Tag: Distress Tolerance

Best Quick Tips Ever Volume 2

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Best Quick Tips Ever (Volume 2)

Here are some more super quick, highly accessible techniques that we could be teaching clients! (Remember, don’t use these if the underlying theory isn’t already part of your clinical repertoire, please!) If you haven’t seen Volume 1, see those here. 

 

  • Imagine Yourself on a Hot Air Balloon (or Better Yet, Sitting on a Satellite) – This is an old Stoic notion, “Plato’s View” (more about that here) that current research also suggest can quickly reduce distress. This visualization exercise allows you to change perspective, throwing even the deepest, most overwhelming pains into relief against all the rest of what’s happening in the world.     
  • Half Smile – A DBT classic, this is possible the quickest and most available emotion regulation technique of all! The brain and body work both ways, you know! 
  • Sunlight – 5-15 minutes in the sun is enough to boost serotonin and improve mood. Add to that the fact that you’re probably removing yourself from a less pleasant situation to a more relaxed/pleasant situation by going outside (yay, behaviorism works!) and getting a little nature fix (bonus mood enhancer!), and it’s even better. 
    • Also, as a reminder, regular moderate sun exposure helps prevent depression, and if you do it in the morning, helps to improve sleep! Oh, and cognitive function! And work satisfaction!
  • Jumping Jacks (any kind of intense exercise immediately) – Even five minutes of intense exercise can improve mood in several ways – by “using up” stress hormones if they’re present (yes, that’s a gross oversimplification), by getting you out of a stressful or uncomfortable situation (unless you’re going to bust out some crunches right in the middle of the stressful work meeting), and/or providing an intense enough distraction to act as a distress tolerance skill.
    • And, over time, a really excellent treatment and prevention strategy for depression! (WAY better than antidepressants) 
  • Say the Thing, Out Loud. Even to Yourself. Especially to Yourself. – That icky feeling is more tolerable once it has words that go along with it (especially if it has accurate words that go with it). But, emotional labeling acts as an implicit emotion regulation strategy, and it’s relatively effortless. Plus, the benefits of expressive writing (decreased anxiety, depression, negative rumination, and improved mental and physical health, including enhanced immune functioning) extends to speaking aloud as well!  
  • Drink a Whole Glass of Water – not only does this just give you a tiny break from whatever stressor you’re in, it’s an opportunity to engage in basic self care and possibly to engage in a mindfulness practice. But there’s also research showing that being even a little dehydrated can contribute to fatigue, low alertness, and negative mood. So a simple glass of water might help you feel better, and help you gear up for more active coping! (Also, many of us work in environments where this is something we could even offer clients in session.)

Comment below: Your ideas for super cool, underutilized quick tips? Or have you ever used any of these with clients? 

 

 

 

Sphere of Whelm

EllisLeave a comment

The Sphere of Whelm

WHELM.  

Why don’t use this word? We say “overwhelm” and “underwhelm.” Why do we never say whelm?? Probably because it’s sort of useless, as the word “whelm” technically is a synonym for overwhelm, meaning “to be submerged by.” 

::rolling my eyes:: 

I RECLAIM this now useless word for special therapeutic purposes, and like many psychological terms, will give it my own definition. I like clients to conceptualize “whelm” as just the amount that I can handle right now or saturated but not spilling over. I think of it in a similar way to being in one’s “Flow zone,” but rather than engagement or skills development, I mean it to pertain to emotion regulation. 

We all definitely know that too much stress, too big of emotions, or too much going on can lead clients to feel overwhelmed; we see them all the time. Less often (though sometimes), we see underwhelmed clients – the disillusioned nihilist, or anyone with existential ennui. And sometimes we see clients who are so numbed or checked out that they seem underwhelmed, when really they’re just shut down because of overwhelm. 

Let me suggest that we can change our level of over/underwhelm by modifying the space and time we are attending to. When clients are overwhelmed, they’ve often cast their attention out too far – too far into the future or encompassing too much “distance” (which usually means too many people). No one can handle the anxiety of a nation during a pandemic. No one can handle the regret of their whole mountain of history all at once. No one can handle the existential threat to their children for a lifetime. 

When life is too much, when we are in grief, rage, or terror – we sometimes do this naturally – bring in our spheres to just our families or ourselves, to just “getting through today” or “just what I need to do next.” We invite clients to mindfully shrink their fears when we teach them mindfulness – just what you are aware of in exactly this moment, just in your body. And sometimes clients need more – think Adler and social connectedness – sometimes depression or anxiety are presenting because we are underwhelmed. over-focused on our own troubles or discomfort, and need to widen our spheres to include other people, or a longer time perspective. 

One of my favorite ways to do this with clients is as part of a guided imagery. Creating a sort of bubble that they practice shrinking and expanding until the bubble is just encompassing their heart or encompassing the whole city, and doing that safely with me.

How do you like to? I know you you already help clients do this – you just didn’t use this fancy name. What kinds of techniques do you use to help them manage their spheres? Comment below.