• Partnering with you on your unique journey.

  • (913) 991 3974

Posts Tagged :

Feelings

Pain is Inevitable; Suffering is Optional

The goal of Acceptance and Commitment Therapy (ACT) is to create a rich, full, and meaningful life while accepting the pain that inevitably goes with it. This is done by changing one’s relationship to their symptoms in order to live a more value-driven life. Further, the goal is to accept what is outsideof one’s control, and commit to taking action to enrich one’s life. It can be summed up in one basic premise: pain is inevitable, but suffering is optional.

Oftentimes, trying to get rid of symptoms actually results in being more bothered by the symptoms. For example, try to not picture a pink elephant in your mind’s eye. What happened? You saw a pink elephant. This is just what happens when we try NOT to focus on any particular thing!

Being too focused on symptoms impacts our ability to life a value-driven life. We’re too busy and using all our energy on “symptom-reduction” rather than choosing to focus on what is meaningful in our lives, such as family, friends, relationships, advancing career, rest, self-care, and so forth. When we instead focus on our values, our symptoms can drift to the background, rather than take center stage.

ACT asserts that problems are essentially caused by two things: cognitive fusion and experiential avoidance. Cognitive fusion is when we become inseparable from our thoughts, and then our thoughts dominate our behavior. Experiential avoidance happens when we attempt to avoid, get rid of, suppress, or escape unwanted experiences (thoughts, feelings, memories, sensations, etc.).

Trying too hard to control how we feel simply gets in the way of a rich, full life. We can’t do important, value-driven things if we are always trying to get rid of symptoms. Control is the problem, not the solution.

What can we do about this? Practice defusion to get stuck from our thoughts and gain distance from them. Defusion is taking a step back and seeing our thoughts for what they are: nothing more or less than words and pictures. As I like to say, look AT your thoughts, rather than FROM your thoughts.
Thought Defusion PICTURE for blog post - Copy

Here are some ways you can attempt to defuse from your thoughts:

  • Say “I’m having the thought that…”
  • Use a silly voice to say the thought
  • Sing the thought like a song
  • Repeat the thought nonstop for 30 seconds until it sounds like gibberish

Another way to defuse from unhelpful thoughts is to practice mindfulness. What is mindfulnessMindfulness means paying attention with flexibility, openness, and curiosity. It allows you to be aware of your experience in the moment as opposed to being “caught up” in your thoughts. Mindfulness involves an attitude of openness; being curious about your experience rather than fighting with it. This is helpful because often times the more we try to fight the way we feel, the more we end up feeling it.
hexagon-4
 
The goal of ACT is referred to as psychological flexibility, which entails being present, opening up, and doing what matters. An important facet of psychological flexibility is acceptanceallowing thoughts and feelings to be present, regardless of whether they are pleasant or painful.

The fun part of ACT (in my humble opinion) is valued living: doing what we want to be doing with our lives. What’s important to us? What do we want to stand for? How do we want to behave and act on a daily basis? Our values are our compass; they guide our decisions and behavior. A good way to figure out what your values are is to imagine your retirement party or funeral — Who would you want to speak about your life and what would you want to hear them say?

Once you have figured out what your values are, then final step is to take committed action (effective action motivated by your values). One helpful way to do this are to make a public commitment; tell someone about it. This will create some level of accountability for you. Another thing you can do is create an action plan worksheet. Last, but not least, simply take the first, tiniest step. The first step is often the hardest, but if you can manage to get started, the rest will follow.

For more on Acceptance and Commitment Therapy, click here and here!

How to Dispute Irrational Beliefs

Albert Ellis is known as the grandfather of Cognitive Behavior Therapy. He combined humanistic, philosophical, and behavioral therapy to form Rational Emotive Behavior Therapy (REBT) in 1955. A main assumption of REBT is that people contribute to their psychological problems by the way they interpret events. Further, our emotions stem mainly from our beliefs, evaluations, interpretations, and reactions to life situations. REBT assumes that cognitions (thoughts), emotions, and behaviors interact significantly and have a reciprocal cause-and-effect relationship. Additionally, REBT postulates that people are born with a potential for both rational and irrational thinking.

According to Ellis, we have an inborn tendency toward growth and actualization, yet we often sabotage our movement toward growth due to self-defeating patterns we have learned. We originally learn irrational beliefs from significant others during childhood, and we actively reinforce these self-defeating beliefs by repetition, and by behaving as if they are useful. But it is not useful to blame ourselves and others; instead, it is important that we learn how to accept ourselves despite our imperfections. Therefore, a major goal of REBT is to achieve unconditional self-acceptance and unconditional other acceptance; the more one is able to accept him or herself, the more likely he is to accept others.

The therapeutic process involves identifying irrational beliefs, and replacing such beliefs with more rational and effective ways of thinking. Changing one’s thinking results in changing one’s emotional reactions to situations. Ellis succinctly puts it this way, “You mainly feel the way you think.” Some examples of irrational beliefs that lead to self-defeat include: I must have the approval of all the people in my life, or else I am worthless. I must perform all tasks perfectly, or else I am a failure. It is better to avoid life’s difficulties than to try and end up looking foolish.

The A-B-C framework and method of disputing irrational beliefs is central to REBT theory and practice.

A = an event, behavior, or attitude
B = belief about the event
C = emotional & behavioral consequence or reaction (can be healthy or unhealthy)
D = disputing irrational or self-defeating beliefs
E = effective philosophy of replacing unhealthy thoughts with healthy ones
F = a new set of healthy feelings

A (the activating event) does not cause C (the emotional consequence); rather, B (the person’s belief about the event) largely causes C. D is the application of methods to challenge irrational beliefs by detecting, debating, and discriminating irrational (self-defeating) beliefs from rational (self-helping) beliefs. E is the new and effective belief system that consists of replacing unhealthy thoughts with healthy ones. In doing this, F (a new set of healthy feelings) is created.ABC Framework 11

In summary, Rational Emotive Behavior Therapy entails the following steps: (1) acknowledge that we are largely responsible for our own emotional problems, (2) accept that we have the ability to change these disturbances significantly, (3) recognize that our emotional problems often stem from irrational beliefs, (4) accurately perceive these beliefs, (5) see the value of disputing such self-defeating beliefs, (6) accept that we need to counteract our dysfunctional beliefs/feelings/behaviors, and (7) practice these methods to improve current and future circumstances.

References:
Corey, Gerald. Theory and Practice of Counseling and Psychotherapy. Belmont. Thomas Learning, Inc. 2005.

3 Core Conditions for Therapeutic Change

The person-centered counseling approach was established in the 1940’s by humanistic psychologist, Carl Rogers. The goal of a person-centered therapy is to create the necessary conditions for clients to engage in meaningful self-exploration of their feelings, beliefs, behavior, and worldview, and to assist clients in their growth process, enabling them to cope with current and future problems.

A major concept of this approach is that people are generally trustworthy, resourceful, capable of self-understanding and self-direction, able to make constructive changes, and able to live effective and productive lives. Another key concept is that the attitudes and characteristics of the therapist, and the quality of the client-therapist relationship are prime determinants of the outcome of the therapeutic process.

Rogers maintains that therapists must have three attributes to create a growth-promoting climate in which individuals can move forward and become capable of becoming their true self: (1) congruence (genuineness or realness), (2) unconditional positive regard (acceptance and caring), and (3) accurate empathic understanding (an ability to deeply grasp the subjective world of another person).

1. CONGRUENCE (GENUINENESS)
Congruence refers to the therapist being real, authentic, and genuine with their clients. It’s called congruence because their inner experience and outward expression match. In being authentic, the therapist shows they are trustworthy, which helps in building a good therapeutic relationship with the client. It also serves as a model for clients, encouraging them to be their true selves, expressing their thoughts and feelings, without any sort of false front.

2. UNCONDITIONAL POSITIVE REGARD and ACCEPTANCE
Unconditional positive regard means the therapist genuinely cares for their clients and does not evaluate or judge their thoughts, feelings, or behaviors as good or bad. Each client is accepted and valued for who they are, as they are, without stipulation. Clients need not fear judgment or rejection from the therapist.

3. ACCURATE EMPATHIC UNDERSTANDING
Accurate empathic understanding means that the therapist understands their client’s experience and feelings in an accurate and compassionate way. The therapist recognizes that each client’s experience is subjective and therefore strives to see things from the client’s unique perspective. An important part of accurate empathic understanding is for the therapist to convey that they “get it” by reflecting the client’s experience back to them. This encourages clients to become more reflective with themselves, which allows for greater understanding of themselves.

If you’ve ever had an experience where you felt like someone just really got you…they completely understood where you were coming from, or could truly relate to the way you felt – that’s accurate empathic understanding.

Rogers asserts that empathy helps clients (1) pay attention and value their experiencing; (2) see earlier experiences in new ways; (3) modify their perceptions of themselves, others, and the world; and (4) increase their confidence in making choices and pursuing a course of action. Jeanne Watson (2002) states that 60 years of research has consistently demonstrated that empathy is the most powerful determinant of client progress in therapy. She puts it this way:

“Therapists need to be able to be responsively attuned to their clients and to understand them emotionally as well as cognitively. When empathy is operating on all three levels – interpersonal, cognitive, and affective – it is one of the most powerful tools therapists have at their disposal.”

 

References:
1. Watson, J. C. (2002). Re-visioning empathy. In D. J. Cain (Ed.), Humanistic psychotherapies: Handbook of research and practice (pp. 445-471). American Psychological Association, Washington, DC.
2. Corey, Gerald. Theory and Practice of Counseling and Psychotherapy. Belmont. Thomas Learning, Inc. 2005.

My Declaration of Self-Esteem

I am me.

In all the world, there is no one else exactly like me.

There are persons who have some parts like me, but no one adds up exactly like me. Therefore, everything that comes out of me is authentically mine because I alone chose it.

I own everything about me – my body, including everything it does; my mind, including all its thoughts and ideas; my eyes, including the images of all they behold; my feelings, whatever they may be – anger, joy, frustration, love, disappointment, excitement; my mouth, and all the words that come out of it, polite, sweet or rough, correct or incorrect; my voice, loud of soft; and all my actions, whether they be to others or to myself.

I own my fantasies, my dreams, my hopes, my fears.

I own all my triumphs and successes, all my failures and mistakes.

Because I own all of me, I can become intimately acquainted with me. By doing so I can love me and be friendly with me in all my parts. I can then make it possible for all of me to work in my best interests.

I know there are aspects about myself that puzzle me, and other aspects that I do not know. But as long as I am friendly and loving to myself, I can courageously and hopefully look for the solutions to the puzzles and for ways to find out more about me.

However I look and sound, whatever I say and do, and whatever I think and feel at a given moment in time is me. This is authentic and represents where I am at that moment in time.

When I review later how I looked and sounded, what I said and did, and how I thought and felt, some parts may turn out to be unfitting. I can discard that which is unfitting, and keep that which proved fitting, and invent something new for that which I discarded.

I can see, hear, feel, think, and do. I have the tools to survive, to be close to others, to be productive, and to make sense and order out of the world of people and things outside of me.

I own me, and therefore I can engineer me.

I am me and I am okay.

V. Satir, “A Goal of Living”

The Courage to be Myself – – Sue Patton Thoele

I have the courage to . . .

Embrace my strengths—
Get excited about life—
Enjoy giving and receiving love —

Face and transform my fears—
Ask for help and support when I need it—
Spring free of the Superwoman Trap—
Trust myself—
Make my own decisions and choices—

Befriend myself—
Complete unfinished business—
Realize that I have emotional and practical rights—
Talk as nicely to myself as I do to my plants—
Communicate lovingly with understanding as my goal—

Honor my own needs—
Give myself credit for my accomplishments—
Love the little girl within me—
Overcome my addiction to approval—
Grand myself permission to play—
Quit being a Responsibility Sponge—

Feel all of my feelings and act on them appropriately—
Nurture others because I want to, not because I have to—
Choose what is right for me—
Insist on being paid fairly for what I do—
Set limits and boundaries and stick by them—
Say “yes” only when I really mean it—

Have realistic expectations—
Take risks and accept change—
Grow through challenges—
Be totally honest with myself—
Correct erroneous beliefs and assumptions—

Respect my vulnerabilities—
Heal old and current wounds—
Favor the mystery of Spirit—
Wave goodbye to guilt—
Plant “flower” not “weed” thoughts in my mind—

Treat myself with respect and teach others to do the same—
Fill my own cup first, then nourish others from the overflow—
Own my own excellence—
Plan for the future but live in the present—
Value my intuition and wisdom—
Know that I am lovable—

Celebrate the differences between men and women—
Develop healthy, supportive relationships—
Make forgiveness a priority—

Accept myself as I am now.

People-Pleasing: Is it really such a good thing?

Excerpts from The Disease to Please (Harriet B. Braiker)
Additional annotations by Molly Pierce, MA, LPC, NCC

Has anyone ever told you that you’re a people-pleaser?  Don’t be so flattered…it’s not really a compliment.  It feels better to view people-pleasing as an admirable attribute, rather than look at it for what it truly is: a serious psychological problem. 

In actuality, the “disease to please” is a compulsive — even addictive — behavior pattern in which you feel controlled by your need to please others, and addicted to their approval.  At the same time, you feel out of control over the pressures and demands on your life that these needs have created. 

The Disease to Please is comprised of three components: (1) People-Pleasing Mindsets, or distorted ways of thinking; (2) People-Pleasing Habits, or compulsive behaviors; and (3) People-Pleasing Feelings, or fearful emotions

People-Pleasing Mindset
If you fall into this category, your behavior is driven by a fixed thought that you need and must strive for everyone to like you.  You measure your self-esteem and define your identity by how much you do for others whose needs, you insist, must come before your own.  You believe that being nice will protect you from rejection and other hurtful treatment from others.  You impose demanding rules, harsh criticism, and perfectionist expectations on yourself in an attempt to gain universal acceptance from others.

People-Pleasing Habits
If you fall into this group, you are driven to take care of others’ needs at the expense of your own.  You do too much, too often for others, almost never say “no,” rarely delegate, and inevitably become overcommitted and spread too thin.  And, while these self-defeating, stress-producing patterns take their toll on your health and closest relationships, they maintain a firm grip on your behavior because they are driven by your excessive, even addictive, need for everyone’s approval.

People-Pleasing Feelings
Under this category, your behavior is primarily caused by the avoidance of frightening and uncomfortable feelings. You will recognize the high anxiety that merely the anticipation or possibility of any angry confrontation with others evokes.  (All you conflict avoiders out there — this is you!)  Your people-pleasing behaviors are primarily an avoidance tactic intended to protect you from your fears of anger, conflict, and confrontation.  These fears don’t actually diminish; they intensify as long as the avoidance pattern persists!  (Long story short: you have to face your fears in order to overcome them).  Because you avoid difficult emotions, you never allow yourself to learn how to effectively manage conflict or how to appropriately deal with anger.  As a consequence, you relinquish control too easily to those who would dominate you through intimidation and manipulation.

Living a life of people-pleasing is not the way to go.  Your self-esteem takes a massive toll.  Your identity and sense of self-worth is all tied up in how much you do for others and how successful you are at pleasing them.   It causes your relationships to lose their authenticity; If your niceness prevents you from telling others what is making you unhappy, angry, upset, or disappointed — or from hearing their complaints — there is little chance of fixing what has gone wrong.

Under the surface of your selfless niceness, resentment and frustration will begin to boil and churn, threatening to eventually erupt in open hostility and uncontrolled anger.  It takes a physical toll, as well.  It may come out in the form of migraine or tension headaches, back pain, stomach pain, high blood pressure, or any of a host of other stress-related symptoms.  You will eventually hit the proverbial wall with your energy exhausted and you’ll want to give up, not knowing what else to do.  In the end, your trusty habits of people-pleasing will fail you. So save yourself the trouble, and don’t spend your whole life living hostage to its ways.

Boundaries: A concept commonly misunderstood by many, but imperative for healthly relationships

Insights from Dr. Henry Cloud & Dr. John Townsend
Summarized by Molly Pierce, MA, LPC, NCC

What are boundaries?
What does a boundary look like?

Boundaries help us to define what is NOT on our property and what we are NOT responsible for. We are not, for example, responsible for other people. Nowhere are we commanded to have “other-control,” although we spend a lot of time and energy trying to get it!

People with poor boundaries struggle with saying no to the control, pressure, demands, and sometimes the real needs of others. They feel that if they say no to someone, they will endanger their relationship with that person, so they passively comply but inwardly resent. Sometimes a person is pressuring you to do something; other times the pressure comes from your own sense of what you ‘should’ do. If you cannot say no to this external or internal pressure, you have lost control of your property and are not enjoying the fruit of ‘self-control.’

Boundaries can take on many different shapes and forms for different people. However, some of the common factors of boundaries include geological distance, time, emotional distance, other people, consequences, feelings, attitudes & beliefs, behaviors, choices, limits, talents, thoughts, desires, and love.

Geographical Distance:
Sometimes physically removing yourself from a situation will help maintain boundaries. You can do this to replenish yourself physically, emotionally, and spiritually after you have given to your limit, as Jesus often did.

Time:
Taking time off from a person, or a project, can be a way of regaining ownership over some out-of-control aspect of your life where boundaries need to be set. Adult children who have never spiritually or emotionally separated from their parents often need time away…They need to spend some time building boundaries against the old ways and creating new ways of relating that for a while may feel alienating to their parents. This time apart usually improves their relationship with their parents.

Emotional Distance:
Emotional distance is a temporary boundary to give your heart the space it needs to be safe…People who have been in abusive relationships need to find a safe place to begin to ‘thaw out’ emotionally. You should not continue to set yourself up for hurt and disappointment. To continue to open yourself up emotionally to an abusive or addicted person without seeing true change is foolish. Forgive, but guard your heart until you see sustained change.

Other People:
Fear of being alone keeps many in hurtful patterns for years. They are afraid that if they set boundaries they will not have love in their life…Many people have been taught by their church or their family that boundaries are unbiblical, mean, or selfish.

Consequences:
Just as the Bible sets consequences for certain behaviors, we need to back up our boundaries with consequences. God does not enable irresponsible behavior. Consequences give some good ‘barbs’ to fences. They let people know the seriousness of the trespass and the seriousness of our respect for ourselves. This teaches them that our commitment to living accordingly to helpful values is something we hold dear and will fight to protect and guard.

What’s Within My Boundaries:
We may be moved with compassion to give to someone in need. But sometimes a person may manipulate us into giving more than we want to give. We end up resentful and angry.

Feelings:
The Bible says to ‘own’ your feelings and be aware of them. They can often motivate you to do much good. Feelings come from your heart and can tell you the state of your relationships. They can tell you if things are going well, or if there is a problem. If you feel close and loving, things are probably going well. If you feel angry, you have a problem that needs to be addressed. But the point is, your feelings are your responsibility and you must own them and see them as your problem so you can begin to find an answer to whatever issue they are pointing to.

Attitudes & Beliefs:
People who have never questioned their attitudes can fall prey to the dynamic that Jesus referred to when he described people holding on to the ‘traditions of men,’ instead of the commands of God (Mark 7:8; Matt. 15:3). People with boundary problems usually have distorted attitudes about responsibility. They feel that to hold people responsible for their feelings, choices, and behaviors is mean. However, Proverbs repeatedly says that setting limits and accepting responsibility will save lives (Prov. 13:18, 24).

Behaviors:
Behaviors have consequences. As Paul says, ‘A man reaps what he sows’ (Gal. 6:7-8). To rescue people from the natural consequences of their behavior is to render them powerless. Parenting with love and limits, with warmth and consequences, produces confident children who have a sense of control over their lives.

Choices:
We need to take responsibility for our choices. This leads to the fruit of ‘self-control’ (Gal. 5:23). We need to realize that we are in control of our choices, no matter how we feel. This keeps us from making choices to give ‘reluctantly or under compulsion,’ as 2 Corinthians 9:7 says. We have been so trained by others on what we “should” do that we think we are being loving when do we things out of compulsion {or reluctance}. Setting boundaries inevitably involves taking responsibility for your choices. You are the one who makes them. You are the one who must live with their consequences. And you are the one who may be keeping yourself from making the choices you could be happy with.

Limits:
What we can do is set limits on our own exposure to people who are behaving poorly; we can’t change them or make them behave right. We are not being unloving. Separating ourselves protects love, because we are taking a stand against things that destroy love. We need to be able to say no to ourselves. This includes both our destructive desires and some good ones that are not wise to pursue at a given time.

Talents:
We should not be chastised for being afraid; we are all afraid when trying something new and difficult. However, we should confront our fears and do the best we can. Not confronting our fear denies the grace of God and insults both his giving of the gift and his grace to sustain us as we are learning.

Thoughts:

1. We must own our thoughts.
Many people have not taken ownership of their own thinking processes. They are mechanically thinking the thoughts of others without ever examining them.

2. We must grow in knowledge and expand our minds.

3. We must clarify distorted thinking.
Taking ownership of our thinking in relationships requires being active in checking out where we may be wrong. Also, we need to make sure that we are communicating our thoughts to others. Many people think that others should be able to read their minds and know what they want. This leads to frustration.

Desires:
We need to own our desires and pursue them to find fulfillment in life.

Love:
Many people have difficulty giving and receiving love because of hurt and fear. Having closed their hearts to others, they feel empty and meaningless.

We need to take responsibility for all of the above areas of our lives. These areas all lie within our boundaries. Taking care of what lies within our boundaries isn’t always easy; neither is allowing other people to take care of what lies within their boundaries. Setting boundaries and maintaining them is hard work, but is well worth it for a healthy you and for your relationships.