Uncertainty: The Only Certainty In Life

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“If you want to be successful in this field, you’d better learn to love ambiguity.”  A professor said this to her class 12 years ago.  As a student in that class, I can almost hear these words today as clearly as they were spoken over a decade ago.  This has stuck with me because it has proven to be true.

In my job I work closely with people, come to care for them deeply, watch them struggle and triumph.  And then, in the majority of cases, we stop seeing each-other.  This is the natural progression of therapy.  In the cold clinical sense it is meet, assess, treatment plan, intervene and then terminate.  I usually invite (if not outright plea for) follow-up calls, periodic check-ins.  Perhaps naturally, seldom is this invitation accepted.  Here is the ambiguity that my professor identified.  Did this person maintain their progress?  Did that issue ever resolve?  What happened with their spouse?  These questions rarely receive an answer.

But this post is not about me or the ambiguity that therapists encounter.  It is about how we all come to terms with the ambiguities and uncertainties in our own lives.

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The Search for the Positive

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This post is aimed at helping you through struggles.  Not of the external variety such as financial stress or interpersonal problems, but targeting those struggles that reside within our own minds.  This is about the way that we see and interpret the events that are happening around us.  The manifestations of these struggles may be as mild as being in a bad mood or a bit grumpy for a small spell all the way to a full-blown depression that lasts for months on end.  While these endpoints are quite different, the same process underlies both results.

On a surface level, you are likely familiar with what this discusses.  People may have told you to “search for the silver lining”.  Others may have attempted to encourage you by saying that “things are not as bad as they may seem.”  Heck, even Monty Python told you to “Always look on the bright side of life.”  While well intended and on the right track, these suggestions and advice have likely been ineffective in pulling you out of the negative that clouds your thinking when you are feeling down.  Why is this?

Basically, this is prescribing the very thing that is most out of reach to you at that moment.  It’s like telling someone who is lost in the desert and dying of thirst to “just drink some water.”  When this suggestion is presented without appreciating the difficulty it entails, we are likely to reject it out of hand.  This is quite unfortunate, because the wisdom behind the suggestion being offered actually has some value in terms of the behavioral health benefits.  I will attempt to dig beneath the surface of what is being said when someone offers this type of advice and transform it from quickly discarded tropes to something that may be meaningful and helpful.

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Sleep 101: How to Give Yourself the Best Chance at a Good Night’s Sleep

               It’s been a long day.  From the time the alarm went off until this moment, as you lay your head on the pillow, you have been going full steam ahead.  Meeting the demands of your job, your kids, the household chores, the errands, and your social life has taken every last ounce of energy you have.   You expect to fall into the oblivion of sleep the moment your head hits the pillow.  But once you get there, “it” happens.  Your mind starts going, thinking about the things left undone, the things you worry about, the plans you are making.  Now sleep is just about the last thing you can do.  But you know you need to.  You start doing the math.  “Only 6 hours until the alarm goes off.  I have to get to sleep now or tomorrow is going to be a disaster.”  The more pressure you put on falling asleep, the more unlikely it becomes.

               If you can relate to this story, you are not alone.  The sleepless are not just in Seattle; sleep issues are a factor for nearly every client I see in my practice.  Thankfully, there are some very straightforward things that you can do to improve your sleep.  While these guidelines are simple, they are not easy, as many of our bad sleep habits are deeply ingrained.  However, with dedication, you can see some dramatically positive improvements in your sleep within a few weeks.

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Should I Stay or Should I Go: How to Decide What to Do With An Unfulfilling Job

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Chances are, we’ve all been there: dreading to go to work the next day because we just absolutely despise our job.  Perhaps it is due to the work itself: too boring/unchallenging or stressful/overwhelming; perhaps it is due to your co-workers or boss; perhaps it is due to the clientele you deal with.  Whatever the reason, nothing can be more dispiriting and have a stronger impact on your overall well-being than being stuck in a job you hate.  The connection between work stress and negative effects on both mental and physical health is well established, even if all other aspects of your life are fulfilling and healthy.  Hopefully, these suggestions will help you to navigate what to do if you are currently in a negative work situation.  Instead of reading this article word for word (which you’re welcome to do if that is your style), I recommend that you skim through to the sections that apply to you and your particular brand of job dissatisfaction and then read the section on coping efforts.  After doing so, you will hopefully have a clear answer to the question posed by The Clash in their 1982 song “Should I Stay Or Should I Go.”

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Defeat the Worry Beast

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We have all, at one time or another, been overpowered by the beast that is worry.  We are bombarded by “what if” thoughts, attacked by nightmarish fantasies about every possible thing that could possibly go wrong.  This may be triggered by hearing an awful story, a stressful situation that has arisen, or just a random thought that comes to us, seemingly from nowhere.  We feel the weight of this worry: physically, emotionally and mentally.  We end up tense and exhausted, anxious and nervous, overwhelmed and fearful.  In short, the worry beast can wreak havoc in our life.

At best, we may attempt to distract or calm ourselves from this onslaught of negativity, but there is a nagging feeling that our efforts have been futile and we will be a victim of these thoughts indefinitely.  It is difficult not to feel despair when this seems to be the case.

However, the good news is that there is a way to defeat the worry beast.  We can learn to work through our worried thoughts to where they are not out of control and creating these negative side-effects.  Before we can get to the specifics of what to do to handle worry, we first must understand a little bit about what worry is.

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Stress Management

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         Stress:  that ever-present, life-span shortening, ulcer-inducing, pull-out your-hair condition that is part and parcel of our modern lives.  If there is one issue that I seem to talk about with every client, this is it.  Stress has an immediate impact on our well-being and is therefore one of the most vitally important things to learn to manage as well as we possibly can.  This article will help you to learn more about what stress is and how to work towards minimizing its negative impact on our lives and our health.

 

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