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.

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.

Personal Strides in Partner Recovery: The Importance of Participating in Your Own Healing Work

If you are a partner of a sex and love addict, chances are you responded to the discovery of your significant other’s addiction with a mix of emotions: anger, fear, hurt, grief, rage, sadness, loneliness.  These emotions often come out of nowhere and blindside you.  You then have to deal with triggers that arise unexpectedly and bring surges of these intense emotions back.  You’re constantly revising history with the new information about the addiction at the forefront.

Just like anyone who has suffered an unexpected and devastating trauma, recovery from the revelation of a significant other’s sex and love addiction can be challenging and take time and a lot of work.  But one place that I see partners get stuck is with their eyes on the addict rather than their eyes on their own healing.

Where You Get Stuck

Immediately following discovery, your pain can serve as part of the push that generates enough discomfort for the addict to get into treatment and turn their life around.  This is often a good thing!  But not every addict responds in this way.  Sometimes the addict refuses help or seems half-hearted in their attempts to achieve sobriety.

In these situations, you might respond by focusing on the addict’s recovery: what he’s doing or not doing, how he is changing or growing in empathy, or a lack of change.  Being aware of these changes (or lack thereof) isn’t all bad.  It becomes a problem, however, when it’s all you think about.  When how well you are doing depends on the addict’s progress, that can lead to a tug-of-war in your relationship as you attempt to gain control over the impact of his addiction and his approach to recovery.

In attempting to take control of the addict’s recovery, you are trying to control your significant other’s choices, thoughts, behaviors, and attitudes.  But these areas aren’t something you have power over: their choice and responsibility belongs to them.  Attempts at control might include threats, manipulation, passive-aggressive comments, or constant criticism.

This response makes sense in light of powerlessness and fear that come with betrayal trauma.  But over time, you’ll see that it leaves you feeling hopeless, trapped, angry, and restless. 

What Could Be Beneath

Often, when partners shift into fix-it mode or any of these attempts to control their spouse’s recovery, it hints that they might be avoiding more painful emotions or uncomfortable realities they are now forced to face.  These might include the process of grief associated with finding out the person you married wasn’t who you thought they were.  It could involve insecurity about yourself, reminders of past experiences of trauma with an addicted family member, or re-organizing your concept of safety because of the addict’s deception.  You might be battling feelings of shame that prevent you from being able to share about your experience with others.

When you shift your gaze to your own healing work, you can finally experience the relief and freedom from chaos for which you’ve been longing.  You can move toward facing the reality of your current circumstance and taking decisive action to heal and become empowered. 

Practical Ways to Focus on Your Healing

Practice acceptance and commitment.

When I hear the Serenity Prayer, I think of the balance of acceptance and commitment: God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.  For you as a healing partner, this requires acceptance or recognition of the reality that your addicted partner is dealing with a legitimate addiction that has caused legitimate trauma, pain, and harm to you and others.  Courage and commitment come when you make empowered choices and recognize the control you have over your own life, response, and healing.

An important note: acceptance does not mean pretending that everything is okay and that you aren’t hurting.  That is denial, not acceptance.  Acceptance instead means recognizing that what has happened has actually happened and that it cannot be changed by wishing it were different.

The Karpman drama triangle can help us recognize reality.  When we look at the dance of the roles of victim-perpetrator-rescuer, we can identify where we’ve been swept up into the drama of addiction.  Recognize the drama you tend toward and learn ways to step outside the drama by identifying your own responsibility and making choices that reflect that.

Gear up with self-care.

Going through the trauma of the discovery of sex and love addiction is like getting in a car accident: you sustain injuries, some of which are plain to the eye, and some of which are invisible.  You need to take time and space to heal physical injuries by taking care of yourself: doing physical therapy, having regular doctor’s visits, eating and sleeping to recover, and resting your body.  Similarly, recovering from the wound of a betrayal requires you to take time and space to heal. 

Vicki Tidwell Palmer suggests focusing on the acronym PIES for self-care: physical, intellectual, emotional, and spiritual self-care.  How can you care for yourself in each of these ways?

Much of this self-care is best in the context of a community of support.  Find support for yourself through a 12 Step fellowship, support group, or a trusted group of friends who you know are safe.  Safe people are people who can handle hearing about what you’ve been going through without siding too strongly with you or with the addict.  They give you space to process and make your own decisions.  Support also comes through professional help with a therapist specialized in working with partners of sex and love addicts.

Learn and set your boundaries.

Boundaries are an important part of recovery from betrayal.  Saying no to continuing to tolerate behaviors that are intolerable while also taking responsibility for your own thoughts, emotions, choices, and attitudes are important pieces of recognizing your limits.  Setting boundaries can involve making requests of your spouse to change a behavior, but it is ultimately your responsibility to care for yourself regardless of their willingness to change.

The purpose of boundaries is to care for yourself, not to punish the addict.  These are not consequences you’re enforcing, like a parent with a child.  Instead, you are adapting your own behavior to respond to your partner’s behaviors  in a way that best cares for you.  One way to conceptualize this difference is to ask yourself: if my spouse never changes, how might I take care of myself?  You can make requests for him or her to change, but ultimately you are responsible for your own well-being and healing.

Unfortunately, setting boundaries in the early days post-discovery often become empty threats.  Threats to file for divorce or leave often get tossed around in the initial impact of the trauma, but usually they aren’t followed through upon.  Instead, define for yourself what your true deal-breakers are: what behaviors, if continued, would lead inevitably to needing to leave the relationship?  If we don’t know the answer to this question, every mistake or misbehavior gets categorized as non-negotiable.  However, if you’re not willing to leave when that behavior occurs, it’s not truly a non-negotiable.  As mentioned earlier, a trained counselor can help you through this process.

Get in touch with your emotions.

Emotional awareness is an important component of betrayal trauma recovery.  Your emotions provide a window to past experiences and clarify pain that needs care.  Emotions also connect to physical symptoms that may be frightening, like panic attacks, heart palpitations, pain with unknown origin, or decreased immunity.  (Note: if you have any of these symptoms, be sure to get checked by your primary care physician to rule out any other causes.)

While there are similarities to the symptoms of trauma, every betrayed partner has a unique, personal experience with discovering their significant other’s addiction.  This is heavily influenced by your unique upbringing with varied levels of trauma or pain.  Recognizing how the emotions that are arising now connect to themes of past experiences can help you heal from past wounds and identify what your needs are in the present.  As you become aware of your personal emotional reaction, you might also recognize what you might be avoiding by focusing on your partner’s recovery rather than your own healing.

Recognize distorted thought patterns.

Begin to recognize the common thought patterns that either allowed you to stick your head in the sand and avoid seeing the addiction, or that are chipping away at your confidence and ability to be empowered. Common distorted or unhelpful belief patterns involved in betrayal trauma recovery include such thoughts as:

• The addiction is my fault.  I wasn’t a good enough partner.

• I don’t deserve any better due to my shameful past.

• If only I had done ________ differently, this wouldn’t have happened.

• Other people don’t have to deal with this: I wish I could be like them.

• It isn’t the addict’s fault. It’s the fault of the pornography industry/affair partner/addict’s work environment.

• I can’t make it on my own.  I can’t survive without my spouse.

Do any of these phrases or other similar thoughts run through your mind?  Identifying which thoughts come up most often for you and dismantling them to uncover the truth is an essential part of your recovery journey.

Identify your particular tone of trauma.

In the same way that your emotional landscape is influenced by past experiences in your family-of-origin or other areas, the way in which trauma manifests often carries echoes of the past.  What trauma symptoms do you most identify with?  Do you feel trauma physically?  Emotionally?  Spiritually?  How might this be similar to what you’ve experienced with past trauma or with your family growing up?

If you recognize a history of past trauma that pre-dated the discovery of the addiction, it wouldn’t be surprising to have reminders of that past trauma resurface post-discovery.  Methods such as EMDR can help you process and heal those experiences such that you’re not carrying the pain from those into the challenging work of betrayal trauma recovery.