Motivation: Start Lifting Yourself Up and Stop Beating Yourself Down

Motivation, non-judgment, authentic life
Listen to the Audio Version of Dr. Bando’s Article.
Often, clients or prospective clients approach me for help with motivation. We all want to live vibrant lives and maybe increase exercise, change the foods we eat, stop eating late at night, make that health care appointment, or countless other important things. Today passes, then tomorrow, then a week goes by, and we realize we haven’t made that change we wanted at all. We can’t seem to find that Motivation, so we get frustrated and feel defeated. Our self-talk becomes harsh: “Ugh, I am so bad at this!” “Why can’t I just do what I’m supposed to?! It should be easy!” “I’m hopeless.” “I’m an idiot!” We give up for the moment and throw in the towel, abandon our goals, and try to accept things as they are, giving up hope that we will ever make that change.

Finally Fed Up?

Maybe we finally decide to get serious. We are disgusted enough with ourselves that we make a strict plan to ensure we adhere to the behaviors we “should” be doing. Then one day passes, then another, then a week, and then here we are: still stuck, still without change.

Perhaps we even make the change for a brief time. Maybe we start eating in a way that makes us feel nourished and energized while helping to reach a target weight. Then, time goes by, and we are sick of being restrictive and “depriving” ourselves, so we give in and “indulge,” feeling stuck in old behaviors, staying unmotivated, and continuing the cycle.

It’s Time to Get Motivated!

MOTIVATION happens when our goals align with our values, then the behaviors we take to move toward our goals link closely to our values, and we reinforce those behaviors. I know from personal experience that the key factors in staying Motivated are reinforcement, which inspires and ignites Motivation, and punishment, which extinguishes Motivation. When we narrow it down to these two simple principles, we begin to realize how straightforward it is to start down a path to lasting change. By reinforcing yourself with simple things like clear goals, being in tune with what is truly important to you, and staying passionate (by focusing on what works and reinforcing the hell out of it), you are guaranteed to break yourself free from that cycle.

Audio Meditation for Motivation:

Listen to Dr. Bando’s Audio Meditation
To stay motivated and moving toward goals that you value, you must build the muscle of Reinforcement. Finding what you are already doing that is working, or taking very small steps forward, and then rewarding those actions creates sustainable motivation for change. Think of it this way: punishment extinguishes motivation and reinforcement creates, ignites, awakens and maintains motivation. Where you have reinforcement, you can create motivation.

Let’s practice building this muscle:

Start with noticing your breathing. You do not have to change or alter your breath. Simply notice that you are inhaling and exhaling. Pay attention to where in your physical body you feel your breath.

Now, for the next three to five breaths, pay attention to where you feel your breath in your physical body and when your mind wanders away or zones out, gently bring your attention back to your breath.

When you notice yourself wander and bring you attention back to your breath, you can think of this as a weight lifting rep, or an exercise to build your ability to put your attention where you want it.

Now, let’s go further. Using this idea of placing the mind where you want it to be in the moment, recall one thing you did in the past day that was effective. Unless you achieved a huge goal in the past day, this exercise requires you to let go of judgments and find where you were effective. Do not dismiss anything for not being “good” enough or “big” enough. If you were tired and you got up on time, that is an accomplishment. If you felt depressed and did not want to get out of bed but you took a shower, perhaps that was effective. It does not matter how big or small you think this action was, take a moment and pick one effective action you engaged in over the past day.

When you have that behavior in mind, reinforce it. You can reinforce this behavior a number of ways: you can reinforce with self-talk, such as, “Good job,” or “I did it,” or “Nice!” Remember, your focus is on what you did well and reinforcing it. If your mind wanders to telling you that it wasn’t good enough, your practice is to gently bring your focus back to what you did well and reinforce it. You may also reinforce your behavior through soothing touch. Maybe if feels soothing to place your hands over your heart center and notice the warmth, or one hand over the other hand, or gently cup your face with both hands. This is touch that feels loving and sweet. Again, when your mind wanders to you or your behavior not being good enough, gently bring your attention back to what you did well and reinforce it.

This is the practice of increasing your motivation in a way that is sustainable and reliable. You can practice this every day – find one thing you did well and practice turning your mind toward noticing what you accomplished and reinforcing it. When your mind goes toward judgments about you or your behavior not measuring up, this is punishment. It will extinguish your motivation and ability to move forward. It’s not wrong, this is just what minds do, they wander, and they come up with judgments. Your task is to calmly notice when this happens and bring your attention back to reinforcing your accomplishment. Practice, practice, practice this and you will notice your motivation grow and your ability to take more steps toward your goals increase.


When Others’ Opinions Get You Down (and What to Do When You Feel Fat)

judging ridicule others' opinions feeling fat
We’ve all been self-conscious about our appearance, and have at one point or another worried about what other people think of us. Whether it’s how we dress, speak, act, or even weigh, that concern can at times be overwhelming. While it’s important to take in others’ opinions (this gives us a reflection of ourselves and how we are perceived), over-valuing what others think or may think, while under-valuing our own ideas can damage our self-respect. If you’d like to spend less time concerned about others’ opinions and more time embodying your own values, I’ve put together a few strategies that will help you in this area.

Tuning In

Tuning in requires focusing on your internal voice and turning up the volume so that it is louder than the opinions around you. When you find yourself in a situation where you feel over-worried about what someone else may think of you, ask yourself, “What, in my deepest values, do I believe about this situation?” You may also ask yourself how you would respond to a friend who was in your shoes. Would you shame and browbeat her or tell her that you understand where she is coming from and she did not do anything to be embarrassed? The strategies of asking how you feel, what you believe and to what standard you would hold someone you care about, gives you valuable feedback about whether you want to correct your behavior or if the problem is not your behavior but worry thoughts and shame entering your mind and body.

Your Values, Thoughts, and Emotions

When you have discovered that you have behaved, dressed, spoken, etc., in line with your values but are still plagued by embarrassment and worries about what others think of you, the first step is DON’T CHANGE YOUR BEHAVIOR. If you change your behavior when your behavior is not the problem, you are sending yourself a confusing message and shame is likely to build.

For example, Marla (pseudonym) found herself concerned that she was not “thin enough” and felt embarrassed about her appearance in certain social situations. As a result of this embarrassment, Marla would tug on her clothes, check herself often in the mirror, avoid being in pictures, and plan her outfit days in advance in response to excruciating worry thoughts. When Marla asked herself about her values, she realized that she would never ever treat a friend the way she was treating herself. She would never judge a friend based on her weight or fit of her clothes and would not want to associate herself with anyone who would judge in this way. Yet, she had been behaving as though she should be ashamed.

Marla’s strategy became clear: Treat her body as perfectly fine and refuse to apologize for how she looks. This means that Marla resisted urges to tug on her clothes, plan the perfect outfit in advance, and even volunteered to be front-and-center in photos. Initially, her self-critical and worry-thoughts increased, and she felt embarrassment wash over her when seeing a full-body picture posted on Facebook. Marla was determined, though, and she persisted.

Over time, her mind and body understood the consistent message that Marla was sending. The message was, “I will not apologize for how my body looks because there is no reason to apologize.” Her self-hating thoughts and worries about what others thought of her began to quiet and feelings of embarrassment lessened over time. Now, when Marla feels a surge of her old urge to apologize for her appearance rear its ugly head, she knows what to do and prioritizes her mental health and self-respect.

As my wise Zen teacher says, “You cannot force yourself to be different. All you can do is practice every day until one day, you become what you have practiced.”

Your Breath and Sensations

If you find it difficult to tune into your values and priorities, start with your breath. Any of my past or present patients will tell you that at least once per therapy session, I will ask them to stop and notice three inhalations and exhalations. This offers an opportunity to notice what the breath is doing in the body. Stop and try it now – place your awareness on your breath for three inhales and exhales. Notice: Where in your physical body does your attention go as you are placing your awareness on your breathing? Your breath is a readily available sensation that can help you start to tune into your body and then your wisdom.

After noticing how your breath feels in your physical body, you can also start to pay attention to sensations. Start to ask yourself questions, such as, “How does my body feel when I am having fun, trusting myself, following what feels right?” Are you relaxed in some areas, tense in others? Do you notice changes in your posture? How about temperature or a feeling of moving energy in various parts of your body? The more you tune into how your body feels, you will begin to get clear messages from your wisdom and be able to sharply access your values and priorities in different situations.

Now What?

The more you practice paying attention to your breath, listening to your body and feelings, identifying your values and behaving as though they matter, the easier it will become. With any new behavior practice, practice and then more practice is needed to help the new habit stick. As my wise Zen teacher says, “You cannot force yourself to be different. All you can do is practice every day until one day, you become what you have practiced.”

Identify a step from this article that you can put into practice today and practice doing this every day until it becomes easy for you. Then, identify and take a next step. If you are a person who has loud self-critical thoughts, it will take a while for them to calm down and for value-driven thoughts to take up your mind space. Give yourself the time you need and devote yourself to one small practice every day.

If you want additional help learning how to truly experience and enjoy your life, contact Dr. Bando today for an online consultation and start shifting from surviving to thriving!


When Everyone Turns to You, and You’d Rather They Didn’t

Everyone occasionally gets assigned to be the Point Person: the one people turn to for making plans, coordinating, and figuring everything out. The people around you may have the impression you are the most knowledgeable, capable, or willing to do the work. They may look up to you or see you as an authority. For whatever reason, you become the Point Person, the hub of responsibility in a situation or group.

Sometimes it can be preferable to be the “Point Person,” but there will be times that you just do not want the responsibility. You may have been told to “just say yes” or “step up to the plate” when you have been put in this position. People may try to cheer you on, thinking you just need encouragement and that leading or organizing will be good for you, or that it’s your duty. Still, you do not want to do it. So, what now?

Your Health

Consider whether it is healthy for you to take on unwanted tasks. The associated stress increase can cause you harm. We all know excessive stress is harmful, but the chronicity of stress that comes from being a “Point Person” can be especially injurious, because there is no apparent time for your body to realize that the situation is over, signaling that it is time to relax.

Over time, continued strain on your body from routine stress may contribute to serious health problems, such as heart disease, high blood pressure, diabetes, and other illnesses, as well as mental disorders like depression or anxiety” – National Institute of Mental Health website

when you're the point person, assigned responsibility, appointed in charge

Your Relationships

Allowing others to decide that you are in charge can be detrimental to your relationships. It is best to talk about what you are comfortable with early before you grow resentful for having endured a situation you felt forced into. This can also prevent tensions that would inevitably arise in the course of you trying to fill that “Point Person” role.

Feeling pushed into a default role of responsibility most likely does not help you put your best foot forward and shine. Your performance as an unwilling “Point Person” may disappoint people that matter to you, or matter to your success at work or other areas of your life.

How to Handle Being Elected Point Person

Once you decide how you feel about being the responsible party, you can then set limits that protect you from absorbing more responsibility than you want. Be clear with yourself about what bothers you, what feels right in your wisdom, and how you would like to interact with the project or situation ahead of you. Then you can set parameters with the people looking to you for guidance.

Setting limits promotes better health and well-being. Some of the benefits of being clear about your boundaries include that you learn more about yourself, you become a more transparent and effective communicator, and you have more time for the things you value.

It can take practice setting boundaries with others. Here are some tips to help you set your boundaries:

  • Do your homework: Ask what others expect of you without assuming.
  • Know yourself and be truthful: Before starting a conversation about your limits, know what you are willing to accept and be honest about it.
  • Negotiate: Be willing to try to find a solution that works for everyone if it exists, don’t accept “solutions” that truly do not work for you.
  • Self-care: Stick with your commitment to take care of yourself.
  • Be assertive: Don’t try to disguise your limits or make them seem like something they aren’t. Be direct and clear.

If you want to learn more about limit setting or other ways to take your health from surviving to thriving, contact Dr. Bando today.


Validation is Good for Your Health

Why Validate?

Everybody craves validation. Even babies need to be responded to as though their experiences are valid and have their needs met. To be told that you matter, and your experiences make sense is a deeply regulating and nourishing experience.

What is Validation?

When you validate, you are NOT saying you agree, approve or condone. In fact, you can validate someone you completely disagree with (more on this later). You can also learn to validate your own experience even when you have self-judgments, such as thinking you “should feel differently.”

Validation is not a compliment or an insult. Validation means expressing that the person you are validating (yourself or someone else) has an experience that makes sense. Science tells us there is a cause-and-effect process to your emotions and behaviors, meaning that if you feel or act a certain way, there is a reason. In other words, your emotions and actions make sense. They come from somewhere.

To complicate things a bit, everyone does not feel validated by the same words and actions. Different people and situations require diverse ways of validating. Sometimes, simply saying, “How you feel makes sense,” can be enough. There are also situations that require spending some time listening and asking questions before the other person feels they have been heard.

Read on for tips on how to validate and understand the benefits to your health.

How to Validate

Give verbal responses to show you are engaged and listening.

This can be “um-hum” or “ah” or “I see” or “keep talking” or “I’m interested in what you are saying” or “tell me more.” You can also ask follow-up questions, “Then what happened?” or “How did you feel about him saying that to you?” Respond with whatever feels natural to illustrate that you are following along and giving attention to what the other person is saying. The key here is to be genuine. If you are rolling your eyes or sighing with boredom while at the same time verbally expressing your interest, this can be experienced as confusing or invalidating.

Express that you are listening with body language.

Instead of slouching back in your chair, looking at the wall, or fidgeting with a pen, look at the person speaking. Watch their expressions and listen as though you are interested. This is a time to practice putting down your electronic devices and silencing them. You can lean your body slightly forward or sit forward in your chair toward the person speaking. This indicates interest and can be reinforcing for many.

validation is good for you

Verbalize you are listening by saying it.

Validation is about recognizing and expressing that what a person is experiencing matters and is real. You can show this by simply saying it. Phrases such as, “I can understand why you feel this way,” or, “It makes sense you would be frustrated,” or, “I think anyone in your shoes would feel this way,” can communicate validation.

Search for the kernel of truth.

If you are trying to validate but disagree and so do not know how to validate the person, the remedy is to get curious. You must take a stance that even if you cannot see it, this person’s experience makes sense and then throw yourself into discovering “the kernel of truth.” In other words, you do not have to agree to validate. You can even disapprove of another’s point of view and still validate. A common type of conversation for this difficulty to arise is in political conversations when you have one point of view and the other person has an opposing view. Or, perhaps your friend tells you about an argument and you agree with the others person’s stance and disagree with your friend. The thing to do here is let go of the content (specifics of the conversation) for a moment and try to identify and make sense of the other’s emotion. While you may disagree with your friend’s political stance, you can still validate that he feels passionate about it or frustrated or whatever the emotion is at that moment. Here, you are communicating, “I may not agree with you, but I still think you make sense and that your experiences are valid and worthwhile, even if we never see eye-to-eye on this.” Through this validating stance, you are accepting how a person feels or perceives a situation. That’s it. You are not approving or condoning; you are simply accepting their experience for what it is.

Validating those you disagree with is an advanced practice. It requires that you let go of framing it in your mind as wrong, illogical, insane, or any other judgments. This exercise further requires you accept that somehow this person makes sense, even if you cannot understand why in this moment. Practice this in less intense situations first until you get the hang of it, then apply it to more emotionally tricky situations. Experiment with validation and investigate the effects it has on your relationships. (Warning: You may experience less conflict and even get your own needs met more frequently.)

Validation is Good for Your Health

If you only learned one skill to improve your relationships, I would cheerlead for that to be validation. Validation is extremely effective in reducing conflict and increasing the bonds between people (this means increased endorphins and all the pleasant-feels and chemicals in the brain and body). Validating others also releases you from the trap of thinking you must tell them what to do, how to feel, what you would have done or otherwise, how to problem-solve their situation. Letting go of the desire to guide or critique others who are perfectly capable of doing that for themselves is a release of perceived responsibility for you, which can be an immense stress reliever. Less stress means lower cortisol levels (regulates your ability to relax and sleep) and often, regulated serotonin (mood regulator).

So far, you have read about validating others. Validating yourself is just as crucial to your health and well-being. People who have a history of chronic invalidation and learn invalidating self-talk suffer profoundly. Chronic invalidation, including self-hating thinking, can lead to depression and symptoms such as binge eating and other behaviors destructive to your health. Your ability to validate yourself is a major strength and allows you to trust your own decisions and wisdom. Building confidence in what you believe, feel and think brings a sense of calm and centeredness that is impossible to attain when you do not trust yourself. Self-validation can promote your general well-being as well as harmonious relationships. Use this short Self-validation Handout/Worksheet to help you practice.

For help validating yourself or others, or learning more techniques and strategies that can enrich your life, contact Dr. Bando today and shift from surviving to thriving!


4 Tips for Returning to Therapy

For an audio recording of this post, visit here: Dr. Bando on Soundcloud 

When you make the investment of time, energy and money in therapy, you want to experience progress and change. If you’ve been in therapy before but haven’t achieved the results you want, you may be wondering what you can do to make those changes. Talk therapy can feel helpful, allowing you to have some real ‘aha’ moments and gain insight into the cause of your problems. However, talk or what’s called “supportive” therapy often does not help you change and meet your goal. Often, what is needed is to learn practical, concrete skills that will help you foster lasting change and healing. This can be achieved through treatment with a results-oriented therapist.

If you’re thinking about returning to therapy and want to create more effective change, here’s what to do:

Four things to keep in mind.

1st- Know That Returning to Therapy Takes Readiness and Commitment

If you have decided on returning to therapy, that’s a great sign that usually indicates you have some readiness and commitment to do what is needed to make changes. The most important first step is finding a therapist who aligns with your goals and who you feel comfortable working with. This can help you stay committed and focused.

Many clients prefer a results-oriented therapist who will work with them to make specific changes toward goals, rather than attending therapy indefinitely. The right therapist can help you identify and build upon your goals from the start and keep you motivated to do what is needed for lasting change.

returning to therapy, return to therapy again California online

2nd- Develop A Plan

While the idea of planning your therapy might seem strange, having a goal and a plan in place makes it much more likely you will succeed in making changes. Sometimes people attend therapy to just talk or vent, but to transform your life you need to work systematically to plan and implement change.

The therapist you choose to work with should develop a case formulation within your first few sessions. This formulation offers expert reflections and additional insight on your current situation. A skilled therapist will indicate a thorough understanding of your unique situation and collaborate with you to make sure this formulation is on target. By the third or fourth session, you and your therapist should have treatment goals and a treatment plan that will guide your future sessions, help you better understand what to expect out of therapy and ensure you both keep your eyes on the prize and moving toward your goals.

 3rd- Take What You Learn in Therapy Outside the Session

One benefit of therapy can be receiving support from your therapist and leaving sessions feeling relieved or empowered. Keep in mind, this is not enough. If you are working to make changes, then you must take the work done in therapy with you, outside of the session, and into your day-to-day actions. A therapist focused on getting you the results that you want will probably ask you to do “homework” or to practice new skills throughout the week. It is essential to follow the recommendations of your therapist and do your assigned practices so that you can reap the benefits of therapy and translate them into your daily life. Practice in between sessions is imperative to change. It also arms you with information about what happened when you tried these new skills, and you and your therapist can troubleshoot and hone the skills in your next session. Your practice and feedback are invaluable in helping you and your therapist stay on track with moving toward your goals.

Depending on your therapist’s style and theoretical orientation, they may be able to implement additional ways to help you achieve change. For example, therapists that have been trained in Dialectical Behavior Therapy (DBT) might ask you to complete weekly Diary Cards, so you can plan to try out and practice newly learned skills and then keep track of what happened and have a straightforward way of reporting this in your next session.

4th- Discuss Problems with Your Therapist

 Therapy does not always happen on a linear path without hiccups. At times, problems may arise. Whether you felt misunderstood by your therapist, your homework did not seem to hit the mark, or you are not making the changes you expected as quickly as you wanted, it is important to talk about this honestly with your therapist. This can be an excellent time for you and your therapist to revisit your identified goals, refine your treatment plan, and figure out any adjustments that need to be made. Although it might seem like a challenging conversation, talking with your therapist about what is not working may help you discover some factors that are holding you back or halting change, making this a valuable part of your treatment. Do not underestimate the value of the feedback you give to your therapist. Once your therapist knows your experience, thoughts, and feelings, he or she has the opportunity to respond effectively, make any necessary adjustments, and this ensures you can get the quality care you want and need.

With the right approach, you can make effective and lasting changes when returning to therapy, learning new and valuable skills that lead to a more rewarding and satisfying way of life.

Remember, life is too short to just survive, that’s why I help people thrive. I’m Dr. Amanda Gale-Bando, licensed psychologist. Thank you for reading and best wishes to you in making the lasting changes you want.

 


What Happens When You Stop Depressant or Anxiety Medications?

Anti-depressant and anti-anxiety medications work to alter your brain chemistry and support a more balanced mood state. Since psychotropic medication changes your brain chemistry and may also come with side effects, deciding to take medication should not to be made lightly.  It’s helpful to understand how the medication you are prescribed works and what to expect when discontinuing it before deciding to stop. It’s always advised to be under the supervision of a doctor who can ensure your safety and help minimize any side effects before discontinuing psychotropic meds.

(Please skip to the last section of this article if you would like to consider alternatives to psychotropic medication and discuss your options with your prescribing doctor and other healthcare professionals.)

Psychotropic medications, taking medicines, psychotherapist

Why Take Psychotropic Medications?

If you are struggling with depression or anxiety in a way that is significantly affecting your life, your doctor may recommend anti-depressant or anti-anxiety medications. Medications are also sometimes prescribed to alleviate symptoms, making therapy more helpful and useful. When feeling burdened by emotional overwhelm, at times it can be impossible to participate in your therapy in a way that promotes the change you need or motivate yourself to follow up on homework in-between sessions. When this is the case, your doctor may recommend psychotropic medication to help you engage in therapy in the way that you need to give you some relief from the symptoms you are experiencing.

Current-day research supports the use of both psychotropic medication and Cognitive Behavior Therapy (CBT) to treat diagnoses associated with depression. Medication may help you be fully involved and benefit from therapy. CBT will help you make the chemical changes in your brain for the long-term so that if you decide to taper off your medication at some point, you can maintain the brain changes you have worked to achieve in therapy.

In other cases, psychotropic medications may be prescribed to address chronic forms of depression and anxiety. Some people suffer from depression and/or anxiety for years. Despite trying many approaches, they struggle with symptoms on a daily basis. In these cases, medication may be a helpful option. Some people choose to maintain their medication regimen for a lifetime because when the medication is withdrawn, symptoms quickly return. Sometimes, even when engaging in all the behaviors necessary to support your health, the chemical components of the disorder you suffer from are just too strong, and medication is an essential part of your health routine. Each person is unique, as are the type, dosage and length of time prescribed medication works best.

It is very important to note that psychotropic medications may be contraindicated for some anxiety disorders and interfere with treatment and prognosis. Evidence-based treatments for anxiety require that you are able to experience the anxiety to its fullest extent in therapy in order for the treatment to be effective. If you are taking medication to decrease your experience of anxiety, in some case, this may interfere with your therapy. Talk to your treatment provider so that you can collaborate about the most effective treatment for you.

 

How Do Psychotropic Medications Work?

Different anti-depressant and anti-anxiety medication work in distinctive ways. Some medications stimulate the brain to produce more neurotransmitters (chemicals in the brain that regulate mood and other processes). Some help the brain by blocking the effects of neurotransmitters. Others, affect the brain by encouraging it to hold onto extra neurotransmitters. Because it takes some time for these medications to affect and balance the neurotransmitters in the brain, anti-depressant and anti-anxiety medications need to be taken for a minimum period of time before results are noticed. Your prescribing doctor can advise you the time needed to experience the affects from your medication.

 

Why Stop Taking Psychotropic Medications?

People often decide to stop using their medications once they start to feel better. This can be a mistake. It is important to carefully consider this decision and preferably, discuss your desire to discontinue medication with your healthcare professional. Often, it’s wise to wait a while after feeling better before discontinuing your prescription. When people quit taking their medication too soon, symptoms can return and sometimes the medication does not have the same effect or potency on mood symptoms the next time around. It is often preferable to wait until you have made changes in your health behaviors and maintained them for long enough where they have become habits. Once you have made the changes needed to support your sustained mental health, you’ll want to make sure they are engrained and part of your life so that you will continue to be supported in this way after your medication has stopped. Other times, people may find the medication they are taking no longer works and they may need to stop one type of medication to start another. Additionally, people may need to discontinue using their medication due to some other health concern (possible side effects, drug interactions, or in cases of pregnancy).

 

What Happens When You Stop Anti-Depressant or Anti-Anxiety Medications?

If you are taking an anti-depressant medication and suddenly stop, it can cause unpleasant symptoms including nausea, vomiting, headaches, dizziness, nightmares, and paresthesia (unpleasant sensations in the skin). If you are taking an anti-anxiety medication (or anxiolytic) and suddenly stop, symptoms could include nausea, vomiting, seizures, sweating, weight loss, heart palpitations, migraines, muscle pain, insomnia, and even suicidal thoughts. Specific side effects are unique to the medication and the person who is taking it. In either case, you may experience a rebound of psychological symptoms.

Because suddenly stopping anti-depressant or anxiety medication can cause unpleasant side effects, it is very important to consult with a doctor before you stop taking prescribed medications. A doctor can help to assess whether this is the right choice. They will also help you slowly reduce your dosage so that you are weaned off the medication safely, which helps to prevent uncomfortable side effects.

When you start or stop medications, it can be helpful to also seek the services of a qualified therapist who can help you address thoughts, feelings and emotions that may be affecting your mental health. A Dialectical Behavior Therapist (DBT) can provide specific education and skills to help you naturally cope with life’s ups and downs, without medication in some cases. A frequently used DBT slogan is, “Skills over pills.” This means that with learning and practice of DBT skills, often people can reduce or eliminate medication and lean on the DBT strategies they have learned to help them function effectively. The most important thing is to work together with your doctor and therapist to find the healthiest and most effective treatment solution for you.

 

Alternatives to Psychotropic Medications

Taking any type of prescribed medication is a personal choice. While doctors can advise you and make recommendations, ultimately, the decision whether to take psychotropic medication is up to you. Many times, making lifestyle changes can significantly impact your mood and decrease the need for prescription use. However, making these changes can be difficult and requires work. Only you and your wisdom can decide whether you are in a position and have access to the support needed to make these changes, or if now is not the time and medication is a worthwhile option.

If you are interested in making changes to your health behaviors to support a more balanced and stable mood, consider consulting with a Health Psychologist, such as Dr Bando. Health Psychologists are trained to understand all the factors maintaining the ineffective behaviors you are engaging in and help you directly target and change those behaviors to better support you. A good therapist can take out the guesswork and help you move toward your health goals with ease and precision.

Whatever your choice, please consult your wisdom and be gentle with yourself. In a time of difficulty (like experiencing depression or anxiety), increased self-compassion is needed.

Take action today and start shifting from surviving to THRIVING!


Feeling Over-“stuffed”: 1 of 4

How to Focus on What Matters During the Holidays (and Keep Yourself Feeling Merry).

 

The holiday season is marketed as being the “most wonderful time” of the year. For many of us, this is not always the case. Our to-do lists get longer: we have gifts to buy, trips to book, decorations to hang, cards to send, and on it goes. Many of us deal with stressful family dynamics that also like to come along for the sleigh ride.

 

All this busy-ness during the holidays can divert us from getting to the heart of what really matters. Everyone may have a slightly different idea about what they value most, but all of us typically want some sense of inner peace, satisfaction, happiness, and connection with those we love. Read on for Part 1 of my four-part Holiday Stress Survival Guide; it contains helpful tips to stop “stuff”ing yourself with all the things the holidays bring – gifts, lists, endless tasks, and yes, food – and ease through the season with a strong connection to whatever is deeply important to you.

 

Peaceful, grounded holiday season, online therapy, counseling

UNREALISTIC HOLIDAY EXPECTATIONS

Holiday movies often set the stage for unrealistic standards. With a funny or heartwarming story centered around family, they sell us the message of a season with fantastic holiday décor, impeccably wrapped gifts, chef-quality meals that magically appear, and relationship snafus ending in a hearty laugh and a hug. This all happens with full hair and makeup, flawlessly styled outfits, and no lint or wrinkles in sight. The media (and retail shops) create pressure to make the holidays shine with the perfect gifts.

 

Social media can also create pressure. Have you ever been at an event that was chaotic and not-so-fun, only to discover a friend post a picture of that same event looking charming and lovely? You wonder what happened to the screaming, running children, dog pee in the middle of the room, turkey that fell on the floor and all the grumbling guests.

 

The point here is that pictures and videos, whether they are professionally laid out ads who employ a full-time staff to capture one perfect-looking moment or a friend’s Facebook post, are typically not representative of how the in-person moment honestly feels. People are putting their best foot forward, and we don’t see the behind-the-scenes struggles. Have you heard that old saying, “Don’t compare your insides to others’ outsides?” You will almost always come up short.

So, what do we do?

Take control and set your own expectations!

 

STEP 1: DEFINE YOUR OWN VALUES

As always, take a deep breath (or three), and center yourself. Acknowledge that you have access to your wisdom and call on it to come forth and take over for a moment. Now, define a couple of values that you would like to take through the holiday season and jot them down or save them somewhere. Some ideas are below. Pick a few or come up with your own. Make sure to select value-words that resonate with you right now. Do not choose any words that come with the idea that you “should” value them. Only pick the values that sing to you in this moment.

 

ACCEPTANCE — ADVENTURE — BEAUTY — CARING — COMFORT — COMPASSION — CONTRIBUTION — COOPERATION — CREATIVITY — ECOLOGY — FAITHFULNESS — FLEXIBILITY — FORGIVENESS — FUN — GENEROSITY — GENUINENESS — GROWTH — HEALTH — HUMOR — INTIMACY — LOVING — MINDFULNESS — MODERATION — OPENNESS — PASSION — PLEASURE — PURPOSE — ROMANCE — SELF-ACCEPTANCE — SELF-COMPASSION — SIMPLICITY — SPIRITUALITY — TOLERANCE — TRADITION

 

STEP 2: PRIORITIZE

If you chose a bunch of values, take a moment to pick just one or two that stand out most to you. Check in with yourself and make sure it feels right – that if this value carries you through the holiday season, you will feel pride in your actions and as though you are living in your integrity.

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STEP 3: MAKE IT EASY

Nobody needs extra work during the busy holiday stress season. Instead of setting hard-to-reach goals about behaving in particular ways according to your values, let up a bit and create something gentler that will permeate and be effective.

 

I suggest putting the couple words you chose in the places that you will see them often. Some ideas: post-its on your computer screen, your bathroom mirror, in the car; notes with reminder bells on your calendar; a love note to yourself with these words placed in your packed lunch or on your nightstand to read just before bed and upon waking. You get the idea – put these meaningful values places that you will see them often. When you see them, you can just walk on by, and let them sneak in through your periphery. Sometimes, when you have the minute to spare, you can use the words as a reminder to take a breath (or three) and focus on your desire to bring these qualities into your life.

 

STEP 4: DON’T FORGET SELF-COMPASSION!

Want to turn it up a notch and ensure these values powerfully appear in your life? Offer them to yourself! Try a short, little practice daily, and you may be amazed at what starts to happen. Find a ritual that you engage in every day: brushing your teeth, making coffee or tea, putting on your shoes. Tie this ritual to the value-words you have chosen and offer these values to yourself. For example, if you selected the values of “comfort” and “health,” while brushing your teeth (or whatever activity you choose) say to yourself, “May I receive comfort. May I receive health.” Repeat the statements over and over again. Do it again the next day and the next. It does not matter whether you feel their impact or reject them totally. Keep saying the statements over and over. Let the statements do the work and seep in on their own time.

 

Happy Holidays! Please remember, life is too short just to survive. Use these practices to help you THRIVE!

 

Read the whole series

Feeling Over-”stuffed” Part 1: Holiday Stress

Feeling Over-”stuffed” Part 2: Navigating Relationships

Feeling Over-”stuffed” Part 3: Loneliness

Feeling Over-”stuffed” Part 4: Overeating

 

If you do partake in any of the holiday stress relieving practices suggested, please feel free to share your experiences and send your comments to contact@drbando.com. While Dr. Bando will not answer personally, your comments and feedback help inform future posts.

 

 


How To Get The Most Out Of Your Therapy Session

If you are seeking a therapy session, it is likely because you want something in your life to change and you would like expert support and guidance through the process. You want a skilled professional to help take out the guesswork and help get you to your goals.

In the past, this has meant that on top of the stress or problem(s) for which you are seeking help, you must find the time, during business hours, to leave your home or office and make it to a weekly therapy session. Packed schedules, work requirements, and congested commutes present valid obstacles to taking over an hour out of your day every week to drive to your therapist’s office. Not to mention the trouble if the expert you’d like help from lives far away from you. In today’s busy world, many people are turning to TeleHealth or TeleTherapy sessions. These video therapy sessions use HIPAA-secure formats that function similar to Skype or Facetime to make therapy more accessible.

Whatever format you select for your therapy session, your success depends largely upon the work you put in, not just on the effort of the therapist. When attending therapy, your active participation in the process will help you to get the most out of your therapy appointments and ultimately, achieve the results you want.

Treat Therapy As A Collaborative Process

We often view therapists as the expert in the room. Therapists do bring a great deal of knowledge about psychology and new ideas for how to help you. However, you are also an expert in the room. You know best about your history, what you have tried in the past, and what is happening in your present.

A therapy session will be most successful if you work collaboratively and come prepared with what you want to work on in each session. Then, work with your therapist to set goals, explore information, make discoveries, and learn how to apply new skills to your life. Ultimately, you decide what to take away from the therapy session.

 

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Apply What You Learn Outside Of Session

As you and your therapist work together, you will understand yourself better and identify new, more effective ways of behaving. It is essential to apply these new skills outside of session. Whenever possible, ask for homework and then do it. If it is too challenging (usually this is the case when you find yourself not doing the homework), ask your therapist for help. It is your therapist’s job to help you generalize the skills that you learn in the therapy office to making real-time changes in your life. This means the therapist must use their expertise to assign homework in a way that not only challenges you but also is likely that you will engage with and complete the practice(s) they’ve suggested.

Remember to communicate with your therapist about any barriers you face putting the new skills into action. Trying a new skill once and never again will not help you get to that point of lasting change. Every new skill takes practice to become a new habit, and you are paying with your time and money to get help. Use it to your advantage!

Talk To Your Therapist About Your Therapy

When people go to therapy, it is often because they want to address some concern or problem in their life. You may be focused on discussing that problem and finding solutions, which makes sense. In addition, therapy works best when you also talk to your therapist about your therapy.

This means you can reflect on what is working and share those thoughts with your therapist. If you like a new skill, let your provider know. If you are unhappy about something, talk to your therapist about it and see how the two of you can navigate this situation. Giving your therapist this feedback allows them to respond by adjusting their interventions to be more appealing to you or more relevant to your treatment goals.

Find Therapy That Fits Your Lifestyle

Nowadays, most people don’t want to travel to get to therapy appointments or lie on a couch in the room with a therapist. And you don’t have to do these things to get results. With TeleHealth therapy, you can benefit from the skilled, focused attention of a therapist when and where you need it. Even within the comfort of your home, you can access professional therapy with TeleTherapy services via video calls. Making therapy easier to access means you are more likely to stay engaged and on track with your goals.

Once you have started therapy, use these tips to get the most out of your sessions, get the results you want, and start shifting from surviving to THRIVING.


What is DBT and How Can It Help Me?

Seeking help and going to therapy can be stressful. Choosing the right approach can ensure you get the care you need to make the changes you want. In this article, I’m going to give you introduction to Dialectical Behavior Therapy (DBT), a treatment that may be helpful if you want more balance in your emotional life. DBT has become a popular technique used to help individuals cope with the stressful challenges life throws their way, and the intense emotions that can follow. The scientific research for this treatment is strong. Individuals often report huge, impactful, positive life change as a result of DBT. DBT focuses on helping people change their reactions and behaviors to create more resilience in life. Understanding what Dialectical Behavior Therapy is and how it works can help you decide if it is the right approach for you.

What Is Dialectical Behavior Therapy?

Dialectical Behavior Therapy is a form of Cognitive Behavioral Therapy (CBT) that was initially developed for people suffering from chronic suicidal thoughts and behaviors, and those diagnosed with Borderline Personality Disorder. However, implementing DBT revealed that it is helpful for people in a range of situations having difficulties managing emotions, and can help to reduce anxiety and improve coping mechanisms under stressful circumstances. DBT teaches you coping techniques and strategies to deal with difficult emotions without being caught up and swept away in them.

California therapist, psychologist, telemedicine with CBT, DBT therapies

What Does Dialectical Behavior Therapy Involve?

DBT is best administered by an experienced therapist, with a history of training and supervision in DBT by experts in the field. Full program DBT involves weekly individual therapy in addition to attending a weekly DBT Skills Group. Treatment length varies by person and treatment goals.

DBT includes –

  • Collaboration – working with a skilled therapist can help you identify what you want out of life and obstacles getting in your way. Bringing awareness to both your goals and challenges in a specific, systemized way is a key step toward making the changes you want.
  • Learning skills – one of the most important aspects of DBT is learning specific skills to incorporate into your everyday routine for growth, happiness, and fulfillment.
  • Practice – DBT is a behavioral therapy. This means that new behaviors must be practiced for change to occur. Practice, practice, practice, and then some more practice, is a common mantra in DBT.

The Four Modules Of DBT Skills

The four areas of skills learned in DBT are designed to help you better understand your thoughts and feelings, and change your behaviors to better achieve and support the life that you want. These modules include:

  1. Mindfulness
  2. Distress Tolerance
  3. Interpersonal Effectiveness
  4. Emotional Regulation

Who Can Benefit From DBT?

DBT has been shown to be successful in a number of different areas and for those suffering a range of issues including:

  • Relationship problems
  • Low self-esteem or shame
  • Weight management
  • Eating disorders
  • Anxiety
  • Depression
  • Borderline Personality Disorder

DBT can also be used in many other situations, even where a specific diagnosis may not be defined. Under the guidance of an experienced and well-trained DBT therapist, you can learn life-changing skills to make a profound impact on your well-being.

DBT is an inspiring treatment method that can help change your life for the better. Talking with a DBT therapist can help you determine whether DBT is the right therapy approach for you. Contact me today if you may be interested in finding out more about DBT and shifting your life from surviving to thriving!


Name that Emotion

We’ve all got things to do and people to see. Who needs unwanted emotions slowing us down? Just ignore them, and maybe they’ll go away. Right?

Here’s the hitch: emotions are hard-wired into our human experience. In other words, emotions are part of us and the more we push them away, the louder they become. When we deny and try to block out emotions, we starve them until the emotional hunger pains are so strong, we become overwhelmed with unruly, overbearing, unable-to-control feelings.  You know, that moment someone asks you something harmless like to pass the salt, and you completely lose your cool? When we suppress or don’t acknowledge emotions, they bubble up, and like water boiling in a covered pot with the burner on high, eventually they’re going to blow.

The solution? Don’t ignore the monster!

Emotions grow to become monsters when we ignore them, push through them, judge them and just plain do whatever it takes to try not to feel them. There is a better way! The next time you feel an unpleasant emotion, try noticing it and putting a name to it.

Scientists call this affect labeling. It goes something like this:

  • I am noticing a feeling of butterflies in my stomach. I’m nervous.
  • I feel a lifting, light feeling in my chest and shoulders. I’m happy.
  • I feel like it’s hard to move. I notice that I’m slumped and don’t feel like doing anything. I’m sad.
  • I can’t believe that guy just cut me off. I’m irritated.

When we give our emotion a name, it starts the process of calming it down. Instead of pushing the feelings away, we pay attention and engage our intellect to give it a name. Once emotions are acknowledged and paid attention to, they start to digest and let go of their grip. Relief can get his foot in the door, and we initiate the process of regulating emotions and feeling more in control.

 

Brain imaging studies explain the science behind affect labeling: When we experience an emotion, a part of our brain called the amygdala, gets activated. When our amygdala is very active and fired up, it is hard to access the reasoning part of our brain, the frontal lobes.

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When we use techniques like affect labeling, we begin to activate our frontal lobes (the organizing, planning, thinking-through part of the brain) and de-activate the amygdala (the “OMG!” emotional part of the brain).

 

How to become Happy, Breaking through an Obstacle, Orinda Psychologist, Lafayette Psychologist, Berkeley Psychologist, Oakland Psychologist, Moraga, Alamo

 

PRACTICE:

The next time you are “freaking out” or “stressed” or just “feeling off,” try getting specific. What emotion are you feeling? Can you put a label on it?

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Now, reinforce yourself by checking out the Reinforcement Practice Sheet and get some suggestions on how to reinforce yourself. You’ve just taken the first step toward processing and letting go of that unpleasant emotion.

LIFE’S TOO SHORT JUST TO SURVIVE. THAT’S WHY I HELP PEOPLE THRIVE!


© 2017 Amanda Gale Bando Phd · Designed and Developed by D-Kode Technology

Dr. Amanda Gale-Bando

Dr. Amanda Gale-Bando