Tuesday, 5 September 2017

Don’t Worry, Don’t Be Happy: Surprising Perks of Unhappiness

We’ve been told since our first pimple arrived to look in the mirror and say, “I’m good enough, I’m smart enough, and today is going to be a GREAT day, despite this mammoth zit on my chin” while plastering a fake grin on our face.

Positive psychologists have force-fed us affirmations, telling us that the more we say them and try to believe them, that happiness will be ours; that happiness is the only thing we should really care about, because “the pursuit of happiness” is our American right.

But is all of this scientifically sound?

Susan David, PhD, a psychologist on the faculty of Harvard Medical School, thinks not. After two decades of researching the science of emotions, she is making waves with her concept of “emotional agility,” which was declared by the Harvard Business Review to be one of the “Management Ideas of the Year.” In her recent book Emotional Agility she explains why we need to stop forcing happiness and allow ourselves to feel our emotions.

The Danger of Too Much Happiness

“The paradox of happiness is that deliberately striving for it is fundamentally incompatible with the nature of happiness itself,” Dr. David writes. “Striving for happiness establishes an expectation, which confirms the saying that expectations are resentments waiting to happen.”

She peppers her book with studies showing why forced happiness does nothing but make us unhappier. In one study published in the Journal of Personal and Emotional Psychology in January 2001, two researchers at the University of California in Berkeley inspected yearbook photos from 1958 and 1960.

They distinguished genuine smiles from false smiles (the two smiles activate different muscle groups). Thirty years later, the students with the genuine smiles were found to be faring much better than those with the fake smiles: The genuine smilers had more satisfying marriages, greater feelings of well-being, and so forth.

In a study published in August 2011 in Emotion, some participants were given a fake newspaper article that praised the advantages of happiness, while another group read an article that didn’t mention happiness. Both groups then watched randomly assigned film clips that were either happy or sad.

The participants who had been given the newspaper article lauding the benefits of happiness came away from viewing the happy film feeling less happy than those in the group who weren’t told to feel happy in the article.

Says David, “Placing too high a value on happiness increased their expectations for how things ‘should be,’ and thus set them up for disappointment.”

Finally, in two studies published in October 2012 in Emotion, it was determined that the more people valued and pursued happiness, the lonelier they felt on a daily basis. Striving for happiness seemed to damage people’s connections with others because, in Western contexts, happiness is usually defined in terms of personal positive feelings. In the second study, inducing people to value happiness led to greater loneliness, as measured by self reports and levels of the hormone progesterone.

Hidden Gifts of Negative Emotions

Most of us try to confine our negative emotions to a tiny corner of our brain the way Joy did in Disney’s Inside Out, when she drew a small circle for Sadness to stay inside for the day. We’re uncomfortable with negative emotions because we’ve been told that they’re bad.

But David encourages us to embrace them as much as we can, because they hold hidden gifts. “Our so-called negative emotions encourage slower, more systematic cognitive processing,” she explains. “’Negative’ moods summon a more attentive, accommodating thinking style that leads you to really examine facts in a fresh and creative way.”

One of my favorite sections of the book is when she lists all the benefits of our negative emotions. Among the “good news about bad moods” are these perks:

  • They help us form arguments.
  • They improve memory.
  • They encourage perseverance.
  • They make us more polite and attentive.
  • They encourage generosity.
  • They make us less prone to confirmation bias. (They encourage us to seek out information with contrary views, or keep an open mind.)

Anger can help us confront something important.

Envy can motivate us to do better.

Embarrassment and guilt can help our relationships and encourage cooperation.

Sadness often signals something is wrong. Says David, “Our raw feelings can be the messengers we need to teach us things about ourselves and can prompt insights into important life directions.”

The Four Concepts of Emotional Agility

Emotional agility is a process whereby a person navigates through life’s twists and turns with self-acceptance and an open mind. You don’t ignore the difficult emotions, nor do you stew on them. You simply hold the emotions and thoughts loosely, with a degree of courage and compassion. Then, when appropriate, you try to move past them to make the necessary change in your life. There are four key concepts to emotional agility:

  • Showing Up – Turning toward, not away, from your thoughts, emotions, and behaviors, and being willing to confront them with curiosity and kindness.
  • Stepping Out – Detaching from your thoughts and observing them in order to see them more objectively, creating a space between your feelings and your response to your feelings.
  • Walking Your Why – Integrating thinking and feeling with long-term aspirations; looking at your core values and letting them provide the compass that determines your direction.
  • Moving On – Make change through small, deliberate tweaks infused with your values.

When you read as many self-help books as I do, you grow weary of the same advice to think positive and pull yourself up by the bootstraps. I was refreshed by David’s approach: Don’t worry so much about being happy. Acknowledging the hidden treasures in my negative emotions makes me more willing to put up with them, and to let them guide me toward the changes I need to make in my life.

This is good news for grumps.

Originally posted on Sanity Break at Everyday Health.



from World of Psychology http://ift.tt/2vIkia1
via https://ifttt.com/ IFTTT

How to Use Media to Start a Parent-Teen Conversation About Mental Health

Using TV Shows and Social Media to Initiate Conversations About Mental Health

Mental health is a tough topic to tackle with teenagers, especially when they are often defensive, distant, or just not interested.

Starting an open, ongoing dialogue with your teen about mental health issues just may be their saving grace. Watching television shows and checking out social media content together are great segues into conversations with your teen about depression, anxiety, self-harm, and other mental health conditions.

TV Shows

Hanging out with your teen and watching TV is a great way to initiate a conversation about mental health. Plan a night, scoop some ice cream, and settle in to watch a show.

Netflix’s controversial “13 Reasons Why” tells the story of a girl who’s committed suicide. Some scenes are extremely graphic, and experts have argued that the show may glamorize teen suicide.

If you suspect your teen is depressed, this may not be the show to watch. Either way, talk it out ahead of time. What’s important is using the show as a springboard to discuss social pressures teens face, as well as mental health conditions like anxiety, depression, and suicide.

Newcomer “Riverdale” or shows to stream like “One Tree Hill” and “The Secret Life of the American Teenager” aren’t as explicit but cover topics teens deal with like rejection, failure, first love, sexuality, teen pregnancy, family discord, and death. Your teen may identify with characters on the screen, giving you a great opportunity to segue into a conversation.

TV Talking Points

Start by asking, “What do you think of the show?” This can naturally lead to a discussion about problems your teen faces.

Identify with the characters. Showing empathy for a girl who’s been dumped by her boyfriend may help your teen open up about a breakup.

Don’t judge! Statements like “That girl is slutty” or “How stupid can those guys be” will end a conversation, not encourage it.

Use a scenario from the show to ask questions like, “If you were feeling so low you didn’t want to go to school, how would you deal with it?”

Steer the conversation towards topics like anxiety, depression, and self-harm in the context of the characters’ lives.

After the show, use open-ended conversation starters like, “What’s going on at school?” or “So, tell me the latest.”

Talk about the realities of mental health. Everyone gets down occasionally, but depression, anxiety, and self-harming behaviors are conditions that can be diagnosed and treated.

Assure your teen that you’ll get him help if needed, and make sure he knows about school and community resources, too.

Keep the conversation flowing! Make a weekly date to watch a show. Check in with your teen on a daily basis.

Social Media and Mental Health

Like it or not, social media is an integral part of teenage life. And with the excess of negativity out there, it’s easy for teens to get sucked into the threshes of depression and self-doubt, especially since social media opens up many more outlets for bullies. But social media has a positive side! Talk to your teen about using social media for mental health awareness. Posting videos and messages that shed light on teenagers suffering from depression, anxiety, and other mental health conditions is a growing trend on YouTube, Twitter, Instagram, Tumblr, and Facebook. Try these parent-teen conversation starters:

Invite your teen to give you a tutorial on navigating social media to see what they’re exposed to.
Explore messages about mental health on social media together.

Use the power of the media for good. Encourage your teen to have an ongoing dialogue about mental health by watching shows and using media that speak to them. Keep that parent-teen conversation going!



from Psych Central http://ift.tt/2eGOVW7
via https://ifttt.com/ IFTTT

Binge Eating & Social Anxiety

I have severe anxiety, but I don’t feel like I have many symptoms. — Every now and then, I install an app so I can sing, and I never use the camera. I get frustrated with the app because I always restart the song after I sing a few lyrics. This is also irritating because no matter the amount of water I consume, my throat is dry, and (I believe) interferes with my singing. Whenever I open my mic. I can feel that my throat become dry, and this happens ESPECIALLY before, and during a conversation. It doesn’t matter the amount of water I consume, because I don’t feel satisfied — but ordinarily, I am very DEHYDRATED! –and I ABSOLUTELY, NEED to consume more liquids, but I never feel thirsty unless I eat something, but I simply eat too many things (that are processed!) I’ve tried to rid myself of this addiction, but that would mean cutting all processed things, because I couldn’t handle it otherwise. I have done that not long ago, but was convinced that a small bowl of something would not kill me. I hesitated to eat it, but as soon as I did, I could not stop myself. I didn’t feel guilty, but I felt bad because I am addicted. I love to talk with others, and I’d consider myself social, but these last few months — I’ve felt so anxious to talk, that I began to assume I wouldn’t say a word, therefore, I felt no stress. I do feel like I’ve been improving, but I guess I feel a little lonely sometimes. I don’t have any friends, except for one that I interact with – on social media outlets. I find it annoying that my mother tries to tell me the things I did, or that I lived. As a kid, I felt rejected all the time, and was often ridiculed at school, and also by the few kids in my neighbourhood, I tried so hard to impress. My mom says that I’d deliberately hurt kids, (even run them over with my bike!) She said that I would laugh at the child whilst they cried, but I have zero recollection of this! — I remember people hurting me, and not the other way around! (I would never talk to anyone but my family members.) Can you help?

A. I’m not certain of your exact question so I will provide a general response. You mentioned potentially having problems with binge eating, social anxiety and loneliness. It also sounds as though you may not have someone with whom you can share your feelings and concerns. That is where counseling would help.

My suggestion is to ask your mother if she would assist you in finding a local therapist. You believe that something is wrong but it is not clear whether you have a binge eating problem or social anxiety, and so forth. A therapist will identify what might be wrong but most importantly, will teach you how to manage stressful situations and strong emotions.

If your mother isn’t receptive to counseling, speak to the school counselor. They can provide you immediate assistance and contact your mother about your beginning counseling on a regular basis.

In the meantime, try interacting with your peers in person instead of on social media. You might find those interactions more satisfying. You will be less lonely and most likely less stressed. When it comes to building friendships, it’s better to communicate face-to-face than through social media especially if you’re feeling lonely. Good luck and please take care.

Dr. Kristina Randle



from Ask the Therapist http://ift.tt/2gB5kbF
via https://ifttt.com/ IFTTT

American Nirvana

I've been meaning to point to an engaging article by polymath Adam Gopnik reviewing Robert Wright's recent book "Why Buddhism Is True." (Wright has written popular books on evolutionary psychology.) Gopnik briefly reviews the major appearances of Buddhism in late 19th century New England and then in the nineteen-fifties, spurred by writings of Suzuki and others. A few clips from the review, which I encourage you to read in its entirety:
Wright, like his Bay Area and Boston predecessors, is delighted to announce the ways in which Buddhism intersects with our own recent ideas. His new version of an American Buddhism is not only self-consciously secularized but aggressively “scientized.” He believes that Buddhist doctrine and practice anticipate and affirm the “modular” view of the mind favored by much contemporary cognitive science. Instead of there being a single, consistent Cartesian self that monitors the world and makes decisions, we live in a kind of nineties-era Liberia of the mind, populated by warring independent armies implanted by evolution, representing themselves as a unified nation but unable to reconcile their differences, and, as one after another wins a brief battle for the capital, providing only the temporary illusion of control and decision. By accepting that the fixed self is an illusion imprinted by experience and reinforced by appetite, meditation parachutes in a kind of peacekeeping mission that, if it cannot demobilize the armies, lets us see their nature and temporarily disarms their still juvenile soldiers.
Meditation, in Wright’s view, is not a metaphysical route toward a higher plane. It is a cognitive probe for self-exploration that underlines what contemporary psychology already knows to be true about the mind.
Meditation shows us how anything can be emptied of the story we tell about it: he tells us about an enlightened man who tastes wine without the contextual tales about vintage, varietal, region. It tastes . . . less emotional. “All the states of equanimity come through the realization that things aren’t what we thought they were,” Wright quotes a guru as saying. What Wright calls “the perception of emptiness” dampens the affect, but it also settles the mind. If it isn’t there, you don’t overreact to it.
Simply to sit and breathe for twenty-five minutes, if only to hear cars and buses go by on a city avenue—listening to the world rather than to the frantic non sequiturs of one’s “monkey mind,” fragmented thoughts and querulous moods racing each other around—can intimate the possibility of a quiet grace in the midst of noise.
A faith practice with an authoritarian structure sooner or later becomes a horror; a faith practice without an authoritarian structure sooner or later becomes a hobby. The dwindling down of Buddhism into another life-style choice will doubtless irritate many, and Wright will likely be sneered at for reducing Buddhism to another bourgeois amenity, like yoga or green juice...Yet what Wright is doing seems an honorable, even a sublime, achievement. Basically, he says that meditation has made him somewhat less irritable. Being somewhat less irritable is not the kind of achievement that people usually look to religion for, but it may be as good an achievement as we ought to expect. (If Donald Trump became somewhat less irritable, the world would be a less dangerous place.)


from Deric's MindBlog http://ift.tt/2eYrAw6
via https://ifttt.com/ IFTTT

Survival and Grief



There is no transcendent moment of growth or meaning in watching a childhood friend die of cancer. There is no learning experience that will somehow make me stronger. Only horror, helplessness, loss, and grief. I am deriving no spiritual uplift from this experience, only depression and despair. If someone wants to talk to me about post-traumatic growth, I will spray paint their car.

Others disagree with me, I'm sure of it. For religious reasons. And I will respect their beliefs. There is no point in being a skeptical asshole to a grieving family.

The most important point here is that dying patients should not have to suffer this much. I wrote about this and related issues seven years ago, as my father was dying of cancer.

Ketamine for Depression: Yay or Neigh?

Limbaugh/Palin "death panels" extend the lives of terminally ill patients

2009 Lie of the Year Redux: Palin's so-called Death Panels

Update on Ketamine in Palliative Care Settings


I had more of a voice back then. Today I feel hopeless about the state of the world and my ability to have any impact on it. But I will try to keep my happy memories alive.



I love you.
RIP.




from The Neurocritic http://ift.tt/2w0OpVf
via https://ifttt.com/ IFTTT

Monday, 4 September 2017

Book Review: The Power of Meaning

In The Power of Meaning: Crafting a Life That Matters, author Emily Esfahani Smith reports a telling statistic on the explosion of interest in happiness: By 2014, there were more than 10,000 studies of happiness published every year.

But that’s not what The Power of Meaning is about. Happiness, according to Smith, is something rather superficial. In attempts to be happy, people sometimes do things like go shopping and eat sweets, but ironically, end up less happy than if they had not been so preoccupied with their pursuit of happiness.

Meaning, in contrast, is deeper than happiness. It is more about doing good than feeling good.

The fascination with happiness, along with the attempts at monetizing people’s obsession with seeking it, are part of the crisis of meaning in contemporary society. Rates of depression are increasing, as are rates of suicide — in wealthier nations even more so than poorer ones. Many universities have turned away from the mission of helping students learn how to live a meaningful life in favor of a focus on careerism and financial success.

Smith, who has a master’s degree in positive psychology, follows the typical template for nonfiction books in the social sciences that are written for readers beyond the academy. She draws from a variety of disciplines, including literature and history as well as the social sciences, and travels to interesting places where meaning-making is happening. She garners insights as a participant-observer or an interviewer of the key players, and writes about her discoveries in an engaging style.

Meaning, she concludes, arises in four ways: from belonging, or “our relationships to others;” purpose, or “having a mission tied to contributing to society;” storytelling, or “making sense of our experiences and who we are through narrative” and transcendence, or “connecting to something bigger than the self.”

One by one, the chapters at the center of the book address each of these pillars of meaning. One more chapter on growth is also included, as well as a chapter about cultures of meaning.

The places Smith visits and the people she finds there are fascinating. They include, for example, a tiny fishing village of just 480 people, accessible by ferry; an Observatory in a remote section of Texas; the Detroit Zoo, where she visits with a zookeeper; St. Mark’s Cathedral in Seattle, where she attends a monastic prayer service and Times Square, where teens get guidance in pursuing their dreams at DreamCon.

As is fitting for a book about meaning, many of the questions Smith addresses are profound. For example, how is it that some people emerge from horrendous life experiences feeling strengthened rather than broken? How do some people find meaning on death’s doorstep, and how do they differ from those who just want to be done with life as soon as possible? The answers she finds take us to heartening places. Instead of just reiterating what we already know about post-traumatic stress disorder, for instance, Smith introduces us to the concept of post-traumatic growth and to some of the people who exemplify it.

The story of the quest for meaning is not just about specific individuals or the inhabitants of one-off quaint fishing villages. It is also about social movements. The Dinner Party, for example, is a gathering that happens in cities around the country. Young adults jolted by the sudden loss of someone they love come together for dinner, conversation and meaning-making in someone’s home.

The Power of Meaning made it to my reading list because of my interest in single life. Too often, our stereotypes and cultural narratives depict single life as a place of self-centeredness and superficiality. But research shows that oftentimes just the opposite is true.

In some important ways, single people are more giving and more attentive to the important people in their lives than couples who move in with each other or get married. I also know that in a study of midlife Americans over a five-year period, the lifelong single people experienced more personal growth than the people who were married the whole time.

I was hoping to learn more about such deeply significant aspects of single life. Instead, I met an author who celebrates marriage and children. Again and again, when she wants to praise someone, or provide evidence that they overcame adversity, she notes that they got married and had children.

Throughout the book, Smith seems to assume that everyone is in a romantic relationship (for example, “We all need to feel understood, recognized, and affirmed by our…romantic partners”) and raises children. In Smith’s view, the people who “perhaps know the value of a service mindset better than anyone” are, of course, parents.

While the author acknowledges the importance of meaningful work, she does not do so for the research showing that single people value meaningful work more than married people do.

Smith reiterates a claim from 1897 that married people commit suicide less often than unmarried people, but does not seem to recognize what’s wrong with that claim nor acknowledge contemporary data that suggests something quite different.

I wouldn’t mind that Smith is so enamored of marriage and parenting if she also made a point of underscoring the meaning in the lives of people who are single or have no children. There are inspiring single people and people who are not parents in The Power of Meaning, but their marital or parental status is never underscored and lauded the way it is for the married parents. The one time a person is explicitly described as unmarried was in a story of a mother who gave her daughter up for adoption; the mother and daughter met when the daughter was an adult, but then never met again.

In 2006, a study touting a dramatic increase in the number of Americans without a confidant got tremendous play in the media. It has since been debunked, but in her book Smith described the findings as facts. She also repeats the popular claim that American society is increasingly mobile, but research shows that it is not. She tells readers that people who are more religious, less educated and have more children see their lives as more meaningful, to which I wrote a note in the margin that she seems to be yearning for a return to the 1950s. On the very next page, Smith effuses over her visit to the Society for Creative Anachronism.

Despite my reservations, I think The Power of Meaning is a significant book with a lot to offer. It is an important counterpoint to the frenzy over happiness.

The Power of Meaning: Crafting a Life That Matters
Emily Esfahani Smith
Crown, January 2017
Hardcover, 291 pages
$28.00



from Psych Central http://ift.tt/2wz36T7
via https://ifttt.com/ IFTTT

Is Your Teen Withdrawn and Won’t Leave Their Room?

focused teen with laptop

We know there is something wrong but they just won’t talk — to anyone. Many times, the first time we notice our teen is different is when they withdraw from us and their life. They seem to spend so much time in their room, watching YouTube or playing video games and rarely seem to be going out with friends or doing their usual hobbies. They barely talk at dinner and seem to be only momentarily engaged with family and friends. Or as I call it, the “‘needs to know’ basic mode”. Walking around with their “Do Not Disturb” sign activated.

One of the first signs we are not coping or feeling mentally well is to shut down, it’s the body’s way of saying “Hey I need to figure this out so I need to preserve my energies.” Unfortunately for a teen this can be self-perpetuating. The less they do, and therefore the worse they feel, the less they can problem solve. Coupled with immature problem-solving skills, this combination can create its own momentum and getting out of it gets harder over time.

Feeling mentally low, can leave us feeling that it takes too much cognitive and emotional energy to talk, we need to be economical with it just to have enough reserves to function, or we just don’t want to feel vulnerable, weak, or exposed, or a burden to others.

You know there is so much going on in his smart introspective head but you can’t access it! It can be frustrating, especially when you pride yourself on being a present parent. He won’t talk to a counsellor either. What could you do to assist him to open?  

  • The key here maybe to find his language to make this process easier. What has he enjoyed in the past Writing? Drawing? Basketball? Football, Cooking, Music? These are potential facilitators to access his thoughts. Straight talk therapy can often be too confronting and a pain for a teenage boy when they are what I call in the ” grunt” stage. This happens even when they are not sick! Face to face “agenda ” discussions can be too confronting. So, what could you do?
  • Firstly, find his vehicle. If it’s basketball, shot hoops with him, half an hour or even 15 minutes early evening. At first, talk nothing keep it to safe topics, sport, techniques, basketball players he admires, whatever. This may go on for a few weeks, slowly introduce talk of how he is faring in life in general. Opening dialogue with safe topics can often be a foundation and catalyst for deeper topics further down the track.
  • Make sure he does the activity with someone he respects, trusts and admires in the family or  network ( , grandpa, uncle, cousin etc) Better if it’s you or your partner but other family members or close friends can be a great resource. 
  • Ask him if he could write down his thoughts if he loves to write. He may not want to share this with you initially but it’s a start to a potential communication avenue in the future. A journal of his experiences would be a great way for him to articulate his feelings
  • Tell him that many people go through what he is going through and will in the future, so you never know when his content could be become a resource for self-helpful book. His take on things and his experiences are unique, worthwhile and important. It may help others in the future.
  • Tell him his insights are like poetry there is always something worthwhile to share. You can ask about them from time to time, if you show enough gentle interest from time to time without pushing him, he may open when he’s in a good mood.
  • If he likes writing lyrics for songs or raps – even better! He will be more inclined to let you hear this as any potential artist would!  Praise the work before you start asking probing questions.
  • Maybe, if he is a reader you could buy him some books on self-help. There are many great self-help books specifically for teens that are cool and reader friendly. The Secret to Teen Power by Paul Harrington is a teen help best seller and will at least give him food for thought, and maybe points of discussion when he is ready to open.
  • KEEP AT IT. Hoping he will suddenly snap out of it, is not a strategy option. Acting early, and across time will see some benefits and it is an investment in his future mental wellbeing.

Self Care

It is so hard for us as parents to put ourselves first when our instinct is to wrap our arms around our precious children and make everything better.

I remember when my brother became sick with mental illness. My mum cried and said ” if only it was me who got sick instead of him, I could deal with it better” It broke my heart. 

There is a saying “you are only as happy as your unhappiest child.” There is a vulnerable truth to this. For that reason, finding as much support and self-care you can is imperative to stop you going under too. 

Talk to other parents and find out how they approached this with their teen and how they coped. There is a wealth of experiential parenting knowledge out there, do not think you are alone in this.

Stay strong and take each day as it comes. Small steps can build on one another and your consistent incremental efforts will foster a pathway to bringing your teen back to you.



from World of Psychology http://ift.tt/2vG9OYU
via https://ifttt.com/ IFTTT

Daughters Acting like Wife

My brother has been married 14 years and is considering divorce. He has been communicating with his wife about his feelings. She is a very jealous type of woman who has not allowed him to have female friends. He has two daughters ages 10 and 11 and recently the girls have been getting more involved questioning him about his female friendships. Recently he took both girls to a concert & his female friend came along. The youngest shared that she told her mom about the concert and mom said “She did not know” his friend would be there. The youngest then told her Dad that it is not right for him to be at a concert with his female friend and not her mom. Another time recently the oldest daughter called him to ask “Dad where are you and who are you with” … I don’t know if this is normal behavior for young girls but I am concerned that they are adopting these behaviors from their Mom. She also shares certain things with the girls (since the marriage is having problems) like “I didn’t know your Dad’s female friend would be there” for example. Is this something we should be concerned about? I worry the girls are being brought into their parents’ marriage issues and in the process are being taught to interrogate their Dad and worry about boundaries with him and friends.

A: Your brother is putting his children in the middle of something that he shouldn’t — and hasn’t dealt adequately with. While your concern is understandable, your brother is the one that has to take control of the situation by dealing more directly with his marriage. Going to a concert with your daughters with a female friend while still being married is setting the daughters and their mother up for a collision — not good.

The key element here is your concern and over-involvement over your brother’s marriage, his friendships and his relationships with his daughters. Do not take this on as something you have to fix.

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



from Ask the Therapist http://ift.tt/2wyR4Jv
via https://ifttt.com/ IFTTT

Meditation: The Minimum Amount That Works

Study finds least mindful people benefit most from a surprisingly small amount of meditation.

• Try one of PsyBlog's ebooks, all written by Dr Jeremy Dean:



from PsyBlog http://ift.tt/2gGIiU8
via https://ifttt.com/ IFTTT

American Association for Geriatric Psychiatry (AAGP)

The American Association for Geriatric Psychiatry is a national association representing and serving its members and the field of geriatric psychiatry. AAGP promotes the mental health and well-being of older people through professional education, public advocacy, and support of career development for clinicians, educators, and researchers in geriatric psychiatry and mental health. The American Association for Geriatric Psychiatry (AAGP) is the only national association that has products, activities and publications, which focus exclusively on the challenges of geriatric psychiatry. Practitioners, researchers, educators, students, the public anyone interested in improving the mental health of the elderly have relied on AAGP since 1978 as the key driver for progress for elderly mental health care.



from PsychSplash http://ift.tt/2gz44Wr
via https://ifttt.com/ IFTTT

Living with Schizoaffective Disorder: Myths, Facts, and Prospects

When I was about 22 years old, I was diagnosed with schizoaffective disorder bipolar type. I am 29 years old now, and still puzzled — What exactly constitutes schizoaffective disorder? Moreover, is the illness itself a diagnostic myth or a fact? No one wants to be labeled schizophrenic or even bipolar, but to be labeled schizoaffective — Is that a “worse” diagnosis or a “better” one?

In the DSM-5, schizoaffective disorder is defined as “an uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with criterion A of schizophrenia.”  Criterion A of schizophrenia is all the classic schizophrenic symptoms, such as delusions, paranoia, hallucinations, etc..  So is schizoaffective, then simply, symptoms of schizophrenia combined with a mood episode?

A quick search about schizoaffective disorder on Google scholar yields results indicating otherwise.  In one study, authors found that schizoaffective disorder is genetically related to schizophrenia and bipolar and that it is essentially just psychotic mood disorder which should be treated as such because labeling it as schizoaffective (a definition invented in 1933) causes people to see the specific illness as a unification of two other diseases, namely, schizophrenia and bipolar.  This unification of two other distinct illnesses into one leads to substandard treatment, since what people are calling schizoaffective disorder is actually psychotic mood disorder, an illness in its own right.

So two question remain: Is schizoaffective disorder a myth or a fact?  Possibly it is a myth, insofar as it should be seen as distinct psychotic mood disorder.  Secondly, is schizoaffective a “worse” or “better” diagnosis than schizophrenia or bipolar?  Well, there’s probably no way to judge such a question because all three illnesses, schizophrenia, bipolar, and schizoaffective (or, psychotic mood disorder) can lead to extremely grave consequences.

In my personal experience having the diagnosis of schizoaffective disorder, I have found that the DSM-5 criteria do not exactly match my symptoms.  It is true that I had the delusions and paranoia of criterion A of schizophrenia, but I do not think I was ever really suffering from a concurrent major mood episode that was major depressive or manic.  I do believe that the phrase psychotic mood disorder could more aptly define my illness, as it seems my mood is somewhat abnormal all the time, even on medication.  I think if one is diagnosed with schizoaffective disorder, one should definitely take an antipsychotic at least, to control the schizoid symptoms, and then work with one’s psychiatrist to control the seemingly all- pervasive strange mood element of the illness.  Just prescribing an antidepressant to control major depressive or manic symptoms may not be enough, and even prescribing a mood stabilizer may not make one’s abnormal mood better.

Personally, I think methods such as cognitive behavioral therapy should definitely be utilized to teach the individual diagnosed with schizoaffective disorder how to understand his or her own seemingly all-pervasive, strange mood better.  This can lead to an acceptance of one’s own self, whereby the individual will not see his or her own mood disorder as something “black,” “ugly,” “demonic,” or otherwise stigmatized.  CBT can teach the individual to simply note the differences in his or her own way of interacting with people compared to regular people, and then help the individual find ways of adjusting that seemingly automatic behavior properly.

Again, in my own experience, I do find that the diagnosis of schizoaffective disorder is tough to conquer. Psychosis, severe anxiety, severe depression, and mood disorder are all big challenges that should be tackled with a honed regimen of medication, CBT, and family support.  Although I have been stable myself now for about five years, I am occasionally prone to outbursts if stressors get to high.  Therefore, people diagnosed as schizoaffective should remember that they are only human, like everyone else, and may experience strange and sometimes even almost indefinable symptoms from time to time, even when taking medication diligently.

Regarding the percentage of people diagnosed with schizoaffective disorder, the numbers vary, but it is considered to affect less than one percent of people.  This very low frequency can lead to terrible stigmatization, but we should remember that many illnesses are related genetically, even if they have specific genetic markers per disorder.  To remember, for example, that schizoaffective disorder is genetically related to general depression (which affects a far greater number of people) can help reduce the stigma on schizoid illnesses.

 

Finally, people diagnosed with schizoaffective disorder should definitely be encouraged to interact in society in positive ways.  This doesn’t necessarily mean throwing schizoaffectives down the typical path of work, play, and rest.  Schizoaffectives may need special accommodations because they are actually such creative individuals themselves.  In my own case, I have found writing to be a good outlet for connecting with people and society at my own pace.  There is arguably no limit to the success an individual diagnosed with schizoaffective disorder can experience, and this fact must be remembered in our times when so many mentally ill people who accidentally commit crimes are thrown in prison, a place they truly do not belong to be in.  Much of the schizoaffective’s success must truly come from within, but without social awareness of mood disorders, schizoaffectives may become stunted at times throughout their lives in unfair ways.  Therefore, it remains crucial: do not blame schizoaffectives for simply oddball behavior if they exhibit it.  Remember that the schizoaffective(s) you know may be some of the most creative and loving individuals you will ever meet.

References:
Lake, Ray, C., Hurwitz, & Nathaniel. (2007). Schizoaffective disorder merges schizophrenia and bipolar disorders as one disease – there is no schizoaffective disorder [Abstract]. Current Opinion in Psychiatry, 20(4), 365-379. doi:10.1097/YCO.0b013e3281a305ab



from World of Psychology http://ift.tt/2iWJa82
via https://ifttt.com/ IFTTT

All Healthy Relationships Have This in Common

Many of us don’t really know what makes a relationship healthy. Which is understandable, because many of us simply never learned. We look to our families to teach us, and depending on your childhood experiences, you might’ve seen a very different picture. A picture that was anything but healthy (though you assumed, again understandably, that it was totally normal and common).

Maybe you regularly heard screaming and slammed doors. Maybe you regularly saw conflict go unaddressed, put away in a box in a bedroom. Maybe you regularly saw sulking and silent treatment. Maybe you regularly watched masks being worn, a pretending that everything was fine when it clearly wasn’t. Maybe you regularly saw shaky boundaries and emotional outbursts.

All healthy relationships share one vital ingredient, which is the opposite of the above: interdependence.

You can think of interdependence as a happy medium. It is the midpoint between two unhealthy extremes: anti-dependence and codependence, said Chris Kingman, LCSW, a psychotherapist who specializes in couples therapy.

Anti-dependence is when a partner is so emotionally guarded that they don’t share what’s inside their heart. They don’t reveal their thoughts and feelings. They get impatient with their partner’s emotional needs. They require a lot of space.

Codependence is the complete opposite. One partner is overly dependent on the other for emotional safety and security, Kingman said. “It’s normal and healthy for a partner to want to connect emotionally with the other partner. But when that other partner is not available, it is codependent to have huge emotional reactions of anger or despair.” It is codependent to act in manipulative ways to get what they want, he said.

According to Jean Fitzpatrick, LP, a licensed psychotherapist who also specializes in working with couples, interdependence is functioning as a team and being emotionally vulnerable with each other.

When a partner is emotionally vulnerable, the other partner is able to be supportive and empathetic—instead of shutting down or getting defensive, Kingman said. He shared this example: When one partner says, “I really feel insecure when you go away on business,” the other partner responds with, “I’m glad you’re telling me your feelings. I always miss and think about you when I’m away, and sometimes I feel insecure, too. Let’s make sure we stay connected when I’m away, OK?”

Interdependence also is communicating constructively about each other’s needs, wants and preferences around important topics like sex, finances and parenting, he said.

Many people assume that interdependence should happen naturally and automatically, Kingman said. We assume that we simply need to find “the one,” and everything will fall—perfectly—into place. However, interdependence “actually requires effort, learning and growth over time to create and maintain patterns of healthy dependence,” he said.

Others worry that any kind of dependence is unhealthy and means being “too needy,” Fitzpatrick said. “But revealing our needs is a path to connection in a relationship.”

How do you cultivate interdependence, especially if you’ve never seen or experienced it before? The below tips can help.

First, it’s important to identify—with self-compassion—the ways we’ve been anti-dependent and codependent, Kingman said. “Each of us has some tendencies in one or both of these directions based on our attachment style.” For instance, people with an avoidant attachment style seek safety and comfort by seeking space. People with an anxious attachment style seek safety and comfort by seeking closeness.

“Our first experience of dependency is with parents,” Kingman said. “And the nature and quality of that experience in the family sets the stage for much of how we will think and feel about, and participate in, dependency in adult love relationships.” It’s pivotal to understand your personal history because this is how we avoid repeating unhealthy patterns.

Kingman suggested exploring these questions: When you take a big-picture look at your history of relationships, what patterns do you see? Were you generally running after your partners and trying to get them to be closer to you? Or, were you running away from your partners, trying to get some space and distance so you could feel more yourself? Did you tend to feel evaded or invaded?

According to Kingman, “Anxious attachment involves running after due to feeling evaded; avoidant style involves running away due to feeling invaded.”

Secondly, have direct, meaningful conversations. “Share a hope or dream you’ve been keeping to yourselves,” Fitzpatrick said. Share your needs and preferences, she said. Talk about shifting scenarios. For instance, Fitzpatrick often works with couples who start out with similar careers and salaries. However, when they have kids, the partner that stays home worries about being dependent. They discount their time and care, not seeing both for what they are: significant contributions.

“Being interdependent means recognizing that partners can contribute in different ways to a relationship and talking about how to do that in a way that works best for both of you,” she said.

In fact, instead of focusing on quid pro quo—“I’ll do for you if you do for me”—Fitzpatrick stressed the importance of exploring how each partner can contribute to nourishing the relationship.

Lastly, start a daily gratitude ritual. That is, talk about what you appreciate about each other, she said. Zero in on specifics. For instance, you love how your partner smells and how they excel at their job. You appreciate that they helped you clean up after dinner. You appreciate how intently they listen to you. You love their laugh and how safe you feel when they hug you.

Relationships are complex. Which is why interdependence takes practice. After all, it’s a process. The key to remember is that even if you didn’t grow up with any good examples of interdependent relationships or lessons on being interdependent, you can still learn to have healthy relationships. Start with the above tips. And if you need a bit more help, consider working with a therapist.



from Psych Central http://ift.tt/2x4UsNS
via https://ifttt.com/ IFTTT

Is It Normal to Have Nothing to Love but Myself?

From a teen in Egypt: I could remember myself back 3-4 years ago. I was just trying to be ‘normal’, because I was just a kid. I didn’t know what I want or even who I’m, so I used to try to stick to what’s known as ‘good’ if you know what I mean.

I thought about it and I found out that what I knew then for sure is that I want to look at myself with pride and ego.
As I grew up, and found no use of what I was trying to do. I decided to consider it an issue, I took advantage of my talent of writing and wrote about myself, recognized who I’m, until I actually got it. It seemed like a victory to me, loving myself and finally looking at the world with a perspective of mine, not only that vision which the society wants me to observe and conclude by (sometimes we agree)

It has progressed over the years, as I’ve become totally self-centered. I’m deeply the most selfish person I know, and what’s surprising me is that I’m dearly proud of it. I love myself for reasons and for no reasons. This is a clear-enough description of myself..

I technically live inside my head. I don’t care (not even slightly) about what people think and how they describe or see things. Everything is analysable (like seriously, EVERYTHING around me). I love being alone, even when it’s making me the most bored person on earth, I’d prefer entertaining myself by books and TV shows which satisfies my imagination on a long-term. I very rarely feel anything related to ‘love’ towards anybody but my own family (we live in the same house),

I left my girlfriend after 2.5 years together and I felt nothing but the absence of some daily conversations and activities, and I never feel sorry for anybody who dies (I might feel angry if it was terrible, but never sorry). I admire what I like, no matter how people see what I like evil or crazy or messed up. I don’t ever feel guilt towards anybody but myself (if some of my actions scratched my ego). I never get angry at anybody or expect anything bad or good from anybody whatsoever. I love myself more
than I’d ever love anybody. And most importantly : I’m only satisfied when I’m totally alone (that’s why I’m here).

A: The simple answer to your question is “No”. It’s not normal to be so isolated. Human beings are social creatures by nature. As much as you want to think you live in a universe of one, you don’t. Like everyone else in the world, you are dependent on other people in a variety of ways. Even a hermit needs other people to be a hermit from.

You’ve compensated for not being able to figure out how to get along by withdrawing from the social world. If you continue to live like this, it is going to have negative effects on both your mental and physical well-being.

So, as much as I think you are going to hate it, I do think you need to see a mental health specialist for an evaluation. You may be right that you are just a misanthropic individual but, even if that’s the case, it may be important to understand why. With that understanding, you can decide if you want to keep it up or change it. It also occurs to me that you may be on the high end of the autism spectrum. If that’s the case, your thinking and behavior may have come about as a compensation. There are better ways to deal with it.

You do have a talent for writing as demonstrated by your clear letter. But even the solitary task of writing is usually for and about other people. We have to live life in order to have things to write about.

I think you deserve better than you’ve got right now. Narcissus, the character in Greek legend and the person for whole narcissism is named, loved himself as you do and it caused his death. People are not meant to narrow their world and their love to only themselves. When they do, it results in a kind of mental atrophy and the world becomes a very lonely place.

I wish you well.
Dr. Marie



from Depression – Ask the Therapist http://ift.tt/2wzRNIB
via https://ifttt.com/ IFTTT

Is It Normal to Have Nothing to Love but Myself?

From a teen in Egypt: I could remember myself back 3-4 years ago. I was just trying to be ‘normal’, because I was just a kid. I didn’t know what I want or even who I’m, so I used to try to stick to what’s known as ‘good’ if you know what I mean.

I thought about it and I found out that what I knew then for sure is that I want to look at myself with pride and ego.
As I grew up, and found no use of what I was trying to do. I decided to consider it an issue, I took advantage of my talent of writing and wrote about myself, recognized who I’m, until I actually got it. It seemed like a victory to me, loving myself and finally looking at the world with a perspective of mine, not only that vision which the society wants me to observe and conclude by (sometimes we agree)

It has progressed over the years, as I’ve become totally self-centered. I’m deeply the most selfish person I know, and what’s surprising me is that I’m dearly proud of it. I love myself for reasons and for no reasons. This is a clear-enough description of myself..

I technically live inside my head. I don’t care (not even slightly) about what people think and how they describe or see things. Everything is analysable (like seriously, EVERYTHING around me). I love being alone, even when it’s making me the most bored person on earth, I’d prefer entertaining myself by books and TV shows which satisfies my imagination on a long-term. I very rarely feel anything related to ‘love’ towards anybody but my own family (we live in the same house),

I left my girlfriend after 2.5 years together and I felt nothing but the absence of some daily conversations and activities, and I never feel sorry for anybody who dies (I might feel angry if it was terrible, but never sorry). I admire what I like, no matter how people see what I like evil or crazy or messed up. I don’t ever feel guilt towards anybody but myself (if some of my actions scratched my ego). I never get angry at anybody or expect anything bad or good from anybody whatsoever. I love myself more
than I’d ever love anybody. And most importantly : I’m only satisfied when I’m totally alone (that’s why I’m here).

A: The simple answer to your question is “No”. It’s not normal to be so isolated. Human beings are social creatures by nature. As much as you want to think you live in a universe of one, you don’t. Like everyone else in the world, you are dependent on other people in a variety of ways. Even a hermit needs other people to be a hermit from.

You’ve compensated for not being able to figure out how to get along by withdrawing from the social world. If you continue to live like this, it is going to have negative effects on both your mental and physical well-being.

So, as much as I think you are going to hate it, I do think you need to see a mental health specialist for an evaluation. You may be right that you are just a misanthropic individual but, even if that’s the case, it may be important to understand why. With that understanding, you can decide if you want to keep it up or change it. It also occurs to me that you may be on the high end of the autism spectrum. If that’s the case, your thinking and behavior may have come about as a compensation. There are better ways to deal with it.

You do have a talent for writing as demonstrated by your clear letter. But even the solitary task of writing is usually for and about other people. We have to live life in order to have things to write about.

I think you deserve better than you’ve got right now. Narcissus, the character in Greek legend and the person for whole narcissism is named, loved himself as you do and it caused his death. People are not meant to narrow their world and their love to only themselves. When they do, it results in a kind of mental atrophy and the world becomes a very lonely place.

I wish you well.
Dr. Marie



from Ask the Therapist http://ift.tt/2wzRNIB
via https://ifttt.com/ IFTTT

Exploring Our Deepest Truths Through Writing

Exploring our deepest truths can be difficult. Sometimes what we find when we open the door is darkness. Sometimes what we find is inconvenient or embarrassing or upsetting. But it is also liberating and important. Because knowing ourselves, truly knowing ourselves, is what helps us to build meaningful, fulfilling lives. It is what helps us to make good decisions. It is what helps us to know what is right—and not right—for us.

One way to explore our deepest truths is through writing.

Because when you write, it’s just you and the page. In fact, this might be one of the only times you’re alone, to think, to reflect, to just be. Yourself. There is no pretending or impressing. There are no distractions, devices or to-dos.

There’s just stillness and seeking. A seeking inside the self.

Writing is a powerful form of self-reflection. It is an opportunity to sit with ourselves, to speak, and to listen. And how often do we actually do that?

To help you explore your deepest truths, below is a list of compelling writing prompts from the new book Writing to Awaken: A Journey of Truth, Transformation & Self-Discovery by Mark Matousek, an author, lecturer and writing teacher.

  • How much of yourself do you keep hidden?
  • What is the source of your greatest shame? When did you first feel ashamed? Where did these messages originate from (e.g., family, religion, culture)?
  • “Describe three masks you wear in different compartments of your life. What are the strengths and limitations of each? How do you get stuck in these various roles?”
  • “Which mask do you wear to hide your shame? What do you fear about taking it off? What will others see that you can’t tolerate?”
  • “How do you overperform in your life? What ideals are you trying to live up to? What are the consequences of not measuring up?”
  • “If you were free of the need to perform and struggle, to prove yourself, how would you like to spend your time?”
  • What are you enthusiastic about in your life?

Pick the prompts that resonate with you. Don’t censor yourself. Write quickly, and write honestly. Revisit your favorite prompts regularly (even 10 minutes can be helpful). After all, we are always evolving.

The key is to approach this process with curiosity.

Matousek half-jokingly asked one of his long-time students, Fern, why she regularly enrolls in the same e-course. Fern is 82 years old. She is a painter. She is an Austrian Jew who’s been through two world wars, the death of her husband, two heart attacks, the loss of a grandchild and much more.

She told Matousek: “Whenever I write, I feel more alive. Even when it’s hard, I come away with more of myself—things I’d forgotten, the lost pieces. It’s an ongoing education for me. Even though I’m using the same questions, I hear them differently every year. And your responses are always different. This is a mirror for how much I’m actually changing. I do this because it helps me keep a record of my inner journey. My journey, which belongs to me and nobody else. You know why Cezanne painted that same mountain more than twenty times? Because that was his work to do, it was teaching him how to see. It didn’t matter how accomplished he was, Cezanne was always learning. Always beginning. It’s the same thing with life. You can’t step into the same river twice. Writing reminds me that now is now, a completely unique moment that will never come again in all of eternity. Isn’t that the most amazing thing? The thing you never want to forget!”

Again, we are always changing. Give yourself the gift of exploring and recording your shifting inner journey—a journey that belongs to you, and only you.



from World of Psychology http://ift.tt/2xIYtVi
via https://ifttt.com/ IFTTT

Washing away your sins in the brain.

From Tang et al.
The association between moral purity and physical cleanliness has been widely discussed recently. Studies found that moral threat initiates the need of physical cleanliness, but actual physical cleaning and priming of cleaning have inconsistent effects on subsequent attitudes and behaviors. Here, we used resting-state functional magnetic resonance imaging to explore the underlying neural mechanism of actual physical cleaning and priming of cleaning. After recalling moral transgression with strong feelings of guilt and shame, participants either actually cleaned their faces with a wipe or were primed with cleanliness through viewing its pictures. Results showed that actual physical cleaning reduced the spontaneous brain activities in the right insula and MPFC, regions that involved in embodied moral emotion processing, while priming of cleaning decreased activities in the right superior frontal gyrus and middle frontal gyrus, regions that participated in executive control processing. Additionally, actual physical cleaning also changed functional connectivity between insula/MPFC and emotion related regions, whereas priming of cleaning modified connectivity within both moral and sensorimotor areas. These findings revealed that actual physical cleaning and priming of cleaning led to changes in different brain regions and networks, providing neural evidence for the inconsistent effects of cleanliness on subsequent attitudes and behaviors.


from Deric's MindBlog http://ift.tt/2vEc5DR
via https://ifttt.com/ IFTTT

Sunday, 3 September 2017

Boundaries: Learn How to Stand Your Ground

Boundaries Are Important

From a psychological perspective, boundaries are the mental, emotional, spiritual or relational limits on who and what kind of influences you accept into your life. How you expect to be treated depends on your personal history and self-evaluation. This is different for each person and circumstance. What is acceptable in one case and with one person, may not be tolerated in other instances.

The Cost of Weak Boundaries

People with damaged self-esteem and low self-acceptance usually have weak psychological and energetic boundaries. They may easily feel suffocated or ‘sucked’ into the other person’s world. They find it difficult to assert themselves and make decisions. They are easily influenced and often defer to the other person rather than expressing their own opinion and wishes. Feeling vulnerable, they may even avoid or withdraw from close contact with others so that physical distance takes the place of firm energetic and psychological borders.

Strengthen Your Boundaries

This is not always easy or straightforward but some general tips apply:

  • Stay true to your values.
  • Know you have the same right as others to be your own person.
  • Refuse to be a doormat or live as a victim.
  • Stand your ground even if it is met with disapproval.
  • Face your fears and step out of your comfort zone.

Just Say “No”

Declining a request or not joining in with others when expected can be difficult. But your preferences and needs are just as valid as those of others. If you are prevailed upon, use the following steps as a rough guide:

  1. Consider the request. If the request is rather general, ask for more details. It indicates that you are seriously considering the request but need more information before giving your answer.
  2. State your position. Name your preference, feeling or perception of the circumstances. Be tactful, confident and assertive, not apologetic: I can see that it will take a lot of time but I am too tired tonight to join in; I won’t be able to lift anything with my bad back; I have a previous engagement; I’d rather not get involved; I’m too busy with my own things.
  3. Say No. If you find it too hard to say a straight No, try these milder alternatives: I’d rather not; I don’t think it’s right for me; I won’t be available in the near future; I need to think about this one; Will be in touch if I can.  

Stand Up for Yourself

The key to assertiveness is being polite, direct, clear and non-attacking. It means standing up for your rights, feelings, beliefs and needs while also respecting those of the other person. This is different from aggression, meanness or being pushy.

Assertiveness is a respectful form of communication that provides another person with a clear and unambiguous message about where you stand. A straight posture, eye contact, speaking neither too softly nor too loud, feelings kept calm, and an air of confidence — even if you might not feel it inside — sends the right signals.

Effective assertion statements should be quite short and as succinct as possible. Use the basic ‘recipe’ below as a guide:

  1. When you … Describe one specific difficulty you have with the other person’s behavior. Keep the description as factual and objective as possible. Avoid interpreting their behavior. Simply state the facts and lay your issue/grievance/problem on the table for discussion. For example, When you made the decision without consulting me …
  2. I feel… Without blame, intimidation or demands let the other person know how their behavior has affected you. For example, …I felt disrespected, as if my opinion and wishes don’t count…
  3. Because …  A brief description of the effect that person’s behavior had on you. Describe only observable consequences, without generalizations or accusations. For example, Because now I have to change all my previous arrangements …
  4. I want… Explain what you want changed. Make a request, ask only for different behavior but not a change in attitude or values. I want you to treat me with more respect, or, I want you to change your attitude towards me, are too general and not descriptive enough. Your statement has to be specific and describe something observable: I want you to consult me before going ahead and making plans for both of us…

Put together, your assertion statement might have looked like this: When you made the decision without consulting me, I felt disrespected, as if my opinion and wishes don’t count and because I now have to change all my previous arrangements. In future, I want you to consult me before going ahead and making plans for both of us.

An ineffective statement would have been: When you made the decision without consulting me, it’s what you always do, barging ahead and only interested in what you want.You need to respect me more. This message is unclear, contains blame and brings  up past transgressions.   

Take time to learn the ‘formula’ and practice different scenarios. Perhaps role-play with a friend or by yourself in front of a mirror. Look at situations where you do (or did) not stand up for yourself and formulate an assertion statement you could have used. Make sure you are familiar with standing your ground when your boundaries are violated!

What is your experience with boundaries? How have you stood up for yourself? What are your difficulties with saying NO? What have you tried that worked or didn’t work? Share your thoughts and ideas for others to benefit!



from World of Psychology http://ift.tt/2gC7j2T
via https://ifttt.com/ IFTTT

Desperate for Help with Adult Stepdaughter’s Diagnosis

I am wondering (& def believe) stepdaughter lengthy ongoing issues stems from psych problem but no diagnosis yet. We are desperate for help since this has been going on for over 15 years. My 31 year old stepdaughter has had drug problems for 15 years &  just up & left yet another rehab while on Vivitrol. She goes into detox hospitals and then gets transferred to residential recovery houses, which she stays at for a couple weeks then up and leaves and then loops through this process again and again. I know she has said she is empty inside and has talked abt hurting herself, but it’s hard to tell if she actually is being honest about that or is using that to get back in rehab places after she has left. She doesn’t seem to have reasons for leaving any of these places. Though, she acts very immature and does seem to struggle with authority and taking responsibility for anything. She has been in trouble with law, and while once she cared very much for her looks, she now has covered her body in tattoos. She has a young daughter, who she OD’ed in front of (she no longer has custody) & parents who are desperate to get her help and finally get her on the right path. But she seems to easily disconnect from what she’s done and does &  doesn’t seems to care how much she is hurting and worrying everyone. . With all these hospitals and rehabs she has been in, she has gotten some counseling, but i very much believe she has an underlying mental health prob that has not been diagnosed that could be at the root of this. I am hoping you could advise on anything you might think it could be. Thank you so much!!! (From the USA)

A: Unfortunately the description you have offered is all too common. It is typical for the number of residential rehabilitations to be several in number (some sources pointing to more than a half dozen) before a successful take happens. Typically, mental health issues are concomitant concerns and evaluated for as part of the process.

I wish there was an easy answer, but the brief stays combined with withdrawal issues and the new living situation often doesn’t allow for an accurate assessment. Sometimes the legal complications can actually help — if the rehabilitation is mandatory. This allows for a longer stay and for support services to be coordinated once the individual is released.

I would highly recommend Nar-Anon or Al-Anon for you and your family in coping with this ongoing problem. They have support and decades of wisdom to offer as you cope with your stepdaughter’s behavior.

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



from Ask the Therapist http://ift.tt/2iVtHoS
via https://ifttt.com/ IFTTT

3 Signs of Depression In Young People

The teenagers described a wide variety of sources of stress.

• Try one of PsyBlog's ebooks, all written by Dr Jeremy Dean:



from PsyBlog http://ift.tt/2ezIPGO
via https://ifttt.com/ IFTTT

Beyond Life’s Disappointments

When our life does not proceed in the direction we imagined and we come to a place of great uncertainty, it is time to expand our consciousness, meaning a time to open to what is possible, beyond what was expected.

Michael, a 65 year-old attorney, feared death because he was overcome with regrets. When I asked him what exactly he feared, he said, “I didn’t achieve my potential. I thought I’d be much more successful. I don’t think I have enough time left to make it happen and I’m not really driven to make it happen either.”

Dana always wanted to become a mother. However, she was not in a stable relationship and didn’t have the money to freeze her eggs or have a child on her own. Her anxiety was rising as her biological clock wound down. She wondered, “How do I deal with the reality that I won’t have children?”

With great courage, self-compassion, and support we can face the possibility of not achieving experiences we long for.

Regret, while a natural, very human feeling, is a state that leads to stuckness. When we are ready, however, to allow our Self to grieve what we have lost or never had — like not realizing a dream — it helps us move past regrets and disappointment. Grieving is painful, however the depth of the pain lessens as we experience our grief. Regret and stuckness while also painful, solidify through repeated experiencing and become the weight we carry with us.

Most people fear that if they connect to their sadness, the grief will never end. But it will. With a supportive other, we can cry until ours tears stop. And we can experience our anger towards people who thwarted us, in a safe way that in the end feels better, not worse. We can allow core emotions to arise, flow, peak, and finally pass through our bodies. And feeling core emotions is essential to bringing relief.

If feeling a core emotion like sadness doesn’t bring relief, there is a reason. Often the reason is negative stories surrounding our emotion. These negative stories complicate and make our grief worse. For example, “what is wrong with me?” stories (shame) move us away from our sadness and self-compassion. “I have made bad choices” stories (blame) also block us from the healing experience of sadness. And, stories projecting into the future, like “I will never be happy,” block us from accepting and grieving our losses — from experiencing our core sadness.

When we have truly mourned for what has been lost to us, our hearts begin to open. We start to imagine new possibilities and see ourselves creating a meaningful life in ways we never considered. We can begin to invite in exciting, meaningful questions like, “what do I do with the abundance of my love that I want to share?” And, “what are my values around how to live a full rich life?” This is what it means to expand our consciousness.

Michael worked hard to overcome his regret. When I asked him at what point he first remembered feeling badly about himself, it was when he was a teenager struggling in school. That was an epiphany for him. He realized his present day regret was not tied to his standing at the law firm but to a childhood feeling of inadequacy.

Once he realized this he worked hard to heal his past wounds. He built up his Self by cultivating love and appreciation for all that he had accomplished under very difficult circumstances. He began to feel proud. And his regret diminished.

When Dana was able to process her core sadness and began to expand her consciousness, she found she could cultivate meaning for herself by creating relationships with children as a special auntie or godmother. She adopted a pet to love and nurture. She began to contribute to her community by volunteering. And she became excited about developing her creativity and spirituality.

The road to feeling better is one where we radically accept our losses and limits and embrace what actually is. Imagine connecting with an older version of yourself, who is reflecting back on life, proud that grief did not hold you back from living fully in whatever way that had meaning. You might even feel proud of your Self for your strength and resilience in making the most of your adversity.

In the words of Hanya Yanagihara, “Things get broken, and sometimes they get repaired, and in most cases, you realize no matter what gets damaged, life rearranges itself to compensate for your loss, sometimes wonderfully.”



from World of Psychology http://ift.tt/2guLBKo
via https://ifttt.com/ IFTTT

Book Review: A Clinical Introduction to Freud

Perhaps no other scientific field can boast of such a contentious relationship with one of its founders as psychology does with Sigmund Freud.

While he educated and inspired multiple generations of aspiring psychoanalysts, his theories have been primarily relegated to the confines of historical background, literary analysis, and popular culture since the 1960s.

And yet the subfield of psychoanalysis persists, with new patients, or analysands, reclining on new couches to explore the deepest recesses of their unconscious. But this begs the question: are there still clinical applications for Freudian theories and structures?

Bruce Fink attempts to answer with a unequivocal yes in A Clinical Introduction to Freud: Techniques for Everyday Practice.

Quotes aware of the prevailing assumptions about Freud, his theories and the ubiquity in Woody Allen movies, Fink’s introduction seems to beg for patience and tolerance at times.

“Give Freud a chance,” Fink more or less insists, particularly addressing new clinicians or students assigned this text for a course, and reminds us that many in the field continue to endorse Freud’s theories and provide evidence supporting them.

Despite his best attempts, however, Fink’s arguments fail to bring Freudian theory into the 21st century in any compelling way, and although his discussions of Freud’s cases contain interesting analysis, the applications for the modern clinician are disappointingly few.

The book is divided into seven chapters which are then subdivided into sections, and followed with five appendices, offering additional insights regarding the examples mentioned in the text. Space is given to address Freud’s critics and make comparisons between psychoanalytic and DSM-V diagnoses.

From chapter to chapter, Fink attempts to build a burgeoning understanding of Freud’s psychoanalytic structures, theories and vocabulary, beginning with more theoretical considerations in “Tracing a Symptom Back to Its Origins,” “The Unconscious is the Exact Opposite of the Conscious” and “Dreams: The Royal Road to the Unconscious.”

Fink addresses the particulars of two of Freud’s most notable and studied cases: the Rat Man (Ernst Langer) and Dora (Ida Bauer). He painstakingly recounts the particulars of these cases, Freud’s approach and assessment of them and how they illustrate the corresponding theories from the earlier chapters. It seems noteworthy that Fink spends relatively little time exploring his own cases, but liberally peppers A Clinical Introduction to Freud with anecdotal references to his analysands and often includes quotes from them as section subheaders.

This represents, at best, a missed opportunity to meticulously lead the reader—ostensibly a student of psychology and aspiring therapist—through the process of applying Freudian theory to a contemporary case and elucidate the challenges of using Freud’s methods in a clinical setting. Instead, Fink uses the far less accessible examples of Langer and Bauer to illustrate the ongoing vocabulary of consciousness vs. unconsciousness, the imagery of dreams and the various expressions of obsession and hysteria.

“Hysteria and the Case of Dora” perhaps best clearly illustrates what is most and least successful in A Clinical Introduction to Freud. Fink thoughtfully delves into Freud’s mishandling of the case, the problems of his own assertions and occasional lack of insight and delivers a pithy lesson to the clinician-in-training: don’t hog the ball. Or else to say, let the analysand talk instead of insisting on one’s own theories, as Freud did in this case.

However, Fink’s own interpretation of Dora/Ida’s symptoms reads as woefully out-of-date to this modern reader; he makes repeated, dichotomous assertions about gender expression and sexuality that most would gladly consign to the early 20th century where they arguably belong. In addition, Fink’s interpretations of Dora’s experience and that of Freud’s other analysands consistently fail to take into account cultural and systemic pressures in any meaningful way. As a result, despite its 2017 publication date, A Clinical Introduction Freud at times reads as hopelessly dated to the point where it seems mired not only in Freud’s theories but his era as well.

Again, students of psychology will find points of interest in this text. Indeed, there is much to consider in Fink’s discussions of the roles and impact of language and narrative, in both our dreams and their deconstruction. The casual reader, unless exceptionally intrigued by theory, would likely be better off reading Freud’s work directly with some commentary, or else reading a biography or historical analysis.

Unfortunately, despite Fink’s insistence of Freud’s continuing relevance and application, he fails to make a convincing case and instead devotes much of his considerable resources to sniping at cognitive behavioral therapy, the DSM-V and theories critical of Freud’s work. And while there are critiques to be made of any theoretical framework or institution, his suggestion that we abandon the physiological study of mental illness is at minimum a dangerous and potentially damaging suggestion. An argument for more integrated study could easily be made, but Fink emphatically does not make such an argument here.

A Clinical Introduction to Freud
Bruce Fink
Norton, March 2017
384 pages, hardcover
$37.50



from Psych Central http://ift.tt/2vWSJoI
via https://ifttt.com/ IFTTT

Private Practice Management Tips with Adriana Alejandre, MA LMFT

Today, Adriana Alejandre, MA LMFT offers some private practice management tips via a Q & A with Jennifer Rollin.

Jennifer: What are some of your favorite systems and ways that you keep your practice running smoothly/organized?

Adriana: When I was in my private practice internship, we used Simple Practice, but now that I am licensed I decided to go to Excel to create my own system. I have coded patients for confidentiality and created formulas to associate their fees and tax deductions. I like to  things manual, such as date of service, time, payment type and compiling superbills. I maintain forms that need to be distributed to patients at the end of the month, print and hand out the following week, then I note it on their printed progress note. I maintain a caseload of 20 patients per week so having manual paperwork is doable for me and helps me stay on top of my cases. When clients terminate, their files are uploaded on the “Termination” hard drive. All documents are encrypted in an encrypted laptop that lives in the locked cabinet in the office. Although I am under 30, I still like to keep it old school.

Jennifer: What do you outsource in your practice?

Adriana: My practice is out of network with all insurances so I only choose to outsource my marketing, logo design and website service. I was using TherapySites for my website service but have recently switched to SquareSpace, in which I happily edited the template copy myself. For marketing I am on Psychology Today and run an ad on GoogleAd or boost my blogs on Facebook. My promotional items are from various companies but I have spent under $300 so far on a set of 300 pens, 25 brochures, 310 stress balls, business cards, gift bags and goodies to go in the marketing bags.

Jennifer: How did you learn how to effectively run your business. Did you have a mentor?

Adriana: I owe a lot to my former supervisor, Laurel Wiig, who hired me at her practice, Porter Ranch Counseling. Dr. Wiig showed me all the ropes and it took me one full year to learn to learn the administrative side of private practice because my brain did not want to understand the concept of out-of-network benefits. She taught me about websites and SEO’s, encouraged me to create goodie bags to local doctors and introduce myself to the community. Since then, I have connected with other therapist-friends in private practice and learn another world about private practice in my two favorite Facebook community platforms, Abundance Practice Builders and Selling the Couch. At this point, reading blogs, listening to podcasts and practicing the skills are helping me to run my business.

Jennifer: If you could go back and do something differently in terms of business management and organization, what would you have started right away?

 Adriana: What comes to mind with this question is marketing. I shied away from meeting many people when I began in 2015 because I did not have the confidence then. By now I would have had my contacts organized better. Creating my filing cabinets and folders of interventions took two years for me. This (system) could have easily been organized much quicker and I regret not having it done when I began. With time, I have also learned the importance of doing notes in a timely fashion. Writing notes to me feels similar to writing a college essay, but after having experienced the pain of procrastination and scary things we hear in about the ethics of keeping notes up-to-date, I do not skip a beat in this area anymore.

Jennifer: How many clients do you typically see in a day and how did you make this decision?

Adriana: I became a mother when I was a teenager, so I have been working two jobs for some time. When I received my intern number, I worked at a non-profit and held a private practice internship, both part-time. At the nonprofit, I would start at the hour and see seven clients back-to-back, with a lunch break, of course. Then, at my private practice internship, client amount depended on the day due to child care. Now that I am licensed, I have chosen to stay at four clients on average and on my longer days I can see up to six. My longer days begin at 3 p.m. and end at 7 p.m. They are intentionally set after days I see clients in the morning only.

Jennifer: What are your boundaries around answering work email?

Adriana: I include the hours I can respond to in my informed consent. Although I state that I will respond within 24 hours Monday-Friday, and 48 hours Saturday-Sunday, I also include that I will not reply outside of the 9 a.m. to 5 p.m. hours with emails, texts or calls. The hours get extended if I am on a weekend getaway. None of my patients have had a problem with this (approach).

Jennifer: Tell me about some of your favorite self-care practices during your workday and on the weekend.

Adriana: During the workday, I appreciate riding my beach cruiser with my son and walking my dog. On those days when I feel so tired after work I love watching doctor shows on Netflix, enjoying a sports game on TV and spending time with family. We lie close to a church so if we do pass the church, I like to pray as I pass by, or enter the church for serenity. I live in Los Angeles, and I really enjoy hunting people who sell fruit, going to Santa Barbara for Freebirds burritos and what I most have time for is hiking with my boyfriend and dog. Everyday I practice deep breathing and grounding techniques using my senses when I drive, because again, I live in Los Angeles and traffic is aggravating at times.

Jennifer: What are some of your best tips for work/life balance as a self-employed therapist?

 Adriana: As we all know, private practice can be quite isolating and being at home for myself can be lonely as well since it is just me, my boyfriend, son. This is a big reason why I adopted our beloved family dog. When they are away at work, school or camp, I found myself buried in paperwork. Fast forward to many self-care lessons learned, here are the ones I hold close to my heart:

  • Run away from work when at home
  • Set digital limits to enjoy your own presence and of those around you
  • Exercise, Exercise, Exercise, whether it’s physically or mentally with meditation, or both. This can be done at home and at the office.
  • Select your niche to keep you happy both at work and at home, and to avoid burnout
  • Temper expectations of patients and your responsibilities at home. Sometimes as a mom, I can’t be Superwoman and I’ve learned to be okay with that.

Learn More:

Adriana Alejandre, MA, LMFT Lic#98925 Counseling and Trauma Therapy

http://ift.tt/2guqqYW 

 



from Psych Central Professional http://ift.tt/2guOYRs
via https://ifttt.com/ IFTTT

What Is the Root Cause of My Memory Loss?

From the U.S.: I woke up one day in the Hospital, not remembering the last two days, after having 3 grand mal seizures. I was told I was conscious and able to make decisions after each one, (after going through a coma state) The hospital put me through a few tests, such as an MRI and I believe an EEG. The tests claimed I had no seizures, but the nurse that held me during one of them diagnosed them as grand mal seizures. I was given Morphine from biting my tongue so bad.

I originally thought the reason for them was an accidental overdose on my Abilify. I was just starting out on this medication, taking only 10 mg. I took my dose that day, but a couple hours later I couldn’t remember if I had taken it that day already, so I took another. I read that an overdose on abilify can cause seizures but I feel taking only 20 mg isn’t quite enough to cause such things, despite my small size. I was malnourished at the time (which could be a reason for the seizures as well) weighing about 80 lbs, being 4′ 11″ tall.

I do not have a history of any infections or head injuries. I do not know my medical background due to a closed adoption. I was not withdrawing from any drugs or alcohol, but was daily smoking marijuana. I am diagnosed with many mental health issues but not sure if they have anything to do with seizures. I’ve struggled greatly with memory loss. Though, my memory was never that good, I’ve noticed a huge decline after having the seizures and its only gotten worse over time. I haven’t had any since then and I have stopped taking my abilify.

My adoptive mom claims the seizures were mainly due to malnourishment and smoking weed. I agree about the malnourishment but I feel I must argue the weed. But I am no doctor and only know what I’ve read. I’m mostly curious to know if the abilify had any reason at all to cause my seizures. If you have any concrete info for me, I’d greatly appreciate it! I’m open to answer any questions you may have for me. Thank you very much for taking time to read my questions! Many more to come!

A: I’m not qualified to comment on the Abilify as I’m not a medical doctor. Do talk to your prescriber about whether a “perfect storm” could have occurred due to malnourishment, your small size, marijuana use, and an accidental double dose of the anti-psychotic. It strikes me as very possible.

Of most concern to me is your experience of memory loss. According to the Epilepsy Foundation website, memory loss is a big concern for those who have seizures. I suggest you get a consultation with a neurologist about what happened to you and the consequences. A nurse is not qualified to make a diagnosis. A neurologist is.

Since you say you have many mental health problems, I really, really hope you are seeing a therapist regularly. Medication alone rarely is the answer. We at “Ask the Therapist” are not set up to be in on-going dialogue with you. You deserve the consistent and regular support and practical help that a relationship with a therapist can provide.

I wish you well.
Dr. Marie



from Ask the Therapist http://ift.tt/2euLbDr
via https://ifttt.com/ IFTTT