The E3 Rehab Podcast 202. Rehab Psychology: Uncertainty, Coping, and Resilience w/ Kevin Alschuler
May 27, 2025
In this engaging discussion, psychologist Kevin Alschuler from the University of Washington dives into the crucial role of rehab psychology. He explores how uncertainty affects patients with chronic conditions, emphasizing effective coping strategies to manage anxiety and depression. Kevin differentiates between adaptive and maladaptive coping mechanisms, warns against catastrophizing, and highlights resilience's importance in recovery. He also touches on supporting athletes' mental health and the need for open conversations around mental well-being in both clinical and informal settings.
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Understanding Intolerance of Uncertainty
- People universally dislike uncertainty and prefer to know outcomes either positive or negative.
- Intolerance to uncertainty varies, leading some to avoid it or over-control it through excessive worry.
Coping with Avoidance of Uncertainty
- Manage distress by teaching people to sit with discomfort instead of avoiding uncertainty.
- Use mindfulness, cognitive behavioral therapy, and acceptance-based approaches to improve coping.
Managing Excessive Worrying
- Set boundaries and reduce time spent on excessive worrying about uncontrollable problems.
- Focus energy on actionable steps and activities that add value to life.