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Challenging Worry


12 years ago 0 1022 logo logo logo logo logo logo logo logo logo logo 0

Thank you so much for your kind thoughts and support!  As for the wedding... There were so many potential triggers (or should I say old triggers?)... travel, being with lots of people, staying in a hotel, boarding the pets, eating in public, having my picture taken, etc. etc. etc.  Such a long list of fears!  

The weekend went beautifully.  No worries... no upset... in fact, my dh was pretty nervous about everything and I was so calm and relaxed, friendly, smiling the whole time.  Naturally so... not forced!  I actually enjoyed the whole thing.  It was so smoothly done that I did not even have to think about strategy and backup plans or escape routes.  I just did it.  My older daughter was amazed 

This week (post-wedding) has been more of a challenge.  Have settled into a mild depression.   Before I would have panicked about that and taken myself deeper into it out of fear & self-loathing.  But this time, I'm telling myself this is a normal reaction to a lot of changes.  Kind of laying low and trying to just go with the flow... no judgments or panic.  We shall see.  

I did practice embracing uncertainty over the weekend... so many of the plans and activities were beyond my control or even knowledge.  Embracing the uncertainty really worked during those times.... just let it go ... when asked what was happening next... I delightfully answered..."I don't know!" ... and I was totally ok with that. 

Thank you Purple Blues for helping me find a new perspective.  Another great tool for my toolbox! Love it! :o)


12 years ago 0 1853 logo logo logo logo logo logo logo logo logo logo 0
Hi Purple Blues,
 
Thank you for such strong words of comfort.  I appreciate, as I know many members will, your approach to difficult and uncertain situations.  Knowing that there is always something to be grateful for despite challenging times beyond our control.  You bring a fresh, inspiring outlook on life that so many can draw on.
Thank you!

~m, How have you been?  I'm also looking forward to hearing about your daughter's wedding!
Vincenza, Health Educator
12 years ago 0 4 logo logo logo logo logo logo logo logo logo logo 0
Dear ~m:
 
I wish there were a way to communicate with you privately, but unless I'm missing something in navigating this site, that's not possible.
 
I just wanted to check in with you to see how things went with your daughter's wedding. I certainly empathize with the concerns and feelings you expressed ahead of the event. Please know that you have my moral support and best wishes for all that you are going through.
 
Let me also clarify what I was saying works for me (sometimes, by no means all the time). It's embracing uncertainty, which is somewhat different from embracing worry. Example: I say to myself stuff like, "I don't know whether my financial crisis will cause me to lose my home. Let me assume the worst. What if I lose my home? I think my friend K. would let me stay with him for a little while. Same with my sister. Worst case, I'd have to use my retirement savings to find a temporary place. Meanwhile, I know there are shelters for people in dire straits. Hm. I need to find out how I can gain access to those." So I look into it and come to learn that no matter how bad things get, life is hell only if I let it be. What I'm dealing with is difficult, but I can survive, and if I do, I'll emerge from it a better, stronger person with a richer soul even if not a richer bank account.
 
When I worry, I don't embrace it, but I don't fight it either. Instead, I try to say, "What's making me worry? Well, I'm worried about losing my home. But I've already thought this through. If I lose my home, I'll survive and emerge with a richer soul for the experience. I just need to take all this one day at a time." Does that make sense?
 
I hope this message finds you well ~m.
 
All my best,
Purple Blues
12 years ago 0 1022 logo logo logo logo logo logo logo logo logo logo 0
Thank you for your thoughtful response Purple Blues... very thought provoking.  I'm ready to try anything that offers the possibility of a softer, gentler way.  I am so very tired of battling myself.  Really tired.  I can see what you mean about embracing worry... but what about depression?  Are you saying we should embrace that?  What about fear? And what about negative and positive thoughts... embrace them all?  How does that work?  What does that look like and how do you get there? I'm kind of leery of those sharp edges.

I'm heading out of town for our youngest daughters' wedding this weekend and anticipate having plenty of opportunities both negative and positive to practice my CBT skills and will give embracing worry a try... telling it to get lost isn't working so well at the moment. 

BTW, welcome again to the forums.  I do love a good exchange of ideas.  Thank you...
12 years ago 0 4 logo logo logo logo logo logo logo logo logo logo 0
Hi ~m:
You are far too modest. Just for starters, you are much better at gentle disagreement than I am. I'm glad that we both embrace a warm, mutually respectful exchange of ideas.
I did not read Samantha's post as differently from you as my initial post might've made it seem. I recognize that Samantha did not intend to blame or stigmatize and that she provides useful coping tools. But inherently stigmatizing jargon is even more deeply damaging when it is unconscious, and more harmful still when mental health professionals use it in well-intentioned efforts to help us.
Is "fighting intolerance of uncertainty" really the best approach? Why not "embrace uncertainty"? The difference is not merely semantic. "Intolerance" is almost always a slur, and to me the word implies an insult whether intended or not. Moreover, "challenge your intolerance of uncertainty" (Samantha's phrase) needlessly asks us to battle ourselves (with a "double-edged sword" no less) and needlessly saddles us with another problem ("intolerance"), even if it isn't taken as an insult. Why not instead point out that the issue (uncertainty) is outside of us and we can learn to embrace it? That solves the problem directly without "intolerance," which some and maybe most of us do not suffer from and dare I say need not embrace?
I respect that you find "challenging worry" helpful for you ~m. Certainly we each need to run with what works for us. I'm not challenging what works for you. For me it helps to "embrace uncertainty" instead of waging a battle against worry. Or as the Buddhists say, "lean into the sharp points"--without falling on any double-edged swords. (That last part is just me, not the Buddhists.)
~m, again, thank you for responding to my post. It really meant a lot to me to hear from someone, especially someone as prolific, articulate and thoughtful as you.
All my best,
Purple Blues
12 years ago 0 1022 logo logo logo logo logo logo logo logo logo logo 0
Hi Purple Blues... what a lovely name to use.  Nice one for a depression site :o)  What an interesting take you have on Samantha's post.  You sure disagree in the gentlest manner I've ever seen.  I could learn a lot from you and hope you will post often now that you have broken that barrier.

As for Samantha's post... I read it as a suggestion of what to do when I cannot tolerate internal uncertainty... not that we don't tolerate it well in others (although sometimes that's a challenge too).  I agree that those of us who live with any sort of disability (mental or physical) are, as a result, often very giving and insightful.  But I do experience anxiety and depression as a result of internal uncertainty.... mostly emotional.  I've re-read the post and still don't see a message of blame or stigmatization.  Just a challenge to awareness of our thinking processes.  So interesting, what differing perspectives can bring out of the same information.  

I must say, challenging worry as Samantha describes has been a helpful strategy for me.  You sound so intelligent and insightful...  I'm interested in hearing more of your take on the program.  What do you find helpful?  Any lessons with which you have trouble? (At first, I had trouble with all of them!)

12 years ago 0 4 logo logo logo logo logo logo logo logo logo logo 0
Dear Samantha:
 
Thank you very much for your compassionate sharing of your knowledge about CBT techniques that can help people cope with worry.
 
Would it be OK if ask whether some of the ideas in your post might unconsciously stigmatize and "blame" persons coping with depression and anxiety in ways that might sometimes unintentionally make the situation even more difficult for us? Your post characterizes people with anxiety as having "intolerance of uncertainty" and "see[ing] only the threat and no [sic] the opportunity." This description attributes to people struggling with depression and anxiety traits associated with poor character and ignorance. In my experience, society widely makes such associations, but they are not accurate. On the contrary, I find that others like me struggling with unwanted physiological symptoms of depression and anxiety are generally more (not less) tolerant and accepting of a wide range of uncertainties and differences, for example, regarding others with whom we interact. Moreover, our disabilities enable us to see opportunities, for example, to help others that most others do not see.
 
In short, though depressed people face challenges that others do not, we are not people of lower moral character or ethical standards. I realize that your post probably did not intend to imply that, and I am grateful to you for the helpful advice that you provide.
 
Sincerely yours,
Purple Blues
12 years ago 0 2606 logo logo logo logo logo logo logo logo logo logo 0


Members,

There are a number of CBT techniques that are commonly used to help people challenge worry including: thought records, thought stopping, worry time, challenging the value of worry, problem solving, experiments to increase intolerance of uncertainty and cognitive exposure. Let’s take a look at them one at a time:

Experiments to build tolerance of uncertainty: Uncertainty tends to increase our anxiety and anxiety tends to reduce our tolerance for uncertainty. People who worry a lot tend to be more anxious and less tolerant of uncertainty compared to people who do not worry. One way to think about this is that change and uncertainty is always a double-edged sword. In times of uncertainty there is always risk (threat) as well as opportunity (challenge). When faced with uncertainty, most people who worry a little can see both the risk (threat) in the situation as well as the opportunity (challenge). Unfortunately, people who worry see only the threat and no the opportunity. One way to challenge your intolerance of uncertainty is to always ask yourself “What is the risk or threat here?” but don’t forget to ask “What is the opportunity?”
Another way to challenge worry (the “What if…?”) is to try to increase your tolerance for uncertainty. This can be done either by conducting experiments to see what happens or using the exposure techniques that are described in the Panic Program. The first step is to figure out what behaviors you do to reduce your worry. For example, many people who worry need to do things the same way all of the time, do a lot of checking, or need to constantly ask for reassurance from family friends and doctors. One way to think about these behaviors is that when you do them, they reduce your anxiety for a little while but only until you have the same worry again. The trick is to challenge the behavior, experience the uncertainty and an increase in anxiety and then not do the same thing, or check or ask for reassurance and see what happens. You can get more information about how to do this kind of exposure in a gradual step-by-step way by using the Panic Program. (www.paniccenter.net)
Does this strategy work for you?

Samantha, Health Educator


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