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Tag: anxiety

August 11, 2017

Imagine you are on an island, let’s give this island the name, Island A. So you are on Island A and you have found yourself unhappy with the island for a number of reasons. So you go to a travel agent’s office and you request for a ticket to leave the island. The travel agent agrees with you for the number of reasons you are fed up with Island A, and asks you where you would like to go. Then it occurs to you, you don’t where you will like to go.

This is precisely what happens whens we struggle to get past feelings of resentment, we have not yet identified how we will like to feel about the person and or situation we feel resentful about. We are stuck on our feelings of hurt, in regards to what was done/ or what we believe was done to us. The reason we find ourselves stuck with these feelings of resentment, is because our rules on how others should treat and behave towards us has been violated. This leads to a part of us, wanting the other party to change to our liking or at the very least make some sort of amends.

Such a mindset leads to a false sense of control, specifically over the thoughts and actions of others. Overcoming feelings of resentment comes down to the practice of accepting others for whom they present themselves to be. Accepting others for the things they say and the actions they carry out, leads to a focus on those whose words and actions we find ourselves in agreement with.

In short, rather than dwell on what someone has done to you, you can focus on aligning yourself with another person whose actions are consistent with your belief system. So going back to the initial analogy, if you walked into the travel agent’s office with the intent to leave Island A, the focus of your conversation is not going to be on expressing yourself on how much island A sucks, the focus of your conversation would to instruct the travel agent to put you on another specific island. For example, you would ask to be placed on the next ferry to Island B. At that point, if you and the travel agent were to become engaged in a casual conversation, the conversation would be on why you want to travel to Island B. Most people in this instance, would be more likely to focus their attention on what they consider to be the merits of Island B, rather than what they don’t like about Island A.

If you are stuck with feelings of resentment, chances are that you have unintentionally bought into a belief system on how other people should behave towards you. Moving past acute or lingering feelings of resentment comes from focusing on what types of people and subsequently, new and other relationships you will find beneficial.

Ugo is a psychotherapist and life coach.

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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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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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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 14, 2016

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.

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August 29, 2016

If you suffer from obsessive compulsive disorder, (OCD) and you are experiencing difficulty in getting yourself to adapt healthier behaviors in your life, there are no easy solutions. However, there is a solution, the solution is three part, defining what the problematic behavior is and picking an alternative and healthier behavior, understanding the genesis of the problematic behavior and learning and practicing how to get past your difficult emotions so you can practice your new behavior.

Defining what the problem is.

Let’s say you have a ritual with touching door knobs three times before entering any room. This is a problematic behavior because it is an oddity and people around you are bound to notice. Furthermore, the stressful urge that pushes you to engage in this behavior puts you in an anxious and stressful mood any time you enter any room, especially a room with a person or persons that you are required to engage with. Furthermore, it is also problematic as the obsession with performing this ritual prevents you from being present with others. So it stands to reason that the solution for this problem would be the opposite of what you are doing which would be two part, first that you no longer go through the awkward ritual of touching door knobs three times before you enter any room. Secondly, that you relive yourself from the strong mental urges to engage in such a ritual.

Understanding the Genesis of the problem.

From my experience in treating obsessive compulsive disorders, a commonality is usually a stressful childhood. The sufferer’s childhood was either blatantly abusive, such as physical abuse or covertly abusive, such as emotional abuse. Usually when someone suffering from OCD or any other type of mental health issues insists that they had a great childhood, they often will immediately contradict themselves in reporting on stories and experiences that the average person would consider to be terrible. Regardless, when an adult or child is chronically exposed to a stressful situation for which they lack the cognitive skills to properly address, the consequence that follows is usually the development of some type of mental health illness. Clinical evidence of this can be attributed to a research study where University of Berkeley researches showed that chronic exposure to stress leads to long term changes in the brain which the researches argue predisposes people to mental illness. Regardless, from a place of understanding and forgiveness, it is beneficial to explore any and all past traumas, big and small and understand how they have shaped you and influenced your problematic behaviors.

Practicing how to get past your difficult emotions.

So now you have defined what the problematic behavior is, and you have successfully explored how you came about developing this maladaptive behavior, there remains one major problem. This problem is getting past your strong urges and feelings of anxiety to engage in the problematic behavior in this first place. OCD is the result of brain damage, primarily to the basal ganglia. While biological infections have been known to cause damage to the basal ganglia, a common cause for such a damage would be atypical neurological wiring. Such atypical wiring can be attributed how a person lacking the cognitive skills to deal with a prolonged stressful situation, adapts with unhealthy behaviors which work in the short term.

A good example would be learning to read others for signs of anger, irritation or moodiness. This leads to a belief fallacy that the person can control others based on their astute observations of others and it also leads to an underdevelopment in assertiveness skills, in which the person unintentionally recreates familial stress in their lives by walking on egg shells around others and getting into personal relationships with difficult people. In most cases, people who suffer from OCD report a false feeling of having control over the situation when they engage in their rituals.

Regardless, having become armed with the knowledge of how their daily behavior influences their neurological wiring, most suffers from OCD become motivated towards practicing their alternative and desired behavior in response to emotional urges to engages in old rituals. For best results I would recommend OCD suffers to work with an experienced cognitive behavioral therapist.

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

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August 22, 2016

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.

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August 8, 2016

“The whole is greater than the sum of its parts.”
― Aristotle

It is not uncommon for me to run into a potential client who is seeking to change a detrimental habit. The habit can range anywhere from issues with procrastination to substance abuse. In the process of gathering more information from the client. I encounter a pattern of unhealthy thinking and behaving that is prevalent in all areas of the clients’ life.

Upon bringing this to the attention of the client, I receive a response that the only thing he or she wants to work on is changing the specific habit they complained about, and nothing else. Well, this is a problem, because everything about us is interwoven. This means that while we are working on cognitive strategies to change thoughts and behaviors regarding the identified behavior, the client continues to engage in his established pattern of thinking and behaving in other areas of his life, which only reinforces the bad habit he wants to change.

The idea that we can departmentalize our behaviors is a misunderstanding, A misunderstanding because some people experience significant success in some areas of their lives than other areas of their lives. The simple reason for this is because in the areas they have experienced more success, they invested more time. Regardless, if you are experiencing negative consequences due to chronic detrimental behavior you engage in, it is based on your mindset, or simply put, an unhealthy mindset you adhere to. This means that for people who struggle with unhealthy behaviors, while simultaneously experiencing success in another area of their life, then they have experienced that success in spite of their unhealthy mindset. Furthermore, in the absence of the identified unhealthy mindset, they would achieve even more success in the area or areas they are already excelling in.

Ultimately, the ability to identify a need to change, and the preference to cherry pick what type of change will occur, is a primitive instinct. Meaning that we want to experience positive changes in our lives with little cost or sacrifice.

It is also important to note, that for those who embrace focusing on the whole versus the parts, the process of changing your entire life is counter intuitive in that you only focus on your mindset and become cognizant on when and how you practice change in all areas of your life.

 

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

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July 7, 2016

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.

Depositphotos_89088270_s-2015

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:

  1. Reappraisal of the meaning of the attack
  2. Psychological and emotional distancing
  3. Inward focused-attention
  4. 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.

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