By: Olivia Remes • TEDxUHasselt | May 11, 2017
"Anxiety is one of most prevalent mental health disorders, with 1 out of 14 people around the world being likely affected. Leading up to conditions such as depression, increased risk for suicide, disability and requirement of high health services, very few people who often need treatment actually receive it. In her talk “How to cope with anxiety”, Olivia Remes of the University of Cambridge will share her vision on anxiety and will unravel ways to treat and manage this health disorder. Arguing that treatments such as psychotherapy and medication exist and often result in poor outcome and high rates of relapses, she will emphasise the importance of harnessing strength in ourselves as we modify our problem-coping mechanisms. Olivia will stress that by allowing ourselves to believe that what happens in life is comprehensive, meaningful, and manageable, one can significantly improve their risk of developing anxiety disorders."
By: Robert Taibbi L.C.S.W. | Posted August 7, 2022
"When my kids were teenagers, they went to an Outward Bound course. Though they each did different things—hiking vs. sailing vs. rock climbing—the core activities were the same: High ropes course, run a half marathon, live in the woods by yourself for three days, build a lean-to, practice how to deal with bears or falling overboard. When they came back, they were pumped: Bring it on! Eat my dust!
In other words, their self-confidence had ramped up by 1,000 points. Why? Because they had spent three weeks continually facing near-death experiences.
Self-esteem, self-confidence, and self-image all fall in the same bundle—about feeling good about yourself, feeling more like a winner than a loser. What gets in the way? Generally, a cause and a result: The cause is that you learned to be too self-critical, likely by having critical and unsupportive people around you. You never give yourself a break; even the smallest mistake—the burned biscuits—is another demerit and sign of your incompetence. Your expectations are impossibly high, and everything—even the biscuits—is what you’re overall competence is measured by.
But the result of this ongoing criticism is that you learned to give up on yourself, setting your self-image in concrete. You no longer try anything new because you “know” it will not work out. You give up on your dreams because you “know” you can’t reach them. You’re one of the “losers”; your life becomes small, filled with resignation. You avoid those break-out experiences that can make all the difference.
Time to make that difference and change that story. Like that Outward Bound course, to change your self-image, and increase your self-confidence and self-esteem, you don’t need to start by changing your emotions or attitude but by changing what you do. Here are some tips:
1. Set a challenge.What is it that you most want to change about yourself? It might be something physical—exercising more, drinking less. Or relational—speaking up and telling others what bothers you rather than holding it in.
Pick one thing. The topic ultimately doesn’t matter. What matters is picking something important enough to motivate you into action.
2. Map out baby steps.This is the key. You may be ready to break out, but the danger is that you try and do the make-over: Work out seven days a week, stop drinking altogether, confront your mother or boyfriend or boss. You’re doing all-or-nothing; you’ll burn out, get frustrated, or it will blow up, only adding more fuel to your story of incompetence. Slow and steady wins the race.
3. Focus on the effort, not the outcome.Sometimes your efforts won’t get you the results you want. You get the courage to speak up to your boss about your schedule, and she still doesn’t change it. You work out for two weeks, but nothing seems to have changed. That’s fine. Don’t measure success by what happens next, but by doing it at all.
Ultimately, the goal is not the outcome—whether you achieve what you’re striving for—but the process—taking the risk, stepping outside your comfort zone, doing rather than believing, or despite believing that you can’t. And sometimes, you will achieve what you want. As you accumulate these experiences and become more comfortable with risk-taking, you’ll change the story. You’re no longer the loser; you’re actually courageous, confident, and competent.
4. Stop that critical voice.But that critical voice will always be looking over your shoulder, ready to pounce and let you know that your success was dumb luck, that it wasn’t significant, that it’s only a matter of time before you fall back into your loser status. You can think of your critical voice as a bully constantly beating you up or as hypervigilant guard dogs trying to protect you. Pick one.
If it's a bully, time to push back. Start by paying attention to when that voice kicks up. Good. Now tell it to stop, practice ignoring it, not letting it distract you from moving forward, and better yet, pat yourself on the back for taking the risk and making an effort. And if you think in terms of the guard dogs, be the alpha, let them know that you’re OK, there’s nothing to worry about, that you got this. Realize that critical voice isn’t you."
By: Daniel R. George, Ph.D., M.Sc. | July 7, 2022
"This post is authored by Mariam Shalaby, a 4th-year medical student at Penn State College of Medicine"
"It is a tumultuous time in the U.S.—politically and socially—and many of us in the field of mental health are additionally tasked with the responsibility of caring for the emotional needs of others. This can be taxing, even for someone like myself who is a medical student training in psychiatry. What are practical steps we can take to maintain a productive and caring presence amidst national turmoil?
A day in the life of a mental health trainee
As a fourth-year medical student, I spend a month at a time training in different locations. Recently, I have been training at the local psychiatric hospital, where patients are cared for when their mental illness leads them to be at risk of harm to themselves and/or others, or unable to care for themselves.
Waking up on a recent Wednesday morning, the first thing did was check my phone. Texts from loved ones working through personal problems flooded my screen. I sent a quick reply — “Thinking of you” — before switching apps to scroll through cute cat videos interspersed with passionate 30-second video clips about baby formula shortages and another school shooting. I clicked my phone screen off before taking a deep breath and getting ready for the day.
Driving to the hospital, I noticed the fluffy clouds and the blue sky above me. It was a pretty June day—a peaceful morning. Merging onto the highway, I noticed the car in front of me. Pink paint emblazoned on its trunk exclaimed: “PAWS OFF ABORTION! STOP CONTROLLING WOMEN.” My chest tightened.
I walked into the hospital and sat down for rounds, which is when the team meets with every patient to talk about how they’ve been and discuss their treatment plan. We interviewed eight patients in a row. When I asked one patient what led her to attempt suicide, she looked at me in the eye and said, matter-of-factly, “I was sexually abused by my father as a child, I have struggled with cocaine use for many years, and I am dealing with unresolved grief from the loss of my husband due to overdose.” I gulped, and said, “I’m so sorry to hear that.” Inside, I panicked: What is going on, and how are we going to fix it?
Finally, we finished rounds. I took a break for lunch at the neighborhood Italian bakery and noticed an enormous plywood sign in front of one of the houses across the street: “FROM IRELAND TO PALESTINE, OCCUPATION IS A CRIME” it screamed at me in black spray paint. I took a deep breath and tried to notice the taste of my pizza and the sound of the birds. The time passed too quickly, and soon it was time to return to work.
When I finally arrived home at the end of the day, I felt drained. I had little energy to do anything at all. And it was only four o’clock; I had gotten home early. I resorted to looking at my phone, and found myself once again watching silly videos that left me feeling just as tired as when I got home.
I’m grateful that, like many other professional Americans, my basic needs for food, water, and safety are met. And I’m grateful to serve in a role that helps others find stability in their lives. But these days, a sense of vigilance and worry often consumes me. Many of us wake up daily to an overstimulating digital atmosphere, a turbulent sociopolitical landscape, and an emotionally taxing job. I walked through the day on edge, alert for threat.
While there are practical ways of responding to outside threats to our senses of security and calm, such as participating in activism about causes we care about and doing our best to care for patients, addressing inner sensations of stress in response to those threats isn’t always so clear. Simply telling myself to “calm down” doesn’t work. Trust me, I’ve tried. That said, here are a few things that I have found to be helpful: