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PATH Positive Approaches To Health

Play Episode Listen Later Nov 17, 2023 42:52

Kimberley: Welcome, everybody. This is a very exciting episode. I know I'm going to learn so much. Today, we have Caitlin Pinciotti and Shala Nicely, and we're talking about when OCD and PTSD collide and intertwine and how that plays out. This is actually a topic I think we need to talk about more. Welcome, Caitlin, and welcome, Shala. Caitlin: Thank you. Shala: Thanks. Kimberley: Okay. Let's first do a little introduction. Caitlin, would you like to go first introducing yourself? Caitlin: Sure thing. I'm Caitlin Pinciotti. I'm a licensed clinical psychologist and an assistant professor in the Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. I also serve as a co-chair for the IOCDF Trauma and PTSD and OCD SIG. If people are interested in that special interest group as well, that's something that's available and up and running now. Most of my research specifically focuses on OCD, trauma, and PTSD, and particularly the overlap of these things. That's been sort of my focus for the last several years. I'm excited to be here and talk more about this topic. Kimberley: Thank you. You're doing amazing work. I've loved being a part of just watching all of this great research that you're doing. Shala, would you like to introduce yourself? Shala: Yes. I'm Shala Nicely. I am a licensed professional counselor, and I specialize in the treatment of OCD and related disorders. I am the author of Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life, which is my story, and then co-author with Jon Hershfield of Everyday Mindfulness for OCD: Tips, Tricks, and Skills for Living Joyfully. I also produce the Shoulders Back! newsletter. It has tips and resources for taming OCD. Kimberley: Shoulders Back! was actually the inspiration for this episode. Shala, you recently wrote an article about post-traumatic OCD or how PTSD and OCD collide. Can you tell us about your story, particularly going back to, I think you mentioned, May 2020, and what brought you to write that article? Shala: Sure, and thank you very much for having Caitlin and me on today because I really appreciate the opportunity to talk about this and to get more information out in the world about this intertwined combination of PTSD and OCD. In May of 2020, I moved to a new house, the house that I'm in now. Of course, we had just started the pandemic, and so everybody was working at home, including me. The house that I moved into was in a brand new neighborhood. While the houses on this side of me were completed, the houses behind me and on that side were not completed. I didn't think anything of that when I moved in. But what I moved into was a situation where I was in a construction zone all the time. I was working at home, so there was no escape from it. One day I was walking behind my house, where most of the houses were in the process of being built and there were no sidewalks. As I was walking down the street, I saw, down at the end of the street, a big forklift come down the street where I was walking with my two little dogs backwards at a really high rate of speed, and the forklift driver seemed to be looking that way, and he was going that way. It happened so fast because he was going so quickly that all of a sudden I realized he was going to hit us, my dogs and me, and there was no place for us to go because we were on the road because there was nowhere else for us to be. I screamed bloody murder, and he heard me. I mean, that's how loud I screamed, and he stopped. That was not all that pleasant. I was upset. He was not happy. But we moved on. But my brain didn't move on. After that incident, what I noticed was I was becoming really hypervigilant in my own house and finding the construction equipment. If I go outside, I tense up just knowing that construction equipment is there. Over time, my sleep started becoming disturbed. I started to have flashbacks and what I call flash-forwards, where I would think about all these horrible things that could happen to me that hadn't happened to me yet but could. I'd get lost in these violent fantasies of what might happen and what I need to do to prevent that. I realized that I seemed to be developing symptoms of PTSD. This is where being a therapist was actually quite helpful because I pulled the DSM open one night and I started going through symptoms of PTSD. I'm like, “Oh my gosh, I think I have PTSD.” I think what happened, because having a forklift driver almost hit you, doesn't seem like that could possibly cause PTSD. But if you look at my history, I think that created a link in my brain to an accident I was in when I was four where I did almost die, which is when my mom and I were standing on the side of a road, about to cross. We were going to go between two parked cars. My mom and I stepped between two parked cars, and there was a man driving down the road who was legally blind, and he mistook the line of parked cars where we were standing as moving traffic. He plowed into the end of all the parked cars, which of course made them accordion in, and my mom and I were in the middle of that. I was very seriously injured and probably almost died. My mom was, too. Several months in the hospital, all of that. Of course, at that point—that was 1975—there was no PTSD, because I think— Caitlin, you can correct me—it didn't become a diagnosis until 1980. I have had symptoms—small, low-level symptoms of PTSD probably on and off most of my life, but so low-level, not diagnosable, and not really causing any sort of problems. But I think what happened in my head was that when that forklift almost hit me, it made my brain think, “Oh my gosh, we're in that situation again,” because the forklift was huge. It was the same scale to me as an adult as that car that I was crushed between was when I was four. I think my brain just got confused. Because I was stuck with this construction equipment all day long and I didn't get any break from it, it just made my brain think more and more and more, “Boy, we are really in danger.” Our lives are basically threatened all the time. That began my journey of figuring out what was going on with me and then also trying to understand why my OCD seemed to be getting worse and jumping in to help because I seemed to get all these compulsions that were designed to keep me safe from this construction equipment. It created a process where I was trying to figure out, "What is this? I've got both PTSD now, I've got OCD flaring up, how do I deal with this? What do I do?" The reason why I wanted to write the article for Shoulders Back! and why I asked Caitlin to write it with me was because there just isn't a lot of information out there about this combination where people have PTSD or some sort of trauma, and then the OCD jumps in to help. Now you've got a combination of disorders where you've got trauma or PTSD and OCD, and they're merging together to try to protect you. That's what they think they're doing. They're trying to help you stay safe, but really, what they're doing is they're making your life smaller and smaller and smaller. I wanted to write this article for Shoulders Back! to let people know about my experience so that other people going through this aren't alone. I wanted to ask Caitlin to write it with me because I wanted an expert in this to talk about what it is, how we treat it, what hope do we have for people who are experiencing this going forward. THE DIFFERENCE BETWEEN OCD AND PTSD (AND POST-TRAUMATIC OCD) Kimberley: Thank you for sharing that. I do encourage people; I'll link in the show notes if they want to go and read the article as well. Caitlin, from a clinical perspective, what was going on for Shala? Can you break down the differences between OCD and PTSD and what's happening to her? Caitlin: Sure. First, I want to start by thanking Shala again for sharing that story. I know you and I talked about this one-on-one, but I think really sharing personal stories like that obviously involves a lot of courage and vulnerability. It's just so helpful for people to hear examples and to really resonate with, “Wow, maybe I'm not so different or so alone. I thought I was the only one who had experiences like this.” I just want to publicly thank you again for writing that blog and being willing to share these really horrible experiences that you had. In terms of how we would look at this clinically, it's not uncommon for people to, like Shala described, experience trauma and have these low-level symptoms for a while that don't really emerge or don't really reach the threshold of being diagnosable. This can happen, for example, with veterans who return home from war, and it might not be until decades later that they have some sort of significant life event or change. Maybe they've retired, or they're experiencing more stress, or maybe, like Shala, they're experiencing another trauma, and it just brings everything up. This kind of delayed onset of PTSD is, for sure, not abnormal. In this case, it sounds like, just like Shala described, that her OCD really latched onto the trauma, that she had these experiences that reinforced each other. Right now, I've had two experiences where being around moving vehicles has been really dangerous for me. Just like you said, I think you did such a beautiful job of saying that the OCD and PTSD colluded in a way to keep you “safe.” That's the function of it. But of course, we know that those things go to the extreme and can make our lives very small and very distressing. What Shala described about using these compulsions to try to prevent future trauma is something that we see a lot in people who have comorbid OCD and PTSD. We're doing some research now on the different ways that OCD and trauma can intersect. And that's something that keeps coming up as people say, “I engaged in these compulsions as a way to try to prevent the trauma from happening to me again or happening to someone else. Or maybe my compulsions gave me a sense of control, predictability, or certainty about something related to the trauma.” This kind of presentation of OCD sort of functioning as protection against trauma or coping with past trauma as well is really common. STATISTICS OF OCD AND PTSD Kimberley: Would you share a little bit about the statistics between OCD and PTSD and the overlap? Caitlin: Absolutely. I'm excited to share this too, because so much of this work is so recent, and I'm hopeful that it's really going to transform the way that we see the relationships between OCD and PTSD. We know that around 60% of people who have comorbid OCD and PTSD tend to have an experience where PTSD comes first or at the same time, and the OCD comes later. This is sort of that post-traumatic OCD presentation that we're talking about and that Shala talked about in her article. For folks who have this presentation where the PTSD comes first and then the OCD comes along afterwards, unfortunately, we see that those folks tend to have more severe obsessions, more severe compulsions. They're more likely to struggle with suicidality or to have comorbid agoraphobia or panic disorders. Generally speaking, we see a more severe presentation when the OCD comes after the PTSD and trauma, which is likely indicative of what we're discussing, which is that when the OCD develops as a way to cope with trauma, it takes on a mind of its own and can be really severe because it's serving multiple functions in that way. What we've been finding in our recent research—and if folks want to participate, the study will still be active for the next month; we're going to end it at the end of the year, the OCD and Trauma Overlap Study—what we're finding is that of the folks who've participated in the study, 85% of them feel like there's some sort of overlap between their OCD and trauma. Of course, there are lots of different ways that OCD and trauma can overlap. I published a paper previously where we found that about 45% of people with severe OCD in a residential program felt that a traumatic or stressful event was the direct cause of their OCD on setting. But beyond that, we know that OCD and trauma can intersect in terms of the content of obsessions, the function of compulsions, as we've been talking about here, core fears. Some folks describe this, and Shala described this to this, like cyclical relationship where when one thing gets triggered, the other thing gets triggered too. This is really where a lot of the research is focusing on now, is how do these things intersect, how often do they intersect, and what does that really look like for people? Kimberley: Thanks. I found in my practice, for people who have had a traumatic event, as exactly what happened to Shala, and I actually would love for both of you maybe to give some other examples of how this looks for people and how it may be experienced, is let's say the person that was involved in the traumatic event or that place that the traumatic event was recent that recently was revisited just like Shala. Some of them go to doing safety behaviors around that person, place, or event, or they might just notice an uptick in their compulsions that may have completely nothing to do with that. Shala, can you explain a little bit about how you differentiated between what are PTSD symptoms versus OCD, or do you consider them very, very similar? Can you give some insight into that? SYMPTOMS OF OCD & PTSD Shala: Sure. I'll give some examples of the symptoms of OCD that developed after this PTSD developed, but it's all post-traumatic OCDs. I consider it to be different from PTSD, but it is merged with PTSD because it's only there because the PTSD is there. For instance, I developed a lot of checking behaviors around the doors to my house—staring, touching, not able to just look once before I go to bed, had to be positively sure the doors were locked, which, as somebody who does this for a living, who helps people stop doing these compulsions, created a decent amount of shame for me too, as I'm doing these compulsions and saying, “Why am I not taking my own advice here? Why am I getting stuck doing this?” But my OCD thought that the construction equipment was outside; we're inside. We need to make sure it stays outside. The only way we do that is to make sure the door stays locked, which is ridiculous. It's not as if a forklift is going to drive through my front door. As typical with OCD, the compulsions don't make a lot of sense, but there's a loose link there. Another compulsion that I realized after a time was probably linked with PTSD is my people-pleasing, which I've always struggled with. In fact, Kimberley, you and I have done another podcast about people-pleasing, something I've worked really hard on over the years, but it really accelerated after this. I eventually figured out that that was a compulsion to keep people liking me so that they wouldn't attack me. That can be an OCD compulsion all by itself, but it was functioning to help the PTSD. Those would be two examples of compulsions that could be OCD compulsions on their own, but they would not have been there had the PTSD not been there. Kimberley: Caitlin, do you want to add anything about that from symptoms or how it might look and be experienced? Caitlin: Sure, yeah. I think it's spot on that there's this element of separation that we can piece apart. This feels a little bit more like OCD; this feels a little bit more like PTSD, but ultimately they're the same thing, or it's the same behavior. In my work, I usually try to, where I can, piece things apart clinically so that we can figure out what we should do with this particular response that you're having. When it comes to differentiating compulsions, OCD compulsions and PTSD safety behaviors, we can look towards both the presentation of the behavior as well as the function of it. In terms of presentation, I mean, we all know what compulsions can look like. They can be very rigid. There can be a set of rules that they have to be completed with. They're often characterized by a lot of doubting, like in Shala's case, the checking that, “Well, okay, I checked, but I'm not actually sure, so let me check one more time.” Whereas in PTSD, although it's possible for that to happen, those safety behaviors, usually, it's a little bit easier to disengage from. Once I feel like I've established a sense of safety, then I feel like I can disengage from that. There doesn't tend to be kind of that like rigidity and a set of rules or magical thinking that comes along with an OCD compulsion. In terms of the function, and this is where it gets a little bit murky with post-traumatic OCD, broadly speaking, the function of PTSD safety behaviors is to try to prevent trauma from occurring again in the future. Whereas OCD compulsions, generally speaking, are a way to obtain certainty about something or prevent some sort of feared catastrophe related to someone's obsession. But of course, when the OCD is functioning along with the PTSD to cope with trauma, to prevent future trauma, that gets a little bit murkier. In my work, like I said, I try to piece apart, are there elements of this that we can try to resist from more of an ERP OCD standpoint? If there's a set of rules or a specific way that you're checking the door, maybe we can work on reducing some of that while still having that PTSD perspective of being a little bit more lenient about weaning off safety behaviors over time. TREATMENT FOR OCD AND PTSD Kimberley: It's a perfect segue into us talking about the treatment here. Caitlin, could you maybe share the treatment options for these conditions, specifically post-traumatic OCD, but maybe in general, all three? Caitlin: Absolutely. The APA, a few years back, reviewed all the available literature on PTSD treatments, and they created this hierarchy of the treatments that have the most evidence base and went down from there. From their review of all the research that's been done, there were four treatments that emerged as being the most effective for PTSD. That would be broadly cognitive behavioral therapy and cognitive therapy. But then there are two treatments that have been specifically created to target PTSD, and that would be prolonged exposure or PE, and cognitive processing therapy or CBT. These all fall under the umbrella of CBT treatments, but they're just a little bit more specific in their approach. And then, of course, we know of ACT and EMDR and these other treatments that folks use as well. Those fall in the second tier, where there's a lot of evidence that those work for folks as well, but that top tier has the most evidence. These treatments can be used in combination with OCD treatments like ERP. There are different ways that folks can combine them. They can do full protocols of both. They could borrow aspects of some treatments, or they could choose to focus really on if there's a very clear primary diagnosis to treat that one first before moving on to the secondary diagnosis. TREATMENT EXAMPLES FOR POST-TRAUMATIC OCD Kimberley: Amazing. Shala, if you're comfortable, can you give some examples of what treatment looked like for you and what that was like for you both having OCD and PTOCD? Shala: Yes, and I think to set the ground for why the combined treatment working on the PTSD and the OCD together can be so important, a couple of features of how all this was presenting for me was the shift in the focus of the uncertainty. With OCD, it's all about an intolerance of uncertainty and not knowing whether these what-ifs that OCD is getting stuck on are true or going to happen. But what I noticed when I developed PTSD and then the OCD came in to help was that the focus of the uncertainty shifted to it's not what if it's going to happen. The only what-if is when it was going to happen because something bad happening became a given. The uncertainty shifted to only when and where that bad thing was going to happen, which meant that I had lower insight. I've always had pretty good insight into my OCD, even before I got treatment. Many people with OCD too, we know what we're doing doesn't make any sense; we just can't stop doing it. With this combined presentation, there was a part of me that was saying, “Yeah, I really do need to be staring at the door. This is really important to make sure I keep that construction equipment out.” That lowered insight is a feature of this combined presentation that I think makes the type of treatment that we do more important, because we want to address both of the drivers, both the PTSD and the OCD. The treatment that I did was in a staged process. First, I had to find a treatment provider, and Caitlin has a wonderful list of evidence-based treatment providers who can provide treatment for both on her website, which is great. I found somebody actually who ended up being on Caitlin's list and worked with that person, and she wanted to start out doing prolonged exposure, which I pushed back on a little bit. Sometimes when you're a therapist and you're being the client, it's hard not to get in the other person's chair. But I pushed back on that because I said, “Well, I don't think I need to do prolonged exposure on the original accident,” because that's what she was suggesting we do, the accident when I was four. I said, “Because I wrote a book, Is Fred in the Refrigerator? and the very first chapter is the accident,” and I talked all about the accident. She explained, “That's a little bit different than the way we would do it in prolonged exposure.” What's telling, I think, is that when I worked on the audiobook version of Fred—I was doing the narration, I was in a studio, and I had an engineer and a director; they were on one side of the glass, I'm on the other side of the glass—I had a really hard time getting through that first chapter of the book because I kept breaking down. They'd have to stop everything, and I had to get myself together, and we had to start again, and that happened over and over and over again. Even though I had relived, so to speak, this story on paper, I guess that was the problem. I was still reliving it. That's probably the right word. Prolonged exposure is what I needed to do because I needed to be able to be in the presence of that story and have it be a story in the past and not something that I was experiencing right then. I started with prolonged exposure. After I did that, I moved on to cognitive processing therapy because I had a lot of distorted beliefs around life and the trauma that we call “stuck points” in cognitive processing therapy that I needed to work through. There were a good 20 or so stuck-point beliefs. “If I don't treat people perfectly nicely, they're going to attack me somehow.” Things that could be related directly to the compulsions, but also just things like, “The world is dangerous. If I'm not vigilant all the time, something bad is going to happen to me.” I had to work on reframing all of those because I was living my life based on those beliefs, which was keeping the trauma going. I recreated a new set of beliefs and then brought exposure in to work on doing exposures that helped me act as if those new beliefs were the right way to live. If my stuck point is I need to be hypervigilant because of the way something bad is going to happen to me, and I'm walking around like this, which was not an exaggeration of really how I was living my life when this was all happening—if I'm living like that, if I'm acting in a hypervigilant way, I am reinforcing these beliefs. I need to go do exposures where I can walk by a dump truck without all the hypervigilance to let all that tension go, walk by it, realize what I've learned, and walk by it again. It was a combination of all these and making sure that I was doing these exposures, both to stop the compulsions I was doing, like the door checking, but also to start living in a different way so that I wasn't in my approach to life, reinforcing the fact that my PTSD thought the world was dangerous. I also incorporated some DBT (dialectical behavior therapy) because what I found with this combination was I was experiencing a lot more intense emotions than I'd really ever experienced in having OCD by itself. With OCD, it was mostly just out-of-this-world anxiety, but with the combination of PTSD and OCD, there were a lot more emotional swings of all sorts of different kinds that I needed to learn and had to deal with. Part of that too was just learning how to be in the presence of these PTSD symptoms, which are very physiological. Not like OCD symptoms aren't, but they tend to be somewhat more extreme, almost panicky-like feelings. When you're in the flashbacks or flash forwards, you can feel dissociated, and you're numbing out and all of that. I'm learning to be in the presence of those symptoms without reacting negatively to them, because if I'm having some sort of feelings of hypervigilance that are coming because I'm near a piece of construction equipment and I haven't practiced my ERP (Expsoure & Response Prevention) for a while, if I react negatively and say, “Oh my gosh, I shouldn't be having these symptoms. I've done my therapy. I shouldn't be having these feelings right now,” it's just going to make it worse. Really, a lot of this work on the emotional side was learning how to just be with the feelings. If I have symptoms, because they happen every now and then—if I have symptoms, then I'm accepting them. I'm not making them worse by a negative reaction to the reaction my PTSD is having. That was a lot of the tail end of the work, was learning how to be okay with the fact that sometimes you're going to have some PTSD symptoms, and that's okay. But overreacting to them is going to make it worse. Kimberley: Thank you so much for sharing that. I just want to maybe clarify for those who are listening. You talked about CPT, you talked about DBT, and you also talked about prolonged exposure. In the prolonged exposure, you were exposing yourself to the dump truck? Is that correct? Shala: In the prolonged exposure, I was doing two different things. One is the story of the accident that I was in. Going back to that accident that I thought I had fully habituated to through writing my book and doing all that, I had to learn how to be in the presence of that story without reliving it while seeing it as something that happened to me, but it's not happening to me right now. That was the imaginal part of the prolonged exposure. This is where the overlap between the disorders and the treatment can get confusing of what is part of what. You can do the in vivo exposure part of prolonged exposure. Those can also look a lot like just ERP for OCD, where we're going and we're standing beside a dump truck and dropping the hypervigilant safety behaviors because we need to be able to do that to prove to our brain we can tolerate being in this environment. It isn't a dangerous environment to stand by a jump truck. It's not what happened when I was four. Those are the two parts that we're looking at there—the imaginal exposure, which is the story, and then we've got the in vivo exposures, which are going back and being in the presence of triggers, and also from an OCD perspective without compulsive safety behaviors. Kimberley: Amazing. What I would clarify, but please any of you jump in just for the listeners, if this is all new to you, what we're not saying is, let's say if there was someone who was abusive to you as a child, that you would then expose yourself to them for the sake of getting better from your PTSD. I think the decisions you made on what to expose yourself were done with a therapist, Shala? They helped you make those decisions based on what was helpful and effective for you? Do either of you want to speak to what we do and what we don't expose ourselves to in prolonged exposure? Caitlin: Yeah. I'm glad that you're clarifying that too, because this is a big part of PE that is actually a little bit different from ERP. When somebody has experienced trauma, when they have PTSD, their internal alarm system just goes haywire. Just like in Shala's example, anything that serves as a reminder or a trigger of the trauma, the brain just automatically interprets as this thing is dangerous; I have to get away from it. In PE, a lot of what we're doing is helping people to recalibrate that internal alarm system so that they can better learn or relearn safe versus actual threat. When you're developing a hierarchy with someone in PE, you might have very explicit conversations about how safe is this exposure really, because we never want to put someone in a situation where they would be unsafe, such as, like you described, interacting with an abuser. In ERP, we'd probably be less likely to go through the exposures and say, “This one's actually safe; I want you to do it,” because so much of the treatment is about tolerating uncertainty about feared outcomes. But in PE, we might have these explicit conversations. “Do other people you know do this activity or go to this place in town?” There are probably construction sites that wouldn't be safe for Shala to go to. They'd be objectively dangerous, and we'd never have her go and do things that would put her in harm's way. Kimberley: Thank you. I just wanted to clarify on that, particularly for folks who are hearing this for the first time. I'm so grateful that we're having this conversation again. I think it's going to be so eye-opening for people. Caitlin, can you share any final words for the listeners? What resources would you encourage them to listen to? Is there anything that you feel we missed in our conversation today for the listeners? Caitlin: I think, generally, I like to always leave on a note of hope. Again, I'm so grateful that Shala is here and gets to describe her experience with such vulnerability because it gives hope that you can hear about someone who was at their worst, and maybe things felt hopeless in that moment. But she was able to access the help that she needed and use the tools that she had from her own training too, which helped, and really move through this. There isn't sort of a final point where it's like, “Okay, cool, I'm done. The trauma is never going to bother me again.” But it doesn't have to have that grip on your life any longer, and you don't need to rely on OCD to keep you safe from trauma. There are treatments out there that work. Like it was mentioned, I have a directory of OCD and PTSD treatment providers available on my website, which is www.cmpinciotti.com that folks can access if they're looking for a therapist. If you're a therapist listening and you believe that you belong in this directory, there's a way to reach out to me through the website. I'd also say too that if folks are willing and interested, participating in the research that's happening right now really helps us to understand OCD and PTSD better so that we can better support people. If you're interested in participating in the OCD and trauma study that I mentioned, you can email me at OCDTraumaStudy@bcm.edu. I also have another study that's more recent that will help to answer the question of how many people with OCD have experienced trauma and what are those more commonly endorsed ways that people feel that OCD and trauma intersect for them. That one's ultra-brief. It's a 10-minute really quick survey, NationalOCDSurvey@bcm.edu and I'm happy to share that anonymous link with you as well/ Kimberley: Thank you. Thank you so much. Shala, can you share any final words about your experience or what you want the listeners to hear? Shala: One thing I'd like to share is a mistake that I made as part of my recovery that I would love for other people not to make. I'd like to talk a little bit about that, because I think it could be helpful. The mistake that I made in trying to be a good client, a good therapy client, is I was micro-monitoring my recovery. “How many PTSD symptoms am I having? Well, I'm still having symptoms.” I woke up in the middle of the night in a panic, or I had a bad dream, or I had a flash forward. “Why am I having this? I must not be doing things right.” And then I took it a step further and said, “It would be great if I could track the physiological markers of my PTSD so I can make sure I'm keeping them under control.” I got a piece of tracking technology that enabled me to track heart rate and heart rate variability and sleep and all this stuff. At first, it was okay, but then the technology that I was using changed their algorithm, and all of a sudden my stats weren't good anymore, and I started freaking out. “Oh my gosh, my sleep is bad. My atrophy is going down. This is bad. What am I doing?” I was trying with the best of intentions to quantify, make sure I'm doing things right, focus on recovery. But what I was doing was focusing on the remaining symptoms that were there, and I was making them worse. What I have learned is that eventually, things got so bad—in fact, with my sleep—that I got so frustrated with the tracking technology. I said, “I'm not wearing it anymore.” That's one of the things that helped me realize what I was doing. When I stopped tracking my sleep, when I let go of all of this and said, “You know what? I'm going to have symptoms,” things got better. I would encourage people not to overthink their recovery, not to be in their heads and wake up in the morning and ask, “How much PTSD am I having? How much OCD am I having? If I could just get rid of these last little symptoms, life would be great,” because that's just going to keep everything going. I'll say this year, two has been a challenging one for me. I've been involved in three car accidents this year; none of them my fault. One of my neighbors, whom I don't know, called the police on me, thinking I was breaking into my own house, which meant that a whole army of police officers ended up at my house at nine o'clock at night. That's four pretty hard trauma triggers for me in 2023. Those kinds of things are going to happen to all of us every now and then. I had a lot of symptoms. I had a lot of PTSD symptoms and a lot of OCD symptoms in the wake of those events, and that's okay. It's not that I want them to be there, but that's just my brain reacting. That's my brain trying to come to terms with what happened and how safe we are and trying to get back to a level playing field. I think it's really important for anybody else out there who's suffering from one or the other, or both of these disorders to recognize we're going to have symptoms sometimes. Just like with OCD, you're going to have symptoms sometimes. It's okay. It's the pushing away. It's the rejecting of the symptoms. It's the shaming yourself for having the symptoms that causes the symptoms to get worse. Really, there is an element of self-compassion for OCD here. I like having bracelets to remind me. This is the self-compassion bracelet that I've had for years that I wear. By the way, this is not the tracking technology. I'm not using tracking technology anymore. But remembering self-compassion and telling yourself, “I'm having symptoms right now, and this is really hard. I'm anxious; I feel a little bit hypervigilant, but this is part of recovery from PTOCD. Most people with PTOCD experience this at some point. So I'm going to give myself a break, give myself permission to feel what I'm feeling, recognize how much progress I've made, and, when I feel ready, do some of my therapy homework to help me move past this, but in a nonhypervigilant, nonmicro monitoring way.” As I have dropped down into acceptance of these symptoms, my symptoms have gotten a lot better. I think that's a really important takeaway. Yes, we want to work hard in our therapy, yes, we want to do the homework, but we also want to work on accepting because, in the acceptance, we learn that having these symptoms sometimes is just a part of life, and it's okay. I would echo what Caitlin said in that you can have a ton of hope if you have these disorders, in that we have good treatment. Sometimes it takes a little bit longer than working on either one or the other, but that makes sense because you're working on two. But we have good treatment, and you can get back to living a joyful life. Always have hope and don't give up, because sometimes it can be a long road, especially when you have a combined presentation. But you can tame both of these disorders and reclaim your life. Kimberle: You guys are so good. I'm so grateful we got to do this. I feel like it's such an important conversation, and both of you bring such wonderful expertise and lived experience. I'm so grateful. Thank you both for coming on and talking about this with me today. I'm so grateful. Shala: Thank you for having us. Caitlin: Yes, thank you. This was wonderful. Kimberley: Thank you so much, guys. RESOURCES: The two studies CAITLIN referenced are: OCD/Trauma Overlap Study: An anonymous online survey for any adult who has ever experienced trauma, and can be accessed at https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_0j4ULJv3DxUaKtE or by emailing OCDTraumaStudy@bcm.edu National OCD Survey: An anonymous 10-minute online survey for any U.S. adult who has ever had OCD, and can be accessed at https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_9LdbaR2yrj0oV7g or by emailing NationalOCDSurvey@bcm.edu

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Everyday Mindfulness

Radio Headspace

Play Episode Listen Later Oct 20, 2023 6:39

Eve shares her personal poem illustrating the importance of presence in daily life. She highlights the power of mindfulness to break unhelpful patterns, cultivate mental resilience, and achieve a state of flow. Try the Headspace app free for 30 days here! You can find more wonderful content from Eve on her IG. Episode Notes: The following books and podcasts have been especially helpful to me. I also recommend seeking out a Grief Counsellor or Therapist if you feel like you need additional support. In LA Our House offers grief support groups. Books: You are not alone - Cariad Lloyd It's OK That You're Not OK - Megan Devine Loss - Donna Ashworth The Beauty of What Remains - Steve Leder Podcasts: Griefcast - Cariad Lloyd Terrible Thanks for Asking - Nora McInerny What's Your Grief Podcast All There Is - Anderson Cooper Headspace Courses and meditations: Grieving Sudden Loss Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Episode 132: Road Trip... Destination, Columbus, Ohio - Join With Gold

Play Episode Listen Later Aug 30, 2023 85:41

Toni heads to Columbus, Ohio where she meets up with Jenny and their guest, Jenn Gebhart for part two of this August series on nervous system regulation. Jenn is a master facilitator for Everyday Mindfulness and Movements in the Columbus City Schools, offering well-being and self-care in education for staff and administrators. Jenn has also shared Urban Zen at The Ohio State Wexner Medical Center and James Cancer Hospital working with patients, staff and caregivers and Ohio Health Corporate Wellness programs. The three of them take a deep dive into the concept of regulating the nervous system and the role of the vagus nerve in the healing process. Jenn shares her very simple yet incredibly effective tools for toning the vagus nerve and self-healing using somatic practices. They discuss the idea of befriending your body and the self-awareness it takes to do this work. This episode is so incredibly empowering and offers an armful of tools to dump into your self-care toolbox that you will find yourself pulling out again and again as your travel your path. Follow Jenn and the inspiring healing work she engages in on Instagram @yogaandinspiration. Disclaimer: We had some issues with our music and Toni offers up an on-the-fly solution!

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OCD Isn't What We Think It Is

Inside Mental Health: A Psych Central Podcast

Play Episode Listen Later Aug 10, 2023 25:41

We've all seen depictions of obsessive-compulsive disorder (OCD) in pop culture: characters like Sheldon Cooper from “The Big Bang Theory” or Detective Adrian Monk from “Monk.” Their compulsions are portrayed as annoying, but ultimately it just makes people with OCD appear quirky. However, those depictions don't even scratch the surface of what OCD really is. Imagine being obsessed with images of violence or death or being worried that you might actually be a bad person and are doomed to hell. Often, there is nothing cute or quirky about OCD in the real world. Join us as Shala Nicely, a woman who lives with OCD, explains the truth about OCD and shares the challenges it has caused in her life. To learn more -- or read the transcript -- please visit the episode page. Our guest, Shala Nicely, LPC, is the author of Is Fred in the Refrigerator? Taming OCD and Reclaiming My Life and coauthor with Jon Hershfield, MFT of Everyday Mindfulness for OCD: Tips, Tricks & Skills for Living Joyfully. She is a counselor and cognitive behavioral therapist in metro Atlanta, specializing in the treatment of OCD & related disorders and anxiety disorders. Shala produces the Shoulders Back! Tips & Resources for Taming OCD newsletter and blogs for Psychology Today, offering an inside perspective on life with OCD. She is currently working on her third book, a murder mystery called In Neptune's Orbit, about the true price of secrets we keep from ourselves. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Everyday Mindfulness: Small Moments That Add Up

Moved To Meditate Podcast

Play Episode Listen Later Jul 20, 2023 23:23

This week on the podcast, I'd like to talk about “everyday mindfulness,” the practice of taking small moments to pause and be aware throughout your day. We'll explore practical ways you can create a supportive mindfulness practice for all the moving parts of your real, beautiful, and (sometimes) messy life. The advantage of everyday mindfulness is that we can incorporate it into what we're already doing, so it doesn't require any extra time. Practicing this way can be quite organic when we simply remember to be mindful while doing ordinary tasks. Many people find that being more aware during daily activities also has a way of making those moments more meaningful, and it creates little pockets of stress relief that can make a significant difference. Everyday Mindfulness Points You'll Hear About: Why mini-mindfulness practices are a great starting point for beginners interested in meditation How everyday mindfulness is an important part of maturing your practice further down the road Some background for everyday mindfulness practices in the Buddhist teachings, and how mindfulness includes all of our senses How mindful movement particularly strengthens the connection between meditation and everyday life. At the end of the episode, I'll offer a menu of everyday mindfulness practices you can play with this week, including the 54321 practice (with the 5 senses), “waiting meditation,” using a mindfulness bell, and more. For more links and resources mentioned in this episode, find the show notes at movedtomeditate.yoga/podcast. And, you can sign up for your "Library Card" to access this month's FREE practices in the Moved To Meditate Class Library! Information on the upcoming Mindful Movement Teacher Training can be found at movedtomeditate.yoga/mmtt. Feel free to reach out through my website with your thoughts on this episode. You can also connect with me on Instagram (or Threads!) at @addie_movedtomeditate (for mindfulness, movement, and pictures of Pacific Northwest nature and my adorable kitty, Mustache).

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ERP Scripting (with Shala Nicely) | Ep. 340

Paid Vocation with Lupe Prado

Play Episode Listen Later Jun 9, 2023 37:29

Today we are talking all about ERP Scripting with Shala Nicely. Welcome back, everybody. We are on Week 2 of the Imaginals and Script Series. This week, we have the amazing Shala Nicely on the show. She's been on before. She's one of my closest friends and I'm so honored to have her on. For those of you who are listening to this and haven't listened to any of the previous episodes, I do encourage you to go back to last week's episode because that is where we introduce the incredible Krista Reed and she talks about how to use scripts and imaginals. I give a more detailed intro to what we're here talking about if this is new for you. This will be a little bit of a steep learning curve if you're new to exposure and response prevention. Let me just quickly explain. I myself, I'm an ERP-trained therapist, I am an OCD Specialist, and a part of the treatment of OCD and OCD-related disorders involve exposing yourself to your fear and then practicing response prevention, which is reducing any of the safety behaviors or compulsions you do in effort to reduce or remove whatever discomfort or uncertainty that you feel. Now, often when we go to expose ourselves to certain things, we can't because they're not something we can face on a daily basis or they're often very creative things in our mind. This is where imaginals and scripts can come in and can be incredibly helpful. If you want a more detailed understanding of the steps that we take regarding ERP, you can go to CBTSchool.com, which is where we have all our online courses. There is a course called ERP School that will really do a lot of the back work in you really understanding today's session. You don't have to have taken the course to get the benefits of today's session because a lot of you I know already have had ERP or are in ERP as we speak, or your clinicians learning about ERP and I love that you're here. Honestly, it brings me so much joy. But that is there for you if you're completely lost on what's going on today, and that will help fill you in on the gold standard treatment for OCD and the evidence-based treatment for OCD and OCD-related disorders. That being said, let's get on with the good stuff. We have the amazing Shala Nicely. I am so honored again to have you on. You are going to love how applicable and useful her skills and tools are. Let's just get straight over to Shala. Kimberley: Welcome, Shala. I am so happy to have you back. I know we have a pretty direct agenda today to talk about imaginals versus scripting in your way in which you do it. I'd love to hear a little bit about, first, do you call it imaginals or do you call it scripting? Can you give me an example or a definition of what you consider them to be? SHALA'S STORY OF ERP SCRIPTING Shala: Sure. Well, thank you very much for having me on. Love to be here as always. I'll go back to how I learned about exposure when I first became a therapist. I learned about exposure being two different things. It was either in vivo exposure, so in life. Meaning, you go out and do the thing that your OCD is afraid of that you want to do, or it was imaginals where you imagine doing the thing that you want to do that your OCD is afraid to do. Research shows us that the in vivo is more effective, but sometimes imaginals is necessary because you can't go do the thing for whatever reason. But I don't think about it like that anymore. That's how I learned it, but it's not how I practice it. To help describe what I do, I'll take you back to when I had untreated OCD or when I was just learning how to do ERP for myself because I think that would help it make sense what I do. When I was doing ERP, I would obviously go out and do all the things that I wanted to do and my OCD didn't want me to do. What I found was that I could do those things, but my OCD was still in my head, getting me to have a conversation about what we were doing in my mind. I might go pick up a discarded Coke can on the side of the road because it's “contaminated,” and I would then go either put it in the trash, which would be another exposure because that would be not recycling. There are layers of exposures here. But my OCD could be in my head going, “Well, I don't think that one is contaminated. It doesn't look all that contaminated because it's pretty clean and this looks like a clean area so I'm sure it's not contaminated. What do you think, Shala?” “Oh, I agree with you.” “Well, we threw it away, but I bet you, these people, they're going to get wherever we threw it. They're actually going to sort it out and it's going to get recycled anyway.” There was this carnival in my head of information about what was going on. I determined what I was doing because I was doing the exposure, but I wasn't really getting all that much better. I was getting somewhat better but not all that much better. What I realized I was doing is that I'm having these conversations in my head, which are compulsive. In my recovery journey, what I was doing was I was going to a lot of trainings, I was reading a ton of books, and I talk about this in Is Fred in the Refrigerator?, my memoir, because this was a pretty pivotal moment for me when I read Dr. Jonathan Grayson's book, Freedom from Obsessive Compulsive Disorder. I know you're having him on this series as well. I read his book and he talks so much in there about writing scripts to deal with the OCD—writing scripts about what might happen, the worst-case scenario, living with uncertainty, and all that kind of stuff. That really resonated with me and I thought, “Aha, this is what I need to be doing. I need to be doing ERP scripting instead of having that conversation in my head with the OCD. Because when I'm doing exposure and I'm having a conversation with OCD in my head, I'm doing exposure and partial response prevention. I am preventing the physical response, but I'm not at all preventing the mental response, and this was slowing down my recovery.” The way I like to think of imaginals—you think about imagine like imagination—is that the way I do imaginal exposures, which I just call ERP scripting, is that I'm dealing with OCD's imagination. People with OCD are exceptionally creative. If you're listening to this and you think, “Well, not me,” for proof, all you have to do is look at what your OCD comes up with and look how creative it is. You guys share the same brain, therefore, you are creative too. All that creativity. When you have untreated OCD, it goes into coming up with these monstrous scenarios of how you're harming others or harming yourself. You're not ever going to be able to handle this anxiety or uncertainty or icky feeling or whatever, and it builds these scary stories that get us stuck. WHAT IS ERP SCRIPTING? What I'm trying to do with imaginal exposure or scripting is I'm trying to deal with OCD's imagination because in the example I gave, I was picking up the Coke can and my OCD was using its imagination to try to reassure me all the ways this Coke can was going to be okay or all the ways this Coke can was going to eventually get recycled. I needed to deal with that. Really, the way I do ERP Scripting for myself and for my clients is I'm helping people deal with OCD's imagination in a non-compulsive way. For me, it is not a choice of in vivo or imaginal; it is in vivo with imaginal, almost always, because most people that I see anyway are doing what I did. They are doing physical compulsions or avoidance and they're up in their head having a conversation with their OCD about it. I'm almost always doing in vivo and imaginals together because I'm having people approach the thing that they want to do that OCD doesn't want them to do, and I'm having them do scripts. The Coke can may or may not be contaminated. The fact that it's sitting here and it looks pretty clean may or may not mean that it's got invisible germs on it. I don't know. The Coke can may or may not get recycled, it may or may not end up in recycling, but somehow contaminate the whole recycling thing that has to throw all that other recycling away because it touched it. I'm trying to use my imagination to make it even worse for the OCD so that we're really facing these fears. That's how I conceptualize imaginal exposure. It's not an AND/OR it's an AND for me. Some people don't need it and if they don't need it, fine. But I find it's very helpful to make sure that people are doing full response prevention in that they're permitting both the physical and the mental compulsive response. DOES EVERYONE NEED ERP SCRIPTING? Kimberley: Does everyone need ERP scripting? When you say some people don't need it, what would the presentation of those people be? Shala: That for whatever reason, they are good at not having the conversation with OCD in their heads. This is the minority of people anyway that I work with. Most people are pretty good at having compulsive conversations with OCD because the longer you have untreated OCD, the more you end up taking your physical compulsions and pulling them inward and making the mental compulsion so that you can survive. If you can't really do all that physical checking at your office because people are going to see you, you do mental checking. That's certainly what I did. People become good at doing this stuff in their head and it becomes second nature. It can be going on. I talk about this a lot in Fred, I could do compulsions while I was doing anything else because I could do them in my head. Most people are doing that and most people have been doing that for long enough by the time they see somebody like me that if I just say, “Well, stop doing that,” I mean I'm never going to see them again. They're not going to come back because they can't stop doing that. That's the whole reason they called me. I'm giving them something else to do instead. It's a competing response to the mental compulsions because they don't know how to stop that. They're not aware of what they're doing, they don't know how to stop the process, so I'm giving them something to do instead of that until they build the mental muscles to be able to recognize OCD trying to get them to have a conversation and just not answer that question in their head. But it takes a long time to develop that skill. It took me a long time anyway. Some people, for whatever reason though, are good at that. If they don't need to do the scripting, great. I think that's wonderful. They don't have to do it. The strongest response you can ever have to OCD is to ignore it completely, both physically and mentally. If you can truly ignore it in your head, you don't even need to do the scripting. It's a stronger response to just do what you want to do that upsets OCD and just go on with your day. HOW TO DO ERP SCRIPTING? Kimberley: Amazing. So How do you do ERP Scripting? If you're not one of those people and OCD loves to come up with creative ideas of all the things, what would be your approach? You talked about imaginals versus scripting. Can you play out and show us how you do it? Shala: I mean, I guess imaginals in the traditional way that it is defined versus scripting. The way I would do it is we would design the client and I would design whatever their first exposure is going to be. Let's say that it would be touching doorknobs. They're going to be in their location and I'm going to be in my location. They're going to be wherever we've decided they're going to touch the doorknobs. Maybe it's to the outside of their house, for instance. I'm there on video with them and we have them touch the doorknob. And then I asked them, “Well, what is OCD saying about that?” “Well, OCD says that I need to go wash my hands.” I will say, “Well, are you going to go do that?” “No.” I'm like, “Well, let's tell OCD that.” “Okay, OCD, I'm not going to wash my hands.” “Now what's OCD saying?” “Well, OCD is saying that I'm contaminated.” “Well, let's say I may or may not be contaminated.” So far, we've got, “I'm not washing my hands and I may or may not be contaminated.” Okay, now I'll ask them their anxiety level. When they say, “Gosh, I'm at a four,” I'll say, “Is that good?” They'll often say, “No, I wish it were zero.” I'll be like, “I'm sorry, what? What did you say? You want your anxiety to be zero? I must have misheard that. Is four good?” Finally, they understand, “Oh, well, four is not good because we could be higher.” “What would be better than four?” “Anything above a four.” I'm working with them on that. We might start to throw some things in the script. I want to be anxious because this is how I beat my OCD, so bring it on. I'll ask again, “What's your OCD saying?” “Well, it's saying that I'm going to get some terrible disease.” “Well, you may not get a terrible disease.” I'm questioning back and forth the client as we're working on this, until we've got enough of a dialogue about what's going on in their head that we can then create a script. A script might look something like, “Well, I may or may not be contaminated. I may or may not get a dread disease, but I'm not washing my hands and I'm going to do this because I want my life back. It makes me anxious and I may or may not get a dread disease.” And then we'll focus in on what's bothering OCD most. Maybe it's, at the beginning, the dread disease. “Well, I may or may not get a drug disease. I may or may not get a dread disease. I may or may not get a dread disease. I may or may not get a dread disease.” We might sing it, we say it over and over and over and over and over again, and look for what the reaction from the OCD is. If the OCD is still upset, then we still go after that. If it starts moving, “Well, what's OCD saying now?” “Well, OCD is saying now that if I get a dread disease, then I won't be able to do this thing that I have coming up that I really want to do.” “Well, okay, I may or may not get a dread disease and I may or may not miss this important event as a result.” We add that in. We do that and do that and do that and do that for whatever the period is that we've decided is going to be our exposure period. And then we stop and then we talk about it. What did we learn? What was that like and what did you learn? Really focusing on how we did more than we thought we could do. We withstood more anxiety than we thought we could withstand. What did we learn about what the OCD is doing? I'm not so concerned about what the anxiety is doing. I mean, I want it to go up. That's my concern. I'm not all that concerned about whether it comes down or not. I do want it to go up. We talk about what we learned about the anxiety that gosh, you can push it up enough and you can handle a lot more than you thought you did. That would be our exposure. And then we would plan homework and then they would do that daily, hopefully. I have forms on my website that people can then send me their daily experience doing these exposures and I send them feedback on it, and that's what we're working on. We're working on doing the thing that OCD doesn't want you to do that you want to do, and then working on getting better and better at addressing all of the mental gymnastics in your head. Now, if somebody touches the doorknob and they're like, “Okay, I can do this,” and then their anxiety comes up and comes back down and they can do it without saying anything, great, go touch doorknobs. You don't need to do scripting. Often, I don't know if somebody needs to do that until we start working on it. If they don't need to do the scripting, great. We don't do the scripting. Makes things easier. But often people do need to. That's generally how I do it. Obviously, lots of variations on that based on what the client is experiencing. Kimberley: This is all thing, you're not writing it down. Again, when you go back to our original training, for me, it was a worksheet and you print it out, you'd fill out the prompts. Are you doing any of this written or is this a counter to the mental compulsions in your head? Shala: None of this is written. The only time I would write it out is after that first session. When you're really anxious, your prefrontal cortex isn't working all that well, so you may have trouble remembering what we did, remembering the specific things that we said, or pulling it up for yourself. When you're doing your exposure, you're so anxious. I might type out some of what we said, the main things, send it to the clients, and have that. But really to me, scripting is an interactive exercise and I want my clients to be listening to what the OCD is saying for the sole purpose of knowing what we're going to say. Because when we start doing exposure, what we're often trying to do is keep pace with the OCD because it's got a little imagination engine running and it's going to go crazy with all the things that it's going to come up with. We're trying to stay on that level and make sure we're meeting all its imagination with our own imagination. As we get better and better at this, then I'm teaching people how to one-up the OCD and how to get better than the OCD as it goes along. But it's a dynamic process. I don't have people read scripts because the script that we wrote was for what was going on whenever we wrote the script. Different things might be going on this time. What we're trying to do is listen to the OCD in a different way. I don't want people listening to it in a compulsive way. I want people listening to it in a, “I've got to understand my foe here and what my foe is upset about so I can use it against it.” That's what we're doing. There might be key things, little pieces we write down, but I'm not having people write and read it over and over. Now, there's nothing wrong with that. It's just not what I do. Everybody has a different way to approach this. This is just my way. Kimberley: Right. I was thinking as you were talking, in ERP School, I talk about the game of one-up and I actually do that game with clients before I do any scripting or imaginals or exposures too. They tell me what their fear is, I try and make it worse. And then I ask them to make it even worse, then I make it even worse, because I'm trying to model to them like, we're going here. We're going to go all the way and even beyond. If we can get ahead of OCD and get even more creative, that's better. Let's play it back and forward. You talked about touching a doorknob and all of the catastrophic things that can happen there. What about if someone were to say their thoughts are about harming somebody and they have this feeling of like, I've been trained, society has trained me not to have thoughts about harming people or sexual thoughts and so forth? There's this societal OCD stigmatizing like we don't think those things. We should be practicing not thinking those things. What would you give as advice to somebody in that situation? Shala: I would talk a lot about the science about our thoughts, that the more that you try to push a thought away, the more it's going to be there. Because every time you push a thought away, your brain puts a post-it note on it that says, “Ooh, she pushed this thought away. This must be dangerous. Therefore, I need to bring it up again to make sure we solve it.” Because humans' competitive advantage—we don't have fur, we don't have fangs, we don't have claws, we don't run very fast—our competitive advantage is problem-solving. The way we stay alive is for cave people looking out onto savannah and we can see that there are berries here, there, and yawn. But that one berry patch over there, gosh, you saw something waving in the grass by it and you're like, “I'm going to notice that and I'm going to remember that because that was different, but I also don't want to go over there.” Your brain is going to remember that like, “Hmm, there was something about that berry patch over there. Grass waving could be a tiger. We need to remember that. Remember that thing, we're not going to go over there.” We're interacting with thoughts in that way because that's what kept us alive. When we get an intrusive thought nowadays and we go, “Ooh, that was a bad thought. I don't know. I should stay away from that,” our brain is like, “Oh, post a note on that one. That one is like the scary tiger thought. We're going to bring that up again just to make sure.” Every time we try to push a thought away, we're going to make it come back. We talk a lot about that. We talk a lot about society's norms are whatever they are, but a lot of society's norms are great in principle, not that awesome in practice. We don't have any control over what we think about. The TV is filled with sex and gore, and violence. Of course, you're thinking those things. You can't get away from those images. I think society has very paradoxically conflicting rules about this stuff. Don't think about it but also watch our TV show about it. I would talk about that to try to help people recognize that these standards and rules that we put on ourselves as humans are often unrealistic and shame-inducing and to help people recognize that everybody has these thoughts. We have 40, 60, 80,000 thoughts a day. I got that number at some conference somewhere years ago. We don't have control over those. I would really help them understand the process of what's going on in their brain to destigmatize it by helping them understand really thoughts are chemical, neuronal, whatever impulses in our brain. We don't have a lot of control over that and we need to deal with them in a way that our brain understands and recognizes. We need to have those thoughts be present and have a different reaction to those thoughts so your brain eventually takes the post-it note off of them and just lets them cycle through like all the other thoughts because it recognizes it's not dangerous. HOW FAR CAN YOU GO IN ER SCRIPTING? Kimberley: Right. I agree. But how far can you go in ERP Scripting? Let's push a little harder then. This just happened recently actually. I was doing a session with a client and he was having some sexual pedophilia OCD obsessions playing up, “I'll do this to this person,” as you were doing like I may or may not statements and so forth. And then we played with the idea of doing one up. I actually went to use some very graphic words and his face dropped. It wasn't a drop of shock in terms of like, “Oh my gosh, Kimberley used that naughty word.” It was more of like, “Oh, you are in my brain, you know what I'm thinking.” And then I had to slow down and ask him, “Are there any thoughts you actually aren't admitting to having?” Because I could see he was going at 80% of where OCD took him, but he was really holding back with the really graphic, very sexual words—words that societally we may actually encourage our children and our men and women not to say. Do you encourage them to be using the graphic language that their OCD is coming up with? Shala: Absolutely. I'm personally a big swearer. That's another thing I talk about in-- Kimberley: Potty mouth. Shala: I'll ask clients, “What's your favorite swear word? Let's throw swear words in here.” I want to use the language that their OCD is using. If I can tell that's the language their OCD is using, well, let's use that language. Let's not be afraid of it. The other thing I do before I start ERP with anyone is I go through what I consider the three risks of ERP so they understand that what happens during our experience together is normal. I explain that it's likely we're going to make their anxiety worse in the weeks following exposure because we're taking away the compulsions bit by bit, and the compulsions are artificially holding back the anxiety. I explained that their OCD is not going to roll over because they're doing ERP therapy now. Nobody's OCD is going to go, “Oh gosh, Shala is in ERP. I think I'll just leave her alone now.” No, the OCD is going to ratchet it up. You're not doing what you're supposed to do, you're not doing your compulsions, so let's make things scarier. Let's make things more compelling. Let me be louder. Your OCD can get quite a bit worse once you start doing ERP because it's trying to get you back in line. When somebody is in an exposure session and their OCD is actually going places, they never even expected them to go, and I'll say that's what we're talking about, “That's just the OCD getting worse, that's what we wanted. This is what we knew was going to happen.” We're going to use that against the OCD to help normalize it. Then I also explain to people that people with OCD don't like negative emotions more than your average bear, and we tend to press all the negative emotions down under the anxiety. When you start letting the anxiety out and not doing compulsions, then you can also get a lot more emotions than you're used to experiencing so that people recognize if they cry during the exposures, if it's a lot scarier than they thought, if they have regret or guilt or other feelings, that's just a normal part of it. I explain all that. When things inevitably go places where the client isn't anticipating they're going to go like in a first exposure, then they feel this is just part of the process. I think it makes it so that it's easier to go those graphic places because you're like, “Yeah, we expected OCD to go the graphic place because it's mad at you.” Kimberley: It normalizes it, doesn't it? Shala: Yeah. Then we go to the graphic place too. I tell clients that specifically because this is a game and I really want them to understand this is what your opponent is likely to do so that they feel empowered so we can go there too and trying some to take the shame out of it. When you said the graphic word and your client had a look on their face and it was because how did you even know that was in my head, because you were validating that it's okay to have this thought because you knew it was going to be there. I think that's a really important part of exposure too. HOW LONG DO YOU USE ERP SCRIPTING FOR? Kimberley: So, how long do you do ERP Scripting for? Let's say they're doing this in your session or they're at home doing their assigned homework. Let's say they do it for a certain amount of time and then they have to get back to work or they're going to do something. But those voices, the OCD comes back with a vengeance. What would you have them do after that period of time? Would they continue with this action or is there a transition action or activity you would have them do? Shala: That's a great question. It depends a lot on really the stage of therapy that somebody is in and what is available to them based on what they're going to be doing. Oftentimes, what I will ask people to do is to try to do the exposure for long enough that you've done enough response prevention that you can then leave the exposure environment and not be up in your head compulsively ruminating. Because if you were doing exposure for 20 minutes, you've done a great job, but then you leave that exposure and you are at a high enough anxiety level where it feels compelling. Now you have to fix the problem in your head even though you just did this great exposure. Then we're just going to undo the work you just did. I try to help people plan as much as they can to not get themselves in a situation where they're going to end up compulsively ruminating or doing other compulsions after they finish. But obviously, we can't be perfect. Life happens. I think some of the ways you can deal with that, if you know it's going to happen, sometimes they'll ask people to make recordings on their phone and they just put in their earpieces or their earbuds or whatever and they can just listen to a script while they're doing whatever they're doing. Nobody has to know what they're doing because so many people walk around with EarPods in their ears all the time anyway. That's one way to deal with it. Another way to deal with it is to try to do the murmuring out in your head as best as you can. That's really hard because they're likely to just get mixed up with compulsive thoughts. You can try to focus your attention as much as you possibly can on what you're doing. That's going to be the strongest response. It's hard for people though when they get started to do that. But if you can do that, I think that's fine, and I think just being compassionate with yourself. “Okay, so I am now sitting here doing some rituals in my head. I'm doing the best I can.” If you're not in a situation where you can fully implement response prevention in your head because you're in a meeting and you got to do other stuff and you've got this compulsive stuff running in the background, just do the best you can. And then when you're at a place where you can do some scripting, some more exposure to get yourself back on top of the OCD, then do that. But be really compassionate. I try to stress this to all my clients. We are not trying to do ERP perfectly because if you try to do it perfectly, you're doing ERP in an OCD way, which isn't going to work. Just be kind to yourself and recognize this is hard and nobody is going to do it perfectly. If you end up in a situation where you end up doing some compulsions afterwards, well, that's good information for us. We'll try to do it differently or better next time, but don't beat yourself up. Kimberley: It's funny you brought that up because I was just about to ask you that question. Often clients will do their scripting or their imaginal and then they have an obsession, “What if I keep doing compulsions and it's not good to do compulsions?” Would you do scripting for that? Shala: Oh yeah. I may or may not do more compulsions than I used to be doing. I may or may not get really worse doing this. I may or may not have double the OCD that I had when I started seeing trauma. This may or may not become so bad that they have to create a hospital just to help me all by myself. We try to just create stuff to deal with that. But also, I'm injecting one up in the OCD, I'm injecting some humor, how outlandish can we make these things? I try to have “fun” with it. Now I say “fun” in quotes because I know it's not necessarily fun when you're trying to do this, but we're trying to make this content that OCD is turning into a scary story. We're trying to make it into a weapon to use against the OCD and to make this into a game as much as we can. Kimberley: I love it. I'm so grateful for you coming on. Is there anything that you want the listeners to know as a final piece for this work that you're doing? Shala: Sure. I think that there are so many different ways to do exposure therapy. This is the way that I do it. It's not the only way, it's not necessarily the right way; it's just the way I do it and it's changed over the years. If we were to record this podcast in five years or 10 years, I probably will be doing something slightly different. If your therapist is doing something differently or you're doing something differently, it's totally fine. I think that finding ERP in a way that works for you, like finding how it works for you and what works best for you is the most important thing. It's not going to be the same for everybody. Everybody has a slightly different approach and that's okay. One thing that people with OCD can get stuck on, and I know this because I have OCD too, is we can be black and white and say there's one right way. Well, she does it this way and he does it that way and this is wrong and this is right. No, if you're doing ERP, there are all sorts of ways to do it, so don't let your OCD get into the, “Well, I don't think you're doing this right because you're not doing this, that, or the other.” Just work with your therapist to find out what works best for you. If what I've described works well for you, great. And if it doesn't, you don't have to do it. These are just ideas. Being really kind and being really open to figuring out what works best for you and being very kind to yourself I think is most important. Kimberley: Amazing. Tell us where people can get more information about you. Tell us about your book. I know you've been on the podcast before, but tell us where they can get hold of you. Shala: Sure. They can get a hold of me on my website, ShalaNicely.com. I have a newsletter I send out once a month that they can sign up for called Shoulders Back! Tips & Resources for Taming OCD. In it, I feature blogs that I write or podcast episodes, other things that I'm doing. It's all free where I'm talking about tips and resources for taming OCD. I have two books: Everyday Mindfulness for OCD that I co-wrote with Jon Hershfield and Is Fred in the Refrigerator? Taming OCD and Reclaiming My Life, which is my memoir. It is written somewhat like a suspense novel because as all of you know who have OCD, living with untreated OCD is a bit like living in a suspense novel. My OCD is actually a character in the book. It is the villain, so to speak. The whole book is about me trying to understand exactly what is this villain I'm working against. Then once I figure out what it is, well, how am I going to beat it? And then how am I going to live with it long term? Because it's not like you're going to kill the villain in this book. The OCD is going to be there. How do I learn to live in a world of uncertainty and be happy anyway, which is something that I stole from Jon Grayson years ago. I stole a lot from him. That's what the book is about. Kimberley: It's a beautiful book and it's so inspiring. It's a handbook as much as it is a memoir, so I'm so grateful that you wrote it. It's such a great resource for people with OCD and for family members I think who don't really get what it's like to be in the head of someone with OCD. A lot of my client's family members said how it was actually the first time it clicked for them of like, “Oh, I get it now. That's what they're going through.” I just wanted to share that. Thank you so much for being on the show. I'm so grateful to have you on again. Shala: Thank you so much for having me. It was fun.

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TRANSCENDENT Guided Meditation: ”Everyday Mindfulness: Finding Transcendence in Simplicity”

Meditate With Raph

Play Episode Listen Later May 23, 2023 31:41

FREE TRANSCENDENT MEDITATION COURSE: https://www.mindbodyheartspirit.com/freecourse FREE WEEKLY LETTER BY RAPHAEL: https://www.raphaelreiter.com If you would like to support the channel, you can buy me a coffee via: https://www.buymeacoffee.com/raph Connect with me on Instagram: https://www.instagram.com/raphael.reiter Daily Meditations: https://www.patreon.com/raphaelreiter Immerse yourself in the transformative power of mindfulness in this guided meditation. Inspired by the Zen proverb, "When walking, walk. When eating, eat," learn to bring focused awareness and presence to everyday activities. Discover the depth and richness that lies within seemingly mundane tasks. Find self-transcendence by embracing the simplicity and beauty of the present moment. Let this meditation guide you toward a more mindful and transcendent way of living. Quote: "In the beginner's mind, there are many possibilities; in the expert's mind, there are few." - Shunryu Suzuki Explanation: This quote highlights the importance of adopting a beginner's mind, an attitude of openness, curiosity, and receptivity. Self-transcendence involves letting go of preconceived notions, assumptions, and the limitations of expertise. By cultivating a beginner's mind, we free ourselves from the constraints of rigid thinking and open ourselves to new insights, growth, and infinite possibilities. Actionable item: Engage in a new activity or explore a subject that you have little to no knowledge or experience in. Approach it with a sense of wonder, openness, and a willingness to learn without the burden of expertise. Journaling prompt: Describe an experience when you approached a situation with a beginner's mind. How did this mindset of openness and curiosity enhance your learning and growth? How can you apply the principles of a beginner's mind to other areas of your life to foster self-transcendence?

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27 | A Journey Into Curiosity | Timothy Lewis

Beyond Trauma

Play Episode Listen Later May 1, 2023 59:45

Timothy Lewis walked into my yoga studio, Land Yoga on one New Year's Eve and never turned back. He became a regular and dedicated yoga practitioner, got his yoga teacher certification, and then did his Trauma-Informed Yoga Teacher Training with Three and a Half Acres Yoga where he now teaches classes for trauma survivors. Timothy is a born scientist, full of a curiosity which he allows to take him on the journey of life. He is featured in my book, The Essential Guide to Trauma Sensitive Yoga which is out TOMORROW. Make any level donation to Three and a Half Acres Yoga and receive an invite to our special private book event on Saturday, May 13th where you will have the opportunity to meet Timothy and many others who were involved in this project. Purchase the book today (May 1st) for the final day to receive your online BONUSES. Timothy Lewis is a Jay Shetty certified mindfulness coach and educator at heart with over 20 years of dynamic experience honoring unique individuality and nurturing innate curiosity. An avid researcher of epigenetics, human psychology, and the new human biology, he allows a love for learning and growth to fuel his zest for life. Timothy is a 200-h RYT with training in the foundations of Yin and trauma-sensitive yoga. Timothy teaches an Everyday Mindfulness & Meditation course, works with individuals and groups looking to explore how mindfulness can neutralize the effects of stress and modern living, and offers embodied movement classes including yoga and capoeira. Timothy enjoys training and teaching, traveling, and exploring the contrast of being deeply drawn to nature while embracing the hustle and bustle of New York City. Learn more about Timothy and his offerings here. Also, Timothy shares short practices and insights on Timothy Lewis (@mindfulnesswithtimothy) • Instagram photos and videos, and LinkedIn. -------------------------------------------------------------------------------------------------------------- Your support is deeply appreciated! Find me, Lara, on my Website / Instagram You can support this podcast with any level of donation here. Pre-order The Essential Guide to Trauma Sensitive Yoga: How to Create Safer Spaces for All Opening and Closing music: Other People's Photographs courtesy of Daniel Zaitchik. Follow Daniel on Spotify.

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The Power of Everyday Mindfulness | Lori Mulady Burdick

Play Episode Listen Later Mar 29, 2023 41:13

Episode #86. This week on the podcast I am joined by Lori Mulady Burdick. Lori brings over 30 years of experience in the counseling profession, wellness and spirituality. Lori has been drawn to soul-healing work from a very young age. Miraval Wellness Resort has provided a beautiful platform to integrate her wealth of knowledge, education, experience and spiritual wisdom to create space and to companion guests in navigating the waters of their lives. At Miraval she specializes in life transitions, relationships, family dynamics, parenting, boundaries, health, and bereavement. She offers an opportunity to realign your perspective and receive support and guidance. She also offers private consultations for each of those topics in addition to consultations for mindful relationships and mindful parenting. Outside of Miraval she is a private practitioner, educator, presenter and retreat facilitator. In this conversation, we talk about the importance of mindfulness and how we can create space for more mindful moments in our lives. Connect with Lori: Website Connect with Lupe: Website Instagram

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Obsessive-Compulsive Disorder with Jon Hershfield, MFT

Evidence-Based: A New Harbinger Psychology Podcast

Play Episode Listen Later Nov 1, 2022 48:17

Jon Hershfield, MFT, author of The Mindfulness Workbook for OCD, joins us to discuss obsessive-compulsive disorder. Hershfield is director of The Center for OCD and Anxiety at Sheppard Pratt in Towson, MD. He specializes in the use of mindfulness and cognitive behavioral therapy (CBT) for obsessive-compulsive disorder (OCD) and related disorders. He is also author of Overcoming Harm OCD, When a Family Member Has OCD, and The OCD Workbook for Teens, and coauthor of Everyday Mindfulness for OCD. Visit our website at www.newharbinger.com and use coupon code 'Podcast25' to receive 25% off your entire order. Buy the Book: New Harbinger - https://bit.ly/3SCXWgf Amazon - https://www.amazon.com/dp/1684035635/ Barnes & Noble - https://www.barnesandnoble.com/w/1113893446 IndieBound - https://www.indiebound.org/book/9781684035632

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Ep. 284 6-Part Series: Managing Mental Compulsions (with Shala Nicely)

Play Episode Listen Later May 13, 2022 41:43

SUMMARY: In this weeks podcast, we have my dearest friend Shala Nicely talking about how she manages mental compulsions. In this episode, Shala shares her lived experience with Obsessive Compulsive Disorder and how she overcomes mental rituals. In This Episode: How to reduce mental compulsions for OCD and GAD. How to use Flooding Techniques with Mental Compulsions Magical Thinking and Mental Compulsions BDD and Mental Compulsions Links To Things I Talk About: Shalanicely.com Book: Is Fred in the Refridgerator? Book: Everyday Mindfulness for OCD ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com. CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors. Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 284. Welcome back, everybody. We are on the third video or the third part of this six-part series on how to manage mental compulsions. Last week's episode with Jon Hershfield was bomb, like so good. And I will say that we, this week, have Shala Nicely, and she goes for it as well. So, I am so honored to have these amazing experts talking about mental compulsions, talking about what specific tools they use. So, I'm not going to take too much time of the intro this time, because I know you just want to get to the content. Again, I just want to put a disclaimer. This should not replace professional mental health care. This series is for educational purposes only. My job at CBT School is to give you as much education as I can, knowing that you may or may not have access to care or treatment in your own home. So, I'm hoping that this fills in a gap that maybe we've missed in the past in terms of we have ERP School, that's an online course teaching you everything about ERP to get you started if you're doing that on your own. But this is a bigger topic. This is an area that I'd need to make a complete new course. But instead of making a course, I'm bringing these experts to you for free, hopefully giving you the tools that you need. If you're wanting additional information about ERP School, please go to CBTSchool.com. With that being said, let's go straight over to this episode with Shala Nicely. Kimberley: Welcome, Shala. I am so happy to have you here. Shala: I am so happy to be here. Thank you for having me. Kimberley: Okay. So, I have heard a little bit of your views on this, but I am actually so excited now to get into the juicy details of how you address mental compulsions or mental rituals. First, I want to check in with you, do you call them mental compulsions, rituals, rumination? How do you address them? Shala: Yeah. All those things. I also sometimes call it mental gymnastics up in your head, it's all sorts of things you're doing in your head to try to get some relief from anxiety. Kimberley: Right. So, if you had a patient or a client who really was struggling with mental compulsions, whether or not they were doing other compulsions as well, how might you address that particular part of their symptomology? Shala: So, let me answer that by stepping back a little bit and telling you about my own experience with this, because a lot of the way I do it is based on what I learned, trying to manage my own mental rituals. I've had OCD probably since I was five or six, untreated until I was 39. Stumbled upon the right treatment when I went to the IOCDF Conference and started doing exposure mostly on my own. I went to Reid Wilson's two-day group, where I learned how to do it. But the rest of the time, I was implementing on my own. And even though I had quite a few physical compulsions, I would've considered myself a primary mental ritualizer, meaning if we look at the majority, my compulsions were up in my head. And the way I think about this is I think that sometimes if you have OCD for long enough, and you've got to go out and keep functioning in the world and you can't do all these rituals so that people could see, because then people will be like, “What's wrong with you? What are you doing?” you take them inward. And some mental compulsions can take the place of physical compulsions that you're not able to do for whatever reason because you're trying to function. And I'd had untreated OCD for so long that most of my rituals were up in my head, not all, but the great majority of them. Exposure & Response Prevention for Mental Compulsions So, when I started to do exposure, what I found was I could do exposure therapy, straight up going and facing my fears, like going and being around things that might be triggering all I wanted, but I wasn't necessarily getting better because I wasn't addressing the mental rituals. So, basically, I'm doing exposure without response prevention or exposure with partial response prevention, which can make things either worse or just neutralize your efforts. So, what I did was I figured out how to be in the presence of triggers and not be up in my head, trying to do analyzing, justifying, figuring it out, replaying the situation with a different ending, all the sorts of things that I would do over and over in my head. And the way I did this was I took something I learned from Jonathan Grayson and his book, Freedom From OCD. I know you're having him on for this series too. And he talked about doing all this ERP scripting, where you basically write out the worst-case scenario, what you think your OCD thinks is going to happen and you write it in either a worst-case way or an uncertainty-focused way. And what I did was after reading his book, I took that concept and I just shortened it down, and anything that my OCD was afraid of, I would just wrap may or may not surround it. So, for instance, an example that I use in Is Fred in the Refrigerator?, my memoir, Taming OCD and Reclaiming My Life was that I used to-- when I was walking through stores like Target, if I saw one of those little plastic price tags that had fallen on the ground, if I didn't pick it up and put it out of harm's way, I was afraid somebody was going to slip and fall and break their neck. And it would be on some security camera that I just walked on past it and didn't do anything. So, a typical scrupulosity obsession. And so, going shopping was really hard because I'm cleaning up the store as I'm shopping. And so, what I would do is I would either go to Target, walk past the price tag. And then as I'm just passing the price tag, I would say things. And in Target, I obviously couldn't do this really out loud, mumble it out loud as best, but I may or may not cause somebody to kill themselves by they're going to slip and fall on that price tag because I didn't pick it up. I may or may not be an awful, terrible rotten human being. They may or may not catch me and throw me into jail. I may or may not rot in prison. People may or may not find out what a really bad person I really am. This may or may not be OCD, et cetera, et cetera, et cetera. And that would allow me to be present with the obsessions, all the what-ifs – those are basically what-ifs turned into ‘may or may nots' – without compulsing with them, without doing anything that would artificially lower my anxiety. So, it allowed me to be in the presence of those obsessive thoughts while interrupting the pattern of the mental rituals. And that's really how I use ‘may or may nots' and how I teach my clients to use ‘may or may nots' today is using them to really be mindfully present of what the OCD is worried about while not interacting with that content in a way that's going to make things worse. So, that's how I developed it for myself. And I think that-- and that is a tool that I would say is an intermediary tool. So, I use that now in my own recovery. I don't have to use 'may or may nots'. It's very often at all. If I get super triggered, which doesn't happen too terribly often, but if I get super triggered and I cannot get out of my head, I'll use 'may or may nots'. But I think the continuum is that you try to do something to interrupt the mental rituals, which for me is the 'may or may nots'. You can also-- people can write down the scripts, they can do a worst-case scenario. But eventually, what you're trying to get to is you're trying to be able to hear the OCD, what-ifs in your head and completely ignore it. And I call that my shoulders back, the way of thinking about things. Just put your shoulders back and you move on with your day. You don't acknowledge it. What I'll do with clients, I'll say, “If you had the thought of Blue Martian is going to land on my head, I mean, you wouldn't even do anything with that thought. That thought would just go in and go out and wouldn't get any of your attention.” That's the way we want to treat OCD, is just thoughts can be there. I'm not going to say, “Oh, that's my OCD.” I'm not going to say, “OCD, I'm not talking to you.” I'm not going to acknowledge it at all. I'm just going to treat it like any other weird thought that we have during the day and move on. Your question was, how would you help somebody who comes in with mental rituals? Well, first, I want to understand where are they in their OCD recovery? How long have they been doing these mental rituals? What percentage of their compulsions are mental versus physical? What are the kind of things that their OCD is afraid of? Basically, make a list or a hierarchy of everything they're afraid of. And then we start working on exposure therapy. And when I have them do exposures, the first exposure I do with people, we'll find something that's-- I start in the middle of the hierarchy. You don't have to, but I try. And I will have them face the fear. But then I'll immediately ask them, what is your OCD saying right now? And they'll tell me, and I'll say, “I want you to repeat after me.” I have them do this, and everyone that I see hates this, but I have them do it. Standing up with their shoulders back like Wonder Woman, because this type of power pose helps them. It changes the chemistry of your body and helps you feel more powerful. OCD thinks it's very powerful. So, I want my clients to feel as powerful as they can. So, I have them stand like Wonder Woman and they repeat after me. Somebody could-- let's just say we are standing near something red on the floor. And I'll say, “Well, what is your OCD saying right now?” And they'll say, “Well, that's blood and it could have AIDS in it, and I'm going to get sick.” I'll say, “Well, that may or may not be a spot of blood on the floor. I may or may not get sick and I may or may not get AIDS, but I want to do this. I'm going to stay here. OCD, I want to be anxious, so bring it on.” And that's how we do the exposure, is I ask them what's in their head. I have them repeat it to me until they understand what the process is. And then I'm having them be in the presence of this and just script, script, script away. That's what I call it scripting, so that they are in the presence of whatever's bothering them, but they're not up in their head. And anytime something comes in their head, I teach them to pull it down into the script. Never let something be circulating in your head without saying it out loud and pulling it into the script. I will work on this technique with clients as we're working on exposures, because eventually what we'll want to do is instead of going all over the place, “That may or may not be blood, I may or may not get AIDS, I may or may not get sick,” I'll say, “Okay, of all the things you've just said, what does your OCD-- what is your OCD scared of the most? Let's focus on that.” And so, “I may or may not get AIDS. I may or may not get AIDS. I may or may not have HIV. I may or may not get AIDS,” over again until people start to say, “Oh, okay. I guess I don't have any control over this,” because what we're trying to do is help the OCD habituate to the uncertainty. Habituate, I know that'd be a confusing word. You don't have to habituate in order for exposure to work due to the theory of inhibitory learning, but we're trying to help your brain get used to the uncertainty here. Kimberley: And break into a different cycle instead of doing the old rumination cycle. Shala: Yes. And so then, I'll teach people to just find their scariest fear. They say that over and over and over again. Then let's hit the next one. “Well, my family may or may not survive if I die because if I get a fatal disease and I die and my family may or may not be left destitute,” and then over and over. “My family may or may not be left destitute. My family may or may not be left destitute, whatever,” until we're hitting all the things that could be circulating in your head. Now, some people really don't need to do that scripting because they're not up in their head that much. But that's the minority of people. I think most people with OCD are doing something in their head. And a lot of people aren't aware of what they're doing because these mental rituals are incredibly subtle at times. And so, as people, as my clients go out and work on these exposures, I'll have them tell me how it's going. I have people fill out forms on my website each day as they're doing exposures so I can see what's going on. And if they're not really up in their head and they don't really need to do the ‘may or may nots', great. That's better. In fact, just go do the exposure and go on with your life. If they're up in their head, then I have them do the 'may or may nots'. And so, that's how I would start with somebody. And so, what I'm trying to do is I'm giving them what I call a bridge tool. Because people who have been mental ritualizing for a long time, I have found it's virtually impossible to just stop because that's what your mind is used to doing. And so, what I'm doing is I'm giving them a competing response. And I'm saying here, instead of mental ritualizing, I'd like you to say a bunch of 'may or may nots' statements while standing up and say them out loud while looking like Wonder Woman. Everybody rolls their eyes like, “Really?” But that's what we do as a bridge tool. And so, they've lifted enough mental weights, so to speak, with this technique that they can hear the OCD and start to disengage and not interact with it at all. Then we move to that technique. Flooding Techniques for Mental Rumination Kimberley: Is there a reason why-- and for some of the listeners, they may have learned this before, but is there a reason why you use 'may or may nots' instead of worst-case scenarios? Shala: For me, for my personal OCD recovery journey, what I found with worst-case scenario is I got too lost in the content. I remember doing-- I had had a mammogram, it had come back with some abnormal findings. I spent the whole weekend trying to do scripting about what could happen, and I was using worst-case scenario. Well, I end up in the hospital, I end up with breast cancer, I end up dead. And by the end of the weekend, I was completely demoralized. And I'm like, “Well, I don't bother because I'm going to be dead, because I have breast cancer.” That's where my mind took it because I've had OCD long enough that if I get a really scary and I start and I play around in the content, I'm going to start losing insight and I'm going to start doing depression as a compulsion, which is the blog we did talk about, where you start acting depressed because you're believing what the OCD says like, “Oh, well, I might as well just give up, I have breast cancer,” and then becoming depressed, and then acting like it's true. And then that's reinforcing the whole cycle. So, for me, worst-case scenario scripting made things worse. So, when I stayed in the uncertainty realm, the ‘may or may nots' that helped because I was trying to help my brain understand, “Well, I may or may not have breast cancer. And if I do, I mean, I'll go to the doctor, I'll do what I need to do, but there's nothing I can do about it right now in my head other than what I'm doing.” Some people like worst-case scenario and it works fine for them. And I think that works too. I mostly use 'may or may nots' with clients unless they are unable through numbing that they might be doing. If they're unable to actually feel what they're saying, because they're used to turning it over in their head and pulling the anxiety down officially, and so I can't get a rise out of the OCD because there's a lot of really little subtle mental compulsions going on, then I'll insert some worst-case scenario to get the anxiety level up, to help them really feel the fear, and then pull back into 'may or may nots'. But there's nothing wrong with worst-case scenario. But for me, that was what happened. And I think if you are prone to depression, if you're prone to losing insight into your OCD when you've got a really big one, I think that's a risk factor for using that particular type of scripting. Magical Thinking and Mental Compulsions Kimberley: Right. And I found that they may or may not have worked just as well, except the one thing, and I'm actually curious on your opinion on this and I have not had this conversation, is I find that people who have a lot of magical thinking benefit by worst-case scenario, like their jinxing compulsions and so forth, like the fear of saying it means it will happen. So, saying the worst-case is the best exposure. Is that true for you? Shala: I have not had to use it much on my own magically. I certainly had a lot of magical thinking. Like, if I don't hit this green light, then somebody's going to die. But I think the worst-case scenario, I could actually work well in that, because if you use the worst-case scenario, it can make it seem so ridiculous that it helps people let go of it more easily. And I think you can do that with 'may or may nots' too. I'll try to encourage people to use the creativity that they have because everybody with OCD has a ton of creativity. And we know that because the OCD shares your brain and it's certainly the creative stuff And to one-up the OCD, you use the scripting to be like, “Gosh, I may or may not get some drug-disease and give it to my entire neighborhood. I may or may not kill off an entire section of my county. We may or may not infect the entire state of Georgia. The entire United States may or may not blow up because I got this one disease. So, they may or may not have to eject me off the earth and make me live on Mars because I'm such a bad person.” This ‘may or may not' is in all this crazy stuff too, because that's how to win, is to one up the OCD. It thinks that's scary, let's go even scarier. But the scary you get, it also gets a little bit ridiculous after a while. And then the whole thing seems to be a little bit ridiculous. So, I think you can still use that worst-case stuff with may or may not. Kimberley: Right. Okay. So, I mean, I will always sort of-- I know you really well. I've always held you so high in my mind in just how resilient and strong you are in doing this. How might you, or how do you help people who feel completely powerless at even addressing this? For you to say it, it sounds very like you're just doing it and it's so powerful. But for those who are really struggling with this idea of like, you said, coming out of your head, can you speak to how you address that in session if someone's really struggling to engage in 'may or may nots' and so forth? Shala: Yeah. Well, thank you for the kind words, first off. I think that it's really common for people with OCD by the time they get to a therapist to feel completely demoralized, especially if they've been to multiple therapists before they get to somebody who does ERP. And so, they feel like they're the victim at the hands of a very cruel abuser that they can't get away from. And so, they feel beaten down and they don't know how to get out of their heads. They feel like they're trapped in this mental prison. They can't get out. And if somebody is struggling like that, and they're doing the 'may or may nots' and the OCD is reacting, which of course, it will, and coming back at them stronger, which I always warn people, this is going to happen. When you start poking at this, the OCD is going to poke back and poke back even harder, because it wants to get you back in line so it can keep you prisoner. So, what I'll often do in those situations, if I see somebody is really feeling like they have been so victimized, that they're never going to be able to get over this, is the type of script I have them do is more of an empowerment script, which could sound like this: “OCD, I'm not listening to you anymore. I'm not doing what you want. I am strong. I can do this.” And I might add some 'may or may nots' in there. “And I want to be anxious. Come on, bring it on. You think that's scary? Give me something else.” I know you're having Reid Wilson on as part of this too. I learned all that “bring it on” type stuff and pushing for the anxiety from him. And I think helping people say that out loud can be really transformative. I've seen people just completely break down in tears of sort of, “Oh my gosh, I could do this,” like tears of empowerment from standing up and yelling at their OCD. If people like swearing, I also just have them swear at it, like they would really swear at somebody who had been abusing them if they had a chance, because swearing actually can make you feel more powerful too, and I want to use all the tools we can. So, I think scripting comes in a number of forms. It's all about really taking what's in your head, turning it into a helpful self-talk and saying it out loud. And the reason out loud is important for any type of scripting is that if you're saying it in your head, it's going to get mixed up with all the jumble of mental ruminating that's going on. And saying it out loud makes it hard for you to ruminate. It's not impossible, but it's hard because you're saying it. Your brain really is only processing one thing at a time. And so, if you're talking and really paying attention to what you're saying, it's much harder to be up in your head spinning this around. And so, adding these empowerment scripts in with the 'may or may nots' helps people both accept the uncertainty and feel like they can do this, feel like they can stand up to the OCD and say, “You've beaten me enough. No more. This is my life. I'm not letting you ruin it anymore. I am taking this back. I don't care how long it takes. I don't care what I have to do. I'm going to do this.” And that builds people up enough where they can feel like they can start approaching these exposures. Kimberley: I love that. I think that is such-- I've had that same experience of how powerful empowerment can be in switching that behavior. It's so important. Now, one thing I really want to ask you is, do you switch this method when you're dealing with other anxiety disorders – health anxiety, social anxiety, panic disorder? What is your approach? Is there a difference or would you say the tools are the same? Shala: There's a slight difference between disorders. I think health anxiety, I treat exactly like OCD. Even some of the examples I gave here were really health anxiety statements. With panic disorder-- and again, I learned this from Reid and you can ask him more about this when you interview him. But with pain disorder, it's all about, I want to feel more shorter breath, more like their elephant standing on my chest. I want my heart to be faster. But I'm doing this while I'm having people do exercises that would actually create those feelings, like breathing through a little bit of cocktail straw, jogging, turning up a space heater, and blowing it on themselves. So, we're trying to create those symptoms and then talk out loud and say, “Come on, I want more of this. I want to feel more anxious. Give me the worst panic attack you've ever had.” So, it's all about amping up the symptoms. With social anxiety, it's a little bit different because with social anxiety, I would work on the cognitions first. Whereas with OCD, we don't work on the cognitions at all, other than I want you to have a different cognitive relationship with your disorder and your anxiety. I want you to want the anxiety. I want you to want the OCD to come and bother you because that gives you an opportunity to practice. That's the cognitive work with OCD. I do not work on the cognitive work on the content. I'm not going to say to somebody, “Well, the chance you're going to get AIDS from that little spot of blood is very small.” That's not going to be helpful With social anxiety, we're actually working on those distorted cognitions at the beginning. And so, a lot of the work with social anxiety is going to be going out and testing those new cognitions, which really turns the exposures into what we call behavioral experiments. It's more of a cognitive method. We're going out and saying, “Gosh, my new belief, instead of everybody's judging me, is, well, everybody is probably thinking about themselves and I'm going to go do some things that my social anxiety wouldn't want me to do and test out that new belief.” I might have them use that new belief, but also if their anxiety gets really high and they're having a hard time saying, “Well, that person may or may not be judging me. They may or may not be looking at me funny. They may or may not go home and tell people about me.” But really, we're trying to do something a little bit different with social anxiety. Kimberley: And what about with generalized anxiety? With the mental, a lot of rumination there, do you have a little shift in how you respond? Shala: Yeah. So, it's funny that the talk that Michelle Massi and others gave at IOCDF-- I think it was at IOCDF this year about what's the difference between OCD and GAD is they're really aligned there. I mean, I treat GAD very similarly the way I treat OCD in that people are up in their heads trying to do things. They're also doing other types of safety behaviors, compulsive safety behaviors, but a lot of people GAD are just up in their head. They're just worried about more “real-life” things. But again, a lot of OCD stuff can be real-life things. I mean, look at COVID. That was real life. And people's OCD could wrap itself around that. So, I treat GAD and OCD quite similarly. There are some differences, but in terms of scripting, we call it “worry time” in GAD. It's got a different name, but it's basically the same thing. Kimberley: Right. Okay. Thank you for answering that because I know some folks here listening will be not having OCD and will be curious to see how it affects them. So, is that the practice for you or is there anything else you feel like people need to know going in, in terms of like, “Here is my strategy, here is my plan to target mental rituals”? What would you say? Shala: So, as I mentioned, I think the 'may or may nots' are bridge tool that are always available to you throughout your entire recovery. My goal with anybody that I'm working with is to help them get to the point where they can just use shoulders back. And the way that I think about this is what I call my “man in the park” metaphor. So, we've all probably been in a park where somebody is yelling typically about the end of the world and all that stuff. And even if you were to agree with some of the things that the person might say from a spiritual or religious standpoint, you don't run home and go, “Oh my gosh, we got to pack all our things up because it's the end of the world. We have to get with all of our relatives and be together because we're all going to die.” We don't do that. We hear what this guy's saying, and then we go on with our days, again, even if you might agree with some of the content. Now, why do we do that? We do that because it's not relevant in our life. We realize that person probably, unfortunately, has some problems. But it doesn't affect us. We hear it just like when we might hear birds in the background or a car honking, and we just go on with our day. That's how we want to treat OCD. What we do when we have untreated OCD is we run up to the man in the park and we say, “Oh my gosh, can I have a pamphlet? Let me read the pamphlet. Oh my gosh, you're right. Tell me more, tell me more.” And we're interacting with him, trying to get some reassurance that maybe he's wrong, that maybe he does really mean the end of the world is coming soon. Maybe it's going to be like in a hundred years. Eventually, we get to the point where we're handing out pamphlets for him. “Here, everybody, take one of these.” What we're doing with 'may or may nots' is we're learning how to walk by the man in the park and go, “The world may or may not be ending. The world may or may not be ending. I'm not taking a pamphlet. The world may or may not be ending.” So, we're trying to not interact with him. We're trying to take what he's saying and hold it in our heads without doing something compulsive that's going to make our anxiety higher. What we're trying to do is practice that enough till we can get to the point where we can be in the park with the guy and just go on with our day. We hear him speaking, but we're really-- it's just not relevant. It's just not part of our life. So, we just move on. And we're not trying to shove him away. It's just like any other noise or sound or activity that you would just-- it doesn't even register in your consciousness. That's what we're trying to do. Now I think another way to think about this is if you think-- say you're in an art gallery. Art galleries are quiet and there are lots of people standing around, and there's somebody in there that you don't like or who doesn't like you or whatever. You're not going to walk up to that person and tap on their shoulder and say, “Excuse me, I'm going to ignore you.” You're just going to be like, “I know that person is there. I'm just going to do what I'm doing.” And I think that's-- I use that to help people understand this transition, because we're basically going from 'may or may nots' where we're saying, “OCD, I'm not letting you do this to me anymore,” so we are being really aggressive with it, to this being able to be in the same space with it, but we're not talking to it at all because we don't need to, because we can be in the presence with the intrusive thoughts that the OCD is reacting to, just like the presence of all the other thousands of thoughts we have each day without interacting with them. Kimberley: That's so interesting. I've never thought of it that way. Shala: And so, that's where I'm trying to get people because that is the strongest, strongest recovery, is if you can go do the things that you want to do, be in the presence of the anxiety and not do compulsions physical or mental, you don't give anything for OCD to work with. I have a whole chapter in my memoir about this after I heard Reid say at one of the conferences, “We need to act as though what OCD is saying doesn't matter.” And that was revolutionary to me to hear that. And that's what we're trying to do both physically and mentally. Because if you can have an obsession and focus on what you want to focus on, do what you want to do, you're not giving OCD anything to work with. And typically, it'll just drain away. But this takes time. I mean, it has taken me years to learn how to do this, but I went untreated for 35 years too. It may not take you years, but it may. And that's okay. It's a process. And I think if you have trouble trying to do shoulders back, man in the park, use 'may or may nots'. You can use the combination. But I think we're trying to get to the point where you can just be with the OCD and hear it flipping out and just go on with your day. OCD, BDD, and Mental Rituals Kimberley: In your book, you talk about the different voices. There is a BDD voice and an OCD voice. Was it harder or easier depending on the voice? Was that a component for you in that-- because the words and the voice sound a little different. I know in your memoir you give them different names and so forth, which if anyone hasn't read your memoir, they need to go right now and read it. Do you have any thoughts on that in terms of the different voices or the different ways in which the disorders interact? Shala: That's a really great question because yes, I think OCD does shift its voice and shift its persona based on how scared it is. So, if it's a little bit scared, it's probably going to speak to you. It's still going to be not a very nice voice. It might be urgent and pleading. But if it's super scared, I talk about mine being like the triad of hell, how my OCD will personify into different things based on how scared it is. And if it's super scared and it's going to get super big and it's going to get super loud in your head because it's trying desperately to help you understand you've got to save it because it thinks it's in danger. That's all its content. Then I think-- and if you have trouble ignoring it because it's screaming in your head, like the man in the park comes over with his megaphone, puts it right up against your ear and starts talking, that's hard to ignore. That's hard to act like that's not relevant because it hurts. There's so much noise. That's when you might have to use a may or may not type approach because it's just so loud, you can't ignore it, because it's so scared. And that's okay. And again, sometimes I'll have to use that. Not too terribly often just because I've spent a long time working on how to use the shoulder's back, man in the park, but if I have to use it, I use it. And so, I think your thought about how do I interact with the OCD based on how aggressive it's being also plays into this. Kimberley: I love all this. I think this is really helpful in terms of being able to be flexible. I know sometimes we want just the one rule that's going to work in all situations, but I think you're right. I think that there needs to be different approaches. And would you say it depends on the person? Do you give them some autonomy over finding what works for them, or what would you say? Shala: Absolutely. If people are up in their heads and they don't want to use 'may or may nots', I'll try to use some other things. If I really, really think that that's what we need right now, is we need scripting, I'll try to sell them on why. But at the end of the day, it's always my client's choice and I do it differently based on every client. For some clients, it might be just more empowering statements. For some clients where it's more panicky focused, it might be more about bringing on your anxiety. Sometimes it might be pulling self-compassion in and just saying the self-compassion statements out loud. So, it really does vary by person. There's no one-size-fits-all, but I think, I feel that people need to have something to replace the mental ritualizing with at the beginning that they've been doing it for a long time, just because otherwise, it's like, I'm giving them a bicycle, they've never ridden a bicycle before and I won't give them any training wheels. And that's really, really hard. Some people can do it. I mean, some people can just be like, “Oh, I'm to stop doing that in my head? Okay, well, I'll stop doing that in my head.” But most people need something to help them bridge that gap to get to the point where they can just be in the presence with it and not be talking to it in their heads. Kimberley: Amazing. All right. Any final statements from you as we get close to the end? Shala: I think that it's important to, as you're working on this, really think about what you're doing in your head that might be subtle, that could be making the OCD worse. And I think talking and being willing to talk about this to therapists about putting it all out there, “Hey, I'm saying this to myself in my head, is that helpful or harmful?” Because OCD therapy can be pretty straightforward. I mean, ERP, go out and face your fears, don't do rituals. It sounds pretty straightforward. But there is a lot of subtlety to this. And the more that you can root out these subtle mental rituals, the better that your recovery is going to be. And know too that if you've had untreated OCD for a long time, you can uncover mental rituals, little bitty ones, for years after you get out of therapy. And that's okay. It doesn't mean you're not in recovery. It just means that you are getting more and more insightful and educated about what OCD is. And the more that you can pick those little things out, just the better your recovery will be. But we also don't want to be perfectionistic about that like, “I must eliminate every single mental ritual that I have or I'm not going to be in a good recovery.” That's approaching your ERP like OCD would do. And we don't want to do that. But we do want to be mindful about the subtleties and make sure to try to pull out as many of those subtle things that we might be doing in our heads as possible. Kimberley: Amazing. Thank you. Tell us-- again, first, let me just say, such helpful information. And your personal experience, I think, is really validating and helpful to hear on those little nuances. Tell us where people can hear about you and the amazing projects you've got going on. Shala: You can go to ShalaNicely.com and I have lots of free blog posts I've written on this. So, there are two blog posts, two pretty extensive blog posts on 'may or may nots'. So, if you go on my website and just search may or may not, it'll bring up two blog posts about that. If you search on shoulders back or man in the park, you'll find two blog posts on how to do that technique. I also have a blog post I wrote in the last year or so called Shower Scripting, which is how to do ERP, like just some touch-up scripting in the shower, use that time. So, I would say go to my website and you can find all sorts of free resources. I've got two books. You can find on Amazon, Everyday Mindfulness for OCD, Jon Hershfield and I co-wrote. And we talk about ‘may or may nots' and shoulders back and some of the things in there just briefly. And then my memoir, Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life, is also on Amazon or bookstores, Audible, and that kind of thing. Kimberley: I wonder too, if we could-- I'm going to put links to all these in the show note. I remember you having a word with your OCD, a video? Shala: Oh yes, that's true. Kimberley: Can we link that too? Shala: Yes. And that one I have under my COVID resources, because I'm so glad you brought that up. When the pandemic started, my OCD did not like it, as many people who have contamination OCD can relate to. And it was pretty scary all the time. And it was making me scared all the time. And eventually, I just wrote it a letter and I'm like, “Dude, we're not doing this anymore.” And I read it out loud and I recorded it out loud so that people could hear how I was talking to it. Kimberley: It was so powerful. Shala: Well, thank you. And it's fun to do. I think the more that you can personify your OCD, the more you can think of it as an entity that is within you but is not you, and to recognize that your relationship with it will change over time. Sometimes you're going to be compassionate with it. “Gosh, OCD, I'm so sorry,” You're scared we're doing this anyway. Sometimes you're going to be aggressive with it. Sometimes you just ignore it. And that changes as you go through therapy, it changes through your life. And I think that recognizing that it's okay to have OCD and to have this little thing, I think of like an orange ball with big feet and sunglasses is how I think about it when it's behaving – it makes it less of an adversarial relationship over time and more like I have an annoying little sibling that, gosh, it's just not going to ever not be there, but it's fine. We can live together and live in this uncertainty and be happy anyway. Kimberley: I just love it. Thank you so much for being here and sharing your experience and your knowledge. It's so wonderful. Shala: Thank you so much for having me.

covid-19 united states amazon art mental managing mars target standing wonder woman spread hiv aids audible obsessive compulsive disorder excuse erp gad refrigerators compulsion nicely magical thinking bdd stumbled shala reid wilson everyday mindfulness body focused repetitive behaviors iocdf habituate exposure response prevention refridgerator jon hershfield your anxiety toolkit

Ep. 284 6-Part Series: Managing Mental Compulsions (with Shala Nicely)

Play Episode Listen Later May 13, 2022 41:43

SUMMARY: In this weeks podcast, we have my dearest friend Shala Nicely talking about how she manages mental compulsions. In this episode, Shala shares her lived experience with Obsessive Compulsive Disorder and how she overcomes mental rituals. In This Episode: How to reduce mental compulsions for OCD and GAD. How to use Flooding Techniques with Mental Compulsions Magical Thinking and Mental Compulsions BDD and Mental Compulsions Links To Things I Talk About: Shalanicely.com Book: Is Fred in the Refridgerator? Book: Everyday Mindfulness for OCD ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com. CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors. Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). EPISODE TRANSCRIPTION This is Your Anxiety Toolkit - Episode 284. Welcome back, everybody. We are on the third video or the third part of this six-part series on how to manage mental compulsions. Last week's episode with Jon Hershfield was bomb, like so good. And I will say that we, this week, have Shala Nicely, and she goes for it as well. So, I am so honored to have these amazing experts talking about mental compulsions, talking about what specific tools they use. So, I'm not going to take too much time of the intro this time, because I know you just want to get to the content. Again, I just want to put a disclaimer. This should not replace professional mental health care. This series is for educational purposes only. My job at CBT School is to give you as much education as I can, knowing that you may or may not have access to care or treatment in your own home. So, I'm hoping that this fills in a gap that maybe we've missed in the past in terms of we have ERP School, that's an online course teaching you everything about ERP to get you started if you're doing that on your own. But this is a bigger topic. This is an area that I'd need to make a complete new course. But instead of making a course, I'm bringing these experts to you for free, hopefully giving you the tools that you need. If you're wanting additional information about ERP School, please go to CBTSchool.com. With that being said, let's go straight over to this episode with Shala Nicely. Kimberley: Welcome, Shala. I am so happy to have you here. Shala: I am so happy to be here. Thank you for having me. Kimberley: Okay. So, I have heard a little bit of your views on this, but I am actually so excited now to get into the juicy details of how you address mental compulsions or mental rituals. First, I want to check in with you, do you call them mental compulsions, rituals, rumination? How do you address them? Shala: Yeah. All those things. I also sometimes call it mental gymnastics up in your head, it's all sorts of things you're doing in your head to try to get some relief from anxiety. Kimberley: Right. So, if you had a patient or a client who really was struggling with mental compulsions, whether or not they were doing other compulsions as well, how might you address that particular part of their symptomology? Shala: So, let me answer that by stepping back a little bit and telling you about my own experience with this, because a lot of the way I do it is based on what I learned, trying to manage my own mental rituals. I've had OCD probably since I was five or six, untreated until I was 39. Stumbled upon the right treatment when I went to the IOCDF Conference and started doing exposure mostly on my own. I went to Reid Wilson's two-day group, where I learned how to do it. But the rest of the time, I was implementing on my own. And even though I had quite a few physical compulsions, I would've considered myself a primary mental ritualizer, meaning if we look at the majority, my compulsions were up in my head. And the way I think about this is I think that sometimes if you have OCD for long enough, and you've got to go out and keep functioning in the world and you can't do all these rituals so that people could see, because then people will be like, “What's wrong with you? What are you doing?” you take them inward. And some mental compulsions can take the place of physical compulsions that you're not able to do for whatever reason because you're trying to function. And I'd had untreated OCD for so long that most of my rituals were up in my head, not all, but the great majority of them. Exposure & Response Prevention for Mental Compulsions So, when I started to do exposure, what I found was I could do exposure therapy, straight up going and facing my fears, like going and being around things that might be triggering all I wanted, but I wasn't necessarily getting better because I wasn't addressing the mental rituals. So, basically, I'm doing exposure without response prevention or exposure with partial response prevention, which can make things either worse or just neutralize your efforts. So, what I did was I figured out how to be in the presence of triggers and not be up in my head, trying to do analyzing, justifying, figuring it out, replaying the situation with a different ending, all the sorts of things that I would do over and over in my head. And the way I did this was I took something I learned from Jonathan Grayson and his book, Freedom From OCD. I know you're having him on for this series too. And he talked about doing all this ERP scripting, where you basically write out the worst-case scenario, what you think your OCD thinks is going to happen and you write it in either a worst-case way or an uncertainty-focused way. And what I did was after reading his book, I took that concept and I just shortened it down, and anything that my OCD was afraid of, I would just wrap may or may not surround it. So, for instance, an example that I use in Is Fred in the Refrigerator?, my memoir, Taming OCD and Reclaiming My Life was that I used to-- when I was walking through stores like Target, if I saw one of those little plastic price tags that had fallen on the ground, if I didn't pick it up and put it out of harm's way, I was afraid somebody was going to slip and fall and break their neck. And it would be on some security camera that I just walked on past it and didn't do anything. So, a typical scrupulosity obsession. And so, going shopping was really hard because I'm cleaning up the store as I'm shopping. And so, what I would do is I would either go to Target, walk past the price tag. And then as I'm just passing the price tag, I would say things. And in Target, I obviously couldn't do this really out loud, mumble it out loud as best, but I may or may not cause somebody to kill themselves by they're going to slip and fall on that price tag because I didn't pick it up. I may or may not be an awful, terrible rotten human being. They may or may not catch me and throw me into jail. I may or may not rot in prison. People may or may not find out what a really bad person I really am. This may or may not be OCD, et cetera, et cetera, et cetera. And that would allow me to be present with the obsessions, all the what-ifs – those are basically what-ifs turned into ‘may or may nots' – without compulsing with them, without doing anything that would artificially lower my anxiety. So, it allowed me to be in the presence of those obsessive thoughts while interrupting the pattern of the mental rituals. And that's really how I use ‘may or may nots' and how I teach my clients to use ‘may or may nots' today is using them to really be mindfully present of what the OCD is worried about while not interacting with that content in a way that's going to make things worse. So, that's how I developed it for myself. And I think that-- and that is a tool that I would say is an intermediary tool. So, I use that now in my own recovery. I don't have to use 'may or may nots'. It's very often at all. If I get super triggered, which doesn't happen too terribly often, but if I get super triggered and I cannot get out of my head, I'll use 'may or may nots'. But I think the continuum is that you try to do something to interrupt the mental rituals, which for me is the 'may or may nots'. You can also-- people can write down the scripts, they can do a worst-case scenario. But eventually, what you're trying to get to is you're trying to be able to hear the OCD, what-ifs in your head and completely ignore it. And I call that my shoulders back, the way of thinking about things. Just put your shoulders back and you move on with your day. You don't acknowledge it. What I'll do with clients, I'll say, “If you had the thought of Blue Martian is going to land on my head, I mean, you wouldn't even do anything with that thought. That thought would just go in and go out and wouldn't get any of your attention.” That's the way we want to treat OCD, is just thoughts can be there. I'm not going to say, “Oh, that's my OCD.” I'm not going to say, “OCD, I'm not talking to you.” I'm not going to acknowledge it at all. I'm just going to treat it like any other weird thought that we have during the day and move on. Your question was, how would you help somebody who comes in with mental rituals? Well, first, I want to understand where are they in their OCD recovery? How long have they been doing these mental rituals? What percentage of their compulsions are mental versus physical? What are the kind of things that their OCD is afraid of? Basically, make a list or a hierarchy of everything they're afraid of. And then we start working on exposure therapy. And when I have them do exposures, the first exposure I do with people, we'll find something that's-- I start in the middle of the hierarchy. You don't have to, but I try. And I will have them face the fear. But then I'll immediately ask them, what is your OCD saying right now? And they'll tell me, and I'll say, “I want you to repeat after me.” I have them do this, and everyone that I see hates this, but I have them do it. Standing up with their shoulders back like Wonder Woman, because this type of power pose helps them. It changes the chemistry of your body and helps you feel more powerful. OCD thinks it's very powerful. So, I want my clients to feel as powerful as they can. So, I have them stand like Wonder Woman and they repeat after me. Somebody could-- let's just say we are standing near something red on the floor. And I'll say, “Well, what is your OCD saying right now?” And they'll say, “Well, that's blood and it could have AIDS in it, and I'm going to get sick.” I'll say, “Well, that may or may not be a spot of blood on the floor. I may or may not get sick and I may or may not get AIDS, but I want to do this. I'm going to stay here. OCD, I want to be anxious, so bring it on.” And that's how we do the exposure, is I ask them what's in their head. I have them repeat it to me until they understand what the process is. And then I'm having them be in the presence of this and just script, script, script away. That's what I call it scripting, so that they are in the presence of whatever's bothering them, but they're not up in their head. And anytime something comes in their head, I teach them to pull it down into the script. Never let something be circulating in your head without saying it out loud and pulling it into the script. I will work on this technique with clients as we're working on exposures, because eventually what we'll want to do is instead of going all over the place, “That may or may not be blood, I may or may not get AIDS, I may or may not get sick,” I'll say, “Okay, of all the things you've just said, what does your OCD-- what is your OCD scared of the most? Let's focus on that.” And so, “I may or may not get AIDS. I may or may not get AIDS. I may or may not have HIV. I may or may not get AIDS,” over again until people start to say, “Oh, okay. I guess I don't have any control over this,” because what we're trying to do is help the OCD habituate to the uncertainty. Habituate, I know that'd be a confusing word. You don't have to habituate in order for exposure to work due to the theory of inhibitory learning, but we're trying to help your brain get used to the uncertainty here. Kimberley: And break into a different cycle instead of doing the old rumination cycle. Shala: Yes. And so then, I'll teach people to just find their scariest fear. They say that over and over and over again. Then let's hit the next one. “Well, my family may or may not survive if I die because if I get a fatal disease and I die and my family may or may not be left destitute,” and then over and over. “My family may or may not be left destitute. My family may or may not be left destitute, whatever,” until we're hitting all the things that could be circulating in your head. Now, some people really don't need to do that scripting because they're not up in their head that much. But that's the minority of people. I think most people with OCD are doing something in their head. And a lot of people aren't aware of what they're doing because these mental rituals are incredibly subtle at times. And so, as people, as my clients go out and work on these exposures, I'll have them tell me how it's going. I have people fill out forms on my website each day as they're doing exposures so I can see what's going on. And if they're not really up in their head and they don't really need to do the ‘may or may nots', great. That's better. In fact, just go do the exposure and go on with your life. If they're up in their head, then I have them do the 'may or may nots'. And so, that's how I would start with somebody. And so, what I'm trying to do is I'm giving them what I call a bridge tool. Because people who have been mental ritualizing for a long time, I have found it's virtually impossible to just stop because that's what your mind is used to doing. And so, what I'm doing is I'm giving them a competing response. And I'm saying here, instead of mental ritualizing, I'd like you to say a bunch of 'may or may nots' statements while standing up and say them out loud while looking like Wonder Woman. Everybody rolls their eyes like, “Really?” But that's what we do as a bridge tool. And so, they've lifted enough mental weights, so to speak, with this technique that they can hear the OCD and start to disengage and not interact with it at all. Then we move to that technique. Flooding Techniques for Mental Rumination Kimberley: Is there a reason why-- and for some of the listeners, they may have learned this before, but is there a reason why you use 'may or may nots' instead of worst-case scenarios? Shala: For me, for my personal OCD recovery journey, what I found with worst-case scenario is I got too lost in the content. I remember doing-- I had had a mammogram, it had come back with some abnormal findings. I spent the whole weekend trying to do scripting about what could happen, and I was using worst-case scenario. Well, I end up in the hospital, I end up with breast cancer, I end up dead. And by the end of the weekend, I was completely demoralized. And I'm like, “Well, I don't bother because I'm going to be dead, because I have breast cancer.” That's where my mind took it because I've had OCD long enough that if I get a really scary and I start and I play around in the content, I'm going to start losing insight and I'm going to start doing depression as a compulsion, which is the blog we did talk about, where you start acting depressed because you're believing what the OCD says like, “Oh, well, I might as well just give up, I have breast cancer,” and then becoming depressed, and then acting like it's true. And then that's reinforcing the whole cycle. So, for me, worst-case scenario scripting made things worse. So, when I stayed in the uncertainty realm, the ‘may or may nots' that helped because I was trying to help my brain understand, “Well, I may or may not have breast cancer. And if I do, I mean, I'll go to the doctor, I'll do what I need to do, but there's nothing I can do about it right now in my head other than what I'm doing.” Some people like worst-case scenario and it works fine for them. And I think that works too. I mostly use 'may or may nots' with clients unless they are unable through numbing that they might be doing. If they're unable to actually feel what they're saying, because they're used to turning it over in their head and pulling the anxiety down officially, and so I can't get a rise out of the OCD because there's a lot of really little subtle mental compulsions going on, then I'll insert some worst-case scenario to get the anxiety level up, to help them really feel the fear, and then pull back into 'may or may nots'. But there's nothing wrong with worst-case scenario. But for me, that was what happened. And I think if you are prone to depression, if you're prone to losing insight into your OCD when you've got a really big one, I think that's a risk factor for using that particular type of scripting. Magical Thinking and Mental Compulsions Kimberley: Right. And I found that they may or may not have worked just as well, except the one thing, and I'm actually curious on your opinion on this and I have not had this conversation, is I find that people who have a lot of magical thinking benefit by worst-case scenario, like their jinxing compulsions and so forth, like the fear of saying it means it will happen. So, saying the worst-case is the best exposure. Is that true for you? Shala: I have not had to use it much on my own magically. I certainly had a lot of magical thinking. Like, if I don't hit this green light, then somebody's going to die. But I think the worst-case scenario, I could actually work well in that, because if you use the worst-case scenario, it can make it seem so ridiculous that it helps people let go of it more easily. And I think you can do that with 'may or may nots' too. I'll try to encourage people to use the creativity that they have because everybody with OCD has a ton of creativity. And we know that because the OCD shares your brain and it's certainly the creative stuff And to one-up the OCD, you use the scripting to be like, “Gosh, I may or may not get some drug-disease and give it to my entire neighborhood. I may or may not kill off an entire section of my county. We may or may not infect the entire state of Georgia. The entire United States may or may not blow up because I got this one disease. So, they may or may not have to eject me off the earth and make me live on Mars because I'm such a bad person.” This ‘may or may not' is in all this crazy stuff too, because that's how to win, is to one up the OCD. It thinks that's scary, let's go even scarier. But the scary you get, it also gets a little bit ridiculous after a while. And then the whole thing seems to be a little bit ridiculous. So, I think you can still use that worst-case stuff with may or may not. Kimberley: Right. Okay. So, I mean, I will always sort of-- I know you really well. I've always held you so high in my mind in just how resilient and strong you are in doing this. How might you, or how do you help people who feel completely powerless at even addressing this? For you to say it, it sounds very like you're just doing it and it's so powerful. But for those who are really struggling with this idea of like, you said, coming out of your head, can you speak to how you address that in session if someone's really struggling to engage in 'may or may nots' and so forth? Shala: Yeah. Well, thank you for the kind words, first off. I think that it's really common for people with OCD by the time they get to a therapist to feel completely demoralized, especially if they've been to multiple therapists before they get to somebody who does ERP. And so, they feel like they're the victim at the hands of a very cruel abuser that they can't get away from. And so, they feel beaten down and they don't know how to get out of their heads. They feel like they're trapped in this mental prison. They can't get out. And if somebody is struggling like that, and they're doing the 'may or may nots' and the OCD is reacting, which of course, it will, and coming back at them stronger, which I always warn people, this is going to happen. When you start poking at this, the OCD is going to poke back and poke back even harder, because it wants to get you back in line so it can keep you prisoner. So, what I'll often do in those situations, if I see somebody is really feeling like they have been so victimized, that they're never going to be able to get over this, is the type of script I have them do is more of an empowerment script, which could sound like this: “OCD, I'm not listening to you anymore. I'm not doing what you want. I am strong. I can do this.” And I might add some 'may or may nots' in there. “And I want to be anxious. Come on, bring it on. You think that's scary? Give me something else.” I know you're having Reid Wilson on as part of this too. I learned all that “bring it on” type stuff and pushing for the anxiety from him. And I think helping people say that out loud can be really transformative. I've seen people just completely break down in tears of sort of, “Oh my gosh, I could do this,” like tears of empowerment from standing up and yelling at their OCD. If people like swearing, I also just have them swear at it, like they would really swear at somebody who had been abusing them if they had a chance, because swearing actually can make you feel more powerful too, and I want to use all the tools we can. So, I think scripting comes in a number of forms. It's all about really taking what's in your head, turning it into a helpful self-talk and saying it out loud. And the reason out loud is important for any type of scripting is that if you're saying it in your head, it's going to get mixed up with all the jumble of mental ruminating that's going on. And saying it out loud makes it hard for you to ruminate. It's not impossible, but it's hard because you're saying it. Your brain really is only processing one thing at a time. And so, if you're talking and really paying attention to what you're saying, it's much harder to be up in your head spinning this around. And so, adding these empowerment scripts in with the 'may or may nots' helps people both accept the uncertainty and feel like they can do this, feel like they can stand up to the OCD and say, “You've beaten me enough. No more. This is my life. I'm not letting you ruin it anymore. I am taking this back. I don't care how long it takes. I don't care what I have to do. I'm going to do this.” And that builds people up enough where they can feel like they can start approaching these exposures. Kimberley: I love that. I think that is such-- I've had that same experience of how powerful empowerment can be in switching that behavior. It's so important. Now, one thing I really want to ask you is, do you switch this method when you're dealing with other anxiety disorders – health anxiety, social anxiety, panic disorder? What is your approach? Is there a difference or would you say the tools are the same? Shala: There's a slight difference between disorders. I think health anxiety, I treat exactly like OCD. Even some of the examples I gave here were really health anxiety statements. With panic disorder-- and again, I learned this from Reid and you can ask him more about this when you interview him. But with pain disorder, it's all about, I want to feel more shorter breath, more like their elephant standing on my chest. I want my heart to be faster. But I'm doing this while I'm having people do exercises that would actually create those feelings, like breathing through a little bit of cocktail straw, jogging, turning up a space heater, and blowing it on themselves. So, we're trying to create those symptoms and then talk out loud and say, “Come on, I want more of this. I want to feel more anxious. Give me the worst panic attack you've ever had.” So, it's all about amping up the symptoms. With social anxiety, it's a little bit different because with social anxiety, I would work on the cognitions first. Whereas with OCD, we don't work on the cognitions at all, other than I want you to have a different cognitive relationship with your disorder and your anxiety. I want you to want the anxiety. I want you to want the OCD to come and bother you because that gives you an opportunity to practice. That's the cognitive work with OCD. I do not work on the cognitive work on the content. I'm not going to say to somebody, “Well, the chance you're going to get AIDS from that little spot of blood is very small.” That's not going to be helpful With social anxiety, we're actually working on those distorted cognitions at the beginning. And so, a lot of the work with social anxiety is going to be going out and testing those new cognitions, which really turns the exposures into what we call behavioral experiments. It's more of a cognitive method. We're going out and saying, “Gosh, my new belief, instead of everybody's judging me, is, well, everybody is probably thinking about themselves and I'm going to go do some things that my social anxiety wouldn't want me to do and test out that new belief.” I might have them use that new belief, but also if their anxiety gets really high and they're having a hard time saying, “Well, that person may or may not be judging me. They may or may not be looking at me funny. They may or may not go home and tell people about me.” But really, we're trying to do something a little bit different with social anxiety. Kimberley: And what about with generalized anxiety? With the mental, a lot of rumination there, do you have a little shift in how you respond? Shala: Yeah. So, it's funny that the talk that Michelle Massi and others gave at IOCDF-- I think it was at IOCDF this year about what's the difference between OCD and GAD is they're really aligned there. I mean, I treat GAD very similarly the way I treat OCD in that people are up in their heads trying to do things. They're also doing other types of safety behaviors, compulsive safety behaviors, but a lot of people GAD are just up in their head. They're just worried about more “real-life” things. But again, a lot of OCD stuff can be real-life things. I mean, look at COVID. That was real life. And people's OCD could wrap itself around that. So, I treat GAD and OCD quite similarly. There are some differences, but in terms of scripting, we call it “worry time” in GAD. It's got a different name, but it's basically the same thing. Kimberley: Right. Okay. Thank you for answering that because I know some folks here listening will be not having OCD and will be curious to see how it affects them. So, is that the practice for you or is there anything else you feel like people need to know going in, in terms of like, “Here is my strategy, here is my plan to target mental rituals”? What would you say? Shala: So, as I mentioned, I think the 'may or may nots' are bridge tool that are always available to you throughout your entire recovery. My goal with anybody that I'm working with is to help them get to the point where they can just use shoulders back. And the way that I think about this is what I call my “man in the park” metaphor. So, we've all probably been in a park where somebody is yelling typically about the end of the world and all that stuff. And even if you were to agree with some of the things that the person might say from a spiritual or religious standpoint, you don't run home and go, “Oh my gosh, we got to pack all our things up because it's the end of the world. We have to get with all of our relatives and be together because we're all going to die.” We don't do that. We hear what this guy's saying, and then we go on with our days, again, even if you might agree with some of the content. Now, why do we do that? We do that because it's not relevant in our life. We realize that person probably, unfortunately, has some problems. But it doesn't affect us. We hear it just like when we might hear birds in the background or a car honking, and we just go on with our day. That's how we want to treat OCD. What we do when we have untreated OCD is we run up to the man in the park and we say, “Oh my gosh, can I have a pamphlet? Let me read the pamphlet. Oh my gosh, you're right. Tell me more, tell me more.” And we're interacting with him, trying to get some reassurance that maybe he's wrong, that maybe he does really mean the end of the world is coming soon. Maybe it's going to be like in a hundred years. Eventually, we get to the point where we're handing out pamphlets for him. “Here, everybody, take one of these.” What we're doing with 'may or may nots' is we're learning how to walk by the man in the park and go, “The world may or may not be ending. The world may or may not be ending. I'm not taking a pamphlet. The world may or may not be ending.” So, we're trying to not interact with him. We're trying to take what he's saying and hold it in our heads without doing something compulsive that's going to make our anxiety higher. What we're trying to do is practice that enough till we can get to the point where we can be in the park with the guy and just go on with our day. We hear him speaking, but we're really-- it's just not relevant. It's just not part of our life. So, we just move on. And we're not trying to shove him away. It's just like any other noise or sound or activity that you would just-- it doesn't even register in your consciousness. That's what we're trying to do. Now I think another way to think about this is if you think-- say you're in an art gallery. Art galleries are quiet and there are lots of people standing around, and there's somebody in there that you don't like or who doesn't like you or whatever. You're not going to walk up to that person and tap on their shoulder and say, “Excuse me, I'm going to ignore you.” You're just going to be like, “I know that person is there. I'm just going to do what I'm doing.” And I think that's-- I use that to help people understand this transition, because we're basically going from 'may or may nots' where we're saying, “OCD, I'm not letting you do this to me anymore,” so we are being really aggressive with it, to this being able to be in the same space with it, but we're not talking to it at all because we don't need to, because we can be in the presence with the intrusive thoughts that the OCD is reacting to, just like the presence of all the other thousands of thoughts we have each day without interacting with them. Kimberley: That's so interesting. I've never thought of it that way. Shala: And so, that's where I'm trying to get people because that is the strongest, strongest recovery, is if you can go do the things that you want to do, be in the presence of the anxiety and not do compulsions physical or mental, you don't give anything for OCD to work with. I have a whole chapter in my memoir about this after I heard Reid say at one of the conferences, “We need to act as though what OCD is saying doesn't matter.” And that was revolutionary to me to hear that. And that's what we're trying to do both physically and mentally. Because if you can have an obsession and focus on what you want to focus on, do what you want to do, you're not giving OCD anything to work with. And typically, it'll just drain away. But this takes time. I mean, it has taken me years to learn how to do this, but I went untreated for 35 years too. It may not take you years, but it may. And that's okay. It's a process. And I think if you have trouble trying to do shoulders back, man in the park, use 'may or may nots'. You can use the combination. But I think we're trying to get to the point where you can just be with the OCD and hear it flipping out and just go on with your day. OCD, BDD, and Mental Rituals Kimberley: In your book, you talk about the different voices. There is a BDD voice and an OCD voice. Was it harder or easier depending on the voice? Was that a component for you in that-- because the words and the voice sound a little different. I know in your memoir you give them different names and so forth, which if anyone hasn't read your memoir, they need to go right now and read it. Do you have any thoughts on that in terms of the different voices or the different ways in which the disorders interact? Shala: That's a really great question because yes, I think OCD does shift its voice and shift its persona based on how scared it is. So, if it's a little bit scared, it's probably going to speak to you. It's still going to be not a very nice voice. It might be urgent and pleading. But if it's super scared, I talk about mine being like the triad of hell, how my OCD will personify into different things based on how scared it is. And if it's super scared and it's going to get super big and it's going to get super loud in your head because it's trying desperately to help you understand you've got to save it because it thinks it's in danger. That's all its content. Then I think-- and if you have trouble ignoring it because it's screaming in your head, like the man in the park comes over with his megaphone, puts it right up against your ear and starts talking, that's hard to ignore. That's hard to act like that's not relevant because it hurts. There's so much noise. That's when you might have to use a may or may not type approach because it's just so loud, you can't ignore it, because it's so scared. And that's okay. And again, sometimes I'll have to use that. Not too terribly often just because I've spent a long time working on how to use the shoulder's back, man in the park, but if I have to use it, I use it. And so, I think your thought about how do I interact with the OCD based on how aggressive it's being also plays into this. Kimberley: I love all this. I think this is really helpful in terms of being able to be flexible. I know sometimes we want just the one rule that's going to work in all situations, but I think you're right. I think that there needs to be different approaches. And would you say it depends on the person? Do you give them some autonomy over finding what works for them, or what would you say? Shala: Absolutely. If people are up in their heads and they don't want to use 'may or may nots', I'll try to use some other things. If I really, really think that that's what we need right now, is we need scripting, I'll try to sell them on why. But at the end of the day, it's always my client's choice and I do it differently based on every client. For some clients, it might be just more empowering statements. For some clients where it's more panicky focused, it might be more about bringing on your anxiety. Sometimes it might be pulling self-compassion in and just saying the self-compassion statements out loud. So, it really does vary by person. There's no one-size-fits-all, but I think, I feel that people need to have something to replace the mental ritualizing with at the beginning that they've been doing it for a long time, just because otherwise, it's like, I'm giving them a bicycle, they've never ridden a bicycle before and I won't give them any training wheels. And that's really, really hard. Some people can do it. I mean, some people can just be like, “Oh, I'm to stop doing that in my head? Okay, well, I'll stop doing that in my head.” But most people need something to help them bridge that gap to get to the point where they can just be in the presence with it and not be talking to it in their heads. Kimberley: Amazing. All right. Any final statements from you as we get close to the end? Shala: I think that it's important to, as you're working on this, really think about what you're doing in your head that might be subtle, that could be making the OCD worse. And I think talking and being willing to talk about this to therapists about putting it all out there, “Hey, I'm saying this to myself in my head, is that helpful or harmful?” Because OCD therapy can be pretty straightforward. I mean, ERP, go out and face your fears, don't do rituals. It sounds pretty straightforward. But there is a lot of subtlety to this. And the more that you can root out these subtle mental rituals, the better that your recovery is going to be. And know too that if you've had untreated OCD for a long time, you can uncover mental rituals, little bitty ones, for years after you get out of therapy. And that's okay. It doesn't mean you're not in recovery. It just means that you are getting more and more insightful and educated about what OCD is. And the more that you can pick those little things out, just the better your recovery will be. But we also don't want to be perfectionistic about that like, “I must eliminate every single mental ritual that I have or I'm not going to be in a good recovery.” That's approaching your ERP like OCD would do. And we don't want to do that. But we do want to be mindful about the subtleties and make sure to try to pull out as many of those subtle things that we might be doing in our heads as possible. Kimberley: Amazing. Thank you. Tell us-- again, first, let me just say, such helpful information. And your personal experience, I think, is really validating and helpful to hear on those little nuances. Tell us where people can hear about you and the amazing projects you've got going on. Shala: You can go to ShalaNicely.com and I have lots of free blog posts I've written on this. So, there are two blog posts, two pretty extensive blog posts on 'may or may nots'. So, if you go on my website and just search may or may not, it'll bring up two blog posts about that. If you search on shoulders back or man in the park, you'll find two blog posts on how to do that technique. I also have a blog post I wrote in the last year or so called Shower Scripting, which is how to do ERP, like just some touch-up scripting in the shower, use that time. So, I would say go to my website and you can find all sorts of free resources. I've got two books. You can find on Amazon, Everyday Mindfulness for OCD, Jon Hershfield and I co-wrote. And we talk about ‘may or may nots' and shoulders back and some of the things in there just briefly. And then my memoir, Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life, is also on Amazon or bookstores, Audible, and that kind of thing. Kimberley: I wonder too, if we could-- I'm going to put links to all these in the show note. I remember you having a word with your OCD, a video? Shala: Oh yes, that's true. Kimberley: Can we link that too? Shala: Yes. And that one I have under my COVID resources, because I'm so glad you brought that up. When the pandemic started, my OCD did not like it, as many people who have contamination OCD can relate to. And it was pretty scary all the time. And it was making me scared all the time. And eventually, I just wrote it a letter and I'm like, “Dude, we're not doing this anymore.” And I read it out loud and I recorded it out loud so that people could hear how I was talking to it. Kimberley: It was so powerful. Shala: Well, thank you. And it's fun to do. I think the more that you can personify your OCD, the more you can think of it as an entity that is within you but is not you, and to recognize that your relationship with it will change over time. Sometimes you're going to be compassionate with it. “Gosh, OCD, I'm so sorry,” You're scared we're doing this anyway. Sometimes you're going to be aggressive with it. Sometimes you just ignore it. And that changes as you go through therapy, it changes through your life. And I think that recognizing that it's okay to have OCD and to have this little thing, I think of like an orange ball with big feet and sunglasses is how I think about it when it's behaving – it makes it less of an adversarial relationship over time and more like I have an annoying little sibling that, gosh, it's just not going to ever not be there, but it's fine. We can live together and live in this uncertainty and be happy anyway. Kimberley: I just love it. Thank you so much for being here and sharing your experience and your knowledge. It's so wonderful. Shala: Thank you so much for having me.

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How to keep a spoonful of energy in your pocket

Play Episode Listen Later Apr 22, 2022 3:36

We're going to explore Spoon Theory; a way to protect your own energy in a day. It was originally explained by Christine Miserandino who uses it to manage living with a chronic illness. LINKS Read ‘Spoon Theory Explained’ from Web MD https://bit.ly/whatis-spoontheory . Read Christine’s explanation of Spoon Theory for But You Don’t Look Sick.com Follow @thespace_podcast on Instagram Watch @thespace_podcast on TikTok Follow @novapodcastsofficial on Instagram CREDITS Host: Casey Donovan @caseydonovan88 Writer: Amy Molloy @amymolloy Executive Producer: Elise Cooper Editor: Adrian Walton Listen to more great podcasts at novapodcasts.com.au See omnystudio.com/listener for privacy information.

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A most "awful" hint for feeling content

Play Episode Listen Later Mar 14, 2022 3:43

When did you last look around and think – "holy shit all this is pretty awesome!"? There's research suggesting that "Awe" can make you happier, healthier, and overall just more dope. It's easier than you think too – so try out some of these tips with us. LINKS Read ‘Eight Reasons Why Awe Makes Your Life Better’ from Summer Allen for Greater Good Magazine and Berkeley College Read ‘The Awe Factor: How a little bit of wonder can make a big difference in your life’ by Allen Klein Watch @thespace_podcast on TikTok Follow @novapodcastsofficial on Instagram CREDITS Host: Casey Donovan @caseydonovan88 Writer: Amy Molloy @amymolloy Executive Producer: Elise Cooper Editor: Adrian Walton Listen to more great podcasts at novapodcasts.com.au See omnystudio.com/listener for privacy information.

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Pancakes for mindfulness (you read that right)

Play Episode Listen Later Feb 28, 2022 2:13

We’ve spoken before on the podcast about mindful eating; eating with intention, focusing on every taste and mouthful. What better time to try it than on a tasty Tuesday? So how can you celebrate Pancake Day mindfully? LINKS Listen to our other episodes on mindful eating ‘Feeling guilty about what you eat? Try This’ ‘Is it weird to thank your food?’ Follow @thespace_podcast on Instagram Watch @thespace_podcast on TikTok Follow @novapodcastsofficial on Instagram CREDITS Host: Casey Donovan @caseydonovan88 Writer: Amy Molloy @amymolloy Executive Producer: Elise Cooper Editor: Adrian Walton Listen to more great podcasts at novapodcasts.com.au See omnystudio.com/listener for privacy information.

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Meal prep for your mental health

Play Episode Listen Later Feb 14, 2022 2:42

You could probably split the world into meal-preppers and people who cook (or order takeaway) every night. Meal prepping can be a mindful activity, and help with you budget! So we’re going to teach you how to do it without the effort and allll the good vibes bb. LINKS Read ‘Why I Mindfully Chop Veggies When I Feel Stressed Or Overwhelmed’ by Eliza Sullivan for MindBodyGreen.com Read ‘Benefits of Self-Affirmation’ By David Creswell for Carnegie Melon University Follow @thespace_podcast on Instagram Watch @thespace_podcast on TikTok Follow @novapodcastsofficial on Instagram CREDITS Host: Casey Donovan @caseydonovan88Writer: Amy Molloy @amymolloyExecutive Producer: Elise CooperEditor: Adrian Walton Listen to more great podcasts at novapodcasts.com.au See omnystudio.com/listener for privacy information.

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Stop blaming everyone else & make your own luck!

Play Episode Listen Later Feb 10, 2022 2:28

Do you believe you're lucky? Don't be too quick to dismiss it! According to research people who believe their good luck is stable have a significantly higher drive to succeed! The theory is: they feel more in control of their goals. So how can mindfulness make you feel lucky? LINKS Read ‘Why You Should Believe in Luck’ by Craig Dowden PhD for Psychology Today Read ‘10 (Scientific) Ways Mindfulness Can Make You Luckier!’ by ShamashAlidina.com Follow @thespace_podcast on Instagram Watch @thespace_podcast on TikTok Follow @novapodcastsofficial on Instagram CREDITS Host: Casey Donovan @caseydonovan88Writer: Amy Molloy @amymolloyExecutive Producer: Elise CooperEditor: Adrian Walton Listen to more great podcasts at novapodcasts.com.au See omnystudio.com/listener for privacy information.

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Are you wishing your day away?

Play Episode Listen Later Jan 21, 2022 3:27

Ahh weekends; a time for sleep ins and brunch... Or if you're a parent or caregiver it can be a combo of screaming, planning, exhaustion and swearing inside your head. Well that sounds like shit. What if you reframe how you see this moments and take time for yourself, even if it’s while you’re watching your kids go wild at the park. We've got advice from Sally Kellett to help you make the small moments of your day more intentional. You might even begin to see the upsides of your own pocket of weekend chaos. LINKS Sally Kellett, founder of Mirosuna Melbourne Meditation studio Follow @mirosuna on Instagram Follow The Space on Instagram @thespace_podcast Follow Nova Podcasts on Instagram @novapodcastsofficial CREDITS Host: Casey Donovan @caseydonovan88Writer: Amy Molloy @amymolloyExecutive Producer: Elise CooperEditor: Adrian Walton. Listen to more great podcasts at novapodcasts.com.auSee omnystudio.com/listener for privacy information.

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Mindfulness to get shit done!

Play Episode Listen Later Jan 2, 2022 3:13

Mindfulness isn’t always about sitting silently, serenely and looking inside… It can be used to kick your arse into gear, as well as chill you out. These are our favourite tips to help you get shit done – whether you’re back at work or still on holidays. LINKS Follow The Space on Instagram @thespace_podcast. Follow Nova Podcasts on Instagram @novapodcastsofficial. CREDITS Host: Casey Donovan @caseydonovan88.Writer: Amy Molloy @amymolloy.Executive Producer: Elise Cooper.Editor: Adrian Walton. Listen to more great podcasts at novapodcasts.com.au.See omnystudio.com/listener for privacy information.

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Ep. 211 People Pleasing (with Shala Nicely)

Play Episode Listen Later Nov 19, 2021 42:28

In this week's podcast episode, we have the amazing Shala Nicely, author of Is Fred in the refrigerator? and Everyday Mindfulness for OCD. In this episode, we talked about people-pleasing and how people-pleasing comes from a place of shame, anxiety, and fear of judgment from others. Kimberley and Shala share their own experiences with people-pleasing and how it created more shame, more anxiety, and more distress. In This Episode: The definition of people-pleasing How it is common for people who have OCD and Anxiety disorders. How people-pleasing impacts people's self-esteem and their wellbeing. How people-pleasing anxiety keeps us stuck. How to manage people-pleasing in daily life. How self-compassion can help to manage people-pleasing. Links To Things I Talk About: Shala's Website shalanicely.com Shala's Book “Is Fred In the Refrigerator?” ERP School: https://www.cbtschool.com/erp-school-lp Episode Sponsor: This episode of Your Anxiety Toolkit is brought to you by CBTschool.com. CBTschool.com is a psychoeducation platform that provides courses and other online resources for people with anxiety, OCD, and Body-Focused Repetitive Behaviors. Go to cbtschool.com to learn more. Spread the love! Everyone needs tools for anxiety... If you like Your Anxiety Toolkit Podcast, visit YOUR ANXIETY TOOLKIT PODCAST to subscribe free and you'll never miss an episode. And if you really like Your Anxiety Toolkit, I'd appreciate you telling a friend (maybe even two). Episode Transcription This is Your Anxiety Toolkit - Episode 211. Welcome to Your Anxiety Toolkit. I'm your host, Kimberley Quinlan. This podcast is fueled by three main goals. The first goal is to provide you with some extra tools to help you manage your anxiety. Second goal, to inspire you. Anxiety doesn't get to decide how you live your life. And number three, and I leave the best for last, is to provide you with one big, fat virtual hug, because experiencing anxiety ain't easy. If that sounds good to you, let's go. Welcome back, everybody. This is an episode I am so excited to share with you. Maybe actually “excited” isn't the word. I feel that this is such an important conversation. Today we have my amazing friend and someone I look up to and I consider a mentor, the amazing Shala Nicely. She's been on the podcast before. Everybody loves her, as do I. And interestingly that I say that because today we are talking about people-pleasing—the act of getting people to like you. Shala is very easy to love, but we are talking about how invasive people-pleasing can become, how problematic it can become, our own personal experience with people-pleasing, and what we have done and are continuing to do to manage people-pleasing behaviors. It is such a wonderful, deep, comprehensive conversation, so I cannot wait to share that with you in just a few minutes. Before we do that, I would like to first, of course, share with you the “I did a hard thing” for the week. This is from Jack, and I'm so excited because Jack said: “I haven't been able to drive on the highway since I had a severe panic attack a couple of months ago. I have felt trapped and it has put a strain on my life. I recently drove on the highway for an hour by myself. I felt anxious during it, but I was able to calm myself down. It was a huge step for me.” Amazing work, Jack. This is such a hard thing and you totally did it. This is so inspiring. You got through it. You actually stand your fear right in the face. So cool. Just proof that it is always a beautiful day to do hard things. Let's move over to the review of the week. This is from YFWWFH, and this review said: “Life-changing in a meaningful way. I found Kimberley's podcast through another psychology podcast I've been listening to where she was a guest. I started listening to hers and was so happy. I found it. The insight this podcast offers and the expertise she shares are incredible and truly make a difference in the way you think about things and feel when struggling with some of the topics talked about. I truly love this podcast and the effect that it has.” Yay, that brings me such joy. Thank you so much for sharing that review. You can leave your reviews on iTunes. Please go over to iTunes to leave a review. The more reviews you leave, the more people we can reach, which means the more people I can help with this free resource. That being said, let's move over to the show, such an important interview. I am so excited and I'm so curious to see what comes up for you as you listen. I hope it's helpful. I hope it gives you food for thought. I hope it gives you direction. And I just can't wait to share it with you. So let's go straight to the episode. I will see you guys next week. Have a wonderful day. It is a beautiful day to do hard things. Kimberley: Okay. So, you guys know that I love Shala Nicely, and today I have the one and only Shala Nicely talking with us about people-pleasing. And this whole conversation came organically out of conversations we've had recently. So, welcome, Shala. Shala: Thank you, Kimberley. And as you know, the love is mutual. So thank you for [04:42 inaudible] me again. Kimberley: Okay. I have so many questions and this is probably the most relevant topic to me in my stage of my recovery. You can share as much as you want to share, but I'm so grateful that we're talking about people-pleasing, because I feel like it runs rampant for those who have anxiety. Would you agree? Shala: Absolutely. Kimberley: How would you define people-pleasing? Shala: People-pleasing to me is putting your own needs in the backseat so that you can do things that you think will make others happy or like you. You're not quite sure about that. You're mind-reading, you are estimating what other people might want or what society might want. I think people-pleasing is not just, “I'm pleasing the individual person.” It could be, “I'm pleasing a culture, a society, a family.” But I think it's all about putting your own needs in the backseat and doing what you think other people want in order to make them happy, but really it's in order to reduce your own anxiety. Kimberley: Right. So, there's so much there you said that I want to pull apart. So, you emphasized “You think,” and I think there is a major concept there I want you to share. We want to please people. Of course, we want to please people. We like seeing smiley, happy faces. I don't like seeing sad faces and angry faces. But so much of people-pleasing is based on what in our minds we think they want. Can you share your thoughts on that? Shala: If you look at people-pleasing behavior–I'll take me as an example–obviously, it starts with an intrusive thought, “What if they don't like me? I've not done well enough. They're going to think less of me, drop me,” et cetera, et etcetera. So, I think it starts with some sort of intrusive thought like that. And from there, it goes into how to answer that what-if. And the what-if is made up. We don't actually know it's a real problem. It's an intrusive thought that has come in. It may or may not be a problem. And so, if we engage in this, we're trying to figure out, “Well, how can I make sure that what-if doesn't happen?” And so, you're dealing with a really made up situation. And so, there's really no data there for you to know what to do. And so you're guessing. “Gosh, what if this person isn't getting back to me because I did something wrong and they don't like me? And I need to do something to show them how much I like them so that they'll change their mind about me.” The whole thing is based on the premise that what if this person doesn't like me, which is probably 99% of the time not even a premise. So, we're guessing all over the place in both guessing there's a problem we have to solve. And then guessing how to solve that because we don't really know if there are problems. So we have to whack it together, you might say. Kimberley: Right. I remember early in my marriage, me getting my knickers in a knot over something, and my husband saying, “What's happening?” And I'm like, “Well, you want me to do such and such this way?” And he was like, “I've never said that. I've never even thought that. What made you think that I would want you to be that way?” And I had created this whole story in my head. For me, that's a lot of how people-pleasing plays out, is I come up with a story about what they must want me to be, and then I assume I have to follow that. How does it play out for you? Shala: I think “story” is the right word to use there. You create this whole story in a scenario. It's got main characters and a plot and the ending is always horrible, and it becomes very believable in your mind. The thing is it's in your mind. We've made it all up. But those stories convey very powerful emotions and then we're acting to somehow get rid of those emotions, which were created by the story that we made up in the first place. Kimberley: Right. And that was the second thing that you said that I think is so compelling, is for me in my life goal of reducing people-pleasing behaviors, I will be on this journey for the rest of my life. I'm pretty confident of it. It's a matter that I have to learn how to sit with the feeling instead of just going into people-pleasing to remove that feeling. Is that how you would explain it for yourself as well? Shala: Yes. And I will echo your sentiments. I will be right alongside you on this journey of trying not to people-please the rest of my life. And I think it's sitting with some uncomfortable emotions and it's really sitting with the uncertainty of “we don't know” what other people think. And it's easy, especially if you have anxiety to assume the negative because that feels like some sort of certainty. “Oh, they must not like me.” That's actually sometimes a more comfortable thought than “I don't know,” fit with “I just don't know.” Kimberley: Right. Because when we tell ourselves “They mustn't like us,” at least then we don't have a place to work from. We can gain control back. Whereas if we are not certain, that's a really uncomfortable place. I know as we were talking, do you think this shows up the same for folks with OCD as it does for folks who don't have OCD? Do you think there's a difference or do you feel like it's the same? Shala: That's a good question. I might only be able to offer a biased answer because I have OCD and I work with people with OCD. So, that's going to be the frame of reference that I'm coming from most often. I think that with OCD, it could come from a foundational place of really thinking that you're not worth very much. I think that comes a lot because OCD spends its days if you're untreated, yelling at you and telling you are horrible and nitpicking every little thing that you do wrong. And it's like living with an abusive person when you have untreated OCD, especially when it goes on for years and years, which happens to so many of us with OCD. And if you hear that for however long–months, years, whatever–you start to believe it. And then you don't think you are worth pleasing, and you almost feel like, “Gosh, maybe if I made people around me happy, maybe if I got this positive feedback from other people that they think I'm worthwhile, then somehow maybe all this in my head will stop.” I think people-pleasing for people with OCD can come from that place where they just have internalized years of abuse by their own mind that they feel like they can't escape until they find exposure and response prevention and work through all that. But even after that, they can still have this foundational belief that “I'm just not worth anything.” And that can drive a lot of people-pleasing behaviors that can linger even after somebody's gone through what would be considered a successful course in ERP. Kimberley: Yeah. That's really interesting. As you were talking, I was comparing and contrasting my eating disorder recovery. I was thinking about this this morning. My eating disorder didn't actually start with the wish to be thin. It started with pleasing other people. So, my body was changing and I was getting compliments for that. And then the compliments felt so good. It became like something I just wanted to keep getting, almost compulsively keep getting. And so then, it became, “How can I get more?” People-pleasing, people-pleasing. “Oh, they liked this body. Well, I'll try and get that body. Oh, they complimented me on how healthy my food was. Okay, I'll do that more in front of them.” So, it's interesting to compare and contrast. People-pleasing was the center point of my eating disorder and the starting point of my eating disorder. So, that's really interesting. You talked about people-pleasing behaviors. What do you think that is for you? What would that look like? Shala: People-pleasing behaviors can be big or small. It could be something like a friend calls you to go out to dinner. You don't really want to go out to dinner. You really want to sit in and watch your latest Netflix binge show, but you feel like you can't say no. So you go out to dinner. That could be something on the smaller end, I think. Then there's on the really large scale, which I've done, and I talk about in more detail in my memoirs, Is Fred in the Refrigerator? about my journey with OCD, which is not breaking up with somebody because you're afraid to hurt their feelings. And you can take that all the way down the aisle, which I did. And so, I think that people-pleasing behaviors really can run the gamut from small seemingly innocuous things. “Oh, it's just an evening,” to life-changing decisions about your partner, about how you live your life, about where you live, about your work, about how you approach, all of that. And that I think makes people-pleasing sometimes hard to identify because it doesn't fit neatly in a little box. Kimberley: Yeah. That's interesting. And I love the way that you share that. What's interesting for me is that most of my people-pleasing in the past have been saying yes to things that I don't want to do or things I want to do, but I literally don't have time for. So I'm saying yes to everything without really consulting with my schedule and being like, “Can I actually fit that in on that day?” Just saying yes to everything, which I think for me is interesting. A lot of the listeners will remember, is I got so the burnt out and sick, because I'd said yes to everything six months ago. Because six months ago I agreed to all these things, now I'm on the floor, migraines or having nothing because I just said yes to everything. And so, for me, a lot of that, the turnaround has been practicing saying no to plan for the future, looking forward, going, “Will I have time for that? Do I want that? Does that work for me? Is that for my recovery?” How have you as either a clinician or a human started to practice turning the wheel on this problem? Shala: It's hard for me to think how to the answer to that because there are so many ways to approach it and it's a complex problem. And so, I have approached it in a number of ways. The first thing that comes to mind is really boundaries because a lot of this is about setting boundaries to protect your own time and to protect what you want to do. So, that's one of the things that I have really worked on, is becoming clear on what I think is acceptable for me to be doing and what is not acceptable for me to be doing in terms of my own physical and mental health. It's so easy to say yes to things, especially if it's months down the road, “Oh, that'll be fine, I'll have time to do that.” And then you get to, you're like, “Okay, I don't have time to do that.” And then you're wearing yourself out and all of that. And I think that happens a lot with people-pleasing because again, you're putting your own needs, especially for rest and recovery on the back burner in order to do things that you think will make somebody else happy. And so, I think really working on boundary setting. So I'm coming from a perspective of having OCD and treating OCD. Boundary setting is an exposure. So, it is about creating an uncomfortable situation because it involves saying no. And if you say no, sometimes you're going to disappoint people. And if you're just getting into the process of saying no, and people are expecting that you're going to say yes because you say yes to everything, you can often get some pretty negative feedback. “What do you mean no? You've always said yes.” Kimberley: You're the “yes” girl. Shala: And so then, that feels even more jarring, like, “Oh, see, it's coming true. People don't like me.” And so, that becomes even more anxiety provoking and thus an even better exposure, but even harder. And I think that thinking of it as setting boundaries to protect your own times so that when you do say yes to something, you are there as fully as you can be because you're well-rested in terms of your body and your mind and your health and all of that. When you don't have good boundaries, you end up feeling very resentful because you haven't been able to take care of yourself. And so, in fact, by not setting good boundaries, you can't actually be there for people when they need you because you're too run down. And that is, I think, the big lie about these people-- one of the many big lies about this people-pleasing thing is that, “Well, I got to do all this to make people happy.” Well, in essence, you're not putting your own oxygen mask on first. And so, you can't. Even if there was something you really could do that would really help somebody else, you don't have enough energy to do it. So, I think really realizing that boundaries are the way to not have that resentment, to allow you to be fully there with the things you do want to do with all your heart and energy. And so then, you are actually really achieving your goal because you can really help people, as opposed to saying yes to everything and you're spread so thin, you're not enjoying it, they're not enjoying it, and it's not achieving the goals that you had in mind. Kimberley: Yes. It's so exactly the point. So, boundaries is 100%, I agree. I'll tell you a story. You know this story, but the listeners might not. Once I did a podcast that got some negative feedback and I called you, understandably concerned about getting negative feedback, because I don't like-- I'm one of those humans that don't really love negative feedback. Shala: I'm one of those humans too. Kimberley: I had said to you, this is literally my worst fear. One of my worst fears is being called out and being told where you've made a mistake. What was really interesting for me is going through that and saying, “Okay, but I did, it is what it is. I wouldn't change anything. And here's what I believe.” I came out of that instead of going and apologizing and changing everything. I came out of that actually feeling quite steady in my stand because I had acknowledged like, “Oh, even when things don't go well, I can get through it. I can stand on my two feet. I can get through those,” which is something I hadn't ever really had to practice, is really standing through that. And I thought that that was a really interesting thing for me, is a lot of the reason I think I was people-pleasing was because the story I was telling myself was that I wouldn't be able to handle it if something went wrong, that I wouldn't be able to handle people knowing that I had made a mistake or so forth. But that wasn't true. In fact, all of a sudden it felt actually a bit of freedom for me of like, “Oh, okay. The jig is up. I can chill now.” Have you found that to be true of some people or am I rainbow and unicorn? Shala: I love that because I think it's like what we do with people with social anxiety. They are afraid of going out in public in certain situations and having somebody evaluate them negatively. And one of the things that we do with those exposures is actually, let's go out and create some of these situations that your social anxiety is afraid of. Let's go into a shopping mall in the food court and spill a Coke on the floor while everybody's looking at you. And then process through, what was that like? Well, I just stood there and they came and cleaned it up and everybody went back to their meal and we went on. Huh, okay. That wasn't as bad as I thought it was. And I think that's very akin to what you're saying, is we build this up in our head that if we're rejected, if somebody doesn't like us, if we disappoint somebody, that's going to be catastrophic. And inevitably, it is going to happen unless you isolate yourself in your house, that somebody is not going to like you, somebody is going to give you a bad review, and being able to say, “Yup, that is okay. I don't have any control over that. And I can handle that. That doesn't devalue me as a person because they gave me a bad review or bad feedback or whatever.” Because if we think about what we each do, like I've bought products before that I've written bad reviews for because I didn't like it or it didn't work for me. I think everybody has. And even if you didn't write a review, you thought it in your head. So, all of us have things we like and don't like, and that's okay. What you're talking about is you have those experiences and then you realize, “Wait, that is okay.” And then you feel free, like, “Okay, look at me. I can make mistakes.” You're less compelled. Continue doing this because you're like, “Wait, there's freedom on the other side of this where I don't have to try to be pleasing people all the time.” Kimberley: Right. Or in addition to that was-- and this is true in this example of, I think it was a podcast that I had put out, was people cannot like what I did but still like me in other areas. That blew me away. I think that in my mind it was so black and white. It's like, if they don't like one thing, they're going to knock you out, where it's like no. People can hold space for things they like and things they do like. Shala: That is such important. Kimberley: Right. You also just said something and I want you to speak to it, is some people people-please by going above and beyond, but you also just brought up the idea of some people just don't leave their house. What would that look like, because they're people-pleasers? Shala: Well, I think that is the extreme case of any kind of anxiety-driven disorder, where you're trying to avoid having to be in a situation where others have expectations of you that you feel that you can't meet, and so you narrow your world down to avoid those situations to avoid the anxiety. And I don't think that's just with people-pleasing. That's obviously what agoraphobia is about—people not leaving their homes because they're trying to avoid situations that are going to trigger panic attacks. But I think people with anxiety disorders in general can start making choices to avoid anxiety that end up not allowing them to lead the lives they want to lead or to take care of themselves. Kimberley: Yeah. I mean, I think that's the question for everybody, even for those who are listening, I would say. If you're thinking, “Oh, this doesn't apply to me,” it's always good to look like, “What am I avoiding because of the fear that I'll be disproved?” or someone will give you a bad review and so forth, because I think it shows up there quite often. Shala: Yes. And in fact, there is a really good article—maybe we can put a link in the show notes—that Adam Grant from Wharton Business School wrote in the New York Times about what straight A students get wrong. And I think it goes right to the heart of what we're talking about because he referenced people who are looking for straight A's, which is an institutionalized form of approval, will potentially take easier classes that they can get an A in versus something they really are interested that they might not do as well in. And so, they are not pursuing what's important to them because they're pursuing the A, and therefore head in a direction that maybe isn't the direction that would be best for them to have. Kimberley: Right. And you just hit the nail on the head because so much of recovery from people-pleasing is actually stopping and going, “Do I want this? Does this actually line up with my values? Am I doing it for other people?” I've heard many clients say, “I do what other people tell me to do and what they want because I actually have no idea of what I want.” That's scary in and of itself. Shala: And that is a really tough problem for people with anxiety disorders because when you have an anxiety disorder, you're used to doing what the disorder says and the disorder can really run your life. When you get better from the anxiety disorder, it's easy to keep doing the things that you were doing that didn't necessarily seem compulsive but may have been because they're just part of your life, without ever stopping to step back and say, “Well, do I need to be doing this?” I'll give you a personal example. I live in Atlanta and there's lots to do in Atlanta. I've lived here for a long time. I think I felt a need that I “should” be out and doing things because I live in a big city and there's so much to do and I need to be doing it. And so I'd have this story in my head that I need to be out and visiting attractions, the aquarium, the restaurants. We have this really cool food court called Ponce City Market. While those things are fun and I do enjoy going to them sometimes, it almost felt like I should do this because this is what people do. They're out and about and doing things, almost like I'm pleasing a societal norm, like this is what you do if you live in a big city. Well, COVID actually has really helped me recognize, “You know what, I actually don't need to get up on Saturday morning and pack my schedule full of all sorts of things that I think I should be doing. I can actually just sit in my house and do things that I might want to do.” And so as you know, I've been doing all sorts of things lately just to try stuff out. I'm taking an oil painting class, which still scares me to death. And I'm taking French lessons because I want to learn how to speak French. And I've bought these art magazines because I really like art and I just want to look at it. And I'm just letting myself explore these various things to find out what I do like. And then once I've been through this process and find what really floats my boat, then maybe hey, one weekend I can go to the aquarium because I want to, because it meets some value or need I have and do some painting instead of trying to meet this idea of what I should be doing that's trying to please society and what my role in society should be, which I think is very easy for people with anxiety disorders and OCD to do, is let other people make the rules, the disorder, your family, your spouse, the society in general, as opposed to just sitting back and saying, “What do I really want?” And the answer to that might be, “I don't know.” And instead of rushing out to do something because it feels better to just be doing something than to sit with the uncertainty of “I don't know,” letting yourself sit in that and go, “Well, what can I maybe try to see if I like it?” Kimberley: Right. And I will add to that because you and I have talked quite a bit and I've learnt so many inspiring things from you as I've watched you do this. What was interesting for me is, a part of that for me was choosing things that people don't actually like. Some of the choices I've made–things I want to do with my time or that I've said no to–do disappoint people. They do disappoint people and they might tell you you've disappointed them. And so, for me, it's holding space for that feeling, the shame or the guilt or the sadness or whatever the emotion is, but still choosing to do the thing you wanted to do. It's not one or the other. You don't do things just because you haven't disappointed someone. You can also choose to do something in the face of disappointing other people, right? Shala: Yes. And I think it's inevitable. You're going to disappoint them. Kimberley: It sucks so bad. Shala: Because you're not going to have the same wants and needs as everybody else. And so, it's inevitable that if you start figuring out what you want to do and trying some things out, you can't do all the other things everybody else wants you to do. Kimberley: Yeah. I know. And it's so frustrating to recognize that. But as you've said before, tens of thousands of people could love a product and tens of thousands of people could hate a product. Lots of people will like me and lots of people won't like me or the things that we do or the places we want to go and so forth. I think that's a hard truth to swallow, that we won't please all the people. Shala: Yeah. And I'll tell you a story that I think illustrates that, is I read this book for a small book club that I'm in, and one of the members had suggested it. I just went and grabbed it, bought it. I didn't really read what kind of book it was. And I was loving it. It was really good. It was like this mystery novel. And then we get to the last, I don't know, 20 pages. And it turns into this psychological thriller that honestly scares the pants off me, but it was wrapped up so well. I was just sitting in shock on the floor, reading this thing, like, “Oh my gosh.” It was so good, yet so terrifying. So I got online on Amazon just to look at the book because it had just gone right over my head that this was a thriller, and I don't normally read thrillers. I just wanted to go on and see. And I was expecting, because I loved this thing, to see five-star reviews across Amazon for this book because I thought it was so amazing. And I got on, and the reviews for it were maybe three point something stars. I started reading and some people went, “I hated this. It was horrible.” They hated it as much as I loved it. And that to me was just a singular example of you cannot please everyone. I love this book, other people hate this book. There were lots of people that were in between. And that doesn't say anything about the writer. The writer is a whole complete awesome person, regardless of what any of us think about what she wrote. Kimberley: Right. And she gets to write what she wants to write, and we get to have our opinions. And that's the way the world turns. Shala: And I think recognizing she doesn't have any control over what I think, I might even write a five-star review just for whatever reason and really hate the book. So, even if you get a positive review, you don't actually know that it's true. I think this is all about understanding that it's not about not caring about what people think because that's really hard. It just numbs you out and cuts you off. I think it's about going into the middle. It's not about people-pleasing. It's not about not caring. It's about recognizing you don't have control over any of that and living in that uncertainty. I don't know what people think. I don't have control over what people think. And even if they tell me one thing, that could actually not be what they think at all. And that's okay. Kimberley: Right. Such an amazing point. I'm so glad you brought that up because I actually remember many years ago saying to my husband, “I've decided I don't care what people think.” Well, that lasted about 12 and a half seconds because I deeply care what people think. But it doesn't mean that what they think makes my decisions. And I think that's where the differentiation is. A lot of the people who are listening, there's absolutely no way on this world they could find a way to not care and not want to please people. It's innate in our biology to want to please people. However, it gets to the point where, is it working for you? Are you feeling fulfilled? Are you resentful? These are questions I would ask. Are you fulfilled? Are you resentful? Are you exhausted? What other questions would you maybe ask people to help them differentiate here or to find a way out? Shala: Am I really enjoying this? Do I really want to do this? Why am I doing this? Kimberley: Yeah. What emotion am I trying to avoid? What would I have to feel if I made my own choice? Yeah. There's some questions I would have people to consider. Okay. So, one more question. You make a choice based on what you want. You do or you don't please people. Let's say for the hell of it you dissatisfy somebody. What do you do with that experience? Shala: First, I think you recognize. You go into this, recognizing that is almost certainly going to happen. There are very few certainties in life. That's probably one of [35:11 inaudible]. Kimberley: You will disappoint people. Shala: Yeah. You're going to disappoint people. And then I think really going to a place of self-compassion. And I'm going to turn it back over to you because you just published an amazing, amazing book that I cannot recommend enough about self-compassion in the treatment of OCD with exposure and response prevention. And I'd love to hear what you think about how you could incorporate self-compassion into this, especially when you do disappoint somebody because I think that's so important. Kimberley: Yeah, no, I love that you swing at my way. I think the first thing is to recognize that one of the core components of self-compassion is common humanity, which is recognizing that we're all in this together, that I'm just a human being. And human beings aren't ever going to be perfect. Only in our minds that we create the story that we were going to be. So, a lot of self-compassion is that common humanity of, I am a human, humans make mistakes, humans get to do what they need to do and want to do and that we're not here to please people, and that our worth is not dependent on people enjoying and agreeing with us. And I think that's a huge reason that my people, like you've said, people-please is they're constantly trying to prove to themselves their worth. So, I would recognize first the common humanity. And then the other piece is it hurts when you disappoint someone. And so, I think it's being tender with whatever emotion that shows up—sadness, loss, anger, frustration, fear. A lot of it is fear of abandonment. So I would really tend to those emotions gently and talk to them gently like, “Okay, I notice sadness is here. It makes complete sense that I'm feeling sad. How can I tend to you without pushing you away?” Again, I think sometimes-- I've seen this a lot in my daughter's school. I've seen this sometimes, the school has said, “When you're feeling bad about yourself, just tell yourself how good you are.” And I'm like, that's really positive, but it actually doesn't tend to their pain at all. It skips over it and makes it positive. So I think a big piece of this is to just hold tender your discomfort and find support in like-minded people who want what you want and who are willing to show up. You and I have said before the Brené Brown quote like, “Only take advice from people who are in the ring with you.” And that has been huge for me, is finding support from people who are doing scary things alongside me. Do you have any thoughts? Shala: Yeah. I think the more that you do this, the more that you're willing to take care of yourself, because I really do think working on people-pleasing is learning how to take care of you. And that's so important. And the more that you will do that and go through these very hard exercises of saying no and disappointing people, and then compassionately holding yourself and saying, “It's okay,” like using the common humanity, recognizing we're all in this together. Everybody feels like this sometimes. I think the more you do it, then you start to disconnect your worth from other people's views. And that is where a whole new level of freedom is available to us. I think that sometimes people-pleasing, because it can be so subtle, isn't necessarily addressed directly in therapy for anxiety disorder. Sometimes it is when it's really over. But a lot of times it's not, and that's not the fault of the therapist or the client or anything. It's just, it's so subtle. We don't even realize we're doing it. And so, we finish therapy for anxiety disorders, we feel a lot better, but there's still a lot of this “should” and “have to,” societal expectations or expectations of other people, which we feel we're driving our life and we don't have any control over. And really working on this allows you to recognize that you are a whole good, wonderful person on your own, whether or not other people are pleased with you or not. But that takes a lot of consistent work, big and small, before you can start to see that your worth and other people's thoughts about you are two separate things that aren't connected. Kimberley: Right. Oh, I'm going to leave it there, because that's the mic drop right there. I love it. Shala, thank you for coming on and talking about this. I really wanted your input on this instead of it just being a podcast of mine. So, thank you. I love your thoughts on this. Where can people hear more about you, your book? Tell us all the things. Shala: Sure. So, my website is shalanicely.com. So, anyone can go there, and I have three different blogs that I write, all sorts of information about how to manage uncertainty and OCD because that's my specialty. My memoir, Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life, in that I talk a lot about how I dealt with people-pleasing. And in fact, the chapter called Shoulders Back, which is one of the techniques—I said there were many that I used for people-pleasing, that's one of the techniques that I use—that chapter talks about my journey in learning about how to work through some of this by really putting your shoulders back and acting like all that stuff you hear in your head is relevant. So, that could be a resource for people as well. Everyday Mindfulness for OCD, which I co-wrote with Jon Hershfield, that also has some information on self-compassion as well if people want to learn about writing self-compassion statements. But again, I would also send people to your amazing brand new workbook, which is the only workbook that I know of, the only book that I know of, that talks about doing ERP in a self-compassionate way. So, it's completely integrated together. And I think that is so important for building a foundation for a good OCD recovery. So, I would definitely send people your way. Kimberley: Thank you, friend. Shala: You're welcome. Kimberley: Well, there are so many parts of the people-pleasing and the tools in your book as well. I know we've talked about that and it's one of my favorite books of all time. So, definitely for listeners, go and check that out. I am so grateful that you came on. Shala: Well, thank you. I'm just so honored to be here. It's always so much fun to talk with you about these topics. So, thank you. Kimberley: So important. Thank you so much, and I just am so grateful for you. ----- Please note that this podcast or any other resources from cbtschool.com should not replace professional mental health care. If you feel you would benefit, please reach out to a provider in your area. Have a wonderful day and thank you for supporting cbtschool.com.

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A lightbulb moment for gratitude

Play Episode Listen Later Nov 18, 2021 3:05

Doing normal everyday tasks intentionally is a core principle of mindfulness. So something as simple as turning on a light switch when we enter a room, is a perfect opportunity to practise it. We'll explore how to do it with ease. LINKS Thich Nhat Hanh’s website – Plum Village. Follow The Space on Instagram @thespace_podcast. Follow Nova Podcasts on Instagram @novapodcastsofficial. CREDITS Host: Casey Donovan @caseydonovan88.Writer: Amy Molloy @amymolloy.Executive Producer: Elise Cooper.Editor: Adrian Walton. Listen to more great podcasts at novapodcasts.com.au.See omnystudio.com/listener for privacy information.

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Yup even Happy Hour can be mindful

Teach Mindfulness with Shamash Alidina

Play Episode Listen Later Nov 12, 2021 3:48

It's National Happy Hour Day. And whether you're able to go to a pub or not you can still tap into the soothing powers of Happy Hour. Most specifically, the sense of belonging we get when we're at our favourite local… especially when they know our order. So, what can you do tonight to improve your sense of belonging? LINKS ‘Research shows having a local pub has social and emotional benefits’ Malcolm Farr for news.com.au. ‘How to Have a Successful Virtual Happy Hour’ - The New York Times. Follow The Space on Instagram @thespace_podcast. Follow Nova Podcasts on Instagram @novapodcastsofficial. CREDITS Host: Casey Donovan @caseydonovan88.Writer: Amy Molloy @amymolloy.Executive Producer: Elise Cooper.Editor: Adrian Walton. Listen to more great podcasts at novapodcasts.com.au.See omnystudio.com/listener for privacy information.

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#30 - Everyday Mindfulness Matters and How to Encourage More

Play Episode Listen Later Oct 30, 2021 4:54

Life is the greatest meditation. Find out why! What to Teach Mindfulness? Check out https://TeachMindfulnessOnline.com Want to learn more?

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WTF is the Lipstick Effect

Play Episode Listen Later Sep 16, 2021 4:51

A powerful lippie makes more than a bold statement. There’s research to suggest rocking a red lip can help you to feel powerful, in control, and really damn awesome. Let’s unpack this together. Links ‘Goodbye lipstick effect, hello mascara index – How covid-19 may have changed the beauty landscape for good’ Global Cosmetic News.com - https://bit.ly/mascaraeffect-covid . ‘Wearing Lipstick in the Pandemic Is An Act of Defiance’ from Town and Country - https://bit.ly/lipstick-covid-defiance. ‘Why You Should Wear Red Lipstick’ | Allure - https://bit.ly/wear-red-lipstick . The Space Instagram @thespace_podcast and https://bit.ly/thespace_instagram. Review The Space on Apple Podcasts and https://bit.ly/review-the-space. Credits Host: Casey Donovan @caseydonovan88 Content: Amy Molloy @amy_molloy .Executive Producer: Elise CooperEditor: Adrian WaltonSee omnystudio.com/listener for privacy information.

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That Friday bevy can be a mindfulness moment!

Play Episode Listen Later Aug 6, 2021 4:36

Have you wondered how you can make vino drinking a more soulful activity? We’re talking about drinking more soulfully. It could be the key to feeling better about your drinking. Links Mike Rapajic, Feravina https://feravina.com.au/ . ‘Why "Retail Therapy" Works’ Psychology Today Australia by Kit Yarrow https://bit.ly/3A2uTt1 . The Space Instagram @thespace_podcast and https://bit.ly/thespace_instagram. Review The Space on Apple Podcasts and https://bit.ly/review-the-space. Credits Host: Casey Donovan @caseydonovan88 Content: Amy Molloy @amy_molloyExecutive Producer: Elise CooperEditor: Adrian WaltonSee omnystudio.com/listener for privacy information.

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Ep. 195 Depression as a compulsion (with Shala Nicely)

The Optimal Aging Podcast

Play Episode Listen Later Jun 25, 2021 37:12

This is Your Anxiety Toolkit - Episode 195. Welcome to Your Anxiety Toolkit. I'm your host, Kimberley Quinlan. This podcast is fueled by three main goals. The first goal is to provide you with some extra tools to help you manage your anxiety. Second goal, to inspire you. Anxiety doesn't get to decide how you live your life. And number three, and I leave the best for last, is to provide you with one big, fat virtual hug, because experiencing anxiety ain't easy. If that sounds good to you, let's go. Kimberley: Hello there. I have with me a very special friend who is going to talk about something so important. So, so important. I am so excited to have with us Shala Nicely. Oh my goodness, thank you for coming back onto the show. Shala: Thank you so much for having me. I love being here. Kimberley: Oh my goodness. Okay. So, probably the reason that I have been so adamant about getting you onto this episode is this topic that we are going to talk about is probably one of the topics that comes up the most with my patients and clients that nobody is talking about. Shala: Yes. Kimberley: Nobody. And I am seeing it more and more and more and more and more, which is why I wanted to have you on. So, thank you. Shala: Yeah. Kimberley: Thank you. Okay. So, you wrote a blog about depression as a compulsion. Can you tell us what does that mean? Shala: Yes. I'll start off by saying that this is one of the many subtleties of OCD. Sometimes OCD takes a long time to figure out. I spent years becoming a therapist. I spent years thinking about my own experience and when I was writing my memoir Is Fred in the Refrigerator?. It wasn't until after Fred was published, that I figured out this particular compulsion that I had been doing. By identifying it, it's been able to help me make a huge difference in my recovery, and that's why I wanted to share it and write the blog. Kimberley: Right. It's so important. I mean, I can't tell you, I've been practicing for many, many years and I only came across this in the last year or two. But the more I get to know it and the more I understand it, I'm just like, I feel like I see it in almost all the cases in some way. So, go ahead. Tell us what it is. Tell us what it looks like. Shala: So, I'll give you an example that I used in Fred, which is, when I was in my twenties, I was convinced I'd given myself HIV aids because I had gotten cut with a broken beer bottle at a party and I had spent all this time in my head arguing with OCD about whether or not that you can transmit HIV aids through that. It went on for months and months and months. While I was doing all this ritualizing in my head, trying to figure this out and prove to myself I didn't have this disease, which this was years and years and years ago, the treatments for HIV aids are much better now, they weren't. This was 25 years ago. I know people with OCD are still frightened of it. I was really frightened of it back then because there weren't very many treatments for it. And so I would spend all day long thinking about how I had given myself a fatal disease and how I was going to die. And then I started acting as though I had a fatal disease that there weren't good treatments for and I was going to get it and die. So I would go into situations and put on a happy face and smile, but in my head, I was thinking, “Oh, this is the last time I'm going to be doing this. Oh, this is so sad. Just wait until people find out what is really going on with me.” So I would focus in those situations on how awful this was and how depressed I was and how this was going to be the last time I was going to do it. So, I was actually acting as though what OCD was telling me, which is that I'd given myself fatal disease, was true. And the depression that came from that became the compulsion because I took that emotion and I acted on that emotion. So I started acting depressed, making depressed choices, living in a depressed lifestyle, having a depressed attitude as I went out into the world because I had given in completely to what OCD was saying. When I realized that, again, this was after I'd written the story, after it had been published, and I started seeing this in my clients. I started recognizing I still did some of this. I'm like, “Wait a minute, it's the depression itself, which was really propping all this up.” It's really a very subtle form of compulsion that if you don't recognize it can sabotage your ERP work. Kimberley: Yeah. I would admit as a young intern of treating OCD, I think if I saw this, I would have stopped ERP and focused on depression and really worked on that, which is not a bad solution, but without really recognizing it under the lens of OCD, right? So, I would have seen it as separate. I love it. Let me explain how I've seen it a lot. Once I've shown them your article, patients and clients have said, “I recognize in the moment that I'm having uncertainty. I try doing a compulsion to make the uncertainty go away and that doesn't work. So, going into depression is our easy way to just exit out of uncertainty. It's the worst-case scenario. That's where I'm going to hang out.” That has been so helpful for people to be able to recognize that. It's a response to not wanting to be uncertain. Shala: And I think it's important to differentiate between depression that comes secondary to having a diagnosis of OCD from this, because a majority of people with OCD will end up with some form of depression at some point, because it's just so debilitating. It's the 10th most debilitating condition in the world. So people will end up depressed just because of how exhausting it is to manage this monster in your head all day long. But that's very different than being depressed because you've decided to believe that the OCD is true because you cannot figure it out otherwise. And OCD just wants certainty. It doesn't care what kind of certainty it gets. If it can't get certainty, for instance, that I don't have HIV aids, it's just going to go the other way and say, “Well, I'm going to get certainty that she does have it,” and then go from there and then becoming depressed as a result of that obsession. So, I think that's really important for people to understand. You can have both going on at the same time too, which makes this even more tricky. Kimberley: Yeah. Even more tricky, but even great to know that we can differentiate the two now, because we'll talk later about how to manage that. Now, this is where I want to look at insight because, in your blog, you talk about insight. I think that's an important piece of this, right? Because when you first have the onset of OCD, you might recognize that this is like ego, what we would call egodystonic, like this stuff. “I know it's not true, but I keep fearing it's true.” Can you share how insight impacts this specific situation? Shala: Yes. In fact, it was Jon Hershfield who introduced the two of us years ago, who helped me put this insight about insight together, because I was talking with him about this depression is a compulsion. What he pointed out is that typically, when an OCD obsession starts, you're doing compulsions to try to prove that it's false. If you can't get that to work, which of course you can't because there's no way to prove all this stuff that I see he's worried about, then sometimes you can start going the opposite way and trying to prove that it's true. Really that's the difference between insight. When you're trying to prove that it's false, then you know that what OCD is saying in some part of you is nonsense. “I don't have HIV aids, come on.” Not like in a reassuring way, just there's a part of you that still recognizes, “Yeah, this is super scary, but this is OCD reacting to an intrusive thought. This isn't actually a real problem.” So, you've got that insight there. You're still stuck, but you got insight. When you start trying to prove it's right, that's when you've lost insight. When you really give in to everything that OCD is saying, really hook, line, and sinker, and you don't have any insight anymore. That's really when this depression as a compulsion becomes a big problem. The longer that a particular obsession is maintained by doing compulsions, the more likely you are to lose insight, the longer it's been going on. Kimberley: And this is where it's hard, isn't it? Because we know the whole story of when you stare at something for too long, it starts to look weird and distorted. I think that's very much true here. I think it's true of depression in general and in this subtle compulsion. When we look at things as negative, we notice more and more things that are negative. Is that what you feel to be true here? Or is it just the same story that you hear over and over? Share with me how that might sound in your head. Shala: I think it starts to sound like a soundtrack for my life because most of my rituals became internal. And the way I see mental rituals, it's physical rituals taken inside. So you can't do things physically because you don't want people to see or whatever. So you start pulling it inside. The more that I would do that, the more I would argue with OCD, of course, the more I'm strengthening in it. So the more I hear it and the more I argue, it just expands to fill every waking moment. It really becomes a soundtrack playing 24 hours a day because I was doing those mental rituals. And then the longer that that went on, the more likely I was to start becoming depressed because I was losing insight, which then also further reinforces this cycle. Kimberley: So interesting and so helpful. One thing that you talk about is emotions as a ritual. Can you share how this may play out with other emotions such as – you've written guilt and shame, regret and grief? Shala: Yes. So what I'm going to do to describe this is I'm going to take you through the OCD cycle in some anatomical details, so to speak, so we can piece together how this is all happening. So you have an intrusive thought. That is not OCD because everybody has intrusive thoughts. The OCD is the next stage where OCD reacts to the intrusive thought – “Why did I have this? What does this mean? Am I going to do it? Am I going to make it come true because I have the thought?” That reaction, that's the OCD. Of course, that makes you feel anxious. And then if you haven't had treatment, you typically do some form of compulsion, something to try to get certainty about what the OCD is bothering you about, because this is all based on an intolerance of uncertainty. And OCD just picks content that you care about and puts uncertainty about it in your mind and then gets you stuck in that cycle. When you do a compulsion, it tells your brain that this is a dangerous thought, “This intrusive thought I had is dangerous,” and you need to keep doing something about it. These steps just repeat on an endless loop. And then what happens is that when it repeats on the loop long enough, the acceptance of the scary thoughts that OCD is presenting causes you to experience the emotions that you would feel if those stories were true. Those emotions tend to be things like depression, as we've talked about, guilt, regret, shame, grief, and others. And then in classic cognitive behavioral therapy perspective where our emotions and our thoughts and our actions all come together in this triangle, the emotions then dictate how we act, so we begin to act depressed or guilty or regretful or shamed or grief-stricken. Those emotions can then become compulsions because they're driven specifically by believing the content of the OCD, by acting like what OCD is saying is true. That's the definition of doing compulsions. So that's how emotions can become part of the compulsion cycle because you start acting as though they're true. Kimberley: Right. This is so true and this is where I see it play out a lot, is when people have an intrusive thought that they've done something wrong, and then they feel... Because they start to believe it, they go into regret and then they go into confessing, right? Then they'll go into like, “Well, I have to confess it because I've done something wrong,” instead of that they had a thought that they did something wrong. Or that they feel such deep guilt that they're saying things like, “I'm a terrible person. I'm terrible. And I'm so guilty. What kind of human am I?” because of a thought like you've just described, how then that plays out and keeps playing out over and over again. Let's play out because we haven't really talked about this, but what would the action be as a result to regret? It would be reassurance seeking or confessing. What else would you say? Shala: Maybe going back in your mind and trying to undo it and, “Gosh, what would it be like if it had only gone like this?” Almost like a wishing compulsion that I think [14:22 inaudible] talks about in his book. All sorts of things like that. Kimberley: What about guilt? Similar, but what about guilt? Shala: I think with guilt, it's a lot of self-punishment as a ritual. “I'm bad. I did something bad.” With guilt and shame, guilt is, “I did something bad,” shame is, “I am bad.” I think in this case, those can get conflated together and people just start punishing themselves. “Well, I don't deserve this because I did this bad thing,” or “I am this bad person.” They start being very uncompassionate with themselves and treating themselves like they're this horrible human being. Kimberley: Right. And that's a big part of how I see it play out is that the self-punishment is pleasure withholding, like you don't deserve the nice-- it could be as subtle as you can't have the nice brand of crushed tomatoes. You have to have the crappy brand because you don't deserve good things or you don't deserve the nice sheets or so forth. And that will make you feel-- when there's no pleasure in your life, you get depressed, right? I think that's a very subtle way that OCD plays out. I've heard lots of people will say, or the flip side is they'll say something like, “Oh, because I have harm thoughts about my child, I have to buy them the best diapers,” which is treating yourself as if you've done something wrong. Shala: Yes. You're making up. Kimberley: You're making up for something that you had a thought about, right? Shala: Yeah. Kimberley: Right. It's so subtle. What about grief? Can you kind of give an example of that? Shala: I think with grief, it's pre-planning things. So, for instance, I'm not kidding you, I've pre-planned my funeral in my head – “Well, this is what it's going to be like. It's going to be so sad and I wonder if this will happen and that will happen,” as though it's an event two weeks from now on my calendar, Shala's funeral. So I think it's almost like you act like the loss has occurred already and you begin to start going through the grieving process. People with OCD tend to be really empathic people, so it's really easy to go there. It's easy to put yourself in that, “Oh, so-and-so has died. This horrible thing has happened. Let me go ahead and get into that grief state,” because we're just good at being able to put ourselves in other people's shoes to imagine what something would feel like, and to feel it as though it were happening. Kimberley: It's so good. All right. So-- Shala: Can I say one more thing? Kimberley: Of course. Shala: Sometimes I think of these as fake emotion. They're not, right? But they're OCD-induced emotions. Kimberley: They're manufactured. Shala: They're manufactured. They don't actually fit the truth of the situation. I'm not saying they're fake like, gosh, the shame you're feeling or the guilt you're feeling isn't real. Certainly it's a real emotion, but I think it is induced completely by the OCD, as opposed to being induced by a situation that has happened in life. Kimberley: I agree. And that's where that insight is really important, right? Is to be able to catch that. I fully agree with you. I'm so glad that you recognize that because people will say it feels real, right? It feels real. And then I'll always follow up with like, “But it's not a fact.” But still, it's important to have that conversation. Now, I want to just jump in here. Before we talk about how to break this cycle, how might this play out with just Right OCD? Shala: I can give you an example from yesterday about this. Kimberley: All right. Shala: I decided I was going to get these floating shelves and hang them on the wall. It requires using a drill and all sorts of things, which I can do, but I'm not very good at it. I also, I guess, was sort of distracted and I'd had problems with one of them and with the drill, as I went downstairs to do the other one. I put the shelf a couple of inches too high because I used the wrong mark on the wall, probably because I was exhausted from having drilled drywall over the place and making a huge mess upstairs. Once I got the shelf installed, I'm like, “Oh, what's that little mark on the wall? Oh, that was where it was supposed to be, a couple of inches higher.” I am not redoing it because it made a huge mess in the wall and it's going to have to stay there. My OCD put this little feeling in my stomach. “That's just too high. It's wrong. It's horrible.” I could feel it. Like, I feel it right in my solar plexus, this little tightening, like, “Oh, we can't stand this.” What I decided to do, because I am not moving that, I just say, “OCD, this is great. I am so glad that shelf is at that level. I'm glad, number one, because it's upsetting you. But number two, it actually probably is a good level because I have a big dog who likes to bounce around on the couch. This is above the couch. If it's actually too low, he's probably going to knock his head on it and knock it over. We're just going to live with it. There are some good things about it being at this level, just like there's some good things about it being at another level. I'm just going to smile and be happy every time I see that shelf.” So, when I see the shelf now, I really try to have good, positive, happy emotions about the shelf being at that level and tell myself, “We're not changing it. OCD, if you don't like it, fabulous.” Kimberley: Right. But originally, was it that you would slip into a depression as a compulsion? Shala: Yes. So, what happens with Just Right OCD that can have this same thing go on is we look at the shelf every day and go, “Oh, it's ruined the house. The house is not perfect because the shelf is in the wrong place. If we could just move the shelf down.” And then you envision moving it down, but then you think, “Oh my gosh, it's going to open up more holes in the drywall, and then I'll have to fix that. I can't do that. If I'd only been paying more attention.” Everybody can't see this because they're not watching the video of this, but if you can see my posture, it's like-- Kimberley: It is. You're getting low. Shala: Like, “I screwed up and now it's bad and I'm depressed.” And then every time you look at it, you have those regretful thoughts and you think about, “Gosh, how I'd like to change that.” And that causes more regret. And then that fuels the whole emotions as a compulsion cycle. Kimberley: Which is interesting. I think this is true for any subtype. And you may correct me on this. The thought that I hear the most is, “This is going to bother me forever.” That's where I feel like the depression as the compulsion set seen as like, “You'll never have happiness again. This is going to be the worst.” And then you go actually, like you sunk down into that. You sunk in and you stayed into that kind of mindset. Is that an example you would give as well? Shala: Yeah. I think with any Just Right OCD, it's this feeling that life is somehow ruined because this thing is wrong. Ruined means forever. It's all blurry, black and white like you were saying. So it feels not only unfixable, but unbearable, and then giving into that and then acting as though this unbearable thing has happened, then becomes the emotions as a compulsion. I think this is probably pretty common within the whole Just Right OCD thing, is having so much regret that it's not right, then act as though that regret were true. Kimberley: Right. Well, okay. So, that's the perfect segue, is how do we break this cycle? How do we intervene? Where do we intervene in the cycle? Shala: The way that we intervene in this cycle, through exposure and response prevention obviously, is doing the acting as though the content that OCD is threatening you about or bothering you about is irrelevant. Let me start out by first saying how people tend to make mistakes doing this because I think this is important. So, as we know with exposure and response prevention, we're exposing ourselves to the uncertainty of the obsession while not doing compulsions. If you have emotions as a compulsion, depression as a compulsion, you can do an exposure. Think you're not doing compulsions because you're using scripting to get out of your head. You're not asking for reassurance. You're not doing your physical compulsions. But you're still bummed out, regretful, ashamed. So you're doing it while in your head, really spending a lot of time in that emotion. So you're really doing exposure without response prevention. You're doing some response prevention, but you're not doing enough response prevention. So the exposures don't work very well. People can get stuck in this cycle where they're doing ERP over and over and over again and they think that they're getting rid of all these components and they're not getting better. It's probably because something like this is going on in the background where they're still, at some level, believing this and acting as though it were true. So, that's where people make mistakes. What we really need to do here is find that little bit of joy because it's there. It's probably been so covered up by the OCD, the depression, whatever other negative emotions you're experiencing, that you don't think it's there, but it is there. You can take yourself back to when you were really happy about whatever it is, like, say that you think you're going to harm your children. And you can remember times that you were with your kids where this wasn't bothering you. So, you take yourself back to that and you think, “How was I acting? What was I doing? How was I feeling?” You find that and you go do those activities and you focus on that joy. So, when the OCD says, “Oh no, we can't, we can't. You're irresponsible. We were going to kill them. We're going to harm them. We have to focus on how bad we are,” you're like, “Nope, I'm going to focus on how much fun my kid is having in the pool. Isn't this great? It's a sunny day. Really enjoying it. It feels so nice to be out here. Look how happy my kids are.” You just find all of the joy you can and you focus on the joy. What we're trying to do here is act as though the content is irrelevant. So, if you're acting like it's relevant, you're standing in the pool with your kids going, “Oh my gosh, this is terrible. I'm going to kill them. They're happy now. But just wait until I kill them and their mother finds out or whatever, that it was me.” Or you can be in the pool like, “This is great. I love spending time with my kids. This is awesome. Look how much fun they're having. They're doing so well with their swimming. They're having a great time. They could probably stay in here until they turn blue. This is great.” You're acting like all that stuff in your head about the fact that you might harm them doesn't matter. And that's the essence of good exposure. It really takes this finding joy because you want to do the opposite of what OCD is saying. OCD says you should act depressed, regretful, ashamed. So you say, “I'm going to do the opposite of that. I'm going to act happy, jubilant, carefree.” And that's how we do these exposures. It's not easy, but if you get good at it, it can be really revolutionary in terms of your recovery. Kimberley: I love this. So, I'm thinking of one particular person right now, and it's a follower actually. What would you say, because I love everything you're saying. What would you say to the person who then may start to do that as a compulsion too? Shala: Yes. I think that OCD can turn anything into compulsion. Kimberley: It's so skilled. There's such skill. So Shala: Yeah. I think that that is a potentiality for anything that we do with ERP. We are not doing this to make your anxiety go away. In fact, you're going to be more anxious while you're trying to find this joy because you don't deserve to be joyful. It is not responsible to be joyful. It is tempting fate to be joyful. So you're going to be-- Kimberley: Irresponsible is the word. Shala: Yeah. You're going to be having maybe 5% joy and 95% anxiety if you're doing this right. If you make this compulsive, you're doing it to reduce anxiety. I'm so glad you brought that up. That is what we're looking for here, is this is going to make you more anxious. And the more that you do it and really find the joy and act like you're having fun anyway, eventually, the anxiety will subside. Who knows when? It may take hours, days, weeks, months, whatever. But that is not the goal. The goal is to be in the situation while being anxious. And the more anxiety, the better, right? Because that means you're giving your brain a good learning experience. That means that you're doing things that help you tame OCD and reclaim your life. Kimberley: Right. Thank you so much for sharing that because that's such a crucial piece – to be able to integrate joy and anxiety in the very same moment. If you could do that, you're winning, right? You've won, because OCD wants you to integrate anxiety and depression at the same time. So, I love that that is the way to give OCD birth ultimately, is to show that you can do that. I love it. So, let's talk about one more thing. I want to be respectful of your time. Someone has had OCD for a long time, obviously, because this has gotten so stuck. They're having a lot of this depression as a compulsion. We're asking them to find things that used to bring them joy or look back to a time where they could integrate anxiety and joy at the same time. What are your thoughts around “Fake it till you make it”? Is that an approach that you would consider? I know you've talked about other ways. Would you like to share your thoughts on it? Shala: Yeah. I mean, there's nothing inherently wrong with the “Fake it till you make it” stand, except for if you're saying you're faking it, you're saying that there is no happiness there. And that's almost giving in to the OCD once again. So, what I like is a different way of phrasing it, which comes from a woman named Heather Hansen who wrote a great book called The Elegant Warrior. We've both been on her podcast. What she says is, “Show it till you grow it.” I love that because that acknowledges that the positive emotions are there. The OCD is sitting on them and squishing them and you can't feel them, but they are there. That also reinforces this notion that the OCD, this is a bunch of content it's making up. It doesn't feel like that, but these are things that it has imposed upon your life to make you worry about them. But you've got this great life that sort of smushed down underneath it. And you just need to find a little bit of what that great life used to be and find that and grow that. It's almost like if you think of a black canvas and then there's a little pinprick of light, sunlight and it comes through as like a ray. And then the ray comes through and it starts to makes the black cloth start to have the hole, get bigger and the sunlight gets bigger. And then the sunlight comes through and eliminates everything. That's what we're talking about here. It's just a pinprick. It's a tiny bit, but it's really there. If you say you fake it till you make it, you're not giving yourself the empowerment you deserve, that it is in you. It is there. You just don't feel it because of the OCD. Kimberley: Right. It is. It's like a muscle that you grow. I agree with that. I think that that is exactly perfect for it because, like anything, if you're trying to get 100% joy, you won't get any joy. But if you give yourself permission-- because we can get perfectionistic about this and be like, “Well, no, this used to bring me so much joy.” So I think you're right. It's just little baby steps and little baby pinpricks is the way. Shala: I'm so glad you brought that up because like all of us with OCD can make things compulsive. We can also try to do our therapy perfectly and try to do these exercises and go out and be like, “But I wasn't totally happy. I did have some intrusive thoughts. I did feel some depression.” Yes, of course. You're going to. So, I think recognizing this is a process and what we're trying to do is find the 1%, the 0.05%, the 3%, the 15%, whatever it is of joy and focus on that. Yeah, you're going to have those depressed feelings. They've been there for a while. By the time you have depression or other emotions as a compulsion, it's probably been there a while. So, this process of ERP is also going to take a while and it's challenging and it's hard. So, you're not going to go out and do this perfectly. You're not going to go have some awesome experience with your kid. You're going to be acting as though you're having an awesome time. You're going to be trying to focus on that in your head. But the vestiges of the OCD and those other emotions are going to be there. Let it be there. We're not with this trying to shove those away necessarily and not feel them. What we're trying to do is focus on the ones that actually match the ERP, which is, if I'm going to go focus on being with my kids and having fun, that's what I'm going to focus on. Not this other stuff that's going on over there. But give yourself permission to have this be a messy process because it is and do it imperfectly because you're going to, because everybody does. It's going to take a while, because it took a while for all of us with this to get there. It's going to take a while to unravel it. And then even after you unravel it, it can still come back. I still have to watch for this one. If I get triggered with something that is a really high-level item for my OCD, I have to work on this sometimes too, because it's easy for me to sink back down to this because I did it for so many years. Kimberley: Which I'm so grateful that you share that because I think that for those-- and I want to make sure I just did it before we finish up and I want to hear about what you're up to these days is, the treatment for this is actually similar to the treatment of just depression too. You're working double shifts here, but in a good way. You're working on two things using the same tool. So, do you have any feedback on that? Shala: Yeah, that's a really good point. I hadn't thought about it like that before, but it's very much a behavioral activation approach. Behavioral activation is used in the treatment of depression to help people start to put activities back in their lives that gave them pleasure and that gave them some feelings of mastery. And that's what we're trying to do with the added component of “And let's focus on that pleasure. Let's focus on that feeling of mastery. Those other feelings are going to be there, but let's focus on the way life used to be before the depression came in.” So, yeah, it is a very behavioral activation type approach here. Kimberley: Oh my gosh. I love it so much. It's so good. I feel like everyone needs to be trained in this specific area because it's such an important area that gets missed and missed and missed and missed. So, you're like brilliant, brilliant in my mind, as you already know. Shala: Well, thank you very much. Kimberley: Okay. Is there anything you want to add before you tell us the way we can find out about you? Shala: I don't think so. I think we've covered everything. Kimberley: Okay. Tell us where people can hear about you, your blog, and all the amazing things you're doing. Shala: They can go to shalanicely.com. On that website, you can sign up for my newsletter, which is called Shoulders Back!: Tips and resources for taming OCD. I send it out every couple of weeks and it has some sort of new resource I've created or been a part of every time I send it out, free resources to help people learn how to effectively tame OCD and reclaim their lives. So, that is where you can go. If you want to read more about this, this particular blog is on my Psychology Today blog. It's called The Subtle OCD Compulsion that you might not know you're doing. Again, you can go on my website and it'll link back to all the Psychology Today blogs as well. Kimberley: What about your book? Shala: Yes. So, both books, Is Fred in the Refrigerator?: Taming OCD and Reclaiming My Life and Everyday Mindfulness for OCD: Tips, Tricks, and Skills for Living Joyfully, which I co-wrote with Jon Hershfield. You can learn more about those on my website or on Amazon or anywhere that you buy books. They're both available on audiobooks as well. Kimberley: Right. Let me do a plug for your book because I have had so many of my patients say it's the first time they wanted to hand their book to everybody because it was exactly how it felt for them. I have so many clients who bought a copy for themselves and a copy for their parents because their parents were like, “Oh, this is what it's like to be you. Now, I finally get it.” So, I'm so grateful you did that beautiful book. Shala: Well, thank you. That's the whole reason I wrote Is Fred in the Refrigerator? because I wanted people to understand how it feels to have OCD. If you have OCD, I wanted you to understand that you're not alone and that there is hope that you can get better. You can tame OCD and you can reclaim your life. Kimberley: Right. Oh my God, thank you so much for being on today. Shala: Thank you so much for having me. It was fun. Kimberley: Such important information. I can't say it enough. So, so important that we're addressing this more. I think that this can open it up to everybody having a better understanding. Shala: Thank you again. Website: shalanicely.com Is Fred In the Refrigerator: https://www.amazon.com Everyday Mindfulness for OCD: https://www.amazon.com Psychology Today blog ----- Please note that this podcast or any other resources from cbtschool.com should not replace professional mental health care. If you feel you would benefit, please reach out to a provider in your area. Have a wonderful day, and thank you for supporting cbtschool.com.

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Tai Chi for Baby Boomers and Military Veterans, with Master Instructor David-Dorian Ross

Play Episode Listen Later May 4, 2021 53:54

When David-Dorian Ross was in his early 20s, he had a brief, intense experience that changed his life.It was during his first session of tai chi, and the way he describes it is how others recall a profound religious experience."It was a gift," David-Dorian says now. "I had this knowledge, this certainty, like a memory of the future that I would do tai chi for the rest of my life and that I would someday be a famous teacher."And, indeed, all that came to pass.David-Dorian has been teaching Tai Chi since 1979, focusing on making Tai Chi more accessible to all and has been a record-holding competitive martial artist.He created his own tai chi method, called taijifit, and he teaches and certifies instructors at taijifit.net. He is also the national network manager of Tai Chi and yoga instructors for the Veterans Affairs Community Care Network - providing free Tai Chi and Yoga classes to our nation's military veterans. David-Dorian served in the Navy from 1975-1980.In this episode, David-Dorian shares powerful perspective about tai chi, his outreach with veterans and Baby Boomers, and lots more I know you'll enjoy.Key Moments:5:50 -- His first tai chi session, when "all of a sudden, everything changed"12:25 -- Tai chi as part of holistic health18:00 -- 'The job I was sent her to do' -- working with veterans25:10 -- How to find tai chi instructors for vets29:10 -- Tai chi as fall prevention34:50 -- Incorporating tai chi into your fitness business43:40 -- What's wrong with the fitness industry49:50 -- Three Things I Like This Week: Laughter Yoga, Everyday Mindfulness, 1-800-FLOWERSLinksDavid-Dorian RossTaijifit.netNaamly : Support our advertiser, and keep your clients engagedEveryday Mindfulness on TwitterLaughterYoga.org CelesteGreeneLaughs.

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Everyday Mindfulness For Kids - My Two Feet on the Ground

Angel Heart Radio

Play Episode Listen Later Mar 20, 2021 59:00

Mindfulness for kids in delightfully simple ways. Australian author Leanne Costello awoke one night reciting the first few lines of a wonderful children’s book in late 2017, teaching mindfulness for kids in delightfully simple ways, and knew instantly they needed to be built on and shared with the world. Using random scenarios from the average child’s school year that any child can relate to, the rhymes inside this wonderful book contain subtle and uplifting messages for young and old on mindfulness and provide encouragement, food for thought, and basic tools on how to stay positive, present, and grounded. My Two Feet on the Ground is available through all the usual outlets worldwide, including BalboaPress in your country. Your links for Australia, USA, UK #AngelHeartRadio #YouMatter #MentalHealth #RememberYourMagnificence #WeArePoweredByLove

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Simple Practices to Empower Yourself with Melissa Steginus

Empowerment Radio with Dr. Friedemann

Play Episode Listen Later Mar 18, 2021 56:56

Do you sometimes feel that you live on autopilot, going through the motions, dutifully attending to your obligations and utterly unaware of your body and what happens in the present moment? Most of us are so busy that we forget to focus on how we really feel, what we truly desire, and what we need to do to move our lives in the right direction. My guest on this last episode of Empowerment Radio is productivity and wellness specialist Melissa Steginus, who just released her new book Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life. Melissa's motto is that Your time and energy are your most precious resources. Her new book is your master manual for reconnecting with yourself and your inner resources so you can take immediate action to transform your life. Join Melissa and I on Thursday, March 18th at 9AM PT / 12PM ET and learn simple practices on listening to your body, understanding your feelings, gaining mental clarity, and managing your time and energy to pursue your goals and dreams.

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Simple Practices to Empower Yourself with Melissa Steginus

Dr. Friedemann Schaub

Play Episode Listen Later Mar 18, 2021 56:56

Do you sometimes feel that you live on autopilot, going through the motions, dutifully attending to your obligations and utterly unaware of your body and what happens in the present moment? Most of us are so busy that we forget to focus on how we really feel, what we truly desire, and what we need to do to move our lives in the right direction. My guest on this last episode of Empowerment Radio is productivity and wellness specialist Melissa Steginus, who just released her new book Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life. Melissa's motto is that Your time and energy are your most precious resources. Her new book is your master manual for reconnecting with yourself and your inner resources so you can take immediate action to transform your life. Join Melissa and I on Thursday, March 18th at 9AM PT / 12PM ET and learn simple practices on listening to your body, understanding your feelings, gaining mental clarity, and managing your time and energy to pursue your goals and dreams.

empower transform your life simple practices empower yourself everyday mindfulness empowerment radio

971 Melissa Steginus – Everyday Mindfulness

The Hidden Why Podcast

Play Episode Listen Later Feb 28, 2021 39:41

Everyday Mindfulness Leigh Martinuzzi · 971 Melissa Steginus – Everyday Mindfulness My interview with Melissa Steginus discussing productivity and wellness. With Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life, you will awaken to yourself, connect with your inner wisdom, and tap into your capacity for self-empowerment, fulfilment, and transformation. With 108 various practices … Continue reading 971 Melissa Steginus – Everyday Mindfulness

transform your life simple practices empower yourself everyday mindfulness

971 Melissa Steginus - Everyday Mindfulness

Leigh Martinuzzi

Play Episode Listen Later Feb 18, 2021 39:41

Everyday Mindfulness My interview with Melissa Steginus discussing productivity and wellness. With Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life, you will awaken to yourself, connect with your inner wisdom, and tap into your capacity for self-empowerment, fulfilment, and transformation. With 108 various practices to choose from Melissa shows us how we can transform our life with 5-minute a day mindfulness exercises. Guest Bio. Melissa Steginus is a productivity and wellness specialist and author of the new book, Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life. Her motto is that “your time and energy are your most precious resources” and—through workshops, courses, and coaching—she helps people structure their work and lives to spend more of those resources on what really matters. Melissa’s unique approach blends time, task, and energy management to serve her ultimate goal: helping others work and live with intention, empowerment, and fulfilment.

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Introducing Well Said

Well Said

Play Episode Listen Later Jan 22, 2021 1:03

Want to sleep better? Cultivate calm? Live more sustainably? Well Said connects you to experts, authors, and thought-leaders on the art and science of living well. Upcoming episodes include Dr. Sanjay Gupta on Brain Health, Jay Shetty on Everyday Mindfulness, Arianna Huffington on the Importance of Sleep, and Rupi Kaur on Using Your Voice. Hosted by Indigo Chief Booklover Heather Reisman and journalist Shivani Persad, each episode invites you into meaningful conversations about well-being and offers takeaways for every day. Listen, learn, live well.

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Melissa Steginus, "Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life" (TCK Publishing, 2020)

New Books in Spiritual Practice and Mindfulness

Play Episode Listen Later Dec 3, 2020 57:17

Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life (TCK Publishing, 2020) guides you through the most powerful daily mindfulness practices that help you rewire your habits and rewrite your life. This book includes 108 daily mindfulness practices, explanations of the purpose behind each practice, and over 300 reflection questions that encourage profound self-exploration and transformative action. With step-by-step instruction and evidence-based exercises you can do in as little as 5 minutes a day, it’s never been easier to make positive changes stick in your life. Most of us are so busy that we forgot to focus on how we really feel, what we truly desire, and what we need to do to move our lives in the right direction. This book is your master manual for reconnecting with yourself and your inner resources so you can take immediate action to transform your life. The power to change your life is in the small things you do every day. This book guides you through over 100 simple practices, in small doses, so you can discover what works best for you and build on it. With Everyday Mindfulness you will awaken to yourself, connect with your inner wisdom, and tap into your capacity for self-empowerment, fulfillment, and transformation. Melissa Steginus is the author of two books; Self Care at Work and her latest, Everyday Mindfulness. She is a Canadian productivity and wellness specialist who teaches expert methods in time and task management, energy management, self-care, and work-life harmony. With a background in social work and years of experience as a coach, counsellor, and business strategist, Melissa brings a holistic approach to productivity designed to help people structure their personal and professional lives to be intentional, empowering, and fulfilling. You can find out more and sign up for her newsletter at https://melissasteginus.com/ Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website at https://drelizabethcronin.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Melissa Steginus, "Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life" (TCK Publishing, 2020)

New Books Network

Play Episode Listen Later Dec 3, 2020 57:17

Everyday Mindfulness: 108 Simple Practices to Empower Yourself and Transform Your Life (TCK Publishing, 2020) guides you through the most powerful daily mindfulness practices that help you rewire your habits and rewrite your life. This book includes 108 daily mindfulness practices, explanations of the purpose behind each practice, and over 300 reflection questions that encourage profound self-exploration and transformative action. With step-by-step instruction and evidence-based exercises you can do in as little as 5 minutes a day, it’s never been easier to make positive changes stick in your life. Most of us are so busy that we forgot to focus on how we really feel, what we truly desire, and what we need to do to move our lives in the right direction. This book is your master manual for reconnecting with yourself and your inner resources so you can take immediate action to transform your life. The power to change your life is in the small things you do every day. This book guides you through over 100 simple practices, in small doses, so you can discover what works best for you and build on it. With Everyday Mindfulness you will awaken to yourself, connect with your inner wisdom, and tap into your capacity for self-empowerment, fulfillment, and transformation. Melissa Steginus is the author of two books; Self Care at Work and her latest, Everyday Mindfulness. She is a Canadian productivity and wellness specialist who teaches expert methods in time and task management, energy management, self-care, and work-life harmony. With a background in social work and years of experience as a coach, counsellor, and business strategist, Melissa brings a holistic approach to productivity designed to help people structure their personal and professional lives to be intentional, empowering, and fulfilling. You can find out more and sign up for her newsletter at https://melissasteginus.com/ Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website at https://drelizabethcronin.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Dealing with anxiety: Ep 24

Whole Body Upgrade

Play Episode Listen Later Nov 30, 2020 27:48

Anxiety seems to be what's up for everyone- 2020 has been a crazy year and that means a lot of changes and uncertainty. This episode is based on two basic questions: "What are you worried about?" and "What do you do when you are worried?" Listen in to hear how to deal with your own anxiety in a natural and holistic way. My 4-week course called Everyday Mindfulness can be found here: http://bit.ly/CenteredMindfulness --- Send in a voice message: https://anchor.fm/wholebodyupgrade/message

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Ditch the autopilot

The Entrepreneur's MBA with Adam Kipnes

Play Episode Listen Later Oct 26, 2020 3:55

One of the main principles of mindfulness is trying not to live on autopilot. But, for most of us, life is pretty routine — especially during a global pandemic. When was the last time you did a brand new thing that meant you couldn’t just cruise, that you had to be really engaged in learning new stuff. What if we told you happiness and learning are tied pretty closely together? For more on this episode and to join a community of like-minded people online head to @thespace_podcast on Instagram and The Space Podcast on Facebook. Credits Host: Casey Donovan @caseydonovan88 Content: Amy Molloy @amy_molloy Executive Producer: Elise Cooper Editors: Elise Cooper, Hannah Bowman, Shetu BimpongSee omnystudio.com/listener for privacy information.

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Everyday Mindfulness

From Ideology to Unity

Play Episode Listen Later Oct 24, 2020 78:42

In this episode my guest and I discuss daily practices which can enrich the lives of ourselves and others. Transformation for the better starts from within, from changes that may seem small at first but can grow into something beautiful. From there others may be inspired by us and learn from us. We discuss meditation, gratitude and more. Those looking for a more grounded episode will enjoy this.

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Everyday Mindfulness with Holly Duckworth and Adam Kipnes

Play Episode Listen Later Oct 22, 2020 35:11

Holly Duckworth, CAE, CMP, LSP is a trailblazing keynote speaker and applied mindful leadership advisor. As a contributor to the New York Times, Producer/Host of the Everyday Mindfulness Show, and columnist to countless industry publications she works with stressed-out leaders to create, peace, presence, and profits. Holly's career began in the world of non-profits and volunteer leadership teaching thousands of association staff and volunteers how to “reboot” for success. Today she takes the best of her strategic vision expertise, blends it with mindful leadership practices and her event background to curate experiential events that change hearts, minds and companies. Our world has become mind less. Thru mindfulness training Holly works with you to know what mindfulness is, what it is not. Then apply your mindfulness techniques to produce more productive and profitable organizations. Holly's was named Meetings Today 2018 Trend Setter for her applied mindfulness work and 2016 Smart Meetings Woman of the Year. Holly's current book Mindful Leadership: The Stress-Free Guide to leadership is a best seller and her award-winning book Ctrl+Alt+Believe: Reboot Your Association For Success has won two national awards. Holly believes mindfulness builds leaders and organizations that work for everyone Learn more about your ad choices. Visit megaphone.fm/adchoices

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Self-compassion as a thread to wellness: Ep 12

Whole Body Upgrade

Play Episode Listen Later Sep 8, 2020 21:11

In this episode I talk about self-compassion: What it is, what happens when you are not compassionate toward yourself, and some (small and gentle!) actionable steps you can take right now to start practicing. Self-compassion assessment by Kristin Neff, PhD: https://self-compassion.org/test-how-self-compassionate-you-are/ Everyday Mindfulness: https://www.centeredyou.com/product/everyday-mindfulness/ --- Send in a voice message: https://anchor.fm/wholebodyupgrade/message

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Welcome to the Life of Mindfulness Podcast

Life of Mindfulness

Play Episode Listen Later May 17, 2020 15:16

We all wake up with an equal amount of time every day. We all begin the day with the promise of the same numbers of hours minutes and seconds as everyone else.But when we go to bed at night we don’t all find that we have put the time of our day to the same use, the same good use or any use at all sometimes.The Life of Mindfulness Podcast will offer you ideas for living a more mindful life. if you can do that you will be less inclined to react when life goes against you. And be in no doubt about it, life will go against you some of the days It is not that life will somehow decide to get under your skin. Sometimes we think that happening to us - but it is not. Life hasn’t some grudge against us. But every so often circumstances will arise which will not be to your liking. That is just the way life is Living a life of mindfulness, I hope you and I will learn to turn off the autopilot We will practice how to stop and think of the likely consequences before responding to the trials and the tribulations that life might fling at us along the way You will learn to put a mindful aware space between what is coming at you and what you do in response You don’t have to react instantly. This isn’t an incoming nuclear missile – it is just a life event There is wisdom in the old recommendation to take a deep breath and count to 10 Welcome to your new Life of Mindfulness podcast

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Speaking Affirmations To Your Wounds & Insecurities

FORWARD ALWAYS with Mike Wittig

Play Episode Listen Later May 4, 2020 16:35

Be careful which words you choose to speak over yourself.In this episode, Mike shares how to pull yourself up when you're discouraged by using life-giving affirmations. •••••••••••••••••••Key Takeaways:Be kind to everyone (including yourself), because everyone's fighting a battle you don't understand. "Think about what you think about."•••••••••••••••••••Mike's Daily Affirmations:You are the head and not the tail. You are above and not beneath. You are a leader, not just a follower. You are an overcomer, not a whiner or a quitter. Greatness is in your DNA. Winning is your nature. Sickness will not stop you. Criticism will not cripple you. In fact, the struggle will only make you stronger. You will lend and not borrow. You will run but not grow weary. When you fall, you rise up more determined and wiser than ever before. Your best days are ahead of you. The past has shaped you and refined you, but your destiny is greater than your history.Everything you touch, God blesses. His favor follows you wherever you go. Your best is yet to come!•••••••••••••••••••Book recommendation:Everyday Mindfulness: 365 Ways to a Centered Life •••••••••••••••••••Thank you to all who are sharing this podcast and spreading the encouragement. We appreciate you! Be sure to subscribe and leave a review on Apple Podcasts to help FORWARD ALWAYS reach more and more people. With your help. we can change the world one life at a time!

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Everyday Mindfulness Practices Amid Extraordinary Times

Mindfulness Sessions & Podcasts

Play Episode Listen Later Apr 17, 2020 49:49

In this episode, we focus on everyday mindfulness practices that can be particularly useful during uncertain times. Led by Andy Phee.

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156: Sleep Solutions for Insomnia with Naturopathic Doctor Lanae Mullane

All Business with Jeffrey Hayzlett

Play Episode Listen Later Apr 13, 2020 33:20

Hey – did you know that waking up with pain every day is NOT normal? Holly hosts Dr. Lanae Mullane, a Naturopathic Doctor and Director of Nutrition at Vejo. A graduate of Bastyr University’s Naturopathic Medicine Program and a member of both the American Association of Naturopathic Physicians and the California Naturopathic Doctors Association, she completed a residency focused in rheumatology in Lansing, Michigan. She utilizes biochemistry, genetics, behavioral change, medical history and member-specific goals to create a truly personalized program for patients. A naturopathic doctor is trained in the fundamentals of health that look at the whole person, looking at sleep, relationships, stress, and disease prevention. During this worldwide reset, listening to our bodies is very important. Dr. Mullane provides support through making her patients active participants in their own healthcare and optimizing their baselines and how their bodies operate. Dr. Mullane shares some of her own practices of stress relief. She highly recommends bio feedback and the importance of breath. This can take the body from fight/flight to rest/digest. She also recommends moving the body every day. This helps the lymphatic system which supports the immune system. Checking in with friends and family frequently for support is very important. Cooking is another way to …… Disconnecting from electronics and be in silence is another way to bring balance during this time. Finding creative time and connecting to the things that relieve stress. Now is the time to reset our mindset! We need to redefine our relationships with our medical support teams and find better ways to communicate our needs. Dr. Mullane’s practice is more focused helping patients understand how to know their bodies better. Right now is the time to take the time to change rituals and routines, evaluate food, sleep, relationships, communications, and see if they’re in alignment. Sleep should be simple and keeping a routine around it is very important. What is your sleep hygiene? Is it dark? Are you shutting off entertainment and getting into a wind down phase? If you’re having a hard time going to sleep, don’t stay in bed, get up and go sit in a chair and read a book until you get tired again. She also recommends progressive muscle relaxation techniques. NO TELEVISION in the bedroom! Food impacts stress as well. Keep in mind that what goes into the body affects digestion. Get things that are frozen, vegetables and fruits. Make soups to put in the freezer. Create meal plans. Do meal prep so that there is a go to instead of snacking during the day. Don’t bring things into the house that are unhealthy. Set boundaries around habits around numbing out. Find ways to celebrate little things and enjoy new routines and structures. Dr. Mullane also has a line of supplements and food options to support a healthy lifestyle. Find out more at www.vejo.com. Remember to breathe! Create stronger relationships and connects more deeply, move more, and eat to support quality of life. What can be done to support ourselves around more electronics usage. Make sure that your work station is ergonomic, set a work schedule, take plenty of breaks, eat regularly and create boundaries with others in the house around work and personal space. Find out more about about Dr. Mullane and her work at www.vejo.com Honor where you are right now, get the support you need. Remember, mindful matters and so do you! For more Everyday Mindfulness shows at www.everydaymindfulnessshow.com. Also join Holly on Facebook for the Daily Live show! https://www.facebook.com/duckworth.holly Learn more about your ad choices. Visit megaphone.fm/adchoices

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Simply Meditation: Everyday Mindfulness Talk plus Guided Meditation

Your Mindful Coach

Play Episode Listen Later Apr 11, 2020 32:49

This talk and guided practice offers everyday tools for being with our experience. These practices help us create a space between stimulus and response so that we can bring compassion, intuition and reason to our actions.

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AB 208 Live! WFH (Working From Home) & Practicing Mindfulness

Play Episode Listen Later Apr 9, 2020 49:37

On this episode of All Business Live with Jeffrey Hayzlett, we have two guests that can help you navigate the stress of spending all this time at home and how to practice mindfulness. Our first guest, licensed family therapist & podcast host, Colleen O’Grady, gives practical tips on dialing down the drama with your family. Colleen’s biggest piece of advice is creating a schedule, but remain flexible as well as defining boundaries. These may be unprecedented times, but this may be one of the greatest opportunities to connect with your family because you’re always home. If being around your family 24/7 gets a little complex, stick around for our second guest, mindfulness expert Holly Duckworth. Holly talked about how being present and being mindful is more than just meditating and playing with singing bowls. You can use it to empower your employees and help your business. Join the C-Suite Network Battleship Forum: https://c-suiteforums.com/battleshipforum Listen to Power Your Parenting on C-Suite Radio: https://c-suitenetwork.com/radio/shows/power-your-parenting-moms-with-teens/ Listen to Everyday Mindfulness on C-Suite Radio: https://c-suitenetwork.com/radio/shows/everyday-mindfulness-show/ Learn more about your ad choices. Visit megaphone.fm/adchoices

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E15. Easter Message

Everyday Mindfulness by Christine Charles

Play Episode Listen Later Apr 8, 2020 12:08

After break of almost a year Everyday Mindfulness is back with a special Easter message of hope. Find out how to tip the balance in a moment of history by using gratitude!

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150: Mindful Sales & Leadership with Eric Szymanski

Contractor Radio - The Business Strategy Source for Home Services Contractors

Play Episode Listen Later Mar 10, 2020 28:07

If you are a sales person, you can choose to be the model of a great sales person. Holly interviews her co-author and business partner, Eric Szymanski. Eric shares is definition of mindfulness as "Mindfulness is sanity." It takes all of what is going on in life and provides clarity and intention, removing the chaos. Questions they explore: How did you meet? What is the cost of success in sales if you are not being mindful? In their conversation, Eric admits that for most of his high demand sales career, mindfulness wasn’t even on his radar and he was sacrificing his own mental health and sanity, as well as his family. He turned to Holly as a coach and she asked: Does it have to be that way? Does it have to be so stressful? He started reading Holly’s book, Everyday Mindfulness and using the tips each day to find the path out of the chaos. He and Holly entered a coaching relationship, and he realized that he could drive success without chaos. He realized that there are great benefits to applying mindfulness to the sales profession and wanted to share this with people living in the high stress world of sales. Holly and Eric have woven the Seven Practices of Sales and the Seven Practices of Mindfulness into their book, Sell More Stress Less: 52 Tips to Create Mindful Sales. They have been doing co-facilitation workshops with these practices all over the world. The book has three sections. The first addresses the business case for mindfulness, then presents the seven steps for successful sales. The final section presents readers with weekly tips to connect mindfulness practices to daily sales business. Along with the book, Holly and Eric offer deeper resources through the Mindful Leadership Council hosted by the C-Suite Network. The Council assists leaders in bringing the mindfulness way of life to their organizations. They also invite you to meet face to face in May at their Mindful Leader Conference. The first day is full of mindful leadership teaching and the second will be a day for couples to learn how to live in the essence of intention. Eric’s intention is prosperity for 2020. Living a life of intention and expanding into prosperity for himself and all those that he and Holly have the opportunity to work with. Eric leaves listeners with the thought that if you could just take a step back and realize that it’s ok to allow yourself not to live with stress and chaos. Step into your best life using mindful practices offered through the resources that Eric and Holly have created. Find out more about Holly and Eric’s work at www.mindfulsalestraining.com and www.leadershipsolutionsintl.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Stephan Bodian Interview

Spirit Matters Talk

Play Episode Listen Later Feb 26, 2020 30:00

Stephan Bodian offers webinars, retreats, videos, books, and spiritual counseling that make profound spiritual teachings and practices accessible to a global audience. His ground-breaking guidebook Meditation for Dummies helped bring mindfulness to the mainstream, and Wake Up Now offered a road map of the journey to spiritual awakening. His other books include Timeless Visions, Healing Voices and Everyday Mindfulness. He was editor-in-chief of Yoga Journal for 10 years, and his articles on meditation, spirituality, and health have appeared in various magazines. A licensed psychotherapist, Stephan has been a pioneer in the integration of Eastern wisdom and Western psychology. He blends compassionate self-inquiry, nondual insight, and transformational techniques, offering a “direct approach” to self-realization that bypasses deliberate practices and points directly to our very own awakened awareness. We spoke about all of that and more. Learn more about Stephan Bodian here: stephanbodian.org

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Everyday Mindfulness with Holly Duckworth

Play Episode Listen Later Feb 25, 2020 54:54

This episode of Contractor Radio is extremely special. We will be talking about Everyday Mindfulness with Holly Duckworth. We start by explaining and discussing mindfulness and even take some time to do a mindfulness exercise. Holly goes on to explain how using mindfulness can increase the abilities of your business. Jim expands on this by delving into the idea of the Power of Believing.You don't want to miss out on this episode because, if you come with an open mind, it might just change your life.3:10 Holly's Background9:07 Holly's Greatest Achievement13:45 Explaining, Discussing, and Practicing Mindfulness25:11 How to Use Mindfulness to Increase the Abilities of Your Business29:50 The Power of Believing35:30 Mindfulness vs Visualization48:15 How do you want to be remembered?50:30 How to get in touch with Hollyholly@hollyduckworth.comPodcast - "The Everyday Mindfulness Show"Holly Duckworth Leadership on Facebook

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021: The Power of Everyday Mindfulness & Presence

The Empath Metamorphosis Podcast

Play Episode Listen Later Feb 7, 2020 12:34

In this episode I discuss:-Why it's important to slow down and BE-Unlearning the busy-body mindset-The power that presence allows up to tap into-How small shifts are truly the most needed and most impactful on the world -Expressing and speaking from the heart vs. the headFollow me on IG & FB @BloomingwithhealthSupport the show (http://paypal.me/rachelceness)

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Bonus: Everyday Mindfulness with Dr. Rashmi Bismark

Simple Self Care Podcast

Play Episode Listen Later Dec 27, 2019 65:53

Having a "Mindfulness Practice" is being talked about more and more in the wellness world, but the fact that it seems more like a good idea than an actual thing to practice has led to some confusion and some disconnect from this powerful tool. To help us understand what mindfulness is, why it's important for our health, and how we can apply it to our everyday, I've brought on my mindfulness and meditation teacher Dr. Rashmi Bismark. Take a listen as we chat about: - the power of slow medicine - how to use your self-care practice to build the mindfulness muscle - the importance of slowing down - a helpful acronym to remember how to bring mindfulness into every situation. www.naturallyrandikay.com/seasonalhealing www.naturallyrandikay.com/podcast www.patreon.com/simpleselfcare

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140: Finding Your True North with Jane Stevenson

The Balanced Babes Podcast

Play Episode Listen Later Dec 27, 2019 29:18

A New view on ROI (Return in Intention) Holly interviews Jane Stevenson, Managing Director of Magnetic Minds in South Africa. The two shared a connection through stories that flowed together on stage at a South Africa conference in 2019. As the managing director of Magnetic Minds, Jane’s company helps reframe mindfulness in ways that serve organizations in planning for their teams goals and future big picture. Her purpose: Finding True North. Personalized business solutions that equip leaders and teams to magnify results and impact. Magnetic Minds brings teams together to help them shift their mindsets in safe spaces to have conversations about where they want their teams to go. Some of the questions that Holly and Jane unpack are: How do conversations within ourselves magnetize the right people to us? Who am I? Why does success in business not feel like success in my heart? Are you showing up and following the plan that you committed to? What is your purpose on earth? Am I winning? How to Reframe what success means - no more winners or losers. We are all wanting to feel like more than just the jobs that we do. We tend to focus on our jobs as the centers of our lives, but is this the most mindful way to live? Purpose is far bigger than profit! Jane mentions Elan Musk and his opening up his intellectual property to the world, and how his example of sustainability over profit is the perfect example of living with purpose. Collaboration brings a much higher influence than working alone and in isolation. Holly and Jane discuss global challenges such as violence against women. More questions that they address are: How can we use the negative stories and build purpose driven collaboration around these? What are we doing to affect change? How do we become part of the solutions? How could anger create the answer? Sometimes we need anger to move into a state of brilliant action. Jane actually uses Holly’s book, Everyday Mindfulness, as one of her tools to give herself a framework for setting daily intentions. Jane leaves listeners with “Don’t ever think of it as a failure, but as a revelation of how to not do things in the future.” Find out more about Jane’s work at http://www.magneticminds.co.za/ or email her at jane@magneticminds.co.za Learn more about your ad choices. Visit megaphone.fm/adchoices

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Everyday Mindfulness

Already Enough

Play Episode Listen Later Nov 8, 2019 55:50

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Episode 15: Everyday Mindfulness & Lunar Syncing with Rebekah Wall

Play Episode Listen Later Oct 22, 2019 56:41

Rebekah is a Women's Mindfulness Coach & Lunar Yoga Teacher. Rebekah studied Social Work & Sociology at University where she discovered her passion for coaching and working with clients privately. She continued her studies in coaching & advanced yoga training post grad. She combines her passion for yoga, mindfulness, and coaching to create a unique mind, body integration process. Rebekah helps women re-discover who they were always meant to be before life & societal conditioning, creating a truly mindful and awake life. Her other focuses include sex & intimacy, and intuitive business building. Rebekah is based out of the Reno-Tahoe region where she loves to explore and be in nature with her husband Kevin & their quirky French Bulldog Hank. What We Cover: What is mindfulness Mindfulness vs. meditation What the mind/body integration is The moon and your cycle Everyday mindfulness tips Show Notes: Rebekah's website Follow Rebekah on Instagram! Moonology book Get our favorite non toxic dry shampoo here and use code BBP to get 10% off your first order. Follow us on Instagram! Join the Balanced Babes Community!

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Ep 102 - Everyday Mindfulness - John Cunningham returns

Best.Podcast.Ever.

Play Episode Listen Later Oct 2, 2019 98:52

This moment is the perfect moment… to bring back John Cunningham of Insight Meditation Cleveland. John and Alex explore the connection between mindfulness and pain, trauma, and attention, with a deep dive into workplace mindfulness and entrepreneurship. Be here now with us, and start getting more out of each moment. Visit the Insight Meditation Cleveland website at imcleveland.org or email John at info@imcleveland.org. Find out about Kinnect’s programs for children in the foster system at KINNECTohio.org. SHOW NOTES The role of mindfulness and meditation in dealing with pain Tara Brach's RAIN practice How mindfulness can help with ADD and OCD Dealing with “capital T” trauma Meditation at work; Starting and maintaining habits Cultivating mindfulness with meditation – training the mind and finding the time Workplace mindfulness - techniques and effects The connection between mindfulness and entrepreneurship – a question of compatibility How KINNECT is helping kids in foster care LINKS FOR MORE INFORMATION: John’s first appearance on the show: Ep 30 – It’s Always Now – Meet John Cunningham. BPE’s bonus episode with John’s 10-minute meditation is at bit.ly/BPEmeditation Ticht Nhat Hanh’s 44 Gattas: beherenownetwork.com/thich-nhat-hanhs-gathas/ Strategic Coach program for entrepreneurs: www.strategiccoach.com Tara Brach and the meditation practice of RAIN: www.tarabrach.com/rain/. The acronym RAIN is a tool for practicing mindfulness and compassion: Recognize what is happening; Allow the experience to be there, just as it is; Investigate with interest and care; Nurture with self-compassion. John's temporary state

Everyday Mindfulness Practice

Moments of Mindfulness

Play Episode Listen Later Oct 1, 2019 5:44

Relax the body, quiet the mind & focus on the present with Moments of Mindfulness by Epworth Clinic.

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Everyday Mindfulness Practices

Relaxing with Rob

Play Episode Listen Later Aug 11, 2019 8:25 Transcription Available

We have constant opportunities to practice mindfulness. Try one of these options:Eating.Showering.Walking.

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Episode #95: Everyday Mindfulness - Silence

Play Episode Listen Later May 10, 2019 6:13

Silence and I are starting to become good friends. Instagram: @taylorelysemorrisonWebsite: taylorelyse.com

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#94: Everyday Mindfulness - Waiting

Play Episode Listen Later May 9, 2019 3:13

Here's a quick practice that I use when I'm waiting. Instagram: @taylorelysemorrisonWebsite: taylorelyse.com

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Episode #93: Everyday Mindfulness - Walking

Play Episode Listen Later May 8, 2019 3:23

I share my practice of walking mindfully. Instagram: @taylorelysemorrisonWebsite: taylorelyse.com

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Episode #92: Everyday Mindfulness: Driving

Play Episode Listen Later May 7, 2019 3:34

In today's episode, I share how I incorporate mindfulness into driving.Instagram: @taylorelysemorrisonWebsite: taylorelyse.com

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Episode #91: Everyday Mindfulness: Journaling

Think Act Be: Aligning thought, action, and presence

Play Episode Listen Later May 6, 2019 7:29

I introduce this week's series, Everyday Mindfulness, and give you a peek into my journaling practice. Website: taylorelyse.comInstagram: @taylorelysemorrison

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Ep. 38: Jon Hershfield — How to Find Relief from Unwanted Violent Thoughts in Harm OCD

Play Episode Listen Later Apr 17, 2019 53:53

My guest this week is therapist and OCD specialist Jon Hershfield. Jon is doing an incredible amount of work to improve the lives of those who struggle with obsessive-compulsive disorder through his therapy practice, writing, and public talks. In this episode we discussed his excellent new book, Overcoming Harm OCD: Mindfulness and CBT Tools for Coping with Unwanted Violent Thoughts. The form of Harm OCD that the book and our conversation focus on is what I've referred to as "Malevolence OCD," because it involves the fear not just of harming someone, but of being an evil person. (See this related blog post: Am I a Monster?) Topics we covered included: What Harm OCD is, and how it's relatively common The relief in knowing that what one is dealing with is a form of OCD The right treatment for Harm OCD Fears in Harm OCD: violence against others, self-harm, violence against children, and having a violent identity Common compulsions in Harm OCD The problem with trying to prove that obsessive fears are untrue, vs. the power of accepting uncertainty The role of avoidance and compulsive confessing in OCD The triggering effect of news about violent events and #metoo Distinguishing fear of self-harm from desire to harm oneself or others Fear of going insane Learning to live with the “spam email of the mind” False memory OCD What our brain learns from avoidance and reassurance Inhibitory learning versus habituation How Exposure and Response/Ritual prevention (ERP) works The role of mindfulness in OCD treatment Flooding scripts as a way to practice not doing compulsions The possibility of reassurance from exposures Lack of public awareness about Harm OCD Here's the Vice article that Jon mentioned: The Many Obsessions That Can Haunt a Person with OCD. Jon also said he has several blog posts on his website about Harm OCD; here's Part 1 of a series: Harm OCD Part 1. Jon is the co-author of Everyday Mindfulness for OCD and The Mindfulness Workbook for OCD, and author of When a Family Member Has OCD and Overcoming Harm OCD. (A portion of each sale made through these affiliate links will be used to support the podcast, at no additional cost to you.) Jon Hershfield, MFT, is the director of The OCD and Anxiety Center of Greater Baltimore in Hunt Valley, MD. He specializes in the mindfulness-based and cognitive behavioral treatment of obsessive-compulsive disorder and is licensed in the states of Maryland, Virginia, and California. Jon has authored or co-authored four well-reviewed books on treating OCD. He is a frequent presenter at the annual conferences of both the International OCD Foundation and the Anxiety and Depression Association of America, and a professional contributor to multiple online OCD-related support groups and blogs. Find Jon on his website, Twitter, Facebook, and Instagram. If you're struggling with Harm OCD, also consider joining our Malevolence OCD Facebook group.

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Mindfulness Smindfuless: Everyday Mindfulness with Melanie Colpaart

Mindfulness Smindfulness

Play Episode Listen Later Mar 11, 2019 53:32

Melanie Colpaart, one of our ministers at the Central Texas Center for Spiritual Living was kind enough to share an evening with us. Our interview covers tips for everyday mindfulness, including gratitude, noticing and meditation. You can learn more about the Center for Spiritual Living here. Please remember to rate, comment and subscribe! www.mindfulnesssmindfulness.com

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I Honestly Intended to be More Productive... I'm Just so Distracted.

Enchanted Beast Podcast

Play Episode Listen Later Jan 16, 2019 53:04

This episode of Enchanted Beast Podcast answers the Essential question of why I allow myself to be distracted from completing the tasks I need to complete. Focus: Intentional Living or Living on Purpose I've started reading a little book titled, Everyday Mindfulness: 365 Ways to a Centered Life (365 Ways to Everyday...) by Bounty Book. I am determined to live my life intentionally as opposed to simply allowing life to happen around me. I've discovered several important fact about intention in the 16 days I've been practicing mindfulness. The intentions behind my actions are more important than the actions themselves. I am allowing myself to be distracted as a way of avoidance and escape whatever I may be feeling. It's important to know and understand the difference between how I feel and what my emotional state is. My Good Intentions (feelings): Designed to make me feel better about what I do Create the illusion of taking responsibility for my actions Provide a sense of purpose and stability Lead me down the slippery slope to hell :) My Inevitable Descent into Hell ( feelings): I give myself a lot of wiggle-room in my boundaries I play the 'what if' game with myself about possible outcomes I make plausible excuses to push beyond the established boundary I set myself up to fail... and then I accept the failure as an inevitability My Acceptance of My Place in Hell (feelings): I settle in for the long ride, and find a sense of pride in myself for doing so I develop selective memory when it comes to my standards and goals I extend my stay in the name of deeper understanding and research I fail miserably and refuse to acknowledge my failure is of my own construction My Reality Check (emotions): I am irritated with my lack of focus, progress, and passion. I am apathetic about pretty much everything that used to excite me. I am aloof in my interactions with other people whom I love and care about. I am the architect of my own demise. My New Good Intentions (emotions): I intend to manage feelings of stress by acknowledging I need help and accepting I can't control anything outside of me I intend to deal with feeling of being overwhelmed by allowing those who look to me for guidance and strength to see my vulnerabilities. I intend to overcome feeling of inadequacies by honoring my right to say 'no' and claim sacred space and time for myself. I intend to maintain a healthy, positive, and balanced state of mind by acknowledging, experiencing, and releasing whatever I feel in a specific moment. Final Thoughts: I thought my bibliophilia was the root of my distractions; however, I realize my bibliophilia is simply a way for me to continue to live my life unintentionally... without purpose or reason. Thanks for listening and you can call into the show using Anchor Mobil App. Subscribe on whatever platform you're on. Subscribe to my blog, Instagram Facebook Twitter --- Send in a voice message: https://anchor.fm/ella-shawn-author/message

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Ep. 2 1.14.19 HBA Podcast: Everyday Mindfulness with Holly Duckworth

Healthy By Association Podcast

Play Episode Listen Later Jan 14, 2019 41:24

Aaron and Angela welcome Holly Duckworth, CAE, CMP, LSP author of Everyday Mindfulness: From Chaos To Calm In A Crazy World and host of the podcast "Everyday Mindfulness Show" to discuss how we can apply mindfulness in the workplace and our home life. She offers some great tips and tricks to help change our mindset and sometimes habitual response to the "stress" and mind-less-ness of our "busy" lives. Connect with Holly at www.hollyduckworth.com and join our HBA Facebook Community to recieve a sample of her book Everyday Mindfulness.

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PSP 099: Helping Kids with Harm OCD an Interview with Jon Hershfield

AT Parenting Survival Podcast: Parenting | Child Anxiety | Child OCD | Kids & Family

Play Episode Listen Later Jan 1, 2019 39:07

Many parents don’t understand Harm OCD. It goes unnoticed, undetected and misinterpreted. Harm OCD makes kids worry they might hurt someone else. They might get them sick. They might accidentally harm them. They might do something to cause a catastrophe. You might have a child who is afraid to touch their nose or their private parts in fear they will contaminate someone else. You might see them washing their hands over and and over and assume that they are afraid of getting sick – when in reality they are afraid of getting other people sick. Many kids with Moral OCD often have themes of Harm OCD. Today I am talking to the expert on Harm OCD, Jon Hershfield. He is the author of the newly released book Overcoming Harm OCD as well as When a Family Member has OCD and Everyday Mindfulness for OCD. *** This podcast is for informational purposes only and should not be used to replace the guidance of a qualified professional.Visit my website at www.ATparentingSurvival.comInterested in my AT Parenting Community Membership? Click below to join us!http://www.atparentingcommunity.com Sign up for my weekly email newsletter:https://pages.convertkit.com/740ba8cd83/92109b7172Take one of my online classes:To view the entire online school library, go to:http://anxioustoddlers.teachable.comClasses include:How to Crush Social Anxietyhttp://anxioustoddlers.teachable.com/p/crush-social-anxietyParenting Kids with OCD http://anxioustoddlers.teachable.com/p/child-ocdCrush Moral OCD in Kidshttp://anxioustoddlers.teachable.com/p/moral-ocdTeaching Kids to Crush Anxietyhttp://anxioustoddlers.teachable.com/p/crush-anxiety Helping Kids with Anxiety or OCD Through Difficult Behaviorshttp://anxioustoddlers.teachable.com/p/difficult-behaviorsHelping Kids Who are Scared to Sleephttp://anxioustoddlers.teachable.com/p/scared-to-sleepHandling Sensory-Based Anxietyhttp://anxioustoddlers.teachable.com/p/sensory-anxietyLibrary of Live Anxiety and OCD Classes (20 hours of class replays)http://anxioustoddlers.teachable.com/p/libraryUltimate list of helpful anxiety products:https://www.anxioustoddlers.com/reduce-child-anxiety/ To join my private Facebook group visit:https://www.facebook.com/groups/ATparentinganxiouskids/For a list of my books visit:https://www.amazon.com/Natasha-Daniels/e/B011K5IIWAJoin the fun on my YouTube channel:https://www.youtube.com/c/anxioustoddlers78 Other social places I hang out:http://www.facebook.com/anxioustoddlershttp://www.pinterest.com/anxioustoddlershttp://www.twitter.com/anxioustoddlershttp://www.instagram.com/anxioustoddlers*** See acast.com/privacy for privacy and opt-out information.

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Everyday Mindfulness

Everyday Mindfulness by Christine Charles

Play Episode Listen Later Dec 1, 2018 8:08

Rejection is Protection Part 2 Learn how to embrace rejection at a deeper level and experience freedom.

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Andrew Holecek - The Three Steps To Meditation, Lucid Dreaming, And Everyday Mindfulness

ManTalks Podcast

Play Episode Listen Later Nov 26, 2018 71:09

Andrew Holecek has completed the traditional three-year Buddhist meditation retreat and offers seminars internationally on meditation, dream yoga, and the art of dying. He is the author of Dream Yoga: Illuminating Your Life Through Lucid Dreaming and the Tibetan Yogas of Sleep; The Power and the Pain; Preparing to Die; Meditation in the iGeneration; and the audio learning course Dream Yoga; The Tibetan Path of Awakening Through Lucid Dreaming. Andrew’s work joins the knowledge of the West with the wisdom of the East in providing a full-spectrum approach to help us realize our human potential. He holds degrees in classical music, biology, and a doctorate in dental surgery. Andrew lives in Boulder, Colorado. See andrewholecek.com for more. Connect With Andrew: Website: www.andrewholecek.com Facebook: @andrewholecekauthor Twitter:@andrewholeckAre you looking to find your purpose, navigate transition or fix your relationships, all with a powerful group of men from around the world? Check out The Alliance and join me today. Check out our Facebook Page or the Men's community. Subscribe on Apple Podcasts | Google Podcasts | Spotify For more episodes visit us at ManTalks.com | Facebook | Instagram | Twitter Did you enjoy the podcast? If so please leave us a review on Apple Podcasts or Stitcher. It helps our podcast get into the ears of new listeners, which expands the ManTalks Community Editing & Mixing by: Aaron The Tech

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Everyday Mindfulness

Everyday Mindfulness by Christine Charles

Play Episode Listen Later Nov 19, 2018 8:13

Rejection is Protection Part 1 Rejection is not always a bad thing, learn how to embrace it!

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EP 11: Everyday Mindfulness

Every Day Therapy

Play Episode Listen Later Oct 22, 2018 55:41

Mindfulness and meditation is so trendy nowadays, but do you know what it really is and how it can benefit you? We bring mindfulness maven, Dorsey Standish, Chief Mindfulness Officer of Mastermind Meditate, a gym for your brain and Meditation studio in Dallas, TX. Dorsey is wealth of knowledge and shares to following: 1) Breaking down what mindfulness is and isn't 2) Examples of practical formal and informal mindfulness practices 3) Brain benefits, emotional, mental, & physical benefits of mindfulness (and some cool science-based facts for any learners out there) 4)AND a quick mindful body-scan to end it, so you can implement it in your #everdaytherapy life! Connect with Dorsey of Mastermind Meditate, a gym for your brain, and meditation studio in Dallas, TX. http://mastermindmeditate.com/mastermind-team/ dorsey@mastermindmeditate.com

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Everyday Mindfulness for a Peaceful (stress-less) Presence with Stacy Thrash

Eanes-Westlake Speaker Series Podcast

Play Episode Listen Later Oct 19, 2018 65:51

Everyday Mindfulness for a Peaceful (stress-less) Presence with Stacy Thrash

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071: Actually LIVING Everyday Mindfulness with Chris Reina

Play Episode Listen Later Jun 12, 2018 33:31

Discover How To truly LIVE Everyday Mindfulness with Chris Reina - from thriving in your personal life to building a mindful organization. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Ep.42 Dispelling The Myths About Managing Anxiety (Interview with Jon Hershfield)