Your Anxiety Toolkit - Practical Skills for Anxiety, Panic & Depression

Kimberley Quinlan, LMFT | Anxiety & OCD Specialist
undefined
Mar 18, 2022 • 43min

Ep. 226 Overcoming Health Anxiety with Ken and Maria

SUMMARY: Overcoming Health Anxiety is possible! Today, we interview Ken Goodman and his client Maria on overcoming hpyochondria using Cognitive Behavioral Therapy. In this episode of Your Anxiety Toolkit Podcast, you will learn key concepts of health anxiety and how to overcome their health anxiety. In This Episode: What it is like to have health anxiety The key concepts of treating Hypochondria Tips for managing fears of death and cancer. A step-by-step approach to overcoming health anxiety. Links To Things I Talk About: https://www.kengoodmantherapy.com/ Quiet Mind Solutions ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com. CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors. Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 226. Welcome back, everybody. If you have health anxiety, hypochondria, health anxiety disorder, or you know of somebody who has health anxiety, you are going to love this episode. I mean, love, love, love this episode. Today, we have Ken Goodman, who’s on the show. He’s a clinician who’s here with his patient and they’re sharing a success story, a recovery story of health anxiety, and it is so good. I am so honored to have both of them on. It was so fun to actually interview other people and the way they’re doing it, and look at the steps that were taken in order to overcome health anxiety. And this is the overcoming health anxiety story of all stories. It is so, so good. I’m not going to waste your time going and telling you how good it is. I’m just going to let you listen to it because I know you’re here to get the good stuff. Before we do that, I wanted to do the “I did a hard thing” and this one is from Dave. It says: “I’ve been trying to get back into meditating regularly. I was sitting at a desk this morning, reviewing my work emails. And I told myself, before I get even further in my day, I need to meditate. I did a guided meditation, even though I felt a strong pull inside to go back to work. I kept getting caught up in my thoughts, but I just kept telling myself it doesn’t need to be a perfect meditation. I said the goal today is just to be able to sit without being busy for three minutes. Nothing more. It was hard, but I did it.” Dave, thank you so much for the submission of the “I did a hard thing” segment, because I think that meditation is so important. In fact, I keep promising myself I’m going to implement it more into this podcast. And Dave has really looked at some of the struggles people have with meditation. And look at him, go, it’s so amazing. Totally did it. So amazing. Dave, thank you so, so, so much. I love it. If you want to submit, you may submit your “I did a hard thing” by going to KimberleyQuinlan-lmft.com. If you go to the podcast page, there is a submission page right on the website. And from there, let’s just go straight to the show. I hope you enjoy it. Kimberley: Welcome. I am so excited for this episode. Welcome, Ken and welcome, Maria. Ken: Thank you for having me. Maria: Hi, Kimberley. Kimberley: So, as you guys, we’ve already chatted, but I really want to hear. This is really quite unique and we get to see the perspective of a client and the therapist. If I could do one of these every single week, I would. I think it’s so cool. So, thank you so much for coming on and sharing. We’re going to talk about health anxiety. And so, Maria, we’re going to go back and forth here, but do you want to share a little bit about your experience with health anxiety? Maria: Yes. I think I’ve had health anxiety probably for like 15, 20 years and not known about it. Looking back now, everything comes clear when you see the multiple pictures that you’ve taken of certain lumps and whatever five years ago. I’m like, “Oh my gosh, I have so many pictures that I’ve taken and so many different things.” But yeah, I’ve been struggling for a while I think, and had multiple doctor’s appointments. Until I realized that I had health anxiety, it was an everyday struggle, I think. Ken: Well, you came to me and you were mostly worried at the time about ticks and Lyme disease and skin cancer, but you told me that for the previous 15 years or so, you were worried about other things. What are those things? Maria: Well, I was mostly completely obsessed with moles on my skin and them being cancerous. And I was scared of ticks. I would not be able to walk through any grass or go hiking. I was scared that I would have to check my whole body to make sure that there were no ticks on me. I was completely scared of Lyme disease, and it just completely consumed my life really. And they were the main things. But looking back before that, I think that I always had a doctor’s appointment on the go. I would book one, and as soon as they said, “You can book online,” That was it for me. I would have one booked, and then I’d go, “Oh, what if there’s something else next week? You know what, I’m just going to book one for next week, just in case something comes up.” I am a terrible person when it comes to that because I’m taking up multiple doctor’s appointments. And I knew that. But it was trying to reassure myself, trying to control the situation, trying to control next week already before it even happened. So, yeah. MARIA’S SYMPTOMS OF HEALTH ANXIETY Kimberley: Right. What did it look like for you? What did a day look like for you pre-treatment and pre-recovery? Maria: Some days it could be fine. I remember days where nothing was bothering me. It was such a nice feeling. And then I was scared because I never knew what was going to trigger me and it could be anything at any time. And I think that was the not knowing. And then as soon as I would latch onto something, I would come to the phone, I’d start Googling over and over again, hours of Googling and then checking. And then it was just ongoing. And then my whole day, I was in my head my whole day, just what if, what if, asking questions, going back to Google, trying to find that reassurance that of course never happened. Ken: Yeah. You tell me that you would take pictures of your moles and then compare them with the cancerous moles online and do those things. Maria: Yeah. And I would book-- and interestingly enough, looking back now, I went through a phase of always having a doctor’s appointment. And then I also went through a phase of completely avoiding the doctor as well, not wanting to go because I didn’t want them to say something that I knew was going to trigger a whole host of anxiety. So, I’ve gone through multiple doctors. And then once you start the doctor’s appointments, then you’re on a roller coaster. Because you walk away from that appointment, never feeling, or for me, never feeling reassured. Or feeling reassured for maybe a few minutes, and then you leave, and then the anxiety kicks in. “Oh, I never asked them this,” or “Oh my gosh, well, what did that mean?” And then the what-ifs start again and you’re back to square one. So then, you go, “Oh, no, I didn’t try just what they said. I’m going to book another appointment and this doctor is going to be the doctor that reassures me.” MANAGING DOCTOR VISITS WITH HYPOCHONDRIA Kimberley: Right. Or sometimes a lot of clients will say to me like, “The doctor made a face. What did that face mean? They made a look and it was just for a second, but were they questioning their own diagnosis and so forth?” And I think that is really common as well. Ken: Well, the doctor will say anything and it could be something very simple like, “Okay, you’re all good. I’ll see you in six months.” And the person will leave thinking, “Why would he want me to come back in six months if nothing was wrong?” Maria: Well, that’s interesting that you would say that because I think probably at my lowest point, I was keeping notes about my thought process and what I was feeling when I was actually going to the doctors or waiting for the results. And actually, I thought it might-- if I have a few minutes to read what I actually was going through in real-time, I know it’s probably very relatable. Kimberley: I would love that. Maria: I had gone to basically a doctor’s appointment, an annual one where I knew I was going to have to have blood tests. And they’re the worst for me because the anticipation of getting the results is just almost worse than getting the results, even though-- Ken: Did you write this before we met? Maria: No. While I was seeing you, Ken. Ken: In the beginning? Maria: Yeah. When you’d asked me to write down everything and write down what I was feeling, what I was thinking, and then read it back to myself. And this is what I had written down, actually, when I was going through the doctor’s appointment and waiting or had just gotten the results. Kimberley: If you would share, that’d be so grateful. Maria: So, my blood results came back today. I felt very nervous about opening them. The doctor wrote a note at the top. “Your blood results are mostly normal. Your cholesterol is slightly high, but no need for medication. Carry on with exercise and healthy eating.” “Mostly,” what does that mean? “Mostly”? I need to look at all the numbers and make sure that everything is in the normal range. “Okay, they’re all in the normal range except for my cholesterol. But why does she write mostly? Is there something else that she’s not telling me? I need reassurance. I’m driving down to the doctor’s right now. I can’t wait the whole weekend.” I go into the doctor’s office and ask them, “Is there a doctor who’s able to explain to me my results?” The receptionist said, “No, you have to make another appointment.” I explained to her, “You don’t understand. I just need somebody to tell me that everything is normal.” Finally, this nice lady saw the anxiety on my face. She calls the doctor over to look at the labs. The receptionist shows the doctor the one lab panel, and he says, “Everything is completely normal. Nothing was flagged. Everything is completely fine.” I thank him so much for looking and walk away. As soon as I get outside, I realize I didn’t ask him to look at all the lab panels. What if she meant mostly normal on the other lab panels that I didn’t show him? When I get home, I look over each one multiple times and make sure that each one is in the exact number range. After looking over them four or five times and seeing that each one is in the number range except for my cholesterol, I still feel like I need to have her explain to me why she wrote the word “mostly.” The crazy thing is I’m not concerned about the high cholesterol. I can control that. I don’t know what she meant by the word “mostly.” I’m going to send her a message. And I’m going to ask her to clarify. I have to believe that she would tell me if something was wrong. I wish there was an off button in my head to stop me worrying about this. Ken: I remember this now. I remember. And this was in the middle. Maria was really avoiding going to the doctor and she had overdue with some physical exams. And so, we really worked hard for her to stop avoiding that. She got to the point where she felt good enough about going to the doctor. And she really, I think I remember her not having any anticipatory anxiety, handling the doctor very well, host the doctor very well, until she got the email and focused on the word “mostly.” And that sent her spiraling out of control. But the interesting thing about that whole experience was that we processed it afterwards, and that whole experience motivated her to try even harder. And then she took even bigger strides forward. And within a couple of months, she was really doing so much better. And I think it’s been over a year now since that and continues to do really well. Kimberley: Yeah. Thank you so much for sharing that. I actually was tearing up. Tears were starting to come because I was thinking, I totally get that experience. I’m so grateful you shared it because I think so many people do, right? Maria: Yeah. And there’s always and/or. You go into the doctor’s appointment, they tell you everything. And because your adrenaline is absolutely pumping, you forget everything. And then you come out and you go, “Oh my gosh, I can’t remember anything.” Then the anxiety kicks in and tells you what the anxiety is like, “Oh no, that must have been bad. That must have been--” yeah. Ken: And that boost in adrenaline that just takes over is so powerful. You can forget any common sense or any therapeutic strategies or tools that you might have learned because now you just get preoccupied with one word, the uncertainty of that word. Maria: Yeah. I would have to have a family member come in, my husband to come in and sit in the-- it got to that point where he would have to come in and sit in the appointment, so then after the appointment, I could have him retell me what was said, because I knew as soon as the adrenaline kicked in, I would not be able to remember anything. ROADBLOCKS TO HEALTH ANXIETY TREATMENT Kimberley: Right. Ken, this brings me straight to the next question, which would be like, what roadblocks do you commonly see patients hit specifically if they have health anxiety during recovery or treatment? Ken: Well, unlike other fears and phobias, the triggers for health anxiety are very unpredictable. So, if you have a fear of elevators, flying or public speaking, you know when your flight is going to be, you know when you have to speak or you know when you have to drive if you have a fear of driving. For health anxiety, you never know when you’re going to be triggered. And those triggers can be internal, like a physical sensation, because the body is very noisy. And everyone experiences physical sensations periodically and you never know when that’s going to happen. And then you never know external triggers. You never know when the doctor is going to say something that might trigger you, or you see a social media post about a GoFundMe account about someone that you know who knows someone who’s been diagnosed with ALS. So, you never know when these things are going to happen. And so, you might be doing well for a couple of weeks or even a month, and suddenly there’s a trigger and you’re right back to where you started from. And so, in that way, it feels very frustrating because you can do well and then you can start becoming extremely anxious again. Another roadblock I think might be if you need medicine, there’s a fear of trying medicine because of potential for side effects and becomes overblown and what are the long-term side effects, and even if I take it, I’m going to become very anxious. And so, people then are not taking the very thing, the medicine that could actually help them reduce their anxiety. So, that’s another roadblock. Kimberley: Yeah. I love those. And I think that they’re by far the most hurdles. And Maria, you could maybe even chime in, what did you feel your biggest roadblock to recovery was? Maria: Being okay with the unknown. Trying to be in control all the time is exhausting and trying to constantly have that reassurance and coming to terms with, “It’s okay if I can’t control everything. It’s okay if I don’t get the 100% reassurance that I need. It’s good enough,” that was hard for me. And also, not picking up the phone and Googling was the biggest. I think once I stopped that and I was okay with not looking constantly, that was a huge step forward. Ken: You really learn to live with uncertainty. And I think you start to understand that if you had to demand 100% certainty, you had to keep your anxiety disorder. In order to be 100% certain, that meant keep staying anxious. Kimberley: Yeah. Being stuck in that cycle forever. Ken: You didn’t want that anymore. You wanted to focus on living your life rather than being preoccupied with preventing death. SKILLS AND TOOLS TO OVERCOME HEALTH ANXIETY Kimberley: Right. So, Maria, I mean, that’s probably, from my experience as a clinician, one of the most important skills, the ability to tolerate and be uncertain. Were there other specific tools that you felt were really important for your recovery at the beginning and middle and end, and as you continue to live your life? Maria: Yes. I think the biggest one was me separating my anxiety from myself, if that makes sense. Seeing it as a separate-- I don’t even know, like a separate entity, not feeling like it was me. I had to look at it as something that was trying to control me, but I was fine. I needed to fight the anxiety. And separating it was hard in the beginning. But then I think once I really can help me to understand how to do that, at that point, I think I started to move forward a bit more. Kimberley: So, you externalized it. For me, I give it a name like Linda. “Hi, Linda,” or whatever name you want to give your anxiety. A lot of kids do that as well like Mr. Candyman or whatever. Maria: Yeah. It sat on my shoulder and try to get in my head. In the beginning, I would be brushing off my shoulder constantly. Literally, I must have looked crazy because I was brushing this anxiety off my shoulder every 10 minutes with another what-if. What if this? What if that? And I think I had to retrain my brain. I had to just start not believing and being distracted constantly by the “What if you do this” or “What if that?” and I’d say, “No, no.” Ken: Yeah. I’d treat a lot of health anxiety. I have a lot of health anxiety groups. And I do notice that the patients that can externalize their anxiety and personify it do way better than the people who have trouble with it. And so, whether it’s a child or a teenager or an adult, I am having them externalize their anxiety. And I go into that, not only in my groups, but in the audio program I created called the Anxiety Solution Series. It is all about how to do that. And it makes things so much easier. If now you’re not fighting with yourself, there’s no internal struggle anymore because now you’re just competing against an opponent who’s outside of you. It makes things easier. Kimberley: Right. Yeah. And sometimes when that voice is there and you believe it to be you, it can make you feel a little crazy. But when you can externalize it, it separates you from that feeling of going crazy as well. Maria: I felt so much better as soon as I did that because I felt, “Okay, I think I can fight this. This isn’t me. I’m not going crazy. This is something that I--” and I started to not believe. And it was long, but it was retraining my brain. And I would question the what-ifs and it didn’t make sense to me anymore. Or I would write it down and then I would read it back to me, myself, and I’d be like, “That’s ridiculous, what I just thought.” And the other tool which was hugely helpful was breathing, learning how to breathe properly and calm myself down. I mean-- Ken: Yeah. There’s lots of different types of breathing out there. And so, I teach a specific type of breathing, which is, I call it Three by Three Relaxation Breathing, which is also in the Anxiety Solution Series. And it really goes over into detail, a very simple way to breathe that you can do it anywhere. You can do it in a waiting room full of people, because it’s very subtle. It’s not something where you’re taking a big breath and people are looking at you. It’s very, very subtle. You can do it anywhere. MEDITATION FOR HEALTH ANXIETY Kimberley: Ken, just so that I understand, and also Maria, how does that help someone? For someone who has struggled with breathing or is afraid of meditation hor health anxiety and they’ve had a bad experience, how does the breathing specifically help, even, like you were saying, in a doctor’s appointment office? Maria: I’ve done it actually in multiple doctor’s appointments where I’ve had that feeling of, “I’ve got to get out of here now.” It’s that feeling of, “Uh, no. Right now, I need to leave.” Before, before I started, I would leave. And now I realized, no, I’m not. I’m going to sit and I’m going to breathe. And no one notices. No one can see it. You can breathe and it really does calm me down, especially in the past, I’ve had panic attacks and feeling like I can’t breathe myself. When you start to realized that you can control it and it does relax you, it really helps me a lot. I do it all the time. Kimberley: It’s like a distress tolerance tool then, would you say? Maria: It’s something that I can carry around with me all the time, because everyone needs to breathe. Kimberley: Yeah. I always say that your breath is free. It’s a free tool. You could take it anywhere. It’s perfect. Maria: Yeah. So, it’s something that I can do for myself. I can rely on my breathing. And now knowing after Ken teaching me really how to do it properly, it’s just invaluable. It really is, and empowering in a way. Now, when I feel like I can’t be somewhere, and in fact just not so long ago, I was in a doctor’s appointment, not for myself, but I sat there and it was really high up and there was lots of windows around. Of course, I don’t like being [00:22:34 inaudible]. And I felt I have to get out. “Nope, I’m not going to do it. I’m not going to do it.” I sat there, I did my breathing. I actually put my earphones in and started listening to Ken’s anxiety solutions and listened and took my mind off of it, and I was fine. I didn’t leave. And actually, I walked away feeling empowered afterwards. So, it’s huge. It’s really helpful. Ken: Yeah. You just said a couple of very important things. You made a decision not to flee, so you decided right there, “I’m not going anywhere. So, I’m going to stay here. I’m going to tolerate that discomfort, but I’m going to focus on something else. I’m going to focus on my breathing. I’m going to listen to the Anxiety Solution Series.” And then by doing that, I’m assuming your anxiety either was contained, it stayed the same, or maybe it was reduced. Yeah? Maria: Yeah, it was reduced. It stayed the same. And then it started to reduce. And naturally, by the end, I was like, “I’m fine. Nothing is going to happen.” So, it was great. And the other-- I want to say actually one more thing that really, really helped me. And it was actually a turning point, was that I was in another appointment. The doctor came in and told me I was fine. And it was actually like an appointment where they had called me back medically. So, it was a different scenario. It wasn’t me creating something in my head. But anyway, there was a lot of anticipation beforehand and he came in and he said, “You are fine. Go live your life.” And I walked away and I went home. And within maybe about 40 minutes, I said, “Maybe he was lying to me. Maybe he was just trying to make me feel good because he saw how anxious I was.” And at that point I realized, this is never going to stop, never. Unless I fight back, I will never-- I felt robbed of the relief that I should have felt. When he told me that, I wasn’t getting that relief and I was never going to have that relief unless I used-- and at that point, I actually got angry. And I remember telling Ken, I was like, “I’m so angry because I felt robbed of the relief.” And at that point, I think I then kicked up my practicing of everything tenfold. And that was a turning point for me. Ken: Yeah. That anger really helped you. And anxiety is a very, very powerful emotion, but if you can access or manufacture a different emotion, a competing emotion, and anger is just one of them, you can often mitigate the anxiety. You can push through it. And for you, it was an invaluable resource, because it was natural. You actually felt angry. For other people, they have to manufacture it and get really tough with their anxiety. But for you, you at that moment naturally felt it. And you’re right. You said it is never going to stop. And physical sensations, the body is noisy. People will have the rest of their life. You’re going to have a noisy body. So, that will never stop. It’s your reaction and your response to those physical sensations that is key. And you learn how to respond in a much more healthy way to whenever you got any sort of trigger external or internal. TREATMENT FOR HEALTH ANXIETY/HYPOCHONDRIA Kimberley: It’s really accepting that you don’t have control over anxiety. So, taking control where you have it, which is over your reactions. And I agree, I’ve had many clients who needed to hit rock bottom for a certain amount of time and see it play out and see that the compulsions didn’t work to be like, “All right, I have to do something different. This is never going to end.” And I think that that insight too can be a real motivator for treatment of like, “I can’t get the relief. It doesn’t end up lasting and I deserve that like everybody else.” So, Ken, how do you see as a clinician the differences in recovery and health anxiety treatment for different people? Do you feel like it’s the same for everybody, or do you see that there are some differences depending on the person? Ken: Well, when I treat people with health anxiety, although the content of their specific fears might be different – some might worry more about their heart, some might worry more about shaking that they experience and worry about ALS – the treatment is basically the same, which is why I can treat them in classes or groups because it’s basically the same. There are some variations. Some people are more worried about things, where other people feel more physical sensations. And I may have to tailor that a bit. So, some people have to-- their problems are more the physical sensations that they feel and they can’t tolerate those physical sensations. And other people it’s more mental. They’re just constantly worried about things. But in general, they can be treated very similarly. It’s learning how to tolerate both the uncertainty and the discomfort and the stress that they feel. Kimberley: Right. And I’ll add, I think the only thing that I notice as a difference is some people have a lot of insight about their disorder and some don’t. Some are really able to identify like, “Ah, this is totally Linda, my anxiety,” or whatever you want to name your anxiety. “This is my anxiety doing this.” Whereas some people I’ve experienced as a clinician, every single time it is cancer in their mind and they have a really hard time believing anything else. Like you said, they feel it to be true. Do you agree with that? Ken: Completely. Yeah. Some people will come to me and they know it’s probably anxiety, but they’re not sure. And some people, they are thoroughly convinced that they have that disease or that disorder. And even after months and months and months of-- and oftentimes the content changes. So, I have patients who, when I first start seeing them, they might be afraid of cancer. And then two months later, it’s their heart. And then a couple of months later after that, it’s something else. There’s always something that can come up and they’re always believing it’s something medical. And of course, they go back to, “Well, what if this time it is? What if this time it is cancer?” And that’s where they get caught in the trap. So, for them, it’s answering that question. For Maria, it’s the word “mostly” that she became fixated on to get lured in and take the bait. It’s like, what happens to a fish that takes the bait? Now they’re struggling. So, now once you take the bait, you’re struggling. Kimberley: Right. And I would say, I mean, I’ll personally explain. A lot of my listeners know this, but I’ll share it with you guys. I have a lesion on the back of my brain that I know is there. And I have an MRI every six months. And I have a lot of clients who have a medical illness and they have health anxiety, and it’s really managing, following the doctor’s protocol, but not doing anything above and beyond that because it’s so easy to be like, “Well, maybe I’ll just schedule it a little earlier because it is there and I really should be keeping an eye on it.” And that has been an interesting process for me with the medical illness to tweak the treatment there as well. Ken: Yes, absolutely. I have a patient right now and she has a legitimate heart issue that is not dangerous. They’ve had many, many tests, but all of a sudden, her heart will just start racing really fast, just out of the blue. And it happens randomly and seems like stress exacerbates the frequency of it. But it’s not just irritating for her, it was scary because every time she would experience it, she thought, “Maybe this is it. I’m having a heart attack.” But she really had to learn to tolerate that discomfort, that it was going to happen sometimes and that was okay. It happens and you just have to learn to live with it. Kimberley: Right. So, Maria, this is the question I’m most excited about asking you. Tell me now what a doctor’s appointment looks like for you. Maria: It looks a lot better. You can actually pick up the phone and book an appointment now without avoiding it. I practice everything that I’ve learned. I’m not going to lie. The anticipation, maybe a couple of days before, is still there. However, it’s really not as bad as it was before. I mean, before, I would be a complete mess before I even walked into the doctor’s office. Now, I can walk in and I’m doing my breathing and I’m not asking multiple questions. I’m now okay with trusting what the doctor has to say. Whereas before, if I didn’t like what he had to say or he didn’t say exactly the way I wanted to hear it, I’d go to another doctor. But now, I’m okay with it. And it’s still something I don’t necessarily want to do. But leaps and bounds better. Leaps and bounds really. I can go in by myself, have a doctor’s appointment, ask the regular questions and say, “Give me the answers,” and leave and be okay with it. GETTING TEST RESULTS WITH HEALTH ANXIETY Kimberley: How do you tolerate the times between the test and the test results? How do you work through that? Because sometimes it can take a week. You know what I mean? Sometimes it’s a long time. Maria: Yeah. I mean, I haven’t-- so, obviously, it’s yearly. So, I’m at that point next year where I will have to go and have all my tests again and get the results and anticipate. But I think for me, the biggest thing is distraction and trying not to focus too much beforehand and staying calm and relaxed. And that’s really it. I mean, there’s always going to be anxiety there for me, I think, going to the doctors. It’s not ever going to go away. I’m okay with that. But it’s learning how to keep it at a point where I can understand what they’re telling me and not make it into something completely different. Ken: I think you said the keywords – where you’re putting your focus. So, before, your focus was on answering those what-if questions and the catastrophic possible results. And now I think your focus is on just living your life, just going about living your life and not worrying or thinking about what the catastrophic possibilities could be. Is that accurate? Would you say it’s accurate? Maria: Yeah. Because if you start going down that road of what-if, you’re already entering that zone, which it is just, you’re never going to get the answer that you want. And it’s hard because sometimes I would sit and say to myself, “I’m going to logically think this out.” And I would pretend. I mean, I even mentioned to Ken, “No, no, I’m logically thinking this out. This is what anyone would do. I’m sat there and I’m working out in my head.” And he said, “You’ve already engaged. You’ve already engaged with the anxiety.” “Have I?” And he said, “Yeah. By working it out in your head, you’re engaging with the anxiety.” And that was a breakthrough as well because I thought to myself after, “I am.” I’m already wrapped up in my head logically thinking that I’m not engaging, but I’m completely engaging. So, that was an interesting turning point as well, I think. Kimberley: Amazing. You’ve come a long, long, long way. I’m so happy to hear that. Ken, before we wrap up, is there anything that you feel people need to know or some major points that you want to give or one key thing that they should know if they have health anxiety? Ken: Oh my gosh, there are so many. There is a tendency for people with all types of anxiety to really focus their attention on the catastrophic possibilities instead of the odds of those catastrophic possibilities happening. The odds are incredibly low. And so, if you’re focusing on the fact that it’s probably not likely that this is going to happen, then you’ll probably go through your life and be okay if you can focus your attention on living your life. But if you focus on those catastrophic possibilities that are possible, they are, then you’re going to go through life feeling very, very anxious. And if you focus on trying to prevent death, prevent suffering, then you’re not really living your life. Kimberley: That’s it right there. That’s the phrase of the episode, I think, because I think that’s the most important key part. I cannot thank you both enough for coming on. Ken: This is fun. This is great. Maria: It was fun. Kimberley: Maria, your story is so inspiring and you’re so eloquent in how you shared it. I teared up twice during this episode just because I know that feeling and I just love that you’ve done that work. So, thank you so much for sharing. Ken: Yeah. She’s really proof that someone who’s suffered for 15, 20, some odd years with anxiety can get better. They just have to be really determined and really apply the strategies and be consistent. She did a great job. Kimberley: Yeah. Massive respect for you, Maria. Maria: Oh, thank you. Kimberley: Amazing. Ken, before we finish up, do you have any-- you want to share with us where people can hear from you or get access to your good stuff? Ken: Yeah. So, quietmindsolutions.com, I have a whole bunch of information on health anxiety. I have two webinars in health anxiety on that website, as well as other webinars in other specialties I have. Also, I have the Anxiety Solution Series, which is a 12-hour audio program, which focuses on all types of anxiety, including health anxiety, as well as others. And you can listen to a few chapters for free just to see if you would like it, if you could relate to it. And there’s other programs, other articles, and videos that I produced. I have a coloring self-help book, which is basically a self-help for people with anxiety, but every chapter has a coloring illustration where you color. And the coloring illustration actually-- what’s the word I’m looking for? It’s basically a representation of what you learn in that chapter. It strengthens what you learn in that chapter. Kimberley: Cool. Ken: Yeah. And then a book called The Emetophobia Manual, which is a book for people who have fear of vomiting. Kimberley: Amazing. And we’ll have all those links in the show notes for people as well. So, go to the show notes if you’re interested in getting those links. Ken: Ken Goodman Therapy is the other website. It has similar information. Maria: I wanted to mention as well that I actually watched one of Ken’s webinars quite by accident in the beginning before I realized I had health anxiety. And after watching it, I thought, “Oh my gosh, I’ve got that.” And so, it was hugely, hugely helpful because I think that having this for so many years and not realizing, there’s a lot of people that still don’t realize that they suffer from health anxiety. For me, as soon as I could label it as something, it was a relief because now I could find the tools and the help to work on it and get that relief. Kimberley: Amazing. Okay. Well, my heart is so full. Thank you both for coming on and sharing your overcoming health anxiety story. It’s really a pleasure to hear this story. So inspiring. So, thank you. Ken: Yeah. Thank you for doing this, Kimberley. Maria: Thank you. Ken: And thanks, Maria. ----- Thank you so much for listening. Before we finish up, we’re going to do the review of the week. This is from kdeemo, and they said: “This podcast is a gift. I just found this podcast and I’m binging on the episodes. I learn something through each episode, and love her practical advice and tools. I feel like part of a community-what a gift!” Oh, I’m so, so grateful to have you kdeemo in our community. This is a beautiful, beautiful space. My hope is that it’s different to every other podcast you listen to in that we give you a little bit of tools, a little bit of tips, but a huge degree of love and support and compassion and encouragement. So, thank you so much for your review. I love getting your reviews. It helps me to really double down in my mission here to give as many practical free tools as I can. It is true, it is a gift to be able to do that. So, if you could please leave a review, I would be so, so grateful. You can click wherever you’re listening and leave a review there. Have a wonderful day.
undefined
Mar 11, 2022 • 21min

Ep. 225 What Are the Causes Of Anxiety (And What You Can Do To Overcome It)

SUMMARY:  Many people ask me, “Why do I have anxiety?” and the truth is, there is no clear-cut answer. However, in this week's episode, I give you nine possible causes of anxiety and what you can do to manage anxiety in your daily life. Some causes are in your control, and some are not.  Either way, it is important that you are super gentle with yourself as you explore some of the reasons for anxiety in your life.  In This Episode: NINE possible causes of anxiety for you in your life What you can do to manage your anxiety How to overcome anxiety by changing small behaviors Reasons you experience anxiety may include Genetics Caffeine Distorted Thoughts Behaviors Trauma Environment Stress Management Lack of Tools Isolation (lack of community) Links To Things I Talk About: Time Management for Optimum Mental Health https://www.cbtschool.com/timemanagement ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 225. Welcome back, everybody. Today, we are talking about the causes of anxiety, why you are anxious and what you can do about it. This is a topic I feel like keeps coming up with my clients like, “But why? Why is this happening?” And I totally get it. Now, a lot of the times, I encourage my patients the end goal, jump straight to the end goal is we don’t want to spend too much time trying to solve why we’re anxious. That in and of itself can become a compulsive problematic behavior. But I wanted to just address it because I don’t think I have addressed it yet in the podcast. I thought now is a good time to really just look at some of the reasons we humans are anxious. I’m an anxious person, my guess that the fact that you’re listening to Your Anxiety Toolkit means you or someone you love is an anxious person. So, let’s talk about why we’re anxious. What are the causes of anxiety and what are some of the reasons we are anxious. Now before we do that, we want to, of course, do our “I did our hard thing” segment, and this one is for Bradley. Bradley wrote: “I was at a family event and had to see a family member I haven’t seen in four years. I said a firm, no contact boundary with her since she was so toxic. And as much as I tried, I knew I could not control whether she came or not. Seeing her was very hard, but I gave myself loads of self-compassion and allowed that moment to be very difficult.” Oh, Bradley, this is so good. “I was pleasant to her, but I did not engage beyond what was necessary. I took multiple moments throughout the event to check in with myself and see what my body needed.” This is so good and this is such great modeling of how we can regulate and monitor ourselves, giving ourselves kindness as we do hard things. I love this. Thank you so much for sharing it. This is really super inspiring. I think we all need to practice this one a little better, myself included. I hope that that brings you some inspiration before we move on into the episode. Thank you again, Bradley, for submitting that. I love hearing the “I did a hard thing.” Let’s talk about why you and I, and we might be anxious. 1. Genetics Reason number one is genetics. I think that if I’m with a client and they ask me, this is usually the spiel I would give them, which is, genetically, a lot of us are set up to have anxiety. What that means is somewhere in our lineage, our parent, our grandparent, someone had anxiety and it is quite a genetic trait to have. As we go through these, I’m really wanting you, just as a side note, to think about these things, but we don’t want to use these as an opportunity to blame other people. We don’t want to blame, of course, our parents or our grandparents. It wasn’t their fault. Obviously, they probably had it passed down from somebody else as well. But as we move through some of these, I also don’t want you to displace blame onto yourself, and we can talk about that as we go. But genetics is a reason that some of us are anxious. I’ll give you a little bit of a piece of my personal experience here, is I often-- I mean, I know every anxiety tool in the book and there’s been many times where I’ve visited doctors or psychiatrists and they ask me about anxiety and I’ll say, “Yes, I have anxiety.” They’ll say, “Well have you had therapy? Have you tried medicine?” “Yeah, I’ve tried all of those things and I’m highly functioning and I have a wonderful life.” But I also have to accept that some degrees of anxiety are just genetic. I’m not going to get rid of them all. In fact, I don’t want to get rid of all anxiety. I want to use this as an opportunity to remind you that this is not meaning that it’s a list of things you now have to go and fix. Not at all. This is about just being aware of what’s going on. Hopefully, at the end, we’ll talk more about this, is you can then acknowledge what might be bringing the anxiety on, but then go straight to your toolkit. The tools are the most important part here –acceptance, not judgment, willingness, compassion, being mindful. Go straight back to your tools once you’ve listened to this podcast because that’s going to be the most important piece. 2. Caffeine The second reason you might have anxiety is because of caffeine. A lot of people report that if they have too much caffeine, they get jittery and it sets off a nervous response in the body where the brain then sends out a whole bunch of anxiety hormones and chemicals in the body. Caffeine mimics anxiety, which then means that now you have more anxiety, because when you have anxiety and you experience something like it, usually, if you go, “Oh my gosh, yeah, something must be wrong,” your body proceeds to send out more and more and more and more anxiety. Caffeine can be one, but I will also tag on additional one here, which is alcohol. A lot of my patients have reported that if they’re drinking too much alcohol, they do feel that same jitteriness the next day, which then causes their brain to think something is wrong. Therefore, again, send out more anxiety, chemicals and hormones, something to think about. 3. Distorted Thoughts Now, the third is really important. I’ve done podcast episodes on this before, and it’s distorted thoughts, catching your distorted thoughts. If you are at the supermarket and the man or woman next to you drops the cereal box all over the floor or they drop a can or a glass bottle, and it shatters everywhere, you are naturally going to have anxiety. Normal. Anyone would have anxiety. It’s a big shock to the system. But if you then have distorted thoughts about that, like that means it’s bad luck, I did something wrong, I’ve humiliated myself, they’re going to be judging me – there are so many different distorted thoughts. I’m just using this as an example. Or another example would be you are interacting with someone at the bank and you have then following the distorted thought of like, “They are judging me. They think I’m stupid. I I didn’t handle that well.” Maybe you have the thought bad things are going to happen and you’re catastrophizing. Those thoughts will create anxiety. Now again, if you go back and listen to those episodes back a few weeks ago, you will remember me saying, we cannot control our intrusive thoughts. I want to make that really clear. There are a lot of thoughts you are having right now that you have no control over. What I’m talking about at distorted thoughts are the thoughts on how you appraise a situation. Let’s say you have a thought, let’s say you have harm obsessions, and you have a thought like, “What if I wanted to hurt somebody or so forth?” That you can’t control. But if then you appraise it going, “I’m a terrible person for having that thought,” that’s the distorted thought that you can actually work on. Those distorted thoughts can cause anxiety as well. 4. Behaviors Sometimes our behaviors can create anxiety. Avoidance is one of them. You would think that avoiding your fear makes anxiety go away. Makes sense, right? But actually, it’s not true. The more you avoid things, the more you actually increase your anxiety about that thing. If you’ve avoided something for a very long time, let’s say you avoided flying. Now, even the thought of flying is going to give you anxiety. So, behaviors can cause anxiety as well. Now, this also includes compulsive behaviors. It includes reassurance-seeking behaviors. It includes rumination in your mind, mental compulsions. Behaviors can increase the degree in how your brain responds. People pleasing, this is a big one for me. If I’m people pleasing, trying to make everybody happy, no one upset, you would think, oh, that’s a good thing. You’re being a kind human being. Well, yeah, except it then creates a lot of anxiety at the idea that someone doesn’t like something you did or that they’re upset with you about something that you did. Now, you haven’t built up a tolerance to just the fact that we can’t please everybody. These are ideas on how behaviors can actually cause anxiety. 5. Trauma In the mental health field today, everybody is saying everything is trauma. It’s like, “You’ve traumatized me. I was traumatized by this.” It’s important that we-- and this is for another conversation, but I’m going to slide it in here. When we talk about trauma, where I’m actually talking about life-threatening trauma. Not to say that we call it little “t” trauma. There’s big “T” trauma, which are life-threatening events, war, assault, witnessing a death, and so forth. There’s some examples. It doesn’t include all of them, but that’s what we call capital “T” trauma. There are little “t” traumas. We all have little “T” traumas and they can cause anxiety. I’ll give you an example. When I was a kid, we went through, in 1992 I think it was, this devastating drought. I grew up on a farm. We really needed water and the whole environment was just desperate for water and we didn’t have enough water. We had to pay to have a truck bring water just so that we could have baths. It was really scary as a very young child to be afraid of not having enough water to drink. It was scary. We could call that a little “t” trauma. Still to this day, when my kids, my son just spends forever in the shower, I start to notice I get anxious when he’s in there for a long time because my brain is telling me we’re going to run out of water. That’s an example of why you may notice some anxiety show up. Now I can correct that and remind myself that I live in times where there’s no drought or that we have excess water and so forth. And that’s where I check those cognitive thoughts and errors of my thinking. But the trauma itself can cause the anxiety. Again, I want us to be really careful around the word “trauma” because I don’t want us to be using “trauma” about all the things, because that actually isn’t good for our brains either to keep telling ourselves we were traumatized. That actually can create anxiety in and of itself. 6. Environment You all have experienced this. Even though I don’t know you and your beautiful face, this you would have experienced in the last few years – the environment of COVID creates anxiety. Seeing people with the mask at the beginning of COVID, I’m guessing you would’ve had a bout of anxiety. Being around loud noises can create anxiety. Being in countries or regions where there are discord, conflict, war, they can create anxiety. Being in an abusive household, the environment of abusive household can create, of course, anxiety. Having someone around you who yells a lot and screams and throws things can create anxiety. There we’re going into the line again of trauma, but we want to consider environment. 7. Stress Management A big one for right now as well. If you have an incredible amount of stress on your plate, you will naturally have anxiety. If this is you, I’m going to encourage you to consider taking some of the stress off your plate, if possible. I know it’s hard. Some of you have double jobs and family and chronic illnesses and medical, mental illnesses. It’s hard. But anywhere you can, ask yourself, is there a way I can make this easier or simpler so that I can reduce my stress? 8. Lack of Tools Now this is a big one for me because I get really grumpy and cross. That’s an Australian term for everyone who is an Australian. When you say you’re cross, it means you’re angry or very grumpy about something. I get really cross when people who claim to be anxiety specialists give these strategies that actually make anxiety worse. Sometimes people do have generalized anxiety, but the tools they’ve been given can actually make it worse. Telling people just to use oils – oils are fine. I have nothing wrong with oils. I actually, PS, love oil. But if that’s your only skill and only tool that you have and your only agenda for recovery, that’s not going to help. It’s actually going to create more anxiety because you’re going to keep getting frustrated on why it’s not working. If your only tool is to, again, another gripe I have that makes me very cross – ah, so funny that I get so upset about it – is people who talk about thought-stopping, like just think about a big red stop sign. That is not a helpful tool. Sometimes it works for some people. But if you have a repetitive intrusive thought, that is not going to work. It’s actually going to make your anxiety worse. Lack of tools is an important one. I’m even going to say be critical, even of me when I’m giving tools. Really stop and ask yourself, does this work for me? Because I don’t know each and every one of you and all the intricacies of what’s going on for you psychologically. Always stop and ask yourself, is this helpful? I like to give you as many science-based tools as I can. I try not to just decide of a strategy that I use and just use it. But I want you to be really critical of everybody. Be very wise in your selection of who you choose to get advice from. That’s just a little piece to think about. Like I said, I always say this, take what you need and leave the rest if it’s not helpful. 9. Isolation The last one is important. It’s not last for any specific reason, but it’s isolation. If you are in isolation for too long, meaning that you’re alone, you don’t have community, you don’t have connection, your brain will naturally get anxious. Sometimes people love isolation. I myself love isolation and quiet and to be by myself. Oh, it’s so good. I just love it. I just can sit and be still. It’s good for some people, but too much isolation, prolonged periods of isolation often can cause anxiety, because we are community humans. Humans are built on community and tribe and needing each other. That goes back thousands, millions of years. For those who are struggling, they’re like, “Everything’s fine. I don’t know why, I’m in my safe house.” It’s like, “Well, when’s the last time you saw somebody?” “Oh, it was months ago.” “Okay, well, that makes sense. You haven’t had any of that.” There is some science to showing that your parasympathetic nervous system slows down when you’re in connection and even physical touch with somebody. That’s just something to think about as well. There you have it. Those are the nine reasons, 10 if we include alcohol. They’re the reasons that you might feel anxiety in your life or in your lifetime. I hope that this brings you some insight and you had a few aha moments about maybe why your anxiety is showing up again. I promised I would say at the end, this is not to say that now you have to go and fix all of those nine things. Actually, quite the opposite. We don’t fix anxiety. In fact, the more ideal option would be to practice befriending and allowing and not judging anxiety. But if this is helpful for you to maybe make some tweaks in your life, change your distorted thoughts, reduce your caffeine, manage your stress, change your environment, get some connection, get some helpful tools, that would make me so, so happy. Before we finish up, we are going to do the review of the week. This one is from Tennessee Lana. She said: “Game changer. I found this podcast four years ago and it has been monumental in my anxiety and OCD recovery. Many podcasts led to new content that I could follow and learn. I could write about this and never stop but instead I’ll leave a few adjectives that I think adequately describe this podcast. Kind, insightful, intelligent, easy, interesting, practical, helpful, uplifting, and LOVING.” Oh my goodness, Tennessee Lana, do you know the word I love the most? Practical. If I can be practical in helping you, I feel like I am winning in my career. All of those adjectives make me so overjoyed, but I love these. Actually, Tennessee Lana, I’m going to steal them from you. Copy and paste them. Maybe put them on my desktop just to remind me of the goals of the podcast. Love it. I hope you found this helpful. Have a wonderful day. Please go to leave a review if you can. Those reviews allow me to reach more people from people who trust the show, which is key. If someone can see that other people are enjoying it, that means they can trust us quickly, which is the goal. And then from there, I hope that this episode was helpful and gave you some insights. All right. I will see you next week. Have a wonderful day.
undefined
Mar 4, 2022 • 44min

Ep. 224 Greater Than Panic (with DLCAnxiety)

SUMMARY:  In today's podcast episode, we have Dean Stott from DLC Anxiety talking about his experience with Panic Disorder and Overcoming Panic Disorder.  In his upcoming book, Greater Than Panic, Dean talks about what it was like for him to experience agoraphobia, panic disorder, and other struggles after the death of his father.  Dean spread an inspiring story about overcoming panic and how he is Greater than Panic. In This Episode: What it was like for Dean Stott to have Panic Disorder How he overcame panic disorder using CBT and Mindfulness How Dean created DLC Anxiety, an online platform that helps millions with panic, anxiety and other mental illnesses. Tools that he found helpful to manage his Panic Disorder while also grieving the loss of his father. Links To Things I Talk About: DEANS BOOK GREATER THAN PANIC  Amazon link Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 224.    Welcome back, everybody. We have an amazing guest, a very, very sweet friend of mine. I am so excited to have on with us Dean Stott from DLC Anxiety. He is a true legend. Dean is on the episode today to tell his story about going from having a fairly severe panic disorder to then creating a mental health platform with over 1 million followers. He’s now all about creating mental health awareness sharing with people. He’s such a cool human being. And I’m so honored to have him on today.    We talk about his recovery, which you will get a lot of hope from because, like everyone who comes on the podcast, he really did the work, which is so cool. But then we also talk about the role that social media can play in mental health recovery, things to look out for, how to handle trolls, the benefits of being online, especially social media. If you have a mental illness, we go through it all. And it’s such a great episode. So, I’m so excited to have Dean on today.    Before we get into the episode, I want to give you the “I did a hard thing” for the week. This is from Nicole, from the Netherlands, and she said:   “I did a hard thing and I get very anxious when I have to call my doctor. My heart rate goes up and I get all trembly. So, I tend to avoid calling the doctor. But because I had been feeling dizzy, I had to get my blood checked. Afterwards I would have to call the doctors for the results, except I didn’t. I told myself if there was anything serious, surely they would call me. I kept this up for almost two weeks and then I suddenly thought I really should call for the result. So I pushed in the numbers to the doctor’s office, feeling all kinds of nervous. I was very tempted to just hang up. While I was waiting, I thought, why did I do this? What if I get bad news? But then I had another thought, if it’s bad news, all the more reason to hear it. So I hung on and I faced my fears. Turns out I have a vitamin D deficiency. It’s not very worrisome, but important to fix. I’m so glad I phoned the doctor, even though I REALLY DIDN’T WANT TO. Nicole from the Netherlands.” Nichole, I love this story. And the thing I love the most, and for those of you who want to submit for this, please do go. I’ll leave a link in the show notes. But Nicole, I love that you detailed what got you to do it, how you did it, what thoughts you had to shift up to get yourself to do the hard thing. You walked us through step by step and it makes my heart want to explode with joy. Thank you so much for sharing it. Amazing, amazing, amazing, amazing, amazing work. I am so, so impressed. So, thank you, Nicole. I love it.  Let’s get over to the show where we can hear all about Dean’s recovery. ----- Kimberley: Welcome, Dean. I am so happy to have more-- actually, as much as I’m happy to have you on the podcast, I’m just happy to have chats with you. Welcome. Dean: Thank you so much. Thank you for inviting me, Kim. Kimberley: Yeah. So, I feel like I know you and your story pretty well. But I would love for you to share your story with my listeners because I think you have some really great stuff to share. So, can you share whatever you’re comfortable about your recovery? Dean: Yeah, sure. So, basically, once upon a time, I was going through a panic disorder. So, dealing with four panic attacks, maybe four or five panic attacks every single day, where I get the worst period. And yeah, I went through a panic disorder, did my own research, a lot of science research, CBT research, mindfulness meditation, and curated my own plan out of recovery with the guidance of a really good support network, friends, and mentors, who’d been through an anxiety disorder and come out the other side and fully recovered from the panic disorder. I then wanted to take that feeling of the support that I was given from my older mentor, the friend that had been through it. I wanted to share that with as many people as I possibly could. So, I came up with DLC Anxiety. So, at first, I remember sitting down and I was like, “How can I get this message out to as many people as possible?” And I was thinking of local support community groups, like the Alcoholic Anonymous groups where people go and it’s a supportive network between each other. But then I was just so eager to try and get it even more on a global stage. And I saw what Instagram does and I just thought it would fit nicely in there, because I did see that there wasn’t many mental health communities when I first started. So, I thought there was definitely a nice place for it to fit there. So, yeah, I started to tell my story on Instagram. People started to relate, and it was a snowball effect from there. And now we’re over a million followers in the community, which is fantastic. Kimberley: So cool. So, I think that the whole concept here is really to look at what-- let me backtrack a little bit. So, in your recovery, did you do it all on your own? Did you have a therapist? What was that process like for you? Dean: Yeah. So, my father passed away. Like any people, any male in that situation, I bottled up the feelings that I was going through and tried to carry on with going to work and trying to get back into my daily routine. Almost putting it to the back of my mind because I wasn’t-- well, I didn’t have the techniques to cope with that and I’d never cope with loss before. So, it was from that bottling up of the grief that the panic attacks started and occurred.  So, when I first started having panic attacks, the first thing I did was go to the doctors who then referred me onto a grief counselor, but just specifically to address the grief side of things and not the anxiety, not the panic attacks. Regarding the anxiety and panic attacks, that was me curating, delving into a lot of psychoeducation, which I found very useful, learning about the system and the symptoms of anxiety. Now I’d done Psychology at university and done CBT before. So, it is like not I’d never--I knew the basic concepts of anxiety, but learning more about it and learning about the scary symptoms where you think-- firstly, when you have a panic attack, you really think that you’re going to die. It’s a really, really scary thing to go through. And yeah, to start learning about that was super important for my recovery.   Kimberley: Right. And so, let’s talk about community, why do you feel the community aspect was so important for you? Tell me about the idea of creating a mental health community for someone, let’s say, who’s suffering with panic disorder or grief or OCD or anxiety. What’s your thoughts on that?   Dean: Yeah. So, when I was going through panic disorder, I felt isolated, I felt alone, and really, I didn’t really want to bring it up to people around me because I just didn’t think they’d be able to relate to me. I thought these symptoms was just something that I was going through and something that I’d have to stick with for the rest of my life. I thought that was me, that I was going to be Dean who has these panic attacks. And I was going to have to navigate my way through my daily routine. And I think when I opened up to my mentor, a close friend of mine, who was working with me at the time – when I opened up and he shared his experience, it was the biggest weight off my shoulders, knowing that someone else had been through not the exact same story, but it experienced all these scary symptoms that felt isolated, felt alone, but more importantly overcome an anxiety disorder. And I think it was that inspiration and motivation that really helped me in my recovery.  So, yeah, having an important-- so, DLC is Dean’s Like-Minded Community. So, it’s a community full of like-minded people on anxiety recovery journeys. Some people are at the end, like myself, I don’t deal with panic attacks anymore, but some people are at the start, some people are in the middle. And they can all relate to each other no matter where they are on that journey. And then what’s beautiful about the community is where you see them sharing tips and experiences that work for them. And I know you speak about it highly as well, having an anxiety toolkit, because some tools might work for one person, but then might not work for another. But I think it’s very important to get as much information out there about all the different range of tools, so then each person can individualize their own recovery. Kimberley: Yeah. So important more now than ever, I think, given that the degree of mental illness is so high given COVID and isolation and everything. Okay. So, you have this platform. I love it. Very much, I loved being a part of your community. Why do you think that that is the most important piece, the community aspect? Can you share a little bit about what you see and hear from your community and why that’s so important? Dean: Yeah. So, again, so many DMs from people saying that they just feel connected. They feel hope, they feel inspiration, they feel motivation. Not only for me, who’s at the head or the founder of the community, but of all these people that are going through it, jumping over a million people worldwide. We know mental health. It doesn’t have a face, it doesn’t have a color, doesn’t have a social structure, it doesn’t matter what you’re working as it can affect anyone. And I think that’s why it’s really important and became an integral part of the community, was the interview series that I started doing with firstly mental health professionals from around the world. So, CBT professionals like yourself, Kim. Then we’ve had psychiatrists, psychologists, doctors. And having just as much information about anxiety and anxiety recovery, I think has been a super important part.   So, again, it’s not only having this community, it’s having the psychoeducation and real good-- I’m in a real good place now where I can guest on who I’ve joined a world-renowned within the space of anxiety. And also, we’ve had so many celebrities, musicians, actors, actresses come on and tell their own mental health stories where they struggled or where they’ve been vulnerable. And that’s really related to the community as well. Because obviously, people work at celebrities, people work at musicians and they might not know that just too, they’re going through a mental health disorder. So, yeah, having people like that come on and tell their own stories has been super, super beneficial for everyone as well.  Kimberley: Yeah. See, the cool thing is that the science, this is why I’m really fascinated in, is the science of self-compassion says that there are three components of self-compassion. One being mindfulness, the second being common humanity in that reminding yourself that you’re not alone in your struggles is the second most important part of self-compassion. The third being self-kindness. Now the reason I love this is I know for myself in the areas that I struggle, if I look at an account and I can see that a million people follow a mental health account, it gives me a sense of common humanity that there are a million people struggling with something. If you see an OCD account and it’s got 60,000 followers, you’re like, oh my God, that’s a lot of people. I must not be alone in my struggle or an eating disorder account. Or I love some of the autism accounts. I think it shows that it gives you permission to see that you’re not alone. And I love that. It’s such a beautiful piece of the work. Dean: Yeah. And especially where you just mentioned self-kindness as well. I think that’s an important subject just to speak about, is that when you’re going through an anxiety disorder, you have this inner critic that’s telling you that you’re never going to come out of it, that you’re not good enough, that maybe this is happening to you for a reason. When you come across these communities of people who are on their own journey of recovery might be a little a few more steps ahead than you, and you see that they have a positive outlook, some of them, on recovery and they are making steps. I think knowing to change that in a narrative and have that self-love and compassion is super important when it comes to anxiety disorders. Kimberley: Yeah. And that’s the benefit of social media right there. I think social media gets a really bad rep, but we have to weigh the pros and cons because there are lots of pros, right? Dean: Yeah, no, 100%. What I’d say is this is how I define it, is that if we just take Instagram and our mental health community so all the mental health accounts that are doing great, I see just like a safe haven corner of Instagram where people can go to and feel supported and connected and learn more about mental health in general. An app, like you say, can have a negative effect on people. And I think people speak about the algorithm and obviously, it’s all guessing what the algorithm’s going to do next, but I think we can actually use the algorithm in our favor.  And if you just bear with me on this, if you think about all the accounts that you’re following, so if you’re following all positive mental health accounts or self-compassion or self-care, self-love, then the algorithms are going to spew that out to you in your own feed. So, what are you doing? You’re starting to change that in a narrative like in your digital world, because you open up your app and you start to see all this self-love and positivity. So, you can definitely use the algorithm. So, I think it’s super important in taking a look at who you’re following and seeing, does that benefit your mental health? And if it doesn’t, then I don’t think you should be following them.   Kimberley: Yeah, I agree. Actually, I just was saying yesterday that I was just scrolling my-- I’m rarely on social media just to scroll. I’m usually there to do the work I do. My son was sick. I was sitting there wasting time. But the cool thing is the suggested was all cool stuff. It was really cool. I was like, “Oh, I love all these new ideas and these new looks.” And I was really appreciating what was being suggested to me, even though I know there’s some controversy around that. It was very cool. Dean: And you can imagine if somebody’s just starting or at the beginning of anxiety disorder and they’ve got this negative outlook and they’re isolated and they haven’t connected, then the algorithm may be spewing them not the right information. So, I think it’s important to really highlight the best we can our corner of Instagram, this mental health community that’s doing so great. And it’s a new wave of mental health support really and much needed, like you say, with COVID and everything that everyone’s still going through. I think over the next five, 10 years, it’s going to be more needed than ever. Kimberley: Right. Absolutely. I can’t agree more. I don’t even think we have the stats yet on what mental illness is like from COVID, mostly the isolation of COVID. So, I 100% agree. So, let’s step outside of the online world and let’s talk generally, how did you find this community? Not the online community, but as you were going through recovery, did you tell them about your struggles? Did they come to you? How would you suggest people tell somebody about their struggles? Do you have any thoughts on that?    Dean: Yeah. So, my body and my mind and everything was telling me not to open up about anxiety and not to speak to anyone and to keep it as an inner struggle, because everything with anxiety, we know it’s all internal, it’s all inwards. We’re ruminating on our thoughts, feelings, and sensations. So, it doesn’t make sense to then speak to other people. It’s not natural to do that. So, I had to go against that and I just started to open up and not feel ashamed to tell people what I was going through. I think I got to a point where it felt like I was struggling too much for me to be going through it, so I felt like I had to. So, my advice to people would be, speak to the people around you, have a support network. You may come across people who dismiss your anxiety [00:15:20 inaudible]. And it’s super important to know that just because they dismiss it doesn’t mean anything. It’s just, they may be their views. They might not have the education on mental health. So, yeah, if you get dismissed, that shouldn’t stop you from opening up, because I know that people often, especially in my community, say, “Well, I feel like I can’t tell people because if I tell my parents, for example, they just tell me to continue to get on with it that I don’t have these issues.”  So, I think that when that happens and you have parents and it’s important to put mental health boundaries in place, obviously, especially if we’re living with our parents, we can’t just move out or whatever or if we’re young. So, we have to put these boundaries in place and have a support network around us. So, if you are younger, it could be someone in your education system, it could be a support worker, or it could be the online communities like we mentioned.   Kimberley: Yeah. That’s interesting because what’s been on my mind lately, particularly in the online space, is what to do when you have been dismissed. Now that happens from parents and loved ones. But I think it does happen on social media as well, right? You will have-- the message I’ve been trying to give is, if it’s helpful, take it. And if it’s not helpful, leave it. Because a lot of people will come to my platform and say, “I’m freaking out because I just read this, which goes against what you’re saying. And I don’t know who to believe.” And they’re doing the best they can with what they’ve got. So, I think that it’s important for people, even on the online, to also dismiss bad advice online, right? Dean: Yeah, definitely. So many people get dismissed online, don’t they? But I think you gave some great advice, Kim. And that was, anybody can write anything on social media doesn’t mean that it’s true, does it? So, we need to take in what someone’s saying to us, but if it doesn’t fit our way of thinking or it doesn’t benefit us, then it’s okay to reject it. Just like if we think of anxiety and thoughts and you get these irrational thoughts. We get this irrational thought and we don’t believe it. What do we do? We don’t accept it. We can reject and replace it. And that’s what we should do with the information around us. So, if we see a negative comment towards us, it’s so easy, isn’t it? It is so natural for us to react in a negative way because that’s the way we’re built. You know what I mean? It’s our protective system there to try and protect us. But yeah, if it’s not benefiting you, then it’s okay to step away and move away from it. Kimberley: Okay. So, let’s talk about the dreaded trolls because that’s the perfect segue. So, what I would love for you and I to talk about, and if it’s okay, be as open as you can, but let’s talk about the mental impact of having a troll, because I think you could have a bully at school and you could have a bully for a boss or you could have a bully online. And I think it’s similar in how we can internalize it. So, I have had a troll for over a year now who’s pretty aggressive. And most of my people know aggressive and awful. And in the beginning, I took it completely personally, right? Completely personally. I thought everyone was just going to hate me. And it was the most-- you know the whole thing about you have to break something to put it back together the right way? Dean: Uh-hmm. Kimberley: That’s how it felt for me, because obviously, I had built my platform and what I do, my businesses on this idea that if I just do good and I’m kind all the time, no one will ever hate me. It’s impossible to hate me if I’m kind. I think it was this belief system that I had. And that got shattered into millions of pieces because there were people who really didn’t like me. And so, I think that I’m glad it broke and it got shattered because I got to put it back properly of I had to restructure that belief. But that was really, really hard. And having someone online say things, such horrible things, I really, really had a difficult time of not taking it personally. So, can you share what your experience of online trolls and that kind of thing has been? Dean: Yeah, sure. So, with the DLC Anxiety community, especially when the first lockdown happened and we had the celebrities and musicians, they all started to gain control back of their own social media accounts. So, we saw a lot of celebrities sharing mental health stuff, which is amazing because it’s shining a big light on everything to do with mental health. So, I saw an exponential growth within that period of the community. And yeah, I remembered it was on either speaking on interviews with people or just on lives. Again, your mind zones in. Doesn’t matter how many positive messages you see on your Instagram lives, for example. It’s only natural if you see one negative comment for your mind to then just zone in on that. And I remember the first time that happened to me. I was really taken back because I was putting 23, out of 24 hours into being in this community and helping the best I can, sharing a very vulnerable story to do with my father passing and then an anxiety disorder. And I thought I was being vulnerable and open and honest, and like you say, just trying to give as much love and support for people as I could. And then to see that someone else, some people were being negative towards this, it was dismay. I couldn’t believe it. It didn’t feel real. It was like, “Why are they saying negative things towards me?”  So, it was definitely a learning curve. I always remember the first time that happened. Over time, it has got better. Like you say, you managed to structure and rearrange things and you managed to not take these things personally and look from the outside, that the people that are spreading hate or being negative, they may be hurting themselves.  My take on it now, Kim, is that even if these people are spreading hate and being horrible on my community, especially towards me, is that hopefully, they may get some good out of one of the other interviews with someone else, because I know that these people, they’re in need of mental health support themselves. And for whatever reason, they haven’t been able to get it. And I always think that if they’re giving me hate, I can now take it. And hopefully, they might see something that benefits them. But it has been very hard to change my perspective on that. It was not an easy road. Kimberley: Yeah. That’s hard for me. I think on my end, I just had to keep reminding myself that, well, all the words are about me, it’s really not about me. It’s a lot about them and their struggle. The way I work through it-- and maybe you could tell me what you think as you see the troll, like how do you think about it. For me, when I see really awful, hurtful, hard comments, I first remind myself, this person had to suffer a great, great deal to be spreading this much hate. To understand that they had to-- no one who’s had a really easy life is jumping onto the internet and spending hours spreading hate on people. It’s usually that they’ve been through an immense. And that was really helpful for me, compassion-wise, of just to be like, “I actually have compassion for you. You’ve obviously been through the wringer.” And then the second piece for me, and this was the hard part and I’m curious, I really want to know your thought, was to start to trust that people will trust me, that people will see the real me, not me that that person is saying I am by me being consistent and showing up as me. And that was a hard piece because, at the beginning, I was like, “But what if they don’t trust me?” The consistency has been really helpful for me. But I think the truth is, that has also been really helpful for me to translate it into the real world.    Dean: I was just going to say, yeah, because if your inner critic, like you say, is wanting for everyone to relate to everything that you’re putting out there, all the amazing stuff that you’re putting out there, the last thing you want is somebody trying to discredit that because, you know what I mean? All we’re trying to do is help the people around us. So, yeah, it’s that inner critic and working on our inner ourselves.  When I see a troll online now, I just tend to leave them be. I think just leave them to do what they want. I think we know that our communities know what we’re about. They know how much we give to our communities, they know how much support and wealth that we give everyone on a continuous day. And like you said, you can’t stop these people, but also, just because they’re writing something, it doesn’t mean that it’s true, which I thought was beautiful for you to say.  Kimberley: Yeah. It’s tough. I mean, I think that that is a huge part of our mental wellness, is how we relate to people, right? And we’re in relationships. So, even if we’ve got a panic disorder, I was thinking about this the other day, is we’ve had a really, really rough house here in the Quinlan house this week. It’s been pretty chaotic, lots of sickness, lots of scary COVID scares, and so forth. And there was a time where I would’ve lashed out because of my own anxiety. I would’ve been really snarky to my husband because he goes to work and he doesn’t have to handle it. And I would often displace my anxiety and anger, just snotty. And that happens a lot. I hear a lot of people talking about just in daily life like, “I’m really struggling because my partner and I aren’t getting along because everyone’s anxious and so forth.” So, I think it is helpful to be in relationship with people who do have their own struggles. Like I said, it happens online, but it’s also happening at home.  Dean: Yeah. It can just happen on a day-to-day basis. A lot of people say that they can’t deal with people when they’re being negative towards them in real life. But it’s about taking a step back and knowing that the person who’s spreading that negativity towards you, that maybe they’re having a really rough time at home with their partner, that maybe they’ve got troubles with their job, money. It could be anything. Maybe they were traveling to work and they got caught up. And we’re all a product of our emotions at that time. And emotions, as we know, they come and go and it doesn’t curate who we are as a person.    So, if someone’s being angry towards you and negative towards you, it’s about taking a step back and knowing that it’s more on them again and it’s more on what their experience and the feelings and emotions and putting the correct boundaries in place. But it is really hard to do. I’m not saying that it’s easy to do. It is super, super hard, especially when someone’s coming at you with negativity. Your first line of defense is, you know what I mean, to attack normally, isn’t it? Or to take a massive step back. So, yeah, it takes a lot of practice, but it can be done. Kimberley: So, talk to me about, you’re probably the one person who would know the answer to this, can you share with us about managing mental illness with social media? How might someone have a healthy relationship with social media and the use of social media? Dean: Yeah. I have to put boundaries in myself because I say everything that I do is on Instagram, 99% of it. And if I’m not working on Instagram, I’m working on my website, which again is online. So, yeah, putting boundaries in place is super important, having rest away from social media, what we mentioned earlier about following accounts that really benefit you and have a positive impact on you and just getting rid of the negative accounts that are not making you feel good. You don’t want to go onto social media and not feel good because we all know we spend way too much time on social media. And if we’re spending that time looking at negativity, then that’s what it’s going to do. It’s going to put our mood in that sense. And we could really spiral into a state of being in a negative state just by what we consume. It’s like when people speak about the news and say, “Oh, well, I can’t watch that because it affects my mental health.” Social media is exactly the same, but probably more so, because we’re spending more time on it and it’s literally part of who we are now. Kimberley: Right. What would you say to someone who uses social media to cope with their anxiety, meaning to distract against it or to get them through their panic? Do you have any thoughts on managing it for anxiety? Dean: Yeah. It’s a very good question. So, I always go back to thinking, at the start of my panic disorder, if there were communities like ours out there, would it have been beneficial for me? And the number one answer is yes, 100%. It would’ve been an eye-opener. I would’ve felt I wasn’t alone. I would’ve felt motivated and encouraged that I can continue. But if you’re using anxiety communities as a way to not do the hard work, then I think it can be detrimental. I think anxiety recovery is about doing the hard work.  Now, a lot of people, and I’ve just done a post on this, unfortunately can’t have the access towards therapy, which we know has a massive benefit on mental health. We speak about anxiety, the latest sciences, the medication and a combination with CBT therapy has the best results. Now, that doesn’t mean for everyone, but some people may do better with medication, some people may do better with therapy. So, I think that having a community to help you and understand the psychoeducation behind it is great. But if you’re using it as a distraction to try and distract you from feeling anxious and dealing with the anxiety head-on, that’s when it can become detrimental.  I often say that there’s so much information-- and you can obviously maybe shine away on this, Kim, but what would you say to people who say that they can’t access therapy? Maybe it’s a money thing. Maybe it could be anything, couldn’t it? Do you believe that these people can still recover? Because there seems to be a narrative online that therapy is the only way forward. I think that’s an unhealthy way of looking at it because we know that anxiety recovery, there’s so many different routes out of it, and it all leads to the same angle, doesn’t it? Which is anxiety recovery. So, what would you say to the people that can’t access therapy? Would you be still giving them hope? Kimberley: Well, to be honest with you, 1000% I would give hope. I myself have had therapy for some things, but I really didn’t feel like therapy for other issues were helpful. And I felt it was better for me to actually work through a workbook, listen to a ton of podcasts. I’m a real mix. I’ve been blessed and privileged to have some amazing therapy, but some of my mental illness, I really needed to do on my own. But I did them through, like I said, a workbook, a support group, some were online courses. I mean, that’s why I created ERP School, was because people didn’t have-- that we’re turning them away to nothing. But what was really interesting about ERP School and CBT School is just recently, out of the blue, a bunch of people have reached out to me and said, “I wanted just to let you know that that got me right back on my feet.” It’s so wonderful to hear those stories, because otherwise, you’d don’t know them and you didn’t realize what an impact. So, no, I absolutely believe, I’m a real big believer in workbooks. I struggled with workaholism and that workbook for workaholism was huge for me and perfectionism. These are two really, really important things that I use that did not require therapy at all. Dean: Yeah. So, like you, Kim, I like to be guided by the science. So, I know obviously how important therapy and how life-changing it can be for some people with anxiety. But also, I think there’s still a lot of stigma around medication when it comes to anxiety, especially online. And yeah, I think we need to do a little bit more work on that because I think anxiety medication is being dismissed more so. Maybe that’s another conversation that we can have in the future. But I didn’t go through therapy with my own anxiety disorder, with the panic attacks. Mine was going online. I think you have to go to a trusted site. So, over here, you have the National Health Service, which has a ton of resources, all scientific, proven, all credible from the correct sources. And I think if you’re researching and looking at all the correct things, I think that can be really powerful for you. So, if you can’t access therapy, of course, there’s still hope. Of course, you can still recover. And that my message to everyone is I did it. So, if I can, I’m just a regular guy, you can do it too.  Kimberley: I love that. Just because I know, and thinking of the person listening here, like how did you do it? I know we haven’t got a ton of time, but could you just say, how did you muster up the courage on your own to face your fears?   Dean: That’s a great question. And I do have my book coming out, which is-- Kimberley: All right. Dean: Yeah. So, the book is called Greater Than Panic. It’s the number one question that I’ve been asked since day one of starting out the anxiety community, and that was, what is your story and how did you get from four panic attacks a day to be in the head of DLC Anxiety and be in the face of the interviews and not having panic attacks? Obviously, I’m still having anxiety. That’s a message that I think isn’t hammered home enough, whereas the goal of anxiety recovery is not never to feel anxious again. I think people often are misguided and have misinformation, especially at the start of an anxiety disorder, thinking that the goal is to never feel anxious again. The goal is to change your behavior to when you’re feeling anxious and make sure that it doesn’t have a detrimental impact on your day-to-day. I go right back to the basics. I go back to speaking about my father’s death, which was obviously a really terrible time, and it brought out a lot of emotions but also, I think it was important for me to go back and just explore it again. And I speak about my relationship with the doctor. It’s again another message that I like to hit home, is that if you’re dealing with any physical symptoms to do with emotional symptoms, to do with anxiety, your first port of call has to be the doctor, because we know that anxiety disorders can mimic other things. And so, it’s super important for a medical professional, a GP, a doctor, to run diagnostic tests to make sure that everything else is okay. And then when they tell you that it is okay, you can sit down with the doctor and you can start to plan your journey of recovery, which may be therapy, maybe self-help, maybe meditation, mindfulness, exercise, medication, so many different routes.  But yeah, my number one message is, if you’re dealing with physical symptoms and you haven’t had them checked out, you have to go to the doctor. So, I speak about my relationship with the doctor. I speak about curating my own anxiety toolkits. So, what worked for me and the research and the science behind each thing that I was trying and how it had a benefit impact for me. And I speak about exposure therapy and how that was really beneficial for me, but doing it not guided by your therapist.  Now, if you look at the science, you would say that the best effects of exposure therapy is guided with a therapist, but I didn’t personally have a therapist in my journey. But if you can have a therapist, I definitely recommend that that’s the best route to go down. But I speak about how exposure therapy worked for me and I speak about the hiccups on that road to recovery and what recovery looked like, what it meant to me. And then I speak about the anxiety community and how I wanted to spread the message and get that message across to as many people as I possibly can. And yeah, it takes me to the present day.    Kimberley: I can’t wait. That’s so exciting. So, tell me about the name of the book.   Dean: Greater Than Panic. So, that’s the message that you are greater than panic. Just because you have feelings of panic, if you’re up in panic attacks or panic disorders, it doesn’t mean that you’re broken, it doesn’t mean that you can’t be fixed. There’s nothing to fix because you’re not broken. So, you are greater than panic at all life, things, all the dreams, aspirations, careers, travel, love, money, whatever it is that you want, you can get. Doesn’t matter that you’re going through panic or have panic attacks. O if you’ve been through panic disorder, the other message is that you’re greater than panic. Kimberley: Amazing. Okay. So, I’m going to leave you. I feel like that’s the perfect way for us to end out. Is there anything else you want to share with us, any links, or how people can hear about you? Dean: Just DLC Anxiety over on Instagram and the website, www.dlcanxiety.com. I’d just like to thank you, Kim, for obviously inviting me on here. And I’d like to thank you for everything that you’re doing in the mental health space. CBT is super important to me. It’s an integral part to my recovery. And yeah, I’m just super grateful for our connection on Instagram and just everything that you’re doing. Kimberley: Thank you. I feel so blessed that we randomly got to meet. You know what, it’s such a blessing. So, thank you. I’m so grateful. Dean: Thank you. ----- Thank you so much for listening. I’m sure you got so much from that. Before we finish up, let’s do the review of the week. This is from Disc Golf Nate. They gave five stars and they said: “As Kimberly would say, this is not necessarily a substitute for in-person therapy. But it is still a very powerful tool. I’ve used this podcast in conjunction with my therapist and some books, but this podcast brings me the most peace.” Thank you so much, Disc Golf Nate. I am so honored for that amazing review. And yes, this should not substitute therapy, but my hope is it gives you some tools, some skills, some hope, some support, some joy, and compassion into your recovery. So, I’m so honored to have this time with you. I will see you all next week.  
undefined
Feb 25, 2022 • 20min

Ep. 223 What if I Don't Deserve Self-Compassion

SUMMARY: We all know that self-compassion is am important tool for anxiety recovery.  In this weeks episode of Your Anxiety Toolkit podcast, I address a common concern; “What if I dont deserve self-compassion?”  This is such a common reason people do not provide themselves with compassion.  In this episode, review the reasons YOU DO DESERVE SELF-COMPASSION and some key concepts and self-compassion mediations to help you practice self-compassion. In This Episode, we cover: Self-Compassion Definition Reasons people feel they do not deserve self-compassion Ways to manage feeling unworthy of self-compassion How to practice Mindful Self-Compassion Links To Things I Talk About: Self-compassion Mediation: Here is a link to several self-compassion meditations from previous episodes. https://kimberleyquinlan-lmft.com/episode-2-lovingkindness-meditation/ https://kimberleyquinlan-lmft.com/ep-134-giving-and-receiving-meditation/ https://kimberleyquinlan-lmft.com/ep-110-this-compassion-practice-tonglen-meditation-for-anxiety-will-change-your-life/ Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 223. Welcome back, everybody. It is a joy to be with you again. Thank you so much for being here with me. Thank you so much for putting aside your valuable time to spend it with me. I feel so honored. Today, we are talking about a question. And in effort for us to respond to this question, we’re actually going to ask ourselves some questions and I’m going to have some questions for you, and you’re going to think about them, hopefully, and then make some changes if you think that is what you need. The big question of the week is: What if I do not deserve self-compassion? Now, one of the most common questions I get is this question, particularly when I’m with patients and we’re discussing the idea of practicing self-compassion or kindness towards themselves. Often, that is a question they ask, what if I don’t deserve it, or they may even make a statement like, “I don’t deserve self-compassion.” Now, this is particularly true for those who are very self-critical and blame themselves for certain things that have happened either to them or that they have done. Like I’m saying, it’s like things that were accidental, things that they didn’t have control over, or maybe some things and mistakes that they did make. This is a really important question for us to explore. I’m going to hopefully get to explore it with you. Before we do that, I would like to do the “I did a hard thing” for the week. This one is from Sophia. Thank you, Sophia, for writing in and telling us your hard thing. Sophia said: “I suffered from OCD starting when I was 19. My hard thing I did was I reported my stepfather in for sexual abuse that occurred when I was nine when I found out I wasn’t the last victim. It took me 28 years to get to this place. And let me tell you, OCD really played into my intrusive thoughts. It made the process so much harder. But I did it and I feel like I’m out of the web of manipulation from my stepdad. This podcast helps so much and the book for self-compassion and fear workbook my OCD therapist recommended to me. I saw your podcast listed in the first few pages. Thank you for being a part of my support system without even knowing.” Wow, that was an amazing “I did a hard thing.” Thank you so much, Sophia, for sharing that amazing hard thing. You are showing up and facing fear and pulling your shoulders back and living your life according to your values. That is impressive. I’m so honored to have you share that with us and really do wish you the best. You are doing amazing things. Okay. So, let’s move into the bulk of the podcast in terms of let’s talk about what if I don’t deserve self-compassion. This is so important. I’m going to first pose to you the first question I have for you, which is, who actually deserves self-compassion? If someone says to me, “Well, I don’t deserve it.” I’ll say, “Well, who does? What do you have to do to be warranted of compassion? Who does deserve it?” I really pose this question. I really hope you answer it. I would like actually you to sit down and ask yourself, “Well, then who does?” And you will begin to see very quickly, I’m guessing, the rules in which you have for yourself that keep you stuck. Oh, the people who don’t have these thoughts, the people who don’t make mistakes, the people who are perfect, the people who look like they’re happy and are doing well. Or often people will say, “Everybody else is off the hook. It’s just, I’m not off the hook. Everyone else can be imperfect, mistake makers, but not me.” You’ll quickly learn the rules of your life. I want to ask you, do you want to live by those rules anymore? Because this is not playing games. This is your life. Do you want to keep holding yourself to those rules that you just listed off? How does it benefit you to continue to hold yourself to that high, high standard? Often, we say, “I shouldn’t have these feelings. I don’t deserve it because I’m weak. I don’t deserve self-compassion because I’m not valuable. I don’t deserve self-compassion because of the content of my thoughts. The content of my thoughts is too heinous.” Okay. So, there you might want to look at, again, what are the rules and do you want to live by those rules? Because the truth is, you can’t control your thoughts and you can’t control your feelings and you can’t control life a lot of the time, almost all of the time. And so, again, do you want to live by those rules? Next question: Are you beating yourself up for something that’s not your fault? Meaning can you control your thoughts? Because my thoughts aren’t my fault. I know my feelings aren’t my fault. I know how I interpret things aren’t my fault. That’s usually coming from years and years of being trained to think that way. I know my beliefs aren’t even my fault. I actually think we’re just creatures of habit and we were raised to believe certain things and we are going to make mistakes. I’m going to say this again: What would you have to do to warrant deserving self-compassion? Often when we actually explore this, I really, really hope you start and actually write your answers down to these questions because when we stop and we look at like, okay, so if you don’t deserve self-compassion, we really know the benefit of you practicing self-compassion so much so that I am in the process of creating a course that will teach you. I’ve already written a book for people with OCD, but I’m creating a minicourse on how to practice self-compassion. It’s that important. I want everybody to have access to it, not just those who have OCD. That is a big part of my mission, is to get everybody to be practicing self-compassion. Let’s say we really understand the benefits of it. We know it’s important. We know it can increase motivation, make you more successful, decrease procrastination, make you feel like a better sense of self. It can help you achieve your goals. So many benefits. It actually reduces inflammation. It gives you better wellness and health. It increases life satisfaction. So many benefits. Let’s say we want you to do it because it’s healthy, just like you would exercise because it’s healthy, or you would go get it to the dentist because it’s healthy. What would you have to do then to be warranted and deserving? And often then, again, you’re going to be very clear in terms of this list of things. I’m going to ask you, are the list of things even realistic? Really, if you said, “Okay, I’d need to no longer have these thoughts and I would have to have changed the past and done something different. I’d have to regulate my emotions all the time. Never snap at my children and never say something silly at a party.” Is that even possible for any human? Really for any human, is that realistic? Do you actually think you can actually achieve that really honestly? This is a question. This is not rhetorical. This is an actual question. The chances are, when you really answer it, the truth is, you’re not giving yourself self-compassion because you don’t feel like you deserve it. But the truth is, you will never be able to meet these rules that you’ve created for yourself. I don’t want to say that as if I’m blaming you. We’ve all done this. But I want you to be really honest with yourself in regards to, you’re never going to get to the place where you practice self-compassion if you keep those high level of rules, those perfectionistic rules. And then you miss out on this wonderful opportunity for your mental health and for your physical health, and for your wellbeing. Here is another question: What would you have to feel in order to offer yourself self-compassion? Meaning how would you need to feel about yourself? What emotion would you need to feel in order to feel like you deserve it? What would you have to experience about yourself? Not the rules, but like would you have to. Some people say, “I don’t feel like I deserve it.” It’s a feeling. The reason I ask this question is because often people will say, “It’s just a feeling I get. Sometimes I feel like I do and sometimes I feel like I don’t, usually depending on whether I’ve checked off all of these boxes.” But it’s still a feeling that you’re going off because it’s different. It’s not like you get your notepad out and you check the boxes. It’s a feeling. I might pose to them, could you actually offer yourself self-compassion without the feeling and just do it anyway? It’s a very, very radical thought. What a radical idea that you might offer it to yourself even though you don’t feel like you deserve it. Could you offer it because of what you’ve been through or because of the checkboxes that you haven’t checked? Meaning I believe, and I’ve said this on the podcast before, and I’m going to say it very, very clearly here for you, I believe the more that you suffer, the more you are deserving of self-compassion. It’s not the more mistakes you’ve made and the more you’ve suffered, the less you deserve it. It’s actually the more you deserve it. “Oh, I’ve made a lot of mistakes today.” Oh, you’re even more deserving of self-compassion. We want to offer more to you. Oh, you are having a really hard day with some really hard emotions and some strong emotions. Oh, even more of a reason to offer compassion. Now, usually when we talk about this, clients will say, “No, that’s just letting yourself off. That’s just getting out of jail free card.” I’m going to offer to you, like let’s trick this belief and check made it a little bit if we were talking chess, is self-compassion is not a get-out-of-jail-free card. It doesn’t mean you stop holding yourself accountable. It’s actually what helps you towards change. You are saying, “I don’t deserve self-compassion. I need to suffer and be criticized and punished because of something that happened.” Does that actually move you towards perfection? No, it doesn’t. It doesn’t create any change. In fact, it keeps you now doing behaviors, like I said, self-criticism, self-punishment, which keeps you stuck in a cycle of feeling bad and negative thoughts and feeling depressed and feeling hate towards yourself. Very little good comes from that. That is not getting you out of any problem. It doesn’t lead you towards being the best version of yourself. In fact, it leads you towards more and more suffering. Mindful Self-Compassion Offering mindful self-compassion doesn’t absolve you from what happened in the past. Ideally one day you will forgive yourself, but that’s a different topic. Forgiveness is not self-compassion. You can do both. You could forgive yourself as a form of self-compassion and you could be self-compassionate, which could lead you towards forgiveness. But here, what I don’t want you to think of is that people who are self-compassionate are just like, “Oh no big deal. I just totally did a terrible thing, and it’s not a big deal. I don’t have to beat myself up because that would be unkind.” No, that’s not what we’re talking about. And no one does that. If that’s the case, you’re not practicing self-compassion at all. Self-compassion is just simply offering kindness towards suffering. That’s it. It’s not ranking you higher or lower and the good or bad person. It doesn’t mean that you don’t matter. It doesn’t mean that your pain doesn’t matter. It doesn’t mean that you can’t hold yourself accountable and take responsibility. It just means the absence of beating yourself up and meeting your pain with kindness and compassion instead of criticism and punishment. The thing you’ve got to run mind yourself, and this is a huge thing I’m doing this year, is really trying to identify what’s working and what’s not. I do a lot of therapy. I think a lot. It’s one of my best skills and one of my biggest flaws, is I think a lot, I feel a lot. And it’s not a bad thing, but I’m really trying to be more efficient and effective. Meaning, okay, what’s the right amount of being responsible and taking responsibility? Because you could do a little bit, which is really responsible and very helpful. But then if you do too much of that, that doesn’t make you a super responsible person. It means now you’re moving into self-punishment. So, too much of one thing can be good and too much of one thing can also be bad. It gets you into trouble. So, how can you be effective with the behaviors that you engage in, is the amount of criticism or self-punishment or deprivation of compassion, which is what we’re doing here and talking about, does that bring you benefits to your life? It’s an important concept for you to think about. Whether you think you deserve it or not, or whether you feel you deserve it or not, is it effective? We’ll come right back to one of the first concepts, which is, just because you think it, still doesn’t make it true. So, just because you think you don’t deserve it doesn’t mean you don’t deserve it. It just means you’re having thoughts that you don’t deserve it and thoughts aren’t always right. We recently did a whole episode on guilt, quite a few months ago, but the whole concept was just because you feel guilty doesn’t mean you’ve done something wrong. Our brains make mistakes all the time. So, just because you think you don’t deserve it doesn’t mean you don’t deserve it. We think messed up, scary, wrong things all the time, and the truth is, anxiety lies. Depression lies. OCD lies. Panic lies. Chances are, a lot of these beliefs you have around self-compassion are also just lies. We want to move you towards recognizing that everyone deserves compassion. So, that’s the final where we land here, which is everyone deserves it. Everyone. Really to be honest, even when I say the more you suffer, the more you deserve it, that’s actually not completely correct too, because that would still be buying into this idea that certain people deserve it more than others. Everyone deserves it equally every day, 24 hours. It’s just a done deal. You don’t have to give yourself self-compassion. But what are the negative impacts of your life, if you don’t, and what are the positive impacts in your life if you do? Think about how much good you can do in the world if you did. That’s the point I want to make. Keep an eye out. We have a whole course on self-compassion coming. It will be for everyone. It will be $27. I’m in the process of making it. It will probably be available when this comes out, but just in case it’s not, keep an eye out in future podcasts. I will have a link on CBT School. You can go there and check it out. I cannot wait to share that with you. It’ll be a lot of these concepts, but actually more applicable skills for you to practice. Head on over to CBTSchool/self-compassion. I’m sure it’ll be there by the time we get to this episode and I am so excited to share it with you. Before we finish up, let’s do the review of the week. This one is from Kanji96 and it says: “This podcast is very helpful for me, especially when I’m going through hard times. Right now happens to be one of those hard times and here I am back listening to Kimberley. Thank you.” Thank you so much, Kanji. Your reviews mean the world to me. Please, please, please go and leave a review. I mean it. If you get any benefit from the podcast, this is one way that if you feel at all so inspired to leave a review, it really helps me. It helps me to reach more people. It helps people to feel like they can trust the information here. I would love your honest review. So, go over to podcast app or wherever you listen and leave a review there. I am so grateful. Have a wonderful day, everybody, and I will see you next week.
undefined
Feb 18, 2022 • 40min

Ep. 222 Getting Real about OCD Recovery (with Lora Dudek)

SUMMARY: This week’s episode is incredibly inspiring, with Lora Dudek talking all about getting real about OCD recovery.  Lora shares her experience of having harm obsessions and harm OCD and how she managed being a mom during ERP. Lora also shared some wonderful ERP activities she did to help her keep track of her exposures. In This Episode: What OCD Recovery looks like for Lora Her experience with Harm OCD What kind of Exposure and Response Prevention (ERP) Lora used for harm OCD How she used ERP and recovery to decide what her values were (starting a career in ERP) Links To Things I Talk About: ​​Lora Dudek OCD Contact info: https://www.psychologytoday.com/us/therapists/lora-dudek-lockport-il/935049 https://www.graceandgratitudecounseling.com/ourtherapists ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 222.  Welcome back, everybody. I am so happy to be with you today. Oh my goodness, I’m going to tell you a story, totally off-topic. But today’s episode is number 222, and coincidentally, it’s coming out just by coincidence the week of February 22, 2022. The reason that that is special for me isn’t because I have any kind of affiliation with numbers, it’s that I have this amazing memory of when I was very young. It was the 9th of the 9th, 1999. My mom, who is the most amazing human being in the whole world, had a 9/9/99 party, and everyone had to bring nine of something, nine flowers, nine chocolates. You could bring whatever you wanted. Nine of... We had nine of everything – nine shrimp on the plate, nine prawns. In Australia, we call them prawns. It was such an amazing memory.  I told my children that we were going to do something similar because I just feel like that was such a beautiful memory. And so, I feel like I’m beginning that whole celebration with you because coincidentally, it’s episode 222 on the week of 2/22/2022. Oh my goodness. I’m sorry. I know that has nothing to do with the episode, but it is a story that is so near and dear to my heart and I just wanted to share it. It isn’t actually an off-talk topic because I really do want to bring some more joy to this episode and I really do want to slow down and enjoy with you all. It is a huge part of my goal for this year. So, thank you for sitting in that joyful story with me. If you would like, I hope you do something with twos, if you can, on that day, something fun. Buy yourself 22 flowers, say 22 nice things to yourself, whatever it may be, because these are very much once in a lifetime experiences and memories.  Today, we have Lora Dudek with us on the podcast. Now, to say that I am a Lora Dudek fan is an understatement. I love this human being. She is such a shining light, especially for people who have OCD and want to feel like there is hope. She has such a beautiful story, such a hard, but beautiful story, and a real authentic, genuine story to share. I am honored to have her on the show like I am to have so many people come on who have a recovery story to tell. I particularly love when I can be a part of it and I was a part of their story, or CBT School was a part of their story or ERP School was a part of their story. And so, it is just such an honor to have Lora on here. She’s talking about what recovery looks like for her. The reason I love this idea is, recovery is different for everybody. I really wanted you to get an experience of what it looks like for someone who has really done the work. Like I said, so many of our podcast guests have done the work and Lora is no exception. So, I’m going to head over and let you guys listen to that.  Before we do that, I first want to do the “I did a hard thing.” This week’s “I did a hard thing” is from Fabian, and they said: “Hi, Kimberley. First of all, thanks for creating the room to write about my anxiety. I am recovering from OCD, and today I was at the dentist for a tooth filling. I don’t like it because my mouth is blocked and I’m scared of getting enough air. And moreover, I do not like to get injections.” Oh my goodness, Fabian, I feel you on this one. “I was able to face both and stay very present with the body sensations like cold hands, many, many thoughts, high heartbeats. It was a hard thing to finish the week and I’m happy that I did it. I will have to face it again in February 🙂. All the best to you and your team.” Amazing, Fabian. I feel you on so many levels. The dentist is so hard for me. No matter how many tools I use, it’s always going to be hard, but you did the hard thing. And that is what I love. So, thank you so much for contributing your “I did a hard thing.” I am honored and major props to you.  Okay. Let’s get over to the show. Kimberley: Welcome, everybody. I am so excited about this episode today. We have Lora Dudek. She is now a Licensed Professional Counselor, but when I first met her, she was going through her own journey, and I wanted her to share her journey with you today. Welcome, Lora. Lora: Thank you so much. I’m so excited to be here.  Kimberley: Oh my gosh. Okay. So, we’ve already pretty much cried before we even got on today together, which is beautiful. And so, I can’t wait to get into this whole conversation together. You and I met online many years ago, and now you’re a therapist, which just blows my mind, helping people. Can’t believe that. So, that’s amazing. Do you want to share with us your full-circle story? Lora: Yeah, absolutely. So, one of the things that we were just talking about was that I started listening to Kimberley’s podcast back in 2017, somewhere around then, when I had been newly diagnosed with OCD. This is a total full-circle moment for me because she was such a-- I just called her a ‘lighthouse’ back in the day.  My own story really started when I was just a kid. I mean, I was a little girl and was having intrusive thoughts. My intrusive thoughts have always been harm-related. As a kid, I didn’t obviously really didn’t know what that meant. I had a big obsession with death. I was very, very scared to die and other people around me dying or me somehow hurting them. But when I was little, it always just manifested as telling someone I was scared that they were going to die, and then them reassuring me that they weren’t going to die, which is such an interesting thing to look back on. No one ever knew that. But that’s where the reassurance started.  I was looking back. I can see these areas of my life that were impacted from the get-go really. And then when I had my daughter in 2014, the anxiety just became absolutely overwhelming. From the moment that I knew that I was pregnant, there were just basically constant thoughts about something bad happening. I felt the entire time that I was pregnant like, I don’t know how to describe it really. Maybe nine months of almost getting ready to attend a funeral truly is how I felt, because it just seemed so heavy, already knowing I was going to be really responsible for this life.  While I was pregnant, I even got one of those sonogram machines or the fetal heartbeat machines. I would be sitting at the office and have an intrusive thought that something had happened to her, and I would rush home and I’d make sure that her heart was still beating. My doctor knew me very well because I was basically calling every other week with something that might be wrong, that never was. And then once she was born, it really manifested as just constantly checking on her. These intrusive thoughts that something really bad was going to happen to her, that I wasn’t going to be able to take care of her, and constantly asking my husband at the time that I’m an okay mom. I can do this. I’m able to do this.  Those went on really. These thoughts and that heightened anxiety went on for-- she was 16 months old at her first Christmas or her second Christmas, sorry. We traveled with family to go see family, and I was putting her down for her nap and ended up laying down beside her. She fell asleep and I fell asleep next to her. It was in a bed. When I woke up, my first thought was, oh my God, is she breathing? I thought I had smothered her. And so, I put my hand on her chest and I could feel that she was breathing and I went to get up and walk away. I had the thought, what if she’s not? I was like, “Okay, let me check one more time.” That is where I say the walls came down, because from that moment on, it was like, there wasn’t any-- the checking just got out of control and it flipped. It got into this area where I was scared that something bad was going to happen to her, but now, I was going to do something bad to her. It just changed flavors really quickly.  We got home from that trip and I told my husband. He had to go on a business trip for two days. I basically didn’t sleep for two days. “I thought I’m going to hurt her. Something awful is going to happen to her. I can’t take care of her.” Just going out of my mind. I used to get up and check on her, probably 10 times a night, to make sure she was still breathing. At this point, I became so scared of myself that I would block my bedroom door at night with my dresser to make sure that I wasn’t going to get up and do something to her. I was like, “Whoa, something’s really wrong here.” So, I looked up an Anxiety Specialist and went and saw her. It took me about a couple of months seeing her and building rapport with her to actually let her in on some of the thoughts that I was having. I remember very vividly. It was an early morning appointment. It was a 7:00 AM appointment. The night before I barely slept, because I really did think like, this is it. I’m going to get hauled away tomorrow. I’m going to tell her these thoughts I’m having, and this is going to be the end of me. And so, that morning, I kissed my daughter, I kissed my husband. I walked out the door and got in my car and I was like, “All right, that’s the last time I see him for a while.”  But I got into my therapist’s office and I broke down. I’m like, “I have these thoughts that I’m going to hurt my daughter. It’s the worst thing in the world.” She was like, “Do you want to?” I was like, “Oh my God, how could you even ask me that? She’s the most important thing in my life.” She asked me a couple of other questions. But then she said, “Do you know anything about OCD?” Through my tears, I was like, “Yeah, I do. I know OCD. I’m not clean. In fact, I’m really messy. I don’t even know why you’re asking that.” I was frustrated.  And then she told me about intrusive thoughts and compulsions, and it was the biggest light bulb moment of my life. Everything just started making sense really from some of my earliest thoughts. I do have to say it was a bit of a relief at the beginning. So, that’s the story. That’s how I got diagnosed, and it started a whole new part of my journey. Kimberley: Yeah. So you had relief.  Lora: Yeah.  Kimberley: And then what was your emotion? Lora: Yeah, I mean, the relief was like, I’m not crazy, that it was so like something has got to be really wrong with me. And then it was just like, whoa, I checked the box for everything she just talked about with this disorder. And then the emotion, after a little bit, the emotion became like, this is going to take a lot of work. This is going to be a level of acceptance that was like, I started getting acclimated to what exposure therapy was. She didn’t practice exposure therapy, but she was amazing in the sense that she was like, “I have the person for you.” She knew enough, which is so important-- Kimberley: Yeah. Thanks for that. Lora: Yes. To send me to an OCD Specialist. That therapist was amazing. She laid out for me how this was going to work, what we are going to do. It was a relief at first. And then there was a lot of grief. There was a lot of heartache, realizing how much this disorder had taken from my life. Ignorance can be bliss sometimes. I think that I dismantled that notion through doing ERP and exposures, and it became a very interesting part of the journey. Kimberley: I know, I was thinking about you. You were saying you got in your car, you said goodbye. And then you had to walk back to your car and drive back to your house, right? How is that? Lora: It’s like, I mean, I have some health anxiety too, so I always liken it too. I walk into a doctor’s office thinking this is going to be cancer. And then I walk back like, “Okay, now I just go back to life.”  Kimberley: Right. I can just have this image of you, walking back to your car, going, “I guess I’m going home now.” Lora: Yes. And I got back. My husband was like, “Hey, you doing okay?” I was like, “I got to tell you what just happened. This is what they said. Did you know that obsessive-compulsive disorder is like this?” And he is like, “No, but I mean, makes a lot of sense.” Kimberley: Yeah. How crazy. It’s so amazing that you had that opportunity. Again, we know that that’s not a lot of people’s stories, so I’m so happy that you had that experience. Lora: The thing, Kimberley, is that I do want to point out that I had been seeing someone for anxiety almost my entire adult, different therapists. This is the first time. Like, I said, I would have these harm thoughts, but I was just like, push them away, get rid of them. This was the first time I’d ever come head to head with being actually like, “I’m responsible for a little life. This is all on me.” It felt like I wasn’t going to be able to live the life I truly wanted to live. Other times, it was just like, okay, I can walk away from it. I can find some way to not be around it. Now I’m talking about my daughter who means more to me than anything in the world. Something has got to give. Kimberley: Yeah. That’s really helpful to know that you have been in therapy.  Lora: Yeah. Kimberley: When I had previously done a presentation with you through the International OCD Foundation, and you shared about your exposure board, this whole idea blew my mind. The reason I really want the listeners to understand, when I teach ERP, I’m literally just teaching my way of doing it and I love hearing other people’s way of doing it. It’s the same, but it’s different. And so, I’d love for you to share about that as an idea for people.  Lora: Yeah. Well, what started as one of the biggest, I felt like, almost hindrances of my pregnancy was that at the time I was pregnant, there were seven other women at my work that were also pregnant. I remember seeing them all being so happy. And then they had their babies and they were so happy, and they were-- obviously, it wasn’t like, we’re not going to blow this up like some kind of blissful totally time. They were new moms too, but they were going out and doing stuff. And that’s all I wanted. That’s what I wanted so badly, was to have those experiences with my daughter.  So, my therapist and I started with imaginals and started with some really small things. I mean, I laugh about it now, small. Back then, it was like, no way. I did one where I was going crazy, where this wasn’t really OCD, the timeless tale of it’s not OCD. Such a classic. So, we started with imaginals and then even imaginals into sleepwalking at night, hurting my daughter, things like that. So, we worked our way up then to one day I was sitting in her office and she said, “What do you want to do?” I was like, “I just want to do normal stuff. I want to go to the zoo.” And she’s like, “All right, we’re going to the zoo.” And I was like, “What?” Kimberley: You’re like, “Take it back.” Lora: “I don’t say zoo.” Kimberley: “I meant Zoom.” Lora: “I want to have a video conference in the safety of my own home.” So, we started putting together this hierarchy based off things that I wanted to do with my daughter. And then she said, “I think a really good idea would be to take some pictures while you’re doing these and we’ll see what happens.” And I was like, “I’m absolutely not doing that.” There’s no way I’m taking pictures, because as I’m sitting there and having this conversation with this OCD on my shoulder, telling me, “You’re going to bring pictures back in here of you dumping your daughter into a tiger cage. Great. Let’s do that.” But we talked about it and I was like, “Okay, I’m going to do it.” So, that was the first real exposure I did when I went out on my own. We start actually-- I should back up, we did start with driving, because I had this thing with my daughter not actually being in the car. I had left her somewhere. So, we drive and I wouldn’t look in the rear view. That was a whole exposure. When we got past that, then we went to the zoo. We went to the mall to have lunch. We went to the swimming pool, which was just like the death pool as far as I was concerned. Let’s see, I have the whole exposure board still on the side of my wall. I mean, we went and got pedicures and manicures. We did things that I wanted to do with my daughter. We got flu shots. That I wanted to do with my daughter that OCD told me was absolutely not possible, without having someone to tell me the whole time what I was doing.  My reassurance came in the form of calling my husband, texting my sister pictures because then everything’s okay. They can see what I’m doing. And so, doing these exposures without engaging in calling anybody the entire time, without texting anybody the entire time. Just me and OCD and my daughter and here with the three Amigos. Here we go. Kimberley: Mom and daughter and the third wheel, right? Lora: Yeah. So, that’s how they looked. It was like, I really, really hit it hard over a summer, the summer of 2018. I called it my summer of ERP. Once I got going, I just wanted to keep going. It was terrible at the beginning, terrible because I would complete an exposure and I’d get home and then the rumination would want to start. It was difficult not to engage in that. It was difficult to just watch it. But through the exposures, I said at one point that the butterflies were my yellow brick road. Whenever I’d think about something and I got that feeling like, oh, it was OCD being like, “Really, are we?” And then I was like, “Ah, okay, here we go. Follow, follow, follow, follow.” Kimberley: Isn’t it that in and of itself is beautiful? I always say with my staff, is you follow the smell. Meaning wherever it’s smelly and you don’t want to go, you go there. And that’s what you were doing, is just wherever you felt butterflies, if I’m right, you would go and do that thing.  Lora: Yeah, absolutely. Because it became that-- my therapist phrased it in a way where she was like, “We’re going to play scientist.” That’s what she’d tell me. “We’re going to go try this out. Let’s just bring back what we find.” It was such a compassionate way to do that. It wasn’t like, “Here’s your exposure, do it. Go. Boom,” which sometimes I think can be a little helpful. But for me, it worked to be like, “Let’s go see about this.” Kimberley: Yeah. “Let’s be curious.” I love it. Now I’ve seen this exposure board and it is so beautiful. You would have no idea you’re doing exposures. You look delighted most of the time. I wonder if you could even send me a photo and maybe we could show that in the show note, that would be wonderful. Lora: I would love to.  Kimberley: Yeah. I’d love to be able for people to click and actually see what it looks like. Maybe we could even say-- I try to give homework during the podcast. We could even say, “If you have anxiety, you could create your own.” Lora: Yes. That would be awesome, because I’m telling you, whoever’s listening to this right now, you’re going to see that I look back on this board and it’s us smiling. There is one picture where my daughter is screaming, but that was the flu shot picture, and we did a hard thing. It was a beautiful day to do a hard thing, and I put it on that board, man. Kimberley: Good for you. She deserved to cry. I think that you’re making a good point here, and I’ve had this conversation with some of my clients, is exposure is even if you don’t smile for the photos, still put it up because you did it, right? Lora: Right. You did it. And that’s a thing. Along the way, those victories, I really don’t believe that there’s such thing as small victories. I know we say it a lot. A victory is a victory is a victory. Take it, hold onto it, and know that’s the fuel that you’re putting in this device right now that is getting you through this. Kimberley: Yeah. I love it. Are there any other exposures that you did that you want to share that people may find different or creative? I love the creative ones. Lora: Well, I just think that the exposures started to become organic. When I was first diagnosed with OCD, I did not know OCD’s voice at all. I was like, “No, no, no, that’s the voice that’s kept me safe my whole life.” And so, along the way, the more I started to do some of the work, I started to realize that that what-if voice, that’s when I’m like, “Ah, if I’m going along and doing something, what-if pops up.” That’s my voice of OCD. I’ve learned that. And so, for me, a lot of my exposures, even to this day, have to do with when the what-if pops up. How can I look the what-if in the eye? I left out obviously in a place where my daughter couldn’t get them, but I’ve left out kitchen utensils before. Just last night, I mean, I mentioned how I’m doing some OCD work again right now because it continues. The what-if popped up and my daughter hadn’t drained the bathtub. I was going to drain it right away. Now it’s not even like what-if. It’s OCD being like, “Whew, way to think of that one.” That was it really. And then I stopped myself from draining the bathtub and it’s like, “No, no, no.” And so then, I left the bathroom and I’m like, “We’re just going to leave that tonight.”  Kimberley: That’s so cool.  Lora: Really anywhere that I can poke the bear, I guess me and my daughter doing things out in public, then that just confronting that fear of me that I’m going to lose control, not be able to help her if she needs it. All those things, wherever the what-if pops up, that’s where I knew my work was. And it still is to this day. Kimberley: Yeah. I love that you share that too. So, it sounds like some people, when we’re hearing this amazing story, they think it’s just, you’re done. Your exposure is done. Is that the case for you? Lora: Yeah. I was one of those people, I’m going to get through this summer of ERP, which is why I still call it summer of ERP. It was the one summer. I had these high hopes that then once I get into grad school and once I really start working with people with OCD and helping people that the OCD just fizzles. I have recently just come into this space of understanding and ultimately, some acceptance of like, this is kind of a way that I live right now. I don’t know what five or 10 years down the road looks like. And I’m really, as far as OCD is concerned, not too focused on it. I’m focused right now on, how’s it showing up and are the things that I’m doing helpful? Are they getting me to where I want to be or am I staying in the same spot? That’s my litmus test, is am I living the life according to my values that I want to live? So, recovery for me right now looks like I do exposures still, and I have even after the 20 months of COVID. I thought, man, I bet it could be really helpful to speak with an OCD Specialist again to get a little bit of guidance, get some creativity because that can help sometimes. So, I’m doing that right now even, and it’s been amazing. I think it’s just a process of building the muscle, of keeping the muscle and I think I’m gaining more acceptance by the year.  Kimberley: Yeah. I mean, that’s a piece of it. You had said before, as we talked like mindfulness and self-compassion and act was such an important piece of your work and acceptance is such a core part of all of that, because there is so much grief. We don’t talk about it enough, right? Lora: Yeah. There is though. Kimberley: What was it like for you-- let me rephrase that. Was mindfulness and self-compassion a part of this process for you?  Lora: Yeah, absolutely. So, my amazing therapist knew about Mindfulness-Based Stress Reduction and she had mentioned it to me. There was a program that was going on. I lived in Dallas at the time, at the Dallas Yoga Center. It was an eight-week MBSR program and I signed up for it. We did a body scan, a 40-minute body scan, the first class, and everybody woke up and they were like, “That was so relaxing. That was so awesome.” I raised my hand, I literally raised my hand and I was like, “I don’t think I did that right. I just had a 40-minute panic attack.” It was awful.  But I should say too, that shortly after I got diagnosed with OCD, I realized I had become incredibly dependent on alcohol, especially being a new mom. So, I had completely quit drinking. I was like, “All right, if I’m going to do this, I’m going to do this. Let’s go.” I quit drinking. I didn’t want to have that crutch. I was in the MBSR program. I talked to the teacher. She convinced me to come back the next week. And then the next week, we did another meditation. Towards the end of it, she read a Mary Oliver poem that ends with “Tell me what you plan to do with your one wild and precious life.” It felt like a dam burst open in me at that moment. I was like, it is so precious and it is so amazing, and like, “Lora, you can do this. Let’s give this everything we’ve got, the exposures.” Learning to sit with myself through mindfulness was huge because OCD and anxiety do not like that. We need to be moving.  So, mindfulness was so huge for me to be able to just breathe and be in a moment and watch my thoughts instead of engage with them. Mindfulness then I say was the gateway to self-compassion because I’m not sure-- maybe I would’ve gotten there, but it wouldn’t be as soon to be able to be with myself and to hold myself and that loving-kindness. When you don’t even want to sit with yourself, it’s really hard to be able to look at yourself and be like, “I’m here.” You want to be like, “Let’s go.” So, yeah, self-compassion then was huge, because that voice of OCD is so nasty. I worked on a self-compassion journal for about six months straight, every day, really journaling. Kimberley: What would you write? What would that look like?  Lora: Yeah. So, I read and worked through with my therapist the Kristin Neff’s first book. And so, each day I would pick something that had happened, that was a little difficult and I would break it down into the three components of self-compassion. I would be mindful about what happened. Didn’t need any of my judgment in there. Let’s just lay it out there, what happened. Then the common humanity of it. Who else do you think in the world might have experienced this, or that feeling of not being alone. Man, probably a lot of people ran into something like this today. And then self-kindness. A lot of times, my self-kindness sounded like, “I’m really proud of you. That was really hard.” I don’t know how many entries I had over those months of being in a grocery store. Like a toddler going nuts in a grocery store and then just the flare-up of like, “Ah!” At the end of the day, that’s what I choose.  I remember a couple of months, maybe three or four months in, where I was sitting down to write and I couldn’t think of something really hard that had happened that day. And I was like, “What?” It was such a weird feeling. After months and months and months of really intense therapy and some difficult things I was working with, I was like, “Today, I’m just going to be compassionate then about how much work I’ve been doing.” Kimberley: Wow. I love that you’re sharing that because I’ve found even since-- I mean, I wrote a book on self-compassion, but since I wrote the book, I’m even pushing my clients to do it even more. The journaling and the writing to themselves seem to be the most powerful part of the work, the writing to themselves. Lora: Yes. And I think that the writing to myself and the speaking to myself was the most powerful part of it. In the beginning, it was absolutely the hardest, especially with the voice of OCD. When I would look in the mirror and I would say, “You’re doing the best you can, Lora. You’re really doing this,” OCD would be right there to be like, “Are you?” It’s so egotistical. It just wants all the attention. “Maybe you’re not.” I sat down with my therapist a couple months into really keeping that journaling and I was just exhausted, just so tired from some of the work. I don’t know if you can see it. Can you see on my back wall “As long as it takes”? Kimberley: Yeah. Lora: I sat down and I just started crying one day and telling her this has just been so hard that sometimes I feel like I haven’t made any progress. I feel like I take two steps forward and five steps back, and was just really down about stuff. She sat there, just really holding some amazing space for me, but I said, “How long is this going to take?” She just looked at me and she just put her head to the side. Really, she’s such a sweet person, and she said, “As long as it takes.” She said it just like that, “As long as it takes.” And I was like, “Okay. As long as it takes. Throw out the timeline then. Let’s just keep going.” Kimberley: Yeah. I love that I got goosebumps hearing you say it. All the hairs in my arms are standing up. And I love that you have it on the wall, because I read it as we were starting. I was like, “You know what? We’re good.” It shakes off all the rules and stories we tell ourselves. Lora: Yes. My mom actually, she made that for me, for my graduation from grad school. She made that and framed it for me.  Kimberley: I love it. Yeah. You are so inspiring really. Lora: Thank you so much. Kimberley: Yeah. Number one, I’m so grateful that you’re here and you’re sharing this, and number two, I’m so excited that you’re going to change lives for people, being a therapist and so forth. I’m just so grateful that I got to see some of it. Lora: Yes. Because before we even started recording, we were talking about how on the Mondays-- what were they? Magic Mondays? Kimberley: Magic Mondays. Lora: Magic Monday. I’d be like, “All right, it’s magic Monday.” I’d log on and I’d ask questions and I was really inquisitive and you were so sweet. You answered all the questions and you were just so-- it was like this feeling of it’s going to be alright. It is. I think when we can cultivate that and know the sky sometimes can feel like it’s falling, we do really have the power to look around and say like, “Here I am.” Here I am, put our hand on our heart and say, “This is what I can do in this moment. I can at least show up for me at the very least.” And that’s not the least thing at all. Kimberley: No, no. Like I said, you’re so inspiring. I’ve written so many notes, which is so fun. I don’t usually get that many notes down. So, I’m just so grateful for you for coming on and sharing your story. I loved presenting with you. That’s where I felt like I got to know you, so I’m so grateful. Where can people find you? Lora: I am on Instagram and the account that I share a lot of my OCD journey with and things that I have learned along the way is Judgment-Free Anxiety, but it’s judgment_free_anxiety. Kimberley: I love that. What’s for you in the future? Tell us about what’s popping out for you. Lora: Oh man. Well, right now, I hope to be employed somewhat soon. It’s a new life now after grad school and after becoming licensed, and just hopefully a lot more adventures with my daughter, going to do that. And man, that’s it. I did actually recently become certified to teach mindfulness, so I’m also looking at doing something with that as well, but I’m not sure exactly what. Kimberley: Yeah. Such good skills to have in your toolbelt. Lora: Yes, absolutely. Kimberley: Well, thank you so much. You filled my heart up today. Thank you.  Lora: Thank you so much, Kim. Thank you. ----- Thank you so much for coming and listening to our podcast. Before we finish up, let’s do the review of the week. This is from nmduncan827, and they said: “Compassion, comfort, and wisdom. I’ve been following Kimberley Quinlan for years now and I can’t say enough wonderful things about her and her work. As someone who has had OCD their entire life, I feel like finally at the age of 33 I’m beginning to find helpful resources to really push me along in my road to recovery. Between Kim’s Instagram page and her podcast and her new book— there’s little nuggets of compassion, comfort, and wisdom. I found this no matter where I am on my journey. I couldn’t recommend this more for my fellow OCD and anxiety-disorder community! So grateful for Kim.” Thank you, nmduncan827. Thank you so, so, so much. I am so honored. And of course, you can find me at Your Anxiety Toolkit on Instagram. You can get my book anywhere where you buy books, specifically on Amazon and barnesandnoble.com called The Self-Compassion Workbook for OCD. And of course, the podcast is here. Any time you like, go back, listen to old episodes. Sometimes they’re the best ones. I will see you guys next week.
undefined
Feb 11, 2022 • 27min

Ep. 221 7 Common Struggles you have with Time Management

SUMMARY: Today, we are going to talk with you about the 7 common struggle you have with time management.  Do you find yourself constantly looking at the clock? Or, wishing time would go faster?  Do you feel like your to-do list is so long that you will never get them done? Or, do you feel like you never have time to prioritize yourself?  In today's, podcast, we talk all about your relationship with time and why it is a HUGE part of managing anxiety, depression, and stress. In This Episode, we address the 7 common struggles you have with time management. “I don't have enough time” “I have so much to do” “I have so much I want to do” “I struggle to start and stop activities” “I don't a good understanding of how long things take” “I don't like structure” “I hate being told what to do with my time” Links To Things I Talk About: ONLINE COURSE Time Management for Optimum Mental Health https://www.cbtschool.com/timemanagement Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 221. Welcome back, everybody. I am so thrilled to have you here with me today for Episode 221. Oh my, how is that possible? We are getting so much feedback, such amazing feedback from last week’s episode. I wanted to additionally offer you one more bonus piece of content from our new course, which is called Time Management for Optimum Mental Health. You can check it out at CBTSchool.com/TimeManagement. It is a course. We have it for $27. It’s a mini-course, so it shouldn’t take up a ton of your time, and it’s me showing you exactly how I manage time. Now, the reason I created that course was because so many people were reporting to me – clients, followers, listeners – that COVID has destroyed the rhythm and the routines that they had, and that they really want to find a way to implement during their day time to do their therapy homework, do get exercise, maybe have more pleasure in your life, maybe reduce overwhelm, a lot of overwhelm because the to-do list is always so long. Am I right? The to-do lists are always so long. There seems to be a never-ending list of things to do. So, I added all that in, showed you exactly how I did that. Again, you can go and check that, or you can click the link below in the show notes. But as a bonus to that course, I did a Q and A where people submitted their questions. I have addressed that in that bonus, and I’m today giving it to you free in today’s podcast episode. If you want to get a feel for what we’re covering, you will have some reference to the course throughout, but you don’t need to purchase the course to get benefit out of this episode today. However, together they would be really beneficial, I’m sure. Today, we’re going to cover a couple of main topics. Here I’m going to give you some overview. Some of the questions people or the concerns or roadblocks they had around time management were things like, “I don’t have enough time. I have so much to do on my to-do list.” Another question we will cover in today’s episode is, “I have so much I want to do. I just can’t, again, find time.” Someone brought up-- multiple people, forgive me, brought up that they struggle to start and stop activities. They struggle to get the motivation to get going. And then once they’re going, they have a hard time transitioning into other activities. We address that as well. Someone posted in that they struggle with having a good understanding of how long things take. This is one of the reasons I have myself had to use a lot of time management, is I was underestimating how long things were taking and I was leading to a lot of anxiety and overwhelm. We also address people who don’t like a lot of structure in their life and we also address people who don’t like scheduling and don’t like time management because they don’t like being told what to do with their time. We’re going to address all of that today, but we also go much deeper into that in the time management course. You can run over there if you want to take a look at that. Before we get into the show, let’s do today’s review of the week. This one is from Sheffie, and they said: “Wonderful resource! You can’t help but love Kimberley.” Oh, that’s so kind. Thank you, Sheffie. “She has such warmth and sincerity, is positive and funny, and spreads so much good into the world. On top of all that, she’s a gifted clinician who does a great job sharing her knowledge with others. And she does all this with a lovely Australian accent.” Oh my goodness, this is so kind. “All of her content is fantastic, but I especially love the podcast because each episode is packed with so many nuggets of wisdom that are applicable to so many situations. They’re thought provoking and I find myself pondering them for a long while after. They’re also a good length - great content without going on for hours, very digestible.” Thank you so much, Sheffie. That is so kind. Actually, one thing, as I’m really listening and reading that off, sometimes I know I’ve mentioned this before, but creating a podcast can feel really lonely because I’m talking into a microphone. Sometimes I don’t know if things land for everybody. I’m talking about what resonates for me and what I know has resonated from my clients, but it’s never really sure, like how is anyone feeling about this? So, just getting your reviews actually is very heartwarming to me. So, thank you. It actually helps me to feel like I’m on the right track and I’m helping and I’m bringing value to your life. Thank you so much, Sheffie. Please do go and leave a review. It does help me so much in my heart, but so helps me just to get more followers and listeners. All right, let’s get over to it. Let’s talk today about your relationship with time. Let’s address some of these common roadblocks to time management, and I hope you find it incredibly helpful. Have a wonderful day, everybody. Welcome, everybody. I am so excited to be here with you to talk about your relationship with time. Now, this is an interesting topic, I think, and one that very much relates to our mental health. I personally find a lot of my thoughts are around time and about my belief that I don’t have enough of it. This has probably been a very big part of my own experience of suffering because I keep telling myself, “I don’t have enough of it.” I really want to see whether this is true for you. Now, I did a poll on Instagram and asked my friends there to give me their biggest struggles with time management. As you may know, I have a full course on time management specifically related to managing mental health, how you can make time for your recovery, how you can make time for things that really benefit your mental health. A lot of the times we end up getting our to-do list done instead of scheduling in pleasure and downtime and rest, and we don’t rest and have pleasure until we’ve got our list of to-dos done. But the problem is, the to-do list is always longer than the day. Am I right? We cut all of these submissions of things that people struggle with, a lot of the topics we discuss directly in the course, but a lot of them I wanted to discuss today specifically related to these struggles and the relationship people have with time. The first one here is, “I don’t have enough time.” Now I have two answers to this concern. number one, chances are, you are right. You don’t have enough time to do the things that you are pressuring yourself to do. Now, I understand that many of you have jobs and you’re going to school and you have children or you have loved ones and you have your own chronic illnesses or mental illness. So I agree. The list of things to do is very, very long. But I’ve wanted to first just ask you, is all the things on your to-do list being demanded of you, or are you demanding them of you? It could be one or the other. I just wanted to ask you, because I know for me, there are lots of things that I get demanded to do. I have to work. I have to make money. I have to be a mom. These are things that I really value and I want to take care of. But in addition to that, there’s a lot of things on my to-do list that I actually don’t have to do. I place those stresses on myself right. Now we’re not here to blame. I never want this to be about blaming ourselves, but it’s helpful to inquire. What things on your list do you have that actually create more stress? Is it helpful to add those things on your list? Is there a way you could maybe give yourself a break from the long things of all the things you have to do? Assess for yourself what’s important. Is it important to me to get this done? But here is the thing. As we talk about in time management, the online course, is I have so many things that I value. I have so many things I want to do. I have so many ways I want to show up for people and friends and family. At the end of the day, it’s unrealistic. Even though I want to do it, I don’t have the time. To reflect, I don’t have the time. Yeah, that’s true. Sometimes the most compassionate thing I can do is to acknowledge that and be more realistic with the projects I put on my to-do list. Often I’ll speak with clients about, are you taking too many courses? And they’ll say, “No, I have to. Everybody is taking this many.” And I’ll go, “But is it working for you?” If you’re really honest with yourself, does taking that many courses benefit you and give you time to recover from your mental illness? Does saying yes to volunteer, while volunteering is an incredibly valuable and helpful thing, are you in a place in your life right now or a season in your life where you can do that in a healthy way that still prioritizes your mental health? Just questions to think about. You may have some strong reactions to these, and I would inquire if you do. I’m not suggesting anything here, except I want you to inquire what is best for you. Now on the flip side of this, I can also say, even on the days when I’ve managed my time and my to-do list, I still just have the thought. “I don’t have enough time. I don’t have enough time. I don’t have enough time.” And that’s my relationship with time. It’s not great. My personal relationship with time, I have a long way to go. My relationship with time, as if it’s a thing, is when I look at it, I say to it, “There’s not enough of you.” But I only have 24 hours. You only have 24 hours and we have to negotiate with what we want to cram into that 24 hours. It can be whatever you like really. You can sleep for as long as you think you need to sleep. You can work, you can go to school, you can take up whatever hobbies. Your job is to decide what’s best for you based on your values and your family and your needs. The next one is, “I have so much to do.” Again, we have a relationship with time. When it’s not about time, it’s about our to-do list. I really want this time management course that I’ve created. You can go to https://www.cbtschool.com/timemanagement. If you haven’t already, if you’re listening to the course right now, I want you to really, really think about the to-do list and reassess the to-do list. If it doesn’t need to be done, I would encourage you to consider taking it off. Now, I understand, a lot of things on the list have to be done and I want them to be done, which is why you should, if you need, take a look at the procrastination episode and module, and you can maybe look at that as well. But like I said always, a lot of the thoughts we have about time are either facts or the mindsets that we have. So, we may need to think about how much pressure we’re putting on ourselves. Another very small shift to that thought is, “There’s so much I want to do.” Now, here is another, this is very important. I personally, as a human being, there is so much I want to do. I have such passion to do this project and write that book and to create that podcast. I have all these things and hobbies I want to do. It’s a wonderful thing. Some of you may not have that experience right now and that’s okay. Sometimes depression and anxiety can take the passion out of things. But a lot of you, I hear because you want to get things done and you can’t find a way to put it into your schedule. I really want to encourage you to start to do these things you want to do, but you have to be realistic about time. A part of the reason I made this course and not other courses is that this course could be a very quick make. Meaning it didn’t take me six months to make some of my courses. The Time Management course is-- what is it? Almost 100 minutes or 120 minutes. It’s easier for me to do this than to create a six-month-long course. I did it in small 20-minute increments. I want to encourage you that if your relationship with time is saying, “I have so much I want to do, I don’t have enough time,” find in your schedule 10 minutes to start, because 10 minutes today and 10 minutes next week and 10 minutes the week after that, before you know it, you will start to have some momentum, even if it’s 10 minutes a week. A lot of times we don’t do things because we tell ourselves that there’s not enough time and there’s too much to do. Instead of just giving yourself permission to just do little baby steps, create what you can in small amounts of time. Somebody had written, “I struggle to start and stop activities.” This is very, very important. A lot of people struggle with time because getting going needs a lot of created momentum. The thing to remember is that motivation, and I will create a full mini-course on this very soon as well, is motivation is not something you just get. It’s not inherent. You don’t wake up with it. Motivation is something that you have to really create of your own. You have to cultivate motivation. You have to harvest motivation. It’s something that you generate on your own. So to start an activity, usually, you will need to look at first what’s getting in the way. We talked about procrastination in last week’s episode and in other modules of this course. That’s a big one. Starting usually means you have to generate motivation based on willingness to be uncomfortable, cleaning up any negative thoughts you have or critical thoughts you have about doing the activity. Setting time and reminders to remind you, because sometimes really honestly, you’re busy. You’re a busy person or you’re an overwhelmed person. So, you will need timers and reminders and calendars, but it’s really generating that activity. One of the best things to do is to keep in mind or to draw on a piece of paper or write it down, how you will feel when it’s done, what it will look like when it’s done, like a vision board almost, but it’s okay. Put some time into it, like what emotions will I feel when I’ve completed this email? Or what will be the result if I create this course 20 minutes at a time? Little baby steps. When it comes to stopping, it’s probably going to be much of the same tools. Schedule your time to do things, set an alarm or a reminder if you’re someone who gets stuck in it. So set a time or a reminder, put up sticky notes, and then also be willing to be uncomfortable. When I let my kids have tech time, we schedule tech time every day. When I say, “Turn it off,” they don’t like it. They’re in this mode of playing their game. They’re watching the thing they want to watch. Moving out of that can feel very jarring and uncomfortable. And so, we have planned ahead for that. We know that when tech time is over, my husband and I, we may want to implement some family time or snack time, something that can help move us onto the next activity. Something motivating and pleasurable is often very helpful when moving from some kind of either uncomfortable experience to a different experience or you’re in a pleasurable experience. You’ve got to move into something uncomfortable. There are some tips that may help that you may want to experiment with. The next one is, “I don’t have a good understanding of how long things take.” Now, this is huge. Again, if you’re listening to this on the podcast, this is another reason where I stress the importance of you. If you want to take the course, I stress how helpful it can be. I write down how long things take often. Probably once a month, I do an inventory of my day. How long does it take to get my emails done? How long does it take to get the kids to school? How long? While this may seem like a lot of work, it pays off because I will then realize I only scheduled 30 minutes for emails, but to be honest, emails are taking me 45 minutes. Helpful data. Important data to help me then renegotiate my schedule so that it is kind, or to really work at not spending as much time on emails, or to be less perfectionistic about emails, or to delegate emails or whatever project it is that you’re doing to somebody else. It may be that there are multiple solutions to this problem of not understanding how long things take. But I think the first thing is, you’ve got to have data. You can’t assume a solution if you don’t know what the problem is. Please, I encourage you. It doesn’t take long. Just have a little notepad, scratchpad, how long things take, particularly the things you’re having trouble in the day. It doesn’t have to be the whole day. The next one is, this was very cool, “I don’t like structure.” Now, if this is you, I am so with you. I was and have been in my life someone who doesn’t like structure. It stresses me out, makes me anxious. The pressure is overwhelming. I don’t like structure. However, as someone who was forced to practice these skills, because life was so chaotic and unmanageable, I have found now I have a much better life with structure. I have found I’m more creative and spontaneous now that I have structure in my life because I know the things I need to get done are done. So then I feel free to go and do spontaneous things, take a drive, go on a vacation, and so forth, because I know. Or in this case, during COVID, because everything is so uncertain, I know how long things take, the structure of days. If there were, let’s say someone in my family gets COVID – my children, myself, my husband – I know how to renegotiate the day really quickly because I have a really good understanding of the structure. It helps me to recalibrate if there is a major change in the day, because I’m used to that structure. I know how long things take. I know the practice of things. It’s been overwhelmingly beneficial in my life. If you don’t like too much structure, it doesn’t matter. You can actually just block schedule. I like to really be specific, but I know a lot of my colleagues and clients that I’ve taught this to, they just like blocks, like bigger blocks, like four-hour blocks. From 10:00 to 2:00 is work, from 2:00 to 5:00 is this. And those blocks can actually just create a little bit of structure for them. And then they can slice in new projects if they have them. Homework for therapy, if they need it. A lot of my patients, I see they’re professional successful people who are now I’m giving them additional 45 to 90 minutes of homework a day, and they say, “How am I ever going to fit this in? I’m already overwhelmed.” We go through this process and we look at where they could slide in, 10 minutes here and 15 minutes here. Can you do some of your homework on your way to work and so forth? That can be really beneficial. That way, even though they don’t like structure, they’ve found a way to prioritize what they need to get done so that they can get the benefits that they wanted. Last one, this is a big one, “I hate being told what to do with my time.” This is actually, I think, sponsored by my husband, but this was actually given to me from many social media people who have submitted their questions about time management. But I agree. I think my husband would very much agree with this – I hate being told what to do with my time. There is, when it comes to time management, a-- I wouldn’t say it’s a humbling, but it’s a letting go, a letting go of control, because when you don’t want to be told what to do with your time, it feels like you’re being controlled. Again, I don’t think you have to do any of this if you don’t want to. I wouldn’t encourage you to make any of these changes if you really, really disagree with them. However, I would encourage you to consider at least giving it 30 days, because what you will find is, when you schedule things, it might feel like you’re being told to do something with your time. You’re doing it. I don’t want you to have anybody else telling you what to do, but if you’re putting down on your schedule what you want to do, I want you to remind yourself why. Why are you doing this? Often it’s because the chaotic and unplanned day only creates more suffering. Chances are, you already have a lot of suffering. I’m guessing because you know about me, you have some kind of anxiety or depression or medical or mental struggle. So, even though this scheduling and this time management practices can feel like you’re using your freedom, I personally think it’s gaining freedom. It’s taking back control over the chaos in your mind – the running list, the mental rumination, the anxiety of all the things, and having it to be where it’s all there and it’s done. Now, it doesn’t have to be for you. I want you to find specifically, and you will see, remember we talk about in the course, we have a whole module on considering your specific set of circumstances. I want you to consider what’s good for you and make plans and adjustments, but keep my voice in your mind. Sometimes the more you plan it, the more freedom and free space you have in your mind to do the things you want, because you’re not constantly carrying around the to-do list. It’s there anyway, you might as well handle it efficiently. So, that’s my real encouragement. Again, I’m really for it. You may not be for it. I’m not going to harass you and make you agree with my view on it. But I know the science here and I have seen it benefit so many people, and I really hope that you can give it a go and let your guard down and let go of your need to have that control and honor what’s important to you and follow through with what’s important to you so that you get the things that you want and you get the mastery of the things in your life that are important to you. I hope that’s helpful. I’m so grateful to have you here with me today to talk about your relationship with time. There may be many other things I haven’t addressed. If I haven’t addressed your specific struggle with relationship with time, I encourage you to journal down and explore how you might manage that because we do only have 24 hours and I want you to really find some peace in some of those parts of your day instead of carrying around the to-do list. Have a wonderful day and I will talk to you very, very soon.
undefined
Feb 4, 2022 • 23min

Ep. 220 Time Management Procrastination

SUMMARY: In this episode, we review how important it is to address procrastination, as it impacts so many people in so many ways.   We also will review how procrastination is the same thing as avoidance and how people can work towards implementing time management skills to help them build a routine that helps them get the things they want to get done. In This Episode: We outline procrastination definition and procrastination pros and cons. How procrastination is simply an avoidance safety behavior. How to manage procrastination in , Anxiety, OCD and OCD recovery Our new course called Time Management for Optimum Mental Health Links To Things I Talk About: ONLINE COURSE Time Management for Optimum Mental Health https://www.cbtschool.com/timemanagement Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 220. Welcome back, everybody. How are you? Really, really, how are you? How is your heart? How is your mind? What’s showing up for you? How are you? I really want you to check in, in case you haven’t checked in for a while. How are you doing? It’s important. Let’s make sure we check in. Today, we’re talking about procrastination. It’s one of the most common questions I get when I’m doing live calls on Instagram and Facebook, like how do I manage procrastination? A lot of you are also managing perfectionism and it’s getting in the way of you doing the things you want to do or doing the things you have to do. Because I get asked this so much, I actually wanted to show people how I do it. So what I did is I created a whole mini-course, it’s called Time Management For Optimum Mental Health. You can get it if you go to CBTSchool.com/TimeManagement, or you can click the link in the show notes below. It’s a full course of showing you how I manage time and why I manage my time to help manage my mental health and my medical health. A lot of you know I have struggled with a chronic illness. Time management has been huge in me staying functioning and managing mental overwhelm and a lot of procrastination. In the course, it’s only $27, it’s a mini-course and it shows you exactly-- I have recorded the screen as I’m showing you exactly how I do it. If you’re interested, go over and check it out. I’d love to have you take the course and put it into practice. Now, one of the things about this episode is this is actually me giving you a sneak peek into the course because it’s one of the bonuses of the course to talk about procrastination. So I wanted to share it with you here on the podcast as well. You will hear me refer to the other parts of the course as you listen. That doesn’t matter. You’ll still get everything you need to know about procrastination and how to manage it today. But yes, if you’ve already taken the course, you probably have already listened to this bonus. But for today, let’s talk about procrastination. Before we head over into the episode, I wanted to do the review of the week. This is a review from Sadbing, and they’ve said: “Desperately needed. I am an LICSW that has searched high & low for a podcast that delivers quality content. I felt relieved to finally find one! This podcast provides an honest depiction of how anxiety shows up in people’s lives & gives you effective feedback on how to live with it. Thank you!” Thank you, Sadbing. Thank you so much for that amazing review. I do ask that anyone who’s listening, please, the one thing you can do, this is what I offer freely to you all. If you get a second, just click below, in whatever app you’re listening to, and leave a review. It helps me so much reach all the people. The more reviews we have, the more people will trust the podcast and continue listening to this free resource. So, yay. All right. Let’s get over to this episode about managing procrastination. I hope you find it helpful. If you want to learn more about time management, head on over to CBTSchool.com/TimeManagement, and you can get a mini-course for 27 bucks. It’s amazing value for a short period of time and a short amount of money. So, yeah. All right. So happy to have you here with me today. Thank you for giving your time to me and trusting me with your precious time. I will see you after the show. Welcome. You wouldn’t have a time management course without really addressing procrastination. Procrastination is, number one, the biggest question I get, which is another reason why I wanted to make this course, is because it’s so common. It’s such an easy trap to fall into. It’s such a human trap to fall into to procrastinate. But I wanted to take a deep dive into procrastination today and talk about some skills that you can practice to manage procrastination. Let me really just dive into, first, what is procrastination? Now simply put, procrastination is an avoidant safety behavior. What does that mean? When human beings assume or see or assign things as a threat, our mind does that. So our mind will assign something as threatening, whether it be, “I have to write this email.” It could be as simple as writing an email. It could be, “I have to present something. I have to get a project done. I have to go and exercise.” Our brain will present that as some kind of danger or challenge or threat. Now you might be thinking to yourself, there’s nothing dangerous about exercise or writing an email, but there may be for you because doing that means you have to have some uncomfortable feelings. Maybe shame, maybe anxiety, maybe irritability. Anger might show up. Guilt might show up. Because those emotions are uncomfortable and maybe if we haven’t developed skills on mastering those emotions, events like writing an email or exercising or doing a project may be experienced as dangerous or a threat. When our brain interprets things as a threat, naturally, it is going to set off the alarm and try to either get you to run away from it, to fight it, or to freeze. That’s how fight, flight, and freeze response. And the most common as humans is avoidance. We avoid the thing that will create discomfort for us, and simply put, that is what procrastination is. Now, why do we call it a safety behavior? We could call it a compulsion. But we call it a safety behavior because not everybody does it compulsively, but they may do it to create a false sense of security, a false sense of safety. As human beings, we want safety. It feels good to feel safe. It feels good to feel like, “Oh, I don’t have to face that hard thing.” So, yes, we consider it a safety behavior. Now, does that mean that you’re bad and lazy or not good? Absolutely not. Everybody engages in safety behaviors. It’s a human part of life. But what we want to look at here is, is it creating trends in your life? Is it creating impact or consequences to your life that create more discomfort and more distress later? Most of the time people say, “Yeah, I avoid,” and it’s getting to be a problem. If that’s for you and that’s happening to you, you’re definitely not alone. Now, how do we manage procrastination? The first thing is identify what it is you are avoiding specifically. Don’t just say, “I’m avoiding the email.” Don’t just say, “I’m avoiding exercise,” or “I procrastinate.” Don’t say those things. I mean, you can, but ideally, you will stop and go, “Okay, what is it about the email that I don’t want to tolerate? Ah, writing an email brings up social anxiety for me,” or “Ah, writing the email reminds me that I’m really behind on that project. Writing that email brings up shame because last time I spoke to them, I said something silly or something like that,” or “I don’t want to exercise because, ah, every time I exercise, it creates discomfort in my chest and it makes me feel like I’m panicking.” So you’ll identify the specific thing that is causing you to avoid specific. You might even get a specific like I did. It’s the physical sensations I don’t want to feel. Or it’s the thought that this was my fault that I don’t want to think. You may get to the bottom of that. Now, of course, if you guys know anything about me, I’m always going to say, it’s a beautiful day to do hard things. The only way we can overcome these strong emotions, particularly fear and guilt and shame, is to stare them in the face. Our job, and this is what I’m going to encourage you to think about, is to really look at, yes, avoiding. What is the pros of avoiding this? And then on the right-hand side, you could write this on a piece of paper, what are the cons? What are the consequences of me continuing to avoid this thing? Now often when you write that down, that in and of itself is a motivator because you’re going, “Oh my goodness, writing the email is uncomfortable for the duration that I write the email, not writing it is uncomfortable, even when I’m not working on it, because I’m constantly nagged by the fact that I have to write it, or it’s constantly sitting on my list or I constantly see it in the schedule.” A lot of you in, and we’re in the Time Management course – a lot of you have avoided managing time because putting this in the calendar makes you face the fact that you’ve got something scary to do. Now, you will see me, I’m holding my hand on my chest right now and I’m sending you much compassion because these are really difficult things. These may seem easy for other people, but they’re hard for you and me. And so we must be compassionate with the fact that they’re hard. Here is what I’m going to say: Being compassionate can actually take some of that pain away. It won’t take it all. You still have to do it. You have to ride the wave of discomfort. It will rise in full as you go. But you can also be gentle with yourself and reduce your suffering instead of criticizing yourself or how hard it is for you. Don’t compare how it is for you compared to your friend or your seatmate or your neighbor. This is what you do. You practice compassion before you do the activity first. I’m sorry. You commit to doing the activity. You put it in your schedule. You write down when you’re going to do it and how long you think it’s going to take. And then you practice compassion. “Wow, I’m going to be really gentle with myself as I ride out the emotions and the experience of doing that thing.” You may want to get a partner, an accountability partner, who can help remind you and support you as you do the thing. A lot of my patients have an accountability partner. They’re like, “It’s three o’clock.” They’re texting, “It’s three o’clock. I know you’re about to do a scary thing. Good job. Keep going. Don’t stop. Don’t back out. I’ll be right here. You text me as soon as you’re done.” See if you can do that. If you don’t have someone to do that, be that for yourself. So it’s in your calendar. You’re going, you’re gentle. You’re going to do the thing. What I personally like to do is keep a notepad down next to me as I’m writing an email or recording a podcast or doing something that creates anxiety for me. I jot down the thoughts and feelings I’m having. Not a lot, bullet points. Like, “Oh, I’m having the thought that this is not helpful. I’m having the thought that this is not good enough. I’m having the thought that this should be better. I’m having the thought that I made a mistake. I’m having the thought that this should be going fast or better.” Like I said, and you may start to notice – and this is true, I’ve seen a lot of patients say – as you write it down, it’s the same five thoughts over and over and over. When you’re not aware of that, it feels like 55 thoughts or 55,000 thoughts. But once you have it on paper, you will see, often our brain is just repeating the same thing. When you can see that, you can go, “Oh, brain, I’m sorry that you’re sending those messages. Thank you for showing up. Thank you for trying to alert me to the possible dangers, but I have avoided this for so long, and it avoiding it and it procrastinating only delays and continues my suffering.” And you feel your emotions. You ride them out. You tender with yourself as you do the thing. And that’s how you get through it. Once you’re done, you must celebrate and say kind things and congratulate yourself. Don’t forget that stage because that’s so, so important. But the main point to remember here is that avoidance keeps you stuck. Avoiding the thing you’re afraid of is actually what then creates some depressive thinking, some hopeless thinking, or helpless thinking. “I’ll never be able to... I won’t be able to... I can’t...” We really want to be careful of that type of thinking, because that is the thinking where depression lives. Again, the more you face the things that are uncomfortable, you will build a sense of mastery of that. It won’t go well the first time, I promise you. Most of life is trial and error. I have found the only way to move forward is to practice failing. Here is what I’m going to ask of you. As you practice this activity or practice of not procrastinating, of facing the thing you’re afraid of, of doing the thing you’ve been avoiding, I want you to practice or remind yourself that you are really not growing if you’re not failing. I’m going to say that again. You’re really not growing if you’re not failing, because if you’re only doing things that go well, chances are, you’re avoiding a lot of things. If you’re only doing things that are going well, the chances are, you’re not building mastery with the hard things in life, and life is 50/50. We know this, that life comes with 50% good and 50% hard. We have to practice failing so we can learn how to be better. This whole course is about that. You’re going to practice not procrastinating. You may or may not succeed. That’s not really the important part. The important part is that you look at the data, the data being, how did it go, like that reassess stage, which we have as one of the steps in the course. Look at the data, what worked, what didn’t and what do I need to change? This is not a perfect practice. It’s going to be changing as you change. And so having the ability to adapt and having the humility to say, “All right, it’s not working. What do I need to do?” This has been probably my biggest struggle in my entire life, is I avoid looking at the data of what’s not going well. If someone tells me what’s not going well, I get offended instead of going, “Okay, this is not personal. It’s just data. How can I use this data to help me not make the same mistake over and over again?”  Often what I’m doing, I’m churning out a lot of content and I’m not looking at the data when the data could help me to say, what is the most effective? What is the most helpful to other people? How can this be as jam-packed helpful as possible? I have to look at the data, and in order to do that, I have to be willing to fail. It’s okay to fail. This is a practice. It’s not perfection. But when it comes to procrastination, you have to be willing to be uncomfortable. You have to be willing to do hard things. This is why we keep saying, it’s a beautiful day to do hard things. Now, of course, go back, follow the steps of the whole course. You’ve gotta get it in the schedule before you can really do that. But then I want you to even get very microscopic and look at when you’re scheduling. Let’s say there’s something you’re avoiding and procrastinating on. Schedule small activities so that you don’t procrastinate. One of the best lessons I’ve learned when it came to me, recovering from my medical struggles, is I have to get a lot of exercise. Not running exercise, a lot of personal training, physical therapy type of exercises, and I hate them. They’re the most boring, annoying, monotonous things on the planet. However, I have found that if I schedule, “Kimberley, at this time, you’re going to put your shoes on. Kimberley, at this time, you’re going to fill up your drink bottle,” I am more likely to do it. I get very microscopic in my planning. Now, again, you won’t want to do this with all the things in your life. Pick one thing if that’s what you want to work on, and work at creating a system that gets you to do the thing that you continue to procrastinate on. I would not probably do my physical therapy and my training, these annoying, repetitive activities, if I hadn’t created a system that makes it doable. I have a Bluetooth speaker, I put very loud music on. It’s usually reggae or something very hippy, so I feel like at least I’m chilling out as I do it. I marry the thing that’s uncomfortable with something that’s tolerable. Now, you won’t always be able to do this, and that is fine. Sometimes you just got to ride the wave and face your fear. That’s okay. But that is an idea if it’s for things like daily activities and routines in your life. If it’s facing fears and exposure work, well, no, we don’t want to marry it with these things because that can work as a neutralizing compulsion. If you’re someone who is in treatment for an anxiety disorder and you’ve been given an exposure, well, no, you’re just going to have to practice riding the wave of discomfort, but do not forget that self-compassion piece. It is crucial. Do not forget using your mindfulness skills where you allow your discomfort. You’re non-judgmental about your discomfort. You’re willing to allow it to be there. These are all crucial practices. I would even consider writing down all the things where you struggle with procrastination and work through them, practice them, just like you would be lifting a weight, just like you would practice if you were learning French or piano. Pick up the basic things and practice the basics first and go through all of them. Try to get yourself through as many as you can so that you build a sense of mastery like, “I can do that. Even if I don’t want to, I can. I could if I had to,” which I think is a really great way of thinking about things that are uncomfortable in your life. “I don’t want to do them, but I could if I had to.” It’s better than “I can’t” and “I don’t want to.” All right. That is procrastination. I hope that has been helpful. I really want to stress to you that procrastination is a thing that everybody does. Again, it’s not personal, but I really, really encourage you to master doing the things that you avoid. Avoidance keeps anxiety strong. Avoidance keeps you in the cycle of anxiety, and we want to break that cycle. I hope that is helpful. I am really excited to see you go out and do those things. If you want to, you can share them with me on social media or things that you’re doing. It’s a beautiful day to do hard things. I love when people tag me with that. Have a wonderful day, everybody, and I will see you in the next module.
undefined
Jan 28, 2022 • 38min

Ep. 219 Do You Have a Healthy Relationship with Alcohol (with Amanda White)

SUMMARY: Today we have Amanda White, an amazing therapist who treats anxiety, eating disorders and substance use. Amanda is coming onto the podcast today to talk about her book, Not Drinking Tonight and how we can all have a healthy relationship with alcohol. Amanda White talks about ways you can address your relationship with alcohol, in addition to drugs, social media and other vices. Amanda White also shares her own experience with alcohol use and abuse and her lived-experience with sobriety. In This Episode: Do you have a healthy relationship with alcohol Why we use alcohol and substances to manage anxiety and other strong emotions How to build a healthy relationship with alcohol. How to manage substance abuse, anxiety and substance use in recovery. Tools and tips to manage alcohol use and abuse Links To Things I Talk About: Easiest place to get Amanda’s book with all links amandaewhite.com/book Instagram @therapyforwomen My therapy practice therapyforwomencenter.com ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com. CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors. Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). Episode Transcription This is Your Anxiety Toolkit - Episode 219. Welcome back, everybody. I am thrilled to have you here with me today. You may notice that the podcast looks a little different. That is on purpose. We have decided to update the cover of the podcast. It now has my face on it. There were a lot of people who had reached out and said that the old podcast cover art looked like a gardening podcast. And I thought it was probably time I updated it. So, that was something that I had created years and years and years ago. And I’m so thrilled to have now a very beautiful new cover art. Okay. This episode is so, so important. I cannot stress to you how overjoyed I was to have the amazing Amanda White on the podcast. She’s a psychotherapist. She’s on Instagram, under the handle Therapy For Women. She’s so empowering. And she talks a lot about your relationship with substance use, particularly alcohol. But in this episode, we talk about many substances. And this is a conversation I feel we need to have more of because there are a lot of people who are trying to manage their anxiety and they end up using alcohol to cope. Now, this is a complete shame-free episode. In fact, one of the things I love about Amanda is she really does not subscribe to having to do a 100% sobriety method. She really talks about how you can create a relationship with alcohol based on whatever you think is right. And she has a new book out, which I am so excited that she’s going to share with you all about. Before we get into the episode, I’d first like to do the review of the week. Here we go. We have this one from Epic 5000 Cloud 9, and they said: “This podcast has absolutely changed my life and made my recovery journey feel possible. After completing ERP, I felt lost and confused as to why I did not feel ‘better’. Kimberley has given me so many tools to build my self-compassion, grow my mindfulness skills, manage OCD, and do all the hard things.” So amazing. I’m so grateful to have you in our community. Epic 5000 Cloud 9. So happy to have you be a part of our little wonderful group of badass human beings. I love it. Let’s go right over to the show and so you can learn all about Amanda and this beautiful, beautiful conversation. Have a wonderful day, everybody. Kimberley: Okay. Well, thank you, Amanda, for being here. I’m actually so grateful for you because you’ve actually brought to my attention a topic I’ve never talked about. And so, I’m so happy to have you here. Welcome. Amanda: Thank you so much for having me, Kimberley. I’m excited to chat with you. Kimberley: Okay. So, tell me a little bit about you first. Like, who are you? What do you do? What’s your mission? Amanda: Yeah. So, my name is Amanda White. I am a licensed therapist. You might know me on Instagram from Therapy For Women as my handle. I’m also sober and I’m really on a mission to destigmatize sobriety and destigmatize the idea that you can question your relationship with alcohol. And it’s really why my Instagram page and everything I do isn’t sober only focused because I want it to be something where people who maybe aren’t necessarily sober or haven’t thought about it can, in a safe unstigmatized, unpressured way, also explore their relationship with alcohol. And that is what led me to write a book. And my book is called Not Drink Tonight. Kimberley: So good. So, I already have so many questions. Why wouldn’t one question their relationship with alcohol? Because what I will bring here is a little culture. I’m Australian. Amanda: Yeah. I was going to say. Kimberley: I live in America. The culture around drinking is much different. I have some great friends in England, the culture there is much different. So, do you want to share a little bit about why one wouldn’t maybe question their relationship with drinking? Amanda: Absolutely. I think I can only speak for America specifically, but I know enough people in England and Australia, too, that there is a culture of drinking is good, drinking is normal. We watch our parents or adults drink when we’re young. We think that’s what makes us an adult. If you look at the media, you look at movies, TV shows, it’s what everyone does when they’re stressed. Women pour themselves a glass of wine. Men pour themselves a bourbon. So, I think that we’re just raised in the society that doesn’t ever question their drinking, because alcohol use is so black and white, where you either are normal and you should drink alcohol and it’s what’s expected, or you’re an alcoholic and you should never drink alcohol. And there isn’t a lot of space in between. So, if someone questions their alcohol use, people assume that they’re an alcoholic. Kimberley: And so, now let me ask, why would we question our relationship? What was that process like for you? Why would we want to do that? Some people haven’t, I think, even considered it. So, can you share a little bit about why we might want to? Amanda: Absolutely. I think it isn’t talked about enough of how much alcohol really negatively impacts your mental health. For a while, I know doctors used to talk about there are some heart-healthy benefits of alcohol, which new studies say is not true. There really aren’t any benefits to drinking alcohol in terms of our health. But really, I think especially anxiety and alcohol are so intertwined and people don’t talk about it and don’t think about it. And what I want people to know is when you drink alcohol, it’s a depressant and your brain produces chemicals because your brain always wants to be in homeostasis. So, your brain produces anxiety chemicals, like cortisol and stuff like that, to try to rebalance into homeostasis. And after alcohol leaves your body, those anxiety hormones are still in there and it creates the phenomenon where you end up being more anxious after you drink. There’s other mental health effects too. But I feel like, especially on this podcast, it’s so important that people realize how intertwined alcohol and anxiety is. Kimberley: Right. You know what’s interesting is I do a pretty good amount of assessment with my patients. But really often, I will have seen them for many months before-- and even though I thought I’ve assessed them for substance use and not even abuse, they will then say and realize like, “I think I’m actually using alcohol more than I thought to manage my anxiety.” And I’m always really shocked because I’m like, “I swore I assessed you for this.” But I think it takes some people time during recovery to start to say like, “Wow, I think there is an unhealthy relationship going here.” Is that the case from what you see or is that more my population? Amanda: No. Absolutely. Because I think it’s easy to lie to yourself. Maybe not even lie, just like not look at it because again, it’s so normalized because we have an idea in our head of what someone with a problem with alcohol looks like. We don’t consider ourselves to have that problem. But just because we aren’t drinking every day or we’re not blacking out or something like that doesn’t mean that we might not be using it to numb, to cope with anxiety, to deal with stress. Kimberley: Right. You know what’s funny is I-- this could be my personal or maybe it is a cultural thing because I always want to catch whether it’s an Australian thing or a Kimberley thing, is I remember-- I think hearing, but maybe I misinterpreted as a young child that you’re only an alcoholic if you get aggressive when you drink, and that if you’re a happy drunk, you’re not a drunk. You know what I mean? And that it’s not a bad thing. If it makes you happy and it takes the stress away, that’s actually a good coping. So, I remember learning as a teen of like, oh, you get to question what is an alcoholic and what’s substance abuse and what’s not. So, how would you define substance use versus substance abuse? Or do you even use that language? Amanda: I mean, yes and no. I use it in terms of it exists, and it is part of the DSM. So, it is in terms of, I do diagnose when needed and things like that. A lot of times though, I think the current narrative and I think people spend so much time trying to figure out if it’s use or misuse, that they miss out on the most important question, which to me is, is alcohol making my life better. Kimberley: Yeah. Amanda: And if it’s not, if it’s right-- I have exercises in my book and I talk a lot about like, what are the costs of your drinking, and what are the payoffs? And if it’s costing you a lot or it’s costing you more than it’s bringing to your life, I think that is where you should question it. And I think your life can change. You can go through different things in your life and maybe that’s when you can ebb and flow with your questioning of it, especially people get so obsessed with the idea of whether they’re an alcoholic or not. And the term ‘alcoholic’ is completely outdated. It’s not even a diagnosis anymore. It’s now a spectrum. So, to me, that word is just so outdated and unhelpful to think about really. Kimberley: Right. And even the word ‘abuse’ has a stigma to it too, doesn’t it? Amanda: Right. In the DSM, it’s alcohol use disorder and it’s mild, moderate and severe. But it’s wild thinking back. I mean, I was in grad school. Oh my gosh, I’m going to date. I don’t even know how long ago, 10 years ago. Kimberley: Don’t tell them. Amanda: A certain amount of time ago, I just remember being in ‘addictions class’ as it was called and we were talking about what is the difference between use and abuse and what makes someone an alcoholic. And I think people also get very attached to being dependent. It means it’s abuse. And it takes a lot to become dependent on alcohol physically. So, we’re just missing out on so many people. I say often, we can question so many things in our life. I’m sure you do too with your clients. I question how their sleep habits interact with their mental health. We talk about how getting outside impacts their mental health, all these different factors. But for some reason with alcohol, which is a drug, we don’t question it or we are not allowed to. Kimberley: Right. Yes. I will address this for the listeners, is I think with my clients, one of the most profound road, like if we come to the edge of the road and we have to decide which direction, the thing that really gets in the way is if I put a name to it, then I have to stop. And that can be, a lot of times, they won’t even want to bring it up – be in fear of saying, well, like you were saying before, is that meaning now-- as soon as I admit to having a problem, does that mean I’m in AA? Is it black and white? I think that there’s so much fear around what it means once we really define whether it’s helpful or problematic. That can be a scary step. What are your thoughts? Amanda: Yeah, I completely agree. And that’s why I really believe in looking at it as a spectrum, especially I think about disordered eating, right? It’s like, we know that based on studies, if someone engages in disordered eating, they’re more likely to develop an eating disorder. So, in my book, I coined this term ‘disorder drinking’ and how I really think we need that term where people can-- it makes the barrier to question your relationship with alcohol much lower, where I find in my practice because I work with a lot of people with eating disorders. People are very open about saying, “Yeah, I’m maybe engaging in some unhealthy, disordered eating. I don’t know.” But there’s a whole step there before maybe you recognize that you have an eating disorder, where I really think that that is what we need with alcohol. We need to be able to talk about how, like, yeah, most of us in college engage in disordered drinking. It’s not super healthy, the way that we drink. Or we may go through a period of time in our life because we’re super stressed or something’s going on, where we engage in that. And that doesn’t mean that you have, for sure, a substance use disorder or you’re addicted or you have to never drink again. But I think it’s important to recognize when we start to fall into that so we can change that pattern. Kimberley: Right. Particularly with COVID. I mean, alcohol consumption is, I think, doubled or something like that in some country. And I think too, I mean, when we’re struggling with COVID that we have less access to good tools and less access to social. So, people are relying on substances and so forth. Yeah. So, what is this solution? There you go. Tell me all your answers. What is their options? How might somebody move into this conversation with themselves or with their partner or with their therapist? What are the steps from here, do you think? Amanda: Yeah. So, I think that the first step is to try to take a break. I think 30 days is a good starting point. A lot of times, if people just start off by cutting back, they don’t really get any of the positive feel-good benefits of taking a break, which is why I recommend starting with taking a break first. Obviously, I believe in harm reduction. And if you are in a place where you can’t take a break, moderation is definitely a good tool and better than nothing. Kimberley: Can you tell what harm reduction, for those who don’t know what that means? Amanda: Yeah. So, harm reduction is the idea that rather than focusing on completely eliminating a behavior or especially completely eliminating a substance is we think about cutting back on that. And I think about specifically, if someone is in an abusive situation, if someone has a lot of trauma going on and alcohol is the one thing that’s keeping them afloat, that to me is like, of course, I’m not going to say you must quit cold turkey or something like that. And even if you’re talking about, alcohol is very dangerous to physically detox from if you are drinking every day, which a lot of people don’t know. In those cases, yeah, it’s really important to get support and detox in a safe environment. Kimberley: Right. Okay. So, sorry I cut you off. Take a break-- Amanda: No, it’s okay. Yeah. So, that’s what harm reduction is. But yeah, in general, I recommend starting with taking a 30-day break, seeing how that goes, see how your health improves, see how your anxiety might be reduced and improved. And really to me, the goal is to learn how to live your life without being dependent on alcohol. Because if we can’t process our emotions, set boundaries, socialize, go on dates, whatever, without the help of alcohol, we never really have freedom of choice over drinking or not drinking because we need it on some level. So, my whole goal is for people to learn how to do some of those skills so that they don’t have to rely on alcohol, and then they can use alcohol in a healthier way for celebrating or in a way that positively impacts their life and they don’t use it as a crutch. Kimberley: So, that’s so helpful. I’m pretty well-versed in this, but I wouldn’t say I’m a specialist. So, I’m really curious. So, if somebody is using alcohol or any other substance to manage their anxiety, would you teach them skills before they take the break so that they have the skills for the break or would you just start to take the break and then pick up what gets lost there? What might be some steps and what skills may you teach them? Amanda: I think it’s a bit of both. I think if you only teach skills before, someone might never take the break, which is fine. But I think if you are only teaching the skills, a lot of times, the skills, I think that’s really good to start before you take the breaks. You can learn how to start dealing with your emotions maybe without drinking, for example. But some of the other stuff like going to a party, without drinking is something where if you don’t actually take that step, it’s probably unlikely that you’re ever going to do it until you’ve pushed yourself to take that break. But in general, yeah. I mean, I think one of the most important ones is learning how to cope with your emotions. People use alcohol all the time, especially alcohol becomes a way to deal with loneliness, to deal with stress, to deal with sadness. And I think-- Kimberley: Social anxiety is a big one. Amanda: Social anxiety. Absolutely. And I think a lot of us literally don’t know how to process an emotion, say no, set that boundary, take care of themselves on a basic level without drinking. So, those are some of the skills I think are really important to learn. Kimberley: I mean, yeah. And for a lot of the folks that I see because their anxiety is so high, would you say they’re using it to top off that anxiety to try and reduce it? In the case where if you’re not drinking, you’re having high states of anxiety. Is there any shifts that you would have them go through besides general anxiety management? Amanda: I think the example I’m thinking of is maybe social anxiety. If there’s a specific instance, right? I know you talk about this a lot on Instagram, like exposures can really, really help with reducing anxiety. And I think there are steps that you can take that are small if you have a lot of social anxiety about going to a party and not drinking, for example, and you’re relying on alcohol to deal with going to a party. I mean, some of the things off the top of my head I can think about are like driving to the place where the party is before it happens, talking to someone who is going to be at the party – taking these small steps to desensitize yourself to it so you can build up your tolerance before you go. Or maybe you go, if this is the first year and you only stay for a short period of time, rather than going from nothing to expecting yourself to go and have fun and stay at the whole party the whole time. Kimberley: Right. What was your experience, if you don’t mind sharing? What were those 30 days like, or can you share it, put us in your shoes for a little bit? Amanda: Yeah, absolutely. So, I struggled a lot with an eating disorder and I kept relapsing in my eating disorder when I would drink. And I had said to my therapist at the time, “I think that I might have a problem with alcohol. I don’t know.” And she recommended me do those 30 days. And it was really hard for me. I didn’t actually make it to the first 30 days when I originally tried because I was so afraid of the pushback of friends, of people asking me why, of not being able to be fun. A huge part of my identity at that time was all wrapped up in what people thought of me and going out and being the fun, crazy one. Kimberley: Yeah. And it’s interesting how the different experience, because I too had an eating disorder. But my eating disorder wouldn’t let me drink. Amanda: Yeah. Kimberley: That would be letting go of control, and what if I binge, and what if I ingest too many calories? So, it’s funny how different disorders play out in different ways. It was actually an exposure for me to drink. What we quote, I think I’d heard so many times “empty calories” or something. So, that was a different exposure for me of that. But I can totally see how other people, of course again, it does-- I mean, I think that this is interesting in your book, you talk about the pros and the cons. It does make it easier to be in public. It does “work” in some settings until it doesn’t. Amanda: Exactly. And I think that’s so important to normalize and it’s part of why I wrote my book because there aren’t many books that are, you’ll get this as a therapist. I can think of many different situations where, like you said, I wouldn’t tell a client, “You should absolutely stop drinking,” because everything is unique. So, I really wanted to write a book that took into account different things and really led the reader through their own journey where they get to discover it for themselves because while there’s amazing books out that I love, there aren’t a ton that talk about this gray area, drinking, this middle lane, this truth that a lot of times you can feel lonely when you don’t drink because you’re left out of certain things. And that can cause more anxiety. So, we have to navigate all of that. Kimberley: Yeah. It’s interesting too, and I don’t know if I’m getting this research correct. And maybe I’m not, but I’ll just talk from an experiential point. It’s similar with cigarettes, I think. There is something calming about holding the wine glass. Even if it’s got lemonade in it, for me, there’s something celebratory about that. And so, the reason I bring that up is, is that a part of the options for people? Is to explore the areas? It’s funny, I remember my husband many years ago that we talk about cigarettes, because he works in the film industry, and he would say, “The people who smoke cigarettes are the ones who actually get a break because they have to leave set and they get to go outside and sit on something and breathe and have a moment to themselves. If you don’t smoke, you’re lazy if you take a break.” And so, is that a part of it for you in terms of identifying the benefits and bringing that into your life? Like, I still now drink sparkling cider or something, an alcoholic in old champagne glass. My kids are always joking about it. Is that a part of the process? Amanda: Absolutely. And that’s something that I completely agree with you. I think sometimes we don’t even want an alcoholic beverage. We want a moment. We want a break. We want a feeling different or celebratory, which is why we take out the wine glass that isn’t a regular glass, something like that. And that is why I really believe, I mean, it depends on the person. And sometimes if someone has more severe drinking a non-alcoholic beverage initially could be something that’s triggering for them. But I am a big believer too. And yeah, put it in a fancy glass. If you enjoy a mocktail, drink something different than water, you can explore different options. And I think some people are really surprised at how much it’s not actually about the drink sometimes, it’s the ritual of making a drink or the ritual of using that special glass, or the ritual of drinking something that isn’t water. Kimberley: Right. Yes. Or even just the ritual of the day ending. I always remember, my parents would be five o’clock, right? And at five o’clock they would have the-- this is a big family tradition, is at five o’clock, you’d bring out the cheese and the crackers and the grapes and the wine. And it was the end of the day. And so, I could imagine, if someone said, “We’re going to take that away,” you’d be like, “No, that’s how I know the day is over. That’s how I move from one thing to the other.” And sometimes we do think black and white. It means you have to take the whole cheese platter away as well, right? Amanda: Absolutely. We can get almost in our heads of maybe we think we’re more dependent on that cheese platter or the wine or whatever, without realizing that what we really like about it is the ritual. Kimberley: Yeah. So, you can share it or not, how does your life look now? And for your clients, give me maybe some context of what do people arrive at once they’ve been through this process and how might it be different for different people. Amanda: Totally. So, I’m completely sober. I don’t drink alcohol. I’ve been sober for seven years. And in terms of how the process looks for me, I drink mocktails. I drink out of wine glasses sometimes. I love going to a bar and seeing sometimes if there’s an alcohol-free option on a menu, I think that’s really fun. And for me initially, when I was thinking about this and working on it, like I said, it was very tied to my eating disorder. But the biggest thing for me is I used to think, well, I can’t totally stop drinking because that’s black and white, and that’s not freedom. Freedom is being able to decide. And I think what is different and unique compared to an eating disorder, for example, is that alcohol is addictive, right? Unlike food, it is an addictive substance that we can live without. And for me, I used to, or for me, I don’t have to think about it if I don’t drink. When I was trying to moderate, it was a lot of decision fatigue. It’s like, “What am I going to drink? How much am I going to drink? When will I stop? Am I going to drink too much?” It was all of these decisions. And freedom for me now actually is just not drinking and not thinking about if I’m going to drink or not. So what my life looks like now is I’m sober, I’ve been sober for seven years. I enjoy going out to restaurants and getting alcohol-free drinks and things like that. And I used to be really worried that that was too reductive, that I was too black and white if I just said I wanted to be sober. But the truth is unlike food, alcohol is an addictive substance. When you have one alcoholic beverage, it does create a thirst for itself for most of us. So, for me, the freedom is actually not worrying about whether I’m going to drink or not. It’s so exhausting for some people, myself included, to be constantly thinking about how much you’re going to drink, if you’re going to drink, when you’re going to drink, what you’re going to drink. And now, the real freedom for me is I don’t drink. I don’t think about it. And that’s the freedom because-- sorry, I just got caught up in what I was saying. Kimberley: No, I think that that is so beautiful. As you were saying it, I was thinking about me in a Fitbit. I will never be able to wear a Fitbit. Because as soon as I know, I could wear it for day-ish. And day two, I’m all obsessive and compulsive. I just know that about myself. And some people can wear it and be fine, and I can never wear a Fitbit. I just can’t. My brain goes very, like you said, on how many? More or less, what’s happening? And so, I love that you’re saying that, is really knowing your limits and whether it’s-- the Fitbit, it’s not actually the problem, but the Fitbit is what starts a lot of problematic behaviors that I know is just not helpful for me. Amanda: Yes. And I think it’s important to recognize there are factors that make us more likely to be able to moderate successfully or not, right? The amount of alcohol you’ve drank throughout your life, your past drinking habits, whether you have a history of addiction in your family or substance use, whether you have trauma, whether you have anxiety, all of these things might make it more difficult for you to moderate compared to someone else. Kimberley: Right. I don’t know if this is helpful for our listeners, but I went sober. My husband and I did for the first year of COVID. What was interesting is then I got put on a medicine where I wasn’t allowed to drink and I felt offended by this medicine because I was like, “But you’re taking my choices away.” And so, I had to go back. Even though I’d made the choice already, I’d had to go back and really address this conversation of like, “Okay, why does that feel threatening to you” and to look at it because a part of me wanted to be like, “No, I’m going to start drinking now just because they told me I’m not allowed.” So, it’s so funny how our brain gets caught up on things around drinking and the rules and so forth. So, I didn’t think of it that way until you’d mentioned it. Amanda: Yeah, absolutely. And I think that that can be why people rebel against “I’m not an alcoholic” mindset instead of it being a choice, instead of it being “My life is better without drinking.” I often say, my drinking was like Russian roulette. A lot of times it was fine when I drank, but the times where it wasn’t fine, I was not willing to put up with it anymore. And I don’t know whether I could drink successfully or not, but it’s not a risk that I’m willing to take. And it’s not worth it compared to all the benefits that I have from sobriety. And because of that, it really feels like an empowering choice. Kimberley: Yeah. My last question to you before we hear more about you is, what would you say to the people who are listening, who aren’t ready to have the conversation with themselves about whether it’s helpful or not? I think I learn in a master’s grade the stages of change. You’re in a pre-contemplation stage where you’re like, “I’m not even ready to contemplate this yet.” Do you have any thoughts for people who are so scared to even look at this? Amanda: Yeah. For people who maybe are in that pre-contemplation, not sure if they want to do the deeper work to question their relationship with alcohol, what I would recommend to them is start by just trying to reduce some of their alcohol intake. They don’t have to stop drinking. They don’t have to even think about whether it’s serving them or not, but there are so many amazing alcohol-free beverages that exist now. I mean there’s alcohol-free beers and wines and all kinds of things. And you could just try swapping one of your alcoholic beverages with that when you go out or at home and just see how that makes you feel. Kimberley: Yeah. It’s a great response in terms of like, it is. It could be. Would you say that’s more of the harm reduction model? Amanda: Yeah, absolutely. Or someone who’s not ready or really interested in the big conversation. That’s one of the reasons I really support and like the alcohol-free beverages and stuff like that because it gives people, I think, an easier way to step into it. And sometimes even realizing too, like alcohol-free beverages can taste really good compared to the beverage that has alcohol in it. So, you’re not drinking this for the taste. Kimberley: Exactly. Sometimes when I have drunk alcohol, I’m like, why am I even drinking this? It’s not delicious. Amanda: It’s true. Kimberley: It’s not delicious. I love that you say that about-- I think one of the wins of the world is they are creating more, even just the bottles and the look of them are much nicer than the general or dual looking kind of bottles, which I think is really cool. I love this conversation, and thank you so much for bringing it to me because I do really believe, particularly in the anxiety field, we are not talking about it enough. So, I’m so grateful for you. Amanda: Absolutely. I’m so glad that I got to chat about it because, yeah, the anxiety connection is huge. Kimberley: Yeah. Tell me about your book and all about you. Where can people find you? Amanda: Yeah. So, my book comes out on January 4th. It’s called Not Drinking Tonight. And 2022, because this is out. Kimberley: Yeah. Amanda: Sorry if I messed up. Kimberley: No, no it’s good. So, for people who are listening on replay, it will be out as of 2022. Amanda: Yeah. It’s called Not Drinking Tonight: A Guide to Creating a Sober Life You Love. It is broken up into three different sections so that you can learn in the first section why you drink, and I go into evolutionary psychology and trauma and shame. In the second part, it’s about reparenting yourself or the tools that you need to stay stopped. So, I talk about boundaries and self-care and all of the things, emotional health, how we take care of our emotions. And then in the last section, I talk about moderation, relapsing, the overlap of alcohol use and other substances or ways we numb. So, really though my book is structured around alcohol. I talk a lot about eating disorders, perfectionism, workaholism, other drugs, because I think a lot of it is the same in that sense. Kimberley: 100%. Amanda: So yeah. And you can find me on Instagram at Therapy For Women, or my website is amandaewhite.com. Kimberley: Amazing. Thank you so much. It’s so great to actually have a conversation with you face to face. Well, as face to face as we can be. So, thank you so much. Amanda: Thank you. This was so great. ----- Okay. And before we get going, I’m sure you got so much out of that episode. Before we get going onto your week, I wanted to share the “I did a hard thing.” This one is for on Paula, and she said: “I started ERP School earlier this year. While looking into my OC cycle, I was surprised to find out that I had some overt compulsions. I thought they were mostly mental. And that’s when I figured out I had a BFRB. My loved ones had commented on my hair pulling in the past, but I didn’t realize how compulsive it could be. I watched Kimberley’s webinar on BFRBs, and I got inspiration to be creative. I tried to use hand lotion, so it would make my hands sticky and demotivate hair pulling. I also got a fidget toy to keep my hands occupied whenever I felt like pulling. But what worked best was you using a transparent elastic band to tie up the two strands I used to pull. It’s perfect because it creates a physical barrier to pulling, but also a sensory reminder. If my fingers feel the band, I can say to myself, “Oh, the band, that feels different.” And because I’m trying to make a change, way to go me. Thank you, Kimberley, for all the amazing work you do.” So guys, this is amazing. If you didn’t know, if you go to CBT School, we have a free training for people with BFRBs. If you have OCD, we have a free training for people with OCD. So, head on over to CBT School, and you can get all of the cool resources there. Have a wonderful day, everybody. And thank you so much for the “I did a hard thing.” That was so cool. I was not expecting that, Paula. Congratulations! You are doing definite hard things. Have a wonderful day, everybody.
undefined
Jan 21, 2022 • 17min

Ep. 218 The Danger of Catastrophization

In today’s episode, Kimberley Quinlan talks about the importance of identifying catastrophic thinking. The reason this is so important is that this type of cognitive distortion or cognitive error can increase one’s experience of anxiety and panic, making it harder to manage it at the moment. Kimberley talks about the importance of mindfulness and self-compassion when responding to catastrophization also.  In This Episode: What is Catastrophization? Why is it important that we catch how we catastrophize? How to manage Catastrophization? How correcting our thoughts can help, sometimes..but not always. Links To Things I Talk About: ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 218. Welcome back, everybody. How are you doing? How are you really? Just wanted to check in with you first, see how you’re doing. We’re friends, so it’s my job to check in on you and see how you are. Thank you for being here with me again. I do know how important your time is, and I am so grateful that you spend it with me. Thank you. That is such a joy and it’s such a wonderful experience to know that I am spending time with you each week. This week, we are talking about the danger of catastrophization. Now, I’ll talk with you a little bit more about what that means here in a second, but basically what I want to do in this episode is really to take off from the very first episode of this year, which was the things I’d learned in 2021. One of the points that I made there was to really take responsibility for your thought errors, right? And I wanted to pick one of the thought errors that I see the most in my clients. In fact, in the last couple of weeks, it’s been an ongoing piece of the work we do. It’s not all of the work, but it’s a piece of the work, is for me just to be, I’m still doing teletherapy. So, we’re sitting across from the screen and just reflecting and modeling back to them some of the ways in which they speak to themselves and really looking at how helpful that is and how that impacts them. So, before we get into that episode, I want to offer to you guys to submit your “I did a hard thing.” Today, as I went to prepare for this episode, I checked the link and we’d actually used up all of the ones that were submitted probably in August of 2021. And so I’m going to encourage you guys to submit your “I did a hard thing” so I can feature you on the podcast. When we first submitted, we had like 70 submissions, and I’ve used all of them up. And I would love to get new ones to share with you and have you be featured on the show. So, if you want to go over, you can click on the show notes for the link, or if you want, you can go to kimberleyquinlan-lmft.com. So, that’s Kimberley Quinlan - L for License, M for Marriage, F for Family, T for Therapy.com. Click on the podcast link, which is where we hold all of our podcasts, and you could submit your “I did a hard thing.” And I’d love to have you on the show. It actually is probably my favorite part. I could easily just have a whole show called “I did a hard thing” and it could be just that. All right. So, let’s get into the episode. Today, I want to talk with you about the danger of catastrophization, and let me share with you how this shows up. So, I want to be clear that you cannot control your thoughts, your intrusive thoughts that repetitively show up, and you can’t show your fear up. You cannot change your feelings. So, you can’t tell yourself not to be sad if you’re sad and you can’t tell yourself not to be anxious if you’re anxious and you can’t not panic if you’re panicking. But you can change how you react and how you behave. That is a common CBT rule. Now often, when you have an intrusive thought, a lot of my patients or clients will report having anxiety or having a thought or having a feeling or having an urge or having an image that shows up in your head – because that’s what I do, right? People come to me with a problem. The problem is usually a thought, feeling, sensation, urge, or image. That’s what I do. And what I try to do is change the way they respond. That is my job, right? Now, what often happens is, there is a thought or a feeling or a sensation or urge, impulse, whatever it may be that shows up, and they often will respond to that by framing it in a way that is catastrophic. I’ll give you some examples. So, when they have the presence of anxiety in their body, they may frame it as: “I’m freaking out.” That’s a catastrophic thought. When they had a lot of anxiety or maybe they had a panic attack, they frame it or they assess it by saying, “Kimberley, I almost died. I had the biggest panic attack of my life. I almost died.” Or “It nearly killed me. The anxiety nearly killed me,” or “The pain nearly killed me.” They may have tried to do an exposure or they may have tried to reach a goal that they had set, and they’ll say, “I failed miserably. It was a total disaster.” They are trying to recover from a mental illness or a medical illness, and they’ll say, “I’ll never amount to anything. I’ll never get better.” Or they’re suffering. We have different seasons in our lives. We have seasons where things go really, really well and we’re like winning at life. And then we have seasons where things are hard and we just have hurdle after hurdle, after hurdle, and they’ll say, “There’s no point, my life is not worth living,” or “I’m never going to be able to solve this.” Now, first of all, if you’ve thought any of these things, I am sending you so much love. Your thinking is not your fault. I’m not here to place blame on you like, “Oh, you’re bad at this,” because our brains naturally catastrophize, because our brain wants to make sense of things and put them in little categories because that is the easiest, quickest way to understand our world. So naturally, we do this to make sense of the world. If I said to my daughter, “How are you doing with math?” She’d go, “Oh, it totally sucks,” because it’s easier to say, “It totally sucks,” than to say, “There are some things that I’m doing well with and some things that I am not. I am struggling with this thing, but I’m finding this part really enjoyable.” That takes a lot of energy to say that, and it takes a lot of energy to hold opposing truths. We’ve talked about this in the past. It’s not the fastest, efficient way to live when you’re living in those types of ways. So, what we often will do, particularly if we are having a lot of strong emotions, is we catastrophize. Now often a client will say some of these or many others. There’s many ways we can catastrophize, which is to make a catastrophe out of something. When they say it, I don’t say, “That’s wrong. You’re bad for thinking that.” I’ll just say, “I’m wondering what percent of that is correct. Like I almost died. Okay, I’m interested to know a little bit about that. Did you almost die?” And they’ll be like, “No.” I’m like, “Okay.” And I’m not there to, “I really want to model to you.” I’m never across the screen or across the office with my patient, trying to tell them how wrong they are. Never. That’s never my goal. But I want them to start to acknowledge that the way in which they think and they frame an experience can create more problems. Now if they said to me, “Kimberley, I want to think this way. I like it. It makes me happy. It brings me joy. I’m fulfilled this way,” I have nothing to fix. But often, once we reflect, and I often will then ask my patients, “So when you say ‘I totally freaked out.’ You had anxiety and you said, ‘I totally freaked out,’ how does that feel?” And often they’ll say, “Not good.” They’ll say, “It actually makes me feel more anxious.” Or if they had an intrusive thought, let’s say they had OCD and they had an intrusive thought and we can’t control intrusive thoughts, and then their response was, “I’m a horrible human being who doesn’t deserve to be a mom for having that thought,” I’ll say, “How does it feel to respond to your intrusive thought that way? How does that have you act?” And they’re like, “Well, it makes me feel terrible and not worthy. And then I don’t want to do anything, or then I just want to hide, or then I have so many emotions. I start freaking out even more. And now it’s a big snowball effect.” So then we start to gently and curiosity-- sorry guys. Then we begin to gently and curiously take a look at what are the facts or what actually lands to be true and helpful. I want to be clear. We do not replace catastrophization with positive thinking. I would never encourage a client to replace “I am freaking out” with “I am feeling wonderful” because that’s not true. They’re actually experiencing discomfort. They are experiencing panic. They had an intrusive thought. They’re having an urge to pick or pull. They’re having an urge to binge. They’re having depression. They’re having self-harm thoughts. So I’m not here to, again, change those particularly. But I really encourage them to look at how you frame that experience, how you respond to that experience. What would bring you closer to the goal that you have for yourself? Because usually, when people come to me, they’ll say, “I want to feel less anxious,” or “I want to do less compulsions,” or “I want to pick my skin less,” or “I want to binge less,” or “I want to love my life. I want to feel some self-esteem and worth. I want to take my depression away.” So, we want to really look at catastrophization and look at the danger of continuing to use that pattern. Now, let me get you in on a little trick here. I titled this podcast “The Danger of Catastrophization” because the title in and of itself is a catastrophization. Did you pick that up? That’s a lot of what happens in social media, is they use catastrophic words to peak your interest. It sells a lot of things. In fact, some businesses sell on the principle of catastrophization. They tell you what catastrophe will happen if you don’t buy their product. They might say, “You’ll have wrinkles. Terrible, old wrinkles if you don’t buy our product.” And that may feel like a catastrophe because they’re trying to sell you their product. They may say, “If you don’t buy this special extra filter for your car, it could explode on the highway.” That’s a catastrophe. “Okay, I’ll buy it.” So, even my naming of it, I want you to be aware of how it piques your interest, the catastrophes, and how it draws you in because nobody wants a catastrophe. But for some reason, we think in this way. So I made a little trick there. I tricked you into listening. I try not to use it as a tool, but I thought today it would be really relevant to bring it up and see whether you caught that catastrophization that I did to get you onto this episode. I’m a naughty girl, I know. There it is. I want you to catch how you frame things and how you tell stories about things that you’ve been through or about the future and catch the catastrophization that you do. If you have a supportive partner or friend or somebody in your life, a loved one, and you trust them, you may even ask them to just give you a little wink every time they catch you using a catastrophization. Sometimes you don’t catch it until someone brings it to your attention. Because again, our brain works on habit. Our brain works on what it knows, and it doesn’t really like to change because that means you have to use more energy. But I promise you. I promise, promise, promise you, this is the energy you want to use. This little extra piece of energy is totally worth it, because think about it. If I said to you, “I had a panic attack, it was really uncomfortable. I rode it out. There were some moments where I felt really confident and some moments where I was struggling, but it did go away eventually,” ask yourself how that feels. And then I’m going to tell you a different version: “I was totally freaking out. I totally thought I was going to die. It was so bad. I really think it was the most painful thing I’ve ever been through in my whole entire life.” How does that feel? It feels terrible. A lot of panic comes from people catastrophizing, using language that feels really dangerous. The danger of catastrophization – remember, it feels dangerous when we use catastrophization. So, just be aware of it. Catch it if you can. Okay? All right. Before we finish up, I want to do the review of the week. This is by Dr. Peggy DeLong and she said, “Wonderful practices!” She gave it a five-star review and said, “I appreciate that you highlight these skills as practices. Coping with anxiety is not a one-and-done deal. Practicing these skills, even on good days, especially on good days, helps to promote long-term well-being. Thanks for providing this service!” Thank you so much, Dr. Peggy DeLong. I am so grateful for your reviews. Please, go and leave a review if you have some time. I would be so grateful. It really helps me reach people who, let’s say, look at the podcast and think to themselves, would this be helpful to me? And if there’s lots of reviews, it helps build trust for them that they would then click, and then hopefully I can help them. Okay? All right. Sending you all my love. One quick thing to remember is if you go over to cbtschool.com, we actually have a full training on this, on correcting the way that you think. Again, the goal is not to change your intrusive thoughts, but the goal is to work on how you reframe things. So you can go there for that training. All right. All my love to you guys. Have a wonderful day. It is a beautiful day to do hard things.
undefined
Jan 14, 2022 • 41min

Ep. 217 The Benefits of Meditation for Anxiety & OCD

SUMMARY:  Today we have Windsor Flynn talking about how she realized the benefits of meditation for anxiety and OCD in her recovery. Winsdor brought her lived experience and training to the conversation and addressed how meditation has helped her in many ways, not just with her OCD and mental health. In This Episode: The benefits of meditation for general anxiety The benefits of meditation for OCD The roadblocks to practicing meditation How Mindfulness and mediation help with daily stress (especially through COVID-19) Links To Things I Talk About: Instagram: @windsormeditates Instagram: @Windsor.Flynn Website: www.windsorflynn.com (Windsor is certified to teach the 1 Giant Mind 3 Day Learn Meditation course). ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com.  CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors.  Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 217. You guys, 217. That’s a lot of episodes. I’m very excited about that. Today, we have with us the amazing Windsor Flynn. I cannot tell you how incredibly by inspired I am with Windsor. She is very cool and has so much wisdom and so much kindness to share. Today, we have her on to talk about having anxiety and learning the importance of meditation. Now, Windsor speaks specifically about having OCD and how much it has helped her to take up a meditation practice. She goes over the couple of main key points, which is number one, anyone can meditate. And that meditation can be user-friendly for people, even with OCD. And she said, “Especially for people with OCD.” And she actually gives us the amazing gift of a guided meditation at the end, that just helps you bring your attention to the present and learn to drop down into your compassion and your body. And then the third point she makes is that meditation can be integrated into your life, even if you feel like you don’t have time, or even if it’s really uncomfortable. And she shares some amazing experiences and examples of where she really struggled and how she got through those difficulties. So, I’m going to quickly first do the “I did a hard thing” and then I’m going to let you guys get right into the amazing conversation with Windsor Flynn. So, today’s “I did a hard thing” is from Anonymous, and they said: “I wear a dress that has been sitting in my closet for months. I was always scared to show my skin since breaking out in hives over my social anxiety. I felt proud for the first time in a long time.” This is so cool. You guys, I love this so much. They’re really talking about showing up imperfect and all, or letting people judge them and going and doing what you want to do anyway. And that is what this podcast is about. It’s about living the life that you want, not the life that anxiety wants you to have. And often, anxiety will keep your life very small if you only listen to it and only follow its rules. And so, anonymous is doing this work, walking the walk, not just talking the talk. So, yes, I’m so, so in love with this. Now you guys, you can go over to my private practice website, which is where the podcast lives. It’s Kimberley Quinlan - L for License, M for Marriage, F for Family, and T for Therapist – I had to think there – .com. So, KimberleyQuinlan-lmft.com. And then you can click on the podcast and right there is a link for you to submit your “I did a hard thing” and you can be featured on the show. So, go do that, but not right away. First, I want you to listen to this amazing, amazing episode. Kimberley: Welcome. I am so excited for this episode. I have a reason for being so excited, which I’ll share with you in a second, but first, I want to introduce to you Windsor Flynn. She is incredible. I have watched you grow over the last what? A year or two years since I’ve known you. It is so wonderful to have you on, so thank you for coming. Windsor: Yeah. Thank you for inviting me. This is so cool because I’ve spent a lot of time listening to your podcast and, I don’t know, just hoping to be on Monday, but I didn’t know for what. So, this is really cool for me. Kimberley: Yeah, this is so cool. So, you’re coming on to talk about meditation. And the reason that this is so exciting for me is that is actually what this podcast was originally for – was to bring mindfulness and meditation practice to people who have anxiety. And I did a lot of meditations at the beginning and then I lost my way. So, I feel like you coming here is full circle. We’re going back to the roots of the show to talk about mindfulness and meditation. Do you want to share a little bit about your story with mental health and why you landed on this as being your passion project? Windsor: Yeah, sure. So, I started-- I guess my mental health story goes way back, but I’ll just start at the beginning when I first came to my OCD diagnosis. I had been experiencing anxiety. Looking back, I will say it was pretty debilitating, but I was sort of just powering through it. I was a new mom. I didn’t have a lot of mom friends, the first in my group to have kids. My parents are across the ocean in Hawaii. I’m in California, in San Francisco with my boyfriend who is shocked at being a dad. So, I’m very anxious, but I’m doing all the things. And I had started experiencing intrusive thoughts, which I didn’t know were intrusive thoughts. I was just really worried that I was going to become a headline for like moms that murder. I hate moms that kill because I had heard of this story. I’m sure so many people who grew up at the same time as me were really familiar with the Andrea Yates story. I don’t need to go full into detail, but she had some mental health issues and she ended up killing her kids. It’s a very, very sad story, but I had attached to that because I was just so, so scared that that would happen to me. And I don’t know why I was nervous that this would happen to me. But ever since I was little, I just always thought that anything drastic, it would happen to me. I would be there for the end of the world. I would be there to witness a mass murder, or I would be a victim of a serial killer. All these things, I just thought it had to be me. I don’t know why. So, of course when I have a baby, I’m thinking, “Oh no, this horrible thing, it’s bound to happen to me. I need to pay attention.” So, that’s when the hypervigilance started, all of these things that I now have language for, but I wasn’t quite sure how to explain, and I also didn’t want to explain it to anyone because it sounds unhinged. So, I was doing this alone. I was trying to keep myself very busy. I was doing all the classic compulsory activities that happen when you’re trying to avoid intrusive thoughts and avoid this massive discomfort in fear. And eventually, we moved out of the city. So, not only was I mothering by myself-- not really by myself. I had a partner, but he was working a lot just with his schedule. So, he was sleeping most of the day and gone all night. So then we moved across the bay to Alameda and then I just didn’t even have friends anymore. So, I was all alone. So, I was thinking, “Wow, if there’s ever going to be a time that I’m going to just completely go off, it’ll be now.” And then it just snowballed. It spiraled into this thing where I couldn’t not be scared and I didn’t know what was going to happen. I was convinced that I was going to kill my son for no other reason. Then I just had a feeling that something bad was going to happen. So, I looked up postpartum mood disorders because somehow, I knew those existed. And I was hoping that this had something to do with it. I still had hope that there was an explanation. And I found something that said Postpartum OCD, and anxiety. And of course, I hit every single track mark. It wasn’t mild symptoms. I was just, yup. Check, check, check, check, check. And so, I felt a little okay. Not really, right? And I finally saw someone who ended up being-- she said she was a postpartum specialist, which was great. I signed up with her. We talked. She told me I had OCD. It was cool. But she didn’t give me any tools. She was doing the root cause stuff, which is probably really helpful in other circumstances, not necessarily for OCD. But she reassured me enough that I was cool with my OCD. I was like, “Well, I’m not going to kill anyone. That’s fine. I can go home. I can continue being a mom as long as you’re telling me I’m not a murderer.” Just like, “No, you’re not a murderer.” I was like, “Great, well, we’re done here, I guess.” And I got pregnant again. And of course, I was so scared. I was like, “That’s going to happen again. I’m going to have postpartum OCD.” So, I couldn’t pause my whole pregnancy, but it was in the name of preparedness. So, I didn’t know that I was making my symptoms worse and worse and worse until I had the baby. This time I’m not scared I’m going to kill anyone. I’m just scared that now I think she’s the devil, which I did not know how to recognize it. So, finally, I’m experiencing a whole different subset of OCD symptoms. I didn’t know, but I just thought, well, it was OCD the first time. I’m just going to check. And luckily, I landed on my therapist. I still see-- even though this was four years ago, I still see her every two weeks. I love her. She’s the best. She’s given me all the tools I needed to manage my mental health, got me to a place where not only was I totally understanding the disorder, but I felt really comfortable sharing and sharing in a way that I thought would be helpful to other people. So, that’s when I started advocating for maternal mental health and OCD, and that’s how we know each other, through the internet, social media space. And I guess that was a mouthful, but that was how I landed onto the advocacy part. And eventually, I switched to meditation because I felt like this was a tangible way that I could offer a service that I know to be helpful for the management of mental health. And I know how much resistance there is towards starting this meditation practice because I too went through a number of years where I absolutely said no to this idea of meditation. But once I started, I realized, wow, I don’t know why I didn’t do this sooner. There’s really something to it. And it’s very teachable. And I know from firsthand experience how beneficial it is. Kimberley: I love that. I actually don’t think I’ve heard your entire story. So, thank you for sharing that with me and everybody. I didn’t realize there were two waves of OCD for you and two different subtypes, which I think is common, for a lot of people. Windsor: Yeah. Kimberley: I love that. So, I think what you’re saying, and can you correct me if I’m wrong? So, the first wave was reassurance, what you used to get you through. And then the second you used ERP? Windsor: Yes. Kimberley: Okay, great. And then from there, the third layer of recovery or however you want to say it, was it meditation, or were there other things you did to get to the meditation place? Windsor: Well, I was doing ERP and that really helped with my OCD management. I was able to recognize whenever I had a new obsession, and I feel like I could recognize anyone’s new obsession. At this point, I was like, ‘Oh, that’s this, that’s this. It’s tied into this.” So, I had a really great understanding, and that was cool. But I still have two kids, we’re still in a pandemic, I still have communication issues with my partner – all these normal things that ERP doesn’t necessarily help with. So, it was really just about finding that balance between working on myself and stress management and really getting to be that calm, chill person that I’ve always wanted to be. Even when I was doing the best with my OCD, I was still not so relaxed because I had a lot of attachments to how I wanted people to perceive me, how my children were behaving, not necessarily in a controlling way, but just really feeling a lot of responsibility over everything. And so, the meditation was just this next step that I was hoping would get me there, because I was feeling a lot of stress, not even related to my OCD, just in general. And I wanted to be able to find something that would help me get through that stress so that I could start really figuring out what it is I wanted to do, just even for fun again, instead of just only feeling this overwhelmed. Kimberley: Yeah. No, I really resonate with that. All I can say for me is, while I had a different story, I had an eating disorder, I was trying to do meditation during that, but the thoughts and everything was just too big for it. And it was hard for me to access actual meditation without it just being an opportunity to ruminate, sitting there, just cycling. So, the main thing I really want to ask you, if you’re willing to share, is let’s say specifically someone with OCD, what were some of the struggles that you had with meditation? Because I know so many people with OCD are really resistant to it because the thoughts get louder when you sit still and so forth. So, what were some of the things that you had to work through to be able to sit on a cushion? Windsor: Yeah. That’s such a great question because I feel like, had I not figured out that I had OCD and then done all this work with ERP to really learn how to acclimate myself to the presence of intrusive thoughts, I don’t know that I would’ve been successful in meditation. Actually, I know that I wasn’t because I had tried it before, and it was too hard. So, I really-- even with ERP, once I started the meditation journey, the first few weeks were pretty challenging for me because as someone with OCD, every time I close my eyes and I’m not occupied, or my brain is not occupied, it’s like prime time. This is OCD’s favorite. It’s like the time to shine. It’s like, “Okay, here I am. What can we throw out to you today?” And so, knowing that this was a possibility, even when I signed up to learn meditation, I was like, “Okay, I’m going to do this. I’m going to try, I’m going to give college a try.” Then my OCD was like, “No.” You close your eyes, something could happen, like you could have a breakdown or you could make all these realizations that you are a psycho killer. And then you’ll just definitely kill everyone. Thank God you tried meditation. Now your true self can come out. And I was like, “Okay, I’m going to just do it anyways. I’m just going to meditate because I have to see, not even in a compulsory way, I have to see if this is true. But I can’t-- knowing now what OCD does, I couldn’t-- it was almost I took it as a personal challenge. Kimberley: Like an exposure, right? It was like an exposure, like, “Okay, fine. I’m going to-- let’s see.” Windsor: I signed up to learn meditation as a true exposure because now I had this fear that if I come to all these realizations, it won’t be cool. It will be devastating for everyone around me. So, I was like, “Well, I’m going to try. I’m going to try to meditate.” And do you know what? I cried and panicked the first time. I had to turn off my camera because I did not want the teacher to see. Kimberley: So you did it live. Windsor: I did it live. It was so hard. It was like a total exposure because this was in front of-- I think there were 25 people in the course and everyone was closing their eyes, I’m assuming. But 20 minutes is a long time to meditate. So, I know people were going to be opening their eyes. So, I was live having this fear that I was going to turn into a psycho killer on the camera. So, I was crying because it was hard. But you know what? I’m so glad I did because also ERP showed me that crying is fine. We can cry when we do hard things. I was doing the hard thing and I was proud of myself. I even shared afterwards. We were like, “Who wants to share?” And I was like, “Me.” I cried and I had a panic attack. Kimberley: See. That is so badass in my mind. That is so cool that you did that. You rode that wave. Windsor: Yeah. And it was great because if I didn’t do that or purposely put myself into the situation to cry and do this hard thing, I wouldn’t have been able to get to the good part of meditation, which I love. I like to talk about the good part of meditation. But having OCD makes starting the hardest part. Kimberley: Yeah. What is the good part of meditation for you? Because I think that no one wants to do hard things unless they know there’s some kind of reward at the end. Everyone’s going to be different, but for you, what is the why? Why would you do such a thing? Windsor: Well, because I learned this thing, right? That was so valuable. Someone told me, we don’t gauge the benefits of meditation for how we feel when our eyes are closed. We’re more interested in what happens while our eyes are open. How is it impacting? And I noticed almost right away that when tensions were high, when I usually would be the first to participate-- because I’m really affected by the way other people’s moods are. I feel responsible or I have to change it. I became dysregulated really easily. I noticed almost right away that when other people were feeling their feelings around me, I was able to observe them instead of participate in that, which was really cool. And it was just so much nicer to be able to be supportive instead of become one of those people who also needed support in that moment. And I also noticed right away that I had a higher tolerance for loud noises and just disruptions, because I’m pretty sensitive to lots of different noises at once. It gets me pretty anxious and agitated. So, having kids at home all day isn’t ideal for that. And so, the meditation really helped me a lot with that. I was able to recover more quickly from periods of dysregulation. Maybe I would become dysregulated, but I could calm down quicker. And so, I really loved that. And I noticed that as before where I would be like, I need wine at 4:30 or whatever time it was. Once I started meditating for a few weeks, then wine just became something that tasted good that I liked in the afternoons. I didn’t need it. Sometimes I would be like, “Wow, we’re having dinner. Oh my God, kids, I didn’t even have wine.” And they were like, “Wow, you’re right.” And so, I would pour myself a glass just because I like it. Kimberley: Right. Not because you needed it to get through the afternoon. Windsor: Yeah. And so, I really liked all those changes. And it just is really restful, which I wasn’t expecting. The practice itself, the one that I practice, it’s twice a day. And I find that doing those two meditations really gives me more energy because I’m not a coffee person. So, yeah, I just feel like what started as a thing that I wanted to feel more rested and less stress, it has actually become a tool that I can use to help maintain a busier lifestyle, which as much as I don’t love for everyone, I can’t avoid it. Anyway. Kimberley: That is so cool. I mean, how amazing that this practice came to you. So, you are talking about this specific meditation practice that you use and the benefits. Do you want to share a little about what specifically you use? I’m sure some people here have heard from me of self-compassion meditations and mindfulness meditations, but do you want to share specifically what practices you are interested in practicing? Windsor: Yeah. So, the practice that I find the most success and enjoyment out of is a silent meditation, which actually was the most intimidating for me, but I love it. It’s the one giant mind being technique. It’s called a being technique because, I guess the focus of the meditation is to connect with your being, which I guess if you say it without sounding too woo-hoo or anything like that, we’re just connecting to your true self apart from all the thoughts and the ideas and all the conditioning we have. Just getting back to you, which is something that I really wanted, especially after having two kids and being confused in the state of life that’s not really developed yet. So, I love that part. And since I didn’t have to focus on anything like someone else’s voice, or trying to follow a guided meditation, sometimes I feel that takes more energy because I still have to pay attention to something. A silent meditation allowed me to really find that rest and allowed my brain to just slow down. Kimberley: Yeah. I too. I mean, I love guided meditations for people who are starting off and need some instructions. But I find the silent meditation once I got the hang of it, I could practice it in a minute between clients. I could just sit for-- I could quickly go into that and then come out. Or if I’m presenting and I’m listening to someone, I could just drop down into that. So, I really love the idea of this as well because it’s something you can practice in small pieces.  Not so formally, but drop into just connecting down out of your head into your body kind of thing. Okay, so the biggest question I’m guessing people have is, are you “successful” with your meditations daily? What does it look like day-to-day? Are there ups and downs? How is it for you? Windsor: Yeah. This is something that comes up a lot when people ask, because we know that, yes, all meditation is helpful. But we also know that to get the most benefit out of meditation, it’s best to have a regular practice. And this could mean meditating once a day, or with this particular technique, meditating twice a day. And it sounds a lot. And I would love to say I meditate twice a day every day, no matter what. But I have OCD, so I allow myself to be a little bit more flexible. I don’t really love rigidity when it comes to things like that because I have a tendency to really grab onto them. So, I do allow myself to skip it sometimes, either for reasons like I forget, or the day just gets ahead of me. As important as meditation is, there’s a lot of things that trumpet, like do my kids need something? Do I have to pick someone up? Is everyone being fed? There’s all these things that are also really important. So, I do try to meditate twice a day. Most days I do. Sometimes I don’t. But that’s okay because I did what I had to do to keep everything going. Kimberley: What about during your meditation? Windsor: What, excuse me? Kimberley: What about during your meditation? Is that an up and a down process? Do you have “good days” and “bad days” with it or is it pretty consistent for you now? Windsor: Well, I don’t like to talk about the meditations as being good or bad. Some are really gratifying and some are less gratifying, because even the less gratifying meditations are really good for you. You’re still going to benefit from them, even though it wasn’t necessarily easy or didn’t feel good. But that’s just like a lot of things. Meditation can be categorized as something like that, like maybe brushing your teeth or exercising. Maybe you don’t love it all the time, but you do it because it’s good for your body and it helps you reach certain goals. And sometimes it’s really hard for me to get to a good juicy place, and that’s okay. I’ve just started to not expect a certain experience when I go into the meditation. And that makes everything a lot easier because then I’m not letting myself down or I’m not feeling disappointed or I’m not crushing a goal. I don’t go into the meditation feeling like I’m going to feel so relaxed and cool. I just say, “Oh, I’m going to close my eyes and we’ll just see what happens during this session.” Kimberley: And that’s why I love what you’re saying because it’s so in line with recovery, like dropping the expectations, dropping just the good feelings, dropping goals, having these big goals all the time. I think that’s-- sometimes I have found, what happens in your meditation is like a metaphor for life, right? Like, okay, today is a busy brain day. There’s going to be days like that. And I think that it’s a great way to just practice the tools in a small setting that you would be practicing in the day anyway. Windsor: Exactly. That’s why I love it for people with OCD too because let’s say you commit to doing it 20 minutes a day or 20 minutes twice a day. During that 20 minutes, you know that any thoughts can come up, any feelings can come up, and you’re just going to let them be there. And this is excellent practice for when you’re going about your daily life and you have no control ever over what comes into your mind or what happens. But since you’ve been practicing this in your meditations, those responses to accept and let go become more automatic. So, not only are you having great meditation experiences or anything, but in your life, you can use those same tools. It’s not just adding another thing. It all works together. The meditation is so helpful in every aspect. Kimberley: Right. It’s like we go to the gym to strengthen our muscles and we meditate to strengthen our brain muscles, right? Windsor: Yeah. Kimberley: Yeah. I love that. So, one thing I didn’t ask you ahead of time, but I’m wondering, would you be interested in leading us through a couple of minute meditation to get us experiencing that? Windsor: Yeah. And you know what? I was thinking of like, maybe I should think of something to say in case she asks it, but I don’t think she will. So, yeah, we can just do a short-- what I do sometimes when I don’t do the whole 20 minutes is I just do a short mini one, like a minute or two. Kimberley: Would you lead us? Windsor: Yeah. Okay. So, for everyone listening and for Kimberley, I just want to show you a little bit about what it looks like to connect to your being and to practice a silent meditation, just for a short little grounding experience in the middle of a busy day or before a meeting, anytime you need to. So, what I like to do before I meditate is to just get into a comfortable spot. You don’t necessarily have to be on a fancy cushion. You just have to have your lower back supported. And go ahead and close your eyes. And what I like to do before I start any meditation is take a few deep belly breaths. So, we’ll just breathe into our noses right now. Feel your belly. Feel your chest... And release through the mouth. One more deep breath into the nose... into your belly... and release. And one more deep breath into the nose. Feel your belly... and release. So, now you just want to let your breath settle into its own natural rhythm. This isn’t a breathing meditation. We’re not going to focus on our breath. And you can scan your body for any tension that you might be holding. A commonplace is in your neck and your shoulders. Make sure you drop your shoulders, can wiggle your jaw a little bit, and just let all of that tension go. So, when we’re meditating, we don’t want to put a focus on any thoughts that might come into our mind. But when they do come in, we just want to acknowledge them and recognize that this is a normal part of meditation. We never want to resist any thoughts or feelings that we might have. These are all important. And just continue following your natural breath. And has any thoughts come into your mind, just remember that we don’t have to engage with them. It’s okay to just witness them and let them pass through you. Maybe you might notice a sound outside or a body sensation. That’s okay. Just be a witness to that too. Now you can take another deep breath into the nose... Into your belly... and breathe out. And you can start to bring your awareness back to your body and see how it feels to be where you are. You can start to bring your awareness back into the space. And slowly, when you’re ready, you can open your eyes. Kimberley: Oh, what a treat. Windsor: And that’s a little meditation, but I was really feeling it for a second. Kimberley: Yeah. I just kept smiling because it was such a treat. What a treat that I get to have my own little meditation instructor in the middle of a podcast. It’s my favorite. What a gift. Thank you so much. Windsor: You’re welcome. Kimberley: Yeah. Thank you. I think I love-- I just want to highlight a couple of things you said, which is, for those who have anxiety, meditation is not the absence of thoughts and feelings, right? You highlighted that and that was so helpful, just to acknowledge that thoughts and feelings will happen, sensations will happen, but we just become an observer to them, which I think again, not only helps us with meditation, but it helps us with response prevention, during our exposures. It helps us during panic. Such a great tool. So, I’m so grateful for you sharing that. Windsor: Cool. Well, thanks for letting me. I love to talk about it when I have the chance. Kimberley: Yeah. Okay. So, I want to ask one final question, which is, what do you really want people to know? If there’s something we’ve missed today or if you want to drive home the main point, what is your main message that you’re wanting people to take away from today’s podcast? Windsor: I guess what I really want people to know about meditation is that you don’t have to be a certain type of person to do this. You don’t need to be a specific personality type or have certain interests to make meditation work for you. You can just be yourself and come as you are and treat this practice as a gift that you’re giving yourself, that you deserve to take part in because it offers such deep rest and relaxation. That meditation can be a part of a modern, busy lifestyle. You don’t have to be common Zen all the time to do it. I think that meditation is for everybody. Kimberley: I love that. I always remember, I think I could be killing this here, but the Dalai Lama says, and this always gets me laughing because he always says, if you don’t have time for meditation, you are the one who needs to meditate the most. Windsor: Yeah. I love that one. Kimberley: I killed the way that he said it, but for me, so often I’m like, “Oh, I don’t have time. Oh, I didn’t get time today.” And he really keeps nagging me in my mind in terms of knowing the more busy you are, the more you may want to prioritize this. Of course, like you said, that happens and priorities happen. But for me, that was the main message I had to keep reminding myself when it came to meditation. So, I loved that. Windsor: Yeah. Kimberley: Well, thank you so much. This is just delightful. Really it is. It has brought such joy to me today because like I said, it feels full circle to be coming back and talking more about meditation and doing more of that here. Where can people get a hold of you and hear about your work? Windsor: So, I have my Instagram, @windsor.flynn, and that’s my OCD one. I talk a little bit about meditation on there, but I know that not everyone is necessarily ready for that. So, I do have my other Instagram, @windsormeditates. And that’s when I focus a little bit more on the meditation. And if you’re interested in taking any of my group courses or private meditation sessions, you can just go to my website, windsorflynn.com. All very easy, just search my name on the internet, and then you’ll find some links for those. Kimberley: And we’ll have all the links in the show notes as well. So, if people are listening on, they should be able to connect to that. So, amazing. I’m so-- pardon? Windsor: I was just going to say thank you so much for having me. I’m a big fan of yours and I love the work that you’re doing and I feel so honored that I get to be on your podcast. Kimberley: No, I feel likewise. I love what you’re doing. There’s so many things I wish I could focus on. And I love when somebody like you will come along and they focus on that one thing. It just makes me really happy because I just love when people are finding little areas, particularly in the OCD and mental health space where it’s like, we need these sources. So, I’m so happy that you’re doing that work. Thank you. Windsor: Cool. Thank you so much. Kimberley: My pleasure. And like I said, go follow Windsor. She’s amazing, and I’m just honored to have you here. Windsor: Thank you. ----- Okay. So, before we finish up, thank you so much for being here and staying till the end. Before we finish, I want to share a review of the week. This one is from Cynthia Saffel and she said: “I’m so excited to share these podcasts with my clients.” She gave it a five-star review and said, “I first was introduced to Kimberley’s clear and compassionate teaching style when I took the ERP school course for therapists.” For those of you who don’t know, we have a CEU approved course called ERP School, where you can learn how to treat OCD using ERP. And she went on to say, “In the past 3 weeks since taking the course I recommended both the course and podcasts to my clients.” Thank you so much, Cynthia, for your review. And for everyone who leaves a review, it is the best gift you can give me in return for these free resources. So, if you have the time, please do go over and leave a review and have a wonderful day. It is a beautiful day to do hard things. Have a wonderful day, everybody.

The AI-powered Podcast Player

Save insights by tapping your headphones, chat with episodes, discover the best highlights - and more!
App store bannerPlay store banner
Get the app