheimer’s Disease (M)

Over 5 million people in the US are currently living with Alzheimer's.

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The Common Drink That Doubles Weight Loss

It contains both calcium and vitamin D, which have both been linked to weight loss in multiple studies.

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On Mental Health Stigma

One thing I shared with my wife Rachel about a year into our relationship was the time I suffered a nervous breakdown in graduate school. It would be an important moment in any relationship because I shared the time in my life when I was most vulnerable and at my weakest point. Did I technically suffer a nervous breakdown? I’m not sure, all I remember is the turning point came when I drove home late one night, collapsed on my kitchen floor and started crying uncontrollably. Up to that point, I had developed a quasi-schizophrenic outlook on life and could no longer bear the weight of the world-view I constructed. In psychological terms, my conscious self could no longer handle the subconscious content coming forth.

In some ways I blame the state of Texas. In other ways, I blame myself. I guess going from the state of Washington to graduate school in a college town north of Dallas was too much culture shock for me. It didn’t help I had social anxiety issues that surfaced during my early college years, later resulting in depression. By the time I got to Texas, I just wasn’t able to adapt to a new school, new friends, and a totally new Texas way of life.

During that time period in my life I remember keeping a journal. I remember writing about new meanings of different colors and numbers, or at least new ways I interpreted them. For example, I remember sometimes wearing red shirts to signify I was wounded or bleeding. I felt my soul was bleeding or perhaps that I was a wounded angel. I remember writing about how I felt like people were out to get me. Usually this feeling coincided for some reason with when I drove on the highway or drove late at night. I remember the strange feeling I got after attending a church for several months that myself and another trumpet player attended. Not long after sending a bizarre letter to the church saying I could no longer attend, the other trumpet player got cancer and ended up passing away within a year or so.

Other things that happened I don’t remember well because I think I burned the journal out of shame. It was a period in my life (I was 24 years old at the time) when my brain tried to find a shortcut or figure out how life worked. When it all became too much for me to handle, I stopped. I vowed to never go down that path again. I never told anybody my thoughts because I knew they sounded crazy. I was living an intense schizophrenic reality as a sort of life experiment, and that could only last so long.

One unfortunate side effect from that period and a feeling I have probably buried is the shame and guilt that went along with all of the “crazy” thoughts I had. Due to that guilt, I repressed or tried to forget much of that time period in my life. I have never had problems with mental illness or schizophrenia since that time despite bouts of depression, but I bet there are issues and feelings that are still affecting me today in ways that I’m not conscious of. In terms of the treatment I received while in graduate school, I just remember counseling and anti-depressant medication. I don’t even remember bringing up any of my thoughts to anyone else because I knew how crazy it would make me seem. There was also the shame.

Upon hearing my story about this turbulent time in my life, I recall Rachel being concerned that I could possibly have a similar response in the future to a new situation. I reassured her I was more mature and knew better than to put myself in that situation again. After all, I’d moved to Chicago and Spain — life situations that were all together more tenuous than moving to Texas, and I had no issues. 

It was nice that we could bond over our experiences with anti-depressants since Rachel had gone through similar problems with depression while in school. Rachel and I also initially bonded over my interest in dreams and famous Swiss psychologist Carl Jung. When we first started dating I was reading a lot of books about Jung, dreams, and his ideas of the subconscious. One of our first long conversations we had at a bar was a conversation about dreams and all the different meanings of symbols. It intrigued her and she was interested in figuring some things out about her own subconscious. 

In the beginning, I remember I could help her a little and talk about things she dreamed about. But over time, I stopped reading books about Jung and the subconscious. Life started demanding more from me and I didn’t have time. When Rachel kept asking me about her dreams and what things meant, it became harder to answer or give her insight. I wanted to be able to, but it was above my expertise.

After awhile, I gave her the books by Jungian scholar James Hall and had her read the passage that might relate to her dreams. After awhile, I got annoyed because I couldn’t answer her questions. After awhile, she stopped asking. She needed her own Jungian analyst, but I didn’t even have a degree in psychology — I was just an armchair psychologist. I wish I could have helped more. My wife suffered from an undiagnosed borderline personality disorder (BPD) and died from suicide after our fourth year of marriage. I now realize I fell into the trap of having a “savior complex” (also known as “rescue fantasy”), the very thing psychologists and therapists are told to watch out for when they are in training. I wanted to help her, but didn’t know the best way how. Some people are difficult to help, and people with BPD, dangerously so.  

During the beginning of our relationship, Rachel and I were at places in our life where we didn’t want to continue taking anti-depressants, nor did we feel like it was necessary. We each knew the effects of taking medication like that and understood we were each able to deal with life in a more mature, grounded way. Mental health at that time still had a stigma and neither of us wanted to be seen as “crazy”. The shame was with us both.

The reason why the mental health stigma overshadowed our lives was because I knew at least I was ashamed of it. I was ashamed my wife continued to have issues, ashamed that I couldn’t figure life out, ashamed things weren’t easier. As a result of the shame, I didn’t want to talk about it with anyone outside our marriage. I thought we were supposed to manage it by ourselves.

Granted, my wife got help when she started to have therapy sessions in 2014, not long after we got married. I was obviously fine with that and supported her decision since my belief is that everyone should have a therapist if they can afford it. We also went to marriage counseling prior to being married. 

However, in our entire relationship, the issues she had and conversely that we were having, were never something we talked about with family and friends. Like our previous issues in school, I thought mental health issues were something you endured and then got over — things you dealt with yourself and then moved on. Consequently, when all the warning signs were going off with Rachel during that summer with all the rain, I still thought we could manage it. We were again in marriage counseling and talking to a therapist that helped us with our communication problems. In addition, Rachel saw her own therapist. Rachel told me that both therapy sessions weren’t enough however. She also told me one time in a moment of weakness she might need to be hospitalized. I think the guilt and shame kept us from acting. Nobody wants to admit defeat, even when life has seemingly won and is kicking you while you’re down.

Part of the mental health stigma is also fear of the unknown. One keeps their distance from what is unpredictable or unsafe and mental illness can create a divide where people run away instead of confronting what is unknown. That’s another reason we didn’t seek immediate hospitalization. We were used to running away from the instability and chaos. 

The insidious way the stigma affected our relationship was that in our relationship cycle of fights I mentioned before, whenever Rachel acted out of anger and showed signs of BPD, I would later keep my distance. My natural inclination instead of showing her more love and affection was to show less. I needed time to recover and feel safe myself. From a book by an increasingly famous London psychologist named Dr. Julia Shaw entitled Evil: The Science Behind Humanity’s Dark Side, she recounts studies that prove people keep their distance, socially as well as physically, from people with mental illness. She states that as a result of this dismissiveness and because of how others treat them, mentally ill people suffer from increased anxiety, stress, and lower quality of life. Even though I never admitted it to myself, I think I subconsciously knew Rachel was mentally ill. In a way, her condition exploited my weakness for not confronting conflict. If we had greater knowledge about BPD and the effects of mental health and the mental health stigma, I know we would have known what to do that summer. We just didn’t.



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I’m Obsessed with My Wife’s Sexual Past

From the U.S.: My wife and I are both 50 years old and have been married for 1.5 years and have been together for a little over 4 years.  I have never experienced this type of love before.  I feel this is a match meant to be and wish I had known her 30+ years ago.

This is my 3rd marriage and her 2nd.  She has been single for 25+ years of her life, excluding her 5 year marriage and another 5 year relationship.  Her parents divorced at a young age and her father cheated on her mother numerous times and was never there for my wife.  She spent 46 years living in NYC.

My wife is supportive, loving, amazing and I would do anything for her.  However, I am struggling to manage her sexual past.  She has been with 35-40 men in her lifetime.  I truly don’t believe that the number is the issue, besides that number being single for 25+ years in NYC is not outrageous.

I have had numerous partners as well throughout my past.  So I fully understand I am being hypocritical.  My family had high expectations that I didn’t always live up to and I tended to take a different path than my 2 siblings.  I am a therapist myself and a VP at a large human service organization.

My 1st wife was very critical of me in many ways including my sexual performance.  My 2nd wife was not very interested in sex so it was a constant area of contention.  My current wife and I have an amazing and close sex life and compatibility.

My insecurities, at times, get in the way of my performance and I need it to stop.  I can’t hold anything against my wife for doing nothing wrong and being with others when we didn’t know each other existed.  I know this but it doesn’t seem to stop the intrusive thoughts.  We talk about it, I try to stop the intrusive thoughts and change my negative thought patterns to no avail at times.

Work is not great and it affords much more free time to think about things than I would like and I am trying to change this asap.  How do I get the image of her being with other men out of my head?  She hasn’t been with anyone other than me for 6-7 years.

Thank you for writing. I think you are correct. This isn’t about the number of men your wife has been intimate with. It’s something about you. You are on your third marriage. Although you say this is everything you every wanted, I wonder if you trust yourself enough to relax into it. It would not be at all unusual for someone who has loved and lost several times to start to question their own judgment about who they choose and how they do or don’t support the growth and longevity of a marriage. You say you are insecure. Maybe that’s the point.

Therapists are notorious for not seeking therapy for themselves. If you haven’t already, I hope you will consider seeing a senior therapist who can help you sort out why relationships are so difficult for you. You owe it to yourself and to your wife to take care of the issues now so just maybe you can enjoy the love of your life for the next 30 years or so.

I wish you well.
Dr. Marie



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The real cost of texting and tweeting.

Agnes Callard, an associate professor of philosophy at the University of Chicago, crystallizes some fascinating points in an NYTimes Op-Ed piece. She wonders why she broadcasts the details of her daily life on twitter...some clips:
To allow others to think about us in whatever way they feel like — perhaps to laugh at us, perhaps to dismiss us — is a huge loss of control. So why do we allow it? What is the attraction of it? I think that it’s the increase in control we get in return. Social media has enabled the Great Control Swap. And it is happening right now, beneath our notice.
The first baby step toward the Great Swap was the shift from phone calls to texts. A phone interaction requires participants to be “on the same time,” which entails negotiations over entrance into and exit from the conversation...A text or email interaction, by contrast, liberates the parties so that each may operate on their own time. But the cost comes in another form of control: data....text-based communication requires stationary words...they leave a trail.
We understood from the start that this form of socializing — like an affair without physical contact — was shallower than the other, more demanding kind. We were prepared to accept that trade-off, but failed to grasp that we were trading away more than depth. We were also trading away a kind of control.
All of us have a desire to connect, to be seen. But we live in a world that is starting to allow us to satisfy that desire without feeling the common-sense moral strictures that have traditionally governed human relationships. We can engage without obligation, without boredom and, most importantly, without subjecting our attention to the command of another. On Twitter, I’m never obligated to listen through to the end of someone’s story.
The immense appeal of this free-form socializing lies in the way it makes one a master of one’s own time — but it cannot happen without a place. All that data has to sit somewhere so that people can freely access it whenever they wish. Data storage is the loss of control by which we secure social control: Facebook is our faithless mistress’s leaky inbox.
When we alienate our identities as text data, and put that data “out there” to be read by anyone who wanders by, we are putting ourselves into the interpretive hands of those who have no bonds or obligations or agreements with us, people with whom we are, quite literally, prevented from seeing “eye to eye.” People we cannot trust.
The Great Control Swap buys us control over the logistics of our interactions at the cost of interpretive control over the content of those interactions. Our words have lost their wings, and fallen to the ground as data.


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I Want to Go After My Dreams, But Everybody Is Against Me

Hello. I’m currently in my final year at a university I don’t like, and I am thinking of dropping out and starting to take art classes. I want to try for an Arts University, which is my dream. The problem is that everybody tries to put me down. They say that I won’t be able to find a decent job after graduating, so I’ll end up starving and a looser. Moreover, they keep telling me that I can’t afford to study Arts, and that men are inherently better than women at drawing/painting, because they are more visually oriented and perform much better in mentally rotating objects and other spatial awareness tasks (which I looked up on the internet and found out that there are a lot of studies that support this view).
It really doesn’t help that I also suffer from depression, and it is getting worse by the day. I truly want to pursue what I love, but it’s difficult to feel motivated for anything in my life anymore. I am also very confused.

Is there any way to get out of this situation and find the answers that I need? (From Romania)

Do both. The fact that you are nearing the end of your studies and this pressing desire is coming up is an important element. If you were just starting out on a path and trying to make a decision my answer would be different. I would encourage you to change directions and to go for your dream flat out.

But what you’re telling me now is that you’ve invested a lot of time and money and have this idea that doing art would be better. While that might be true, it’s also likely to be frustrating, difficult, and have its own unique difficulties. The more important thing now is to prove to yourself you can finish something you’ve started. To drop out your last semester, regardless of if you go into that field or into art, is not likely to make you feel good beyond the immediate relief. There are many studies showing that when perseverance can be cultivated it—in and of itself, can be a factor in future success in anything you do—including art.

Except in very rare cases, I am not in favor of leaving one thing altogether and jumping into something that seems like a terrific solution. I think giving up is always valuable, and there are times when it is absolutely necessary for your well-being as this blog explains.

Before you give up on your current goal I’d encourage you to give yourself the proper opportunity to sample the art field more broadly. Talk to people in the field, talk to professors at the Art University, and get more information. Poking around on the Internet it’s a good start. But interviewing real people about what it’s like to be in a profession, students engage in their work at the school, and seeing what opportunities and enjoyment are possible will give you real experiences you can use to test out what you are feeling about the profession.

The reason I am focusing so much on not leaving is that when somebody puts in a lot of effort into one thing and then considers jumping ship the real question is: is this self sabotage?

Self sabotageKeeps someone from achieving or accomplishing their goals by undermining them the closer they get to accomplishing them. You can learn more about this here. The university you are at is very familiar with these issues and they are likely to have counselors there who can help.

If you can, let us know what you decide.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral



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Etiology and Detection of Warning Signs for CTE in Living Athletes, Part 2

While assessing for the tau protein is useful in detecting CTE pathology, the most effective line of action is immediately assessing for biomarkers of traumatic brain injury (TBI) during any...

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I Want to Go After My Dreams, But Everybody Is Against Me

Hello. I’m currently in my final year at a university I don’t like, and I am thinking of dropping out and starting to take art classes. I want to try for an Arts University, which is my dream. The problem is that everybody tries to put me down. They say that I won’t be able to find a decent job after graduating, so I’ll end up starving and a looser. Moreover, they keep telling me that I can’t afford to study Arts, and that men are inherently better than women at drawing/painting, because they are more visually oriented and perform much better in mentally rotating objects and other spatial awareness tasks (which I looked up on the internet and found out that there are a lot of studies that support this view).
It really doesn’t help that I also suffer from depression, and it is getting worse by the day. I truly want to pursue what I love, but it’s difficult to feel motivated for anything in my life anymore. I am also very confused.

Is there any way to get out of this situation and find the answers that I need? (From Romania)

Do both. The fact that you are nearing the end of your studies and this pressing desire is coming up is an important element. If you were just starting out on a path and trying to make a decision my answer would be different. I would encourage you to change directions and to go for your dream flat out.

But what you’re telling me now is that you’ve invested a lot of time and money and have this idea that doing art would be better. While that might be true, it’s also likely to be frustrating, difficult, and have its own unique difficulties. The more important thing now is to prove to yourself you can finish something you’ve started. To drop out your last semester, regardless of if you go into that field or into art, is not likely to make you feel good beyond the immediate relief. There are many studies showing that when perseverance can be cultivated it—in and of itself, can be a factor in future success in anything you do—including art.

Except in very rare cases, I am not in favor of leaving one thing altogether and jumping into something that seems like a terrific solution. I think giving up is always valuable, and there are times when it is absolutely necessary for your well-being as this blog explains.

Before you give up on your current goal I’d encourage you to give yourself the proper opportunity to sample the art field more broadly. Talk to people in the field, talk to professors at the Art University, and get more information. Poking around on the Internet it’s a good start. But interviewing real people about what it’s like to be in a profession, students engage in their work at the school, and seeing what opportunities and enjoyment are possible will give you real experiences you can use to test out what you are feeling about the profession.

The reason I am focusing so much on not leaving is that when somebody puts in a lot of effort into one thing and then considers jumping ship the real question is: is this self sabotage?

Self sabotageKeeps someone from achieving or accomplishing their goals by undermining them the closer they get to accomplishing them. You can learn more about this here. The university you are at is very familiar with these issues and they are likely to have counselors there who can help.

If you can, let us know what you decide.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral



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Psychological Effects of Diabetes

Diabetes is one of the leading causes of disability and death in the United States today. Information about possible physical damage to the body and concern about growing rates of diabetes in children and teens take center stage in most related discussions. But, there are some serious psychological effects as well that must be considered. Handling these might make the difference in whether someone is successful in managing this condition or not.

In a “Wear Blue” campaign, the Diabetes Association of Atlanta and communities across the country are sharing information for National Diabetes Month in November. Many of the over thirty million people affected in the United States and another eighty-four million at high risk of developing Type 2 diabetes may be unaware of how the mind and body work or do not work together to manage diabetes. 

Traditional advice – watch your weight, eat healthy, and get more physical activity – can save many people from progressive, system-wide damage to the entire body, but what works for one person may not work as well for another. What looks like simple solutions may not be simple at all. Without addressing the psychological component, the best exercise and menu plans may be useless, especially if co-occurring illnesses are present. Blood glucose levels rise as a result of stress and other physical problems. Depression, anxiety, and other mental health problems also complicate control.   

We are driven, to a certain extent, by past behaviors and cultural habits of the people around us. In other words, the way we eat and the comfort we seek from food is learned. To tell a patient with consistently high blood sugar levels that he must change what he is used to doing, how he is accustomed to living, can feel threatening, especially if he has to watch others continue to eat and drink in the old ways. Sometimes, there is little support or consideration of the needs and feelings of a person who is struggling.

Foods high in carbohydrates and sugar are everywhere. They taste good, raise serotonin levels in the body and are generally inexpensive and easy to find. Most “grab and go” snacks fall into this category. Intellectually, a diabetic may understand why these foods are dangerous for him, but the demands to resist advertising and product placement, well-meaning cooks and holiday traditions tied to sweet memories of the past may as well ask him to leave his home planet and take up residence on Mars. The life change may seem – to him – almost that drastic. 

New habits can be formed, but the challenges that must be met can be insurmountable at times. Obesity, environment, economic factors, and availability of healthy foods are obstacles that must be overcome daily. In addition, if weight needs to be lost, there are a host of psychological battles involved in that lengthy war. If progress is slow or up and down, discouragement and depression could be the result.

Because of the physical issues in the body, diabetes can affect a person’s mood, causing rapid and severe changes. Adam Felman, of Medical News Today, writes that these changes caused by the stress of living with diabetes can affect relationships as well as potential complications and may also lead to nervousness, anxiety, and confusion. Difficulty in thinking and other symptoms caused by high or low blood sugar hold true for all types of diabetes.

The Centers for Disease Control and Prevention (CDC) recognizes the mind-body connection and recommends getting active, doing relaxation exercises, contacting an understanding friend, taking breaks to do something for fun, and limiting alcohol along with that healthy eating … but also seeing an endocrinologist for diabetes care and adding a mental health counselor, a diabetes educator, and a diabetes support group to your medical team. 

That’s a lot to juggle. Those who take insulin, wear an insulin pump or use continuous glucose monitoring equipment have more complicated issues to handle in their daily routines, but all diabetics need to monitor their glucose levels throughout the day. Testing, using meters and related supplies, finding places to test and even employment and insurance worries are some of the concerns that could keep diabetics up at night. Sleep can be disrupted and have its own undesirable effect on blood glucose levels. 

It’s easy to see how a diabetic’s mind might spin with stress. Overwhelming feelings known as “diabetes distress” can look like depression or anxiety but can’t be treated effectively with medicine. The CDC advises setting small goals and taking care of both mental and physical health, to provide the best outcomes. Community support in the form of classes or groups specifically for diabetics can be one of the best ways to accomplish this. Local hospitals, mental health counselors or even the newspaper will provide lists of these opportunities.

Exercise (especially walking and swimming), drinking water, eating healthy food, remembering to take medications, and regular activities that rest the mind are all things that can help. Expecting and finding ways to deal with overwhelming feelings and symptoms of stress, anxiety, and depression are the companion pieces that just might complete the puzzle of successful diabetes care. 



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Caring for a Loved One with a Mental Disorder

If you are a caregiver to someone who has a diagnosed mental disorder, you’ll need a strong grip on reality in order to support your loved one effectively and keep up with your own health. It is so easy to allow our own fears, stresses, and anxieties to further complicate an already difficult situation. But there are ways to proactively create a positive atmosphere for you and your loved one and to ensure you both get what you need.

Seek support for yourself.

It’s a trite but effective cliché, the imagery of the flight attendant explaining how to put on your own oxygen mask before assisting others, but it’s so true. Without caring properly for yourself, you are in no shape to help others. As a caregiver, it is common to put your own needs aside, because you may have more tolerance for delaying those needs at the time. But ultimately, it becomes a practice of discipline to prioritize your own needs, if you expect to continue caregiving effectively. There are support groups and online communities dedicated to caregivers of loved ones with mental disorders of all types. Find one that works for you. 

Seek resources for your loved one.

While in the throes of a crisis is not ideal timing to figure out the phone number and website of a mental health professional that can help your loved one. Proactively seeking a collection of resources and storing them all in an accessible format and location is your best bet for utilizing these resources. Establishing a relationship with these community professionals is an even better way to ensure that you can get help when it is needed. Mental health is such a complex and wide ranging field, not all services may apply to your loved one. Reach out to organizations that are local to you and ask them questions. While your situation is stable, not in crisis mode, cull yourself a list of steadfast options to take the guesswork out of crisis intervention and securing long-term support.

Stay with the program.

If you find a program or treatment plan that is working for your loved one, help them stick with it. Diet fads and exercise trends are evidence enough to illustrate the human tendency of switching gears once something starts working. Once we begin to feel better, we are prone to believe we don’t need help anymore or we’ve got things under control. But in the world of mental health, this can be a major pitfall. It doesn’t mean that the current treatment has to go on forever, or that your loved one is dependent on his or her therapy or even medication. But it does mean resisting the urge to jump ship at the first sign of success. When it comes to recovery and stability, the more positive time you can bank will ensure long-term success. 

Set boundaries… and adhere to them.

Healthy, consistent boundaries are an essential part of building trust in any relationship. The caregiving relationship is no different and is often multi-layered. The relational dynamics between loved ones can sometimes be emotionally charged and full of personal experiences that influence the behavior and choices of both parties. If you are also dealing with a mental disorder for one or both of you on top of that, your interpersonal dynamic can get very complicated, very quickly. If healthy boundaries can be set proactively with mutual understanding, the chances of an overly emotional conflict go way down. This part also goes back to taking care of you, as the caregiver. If you do not maintain a firm hold on where your boundaries lie, it is going to be more difficult for you to help your loved one make progress.  

Document your journey.

Not only can it be a helpful way to express feelings you may be experiencing as you go along this journey with your loved one, but documenting your experience can also be a helpful tool to give you some objectivity. If you are helping your loved one with medication treatment, for example, document a baseline for the effectiveness of the medication they are taking day to day. Being able to look back at the data collected over time will help make future decisions that are grounded in objective information, not just based on emotional, subjective memory. 

Do not try to rationalize the irrational.

Caring for a loved one with a mental disorder means sometimes things just are not going to make sense – and that is okay. You could spend all your energy, stress, and worry trying to pinpoint what triggered the most recent episode, or figure out your loved ones thought process when they reacted unpredictably. But the fact remains that even with a positive support network and successful treatment plan, there may still be good days and bad days, just as we all have. What is important is maintaining a positive focus on what is working and moving forward. 



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Thursday, 28 November 2019

The Most Popular Teenage Personality (M)

Being popular is not the same as being liked.

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Childhood Physical Abuse/ Anger Issues With Parent/ & Now As An Adult Verbal/Emotional Abuse

My Father called me in a rage. He was name calling, threatening and very mean. He refused to give me any examples and I advised I felt blindsided. I believe now it has to do with confronting him about physical abuse when I was a minor. I thought it went well he admitted it without deny or excuses, he did not apologize, but it did not get hostile and said ‘I love you’ when saying goodbye. He has been distant. But he started bringing up the past and telling me how I am not good enough. He’s been very angry and bringing up my step-sisters baby shower. I do not remember saying I couldn’t go and them changing the date. And they apparently changed the date for me??? And then I still didn’t go. This is the first time in 1.5 years that I was made aware of an issue. I truly do not remember the date being changed. I got her a really nice expensive gift off her registry and wrapped it and made sure it was there before her shower so she could open it. I’ve been told I did it out of spite. I don’t understand the anger. Her and my step Mom never went to my baby shower and I never made a deal about it. They didn’t get me anything off my registry. I would have had to drive 5 hrs to the baby shower and for mine it was a 10 min drive. I am not a spiteful person. I had very good intentions. I can’t ever seem to please my Father and I never feel like I am enough. He threatened if I bring anything up or start anything at Thanksgiving I will never be invited to his house again (my childhood home). I have never had a confrontation at any holiday party. I am unsure how to proceed. I know if I don’t go to Thanksgiving he will be angry and there’s a chance he won’t celebrate Christmas with me or my family. I thought about commuting 3 hrs to just go for 2 hrs to please him and so my children can see family on Thanksgiving. He accused ME of being manipulative and I remind him of my Mother, I am my mother and I’m just like my Mother. I am finally in a place in my life where I have realized what affects his physical, emotional, verbal abuse has caused. I honestly didn’t realize how bad it was until this last phone conversation. I needed to peacefully confront him about the past face to face and since he’s been with his wife I am unable to hangout with him one on one. I believe they are codependents, but he’s a grown man. I think he’s angry I did it in front of his wife, but I was unable to speak with him alone. It was not before an event or holiday. I have forgiven him, now he’s retaliating.

You may be a glutton for punishment. You seem to be continually tolerating abuse. Abuse by relatives is still abuse and it should not be tolerated. It’s not okay to tolerate anyone’s abuse. Not from a father. Not for a mother, not from a sibling, and so forth. No one has the right to abuse you.

Mental health wise, it may best to limit your contact with your family. They seem to be always upset with you. Nothing you do is ever right with them. I suspect that it has probably been this way for a long time.

Your confronting your father about the abuse may have made things worse. It may or may not have been the right thing to do. Since, I don’t know the details, it’s difficult for me to comment. Sometimes, confrontations are not appropriate. Again, I don’t know the specifics about what happened, but it may have been better to have not said anything at all.

You mentioned that this latest issue might disrupt your Thanksgiving. You’re worried about them causing a scene or confronting you during the holiday. The question becomes, why would you go? It’s unclear to me why you purposely choose to spend time with people who abuse you. Are you only going because you are worried that they will cut off ties with you? Or punish you in some other way? If so, it would seem that you are motivated by fear. That would indicate that they still have power over you. They have power over you because you allow them to have that power.

In the case of your father, you’re worried about how he will react so you give in to his demands. Your concern about his reaction seems to be what’s motivating you to behave in a particular way. That’s the kind of power he may have over you. If so, it’s wrong and you can change it.

This is the ideal problem to work through in counseling. Many people find counseling helpful for these types of problems.

The reality is this: your father abused you. He continues to abuse you. You don’t have to tolerate it. If you do change your behavior towards your father or other members of your family, they’re going to be upset with you. Even if they are upset with you, you have to do what’s right, what’s best for you. Sometimes that can be difficult which is why I’m recommending counseling to help you learn a better way to navigate this difficult family dynamic.

As for going to the Thanksgiving dinner, I can’t make the decision for you but you should never knowingly put yourself in an abusive situation. Maybe do what you want for Thanksgiving instead. Try being with people who love and cherish you, instead of with people who are angry and attempting to manipulate you. It would make for a much more pleasant holiday. Good luck with your efforts. Please take care.

Dr. Kristina Randle



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Podcast: Ghosting – Psychological Pros and Cons

Ghosting isn’t just about Halloween! We’ve all had it happen, and many of us have done it, or at least wanted to. You went out once, maybe even a few times, but it just isn’t right.  And having to actually break up is such a hassle. Plus it will probably be unpleasant. Best thing to do is to ghost, right? Just drop off the face of the earth as far as the other person is concerned.

But is that really the right choice?  Join us as Dr. John Grohol tells us about the surprising psychological benefits of talking things out.  Plus, is it okay to ghost your therapist?

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Guest information for ‘Psychology of Ghosting’ Podcast Episode

John M. Grohol, Psy.D. is a pioneer in online mental health and psychology. Recognizing the educational and social potential of the Internet in 1995, Dr. Grohol has transformed the way people could access mental health and psychology resources online. Pre-dating the National Institute for Mental Health and mental health advocacy organizations, Dr. Grohol was the first to publish the diagnostic criteria for common mental disorders, such as depression, bipolar disorder and schizophrenia. His leadership has helped break down the barriers of stigma often associated with mental health concerns, bringing trusted resources and support communities to the Internet.

He has worked tirelessly as a patient advocate to improve the quality of information available for mental health patients, highlighting quality mental health resources, and building safe, private support communities and social networks in numerous health topics.

About The Psych Central Podcast Host

Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole and other Observations, available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com.

Computer Generated Transcript for ‘Psychology of Ghosting ’ Episode

Editor’s Note: Please be mindful that this transcript has been computer generated and therefore may contain inaccuracies and grammar errors. Thank you.

Announcer: You’re listening to the Psych Central Podcast, where guest experts in the field of psychology and mental health share thought-provoking information using plain, everyday language. Here’s your host, Gabe Howard.

Gabe Howard: Hello everyone and welcome to this week’s episode of the Psych Central Podcast. Calling into the show today we have Dr. John Grohol. Dr. Grohol is the founder of Psych Central and the editor in chief. John, welcome to the show.

Dr. John Grohol: Always a pleasure to be with you, Gabe.

Gabe Howard: It is always a pleasure to have you back. As longtime listeners of the podcast know Dr. Grohol is our resident expert in almost all things psychology. We’re obviously very very happy to have you to discuss ghosting.

Dr. John Grohol: Yes ghosting. We’ve all been ghosted at least around Halloween time now.

Gabe Howard: Now Dr. Grohol, most people are familiar with ghosting in terms of a romantic relationship. You’ve dated somebody for a couple of weeks, maybe a couple of months and suddenly your text messages go unanswered your phone calls unanswered. You don’t know what’s going on and that person has dropped off the face of the earth.

Dr. John Grohol: Yep exactly. Ghosting. It’s the end of a relationship usually a romantic relationship and one person ends the relationship without really telling the other person or having very minimal conversation about it and then suddenly they just cut off all contact with the other person. And that’s really frustrating for most people who are the ghostee, the person who is being ghosted, because suddenly this thing that you believed in that you had trust in another person, a person that you may have even loved, has cut off all contact with you and you’re not entirely clear why.

Gabe Howard: But not all ghosting is considered equal, right? There’s a big difference between going out on one date and ghosting somebody and ghosting your spouse after ten years of marriage.

Dr. John Grohol: Yes absolutely. I mean that’s a key difference is that in today’s world online dating and dating via apps there’s not a very high expectation that a person has a right to additional communications after a single date or even a series of dates. I think it’s more hurtful and painful when it’s actually turned into a dating relationship, a stable dating relationship, over the course of weeks or months that when this sort of behavior happens it becomes very difficult for the ghostee to understand, accept and to move on with.

Gabe Howard: I think you’d be hard pressed to find somebody who has been ghosted themselves who doesn’t think, Hey why didn’t that person give me a reason or even a heads up? Because you know I had to wonder if the reason that I didn’t hear from you today was because you were busy or if it’s because this was day one of the ghosting.

Dr. John Grohol: Yeah. And you have to balance being actually ghosted with just usual insecurity that comes in with almost any relationship. Lots of people have some insecurities about the relationship and the newer the relationship is the more insecurities a person generally has because they’re not as familiar and comfortable with the other person in the relationship. So I do believe that ghosting carries more weight and carries more pain as the relationship develops and matures over time.

Gabe Howard: I think the concept of ghosting as we’ve discussed really solidified itself in pop culture with dating, the romantic relationship, the ending the romantic relationship. But as life goes on it’s sort of expanded out and we talk about you know are we ghosting our hairdresser? Are we ghosting our grocery store? Are we ghosting our insurance agent? And one of the things that we want to talk about in this show is it okay to ghost your therapist?

Dr. John Grohol: Absolutely. That’s a key question and one that has a surprising answer. And the answer is yes it is OK to ghost your therapist. It is not the preferred method of leaving the professional relationship that you have with your therapist, but it happens to therapists every single day of the week. And the good news is, unlike a person in their romantic relationship, therapists are actually trained and have experience with ghosting. So they know what it is and they kind of have built coping mechanisms, they know how to deal with it.

Gabe Howard: Let’s back up for a second. One of the things that you said is that they have training in the ghosting. So that sort of makes me think, OK well but then if they’re trained to deal with this then doesn’t that still make it a negative and just because something is commonplace does that actually make it OK.

Dr. John Grohol: Well it’s a little bit more nuanced than that. You’re paying for the professional services. So in that regard you’re paying for all of their expertise, all of their training. And a part of their training and with any good therapist is how to deal with the fact that some clients some patients are just going to leave the professional therapy setting without any further contact with the end of the relationship either pending or not.

Dr. John Grohol: It usually happens as a therapy relationship is kind of winding down anyway. In most cases in some cases it doesn’t. And it happens because of greater stress and demands on the patient’s life in the rest of their world and they just can’t deal with going to therapy at that time and they often go back. They’re taking a break but they don’t actually tell their therapist that they’re taking a break but they end up you know showing up on the therapists doorstep again six months later. For patients where the therapeutic relationship is ending anyway, they’re just kind of getting out before the very last session because that’s just feels more comfortable to them. They don’t necessarily know what to expect in the last session. And some people I think are just a little insecure or scared about what might happen.

Gabe Howard: It’s interesting to think about because if you replace therapists with grocery store. Is it OK to ghost your grocery store? Nobody thinks that you need to call up your local grocery store that you’ve been going to once a week for a decade and say hey I’m moving or I’m switching over to Whole Foods because I’m on a health kick. We understand that you can move in and out of businesses with little to no explanation. But when it comes to a therapist it seems more personal. We’re telling them in some cases you know very very personal and deep dark things about ourselves. And we feel that we have this personal relationship. Do you think that plays into some of this struggle on whether or not you owe the person an explanation?

Dr. John Grohol: Sure. I do believe that that plays into the struggle a bit. I also believe that the fact that you don’t necessarily want to end the relationship but the relationship might be ending because you’ve basically been treated for the symptoms that you came into therapy for and the therapist is basically done the treatment with you. And even though you still have that close emotional bond, it doesn’t make sense to sort of continue therapy. Maybe the insurance company won’t pay for it anymore, maybe the therapist doesn’t want to continue therapy if there’s not a specific treatment goal to work toward. I think it’s a very close emotionally intense and personal relationship. It feels that way to most patients and because of that it’s a little scary and a little difficult to leave. It’s kind of like saying goodbye to a best friend or a loved one that you’ve known a good portion of your life and that you feel very close to. Such goodbyes are hard.

Dr. John Grohol: They’re really really hard and we don’t we aren’t taught the skills necessarily growing up from our parents from our peer relationships with our friends. We don’t necessarily have the language or the behaviors to know how to end such a relationship in a positive productive manner.

Gabe Howard: I think one of the things that we should touch on is that while it is ok to ghost your therapist because ultimately it is a business relationship and you have to do what’s best for you. That is why we go to therapy to improve our lives. There is benefit in not ghosting your therapist. As you just said, we can we can learn these skills. It’s a safe way to say goodbye because your therapist is not going to overreact. Your therapist is not going to say but you were the one or I’m in love with you. It’s very different from a romantic relationship. Would it be a good idea to practice not ghosting people while utilizing your therapist for this manner?

Dr. John Grohol: Yeah ideally and obviously I think most therapists would agree they prefer patients who don’t ghost them. They prefer to have that last session with their patient because I hate to use this word because it’s so overused in our culture but it’s an opportunity for closure. It’s an opportunity to end this sometimes very intense relationship on a positive note even though it might be an emotional ending. Person might be afraid that they’re going to cry that they might want to ask for a hug from the therapist or something of that nature. And so for all those reasons a lot of people are wary of that last session and yet that last session can provide that that necessary ending that that helps kind of complete a nice perfect circle because life is full of beginnings right. But we don’t always know how to have those good endings. And I think your relationship with your therapist is a prime opportunity to test out one of those how to have a positive ending how to end a very intense or emotionally positive relationship in a way where you feel good about it that you come out the other side of it and you feel like wow you know we did some good work over those past few months — it stinks that it’s ending. But at the same time, I understand why it needs to end and the therapist talked to me in such a way during that last session that it really helped me feel good about the ending and be able to move on.

Gabe Howard: We’re going to step away and we’ll be right back.

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Gabe Howard: We’re back discussing ghosting with Dr. John Grohol. Dr. Grohol, we’ve spent a lot of time talking about the negatives on the ghostee. What are the benefits to ghosting? What does the person who is doing the ghosting get out of it?

Dr. John Grohol: Well the benefits for someone who’s doing the ghosting is that they put an end to a relationship that for whatever reasons they were not they didn’t want to continue. And in some areas that might be a very pro-social positive behavior. For instance, if you’re in an abusive relationship if you’re if you’re in an unhealthy relationship if you’re in a relationship that feels like it’s bringing you down more every day and the person acts in a in a very sort of abusive way toward you. Those relationships maybe don’t deserve the benefit of a proper ending because they are so negative and they are so hurtful to the individual. And I think any time when a person in an abusive relationship it’s to their benefit to get out of that relationship once they have all of their ducks in a row and that they feel like they can do so in a safe manner. So ghosting in a situation like that is perfectly acceptable and the norm and is where I think it’s OK.

Gabe Howard: But let’s talk about ghosting when it’s not so great. Let’s set up a scenario, you’ve been in a relationship with somebody for six months you’ve gone out on dates, maybe you’ve met each other’s parents and the reason is not abusive. You’ve just realized after six months this is not the person for you. Why would somebody do it in that situation? Because it seems like a very mean and negative act. But I imagine that the average person who is ghosting somebody wouldn’t describe themselves as a bad person. They’re not trying to hurt the other person. It almost seems like they’re avoiding conflict or..

Dr. John Grohol: I think you hit the nail on the head. I think it’s primarily conflict avoidance. I think that a person who ghosts but is generally otherwise a good person may have a fear of rejection. They want to be the person who does the rejection and ghost in that way first. They may never have had a healthy role model for what a good relationship looks like how it begins the middle part and how it ends all of their relationships may have ended poorly. And so they just don’t even know they don’t have the skill set or the understanding that in a healthy relationship this is the way you end it they may think oh well I’ve seen my peers do this I’ve seen my friends do this this must be the way you end relationships they just don’t have anything else to go on there’s lots of other reasons they may not have ever felt very comfortable talking about their feelings with the other person and they may feel like the other person never really listened. The other person wasn’t ever comfortable talking about feelings and so they feel like what’s the point of trying to have this conversation because I’ve just gone through six months of trying to talk to them and it’s it’s never ended well or it’s never gone anywhere. So they may feel frustrated like this is just one more conversation I don’t need to try to have and in some cases, it may be a form of like procrastination, of hiding.

Dr. John Grohol: They keep putting off wanting to deal with the messiness that is sometimes you know the end of a relationship. And so procrastinators will keep putting it off putting off. I’ll text them back later. I’ll text them back later. They just never text them back. And before you know it’s three weeks later. And finally some people probably do it out of a feeling of not maybe deserving a positive relationship in their life or deserving a healthy relationship in their life. So they sabotage the relationship because they just don’t feel like they’re worth it. They need to move on before they feel like something else will sabotage the relationship. So it feels somewhat empowering to ghost the other person and that way they can be the they can ensure that they leave their relationship before anything bad happens to it.

Gabe Howard: I think that’s a really interesting point that you brought up. I think that a lot of people, especially the ghostee, they see it as a very malicious act, that it was done willfully to hurt them because the person doing the ghosting didn’t care enough to end the relationship quote unquote properly. But you’re saying that it can be much deeper than that the person might not have intended to do the ghosting or they might be too scared to tell you the truth and it really has more to do with the person doing the ghosting, and it’s not necessarily this cruel act, but it’s deeper than that.

Dr. John Grohol: I think probably even in most cases it’s not meant as an act of cruelty. It really isn’t. It probably speaks a lot more to the person who’s actually doing the ghosting than the ghostee. And I think it doesn’t necessarily mean it was a really bad relationship or that the person who was who is being ghosted is a really bad person. I think it is more often than not an issue with the person who is doing the ghosting.

Gabe Howard: Dr. Grohol, it’s always great to talk to you about these things. Do you have any final words on ghosting? What should the takeaway be for our listeners?

Dr. John Grohol: Relationships are messy. A good relationship doesn’t necessarily just go up up up and up. Any really good strong relationship has a lot of ups and downs in it. And I think sometimes there is this belief that that’s very unrealistic belief that relationships should be good and when they stop being good that’s when you need to end it. And if you don’t want to deal with bad feelings, ghosting is one way of getting out of the relationship without having the messiness of having to deal with those bad feelings. And I think it’s beneficial for people to realize that sometimes relationships go down for awhile. And if you both parties are willing to work on it they can go back up. That’s the roller coaster of a relationship and even the most positive beneficial relationships in the world have their ups and downs. If you do need or want to end a relationship the mature thing to do–  if it’s not abusive, if there’s not a legitimate reason for ghosting a person — is to have a conversation about with your partner and I know that’s difficult. I know you feel like it’s gonna be hard and it’s going to be negative and maybe parts of it will be but it’s what people do when they want to show some respect for both the relationship and the other person that they’ve been involved with and had involved in their life for for many months or even years. So I think it’s not always gonna be easy but it’s a thing worth doing.

Gabe Howard: I could not agree more. Dr. Grohol, thank you for being on the show. We always love having you.

Dr. John Grohol: I love being here.

Gabe Howard: And remember, everyone, you can get one week of free, convenient, affordable, private online counselling anytime, anywhere simply by visiting BetterHelp.com/PsychCentral. We’ll see everyone next week.

Announcer: You’ve been listening to The Psych Central Podcast. Want your audience to be wowed at your next event? Feature an appearance and LIVE RECORDING of the Psych Central Podcast right from your stage! Email us at show@psychcentral.com for details. Previous episodes can be found at PsychCentral.com/Show or on your favorite podcast player. Psych Central is the internet’s oldest and largest independent mental health website run by mental health professionals. Overseen by Dr. John Grohol, Psych Central offers trusted resources and quizzes to help answer your questions about mental health, personality, psychotherapy, and more. Please visit us today at PsychCentral.com.  To learn more about our host, Gabe Howard, please visit his website at gabehoward.com. Thank you for listening and please share widely.



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