Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Monday, April 2, 2018

Virtual Reality Therapy with Susan Morlock, MA, LPC


By Hallie Schwartz
We are living in the golden age of technology, and mental health professionals are finding new and innovative ways to help their clients. Susan Morlock, a staff therapist at The Awakening Center, is one of those innovators.
            Virtual reality therapy offers an entirely new experience to clients. Susan explained that exposure therapy is often used with clients who experience anxiety. Her virtual reality technology brings exposure therapy directly into the office. Susan stated that virtual reality therapy immerses people in their fears in a safe environment. Fear of flying, for example, could be treated using exposure therapy. Clients would be incrementally exposed to entering the airport, checking into a flight, going through airport security, boarding a plane, preparing for take-off, and so on. Likely, this would involve clients driving to and from the airport on multiple occasions. Using virtual reality therapy allows clients to receive a very similar experience without all the travel back and forth.
            I asked Susan about her biggest success story with virtual reality therapy. She was proud to tell me that the technology, along with some additional education, helped one of her clients fly after not going near an airplane for 16 years! 
            Susan purchased her virtual reality equipment from a company called PSIOUS, which is based out of Spain. The virtual reality platform, called PsiousToolsuite, provides animated and live environments that can be used in clinical practice. Susan showed me some of the technology’s additional capabilities: typing messages to participants that can act as replacement thoughts, changing parts of the scene to make them more stressful, and the biofeedback monitor that can track physiological responses. PsiousToolsuite provides environments for more than just the treatment of anxiety and anxiety-related disorders. The technology can be used for mindfulness and relaxation techniques too. In fact, Susan relayed that she mostly uses the equipment when teaching mindfulness and relaxation to her clients.
            I was excited to play the role of Susan’s client as she showed me how virtual reality therapy works. I wore a pair of googles that had a cell phone attached as a means to provide the screen. Susan used her laptop to control the images on the cell phone screen. She presented me with a very calming scene of a green pasture with a tree in the forefront. As we worked through this mindfulness module, I watched the tree’s leaves slowly fall to the ground. I truly felt present in the moment and calmer afterward.
            Susan said that PsiousToolsuite is updating its modules all the time and offering more to mental health professionals. Virtual reality therapy does not require a certification and can be purchased online at www.psious.com.
            As an intern therapist, I am inspired by Susan’s efforts to explore more new age therapeutic interventions and plan to do the same in my clinical practice. After all, it’s called the golden age of technology for a reason.
Hallie is a graduate intern at The Awakening Center and currently finishing her master’s degree in Clinical Mental Health Counseling at Roosevelt University. Hallie is passionate about working with clients who are in recovery. She has worked with clients in recovery from domestic violence, substance dependency, and eating disorders.


Monday, August 22, 2016

Meditation Monday: Reflections on the Summer Games



By Nancy Hall, MA, NCC, LPC

In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly mindfulness group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com.

The start of the Summer Olympics in Rio coincided with some time I had off from work. So, needless to say, I tuned in ready to cheer on the US’s athletes.

I enjoy watching these elite athletes and am always struck and impressed by their stories of hard work and persistence. Each was born with a natural talent or genetic advantage—I’m looking at you, Michael Phelps, and your long arms and insane lung capacity—but no one gets to this level of competition without hard work.

Of course, the downside to watching these games is that those gremlin voices inside our heads can get triggered: “She’s only 19 years old and look how much she’s accomplished! You’re clearly wasting your life.” Or “That guy overcame poverty and oppression and look what he can do! What are you complaining about? You’re clearly weak.”

Those gremlins are most often fired up by the stories we tell ourselves. To these parts, admiring the achievements of Simone Biles inevitably leads to self-doubt and shame at our meager accomplishments.

But, our inner wisdom knows there is room for all stories. The record-breaking performance of Katie Ledecky does not cast a shadow over achievements in work, school, or recovery. We can find inspiration in the stories of resilience without belittling ourselves.

So when you’re judgmental gremlin part gets loud in your head, try the following:
  1. Gently remind yourself that the judgmental gremlin is just a Part—not your whole Self.
  2. Reflect upon what the gremlin Part wants you to know. All our Parts have good intentions. Often, the judgmental Parts say things like “I want her to accomplish her goals so she’ll be happy!” What does the gremlin Part worry will happen if it doesn’t berate you?
  3. Lean into the gremlin Part with compassion. I know—that seems counterintuitive. Why would you want to lean into something that berates you? Because while the execution might be misguided, the gremlin Part is trying to help.
  4. Consider what the gremlin Part needs from your inner wisdom to help it feel less worried. Then, what do you need from the gremlin.

Use your meditation practice to connect to your inner wisdom so you can gain objectivity and perspective on the judgmental gremlin. Breathe, and let yourself move into a place of compassion and curiosity. Who knows. You might just make friends with your gremlin.

Enjoy your practice.



Thursday, August 4, 2016

Wabi Sabi and the Art of De-Cluttering the Mind

Photo courtesy of Nancy Hall
By Florian Burfeind

Wabi Sabi is the Japanese worldview that celebrates functionality and spaciousness and that finds beauty in simplicity and imperfection. When we feel overwhelmed by a barrage of thoughts, feelings, and emotions, how can we create space and embrace our imperfections?

Sometimes, tidying up our home can help us feel better: creating space, putting things in their right places, or perhaps discarding items we no longer need. We have accomplished something, and by managing the outer chaos we have created space within.

When we feel triggered, it is important to keep our project manageable: “I’m going to sort through just this one stack of paper,” or “I’m going to go through this closet for only 15 minutes.” Then step back, and appreciate your accomplishment.

However, sometimes we cannot rearrange the objects around us. What to do then? Start by taking a moment to localize the sensations in the body. You may notice racing thoughts or a tightness in the chest. What else? Oh, a numbness in the feet. Now you have separated out some sensations. But what’s next:
  • Breathe in deeply through the nose, and let the air flow into your lungs, filling up the chest all the way to the gut, even into the toes. 
  • Imagine compassion streaming into your body with the air, dissolving any unpleasant sensations or aches in the body.
  • As you breathe out, release any tension in your body along with feelings of anxiety, fear, or sadness and give it over to the wide space in front of you.

There is enough space in the world to hold the tension for you. Instead, use the space within your body for feelings that are helpful, like calmness.

But what about our thoughts? We can experience having many thoughts at once. And sometimes they nag us even when part of us recognizes that we don’t need to listen to them. And then there can be thoughts that overwhelm us or frighten us even when perhaps it’s not altogether clear what the thought really is. Here too we can try to create space.
  • Localize a thought and imagine putting this thought in a chair or in a corner of the room.
  • Look at the thought, acknowledge it.
  • Do the same for one or two other thoughts you may have.
  •  Now put these thoughts on different chairs or in different spots in the room.
  •  Are any of these thoughts helpful to you? If not, why don’t you ask them to wait in their chairs or even in another room if that feels safer to you, until you are ready to work with them.

If a thought is no longer useful to you, see if the time feels right to let go of it altogether, perhaps burying it in the earth. Now return to your mind--does it feel a little calmer, a little bit more spacious perhaps? If you have an affirmation, go ahead and say it.

There may be more inner work to do, but right now, at this moment, you are who you are even with all your imperfections. And you are good enough. 


Florian Burfeind is a graduate intern at The Awakening Center. They (Florian uses genderneutral pronouns) are currently in their third year in the Clinical Mental Health Counseling program at DePaul University. Florian grew up in Europe and likes seeing things with new eyes. They're passionate about helping others find and live out their true Selves. In their free time, Florian enjoys being outside with their dog. 

Monday, July 27, 2015

Meditation Monday: Embracing Impermanence


By Nancy Hall, MA, NCC, LPC

In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly meditation group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com

Sometimes we feel stuck—convinced our suffering will never end. The fact is, our experience is always changing. And even our worst suffering will not—cannot—stay the same. But there are times when we cling to experiences or feelings—we fight impermanence, not wanting to let go. This also leads to suffering as we simply cannot hold onto things that are always changing.
            Change or impermanence does not necessarily mean things are progressing on a straight line. The reality of change is that it tends to be circular, or there is an ebbing and flowing. Sometimes we believe we are stuck in an unwanted emotion or behavior pattern, but if we examine closely, we’ll see there are slight differences—in the behavior, our emotions, our judgments.
            Accepting impermanence allows us to treasure the present moment. Clinging to an experience we simply don’t want to end or despairing that we may emotionally suffer forever takes us out of our bodies and into the trance of thinking. We churn and ruminate. But the world continues to change and evolve whether we notice it or not.
            I created the following imagery to explore the notion of impermanence a bit further.
  • Take a moment and imagine that you are in an orchard of trees—and it is spring time. All the trees are in bloom.    
  • Move in to one particular tree—notice its blooms
  • Notice any emotions or feelings that arise as you look at this flower
  • What does it feel like to enjoy this flower even though you know it will drop and die soon?
  • Now imagine time has passed and the flower has withered and fallen to the ground
  • What emotions arise in you?
  • Does your sense of loss come from worry that you’ll never see another flower as beautiful as this one was? Do you know this to be true?
  • While feeling the loss, invite yourself to connect to gratitude for having the experience of observing the flower. Connect to the hope that spring flowers will come again.

       Accepting impermanence can be the route to hope. We can accept our pain and acknowledge that it won’t last forever—hope can stabilize us as we cope with the reality of our pain. But judgment and self-criticism stifles hope. So it’s important to have a mindfulness practice so that you can catch yourself going down that rabbit hole.
            Whether you accept it or not, change is a part of the human existence. Embracing impermanence can help you be fully present in your life.

Nancy Hall, MA, NCC, LPC is a staff therapist and the intake coordinator at The Awakening Center. In addition to seeing clients for individual therapy, she leads the weekly meditation group and co-leads the Somatic-Experience-Informed Trauma Healing Group. Check and subscribe out her blog “All Shapes and Sizes,” which appears on Chicago Tribune’s media partner ChicagoNow.com.



Monday, July 20, 2015

Meditation Monday: How We Make Our Suffering Worse



By Nancy Hall, MA, NCC, LPC
In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly meditation group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com

While on a family road trip, I developed a nasty cough. My husband started the trip with a bad cold and he worried that he had passed it along to me.
            “Are you getting my cold?” he asked.
            “Nope. it’s allergies.” I insisted
            The next day:
            “Are you sure you’re not getting sick.”
            “Positive. Allergies.”
            As you’ve probably guessed, I was getting sick. In fact, when we got home, I was diagnosed with bronchitis. But when the coughing started, I did not want to admit that I was sick. I convinced myself that somehow I could will the sickness away. That almost never works.
            I’m not sure if anything would have turned out differently if I had acknowledged that I was getting sick. Would I have rested more or consumed more fluids? Maybe. Did I make myself sicker by not doing these things? Hard to say. But I certainly did myself no good by denying the reality of the situation.
            We create this sort of secondary suffering with emotional pain as well. Someone hurts our feelings; we deny, resist, or minimize our sadness or anger; the pain only intensifies.
            Everyone experiences pain—physical or mental pain. If you stub your toe, you experience physical pain; if someone says something unkind, you experience mental pain. These are examples of primary suffering. We can get caught up in pushing away or avoiding the pain. Maybe we blame ourselves or others. This makes the pain worse, which is secondary suffering.
            What would happen if we accepted the primary pain when it occurs? What if we didn’t get stuck in avoidance or obsession but instead mindfully accepted the pain that is present for what it is?
            When we engage our tools of distraction to control or avoid pain, we increase our suffering because a habit or unhelpful coping mechanism becomes entrenched. We might then have a third level of suffering to contend with—judgments, shame, or anger about how we’re coping. Turning away from pain offers temporary relief—but the return of the pain in some form or fashion is inevitable.
            But what value is there in leaning into pain and suffering? Why should we subject ourselves to that? Because no matter how long we distract, avoid, or detach, the pain and suffering that is part of human existence will remain.
            Confronting and tolerating pain builds hope.
            To do this, you have to let go of the controls. Take your hands off the steering wheel and let the pain be.
            I could not get adequate treatment for my bronchitis until I stopped resisting and trying to control it. It was only then that I could get relief in the form of medicine, rest, and—most importantly—lots and lots of sympathy. And popsicles. 

Nancy Hall, MA, NCC, LPC is a staff therapist and the intake coordinator at The Awakening Center. In addition to seeing clients for individual therapy, she leads the weekly meditation group and DBT group. Check and subscribe out her blog “All Shapes and Sizes,” which appears on Chicago Tribune’s media partner ChicagoNow.com.

Monday, May 4, 2015

Meditation Monday: Listening


By Nancy Hall, MA, NCC, LPC

In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly meditation group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com


I’m often in awe of our problem-solving abilities. There seems to be no challenge or obstacle that we as people cannot overcome. Human beings can be tireless and able to reach amazing heights.

Doing is very important, but we need to remember to keep it in balance. In meditation, we pause to listen.

Listening is a unique activity in that it requires us to receive instead of do. To really listen to a friend or loved one, we have to stop, focus, and closely tune in. We allow the information to flow in, accepting it as it comes. A barrier to listening is often our attempts to formulate a response while the other person is still talking. Or we might be distracted by an opinion or judgment about what is being said.

We fall into this trap with ourselves as well. Meditation helps us listen to ourselves. We can listen to the surface of the body and to the interior of our experience. We listen to our breath. But we also tune in to our relationship to the information that we’re receiving.

Here’s an example. In my inner reflection and listening, I might notice that I am hungry. But I might resist this information, telling myself that I had a substantial breakfast so I shouldn’t be hungry. I might tell myself that my hunger is a sign of weakness. Or I might just tell myself that it’s time for a snack. Often our resistance or acceptance of our experience informs the emotion that is then experienced.

In the practice of meditation, we listen at different levels. We attend to the specific experience and then notice our thoughts or feelings about that experience. Think of it as the meta-commentary that runs through our minds.

By anchoring ourselves in our breath and learning to allow our experiences to simply exist, we begin to dismantle that resistance.

Nancy Hall, MA, NCC, LPC is a staff therapist and the intake coordinator at The Awakening Center. In addition to seeing clients for individual therapy, she leads the weekly meditation group and co-leads the Somatic-Experience-Informed Trauma Healing Group. Check and subscribe out her blog “All Shapes and Sizes,” which appears on Chicago Tribune’s media partner ChicagoNow.com.

Monday, April 6, 2015

Meditation Monday: Self-Regulation



By Nancy Hall, MA, NCC, LPC

In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly meditation group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com

We’ve all had the experience in which we feel that our emotions and nervous system have minds of their own. We feel the poke of anxiety, which might trigger anxiety about anxiety. “I’m not going to feel anxious! Just calm down!” That generally never works. We cannot wrestle our emotions into submission.

Self-regulating takes a different mindset. And it starts with self-compassion. The body cannot calm itself nor can emotions be processed unless the experience is fully understood. Unfortunately, many feel shame and embarrassment over having strong emotions.

Everyone’s level of sensitivity is different, and those who feel emotions intensely are not weaker or “less together” than someone with a steadier baseline. But coping with life challenges can become tough for someone who is easily triggered.

Meditation can help build emotional regulation tools. I recently created a guided meditation that gently prompts participants into feeling low levels of anxiety followed by calming cues. The meditator has the experience of tolerating the anxiety in a safe environment and begins to track the natural ebb and flow of the emotions.

In this “Unpredictable Path” meditation, an image of a smooth, stable path is called to mind. At some point, the path becomes a bit more challenging—perhaps it becomes muddy or rocky. Nothing too treacherous; but not as relaxing as the start of the path. The meditator notices any physical responses to the change in the path—nervous stomach? Increase heartrate? Then the path settles back into its initial calm state. This cycle is repeated a few times, with the challenging portions getting a bit rougher each time but never too intense or really dangerous. Prompts to focus on breathing are given throughout.

Just imagining a slippery or steep path can elicit a physical response; and returning to the stable path brings the individual to a state of calm. And while this exercise taps into only a fraction of some real-life challenges, we can at least learn that becoming mindful and recognizing natural physical responses is normal. Shifting to a position of self-compassion allows us to see solutions that might have been obscured by our self-criticism and shame.

Self-regulation covers a wide range of responses—from taking oneself into a state of complete relaxation to preventing further escalation or arousal. Meditation offers a supportive forum to practice this important skill. So stop power-struggling with your anxiety and try a gentler approach!


Nancy Hall, MA, NCC, LPC is a staff therapist and the intake coordinator at The Awakening Center. In addition to seeing clients for individual therapy, she leads the weekly meditation group and co-leads the Somatic-Experience-Informed Trauma Healing Group. Check and subscribe out her blog “All Shapes and Sizes,” which appears on Chicago Tribune’s media partner ChicagoNow.com.

Thursday, August 14, 2014

I Still Don't Want to Believe it. Thank you, Robin Williams



            There is a lot of sadness and a lot to be said with Robin Williams’ death. There is a lot of sadness with any actor or public figure’s death. These are the people who achieve a certain expertise that some of us do not give them credit for. They become the canvas for us to reflect our emotions and feelings. They are the people who remind us of our humanity in a way that no others can. The emotional catharsis that actors must be able to accomplish is a feat and I can only imagine how exhausting it can be having to know, understand, and hold so many feelings for the world to see. Many people rely on, and almost cling to that expression of emotion because we find ourselves incapable of it.
            The tragic passing of Robin Williams has brought to light an issue that many of us deem necessary to talk about: open communication of mental and emotional health. Some people will not find this topic a necessary thing to discuss, even edging on the point of preferring not to associate themselves with the topic. The funny thing is that more people than we know struggle with these kinds of issues. It is only until they are open, and the stigma sets in, that mental and emotional health change one person’s perception of another. All of a sudden every action is irrational, every feeling imbalanced, and every word nonsense.
            I have been struggling with Depression since I was seven, Bulimia and Overeating Disorder since I was seventeen, and was diagnosed with Anxiety and Alcohol Dependency just recently. It wasn’t until I was hospitalized three months ago for suicidal ideations that I started being open about the struggles in my life. Oddly enough, while I found that some people were adverse to my newfound honestly, a lot of people I know struggle with similar issues or know someone else who struggles with similar issues and I have found support in them.
            While Robin Williams played many iconic roles, one in particular comes to mind. For some people it is the witty wish-granting Genie or the faithful father disguised as one Mrs. Doubtfire. Possibly you see him as a mentor and a friend who will push you to your potential like his portrayal of Sean Maguire.  You may even see him as the man who would risk life, death, and dreams for love. These are but a few of the many great roles he portrayed and we all have our favorites. Not going to lie, I thought he was amazing in Insomnia. The role I am referring to though is John Keating from Dead Poets Society.
            As Mr. Keating, Robin Williams taught audiences to love poetry, to love LOVE, and to seize the day. “Carpe Diem.” He inspired us to live extraordinary lives.  But what is an extraordinary life without understanding and sympathizing with the plights of others? Why conform to the norm of today and only show the parts of yourself that you for some reason consider more worthy? We struggle enough with the masks that people put on us. We struggle with the limitations people set and the expectations people have of us. We are in a time where we have the tools at our disposal to create a positive environment to discuss these things, yet instead we choose to hide. We choose fear of rejection or embarrassment, over love. Carpe Diem. Seize the Day. Seize one another. Seize yourself.
            The only people who know the intimate details of Robin Williams’ struggles are those closest to him.  It still breaks the hearts of millions who felt close to him because his every performance transcended the screen or the stage and brought us honesty and clarity. We can honor him with quotes and sentiments, but we can also promise to be whoever we are, however we are, and embrace others. Actors adopt a type of honesty that few people understand. Considering in a way that we are all actors, now more than ever, we should listen more carefully for the things each of us are trying to convey and encourage free expression.
            Rest in Peace, Robin Williams. You are a great man and truly an inspiration to many.

Reprinted with permission from http://murphygrace.tumblr.com/post/94517559389/i-still-dont-want-to-believe-it-thank-you-robin

Tuesday, November 5, 2013

Mentors, Kids and Advocates

Mentors, Kids and Advocates
Amy Grabowski, MA, LCPC



A Note From Amy: As I’ve mentioned in the newsletter before I’m writing a book about recovery from eating disorders. The following is another excerpt. You can read previous excerpts on our website.


….We all have a Self, a capable conductor, within us. The Self is the part I refer to as “Wisdom”. When we are in our Self, we feel centered and grounded. It is because of this centered and grounded state that we can feel calm and peaceful. An important aspect of the Self is compassion, a loving, empathic nurturance towards ourselves, the parts and others. The Self also feels courage and confidence, and possesses the clarity needed to handle whatever life gives us. Using its qualities of curiosity and creativity, the Self helps the parts resolve any problems that may arise. We are able to be current, to stay in the present when we are in our Self. And through the Self we connect to who we are, to our parts, to other people and to our place in the bigger picture of life. When we are in our Self, we have the capacity for objectivity – the ability to step back and observe our parts, other people, or ourselves, without criticism or judgment.

The second premise is that each of the parts has a positive role in the system. In an orchestra, the tuba’s role is to add depth by contributing low bass notes to the music. Another role of the tuba is to emphasize the beat. While other instruments may also have similar roles, only the tuba can do it in its own unique way. Our parts also have a positive intention behind all that they do. When the parts are cooperative and working together, it’s easy to imagine what the intention is. If we asked the tuba what it is trying to do for the orchestra, the musician would answer, “My bass notes add depth and rhythm to the music. I’m trying to help the orchestra as a whole sound as wonderful as possible so that the audience thinks highly of us.” It’s when the parts are not cooperative and are not working together, or when the conductor isn’t present that the positive role and intention may be harder to find.

Just as musicians are organized into identifiable sections of the orchestra, our parts can be organized into groups as well. It is entirely possible for you to experience one, two, or several parts in each group with slightly different roles. For example, in the Mentor group you may have one who manages your finances, while another monitors your career path.

One of the difficulties of describing each group of parts is making it easy enough to understand without oversimplifying the parts’ complexities. When you read about the different groups of parts, please trust your own inner wisdom. If I say Mentors often feel adult in age, but one of your Mentors feels young to you, so be it – have faith in your own experience. You don’t have to force your parts to fit my description. The descriptions that I give are rough guidelines, not rigid rules.

I’ll start with the parts I call the Mentors. These parts often feel adult in age and are often experienced as cognitions, or thoughts. Their positive role is to manage our day-to-day life while motivating us to learn, grow and to be the best we can be. They possess the ability to organize, plan and problem solve. These parts are very productive and promote “doing”. In the long run, the Mentors want us to find fulfillment and meaning in our life.
But, all work and no play make Jill a dull girl, right? While the Mentors keep us moving forward in life, the Kids make life enjoyable along the way. You know by their very name, Kid parts usually feel young. More often than not, these parts are experienced as emotions and sensations in the body. When in balance and in harmony with the other parts, they feel fun and playful. Your sense of humor comes from the Kid parts. They possess an awe and wonder of life. A deep sense of self-worth, contentment and a love of life can come from the Kid parts.

The last group of parts is the Advocates. The Advocates remind me of adolescents; they bring an enjoyable kind of “spunk” and energy into the mix. These parts can speak to us through our thoughts as well as through our body. The Advocates push us to take care of ourselves, to stand up for ourselves, and to protect ourselves. They remind us to have balance in our lives and encourage our parts to be in balance as well. Remember “all work and no play”? The Advocates also remind us that “all play and no work” doesn’t feel well either. The many roles of the Advocates can be as varied as reminding us to rest when tired or to speak up when someone takes advantage of us.

There is an openness to the relationship between the different parts. The parts communicate freely with each other and with the Self. The parts want the Self to listen to them, it’s important that they feel heard. They want the Self to appreciate what they do for the system as a whole. And the parts want the Self and the other parts to take care of them when they need it.

When the system works it’s wonderful! But when the system doesn’t work, when there is no sense of Self and the parts leap in to fill the void, it’s painful, chaotic and frantic!

Notice I said, “no sense of Self” instead of “no Self”. It’s not that the Self is entirely absent; it’s just hidden away. In another of Dr. Schwartz’s analogies, the Self is like the President of the United States. If the United States were under attack, the President would be whisked away to a safe place for his or her own protection. After the crisis, he or she would return to his or her leadership role and everything would return to normal. So your Self is there somewhere, hidden away for it’s own protection.

Returning to the orchestra analogy, if the conductor of the Chicago Symphony didn’t show up for a performance one day, the musicians probably would perform as professionally as usual. The audience most likely wouldn’t be able to hear any difference. When the conductor returned, the musicians would be concerned and would want an explanation. The relationship between the conductor and musicians would be back to normal quickly.

If the conductor started to miss performances sporadically and was inconsistent at attending rehearsals, the trust between the musicians and the conductor would break down. Some animosity would begin to develop. In the conductor’s absence, sooner or later one of the musicians would take over, “Okay, I think we should all turn to page 34 and start from measure 178. Let’s play it a little jazzier.” Because the musician is not trained to be a conductor and does not have the qualities needed to be the conductor, eventually another musician is going to say, “Why are you conductor? Why aren’t I conductor? I don’t want to play it jazzy, I think it should be more formal!” Since more than one musician may rebel against the pseudo-conductor, we’ve got chaos and anarchy.

When I describe an orchestra without a conductor, in my mind I picture Junior High School band. Without the teacher, some bully will grab the piccolo and throw it in the tuba. There will be some anxious kid saying, “Oh, we should keep practicing anyway. We’re going to get in trouble!” Another student shouts, “Who cares! I never liked you anyway, get out of here!” Then the drums will play as loud at it can to drown out everyone else.

What happened to the beautiful music that the orchestra is capable of playing? It’s lost! They stopped working together; they each have their own agenda that they feel is more important than any other musician’s agenda. They need the conductor, just as our parts need a capable leader to keep them working together. They need the Self.

Without a sense of Self, we feel hollow and empty, directionless and lost. The connection with our parts and with others is gone. This is the void that Emily described so vividly in chapter 1. I’ll talk about what causes the Self to get hidden away in the next chapter. I want to describe briefly what happens to the parts when the Self is missing. It helps if you think of the parts as existing on a continuum, with being in balance (I may even assert that the part is in it’s “self”) on one end of the continuum and becoming more and more extreme in it’s thoughts, feelings and behaviors as it moves away from the Self, towards the other end of the continuum.

For the sake of simplicity I’m going to start with the Kid parts. Since our parts act just like their “real life” counterparts it helps to imagine how real kids think, feel and react. Let’s imagine that something happens that is upsetting, someone gets mad at you over a misunderstanding. Without the Self’s soothing reassuring presence, the Kids feel frightened. Realizing they are alone, that there is no one to take care of them, they become anxious. They don’t know how to handle the situation because they are young and inexperienced. They begin to doubt themselves and feel worthless, “What’s wrong with me? I’m not good enough.”

When the Kids are more extreme, I call them the Exiles. This is because the more frightened and helpless they become, the more the other parts push them away in an attempt to help you to not feel these uncomfortably intense emotions. The Exiles also hold our memories from our past. The more traumatic the memories, the more the other parts try to lock the Exiles away in order to not face the feelings that arise when the Exiles get close to a memory.

Usually the anxiety felt by the Exiles will activate the Mentors who rush in to try to take care of the situation. Because they do not possess the soothing reassuring wisdom of the Self, their care taking is often not what the Exiles need or want. Mentors, when they become extreme, can become the Bullies. As they become more extreme, their behavior and thoughts become more and more critical and judgmental. “Stop being such a baby! No one else is acting like this. What’s wrong with you? Why don’t you just get over it?” They can become perfectionistic, punitive and loud. Again I will remind you that our parts act and react like their real life counterparts. The Exiles, looking for soothing and reassurance, become more agitated and fearful as the Bullies start yelling at them. The Bullies react to this with more perfectionism, which elicits more anxiety, which elicits more perfectionism… Round and round they go. 

Finally, the Advocates step in. As extreme as the other two parts have gotten, the Advocates become extreme as well. Advocates often take on two extreme roles, one of which is the Rebel. They rebel against the Bullies. “If you can’t be perfect, then why bother! Who cares? It won’t make any difference anyway.” Their other extreme role is the Numb-er (as in Numbing). The Numb-er says, “I can take all the feelings away. I’ll make it all better. You deserve to eat this (or starve, or purge, etc. etc.).”

And you know what happens next. The Bullies jump in and berate you for eating (starving, purging, etc.). The Exiles feel even more anxious and worthless. The Rebels and Numb-ers convince you to eat (starve, purge) even more….

The relationship between the parts become rigid and inflexible. When their words and behavior doesn’t elicit the result they want, the parts get locked into just doing more and more of the same. They become even more extreme. They seem incapable of trying anything different.

Establishing a firm sense of Self and getting the parts back in balance, back in their part-self, is the goal of recovery.

Monday, April 15, 2013

Breaking Anxiety's Grip


Breaking Anxiety's GripAmy Grabowski, MA, LCPC

"My heart beats so fast that it feels like it will explode out of my chest..." "A feeling of doom washes over me. Everything looks bleak and scary...." "My thoughts start to race... What if? What if? What if?"
When I was 19, I started to feel anxious and have panic attacks. Looking for help, I described how I was feeling to a doctor. He blankly diagnosed panic attacks, handed me a prescription for a tranquilizer and walked out. I felt alone, like some kind of shameful freak.
What I really needed from him, I didn't get: an explanation, and some reassurance that I was going to be OK.
When clients come to me with anxiety, I help them heal themselves in four ways. First, I give them reassurance that they are definitely NOT alone with these feelings. Anxiety is the #1 reason Americans seek counseling. Secondly, I help them understand anxiety, how it develops, and how to feel more "in control" of it.
Third, I teach them ways to help them stop the anxiety spiral. Then fourth, they learn how to comfort the "part" of themselves that becomes anxious. Anxiety is excessive worry that is difficult to control. It causes: restlessness, being keyed up, feeling on edge, fatigue, difficulty concentrating, irritability, muscle tension, difficulty falling or staying asleep, or restless unsatisfying sleep. (If you think about it, most people in our high pressure society feel anxious.)
Panic attacks are periods of intense fear or discomfort, with physical symptoms that develop abruptly and reach a peak within 10 minutes. These symptoms include: pounding heart, sweating, trembling, shortness of breath, feeling of choking, nausea, abdominal distress, dizziness, faintness, feelings of unreality or being detached from oneself, fear of losing control, fear of going crazy, fear of dying, numbness, tingling, chills or hot flushes.
When you understand anxiety, it becomes less frightening and then can be dealt with in a calmer more logical manner. Anxiety is an instinctual survival mechanism - developed millions of years ago. When Ms Cavewoman saw a sabertooth tiger, her brain registered a "threat", and activated her "fight or flight response". Her body gives her a squirt of adrenaline to make her heart beat faster, lungs breathe more rapidly, thoughts come more quickly, and her muscles to tense up - so that she could fight or flee. This is all well and fine if I am about to be hit by a Northbound Lincoln Avenue bus. That automatic squirt of adrenaline burns off as I run for my life.
But, most "threats" in today's society are abstract. Our brain cannot tell the difference between a real threat and an "imagined" threat. So when we think "Oh no! What if I gain weight?" or "Oh my God! My boss won't like me if I speak up!" we get the same automatic squirt of adrenaline - even though you would never start a fistfight or flee in terror.
Worse yet, we notice our bodies' symptoms and think "Oh no! I'm shaking! What if someone notices?" Our mind sees this as another threat, and before you know it, squirt! - another dose of adrenaline. This speeds up our bodies and minds even faster. When this is noticed, "Oh my God! What's wrong with me?" - (you guessed it) squirt, more adrenaline. And so on, and so on. To stop this out of control cycle, we need to recognize anxiety in our bodies. I often ask clients, "Where in your body do you feel anxiety? What does it feel like?" If your first anxiety symptom is a "lurch" in your stomach, then the next time it occurs you may recognize it and process it in a way that avoids the out-of-control-spiral.
Deep breathing exercises, visualizations, and other techniques can halt the anxiety spiral. For example, visualize the most calming color imaginable, and then the color of your anxiety. Take a deep breath in through your nose, and imagine that you "breathe in" your calm color. When you breathe out through your mouth, "exhale" anxiety. As you breathe in your calm color, imagine yourself in a calm setting, such as a beach, a cabin or anywhere that feels safe. As you exhale your anxiety, imagine that it floats away from you like smoke or confetti in the wind.
Since anxiety tends to make us zoom into the future, especially with "What if" thoughts, introducing a "mantra", a calming phrase that is repeated over and over, can be very reassuring. A mantra such as "Right now, this moment, I am not in danger" can bring us back to the present.
Sometimes just identifying that we are feeling anxiety and are having body symptoms, (but without the catastrophizing), can be calming. For example, "OK, I'm having body symptoms. So what? Nothing's going to happen" After doing all this for a while, you will feel in control of the anxiety by breaking the upward spiral of symptoms that had you in anxiety's grip. But it is not enough to just control the physical symptoms of anxiety. To finally stop the anxiety from reoccurring, you must address the underlying issues that started the anxiety originally, - usually with the help of a licensed counselor.
For each person, these underlying issues are unique. Yours may be based on family dynamics from years ago, or a trauma that never fully healed. Whatever the cause, the process of resolving these issues is the same. Feel a bit of the anxiety. Then visualize this feeling as a "part" of you who needs something from you. Often this part will be a younger version of you that is stuck in the past, and can't move forward because it did not get what it needed then.
If you imagine sitting next to this part, you may feel empathy and compassion for the part. Ask the part what it needs from you, what words it wants to hear more than anything else. Often the parts wants validation, acceptance, and reassurance -- phrases like: "Its OK to feel this way." "You are still good enough even though you're scared." "It's going to be all right." and "You are not alone." Write these phrases down on a card and pull out your card whenever you need to calm down.
When the part is calmed down, then you, your adult self, can take care of what caused you to become anxious in the first place. It sounds easy, but it does require work and persistence on your part. Using the guidance of a licensed counselor, you can finally resolve these underlying issues. Breaking the grip of anxiety will spiral you upwards -- to happiness, health and success!

Monday, September 17, 2012

Focus on Today


Focus on Today
Cara Chill


In an effort to maintain a healthy lifestyle and accomplish a personal goal of mine, I have decided to start training for my first 5k.  Working out and going for walks or jogs has always been a great way for me to cope with stress while having a moment to myself.  I have always wanted to take jogging to the next level and run a 5k but have never had the courage to register.  The fear of coming in last was always something that deterred me from pursuing this dream of mine.  However, several weeks ago, I had a realization that encouraged me to register.  Something inside me believed that I was capable of running a 5k. It took me a very long time to relinquish my anxiety and my “what if” thinking, but now; I am focusing on the present, and understand that worrying about something in the future will not help me in the present. I then began browsing the internet and came across a quote that I found most fitting to my situation. “Worrying does not empty tomorrow if its troubles, it empties today of its strengths,” Corrie Ten Boom. I have always been the type of person who worries about things in the distance instead of focusing on the here and now.  As difficult as it was to change this type of thinking, I feel a lot more confident in my abilities when I maintain focused on the present. What I can do is try to focus on the present and try to not worry about things that are out of my control.  In order for me to be successful at my first 5k, I can practice, eat right, and sleep well.  This way of thinking can be taken into many different contexts.  People tend to worry about many aspects of their daily lives such as school, work, family, etc.  From my recent experience, my advice would be to focus more on whatever your current situation is and less on worrying about things off into the distance.  I know this may be easier said than done but I am trying to use this approach as much as I can.  I am beginning with something simple like running my first 5k and hopefully will use this to become more present the different aspects of my life.