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Buddhism Coping strategies Defusion Emotion Regulation Existential knots Feel Better Impermanence Mindfulness Obsessive thinking worry Worry

This Too Shall Pass?

“…and here’s a secret for you – everything beautiful is sad…gilded with impermanence…”
John Geddes

The Sufi tradition tells the story of a king who was surrounded by wise men. One morning, as they talked, the king was quieter than usual.
“What is wrong, Your Highness?” – asked one of the wise men.
“I’m confused,” replied the king. “At times I am overcome by melancholy, and feel powerless to fulfill my duties. At others, I am dizzy with all power I have. I’d like a talisman to help me be at peace with myself.”
The wise men – surprised by such a request – spent long months in discussion. In the end, they went to the king with a gift.
“We have engraved magic words on the talisman. Read them out loud whenever you are too confident, or very sad,” they said.
The king looked at the object he had ordered. It was a simple silver and gold ring, but with an inscription. Can you guess what was written on that silver and gold ring?

Sometimes, the most irritating thing we can hear from another person when we share our mental or physical distress with them is some variant on the intrinsic impermanence of all phenomena.

Although we all understand this concept philosophically, having it spelt out to us by another person can sometimes feel invalidating. As if to indicate that the genuine here-and-now feelings, body sensations, or thoughts I’m having are somehow illusory or inconsequential by dint of their transience. Sometimes with a client, but also with myself, I feel like the coach who shouts out to the boxer in the ring getting painfully pummelled: “Hang in there, Rocky! You may be having the stuffing knocked out of you now, but once you’re patched up and healed, you’ll be as good as new!”

It’s a different matter however when we bring this way of thinking to our own internal world with the hope of liberating us from some of the less helpful forms of suffering and entrapment that our language-facilitated psyches often land us with.

The main way language traps us is by cementing, consolidating, and solidifying a mood, emotional state, thought, or body sensation. For example, while writing this, I notice that I am feeling tired and a little bit queasy. If I put this into words (“I’m feeling tired and a little bit queasy”), until I update that “reading” of my interoceptive environment, it acts like a dualistic off-on switch. What I mean by this is that my mind starts believing that I am either “tired” or “not tired”, “queasy” or “not queasy”. It loses all sense of gradation and perspective. As far as my mind is concerned, tired and queasy become the “last word” on my experience. That inner-reading, delivered through language should really come with a time and date stamp attached to it (“Hey Steve, two seconds ago you registered tired and queasy feelings in your body, but how about now?”), but it doesn’t. The mind gives us these readings as if they were timeless truths about ourselves and the world.

When we get an email or text message from someone else however, we take into account the potential for change in that person between the act of committing a reading of their body sensations, thoughts, emotions to that written communication, and how they might be feeling now. Reading it a few hours later, we may recognise that this person could be in a different place altogether, either due to some form of self-care they embarked on (a nap, a walk, some peppermint tea), or just as a natural outcome of the fundamental impermanence of all phenomena, including tiredness and queasiness as bodily states.

Unfortunately, when the above reading gets served up by our minds, rather than a transient text message, it can sometimes appear in a way that a printed sign on a solid wooden post might catch our attention with its seemingly unarguable entreaty : “PATH HAZARDOUS DUE TO ICE – TAKE ALTERNATE ROUTE”.

The sign is maybe only appropriate for the day on which the suggestion was made, maybe even the month, or the whole winter of that year. But at some point, it will no longer act as a helpful indicator because the path will no longer be slippery and icy. And yet the sign doesn’t reflect when this happens, in the same way that our minds often fail to keep track of the moment-by-moment changes within us, noticing only significant peaks and troughs.

My tiredness and queasiness, like all phenomena, is continually changing, even in the space of the time it took me to write this paragraph: sometimes strong, sometimes weak, sometimes noticeable and even oppressive, other times practically unnoticeable, negligible. But the mind, and language freezes or suspends these states in whatever reading was made at the point of noticing the sensation at first, and unless we factor into our reading the notion of impermanence, we might make a prison for ourselves of this thought, especially if the thing we’re focused on (thought, feeling, sensation) has some suffering attached to it.

GUILDENSTERN
Prison, my lord!

HAMLET
Denmark’s a prison.

ROSENCRANTZ
Then is the world one.

HAMLET
A goodly one; in which there are many confines,
wards and dungeons, Denmark being one o’ the worst.

ROSENCRANTZ
We think not so, my lord.

HAMLET
Why, then, ’tis none to you; for there is nothing
either good or bad, but thinking makes it so: to me
it is a prison.

We are all Hamlets in this regard. I get imprisoned by my thoughts a dozen times a day, how about you? Whenever I lose sight of the fact that thoughts are just thoughts, I’m cast into a bleak and airless cell. A kind of living death perhaps?

“To Taoism,” writes Alan Watts, “that which is absolutely still or absolutely perfect [i.e. rendered in language as a permanent fact] is absolutely dead. For without the possibility of growth and change there can be no Tao [i.e. the unconditional and unknowable source and guiding principle of all reality]. For there is nothing in the universe which is completely perfect or completely still; it is only in our minds that such concepts exist.”

I think when we take this on board in an experiential, “lived” way, this impermanence, this ever-changing, fluctuating nature of all phenomena inside us and outside us, can be incredibly liberating.

Let’s say someone you were counting on lets you down? Or it could be an experience you enjoyed the last time you had it, but not this time. Of course we’re disappointed. But if every phenomenon in our experience, material and immaterial, is fundamentally inconstant, impermanent, transient, why are we holding out for our fool’s paradise?

Well, that goes without saying: because the illusion of permanence and stability feels safer and more comforting. But it can also be devitalizing, ensnaring, and rife with suffering.

Maybe it would be good, like the king in the Sufi fable, to have a magic spell of sorts, a talisman, something that unhooks or unchains us from the inflexibility of our own, and others’ linguistic formulations, returning us to the light-and-shade flux of our lived experience?

Sometimes it might be enough to just use this reflection of transience in something like a this-too-shall pass mantra. Or if those words have lost their power by becoming over-memified and commodified (another good example of this: keep calm, and carry on) we may need to recite a small poem or prayer, like this verse recited at buddhist funerals, but also by monastics on a daily basis:

All things are impermanent.
They arise and then they pass away.
Having arisen they come to an end.
May we find peace by remembering this.

I also like these doleful lines from Dogen:

Your body is like a dew-drop on the morning grass,
your life is as brief as a flash of lightning.
Momentary and vain, it is lost in a moment.

I find it interesting that Siddhartha’s last words according to the Mahāparinibbāna sutra are reported to be a variant of this teaching: “”Disciples, I tell you this: All conditioned things are subject to disintegration – strive on untiringly for your liberation.” This is not an encouragement to withdraw to a timeless, mystical now, but rather, as Stephen Batchelor explains “an unflinching encounter with the contingent world as it unravels moment to moment” and so “embark on a new relationship with the impermanence and temporality of life.”

In our Western tradition, we find a very similar message in Pyrrho’s Aristocles Passage. Wise men and women in all our recorded culture have focused on impermanence as being a very important door through which we need to pass to find peace in ourselves and the world. If we can only, even for a moment, take on the fact of our own impermanent sojourn in the timeframe of this one life allotted to us, take this on viscerally, as a lived experience, rather than as an idea (“Death whispers in my ear,”  Virgil reminds us, “Live now, for I am coming.”) then who knows what kind of living we might be able to squeeze out of the lives we’ve won in the sperm-egg lottery.

The poet Ron Padgett comes at this truth from a Christian perspective in his poem The Joke:

THE JOKE

When Jesus found himself
nailed to the cross,
crushed with despair,
crying out
“Why hast thou forsaken me?”
he enacted the story
of every person who suddenly realizes
not that he or she has been forsaken
but that there never was
a forsaker,
for the idea of immortality
that is the birthright of every human being
gradually vanishes
until it is gone
and we cry out.

Sometimes though, this self-imposed reflection isn’t enough, and we might need to do some more intensive defusing and unhooking.

Here are a couple of visualisations to play around with, using fairground rides to help us unhook from impermanent/conditional thoughts-emotions-sensations that entrap us through language, language rendering them as unconditional, immutable and imperishable. Don’t feel you have to do them exactly as I’ve envisaged. Once you’ve got the idea, make one of them work in a way that suits your imagination.

1/ This Too Shall Pass as a MERRY-GO-ROUND:

On the merry-go-round of the mind there is a problem with speed as much as anything else: the whirring thoughts and feelings, the jarring, jangling music. So first of all, cut the power switch the merry go round off for a moment. Stop it. Imagine all the lights expunged, the music silenced, the painted wooden horses in shadow.

Now walk around it and see if you can find the one that’s tormenting you. It might be horse-shaped, or it might look like something else. See if it can reveal itself to you.

When you find it, notice it’s colour, shape, texture, how large or small it is. Notice where you might position yourself on it or next to it if you were to go on this ride.

Now deliberately imagine yourself stepping off the platform.

Find a place a good 10 or 15 metres away where you can still see the merry-go-round or carousel, but it doesn’t take up your whole view. Notice what else is there in the park, see if maybe there’s a ride you might even want to go on.

Take a few deep breaths and get your bearings.

When you’re ready, throw the switch and let the carousel begin to spin again, you may even imagine it spinning really fast so that it becomes a kind of spinning top and takes off into space.

Or you may start feeling queasy just at the spin on it right now, and so after glimpsing your bugbear every few seconds whirling around and around and around. See if you can watch it until you start to feel a little bored with the sight, and are ready for a refreshment or some other distraction.

2/ This Too Shall Pass as a FERRIS WHEEL:

Again, see if you can identify your bundle of feelings and thoughts that have got you “locked into” the seat or cage of the ferris wheel: “Oh, there’s shame, and hurt, and frustration. Oh there’s why-can’t-they-respond-as-I-wish-them-too?” etc.

Get a sense of how fast the wheel is turning. It may be moving very, v…e…r…y slowly. You may want to join yourself for a moment on the ride and let your shamed/hurt/frustrated self hear some words it needs to hear from a more soothing, reassuring part of you.

Breathe. See if you can surrender to the pod, or seat, something that symbolises your upset: a photograph, a screenshot of a text message, an object.

Then claiming your hurt and upset self, perhaps holding its hand the way you might a scared or sad child or small animal, watch as the wheel begins to inch its way upwards and the pain inside “your” seat or pod, like everyone else’s pain in their seats, begins to “pass”.

Not disappearing but slowly, maybe v…e…r…y slowly increasing its distance between you and this thought-feeling-situation bundled up as a vexing hurt.

When the wheel reaches its apex, a hundred metres up or more, invite a bird or some other winged creature to fly into the pod and take the item you’ve left there away with it.

Imagine what the bird might do with this object. Perhaps line its nest, or bury it, or eat it (birds like text messages and photographs, they feed off them like sunflower seeds). Maybe even imagine the item passing through the bird’s intestines, this hurt of yours transformed into excrement and eradicated over trees and hills and fields full of wheat ready for harvest.

3) This Too Shall Pass as a BUS, TUBE, TRAIN or AIRPLANE:

Unlike merry-go-rounds and ferris wheels, tubes and trains usually have destinations associated with them. Consider where the cluster of thoughts and feelings and sensations you are currently experiencing may lead if you hop on the bus, or train, or plane and fly with them. Maybe even imagine that destination written on the front of the train or the plane.

Perhaps today’s train is destined for a place of ABANDONMENT or NON-RECIPROCATION (either receiving or giving). Often the destination, the final stop on the line is one of too-much or too-little.

Too much of a certain type of interaction with another human animal, or our environment, and thus a feeling of overwhelm, or too little which then results in a feeling of deprivation, a foresaken emptiness, loneliness and alienation.

Take a moment to consider whether you want to ride this train all the way to its final stop. If not, especially if you’ve made this journey before and found it a fruitless one, you may decide to let the train pull into the station, load it up with all your hurt thoughts and feelings, and then let it depart.

Watch it go, check the platform, are there still thoughts and feelings amassing in quantities that threaten to arrest your next meaningful action? You may have to stay on the platform and let those passengers fill the carriage of the next train into the station.

Identify each one as they climb aboard, like Noah counting and tagging every creature that climbed aboard the ark. “OK, here’s a thought that [this person/situation] is X. Here the feeling of […] again. Here’s the desire to do x, y, z, which probably wouldn’t help matters but…” Repeat until the platform has a bunch of hangers-on who don’t want to pass, don’t want to go. Let them if need be accompany you as you step away from the platform and focus on something meaningful and interesting calling for your attention.

Thanks for reading. Oh, and if you’re struggling with thoughts, feelings, body sensations, or situations that seem to your mind particularly oppressive and imprisoning, other than some of the suggestions presented above, you might also want to consider learning by heart one of these poems and reciting it as a more extended mantra when feeling trapped. That’s something I do, and I find it helps.

Categories
Acceptance and Commitment Therapy Anxiety By Heart Defusion Depression Feel Better Living A Valued Life Patience Refuge Ritual Self-care Self-compassion Strategies and tools Suffering Worry

April Fools?

In many ways, I love being the butt of someone’s joke, I love to be duped and fooled. Love magic tricks, especially of the Derren Brown variety that always reveal something profound to us about ourselves and others. As well as entertaining us in the process of fooling us.

I love Penn & Teller’s Fool Us. I particularly love it when those two Great Foolers themselves get fooled. And I love it when I am able to make a fool of myself (of my often-times pompous notions and ideas, at least when I’m defused enough to see the pomposity and ego-driven nature of them). And if done with love, and a kind of, hey-we’re-all-bozos-on-this-bus cameraderie, I can even enjoy it when others make a fool of me.

But I also feel uncomfortable when I see people being laughed at or mocked, especially if they are unable to defend themselves. I hate to see defenceless animals and children being treated unkindly, or made fools of.  I also don’t like the more cruel spectrum of practical jokes that shock and alarm, or even really dismay people on this day where we celebrate all things foolish and fooling. Would I eradicate the day itself if I had the power to do so? Never. Because life is a series of April Fools’ days you might say, a constant series of small and large practical jokes sent to challenge us and teach us. Here are just two of my favourites:

-We grow up in a culture that tells us romantic love is the be-all and end-all in terms of living a rich, full, and meaningful life. And then when we get into a relationship, and at some level we start to feel duped by that narrative. So we fight, bitch and moan at our other halves, because we’ve all bought into those lovely, lovely lies of Pretty Woman or Sleepless in Seattle. When instead of the happy-go-lucky romcom we get Eternal Sunshine of the Spotless Mind, or Her,  or Fatal Attraction, perhaps even The Shining, don’t we feel like fools? And when we’re not in relationships, we feel outcast or alienated from this Core Romantic Narrative pumped into our minds through everything we watch and read 24/7, embedded in every song we’ve ever listened to.

April Fools y’all!

-Or what about the reality slap, that wonderful term created by Russ Harris to describe the gap between what we have and what we want: of jumping through hoop after arduous hoop (academic, interviews, various forms of social ingratiation) to get that prestigious job, or car, or amazing holiday, or nice house -whatever we think might bring us happiness- only to find ourselves miserable with the glamourous trappings we’ve worked so hard to attain.

April Fools y’all!

And by y’all, I include myself first and foremost in that dupery.

THE ULTIMATE APRIL FOOL

But the ultimate April Fool is the fool our minds make of us on a daily basis. Never out of pure malice – for how can a lump of meat, the brain, sitting between our ears bear malice towards us? Rather, as a function of their problem-solving, pleasure-seeking, pain-avoiding programming. Every time my mind tells me that the reason so-and-so didn’t respond to my text message is because a) they don’t care about me or what I’ve written to them, or b) they don’t fundamentally like me, or whatever other narrative they come up with, and I buy into that and suffer. Again: April Fools y’all!

Every time my mind singles out something I don’t like in someone else and then tells me that’s a reason to hold that whole person in contempt – April Fool!

Every time my mind says: that pleasurable thing you want (the extra glass of wine, the seventh chocolate digestive, the checking-of-Twitter or firing off an email ten minutes into a walk, or a yoga session, or some meditation) DO IT NOW – April Fool!

I don’t know about you, but my mind makes a fool of me dozens of times a day. 

What to do? Recently I’ve gone back to doing a particular kind of meditation practice, both formally (as in a sitting practice), but more so informally, which I’ve found really helpful with my foolish mind. It might surprise you, as it doesn’t involve trying to argue with your mind, saying to it “No mind, you’re wrong when you say that your [boss, brother-in-law, mother, father, colleague – choose where applicable] is NOT a [insert choicest, most damning criticism of that individual]”.

Arguing with our minds doesn’t work because the mind is the best barrister ON THIS PLANET! It has hundreds of files, videos, taped phone calls, enough to fill 256 gigabyte’s worth of memory on a standard laptop demonstrating the ways in which that person or situation has said or done something foolish, fallible, unfair, unreasonable, and just generally shitty in a bid to hurt or upset you. And maybe they have. This is not to downplay the foolish, fallible, unfair, unreasonable, and just generally shitty things we do and say to each other. I have been a veritable font of foolish, fallible, unfair, unreasonable, and generally shitty words and actions to other human beings in my misguided and suffering mind-states. And I have also been privy to other people doing some of that around me too.

But if you even attempt to argue with your mind about all of this, it will win. It will prove you wrong, and itself right over and over again. And you will then be left in whatever state your mind gets you into when it plays and replays those particularly juicy, particularly painful tidbits, as verifiably true. So that doesn’t work (at least in my experience – has it ever worked for you?) – that will just lead to more suffering, which is something we want to try and reduce, right? I do. 

Apart from defusion, when our minds start getting Practical Joker/Tormentor on us, what else can we do? A clue might lie in one of my favourite poems of all time, one I know by heart:

Before you know what kindness really is
you must lose things,
feel the future dissolve in a moment
like salt in a weakened broth.
What you held in your hand,
what you counted and carefully saved,
all this must go so you know
how desolate the landscape can be
between the regions of kindness.

Man! (Also: woman!) Isn’t that the reality-gap/slap encapsulated in one small stanza?! This bears repeating:

What you held in your hand,
what you counted and carefully saved,
all this must go so you know
how desolate the landscape can be
between the regions of kindness.

Also:

Before you learn the tender gravity of kindness
you must travel where the Indian in a white poncho
lies dead by the side of the road.
You must see how this could be you,
how he too was someone
who journeyed through the night with plans
and the simple breath that kept him alive.

Before you know kindness as the deepest thing inside,
you must know sorrow as the other deepest thing.
You must wake up with sorrow.
You must speak to it till your voice
catches the thread of all sorrows
and you see the size of the cloth.
Then it is only kindness that makes sense anymore,
only kindness that ties your shoes
and sends you out into the day
to mail letters and purchase bread,
only kindness that raises its head
from the crowd of the world to say
It is I you have been looking for,
and then goes with you everywhere
like a shadow or a friend.

PRACTISING KINDNESS

My cynical/judgemental/critical brain sometimes can be a bit hard on kindness. “Hallmark card sentimentality,” it sneers. And I don’t argue with it when it says that. Yes, Dave, I say (I call that part of my brain, Dave), yes, that’s one way of looking at it, thank you.

You could say, not that I’d get Dave to agree with me on this, that a kindness practice rather than the word itself or a nice Instagram quote on kindness (the word/quote lasts a millisecond, hardly registers in the mind at all) is a “medicine” for all those inadvertently unkind parts of ourselves.

Inadvertently unkind because they are trying to be helpful in their sometimes heavy-handed suggestions, comparisons, judgements, lectures and sermons. They don’t realise that, just like our parents and teachers and political figures (at times), they only further torment or make fools of us rather than being useful or helpful. Their comparisons, judgements, lectures and sermons only make us suffer more not less.

A kindness practice, ideally done on a daily basis, in the same way we might take some vitamins or brush our teeth daily, works at the very roots of our mind’s magic tricks, the illusions and delusions it feeds us to keep us safe, but which also separate us from the world, other people, and often times our own deeply held values and beliefs. When I remember to do some of the kindness practices below, it often feels like an almost selfish pleasure, in that the gain for me is huge (over time) but also doesn’t hurt anyone else. In fact might make their challenging, suffering lives a tad lighter too.

A win-win is always great. Bingo! Or “Yahtzee” as one of my kindness gurus, Dan Savage, will sometimes exclaim when he suggests a win-win outlook for his suffering callers. Dan Savage is also a great example of how you don’t need to be all whispery and quiet, all holier-than-thou to practice kindness. His Savage Love podcast is the kindest advice show on the planet, even though Dan is often scabrously blunt and pragmatic, but his advice and wisdom and good humour is always delivered with kindness and a desire to be helpful.That’s the kind of kindness I aspire to.

So here’s a challenge for us in our bid to become kind in a way that some of your Kindness Warriors* are kind.

  1. If you’d like to do a formal practice (I’m aiming to do this once a day for the whole of April) I’d recommend this 15 minute guided meditation from Russ Harris. I think it’s structured in a way to really get us into a kinder space towards ourselves and others, without being sentimental or “spiritual” in a cloying/annoying way (although finding our mind’s response to sentimentality and spirituality annoying, would also give us another way to be kind to ourselves): https://www.dropbox.com/s/xndq9j00b8zpoqa/Kindness%20Practice.mp3?dl=0

2.  Informally, the next time you go for a walk with your whirring, chattering mind, focus your attention on random strangers passing you on the pavement, and then instead of the usual stuff our minds do (commenting, ignoring other people, feeling intimidated by their “otherness”) silently direct some of these well-wishing phrases to them in a mantra-like loop:

“May you be peaceful, healthy, content.”

“May you experience love and kindness.”

“May your life be rich, and full, and meaningful.”

It may feel a bit weird when you start doing it, but notice what happens to the mind if you push past the cynicism and boredom of your Inner-Dave.

3.  Start learning by heart the whole of, or a part of the poem Kindness by Naomi Shihab Nye, or some poem that has a similar kind vibe that speaks to you. Maybe Hopkins’ “My own heart let me more have pity on”, or Pat Schneider’s “The Patience of Ordinary Things”, or Mary Oliver’s “Wild Geese”. Recite these poems by heart when you feel low or anxious.

4. Think of something you’re struggling with at the moment. Close your eyes, maybe even place a hand on your head or chest, and imagine someone kind that you know, or even a pet, saying some simple but kind words to you in sympathy. Whilst writing this today I’m strugging with a stonking head cold and am feeling fairly grotty. I had my kind person, and Max, say to me: “I’m sorry you’re feeling so crap today. Go easy on yourself, give yourself a bit of cosseting, Steve.”

If you try out any of these, please do tell me how they go in our next session together.

*My kindness warriors, also my ideal dinner party guests, just off the top of my head: Dan Savage, The Obamas, David Mitchell, K D Lang, Stephen Fry, the Queer Eye dudes, Russell Brand,  Adam Phillips, Caroline Lucas, Steven Hayes, Stevie Wonder, Penn & Teller, Mary Oliver, Ajahn Sucitto, and many many folk from various spiritual traditions. Also, even more so, all those people you wouldn’t recognise if I named them. My clients, each and every one of them: all sensitive bods, and all incredibly kind people. My parents and other relatives, even with all their flaws, their sometimes foolish, fallible, unfair, unreasonable, and maybe even shitty and unkind ways at times. And what about that guy who stopped his car when he saw little Max, my dogchild, running in the middle of a busy road after he went AWOL in Fryent Park a few years back? Or the kind elderly lady and her husband who always stop to say a few kind words about my garden when they see me outside weeding over the weekend. The list goes on and on. As does this one]

Categories
100 Acceptance and Commitment Therapy ACT Defusion Feel Better Pain Suffering worry

PAUSING FOR PAIN (BUT NOT FOR SUFFERING)

When were feeling bad and wanting to feel better, perhaps the most important distinction we can make for ourselves is in keeping clear the difference between pain and suffering. The difference can be summarised in the following adage which you may have come across at some point:

“Pain is inevitable and unavoidable, but suffering is optional.”

A quick click around the internet tells me that this idea lies at the heart of 12-step work, is quasi-attributable to the Buddha, and even comes up for how the author Haruki Murakami deals with physical pain when he’s running marathons. But what does it really mean? And how can this distinction help us deal with (unavoidable, inevitable) pain better, whilst suffering less?

HOW DO YOU FEEL ABOUT NEEDLES?

Maybe an example will help. I hate needles. I’m probably not alone in this, but at times this aversion has verged on a kind of phobia. And like any phobia, it has often got in the way of me doing the things I need to do to take care of myself. Like going to the dentist for regular check-ups. In fact, I didn’t go to the dentist from 2010-2017, because…I hate needles! Following on from that rule I’ve set for myself (Thou shall hate needles!) I didn’t go to the dentist until the pain of toothache overcame my unwillingness to tolerate the pain of a needle being pushed into my gums.

Why am I so phobic to needles? As far as I can tell, there are two reasons for this: biological and historical. Another way at looking at this is NATURE (biology) and NURTURE (life experiences, especially at an impressionable age):

  1. BIOLOGICAL REASONS:  I am a Highly Sensitive Person (if you’re reading this, you probably are too!), which means I feel stuff really intensely. Physical stuff, emotional stuff, it really doesn’t matter. When I am in the dentist chair, I often have to tell them to double up on the Lidocaine because a normal dose of the local anesthetic often doesn’t numb my highly reactive nervous system enough and I’m left wincing not only when the drug is injected, but during the drilling and scraping thereafter. 
  2. PERSONAL/HISTORICAL REASONS: When I was about 8 years old, I had a rampant outbreak of warts on my legs. My mother took me to the doctor who proceeded to inject and burn off some of the bigger warts in that unfussy, sorry-mate-just-doing-my-job way that medical professionals get on with things. And it hurt! But more than just hurting, the shock of pain, and the shock of not being given enough time before, or after, or during the intervention to process what was going on, or prepare for it seemed to really affect me. This combined with the insouciant attitude of the doctor, gave my brain a strong negative rule to follow when it came to needles (Steve Hates Needles). This is called classical conditioning: where our brains make the link between one thing (needles) and another thing (feeling overwhelmed, and scared) and forms a Life Rule for us to follow: “Never ever, ever, ever let anyone poke you in the arm, leg, or any part of your body with a needle. Ever. Again.” Often these rules are unconscious (“Needles are EVIL!”), we don’t even know we’re following them, but we are. Some of our Life Rules work really well (“Saying please and thank you and being kind is NOBLE!”). But often, even good rules can cause unnecessary problems for us. Having the rule or belief that Needles are Evil isn’t going to serve me that well because needles, as with other instances of pain (emotional and physical), are inevitable and unavoidable. Unless you’re Superman.

So I know why I’m phobic (nature + nurture), and I also know that my phobic, rule-making brain was given an extra boost in 2009 when I had some root canal treatment which wasn’t much fun, and probably just reinforced the Dentists/Needles are Evil story in my head. Knowing where my stories come from though doesn’t especially help me, although it does give me interesting things to think about. And the same goes for other pain too, including emotional pain. Which is why explanations for our pain are useful and interesting, and have their place in the process of reducing suffering, but they often don’t help that much with the job of limiting the amount of suffering we experience. In fact we might even make matters worse for ourselves by creating a kind of “story” around needles, or someone’s text, or why we didn’t get that last job we interviewed for, and that story can send us into a suffering tailspin.

But hang on, didn’t me and Haruki Murakami say that Suffering, unlike Pain, can be reduced, limited, or even dissolved? How?

MORE (PAINFUL) NEEDLES, AND SOME SUFFERING

Let’s look at how suffering works. My problem with needles is, if I really think carefully about it, a Suffering Problem, rather than a pain one.

Let me explain. If I were to dig the fingernail of my right index finger into the back of my left hand, or the crook of my arm, and really push it into the skin, I would feel the kind of pain a needle might deliver to my nervous system. And if I push harder, I might feel even more pain than a needle could ever do to me. And guess what (try it for yourself if you don’t believe me): this is all perfectly fine and dandy, not really a problem at all. Of course it doesn’t feel great. It’s uncomfortable, it’s painful, but it’s just that: pain. So maybe it’s not Pain that’s stopping me from going to the dentist or getting my bloods taken, maybe it’s more an issue of SUFFERING.

What’s the difference? Pain as I’ve shown above is all about…pain. Physical pain in all its manifestations, as well psychological pain, the emotional pain of not getting our needs met from other people, or the world in some shape or form. That’s Painful too. If you turn to me after I’ve just told you something about myself that concerns me (e.g. “I’m really scared of needles”) and you say “Come on, Steve, don’t be such a snowflake”, then I’ll probably experience a good dose of psychological pain. Your reply would be painful for me because we all have core needs such as the need for love, care, and understanding. If you’ve responded to something I’ve said in a way that seems dismissive then I’m probably going to feel a good amount of pain. But no suffering. Not yet. Although it won’t take long. A couple of nanoseconds usually.

Here’s how I suffer, and perhaps this is how you suffer too. I take the pain of your dismissal, the pain of you not being sensitive to my anxiety, of not validating me and my issues with needles, and I add stuff to that. The stuff I add (often unconsciously) is Suffering. 

Non-suffering pain might look like this: “Ouch! So my worry is not something you can relate to, or perhaps show empathy towards. And that’s painful because my need for understanding and validation is not being met. So: ouuuuuch!”

This is pain, but still no suffering. Just me feeling and acknowledging how painful your comments are to me. But of course our brains are not designed to just experience pain. My brain (your brain also?) will also probably jump into an angry, hurt monologue about your dismissive comment. My defensive (me trying to defend myself because I am in such pain) outburst might sound a bit like this:

 “Well fuck you too and the horse you rode in on! Excuse me for burdening you with my anxiety! Some kind of friend/partner/therapist/parent you are! Doesn’t this prove what I’ve always thought: that it’s fine for you to get upset about stuff and for me to be there for you, but when the tables are turned you’re not able to give me an ounce of basic understanding and compassion.”

Or some version of the above. Maybe a bit less fraught and dramatic. And maybe a great deal more fraught and dramatic if my experience of Suffering has taught me anything.

This is suffering. Suffering is ANYTHING painful our storytelling brains/minds do in response to a painful trigger. Recognising this, we might also wish to forgive our brains/mind for doing this whole suffering routine. We can’t help it! Our brains/minds really thinks that having this reaction, filling our heads and hearts with all these suffering thoughts, rants, images, memories, and retributive urges, is actually going to help us process our pain. What usually happens though is that it only doubles, triples, quadruples the pain we already have. Suffering is the addition of extra (optional) pain to ourselves when we are already in (unavoidable, inevitable) pain. Now, not only am I in pain because my need for understanding, and validation hasn’t been met by you. Now I’m in pain because my brain has spun a very convincing story about how little you care for me. The pain of the Unmet Need, which is painful enough, has become Operatic in its scope for suffering. And suffer I/we do.

SUFFERING IS LANGUAGE/LANGUAGE IS SUFFERING

I suffer because my mind/brain is “designed”  to try and solve internal problems the way it solves external ones. If your front door is jamming, you look at the problem, diagnose why the door is jamming, and then come up with a solution to fix it. The only problem is that internal, existential, emotional issues, don’t respond to our brains Jim-Will-Fix- It strategies in the same way. This is because the most sophisticated technology we have for “fixing” our internal problems or pain is with something called language! All those thoughts, beliefs, internal conversations and monologues, memories, beating ourselves up, threatening to beat others up, could not occur without language. We’re very particular in this way.

Which is why we are the only animals to suffer, but not the only animals to feel pain. When my dog Max is sick because he ate some human turd in the park (true story!), he feels pain. This is the same pain I would feel if I were to eat human turd in the park and be sick afterwards. But there is no suffering accompanying his retching and puking and shitting blood. He doesn’t beat himself up for having eaten the human turd. He doesn’t go into a twisted, blaming rant about the person who decided to defecate in the park rather than walk 500 metres to a toilets at Morrisons Supermarket. He doesn’t get angry at me for not watching him carefully enough, or at the person who relieved themselves under a tree. He feels pain, but there is absolutely no suffering. And when the pain of his mistake has passed, he is as happy as Larry. Bless him.

We however. are completely different animals. We feel the pain of the needle, the pain of someone not responding to a text message in the way we would have liked, the pain of not getting the job we wanted, the pain of having the job we have (if we’re unhappy at work), the pain of getting a low mark on an essay, the pain of seeing the people we want to go out with us swiping left, as well as the thousands of other painful situations, both large and small that fill our lives. And then, on top of that, our story-telling brains ladle a massive helping of Suffering just to make things feel proper awful. Even to the point where the original pain itself is miniscule compared to the ratio of suffering we’re experiencing after the fact.

Pain is crappy, but suffering can feel intolerable. I didn’t go to the dentist for seven years because whenever I thought of the pain of that little needle, I added a big dose of suffering-inducing, language-constructed mental activity, far far worse than the two second pain created by a Lidocaine jab. Instead, my brain fed me over those seven years hundreds if not thousands of excruciatingly painful thoughts, images, memories. All created with language. Here’s just a sample:

I hate needles. I can’t deal with needles. I hate them, and I can’t deal with them.

I can’t face going to the dentist.

Why was Dr Levin so insensitive to my needs when I was 8 years old!?!

Look at the trauma he has left me with! He has incapacitated me in this regard.

Doctors are so insensitive and uncaring. Dentists too. Fuckers.

I blame my mother for not recognising how traumatised I was by the experience.

Why can’t I just get on with it and be less sensitive, like Dad?

I’m such a fucking wuss. I should just man up.

I can’t believe I still haven’t gone to the dentist for a check-up. I’m useless at this stuff.

And here is a sample of the Suffering Images that played for seven years on my Internal YouTube Channel:

Gigantic syringes, gigantic needles, gigantic needles entering my sensitive wee gums, dentist not stopping when I yelp in pain, me yelping in pain, me embarrassing myself by yelping in pain, dentist thinking I’m a wuss for yelping in pain etc.

And that’s just a small sample of my suffering loop. Times that by 1000 and you’re just about getting close to the Hell Realm of me not going to the dentist for seven years. And that’s just the suffering I’m willing to share on a public website to prove my point. That’s just the tip of my iceberg needle. Because pain isn’t the problem. I’ve already proved to myself that I can tolerate a modicum of pain by digging my fingernail into the back of my hand, or the crook of arm. It’s suffering that’s driving me/you/anyone crazy!

Which means that if only we can, when in pain, separate out the pain from the suffering, we might be better placed to experience the unavoidable, inevitable pain of being alive, but without the extra lashings of suffering. That’s the best I think we can aim for: experiencing Pain as cleanly and uncomplicatedly as we can, but dialing back on Suffering! Especially as that’s the only dial we have access to.

Remember: Pain is unavoidable, inevitable (no dial for us to twiddle). Suffering: also somewhat inevitable because of our weird story-telling brains, but much more avoidable and diminishable.

Let’s now look at how to reduce psychological and physical suffering.

 

REDUCING YOUR SUFFERING: THE P.A.U.S.E.

So how do we experience as “cleanly” as possible whatever dose of psychological or physical pain that is next coming our way without getting trapped into having a double dose of suffering alongside it? Here’s a five step process which is easy to do and remember. But it does require practice, until it becomes second nature. Which is where the acronym helps. P.A.U.S.E! P.A.U.S.E. stands for

PAIN

ACKNOWLEDGING & ALLOWING FOR PAIN

UNDERSTANDING/UNMET NEEDS

SUFFERING

ENGAGING WITH OUR PAIN

 

P.A.U.S.E. STEP ONE: P stands for PAIN!

Think of something a situation or a conversation you had with someone, or just something ongoing in your life that is causing you pain. Make a note of your pain on a piece of paper or on your phone.

Here are some examples:

PAIN: Gavin said in a text message that he doesn’t want to see me at the moment.

PAIN: My back’s really hurting at the moment.

PAIN: I haven’t done any work today, just faffed around.

PAIN: I feel like my life isn’t going anywhere.

PAIN: Yesterday I ate too many carbs and sugary things and today I’m feeling like a beached whale.

P.A.U.S.E. STEP TWO: A stands for ACKNOWLEDGING & ALLOWING!

In this step, you set the intention to allow yourself to feel some of this pain without reaching for the jar of suffering to start slathering all extra pain on top. Think for a moment how willing are you right now (out of 10) to just experience the pain as it is, without any additional thoughts, analysis, or “stories” about the pain?

Don’t feel bad if you  discover that your willingness is only about 1/10, as this will also give you an indicator of how strong the pain is, as well as how tenacious our story-telling brains are when it comes to adding lots of thoughts, images, and explanations about our pain. 

We also need to consider that when we are in a lot of pain, and especially if we are very sensitive, our default FIGHT-FLIGHT-FREEZE stress response kicks almost instantaneously, and so we might find ourselves invariably fighting the pain with lots of extra thoughts, internal monologues/rants (FIGHT-STUFF), or just trying to get away from the pain by either numbing or distracting ourselves, or telling ourselves even more stories about the individuals or world that has triggered this pain in us (FLIGHT-STUFF). Sometimes we also freeze up entirely, unable to think or do anything, caught in the pain like a rabbit in the headlamps (FREEZE-STUFF).

So let’s try and not do that, just for a few minutes.

See if you can turn up the dial on your willingness to experience the pain, even just for the five minutes it takes you to do this exercise. Being willing to experience pain without moving into lots of thoughts, analysis, or story about the pain is an incredibly hard thing to do because our brains are designed to respond to pain in the way that brains always respond (via language), but it is also a courageous and wise thing to do as it gives us a chance, even if just for a minute or two, to just take in and process our pain. Before our brains turn it into a Suffering Extravaganza.

So maybe at this point, give yourself a little pat on the back for gently taking offline (to some extent) your highly resistant, won’t shut-up-about-it, default fight-flight-freeze nervous system and storytelling brain, so that you can give all of of your compassionate and available attention to this horrible pain. This is the first step to becoming your own therapist who is there to help you process painful events in your life 24/7. It may take a couple of years of practice, but this is where it all starts.

P.A.U.S.E. STEP THREE: U stands for UNDERSTANDING/UNMET NEEDS

In step three, you offer understanding and compassion to yourself for why you are feeling this way. It’s a tricky step, because often the “why” can take our brains into a place where either we blame others or ourselves. This is why we focus on Unmet Needs in this step (another “U”), because 99.99% of the time, these unmet needs lie at the core of our pain. In fact, I’m so confident of the fact that ALL our psychological and physical pain stems from Unmet Needs that if you can find a painful event in your consciousness that isn’t connected to an Unmet Need, I’ll give you £100.

So come back to the sentence you wrote, and see if you can find the unmet need from this list of core needs:

  1. The need for CERTAINTY and COMFORT: our need to feel in control and to know what’s coming next so we can feel secure. This is also the need for basic comfort, the need to avoid pain and stress, and also to create pleasure and stimulation (physical, mental) for ourselves.
  2. The need for UNCERTAINTY and VARIETY: paradoxically we also need things to be different at times, for there to be surprises in our life (but maybe not too many, and not painful ones, even if unavoidable!)
  3. The need for SIGNIFICANCE: is my life meaningful to me, and am I meaningful to other people?
  4. The need for LOVE and CONNECTION: am I being appreciated, acknowledged, understood, valued by those people I care about. Am I being heard? Are people making space for my self-expression, hearing me out in a way that feels supportive and kind?
  5. The need for GROWTH and CONTRIBUTION: am I growing, emotionally, spiritually, intellectually? Am I able in some way to contribute to other people’s growth and well-being, or to the world in what I say or do?

Invariably your pain will be connected to an Unmet Need, and you can make a note of that underneath your pain.

PAIN: Gavin said in a text message that doesn’t want to see me at the moment.
UNMET NEED: need to be appreciated, accepted understood by others (LOVE and CONNECTION)

PAIN: My back’s really hurting at the moment
UNMET NEED: the need for certainty and physical comfort

PAIN: I haven’t done any work today, just faffed around
UNMET NEED: the need for SIGNIFICANCE and meaning, also GROWTH and CONTRIBUTION

PAIN: I feel like my life isn’t going anywhere
UNMET NEED: The need for SIGNIFICANCE, GROWTH and CONTRIBUTION

PAIN: Yesterday I ate too many carbs and sugary things and today I’m feeling like a beached whale
UNMET NEED: the need for certainty and physical comfort

If you can’t find the unmet need that is foundational to your pain, ask yourself this question: “What do I need at the moment? What would make me feel better? That is often a way of discovering your Unmet Need.”

When you have found the Unmet Need that is shining a particularly glaring spotlight on your pain, this is also a good time to see if you can find a little self-compassion for your pain-afflicted self. Maybe just calling to mind the notion that because these needs are universal (we all have them), the fact that you are in pain at the moment is invariably because this need is not being met. And that is COMPLETELY understandable and OK. IT’S NOT YOUR FAULT (no matter what your Inner Critic tells you). You might even want to say that to yourself a couple of times: “It’s not my fault for feeling this pain. It’s really not my fault.” I would also be in pain if that need was not being met for me, and so would that person who perhaps triggered your pain, if the pain stems from a relational issue, as many of our painful moments do.

Often when we are in pain, the pain can be accompanied by a strong Inner Critic who tells us that we shouldn’t be feeling this way, that it is our fault, or that there’s something wrong with us for being so uptight about whatever we’re struggling with. Pausing to focus on Unmet Needs can help us to see that our pain is not only natural and normal, but that it is wholly unavoidable and inevitable. If a need is not met, there will invariably be pain of some sort. And if you are a sensitive person, there will probably be EVEN MORE PAIN. This is just a law of our (human) universe rather than some deficiency in you, or some blameworthy lack in the person or thing that triggered your pain. IT’S NOT YOUR FAULT. Really. It isn’t. 

P.A.U.S.E. STEP FOUR: S stands for SUFFERING!

Now here’s the fun part. Ish.

Sit back and watch (mindfully, jotting down on the same piece of paper) the ways in which your Storytelling Brain begins to fill your head and heart with Suffering Thoughts, Suffering Internal Monologues and Conversations; Suffering Images, Suffering Memories, even Suffering Intentions (which is to say: intentions to do something that will probably just cause us more suffering).

PAIN: Gavin said in a text message that doesn’t want to see me at the moment.
UNMET NEED: need to be appreciated, accepted understood by others (LOVE and CONNECTION)
SUFFERING: How could he be so cruel? Doesn’t he realise what this is going to do to me? (SUFFERING THOUGHT); “I can’t believe you’re doing this! After all the times I’ve been there for you! After all the kindness and care, and consideration I’ve shown towards you and your struggles, and you shut down like this when I’m now struggling (SUFFERING INTERNAL MONOLOGUE/CONVO); Him Just Getting On With His Day, Laughing, Having Fun, Not Even Sparing Me A Single Thought (SUFFERING IMAGE); the two of us connecting and getting on (SUFFERING MEMORY); “Well fuck him, I’m going email him and tell him what I think about him. Or maybe I’ll just let him stew – don’t respond, stop engaging with him” (SUFFERING INTENTION).

Here’s another one:

PAIN: My back’s really hurting at the moment
UNMET NEED: the need for CERTAINTY and COMFORT
SUFFERING: Why me? What have I done to deserve this? There are people in their eighties who are relatively free from pain – it’s so unfair (SUFFERING THOUGHT); “You want me to sit with this?!? You want me to sit like a little Buddha and just focus on the sensations in my body?!? YOU SIT WITH IT!” (SUFFERING INTERNAL MONOLOGUE/CONVO WITH THERAPIST/FRIEND/MEDITATION TEACHER); Pain Driving Me To The Point Where I Just Go Crazy and Throw Myself Off Hornsey Lane Bridge (SUFFERING IMAGE); remembering myself pain-free, without a care in the world (SUFFERING MEMORY); If I don’t have some let up from this constant pain, I’m going to throw myself off Hornsey Lane Bridge! (SUFFERING INTENTION).

Once you’ve done this for a while with a particular painful event you will notice that your suffering thoughts, images, internal conversations, and intentions have a somewhat limited repertoire. This is because the intrinsic plots of our storytelling brain are really just a series of variations on a theme. What is important in this step of the P.A.U.S.E. is to intervene in some way with the the Suffering Thought, Internal Conversation, Image, Memory, or Intention, and not just let it continue to loop itself over and over again, going deeper and deeper into the Suffering Story until you are well and truly suffering. Instead: make a simple note of what your brain is doing (“Ah, Suffering Thought…Ah, Suffering Internal Conversation…Ah Suffering Image…Ah, Suffering Memory…Ah, Suffering Intention – thank you brain.”)

And then. Stop.

Of course your brain will probably ignore you and keep on spinning its stories. So you then make another gentle note of how the invitation to suffer is being delivered in the shape of a THOUGHT, an IMAGE/VIDEO, an INTERNAL CONVERSATION or MONOLOGUE, a MEMORY, or INTENTION, and then once again, you say: ENOUGH! STOP!

You don’t need to be harsh or hard on yourself, but just willing to interrupt yourself (your brain) in the way that you are able to interrupt (if you choose) someone who is relentlessly bombarding you with THOUGHTS or IMAGES or INTERNAL CONVERSATIONS, or MEMORIES, or INTENTIONS that are making you suffer. If all of that stuff was being pumped out of your television set and you were getting no joy or pleasure from it, you would switch it off. We can’t switch off our brains, but we can interrupt whatever is being broadcast to us.

You can devise your own way of doing this, or we can talk more about it together. I quite like to use the word “stop” or “enough”. So if you were a fly on the wall, you would hear me talking to my brain like this:

“Ah, suffering Thought! Stop!…………Ah, that’s now a suffering image, enough! …….. Suffering Monologue, stop! Focus on the pain. What’s the Unmet Need? Feel that pain, just that. ………Suffering Monologue. Enough! Ah, now a Memory. Suffering. Enough.”

Sometimes, when my brain is really set on suffering, and I’m doing something which doesn’t require my full attention, so that my brain can focus entirely on the suffering story, I might need to note and say stop/enough again and again and again. The STOP is especially important when our Suffering Minds are trying to get us to carry out some Actions (revenge, rebuttal, rehash). A Suffering Mind is so skilled at finding ways to convince us that writing an angry email or text will really help us to suffer less, that often, before we know it, we end up doing the very thing that will only make us suffer more. In my experience, lashing out and blaming another human being for the ways they have triggered in me pain, only makes me suffer more. Because then I have to deal with either the anxiety of how they will respond, or the unpleasantness of their defensive words, or whatever their Suffering Brain spins the story to try and make it better for themselves.  

Of course your brain might obstinately refuse to stop suffering. And that’s fine too. Because as long as you are aware that you are having a Suffering Thought, a Suffering Image, a Suffering Internal Conversation/Monologue, Memory, or Intention, you are winning. Because you are at that moment making a distinction between Pain which is inevitable/unavoidable, and Suffering which is not. At the moment in which you ask or demand of your brain to stop making you suffer, you are shifting into a place where you are once again in control of your brain, rather than the other way around, even if it continues to pump out Suffering Thoughts, Images, Internal Conversations, Memories and Intentions. Simply doing the P.A.U.S.E again and again and again,  will eventually reduce suffering. I promise.

But you’ll also need to give some time to the final step, which is:

P.A.U.S.E. STEP FIVE: E is for ENGAGING WITH LIFE

Once we have made space for inevitable/unavoidable Pain, but also respectfully told the Suffering Word Machines that we call “our brains/minds” to stop overloading us in a mistaken belief that it can “fix” our pain, it’s time to engage with something out there in the real world that feels meaningful to us. This also sends an important message to our Suffering Minds that there is life beyond Suffering in some shape or form, nudging it to note the tangible differences between outer experience (life) and our inner-world of images, memories, thoughts, beliefs (i.e. LANGUAGE).

What might this engagement with life look like?

1) Getting On With Value-Driven Activities

All this involves is doing something that is meaningful and has value to you, whilst at the same time being willing to have your Brain/Mind playing the Suffering Channel in the background. So for example, you might go for a walk with our Suffering Mind, or write an article for our website with your Suffering Mind droning on in the background, or do some Yoga with Adriene with your Suffering Minds occasionally interrupting Adriene’s instructions for Side-Reclining Leg Lift with suffering thoughts, images, and internal monologues.

2) Getting On With Healthy(ish) Distractions

Similar to the above but perhaps involving more Netflix binges, Amazon Wish-List making, and tidying or cleaning. Loads more examples here: https://wiredforhappy.com/100-smart-ways-to-calm-your-anxious-mind/

3) Go Back, with Open Arms, To Your Pain:

Perhaps you’ve done all of these things, and still the pain of your Unmet Need is hurting you a great deal. Returning to that hurt, with self-validation and understanding (“Anyone would be feeling this pain if the core need for X wasn’t met! It’s not my fault!”) and going right back to the P of the P.A.U.S.E is a great, and sometimes necessary thing to do.

Maybe you haven’t given your heart and your head enough time to fully take in just how painful this upset is. So don’t see it as a failure if you maybe need to do the whole P.A.U.S.E. process a number of times, perhaps even with the same material. Eventually, the pain will become more manageable, and the suffering will reduce. I promise this will happen. But it does require consistency and working that P.A.U.S.E.

Looking forward to hearing how you get on with it.

Categories
Acceptance Acceptance and Commitment Therapy Check The Facts DBT Defusion Living A Valued Life Worry

AHA! THREE STEPS FOR HANDLING CHRONIC WORRY

Anxiety is such a nebulous word, but worry is tangible. Take Louis*. Louis is 28 years old and in charge of a small team of people in the NHS. One of Louis’s team, let’s call him Phil, is slacking off at work. He consistently arrives late and does as little as possible. This is complicated by the fact that Phil’s previous line manager, Geoff, was also Phil’s friend, and so would turn a blind eye to Phil slacking off. Louis, the new line manager, needs to step in and have a meeting with Phil next week, setting out what’s expected of him in his role, and also warning Phil that if he isn’t able to fulfil these duties, there might be consequences. Simples, right?

Well of course not. Not for Louis, and not for many of us dealing with whatever random events life throws our way. Which is why Louis is worried. He’s so worried that even though the meeting is a week away, Louis is intensely anxious about the situation every time he thinks about it. He knows from past experience that he’s not going to be able to enjoy his weekend much, if at all, because all that empty time will give him hundreds of opportunities to rehearse the worries, over and over again. He says this is something he’d like to work on in our session, so I introduce him to Check The Facts, a DBT, emotion-regulation process or “dialogue” to see if this might in any way help him with his worries.

Check The Facts involves focusing on cognitive biases and distortions, looking at ways in which we might be finding a problem or a threat when one isn’t necessarily there. As David Carbonell puts it in his book The Worry Trick: the problem with worry that is we experience doubt (“I don’t know what the outcome of [something] is going to be…”) as dangerous.

Think of something that is worrying you at the moment, and ask yourself this question: Is this a problem existing in the external world right now? If so, can I do something to change it? Most likely a sticky, chronic worry will get a “no” on both counts, or a “yes” to the first, and a “no” to the second.

What a lot of therapy does, not just standard CBT or DBT, is interrogate and cross examine these worries in a bid to dissolve some of the skanky jeopardy coating each thought [here’s a short tapescript of me doing this with Louis].

More often than not, after an hour of working away at a crippling worry (and this is certainly the case with Louis) client and therapist might both be a little depleted by the fact that not much has occurred in terms of weakening the vice-like grip of the Worry. This is not however how things are protrayed in CBT or DBT manuals, where all therapist dialogues with their patients end with an implicit, but often explicit, self-congratulatory “victory” over Worry, and a big hearty slap on the back for the therapist, who has clearly shone with his skills and perceptiveness, shone in a way that you might recognise if you’ve ever read a page of Greek philosophy. Which is to say, shone like Socrates. Specifically, Socrates as Columbo whose most irritating technique if you remember was to leave a room and then return, with a befuddled look on his face, scratching his head, and saying “Just one more thing…”, then following this up with a seemingly innocuous question. The guilty person, aka The Worrier, by then eager to see the last of this schmuck, would quickly answer, and later find out that the question was not so innocent after all, when Columbo returned to say “You’re under arrest.” Crime solved, another win for Law and Order.

Check The Facts is a little bit like having your own Socrates on a piece of paper. It asks you a series of questions, and as you work through the questions, their reformulating power is designed to break down your worries, or at least reduce the extent of this worried feeling until it is at a level that sinks into the background rather that stalks your head like a heartless psychopath.

But this, and standard CBT, often don’t work. And the reason they don’t work is that these therapies target the cortex area in the brain, or System 2 as Daniel Kahneman calls it in Thinking Fast and Slow, rather than System 1, the Amygdala whose role is to attach emotional significance to situations or objects and to form emotional memories, both positive and negative.

THE PROBLEM WITH THE AMYGDALA

The problem with the amgydala is that unlike the cortex, all of its work is largely unconscious, attaching anxiety (negative emotional valence) to situtations the way the liver aids digestion, or the pituitary gland regulates our hormones. And it happens so quickly. Like a hyper-vigilant set of all-seeing, all-hearing, all-sensing cameras, as soon as the amygdala picks through its lateral nucleus and thalamus on something that may indicate a certain level of danger or harm (and remember, doubt, which is to say anything ambivalent, ambiguous, unsettled, which are most things, signals to a mind predisposed to anxiety DANGER). Then, in less than a tenth of a second, much quicker than the danger signal takes to reach the more measured, “thinky” parts of the brain, the amygdala is already signalling to the sympathetic nervous system (SNS) and hypothalamus to provide a surge of adrenaline, increase blood pressure and heart rate, create muscle tension, and get us ready to self-protectively fight, flee, freeze, or worry.

When we’re experiencing this very primal fight, flight, or freeze response, the amygdala is in the driver’s seat and we’re passenger. That’s why, in emergency situations, we often feel as though we’re observing ourselves responding rather than consciously controlling our response. The reason why we don’t feel in control in these moments, or in control of our anxiety is because, as Joseph LeDoux explains: the amygdala isn’t just faster—it also has the neurological capability to override other, slower (System 2) brain processes. For this reason, strategies for coping with amygdala-based anxiety are essential, even though cortex-focused approaches are more commonly offered in treatment.

Perhaps one of the reasons for focusing on cortex-focused, thinky-talky, approaches is that a) they make sense to the part of the brain that deals in making sense of things (the cortex), but also because b) working with the amygdala often involves some form of exposure therapy.

If you want the amygdala to change its response to an object (for example, a mouse) or a situation (such as a noisy crowd), the amygdala needs experience with the object or situation for new learning to occur. Experience is most effective when the person interacts directly with the object or situation, although observing another person has also been shown to affect the amygdala. You can reason with the amygdala for hours, but if you’re trying to change amygdala-based anxiety, that tactic won’t be as effective as a few minutes of direct experience will be.

Unfortunately, we all typically try to avoid such experiences, and this avoidance prevents the amygdala from forming new connections. Returning to the example of the mouse, you may even try to avoid thinking about mice, because just the thought of a mouse can cause the amygdala to react, initiating an anxiety response. The amygdala tends to preserve learned emotional reactions by avoiding any exposure to the trigger, which decreases the likelihood of changing that emotional circuitry. Being the ultimate survivalist, the amygdala is purposely cautious, and its default setting is to organize responses that decrease your exposure to triggers. But again, amygdala-based anxiety responses won’t change if the amygdala is successful in avoiding triggers.

Often the amygdala in these narratives is presented as the flibbertigibbet in contrast with the Cool, Calm and Collected 007-like Cerebral Cortex with its highly impressive Executive Functioning, a skill no other animal on this planet possesses. But as Catherine Pittman explains because the frontal lobes of the cerebral cortex are so good at helping us to anticipate the results of situations, plan our actions, as well as initiate responses, and use feedback from the world to stop or change our behaviours, “these impressive capacities also lay the groundwork for anxiety to develop”.

So what can we do?

AHA! THREE STEPS FOR HANDLING CHRONIC WORRY

Here’s your proverbial AHA! moment in dealing with worry. This is an acronym you can use to help you remember a couple of steps to take when you’re being bothered by worrisome thoughts.

  • Acknowledge and accept.
  • Humour the worrisome thoughts, as you would humour an annoying sexist, racist, homophobic Uncle who sat down next to you at a wedding.
  • Activity—resume doing value-driven activities, activities that are important to you in your “external world” (and take the worries with you if necessary).

Here’s a detailed explanation for each step of AHA!

1) ACKNOWLEDGE AND ACCEPT

What’s to acknowledge here? That you’re having a worrisome thought, once again! It might be annoying to find it back in your head. You might want to refuse to acknowledge its appearance because it seems so unreasonable that, once again, this thought is occurring to you. It offers nothing of value, and you’ve dismissed it so many times before, yet here it is again, serving no useful purpose, bothering you like a spam e-mail that shows up in your mailbox every hour. Or maybe, even though you’ve had lots of experiences with these worrisome thoughts and have never been harmed by them, you still respond with fear because you wonder, What if this is the time that something happens? and you get tricked by that thought into taking the content seriously. You wish you could be perfectly sure that the thought is false, for all time, but of course you can’t have that certainty.

So, okay—you can simply acknowledge that you’re having another occurrence of a worrisome thought. Maybe you recognized it by the “what if” introduction, or maybe you didn’t catch on until you considered the content it was offering you, but okay. You have a brain, so you have thoughts. No need to try to ignore it, or pretend it’s not there. There’s nothing wrong with ignoring it, really—but if the effort you make to ignore the thought keeps bringing it back to your attention, then trying to ignore the thought isn’t helping. Here you are, having another one of the many, many thoughts you will have today, and this one happens to be a loser.

Whom do you acknowledge it to? Usually just yourself. This is an internal process in which you briefly notice the presence of the worrisome thoughts, acknowledge them without resistance or suppression, and move on to the next thing. 

What’s to accept? The fact that you’re having a thought you don’t like! You may or may not agree with the content of the thought. You may find it reasonable or you might find it repulsive. It doesn’t really matter! You don’t get to pick and choose which thoughts you’ll have and which thoughts you won’t have—nobody does! There’s no need to try to contradict the thought, to disprove it, to make it go away, or to reassure yourself. There probably won’t be any benefit if you do.

No one expects you to control your thoughts. You’re accountable for your actions, and you’ll be judged by your actions. Not by thoughts! You can have a worrisome thought, same as you can have an angry thought, a jealous thought, a sexy thought, a wacky thought, a kind thought, an unkind thought, a shameful thought, a compassionate thought, a murderous thought, or whatever. To say that worries are a dime a dozen would be to greatly exaggerate their value.

So, okay—you can allow yourself to have whatever thoughts happen to come to mind, same as you’ll allow yourself to have whatever noises your stomach might make, same as you’ll allow yourself to have whatever reactions you might have to an unpleasant odor. If someone else hears your stomach grumble and you feel embarrassed, you can go ahead and say “excuse me” if you wish. No one can hear your thought, so there’s no occasion for apology; you don’t control your thoughts, so there’s no need for judgment. Here you are, having a thought that you wouldn’t choose to have, if you could make the choice. Which you can’t.

Recently a client, who tends to be a little perfectionistic and demanding of herself, asked me, “But what can I say to myself when I notice I’m having one of these thoughts again?” I suggested, “Oh well.” She had thought something more complicated, more powerful and cleansing would be necessary. Nope! This is not, as the saying goes, rocket science. You don’t control your thoughts, nor do your thoughts control you. When it comes to automatic thoughts like these, you’re more like the reader of a book than you are like the author, so no need to engage in a prideful struggle to control your thoughts. You don’t get to pick the thoughts you have or exclude the thoughts you think should be excluded. Oh well! When I get to design the world, there’ll be some changes made!

This first step—acknowledge and accept—is probably the most important and powerful of the three. I describe it as simply as possible, but that doesn’t mean it’s easy. Some people may be able to simply acknowledge and accept the unwanted thoughts and move on to the activity step without the use of any other techniques or responses. That’s great! If that works for you, just move on without spending any time on this step.

That tends to be the exception, though. Most people find that the thoughts are a little “stickier” than that, that they can’t move on so quickly because they find that they’re still arguing with their Crazy-Uncle-At-A-Wedding Arguments, still wishing the thought would cease and desist. Cultivating an accepting attitude toward thoughts you detest and fear is usually a long, gradual process, a task we work on all our lives rather than a specific goal we attain quickly and completely. It’s something that you practice and acquire over time, not something that you simply “do.”

It reminds me of the slogan on the box of the Othello board game. Othello is a deceptively simple game with pieces like checkers, with a black side and a white side. You win by outflanking your opponent’s pieces and flipping them over to your color. Sounds simple, but the game is actually quite complex, and the slogan is “a minute to learn, a lifetime to master.”

If you became dehydrated, perhaps because you played too much tennis on a hot, sunny day without adequate liquids, you could drink more water and solve the problem. If you were severely dehydrated, you might require intravenous fluids. That’s all it would take—resupply your fluids and the problem is fixed.

Training yourself to handle your worrisome thoughts differently is not like the problem of resupplying your water. It’s more like the process of exercising to get yourself back into shape, or of dieting and losing weight. You will need to learn, practice, and continually follow some steps in order to improve and get the results you seek.

What’s most important about dieting is acquiring, and following, the habit of eating a healthy menu each day and getting regular exercise. That’s more important than whatever you happen to weigh today, because if you continue with your good habits, your weight and physical condition will generally fall into line. In the same way, what’s most important here is acquiring a regular habit of how you respond to worrisome thoughts, not how many worrisome thoughts you have today. What’s really important is moving in the right direction. It’s much less important how fast you go, or how gracefully.

In order to figure out some good ways to respond to a worry, first clarify the kind of situation you confront now. 

  • Is there a problem that exists now in the external world around you?
  • If there is, can you do something to change it now?

If you get anything other than two “yes” answers—two “no” answers, one “no” and one “yes,” maybes, or whatever—then you don’t have a problem in your external world that you can solve right now. You have the problem of worrying. You’re being “baited” by your Crazy-Uncle-At-A-Wedding Argument.

When this happens, keep two points in mind. It might help to put these on your electronic device or a 3 by 5 card until you get in the habit of remembering.

  • What you have is the emotion of feeling nervous.
  • It’s okay to feel nervous. You probably really, really dislike the emotion, but it’s like the experience of sitting in an uncomfortably warm room, not like camping in a forest fire. It’s discomfort, not danger. You might be sitting in an uncomfortably warm room and reading about a forest fire, or watching a movie about a forest fire, but it’s still just discomfort, no matter how realistic the film is or how vivid the description.

The problem you face is not the problem described in the catastrophe clause of your worry. The problem you face is the discomfort you experience in response to the worrisome thought, and your natural inclination to take that thought seriously and resist it. When you resist the thought with your usual selection of anti-worry responses, this is when you once again experience the difficulty of The harder I try, the worse it gets.

That’s the first step, acknowledge and accept. If you find that you frequently take the bait and get caught up in arguing with your Crazy-Uncle-At-A-Wedding Arguments, then this second step will be probably be helpful.

2) HUMOUR THE WORRISOME THOUGHT

Having acknowledged the temporary presence of the thought, and accepted its presence as best you can, you might now find it helpful to respond to the worrisome thought in a playful, counterintuitive style.

So do something very different. Employ the Rule of Opposites. Here are some ways you can respond, in a playful or silly manner, to the problem of getting “hooked” by Uncle Argument’s efforts to get you embroiled.

Sing a worry song. You can make a song of your worry. Pick a catchy tune that’s easy to sing to, and create your own worrisome lyrics about the disasters that are waiting for you around every corner.

Here, for instance, is the first verse of a song Louis came up with for his worries It’s sung to the tune of “Camptown Races”:

This guy’s gonna be a pain (Doo dah, doo dah)
He’s gonna argue a lot with me (Doo dah, doo dah day)
I’m really scared that he’ll complain (Doo dah, doo dah)
Worried that I might get fired (Doo dah, doo dah day)

ALSO TRY: Worrying in your second language. Are you bilingual? Even if you just have just a GCSE or O-Level in a second language, that might be enough to enable you to do your worrying in your second language.

ALSO TRY: Worrying in a fake foreign accent. Yes, it’s silly, but why not? Silly can help you keep a good perspective on the worry. No need to give the worry content more respect than it deserves.

DO YOU WORRY ABOUT PLAYING WITH WORRIES?

These suggestions are probably very different from what you’ve been trying. They involve accepting and playing with your worrisome thoughts rather than resisting and taking them seriously.

What reactions do you have to the idea of humouring your chronic worry?

People are often nervous at first about humouring their worrisome thoughts. It seems risky to them, like they’re tempting fate. They may have certain beliefs about worry that suggest the worry needs to be treated very seriously, and carefully, as if chronic worry were itself dangerous. 

If you prefer to treat these worries more formally, you can use the Worry Journal that’s available by clicking on this link. It’s simply a questionnaire you can use while you are caught up in the worries. Take a little time to observe your worries, and answer the questions listed in the Journal. This will train you to be a better observer of your worrisome thoughts and will help you detach from arguing and resisting. If a bull simply observed with interest the antics of the bullfighter with the red cape, there wouldn’t be any gory bullfights!

The Worry Journal can be quite helpful. However, I encourage you to experiment with the more humorous, playful responses as well, because I think they will bring you greater rewards over the long run.

When are you done with this second step? Don’t keep repeatedly humouring the worry, again and again, waiting for it to go away. That’s too much like arguing with Uncle Argument! Instead, take a humouring stance with the thoughts and then move on to the third step, allowing them to follow you as you get back into the external world, if that’s what they do.

3) ACTIVITY – RESUME DOING THINGS THAT ARE IMPORTANT AND VALUABLE TO YOU (AND TAKE THE WORRIES WITH YOU IF NECESSARY) 

If you’ve ever had an eye exam, you’re probably familiar with the part where the doctor switches through pairs of lenses, asking you “Better here…or better here?” while you try to decide which lens gives you better vision.

You face a similar choice when you’re caught up in worry. The choice is this: “Better here (in your internal world of worry)…or better here (in your external world)?”

It’s generally much more helpful to get involved in the external world. It’s better to engage in activities that are usually important or fun for you, while you’re worried and uncomfortable, than it is to spend much time in your head, trying to get rid of the thoughts. The reason external involvement is a better choice is not because you will feel better right away; you might not. But it will lead to a better outcome and a better pattern for the future.

This is not the same as trying to make yourself so busy that you stop worrying. That’s just another version of “stop thinking that” and just as unhelpful in the long run.

TAKE YOUR WORRIES FOR A WALK

If you have dogs, you generally need to take those dogs for a walk, unless you have room to let them run. There will be times when you don’t feel like it—when it’s cold and snowy outside, when you’re too busy writing a book, or when you have a headache, and you just don’t feel like doing it. But if you don’t let those dogs poop and pee outdoors, pretty soon they’ll do it indoors. That won’t do much for your headache or your book! And then when you take those dogs for a walk, they don’t always do what you want. Sometimes they race ahead, trying to pull you along. Sometimes they lag behind, and you have to make them follow. Sometimes they try to eat stuff they shouldn’t, or bark at your neighbours.

Those dogs are a lot like your worrisome thoughts. Sometimes they demand attention when you really don’t feel like giving it, and sometimes they just don’t do things the way you wish they would. But life is better with the walks than without them!

You’ve probably noticed that you tend to worry less when you’re busy and more when you’re idle. Episodes of chronic worry often fade faster when you’re active. So it will be useful to return your attention and energy back to involvement with the external world around you. By this, I don’t mean to simply make yourself busy. That’s too much like trying to get rid of the thoughts. Not that there’s anything terribly wrong with that, getting rid of the thoughts, if it can be done simply and effectively. It’s just that trying directly to get rid of the thoughts usually makes them more persistent and plentiful.

So it is with worries. It might seem like there would be a better time to go to a dinner party, but life is a come-as-you-are party, and if you’re worried the night of the party, then pack up your worries and bring them with you. Would you be happier without the worries? Yes, but that choice isn’t immediately available. Would you be better off lying in bed, alone with your worries? Probably not!

Go on about your business—the worries may leave sooner that way. If they don’t, at least you’re participating in life while you wait for them to pass.

People often object to the idea of getting involved with a project of any kind, on the grounds that they will be able to do a better job when they’re not worried so much. Similarly, they often want to isolate themselves from others, out of a concern that others will notice their distress and be bothered by it.

Both are instances of how our gut instincts of how to handle worry tend to be the opposite of what would actually be helpful. Both suggest that we need, first, to get rid of the worrisome thoughts we’re experiencing, and then, afterwards, to get involved with activities outside our skin.

It’s more often the other way around. Your involvement with your external world will tend to direct your energy and attention there—and leave less of it “in your head.” Moreover, when you interact with the external world, you get more involved with realistic rules of thumb. When you’re in your head, by contrast, you can imagine anything. This is why anticipatory worry is almost always worse than anything that actually happens in real life—there are no rules in your head, anything seems possible! In the external world, the rules of reality apply.

[*All names and some significant details of the above piece have been changed in order to safeguard the anonymity of those involved.]