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Pain is Inevitable; Suffering is Optional

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.
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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!

A Young Woman’s Personal Experience with Anxiety

A Young Woman’s Personal Experience with Anxiety

Anxiety is something that everyone deals with, to some extent, during their life. For some people it’s a passing experience of feeling stressed and overwhelmed. For others, though, anxiety can be crippling. I mean truly, intolerably, despairingly crippling.

You can’t sleep, you can’t eat, you can’t focus. Your work suffers; your relationships suffer.  You question everything you do, and everything you say. Your mind never stops churning things over. You’re filled with feelings of self-doubt and never being good enough. It’s pure agony.

The term “anxiety” gets thrown around for everything, ranging from feeling nervous to experiencing unrelenting, incapacitating panic attacks. Because of this, there are people who equate “feeling stressed” to knowing what having an anxiety disorder feels like. Unfortunately, this attitude feels discrediting and invalidating to the person who truly experiences the wrath and magnitude of anxiety.

Anxiety can manifest itself as a condition, such as a phobia, social, or generalized anxiety; or on a greater level, it can present comorbidly with other conditions, such as Depression, ADHD, Schizophrenia, and so forth. Anxiety is not a character flaw. I repeat: ANXIETY IS NOT A CHARACTER FLAW. Anxiety is a neurological imbalance. It is the result of obtaining some unfortunate genetics and/or exposure to certain life experiences. None of those things are your fault in any way.

I am the youngest child of two girls. Some people believe that being the youngest child makes you “selfish.” I would say that I do, in fact, have a tendency towards selfishness. But my selfishness isn’t due to being the youngest child; rather, it’s a result of having to manage my anxiety.

For instance, I can’t be the person who goes and offers comfort to a friend in the middle of the night because of a break-up, or some other challenging situation. I have to be selfish; I need to sleep. Because altering my routine and extending myself could offset my own mental stability. I need to rest. I need to relax. I need time to myself.

I have to “be selfish” in order to operate in a fast-paced, high-producing, performance-based society. I’m at a disadvantage to others, who function at a higher level, and with more ease. Because of my anxiety, my mental and emotional reserves are easily and quickly depleted.

I want to be there for my friends in the middle of the night, when they are hurting, but the fact of the matter is that I can’t. I have to take care of myself. This doesn’t mean that I don’t care. It doesn’t discredit me as a kind-hearted person. I absolutely want what is best for the people around me. I simply need my time, time when I am off limits, time to recuperate.

I’ve learned from past mistakes of over-extending myself. There have been times when I’ve tried to be everything to everyone. I went out of my way, above and beyond, to be there for people. Even when I did all that I could, I still felt this hankering guilt that it wasn’t enough; that I wasn’t enough.

I have since learned that the care and support I am able and willing to offer others is enough. I have since learned that I am enough. I realize that I owe it to myself (and others) to take care of me. I have to care for myself at least as well as I care for others. Self-care is a requirement for others-care. And when you think about it, there’s really nothing selfish about that.

 

* Special thanks to my considerate, generous, hard-working, and capable niece for sharing her story, in hopes of providing understanding and validation for those who face their own struggles, and in hopes of providing insight for others to develop empathy for such challenges. 

Raised by an Addict [Part II]

Raised by an Addict [Part II]

[Story Continued from Part I]

After Brooke’s mother passed away, she felt completely lost. How do you find your way in this world without someone telling you how and who to be?

Her mother had been all-knowing. She was smarter than everyone, knew better than everyone. Brooke idealized her mom, because she didn’t have the option to question or doubt her: “I loved you so much, that for so long I put you before me. I blindly defended you because you are my mom. It was often just that simple.”

Now, as a mom herself, Brooke sometimes catches herself acting like her mother with her own children…wanting them to idealize her and think she always knew best: “As a mom, I admit I sometimes wish my daughters looked up to me with the same undaunted devotion as I did you because I imagine it felt good.”

She admits moments of feeling hurt, and even indignant when her daughters question her, or point out her mistakes. Then she realizes: this is a good thing – they are secure, independent and confident – this is how you want them to be.

    I also don’t want them to have to carry that burden. I carried you, mom, because I loved you and needed you, but I needed to learn to care for myself too. I remain conflicted because I felt like you never really let me in, yet you absorbed me so far in that I could hardly find my way out. I was navigating your demons. I was trying to do for you what only you could do for yourself. I was never going to ‘fix” you. I see too, that much of your happiness was independent of anything I did or was, but as a child, one carries that responsibility. I did not have faith that you would be okay, so I kept trying to be the source of your happiness and self-worth.

[Story Continues in Final Section: Part III]

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

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.