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17/Mar/2017

Have you ever thought about what the world would be like without rules, contingencies, stipulations, regulations, or facts?  In my opinion, although it may be fun at times, it would be chaotic, potentially dangerous, full of ambiguity, and disorganized.  In a world of about 7 billion human beings, all with very different values, goals, ideas, and personalities, we need structure and boundaries – we need RULES.  Rules serve many purposes, but ultimately, they promote safety, protection, peace, fairness, and an overall well-being for all abiders.

Quite understandably our minds, being such a powerful and intelligent organ, instinctively opts for this same safety, organization, and protection.  It protects us from danger by reminding us not to run on a broken leg or step in front of an approaching train; it helps us stay organized by telling us that although we may like to go out for lunch, we have a meeting at work starting in five minutes; and it helps us maintain peace or well-being by kick-starting our inhibitions and reminding us of the consequences of our actions, like what may happen if we use physical violence during a disagreement.  Unfortunately, however, the mind’s rule-setting, boundary-creating, and protection-ensuring mechanism is not always ‘positive’.  It can cause us to unnecessarily restrict our lives and limit ourselves as well.

puzzle-brainOur mind can be quite selfish, although its intentions may be good.  When it perceives a threat, it goes into protection mode, as described in the examples above, and it does not often think beyond that.  Although this helps us immensely in many of our interactions with the external world, it is when it tries to protect us from experiencing our uncontrollable internal content that it can make us feel, or act, defeated.  Our internal content consists of our thoughts, feelings, and emotions.  For example, if we struggle with social anxiety, our mind may instinctively try to protect us by encouraging us to avoid feeling this anxiety, which may only be achieved by avoiding any social interactions altogether.  If we struggle with chronic pain, our mind may try to help us limit this pain (since it has learned to perceive pain as a threat) by encouraging us to avoid any type of physical activity or movement that may (but more likely will not) cause harm or damage.  When faced with difficult internal content, our mind starts to create rules, stipulations, and limitations, which are often statements with BUT’S and IF and THEN’s that we are all very familiar with.

I want to attend my best friend’s wedding, but I am too anxious” or, “If my anxiety goes away, then I can go to my best friend’s wedding”.

We tend to place a great deal of trust in our mind and we absorb these rules as facts and follow them to the letter, causing us to lose sight of our values and stop acting in accordance with such values.  Our mind can convince us that it is more important to protect ourselves from feeling anxiety than to attend our best friend’s wedding, even if the latter is very important to us.

Learning to be able to hear what the mind has to say, but not always listen to its rules is neither easy nor quick.  It takes time to be able to decipher between actual threats and perceived threats.  Acceptance and Commitment Therapy (ACT) offers a few exercises to help with this.  One simple, yet powerful ACT exercise is to replace all self-referential ‘but’s’ with ‘and’s’.  So from our example above, we may instead say to ourselves,

 “I want to attend my best friend’s wedding, and I feel anxious about it.”

Now the statement is not limiting and is rather a statement composed of two independent facts, the first no longer being contingent on the second.

Try it yourself.  Keep record of any ‘but’ thoughts your mind produces, and replace the ‘but’s’ with ‘and’s’.  Take the exercise one step further by taking an action that the ‘but’ may have stopped you from taking.  For example, in the case of our best friend’s wedding example – attending the wedding despite the anxiety would be the next step.

jessica-rickus1


9/Feb/2017

As this Valentine’s Day is quickly approaching, I thought I would share some tips on making your celebrations this year, your most fulfilling yet! Through utilizing techniques I have learnt throughout my work with Acceptance and Commitment Therapy (ACT), I hope we can help make this year feel less like a commercial holiday and more like a meaningful and fulfilling day with the one you love!

pic


Tip 1: USE VALUES-BASED DECISION MAKING. I challenge you to try to plan your Valentine’s Day in a different way this year. Instead of planning or buying what others think you should get (including large corporations, and flower shops), I would suggest planning something that perhaps doesn’t even cost much or any money at all, but that would bring meaning and fulfilment to your relationship. Whether it’s actually having a conversation after preparing a home cooked meal together, or taking a hike, or cuddling up to watch your favourite movie together, just try and plan something that is connected to what matters to the both of you!


Tip 2: USE MINDFULNESS- I encourage the use of mindfulness as much as possible throughout your time together. Instead of getting caught up in your thoughts about something stressful that happened at work earlier that day or something you have to make sure you get done the next, try and keep yourself grounded throughout each moment of your day. Engage your senses, notice the things you can see, feel, hear, and smell and bring yourself back to focusing on your breath whenever you find yourself not in the moment. Just try and stop to smell the roses (pun intended) during your quality time together!


Tip 3: USE GRATITUDE- Lastly, show gratitude. Don’t be afraid to express your thanks, appreciation, love and respect to your loved one. This can be simple but can have quite an impact on your relationship!

I hope you can use the combination of these tips to help make not only this Valentine’s Day, but each and every day to come thereafter, your best yet!

kathryn-camacho1


10/Jan/2017

As a counsellor using Acceptance and Commitment Therapy (ACT) on a regular basis, I always enjoy sharing concepts that I come across that are interesting and have also had a personal impact on my life.

One such concept, that I try to remind myself of regularly, is the concept of the “Happiness Trap”.  I have to admit, before my work with Cognitive Behavioural Therapy (CBT) and ACT, I was probably in the same boat as many, in maintaining the belief that life is only “good” if we are feeling happy, excited, and full of laughter all the time.  Although we may wish this for many of our loved ones and self, the reality of life indicates that just experiencing positive emotions, all or even the majority of the time, is not realistic.

Take for example raising children.  To say that being a parent means you are experiencing “feel good” moments and feelings all the time probably would make most, if not all the parents reading this, giggle to themselves.  As a parent, you are sure to go through times of happiness and excitement, but there will also be times of sadness, guilt, anxiety, anger and frustration.  All emotions are not everlasting and what this concept is trying to do is to help us to realize that living a full and meaningful life doing the things you want to do, while making room for our ever-changing emotions, can help lead to healthy and balanced life.

This concept has not only opened my eyes, but also those I work with, in changing our perspectives on life and what we would like to get out of it.  In part, this concept highlights the use of acceptance. Acceptance that as humans, our actual “normal state” consists of an ever-changing flow of emotions, just like the weather.  It also reinforces the fact that when we do have to deal with negative emotions, that’s ok!  We do not have a character defect because we are not happy all the time and we do not have to let a change in emotions dictate what we want to accomplish on any given day.

I hope this concept helps you open up to the wide range of emotions we as humans all get to experience throughout life!!

To find out more about this concept I have attached a video by Russ Harris below.

https://www.youtube.com/watch?v=93LFNtcR1Ok

happy-potatoes

kathryn-camacho1

  • Concept Sourced from “The Happiness Trap” by Russ Harris

23/Nov/2016

1

In the last few years, more and more research has been published about the many health benefits of physical activity – especially for mental health.  When our bodies are healthy, our minds are too.  Physical activity, like walking, can play an important role in the management of anxiety, depression, and even chronic pain.  It doesn’t take much – as little as 30-minutes of daily physical activity can have can similar effects to meditation and relaxation[i].

circle-picThe trouble is that when we are facing depressive or anxious thoughts, going for a walk is not the first thing that comes to mind.  For most people who suffer with mental health, it is quite the opposite: you may feel like doing less and avoid doing the things that are of value to you.  The problem is, when you do less, you feel the impact of the symptoms even more and continue to miss out on living a meaningful life.  This is a common cycle for most people, but it can be broken.  Behaviour Activation (BA) can help disrupt the above stuck loops by introducing positive behaviours.  Walking is an ideal behaviour to introduce as it has so many benefits for mental well-being.  Improvements in mood and energy can be noticed almost immediately.  Over time, many other benefits can be noticed, including:

  • Reduced stress
  • Improved memory & concentration
  • Weight management
  • Reduced risk factors for cardiovascular disease and diabetes
  • Improved self confidence
  • Better circulation

Consider walking like a prescription;

Complete daily for health benefits – regardless of the symptoms.


How to Get Started

Getting started is quite easy; below is a good check list to consult before beginning a walking program.

Medical Clearance: it is always important to contact your health care providers to ensure it is safe for you to become active.

Footwear: make sure you have comfortable walking shoes that fit well and still have good treads.

Walking Routes: map out a variety of routes to prevent boredom.

Schedule it: pick a consistent time of day that will be most effective for you.

 Start Small: start by going for a walk for a length of time with which you are comfortable.  Record this time on a calendar or chart like the one below.  Increase this time by 1 minute every day until you reach your end goal of 30-60 minutes.

Example: Baseline walk (how long you were comfortable with the first time): 15 minutes

calendar

For help on getting started with a walking program, Behavioural Activation, or assistance with Anxiety & Depression, book your FREE consultation today!

stephanie-corras

[i] http://link.springer.com/article/10.2165/00007256-200029030-00003

 



Does the thought of reading a self-help book make you cringe?  If it does, you’re not alone!  Many people do not like the idea of reading a self-help book for fear that the book may be “preachy”, “air-fairy”, or flat-out does not relate to them.  However, self-help books can be great tools both during counselling treatment, or if you are just considering a lifestyle change.

When choosing a self-help book, one of the most important things to consider is that the book is from a credible author and is backed by scientific evidence.  Try and seek out books that are from reputable clinicians, and based on research evidence, instead of relying solely on anecdotes (personal stories).

You can find out if an author is credible by doing a quick Google search of the author’s name:  Are they affiliated with a university?  Do they have a clinical practice and registration with a medical college (e.g. College of Psychologists, College of Registered Psychotherapists)?  Do they have any academic publications?

Academic publications (sometimes called journal articles) are a good way to determine if the content of a book is based on scientific evidence.  For example, if you would like to read a book based on Acceptance and Commitment Therapy (ACT), try and input these terms into Google Scholar (scholar.google.ca) to see if there is research on the subject.  The search below returned almost 700,000 results!  This is generally a positive sign that the topic has been heavily researched.  To learn more about what the research says, click on the article titles and you can read the article abstracts for more information.

act-google-search

Finally, it is helpful to check out the book before making the decision to purchase!  Flip through a few pages in the bookstore or on Google Books (books.google.ca), making note of the content, style of the writing, and the issues the book is addressing.  Some books naturally speak to some personality types more so than others, so it is important to find a book that you feel you can relate to.


For a little inspiration, here are three of our favourite self-help books, which have changed both our lives, and the lives of clients:

1. Get Out of Your Mind & Into Your Life by Steven Hayes

book-get-out-of-your-mindSteven Hayes is widely considered to be one of the founding fathers of Acceptance and Commitment Therapy (ACT), and has authored over 400 academic publications!  Get Out of Your Mind & Into Your Life applies concepts of ACT to help readers move from feeling stuck in a struggle against their own minds to assess what is truly meaningful to them and then pursue a life guided by those values.

Why we love this book:

This book provides an educational background as to how human suffering occurs, and ways in which we can cope with that suffering.  There are exercises and spaces for you to complete activities throughout this book, which we have found helpful to make the book more relatable to your own unique experiences.

Who could benefit most from this book:

If you are suffering from depressed mood, anxiety, stress, or want to just learn more about how ACT can help you cope with everyday situations, this book is for you!

2. The Reality Slap by Russ Harris

book-the-reality-slap

Russ Harris is a medical practitioner, psychotherapist, and leading expert in ACT.  He is from Australia and travels internationally to train practitioners in the ACT approach.  In The Reality Slap, Russ discusses “Reality Gaps” (such as the death of a loved one, personal illness, or loss of a job), and how we can live a life that is meaningful despite them.  He then discusses ACT-inspired coping strategies, and provides guidance as to situations when these strategies could be helpful.

Why we love this book:

The Reality Slap features a style of writing that is conversational, as if you are speaking to the author.  Russ’ compassionate and sometimes humorous tone is comforting to the reader, and many have described that reading this book made them feel as though they are not alone.

Who could benefit most from this book:

Anyone who has recently been through a difficult time could benefit from this book.  This may include the death of a loved one, a major health diagnosis, divorce, loss of a job, an accident, or betrayal.

3. Living Beyond Your Pain by JoAnne Dahl and Tobias Lundgren

book-living-beyond-your-pain

JoAnne Dahl is a prominent ACT researcher who specializes in the use of ACT to treat chronic pain and epilepsy.  Tobias Lundgren is a licensed clinical psychologist who has carried out applications of ACT in clinical research areas of epilepsy, diabetes, and chronic pain.  Living Beyond Your Pain reveals a new approach to living with chronic pain, which involves recognizing pain as an event in your life that does not have to interfere with the way you live.

Why we love this book:

Similar to Get Out of Your Mind & Into Your Life, Living Beyond Your Pain includes various exercises throughout the book to help the reader incorporate ACT into their lives and help transform pain from a life-defining preoccupation to just one thing in their lives that they experience.

Who could benefit most from this book:

Anyone who suffers from a chronic condition, such as chronic pain, fibromyalgia, chronic fatigue, diabetes, or chronic migraines could benefit from this book.

 


All of these books are available on Amazon.ca and Indigo.ca.  Get Out of Your Mind & Into Your Life and The Reality Slap can also be found in some Chapters/Indigo stores.

kayleen-willemsen1


13/Oct/2016

hiding

When we suffer emotionally, we often try as hard as we can to change those emotions – we try to hide them, we try to push them away, or we try to not feel them at all.  In our attempt to do this, we realize that the opposite usually tends to happen.  In trying to hide our emotions, we may isolate ourselves from our friends and family so that they do not see our suffering.  In trying to push them away, we struggle and we fight and, most times, we fail.  And in trying to not feel them at all, we avoid participating in our lives with the hope that if we avoid situations that produce the emotions, we can avoid the emotions altogether.  The reality is, emotions – whether pleasant or unpleasant – are part of the human experience, and we cannot change that.

I love the words of the serenity creed authored by the American theologian Reinhold Niebuhr (1892–1971):

serenity-prayer

Although we cannot control or change the emotions we experience over the course of our lives, we can respond to them differently.  Behavioural Activation (BA) can help us to do just this.  The goal of BA is to increase our engagement with meaningful activities no matter what emotions may be present.  For example, if you are feeling anxious, particularly in social settings, the goal of BA would be to follow through with a planned valued action, such as getting together with friends, despite that anxiety.  If you cancel your plans with friends because of how you are feeling, you are attempting to control the anxiety through avoidance, and you are reinforcing the idea that you can only engage with your friends when you are not feeling anxious.  The problem here is that avoidance creates a pattern in favour of short term relief, such that each time you feel anxious, you will avoid interacting with friends in order to feel less anxious.  Choosing to behave based on how you feel can cause you to lose sight of your values and lose your sense of purpose in this world, but behaving based on what is important or meaningful to you – your values – can increase fulfillment, pleasure, and achievement in life.

We must find the serenity to accept that we cannot control our emotions – they will come and go as they please – and the courage to change our behaviours and behave in a way that will enrich our lives.  In order to do this, take some time to think about what matters to you, and what gives your life purpose.  Remember, there are many different domains of life, so decide what you value in each of those domains – family relationships, social relationships, health, work, community, spirituality, personal growth – and then set goals to move in the direction of those values no matter what is going on in your internal repertoire of emotions.

Here is an example of how you can implement this in your life TODAY!

Domain: Health
Value: Physical Fitness
Goal/Planned Activity: This afternoon, at 5:30 p.m. I will go for a 30 minute run outside (even if I am tired from work, or sore, or fearful that I will not be able to run for a full 30 minutes)

jessica-rickus1


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