Cognitive behavioral therapy
A disappointment is an expectation that has not been met. There are two types of disappointments, disappointment with self and disappointments with others. This post is going to focus more on dealing with disappointment with others, because it is the type of disappointment that people get more upset about. When dealing with disappointment with self, more than likely you put in effort into achieving a goal, with a desired result and that result did not happen. So, in the absence of a self-defeatist attitude, disappointment with yourself is easier to get over, because you can always change yourself for the better.
However, when it comes to dealing with disappointment because of the actions of someone else, feelings of being upset, perhaps resentful and in some cases hurt are going to be the case for the person experiencing the disappointment. In more severe cases, some people will wish you better luck next time, some will remind you that it is the nature of life, you win some, you lose some. But here is an important question to ask yourself when you experiencing this type of disappointment, in whose reality are you living in?
Reading this question, might catch you off guard as it seems u related to the title/topic of this post. But really, whose reality are you residing in? The ideal answer when you ask yourself this question should be “my reality” but if you ever find yourself struggling to cope with disappointment then it means you have been living in someone else’s reality and that person has let you down.
The answer then lies in getting back into discovering what is important to you. When struggling with disappointment, if you critically consider the situation, you will discover that you are morning the loss of something you never really had any control over. This could be the loss of a job, the ending of a relationship or an opportunity that did not materialize for you. In his book, Victor Frankl is famous for his quote, “When we are no longer able to change a situation, we are challenged to change ourselves”. This means, that, no matter what you are mourning, your thoughts and feelings remain under your control.
Pertaining to dealing with disappointment, there is no rationale in mourning something over which you had no control over. Let’s say you accidentally dropped a glass cup on the floor, no matter how expensive that glass cup was, you can always take refuge in telling yourself that you will be more careful with glass cups next time. This is because a glass cup in your hands is under your control. Experiencing disappointment over the actions of someone else is a situation not under your control, and so the best course of action is to make peace with this fact. Otherwise you are just going to upset yourself even more, and the reason you find yourself even more upset is because there are no remedies in getting others to do what you want them to do. Therefore, if you encounter someone who follows through on their word, that is a blessing. A blessing because they chose an action that benefitted you, an action you had no control over.
You should only concern yourself with your thoughts and feelings and subsequent actions because these are easy to change. As for the thoughts, feelings and actions of others, the best you can do is practice allowance.
As a therapist who specializes with adolescents and young adults on the autism spectrum, I am often on a look out for online forums dedicated to such a population. Unfortunately, while the true intent of these forums is to provide support and validation for those on the spectrum who struggle to with adapting to the daily struggles of socializing in everyday life, there exist forums where the main theme appears to be who can throw themselves the largest pity party.
I have also witnessed this phenomenon with groups for depression and anxiety, and while I am a staunch advocate for freedom of speech and expression, I believe it is a dangerous situation of people supporting each other in unhealthy thinking. I also believe a big part of the problem is the victim based mentality that has become ubiquitous in popular culture. With this being written, there are three main mindsets people on the spectrum need to adapt, when seeking professional help or help from support groups.
Care is not Obligatory.
In the past decade, I have witnessed the rise of websites crowdfunding websites. As someone who adheres to libertarian principles, I can attest that the success of these crowdfunding websites is proof that most people are fundamentally good. There are no laws in place, or social pressures for that matter that mandate anyone go to these websites to donate money to people. There will always be people who are kind heart-ed, who desire to help those in need. So therefore, the idea that other people must care about your plight is an irrational one. Especially when a group of people come together and focus feverishly and complain about those people who don’t have compassion for their difficulties. This will always be unnecessary given that people who care already exist.
Seek to get Better.
A former client of mine once looked me in the eye, and insisted that his collection of symptoms and quirks were due to his brain wiring. I told him that I agreed with him. He then told me that what he needed was drugs and not therapy. I shared with him that after he had built enough tolerance to whatever was prescribed to him that he would be back in my office. After we had a good laugh, I then introduced him to the concept of neuro-plasticity, where the brain forms and strengths new pathways based on the thoughts and behaviors of its owner. It short, change is possible, and it all boils down to the practice of mental effort. So, when looking for a therapist or a support group, you are looking for help designed to help you move past your grieving process and put you into the process of thriving.
Ranking is Overrated.
Yes, we are social animals, and we have desire to belong to social groups. This is the chief complaint I habitually field with first time clients on the spectrum. Their feelings of not feeling welcomed or belonging to a group, clique or tribe. In truth, you already belong to a tribe, and you are already accepted. If this was not true, you would be dealing with several people actively trying to expel you from your respective community. In truth, what you are dealing with is a desire to rank well on the social hierarchy. As a therapist who has worked with over 800 clients, I have worked with all sorts of people, from high achievers to those who are content with a humble existence, and every one of them to some degree expressed feelings of alienation from the general populace and their respective community members. So, if you are feeling like a bit of an outcast, you are in good company. One does have to wonder if that tribe of people who are truly cohesive and all accepting of their member is a myth. Regardless, when looking for a support group, or therapist please keep in mind that it is not healthy is engage in an us versus them mentality. This is not healthy.
One of my favorite books, by Dr. Eric Berne, discusses in detail three ego states people transition throughout their daily experiences. These ego states are simplified as adult ego state, parent ego state and the child ego state. For clarity, I will define each of these states as their definitions bare importance for the title of this post.
The adult ego state can be defined as an objective state of consciousness. It is in this mind state that we can see things for what they are, without any assigned meanings or interpretations, (think Data from star trek). The parent ego state can be defined as a moralistic state of consciousness, it is from this state of consciousness that we pass judgement on the behaviors of ourselves and others. Finally, the child ego state can be defined as primal/emotional state of consciousness. It is from this state that we seek to get our emotional needs of acceptance, recognition, love, respect and autonomy met.
Now, you may be asking yourself, what does all this have to do with handling hostility? Simple, the best way to handle hostility is from the adult ego state. This is because, in this mindset, you are not taking things personally, you have both your parent and child ego states in check and you win. The aggressor is not successful in getting you upset and gives up.
This video, shows the me using demonstrating the adult mindset in action.
Now getting yourself in the adult ego state is easier said than done, even If you know you will be dealing with hostility in a future interaction. While I respect and deeply appreciate the work of Dr. Berne, nothing compares to cognitive behavioral therapy. This is because the best way to handle hostility comes from a revaluation and reordering of your belief system. For example, if you know you are headed into a hostile situation, it would be a great time to challenge your beliefs regarding your interactions with others.
If done properly, you will always arrive at an objective belief that states something to the effect that while hostility from others is not preferred, you can choose to not take it personally and focus on more healthier relationships. The process of addressing your beliefs forces you to simultaneously address your beliefs about morals and values (parent ego state) and how you get your emotional needs met, (child ego state.)
The strange thing about the parent ego state is that is that it is often wrong and only right when you encounter someone who shares the same morals and values with you. A popular example would be religion, specifically, religious rules on human behavior. Your morals are often going to be validated by someone of the same faith as you, while disregarded by someone else who does not share your faith. An objective reevaluation of your belief system will reveal that if someone’s behavior does not involve harm to someone else, then there are no issues. Further, even if someone’s behavior does involve harm to another person, the best course of action is to aid the person harmed, rather than attack the person doing the harming.
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 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.
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
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
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.
The most common cause for stress I witness as a therapist is a refusal to adopt to change. Stress itself is not bad. We experience stress when we experience a heightened sense of arousal in response to negative experiences our brains have interpreted as worrisome or a potential threat.
For example, if you are experiencing a bad relationship with a supervisor at work, it is perfectly natural for you to experience stress, in response to your brain seeing this as a potential threat. After all, your supervisor is responsible for rating your performance on the job and in most cases a deciding factor for how long you keep your job. If you are in a position where your job is a sole source of income it is understandable that you may feel threatened if you suspect that your supervisor is not happy with you. If you lose your job, your ability to sustain yourself in regards to your basic needs will become inconvenienced until you find another job.
So what if you find yourself in this position? What do you do? Most people in this position would approach their supervisors and attempt to find out how to remedy the situation. I have counseled with people who have taken this route, only to continue to experience the same negative encounters with their supervisors.
In most cases like these I have dealt with, once the person runs out of options he or she continues to go through a sequence of activities they have traditionally done. Show up for work on time, remain courteous, to co workers and supervisors, address official issues with the supervisor all the while experiencing an emotional breakdown on the inside. In a few cases the person would have made an attempt to find a new job, but after one or two rejection letters they usually give up on this route. All the while, the primary stress-or he or she is experiencing continues unabated.
This post is not meant to discuss work issues per se, it is meant to address why some people deal so poorly with stress. The primary reason? Our beliefs. What we come to believe plays a primary role in how we deal with stress. Our beliefs are like doors to other realities, one belief can open your life up to multiple opportunities, while others can lead to dead ends. So if I were to use the example of an employee experiencing being emotionally stuck as a result of all his strategies to end the problems with his supervisor not working, I would say that the employee is operating on a set of limiting beliefs.
On the surface that belief could be that the current employment he has is the best he can do, and there are no more opportunities out there for him. When people make these statements with me, I dig deeper to learn if this is really what they believe, then the belief changes to people are just refusing to hire. Upon further investigation, once the person comes to realize how irrational this belief is, he later comes to the conclusion that he holds unto the belief that he should not suffer, which has lead him towards playing by a rigid set of rules in his work life and thus, his current situation.
So yes, I am writing in this post, that the common cause for stress is the belief that suffering is intolerable, and therefore should be avoided as often possible. When we come to believe this, we run into dead ends, in our professional and personal relationships. We avoid change because we want to avoid suffering.
Suffering is inevitable, I have found that when clients come to accept and make peace with this fact, they come up with surprisingly simply solutions to the problems they experience.
Ugo is a psychotherapist and 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.