Defusion of Distressing Thoughts: Acceptance and Commitment Therapy Series

How many thoughts would you guess pass through your mind in a single day? Let’s imagine you’re out to eat with a friend.  Even with your best intentions to stay present and listen, there’s a running commentary going on in your mind.  What are some of the thoughts you might have?  I wonder what she’s thinking of me.  Should I have said that?  I sound like an idiot. I’m still so angry from that meeting with my boss this morning.   He’s so overbearing and impossible to work with.  What am I forgetting from my grocery list?  I’m so forgetful, I must be losing my mind.

Needless to say, these thoughts pull you out of the moment and make it more challenging to listen. You might find yourself censoring what you say out of insecurity, comparing yourself to your friend, or even cutting your lunch date short to get back to the office quickly because you’re feeling stressed.

What’s happening?

When you find yourself stuck in your thoughts, you’re likely dealing with cognitive fusion, another destructive mental strategy that acceptance and commitment therapy (ACT) addresses.  When we’re in cognitive fusion, we believe that the workings of our internal mind (thoughts, memories, images, reasoning, comparisons, etc.) are true and real, such that we allow them to influence our behaviors.  Our thought patterns have power and control over our lives and seem to make our decisions for us.

Often these thoughts include cognitive distortions, like catastrophizing or all-or-nothing thinking.  They can include negative self-talk or beliefs about yourself that you hold to tightly based on past experiences.  When we believe these things, they become self-fulfilling prophecies.  For example, our fears of being awkward contribute to social anxiety or discomfort.  We then avoid social situations to try to manage the uncomfortable feelings that coincide with them, adding to the dynamics of experiential avoidance that lead us to disengage rather than live out what is important to us.

There are several different types of cognitive fusion that we may face.  They include:

• Rules: “shoulds” for self or others, ways the world or people “ought” to work or be.  Example: People should always be kind and respectful.

• “I” stories: identity-based statements about ourselves that become self-definitions and self-fulfilling prophecies.  Example: I’m always late.

• Judgments/evaluations: beliefs about what is fair vs. unfair, good vs. bad, or right vs. wrong.  Example: It’s unfair that I keep getting passed over for the promotion.

• Meaning-making/reasons: justifying what I do or looking for the answer to the “why?” question to explain what happens.  Example: I’m single because I’m so socially awkward and unattractive.

• Worries about the past/future: overfocus on the past or anxiety about the future that pulls us out of the present moment. Example: How am I ever going to pass that exam next Friday?

• “You/They” stories/comparison: beliefs about others that become self-fulfilling prophecies, particularly as they relate to us. Example: She’s better than I am at everything.

Cognitive fusion is a problem because our thoughts and feelings then run our lives for us and toss us around at every whim of our minds.  Yes, thoughts can feel very powerful.  Memories that pop up as flashbacks, ingrained patterns of meaning that carry shame, and automatic responses that elicit strong emotions can feel crippling at times.

Yet it is important to recognize that, though these thoughts can feel powerful and real, they may not have as much power as we think.

What is defusion?

Consider the image of defusing a bomb, as in an action movie.  In order for the hero to save the day, they must somehow disconnect the power this ticking time bomb has in order to keep it from destroying its target.

Similarly, our thoughts act as ticking time bombs that can unleash an explosion of painful thoughts and emotions, followed by destructive behaviors that lead us away from our values.  We can defuse the thoughts by removing the charge that sets them off: the automatic behavioral reaction that comes after the thoughts.  We do this by observing our thoughts from a place of distance rather than getting caught up in the storm they create in our minds.

The previous two concepts we’ve discussed in this Acceptance and Commitment Therapy series are essential building blocks to support this defusion.  Defusion helps us to practice acceptance to willingly encounter painful thoughts and feelings, rather than running away or avoiding experiences we find uncomfortable.  It is also essential for us to remain in the present moment in order to be aware of these thoughts from the role of an observer.

Principles

Thoughts are just thoughts.

Thoughts do not have the power to control your life.  You can have a thought come into your mind, but choose to act in a way that is different from your default response to the thought.  They do not have to control what you do.

Thoughts don’t last forever.

We find some surprising results when we pay attention to how many varied thoughts we have in a day.  To test this, sit quietly in a room with a pad of paper and write down every thought that pops into your head for 5 minutes.  When you’ve completed that list, count how many thoughts you had and multiply that number by 192 to create an estimate of how many thoughts you have in a day.  Recognizing that your thought patterns are fleeting and eventually come to an end can reduce their power.

How we relate to our thoughts is more important than the content of the thoughts.

ACT approaches thoughts differently from a traditional cognitive-behavioral approach, which places emphasis on understanding and changing the content of your automatic thoughts and core beliefs.  While reframing thoughts can be beneficial for some people, ACT theory emphasizes that our thoughts are powerful because we assign that power to them.  Rather than attempting to change a thought that may not be changed very easily, it is more effective to defuse the power of those thoughts.

This approach is helpful if you have tried to change the way you think about yourself or others for a long time, but aren’t finding those changes sticking.  Rather than continuing to try to force a change, allow the thought to be present, but reduce its power by taking an observer role and acting in accordance with your values instead.

Thoughts, emotions, meaning-making, memories, images, and other internal experiences are just products of the mind.

These internal workings don’t have any greater meaning than that.  They don’t have the power to force us to behave in any particular way, despite the fact that we may believe they do. 

At the same time, we can choose situations in which we want our thoughts to have an influence over our behaviors.  We can choose to engage the thoughts that move us more toward what is important to us.  In this way, we’re not eliminating the power of our thoughts entirely, but making an intentional decision of how much power we want to give to those thoughts.

Practices

Keep a record of your thoughts.

Listen to and track your thoughts, noticing whether they carry a positive, negative, or neutral charge.  Identify if there are any strong emotions that go alongside them.  Notice what behaviors flow naturally out of your thoughts and emotions.  Are those behaviors you want to be engaging in?  Or are they impulsive, reactive, automatic responses?  You can find a helpful tracking tool for this step here.

Affirm your role as an observer of your internal world.

After recording your thoughts, you are in a better position to recognize and notice thought patterns as they come up.  When you have a distressing, painful, or challenging thought, see what happens when you intentionally remind yourself of the phrase, “thoughts are just thoughts.”  How does it impact the power of that thought?

Similarly, you could label your internal experience as if you were an outside observer with words like, “I’m having the thought…” or “I’m having the emotion…”. Another strategy is to imagine your thoughts being played on a radio or told as a story outside of yourself.

Visualize the thoughts passing by.

Often we fixate on our thoughts, which gives them the illusion of power.  We obsess over them or attempt to stop them from coming up, which just entrenches them more deeply in our minds.  Instead, use this commonly practiced mindfulness technique: instead of trying to control, change, alter, or rid yourself of your thoughts, just notice them passing by.  Using a visual cue, like imagining thoughts like cars passing on the street or clouds floating by in the sky, can help you to allow them to pass through your awareness without giving them undue attention.  You’ll notice that your thoughts don’t need to command your focus all the time, but that they can come and go.

Write the thought down and look at it regularly.

If you notice a pattern to your distressing thoughts, such as a repeated phrase or belief that feels like it controls you, take that thought and write it down on something you can carry with you, such as a notecard or post-it note.  Throughout your day, pull out the note with your thought on it and read through it.  Notice how it feels when you look at it.  See yourself as an outside observer of that thought.

Notice how the relationship you have to the thought changes.  The words on the paper do not change, but the way you interact with them will differ at various points throughout the day.  This is a good indicator of the importance not of the content of the thought, but of how you relate to it.

Imagine a common situation influenced by this thought, but with a different outcome.

Choose this thought you’ve written on the card, another common thought pattern you’ve identified, or an image or memory that tends to impact your behaviors.  Now imagine yourself having that thought, but making a different decision about how to respond to it.  What behavior might line up better with what is important to you?  What would change?  How would an outside observer see you?  Would it be possible to act in a different way while still having the thought?

Take a risk and put your different outcome into practice.

Now put into practice this shift in behavior in response to your thought.  Release the thought using a statement like, “thoughts are just thoughts,” and take a risk to act in a way that aligns with what is important to you.  For example, if you’re in a social situation with the thought, “I’m too awkward to talk to people like them,” take a risk by engaging in conversation with one of those feared individuals.

Recognize that this will not eliminate the thoughts.  In fact, taking the risk may even intensify your discomfort.  But this practice of stepping out and making a change in your behavior while still experiencing the uncomfortable thoughts can teach you that your thoughts don’t have the power you think they do. You still have control over your own actions such that you can respond to challenging circumstances in alignment with your values.

Breaking Through Denial: Task 1 in Carnes' 30 Task Model for Addiction Recovery

What do you do after you realize you have a problem with sex and love addiction?  Maybe you’ve been found out by a spouse or significant other, and you know you need to get help.  Perhaps you’ve had legal or financial consequences that put you in a position to make some serious changes.  You may have even begun therapy with a counselor to address your addictive behaviors.  But what does treatment for sex and love addiction look like?

The 30 Task Model

Dr. Patrick Carnes, the pioneer in research and literature on sex addiction, designed his treatment model centered around 30 essential tasks to recovery.  These 30 tasks are broken into three sections: early recovery tasks, long-term recovery tasks (internal and external), and relational/family recovery.  He explores the first seven of these tasks in his workbook Facing the Shadow, while the next set of tasks is outlined in the follow-up books The Recovery Zone 1 & 2.

While all thirty of these tasks need to be addressed during the 3-5 year period of recovery from addiction, they aren’t necessarily completed in order.  You may find yourself working on spirituality (task #30) while you’re in the early stages of learning more about addiction (task #2) and establishing sobriety (task #5).  Or you may find that, several years into your recovery, you need to break through denial (task #1) about a new area of addiction that has replaced your sexual acting out (task #8).  Or while you’re working on your marriage relationship (task #27), you’re also grieving the losses your addiction has created in your marriage (task #12).

The 30 tasks don’t directly correlate with the 12 Steps, they share much of the same DNA.  For example, task #3 (surrender to the process) is very similar to what you’d find in Step 2 and Step 3.  In fact, task #7 (participate in a culture of support) is implemented through involvement in support groups and 12 Step programs.

The 30 Task Model can give you a roadmap to follow in treatment for sex and love addiction.  They can also be a helpful reference point when you’re in the middle of recovery and looking for what’s next or when you find yourself getting off track.  I’ve used them in sessions with clients as a means to define our goals together and as a self-assessment to identify potential areas for continued growth. 

In this series, we’ll take an in-depth look at each of the 30 tasks in Carnes’ model and explore some of his recommended activities (as well as a few of my own) for addressing this task or returning to it later in recovery.  Kavod Psychotherapy created a reference diagram briefly describing each of these 30 tasks.  More information on the tasks can be found in Facing the Shadow, The Recovery Zone series, or the Recovery Start Kit, all created by Dr. Patrick Carnes. 

Task 1: Break Through Denial

The essential starting point for any addict in recovery is the shift in thinking from “I don’t have a problem” or “this isn’t a big deal” into facing the reality of the presence of addiction and its destructive power in your life.

To put the label of “addiction” on your behaviors can be challenging, as we often associate addiction with moral failure or flaws.  Denial allows you to avoid a sense of shame or guilt about these behaviors.  Labeling behaviors as addiction also compels you to change, while denial can justify or minimize the impact of your behaviors.

Often the first call to break through denial comes when a loved one, like a spouse, finds out about your compulsive sexual behaviors.  This often begins the process of therapy and support.  Sometimes you’ve experienced a sense of guilt or being unable to stop that you’ve been aware of, but there isn’t any motivation to make a change until you hit that crisis point. 

Practical Steps for Task 1

Take an addiction-related assessment.

When you begin working with a Certified Sex Addiction Therapist (CSAT), they’ll typically encourage you to take one of a few different types of assessment to compare your symptoms and behaviors to a norm.

One is a quick inventory that you can take on your own: The Sexual Addiction Screening Test, or SAST.  This compares responses from a non-addicted population to a population of self-reported sex addicts.  This way, you can see whether or not you fall within range of normal behavior or addictive behavior. 

If your scores from the SAST put you in range of addictive behavior, you may be asked by your therapist to take a Sexual Dependency Inventory (SDI).  This is a much more extensive assessment that helps you clarify the form your addiction takes, as well as various additional measures that identify potential roots for the addiction.  Some of the questions for this particular assessment are found in the Facing the Shadow book in Chapter 3, so you can review those on your own if you choose.

Another alternative is to compare your experience of compulsive sexual behaviors with the criteria for addiction listed in the DSM-5.  While there isn’t yet a diagnostic category for sexual addiction in the DSM, you can use the same criteria as alcohol or drug use disorder and simply replace the substance listed in the criteria with compulsive sexual behaviors.

Write out any problems or consequences you’re experiencing.

Make a list of any problems you’re facing in your life, whether they are obviously addiction-related or not.  Often problems seem unrelated to the addiction, but their solutions can be influenced by the time and energy the addiction takes.

Examine your list to identify which of these are either directly caused by or intensified by your compulsive sexual behaviors.  Include not only physical consequences you may have had as a result of the addiction but also emotional and spiritual consequences.

Make a list of the secrets you are keeping and from whom you are keeping them.

Addiction thrives in secrecy.  One major way to break through denial is to identify where that secrecy is taking place.  This deception can be about major things, like hiding your compulsive sexual behaviors for fear of rejection or pain.  But they can also be about minor things, like finding yourself compulsively lying or hiding aspects of who you are as a person.

Take note of these, as well as from whom you’ve been hiding them.  Notice if there is anyone in your life who knows everything.  If not, be curious about why that is.  If you run into a pattern of presenting a different person in different contexts, explore what might be influencing that behavior. 

Recognize the “stinkin’ thinkin’” of addiction.

Denial exists primarily in our minds as a way of interpreting our behaviors and our thoughts.  It can show up as making excuses, minimizing, justifying, feelings of entitlement, blame-shifting, taking on the victim role, and many others.

Begin to recognize the beliefs you have that allow you to continue on in your addiction.  Utilize resources such as this article to identify different types of beliefs that might show up in your denial.

Sometimes these beliefs are so strong that they’re hard to label as denial.  Understanding delusion and self-deception can help make sense of these thoughts and place them into the correct category.

Tell the whole story to someone.

Once you’ve sorted through how denial functions to protect you from facing the reality of your addiction, now you can work against that denial by sharing your story of addiction with a safe and trusted person.  This person could be your therapist, sponsor, pastor or spiritual mentor, or a close friend who has offered understanding and empathy when you’ve talked about difficult things in the past.  It may be helpful to write a letter or narrative to help you express your thoughts and ensure that you are as honest as possible.

Many 12 Step programs encourage you to share this information in your First Step.  You might share parts of your story with a group during a regular meeting or present your First Step as a whole to the group.  Telling another sex and love addict in recovery can be helpful, particularly in a group setting. They will know how and when to challenge you, as they can relate to the experience in a unique way.

Obviously, it can be challenging to work up the courage to share your First Step with the group in a way that feels supportive and kind to yourself. Get connected to a sponsor or other support individual and share with them first before you do so in a more public form.  In the meantime, listen to others’ First Steps to consider what pieces of your story relate to theirs.

Check your story with others.

The way we perceive the world, especially when it comes to our own actions, isn’t always the way others see it.  If you’re wondering about the impact of your behaviors and you feel able or comfortable to do so, ask others.  Similarly, you can observe when others in your group talk about the impact of their addiction on their loved ones and draw connections to how your loved ones may be feeling.

If you are married or in a significant relationship with another person, you may go through a formal disclosure process at some point.  As part of the disclosure, your loved one will read you an impact letter they’ve written that describes how they have felt as a result of your addiction.  This can be a helpful experience to come back to as a reminder of the reality of the pain caused by your behaviors. 

Repeat.

Keep coming back to these components of breaking through denial at each stage of your recovery.  You might find the stinkin’ thinkin’ re-emerges when you’re about to face a new challenge to your sobriety.  At around 6-8 months of sobriety, you may become overconfident and observe some of these denial patterns coming back in again.

Create and add to a list of beliefs that push you into addiction, denial statements, entitlement, and excuse-making statements so you can continue to recognize those thought patterns when they come up.  The more you are able to recognize and be on guard for this denial, the more likely you will be to catch it and redirect into your recovery.

The Types of Thoughts that Keep You Stuck and How to Combat Them

So much of our day-to-day life is impacted by our thoughts, whether we’re aware of them or not.  Our interpretation of events as filtered through our thoughts influences how we experience the world around us.  What we believe about ourselves can affect our confidence, for better or for worse.  How we perceive others can lead to connection or conflict.

Cognitive behavioral therapy, or CBT, is one of the most common treatment methods in mental health counseling.  One of the central principles to the CBT approach is a recognition of the power of thoughts, or cognitions, to impact our emotional well-being and our behaviors and choices. 

When a situation occurs, your response to that situation typically involves three things: thoughts, emotions, and behaviors.  You might more easily identify your emotional response or how you react behaviorally. What CBT points out is how emotions and behaviors are influenced by your thoughts, or interpretation, of the event.

Since the thoughts you have in response to a situation are the catalyst to emotional distress and destructive behaviors, targeting these thoughts can be a game-changer in improving your overall mental well-being.

Three Types of Thoughts

There are three layers of thoughts that influence emotions and behavior as identified in the cognitive-behavioral model: automatic thoughts, intermediate beliefs, and core beliefs.

Automatic Thoughts

Automatic thoughts are situation-specific thoughts that pop into your head.  They’re referred to as “automatic” because they largely arise from subconscious awareness – you aren’t choosing actively to have those thoughts.  They might be positive, negative, or neutral in tone.

For example, let’s imagine you received critical feedback on a project you completed for work.  A positive automatic thought in response to this might be, “That was a tough project, but I know I have the skills to implement the changes they suggested next time.”  On the other hand, a negative automatic thought might be, “I can’t believe I missed those details.  I worked so hard on this project. Why do I always mess things up?” 

You probably aren’t aware of many of your automatic thoughts because they happen so frequently and quickly.  While some of these thoughts are distorted or influenced by your core beliefs or intermediate beliefs (defined below), you aren’t likely to question these thoughts naturally.  However, you can learn to become more aware of them and implement strategies to evaluate the accuracy of these thoughts.

Intermediate Beliefs

Intermediate beliefs exist as a mediator between automatic thoughts and core beliefs.  These are personal perceptions of how things work that influence how you interpret the current situation.  They can be rules, assumptions, “shoulds,” or attitudes that apply to a variety of situations with a broader reach. 

Let’s take a look at the automatic thoughts from above (“I can’t believe I missed those details; why do I always mess things up?”) to illustrate examples of the types of intermediate beliefs.  Perhaps your reaction is intensified by a rule, such as, “I should be perfect.”  Or maybe you have the assumption, “Weak people make mistakes.”  A conditional, “if…then…” belief might sound like, “if I succeed at work, then I will be okay.”

These beliefs not always explicitly stated, but can be held internally. They form as our brains try to make sense of what we observe in the environment around us from a young age.  We learn these beliefs from what we observe in our families-of-origin, our experiences, our relationships, and elsewhere.  These beliefs serve a purpose: they protect us from the deeper core beliefs that are often more painful and scary.

Core Beliefs/Schemas

Core beliefs are rigid, deeply rooted beliefs about yourself, others, or the world.  They are heavily based in past experiences, often beginning in childhood, and they can be reinforced by trauma.  Schemas are a series of interconnected core beliefs that form a mental framework to organize information. These core beliefs and schemas aren’t activated in every moment of life, but once they become activated, they have a strong influence on your emotional well-being. 

Some examples of core beliefs that might be at play in the work situation are, “I’m a failure.”  “I’m not good enough.”  “I don’t have what it takes.” “I’m weak.”

Core beliefs are a filter through which you see the world.  You observe and remember evidence that serves to confirm these beliefs, and you ignore evidence that doesn’t fit.  You may even find yourself creating situations for yourself that reinforce these beliefs as a self-fulfilling prophecy.  Or you may re-write positive information that doesn’t fit in with your schema or core belief to fit the negative belief (ie. “They gave me a compliment BUT they must have just felt bad for me because I’m so ugly.”)

How to Respond to These Beliefs

When you recognize these distressing beliefs, you can begin to change your pattern of thinking.  Remind yourself that these beliefs are not absolute truth, as much as they may feel that way while you’re having them.  You can pause and question the thoughts, reminding yourself of reality.

First, trace your automatic thought through the intermediate beliefs that influence it and the core beliefs it stirs up in you.  When you notice an automatic thought, reflect on what assumptions, conditions, or rules might be at play.  Use those to identify what core belief might be at work.  To facilitate this process, you can ask yourself questions like, “so what?” or “what does that mean about me, others, or the world?”

Once you’ve identified your three types of thoughts, here are a few strategies specific to each type of thought that may help you change those patterns.

Automatic thoughts

• Look for cognitive distortions and call them out. Cognitive distortions are common irrational belief patterns, such as all-or-nothing thinking, overgeneralization, jumping to conclusions, and emotional reasoning.  These happen so automatically that we often don’t realize they’re distorted until we slow down enough to recognize which distortion is at play.

• Normalize the subconscious, immediate reactions. Rather than getting caught up in anger at yourself for your negative automatic thoughts, identify their origins.  Connecting an automatic thought to a core belief or intermediate belief can help you make sense of why you would think that way and practice more kindness toward yourself.

Intermediate Beliefs

• Ask yourself, “where did I learn this from?” Look for examples where this rule, assumption, or condition was communicated to you or modeled for you, either directly or indirectly.  Identify if there were expectations in your family-of-origin or a traumatic event that may have solidified this belief.

• Check the validity of your beliefs. Just because you have a thought doesn’t mean that it is true.  Put your thoughts on trial by exploring the evidence for and evidence against their truthfulness. Consider what you might say to a friend in a similar situation: would you hold them to the same standard?  Why or why not?

Core Beliefs

• Act “as if” you believed the opposite. Consider what would change in your life if you believed the opposite of your negative core belief.  If your core belief is “I am a failure,” what would change in your life if you believed you were a success?  How would you respond differently?  Begin to experiment with some of those actions and observe what happens. You may find that changing the behavior with a mindset toward altering the core belief can lead you to new perspective.

• Seek out disconfirming evidence. Make a list of all the evidence you can find that your core belief isn’t true.  Instead of filtering positive information to make it fit your negative schema, try the opposite: see if there are alternative explanations for negative experiences.  Reframe your thoughts to fit that more accurate perspective.

Questions to Ask Your Destructive Thoughts to Keep Them from Running Your Life

We all have a specific, unique way of viewing ourselves, others, and the world around us based on our biology and life experiences.  If you’ve dealt with anxiety or depression, your thought patterns probably have some level of distortion. Often the thoughts you have discourage you from completing daily tasks that seemed so simple before depression or anxiety hit.  Emotions arise from the thoughts you have about events, as different interpretations of an event can lead to vastly different emotional responses.

It’s easier to notice symptoms of overwhelming emotions, lack of motivation, and changes to behavior than it is to notice the thoughts driving them.  But key to experiencing relief from anxiety and depression is to recognize your thought patterns behind those emotional and behavioral shifts. 

Recognizing Distorted Thought Patterns

If you’ve been having destructive thinking patterns, you may not know it.  Have you ever been to a circus or carnival where there was a fun house with oddly shaped mirrors?  Looking at yourself in one of those mirrors makes your body look tall and thin, short and stout, or perhaps even swirled.  Now imagine if those were the only mirrors you had in your home, and one day you visited a friend who had a plain, flat mirror.  Looking into that mirror, you would likely think, “What’s wrong with this mirror?  Why is it showing me like that?” You’ve never realized that the mirrors you’ve been looking at your whole life haven’t shown you reality.

When we have negative beliefs about ourself, others, or the world, they form a lens (much like this distorted, fun house mirror) through which we interpret everything.  We skew whatever circumstance we’re in, interaction we have, or problem we face as directly related to this destructive thought.  There are several categories of these destructive thought patterns.

Also, these thoughts are usually several layers deep.  Let’s say you see a friend while you’re out for a walk and she doesn’t acknowledge you.  Your first, automatic thought might be something like, “Is she mad at me?”  This is quickly followed by a chorus of other thoughts (“I wonder if I’ve offended her somehow.  Is she upset I didn’t invite her to that get-together last week?  I haven’t been calling her often enough.”) which ends in a deeper, core belief (“I’m a bad friend”).

As you reflect on this thought pattern, you may also have a negative thought pattern about these thoughts.  When you notice yourself thinking about yourself negatively or interpreting situations in negative ways, you might think, “Why do I always do this?  I get myself so worked up over little things and then it ruins my whole day.  I’m such an idiot.”

Questioning Your Thoughts

Once you’re aware of these thoughts and can recognize how they’re hurting you more than they’re helping you, you have the opportunity to shift the narrative.  Consider the questions below as tools to help you change the way you think about yourself, others, or the world.

How true is this thought?

Often our thoughts have some grain of truth in them, even if we’ve blown it out of proportion to the stressor.  However, destructive thought patterns often are more negative than accurate. 

For example, take the thought “I’m a bad person” that comes because you raised your voice at your children in the heat of an angry moment.  It is true that you raised your voice, and that isn’t in alignment with your values of parenting.  But magnifying this one mistake to pass  judgment on who you are as a whole is intensifying the thought beyond what is true.

What evidence supports this thought?  What evidence goes against this thought?

This question builds off the previous one to offer evidence to support (or deny) the “truth” of your thought in the context of the situation.  Consider this as putting your thoughts on trial.  You’re parsing out the evidence you have in front of you objectively, taking emotions or bias out of the picture.  This often influences what you see as reality in the situation. 

Is this thought helping me or hurting me?

When you have this thought, how does it make you feel?  What does it make you want to do?  Ruminating or focusing all your attention on negative thought patterns is destructive to your mental health.  If you notice your thought patterns lead you to retreat from relationships, feel exhausted or overwhelmed, engage in self-destructive behaviors, feed into addiction, overeat or oversleep, or cope in ways that ultimately hurt you, this might be a thought pattern worth changing.

While sometimes it may feel as though you don’t have control over your thinking patterns, using these questions is a great way to shift those thoughts.  Consider: how is this thought affecting me negatively?  How might shifting my perspective on this situation affect me differently? 

What would I say to my best friend if they told me they were having this thought?

We are our own worst critics.  In most cases, we would never speak to our friends the way that we speak to ourselves.  Use this question to evaluate whether you’re being too harsh on yourself or whether your limited perspective on the situation might be influencing your reaction.

Think of an encouraging mentor or friend in your life.  What would they say to you about this thought?

Picture sitting across from this person and imagine their face as they hear you share those thoughts with them.  How would they look at you?  Would there be judgment or compassion in their eyes?  How might they respond?  Similar to the last question, imagining speaking these thoughts aloud with others changes the way you hear them.

If you are a Christian, you might also ask yourself: what would God say to you?  Use Scripture like 1 Corinthians 13:4-7 to connect to the love and compassion He has for you, and identify Bible verses that respond to the concern you’re feeling.  Connect to your identity in Christ as a source of hope and reassurance against negative beliefs about yourself. 

Where is this thought coming from?

As mentioned earlier, we learned our unique ways of interpreting events from our life experiences.  See if you can pinpoint where this negative message or thought pattern was hammered home for you.  Were they words communicated to you by someone from your past who has hurt you?  Even if the words were never communicated directly in this way, are they influenced by messages you’ve indirectly received about yourself or your worth?

How might my current circumstances be affecting my thoughts?

When we’re feeling hungry, angry, lonely, tired, bored, or a number of other distressing feelings, those can intensify our reaction to life events.  When our basic needs for relationship, nourishment, safety, and rest aren’t being met, we can become worn down and more susceptible to negative interpretations.  Have there been triggers in other areas of your life that might be intensifying these thoughts?  How has your self-care been – sleep, eating, social time, leisure time, work, etc.?  Are there stressors in your life that might be compounding your negative thought patterns? 

What is the least pathological explanation for what happened?  What is most realistic?

If you’ve ever dealt with depression, you know that depression can convince you to be absolutely certain about the truth of your negative interpretation of events.  In anxiety, worst case scenarios often feel like the only possible outcome.  Consider what alternative explanations might exist for the situation in which you find yourself and identify if those might be valid in any way. 

As an extension of this question, it may be helpful to ask yourself what the worst-case scenario is (probably what you’re already thinking), what the best-case scenario is, and what is most realistic.  What is most likely to happen is often the most realistic possibility, and it often exists between the two extremes of best-case and worst-case.

Through what core belief “lens” might I be viewing this thought?

In the film the Wizard of Oz, Dorothy and her friends visit the Emerald City and are asked to put on glasses before they enter.  With those glasses on, everything they see is in various shades of green!  But if they were to remove those green-tinted glasses, they would see the true colors of their surroundings for what they are.

Our core beliefs function in much the same way.  When we believe something at the core about who we are, we interpret all events that happen to us and around us through that lens.  If I believe I’m unloveable, I will interpret my spouse’s delay in responding to my text as evidence that they don’t love me.  Notice if any of your thoughts are colored by these core beliefs, and imagine what it might look like if you took those tinted glasses off.

Releasing the Shoulds: Freeing Yourself of Impossibly High Standards So You Can Live

Do you feel a vague sense of guilt when you fail or make mistakes?  Have you been described as a perfectionist or a type A person?  Many of us, particularly if we grew up in an environment with high expectations, have learned a certain set of standards around our behavior that can feel overwhelming to maintain.

Sometimes, we hold those same standards for others.  When we are disappointed by a friend or family member who lets us down or fails to meet our expectations, we are angry at them.  If they don’t read our minds and know what we need, it causes an argument.  We become overly critical of family and friends, gossiping about others, or feeling bitterness and resentment that build to a breaking point.

Or we may want our circumstances to be perfect and are crushed when they don’t work out the way we think they should.  There are so many factors outside our control: jobs, family, others’ choices, natural disasters, or even positive experiences – you name it.  When our circumstances don’t fit into our perfect mold, how do we then respond?  Are we able to adapt or do we feel cheated out of the way things “should” have been?

If any of the above experiences sound like you, it might be time to take a look at the “shoulds” you’re carrying around and how they’re working (or likely, not working) for you.

Recognizing the Shoulds

Identify the areas where you feel a sense of “should.”

It can be as easy as listening to your self-talk and identifying where you hear the word “should.”  I should, I have to, I ought to, I must…do any of these words populate your vocabulary?  In what situations do you say those words to yourself in your mind? 

Pay attention to your emotions, particularly shame and fear.

Maybe it’s not so clear to you in which situations you feel pressure to meet a standard.  In that case, recognizing shame can help.  First, identify what shame feels like in your body.  Red cheeks, a knot in your stomach, a desire to run and hide?  Think about a circumstance when you’ve felt shame in the past.  What were the words running through your mind?

Similarly, fear can be an indicator that you’re responding to a perceived set of “shoulds.”  If you’re afraid of what others think of you, even if it’s just in one particular area like work, ask yourself where you learned to fear their opinion. Connect it back to previous experiences where you may have felt fear about the opinions of others.

Look at what bothers you most about other people.

When you pinpoint the areas where you’re most critical of others, ask yourself if you can relate to their struggles in any way.  In the Bible, when Jesus speaks of judging others, he says, “Why do you see the speck that is in your brother’s eye, but do not notice the log that is in your own eye?” (Matthew 7:3)  Often the behaviors we criticize in others are areas in which we are imperfect or insecure ourselves.

Look at where you’re most likely to criticize others and see if you can relate to their struggles.  You may not be dealing with the issue exactly the way they are handling it, but your response might hint at a “should.”  For example, if I believe others “should” respond to my emails within a few hours of receiving them, it might be worthwhile to check my own habits for responding to emails.  If I do respond quickly, I might identify how that “should” has been affecting my stress levels and mood.

What happens if I don’t do what I “should” do?  What type of person would that make me?  Do I have a rigid expectation of myself here?  Is there space for me to receive or extend grace and understanding to myself or others? 

See where you’re jealous of others.

Another insight from criticism involves recognizing if you want something others have.  You might compare your life to theirs, thinking, “I wish I could do what they’re doing.”  For example, criticizing someone for taking an afternoon off work to attend a child’s sporting event might hint that you have a rigid expectation that you can’t leave the office to do something similar.  Explore what you believe you can’t or “don’t have permission to” do that others can do, and see if that’s based in any “shoulds.”

Releasing the Shoulds

“Okay great, but now what?”  It might have been easy for you to figure out what “shoulds” drive your life, but despite your knowledge of them, you haven’t been able to shake them.  They feel like a constant chorus that echoes through your mind and weighs you down.  Try some of the following steps to let go of those expectations of yourself and release the pressure.

Identify what’s in your control and what’s not in your control.

You have control over your thoughts, emotions, behaviors, and beliefs.  You cannot control the thoughts, emotions, choices, and beliefs of others.  There are some life circumstances you have control over and others you don’t.  When you clarify if you are truly in control of your situation, you may be able to release unrealistic expectations you have on yourself.

This can also help you realize that you aren’t the only one responsible or in control of caring for others.  When your “shoulds” take on a tone of responsibility for others (“If I don’t help them/fill this volunteer role/work the extra hours, then who will?”), recognizing that you aren’t the only one who can take action can release you from the pressure to help.  You may still have some influence, but there are other people or circumstances that may carry responsibility in the lives of the ones you help.

Separate “perfect” from “good.”

Perfectionism often drives these “should” statements, and a hallmark of perfectionism is the belief that perfect and good are the same thing.  In other words, if I don’t do this perfectly, it is bad.  In order for something to be good, it has to be perfect. 

This requires some deconstructing and redefining “good and “perfect”.  Reframe your beliefs to see that things can be good even if they aren’t perfect.  Look for examples where what you’ve produced hasn’t been perfect, but it has been good.  Search for ways in which “good enough” has been good, even when it hasn’t met your unrealistic, high expectations.

Ask yourself what you think will happen if you fail.

What would you believe about yourself if you were to fail or make mistakes in this area?  You might end up uncovering a deeper core belief about yourself that’s driving your “should” responses.  For example, you might believe that if you don’t live up to these high standards you’ll be rejected and unloved.

If you already have these underlying beliefs, no amount of perfection will fix the beliefs.  Until you recognize the origins of the belief and do the work to dismantle it, you won’t be able to let go.

Pretend like you’re talking to a friend.

For many of us, we would never talk to our friends the way that we talk to ourselves.  The amount of negativity and self-criticism that makes up the majority of our self-talk would leave us friendless if we used those words on other people.

Imagine you are having a conversation with a friend who told you about all the “should” statements they were wrestling with.  What might you stay to them in response?  What realistic expectations to you hold for them that you might not hold for yourself? 

Let yourself “break the rules” and see what happens.

When you’ve lived by a rule of “shoulds” your whole life, letting loose and breaking the rules feels like a big no-no.  Give this a try: intentionally set out to do the opposite of what the “shoulds” say to do.  Then observe what happens.  Do you fail? Are your fears confirmed? 

In many cases, what you learn is that breaking the rules doesn’t kill you, nor does it leave you rejected and abandoned.  The worst-case scenario that held you back is discredited. 

To be fair, in some situations you may experience responses that seem to confirm your beliefs.  In this case, learn from those experiences.  Pay attention to your emotional response and self-talk, and be aware of when you’ve felt that way before.  If you can pinpoint earlier experiences similar to this one, that’s a hint at the origins of the high standard you keep.

Doing the work of “releasing the shoulds” is difficult, but it is absolutely worth it.  The relief you’ll feel at letting go of the crushing weight of pressure that you put on yourself will free you up to live your life more authentically.  It will improve your relationships as you drop the criticism and gain more empathy and understanding for others.

Are You an Unreliable Narrator in Your Own Life?: How Cognitive Distortions Manipulate Your Thoughts

Have you noticed the trend in popular fiction where thrillers are becoming all the rage?  Books like Gone Girl and Girl on the Train have become increasingly popular.  A common element in many of these novels is the “unreliable narrator.”  At some point during the novel, there’s a twist that clues us in to the fact that the narrator may be filtering the truth in such a way that works to their advantage or tells their side of the story.  This plot device adds an additional layer of mystery to the text as we try to figure out what’s true and what isn’t.

When have you realized that what you believed was true was wrong all along?

We tend to filter our experience through our beliefs about people and the world around us in a way that twists reality and leads us to doubt what we know to be true.  It can start with one mistaken belief or critical comment.  Before we know it, that statement grows into an internal voice that leads us to filter our beliefs through this new lens.  In depression and anxiety, this is particularly common, as these disorders add an additional filter to our thoughts that twists them to be even more inaccurate, becoming what psychologists call “cognitive distortions.”

What is a cognitive distortion?

Cognitive distortions are “exaggerated or irrational thought patterns that are believed to perpetuate the effects of psychopathological states, especially depression and anxiety.”

I think of it like the fun house attraction at those traveling fairs that rolled into town in your childhood.  Typically they featured mirrors that distorted your body shape and size.  This is a fitting picture of how our thoughts filter through these different lenses of reality and twist our beliefs into cognitive distortions.

Common Cognitive Distortions and Their Antidotes

While there are several different types of cognitive distortions, here are a few of the most common ones I’ve seen with depression and anxiety.  Alongside an example of each, I’ll provide an antidote (some ideas to try if you notice these are the filters you default to most commonly) and an adaptive thought (an example of a shift in thinking in response to that distortion).

All-or-nothing thinking happens when we believe that only two extremes exist, with no room for gray area in between.  We think in terms of good or bad, right or wrong, pass or fail. 

• Example: “If I do poorly on this test, that means I’m a failure.”

• Antidote: Make room for the gray in your life. We all make mistakes or do things poorly, but there are likely plenty of positives in your life as well. Think in terms of better and best instead of right and wrong.

• Adaptive Thought: “One bad grade doesn’t disqualify the other good grades I’ve gotten or the hard work I put into studying.”

Overgeneralization occurs when we take an isolated event and expect that all other similar events will happen in the same way.

• Example: “What’s the point of going out on dates? The last guy I dated didn’t call me back after the first date, so why should I expect anything different?”

• Antidote: Recognize that each situation you experience is unique. If you believe this pattern exists, look for examples to disprove that pattern.

• Adaptive Thought: “So that last date didn’t work out? We must’ve not been the right fit. The next guy I date might be a better fit for me.”

Jumping to conclusions involves assuming we already know how others will perceive us or how a situation will play out.

• Example: “My friend didn’t say hi to me at church the other day – I must’ve done something wrong or offended her.”

• Antidote: Reality check that assumption by either asking the other person if your belief is true or think of alternative explanations for what happened.

• Adaptive Thought: “My friend might’ve been caught up in a conversation and didn’t see me at church, so it makes sense why she wouldn’t have said hi.”

Personalization is the belief that everything that happens around us is a direct response to something we have done or said.  This can lead to taking too much responsibility for how others respond to us, or worry that we’re being judged.

• Example: “This party is so awkward – it must be because I’m so awkward and I’m ruining the night for everyone.”

• Antidote: Set an internal boundary: affirm that you are not responsible for the thoughts and reactions of other people. What are some other reasons for the situation?

• Adaptive Thought: “This party is kind of awkward because we don’t all know each other yet. Maybe I can start up a conversation with someone new or suggest a game to play!”

“Shoulds” involve thinking that we “should” do things a certain way, and if we don’t, it is a poor reflection on us or our character.

• Example: “I should be exercising 5 days a week and if I’m not, I’m lazy.”

• Antidote: Search for the source of that belief (family, friends, media, school, church, self) and explore why it has such an impact on you. Give yourself freedom to say “no” to it. Frame your decisions as a choice of what you want to do instead of “should” do.

• Adaptive Thought: “I’d like to exercise more. I can choose to go for a run this afternoon.”

Emotional reasoning takes place when have a certain emotional response to our circumstances and come to accept that feeling as truth.

• Example: “I feel ugly, so it must be true.”

• Antidote: Remind yourself that emotions are changeable. Look for evidence that stands in direct contrast to the beliefs those emotions are telling you.

• Adaptive Thought: “Even though I feel ugly, I know I’m feeling worse than usual today because I didn’t get enough sleep last night. I know those emotions will pass.”

Which of these cognitive distortions do you see the world through most often?  How can you actively seek to change those filters and become a more reliable narrator in your life?

This article was originally published on July 6, 2017.