How to cope with shame and fear altogether with Seth J. Gillihan, Ph.D.

How to cope with shame and fear altogether with Seth J. Gillihan, Ph.D.

“You must be vulnerable to be sensitive to reality. And to me being  vulnerable is just another way of saying that one has nothing more to lose. I don’t have anything but darkness to lose. I’m way beyond that.” – Bob Dylan.

We often play-it-safe by hiding, avoiding, minimizing and acting as if we’re not struggling. But it’s human to struggle; it’s human to ask for compassion; it’s human to be embarrassed; it’s human to be vulnerable.

Key Takeaways

In the first part of this conversation with Seth Gillihan, Ph.D., he kindly shares:

– His health struggles
– How he uses behavioral steps to navigate his day
– How he uses mindfulness to distinguish what he has control of and what he doesn’t
– How he deals with shameful feelings.

In the second part of this conversation, Seth shares how he and his daughter collaborated together to write the CBT Deck for Kids and Teens. I hope you find this conversation helpful and hope it motivates you to be more compassionate with yourself.

About Seth J. Gillihan, Ph.D.

Seth Gillihan is a licensed psychologist who specializes in cognitive behavioral therapy (CBT). He was a full-time faculty member at the University of Pennsylvania from 2008 to 2012, and taught in the Psychology Department at Haverford College from 2012-2015. He has been in private practice since 2012.

Seth completed a doctorate in psychology at the University of Pennsylvania. He is the author of multiple books on mindfulness and CBT, Therapy Advisor with the self-therapy app Bloom, a medical reviewer for Everyday Health, and host of the Think Act Be podcast.

Screenshot 2024 03 30 at 4.25.34 PM

Resources

Show notes with time-stamps

05:56 Transitioning from Clinical Work to Creating Mental Health Resources
07:01 The Personal Journey Behind the Shift
09:27 Embracing Limitations and Finding New Paths
11:00 The Power of Acceptance and Self-Compassion
17:43 Navigating Work-Life Balance and Self-Care
 

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5 Easy Ways to Cultivate Self-Awareness

5 Easy Ways to Cultivate Self-Awareness

Life is a succession of present moments since we open our eyes to the moment we close them to fall asleep. There is so many fun, exciting, painful, joyful, pleasurable, and interesting moments we navigate throughout a given day, and there are also those unique and impactful moments that help us to grow, be better human beings and show up to those we love as we want to do so.

It’s in those moments that, if we pay close attention,  we become self-aware of what matters, what gets in our way of being who we want to be, what we could do differently, or what needs to change.

Self-awareness is not a drink, a pill, or a magical mushroom that you consume but a skill that can be fostered and nurtured.

And if you make it a habit, you can put it into action. Let’s dive into it!

What is self-awareness?

Self-awareness is the ability to:

  • Observe ourselves in a giving context: in which situations we get emotionally uncomfortable or struggle with worries, fears, anxieties, and rumination.
  • Acknowledge our personal history: how our past influences our behavior.
  • Notice our behavioral patterns, public and private ones: what are our go-to actions? 
  • Explore the impact of our actions in our day-to-day lives, relationships with others, and the relationship with ourselves: what happens when we do “x in a given context?”
  • Understand how our mind works and how we relate to our thoughts to make sense of the world within us and outside of us: how do we relate to thinking in general?

Self-awareness, in a nutshell, is observing before jumping to fix or solve anything

Now, we can be aware of our personal history and understand how our childhood, family experiences and socio-cultural environment have influenced us, that’s one form of self-awareness; and at a different level, there are all the painful, unbearable, and agonizing encounters that put us in contact with internal discomfort.

Like height, all of us have some of the self-awareness to start with, some people more than others, and yet, self-awareness is a skill that can be cultivated, we all can have it, and a skill that liberates us from living life as it happens to us and more like creating a life for us. 

For instance, I was talking to a friend recently about his playing-it-safe moves, we mapped the following:

When feeling lonely, my friend plays it safe by booking his schedule with different events and making sure there are no empty spots; going along with what his friends prefer to do, even though he doesn’t like those activities; makes an extra effort to be funny, goofy, even though he’s feeling tired and a bid down; texts multiple potential romantic partners in a dating app so he has always available options for dates. The bottom line is that, when feeling lonely, my friend plays-it-safe by minimizing his needs and avoiding feeling lonely.

The truth is that every time you experience some form of uncomfortable thoughts, feelings, sensations – you do something: you either try to solve that discomfort in your head – thinking and overthinking at times – or doing something; taking action. You play-it-safe.

Without self-awareness, we’ll be living in a random vacuum of things happening to us and we’ll be reactively responding to them with playing-it-safe moves. But it doesn’t have to be that way.

5 ways to cultivate self-awareness:

I’m almost sure you don’t want to live your life in pilot mode but in a meaningful way and make the best use of your time, energy, and passions. You can cultivate self-awareness anytime, and the more you try it, the more that it becomes second nature.

1. Notice when you’re in pain

This probably sounds pretty obvious, but all those moments in which you find yourself struggling with emotional distress, even when you cannot pinpoint exactly the source of it or the particular emotion you’re feeling, that’s a time to notice how those feelings are demanding you take action, are asking you to do something or to say something.

In those moments, you need to pay attention to how you’re attempting to handle that emotion: are you making room for it, or are you trying to get rid of it?

Question to ask yourself:

  • What is the emotion I’m running away from and need to make room for, learn from, and befriend?

2. Pay attention to your thinking patterns

Have you ever noticed when you spend hours and hours in your head to the point that instead of feeling clear-headed with your thinking process, you end up with a headache?

To cultivate awareness you need to pay attention to those moments in which you’re stuck in your head and check what your mind is doing and pushing you to think about. In those moments, take a deep breathe and check which one of these specific thinking patterns – playing-it-safe moves – your mind is engaging in:

  • Analyzing a situation because you’re searching for reassurance
  • Thinking quickly about gloom and doom scenarios 
  • Ruminating about past situations over and over
  • Telling yourself that your needs are not important
  • Exploring every what-if thought that comes into your mind
  • Assuming quick responsibility for others’ well-being as if you’re the only person responsible for those matters
  • Criticizing and negatively judging yourself for past situations or things you have said or done
  • Assuming that every thought your mind comes up with is important and you need to respond to it.

Question to ask yourself:

  • What is my mind trying to protect me from so hard using this [name of the playing-it-safe strategy]?

You can take the Playing-it-safe questionnaire to figure out those thinking patterns and actions that keep you stuck in your head.

3. Check your values and how you have been living them

When was the last time that you paused and asked yourself: Am I doing what matters? Am I living my values in my relationships, career, friendships, and spiritual life?

The reality is that most of us live life letting life happen to us and if we’re lucky, we figure out what’s truly important to us and what we want to stand for. So, another way to foster self-awareness is by pausing and making it a habit to check if what are your values, and whether your actions are congruent with them or not. 

You can set a monthly time in your schedule to check how you’re living your values.

Questions to ask yourself:

  • Am I living the life I want to live?
  • Then select four areas of your life (e.g. friendships, parenting, romantic relationships, spirituality, career, community) and ask yourself: Am I being the person I want to be in this [area]

If you want to do your own values-based mid-year review, here is a 21-page template you can use; it includes a description of 9 areas, a values thesaurus, a values dashboard, and reflective prompts for each area in your life.

[ Click here to download a 21-page template of a values-based annual review]

4. Check how you handle interpersonal conflict

Who doesn’t encounter conflict with others? Whether that’s in a friendship, romantic relationship, parenting, or work relationship, it’s quite likely that we’re going to experience some form of disagreement, misunderstanding, confusion, and disappointment. That’s just how relationships are; no relationship is exempt from it.  And yet, conflict doesn’t have to be a deal-breaker but an opportunity to grow, learn and foster emotional intimacy in some relationships.

And just to make it crystal clear, when thinking about conflict, I’m not thinking of people screaming at each other; I’m thinking of conflict as every time two or more people have a clash of opinions, wants, desires, and wishes.

Here are the most common conflict tactics people use and you need to watch for when dealing with interpersonal disagreements:

  • Demanding or making threats
    Going into hammer mode comes with making blunt threats, demands, or requests. Sometimes you may yell; other times, you may make a threat with a soft tone of voice.
  • Blaming or externalizing
    With this go-to tactic, you make others responsible for your stressful feelings, sensations, and even behaviors. I’m not saying the things others do aren’t wrong or inconsiderate, but blaming them distracts you from noticing your own hurt.
  • Reason-giving
    Using this go-to tactic is listing all the reasons, explanations, or justifications that your inner voice comes up with within the middle of a fight. What’s the outcome? You don’t hear the other person and your behavior may be unhelpful for achieving the relationship you want to have.I’m not saying you don’t have valid reasons to do what you do, say what you say, or feel what you feel; I’m just inviting you to notice whether holding on with white knuckles to those narratives is effective.
  • Character attacks
    At times your mind has a hard time separating a person from their behavior, and therefore the whole person’s character comes under attack rather than specific behavior. Have you ever been on the receiving end of someone attacking you with criticisms? Do you remember how it felt? A client said: “The last time I was in a situation in which a person I deeply love criticized me, I felt as if I were being psychologically stabbed; it didn’t make sense to me that because of a mistake I made, my whole person was being attacked.”
  • Placating
    Solving a conflict – using this go-to tactic – is focusing 100 percent on the other person’s needs, putting your needs, wants, and desires under the rug.
  • Disconnecting
    Going into ice-cube mode is going into an emotional and physical disconnection; it’s like you’re there, and you hear the other person, but you have shut down emotionally and nothing breaks your emotional walls. Like an ice cube, you come across as a cold person in those moments.

Questions to ask yourself:

  • What’s the cost of using those go-to conflict tactics in your relationship?
  • What do you need to do to remember that when dealing with interpersonal struggles, you’re hurting and the person in front of you is hurting too?

5. Do an inventory of painful experiences and what you learn from them

Life is not only flowers and butterflies, sweetness and delightfulness; our lives also come with hard moments, losses, disconnection, and tough things to go through. It’s like being alive comes with all those experiences, without exception. And that’s not necessarily a bad thing, but a reflection of the complexity of being alive.

Grab a piece of paper and jot down the different moments of struggle, pain, and hurt you have encountered over the years. Next, ask yourself the question below:

Question to ask yourself:

  • What did I learn about myself in each one of those experiences?
  • What do you need to do to remember that when dealing with interpersonal struggles, you’re hurting and the person in front of you is hurting too?

Summary

That’s it. Cultivating self-awareness will help you to be who you want to be, make the best of your decisions and pursue a purposeful and joyful life.

Last question for you

Here is my last question for you: What are the self-awareness moments you had this year?

As we finish 2021, I would like to take this opportunity to share with you those key moments of self-awareness that came my way.

Here are my ten moments of self-awareness in 2021:

  1. Humbleness has taken me very far in living my values.
  2. Learning to love and be loved comes with other uncomfortable feelings, all together
  3. Being honest with myself is liberating.
  4. There is no need for me to play-it-safe if it’s not working in my life.
  5. Walking with my eyes, mind, and heart open heart has made a difference in who I’m.
  6. Saying no, even to things that matter, has been crucial to living with purpose.
  7. Avoiding conflict is a recipe for disaster: I don’t know how to avoid conflict. I do look at conflict as an opportunity to grow and not as a deal-breaker.
  8. Openness to others and the truth about others is fundamental to my growth. 
  9. Radically accepting that I don’t have control of the outcome of situations and people’s experiences of me is hard, necessary, and important to be myself.
  10. When life sucks, being kind and gentle with myself is much more courageous than being tough.

I leave you with this quote:

“A more fruitful approach to the challenge of living more fully in the moment starts from noticing that you are, in fact, always already living in the moment anyway, whether you like it or not.”

– Burkeman, 2021

How to deal with your inner critic with Dr. Russ Harris, M.D.

How to deal with your inner critic with Dr. Russ Harris, M.D.

In this episode, I chat with Russ Harris, M.D., author of The Happiness Trap, The Reality Slap, and many other self-help books. Russ shares how he applies skills from Acceptance and Commitment Therapy (ACT) – grounding, defusion, acceptance – to his writing process. In particular, he shares how he handles his fears of making mistakes, thoughts about his writing not being good enough, his inner critic, and the overwhelming feelings and anxieties that show up when he’s writing.⁠

I hope you enjoy the episode. Let me know what you think of it!

About Russ

Russ is a doctor, therapist, father, trainer of health professionals, and the author of The Happiness Trap (plus eight other books). He started his career as a newly-graduated doctor back in 1989, and soon discovered that most of his patients were expressing a significant degree of dissatisfaction in life; stress, anxiety and unhappiness were widespread. So he set off on a journey to find out a) what makes people unhappy, and b) far more importantly, what creates genuine and lasting happiness. Eventually, it lead him to ACT – Acceptance and Commitment Therapy.

Resources

Show notes with time-stamps

Here are the highlights from my chat with Russ:

2:51 How Russ channels his anxiety.⁠
3:32 How Russ gets hooked on anxious thoughts at times.⁠
4:05 How Russ practices defusion from harsh thoughts.⁠
7:57 How Russ drops his anchor to handle anxiety when writing a chapter.⁠
8:58 How Russ handles his fears of his writing “not being good enough.”⁠
13:02 How Russ handles the struggles of not finding the right metaphor when writing.⁠
15:08 How Russ handles his inner critic.⁠
15:39 The type of Australian biscuit Russ likes.⁠
17:41 How Russ practices noticing, naming, and taking a distance from analysis-paralysis thoughts.⁠
18:33 How Russ remembers to anchor himself using the acronym ACE⁠
22:55 How Russ relates to positive thinking⁠

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How to practice self-compassion, self-acceptance, and self-love effectively with Rae Senarighi

How to practice self-compassion, self-acceptance, and self-love effectively with Rae Senarighi

From the outside our lives may look great, fun, and perfect! But sometimes, our lives get messy, complicated, and hard to handle because unexpected things happen. On top of that, some contextual situations make things extra hard for us: struggles with mental health, being of a different race, having a different gender identity, belonging to a different religious group, and many more.

In this conversation I chat with Rae Senarighi an international fine artist, designer, and muralist; transgender, and cancer survivor. You will listen directly to how Rae practices self-compassion, self-acceptance and self-love and how Rae celebrate authentically their community.

About Rae

Rae is your average non-binary survivor inspiring self-compassion, activism and gender resilience via unapologetic portraiture of vibrant transgender and non-binary power and spreading joyful presentations and meditations worldwide. Rae is a champion of storytelling through art, as a fine artist, designer and muralist, an activist, cancer survivor and pursuing accurate and celebratory representation of the trans community. Rae currently resides in Madison, WI, but he makes a lasting impact throughout the world. His art can be seen internationally and is featured in a wide range of outlets from Art Voices magazine to DNA India.

Rae’s dream is to celebrate accurate representation of trans and nonbinary people through painted portraiture worldwide. His mission of self-acceptance and love shows in his work through vibrant portraits reflecting celebration and beauty. With vivid and bold colors these portraits radiate the brilliance of the individuals and celebrate accepting and loving one’s self.

Rae’s trust in himself is vital to him in his journey of understanding and accepting his own identity, reminding all of us to not only love ourselves, but to celebrate and lift up one’s community. Netflix and GLAAD invited Rae to celebrate authentic, accurate portrayals of trans characters in media through a series of paintings. He’s also partnered with the Philadelphia Trans Wellness Conference and Washington Healthcare for All to support healthcare for the transgender community.

Resources

Show notes with time-stamps

00:00 Celebrating Trans Representation Through Art with Rae
04:45 A Deep Dive into Courage and Overcoming with Rae
07:58 Facing Cancer with Gratitude: Rae’s Journey
11:10 The Power of Gratitude in Overcoming Life’s Challenges
18:07 Embracing Gratefulness as a Daily Practice
18:21 Navigating Self-Doubt and Embracing Gratitude
18:25 Exploring Spiritual Practices and Gratitude in Daily Life
21:54 The Power of Naming and Acknowledging Negative Voices
26:01 Adapting Gratitude Practices in Times of High Anxiety
27:19 A Personal Journey: Facing Challenges with Netflix
32:13 Finding Inspiration and Hope in Challenging Times
 

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Dr. Z. on Mindfulness (part 3)

Dr. Z. on Mindfulness (part 3)

Mindfulness practices go hand-in-hand with compassion practices. There are so many ways to put them into action in our lives.

In this episode, I share a brief tip that you can practice anytime and anywhere to show kindness to yourself and discuss what connects mindfulness and self-compassion.

Show notes with time-stamps

01:01 Mindfulness and Self-Compassion
02:05 Understanding and Responding to Harsh Self-Criticism
05:10 The Essence of Self-Compassion
09:06 Practical Self-Compassion Exercises
12:56 Incorporating Mindfulness and Self-Compassion into Daily Life
From struggling to thriving: managing fears, anxieties, and worries with Michael Heady, LCPC

From struggling to thriving: managing fears, anxieties, and worries with Michael Heady, LCPC

Few times we have the opportunity to see how therapists walk the walk, put into action what they know about managing fears, anxieties, and worries, and what it means to make a shift from struggling to thriving.

In this personal, relatable, and real conversation, I chat with Michael Heady, LCPC, and discuss how the fears of making mistakes, having high standards and imposter syndrome show up and how we all can learn to handle them effectively.⁠

About Michael

Michael has been treating OCD and OC-related disorders for over a decade. He received extensive post-graduate mentoring and supervision with regionally and nationally recognized experts in the field of anxiety and OCD at the Anxiety & Stress Disorders Institute of MD. He was trained extensively in the application of CBT and ERP for OCD and all of the anxiety disorders. He also has extensive training in the application of third-wave therapies including ACT and MBCT. He attend annual workshops on anxiety and OCD treatment through the Anxiety and Depression Association of America and IOCDF.

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Struggling to Thriving<br />

Resources

Show notes with time-stamps

01:07 Navigating Fears and Anxieties
05:11 The Fear of Making Mistakes: A Personal Journey
27:58 Overcoming Imposter Syndrome and Embracing Challenges
31:59 A Hypothetical Coffee with Barack Obama
 

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