I came across a question today regarding the treatment of PTSD, someone else then gave a long winded response regarding the treatment modalities for PTSD and concluded that there is no end to severe PTSD. In short the advocacy for CBT and EMDR was simply an advocacy for treatments that temporarily help relieve symptoms.
Sufferers of PTSD to include severe cases of PTSD can experience full recovery. It all boils down to what you believe. A common example given for the cause of PTSD is war. A veteran who suffers from PTSD as a result of combat makes sense. War is bad, war is bad because engaging in hostilities against other human beings resulting in the killing of those human beings is detrimental for the mind. Human beings are inherently good, this is why we function the best when we feel good, and we feel really good when we are helpful towards other people. Furthermore, people who experience good feelings from committing any form of harm towards other people are seen as mentally ill, with labels of sociopaths and psychopaths assigned to their character.
So you take a good person, introduce said person to propaganda about how awful another group of people are, train them for combat and then send them into combat. After everything has been said and done, they come to realize that they are not at peace with their actions. Those who are more astute realize that the people they fought against are also people like themselves who were fed similar propaganda against themselves and trained to engage in combat for what they believe was a good and greater cause. To make things even more complicated, most veterans who suffer from PTSD, will encounter people who strongly believe in combat against other groups of people and will praise them for their past actions. This creates a dissonance, where they receive significant acceptance and recognition for actions they have come to disagree with, which also contributes to their illness, and potential rejection if they voice their disagreement for their previous actions.
PTSD can be cured, it is a duel process of utilizing EMDR to engage both hemispheres in getting past the difficult feelings associated with the trauma and using CBT to address detrimental beliefs and practice new and healthier beliefs.
Consider another example, let’s a say you have two men who experience extreme physical assaults and both men develop PTSD. Of the two men, the one the most least likely to fully recover from the incident is the man with rigid beliefs associated with the assault he experienced. For example, if the idea of being assaulted signifies a blow to his manhood, and he continues to hold unto these beliefs throughout treatment, the best EMDR will do for him is to temporary alleviate his symptoms before his next meltdown. He will then experience a meltdown every time he reminded about being humiliated. Such meltdowns can easily be triggered by consumption of media or association with people who voice reminders of his rigid beliefs he still holds unto.
While if the other man is more flexible with his beliefs associated with the physical assault, he is most likely to experience a full recovery. This is because after he has learned to move past his difficult feelings related to his ordeal, he is least likely to be triggered into an emotional meltdown. He is least likely to be triggered because it would be relatively easy for him to abandon any beliefs and values that prevent him from accepting the true nature of his ordeal.
Ugochukwu is a psychotherapist and owner of Road 2 Resolutions PLLC
From blog posts, video logs to headlines news stories, most of us as inundated with stories about “bad” people and how these people affect our lives. The idea of someone or a group of people doing bad things to us can be emotionally triggering, to the point where you can lose yourself playing the role of the victim. You then find other people who can either relate to your story of victim-hood or at least sympathize with you on how you have been victimized.
The problem with this mindset is that, if you are indeed experiencing any degree of victimization at the hands of another person or group of people, you will continue to be victimized until you recognize your role in the story. While it is true that good people from time to time do experience bad experiences and sometimes at the hands of other people, a majority of the time when we have recurring bad experiences it is a result of the role we have unintentionally played in keeping the bad experience alive and well.
The ego can be fragile, it is an instinctual source we turn to, to find a sense of confidence in regards to how we navigate through life. However primary reliance on the ego to get you through challenges in life is a mistake. You need to be able to identify your flaws and weakness and the role they play in your recurring bad experiences or victim-hood, specifically in your relationships with others.
From personal to formal relationships in order to change our daily experiences for the better, we need to recognize the bad things we ourselves do and change them for the better. Seldom can you truly be absolved of all guilt during conflicts with others. In cognitive behavioral therapy, the client is introduced to the standard format of experience + behavioral response = natural and logical consequences. With the behavioral response being the most important variable in that simple equation. This is because, while you cannot control what other people do to you to include other experiences caused by other sources, your response to your experiences determines just how manageable your life is going to be.
In short, worrying too much about what others might do, does nothing to facilitate growth in our lives.
Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC.
The number one obstacle for people accomplishing any measure of change in their lives is the belief that they should be comfortable. The problem with always feeling comfortable is that it takes away your will to strive for any measure of accomplishment, in getting your needs and values met. When you are comfortable, you no longer have a sense of urgency to address challenges in your life and make the necessary changes. This is not to suggest that you must always be in a state of urgency to accomplish change in your life, but it does mean that if there any changes you want to make in your life, it is a mistake to wait to get to a state of comfort before you begin practicing change. If you wait to get to a place of comfort, you will simply revert back to old behaviors.
Feelings of discomfort are actually an evolution advantage; in that they motivate us towards taking action. For example, a hungry stomach will motivate you to get some food for yourself, however if you are surrounded by delicious junk food which influences your health for the worse, once you have satisfied your hunger with the junk food, you become less motivated towards acquiring and preparing for yourself healthier foods that will benefit your health. This is because the latter is more time consuming and requires significant effort.
In order to exercise the change, you need in your life, you will need to adopt a mindset where you come to appreciate all feelings and sensations as helpful. This means that even when you experience feelings of discomfort, you come to see these feelings as messages from your brain and body. These messages can be about things either going your way or things not going your way. When greeted with feelings that communicate any measure or severity of discomfort, ask yourself why you feel this way and then make a commitment to attend to the message without seeking to alleviate yourself from the discomfort. Often times this commitment can be made in writings. Over time, you will become more tolerable of uncomfortable feelings and more skilled at attending to the daily challenges in your life which require you to exercise change.
Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC.
I recently came across an article regarding a neuroscientific intervention for sleep paralysis. What I find fascinating about the article is the heavy reliance of mindfulness and meditation the neuroscientist prescribes for sleep paralysis.
Sleep paralysis occurs when you find yourself awake but unable to move. This lack of movement can last from several seconds to a few minutes as the sufferers’ experience sheer terror and agony in their inability to move their bodies. In some cases, people who suffer from sleep paralysis also experience hallucinations, most commonly reported is a shadowy presence in the bedroom.
The four steps for regaining control of one’s body during sleep paralysis are:
- Reappraisal of the meaning of the attack
- Psychological and emotional distancing
- Inward focused-attention
- Muscle relaxation
Step 1, “reappraisal of the meaning of the attack” is another way of saying that you should give the attack another label. The idea of waking up from sleep without the ability to move is so terrifying for most people that some sufferers develop extreme anxiety about going to sleep in the first place. For some people they spend the entire experience of their paralysis in a state of fright until they are able to move again. This leads to learned dread and a host of other issues. By relabeling the paralysis, you begin to experience a shift in your perception of what’s going on. For example, if you found yourself in this situation, you could tell yourself that you are experiencing a phenomenon that occurs in 20% of the population and is temporary.
Step 2, “psychological and emotional distancing” means that you should practice adopting an objective view of the situation. Since you have already told yourself that this is something 20% of population already experiences and is temporary, you should readily observe that your feelings of fright and panic are understandable but irrational.
Step 3, “inward focused-attention” this means that you should practice positive thinking. The author of the article recommends focusing on a loved one or a positive event. I would recommend you envisioning yourself getting out of bed and walking about. A mindset that can help with this vision is to inform yourself that while your mind is awake, your brain and your body haven’t yet received the signal to awake and move and are merely playing catch up. So soon you will be out of the bed and walking about.
Step 4, “muscle relaxation” from what clients who have struggled with sleep paralysis have told me, while they may not be able to move, they discover that there are aspects of their body that they can still control, such as their breathing and their ability to flex certain muscle groups. As tempting as it may be, forcing yourself to move only worsens the experience. Instead you are recommended to practice easy breathing and relax your muscles, by doing this you are adopting an attitude of acceptance towards the entire situation, which reduces the likelihood of experiencing a panic attack during the paralysis and shortens the duration of the paralysis.
The more people are able to successfully practice these steps during sleep paralysis, the less dread and anxiety they will have about sleeping, which in all likelihood will reduce the frequencies of the sleep paralysis.
This is the link to the article.
Ugo is a therapistand professional life coach.
“A friend of mine was learning how to swim, when he suddenly felt he was starting to drown. He began splashing wildly about when his instructor told him to stand up. Much to my friend’s relief and embarrassment, he discovered he was okay.”
Anxiety is based on primal fear, and primal fear is based on the idea of not having enough. Not having enough of your basic needs met and perishing before you reach a ripe age, not having not enough social support and being vulnerable, and the list could go on. The point is that when we are struggling with anxiety our mindset operates on the idea of scarcity. When we think from a place of scarcity, we are fearful, we are timid, we are excessively selfish, we are desperate and hurried in our decision making. The mind of the anxious person is irrational, like the story of my friend learning how to swim and pessimistic, picture yourself at noon in the middle of any desert during the summer months with less than a quarter of warm water left in your canteen.
The anxious person does not take any risk, because he operates from a place of what he might lose as opposed to what he might gain. This leads to a self fulfilling prophesy, where like the unfortunate hiker in the middle of the desert, the anxious person is careful about not exerting too much energy, least they might end up losing the little they have left.
By now the answer may have become obvious to you, to rid anxiety visualize yourself having enough of what you need. So once my friend learned that he was in the shallow end, he exercised more courage in his swimming lessons. So in essence, his level of safety was enough. Or you can also practice imaging yourself as a hiker with enough water to last you to the next well or tap.
How the mental practice of visualizing yourself easily getting your needs met, is not enough. This is because people who struggle with anxiety, have experienced anxiety for most of their lives. This means that for most of their lives, their brains have become wired to think in regards to scarcity. So they have become habituated to thinking in regards to timidity, desperation and primitive survival instincts. The good news is that our brains are malleable, meaning that it is never too late to learn new ways of thinking and doing.
There are cognitive behavioral strategies you can learn and implement which would make your practice of visual exercises fruitful. Here’s one, start small. Visualize yourself engaging in a small challenge, which you have passively dreaded due, to your perception of the risk to reward ratio, or your lack of confidence in yourself. Create a plan to follow through with this small challenge in which you create a narrative which consists of the best possible scenario and outcome for this challenge. Then when you are done engage in the challenge.
The mere process of your creating a plan for the challenge, rewires your brain to how you see the situation and increases your motivation to make you overcoming this challenge a reality. It is not uncommon for people to experience some emotional difficulty when practicing this exercise. These are usually due to past traumas. If you are experience difficulty completing this exercise due to difficult feelings you can’t get past, a therapist can help you process these difficult feelings and get you back on track.
Ugo is a psychotherapist and a professional life coach.
Driving to my office this morning, I listened to some broadcast information, I found disturbing. A happiness guru was giving giving advice on how to be happy.
He started out with an example of a retail worker, who was not happy with her job, and went to detail how she could immediately begin experiencing happiness, simply by changing her perceptions. Listening further, he appeared to state that she would be able to experience happiness by practicing a number of cognitive exercises simply geared towards looking at her situation in a different light. The problem I had with his message was that the change in perceptions where not tied to any follow through actions.
That line of thinking is based on the old glass half full or half empty analogy. That is to say, that you can either see a half glass of water as either half full or half empty. The issue I have with messages like these is that they are based on half truths. It is true that your thoughts influence your level of happiness, however if you find yourself experiencing unhappiness, who is to say that your thoughts are wrong? Take again the glass half empty or half full analogy, in reality a glass of water at any level is either on it’s way to being emptied or filled. It all depends on what decisions you intend on following through on. Are you going to empty the glass or refill it? Perhaps both.
Let’s explore a concrete example using the story of the retail worker who is unhappy with her job. What if she does not earn enough wages to get her basic needs met? Yet she believes that there are no immediate opportunities she can pursue where she is generating sufficient income. Telling someone in this situation to think happy thoughts is deceitful and insulting. It reminds me of a high school English teacher I was working with, who stated, “thank God I don’t live in India”. As she said this, I couldn’t help but notice the gaping hole in her right worn tennis shoe. I am not one to be materialistic, but I decided that based on her statement, her daily appearance was not one of self imposed frugality but one of impoverishment. Further, her comparison of her current situation at the time, to her perception of life in India, was meant to generate feelings of happiness about her situation. Which amounted to nothing but a false positive.
Back to our fictional retailer, if I knew someone in that situation, I would immediately share with that person that her unhappiness made sense. Further I would share with her that her feelings of unhappiness was her brains’ way of informing her that her current line of employment isn’t working out. If so, what is a retailer to do? I would introduce the retailer to cognitive exercises meant for her to brainstorm realistic alternatives for generating income. From my experience, such a process usually leads the person to come face to face with her fears generated by unhealthy beliefs she developed during her early life experiences.
At this point the goal would be in assisting the retailer to discard her old unhealthy beliefs and adopt new beliefs that steer her in the direction of practicing the courage to pursue her passions. So it is just not enough to think happy thoughts, instead happy thoughts are generated by decisions we make and intend to follow through on in either pursuing meaningful change in our lives or continue practicing habits to maintain a meaningful and fulfilling life style we are already living.
In my opinion, the key to happiness is the practice of courage. I will write more on this on the next post.
Ugo is a psychotherapist and a life coach.
Throwing it all away.
From time to time, I work with people who have either made an attempt at suicide and or expressed serious intent to do so. My first response to these people is to ask a standard question based on a ancient quote; “have you left all stones unturned?”
Often times when people contemplate on committing suicide, they are operating on limiting core beliefs, which they have repeatedly used towards getting their emotional needs met in a diverse number of situations. As a result they have experienced limited to no success, due to their lack of flexibility in their core beliefs and subsequently their behaviors.
For example, a common theme I observe with people who idealize suicide is an absence of love from their lives. Often these are people who still struggle with childhood trauma, where they experienced significant physical abuse and or emotional neglect under the watch of caregivers. They often feel unloved and unwanted by others in their lives and in their personal relationships they will resort to subservient roles in the hopes of gaining the approval of the other person.
During the course of these relationships, as the person with suicidal ideation gives more of themselves to the other person, the less value the other person sees in them, the more used, undervalued and unloved the person feels. Further, the more relationships the suicidal person engages in which they give the best of themselves with little to nothing in return, the more exhausted they are going to feel about themselves and life in general.
The good news is that people in this predicament with timely intervention can adopt a more optimistic view of themselves and life in general and start thriving. However before I get into what the turn around process will look life for suicidal people, I am going to get into the reasons why people with suicidal ideation, typically find themselves feeling exhausted about themselves, undervalued and unloved in their personal relationships.
Before I begin, I would like to state that the following reasons does not apply to everyone who experiences thoughts about suicide. Further, the following content is not meant to diagnosis and heal anyone who is experiencing suicidal ideation. The following content is being provided as helpful information , if you are experiencing thoughts of suicide or know someone who is experiencing thoughts of suicide, please seek consultation with a psychotherapist.
“A Corrupted Sub Conscious”
During the first two years of life, the right hemisphere of the brain is the first develop, in regards to the establishment of neurological connections. Not only is the right hemisphere the first to develop, it also a experiences a rapid growth sprout during those first two years.
In the field of neuroscience it is generally agreed upon that the right hemisphere is more closely connected to the primary and survivalistic needs of the body than the left hemisphere. As a result, the sensory information is usually interpreted by the right hemisphere from an emotional narrative while sensory information from the left hemisphere is usually interpreted from an analytical / problem solving narrative.
The type of emotional narrative used by the right hemisphere to interpret information is usually dependent of the person’s experiences in getting his or her emotional needs met as a child. If the person experienced a lot of success in getting his emotional needs met during childhood, his fundamental emotional narrative tends to be more optimistic. The right hemispheres of people who are more optimistic, tend to communicate easily with the left hemispheres. While the right hemispheres of people who are more pessimistic, tend to communicate less with the left hemispheres of those people. So people who had difficulty getting their needs met as children tend to have a more rigid and pessimistic emotional outlook on life. They are more likely to adopt narratives of helplessness and hopelessness when they encounter challenges in their lives.
The typical mindset of a person struggling with feelings of helplessness and hopelessness is such that if one type of solution does not work for the problem he is addressing, then no other solution will work for that problem. This is obviously not true and explains why people with suicidal ideation give up so easily after addressing the same types of problems with the same approach. repeatedly.
“The Devil You Know..”
Another reason why people with suicidal ideation experience limitation of ideas in addressing their challenges are the people they have grown accustomed to associating themselves with. We are accustomed to dealing with the same types of people we are raised with. This is because during the course of our lives we have developed neurological connections to enable us relate to specific types of people, which affords us a sense of predictability and consistency.
For the person who suffers from suicidal ideation, this presents a big problem, because chances are that you have grown accustomed to interacting with toxic people, and responding to such toxic persons with your own toxicity. This creates the illusion of de ja vu, were just about every relationship you are engaged in is a toxic relationship, which leads to feelings of inferiority, in that you begin to believe that something is wrong with you and that you are deserving of being on the receiving end of toxicity.
“Reprograming Your Subconscious”
Your subconscious mind can be reprogrammed, intentionally or coincidentally. Intentionally by yourself or a third party and coincidentally by information you encounter which inspires you towards change, for better or for worse.
You can come to deeply believe yourself to be a worthwhile human being and come to unconditionally accept yourself.
This process involves creating a narrative and seeking real life evidence to test the effectiveness of the narrative. The first step towards creating this narrative is by understanding the law of opposites. The law of opposites states that everything in existence is a combination or unity of opposites, a common example would be electricity, which is defined by a positive or negative charge.
This means that if you are currently living your life based on a narrative where your worth is low and you reject yourself, there exists a narrative where you believe yourself to be a worthwhile human being and you unconditionally accept yourself.
This is not a narrative you simple make up, but one you base on evidence. First you explore evidence that supports your reasons for degrading your worth as human being. Imagine that your belief of low self worth is a table top, and the reasons you look down on your self are supported by the legs that hold up the table top.
Now write down on a sheet of paper the evidences you have gathered to support your issues with low self worth, each of these evidences will symbolically represent as a leg for the table. You can write down as many evidences as possible even though the standard table has four legs. Once you have written down your evidences, write down on a separate sheet of papers, the exact opposites of these evidences and how they will support the new worthwhile you.
For example, if you believe that you are surrounded by people who do not care about you, as evidenced by the current people in your life, then you write down what it would be like to be surrounded by people who do care about you and who in return you care about.
You will then write down what changes you can start taking in your life to be surrounded by people who do care about you. By doing so, you will be faced with the harsh reality of the things you do to attract uncaring people into your life. Whatever changes you write down, you will come to the realization that practicing these changes will change how you relate to others and subsequently how others relate to you.
A former client of mine, once began the practice of setting boundaries with family and friends anytime they made crude jokes he considered to be offensive. He would place these boundaries and follow through with his commitment to follow through on the boundaries if he was teased for being too sensitive. Much to his surprise he reported experiencing less conflicts with people, as he in turn had become more cognizant of the things he said to others.
This was all based on his new narrative that he would commit to being the most genuine and courageous person he could be, in all of his relationships with people.
In getting to this stage, there was on obstacle that he had to overcome, and that was learning to get past his difficult feelings.
In this previous post, I wrote about feelings, I discussed feelings being tools we use as human being to gage our accuracy of our perceptions of reality as compared to reality as is.
The most difficult part about implementing a new narrative, is getting past your difficult feelings, which usually consist of confusion, guilt, fear and shame. These feelings are false negatives that you become anchored to over the years to unhealthy narratives you formed during your early life experiences.
The most effective way to get past your difficult feelings is to do nothing. The process of doing nothing does take a lot of effort, as over the years you have developed strong neurological connections that fire in response to certain triggers to illicit certain reactions. The most effective way to do nothing is to practice deep breathing. Deep breathing exercises, invoke deep states of relaxation, leading you to become less reactive to certain triggers. A starter exercise I typically introduce clients to is the process of counting breaths from one through ten and then from back down from ten to one. After this process has been completed you will experience a deep state of relaxation, at which point you can focus on asking yourself why you are experiencing the difficult feelings you are experiencing.
With practice, you will experiencing progress in getting past your difficult feelings, making it more easier to implement your new narrative.
As effective as these techniques are, they are easier said/written than done. If you experience significant difficulty practicing these techniques, it is advisable that you see a therapist.
After all, you have one life to live. So leave no stone unturned.
Ugo is a psychotherapist and life coach.
What motivates you? Have you ever experienced a sense of determination to get something accomplished? You knew what you were going to accomplish, also you knew how you would benefit from your accomplished work or project.
It could be something as easy as cleaning a room in your home, performing a repair on something that you use, or creating something entirely new. Recently, my seven and four year olds made thirteen dollars a piece from selling lemonade and brownies at the park with their mother. They had both approached us about their desire to bake the brownies, make the lemonade and sell for some profit. My wife obliged them, and it was a success.
While the idea for the sale was borrowed from one of their teachers, what I found amazing is the drive they each had for the sale. They were both extremely motivated to accomplish this sale, and were also very confident that they would make sales and be rewarded for their hard work. All things considered their lemonade and brownie sale was a success. So if two children can find the motivation to follow through on an idea, what happens to us as adults when we experience routine bouts of poor motivation and in extreme cases, lethargy? Especially when we know we have the competency to follow through on the idea?
The answer lies in the narratives we have come to believe in ourselves.
“Though the brain is enclosed in a single skull, it is actually made of two separate lumps…which are designed to disagree with each other.” —Jonah Lehrer
In the field of neuroscience it is generally accepted that the left hemisphere is responsible for constructing positive narratives of our existence, while the right hemisphere is responsible for bringing the more pessimistic aspects of our lives into perspective. I would argue that a healthy mind is where the negative traits of a person can be taken at face value, with the addition of a positive narrative that does not corrupt the integrity of the negative narrative, so long as the negative narrative is accurate.
In other words, even if I find my feelings hurt by the number “2”, I will always agree with myself that “1 + 1 = 2, and not 3”. Therefore as I go about constructing a positive narrative, rather than ignoring or negativing the number “2”, I will bring myself to accepting “2” for the number it is.
When working with clients on increasing their experiences with motivation, the most common issue they experience are their feelings of hurt towards the scarification of their personal time towards achieving their desired goals. A common reason for this is that over the years they have come to believe in a narrative that negates the investment of their personal time towards achieving their goals. This is a very subconscious but powerful narrative, and always take precedence over the conscious narrative for achieving their desired goals.
So in other words, a common reason that adults struggle with poor motivation, is a conflict of narratives. This is due to the development and implementation of a previous narrative designed to cope with an acknowledged negative, which now interferes with the implementation and follow through of a new idea. Old narratives can be especially difficult to change, especially if they were originally put into place to cope with difficult negative narratives. Such as narratives for coping with rejection from society in various facets of our lives.
You can learn to tell yourself, believable and reality based narratives that will truly inspire you towards bringing your ideas to fruition, with an experienced therapist.
Ugo is a psychotherapist and Life Coach
A young client relayed to me an experience with bullying. The bully accompanied by a few other peers with one of them armed with a cell phone camera, began poking fun at my client. At first my client tried to ignore him, but then he allowed his anger to get the best of him. This was when he lunged at his tormentor, the fight ended quickly with the bully being the victor. What made matters worse was that everyone who witnessed the incident stated that he (my client) started the fight, which was true.
By the time my client had been brought in by his parents to see me, he was knee deep in a state of helplessness. From his perspective, even when he was most angry he was still helpless in response to being bullied. Even in the adult world, I learn about adult versions of what my client went through. One person being on the receiving end of unfair treatment from others, and decides he is not going to take it anymore and lashes out. The result being a series of natural and logical consequences the person cannot manage.
You see, the real culprit is the belief that anger is somehow a motivator for overcoming unfair treatment from others or life challenges. I have read about this myth of anger in blogs, magazine articles and witnessed it being said in video logs. Anger does not inspire courage, anger is a natural occurring emotion that arises when we have come to believe that our humanity is being disregarded by someone or others. The process of using courage to stand up for one’s self actually comes the belief that you are confidence in practicing necessary acquired skills to stand up for yourself. Such a belief comes from the evidence of you practicing those acquired skills in similar situations.
So when the bully got the best of my client, it was because he was in better shape to do so. Or in the second example, where the person is unable to use his words to state his boundaries, it’s because he lacks the practice of having to assert himself in situations with high conflict.
Anger is a natural occurring emotion, that is most useful for infants and children. This is because all infants and children know are their needs and that their parents and guardians are responsible for getting those needs met. As the child matures, the parents teach him that he is responsible for getting his needs met and managing his emotions. This is where the traits of competency, confidence and courage from acquiring and practicing skills start to emerge.
In this video I discuss my professional opinion on the subject of anger and courage.