depression

Seeing Your Self as Your Context: Acceptance and Commitment Therapy Series

In our series on Acceptance and Commitment therapy, we have laid the foundation of several basic principles of ACT.  We’ve discussed using mindful awareness to remain in contact with the present moment in order to observe and take notice of your internal world.  We’ve reviewed what acceptance is and isn’t, and discussed how practicing acceptance leads to more openness through releasing what is outside of our control.  We’ve also explained and practiced thought defusion, lessening the power we assign to the products of our mind, like our thoughts and feelings.

All these steps involve taking on the role of an observer.  Contact with the present moment allows you to notice your thoughts, feelings, memories, or urges, as well as how you assign power to them in a way that influences your behavior.  Observing shows you how circumstances outside of your control affect you and lead you to struggle with acceptance.  With this next concept, we’ll take observing deeper, exploring how you can separate the products of your mind from your identity – who you are as a person – in order to offer alternative ways of responding to your circumstances.

Self as Context

What does it mean to see your self as your context?  Rather than overidentifying with your thoughts or other internal experiences, self as context requires you to view yourself through the lens of an observer who sees all parts of you, not just the one you’re experiencing right in this moment.  Who you are is not the same as your fleeting feelings, urges, physical sensations, memories, or thoughts.

Your internal experiences don’t need to define your identity.  In the observer role, you notice that while your self contains these internal experiences, they are not one and the same with the whole of who you are.

Attachment to the Conceptualized Self

In contrast, when we link our thoughts, emotions, urges, memories, etc. to who we are as people, we often become locked into rigid ways of responding to the world around us.  We begin to feel stuck, unable to change the patterns that are causing us more harm than good.

We tell ourselves stories we believe to be true about who we are.  These can be long-standing narratives adopted from a young age, that came out of abuse, or that we’ve heard from others in our adult years.  These stories about ourselves dictate our actions in response to a thought, memory, emotion or urge.  For example, if I believe the narrative that I am always late, chances are I will not arrive to meetings or appointments on time.  Even if this is a habit that annoys me, my belief that it is true about myself will influence my behavior.

Similarly, an addict feeling an urge to use their drug of choice might have the thought, “This is the only thing that makes me feel good.”  Believing that narrative, they remember previous euphoric experiences that came after using their drug of choice and feel desire to use again.  Overidentifying with these thoughts can lead this addict to feel as though they have no other choice but to respond by using.

Attachment to the conceptualized self leads to hopelessness and resignation, as you find yourself repeating destructive patterns despite not wanting to continue.  Over time, the believe that you cannot change and deep-seated resistance to other options become solidified.

Why does self as context matter?

As an observer, you can watch what happens internally with some level of detachment.  You also learn that your observing self typically remains stable – your sense of self doesn’t change even though your internal experiences change moment to moment. Who you are is much deeper than just what happens in your mind. Your internal experiences are transient and therefore carry less weight than the sum total of who you are.

Seeing yourself as your context offers more options for actions in response to your circumstance, rather than the rigid, inflexible ways of responding to which you are accustomed.  Instead, self as context sets you up for flexible perspective taking, or seeing multiple points of view or options on how to respond.  When you can take the perspective of others, that often opens up different choices for behavior or perception of your experience.

For those who struggle with addiction, understanding self as your context leads to recognition that the urges you have do not make you a lost cause, but they are part of your addiction.  You can observe and respond to these sensations with actions that are in alignment with what is important to you.  Similarly, those who deal with depression or anxiety can benefit from distancing themselves from taking on the identity of an anxious or depressed person.  Defining yourself as depressed because you have depressed thoughts or a depressed mood can perpetuate the symptoms of depression.  Believing that you are an anxious person and overidentifying with your worst-case scenario thinking can consume your thoughts and trap you.

Principles

You are more than your thoughts, feelings, memories, sensations, and urges.

When you are overly attached to this internal world, you may find yourself limited by it.  It may feel like the workings of your mind consume you and make up the bulk of who you are.  But this is not true. Who you are is multifaceted, and these thoughts, feelings, or urges are just one part of your experience that is transient and will likely change in just a few moments.

From the observer perspective, you can distance yourself from the thoughts.  As we discussed in the practice of thought defusion, using a phrase like, “I’m having the thought…” instead of accepting it as true can create psychological distance.

You can observe the workings of your mind as if from outside.

You can look at your thoughts, feelings, and other internal experiences from the perspective of an outside observer to see other perspectives on what you might be going through, implementing the concept of flexible perspective taking.  What might someone else be thinking if they could listen in to what’s going on in your head?  If you were talking with a friend and they shared this with you, how might you respond to them?  What would you be feeling or thinking about them?

Flexible perspective taking helps you to identify alternative explanations and options you’re your ingrained, rigid ways of responding.  Consider: what are other reasons you could be responding this way?  What are other actions you’ve seen others take or that you could take when you feel this way? 

Not every story we tell ourselves is true of our identity.

As you explore some of your narratives that come up repeatedly, you might find it helpful to challenge their validity through flexible perspective taking.  Even those that have a basis in reality (maybe you are someone who tends to run late!) don’t constitute all of who you are.  Allowing yourself to explore various different narratives about yourself rather than limiting yourself to one definition that may or may not be true can help you release the limitations you feel.

You have options and the ability to choose.

Who you are is flexible in different situations.  You can choose what you want to do and who you want to be based on your values.  For example, you have the ability to choose confidence and directness in your relationships with coworkers, while choosing to be fun-loving and laid back while at dinner with friends.  You have options about how to respond in different contexts because who you are is nuanced.  You have options of how you act in those various situations, rather than being stuck in one way of responding.

Your self is stable, despite the changeable nature of your internal experiences.

The more you practice observing your mind, the more you will notice that your observer self doesn’t change.  The emotions, thoughts, and memories you have change over time and in different contexts, but who you are is fairly stable.  You’ve been you for your entire life, while the workings of your mind are in many ways different from the way they were five years, days, or even minutes ago.

Practices

Observe your thoughts and feelings without judgment.

Going back to contact with the present moment, notice over the course of a few days the various thoughts, feelings, emotions, memories, urges, and sensations you have.  Track the triggering event and your behavioral response afterward.

As you do this, seek to keep a nonjudgmental perspective.  Watch these internal experiences as they come and allow them to pass by.  Do your best not to fixate or evaluate them as “good” or “bad,” but instead to notice them as they happen. 

Identify a few common stories you tell about yourself.

Look for themes in what you’ve recorded to pull out narratives that keep surfacing about yourself, either from your own mind or how others treat you.  These could be personality traits you believe you have, actions where you don’t feel like you have a choice, or moments of feeling hopeless or trapped.

Identify the specific incidents that taught you this was true from your past.  Where did it come from? Did someone say something to you that solidified this narrative in your mind?  Have you repeated it to yourself over time?  Have you interpreted it based on your actions? 

Imagine your younger self’s perspective.

Imagine yourself 5-10 years ago and look at your current experience through their eyes.  You’d be surprised what different perspective you might notice. You may clarify the origin of your ingrained narratives about yourself.  You might notice more or less pain in your past self.  How might your younger self compare with where you are now and offer a different point of view?

Imagine your older self’s perspective.

Now look ahead into the future. Imagine yourself 5-10 years from now and ask for the point of view of the future version of yourself.  What would an older and wiser version of you say?  If it’s hard to connect to yourself in this way, you can think of an older mentor or close friend who has a more wise perspective.  What might they think?

Consider how someone you admire handles similar situations.

Bring to mind someone who you think does a good job of handling situations like the one you find yourself in.  What different options might they have?  What do you see them doing or believing that is different from you?  What different perspective or point of view might they have?

Remind yourself of options.

Consolidate the insights from these different perspectives and make a list of the options you might have, both in your internal world and behavioral responses.  How might you think differently about yourself?  What other narratives or layers might you be missing that could open up options?  In terms of action, what other options might you have for how to respond?  Do you have to do what you usually do?  Are there any ways that could change?

Visualize taking one of these options.

What would it feel like to try a different option from the way you usually operate?  Visualize yourself taking that path.  Imagine yourself acting in a way that fits with your values, different from your normal experience.  What resistance or feelings of being trapped do you notice?  What makes you not want to take that option?  Would it be uncomfortable in any way, and why?

As we move into the upcoming foundational principles of ACT, values and committed action, you may need to come back to this step when you feel stuck.  Explore what is getting in the way of you taking value-based action from these various perspectives.  Notice how the stories you tell yourself can limit you from fully embodying the person you want to be.

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.

Six Strategies to Regain Control Over How You Use Social Media

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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.

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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.”

The ACT Matrix: A Map to Awareness and Empowerment for Change

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Imagine you wake up in the morning full of energy, looking forward to what you have planned for the day.  As you step into the kitchen to make your coffee, you think of the big presentation you have coming up for work.  Suddenly, you start feeling afraid and nervous as you imagine everything that could go wrong.  Thoughts of insecurity begin to flood your mind: “I can’t do this.  I don’t know enough to give this presentation.  This is going to be a disaster.”

The energy you felt getting out of bed is draining fast.  After pouring yourself a cup of coffee, instead of tackling your emails or the tasks you had planned to complete in the morning, you end up sitting on the couch and scrolling through Instagram.  Maybe you give up on the coffee altogether and go back to bed.  Or you pick a fight with your spouse when they walk into the kitchen to let out some of the stress and anxiety you’re feeling.

Later in the day, you think back and wonder, “How in the world did that happen?  My morning was going great, and then everything fell apart so quickly.  Why does this happen to me?”

Oftentimes, we find ourselves in frustrating patterns of behavior that make us unhappy, but we’re not quite sure how to change them.  Often these concerns lead people to seek out counseling.  They know there’s something wrong, but they just aren’t sure how to fix it.

Luckily, there is a tool for making sense of these thoughts, behaviors, and feelings: the ACT matrix.  It is a guide to seeing your behavior within the framework of what inner and outer experiences move you toward or away from what really matters to you.

The ACT Matrix

The ACT Matrix was developed out of Acceptance and Commitment Therapy (ACT), which emphasizes the balance between acceptance of your current reality (supported by mindfulness and self-soothing strategies) and commitment to change what is within your control (supported by behavior change strategies and skill-building).  The goal of this framework is to move toward change with compassion and self-understanding, integrating nonjudgmental awareness and making peace with challenging emotions and experiences.

The ACT matrix tool was developed as a way to visually represent this framework.  It was created by Kevin Polk, Jerold Hambright, and Mark Webster for use with trauma and addictions.

The matrix helps you see the function of your behaviors, or how and why they work (or don’t work) for you.  Understanding these foundations can help you take a more holistic, compassionate, and long-lasting approach to change.

The Horizontal Axis: Moving Toward vs. Away

Looking at the diagram above, you’ll notice a horizontal line with the labels “toward” and “away.”  This axis represents how we move in each of these two directions.  We have hard-wired biological responses that move us toward things that feel important to us and away from potential threats or what we do not want.  Consider the instincts of animals in the wild: they move toward things that provide something they need (food, shelter, other animals of their kind) and away from threats (predators, wildfires, humans). 

The Vertical Axis: Inner vs. Outer Experience

As humans, however, we don’t live our lives purely on instinct.  We can observe and respond to stimuli that are outside of ourselves, but we also have a vibrant inner world that influences and shapes our responses.  We can use reason, control impulses, make decisions, and weigh options.

The vertical axis on the diagram represents this shift between our inner and outer worlds.  Our outer experiences are things we do that other people could observe, including behaviors or actions.  Our inner experiences are what happens inside our mind and body: thoughts, feelings, sensations, decisions, etc.

In every moment of our lives, we exist somewhere on this vertical line.  Either we are more connected to our internal world, absorbed by the thoughts and feelings associated with it.  Or we are more connected to the outer experience, what we’re doing or what’s happening around us.

The Matrix as a Road Map

Consider that each of these axes are a continuum.  Rather than living in all-or-nothing, this matrix provides a road map to identify what can move you closer to one side or the other.  There are a range of possibilities to explore along each of these lines.

Creating Your Matrix Map

Now, let’s consider how you can reflect on your personal values to fill out this road map and identify what patterns are keeping you stuck.  We do this through a series of four questions that guide you to identify how you are moving toward or away from your goals, and how your internal experience as well as your behavior play a role in that dynamic.  Let’s start with the bottom right quadrant.

Quadrant 1 (bottom right - moving toward, inner experience)

What matters to me?  What is important to me?  What values do I hold?

Write a list in this quadrant of what is most important to you.  Aim for about 4-5 people, things, concepts, values that are most significant.  Reflect on what they mean for you.  For example, if one of your values is “happiness,” consider what your ideal picture of happiness would look like.

Quadrant 2 (bottom left – moving away, inner experience)

What thoughts, feelings, urges, or other internal experiences get in the way of living into those values?  What limits me from being able to have what is important to me?

Reflect on the internal experience that gets in the way of the full expression of those values.  Perhaps your lack of confidence prevents you from being able to date and pursue marriage, which is valuable to you.  Maybe you feel bouts of intense sadness and grief over the loss of a loved one, which is preventing you from living out your goal to achieve at work or pursue friendships.

Quadrant 3 (top left – moving away, outer experience)

When I have the thoughts and feelings in quadrant 2, what do I do?  How do I respond in observable behaviors?

Now it’s time to see how these thoughts and feelings influence your behaviors and how you respond.  These may include attempts at coping with the troubling internal experience, for better or for worse.  What you’re looking for here is anything that moves you away from what is important to you.  For example, you may find yourself overeating every time you feel lonely.  Or you drink more when you’re dealing with a storm of insecure thoughts. Perhaps you withdraw and isolate from others when you’re feeling lonely or rejected.

Quadrant 4 (top right – moving toward, outer experience)

What can I do to move me toward what is important to me?

The ultimate goal of this guide map is to help you brainstorm and define ways to increase movement toward the things that are important to you.  By reflecting on the first three quadrants, you may be able to clarify for yourself what behaviors support your values and goals.  You might identify initiating a date with your spouse as an action that moves you toward intimacy in your marriage.  Or you might include exercise or getting more sleep if one of your values involves health and fitness.

Feedback Loops

Often where we get stuck is in the interplay between quadrants two and three.  Look at the behaviors you listed in quadrant 3.  When you engage in those behaviors, how do they impact your thoughts, feelings, urges, and inner experience?  Typically, they either reinforce the internal experience that’s already happening, or they create another inner dynamic that moves you away from what you value.

When we have an inner experience that is challenging, distressing, or painful, we respond to that experience with behaviors that reinforce it and send us back into the pain.  No wonder we find ourselves stuck in those loops!  But there’s good news: once you’re aware that this feedback loop is happening, you can change the way you interact with it, often by using the behaviors involved in quadrant 4.

Compassion

One strength of the ACT matrix approach is looking at these behaviors with a nonjudgmental lens.  When you see where they fit on this road map, you can identify how they function. All behaviors have a function and work to serve that function, even if they seem confusing or counterintuitive.  Another way to explain this is that everything you do works for you in some way – otherwise, you wouldn’t be doing it.  What you need to ask yourself is what function that behavior is serving in your life.

For example, if you find yourself endlessly scrolling through social media, perhaps that behavior is serving a numbing function.  Maybe it is a way to feel connected when you’re isolated from loved ones.  Or perhaps it’s a springboard for creative ideas.  Each of these potential functions (and sometimes a combination of several) drives and motivates this behavior. 

Seek to offer kindness to yourself and explore where you are on the continuum without judgment, exploring where you might want to go and what steps you can take to get there.

Agency

Some versions of this matrix include a circle at the center that overlaps all quadrants.  This circle represents you as the observer, becoming aware of the system of thoughts, emotions, and behaviors that influence you.  Awareness of the system can lead you to reflect on what’s in charge of the systems in place: for example, who is in charge of choosing what’s important to you (quadrant 1)?  Who is having these thoughts and emotional responses (quadrant 2)? Who is acting on these behaviors in response to the thoughts and feelings (quadrant 3)? The answer to all these questions is you.

This demonstrates how much agency you have over these areas of your life, empowering you to change.  If you are the one in charge, then you are the one capable of creating change in your life.  You can become aware of the feedback loops in your life and explore alternative options.  You can learn new skills to move you toward what is important to you.  Even small changes like intentional mindful breathing can shift your experience between your inner and outer world, demonstrating the control you have over your moment-by-moment experience.

Spend a day observing your movement on this ACT matrix: how your thoughts and actions influence how connected you are to your inner or outer experience, or how much you are moving toward what feels important or moving away from it. Become more conscious of the behaviors that move you toward what matters to you and to reduce the intensity of the feedback loops you experience.

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If you find yourself noticing these patterns but still feeling stuck or unable to change, that’s where a good therapist can help you work through those stuck points. 

Additional ACT Matrix Resources

  • Kevin Polk, one of the creators of the ACT Matrix, has trainings to understand this concept further through his ACT Matrix Academy.

  • Mark Webster, another contributor to the matrix, has a three-part YouTube series demonstrating how it works.

  • Jacob Martinez, an ACT matrix trainer, has resources at his ACT Naturally website.

Performance vs. Personhood: Battling Perfectionism in Finding Your Value and Worth

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We live in a culture that tells us that our value and worth come from status symbols and outward signs of success.  These status markers show up in distinct ways: an expensive car, a leadership position at work, a vast number of social media followers, the approval of our friends and family, the number of hours we’ve worked in the past week, our grade point average, how many games we’ve won, how many publications our names are on…the list could go on.  Consider for yourself: what are your personal signs of success?

These symbols aren’t necessarily a bad thing in and of themselves.  Often, they signify good goals for which to strive.  But when your internal value or worth as a human being hinges upon achieving these goals or reaching a certain status marker, then you set yourself up for anxiety, pressure, discouragement, and eventual disappointment.

A mistaken belief that underlies desire for status or power is that your value or worth as a person comes from what you do or how well you do it.  Endless pursuit of these symbols of achievement without satisfaction are a hallmark of perfectionism. “Type A” personalities and prestigious academic settings with high achieving students are examples of where this mindset thrives.  People who define themselves by a certain career path or role in life can be devastated by job loss or perceived failure.

What are some signs that you might be defining yourself by your performance?

  • Experiencing intense anxiety or fear around activities or situations in which you might be on display

  • Feeling devastated by constructive criticism

  • Excessive worry about losing your job, promotion, GPA, or position in some area of your life

  • Believing that you are worthless without your status symbol

  • Feelings of failure or believing that you are a failure

  • Constant comparison with others where you find yourself lacking

  • Staying busy doing things so you feel good about yourself, even though you’re feeling burned out and exhausted

  • Trying to prove yourself in some way to others

This overemphasis on finding value or worth in what we achieve creates people who are beaten down by their life experiences, dealing with clinical levels of anxiety or depression that discourage them and make their attempts to achieve even more difficult.  Instead of encouraging you to improve or creating a drive to do better, the negative thought patterns that come with perfectionism and a performance-based identity lead to discouragement and a lack of motivation.

What are some of those thought patterns that are associated with placing your value and worth in your achievement and success? 

Performance-Based Belief Systems

If I can’t do this, I am bad (won’t be loved, will be rejected, will be alone).

This belief ties your identity as a person to your ability to achieve, connecting to the belief that love or respect of others will be taken away if you fail.  You may feel like all of your actions are on display to be judged and found lacking by others.  These fears of rejection or abandonment lead you to feel pressure to always do the right thing, which eventually becomes impossible.

How does he/she do it all?

Setting unrealistically high standards for yourself can lead you to see others as more competent or capable than you are. A sign of comparison to others is believing that you “should” be able to do as much as someone else and a belief that you are “less than” because you can’t.

I feel good because I was able to achieve ____.

Even though this thought looks positive at the start, it actually hints at the presence of a performance-based value or worth.  What happens if you don’t achieve that in the future?  What happens when you do fail?  Does that influence your belief in your inherent worth or value?

If I’m not a perfect (mom/employee/boss/student), then I’m worthless.

It is impossible to be perfect, and perfection does not equal worth.  Like the comparison-based belief above, this thought indicates setting a standard far above and beyond what is needed.  We all make mistakes and are imperfect as part of our nature, but that doesn’t make us worthless.

How to Respond to Performance-Based Beliefs

Focus on your personality instead of your achievements.

Instead of basing your worth on the things you do or achieve, list different aspects of your personality that you like.  This may prove difficult, as you might slip into what is familiar: listing positive things that you do.  Alternatively, you could find yourself stalling out after a short list and descend into more self-critical thinking.  Allow this process to take time, as chances are you’re not accustomed to speaking to yourself in kind and affirming language.

Shut off the comparison trap.

Limit your time on social media.  Pay attention to your thoughts about others and rather than feeling jealous or comparing yourself to them, ask yourself how you can be grateful for that person’s role in your life.  Remember that often you are comparing your insides (your doubts, fears, anxieties, perceived failures) to someone else’s outsides (what they post online).   It may be time to unfollow certain people on social media if you find that their posts stir up too much of this comparison dynamic in you.

Consider the impact of your past.

Our past experiences influence the way we view ourselves and the world around us.  How might they be influencing your thinking?  Look for moments where you first felt perfectionism or a need for success most strongly.  Why was success important for you in your past?  What happened when you didn’t succeed?  Did you have an overly critical parent, teacher, or other adult figure in your life?  How might they have influenced you?

Ask yourself how you’d treat others.

Identify people in your life who have  made mistakes, but of whom you don’t think negatively.  What makes those people different from you?  We are our own harshest critics.  In many cases, we would never talk to a friend or loved one the way we talk to ourselves.  For many of us, we wouldn’t consider seeing someone else as worthless or without value because they’ve made mistakes.

Alternatively, you might notice that you are critical or judgmental of others when they make mistakes.  Often having high standards for yourself means you expect others to meet those high standards too.  Consider how it might feel to release those standards and be free of the disappointment and anger associated with both your and others’ mistakes.

Act out of your values.

Performance-based thinking often comes with a list of “shoulds.” Living by these “shoulds” is a setup for failure, because you’ll never be able to meet them to your level of satisfaction.  The standard will constantly get higher: you may achieve one part of your “should,” but it won’t be enough.

Instead, focus on your core values.  Examples include integrity, love, health, creativity, support, generosity, personal growth, etc.  Ask yourself what is important to you at your core, not what other people think should be your values.  When you know what our personal values are, that leads the way to choose value-based actions that aren’t driven by trying to prove yourself, but instead are driven by who you are.

A Christian Perspective

If you are of the Christian faith, church involvement and service can become another way in which you tie your value to your performance.  Striving to be a “good Christian” or to “do the right thing for Jesus” might be ways these beliefs shift to meet a Christian lifestyle.

The desire to serve God by itself is not a bad thing: in its best form, it comes from wanting to respond to the love of God we have received. But other times, the motivation for this service is based in a faulty theology of God.  It sees God as a taskmaster demanding obedience, rather than a generous and kind Father who loves you so unconditionally that He will welcome you home even when you fail miserably (see Luke 15:11-32 and Romans 5:8).

Our value and worth as Christians does not come from our activities, performance, or actions.  Whenever we say we’re trying to be a “good Christian,” that denies our powerlessness to be good on our own apart from God.  We are only able to offer out of what we’ve already been given (see Ephesians 2:8-10). 

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In the Christian life, our primary identity is not defined by how “good” we are or how perfectly we follow the rules.  We are first and most essentially children of God, beloved, secure, and cared for by our Father.  When that is our identity rather than what we do, we are much more likely to be at peace with ourselves and be able to act out of our values instead of trying to earn God’s favor or love.  You already have God’s favor just by being His child!  There is no more that can be done to make God love you more or less (Romans 8:38-39).

How to Cope With a Trauma Response: Part 1

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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. 

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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.

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

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

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

Recognizing Distorted Thought Patterns

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

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

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

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

Questioning Your Thoughts

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

How true is this thought?

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

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

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

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

Is this thought helping me or hurting me?

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

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

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

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

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

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

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

Where is this thought coming from?

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

How might my current circumstances be affecting my thoughts?

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

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

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

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

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

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

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

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

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

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

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

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

Recognizing the Shoulds

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

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

Pay attention to your emotions, particularly shame and fear.

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

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

Look at what bothers you most about other people.

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

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

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

See where you’re jealous of others.

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

Releasing the Shoulds

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

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

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

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

Separate “perfect” from “good.”

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

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

Ask yourself what you think will happen if you fail.

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

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

Pretend like you’re talking to a friend.

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

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

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

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

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

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

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

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

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

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

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

What is a cognitive distortion?

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

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

Common Cognitive Distortions and Their Antidotes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This article was originally published on July 6, 2017.

Understanding the Window of Tolerance and How Trauma Throws You Off Balance

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Have you ever felt out of control of your emotions?  Overtaken by anger or rage?  Swarmed by anxious thoughts and worries? Confused by the intensity of your emotional reactions?

What about feeling shut down emotionally? No matter how hard you try, you can’t seem to feel anything.  You’re disconnected from relationships and others, and you coast through your day feeling numb.

Chances are, if you’ve had this happen to you, you’ve been outside of your window of tolerance. 

What is the window of tolerance?

Coined by Dr. Dan Siegel, the term “window of tolerance” describes the space where your level of arousal (how alert you are) matches up with what is required for you to do.  This window is the space where you can approach day-to-day life most effectively, handling emotions without losing control and making clear-headed decisions with rational thought.

Imagine an average day where you aren’t troubled by too much stress, but you’re still alert and able to focus on your tasks.  Typically, this would place you right in the center of your window of tolerance: you’re not facing anything beyond what you can handle.  You can experience emotions without being overtaken by them and feel safe in general.

Let’s say a minor stressor comes up: you get a phone call from your boss that requires you to do additional work, or an email comes in from your child’s teacher about misbehavior in their class.  That stressor will increase your level of arousal, maybe even to put you at the edge of your window of tolerance, but if you’re still within that window you can handle the stress without getting too out of sorts.

Our brains are designed to handle the ups and downs of emotions and experience by remaining within this window of tolerance.  We may have unconscious coping mechanisms in place that help us handle that stress, or the passage of time brings us back to the center of that window.

The National Institute for the Clinical Application of Behavioral Medicine (NICABM) has provided this infographic to help you visualize the window of tolerance.

The National Institute for the Clinical Application of Behavioral Medicine (NICABM) has provided this infographic to help you visualize the window of tolerance.

What happens when I go outside the window?

When a circumstance, stressor, or trigger is enough to throw you outside the window of tolerance, you enter into survival mode.  Outside the window of tolerance, the prefrontal cortex of your brain (involved in impulse control, decision-making, and regulating emotions) shuts down.

If your level of arousal is too high and jumps above the window of tolerance, you’re experiencing hyperarousal.  Usually this is the initial response when a stressor throws you off balance.  Hyperarousal comes from your fight-or-flight adrenaline response, which can show up with increased heart rate, racing thoughts, digestive issues, or hypervigilance in your surroundings.  You might feel an intense wave of anxiety, panic, or anger.  Your emotions can be overwhelming and out of control.

If your level of arousal is too low and dips below the window of tolerance, this is hypoarousal.  This comes from a freeze and shut-down response, often as a reaction to the adrenaline rush of hyperarousal.  Hypoarousal can look a lot like depression.  You might notice lack of motivation, exhaustion, and feeling numb and disconnected from emotions.

How Trauma Affects the Window of Tolerance

If you’ve experienced trauma, whether big T (like a natural disaster or prolonged abuse) or little t (like gaslighting or emotional manipulation that adds up over time), you know that reminders of those experiences can bring you back to how it felt then.  These triggers happen out of nowhere.  A sound, smell, or location can send you into a negative spiral.  Often, these triggers go unnoticed and you’re left feeling anxious, depressed, or some combination of the two without really knowing why.  Other times, these are obvious reminders that trigger flashbacks or physical reactions in your body.

If you have experienced trauma, your window of tolerance shrinks.  The traumatic experience has likely taught you that the world is unsafe and unpredictable.  Triggers related to the trauma also increase emotional response, skyrocketing you out of your window of tolerance before you’re even aware of what’s happening.

Because the window of tolerance is smaller, you’re likely to fluctuate more often through hyperarousal and hypoarousal.  Something as simple as that call from your boss or email from your child’s teacher could send you into an anxious spiral. 

In some cases, when you’ve been outside of your window of tolerance for a long period of time, clinical levels of anxiety or depression can develop. Survivors of trauma may learn to adapt to fluctuations between hyperarousal or hypoarousal by moving toward unhealthy behaviors, such as addictions, to manage their discomfort.

How can I stay in my window of tolerance?

There are healthy alternatives to addictions or other destructive ways of coping that can help you to return to your window of tolerance.

  • Breath work and grounding. Bring yourself into the present moment by taking a few deep breaths.  Use a breathing technique like four-square breathing or the 5-4-3-2-1 grounding exercise to help you remember that you’re in the present.

  • Check your thoughts. Talk to yourself about what’s going on in the present.  Question whether the feelings of panic or lack of safety are based in factual reality, or if they’re an echo of the past trauma.  Affirm yourself for changes you’ve made and work you’ve done or are doing to heal from the trauma.

  • Self-care. When you notice your emotions getting out of control, think of that as a red flag indicating your need for self-care.  This can include things like going for a walk, taking a hot shower, giving yourself a few minutes to breathe, or calling a friend.  Look for self-soothing actions that help you not to be overcome by the emotion and ground you in the present

  • Connection with loved ones.  Feeling supported and cared for by your loved ones can serve as an important part of self-care when you’re reeling from a trauma-related trigger.  Connect with your loved ones via phone call, text, or in-person meeting to remind you of their present role in your life. 

Expanding Your Window of Tolerance

The solutions above can be great in an emergency when you find that you’re already outside of the window of tolerance.  But if you’ve experienced trauma and are coping with a smaller window of tolerance, these will only provide a temporary fix.  Luckily, it is possible to grow that window of tolerance with focused work.

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  • Therapy. Creating space to process and deal with the impact of trauma on your everyday life with a professional counselor or psychologist can help create a buffer for your emotional reactions.  Your relationship and connection with your therapist is the most valuable part of any therapy relationship, moreso than what technique that therapist uses.  Find someone with whom you feel comfortable and safe and who can help you stay within the window of tolerance in your sessions, as healing can’t occur when you’re outside of that window.

  • EMDR. As an EMDR-trained clinician, I have seen EMDR change the game with clients who have survived trauma.  EMDR (eye movement desensitization and reprocessing) helps process and reorganize the traumatic memories in your brain such that they aren’t creating such strong emotional reactions.  This technique replaces the negative narratives and emotions from those memories with a more grounded and centered perspective coupled with positive, affirming words.

  • Regular meditation practice.  While the short version of meditation and breathing mentioned above can help in a pinch, regular meditation practice can do wonders for extending the window of tolerance.  Doing regular breath work over time can create a habit that develops into a reflex to react to stress with conscious breathing.