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.

Practicing Acceptance: Acceptance and Commitment Therapy Series

Tell me if you’ve had a day like this one: you’re in your car on the way to work.  The sky is blue, the sun is shining, and the road is clear…until you hit the freeway and traffic comes to a standstill.  You’re slightly annoyed, as you don’t want to be late for your meeting at the beginning of the workday.  Suddenly, a car whips in front of you, nearly hitting your front bumper.  Your anger skyrockets.  You might yell some curse words or make a rude gesture at the driver.  By the time you arrive at work 15 minutes late for your meeting, your day is ruined.  You may think to yourself, “why do I always do this?  There’s no reason to get this worked up about traffic.”

We began this Acceptance and Commitment Therapy series with an overview of ACT’s purpose: to approach all situations and circumstances with an eye toward personal values and committed actions in alignment with those values.  The first concept discussed was contact with the present moment, which requires staying in tune with your sensations, thoughts, and emotions in any given part of your day.  But what happens when those internal experiences are frustrating or overwhelming?

Acceptance

The next concept of ACT is so crucial to this theory that it makes its way into the name: acceptance.  As humans, we often attempt to avoid or control our pain. In so doing, our creativity and perspective become narrowed, and we are disconnected from what is important to us.  Our interpretation of events magnifies our pain and disrupts our daily life. 

When we resist acknowledging the painful realities that exist in our internal world and our external experiences (circumstances, other people, relationships, etc), we create tension that interferes with taking action and causes us to feel stuck.  In his book Acceptance and Commitment Therapy, the creator of ACT called this experiential avoidance, defining it as “efforts to control or avoid private experiences (eg. sensations, emotions, thoughts, memories, urges) when doing so is ineffective, unnecessary, or contrary to living a meaningful life.” 

Why We Need Acceptance

It makes sense that we would act in ways that attempt to protect us from pain.  But often the end results of our self-protection are consequences and disconnection from our values.  And trying to force our internal world to change doesn’t always work.  We can’t force ourselves to feel a certain way, we can’t suppress our urges for very long, and our thoughts arise automatically.

In the same vein, it is impossible to control things that are outside of ourselves, as much as we may try.  We cannot force someone to love us, change others’ thoughts or experiences, or control how bad traffic is on any given day.

In addiction recovery, addicts often find that trying to suppress their urges to act out or use their drug of choice end up backfiring.  Similarly, denial of the reality of harm done by their addiction in relationships can lead to the dissolution of those relationships and more severe consequences than if reality was accepted and acknowledged in the first place.

What Acceptance Is…and Isn’t

We need to practice acceptance in order to thrive and create the life we want.  But what does acceptance look like on a daily basis?  It requires taking the role of an observer of both your internal world and external circumstances to see things as they are without judgment, removing any labels like “good” or “bad.”

But acceptance is not the same thing as settling or resigning yourself to your fate.  Settling is a passive response: putting up with their circumstance without any hope of taking action.  Often, those who feel they have settled carry some degree of anger or resentment, even if it is buried beneath the surface. They feel stuck in a situation they don’t want, and it seems impossible to change.

We think acceptance means a barren life, but the opposite is actually true.  Acceptance is not a resignation or giving up, and it doesn’t require you to like the situation in which you find yourself.  In fact, acceptance leads the way to change.  In order to change what isn’t working, we must first accept the reality of what is.

Principles

Suffering is universal and unavoidable.

None of us can go through life without pain.  Pain will be there whether we accept it or not.  Many of our efforts to avoid or control pain end up creating more harm for ourselves or others, in such forms as addiction or relational disengagement.  Accepting the reality that we will experience pain can help us prepare for it and be conscious of it when it happens, rather than being taken by surprise, believing that we should always be happy, or expecting that we will think positive thoughts all the time.

Observe negative thoughts or painful emotions without attempts to change them.

One recent study showed that repeating positive self-statements did not have a positive effect on those with low self-esteem, but rather left them feeling worse.  Attempts to avoid pain by forcing positive thoughts actually had a negative effect on those individuals.

According to ACT theory, attempts to change negative thoughts or painful emotions only exacerbate the pain and don’t allow for acceptance.  This principle exists in contrast to more traditional cognitive theories, like cognitive-behavioral therapy, that encourage reframing or changing thought patterns.  ACT also contrasts the cultural message that if you’re struggling with negative thoughts or painful feelings, you must not be trying hard enough to get better.

Often in acknowledging these thoughts and emotions and letting go of the need to change them, you can experience a greater peace as you become an observer rather than a controller of your experience.

Open up to what shows up. 

Acceptance is characterized by a mindset of openness, both to circumstances outside of yourself and your internal response to those circumstances.  It involves a willingness to engage and receive whatever comes, whether it is painful or joyful.  We choose to engage with the feelings and circumstances that we would rather avoid, moving closer to them in an attempt to grow toward thriving in a meaningful life.

Foster creative hopelessness.

As you’ve made attempts to cope with painful emotions and circumstances, you’ve probably noticed that your coping strategies have varied levels of impact.  However, one thing you’ll likely see is that none of your coping strategies eliminate pain forever.  Even if it is a temporary fix, the pain will come back at some point.

Creative hopelessness comes when we recognize that none of the things we do to try to change our internal or external worlds actually eliminates pain.  Many of our attempts to do so are futile in the long term, even if they provide temporary relief.  Acknowledging this reality means that we can begin to explore more creative strategies about how to live out our values. 

Practices

Observe your thoughts, feelings, and urges intentionally.

Sit in a comfortable position and set a timer for five minutes.  During that time, observe any thoughts, feelings, sensations, memories, or urges that float through your mind and body.  As you’re doing this, recognize that there is no need to change them, but simply to observe them.  Notice how long they take to work their way through your system or if they repeat or resurface.  Notice any impulses you have to suppress or push them away.

The purpose of this observation time is not to clear your mind, but instead to watch your mind and body and catch what comes through you.  There is no judgment of these thoughts as “good” or “bad,” but rather an impartial awareness. 

List experiences you are avoiding.

Make a list of any experiences, both internal and external, from which you are trying to stay away.   Maybe it’s an emotion, like anger, that comes with an urge toward violence or lashing out verbally.  Perhaps it’s a belief you have about yourself like, “There must be something wrong with me.  I’m so stupid.”  Maybe it’s an uncomfortable social situation where you tend to feel shame or embarrassment.  Usually, these avoided experiences are those that create some form of pain in your life, whether due to an internal cause or a circumstance outside of yourself.

Identify attempts to control, avoid, or influence painful experiences.

Make a list of behaviors you do to try to control or influence your circumstances, reduce discomfort, and/or avoid pain.  More obvious behaviors are external, such as going for a walk or binge-watching TV.  But also include those behaviors that are internal, such as suppressing thoughts or overanalyzing your emotions.  This list can include both self-destructive or harmful behaviors as well as supportive coping behaviors.

Now ask yourself: do any of these internal or external coping behaviors eliminate pain completely?  Do they make it so that pain will never come back?  Or do they provide only temporary relief within the larger context of life?  Chances are, you’ll find that no behavior can completely erase the experience of pain.

Dig deeper into your behaviors.

Look back at the list you just created and notice patterns of behaviors that help you avoid or control pain.  Ask yourself: what would happen if I did not carry out these behaviors?  What thoughts, feelings, urges, memories, or sensations would be left?  What, in essence, am I avoiding?

Similarly, you might ask yourself what function the behaviors serve.  How do they work for you, and why do you keep going back to them? 

Evaluate the function of your avoidant behaviors.

It is important to acknowledge and validate your process of avoidance so that you don’t begin to shame yourself for your behavioral response.  We will never fully eliminate the urge to control pain with these behaviors, so seek to understand and accept your coping behaviors with kindness and compassion.

One way to recognize a behavior’s function over time is to track the ways in which you avoid pain in the upcoming week. Notice how that goes.  Recognize how different behaviors work or don’t work for you, and notice where avoidance gets in the way of value-based living.

Slow down and acknowledge.

Practice slowing down to acknowledge a painful internal experience.  Use the prompts in the first observation practice to connect to your body and mind as you consider a painful moment.  Can you survive the temporary feeling of pain?  Often we think we can’t handle or survive a painful emotion or experience, but reality tells a different story. 

Then imagine holding that internal experience in your awareness while also doing something that is important to you.  Is it possible to be acting in a way that is in accordance with your values while also feeling pain?  Can you feel a certain way, have a memory resurface, or think a painful thought and still show up how you want in life?  Can you exist and thrive with these thoughts, feelings, urges, sensations, and memories still being present?  Imagine yourself doing so and see what comes up.

Contact with the Present Moment: Acceptance and Commitment Therapy Series

Imagine with me that you’ve been in therapy for a while.  You’ve been addressing the faulty thinking patterns of shame and self-doubt that led you into depression.  Or you’ve been working through panic and crippling fear that propelled you into treatment for anxiety.  Perhaps addiction and its lasting effects on you and your family led you to seek counseling, and you’re beginning to experience healing.  Or you’ve learned strategies to cope with some of the worst of your chronic pain. 

Yet, in spite of these gains you’ve been making, you find that you still get stuck.  Whether you wish you could just make the anxiety go away, or you are hit with triggers of addiction at the most inopportune times, the lasting impact of these experiences might never disappear.  You wonder to yourself, “will I ever just be happy and not have to deal with this anymore?”

Enter the game-changing principles of acceptance and commitment therapy, or ACT.  ACT is based around the concept of psychological flexibility: an openness to your present experience that allows you to adapt your response to any circumstance in service of your personal values.  Rather than attempting to change or eliminate negative thoughts or alter emotions, ACT focuses on utilizing mindfulness to recognize and separate who we are from our negative internal experiences (acceptance) and focus instead on implementing value-based actions (commitment).  It acknowledges that suffering is a universal and inevitable reality, and the goal of “being happy” isn’t always realistic to life.

Often where we get stuck in our work through varied mental health and life struggles is wishing they would disappear entirely.  But when that is not an option, ACT provides another path that can enrich and deepen your life.

In this series, we’ll be covering the six components of psychological flexibility that make up the foundation of ACT.  These include contact with the present moment, acceptance, defusion, values, self as context, and committed action. 

Contact with the Present Moment

Consider the thoughts you’ve had in the past hour.  How many of them have been about something that’s coming up in the future?  What about past experiences and events?  Or have any of them been focused on what’s happening right now?

The majority of our thoughts are focused on recalling past events or planning for the future, rather than being in the present.  Therefore, we don’t accurately observe what we’re experiencing in the moment.  Our lack of connection to present experience causes us to feel confused when we react in a way we don’t expect to certain situations.  We don’t often understand the cause and effect of our actions because we are distracted by our thoughts.

Contact with the present moment requires you to “be here now.”  Be present with your thoughts.  Be aware of what is happening in your body.  Notice the sensations you feel, the ways in which your five senses are interacting with the world around you.  Be conscious of your emotional landscape.  In essence, this component invites you to bring attention to your current experience without the filter of your thoughts and judgments. 

Principles

Nonjudgmental awareness

What does it mean to bring attention to your experience without a filter?  It requires you to contextualize your emotions, sensations, thoughts, and urges as data of which to take note, rather than interpreting those events with certain labels or assumptions.

We tend toward these judgments naturally.  Have you ever had thoughts like, “This is bad,” “I am stupid,” or “That would be perfect”?  Most commonly, we label things as “good” or “bad.”  For example, you might feel excitement about an upcoming event and label that experience as “good,” but fear about driving through rush hour traffic is labeled as “bad.”  On the way, a car could cut you off in traffic, and you automatically have a negative thought about someone else, label the thought as “bad,” and become angry with yourself for having that thought. 

Instead of jumping to judge, this component encourages you to approach those thoughts and emotions differently.  Notice what happens and occurs in your body instead of instantly moving to label or assume something about yourself or someone else.

Let go of the “why”

We often seek to make meaning out of our experiences, whether consciously or not.  We have a natural tendency to try to figure out why things work the way we do, including our minds and our bodies.  However, that can sometimes backfire and prove unhelpful, particularly in situations that have many factors outside of your control.

Attempting to find the meaning behind an accident or sudden death can keep you stuck in pain much longer than is needed.  Similarly, wondering why you’ve been hit with chronic pain or illness simply intensifies the experience.  Staying with the present moment and experience without venturing into the “why” of it is another way to prevent losing contact with the present.

Mindfulness as an access point

Mindful awareness in ACT is intended to help you come to know and understand yourself more fully.  The purpose of mindfulness here, moreso than relaxation, is to recognize our minds, feelings, urges, body sensations, and experiences in a way that helps us come to terms with our reality.  Mindfulness is not emptying the mind, controlling the mind, or focusing concentration. Mindfulness can happen even if you aren’t sitting still or you struggle to focus on your body.  Any moment can provide an opportunity to check in and become more aware of your internal landscape.

There is no right or wrong way to approach mindfulness.  In fact, the way in which we approach mindful awareness can often teach us something about how we are living our lives and the challenges we experience.  Have trouble connecting with your body? That’s a piece of data you can take away and learn about yourself.  Find yourself falling asleep when you try to do a mindful breathing exercise? That could hint at some clues about your pace of life or your needs for sleep.  Let the process of mindfulness be another source of learning about yourself.

Practices

Create intentional space for mindful awareness

In your busy day, you might find it difficult to devote an extended period of time to a guided meditation or mindfulness exercise.  Instead, look for opportunities to create a moment or two where you pay attention to your thoughts, emotions, and experiences in the present moment in a different manner than you would normally.  I’ve written previous articles about quick meditations or simple grounding exercises that may provide helpful strategies or ideas to implement this.

Use formal or informal practice

You might be someone who is well served by setting aside a specific time each day for a mindfulness meditation or grounding exercise, like those listed in the article above.  If that describes you, find a time in your day where you can slot 10-15 minutes to sit quietly, breathe, and bring awareness to your internal experience.  Meditation apps like Headspace or Calm may help you if guidance would feel supportive.

But what if you don’t have the time to set aside for mindfulness meditation?  Remember what we discussed earlier – you can be mindful at any moment throughout your day.  Bring awareness to the warm water on your hands and the smell of dish soap as you wash the dishes.  Notice the thoughts that are running through your mind while you’re out for a walk.  Pay attention to the feelings that arise in you while you’re having a conversation with your spouse or a friend.  Any moment can be a mindful moment if you choose to bring present awareness to your thoughts, emotions, sensations, and urges.

Build in a daily pause

Create a time each day where you can slow down and observe or describe your experiences.  This might be first thing in the morning before you hop out of bed or as you prepare to fall asleep.  You may want to set an alarm for some point during the day as a reminder to check in with your internal experience.  Focus on what’s happening, rather than interpreting what is happening through a label of judgment.  What’s more important for you is the growing awareness of what is happening internally, not the mind’s interpretation of what is happening.

Make it work for you

Don’t allow someone to tell you, “you need to meditate every day for 15 minutes or else you’re doing it wrong.”  As mentioned earlier, there is no right or wrong way to be mindful!  Adapt what works for your circumstances at this point in your life.  Allow for flexibility as you seek to connect more with the present moment, and let go of any rigid expectations or needs for the time.  Often you’ll find that it’s challenging to become aware of the present moment, or your experience doesn’t go how you would expect.  Resist the urge to label that as a “bad” experience and instead remember that it is all normal, part of the learning process, and also providing you with helpful information about yourself.

Keep an eye out in future weeks as we continue to explore the different components of psychological flexibility found in ACT that can help you get unstuck in your healing process.

Six Strategies to Regain Control Over How You Use Social Media

It’s Saturday night, and you’re home alone again watching Netflix.  Cuddled up in your blanket, you open Instagram on your phone.  Before you know it, you’re scrolling through your feed, checking out all the latest engagements and baby announcements of your friends.  You see a group of former high school classmates taking a beach vacation together, a group of friends posting a picture out at the bar, and your ex posting a photo with his new girlfriend.  Suddenly you’re swimming in a sea of depression, self-loathing, and comparison.

Whether you’re a mom of young children bogged down by the demands of a Pinterest perfect lifestyle or you’re obsessed with the number of views of your Instagram story or TikTok video, use of social media has infiltrated our culture to such a degree that our lives feel defined by our status updates.

A study completed at University of Pittsburg a few years ago indicated that heavy use of social media was correlated with depression.  Connections were also found between time spent using social media and the severity of depression symptoms, number of social networking platforms used and levels of depression, and a decline in happiness with use of Facebook.

A major factor in the link between social media and depression is what University of Houston researchers termed “social comparison”.  This refers to the tendency we have to flip through our feeds and compare our lives to those of our “friends.”  People present their best, most polished selves on social media, and we spend time comparing those highlights to our worst moments.  We can feel jealous of what others have and give in to the mistaken belief that being perfect is what will make us happy.  Even comparing ourselves as better than someone else can have a negative impact on our moods.

Bullying plays a significant role in negative moods associated with social media.  Research shows that negative experiences are common on Facebook – in fact, as many as 1 in 4 adolescents reported being bullied through text or social media.  These negative experiences can not only contribute to depression in the short-term, but they can cause long-term traumatic effects.

What are some ways you can regain control over the impact social media has on your mental health?

Remove the apps from your phone.

Sometimes when I’m bored, I suddenly find myself mindlessly scrolling through Instagram.  Has this ever happened to you? The easy accessibility of apps on our phone makes the choice to look at social media almost unconscious. Deleting certain apps makes that decision more of a conscious choice.  Adding the extra step of typing the website into the browser before you can look at it is a deterrent from mindlessly scrolling social media.

Turn off your devices or charge them in a separate room an hour before bedtime.

In addiction treatment, “HALT” is an acronym used to describe situations in which addicts are more likely to be triggered: when they’re hungry, angry, lonely, or tired.  These emotions can come up late at night, particularly feelingtired and lonely.  In other words, nighttime is the perfect setup for you to be sucked into a social-media-fueled depression.  If you place your devices in a separate room and make a point not to use them before bed, this takes the temptation away.

Take a social media break.

When social media feels like it’s consuming your life, consider taking an intentional break. Choose not to look at any of your social media apps for a day, a week, or a month.  Enforcing this break might involve deleting apps from your phone or using an app like RescueTime to limit your ability to access social media.

Limit checking social media to certain times of the day.

It’s easy to click over to TikTok, Instagram, or Facebook many times a day without thinking, and we can feel the wasted time slipping through our fingers.  Instead, choose two or three specific times during the day that you know you’ll have time and plan to look at your social media accounts then.  Sticking to this plan allows you to look forward to your scheduled time to check.

Figure out your purpose for social media.

Have you ever stopped to think why social media is so important to you?  Is it to maintain friends?  To feel connected to people who are far away?  To receive support or encouragement from others?  Or even just to distract you when you’re feeling bored?  Ask yourself why you are using it.  Studies have shown that those who use social media for positive interactions, social support, and social connectedness have positive outcomes for depression and anxiety.  How can you use social media as a means through which you can decrease loneliness?  Remind yourself of what purpose it serves for you every time you log in.

Take an active role.

Use your Facebook or Twitter accounts as a tool to post honestly about your life, to give encouragement to your loved ones, or to connect with your friends.  Studies show that “surveillance use,” or seeking to use social media to observe others’ lives rather than express your own (or what I think of as mindless scrolling) increases depression.  Use these accounts to share your authentic self and embrace your imperfections, combating the mistaken belief that perfection is the goal for happiness.

This article was originally posted on November 30th, 2017 under the title “Six Simple Ways to Cut Through the Social Media Funk.”

How to Use In-the-Moment Mindfulness to Cope with Distressing Situations

Imagine you’re called into your boss’s office for a meeting about your performance at work.  How are you feeling before that meeting takes place?  What about while you’re in the office sitting across from him or her? 

How about when your spouse says those fateful words to you: “we need to talk.”  What’s going through your mind?  Do you feel dread in the pit of your stomach?  Resentment bubbling up internally about whatever they’re about to say?

Or maybe you’ve had to sit down with your child’s teacher to discuss their misbehavior at school.  Do you immediately jump to anger and defend your child?  Are you feeling shame about yourself as a parent?

We all have moments when we are caught off guard by relational tension, trauma triggers, marital strife, or unpredictable circumstances.  These events can stir up strong emotions that interfere with your ability to remain present and connected to yourself and the people around you.

You might get caught up in a shame spiral, lost in a cloud of your own insecurity and negative, self-critical thoughts.  Anxiety may take over and leave you feeling wired and on edge, interfering with your ability to hear what the other person is saying.  You can feel rage or anger toward the person with whom you’re engaging, leading to impulsive outbursts that you later regret.   

How can you cope with these intense emotional responses without letting them overwhelm you and derail the interaction?

Mindfulness

Mindfulness can be a helpful tool as you seek to soothe your anxiety, calm your fears, or reduce the intensity of your anger.  A simple definition of mindfulness is observing your current experience of emotions, thoughts, behaviors, and circumstances without judgment.

The “without judgment” quality is important, as judgments we make about our circumstances are often what intensify our negative emotional response.  To judge something is to see it as either good or bad.  For example, you might feel intense shame after a teacher talks with you about your child’s behavior because you feel like a bad parent.  Or you may be fuming at your boss because you think he or she is treating you unfairly in comparison with others in the company. 

Grounding strategies are a crucial part of mindfulness, as they create an access point to move you into more present awareness.  A grounding strategy uses physical sensations and sensory information to connect yourself to the present moment.  It involves tuning in to what is happening in the present as opposed to what has happened in the past or what you worry will happen in the future.

Ideally, daily mindfulness practice can set you up for success in these more distressing moments.  Practicing regular breathing strategies and sensory awareness allows for this response to come up more organically in your daily life.  But what happens when you’re in the middle of a conversation, work meeting, or parent-teacher conference when the distress hits?  What do you do when you don’t have time to take five or ten minutes away to do a more involved mindfulness exercise?

In-the-Moment Mindfulness and Grounding

These distressing situations provide an opportunity to adapt bigger-picture mindfulness skills you use elsewhere to keep you calm and engaged in the middle of challenging circumstances.  Using dual attention to focus on both what’s happening in front of you and your internal experience can be a game-changer in reducing your level of distress and emotional outbursts in stressful situations.

Use radical acceptance to limit judgment.

As mentioned earlier, the judgments and comparisons we make about our circumstances are typically what most contribute to our negative reactions.  Often, those judgments occur when we are powerless to change a situation.  The concept of radical acceptance teaches us to accept what we cannot change in the present moment, knowing that we can survive it.  Statements like “I can get through this” or “I’m strong enough to handle this” remind us that our current situation is temporary and make it easier not to judge based on the moment. 

Notice the points of contact between your body and the surfaces around you.

Using this technique to connect with your sense of touch can help ground you in the present. If you’re sitting in a chair, notice your back against the seat and your feet upon the ground.  If you’re standing, feel the ground under your feet.  Observe the feel of your clothing as it rests on your body. 

Tune in and slow your breathing.

Typically when distress, anxiety, or anger hits, your breathing will speed up and get shallow.  Notice your breath and whether you can feel your chest rising and falling (a typical signal of shallow breathing).  Intentionally slow down your breath and focus on breathing into your lower abdomen.  Counting your breaths can be helpful here, as it can give your mind a point of focus.  You could also use a breath ratio like four-square breathing (breathe in for 4 counts, hold for 4 counts, breathe out for 4 counts, and hold for 4 counts) or a 4-2-6 breath ratio (breathe in for 4 counts, hold for 2 counts, breathe out for 6 counts), if you are able to focus on counting while staying engaged.

Briefly scan through your body.

Another way to connect to yourself in the present is to complete a quick body scan.  Beginning at your feet, move awareness up through your body and note any areas of tension or stress.  When you feel tension, take a focused breath as if you are breathing into that area of tension and notice how it may relax in response.

Observe one item in the room.

Engaging your visual senses can help to ground you as well.  Look at an item in front of you: a stapler on a desk, the vase in your living room, a poster on the wall.  Notice as many details about that object as you can.  Observe its shape and texture.  Identify all the colors you see on it.  Estimate how big that item is.

Repeat a supportive word or phrase to yourself.

Words have power, and when you can remind yourself of supportive, encouraging words in crisis, it can defuse the tension you feel.  Use a short phrase like “I’m going to be okay” or “I can handle whatever happens.”  If you tend to feel shame or insecurity, use affirming statements like, “I can make mistakes and still be a good person.”  If you’re trying to contain out-of-control emotional reactions, remind yourself, “I can have strong feelings and still cope with this situation.”  Sometimes even a short word or phrase that cues you to breathe and calm down can help: words like “relax,” “breathe,” “peace,” or “calm.”

Pray.

When you feel powerless over your emotions or the circumstance you’re facing, offer up prayer to God, who is in control.  Pray for the outcome of the situation or ask God to help you stay present even though it might be challenging to do so.  At times, you can match a short phrase of prayer to your breath, such as “Come, Lord Jesus” or “Holy Spirit, come.”

Hold or touch an item and notice how it feels.

Similar to noticing the points of contact between your body and the surfaces it is touching, actively holding an object can help ground you using your sense of touch.  Bring a small object with you into a conversation you expect to be distressing and hold it in your pocket.  You can touch the arm of the chair you’re sitting in or the table in front of you and notice how it feels.  You can even hold your hands together or gently run your fingernails over the inside of your palms or fingers to observe the sensation.

Relax your facial muscles.

When we are in a stressful situation or are observing someone else’s distress or anger, we tend to mimic what we see in other’s facial expressions.  This can cause us to feel the same emotion that other person is feeling.  Instead, intentionally seek to relax the muscles of your face to take on a more neutral expression. Your emotions will likely follow suit.

How to Cope With a Trauma Response: Part 1

Your day is progressing just like any other.  Waking up, getting the kids ready for school, going to work, preparing dinner…when all of a sudden, out of nowhere, you’re hit with a flashback of the event.  You feel a pit in your stomach, sweat breaks out on your forehead, and you feel your heart rate spike.  You’re having trouble breathing, and you feel the urge to escape. 

If you have post-traumatic stress disorder (PTSD) or symptoms related to PTSD, you probably know this experience well.  Memories of the trauma or triggers that remind you of the event can send you into a tailspin: you’re fine one moment, then in a panic or shut down the next.  For partners who have experienced betrayal trauma, this response arises with triggers related to their addicted spouse’s behaviors.

The experience of a trauma response can be scary, as it often comes on suddenly and feels impossible to stop.  It can be exhausting to go through one of these experiences as your body goes into overdrive, trying to protect you from a threat that (often) isn’t there.  To cope with your response, you might shut down into a depression, lash out in anger or irritation at the people around you, collapse into grief and sadness, or turn inward with shame.

How do I know I’m having a trauma response vs. pure anxiety or panic?

There are several common symptoms of post-traumatic stress disorder that may come up when trauma resurfaces:

• Flashbacks to traumatic events (re-experiencing the memory as if it were happening now)

• Mood swings and emotional volatility

• Exaggerated startle response

• Avoiding certain triggers or activities that you used to find enjoyable

• Low self-esteem

• Isolation and withdrawal from others

Trauma shares symptoms with anxiety and/or panic attacks.  Anxiety often includes worries that are more future-oriented than trauma.  While it is true that some anxiety centers around worry about events from the past, trauma responses are different in that they can be traced back to a specific memory of a traumatic event.

Panic attacks can also arise as a result of trauma, with symptoms such as racing heart rate, sweating, feeling faint, nausea, and worry that you’ll die (often related to the heart rate symptoms).  If you experience these symptoms, be sure to meet with your doctor to rule out any underlying medical causes.  However, if there is no obvious medical cause, see if you can connect your reaction to a specific reminder of trauma (as in a trauma response), or notice if the panic arises seemingly out of nowhere (as in panic disorder).

How to Manage Trauma Responses

There are two stages to handling trauma responses.  First, you need strategies to bring yourself back into your window of tolerance by calming the physical and emotional reactions you’re having.  Once you’ve been able to calm and self-soothe, the next step involves exploring the cause of the traumatic response and some options for processing and addressing that trauma.  Today, in Part 1, we’ll talk about the first step: reducing the intensity of your initial response. 

Reduce the physical and emotional overwhelm caused by the initial hit of trauma.

You can’t think straight when you’re in the middle of a trauma response, as your body and mind take you out of your prefrontal cortex (the part of your brain involved with decision-making, impulse control, and executive thinking) and move you into your limbic system (the emotional center; the fight-flight-freeze response).

In order to bring your thinking brain back online, it is necessary to calm down your nervous system enough to communicate to yourself that you don’t need to run from a threat, as the adrenaline response is prompting you to do.  Deep breathing, guided meditations, progressive muscle relaxation, grounding exercises, and other ways of calming down the nervous system are useful during these moments.

Use coping thoughts to calm your emotions.

Often, the traumatic event happened in the past and is not currently occurring, as in an experience of a car accident or a past experience of sexual assault.  In these cases, you can use words to remind yourself of your current distance from that painful experience.  They can help you ease the initial intensity of the trauma response.  These might include phrases like:

• I’m safe now, in this moment.

• I’m no longer in that situation.

• I can get through this.

• This too will pass.

• That was a painful experience, and I am not living it now.

But what if the trauma is ongoing?  When you are in a relationship with a sex or love addict who has betrayed you and are working the process of recovery, the traumatic experience may feel more present and real due to broken trust.  In those cases, it may be more helpful to use self-encouraging statements to affirm the strengths you have that are carrying you through.  These might include words like:

• I’ve been through painful moments before, and I’ve survived.

• I’m strong enough to handle this.

• I can’t control other people’s actions, but I can control my decisions and how I respond.

• I can handle this one day at a time.

• This is hard now, but in the long-term, I’m going to be okay.

Use a distraction technique.

If meditations and coping thoughts aren’t cutting it, use a distraction technique.  These are not meant to create unhealthy dissociation from your feelings or events, but instead are meant to help calm the intensity of your experience so that you aren’t as overwhelmed by it and can approach it with more curiosity.  It helps to think of this distraction as temporary, meant to bring your level of intense emotion down so that you can make sense of your reaction and respond differently. 

Using strategies popularized by dialectical-behavioral therapy (DBT) can help create this distraction.  Find an enjoyable activity that you can engage in for a period of time that takes your mind off the trigger.  Engage in a self-soothing behavior that helps you connect to your five senses.  Use the acronym ACCEPTS to help you connect with ways you can distract yourself from the distress. 

In Part 2, we’ll delve into how to explore and process the trauma response, creating tools to help you navigate its impact differently in the future.

Creating Hope in Chaos: A Therapist's Guide to Thriving During the COVID-19 Crisis

The current upheaval to many of our daily lives as a result of the COVID-19 outbreak is something we as a society have never experienced before.  Every person is affected directly or indirectly, by stay-at-home orders, closures of stores and restaurants, financial shifts, and the spread of the illness.  It’s easy for those who do not typically struggle with anxiety or depression to feel the stress of this moment in the world.

This makes the call to care for our mental health that much more important.  But how can we do that when many of us are stuck at home?  Here are a few ideas that may help you not only to get through this crisis, but perhaps to begin to thrive in the midst of and as a result of it.  Engaging in items on this list can create opportunities to change the way you approach your life for the long-term.

Reducing Anxiety

Limit your media intake. The public health crisis is constantly changing.  Every news media outlet is producing massive amounts of coverage of anything and everything having to do with the coronavirus.  It makes sense that many of us would want to follow these updates through the news.  But this can easily turn into constantly checking headlines or social media, feeling our anxiety rise with the second.

Create a limit for yourself on how much time you’ll spend on social media, news websites, or even watching TV coverage of coronavirus.  Choose a certain time of day when you will check and set a boundary to limit how long you’ll read or watch.

Incorporate deep breathing and meditation practices. Breathing and meditation can be a helpful way to calm the panic response that surfaces with anxiety.  If you notice yourself experiencing physical symptoms of anxiety, focus on taking a few deep breaths, allowing the air to move down into your abdomen.

Guided meditations, which can be found on YouTube or through various apps, can be helpful to direct your mind to focus on your breath.  Many of these resources offer options for children as well.  For example, many mobile guided meditation apps such as Headspace and Sanvello are offering free access to services during the crisis. 

Practice gratitude. One of the greatest protections against anxiety is to focus on appreciating what you currently have.  Spend time daily reflecting on areas of your life for which you can be grateful.  If this crisis has allowed you more time to spend with family or focusing on tasks at home, find thankfulness in that.  Begin a list or a gratitude journal that helps you consistently keep track of the positives in your circumstance. 

Self-Care

Go outside. Even if you are in a community that has required its citizens to stay at home during this crisis, those orders often allow for physical activity outside.  Use this extra time to go for a walk or run.  Take your kids out on a bike ride or walk around the neighborhood.  Play or relax in your yard together.  Spending time in nature offers a multitude of mental health benefits, so why not take advantage of those now?

Practice active rest. Much of the reaction I’ve seen from people who have the privilege of being able to work from home is to rejoice in the fact that they get to catch up on their Netflix queues.  While there’s nothing wrong with watching a good show from time to time, spending a whole day bingeing on TV can lead to feelings of guilt or lethargy.  You might not have done anything during the day, but you still feel exhausted, whether from staying up too late watching your shows or the strain of so much screen time.

Instead of doing those things that seem like rest but are actually draining, lean into habits that provide actual rest for you.  Allow yourself to sleep in or take a nap.  Read a good book.  Pray, spend time reading the Bible, or practice other spiritual self-care.  Spend lazy hours talking with your loved ones or playing board games.  Letting your mind and body catch up on rest from the frenzied pace of normal life can be an incredible blessing during this season.

Exercise. As mentioned earlier, walking or running outside is an easy way to get out of the house while still following guidelines for health and safety of others.  Get into the practice of taking a short walk daily.  If you’re used to a commute to work, “walking” to work by strolling around the block can be an easy way to set boundaries at the start and end of your work-from-home day. 

What if you usually go to the gym to get in your exercise?  Look for opportunities to do those same exercises from home.  Free videos on YouTube (like Yoga with Adriene) or subscription programs (like OpenFit) offer at-home workouts that you can do from the safety of your living room.

Social Connection

Call a loved one every day.  Just because we’re “social distancing” doesn’t mean that we have to cut off all connection with the people we love.  I was inspired by a recent blog post by Marnie Ferree to get out my phone and call one of my loved ones on a daily basis.  This can be a family member, friend, coworker, or other member of your community that can help you feel connected within the craziness. Reach out to someone you haven’t connected with for some time and catch up on how they’re doing, offering your empathy and support in response.

Write notes of encouragement. Have you ever received a handwritten note in the mail?  It can be heartwarming to receive words of encouragement.  Why not spread the love during this time with the extra minutes we may have in our day?  Write notes to medical professionals who need support, friends who you know are feeling financial strain, or just to maintain connection with those you love. 

Have a family game night or scavenger hunt. The busy pace of life can prevent families from being able to spend quality time together on a more regular basis.  This period of extended time at home creates an opportunity for family members who don’t often get to see one another to spend quality time together.  As tempting as it may be to all sit in front of your individual screens, coordinate an evening where you play a game together or create a scavenger hunt through the yard or neighborhood for different items.

Use technology creatively to connect.  Video messaging platforms have allowed people to continue to connect when they are thousands of miles apart, so of course they can be used to connect with people who are just down the street.  Have a coffee date with a friend by brewing your own cups and then sitting down to chat.  “Go out” for drinks with your friends virtually.  Play a cooperative game with friends on a video gaming console or with various apps that allow you to connect in different locations.

Volunteer or donate. As a follow-up to the gratitude practice, you  may find yourself recognizing how blessed you are in comparison with others.  Although it may seem like you can’t do much while you are cooped up at home, there are plenty of ways you can serve and bless those who are dealing with more difficult circumstances.  Many local charities are accepting financial or material donations to support those in need.  Hospitals and medical facilities are accepting donations of certain medical supplies.  Many food pantries are still open and collecting dry goods.  If you have extra disinfecting wipes, hand sanitizer, or even toilet paper to share, consider offering it to neighbors of yours who may not have those supplies.

Notice the Positive

Reflect on what you’re learning. Ask yourself what you may be learning or observing during this drastic change in circumstances.  Can this new perspective or knowledge impact the way you live your life in the future?  How might you want to change our daily habits as a result?  For instance, perhaps you’ve enjoyed having extended time with your household and want to make that a priority in the future.  Perhaps you’ve discovered a new hobby or interest that will shape how you spend your leisure time once this crisis has passed.  

Focus on others. Often, this goes hand-in-hand with the suggestion of volunteering time or donating supplies.  When you shift your gaze to others who are in need, you are more likely to feel grateful for what you have and relieved of anxiety.  Pray for those in your community specifically, and ask others who you might pray for them.  Identify ways you can love or bless the people in your community using a strategy listed above.

Search for acts of kindness. The moments that have floored me most throughout this crisis have been the acts of kindness I’ve witnessed that offer hope and joy to others in the midst of chaos.  Keep your eyes open for ways in which your community might be carrying out some of these gestures. Brainstorm ways you might be able to participate in those acts of kindness.  Search for lists of ideas or become inspired by news coverage of these choices people are making to bring hope. 

Rescue Meditations for Anxiety and Panic

Have you ever experienced high levels of anxiety bordering on panic?  Symptoms like shortness of breath, chest pain or pressure, sweating, heart pounding, dizziness, and racing thoughts can be overwhelming when they arise.  And if it’s ever developed into a full-blown panic attack, you know the paralyzing fear that comes with that experience. 

When these symptoms arise for you, it’s a good idea to consult your medical doctor.  Some symptoms are shared in common with heart or lung issues, so you want to be sure there’s not an underlying medical concern that’s causing the symptoms.  But if you check with your doctor and you are otherwise physically healthy, your doctor might recommend psychological treatment and/or “rescue medications.”

Rescue medications, such as Xanax or Ativan, are anti-anxiety medications that help to bring your symptoms down to a manageable level when you are facing a high level of panic or anxiety.  I believe these medications can be helpful in crisis scenarios.

But if you don’t have these rescue medications or prefer a more natural approach, there are ways in which you can harness your body’s natural calming systems to relieve that anxiety.  Below are some suggestions for rescue “meditations” that you can do when you’re experiencing panic or even just feeling overwhelmed and stressed. 

If you find that these strategies aren’t effective or you’re continuing to experience symptoms, seek out help from your medical doctor or a mental health professional to address what is causing the panic.

Deep Breathing

When you’re panicked or anxious, breathing patterns are more shallow.  If you place a hand on your chest while you’re feeling stressed, you’ll likely find it rises and falls in short bursts.  The goal in taking deep breaths is to engage your diaphragmatic muscles in your abdomen.  This triggers your body’s natural calming system that helps you relax. 

To do this exercise, sit comfortably in a chair or lay on your back in a comfortable position.  Place one hand on your chest and one on your abdomen.  Take a few breaths and notice which hand moves.  Focus your breath so that your hand on your abdomen is rising and falling more with each breath.

Next, take a series of breaths with one of the following patterns:

• 4-square breathing: breathe in for 4 counts, hold at the top for 4 counts, breathe out for 4 counts, and hold the exhale for 4 counts

• 4-2-6 pattern breathing: breathe in for 4 counts, hold at the top for 2 counts, and breathe out for 6 counts

Do 10 repetitions of one of these patterns.  Using a breathing pattern that focuses on a longer exhale helps regulate the body. It activates the parasympathetic nervous system, the part of your body that calms the fight-or-flight response associated with anxiety and panic.

Guided Meditation for Anxiety (Yoga With Adriene)

On her YouTube channel, Adriene of Yoga with Adriene offers a playlist of short, guided meditations that can help you when your’e in a crisis.  She also has yoga practices designed to help you ground yourself or deal with anxiety on her YouTube channel.  If you have the time to do a longer workout or yoga practice, this might be a good fit for you.  Moving your body is a great way to deal with anxiety or panic.

Headspace or Other Meditation Apps

Headspace is a great app teaching the basic skills of meditation.  They include short videos describing how to approach meditation, and they offer their first 10 basic meditations for free. 

While you can only access those 10 meditations without a subscription, I’d recommend looking into their subscription, especially if you’d like to make meditation a more regular practice.  If you do have a subscription, here are a few of their “SOS” meditations I’d recommend:

SOS for Panicking

SOS for Feeling Overwhelmed

SOS for Flustered

There are plenty of other meditation apps that exist, such as Calm and 10% Happier. Try a few apps and decide which one you like best to use as a resource.

Visualize a Calm and Peaceful Place

Spend a few minutes thinking of a place you’ve been or that you create in your imagination where you can feel calm and peaceful. Identify what you see, hear, feel, taste, and smell in that image. Envision yourself there and notice what emotions it evokes. Pay attention to the pleasant feelings in your body and allow yourself to enjoy them.

5-4-3-2-1 Grounding Exercise

Start out by taking a few deep, abdominal breaths, as described above. 

Begin by noticing 5 items in the room around you that you see.  Say them out loud.  Describe the colors you see, Identify any textures you’re aware of on those items.

Next, notice 4 things you can feel without moving your body: it could be your clothing on your skin, the feel of the chair in which you’re sitting, or your feet on the floor.  Say these out loud as well.  Describe the sensation of those feelings. 

Then notice (aloud – catching a pattern?) 3 things you can hear.  Describe the sounds: whether they are consistent or intermittent, loud or soft, familiar or unfamiliar. 

Notice 2 things you can smell or two things of which you like the smell (as sometimes in a sterile environment there aren’t many smells).  Describe what these things smell like.

Finally, notice 1 thing you can taste or of which you like the taste.  Describe that taste to yourself. 

Regular Meditation Practice

What I’ve shared above are short, quick meditations that you can do in a crisis.  However, the strongest benefits of meditation have been shown when you implement a daily meditation practice over the long-term.  Daily meditation actually changes the structures of your brain associated with stress and calm.  If you find you like these strategies for calming yourself, I suggest that you try meditation daily.

These “rescue meditations” are a way to distract yourself from the symptoms of anxiety and calm your body down so you aren’t so overwhelmed.  However, they are not meant to completely resolve the anxiety.  The panic will continue to come back until you recognize the source of the anxiety and resolve it.  If you notice the panic continuing, consult a mental health professional to begin examining the potential sources of your distress.

Take a Deep Breath: Five Mindful Strategies for Dealing with Anxiety

During my first year of my master’s program, I saw how anxiety, stress, and lack of time would hit me with intense experiences of overwhelm.  I was working close to full time hours at a nanny job, attending class 4 nights a week, and serving in my church in my “free time.”  Any extra time I had was filled with studying and attempting to navigate my way through our massive textbooks.   With a temperament that errs on the side of anxiety and perfectionism, it was easy to talk myself into a state of stress that would make it difficult for me to function.

My school was a commuter school about 30 minutes away from where I lived, so I began listening to podcasts in my car.  (Cue the beginning of my obsession with podcasts).  One of those podcasts interviewed a life coach and therapist who gave tips on dealing with anxiety.  She taught a technique involving deep breathing, which I’d never tried before.  I decided to give it a go in the 10 minutes I sat in my car before class.  Let me tell you: it was like magic.  I felt like I could enter into the classroom in a completely different and relaxed state of mind.

Everyday anxiety is something many people experience, especially during stressful seasons in their lives.  Anxiety engages our internal fight-and-flight response, which pumps up our body with adrenaline and cortisol, a stress hormone.  By practicing deep breathing and other techniques below, you can take control over your body’s instinctual reaction.  As you slow down your breathing and your thoughts, you’re essentially reminding your body that you aren’t in danger.  This calms your fight-or-flight response.

Here are some tips on how you can respond with mindfulness when you feel yourself becoming anxious, nervous, and overwhelmed.

Daily Meditation

As the foundation of all the exercises that follow, daily meditation helps you become attuned to your body.  Spend time in a quiet room in silence for a few minutes to start.  Gradually increase to more time as you become more comfortable.  Pay attention to the way your body feels, noticing each part of your body, any emotions that arise, or any physical sensations. 

Oftentimes meditation is associated with “clearing your mind,” which can discourage you if you feel as though you can’t turn your thoughts off.   Instead, accept the likelihood that thoughts will cross your mind, and allow yourself to notice them, but not shame yourself for having them.

There are several apps that offer guided meditations, if you’re someone like me and are too easily distracted to sit quietly.  I’m a particular fan of Happify and Headspace, but there are many out there you can try and find the best fit for you.

Progressive Muscle Relaxation

Progressive muscle relaxation is the practice of mentally becoming aware of each part of your body by isolating one muscle group at a time, tensing and flexing the muscles.  Pay attention to the feeling of holding tightness in your muscles as you tense them, and notice how it feels to release and relax them afterwards.

This practice can also help you fall asleep at night or re-energize yourself during the day.   In the morning or throughout your day, start by tensing and releasing your toes and work your way upward through different muscle group such as your legs, knees, stomach, chest, arms, shoulders, neck, jaw, and forehead.  At night, do the opposite - start with the muscles in your forehead and work your way down through your body. 

Deep Breathing Exercises

Deep breathing was the technique that I heard Dr. Jennifer Degler speak about on that podcast all those years ago.  She introduced four-square breathing: a technique where you breathe in for 4 counts, hold the breath for 4 counts, breathe out for 4 counts, and hold for 4 counts.  Completing about 10 cycles of these deep breaths allows you to begin to feel the anxiety melt away.

As you’re practicing these breathing exercises, you’ll want to breathe from your diaphragm or abdomen.  In order to do that, it can be helpful to imagine that there is a balloon in your stomach, just behind your belly button.  Breathe in through your nose, trying to make that balloon expand.  As you breathe out through your mouth, imagining the balloon deflating.  Another helpful strategy involves laying on the ground or on a sofa, placing your hands on your stomach, and feeling your stomach rise and fall as you breathe.

5-4-3-2-1 Senses Grounding Exercise

This is a personal favorite of mine, especially when I’m feeling particularly triggered by thoughts or emotions.  Begin taking a few deep breaths, noticing the rise and fall of your abdomen.  Next, take a look around you and notice 5 things that you see.  Notice the colors, textures, and other characteristics of those objects.  Next, move on to identifying 4 things you can hear, noticing the quality of the sound, whether it is loud or soft, repeating or one-time.  Continue down through this pattern by noticing 3 things you can touch/feel, 2 things you can smell, and 1 thing you can taste.  You’ll feel yourself becoming grounded in the present reality around you, and emotions will likely become less distracting and more manageable.

Breath Prayer

Often when we talk about Christian meditation practice, it is accompanied by reading or memorizing Scripture and seeking to understand truth about that passage.  While that can be helpful to engage your mind, when you’re feeling stressed or overwhelmed, this isn’t always the quickest way to address that anxiety.  Instead, integrate some of the earlier mentions of breathing exercises and Biblical truth through breath prayer.  Breath prayer involves identifying a short phrase or sentence of truth about God or prayer to God.  Examples might be phrases such as, “Lord, have mercy,” “God, I need you,” or “Holy Spirit, come.”  You could also use short Bible verses that are meaningful to you, such as “I can do all things through [Christ] who strengthens me.” (Philippians 4:13 ESV).  Repeat those words to yourself out loud or in your mind while you are practicing deep breathing.  Breathe in on the first part of the phrase, and release your breath on the second half of the phrase.

While these mindfulness strategies didn’t immediately fix my stress levels or perfectionism, they did provide a way for me to calm my body down and remind myself of truth.  Test out some of these strategies for yourself when you’re feeling stressed or overwhelmed, and see which ones help you to lower those levels of stress.

This article was originally posted on May 4, 2017.

A Toddler’s Guide to Mindfulness

Have you ever watched what toddlers do or listened to what they talk about?  There’s something special about the way children interact with the world.  As adults, we can become consumed by timelines and schedules and priorities.  But those things don’t matter to kids – they see things through different eyes.

Before I became a therapist, I worked for a few years as a childcare provider for young children.  One 2-year-old I watched was notorious for getting easily distracted – a simple walk along the sidewalk could take what felt like ages, as he would stop every few feet to point out an insect, pick up a rock, or comment on the leaves scattered around the neighbor’s yard.

One day, I followed him up the stairs so he could get dressed, chatting about what we were going to do that morning.  In my mind, I was planning each step for our entire day, almost by the minute.  To be honest, I was rushing him a bit too.  (We were going upstairs, which is always a several minute production for a toddler learning to climb...and always having to do everything without my help.)

I started listing off our plans for the day.  "Okay, after we get dressed we're going to get ready to drive in the car, and then we're going to go to Target to get something and look at the Christmas trees, and then we'll have our playdate, and then..."  The little one suddenly stopped on the stairs and said, "NO."  I assumed he meant he didn't want to leave the house, so I started reminding him of all the fun things we were going to do and how he would have to leave in order to do those things.  He stopped me again, and said:

"No.  Getting dressed upstairs."

And it hit me.

While I was fluttering around thinking about all the things we were going to do that day, this little one was focused on the one thing right in front of him.

Which was, evidently, going upstairs to get dressed.  Honestly, I was probably overwhelming him by hitting him with all these plans and ideas when he could only handle thinking about one thing at a time.

How often do we do this in our lives?  We mentally jump so far ahead into the future and end up trying to juggle thinking about 27 things at once.  For me, it can start simply, where I'm thinking about whatever's coming next in my day.  Or it can happen on a long-term level, where I analyze my career or my relationships.  Or deeper still than that: I can feel such concern over my dreams and ambitions, or my fears of failure, or not measuring up to a professional or spiritual standard.  These worries can cripple me in a place of discouragement and hopelessness at my lack of progress.

And just like this 2-year-old, if I let all those worries flood into my mind, I get overstimulated, overwhelmed, and I shut down.

This moment spoke a truth to me that I needed to embrace at that point in my life: just stop.  Stop trying to figure out every detail.  Stop trying to think about the next big thing, the next stage I want to enter in life, or all those questions that I feel the need to have answered.  Let go of the obsessive anxiety and attempts at gaining control over my circumstances, which I think will keep me safe and protect me from harm.  The pride I had in believing I could control my life was being shaken by the wisdom of a toddler.

The truth reinforced in me that day was this: when we become caught up in negative thoughts about the past, or worries about the future, we lose sight of the beauty of the present moment.  We miss all that is happening right in front of us when we’re caught up in those stresses.  While planning and creating a vision for the future has a time and place, on a day-to-day basis, it is important to take things just one step at a time.  When we choose to be mindful of the present moment, we experience fewer negative emotions, less stress, increased focus and memory, less emotional reactivity, happier relationships, and plenty of other health benefits.

When I walk in the present moment of life, I feel so much more gratitude for the things around me.  I experience the grace that comes with knowing I don't have to have it all together, and I don't have to be perfect or achieve all the things I desire to achieve in my life.   And I can rest in the simplicity of life where I'm not always rushing ahead to the next thing and trying my hardest to control every outcome.

"So don't worry about tomorrow, for tomorrow will bring its own worries.  Today's trouble is enough for today." Matthew 6:34 (NLT)

Who knew a 2-year-old would have a wiser outlook on life than I would.

One step at a time.

This article was originally posted on February 9, 2017.