Tag Archives: Mental Health

Russell on thinking and societal changes…

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The great majority of men and women, in ordinary times, pass through life without ever contemplating or criticising, as a whole, either their own conditions or those of the world at large.  They find themselves born into a certain place in society, and they accept what each day brings forth, without any effort of thought beyond what the immediate present requires…they seek the satisfaction of the needs of the moment, without much forethought, and without considering that by sufficient effort the whole condition of their lives could be changed…It is only a few rare and exceptional men who have that kind of love toward mankind at large that makes them unable to endure patiently the general mass of evil and suffering, regardless of any relation it may have to their own lives. These few, driven by sympathetic pain, will seek, first in thought and then in action, for some way of escape, some new system of society by which life may become richer, more full of joy and less full of preventable evils than it is at present (p. viii).  

Bertrand Russell

Anxiety and Stress

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An article I wrote today for a local newspaper…

Stress and Anxiety – Why do I feel this way all the time?

             I feel so nervous at work and at home every day. I can’t seem to get it under control.  My boss might ask me to do something that I don’t know how to do, or my kids may get into trouble at school. These feelings are always there and I don’t know why…

            Many of us feel stress and anxiety during the day – yet we cope with it in different ways, and while we don’t always understand why we feel it, it is usually manageable.  However, an alarming number of Americans experience anxiety, frequently due to stress. Nearly 40 million people, or about 18% of Americans each year experience nervousness, uncertainty, fears, and restlessness. For these people, the feelings are not a normal reaction to stress, but instead may feel like panic, and it affects their daily life at work, at school, and at home.

            Feelings of anxiety may be felt most in the social situation, or plague us when we have to participate in a classroom experience or answer the teacher’s question. Often, it is not clear why we have the feelings – the anxiety may come up in a meeting, all of a sudden, with little warning. Anxiety, and the stress that we experience, is perhaps the most common of mental difficulties that people experience – and there are several different kinds or types of anxiety disorders.  In addition, anxiety can also be part of, or exist alongside, other disorders – such as depression, physical illness (headaches, stomach problems), sleeping difficulties – and may also trigger behaviors like substance or alcohol abuse. 

            Symptoms include:

  • Constant worrying
  • Trouble sleeping
  • Nausea, sweating, rapid heartbeat
  • Concentration or focusing problems
  • Feeling easily startled or fearful
  • Avoiding social situations

Both adults and children may also exhibit other symptoms, such as striving for approval, needing constant reassurance about performance, lacking confidence, and needing to be perfectionistic.  

The stress that we feel in our work, at our home, or in the school situation can interfere with our daily activities to the point that we feel unable to function normally.  It is at this time that one needs to seek out some help,  and get some assistance in understanding why we are experiencing the difficulty, and how to find different or better ways of coping. 

Anxiety disorders are classified into 5 different types or areas, each of which has different symptoms, coping mechanisms, and treatment recommendations.  You may experience frequent panic attacks (Panic Disorder), or fear dirt and germs, and needing to wash their hands incessantly (Obsessive-compulsive Disorder). Alternatively, you may not want to go outside of your home or go to the school function because you’re frightened of the social situation (Social Anxiety or Phobia). Individuals with Post-Traumatic Stress Disorder have experienced trauma – often repeatedly, and need a safe environment to recall the events and reduce their fears.  (As I pointed out in a previous article, PTSD is common in soldiers, women and children that have experienced domestic violence, rape or sexual assault victims). 

The causes of anxiety disorders are complex, and there is no research that shows just one factor being involved. Rather, the causes may be environmental (domestic violence or reactions to disaster), genetic in nature, or due to psychological and developmental factors.  Most individuals that experience post-traumatic stress disorder have experienced some trauma in their life, and interestingly, genetics may play a role in whether someone then develops PTSD, or some other disorder as a way of coping with the trauma. 

Treatments are many, and are varied – depending on how the anxiety, or the reaction to stress is experienced. Different types of treatment are called for depending on the specifics of your difficulties.  Medications may be helpful, and may be recommended by your physician or mental health provider. However, an important point is that medication alone will not solve the difficulty – and psychotherapy, or a ‘talking therapy’ will be necessary.  Certain types of therapy are currently being researched (cognitive behavioral) for some of the anxiety disorders.  Many of the psychotherapies will include learning about relaxation approaches, such as breathing exercises or making changes in your lifestyle.  The therapeutic relationship with your mental health provider is of utmost importance, as this relationship will be the key to helping you cope differently with the stress and the anxiety.  

 Please email me with questions or comments.

  Rudy Oldeschulte, M.A., J.D. is a Del Rio psychotherapist, specializing in individual psychotherapy and parent guidance.  He has served on the faculty of the University of Arizona College of Medicine and taught at the British Association of Psychotherapists. Post- graduate training and education was done in London and at the University of Michigan.

Email address is: roldeschulte@gmail.com and his website is: http://www.rudyoldeschulte.com

Perspectives…

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Boys carrying spaghetti in a macaroni factory in Naples, Italy. 1929

Psychological and philosophical point of view, brought to you in plain language…

http://www.raptitude.com/2010/10/9-mind-bending-epiphanies-that-turned-my-world-upside-down

 

The Therapeutic Alliance: The Essential Ingredient for Psychotherapy

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 I am currently writing on the ‘therapeutic alliance’ – its relation to mindfulness, psychotherapy, understanding, and ‘being listened to…’   What follows is an interesting article that I came across that may interest some of you…

Excerpt:

Have you ever tried to change the way you do something? It could be anything — the way you hold your tennis racket, blow into a flute, meditate — you name it. If so, think about that experience. No matter how motivated you were to change, and no matter how much you knew that it would help your serve, musicality, or sense of inner peace, it can be difficult and scary to change even the smallest thing. In order to change, you have to give up your old way of doing something first and then try the new way. That means that for a while you’re in a free fall — you no longer have your old habit to rely on and you don’t yet have the new one.

The anxiety of trying to change something as complex and entrenched as how you relate to people close to you or manage stress takes the feeling to a whole new level. Yet, that’s just what you do when you enter psychotherapy. Just as you had to put yourself into the hand of your teachers and coaches, in therapy you need to gradually do just that with your therapist to help you through what can be a harrowing adventure. The foundation for therapy is called the therapeutic alliance (1, 2). When it’s there, you know that your therapist is there to help you, no matter how hard the going gets.

The therapeutic alliance might be the most important part of beginning a psychotherapy. In fact, many studies indicate that the therapeutic alliance is the best predictor of treatment outcome (3-5).

See entire article:

http://www.huffingtonpost.com/deborah-l-cabaniss-md/therapeutic-alliance_b_1554007.html

 

WOOLF’S DARKNESS: EMBRACING THE INEXPLICABLE

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Woolf gave us limitlessness, impossible to grasp, urgent to embrace, as fluid as water, as endless as desire, a compass by which to get lost.

“The future is dark, which is the best thing the future can be, I think,” Virginia Woolf wrote in her journal on January 18, 1915, when she was almost thirty-three years old and the First World War was beginning to turn into catastrophic slaughter on an unprecedented scale that would continue for years. Belgium was occupied, the continent was at war, many of the European nations were also invading other places around the world, the Panama Canal had just opened, the U.S. economy was in terrible shape, twenty-nine thousand people had just died in an Italian earthquake, Zeppelins were about to attack Great Yarmouth, launching the age of aerial bombing against civilians, and the Germans were just weeks away from using poison gas for the first time on the Western Front. Woolf, however, might have been writing about her own future rather than the world’s…

…Despair is a form of certainty, certainty that the future will be a lot like the present or will decline from it; despair is a confident memory of the future, in Gonzalez’s resonant phrase. Optimism is similarly confident about what will happen. Both are grounds for not acting. Hope can be the knowledge that we don’t have that memory and that reality doesn’t necessarily match our plans; hope like creative ability can come from what the Romantic poet John Keats called Negative Capability.

On a midwinter’s night in 1817, a little over a century before Woolf’s journal entry on darkness, the poet John Keats walked home talking with some friends and as he wrote in a celebrated letter describing that walk, “several things dove-tailed in my mind, and at once it struck me what quality went to form a Man of Achievement, especially in Literature.… I mean Negative Capability, that is, when a man is capable of being in uncertainties, mysteries, doubts, without any irritable reaching after fact and reason.”

To read this entire essay, see link: http://www.newyorker.com/online/blogs/books/2014/04/virginia-woolf-darkness-embracing-the-inexplicable.html?utm_source=tny&utm_campaign=generalsocial&utm_medium=tumblr&mbid=social_tumblr

A mad world A diagnosis of mental illness is more common than ever – did psychiatrists create the problem, or just recognise it?

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Unfortunate Events

When a psychiatrist meets people at a party and reveals what he or she does for a living, two responses are typical. People either say, ‘I’d better be careful what I say around you,’ and then clam up, or they say, ‘I could talk to you for hours,’ and then launch into a litany of complaints and diagnostic questions, usually about one or another family member, in-law, co-worker, or other acquaintance. It seems that people are quick to acknowledge the ubiquity of those who might benefit from a psychiatrist’s attention, while expressing a deep reluctance ever to seek it out themselves…

…While a continuous view of mental illness probably reflects underlying reality, it inevitably results in grey areas where ‘caseness’ (whether someone does or does not have a mental disorder) must be decided based on judgment calls made by experienced clinicians. In psychiatry, those calls usually depend on whether a patient’s complaints are associated with significant distress or impaired functioning. Unlike medical disorders where morbidity is often determined by physical limitations or the threat of impending death, the distress and disruption of social functioning associated with mental illness can be fairly subjective. Even those on the softer, less severe end of the mental illness spectrum can experience considerable suffering and impairment. For example, someone with mild depression might not be on the verge of suicide, but could really be struggling with work due to anxiety and poor concentration. Many people might experience sub-clinical conditions that fall short of the threshold for a mental disorder, but still might benefit from intervention.

See link for interesting article on psychiatry…and bits about the importance of psychotherapeutic intervention…

http://aeon.co/magazine/being-human/have-psychiatrists-lost-perspective-on-mental-illness/

Does abuse define a career path?

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DOES ABUSE DEFINE A CAREER PATH?


DEPRESSION

Does abuse define a career path?

One of the enduring questions of human development and behaviour is why we take the paths that we do. What influences us in our choice of partner, profession, lifestyle and other things that make us who we are? This is a deep and complicated question even if a “good enough” upbringinghas been experienced but even more so when a history of abuse and/or dysfunctional parenting has prevailed. In this case, whenlackingthe foundation of security, how do abused children make their way in the world, seemingly dragging a ball and chain with them? A book I recently reviewed may offer some clues and answers to this.The book in question is  “Strong at Broken Places” by Linda TSandford.The basis of the book are the stories of twenty child abuse survivors who figured that “the best revenge is living well”. Prevailing over a childhood of sexual and physical abuse, neglect, parental substance abuse and witnessing domestic violence, Linda Sanford asked them to look back and help us all understand how they fared so well. One of the first popular books on resiliency, Strong at the Broken Placeswas written for every survivor, friend, family member, mentor or helping professional who seeks the path towards self-forgiveness and healing. 

Linda T Sandford spent most of time while writing her book explaining why she believes that abuse does not necessarily jump generations and the patterns of the past can be broken by survivors. This is often not the case when survivors of abuse choose a career path. It can be said that some abuse victims find their way in the working world because of the abuse and not in spite of it. Sandford eloquently uses a quote from Freud to start her reasoning: “there are two pillars of healthy life, love and work” It appears from Sandford’s research that many who could not find love, threw themselves into the other, making work the focus of their life.

In a normal family, parents are considerate and understanding with their children. They allow a child to be happy, responsible, creative and love is given and accepted by both sides. The child does not need to prove anything or work hard for the parent to love them and love is unconditional. In troubled families, abusive parents expect children to “do” for them in a spirit of “you are not good enough to love, you have to earn it”. Children, often thinking that this conditional love is better than none, “do” for their parents, becoming little “mothers, fathers, husbands or wives”.  This lead Sandford to the following conclusion: in contrast to the stereotype painted by society that abuse victims are “underachievers”, many excel at work, maybe because this work ethic is instilled in them through the abuse itself. This success in the workplace is usually not turned into the self-esteem that one would imagine. Many survivors point to the fact that work gives them a place “to belong”, either mirroring early family life helping siblings or parents or giving them something that they had never experienced before. Sandford states clearly that for many abuse victims, work is a manifestation of her theory of “looking good on the outside”.

It is then not surprising that abuse survivors often choose careers that have some relation to the abuse they suffered. Concerning this point, there is a widely held prejudice that due to the abuse, abuse victims careers are somewhat chosen for them through the conditioning experienced by the abusive parent. For example, if an abused child finds comfort in the animals or plants, many believe that this would drive them to be vets or horticulturalists. Sandford’s research did find, however, that many abuse victims end up in the helping professions, ranging from nurses to therapists. Through abuse and neglect, many survivors had to take on responsibility for the care of siblings and indeed parents from a young age and also have an ability to anticipate inappropriate behavior. Characteristics needed in abundance when helping others.

Jen • 1 year ago

Have you experienced abuse?
YesNoDon`t want to sayEmotional AbusePhysical abuseSexual abuseOther:

For many survivors, the world of work is a meaningful place. Many abuse victims were brought up in poverty and working hard is a way of providing financial security. Many of the sample interviewed were self-employed in some way to avoid working “for” someone and many saw work as a way “offering social contact but without the need to show vulnerabilities or bare one’s soul”. Many survivors were by their own admission, workaholics, stating that this addiction was “more socially acceptable” and is “rewarded by society” bringing a sense of “self worth” to what they are doing. Sandford states clearly that balance in life is vital. What worked as a child, that is working hard to achieve, rarely works as an adult and many survivors use this “busyness” as a shield for depression. Sandford finishes by saying that she believes that “being should stand proudly next to doing and working”.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here ……

60 Seconds to a Stress-Less Life – Creating the Space

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The Now Effect is based on a very simple quote from a psychiatrist and holocaust survivor named Viktor Frankl. He said, “Between stimulus and response there’s a space, in that space lies our power to choose our response, in our response lies our growth and our freedom.” But for most of us that space is non-existent as the speed of the day skips right over it. From the moment we wake up, the brain already has a routine preplanned that skips over the spaces where life is unfolding. It knows that maybe after we wake up, we make breakfast, drink our coffee, read news on our phones, take a shower, get dressed and the rest of the day unfolds like this. Sadly, for many of us our lives go on like this until some crisis wakes us up. But we don’t need a crisis, right now we can train our brains to break this pattern.

This article by Elisha Goldstein articulates the need for all of us to find that space…

Link: http://www.mindful.org/mindful-voices/on-mental-health/60-seconds-to-a-stress-less-life

 

How to Get From Distraction to Satisfaction…mindfulness

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Multitasking can leave us feeling disoriented at the end of the day. What’s worse, this frenetic shifting between two or more things can rob us of a sense of satisfaction.

Daniel Goleman looks at three ways we can reduce multitasking at work. See the link:  http://www.mindful.org/at-work/how-to-get-from-distraction-to-satisfaction 

via http://roldeschulte.wordpress.com/

Abundance

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I`ve thought for a long time that I must write about an audiobook I listened to a while ago. It made me optimistic and happy, and when I stumbled upon a news article on the future we face, I thought about it again. I`ve also read a lot of “inferno” which focus on the same thing: What happens when we become so many humans, that it threatens us all? Abundance takes this challenge, but without scaring us so much that we feel helpless. Quite the opposite; After reading it I thought there is hope, we just have to put our best minds together and work for the future we want.

Abundance helps us understand that we are not entering a “post-scarcity” world, but rather an abundance world. Scarcities and competitions will persist at the leading edge of civilization, and the winners will profit more than everyone else. But at the same time, our accelerating technologies are creating vast new abundance in living standards, and so much capability to take care of our environment, that the scarcities of today will be distant memories just a few generations from now. As long as we rise to the challenges.

Peter Diamandis, Founder and Chairman of the X PRIZE Foundation, Co-Founder and Chairman of Singularity University, and pioneer of the personal spaceflight industry, is eminently qualified to write this book. He is both a visionary and an accomplished entrepreneur, with a passion for new horizons, and a deep ethical interest in global development. His practical, results-oriented perspective permeates the book, and frankly, it jumps right into the reader’s psyche long before the end. His co-author, Steven Kotler, is a writer of vast experience, and it shows.

Abundance: The Future Is Better Than You Think by Peter H. Diamandis  and Steven Kotler.

http://www.aftenposten.no/meninger/kronikker/Vi-blir-altfor-mange-mennesker-7491329.html