Bipolar Disorder: A Job Candidate Deal-Breaker?

An advertising company recently joked that people with bipolar disorder need not apply. Were they out of line?

 

FRIDAY, Jan. 13, 2012 — Agency experience. Formal design training. A knack for social media. These are some of the requirements listed on a recent Craigslist ad, posted by a San Francisco boutique advertising agency looking to hire a print and web designer. But there’s one applicant “must” that may make you do a double-take: Sanity.

Specifically, the ad indicates that “If you are a prima donna, bipolar, or require anger management, please go to a big agency where you can hide in the crowd.”

The San Francisco website SFist.com spotted the ad, acknowledging in an article that the agency Palmer Advertising likely meant the description to be “tongue in cheek.” The company has since taken down the original posting (here’s the revised job description) and apologized for their language. “This was a mistake on our end,” an employee wrote to Everyday Health in an email. “Sometimes, the creative department gets a little too creative … It is not a true representation and is truly taken out of context. I do not want to upset anyone.”

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Wisecracks and apologies aside, the description still begs the question: Why would anyone tease about bipolar disorder? Has the condition — which is characterized by potentially dramatic shifts in mood — become a joke?

Imagine that you are a talented designer looking for a new gig. You’ve got plenty of experience under your belt, your portfolio is pristine — and you also happen to have bipolar disorder. According to the National Institute of Mental Health (NIMH), nearly 3 percent of adults in the United States are affected by the mental health condition — that’s about 5.7 million Americans.

Would the job description discourage you from applying? Or if you did apply, would you feel the need to keep your condition a secret? SFist notes that discriminating against a candidate because of their mental health status is not only wrong, it’s illegal. According to the National Alliance on Mental Health (NAMI), the Americans With Disabilities Act “prohibits discrimination against people with disabilities in employment; state and local government activities; public accommodations; public transportation; telecommunications; and public services.” The act extends to people with “mental impairments.”

But the employees at Palmer Advertising aren’t the only ones out there who have, even if unintentionally, contributed to mental illness stigma — far from it. Last year, NBA star Brandon Jennings made headlines when he tweeted “I’m bipolar. (true story)” and then later claimed he was joking. An episode of the Nickelodeon show iCarly depicts the main character checking into a mental hospital and calling herself crazy … all because she kissed a boy she can’t stand.

NAMI notes that one in five Americans has some form of mental disorder — but nearly two-thirds of them live in silence and go without treatment, likely because of the stigma surrounding their condition. And the U.S. Office of the Surgeon General (OSG) has pointed out that mental illness stereotypes (such as that people with bipolar disorder are “crazy” or “wacko”) may be the biggest barrier to seeking help.

We applaud Palmer Advertising for taking down the ad and apologizing. Perhaps awareness about the debilitating effects of stigma will one day help prevent these kind of mishaps from happening in the first place.

What do you think? Was the agency out of line — or was it just a meaningless joke that no one should take offense to? Tell us in our comments section below.

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The Right Way to Talk About Bipolar Disorder

Many people keep bipolar disorder a secret from their friends, love interests, co-workers, even family members. Follow this step-by-step guide to striking up this important conversation.

 

Filling someone in on your health history may not be your typical ice-breaker — and for people with bipolar disorder, sharing the diagnosis can be emotional and challenging.

But bipolar disorder is nothing to be ashamed of, and if you are proactive about starting the conversation, you will set a positive tone, whether you’re breaking the news to a family member, your boss, or a new love interest.

In fact, there are many reasons you should be open about bipolar disorder. “If patients carry their diagnosis around as a secret, it becomes a burden and they may feel even worried and alarmed that people are going to find out,” says psychiatrist Daniel Wilson, MD, chair of psychiatry at Creighton University in Omaha, Neb. Sharing can lighten your emotional load.

Other reasons to have the “bipolar chat” include:

Getting support. Just as when you have the flu, you will need the love and care of people around you during bipolar treatment and they, in turn, will appreciate knowing what’s going on with you.
Educating your loved ones. Finding a way to talk about bipolar disorder will allow you to inform the people in your life about your symptoms, as well as your bipolar treatment.
Identifying bipolar triggers and symptoms. People around a person with bipolar disorder are often the first to notice bipolar symptoms, particularly with mania. “Patients don’t always have the same degree of awareness of what’s happening,” says Dr. Wilson.
Breaking the News About Bipolar Disorder: An Eight-Step Guide

Once you decide that it’s time to tell others about your bipolar disorder, planning the conversation can be challenging. Use these step-by-step strategies:

Pick a calm moment. Too often, these conversations are forced by a crisis, says Wilson. “It’s better to have the conversation when the person is feeling well,” he says. That’s why you should share your diagnosis before another episode requires an immediate response. If you can choose the location, find a place where you feel comfortable and one that offers privacy for everyone involved.
Practice. It’s always a good idea to make a trial run with important conversations. Your therapist or a friend who already knows about your situation could be a good sounding board.
Fine-tune for your audience. Your exact words will be different if you are talking to a family member, a romantic partner, or a co-worker — so plan accordingly. For example, when you are talking to your boss, it might be helpful to bring along some of the highlights of your work history to show that you’ve been a productive employee over the years despite bipolar symptoms. If you are talking to a new love interest, it’s best to pick a time early in the relationship out of respect for your partner’s right to make choices about continuing to date you with full knowledge of your situation.
Be a teacher. There’s a good chance the person you are talking to doesn’t know much about bipolar disorder. Come prepared with helpful information. Bring pamphlets or contact information for a support group if you think that would help, or invite the person to meet with your counselor or doctor to fully understand your bipolar treatment.
Shut out stigma. You might be able to help your loved one better understand the implications of your diagnosis if you use a disease analogy. “I like to compare it to an overactive thyroid,” says Wilson. “Clearly you want to treat that condition.”
Make amends. If appropriate, you might want to acknowledge damage done by past behavior caused by bipolar symptoms. “Explaining that it wasn’t just a personal preference to behave in a particular way and that there is this medical aspect to it can be helpful,” says Wilson, adding that many patients feel guilt and shame over their actions and sincerely want to make amends. In some cases, both the disclosure of your diagnosis and acknowledging the impact of your choices might both be better handled in a letter.
Give them time. Some people are very open and flexible, but others — possibly family members with rigid ideas about family identity — can have a hard time digesting your news. “It’s often helpful to have a cooling-off period, letting people go their own way for a while,” says Wilson.
Accept their responses. Sharing your bipolar diagnosis may leave you feeling vulnerable and, unfortunately, not everyone will respond the way you wish they would. “I’ve had to advise patients to limit their contact with some family members for a while,” says Wilson. Talk to your therapist if you’re disappointed about the response that your disclosure received.
Keep in mind that what the person you are talking to does with the information you share is out of your control. “I’ve seen many cases of excellent, supportive work situations, and situations in which when people at work found out, they clearly tried to shuffle the person out of the job,” says Wilson.

To better help you manage this unpredictability, Wilson advises involving your counselor or therapist along the way, especially if your disclosure causes a major shake-up in your family dynamic or triggers denial or hostility.

 

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Can Steroids Cause Bipolar Disorder?

The relationship between steroids and bipolar disorder isn’t well-established, but some doctors believe these anti-inflammatory medications can cause bipolar disorder symptoms.

Experts still aren’t sure of all the causes of bipolar disorder. But some medical professionals believe that one trigger can be the use of steroid medications.

Steroids, a class of medications that reduce inflammation in the body, are given for a variety of conditions, from asthma to arthritis. Certain people may find that these medications trigger a cycle of behavior typically associated with bipolar disorder, says Donald Freeman, MD, a psychiatrist in Beverly Hills, Calif.

“Someone can have asthma and need a course of steroids, and then have a big mood swing,” Dr. Freeman says. “It can either come in a phase of mania [overly excited behavior] followed by depression or depression followed by mania. But there’s always a low and a high.”

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However, Carrie Bearden, PhD, clinical neuropsychologist in the Department of Psychiatry and Biobehavioral Sciences at the University of California, Los Angeles, cautions: “There is certainly anecdotal evidence for steroid use triggering mood symptoms (either mania or depression), but [it has not been] empirically studied. ”

Jane Pauley’s Personal Account

In her 2004 autobiography, Skywriting: A Life Out of the Blue, television journalist Jane Pauley says she began experiencing symptoms of bipolar disorder after taking steroids for hives. The reason for such a reaction, Freeman says, is the stimulating effect that steroids have on the body. For example, difficulty falling asleep is a common side effect of prednisone, a frequently prescribed steroid.

The manner in which steroids are usually given — with a large dose up front to reduce the inflammation quickly — may also lend itself to triggering bipolar symptoms, Freeman says. “You get a big hit right away,” he explains. “That situation is set up to induce mood cycles.” People who take smaller steroid doses, such as those found in asthma inhalers, are less likely to experience bipolar behavior, he adds.

Those with a family history of the disease are particularly susceptible, Freeman says. “Identical-twin studies have been done, and it’s been found that when one twin has manic depression, the likelihood of other twin having manic depression is much higher than if it was just random,” Freeman says. “We know there is a genetic component.”

Alternatives to Steroids

This relationship between steroids and bipolar symptoms can make for a sticky situation in patients who have a family history of the disease or who have been diagnosed with bipolar disorder. However, people who are already being treated for bipolar disorder with mood-stabilizing medications may not see significant mood swings from steroid use — the medicine can often mitigate the steroid’s effects.

If steroids are needed for a relatively minor condition — say, a case of poison ivy — then it might be wise to ask your doctor about non-steroid treatment alternatives. “You can use calamine lotion and suffer through itching for 10 days, [and] maybe try some antihistamines,” Freeman says.

In more serious situations, like brain swelling due to a car accident or other trauma, your doctor may prescribe steroids in spite of your predisposition to bipolar disorder. “That’s a life-threatening situation that would require steroid treatment,” Freeman says.

If you do choose to use steroids, it’s important to stay in close contact with your health care provider about any unusual feelings you may be having. Be honest about any highs and lows you’re experiencing. This will help your doctor determine whether medication, and what kind, is needed to treat your symptoms.

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Are People With Bipolar Disorder Dangerous?

This common stigma has little basis in reality, but under certain circumstances, bipolar disorder may cause a threat to others or to the patient.

People with any mental illness are often labeled as potentially violent, even if they have no history of violence or any apparent violent tendencies. This stigma can be particularly strong when applied against people with bipolar disorder, which can be alarming and misunderstood by others.

The truth about the risk of violence among bipolar people is complicated. By some estimates, between 11 and 16 percent of people with bipolar disorder have had a violent episode. These typically occur during extreme moods or because of drug or alcohol use. But there are many people with bipolar disorder who are never violent. Knowing which bipolar symptoms of depression and mania to watch out for may help avoid dangerous situations.

“There has been a long-standing expectation that mentally ill individuals are more likely to perpetrate violent acts. However, large population studies suggest that mental illness alone does not increase the likelihood of violence,” says psychiatrist Michael Peterson, MD, PhD, an assistant professor in the department of psychiatry at the University of Wisconsin School of Medicine and Public Health in Madison.

Factors that Increase the Risk of Violence

While having bipolar disorder alone does not make violence more likely, there are situations which, when combined with bipolar disorder, can increase the risk of violence. These include:

  • Drug or alcohol abuse. Substance use is common among people with mental illness. Unfortunately, drugs and alcohol can make violent episodes more likely — and may also put people in situations where violence is the norm.
  • High emotional stress. Periods of great emotional stress or distress, such as losing a loved one or ending a relationship, may trigger mood swings that can increase the risk of violence.

The Danger of Self-Harm

In fact, people with bipolar disorder may be more of a threat to themselves than anyone else in their lives. Innocent bystanders may be worrying unnecessarily about their own safety when the reality is that bipolar disorder can lead to a lot more damage to the person living with it.

These risks include:

  • Suicide or attempted suicide. Rates of suicide are significantly higher among people with bipolar disorder than their peers. People with bipolar disorder are close to nine times more likely to commit suicide than their peers.
  • Drug or alcohol abuse. “People with bipolar [disorder] are also at higher risk of developing substance abuse or dependence,” explains Dr. Peterson, adding that bipolar patients are at higher risk of having manic or depressed episodes when they are abusing drugs or alcohol. Data suggest that 46 percent of people with bipolar disorder are dependent on alcohol and that 41 percent are dependent on other drugs.
  • Cutting. Occasionally, people with bipolar disorder cut or hurt themselves deliberately.
  • Non-physical damage. During manic periods, bipolar people may do a lot of “violence” to their own financial situation, relationships, and other elements of their lives as they act on impulse and pursue high risk behaviors.

If you have a loved one with bipolar disorder, Peterson says, “Be vigilant for signs of either depression or mania. Particularly during depressed or mixed episodes, when there are concurrent symptoms of both mania and depression, a real concern is suicidal thoughts and attempts.”

Peterson says signs of depression to watch out for include being more withdrawn or sad, or sleeping more than usual. Warning signs of mania include talking more, becoming more active, sleeping less, and becoming more outgoing and impulsive. Mania can lead to violence because of increased irritability and poor impulse control.

Peterson advises having “frank discussions” about these symptoms with the person who has bipolar disorder and then notifying her doctors or therapists, or even the police, if you continue to be concerned about your safety or the safety of the person with bipolar disorder. Effective medications are available that can help reduce the risk of violence and control the bipolar symptoms if urgent situations are identified in a timely way.

Last Updated: 7/13/2010

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What Is Cyclothymia?

Also known as cyclothymic disorder, the condition is different from other types of bipolar disorder.

Cyclothymia is a milder form of bipolar disorder, sometimes referred to as cyclothymic disorder.

Both cyclothymia and bipolar disorder are characterized by extreme mood swings, from the highs of mania to the lows of depression, with short periods of neutral time in between.

The difference lies in the intensity: People with bipolar disorder will experience major depression and clinically diagnosed mania, while patients with cyclothymia experience low-grade depression and mild mania.

With cyclothymia “it may seem like you’re just going through a string of good days and a string of bad days,” says psychiatrist Kathleen Franco, MD, of the Cleveland Clinic Lerner College of Medicine in Ohio.

“But the mood shifts keep going, and there’s little neutral time in between.”

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Cyclothymia Symptoms

Besides cycling between the two mood extremes, the other criteria that will determine a diagnosis of cyclothymia include:

You’ve experienced these mood swings for at least two years.
At least once in the two-year period, you have significant distress or social impairment.
Your symptom-free intervals last no more than three months.
Your symptoms don’t meet the requirements of any other bipolar disorder.
Cyclothymia vs. Bipolar Disorder: What’s the Difference?

Only a doctor can accurately make the clinical distinction between cyclothymia and bipolar disorder.

But generally speaking, the symptoms of a major bipolar depression include dramatic disturbances in

Symptoms can be long-lasting and dramatically reduce quality of life.

The same symptoms may be present in a cyclothymic depression, but they’re less severe (though they can have a significant impact on quality of life and social functioning).

The symptoms may last no more than two weeks, and they may cause less of a disruption in your daily routine.
The true mania of bipolar disorder, essentially the opposite of major depression, can likewise be debilitating.

It may be accompanied by feelings of euphoria and indestructibility — a sense of being “on top of the world” — that can include reckless behaviors such as driving too fast or abusing drugs or alcohol.

The manic person may go a day or two without sleeping. He may talk rapidly, moving from topic to topic without making much sense.

The hypomania seen with cyclothymia is less dramatic and not as long-lasting. Your symptoms may be so mild as to seem normal — mild sleeplessness, for example, or chattiness and increased energy.

While some people living with cyclothymia are happy to go without treatment, it may be important for others to recognize and monitor the condition, because one-third to one-half of people with cyclothymic disorder go on to develop full-blown bipolar disorder.

This escalation is especially prevalent if bipolar disorders run in the family.

Although preventive treatment hasn’t been identified yet, there is some hope among researchers that early treatment for cyclothymia may prevent full-blown bipolar disorder from developing.

Cyclothymia Treatment

There’s no cure for cyclothymia.

Medicines usually prescribed for bipolar disorder, such as mood stabilizers, don’t always work on cyclothymia.

More often, treatment for cyclothymia involves talk therapy with a trusted psychologist who can help patients recognize the triggers that may increase the severity and frequency of their mood swings.
For example, mood shifts can be triggered by lack of sleep, alcohol consumption, or traveling through many time zones.

Light therapy can also help treat cyclothymia.

In time and with the help of a trusted support team — beginning with your doctor — you can learn to manage your moods and your response to them, and live a life less disrupted by cyclothymia.

Last Updated: 7/1/2016

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Emotional Intelligence (EQ) Key Skills for Raising Emotional Intelligence

Emotional Intelligence (EQ)

Key Skills for Raising Emotional Intelligence

Emotional Intelligence (EQ)Many of us find it increasingly difficult to connect in the modern world, both with ourselves and others. An important factor in our ability to successfully connect is emotional intelligence. When it comes to happiness and success in our relationships, career and personal goals, emotional intelligence (EQ) matters just as much as the more well known, intellectual ability (IQ). We need emotional intelligence to turn intention into action, in order to make informed decisions about the things that matter most to us, and to connect to others in productive and nurturing ways.

What is emotional intelligence?

Emotional intelligence (EQ) is the ability to identify, use, understand, and manage your own emotions in positive ways to relieve stress, communicate effectively, empathize with others, overcome challenges and defuse conflict. This ability also allows us to recognize and understand what others are experiencing emotionally. This recognition and understanding is, for the most part, a nonverbal process that informs thinking and influences how well you connect with others.

Emotional intelligence differs from how we think of intellectual ability, in that emotional intelligence is a learned—not acquired. This learning can take place at any time in life so the social and emotional skill set, known as emotional intelligence, is something we can all have.

It is important to remember that there is a difference, however, between learning about emotional intelligence and applying that knowledge to your life. Just because you know you should do something doesn’t mean you will—especially when you become overwhelmed by stress, which can override your best intentions. In order to permanently change behavior in ways that stand up under pressure, you need to learn how to overcome stress in the moment, and in your relationships in order to remain emotionally aware.

Emotional intelligence is commonly defined by four attributes:

  • Self-awareness – You recognize your own emotions and how they affect your thoughts and behavior. You know your strengths and weaknesses, and have self-confidence.
  • Self-management – You’re able to control impulsive feelings and behaviors, manage your emotions in healthy ways, take initiative, follow through on commitments, and adapt to changing circumstances.
  • Social awareness – You can understand the emotions, needs, and concerns of other people, pick up on emotional cues, feel comfortable socially, and recognize the power dynamics in a group or organization.
  • Relationship management – You know how to develop and maintain good relationships, communicate clearly, inspire and influence others, work well in a team, and manage conflict.

Why is emotional intelligence so important?

As we know, it’s not the smartest people that are the most successful or the most fulfilled in life. You probably know people who are academically brilliant and yet are socially inept and unsuccessful at work or in their personal relationships. Intellectual intelligence (IQ) isn’t enough on its own to be successful in life. Yes, your IQ can help you get into college, but it’s your emotional intelligence (EQ) that will help you manage the stress and emotions when facing your final exams. IQ and EQ exist in tandem and are most effective when they both are elevated and building off one another.

Emotional intelligence affects:

  • Your performance at school or work. Emotional intelligence can help you navigate the social complexities of the workplace, lead and motivate others, and excel in your career. In fact, when it comes to gauging job candidates, many companies now view emotional intelligence as being as important as technical ability and use EQ testing before hiring.
  • Your physical health. If you’re unable to manage your emotions, you probably are not managing your stress either. This can lead to serious health problems. Uncontrolled stress can raise blood pressure, suppress the immune system, increase the risk of heart attack and stroke, contribute to infertility, and speed up the aging process. The first step to improving emotional intelligence is to learn how to relieve stress.
  • Your mental health. Uncontrolled emotions and stress can also impact your mental health, making you vulnerable to anxiety and depression. If you are unable to understand, be comfortable with, and manage your emotions, you’ll be at risk of being unable to form strong relationships which can leave you feeling lonely and isolated.
  • Your relationships. By understanding your emotions and how to control them, you’re better able to express how you feel and understand how others are feeling. This allows you to communicate more effectively and forge stronger relationships, both at work and in your personal life.

What is social intelligence and why does it matter?

Social intelligence is closely related to emotional intelligence. Our emotions evolved to serve a social purpose that enables us, as humans, to survive. The ability to recognize friend from foe, to reduce stress, and return our nervous system to a state of balanced equilibrium and to feel loved and happy is essential. These essential abilities all depend on successful emotional communication that is nonverbal and connects you to other people and their emotions.

Social emotional communication can instantly convey:

  • The friendliness or unfriendliness of another person
  • Another person’s interest in us
  • Another person’s caring for or about us

Personal and social attributes play off one another. The world is a social place and we are social beings.

Building emotional intelligence with self-awareness

Attachment and adult relationshipsThe science of attachment teaches that present day emotional experience is a reflection of early life emotional experience. Your ability to experience core feelings like anger, sadness, fear, and joy most likely depends on the quality and consistency of your early life emotional experiences. If your emotions were understood and valued, your emotions became valuable assets later in life. But, if your emotional experiences were confusing, threatening or painful, you most likely did your best to distance yourself from them.

Being able to connect to your emotions—having a moment-to-moment connection with your changing emotional experience—is the key to understanding how emotion influences your thoughts and actions.

What kind of a relationship do you have with your emotions?

  • Do you experience feelings that flow, encountering one emotion after another as your experiences change from moment to moment?
  • Are your emotions accompanied by physical sensations that you experience in places like your stomach, throat, or chest?
  • Do you experience individual feelings and emotions, such as anger, sadness, fear, joy, each of which is evident in subtle facial expressions?
  • Can you experience intense feelings that are strong enough to capture both your attention and that of others?
  • Do you pay attention to your emotions? Do they factor into your decision making?

If any of these experiences are unfamiliar, your emotions may be turned down or turned off. In order to be emotionally healthy and emotionally intelligent, you must reconnect to your core emotions, accept them, and become comfortable with them.

Mindfulness practice builds self-awareness as it reduces stress

Mindfulness is the practice of purposely focusing your attention on the present moment—and without judgment. The cultivation of mindfulness has roots in Buddhism, but most religions include some type of similar prayer or meditation technique. Mindfulness helps shift your preoccupation with thought toward an appreciation of the moment, physical and emotional sensations, and brings a larger perspective on life. Mindfulness calms and focuses you, making you more self-aware in the process.

Developing emotional awareness

If you haven’t learned how to manage stress, it’s important to do so first. When you can manage stress, you’ll feel more comfortable reconnecting to strong or unpleasant emotions and changing the way you experience and respond to your feelings. You can develop your emotional awareness by learning the mindfulness meditation in Helpguide’s free Emotional Intelligence Toolkit that helps you to get in touch with difficult emotions and manage uncomfortable feelings.

Building emotional intelligence using self-management

Being emotionally aware is just the first step to emotional management. In order for you to engage your emotional intelligence, you must also be able use your emotions to make constructive decisions about your behavior. When you become overly stressed, you can lose control of your emotions and the ability to act thoughtfully and appropriately.

Think about a time when you have been overwhelmed by stress. Was it easy to think clearly or make a rational decision? Probably not. This is because while your brain can manage feeling and thinking at the same time, when we become overly stressed, our ability to both think clearly and accurately assess emotions—our own and other people’s—becomes compromised.

Emotions are important pieces of information that tell us about ourselves and others but in the face of stress that takes us out of our comfort zone, we can become overwhelmed and lose control of ourselves. With the ability to manage stress, and stay emotionally present you can learn to receive disturbing pieces of information without letting this information override your thoughts and self control. You will be able to make choices that allow you to control impulsive feelings and behaviors, manage your emotions in healthy ways, take initiative, follow through on commitments, and adapt to changing circumstances.

Building emotional intelligence with social awareness

Social awareness is the skill needed to pick up on the largely nonverbal cues others constantly send. These cues speak to the emotions others are experiencing and give you a more precise idea of their experience what is truly important to them. When groups of people send out similar nonverbal cues, you are able to read and understand shared joint experiences. In order to do these things, you will have to know how to suspend your thoughts in order to experience nonverbal cues that change from one moment to the next. Ironically, not thinking about goals and objectives when with other people is what you need to further those objectives.

Mindfulness is an ally of emotional and social awareness

Social awareness is a moment-to-moment experience that can’t take place while we are thinking about something else. When we are in our heads, planning the future or analyzing the past we cannot be present in the moment. This makes it especially difficult to pick up on subtle nonverbal cues. The myth of multitasking must be ignored. Although we can switch subjects very quickly, when we do so, we miss the subtle emotional shift—taking place in other people—that help us to understand them.

  • We are actually more likely to further our social goals and objectives by setting our thoughts, intentions, and goals aside in social situations and instead, focusing on the interaction itself. Moment-to-moment social awareness is an empowering personal process.
  • Following the flow of another person’s emotional responses is a give-and-take process that requires us to also pay attention to the flow of our own emotional experience.
  • A common fear is that by paying attention to others we diminish self-awareness but the opposite is really true. We gain self-awareness by taking the time and putting in the effort to pay attention to others.

Paying attention to what you experience emotionally as you listen to others also illuminates your own beliefs and values. It’s easy to mouth popular ideas and values that may not really be a good fit for you. But, when you feel discomfort hearing others express these views, you have learned something important about yourself.

Building emotional intelligence using relationship management

Working well with others is a process that begins with emotional awareness and your ability to recognize and understand what other people are experiencing. Once emotional awareness is in play, you can effectively develop additional social/emotional skills that will make your relationships more effective, fruitful and fulfilling.

Become aware of how effectively you use nonverbal communication

Nonverbal CommunicationIt’s impossible to avoid sending nonverbal messages to others about what we think and feel. The many muscles in the face surrounding the eyes, nose, mouth and forehead—none of which are weight-bearing like other muscle—help us to wordlessly convey our own emotions as well as read other peoples’ emotional intent.

The emotional part of our brain is always on—and even if we ignore its messages—others won’t. Recognizing the kinds of nonverbal messages that we send to others can be a huge part improving our relationships. See Nonverbal Communication.

Use humor and play to relieve stress

Humor, laughter and play are natural antidotes stress. They lessen your burdens and help you keep things in perspective. Laughter brings your nervous system into balance, reducing stress, calming you down, sharpening your mind and making you more empathic. See Laughter is the Best Medicine.

Learn to see conflict as an opportunity to grow closer to others

Conflict and disagreements are inevitable in relationships. Two people can’t possibly have the same needs, opinions, and expectations at all times. However, that needn’t be a bad thing. Resolving conflict in healthy, constructive ways can strengthen trust between people. When conflict isn’t perceived as threatening or punishing, it fosters freedom, creativity, and safety in relationships. See Conflict Resolution Skills.

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Stress Management

Stress Management

How to Reduce, Prevent, and Cope with Stress

Stress ManagementYou may feel there’s nothing you can do about stress. The bills won’t stop coming, there will never be more hours in the day, and your work and family responsibilities will always be demanding. But you have more control over stress than you might think. Stress management is all about taking charge: of your lifestyle, thoughts, emotions, and the way you deal with problems. No matter how stressful your life seems, there are steps you can take to relieve the pressure and regain control.

What is stress management?

We all respond to stress differently so, there’s no “one size fits all” solution to managing stress. But if you feel like the stress in your life is out of control, it’s time to take action. Stress management can teach you healthier ways to cope with stress, help you reduce its harmful effects, and prevent stress from spiraling out of control again in the future.

No matter how powerless you may feel in the face of stress, you still have control over your lifestyle, thoughts, emotions, and the way you deal with problems. Stress management involves changing the stressful situation when you can, changing your reaction when you can’t, taking care of yourself, and making time for rest and relaxation. The first step is to recognize the true sources of stress in your life.

What are the sources of stress in your life?

Start a stress journal

A stress journal can help you identify the regular stressors in your life and the way you deal with them. Each time you feel stressed, keep track of it in your journal. As you keep a daily log, you will begin to see patterns and common themes. Write down:

  • What caused your stress (make a guess if you’re unsure)
  • How you felt, both physically and emotionally
  • How you acted in response
  • What you did to make yourself feel better

It’s easy to identify sources of stress following a major life event such as changing jobs, moving home, or losing a loved one, but pinpointing the sources of everyday stress can be more complicated. It’s all too easy to overlook your own thoughts, feelings, and behaviors that contribute to your stress levels. Sure, you may know that you’re constantly worried about work deadlines, but maybe it’s your procrastination, rather than the actual job demands, that is causing the stress.

To identify your true sources of stress, look closely at your habits, attitude, and excuses:

  • Do you explain away stress as temporary (“I just have a million things going on right now”) even though you can’t remember the last time you took a breather?
  • Do you define stress as an integral part of your work or home life (“Things are always crazy around here”) or as a part of your personality (“I have a lot of nervous energy, that’s all”)?
  • Do you blame your stress on other people or outside events, or view it as entirely normal and unexceptional?

Until you accept responsibility for the role you play in creating or maintaining it, your stress level will remain outside your control.

How do you currently cope with stress?

Think about the ways you currently manage and cope with stress in your life. Your stress journal can help you identify them. Are your coping strategies healthy or unhealthy, helpful or unproductive? Unfortunately, many people cope with stress in ways that compound the problem.

Unhealthy ways of coping with stress

These coping strategies may temporarily reduce stress, but they cause more damage in the long run:

  • Using pills or drugs to relax
  • Sleeping too much
  • Procrastinating
  • Filling up every minute of the day to avoid facing problems
  • Taking out your stress on others (lashing out, angry outbursts, physical violence)

Learning healthier ways to manage stress

If your methods of coping with stress aren’t contributing to your greater emotional and physical health, it’s time to find healthier ones. No single method works for everyone or in every situation, so experiment with different techniques and strategies. Focus on what makes you feel calm and in control.

Stress management strategy #1: Get moving

Physical activity plays a key role in reducing and preventing the effects of stress, but you don’t have to be an athlete or spend hours in a gym to experience the benefits. Just about any form of physical activity can help relieve stress and burn away anger, tension, and frustration. Exercise releases endorphins that boost your mood and make you feel good, and it can also serve as a valuable distraction to your daily worries.

While the maximum benefit comes from exercising for 30 minutes or more, you can start small and build up your fitness level gradually. Short, 10-minute bursts of activity that elevate your heart rate and make you break out into a sweat can help to relieve stress and give you more energy and optimism. Even very small activities can add up over the course of a day. The first step is to get yourself up and moving. Here are a few easy ways:

  • Put on some music and dance around
  • Take your dog for a walk
  • Walk or cycle to the grocery store
  • Use the stairs at home or work rather than an elevator
  • Park your car in the farthest spot in the lot and walk the rest of the way
  • Pair up with an exercise partner and encourage each other as you workout
  • Play ping-pong or an activity-based video game with your kids

Managing stress with regular exercise

Once you’re in the habit of being physically active, try to incorporate regular exercise into your daily schedule. Activities that are continuous and rhythmic—and require moving both your arms and your legs—are especially effective at relieving stress. Walking, running, swimming, dancing, cycling, tai chi, and aerobic classes are good choices.

Pick an activity you enjoy, so you’re more likely to stick with it. Instead of continuing to focus on your thoughts while you exercise, make a conscious effort to focus on your body and the physical (and sometimes emotional) sensations you experience as you’re moving. Adding this mindfulness element to your exercise routine will help you break out of the cycle of negative thoughts that often accompanies overwhelming stress. Focus on coordinating your breathing with your movements, for example, or notice how the air or sunlight feels on your skin. Getting out of your head and paying attention to how your body feels is also the surest way to avoid picking up an injury.

When you’ve exercised, you’ll likely find it easier to put other stress management techniques to use, including reaching out to others and engaging socially.

Stress management strategy #2: Engage socially

Reach out and build relationships

  • Reach out to a colleague at work
  • Help someone else by volunteering
  • Have lunch or coffee with a friend
  • Ask a loved one to check in with you regularly
  • Accompany someone to the movies or a concert
  • Call or email an old friend
  • Go for a walk with a workout buddy
  • Schedule a weekly dinner date
  • Meet new people by taking a class or joining a club
  • Confide in a clergy member, teacher, or sports coach

Social engagement is the quickest, most efficient way to rein in stress and avoid overreacting to internal or external events that you perceive as threatening. There is nothing more calming to your nervous system than communicating with another human being who makes you feel safe and understood. This experience of safety—as perceived by your nervous system—results from nonverbal cues that you hear, see and feel.

The inner ear, face, heart, and stomach are wired together in the brain, so socially interacting with another person face-to-face—making eye contact, listening in an attentive way, talking—can quickly calm you down and put the brakes on defensive stress responses like “fight-or-flight.” It can also release hormones that reduce stress, even if you’re unable to alter the stressful situation itself. Of course, it’s not always realistic to have a pal close by to lean on when you feel overwhelmed by stress, but by building and maintaining a network of close friends you can improve your resiliency to life’s stressors. On the flip side, the more lonely and isolated you are, the greater your vulnerability to stress.

Reach out to family and friends and connect regularly in person. The people you talk to don’t have to be able to fix your stress; they just need to be good listeners. Opening up is not a sign of weakness and it won’t make you a burden to others. In fact, most friends will be flattered that you trust them enough to confide in them, and it will only strengthen your bond. And remember, it’s never too late to build new friendships and improve your support network.

Stress management strategy #3: Avoid unnecessary stress

While stress is an automatic response from your nervous system, some stressors arise at predictable times—your commute to work, a meeting with your boss, or family gatherings, for example. When handling such predictable stressors, you can either change the situation or change your reaction. When deciding which option to choose in any given scenario, it’s helpful to think of the four A’s: avoid, alter, adapt, or accept.

Avoid the stressor

It’s not healthy to avoid a stressful situation that needs to be addressed, but you may be surprised by the number of stressors in your life that you can eliminate.

  • Learn how to say “no” – Know your limits and stick to them. Whether in your personal or professional life, taking on more than you can handle is a surefire recipe for stress. Distinguish between the “shoulds” and the “musts” and, when possible, say “no” to taking on too much.
  • Avoid people who stress you out – If someone consistently causes stress in your life, limit the amount of time you spend with that person, or end the relationship.
  • Take control of your environment – If the evening news makes you anxious, turn off the TV. If traffic makes you tense, take a longer but less-traveled route. If going to the market is an unpleasant chore, do your grocery shopping online.

Stress management strategy #4: Alter the situation

If you can’t avoid a stressful situation, try to alter it. Often, this involves changing the way you communicate and operate in your daily life.

  • Express your feelings instead of bottling them up. If something or someone is bothering you, be more assertive and communicate your concerns in an open and respectful way. If you’ve got an exam to study for and your chatty roommate just got home, say up front that you only have five minutes to talk. If you don’t voice your feelings, resentment will build and the stress will increase.
  • Be willing to compromise. When you ask someone to change their behavior, be willing to do the same. If you both are willing to bend at least a little, you’ll have a good chance of finding a happy middle ground.
  • Manage your time better. Poor time management can cause a lot of stress. But if you plan ahead and make sure you don’t overextend yourself, you’ll find it easier to stay calm and focused.

Stress management strategy #5: Adapt to the stressor

How you think can have a profound effect on your stress levels. Each time you think a negative thought about yourself, your body reacts as if it were in the throes of a tension-filled situation. Regain your sense of control by changing your expectations and attitude to stressful situations.

  • Reframe problems. Try to view stressful situations from a more positive perspective. Rather than fuming about a traffic jam, look at it as an opportunity to pause and regroup, listen to your favorite radio station, or enjoy some alone time.
  • Look at the big picture. Take perspective of the stressful situation. Ask yourself how important it will be in the long run. Will it matter in a month? A year? Is it really worth getting upset over? If the answer is no, focus your time and energy elsewhere.
  • Adjust your standards. Perfectionism is a major source of avoidable stress. Stop setting yourself up for failure by demanding perfection. Set reasonable standards for yourself and others, and learn to be okay with “good enough.”

Stress management strategy #6: Accept the things you can’t change

Many sources of stress are unavoidable. You can’t prevent or change stressors, such as the death of a loved one, a serious illness, or a national recession. In such cases, the best way to cope with stress is to accept things as they are. Acceptance may be difficult, but in the long run, it’s easier than railing against a situation you can’t change.

  • Don’t try to control the uncontrollable. Many things in life are beyond our control—particularly the behavior of other people. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems.
  • Look for the upside. When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes.
  • Learn to forgive. Accept the fact that we live in an imperfect world and that people make mistakes. Let go of anger and resentments. Free yourself from negative energy by forgiving and moving on.

Stress management strategy #7: Make time for fun and relaxation

Beyond a take-charge approach and a positive attitude, you can reduce stress in your life by nurturing yourself. If you regularly make time for fun and relaxation, you’ll be in a better place to handle life’s stressors.

Develop a “stress relief toolbox”

Come up with a list of healthy ways to relax and recharge. Try to implement one or more of these ideas each day, even if you’re feeling good.

  • Go for a walk
  • Spend time in nature
  • Call a good friend
  • Play a competitive game of tennis or racquetball
  • Write in your journal
  • Take a long bath
  • Light scented candles
  • Savor a warm cup of coffee or tea
  • Play with a pet
  • Work in your garden
  • Get a massage
  • Curl up with a good book
  • Listen to music
  • Watch a comedy

Don’t get so caught up in the hustle and bustle of life that you forget to take care of your own needs. Nurturing yourself is a necessity, not a luxury.

  • Set aside relaxation time. Include rest and relaxation in your daily schedule. Don’t allow other obligations to encroach. This is your time to take a break from all responsibilities and recharge your batteries.
  • Do something you enjoy every day. Make time for leisure activities that bring you joy, whether it be stargazing, playing the piano, or working on your bike.
  • Keep your sense of humor. This includes the ability to laugh at yourself. The act of laughing helps your body fight stress in a number of ways.

Stress management strategy #8: Adopt a healthy lifestyle

In addition to regular exercise, there are other healthy lifestyle choices that can increase your resistance to stress.

  • Eat a healthy diet. Well-nourished bodies are better prepared to cope with stress, so be mindful of what you eat. Start your day right with breakfast, and keep your energy up and your mind clear with balanced, nutritious meals throughout the day.
  • Reduce caffeine and sugar. The temporary “highs” caffeine and sugar provide often end in with a crash in mood and energy. By reducing the amount of coffee, soft drinks, chocolate, and sugar snacks in your diet, you’ll feel more relaxed and you’ll sleep better.
  • Avoid alcohol, cigarettes, and drugs. Self-medicating with alcohol or drugs may provide an easy escape from stress, but the relief is only temporary. Don’t avoid or mask the issue at hand; deal with problems head on and with a clear mind.
  • Get enough sleep. Adequate sleep fuels your mind, as well as your body. Feeling tired will increase your stress because it may cause you to think irrationally.

Stress management self-help checklist

Use this checklist to track your progress using these strategies to manage stress. Compare how you feel on days when you make lots of ticks on the checklist to those when you make few or none.

Stress Management Checklist

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How to Stop Worrying

How to Stop Worrying

Self-Help Strategies for Relief from Anxieties, Worries, and Fears

Self-Help for Anxiety ReliefWorrying can be helpful when it spurs you to take action and solve a problem. But if you’re preoccupied with “what ifs” and worst-case scenarios, worry becomes a problem. Unrelenting doubts and fears can be paralyzing. They can sap your emotional energy, send your anxiety levels soaring, and interfere with your daily life. But chronic worrying is a mental habit that can be broken. You can train your brain to stay calm and look at life from a more positive perspective.

Why is it so hard to stop worrying?

No one likes the way constant worrying makes you feel, so why is it so difficult to stop? The answer lies in the beliefs—both negative and positive—you have about worrying.

On the negative side, you may believe that your constant worrying is going to spiral completely out of control, drive you crazy, or damage your health. On the positive side, you may believe that your worrying helps you avoid bad things, prepare for the worst, or come up with solutions. You may even believe that worrying shows you’re a caring and conscientious person.

Negative beliefs, or worrying about worrying, add to your anxiety and keep it going (much in the same way worrying about getting to sleep often keeps you awake). But positive beliefs about worrying can be even more damaging. It’s tough to break the worry habit if you believe that your worrying protects you. In order to stop worry and anxiety for good, you must give up your belief that worrying serves a positive purpose. Once you realize that worrying is the problem, not the solution, you can regain control of your worried mind.

Worry and anxiety self-help tip #1: Create a worry period

It’s tough to be productive in your daily life when anxiety and worry are dominating your thoughts. But what can you do?

Telling yourself to stop worrying doesn’t work—at least not for long. You can distract yourself for a moment, but you can’t banish anxious thoughts for good. In fact, trying to do so often makes them stronger and more persistent.

You can test this out for yourself. Close your eyes and picture a pink elephant. Once you can see itin your mind, stop thinking about it. Whatever you do, for the next 60 seconds, don’t think about pink elephants!

How did you do? Did thoughts of pink elephants keep popping in your brain?

Why trying to stop anxious thoughts doesn’t work

“Thought stopping” backfires because it forces you to pay extra attention to the very thought you want to avoid. You always have to be watching for it, and this very emphasis makes it seem even more important.

But that doesn’t mean there’s nothing you can do to control worry. You just need a different approach. This is where the strategy of postponing worrying comes in. Rather than trying to stop or get rid of an anxious thought, give yourself permission to have it, but put off dwelling on it until later.

Learn to postpone worrying

  1. Create a “worry period.” Choose a set time and place for worrying. It should be the same every day (e.g. in the living room from 5:00 to 5:20 p.m.) and early enough that it won’t make you anxious right before bedtime. During your worry period, you’re allowed to worry about whatever’s on your mind. The rest of the day, however, is a worry-free zone.
  2. Postpone your worry. If an anxious thought or worry comes into your head during the day, make a brief note of it and then continue about your day. Remind yourself that you’ll have time to think about it later, so there’s no need to worry about it right now.
  3. Go over your “worry list” during the worry period. If the thoughts you wrote down are still bothering you, allow yourself to worry about them, but only for the amount of time you’ve specified for your worry period. If they don’t seem important any more, cut your worry period short and enjoy the rest of your day.

Postponing worrying is effective because it breaks the habit of dwelling on worries when you’ve got other things to do, yet there’s no struggle to suppress the thought or judge it. You simply save it for later. And as you develop the ability to postpone your anxious thoughts, you’ll start to realize that you have more control than you think.

Worry and anxiety self-help tip #2: Ask yourself if the problem is solvable

Research shows that while you’re worrying, you temporarily feel less anxious. Running over the problem in your head distracts you from your emotions and makes you feel like you’re getting something accomplished. But worrying and problem solving are two very different things.

Problem solving involves evaluating a situation, coming up with concrete steps for dealing with it, and then putting the plan into action. Worrying, on the other hand, rarely leads to solutions. No matter how much time you spend dwelling on worst-case scenarios, you’re no more prepared to deal with them should they actually happen.

Distinguish between solvable and unsolvable worries

If a worry pops into your head, start by asking yourself whether the problem is something you can actually solve. The following questions can help:

      • Is the problem something you’re currently facing, rather than an imaginary what-if?
      • If the problem is an imaginary what-if, how likely is it to happen? Is your concern realistic?
      • Can you do something about the problem or prepare for it, or is it out of your control?

Productive, solvable worries are those you can take action on right away. For example, if you’re worried about your bills, you could call your creditors to see about flexible payment options. Unproductive, unsolvable worries are those for which there is no corresponding action. “What if I get cancer someday?” or “What if my kid gets into an accident?”

If the worry is solvable, start brainstorming. Make a list of all the possible solutions you can think of. Try not to get too hung up on finding the perfect solution. Focus on the things you have the power to change, rather than the circumstances or realities beyond your control. After you’ve evaluated your options, make a plan of action. Once you have a plan and start doing something about the problem, you’ll feel much less worried.

Dealing with unsolvable worries

But what if the worry isn’t something you can solve? If you’re a chronic worrier, the vast majority of your anxious thoughts probably fall in this camp. In such cases, it’s important to tune into your emotions.

As previously mentioned, worrying helps you avoid unpleasant emotions. Worrying keeps you in your head, thinking about how to solve problems rather than allowing yourself to feel the underlying emotions. But you can’t worry your emotions away. While you’re worrying, your feelings are temporarily suppressed, but as soon as you stop, they bounce back. And then, you start worrying about your feelings: “What’s wrong with me? I shouldn’t feel this way!”

The only way out of this vicious cycle is by learning to embrace your feelings. This may seem scary at first because of negative beliefs you have about emotions. For example, you may believe that you should always be rational and in control, that your feelings should always make sense, or that you shouldn’t feel certain emotions, such as fear or anger.

The truth is that emotions—like life—are messy. They don’t always make sense and they’re not always pleasant. But as long as you can accept your feelings as part of being human, you’ll be able to experience them without becoming overwhelmed and learn how to use them to your advantage. The following tips will help you find a better balance between your intellect and your emotions.

Worry and anxiety self-help tip #3: Challenge anxious thoughts

If you suffer from chronic anxiety and worries, chances are you look at the world in ways that make it seem more dangerous than it really is. For example, you may overestimate the possibility that things will turn out badly, jump immediately to worst-case scenarios, or treat every negative thought as if it were fact. You may also discredit your own ability to handle life’s problems, assuming you’ll fall apart at the first sign of trouble. These irrational, pessimistic attitudes are known as cognitive distortions.

Although cognitive distortions aren’t based on reality, they’re not easy to give up. Often, they’re part of a lifelong pattern of thinking that’s become so automatic you’re not even completely aware of it. In order to break these bad thinking habits and stop the worry and anxiety they bring, you must retrain your brain.

Start by identifying the frightening thought, being as detailed as possible about what scares or worries you. Then, instead of viewing your thoughts as facts, treat them as hypotheses you’re testing out. As you examine and challenge your worries and fears, you’ll develop a more balanced perspective.

Stop worrying by questioning the anxious thought

  • What’s the evidence that the thought is true? That it’s not true?
  • Is there a more positive, realistic way of looking at the situation?
  • What’s the probability that what I’m scared of will actually happen?
  • If the probability is low, what are some more likely outcomes?
  • Is the thought helpful? How will worrying about it help me and how will it hurt me?
  • What would I say to a friend who had this worry?
Cognitive Distortions that Add to Anxiety, Worry, and Stress
All-or-nothing thinking – Looking at things in black-or-white categories, with no middle ground. “If I fall short of perfection, I’m a total failure.”
Overgeneralization – Generalizing from a single negative experience, expecting it to hold true forever. “I didn’t get hired for the job. I’ll never get any job.”
The mental filter – Focusing on the negatives while filtering out all the positives. Noticing the one thing that went wrong, rather than all the things that went right.
Diminishing the positive – Coming up with reasons why positive events don’t count. “I did well on the presentation, but that was just dumb luck.”
Jumping to conclusions – Making negative interpretations without actual evidence. You act like a mind reader, “I can tell she secretly hates me.” Or a fortune teller, “I just know something terrible is going to happen.”
Catastrophizing – Expecting the worst-case scenario to happen. “The pilot said we’re in for some turbulence. The plane’s going to crash!”
Emotional reasoning – Believing that the way you feel reflects reality. “I feel frightened right now. That must mean I’m in real physical danger.”
‘Shoulds’ and ‘should-nots’ – Holding yourself to a strict list of what you should and shouldn’t do and beating yourself up if you break any of the rules
Labeling – Labeling yourself based on mistakes and perceived shortcomings. “I’m a failure; an idiot; a loser.”
Personalization – Assuming responsibility for things that are outside your control. “It’s my fault my son got in an accident. I should have warned him to drive carefully in the rain.”

Worry and anxiety self-help tip #4: Accept uncertainty

The inability to tolerate uncertainty plays a huge role in anxiety and worry. Chronic worriers can’t stand doubt or unpredictability. They need to know with 100 percent certainty what’s going to happen. Worrying is seen as a way to predict what the future has in store—a way to prevent unpleasant surprises and control the outcome. The problem is, it doesn’t work.

Thinking about all the things that could go wrong doesn’t make life any more predictable. You may feel safer when you’re worrying, but it’s just an illusion. Focusing on worst-case scenarios won’t keep bad things from happening. It will only keep you from enjoying the good things you have in the present. So if you want to stop worrying, start by tackling your need for certainty and immediate answers.

Challenging intolerance of uncertainty: The key to anxiety relief

Ask yourself the following questions and write down your responses. See if you can come to an understanding of the disadvantages and problems of being intolerant of uncertainty.

  • Is it possible to be certain about everything in life?
  • What are the advantages of requiring certainty, versus the disadvantages? Or, how is needing certainty in life helpful and unhelpful?
  • Do you tend to predict bad things will happen just because they are uncertain? Is this a reasonable thing to do? What is the likelihood of positive or neutral outcomes?
  • Is it possible to live with the small chance that something negative may happen, given its likelihood is very low?

Adapted from: Accepting Uncertainty, Centre for Clinical Interventions

Worry and anxiety self-help tip # 5: Be aware of how others affect you

How you feel is affected by the company you keep, whether you’re aware of it or not. Studies show that emotions are contagious. We quickly “catch” moods from other people—even from strangers who never speak a word (e.g. the terrified woman sitting by you on the plane; the fuming man in the checkout line). The people you spend a lot of time with have an even greater impact on your mental state.

  • Keep a worry diary. You may not be aware of how people or situations are affecting you. Maybe this is the way it’s always been in your family, or you’ve been dealing with the stress so long that it feels normal. Try keeping a worry diary for a week or so. Every time you start to worry, jot down the thought and what triggered it. Over time, you’ll start to see patterns.
  • Spend less time with people who make you anxious. Is there someone in your life who drags you down or always seems to leave you feeling stressed? Think about cutting back on the time you spend with that person or establish healthier relationship boundaries. For example, you might set certain topics off-limits, if you know that talking about them with that person makes you anxious.
  • Choose your confidantes carefully. Know who to talk to about situations that make you anxious. Some people will help you gain perspective, while others will feed into your worries, doubts, and fears.

Worry and anxiety self-help tip #6: Practice mindfulness

Man meditatingWorrying is usually focused on the future—on what might happen and what you’ll do about it. The centuries-old practice of mindfulness can help you break free of your worries by bringing your attention back to the present. In contrast to the previous techniques of challenging your anxious thoughts or postponing them to a worry period, this strategy is based on observing and then letting them go. Together, they can help you identify where your thinking is causing problems, while helping you get in touch with your emotions.

  • Acknowledge and observe your anxious thoughts and feelings. Don’t try to ignore, fight, or control them like you usually would. Instead, simply observe them as if from an outsider’s perspective, without reacting or judging.
  • Let your worries go. Notice that when you don’t try to control the anxious thoughts that pop up, they soon pass, like clouds moving across the sky. It’s only when you engage your worries that you get stuck.
  • Stay focused on the present. Pay attention to the way your body feels, the rhythm of your breathing, your ever-changing emotions, and the thoughts that drift across your mind. If you find yourself getting stuck on a particular thought, bring your attention back to the present moment.

Using mindfulness meditation to stay focused on the present is a simple concept, but it takes practice to reap the benefits. At first, you’ll probably find that your mind keeps wandering back to your worries. Try not to get frustrated. Each time you draw your focus back to the present, you’re reinforcing a new mental habit that will help you break free of the negative worry cycle.

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Stress relief in the moment

Stress Relief in the Moment

Using Your Senses to Quickly Change Your Response to Stress

Stress Relief in the MomentEver wish a stress superhero could save you from traffic jams, chaotic meetings, or a toddler’s tantrums? Well, you can be your own stress-busting superhero. Everybody has the power to reduce the impact of stress as it’s happening and stay in control when the pressure builds. Like any skill, learning stress relief in the moment takes time, experimentation, and practice. But changing your response to stress can help you stay alert, productive, and focused, no matter what life throws at you.

Recognizing stress

Recognizing stress is the first step to relieving it. Many of us spend so much time in a stressed state, we have forgotten what it feels like to be fully relaxed and alert. You can see that “just right” inner balance in the smile of a happy baby. In adulthood, being balanced means maintaining a calm state of energy, alertness, and focus. If you don’t feel calm, alert, productive, and focused most of the time, then you may be experiencing stress overload.

How to recognize stress

When you’re tired, your eyes feel heavy and you might rest your head on your hand. When you’re happy, you laugh easily. And when you are stressed, your body lets you know that too.

  • Observe your muscles and insides. Are your muscles tight/sore? Is your stomach tight or sore? Are your hands clenched?
  • Observe your breath. Is your breath shallow? Place one hand on your belly, the other on your chest. Watch your hands rise and fall with each breath. Notice when you breathe fully or when you “forget” to breathe.

Identify your stress response

Internally, we all respond to the “fight-or-flight” stress response the same: blood pressure rises, the heart pumps faster, and muscles constrict. Our bodies work hard and drain our immune system. Externally, however, people respond to stress in different ways.

The best way to quickly relieve stress often relates to your specific stress response:

  • Overexcited stress response – If you tend to become angry, agitated, or keyed up under stress, you will respond best to stress relief activities that quiet you down.
  • Underexcited stress response – If you tend to become depressed, withdrawn, or spaced out under stress, you will respond best to stress relief activities that are stimulating and energize your nervous system.

The immobilization or “frozen” stress response

Immobilization is associated with people who have experienced trauma and find themselves “stuck”—in an enraged, panic-stricken or otherwise dysfunctional state—and unable to move on. Your challenge is to help you “reboot” your system and rouse you from a “frozen” to “fight-or-flight” stress response. Choose a form of movement that engages both your arms and legs, such as walking, swimming, running, dancing, climbing, or tai chi. As you move, instead of continuing to focus on your thoughts, focus on your body and the sensations you feel in your limbs. This mindfulness element can help your nervous system become “unstuck” and move on.

The basics of quick stress relief

There are countless techniques for preventing stress. Yoga and mindfulness meditation work wonders for improving coping skills. But who can take a moment to chant or meditate during a job interview or a disagreement with your spouse? For these situations, you need something more immediate and accessible.

  • The fastest way to relieve stress is by engaging one or more of your senses—sight, sound, taste, smell, touch, or movement.
  •  Since everyone responds differently, to practice quick stress relief you need to discover the sensory input that works for you.

Talking face to face: a rapid stress reducer

Social engagement is our most evolved strategy for regulating the nervous system. Talking face-to-face with a relaxed listener can help quickly relieve stress. Although it’s not always realistic to have a pal close by to lean on, maintaining a network of close friends is important for your mental health. Between quick stress relief and good listeners, you’ll have your bases covered.

Bring your senses to the rescue

The following exercises can help you identify the sensory experiences that work to quickly relieve stress for you. As you experiment, note how quickly your stress levels drop. And be as precise as possible. What is the specific kind of sound or type of movement that affects you the most? For example, if you’re a music lover, listen to many different artists and types of music until you find the song that instantly lifts and relaxes you.

The examples listed below are intended to be a jumping-off point. It’s up to you to hone in on them and come up with additional things to try.

Sights

Sights

  • Look at a cherished photo or a favorite memento.
  • Use a plant or flowers to enliven your space.
  • Enjoy the beauty of nature—a garden, the beach, a park, or your own backyard.
  • Surround yourself with colors that lift your spirits.
  • Close your eyes and picture a place that feels peaceful and rejuvenating.

Sound

Sound

  • Sing or hum a favorite tune. Listen to uplifting music.
  • Tune in to the soundtrack of nature—crashing waves, the wind rustling the trees, birds singing.
  • Buy a small fountain, so you can enjoy the soothing sound of running water in your home or office.
  • Hang wind chimes near an open window.

Vocal toning

Vocal toning can:

  • Reduce the stress hormones adrenaline and cortisol, making it an effective means of stress relief. Try sneaking off to a quiet place to spend a few minutes toning before a meeting with your boss and see how much more relaxed and focused you feel.
  • Exercise the tiny muscles of the inner ear that help you detect the higher frequencies of human speech that impart emotion and tell you what someone is really trying to say. Not only will you feel more relaxed in that meeting with your boss, you’ll also be better able to understand what he’s trying to communicate.

How to tone

Sit up straight and simply make “mmmm” sounds with your lips together and teeth slightly apart. Experiment by changing the pitch and volume until you experience a pleasant vibration in your face and, eventually, your heart and stomach.

Smell and scents

Smell & Scents

  • Light a scented candle or burn some incense.
  • Lie down in sheets scented with lavender.
  • Smell the roses—or another type of flower.
  • Enjoy clean, fresh air in the great outdoors.
  • Spritz on your favorite perfume or cologne.

Touch

Touch

  • Wrap yourself in a warm blanket.
  • Pet a dog or cat.
  • Hold a comforting object (a stuffed animal, a favorite memento).
  • Soak in a hot bath.
  • Give yourself a hand or neck massage.
  • Wear clothing that feels soft against your skin.

Taste

TasteSlowly savoring a favorite treat can be very relaxing, but mindless eating will only add to your stress and your waistline. The key is to indulge your sense of taste mindfully and in moderation.

  • Chew a piece of sugarless gum.
  • Indulge in a small piece of dark chocolate.
  • Sip a steaming cup of coffee or tea or a refreshing cold drink.
  • Eat a perfectly ripe piece of fruit.
  • Enjoy a healthy, crunchy snack (celery, carrots, or trail mix).

Movement

MovementIf you tend to shut down when you’re under stress or have experienced trauma, stress-relieving activities that get you moving may be particularly helpful.

  • Run in place or jump up and down.
  • Dance around.
  • Stretch or roll your head in circles.
  • Go for a short walk.
  • Squeeze a rubbery stress ball.

The power of imagination

After drawing upon your sensory toolbox becomes habit, try simply imagining vivid sensations when stress strikes. The memory of your baby’s face will have the same calming or energizing effects on your brain as seeing her photo. When you can recall a strong sensation, you’ll never be without a quick stress relief tool.

Find sensory inspiration

Explore a variety of sensations so that no matter where you are you’ll always have something you can do to relax yourself.

  • Memories. Think back to what you did as a child to calm down. If you had a blanket or stuffed toy, you might benefit from tactile stimulation. Try tying a textured scarf around your neck before an appointment or keeping a piece of soft suede in your pocket.
  • Watch others. Observing how others deal with stress can give you valuable insight. Baseball players often pop gum before going up to bat. Singers often chat up the crowd before performing. Ask around about what people you know do to stay focused under pressure.
  • Parents. Think back to what your parents did to blow off steam. Did your mother feel more relaxed after a long walk? Did your father do yard work after a hard day?

Take a break from technology

Taking a short hiatus from the television, computer, and cell phone will give you insight on what your senses respond to best.

  • Try tuning into relaxing music instead of talk radio during your commute. Or try riding in silence for 10 minutes.
  • Stuck in a long line at the grocery store? Instead of talking on your cell phone, take a moment to people watch. Pay attention to what you hear and see.
  • Instead of checking email while waiting for a meeting, take a few deep breaths, look out the window, or sip some tea.
  • While waiting for an appointment, resist the urge to text and give yourself a hand massage instead.

Make quick stress relief a habit

It’s not easy to remember to use your senses in the middle of a mini—or not so mini—crisis. At first, it will feel easier to just give into pressure and tense up. But with time, calling upon your senses will become second nature. Think of it as like learning to drive or play golf. You don’t master the skill in one lesson; you have to practice until it becomes second nature.

  • Start small. Instead of testing your quick stress relief tools on a source of major stress, start with a predictable low-level source of stress, like cooking dinner at the end of the day or sitting down to balance your checkbook.
  • Identify and target. Think of just one low-level stressor that you know will occur several times a week, such as commuting. Vow to target that stressor with quick stress relief every time. After a few weeks, target a second stressor and so on.
  • Test-drive sensory input. If you are practicing quick stress relief on your commute to work, bring a scented handkerchief with you one day, try music another day, and try a movement the next day.
  • Have fun with the process. If something doesn’t work, don’t force it. Move on until you find your best fit.
  • Talk about it. Verbalizing your quick stress relief work will help integrate it into your life. It’s bound to start a fascinating conversation—everyone relates to the topic of stress.

Quick acting stress-busting tips

The best part of quick stress relief is the awareness that you can put quick stress relief within arm’s reach, wherever your stress hotspot may be.

Quick stress relief at home

  • Entertaining. Prevent pre-party jitters by playing lively music. Light candles. The flicker and scent will stimulate your senses. Wear clothes that make you feel relaxed and confident.
  • Kitchen. Ease kitchen stress by breathing in the scent of every ingredient. Delight in the delicate texture of an eggshell. Appreciate the weight of an onion.
  • Children and relationships. Prevent losing your cool during a spousal spat by squeezing the tips of your thumb and forefinger together. When your toddler has a tantrum, rub lotion into your hands and breathe in the scent.
  • Sleep. Too stressed to snooze? Try using a white noise machine for background sound or a humidifier with a diffuser for a light scent in the air.
  • Creating a sanctuary. If clutter is upsetting, spend 10 minutes each day to tidy. Display photos and images that make you feel happy. Throw open the curtains and let in natural light.

Quick stress relief at work

  • Meetings. During stressful sessions, stay connected to your breath. Massage the tips of your fingers. Wiggle your toes. Sip coffee.
  • On the phone. Inhale something energizing, like lemon, ginger, peppermint. While talking, stand up or pace back and forth to burn off excess energy, or take calls outside when possible.
  • On the computer. Work standing up. Do knee-bends in 10-minute intervals. Wrap a soft scarf around your neck. Suck on a peppermint.
  • Lunch breaks. Take a walk around the block or in the parking lot. Listen to soothing music while eating. Chat to a colleague.
  • Your workspace. Place family photos on your desk or mementos that remind you of your life outside the office.
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Benefits of Mindfulness Practices for Improving Emotional and Physical Well-Being

Benefits of Mindfulness

Practices for Improving Emotional and Physical Well-Being

Key Points

  • Practicing mindfulness improves both mental and physical health.
  • Mindfulness involves both concentration (a form of meditation) and acceptance. Deliberately pay attention to thoughts and sensations without judgment.
  • It takes practice to become comfortable with mindfulness techniques. If one method doesn’t work for you, try another.

It’s a busy world. You fold the laundry while keeping one eye on the kids and another on the television. You plan your day while listening to the radio and commuting to work, and then plan your weekend. But in the rush to accomplish necessary tasks, you may find yourself losing your connection with the present moment—missing out on what you’re doing and how you’re feeling. Did you notice whether you felt well-rested this morning or that forsythia is in bloom along your route to work?

Mindfulness is the practice of purposely focusing your attention on the present moment—and accepting it without judgment. Mindfulness is now being examined scientifically and has been found to be a key element in happiness.

Ancient roots, modern applications

The cultivation of mindfulness has roots in Buddhism, but most religions include some type of prayer or meditation technique that helps shift your thoughts away from your usual preoccupations toward an appreciation of the moment and a larger perspective on life.

Professor emeritus Jon Kabat-Zinn, founder and former director of the Stress Reduction Clinic at the University of Massachusetts Medical Center, helped to bring the practice of mindfulness meditation into mainstream medicine and demonstrated that practicing mindfulness can bring improvements in both physical and psychological symptoms as well as positive changes in health attitudes and behaviors.

Mindfulness improves well being

  • Increasing your capacity for mindfulness supports many attitudes that contribute to a satisfied life.
  • Being mindful makes it easier to savor the pleasures in life as they occur, helps you become fully engaged in activities, and creates a greater capacity to deal with adverse events.
  • By focusing on the here and now, many people who practice mindfulness find that they are less likely to get caught up in worries about the future or regrets over the past, are less preoccupied with concerns about success and self-esteem, and are better able to form deep connections with others.

Mindfulness improves physical health

If greater well-being isn’t enough of an incentive, scientists have discovered the benefits of mindfulness techniques help improve physical health in a number of ways. Mindfulness can:

  • help relieve stress
  • treat heart disease
  • lower blood pressure
  • reduce chronic pain
  • improve sleep
  • alleviate gastrointestinal difficulties

Mindfulness improves mental health

In recent years, psychotherapists have turned to mindfulness meditation as an important element in the treatment of a number of problems, including:

  • depression
  • substance abuse
  • eating disorders
  • couples’ conflicts
  • anxiety disorders
  • obsessive-compulsive disorder

Some experts believe that mindfulness works, in part, by helping people to accept their experiences—including painful emotions—rather than react to them with aversion and avoidance.

It’s become increasingly common for mindfulness meditation to be combined with psychotherapy, especially cognitive behavioral therapy. This development makes good sense, since both meditation and cognitive behavioral therapy share the common goal of helping people gain perspective on irrational, maladaptive, and self-defeating thoughts.

Mindfulness Techniques
There is more than one way to practice mindfulness, but the goal of any mindfulness technique is to achieve a state of alert, focused relaxation by deliberately paying attention to thoughts and sensations without judgment. This allows the mind to refocus on the present moment. All mindfulness techniques are a form of meditation.
Basic mindfulness meditation – Sit quietly and focus on your natural breathing or on a word or “mantra” that you repeat silently. Allow thoughts to come and go without judgment and return to your focus on breath or mantra.
Body sensations – Notice subtle body sensations such as an itch or tingling without judgment and let them pass. Notice each part of your body in succession from head to toe.
Sensory – Notice sights, sounds, smells, tastes, and touches. Name them “sight,” “sound,” “smell,” “taste,” or “touch” without judgment and let them go.
Emotions – Allow emotions to be present without judgment. Practice a steady and relaxed naming of emotions: “joy,” “anger,” “frustration.”

Accept the presence of the emotions without judgment and let them go.

Urge surfing – Cope with cravings (for addictive substances or behaviors) and allow them to pass. Notice how your body feels as the craving enters. Replace the wish for the craving to go away with the certain knowledge that it will subside.

Meditation and other practices that foster mindfulness

Mindfulness can be cultivated through mindfulness meditation, a systematic method of focusing your attention.

You can learn to meditate on your own, following instructions in books or on tape. However, you may benefit from the support of an instructor or group to answer questions and help you stay motivated. Look for someone using meditation in a way compatible with your beliefs and goals.

If you have a medical condition, you may prefer a medically oriented program that incorporates meditation. Ask your physician or hospital about local groups. Insurance companies increasingly cover the cost of meditation instruction.

Getting started on your own

Some types of meditation primarily involve concentration—repeating a phrase or focusing on the sensation of breathing, allowing the parade of thoughts that inevitably arise to come and go. Concentration meditation techniques, as well as other activities such as tai chi or yoga, can induce the well-known relaxation response, which is very valuable in reducing the body’s response to stress.

Mindfulness meditation builds upon concentration practices. Here’s how it works:

  • Go with the flow. In mindfulness meditation, once you establish concentration, you observe the flow of inner thoughts, emotions, and bodily sensations without judging them as good or bad.
  • Pay attention. You also notice external sensations such as sounds, sights, and touch that make up your moment-to-moment experience. The challenge is not to latch onto a particular idea, emotion, or sensation, or to get caught in thinking about the past or the future. Instead you watch what comes and goes in your mind, and discover which mental habits produce a feeling of well-being or suffering.
  • Stay with it. At times, this process may not seem relaxing at all, but over time it provides a key to greater happiness and self-awareness as you become comfortable with a wider and wider range of your experiences.

Practice acceptance

Above all, mindfulness practice involves accepting whatever arises in your awareness at each moment. It involves being kind and forgiving toward yourself.

Some tips to keep in mind:

  • Gently redirect. If your mind wanders into planning, daydream, or criticism, notice where it has gone and gently redirect it to sensations in the present.
  • Try and try again. If you miss your intended meditation session, you simply start again.

By practicing accepting your experience during meditation, it becomes easier to accept whatever comes your way during the rest of your day.

Cultivate mindfulness informally

In addition to formal meditation, you can also cultivate mindfulness informally by focusing your attention on your moment-to-moment sensations during everyday activities. This is done by single-tasking—doing one thing at a time and giving it your full attention. As you floss your teeth, pet the dog, or eat an apple, slow down the process and be fully present as it unfolds and involves all of your senses.

Exercises to try on your own

If mindfulness meditation appeals to you, going to a class or listening to a meditation tape can be a good way to start. In the meantime, here are two mindfulness exercises you can try on your own.

Practicing mindfulness meditation

This exercise teaches basic mindfulness meditation.

  1. Sit on a straight-backed chair or cross-legged on the floor.
  2. Focus on an aspect of your breathing, such as the sensations of air flowing into your nostrils and out of your mouth, or your belly rising and falling as you inhale and exhale.
  3. Once you’ve narrowed your concentration in this way, begin to widen your focus. Become aware of sounds, sensations, and your ideas.
  4. Embrace and consider each thought or sensation without judging it good or bad. If your mind starts to race, return your focus to your breathing. Then expand your awareness again.

Invest in yourself

The effects of mindfulness meditation tend to be dose-related — the more you do, the more effect it usually has. Most people find that it takes at least 20 minutes for the mind to begin to settle, so this is a reasonable way to start. If you’re ready for a more serious commitment, Jon Kabat-Zinn recommends 45 minutes of meditation at least six days a week. But you can get started by practicing the techniques described here for shorter periods.

Learning to stay in the present

A less formal approach to mindfulness can also help you to stay in the present and fully participate in your life. You can choose any task or moment to practice informal mindfulness, whether you are eating, showering, walking, touching a partner, or playing with a child or grandchild. Attending to these points will help:

  • Start by bringing your attention to the sensations in your body
  • Breathe in through your nose, allowing the air downward into your lower belly. Let your abdomen expand fully.
  • Now breathe out through your mouth
  • Notice the sensations of each inhalation and exhalation
  • Proceed with the task at hand slowly and with full deliberation
  • Engage your senses fully. Notice each sight, touch, and sound so that you savor every sensation.

When you notice that your mind has wandered from the task at hand, gently bring your attention back to the sensations of the moment.

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