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Category Archives: Mental Wellness and Self Improvement Blog

June 12, 2017

I once worked with a client, who upon anticipating that she was about to lose her job, started putting money away, payed her car notes and rent six months the in advance, and then mentally prepared herself for the storm to come.

In fairness, she had good reason to suspect she might lose her job, and all indications suggested that she was a very competent professional. I then introduced her to an exercise, in which she used her imagination to prepare for a positive experience. For example, a new job she better enjoyed with much better pay. While this exercise caught her off guard, she pleasantly surprised herself in learning that the steps she would take to prepare for this opportunity, where realistic and beneficial towards getting that job she wanted.

It is easy to focus on our daily struggles or major events in our lives not going our way, and it may seem like the right thing to do. “I have this problem, so therefore, if I focus on how best to deal with the problem it will go away.” But this doesn’t work like that, focusing on a problem only turns your attention to more of the problem, which only makes the problem more of your everyday life. The solution is the focus more on the opposite of the problem, or more specifically a desired outcome you wish to experience, followed by realistic measures by which to realize that desire.

Take for example, you live on island A, you are sick and tired of living on island A, so you go into a travel agent’s office and you inform said agent that you are sick and tired of living on island A and you want out. Naturally, the travel agent is going to ask you; “where would you like to go?” Instead of giving a desired destination, you shrug your shoulders and state, I don’t know, and continue your rant about how much you are done living on island A.

Then consider the second scenario, where you walk into the travel agent’s office, with the intent of removing yourself from island A. However, instead of lamenting how much you don’t like living on island A, you ask specifically for a plane or ship ticket to island B. Out of curiosity, the travel agent may ask you why you want to travel to island B, and you respond that you have heard so much good things about island B that you want to go and experience these good things for yourself.

This is how best to approach your problems, acknowledge them for what they are, and identify a realistic alternative to the experience. Then come up with a plan to realize this new experience. With this technique, you are not and never will be in denial about things not going your way, you will simply be taking radical steps in your life to surround yourself with the preferred reality you wish to experience.

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May 16, 2017

One of the primary issues faced by people on the Autism spectrum and those with Asperger syndrome, is coping with feelings of being overwhelmed. These issues often start in childhood, as early as a year old, when children who become easily overwhelmed instinctively react by trying to shield themselves from exposure to excess stimuli. Parents of children on the spectrum can easily relate to stories of children who cover their ears with their hands in response to everyday sounds they perceive as loud and stressful. As the child ages, the coping skills for shielding oneself from excess exposure to environmental stimuli becomes even more subtle but the consequences are the same.

By environmental stimuli, I mean people, places and things which produce overwhelming feelings for the person, causing the person’s desire to retreat to safety until it’s safe again. The consequences are often themed with unfinished work, projects and poorly developed relationships with others. This often leads to unwanted isolation and a lifestyle marked by underachievement.

The solution is easy to understand, challenging to implement and well worth the effort. The solution is to do nothing in response to feelings of being overwhelmed. By doing nothing, you are choosing not to be reactive to your feelings of being overwhelmed, which is to engage in a series of behaviors to prevent yourself from experiencing the emotions you need to experience. Regardless of the specifics of what you do, your being reactive will be an attempt to control, manipulate and/or change your reality to manage your feelings.

Instead, by choosing to do nothing, you are allowing yourself the opportunity to experience the range of emotions you need to feel. Your challenge is to simply accept these emotions for what they are without being reactive. By choosing not to be reactive, you are beginning the process of deactivating your fight or flight response pattern, thereby opening access to your solution focused mind. When people choose to stop responding to their feelings of overwhelm fueled by their fears and worries, they become more insight driven and solution focused.

To the outside observer, who isn’t aware of the changes taken place inside the person, they will often observe someone who is behaving more courageous in their daily affairs. In fact, the person is behaving more courageous, as they are now in the practice of looking past their fears and worries and seeing their issues for the mere inconveniences they really are instead of catastrophes.

In my practice, it is a natural reaction for a client to listen to my take on doing nothing in response to feelings of overwhelm, and then responding with an example of a catastrophe they recently experienced in their life. Often, in processing these incidents with them, it is revealed that said catastrophe began as an inconvenience, which they poorly reacted to, thereby worsening the situation.

Catastrophes do happen in life, whether as an initial incident, or as an incident made worse from an overreaction. Regardless, the most effective response to feelings of being overwhelmed, is to accept the situation for what it is, and accept your feelings for what they are. Once this is achieved, only then can you begin to take a solution focused response.

The process of doing nothing to feelings of overwhelming stress and anxiety, is something that takes quite a bit of effort for a first timer. Specifically, there are evidenced based cognitive behavioral strategies, like the ones found in this CBT workbook, “Retrain Your Brain: Cognitive Behavioral Therapy in 7 Weeks: A Workbook for Managing Depression and Anxiety,” by Seth J Gillihan PhD.

A person can study and practice these strategies on their own, or with an experienced therapist.

Ugo is a psychotherapist and life coach.

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February 9, 2017

The number one cause for hopelessness is living a lie. This lie is usually a narrative you were raised to believe in from a very young age and thus your brain over the years has become wired to look for signs and signals that support your belief in this false narrative, leading you to make daily decisions which support this lie.

The problem with lies is that when we make decisions, or attempt to solve problems based on a lie, (aka problems that don’t exist) nothing changes. Take for example, there was once a young man who was being treated by his family physician for irritable bowel syndrome. During treatment, his condition remained the same for a long time and then took a turn for the worse. It was only when things got worse, that the young man explained to his doctor that he had been abusing laxatives, as part of his diet plan. Now that the doctor and the young man where no longer making decisions based on a false narrative, they could get him the appropriate help he needed for abstaining from laxatives.

This story is a concrete example about how we spin our wheels when we attempt to live our lives on false narratives. A false narrative is a logical fallacy, where the solutions we attempt to apply to our perceived problems make sense, if only the foundation were true. In the story shared in the previous paragraph, only the doctor was in the dark about what was the true cause of the problem. Perhaps some might argue the young man to some degree was also in the dark because he might not have made a connection between his use of laxatives and his stomach issues. Most people who experience hopelessness have no clue that they are attempting to live a lie.

They feel hopeless about their situations, because they have reached the conclusion the path they are taking is the only sure way of getting their needs met. It’s like someone who believes that he can walk through a wall, and repeatedly bangs his head against the wall with the expectation that the wall will eventually give in. Eventually, the person gives up, slums against the wall while massaging a wounded head. Hopelessness feels the same way, you keep tackling the same problem with solutions that make sense, but to no avail. Eventually you begin to lose faith in yourself, and when you see others whom you perceive are doing a great job in getting their needs met, you begin to see yourself as a failure and you start to develop a pessimistic view about your ability to thrive in life.

But what if the problem, or set of problems you have been desperately attempting to tackle, have never been the true issue at all? What if your core beliefs are foundationally based on myths? If you struggle with feelings of hopelessness, then this is good news. It means that there are other ways for you to get your needs met, but first you must go through great pains to revise your beliefs.

Most people who are genuinely lost in regards to where to start in revising their belief systems, would benefit a great deal from a seasoned therapist, who can guide them in addressing all aspects of their lives.

Ugo is a psychotherapist and life coach.

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November 28, 2016

I knew of a gentleman, an old friend, he is deceased now. Years ago, before he passed away, he was well known between circles as being obnoxious and aggressive. Then there was an incident in which he and I received unfair treatment from a professor. As I engaged the professor to engage to rectify the situation, I noticed that my friend was unusually quiet. As the disagreement between the professor and I intensified, my friend became even more uncharacteristically meek.

In the years that followed, I have seen this phenomenon repeat itself several times with different people. Heck, it appears that the more boisterous they present themselves, the more likely they are to respond passively during a serious conflict.

Now why is this?

Paper tiger ripping paper with tiger print background with place for your text or image. illustration.

Paper tiger ripping paper with tiger print background with place for your text or image. illustration.

With clients, I have worked with over the years, who display this phenomenon, one thing they all have in common is an emotionally abusive and sometimes physically abusive past. This is not to imply that anyone who experiences an abusive past will grow up to be pretentious, but those who are pretentious about being tough, almost certainly do have an abusive past. The reason for this behavior is due to the manner the person learned to interpret conflicts as a child. Specifically, for those who engage in pretentious behavior, these people came to the unfortunate conclusion that they were ill equipped to cope with conflicts. Thus, the obnoxious and aggressive behavior is an adaptation to ward off would be bullies and abusers.

This technique may have served its purpose during their childhood, however in adulthood, they run into the inevitable of having to deal with people intent on provoking conflicts with them and others. The problem with people who are pretentious in regards to the attitude they put on, is that in their private lives they habitually run away from conflicts. Examples of issues they deal with are, failure to stand up for themselves, on the job, in their personal lives and failure to protect their children from abusive situations.

I once witnessed a father threaten his daughter, after she confronted him for not protecting her from an abusive situation during her adolescent years. It is interesting that he felt comfortable with saying the things he said to her, even though he never addressed the poor treatment his daughter received with her aggressors. In truth, he lashed out the way he did, because he was ashamed and it was too painful for him to hear about how he had failed his daughter.

The good news, is that there a solution towards becoming more courageous and it has nothing to do with putting on an aggressive act. The solutions are a three-step method and is as follows:

  1. Calmly address the offending behavior by the other party.
  2. Listen carefully for a possible explanation, or a refusal to explain.
  3. Calmly state what actions you are going to take if the behavior continues.

In this video, I demonstrate with a colleague how to use verbal judo, in which I carefully integrate the three steps.

Of course, this is easier said than done, and that’s because issues of incompetency highlighted by feelings of intense fear will come up for some people who use this technique. A solution to this would be practice beforehand with a situation that you just experienced.

For example, let’s say you experienced a conflict with a supervisor, where you became tongue tied due to a fear of being let go. Write out the incident as it happened and document your feelings every step of the way. The goal for this exercise is to document how you reacted to each feeling and then document how you would have preferred to have responded to the feelings. Finally, you are going to practice visualizing yourself giving your preferred response to each feeling.

You should practice exercise at least once a day, to trigger the process of neuroplasticity. For best results, I would suggest working one on one with a cognitive behavioral therapy.

Ugo is a psychotherapist and consultant.

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November 14, 2016

Some years ago, while working for an agency, I found myself at odds with two therapists who were my coworkers. More specifically, they were at odds with me. They had learned about my verbal judo exercises and were offended about the scenarios I had practiced with clients where the clients would do their best to insult and upset me, while I got them to stop without retaliation.

They complained about me to our supervisor, alleging that my behavior was not professional. I defended my actions with solid arguments in addition to research to support my methods, and our supervisor gave me the green light. Shortly thereafter after one of the therapists who had complained about me, the most vocal of the two, experienced an incident in which he was verbally accosted and bullied by an aggressive client. I so happened to have witnessed the entire event in person. As the client laid into him, he became so flustered, he went speechless. I then decided to intervene and quickly deescalated the situation. I said nothing about the incident to him, and he never mentioned it on his end. However, by the time I had left the agency, he and I were on good terms.

The interesting thing about this guy is that among us, he was very vocal about demanding respect from the clients and would habitually communicate to us an air of importance about himself.

The point of this story is to elaborate a pattern with people who become easily upset and offended by the words of others. That pattern is this; they have no plans for a fight. No, I am not talking about a physical altercation (I do believe in self-defense), I am talking about practicing assertiveness to take care of oneself. People who place a lot of emphasis on how they should be treated, are mainly concerned with how they should be perceived by others because they have no intention, courage or comprehension of how to stand up for themselves when things get tough.  When we focus on how others should treat us, we delude ourselves into creating messages that convince us that we have control over the words and actions of others. This takes away from the process of learning and preparing for how to effectively respond to the unwanted words and actions of others.

The process of getting offended and harping on how one should be respected by others is an act to ward of bullies. The problem is, it is an act that seldom works with bullies. A proper bully sees through the facade and goes into attack mode.

If you struggle with confidence, assertive, courage and other anxiety related issues, you can learn cognitive behavioral strategies to rewire your brain to become more comfortable and embracing of conflicts.

Settling for the role of a pretentious tough guy or girl only alienates good people from your life, leaving for mostly bullies in your life. Even if you take on the role of a bully, the people in your circle will consist mostly of bullies, and fair weathered friends.

Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC

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October 14, 2016

Most of the clients I treat for anger management describe themselves as terrible people. Furthermore, they are often described as bullies by their family members and those who are close to them. Typically such a description will come from a spouse who will call in to schedule an appointment on their behalf.

In getting to know these clients, overwhelmingly men, I find that they are typically overwhelmingly nice. To a point where they are inconsistent in setting for themselves healthy boundaries with other people. In close relationships this becomes a problem as the person seldom addresses naturally occurring conflicts with the other person or persons. This leads to stuffing of feelings and chronic pretentiousness in the relationship, until the person can no longer keep his feelings bottled up, the next stage is the angry outburst. In severe cases, particular crisis fueled episodes, the angry person habitually engages in bouts of angry outbursts with strangers.

To others who witness these outbursts, based on their feelings of confusion and feelings of being upset, they come to see the “angry” person as a bully or mentally unstable at worst. Meanwhile the person who engaged in the angry outburst is burdened by feelings of guilt and shame and will typically resolve to double down on his commitment to being the nicest person possible. Unfortunately this plays out as the person failing to exercise assertiveness skills leading to little or no boundaries being set. This then sets the stage for a new cycle where the person habitually stuffs his feelings, bottles up resentment before deciding that he can no longer put up with perceived disrespect. For people in close relationships with these people, it could feel that the angry outbursts are unpredictable, when it fact they are very predictable.

At the beginning of therapy for poor anger management, the person is first introduced to exercises for recognizing his difficult feelings. He is then introduced to cognitive strategies for recognizing and responding appropriately to his difficult feelings.

The core of addressing poor anger management skills is to address the core beliefs of the chronically “angry”  person which influence his episodes of anger. For example,  with someone who has difficulty exercising healthy boundaries in his relationships with others, it will be important to determine what beliefs he holds unto which prevent him from setting healthy boundaries.

It could be a belief about how he communicates with others, or it could be a belief about how he sees himself, these are just two examples of a variety of possible beliefs a person could hold unto. For example, I once had a client share with me that he viewed expressing his disagreement at work and at home as a form of complaining. He then further stated that he saw complaining as a form of being weak minded.

Whatever belief he is holding unto, is going to be an irrational belief. Put simply, irrational beliefs are beliefs which are not true, but feel true to the person who holds unto them. For example, a belief which states that “no one should curse at me,” is a belief which feels true, because people generally don’t like to be cursed at, but is an irrational belief because we have no control over the words of others.

Once an irrational belief has been identified, a healthier alternative is chosen for the person to adopt, along with cognitive behavioral strategies for internalizing the new belief. The process of practicing new beliefs produces a paradigm shift in how the person’s sees the world around him and subsequently how he interacts with others.

For those who are successful in adopting and implementing new healthier beliefs, family members and others close to them come to see them as more genuine, confident and compassionate.

Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC.

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October 1, 2016

Hopelessness is a dangerous feeling to experience, this is because once feelings of hopelessness begin to set and fester, people start reconsidering their existence. When clients share suicidal thoughts and feelings with me, I have responded by asking them if they have left “no stones unturned.” Leave no stones unturned is an old figure of speech for searching and exploring all possibilities before considering another alternative. For example, if you lost your keys and you strongly suspect it is in your house. To leave no stone unturned would be that you thoroughly search your house before considering a search at another location.

So if you are experiencing bouts of hopelessness, and you are contemplating your existence, to leave no stone unturned means that you thoroughly explore every possibility to address your situation. In my fifteen years of counseling there are always several things people have not considered, and when they do consider and follow through, their lives improve.

In truth, nothing is worth ending your life over, I have counseled people who experienced feelings of hopelessness over the death of a loved one, people who received a medical diagnosis which changed their lives, breaking up with a romantic partner, experiencing a significant loss of wealth and not experiencing success or loss in reacquiring wealth. In all of these examples there were three recurring reasons which induced feelings of hopelessness. These reasons were all connected to the beliefs and values of the persons, mainly their relationships with these beliefs and values. Given that most of what we believe comes from our formative years, sometimes without realizing it, we sometimes enmesh our old beliefs with our sense of identity. Which makes it even more difficult for us to reconsider revising the beliefs we hold. So, the reasons people struggle with hopelessness are as follows.

Grief and Loss

The loss of a loved one can be an especially painful experience, particularly when that person passed away before his or her elderly years. However, grief and loss is not limited to the loss of a loved one, it also deals with the loss of income, the loss of a relationship, the loss of perceived status, and the list goes on.

I have noticed the pain of grief and loss is especially unbearably for parents who have lost children. In cases where this was the only child or first child of the person, the grief appeared to be so unbearable that they had almost stopped functioning in their daily lives. The loss was a situation they never contemplated and refused to accept. I have never been a fan of the stages of grief model, which involve denial, anger, bargaining, depression and acceptance. This is because the first four stages typically occur together, and what keeps the person from coming to a place of acceptance are the beliefs they hold in relation to the grief. So if I am working with a client who lost her only child, and she continues to repeat that a parent should never bury a child, the statement is a testament to what she believes, which is keeping her sick. In truth, it is a sad day when a parent buries a child, but the statement, “a parent should never have to bury a child is false,” because there is no force or entity that can guarantee the prevention of such a tragedy. In truth this client can come to peace and make a new meaning of her life, even though the pain from the loss might never go away.

Pride

Pride may seem like an odd reason, but I rank pride as number two on my list because it is very common. Human beings are innately wired to function in a hierarchal structure, this means for most people who are not aware of this, from the cars they drive, to the clothes they wear, a certain level of status within a micro and macro hierarchal system is being communicated. For those who are not aware of this, and for those who are aware of this and cherish it, when there is a loss of status, due to changes in the person’s life, a sense of hopelessness can set it. This sense of hopelessness is often due to a set of beliefs which state that the person can exist and function in no other state other than the previous state he had grown accustomed to. This is called pride, so in maintaining consistency with the term, leave no stone unturned, an effective solution would be for the person to explore what it would be like to actually live his or herself without his perceived status enhancer.

Hardship

People don’t like doing hard or difficult things, especially when the prospect of engaging in a difficult task does not guarantee any favorably outcomes. For example, a gold digger is less likely to dig for gold in an area where there is no evidence for gold. Or a high school senior is less likely to apply to attend a college or university if he or she does not believe that a college degree would be beneficial in their life. Given that change is a constant in our lives, it is inevitably that we will all come to crossroads in our lives where we have to consider committing too hard and difficulty work in the hopes of an outcome that improves our lives. If the work is hard and time consuming and the reward is not guaranteed, this can be discouraging to some people and influence the onset of hopelessness. A solution to this would be to explore the belief of promised or guaranteed outcomes. In truth, nothing is guaranteed, however the work we put in helps to add meaning and purpose to our lives, as well as experience.

Hopelessness can be overcome; it is a matter of moving past our difficult feelings and revisiting the messages we have come to believe.

Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC

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September 26, 2016

We are the sum of our life experiences to date, and as we get older our experiences become redundant. Same you, perhaps different people, perhaps different places but the story remains the same. If you struggle to hold your ground when dealing with difficult or high conflict people, it’s because you were unintentionally conditioned to be someone who is easily pushed over.

How you address conflicts stems from your early life experiences, whether you were bullied by a parent, an older sibling, a classmate or classmates. If you were bullied during your formative years in the absence of intervention, forces around unintentionally shaped you to become docile towards conflicts.

This is difficult to see, because most conflicts we experience are usually us dealing with one particular person. So when revisiting the situation, we often fall for the fallacy of what one particular person did to us, rather than the role we played in inviting the person to bring suffering on ourselves.

There are a number of ways by which we adopt a timid mindset throughout our lives, and they are genetics, parenting and socio-economics.

Genetics

Really this comes down to your personality. I have become a solid believer in the correlation between genetics and personality as a father of three children. After from the first day, the personality of this child starts to show and becomes more consistent after about a month. Now a personality by itself does not predispose you to being the target of bulling. However, your personality mixed with your interpretation of your experiences plays a huge role in how you address conflicts.

People with easy going personalities are more susceptible to being bullied, if they are raised by parents who bully them, or who assist in feeding them messages that they are not supposed to stand up for themselves.

Parenting

Emotional and physical abuse coupled with neglect is a common reason people become timid during conflicts. The reason for this is because the child having no other options resorts to developing coping strategies for dealing with an abusive experience. The child becomes hypervigilant towards predicting the temperament of the abuser and often times the child ends up internalizing his experiences with the abuse and engaging in self-blaming. Children engage in solipsism when thinking about themselves in relation to the world around them. The child believes that he or she is the only true mind that exists and that the world evolves around him or her. This leads to children believing that they are responsible for everything that they experience and in error, blaming themselves for abuse inflicted upon them.

The neglectful parent is just as bad, in that he or she fails to advocate for his or her child when the situation calls for. It could be an incident with being bullied in school or being treated unfairly by another adult. The same phenomenon is observed when the child, adopts a passive persona and becomes increasingly conflict avoidant.

Socio-Economics

Socio-economic circumstances play a big role in certain types of children adopting an attitude of timidity, who grow up to be timid adults. Put simply, most people who are poor tend to feel inferior to people who are economically well off. A child who is raised by improvised parents, who have adopted a sense of low self-worth in relation to their wealthier peers, will likely adopt his or her parent’s attitudes. This plays out in quality of education received, certain circles the family can afford to be a part of and disputes regulated by the state institution. Even those raised at an economic disadvantage, who grow up to be wealthy, find themselves with strong lingering feelings of timidity when it comes to addressing conflicts with others. Particular others who they perceive as more well off and educated than they are.

In truth, learning to address conflicts with others is easier than most people realize. Perhaps the most difficult step is learning to become reactive to difficult feelings which arise when provoked or triggered. After that the next step is utilizing cognitive strategies to firmly convey your message of disagreement. Most people who struggle with issues of timidity, strongly believe that the difficult feelings they experience during times of conflicts with others are caused by those who seek conflict with them. In truth these feelings are simply natural and are experienced by everyone who experiences conflicts. The difference with people who are timid, is that they have been conditioned throughout their lives to become reactive and flee from these feelings.

Without proper treatment, people who never learn to be assertive during conflicts experience chronic relationship problems at work, with their spouses and with their children. They tend to develop a pessimistic attitude towards people and may struggle to connect with anyone.

With proper treatment, primarily through cognitive behavioral therapy, people in this position can discover just how competent they are at resolving recurring conflicts in their lives.

Ugo is a psychotherapist and owner of Road 2 Resolutions PLLC

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September 21, 2016

The narratives we come to believe in our early childhood have a powerful influence over us. This is because during our early days, the part of our brains that are the most active is the right hemisphere. The right hemisphere is associated with viewing the world from an emotional perspective, as opposed to the left hemisphere which is strongly associated with logic and reasoning. This is why scientists and mathematicians are generally referred to as left brained while those who specialize in the creative arts are referred to as right brained.

So if neuroscience is mostly accurate on brain functions then all children, if not most children must be right brained, emotional, creative, primal and spontaneous. This would mean that during this period of development when the right brain is most active, children interpret most of their daily experiences, especially the acquisition of beliefs and values through an emotional and primal perspective.

This means that whatever beliefs and values you inherited during your early life experiences, is something that is mostly likely non conscious, and primarily associated with your sense of identity, even if it is false.

This is where self-deceit comes in. Self-deceit happens when we run into life challenges that require us to revise our core beliefs in order to overcome said challenges. For example, take a young person who comes from a small town and all throughout his life he was heralded as a really good football player. To the extent in which members of his town began to express great expectations for him to become a professional player. The person eventually graduates high school and gains admission into a major university, where he barely makes the school team and he is eventually cut from roster. If this person already has a self-identity forged in being a star athlete, he is going to have a difficult time accepting the reality of his situation. Furthermore, the longer he holds unto this self-identity the more self-defeating decisions he is going to make in order to maintain a sense of self consistency with his false identity and delusions. This will go on until he reaches rock bottom in his life, or he is fortunate to receive an intervention from a support group.

In the above example, you can substitute star football player with a number of different identities a person may have come to embrace during his or her early life experiences. Regardless this is the root cause of all self-deceits, when challenges a person is currently experiencing, require a major revision of strongly held beliefs which is easier said than done.

While a revision and replacement of major beliefs inherited during childhood years is easier said than done, it is possible. Through cognitive behavioral therapy someone who struggles with self-deceit can relearn to accept themselves unconditionally with positive regard. This will then make it possible for them to abandon any old and unhealthy beliefs associated with their sense of identity and adopt new and healthy beliefs which reinforce unconditional self-acceptance. All of these can be accomplished through the comprehension and consistent practice of cognitive behavioral strategies which leads a rewiring in the brain.

Ugochukwu is a psychotherapist and owner of Road 2 Resolutions PLLC

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September 19, 2016

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

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