Cognitive behavioral therapy
During our first five years of life, our right hemisphere develops a narrative in accordance to what we have experienced in our immediate environment so far. This means that if our experiences so far have involved safety, compassion and affection, we develop core beliefs to reflect these narratives. If our experiences so far have evolved a scarcity of affection and compassion and a lack of safety, we develop core beliefs which prepare us to survive in a rough world. This is because on a primitive level we are hard wired to survive at all costs. An example of an unsafe environment would include physical abuse in which a person’s existence is threatened, or humiliation as a result of being on the receiving end of chronic emotional abuse. When these incidences occur during a person’s early life experience, it will most likely lead to the development of core beliefs which reside in his subconsciousness, beliefs which are geared towards protecting him from similar incidences in the future, and beliefs which habitually influence his decision making.
For example, when a child is habitually physically or emotionally abused, the child grows up to develop a sub conscious belief in which his safety and/standing with the community or any community is always at risk of being compromised. These beliefs leads to feelings of hyper arousal, where the person is subconsciously constantly on the look out of trouble, as a result everything he does will be limited by his threatening beliefs.
I once had a client who was struggling with his studies, he was a freshman at the University of Arizona and he was on the verge of dropping out of school. The primary reason for his failing grades was that he was simply not doing the work. My client would later reveal his struggle with a learning disability and the habitual shaming language he received from his parents at home in regards to their fears that he would amount to nothing. During our course of treatment, we determined that at his core, he believed himself to be worthless, and lived in fear of being discovered by others, so throughout his life, he would perform the bare minimum and avoid engaging in challenging work in the presence of others, least he was “discovered”.
Consider another story, of a client raised by a single mother, he shared that she was emotionally abusive towards him and some of her male partners were just as abusive. As a teenager, when my client finally demanded to be informed about whom his father was, his mother sent him to go live with his father for the summer. His father whom he had not had contact with since his second birthday, was now married with three children. My client reported that both his father and step mother where physically abusive towards him, and that he and his siblings struggled to get along. It was at this time he fell into a deep depression as he had always romanticized reuniting with his father and being rescued from his mother.
Fast forward to his mid thirties, where he experiences high stress and conflict in his relationships with others. He feels bullied by the mother of his child, he feels bullied by his supervisor at work and by another co worker. His response to these incidents of bullying is to become extra accommodating to the people he is experiencing conflicts with. The typical response to his accommodating behavior is that the bullying he is receiving from others becomes worse, leading him to experience bouts of panic attacks as a result of his feelings of being emotionally stuck.
Treatment for both clients were successful in which they were both able to develop new narratives to begin the process of replacing their core beliefs. These were accomplished through the process and combination of cognitive behavioral therapy and eye movement desensitization reprocessing. My first client transitioned from an academic probation status, to thriving in his studies during his second year at the University, while my second client reported how his practice of assertiveness had led to favorably changes in his relationships with others.
Our core beliefs resides in our subconsciousness and were formed during our early life experiences to meet the demands of our immediate and respective environments. However, given that change is constant, in the event we find ourselves in a new environment or competence enough to put ourselves in a new environment, it is important to know that we are fully capable of change.
We are the authors of our future.
Ugo is a psychotherapist and life coach.
A young client relayed to me an experience with bullying. The bully accompanied by a few other peers with one of them armed with a cell phone camera, began poking fun at my client. At first my client tried to ignore him, but then he allowed his anger to get the best of him. This was when he lunged at his tormentor, the fight ended quickly with the bully being the victor. What made matters worse was that everyone who witnessed the incident stated that he (my client) started the fight, which was true.
By the time my client had been brought in by his parents to see me, he was knee deep in a state of helplessness. From his perspective, even when he was most angry he was still helpless in response to being bullied. Even in the adult world, I learn about adult versions of what my client went through. One person being on the receiving end of unfair treatment from others, and decides he is not going to take it anymore and lashes out. The result being a series of natural and logical consequences the person cannot manage.
You see, the real culprit is the belief that anger is somehow a motivator for overcoming unfair treatment from others or life challenges. I have read about this myth of anger in blogs, magazine articles and witnessed it being said in video logs. Anger does not inspire courage, anger is a natural occurring emotion that arises when we have come to believe that our humanity is being disregarded by someone or others. The process of using courage to stand up for one’s self actually comes the belief that you are confidence in practicing necessary acquired skills to stand up for yourself. Such a belief comes from the evidence of you practicing those acquired skills in similar situations.
So when the bully got the best of my client, it was because he was in better shape to do so. Or in the second example, where the person is unable to use his words to state his boundaries, it’s because he lacks the practice of having to assert himself in situations with high conflict.
Anger is a natural occurring emotion, that is most useful for infants and children. This is because all infants and children know are their needs and that their parents and guardians are responsible for getting those needs met. As the child matures, the parents teach him that he is responsible for getting his needs met and managing his emotions. This is where the traits of competency, confidence and courage from acquiring and practicing skills start to emerge.
In this video I discuss my professional opinion on the subject of anger and courage.
I recently came across a two year article about the popularity of Xanax, and it reminded me of the number of patients I have worked with who had already been taking medication for months and sometimes years, before they decided to try the therapeutic route. I suspect that most people who stick with their medication, even past the point of diminishing returns are unaware about the specifics of how anxiety and panic attacks are typically addressed in therapy.
When treating anxiety, there are three therapeutic models, I use interchangeably , the cognitive behavioral model, the exposure model and the hidden emotion model.
The cognitive behavioral model approaches anxiety from the idea that it is the beliefs and subsequent actions of the person that is making the person anxious. So when the person holds unto beliefs that create anxiety, that person becomes sensitized to situations that can arose anxious thoughts, with the anxious thoughts being a product of what he believes. Take for example, if a person believes that all dogs are dangerous and vicious. This person then becomes aroused by concerns for his safety whenever he finds himself in the presence of a dog, or when he learns that there is a dog close by. Furthermore this person’s anxiety might become even more amplified if he engages in behavior he believes will keep him safe from the dog. So in this situation, we can say that the person’s anxious thoughts are caused by his beliefs about dogs. So in order to help the person get past his fear of dogs, we have to work on helping him adopt a more healthier belief about dogs. In the short term we will get him to practice healthier behaviors to cope with his anxious thoughts about dogs, when he is in the presence of dogs.
The exposure model approaches anxiety from the idea that the anxiety is being caused by the person’s decision to avoid her identified stimuli for the anxiety. An example would be a fear of negotiating one’s way through a crowd of people. So the person’s anxiety would be triggered every time she encounters what she considers a crowd. Using the exposure model, the person would be encouraged to gradually immerse herself into crowed situations, during which she will go through the process becoming desensitized to crowds.
The hidden emotion model approaches anxiety from the idea that anxiety is caused by a fear of confrontation with others. As a result, people who fear confrontation mask their emotions through a facade of being nice. The hidden emotion model posits that through the chronic process of forcing niceness, people sweep their true feelings “under the rug.” Which leads to the repressed feelings being expressed through chronic anxiety and in worse cases, panic attacks. The hidden emotion model addresses anxiety through a process of helping the person become more aware of his feelings, alongside strategies for helping him become more assertive through the practice of assertive building strategies.
In practice what I have learned is that regardless of which model I use to address a client’s needs, it all comes down to identifying maladaptive beliefs the person holds unto and helping the person adopt and practice healthier beliefs. Anxiety is treatable, and in worse cases such as recurring panic attacks, a person can learn to bring the episodes of panic attacks to an end.
Ugo is a psychotherapist and life coach.
So what is an impossible reality? An impossible realities can be best described as an experience that you have determined to be detrimental to your well being. However this is an experience you have actively pursued, and quite possibly prepared for your entire life. An example would be an abusive relationship or a toxic work place.
What makes experiences like these impossible realities is that you will most likely have strong beliefs and values that encourage you to continue with the experience despite the fact that in the long run you will not benefit from the experience. In the video below I discuss more about impossible realities, how they lead to mental health issues such as panic attacks and how to get past impossible realities.
Ugo is a psychotherapist and author of
How to end your panic attacks is now published and available for download as an ebook at the following ebook retailers:
Barnes & Noble
Baker & Taylor
In this video I briefly discuss what to expect when reading this book.
Ugo is a psychotherapist and life coach.
One of the things that makes cognitive behavioral therapy so rewarding is the numerous examples that one can draw from which lends more evidence to the power of believing.
There is a new drug, call zohydro and according to this article, it is the most important frightening potent drug recently approved by the FDA, when it comes to opiate drugs on the market today. Concerned advocacy groups indicate that once made available to the general population, that there will be high incidents of deaths due to the potency of the drug.
Times like this, members of the public have two choices, you can depend on others to fight your battles for you, or you can take the initiative to protect yourself.
Some years ago, I underwent emergency surgery to remove an appendix, after the surgery, I was offered by my doctor some vicodin, to which I refused. My doctor seemed surprised and repeatedly asked me if I was sure. I told him I would be fine. Out of what I determined to be genuine concern, he wrote me a prescription for tylenol, a prescription I never filled.
Yes, I was in pain, but it wasn’t crippling. I took an extra day off work for bed rest, and limited my movements. After about four days I had started to feel again like my old self. How was I able to pull this off? By practicing the art of mind over matter.
You see mind over matter is not the stereotypical machismo nonsense, you will hear in a movie line, or perhaps your local gym. From my experience most people who often use that phrase don’t understand the concept.
Instead mind over matter, refers to the a initial of readdressing our beliefs around certain circumstances we will typically find unpleasant, certain circumstances like pain for example.
While my doctor at the time had the best intentions, what he didn’t realize he was telling me was that I wasn’t not supposed to feel any pain after coming out of surgery, so therefore he had arranged for me to take some pain medication which would be helpful in reducing my pain.
However since I had just been cut open and a piece of organ had been removed from my body, it stands to reason that my body should experience pain as it healed itself. It was with this idea that I was able to accept the pain I was experiencing as a good thing. It meant that my nerves where functioning as they should and that my body was healing itself.
This is the kind of attitude through the practice of cognitive behavioral strategies I encourage people who suffer from addiction issues to take. Whether it’s pain, unresolved issues with abandonment and rejection, it doesn’t matter. What we choose to believe plays a role in influencing our ability to deal with psychological and physiological discomfort.