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the information below is from www.coping.org. This website is an awesome compilation of resources, information and other valuable tools that anyone could use
in a personal growth recovery journey. Visit their website and soak it all in. I want to thank the authors for being so kind
as to share their info with non profits like us!
The website that this information came from is
www.coping.org. It's an absolutely worthwhile website that everyone needs to stop by
and check out. Thank you to it's authors for caring enough about people to let others post the info online for non-profits!
Thought Stopping
What is thought stopping?
Thought stopping is the:


How does thought stopping
work?
In thought stopping
you could use one of the following or a combination of them:
-
Replace one thought for another,
i.e., the thought of eating is replaced by the thought of exercising.
-
Hear "stop'' literally or figuratively whenever a negative or unhealthy thought arises, e.g., the desire for a cigarette appears & "stop'' is immediately heard.
-
Are able to break an obsessive, unhealthy thought pattern by substituting a healthy thought pattern.
-
Are able to replace a negative or unhealthy image with a positive visual image.
-
Find you divert or detour your mind from unhealthy or negative thoughts.
-
Clear your mind of all unnecessary & unhealthy thoughts that create stress or cues for acting out in unhealthy ways.


What are some thought stopping techniques?
Thought Replacement:
when an unwanted thought enters, immediately replace the thought
with a healthy, rational one.
Yelling 'Stop'':
on thinking the unwanted thought, immediately yell STOP. The yell can be out loud or only in the mind. Continue to yell STOP
until the unwanted thought ceases.
Substituting a Healthy Thought Pattern: if you have a tendency to think irrationally due to irrational beliefs, you can develop a rational pattern of thinking by challenging every thought that comes to mind, asking: Is this a rational thought?
If not, what is irrational about it? What would be a rational replacement for this thought?
Replacement Visual Image:
if you have a tendency to visualize negative images, replace these negative images by positive, healthy images.
Aversive Replacements: if you have
a tendency to think of an unhealthy behavior in an acceptable manner, immediately replace these acceptable images with more honest images, i.e., thoughts of alcohol, drugs, junk foods can be replaced by the words "poison,''
"unhealthy,'' "disgusting,'' "barf'' or "killers.'' Thoughts of cigarettes can be replaced
by "cancer sticks'' or "coffin nails.''


Irrational thinking which blocks you from letting thought stopping work for you
-
It's OK if I just think about it & do nothing about it.
-
What's the harm of thinking about it?
-
People will never know if I just think about it for
a little while.
-
I've denied myself so much, why can't I just think about it once in a while?
-
You can't condemn me for thinking.
-
I never thought about it before I acted so why should I avoid thinking about it now?
-
It is too much of a battle to fight these thoughts. It's easier
to give in & then start over again in the morning.
-
What difference does it make if I think about it?
-
It seems so silly to control my mind from having thoughts about it.
-
This feels like brainwashing & I think brainwashing is bad.
-
I don't have time to do this.
-
I don't need this in order to be successful in achieving recovery.
-
This is another far-out psychological gimmick-too stupid to try.


Directions for thought stopping
First: Use relaxation training & breathing exercises to get yourself relaxed. It's important that you be at ease to stop a recurring thought.
Second: Record
the word stop in alternating 1, 2 & 3 minute intervals on a 30 minute tape. Using the
stop tape in a relaxed state, think your unwanted thought & every time you
hear stop, discontinue the thought.
Go back to the thought
again & cease the thought only when you hear stop.
Do this for 30 minutes every night for 2
weeks or until you can consistently discontinue the thought when you hear stop.
Third: After you're trained to arrest your thought using the stop tape, you're ready to try arresting your
thought by yelling stop out loud. Think of your unwanted thought for 30 minutes
and yell stop to discontinue the thought. Once you arrest
the thought, go back to thinking about it for awhile,
then yell stop again. Do this for 30 minutes each night
for 2 weeks or until you're able to consistently discontinue the thought by yelling stop.
Fourth: After you have trained yourself to stop
thoughts by yelling stop, you are ready to train your
thoughts to end by whispering stop. For 30 minutes, repeat the process of dwelling on your unwanted thought, but this
time whisper stop to halt them. Do this 30 minutes nightly
for two weeks or until you're able to consistently discontinue the thought by whispering stop.
Fifth: After you've trained yourself to discontinue
unwanted thoughts by whispering stop, you're ready to
train your thoughts to discontinue by thinking the word
stop. Repeat the process of dwelling on your thought for
30 minutes, but this time simply think stop
to discontinue unwanted thoughts. Do this for 30 minutes
nightly for 2 weeks or until you're able to consistently discontinue unwanted thoughts by thinking the word stop.
Sixth: The technique of either taping, yelling,
whispering, or thinking stop can be effective in discontinuing
unwanted thoughts. Ideally you could get to the point where simply thinking
stop would work; however, use whichever mode works best for you & keep practicing. Remember
to start the process in a relaxed state.


Obsession / Obsessive Thinking Part 1
By Robert Burney
"We were taught to approach
life from a perspective of fear, survival, lack & scarcity. . . . . . We were taught that life is about destinations & that when we get to point
x - be it marriage or college degree or fame & fortune or whatever - we'll live happily ever after.
That isn't the way life
works. You know that now & probably threw out that fairy tale ending stuff intellectually a long time ago.
But on some emotional level we keep looking for it because that's what the children in us were taught.
We keep living life
as if it's a dress rehearsal for "when our ship comes in." For when we really start to live. For when we get that
relationship, or accomplishment, or money that'll make us okay, that'll fix us.
We don't need fixing. We aren't broken. Our sense of self, our self perception, was shattered & fractured & broken into pieces, not our True Self."
"Life isn't some kind
of test, that if we fail, we'll be punished. We're not human creatures who are being punished by an avenging god. We aren't trapped in some kind of tragic place out of which we have to earn our way by doing the "right" things.


We are Spiritual Beings
having a human experience. We are here to learn. We are here to go thru this process that is life. We are
here to feel these feelings.
Doing our emotional
healing allows us to feel clear about what is in front of us instead of torturing ourselves by obsessively
thinking, trying to figure out what's right & what's wrong."
(All quotes in this color are from
Codependence: The Dance of Wounded Souls)
Obsessive
thinking is an emotional defense that, like all of the various manifestations of codependency, is dysfunctional. Being in our heads -
thinking, fantasizing, ruminating - is a defense we adapted in childhood to help us disassociate from the emotional pain we were experiencing. It's dysfunctional because
it keeps us focused on the future or the past - we miss out on being alive today. It's dysfunctional because our attempts
to escape unpleasant feelings causes us to generate more unpleasant feelings.


Worry - which is negative fantasizing - is a reaction to fear of the unknown which creates more fear, which creates more worry, which creates more fear, etc. This fear isn't a normal human fear of the unknown. It's codependent fear:
a distorted, magnified, virulent, mutated species
of fear caused by the poisonous combination of a false belief that being human is shameful with a polarized (black & white, right
& wrong) perspective of life.
This self perpetuating, self destructive type of obsessive thinking feeds not only on fear, but on shaming ourselves for feeling the fear.
The disease of codependency is a dysfunctional emotional defense system adapted by our egos to help us survive. The polarized perspective of life we were programmed w/in early childhood,
causes us to be afraid of making a mistake, of doing life "wrong."
At the core of our being,we
feel unlovable & unworthy - because our parents felt unlovable & unworthy - & we spend great amounts of energy trying to keep our shameful defectiveness a secret.
We feel that, if we were perfect
like we "should" be, we would not feel fear & confusion & would have reached "happily ever after" by now. So, we shame ourselves for feeling fear, which adds gasoline to the inferno of fear that's driving us.
The shame
& fear that drive obsession becomes so painful & 'crazy making' that at some point we have to find some way to shut down our
minds for a little while - drugs or alcohol or food or sleep or television, etc.


It's a very dysfunctional
& sad, way to relate to life. The fear we are empowering is about the future - the shame is about the past. We aren't capable of being in the now & enjoying life because we're caught up in trauma melodramas about things which haven't yet happened - or wallowing in orgies of self recrimination about the past, which can't be changed.
Codependents don't really
live life - we endure, we survive, we persevere.
Obsessive thinking & compulsive behavior is caused by & fed by, fear & shame. The feeling that the world will come to an end if ____ doesn't happen, or that
it has come to an end because ____ happened, is a feeling coming from the wounded inner child.
It's the result of early childhood
emotional trauma - & the subconscious programming adapted by our egos to help us survive at a time when we were helpless & powerless.


An adult isn't helpless & powerless. We are, however, powerless to know that, as long as we're unconsciously reacting to repressed emotional energy & subconscious programming.
It's impossible to see our self or life clearly when we're caught up in trauma dramas (internally & externally) that feel life threatening.
In our codependency, we're
in denial of our emotions at the same time we're allowing the feelings of the wounded child within to define & dictate our lives.
Getting into recovery from
codependency, starting to learn how to do the inner child work, will help a person take power away from the fear & shame that drives the disease - that causes the obsessive thinking.
Learning to be compassionate in our relationship w/our self - by not shaming ourselves for being wounded human beings - will help
us to take power away from the obsessive thinking.
Starting to choose to believe that there's a benevolent Force in the Universe, a loving Higher Power, will facilitate taking power away from the fear of the unknown.
Love is the answer to obsession - but not the love of another person. Learning to be loving to our self - & remembering that there is a loving Higher Power, is the best way I have ever found to stop obsessive thinking.
Some notes of clarification
from Robert Burney: (These notes were part of the article when it was originally published.)


I learned a lot about the
wounding process of codependency by studying cases of people w/multiple personality disorder. Anyone raised in an emotionally dishonest, dysfunctional
culture had their relationship w/themselves - their psyche - shattered & fractured into multiple disjointed segments in
childhood.
People w/multiple personality
/ Dissociative Identity Disorder were pushed farther than the rest of us. The recovery process for the normal form of
codependency & the more extreme multiple personality variety both require reclaiming & integrating these different parts of self
into a functional internal structure that allows us to put a mature adult in charge of our internal dynamics instead of the
wounded inner children or the critical parent / disease programming.
In relationship to obsessive
thinking, the manifestation of codependency that's the extreme, Obsessive-Compulsive Disorder (OCD, which involves such things as: washing hands repeatedly; or returning to the apartment
multiple times to make sure the stove is turned off; etc.) will probably require medication to bring the disorder
under control enough to be able to focus on recovery.
Like other conditions/diseases
that are fueled by the reactive condition of codependency & that involve a genetic predisposition &/or compulsively self destructive behavior (alcoholism, some eating disorders, extreme forms of relationship or sexual addiction, etc.), it's sometimes necessary to bring the symptoms under control before the cause can be addressed - but addressing the cause is vital in making possible significant, long term changes in
the symptomatic behavioral disorders.


Traditional Western medical
science has ignored & discounted the spiritual & emotional components of being. The traditional medical perspective in relationship to any physically or psychologically
manifested disease is limited by a left brain (concrete, rational) intellectual paradigm which is entirely focused on
that which can be seen, measured, quantified.
Therefore, any spiritual, emotional & mental disease is seen as resulting from biochemical, physiological, physical conditions. Doctors
(which includes psychiatrists of course) - & other traditional medical & mental
health professionals - were trained to identify mental & emotional problems as biological & to see the solution as
chemical.
There are certainly neurobiological
aspects to any behavioral manifestation, but it isn't possible for a scientific perspective which requires empirical proof
to truly ascertain the cause of any condition - because emotional & spiritual components of a human's being can not be quantified.
In other words, brain chemistry
is definitely out of balance in relationship to any physical disorder or mental condition - including OCD, Bi-Polar Disorder, Depression, etc. That imbalance in brain chemistry definitely has an impact on emotions - but it isn't possible to say absolutely which is the cause & which is the effect.
The chicken & egg conundrum.
In other words, did the emotional trauma & the fear & shame based relationship to life cause the chemical imbalance in the brain - or did the
chemical imbalance come first?
Traditional Western medicine
isn't holistic - it doesn't treat the whole being, it treats symptoms. Medication is necessary for some people.
It's an invaluable temporary help for others. It isn't the whole answer. The great majority of doctors are limited by their training, the intellectual paradigm which determines their perspective, to believing that they do know the answers.
In my belief & experience, a person's relationship to any disease can be improved by the adaptation & integration of a Loving Spiritual belief system.


It's vital to change our relationship
w/our own emotions in order to take power away from the distorted, magnified, virulent, mutated variety of fear that drives obsession so that we can stop the compulsive behavior that is driven by repressed emotional energy. And
the underlying reason that fear is given so much power is the shame about being human that is at the foundation of our relationship w/self.
Taking power away from the shame so that we can take power away from the fear is greatly facilitated by becoming involved in a 12 step Spiritual recovery program in order to develop some kind of benevolent spiritual relationship with life.
Here is a quote from an article
on my web site about spirituality.
"My own personal Spiritual belief system is one form of spirituality. It is certainly not the only one. Mine works for me very well in helping me to have a relationship with life
that allows me to be happier today. It is not necessary for you to accept my belief system in order for you to use the tools, techniques & perspectives that I have developed for emotional healing / codependence
recovery / inner child integration.
For the purposes of this discussion
of spiritual integration, I would now define what I refer to as a Spiritual Awakening in the quote above, as: being open to a larger perspective - awakening from being trapped
in a limiting perspective. In this regard, spiritual would be a qualifier, an adjective, that describes the quality of one's relationship with life.


This adjective, spiritual,
would be (in my definition) a word describing an expanded level of consciousness.
A level of consciousness, of awareness, that is expansive & inclusive & facilitates personal growth - as opposed to limited, exclusive, rigid & inhibiting growth, development & alternative view points.
By this definition, any religion
that claims to be the chosen one, that excludes alternative perspectives or certain people, isn't spiritual." - The Recovery
Process for inner child healing - spiritual integration
So, basically what I'm saying,
is that codependency (which includes an addictive, toxic, abusive concept of love) is the
problem & Love is the solution. Any belief system that empowers separation, fear & shame is codependent in my definition - not spiritual. There's a saying I like:
"Religion is for people who are scared of hell,
Spirituality is for people who've been there."
It's possible to be spiritual
without being religious & possible to connect spiritually within a religion - but some religion as it is practiced isn't
at all spiritual.
Recovery is a process of learning
to stop living in the hell that the illusion of separation - which empowers fear & shame - created & start living life based upon remembering that we're connected to everyone & everything in Love

Obsession / Obsessive Thinking Part 2
By Robert Burney
""I spent most of my
life doing the Serenity prayer backwards, that is, trying to change the external things over which I had no control - other people & life events mostly - & taking no responsibility (except shaming & blaming myself) for my own internal process - over which I can have
some degree of control.
Having some control isn't a bad thing; trying to control something or somebody over which I have no control is what is dysfunctional. It was very important for me to start learning how to recognize the boundaries of where I ended & other people began & to start realizing that I can have some control over my internal process in ways that aren't shaming & judgmental - that I can stop being the victim of myself."
(All quotes in this color are from
Codependence: The Dance of Wounded Souls)
One of the most ridiculous
forms that obsession used to take for me, would involve me actually writing out the script of a conversation w/a woman who
was unavailable to me in some way. I'd write pages & pages. I'd say this & then she'd say that & then I'd say, etc.,
etc.
This conversation would build
to a the climax where I'd say just the right words & suddenly she'd understand. She'd see the light & rush into my arms in overwhelming gratitude as she awakened to how good I was for her & how much I loved her. And then we'd live happily ever after.
The trouble was, she never
had the same script I did.
Looking back, it's both silly
& sad to remember the amount of time & energy I'd put into figuring out just the right
words to say to get the other person to see how much she needed me.
Obsessive
thinking for me was always about trying to fill the hole within. I'd focus on a person or the outcome of a situation
as the thing that would fix me. Or I'd obsess about getting the substance that I needed to temporarily fill the hole within until I got the person or outcome that I thought I needed.
The delusion was that once
I got the relationship, or the money, or the job, or whatever, then I could really start to live. That person or outcome
was the missing ingredient in my life that would make me happy & whole - that would fix me.
All codependents have some obsessive tendencies. Some of the flavors of obsessive thinking are: the
alcoholic who starts thinking about where he/she is going for a drink after work, while eating breakfast;
the drug addict who starts feeling some panic when the prescription bottle or the baggy is almost empty & starts urgently focusing on replenishing the supply;
the person whose relationship has ended who focuses on the good times & ignores the bad, or who focuses on what an awful villain the other person is - & keeps trying to find allies to support
that view by telling horror stories to friends (who will then be baffled & confused when the person jumps at the chance to go back into the relationship); the person who is always focused on eating,
or dieting; the person who is constantly thinking about money, or the lack of it & projecting
fantasies of grandiose jackpots or homeless ruination; the person who obsessively cleans house because their fear of the unknown drives them to focus on that which they can control; etc., etc.
Someone told me as some point
in my recovery, that what I focused my mind on was what I was worshiping. I didn't want to hear that, but I came to see
that there was Truth in it.
Obsessive
thinking is about focusing externally in order to escape from our self, from the fear & shame we feel at the core of our being. When we obsess on another person, thing, or
outcome of a situation as our savior, as the magical ingredient that is going to fix us, as the prince / princess / success that's going to get us to "happily ever after," we're making that external source our higher power, our god.
The opposite extreme is, of
course,***when we focus on either our self, or another person, thing, or situation as the villain who has destroyed our lives.***
To paraphrase something I
said in my March article here - Letting Go of unavailable people - what's so important, is to stop focusing on an external source as the cause of, or solution to, our problems. It is vital to start focusing
on what we do have some control over instead of things which we can't control.
One of the most powerful tools in my recovery from the beginning has been The Serenity Prayer. The Serenity Prayer is a very simple formula,
a template, for how to live life in a way that works. Accept the things I cannot change - change the things I can.
Focusing my time & energy
on trying to change another person, or on controlling the outcome of a situation is a dysfunctional way to live ife because it isn't really living. Living happens in the moment - not in the future or the past.
One of the most important things I learned to do to counteract obsessive thinking was to pull myself back into the moment. Take some deep breaths & get into my body in the moment. Look around me & see where I am & what's happening now. And then take some action.
I can't force myself to stop
obsessing. Shaming myself, "should"ing on myself, threatening myself,
will not stop me from obsessing. It's not possible to stop obsessing by obsessing about the obsession.
It was very valuable
for me in recovery to realize that I can't force myself out of an emotional place - I can't force my process. I learned
that I needed to accept where ever I was emotionally - no matter how uncomfortable. Once I accept where I am at, then I can take some action that will be helpful in moving me to a different emotional place.
One of the things I have control over, that I have the power to change, is what I'm doing in the moment. I have the power to force myself to take an action. Not because I "should" - because it's the kind thing to do for me.
Allowing myself to be in my
head wallowing in the agony of the trauma drama that is obsession isn't a kind thing to do for myself. Getting up & getting in motion is a good thing.
I take the deep breaths to
get into the moment. I look around & see that the sink is full of dirty dishes. So I do the dishes. Then as I'm drying my
hands I look around & notice what a beautiful day it is outside. So, I go out & take a walk.
It was vital for me to learn
to take action in alignment w/my recovery. Working the 3rd step in the 12 step program - "Made a decision to turn my
will & life over to the care" of a Higher Power as I understand him / her / it - is a step of action. It isn't enough
to have faith - we need to take action based upon that belief.
Love, like faith, isn't just a theoretical concept. Love requires action. Loving ourselves means taking actions that are good for us, that are kind & Loving. I'll talk some more in my next article here about applying the Serenity Prayer in our lives - learning to take responsibility for the things I can change as a way of being Loving to my self.


What if I feel that life hasn't been fair to me?
Deficit Motivation vs Abundance Motivation:
Have I received enough?
Do you sometimes
feel cheated by life or by another person? Do you ever think about how much more fortunate other people are than you?
Do you wonder why
they have more money, better opportunities, better parents, a more beautiful body, or more talents?
Does life seem
unfair?
Do you ever feel
that no one really cares about you? Do you ever resent others who have what you feel you deserve?
What if they didn't
earn it & you did?
How do you feel
when you get these thoughts? Hurt? Sad? Angry? These aren't happy feelings.
These emotions are caused by the belief that you have received less than your expectation level (or that you'll receive less than what you expect). You may believe that you have received less than you deserve or less than is fair. You may believe that you actually do have less than you deserve & have rightfully earned. Perhaps most people would agree w/you.
Deficit motivation.
Deficit motivation is believing that we have received less than we expect, minimally need to be happy, or deserve. It's believing that we're always working just to get to that state of meeting our minimum expectation, "being even," or getting what we are owed. Deficit motivation is feeling like we are in a deep hole & are just trying to climb out.
Deficit motivation
is being in debt & just trying to pay off all we owe. We feel resentment & feel like a victim. We could react by being aggressive toward others "to get what we deserve." On the other hand, we might withdraw, give up & feel sorry for ourselves. The
result of giving up is apathy & depression.


Abundance motivation. Abundance motivation is believing that we have more than we minimally need or expect. If we think we have more than we minimally need or expect, then we feel grateful (& happy). We appreciate what we have - to get more is a bonus. We will feel minimal resentment & can focus on getting more because we want it - not because we are owed it or deserve it.
If we really do have a lot
compared to other people, it may seem easy to feel abundance motivation. However, people's perception of their deficit or abundance often has little relationship to their actual abundance.
Remember how the POW saved his meager rations of rice & shared his "abundance" w/his guests (guards).(click here to read the story on the acceptance page) Remember how grateful Genevieve was for her year in the body cast. (click here to read the story on the acceptance page) Their abundance came from a spiritual abundance -not a material one.
I'm also reminded of a dentist
friend who flew to Mexico on weekends. He gave free dental work to the poor in rural villages. He was amazed at how happy the children were compared to children in the U. S. - despite their extreme poverty. The children of the villages seemed
happier w/their makeshift toys of sticks & stones than many of the children he knew - who had every toy invented. When he brought
in a load of used toys to these children for Christmas, they went wild. They appreciated these used toys much more than the children he knew appreciated new toys.
Why do the children
who receive so much less appreciate so much more? The American children thought that they "deserved" expensive gifts of their exact
choosing. The key to the puzzle isn't how much they actually receive, but how much they expect to receive.
Setting high minimum expectations creates deficit motivation. A professional I know began graduate school at a time when people in her occupation were in great demand
& were starting at high salaries. Companies were making attractive offers right & left. She developed the expectation that if she were to complete graduate school, a great, high-paying job would await her upon graduation.
She was divorced & had
children. She worked long hours, took care of her children & attended school for many years before she completed her goal. It was as if she thought
she had a contract w/God or Society that if she were to sacrifice so much, then she should earn a great job w/high pay.
But when she completed school,
the job market had radically changed. People were being laid off in her field & jobs were hard to get. Nevertheless, she
was very competent & got a good job - a job many others would have been happy to get. Yet, for years she felt a deep resentment about her pay & her job.


For years she still felt "cheated"
by God, society, fate, or someone. Her resentment affected her in many ways. At work she felt that she wasn't getting what
she deserved. Her house, her car & her lifestyle were less than they "should" be. She felt like a victim of "the Economy"
or something. Eventually, she learned that she was just making herself unhappy.
She decided to rethink
her original expectations & "contract." She realized that no one had ever really promised her that she would get the job she had imagined. My friend
realized that she had created that expectation and accepted her responsibility for overestimating the future job prospects.
She accepted the reality of
the situation & finally realized that she could be happy on a lot less than her current job. She reset her minimum expectations to a level that was significantly below her current job. After a serious job search, she decided that she would rather stay
where she was. After all those years, it was the first time she ever felt grateful for her job & her life.


Entitlement thinking
vs appreciation for life's gifts. When we read the papers, watch the news, or listen to politicians, we often hear that we are "entitled" to certain things. We believe all children in our country are entitled to good health care, a good education & good parenting.
We may believe that we are entitled to live in a city w/good streets, fire & police protection, good parks & low pollution. We may
also believe that we're entitled to live in a house w/good plumbing, electricity, a telephone, TV & other conveniences.
Where did these entitlements
or rights come from? Who promised us these things in life? Did God give them to us? Did the government give them to us? "Entitlement"
or "rights" are just ideas that exist in our heads. Many politicians, TV & newspaper reporters, parents & others believe we have these rights. It's natural for parents to want their children to "have the best." But often the idea transmitted
to the children is that they have a right to have the best.
Often associated
w/beliefs about rights & entitlements is the assumption that people can't be healthy or happy w/out these minimum entitlements. Yet 200 years ago even the wealthiest people somehow managed to survive w/out cars, TVs,
dinner at Luigi's, CD players, telephones, or even electricity & indoor plumbing. Today, even people living "below the
poverty line" have many of these conveniences.
We
believe that we must have these basic "necessities" to be happy.
Yet, today, many people in
the world don't have these "necessities." The problem w/entitlement thinking is its implications.
One negative implication of entitlement thinking is that we aren't strong enough to be happy w/out these necessities.
Another implication is that
if we don't receive these entitlements, we are being cheated. These thoughts cause feelings of resentment & self-pity. Entitlement thinking is just another form of deficit
thinking.
I strongly support
the goal that we all have advantages such as basic health care, education & lots of material possessions. However,
I support these goals because I care about people's health & happiness - not because people are entitled to these advantages.
I don't believe these modern advantages are essential to people's happiness.
The alternative to entitlement
thinking is appreciative-assertive thinking. Appreciative-assertive thinking is believing in zero entitlement & zero rights. I'm entitled to nothing: I was born into this world naked w/no possessions & given
my time in this world by powers beyond myself.
I wasn't entitled to that
time nor did I do anything to earn it. Ultimately I can't "deserve" anything, because I would have nothing without having
been given my life & my powers.
Therefore, I'm eliminating
the ideas of "earning," "deserving," "fairness" & "entitlement" from my basic way of thinking & from my vocabulary as much as is possible.
We don't need these entitlement ideas; they just lead to resentment. We can replace them w/ideas like "assertion" & "agreement."
I want to be happy myself & want others to be happy not because we deserve it, but because I want it & I love myself unconditionally. It's because I have chosen to make happiness of self & others my ultimate concern (or top goal). I choose it & I assert it; I don't need to justify it or rationalize it as something I'm entitled to.
Appreciative-assertive thinking is a form of abundance thinking. We start with zero minimal expectations. We may set goals to receive friendship, a good job, money, a nice home, or whatever else that might contribute to our happiness.
We can work hard to achieve those goals. Yet there's no guarantee that we will obtain what we seek. Everything we receive
is a bonus over our initial naked condition.
President John F. Kennedy
recognized the pervasiveness & destructiveness of entitlement thinking when he stated, "Ask not what
your country can do for you, but what you can do for your country." If I accept Kennedy's statement, I shift from being a needy person who must be taken care of by society to a person who is strong enough to take care of myself & has enough left over to give to society. Both society & I benefit from this shift in belief systems.


Deficit motivation is victim motivation; abundance motivation is power motivation.
Ponder the figure of the twins - one with
deficit thinking & the other with abundance thinking - & consider
the following.
If I view myself as having an abundance
to meet my needs, I feel happy, grateful & peaceful. Getting more is fun. In this case the rich get richer.
If I view myself as having a deficit
of less than I need, I will feel like a victim - deprived, angry, or depressed. In this case the poor get poorer.
One of my clients came in
because all of her previous relationships had ended "in disaster."
Typically, they would begin
with an initial period of happiness & fun. As they spent more time together & got closer, she began to feel more dependent on him for "making her happy."
He began to feel pressure to be w/her instead of desire to be with her.
As he felt more trapped
& more desire for freedom, she sensed his feelings & feared that he wanted out of the relationship. That in turn only caused her to get more "needy" & demanding for his time & attention - driving him farther & farther away.
She
was terrified of being abandoned. As a result, she became possessive & tried to manipulate her partner into being with her every free moment.
She
also became jealous of other women. Her current relationship was "on the rocks" & looked as if it might end like the rest had. She was feeling very upset about its possible end & confused about why this kept happening to her.
We
explored the problem more. She thought that everyone who had loved her had abandoned her. Her father, to whom she'd been very attached, had left her at an early age.
She'd
never felt close to her mother, who had resented taking care of her. Since she had been abandoned by everyone, she secretly believed that it was at least partly because something was severely wrong with her. (example of a false belief!)
She'd
tried everything to become more appealing & attractive. In many ways she'd succeeded. Yet men
continued to leave her. Their leaving only heightened her worry, "Something is deeply wrong with my personality."
"All of my life I have wanted
to find a man who would love me & never leave me." That was a key part of her problem. Where was she to find such a man?
The problem started as a little girl.
She developed the belief that to be happy she must have someone to love her & take care of her forever. Possibly because her father left her, this "must" became a top priority goal in her life - possibly even her "ultimate concern."
The reality was that she had
no close, affectionate, long-lasting relationships with anyone. So there was a huge gap between her "must have" expectation & her reality.
This gap created a powerful deficit motivation. She felt "cheated" & a "victim" of others - especially men, because "No matter how hard I
try to please them & make the relationship work, they always leave me. Men are 'flakes.'"
That was her point of view.
Part of the problem was that she expected too much of men. No man would love her & stay w/her "unconditionally." Almost any man would leave if he became too unhappy in the relationship.
It wasn't that all men were
"flakes." Her fear of their leaving actually drove them away. She was so terrified of their leaving that she became possessive & manipulative. Her partners wouldn't tolerate this behavior for long.
In order to keep from being
so possessive, needy & manipulative, she had to greatly reduce her fear of being abandoned & being alone. She would have to feel calm when she imagined men leaving her.
Once I explained my hypothesis
to her, she acknowledged that she had been afraid that something like this was going on, but she hadn't understood it so clearly.
We worked on eliminating deficit thinking & developing abundance thinking. First, she needed to lower her expectations. She needed to question her old assumptions that to be happy, she must have a man love & take care of her.
She needed to accept her worst fear that she could be alone indefinitely. No matter how good a relationship she had, her partner could always leave or die. There was no absolute security that she wouldn't be alone. No one owed her their time. That type of thinking only leads to deficit thinking,
hurt & deep resentment. Instead, she needed to have "zero expectations" that a man would love her & take care of her.
How could she learn to accept & to be calm about being alone?
She could
learn that she can take care of herself & make herself happy - especially during periods when she's alone. Expecting someone else to "make her happy" was unrealistic. Learning how to enjoy life living alone takes some skill & time. However, just believing in the possibility calmed her.
She also gave up her deficit thinking assumption that she & her partner should be together all of the time. She chose
the "zero expectation" that, "I don't automatically assume any togetherness. Any time together is a bonus for which I'm grateful."
Consequently, she no longer
needed to possess her partner & she no longer needed to manipulate him into being w/her. Her new approach delighted her partner & their relationship improved dramatically. More important, she was overcoming this long-term abandonment issue & she was overcoming her fear of being alone. Her self-esteem was rising & she was feeling much happier.


Summary: Deficit thinking has many negative consequences. When we choose to continue believing that we have less than we "deserve" or "must" have, then we choose deficit motivation. The consequences
of deficit thinking are feeling hurt or resentful. We may view ourselves as "victims."
Deficit thinking can even
create paranoid type thinking: thinking that other people are actively
trying to prevent us from getting what we deserve - when they're not. Negative assumptions about others often lead to either withdrawal from relationships or open anger & conflict.
Deficit thinking may focus
more on "who is to blame" than on important issues. In addition, we may give ourselves negative messages that we are too weak to cope wi/he situation. We're too weak to make ourselves happy if we don't get what we're "entitled" to. These messages lower self-esteem.
Abundance
thinking creates positive motivation. Abundance thinking starts w/having no assumptions about what we'll receive
in life. We develop zero expectations about what we'll receive. We make zero assumptions about what anyone will give us. "Anyone" means God, nature, society, parents,
peers, or any loved one. Everything we get is a gift. We receive the gift because the giver presented it to us, not because
we "deserved" it.
What are the implications
of abundance motivation in everyday situations? If I develop a disease & become disabled so
that I can't work, no one (including society) "owes" me anything.
Lack of obligation doesn't mean that we can't choose to care for each other's welfare & happiness. If we care for our own & others' welfare, we will choose as a society to adopt social policies beneficial to all. i.e., society
can adopt a kind of social insurance, so that it'll help people who are physically unable to earn an income. In that way we
can all feel more secure about our fears that if we become disabled we'll have an income.
We develop a social policy
because we choose to, not because society inherently "owes" it to anyone. Society develops a contract with its members. Social
security works that way.
Let's apply abundance
thinking to the example of a contract. If I contract w/someone to provide a service, I expect to be paid after I do my job. However, I'm not naive. Many events could prevent payment. Thus, overly expecting that the other person will keep his or her end of the bargain isn't only foolish, but it can also cause a great deal of wasted
emotion. It's better to hope for the best, but keep an open mind.
Suppose the other person is
a crook & never intended to pay. Focusing on my deprivation, moralizing, blaming, working myself into a frenzy about being cheated & developing
a deep resentment only create anger inside me. I don't need anger to take action. The excess anger doesn't hurt the other person or balance the scales, it only takes away from my own happiness.
I can still choose to take
action to receive payment or restitution, because I still want to receive the money & I don't want to encourage the other
person to cheat more people. But there's no need to get in a stew about it - that only hurts me. Being cheated only hurts
me if it undermines my happiness.
My abundance comes
not from the amount of money I have in the bank, but from the amount of happiness I have in my life. If being "cheated" doesn't
seriously undermine my being a happy person, then it hasn't done me too much harm.
Even if the cheating harms
me in some real ways, I'll be happier if I accept the new situation & move on. I can pick up the pieces & set new
goals given the new reality. Abundance thinking keeps me in control of my emotions & gives me positive motivation for maximizing my positive actions to accomplish realistic goals.
Abundance thinking is better
illustrated by this true story. A friend, George, was close to his eldest son. He & his son had dreamed for years that
his son would complete medical school & then go into private practice w/George.
His son struggled to get accepted
into medical school; then he struggled thru it. Just after graduation, father & son finally began their practice together.
A few months later a drunk driver ran a light & killed his son.
At first, George was devastated. But I received a copy of a poem George sent to friends & family a few weeks later. The poem expressed no anger, instead it expressed George's gratitude for the time his son had walked the earth & for the joy that his son had brought into George's life & the lives of others. That's abundance thinking!


To create abundance thinking. If you want to choose abundance thinking over deficit thinking, try the following:
1. Create
"zero expectations" of what you will receive. Abundance thinking means creating "zero expectations." Don't automatically assume that you'll receive anything. Instead
you'll be mentally prepared for the worst possible case.
Think positively about your chances of receiving what you want, but that's quite different from assuming that you'll get what you want.
Don't assume that you:
- "must
have..."
- "should
have..."
- ultimately
"deserve" anything
You don't assume that God, nature, society, or any other source has established absolute rules for what you
"should receive."
2. Use
appreciate-assertive thinking. Replace all of the phrases like "should
have" or "must have" with the phrase "I want." Assert that you want something based upon your choice of your ultimate concern for happiness for yourself & others.
That assertion is sufficient
reason for wanting it. You don't need to justify it from any other moral code or set of "shoulds." Nor is there any moral code or set of "shoulds" that indicates you "deserve"
to have it.
Everything you receive in life is ultimately a gift.
You'd have nothing without the gift of life, the gift of your environment & the gift of your abilities.
Once you view
the situation this way, everything good in life becomes a bonus: a gift you didn't get because you deserved it, but a gift
that you're grateful for.
3. Take
responsibility for your own happiness. Foster abundance thinking by assuming that you're responsible for your own happiness & that no one else is.
Developing your interests,
knowledge & skills in areas that help you take better care of yourself & make yourself happy. Know that even when you're poor in some area(s) of life, you can still find routes to happiness like Genevieve (in the body cast), the POW & Victor Frankl have done.
4.
Focus on positive "wants" & goals. Give up trying to justify what you want with "shoulds" & give up expecting other people to meet your needs for you.
Then you're free to focus on what you want & take responsibility for getting it yourself. In abundance thinking you start with the assumption
that you can be happy with what you have.
However, you're
free to want more & to keep setting challenging goals to receive more. If you meet the goals, it's a bonus to the happiness you already have. If you don't, that's okay because you can be happy with what you have.
Practice:
Compare your own deficit thinking with abundance thinking.
(1) Think of an area where you feel abundance thinking.
(2) Compare that
abundance area thinking to any area where you experience deficit
thinking. (If you're having trouble thinking
of one, think of an area where you feel that you "are in a hole" or have less
than you "deserve." It could be that you feel that you received less than you "should" from your parents, education, peers, work opportunities,
or almost anything.)
(3) Use the self-exploration technique to explore your feelings, images, thoughts, underlying beliefs & history of this deficit thinking. Then try
to replace your deficit thinking with abundance thinking.
Hope for the best, be prepared for the worst, expect something between & be grateful for all that you receive.


Mind Your Thoughts
By Anil Bhatnagar
Have you ever thought
about the fact that there's never a moment when you aren't thinking - that whatever happens in
this world begins with a thought? Here are 5 simple steps to help you manage your thoughts & achieve success
& happiness in life
Be aware of Your Thoughts Start watching your thoughts, without identifying
with them. Watch them as a detached observer.
You may even get carried away by your thoughts.
Never mind. It's natural - especially for a beginner. What you need to do, whenever you detect this, is to take yourself out of your thoughts immediately & get
back to the process of thought-watching once again as a detached observer.
Don't get perturbed by your thoughts. Don't
condemn or justify them. Don't try to control them. Just watch them. After some time, you will come to know what your negative thoughts are about. Now concentrate on all the positive thoughts that you can replace these thoughts with, in order to switch
over to a more positive attitude towards them. Our attempt should be to cut down the quantity of unnecessary thoughts & to
improve the quality of the necessary ones. Keep yourself busy. Simple food, deep breathing & relaxation exercises also help manage your thoughts easily. Expect less from others.
Identify Negative Thoughts Keep a logbook. Jot down your thoughts.
Write down happenings of the day. Were they positive, appropriate & adequate or were they confused, superfluous & negative? Could you notice the interval between the happening & your response? If yes, could your foresee your negative thoughts?
If not, what can, you do
to notice this interval? Was there any discrepancy between words & thoughts? If yes, was it
justified - could you find a better way of harmonizing your words & thoughts? Was the verbal response
necessary, appropriate & adequate?
Sometimes we talk to
others, or simply to ourselves, or think about something just like that. Ask yourself what provoked
you to take the initiative to start a conversation. Was it essential? What was the purpose? Did it serve the purpose?
If no, then why not? Did
it use any unnecessary & emotionally charged negative words? Were the words used in thinking, inner dialogue or in talking to the other person, precise,
appropriate, adequate & positive? Did you feel happy or satisfied after the interaction with the other person or with your inner self? Can you find ways of improving your performance as a thinker or a speaker?
Keep in mind that logbooks are meant to get you started & make you aware of your negative thoughts. It's far more important, however, to be aware of these thoughts when they're just taking birth, rather than leave them for later analysis.
Be conscious of the interval that separates the event from thoughts
with which you respond to the event.
Negative Thoughts Imagine a strong sun radiating a powerful light. Use this mental sunshine to kill your negative, undesirable thoughts, emotions & images as & when these are detected. Take this sun as a mighty weapon which is always on the alert & which
automatically chases any negative thought & kills it with a flash & then withdraws. Don't forget to imagine that this sun
is your faithful friend & is extremely kind to you.
Keep a note of how many
times you need to call the sun for its services. There will be a gradual increase, followed by a drastic fall. This is so because initially
the number of times you call on your mental sunshine increases gradually as your awareness of your thoughts grows.
The drastic fall is because
what we don't use (the negative thoughts, in this case),
we tend to lose.
Replace with Positive Thoughts A vital step in this process is the immediate
replacement of all negative thoughts by the positive ones. The shorter the interval between the disinfecting & the replacing stage, the better it is. Longer intervals between
these 2 events weaken the impact of the positive thoughts.
Our success & happiness depend on identifying our goals precisely & chasing them effectively, both of which, in turn, depend on how well we manage our thoughts.
The quality of our thoughts decides the quality of the outcomes we land up with. Thoughts have the power to materialize themselves because they're instrumental in channeling energy towards the physical or mental condition they're
about.
External situations & the remarks of others can harm us thru our thoughts - but only to the extent our thoughts
allow them to. So think positive. Talk positive. Read positive quotable quotes of great people.
Surround yourself with posters
& cards bearing positive messages. Keep them on your table. Hang them on the walls. Paste them near the bathroom mirror & on the doors. Stick
them on your watch strap. Keep them on the refrigerator. Have them on the dashboard of the car. Slip them under the glass
of the table in front of you. Slide them in the inner side of the briefcase you carry. Find other suitable places where you're
bound to look at them every day.
Remember that these messages
will stale with prolonged use. So keep changing their position & contents. Don't let the momentum of these thoughts get
weaker.
Use them appropriately in response to specific negative thoughts. The replacing thought
must be positive in every sense. Apart from being inspiring & assuring, it should also be suggestive.
i.e., if you confront a
negative thought, "I can never succeed", it'll not suffice if you replace it with "Sun! Attack! I can succeed".
This kind of replacement
may not be effective, for it sounds like wishful thinking & lacks assurance, depth &
penetrating certainty. It's better to break your replacing thought down into
more definite & specific steps or instructions.
The replacing thought in this case may be:
- "I can succeed.
By earlier failures I have become rich in experience & have come to know specific areas that require special attention.
I will jot them down & systematically think
of the ways in which I can improve. I shall plan. And then stick to it. There's absolutely no reason why I shouldn't succeed.
I will assess, plan, execute, monitor, modify & carry on with the plan & finally succeed. In fact, I think that success has already been achieved & only time separates my thought of success & its transformation into reality. I'm committing myself to all that's required to achieve success. I'm a river that knows no obstacles. I shall find my way anyhow - & if there's none I shall make one."
Reinforce
Thoughts like these can be further reinforced with emotions & images. All this may take longer than one single replacing thought, but these are
far more effective since they allow you to divide the desired target into workable units.
Focus on a pleasant
event that took place in the past. This way your thoughts will turn positive & your emotions & images will reinforce each other, resulting in an overall positive attitude.
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very important additional resources!
visit the pbs website to utilize this awesome
resource! click here to read about the aging brain!

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Depression: Understanding Thoughts of Suicide
by Stephen L. Bernhardt
For many years
I had suffered from depression & suicidal urges. I tried to determine why it was happening to me & what I could do to end my pain. The books I found were mostly
statistical listings of who took their own life, their income brackets & vocations. Personal accounts were specific to
their situation & recounted little insight into why this was happening to me, or what I could do to end the intense pain.
I am, what some
would say, mildly manic depressive & have a family history that would support such a conclusion. But, this isn't my story. This is an attempt to help those who are depressed with suicidal thoughts, better understand what they're going thru & help them find possible solutions.
Most people who
are suicidal are also depressed. The two prime reasons that a person becomes depressed, are a loss of control, over their life situation & of their emotions & secondly a loss of a positive sense of their future (loss of hope). Any therapy which is to be effective in reversing our depressed state & the resultant suicidal urges, will have to help us regain control & help us regain hope.
Being depressed causes us to narrow our view of the world around us to such an extent that reality becomes distorted. The negative in our lives is constantly reinforced & the positive around us is discounted as being irrelevant, or even non existent. Options to help solve our problems are rejected as having no merit, until it seems as if there's no possible solution.
An unrelenting
& oppressive sadness comes over us which causes a very real pain, as if the pain of the sudden loss of a parent stays with us for weeks, months
& even years. It's as if we are trapped in a dark cave or possibly a tunnel that runs only
from our constant pain to somewhere near hell, with no exit to heaven & no exit to joy. We begin to think that there's no relief & that this pain will never end. Tomorrow will be the same, or worse. Death may be the only solution!
Suicide isn't a solution, it's an end before a solution can be found. It can't be considered an option, for an option denotes
we have a choice & death robs us of both, option & choice. Death is an irreversible act that doesn't end the pain,
for it remains in those who are left behind. Even people who are totally alone & take their own lives, transfer their pain to those of us in society who do care & we do - care!
Many people have
suicidal thoughts at some time during their lives. For most the thought
is fleeting, happening after a major life loss, or at some point in life where they perceive the future as becoming hopeless.
For others, life
isn't quite so kind, they may have a strong genetic propensity to become depressed, a chemical imbalance, or a series of unfortunate life experiences may eventually end in depression. Still others have much to do with causing their own pain by using an unrealistic cognitive thought
process & having expectations in life that aren't possible to achieve. Whatever the cause, we are all at risk of having strong suicidal urges when it seems as though the future has become hopeless.
There is no class
or type of person that is exempt from having suicidal thoughts. Doctors, therapists & teenagers from all walks of life, are all high on the percentage lists of completed suicide, although it seems that
those people with strong religious convictions are least likely to attempt.
Suicidal "Triggers"
Given a person
is depressed & having suicidal thoughts, there are certain releasers or triggers which intensify
the suicidal urge. Recognizing those triggers of renewed suicidal urges which are present in your life will help you to understand what's happening to you & begin to allow you more control of your emotions.
1. Beginning Therapy & After Therapy.
Suicidal urges
are particularly high just after a depressed patient first enters therapy. When beginning therapy the very symptoms give rise to thoughts such as "this will never work", or
"why should I put myself thru this, when there's no possible hope of success".
Combined with
these thoughts may be the possibility that the patient & therapist don't connect or bond (as may happen between any two strangers when they first meet).
The expectation that therapy will fail, especially if this not the first attempt, is devastating. We begin to believe that if therapy fails, then we will never be rid of this pain & what's the use of going on.
THIS IS VERY IMPORTANT! It's particularly tragic, when a patient has gone thru therapy & the depression has substantially lifted, that they then kill themselves. It happens! Depression is episodic, in that it can come & go, sometimes in an instant. If a person is feeling euphoric & at long last can
envision themselves as depression free in the future, any setback will cause a flight back to the conditioned response of suicidal ideation.
The thought
of the pain returning is unbearable & the urge to die may become intense. The triggers which cause this renewed
depressive & suicidal episode are usually the same things which contributed to the depression in the first place. After therapy a continued exposure to an abusive partner, an oppressive boss, the inability to overcome substance abuse, inadequate concept of self, financial problems, etc. can trigger renewed suicidal urges.
There is good news!
These suicidal urges don't have to plunge you back into the depths of your depressive hell! This doesn't signify your therapy has failed or that you must then start again from square one. Recognizing those triggers or releasers of renewed suicidal urges that are present in your life will help you to understand when it happens & that it can be reversed.
The panic which
follows renewed suicidal thoughts will be short
lived if you don't allow this panic to take control of your mind. See your therapist, a friend, or the local crisis center. Let them help you talk it out, what you need now is - time. The feeling will pass, usually in 2 days or less!
Off in an isolated
room playing a game with a young child, or alone in the back yard inspecting whatever, we hide trying to avoid any conversation which might remind us of the pain. Aunt Annabell, or even a stranger might ask us if we have a job yet,
or if the divorce is final & we are slammed back into depression & suicidal thoughts.
A loving relative
might ask us "what's wrong" & try to bring us out of our shell. An inappropriate angry outburst might follow, giving credence to the saying that "you always hurt the ones you love". We are sorry, we depress.
3. The Antagonists.
The antagonists
in our lives (the oppressive boss, the abusive spouse or partner, or that jerk who never quits) can easily trigger renewed suicidal urges. Strangers,
at first meeting, soon recognize or sense that we are depressed. This may be an unconscious recognition on their part where our general demeanor, body posture, facial expressions &
attitude send signals that may cause them to react with outbursts of anger, which aren't warranted, given the circumstances.
This unfair treatment of a depressed person is perplexing & gives rise to thoughts such as "life is so unfair", or "life sucks!" Some others may feel a compassion for the depressed person which they're seldom able to adequately express & they may embarrass or act inappropriately. Still others seek out depressed individuals & take advantage of the situation, all in order to boost an ego that is badly in need of repair. Take heart, as our depression lifts & we begin to regain control of our life & of our emotions, this treatment will pass - & it does!
4. Natural Events & Suicidal
Thoughts
The effect that
natural events have on depression is extremely important, especially when one is beginning to overcome the depressive response. Fast moving weather front lows, the full & new moons, changes of the seasons & decreased sunlight in winter,
will cause an increased state of anxiety when a person is depressed.
One is especially
at risk when there's a fast moving weather front approaching the two days before the full moon. This must not be discounted
as hearsay or superstition! Hollywood has made a mockery of the effect that the full moon may have on people.
When I mention
the effect to people who haven't experienced it, the same facial sneer always appears & anything I say after that is discounted
as the babblings of an idiot. The fact is, that when depressed we are in a more primal state.
Our emotions are raw & we are subject to natural changes in our environment & in our bodies. Increased risk can be anticipated during lows in the cycle of our biological state (such as during a
woman's menstrual cycle - men have high & low monthly emotional & physical cycles
also).
A statistical correlation
hasn't been identified concerning suicidal attempts & the full moon because the full moon doesn't cause one to commit
the act. The full moon & the other listed natural events cause an increased state of anxiety which exacerbates depression & increases the risk of the suicidal urge becoming strong. Actually the risk of attempts of suicide is greatest during the week after the full moon, as increased depression & the resultant suicidal urges begin to take their toll.
Strong suicidal urges,
mania that approaches panic (& a resultant plunge back to depression), or deepening depression that can't be explained by renewed life crisis, can many times be explained by looking at a calender which has the cycle
of the moon marked on it! Although knowledge of what is causing this reversal doesn't keep it from happening, there's comfort in that one now understands what is happening & comfort that it'll end in two days or less & it does!
6. The Death Fantasy
During times of
increased stress & trauma some may try to escape the pain of life by fantasizing that they're dead. The fantasy may begin with the thought that one has died & the family & friends are standing at the grave side, they grieve & are very sorry we are dead.
The vast number
of people at the funeral attests to how much we were loved & admired. It had taken our death but we were finally able to communicate to them how unfair life had been for us & now they could take us seriously & realize that our pain was real.
The "mock" attempts
of suicide may be a similar form of fantasy, where the loved ones are visioned as standing around the hospital bed & they're
finally able to realize how unbearable the pain of life was for us.
If one becomes
preoccupied with the death fantasy or uses it to excess in escaping from the pain of life, the fantasy will become a conditioned
response in reaction to added stress or crises. Death can become a friendly thought & one may begin to fear the pain of life more than they fear death.
The bi-polar, manic
depressive person (one who alternates between
periods of manic euphoria & a depressed state) should be extra careful to identify those triggers which may
cause a reversal of mood. Some people seem to be able to control their manic periods, others can't.
Even those who
outwardly seem to be in control are at risk if they have a reversal of fortune & their sometimes unrealistic endeavors turn sour. The mood swing can
be swift, unexpected & dangerous. In an instant we can be slammed back into a depressed state with strong suicidal urges.
Our view of the future
The human conscious
mind is the only entity on the face of this planet which is able to conceptualize & abstract the future. The need
for a positive sense of the future is one of the prime motivators of human life. This need transcends even the event of our ultimate demise
& is the motivation to envision a continuation of life after death. We don't want to think
that death is the end.
Heaven & life
after death with God fulfills this need for the religious person, others have envisioned reincarnation, or that we enter (body whole) into another dimension without the need to believe in God. For others the legacy of their works or the continuation of their genes thru their offspring is enough to give them
a positive sense that death isn't a complete end.
In the short term
& for those who don't concern themselves with what happens after we die, there's still the need for a positive sense of our future. It's what makes us get up in the morning & face the coming day.
Even in the face
of adversity or drudgery we are motivated to endure, because we envision an end to these conditions & a better future at some later date. Anticipation of future events is what makes our body ready itself for the sex act, it's what motivates us to amass wealth & power, to buy a lotto ticket, to set goals & have aspirations.
Even the diehard
sofa potato looks to the future as told to him by the upcoming programs in the television listings & of course there's
that next thirst quenching beer & resultant belch, to look forward to. We all have a need for something to look forward to, if we lose all hope that the future holds anything positive or that our present pain will ever end, most of us will depress.
CONCLUSION
Knowing what's
happening to us goes a long way in being able to regain control over our life & our emotions. But real healing will not be possible until the depression is lifted. I recommend that anyone who is depressed & having suicidal thoughts, seek help.
This manuscript
was conceived while I sat on a ledge overlooking the abyss of hell. I would contemplate if I should follow the intense urge
to jump & end it all, or if I could muster the strength to take control of my emotions & of my life.
I tried so very hard
to picture the future - with me in it. I hope that relating the knowledge I have gained from my experience & my pain, might somehow help ease your pain. Knowing what
is happening to you & some of the reasons why it's happening, might help you regain a positive view of your future, a view that includes both, you & me.
by © Stephen L. Bernhardt - 1996-2002
Suicidal Thoughts Overview
If you or someone you know is considering suicide, call 1-800-SUICIDE.
Suicidal thoughts are troubling, especially when accompanied by depression, other mental illnesses, alcohol or drug abuse, or plans for suicide. This situation demands immediate evaluation.
These thoughts can indicate serious illness.
The critical distinction is between a person’s thoughts regarding
death & suicide & actually wanting to die. When doctors hear that someone wants to die, they refer to these thoughts
as suicidal ideation & divide them into 2 categories.
- Suicidal ideation can be active & involve a current desire & plan to die.
- Suicidal ideation can be passive, involving a desire to die but without a plan to bring about one's death.
If a person has an actual desire to die (in either
form of suicidal ideation), he or she must seek immediate medical attention.
Last updated: Aug 10, 2005
Causes of Suicidal Thoughts
Many people experience suicidal thoughts at some time in their lives.
Suicidal Thoughts Symptoms
A person is either experiencing thoughts about committing suicide or not. Almost as important are the symptoms that may accompany these thoughts.
Depression: Suicidal thoughts may be present
if a person is experiencing depression. Depression can be easily assessed.
- Others may note that depressed people seem "down" or upset.
-
Most depressed people report sleep disturbances -either an inability to fall asleep or an inability to sleep thru the night.
-
Depressed people often speak of feeling hopeless or helpless. They seem unable to experience any feelings of happiness, even when participating in activities they normally enjoy.
- Many of these people experience either a rapid weight gain
or weight loss along with their depression.
-
They may seem inattentive & their performance at work or
school may suffer.
-
They may appear listless & even complain of feeling "down"
or depressed.
- Depressed people are often burdened with a tremendous sense of guilt. To an outside observer, this guilt often seems unwarranted, but to the depressed person, it seems deserved.
- Mental illness: For someone with a diagnosed mental illness such as schizophrenia or someone who has attempted suicide in the past, thoughts of suicide
take on a new dimension of importance.
When to Seek Medical Care
A call to the health care
provider or to 911 is warranted when someone admits to suicidal ideation. That is, if someone actively wishes his or her own
death, then evaluation by a medical professional is absolutely essential.
Any form of suicidal ideation
- that is, actively wishing your own death - should prompt immediate evaluation by a medical professional.
By the time someone admits
to having a thought or plan to end one's life, the person may have already initiated the
plan.
- It is not uncommon for a person with suicidal ideation
to be treated in the emergency department for having taken an overdose but have told no one.
- Guessing about a person's true intentions when suicidal ideation is a concern is dangerous and wrong.
Professionals often speak of a "suicidal gesture."
- This occurs when a person harms himself or herself in such
a way as to bring sympathy but not death.
- Even if you believe a person is "doing it just for attention," you must not rely on this feeling.
Many people
make gestures that are unintentionally lethal.
- For instance, someone may take an overdose of acetaminophen
(Tylenol) in order to gain sympathy, not understanding that an overdose of Tylenol can be fatal.
- It is not your job as a concerned friend or family member to
evaluate the intent of the person with suicidal ideation.
Your job is to get the person to the hospital as soon as
possible.
Exams & Tests
The assessment of people with
suicidal thoughts is far from an exact science.
- If a person is evaluated by the primary health care provider,
he or she may be instructed to go immediately to the emergency dept. for further evaluation.
- If evaluated in the emergency dept., the emergency physician
may enlist the help of a psychiatrist for more expert diagnosis & treatment.
The assessment, whether in the medical office or emergency
dept., includes the following parts.
Medical interview: A person
who is having thoughts of suicide is interviewed extensively by medical professionals. Questions
such as these are asked:
- Have you swallowed any medicines or drugs?
- What plan do you have for ending your life?
- What circumstances in your life brought you to the point of
suicide?
- Have you ever attempted suicide in the past?
- What's your family history of mental illness or suicide, if
any?
- Have you used alcohol or drugs?
- Have you recently experienced any emotional loss (such as the death of a loved one or a divorce)?
- Do you have any medical illnesses or history of surgery?
- Are you currently taking any herbal, over-the-counter, or prescribed
medicines?
Mental status: This is a
crucial part of the history is the mental status examination.
- This is a formalized series of questions & commands designed
to point toward any psychiatric or neurologic problems, such as depression or schizophrenia.
- The questions may seem silly or insultingly easy, but they're
designed to highlight disordered thinking & disorientation that could signal mental
illness.
Physical examination: The
medical professional performs a head-to-toe physical examination.
- The person's strength, sensation, coordination, reflexes &
ability to walk & balance are checked.
- Depending on the person’s age & health status, this
may take anywhere from a few minutes to over 20 minutes.
- Any abnormalities may require further evaluation because certain
disease states & certain medicines can actually cause depression & lead to suicidal thoughts.
Lab tests: The decision
to order lab tests is based on the findings of the interview & physical examination.
- No lab test is available for depression & no lab test is available to tell if someone is serious about committing suicide.
- Any suggestion of medical illness, drug or alcohol intoxication
or overdose, or poisoning usually mandates lab tests.
- Blood &/or urine may be checked for drug & alcohol
levels.
In some cases, x-rays or CT scans or an ECG may be ordered.
Suicidal Thoughts Treatment>
Self-Care
at Home
For the otherwise healthy person with no signs of depression, mental illness, or drug or alcohol abuse, fleeting thoughts about death or suicide are usually harmless. However, any current desires to die make home care completely inappropriate.
If anyone - including the
suicidal person - has concerns that the person might be depressed or have other difficulties, then home care isn't appropriate.
A concerned friend or partner
should inquire directly about thoughts of suicide.
- Contrary to conventional wisdom, asking about suicidal thoughts or plans doesn't "put the idea in the person’s
head."
- If you're concerned that someone may be depressed or suicidal, then ask in a direct & caring manner.
- You might simply say, "You seem down to me & I'm concerned. Is everything all right? Are you experiencing thoughts about death or suicide?"
Medical Treatment
The treatment for suicidal thoughts might range from gentle reassurance to admission to the hospital.
- In some cases, the person is sent home with instructions
to return if the thoughts become persistent or symptoms of depression become evident.
- In this case, follow-up with a mental health professional is usually arranged
within 48 hours.
- An anti-anxiety medication or even an antidepressant may be started right away.
- If the person’s suicidal thoughts
are believed to be of a dangerous nature, follow-up is likely to be immediate with admission to the hospital.
If someone is admitted to
the hospital because of suicidal thoughts, he or she undergoes extensive evaluation by a psychiatrist & often is
started on medication & scheduled for follow-up counseling.
From the physician's perspective, suicidal thoughts are to be taken seriously & evaluated thoroughly. Predicting suicide is difficult.
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