Avoid or Redirect? Know the Difference for Better Coping with Anxiety

/in

We’ve all heard it before: compulsions equal bad. You have to face your fear to overcome it. Running away and avoiding your fear will only make it worse.

You may have also heard it is important to redirect your energies toward a life of personal value and meaning.

But, when is it avoidance, and when is it redirection?

Traditional Treatment for Anxiety Disorder

To understand the avoidance vs. redirection discussion, you first have to know the therapeutic framework.

Treatment for anxiety disorders, including obsessive-compulsive disorder (OCD) and anxiety spectrum disorders, including social anxiety, generalized anxiety disorders, and specific phobias, will usually take the form of cognitive behavioral therapy (CBT) and exposure and response prevention (ERP).

In a nutshell, CBT is concerned with your thoughts (cognitions) and your actions (behaviors). To start, CBT will have you look at your thoughts and the stories you tell yourself about the situation you are in and see if you can think about them more logically. If you can think about them differently then you can do something different about those situations and respond to your thoughts and the outside world in more reasonable and adaptive ways. This last is the behavioral part.

Exposure and Response Prevention fits into this behavioral part. ERP helps you to slowly and thoughtfully get closer to your fears (exposure), while intentionally resisting compulsive or unhelpful behaviors (response prevention).

Avoidance as an Unhelpful Behavior

Along with reassurance seeking, rumination, and rituals, avoidance is one of those compulsive and maladaptive coping skills that prevent people from effectively facing their fears and learning that they can handle anxiety and uncertainty. Simultaneously, people see that their worst fear is really unlikely to happen. When you avoid uncomfortable situations or thoughts, you also avoid the opportunity to learn from them and grow from your lived experiences.

It’s like physical exercise. When you avoid it, you don’t get stronger.

ERP would have you face your fears and learn to endure the momentary discomfort and ride the fluctuating wave of anxiety up to its peak until it comes down back to baseline. In this process, you see that anxiety did not kill you, that you were strong enough to endure the wonky experience and discover what actually happens (usually nothing, in the best way).

Avoidance is a ploy to not feel uncomfortable or not have an unwanted experience.

Suppression is avoidance’s aggressive twin. Suppression can include thoughts, feelings, mental images, or physical sensations. This is the intentional effort of stuffing a feeling down or shoving it out of your experience. It’s exhausting and ultimately does not work. For example, don’t think about a white elephant: How’s that going?

What Is Redirection?

Redirection is a deliberate effort to place your attention and energy on actions, thoughts, or interactions that are more meaningful and important to you at the moment.

In fact, I bet you already do this. Have you ever been in class and gotten distracted by a thought of the cute redhead, then try to refocus back on the teacher? Or ever been in a meeting and start dreaming of that vacation you’re going on, and then catch yourself, and try to get your head back in the meeting? That’s redirection.

They Are not the Same

Avoidance and redirection have similarities, but knowing their differences can be a turning point for you in treatment.

They both seemingly place less emphasis on a specific thought, but that’s where they stop their similarities.

Avoidance, along with its twin suppression, are a futile attempt to pretend as if the unwanted experience does not exist. You deceive yourself with the hope that just not thinking about the feeling, thought, or mental image will make it go away and that you’ll feel better.

To be fair, it may feel better for a moment, but remember that white elephant exercise? Efforts to avoid or suppress only amplify the thought, make it more important, and ensure that it sticks in the mind and body longer.

On the other hand, redirection acknowledges the presence of the thought and feeling and elevates the importance of another thought or action over the unwanted one. Redirection does not seek to destroy unwanted thoughts. Instead, it affirms the importance of something else and pursues it with gentle interest and commitment.

It’s like adopting a dog at the pound. You don’t have to have all the other dogs put down in order to adopt the dog you want. You just say, “Hey, I’ll take that one,” and let the other ones be adopted by other people, while they slowly drift from your memory.

We can help.

Hillary Counseling offers individual therapy and online therapy services for anxiety treatment.

Contact us to schedule a complimentary 15-minute consultation! →

Article By: Kevin Foss, LCSW

5 Ways Almost Everyone Misunderstands Emotions

/in , , ,

Our emotions provide valuable data, but there are some ways virtually everyone misinterprets their emotions. This can lead to mismanaging your emotions or the situation they occur in. When you become aware of these, you can adjust so that you’re calmer and more effective.

Here are five common mistakes:

1. We think our emotions relate to the current situation when they relate to the past. Humans are learning machines. We don’t react to new situations as if we’ve never experienced the world before. We react based on all our prior learning experiences.

When we often experience an instinctive emotional reaction, that reaction isn’t just about the current circumstance we’re facing. We react to the ways right now reminds us of our past experiences.

When we feel big emotions, they can represent our body trying to protect us from events that already concluded long ago. For example, when you feel angry or slighted, your body might be trying to protect you from a time you weren’t respected or understood in the past, even if you are being respected and understood now.

Sometimes we feel shame in new situations due to memories of how we acted unskillfully in the past, even if we act skillfully now.

2. We assume other people’s emotions relate to us and the current situation. This is a similar point. When someone reacts emotionally, we tend to assume they’re reacting to our behavior and the current circumstance. But that person is also reacting to everything else. For example, in the work context, a reaction you get from a fellow human might be influenced by everything from their childhood experiences to the difficult interaction they had with their last customer to the email their boss sent yesterday about their organization’s current priorities to the micro-aggression they experienced on the subway that morning. All those triggers mix to determine the other person’s reaction to you.

This issue comes up a lot at work and also in romantic relationships. In couples, people often react in ways that relate to protecting themselves from past pain, whether from childhood or prior relationships.

3. We think emotions are a signal to start trying to reduce those emotions. Our culture tends to be comfort-obsessed. For example, if we feel hot, we expect to be able to crank our AC to remedy that. If the mattress we buy isn’t perfect, we return it. This comfort obsession also involves our emotions. We automatically see difficult emotions as a signal to start trying to reduce those emotions.

The problem is this: Much of what we instinctively do to reduce our distress makes our difficult emotions bigger. Even when we can “successfully” quell our big feelings, the cost is that those emotions, and the types of situations that trigger them, loom larger and larger in our lives. We end up devoting a lot of energy to avoiding certain emotions, which can get in the way of having the energy to devote to our other values. (If you’re anxiety-prone and managing anxiety is taking up too much of your life, check out these solutions.)

4. We usually fixate on only one emotion (and underplay what else we’re feeling and doing). Many of us have one dominant emotion (read more here). For example, some people rarely notice feeling angry but constantly notice feeling anxious, or the reverse.

Try using the word “and” more when you talk or think about your emotions. For instance, we rarely acknowledge when happy emotions occur alongside negative ones. For example, I’m pregnant, and I feel nervous about labor, and I feel excited about my baby.

It can also be useful to notice when multiple difficult emotions occur together, like “I feel anxious, and I feel angry.” Acknowledging multiple emotions can help you see a broader range of reactions you could choose from. Feeling anxious may not propel you to stand up to injustice, but noticing your anger might.

Third, you can acknowledge your emotions and behavior together, such as, “I feel anxious, and I’m doing competent, skillful behavior.”

5. We see emotions as either reasonable or unreasonable, justified or unjustified. People can suffer when they perceive they’re experiencing an emotion the situation doesn’t justify. For example, if you feel fearful or angry in a situation that doesn’t make everyone feel that way, you might think, “I shouldn’t be so scared of this.” Or, “I shouldn’t be so bothered by this. What’s wrong with me?” When this happens, you might conclude you’re not a mentally strong or skillful person, which doesn’t help you confidently choose a path forward.

It’s usually healthier to accept whatever you or someone else feels without judging whether it’s justified. This can help you become more curious about your own and others’ emotional worlds and less judgmental at the same time.

Which of these mistakes in interpreting emotions do you make? How might correcting these mistakes help you feel calmer and more skillful in managing your life and relationships? How could changing your approach to your emotions help you walk your values? (More on why this is an optimal response to stress here.)

Article by: Alice Boyes, Ph.D of Psychology Today

Looking for more help with your emotions? Contact us to schedule a FREE initial consult with one of our experts, info@hillarycounseling.com.

7 Tips For Building A Better Body Image As An Adult

/in , , , , , ,

When you catch a glimpse of your reflection in a window, or see yourself in a new picture that a friend posts on social media, what thoughts immediately come to mind?

Are they generally positive (I look so happy!), or more negative (Well, at least everyone else looks good)?

If they are positive, that’s great! But if they’re not, you’re not alone. Many of us struggle to feel happy with the way that we look, especially when it comes to our bodies.

While getting older may bring with it a certain sense of self-acceptance and the ability to reject the unrealistic beauty ideals that we see around us, aging also brings with it a new set of challenges to our self-esteem. You know — the messages and products that encourage us to “minimize those wrinkles” and “cover up those grays.”

“You can be reading a magazine and on one page there’s an article about how to love yourself the way you are, and then you flip the page and there’s an ad for a diet plan or an anti-aging cream.

All of those messages can be discouraging. But making some tweaks to your thought patterns can help you get back on the road to a positive body image. Start with these ideas.

Show some appreciation

A good place to start is to refocus your self-talk. Rather than nitpicking over the appearance of your body, try recognizing and appreciating the amazing things that it does for you every day. Appreciate that your strong arms allow you to carry your child and the diaper bag and the groceries up the stairs in one trip. Or that your skilled hands prepared an amazing dinner.

Record the positives

Here’s a little homework assignment: Write down five things you love about your personality. Easy, right? You’re a great listener and incredibly giving when it comes to helping others.

Now list five things you love about your body. “For most people, it’s easier to do the first, but it’s equally important to do the second.” Putting your feelings into written words (the old fashioned way!) helps you process your thoughts and commit things to memory.

Create little reminders

Write positive affirmations, goals or words of gratitude on sticky notes or note cards and putting them in places where you’ll see them throughout the day – the bathroom mirror, your wallet or by your computer at work. Remind yourself of your positive qualities, skills and goals.

Commit to doing things that make you feel good

Life is about so much more than how we look. Yet, how we feel about our bodies can dictate our mood and our behaviors. Have you ever canceled plans when you’re feeling bad about yourself? Resist the urge. Spending time with friends who aren’t focused on body image may actually help quiet your own body dissatisfaction.

Studies also show that exercise, yoga and helping others are great self-esteem boosters.

Occupy your mind

“We have another exercise that asks people to live their life as if they had 12 months, 5 days, 1 hour or 30 seconds to live,” Dr. Peterson says.

“In these circumstances, you would most likely focus on people, places and things that you love and that make you feel good – not on how your body looks.”

Don’t fear the mirror

If you have unhappy thoughts about how you look, you might find yourself dodging anything that shows your reflection. But, “avoidance breeds avoidance.” Ignoring those unhappy feelings won’t make them go away. She suggests noticing those negative thoughts that come to mind when you see yourself in the mirror, and applying the above tactics to turn them around.

Shut down the comparison game

Comparing your own body to others’ may be the quickest way to send your self-esteem plummeting. Instead, objectively admire the good qualities you notice in other people, and make a point to compliment them – it will make both of you feel good.

Feeling good at all sizes

It’s beneficial to love your and appreciate body no matter your shape or size.

In fact, if you’re overweight and taking steps toward a healthier lifestyle, research suggests that’s even more of a reason to work on building a healthy body image.

In one study of girls who were overweight, those with the highest levels of body satisfaction gained less weight after 10 years than those who were least satisfied with their bodies. Another study found that obese women who improved their body image were also better able to self-regulate their eating.

There’s no wrong time to work on feeling more comfortable in your own skin.

Need more help?

If you ever feel that your negative body image is affecting you in a distressing or disruptive way, reach out to schedule a FREE INITIAL CONSULT with one of our body image experts, info@hillarycounseling.com!

How High Expectations Can Lead to Disappointment, Depression, and Anxiety

/in , , , , ,

“Blessed is he who expects nothing, for he shall never be disappointed.” ~Alexander Pope

I was sitting on the couch in my bedroom, at sunset, looking at the trees outside my window. I felt a profound sadness, frustration, disappointment, and desperation taking me over.

While I was staring into oblivion, all my expectations came flashing to my mind.

“No, this is not what my life was supposed to be. I was supposed to be successful. I was supposed to have my own house. I was supposed to be happy. What happened?”

What happened was that I am part of the majority, not the exception.

My entire life I expected to be the exception. I assumed that if I worked hard enough, I would succeed; if I did well in university, I would succeed; if I poured my heart and soul into something, I would succeed; my dreams could come true.

I had become a slave to my expectations, and they were ruining my life.

In my mind, things were supposed to be different. My great expectations were robbing me of happiness, because I wasn’t where I wanted to be, I didn’t have what I expected to have, and I wasn’t who I expected I should be.

The truth of the matter is that there are few people out there who are lucky enough to be living their dreams.

Most of us survive on crumbs of our expectations. We have a job, even if it’s a job we don’t like. We work from nine to five every day to pay the bills. If you’re lucky, you get to go on a vacation once a year, and for the very lucky, two of them.

Statistics show depression and anxiety are on the rise. I am part of those statistics, along with 350 million other people who suffer from the same hell I do.

How could depression and anxiety not be on the rise when we are constantly bombarded by repetitive messages that tell us about all the great things we can accomplish?

Of course giving people high expectations is what sells. If beauty creams advertised their products by saying, “It will moisturize your skin and that’s pretty much it,” not too many people would buy the product.

Marketing survives by raising people’s expectations. When the product doesn’t meet up with their expectation, disappointment follows. And so it goes with most things in our lives.

Don’t get me wrong; I truly believe that dreams can come true. The point is that we shouldn’t expect it to happen. If it does happen, it will be a nice surprise. But if it doesn’t and we’re expecting it, we are likely doomed for disappointment and frustration.

Of course it would be amazing if we could all live our great expectations, but we shouldn’t base our happiness and personal satisfaction on them, because there is no rule that says that we will all live to fulfill them. I know this might sound pessimistic, simply because it goes against everything we’ve heard.

We read great stories of people who defied the odds and became a success, but we never read about the people who did their best and failed. Their stories never become motivational quotes and bestselling books, because they didn’t make it.

We never hear their stories about how they put their heart and soul into something and failed, because that doesn’t sell books; that doesn’t sell conferences.

Many motivational books and personal coaches survive by raising people’s expectations instead of focusing on finding happiness with what they already have.

Of course meeting our expectations could bring happiness, but if we’re waiting to be happy for that to happen, we might be waiting a long time.

Maybe you’re not Anna Wintour or Mark Zuckerberg, and you don’t have a million dollars in the bank.

Maybe you’re feeling frustrated because parenthood didn’t turn out to be what you had expected (it’s tiring and demanding).

Maybe your job is not fulfilling, and at one point you expected you’d grow up to be somewhere completely different from where you are today.

I could sit here and write that you can change everything and you should fight to meet your expectation. I think you should, but you shouldn’t base you personal satisfaction and happiness on that.

I’m here to tell you that it’s all right if you didn’t meet your expectations.

Sometimes life throws curve balls at us, and for some reason or another life doesn’t go to plan. It doesn’t mean we have to stop working toward our goals; it just means that we can be happy regardless.

Instead of focusing on what we don’t have, we need to focus on what we do have.

Capitalism shoves down our throats to strive for more, and we obediently follow, only to meet a brick wall and realize how frustrated we are for not being everything the system promised we could be.

Millennials in particular are battling this problem harshly.

We were sold the idea that if we went to college, got great marks, and did tons of unpaid internships we’d be destined for the stars. Instead, millions of millennials have a huge amount of debt from student loans and are finding it hard to find a job. I’m not even talking about their dream job—just a job.

Did you know that millennials have the highest statistics on depression and anxiety ever recorded in history? That’s mainly because we expected to at least have the quality of life our parents had. But things have changed, and now we are not even close to what they had at our age.

Our expectations were too high, and we live in a world where it’s harder to meet those expectations.

It would have been a lot better to break things down to millennials in a realistic way, and if some of them got to meet their expectations, then good for them. But for the rest, we’d know that not all expectations need to be met for us to be happy.

I know you might be reading this and thinking of all the expectations that you had that you didn’t get to live up to. Maybe you’re feeling frustrated and sad.

The best and easiest way to be happy is to work toward our goals but never expect for them to become a reality. It’s a paradox. It’s the duality of existence.

We need a goal and a dream to keep us motivated, but at the same time we need to not expect anything from life. That way, regardless of the outcome, we don’t become disappointed.

I know it kind of goes against the motivational quotes we read, and it especially goes against the greedy perception that has been incrusted in our minds. We are taught to never be content with what we have and to always strive for more. But this greedy mindset is what has many feeling frustrated with their lives.

I’m not saying that it’s good to get comfortable in mediocrity, but to push ourselves to be the best person we can be without expecting a great outcome. To do things because we love doing them, not because we’re expecting something.

It’s like doing a good deed expecting a “thank you.” If the “thank you” doesn’t come, you become disappointed. If you do it regardless of the gratitude, you still feel content.

It’s about being happy while working to be better, not by placing happiness on a goal. You find that happiness in your progress, in your daily life, in feeling grateful for the small things—for having food on your plate, a roof over your head, health, and loved ones to share your life with.

It is about coming to terms with the idea that your dreams might not come true. Making peace with life—that even if it doesn’t allow you to fulfill your dreams, it has given you life, and life itself is a treasure.

As the saying goes, happy people are not those who have the best of everything but the ones who make the best of everything they have.

Article by: Carol James of Tiny Buddha

Does Emotional Avoidance Fuel Your Eating Disorder?

/in , , , , ,

“It seems like I’m actually experiencing my feelings, now that I’m no longer bingeing and purging my emotions,” my client in recovery from bulimia shared.
​
Eating disorders are believed to be caused by a combination of factors including, genetic, temperamental, and environmental influences.

However, one thing that almost all of my clients with eating disorders have in common is difficulty in expressing, processing, and coping with their emotions.

Emotional Avoidance and Eating Disorders

Emotional avoidance, is described as actions that are intended to prevent an emotional response from occurring, such as fear, anger or sadness.

People struggling with eating disorders often turn to their eating disorder behaviors in an unconscious effort to try to help themselves to “feel better” and to cope with difficult emotions or life circumstances.

For instance, for many people struggling with anorexia, their response when it comes to coping with feelings of anxiety, sadness, or loneliness, is to restrict their food. This may give them a false sense of “control” and specialness. For individuals with bulimia, bingeing and purging provides them a momentary feeling of comfort, “control,” or relief. For people struggling with binge eating, eating often feels like “an escape,” comforting, calming, or a way to numb out.

The reality is that eating disorder behaviors often provide short-term relief or satisfaction, and long-term feelings of increased depression, loneliness, and misery.

Let Yourself Feel

Eating disorder treatment involves a variety of tools and strategies for helping clients to reclaim their lives. However, one important element is helping them to learn how to identify, process, and cope with their emotions in ways that align with their life values.

Many of my clients struggle with being able to sit with themselves and their emotions. Often eating disorder behaviors are used as a way to try to regulate or distract from intense emotions.

I often say to clients that trying to suppress our emotions, is kind of like trying to hold a beach ball under water. It takes a lot of effort and eventually the beach ball will fly up above the water with force.

As a culture, we are often not taught to express our emotions. However, emotions serve important functions in our lives, as they are signals of things that we need to pay attention to.

There is a quote that I love from Norah Wynne, which says “Feelings will not kill you. No one has ever died from experiencing an emotion, but people have died trying to stuff them down.”

It’s important to share with clients that their eating disorder behaviors are often coping strategies that they are using to try to regulate their emotions. These behaviors may have helped them to get through some difficult and traumatic times, however they are also no longer serving them.

With treatment and support, people with eating disorders can learn how to heal their relationships with themselves, food, and their bodies.

They can also learn how to express and process their emotions, without the constant strain of trying to suppress or run from their feelings. Part of living a meaningful life is being able to experience all of one’s emotions, both pleasant and unpleasant.

One of the great privileges of doing this work is being able to see the light return into someone’s eyes, for them to be exploring their true passions and interests, for their brain space to be no longer ruled with thoughts about food and their body. Full recovery and living according to your true values, is completely possible.

An assignment to put this into practice:

What emotions (if any) are you trying to push down, avoid, or distract from?
What behaviors are you using to try not to experience this emotion?
How is doing so serving you, and how is it not serving you?
What would be on healthy way that you could process the emotions that you are experiencing, i.e. writing, an alterbook, talking to a friend, drawing, talking to a therapist?

Article By: Jennifer Rollin, MSW, LCSW-C,Founder of The Eating Disorder Center

5 Ways Perfectionism and Depression Feed Off Each Other

/in , , , ,

Perfectionism is defined as a personality trait characterized by efforts toward and desires for flawlessness. Perfectionists set unrealistically high standards for themselves, others, or both. Although perfectionism can boost performance in some cases, it often undermines the achievement of goals when people succumb to highly critical attitudes.

Understanding Different Types of Perfectionism
In a recent study entitled “Is Perfectionism a Vulnerability Factor for Depressive Symptoms, a Complication of Depressive Symptoms, or Both?” (2021), Smith and colleagues conducted a meta-analysis of a multitude of studies on perfectionistic concerns and perfectionistic strivings to determine in what way perfectionism and depression feed off of each other. Perfectionistic concerns center on the belief that perfection is required of oneself, shading into obsession.

Those with high perfection concerns overreact to errors, often second-guess their actions, experience discrepancy between their actual self and their ideal self, and fear disapproval from others. On the other hand, perfectionistic striving is associated with self-oriented perfectionism. This person typically holds lofty goals and has internalized expectations of success and productivity; this may be associated with higher achievement.

Unpacking the Links Between Depression and Perfectionism
Although there have been previous studies investigating links between perfectionism and depressive symptoms, it’s unclear exactly in what ways they connect.

A meta-review was conducted in order to reveal how these two factors are linked. Is perfectionism a vulnerability for depressive symptoms? A complication? Both? Many of the studies that have been done on perfectionism and depressive symptoms have assumed the way in which the two are linked instead of testing how they are linked.

Vulnerability for depressive symptoms means that perfectionism could increase the risk of clinical depression, whereas perfectionism as a complication of depressive symptoms means that perfectionism may overlap with and be amplified by depression symptoms. Awareness of the effects that perfectionism and depressive symptoms have on each other, which can lead to a vicious cycle, is of benefit for better understanding and coping with both depression and perfectionism.

The study found key relationships between various aspects of perfectionism, and depression, including:

1. Perfectionistic concerns can lead to increased depressive symptoms over time.

Perfectionist concerns conferred vulnerability for increased depressive symptoms over time. Perfectionist concerns lead people to think, feel, and behave in ways conducive to depressive symptoms. Perfectionistic concerns—including being overly critical towards the self or overreacting to mistakes—create the opportunity for depressive symptoms to creep in and take over.

2. People higher in perfectionistic concerns perceive and encounter more negative social interactions.

People with elevated perfectionist concerns perceive and encounter more negative social interactions, which often leads to social disconnection and, in turn, depressive symptoms. They also are at risk for depressive symptoms due to a propensity to generate—and respond poorly to—stress. Overall, expecting nothing less than perfection from yourself can set you up for failure; this translates to how stress is handled and can negatively infect interactions with others.

3. People high in perfectionistic concerns may see themselves as having less emotional control.

For many people with high perfectionistic concerns, experiencing depressive symptoms itself may be seen as a failure of emotional control. This translates into additional pressures to meet expectations and heightened concerns about failures and making mistakes. Depression can easily influence the person and their emotions, translating into a loss of control over the self which goes against the notion of being perfect.

4. Unrealistic goals can lead to a higher frequency of perceived failures.

Failure doesn’t seem like an option to many perfectionists—and if it does happen, it can alter the perfectionist’s view of themself. Unrealistic goals that people high in perfectionistic striving strive towards, such as needing to be the best at everything, can lead to a higher frequency of perceived failures and a lower frequency of perceived successes.

5. People with self-oriented perfectionism are more vulnerable to depressive symptoms.

The study found that self-oriented perfectionism was associated with an increased vulnerability for depressive symptoms. On the other hand, perfectionism did not appear to be a complication of depression. In other words, those who fit the “perfectionistic striving” definition of perfectionism may be vulnerable to depressive symptoms, but the reverse did not appear to be true: that is, it’s unlikely to develop perfectionistic striving as a result of depression.

How to Break the Cycle of Perfectionism and Depression
Smith et al (2021) found that perfectionism and depression often constitute a destructive vicious cycle. Perfectionistic concerns leave us both vulnerable to depression and are driven by depression.

As with any research, there are limitations. There is a lack of research on the role perfectionism takes in diagnosed depressive disorders. This study used self-report measures that could be inaccurate or distorted; this is especially true when studying perfectionistic people. Prospective studies with different treatment arms, looking at interventions and outcomes rather than looking back at self-report measures, are likely required to understand more fully what might bring relief.

People with perfectionistic concerns become locked into a cruel loop in which obsession drives depression and especially low self-esteem and helplessness, which in turn intensifies maladaptive perfectionism coping strategies. Learning strategies to reduce self-criticism and ease unrealistic expectations, including psychotherapy and meditation-based approaches including self-compassion practice, can help to interrupt maladaptive thought patterns and shift toward a kinder, gentler attitude toward oneself and others.

Treating depression, likewise, can ease perfectionism by removing many of the drivers of perfectionistic concern. Generally shifting one’s mindset over time, with broad attitudes and values as well as changing day-to-day habits, can change the world and the way we live in it.

Want more help with your perfectionism? Email us at info@hillarycounseling.com to schedule a complimentary 30-minute consultation.Let us help you “Live A Life You Love.”

Article By: Emma Newman of Pscyhology Today

How to find the best therapist near you

How To Find The Best Therapist Near Me…

/in , , ,

The first time I went to therapy, my parents chose a psychotherapist quickly (an easier decision than which mechanic to use). The way they found this nutter-butter-can-of-cashews: My first pediatrician didn’t know what to do for my all-night, every night nightmares, and so he sent me to a therapist. He thought she was good because of her seemingly impressive pedigree. And let me let them tell you as they told everyone who asked: “She did therapy on the Prime Minister from Israel.” Even at age 10, I found this bit of information troubling and logistically dubious, as we lived in a beachside suburb in Los Angeles and the Prime Minister from Israel lived in Israel.

Here are a few examples of her wacky behavior:

1. She ate cottage cheese with her mouth open during our sessions. I feel sure that her mouth full of curds gave me more nightmares.

2. She read her mail during our sessions. While I get that my 10-year-old chatter was not very stimulating, she was getting paid to listen to me and not to read what the latest edition of Readers Digest said about how to declutter your desk. Good God, do I wish I was making this stuff up.

3. I have since learned that she asked patients for rides to the airport. She never asked me for a ride, but I was only 10 and I didn’t even own a bike.

I thought, as a public service of sorts, and because I am a therapist and I write about being in therapy, it might be a good thing if I shared some thoughts about picking a therapist—should you ever find yourself in need of one—as they can be harder to find than a good mechanic.

1. Ask friends and family

Ask friends who are in therapy if they like their therapist. If they do, find out what it is they like about them and ask your friends to ask their therapists for referral lists.

2. Shop online

Google is very effective these days, in addition to Psychology Today’s Therapy Directory. When therapist shopping I would look for therapists who are not selling themselves but rather those telling you about their work and their philosophy of working with patients.

3. A picture tells a story

Take a look at therapists’ pictures on their website or Psychology Today’s Therapist Directory. Red lights for me: Therapists who use glamour shots or whose portraits seem in any way seductive. I would also steer clear of therapists who use a photo of themselves partaking in a favorite hobby or recreational activity. If you have any doubts about a therapist based on photos, I would listen to your intuition. See if you can find someone who you could easily sit across from. I am not saying your therapist needs to look like a supermodel; you just want to look at the therapist without feeling any concern or apprehension. I would heed any intuition.

4. Gender

When choosing a therapist, almost all people have an instinctive idea on gender they would prefer to work with. I don’t think there is a right or wrong when it comes to choosing which gender you prefer to work with. However, I think it can be clinically valuable to notice which gender you absolutely wouldn’t want to work with. I would make note of that and let my therapist know about my strong feelings of “no way” when considering a certain gender for a therapist.

5. Theoretical orientation

This one is really tricky. There are many theoretical orientations and I certainly cannot explain them all in one single post. Here is what I can say in a huge and gross oversimplification:

-If you believe there is an unconscious motivation for your behavior, you might want to go to a psychodynamic therapist.

-If you want to change your thoughts and you think doing that will change your life, and you don’t believe in an unconscious, then you might want a cognitive therapist.

-If you don’t ever want to talk about mom and dad and you only want the here and now then maybe narrative, behavioral, or solution-oriented therapies are something to consider.

-If you want to work on your family and not just on you, then try a family-oriented systems therapist.

-If you still have no idea at all about what orientation you might want, I would then ask the referrals you found and ask about orientation. If the therapist says, “I am an existentialist” and leaves it at that, then have her explain what that means and how you would experience that orientation. Keep asking until you find someone whose style resonates with you.

6. Contact them

When you find a therapist to contact, then reach out to them. It sounds easier than it is; I have had the numbers of therapists in my possession for weeks before I dared to reach out. Email them and ask to schedule a complimentary consultation. When you meet with this therapist, think about asking these questions:

-What is their specialty?

-Have they worked with people with your issues? Share a little about your presenting issue and see how the therapist responds.

-What is their training?

-Are they licensed? Feel free to look up the license and make sure.

-Are they now, or have they ever been, in therapy? This is a big one. Do not, repeat, do not, get into therapy with someone who hasn’t done her own work. Seeing a therapist who doesn’t do her own therapy is like going to a priest who has no relationship with God. This is a big one for me. Unless one has done her own work, she is likely to have issues that create an increased chance of boundary issues, unmanaged counter-transference, and blind spots.

-How much do sessions cost?

7. Notice

Notice how you feel during the consult with the therapist.

On your first appointment, notice how you feel when you are in the room with your new therapist. Do you feel heard when you speak? Notice how you feel in that person’s presence. Notice everything. You might not decide on the first session if the therapist is for you. It may take some time to determine if you have picked the right therapist.

If you’re feeling like the therapist you chose isn’t the best fit, it’s best to tell them what it is you’re looking for and why they aren’t the best fit for you. The therapist might have some ideas for a referral that would work for you. And sometimes that desire to not go back is motivated by some more unconscious anxieties about being in therapy. Best to discuss those, too.

Want more help finding a therapist that’s right for you? Email us at info@hillarycounseling.com to schedule a COMPLIMENTARY 30-minute consultation. Let us help you “Live A Life You Love!”

Article by: Traecy Cleatis of Psychology Today

Woman reflecting in nature

There’s a Name for the Blah You’re Feeling: It’s Called Languishing

/in , ,

At first, I didn’t recognize the symptoms that we all had in common. Friends mentioned that they were having trouble concentrating. Colleagues reported that even with vaccines on the horizon, they weren’t excited about 2021. A family member was staying up late to watch “National Treasure” again even though she knows the movie by heart. And instead of bouncing out of bed at 6 a.m., I was lying there until 7, playing Words with Friends.

It wasn’t burnout — we still had energy. It wasn’t depression — we didn’t feel hopeless. We just felt somewhat joyless and aimless. It turns out there’s a name for that: languishing.

Languishing is a sense of stagnation and emptiness. It feels as if you’re muddling through your days, looking at your life through a foggy windshield. And it might be the dominant emotion of 2021.

As scientists and physicians work to treat and cure the physical symptoms of long-haul Covid, many people are struggling with the emotional long-haul of the pandemic. It hit some of us unprepared as the intense fear and grief of last year faded.

In the early, uncertain days of the pandemic, it’s likely that your brain’s threat detection system — called the amygdala — was on high alert for fight-or-flight. As you learned that masks helped protect us — but package scrubbing didn’t— you probably developed routines that eased your sense of dread. But the pandemic has dragged on, and the acute state of anguish has given way to a chronic condition of languish.

In psychology, we think about mental health on a spectrum from depression to flourishing. Flourishing is the peak of well-being: You have a strong sense of meaning, mastery and mattering to others. Depression is the valley of ill-being: You feel despondent, drained and worthless.

Languishing is the neglected middle child of mental health. It’s the void between depression and flourishing — the absence of well-being. You don’t have symptoms of mental illness, but you’re not the picture of mental health either. You’re not functioning at full capacity. Languishing dulls your motivation, disrupts your ability to focus, and triples the odds that you’ll cut back on work. It appears to be more common than major depression — and in some ways it may be a bigger risk factor for mental illness.

The term was coined by a sociologist named Corey Keyes, who was struck that many people who weren’t depressed also weren’t thriving. His research suggests that the people most likely to experience major depression and anxiety disorders in the next decade aren’t the ones with those symptoms today. They’re the people who are languishing right now. And new evidence from pandemic health care workers in Italy shows that those who were languishing in the spring of 2020 were three times more likely than their peers to be diagnosed with post-traumatic stress disorder.

Welcome sign

Hillary Counseling Welcomes A New Psychologist

/in , ,

We are so excited to announce that Dr. Katelyn (Katy) Grusecki, has joined Hillary Counseling.

☼ Katy is a psychologist with a diverse background. She’s worked at medical centers, clinics, inpatient hospitals, outpatient programs and forensic facilities throughout Southern California.⁠ ⁠

☼ Her clinical style is based on a holistic model that attends to all aspect of wellness. Katy uses a client-centered, strengths-based approach and incorporates Cognitive Behavioral Therapy (CBT), Mindfulness and other treatment modalities to help her clients reach their goals.⁠ ⁠

☼ She specializes in working with individuals and couples who need support navigating: substance abuse, relationship struggles, anxiety, depression, life transitions, personal growth, career direction/professional growth, optimal health and wellness, trauma, improved self-confidence, and living a more authentic and values-driven lifestyle (just to name a few). ⁠ ⁠

MORE FACTS ABOUT KATY:⁠ ⁠

? She received her Doctor of Psychology (Psy.D) from Pepperdine University in California.⁠ ⁠

? In addition to practicing outpatient therapy, she maintains a full-time position as a licensed psychologist on a maximum security unit, focusing on forensic evaluations and psychological assessment.⁠ ⁠

Katy will begin seeing NEW clients Tuesday, April 20th. ⁠ ⁠She offers a FREE 30-minute consultation to begin therapy. For scheduling, you can email her directly at drkaty@hillarycounseling.com.

Man hiking

Can You Train Yourself to Become a More Optimistic Person?

/in , , ,

The brain has a natural optimism bias—we are what I call “wired for love”. This means that when we are connected to others in deep and meaningful ways, and when we are satisfied with where we are in life and where we are going (even if we have ups and downs, which are normal!), we can function at a healthy level. The brain likes it when we are in a good place!

If this is so, why does the negative seem so…overwhelming? Why do bad things and bad people tend to stick to our mind like super glue? Why is it so easy to fall into negative thinking spirals?

The negative affects us more because it is so unusual. Think about the many noises you hear at night: cars driving by your home, the chittering of crickets, the hum of the washing machine or refrigerator—these sounds are “normal” and don’t disturb your sleep because you are used to them. But, if you hear a door quickly open or a window break, you are suddenly on high alert. Something is out of place/out of balance, and your attention will stay fixed on that noise until you figure out what is going on and if you are safe.

The negative is like this “out-of-place” noise: it doesn’t make sense and your brain is not happy about this imbalance, so it tries to figure out how to fix this situation. It is easy to fix all your attention on this abnormality until it does make sense, but this can have some serious mental and physical repercussions if we are not careful, because, over time, toxic rumination disrupts the energy flow in the brain. Whatever we think about the most grows!

As I mentioned above, when we think too negatively or just focus on the bad (a pessimistic state of mind), the energy flow in the brain becomes distorted and incoherent, which can result in inflammation in the brain and body, jumps in cortisol levels, digestive issues, heart problems, mood swings and so on. In fact, this state of mind, which is what is known as a “red brain” on qEEg scans can even activate weaknesses in our genetic code! And, over time, it can become a pessimistic thinking habit—the more we think this way, the more the world seems like a terrible place.

Thankfully, we can combat and heal the effects of focusing too much on the negative by self-regulating our mind. This means focusing on how we think, feel and choose. Dr. Caroline Leaf discuss’s this in detail in her book, Cleaning Up Your Mental Mess. When we learn how to control our mind, we can rebalance the chemicals and energy in the brain and combat the negative health effects of toxic rumination.

This doesn’t mean that we should fear negativity. It is normal to have negative thoughts and experience uncomfortable emotions. If we think we are happy all the time, then we are lying to ourselves—we are suppressing the negative, which will only make things worse. Rather, we need to change the way we perceive the negative. We need to see negative thoughts and feelings as signals that something is going on in our lives that needs to be addressed; there is an “out-of-place noise” in our mental house that we need to get to the root of. This means asking questions like “why I am so pessimistic?”, “what are my triggers?”, “how does the negative affect me?” and “what is the thinking pattern behind my thoughts and feelings, and how can I change or rewire this?”.

The brain changes all the time because it is neuroplastic. The great news is that you can direct this change with your mind (your thinking, feeling, and choosing). You are always thinking, which is why self-regulation is such a great habit—it gives you the tools to control your mind!

Based on decades of research and practice, Dr. Caroline Leaf developed a self-regulation method that harnesses the neuroplastic nature of the brain through specific techniques to combat the negative influence of toxic rumination. Although there is a lot going on behind the scenes when you self-regulate your thinking and manage your mind, the process itself is not only simple but also accessible, no matter where you are, who you are with or what you are doing:

1. When you find yourself getting trapped in a toxic thinking spiral, take a 10 second pause, for as many times as you need. I recommend deep breathing during this pause, which helps bring brain energy back into balance. Breathe in for 3 counts (say, mentally or out loud, “think, feel”), then breathe out for 7 counts (say mentally or out loud, “choooooooose”).

This is like a reset button in the brain, and will increase your decision-making ability and clarity of mind. Indeed, doing this 6 to 9 times can really reorganize chemical chaos that results from negative thinking in the brain by transferring this energy from the toxic thinking pattern to cleaning up your mental mess!

2. Do a NeuroCycle, which is the self-regulation technique.

Here are the steps:

  • Gathering awareness of your physical and emotional warning signals. We can only change what we are aware of!
  • Reflecting on why you are feeling these things in your body and mind.
  • Writing down your reflections to organize your thinking.
  • Rechecking what you have written and how your thoughts and feelings have changed.
  • Active Reach: taking action to reconceptualize your thinking and find sustainable healing.

If you do this daily for 63 days, you can actually rewire a negative thinking habit or a pessimistic mindset. Each of these steps essentially reset the brain, taking you deeper into your own mind and transferring energy from toxic to healthy. Doing this not only makes your mind and brain more resilient to the pull of negative rumination; it teaches you to use your mind to change your brain! It shows you how to make negativity and life challenges work for you and not against you—YOU TAKE CONTROL, which will have positive carryover effects in other areas of your life.

When you learn how to self-regulate your thinking, you change the energy flow in the brain, which has a host of positive effects on your wellbeing. You still have negative thoughts, of course, but they don’t control your thinking, you control them!

For more information on the optimism bias and self-regulation, listen to Dr. Caroline Leaf’s podcast on MindBodyGreen.

Want help improving your own optimism? Email us at info@hillarycounseling.com to schedule a COMPLIMENTARY 30-minute consultation. Let us help you “Live A Life You Love!”

Article by: Dr. Caroline Leaf