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Don’t Let Shame Become a Self-Destructive Spiral

Don’t Let Shame Become a Self-Destructive Spiral

Steven, the VP operations of a media company, was asked to present on the organization’s digital transformation program to its top 100 executives during an annual strategy retreat. As public presentations had never been his forte, Steven spent an extraordinary amount of time preparing for the event. But despite these preparations, he blanked out when it was his turn to speak. His presentation was so bumbling and confused that Steven couldn’t bear to go into work the next day…or the next one after that. The complex set of emotions that Steven was feeling have a simple name: shame.

Given the way we react to shame, it shouldn’t come as a surprise that the roots of the word derive from an older Proto-Indo-European word meaning “to cover.” To feel ashamed brings up associations of wanting to hide our faces behind our hands, desperate desiring to run away, or even hoping the earth will swallow us up. At the heart of feeling ashamed is a feeling that we are exposed — either to others or to ourselves. No other feeling is more disturbing or destructive to the self.

After a major mistake, it’s natural to feel ashamed. And yet calling in sick like Steven did is not the answer. Instead, you need to understand the feeling and find a way to let it go.

Down the Rabbit Hole

People who pathologically feel shame tend to internalize and overpersonalize everything that happens to them. They cannot see things in perspective. When something goes wrong, they say to themselves, “I’m to blame for what happened. It’s entirely my fault.” Not only do they demean themselves, but they also feel helpless, and don’t think that there’s anything they can do to change the situation. The internal critic in their heads continually judges and criticizes them, telling them that they are inadequate, inferior, or worthless.

This can have a profound effect on our psychological well-being. Excessive feelings of shame are at the heart of much psychopathology. It is concealed behind guilt; it lurks behind anger; it can be disguised as despair and depression. As people rarely talk about shame experiences, shame is a difficult emotion to detect, especially as it comes in so many disguises.

Generally speaking, in coping with shame we can observe two general strategies:

attacking the self or attacking others. Initially during a shame experience, hostility is directed inward, toward the self (“I’m worthless,” “I’ve never been any good”). Some people, like Steven, go as far as withdrawing from the real world. But in an attempt to feel better about what is experienced as shameful, some people lash out and blame others, showing reactions of avoidance, defensiveness, and denial. Others try to compensate for feelings of shame or unworthiness by attempting to be exceptionally giving; by pleasing others, they hope to improve their feelings of self-worth. Although these various scripts can temporarily help the person feel less ashamed, ultimately they can make matters worse. Without addressing the source of shame, a self-reinforcing negative feedback loop isenacted, through which shame chisels into the core of who the person is.

The Origins of Shame

Given the pervasiveness of this emotion across ages and cultures, what’s the adaptive purpose of shame? From an evolutionary point of view, we could hypothesize that shame has evolved under conditions where survival depended on people abiding by certain norms. They needed to band together to effectively operate as a group to better deal with the terrifying forces of nature. In Paleolithic times, shame would have been the way to establish a group’s pecking order to create the best way of cooperation. It would be an effective mechanism to establish clear dominance-submission rankings. Interestingly, these derivatives of early animalistic behavior patterns can still be observed today when we tend to take a compliant posture out of shame, when we subject ourselves to the power and judgment of others.

From a psychological developmental point of view, shame can be seen as a complex emotional response that humans acquire during early child rearing, when children are completely dependent on the bond with their caregivers. It is a very basic emotion: Children seek to live up to their parent’s expectations, and failing to do so, experience shame. Toddlers exhibit early feelings of embarrassment that can turn into full-blown shame within their first three years of life.

Shame can ultimately serve a purpose if it means that, for example, a toddler feels ashamed after being scolded for running into traffic. Because toddlers’ brains aren’t sophisticated enough to understand that traffic is dangerous, the feeling of shame is enough to keep them from endangering themselves again. But shame is also a horrible feeling. Children who are continually criticized, severely punished, neglected, abandoned, or in other ways mistreated quickly get the message that they are inadequate, inferior, or unworthy. These shameful experiences damage the roots from which self-esteem grows. Such dysfunctional parenting styles can make children shame-bound. This kind of shame is very difficult to overcome. The formative wounds of childhood — scars from being teased, bullied, or ostracized by parents, peers, and others — can become fixed in our identity.

Dealing with Shame

The more powerful our experience of shame, the more we feel compelled to hide those aspects from others, and even from ourselves. The first step is thus to bring to light whatever is seen as shameful. After all, a wound that’s never exposed will never heal. If the wound is deep enough, you may need to ask a counselor or therapist for help. Being able to discover the origins of shame-like experiences will set the stage of having greater control over your life as you become attuned to what triggers these shame reactions.

A second step is to cultivate self-compassion — to embrace who you are and treat yourself in the same respectful, empathetic way you’d treat others. For example, if one of Steven’s friends or direct reports had bombed their presentation, he would have been supportive. “You tried hard, but you let your nerves get the better of you,” he might have said, or “You’ll get better with more practice. Let’s hire a public speaking coach.” When you’re feeling shame, ask yourself: Would I talk to a friend the way I’m talking to myself right now? This question can help you recognize when a negative thought spiral is getting the upper hand, and can challenge your shame-based thinking.

Engaging in these corrective emotional experiences (as they are known in psychology) can help you improve your sense of self-esteem, increase your feelings of worthiness and belonging, foster greater self-acceptance, and reduce unhealthy reactions to shame, such as withdrawal and counterattack.

Shame is part of the human experience. Keeping your feelings of shame in perspective can relieve you of a harmful tendency to self-blame, and, eventually, make peace with your shadow side. Knowing that you are good enough, worthwhile, and deserving of love and acceptance is essential for building resilience and living your most authentic life.

Source: Harvard Business Review: https://hbr.org/2017/06/dont-let-shame-become-a-self-destructive-spiral

55 celebrities talking about their depression, anxiety & mental health

55 celebrities talking about their depression, anxiety & mental health

Mental health has been described as a “slow-growing epidemic” and the number of people dealing with it has increased by 10 per cent in the last 10 years.

The worst thing about it is that it doesn’t discriminate- anyone can be affected by it.

Check out 51 of the biggest celebrities in showbiz talking about their experiences with mental health, depression or anxiety.

If you want to speak to someone, visit www.therapy-121.com for more information.

Mental Health Treatment Is A Privilege Many People Can’t Afford

Mental Health Treatment Is A Privilege Many People Can’t Afford

 Minaa B LMSW, Founder of Respect Your Struggle

GETTY IMAGES/VETTA

I previously shared my truth about my battle with depression and self-injury in a piece I wrote titled “An Open Letter to Black Women About Mental Health.” Not only did I openly share my experiences with depression, but I urged other black women to break away from the cultural stigma surrounding mental illness, to rid themselves of the weight that comes with carrying the “strong black woman” title and to seek professional treatment for their struggles.

I took some time out to re-read my letter, and I realized that there is a fundamental piece that was missing. When I wrote it, I felt as if I were hitting the nail on the head, but I wasn’t focused on the foundation that nail was going into. If I am going to address a community to seek professional help, I need to address those who drive the mental health care system to understand how to tend to — as well as make themselves available to — this particular community.

There are so many folks living behind the looking glass who fail to recognize or comprehend the contemporary social problems that people from minority backgrounds encounter just for being human — racism, prejudice, discrimination, criminalization and deep-seated cultural stereotypes, to name a few. These collective societal issues are just as detrimental to our well-being as the “strong black woman” supposition, and such matters are linked to the prevalence of mental illness, particularly trauma, within minority and African-American communities.

As a woman who identifies as African-American and was once diagnosed with severe depression, I experienced several personal barriers to treatment not solely due to shame and stigma, but also due to my lack of knowledge around mental health, the lack of African-American treatment providers within the mental health scope, and most importantly, the cost of mental health services. Studies show that African-American patients are more likely to pursue African-American providers, as their commonality in regards to race helps to create a therapeutic relationship where the client feels accepted and understood, and the provider is more attune to culturally sensitive issues. This cultural match between patient and provider also leads towards a greater outcome for the development and successful completion of treatment goals and greater interactive sessions.

With regards to how race may enhance the therapeutic relationship between African-American patients and providers, there is still a dichotomy between the number of available African-American providers and those who seek treatment. Reported studies found that “black professionals make up only 2.6% of mental health clinicians in the United States, which is low considering that approximately 20% of black Americans seek mental health specialty treatment within a 12-month period.” While access to culturally diverse providers is low, the cost of mental health treatment remains high, which serves as an additional impediment to bridging the gap between the onset of symptoms and accessing professional care.

Studies show that nearly one-fourth of African Americans are uninsured, a percentage 1.5 times greater than the white rate. The average private provider (clinical social workers, psychiatrist, and psychologist) charges between $60-$300 per 45-minute session and works primarily out-of-network. Furthermore, providers typically recommend or mandate weekly sessions to ensure a rapport is continuously being built and so that they can better examine whether the services are proving to be effective for the client. On a monthly basis, mental health treatment alone can accrue an out-of-pocket cost between $120-$1,200.

Within the U.S, of the 34 million people who identify themselves as African-American, 22% live in poverty. African-Americans living below poverty are two to three times more likely to report serious psychological distress than those living above poverty. These individuals face a higher risk for developing mental disorders not solely because of their overrepresentation within the homeless population, but also due to other factors such as higher incarceration rates — African-Americans account for 60 percent of the prison population — and other systems in which they are represented in greater numbers than whites, such as foster care, welfare and an increased exposure to violent crimes.

When a private practitioner sets a rate for $200 for a therapy session, it is easily discernible who his or her target clientele will be. Yes, therapy can serve as a healthy outlet to processing emotions and thus, requires extreme care and attention to the needs of others, but it also takes extreme vulnerability, and when it costs someone that much to be vulnerable, it is simply a privilege that most people in need of mental health services cannot afford.

Providing culturally responsive treatment requires not just being aware of one’s biases and judgments or negative attitudes towards race and cultural stereotypes, but also knowing and understanding the individuals who need access to treatment and choosing to make yourself available to address the needs of those who may come from oppressed or marginalized groups by providing affordable care.

There is also a greater need to increase diversity among mental health providers. Training more African-American mental health workers may decrease the mental health gap correlated to stigma and lack of educational awareness, but this would also require getting to the core of the inadequate educational opportunities available for African-Americans along with the low college acceptance rates and the cost of tuition, which serves as barriers to gaining professional opportunities.

As a social worker myself, I got into this field knowing that this is not a lucrative venture, and I believe there should not be a monetary value placed on the quality of care that an individual receives based on their socio-economical and racial background. The health care system was built to serve the underserved and examine social injustice, yet there are still barriers set in place for those this system was designed for.

As much as I strongly encourage black women (and also black men) to seek professional care and to not be ashamed to be in need of help, I equally strongly ask and encourage the systems at play to provide greater access to the professional care that we need. If we are going to hit the nail on the head, lets make sure it’s not going directly into the coffin.

 

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If you — or someone you know — need help, please call 1-800-273-8255 for the National Suicide Prevention Lifeline. If you are outside of the U.S., please visit the International Association for Suicide Prevention for a database of international resources.

 

Fear of Choking Phobia – Pseudodysphagia

Fear of Choking Phobia – Pseudodysphagia

What is Pseudodysphagia?

Patients with Pseudodysphagia complaint about the inability to swallow but they do not have any physical symptoms to account for their condition. The word Pseudodysphagia comes from GreekPhagophobia where “phagein” means eating and “phobos” means deep dread, aversion or fear. Other names for this phobia include sitophobiawhere sito is Greek for food.choking-woman-mf

Pseudodysphagia is an unnatural and irrational fear of choking or swallowing that causes a person to believe s/he will become ill or die if one tries to eat solid foods. The nature of difficulty these patients face when it comes to swallowing varies depending on the level of their fear: some people can only eat very small pieces of well lubricated foods, while others are afraid of drinking liquids or swallowing pills or tablets. Naturally, there is substantial loss of weight in this phobia and it is a debilitating condition that can interfere with one’s day-to-day life.

What are the causes of fear of choking phobia?

As with most specific phobias, Pseudodysphagia also begins with a negative experience related to swallowing food. As a child, the phobic might have choked, vomited or had an “embarrassing response” after swallowing certain types of foods. The brain then creates the same response as a defensive mechanism each time one is confronted with the thought of eating. For example, a patient recalls choking (as a child) on a quarter after it got lodged in his throat. He lost consciousness and turned blue and recalls fearing eating solid foods like steaks, meats, capsules, pills (anything hard or chewy) after the incident.

Psychiatrists also believe that most people with the extreme fear of choking are usually anxious or suffering from other psychiatric disorders like depression, Hypochondriasis, Agoraphobia or have a general predisposition to panic attacks.

The fear of choking is also often listed in conjunction with Globus sensation-(a condition that comes and goes wherein the patient feels there is a lump in his throat that prevents him from eating). However, the two conditions are different; Globus sensation is more common and occurs when patients are typically suffering from ear-nose-throat infections that cause them to fear they might choke or vomit after eating.

fear-of-eating-e1467807625589Symptoms of Pseudodysphagia

Psychogenic Dysphagia leads to many psychological symptoms, the most important one being inefficient ordisorganized swallowing. Other symptoms of the fear of choking include:

  1. Avoidance of food, especially swallowing pills, tablets, hard and chewy foods
  2. Abnormal oral behavior is also seen including deviant tongue movements, feeling the throat pressure, and complaint of globus sensation.
  3. Malnutrition and weight loss are common side effects of this phobia
  4. General difficulties in breathing, swallowing and other issues like elevated heart rate, feeling dizzy, having fearful thoughts of dying, passing out or embarrassing oneself in front of others are common symptoms of Pseudodysphagia.
  5. Nightmares about choking on candy, peanuts or indelible objects also tend to keep these patients awake at night.
  6. Some refuse to eat in front of others thinking that swallowing makes “unpleasant noises”.

Needless to say, this phobia is a debilitating condition that affects the normal life of the patients.

Source: http://www.fearof.net/fear-of-choking-phobia-pseudodysphagia/

Lets hear from Maddie:

 

10 Ways To Fix A Bad Relationship

10 Ways To Fix A Bad Relationship

How would you rate your relationship on a scale of 1-10? If you answered “5” or less, you are in a bad relationship that needs some fixing.

BY

BORED?

Would you describe your life with your significant other as a routine? Nothing is more boring than monotony. Here’s five easy ways to give your relationship a little OOMPH! 

1. Make time for each other.

Absence is rumored to make the heart grow fonder, but that doesn’t mean your relationship can thrive without any time devoted to it.  Life gets busy, especially if you have kids/school/a job/a second job and OMG, ALL THE THINGS; but your relationship is a priority no matter how full your plate may be. Have a daily, 10-minute mini-date where you snuggle up with a silly YouTube video, take a quick walk, have some ice cream, or whatever you both enjoy.

2. Switch up date-night.

Dinner-and-a-movie is a staple for a reason (because it’s fun), but it can grow stale without the occasional mix-up. For example: You could grab coffee or hot cocoa, go to a park on a breezy day and find yourself with a perfect excuse to cuddle.

3. Take an adventure.

Do something exciting together! You could take a cruise, go on a road-trip, jump out of a plane, visit a rain forest, or climb Mt. Everest.

4. Learn something new.

Tackle a hobby of mutual interest with your partner. Whether you want to learn to speak Italian, become a Jeopardy contestant or create handmade jewelry is up to you. Challenging yourselves to grow will strengthen your bond and shake-up your ho-hum love life.

5. Create a Bucket List.

Make a list of all the crazy, ambitious, and wonderful things you want to do with your partner. Be happy you have someone to share your life with. Take small steps to make your Bucket List items happen.

ANGRY?

There is no reason to bottle up our feelings in relationships. I know you might be intimidated by conflict, but there is no hiding from it. Sure, you could just keep saying “nothing is wrong,” but that would only delay the inevitable. Feelings that are held in have a way of intensifying. Pissed off? Take a deep breath and let’s deal with it:

6. Count to 10.

If you find word vomit escaping your lips, one of those hurtful things you know you’re going to regret saying later, hold it in and count to ten. Breathe in. Breathe out. Still want to say it? Go for it. Not so much? Crisis averted.

7. See it from the other side.

“It was a great surprise to me when I discovered that most of the ugliness I saw in others, was but a reflection of my own nature.” -Anonymous

Before you criticize another person, take a second to look at the scenario from their perspective. Most people act the way they do for a reason. See yourself in their eyes to make sure the problem doesn’t reside in yourself.

8. Give and receive.

Did you get a wonderful back rub after a rough day at the office? Return the favor (or surprise your partner with a tasty dessert or coffee at work). A perceived imbalance in who puts the most into your relationship can make a person upset in a hurry. Split chores and housework fairly, take turns deciding what to have for dinner, and aim for equality in your relationship.

9. Express yourself with no filter.

You can’t expect your partner to know something is wrong if you don’t tell them. Express your feelings without filter (especially if you’re being asked “What’s wrong?” repeatedly). Confrontation isn’t fun but it’s also unavoidable. Dragging out a fight is just going to place unnecessary strain on your relationship, so get it over with and express yourself.

10. Appreciate each other.

What do you find sexy or handsome about your partner? Do they have any quirks you find wonderful? What is the sweetest thing they ever did for you? Sometimes, we’re so busy focusing on our partner’s negative traits that we forget to appreciate what we have and what made us fall in love with them in the first place.

Is There Life After Menopause?

Is There Life After Menopause?

By

Well, it might not feel like it when you’re in the middle of perimenopause, but the answer is yes. Yes, there is life after menopause – and it’s not so bad.

A reader shared with me recently the grief and emotional struggles she is experiencing as she comes to terms with the fact that she is no longer (at least in her mind) an attractive, desirable woman, since she began to go through perimenopause.

Having walked that road, I know exactly how she feels, and the kinds of questions she is likely asking herself about this profound, mid-life transition called menopause. I mean, let’s face it. You’ve spent 40-something years defining and cultivating a life and personal identity, only to have it obliterated all to hell and back by hot flashes, mood swings, and night sweats.

And that’s just the short list.

But life transitions aren’t easy for anybody. I have a 22 year old son who often laments the loss of his carefree childhood as he is now dealing with grown-up realities like expensive car repairs, health insurance costs, college loan debt, and just the day-to-day, non-sexy, no-fun decisions, grown-ups have to make every day of their life.

I don’t have the heart to tell him that just when he gets this part of his life figured out, it changes all over again.

I think what makes the menopause transition so difficult for women is that we are beginning to face the reality of our own mortality. Sure, we talk about our sagging breasts, our lagging libido, and feeling so oldwhen we start going through perimenopause and menopause. But, what we really mean, is that we realize we are closer to death and dying than we’ve ever been before – and it’s scary. It’s sobering. It’s existential.

But, there’s a funny thing about facing death and dying. It makes you realize how much you should live.

Perhaps that is why many women become so fierce once they reach menopause. They realize without equivocation that the number of years they have left on this earth are ticking down fast, and if they don’t get on with living them they are gone.

The thing I personally love about menopause is that it forces your hand. There’s no place to run, no place to hide. You’re past middle-age and you’re facing down death whether you like it or not. It’s crunch time. Yes, it’s uncomfortable and difficult. Sometimes it’s damn well excruciating. But it’s a crossroad of life, and you get to choose the road you’re going to walk.

I don’t know about you, but I find that rather empowering. I can’t control the fact that I’m dying. But I can control how I live. I don’t have to “go gentle into that good night”  so I won’t. I don’t know that I want to“rage, rage, against the dying of the light” either. I had enough of raging and mood swings during perimenopause, thank you very much.

I would much rather just “live like I am dying.” Because we all are, menopause sisters. We all are.

Magnolia Miller is a certified healthcare consumer advocate in women’s health and a women’s freelance health writer and blogger at The Perimenopause Blog.

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