You Are Not Your Diagnosis

Photo by Chris Barbalis on Unsplash

In my many years of practicing therapy, I have had some clients who feel that what they consider to be their traits, temperament, and preferences - i.e. their personality - is reduced to a diagnosis. Perhaps you identify with and have nurtured these qualities over time, and you take pride in that. Your way of being has helped you navigate the world and has gotten you where you are today. Thus, in addressing these qualities in therapy, you might be concerned that the work we do could radically change you as a person or invalidate your life experiences.

Here’s my short answer: You are not your diagnosis, or even the symptoms of your diagnosis.

My initial meeting with you helps me understand where you’ve been and what you’re struggling with. While a diagnosis is necessary for billing insurance and can be helpful to guide treatment, I see the qualities that you bring into sessions as a condition, and sometimes, as a timestamp of where you’re at, rather than a disorder. There is nothing wrong with you. Some things are just not working as well as you’d like, and you can use some help figuring it all out.

Here’s an analogy:  I once knew a young man who was well over six feet tall. He liked being tall, but he had had a problem hitting his head on low overhanging things like street signs and door frames. Not that I saw him in the office about being tall -- I saw him for something entirely different. He doesn't necessarily have to change being the way he is, as much as hopefully growing to be someone who is more versatile, like learning to duck at times.

My point is: Therapy is often about adjusting to situations, as a practical matter. You don’t have to stop being you; but we can help you do you with more flexibility.

Let me know if I can help!

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Bob Russell is a therapist at People Bloom Counseling, a Redmond psychotherapy practice in WA. He helps teens and their families thrive through the adolescent years. He also helps twenty somethings figure out their place in life. In his 40+ years working in mental health, he’s developed a knack for helping people peel the layers of the onion that make up their identity. Bob can be found at PeopleBloomCounseling.com.

Lone Rangers Need Friends Too: Finding Community in an Increasingly Isolated World

Photo by Priscilla Du Preez on Unsplash

Making light of loneliness

The only thing I can bring myself to watch lately is comedy shows. My latest fixation is on the Netflix special Getting Coffee in Cars with Comedians, in which Jerry Seinfeld takes comedians out to coffee. When two comedians get together, they commiserate about the state of the world and their fears and insecurities, but always find a way to make it funny.  Comedy shows remind me of the human condition which is this: We all struggle, and we all feel desperately lonely sometimes. This is even when, and perhaps especially when, we have all the fame and money in the world.

I know this sounds depressing, but it’s meant to be reassuring. We are all in this tough world together, so we might as well laugh as a way to cope.

If famous comedians with millions of adoring fans feel this lonely, where does that leave us regular folks?

We have all been there

In her last post, Ada made an appeal for social inclusion, urging readers to reach out to those who may feel excluded. It inspired me to pay attention to people who may not be in my inner circle, but it also reminded me of all the times I have felt excluded.
I was that painfully shy kid in school, so it’s a sensitive topic. It’s been 20 years since junior high but still feels #toosoon. And even as an adult, I have felt abandoned by flaky friends, like a loner on many a Friday night, or terrified of rejection when I initiate hangouts.

So, I wanted to talk about what this young adult does when she feels like the “other.” 

The loneliness epidemic

So many people live in solitude and wish they had more connection. We all know that feeling lonely is emotionally distressing, but science also confirms that it can lead to a whole slew of health problems. And conversely, people who are well connected live longer and happier lives.

We Americans pride ourselves on our individualism and place a lot of value on independence - that cowboyin’ lone ranger mentality. But we are social creatures, and even lone rangers need friends. Friendships came so naturally when we were kids surrounded by peers, but once we’re no longer in proximity of a social group, making new friends gets difficult. As we get older, many of us are worse at maintaining friendships. The fact that we're highly mobile and can move half way across the world also doesn't help. But, as we get older, our need for friendships doesn’t diminish.

You can try to counteract this disconnect with social media “friends,” but unless you’re using Facebook to decide where to meet the gang in real life, the social media experience can leave us feeling empty. We all crave acceptance, closeness, and meaningful connections.

Do you get lonely sometimes?

If you answered yes to this question, you're normal. Admitting that you feel lonely takes courage, because we humans have our egos to protect. It means confronting our social insecurities and realizing our relationships are not where we'd like them to be. We tend to blame ourselves for feeling this way, as if it shows that we're weak for needing others. So this is how it goes down: we feel lonely, we beat ourselves up for feeling this way, and we cope by trying to convince ourselves we don't need community.

It just doesn't work.

Welcome to the party

You are one of many lonely people. The irony is that our feelings of loneliness unite us all. Everyone feels this way sometimes, even people who seem to have it all. If you have a tendency to get lonely, studies show that it’s not your fault. The feeling of loneliness begins a vicious cycle: We crave companionship, and if we sense the slightest rejection, we perceive people’s reactions to us negatively and we feel more sensitive than usual. This further perpetuates our feelings of loneliness. Psychologist John Cacioppo explains this perceived rejection here.

The problem with the simple solution

Well-meaning acquaintances probably tell you to “just get out there and meet people,” enthusiastically suggesting that you get on a dating app or join a knitting circle. But it’s not that simple. Social interaction doesn’t necessarily make us feel any less alone. Sometimes the more people we are surrounded by, the lonelier we get.

Even people in relationships get lonely; in fact, a strained relationship in which you feel distance between you and your partner can make you feel more solitary than actually being alone. There are also the happily married couples who found companionship, but got so caught up with their relationship and family life that their social outlets dwindled over time.  

Want to combat loneliness?

It turns out, one thing that helps to combat loneliness is learning how to interact better. If you identify as someone who perceives slights that might not actually be there, a trained therapist can help you read social cues so you can interact with the world in healthier ways. You’ll see with practice that what we may view as rejection may not be so, and over time you’ll build up the courage to approach others, make plans, and interact with less fear.

Opening up

Knowing how common the feeling of loneliness is might help you be more open about it.  Try telling a confidant that you’re dealing with this, and they might just share their struggles of feeling isolated as well. Much like the comedians confiding in each other about their anxieties, we can find fellow lonely souls who may share our concerns. This sense of comradery is good for our souls.

You’d be amazed at the kindness you might encounter when you open up and show vulnerability. Here's a better cycle: Vulnerability can beget vulnerability.

Put yourself first

It may seem counterintuitive to focus your attention inward when you’re already feeling so self-aware. But try it. Take your attention off the external world “out there” and do things for yourself that make you feel worthwhile. Imagine a lovely guest from out of town is coming to stay with you. How would you treat your friend? Would you cook special meals, make their bed and keep the house tidy? Well…the twist is, that guest is you! Pamper yourself, respect yourself, tend to your needs. This diverts attention from your expectations of others and things that are outside your control.

Ease into the world at your own pace

As a lonely person, I used to try combat my own solitude by inviting everyone I know to hang out at once. These bashes rarely went well, and usually had two outcomes: 1) people would show up, I’d feel all this pressure to make it fun. I wasn’t in my comfort zone and I’d get overwhelmed and vow to never do that again… or 2) almost no one would show up. As a sensitive gal, I’d internalize this as meaning I’m unlovable as a friend and the rejection cycle ensues.

I learned over time that it'd be in my best interest to embrace my introversion.  I started small and continue to take small steps. I run with my strengths, not my weaknesses. I do better with an intimate crowd of one or two and I'm happy with that. 

Be true to you

When you’re ready to go out in the world, find what works for you. Do what makes you feel comfortable so that you can be excited about it. Your interests and hobbies make you who you are. Go find your people. There is a crowd for every interest these days and sharing your likes with others can be a gateway to making connections. Sites like Meetup.com allow you to find activities based on shared interests. Find art classes, lectures, or musical events that provide a structured activity so there is less pressure to interact. If you’re religious, try joining community events at your congregation.

There is no pressure to keep attending social events if they don’t feel right. But, putting yourself out there is a form of therapy called “exposure therapy.” The theory is, the more you expose yourself to an uncomfortable situation, the less white knuckling you'll be doing and more at ease you will feel with time.

The key to being around others? Enjoy the activity as your first priority, and if connections happen, that's the cherry on top.

You got this!

Meeting new people can be intimidating. Go easy on yourself and treat yourself with compassion as you navigate this strange new world. Having a professional around to help you through this process can make a big difference. Talk to a therapist for guidance if you’re not sure where to start. You know where to find us.

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Karen Lenz is the Executive Assistant at People Bloom Counseling. She’s the office admin whiz - not a therapist. She writes blog posts as a human navigating this world, a client sitting across from a therapist, much like you. She is thankful to get to share her experiences with you, and hopes that her messy journey might resonate with you and make you feel less alone.

A Case for Social Inclusion

Photo by James Baldwin on Unsplash

Don’t go through life alone 

In previous posts, I’ve talked about the importance of friendships. When we’re going through a hard time, we fare better with a friend’s support because we have access to a larger pool of physical and psychological resources. Just knowing that someone cares for you, thinks about you, and is willing to do tangible things to help you can make you feel ten feet tall. Someone has your back; you don’t have to fight the fight alone.

This is not just with friends.

Being seen and standing with

Given the political climate, there has been more seeing and standing with each other against the “isms” of society. We may personally know someone who is oppressed or the sheer knowledge that injustice is happening to another human being is enough to make us take a stand. This is not okay. We may be standing with strangers but that doesn’t matter. It is our way of saying they matter, and they are one of us and we’re one of them.

Social inclusion is key to our sense of well-being. Let me tell you how.

A ball experiment

In a social experiment involving sets of three subjects, they were initially asked to take a life satisfaction survey. Questions included items such as, “How would you rate your quality of life? How satisfied are you with your current relationships? How do you like your job? How hopeful are you about your future?” and the like.

They were then taken into separate rooms and two of the subjects were given the same instructions: pass the ball equally back and forth to each other and then eventually at the exclusion of an identified third. This third subject, however, was told that the ball would be equally passed between the three of them.

They did as told.

At first, it was pretty uneventful. It was an equal ball opportunity; no hard feelings. Over time, it became apparent that for one reason or another, the third person was being left out. This person signaled, reached up but was only passed the ball occasionally. At the end of the back and forth passing which lasted no more than a few minutes, they were told to re-take the same life satisfaction questionnaire. Can you guess how their answers differed?

Experiment results

The two people who felt included and were simply following instructions rated similar results as before. If they felt that life was good; life was still good. If life sucked; the experiment didn’t change their perspective much. The third person, however, had a more pessimistic view of looking at the world compared to just moments before: their quality of life decreased, they felt like their dreams weren’t going to come true, they were less satisfied with their jobs, etc.

All this from passing a ball back and forth with complete strangers. Do these results surprise you?

Social exclusion in your life

When was the last time you found yourself in a situation where you felt “other?” What was that like? What thoughts went through your mind? How did that impact your mood? What did you do afterwards? I can imagine this all depends on how important the social gathering, the relevance of those people in your life, how frequently this has been happening, and how you interpreted their cold shoulders. We’ve all been there; it’s hard to not be picked, seen and included.

You can pretend that it didn’t bother you, but it did. You can hide that it hurts, but it still hurts.

Extending the invitation

Knowing how that feels, what if you can make your community a little more inviting? Who’s in your circle and how are you including them? How can you extend your circle to bring in others? These do not have to be over the top gestures. Small things matter.

For example, when was the last time you were in a conversation in a group and you noticed someone on the outskirts and you simply left them there? You were not intentionally being rude but you also didn’t make any effort to include them. What if you locked eyes with that person from time to time? What if you asked them a question and brought them into the conversation? What if a smile made the other’s world a less lonely place?

In case you feel “other”

If you feel “other” and you’re having a hard time integrating into your community, we’re here for you. Here at People Bloom, we’re all about helping you grow your tribe: the people who will be there for you when we’re no longer in your life. I help couples connect and cancer patients heal. Bob helps teens and young adults find their way through their home, school, work and social life. We hope to meet you!

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice in WA. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She’s guilty as charged when it comes to remembering how she has left someone on the outskirts. She’s going to change that in the next two weeks.

A Life Worth Living: What to Do When Faced with Thoughts of Suicide

Photo by Larisa Birta on Unsplash

Death by suicide

Social media blew up two weeks ago when fashion icon Kate Spade and culinary expert Anthony Bourdain died by suicide days of each other. After all, who doesn’t know the brand Kate Spade, hasn’t walked past one of her stores, or perhaps own one of her purses? Foodie or not, who hasn’t heard of Anthony Bourdain and his culinary storytelling that sparks interest and delight in food and cultures all around the world?

News like this often get the immediacy of the press and then slowly fade away. However, if you are familiar with the feelings of suicide or have lost family, friends and role models to suicide, you do not just recover and move on. These thoughts, feelings and images still consume your mind even when the news has moved to national crises like the horror of separating immigrant children from their families.

Suicide unfortunately happens amongst everyday folks, and this rarely makes the news or causes a social media uproar. While Spade and Bourdain may have been inspiring role models, their deaths didn’t spur this strong reaction because they matter more than the rest of us. It is because high profile celebrity suicides affect our collective consciousness and bring awareness to a problem people face in their small communities. We want to open the discussion about suicide and what we can do to prevent it.

Soapbox about suicide language

As a healthcare professional in the state of Washington, I am required to take a suicide prevention training every six years. One of the most significant takeaways from the last training was changing the way we talk about suicide. We often talk about someone having “committed suicide.” If we really stop to think about it, the closest association of someone having “committed” something is a crime.

While we would never say that someone “committed cancer” or “committed heart disease,” let’s start by saying that it was death by suicide. I understand that suicide implies a choice whereas medical illnesses does not, but it doesn’t help for us to talk about our struggles if we’re loading on the stigma.

Thoughts about ending the pain: a common experience

Recently, I took another suicide and self-harm training. This time, it was with Jack Klott, a suicide prevention consultant. There, I learned that the thoughts of suicide is actually a common experience. Difficult or sometimes chronic life circumstances can create a felt sense of unbearable pain. This then challenges our capacity to cope, and thinking about death is an effort to get rid of this intolerable pain.

The thing is, as a society, we freak out when someone talks about thoughts of suicide. We are quick to talk them off the ledge, which in imminent situations, we need to. But in cases where it took a lot of courage to even admit to having these thoughts, it doesn’t help to be told to not think or feel this way. Rather, we need a be willing to learn about each others’ pain and to encourage the person with suicidal thoughts to get help.

Additional factors to protect against suicide

Indeed, having a support network is a protective factor in preventing suicide. Jack Klott also mentioned the importance of the following factors:

• Resilience. This is about the process of adapting and recovering from significant stress or hardships. In a separate training, I learned and shared about stress-resilience habits.
  

• Hope. Remind yourself how you got through difficult circumstances in the past, because you have. When it’s hard to hold hope, allow and trust others to hold that with you and for you.
  

• Tolerate stress and distress. In moments of despair, it’s about surviving that moment without making matters worse. Dialectical Behavior Therapy (DBT) is a pioneer in teaching you how to tolerate, rather than avoid, distress. Here’s an overview on distress tolerance.
  

• Regulate emotions. In the face of unbearable pain, emotions are strong and overwhelming. This often prevents your pre-frontal cortex from thinking rationally. Learning DBT skills can help you label and regulate your emotions, so you don’t feel so crazy inside.
  

• Social support. I mentioned it above, but I see it’s such a necessity to mention it again. Suicidal thoughts are a common experience. The only way we can feel less alone about it is if we give it a collective voice. Much like the #metoo movement, don’t suffer in silence. Reach out if you’re having a hard time. Reach in if you know someone is struggling. We are each others’ safety net.
  

• A reason for living. Did you know that a lot of amazing things needed to occur for you to be born? The odds of you being born to the parents you were born to required a lot of “coincidences” in the history that preceded them. And I’m not even talking about how babies are made. That math is 1 in 400,000,000,000. You’re uniquely you. While you might not be a Kate Spade or an Anthony Bourdain, this world is not the same without you. You are changing the world by being in it and doing you.

Life is hard; get help

If you’re struggling with thoughts about suicide, share these thoughts with a trusted friend or healthcare professional. Text CONNECT to 741741 in the United States. Call the National Suicide Prevention Hotline at (800) 273-TALK (8255). Visit Now Matters Now to learn helpful ways to deal with your suicidal thoughts.

For people living outside of the US, International Association for Suicide Prevention has a list of resources to help you.

You don’t have to go about this alone. Get help.

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Ada Pang, MS, LMFT is the proud owner of People Bloom Counseling, a Redmond therapy practice in WA. At the heart of what she does, she’s about helping people flourish and live compassionate and vital lives. She can be found at PeopleBloomCounseling.com.

The Origins of Depression and What to Do with your Bad Feelings

Photo by Teddy Kelley on Unsplash

Depression stats 

Did you know that according to the Anxiety and Depression Association of America, Major Depressive Disorder affects as many as 16.1 million adults in our country? That’s 6.7% of our adult population. In fact, it is such a prevalent problem that the World Health Organization made a video about depression, giving it a personality as the Black Dog:

If it’s likely that someone at work, the mom at the soccer game, or the checker at the grocery store struggles with depression, then what do we know about its origin? Perhaps you’re wrestling with the black dog yourself and you want to learn how to live with this uninvited pet.

The thing is, depression didn’t come out of thin air; it isn’t our natural state. Depression has been linked to genetics, chemical imbalances, and environmental causes, making it hard to determine the exact cause of the condition in each person. The good news is that there are things you can do to manage it.

Depression and its origin 

Depression from genes 

Depression can be hereditary. A lot of research has gone into identifying biological factors that seem to coincide with this disorder. Anecdotal evidence also supports this: depressed people often seem to come from depressed families, in a way that can go back generations. This shows there must be some genetic component.

Depression from chemical imbalances 

Depression has also been linked to chemical imbalances. The idea of a "chemical imbalance" is a rather vague one. An imbalance between what and what? No one seems to know for sure. But many of us have heard about the role that too little of the neurotransmitter Serotonin is linked to depressive symptoms. Hence, various anti-depressants are used for alleviating depression, as most of these drugs raise serotonin levels in the brain.

Depression from environmental causes 

Depression can creep in due to difficult life circumstances. A history of abuse, family conflict, bullying, oppression, social isolation, etc. can weigh on anybody. A wise supervisor once said, “Every issue in counseling can be traced to some sense of grief and loss.” Indeed, when life doesn’t happen as expected, you’re wrestling with the gap between the life you want and the life you’re living.

We all want to feel good 

It’s a no-brainer that people like to feel good. We can all agree that feeling bad is something we want to avoid. Some people are better at the game of maximizing "good" over "bad" feelings, in a way that works for them their whole lives. They’re good at “feeling good” and “looking on the bright side,” at “letting problems wash over them like water over a duck’s back”. Maybe they hang around like-minded people. But regardless of how they do it, some people make it look easy.

It’s not easy for everyone.

Advances in the field 

Science and technology constantly make improvements upon our everyday lives, but these advances are limited when trying to help us understand how people can be good at the art of managing feelings. Sure, we can identify triggers to feelings, how it shows up in our bodies, and what urges we have to say or do in response to these feelings. However, there is much more to understanding an emotion than measuring how strong or frequent it is.

The intangibility of feelings 

What is the basic nature of feelings? You can't quantify them very well. You can't show me five pounds' worth. You can talk about how it feels to have a feeling, but you can’t objectively say what one is. It doesn't do it justice to use another word like "sensation" to describe it - that just replaces one vague word with another. Feelings are very real things, but they are also intangible.

Make depression go away! 

Modern culture dodges such a question, because feelings are such poor candidates for objective discussion, especially in scientific circles. Feelings are not "rational”. It seems easier to attribute the bad feelings of depression to something that runs in families that can be treated with the right medication. Indeed, many people who suffer from depression, at best, can only guess at where it came from. They just know that they have "it". You either have "it", or you don't. The most important thing is to make it go away.

Depression is like the black dog. A constant companion, depression is made up of a collection of feeling-loaded problems that, at a certain point, qualify you for the diagnosis. These symptoms include poor mood, lack of motivation, negative thinking, pessimism, inability to enjoy the things you once did, or low self-esteem. Like all other emotions, these bad feelings come from somewhere. For each person struggling with depression, there is a story of how the black dog got there and why he’s staying.

Get to know the black dog 

In order to treat depression on an individual level, we need to delve into the feelings - messy as they may be - and set aside our need to explain our behavior with science and research for a moment. Getting to know the black dog: that part is indeed subjective and hard to define. But those feelings that make up the black dog are a huge part of who you are, a huge part of your life story. If you want to grow as a person and make the most out of life, it would be important to bring the black dog into our therapy room.

Delve into messy feelings

Depression is problematic feelings that begin to take over your life. When you learn about these feelings and how they have fit in to your life story, it makes you more aware of who you are and how you are. As the stories about these feelings get unraveled, you will be equipped with "data" as to how to better handle them. You can end up becoming more and more like those people who are "good at" knowing and managing their feelings.

Emotional life is that way; you can't put numbers to it or objectively explain it. Yet, with practice, you can learn to acknowledge your feelings, get to know them better, understand why you feel the way you do, and what you can do about them. The black dog doesn’t take up as much space in your life; you can have him on a leash, rather than the other way around.

I want to help you with this process. When you're ready, I’ll be in my office.

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Bob Russell recently joined People Bloom Counseling, a Redmond psychotherapy practice in WA. He helps teens and their families thrive through the adolescent years. He also helps twenty somethings figure out their place in life. Having been through rough patches during his teen and young adult years, he knows what it’s like to delve into messy feelings and come out stronger on the other side.

5 Tips for Surviving the Overwhelm

Photo by nikko macaspac on Unsplash

A COMMON EXPERIENCE

In an earlier post, I wrote about helping my playmate Tammy and her son Trevor move. Well, last month, Trevor got sick at school and he was sent home for much of the week. Tammy, a single mom, could not afford to miss so much work. It so happened that Tammy’s family was out-of-town and she also started part-time school. Tammy was at her wits end, and as her good friend, I did not respond well.

Say, just because I’m a therapist doesn’t mean I'm always patient and stoic. Even I don't have my sh*t together all the time. But, that’s probably content for a different post.

As I debriefed the incident with Tammy, it reminded me that this is a common experience. The work project is due on the same week the in-laws are coming in, and the hot water tank failed while little Joey developed chicken pox. Some of the events were foreseeable; others were sprung on us and converged into the perfect storm. When all is said and done, one can probably laugh about it. But in the midst of the chaos, what are we to do to survive these moments?

5 Tips for the Overwhelmed

1. Ask for help yesterday

Okay, I don’t mean to sound facetious, but I am suggesting for you to ask for help before things are in dire straits. We live in a culture where people are prized for doing it all by themselves. To ask for help is to show that you don’t have it all together, that you’re not making the cut. But the thing is, we all lean on each other to get through life and others might not know that you’re drowning or might not understand the kind of help you need until you ask. Even if the ask is simply, “I don’t know what I need, but I can’t pull this off by myself!” That’s cuing the other person to problem solve with you when you don’t have the bandwidth to do so alone.

I want to emphasize asking for help early on because by the time you’re feeling desperate, any sign of rejection is taken as a slap in the face and you’re more likely to shut down and not reach out. That will often make things worse. When things haven’t hit rock bottom but you’re feeling the strain of the situation, you still have it in you to communicate about your needs and give the other person time to plan ahead. If that person is not available, others might still be.

You don’t have to wait until you’re at the end of your rope to say you need a little help along the way. Sometimes having people remove just a thing or two from your plate is enough to give you clarity about your next steps, rather than feeling stuck in the overwhelm.

2. Don’t think about the other person when asking for help

This is important enough to put in its own category. There’s a tendency to consider whether another person can give the help before we even ask. Oh, it’s the weekday, people have their lives. It’s the weekend, people are busy. I can’t ask; that person lives so far away. I know for sure they have soccer practice on Wednesday nights so I wouldn’t want to interrupt their schedule. Chances are you’re right. We’re all busy, or often times we look it because that’s another thing our society values. But, can you puh-lease let the other person decide whether they can help you, rather than deciding for them?

What if they want to help you and can bring over take-out, rather than cooking at home? What if Garret can step in to take the kids to soccer, freeing your friend up for laundry service? You don’t know what other people might decide to do when you present them with the need. By not asking or by asking during a crisis, it closes off the possibilities that are available to all of you.

3. Drop the ball on other things

I get it. I know you have a lifestyle to maintain; you still want to pack lunches, eat nutritious meals and do your exercises. You’re pissed off that expected and unexpected things are disrupting your routine. Listen: You can’t have it all. Not right now. There’s too much going on. Some things have got to give. I wouldn’t say this to you when you’re just going about your everyday predictable life. When things are not going as planned, it’s important to pivot and see what you can get off your plate, including the things that are already there before sh*t hit the fan.

This is not about giving up or giving in; it’s about being adaptable to your circumstances. If you eat frozen dinners, miss yoga and run a just good enough meeting, no one is going to die. When you’re no longer putting out fires and you have more in you, you can go back to doing you.

4. Take it a moment at a time*

So you have lots to do and you want everything to be fixed two days ago. You can’t possibly imagine how you’re going to get through the week because the more you anticipate what’s ahead, the more overwhelmed you feel. If you’re not already aware, your ability to make sound decisions goes out the window when there’s too much going on. Now is simply not the time to think about your final exam in two weeks, your kid’s birthday party in a month or your performance review coming up. There is enough on your plate you don’t need to pile on more. Now is only about how you can get through this moment without making things worse.

What do you need to do right here, right now to resolve the most pressing thing? What do you need to do the next hour to chip away at this other problem? What needs to happen tonight to plan for tomorrow morning? During periods of overwhelm, just focus on the immediate, putting one foot in front of the other. When you’re past this storm, you can look up again to see how you’ve pulled it off, hopefully with some help.

5. Do the opposite of what you want to do*

There’s a tendency to want to self-sabotage when we’re going through a hard time. Thoughts like What’s the point? No one cares. I can’t do this anymore! This is too hard. Why me? will frequent your mind at the most opportune time. Why this happens is a topic for a different post, but what’s more important is that you don’t entertain these thoughts or act on them. Instead, when you want to give up, lean in. When you don’t want to call a friend, call your friend. When you don’t want to get out of bed, get out of bed and start on whatever you know would help the situation.

Do the opposite of what you want to do so that by doing so, you might, though not guaranteed, bring on feelings of hope, relief and comfort, which is the opposite of despair, misery, and distress. Be active by acting the way you want to feel because if you wait until you feel better before you do something, that day may never come. Especially not during times of overwhelm.

EXPECT IT

All this to say, while we're still living and breathing, we'll go through rough patches. This is life. But, it doesn't mean we're helpless to our circumstances. Rather, in light of life's difficulties, how will we get through them and hopefully grow some wisdom along the way...

If you’re feeling the strain and need help, reach out. If you’re in the thick of it, now is a good time too. I specialize in couples and cancer patients and Bob works with teens and millennials. We’re here for you and we can help you get through this overwhelm.

*Borrowed from the traditions of Dialectical Behavior Therapy (DBT)

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice in WA. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. During times of overwhelm, she finds it most helpful to reach out to her husband, eat sushi, and ask for prayers from her favorite people. She’s about getting through that day, because the next day, will be a new day. It always is.

Words from a Mental Health Counselor: Why I Appreciate your Close Friends

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Friendships through the good and the bad

As I read and re-read Karen’s last post about self-care, what struck me the most is how much she and Emma have been there for each other. Their friendship spans almost half her lifetime and they’ve laughed through the sheer joy and silliness of being in each others’ presence, and they’ve cried through painful breakups and difficult medical diagnoses. Do you have a friend like that in your life? If so, they’re making my life as a therapist easier.

Let me tell you how.

Feeling disconnected in your friendships

Clients sometimes come into my office because, “I can’t talk to my friends about this.” Now, these are really close friends. Granted, like Karen has mentioned, some conversations are best left for the therapy office. However, the stuff that my clients bring up shows that they can really use some support in their community. My clients talk about feeling lonely, like they’re the only ones going through ABC when I know their experience is all too common. Or, worse yet, when they’ve finally mustered up the courage to say something to their tribe, it’s minimized, like, “Why is that such a big deal?! You should keep doing XYZ!”

It’s during those moments where you might feel both connected to yet disconnected from your people. Your friendships look close on the outside: you post lots of selfies on social media and you laugh like you’re having a grand old time, yet you leave these meetups feeling alone because you never talked about what really mattered.

Friendships that go deep

It’s easy in our Seattle freeze culture to keep to ourselves. And, when you try to get to know someone, it’s hard to go deep when you see each other only once a quarter. But, when you do talk about deeper issues, and you share about your struggle as a parent, your troubled marriage, or your difficulties at work, can you find some commonality in what you all are going through? Your circumstances might be different but those feelings of frustration, loneliness, or inadequacy are often a shared experience, if you’d only share them.

Your friendships are protective

My clients who have friends they can talk to have better outcomes in treatment. In moments of crisis, they have friends they can lean on and can call upon as a support person. During really difficult times, they know that they’re not alone in their suffering because they remember that Sarah had a miscarriage, Taylor was laid off, Eric is a single dad, and John and Becky are dealing with an affair. People in their community know suffering, and they’re doing life together.

Here’s the best part: when my clients learn new skills in sessions, some share with their friends and develop accountability for practicing those skills outside of therapy. If that doesn’t help with the therapeutic process, I don’t know what does.

Sharing in your friendships

Now I’m not asking you to go from shooting the breeze to sharing your deepest, darkest secrets. But the next time you’re hanging out with people you’d consider your close friends and you hesitate to share something, say something like this: “So, I’ve been meaning to say something but I didn’t know where to start. I don’t need any advice (unless you do), but I really need for you to take me seriously...” You might be surprised at how your sharing opens up more sharing and hopefully, closer friendships.

If you’re having trouble opening up in your friendships or you’re not sure how to best support your friend, you know where to find me.

Emma, if you’re reading this, I want to thank you for being in Karen’s life. I’m not her therapist but I can imagine she’s a better worker because of you and your influence on her life. For that I’m grateful.

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice in WA. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She has a business idea to provide counseling services to friend groups so she can help build stronger, more resilient communities. More to come on that new endeavor.

There Is Such a Thing as Too Much Self Help

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Self-help? No thanks!

The year I turned 30, the life path I thought I was on took a sharp turn and derailed. The end of a six-year relationship left me broken. I was diagnosed with a debilitating autoimmune disease.  A nice Welcome to your 30s! combo set.

At the same time, my friend Emma was going through her own massive life upheaval. She carried me through my post-break-up identity crisis and I offered her support through a messy divorce. Emma suggested I read Codependent No More, by Melody Beattie. There was a time I would have scoffed at those cheesy self-help books. I never would have considered that codependence could be my problem. But desperation set in and I flung open to page one. Here's the short version: opening that book opened my heart to the wisdom of strangers, and it saved my life.

As it turns out, Beattie knew my soul.

I then jumped on the self-help bandwagon. I read all the self-care guides, journaled daily, and was determined to heal - emotionally and physically. The guidance of experts in health and wellness became my enlightenment. If I hadn’t faced some truths about myself, I might still be living in those dark days. My Before Self Help Era (BSH).                   

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Putting down the books

Fast forward four years. As I sat with Emma at a coffee shop recently, I realized we were doing it again. Swapping our latest self-help tips, divulging our deepest flaws and sharing the new tool we learned for coping with whatever challenge we were facing at that moment.

I couldn’t remember the last time I hung out with Emma without psychoanalyzing and dissecting our behaviors and motivations. As we grew and changed together, and as life continued to throw curve balls at us, it was like we’d become each other’s therapists. Our quest for healing had become our common ground and set the tone for our friendship.

Now don't get me wrong, it’s great to help each other when we're struggling! And it’s also easy to dwell on our problems when we catch up - our problems become a topic we know so well! But it’s not our job to treat each other’s emotional pain, especially without proper training.  I trust Emma with my struggles because she is a great listener and gives the best advice. I try to do the same for her. But after all these years, I don’t know if my advice has been helpful, no matter how good my intentions.  A trained therapist would know best how to handle our respective baggage. It was time to stop letting the quest for self-improvement and healing consume us. 

As much as Emma and I thrived on each other's support, we were both feeling the burden of playing counselor. 

Finding middle ground

I missed just being. Emma and I have been friends for 15 years. There was a time when we didn’t analyze our every thought or decision (long before BSH). We were care-free and spontaneous. I know we can’t bring back our free and breezy 20’s. Or, let’s be honest, the days of drunken shenanigans. But, we can try to remember who we were then, and channel that feeling - before obligations, heartbreaks, and mortgages took their toll. We don’t have to constantly obsess and worry about whether we’re doing life right. Self-doubt is at the root of many of our quests for self-improvement.

For a moment over coffee, I can stop trying to fix myself and others. 

So I experimented: I decided to hang out with Emma and do things that bring us joy. We ordered pie to go with our coffee (guilt-free!) and reminisced about things that make us laugh. We walked to the park and played on the swings, like a couple of kids. I think our friendship needed that jump-start. Nothing was broken at that moment, and nothing needed fixing. 

Going against my nature and trusting my instincts

I tend to delve deep when I get into a one-on-one conversation. Keeping things light-hearted is out of character for me, so just having fun is a much needed reprieve. Whenever the conversation over coffee got heavy, I suggested to Emma that she discuss the issue with her therapist. We no longer dwell or talk in circles like we used to.

Granted, I’m still on this journey and have much more to learn. But during that coffee break I gave myself a break from self-improvement, from healing and processing. To exist, free of worry or a need for order and perfection. Ironically, it's self-improvement books that have taught me to be more present and live in the moment.   Maybe I'm finally learning to trust my own instincts - not rely so completely on the guidance of others. Could it be, I'm actually applying what I have learned in my search for wisdom and wellness?

What's your nature?

If you’re reading this blog, I’m guessing you are open to self-improvement and to learning tools to cope with life’s challenges. Doing the work to better yourself can be life-changing. It takes guts to face yourself, flaws and all, and it’s noble work to aim to be the best version of you.

But, if you’ve been bogged down by too much processing, give yourself permission to take a break from overthinking. It’s okay to put down the books, for as long as you need. They’ll be there when you want to jump back in. But for the time being, do the thing that brings you joy. I’m off to play in clay and to see if I can still throw a mug or two. Maybe Emma and I can use it at our next coffee date. If my mug doesn't come out perfectly from the kiln, well, it'll have my fingerprints all over it.

Taking care of you and your Emma

Do you have an Emma in your life?  The next time the two of you end up going down the psychoanalysis rabbit hole, save your own issues for your session with your therapist. If your Emma doesn’t have a therapist and she's open to seeing someone, you can suggest that too. It’s ok to lean on friends for support, but having fun and letting go of it all sometimes can be just as therapeutic as the best self-help book. It can also do wonders for friendships.

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Karen Lenz
Executive Assistant

Hi, I want to introduce myself as People Bloom's Executive Assistant. I know you look to Ada’s  blogs for helpful messages and tips to get through life’s challenges. But running a small business is non-stop work, which means the blog sometimes gets pushed to the back burner. I mentioned to Ada that I like to write, and she kindly offered for me to contribute blogs during those busy times. I was thrilled!
I’m in the office business - not a therapist. I’ll share my experiences as a human navigating this world, a client sitting across from a therapist, much like you. Thank you for letting me share a part of myself. Maybe my journey will resonate with you, and we’ll get through this messy life together.

How to Fall Asleep When your Mind Just Won't Quit

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Have you ever laid in bed and your mind is racing, thinking about everything from that spreadsheet at work to a comprehensive list of your deepest regrets? Sleep deprivation affects your memory, mood, eating habits and your ability to function effectively. If you struggle to fall asleep or you wake up in the middle of the night and start planning and worrying, it can seem like nothing will get you to the sleep state you crave. And we all know that worrying about not being able to sleep is exactly what makes is impossible to fall asleep. Welcome to the sleep conundrum.

I am not a therapist, but a busy bee like you with a lot of practice tossing and turning at night. But because I struggle, I also want to share a compilation of methods I’ve tried that work for better sleep. I call it a lullaby for grown-ups. 

For better sleep, change habits first

• Don’t eat or drink alcohol close to bedtime. Have your last meal a few hours before bed.
  

• Put away your phone or devices while in bed. Electronics are making your mind overactive.
  

• Avoid caffeine and stimulants after a certain point in the day. For coffee drinkers, the cut-off for your last cup will depend on your sensitivity to caffeine. But if you struggle to fall asleep, consider finishing your last cup by 4pm, brewing it a bit weaker, or replacing it with herbal tea.
  

• Create a bedtime ritual. You don’t need to devote much time to it to feel the positive effects. Set aside 30 minutes for yourself before bed to decompress. Tuck the kids and put aside obligations, chores, and screens. Meditate, stretch, relax with tea or a hot toddy, listen to soothing music or all of the above!

Get comfortable

Being mindful of your surroundings at night can go a long way. At bedtime, you get to reward yourself with rest for getting through a hard day, and you want to feel good. Have you ever asked yourself if you’re actually comfortable? Before bed, eliminate any physical obstacles that you have control over:

• Body aches can keep us awake. Do what helps your body to reduce the pain - a cold or hot compress, or pain reducers if your body/doctor allows for that.
  

• If you’re too hot or too cold, itchy or scratchy, adjust blankets and sleepwear accordingly.
  

• Change your physical surroundings in ways that make you feel restful. If white noise is soothing to you, turn on a fan. If that sliver of light through the window bothers you, put up a light-blocking curtain.

Instead of counting sheep, count your inhales and exhales

Perhaps you’re lying in bed as alert as ever and considering just getting up and starting your day at 1 AM. Before you give up, try some of these tips.

• Bring your attention to each body part touching the bed. Notice how your stomach rises and falls. How each arm makes contact with the bed. Notice how your neck feels on the pillow, considering the weight of your head. As you notice each joint, muscle and bone, you might feel the sensation that you’re sinking into the bed. Your body might let go more..
  

• When thoughts start invading your mind and keeping you awake, redirect them and say “thanks mind.” Replace your thoughts with 5 second counts for each inhale and exhale. Breathe deeply, counting each breath in and out for a few minutes.

Thoughts will continue to come back, because the job of the mind is to generate thoughts. When that happens, “thank” your mind for doing its job and re-focus on your breathing and your body.

The wheels of our mind don’t always know when to quit. If your thoughts keeps creeping up on you, it’s time to reason with it.

Using logic to reason with your brain

Did you know the amygdala is the part of your brain responsible for emotional processing? In our hunting and gathering days, this region of our brain alerted us to predators and dangers. When our ancestors saw a mountain lion, they became hyper-alert, their heart would race, and breathing would speed up.

Today the amygdala continues to alert us to dangers that may not be real threats. Your brain doesn’t distinguish between the sight of a mountain lion and the deadline at work. The fear response is a residual protective mechanism to prepare you for fight or flight.

That said, here’s how to reason with your brain:  

• Thank your brain for its service, and remember that the anxiety you feel because of your thoughts present no real danger: you will survive that presentation, family function, or interview. If guilt or past pain are the culprits of your emotional state of mind, remember they serve no purpose right now. Forgive yourself and others, even if just in this moment.
  

• Ask yourself, “does thinking about this now solve any problems?” If not, your mind will find a way to deal with your source of worry during the day. Life will be there tomorrow. Thinking in terms of the best approach to solve problems, you can acknowledge that losing sleep won’t help anything. That said, don’t be too hard on yourself for having all these thoughts. Remember, they are natural. Your brain is just doing its job.
  

• If you absolutely must think about something at night that you don’t want to forget by the morning then keep a notepad by your bed and write it down. Don’t go looking for the Notes app on your phone; pen and paper work best here.

Once you’ve leveled with your brain, get back to breathing

Continue deep breathing and awareness of the sensations in your body.  Breathing with intention is a no-brainer solution to any stress, but it’s amazing how often we forget to do it (or sometimes how to do it). Focus on breathing deeply, and on how your physical body feels. When you feel heavier physically and a little groggier mentally, then you’re closer to being in a sleepier state.
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If sleeplessness is a recurring problem for you, consider talking to your doctor and addressing potential insomnia or other health concerns that can affect sleep. Melatonin can be helpful as an option before turning to pharmaceutical drugs.

We’re all on this journey to make the most out of life but that requires giving our brains and bodies good rest. Wishing you sweet dreams. You can use some peace and a good night’s rest. 

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Running a small business is non-stop work, which means Ada’s blog sometimes gets pushed to the back burner. As the Executive Assistant here at People Bloom, I mentioned that I like to write, and Ada kindly offered for me to contribute blogs during busy times. I was thrilled! Now you know I like writing, but I also love to garden, cook, hike with my fiancé, and play on the pottery wheel.
I’m an office admin whiz - not a therapist. I write blog posts as a human navigating this world, a client sitting across from a therapist, much like you. Thank you for letting me share a part of myself. Maybe my journey will resonate with you, and we’ll get through this messy life together.
                                                                        - Karen Lenz

5 Tips to Help a Friend Move with Less Frustration

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My story with helping a friend move 

Recently, I helped my playmate Tammy move. Playmate. Yes, you heard it right. If kids can have playdates, then why can’t adults have playmates? Tammy and I are goofballs around each other. We go way back and we’ve seen it all. If I slipped on black ice and did a face plant, she’d be the first to know. Anyhow, I digressed.

Something you should know about Tammy is that she has a lot of stuff. She lives with her 7 year old son and as a family of two, they filled a mid-size moving truck. You see, Tammy is very creative. Throughout her life time, she has dabbled in snowboarding, cooking, gardening, crocheting and sewing. She’s an extrovert and she loves to throw parties. And of course Trevor has his own stuff too.

All that to say, I was overwhelmed. Even after many trips to Goodwill, it seems like boxes and bags were coming out of the woodwork. There must be organization in the disorganization, but not to an outsider. In my moments of agitation, I learned a few things about helping someone move.

Tip #1: Don’t argue too much 

There are some things you’re not going to understand or agree on. That’s okay. This is not your house after all. You can state an opinion about what could work better, but if your friend has a preference, go with theirs. They might already be going batsh*t crazy. The last they need is for you to insist on your ways.

Example: On the day of the move, Tammy wanted me to check all the sockets at the new house to see that they work. The inspector has already okayed the sockets. It didn’t matter. Tammy needed reassurance; I shouldn’t be an ass about it.

Tip #2: Keep it light

Moving is stressful. The steps in locating a new home, packing up the old place, and now finally making the move happen amount to a lot of work. Sure, it doesn’t equate to the stress of someone dying or getting married, but a “major change in living condition” ranks 28 on The Holmes-Rahe Life Stress Inventory. That’s significant. Regardless of whether your friend elected to move or was involuntarily displaced, bring a little humor into the day.

Example: Tammy printed a lot of labels but she ran out of “Fragile” ones. I began drawing the broken glass symbol on boxes and called myself an artist. We had a pretty good laugh about it since it was obvious that between the two of us, she was the creative and artistic one. I’m just the heady therapist, so I'll stick to my day job.

Tip #3: Take care of your basic needs

If you’re going to stay over for a night or two, are the soap and towels packed? Is there a spare roll of TP lying around? Where are you going to sleep without moving in half of your stuff? What are you and everyone else going to eat when you’re in the thick of packing?

Example: I was put on a strict diet a week before the move. Tammy didn’t have any plans for breakfast the day of and I was hungry. I ended up eating out of her limited fridge and breaking my diet. I should’ve packed something from home. Now I know.

Tip #4: Listen to yourself when you’ve been working really hard

You might have been recruited to pack, clean the old house, keep an eye on the movers, clean the new house and unpack. Whatever the tasks, it doesn’t mean you have to do it all. Does it work better for you to pack or help unload at the new house so your whole day isn’t shot? Do you have a bad back and it’s best to let someone else do the heavy lifting? Check in with yourself when you’re pressed up against your limits. It’s okay to say no to requests.

Example: Tammy had a very good agent and he was very detailed, almost to a fault. He wanted the apartment to be meticulously cleaned. He went out and bought cleaning supplies and we were on all fours, scrubbing while Tammy and the movers caravaned to the new place. By the time I arrived at Tammy’s new home 30 miles away, I was hangry.

Tip #5: Take it easy afterwards

It has been a long weekend, a long day. What do you need? Do you need to veg out on your phone, grab some comfort food, take a nap? Do you need to stretch, get a massage, go to yoga? If your body needs some TLC, meet that need. You don’t have to push yourself so hard.

Example: As the move came to a close, I was done. It wasn’t that Tammy said I still had to do this and that, but I wanted to help her unpack her closet and bathroom. I did leave the laundry area a mess. Considering the long drive home, I now know not to schedule an early morning client the next day.

Thanks in advance

Thanks for being a good friend in helping someone move. We do better when we’re together.

And if you need more than moving tips, I'll be here.

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice in WA. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. When she and her husband moved a few years back, they were grateful for their good friends who made it happen, and Frog Boxes that eliminated cardboard boxes and sped up the unpacking process. She’s sure that if Tammy was reading this, she might say that Ada was an ass on the day of the move. Perhaps that’s just how playmates are.