Assisting the Person without Enabling

https://www.youtube.com/watch?v=r8PUYdEa5PE

00:00:10
This episode was pre-recorded as part of a live continuing education webinar on demand CEUs are still available for this presentation through all CEUs register at all CEUs comm slash counselor toolbox
00:00:28
all righty I’d like to welcome everybody to today’s presentation on supporting the person without enabling now you notice I said person not patient and hopefully I’ll remember to say that throughout because enabling isn’t just
00:00:40
something that people who are in a relationship with someone who is addicted to something can do I mean we can eight we can enable our children we can enable our friends so we’re gonna look at enabling broadly and in this
00:00:56
presentation we’ll explore how a person becomes an enabler defined enabling examine the consequences of enabling learn about the connection between enabling and codependency defined characteristics of
00:01:10
codependency and how they may develop from being in an enabling relationship and examine practical strategies to provide support and encouragement to the loved one without enabling so what makes an enabler a person that you love is in
00:01:28
trouble or experiencing pain and this can be an addicted person you know that’s typically what we think of when we think of enabling it can be a person with a mental health issue so if somebody is clinically depressed or has
00:01:41
severe generalized anxiety disorder and enabler may step in and try to care take that person and we’ll talk about you know where you cross the line there a person with chronic pain can also be enabled if their chronic pain they don’t
00:01:59
want to get up they don’t want to move they you know and people start start doing things for them that they could do for themselves and we can also enable our children and we’re going to look at different examples of that as we go
00:02:14
through in addition to having someone you love experiencing pain the person has to also experience a sense of responsibility for the problem generally if I would have been more aware that his drinking has gotten so bad if I would
00:02:31
have been more aware that the depression was coming on or if I had made John go to the doctor for the depression got this bad if I wouldn’t have been driving when we got into that car accident all of those
00:02:48
things the ifs and the when’s the person feels a certain amount of responsibility whether they were around when the thing was initially triggered or they feel like they should have intervened sooner to do something before it became a
00:03:05
crisis there’s also a denial that there’s a problem requiring professional help initially because once you’ve helped it’s hard to stop so once you’ve bailed John out of jail the first time it’s hard to stop once
00:03:19
you have been doing things for somebody that they can do for themselves it’s hard to say okay I’m not doing that anymore you got to do it on your own I’ve got teenagers at home and one of my children is just amazingly structured
00:03:36
and I’m structured so that works really well with me the my other child is much more on the perceiving and he’s much more loosey-goosey and it’s hard for me to kind of let him do his thing so he learns to be responsible so when
00:03:55
he was growing up I tended to enable him a little bit more than I should have by doing things for him and always reminding him and being on him where you know once he became an older teenager he started having to take
00:04:10
responsibility and it’s painful sometimes to sit back and watch him fall on his face but it has to happen sometimes for people to learn from the natural consequences enabling behavior protects the person from the natural
00:04:25
consequences of their behavior whether it’s you know alcoholism if they are in pain for example and they’re not willing to or they’re not thinking they’re able to get up and do anything go to work
00:04:42
follow through with their physical therapy those sorts of things they may get used to people waiting on them and doing things for them enabler keeps secrets about the person’s behavior from others in order to make
00:04:57
peace this is more true in addiction but I mean think about it if you’ve worked with families before where you have one parent who’s been enabling the child and doing everything for them and kind of staying on top of it and you have
00:05:11
another parent who’s kind of oblivious you know the the first parent says okay now don’t tell your mom or your dad whoever the other parent is that I keep reminding you of this but you’ve got to start taking responsibility that threat
00:05:26
kind of falls on on deaf ears because there’s no follow-through to it the person makes excuses the enabler makes excuses for the person’s behavior with teachers friends legal authorities employers and even other family members
00:05:41
why they didn’t why the person didn’t get things done bales the person out of trouble such as paying debts fixing tickets hiring lawyers and providing jobs you know at a certain point there are certain things that we can do to
00:05:57
assist people in their recovery process but generally and when I’m saying providing jobs I’ve had occasions where somebody’s called me and they’ve tried to make a an interview for their significant other and I’m like no you
00:06:14
know that person if they want the job they need to call so and I’ve seen this in other situations it’s important that we look at when we’re looking at enabling we’re looking at having the person who is
00:06:32
struggling do the things they can do for themselves otherwise we are enabling them we’re teaching them that they’re powerless that they need help we’re creating a dependency the enabler sees the problem as the result of something
00:06:46
else they’ll make excuses the person is too shy the person is a teenager they’re just they’re going to be irresponsible the person’s drinking because they’re lonely they come from a broken home
00:06:58
they have ADHD they have some other illness so a lot of times the enabler in making excuses will find other reasons for the problem and they truly believe that that’s the reason they don’t want to believe that this person is just
00:07:14
taking advantage of the system so to speak it avoids the person in order to keep peace so out of sight out of mind so if you’re the enabler may avoid the troubled person because you know if we get in the same room then we’re going to
00:07:32
get into an argument so I’m just going to avoid it and do what I need to do I’ll send text messages when he needs to do something and so you’re still enabling but you’re keeping distance so it’s not as stressful and may give help
00:07:51
that is undeserved unearned or unappreciated you know there are times when we want to reach out and help somebody you know help them get something done and that’s cool I remember with my staff
00:08:05
there were times where they would just kind of get overloaded with paperwork this was usually towards the end of the fiscal year when our census went through the roof and so I would step in and I would assist them and getting getting
00:08:19
some things done I mean that help was definitely deserved earned and appreciated now during Christmas holidays for example our census would usually plummet so it was a fifth of what it should be
00:08:32
so there should be no reason for people not getting their work done so if I’m stepping in and doing things for my clinicians then you know that that help is undeserved because they are perfectly able of doing
00:08:48
their their groups as well as their paperwork enabling behavior attempts to control the other person by planning activities choosing their friends getting them jobs making their doctor’s appointments a lot of you have probably
00:09:02
had similar experiences where someone has called up and they’ve tried to make an appointment for their loved one now it’s one thing if their loved one is like 12 but it’s another thing if it’s another adult and I have found I used to
00:09:16
let that happen I don’t even let it happen anymore but when I used to let it happen my no-show rates for that person we’re usually somewhere between 85 and 90 percent because that person didn’t even have the wherewithal to call and
00:09:31
make the appointment let alone show up for it so that kind of shows levels of motivation as well the person who’s an enabler makes threats that had no follow-through or consistency if I tell my teenager you have got to be more
00:09:50
responsible the answer the question that comes after that is if I’m not what’s gonna happen what are the consequences so the person needs to know that there are consequences when people are in drug court for example they know that if they
00:10:07
use they’re going to likely have to do some time in jail when you go to a job you know that if you don’t show up you’re likely going to lose your job so there are consequences to what we do the enabler shields the struggling person
00:10:27
from any of those consequences so they start to develop the idea that you know there are really no consequences for their actions whatever they do you know the enabler will clean it up it’s not a big deal the enabler may care take the
00:10:42
person by doing what that person is expected to do for him or herself they may ignore the person’s negative negative and potentially dangerous behavior thinking that okay if I just do these things then the
00:10:55
person will stop hurting themself they have difficulty expressing emotions especially if there are negative repercussions for doing so and when people get into these relationships it can be conflictual because you have
00:11:11
somebody that you’ve been doing stuff for and you’ve been basically waiting on if you will and then all of a sudden you set boundaries and you say no you’ve got to do it for yourself what’s the first reaction likely going to be you’re awful
00:11:25
that’s mean why are you doing this and a lot of times there are much stronger words that are used but you kind of get the idea the person rebels and tries to say no you need to keep doing this so there can be negative and unpleasant
00:11:42
emotions the person who’s being able or doesn’t love what’s going on so they may often feel taken advantage of neglected resentful yada yada and if they express those emotions to the person who is struggling a lot of times again that
00:11:58
will not be met with empathy it will be met with resistance enables prioritize the needs of the person with the problem or the addiction before their own they make sure that that person is up in the morning they make sure that that person
00:12:14
is dressed for work they make sure that person you know has money to buy lunch or or whatever the case may be before they start worrying about themselves they may act out of fear since addiction can cause frightening events the enabler
00:12:28
will do whatever it takes to avoid such actions that’s one example now if we talk about a teenager for example and you know I’ll use my kids my son is getting ready to go to college and for the scholarships that he’s gotten there
00:12:45
are certain things that he has to do if he doesn’t do them he loses his scholarship and that’s a big deal so it’s important to for him to make sure that he’s doing these things but part of me wants to do it for him because I’m
00:13:00
afraid he’s going to forget and then he’s going to have these huge student loans well if he does guess what he does that’s you know people have got I had student loans I’m sure you did
00:13:14
so and and it hasn’t ever killed anybody but it’s important to make sure that he knows what the consequences are if he doesn’t follow through with these things and to let him experience consequences and the person who’s an enabler may
00:13:32
resent the person with the problem whether it’s addiction pain just learning to adult things that you may hear and enable or say he’s so irresponsible with money he could never make it on his own if I kicked him out
00:13:49
he would be homeless so what else can I do I let him continue to stay here and this can be true of somebody who’s a problem gambler or just someone who’s awful with
00:13:59
money every time I’ve tried to talk to her about her addiction she’s gone on even a worse binge and I’m afraid she’ll overdose now think about you know the reactivity of what’s going on think about kind of
00:14:12
borderline ish behavior if you do this then look at what you made me do not saying that all of these people are borderline by any means but you know that is one of those reactive behaviors that we often see when somebody tries to
00:14:26
withdraw enabling behavior I know I shouldn’t have paid for his lawyer after the third DUI but if he went to jail he would Lewis lose his job and as a family we rely on his income okay you can see this person’s concern you can see how
00:14:42
they’re acting out of fear because their significant other contributes significantly financially to the family every time she and her boyfriend fight she crashes here I let her because I know it can be violent and I don’t want
00:14:57
her to be hurt again enabling her to stay in that relationship which evidently is not healthy because that person is afraid that the the woman will be hurt it’s my fault she’s in pain so I must do whatever she wants if I
00:15:17
change what he did at least I can limit the damage if I can’t change the fact that he totaled the car for example I can limit the damage that it may cause I can make sure that I Drive him to work from now on I can make sure that I make
00:15:35
sure he gets to his appointments maybe he will wake up and just come to his senses he’ll wake up and suddenly start doing everything for himself that he can do for himself but that’s not going to
00:15:47
happen I mean it 99.9% of the cases do you wake up in the morning and go hmm you know I could let somebody else do all this stuff for me but today I think I’ll do it all myself a lot of most of the time it doesn’t happen think about
00:16:05
if you had a full-time maid living living with you wouldn’t that be great that full-time maid you wake up in the morning and you go you know this person cleans and makes the meals and stuff all the time
00:16:16
but you know what today I’m gonna do it all myself for no particular reason and I’m gonna do it henceforth and forevermore probably not going to happen because that person has gotten used to having the maid consequences of enabling
00:16:34
enablers detest the behaviors of the enabled but fear the consequences of those behaviors even more so if I don’t bail him out of jail if I don’t do this if I do kick this person out what are the consequences gonna be not only to
00:16:50
that person but also to me and potentially my family they’re locked in a lose-lose position in the family setting boundaries feels like punishment or abandonment of the person they love it’s hard to say you know what no you’ve
00:17:04
got to do it on your own because when you do that the person starts rebelling if you will they get their feelings hurt they may not understand why it changed they may be resentful of why it changed so it creates chaos there’s a certain
00:17:22
amount of homeostasis and a family when you’re doing what you’re doing you know there’s no that family is functioning like it’s supposed to and then when you stop doing that when you withdraw some of that
00:17:35
support it upsets the balance in the family then all of a sudden people have got to start choosing their roles again enabler SHM a struggle with the guilt they would feel if the person they’re enabling were hurt by the real
00:17:47
consequences of their actions whether it be losing a job or getting physically hurt or going to jail whatever the case may be enabler czar also protecting themselves and/or their children from those
00:18:01
consequences an enabling basically means someone else the enabler will always fix solve or make the consequences for problems go away enabled persons come to expect that their behaviors have no consequences or negative outcomes I mean
00:18:17
they can see what happens but they know somebody’s going to fix it so it’s not going to harm them now remember one of the basic principles of behavior modification we do things that are rewarding and we don’t do things that
00:18:29
are punishing well if you take the punishment away then the behavior is at least neutral if not rewarding so you’re continuing to reinforce that behavior enablers may become emotional hostages as the person learns to manipulate them
00:18:46
in order to ensure that the help and support keep coming back to that look what you made me do if you would have followed up with me to make sure that I got up in the morning then I wouldn’t have missed the bus and not gotten to
00:19:02
school today if you would have done this then I wouldn’t have experienced this consequence it’s your fault the enabler is desperate to prevent the enormous crisis but winds up experiencing a constant state of stress they don’t want
00:19:19
to enable the person anymore they want to set boundaries but the tension that occurs when they try to set boundaries and the guilt the other person can make them feel or try to make them feel is can be oppressive so one of the things
00:19:33
we’re going to talk about in a little while is how to deal with some of that guilt and recognize how to set boundaries the enabled person and be enabler become stuck in a role in which they both feel
00:19:46
incompetent being the enabled person has been having somebody do everything for them so there they may start thinking to themselves well maybe I can’t do it maybe I need her to do it for me and the enabler doesn’t see this person’s
00:20:02
behavior changing they want this person to stand up and start doing what they’re supposed to do what they’re not so the enabler also starts to feel incompetent and incapable because they’re not changing that other person so they both
00:20:16
get in this lose-lose situation and they may gradually accept a self-concept that includes these negative traits destroying self-esteem and leading to codependency so what is codependency and there are whole classes on that we’re
00:20:33
just kind of hit the highlights here the person had someone they loved and either failed to fix them the loved one chose another behavior over the relationship impacting self-esteem self-efficacy and abandonment anxiety so
00:20:48
the codependent person we get there because at some point in the past they tried to fix somebody and may have failed to fix them so they’re gonna keep trying to fix the other person because their self-worth is tied up in being
00:21:05
able to fix that person or they got abandoned the person chose the addiction or chose someone else over them so now they’re struggling with feeling good enough and by attaching to someone who needs to be rescued it gives them a
00:21:24
mission it gives them a purpose it gives something them something to try to feel good about there’s an exaggerated sense of responsibility for the actions of others and a tendency to confuse love and pity with a tendency to love people
00:21:39
they can pity and rescue they love people that they can make dependent upon them a willingness to do anything to hold on to a relationship and to avoid the feeling of abandonment most people who are codependent are terrified that
00:21:54
they’re going to be abandoned they’re terrified that if they let the natural course happen and this person experiences consequences that they will be rejected an extreme need for approval and recognition a sense of guilt when
00:22:10
asserting themselves and setting boundaries and a tendency to do more than their share and become hurt when people don’t recognize their efforts they also tend to have a compelling need to control others a lack of trust in
00:22:25
themselves and other people which makes sense I mean if they got into this relationship and most people you know when they get into their first enabling relationship they don’t get into it as an enabling relationship they often get
00:22:39
into it you know as a normal healthy relationship which goes awry unless they came from an addicted family but anyway so they for whatever reason they start feeling this need to control other people in order to feel safe in order to
00:22:56
prevent an abandonment and feel okay about themselves they need to make themselves indispensable and they don’t trust themselves to be good enough as they are and they don’t trust their own judgements so they’re always
00:23:10
second-guessing themselves about what should they have done what shouldn’t they have done they have difficulty identifying feelings because you know think back to a couple slides ago we said they have difficulty talking about
00:23:21
their feelings well they shoved them down because talking about unpleasant feelings often meets with problems and and difficulties so they shove those down but when you have all this animosity and resentment
00:23:36
and exhaustion and anxiety and everything else kind of churning around inside you there’s not a whole lot of room for happiness and the other things so they may start having difficulty kind of knowing how they feel they just feel
00:23:51
icky all the time and they’re trying not to focus on it too much because then they have to face some hard realities they may be rigid and have difficulty adjusting to change and problems with intimacy and boundaries they
00:24:07
be chronically angry lie and be dishonest remember they’re lying and covering up for their significant other but they’re also probably lying and covering up for how they feel you know saying everything’s fine you know I’m
00:24:19
going to put on this picture that we have got the perfect family they may have poor communications and difficulty making decisions in the addicted family there’s a mantra if you will called don’t talk don’t dress don’t trust and
00:24:35
don’t feel in any sort of relationship where there’s an enabling situation going on this is really true most of the time we don’t want to talk about setting boundaries we don’t want to talk about how I feel about the fact that you’re
00:24:51
not taking responsibility I can’t trust you to follow through with things so I can’t trust you to do anything that’s going on and I can’t feel because if I feel then it hurts and I can’t understand why I’m staying with the hurt
00:25:06
and so I don’t want to feel anything and I need to make sure that you know if you’re happy I can be happy okay so I’m not gonna have my own feelings because if you’re happy that means you’re not gonna leave if you’re not gonna leave
00:25:22
that means I’m happy that abandonment anxiety can be tabled for a little while so what do we do first have the client learn about addiction or whatever issue the person may have let’s learn about it if we’re dealing with a
00:25:41
teenager who is having difficulty getting as feet under himself to adult okay maybe the person needs to learn about parenting parenting skills and how to set boundaries and that kind of thing if we’re talking about somebody in a
00:25:56
domestically violent relationship let’s learn about that addiction depression anxiety chronic pain whatever it is that is causing the loved one to struggle the enabler needs to learn about it figure out you know what’s causing this what
00:26:15
makes it worse what makes it better what options are there for this person you know kind of do your research so you have an idea get help and support from others reach out to communities that is that are similar to what you’re dealing
00:26:33
with calmly let the loved one know that you’re aware of their problems that you won’t tolerate that continued behavior and that you’re willing and able to support them on the road to
00:26:45
recovery so not tolerating is kind of a rough phrase and this will often be met with a lot of resistance which is one of the reasons I encourage my clients to do have this discussion either in in
00:27:01
session or in some sort of mediated maybe with their their spiritual leader or whatever so there’s a arbitrary third party that can keep things from getting too antagonistic the person needs to I encourage the
00:27:20
enabler to write these things down so it doesn’t get emotional and it’s not all over the place it’s like okay these are the 10 things that need just happen and generally when we have these discussions I work with the enabler
00:27:34
ahead of time and we remove we review the list to make sure everything’s on there that is of utmost importance to them and the list should include explaining what you’re going to withdraw I’m not doing this for you anymore and
00:27:51
this is why if you choose to not do what you can do for yourself or if you choose to refuse help these are going to be the consequences and making it very clear not aggressive not angry just this is very matter-of-fact if you continue to
00:28:14
drink then I can’t continue to bail you out or I won’t continue to bail you out from jail you know you’re going to have to deal with those consequences healthy help involves providing information encouragement and coaching
00:28:34
to the person so we learned all about it because the person who’s struggling may be too mired in their own unhappiness and emotional or physical pain to really think clearly so we may need to take take it to them and say okay this is all
00:28:51
the information I found and I know you can do this I know you can get through it and I am going to be here to cheer you on give the person contact information for doctors counselors lawyers rehab
00:29:03
programs whatever resources the person needs without the feeling without feeling the need to force him or her to accept this help and that’s the hard part it’s easy to say okay here’s all the stuff but if they take the stuff and
00:29:19
they set it down they go okay I’ll get to it later the person who’s enabling can be like no no no you need to do it now what we need to do is you know present the case you know this is what needs to change this is why it needs to
00:29:36
change this is what’s going to happen if it doesn’t change these are the resources for that you can access to help this change process and the balls in your court it’s important to discuss with the person what the possible
00:29:53
consequences of actions might be without feelings if you must make sure they make the choice you want them to make they may leave you know if you tell somebody you can’t be I can’t have you spending every dime of your paycheck every month
00:30:12
in order to buy your toys and do those things because I need it in order to pay the bills around here so if you continue to spend every time you make then you may need to move out or whatever the case may be but it’s important to set
00:30:30
those consequences because remember again what is more rewarding is going to be what the person chooses so then the person is going to have to say well do I want to buy a bunch toys and not be responsible for anything
00:30:42
or is this relationship more important because only once you’ve tipped that decisional balance will that person be willing to consider change they have to be one wanting to change we can’t make them change no amount of fussing and
00:30:58
carrying on is probably going to work we want to foster hope both for you and for the enabler and the person sometimes people refuse to get help only to turn around and ask for help a short time later it’s not uncommon a lot of times
00:31:15
especially with addictions the person that you’re working with who’s struggling is wanting to maintain control and they feel like you took away their control when you started setting limits and telling them what they had to
00:31:30
do so they may rebel against that initially and go no I’m not doing it you know I didn’t need you before I don’t need you now and walk out doesn’t mean they won’t come back the key is to plant that seed let them know what options are
00:31:46
available and say okay you know well if you decide that you want help I am here to help you along the way it’s really hard to watch the person walk out the door whether you’re a clinician having a conversation with somebody who you know
00:32:01
needs to be in treatment or you’re a loved one having this conversation with somebody who you know needs to take some steps and just to watch them kind of thumb their nose at you and walk away it’s painful it’s hard it’s it’s a
00:32:17
struggle because you’re like oh my gosh that’s this person is just headed down the wrong road but they have to be willing to change and if we keep the door open for them then they can come back and they can come back a week later
00:32:32
or two weeks later and feel like they’re in more control because they’re presenting and going I’m ready for help okay cool now let’s see where we go from here we also want to make sure that the person refuses to tolerate or enable the
00:32:52
addiction related behavior or whatever the behavior is whatever the behavior is that you’re trying to get the person to change you can’t be wishy-washy on it the enabler has to set a hard line in the sand and say I will
00:33:06
not tolerate this not I won’t tolerate it very often or I won’t tolerate it but one or two more times no I will not tolerate this anymore because as soon as you give in then that that line moves practical strategies
00:33:24
people who are enablers are exhausted people who are being enabled are also probably exhausted so these practical strategies you know fit for both both types of people in order to be a support person for someone
00:33:41
in recovery or for someone trying to make a change and in order to make a change people have to be optimally functioning they have to be as healthy as possible so they need to practice good sleep
00:33:54
habits they need to eat well they need to get some exercise you know get out get that body moving they need to take care of their emotions which means increasing the happy emotions not just dispelling the bad ones but bringing
00:34:09
some happy emotions in so you’ve got that yin-yang balance social relationships and activities need to happen for both parties you know they need to engage with other people and not just be completely wound up in
00:34:24
themselves and both parties need to be aware of what is truly important to them you know have them make a list of the people places things activities that are truly important for them to have in their life to have a rich and meaningful
00:34:40
life I mean this kind of goes to that acceptance and commitment therapy trend if you will but both of them need to figure that out so if the person who is being enabled puts down on their list that this
00:34:56
relationship is important to them to have a rich and meaningful life well then they’re going to have to make some changes you know they may have to choose between their behavior and the relay ship and they’re going to have to decide
00:35:09
which one of those is more important when you’re together it’s important that enablers remember not to helicopter not to constantly micromanage the person to see what they’re doing how they’re doing how they’re feeling you know if they’ve
00:35:23
taken their meds whatever the case may be and encourage the person the enabler to try not to obsess or worry about the other person you know you’ve given them the tools they are adults you know obviously there are certain caveats and
00:35:40
exceptions here if somebody is cognitively impaired for some reason you’re gonna have to do a little bit more but most of the time the person is able to do the next step they just have to be willing and willing is something
00:35:56
that they they choose to do so it’s important to encourage the the enabler to try not to worry to recognize that this person may fall on some hard times they have to experience some unpleasantness some pain before they’re
00:36:11
probably going to be motivated to change prepare them for it example thoughts that people with who are enablers may may have I have to do this or he will have this consequence or if I truly loved her then I would do this for her
00:36:32
or if she chooses that behavior it means I’m a failure and unlovable and this is when I see more in addictions where if somebody and especially with children you know children don’t understand and when their parent in their mind chooses
00:36:53
drugs and alcohol over being home with them so we want to help the children realize that they are lovable and the same thing with the other the other parent that is or the other caretaker it’s important that everybody
00:37:07
understands how they feel handling thoughts so when enabler start to have these thoughts that I have to protect this person or if I don’t do this it means that I’m an awful person or I’m
00:37:22
unlovable have them unhook from the thoughts instead of saying I have to they need to have say to themselves I am having the thought that I have to and use the challenging questions what is the evidence for and against this you
00:37:39
know I have to pay her rent or she will be homeless all right well that may be true so there could be great evidence for that what are the consequences of her being homeless you know are there places she can stay you know play it out
00:37:58
to the end if she’s homeless then what’s going to happen and then what’s going to happen what parts of this are my responsibility continue to play it through to the end you know if I withdraw my support what parts of this
00:38:13
are my responsibilities which important things does this help me move toward so if I withdraw my support and I don’t pay her rent for example which important things in my life does that help me move toward maybe that helps me pay off my
00:38:28
own house or pay my own bills or whatever the case may be maybe it reduces friction a lot of times we see this in parents that have kids in college where one parent is sliding money under the table to the kid and the
00:38:41
other parent doesn’t think the child should be getting additional money so there’s a lot of friction so if the parent says well if I if I don’t pay her rent now if I make her actually get a job and pay her own rent then not only
00:38:55
will I save money and be able to pay my own bills but it’ll reduce stress in my marriage which is another thing that is truly important to me we all said we can’t look at toward without looking at away from what important things does
00:39:12
this move me away from well you know we’ll stick with the college kid for right now if we have a college person and you say you know what I’m not gonna pay your rent anymore you have to get a job and start adulting the college
00:39:29
student may say some pretty hurtful things and may be very angry for a while which is difficult for a parent I mean there’s no doubt it’s hard for a parent to go that’s okay you can be angry you can say
00:39:44
you’ll never speak to me again it’s hard to ride through that so it’s important to understand that there are consequences when we do things you know just like there are consequences when the when the struggling person does
00:39:58
things and which values does doing this support so my value to be loyal honest trustworthy compassionate caring you know where does that fall in if I withdraw my support from my child and I say no you’ve got to get your own job
00:40:17
how do I feel about myself and that goes with that guilt that the person the enabler needs to work through and and yes finding that line between enabling and supporting is often a gray area and a lot of the times I ask clients to
00:40:37
really think you know the first question is is this something that my loved one could do for themselves and if so okay now how do we move there a lot of times it’s it can be a gradual thing you know if the person is using drugs for example
00:41:00
or well we’ll stick with that one for a minute if you say okay you need to get help you need to get into treatment you know that’s the first step is getting the person into treatment and it’s not
00:41:15
saying you have to quit using be clean and sober and never ever use again and go to treatment and get fixed all at once you know the first step can be I need you to commit to going to treatment in order to get better or whatever with
00:41:32
the student you know parents can say ahead of time okay beginning next semester you need to pay for your own housing you
00:41:59
so yes it is a negotiation process that sometimes can take place it doesn’t have to be a hundred percent line in the sand right starting right now but the person who’s being enabled needs to know where we’re going you know this
00:42:16
is what I need to happen so the first step I need you to take is blah blah and then we’ll reassess and yes the person does need to step back and say what is in my best interest
00:42:40
assuming we’re dealing with adults here as the person who was struggling you know adults have the ability to make choices and do things on their own most of the time there are those times where it’s not possible what if it’s somebody
00:42:59
who is really struggling with chronic pain because of a terminal illness you know you got to look at where you need to what’s in in everybody’s best interest how do you want this situation to resolve itself and what do you feel
00:43:17
resentful about talking about the enabler you know if you resent having to do this that in the other it’s important to identify why you resent it and maybe what are some options that could happen maybe the person who is well we’ll go on
00:43:39
later don’t judge the person who’s struggling and that is so hard for both parties not to judge one another it is what it is and recognize that at this point the person who is is being enabled is choosing the more rewarding option so
00:44:00
if we remove that yeah they may change but it there has to be teeth to it because if they know if they know that you’re gonna make empty threats then they’re not going to change their behavior and both parties have to accept
00:44:15
it is what it is you know you may not like what I’m doing but it’s my choice don’t have expectations of others instead meet expectations of yourself and this is one I really ask clients to really hold on to what are your
00:44:31
expectations of yourself in terms of the things that are important in your rich and meaningful life in terms of your family your job your other things you know have those expectations what are your expectations
00:44:45
of yourself in terms of this relationship and have them set goals for what they need to do in order to take care of themselves remind them that they didn’t cause the other person’s behavior and they’re only responsible for theirs
00:45:04
you know even if they have been enabling for you know three years or whatever that person made choices along the way now obviously again this is adults if we’re talking about a budding adolescent then it’s a little bit different we may
00:45:22
need to help nurture and mentor and guide that person along the way but that’s where the coaching comes in we’re not doing it for them we’re not calling the admissions office and finding out when applications are due we’re saying
00:45:36
okay what do you need to do in order to get into this college go do it and then helping them learn how to set goals and things we can’t change or fix anybody else they have to want to do it and before engaging in enabling behavior
00:45:54
weigh your options for short and long term pain and this is kind of what I think Margaret was saying about doing what’s in my best interest having clients say okay either way this is gonna be uncomfortable either way
00:46:10
this is gonna hurt so do I continue doing this in order to avoid the short-term pain of arguments and what have you and knowing that there’s going to be long term pain anger resentment
00:46:26
duh-duh-duh or do I say you know what I’m just going to endure this short-term pain of watching my loved one struggle for a bit knowing that hopefully it’ll come out on the other end they will choose to seek help and then I can be
00:46:44
there for them again encourage people to write about their feelings in a journal when enablers are trying to break this if you will it’s important they jot down how they’re feeling so they can identify it and deal with it so they can take
00:47:00
care of themselves deal with the guilt deal with the anger at the other person deal with the anger at themself and encourage them to pursue their own interests and have fun it’s really hard when you are being a blur and the other
00:47:16
person is struggling to say you know what you brought this on yourself you’re gonna do okay and I’m here to help you when you’re ready to start making a change but until then I’m gonna go live my life I remember when my when my
00:47:31
cousin was in jail my aunt had the hardest time going out and living her life and being happy she was just devastated that and and wanted to go in and wanted to fix it and wanted to bail her out and felt so guilty anytime she
00:47:46
had fun because she knew that my cousin was in jail again practice setting boundaries part of both parties recovery is getting very clear about what their boundaries are what do you expect from your partner and and be realistic about
00:48:04
it and this can be a negotiation to a certain extent what behaviors are acceptable and what will you no longer tolerate and I encourage them to also talk about you know what happens if there’s a relapse this is again
00:48:18
especially true with addictions because a lot of times people do relapse and what happens does that mean all bets are off bye-bye I’m washing my hands of you what are the consequences what needs to happen in addicted relationships
00:48:35
sometimes the thought is you need to go to treatment you need to go to outpatient or whatever it is and you need to stay clean and sober if you relapse then you have to agree to go to residential you know so there’s an
00:48:49
upping of the ante of what you need to do what does the enabler need to feel safe and secure so they can let go of those abandonment fears better social supports you know there’s going to be a lot and we need to make sure that all of
00:49:06
their answers to this question don’t center around the person being enabled because we can’t know that that person is gonna make the next right choice for the enabler so we need to say alright what do you need you know what
00:49:21
happens if this person chooses to continue with these behaviors how can you feel safe and secure if this person tries to do the right thing what do you need to feel safe and secure and a lot of times in in these kinds of
00:49:38
relationships the person who was the enabler needs constant reassurance that the person who’s being enabled is doing the next right thing and the person who was being enabled who’s trying to do the right thing now starts feeling like
00:49:53
they’re being henpecked which goes back to that hovering thing so it’s really important to have an open discussion about what each party needs to have to feel safe and secure and it’s also really good for enablers to get involved
00:50:12
in support groups al-anon Alateen any of the 12-step programs if the person has an addiction codependents anonymous is another good one in order for people to start expressing and reaching out to others who have similar experiences and
00:50:32
saying you know I’ve heard this phrase before I feel like I’m going crazy because you know every time he comes home I’m looking for or I’m looking at how do you handle that or you know they’ll run behaviors by each other and
00:50:47
go this is what I’ve started seeing lately is this person headed towards a relapse you know nobody can say that for sure but people who’ve been down that road before can say either no that’s a normal part of this early recovery
00:51:02
process or yeah it looks like that person’s getting into dangerous waters help clients learn how to say no and to mean it how to set that boundary and say no I’m not going to do it this time despite whatever you throw at me
00:51:18
verbally of course I I will not give in to this and it’s hard just like when you have a child and in the candy aisle I remember one time we’re getting ready to check out it was like four and my son was hungry but we
00:51:36
were getting ready to go home and make dinner and we were at the checkout aisle and he wanted candy and I said no and he was like really I want candy please you know like kids do he begged for it he could Joel for it whatever and I said a
00:51:51
hard line and I said no we’re gonna go home and we’re gonna make dinner and then you can have dessert afterwards if you eat your dinner no volume control whatsoever he cited the motto to the store he’s like well so much for Publix
00:52:04
where shopping is a pleasure oh my gosh I was so ready to get out of that store um but I didn’t give in I said no and I meant it and he never did that again thankfully and we need to have our enablers learn how to ask for help and
00:52:22
to get it because too lot for too long they’ve been trying to control everything they’ve been the puppeteer moving around those marionettes and now we have to say you know what somebody has to help you out too you’re not meant
00:52:34
to do it all by yourself so what do you need help with it doesn’t mean you’re weak it doesn’t mean you’re giving in or giving up encourage them to take time out when they get emotional and practice distress tolerance to get into their
00:52:49
wise mind there are going to be days that are harder than others and encouraging clients to just recognize this is important and develop those distress tolerance skills remember accepts and improves are the two
00:53:01
acronyms that we use in DBT have the person identify each day three things they did well or they liked about their themselves and write them in their awesomeness journal you can call it whatever you want mmm but I want people
00:53:17
to remember how good they are and that they are deserving of love and they do deserve to be treated how they expect to be treated encourage them to take the labels off good bad and should you know everything is
00:53:34
kind of gray when we’re dealing with enabling how you feel is how you feel what you do is what you do you either choose to or you choose not to should doesn’t belong in there when it comes to expectations assumptions and excuses
00:53:51
encourage the person to ask themselves how they would treat the other person if it wasn’t their loved one so you know if it wasn’t your child would you be going out of your way to do this for somebody or are you just doing it because it’s
00:54:08
your kid so that helps people get some distance on is am i doing something for this person that they really could do for themselves or and that is fair for me and but in my best interest again that question doesn’t work 100% of the
00:54:24
time but it does help get some perspective sometimes when you’re tempted to think or worry about somebody else turn the attention back to you so when enabler start to get worried about the person they’re enabling they need to
00:54:40
turn that back around and go okay what is it that I need because I can control how I feel I can control what I do and if you know I have to be here and healthy if I want to be of any help to that person so I need to take care of me
00:54:56
encourage the enabler to pay attention to how they talk and treat themselves silencing the inner critic and being compassionate that means quieting those shoulds and not listening to that inner critic that they’ve probably
00:55:08
internalized from the from the person they’ve been been enabling that says you really suck if you don’t do this or how could you do this you are the worst person in the world they need to quiet that down and remember why they’re doing
00:55:26
it and remember that they’re a good person encourage them to have fun pursuing hobbies and interests oh my gosh for however long their life has revolved around taking care of this person and cleaning up messes and
00:55:41
holding things together just kind of by the skin of their teeth well now it’s time to start taking care of you and having some fun get some fun back in your life spend time alone with themselves where
00:55:54
they can just be if they want to sit in their pajamas and watch television if they want to go hiking whatever it is but encourage them to give themselves permission to be alone with themselves because a lot of times people within
00:56:07
Bandhan menthe anxiety also have really low self-esteem and if they’re alone with themselves then they start getting scared they start because they draw goodness they feel like they need other people to validate them so if they start
00:56:23
spending time alone with themselves they’re gonna learn to start self validating and they’re not gonna feel so anxious that oh my gosh if this person leaves I’m gonna be alone they’re gonna think if this person leaves I’m gonna be
00:56:35
alone oh well start looking for the positive in your life and add to the gratitude list each day encourage them to stand up for themselves if someone criticizes undermines or tries to control them
00:56:47
because they’ve gotten that from the person they’ve been enabling for a while and so it’s easy unfortunately to let other people also do it if you’re used to having it from a loved one encourage them to practice mindfulness and radical
00:57:04
acceptance to deal with worry letting go of the control and the need to manage other people remembering the saying live-and-let-live hard to do and you know and I tell people this is what we want to do this is the goal we’re
00:57:19
working towards it is hard to do so I don’t want them to think that I’m being nonchalant about it and help people figure out how can you do this how can you accept yourself and realize that you know what you don’t have to be perfect
00:57:33
to be a lovable human being encourage them to get in touch with their feelings and and not judge their feelings feelings are what they are and if they struggle with them then they’re gonna get stuck in them like quicksand if they
00:57:50
feel sad they feel sad and encourage them to ride the wave and let that feeling come in and go out there are other activities if you use a more cognitive approach that can do but give people tools to deal
00:58:04
with their feelings so they can improve the next moment and not just be stuck with I’m devastated I don’t know what to do with this encourage them to express themselves honestly with everyone what tact of course encourage them to say
00:58:18
what they think and feel and ask for what they need a lot of assertiveness skills and communication skills training is often helpful when working with people who are enablers because they’ve been biting their tongue for so long
00:58:33
that it either comes out as passive or aggressive and there’s nothing in the middle encourage people to reach out for help when they feel bad and not fall into the trap of thinking they should be able to
00:58:44
manage alone because that’s a symptom of codependency too we need help we need other people that we can rely on encourage support and activities support and recovery activities avoiding the dry drunk and this we want people to
00:59:03
continue to do what they need to do to get happy and healthy if it’s pain if it’s addiction whatever remembering you can’t be your partner’s only support if you’re a parent you know you can’t have a 35 year old child or yeah I guess
00:59:21
they’re still your child at 35 that you’re calling every morning going did you get out of bed did you pack your lunch did you do this that’s just not practical you know that person needs to learn to do for themselves what they can
00:59:33
and they need to have other people who are there to support them you can’t be their whole world encourage and support by helping to arrange time in the family schedule and budget and providing emotional support or transportation so
00:59:48
if the loved one needs help doing the recovery activity is going to physical therapy going to treatment whatever it is you know okay you know let’s figure out how to make that happen if you’re willing to do it I am willing to go the
01:00:01
extra mile to help you get there but you have to be willing to do the work have them remember that encouraging doesn’t mean forcing manipulating making ultimatums or nagging and this one gets a little bit
01:00:13
sticky because when you set boundaries you know that’s kind of like an ultimatum if you do this then these are the consequences and a lot of it has to do with delivery just putting out very flatly when this happens this is the
01:00:30
consequence to me or this is why I can’t handle this happening anymore so if it continues to happen then I am going to have to you know that’s not saying you have to do something or I will it’s saying if this continues then from my
01:00:45
own safety sanity and well-being I must do these sorts of things and encourage the person to engage the enabler to engage in their own recovery activities reaching out to other healthy happy in people in their life have them restore
01:01:03
balance stop making excuses minimizing or avoiding problems and simply doing things for that person they can do for themselves even the little things like their laundry or grocery shopping if you have somebody who is addicted a lot of
01:01:18
times parents will or friends will go over to their house and they’ll see this person doesn’t have anything in the refrigerator but beer or maybe not even so they may go out and and grow shopping for the person they can do that for
01:01:31
themselves we need to maybe you need to drive them there but they need to get up and do their own shopping and take responsibility that will help them feel empowered to start making changes in their life leaving the person to clean
01:01:45
up messes she makes well engaging in the destructive behavior whatever that is don’t allow the person to put you in situations that may endanger yourself or others if you’re living with somebody who’s bad with money you know don’t
01:02:00
allow them to have open access you know maybe to the bank account if you’re afraid that they’re going to gamble or spend it all and you won’t be able to pay your bills follow through with plans even if the person refuses to
01:02:13
participate a lot of times people especially if they’re being they feel like they’re being forced to change may kind of dig their heels in and go no I don’t want to go you know I don’t want to do it unless it’s what I want to do
01:02:26
that’s okay you know we made plans to go do this as a family we would love to have you but if you don’t want to go that is your decision we’re not going to continue to cajole you oops
01:02:40
enabling behaviors can occur with anyone not just people who are addicted most of the time people don’t start out enabling they often feel responsible in some way for whatever predicament the person has gotten into and are trying to make
01:02:54
things better supporting without enabling means getting clear boundaries about your wants and needs as the enabler setting those boundaries both emotional boundaries it’s okay for me to be happy even if you’re angry physical
01:03:10
boundaries you know what’s safe what’s not safe can this person live in this household can they not live in this household whatever and financial boundaries learning how to say no when the person asks for assistance which
01:03:24
also goes along with setting boundaries and being willing to encourage and support healthy behaviors that’s the supporting part you know we’re willing to be there and help you take that step we’re willing to be there and help you
01:03:39
figure out what the next right step is as long as you’re willing to take the step and yes depending on the person encouraging the enabler to set boundaries is often relatively easy because a lot of times they’re coming in
01:04:07
going I’m at my wit’s end I I’m miserable I’m stuck I don’t feel like I can know what to do anymore and then we start talking about from a behavioral as well I start talking about from a behavioral standpoint helping them
01:04:21
understand motivation and helping them understand reinforcement and punishment and really look at the chaining if you want to use and dialectical behavior therapy has wonderful chaining worksheets that you can help the enable
01:04:34
or see how their behavior leads to X Y Z consequence how they might be able to do something differently in order to break that chain and lead to a different consequence and it’s a slow process a lot of times the
01:04:51
first thing in a blurs say when you say you gotta start setting boundaries is I can’t okay let’s talk about that you can’t or you’re afraid to or you’d feel guilty and we go down those so generally it’s
01:05:05
not a one session and done sort of thing where person comes in you say set boundaries they say cool I’m going to do that and move out there’s a building up process to getting the courage to do it and dealing with their own stuff and
01:05:17
figuring out okay what do I need to do and how can I do it in a way that is most helpful and meaningful to me and my family are there any questions any other questions
01:05:57
all righty everybody have an awesome weekend and I will see you next week if you enjoy this podcast please like and subscribe either in your podcast player or on YouTube you can attend and participate in our live webinars with
01:06:12
doctor Snipes by subscribing at all CEUs comm slash counselor toolbox this episode has been brought to you in part by all CEUs calm providing 24/7 multimedia continuing education and pre certification training to counselors
Source : Youtube

Understanding the Need for Validation and Control with Dr. Dawn-Elise Snipes

https://www.youtube.com/watch?v=ztvS_si3mTk

00:00:13
Hey there everybody, and welcome to Happiness Isn’t Brain Surgery with Doc Snipes practical tools to improve your mood and quality of life. Today we’re going to be talking about two sort of related concepts validation or our need
00:00:27
for validation and control. So let’s start with validation what is this validation is when we get the message that we’re okay we need validation to feel good about ourselves but we don’t necessarily need validation from every
00:00:45
person and that’s one of the places that a lot of us make mistakes is that we want to be loved and approved of by everybody all the time I’ll get over it and ain’t gonna happen you’re not even going to approve of yourself all the
00:00:57
time but one of the steps or one of the things that you can do in order to ensure that you’re getting the validation that you need is to a make sure that you self validate you look at yourself and you say I’m okay I’m a good
00:01:13
person you know I make mistakes I’m not perfect but I’m a good person and also surround yourself with significant others who validate you they may not say it and remember when we talk about love
00:01:25
languages you know sometimes people communicate their validation and caring not necessarily by words but by acts of service or by giving gifts or spending quality time with you if they want to spend time with you that’s validating it
00:01:41
means they enjoy being around you so we do need to you know be a little bit more open to the concept of validation we also need to know how we experience how we prefer to experience validation because you know even though people are
00:01:57
not necessarily by their nature going to communicate that way we can nudge them in that direction we can let them know how we experience love what our love languages are and that will help them be able to more effectively valid
00:02:13
so for me for example one of my top love languages is acts of service so when people do nice things when my kids I come home and they’ve done an extra good job cleaning the house I’m just like oh my gosh thank you so much
00:02:28
that is very validating to me it validates that they respect me and they care about me as a person I’m not big on gifts you know that’s not one of those things so you need to know how you experience validation and be able to
00:02:42
communicate that to others so they can communicate to you in your love language otherwise if you’re speaking two different languages you’re probably going to have an impasse we also need to look at from whom we need validation and
00:02:57
why and this is a big question we need validation from other people it’s true we need to feel like we’re loved and we’re accepted by people but not everybody so I want you to think about who in your life you need validation
00:03:11
from is it your kids is it your significant other is it your parents you know who is it and why you know what what would happen you know just hypothetically what would happen if one of those people that you quote need
00:03:27
validation from didn’t give it to you does it make you less of a person does it make you less okay as a person you know sometimes you know I’ll take parents for example sometimes parents aren’t going to agree with the decisions
00:03:42
their kids make and they’re not going to validate those decisions but we want to separate number one we want to separate them not validating decisions from not validating us you know if I make a decision that my parents didn’t agree
00:03:59
with or when I did you know they were very clear they didn’t agree with that decision but they loved me and they supported me anyway which was validating they you know may not agree with the choice I was making they may think it
00:04:13
was downright a mistake but they loved me and supported me anyway so you want to separate validation of actions from validation of person 4 1 and number 2 remember that not everybody is going to be able to for one reason or another
00:04:32
validate you all the time so you need to be able to validate yourself if they don’t agree with it or if they’re not providing the attention and quality time and validation that you need alright where can you get it from you know so
00:04:47
don’t put all your eggs in one basket rely on other people know that you’ve got other friends that are there to support you even if one friend is kind of flaking out right now
00:05:00
do we need validation from our higher power and if you’re a spiritual person you may you may want to believe that your higher power approves of you so again you need that’s a relationship that nobody else is taking part in so
00:05:15
you need to be able to have a good communication with that higher power or a feeling and your head heart and gut that says I am doing right by my higher power and I’m making my higher power proud of me if that is a validation that
00:05:30
you need and we do need validation from ourselves in order to get love respect validation from other people we have to be able to love respect and validate ourselves so you need to look in the mirror and go I’m a good person
00:05:46
it practiced that when you start criticizing yourself and a lot of us get caught up with these self-deprecating comments about you know I’m stupid I’m not good at that I’m whatever knock that off
00:06:01
you know that’s maybe you made a mistake that’s okay but you’re still a good person and be able to appreciate yourself for who you are then you’re not going to need other people to always validate you because if they’re not able
00:06:15
to do it because they’re caught up with their own stuff or they just are mad at you for some reason or whatever that’s okay you know that’s their right you don’t have to have them to tell you that it’s okay that you breathe the air you
00:06:30
need to be able to validate yourself so what is validation look like we keep talking about this word but what is it you can have your feelings valid and force a lot of us who are feelers if you go to the myers-briggs we need to
00:06:48
have when we feel upset or something we need to have our feelings validated we need to have somebody say I can see that you’re really angry or I can see that you’re really scared they may not agree they don’t have to feel the same but if
00:07:01
they’re identifying how we feel and they’re going I got you I’m sensing that you feel this way that can be enough now do they have to agree with our feelings if we say yes then we’re gonna set ourselves up for a world of hurt because
00:07:17
we can’t control how other people feel we need to accept that we feel how we feel based on our experiences my experiences are very different than my friends experiences so where something might stress me out you know it may not
00:07:37
stress her out and there are some things that stress her out that don’t bother me a bit and you know I understand for example she is terrified of paper wasps I love the little buggers there they’re great beneficial insects they’re really
00:07:52
docile but I can understand her fear of them and so you know I validate the fact that she’s afraid of them and and you know I respect that I don’t say oh well you know puh just get over it it’s not that easy you know I wish she could and
00:08:11
see how cute they were but that’s not how she’s wired so I recognized that is a part of her and I validate that we want to validate people’s thoughts and they’re gonna have different opinions my son has different opinions about things
00:08:26
than I do and you know I have different opinions than my mother and etc and that’s okay we want to validate their thoughts as you know their thoughts are valid your thoughts your opinions your feelings are valid for you they may not
00:08:43
be valid for me but they are valid for you and I respect you as a person and we need to have our being validated we need to be validated that we are lovable good people and that is independent of what
00:09:00
we do and our feelings and our thoughts it’s who we are we are good people that make mistakes that are fallible that yeah yada yada yada but we need to believe that we are lovable and we need to feel experience that other people
00:09:18
believe that we are lovable and again it doesn’t necessarily come from the people that every person that we want it to not everybody is going to validate your being and that’s a lot a lot of times that has more to do with their stuff
00:09:38
then then your stuff but if you let it destroy your self-esteem and your confidence and your mood and your energy then you’re giving them power validate yourself say you know what I’m good enough I’m smart enough and gosh darn it
00:09:56
people like me and and move on and recognize all the other people in your life that validate who you are that person is just missing the boat and in tough tiddlywinks for them so what are some reasons we may not get validation
00:10:14
from other people well they may not agree or feel the same and they may be unwilling or unable to take our point of view some people have huge control issues it’s either their way or the highway
00:10:26
now remember I keep saying if they can’t validate you it’s probably more about them than about you well this is a perfect example if they are unwilling to respect your point of view or your feelings that’s more about them if
00:10:43
they’re too immersed in their own stuff to be able to begin to understand your point of view whether it’s you know whatever drama they’ve got going on in their life and they just don’t have the emotional energy to pay attention to
00:10:58
what’s going on to you or to listen or to be there for you it doesn’t mean it’s about you it means it’s their stuff is getting in the way so always take a step back and ask yourself is there some other reason
00:11:12
besides me besides me being unvalidated all that this person may be acting this way and 99% of the time you’re gonna come up with a great big yes now why might we not get validation from ourselves well it’s really hard to
00:11:31
validate ourselves if we base our entire worth on what other people say do and think about us so if I feel like I’m a worthwhile person as long as so-and-so likes me and as long as I’m in a relationship and as long as this and
00:11:44
that in the other all of those things are involve other people and I can’t control other people so if those other people are caught in their own stuff which a lot of us are these days then I may be out there kind of like flapping
00:12:01
like a fish out of water if I can validate myself then I can catch my breath we can’t validate ourselves if we don’t appreciate ourselves and you know that whole self-love thing people kind of laugh at it and they’re like oh
00:12:16
that’s so hokey but really you need to realize and call it whatever you want self respect self love self honesty you need to look inside and go I’m a good person because and one of the ways that I have clients do this sometimes is go
00:12:33
online and find a list of values and if you put in like the top 100 values or something you can get all kinds of values lists and it’ll stay things like honesty and integrity and compassion and yada yada yada and go through that list
00:12:49
and highlight all of the values that represent you and then go back over that list and highlight the top five that really characterize who you are that you know if you were heaven forbid you were to die today they would put on your
00:13:06
epitaph she was caring compassionate loyal you know I sound like a dog at this point but you want to identify those things that way you can recognize them in yourself and go what and and say to yourself you know what
00:13:20
I’m pretty awesome I’d like to be my friend because that’s what validation is it’s being your own best friend and you may not validate yourself if you were taught that we are that you are only lovable if somebody else says you are
00:13:36
and again that goes back to relying on other people to get their head out of their own stuff and focus on us that’s pretty self-centered isn’t it so we’ve got to realize they’ve got other stuff going on they’ve got their
00:13:52
life and they may not agree with us whatever they’ve got their stuff and we’ve got our stuff we all have stuff but we need to be able to look at ourselves independent of our stuff and say I’m lovable I’m a good person so I
00:14:09
encourage you to start working on that today identify five characteristics five values whatever you want to call them that make you a really awesome friend person whatever and focus on those for the next week to realize how cool you
00:14:28
are all right so once you start being able to validate yourself it’s a little bit easier to let go of control because if you’re not having to ensure that everybody else tells you you’re okay then you can let things flow a
00:14:44
little bit you can go you know what I’m good things may not go the way I planned but I’m good so when we come down to relationships and and validation and everything we need to recognize that letting go and forgiveness can be very
00:15:03
scary and if we rely on that other person to validate us then letting go can be terrifying because if I let go of that person who validates me then who’s going to do it maybe I’ll cease to be so we want to be able to recognize that
00:15:21
it’s important to be able to validate ourselves so that if somebody leaves our life we don’t feel like we’re going to disappear forgiveness can be scary because it means letting go of anger it means
00:15:39
letting go of hostility it doesn’t mean forgetting and forgiveness is really a power play letting go means choosing not to waste your energy fighting against something you can’t control or is not worth your
00:15:54
energy so again going back to a bad relationship for example if you’re in a bad relationship and that person is not validating you that person is not making you feel like you’re yourself they’re dragging you down in some way shape or
00:16:09
form and it’s just it’s oil and water it may not be the best relationship to stay in but letting go is hard number one cuz you know what to expect with that person and you don’t know when you’re gonna find somebody else and
00:16:24
dating is a hassle and all that but letting go is a choice you make in order to be true to yourself inside your own you don’t your own head your brain and your heart are telling you this is a bad thing this is not where you need to be
00:16:42
this is not a good situation for you when you validate yourself and you say you’re right this is not a good situation for me I need to get out oh my gosh how liberating is that but then that means you’ve got to let go that
00:16:57
means you’ve got to let that person go to the curb and be okay with that and choose not to waste your energy fighting against you know trying to change them not waste your energy trying to make them into something they’re not we
00:17:14
cannot change other people we can help them see things we can suggest that we would like to see some changes but unless they want to make those changes they ain’t gonna make them we can’t change other people so when we let go
00:17:32
we’re saying you know what I’m done I tried as hard as I can and it’s time for me to move on because if I validate my my own thoughts and my own feelings I know that the right move for me is to move on forgiveness means letting go of
00:17:50
the hurt and resentment that’s draining your energy so you can move forward to what’s important to you forgiveness is for you not them so if you’re in a relationship that’s not meeting your needs and you know you’re frustrated
00:18:04
with that person because you feel like they’re just they’re not trying you feel like they’re undermining you you feel like they’re not validating you whatever it is you know you can get really frustrated at you’re not doing this
00:18:16
you’re not doing this okay they’re not what are you doing what do you need to do forgiveness is accepting that they either made a mistake or they did something that was unacceptable and you know you identified it or they’re not
00:18:40
willing to change and you need to be willing to of them because that unleashes that energy if you stay angry at them for not changing then when you get into your next relationship you’re still carrying
00:18:53
that baggage with you and you’re probably still back in the back of your mind looking for this next person to do the same thing and the next person after that so forgive that person say you know what you had you were too stuck in your
00:19:07
own stuff I’m not gonna forget I’m not gonna go back there but I’m gonna forgive you because it’s not worth me staying angry over what you did or didn’t do for me and I’m going to move forward so letting go and forgiveness
00:19:22
are things that we generally can only do when we start validating ourselves so can you get validation and have control at the same time well not everybody’s gonna validate you it’s it’s not their job to make you feel okay your job is to
00:19:42
make you feel okay but there’s generally you generally will always have some people that you will about that will validate you you know whether it’s your parents or your best friend or whomever you’re generally going to have someone
00:19:56
that will validate you if you get hung up on why a particular person won’t validate you ask yourself why do I care you know if this particular person is just not getting with your program why are you beating your head against the
00:20:14
wall for that why do you keep going after something that isn’t clearly not going to resolve the way you want a lot of times this is because you’re trying to relive something from the past and you’re trying to quote get it right this
00:20:31
time so if you’ve been in a bad relationship and you get into another relationship that’s similar you may be trying to make this one work out correctly a lot of times people will redo things
00:20:44
subconsciously trying to succeed trying to fix it this time another question you can ask yourself is why am i trying to control this person why is it worth my energy to try to convince them to do all the things that I want the way I want
00:21:02
why why do I need to do that there are millions of other people out there what is it about this person and what parts of this situation do I have control over because maybe the person’s not doing what you wanted them to do because you
00:21:19
haven’t clearly communicated all right well that you have control over maybe the person isn’t doing what you want them to do because they don’t want to well you don’t have control over that so then you can the part you have
00:21:34
control over is whether you choose to stay in that relationship and stay in that situation if it is not growth producing if it is hurting you instead of enhancing you when you’re in relationships when things happen and
00:21:52
you’re feeling like you need validation and people aren’t doing what you want it can be a really icky place to be so practice psychological flexibility identify to yourself that you’re feeling empty you’re feeling unloved you’re
00:22:06
feeling however you’re feeling and then ask yourself what things can I do starting right now to improve the next moment what would make me happy you know what things can I do what do I have control over can you get enough sleep
00:22:22
can you go out and exercise can you hang out with some different friends you know what is it that you can do to improve your next moment instead of staying stuck spinning your wheels it’s like a car that gets stuck in the mud and
00:22:37
you’re just spinning your wheels and throwing mud and digging deeper into it if you try to fight this other situation try to fight and get somebody to do something that they are just not gonna do and develop heartiness commitment
00:22:53
control and challenge and we’re going to focus mainly on commitment remember every single morning when you wake up and every night before you go to bed kind of do an inventory of all the awesome things in your life what’s going
00:23:06
for you what good things do you have yeah you know you’re gonna have some things that are not going the best you know nobody has a perfect life all the time that’s okay but too often we get stuck focusing on those things that
00:23:20
aren’t going the best and then we start feeling unlovable and unsuccessful and undone everything so it’s important to remember all of the things that you’ve got going for you the friends that you have the things that are going right in
00:23:35
your life and that will help you keep moving forward and remember you know commitment be committed to those values that make you such a loveable awesome person because if you’re exuding awesomeness other people are going to
00:23:51
gravitate towards you if you are kind and compassionate and caring and intelligent and you know whatever the things are that make you who you are other people who value those qualities are going to gravitate toward you so
00:24:05
it’s just a matter of taking a breath and living authentically other things that you can do with psychological flexibility you can unhook from your thoughts so you know ending relationships and not going back can be
00:24:24
really challenging especially if you have low self-esteem or codependency you know there are a lot of reasons so one of the things to do when you get out of a relationship and you know you’re tempted to try to go back and make up
00:24:40
you’re tempted to minimize what was going on and get back into the relationship a lot of times your brain is saying I can’t live without that person and you may feel in your heart like a part of its being ripped out and
00:24:55
it kind of is and you feel like you can’t take it well unhooking from your thoughts that is a way of separating from that and instead of saying I can’t take it say I’m having the thought that I can’t take
00:25:10
it I’m having the thought that I’m gonna be alone forever and then work through it because thoughts come and go you know let that thought go or replace it with another more accurate thought identify who and
00:25:26
what is truly important in your life and acknowledge your feelings thoughts urges and behaviors in the present so if you’re feeling lonely and isolated and defeated that’s okay acknowledge it instead of fighting with it or ignoring
00:25:42
it acknowledge it and then say what can I do to improve the next moment you can make two lists the first list is things that I do or think that helped me move toward the important things in my life and review this list every day because
00:25:59
these are things that you want to do to keep moving forward and the other list is things that I do or think that keep me stuck drain my forward energy or move me away from what is important and you know dwelling on things chasing after
00:26:15
old loves you know there’s a lot of things we do that waste our energy that could be used to to move towards our goals so you have those two lists review the positive list every day that’ll help you remember what you need to do to keep
00:26:31
moving toward the important things like take care of your health you know if you want to be there for your kids because they’re important well one of those ways to do that is to take care of your health
00:26:40
so you’re live a long life and finally make a choice remember that when you feel a certain way you have control over how to use your energy so you can either you know spend the energy running after that person pleading with them to change
00:27:00
and to take you back and to do all these things and probably not get anywhere and be back in the same place in a month or you can choose to do something different and live more authentically moving towards other people and things that are
00:27:16
important in your life and acknowledge that that one well it had its benefits also had a lot of drawbacks and for your own health sanity and happiness you need to let it go
00:27:32
so steps towards self validation here are some exercises you can do identify the values and characteristics about yourself that make you awesome we talked about that one make a bill of rights and each item starts with I deserve to I
00:27:48
deserve to be happy I deserve to take a break I deserve to whatever keep that Bill of Rights going try to make twenty items that’s gonna make you really think by the time you get past ten you really start having to
00:28:04
think about you know what exactly do I deserve and if you can’t think of all of them you know think about your kids for example and think about you know what did they deserve what do your kids deserve they deserve to be happy they
00:28:18
deserve to be healthy they deserve to not be scared you know what else follow your Bill of Rights once you write it you got to follow it so remind yourself when you start doing things am i adhering to my own Bill of Rights I
00:28:37
if I the people in your past from whom you craved validation and never got it and explore why that may have been more about them than about you so if you wanted validation from one of your parents and you just could never seem to
00:28:52
please that parent okay you know now that you’re older and wiser and everything else let’s look back and see if that was more about them and their frustrations or their stuff than it was about you or maybe they actually did
00:29:10
approve of you but they didn’t know how to communicate it so you didn’t feel validated even though they approved of you identify why you crave validation do you want to know that you’re important and a lot of times if you’re not able to
00:29:26
self validate then you need others to tell you you’re okay and you’re important if you can validate yourself then you don’t crave validation from others make a list of people you know who fit the label that like the person
00:29:44
that you want to be who is it that is important relevant and lovable in your life and identify how you’re like those people so if you have a hard time identifying what’s awesome about you look around at your friends and the
00:30:00
people that you value and identify what’s awesome about them and then go you know do I have that quality and a lot of times you’re going to find that yeah you do have that quality or something similar so we’ve gone over you
00:30:17
know kind of a broad spectrum and we’re talking a lot about validation because the need for validation from other people is one of the reasons that many people stay in unhealthy relationships so we talked about why we may need
00:30:31
validation how we can get validation how we can validate ourselves and then we talked a little bit about letting go of control and admitting that sometimes you know somebody else just can’t or won’t validate us but a lot of times that’s
00:30:48
because of their stuff and we can’t fix that they have to be willing to fix that so we’ve got to be able to let go of control forgive them for not being willing to play by our playbook and move on and
00:31:02
then we ended with exploring some psychological flexibility activities that we can do in order to learn about and and keep present in our mind how awesome we are and why we deserve love and respect if you like this podcast
00:31:20
please subscribe on your favorite podcast app join our Facebook group at Doc Snipes comm slash Facebook or join our community and access additional resources at Doc Snipes com
Source : Youtube

7 Signs You Have Abandonment Issues

https://www.youtube.com/watch?v=JWufGU2h3vQ
Hey Psych2go family, welcome back to another video. Do you have an overwhelming fear of losing your loved ones? You distrust other people or have anxiety about being abandoned? Abandonment issues typically arise in childhood, but can develop later on in life as well. The fear of abandonment is a serious type of anxiety that often stems from a traumatic experience.
00:00:24
Some aren’t even aware of their own repressed emotional trauma. But it can manifest into unhealthy behaviours over time. So, here are 7 Signs You may Have Abandonment Issues. One: you’re a people pleaser.
00:00:39
Do you want to impress everyone you meet? Whether it’s your friends, acquaintances, or family members, you try to meet their expectations to get on their good side. You’re the one who tries harder in your relationship, and you’re willing to put everyone else’s needs ahead of yours, as long as it gets them to stay. If you have a strong need to please people and gain their approval, you may still have some unresolved abandonment issues. Two: you struggle with insecurity. Do you sometimes think that someday, the people closest to you will get sick of you and leave? People who are afraid of being abandoned often struggle with feelings of insecurity and inadequacy because someone you loved has walked out on you in the past.
00:01:20
You’ve internalized the emotional trauma. You may have wrongly believed that it was YOUR fault that they left. This can result in low self-esteem and a need for constant re-assurance.
00:01:30
Three: you find it hard to trust people Do you find it hard to trust others to keep their promises or to be there for you? You want to be in control of your relationships and know everything that’s going on with your loved ones? Because you’ve been hurt in the past, you have a strong fear of being left alone. In certain cases, it can lead to feelings of unreasonable jealously, suspicion, and possessiveness over your friends and romantic partners.
00:01:55
Four: you’re afraid to be vulnerable Do you feel uncomfortable during moments of emotional intimacy and honesty? Are you scared of getting close to someone or needing them too much? Your deep-seeded fear of abandonment may manifest into a fear of intimacy and emotional vulnerability. You may unconsciously sabotage your relationships by pushing people away just as you start to care for them. You may struggle with commitment, and act detached and indifferent when you really do care. Five: you look for reasons to leave. Do you always look for reasons to leave in fear of getting too attached to someone? You hold your loved ones to unrealistically high standards and you only focus on their flaws. You don’t give them any room for mistakes. You do this knowing that they’re bound to disappoint you. And when they fail to meet your expectations, you use it as an excuse to give up and leave.
00:02:51
Six: you move on too quickly Do you have difficulty forming meaningful relationships that last because of deep-seeded fear of abandonment? When you cycle through relationships one after another and move on too quickly, you’re not allowing yourself the time and space to deal with the emotional fallout. Instead, you dive into something new and exciting to distract yourself.
00:03:13
You never want to be alone, because it would force you to confront the personal issues you’ve been repressing for so long. And number 7…
00:03:21
you cling to unhealthy relationships Do you find yourself gravitating towards all the wrong people? Have you stayed with someone knowing they’re bad for you? The trauma of being abandoned, especially at a young age, can stay with you for a long time.
00:03:36
And since we’re all hard-wired to recreate our early childhood experiences for the comfort and familiarity, your childhood taught you the wrong things about love.
00:03:44
It’s not uncommon for you to be drawn to people who treat you poorly.
00:03:48
Do you relate to any of the signs mentioned here? I know I did…
00:03:52
Is a fear of abandonment harming your relationships and keeping you from being happy? Let us know in the comments below. If you found this video helpful, be sure to like and share this video with those who might benefit from it! Don’t forget to subscribe to Psych2go for more videos! Thanks for watching, and we’ll see you in the next one!
Source : Youtube

7 Types of Anxiety Disorders

https://www.youtube.com/watch?v=RuPPRLv_YSw

00:00:06
Do you find yourself feeling stressed out when you’re studying for an important exam Or when you’re practicing repeatedly in front of a mirror before a presentation? It’s perfectly normal to feel stressed out or anxious every now and then Unfortunately for some of us our anxiety can get so out of hand that we feel this way constantly That chronic feeling of anxiousness and fear is the marking of an anxiety disorder Before we begin we’d like to make a short disclaimer Please don’t use this video to self-diagnose! If you can relate to most of the signs, we do advise you to go to a qualified medical health professional for proper diagnosis With that being said, Psych2Go presents to you the Seven Types of Anxiety Disorders One) Generalized anxiety disorder also known as GAD It’s the most common among anxiety disorders to be diagnosed People with GAD suffer from intense and persistent worry a GAD sufferer can worry or feel anxious about a number of events Ranging from school or work to their family life at home This anxiety is associated with at least three of these symptoms: Restlessness, Fatigue, Difficulty Concentrating, Irritability, Muscle Tension, Insomnia, or Difficulty Falling Asleep People with GAD, often can’t explain their anxiety using specific fears like those with more specific anxiety disorders can And this is because their anxiety stems from various stimuli Those who suffer from GAD can find relief in a number of treatment options Ranging from mindfulness meditation and brisk exercise to cognitive-behavioural therapies and medications.
00:01:46
Two) Separation Anxiety Disorder This type of anxiety is more common in children than adults.
00:01:52
For many, the mere thought of separation causes a high amount of stress People with separation anxiety worry that something unexpected could separate them from their attachment figure Or that their attachment figure will abandon them This anxiety presents as nightmares of being alone and a persistent refusal to leave their attachment figure Kids with separation anxiety may be clingy and insist on sleeping with their parents at night Children often grow out of separation anxiety disorder, but if it persists for six months or longer, they should be provided help Adult sufferers may also find benefit from the available therapies Three) Social Anxiety Disorder, Social Phobia and Selective mutism Social anxiety disorder also known as “S.A.D.” refers to the fear of public situations and exposure to unfamiliar people S.A.D. sufferers tend to avoid situations in which they’re in the spotlight because they’re worried that they’ll be embarrassed or judged by others The thought or the anticipation alone of an upcoming social situation can cause major anxiety-related symptoms like panic attacks or severe stomach pain People with S.A.D. may show signs of stress in these forms: Little to no eye contact, Freezing in place, Running off, or Avoiding tasks like eating in public Children and adults alike can suffer from S.A.D.
00:03:13
But some children with social anxiety may also have a more intense and ability to function in social situations Selective mutism is a type of social anxiety in which a child is unable to speak in social situations Despite being able to speak normally otherwise Often times, this problem arises at school or in the presence of strangers If a child with selective mutism is able to communicate at all. They might only be able to nod or whisper Four) Panic disorder It becomes a disorder when an individual experiences panic attacks multiple times in their lifetime Panic attacks are intense bursts of fear followed by a range of physical symptoms, these include at least four of the following: Cold sweats, Muscle stiffness or Trembling, Hyperventilation, which is fast, shallow breathing Lightheadedness, Numbness or the Fear of death and/or Insanity The fear afterward of another panic attack. Sometimes actually provokes more panic attacks More often than not, panic attacks are had in combination with other anxiety disorders Therapy along with medications can help in handling panic disorder Five) Agoraphobia Does your local train station seem intimidating? You feel faint in a crowded place? Agoraphobia is the fear of public places Anxiety arises because they deem them as too open or dangerous It’s triggered by fears like becoming a victim of crime or of contracting a disease or illness Its sufferers coop themselves up in their homes where they’re comfortable and familiar with their environment Agoraphobe often become over-dependent on other people to compensate for their inability to cope in public Agoraphobia can develop at any age and can be extremely debilitating Exposure therapy works effectively against Agoraphobia in conjunction with medication Six) Specific Phobia These are persistent and extreme fears about a specific object or situation and cause a ton of stress to the sufferer Phobias can be environmental like Acrophobia, the fear of heights and they can be animal-based Or even situational like Taphophobia, the fear of being buried alive Such phobias often arise due to traumatic experiences that cause people to make negative associations with these objects or situations Someone who was clawed in the face by a cat in their childhood might have an avid fear of cats in their adulthood In cases where exposure therapy may not be safe or applicable Cognitive behavioural therapy can be effective in changing a person’s negative association to their feared object or situation Seven) Obsessive-Compulsive Disorder OCD and Post-Traumatic StressDisorder PTSD Yes, OCD and PTSD were categorized by many psychiatrists as disorders to be grouped with the aforementioned anxiety disorders Recently there have been new findings about these disorders that team them both unique enough to be in categories of their own However, this is not to suggest that OCD and PTSD are any less important to deal with The common thread that group disorders like GAD, S.A.D., panic disorder and phobias together Is that sufferers of these anxiety disorders experience future-oriented fear? OCD differs, and that though there is anxiety felt in the sufferers obsession They are able to find temporary relief in their ritualistic compulsions Unfortunately for OCD sufferers, this means a life of cyclical ritualism that can affect daily living Those are suffer from PTSD May suffer anxiety-like symptoms similar to GAD or even panic disorder But PTSD is unique and that its past oriented The sufferer suffers flashbacks that bring them back to the event of their traumatization If you’re diagnosed with anxiety disorder, it’s okay Millions of people around the world understand what it’s like to suffer from an anxiety disorder, so you’re not alone Understand that every single one of these anxiety types is often treatable and manageable Also, if you know someone who may benefit from online counseling we’ve partnered up with Better Help, an affordable online counselling platform that you can utilize They’re constantly striving to improve their services and terms and conditions. The link will be in the description box Did you find this video helpful? If so, remember to share this video with those you think might benefit from it As always, Thanks for watching!
Source : Youtube

Schizophrenia and Dissociative Disorders: Crash Course Psychology #32

https://www.youtube.com/watch?v=uxktavpRdzU
It’s perhaps the most stigmatized and misunderstood psychological disorder of them all, even among psychologists. Maybe because it’s pretty rare, affecting about 1% of the population, schizophrenia causes more anxiety in the media, in the public, and even in doctors’ offices than any other mental illness. As a result, its sufferers have often been shunned, abused, or locked up. And among the many fallacies that surround the disorder is simply what it means. The word “schizophrenia” literally means “split mind” but contrary to popular belief, the condition has nothing to do with a split in personality or multiple personalities.
00:00:33
The term refers instead to what’s sometimes called a “split from reality.” Multiple Personality Disorder, now known as Dissociative Identity Disorder, is a totally different type of condition, a kind of dissociative disorder. And these too, are shrouded in misconceptions, partly because they were the subject of, probably, the greatest psychological hoax of all time. While many of us can relate on some level to the emotional swings, nervousness, and compulsions that come with mood and anxiety disorders, it can be a lot harder for those without direct experience to relate to the symptoms of schizophrenia and dissociation. Unfortunately we tend to fear and avoid what we don’t understand in each other, whether it’s a friend of family member or just some stranger on the bus. But thankfully part of the psychologist’s job is to demystify the things that can happen in our heads, and as is often the case, understanding may be the key to compassion.
00:01:31
Schizophrenia is a chronic condition that usually surfaces for men in their early to mid-20s, and for women in their late 20s. For some the disorder comes on gradually, but for others it could arise more suddenly, perhaps triggered by stress or trauma, although no event can actually cause the disorder.
00:01:47
Once thought of as a single discrete condition, schizophrenia is now included in the DSM-5 as a point on a spectrum of disorders that vary in how they’re expressed and how long they last, but they share similar symptoms.
00:01:59
Schizophrenia Spectrum Disorders are currently thought of as characterized by disorganized thinking; emotions and behaviors that are often incongruent with their situations; and disturbed perceptions, including delusions and hallucinations.
00:02:11
They all involve a kind of loss of contact with reality on some level. The resulting behaviors and mental states associated with this break from reality are generally called “psychotic symptoms” and they usually impair the ability to function.
00:02:23
When someone’s experiencing psychotic symptoms, their thinking and speech can become disorganized, rambling and fragmented. This tendency to pick up one train of thought and suddenly switch to another and then another can make communication painfully difficult. People exhibiting these symptoms can also suffer a breakdown in selective attention, losing the ability to focus on one thing while filtering others out.
00:02:45
In extreme cases, speech may become so fragmented it becomes little more than a string of meaningless words, a condition given a name that sounds like its own kind of non sequitur, “word salad.” Classic schizophrenia is also often marked by delusions or false beliefs not based in reality. These delusions can be rooted in ideas of grandeur like “I’m the queen of England!” or “I won an Olympic gold medal for the luge!” Or they can become narratives of persecution and paranoia, believing your thoughts and actions are being controlled by an outside force or that you’re being spied on or followed or that you’re on the verge of a major catastrophe. And there are some complicated variations on these delusions, like feeling that you’ve died or don’t exist anymore or that someone is madly in love with you or that you’re infested with parasites. Delusions of one kind of another strike as many as four out of five people with schizophrenia.
00:03:32
While some delusions can seem fairly logical, they can also be severe and bizarre and frightening. Unfortunately maybe the most memorable examples of people suffering from severe delusions come from serial killers and yeah, while Son of Sam did claim that he was taking orders from his neighbor’s dog, that kind of stuff is in the tiny, tiny, tiny minority.
00:03:50
Brian Wilson of The Beach Boys and Syd Barrett of Pink Floyd both suffered psychotic symptoms. And then of course there’s John Nash, the Nobel Prize winning American mathematician and subject of the movie “A Beautiful Mind.” Through proper treatment, some people with schizophrenia have not only learned to live with their illness but also made fantastic creative contributions to the world.
00:04:07
Maybe people with schizophrenia also suffer from perceptual disturbances, or sensory experiences that come without any apparent sensory stimulation, like hallucinations. This is when a person sees or hears something that isn’t there, often lacking the ability to understand what is real and what isn’t. Auditory hallucinations, or hearing voices, are the most common form, and these voices are often abusive. It’s as if you’re inner monologue, that conversation that you have with yourself or the random things that float through your head, were somehow coming from outside of you. It’s as if you couldn’t sort out whether the voices in your mind were internal and self-generated, or external and other-generated. To me, it sounds terrifying.
00:04:43
Other common symptoms include disorganized, abnormal, or incongruent behavior and emotions. This could mean laughing when recalling a loved one’s death or crying while others are laughing. Acting like a goofy child one minute, then becoming unpredictably angry or agitated the next. Movements may become inappropriate and compulsive, like continually rocking back and forth or remaining motionless for hours.
00:05:04
Broadly, most psychotic symptoms fall into three general categories traditionally used by psychologists: positive, negative, and disorganized symptoms. Positive symptoms are not what they sound like. They’re the type that add something to the experience of the patient. Like, for example, hallucinations or inappropriate laughter or tears or delusional thoughts.
00:05:23
Negative symptoms refer to those that subtract from normal behavior, like a reduced ability to function, neglect of personal hygiene, lack of emotion, toneless voice, expressionless face, or withdrawal from family and friends.
00:05:35
Finally, disorganized symptoms are those jumbles of thought or speech that could include word salad and other problems with attention and organization.
00:05:43
Symptoms like these are useful in diagnosing a disorder on the schizophrenia spectrum, but there’s a physiological component too. Like many of the disorders we’ve talked about, schizophrenia has been associated with a number of brain abnormalities.
00:05:54
Post mortem research on schizophrenia patients has found that many have extra receptors for dopamine, a neurotransmitter involved in emotion regulation and the brain’s pleasure and reward centers. Some researchers think that overly responsive dopamine systems might magnify brain activity in some way, perhaps creating hallucinations and other so-called positive symptoms as the brain loses its capacity to tell the difference between internal and external stimuli. For this reason, dopamine blocking drugs are often used as anti-psychotic medications in treatment. Modern neuroimaging studies also show that some people with schizophrenia have abnormal brain activity in several different parts of the brain.
00:06:29
One study noted that when patients were hallucinating, for example, there was unusually high activity in the thalamus, which is involved in filtering incoming sensory signals. Another study noted that patients with paranoid symptoms showed over-activity in the fear processing amygdala. So, schizophrenia seems to involve not just problems with one part of the brain, but abnormalities in several areas and their interconnections.
00:06:49
But what might be causing these abnormalities? Earlier I mentioned how a stressful event might trigger psychotic symptoms for the first time, even though it can’t actually create the disorder. Psychologists call this the “diathesis-stress model.” This way of thinking involves a combination of biological and genetic vulnerabilities — diathesis — and environmental stressors — stress — that both contribute to the onset of schizophrenia. This model helps explain why some people with genetic vulnerability might not always develop schizophrenia and why the rates of schizophrenia tend to be higher with some degree of poverty or socioeconomic stress.
00:07:22
And it seems too that there is some kind of genetic predisposition for the disorder. The one-in-a-hundred odds of developing schizophrenia jumped to nearly one in ten if you have a parent or sibling with the disorder, with about 50/50 odds if that sibling is an identical twin, even if those twins were raised apart.
00:07:37
One recent landmark seven year study looked at genetic samples across 35 countries, examining more than 35,000 people with schizophrenia, and another 110,000 without the disorder. The study identified more than 100 genes that may increase the risk of schizophrenia. As expected, some of these genes involve dopamine regulation, but others are related to immune system functioning. Researchers continue to tease out what is exactly going on here, but many are hopeful that these new findings will lead to better treatment.
00:08:05
Clearly, schizophrenia is a challenging disorder to live with and one that’s hard for outsiders to understand, but maybe even more rare and more elusive are the dissociative disorders. These are disorders of consciousness, called dissociative because they’re marked by an interruption in conscious awareness. Patients can become separated from the thoughts or feelings that they used to have, which can result in a sudden loss of memory or even change in identity.
00:08:29
Now, we might all experience minor dissociation at times, like maybe the sense that you’re watching yourself from above, as in a movie, or like you’re driving home and get so zoned out that suddenly you find yourself in front of Taco Bell thinking, like, “How did I get here?” Those things would generally fall into the normal range of dissociation, but most of us don’t develop different personalities.
00:08:48
Dissociative disorders come in several different forms, but the most infamous of the bunch is probably Dissociative Identity Disorder. This has long been known as Multiple Personality Disorder and, yes, it is a thing. It’s a rare and flashy disorder in which a person exhibits two or more distinct and alternating identities and the best known case was that of Shirley Mason, whose story was famously rendered in the 1973 best seller “Sybil” and later in a popular mini-series.
00:09:13
The book was marketed as the true story of a woman who suffered great childhood trauma and ended up with 16 different personalities, ranging from Vicky, a selfish French Woman, to handyman Syd, to the religious and critical Clara.
00:09:26
The book became a craze and within a few years reported cases of multiple personality skyrocketed from scarcely 100 to nearly 40,000.
00:09:35
Many believe the book was essentially responsible for creating a new psychiatric diagnosis. It turns out though, Sybil’s story was a big fat lie.
00:09:42
Yes, Shirley Mason was a real person and one with a troubled, traumatic past and a number of psychological issues. As a student in New York in the 1950s she started seeing a therapist named Connie Wilbur and taking some heavy medications. And somewhere in there, maybe because she was coaxed, or maybe because she wanted more attention, Shirley started expressing different personalities.
00:10:02
Dr. Wilbur built a career and a book deal out of her star patient, even after Shirley confessed that her split personality was a ruse.
00:10:10
The Sybil case is a powerful reminder that we really don’t understand dissociative disorders very well or even know if they’re always real. Indeed, some people question if Dissociative Identity Disorder is an actual disorder at all.
00:10:23
But some studies have shown distinct body and brain states that seem to appear in different identities, things like one personality being right handed while the other is left handed, or different personalities having variations in their eye sight that ophthalmologists could actually detect. In these cases, dissociations of identity may be in response to stress or anxiety, a sort of extreme coping mechanism.
00:10:44
Either way, the debate and the research continue.
00:10:47
Today we talked about the major symptoms associated with the schizophrenia spectrum disorders, including disorganized thinking, inappropriate emotions and behaviors, and disturbed perceptions. We also discussed brain activity associated with these disorders and talked about their possible origins including the diathesis stress model.
00:11:04
You also learned about dissociative disorders, and Dissociative Identity Disorder in particular, and the scandal that was the Sybil case.
00:11:12
Thanks for watching, especially to all of our Subbable subscribers who make Crash Course possible. To find out how you can become a supporter, just go to subbable.com. This episode was written by Kathleen Yale, edited by Blake de Pastino, and our consultant is Dr. Ranjit Bhagwat. Our director and editor is Nicholas Jenkins, the script supervisor is Michael Aranda. He is also our sound designer and the graphics team at Thought Cafe.
Source : Youtube

Dissociative disorders – causes, symptoms, diagnosis, treatment, pathology

https://www.youtube.com/watch?v=XF2zeOdE5GY

00:00:05
Maybe you’ve had the experience of driving on “autopilot.” One minute you got in your car, and the next minute you’ve arrived at your destination, but you can’t actually remember the details of the drive.
00:00:16
This is an example of normal, everyday dissociation, a term that describes a mental state of disconnection from what is going around you.
00:00:25
Normally this day-dreamy state doesn’t last very long, and most people can snap out of it if something or someone requires their attention.
00:00:33
But for some people, dissociation is more pervasive, and can’t be turned off so easily. In fact, the feeling of disconnection may become so intense and happen so often that it stops a person from functioning in their daily life.
00:00:50
When this is the case, we say the person has a dissociative disorder. Dissociative disorders are a group disorders that cause an impaired awareness of your own actions, thoughts, physical sensations, and even identity, which is a sense of who you are.
00:01:08
Dissociative disorders tend to stem usually stem from trauma, usually early childhood abuse or neglect, and are thought to be a way of adapting to negative feelings and experiences.
00:01:19
Dissociative disorders are divided into three main types: depersonalization/derealization disorder, dissociative amnesia, and dissociative identity disorder.
00:01:30
Each of these disorders fall along a spectrum of severity, with depersonalization/derealization disorder being the least severe of the dissociative disorders, dissociative amnesia falling somewhere in the middle, and dissociative identity disorder being the most severe.
00:01:47
Typically, individuals with more severe dissociative disorders may have elements of less severe ones as well.
00:01:57
With depersonalization/derealization disorder, depersonalization refers to a feeling of detachment from oneself, your own person, while derealization refers to a feeling that that the world around you is not fully real.
00:02:12
Those with the disorder often feel as if they are watching themselves from the outside, maybe watching a movie about their life.
00:02:19
They might feel emotionally or physically numb, or have a weak sense of self. Individuals with depersonalization/derealization disorder might speak in a deadpan manner, with little emotion, and have trouble forming relationships.
00:02:32
In severe cases, a person may have trouble recognizing familiar places, people, or objects, and this can make it had to learn tasks.
00:02:44
Other symptoms include an altered sense of time, where things seem to move too fast or slow, brain fog or light-headedness, and being prone to rumination and anxiety. Dissociative amnesia is when a person blocks out or forgets important personal information that most people would remember for a lifetime, like where they lived as a child, or what their mother looked like.
00:03:11
Dissociative amnesia can be divided into four types: localized, generalized, systematized, and continuous.
00:03:18
Most people with dissociative amnesia have localized amnesia, meaning they have trouble recalling a traumatic event.
00:03:27
Sometimes the memory loss is broader, and includes months or years surrounding the event. Generalized amnesia is where a person can’t remember any of their past, even the non-traumatic parts.
00:03:39
The onset of generalized amnesia can be sudden, stress-induced, and may be accompanied by a dissociative fugue, meaning a temporary period of disorientation and wandering or travel.
00:03:51
In a fugue state, a person may be confused about who they are, or they may believe they are someone else.
00:03:57
They may also temporarily lose deeply-ingrained skills.
00:04:01
For example, a computer engineer might forget how to use a laptop. In systematized amnesia, a person only forgets a category of information which is in some way associated with a trauma, like forgetting everything about a certain person, or a specific location, even if it was a significant part of their life.
00:04:22
And finally, continuous amnesia happens when a person forgets each new event after it happens, and retains nothing but the present moment– a bit like the fish Dora in movie Finding Nemo.
00:04:34
And continuous amnesia doesn’t always relate back to psychological trauma. The third type of dissociative disorder is dissociative identity disorder, which used to be called multiple personality disorder.
00:04:48
Dissociative identity disorder can be broken down into two types: covert dissociative identity disorder, and overt dissociative identity disorder.
00:04:58
By far the most common type, covert dissociative identity disorder occurs when a person experiences sudden and dramatic shifts in the way they perceive, think, or feel, as if they have taken on characteristics of a different person or people.
00:05:14
Some people with covert may hear that person’s voice, and feel that it is speaking to them.
00:05:18
Those with covert dissociative identity disorder are usually aware that their experience is unusual, and may feel disoriented and powerless to understand their moods and behavior. On the other hand, those with overt dissociative identity disorder outright assume two or more distinct identities, sometimes called personalities, or alters. The identities are distinct because they tend to talk and act differently than the original person.
00:05:48
They may have opposing tastes or political views, be different ages, genders, or nationalities. These alternate identities completely take a person’s body and mind, suppressing all other identities temporarily.
00:06:02
Those with overt dissociative identity disorder are not aware that this is happening, and may report forgetting whole portions of their day.
00:06:10
They may find groceries they can’t recall buying, or discover injuries to their body that they can’t recall getting, and it’s not unusual for some people to have a period of fugue, and suddenly find themselves in a different town or city.
00:06:24
Having overt dissociative identity disorder can potentially endanger the person, especially if one identity engages in self-mutilation or risky behavior. The prevalence of suicide among those with the condition is very high, with almost three quarters attempting suicide at least once in their life. Diagnosing dissociative disorders can be tricky, and some of the symptoms can be seen in substance intoxication, especially of hallucinogens like LSD, and dissociative drugs like PCP and Ketamine.
00:06:58
Other causes include seizures, brain trauma, as well as chronic conditions like dementia. Psychiatric conditions like an anxiety disorder can cause an impaired sense of identity, time, and sensation, especially during a panic attack, but these symptoms usually last minutes to hours.
00:07:16
With dissociative disorders, the symptoms can persist for years.
00:07:20
Finally, bipolar disorder and schizophrenia can also cause dramatic mood swings mimicking dissociative identity disorder, but while these depressive or euphoric moods can last for at least a week, the change in personality in dissociative identity disorder only last for minutes to hours each time. Treatment for dissociative disorders typically involves psychotherapy so people can process their trauma safely.
00:07:48
In the case of dissociative identity disorder, the goal of therapy is to facilitate fusion of identities, where a person’s personality states are integrated and the person feels more whole.
00:07:59
All right, as a quick recap, dissociative disorders often develop in as an attempt to adapt to severe or prolonged trauma.
00:08:09
Falling on the least severe end of the spectrum, depersonalization/ derealization disorder is due to a disruption in the normal perception of events.
00:08:18
Falling in the middle of the spectrum, dissociative amnesia is due to a disruption in memory. Falling on the most severe end of the spectrum, dissociative identity disorder is due to a problem with having a single, complete identity.
Source : Youtube

So, You’re Having an Anxiety Attack (The Calm-Down Method for Stopping Anxiety Attacks)

https://www.youtube.com/watch?v=WGG7MGgptxE

00:00:02
[Music] If you’re right in the middle of an anxiety attack, this video is for you. You may feel overwhelmed or be freaking out.
00:00:16
Maybe you’re shaking, crying, feeling sick to your stomach. Or maybe you feel irritable or like running away.
00:00:24
I’m gonna walk you through a process to calm down. Now, you’re going to be okay. These feelings will pass.
00:00:32
You can do this.
00:00:34
Just notice where you are. What can you feel around you? Name three things that you can touch, and describe them. So for example, say, “Oh, I can feel my pants. They’re soft.
00:00:50
I can feel the chair. It’s cool.” Do that with three things.
00:00:57
And now, can you slow down your out breath? Just breathe out a little bit more slowly. You are safe right now.
00:01:12
You’re not in physical danger. You are safe.
00:01:17
Now, anxiety is uncomfortable, but it won’t harm you. So these feelings that you’re having, you can handle them. You can feel them and be okay, and they will pass. Okay.
00:01:30
So now let’s do something sensory.
00:01:33
Let’s help you get grounded in your senses.
00:01:36
If you can, go wash your face in cold water or hold something cold, like an ice cube.
00:01:43
Now, if that’s not an option, then I want you to just gently pat your face. Breathe out slowly. Notice the sensation of your hands on your cheeks, on your forehead, on your nose, on your lips, and on your chin. Just notice what that feels like.
00:02:31
In this moment, here and now, you are safe. If you’d like, you can try giving yourself a little hug.
00:02:41
Take a slow breath in, and if you can, breathe out slowly through your nose. Let’s slow things down. Can you go to a quiet, safe place where there’s less stimulation? Maybe a bedroom, a bathroom.
00:03:05
Or step outside for a breath of fresh air.
00:03:08
Or maybe it’s with a pet or with a safe person.
00:03:16
[Music] Slow breathing. If there is somewhere you can go that is quiet, safe, and calm, just pause this video while you go there.
00:03:39
If you can’t leave, just close your eyes for a moment and visualize that place, or pull up a picture of that place on your phone.
00:03:49
My safe place is in a beautiful desert canyon early in the morning when the air is cool and crisp.
00:03:58
This is where I go in my mind when I can’t leave the place that I’m in. Now, again take a few slow breaths. You don’t need to force it.
00:04:12
Your body has a natural calming response, and you can ease yourself into it.
00:04:19
Name three things you can see around you. Try faking a big yawn. This helps your body remind your brain that in this moment you are safe. Take another slow breath. These feelings will pass. You are capable.
00:04:55
You can do this.
00:04:58
Thank you for watching. You got this.
00:05:03
Take care.
00:05:05
If you’d like to learn more ways to calm your body down, feel free to check out my Grounding Skills course.
00:05:11
It’s free, and the link is in the description.
Source : Youtube

Automatic Negative Thoughts – Break the Anxiety Cycle 11/30

https://www.youtube.com/watch?v=lLZ-3TSoe9E
Let me tell you a story about the invisible thing  that fuels anxiety and depression, and then I’m   going to teach you some skills to stop letting  it control you and how you feel. So one day when   I was super pregnant, super tired, exhausted,  overwhelmed with parenting three little kids and  
00:00:17
growing a human inside of me, I had to go to Home  Depot to fix something in the house. And I pulled   into the closest parking spot I could find, but  then I realized that the truck in front of me in   the stall in front of me was sticking out into my  stall a little bit so I couldn’t pull all the way  
00:00:33
in. And twisting around to like back out find a  new spot just sounded like painful and exhausting   with my huge stomach. So I just checked to make  sure that my van was in the lines, and then I went   into the store. I got what I needed, came back  out, and when I got to my van I found that someone  
00:00:50
had left a business card on my window. But it  wasn’t a regular business card. It said, “You suck   at parking.” It said, “F you. Learn to drive, you  idiot.” And he gave me the finger. Now, normally   I would have laughed this off, but not today. Not  at 8 months pregnant. “Why are people so cruel?” I  
00:01:12
thought. “Poor me. I’m having a bad day, and this  mean person needed to come make it worse.” Right?   “What’s their stupid problem?” I thought. “They  took the time to print out you-suck-at-parking   business cards.” Okay. I definitely cried a little  bit on the way home, and I’m going to blame that  
00:01:32
on the pregnancy hormones. So why was I so upset?  It would be easy to say that I was upset because   someone put a mean card on my window, but that  is not true. Our emotions do not come from the   situation; they come from how we think about the  situation. I wasn’t upset because of the piece  
00:01:50
of paper; I was upset because I interpreted that  card to mean that people were attacking me, that   I was surrounded by a mean and dangerous world,  that they were out to get me. And this triggered   the stress response, the fear response. Without  even realizing it, I interpreted that situation  
00:02:09
as threatening. And this was thanks to automatic  negative thoughts. We are all deluded when we   think that the situation, the trigger is what  makes us feel a certain way. You see, there are   hundreds of possible ways I could have interpreted  that situation. If I had just thought, “Meh,  
00:02:27
they’re probably just an unhappy human being with  nothing better to do. Meh. Whatever,” I probably   wouldn’t have cared much. Maybe I would have  felt a little calloused. If I had thought “Hm,   maybe they’re working on their anger management.  They put a card on my window instead of slashing  
00:02:42
my tires,” then I would have felt relieved. And  if I’d thought, “Maybe they’re actually a chronic   people pleaser who is doing therapy homework to  be more assertive and this is the way they’re   learning and practicing,” I would have left  feeling like really happy for them, proud of their  
00:02:59
accomplishments. How we think about a situation  directly impacts how we feel. Automatic negative   thoughts are involuntary, habitual thoughts. They  focus on the negative. They exaggerate problems,   or they predict disaster. the impact of automatic  negative thoughts is profound. they can distort  
00:03:18
your perspective, trigger strong emotions, and  influence your behavior in harmful ways. So for   example, you might not go to a social activity  because your automatic negative thought says   you’ll have a terrible time, and that can lead  to missed opportunities, which leads to isolation  
00:03:33
and a cycle of feeling worse and worse. in this  video you’ll learn about the automatic negative   thoughts that fuel the anxiety cycle and lead  to feeling overwhelmed or hopeless. you probably   aren’t even aware of the types of thoughts  that take you there, so we’ll explore them,  
00:03:49
and then we’ll talk about both a CBT and  ACT approach to dealing with them. [Music] Most people don’t know that when you have  depression, some physical structures in   your brain actually shrink. But most people also  don’t know that when you change the way you think,  
00:04:12
you can actually change the physical structure of  your brain. Modern imaging has given us a window   into the brain to show us that the brain has  plasticity, meaning it changes depending on how   you think and how you act. Now, most people have  never been taught these simple ways to improve  
00:04:28
mental health, so that’s why I made the course  Change Your Brain: 10 Essential Skills to Combat   Anxiety and Depression. In this course you’ll  learn a bunch of ways that your mind and body are   connected. You’ll learn what to eat to combat  depression and anxiety and how light therapy  
00:04:43
actually changes the serotonin levels in your  brain and research shows that it’s more effective   than anti-depressants for mild to moderate  depression. You’ll learn that when you improve   your sleep, 87% of people see their depression  symptoms decrease. These skills are all all backed  
00:04:59
by research, and many of them only take a few  minutes each day. So if you’d like to learn more,   check out the link below. The course is backed  by a 30-day satisfaction guarantee, so if you’re   just curious about what the research says about  how to change your brain or if you’re ready to  
00:05:15
improve your depression or anxiety, check it out.  Your life can get so much better. I saw this meme   the other day. My top three assumptions when the  doorbell rings: number one, murderer. Number two,   police telling me that everyone is dead. Number  three, that book I ordered on positive thinking.  
00:05:33
Isn’t this how anxiety works? But usually it’s  on a much quieter, like chronic scale. We are   swimming in automatic thoughts that we don’t even  know are there. People have between 6 and 60,000   thoughts a day. I don’t know many people who only  have six. We are constantly making assumptions  
00:05:50
about what others think about us, about some  imagined future that we’re worrying about,   about the catastrophic outcomes that are sure to  occur. Now, you’re most likely not anxious simply   because of your genes; you’re anxious because  you perceive the world to be a dangerous place.  
00:06:07
And you perceive the world as a dangerous place  because you’re buying into automatic negative   thoughts. When we look at the anxiety cycle,  there’s some kind of stimulus that we interpret   as being dangerous, and that’s what triggers the  fight/flight/freeze response – the interpretation.  
00:06:23
So the vast majority of the time it’s the  interpretation that makes us believe we’re   in danger. But most of the time we don’t realize  that. We think that it’s the stimulus that made us   feel a certain way. Victor Frankl said, “Between  the stimulus and response there is a space, and  
00:06:41
in that space lies our freedom and power to choose  our responses. In our response lies our growth and   our freedom.” And he would know – he survived  the Nazi concentration camps when his family   didn’t. He survived the horrors of World War  II as a Jew, and he managed to find purpose and  
00:06:59
meaning and goodness in life. When we feel fear  and anxiety, we usually don’t realize that we are   looking through the lens of our automatic negative  thoughts. And these thoughts are often fearful.   These thoughts are like we’re walking down the  street in Las Vegas, and there’s people selling  
00:07:16
stuff. Right? “Hey, you need a new phone.” “You  probably need an all-you-can-eat steak dinner.”   “You definitely need to see this show.” “Hey,  buy a hot dog.” “Hey, want some porn?” Right?   It’s a normal experience to run across people  selling stuff, and it’s a normal experience to  
00:07:31
have random thoughts pop into your head. But most  of us don’t realize that we’re buying into these   thoughts. It’s like we don’t have any skills to  brush them off, and instead we feel the need to   talk with each salesperson, listen to what they  say, and buy what they’re selling. This is what’s  
00:07:47
called buying your thoughts. It’s when you believe  them and invest in them without even questioning   if you want what they’re selling. And you don’t  even realize it. We don’t even realize that the   reason we’re feeling the way we are is because of  how we’re thinking thinking because the thoughts  
00:08:00
are just like the air we breathe. Let me share  some examples with you. I asked my audience what   their automatic negative thoughts are, and here’s  some of their responses: “It’s my fault for 100%   of everything going wrong, and then I shame  myself.” “I’m such a failure.” “I’m all alone.  
00:08:19
I’m not lovable. I’m broken.” “I won’t be able to  sleep again at night, and I won’t be able to sleep   at all in my life.” “It’s too much. I can’t handle  it, and it will break me down.” “This depressive   episode is never going to go away.” “Something  good has just happened, so something devastating  
00:08:37
is about to happen next.” “Why am I like this? Why  am I like a terrified Chihuahua when other people   around me are relaxed and don’t seem to anticipate  doom at any moment?” “They’re just saying that to   sound nice” (about any praise or compliments).  “I always mess things up.” “No one really cares  
00:08:54
about me.” “I’m never going to be good enough.”  “Everyone is judging me right now.” Notice how you   feel in your body after hearing those. Honestly,  when I read through the comments I felt a little   heavy, a little discouraged, a little anxious.  So what do we do about your automatic negative  
00:09:12
thoughts? Step one is getting super clear on  what these thoughts are. In the next segments   in this um section of the course, we’re going to  talk about some Kung Fu with your thoughts. But   for now we just have to take these thoughts from  being invisible little whispers to being concrete  
00:09:29
thingies. Right? You’ve got to catch yourself  thinking your worst thoughts. So go back to the   section in your workbook where you wrote down  the situations where you tend to feel anxiety.   Now we’ve got to explore the thoughts that are in  between the situation and the anxiety. I’m going  
00:09:46
to give you some examples. Okay. So my sister once  told me this um awesome story about this time she   was hanging out with a brand-new friend. And they  went to the beach and they hung out together with   all their kids. And then she gets home. And this  friend was kind of a like very clean and tidy,  
00:10:01
afraid-of-germs type person. They get home, and  my daughter finds a nit, like one baby lice in   her daughter’s hair after playing with the clean  family. So she started having these thoughts,   “Oh my gosh, she’s going to hate me. She’s going  to tell others how gross I am. She’s never going  
00:10:17
to hang out with me again. No one will.” And then,  you know, that creates the anxiety response. Why   would our body have an anxiety response around  rejection? Well we used to as, you know,   a species completely depend on our community for  our survival. So our brain is like, “Oh my gosh,  
00:10:35
if I get rejected I’ll die of starvation.  I’ll be kicked out of my village, and I’ll,   and I’ll die.” So when we notice these thought, we  can challenge them, or we can separate ourselves   from them and realize, you know what, we’re  probably not going to die. She might not even  
00:10:50
reject me. She might not even be mad. She might  not hate me.” You know, things like that. We can   challenge those thoughts. We separate ourselves  from them, defuse them. Okay, let’s take another   one. You’re laying in bed, got a big day ahead  of you, and you can’t fall asleep. You might  
00:11:06
start having thoughts like, “I’m never going to  get enough rest. I’m going to be tired all day   tomorrow. I’m going to snap at my kids all day or  I won’t be able to work very well. it’s going to   be awful to get back to sleep.” Um and that leads  to really big fears, catastrophizing, right? “Oh,  
00:11:24
I’ll ruin my relationship with my kids, and  they’ll cut me off when I’m older.” And again,   that’s that rejection fear, like now I’ll die  starvation or I’ll be alone forever. I’ll feel   pain. I’m afraid of pain.” These are the core  fears, right? Um rejection, um humiliation, pain,  
00:11:42
death, failure, loss of identity. These are the  four fears we worry about. Okay. Here’s another   one: your boss gives you some negative feedback  at work. Your thoughts around this: “I’m such a   failure. I never do anything right. He’s such a  jerk. I’m never good enough.” Um that could lead  
00:11:59
to “I’m going to get fired.” Yeah. That’s that’s  a survival threat to your brain, so it’s going   to kick off the anxiety response. “My husband is  going to be disappointed in me.” Rejection. “We’re   going to run out of money and die of starvation”  Right? Again, there’s that survival response. Now,  
00:12:12
what would happen if instead of those thoughts we  could challenge those thoughts and be like “Well,   this is an opportunity to learn. I can learn  new things.” Or “Oh, my boss must care about my   development if he’s willing to give me feedback.”  I mean, there’s different ways to think about this  
00:12:25
situation, right? Or you could just say, “Oh, I’m  going to notice those thoughts. Hello, failure   story. Man, you sure come up a lot. I don’t really  have to believe you.” Okay, we’ll get back to that   later though. Okay. Uh here’s another example:  I feel anxious or depressed. You might think,  
00:12:40
“This anxiety is never going to go away.” “This  depression is never going to go away.” And then   that thought leads to the belief, “I will feel  miserable forever, and my life is ruined.” Okay.   So how are these automatic negative thoughts  impacting your life? How do they impact how you  
00:12:58
feel? Okay. Step two: thoughts aren’t facts. Your  brain makes stuff up all the time. Okay. So you   spend your day with these thoughts swirling around  your head, and they trigger the anxiety cycle. And   the crazy thing is, you don’t even realize it.  So how are we going to take another step toward  
00:13:14
stopping the anxiety cycle? The second step is  realizing that your brain is a word machine. It   literally just makes a ton of thoughts all the  time. Its job is to crank out random thoughts.   So your job is to create a little space between  you and the thoughts. There are two approaches to  
00:13:35
managing automatic negative thoughts: CBT and ACT.  Now, I think they both have merit, so let me teach   them to you. The classic approach to negative  thoughts is from CBT, cognitive behavioral   therapy. With CBT it’s like mental Judo. You learn  to spot these thoughts, challenge them, and swap  
00:13:54
them out with thoughts that are more balanced and  realistic. You’re basically engage, engaging with   the thought in order to choose something more  helpful. So if we take the thought, “My boss   gave me negative feedback at work,” the classic  CBT approach is to say, “Are these thoughts  
00:14:09
accurate?” and then replace them with thoughts  like, “Sometimes I succeed. I often do things   right. Last week I did a great job with that  problem we had with widgets,” and then you bring   to mind these alternate facts. Right? Say like,  “Oh, I messed up, but mistakes happen.” Or “I’m  
00:14:27
going to learn new skills to solve this. I can get  through this. I always do.” Right? It, this can be   a really simple but a powerful way to stop buying  these negative thoughts and then replace them with   something more accurate and helpful. And there’s  a worksheet in the workbook to help you go through  
00:14:42
this process. And just as a reminder, during this  course I’m going to teach you a ton of skills. And   it’s not like you can just do them one time and  then it’s all better. Like these are exercises   that you’re going to want to practice over and  over for a while until they become easier and  
00:14:59
easier for you to do throughout your day. Okay.  So let’s talk about the second approach, what   ACT calls cognitive defusion. With acceptance and  commitment therapy you don’t fight the automatic   negative thoughts. Instead, you learn to sit  with them, notice them, but not let them boss you  
00:15:14
around. Um you’re also encouraged to take actions  that line up with your personal values. This can   give your life a sense of meaning and purpose,  which makes the ants less powerful. So if anxiety   is believing the salesman, you know, um believing  those negative thoughts that say everything is  
00:15:32
awful, freedom isn’t arguing with the salesman;  it’s not debating with them. Sometimes when we   argue with our thoughts or we spend a lot of  time ruminating on them or analyzing them,   we just end up overthinking and feeling more  confused and miserable than ever. This is called  
00:15:48
cognitive fusion, right, where we might buy the  thoughts or we’re so engaged with our thoughts,   arguing with them and debating them, that we don’t  really have space to be present, to live our life.   We just keep going in circles. Like, it’s like  you’re in a debate with the salesperson. So even  
00:16:06
if we aren’t buying what they’re selling, if we’re  arguing with the salesperson or debating facts   with them we aren’t going where we were going. We  aren’t walking down the sidewalk in the direction   we’re going. We’re just stuck there arguing with  our thoughts. And this is a typical overthinking  
00:16:19
pattern with anxiety and depression. Freedom  is knowing where we’re going when we’re walking   down the street, knowing what we do and we don’t  want, and it also means choosing to engage with a   salesman only if it helps us. Right? So to do this  we need a little bit of space from the salesman,  
00:16:35
and this is called cognitive defusion. So instead  of debating our thoughts, we need to learn to   notice these thoughts, separate ourselves from the  thoughts, and then choose what thoughts are going   to be helpful for us to live the life we dream of.  Maybe I want to buy that churro, but I definitely  
00:16:50
don’t want to see that show in Las Vegas. Right?  We need to get better at distancing ourselves   from the salesman so that we can evaluate what’s  going to be helpful for us. This is a skill you   can learn and you can practice a lot, but you  can also just simply switch from saying like,  
00:17:06
“I’m such a loser” to saying “I’m having the  thought that I’m a loser.” Instead of saying,   “I hate feeling anxious” you could say “I’m having  the thought that I hate feeling anxious.” All   you’re doing is creating a degree of separation  from your true self and your word machine. So  
00:17:23
there are some really practical ways to learn to  do this. So this this video is already getting   too long, so we’re we’re going to practice more  cognitive defusion skills in the next segment.   I just wanted to give you an overview. So from  my perspective both CBT and ACT approaches can  
00:17:38
be quite helpful. I’ll often try the CBT first,  so like to a salesman, “No thanks, I don’t need a   vacuum cleaner.” Um or to your negative thoughts,  “No thanks, I’m I’m not a complete loser.” And   then if that thought is super persistent I’ll just  let it be there and I’ll redirect my attention,  
00:17:55
essentially ignoring the salesman and walking  on. “Dear mind, thank you for that thought,   but it’s not super helpful. Okay. Now, back to  what I was doing.” Just allowing that thought   to be there and redirecting your attention back  to your value, direction, or the present moment.  
00:18:12
So just to summarize: automatic negative thoughts  are the habitual, involuntary thoughts that our   word machine of a brain pops out all the time.  They’re often false, unhelpful, and they directly   contribute to anxiety because that perception  of danger, that interpretation that a situation  
00:18:28
is dangerous or threatening triggers the fear  response. You can learn to notice these thoughts   for what they are – just thoughts – challenge  them, and replace them with something more   helpful to you, whether that’s a more realistic  thought or a shift in attention to what really  
00:18:44
matters to you. Automatic negative thoughts don’t  have to control your life. Okay. Your challenge   for the next week: sit down with your workbook  and explore what kind of interpretations lead   you to feeling anxious. See if you can explore  the automatic negative thoughts that make you  
00:18:58
feel feel like you’re in danger. Do this at least  once per day for one week. And it’s probably best   to just schedule in a time to do this instead  of waiting until you’re anxious to do it. Um   and you can print extra copies of the worksheet  from the paid course. Okay. Thank you for being  
Source : Youtube

Daily Habits to Reduce Stress and Anxiety

https://www.youtube.com/watch?v=7EX1Xnvvk5c
I don’t know about you but for me 2020  has been a bit of a stressful year   so i thought i’d share with you some of the things  that i do every day to manage stress and anxiety   but in this video i’m also going to explain a way  of thinking about stress that can transform stress  
00:00:18
from something that is you know just something bad  that happens to you into something that you can   channel to be more productive and also help you  feel calmer so in this video you’re going to learn   10 daily habits to reduce stress and anxiety and  don’t worry i’m not going to tell you to meditate  
00:00:45
this video is sponsored by better help where  you can get a professional licensed counselor   who can personally coach you through anxiety and  stress for around 65 dollars a week so check out   the link in the description for 10 off your  first month so i’ve been reading the little  
00:01:02
house on the prairie books to my daughter and in  book three we’re reading a story about almanzo   and his farming family in the 1800s  and they survived off of what they grew   and in one of the stories right before the fourth  of july they’ve got their corn starting to sprout  
00:01:16
in this in the fields and the weather starts  to get weird so it seems like it’s going to   freeze so before they go to bed the parents  start to worry a little bit about the crops   and they they don’t go to sleep they stay up and  they watch the temperature and sure enough it does  
00:01:33
start to freeze so they get all the kids out of  bed in the middle of the night and the only way to   save the corn is to pour water on each of these  tiny little stocks before the sun comes up and   if they don’t their corn is going to freeze and  they’ll have no harvest that year so every member  
00:01:46
of the family anxiously runs through the night  hand watering each little corn sprout in their   acres and acres of fields and by the time the sun  rose they’d managed to save most of their crop   they were exhausted but they were also content  and after they did the rest of their morning  
00:02:03
chores they were able to sit back and relax  and appreciate the hard work that they’ve done   so the stress response is your body’s activating  response when you sense a threat in almanzo’s case   this was their livelihood about to be destroyed  your body turns on this sympathetic response it  
00:02:21
sends out some adrenaline to spur you into action  it heightens your breathing and your heart rate   to prep you for performance and almanzo and his  family they use their stress response to spur   them on the worry helps them to be vigilant to not  sleep to take this you know impressive physical  
00:02:40
action and this stress response potentially saved  them from complete crop failure so anxiety isn’t   just something bad that happens to you it serves a  function but our modern language confuses anxiety   with anxiety disorder and it’s given this  negative connotation to the word anxiety  
00:02:58
but anxiety isn’t out to get you it’s your body  and mind’s performance mode so the stress or   the anxiety response can help you have more energy  and get more done and then it’ll naturally resolve   if you know how to channel it so i’m going  to teach you some daily habits you can use to  
00:03:14
naturally resolve your anxiety when you think of  anxiety as a motivating energy to resolve problems   anxiety can become a powerful tool instead of just  something bad that happens to you that you want to   avoid and even if you do have an anxiety disorder  these tools will help you reduce your stress  
00:03:31
levels and get healthier so let’s talk about a  modern problem that we all have one of the reasons   that so many people struggle with stress and  anxiety is that we face a few modern problems that   make it a lot harder for us to deal with stress  than almanzo and his family back in the 1800s  
00:03:49
because our anciently evolved brain isn’t so good  at dealing with modern stressors we all need to   take an intentional approach to managing anxiety  so the first problem that many of us face is that   so many of our modern stressors are connected  to problems that we can’t solve physically  
00:04:09
so in almanzo’s case when they were worried  they got that jolt of adrenaline and cortisol   and they were able to use that physical energy to  solve a physical problem they didn’t feel stressed   afterwards because they burned off the adrenaline  and cortisol when they were running around solving  
00:04:24
the problem so for many of us our modern stressors  are things like deadlines and assignments   traffic noise and our crops are sitting  at a computer instead of planning corn   so if i’m stressed about a problem at work i may  not sleep and i might even solve that problem  
00:04:41
but the adrenaline and the cortisol stay in my  system until i physically burn them off so this   is where exercise becomes clutch daily exercise  is an essential part of reducing pent-up anxiety   five minutes of exercise has been shown  to reduce cortisol and adrenaline levels  
00:04:59
exercise can decrease overall levels of  tension it can elevate your mood it can   improve your sleep and it can improve your  self-esteem so aerobic exercise you know where   you’re breathing really hard that tends to be  the most effective type of exercise at reducing  
00:05:14
stress but really any kind of movement is helpful  so going for a walk or a bike ride or even just   doing like wall sits or stretching for a minute  in your office those can all be helpful so the   first thing i’m going to encourage you to do is  just find a way to add some movement to your day  
00:05:33
now let’s talk about your morning routine how  you start your day is going to set the tone for   your entire day so if you’re like many people the  first thing you do makes your anxiety worse so um   this is what it looks like for a lot of  people you’re tired because you went to  
00:05:48
bed a little bit late and the first thing you do  is start scrolling through your phone you look   at social media or the news and then you drink  some caffeine now caffeine is the most widely   used psychoactive drug in the world it crosses  the blood-brain barrier in seconds and it makes  
00:06:02
you feel more alert by reducing adenosine but  adenosine is a relaxation chemical in your brain   caffeine can also increase adrenaline and it can  make you feel more irritable more anxious and   more agitated now you can develop a tolerance  to the alerting effects of caffeine meaning  
00:06:19
you’re going to need more coffee the next time to  feel alert but you don’t develop a tolerance to   the anxiety effects of caffeine so caffeine  use can impact your sleep and your anxiety   for up to 48 hours and caffeine has been shown  to contribute to anxiety and depressive disorders  
00:06:36
so if you’re serious about decreasing your anxiety  try getting caffeine out of your system for at   least three days and see how how that impacts  you i personally don’t use caffeine because   of the impact it has on on my anxiety levels  if you feel tired one thing you could try is  
00:06:53
getting more sleep sleep helps your brain  function better which makes it so you can   better solve problems and resolve situations  that bring you anxiety so if the idea of   making these changes seems overwhelming um i’m  just going to encourage you to start slowly just  
00:07:08
make one little change every month there there is  no quick and easy fix for anxiety like if you’re   looking for some magical cure you’ll have to  check some other channel because that’s not what   i’m selling but you can drastically reduce your  anxiety by making small and sustainable changes  
00:07:27
okay so now let’s talk about your  media consumption so our ancient   evolved brain is much better adapted to the world  of little house on the prairie than it is to our   modern media almanzo and lara may have gotten a  newspaper once a week or heard the news from town  
00:07:41
occasionally but that news was often about  local events the news was brief and infrequent   and actionable so stress about the news could  be resolved by taking action so for example   if a couple in town got married they could make  them a present or if a barn burned down in town  
00:07:57
they could go help their neighbors build a new  one this is the opposite of what we have today   so these 24 7 streams of disaster around the  world these trigger our stress response as if   as if we’re in physical danger but they they  don’t give us any place to act to create safety  
00:08:15
so if you wake up in the morning and you just  start scrolling through your feeds or you start   watching the news you’re basically giving other  people the power over your adrenaline glands   i do not recommend starting the day off with the  news instead sit back for a second and think what  
00:08:30
do you want the tone of your day to be for me i  want it to be upbeat calm self-assured peaceful   and powerful now what kind of media does that for  you for me it’s prayer and scripture study first   thing in the morning for you it may be meditation  journaling uplifting music but the important thing  
00:08:51
is that the first thing you do is something you  choose so i don’t i don’t just bury my head in   the sand when it comes to the news i choose to to  check a couple of of straightforward news stations   um once or twice a day but i don’t do it first  thing in the morning i also i also choose to focus  
00:09:10
more of my time on areas that i can take action  on instead of on areas that are out of my control   the stress response is supposed to help you  it’s about performance and taking action but   it’s also supposed to be the short-term reaction  so it’s healthy for bursts of speed but it becomes  
00:09:26
unhealthy when it’s chronic and when that stress  remains unresolved so if you take the little house   of the prairie story they worried they didn’t  sleep they took action they did what they could   to save the corn and some plants lived and some  plants died but then they relaxed our body has a  
00:09:42
natural balancing reaction to the stress response  this is called the parasympathetic response but   most of us don’t know how to turn it on so you can  choose to turn on this parasympathetic response   through grounding exercises or breathing exercises  which i’m going to talk about later but the most  
00:10:02
natural way to resolve the stress response is  to simply complete a task so if you feel worried   about an assignment and then you turn it in ah you  feel that stress go away and this is one of the   reasons why coping skills can only go so far in  helping anxiety because anxiety is best resolved  
00:10:21
by doing one of two things either taking  action to resolve the problem or threat or   whatever it is or practicing active acceptance  so letting go of things that you can’t change   but in our virtual world even when we do complete  a task or we resolve a problem it can be hard to  
00:10:39
see the results so my next tip is that you find  a way to acknowledge when you can set down a task   you you make it concrete so for me i really like  checklists um i’ll even like if i complete a task   and it wasn’t on my checklist i’ll write it on  my checklist and then i’ll check it off so that  
00:10:57
i can um feel that sense of completion now there  are lots of ways to do this but find some way to   mark off or to acknowledge when you’ve completed  a task mike boyd just made a really interesting   machine that does this or simone yertz gertz i  wish i know how to say her name right um they also  
00:11:14
have some interesting ways to kind of mark off  when they’ve completed something so i encourage   you to find some way to give yourself some  physical tangible way to celebrate your success   now this can be really hard to do with  long-running stress or long-term projects  
00:11:31
but you can learn skills and practice them to  turn off the stress one skill that i learned from   michael barrett who was the director of the center  for change this is an eating disorder treatment   program is to every day when i leave work to make  a conscious practice of setting that work aside  
00:11:48
so for me i just say a little prayer about my  clients i say lord i’ve done the best i can   i’m leaving them in your hands now there is a  lot of different ways to do this but the basic   idea is choosing when to carry something mentally  heavy and when to set it down so this could be as  
00:12:03
simple as turning off notifications on your phone  or setting boundaries at work about when they can   and when they can’t contact you when your job  is mostly mental or mostly emotional or virtual   i also really find it helpful to choose something  manual to complete it can be really nice and  
00:12:21
relieving to see physical progress on a task so  this could look like cleaning something mowing   the lawn fixing something physical there’s just  something about physical tasks and completion   that seem to click that like ah switch in the  brain it triggers that parasympathetic response in  
00:12:39
our brain that says okay you’re all right you’re  safe now and it turns off that stress response   now managing anxiety is about being intentional  and in control instead of reactionary so i have   this picture in my head of me as a little kid  coming home from playing at a friend’s house um  
00:12:57
you know it’s evening it’s starting to get dark  and i i grew up in a super safe town but when it   started to get dark and i was walking home um you  know how it feels like there’s like that tingle   in the back of your neck and maybe you wonder  if there’s something behind you in the dark  
00:13:13
um now of course in every single situation there  was nothing back there but if you start running   then you get more scared and you get you  get more and more scared the faster you run   and then you get through the door and you slam the  door whatever you look out the window and there  
00:13:27
was nothing behind you now that is how i visualize  daily low level stress and anxiety it’s like you   start to feel that tingle in the back of your neck  and your impulse is to run so if you’re at work   and you start to feel a little bit stressed you  try to work harder you try to work faster and you  
00:13:43
try to get more things done but that doesn’t  make you more effective i have the tendency   to try to fill every waking moment with busyness  you know checking your email or just keeping busy   all the time by always staring at your phone so  just like me as a little kid we perpetuate anxiety  
00:14:00
when we run from it when we run from ghosts  so instead of running like stop slow down   turn around and look around you and  you’ll see that there’s nothing there   so what does this look like in my day-to-day  routine this looks like taking the time to breathe  
00:14:18
taking the time to slow down to do something  calming or to do something grounding   this is this is how you regulate your nervous  system throughout the day you may feel like you’re   getting more done by just going faster but you’ll  be a lot more effective and less stressed out  
00:14:36
if you take a minute every hour or so to  just clarify and to breathe and to slow down   our brain is not very good at multitasking that  can trigger that sympathetic that fight flight   freeze response so another way to help strengthen  your parasympathetic response is to monetise so  
00:14:56
our brain gets super overwhelmed by multitasking  basically interprets too much stimulation as   being unresolved threats so close those tabs do  one thing at a time and then just you know one   of the things that i do throughout the day that  helps me calm down is to just notice where you are  
00:15:14
so just notice right now that you are watching  this video now i promised that i wouldn’t tell   you to meditate but mindfulness is different it’s  just slowing down and noticing the present moment   noticing that you are doing what you are doing and  then you can move on and get back to you know your  
00:15:28
work or whatever so another essential skill to  manage anxiety for your daily routine is to do   what i call big picture small picture so stress  is not the problem chronic unresolved stress is   the problem this is the problem of the brain not  knowing how to sort and manage all the stimulation  
00:15:48
and all the triggers and all the threats that come  at it and when we feel too many things coming at   us our brain interprets that as if we’re being  attacked as if we’re in danger if if you’ve got   so many things that feel urgent but you can’t  do them all your brain can go into shutdown mode  
00:16:06
so what do we do with this right no one no one has  the time to do everything they want or need to do   so so how do i manage this i personally take  the time to intentionally sort out and choose   what i’m going to work on what are my priorities  and and what i can let go of and this i really  
00:16:23
believe can help clear up that chronic unresolved  stress so for me i don’t know whether it’s anxiety   or whether it’s add but i am i constantly  feel like my brain is overflowing with ideas   and tasks and to-do lists and then on top of  that there’s the screaming children so the way  
00:16:38
that i i manage this is i’m constantly throughout  the day writing down my to-do lists so i’ll write   down a list of everything on my mind and then  i’ll just choose one or two things clarify   what is most important what are my priorities  and then i just get to work on a couple of them  
00:16:55
and that helps me manage my stress and anxiety so  for some people clarifying looks like journaling   and this can really help with anxiety because it  helps your brain sort through the confusing mess   and and to get clarity and then to get going  again um another thing you can do like i do is  
00:17:11
these priority or to-do lists but then just make  sure to highlight only the few that you’re going   to work on or journal the journaling skill of  a brain dump or journaling about your locus of   control each of these things can help you you know  clarify and manage your stress throughout the day  
00:17:29
now i’m going to jump ahead here to sleep you  know you think going to sleep would be my last   daily routine but sleep is really  important so to be able to sort through   all these tasks you really need the executive  functioning part of your brain to be working  
00:17:43
and for that part of your brain to  work well you need to get enough sleep   so when your mind is rested it can  better manage all that excess stimulation   and it can resolve anxiety when it comes up but i  know it can be hard to sleep when you’re anxious  
00:17:57
i have a hard time sleeping sometimes so if  you’re not getting enough sleep or you’re having   a hard time sleeping i would say just choose  one small step you can take to sleep better   now in order to manage anxiety another skill  that i’ve had to learn was to get a little bit  
00:18:13
better at saying no so resolving anxiety is about  regaining self-control so if you want to resolve   anxiety you may have to say no to the occasional  party so that you get enough sleep so that you   don’t need coffee in the morning so that you’re  not stressed out and anxious throughout the day  
00:18:28
choosing a sustainable path instead of a frantic  one requires like a careful sorting of priorities   in your life so when we consciously choose  to not overload our brain it can handle these   tasks with more composure so this is something  i have to work on all the time is just saying  
00:18:45
no to a lot of things that i want to do but  i know are not going to be helpful for me   now next one i want to talk about is getting time  in nature i’m not going to spend a lot of time on   this but there is a bunch of research that nature  is really good for anxiety and i personally love  
00:19:00
it so i’m going to encourage you to try to get  some nature into your day-to-day life i am blessed   to live in an area where i can get out in nature  every day but you can get a dose of nature even if   you’re trapped in the city so go for a walk look  at the sky water a plant keep a fish visit a park  
00:19:18
or even just watching a documentary or looking  at pictures of nature can be really soothing   for your brain so i’m gonna encourage you to make  nature a part of your daily routine the last part   of my daily habits that i use to reduce stress and  anxiety is i make sure that my day is not too full  
00:19:36
i make sure that i turn off at some point during  the day so take time to wind down in the evening   so that you have time to get ready to go  to sleep and and get a good night’s rest   and and wake up ready to take care of yourself so  for me my wind down routine looks like turning off  
00:19:54
my phone taking a hot bath reading some random  book and even though i’m super busy with three   little kids and a job and a business i make it a  priority to get a few minutes of peace most nights   so comment below what are you going to do for  your wind down routine what helps you manage your  
00:20:11
day-to-day stress levels when you take the time to  resolve problems and to work with your brilliant   ancient brain you really can learn to reduce  anxiety and to get a lot of things done okay   that’s it i hope you find this helpful  thank you for watching and take care
Source : Youtube

20 Anxiety Symptoms Explained

https://www.youtube.com/watch?v=Eaoh89a0YD8
Anxiety can wreak havoc with the body  and the many symptoms it can produce   can make you worry that there is something  seriously wrong with you. Understanding   what causes these symptoms can be the first  step in learning how to manage your anxiety. So in this video I’m going to  explain 20 common and sometimes   uncommon symptoms of anxiety and what causes them.
00:00:23
Number one is headaches tension in the  suboccipital muscles at the base of the   skull can cause anxiety headaches. See my video  on anxiety and headaches for more information.
00:00:36
Number two blurred vision. When the body thinks  it’s in danger it releases a lot of adrenaline.   This causes the pupils to  dilate to see the danger better   but paradoxically it can  actually cause blurred vision.   Number three is ringing in the ears. The cause  of tinnitus is a bit of a mystery even to the   ear specialists but changes in pressure and  blood flow in the ears are popular theories.
00:01:01
Number four is concentration problems or brain  fog. The release of adrenaline and cortisol have   an effect on how the brain operates. This may be  an evolutionary response where your brain shuts   down unnecessary thinking processes to focus  on functions to deal with the perceived danger.   Number five. Dizziness and feeling faint are  common symptoms during a panic attack. Changes   in blood flow in the ears and hyperventilation  can both cause dizziness. However as I explained   in my video ‘will a panic attack caused me to  faint ‘ fainting is unlikely in most people as   blood pressure increases during a panic attack and  fainting occurs due to a drop in blood pressure.
00:01:42
Number six. A feeling of a lump in the throat  difficulty swallowing or a choking feeling   are all caused by the glottis expanding  to allow more air into the lungs   because your body thinks it has to run or  fight. I have a whole video on this subject   so if you want to know more  click the link in the top right.
00:02:00
7. Breathing difficulties. Some people who  suffer with panic disorder are abnormally   aware of their breathing ironically it can be the  constant checking if their breathing is normal   that triggers the panic attack and when a panic  attack begins the surge of adrenaline causes   faster breathing. This then leads to more panic  and a greater attempt to control their breathing,   but this often results in fast and shallow  breathing from the thorax instead of the abdomen.   This hyperventilation causes levels of carbon  dioxide in the blood to drop which can cause all   sorts of other symptoms which we will talk about  later. Number eight. Chest pain or tightness in   the chest is another subject I’ve made a whole  video about but the two most common causes are   muscle tension and the arteries or blood vessels  in the heart constricting. And why does this   happen? It’s because as mentioned hyperventilation  causes blood carbon dioxide levels to drop which   makes the blood more alkaline which in turn causes  constriction of the arteries and blood vessels.   Although this can be quite painful  it is not dangerous for most people.
00:03:05
Nine is palpitations which may be felt in the  chest or throat. The reason you get them is simply   because your heart is pumping much stronger  to deal with a perceived danger that is not   there and the reason you feel it in your throat is  simply because that’s where your carotid artery is   and an increase in blood volume and speed  through this artery is very noticeable.
00:03:27
10. The feeling of skipped heartbeats.  It’s not easy to explain this briefly   so if this is something you experience I  recommend you watch my video on ectopic   heartbeats and anxiety but suffice  to say they are generally harmless. Number 11 nausea or the feeling  of butterflies in the stomach.   When the body senses danger digesting food  is not a priority so it diverts blood from   the stomach to the arms and legs to fight  or run and that can upset the stomach.   It can also affect the stomach in other ways  like causing acid indigestion so 12 is GERD. 13. Bowel changes. Anxiety can cause  digested food to move through the bowel   quicker leading to loose bowels. There is also a  link between anxiety and irritable bowel syndrome   which can cause diarrhea or constipation  as well as abdominal cramps and bloating   and yes you guessed it I  have a video on that also.
00:04:29
14. Overactive bladder. An increase in the need  to urinate is a little understood anxiety symptom.   Tense muscles squeezing the bladder is a fairly  simple explanation but there are more complicated   theories about the serotonin system and the  effect of cortisol on the bladder. One thing   is sure is there is definitely a correlation  between anxiety and frequent urination   and by the way a type of  social anxiety called pauresis   could cause the bladder to completely lock and  I have a whole series of videos on that subject. 15 is tremors and twitches. To  deal with danger the nervous system   sends more blood to certain areas ,tightens  muscles ready for action, increases blood sugar   and primes the whole body ready to fight or  run. Any of these can cause twitches or tremors   sometimes even in unusual places like the eye.  Oh and hyperventilation can also cause twitching. 16 is one of the strangest symptoms of anxiety.   The feeling of your skin crawling or burning can  be caused by changes in blood flow. When anxious   the release of cortisol can also make the skin  sensitive to allergens chemicals or even sweat.
00:05:41
17. Derealization or depersonalization. In  derealization you feel the world around is unreal.   People and things around you  may seem lifeless or foggy.   With depersonalization you feel  disconnected from yourself.   This is mainly caused by hyperventilation and the  effect of alkaline blood that I mentioned earlier,   only this time it affects your brain  causing these strange sensations 18 is heat. The reason you get  hot when anxious is simple.   Your circulation increases  just like when you exercise 19. Weakness or fatigue. In a panic  attack or a prolonged period of anxiety   your body is called on all its resources  to protect you from a perceived threat.   Afterwards it needs to replace those resources  so it shuts down for a while to do that. 20 Aches and pains. If you  suffer anxiety every day   it’s like your body is fighting a  tiger every day or running for its life   so it’s not surprising the aches and  pains can appear pretty much anywhere.
00:06:46
But you may ask how do I treat each of  these symptoms? The answer is you don’t.   These symptoms are signs that your body  is doing exactly what it’s designed to do   only it’s doing it at the wrong  time because there is no danger.
00:07:01
If you try to suppress these  symptoms not only will it not work   but the part of the brain that deals with  danger will think the symptoms are dangerous   and activate the fight or flight  response causing even more symptoms.
00:07:15
To make all these symptoms go away  you have to retrain your anxious brain   not to go into fight or flight mode at the wrong  time and that’s what I teach you to do in many   of my videos so check out the playlist  for whichever anxiety disorder you have.
Source : Youtube