Top 10 Lucid Dreaming Teas/Herbs COMPARED And Explained

 All right welcome back so today we’re going to talk about the best lucid dreaming teas   that will broaden your dream life and make your dreams more vivid more likely to become lucid and   in some cases they’ll help you remember your dreams better as well so if you’re new to   lucid dreaming or you just want to enhance your dreams in some way but you don’t want to take   these supplements like Galanza means 5 htp hhuperzinemaybe you’re worried about the side effects or   you just want something milder and you already drink things like tea well lucid dreaming tea is   a great way of enhancing your dream so let’s just get right into it okay we’re going to explain the   10 best lucid dreaming teas that you can try and how they work and what effects they’ll have people   from all over the world have you know from many different backgrounds and spiritual traditions   have recognized the value and power of lucid dreaming and many of these civilizations and   cultures have used natural things like herbs and teas to enhance the dreaming experience   this is not a new thing so a popular approach to supplementing is actually to   drink tea that is infused with herbs that support lucid dreaming so many of these herbs can already be found in teas in the market in kind of a pre-packaged form that will save you the   time that it would take you to actually supplement and do things like that   so what are the best herbal teas the best lucid dreaming teas that you can find   well number one we have and by the way these are not in any particular order okay I’m just going   to explain the best 10 lucid dreaming teas so you have things like kalia zzakatttaichinow this originated in Mexico and it’s been known as people kind of call it different things like   it’s been known as being called bitter grass okay it’s native to kind of Mexico and central America   it’s known for hallucinogenic properties as well as significantly enhancing dream imagery and   recall it’s really useful for helping you enter hypnagogia sleep hypnagogia which is where you’re   kind of in between being asleep and conscious by the way I do have individual videos for   all of these teas and herbs which you can find in the description or just on my channel so number   two we have Guayusa and I think I’m pronouncing that right now this is cultivated in Ecuador Peru  and Colombia and in addition to aiding the dream experience many people love guy user because it’s  packed with caffeine so it brings you a positive energy boost in more of a long-term   sustainable way than coffee because it’s not going to give you those jitters it’s also a strong   antioxidant and it helps with the weight loss as well now the interesting thing about guayusa   is that it has a stimulant effect on the brain but it also at the same time has almost a sedative effect so this is why it helps you to lose a dream so well because it keeps you asleep   and tired and sedated while at the same time it stimulates your brain in a certain way   that promotes consciousness and lucidity number three we have valerian now this tea is frequently   used to treat insomnia it’s also been shown to improve anxiety and blood pressure issues as well   it’s also a muscle relaxant so this is the um kind of the reason that it’s a good lucid   dreaming tea is because it helps you sleep it’s a muscle relaxant and it also kind of helps improve   dream recall and makes dreams slightly more colorful so it doesn’t directly induce lucidity   but it does directly help you fall asleep stay asleep and then also remember the dreams you have   number four we have Shatavari now this is kind of like a root herb   and it’s often associated with women’s fertility issues and it’s also used to aid in lactation   with women but it also has kind of properties that help you to relax and it’s frequently used   throughout Nepal India and the Himalayas number five the intellect plant also known as Celestron  paniculatus I think I’m pronouncing that right native to India it can grow as high as   1 800 meters it’s one of the most popular herbs in ayurvedic medicine and the intellect, the plant is   known to improve memory and concentration part of the reason why it’s so helpful for lucid dreaming   and the lucid dreaming experience is that it helps you improve your memory and focus so if   you drink this right before bed it usually takes about a week of continuous use so drinking it   every night before bed for the effects to fully come in okay so it’s kind of a long-term thing   it’s not something you can just drink and then immediately improve your lucid dreams that night   number six and I have no idea how to pronounce this but I’m going to give a try the sshoesroot   and which is spelled with an x x-h-o-s-a indigenous to south africa okay this root is one of the more   obscure herbs it’s not very well known but it usually is formed into a powder and then turned   into a foam so it’s kind of a very weird one it’s not something you can just easily drink in a tea   like you would put a pg tips tea bag in a cup it takes a bit more preparation anyway after   ingesting this foam for three consecutive days the people of the tribes would come together and   share their dream experiences so this one to be honestly, most of you are not going to be able to try   this one it’s hard to get hold of and it’s even harder to prepare number seven a classic mugwort   this is also known as artemisia vulgaris it grows abundantly throughout the world really but you   know it grows in England it’s found around the rest of the world often alongside roads and it   can grow up to three feet when it grows in the wild now mugwort and lucid dreaming have shared   a relationship for a long time I wrote a blog post on my sitehouseoflucid.com I’ve spoken   about this a lot before and mugwort is one of the most easily available lucid dreaming teas online   by the way there will be links to as many of these as you can buy online in my description   of this video or on my site howtolucid.com number eight we have wild asparagus now this is known in Chinese as the heavenly spirit herb commonly used ayurvedic medicine can have profound effects on   a person’s dream world so it’s a very interesting one now it’s said to help lucid dreaming   practitioners have more adventurous dreams so although it won’t directly induce lucidity   it will help those dreams when you do become lucid to be more adventurous exciting and I guess you   could say dangerous feeling number nine is Clary sage now sage is known as an antidepressant   as well as its ability to enhance the dreaming experience but it’s also considered one of the   most powerful healing herbs in the world we have the blue lotus now is a plant known for being   a sedative okay so it’s going to help relax your body and mind and keep you asleep but it’s also   known as an anti-stress herb an anxiety reliever and it also has mild psychoactive properties it’s   said to induce a kind of a pleasurable euphoria when ingested nothing too crazy but just enough   that you notice it now I should mention that all of these herbs and teas are perfectly legal   depending on obviously which country you live however, they’re not regulated by the FDA   if any negative side effects occur you should stop taking them immediately none of this is a medical   recommendation by the way a full disclaimer you should research any of these yourself   and you should take responsibility for anything you do or do not ingest so how can you use tea to   lucid dream the video is not over yet I have many important tips to share with you especially if   you’re considering buying any of these well the lucid dreaming experience is an adventure, okay   most people want to have lucid dreams, and almost everyone you know the vast majority of beginners want the instant magic bullet the quick fix okay but you’ve got to remember that supplements   herbs teas pills and devices don’t answer all of the questions don’t do everything for   you they won’t directly induce a lucid dream you need to do that work yourself as well and I’m sure   many of you who watch this channel kind of know that okay we on this channel lucid dreaming   experience we know that it takes work you can’t do it instantly or you know overnight so it’s   going to take some work and I hope that if you’re watching this video at least you understand that   however, you can use those things lucid dreaming teas are included to make it more likely so here’s   what I would recommend that you do okay pick one of these t’s whichever everyone calls out to you, sounds the most exciting have a look in the description of this video see where you can get   it online it’s usually pretty available you know at least most of them and then just try it out   but you should only do this once you’ve researched yourself you’ve read about the effects of the   t obviously and you have a lucid dreaming practice meaning you’re writing your dreams down   you’re doing reality checks and you know how it works and you know how you’re going to lose   a dream at least that’s the bare minimum that you should aim for so I hope this has helped   check out my channel for other tutorials don’t forget to subscribe and I’ll see you next time As found on YouTubeHUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

Free- weeding, No-tillage, Easy LIFE Gardening by JADAM

 Hello, everyone. This is youngsang cho the founder of JADAM  In today’s episode, I would like to elaborate you how to create the most successful organic garden. As we all know that the global food crisis is at our doorstep.  Therefore, I believe it is time to start our life gardening to protect our food, life, and our family from possible hunger. According to the Global Trend 2040 held by the National Intelligence Service of the United  States, a food riot could occur worldwide within 10 years due to problems such as global warming and food crises. And IMF (International monetary fund)has declared a severe food crisis in 48 countries around the world.  Furthermore, President Biden hosted the first food security conference in 50 years. Despite this dire situation Korea, the world’s fifth-largest food importer,   has the lowest grain self-sufficiency rate in the world.  And The use of pesticides in agricultural products is even more than 10 times that of Western countries. In addition, local counties are in danger of low population due to aging. You might think a growing couple of vegies is enough,  But you have to consider that vegies are also very important food to us. I strongly urge you to actively participate in sustainable organic gardens to become self-sufficient in the upcoming future. Just because I said this doesn’t mean farming will suddenly become easy.  Many people face difficulties they never expected when they start organic gardening. Firstly, there are major problems in organic farming which are weeding, pest, and disease control. Then the next problem is using machinery. And JADAM is here to ease all of these problems. Many People thinks, if the soil is healthy crop will be growing without any pest and disease problems. But the truth of organic farming is far more difficult than what people usually thought of.  Because we are not farming native and wild seeds. The seeds that you get from the store are bred to suit the taste of humans.  Our will and tongue made bananas, and strawberries to be much sweeter, softer, and larger.  And those planted first gen seeds have 0 experience to defend themselves. Therefore, Organic gardening or farming cannot be continued without any pests and disease solutions. JADAM is one of the most well-known companies in the field of self-made natural pesticides. And with the basis of this information, we have shared our journey from soil to fruit on youtube which will upgrade your life of gardening. This is a website that we have been running since 2003.  If you have further questions leave a comment on the bulletin board or you can live a comment below for any question you have. And this is our first book, that Been translated into English.  It has about 700 reviews with close to 5-star ratings and  It is now distributed globally through amazon.com. This is another book that we have published 2 years ago.  It focuses on pest and disease control in detail. Apart from these, we have been working hard to translate the books into 20 different languages.  And those books are going to be uploaded to the google playbook store. So shell we now begin with organic gardening.? The picture you can see is my farm. It is about 650 square meters in size. You can start with 600 square meters, but this is not mandatory. You can start small from 60 to 100 square meters. The size of the land doesn’t mean you are not capable.  Quality matters not quantity.Once you can control   all the pests and disease You will experience happy farming. The size of the land In this picture is about 80 square meters and there are about 40 to 50  different crops. This means in this small size of the land you can have tasteful organic vegetables for your family. After harvest, you can rather dry it to make a powder shake or you can quench the vegetable for future food. It is a one-time harvest in a year but you can have it for a whole year. It is not very necessary to farm such a diverse number of crops.  I farm a lot of kinds because I’d like to test my JADAM natural pesticides on different kinds of crops. And because of my habit of researching, my family also loves to help me farm. This is the tiny house that we built with my friends.  It is tiny but we have made beautiful surroundings.  we built it because we wanted to showcase how Organic gardening could be peaceful and lovable One unique part of this house is that, It has a compost toilet.  Many people worry about the smell. But if you mix 1 % of any starch into sawdust,  There is barely any smell for weeks until it is disposed of. And later you can also collect human feces to make your compost.  Which means you don’t have to rely on purchasing the compost. Collect all the feces in one place for 3 months to make compost out of it.  And because of the starch, there is barely any smell. If you learn how to do all JADAM methods,  I believe you will overcome the difficulties of different crops for organic farming. Not just vegetables, it also means fruit trees and more. And one of the most interesting things is the strawberries.  We all know that strawberries are perennial plants.  But in fact, many farmers pull out once the harvest is completed. However, with the JADAM method, the strawberries are producing for more than 6 years  And every year the yield has increased compared to the past years.  The pest and disease control on strawberries is not that difficult.  And it is our first crop to be harvested in a year. Not just strawberries, We tested the JADAM method on   lettuce, cabbage, and small radish for kimchi, paprika for barbeque and broccoli for salad. And the world’s favorite plant to consume potato also hasn’t had any difficulties to produce. Not just potatoes, we can also farm sweet potatoes and more. Farming cucumber in an open field is known to be a pretty hassle.  But with the JADAM method, you can farm it all. And one of our favorites is the chili pepper. It is the most basic yet, but most confusing plant to grow, and we are the best producer in South Korea. The high yield comes when you be able to master the JADAM technology. And JADAM technology is simple.  So let me tell you how to solve all the issues with JADAM methods. First, the wedding, The problems of weeding come with the plastic mulching that lasts for a year. This means, after harvest, it is mostly destroyed.  And the other problems are the high temperature inside of the mulching then the ventilation of the field. The purpose of mulching is simply for weeding. But the mulching causes a problem due to heat. To solve these issues, we have chosen to use landscape fabric.  Which is a breathable material and lowers the high temperature. Although the price is high, you can use it for more than 10 years.  And some are even much more durable that can last about 20 years. Which is similar to the life span of solar panels. It helps the soil by creating shade on the soil, Which leads to a higher expansion of active microbes inside the soil. As a result, the landscape fabric helps the roots to reach even deeper and makes better soil quality which leads to a high yield. So let me show you how to make the beds first.  Prepare some powder that could indicate the line on the field. The width of the bed should be 1meter 30 centimeters to 1 meter 60 centimeters.  We will first create drainage on each bed.  To create the bed and drainage, we will use the machine just once to protect the soft soil. and this structure is going to be permanent. We are not going to use rotary machines forever after the first construction. Many of us learned that tilling soil is necessary every after harvest and before planting to mix the compost with the soil. But the surface application of the compost is good enough.  You can simply scatter and spread the compost then cover it with the landscape fabric. When you have completed covering the bad with landscape fabric,  Now it is time to use the white marker to make an indication of where you are going to make the hole for the crop.  Use the string then stretch it up and mark the string with the 30-centimeter gap. Then cut the fabric along with the indication. But do not cut it cross because it will loosen all fabric at the end. And before planting germinate your seedlings into leaf mold soil mix water. Diversity of the microbes in the seedling’s roots will prevent possible diseases occur in the future. Then use the narrow hoe to plant the seedlings. Once you have completed planting, the next step is watering.  You can use the irrigation hose to do this but for the vegetables,  It is much more convenient with a sprinkler. Sprinkle water for about 50 minutes with 1-3 days term depending.  And sometimes you can also mix the JMS along with it. As I just mentioned about the no-till and surface application on the bed of the crop.  Let me show you how it is usually done.  After harvest, pull out the fabric then put it on the side.  Once the harvest is completed your soil needs to be reorganized. After that, I scatter the organic compost on the surface of the bed and then spread it firmly with the wreck. Many people think   the soil will harden if it is not tilled,  But by using the JADAM microbes and compost, the soil stays soft enough. Then later cover the bed with the landscape fabric. It should be performed once every harvest,   and in Korea, it happened only twice in a year. One in May and the other one in September. we have uploaded other videos on how to make beds for the fruiting crop.  So you can have a look at that too. Apart from just lettuce and other vegetables,  How are we going to deal with root plants such as radishes or carrots? It will be quite a hassle if we try to plant in between the fabric.  So to plant a root plant, we will just cover the fabric for about 15-20 days before planting.  Then the weed inside will not be able to get photosynthesis,   eventually, the seeds won’t be able to sprout. After 20 days when you uncover the fabric, you could see the bed is clean from the weeds.  Then organize the bed with wreck then create a line with 30 centimeters intervals to plant. You might get worried that the weed grows back again, but root plants such as small radish grow quicker than weeds as it is all eliminated which leaves no space for the weeds to grow because all the nutrients were absorbed by the plant itself. So in this way, the crop will not be going to have nutrient competition with weeds. And the next thing we want to talk about is Organic pest and disease control.  One of The most interesting parts of JADAM’s natural pesticides is that they won’t have negative effects on humans.  It is safe even if you inhale or mistakenly spray it on your face. Moreover, we know that people worry about spiders and bees but it won’t heavily harm bees and spiders. When you start farming, soon you will realize that there are a lot of circumstances with pests and disease problems. However, Don’t try to view the problem with a microscope.  Just simply focus on 2 things in farming. Aphid and Powdery mildew. If you have enough capability to control aphids, means you can control almost all pests. And if you have enough capability to control powdery mildew,   you can be confident in controlling diseases as well. Aphid is the one major problems for farmers but to us, it is just a piece of cake. By utilizing the simple JADAM method on aphid and powdery mildew,  You can control almost all problems. And we have uploaded all the detailed videos on Thrips, anthracnose, and Aphid on youtube. All the method of mixing ratio is also published in our book. We are having a seminar after 3 years, due to covid 19  In the seminar, we are going to release our new recipe that does not need a water softener. Also, we will now prepare for a world tour as well for the next year. Thank you for watching and I will see you guys in the next video.As found on YouTubeHUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

6 Signs and Symptoms Of ADHD

 – [Amanda] As a quick disclaimer, this video is made for educational purposes only. And if you have further questions or concerns about ADHD, please consult with your doctor first. With that said, let’s start. I’m sure you’ve heard of attention deficit hyperactivity disorder, or ADHD before. It’s a neurodevelopmental disorder marked by an ongoing pattern of inattention or hyperactivity that interferes with your functioning and development. Though ADHD is most commonly diagnosed in childhood, it can also affect adults. Unfortunately, there’s a significant lack of research into adults with ADHD. Many scientists believe that since ADHD is a developmental disorder, it can not develop in adults without demonstrating any signs during their early childhood. But, signs and symptoms of ADHD often persist into adolescence and adulthood. According to the NHS, by age 25, 15% of those diagnosed will still present symptoms. Of those diagnosed, 65% will have symptoms that affect their lives. Here are six signs and symptoms of ADHD to look out for it if you think it’s affecting your life or the life of someone you know. Number one is inattentiveness. One of the hallmark signs of ADHD is inattentiveness. It goes beyond simply not being able to pay attention. It can also look like the inability to focus on a task, finding it hard to pay attention to others, or overlooking details. Know these symptoms can also be caused by stress. Pay special attention if you find your focus shifting often. Number two, hyperfocus. On the opposite side of the spectrum, you can also experience hyperfocus with ADHD. Hyperfocus can cause a person with ADHD to become so engrossed in a task that they forget about everything else going on around them. It’s important to differentiate between hyperfocus versus when you’re in a state of flow. Flow emerges from a state of deep concentration or engagement in something, and being in flow produces a positive feeling, like a sense of accomplishment. Hyperfocus, on the other hand, is a result of an inability to regulate your attention span. With hyperfocus, you can’t always choose what you focus on. You might be doing something important like homework or hyper-focused on scrolling endlessly through Kylie Jenner’s Instagram Feed. Hyperfocus can lead to setbacks in your relationships with friends or partners, or hurdles at work and school. To help with this, you could prioritize your tasks and accomplish them one by one, or ask your family and friends to text you at specific times to help you shift your focus onto more important tasks. Number three is impulsivity. Do you speak out of turn, or do you regularly get yourself into socially inappropriate situations? Do you rush through tasks? And these all are signs of impulsivity in ADHD. It runs a lot deeper than just making split-second decisions. ADHD impulsivity can disrupt your life, and can potentially get you in trouble.  You might others during conversations, making them less inclined to talk to you again, or you can act without much or any consideration of the possible consequences, and this can land you in hot water. Number four is disorganization. We all have hectic lives, but for someone with ADHD, things may feel a bit more chaotic than usual. If you have ADHD, you may have trouble establishing order in your life, and it can be difficult to keep everything in the right place. And adults with ADHD may struggle with these organizational skills. This can include, problems keeping track of tasks, and trouble logically prioritizing them. Number five is mood swings. Because this symptom is present in many other disorders, it’s not an inherent sign of ADHD, but if you’re someone with ADHD you may experience mood swings or irritability. There may be days you feel good and grounded, and other days when you’re in the emotional gutter. You can try writing your emotions down, which can help you keep track of your emotional patterns, and prepare you for the next mood swing. Setting a schedule will help you establish a routine and avoid the possible stress from disorganization. And number six, lack of motivation. Does it seem like you’re doing everything at once, but feel unmotivated to go about your tasks? Lack of motivation is a common symptom of ADHD. A lack of motivation combined with other symptoms like poor organizational skills is problematic when it comes to accomplishing tasks or being engaged at work. There are many ways to help fight a lack of motivation, though. For example, you could break down your chores into manageable tasks, or write down the positive feelings you’re experiencing throughout the day. These techniques can help you find the motivation to finish your tasks. Do you think you might have ADHD, or does someone you know think they could have ADHD? Do you think these signs will help you or a loved one? Go ahead and like and share this video if it helped you, and you think it could help someone else too. The studies and references used are listed in the description below. And don’t forget to hit the subscribe button for more Psych2Go videos. Thank you for watching, and we’ll see you next time.As found on YouTubeHUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

Overview of Screening | Addiction Counselor Exam Review

 This episode was pre-recorded as part of a live continuing education webinar on demand. Ceus are still available for this presentation through ALLCEUs Register at ALLCEUs com, CounselorToolbox, Hi everybody, and welcome to your review of the Process of Screening. In this presentation, we’re going to review key skills for engagement, discuss factors impacting engagement, define screening explore how to do a screening, and identify types of screening instruments. Now screening is one of those steps that a lot of people will do, especially as a job. An entry-level job in mental health, if you’re working towards your hours for certification or licensure as an addiction counselor, you’re, probably going to be in a position at some point where you’re doing a fair amount of screening. So let’s learn how to do that. The first step in screening and assessment and even counseling is developing engagement and engagement means that you need to develop verbal and nonverbal skills to establish rapport and promote engagement. So how do you establish rapport? How do you connect with somebody when they walk into the office? Do you sit down with a clipboard and start writing right away? No, you want to be able to be open to being warm to make eye contact to respond to them in a culturally appropriate and culturally sensitive way. So you know you got to be aware of the people that you’re working with, whether you know how much eye contact is enough, how much is too much, etc. You want to be able to talk to people, and you know a lot of people when they’re coming in for a screening. You know, may not know what’s going on. You want to be able to put them at ease. So hopefully you know those are the skills that you already have, which is one of the reasons that you’re getting involved in this field. But screening means you know, first and foremost developing that relationship because the quality of the relationship with you is going to determine in many cases whether somebody goes on for the assessment and treatment if needed, you want to discuss with the clients the rationale, purpose, and procedures associated with screening an assessment so sit them down and say you know we’re going to do a screening for substance use, so we’re going to do a screening for depression. This is why we do it. You know because we know that whatever percentage of people in this area struggle with depression and that early intervention is a whole lot more effective than late intervention, so the earlier we can help people arrest the problem, then the better off they’re going to be, And this is what screening is going to, be you know, so they know if they’re going to get there, not going to get their blood drawn. They know you’re just going to sit there. You’re going to. Ask them five or six questions, and they’re going to be done because they may be thinking that you know they need to lay on the couch and tell you their deepest darkest secrets and they’re not ready to do that. Well, of course not they just met you, so let them know this is what screening is assess. Client’s immediate needs, including detoxification. If you’re meeting with somebody – and you know you notice that they’re under the influence of substances, then they may need detoxification. If you’re assessing them for substance, use or substance use disorders, and they admit that they have been using consistently or they’re under the influence, they may need detox, administer evidence-based screening and assessment instruments to determine clients, strengths, and needs, and we’re going to talk about some of those evidence-based instruments later, but you know you can use the cage you can use the Sassi. You can use a variety of different instruments, and obtain a relevant history to establish eligibility and appropriateness of services. Wherever you are, you know you probably accept some insurance. Don’t accept others. You may have private pay, or you may not. We want to make sure that once we scream we can get the person into services that they may need. You know. So we need to determine: where can they go? You know if they’ve got Medicaid if their private pay if they’ve got private insurance. You know where could where’s the best referral place for them, and to do that, we need to get that relevant history. Other things that affect eligibility appropriateness for certain treatment programs, some treatment programs will work with people who are on benzodiazepines, while others won’t. Some treatment programs will work with people who have co-occurring mental health disorders. There won’t. So this history is important to figure out. Does this person need a specialized program? Are they dealing with specialized issues like LGBTQ issues? Are they if they’re an adolescent? They’re going to need an adolescent program, so we need to get all of this stuff. You know when we’re doing the screening we’re, going to get a little demographic data there and we’re going to do. The screening screen for physical needs, medical conditions, and co-occurring mental health issues. So, while a screening for substance use may be five questions, a full screening is probably going to take 20 or 30 minutes. So we’re going to ask them a variety of questions. We’re, not going to get super in-depth, but we are going to get sort of an overview of how this person is doing. That way. We can look at it and say you know: maybe they’ve got medical conditions that are contributing. If we’re screening for depression, maybe they’ve got medical conditions that are contributing to their depression. If they have a substance, use disorder, you know: are their medical conditions being made worse by their substance use? And if so, what do we need to do so? We want to you, know, the screen we want to screen for co-occurring mental health issues. It does not matter if the person had depression or anxiety or bipolar before they started using or they develop depression or anxiety after they started using right now they’re. If they have depression or anxiety, it needs to be addressed, because you can’t, have somebody sober up and still feel miserable and expect to stay sober for long. Likewise, you know you can’t just treat their mental health issue and expect substance use. Just to go, oh so, if they, if you’re screening for one is really important to screen for the other substance, use will monkey with the neurotransmitters that can contribute to depression and anxiety. So you know they’ve got substance. Use we want to screen for that mental health issues. Sometimes people will self-medicate to try to numb the pain of mental health issues so again always screen for both of them because the likelihood is if one exists, the other exists at some level as well as interpret the results of the screening and assessment and integrate information to Formulate a diagnostic impression and determine the appropriate course of action, so you’re not doing a full diagnosis, but you’re going to go through and you’re going to look at the screening results and say yep. You know, technically, this person meets the criteria for substance use disorder, so we need to send them on for an assessment to see what may need to be done and what our options are to help them deal with it. If you’re screening for depression, the same things going to be true. This person meets the criteria. You know, we suspect that they may have a major depressive disorder. So let’s refer them for an assessment. So we can figure out what’s causing the depression and what options we have for helping the person deal with it. We want to develop a written integrated summary to support our diagnostic impressions and you’re going to do more of that with assessment, but in the screening, you know the Assessors going to want to know. Why did you send this person, you’re going to present a summary of the information that you gathered. That told you that this person may need to be assessed for substance, abuse, or mental health issues. You know it. Doesn’t have to be a dissertation, it can be a paragraph, but you do want to kind of put it all together in a nice little package. So the Assessor doesn’t have to go back and read through everything and try to figure out what you saw establish, rapport and an effective working alliance in which the client feels heard and understood you know to be respectful, and make eye contact and smile. You know don’t go directly to your paperwork and make them feel like a number, be punctual that’s important non judgmental if they’re talking about their substance, use don’t act shocked like oh, my gosh. I can’t believe that you drank while you were pregnant or oh, my gosh. I can’t believe that you’re using that much of that substance, or you did that to get your drugs, no, they did what they did to survive. They did what they did to survive, and given the tools that they had then we weren’t in their shoes. You know they’re by, but the grace of God goes so we want to remember that people did what they had to do and it got them here and it helped them survive until now, and we want to be attentive if we see that the Person starts moving around in their seat a little bit. You know, ask them, you know, are you uncomfortable? Is there something I can do to make you comfortable? They may be uncomfortable about what you’re talking about. They may be, you may be running late, and you know you’ve been in the session for 30 minutes and they need to go or they may need to go to the bathroom or they may be thirsty or cold. You know if you see them starting to become a little bit fidgety and not necessarily even agitated ask them. You know it seems, like you’re, becoming a little bit anxious or something I’m wondering if there’s, something you need something I can do to help that will go a long way to helping them feel like you care about them, motivate and Engage the client and identified service needs, so if you determine that they need an assessment, you’re going to have to motivate them to go so help them see how going to an assessment could be beneficial to them. How it help could help them meet their life goals. Engagement puts the clinician in the best position to negotiate with the client about what to do and how to do it. So assessment is usually done at whatever treatment center that you’re, hoping the person is going to be enrolled in. So we want to talk with them during the screening about what is it. What type of Center do you want to go to? Is there a place that you have in mind? Are there particular characteristics of treatment that you’re, hoping to experience, or likewise not experiencing some people, who don’t want to be in a hospital-type environment or whatever so start talking with them about what their options are and negotiate with them. You know if you think they need an assessment and you’re likely going to need to go to residential. You know you might want to start moving them toward the four or five options that offer that service and encourage them to go, and if they don’t think they have a problem, they may not be willing to go yet if they think they’ve Got a problem make sure that the handoff goes well to that agency. If it’s not within your same agency, make sure that that referral goes really well and that they are received equally warmly by the Assessor at that agency. Help them feel comfortable going to do this. If you give them a referral and just say here, go to this place and they’ll take care of you. The person may be like I don’t know where it is. I don’t know who this person is if you hand them this and say you know, go down to this place and do you know how to get there? So let me draw you a map and that help them know how to get there and then you’re going to meet with Jane at this facility and she’s. Going to do your assessment. I’ve worked with Jane for years. She’s, really awesome. You know she’ll take her time listening to what you have to say and what your want. Is she not going to force you into anything you don’t want? That goes a whole further to motivating the client to go because they’re not apprehensive about what in the world am i walking into engaged clients are more likely to participate, willingly, be treated, be compliant, and complete treatment. Now, engagement doesn’t stop when they leave the screening that’s just the beginning, but you are the face of the mental health system so to speak because you’re the first person that they interface with so you kind of set the tone for Their experience most of the time create a welcoming environment that’s pleasant and sensitive to age. If you’re working with kids, don’t have a sterile environment with only big people chairs, you know, have little people chairs and have you know books that are appropriate if it’s, have it be sensitive to gender? You know men, aren’t 39, t going to be wanting to sit in an office where everything is pink and frilly and whatever likewise adults, aren’t going to want to sit in a playroom to do counseling. So you know make sure you’ve got age. Appropriate stuff in the room that you’re working with, makes it sensitive to disobeying ability. If people have hearing disabilities, you know make sure that you can talk loudly enough, that they can hear you make sure you minimize extraneous noise that may keep them from hearing you make sure the area is compliant with the Americans with Disabilities Act. So people who are physically disabled can get through doorways and things like that. The physical environment should be sensitive to sexual orientation, so have little clues around that you are accepting of the LGBTQ lifestyle, so a rainbow flag on your desk or something doesn’t have to be huge, you know just little things in the environment that say hey. You know I’m cool with whoever you are cuz. You’re an awesome person same thing with religion. You know try to make sure the assessment environment is friendly and not necessarily oppressively religious. You know, if you have you know across here or prayer there or something you know that’s, fine, that’s, your expression of who you are, but we want to make sure that people who are of a different religion or who are atheist. Don’t feel oppressed in that environment. Likewise, people who’ve been traumatized potentially through their church in some way or another may be off-putting if they see that so be cognizant of the things that seem benign to you and what they may mean to the people who are coming in for Screenings and make sure your environment is sensitive to socioeconomic status, and what I mean by that is, you know, have a pleasant environment for everybody, but people who are from a higher socioeconomic status, for example, are probably going to affect. Expect a plusher environment and a much different experience more concierge-type services than somebody who is of a middle class or lower socioeconomic status. Now, does that mean you can just throw folding chairs out for other people? No, we want to make sure everybody is comfortable and they feel kind of like it,’s their living room. You know we don’t want them to feel like it,’s, a stair-scary environment, but you do need to pay attention to it. What is this person, or what are the people in my community expecting when they come in factors impacting engagement, can include stigma about the diagnosis or even about help seeking not everybody is cool with counseling some cultures say you know, counseling disgraces the family. Some of you know older people like my grandmother,’s, age back then, and in the 1940s and 50s you didn’t tell other people your stuff, so be conscious of the fact that just being there may be overwhelming for people’s, expectations about The effectiveness of treatment can impact their engagement if they’ve been in treatment before or they’ve known. Somebody who’s been in treatment before and it just never seems to work. Then they may be there because they have to be for some reason, but they don’t expect you to be able to help them, so their engagement going to be low. One of the things you can do with those people is to make sure you have some tools in your toolbox that are brief interventions that can help them start feeling better. Today, you know tomorrow, something like that. So talk with them, sleep is one of the first and easiest things to start addressing. You know talk with them about their sleep hygiene patterns. You know, because people’s, inability to relax, can contribute to depression and anxiety and a whole bunch of other stuff, so learn about sleep hygiene and how to create a good sleep routine and encourage them to start doing that or encourage them to make a List of the people and things that are important to them, so they can figure out where they’re going from here, and they can figure out why they’re doing all this so find a couple of tools that you can give people, so they can Focus on the fact that yeah, this might help me and it might help me move towards my goals and, oh by the way I’m, starting to figure out what my goals are. People may have expectations about their role or power in the treatment process, so we want to make sure that clients understand that they are in charge. They are in charge of their treatment, make them. You know unless I have to do an involuntary commitment, but that’s something a therapist or is going to do or psychiatrist, but 99 99 of the time you want to work with the client and they’re going to be the ones to tell you what 39, s worked in the past. What hasn’t worked in the past? What’s working right now even a little bit, and you’re going to talk about ways to enhance that. You know we’re not going to force them to do things that they don’t want to do, and they may have certain expectations about the treatment itself. So we want to dispel any myths about what treatment is like. We want to help them know what our facility or the facility we’re, referring to can provide in terms of treatment, and we also want to just help them understand what to expect so. They’re not apprehensive, and you’re likable nests. I hate to say it, but you are likable enough sand. They’re likable near in pact engagement. If somebody comes into your office and you’re doing a screening and they are just, they have no social skills, they’re not attentive. They’re not attractive, they’re, not happy, they’re just mean and cantankerous it’s, going to be hard to engage them and it’s going to take an extra effort on your part to try to hear where they’re. Coming from and hearing what’s important to them and forming a bond, the client’s social skills will impact engagement. If they don’t have great social skills. You know you got to work with it and you know if they’re. I had one client that bless his heart. He was in college and he would still pick his nose and eat it, and you know I had a hard time focusing when he was doing that. So you know I got to the point where he would do it and as soon as he pick his nose, I pick up a tissue and hand it to him and go here. You go looks like you need that, but those are things that you can run into when you are working with clients and you need to keep that from causing a barrier in your ability to engage with them if they’re, not attentive. Ask them why you know or try to look for reasons why they’re, not attentive. You know you seem to be kind of distracted. Is there something I can do to make you more comfortable? And you know it’s just human nature that we tend to be more engaged with attractive people. Not everybody’s attractive. So you know focus on what the person has to say and what their heart has to say to engage, and you know likewise, you may not be written off the pages of Vogue either, but try to present yourself well, try to you know, dress appropriately Don’t show up all disheveled and smelly clothes like looking like you haven’t bathed in a week that that’s not helpful so make sure that you’re presenting your best face and you’re dealing with whatever face the client brings And still trying to build that engagement remember the way a client presents. This tells us a lot about what’s contributing to their presenting issues: poor social skills, and ADHD pain. You know there are a variety of things that can contribute to depression, anxiety, and substance use. So try to look at it from that way, even if it’s not your ideal client understand what’s causing this person to be negative and just argumentative and frustrating try to get under there and figure it out. Why is this person so unhappy? What’s motivating is that first impressions impact engagement, so your professional presentation is promptly courteous and smooth handling paperwork. If you walk in there with 15 sheets of paper – and you’re shuffling them around and it seems like you, don’t know what you’re doing. You’re like just a second. I know I had that form around here somewhere, they’re not going to feel very confident in anything. You have to say so and put on a good first impression. Put it together and make sure your paperwork is put together ahead of time. If you have an electronic medical record, make sure you know how to use it because it’s disturbing to people, even though it happens when you’re, using an electronic medical health record to do a screening and you get stuck and you’ve got To call somebody else in to help you figure out how to get on the next screen make sure the environment is calm, clean and comfortable, not too formal or informal like we talked about it, avoids interruptions and provides the appropriate level of privacy. You don’t want clients sitting in the waiting room being able to hear other clients that are in the therapy, rooms or screening rooms. If you’re doing screenings, you may not even be in an office, you may be out at a festival or something so make sure that you’ve got. You know little pull-around screens or something, if appropriate, to give people privacy other people, shouldn’t be hearing their responses to what you are asking them, even if it’s, you know like I said, even if it’s at a Workplace festival or something other people should not hear their answers. So how can you give them privacy if there’s, no way to do that where they can have auditory privacy put as much as possible on check sheets and forms that they can fill out? And then you can point to something and go so help me understand your answer to this right here. Most of the time you want to try to do a screening in a private room. In the initial interview you’re, developing trust and rapport so be empathetic. They’re nervous, probably or they don’t want to be there or maybe they do want to be there and they’re, just hoping that you can help paraphrase that to them whatever vibe you’re getting off of them, paraphrase that and work With it convey warmth and respect and explores the clients, strengths, and skills, you know you’ve been dealing with this depression or this addiction for a long time. I’m wondering how you’ve survived until now. What has helped you deal with it? And keep on keeping on facilitating the clients, understanding the rationale, purpose, and procedures of the screening and assessment exploring the clients, problems, and expectations regarding treatment and recovery, and determining whether a further assessment is needed. That’s your screening. So the definition of screening is the process by which the counselor, client, and significant others, when possible, review the current situation, symptoms, and collateral information to determine the probability of a problem. So we’re going to sit down and we’re going to go okay. What brings you here today? What makes you think you got a problem, you know, and then we’re going to start asking questions or using instruments to try to determine whether we think that there’s a probability that that problem exists screaming is used by all types of Human Service Personnel to determine eligibility and appropriateness of services and needed referrals, so it may be used by a physician by a nurse by a counselor by a caseworker to determine how can we best help this person achieve their goals and their maximum quality of life? It’s not unusual for caseworkers at the Department of Children and Families. If people are coming in to get their food stamps or EBT that month, or they’re enrolling in the process to do a screening to determine how can we best help this person? You know be able to start earning more money, you know, maybe they just need a better job, or maybe they’re not able to maintain employment because their depression is so oppressive. So you can see where screening may be used in a lot of different systems and situations to help people figure out how to help their customers. Screening determines the immediacy of the need. You know you could be doing a screening with somebody who’s like on the fence, or they don’t think they’ve got a problem and it you know there or their problem is minor, so the immediacy may not be great or you could Be screening somebody who is you know heavily intoxicated was just kicked out of his house is facing three DUIs. You know they have a much more immediate need for their safety as well as, hopefully, they’re. More motivated screening needs to be a trance process. We don’t want to sit there with a clipboard and be asking questions and scribbling things down and going uh huh. Well, I think you need to go for an assessment that’s not transparent. The clients like, where did you come up with that I usually use screening instruments, and I talk with people when I’m writing things down. I tell them at the end. If you want to see anything I wrote down, I would encourage you to know I don’t write well, and I’ve got poor penmanship, but I encourage you to read what I wrote and we’re going to talk about these instruments after you Take them so you know you know why were we asking these particular questions? What does it mean to me as a therapist doing your screening, so they understand how you’re arriving at your conclusions? Screening does require informed consent. You know it. Doesn’t have to be a big thing, but it does have to happen before you start screening somebody you need to go. You know I’d like to screen you for depression or anxiety, or this is a wellness screening that your agency is offered, but have them ideally have them sign a sheet acknowledging that they know that they’re being screened for whatever and screening identifies Early warning signs and helps provide early intervention, services and resources, so you know think about high blood pressure or diabetes or any of those physical things doctor screens for that regularly, and if they see that there might be a problem creeping in, they can do something right. Then, to keep it from becoming a full-blown problem. Mental health screening is the same. We notice people are under a lot of stress. We know that that’s probably going to wear them out after a while, and it might lead to depression. So we can start helping them, develop stress management skills, for example. They may not need to go to treatment, maybe they need to go to psychoeducation and learn about stress management, or maybe you’ve got a book. You can let them read or something. But screening is a method of determining what the person needs. Screening is the first opportunity to engage the client in the therapeutic relationship and treatment process, sometimes based on observations or other circumstances. People may be referred directly for assessment, for example, if people come into the detoxification unit we kind of bypass screening. We know there’s a problem and jump straight into assessment, so screening doesn’t always happen, but a lot of times. It does because of that referral source – you know if you’re an Assessor that person came from somewhere. You know their lawyer could have screened them. Their doctor could have screened them whatever, but somebody along the way, probably screen them to determine yeah. You probably need to go over to this facility and talk to an Assessor of the clients. Internal motivation is the primary reason for engaging in treatment. So if they’re there because their wife told them they had to be or their boss or the courts that got them there, but to get them actually engaged in treatment and not just going through the motions they have to have internal motivation. There has to be something in it for them, and that’s, what we want to work on developing throughout the whole process, help them see how this benefits them, what’s in it for them, how can it help them accomplish and get closer to their goals for their life, internal motivation may be fleeting, so rapid engagement is vital. If you see a spark of interest or a spark of willingness, we kind of need to pounce on that spark and go alright. It seems like you know you want to get on with this because you’re sick and tired of being sick and tired. So let’s get you enrolled. Now, if you have to make an appointment for an assessment that’s six weeks out, you may lose the person. You know that engagement doesn’t last for long. The engagement lasts while they’re in your office, and then you know you got to have somebody else, pick it up and keep that momentum going. Screening should be brief. You know twenty-thirty minutes you don’t want to have somebody in there for three hours, that’s the assessment conducted in a variety of settings by a range of professionals on persons deemed to be at risk. Some things we do Universal screenings for like domestic violence, other things you may do selected screenings for – and it also depends on your setting and all that kind of thing. But the take-home point is that screenings are conducted in a variety of settings, whether it be a Health Fair at an employer,’s, a doctor,’s office, sometimes churches will even set up wellness days and do screenings screening represents the first part of a Collaboration among the multidisciplinary team because the screener is going to say, okay, I think I’ve identified that this person probably has an issue with this and needs to be referred to assessment over here, but they also need help with housing and food and affording their Prescriptions, so the screener will kind of link them to other team members in the multidisciplinary team. Screening needs to be sensitive to racial, cultural, socio, economic, and gender-related concerns, so make sure that you’re, culturally responsive and it needs to be developed from information gathered from multiple sources when possible. When you’re doing a screening a lot of times, the only person you’ve got to do. The screening is the person sitting right in front of you, but if you’ve got other information. When I do screenings on people in the criminal justice system, I want to see their criminal records. You know that gives me some objective. Information on you know how many times have they been caught? Dui, whether or not they’ve been convicted? How many times have they been caught DUI, that gives me a little bit more information than just what that person is telling me if they’ve been involved with the Department of Children and Families. I want them to bring their case report, especially if they’ve got an open case going on. Screening assesses signs and symptoms of intoxication and withdrawal. Three key elements: we want to verify that the behavior deviates from the norm and rule out all non-drug related causes. So if somebody is having difficulty focusing or they’re agitated, we want to rule out ADHD and schizophrenia and some other things that might cause that, to rule in, if you will stimulant abuse, for example, you want to verify that there. This is not how they normally behave. You know some people are agitated and a little bit more bouncy or fidgety or whatever you want to say most of the time. If that’s how they are, then you know that’s how they are and it’s not a drug, wants to rule out the drug-related causes, including physical causes. You know if they’re in chronic pain if you know etc. There are a lot of reasons somebody could be excessively sleepy have difficulty concentrating be overly agitated. There are a lot of things that use diagnostic procedures to determine the types of drugs being used. So in screening, we’re going to ask them what they’ve been using. But ideally, you can also do an on-site drug screening. You know having a pee in a cup and the on-site. Screenings are not super reliable, but it gives you something to look at. You know most cases, it’s anywhere between 60 and 70 percent reliability, which is why, if it comes up positive and the person says, I didn’t use that it needs to be sent off to a lab for mass spectrometry. To determine what happened, because you can get false positives and you can get false negatives, they may have used something and it doesn’t show up on the test. So you don’t want to just trust the on sites as being a hundred percent, but it is a good tool to identify whether the person is telling you the truth about how much or what their current, whether they’re currently using or not assess Clients, mental health and trauma history. You’re not going to get deep into the weeds here, just ask them if they have a history of depression, anxiety, or abuse of any sort and move on to their safety or environmental needs. Do they have a safe place to sleep? You know if they have an address, you know, do they feel safe in their home? Do they eat well, how’s their nutrition? Do they have any physical health needs that are not getting met? Do they have any other wraparound needs? If they’ve got kids, do they have access to childcare? Are they having problems with transportation? Are they able to afford the medications that they’re already prescribed, etc? So we want to ask them about some basic things like that, and then we’re going to assess the danger to themselves and others. Are they talking about harming themselves or someone else? And we also want to ask if they’re thinking about hurting themselves or someone else. Screening methods include interviewing the clients and significant others using screening instruments and lab tests like urinalysis that we talked about signs of substance, use disorders or mental health issues. We want to look for number one, the circumstances of contact. If the person was referred by the court, then that’s a pretty good sign that there may be a substance use disorder going on if they’re referred because of a DUI. For example, if they’re referred because of a fight they got into, but they weren’t using at the time their blood alcohol was zero. We want to look maybe for mental health issues and things like intermittent explosive disorder. You want to look at the clients, demeanor, and behavior. Are they acting like they’re under the influence when they come in for the screening? Are they showing signs of acute intoxication or withdrawal? Are there any physical signs of drug use or self-injury? Needle injection marks, if they have a get frequent bloody noses, you know if they get bloody noses, while they’re in your office or if they have signs that they’ve been picking. Those can be all physical signs of drug use. Emaciation and malnutrition are also signed some drugs will cause the pupils to be dilated. Other drugs will cause the pupils to be pinpointed. So you want to know what the signs of different drugs are for drugs of intoxication and different signs that people have been using, especially injection, but, like I said, sometimes, drugs will cause people to pick or itch, and that will show indicate to you that there might Be an underlying issue and information spontaneously offered by the client or significant others can give you information about whether there’s a substance, use or mental health issue, and sometimes the significant other. Let me just kind of back up: there may be the significance the spouse brought the person in and when you go out to meet them you, the person, the person being interviewed. Doesn’t want their spouse in there. They want. They want to go back by themselves, okay, that’s cool, you go out and meet the person and then, if you can, with permission, bring the spouse back after the screening to give them both the results, and at that point the significant other the spouse may Spontaneously say: oh well, why didn’t you tell them about? You know the DUI you had three years ago or whatever. So sometimes spouses will just kind of blurt things out because they suspect that the significant other didn’t already say it during the interview. So if you can get that person in a private place where they have an opportunity to say something wonderful but remember you know you do have to have the client’s permission. Screening instruments can be developed by the agency or use standardized instruments. The cage is a common one and you ask a person: have they tried to cut down unsuccessfully, do they feel annoyed when people talk to them about their substance use, do they feel guilty about the substances about using their substances and do they sometimes have to Use first thing: in the morning to kind of wake up we call it an eye opener if they say yes to one or more of those, there’s a chance that they may have a problem. The gain is another tool that you can use, as is the Michigan alcohol screening test or the Sasi. So all of those are standardized instruments, and some of them cost money. Others, like Kay, don’t, so it may depend on your agency and what kind of budget you’ve got. What instruments you’re using any instruments you do use must detail what action should be taken based on received scores. So if a person takes the cage – and they say yes to one but not any of the others, does that mean they should be sent for a referral if they say yes to two, when at what point should they be sent for a full assessment? You want to screen when screening for mental health you want to screen for acute symptoms such as hallucinations, delusions or depression or anxiety, suicidal thoughts and behaviors, and other mood and thought disturbances. So you’re going to ask them about time, place, purpose, and person. Do you know what time it is? Do you know where you are? Do you know why you’re here and do you know who I am you’re going to ask them about short and long-term memory if they can tell you about something from their childhood great, but you’re also going to ask them If they can tell you about what they had for lunch, another thing you want to assess or another way to assess short term memory is to tell them. I’m going to tell you four words and I want I’m going to. Ask you in a few minutes to recall those four words for me and then tell them four words: make them easy words like dog cat, bird, and fish. You know not something hard to remember and then in five or ten minutes. Ask them what were the four words I told you and see if they can remember you’re going to ask them about prior involvement in mental health treatment. What worked and what didn’t if they have been in treatment? What prescription medications do they use, and this includes all prescriptions because physical health prescriptions can have mental health side effects? Ask them about recent traumas again, don’t get into it, but ask them if they’ve been victimized or experienced any sort of abuse and a family history of mental illness. If they have a family history of mental illness, the chances of them developing mental illness are a little bit greater. When screening for mental health, you’re going to use the modified mini screen, the Mental Status exam, the mini Mental Status exam. The brief symptom inventory, a brief psychiatric rating scale, or the symptom checklist 9 t r. So those are the ones that you’re, typically going to use a lot of times. They’re already in your electronic medical record, so you’re not going to have to figure out what to use in terms of you know, knowing what the instruments are for certification and testing purposes. These are the six that you want to be aware of. So you can google each one of them and find out more about what each screening test can provide. Your screening is the initial contact to decide if a person may need a more in-depth assessment. Screening is brief but requires the person to be engaged in the process to get an accurate result. How well the person is engaged in the screening process is a direct predictor of whether he or she will continue in the process. 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 doctor Snipes by subscribing at all CEUs comm slash counselor toolbox. This episode has been brought to you in part by all CEUs com providing 24 7 multimedia, continuing education, and pre-certification; training to counselors therapists, and nurses, since 2006 use coupon code consular toolbox to get a 20 discount off your order. This month,As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

10 Signs of Hidden Anxiety

 According to the American Psychological Association, People with anxiety have a future-oriented fear which leads them to avoid anything that could potentially trigger a stress response. In 2017, the National Institute of Mental Health reported that approximately forty million people worldwide suffer from anxiety. Anxiety disorders are highly treatable, but recent surveys show that only 36 9 of those suffering from it seek treatment. This might be because most people with anxiety worry about the judgment of others and how the stigma against mental illness might negatively affect their lives. Does this sound familiar to you, Do you worry, you might be suffering from anxiety and just don’t realize it Here are 10 telltale signs of hidden anxiety to look out for 1. You don’t like talking to people face to face. You can easily keep a conversation going for hours when you’re texting or chatting online with a friend, but talking to someone in person. No, that’s an entirely different story, Even if you already know them well or have talked to them online. You still get tense and nervous talking to them in person. You have trouble making eye contact or finding the words to respond to, and you want to end face-to-face conversations as soon as they begin to 2. You’re, always self-conscious. Do you walk into a room and immediately feel like everyone is staring at you listening to you and judging your every move, Or perhaps you’re overly conscious of the way you walk the way you eat the way you sit the sound of your voice when You talk, and so on. This could be a sign that you have hidden anxiety. 3, You’re, easily upset or irritated. Has anyone ever told you you’re too sensitive? Do you find your feelings getting hurt easily? Are you quick to get angry or upset with others over the littlest things? This kind of emotional volatility may be a sign that you have high-functioning anxiety As anxiety can often make us easily overwhelmed and emotionally imbalanced. Frequent mood swings. Temper, tantrums, and irritability can be expected when you’re overly anxious 4. You’re, panicky and easily startled Anxiety makes you want to be as in control and vigilant as possible. An unexpected phone call, a random knock on the door, an email with no subject, or a forgotten task. You can easily finish Anything is enough to send you reeling with panic. You go into a tailspin whenever something catches you off guard and you find it hard to relax. Even when the smallest things don’t go exactly as planned. 5. You’re indecisive. Do you have trouble, making even the simplest of choices? Are you afraid of making up your mind about something because you’re so sure that whatever decision you make is going to be the wrong one? Oftentimes anxiety can manifest as perfectionist tendencies, fear of failure, or distrust in oneself. If you can’t make your own choices without thinking about it for hours and hours first or consulting with all your friends and family, you might be harboring some hidden anxiety. 6. You overthink past conversations. You tend to get hung up on past conversations. No matter how much time has passed since then You analyze the other person,’s, body, language, facial expressions, choices of words, and even the tone of their voice. You can’t help but think about what you should have done or said instead and it drives you. You are crazy and keeps you on edge every time you remember it. 7, You’re, always making yourself busy It’s common for people with anxiety to have a strong need to keep themselves busy. They’d like to occupy themselves with simple tasks and do as many things as possible in a day because sitting still and doing nothing for a long time can make them feel restless and on edge 8. You talk yourself down all the time. Life is 39. T is always kind to us and has self-love and a balanced lifestyle. Doesn’t come easily Living with anxiety, especially if it’s hidden or suppressed, can make it hard for us to feel good about ourselves and let ourselves feel happy. It makes us believe that we don’t deserve it and traps us in a vicious cycle of negative self-talk and constant pressure to be perfect. 9. You have a lot of negative thoughts. Are you a pessimist whose quick to find the downsides in every situation? You find yourself getting upset or stressing out over it. Even the most minor inconveniences Are every day, a constant battle with yourself against the spiral of panicked and rational thoughts. You have In 1997, famed psychologist and cognitive therapist Aaron Beck termed this kind of thought pattern as catastrophic thinking Which he often observed in his patients, who suffered from anxiety And 10. You experience physical symptoms. Sometimes anxiety can be entirely physical, because, while your conscious mind may not always be aware of your anxiety, it will make itself known to your body Things like erratic heartbeats chest, palpitations muscle tension, a clenched jaw shaky hands up a few sweating are all indicative of Anxiety, Your body may be trying to let your mind know that you’re feeling anxious and stop it before it gets any worse. Do you relate to any of the problems listed here Or do you do your best to seem ok And hide your symptoms, because you feel embarrassed about your anxiety? The truth is you’re not alone, and having mental health issues is nothing to be ashamed of. What do you plan to do next? Let us know, in the comments below Don’t forget to like this video and subscribe to Psych2Go for more psychology content Thanks for watching and we’ll see you soon. .As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

6 Signs You’re Burnt Out, Not Lazy

 Why does it seem like you, spend most of your time in bed lying down and not doing much lately? Are you someone who easily gets tired and doesn’t feel like doing anything? Do you label this kind of behavior as mere laziness and nothing more? There.’s, actually a lot of overlap between laziness and burnout that can make it difficult to differentiate between the two Burnout is a negative state of emotional, physical, and mental exhaustion caused by excessive stress and inability to cope with it, And as 2010. A survey reported that approximately 75 of adults in the United States alone have experienced symptoms of burnout, with over 40 of cases being more severe. Now more than ever, it’s become imperative to educate and better understand the nature of burnout. So with that said, here are six telltale signs that what you’re experiencing right now, isn’t laziness, but burnout. Upbeat music, Number one! You feel disconnected from everything. Are you going through the motions of every day as if on autopilot? Is there a persistent feeling of being detached from your self? If you’re suffering from burnout, one of the things you might be experiencing, but don’t quite realize or understand, is depersonalization People experiencing depersonalization most commonly those struggling with trauma report feeling a strange sort of emotional, numbness or emptiness as if they were watching life. From outside of themselves, They don’t feel like themselves anymore. They don’t feel engaged by anything And they constantly struggle with the overwhelming sense of helplessness and inability to take back control of their lives. Number two you used to be motivated: Laziness is a character, trait, And character. Traits tend to remain stable over time. A lazy person doesn’t ever feel like exerting effort or applying themselves to things. But if you used to be self-motivated and high, achieving often excelling in certain areas, and have only recently become exhausted, apathetic, and unmotivated, then it’s more likely that you, ‘re suffering from burnout and not laziness like most people, would think Number three. You used to be passionate A clear difference between someone who’s burnt out and someone lazy. Is that the former used to have things they were passionate about, but may now be struggling to find interest or enjoyment in anymore, Whether it’s a talent, a sport or just your academic or professional performance in general burnout can make it hard for you to Do the things you once loved or felt passionate about You might even come to hate or resent it because of how much you overworked yourself and pushed yourself to the brink because of it Ouch Number: four, you’ve become moody and irritable. Do you suddenly find yourself snappy and easily irritated? Do you often feel emotionally out of control nowadays and don’t know why Moodiness and irritability are common but often overlooked signs of burnout? So if you start to have trouble controlling your emotions, especially when it never used to be a problem for you, this might be the reason why Lazy people, on the other hand, are a stark contrast to this, because they’re, often very relaxed, laid back placid And unaffected by things Number five, you’ve neglected your self-care. One of the most distressing warning signs that someone may be emotionally and physically burnt out is, if you start neglecting yourself care and socially withdraw from others.  There are concerning changes in your eating and or sleeping patterns. You stop making an effort to groom yourself or look good, and you tend to spend most of your time by yourself doing nothing because you’re so easily exhausted by even the simplest of tasks. The difference between being burnt out and laziness is starkly in the fact that you weren’t always this way And number six. These changes happened gradually. Finally, but perhaps most importantly, something you should know about burnout is that it develops in stages. So all of the points mentioned before losing interest and motivation, especially in things we used to love feeling detached from yourself and disconnected from everything around you, socially withdrawing, and neglecting your self-care won. ‘t just happen overnight.Studies show that there are five major stages of burnout, each with increasing degrees of severity, The honeymoon phase, the onset of stress, chronic stress, burnout, and habitual burnout. Many people begin to experience symptoms as early as the second phase when there is still a moderate amount of stress, but optimism, interest, motivation, and performance may already start declining by the time you reach the fifth and final stage. Burnout has already become so embedded in your life that the persistent mental and physical fatigue becomes more intense and harder to treat making you more vulnerable to developing depression and anxiety. Spotting the signs of burnout early makes it all the easier for you to get help and recover from it That’s, why it’s so important to raise awareness about burnout instead of simply dismissing it as laziness like most people tend to do So. If you or anyone you know, may be suffering from mental or emotional burnout, please don’t hesitate to reach out to a mental health care professional today and talk to them about it. If you find this video helpful, be sure to hit the like button, feel free to leave a comment down below with your thoughts, experiences, and suggestions, and share it with those out there battling the haze of burnout. Don’t forget to subscribe, just go and hit the notification bell from one new video And, as always, thanks for watching upbeat music.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

5 Differences Between Anxiety and Panic

 Hello Psych2Goers, We want to say thank you for all the support you’ve, given us over the last few years. It’s truly amazing, to know how big of a community we have built around mental health, advocacy, and awareness. We are proud of that and we’ll love to continue to serve where possible. Today,’s topic is the difference between anxiety and panic disorder. If you are struggling to know the difference, then this topic is for you, Although it can be distracting and distressing anxiety is a completely normal part of life. Everyone will experience bouts of anxiety at some point in their lives, usually surrounding a stressful event, such as an exam or job interview, But only 18 of Americans are truly diagnosed with generalized anxiety, disorder or G, A D According to Kathleen Roblyer a psychiatric mental health nurse Practitioner and clinical assistant, professor at Texas, A M Health Science Center College of Nursing anxiety, is a common experience. When the presentation of anxiety meets certain criteria, such as in generalized anxiety disorder, it becomes a disorder. The same relationship distinguishes individual panic, attacks from panic disorders. A chronic and distressing condition that affects two to three percent of adult Americans. Recurrent panic attacks can be considered a panic disorder when the individual begins to live in fear of experiencing more attacks, thus interfering with everyday life and often triggering more attacks Just as anxiety and JD are used interchangeably despite being different experiences. Panic disorder is often misunderstood as being severe anxiety, While the two are very related panic disorder falls under the category of anxiety disorders. They are not interchangeable because of the distinct ways each affliction presents itself. Here are five of the most significant differences between anxiety and panic. 1 anxiety can last much longer, Fortunately, for those who suffer from panic attacks, episodes are usually short lived While a lot of attacks and within 10 minutes of beginning according to the Perelman School of Medicine. At the University of Pennsylvania, multiple rolling attacks can come and go for several hours at a time. Of course, the frequency of panic attacks varies from person to person, so no two experiences will necessarily be the same. Anxiety, on the other hand, is much more long-term. You can think of it more like a change in one’s everyday behavior, rather than a sudden onset of severe distress. Symptoms can last for years, even with treatment, but just like panic disorder, no two cases of anxiety are the same 2. Panic is specific, while anxiety is more general Kathleen, Wobblier PM HNP of texas, a and m explains 39. A panic attack is a specific event that occurs with defined characteristics and involves feelings of intense fear, danger, or doom, whereas anxiety is a more general term related to stress and worries 39. Neither anxiety nor a panic attack needs a specific trigger to cause it. But anxiety can also cause generalized stress and worry about the future past and even hypothetical events. Panic attacks often occur out of the blue without any triggers present. This doesn’t mean that triggers panic. Doesn’t exist, but the lack of casualty can make these seemingly random attacks. More distressing Anxiety attacks, though, typically occur about a specific event situation, or thought that triggers the unwanted response, while anxiety disorder can disrupt a person’s life, even when the triggers are not present 3, they have different symptoms, Although both disorders are based in A severe sense of worry or fear they express themselves in different ways. According to dr Ted Wander, inpatient psychiatry, and medical director at Intermountain, LDS Hospital, the symptoms of a generalized anxiety disorder include more generalized emotional symptoms such as irritability, Feelings of worry or dread, trouble, concentrating, and feeling tense or jumpy. The symptoms of panic attacks, on the other hand, are more severe and come on more abruptly than symptoms of GAD. They can include sweating shaking chest pain, a rapid heart rate, and even numbness or sensations of choking For a more thorough list of symptoms and information. About panic and anxiety check out dr Wander’s, article 4 panic attacks are more sudden. Symptoms of anxiety attacks tend to show themselves gradually when exposed to a trigger When anxiety disorder becomes long-term, though, symptoms can become so constant that it can be hard to tell when they begin and end. Anxiety may also begin to cause more intrusive symptoms that occur more frequently when stressors are not present. A psychologist would likely consider this to be a symptom of anxiety disorder. According to the anxiety and depression Association of America, panic attacks are much more distinct. Symptoms come on suddenly and noticeably rather than building up gradually over time. The acute nature of panic symptoms, such as chest, pain, and shortness of breath have led many to mistake their symptoms for a heart attack. Luckily, panic attacks are not life-threatening and will often resolve on their own in a fairly short amount of time. 5 panic attacks can leave you feeling unreal and out of control For many the scariest symptoms of a panic attack, aren’t the physical sensations, but the mental unrest In an article for the National Alliance on Mental Illness. Writer, Jenny, Mary recounts her own experiences with these symptoms. She describes the realization as feeling withdrawn from one surrounding as if the world isn’t real Depersonalization, on the other hand, is closer to an out-of-body experience In which a person feels separated from his own self Jenny. Didn’t learn that this disorientation was also part of the panic disorder until she had worked through her symptoms, But once she learned that her experiences were not as unusual as they felt she began to have the peace of mind that allowed her to share her experiences. In this article and throughout her life, To summarize, the main difference between anxiety and panic disorder is Anxiety. Last longer, Panic is specific, while anxiety is more general. Panic and anxiety have different symptoms with anxiety involving symptoms like irritability, while panic attacks can include a shaking chest, pain and increased heart rate, and even numbness, And lastly, panic attacks are more sudden. Hopefully, you found this video helpful, Be sure to subscribe and comment below to suggest topics You would like to see us cover. Panic attacks are terrifying. The best way I can describe My panic attacks is one of those heart attack scenes from every single medical drama. There is It’s much worse than sweaty palms. Your entire body starts sweating. Sometimes things become cold. Whenever I’m at my worst, my breathing becomes so rapid that my throat hurts Noises come out of your throat without your permission and you don’t. Even recognize them.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

Worried or Anxious? Remember These 4 Things | Sadhguru

 Sadhguru: Our mind is a tremendous gift where it remembers vividly every experience and every piece of information that comes our way. Well, this can be transformed into a phenomenal imagination. But if you lose control over your imagination, if you lose the discrimination as to what is imagination and what is reality; what is future, what is present and what is past; then (Laughs) your mind will become your greatest enemy. Most human beings are not suffering in life. They are just suffering from their memory and their imagination. What happened ten years ago, they still suffer. What may happen the day after tomorrow, they already suffer. This is not about life. This is about a lack of control over two most fantastic faculties that human beings have a vivid sense of memory and a fantastic sense of imagination. Do not worry about your future. If you do your present well, the future will naturally blossom. We can only work with what’s on our hands right now (Laughs). You cannot work with what’s on your mind. You can plan for what’s on your mind, but you cannot do anything about it. You can only act in the present moment. You can only handle what is there right now. Those of you who’re too engrossed in your thoughts and emotions, constantly being maybe on social media or something, I think you must get rid of your phone and take a walk in the forest. If it’s not possible every day, at least one or two days a month, you must get lost somewhere, just be in nature all by yourself, walk, sit, and observe. If you pay enough attention, you will see you will be so enchantingly enamored by every little thing in existence because the way a single ant is made is too much for you and your intelligence to grasp exactly how this is made. Those who have not peeled their eyes to the creation, get too enamored with their mental creations which are their thought, the juicy part being emotion. When your thought and your emotion becomes more important than the creator’s creation, that means you have become a perceptional tragedy, you have not realized the nature of life at all. We know many things. We can do many things. But, we do not know anything in its entirety. So, this is the nature of existence. If you pay attention to it, naturally, your thought and emotion will sink into the background. You can still enjoy them. But you know how insignificant it is. So it’s very important that if you want to experience the multifarious dimensions of life, you have to be non-serious. You become serious only because you have taken your existence too seriously, though we exist here for a minuscule amount of time in this cosmos. This is a vast cosmos. The very planetary system, the solar system, in which we exist is a speck. On that planet, Earth is a micro speck. In that micro speck, the place you live or the city you live in a super micro speck In that you have become a big man or woman and that’s the reason why you’re so serious about life. It’s a brief amount of time that you have as life. In this, if you take yourself too seriously, you are one big joke. The secret of life is to see everything with a non-serious eye but to be involved like a sport. So be a sport for life. If you want to be a sport for life, you have to be able to see that your existence is of consequence for the times in which we live, but not of eternal consequence unless you touch the eternal dimension of who you are. It’s such a brief life, only by doing what you truly care for, will your life become worthwhile. If genuine involvement has to come in your life, for you to give yourself absolutely, you must be doing something that truly, truly matters to you. You must find that. When I say it’s important to find that, you don’t have to spend half your life looking for what is my passion. No. You just have to dig into this ability you making everything yours. When everything is yours, this whole world is yours, this cosmos is yours. So when it is a part of you, if you involve yourself absolutely, and constantly strive to create what matters to you, what you care for, then your existence itself will be worthwhile, not necessarily your actions, not what you achieve and may not achieve, but your very existence will be truly worthwhile because just to breathe and be is phenomena (Laughs). There are no greater phenomena than life. If this is not worthwhile, if this is not worthwhile, what is? .As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

10 Signs Your Mental Health is Getting Worse

 Upbeat, Music, Hey Psych2Goers, have you ever thought about joining our team of animators or writers, Or perhaps you want to start an animation channel of your own? Are you looking through as many youtube channels as you could for tutorials and tips, but wasting a lot of time on some, not so helpful ones? Skillshare is a great place where you can learn new things with their online classes and they have animation courses as well Click the link in the description below to get your free trial of Skillshare Premium, Hey Psych2goers, and welcome back to our channel. This video is suggested by one of our viewers Army Blink. Thanks for the suggestion Now let’s get started. Have you been wondering if your mental health is possibly getting worse? Mental health just like physical health, affects everyone, whether you are suffering from a mental illness or not. Your mental and emotional health can fluctuate from time to time, depending on the stresses going on in your life, So it s always a good idea to check in with yourself and try to gauge the direction your mental health is going in With that said, here are Ten signs that your mental health is getting worse NUMBER ONE, You re losing interest in the little things. Do your favorite activities suddenly seem meh to you? If you’ve started to lose excitement for life s little things, then this is a sign that your mental health might not be at its best. You might be feeling this way because of an overload of stress in your life, or you’re feeling overwhelmed with all of your responsibilities and to-do lists When you lose interest and don t enjoy the hobbies and activities that you once did. This could also be a warning sign of depression If you think this could be what’s happening to you know that you are not alone and that help is just around the corner. Talk with a trusted friend or a family member or a mental health professional. To get the help you need to navigate these troubling times NUMBER TWO: You get overwhelmed easier. Do you find that you’ve been getting overwhelmed more often than normal? When do you have a to-do list for two or three tasks? Does it feel more like you? Have ten things to do When you start to get overwhelmed easily with everyday things, this could be a sign of worsening mental health According to Psychotherapist, Sheri Jacobson, feeling mentally overwhelmed could be an internal reaction to excessive outside stress. To help cope with this overwhelming feeling. You can journal meditate or practice mindfulness NUMBER THREE. You don t feel like socializing that much anymore Does it feel more exhausting to interact with people nowadays, Regardless of whether you’re an introvert extrovert, or somewhere in between? We all have a standard comfort level when it comes to social interaction If you feel yourself slipping below your comfort level. Pay attention to this. Remember that, even if it does t feel that way at the moment, interacting with people can help boost your mood. We want to mention that we’re happy to have skillshare as a sponsor today because they promote the idea of a self-made. Are you planning to learn a new skill, perhaps illustration animation, or writing? It would be great if everything you need is all in one place right? Well, Skillshare has thousands of catered courses across all kinds of topics like design, business, tech, and more. There is truly something for everyone. Skillshare has a great intro class on animation that we recommend The course is called Creativity, Unleashed, Discover, Hone and Share Your Voice Online by Johannes Fast. If any of you are interested in learning basic animation, I recommend you go check it out. In the link below The first 1000, people will get a free trial of Skillshare Premium and after that, it s only around 10 a month. Let us know what Skillshare courses you’re taking in the comments below FOUR You don t have a consistent sleep schedule. Have you developed a seemingly random sleep schedule, Despite wanting to get up at a certain time in the morning, do you wind up sleeping all day When you have an irregular sleep schedule? This could signify increased stress in your life and a decline in your mental health. If you’re struggling to regulate your sleep, you can try setting up a routine to wake up and go to bed at the same time every day, This will get your body back into its regular rhythm of sleep and wake cycles, therefore, no longer causing sleep Disturbance, FIVE, You always feel drained Despite getting enough sleep and eating well, do you constantly feel exhausted or drained According to Healthline mental exhaustion can set in when you are under long term stress and this type of exhaustion can make it feel like you are trying to Move up a mountain More than just feeling tired. When you are this drained and constantly exhausted, you might struggle to get anything done. Healthline suggests practicing gratitude, relaxation, and yoga, as well as talking to a mental health professional, to provide medication for you. If it s needed Treatment, plans will look different for everyone, but regardless there is a way that will work best for you to help pull yourself out of this state of exhaustion. Six, Your anxiety seems to be increasing.  Do you wake up in the morning with a crushing sense of anxiety that stays with you all day? Does this anxiety cast a cloud over your daily activities? Worsening anxiety can often coincide with worsening mental health. Anxiety affects us all whether or not you happen to suffer from a particular anxiety disorder. It s important to monitor your anxiety levels because a noticeable change can tell you a lot about your mental health. Anxiety is a stress response and it can cause a variety of psychological and physical symptoms. When you feel overly anxious, you might notice that your heart rate speeds up and your breathing rate increases, and you might experience a bout of nausea. Seven. You feel mentally and emotionally shattered. Do you feel like there are so many things happening around you, but you can t focus on any of them? If so, you’re not alone From time to time it s normal to feel this way, especially when you are going through higher amounts of stress. However, if you are feeling scattered and like things are spinning out of control, this could be a sign that your mental health is under strain According to Psychologist, Rick Hanson from Psychology. Today, you probably feel scattered, because you are struggling to find your center. This means that, for your brain to feel more organized, you need to feel at peace within yourself. Practicing mindfulness such as yoga and meditation are great places to start on the road to inner peace. Eight, You can t seem to pay attention. Do you have a harder time focusing and staying on task When you’re reading? Is it hard to comprehend? Do you have to reread the same passage over and over, Though it could relate to potential psychological disorders such as ADHD, depression, or anxiety? It is also likely that a lack of focus can be due to stress or poor self-care. It can be frustrating to start losing focus so frequently and those feelings are valid and normal Remember to take care of yourself and, as you recover know, that help is available NINE. You might be struggling with your impulse control. Are you acting more on impulse? Are you possibly indulging in things you should t, Whether it s retail therapy or binging, all of your shows, or playing video games for hours? When you act more on impulse like this, it can signify worsening mental health. You might pick up some unhealthy habits as a way to cope with life. Stress fulfills you or distracts you from a major issue going on in your life. Journaling, mindfulness, and therapy are great ways to start uncovering some of these issues. Ten, You are struggling to feel, grounded Similar to feeling centered when you are grounded. You are feeling confident and balanced within yourself. According to Irene Langeveld, an energy worker and meditation coach grounding starts with the root chakra at the base of the spine known to help. You feel secure Activities that connect your body with the world around you, such as hiking, meditating, or walking outside, are all great ways to help. You find your sense of grounding. Can you relate to any of the points made in this video? Do you think your mental health could be slipping If so know that there is help you can reach out to You. Can talk to a trusted friend, family member, or mental health therapist for support? Please like and share this video if it helped you and you think it can help someone else too. The studies and references used are listed in the description below Don t forget to hit the subscribe button for more Psych2Go videos. Thank you for watching. We’ll see you next time, Video by Psych2go.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

Cognitive Behavioral Therapy (CBT) Skills and Counseling Techniques with Dr. Dawn-Elise “Doc” Snipes

 CEUs are available for this presentation at AllCEUs.com/CBT-CEU Hi everybody and welcome to today’s presentation on cognitive behavioral therapy skills. Like the other the presentation we did on assert not assertive community treatment acceptance and commitment therapy, which is also based on just providing information about skills that can be used not providing an evidence-based practice we couldn’t cover that in a full hour or just an hour so over the next hour we’re going to define cognitive behavioral therapy and its basic principles a lot of us are familiar with this but it’s going to be a good review and it also may highlight some nuances that you didn’t know about will identify factors impacting people’s choice of behaviors explore causes and impact of thinking errors and identify common thinking errors and their relationships to cognitive distortions so why do we care well as therapists we want to help people figure out the best way to live a happy healthy meaningful goals-driven life for some people that’s going to mean using some cognitive behavioral interventions that can be in addition to mindfulness that can be in addition to a lot of other things but it’s important to help people understand that the way we believe things to be the way we interpret things is going to affect our reactions so for example think about a situation you know you’ve walked into and maybe you walked into it with a small child and it was a different situation it was a new situation but you know it was no big deal you walked in it was not a threatening situation to you because you were like hey I got this the little kid walks in and goes oh wow there are a lot of people walking around here, this is the really scary same situation as two different perceptions you probably didn’t have much of a stress reaction going on whereas the little child probably had this fight-or-flight thing going on grabbing onto your hand like please don’t let go Atlanta Airport is a perfect example if you’ve ever taken a little kid through Atlanta Airport gives you an idea about how people can perceive things differently and when you enact that fight-or-flight the reaction you’re going to have all those stress hormones you’re going to have all either anxiety or anger or whatever that goes with it it may serve to exhaust the person and leave them feeling hopeless and helpless so what we want to do is help people see that but we also want to help them see that when they’re depressed when they’re tired when they’re sick things are going to seem a lot worse a lot of times because they don’t have the energy to perceive it differently I mean when you’re sick it’s overwhelming to think of going through Atlanta Airport so this is what we want to help people start understanding is it’s two sides of the same coin they interact if one is you know kind of going wonky is going to affect the other one the good thing is if one’s going well the other one’s going to go well if you’re having positive thoughts you’re probably going to feel pretty good there’s an activity and I think we’re going to talk about it later it’s called the coin flip activity and I asked client clients to flip a coin in the morning and in the morning if it turns heads then they have to be the most positive Pollyanna all day long look for the silver lining and everything smile walk with their head up hold those nonverbals up and see how they feel at the end of the day besides a little sore because there are muscles they’re using they haven’t used in a while if it lands on tails they can just be their normal selves which generally if they’re seeing me means that they are depressed anxious stressed out angry about something in the negative realm then we talk about how did things seem different on the days when you were feeling better when you were walking taller when you were smiling even our nonverbals it doesn’t even have to be sickness it can be our nonverbals that can make us feel or make our body feel heavy and tired and make it seem like it’s a whole lot harder to deal with life as a person who perceives the world generally good and believes they can deal with challenges as they arise that good old self-efficacy will be able to allow their stress response system to function normally so if they’re like you know what I can deal with whatever life throws at me I’ve got it and maybe I need help with it maybe I’ll need to ask for support but I’ve got it it’s not going to completely overwhelm me with people who see the world as hostile unsafe and unpredictable you know for a variety of reasons whatever happened to make their scheme as such that they don’t believe that people or the world is trustworthy are predictable they are always on guard they’re always kind of like a hamster in a cage that has Have you ever had hamster hamsters don’t recognize you and go hey that’s my own or human contact score hamsters go run under their little house and you just kind of open the cage and stick your hand in there and flip over their house and you’re like come here and give me cuddles and you’re like you know 200 times bigger than they are so the little hamster is like freaking out this is what it’s like for people and obviously, I’m exaggerating but this is what it’s like for people who have a negative perspective a negative view or a hostile view of the world so kind of keep that little hamster in your mind cognitive behavioral therapy we have core beliefs those things that are in our hearts when I talk with my clients about honesty step one and that’s what they’ve got to do to start recovery is get honest with themselves first and then other people we talk about head heart and gut honesty do you think it’s right does it seem like the right thing to do does it feel right in your heart you know does it make you happy it doesn’t make you feel good and then the spidey senses is your gut saying and or is your gut fine if one of those is saying this might not be the right choice and we need to think about what’s going on so we have those core beliefs and I put them in the heart just because that’s the middle of the head heart and gut but you have core beliefs about yourself whether you’re good with you’re bad whether you’re effective at certain things ya ya you have core beliefs about other people same thing good bad effective predictable and you have core beliefs about the future and a lot of that goes with the locus of control but also your past experiences if the world in the past is seemed unfriendly and uncontrollable and you’ve perceived it that way then you’re going to expect the future to be uncontrollable so what we want to do is help people look at their schemas and their core beliefs about themselves others in the future and figure out kind of what they want it to look like these schemas are going to affect your behavior and your thoughts and your feelings and you know you can pick wherever you want to start it doesn’t matter because all three inter interface with one another so if you haven’t let’s start with negative thoughts if you have negative thoughts then you might feel anxious angry stressed dysphoric which will affect the behavior you’re going to do different things than if you have positive thoughts about something you feel excited and energized you’re going to have different behavior the best thing example I can give you is if you’ve ever done public speaking or had to present something some people detest public speaking it’s just terrifying for them to get up in front of a group of people so their thoughts am I going to trip up I going to forget what I’m going to say I’m going to make a fool of myself I’m going to you know it can go on forever that when you get on a roll you can get on a negative roll and go on forever or positive hopefully get on that roll with those thoughts you start holding onto those thoughts remember as we talked about in a CT the other day when you hold those thoughts and you kind of mush them around in your mind and you come to believe them that you’re going to make a fool of yourself and it’s going to be awful you’re going to start feeling terrified likely which is going to likely affect your behavior if you go out on the stage and you’re terrified you’re going to probably stutter you’re probably going to get foggy-headed you’re going to have that fight-or-flight reaction so there’s an the adrenaline rush and you start sweating and you can’t focus and you can’t concentrate you want to away as opposed to somebody like me who loves public speaking and I’m just like cool I get to go out there and try to engage however many people are in the audience it’s a game for me because when I can see your faces I enjoy trying to figure out and make eye contact with people and figure out what it is that they’re there for what is it that’s going to make them tick what resonates with them so my behavior as you can kind of see right now when I go out there I’m excited and I want to engage people and it’s a fun experience for me again just like the airport the same experience for two different people and two very different interpretations and reactions to it so what effects I don’t like the term rational but when we’re talking about CBT irrationally comes up a lot I like to replace it with helpful because every behavior in its weird sort of way is or probably was rational at one time that being said we’re going to get back to that stress affects our behavioral choices if we’re under stress we can have negative emotions negative emotions will affect our thoughts if we’re feeling sad we’re probably going to look at the dark side if we feel sad we’re going to look at the bottom falling out if we’re happy we’re probably going to look for that silver lining physical factors if you’re in pain sick sleep-deprived poorly nourished so your body can’t produce the neurotransmitters it needs to or heaven forbid intoxicated you’re probably not going to make the same decisions as you would if you were comfortable healthy well-rested nourished and not intoxicated any of those things can go impact how you perceive a situation or how you react in a situation, especially the intoxication whereas in your non intoxicated State in your sober state, you may think that you want to do something but then you’ve got that filter that goes not not a good idea in an intoxicated State or even in a manic state if you’re you know if you have somebody with bipolar that filter kind of goes away so the behaviors that someone may normally not do because they have a rational filter that goes you know punching this guy outs probably not the best idea right now the filter goes away when you’re sleep-deprived you’re less generally people are less patient generally people don’t have as much of a filter thing about watching your children if you have children or your grandchildren or even yourself I know myself when I’m sleepy I am giddy as all get-out and things I wouldn’t normally say because they’re you know stupid I’ll just come out and say anyway and my kids just roll their eyes or mom you’re overtired could go to bed, uh but that’s okay you know I’m okay with that in that situation now if I acted that way at work it would be a worse thing environmentally if you’re introduced to a new or unique situation and you perceive it as stressful because the unknown we know can be stressful then you may not make as rational of a choice or as helpful of a choice because you maybe trying to escape the same thing as exposure to UNPROFOR bellowing for a the word here but UNPROFOR ball is the best I could come up with we all prefer certain situations some people as I said would rather do just about anything then get up in front of a lecture hall of a hundred and fifty people and talk but if they have to do it then they’re going to be under stress which may affect how they do things so we want people to understand that their perception and their feelings are affected by a lot of other things not just you know an emotion here or a particular memory there’s a lot that goes into it and social if peers your family convey irrational thoughts as necessary very standards for social acceptance people may tend to cling more to it to those unhelpful thoughts and unhelpful behaviors you know in CBT they say irrational because quote nobody wants to associate with those people you know who are those people and why can’t we associate with them there are a lot of things if you think back think high the school you know high school is pretty rough if we’re going to talk about having irrational thoughts and cognitions if you have to be part of this particular group to be accepted you have to do this you have to do that but do you really so those kinds of all-or-nothing statements are cognitive distortions and while they may have served a purpose in some way shape or form in the past we need to encourage our clients to take a look at them now and go are they still helpful ways of thinking is it still helpful for me to think that I am only successful if I live in a million-dollar house in a gated community and do this that and the other or can I be can I define success a different way or do I define success differently and lack supportive peers to buffer stress so we had those peers that caused stress by talking about the half dues and categorizing and lots of attributions but then there’s also not having somebody to go you know does this make any sense because sometimes we are our own worst enemies and if we go to a friend and we go you know this is what I’m thinking and I think I have to do this in order to be acceptable to be loved or you know whatever the case may be most people are not going to use those exact phrases a good friend is probably going to listen and go yeah you’re right or no no that’s way off so supportive peers are essential to reminding us to consciously regularly check in with our cognitions to make sure that they are hopeful and rational so a note about irrationality and this is mine this is not from CBT the origins of most beliefs for rational and helpful given the information the person had at the time and their cognitive development their ability to process that information so concepts and schemas and core beliefs that people formed when they were five are probably going to be very egocentric you know the person is going to feel like everybody sees it my way because this is how I see it you know just like a five-year-old does a five-year-old doesn’t think well you know let me take Johnny’s perspective is no he assumes that Johnny sees it the same way so it’s going to be egocentric it’s probably going to be focused on only one aspect of the situation because small children can’t focus on multiple aspects and it’s probably going to be dichotomous it’s all-or-nothing mommy loves me mommy hates me and it could be personalized you know everything a lot of kids think that everything has to do with them so if something happens something bad happens many times children will take it personally or be afraid it’s going to happen to them again you know if hurricane Katrina hurricane Andrew those sorts of things you know we saw a lot of trauma in children and they developed very real fears about thunderstorms and hurricane season and if you’ve watched Florida hasn’t had a notable hurricane in years now but there’s a lot of stuff that goes into that but young people during some of those really bad hurricane seasons perceive those situations differently okay so we need to help people understand that if we especially if we use the term irrational those thoughts you formed when you are knee-high to a grasshopper and they made perfect sense to you back then but now that you’re an adult you’ve got more experience and you’re able to take different perspectives your brain is more developed let’s take a look at it and see if you can look at different perspectives and come up with something a little more helpful maybe a different way of perceiving this situation the irrational irrationality or unhelpful Nosov Fox comes when those beliefs are perpetuated without an examination so something a the belief that you formed when you’re five you’re still holding when you’re 35 and you’ve never questioned it you’ve never gone you know does this make sense is this is helpful to get me to where I want to be most of us don’t know we form these attitudes and beliefs when we’re you know growing up when we’re in elementary school middle school high school from watching TV to being around our peers from being around our family in our community and we get all this input of the way things should be and a lot of times people don’t stop to question and go and go well does this make me happy is this really what I want and they can be irrational if they continue to be held despite causing harm to the person so the person continues to hold this belief even though it is causing them general emotional cognitive harm is making them miserable we need to look at why what’s motivating them to hold on to that belief why is that belief so important and how can we make it so they can live a happy values-driven life emphasis on the happy how can we make it less harmful sometimes it’s more productive for clients to think of these thoughts as unhelpful or helpful instead of irrational sometimes when I say irrational to clients and you know I’m the same way if somebody says you’re being irrational I’m like oh I’m not it elicits this instantaneous defensive the reaction’s like when you tell them they’re being resistant they’re like I am NOT being resistant so helpful or unhelpful and then we talk about why it is unhelpful in getting them toward their goals basic principles of cognitive behavioral therapy we teach or help clients learn to distinguish between thoughts and feelings I can think something is scary I’ll probably feel it but if I have an automatic you know feeling I walk into Atlanta Airport and I see yeah I went to an airport in New York I can’t even remember which one it was because my plane was diverted and I got off and I walked out there and I have never seen so many people packed in his place like sardines before in my life I was just completely overwhelmed that was kind of an automatic feeling now that was a feeling based on you know who knows it was overwhelming to be surrounded by that many people so then I had to separate the thoughts and go okay what am I thinking that’s making me feel so overwhelmed and at that point you know I didn’t know how to get to my gate and all that other sort of stuff with traveling I don’t travel well but encouraging clients to stop and go okay why am I feeling this way what are my what thoughts am I having that are contributing to these dysphoric feelings CBT helps people become aware of how thoughts can influence feelings in ways that are sometimes not helpful we have hecklers in our gallery the automatic tapes that we plaything memories that we have whatever you want to call them that when you try something when you are just going through daily life you hear these voices in the back of your head and not real voices but that is saying you’re never going to make this or if you would have just blah blah blah then you’d be a the better person helping clients become aware of those thoughts and how they’re negatively influencing their feelings and keeping them kind of stuck is a huge part of CBT we help them learn about thoughts that seem to occur automatically without even realizing how they may affect emotions again those thoughts from they’re saying you’re not good enough you’re not smart enough and nobody’s gonna like you where did that come from and do you believe it you know maybe it came from somebody when you were in high school so was that a valid source maybe it came from somebody yesterday on Facebook was that a valid source taking in those thoughts and then figuring out is this something I’m going to hold because it makes me happy or is this something that I’ve got to deal with because I’m having a negative reaction constructively evaluate whether these automatic thoughts and assumptions are accurate or perhaps biased the other thing to remember is a lot of our clients not all of them but a lot of them hold themselves to a standard there’s like up here and they hold everybody else to a standard that’s down here so they are a failure if they don’t achieve this but everybody else is successful as long as they achieve this so encouraging them to take a look at how accurate and biased or unbiased are the thoughts and like I said they may be their thoughts they may be telling themselves these things evaluate whether the current reactions are a helpful and good use of energy or unhelpful and a waste of energy that could be used to move toward those people and things important not impotent important to the person road-rage you’re in the car, you’re driving somebody cuts you off okay natural reaction fight or flight reaction you’re just like slam on the brakes and do whatever you got to do aversive maneuvers you’re good so you could let it go at that point ago got lucky on that one and keep driving most people not all but most they found that 80% of drivers have reported incidences of road rage which is a high number but most people will start getting all fired up and irritated and grumpy and we and just rageful and so my question would be I hear that and I hear that it made you angry in retrospect did screaming at the person as you pass them at sixty miles an hour in your car with the windows rolled up does any good did it do any good at all what else could you have done with that energy if you wouldn’t have expended it all yesterday we had to wait for the vet to come by and my daughter just completely wore herself out worrying about when the vet was going to get there what he was going to say about her donkeys and was beside herself so by the time it got to evening and it was time for her to go to her martial arts class she didn’t have the energy to go she’s like um wiped out I just want to go to bed in retrospect we’re looking back and saying okay now tell me what it was that you were so stressed out about and let’s talk about whether that was a realistic and helpful line of thought to perseverate on all day long and what could you have done differently because she didn’t bother to mention any of that to me yesterday and then developed the skills to notice interrupt and correct these biased thoughts independently causes of these thinking errors information processing shortcuts when we form schemas and we encounter a situation that reminds us of something in the past like when I go to my grandmother’s house I have a schema I have a belief system I have you know stuff that I know about my grandmother’s house so when I go to my grandmother’s house it’s kind of a shortcut to knowing what to expect when I walk in and how to behave how to do different things and it helps me plan and predict if you’re using outdated or dichotomous all-or-nothing schemas it may cause thinking errors because you may be now incorrectly processing current events mental noise some of us have it a lot of us have it not everybody thinks about trying to focus and study for a final exam in the middle of a really busy sports bar, okay this is a cause of thinking or you’re going to miss important things you’re not going to be able to focus you’re not going to necessarily attend to the correct things because there’s just so much else going on your attention is drawn in 17 different directions and or the brain’s limited information processing capacity due to age we talked about that before young kids think all or nothing they think dichotomously egocentric ly middle school-aged kids and older start developing the ability for abstract thinking by the time we get older, you know as adults theoretically we’re able to you know think pretty well and think pretty clinically about different events but if we’re in crisis when someone is in crisis and it could be like what we think of clinically as a crisis or it could be they’re just completely overwhelmed and burned out and have been burning the candle at both ends for three months they’re not going to process information quite as well they’re not going to take in all this stuff because they’re just like shell-shocked have you ever seen teachers in the hallway of like an elementary school Oh at the end of the second nine weeks they just kind of stand there with this blank look on their face they’re not processing as much as they were the first day of school and you know God loved them they have a lot to deal with but we need to help our clients understand that there are some times that they are going to have to really stop and focus write things down so they can remember or they can make decisions a little more my guess is most of us have times in our life when we’ve been able to think through complex problems but then there are other times where you just can’t keep it all in your head and you’ve got to put it on a whiteboard maybe that’s just me but we want clients to understand that they are not broken they’re not faulty they’re doing the best they can with the tools they have and the knowledge they have and our job is to help them see where some of this might have gone a little awry other causes of thinking errors and emotional motivations I feel bad therefore whatever I’m thinking must be bad if I’m scared that means whatever it’s coming on the other end of the phone is bad news moral motivations I did it because it was the right thing to do and that can be an excuse for doing wrong behaviors as well it can also be you know you can argue on the moral one social influence well everyone else is doing it so it must not be bad set that again a lot of times and this is where the frames approaching the motivational interviewing is helpful f stands for feedback about the reality of what’s going on is everybody doing it let’s look at statistics you know not subjective information let’s look at objective information so the impact of these thinking errors makes people want to fight or flee when they get upset and we use upset as a kind of this all-encompassing garbage term emotionally they get depressed or anxious we don’t want to feel that way anxiety and anger are flee or fight fight or flee it’s our body saying there’s a threat you got to do something depression is your body going I give up I just don’t I don’t even have the energy to do it anymore behaviorally some people withdraw they shut down we all know people who get frustrated when they get overwhelmed when they start feeling hopeless or helpless they just kind of withdraw from everything and everyone’s addictions numb that out so they don’t have to feel the dysphoria sleeping problem and changes when we start being on that constant fight-or-flight hyper-vigilant sort of thing going on in the body is always sort of turned on which means you’re not going to sleep as well then the circadian rhythms get messed up which starts causing exhaustion and lethargy and then everything seems harder because you’re sleep-deprived and then you start thinking more negatively and more hopelessly you see where this is going it’s a downward spiral and eating changes some people eat a lot more because they’re eating comfort foods some people eat a lot less because their stomach is so torn up from the stress they can’t even think about holding anything down physical stress-related illnesses fibromyalgia gastrointestinal problems headaches neck aches backaches you know the whole the gamut of it when you start feeling bad when you start hurting generally it gets frustrating after a while and that frustration makes it kind of raises the the bar brings you up a little bit so you’re that is much closer to kind of just kind of being overwhelmed you don’t have as much of a cushion as you would if you were happy healthy well nourished not in pain and socially a lot of times we will get irritable or impatient with other people or withdrawal when we’re having these negative cognitions these thinking errors that are keeping us in a dysphoric state these effects of thinking errors contribute to fatigue and a sense of hopelessness and helplessness which intensifies thinking errors this is an important concept that I want my clients to understand and I want to drive home in this presentation so thinking errors what are they emotional reasoning feelings are not facts and we want to help people to learn to effectively identify feelings and separate them from facts so if somebody says I’m terrified okay that is a feeling what are the facts supporting that feeling why are you are terrified what is the evidence that you are in some sort of danger right now you know and danger may not be the right word for your client at that a particular point in time but what’s the evidence that there’s a threat in what ways are this similar to other situations maybe it’s triggering something from the scary past or you know you were too little to be able to handle it but you can handle it now and how if you dealt with similar situations like this, in the past, we want to help people just step back and get some distance between their feelings and their thoughts and try to figure out you know which thoughts are helpful and productive and even if a sought makes people anxious or angry it can be helpful it may be telling them hey dude you need to get your butt up and get out of there if it’s helpful it means it’s moving them toward where they want to be happy healthy safe and values-driven life so happy and helpful developed a stress tolerance skills when people use emotional reasoning they feel emotions which then they start attributing finding the facts to support those emotions instead of looking at all the facts we want to help them learn to tolerate their distress so they can kind of let that subside for a second they can accept their feeling they can name they can say I’m scared I’m stressed I’m angry and whatever but they don’t have to act on it right then they can tolerate the distress for a minute without having to try to make it go away and emotional regulation skills they can feel a feeling without having to make it go from zero to 120 you know if they feel sad they go I feel kind of sad instead of grabbing onto it and going I wonder what I feel sad about I must feel sad about all these sad things now I’m going to be sad and devastated so we want to help people learn how to regulate their emotions identify them accept them whatever word you want to use and tolerate them because feelings are there for a reason, they’re to tell you your brain thinks something’s going now thankfully we have that higher-order cognition stuff going on so we can contradict our brain and we can go you know maybe that’s not true in this situation cognitive bias negativity mental filter whatever you want to call it people who focus on the negative they walk in they get up in the morning and they look outside and it’s partly cloudy they get to work and they said instead of saying there was it was very light traffic they said there was a fair amount of traffic everything is always the flip side of what somebody who’s optimistic would say so asking them what’s the benefit to focusing on the negative in what ways is this helpful to you you know some people say well it keeps me from getting disappointed because I know it’s going to end up negative anyway so we can trap challenges that know that whatever it is they think they know and see if there have been exceptions when it hasn’t turned out that way what are the positives to this situation I give the example a lot of you know I wash my car or it rains and maybe I wanted to go out on a run that day but I can perceive it I can look at the positives you know the rain washed my car for me so I don’t have to do it now score it watered my garden all the better it knocked down some of the pollen out of there even better I can find and I can encourage people to find positives in a situation yes there are negatives to every situation if you want to find them you’re going to find them but if you want to find the positives you can too which takes us down to what are all the facts there’s the positive and the negative and the neutral I told you earlier about the coin toss activity having people toss a coin on the heads days they act like it is just the greatest day to be alive and see how things are different when they do their journal because you know I have my clients do I’m sort of a mindfulness check-in in the morning and in the evening and preferably at lunchtime how are they feeling what’s their emotional state what’s their energy level on the happy days a lot of times it can be less and sometimes they need a little coaching throughout because some of those old patterns kick in but I want them to start challenging some of their automatic thoughts that we’re going to talk about in a minute disqualifying or minimizing the positive most of us can probably say we’ve had a bunch of clients that do this they are more than happy to tell you about all the things that they mess up but then when they do something right they minimize it encouraging people to hold themselves to the same standard they would hold everyone else to and I know I talked about that earlier ask them things like would it minimum would you minimize this if it was your best friend’s experience your best friend came to you and said I just got into such-and-such college would you say awesome or would you say anybody can get in there how would that go ask them what is scary about accepting these positive things that you might have had an accomplishment for some people it means that it might mean other people expect more of them for other people they just don’t know how to accept the positive they don’t know how to accept compliments they don’t know how to be the center of attention and they don’t like it and then we want to look at why that is sometimes we disqualify the positive because it fails to meet someone else’s standards so as people might that be true here you know I know when I was growing up and going through college and going through school and everything got my doctorate but I will always be ever and always being not a real doctor because a Ph.D. is not an MD and I’m like really so is it somebody else’s standards or can I feel good about having a Ph.D. egocentrism my perspective is the only perspective I’ll being egocentric but it doesn’t work most of the time so encouraging people to take alternate perspectives maybe you’re texting with someone and they say something that is not that you interpret as not the nicest thing and this happens in a text messages a lot and they get upset now an egocentric thinking error would say that purse is just grumpy today someone that’s taking other perspectives would stop and go back and read the text and go I wonder if maybe this could have been taken some another way you know cuz their reaction is not what I intended so egocentrism if you hold on to that I don’t understand anybody else because you know I don’t see a problem with anything personalizing and mind-reading this is when you assume that everybody’s frowning because of something you did your boss walks down the hallway and looks at you and grimaces and continues to walk on oh I must have done something wrong no maybe he just got out of his senior management meeting that was five hours long and he’s got to go to the bathroom you know there could be a hundred different explanations for why that happened so encourage clients to ask themselves what are some alternate explanations for this event that doesn’t involve me you know why might this have happened if they hold on to that, I must have done something wrong but as soon as their boss calls them up and goes hey can you come to my office for a second you know where their thoughts are going to go I’m getting fired I’m going to get laid off I don’t know what it was that I did wrong but he walked by me two weeks ago in the hallway and grimaced and I’m just I’m the worst person in the whole world but where did that come from so encouraging people to not necessarily assume they know what’s going on in someone else’s mind and not automatically attributing every person’s negative behavior to something they did how often and then ask them how often has it been about you now think about the last 10 times you’ve taken something personally how many of those 10 times has it been about something you did versus something with the other person then the availability heuristic remembering what’s most prominent in your mind so asking clients what are the facts ah the most obvious one that we talk about is plane crashes you know it is way dangerous to fly on a plane because you hear about all those plane crashes well yeah you hear about A few planes crash but you don’t hear about the 20,000 every day that land safely so you remember it and it seems more dangerous because that’s what is in your mind that’s what is available to you that’s what you’ve based your thought processes on because maybe you didn’t know that 20,000 planes or more fly and land just perfectly every day this can also be true with people remembering what’s most prominent in your mind sometimes and this can be very very true in domestically violent relationships if somebody falls in love with someone and that person is just the greatest person since sliced bread for the first four months and then the cycle starts and there’s this little tiny a sliver of the honeymoon period after the battering cycle and the person’s like that’s the person I fell in love with that’s what I remember and they try to focus on what’s most prominent in their mind and they ignore the rest of the stuff so we need to encourage people to look objectively at the facts magnification are you confusing high and low probability outcomes what are the chances that this is going to happen how many clients have we worked with that have gone to the doctor and gotten in a physical or get a test run and then the doctor had to call them back and this could be true for you too and the doctor had to call them back two or three days later when the tests came back from the lab and that whole three days they were just in a panic because they were afraid they were going to get some terminal diagnosis so thinking about high and low probability outcomes another instance or example of magnification is somebody that thinks this is the end of the world whatever it I think I’ve told you before my little story about um tripping when I was walking down the hall at work and falling and yeah it was embarrassing my folders went everywhere and yeah but in that big scheme of things will it matter that much from now you know are people gonna think oh she is such a clutch she must be a ditz too no I mean they may have thought that at that time I don’t know but you know in six months nobody’s going to remember and then ask them in the past when something like this has happened when you’ve had to get a test done and you’ve had to wait on results or if you’ve done something that was embarrassing and you didn’t think you thought everybody was going to remember it forever how did you tolerate it how did you learn to deal with it building on those strengths that they already have all-or-nothing thinking errors these are things like love versus hate I love them or I hate them it’s all or nothing she does this all the time or she never does it if I’m going to do it I’m going to do it perfectly or I’m not going to do it at all thank you all good intentions or all bad intentions you know sometimes we do things with good intentions that have some bad repercussions so did we do it with all bad intentions are all good intentions and the answer is neither most of the time life is kind of in that middle-ground gray area encouraging clients to look and find examples where something hasn’t been one of the polls when having they do something that they’re proud of that wasn’t perfect or when again when has somebody else done something that they were proud of that wasn’t perfect remembering that with availability heuristic remembering how often something really happens and how long it’s been since you’ve seen that behavior and remember that sometimes good times are amazing but how frequent are they compared with the bad times another thinking error is a belief in a just world or a fallacy of fairness I just asked clients to identify for good people you know who’ve had bad things happen and in reality we all have bad things happen good people do bad people do in between people do attributional errors and this is a pet of mine you know labeling yourself is not a behavior so global versus specific and I am stupid versus I’m stupid at math I don’t have good math skills it’s not about me it’s about the skills I can change skills stable I am and I always will be versus it’s something I can change it’s something I can learn internally it’s about me as a person versus it’s about a skill deficit or something I could learn or change and there’s you know lots of information on attributions out there on the internet if you need a refresher on it but we find that a lot of people who have dysphoria have negative global stable internal attributions so questions for clients remember the beliefs equal thoughts and facts plus personal interpretation another way of saying it is reality is 10% perception is 10% reality and 90% interpretation so what are the facts for and against my belief is the belief based on facts or feelings do the belief focus on one aspect or the whole situation does the belief seem to use any thinking errors what are alternate explanations what would you tell your child or best friend if they had this belief how would you want someone to tell what would you want someone to tell you about this belief so if you’re telling somebody about this what are you hoping they’re going to say in return and finally, how is this belief moving you toward what and who is important to you or moving you away from what or who is important to you now they can do a worksheet and have all of these or you can pick one or two of these questions that are most salient for your clients but they can have kind of at their fingertips so as they’re going through the day and something happens they can ask themselves ok what’s an alternate explanation or you know whatever it is this is salient for that client’s irrational thoughts about how to do these thoughts impact the client’s emotions health relationships and perceptions of the world you know this is what we want to ask them how is this thought impacting you globally how may this thought has been helpful in the past where did it come from how does it make sense from when you formed it in the past when you’re dealing with it ask the person if the thought is bringing you closer to those that are important are there any examples of this thought or belief not being true and how can the statement be made less global less all-encompassing so it’s about a specific incident a specific situation less stable which means you can change it and less internal which means it’s not about who you are as a person but maybe something that you do or a skill that you have so we’re going to go through some of these thoughts real quickly here mistakes are never acceptable and if I make one it means that I’m incompetent well never is kind of stable and I am incompetent is kind of global that’s also that extreme all-or-nothing thinking so you can see where these cognitive distortions end up leading to unhelpful beliefs when somebody disagrees with me it’s a personal attack well there’s personalization if I ever heard it before maybe it’s not about you may be they’re having a bad day and you just happen to be the unlucky target or maybe they’re disagreeing with you because they have a different point of view and it’s not a personal attack it’s just their point of view if someone criticizes or rejects me there must be something wrong with me personalization all-or-nothing thinking global stable and internal something wrong with me as a person to feel good about myself others must approve of me now this is one we’ve talked about external validation before and we can’t control other people to feel good about yourself how can you do that besides necessarily requiring other people to approve of you to be content in the life I must be liked by all people Wow I’ve never met anybody who’s liked by all people I’ve never even met anybody who’s been hated by all people but it’s important to help clients see how this is dramatic to say all people and for them to be content then everybody has to like them I mean I like to be liked but if everybody doesn’t like me you know that’s pretty understandable my true value as an individual depends on what others think of me I would challenge this one this is all you know also, very personal internal I would challenge people to look at and say it so your child’s value as an individual depends on what other people think of he or most people would say no but the perspective thing nothing ever turns out the way, you want it to okay all-or-nothing thinking and probably the availability heuristic if something bad just happened then they may be focusing on that which causes them to focus on all the other bad things in the past that have happened not to focus on that is okay you know bad thing happen but look at all these good things I won’t try anything new unless I will be good at it this fear of failure fear of rejection it just really paralyzes a lot of people when they get stuck with that thinking the area that they have to be perfect I am in total control of anything bad that happens is my fault well that’s egocentric and personal if they think they’re in total control that’s their perception of how the world are they think if they’ve got everybody on marionette strings anything bad in the world that happens is their fault how powerful are they I feel happy about uh if I feel happy about life something will go wrong it happens sometimes but let’s look at times when you’ve been happy that something hasn’t gone wrong you know let’s get rid of that all-or-nothing thinking it’s not my fault my life didn’t go the way I wanted could be true but it seems like that’s making you unhappy so what do we do about that if I’m not in an intimate relationship I’m alone no, again that’s pretty extreme I’m either in an intimate relationship, or I am alone and a loner and you know it’s just me and my 17 cats which follows with there’s no gray area so encouraging people to look at what these beliefs are saying important thoughts impacts behaviors and emotional and physical reactions emotional and physical reactions impact thoughts and interpretations of events so if you do something and it’s pleasurable and you have a great physical reaction you know let’s take bungee jumping or skydiving if you go out there and it’s scary but you do it and you’re just like whoa what a rush your interpretation of that is probably going to be good which means you’ll probably do it again if you go out there and it’s just the most horrible experience you’ve ever had you’re probably not going to do it again and your interpretation of it is going to be not good which is going to make it hard to understand why other people would do it irrational thinking patterns are often caused by cognitive distortions so let’s just look back at some of those because there are a lot fewer cognitive distortions or general ways of thinking about the world then there are thinking errors because there are lots and lots of thinking errors cognitive distortions are often schemas which were formed based on faulty inaccurate or immature knowledge or understanding and by identifying the thoughts of the hecklers you know the automatic tapes that are maintaining our unhappiness the person can choose whether to accept those thoughts or change them As found on YouTubeThis solution reverses kidney disease! 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