A CBT colleague of mine wrote a powerful piece called Thoughts Anonymous Philosophy, applying a 12 Step model that address our inability to control our thoughts. I found it inspiring and I hope you do too. ~ Jennifer
“What is Thoughts Anonymous?
“Thoughts Anonymous”is a philosophical movement that is both psychological and spiritual, emerging from the simultaneous principles of evidence-based Psychology and 12 Step Recovery Programs.1
Like alcohol (AA); food (OA); and people (CoDa), thoughts are prevalent and something we must navigate around. Are thoughts, therefore, to be regarded as a substance? Perhaps. Just as the addict can’t completely “control” their addiction, the thinker can’t completely “control” their thoughts. And when thoughts yield more influence than our hopes or intentions, our lives become unmanageable. For those who have experienced difficulty with our thoughts, we turned to the guiding principles of Thoughts Anonymous. We admitted we were powerless over thoughts, and that our minds had become unmanageable. We then came to choose Reality as a power greater than our thoughts – a power that could restore us to sanity.” Continue Reading…
Should I return to the office…Get my haircut…Send my kids back to school?
My client Tom had been working from home since the pandemic hit in March, but now his boss had set a date for returning to the office, in only three weeks. Tom felt anxious about prolonged exposure to his co-workers, as his partner had an underlying health condition. He was stuck on what to do. Should he negotiate to continue working from home, or comply with his boss’s request to go back to the office? One choice could put his job at risk, the other his partner’s health.
When there is no downside to a decision, we can feel confident about our choice. But many of the decisions we face today have pros and cons, complex situations like school options for our children, vacation and wedding trips, and making doctor and dentist appointments. Our limbic system is designed to warn us away from negative consequences with negative emotions like anxiety and fear. The only agenda of this monkey mindis safety.
Trying to please the monkey keeps us stuck in a loop of worry and indecision. Before we can make complex decisions with confidence, we need to understand that our purpose is not to eliminate choices that have cons, but to accept the uncertainty that accompanies them.
4-Step Decision Making Protocol
To help my clients move from of obsessive worry to confident decision-making, I’ve developed this 4-step decision making protocol.
Step 1. In two separate columns, write down the pros and cons for one of your choices. My client did this for returning to the office.
Step 2. Assign a numerical importance to each pro and con, on a scale of: 3=Very Important, 2=Important, 1= Somewhat Important. Don’t overlook this step; not all reasons are equal. Tom had more pros than cons, but putting a numerical value on each helped him weigh the importance of each.
Step 3. Total up each column.
Pros 4, Cons 6. For Tom, clearly the cons of returning to the office outweighed the pros.
Step 4. Make a final decision.
Tom decided he would negotiate with his boss to continue to work from home. This triggered anxiety about displeasing his boss and appearing demanding, but the exercise he’d done had convinced him he’d chosen as wisely as was possible. Rather than retreating from his decision, Tom chose to accept the cons that came with negotiating with his boss.
Accept Uncertainty = Confidence
The confidence that Tom sought could only be gained by standing up for his choice, owning it, despite the uncertainty of the outcome. Only when we accept the risk inherent in every choice, can we grow from the decisions we make. This is how to make the “right” decision and how to gain true confidence in ourselves.
This week, after two and a half years of waiting, my husband and I were given the keys to our rebuilt condo that burned to the ground in the Tubbs fire. It’s beautiful, spacious, full of light, better than before, and being a real “homebody”, I was bursting with joy. Until Friday afternoon, that is, when I checked my e-mail.
Our insurance agent announced that his company was dropping our fire and earthquake insurance! My happiness vanished in an instant, and was immediately replaced by anxiety. I’d heard about other insurance companies refusing coverage in our area; if our company wouldn’t insure us, who would? What if there were an earthquake or another fire when we weren’t insured? Woo, woo, woo! My monkey mind was going wild. And my beautiful new home felt cold and dark.
My husband seemed to be taking the news in stride, which annoyed me. I wanted so badly to fix the problem immediately. What is wrong with him? Lying in bed, I wondered whether I’d be able to sleep that night. I needed expert help to deal with this. So, I got out of bed and had a little therapy session with myself.
Step 1: First, I identified the monkey mindset that was activated: Unless you are certain you are safe from loss, you cannot rest. My thinking this way meant that my peace of mind depended on the decision of a big insurance company, something I couldn’t control. I wanted to be able to feel at home even if I was uncertain about the future of my insurance coverage. The expansive mindset that I wanted was, I can accept what is beyond my direct control.
Step 2: While I had come up with a better way to conceptualize my situation, I still felt a powerful urge to do something. But everything being beyond my direct control, the only action I could take was to ask for help from someone who had some control. I decided to shop for another broker and call the state insurance commission first thing on Monday. That meant a whole weekend of waiting to act, but that was the best plan I could think of, and I’d have to curb my sense of urgency until then.
Step 3: Now I had a new mind-set and an action plan, but predictably, when I got back in bed my anxiety returned. My monkey mind was reminding me that a disaster could strike again, like it had in my past, and if I could not get insurance coverage, I’d be devastated. True enough, thank you, monkey! Then I reminded myself it was normal to feel anxious in my situation, so I didn’t need to resist it. To help keep my mind from returning to the mental story of impending disaster without insurance, I focused my attention on my body, breathing into the discomfort with compassion. And eventually I fell asleep.
The next morning, I woke up to a beautiful, spacious, new home with sunlight streaming in the windows. Nothing external had changed, I still didn’t know whether we’d be able to insure our new home. But uncertain as the future was, I felt grateful for what I had right now, in that moment.
In a world of uncertainty where loss is always threatening, it’s so easy to lose our awareness of the essential miracle of being alive in the present moment. While we want to be grateful for that miracle, when we are hijacked by the monkey mind, we take it for granted. Whatever potential loss is preoccupying us right now—health, social connection, family, job or finances—the three steps to gratitude are always available. 1) Unconditionally accept the uncertainty that is part of life, 2) curb the urge to act compulsively and make plans to address problems as needed, and 3) welcome the emotions that arise and allow them to metabolize on their own. Like a dance, we need to take these steps again and again until they become our default way of living. It’s the only way to live with the monkey mind!
In the grocery store, you are told to stand back on the red line. You feel ashamed for not seeing it in the first place.
You tell your in-laws you are not comfortable having them visit their grandchildren in person, and you worry that they may never forgive you.
Someone asks you to stand farther away from them, and you feel embarrassed for making them feel uncomfortable.
You leave your house to go for a walk, wondering if you should wear a mask all the time, or just when you can’t maintain a safe distance. You feel anxious and unsure.
You reach out to pet a friendly dog, and when the owner asks you to please not touch their dog, you feel hurt.
You are wearing a mask while out on a walk, when a tickle in your nose brings on a loud sneeze. You look around guiltily to see if someone is angry for you possibly spreading germs in public.
Even if you didn’t have social anxiety before COVID, you probably have it now!
Social anxiety is defined as the fear of being judged, criticized or rejected by others. Those of us with social anxiety think that if we do things just right, we can avoid disappointing others and escape the dreaded possibility of being judged. Immunity from others’ judgments is always an unrealistic expectation, and now, with the rules changing, and a variety of opinions about what is safe, it is even more impossible.
Since we are bound to make mistakes following rules, and upset strangers, friends and family, this crisis is an opportunity to build some resilience to others’ judgments.
Three Essential Strategies to Decrease Social Anxiety
Set a realistic intention when you venture out in public. It is impossible to follow rules that will please everyone, so instead, follow the rules that make the most sense to you based on recommendations from reputable sources. Expect and accept that others may not approve, adopting the expansive mindset -If I displease someone, I can forgive myself, whether they forgive me or not.
Curb the urge to seek reassurance from others that you are doing the right thing. Getting reassurance reinforces the belief that if we do everything right, we will avoid criticism. True confidence comes from allowing for mistakes and accepting that we cannot please everyone.
Allow any feelings of shame and embarrassment that arise to dissipate on their own. Negative emotions are not a sign that you have done something wrong. It is natural and inevitable that we will feel uncomfortable in uncertain social situations. When we open to uncomfortable emotions, rather than contract or try to distract ourselves from them, they will change more quickly.
To help yourself learn to welcome uncomfortable feelings that may arise from socially distancing situations where you feel anxious, download this imaginal meditation, Be All Right, Even When You’re Wrong.
There has never been a better time than now to practice self-compassion and tolerance for others’ judgments. Using these three strategies, we can gain confidence that empowers us to be more comfortable, more authentic in social settings. That’s confidence we’ll be grateful for long after this crisis passes!
THE ANXIETY VIRUS: 3 Essential Strategies for Building Immunity to Uncertainty in the COVID Crisis
As the COVID crisis was revealing itself to us in late February, I was just finishing up a book on uncertainty. But over the past few months, we’ve become subject to a heightened level of uncertainty we’ve never known before that is creating much anxiety. That’s why I, with help from my husband Doug, have written a short new book with tools to cope with the unique uncertainties we are all facing NOW.
Health: Will I or my loved ones get sick and die? Are my elderly parents safe? Are these body sensations signs of Covid-19? Dare I go back to work?
Finances: Do I have enough money? Can I get government aid? Will my retirement fund recover? Can I pay my rent or mortgage? Will I lose my job? Will the company I work for reopen?
Supplies: Toilet paper, flour, rice, medications, meat—will there be enough?
Social: How much should I social distance? How much should I connect online? Will I lose my friends and connections?
General: How long will this last? Will my children fall behind academically? Do our elected officials know what they’re doing?
The Anxiety Virus addresses the uncertainties we face today, and every day for the foreseeable future. I believe this crisis is an opportunity. We can either contract, and try to white knuckle our way through this, or we can expand our capacity to accommodate everything that’s happening. This book gives strategies to help us not only survive this crisis, but to actually thrive.
COVID-19 has plunged us all into an atmosphere of extraordinary uncertainty, but with the right strategies, we can respond and adjust. Resilience to uncertainty is what we need right now. It will give us the flexibility and confidence we need to master any crisis!
This book comes with additional online audio meditations and downloadable worksheets!
Because of the urgent timeline, we decided to self-publish The Anxiety Virus on Amazon. It is now available both in Kindle and paperback format, and I invite you to order a copy. If you find it useful, I hope you’ll take the time to rate it, or if your so moved, leave a few words of review. Without a publisher, we’ll need some help to get the word out!
Since the “Look Inside” preview is not yet activated at Amazon.com, you can take a look inside and learn more here.
Endorsements…
“Jennifer Shannon has written a timely, readable and completely relevant guide to managing anxiety in these uncertain times. She has a knack for simple phrases that capture profound truths — such as “let fear metabolize” and “reasonable precaution enables reasonable risk”. Her conversational story-telling style universalizes these insights and guides the reader to a gentle practice of venturing out.”
Sally Winston, PsyD
Co-author of Needing to Know for Sure: A CBT-Based Guide to Overcoming Compulsive Checking and Reassurance-Seeking and Overcoming Unwanted Intrusive Thoughts,
“You can’t solve each new crisis that arises. But you can master the ability to tolerate uncertainty. The task is difficult, but it is simple. Spend some time with Jennifer Shannon’s book, and your body and mind will thank you for it.”
Reid Wilson, PhD
author of Stopping the Noise in Your Head
“Great suggestions for quieting inner turmoil, complete with specific examples of how we might cope with the challenges of media overload, fearing shortages of toilet paper, taking sniffles as a sign of death, and more. Great reading while you shelter in place!
Dave Carbonell, PhD,
“Coach” of the popular self-help site, anxietycoach.com, is the author of Panic Attacks Workbook, The Worry Trick, Fear of Flying Workbook, and Outsmart Your Anxious Brain: Ten Simple Ways to Beat the Worry Trick
On Monday May 4th, 2020 @ 2pm I participated in a discussion on the “About Health” radio program with Rona Renner, RN on radio station KPFA 94.1 FM in the San Francisco Bay Area. If you missed the live broadcast you can listen to the reply below.
We discussed ways to manage anxiety and build resilience.
With the Covid-19 Pandemic, anxiety about our health, safety, and future is high! It’s hard to relax when there is so much uncertainty. For many people it’s particularly challenging. Under normal conditions anxiety disorders affect 40 million adults in the US age 18 and older, and is thought to be the most common mental health problem in the US.
Uncertainty, Anxiety, and Resilience - Radio Discussion with Rona Renner on KPFA
On Monday May 4th, 2020 @ 2pm I will be participating in a discussion on the “About Health” radio program with Rona Renner, RN on radio stationKPFA 94.1 FMin the San Francisco Bay Area. You can also listen to the live stream online at https://kpfa.org/program/about-health/.
We will be discussing ways to manage anxiety and build resilience.
With the Covid-19 Pandemic, anxiety about our health, safety, and future is high! It’s hard to relax when there is so much uncertainty. For many people it’s particularly challenging. Under normal conditions anxiety disorders affect 40 million adults in the US age 18 and older, and is thought to be the most common mental health problem in the US.
Call us with your concerns and questions: 1-800-958-9008
About our guest –
Jennifer Shannon, LMFT is a licensed psychotherapist and a Certified Diplomat in Cognitive-Behavioral Therapy specializing in anxiety. She has over thirty years of experience treating children, teens and adults. She is the author of five books, including Don’t Feed The Monkey Mind, The Anxiety Survival Guide for Teens, and Monkey Mind Workbook for Uncertainty to be published August of this year. She is coming out with a kindle book this month called The Anxiety Virus, Five Essential Practices to Build Immunity to Uncertainty. She speaks regularly at national conferences and has been featured on radio programs, in magazines and newspapers. She co-authors her books with her husband Doug, a gifted illustrator. Find out more about Jennifer Shannon at www.jennifershannon.com
Yesterday I received an email from a former client with the subject line HELP!! Six months ago, Angie came to me with contamination OCD. Obsessed with germs, Angie washed her hands and used hand sanitizer compulsively, avoiding touching everything from the door handles to the magazines and armrests in the waiting room of my office. (Just like we all are now.) Working together, using incrementally progressive “exposures”, Angie’s obsessions and compulsions faded, and satisfied, she ended therapy. Then came the Coronavirus and turned Angie’s world upside down!
The CDC is recommending the very behaviors Angie had conditioned herself away from. Her anxiety had spiked, she told me. She was afraid that all the gains she’d made would go down the drain. What could I say to help, not only Angie, but myself, and all of us who are obsessing over the Coronavirus, trying to protect ourselves and our loved ones, while our anxiety reels out of control?
As Angie knew from experience, and we’re all learning right now, germ prevention behaviors like hand-washing give only temporary relief from anxiety. So long as there’s the chance that we’ve missed a germ, our limbic system will continue to pump out fight-or-flight alarms. Angie didn’t want to go back to the downward spiral of stress she experienced with her OCD. She wanted to be able to rest and relax, despite the danger of contagion. As do we all. How can we have any peace of mind with so much uncertainty around us?
Here are the three steps I shared with Angie:
1. Adopt an expansive mind-set. Since sheltering in place, social distancing and washing our hands can only slow down the spread of the virus among us as, we cannot be certain we as individuals will not get sick. The mind-set we want to have will allow for this: When I take reasonable precautions, and accept the uncertainty that remains, I can rest and relax.
2. Resist urges to give in to certainty-seeking behavior. Angie was taking her temperature as many as six times a day, which isn’t recommended by the CDC. Every time she noticed a sensation of a sore throat or feeling warm, she felt anxious. Taking her temperature made her feel better for a while, until the next physical sensation made her anxious again. Angie was programming her limbic system to remind her, with fight-or-flight messages, to keep checking, what I call feeding the monkey mind. When we reinforce this reactive part of our brain, we are not only programming ourselves for more reactivity in the future, we’re decreasing our ability to tolerate uncertainty.
3. Welcome our feelings of anxiety. One of the most powerful ways to retrain the limbic system to calm down is to remind ourselves it is okay to feel anxiety right now. When we open to negative emotions, we give them space to transform, just like a cloud transforming itself in a wide expanse of sky.
Angie now has clear steps to follow so she doesn’t fall into the trap of obsession and compulsion. When she feels an urge to go beyond CDC guidelines—to try to be certain—she can choose to resist it, and welcome the emotions that are normal in this time of crisis. And when she is taking realistic precautions like washing her hands, wiping down surfaces with sanitizing wipes and social distancing, she can remind herself of her expansive mind-set, welcoming whatever uncertainty is there to exist. With these three steps, we can all train ourselves to rest and relax, even in the middle of a pandemic. It is a healthy thing we can do for ourselves, our loved ones, and our community.
I would love to hear how you are doing, and what is working or not working for you. Leave your comments below.
The Coronavirus feels frightening to us, for good reason. Our collective fear motivates us to keep informed and take action to mitigate the spread of this virus.
But when we can’t be certain what is the correct information or what is the best action to take, our prolonged bouts of fear can diminish our physical, emotional and spiritual health. This short meditation is a useful tool to help decrease our stress so we can stay strong and take wise action.
If you find this practice helpful, please share it with others!
After my first child was born, I developed panic disorder. It was horrible. There I was, a first-time mother having panic attacks not only throughout the day, attacks that woke me up at night, and rob me of the precious sleep I needed to care for an infant. I had my Master’s degree in counseling, but it hadn’t taught me what to do about panic attacks. I felt like I was losing my mind, and worse, I was ashamed. I was failing at the two most important things in my life, becoming a mother and pursuing my professional career as a therapist.
Desperate, I began counseling with a really nice therapist. Together we hypothesized that the stress if caring for an infant brought on the attacks, and we explored my past to understand why I was so anxious. This didn’t help, in fact, if anything it made me feel worse. So, I tried every alternative help I could find, from relaxation techniques and meditation to biofeedback. But the panic attacks kept coming.
Then one day, browsing in my local bookstore, a book jumped off the shelf at me. It was Don’t Panic, by Reid Wilson. I began reading right there and then, and within minutes, tears were streaming down my face. The author described exactly what was happening to me, and better yet, he outlined a treatment for panic unlike anything I had tried before. It was my first real introduction to the exposure techniques used in cognitive-behavior therapy. I got to work following the steps outlined in his book, and three months later I was cured of panic disorder.
When it comes to panic and agoraphobia, or any type of anxiety, “trying to relax” only contributes the problem. When we try to get rid of or avoid anxiety and tension, rather than letting them run their course, we are confirming to our monkey mind that anxious sensations are dangerous and could lead to passing out, having a heart attack, going crazing, losing control of ourselves, crashing our car. As a therapist, I help my clients do exactly the opposite. We actually activate anxious sensations on purpose, moving towards them, not away from them. There’s a saying worth remembering when we feel the urge to “try to relax”. “The only way out is through.” It applies to all the fears we are trapped by.
I did not realize it until it was almost too late. I am susceptible to the coronavirus! I was making dinner with a friend who’d just returned from Las Vegas. We were dipping our hands into bowls of raw chopped fresh vegetables to assemble into spring rolls. Suddenly the thought popped into my head that I did not remember seeing my friend wash her hands first. Las Vegas has thousands of people from all around the world, all in close quarters. She could easily have been exposed to the coronavirus and now I am being exposed too. Oh no!
My urge was to ask her to wash her hands, to watch her closely to see if she was touching her face and then the rolls, perhaps even to not eat the rolls. Luckily, I caught myself in time. As an anxiety disorder therapist, I knew what was happening; the unconscious survival oriented part of my brain, what I call the monkey mind, was activated. It was sounding the fight-or-flight alarm, trying to keep me safe. But the notion that coronavirus was a threat to me that day in my friend’s kitchen wasn’t realistic. By following the monkey’s orders I’d be increasing my susceptibility to a bigger epidemic: anxiety. I’d be feeding the monkey, guaranteeing more outbreaks of anxiety.
There are three things I recommend we can do to reduce anxiety and stay healthy in the face of the coronavirus epidemic. First, when we feel the urge to change our normal hygiene habits, ask ourselves what is our basis to do so. Is it anxiety? Don’t make any changes unless they are advised by expert authority, like the World Health Organization or your doctor.
Second, place a limit on your time reading news and social media about the virus. We don’t need to follow every detail. Scary images and words overstimulate the monkey mind, which cannot differentiate between what happened “there and then” and what’s happening “here and now”.
Third, send love to those in parts of the world that are affected by the virus. This can be in the form of prayer, meditation or whatever way you choose. When we send love to others who are in pain or suffering, we are opening our heart, rather than contracting it out of fear. This is the most powerful way we can stay emotionally—and physically—healthy.
I have always been intrigued by the Tiny House movement, fantasizing about what it would be like to live with less, embracing simplicity. Well, now I get to live my fantasy, at least for a couple of months. My husband and I are renting a very small cottage—less than three hundred square feet—while we wait for the condo we lost to the Tubbs wildfire to be finished, and I am excited! The home we are moving into, though tiny, has a simple elegance and its surrounded by gardens and oaks. I place a high value on living with less and creating more simplicity, but actually doing it is a challenge in our materialistic society. Here’s my chance!
This past week we have been packing up what we’ve accumulated in the past two years, and despite our intention toward mindful purchasing, damn, we have a lot of stuff! Recently I read about Project 333, where you whittle down your wardrobe to 33 items of clothing, including shoes, (excluding underwear), to wear for three months, after which you can swap out. Since there is only a very tiny closet for both my husband and I to share, I’ve signed on to Project 333. Going through my closet, I filled two large plastic garbage bags with clothes to store away and still was twenty items over! I had to fill one more smaller bag to get under the limit of 33.
I am also scared! The refrigerator is dorm size, there is no washer or dryer, and there are no doors to shut other than to the one bathroom. I love my own privacy and personal space but I’m determined to be open to the frustrations, loss, and disruption I expect to encounter, just as open as I am to the simplicity, beauty and unexpected joys I expect to encounter. This is the stance I want to cultivate in my life. By intentionally choosing this challenge I hope to develop a sense of peace and presence that doesn’t depend on the size roof I have over my head.
Do you care to join me? Not living in the tiny house of course! I mean to join me in choosing to live with less this month. Here are a few tiny adventure ideas you could try for 30 days:
You could join me in Project 333 Clear out your fridge and only use ½ of the space. Put away half of the gadgets on your kitchen counter, or work desk. Put away a dozen decorations that you have around your house. Put away the kitchen utensils you rarely use. If you have children, you might include them in this experiment and have them pick out 30% of their toys to store away for one month.
If you choose a tiny adventure of living with less, please post your comments!
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