Today we find ourselves living in a world where our lives are virtually shaped by fear. It's been said that we live in a virtual culture of fear where social and economic fearmongering combines with cyber bullying to create an often toxic environment. So threatening is our world that psychiatric epidemiologists estimate that over one third of people will suffer diagnosable fear-related problems during their lifetime, making fear-related disorders the most prevalent of all mental disorders.
You feel an unpleasant sensation - like a sinking feeling of anxiety in your stomach as the game begins, and you think, "I'm anxious. Here we go again. I'm about to blow it." You feel your pain increasing, and the thoughts churn: "Great. I'll probably miss a whole week of work." Imagined catastrophes fill your mind. Manage these thoughts with the 3 C's: Catch it, Check it, and Change it.
It is estimated that between one-third and half of the U.S. adult population experiences loneliness. In extremes, loneliness can lead to mental health problems (e.g., depression, suicidal ideation) and even impact physical health. The most vulnerable group is young adults, although children also experience loneliness. What Are the Treatments for Loneliness? There are a number of psychological interventions for those experiencing loneliness. For example, Cognitive-Behavioral Therapy helps individuals rethink and reframe how they think about and approach social interactions.
One of my earliest cognitive therapy patients asked if we'd spend time exploring his past. He thought we might find patterns that would explain his depression. I was taken aback. I had just discovered a set of powerful, active techniques that helped people change how they felt in the here-and-now. As a psychiatric resident, I had seen that endless venting without specific techniques for change led to little or no relief.
When I was training as a therapist, I learned the theories of healing that I was expected to know. Cognitive Behavioral Therapy (CBT) both appealed to me and rubbed me the wrong way. (CBT is a therapy that focuses on changing unhelpful thoughts and behaviors into more adaptive, helpful ones.) On one hand, it offered structure and practical tools. On the other hand, language like core schemas made people sound like science projects, and cognitive distortions often felt shaming to me.
I have less energy. My mood is lower and I'm more irritable. I sometimes procrastinate and avoid social activities. I'm distracted and it's harder to focus. Things don't seem to interest me very much and stuff that used to bring me a sense of pleasure just doesn't. I feel sluggish even though I'm sleeping more than usual, and by the time winter sets in, I'm really depressed.
To address hoarding, begin with the main principle: Your emotions and behaviors come from your thinking about situations, not from the situations themselves.This is good news! When your emotions or behaviors are undesirable, you're not defeated. You can identify the beliefs causing these emotions and behaviors and then change your thinking. So the first step in diagnosing a hoarding problem involves identifying the irrational thinking that's behind it.
If you ruminate habitually, you might also ask yourself, was there a time when rumination was helpful to you or would have been? Maybe you grew up in a home where outbursts were common, and reflecting on your "mistakes" repeatedly gave you an illusion of power to avoid someone's wrath.