Don’t Let Anxiety Destroy Progress

For the past week, my anxiety has been something terrible. While it was triggered by something specific, it’s wedged its way into every facet of my life and crushed my thought process. Every day, I feel like I can’t help going into a downward spiral every second my mind isn’t concentrated on a specific task. And it sucks – to put it lightly.

I was going to write a post about how much this anxiety sucked, but something popped into my head as I started writing. I thought about how this recent bout of anxiety has diminished the progress I’ve made in recent months. It made me feel like all the progress I made recently was wasted. That it was pointless. That I would have to go back to square one when it came to my mental health.

This always makes me think of the term ‘relapse.’ While it’s more commonly associated with drugs and alcohol, I’ve also seen it used in regards to mental health disorders. And while I don’t like to use that term when it comes to my mental health, I couldn’t help but thinking that I was going through a relapse. I was afraid I was reverting to the old me – the one that got sent to the psych unit after a panic attack and suicidal ideation.

What stopped me from going down the rabbit hole of a relapse was reminding myself that my battle with mental health is not linear. I won’t just slowly improve until one day I’m rid of my demons. There are peaks and valleys to my mental health, just like anything else in life. Some days will be good and others will…not. I put so much pressure on having good days because I’m afraid that a bad day will negate all my progress. But is that true? No.

A bad day will get in the way of improvement. It might get in the way of doing some things that I would usually do. But it does not cancel out the months, the years of hard work that I have put in to get to this point. And the same goes for you.

If you work on something – your mental health, a special project, anything – for a long time and then have one bad day, do not discount all the progress you’ve made. You’re not perfect. You’re human. You are allowed to make mistakes. In fact, they are inevitable. So you can either let them get in the way, or you can grow from them.

But while this can apply to all walks of life, I tailor this mindset to mental health specifically because I know what negative thoughts can do to a person. My anxiety works me up into such a frenzy that I don’t think anything else matters besides the anxious thoughts in my head. But that’s not true. I have made progress recently – progress I am damn proud of. And I have grown strong enough to know that one day might set me back, but it won’t take me out of the game. That might not seem like much, but it makes a world of a difference when I try to get out of bed in the morning.

I know it’s easy to say, “don’t let your mental illness negate your progress.” It’s much easier said than done. I can’t even promise that I’ll always take my own advice. But I believe there is bravery in the attempt, and there is power to even have these thoughts in your head. So maybe all this post does is put the idea in your head. Maybe that’s all you need today. That’s okay. Because every day is a new battle, and we should use all the weapons we can get.

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What is My Mental Health Goal?

In the year and a half since I started this blog, I have undergone a positive transformation in regards to my mental health. I have started to prioritize healthiness over happiness, and that decision has paid dividends. But what are the long-term goals for my mental health? The reason I’m asking this question is because I don’t have an answer.

One of my most reliable coping strategies is living present and taking each moment as it comes. A speaker at a work event said something last week that stuck with me, and it’s an approach I realized I’d been taking with my mental health.

“Just make it through the next meal. If you can’t make it through the next meal, make it through the next hour. If you can’t make it through the next hour, make it through the next minute. And if you can’t make it through the next minute, make it through the next moment.” – Jon Sanchez

I’ve focused so much on getting through every hour, every minute, every moment, that I haven’t thought much about what I’m trying to accomplish. Not that there’s anything wrong with that; sometimes you have to use whatever you can to get through the day. But those days can add up, and sometimes knowing that you have a long-term goal to work toward is a source of inspiration and strength on the days when things aren’t so great. It’s been that way with other aspects of my life, and now I want it to happen with my mental health as well.

There is no shortage of information on setting and achieving goals (if you don’t believe me, just Google it), and while it’s a good place to start, you need to make sure that your goals are unique to you and your lifestyle. This is where I struggle! I don’t know how to cater goals to suit my needs, and the result is that no goals are made at all.

I could also chalk this up to not really feeling secure in what my purpose is at the moment. While I’m extremely excited about my impending move, I realize this decision will not provide more security, which makes having long-term goals all the more important. I guess it’s a step in the right direction that I’m even thinking about this; a year ago, having a long-term mental health goal was a pipe dream. I was just worried about making it to the next day. But now that I’m able, I’d like to figure out what it is I’m working toward. And when I have, I’ll be sure to let you know.

What are some of your long-term goals? Whether they’re mental-health related or not, I could certainly use some ideas!

Andrew Carengie

Five Common Cognitive Distortions

cognitive distortions

Last week I wrote about negative self-talk and how it affects me. While writing that post I ended up on the topic of cognitive distortions. Since that wasn’t the intention of my post I didn’t go into too much detail but when I read through the post, I realized I should have.

I didn’t know a thing about cognitive distortions until my therapist brought the topic up to me a few years ago. What are they exactly? Cognitive distortions are, more or less, lies that our brain tells us. They’re irrational thoughts and beliefs that, like any other thought or belief, grow more powerful the more they occur. Cognitive distortions come in many forms, and sometimes it’s hard to recognize when they happen. I decided to list and explain five of the most common cognitive distortions that I struggle with. I hope this helps!

Cognitive Distortion #1: All-or-Nothing Thinking

As the name implies, ‘all-or-nothing’ thinking is when you look at things in a very black-or-white, right-or-wrong way. You think in extremes – either something is very, very good or completely awful. You’re either perfect or a total failure.

Cognitive Distortion #2: Overgeneralization

This is one that many people I know struggle with because it’s so easy to turn into a habit. Overgeneralization is when we generalize about ourselves based on one event. For instance, if you don’t win a game, you think you’re a loser. If you don’t do as well on a test as you think you should have, then you label yourself as stupid. This type of thinking can lead to dangerous behavioral patterns and become very instinctual.

Cognitive Distortion #3: Mind Reading

This one sounds a little silly – of course, you can’t read minds! – which is why it’s so dangerous. When you try to guess what other people are thinking and make your decisions based on them, and not your own thoughts, you can end up expecting things from others that you’re never going to get.

Cognitive Distortion #4: Fortune Telling

We all love to predict the future, but when it’s done in a negative and pessimistic light, it might just be a cognitive distortion. Popular versions of this thought process are ‘I will never find that special someone’ or ‘every job I ever have will be terrible.’ You don’t know what’s going to happen to you, but by guessing the worst-case scenario you’re only causing more stress and anxiety.

Cognitive Distortion #5: Emotional Reasoning

Probably my least-favorite cognitive distortion of all-time, emotional reasoning is when you approach your feelings as if they are facts. For instance, if I feel like I’m worthless, I believe that I am worthless. Whatever I feel is true. Wrong! As we know, feelings are not facts, but no matter how many times I repeat this to myself, I still mistake what I feel for factual things.

While there are many different types of cognitive distortions, these five had played the biggest role in my life. I won’t say that they’ve disappeared now that I am aware of them, but in understanding my thought processes I have taken the first steps to gain a more positive mindset.

 

Three Things to Remember When You Feel Guilty

Guilt almost ate me alive last week – I’ll explain. I didn’t wake up on time for work and was about an hour and a half late.

That’s it! That’s all that happened. It wasn’t fatal to my job, and I got all my work done that day. But I felt very guilty about it. And it took much longer than it should have to make that guilt go away.

Why did I feel guilty? A more accurate question would be why did I not feel guilty? I felt like a bad employee and that I let my team down, which consequently led me to think about the worst-case scenario of the ramifications of my actions. I felt lazy and unreliable and perceived my lateness as a character flaw. I didn’t look at being late as a rare occurrence but as an indicator of who I am as a person. Is that true? As I came to realize, it is not, and that is not who I am.

I’m sharing this because I know I’m not alone in this experience. Guilt plays a much bigger role in our lives than I’m sure we want – at least, it does it mine. If guilt doesn’t affect you, please let me know how you’re able to exist in this way because I am all ears on that topic.

But let’s say you’re like me, and feelings of guilt are hard to get rid of. How do you get rid of them? I came up with three things I continued to repeat to myself until my guilt subsides.

This is not who you are – you are more than this

This is my favorite of the three things because, as I wrote earlier, my guilt comes from the fact that I believe my mistakes – even if I only make them once – are all character flaws. Reminding myself that there’s so much more to me than what I feel guilty about is a reminder that I am a complex person who is not defined by any one thing – good or bad.

Is it really that bad?

I’ll be honest; sometimes the answer to this question is ‘yes.’ Sometimes we do things that are just as bad as we make them out to be. But the reality is that our guilt permits us to make things out to be much worse than they are. Was being late to work one time, after not being that late all year, really all that bad? In the grand scheme of things, maybe not.

Who does this effect?

Another way my guilt becomes exacerbated is that I think that so many people will suffer from my mistakes. Did I miss a meeting when I was late? No. Did someone need me during the time I was missing? They did not. In reality, this situation affected me and my boss, who was wondering where I was, and no one else. The office didn’t come to a halt; people moved on with their day. Sometimes our guilt can make us think that our mistakes are the end of the world – oftentimes, the opposite is true. Most of my mistakes only affect me, if I’m being honest. That minimizes the impact of my mistake and gives me a good perspective to look from.

I don’t have all the answers. I continue to feel guilty about plenty of things – mistakes or not. But taking steps to assuage your guilt and remind yourself of who you really are, and that you’re more than one or two bad choices, is key to overcoming the debilitation that guilt can produce.

What’s something silly that you’ve felt guilty about? I want to know!

On Negative Self-Talk

Selftalk is a buzzword for me – I feel like I use that phrase once or twice a week when discussing my mental health. What do I mean when I say ‘self-talk’? On one hand it’s exactly what it means – talking to yourself. But it can be much more complicated or involved than that. It’s not just the words you say out loud, but the thoughts you consciously – sometimes unconsciously – have. Whether they’re about you or someone else, it’s safe to say that all of us engage in self-talk in one form or another.

As the title indicates, I wouldn’t be bringing this up on a mental health blog if I had a problem with my self-talk being too positive. No, when someone asks me what’s wrong my answer usually is…

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(courtesy of Netflix)

I don’t know when it started, but my thoughts about myself have never been all that great. Call it low self-esteem or an unwillingness to care, but I have a tendency to deflect compliments and downplay achievements. Since I’m not your therapist (or my therapist) I’m not going to explore why this happens, but I will tell you some things you might not know about negative self-talk – and how to be aware of it.

Another Buzzword – Cognitive Distortions

‘Cognitive Distortions’ are thoughts that our mind tries to convince us are true. There are tons of them and they can happen in plenty of different situations. While there are tons of ways they can manifest themselves, they all have a few things in common:

  • they’re not true
  • they’re often illogical
  • they can cause psychological damage if left unchecked

There’s plenty of resources available on cognitive distortions if you Google it, but this post from Psychology Today could be a good place to start. Cognitive distortions are basically the various ways our negative self-talk can occur.

It’s More Common Than You Think

Great, so now you’ve read about cognitive distortions and realize you engage in negative self-talk more often than you think. Bravo! But are you aware of how much you really do it? I know I wasn’t. One time to find out, I decided to write down every negative thought I had about myself during a day. Multiple pages later, I realized I had a problem on my hands.

Again, I’m not a therapist so I will not pretend to counsel anyone, but I know there are plenty of things you can do to rewire your thoughts and try to think more positively about yourself. Some things that have worked for me in the past have been

  • changing my tone
  • not taking every thought so seriously
  • don’t suppress these thoughts – acknowledge them and move on

Like any change in behavior, it’s easier said than done. But don’t think that being aware of the issue will solve it.

There Will Be More

There’s a lot more I can – and will – say about negative self-talk, but I think being aware of it is a good first step. Next week I’ll talk more about cognitive distortions and the role they play in negative self-talk.

How did you become aware of negative self-talk and cognitive distortions? I’d love to hear from you!

 

 

(Slowly) Going Off My Medication

About a month ago, I decided that I would try to get off the medication I’ve been taking for the past two and a half years. I’m not going to get into what I currently take (I hope I can explore that in future posts), but instead, I want to talk about the process of getting off the medication. My psychiatrist suggested reducing my meds every month until I was completely off them, a process that will last into the summer. I am currently on my second reduction and will go back in a few weeks to reduce my meds a third time.

So far, a month and a half into the process, I don’t feel any different physically. I have been taking two medications for the past two and a half years; one in the morning and one at night. My dosage of the AM pill is half of what it used to be, and my PM pill has been unchanged since it’s at the lowest possible dosage. My schedule has not been any different in recent weeks which is helpful, but I think that I’ve also been taking the proper steps to take care of myself physically.

There are a few reasons I’m trying this now. One of the big reasons is that I don’t want to have to jump through hoops while I’m abroad about how to get my medication. It’s been enough of a hassle trying to get it here with good insurance – I can’t imagine what I’d have to do when I’m in Europe.

While that’s a logistical thing the other important reason is that I am in a good mental state and have the time and resources to give this a shot. I really want to know if I will need these meds going forward.

Why I am I sharing this? Because I want to communicate a few things with you guys. One is that I want to be transparent about what I am doing and why. I would not be as mentally healthy as I am today without the meds I have been taking, and I can admit that without guilt or shame. But now that I am in a good place, I want to know how much of my depression and anxiety was brought on my external/triggering factors and what was beyond my control.

But I also know that stopping a medication, any medication, should be approached with caution. I did not decide one day to just stop taking my meds. Instead, I took a calculated approach toward reducing my medication to see how it will affect me.

If all goes well, maybe I don’t need medication for the time being. I’m aware that it might not go well and I’ll have to get back on it, but I feel like I owe it to myself to give it a try. Send any prayers, thoughts or good vibes my way – I’ll need it!

Have you ever tried getting off a medication? What was it like for you? Let me know in the comments or drop me a line at mybrainsnotbroken@gmail.com!

 

How Powerful Are Our Thoughts?

“I think, therefore I am.”

This famous quote, first uttered by Rene Descartes, is something that’s been on my mind this week. I recently started listening to an NPR podcast which is all about the invisible things around us that affect our daily lives. The very first episode was about the ‘secret history of thoughts’ where the hosts asked a question: are my thoughts related to my inner wishes, and do they reveal who I really am?

All my life, I have been told that what I think is important, that my thoughts matter. They do, and so do yours! But not every single thought is important. Not every single thought needs to affect your life. Learning that – and accepting that – has been one of the most important tools when it comes to how I approach my thoughts.

Think, really think, about the insanely high volume of thoughts you have every day. Thoughts can come from anywhere and be about anything. How often do we get sidetracked by our thoughts, or get distracted by thinking of something completely different from what we’re doing? Anxiety or not, depression or not, I know this happens to everyone.

I have intrusive thoughts that pop up every single day, most of which are negative. And I obsess over them. Some days they are all I can think about. And I get stuck.

But what if I didn’t give these thoughts so much power? What if I took them for what they are? It would not be easy, but it’s not impossible. As I have been told by several therapists who specialize in Cognitive Behavioral Therapy (CBT), one way to reframe my thought process is that instead of trying desperately to ignore the negative thoughts in my head, I can acknowledge them for what they are – thoughts – and move on with my day.

I tried that, and it proved to be very difficult. I still gave importance to every thought that popped into my head, and I was getting stuck on the negative thoughts. I’d like to take a new approach that takes my thoughts beyond the base level of acknowledging them and moving on. I’d like to address those thoughts and tell them what I think of them – that they won’t last, that they aren’t important, that they aren’t me.

I am not my thoughts. I am not a collection of the thoughts I produce. I am a complex person who will have millions of thoughts in his lifetime, and not all of them count. I am going to try to pay more attention to the ones that matter and can make me a better person. As for those intrusive thoughts? Those can go right in the trash.

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Reading and Mental Health

As a kid, I loved to read. While I had favorite authors and genres, it came to a point where it almost didn’t matter what kind of book it was – if I hadn’t read it before, odds were that I’d give it a shot. I’d guess that I’ve read hundreds of books in my lifetime, but the vast majority of them happened before I went to college – and I had to deal with my mental health.

When my mental health worsened, it became hard to read. I had difficulty concentrating on one task at a time, and the result was many years of multitasking. I would have music on while studying, or stream a show on Netflix while doing some writing. I could not focus on a sole subject or interest because I could not develop a one-track mind. Instead, I would have two thought processes running in my head: 1) the normal thoughts and feelings about what it is I was doing at the time, and 2) the negative thoughts and self-talk that seemed to be popping up more and more every day.

By multitasking, I was occupying both thought processes and keeping my mind fully occupied and away from the negative thoughts. But reading a book meant that I would have to develop a one-track mind that concentrated on the words on the page – a near-impossible ask for my anxious self.

This meant that over the course of my college career, I read very little outside of what was required for school. After college, I tried to get into reading a little more, but it proved to be too difficult. I thought that I had to be busy all the time in order to combat the negative thoughts, and the result was an unhealthy lifestyle that definitely didn’t make me feel better about myself. So, like in many other aspects of my mental health and my life, I took a new approach.

First I started rereading books that I’d enjoyed in the past. Some were easier to read than others, but it helped me get on a good schedule of reading consistently because even if I didn’t enjoy it, I’d already read the book before so it wasn’t a total waste.

When 2019 started, I decided to take a chance and really get into reading again. I started by making it a goal to read only 10 pages a day. It was a small chunk, but it was manageable and made me feel like I’d accomplished something. Soon, I started reading during my lunch break at work, which satiated my need for multitasking while helping me learn how to focus on reading.

It’s taken a few months, but I’ve finally hit my groove. I’ve read four books so far in 2019 and I just started my fifth, and while I’m not in love with reading like I used to be as a kid, I like it a whole lot more than I have in recent years. I hope that as my mental muscles grow stronger I can read not only as a coping mechanism but because I genuinely enjoy it.

Has your mental health affected a hobby or activity that you love? Let me know in the comments!

Fear of the Unknown – And the Known

When I was a teenager, I would feel…off. You know how it feels when something is off. It’s like having a pebble stuck in your shoe, or that last bit of corn in your teeth. Of course, those situations have solutions. Take the pebble out of your shoe. Get a toothpick. Now imagine feeling that way but being unable to change it. That was my reality before knowing what was wrong.

Fear of the Unknown

So when I first saw a therapist, when depression and anxiety were first mentioned, I assumed I would be relieved. But I wasn’t. Instead, my anxiety grew, and I was more nervous about my situation than before, when I didn’t know what was wrong.

There’s a lot to be said for fear of the unknown. It makes sense. I’m not saying you should or should not fear the unknown (maybe I’ll tackle that subject another time), but I am saying I had that fear, and I understand why. But what I didn’t understand was the fear that followed. Even though I knew what was wrong, I was still afraid. In many ways, it was worse than not knowing.

Fear of the Known

I was shocked. I was unprepared. I didn’t think I’d be that much more afraid of knowing something than not knowing something, but I was.

I’m not sure why I thought that fear would go away. Maybe I thought I would be a braver person now that I knew what I was dealing with. In many ways, I was. But as those close to me could attest, in many ways I was not. I let fear of my mental illness dictate what I did and did not do. I let fear in, and it won. For a long time, it won.

These days, fear wins less. Every day I get stronger and learn new ways to attack my mental health. But one of the biggest changes was recognizing the role fear played in my life and trying to minimize that as much as possible.

Whether you’re afraid of something you know or something you don’t, fear is fear. When you battle it, you won’t always win. It would be naive of me to tell you that I’m no longer afraid of my mental illness. But for every bit of strength I gain, that fear, every so slightly, shrinks.

Like many things in life, mental health is a marathon, not a sprint. Each day is an opportunity to be better. And since we’re honest here, it’s also a chance to get worse. And sometimes, it will be worse. There’s no way around that. But letting the fear of mental illness dictate what you can and can’t do? You can fight that. You can fight back. And you might not always win, but you will get stronger. And the stronger you get, the better you can fight. And my hope for you is that the fear you have, of the known and the unknown, slowly fades into nothingness.

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I Want to Meditate. How Should I Do It?

Meditation has never come easy to me. I’ve done it off and on for years, but I have never been able to get into any sort of consistency when it came to meditating on a daily, even regular, basis.

But it’s so simple, you’re probably thinking. And as a concept, you’re totally right. You sit still and let your mind wander. You focus on your breathing and develop heightened awareness. Most people end meditation feeling way more at peace than they did when they started (I’d say all, but you never know!). But not me.

Meditation for an Anxious Mind

Part of my meditation problems are due to my anxiety. GAD means that thoughts are filling your head constantly. They don’t give you time to pause and process – it’s just one thought after another, flooding your brain with both important and unimportant thoughts. Since my best approach to dealing with anxious thoughts is to keep my mind busy with other creative outlets (writing, work, etc.), being in a situation where my mind is free to roam has never really helped. Thinking all through meditation makes that meditation pretty counterintuitive, so it’s hard to gain any momentum from repetitive meditation.

Not Having the Right Goals

Like other tools in my mental health toolkit, I think I’ve been looking at meditation all wrong. I expected every session to end with me feeling refreshed, happy and better about myself. When that didn’t happen, I blamed meditation as being something that ‘didn’t work.’ I was looking for meditation to have some sort of instant impact that made my mental illness go away. As with any habit, my skills would undoubtedly grow stronger with time as I meditated more. But I didn’t have patience, and I didn’t have the right goals. No wonder it didn’t work out.

Like exercising, journaling and everything else I do to be mentally healthy, meditation can be a tool in the chest rather than the be-all and end-all of my mental health. This new outlook might be what I need to make it work this time.

I Need Your Help

I’d like to start meditating on a daily basis. I think that, with the right approach and with the right goals in mind, meditation can be something that I incorporate into my daily routine. But how should I meditate?

In the past I have used several apps, including Headspace, but they didn’t work for me. However, now that I have this new approach I am willing to try things that didn’t work for me before. I’m open to suggestions, so let me know in the comments how you meditate. I need all the help I can get!

Pema Chodron