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Blog Articles and Resources

'My Life Is Improving, Why Am I Not Happier?'

4/12/2021

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My husband and I have been in the process of purchasing a home. This new house will be an improvement from our previous dwelling in several ways. We'll finally have luxuries that were out of our reach in the past with greater square footage, an expansive yard for our children to explore, and a close-knit neighborhood, to list a few.
Yet, with all of the wonderful upgrades to look forward to, I have found myself ruminating on the fireplace we decided to go without. And the floorplan with just a little more room that we passed up. And the lot with a slighter bigger yard. I stopped for a moment and recognized that while my standard of living was about to improve, I was stuck on what I wasn't getting. What was going on and how could I get out of this destructive pattern?
Negativity BiasUnfortunately, we humans are susceptible to what psychologists call negativity bias. Our brains are wired to focus on the negative aspects of life compared to the positive. Of course, this bias served our early ancestors well when paying keen attention to risk and danger was a matter of life or death. This attunement kept them safe and thus more likely to pass this trait on to their posterity. 
Loss AversionWe also experience loss aversion where we weigh losses nearly twice as much as gains. For example, if you were to lose $100, your pain would be as intense as the joy of finding $200. So while I was looking forward to a covered patio, would I be able to let go of the perks of my old house and neighborhood? Would our new house be enough of an upgrade to improve my level of happiness?

The Hedonic TreadmillLife events often affect well-being short term. Lottery winners are happier temporarily, then return to their previous levels.
The third strike against us is a constant battle with the hedonic treadmill. Psychologists have found that life events that change our level of happiness, typically only affect wellbeing short term. Lottery winners are happier temporarily, then return to their previous levels. Those who lose their job often feel initial sadness, but usually bounce back to their normal state.
There are some exceptions to the hedonic adaptation such as a chronic illness, which may have long-term effects on wellbeing, but many times we overestimate the effects of life events on our happiness. As Nobel prize-winning economist Daniel Kahneman said,
People are exposed to many messages that encourage them to believe that a change of weight, scent, hair color (or coverage), car, clothes, or many other aspects will produce a marked improvement in their happiness. Our research suggests a moral, and a warning: Nothing that you focus on will make as much difference as you think.
Humans are notorious for both intensity and duration biases when it comes to predicting their emotional states. Intensity bias is predicting an emotional response that is larger than the actual response, such as students overestimating their immediate reaction to a poor test grade. Duration bias is overestimating how long an event will affect our emotional state. For example, football fans may overestimate how long the feeling of elation after a team victory will last.
Defending Against Happiness PitfallsHow then can we defend against negativity bias, loss aversion, and the hedonic treadmill? The first step is being aware of these pitfalls. Each time we find ourselves focusing on what we’re giving up, we can take a minute to appreciate the privileges that we do have. Practicing gratitude is one of the most underappreciated tools we have to defend against negativity. The more we engage in optimistic thinking, the more automatic it will become. Our brains are malleable and capable of creating new patterns that can help fend off unhelpful biases.

We can be mentally present during everyday pleasures as we savor a cup of coffee or pause to experience a breathtaking sunrise. As David Kessler said in his latest book, “Finding meaning is not extraordinary, it’s ordinary. It happens all the time, all over the world.”
Experiences often impact our happiness more than things. As psychologist Thomas Gilovich said, "We remember experiences long afterward, while we soon become used to our possessions." We can use our relationships, hobbies, and compassion to bolster happiness and stave off negativity. We can take time to share our new dining room table with a family in need. We can allow our paints and canvases to occasionally clutter up our space. We can use that fresh grass to toss a football around with our little ones. 
We can use our relationships, hobbies, and compassion to bolster happiness and stave off negativity.
When I envision my upcoming house, I can focus on the unexceptional countertops, or I can envision them being used to break bread with a new family. I can contemplate on the empty corner where the fireplace should be, or I can imagine my children and their friends snuggled there, giggling through a silly book. I can feel the loss of choosing a relatively small lot of land, but that yard may be where I embrace a brokenhearted friend. I may not have the means for high-end furniture, but maybe that space will be used as a refuge for someone who’s just been rejected by their family.
I may want all the comfort material goods can give, but it is my relationships with others that give them meaning. There is no purpose to a living space without life.

'My Life Is Improving, Why Am I Not Happier?' | Psychology Today

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Do You Tend to Imagine the Worst Out of Every Situation?

3/16/2021

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There are many ordinary situations in life that can trigger the fear that something bad is about to happen. Perhaps you’re about to sit down at the computer and take a look at your online statements. Something odd strikes you as you examine a series of recent transactions. You know you returned an expensive household item that stopped working, but you don’t see the credit as appearing on the statement. Without that return being processed, you might go over your credit limit. All of a sudden, you can feel your heart start to pound and you're having trouble breathing. You start to imagine that now, on top of the financial implications of all of this, something is going wrong with your body. The rational idea that the return just hasn’t gone through seems like a remote if not impossible explanation.

If, in reading this scenario, you can vividly imagine that this could happen to you, it’s possible that you have what researchers call a “looming” cognitive style. George Mason psychologist John Riskind, in a 2016 review of his long research career dedicated to this topic, defines this way of viewing the world as a key contributor to maladaptive levels of anxiety. In other words, by taking what is an ambiguous situation and see it as hurtling to the most dire possible outcome, you will invariably become anxious. Your bodily reactions intensify as your mind races to this worst-case scenario.

What differentiates the looming cognitive style from other approaches to anxiety that emphasize dysfunctional thoughts and beliefs is that when things seem to “loom,” your sense of threat starts to hurtle out of control, rapidly escalating. Although it might be somewhat adaptive to try to avoid an actual threat coming your way, when the threat is an imaginary one, your panicky reaction is anything but.

A large body of research based on the looming cognitive style continues to support its role in contributing to anxiety disorders, maintaining further that this cognitive style has trait-like qualities. In a review of 61 previously-published studies whose samples ranged from over 1,000 to over 7,000, National University of Singapore’s Gerard Yeo and colleagues (2020) concluded that the looming cognitive style is “a transdiagnostic vulnerability factor for various anxiety subtypes.”

People with this vulnerability, in the words of the authors, see “excessive or chronic perceptions of threats as rapidly approaching and gaining in magnitude, proximity, or probability.” You don’t want to be caught “flatfooted,” the Singapore team point out, when the danger is real. But when the danger escalates in your mind and your mind only, you’ll become incapacitated by this sense of oncoming doom.

Riskind’s Looming Cognitive Style Questionnaire, which you can see online, provides a way for you to test just how much you are susceptible to these unwarranted exaggerations of threat. Here is one item from this scale, which begins with these instructions:

Read the following scenario, and then “try to vividly imagine it… Concentrate on it and imagine it in as much vivid detail as possible. Then ask yourself the questions that follow, using 5-point scales of from lowest to highest:
Suppose that you are in front of a large audience of strangers.  You are speaking about a topic on which you do not know a lot.   Some of the people look bored or disinterested, while others look upset.   It seems that you could get a very negative audience reaction.
  1. How worried or anxious does imagining this scene make you feel?
  2. In this scene, are the chances of your having a difficulty with the audience decreasing, or increasing and expanding with each moment?
  3. Is the level of threat from your audience staying fairly constant, or is it growing rapidly larger with each passing second?
  4. How much do you visualize the audience reaction as in the act of becoming progressively worse?

You can see from this questionnaire item that people high in the looming cognitive style view the possibility of bad outcomes as growing and growing even though nothing is really changing about the situation. It’s not like this audience is about to throw things at you because they don’t seem interested or seem upset. It’s that you’re seeing these outcomes as very real possibilities.

In an earlier paper by Koc University’s Ayşe Altan-Atalay (2018), what adds to the negative effects on mental health of the looming cognitive style is “negative mood regulation expectancies,” or the conviction that you can’t control your mood state. Returning to the example of the speaking situation in the Riskind questionnaire, the threat builds and builds in your mind, and as it does, you’re convinced it will get out of control.

The questionnaire measure of this mood regulation ability used in the Altan-Atalay study involved items (reverse scored) such as “When I am upset, telling myself it will pass will calm me down.” As the Turkish authors predicted, the 326 university students (average age 22 years old) who were high in the looming cognitive style and negative mood regulation expectancies also showed the highest level of anxiety on a standard questionnaire measure of this mental state.

Having established the importance of both of these qualities to increasing people’s risk of anxiety and anxiety disorders, the next question becomes what to do about it if you’re someone high in both the looming cognitive style and the belief that you can't control your reactions as you see things getting worse and worse? 

As Altan-Atalay point out, reducing “the intensity and uncontrollability of looming scenarios may increase the individuals' beliefs in the usefulness of their coping resources.” When you feel your internal perception of threat rising, according to this view, you can conquer your anxiety by recognizing that the threat really hasn’t changed and that, furthermore, you don’t have to let those feelings overwhelm you.
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To sum up, imagining the worst when the worst is a reality in and of itself may be an advisable strategy. However, if you’re constantly letting those looming feelings of doom get in the way of your everyday life, finding more productive outlets of your imagination may just provide an important key to fulfillment.

Do You Tend to Imagine the Worst Out of Every Situation? | Psychology Today

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Love as Daily Practice

2/17/2021

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In a business meeting last week, a member of my team asked how we were planning on talking to the community about the upcoming holiday. What holiday? We just finished the holidays. Oh, you mean Valentine’s Day!?!! I then realized Valentine’s Day was just a few days away, and I had nothing prepared. That’s because my husband and I don’t celebrate Valentine’s Day.


Love as Daily Practice
I think the idea of a day of love is fantastic, but, on the other hand, I personally believe in practicing love each and every day. I believe in choosing—and practicing—love every day, not just one day a year. Valentine’s Day is a great day to start from, but I feel love—particularly self-love—should be a daily practice.


Love is not always as easy as just loving yourself. We build up a lot of defenses to avoid getting hurt, and sometimes the hurt we experience makes it difficult to accept ourselves for who we are. Love is a feeling we experience. Love is also an action. The more you take action, the more you can experience feelings of love. SO, while feelings come and go, our job is to experience them as we feel them. Valentine’s Day can be a great reminder to feel that love, and a place to start your daily practice.


Practicing Love Every Day
Identify your top 5 values. These values are the principles that drive you, the reason why you get up and go each day. Write these values down, and place a reminder somewhere you will see it often. When you notice your values list, stop for just a moment, take a deep breath and realign with your values by asking yourself what one step you can take to align yourself with at least one value on your values list today?


Love as a daily practice. Prioritize a time each day for you to connect with the values you’ve identified. You’ll start to see when you are living in alignment with your values, you are doing good for others. Practicing love on the daily with the people in your life can also help you learn to practice love for yourself. The more you take time to act on these practices in your daily life, the more you will experience the feeling of love you’ve connected with them. It can be helpful to schedule 30-40 minutes each day to purposely take action with a value in mind.


Prioritize love as an intention. When you encounter a stressful situation during the day, remember your intention to love. Like we said, love is an action—a daily practice—and it’s also a feeling. The thing about feelings is they are not always present for us, or even obvious. Self-love is the feeling of knowing you are loved, while not always having all those funny tingly love feelings in your stomach. It is knowing, ultimately, you are not alone. Love is about accepting those feelings of belonging and connection will come and go.


Practicing Feeling Love
Accept that feelings of love come and go. Just because you do not feel it in the moment doesn’t mean you’re not loved, or incapable of loving. Find evidence of love in your life. Write it down to help you see the truth of that love.
Practice the Reverse Golden Rule. Treat yourself the way you treat others. You do a lot for people. You show up in a lot of different ways, offering kindness, respect, care, and compassion to family, friends and even co-workers. If you want to experience feeling loved, try treating yourself the way you treat those you love.

Learning to Feel the Love
Feeling love is not as easy as loving yourself. You are deserving of love as you are and allowing someone to love you can help you practice love toward yourself. It’s also OK to learn to love yourself, as it will only make your feelings of love stronger overall.


As an eating disorder specialist, I teach individuals that loving the body and, ultimately, the self, is a feeling that exists on a spectrum. One extreme of this is love, and the other is hate. Daily love exists somewhere in the middle, and, the more steps you take in that middle space, the more steps you will take toward experiencing love.


To move toward love, start with respect. Practicing respect for yourself and the people you are interacting with each day, can foster the feelings love you may feel you are missing.


To move toward love, practice appreciation. Notice things you are grateful for, both about yourself and your loved ones, every day. What can you thank yourself for? What can you thank your loved one—or even the people with whom you casually interact—for, every day?


To move toward love, practice grace. Practice grace toward others, and grace toward yourself, by giving up the idea that love is perfect. Love means you accept the good and the bad, the quirks and the strengths, and that you recognize mistakes—both yours and others—do not define value or worth. Practice giving yourself a break when you mess up in just the same way you would forgive a loved one for making a similar mistake.


The actions of love are imperfect, but the feeling of love is! The more love actions you take each day, toward yourself and others, the more you can consistently experience the joy of love in your life. Be sure to practice love today, Valentine’s Day, and I really want to encourage you to find a way to practice it again tomorrow too!

Love as Daily Practice | Psychology Today

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Mental Health and School Re-Entry

2/5/2021

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It is an unfortunate and sometimes downright upsetting phenomenon to see mental health used as a scapegoat to divert attention from other topics. Many will likely be able to report seeing this happen in the wake of mass shootings. In those instances, some people who wish to divert the conversation away from a focus on gun control may say something like “this isn’t about gun control, this is about mental health.” They tend to claim that untreated mental illness is the real culprit behind the tragedy and often propose solutions such as registries of people with mental health diagnoses that can be used in gun purchases.

While mental health can and certainly often is a factor here—and we personally are always in favor of conversations that might shine a light on the often-overlooked problem of untreated mental illness in this country—the motivation behind this attention is likely simply to turn attention away from another urgently important but less politically desirable topic. 


This kind of diversion tactic unfolded again last spring and summer with calls for schools to reopen amid the COVID-19 pandemic. Then-President Donald Trump, many of his supporters, and others claimed that keeping schools closed was very threatening to mental health and that the mental health-related risks of not reopening posed a greater threat than the COVID-related risks of reopening.


It goes without saying that school and socialization are positive drivers of youth mental health. But is it really fair to say that keeping schools closed poses a dire threat to mental health? More dire than the threat of serious outbreaks of a highly contagious and potentially deadly disease? It is here that we must better understand what the evidence we have actually says. 


In general, and perhaps not surprisingly, school attendance is associated with better mental health and emotional well-being. Being in school can lead to a greater sense of connectedness, social support, and, more practically, better access to services. The benefit is often more pronounced for students with special needs and those who have behavioral or emotional issues and thus for whom extensive use of technology as part of virtual schooling might be difficult.


Indeed, any population that is already vulnerable will struggle more with school closure. For all students, schools are central to general development (especially for young children), building social and emotional skills, food security (which has an impact on mental health), and addressing social and racial inequity (which also has an impact on mental health). 

Given the mental health benefits of being in school, does it necessarily follow that we need to rush our children back into these potentially unsafe conditions in the midst of a pandemic that threatens all of us? Ultimately the question comes down to one of weighing risks. And to be able to weigh risks, we have to have a clear understanding of what has happened to mental health (and what is likely to happen to mental health) as a result of the pandemic and associated school closures and general lockdowns.

There is some reason to believe that the pandemic is already taking a toll on mental health, especially among teens. One study out of Italy and Spain found that 85 percent of parents perceived changes in their children’s emotional state during quarantine. High school and college students are clued into the possibility of the pandemic’s negative effects on their mental health, with more than half in a recent survey expressing concern about their own mental health as a result of the COVID pandemic. Professionals in California have also reported an uptick in depression and anxiety in the teen population since COVID began. 


Despite these reports, it is difficult to know the ultimate impact of COVID-19 and associated quarantine on mental health. It may take years before we understand the relationship and even then, it will be hard to isolate COVID-19 as the cause, especially since mental health issues are already on the rise among teens and young adults.


In cases such as these, we would normally advocate carefully and scientifically weighing the risks against one another to reach a decision about when to keep schools open and when to shut them down. But there is simply too much uncertainty here to be able to do that. We don’t fully understand how contagious the virus is specifically among young people, we don’t know what the role of school opening is in the perpetuation of large outbreaks, and we also don’t know how long the pandemic will even last.


In our view, it is not acceptable at this stage to keep schools open or reopen schools on account of mental health when COVID cases are extremely high. It is likely that many factors are involved in whether or not opening schools in specific communities is a major driver of increased viral transmission. We simply don’t know enough about the relationship between quarantine and mental health to be able to say that the risks of keeping children out of school outweigh the risks of COVID-19 spreading widely in a community. In the end, we need to do everything we can to protect both the physical and mental health of as many people as possible. 

Mental Health and School Re-Entry | Psychology Today

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The 10 Vital Happiness Rules

1/18/2021

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The most important thing to realise about being happy is that it is “how” not “what”.  Things will not make you happy.  Affluenza – coined as the dogged pursuit of “more” is particularly prevalent in Western societies and will often be pursued at the risk of “overload, debt and anxiety”.  An awareness of this behaviour can stop us from falling into its clutches – more does not make people happy and Professor Leper of Stanford University found, paradoxically, too much choice actively makes people unhappy.  Happiness won’t arrive, it has to be cultivated.  Only behaviour and its consequences will make you happy.  Being happy requires you to work your “how” muscles and to be aware; you need to consciously focus on the good things and not the bad.  This is not to bury your head in the sand, some things need to be faced up to, but you need to focus on those things you can have agency over.


To be happy you need to concentrate on the following


1.       Worry only about things you can change.  Do as much as you can and then park it. Accept you have done the maximum and then leave it alone.  We are not in control of everything!


2.       Be pro-active not reactive.  If something bothers you, tackle it don’t complain about it.  Reactivity is a form of passive/aggressive behaviour – you will never resolve anything just go on being annoyed.  In this way, you deny your ability to tackle things which can add to feelings of victimhood and helplessness.  Act to change things you don’t like or in turn, forget about them.  Resentment or annoyance only affects the person feeling these.


3.       Get outside, preferably in nature with trees, flowers, birds, animals – all of these make humans happy.  If you can’t, then bring nature to you – a plant or a window box.  A view of trees or nature from a hospital bed has been shown to speed up recovery.


4.       Contact – we all need human interaction but you must be available for this.  If you walk around looking at your shoes you won’t see when someone nods or smiles at you.  Make overtures to other humans – say hello on your walk or comment on the weather – be friendly and this will be returned by most people.  Join a group, smile, get involved; care about something or someone.


5.       Realise that small things are actually the big things.  It is the patchwork of small events and comforts that make up our life.  A conversation here, a cup of coffee, a glimpse of a robin, the scent of roses, fresh rain on the grass, a hot bath, a good book, a friendly wave.  (Add your own small joys). These are the fabric of life but to realise their full impact we must acknowledge and recognise this – work your happiness muscles!


6.       Belonging.  Humans need to belong to something, to feel part of something bigger.  This can be your family, a religious group, a volunteer programme, a book group, your friends, your office, your community, your country.  Being part of a community is good for us and embeds us in our life and gives us purpose.


7.       Gratitude.  Be grateful for what you have.  If you think you have nothing, imagine a hurricane takes everything you have and you are naked and alone.  Now recognise that is not the case and that you do have some things.  Gratitude for what we have and a recognition of that is good for our mental health and makes us happier.  Keeping a gratitude diary for a month, where you note three things to be grateful for at the end of each day, has been shown to improve depression and raise happiness.

8.       Limit your exposure to social media and news channels.  Too much of either has been shown to raise anxiety levels and reduce happiness.  Watch comedies and feel-good films and read books with happy outcomes, play music that makes you happy.


9.       Look after yourself.  If you put the wrong fuel in your car it will run badly.  If you miss its service or MOT it won’t run well.  Humans are the same.  Feed yourself well, get enough rest, take regular, moderate exercise, do things or mix with people who make you laugh – think radiators not drains in terms of who you befriend.  Some people are just not a good fit for our personalities and that’s OK but we need to limit our contact with these people.


10.   Be kind to yourself and others.  Lose that critical voice in your head that tells you off or calls you an idiot.  Instead cultivate a nurturing voice, one of encouragement and kindness – the way you would talk to a friend, a beloved pet or a small child.  Recognize that life can be hard and kindness goes a long way towards mitigating that.


None of these will guarantee your happiness.  We are living in difficult and turbulent times.  However, it is well known that what you pay most attention to, is what you will get.  Trying not to do something will mean that you concentrate on the negative – try not to think of a pink elephant and it will occupy your thoughts.  Try to diet and you will think of food all day long.  Give up drinking and you will long for a glass of wine.  However think of being healthier or adding fruit to your diet or noticing three positive things in your neighbourhood and that’s what you will focus on.  Happiness needs attention in order to flourish.  Exercise your “how-to” happiness muscles and you will benefit for as long as you choose to invest in this behaviour.

The 10 Vital Happiness Rules | Psychology Today

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How Does Fear Affect Our Social Lives?Who are we (not) reaching out to?

1/6/2021

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Much has been written about how the physical distancing and isolation measures in place to reduce the transmission of COVID-19 have increased loneliness. While this is undoubtedly an important way in which the current pandemic is affecting our social lives, there are others worth considering.
One of these pertains to the effects of fear on social relationships. For many of us, the pandemic has been associated with at least some fears—the fear that we, or our loved ones, will contract the virus; the fear that we will pass it on to others, especially those most vulnerable; the fear that our livelihoods will be affected; and even the fear that can be associated with unwittingly failing to follow unrehearsed social rules (e.g., stay sufficiently far from others, not shaking hands). National reports indeed confirm that feelings of fear, or anxiety, have been unusually high and pervasive in the last year. How might fear affect our social lives?
Social scientists have long demonstrated that fear can lead people to come together in an effort to gather strength and resources to combat or overcome what is feared. Studies have found, for example, that survivors of the 2005 London bombings showed impressive solidarity, stopping to help one another despite the strong fear and distress they were experiencing. In a similar vein, we have seen many examples of communities coming together to support their members in coping with the COVID-19 threat. The mutual aid website, established precisely to facilitate community support of those in need during the pandemic, currently lists 2,060 aid groups in the UK alone. This type of behaviour is beneficial to those who receive help, but also to those who provide help, and indeed helping—or the sense of connection and efficacy it engenders—is one of the ways people are advised to combat anxiety.
While it is comforting to reflect on the positive social consequences of such a distressing feeling as fear or anxiety, it is also important to consider the boundaries of this relationship. Specifically, although coming together has been shown to result from fear, fear can also pull people apart. Most obviously, people will try to distance themselves from those whom they fear, and they often fear those they do not know. For example, people from different racial, religious, or national groups often fear one another. Fear might even cause people to derogate others they would not normally be afraid of, just because they are somehow different or unfamiliar (often referred to as an outgroup)—such as when attacks on individuals with disabilities increased in the UK after a series of terrorist attacks.
Less obviously, however, even incidental fear—or fear that does not directly link to judgements being made—can increase social distance or decrease empathy for others. For example, hearing a scary noise, or watching scary images (or perhaps thinking about the threat of COVID-19), can reduce the empathy one feels for the pain experienced by an outgroup member—i.e., an empathy bias. That is, our ability to draw together with others in the face of threats is both rooted in a sense of common fate and identity and constrained by group boundaries.
Many politicians intuitively know this and build fear into their rhetoric to encourage social tribalism. And they are wise to do so, as messages inciting fear are twice as effective at polarising votes as messages without fear. However, the implications of empathy biases for social policy are not always understood, in particular when it comes to the limitations of relying on the goodwill of communities to address social needs. It is heartening to see so much good and voluntary work being done by communities during the COVID-19 pandemic and one might be tempted to see this as a pure demonstration of human kindness. But where there are communities, there are both insiders and outsiders. As such, responses to threat are bound to favour some, and neglect or even disadvantage others, often those who are the least privileged. So, what current scholarship suggests is that we are bound to leave some people out of our helping efforts.
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Acknowledging this is an important step towards preventing further inequality. Goodwill goes a long way, but if we are to be truly kind, it is important to acknowledge the pervasiveness of our biases and to develop measures that proactively prevent, monitor, and address social inequalities, which also touch our most seemingly altruistic efforts, such as helping others.
This article is co-authored with Matthew Richins, Ph.D., who carried out his Ph.D. research on empathic biases under my supervision. Matt has worked for Public Health England and is now a Principal Psychologist at the Defence Science and Technology Laboratory (Dstl), UK.
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5 Ways to Support Yourself This Winter

12/1/2020

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This fall, Covid walks have been an important part of my day. They have included family chats, conversations with friends, brainstorms with colleagues, podcasts, nature photography and sometimes simply my own flurry of thoughts on the state of the world.

During these walks, the fresh air rejuvenates me while my steps accumulate. Amidst colder temperatures recently, I have found myself visualizing images of my childhood self comfortable in the snow mounds and angels of Chicago 1979. We can take advantage of the outdoors at all ages, but there seems to be growing awareness that this winter may impinge on outdoor social connections and require further adaptation in the months ahead. 

In Life Is In The Transitions, Bruce Feiler discusses that life is filled with transitions; he calculates there are an average of three to five lifequakes and three dozen disruptors in the course of a lifetime, averaging one every twelve to eighteen months. He defines a disruptor as “an event or experience that interrupts the everyday flow of one’s life” and categorizes these into areas of love, work, identity, body, and beliefs. Covid has been a collective transition that has required resilience the past several months. Here are a few ways to support yourself as we move forward: 

Honor your grief process. Continue to acknowledge losses and disappointments. We may be grieving losses from earlier in the pandemic or new losses. These can include loss of family members, food security, structured routines, social networks, control, school, traditions, work environments, extracurriculars, freedom, and more. Melissa Sellevaag of the Wendt Center for Loss and Healing explains that the grief we are experiencing around Covid can be complicated by the “collective” nature of it. Many within our community are mourning some degree of loss so that reserves in our support systems may feel stretched currently. In addition to the time you are giving children or aging parents, be sure to give yourself healthy space to reflect on your own grief.

Help others and yourself. Finding ways to continue to connect to peers, loved ones, and the larger community is crucial. Leveraging support systems and accessing networks of friends, family, colleagues, coaches, teachers, and community leaders in person with appropriate public health measures or virtually this winter gives all ages the connectedness we crave in our new schedules. In his new book Finding Meaning, world-renowned grief expert David Kessler proposes meaning as the sixth stage of grief after denial, anger, bargaining, depression, and acceptance. Doing service together as a family not only provides connection to the larger community but can also be a source of meaning. Contactless food and clothing drives, making sewn and non-sewn masks, and virtual tutoring are just a few of the ways to participate in physically distant service. Research shows that altruistic acts not only benefit the recipients of the acts but are also beneficial to the well-being of the givers.

Habits of gratitude. Find moments to be intentional about cultivating gratitude. There is space within us to hold different emotions at the same time. We can be thankful for aspects of our current day and yet also grieve losses we are experiencing. Martin Seligman, the founding father of Positive Psychology, and researchers from the University of Pennsylvania asked people to write down three things they were grateful for. “The three things need not be earthshaking in importance,” he explains in his book Flourish. When people did this for one week, happiness was increased and depressive symptoms were decreased for up to six months. 

Hugs. This winter hugs may feel good to your heart in more ways than one. Research shows that hugs are related to higher levels of oxytocin, a hormone secreted by the pituitary gland, and associated with lower blood pressure and lower norepinephrine, the primary neurotransmitter of the cardiovascular system.  Squeeze in as many 20 second hugs as you can get because not only do they feel good, they may also be cardioprotective through their effects on blood pressure and the sympathetic nervous system.
​
Health. Use this winter to set some small, achievable healthy goals for yourself. Reframe the next 3 months as an opportunity to do something positive for your health. A regular exercise routine will not only give you a number of physical benefits, but the release of endorphins will also benefit your mood. Replace your “commute” with a walk or workout routine. Be consistent and keep it simple. In a cross-sectional study of more than 3,000 adults, participants who were physically active pre-Covid showed a reduction of physical activity by one-third during Covid. Not being physically active during Covid was associated with worse mental health. It is important as we head into the winter to plan a routine that will work to keep you moving. Find the best time and space, and do what you can. While on the phone, get up from your chair and walk around. Insert in a yoga stretch between Zoom calls. Explore apps, YouTube channels, virtual studio classes. Use jump ropes, soup can weights or simply your own body to squat and plank. Invite a few friends who give you positive energy to join your wellness accountability group, connect to set collective goals, and record weekly totals to keep yourself and your team inspired. 

5 Ways to Support Yourself This Winter | Psychology Today
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November 30th, 2020

11/30/2020

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​5 Ways to Deal with Caregiving Stress During COVID New report reveals caregiver stress at crisis levels during COVID-19 Pandemic

From Psychology Today

https://www.psychologytoday.com/us/blog/the-psychology-aging/202011/5-ways-deal-caregiving-stress-during-covid


By Regina Koepp, PsyD, ABPP


Last week, I met with a stressed out and burned out caregiver. Before the Coronavirus Pandemic, the care recipient (the husband) had a home health aide 3 days a week and attended an adult day program 5 days a week. These resources helped his wife (the caregiver) to continue to work to support them, prepare for retirement,  and have a break from caregiving.

​Since the Coronavirus Pandemic started, the husband’s adult day program has closed, and the caregiver opted not to have the health aide come to their home due to her concerns about COVID exposure.  As a result, the caregiver was experiencing lots of stress and overwhelm trying to figure out how to work and caregive full-time.  

​This caregiver is not alone. A national survey published by the Centers for Disease Control and Prevention in August 2020, found that 32.9% of caregivers reported mental health problems like anxiety, depression, or substance use compared to 6.3% of non-caregivers.

This same study found that 30.7% of caregivers of older adults had the highest rates of suicidal thoughts- much higher than other high risk groups like essential workers (21.7%), young adults ages 18-24 (25.5%), Hispanics/LatinX folks (18.6%) and African American/Black folks (15.1%).

Family caregivers during COVID are more stressed and overwhelmed than ever before and here are some reasons why:

        Approximately 61% of caregivers are employed while caregiving. 
       Many resources that caregivers rely on, like senior centers and adult day programs,               have been for several months.

      Caregivers may not be comfortable with home health aides coming into the home                for fear of exposure to COVID, so have cancelled home health aide assistance, and as a        result are providing many of the more challenging tasks, like toileting, grooming,                  bathing, etc. 

      With changes in routines and social interaction being limited, the care recipient is                more likely to decline in mental and physical health. 

      People who require caregiving are likely to have medical vulnerabilities, increasing              their susceptibility to COVID. Naturally, this comes with a host of anxiety, fear, and                uncertainty related to COVID exposure.

All together, this means that caregivers have more caregiving tasks, more stress and worry, fewer community resources needed to care for their loved one, and don’t have the breaks from caregiving that are essential to maintaining health and wellness. 5 Self-Care Strategies for Caregiving During COVID

1. Identify what gets in your way of taking care of yourself. Take some time to acknowledge the most common obstacles to your self-care. The most common barrier I hear is:
       “I don’t have time”
      “my loved one needs all my time”

While this may be true, often when I ask caregivers to look a little deeper, we discover other barriers like:
     "I feel guilty taking time to enjoy myself when my loved one cannot"  
     "Other people might think that I’m shirking my responsibilities or being selfish if I                 make time for myself"

After you identify your own unique barriers to self-care, think of how these barriers or beliefs originated, for example: Were you raised to put others before yourself?  Were you raised to hold a certain level of “duty” to your family? 

2. Shift how you think about self-care Not only is taking better care of yourself important, so too, is how you think about taking the time for yourself. Shift from the old way of thinking to a new way of thinking. For example:

Instead of saying: "I can’t take a walk, my mom needs me. And if I'm honest, I feel guilty getting outside on this beautiful day when my mom is stuck inside."

Try saying: "Taking a walk for myself now will give me some time to be alone and decompress, which will lower my stress. My mom will sense that my mood has changed and benefit from my taking care of myself."

3. Set goals for taking better care of yourself Rate how well you are taking care of yourself in each of these categories. Use the scale 0 = poorly to 5 = outstanding to rate how well you are taking care of yourself Sleep. Are you getting enough sleep? Rate yourself between 0 to 5.

Eating habits. Are you getting adequate nutrition? Rate yourself between 0 to 5.

Exercise/Fitness. Are you getting enough exercise? Rate yourself between 0 to 5.

Medical and mental health appointments. Do you put off your mental health or medical appointments or prioritize them? Rate yourself between 0 to 5.

Substance Use. Are you drinking more than you used to? Rate yourself between 0 to 5. 

Now, select the category that stands out to you most and identify one way that you could start to take better care of yourself in this area.

For example: Substance Use. I've been drinking a bottle of wine a night, I am going to cut down to 1 glass. Sleep. I've been going to bed too late, I’m going to get in bed an hour earlier. 

4. Set yourself up for success.  Imagine what moving toward your self-care goal looks like, identify any problems, then troubleshoot the steps to eliminating or moving past the problems. For example:

Category: Substance Use

Goal: Drink one glass of wine per night (instead of one bottle)

Potential Problem: When you see a bottle of wine sitting on the counter, you're tempted to keep pouring until the bottle is empty

Solution: Pour a glass of wine, put the cork back on, and put the bottle all the way in the back of the fridge and place other objects in front of it. The more distance  and obstacles you put in front of the bottle of wine, the less likely you are to go through the trouble of getting it out again.

Category: Sleep

Goal: Go to bed an hour earlier at night. 

Potential Problem: You get busy watching a TV show or doing a hobby and forget about the time.

Solution: Set an alarm on your phone for 30min before your desired bedtime to remind you to start getting ready for bed  

5. Ask for help.  With many of the formal caregiving supports unavailable, it's essential to build an informal care team by asking your friends, family, neighbors, church family/friends, and health aides for help  

​Asking for help is really hard for caregivers to do. It can help to remind yourself that you're worth it. Your health is just as important as the care recipient’s. 

This is a very painful time, please take care of yourself. If you or someone you know is in crisis or struggling with thoughts about harming yourself or others, please reach out to the National Suicide Prevention Lifeline at 1-800-273-8255 To find a therapist, please visit the Psychology Today Therapy Directory.

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Acknowledge Suffering

11/16/2020

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We’re usually aware of our own suffering, which – broadly defined – includes the whole range of physical and mental discomfort, from mild headache or anxiety to the agony of bone cancer or the anguish of losing a child. (Certainly, there is more to life than suffering, including great joy and fulfillment; that said, we’ll sustain a single focus here.)


But seeing the suffering in others: that’s not so common. All the news and pictures of disaster, murder, and grief that bombard us each day can ironically numb us to suffering in our own country and across the planet. Close to home, it’s easy to tune out or simply miss the stress and strain, unease and anger, in the people we work, live – even sleep – with.


This creates problems for others, of course. Often what matters most to another person is that someone bears witness to his or her suffering, that someone just really gets it; it’s a wound and a sorrow when this doesn’t happen. And at the practical level, if their suffering goes unnoticed, they’re unlikely to get help.


Plus, not seeing suffering harms you as well. You miss information about the nature of life, miss chances to have your heart opened, miss learning what your impact on others might be.  Small issues that could have been resolved early on grow until they blow up. People don’t like having their pain overlooked, so they’re more likely to over-react, or be uncharitable toward you when you’re the one having a hard time. Wars and troubles that seemed so distant come rippling across our own borders; to paraphrase John Donne, if we don’t heed the faraway tolling of the bell for others, it will eventually come tolling for thee and me.


How?
This week look at faces – at work, walking down the street, in the mall, across the dinner table. Notice the weariness, the bracing against life, the wariness, irritability, and tension. Sense the suffering behind the words. Feel in your body what it would be like for you to have the life of the other person.


Be careful not to be overwhelmed. Take this in small doses, even a few seconds at a time. If it helps, recall some of the happy truths of life, or the sense of being with people who love you. Know that there are ten thousand causes upstream of each person leading to this present moment: so much complexity, so hard to blame a single factor.


And then open up again to the suffering around you. To a child who feels like an afterthought, a worker who fears a layoff, a couple caught up in anger. Don’t glide over faces on the evening news, see the suffering in the eyes looking back at you.
Watch and listen to those closest to you. What’s hurting over there? Face it, even if you have to admit that you are one of its causes. If appropriate, ask some questions, and talk about the answers.


How does it feel to open to suffering? You could find that it brings you closer to others, and that there is more kindness coming back your way. You could feel more grounded in the truth of things, particularly in how it is for the people around you.
Take heart. Opening to suffering is one of the bravest things a person can do.

​https://www.psychologytoday.com/us/blog/your-wise-brain/202011/acknowledge-suffering

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5 Ways Technology Can Help Seniors Stay Social During COVID

11/5/2020

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Almost 30 percent of Americans 65 and older (that’s about 11 million people) live alone, according to the U.S. Census Bureau. On top of that, the COVID-19 pandemic has forced many of these seniors to retreat even further away from their loved ones, making an already challenging situation that much worse.
 
Social isolation in seniors has a serious impact on their mental health—and can lead to some pretty devastating physical ailments, as well. Even though the pandemic is keeping many of us physically apart, seniors can use technology to stay connected to friends and family. Here’s how.
 
Get comfortable with your devices
Handheld devices like tablets and smartphones are as common as wearing clothes these days. While some seniors may feel intimidated by this kind of technology, there are many free online tutorials to get you set up. You can get great deals on laptops and tablets every day, but especially if you shop deals. Don’t forget to look into webcams, headphones and other digital communication devices.
 
Play games that boost your memory
Communicating with loved ones is an easy and effective way to stave off memory issues and cognitive decline in seniors. But with fewer opportunities to connect in person, people over 65 will want to explore new ways of stimulating their minds online. Not only can you chat with other people playing online games, but the games themselves will boost your brain. Some of the highest rated apps for seniors, like Luminosity and CogniFit Brain Fitness, have free options and trials.
 
Make money in retirement
Many seniors stave off social isolation by working a bit in retirement. The global pandemic has changed the American workforce, and seniors may feel too overwhelmed to find ways to participate. You can improve confidence and self-esteem by earning a certificate or license in a self-paced online program. Many of these also offer discussion forums for people to connect on group work and all kinds of topics. Seniors can then apply for telecommute part-time positions with their new-found skills. Having meaningful work that connects you to others can help reduce depression, lethargy and feelings of hopelessness.
 
Get active for physical and mental health
Exercise in some form is good for everyone, but especially seniors. Not only can it help battle arthritis and heart disease, but it can also improve your mood and reduce stress. With tensions running high these days, seniors can make exercise a part of their daily routine by joining live virtual yoga and workout classes. Smartwatches help you track fitness performance and promote social interaction. You can compete with friends and family members for steps, miles, calories burned and other fitness metrics.
 
Tech that lets you try something new
Retirement is a time for R&R, but those entering in their golden years during the age of COVID might feel a bit stifled. Seniors can take charge of their mental health by trying new things virtually with their loved ones. Take an online cooking class with your next door neighbor and share your dishes in an appropriately socially distant way. Watch interesting documentaries with your adult children or young grandchildren while FaceTiming on your iPhone. Dust off your green thumb and text pictures of your new plants to your friends or members of your gardening club.
 
While some people think technology isolates us, through the global pandemic we are learning amazing new ways it can bring us together. These connections are different, but they don’t have to be eliminated all together. Staying social with technology during the COVID isolation can help seniors gain new skills, wider perspective and a strong sense of belonging. 


Information provided by Mary Shannon
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    Michelle Stewart-Sandusky

    I write articles based on my experience as a therapist or a training or conference attendee.  Many of these articles are written by others who are experts in their field and I share their information as resources for others.

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