AI and Psychology

Like it or Not, AI Is Coming…It Is Here!

Here are some of the things people are saying about AI and psychology:

In psychology practice, artificial intelligence (AI) chatbots can make therapy more accessible and less expensive. AI tools can also improve interventions, automate administrative tasks, and aid in training new clinicians. On the research side, synthetic intelligence is offering new ways to understand human intelligence, while machine learning allows researchers to glean insights from massive quantities of data. Meanwhile, educators are exploring ways to leverage Chat GPT in the classroom. (Craig, L. 2024)

People get resistant, but this is something we can’t control. It’s happening whether we want it to or not,” said Jessica Jackson, PhD, a licensed psychologist and equitable technology advocate based in Texas. “If we’re thoughtful and strategic about how we integrate AI, we can have a real impact on lives around the world.

Despite many professionals’ fears about its potential dangers, it seems to have arrived. Looking at AI from the perspective of a therapist or others who offer counseling, here are a few of the unexpected issues you might encounter.

There is still cause for concern. AI tools used in health care have discriminated against people based on their race and disability status (Grant, C. 2022).

Be aware that AI can spread misinformation, use chatbots to express love to users inappropriately, and sexually harass minors. In fact, it was concern about issues like these that prompted a March 2023 movement to stop using or developing AI until more research was completed about the subtleties that might accrue to clients.

A lot of what’s driving progress is the capacities these systems have—and that [capacity of AI] is outstripping how well we understand how they work,” said Tom Griffiths, PhD, a professor of psychology and computer science who directs the Computational Cognitive Science Lab at Princeton University. He went on to say, “What makes sense now is to make a big parallel investment in understanding these systems, something psychologists are well positioned to help do.”

How Safe is the Combination of AI and Psychology?

As we ponder AI’s safety in the combination of AI and psychology, some questions rise to the surface. Is it ethical? What protections could help ensure privacy, transparency, and equity as these tools are increasingly used across society? Can society protect itself with rules and regulations?

Psychologists may be among the most qualified to answer those questions.

“One of the unique things psychologists have done throughout our history is to uncover the harm that can come about by things that appear equal or fair,” said Adam Miner, PsyD, a clinical assistant professor of psychiatry and behavioral sciences at Stanford University, citing the amicus brief filed by Kenneth Clark, PhD, and Mamie Phipps Clark, PhD, in Brown v. Board of Education.

Counselors, psychologists, psychiatrists, and others who provide therapy can use their expertise to examine how AI works for, with, and on their clients. Created by human beings, AI can promote the unintentional bias held by AI developers.

When it comes to AI and psychology, psychologists have the expertise to question assumptions about new technology and examine its impact on users. Psychologist Arathi Sethumadhavan, PhD, the former director of AI research for Microsoft’s ethics and society team, has researched DALL-E 2, GPT-3, Bing AI, and others. Sethumadhavan said psychologists can help companies understand the values, motivations, expectations, and fears of diverse groups that new technologies might impact. They can also help recruit participants with rigor based on factors such as gender, ancestry, age, personality, years of work experience, privacy views, neurodiversity, and more.

Psychologists are also taking a close look at human-machine interaction to understand how people perceive AI and what ripple effects such perceptions could have across society. One study by psychologist Yochanan Bigman, PhD, an assistant professor at the Hebrew University of Jerusalem, found that people are less morally outraged by gender discrimination caused by an algorithm as opposed to discrimination created by humans (Journal of Experimental Psychology: General, Vol. 152, No. 1, 2023). Study participants also felt that companies held less legal liability for algorithmic discrimination. (Bigman, Y. 2023)        

To truly democratize AI, the infrastructure must support a simple interface that allows users to query data and run complex tasks via natural language. “The architecture is moving in a way that supports the democratization of analytics,” says Richard Spencer Schaefer, Chief Health Informatics Officer, US Department of Veterans Affairs.

“The technologies that we’re putting in place are enabling physicians to be a part of the development of AI, and because of the level of validation involved, I think there will be more trust in the models we develop.” Richard Spencer Schaefer, Chief Health Informatics Officer, US Department of Veterans Affairs.

“If you were one of those people who learned how to work with computers, you had a very good career. This is a similar turning point: as long as you embrace the technology, you will benefit from it.” Andrew Blyton, Vice President and Chief Information Officer, DuPont Water & Protection. A bit of a cavalier attitude, I believe. However, if we embrace the technology, keeping in mind the same ethics we observe everywhere else in our practices, we will eventually find we are as comfortable with AI as we are with all the electronic helpers we use today.

Positive Emotions and Hope Management as Therapy

Positive Emotions and Emotional Intelligence

Cognitive-behavioral therapy (CBT) has dominated the therapeutic landscape for many years. Cognitive-behavioral therapists rely on cognitive and behavioral strategies to help their clients. They help people solve their problems because destructive thoughts precede and fuel negative emotions and behaviors. Cognitive-behavioral therapists help people “fix” their problems by managing negative thoughts. Stress management, anger management, trauma management, and many other types of negative emotion management have been very popular.

The therapeutic landscape is changing. After many decades of therapists using cognitive-behavioral therapy tools and techniques, increasing numbers of therapists are turning to the world of emotions as the starting place for helping their clients. For example, Hope Management Theory (HMT) purports that emotions drive peoples’ thoughts, attitudes, and behavioral patterns. Unlike CBT, HMT does not focus on “fixing” negative thoughts, emotions, and behaviors. Instead, HMT promotes positive emotions to reduce negative emotions and feelings.

Hope Management Theory stresses promoting positive emotions instead of focusing on the negative aspects of a person’s life. The fact is that positive emotions have not been researched as much as negative emotions or have not been researched at all. The one psychologist who researched positive emotions was Barbara Frederickson. Her research (2009) suggests that positive emotions lead to expansive and creative thoughts and behaviors. Similarly, my research (Liptak, 2024; Liptak & Scallon, 2023; Liptak & Scallon, In Press) with people in China and Romania suggests that positive feelings of joy, peace, and contentment are generated by triggering the emotion of hope.

Hope Management Theory

The Hope Management Theory helps people manage their positive emotions and utilize them to promote self-motivation. HMT posits that…

  1. The positive feelings of joy, peace, and elevated mood are generated from triggering the emotion of hope.
  2. Healthy hope habits can reduce stress, anxiety, trauma, anger, and depression by providing a protective shield of resilience. Scallon & Liptak (2023) isolated five critical hope Habits that can build resilience:
    • Master the art of motivation: Focus on intrinsic motivation, components of motivation, internal vs. external motivation; overcoming fear of failing; get support for your goals.
    • Set hope goals: Big and small; law of attraction; action planning; “get started” manga; brainstorming goal setting process.
    • Create resilient relationships: Types of resilient relationships; haiku your relationships; use your relationships to pivot; gratitude to strengthen relationships; practice empathy.
    • Take control of your life: Be proactive; widen your thinking; use the power of visualization; alphabetize your options; give your brain oxygen.
    • Harness your strengths: Stay resilient with radical acceptance; my strengths box; in asking for help, we become strong; forward-thinking; the power of persistence.
  3. Because of its future orientation, people experiencing hope feel the motivating feelings of love, joy, pride, excitement, happiness, and inspiration. These feelings counteract the effects of negative emotions and their accompanying feelings.
  4. My research also shows that the positive stress associated with hope greatly enhances significant amounts of positive stress that can reduce the effects of negative stress.        

In conclusion, therapists have suffered from negativity bias in their work with clients. Negativity bias is the tendency to pay more attention and give more significant weight to negative rather than positive emotions. Much of the current literature on emotional intelligence deals with managing negative emotions. This article aimed to help therapists acknowledge the significant impact of positive emotions on people and provide a framework through which they can use positive emotions to counteract the effects of negative emotions.

By John J. Liptak, Ed.D.

References

Frederickson, B. (2009). Positivity: Top-notch research reveals the 3-to-1 ratio that will change your life. New York, NY: Harmony.

Liptak, J.J. (2024). Transitioning to work. Dubuque, IA: Paradigm Education Solutions.

Liptak, J.J., & Scallon, M. (2023). Trauma and stress: A reproducible activity workbook for promoting resilience. Northampton, UK: Loggerhead Publishing Ltd.

Liptak, J., & Scallon, M. (In Press). Regaining control of your life: Empowering young people and teens after the pandemic and other life-changing situations.

A Grounding and Releasing Exercise

The following practice will support you and another (partner, friend, client) to ground and release charge when activation is present.

Time Required: 10 minutes

  1. Invite those present to sit with their feet flat on the floor, spines relaxed and neutral, and hands resting on their upper thighs.
  2. Take a few deep, slow breaths, allowing tension in the body to release.
  3. Take turns slowly naming the sensations you notice where your hands are in contact with your legs (i.e., tingling, warmth, pulsing). Do this for a couple of minutes.
  4. After several rounds of slow sharing, take a few more deep, slow breaths, allowing tension in the body to release.
  5. Move awareness to your feet on the floor and take turns slowly naming the sensations present there (i.e., heaviness, flow, tightness). Do this for a couple of minutes.
  6. Take a few deep, slow breaths, allowing tension in the body to release.
  7. Bring awareness to your whole body, noticing the boundary of your skin. Take turns slowly naming sensations in the body, continuing to breathe together. Do this for a couple of minutes.
  8. You may repeat this process of noticing sensation, sharing, and breathing as any remaining charge releases.

By Adam Sippola, RCST

What is Hope, and How Is it Related to Well-Being?

When you think of people who have lost hope, you probably think about clients who struggle to get out of bed, stop caring for themselves, and may even give up the will to live. Actually, this can be a misrepresentation of hope. Most often in therapy, a lack of hope occurs when clients collide with the future and feel stuck and cannot become who and what they want to be. In essence, the stress, anxiety, trauma, and sadness about their collision with the future leave them hopeless, believing there is no or limited hope. Therapists must remember that hopelessness is not a permanent situation with no solution. For most people, losing hope is a temporary state of mind or being that occurs when things do not go as expected, and they feel stuck.

Cultivate Hope and Engagement in Your Life, from Positive Psychology – The Hope Series

Feeling Hopeless?

Many clients find themselves feeling hopeless. They could not envision themselves reaching their idealized vision of the future. Let’s take a look at the stories of several people participating in my research studies:

  • Sally is a single mother who works multiple jobs to make ends meet. She felt overwhelmed, wondered how her actions could make a difference, and eventually lost hope. The therapist helped Sally envision a future in which she combined the skills she gained in her jobs to develop a great resume and get a high-paying job that she loves.
  • Jason was having difficulties achieving his educational goals. He encountered many challenges and obstacles and started feeling like giving up. Because Jason felt like he could never get to where he wanted, he began to lose hope. The therapist helped Jason positively envision a successful future by setting goals to find a more meaningful major, taking control of his study habits, and finding a tutor.     
  • After spending years caring for her elderly parents, Lakesha found that she was profoundly tense, snapped at people around her, suffered from physical symptoms of chronic stress, and lacked sufficient methods of self-care. She felt helpless and hopeless to move forward. The therapist helped Lakesha explore possibilities leading to her ideal future and assisted her in developing a sense of optimism.
  • LeBron lost his life partner and felt depressed. A massive part of his self-identity was tied up in this relationship. He felt stuck, and he began to feel hopeless. The therapist helped LeBron activate hope by understanding the positive, motivating aspects of change and transitions. The therapist helped LeBron generate optimism, visualize the future LeBron, and remain flexible and open to the many possibilities and opportunities.

As you can see, people lose hope for all sorts of reasons. Feeling hopeless is a natural, universal response to personal and social events that impact life. While all people experience many ups and downs, some can recover more quickly than others. These people have hope.

What is Hope?

We have talked about hope, but what exactly is hope? Putting your finger on what constitutes hope is difficult because it is such an abstract concept. The dictionary defines hope as a feeling of positive expectation and the belief that something great will happen in the future. This definition, however, conjures up crossing your fingers and engaging in wishful thinking. Hope is much more. Being hopeful is about remaining positive, focused, and goal-oriented until achieving a desired future.

Why is hope so important? How does hope manifest itself in your life? Hope is powerful in many ways:

  • Hope is that feeling that keeps clients going and gives them something to live for.
  • Hope is critical when clients are dealing with chronic stress, life problems, and challenges.
  • Hope helps clients maintain resilience in the face of obstacles.
  • Hope helps propel clients toward goals, even when things seem stressful or uncertain.
  • Hope provides a positive vision of all of life’s possibilities, a plan to make this vision a reality, and the practical tools to look forward to a better future.
  • Hope helps clients remain committed to their goals and motivated to take action toward achieving them.
  • Hope gives clients a reason to continue fighting and believe that their current circumstances will improve despite the unpredictable nature of human existence.
  • Most importantly, hope reduces stress and builds resilience to cope.

When your clients feel hopeless, they need help learning to cultivate significant levels of hope to build resilience, move forward, and find a life filled with possibilities. While hope is undoubtedly a personal experience that can be challenging to define, hope’s value and optimistic impact on human life are widely recognized and difficult to ignore.

Written by John J. Liptak, Ed.D.

References

Frederickson, B. (2009). Positivity: Top-notch research reveals the 3-to-1 ratio that will change your life. New York, NY: Harmony.

Leutenberg, E.R.A., & Liptak, J.J. (2016). The journey to transcendence teen workbook. Bohemia, NY: Bureau for At-Risk Youth.

Rorty, R. (2022).  What can we hope for?: Essays on politics. Princeton, NJ: Princeton University Press.

Snyder, C.R. (1994). The psychology of hope: You can get there from here. Los Angeles, CA: Free Press.

Worthington, E. (2005). Hope-focused marriage counseling: A guide to brief therapy. Westmont, IL: IVP Academic.

Managing Hope to Build Resilience and Overcome Stress

Hope-based resilience helps people overcome stress. Stress is the biggest obstacle that people experience. In a recent American Psychological Association* survey, the researchers found the following statistics about stress:

  • 80% of all people surveyed have experienced physical symptoms of stress.
  • 48% of people have suffered from sleep disorders due to prolonged exposure to stress.
  • 33% of the population considers their stress level to be extremely high.
  • 70% of employees experience stress at work so much that they are unhappy doing their jobs.

What is Hope Management Theory?

While most therapists work to help people manage stress and its ancillary emotions (i.e., anger, anxiety, sadness), Hope Management Theory suggests that hope is a natural way to build hope-based resilience and overcome the effects of stress. The following are some of the central beliefs of a Hope Management Theory approach: 

  • Hope is the most potent, positive, universal human emotion, characterized by intense feelings of motivation, optimism, and elevated mood about the future. Therefore, people need to manage the positive components of hope like they similarly manage the negative aspects of stress.
  • Feelings are more robust than thoughts and behaviors, thus they create thought patterns and direct behavioral routines.
  • Hope functions as a self-motivator, influencer, and inner driver to help people experience positive stress and flourish.
  • Hope is the best way to build natural hope-based resilience coping skills.
  • Hope not only builds resilience, but it also operates as a natural antidote to stress (and its subsequent problems, including trauma, anxiety, and sadness). 
  • As hope increases, resilience and positive stress increase, and negative stress decreases.

All people have stressful collisions with the future. The intensity of these collisions determines how much stress people experience. This negative stress harms emotional, psychological, and physical health and wellness. Rather than manage stress and its ancillary issues (anger, anxiety, sadness, etc.), people can take a positive approach by managing and enhancing their levels of hope to generate enough positive stress (eustress) to overcome the effects of negative stress (distress). Positive stress, or eustress, is beneficial stress that motivates people by providing a meaningful, positive challenge.

Discover and Create Meaning in Your Life workbook cover
Discover and Create Meaning in Your Life from Positive Psychology – The Hope Series

Application of The Hope Management Theory:

People can cultivate “hope on steroids” to generate positive stress, build a shield of resilience, and eventually eliminate negative stress:

  1. Activate Hope (Trigger the emotion of hope by understanding change and transitions, remaining optimistic, visualizing the future you, and being flexible and opening your mind to possibilities.)
  2. Make Hope a Habit (Engage in hopeful actions and build “Hope Habits” by creating a map of your vision, developing meaning and purpose for goals, and utilizing flow to maintain hope.)
  3. Maintain Hope (Make hope a lifestyle by maintaining positive stress over a lifetime, generating resilience in the face of obstacles, finding ways to integrate hope into your lifestyle, and sustaining self-care.)

Therapists can use the workbooks from Positive Psychology – The Hope Series written by Dr. Michelle Scallon and Dr. John Liptak, currently being published by Whole Person Associates, to ensure hope becomes a habit. The five workbooks are:

Discover and Create Meaning in Your Life

Generate a Sense of Accomplishment in Your Life

Maintain Positive, Healthy Relationships in Your Life

Regain Control in Your Life

Cultivate Hope and Engagement in your Life

In conclusion, hope is the most intense emotion people generate, and the feelings associated with hope must be triggered, managed, enhanced, and maintained. When people are able to develop it in all aspects of their lives, hope becomes an antidote to stress and a way to build a protective shield of resilience. 

Written by John J. Liptak, Ed.D.

*APA (2023). Stress in America 2023: A nation grappling with psychological impacts of collective trauma. https://www.apa.org/news/press/releases/2023/11/psychological-impacts-collective-trauma

The Importance of Optimism to a Healthy Lifestyle

The Meriam Webster dictionary defines optimism as a personal condition says to anticipate the best possible outcome.

People like others who are optimistic, but during some of the dark times in our history people questioned their happy view of the world. Oscar Hammerstein II wrote a whole song about it for South Pacific: His lyrics question if someone with a positive outlook could be a mature adult. The character Nellie sings, “…they called me a cockeyed optimist, immature and incurably green.” By the end of the song the Nellie tells us she is “…stuck like a dope with a thing called hope, and I can’t get it out of my heart.” Of course, Mr. Hammerstein also wrote songs like Oh What a Beautiful Morning, so maybe he is just reflecting his own optimistic opinion rather than just Nellie’s.

Miriam Webster’s definition and a beloved lyricist tell us that being an optimist will make us happy. What other reason to try and maintain optimism do we need? If you aren’t a fan of dancing around a stage singing pretty silly lyrics or reading the dictionary, perhaps we should pay attention to those health care advocates that tell us being an optimist is important for our general well-being. 

According to the website Heart and Stroke, a positive mindset is associated with better health and a lower chance of disease.” A survey of 15 recent studies including over 200,000 participants conducted by Heart and Stroke found a 35% lower chance of getting heart disease and a 14% lower chance of early death in people who were optimists.” Retrieved from https://www.heartandstroke.ca/articles/how-optimism-benefits-your-health. March 14, 2022. 

The University of Rochester Medical Center website agrees: “The message is that having a positive attitude can boost your physical health, no matter what might be ailing you. The researchers also noted that optimism seemed to have consistent benefits for people regardless of demographic factors such as income level or overall health status.” Retrieved from https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=1&contentid=4511 March 14, 2022.  

Clearly, we can tell our clients, without fear of contradiction, that being one of the fortunate happy-go-lucky people who go through life often seeing the glass as half-full is a good thing. Are we then to tell those who are more pessimistic in their outlook that they are doomed to less-than-optimal health? No, we can help those who look on the dark side of every issue to find a path with better lighting.

Building Resiliency Workbook

In The Building Resiliency Workbook, authors John Liptak, EdD, and Ester Leutenberg suggest we ask these five questions of ourselves and our clients:

  1. Do you believe yourself to be an optimist or pessimist? Why do you believe this?
  2. How long have you been an optimist or pessimist? What brought this worldview on
  3. How did your childhood affect the way you view the world?
  4. How can you begin to view the world in an even more positive light?
  5. Think of a time when you viewed a situation as negative, and yet, something positive came out of it.

Think of the optimistic people in your life. Do you feel better when you are around them? Make an effort to include these people in your daily life.  The ability to look at a situation and reframe it into something positive rather than negative is an effective way to begin to look at the happier side of the issues that confront you. This exercise, Reconstructing My Attitude, is a great way to practice. Do it yourself a couple of times. Then use it with your clients who are struggling to realign their attitudes. 

One last suggestion from Liptak and Leutenberg: look for the good in people. You’ll find it in almost everyone.

Excerpts from The Building Resiliency Workbook by John Liptak, EdD, and Ester Leutenberg.

Get Over It…Does It Work?

What does it mean to get over it? In general, it means that we are no longer in the emotional grips of a past event. National Get Over It Day was created by Jeff Goldblatt in 2007 when he was having difficulty getting over a girlfriend. He realized his troubles were relatable to many people. Here’s a link to the National Get Over It website: https://nationaltoday.com/national-get-over-it-day/

Michael Friedmann’s July 1, 2021 blog on the Psychology Today site says, “…getting over it is no longer being in the emotional grips of a past event. We can remember the event, but we are not allowed to wallow in our past emotions.” Dr. Friedmann doesn’t believe that it is reasonable to simply get over it, and the people close to us who are telling us to do so don’t necessarily have our best interests at heart. They want us to get over it so they don’t have to deal with the emotional fallout resulting from our struggles.

In Friedmann’s opinion, being told by our loved ones to get over it can make things worse. The more we try to get over it, the more we suppress our emotions before we have really looked at them and determined what to do with them. We don’t want to or can’t deal with the problem now, so we avoid our pain and emotions instead of looking at it.

Most people cannot simply shut down their reactions to something traumatic from the past, nor would it be healthy to do so. Elizabeth Lombardo, PhD, who is a clinical psychologist and author of A Happy You says that often getting over something brings to mind the phrase forgive and forget. Getting over something is different. She states that “while there is the forgive aspect, it’s not about forgetting — it doesn’t mean that you condone what has happened or that it doesn’t hurt — it means that you are releasing the anger, sadness, and resentment that goes along with it.”

Dr. Sanam Hafeez, a New York psychologist, agrees. She says that the implication that you are over-acting or prolonging something that isn’t real is harmful. She believes there are two reasons people suggest that you get over it. They care about you and want to help, or they want to minimize their stress about what you are going through.

Here are her 6 tips to help process your issue:

  1. Create an affirmation that will counter your negative thoughts. Remember that good affirmations are short and easily remembered. Don’t recite a whole catalog of things. Be simple. Be brief. Say it often. Post it where you can see it. If you have trouble writing your own, use a common mantra like “om.”
  2. Stay away from places that remind you of your issue. Don’t go shopping right after work if you expect to run into her running the same errand. Find a new book club. Join a running group he isn’t a part of. If you aren’t constantly reminded, you will think of it less and be better able to process it.
  3. Focus on you. Don’t let things fester and grow. Process your hurt. If you feel drained when you get home, do something nice for yourself. Healthy self-care is important. Walk, meditate, exercise, read a book, make music, go for a run, etc. Dr. Hafeez believes a healthy dose of comfort (healthy comfort, of course) will empower you.
  4. Don’t undervalue the strength you can receive from those you love. Lean on them for support.
  5. Talk about what is bothering you. Although you don’t want to expose yourself to the issue or person you are trying to get over, you need to discuss it without feeling guilty. Dr. Hafeez suggests, “Find a friend or therapist who is patient, accepting, and willing to listen can go a long way.”
  6. Even if you haven’t received an apology from whoever hurt you, you can forgive yourself. Keep using healthy self-talk to move forward.

Downloaded from https://www.wellandgood.com/tips-for-getting-over-it/ Mar 8, 2022.

One thing almost everyone believes is important no matter where we are in the process of dealing with our issues, is the ability to relax. Guided imagery is a great way to get there. According to Julie Lusk, author of two volumes of 30 Scripts, Guided Imagery for Meditation and Inner Healing, Second Edition and an expert on guided imagery, yoga, and relaxation in general, people will imagine vivid scenes, colors, images, or sounds while others will focus on what they are feeling. Therefore, a selection of scripts or exercises is helpful.

Try this one on for size, both for you and your clients. Click on this link to Magic Carpet Ride, by Judy Fulop, and included in 30 Scripts, Volume 2. If working with clients, read it at a steady pace, following the directions within the script. If you are doing it by yourself, read a paragraph, and then do as it suggests. Some find it easier if they read out loud. Others prefer reading to themselves. Try it several times until you find what works best for you and your group. Relaxation is a muscle skill just like tossing a baseball or playing the piano. Give yourself and your clients a chance to master the technique.

Rise Up, Rise Up

In response to the pandemic, most mental health practitioners have seen a rise in their caseload as well as a rise in the depression those clients present. Professionals struggle to replace solutions relied upon in the past. Time-tested solutions are challenged by the reality of pandemic living.

It is almost inevitable that this increase in our workload and the intensity of clients’ symptoms create increased stress for the therapist. Furthermore, upon leaving work, those who work in mental health are exposed to the same issues with which our clients’ struggle. Dealing with what is hoped to be the tail-end of the pandemic, almost everyone is finding personal issues are more intense than they were pre-pandemic. Finding a balance between work and the rest of our lives is more important than ever.

The symptoms of burnout are well known. To bring them to the forefront, watch for:

  • Emotional exhaustion.
  •  A lack of engagement with and/or negative feelings about one’s job.
  • A decline in work performance, efficacy, and/or sense of professional accomplishment.

How can mental health care professionals keep from sinking into a morass of depression, anxiety, and despair? How can we rise up and overcome? Resiliency is the key.  Here are some great suggestions from Diana Concannon, PsyD, dean of the California School of Forensic Studies at Alliant International University on how to increase our resiliency.

Unless otherwise noted, the following material is excerpted from The Building Resiliency Workbook, by Ester Leutenberg and John Liptak, EdD.

Building Resiliency Workbook

Resiliency will help:

  • Manage life’s challenges, stresses, changes, and pressures effectively.
  • Cope and adapt successfully to adversity.
  • Bounce back to a balanced state after facing a major disruption in life or career.

Journaling is another extremely powerful tool. Many folks have lovely journals beside the bed that are buried beneath the “I need to read this” pile, gathering dust. Many others have a blue exam book or something like it filled with their thoughts written faithfully each night. You don’t need to write daily. You haven’t failed if you miss a few. Just pick it up and go on when you feel ready to do so.

From a physical point of view, writing reduces stress and lowers muscle tension, blood pressure and heart rate levels. Psychologically, writing reduces sadness, depression, and general anxiety, and leads to a greater level of life satisfaction and optimism. Behaviorally, writing leads to enhanced social skills, emotional intelligence and creativity. It also leads to improved resiliency and the ability to deal effectively with adversity and stress in life.

Follow this link to an exercise called Hope. It is a simple journaling exercise, recalling what is often forgotten. Hope does, indeed, spring eternal. Hope will help you rise up above stress and depression.

HOPE: https://wholeperson.com/pdf/Hope-Building-Resiliency.pdf

Here are some favorite quotes about optimism, another integral part of resiliency. Choose one or two and journal about them. Remember, no one sees your journal entries except you. Don’t worry about grammar, syntax, punctuation, or the like. Just let it flow.

Optimism is essential to achievement, and it is also the foundation of courage and true progress.

~ Nicholas Butler

Too much of a good thing is wonderful.

 ~ May West

My optimism for life carried through my work.

~ John Dyer

One of the things I learned the hard way was that it doesn’t pay to get discouraged. Keeping busy and making optimism a way of life can restore your faith in yourself.

~ Lucille Ball

Optimism is the faith that leads to achievement. Nothing can be done without hope and confidence.

~ Helen Keller

The average pencil is seven inches long, with just a half-inch eraser – in case you thought optimism was dead.

~ Robert Brault

Go forth into the busy world and love it. Interest yourself in its life; mingle kindly with its joys and sorrows.

~ Ralph Waldo Emerson

Mindful Meditation

Many of us promote the benefits of mindful living and mindful meditation in our practice. To start our discussion on the same page, mindfulness is the process of developing your mind so that it is fully attending to the present moment – to your sensations, emotions, and thoughts, to what you are doing, and to your environment. Some of the characteristics of mindfulness include non-judgmental awareness, paying attention on purpose, remaining non-judgmental, staying in the present, being non-reactive, and remaining openhearted and compassionate (Leutenberg, Liptak, 2019). Merriam-Webster On-line Dictionary defines it as “the practice of maintaining a nonjudgmental state of heightened or complete awareness of one’s thoughts, emotions, or experiences on a moment-to-moment basis.” Being aware of and participating in what is happening in and around you without judgment seems to sum it up nicely.

We teach mindfulness to our clients and encourage them to engage in mindful meditation. Some of the benefits Leutenberg and Liptac cite are:

  • Increased acceptance
  • Greater awareness
  • Less intense reactions
  • Relaxed approach
  • Calm demeanor
  • Mental functioning

In 2012, Daphne M. Davis, PhD and Jeffrey A. Hayes, PhD wrote for the APA, published in July/August 2012, Vol 43, No. 7 defining mindful meditation as doing the following:

  • Promotes metacognitive awareness
  • Decreases rumination via disengagement from perseverative cognitive activities
  • Enhances attentional capacities through gains in working memory

Here are some of the benefits they ascribe to mindful meditation:

  • Reduced rumination
  • Reduced stress
  • Increases focus
  • Boosts memory
  • Less emotional reactivity
  • More cognitive flexibility
  • Relationship satisfaction

They listed several other benefits as well not mentioned here.

One of the requirements of modern practice is that we have a tool for noticing the improvement in our clients. We can’t, of course, report improvement unless we understand where our participants are before we start. Published in The Mindfulness Skills Workbook: Remedies for Worry, Anxiety, and Stress, the authors present an assessment to successfully gauge where your client is when beginning. Give it at the end of your sessions to measure progress.

Click here to download the Mindfulness Assessment.

As we continue to work with our clients, we often hear of their struggle to turn their thoughts from autopilot to paying attention to the here and now. Suggest they pay attention to easy things: the texture of dishwater, the smoothness of dishes, the smell of the dishwasher when the door is opened. It seems easy until they try keeping their thoughts on mundane tasks. Doing so, however, is great training for being mindful of larger things: the giggle of children when you play with them, the lovely smell when they come out of the bath, their beautiful faces, their reaction as you read them a new story and so on.

Mindfulness Skills Workbook
Mindfulness Skills Workbook

Are You Comfortable Being with Yourself? is an exercise to help clients adjust to being alone with themselves. Explain that it is difficult for people to be alone with themselves and just do nothing. They think things they don’t want to think, rehash the day’s hassles, and can’t turn their minds off. Ask for volunteers from the group to offer what people who feel like that tend to do. (Obsessively check the phone, email, social media, watch non-stop television, or keep themselves busy every moment in some way.)

Click here to download the exercise.

Don’t forget to save some time for you. Work on your own ability to be mindful, then enjoy the fruits of your labor being focused, stress free, having less conflicts, and generally fitting better into your world.

*Much of the information in this article is excerpted from The Mindfulness Skills Workbook: Remedies for Worry, Anxiety, and Stress by John Liptak, EdD, and Ester Leutenberg.

Affirmations: How to guide your participants to create useful and productive affirmations.

Therapists and other professionals in the field often ask their clients to write affirmations. An easy assignment? Once you guide someone through their maze of negativity to a point where they can see the many good things about themselves, the rest should be easy. That is not always the case, especially for those we work with who have spent a lifetime being criticized by folks whose opinions matter to them. Here is a nice list of what should be included in an effective affirmation, excerpted from Teens: Positive Thoughts + Affirmations = Positive Actions by Ester R.A. Leutenberg and Carol Butler, MS Ed, RN, C.

A brief restatement of affirmation theory based on the work of Claude Steele, 1988.

Claude Steele proposed a particular theory behind affirmations known as the self-affirmation theory. In this theory, Steele states that we have a fundamental motivation to maintain our self-integrity, or our natural perception of ourselves as being good, virtuous, and capable to control the outcome of important events. Steele noted that affirmations allow us to preserve and support our unconscious self-integrities; thus, through time, our subconscious will accept the affirmation as being true.

Effective affirmations are…

  • Positive to create the reality you want.
  • Personal and in your own words, the way you really talk.
  • Powerful to motivate your thoughts and actions.
  • In the present tense as if you already are who you want to be, or already have what you want.
  • Believable.
  • Achievable.
  • Short and easy to remember and repeat.

So, to reiterate, participants should aim for affirmations that are positive, personal, powerful, present tense, believable, achievable, and short. Below is a list of 12 good ones.

  1. I am kind.
  2. I complete my work assignments on time.
  3. I eat healthy foods.
  4. I exercise an appropriate amount each day.
  5. I stick to my budget.
  6. I spend an appropriate amount of time each day gaming.
  7. I attend my children’s concerts.
  8. I walk my dog daily.
  9. I give to charities I believe in.
  10. I am cheerful at work.
  11. I find good in everyone.
  12. I support the members of my team.

Finding success with affirmations is like finding success with anything. Clients must understand that practice, practice, practice is key. Each time they repeat an affirmation they are closer to the ideal they are describing.

12 Affirmations Exercise

Audience: Group or individual working with esteem issues, career building, core values, etc.

Time:  1 hour +/-, depending upon how long the facilitator allows for writing affirmations and size of the group.

Tools:  Black or white board or computer screen the participants can see. Download and copy the Affirmations Participant Handouts, which includes 3 Participant Handouts: What Is An Affirmation, Positive Traits, and Monthly Affirmations.

Presenter’s Guide

  1. Hand out the 3 Affirmations Participant Handouts. Have them read Participant Handout #1: What Is An Affirmation.
  2. Discuss the theory of affirmations and how to write them effectively.
  3. Solicit from them what makes a good or not-so-good affirmation.
  4. Ask participants to consider what they learned in the group discussion and the definitions and examples you provided. Ask them to synthesize the information, writing a brief paragraph. Let them know this will not be graded.
  5. Discuss their conclusions with the participants.
  6. Introduce Participant Handout #3: Monthly Affirmations. Be clear about the steps of the activity.
  7. If they seem to be having trouble coming up with 12 attributes they like about themselves go around the group and solicit ideas from each person. Of course, remember that no one should be forced to share their ideas. If they are stuck reference Participant Handout #2: Positive Traits.
  8. After giving the participants time to write their 12 favorite traits about themselves or goals they have, proceed to the next step. Remind them again what the traits of a well-written affirmation are. (Affirmations are positive, personal, powerful, present tense, believable, achievable, and short.)
  9. Instruct them to write out the affirmation they chose for this month and put it up at home where they will see it every day.
  10. Remind them to journal about how they are feeling throughout the month.

Consciously Well Holidays

“It’s the most wonderful time of the year.” This cheery tune becomes an earwig for many of us as we wander through any kind of store playing holiday muzak. However, “According to a survey, 45% of…people living in the United States would choose to skip out on the holidays, rather than deal with the stress of it all.” (https://www.claritychi.com/holiday-stress/). So, what’s so bad about holidays? Time off. Connecting with family and friends. Special delicious foods. Party-time! Sounds a lot like wellness, but what’s the all too common experience? Stress!

A poll by the American Psychological Association shows:
• Nearly a quarter of Americans reported feeling “extreme stress” come holiday time
• 69 percent of people are stressed by the feeling of having a “lack of time,”
• 69 percent are stressed by perceiving a “lack of money,”
• 51 percent are stressed out about the “pressure to give or get gifts.”
https://allonehealth.com/holiday-stress-guide/


In contrast to the holiday season we have created, the natural season in the Northern Hemisphere is the polar opposite. These are the dark days that slow us down, invite us to rest, recuperate, and replenish our energy. It’s a time better suited to reflection, contemplation, intimacy, warmth and connection. The ecology of the world – which we are part of, not separate from – dives into a biological shift that allows for dormancy, hibernation and such. As larger mammals that don’t hibernate, we do remain active, yet, it seems we try to maintain an activity level that doesn’t change as the world around us changes. Electric lights and indoor heating keep us going like it’s the middle of summer. If anything, it’s not the time of year to biologically and mentally deny us what we truly crave – a break!

“Managing” our stress is only a partial solution, and often more of an illusion. What works is recovering from stress. Psycho-physiologically we need to counterbalance the over-activation of our Sympathetic Nervous System (the Fight-Flight or Stress Response) with time spent allowing our Parasympathetic Nervous System to counteract the former, bringing out the Relaxation Response. (See my previous blog post: “The Psychophysiology of Stress – What The Wellness Coach Needs To Know”)

So, how can we more consciously live in greater harmony with the winter season? How can we slow down with it and recharge our physical, mental/emotional and spiritual batteries? We can look to some cultures in the world that approach winter differently. How about some Niksen and Hygge?

In a very informative Blue Zones article, “Niksen: The Dutch Art of Purposefully Doing Nothing” author Elisabeth Almekinder shows how doing less can give us more. “Doing nothing, but with a purpose to do nothing or no purpose at all, may help to decrease anxiety, bring creativity to the surface, and boost productivity. The Dutch have perfected the practice of doing nothing, or “niksen” so well that they are some of the happiest people on earth.”

For many people, “doing nothing” may seem like a huge challenge. Our minds are usually firing on all cylinders, sometimes fueled by stimulants such as caffeine. We are often continually distracted by our work, our phones, our online activity, the radio we are playing, etc. We are almost bombarded by media about “mindfulness” which offers one alternative solution, but Niksen is slightly different. “It’s not mindfulness: a better definition would be a short period of mindless relaxation” is how Almekinder describes it. She urges us to “loosen your concept of time and productivity and practice this simple exercise from the Netherlands. Allowing your brain to rewire from stress by doing nothing is a wellness practice worth implementing. If you are sitting in a cafe, you can indulge in some stress-busting niksen but sipping your coffee and looking out the window. Leave your phone in your pocket and let your mind wander.” So, when that empty moment comes, don’t fill it in. How many of us have conditioned ourselves to reach for our phone if nothing else is handy and search for something to occupy our minds. You might say that niksen is a way to liberate your mind from occupation!

So, there is value in “spacing out” however you do it. I love to practice this as a form of observational meditation. I’m fortunate to have a great backyard inhabited by lots of birds, squirrels and a few lovely rabbits. Trees, bushes and plants change with the seasons and weather brings sunshine, wind, clouds, and sometimes rain or snow. I simply sit and watch as I rid my mind of thoughts about the rest of the world, what I need to do next, and such. The key is to simply observe. Refrain from connecting what you are seeing with what it might be related to. Just watch the snow fall without thinking about the meteorological implications.

Another culture that knows how to make the most of this time of year is Denmark. The Danes call is Hygge. I wrote about this last December in my blog post “Maximizing Wellbeing During Pandemic Holidays”.

“Hygge, a Danish term defined as “a quality of coziness and comfortable conviviality that engenders a feeling of contentment or well-being.” Pronounced “hoo-guh,” the word is said to have no direct translation in English, though “cozy” comes close.” (https://www.newyorker.com/culture/culture-desk/the-year-of-hygge-the-danish-obsession-with-getting-cozy) Taking pleasure in the simple things of life that yield contentment is a great way to make it through the winter. Whether alone, or with whomever you can get cozy with, we can slow down and give ourselves permission to “indulge” in things that give us comfort. Shutting off the television and reading a good novel under a warm blanket with a hot cup of cheer on hand can start to reframe our whole mood.”

Coaching It Up

Health & Wellness Coaching clients sometimes postpone their sessions until after the holiday season passes. While this might be fine for some, it could be the time when coaching could be of great value. Inquire with your client about how you might adjust what areas of focus they are working on to fit their more immediate concerns, such as holiday stress. Ask permission to offer some resources they might find interest in such as the information above in this post.

Current wellness goals may need some specialized attention during this time of year. Weather changes may require new strategies for being physically active as outdoor options may become more challenging. Clients may worry about maintaining progress on weight loss as they face the temptations of holiday treats, parties, etc. Explore with them their attitude, fears, and assumptions about their upcoming holiday dinner. Explore the pressures they are experiencing around holiday gift giving and their financial wellness. There is actually plenty of coaching that can be done to help our clients come through the holidays successfully.

For You and Your Client

Think about what your holiday goals are this year. Consider substituting the stresses and pressures you’ve experienced before with a whole new set of intentions. Sitting down, either by yourself or in conscious deliberation with your partner/others and set intentions for a holiday that actually meets your needs. Those needs can include sharing your abundance with others through gift giving, philanthropy or through volunteer work, etc. Think through how you can create a holiday season less focused on material wealth and more on the kind of personal, spiritual, and physical wealth that enhances your wellbeing and serves others.

-By Michael Arloski, author of Master Health & Wellness Coaching

All Heroes

Whole Person Associates would like to thank all those veterans who have served or are currently serving our country and all those who waited and welcomed them home. They are all heroes. “A hero is an ordinary individual who finds the strength to persevere and endure in spite of overwhelming obstacles.” ~ Christopher Reeve. The information that follows is excerpted from Veterans, Surviving and Thriving Trauma by Ester Leutenberg and Carol Butler, MS Ed, RN, C.

The veterans we work with often are hampered in their transition by visible and invisible wounds. The folks they love may have changed. They have changed. These changes can be drastic. Rejoining the family they left, stress, anger, depression, guilt, grief, substance abuse, and other issues will impact their relationships. They might need help to reconnect.

Fortunately, the bravery and resilience that sustained them during their service can help them now as they work to survive and thrive. Professionals can help them find and use the tools they need to successfully become part of civilian life again. With guidance they can learn what they need to fight their current battles. They can learn to tap into internal strengths and external resources. They can learn that receiving help is not a sign of weakness, but one of strength.

Working with veterans presents a different set of issues for the clinician. Our vets need guidance through the tumult of joy, grief, and unexpected feelings that arise as they reintegrate into a peacetime society. They need a place that feels safe to discuss their deepest feelings. They need to know they are not being judged. They need to know there are solutions.

Here is a list of some of the events and feelings returning vets might need to process.

Veterans front cover
  • I am appreciated for my patriotism.
  • People recognize my new skills, maturity, and other attributes.
  • I am a positive role model for my children.
  • My family bonds are strengthened.
  • My flexibility and adaptation to change benefit myself and others.
  • I am able to re-negotiate rules and roles better after I have been home a while.
  • I re-evaluate my relationship, and its goals, and the direction it will take.
  • I am grateful I am a survivor.
  • I feel a roller-coaster of emotions.
  • I will never be the same.
  • People do not understand what I have been through and how I have changed.
  • I question whether people will accept the new me.
  • I need time and space and resent probing questions by well-meaning people.
  • My homecoming is not what I expected.
  • My reception seemed lukewarm.
  • It is difficult to re-connect with my partner emotionally or physically.
  • My transition from being single to a couple is difficult.
  • My relationship and roles are changing because my partner and I have changed.
  • I am engaged in power struggles.
  • I encounter resistance as I try to resume my prior authority or role.
  • My parents still treat me like a child.
  • My children may remain detached because they fear another separation.
  • The kids fear my discipline; my partner warned, “Just wait until daddy or mommy gets home!”
  • Teens rebel against my rules and expectations.
  • I expect schedules and regimentation; my family is undisciplined; my home disorganized.
  • I miss contact with veterans who have been there and done that.
  • My partner does not understand my need to stay connected with buddies.I feel survivor’s guilt because I lived and some of my buddies died.
  • I dislike the whirlwind of welcoming activities.
  • I think it is too soon for household chores, school, or work; but feel the pressure.
  • I find it hard to do my old job.
  • I cannot get work; employers do not value my skills.
  • I am the supposed hero, but others want credit for responsibilities handled at home or work.
  • I am concerned about future or multiple deployments.

Veterans deal with an extraordinary amount of stress when they return to their families. They don’t always have the skills they need to keep their head above water. Follow this link to  Coping and Calming: A to Z, an excellent set of worksheets, including a facilitators page. These also come from Veterans: Surviving and Thriving Trauma by Ester Leutenberg and Carol Butler, MS Ed, RN, C

Trick-or-treat this year?

At this time of year even the busiest professional is besieged with “Please can I wear this fairy costume without a coat and go trick-or-treating without you?” Not, of course, from their clients, but from their own family. Covid statistics for children have been climbing and many aren’t sure what is safe for their children. Some of the usual activities to keep kids safe in our city aren’t a good choice this year. Pre-covid our local universities hosted safe trick-or-treat events in the dorms. Not this year. Following the guidance of the CDC and other authorities any activities for kids will be outside. Local mall activities have been restricted to a short trick-or-treat window and will keep everyone a safe distance apart. The experts seem to agree, however, that keeping kids outside and making sure you check their treats should provide the fun and safety we remember from our own childhood. Picture the treat-or-treat scenes in E.T.

CDC Director Rochelle Walensky on Sunday encouraged families to celebrate Halloween and other holidays amid the Covid-19 pandemic, though still urged “prevention strategies. “ She continued, addressing other upcoming holidays:

It’s critically important that we gather, that we be together with family and friends during these holidays,” she said, “and we have the prevention strategies that we know work to be safe for those holidays. So what I would say is get yourself vaccinated before you gather; it will absolutely be safer if you’re vaccinated. Any activity that is outdoors is safer than it is if it’s indoors. And if you are gathering multiple households, make sure as many people are vaccinated as possible so you can protect the people who are vulnerable, who might not yet be vaccinated.

Three easy tips from Dr. Anthony Faucci:

  • Mask up! Not the masks we usually see at Halloween that often restrict vision, but the regular kind we now expect. Kids younger than 12 are still at risk and unvaccinated. The mask is a front-line protection.
  • Keep hands clean! The risk of infection from candy wrappers has proved to be low, but clean hands are still the way to go.
  • Stay outdoors! There is much less risk of infection!

A couple more good sense reminders:

Go with your kids. If they are over 12 and they are vaccinated and really, really can’t stand going with mom or dad, they should be OK as long as they understand not to go in anyone’s home or car.

Avoid parties, events, and trick-or-treating indoors. If you live in an area of single-family homes, town homes, or the like, your kids should be fine going door-to-door. Of course, younger kids need you to go with them, and be sure they stay outside. Interaction among kids outdoors should not be a threat.

Enjoy Halloween. Be safe.

Reaching Teenagers Effectively

If any group of therapists, counselors, or other caregivers of teenagers were asked if the pandemic has added to the mental health issues teens around us struggle with, most of them would reply with a resounding yes. The struggle of feeling alone presented by the pandemic has led many teens to question their reality, the adults around them, and their future. They are bombarded by social media influencers, the advertising industry, their parents and teachers, and their peers with conflicting messages that confuse and distress them. They haven’t had the everyday outlet of talking with their peers between classes, before and after school.

By early May 2020, emergency department (ED) visit counts for suspected suicide attempts began increasing among adolescents aged 12–17 years, especially among girls. During July 26–August 22, 2020, the mean weekly number of ED visits for suspected suicide attempts among girls aged 12–17 years was 26.2% higher than during the same period a year earlier; during February 21–March 20, 2021, mean weekly ED visit counts for suspected suicide attempts were 50.6% higher among girls aged 12–17 years compared with the same period in 2019. (CDC, 2021)

Mental health professionals are tasked with creating programs and activities that will not only help but will be acceptable to a very difficult to engage group of people…teenagers. The average ratio of students to counselors is 311 to one. Only one if five high school students are enrolled in a high school with enough counselors. (https://edtrust.org/resource/school- counselor%20ratio%20is,there%20is%20a%20sufficient%20amount%20of%20school%20counselors.) Now that schools have, for the most part, reopened, we are going to have to reach teens in large groups and hope that those in need will be helped or step forward and ask for more.

Given these parameters, how do we get through to teenagers in the situation described above, or even in a classroom of thirty who aren’t in the least bit interested in listening to someone they don’t know or trust rambling on about the state of their lives? Counselors need to develop unusual ways of catching the students’ attention. If we were all born comics, we could easily invent a plethora of activities ourselves. Since we aren’t, we tend to fall back on exercises we’ve been using for years and are surprised when they don’t have the anticipated impact. We search the internet and our own toolboxes for exercises that we feel might appeal to teenagers, make note of those that work, and use them in other settings. We network with our peers to find out what they are doing and how it is working. Are students responding? Are they reaching out for the help they need? Are they waiting weeks for their turn with the school psychologist?

The following worksheets are from Teens ~ Out-of-the-Box Coping Skills by Ester Leutenberg and Carol Butler, MS Ed, RN, C. The hands-on action and the visual aids foster anticipation, participation, and revelation. Download the Stress Less Kit to use with students and teenage clients, and see how it works.

*Download the Stress Less Kit from Teens ~ Out-of-the-Box Coping Skills here.

Coaching Alignment, Patience and Pacing

https://realbalancewellness.files.wordpress.com/2021/04/adobestock_344031089.jpeg?w=1024

Being in alignment with our client can refer to both our cognitive and emotional congruence with them. Congruence, resonance, and even alignment itself are all ways of expressing being on the same page. This means clearly understanding the content of what our client is saying and being in touch with their emotional state and expression. This allows us to more easily and effectively provide empathic understanding, and results from the effort by the coach to relate to the client, understand them, and what they are communicating.

Alignment is achieved by a combination of effective coaching presence, a lack of judgment, active listening skills, and the way the coach creates a tempo for the session through the use of their own verbal skills. On this latter point, how is the coach matching or reflecting the speed of the client’s speech and how are they (the coach) influencing or regulating it? How fast is the client covering ground? That is, how quickly are they discussing subjects and processing? In other words what is the pace of the coaching session?

When coach and client are out of alignment, coaching, much like a car engine, tends to sputter. If the coach is ahead of the client, talking much faster, pushing an agenda, or trying to cover ground too quickly, the client may simply check out of the conversation, or struggle to keep up. The result could be awkward silences in response to questions, or a fits-and-starts type of interchange that is seldom productive.

https://realbalancewellness.files.wordpress.com/2021/04/adobestock_192789211.jpeg?w=1024

If the coach is behind the client, we see insufficient energy being expressed by the coach and the client is setting a pace out of sync. At some point the client will notice how the coach is not keeping up either with content or with energy. The client may become frustrated or despondent, and could even decide to drop out of coaching. The consequences of being out of alignment with our client can be serious.

Being Out of Alignment – Causes

So, what can cause a coach to be so out of alignment with their client? What leads them to become out of synchronization with the coaching conversation?

  • Coach’s personality and anxiety. Some people are naturally faster talkers and processors. These coaches have to self-monitor their own rapid speech and processing with a determined effort at patience. There is also the anxiety that comes with being new to coaching.
  • Coach’s culture and background. Some people have simply learned to talk faster because of their family of origin, their own background, or even where they grew up. It’s a common observation to see the stereotypical New Yorker speaking rapidly.
  • Pressure from a coaching system the coach is working in. Coaches sometimes work for companies that expect fast results. Coaching sessions, even with limited time, don’t have to feel rushed but easily could.
  • The coach is too up in their head. That is, they are thinking too much about what to say or ask next and their listening is suffering as a result. The coach misses vital expressions of emotion or even content leaving the client feeling unheard. The client may be baffled by why the coach is asking about something that they spoke of earlier but from which they have already moved.

How to Be in Alignment with Our Client

  • Get centered. Being centered, grounded and more calm allows the coach to be as patience as they need to be. It allows the coach to be more present and better at observing all that is going on with their client. Doing what centers you in your life on a regular basis will allow you to come into the coaching session in a more centered way.
https://realbalancewellness.files.wordpress.com/2021/04/adobestock_330156183.jpeg?w=1024

  • Psychophysiological self-regulation. What allows you to manage your own anxiousness? First is awareness that you may have gone beyond feeling energetic to acting frenetically. Become aware of the signs that your level of anxiety has become high. Anxiety is not always accompanied by worry. Are you jumping at sudden, loud noises? Are you breathing short and shallow? Have you exceeded the caffeine intake that you can handle without becoming wired? Practice breathing with more depth. Get enough sleep and rest. Consider using methods for deeper relaxation such as relaxation recordings, practicing Yoga or Tai Chi, etc.
  • Know yourself. If you are a person with a long history of very rapid speech (no matter where or how you learned it), your challenge is to accept the fact that unless you are matched with a very similar client, it just won’t work well in coaching. You will have to make a very conscious, concerted effort to slow down.
  • Pace with patience. Consider the work you are doing with your client as a whole, not just one coaching session. This is where coaching with a well-developed methodology that has significant coaching structure will allow you to have perspective. Such perspective will allow you to be more patient and not feel like you have to push to get steps accomplished prematurely.
https://realbalancewellness.files.wordpress.com/2010/08/teach-ballroom-dancing-11.jpg
  • Dance with some rhythm. Good and great coaching appears to be like a dance between two partners that have established a rhythm that they are in sync with. There is a great two-way nature to an effective coaching conversation. The coach is actively involved, not just passively listening for long periods of time while the client rattles on. This is where effective use of active listening skills throughout the conversation keep the coach involved and keep the client better focused. There is a rhythmic back and forth in the conversation that leads to productivity. A big part of dancing is also adjusting to the changes in the music. When your client shifts, are you able to shift with them? A change in mood, energy, or topic needs to be noticed by you and requires an adjustment. To keep your client focused you might bring the shift to their attention and ask them how they would like to proceed.
  • Self-reflect. Listen to recordings of your coaching. It is much harder to self-reflect in the moment. Your lack of synchronization with your client may become much more obvious when you can observe is afterwards on a recording.

It’s easy to become far too content-focused in our coaching. Yet, what is the content bringing up in our client emotionally and/or mentally? There is so much more going on in a coaching session. This is where our threefold task of awareness comes in:

  1. Awareness of our client.
  2. Awareness of ourselves.
  3. Awareness of what is happening in the coaching relationship. 

When we are in touch with all three, we will notice more about our pacing, our speed of speech, and the whole tempo of the coaching experience. Bottom line: trust the coaching process, relax, and enjoy!

https://realbalancewellness.files.wordpress.com/2012/07/mrockiessunsetmed.jpg

Michael Arloski, Ph.D., PCC, NBC-HWC is CEO and Founder of Real Balance Global Wellness (https://realbalance.com) a premier health & wellness coach training organization that has trained thousands of coaches around the world. He is the author of Masterful Health & Wellness Coaching: Deepening Your Craft, available now through Whole Person Associates.

Stress Levels at Work

We all know that stress is not good for us. Newspapers and magazines publish articles telling us of the negative impact of continued high stress levels. When experiencing an average level of stress, blood pressure, heart rate, and body systems return to normal when the incident has passed, including the extra levels of cortisol produced during these times. If, after a dangerous event has passed, stress levels don’t return to normal, the body stays alert to address whatever danger it perceives. Folks with too much stress without a return to a calm state will find the high level of cortisol necessary for the body to process fight or flight, stays too high. For example, a stressful meeting at work followed by an unpleasant run-in with an employee in the hallway, and a huge pile of tasks lying in wait…the body can’t return to pre-stress levels. What follows is anxiousness, headaches, being more susceptible to heart disease, memory and concentration problems, as well as problems with digestion, sleeping, and weight gain. A pretty frightening list of potential health problems from something that seems innocuous. Just a little too much stress. It doesn’t have to be all from the same source, either. Work, family, finances, relationships. The list is endless (https://www.webmd.com/a-to-z-guides/what-is-cortisol). No one’s body can handle it all. The solution: find an effective way to reduce or eliminate the stress encounter at work.

Of course, if you are a therapist, a counselor, or another health professional you are well aware of the quagmire that results from dealing with too much stress. Both individual clients and professionals themselves tend to believe that they can handle it. It sounds easy. But no one can eliminate all stress. We know, and we tell our clients, some stress (eustress) is good for us, helps us feel alive and ready to shine. For example, performers often say that their stage fright heightens their ability to give a sparkling performance. They use it to their advantage. How do we teach our clients (and ourselves) to keep the good and get rid of the bad?

The conundrum for our clients? Work is of central importance in one’s overall life, volunteer work, satisfaction at home, and general well-being. People who love the work they do, and who feel competent at their work, are more successful and satisfied than those who do not. A large part of their identification comes from the work they do and thus it forms a significant part of folks’ self-concept. The problem is that many workplaces have changed and continue to do so. In this “new” workplace, it is important to develop the requisite work skills and ability to handle added stress that supervisors expect from their workers in today’s world.

Furthermore, while specific knowledge and technical skills gained from formal education or on-the-job-training have been necessary for people in the workplace, work-related or work skills are considered as important as technical expertise. Supervisors are requiring a much broader skill set from their workers, thus increasing the demand for more well-rounded workers. It is estimated that workers in today’s workforce will go from school to school from school to work, from work back to school and then from retraining back to the workplace in an ongoing cycle of trying to learn the necessary work skills required in most positions and demanded by the ever-changing requirements of the fast-moving workplace.

It is imperative, then, for everyone to be responsible for managing their own skill development to keep up with the changes occurring in the workplace. The development of effective work skills in order to stay competitive is critical. Supervisors will expect employees to be able to do their work, and they also expect them to be able to apply knowledge of work skills. Adaptability will also be a key to employment success. Each person now needs to be a self-manager of their own skill and work development. Learning and practicing effective work skills never stops. Each of us, client and practictioner alike, need to be a lifelong learner of skills, including stress management skills, to be an effective worker regardless of the changes in society and the workplace (Essential Work Skills Workbook, Leutenberg and Liptak).

Ability to deal with workplace stress should be at the top of the list. “People are asking me for answers,” says Sharon Melnick, Ph.D., a business psychologist and author of Success Under Stress. “Everyone feels overwhelmed and overly busy.”

In an article in Forbes Magazine (https://www.forbes.com/sites/jennagoudreau/2013/03/20/12-ways-to-eliminate-stress-at-work/?sh=43ee5e917f29) by staff writer Jenna Goudreau, Dr. Melnick  gives suggestions for a dozen ways for all of us to cut down on high stress levels in the work place.

  1. Act rather than react – Identify what you can and cannot control. Perform impeccably on your parts of a project and let the rest go. Your skills and focus will shine through.
  2. Take a deep breath – One of the most effective methods of controlling stress is to breath properly. You can do a breathing exercise right in the middle of a stressful meeting without anyone knowing what you are doing.
  3. Eliminate interruptions – only answer emails and phone messages during certain times of the day and then close your office door. If you don’t have a door, turn your chair so your back is facing out, put up a sign that says when you will be available, and ignore those who come to see you. Your co-workers will self-train and eventually only come when they know you are available.
  4. Schedule your day so you can stay focused and on task – write a priority list before you go home in the afternoon, and then review it before you start your day. Should they be re-ordered? Did something change overnight that should be reflected in your plan for the day?
  5. Eat right and get enough sleep – provide your body with the right fuel, and sleep enough to reset yourself for a new day.
  6. Change the story – reinterpret the facts. Stressful reactions develop from looking at things through a certain lens. Change the lens. Don’t be a Pollyanna who doesn’t face facts realistically, but remember others’ opinions about you and your skill set are not necessarily negative.
  7. Cool down quickly – pull in air through your pursed lips and blow it out your nose. Done correctly you will feel a physical cooling off in your mouth that will inspire a mental coolness.
  8. Identify self-imposed stress ‒ change your focus from others’ perception of your work to the work itself. This has an added benefit: you’re more likely to impress those with whom you work.
  9. Re-order your priorities – Melnick says, “Focus on projects that will have the most impact and are best aligned with your goals.”
  10. Reset your Panic Button – learn about acupuncture points that will help you settle down. For example, Dr. Melnick suggests positioning your thumb on the side of your middle finger and applying pressure. This will instantly helps regulate your blood pressure.
  11. Influence others – in other words confront a stressful situation or employee as soon as possible. Don’t let the situation fester and grow in your mind. Help others to see things your way.
  12. Be your own best critic – internal negativity is as likely to stress you out as external negativity is. Pump yourself up! Encouraging thoughts will help you achieve at the highest levels and train others to think positively about themselves.

Here is an exercise to help you or your clients manage your workplace stress more effectively. It is from Leutenberg and Liptak’s workbook, Essential Work Skills Workbook.


The Power of Habit

Many times I’ve worked with clients who have made up their minds to change. They have determined that a change is needed and they have decided to change an old habit of their behavior that has been around for a long time (such as overeating, being sedentary or smoking). They appear motivated to change and vow to stop a certain behavior from occurring any more.

Before long they are disappointed that the behavior that they decided to end had resurfaced once again. Often the client would be disappointed not only that the behavior was back, but disappointed in their own lack of will power. They had thought, contrary to what we’ve seen Prochaska teach us, that change was an event (a decision) not a process. They made it about strength of character and gave their own inner critic plenty to berate them with.

Don’t underestimate the power of habit! Once we have adopted a new behavior there are actually neural pathways set up in our nervous system related to this behavior. Today’s neuroscience tells us that our habits are part psycho-physiological! Our bodies, as well as our minds, are in the habit of reacting a certain way, so no wonder changing a habit is not as simple as making a resolution.

Urge your client to consider these quick tips for changing habits.

  1. Practice patience. Research tells us that it takes as many as 180 days to truly drop an old habit and adopt a new one. So stay with it.
  2. No beating yourself up! Don’t put yourself down because you find yourself engaged in the old habit. Be compassionate with yourself instead.
  3. Celebrate catching yourself! Take the repetitions in stride. Realize that despite the old habit showing up again, you are committed to changing the habit. Instead of putting yourself down (“There I go again!”), celebrate the fact that you managed to catch yourself and become aware of it. As you catch yourself earlier in the practice of the old habit, you’ll have even more to celebrate!
  4. Use structures, as discussed on page 155, to help remind you of the new habits you want to adopt. Structures are little physical reminders that help you remember your goals. They may be little signs you print up for yourself reminding yourself to: “Wait to answer the call after 2 rings, not sooner!”; “Breathe!”; “Call a friend today!”;
    “30 min. of writing every day.” Another hint about structures—move them around, change the look of them so they don’t start blending in with the background again (out of habit!).
  5. Involve others in your goals. Let co-workers, friends and family know what you are working on changing. Enlist their support and possibly their awareness and feedback to help you stay engaged in the habit changing process.
  6. Get a coach! Working with a coach gives you someone to help you get clear about what behaviors you really want to change; give you support in the process and/or hold you accountable to do what you say you will do to change the habits.

Every man is more than just himself; he also represents the unique, the very special and always significant and remarkable point at which the world’s phenomena intersect, only once in this way and never again.

-Hermann Hesse

Every person’s path to and through change will be unique. As we strive to develop ways to help people make the lifestyle changes that will maximize their wellness we must remember that they are all just offerings we make for each person to examine for themselves.

-Excerpted from Wellness Coaching for Lasting Lifestyle Change, 2nd Ed. by Michael Arloski, PhD, PCC, CWP

How are we doing?

It is the last week of Mental Health Awareness Month in the United States. It seems to be a good time to take a look at how, in general, the mental health of the U.S. has fared over the last year. Perhaps we are more resilient than we thought…perhaps not. But tracking how we are doing is important to us all. These numbers will reassure us, or scare the heck out of us, depending on what they are. Let’s take a look at the findings of the CDC, one of our government’s watchdogs. Unfortunately, by the time statistics are gathered, processed, and reported time has passed and the situation “on the ground” has changed. This report covers information gathered from June 24 to 30 of 2020. Almost an entire year ago. Do they still mean anything? Can we draw useful trends and information for planning from something 11 months old? Yes, we probably can, as long as we look at current (April 2021 would be good) trends and factor them into our thinking.

The report indicates that adults in the U.S. reported their mental health was worse than it was last year, a fact that surprised no one. The numbers were worse for younger adults, minorities, essential works, and unpaid caregivers. They reported worse mental health outcomes, increased substance use, and elevated suicidal ideation (CDC, 2020). Again, nothing unexpected. Take a teen and take away all their friends, all their social circle, and all the spontaneous activity that takes place in school and it was likely that they would suffer higher rates of mental health issues.

Creating reports such as this one costs money, perhaps dollars that could have gone to treatment, to helping the homeless, to focusing more dollars to those who have been left out of the process until now. Many believe that the statistics in this report should have been foreseen without expensive polling and exhaustive research. However, today’s climate of best-practice, statistically driven action requires the facts on paper before we can send the boots where they are needed the most. (Retrieved from https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm on May 20, 2022.

That was a year ago. Where are we now? Are we seeing any let-up in the rate of increase as we assess the position of the mental health of Americans?

According to the National Institute of Mental Health one light in the tunnel is that the expected rise in suicide ideation did not manifest itself (Gordon, 2021). Gordon goes on to say:

The mental health impacts of COVID-19 continue. From all that we know, it is clear these impacts will outlive the pandemic itself. Therefore, it is crucial that we work together to apply evidence-based strategies to support the mental health needs of all Americans and to make these strategies broadly available, especially in vulnerable communities.

Make sure that the vulnerable members of your client base are getting the help they need. Make a survey of what your area offers mental health patients that they can access on their own. Take heed of what the disabled population is suffering. While the majority of folks were in lock-down, deliveries, zoom meetings, visits to health care professionals via the internet, and other helpful services for those in lock-down soared. Let us make sure that we don’t let those much-needed services disappear now that the able-bodied population doesn’t have to rely on them.

Check into Maslow’s basic needs and make sure they are getting met. After all, a client suffering from a lack of food doesn’t have much energy left to seek care of their PTSD. If not, help your clients create a presence where they can get help, be it financial, social, or struggling with mental issues made worse by circumstances such as homelessness, chronic mental illness, or finding their next meal.

There is a plethora of new resources to strengthen the coaching alliance as you work with clients face-to-face or online. Check out your favorite resource catalog and see what’s new, or what has been around for a bit, but is new to your practice. Look for a new way to teach coping skills, reduce the stigma of mental illness, or to find peace with the loss of a loved one. Series such as will help you dig down to what the real problem is and how you can help the client not just survive, but soar.

Sleep Problems – Is COVID-19 Keeping Us Awake?

Though sleep is called our best friend, it is a friend who often keeps us waiting.
~ Jules Verne

The events of the last year or so have impacted everyone in one way or another. One area of our lives that has been heavily hit is sleep patterns. Most folks no longer need to spring out of bed in time to get breakfast, kids to school, a quick workout at the gym, and catch the train/carpool/bus to work. The lack of structure has encouraged folks to sleep in more often and stay up later at night. For some, this has resulted in sleep problems.

In a recent survey conducted by the American Academy of Sleep Medicine (AASM), more than half of Americans have had increased trouble sleeping since the beginning of the pandemic.

A survey by the AASM of 2,006 adults, 56% of those questioned indicated they had increased sleep problems since the start of the pandemic. These issues are called “COVID-somnia.” Some of the symptoms are difficulty falling asleep, problems staying asleep, worse quality of sleep, and it isn’t just the elderly that are having these problems. “Those aged 35-44 had the highest rate of COVID-somnia sleep disturbances at 70%” (AASM, 2021).

As many can attest, the harder we try to fall asleep, the wider awake we become. In the same survey quoted above, the AASM found that 51% of those reporting problems were using sleep aids of some kind, while 68% of those already using sleep aids were using them more often. Only 5% of those regularly using sleep aids before the pandemic were using them less frequently. Dr. Fariha Abbasi-Feinberg, a sleep medicine specialist from Ft. Meyers, FL, reminds us that “Medicinal sleep aids should be used cautiously for people with sleep problems and should always be used in consultation with a medical provider.”

So, more sleep problems, but don’t use sleep aids and try to avoid prescriptions. What is the solution, or do we wait until the pandemic is over and hope we can catch up then? That’s not likely to work! Studies have shown that trying to reduce a sleep deficit by getting more sleep at another time doesn’t work. For example, a study found that sleeping in on weekends doesn’t reverse the metabolic dysregulation and potential weight gain associated with regular sleep loss (Depner, et.al. Current Biology, 2019).

Here are some ideas for overcoming sleep problems without resorting to sleep aids or trying to catch up later from the CDC COVID-19 site that might help (https://www.cdc.gov/coronavirus/2019-ncov/hcp/managing-workplace-fatigue.html).

  1. You’ll sleep better if your room is comfortable, dark, cool, and quiet.
  2. If it takes you longer than 15 minutes to fall asleep, set aside sometime before bedtime to do things to help you relax. Try meditating, relaxation breathing, and progressive muscle relaxation.
  3. Avoid sunlight or bright lights 90 minutes before you go to sleep, when possible. Exposure to light just before bedtime can cause you to feel more awake.
  4. Take naps when you have the opportunity.
  5. Eat healthy foods and stay physically active because it can improve your sleep.
  6. Before you go to sleep, avoid foods and drinks that can make falling asleep more difficult:

Other suggestions gleaned from the 2021 AASM survey include:

  • Turn off electronics at least 30 minutes before going to bed.
  • Use your bed only for sleep and sex.
  • Keep a consistent sleep schedule. Avoid the temptation to sleep late on days you don’t have to check in to work or on vacation. Choose a bedtime that will allow you to get 7 hours of sleep.
  • If you are still awake after 20 minutes, get out of bed.
  • Don’t eat a large meal right before bedtime. Try a light, healthy snack instead.
  • Avoid caffeine in the afternoon and evening.
  • Cut down on the fluids, including alcohol before bedtime.

(Abbasi-Feinberg, 2021)

Here are some exercises you can download from Coping with Sleep Issues Workbook by Leutenberg and Liptak to help you take a tangible step towards better sleep.

Reflecting on My Lack of Sleep will help you pinpoint what might be keeping you awake.

Sleeping Better will help you make small but helpful changes in your sleep environment.

A brief note about the AASM survey. The March 2021 AASM Sleep Prioritization Survey involved 2,006 adult participants in the U.S. The margin of error is +/-2 percentage points with a confidence interval of 95 percent. Atomik Research, an independent market research agency, conducted the survey. To request a copy of the survey COVID-somnia results contact the AASM at media@aasm.org. Retrieved from https://aasm.org/americans-struggling-good-nights-sleep-during-pandemic/ April 14, 2021.)

Helping Negotiate the Stress of Returning to School During the Pandemic.

“It was the best of times, it was the worst of times;” so said Charles Dickens in a Tale of Two Cities. To some extent, that is what parents and students are experiencing right now. Most parents are tickled that their children are returning to school and on-campus learning. Helping with online classes has been difficult. Keeping that Kindergarten student engaged, helping the Intro to Calc student master new skills, managing safe playdates and the like has been exhausting. Now we seem to see a light at the end of the tunnel. How do we negotiate the maze of information and find the right answer for the family?

First, parents have to decide if their kid should go back to on-campus learning. They struggle with weighing the danger to immune-compromised folks in their household against the need for their children to interact with the teacher, fill the void that has been left by in their social lives since schools went to online learning, and the myriad other benefits of normal classes.

Next, they must convince themselves that they made the right decision. Kids quickly pick up on feelings of ambiguity that parents try to disguise. Let them understand the decision-making process and be certain that they aren’t endangering Grandma or another loved one if they go back. Even little ones will be struggling with whether or not they want to return to class themselves. If they see you haven’t decided for sure that it is safe, their anxiety will skyrocket.

Let your children talk about going back and how they feel about it. Just because you had a good student with lots of friends doesn’t mean they won’t have conflicted feelings about the change. They will wonder if they will catch the virus. They will wonder if they are endangering Mom and Dad. They will wonder if it is wrong to be happy to leave Mom and Dad with whom they have been spending lots of time. They will wonder if it will hurt their parents’ feelings if they are excited about going back. Take the time to listen and discern what concerns they have. Don’t present a list of “Are you worried about…” questions. Let them tell you what concerns them and accept their reality. Don’t tell them not to be silly when they ask if it hurts your feelings that they want to go to on-campus classes or pose any other question to you. If they tell you they are worried, accept that the concern is of importance to them.

Work through “what-ifs” with them. Telling a student that they will fit in perfectly and all will be sweetness and light to a kid who has been ignored or bullied isn’t going to help him or her face what is coming. Explain their options carefully. Treat their issues realistically. Painting a rose-colored picture of what is coming…everyone will be friends, no one will bully you…when that hasn’t been the case in the past will not reassure them. It will simply reinforce the idea that parents don’t have a clue what really goes on once they leave the house.

Here is a list of suggestions from the Brain and Behavior Research Foundation to help.

  • Don’t be afraid to discuss coronavirus, but be age-appropriate and, As much as possible, try to project a sense of calm and control.
  • Help your child understand the importance of social distancing, handwashing, and wearing a mask.
  • Whether your child is going to a classroom, being homeschooled, or participating in virtual classes, try to help them focus on the positive aspects of the experience.
  • Make sure your child is eating well, getting enough sleep, and keeping physically active.
  • Try to maintain a structured daily routine at home.
  • Remind teenagers often that they are helping to protect others by following health guidelines.
  • If your child is participating in distance learning, create opportunities for them to socialize safely with friends, perhaps via video chats or FaceTime.
  • Reassure children about safety measures in place to keep students and teachers healthy. Remind children that they can also help prevent germs spreading by washing their hands with soap and coughing or sneezing into their elbow.
  • Consistently communicate with your child about your school districts and your families’ own back-to-school plans and listen to their concerns. It is important to encourage and remind children to be flexible as plans may change.

You can find more information from the Brain and Behavior Foundation at https://www.bbrfoundation.org/blog/helping-children-cope-back-school-stress-amidst-covid-19

One thing that can help both parents and children alike is to practice some of the stress coping skills that have worked in the past. Turn off the TV and all other devices. Sit in a relaxed posture where everyone is comfortable and tell a story that they have heard before. Suggest that they might close their eyes and imagine the background of the tale. Not the place, of course, for dragons and giants, but for happy children and pretty places. Begin deep breathing with them. Start counting breaths. In…1, 2, 3, 4. Blow it out, 1, 2, 3, 4, 5. Encourage them to imagine the breath coming from their toes, making room for a big, healthy inhale. Increase the length of the space between breaths. Encourage them to relax. When you think they are with you as you breathe, suggest that they imagine a favorite place the family has been together. A beach or a ski hill or a lake or a hiking trail or, for that matter, the family kitchen or living room. Walk them through the experience. At the end, suggest they continue deep breathing, and tell them they can open their eyes and return to the room. If they are in a good spot, begin to discuss the pros and cons of going back to campus. They will feel safe, and you might get results that would have been missed had you not prepared for the discussion.

Simple relaxation techniques such as deep breathing and progressive relaxation (where you begin relaxing at your toes and tighten and relax as you go up your body) will help all of your family settle down, ready for great interaction with each other.

If you need a refresher course on coping skills, take a look at Children and Stress published by Whole Person Associates, WholePerson.com.