Getting mobilized: from behavioral avoidance to behavioral activation (part 5)

Getting mobilized: from behavioral avoidance to behavioral activation (part 5)

Now that you have identified your values-based actions (part 2), must-do tasks (part 4), and fun activities (part 3), let’s schedule them. You may wonder, Why do I have to schedule them, if I know what I need to do? A simple reason: tracking what we do and how we spend our time keeps us accountable and motivates us to keep moving.

Our calendars reflect how we want to live our life. Share on X

So, here is what you need to do:

  • Grab a pen and a weekly calendar (like the one below).
  • Go back to the exercise identifying values-based activities and, looking at your week, schedule one values-based activity. Next to it, enter the letter “V” for values.
  • Go back to the exercise identifying fun, enjoyable, and pleasurable activities, and schedule one of those activities. Next to it, enter the letter “F” for fun.
  • Go back to the exercise identifying must-do activities you need to take care of and schedule one of them. Next to it, enter the letter “O” for must-do.

You can start scheduling one activity from each category, and increase them as you move forward. Slow but steady!

As you complete this exercise, you will see that your weekly calendar is the first step to activating the life you want to have.

Exercise: Building your weekly calendar

part 1 table

Congratulations, now you have your weekly calendar. That’s a big step!

Living the life you’re designing is possible. And yet, it won’t be handed to you on a silver platter. So, let’s anticipate and go over potential roadblocks that may come your way as you get back into your life (part 5).

Getting mobilized: from behavioral withdrawal to behavioral activation (part 4)

Getting mobilized: from behavioral withdrawal to behavioral activation (part 4)

In part 3 of this series getting mobilized, you were invited to identify all those fun activities that you have been postponing. Now, the reality is that our lives also involve activities that must get done: paying bills, going to medical appointments, grocery shopping, and so forth.

If you have been dealing with shame, low mood, depression, or anxiety, it’s quite likely that you have also disconnected from these activities as well. As a result, you may have a pile of postponed responsibilities that are causing you more distress than the actual steps you need to take care of them.

Let’s do an inventory of all those activities you need to do and have been procrastinating right now.

Exercise: Identifying must-do activities you need to take care of

 

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If you have been completing all exercises from part 1, part 2, and part 3, by now, you have a solid inventory of the stuff you care about, stuff that is fun, and stuff you need to do that you have been disengaged and disconnected from. This is a great starting point to continue making a shift into getting mobilized and living the life you want to live.

“You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose.”
Dr. Seuss

The next blog post focuses on putting all of them together in your weekly calendar you can you get back on track!

Getting mobilized: from behavioral avoidance to behavioral activation (part 3)

Getting mobilized: from behavioral avoidance to behavioral activation (part 3)

Withdrawing behaviors happen not only with the activities that are important to you, but also with things that are fun, enjoyable, and pleasurable. In this series, Getting Mobilized: From Behavioral Avoidance to Behavioral Activation, you’re learning different steps to get back on track.

In part 1, you learned the different empirically-supported approaches for dealing with withdrawal, disconnecting, and disengagement. In part 2, you were asked to identify your values and hold onto them as the compass of your behavior. But when feeling down, a common go-to behavior is to disconnect not only from activities that are important to us but also from the fun, enjoyable, and pleasurable things we like to do. In this blog, you are invited to identify those common, day-to-day, fun activities you have been avoiding and want to start participating in.

 

“We are more often frightened than hurt; and we suffer more from imagination than from reality.”

Seneca

 

If you have a hard time coming up with ideas, here is a list of popular ones for inspiration. Keep in mind that this list is a generic one, and you may want to add a more-specific activity. For instance, if “exercising” is something you want to start doing again, try to narrow the activity to running, biking, or whatever you enjoy doing.

  • Visiting friends or family
  • Talking to friends or family on the phone
  • Going to movies or plays
  • Watching videos or TV
  • Exercising
  • Playing games
  • Chatting on the Internet
  • Listening to music
  • Going away for a weekend
  • Planning a vacation
  • Pursuing a hobby
  • Collecting
  • Doing crafts
  • Enjoying the sun
  • Walking or hiking
  • Reading
  • Gardening

If you are still struggling with coming up with some ideas, ask your friends and relatives for suggestions. Also, think back over the years to the things you’ve enjoyed. Try to remember everything you’ve ever done that was fun.

Now, take some time to jot down specific activities that you have enjoyed or can imagine enjoying in the future.

Exercise: Identifying fun, pleasurable, and enjoyable activities

 

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In the next blog, we will look at another type of activities you may have been struggling with because of ongoing disconnecting behaviors. Let’s break the cycle of inactivity, and let’s get you moving.

Getting mobilized: from behavioral avoidance to behavioral activation (part 2)

Getting mobilized: from behavioral avoidance to behavioral activation (part 2)

 

In part 1 of this series, engagement: from behavioral avoidance to behavioral activation, you did an assessment of how you’re spending your time and inventory on all the stuff you have been avoiding. Now, to get back into your life you will learn how to go back to your values, fun activities, and your to-dos.

This blog post focuses specifically on getting you back on track by doing what you care about.

“Work on Purpose, Play on Purpose, Rest on Purpose. Do not let yourself or anyone else waste your time.”
Izey Victoria Odiase

Getting mobilized with your values

Values have been the source of inspiration for artists, creators, makers, and almost every single person on Earth who wants to live with meaning, purpose, and intention. “Values” is a word that gets thrown around a great deal these days, and it means different things to different people. Based on Acceptance and Commitment Therapy, and for the purposes of this series, let’s think of values as the response to these key questions:

Are you living the life you want to live?
What sort of person do you want to be?
Are you the relative you want to be?
Are you doing what matters to you as a friend?
Are you treating yourself the way you really, deeply want in your heart?

Before we dive into figuring out your values, a couple of clarifications:

  • Values are different from goals

Values are the “why” of what you do, and they’re different from goals. Goals are specific stepping stones along the path leading you in the direction of your values. Goals are actions that are completed and checked off a list. For instance, Rebecca, as a mother, identifies her value as “being caring” and her goals are to 1) prepare a meal for her daughter three times a week, 2) drive her daughter to school twice a week, and 3) attend her daughter’s volleyball games on the weekends. In essence, Rebecca sets her goals and actions in line with her values; her actions may change, but her values don’t.

  • Values are not feelings

We are all wired to experience a full range of emotions—that’s our natural makeup—but experiencing one feeling versus another does not mean you’re living your values; you’re just feeling. And our feelings, like waves in the ocean, come and go. You don’t have control of what you feel, but you do have control over how you act and how you want to live your life. Now let me break the news to you: those are also dead goals because, as much you may wish it were true, you don’t have control over what you feel. You simply feel what you feel. But values are not about feeling good. In fact, living your values and doing what matters comes with uncomfortable feelings at times.

For instance, for Joe, being caring with his relatives is a core value; every month he travels for six hours to spend a weekend with his ninety-year-old grandmother who cannot travel, barely recognizes him, and requires assistance at all times. As soon as he arrives, Joe changes her clothing, grooms her, reads her a favorite book, and leaves pictures of her great-grandchildren. Even when she calls him by the wrong name, he holds her hand. Joe feels sad and frustrated, and he believes it is unfair that a woman who raised nine children is slowly dying. Yet even though performing these actions in service of his values makes him uncomfortable, he does them.

  • Values are not about avoiding feelings

If your mind says that the outcome you want in life is to feel less pain, to have less intense and fewer stressful emotions like anxiety or sadness, I totally get it. It’s understandable that we don’t want to feel any discomfort because it’s no fun at all. But here’s where this thinking gets tricky. A client told me once that being funny was a very important value for him; when I asked more about it, he said that telling jokes and being funny makes him likable to others and creates a good impression. When asked what would happen if he isn’t funny, he said that he would be worried about not being liked and would even be afraid of people no longer wanting to be friends with him. For my client, acting funny is not a value but emotional escapism. He is avoiding the feeling of being disliked or abandoned by others. Values-based on running away from painful emotions are not actually values, because the actions you do actually take you away from your values.

  • Values are not your preferences

There are things that we like, love, and go out of our way to get. For instance, you may love your morning coffee, a sunny day on the beach, or salsa dancing; all those things are nice and fun, and you may want to have a lot of those moments, but those are preferences, not values. Your morning coffee, as tasty as it is, isn’t pointing you in the direction of doing what matters to you; your values do that. Your values are like the arrow on a compass that points the way for you to go.

  • Values are not your wishes for others’ behaviors

Sometimes, when having a conversation about values, I hear comments along the lines of “I want to be respected by others.” It’s natural to want to be seen, appreciated, and respected by others, and we certainly deserve it. But, here is the takeaway: we simply do not have control of other people’s reactions, behaviors, and feelings about us. Now that we have gone over a few points about values, I hope you can see that living your values is an actionable task. Taking steps toward what matters to you gives you a new way of being in the world; it is not pain-free, but it means you get to choose how you want to live your life, instead of your emotions choosing for you and dragging you around in the process. The more steps you take toward becoming the person you want to be, the better it gets—and as they say, “What you practice grows.” The next section of this chapter will help you to clarify what matters to you and how you can take steps toward them. Screen Shot 2020 11 23 at 11.35.37 PM

Identifying your values

Below are two exercises that you can use as a guide to identify your values; feel free to do both of them since they are complementary.

Exercise 1: Identifying your values (part 1)
Grab a piece of paper and write about three different moments when you had a sense of vitality and felt alive, when you were doing what speaks deeply to you, when in that moment life was just perfect. Describe each situation, the person you were with, and what you were doing. Imagine that someone was recording you in those moments—what would they see in the camera? After recalling and writing about these three different memories, try to identify any qualities that stand out to you across all of them. Ask yourself: What was special for me about those moments? How did I feel about myself? What was the quality or way of being I was embracing that made me feel good in those moments? Your answers will point you to your values. Write them down, keeping in mind that your values are verbs. You don’t need to have a shopping list of your values, just a refined list of what you strive to be and stand for in your personal life. As a reference, you can look at this list of values:

 

Screen Shot 2020 11 21 at 10.21.29 AM

 

For instance, after completing this exercise, Anne came up with the following sweet memories:

Memory 1: When celebrating my daughter’s sixth birthday, I looked at her and felt a strong sense of connection with her and felt how much I wanted to be a constant part of her life in a way that she knows I love her.

Memory 2: On a rainy day, my partner and I were struggling to figure out what to do to entertain ourselves. We flipped channels and didn’t see anything interesting. We thought about eating, but nothing seemed exciting. We decided to walk our dog in our neighborhood and, to my surprise, that was one of sweetest moments we had. It was cold, we were wearing our heavy jackets, but when walking together we remembered the first home we had, how hard we worked for it, how we decorated it, how much we argued about the tile in the bathroom, and how we couldn’t stop smiling when thinking of the bright yellow door we painted in the kitchen. I felt so clear about not needing extravagant or fancy things all the time to enjoy myself and my husband’s company.

Memory 3: I remember a tough conversation I needed to have at work with my sister, who was also my manager, about a salary raise. I couldn’t sleep for days, felt anxious, and asked for advice from any person I could find. In the past, no matter what I asked for, whether it was for something at work, at home, or anywhere, my sister would usually say no. Somehow she still sees me as the youngest kid and doesn’t want me to get away with stuff. Ridiculously, as an adult she still treats me like that. So, I usually don’t bother asking or insisting on what I need. This time, I prepared a draft of what I was going to tell my sister and rehearsed in front of a mirror. I even had a back-up plan if she didn’t raise my salary. On the day of our meeting, I made sure I had my coffee, wore my favorite sweater, and then walked to her office. She was friendly and then asked about my request for revising my salary. In those moments, I felt my body get sweaty all over, and I felt a rush like I wanted to run away, but I stayed and told her that I needed a raise and recited the reasons why. My sister looked at me, didn’t say much while I was talking, and after nodding her head, she said that she would think about it and discuss it. She wanted me to know that no one in my department had received a raise in the last six months. I was prepared for my sister to say something like that, so I took a deep breath, and then asked her when she could give me a response because I needed to make decisions accordingly. For the first time, I didn’t walk away from a conflict, didn’t apologize for asking for what I needed. And even though I didn’t get the raise immediately but instead two months later, I knew I did the right thing for myself. When writing down these three memories and going over them, Anne identified these personal values: being caring, down to earth, and authentic.

Jot down below the values you came up with; when doing so, don’t worry about finding the perfect word or the perfect value, just list the principles that you want to embrace in your life and be remembered for by others. The purpose of this exercise is not to identify the perfect value but to get in touch with what truly matters to you.

 

Screenshot 2020 11 24 160554

 

Exercise 2: Identifying your values (part 2)
Read the following directions slowly, and then see what you come up with at the end of it. Imagine that you have lived your life the best you could up to this point. Some things went as you wanted them to go, some things were difficult, but here you are today. You planned some things and others just happened. However, things take a dramatic new course for you in this moment: Right now, you’re being notified that you’re going to die in the next twenty-four hours. Yes, that’s right, imagine that you’re going to die within the next twenty-four hours. Suddenly you may start breathing fast and realize you only have a short amount of time to be alive and prepare for your final departure. You might ask yourself: Given how things are right now, what type of person do I want to be? You’re living your last day on earth. You’re running out of time. There is no turning back. This is it. Please reflect on this, and instead of rushing to answer, breathe, and jot down your response.

 

Screenshot 2020 11 24 160554

 

Now that you have completed two exercises to identify what truly matters to you, let’s move on to acknowledging the life areas that you care about.

Exercise 3: Identifying areas that are important to you
People tend to have strong values in ten general areas of life (Hayes and Smith 2005). Some of these areas will be more important to you than others. Read through the following descriptions of these domains and circle four that are most important to you.

Intimate relationships. What kind of partner do you want to be with your significant other?
Parenting. What is most important to you about parenting your kids?
Friends and social life. How do you want to show up to your friends?
Health. What’s important to you when you think about your health?
Family relationships. What is most important about your relationships with your parents and siblings?
Spirituality or religion. What’s important for you in this area?
Community life and citizenship. How do you want to show up to others in your community?
Work and career. What are the qualities you want to embrace at work and in your career?

Now that you have a sense of your values and the areas of your life that are important to you, write down the four areas and respective values you want to start focusing on and commit to working on as you move forward:

 

Screenshot 2020 11 24 160638

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Going back to Anne, she identified the following values and area:

 

X

 

You will be coming back to this exercise, so be sure to earmark it so you can return to it as you continue reading this series. Here is another thing to keep in mind about values: words about values without any action are like beautiful leaves swept away by the wind. We don’t want your values blown away. Instead, let’s move into identifying specific steps you can take to live those values

Identify actions toward your values

You cannot explore New York by driving the streets of Seattle, right?

The same applies here: You cannot live your values by taking actions in random directions. Rather, you must intentionally choose specific actions, steps, and goals you need to take in the right direction. How do you do it? By answering the three W questions: What, When, and with Whom.

For instance, Anne decided to live her value of being a caring daughter by spending every Saturday with her mom, who is struggling with Alzheimer’s disease. She did this even when her mother didn’t recognize her, or thought Anne was her cousin, or didn’t talk at all. Anne drove two hours every Saturday to spend the day with her mom, even when she thought, She doesn’t even know who I am.” and Does she know what I’m doing? and How did this happen to her? and It’s not fair. In the end, Anne wouldn’t trade those Saturdays for anything.

It’s your turn to identify specific actions that will bring your life into closer alignment with your key values. When thinking of actions and goals, keep in mind the following principles:

– Goals and actions must be concrete and achievable, given your circumstances.
– Goals and actions must be specific, answering who, why, how, where, and for how long.

You can use a worksheet like the one below as an aid in this process. As a starting point, I invite you to choose only four areas from all the ones mentioned above. In the first column, write the area you want to focus on. In the next column, write at least three values for each area. And in the last column, think of a specific action you can do that reflects the key value.

Exercise: Identifying your values-based activities.

 

 

Screenshot 2020 12 01 144417

 

The next blog post will focus on other activities that you may have withdrawn from and need to restart to get fully mobilized and back into your life!

Getting mobilized: from behavioral avoidance to behavioral activation (part 1)

Getting mobilized: from behavioral avoidance to behavioral activation (part 1)

We humans, as a species, are hardwired to avoid, control, and escape the stuff that makes us uncomfortable. That’s natural and that’s expected. In other words, to avoid is to be human.

But what happens when we avoid things that we care about because they make us uncomfortable? What happens when we disconnect from the stuff that matters to us because we’re trying to control what we feel? What’s the long-term outcome of avoidant behaviors in our lives?

Let’s consider Justin’s situation. When Justin was twenty-one years old, he got his first job working as a manager for a local restaurant. He was more than excited about his job, his paycheck, and the possibilities of expanding his career in the food industry. After a couple of months working, on a Friday evening, he returned home and saw his dog of fourteen years, Jackson, lying on the floor. Justin got scared and tried to move Jackson, but Jackson didn’t respond. Justin immediately took his dog to the veterinarian. In less than an hour, Justin was told that Jackson had a heart attack and was dead. Justin couldn’t make sense of those words. He drove mechanically back home and cried for hours.

Every night after work Justin felt sad, empty, as if something was missing. His friends tried to get him to go out, his family reached out too, but nothing diminished Justin’s grief. Little by little, Justin became disconnected from his friends. He called in sick to work some days, and the idea of moving on and getting a new puppy felt strange to him. Justin felt responsible for Jackson’s passing away. Justin blamed himself for not catching the early signs of a heart attack. He slowly withdrew from everyone, the things he needed to do, and the things he cared about.

There are many emotions that push us to hide, disconnect, and isolate, such as anger, shame, fear, grief, and many more.

This is natural, but when our pain becomes too strong and too enduring, it’s time to do something about it. This chapter will help you break down avoidance behaviors that have been keeping you in a holding pattern. It’s time to change your life for the better.

By assessing and reorganizing your day-to-day life, you can get back to doing the things you used to enjoy or have always wanted to try. There are three major interventions that are effective at breaking life-restricting patterns:

  • Activity scheduling, which was initially developed to overcome depression (Beck et al. 1979; Freeman et al. 2004; Greenberger and Padesky 1995).
  • Behavioral activation, which involves making contextual changes by increasing activity, counteracting avoidant behaviors, and increasing access to positive reinforcers (Addis and Martell 2004; Dimidjian et al. 2011; Martell et al. 2010).
  • Values-based activation, which derives from acceptance and commitment therapy (ACT) and establishes that committing to values-based behavior improves your motivation and willingness to overcome experiential avoidance (Zettle 2007)

This series will show you the nuts and bolts of how to get mobilized so you can get unstuck, stop disconnecting, and get back to your life.

Let’s start!

 

Assessment of how you’re spending your time

Words may inspire but only action creates change.
Simon Sinek

Now that you are familiar with the research behind getting mobilized, let’s get you moving!

As a starting point, it’s important that you assess how you’re spending your time. So, over the next week, using the weekly calendar below, record all the main activities you participate in each hour; it’s okay if you jot them down at the end of the day.
When monitoring your activities, pay attention to the following aspects:

  • If an activity has been pleasurable, fun, or enjoyable, write a letter F for “fun” next to it; next, rank it from 1 (minimum) to 10 (maximum) in terms of how fun it was.
  • If an activity is related to your values and what’s important to you, write a letter V for “values” next to it; then, rank it from 1 (minimum) to 10 (maximum) in terms of how important to you it was.
  • If an activity is related to stuff you need to take care of (for example, errands) write a letter O for “must-do” next to it; also rank it from 1 (minimum) to 10 (maximum) in terms of how much of a priority it was to get it done.

This may seem a bit tedious at the beginning. However, completing the assessment will help you recognize how your week looks currently, how it’s impacting your well-being, and what needs to change so you can break any avoidance patterns. Think about it: if you don’t know how you’re spending your time, you won’t know what you need to change.
 

part 1 table

 

For example, when Mohammed reviewed his activity schedule at the end of the week, he realized that he spent more than ten hours watching TV, even though he didn’t enjoy it; he spent almost twelve hours dealing with taxes without a break and had barely any social interaction with his children and friends, which is something very important for him. Mohammed noticed that while he was spending all his time on these activities, he also was avoiding others.

Let’s move on to assessing the activities you’re avoiding that are affecting your life.

 

Inventory of what’re you avoiding

Take a few minutes to do an inventory of the things you have disconnected from during the last three months; don’t worry how long or short the list is, just write down all the things you have been avoiding up to this point.

 

Screen Shot 2020 11 23 at 8.26.37 PM
After identifying all the situations you have withdrawn from, let’s take a look at the consequences of those actions in your day-to-day life and over the long term.

 

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Withdrawing behaviors are tricky because, on the one hand, they feel comfortable in the short term and they can easily help us feel safe. On the other hand, when left unchecked, they can take us away from doing what’s important, from the people we love, and from the things we need to do. Whether you’re avoiding situations sporadically or chronically, this chapter will help you disrupt those avoidance patterns and reset your actions toward the stuff that you care about.

Your best line of defense is to step back from this avoidance dance and reconnect with your values, the things you find fun, and the things you need to do.

In the next part of this series getting mobilized, you will learn how to go back to your values, fun activities, and your to-dos.

Sweet connections, rough conversations, & fearful moments

Sweet connections, rough conversations, & fearful moments

A couple of months ago, I didn’t have a choice other than having a complicated conversation with a friend. Four nights before having the conversation, I couldn’t sleep, was worried about the impact it would have on our friendship, future collaborations, and felt sad about having to sit and discuss something that could potentially make things hard for us to continue our friendship. I was scared!

Relationships are a messy business, period!

A life well lived has strong connections with the people we love. The reality is that we have survived as a species not only because of biological adaptation, but also because of our connections with others. Our ancestors learned very early on that in order to survive they required the group, and to be part of the group they needed to learn to foster different types of relationships.

I honestly think that building connections with others is one of the most precious things we can do in life; without these connections, we are vulnerable to suffering, loneliness, and isolation.

But relationships are not just like flowers and butterflies; they are difficult to look after, maintain, and be in. I think that most of us go through life using a trial-and-error approach to creating healthy, caring, and fulfilling connections with others. But do we really know what we are doing all of the time? Probably not.

Creating a relationship from scratch is not an easy project; it’s actually a complex undertaking because, as fun as relationships are, we also get hurt, disappointed, frustrated, and discouraged at times. And every time there is a rupture, there we are again: covered in visible or invisible tears, trying to pull ourselves together in the midst of the emotional turmoil and simply surviving from moment to moment.

In my case, I was scared about losing the connection with a person I love, care about, and cherish in life.

My fears, worries, and anxieties about this upcoming conversation came with images of us fighting, arguing, and crying; thoughts of “it won’t go well; What if everything ends here? How would it look when we are at the same party and still disconnected? Would this person speak badly about me? How awkward would that be? What if other friends have to choose who they continue in a friendship with? Would they choose me? Would this affect my work?”

My mind was quite busy anticipating what would happen, what would happen if this or that, and generating all types of hypotheses about a potential outcome, as it was supposed to do. My mind was working fast, quickly, at the speed of light, and doing the best it could to protect me from any hurt related to this friendship and soon-to-have conversation, all driven by fear.

But my fear – and all the thoughts that came along with it – was taking me away from asking myself key questions to handle this clashing moment:

What’s my value in this relationship?

How do I want to show up to this moment of fear that is consistent with who I want to be?

How do I want to respond to the distress that a person I care about is going through?

Our fears take us into all types of future scenarios, negative outcomes, and gloom-doom outlines; but the good news is that, instead of going along with all those thoughts, by bringing ourselves back to the present and checking what sort of relationships we want to build, we can learn to approach conflict as a source of growth, connection, and even as an act of love!

Sweet connections, rough conversations, & fearful moments can happen all at once, and all together can be opportunities to live our interpersonal values.

Living our interpersonal values is about discovering how we want to be within each relationship we have – especially when having a contentious moment – and while making room for our fears, worries, and anxieties as they come.



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