Defusion of Distressing Thoughts: Acceptance and Commitment Therapy Series

How many thoughts would you guess pass through your mind in a single day? Let’s imagine you’re out to eat with a friend.  Even with your best intentions to stay present and listen, there’s a running commentary going on in your mind.  What are some of the thoughts you might have?  I wonder what she’s thinking of me.  Should I have said that?  I sound like an idiot. I’m still so angry from that meeting with my boss this morning.   He’s so overbearing and impossible to work with.  What am I forgetting from my grocery list?  I’m so forgetful, I must be losing my mind.

Needless to say, these thoughts pull you out of the moment and make it more challenging to listen. You might find yourself censoring what you say out of insecurity, comparing yourself to your friend, or even cutting your lunch date short to get back to the office quickly because you’re feeling stressed.

What’s happening?

When you find yourself stuck in your thoughts, you’re likely dealing with cognitive fusion, another destructive mental strategy that acceptance and commitment therapy (ACT) addresses.  When we’re in cognitive fusion, we believe that the workings of our internal mind (thoughts, memories, images, reasoning, comparisons, etc.) are true and real, such that we allow them to influence our behaviors.  Our thought patterns have power and control over our lives and seem to make our decisions for us.

Often these thoughts include cognitive distortions, like catastrophizing or all-or-nothing thinking.  They can include negative self-talk or beliefs about yourself that you hold to tightly based on past experiences.  When we believe these things, they become self-fulfilling prophecies.  For example, our fears of being awkward contribute to social anxiety or discomfort.  We then avoid social situations to try to manage the uncomfortable feelings that coincide with them, adding to the dynamics of experiential avoidance that lead us to disengage rather than live out what is important to us.

There are several different types of cognitive fusion that we may face.  They include:

• Rules: “shoulds” for self or others, ways the world or people “ought” to work or be.  Example: People should always be kind and respectful.

• “I” stories: identity-based statements about ourselves that become self-definitions and self-fulfilling prophecies.  Example: I’m always late.

• Judgments/evaluations: beliefs about what is fair vs. unfair, good vs. bad, or right vs. wrong.  Example: It’s unfair that I keep getting passed over for the promotion.

• Meaning-making/reasons: justifying what I do or looking for the answer to the “why?” question to explain what happens.  Example: I’m single because I’m so socially awkward and unattractive.

• Worries about the past/future: overfocus on the past or anxiety about the future that pulls us out of the present moment. Example: How am I ever going to pass that exam next Friday?

• “You/They” stories/comparison: beliefs about others that become self-fulfilling prophecies, particularly as they relate to us. Example: She’s better than I am at everything.

Cognitive fusion is a problem because our thoughts and feelings then run our lives for us and toss us around at every whim of our minds.  Yes, thoughts can feel very powerful.  Memories that pop up as flashbacks, ingrained patterns of meaning that carry shame, and automatic responses that elicit strong emotions can feel crippling at times.

Yet it is important to recognize that, though these thoughts can feel powerful and real, they may not have as much power as we think.

What is defusion?

Consider the image of defusing a bomb, as in an action movie.  In order for the hero to save the day, they must somehow disconnect the power this ticking time bomb has in order to keep it from destroying its target.

Similarly, our thoughts act as ticking time bombs that can unleash an explosion of painful thoughts and emotions, followed by destructive behaviors that lead us away from our values.  We can defuse the thoughts by removing the charge that sets them off: the automatic behavioral reaction that comes after the thoughts.  We do this by observing our thoughts from a place of distance rather than getting caught up in the storm they create in our minds.

The previous two concepts we’ve discussed in this Acceptance and Commitment Therapy series are essential building blocks to support this defusion.  Defusion helps us to practice acceptance to willingly encounter painful thoughts and feelings, rather than running away or avoiding experiences we find uncomfortable.  It is also essential for us to remain in the present moment in order to be aware of these thoughts from the role of an observer.

Principles

Thoughts are just thoughts.

Thoughts do not have the power to control your life.  You can have a thought come into your mind, but choose to act in a way that is different from your default response to the thought.  They do not have to control what you do.

Thoughts don’t last forever.

We find some surprising results when we pay attention to how many varied thoughts we have in a day.  To test this, sit quietly in a room with a pad of paper and write down every thought that pops into your head for 5 minutes.  When you’ve completed that list, count how many thoughts you had and multiply that number by 192 to create an estimate of how many thoughts you have in a day.  Recognizing that your thought patterns are fleeting and eventually come to an end can reduce their power.

How we relate to our thoughts is more important than the content of the thoughts.

ACT approaches thoughts differently from a traditional cognitive-behavioral approach, which places emphasis on understanding and changing the content of your automatic thoughts and core beliefs.  While reframing thoughts can be beneficial for some people, ACT theory emphasizes that our thoughts are powerful because we assign that power to them.  Rather than attempting to change a thought that may not be changed very easily, it is more effective to defuse the power of those thoughts.

This approach is helpful if you have tried to change the way you think about yourself or others for a long time, but aren’t finding those changes sticking.  Rather than continuing to try to force a change, allow the thought to be present, but reduce its power by taking an observer role and acting in accordance with your values instead.

Thoughts, emotions, meaning-making, memories, images, and other internal experiences are just products of the mind.

These internal workings don’t have any greater meaning than that.  They don’t have the power to force us to behave in any particular way, despite the fact that we may believe they do. 

At the same time, we can choose situations in which we want our thoughts to have an influence over our behaviors.  We can choose to engage the thoughts that move us more toward what is important to us.  In this way, we’re not eliminating the power of our thoughts entirely, but making an intentional decision of how much power we want to give to those thoughts.

Practices

Keep a record of your thoughts.

Listen to and track your thoughts, noticing whether they carry a positive, negative, or neutral charge.  Identify if there are any strong emotions that go alongside them.  Notice what behaviors flow naturally out of your thoughts and emotions.  Are those behaviors you want to be engaging in?  Or are they impulsive, reactive, automatic responses?  You can find a helpful tracking tool for this step here.

Affirm your role as an observer of your internal world.

After recording your thoughts, you are in a better position to recognize and notice thought patterns as they come up.  When you have a distressing, painful, or challenging thought, see what happens when you intentionally remind yourself of the phrase, “thoughts are just thoughts.”  How does it impact the power of that thought?

Similarly, you could label your internal experience as if you were an outside observer with words like, “I’m having the thought…” or “I’m having the emotion…”. Another strategy is to imagine your thoughts being played on a radio or told as a story outside of yourself.

Visualize the thoughts passing by.

Often we fixate on our thoughts, which gives them the illusion of power.  We obsess over them or attempt to stop them from coming up, which just entrenches them more deeply in our minds.  Instead, use this commonly practiced mindfulness technique: instead of trying to control, change, alter, or rid yourself of your thoughts, just notice them passing by.  Using a visual cue, like imagining thoughts like cars passing on the street or clouds floating by in the sky, can help you to allow them to pass through your awareness without giving them undue attention.  You’ll notice that your thoughts don’t need to command your focus all the time, but that they can come and go.

Write the thought down and look at it regularly.

If you notice a pattern to your distressing thoughts, such as a repeated phrase or belief that feels like it controls you, take that thought and write it down on something you can carry with you, such as a notecard or post-it note.  Throughout your day, pull out the note with your thought on it and read through it.  Notice how it feels when you look at it.  See yourself as an outside observer of that thought.

Notice how the relationship you have to the thought changes.  The words on the paper do not change, but the way you interact with them will differ at various points throughout the day.  This is a good indicator of the importance not of the content of the thought, but of how you relate to it.

Imagine a common situation influenced by this thought, but with a different outcome.

Choose this thought you’ve written on the card, another common thought pattern you’ve identified, or an image or memory that tends to impact your behaviors.  Now imagine yourself having that thought, but making a different decision about how to respond to it.  What behavior might line up better with what is important to you?  What would change?  How would an outside observer see you?  Would it be possible to act in a different way while still having the thought?

Take a risk and put your different outcome into practice.

Now put into practice this shift in behavior in response to your thought.  Release the thought using a statement like, “thoughts are just thoughts,” and take a risk to act in a way that aligns with what is important to you.  For example, if you’re in a social situation with the thought, “I’m too awkward to talk to people like them,” take a risk by engaging in conversation with one of those feared individuals.

Recognize that this will not eliminate the thoughts.  In fact, taking the risk may even intensify your discomfort.  But this practice of stepping out and making a change in your behavior while still experiencing the uncomfortable thoughts can teach you that your thoughts don’t have the power you think they do. You still have control over your own actions such that you can respond to challenging circumstances in alignment with your values.

EMDR’s Resourcing Tool: A Support in Challenging Situations

All of us have difficult conversations or tough people that we need to face at some time in our lives.  It could be a confrontative conversation with a boss, a tense conversation with a spouse or family member, or walking into a stressful or anxiety-inducing situation.  For an addict in recovery, you might notice triggers that propel you into a desire to act out in your addiction.  For those with trauma, re-engaging with a person, place, or circumstance that is associated with your trauma may lead to fear and anxiety as it brings the memory flooding back.

How can you walk into these challenging moments with a greater sense of confidence and courage?

EMDR, or eye movement desensitization and reprocessing, is a commonly used treatment for PTSD and complex trauma.  Part of the process of EMDR involves bringing awareness to past traumatic memories, which can feel scary or uncomfortable.  Because of this, before the processing of memories begins, you’ll be prompted to create what are called resources.

These resources associated with EMDR are not only effective for preparing you to face uncomfortable, scary, or painful memories.  They can also help you prepare for everyday moments of distress in the present and future.

What are resources?

Resources are places, people, feeling states, animals, objects, etc. that you hold in your imagination to create an internal emotional shift.  For example, a commonly used resource is peaceful place visualization, in which you imagine a place that feels calm and peaceful for you.  Other resources can include supportive figures in your life, such as a nurturing caregiver.  You may also find resources in character qualities or traits you display or have observed in others.  By connecting to these resources in an imaginal capacity, you can connect to the emotional and physical experience of them. 

In EMDR, we couple the imaginal connection to these resources with bilateral stimulation (BLS).  These could be the back-and-forth eye movements associated with EMDR but could also involve tapping alternate sides of the body.  In her book Tapping In, Laurel Parnell teaches strategies to “tap in” these resources using BLS, and much of the resourcing work in this article comes from her work.

Resources are important in EMDR because they can increase your confidence when facing memories, as you know you have your resources as support available to you internally.  In everyday life, resources can help you transition out of a traumatic memory or painful situation.  They can be accessed in your imagination in the present when you notice yourself beginning to spiral into negative self-talk, distressing emotions, or self-destructive behaviors.  They can prepare you for future situations in which difficult emotions or experiences might arise.

How to Find Your Resources

Now that you have an idea of what resources are and when you might need to use them, let’s explore using your imagination to create some of the resources. 

Peaceful, Calm Place

Bring to mind a place that feels peaceful or calm to you.  It can be real or imaginary – a beach, a river, a forest, a room in a secluded cabin – whatever works for you.  Notice what you see, hear, smell, taste, and feel in that place.  Connect to any emotions that arise or sensations you feel in this imagined place.  You’re trying here to connect to the emotional experience: the right-brain, felt sense of the place.  What’s most important isn’t getting the imagery perfect but connecting to the emotional experience of peace or calm that the place evokes.

If you notice your mind going toward the negative and/or your emotions head in that direction, remember that this is your personalized place.  You can control the weather, who is there, whatever you need.  Alter your imagined place until it truly feels peaceful to you.  If that is too challenging based on triggering factors related to that place, consider switching to a different place.

It might be helpful to journal through this or other resources to further solidify the connection to this visualization.  You can read through this journal later to re-connect to the sensations.

Supportive Figures

These three types of supportive figures (nurturing, protective, and wise) are based on Dr. Laurel Parnell’s resourcing work in her attachment-focused EMDR approach.

Nurturing figure

Imagine a person, animal, or symbol that carries a nurturing quality.  It can be fictional or real.  You don’t have to imagine that figure nurturing you: instead, be able to observe a nurturing quality to it.  Pay attention to the sensory experience of observing that nurturing and notice how it feels in your body and the positive emotions it stirs up for you.

Protective figure

Like the nurturing figure, imagine a real or imaginary person, animal, or symbol that carries a protective quality.  You can pull ideas from movies or books.  Remember, you don’t have to imagine that figure protecting you, but instead be able to observe a protective quality in it.  Pay attention to the sensory experience of observing or receiving that protection and notice how it feels in your body and what positive emotions come up for you.

Wise figure

Finally, the wise figure is the last imaginal, supportive figure.  Here, imagine a person, animal, or symbol that you consider to be wise.  Pull the image to mind with as much detail as you can.  When you have a sense of that wise figure, observe the emotions and sensations associated with receiving or observing wisdom.

Supportive figures as a team

Once you’ve identified one or several figures in these categories, you can imagine them together with you as a team.  As you become aware of the presence of each figure, observe how to feels to have all of them on your team, backing you up. 

Character qualities

When you consider the challenge of accessing memories and/or facing difficult moments in the present or future, what resources or qualities might you need to be able to face them?  For example, if you’re considering facing a feared situation, perhaps you’d need courage.  If you’re trying to remain sober, you may need willingness and resolve.  If you are having a challenging conversation with your boss, you might need steadfastness and confidence.

Whatever the character qualities you identify, look back through your life and identify times when you have expressed or embodied that characteristic.  If you can’t think of a time when you’ve displayed that characteristic, consider someone you know or a scene you’ve observed (real or fictional) when you’ve seen that character quality on display.  As you bring attention to that image or scene, observe how you feel and what sensations come up for you, again with a focus on the positive.

Now, imagine yourself in the situation you’re fearing, carrying that character quality with you.  How would you feel?  What would change in your body language?  How might it affect what you say or do?

Container

You may find that when distressing feelings, imagery, or sensations come up, they tend to overwhelm and take over.  This can be true when processing memories, but it can also be true when thinking about entering into feared situations.

In this visualization, imagine a container of some sort, like a steamer trunk, plastic organization box, a chest with a lock, a drawer, etc.  Bring awareness to the physical characteristics of the container by identifying sensory imagery that goes along with it.  You’ll be using your imagination to place negative internal experiences into this box, so feel free to add a lock, chains, or other items that help to make the container feel like it can securely remain closed.

Then, when you’re experiencing negative emotions, fears, memories, or sensations, imagine yourself placing that material into the container to be addressed later.

How to Tap In Your Resources

With any of the above resources, simply visualizing them can bring a sense of greater peace, support, or strength.  To ramp up the power of that experience, however, you can take advantage of the brain’s natural system of strengthening through adding bilateral stimulation in the form of taps.

When you have the picture, emotion, and sensation of the positive resource in your mind’s eye, slowly alternate tapping each knee or the outside of your thigh 6-8 times slowly.  Notice if the feelings evoked by the resource increase in their positive charge.  If so, take a pause, and then do another set of 6-8 taps.  Continue this rhythm until the feeling gets as strong as it can.

You can also try tapping using the “butterfly hug”, in which you cross your arms over your chest and alternate tapping each shoulder slowly for 6-8 taps.  For a demonstration of what this looks like, watch this video.

For more support on this practice of tapping in resources, look into the book mentioned above, Tapping In by Laurel Parnell.  In this book, she gives more detailed instructions and more ideas for resources you could tap into for these difficult moments.

Mastering Work-Life Balance

Finding a balance between work and your personal life can prove to be a challenging task.  In analytical or technical work, it can be difficult to transition from the mindset needed at work to connecting in relationships at home.  In relational work like teaching, engaging with one more person after work can be exhausting.  Stressful jobs that tax us emotionally can make it difficult for us to stay present at home or feel motivated to pursue personal interests or relationships.  Financial concerns intensify these issues because of pressure to perform and keep our jobs in order to pay the bills.  With time, this can create chronic stress. 

For many of us who have transitioned to working from home during the COVID-19 pandemic, boundaries between work life and home life become harder to maintain.  Technology allows us to be accessible at all hours and can blur the lines between work and family.  Eliminating the commute may have created a loss of time spent decompressing or unplugging from work stress before arriving home.

Balancing work and personal life isn’t just a challenge for those who are married with families.  Single adults may find themselves isolating more from their friendships.  Married couples without kids or empty nesters can miss out on connection with their spouses.  Single parents may become disconnected or irritable with their children.

It doesn’t help that we live in a Western culture that defines our worth by what we produce, and most of what we produce is done in our work.  On average, we spend 40 hours a week working, but when those 40 hours feel like the only place we can find a sense of value, we’re tempted to work longer hours or to become consumed by stress as we seek to maintain this sense of worth.  Our work leaves us too exhausted to complete other activities to feel a sense of accomplishment elsewhere.  In the worst-case scenario, we can become burned out and unable to work at all, experience mental health issues, or permanently damage our relationships.

What is work-life balance?

Work-life balance involves separating work-related stresses and concerns from our personal lives.  This involves setting external boundaries around work, such as limiting work hours or disconnecting from technology at home.  It can also require internal mindset shifts away from thinking about work while at home or with family.

Achieving the ideal of work-life balance is tricky. For some, it feels impossible.  To a certain degree, this is true.  Balance, by definition, is something that we can never achieve, but we strive toward by taking intentional actions to honor our personal values.

Strategies for Creating Work-Life Balance

Don’t let your work be the only thing that defines you.

Think about when you’re meeting someone for the first time.  Often one of the first questions you ask is something like this: what do you do?  Where do you work?  It can become so easy to define ourselves and one another by our work.  When we love our job and find fulfillment from it, that is great.  But when our identity gets lost in our work, that can be a problem. 

This is a particular issue if your work creates stress or dissatisfaction.  If work is the source of your identity and value, but you’re experiencing negative feedback from your supervisor or criticism from your colleagues, you’re more likely to feel devastated by those experiences.

As you seek other ways to define yourself, consider what you value, what is important to you. Is it your faith? Your relationships with family? Perhaps it is a hobby or area of interest. Let the picture of who you are become more fully realized as you explore the aspects of who you are outside of work.

Create a ritual for entering and leaving work.

Before you settle in to begin work, start out your day with a ritual that will get your mind in work mode.  For example, you could spend the first five minutes of your workday with a quick mindfulness breathing exercise.  You can use an app like Headspace for a guided meditation.  Other ideas for rituals might be brewing a favorite cup of coffee or tea, lighting a candle or starting a diffuser, praying through your day, greeting everyone in your office, or doing a few stretches before sitting at your desk.

When you’ve finished work for the day, end your workday with a closure ritual.  One example might be writing down three things you were grateful for that day.  Other closure rituals might be verbally appreciating a coworker for something they’ve done, powering down your technology, turning your phone and email on do not disturb, listening to a music playlist on your commute, spending five to ten minutes journaling about your feelings from the day, visualizing a container to hold your work-related worries until the next day, going for a walk, or changing out of work clothes into more relaxing clothes. 

Explore and maintain hobbies and relationships outside of work.

Diving into activities outside of work helps you to define yourself by your interests rather than just what you do from 9 to 5.  Find a hobby that is life-giving for you or gives you a sense of flow. Pursue meetups or social events around the hobbies you enjoy.

Often, our friends come from our workplaces, so it can become common practice to talk about work when you’re spending time together outside of the office. However, this can perpetuate the stress you feel about work and blur those boundaries between work and home life. Consider requesting to make work talk “off-limits” when spending time with these friends.

Maintain your health through good self-care.

Consider various aspects of your health that are influenced by how you take care of yourself in your personal time.  Some of these areas might include physical health, spiritual health, emotional health, and relationships.

Maintaining a regular, consistent exercise routine can improve many different aspects of your mood. Starting out with a 10-minute walk or a quick yoga session can make a big difference. 

Find your people who can listen when you’re feeling emotionally overwhelmed and need to vent, or who can help distract you from work stress by having fun together.  Schedule time intentionally with these people in your life, including your spouse and children.  It may sometimes feel like scheduling that time makes it feel less authentic, but it communicates that those people are a priority in your life.

Exploring your spiritual life can help you find greater meaning in the work you’re doing, provide comfort and support through the stress of a crazy work situation, or inspire you to pursue purpose in volunteering or giving to others.  Get involved at your local church or other religious organization that will help you grow in spiritual self-care.

If you’re starting to feel on the edge of burnout or have a hard time with this balance or boundaries, seek out counseling or other emotional support as an act of self-care.

Turn away from escaping behaviors and turn toward refreshing behaviors.

For many, decompressing after a long day at work looks like binge-watching TV, playing games or phone apps for hours, or compulsively shopping online.  These can provide a temporary high or escape from the stress of work. But they don’t create real rest, often feel more draining, or can develop into addictive patterns.  Similarly, using alcohol or drugs to check out after a long day can have harmful effects.  These behaviors might provide a temporary escape, but they aren’t restoring your energy or preparing you for the workday ahead.

Instead, ask yourself what really recharges you.  Is it more sleep?  Prioritize going to bed earlier for a few nights and notice how that impacts your stress levels at work.  Is it talking with your spouse?  Ask them to turn off the TV tonight and talk or do an activity together.  Is it reading?  Cooking?  Gardening?  Organizing your closet?  Make time to do those tasks.

Shift your mindset around work.

Often we feel dread around the tasks that face us at work.  The term “Sunday scaries” captures this well, referring to the experience of anxiety or dread that arises in you on Sundays as you consider the work week ahead. 

Instead of thinking of all the things we “have to” do for work and the stress that goes with that, consider changing your mindset to what you “get to” do, which changes the narrative to one of gratitude for what you have.  Teachers get to influence the lives of the students they teach. Counselors get to help their clients through a crisis.  Scientists get to do work that could cure an illness.  Doctors get to create health and wellness in their communities.  More broadly, those of us who are working get to have a job when so many can’t find work and are struggling to make ends meet.

Set boundaries.

One perk of many flexible workplaces today is that you have the ability to set your own schedule.  But one downside is that, without the built-in boundaries of clocking in and out at a certain time, you end up working longer hours than you would otherwise or completing “one more email” at home, which turns into another hour of work.  Set boundaries around your specific work hours and intentionally distance yourself from work once those hours are over.

When you are done with work for the day, leave your work at work.  Don’t check a few more emails when you get home: instead, consider turning off your phone or computer or storing it in a location away from you.  Talk with your boss about limiting when you’re available to take calls or emails.  Make sure your coworkers know that you aren’t available after a certain time of day.  You may choose to put an email auto-reply up as an extra reminder.  Honestly evaluate what you can commit to at work and have conversations with your supervisors if you think you’ve taken on too much.

Setting boundaries applies at home as well.  If there’s too much on your plate at home, talk with your partner about sharing some responsibilities.  If your partner is also strapped for time, or if you are single, consider delegating tasks like a cleaning service when you don’t have the time available.

If you feel that you can’t set boundaries, ask yourself why.  It may be for a legitimate reason, like being on-call at hospital or having a specific busy season in which you work long hours for a short period of time.  But sometimes the fear of setting boundaries has nothing to do with the job itself.  It can be a personal hang-up based on past experiences, a fear of losing your job, or avoiding rejection.  This belief pattern may need to be tested by setting a few boundaries and seeing what happens.

If you are consistently told by supervisors that you are not allowed to say no or set reasonable boundaries in your workplace, however, you might be in a toxic work environment.  Talk with a counselor or human resources representative to see if your experience is concerning and consider pursuing another job.

Do a little at a time.

There are lots of potential practical applications in this article, and if you attempted to take them on all at once, you would likely be overwhelmed with just one more thing on your already overfilled plate.  Don’t allow yourself to be overwhelmed in this way.  Instead, pick one item that stands out to you from the list above and make a commitment to that habit for 30 days.  See how well you’re able to carry it out and the impact that it has at the end of that time period and decide if you want to continue that practice or try a different habit.

How to Use In-the-Moment Mindfulness to Cope with Distressing Situations

Imagine you’re called into your boss’s office for a meeting about your performance at work.  How are you feeling before that meeting takes place?  What about while you’re in the office sitting across from him or her? 

How about when your spouse says those fateful words to you: “we need to talk.”  What’s going through your mind?  Do you feel dread in the pit of your stomach?  Resentment bubbling up internally about whatever they’re about to say?

Or maybe you’ve had to sit down with your child’s teacher to discuss their misbehavior at school.  Do you immediately jump to anger and defend your child?  Are you feeling shame about yourself as a parent?

We all have moments when we are caught off guard by relational tension, trauma triggers, marital strife, or unpredictable circumstances.  These events can stir up strong emotions that interfere with your ability to remain present and connected to yourself and the people around you.

You might get caught up in a shame spiral, lost in a cloud of your own insecurity and negative, self-critical thoughts.  Anxiety may take over and leave you feeling wired and on edge, interfering with your ability to hear what the other person is saying.  You can feel rage or anger toward the person with whom you’re engaging, leading to impulsive outbursts that you later regret.   

How can you cope with these intense emotional responses without letting them overwhelm you and derail the interaction?

Mindfulness

Mindfulness can be a helpful tool as you seek to soothe your anxiety, calm your fears, or reduce the intensity of your anger.  A simple definition of mindfulness is observing your current experience of emotions, thoughts, behaviors, and circumstances without judgment.

The “without judgment” quality is important, as judgments we make about our circumstances are often what intensify our negative emotional response.  To judge something is to see it as either good or bad.  For example, you might feel intense shame after a teacher talks with you about your child’s behavior because you feel like a bad parent.  Or you may be fuming at your boss because you think he or she is treating you unfairly in comparison with others in the company. 

Grounding strategies are a crucial part of mindfulness, as they create an access point to move you into more present awareness.  A grounding strategy uses physical sensations and sensory information to connect yourself to the present moment.  It involves tuning in to what is happening in the present as opposed to what has happened in the past or what you worry will happen in the future.

Ideally, daily mindfulness practice can set you up for success in these more distressing moments.  Practicing regular breathing strategies and sensory awareness allows for this response to come up more organically in your daily life.  But what happens when you’re in the middle of a conversation, work meeting, or parent-teacher conference when the distress hits?  What do you do when you don’t have time to take five or ten minutes away to do a more involved mindfulness exercise?

In-the-Moment Mindfulness and Grounding

These distressing situations provide an opportunity to adapt bigger-picture mindfulness skills you use elsewhere to keep you calm and engaged in the middle of challenging circumstances.  Using dual attention to focus on both what’s happening in front of you and your internal experience can be a game-changer in reducing your level of distress and emotional outbursts in stressful situations.

Use radical acceptance to limit judgment.

As mentioned earlier, the judgments and comparisons we make about our circumstances are typically what most contribute to our negative reactions.  Often, those judgments occur when we are powerless to change a situation.  The concept of radical acceptance teaches us to accept what we cannot change in the present moment, knowing that we can survive it.  Statements like “I can get through this” or “I’m strong enough to handle this” remind us that our current situation is temporary and make it easier not to judge based on the moment. 

Notice the points of contact between your body and the surfaces around you.

Using this technique to connect with your sense of touch can help ground you in the present. If you’re sitting in a chair, notice your back against the seat and your feet upon the ground.  If you’re standing, feel the ground under your feet.  Observe the feel of your clothing as it rests on your body. 

Tune in and slow your breathing.

Typically when distress, anxiety, or anger hits, your breathing will speed up and get shallow.  Notice your breath and whether you can feel your chest rising and falling (a typical signal of shallow breathing).  Intentionally slow down your breath and focus on breathing into your lower abdomen.  Counting your breaths can be helpful here, as it can give your mind a point of focus.  You could also use a breath ratio like four-square breathing (breathe in for 4 counts, hold for 4 counts, breathe out for 4 counts, and hold for 4 counts) or a 4-2-6 breath ratio (breathe in for 4 counts, hold for 2 counts, breathe out for 6 counts), if you are able to focus on counting while staying engaged.

Briefly scan through your body.

Another way to connect to yourself in the present is to complete a quick body scan.  Beginning at your feet, move awareness up through your body and note any areas of tension or stress.  When you feel tension, take a focused breath as if you are breathing into that area of tension and notice how it may relax in response.

Observe one item in the room.

Engaging your visual senses can help to ground you as well.  Look at an item in front of you: a stapler on a desk, the vase in your living room, a poster on the wall.  Notice as many details about that object as you can.  Observe its shape and texture.  Identify all the colors you see on it.  Estimate how big that item is.

Repeat a supportive word or phrase to yourself.

Words have power, and when you can remind yourself of supportive, encouraging words in crisis, it can defuse the tension you feel.  Use a short phrase like “I’m going to be okay” or “I can handle whatever happens.”  If you tend to feel shame or insecurity, use affirming statements like, “I can make mistakes and still be a good person.”  If you’re trying to contain out-of-control emotional reactions, remind yourself, “I can have strong feelings and still cope with this situation.”  Sometimes even a short word or phrase that cues you to breathe and calm down can help: words like “relax,” “breathe,” “peace,” or “calm.”

Pray.

When you feel powerless over your emotions or the circumstance you’re facing, offer up prayer to God, who is in control.  Pray for the outcome of the situation or ask God to help you stay present even though it might be challenging to do so.  At times, you can match a short phrase of prayer to your breath, such as “Come, Lord Jesus” or “Holy Spirit, come.”

Hold or touch an item and notice how it feels.

Similar to noticing the points of contact between your body and the surfaces it is touching, actively holding an object can help ground you using your sense of touch.  Bring a small object with you into a conversation you expect to be distressing and hold it in your pocket.  You can touch the arm of the chair you’re sitting in or the table in front of you and notice how it feels.  You can even hold your hands together or gently run your fingernails over the inside of your palms or fingers to observe the sensation.

Relax your facial muscles.

When we are in a stressful situation or are observing someone else’s distress or anger, we tend to mimic what we see in other’s facial expressions.  This can cause us to feel the same emotion that other person is feeling.  Instead, intentionally seek to relax the muscles of your face to take on a more neutral expression. Your emotions will likely follow suit.

How to Cope With a Trauma Response: Part 2

In Part 1, we discussed how trauma responses are intense physical and emotional sensations that seem to come out of nowhere, but are often related to a trigger of a past traumatic experience.  They can be confusing and bewildering, causing a fight-flight-freeze response to arise.  They toss you out of your window of tolerance and lead you to feel uncertain about how to respond.

The first and most important step covered was how to respond to the initial impact of the trauma response.  Calming your body’s reaction to the trauma needs to happen before you can engage in critical thinking about what led to the response and how to address it more adequately in the future.  Detailed in more depth in Part 1, these calming techniques included:

• Breathing and grounding strategies to calm the nervous system

• Coping thoughts to remind yourself of distance from the traumatic experience

• Distraction techniques to focus your mind elsewhere until the intensity of the emotional response recedes

Now, we’ll get into more depth on how to approach your trauma response with curiosity instead of criticism and learn more about yourself and your needs through this exploration.

Identify the traumatic event that triggered your response.

In some cases, it is easy to connect a past traumatic event with a current trigger.  An experience in combat, a spouse’s betrayal, or physical abuse from a caregiver are all examples of experiences that may resurface in a flashback.

With other experiences, it’s more challenging to identify the trigger or what might be intensifying the experience.  As an EMDR practitioner, I often prompt my clients to connect the dots by identifying the emotion they’re feeling, where it is located in their body, and any thoughts associated with that feeling.  Then, I ask them to let their mind go back to other experiences in their life where they’ve had a similar response.

Sometimes, what comes out of that exercise may feel unrelated to the trigger, but let your mind make those connections and be curious about what it finds.  The purpose of this exercise is to validate your experience and help you understand that you’re not crazy: this is a trauma response.  If you notice this experience brings up even more emotional intensity, mitigate it with some of the self-soothing, coping thoughts, or breathing practices discussed earlier.

Ask yourself what you needed then.

Once you recognize the event that triggered the negative reaction, you can then reflect on what needs might have gone unmet or what threats were occurring that left you feeling unsafe.  For example, in an abuse situation, the need may have been for protection or escape.  In a major car accident, safety and help may have been the primary needs.  For a betrayed partner, empathy and connection may be needs they’ve experienced when dealing with addiction.

It may take some digging to get at the core needs you feel here.  Often, they aren’t right at the surface.  It may help to take a look at your reaction to the trauma: if your immediate response to a harsh word or anger from your spouse is to run and hide, this might indicate the escape you needed from an abusive family member.  Once you’re aware of these needs, then you can more easily bring them into the present moment. 

Seek healthy ways to get your needs met.

In some situations, you can easily get your needs met.  For example, if your traumatic experience relates to living with an abuser in the past or a combat experience that occurred several years ago, you can remind yourself that you are no longer in that situation, it is over, and you are safe in this moment now.  This can help increase a sense of safety.  Grounding strategies work well at supporting this need, to bring you into awareness of the present moment and connect you to that sense of present-moment safety.

In other situations, there might be a few more steps you need to take to receive support for your needs.  Perhaps you’re still living in the place of trauma, as when your spouse is a recovering addict and you can’t lean on them for support or trust.  You may have had a traumatic experience at work, but you aren’t able to quit or leave your job, and so you feel anxiety or stress each time you walk through the door into your office.

When you can’t immediately talk yourself down from a lack of safety, consider opportunities to meet your needs in healthy ways.  For the betrayed partner, seek out a therapy or support group or helpful, understanding friends with whom you can talk to receive empathy.  Practice self-validation of your experience and acknowledge to yourself that it makes sense why you would feel unsafe.  Set boundaries in your workplace or in your relationships to meet needs for protection and security.

Consider trauma-based therapy with a trained counselor.

The strategies listed above and in the previous post can help in some situations, but if you notice your trauma triggers aren’t going away, it may be time to consider more formal therapy to address some of the trauma.  EMDR is a method of psychotherapy that directly addresses and reprocesses traumatic events so that they don’t continue to hang around in your mind and plague you with intense triggers and flashbacks.  Good trauma counseling can help you create deeper change to see lasting resolution from the traumatic memories.

Creating Hope in Chaos: A Therapist's Guide to Thriving During the COVID-19 Crisis

The current upheaval to many of our daily lives as a result of the COVID-19 outbreak is something we as a society have never experienced before.  Every person is affected directly or indirectly, by stay-at-home orders, closures of stores and restaurants, financial shifts, and the spread of the illness.  It’s easy for those who do not typically struggle with anxiety or depression to feel the stress of this moment in the world.

This makes the call to care for our mental health that much more important.  But how can we do that when many of us are stuck at home?  Here are a few ideas that may help you not only to get through this crisis, but perhaps to begin to thrive in the midst of and as a result of it.  Engaging in items on this list can create opportunities to change the way you approach your life for the long-term.

Reducing Anxiety

Limit your media intake. The public health crisis is constantly changing.  Every news media outlet is producing massive amounts of coverage of anything and everything having to do with the coronavirus.  It makes sense that many of us would want to follow these updates through the news.  But this can easily turn into constantly checking headlines or social media, feeling our anxiety rise with the second.

Create a limit for yourself on how much time you’ll spend on social media, news websites, or even watching TV coverage of coronavirus.  Choose a certain time of day when you will check and set a boundary to limit how long you’ll read or watch.

Incorporate deep breathing and meditation practices. Breathing and meditation can be a helpful way to calm the panic response that surfaces with anxiety.  If you notice yourself experiencing physical symptoms of anxiety, focus on taking a few deep breaths, allowing the air to move down into your abdomen.

Guided meditations, which can be found on YouTube or through various apps, can be helpful to direct your mind to focus on your breath.  Many of these resources offer options for children as well.  For example, many mobile guided meditation apps such as Headspace and Sanvello are offering free access to services during the crisis. 

Practice gratitude. One of the greatest protections against anxiety is to focus on appreciating what you currently have.  Spend time daily reflecting on areas of your life for which you can be grateful.  If this crisis has allowed you more time to spend with family or focusing on tasks at home, find thankfulness in that.  Begin a list or a gratitude journal that helps you consistently keep track of the positives in your circumstance. 

Self-Care

Go outside. Even if you are in a community that has required its citizens to stay at home during this crisis, those orders often allow for physical activity outside.  Use this extra time to go for a walk or run.  Take your kids out on a bike ride or walk around the neighborhood.  Play or relax in your yard together.  Spending time in nature offers a multitude of mental health benefits, so why not take advantage of those now?

Practice active rest. Much of the reaction I’ve seen from people who have the privilege of being able to work from home is to rejoice in the fact that they get to catch up on their Netflix queues.  While there’s nothing wrong with watching a good show from time to time, spending a whole day bingeing on TV can lead to feelings of guilt or lethargy.  You might not have done anything during the day, but you still feel exhausted, whether from staying up too late watching your shows or the strain of so much screen time.

Instead of doing those things that seem like rest but are actually draining, lean into habits that provide actual rest for you.  Allow yourself to sleep in or take a nap.  Read a good book.  Pray, spend time reading the Bible, or practice other spiritual self-care.  Spend lazy hours talking with your loved ones or playing board games.  Letting your mind and body catch up on rest from the frenzied pace of normal life can be an incredible blessing during this season.

Exercise. As mentioned earlier, walking or running outside is an easy way to get out of the house while still following guidelines for health and safety of others.  Get into the practice of taking a short walk daily.  If you’re used to a commute to work, “walking” to work by strolling around the block can be an easy way to set boundaries at the start and end of your work-from-home day. 

What if you usually go to the gym to get in your exercise?  Look for opportunities to do those same exercises from home.  Free videos on YouTube (like Yoga with Adriene) or subscription programs (like OpenFit) offer at-home workouts that you can do from the safety of your living room.

Social Connection

Call a loved one every day.  Just because we’re “social distancing” doesn’t mean that we have to cut off all connection with the people we love.  I was inspired by a recent blog post by Marnie Ferree to get out my phone and call one of my loved ones on a daily basis.  This can be a family member, friend, coworker, or other member of your community that can help you feel connected within the craziness. Reach out to someone you haven’t connected with for some time and catch up on how they’re doing, offering your empathy and support in response.

Write notes of encouragement. Have you ever received a handwritten note in the mail?  It can be heartwarming to receive words of encouragement.  Why not spread the love during this time with the extra minutes we may have in our day?  Write notes to medical professionals who need support, friends who you know are feeling financial strain, or just to maintain connection with those you love. 

Have a family game night or scavenger hunt. The busy pace of life can prevent families from being able to spend quality time together on a more regular basis.  This period of extended time at home creates an opportunity for family members who don’t often get to see one another to spend quality time together.  As tempting as it may be to all sit in front of your individual screens, coordinate an evening where you play a game together or create a scavenger hunt through the yard or neighborhood for different items.

Use technology creatively to connect.  Video messaging platforms have allowed people to continue to connect when they are thousands of miles apart, so of course they can be used to connect with people who are just down the street.  Have a coffee date with a friend by brewing your own cups and then sitting down to chat.  “Go out” for drinks with your friends virtually.  Play a cooperative game with friends on a video gaming console or with various apps that allow you to connect in different locations.

Volunteer or donate. As a follow-up to the gratitude practice, you  may find yourself recognizing how blessed you are in comparison with others.  Although it may seem like you can’t do much while you are cooped up at home, there are plenty of ways you can serve and bless those who are dealing with more difficult circumstances.  Many local charities are accepting financial or material donations to support those in need.  Hospitals and medical facilities are accepting donations of certain medical supplies.  Many food pantries are still open and collecting dry goods.  If you have extra disinfecting wipes, hand sanitizer, or even toilet paper to share, consider offering it to neighbors of yours who may not have those supplies.

Notice the Positive

Reflect on what you’re learning. Ask yourself what you may be learning or observing during this drastic change in circumstances.  Can this new perspective or knowledge impact the way you live your life in the future?  How might you want to change our daily habits as a result?  For instance, perhaps you’ve enjoyed having extended time with your household and want to make that a priority in the future.  Perhaps you’ve discovered a new hobby or interest that will shape how you spend your leisure time once this crisis has passed.  

Focus on others. Often, this goes hand-in-hand with the suggestion of volunteering time or donating supplies.  When you shift your gaze to others who are in need, you are more likely to feel grateful for what you have and relieved of anxiety.  Pray for those in your community specifically, and ask others who you might pray for them.  Identify ways you can love or bless the people in your community using a strategy listed above.

Search for acts of kindness. The moments that have floored me most throughout this crisis have been the acts of kindness I’ve witnessed that offer hope and joy to others in the midst of chaos.  Keep your eyes open for ways in which your community might be carrying out some of these gestures. Brainstorm ways you might be able to participate in those acts of kindness.  Search for lists of ideas or become inspired by news coverage of these choices people are making to bring hope. 

Self-Care for When You Don't Have Time for Self-Care

Life is busy.  Whether you feel like a taxi driver for your children’s after-school activities, you’re working long hours at the office, you’re raising a newborn, or maybe all of the above, free time can be hard to come by. 

So when someone suggests that you take time for self-care, no wonder you laugh and say, “when do I have time for that?” 

Practicing self-care is an important part of taking care of your mental and physical health.  In particular, if you struggle with anxiety, depression, trauma, addiction, or other mental health issues, self-care is an essential part of healing. Even if you see the need for self-care in your life, it’s easy to feel like you don’t have the time to make it happen.

Perhaps it’s an issue of cost.  Trendy “self-care” tells you to go get a massage, take a vacation, or otherwise spend exorbitant amounts of money with the promise of “relaxation and rejuvenation.”  For most people, this isn’t practical or realistic. While sometimes you might want to “treat yo’ self,” for the most part you can do good quality self-care for free.

Maybe you’re over the trend of self-care justifying selfish and self-centered behaviors.  I get that.  It’s not meant to be “I do what I want” or “I do what feels good” all the time.  True quality self-care Is not designed to replace loving other people and being the best parent, friend, spouse, partner, child, employee, or person you can be.  It’s meant to prep you to fill those roles well without burning out.

Self-care involves physical, mental, emotional, spiritual, and relational health.  Sometimes self-care feels exactly like what you don’t want to do, but it’s what will be good for you in the long-term.  Think of it like training for a marathon: you may hate going on those longer runs, but you know in the long term your training will help you prepare your body for the race ahead of you.

How to Make Self-Care Work for You

Check your thoughts about self care.  If you’re looking at it as if it’s selfish or wrong, you won’t be able to benefit from it, instead getting distracted by feelings of guilt.  Reframe self-care as something you’re doing to take care of your mental health and better fill the roles in your life.  See self-care as a discipline, something you consciously consider.  Work it into your routine, like taking a vitamin. 

When you’re short on time, get creative about how you do self-care.  In a recent training I completed on compassion fatigue, the trainer talked extensively about a concept she calls “flexi-self-care.”  This type of self-care takes advantage of small bits of time you have throughout your day where you can pause for a moment and do something nurturing.  Identify for yourself ways to practice self-care that take as little as 1 minute and make a practice of trying these things lately.

Take a look at some of these examples of self-care on a time budget.

1 minute of self-care

• Take three long, slow, deep abdominal breaths. (It can help to place a hand on your abdomen to feel it rising and falling.)

• Do a yoga pose.

• Give a loved one a hug.

• Feel your feet flat on the ground, supported by the earth beneath them.

• Read a favorite quotation, affirmation, mantra, or Scripture verse.

• Look out a window and observe what’s happening outside.

• Identify what emotion you’re feeling currently and where you feel it in your body.

• Squeeze a stress ball.

• Look at a picture of a loved one. 

5 minutes of self-care

• 5-4-3-2-1 grounding exercise: name and describe 5 things you see, 4 things you feel without moving, 3 things you hear, 2 things you smell or like the smell of, and 1 thing you taste or like the taste of.

• Write a list of 10 things you are grateful for.

• Send a text to a friend.

• Stretch out sore muscles. 

• Four-square breathing: breathe in for 4 counts, hold for 4 counts, breathe out for 4 counts, hold for 4 counts.  Repeat 10 times.

• Complete one small item on a to-do list (ie. making a phone call, responding to an email, scheduling an appointment).

• Visualize a place that feels calm and peaceful and enjoy the sensations associated with it.

• Open a window and take a few deep breaths of fresh air.

• Drink a glass of water.

• Listen to your favorite song.

• Light a candle and watch the flame.

• Play with a pet.

• People-watch.

10 minutes of self-care

• Do a 10 minute YouTube workout. (I like this playlist from Yoga with Adriene.)

• Eat a healthy snack.

• Write in a journal.

• Put on a dance music playlist and dance around your space.

• Clean out your email inbox.

• Tidy a space in your home.

• Watch a YouTube tutorial for an activity you’re interested in learning.

• Work on a crossword puzzle or a word search.

• Play catch with a dog or child (or even with a wall!)

• Do a Headspace meditation.

• Watch a video that makes you laugh.

• Pray.

• Read a magazine article. 

20 minutes of self-care

• Go for a brisk walk outside.

• Read a chapter in a book.

• Listen to a podcast, lecture, or sermon about a topic that interests you.

• Call a friend, family member, or significant other on the phone to chat.

• Work on a craft project, draw, or paint.

• Write a thank-you note to someone.

• Make yourself a cup of tea or coffee and sip it slowly.

• Take a hot shower.

• Play a musical instrument.

• Clean a room in your home or your desk at work.

• Create a photo collage of images that help you feel loved, inspired, or that bring you joy.

Take these lists and make them your own.  Pay attention to how long it takes you to do these activities: you  may find that prayer can be as short as 1 minute, or your one yoga pose develops into a 10-minute yoga practice.  Be willing to be creative and try out some of these tools to make self-care something you can do every day, not just as a special treat.

Take a Deep Breath: Five Mindful Strategies for Dealing with Anxiety

During my first year of my master’s program, I saw how anxiety, stress, and lack of time would hit me with intense experiences of overwhelm.  I was working close to full time hours at a nanny job, attending class 4 nights a week, and serving in my church in my “free time.”  Any extra time I had was filled with studying and attempting to navigate my way through our massive textbooks.   With a temperament that errs on the side of anxiety and perfectionism, it was easy to talk myself into a state of stress that would make it difficult for me to function.

My school was a commuter school about 30 minutes away from where I lived, so I began listening to podcasts in my car.  (Cue the beginning of my obsession with podcasts).  One of those podcasts interviewed a life coach and therapist who gave tips on dealing with anxiety.  She taught a technique involving deep breathing, which I’d never tried before.  I decided to give it a go in the 10 minutes I sat in my car before class.  Let me tell you: it was like magic.  I felt like I could enter into the classroom in a completely different and relaxed state of mind.

Everyday anxiety is something many people experience, especially during stressful seasons in their lives.  Anxiety engages our internal fight-and-flight response, which pumps up our body with adrenaline and cortisol, a stress hormone.  By practicing deep breathing and other techniques below, you can take control over your body’s instinctual reaction.  As you slow down your breathing and your thoughts, you’re essentially reminding your body that you aren’t in danger.  This calms your fight-or-flight response.

Here are some tips on how you can respond with mindfulness when you feel yourself becoming anxious, nervous, and overwhelmed.

Daily Meditation

As the foundation of all the exercises that follow, daily meditation helps you become attuned to your body.  Spend time in a quiet room in silence for a few minutes to start.  Gradually increase to more time as you become more comfortable.  Pay attention to the way your body feels, noticing each part of your body, any emotions that arise, or any physical sensations. 

Oftentimes meditation is associated with “clearing your mind,” which can discourage you if you feel as though you can’t turn your thoughts off.   Instead, accept the likelihood that thoughts will cross your mind, and allow yourself to notice them, but not shame yourself for having them.

There are several apps that offer guided meditations, if you’re someone like me and are too easily distracted to sit quietly.  I’m a particular fan of Happify and Headspace, but there are many out there you can try and find the best fit for you.

Progressive Muscle Relaxation

Progressive muscle relaxation is the practice of mentally becoming aware of each part of your body by isolating one muscle group at a time, tensing and flexing the muscles.  Pay attention to the feeling of holding tightness in your muscles as you tense them, and notice how it feels to release and relax them afterwards.

This practice can also help you fall asleep at night or re-energize yourself during the day.   In the morning or throughout your day, start by tensing and releasing your toes and work your way upward through different muscle group such as your legs, knees, stomach, chest, arms, shoulders, neck, jaw, and forehead.  At night, do the opposite - start with the muscles in your forehead and work your way down through your body. 

Deep Breathing Exercises

Deep breathing was the technique that I heard Dr. Jennifer Degler speak about on that podcast all those years ago.  She introduced four-square breathing: a technique where you breathe in for 4 counts, hold the breath for 4 counts, breathe out for 4 counts, and hold for 4 counts.  Completing about 10 cycles of these deep breaths allows you to begin to feel the anxiety melt away.

As you’re practicing these breathing exercises, you’ll want to breathe from your diaphragm or abdomen.  In order to do that, it can be helpful to imagine that there is a balloon in your stomach, just behind your belly button.  Breathe in through your nose, trying to make that balloon expand.  As you breathe out through your mouth, imagining the balloon deflating.  Another helpful strategy involves laying on the ground or on a sofa, placing your hands on your stomach, and feeling your stomach rise and fall as you breathe.

5-4-3-2-1 Senses Grounding Exercise

This is a personal favorite of mine, especially when I’m feeling particularly triggered by thoughts or emotions.  Begin taking a few deep breaths, noticing the rise and fall of your abdomen.  Next, take a look around you and notice 5 things that you see.  Notice the colors, textures, and other characteristics of those objects.  Next, move on to identifying 4 things you can hear, noticing the quality of the sound, whether it is loud or soft, repeating or one-time.  Continue down through this pattern by noticing 3 things you can touch/feel, 2 things you can smell, and 1 thing you can taste.  You’ll feel yourself becoming grounded in the present reality around you, and emotions will likely become less distracting and more manageable.

Breath Prayer

Often when we talk about Christian meditation practice, it is accompanied by reading or memorizing Scripture and seeking to understand truth about that passage.  While that can be helpful to engage your mind, when you’re feeling stressed or overwhelmed, this isn’t always the quickest way to address that anxiety.  Instead, integrate some of the earlier mentions of breathing exercises and Biblical truth through breath prayer.  Breath prayer involves identifying a short phrase or sentence of truth about God or prayer to God.  Examples might be phrases such as, “Lord, have mercy,” “God, I need you,” or “Holy Spirit, come.”  You could also use short Bible verses that are meaningful to you, such as “I can do all things through [Christ] who strengthens me.” (Philippians 4:13 ESV).  Repeat those words to yourself out loud or in your mind while you are practicing deep breathing.  Breathe in on the first part of the phrase, and release your breath on the second half of the phrase.

While these mindfulness strategies didn’t immediately fix my stress levels or perfectionism, they did provide a way for me to calm my body down and remind myself of truth.  Test out some of these strategies for yourself when you’re feeling stressed or overwhelmed, and see which ones help you to lower those levels of stress.

This article was originally posted on May 4, 2017.

Eight Hygge Ideas for Your Mental Health

Imagine sitting in cabin lit only by a roaring fire in the fireplace and a few candles scattered throughout the room.  You’re wrapped in a blanket, holding your favorite book in one hand and a mug of hot tea in the other.  You’re full and satisfied from a delicious meal of soup and bread finished an hour or so earlier.  You take a look around the room to see your loved ones gathered around you, enjoying their quiet, cozy time.  You peek outside to see a blizzard blowing through, coating the trees and ground with a thick layer of snow.  You smile, grateful to be warm and wrapped up indoors and safe from the cold.

I don’t know about you, but this is my personal picture of happiness.  And, incidentally enough, the Danes would agree with me.

Hygge (pronounced HOO-ga) is a Danish word recently popularized through the book The Little Book of Hygge: Danish Secrets to Happy Living* by Meik Wiking.  Danish happiness researcher Wiking wrote from his research on what makes the Danes consistently rate among the happiest people in the world.  His theory centers around practicing what he called “the Danish art of cozy.”

As you consider the major elements of hygge, it’s easy to see why this concept can provide so many benefits to physical and mental health.

Health Benefits of Hygge

Hyggeligt activities include such behaviors as practicing presence, or mindfulness, to the present moment.  Mindfulness can lead to clarity of thinking, a sense of calm, reduction of negative thoughts, and reduced stress.  The sensory nature of hygge can also contribute to being in the present moment, in noticing the warmth from the fire or a hot drink, the smell of a burning candle, or the feel of a soft blanket.

In particular for trauma survivors, relaxation strategies like these are essential in calming the fight-or-flight response of the nervous system.  Hygge is about safety and self-care, which can significantly affect the feelings of lack of safety that propel anxiety.

Social support is another key element of hygge that has major health benefits.  Spending time with loved ones allows you to cope better with stress, improve your motivation, and reduce feelings of depression and negative self-talk.  Spending time with people you love also ups your level of oxytocin, which increases empathy and can be a healthy alternative to destructive, addictive behaviors.

“Hygge is about being kind to yourself.”

— Meik Wiking

Practicing gratitude for these relationships and the connections you have with others similarly reduces stress and decreases depression.

Embrace Your Hygge

Give yourself a break.

You can use this physical practice as a way of changing your mindset from one of perfectionism and busy-ness to one of slowing down, appreciating the moment, and allowing space.  When you approach your life with this mindset, you’re likely to be more kind in your self-talk, compassionate toward yourself and others, and experience more pockets of joy throughout your day.

“Hygge is about giving your responsible, stressed-out achiever adult a break.  Relax.  Just for a little while.  It is about experiencing happiness in simple pleasures and knowing that everything is going to be okay.”

— Meik Wiking

Create a hyggekrog.

A hyggekrog is a space set aside in your home where you can experience hygge, like a reading nook or corner that feels particularly cozy.  Set aside some space in your home with the intention to use it for your hygge time.  Include an assortment of hyggelig items in the space, like your favorite books, a cozy blanket, a candle, and a houseplant. 

Turn off your screens.

While you can practice hygge while watching a favorite movie or TV show, reducing screen usage allows you to stay more present in the moment, and it also helps to promote physical activity and improvements to sleep.  Choose to turn off your phone for an hour up to an entire day, or keep it elsewhere so that it doesn’t distract you.

Read a book.

Recent research has found that reading for even a short amount of time daily can drastically reduce stress.  Choose a book that is a personal favorite or a new interest you’d like to explore and set aside some time to read it.  You can read on your own or invite friends to join you for a day of reading your own books together (talk about an introvert’s dream!) 

Host a hygge get-together.

Invite a small group of friends over (Weiking writes that the best number for hygge is 4) for a warm meal, good conversation, and some hot drinks.  You could schedule this time around the premiere of a favorite TV show or the release of a movie you’ve been anticipating on Netflix.  Or choose a theme for the evening and create food and activities that support that theme.  Plan a craft night where friends can bring knitting, crocheting, needlework, or any other crafty hobby they have.

Bake or purchase sweets.

It seems the Danish love sweet pastries (see: cheese or fruit Danish).  Weiking talks about the production of dopamine, a feel-good neurochemical, that is released when you eat sweet foods.  Take some time to make a favorite dessert or treat yourself to a pastry from the bakery.

Create a hygge playlist.

What type of music helps you to feel the most cozy and calm?  Are there certain songs or genres of music that remind you of home?  Put together a playlist you can use when you’re practicing hygge by yourself or when you’re having a get-together, or use a pre-made playlist.  Sometimes the music itself can provide a cue to relax and slow down. 

Play!

Nothing puts you more squarely in the present moment than play.  Whether you’re playing a board game, enjoying a sport, or simply doing something you loved when you were a child, you’ll find the joy of stopping your work for a short time to enjoy an activity that is frivolous and light-hearted.  Invite friends into this playful attitude and experience the happiness that a break for fun can bring.

Seven Signs You Might Have Clinical Anxiety

Your heart is racing, your hands are shaky, and your palms are sweating.  Your pupils dilate, and you feel panic rising in your chest.  You start to feel nausea growing in the pit of your stomach, and you feel slightly dizzy and off balance.

Maybe you’ve had this experience when you were about to give a speech, run a race, or play a sport.   This is an example of what happens when our bodies go through the fight-or-flight response that characterizes anxiety. It’s our body’s response to any perceived threat: our adrenaline kicks in to give us that extra boost of energy to push through.

However, when you struggle with clinical anxiety, that fight-or-flight response never truly turns off.  You’re responding to all of life’s daily worries with an adrenaline surge, and your body and mind get worn out as a result.

Occasional anxiety can be helpful, because it keeps us motivated.  But when it becomes problematic and interferes with our lives, it becomes more harmful than good.

You may be asking: what is the difference between just feeling worried or anxious occasionally, and actually struggling with an anxiety disorder?  Here’s some common signs of clinical anxiety:

You notice physical symptoms, like feeling restless and worked up all the time, or your muscles feel tense and tight.

Physical symptoms of anxiety can often be one of the early indicators that you may struggle with this particular disorder.  Have you ever noticed you’re feeling nervous by holding up a hand and watching it shake?  Pay attention to how your body feels: if you notice shaking, trembling, twitching, exaggerated startle response, or feeling shaky, these might be indicators that you’re feeling some anxiety.  It can also show up in common stress responses, like headaches or stomach issues.

I’ve recently noticed anxiety shows up in me in the form of an internal shakiness: when I’m feeling fear or anxiety about an upcoming event, I shiver as though I were outside in the cold, even if I’m in a warm room.  While I may not be feeling the emotion of fear or anxiety, I am aware that I am anxious because of my body’s response.

Your negative thoughts and fears feel like they’re on a constant loop that you can’t turn off, and you feel worried about most areas of your life.

It is common to experience anxiety about a particular area of your life from time to time.  Clinical anxiety, however, is characterized by worrying so much about all different areas of your life such that you can’t shut the worry off, even when you may need to for an important reason.  This anxiety is excessive, interfering with daily life and the tasks at hand.  It is a general rule that the more areas over which you are feeling anxious, the more likely it is that you are struggling with an anxiety disorder.

The worst-case scenario is the first option that pops into your mind.

Everyday worries can usually be explained or rationalized away, and they typically don’t jump to the worse possible option.  On the other hand, clinical anxiety cannot be rationalized: even when you know your fears are unfounded, the experience of the emotion of anxiety won’t stop.  Even if your fears aren’t realistic or logical, they can feel overwhelming.  This is often one of the most frustrating parts of experiencing an anxiety disorder!

You’re at a loss to figure out what made you anxious in the first place.

“I know I’m nervous because I have a big test tomorrow.” Understandable, right? Feeling anxious about a definable problem like a big exam can be expected.  But when the exam is over and the worry doesn’t stop, or you wake up one morning and feel on edge without any particular reason, that might be an indicator of a more severe form of anxiety.

You have hard time focusing, or you forget what you were doing right after you begin.

Have you ever had the experience of sitting down to focus on a task, and immediately thinking of five other things you need to do?  The constant stream of anxious thoughts running through your head can be too much for your brain to hold.  Trying to keep track of multiple different threads of worries at once can distract you from the task at hand, which leads to forgetfulness and difficulty maintaining attention.  This can have an impact on your ability to be productive, which then feeds right back into anxiety you feel about being unproductive.

You’re short-tempered and easily irritated.

Having so many things on your mind can detract from your empathy and understanding of others.  You can feel overstimulated and overwhelmed by the stress response you’re experiencing.  For that reason, you may notice yourself becoming more annoyed or frustrated with people or circumstances around you that increase your worry.

Some symptoms of anxiety can mask themselves as depression: feeling tired all the time, lack of energy, and/or insomnia due to racing thoughts or fitful sleep.

You might think, “I worry a lot, but I don’t always get keyed up.  Mostly I shut down, and feel sad, exhausted, and unmotivated.”  Anxiety and depression play off of one another, so much so that what feels like depression might actually be anxiety.  They are two sides of the same coin: you may be depressed and your body needs to create anxiety in order to get you energized to complete the task at hand, or you may have anxiety followed by depression when your body decides it is too much and slows you down.

With anxiety, the constant stream of worry and anxious thoughts that you’re experiencing wears your body down.  As a result of your body functioning mostly on the adrenaline produced by the fight-or-flight response, you are more easily tired out.

This article was originally posted on April 6, 2017.