Expectations

We all have them. Sometimes they’re realistic, other times not so much. Sometimes they serve a purpose, other times they create a space for major disappointment. This entry is about the latter. Unrealistic, internally formulated, predetermined expectations that we place on ourselves, people, and experiences in our daily lives.

Where do our expectations come from?

This could be a whole separate discussion, so I’m going to oversimplify. The expectations I’m discussing here come from input, that is then shaped in our minds into expectation. Input includes, among other things, how we grew up, who we interact with socially and professionally, and what media we consume (social and otherwise).

Where are expectations useful?

Expectations are useful in some settings as they provide guidelines for behavior and can create a sense of safety. For example, in a classroom, a teacher tells students what behaviors are expected. Most students work better and feel safer when they know clear boundaries. Or at work, a boss has certain expectations of employees (and vice versa in a healthy work environment). Here, it is useful to know what is expected of you so that you can fulfill duties in a specific role.

So when are expectations not useful?

Expectations no longer serve us when they are not based in reality.

Let’s talk about this. We are living in a bizarre world right now. We are so plugged into the machine, we easily lose track of where we begin and it ends. We are barraged, constantly, by images and text that paint an idealized picture of what living a good life should look like. Images and text that are highly edited, professionally curated, and for the vast majority of the population, downright unrealistic. If that isn’t a perfect recipe for feelings of inadequacy, anxiety, and disappointment, I don’t know what is.

Depending on what input you’re consuming (who you follow, what you read, what you watch, who you surround yourself with), your expectations could be way the hell out there. For example, it does not make sense to measure your own unique image against the outward image of celebrities who have staff and tons of money dedicated to making them appear flawless.

Expectations also don’t serve us in interactions with others. Holding an expectation for how a person will respond to something can create anticipatory anxiety before anything even happens. It does not create space for organic interaction. It also creates unfair disappointment in the person when their real response doesn’t match the expected response…which you made up in your head.

Practice this:

Try to take note next time you feel disappointed in an interaction, an experience, in yourself, in another person. Get curious about that feeling. What about this are you disappointed in? What’s the barometer for success in that experience? What input might be influencing how you are measuring it?

Then practice this:

Check in with yourself BEFORE an experience/interaction. What expectations are you bringing into it? Are they based in reality? Are they achievable? If the answer to either of those is no, try to adjust the expectation or let it go completely.

Kathleen is a mental health therapist in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

Rumination: Why Do We Get Stuck?

We’ve all experienced it. An embarrassing social interaction. A stinging critique from your boss. A Freudian slip during an all staff presentation. A brief moment, no big deal. Until your mind starts replaying it over and over and over and over and over and over and…

This delightful habit is rumination. Most of us can think of a time or two that we’ve been stuck in a negative thought cycle. But if you engage in ruminating or repetitive thoughts on a regular basis, it will have negative effects on your mental health and well being.

It may take a long time to recognize rumination as a problematic behavior because, at it’s core, it is an attempt to problem solve. Problem solving is good! However, it slips out of the realm of healthy problem solving and into rumination if any of the following are true:

• You are thinking about it repeatedly for a long period of time that seems disproportionate to the problem

• You aren’t identifying solutions, just continuing to replay the problem

• It is a situation that doesn’t actually have a solution (i.e. an awkward social exchange - you can’t change the past!)

• It is negatively impacting your ability to participate in and enjoy daily life

Research on rumination shows that this behavior increases the likelihood of experiencing depression and anxiety. But research aside, think about this way. You have a problem, with all the emotion that is tied to that problem. Then the problem ends. But you continue to think about it, and feel about it, over and over again.

Rumination extends the emotional lifespan of temporary problems for however long you allow it to.

The good news: this is a learned and therefore able-to-be-unlearned behavior! Just like most things I write about here, with some practice, and some mindfulness, you can train your brain to decrease rumination. If you’re a ruminator, here’s a quick list of strategies to try:

• Distract yourself. This must be with an activity that you enjoy, so that your mind is actively engaged with the activity and therefore less likely to wander back to the problem.

• Talk with friends or loved ones – about anything but the problem.

• Use humor! Sometimes the ability to laugh at ourselves can be exactly what we need to break a negative cycle. Ever notice how many funny memes there are about social awkwardness and mental health? Because it’s hilarious - and we all experience it.

• Schedule time for ruminating. This might seem counter intuitive, but for many people, it is helpful to say to yourself, “I am allowed to think about this for 30 minutes at 3:00”. Think of it like compartmentalizing. If your mind knows it will get its chance to ruminate, it will be less likely to wander over to those thoughts while you’re taking care of business the rest of the day.

• Meditate. Meditate. Meditate. The practice of meditation is a natural solution to overthinking. Bring mindful awareness to your physical self and to your thoughts, allowing them to pass by, rather than to linger.

If you’re someone who ruminates, rehashes, or overthinks, and want some support in learning how to change that behavior, consider seeing a therapist for help with making that change!

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

The trouble with "Good Vibes Only"

Every day I see this on IG and on notebooks and t shirts that my students wear around the high school: “Good Vibes Only.” It’s an upbeat, passing thought, and I’m sure I’ve posted things similar, if not this exact phrase.

The sentiment here is innocent and cheerful with a hint of power (i.e. the implication that you have the power to control every vibe that comes your way - which *spoiler alert* nobody does).

But lately when I see it I can’t help but think: would I ever say this - With sincerity - to a distressed client or friend? What about those days when we just don’t feel good or positive? 

At best, this is a simple mantra and in the right setting could give someone a mental boost. But at worst – on those not-so-good days - it’s potentially isolating and invalidating to those who just aren’t feeling all light and positive right now.

Think about this in action. If your best friend loses a loved one, and comes to you distraught, lost, tearful, seeking connection and solace – would you say to them “ooooh, sorry, but good vibes only,” and shut down that interaction? My guess is no! Because what comfort does it bring to someone who is experiencing emotional pain to say only the fluffy, positive stuff is allowed?

And that’s why this phrase doesn’t work for me. The absoluteness of ONLY. The human experience isn’t ONLY anything. It’s not good vibes only, or bad vibes only. It’s both of these, as well as the whole range of emotion in between and around those two. 

Validation of emotions – all of our emotions – is an intensely important ingredient in human connection. Connection to self, and to others. 

Instead of brushing aside the “bad vibes”, try mindfully sitting with them, possibly with the support of a therapist or trusted person. Feel the heat of anger in your belly. Marvel at the vast depths that sadness can reach. Note the physical responses in your body to frustration or anxiety or embarrassment. Even right now, you might notice your shoulders raised to your ears, or your jaw clenched. Observe how grief and loss can roll over you like waves, sometimes crashing frequently, other times calm and receding. And note that all of these can occur simultaneously with other emotions - including the "good" ones.

And as you do this remember:

Your. Emotions. Are. valid.

In all their complexity and intensity, they are valid, and they are yours. And it’s OK to experience them - ALL of them. 

So … good vibes? Definitely!

But not good vibes only.

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

What you say to yourself matters (2 of 2)

Now that you’ve spent some time identifying your negative thoughts from that nagging inner-critic, what are you gonna do about it? 

When we feel unhappy, overwhelmed, depressed, or anxious, the feeling is a product of the thoughts we have about our situation, not the situation itself.

And this is good news! Because while you can’t always control your environment, you can exercise some control over these thoughts.  Small shifts in perception and mindset can help to turn things around.  Here are some strategies to try the next time your inner critic is on a rampage.

Observe them

If you read last week’s post, you’ve already done this! Simply identify your thoughts that are negative, and give them the space to exist without judgment. Just observe them. 

You might also try sitting with the thoughts and observing the feelings that arise - emotionally and physically. A brief body scan pairs well with this observant activity.

Challenge them

This is less passive then the first strategy.  Look at the content of the thought and ask, is this really true? Could I be overthinking/assuming/exaggerating? 

And also is it permanent? Will I feel differently about this in one hour? One week? One year?

Spin them

Try to shift perspectives and see, is there any other way to look at this situation that would be less upsetting? Is there anything positive here?

Box them up

If you find you can’t spin the thought, feel free to box it up for later in order to get on with your day.

You could do this by thought-stopping (actively telling your inner-critic “stop!”) or for some, it helps to actually visualize placing the issue in a box and putting it away for later. Just remember to come back and unbox it when you are feeling up to the challenge.

Crowd them out

There's a reason the phrase “Go to your happy place” is a cliche in mental health care. It might elicit an eye roll, but shifting your mental focus away from the negative thoughts does help.

You can internally crowd out the thoughts by thinking of happy memories, or just lighter, even humorous topics. Externally, you distract yourself by engaging in an activity that releases your feel-good chemicals, whether that's having a cup of tea, going for a run, meeting up with a friend, etc. 

As always – treat yourself with kindness.

When you catch that inner-critic harassing you, counteract that with compassion and care. If you're having a hard time telling yourself kind things, try a self-love meditation like this one.

Remind yourself that you are enough, that you are trying, that you are human and you are worthy of love and kindness. 

Do you feel like your negative thoughts are preventing you from living your best life? Do you find yourself in thought spirals of self-criticism? Working with a therapist is a great way to start taming that inner-critic in a safe, judgement free space. 

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

What you say to yourself matters (1 of 2)

The amount of time you spend talking to yourself is exponentially more than the time you will spend talking with your best friend, your parents, your partner, your kids, your pets…maybe more than all of that combined.  And the content of that life-long conversation has serious sway over your feelings, beliefs, and actions. 

Examining how we talk to ourselves can be eye opening. Do you treat yourself with compassion and caring? Or are you your own biggest critic?

We all have an inner-critic. But some inner-critics are much louder and meaner than others.  If this is you, learning to reign in that nagging voice could be a game-changer. 

Think about it. If someone followed you around saying things like “you’re gonna screw up this presentation,” or “why is she with a loser like you,” or “eesh, looks like someone needs to get on the treadmill,” what would you do?  Maybe you’d stick up for yourself, maybe ignore them, maybe get a restraining order because why are they following you around harassing you? The point is, you wouldn’t put up with that sort of dialogue externally. So why put up with it internally? 

Often, we put up with it because we aren’t even actively aware when it is happening.  Sometimes that inner-critic has woven itself in so seamlessly, the negative talk becomes automatic. And when your brain goes into autopilot on the negative self-talk, a few things happen.

• The negative thoughts become road blocks, preventing you from doing things that you want to do.  Want to apply for a new job?  Nah.  You probably won’t get it.  Want to invite that new friend for lunch?  Eh, she’ll think you’re weird for texting. 
• Negative thoughts lead to avoidance, preventing you from living your life and experiencing personal growth.
• The negative thoughts become part of your belief system and damage your sense of self-worth. If you tell yourself over and over that no one likes you, you will begin to believe it, and you will seek out evidence to confirm that false belief. 

The first step in retraining our brain, is to recognize negative self-talk when it is happening. And I’m not saying that every single negative thought needs to be eradicated. That’s not realistic.

A healthy amount of self-critique can be motivating. For example, “I probably need to brush up on my presentation skills” is not problematic, while “I just bombed and everyone thinks I’m an idiot” is.

Identify those thoughts that are hypercritical. The criticisms that paralyze rather than motivate. The thoughts with extreme, irrational, or absolute language.  Spend some time just doing that. Mindfully, observe them. Don’t judge yourself for having the thought. Just notice that it’s there.

Next week, we'll look at some strategies for dealing with these thoughts once you've named them. 

Do you feel like your negative thoughts are preventing you from living your best life? Do you find yourself in thought spirals of self-criticism? Working with a therapist is a great way to start taming that inner-critic in a safe, judgement free space. 

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

Say 'yes' to YOU (3 of 3)

"When you say 'yes' to others, make sure you are not saying 'no' to yourself." - Paulo Coelho

Now that you’re a pro at gracefully declining at work, let’s talk about the tricky topic of saying no to friends and family. I say tricky because while clear boundaries are an expectation of professionalism, personal relationships are much more nuanced.

The task of developing this skill in our personal life doubles as a reflection on the health of our relationships. Sometimes, we avoid looking at this, because it could lead to tough decisions about who we are spending our time with.

I’ll put a pin in the larger topic for another day, but keep in mind that as you begin prioritizing yourself, and truly putting your needs first, some of your relationships will inevitably change.

Take a moment. Think through various personal relationships. Identify a person or people who you have a hard time saying no to, even when it’s bad for you to say yes. Ask yourself what makes it difficult to say no to this person.  Is it a fear of letting them down?  Are you afraid that if you say “no,” they will like you less?  Do you worry they won’t invite you the next time?  Is it something else entirely?

Always saying yes for these reasons is damaging in at least two ways:

• When you say yes because of fear or anxiety about losing the friendship, you are compromising yourself. The more damage we do to our sense of self, the more likely we are to continue in cycles of unhealthy friendship based on a false sense of obligation.
• When you say yes indiscriminately because of FOMO, you will overextend, and end up regularly bailing. This hurts friendships across the board. You become that unreliable friend who’s “Yes” is actually “Maybe.”

I’m guessing that you don’t want either of those outcomes for yourself.  And even if you already recognize those things in your life, it’s never too late to strengthen your sense of self, and to become a reliable friend with healthy boundaries. 

When you are struggling to say no, remind yourself of the following:

• Your time is yours and no one else’s.  
• You have personal goals and priorities, and if what is being asked of you does not align, you get to say no.
• "Maybe’s" are wishy-washy – people would rather know up front than be left in limbo.
• If you’re unsure, you can delay a response, but only temporarily.  Always give a firm yes or no.
• You can explain why you are declining, but you are not obligated to do so.
• If a friendship can’t survive a declined invitation, it may not have been a healthy friendship.
• When you say “no” to something that doesn’t align with your wants and needs, it frees up time for you to say “yes” to things that enrich your life.
• The more you practice this skill assertively, the easier it gets.  People respect clear boundaries. They are fundamental to healthy relationships.   

Do you have a hard time saying NO to friends and family, even when it's in your own best interest to decline? Meeting with a counselor is a great place to start developing this and other assertive communication skills.

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

Is mindfulness just a buzzword? (2 of 2)

The practice of mindfulness has a long list of benefits.  And even better, there’s research!  So I’m not just making this up.  It’s science. 

Studies show that mindfulness reduces stress hormones in the brain, decreases the likelihood of dwelling on negative thoughts, decreases depression symptoms, increases relationship satisfaction, memory and focus.  It also can increase empathy, insightfulness, morality, emotion regulation…I could keep going, or if you want to get into the research-y stuff, you can read more here.

Mindfulness also makes us less likely to avoid.  It increases our ability to cope with stressors, and, really, is kind of the opposite of avoidance. Being intentionally present during difficult or uncomfortable moments is part of it too.  Mindfulness is not reserved for the yoga mat. You can be mindful at any moment.  Like...right…NOW!

Just remember, there’s no set zero-to-zen plan, and multi-day silent meditation retreats do not have to be your personal goal. Start where you are and show yourself patience and compassion.

Try doing short, mindful breathing activities, brief body scans to notice physical sensations in the moment or try being more mindful during an activity where your mind typically wanders (like working out or driving). A good place to get started is to download any number of free meditation apps that are available. Two I really like are Calm and 10% Happier. 

You can also be mindful by checking in with yourself once a day using an app like Pacifica. Not everyone is big on journaling, and apps like this are a modified, brief way to get some of the journaling benefits without sitting down and writing.   

There’s no risk here, and your brain wants this.  Needs it.  And there’s no moment like this moment, so may as well give it a try!

Do you have a hard time unplugging and want some guidance on developing your mindfulness skills? Getting in to your counselor’s office is a great place to start!

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

Is mindfulness just a buzzword? (1 of 2)

Well…yeah. It’s a word. And there’s buzz about it. You see it on magazine covers, talking about the mindfulness revolution, mindfulness in the workplace, mindfulness in school. There are books ranging from using mindfulness to deal with depression and anxiety, to being mindful while eating.  It seems like anything can be done mindfully. But does this mean the practice is something to be brushed off as “just another buzzword?” I don’t think so. 

The practice of mindfulness has been around for centuries and is rooted in Buddhist tradition, though the word itself is newer. There are countless definitions for what it is, with common themes of awareness and attention to the present moment, observation of our physical, mental and emotional experiences in our environment, and compassion or nonjudgment of these observations.  Simple!  But maybe not easy. 

The rise of mindfulness in the mainstream seems to coincide with a world that is increasingly distracting and inattentive.

With our smartphones and social media, our world is quick, connected, and largely concerned with social capital and public perception.  Slowing down and disconnecting, even for a short period, seems impossible to so many people.  We even have a word for it now – FOMO anyone!? And this is exactly why we can't brush it off.  We need it. 

Mindfulness is the human response to a loss of attentiveness and care for ourselves that we’ve been experiencing for years.

Its popularity says to me that there is a desire to bring balance and wellness back into our lives.  It’s helping us realize that it’s OK to unplug for a minute, to stop focusing outward, and to turn that attention and compassion inward. It wants us to come back to ourselves, in this very moment. To recenter, refocus, relax.  

All of this is why it's not always easy.  It is a practice, that we can get better at.  In part two of this topic, I’ll get into some of the ways mindfulness benefits us, and some tips on how  you can start practicing mindfulness as part of your daily life.

Do you have a hard time hitting pause and want some guidance on developing your mindfulness skills? Your counselor's office is a great place to unplug and focus inward.  

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.

#selfcare

It's trending...and why wouldn't it be? Spending time outdoors, eating food (sometimes healthy, sometimes pizza), drinking wine, yoga, meditation, spa days, time with loved ones, time with pets, time alone. Sounds perfect! But this isn’t all there is to caring for yourself. 

This is #selfcare. We see it all over our Instagram feeds. It sometimes seems indulgent; it emphasizes slowing down and enjoying ourselves. It is setting aside time for specific, self-motivated activities that recharge us. And it IS beneficial. Taking a yoga class, downloading a meditation app (and actually using it), getting outside to soak up some sun, enjoying time with a friend, being present in an activity you love like painting or reading. All these things can help decrease stress levels and recharge us emotionally.

Why, then, do we so often feel stress roll right back in as soon as we leave the yoga studio? If this feels familiar, it could be because you are using #selfcare as an escape from a stress-filled life, rather than as a counterpart to true Self-care in a balanced life.

Self-care includes the less Instagram-worthy activities that contribute to our long-term wellness. Things like evaluating personal relationships, nurturing positive ties and cutting unhealthy ones; self-advocating in the workplace when you deserve a raise or are unhappy with a policy; sitting down with your finances and creating a budget; keeping up with things like homework, laundry, oil-changes, doctor’s appointments; engaging in physical exercise and healthy eating depending on individual ability and needs; keeping your environment clean so that you can relax at home. While these things aren't as glamorous or fun, staying on top of activities like these creates a foundation for long-term wellness and balance. When you put them off, they grow larger, and more daunting. But when they are attended to, it allows #selfcare to become part of the wellness picture, rather than an indulgence or escape plan. 

So how do you start truly caring for yourself? 

Start by sitting down and writing out the things in your life that need some attention – maybe things you’ve been avoiding – and ask yourself: 

What items on my list would take just a couple of minutes to complete? 

What items need more in-depth attention? 

What items might I need help with? 

See it on paper. Break it down into manageable tasks. Start checking these off, one task or sub-task at a time. Ask for support. Incorporate your favorite #selfcare activities to stay energized as you start to manage your list. And of course, be compassionate and patient with yourself. Care about yourself enough to get it done, because you know it will benefit you. And enjoy a balanced life where a good book and a glass of wine is an enhancement, not an escape.

Do you feel like you can’t get ahead of life’s to-do list?  Do you engage in #selfcare to avoid or escape?  If you feel you can’t even begin making this list, meeting with a counselor is a good place to start.  You don’t have to do it alone!

Kathleen is a mental health professional in St. Louis, MO.  She specializes in the treatment of depression and anxiety in adults, college students, and high school students.  You can contact her office by phone: 314-499-2994, or email: kathleen@newleafstl.com.