Cognitive Distortions... you don't need them.

For many of us, we are entirely unaware of how prevalent cognitive distortions are in our lives. We have allowed them to run rampant in our every day thought processes and when someone points out how dysfunctional they are, we can even become a bit defensive.

Cognitive distortions serve no healthy purpose. In fact, they often lead to more irrational thinking, dysregulated mood, as well as intrapersonal and interpersonal problems. We find that those struggling with distortions regularly struggle to maintain a positive outlook or hope that things can get better. They often have more difficulties in their interpersonal relationships and allow their distortions to dictate the outcome of their relationships.

All this to say, cognitive distortions are relatively normal to have. Most of us have struggled, and often even after learning about distortions and how to work through them effectively, still do struggle with at least one. Below you will find a list of the 10 most common distortions. It would be beneficial for you to go through the list and notate any that you feel resonate with you, or that you are aware that you do regularly.

1.      Mental Filtering: When we choose (often unconsciously) to focus on everything that is not working. We filter out all the good and only see the bad.

• Reframe: Begin by listing 1 thing daily that is going right or is good. Eventually work up to 5-10 items daily.

2.      Jumping to Conclusions: When we make *irrational* assumptions about other people or situations based on our feelings rather than on facts or evidence.

• Reframe: Examine the evidence. Is your conclusion substantiated? Challenge the feeling. Remind yourself that feelings are not facts. Question what the conclusion does for you, does it help you or hurt you? And, are their healthier alternatives?

3.      Personalization: When we take undue blame for everything that goes wrong in our lives and others, and we find ourselves to constantly be a victim of circumstance.

• Reframe: Examine what part (if any) you did have in the outcome, accept whatever responsibility you have in the matter and work on letting others accept responsibility as well.

4.      All of Nothing Thinking: When we see everything in black or white, right, or wrong; there is no middle ground or space to compromise.

• Reframe: Challenge yourself by finding alternative (middle ground) solutions or compromises. Start small and work up to adjusting on a larger scale.

5.      Catastrophizing: When we blow things our of proportion or make situations/events worse than they actually are. Everything will always be bad.

• Reframe: Challenge your thinking. “Are things really as bad as I feel?” And then challenge your feelings; Why am I feeling this way, what evidence do I have that supports this feeling?

6.      Overgeneralization: When we have a habit of using past experiences (often based in feelings rather than evidence) to predict or make assumptions about the future. “She ALWAYS…He NEVER…”

• Reframe: Challenge the absolutes (always, never, must..) and is there evidence to support a different outcome? Could things be different if we didn’t use absolutes?

7.      Labeling: When we make global statements about ourselves or others based on situation specific behaviors. We use one event to label the rest. *this often mirrors our internal belief system.

• Reframe: Where is the evidence that this is true in every situation? Reminding ourselves that using one event to determine the outcome of everything requires further reflection.

8.      Shoulding and Musting: When we use “should and must” to have unreasonable expectations of ourselves or others. “You SHOULD…I MUST…”

• Reframe: When you notice yourself using these words, challenge yourself to see if the expectations are reasonable. How are you feeling? Is your feeling based on evidence? Are there any other healthy alternatives that can help you reach the desired outcome.

9.      Emotional Reasoning: When we allow our feelings to dictate how we see situations, people, and outcomes. The tendency to allow our feelings to control our perceptions.

• Reframe: Being mindful in the moment and questioning our feelings. “Is how I am feeling skewed or biased? What evidence do I have to support my feelings?”

10.  Magnification and Minimization: When we tend to minimize our own positive attributes and devalue ourselves, while magnifying someone else’s positive attributes and putting them on a pedestal. In other words, recognizing and magnifying some else’s good while putting yourself down.

• Reframe: Challenge yourself to find reasons that you are deserving and capable. Start out with listing one thing daily that you are good at, that you do well. Eventually build up and add to your list. “What about today/this situation makes me deserving and capable?”

So, what to do once you have identified which ones you struggle with? You work on reframing your thoughts. A mental health professional can work with you to identify which ones you struggle with (do not be surprised if multiple resonate with you) and help you to gain more effective and healthy coping skills. Cognitive distortions often come from a time when they served you. For example, at some point in your life someone you trusted told you what you SHOULD do, and you saw the unreasonable expectations they had on themselves (what they MUST do). This led you to utilizing the “shoulding and musting” in your own life without even recognizing where it came from. At one point it was normal. But that does not mean it was healthy. Which leads you to finding healthier alternatives for the distortions.

To some extent we may all do these from time to time. To say that we could entirely eradicate ever doing any of these would not be beneficial, but we can minimize the frequency and extent to which you utilize these to cope. Our thoughts are based on our perceptions and our perceptions are our reality. But if we can change our thoughts, we can change our reality. We can go from hopeless to having hope. From struggling interpersonally to maintaining healthy and thriving relationships. From intrapersonal discord to shaping who we want to be and loving the life we live. You are not destined to live with unhealthy thinking patterns or maladaptive (unhealthy) coping skills. The thing about our thoughts is, they are often founded through feelings, and feelings are not facts. When we take the time to examine our feelings and their validity, we find that we have unresolved hurts or ineffective coping skills that have served us but no longer do. We find that we can let go of those feelings and focus on the facts, we can change our thoughts, we can lean into the discomfort temporarily to create a life we will love, we can choose a different path than the one we are currently on, and we do not have to let our past dictate our future outcomes.

A Letter From A Therapist...

This is a time like no other. We are all facing uncharted territory and trying to stay afloat amidst a chaotic sea of doubt, fear, worry, panic and isolation. We are told to refrain from connection (person-to-person contact), which is so life-giving to so many. We can no longer walk trails or beaches, which provides an outlet for nature lovers and reprieve from the constant day-to-day stressors. We are not allowed to gather with family, friends, our churches. Many have lost their jobs. Kids are not allowed to go to school. There are shortages everywhere. The medical community continues to cry out for us to stay home, and many of them feel as though they are sinking.

We have never seen this before. We have never known this particular struggle. Many of us were completely blindsided; not because others knew this was coming, but because most of us never thought something like this would. As I sit here and write this, I am still trying to reconcile all that is going on.

Virus— Pandemic— No Cure— Shortages— Isolation— Loss— Grief

As a therapist I can tell you that no two days are alike for me either. That’s what grief does to you. Some days you have reached acceptance, and others you face denial or bargaining; others still, you are angry or depressed. Some days I can go about, and it almost appears as though nothing is out of sorts, nothing from the outside world can penetrate the bubble of safety I have created in my home. Other days I grieve deeply. For the loss of human life, the loss of financial security, the loss of physical/emotional safety, the loss of consistent meals for so many, families being separated, the loss of large events like graduations and weddings, the loss of plans, the loss of aspirations and dreams, the loss of freedoms we so often took for granted. I grieve for these losses so deeply and my heart aches as I pray for a cure; I pray for total healing and restoration. As I navigate through this with my clients, I can’t help but feel that things are different right now. Many of my sessions, like most others I assume, are about what we are experiencing. There is a loss for words, and silence has become more normal in sessions. But even in that silence I hold hope.

You see, the only thing bigger than fear is faith. And I have faith that we will pull through this. Not unscathed. Not unchanged. Not without exponential loss. Not without grief.

But we will pull through.

I am not only holding hope for my clients anymore, I am also holding it for myself, my family, my friends, my faith community, other clinicians… I feel like I often hold hope for everyone and anyone that needs me to. But I want you to know something, I am hurting too. I see you. I see the deep grievances you face, and it hurts me. I see the uncertainty as we meet through video sessions, and it pains me. I see the fear in your words through our correspondences and I worry for you.

I worry that I was not trained for this. I was not trained to walk you through a pandemic. I was not trained to know what to say, what to do, what to give you in this moment. And if I said I was, I would be lying. This is new to me too. Every day I am learning. Every day I am relying on my intuition and my knowledge to help me piece things together. Every day I remember why you might be feeling this way, why emotions might be magnified. And I ache for you. My heart breaks that you are facing triggers you haven’t in a long time. My heart breaks that anxiety is heightened and depression is magnified. My heart breaks that you have to face yet another tragedy, that you are walking through more trauma.

Please know, my heart breaks for you.

But I want to turn this around now, I want you to see all the things that I am seeing too. I want you to know my heart in this, because if we can’t be vulnerable now, I don’t know when we ever will be.

·         While I was not trained for this, I am here for you.

·         We are experiencing this trauma together, so like I always tell you, everyone’s trauma threshold and response is different. You can lean on me.

·         I will always hold hope for you.

·         You will once again find hope for yourself.

·         This will not last forever.

·         We will get through this.

·         I know you feel stuck, and that your emotions are heightened right now, but you do have amazing new coping skills that you can utilize.

·         Feelings are not facts, and you know how to remind yourself of truths.

·         Your progress is not derailed.

·         Regression is a normal state of progress. Read that again.

 When we face uncertainties, we can often become disoriented; feeling as though we are not truly certain of anything but our fear. But fear is a liar. We are not held captive by fear unless we allow it to hold us captive. We can choose to see things differently. It is not always an easy choice to make, but you do have the power to do it.

I want to remind you (or equip you) of some coping skills you can use. I think its great for all of us to have these in our toolboxes.

Deep Breathing:

Find a quiet place, sit comfortably, close your eyes. Take a deep breath in through your nose for 5, hold for 6, and exhale through your mouth for 7. Repeat 3xs.

Grounding:

5 things you can see

4 things you can touch

3 things you can hear

2 things you can smell

1 thing you can taste

Mindfulness:

I want you to find a safe and comfortable space and either sit or lay down (it can either be in a quiet room or with your favorite music playing softly in the background). I want you to visualize a place of complete serenity. I want you to picture all the different colors you see, the landscape or place you are in, what does it look like? What can you touch? What can you hear? Is anyone with you or are you alone? What can you smell? What can you taste? I want you to visualize yourself in this space. I want you to feel yourself completely free of worries, fears and doubts. I want you to take some deep breaths and tell yourself you are safe. You can stay in this place for however long you would like. When you are ready you can open your eyes.

Follow up activity: find a picture or create a picture that reminds you of this place and hang it somewhere you will see it often and be reminded that you can utilize mindfulness to reset and feel safe again.

Other effective coping skills:

·         Healthy sleep and eating

·         Journaling

·         Being creative

·         Connecting (phone/video/email/text) with people you love

·         Exercise (wear a mask outdoors or find fun stuff to do inside, dance parties are awesome!)

·         Read a good book/listen to music/watch your favorite movie/tv show

·         Practice self-care (a warm shower/bath, spa day at home, a cup of coffee with the fireplace on…this can be anything that is healthy for you and makes you feel good).

Above all what I hope this message conveyed to you, is that you are not alone. We are all in this together, and that there will always be people who care and want to hold hope for you. I would be lying if I said this was easy, and I wanted to share my heart today and let you know I am worried too. But what I also know is that worry is like a rocking chair, we go back and forth but we never get anywhere. Its okay to sit in the chair sometimes, because sometimes we just need to acknowledge our worries. But worrying can not add anything to your life, it just takes all the good things away. I needed you to know that I have been spending time in this chair too, and that it is normal. I do not want you to judge yourself right now (or ever really). I want you to acknowledge your feelings. To be present. To be mindful. I want you to practice your coping skills and self-care. I want you to reach out. But more than anything, I want you to be well. I want you to be safe. I want you to be thriving.

There is so much pain and heartache right now, but there is also so much hope and healing taking place. I see it all around me too. I see people connecting in ways they haven’t before, faith becoming stronger, communities pulling together while distanced. I see people doing the hard thing and staying home, staying away from those they love BECAUSE they love them. I see all the “essential” workers and that they continue to show up and be present for us all. While we might be distanced physically, I am not sure we have ever been closer emotionally.

To whomever needs to hear this right now, I want you to know you are loved, valued, treasured and cherished. Your life matters. You have a purpose greater than you know, and there are people who deeply care about you and your well-being.

Its okay to be tired. Its okay not to have a schedule. Its okay to eat ice cream for dinner (maybe not all the time 😉). Its okay to do nothing. Its okay to stay busy. Its okay to talk on the phone. Its okay to ignore a phone call. Right now, in this moment, I want you to give yourself permission to do a self-check-in and to write down everything you have been holding inside. Then drop your shoulders, breathe deeply and release the tension.

Remember this, it is always one day at a time, but sometimes we have to take it moment by moment too.

This is new. This is scary. But I see you. I hear you. I feel you. And we are in this together.

Lovingly,

Melani Samples

Surviving and THRIVING this Holiday Season

The Holidays are upon us. People everywhere, busy schedules, endless lists of things to do, sugar everywhere and the idea that we all have to be merry and jolly while we hustle and bustle through the season.

Holidays often bring a sense of dreariness for various reasons, and I want to touch on those a bit today. Whether you recently lost a loved one, are missing someone who has been gone for a while, had a recent relationship end, struggle with social anxiety (or any form of anxiety), are battling depression, live with OCPD or you just generally know that the holidays bring out the worst in the people you need to see and spend time with, I want you to know its okay to feel the way you are feeling.

There are so many expectations placed on us this time of year. Getting the perfect gifts (if you celebrate the holidays), meeting up with your mother and your brother and every other undercover… wait, no, that’s a song… but, you get the point. Everyone is demanding something from you, and maybe you barely have the energy to make it through the day, let alone be of good cheer. Our families can also bring up a sense of mixed emotions…Some of us are celebrating without people we love, or we have broken families, complicated family situations, people who do not ever get along… and yet we are set to spend copious amounts of time with them (insert exasperated sigh here).

If you are finding yourself feeling any of these ways this season, I want you to know, first and foremost you are not alone. There is no right way to celebrate the season, or to enjoy the holiday. Some of us are creating new traditions or trying to keep intact old ones even when nothing is the same. Some of us are grieving, the physical or emotional loss of someone we once loved. Some of us are having to remind ourselves to breathe. I want to give you some practical tips on how you can, not only survive, but thrive this season.

1.      Make this a season of importance to you. Whatever that looks like. Do things you love, fill your time with things you desire to do (as long as they are healthy) and be okay with others not understanding your need to do these things.

2.      Create new traditions. They don’t have to be elaborate or extensive, they can be simple but incredibly life-giving.

3.      Set out to do something for someone else daily. Again, it doesn’t need to be big, but doing good for others makes you feel better too. It can be leaving a note, sending a text, writing an encouraging letter, tucking a $5 bill into a book at target, paying for someone in line behind you, or delivering secret gifts… we each have different abilities, but one thing we have in common is our ability to do good.

4.      Breathe. SERIOUSLY. Right now, I want you to stop and breathe. I want you to put your hands on your tummy (that’s what should be moving, not your chest!) and inhale for 5, hold it for 6 and exhale for 7… repeat that 3 times and do it as much as you can throughout this season.

5.      Remind yourself that you are not responsible for how others feel or what they do or say. Honestly, I know you want to take credit for things, we all do… but the only thing you get to take credit for is what you say and do, how you behave. Kindness is contagious, and while we have all heard the expression that hurt people hurt people, I believe in the positivity of healed people heal people.

6.    It doesn’t need to be grand to be great.

7.      You have permission to rest. To recharge. To refuel. To do things that fill your cup. Practice 5 minutes of self-care daily. It doesn’t need to cost money… self-care can look like setting and keeping healthy boundaries, reading a book or watching a show, taking a bath,  or going for a walk.

8.      Take care of yourself mentally (its okay to talk to someone… in fact, its highly recommended and typically yields great results, physically (even if its going for a 5 minute walk), emotionally (know your limits and maintain your boundaries) and spiritually (remind yourself what the season is all about).

9.      Make lists (and check them twice). Making lists gets everything out of our heads so we are not as consumed with all the “to-dos.” It allows us to organize things and be practical about how we approach them.

10.  Lastly, (because we saved the best for last!) check in with yourself. Are you sleeping enough? Eating well? How are you feeling? Its okay to need someone else and to confide in others, we are all wired for connection, and when we have greater demands placed on us, we need connection even more.

This season does not need to be stressful, daunting or one that you will grimace at when you recall it in the future. You have the ability to change course at any time, regardless of how it may all have started. A very wise person said to me, “don’t write an ending you will hate.” You can create the story you want. This season is truly about light, love, and joy. It’s a season about giving and reminding us that it isn’t about the presents under the tree (or the lack thereof) but the presence around it. Some of us might not even have a tree, and that’s okay too. We do not have to have a lot to make the most of what we have. For those of us who have kids, the best thing we could ever give them is our time. Memories, things they can look back at and remember fondly. I promise they won’t remember that iPad they got, but they will remember baking cookies with mom or dad. The discrepancy in this season lies in the idea that we must get in order to be happy, but that is the lie society sells. You can not buy happiness, but you can create joy.

Remind yourself:

·         You are allowed to walk away

·         You are allowed to say no

·         You are allowed to decline or accept

·         You are allowed to create new traditions

·         You are allowed to rest and BREATHE

·         You are allowed to make this season your own

·         You are allowed to feel and struggle

·         You are allowed to set and maintain healthy boundaries

·         You are allowed to start fresh every day

·         You are allowed to do what makes you happy.

This season is about redefining… make it what you want it to be and be okay with others not understanding or doing things differently. If we were all meant to be the same the world would be a very boring place. Its okay to be unique and to do things your own way, and the best part, you do not need to feel guilty for it. If you decorate early, great… if you decorate late, good for you… if you don’t feel like decorating at all, so what. To wrap it up, lets be serious… you can also apply the same to events or being with others… if you get there early, great… if you get there late, good for you (you made it!), and if you decide not to go at all, so what… You need to do what’s right and healthy for you. Period. If you want to survive and thrive this season, you can do it, you just have to believe in yourself enough to try.

Declare *your* Truth

All too often we grow in a narrative that defeats us. We have others bombarding us with lies they have created to help ease their own insecurities, and if we are not careful, those lies become our truths.

“You are selfish… You are stupid… You are such a pain… You are ugly… You are annoying… You are too much to handle… You aren’t enough… You are worthless…” You (get the point).

When in reality, “you are selfish” was because you chose to maintain a boundary that is healthy for you. “You are stupid” is because you needed assistance on something that wasn’t clear to begin with. “You are such a pain” is because you didn’t do something that wasn’t yours to do in the first place. “You are ugly” is because someone else feels threatened by you. “You are annoying,” is because you chose not to give in. “You are too much to handle” is because you decided to be authentically you, and someone doesn’t like that they can’t manipulate you anymore. “You aren’t enough” is because you aren’t meeting their needs. “You are worthless” is because someone else is choosing to tear you down instead of owning up themselves.

We can go on listening to these lies, we can internalize them and make them into who we are… we can allow others’ voices to be louder than the truth, but that is still a decision you are making. You will always believe their lies until you learn to declare your own truth. The truth is, we all have faults. Period. Perfection doesn’t exist in this world, and though our hearts were created for it, we will not obtain it here. We will make mistakes, we will mess up, we will struggle with life sometimes… but those struggles don’t define us, the strength in the battle does. The ability to rise above, the ability to look fervently for the truth and rewrite our own narrative, and the ability to see clearly that someone elses thoughts and opinions have everything to do with them, and nothing to do with us.

I believe in the saying, “hurt people hurt people…” but I also believe that healed people can love others genuinely and help them find their healing. We make the choice to accept these truths. We make the choice to listen to these voices. We make the choice to continue living in our own personal hell instead of turning toward the truth. We make the choices. You can choose at any time that you deserve more. That you deserve better. That you are worthy of being loved and loved on. You are. Yes. It is hard to believe or fathom, but you are worthy. You are dearly loved and deeply valued, and you have a purpose. While you have struggled with this mess for long enough, you can choose to allow it to become a message. The choice is yours every single day. Each day you choose to say “I will not stand for this anymore,” and each day you make a healthy choice for you, it will become easier, and the lies you have lived for so long will no longer have a fierce grip on you; they will not be able to defeat you as easily. Rewriting your narrative won’t be simple, it will take time, patience, perseverance and mistakes. Some days will be easier than others, but all days will be better than living the lies.

Even if you can say that sometimes you are the things others have said you are, defining yourself by them is not healthy or helpful. You can choose to find the truth you need to catapult you into change. You can take what is necessary and leave what is needless and create a story you will love to live.

Today you have a choice, you can continue in old patterns and allow these lies to fill your heart and mind, or, you can choose to rise above them and find hope and healing in the truth. You are more than enough and never too much. You are fearfully and wonderfully made. You are here because you have a purpose only you can fill. You are magnificent and beautiful, altogether lovely. You are irreplaceable. You are royalty and you deserve to have people in your life that will remind you of reality, not fill you with lies. The sad part is hurt is perpetuated because of their own lies, but you must make the decision to fill your heart and mind with truths. You don’t always need to walk away from people who have hurt you, especially if they are important to you, but learning to have healthy boundaries and set limits is crucial to your well-being. Toxicity threatens to overtake and its important to remember that toxic environments only allow us to grow when we remove ourselves far enough to see the strength, we needed to rise above them.

One day you will look back and remember feeling all of this. One day you will know how strong you were and how much stronger you became by declaring your own truth. One day you will have rewritten your narrative and you will no longer be filled with these lies that weigh so heavily on your heart. You are more than this situation, you are more than this trial, you are more than this season, you are more than these lies. You get to declare your own truth, and there will be beauty from the ashes of the life you left to create the life you want.