Perception

Psychological flexibility: What is it and how does it help us?

Like many of you, I have spent much of the last month watching Olympians contort their bodies into some pretty stunning shapes. Seeing such incredible physical limberness on display has also got me thinking about one concept in particular: “psychological flexibility.” Whereas an Olympic gymnast’s flexibility is measured by looking at how their body bends during a floor or vault event, psychological flexibility is “scored” in terms of how far we are able to “stretch” our thoughts and actions during everyday life events. 

Let’s say that during any social event you attend, your mind automatically convinces you that others are going to negatively judge you, no matter what you say or do. Unfortunately, because your mind is unwilling to “bend” towards multiple possibilities (e.g., that others may also judge you positively), it would not receive very high flexibility scores. And instead of winning you a gold medal, this rigid mindset only offers you added worry, anxiety, and apprehension.

The good news is, just like our physical flexibility can be enhanced by routinely stretching our limbs, there are a couple different “exercise” approaches we can use to improve our psychological flexibility as well. While the cognitive approach involves switching up our thinking strategies or shifting our belief systems, the behavioral approach involves switching up our actions or shifting the way we conduct ourselves in a given situation.

For example, let’s say our manager at work provides us with constructive (albeit negative) feedback. Rather than rigidly assume that this feedback means they hate us and are going to fire us, the psychologically flexible method of response would be to fully flesh out the facts and adjust our beliefs to better reflect them. Here, the facts indicate that while yes, we have indeed made an upsetting error at work, we are not being let go. Instead, our manager has actually given us the opportunity to correct our mistakes and learn from this incident. 

Having “stretched” our thoughts in this way, we can then decide what actions are best for us to take. While rigidly assuming that our job is doomed might rigidly cause us to react defensively (e.g., telling our manager “you can’t fire me, I quit”), adopting a more flexible mindset will lead us to develop a more flexible action plan. Perhaps instead of impulsively quitting or arguing back to our manager, we decide to hear their suggestions, apologize for our oversights, and heed their advice in order to prevent this error from happening again in the future.

Behavioral flexibility in this case may also involve “manually” bringing down the physical activation and tension that come with the anxiety we often feel in moments of conflict like this. For example, we could momentarily distract ourselves from this distressing situation by engaging our five senses (e.g., intensely focusing on the sounds, smells, or visual details of our surroundings). Or, we do some square breathing exercises to bring our heart rate down. We could also methodically relax the tense muscles in our body one by one. Regardless of which option we select, all of these actions listed will help reduce the physical symptoms of anxiety and ultimately allow us to manage the situation more adaptively.

Engaging flexibly with our own beliefs, bodies, and behaviors will help us more effectively tackle the challenges that we inevitably encounter in life. When we are better able to change things up and strategically adapt to the demands of the situation, we drastically increase the odds that our own “gold medal” goals will be achieved. 

If you or someone you know would like to become more psychologically flexible and adaptive, our team of CTW clinicians are here to help you get started. Reach out and speak with us today!

Wanna Be Your Own Boss? Consider This Before You Take the Leap!

Here at CTWPS, we work with many entrepreneurs and small business owners. It is often an inspired and exciting focus for clients. Owning your own business has many advantages - the capacity to define your work hours and focus, increased flexibility, less caretaking of an external organization or manager, and the potential for increased profit, to name just a few. 

The downsides can also include financial unpredictability, a sense of hyper-responsibility, anxiety around the ebb and flow of business, and the labor included in the “work around work”.

What is the work around work?

I define the “work around work” as all of the labor that goes into maintaining a business that is not necessarily the focus of or product of the business itself.  It includes everything from bookkeeping, networking, billing, marketing, hiring, managing, and firing staff, to all levels of administrative support and decision-making for the business. In my experience working with clients in small business/entrepreneurship, the work around work is the first thing that slips, as people typically prefer to focus on the main product of their business.

But when the work around work slips, it is likely to be the first thing to increase anxiety for the small business owner/entrepreneur. Why?  Because when the infrastructure that supports the business becomes wonky, it eventually manifests in an interruption of business. 

I typically recommend that clients spend at least 4 hours a week on the “work around work” to avoid disruptions in their business. Whether we work for ourselves, or an external organization, I think it’s important to acknowledge all of the aspects of labor in which we engage. Then we can make an educated risk assessment about whether we are suited to remaining an employee, or are set up for success to venture into our own business. 

We love to work with work!

  If you or someone you know is struggling in their work,

Reach out, learn more, let us help!

Context Is Everything

Many of us are traveling more since COVID.  I recently returned from a trip to Japan to visit my in-laws.  While the trip was nourishing and long overdue, I noticed a significant dip in my mood upon my return.

I gave myself recovery days prior to returning to work, but nevertheless I struggled with upside-down jetlag this week which definitely impacted my sleep, appetite, energy, and mood.  Thankfully, I have experienced this frequently before, and so simplified my week in preparation.

This reminded me of the importance of  context when interpreting our moods. 

There are so many external and internal influences on our moods - travel, illness, hormones, work ramp ups, family demands, nutrition (the list is endless).  But it’s a core skill to assess whether these influences are likely temporary and/or changeable.   For me, I understood that the source of my low mood was  jetlag, and so I was not concerned as I understood jetlag to be a temporary biological phenomenon. This helped me cope; I simplified my week, ate nutritiously, lowered socializing, and was patient with the transition back to my normal circadian rhythm.

The ability to have some meta-awareness about our moods is critical in mood management.  When we notice our lowered mood, we can check the context for our mood shift by asking ourselves a few questions:  1)  Is there something external or internal that is known and influencing my mood?  2) Has anything changed biologically for me this week? 3)  Can I expect this to be temporary?  3) What can I do to anchor or soothe myself today?  4)  Am I willing to ask for support from my friends/family/coworkers?

Here at CTWPS, we are always trying to help our clients expand their self-care repertoire.  Getting curious about the context of our moods is key.

What Do YOU Think About It All?

One of my favorite holidays is New Year’s Day.  It’s a contemplative, peaceful  day for me, and I typically spend time reviewing the past year, and setting my intentions for the new year.  This year I’ve been thinking a lot about the quote “Other people’s thoughts are not your business”, ascribed to everyone from the Buddha to Marcus Aurelius to Lisa Nichols, Regina Brett, and Steve Harvey to name just a few!   

Regardless of the original source, there is wisdom in this concept. From a cognitive-behavioral perspective, one of the reasons it holds up is because other people don’t have “all of the data” included in your life and decisions, so how can they accurately judge your situation at any given moment? And with the hundreds of people we encounter in the world each year, there are just too many people we encounter to give each of them that kind of influence. We simply can’t afford our perspective to be pulled in every direction possible by someone else’s thoughts or perspective.

And I don't know about you, but the opposite is also true: I wouldn't want all of MY thoughts to be made other people's business arbitrarily!   

People pleasing is one of the ways we make other people's thoughts our business.  At its  core, people pleasing simply means “I let go of my center, needs, and  perspective in service of what I assume are your needs and perspective”. The motivations for people pleasing can range from hoping other people will like us or take care of us more if we please them, to misperceiving people pleasing as a form of true caretaking.   But regardless of the motivation, excessive people pleasing ultimately becomes an impossible task because frankly, there are simply too many people to please them all.  And most importantly, people pleasing pulls us off of focus because we are no longer paying attention to our own perspective, needs, and values. In this way, people pleasing disrupts intimacy as it prevents others from actually knowing us.

One of my intentions for 2024 is to not expend ANY energy on mind reading or adjusting to people’s unexpressed thoughts, concerns, or opinions.  That doesn’t mean I won’t consider other people’s expressed opinions, with the caveat that they come from someone who has earned my trust. But in order to take better emotional care of myself in 2024, I will remind myself daily that other people’s thoughts are truly none of my business.  

Hidden In Plain Sight: The Female ADHD Experience

Between 2020 and 2022, the population of adult women diagnosed with ADHD nearly doubled.  Often considered a “boys disorder,” girls are significantly less likely than boys to be diagnosed with ADHD. But this is by no means saying there is a lower prevalence of attention disorder in girls or women. Instead, girls with ADHD tend to present differently than boys and teachers and practitioners often overlook their symptoms. 

From a young age, women face difficulties receiving a diagnosis of ADHD. Disorders that go hand-in-hand with ADHD in girls, like anxiety and depression, can overshadow ADHD symptoms and lead physicians to misdiagnose their young female patients. Inward behaviors, like inattentiveness, are more common in girls with ADHD than outward behaviors, such as hyperactivity. In the classroom, hyperactive boys are noticed and dealt with by teachers, while inattentive female students remain ignored because their behavior is manageable. As a result, women learn strategic coping skills for their ADHD throughout their lives, further mitigating the external appearance of their disorder. Researchers Arcia and Conners (1998) determined that the self-perception of adult women with ADHD is poorer than that of men with ADHD or women without an ADHD diagnosis.  Learn more

Studies have shown differences in dopamine release, cognitive function, and sensation seeking between men and women in response to stimulant drugs like amphetamine, often used to treat ADHD (Quinn & Madhoo, 2014). The effects of amphetamine in women vary based on their menstrual cycle, with greater euphoric and stimulating effects observed during the follicular phase, when estrogen levels are higher, compared to the luteal phase. This research suggests that the response to ADHD medications might need to be adjusted throughout the menstrual cycle for better symptom control for women.

Cognitive therapy can be a helpful tool in your ADHD arsenal. Some cognitive therapists specialize in working behaviorally with clients to improve executive functioning skills which may be helpful for aspects of ADHD. While we here at CTWPS do not specialize in executive functioning coaching, we do support our clients in managing the anxiety and isolation that often surrounds their ADHD experience.  If that is something that you’d like to explore more in depth, reach out to us to learn more!

References

Arcia, E., & Conners, K. C. (1998). Gender Differences in ADHD? Journal of Developmental & Behavioral Pediatrics, 19(2), 77. https://journals.lww.com/jrnldbp/Abstract/1998/04000/Gender_Differences_in_ADHD_.3.aspx

Quinn, P. O., & Madhoo, M. (2014). A Review of Attention-Deficit/Hyperactivity Disorder in Women and Girls. The Primary Care Companion for CNS Disorders, 16(3). https://doi.org/10.4088/pcc.13r01596

Russell, J., Franklin, B., Piff, A., Allen, S., & Barkley , E. (2023). Number of ADHD Patients Rising, Especially Among Women. Epic Research.


The Awkwardness of Authenticity

When we try something new in front of other people, we tend to worry about judgment or other negative consequences. And we tend to feel awkward because the experience between us is novel and unpracticed.  But the feeling of awkwardness doesn’t mean we actually are awkward (thankfully!).  But feeling awkward typically goes hand in hand with feeling vulnerable. 

We are often unaware that feeling awkward and taking emotional risks in front of other people eases them.  

Why? Because vulnerability cues other people that your communication is authentic and sincere.  It also cues other people that they too could be awkward, vulnerable, and authentic in safety.  That they too can try something new in front of others. 

No one can authentically connect with others without some vulnerability. If you have a hard time believing this, consider whether you have ever felt safely connected to someone who never displayed at least some vulnerability with you.

So even when it might feel initially awkward for you,  it might be time to reframe vulnerability and awkwardness as the necessary starter ingredients for authentic connection.