self-talk

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.

Rediscover Your Self-Worth After Betrayal Trauma: Evaluate the Impact

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For many partners of sex and love addicts, betrayal trauma from discovering affairs or addiction can bring up a flood of questions: why did this happen?  Am I not attractive enough for my partner?  Have I not been enough sexually?  Am I stupid for not seeing this sooner?  Did he/she ever really love me, or was it just a lie?

This panicked flurry of questions is an attempt for your mind to make sense of something that is senseless, to explain why the addiction occurred.  It is a natural response to the acute stress of the trauma and the mind’s natural tendency to try to understand what has just happened to you.  Unfortunately, many of these questions damage your sense of self-worth as they create misleading conclusions about the reasons for your partner’s addiction. 

Often, the self-doubt that hits you first is influenced by deeply-rooted insecurities that already exist in your heart.  For example, you may already struggle with self-consciousness about body image and your fluctuating weight because of teasing and body comparison in your teenage years.  If this is the case, discovering your partner’s addiction may lead you to compare your body to images in pornography or affair partners, creating hatred toward your body. Perfectionism, codependency, sexual issues, or aspects of your personality can create sources of self-doubt.

These doubts are made worse when the addict is still in denial over his or her addiction and points out flaws in you that divert attention away from the addiction.  Your spouse may blame physical changes or weight gain for not wanting to be intimate.  He or she may criticize your parenting or spending.  Before your discovery of the addiction, these accusations may have led you to question yourself and set you up for a pattern that continues even after you find out about the addiction.

Discovering a partner’s sex and love addiction or betrayal targets your pain points, adds a few new ones to the mix, and creates the perfect storm that can wreak havoc on your sense of self-worth.

Signs of Impact on Your Self-Worth

Consider the list below of common indicators of insecurity or self-doubt triggered by the discovery of addiction.  Which of these symptoms have you experienced?  How are they playing out in your relationship today? 

Ambivalence about staying or leaving in the relationship.

Ambivalence is not synonymous with indifference: rather, it is the experience of a push-and-pull between two different extremes that you want at the same time.  You may have felt disgusted and wanted to get away from your spouse, but less than an hour later you feel love for him or her and a desire to fix the issues in the marriage.  

When you have this push-and-pull of ambivalence, it is common to become self-critical and angry with yourself for wanting either extreme.  You might fear the judgment of others if you choose either option.  Feeling stuck in not knowing what to do creates a sense of shame and self-contempt that can reinforce your insecurities.

Mood swings between self-contempt and contempt toward the addict.

Similar to the ambivalence between staying or leaving, you might also flip-flop between extremes of hatred for the addict and contempt toward yourself.  You feel angry about what they have done to cause harm to you and your family, but then experience self-hatred for allowing yourself to be in a relationship with an addict.  You blame yourself for their choice to step out on the marriage because you feel inadequate, but then you feel rage at them for gaslighting you into believing that you were the problem.

Shame around sexual desires or negative beliefs about your sexual self.

In some cases, partners find themselves desiring to be sexual with their spouses after the discovery of addiction.  You might be motivated by a desire to secure your partner’s love or to prove that you are satisfying sexually.  Other partners start out wanting nothing to do with sexual intimacy with their spouses but find themselves confused when sexual desire does arise.  Either response can lead to shame, as sexual desire feels contradictory or minimizing to the impact of the betrayal trauma.

A partner’s sex addiction also has a unique impact on beliefs about your sexual self, namely communicating that you are not enough sexually for your spouse.  You can begin to question what you offer sexually and feel unattractive or unappealing.  Your sexual self (your masculinity or femininity) and identity are linked together so closely that betrayal in this sexual realm can deeply impact the core of who you are.

Comparison of your body to affair partners or pornographic images.

Many partners wonder why the addict was drawn to objectify or sexualize other people through pornography or affairs.  You might explain this by coming to the conclusion that you were not attractive enough, or that your partner is sexually interested in people who look different than you.  These insecurities can arise for partners who have a history of body image issues or are feeling dissatisfied with their weight and health, but it can also come up for those who have never felt concerned about their body image.

Feeling stupid or foolish for not knowing the addiction was happening.

How could I have missed this?  For many, the discovery of addiction occurs after the addicted spouse has been acting out for years.  Often, the addiction started long before the two of you met, although it may have escalated into more intensity while the two of you have been together.  You likely were blind to the addict’s sexual behaviors because of their skill at deception and dishonesty throughout the course of your relationship.  The shock of discovering the addiction may lead you to feel like you were stupid for missing it. The fear of being duped or fooled again can lead to difficulty trusting your partner. 

Believing the addiction was somehow your fault.

Despite the fact that the addiction likely existed long before you and the addict got together, you might find yourself struggling with self-blame and looking to your personal flaws and mistakes as justification for the addict’s actions.  You might believe the emotional manipulation and criticism your partner has shared toward you, or you might have insecurities based on abuse or harm from your past that tell you that you are unlovable or worthless.  You might notice a chorus of “if onlys” telling you that if you were different in some way, your partner wouldn’t have chosen their addiction.

Suicidal or homicidal thoughts.

At its most extreme, the hopelessness and depression that comes with the trauma of discovery can lead to thoughts of taking your own life.  Similarly, moments of rage toward your spouse can create thoughts or situations where you could do harm to him or others.  If you are experiencing suicidal or homicidal thoughts, please call 911 or go to your nearest emergency facility.

Self-destructive behaviors.

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Even if you haven’t gotten to the extreme of suicidal or homicidal thoughts, you may be engaging in self-destructive behaviors as a way to subtly punish yourself or to retaliate in a way that gives you a sense of control.  You might have your own affair or seek out the attention of others in response to finding out about the addiction.  You might escape into disordered eating for a sense of comfort.  You may relapse into your own addiction or find yourself turning to alcohol, drugs, or habits such as shopping or gambling as a way to get relief from the pain you’re feeling.

In future parts of this self-worth series, we’ll review statements of truth that contradict these sources of low self-worth and move you toward a more accurate view of yourself, as well as create a plan of empowerment and change for the future.