How Not to Make the Same Mistake Twice

Mike, 41, came to see me after splitting up with his girlfriend. It was the fourth relationship in five years that had gone wrong. He was frustrated. “Why do I keep making the same mistake over and over again?” he asked.

He declared he was ready to move on. “What’s the point of dwelling on it? What’s done is done.” He described himself as an expert in moving on. “Isn’t that healthy?” he continued. Well, yes and no.

Mike, like many people I meet, was good at rationalizing what had happened. “She wasn’t right for me in the first place.” “She had a really annoying laugh.” “She didn’t love sports as much as I do.” Making excuses about why the relationship didn’t work out was easier than focusing on how sad he was about it. Rationalizing what went wrong in the wake of a failure or disappointment is a common response. It protects us from dealing with unpleasant emotions and feeling badly about ourselves. It also helps justify our behavior.

A student gets a C on a paper and dismisses the bad grade as not mattering all that much. An employee receives negative feedback on a presentation and blames the client and convinces themselves they will do better next time. These self-protective measures enable us to get past disappointment, but do we learn from them?

Instead of sweeping discomfort under the proverbial rug, the best way to overcome a setback may be to lean into it. In a study entitled, Emotions Know Best: The Advantage of Emotional Versus Cognitive Responses to Failure, participants were asked to complete a simple task. If they succeeded, they were told they could win a cash prize. Alas, the task was rigged so that they all failed. One group was told to imagine focusing on their raw emotional response to losing while the other group was prompted to rationalize the loss. Both groups were then asked to complete a second task. The group that had been asked to embrace their feelings exerted 25% more effort than the rationalizers. Dwelling on the failure and the accompanying unpleasant feelings enabled the “feelings” group to learn from their mistakes and motivated them to work harder the next time.

From childhood, we are told to smile our way through challenges and not to dwell on mistakes, but, as the study shows, leapfrogging over messy unhappy feelings may not always be the best game plan. If we want to learn from our mistakes—at school, at work and in relationships—we need to lean into them.

The relentless emphasis on leading a stress-free-smiley-faced existence may be further exacerbating our discomfort with discomfort. “We live in a period in which there is a tremendous mandate for happiness,” therapist Esther Perel recently told CNBC Make It. These unrealistic expectations set us up for failure and burnout. In fact, despite what the toxic positivity gurus tell us about thinking happy thoughts all the time, a paper entitled When bad moods may not be so bad suggests the opposite: that if we embrace a bad mood, it won’t take such a toll on us.

I think of myself as a positive psychiatrist but that does not mean I think negative emotions should be pushed aside. As Mike observed a few weeks into therapy, “Maybe being the king of moving on isn’t the best strategy if I don’t want to make the same mistake twice.”

I wish you all the best,

Dr. Samantha Boardman

4 1/2 Ways to Deal With Someone Having a Meltdown

A friend was recently in line at his favorite bagel store and witnessed a scene that has become all too familiar: an adult having a meltdown. When the manager asked the customers to move the line so it didn’t block the entrance, one customer erupted in fury. Apparently, he didn’t appreciate being told where to stand. He began swearing loudly, berating the manager and insulting other customers for acting like “stupid sheep.” He stormed off, alas, without a bagel.

The stories keep coming about people acting out in stores, on planes, at restaurants, and even among friends and family. Everyday annoyances are met with outsized indignation these days. Tales of rudeness, carelessness, and anger abound. As Olga Khazan recently observed in The Atlantic, “everyone is acting so weird.”

It seems that angry and belligerent people are everywhere. Stress, isolation, and increased alcohol use are all likely contributors to this enraged state of affairs. Hopefully these incidents will die down as the pandemic loosens its grip. In the meantime, here are 4 1/2 strategies to cool off a meltdown.

1. Whatever you do, don’t tell the person to calm down.

Anger typically arises when someone feels threatened or out of control. Suggesting that they simmer down or chill out conveys that you don’t care or you don’t understand why they’re upset. Keep in mind that people typically get angry for legitimate reasons—they feel threatened, disrespected, wronged or treated unfairly. The emotion itself may be justified but how they express it may not be.

Instead of rolling your eyes or dismissing the person’s feelings, Dr. Ryan Martin, professor of psychology at the University of Wisconsin-Green Bay, suggests hearing them out. Genuine listening can tame a tantrum. Expressing empathy can defuse a flare-up. Show the person you get where they are coming from: “I would be really annoyed too” lets them know that you identify with their frustration.

Interestingly, for any business owners out there, there is evidence that customers who experience a problem with a product ending up feeling more loyalty to the company than those who don’t have any issues if—and this is a big if—they feel heard and respected. This is known as the “service recovery paradox.”

Business aside, treating people with respect gives them the chance to recover their dignity, regain composure, and recalibrate.

2. Don’t “catch” their foul mood

Emotions are contagious. If someone smiles at you, you smile back at them. When someone barks at you, barking back comes naturally. A foul mood can pass like wildfire from one person to another. As tempting as it is to meet an outburst with an outburst of your own, taking the high road is a better strategy. “People tend to match each other’s volumes, pace, and general tone, so instead of meeting the angry person where he or she is at—and escalating the situation—try to de-escalate the situation by subtly encouraging them to lower their voice” says Dr. Martin.

Along these lines, resist the impulse to insult or attack the person. Asking “What’s wrong with you?” is like pouring gasoline on a fire. Similarly, blanket statements that criticize the other person’s character, such as “Why do you always do this?” or “Here we go again…” will further fan the flames. Stay in the moment. Be as specific as you can. Avoid “why” questions—they invite defensiveness—and instead, focus on ways to help the person feel more in control. Be solution oriented to facilitate a shift from negative feelings to positive action.

Research published in the Journal of Experimental Psychology suggests that we have more control over how we respond to angry people than we might realize. According to the study’s findings, if our intention is to stay calm, we are relatively unfazed by angry people but if our intention is to get angry, then we are highly influenced by angry people. Their research challenges the idea that our responses are automatic or passive. If you don’t want your feathers ruffled, make the decision to be unflappable. Emotional contagion is real but not destiny.

3. Debunk the Catharsis Myth

Contrary to the message popular movies, news segments, and articles send about anger management, there is zero evidence that venting anger is helpful. Screaming at the top of your lungs into a dark winter’s night as a group of Boston moms did last year is unlikely to dial down frustration. Punching a pillow won’t “release” fury. In fact, research suggests that the opposite is true: blowing off steam makes us even hotter around the collar:

Source: Brad J. Bushman / Iowa State University

Put simply, angry behavior begets angry behavior. Screaming into a pillow makes it more likely you will scream at another human being. If you spend time with someone who is prone to meltdowns, discourage unproven anger management techniques that encourage simulations of anger and aggression. Breathing exercises, mindfulness, and cognitive based strategies are far more effective.

4. Walk away

If you feel threatened in any way, extract yourself from the situation. There is no reason to ever be someone else’s punching bag. Saying something along the lines of “Let’s discuss this later” or “I think we will have a more productive conversation tomorrow” gives you and the person an out. As the old saying goes, just because someone is angry doesn’t mean they have the right to be cruel. EVER.

1/2. Grey Rocking

There is little research behind this (hence the half point) but I thought it deserved a mention. The Grey Rock method involves responding to the other person in a factual but limited and unemotional way, such as using one word answers and communicating with minimal interaction. Behaving like a grey rock when someone is having a meltdown may help keep your cool and help them chill out.

Anger is never a comfortable emotion—in ourselves or in others. How we respond to it can make the situation better, as a recent article in the Wall Street Journal highlighted:


Bottom line: Anger may be in the air but we don’t have to breathe it in.

I wish you all the best,

Dr. Samantha Boardman

7 Ways Cognitive Distortion May Be Bending You Out of Shape

“My depression had grown on me as that vine had conquered the oak; a sucking thing that had wrapped itself around me, ugly and more alive than I,” describes best-selling author and psychologist Andrew Solomon in the Noonday Demon. Depression takes a serious and heartbreaking toll on people’s lives. In addition to being a risk factor for cognitive decline, disability, and mortality, depression robs people of the joy in their lives and depletes their vitality.

Cognitive Behavioral Therapy (CBT) is one of the most effective treatments we have in the arsenal to manage depression. There is even evidence that CBT may prevent depression by inoculating individuals against tendencies that increase mental distress.

CBT is based on the idea that our thought patterns and deeply held beliefs about ourselves and the world around us shape our experiences and behavior. According to the theory underlying CBT, when we distort meaning, make erroneous interpretations, and engage in illogical reasoning, we are putting ourselves on a potential on-ramp to depression. CBT shows us an exit by disrupting self-defeating behaviors and beliefs. If it were up to me, I would incorporate CBT into every high school and college curriculum.

A key component of classic CBT is learning how to identify and fight automatic negative thoughts. Automatic negative thoughts are those knee-jerk responses we have wherever something annoying or even ambiguous occurs. For instance, imagine your flight is canceled or traffic is bumper to bumper or your friend doesn’t respond to a text you sent 6 hours ago. How do you respond? Many of us interpret these situations using what psychologists call “cognitive distortions” — unhelpful unrealistic, and maladaptive thinking patterns.

Here are some classic examples of cognitive distortions in response to adverse or ambiguous events:

Cognitive distortions have consequences. If you believe things never work out for you, you might stop trying. If you believe someone dislikes you, you might avoid them in the future. If you believe something terrible has happened, you might go into full panic mode.

Operating on false assumptions can send us down a rabbit hole of unnecessary and exhausting negative emotions and behaviors. Moreover, habitually engaging in these counter-productive thinking patterns puts us at risk of developing more serious mental health issues. Learning how to catch yourself engaging in cognitive distortions can disrupt patterns of negative thinking and their consequences.

Here are 7 common cognitive distortions to look out for:

1. All or Nothing Thinking
Believing that things are either good or bad. There are no shades of gray. Complexity and nuance are ignored and overlooked.

Classic example: “I’m either succeeding or I’m failing. There is no in between.”

2. Fortune Telling
Based on little or no experience, believing one knows what will happen next.

Classic example: “My boss wants to meet with me on Friday. I know I am getting fired.”

3. Mental Filtering
Discounting anything positive that might have happened and only focusing on the negative.

Classic example: “That experience was a complete and utter waste of time.”

4. Mind Reading
Assuming that we know exactly what another person is thinking and that it is critical.

Classic example: “I know she hates me just from the way she looks at me.”

5. Castrophozing
Imagining the worst case scenario. Overestimating the likelihood or meaning of something and blowing it out of proportion. Ordinary worries become epic disasters.

Classic example: “I haven’t heard from her in two hours. Something terrible has happened.”

6. Labeling
Characterizing oneself or others in an overly simplified and negative way. These shorthand descriptions limit us from seeing ourselves and others with empathy and understanding.

Classic example: “I am completely useless.”

7. Personalization
Taking things personally or blaming oneself when things are beyond our control. Assuming that you are being personally targeted without evidence.

Classic example: “Why do bad things always happen to me?”

If you suspect you are engaging in unhelpful thinking patterns, identify the distortion, gather evidence to look for alternative explanations, and consider what advice you would give to a friend in a similar situation. More often than not, it is the interpretation that causes us distress more than the event itself. Questioning assumptions and disrupting knee-jerk responses helps us see ourselves and others more clearly.

As the great actor Alan Alda observed, “Your assumptions are your windows on the world. Scrub them off every once in a while, or the light won’t come in.”

I wish you all the best,

Dr. Samantha Boardman

How to Find a Therapist

May may be Mental Health Awareness Month but let’s be honest, mental health deserves the spotlight year round and every single day. The mental health toll of the pandemic has made this issue even more urgent. Rates of anxiety and depression among U.S. adults were about 4 times higher between April 2020 and August 2021 than they were in 2019. Some of the sharpest increases were among males, Asian Americans, young adults, and parents with children in the home, according to Centers for Disease Control and Prevention data.

 


The World Health Organization defines health as “a state of complete, physical, mental, and social wellbeing and not merely the absence of disease or infirmity.” Put simply, there is no health without mental health.

My goal with The Dose is to shine the spotlight on different aspects of mental health each week. Today’s newsletter provides a framework for finding a therapist that works for you.

1. How do you know if you need therapy?

You are experiencing any of the following:

🔲 Trouble regulating your emotions

🔲 Burnout

🔲 Performing less effectively at school or work

🔲 Turning to unhealthy behaviors such as excessive alcohol use

🔲 Thoughts of self-harm or harming someone else

🔲 People close to you are concerned about you

Keep in mind:

Therapy isn’t only for addressing mental health struggles or a crisis. It can be for anyone going through a transition and a tool to give yourself a boost or help you thrive. People don’t only workout because they want to lose weight, they also workout to build strength and feel good. Similarly, going to a therapist can be like going to a mind gym to increase emotional flexibility and resilience.

2. How do you go about finding a therapist?

🔲 Consider personal preferences such as background and gender

🔲 Ask about credentials, expertise, and experience

🔲 Consider the type of therapy you are interested in

🔲 Ask your primary care provider or another trusted professional for a recommendation (The APA’s Psychologist Locator is an excellent resource)

🔲 Determine your budget (does your health insurance provide mental health benefits? Does your employer offer an Employee Assistance Program?)

Keep in mind:

While convenient, asking friends and family for a recommendation is not always the best idea. Just because something worked for them does not mean it will work for you. Also, sharing a therapist with a close family member or friend can be awkward and create trust issues.

Do not spend too much time looking for the “perfect therapist.” Remember, you could always end therapy if you realize during later sessions you and your therapist are not a good match.

3. What are the goals of therapy?

🔲 Identify your goals during the initial consultation and evaluate progress with your therapist on a regular basis

🔲 Stay flexible — as therapy unfolds, new goals may arise. Don’t be afraid to “re-goal.”

Keep in mind:

Therapy is a process.

4. How do you know it’s working?

🔲 You start to feel better! (Good therapy is like emotional windshield wipers — you begin to find clarity and perspective)

🔲 You begin to make positive behavior changes

🔲 You feel more optimistic

🔲 You are living your values

🔲 You are taking better care of yourself

Keep in mind:

The most important predictor of a positive outcome is a good connection between you and your therapist. This is known as the therapeutic alliance. Feeling safe, comfortable and valued is essential. Research shows that the relationship between patient and therapist has a significant impact on progress. In fact, an APA task force found that the type of therapy matters less than a good therapeutic connection. It makes sense that you are more likely to make positive changes when you feel supported by your therapist. A good therapist will challenge you. If you feel frustrated or like skipping a session, treat those feelings as data. Talk to your therapist. Communicate how you’re feeling. Working through uncomfortable emotions can be a gateway to growth.

Therapy doesn’t only have to be about fixing what’s wrong, it can also be about building what’s strong.

Image: Chris Cater / The New Yorker

I wish you all the best,

Dr. Samantha Boardman

Self-Help Is Important. Other-Help Is Too.

One spring a patient named Margot came to my office feeling despondent. At the beginning of the year, she attended a seminar on the importance of self-care, which was titled, Make This Year All About You.” The two-hour workshop emphasized how prioritizing oneself was a must to achieve happiness. Margot was instructed to put herself at the top of her to-do list and begin each morning by looking in the mirror and asking, “What do I need today?” She was told to make regular “dates” with herself and treat herself with a slice of her favorite cake or a manicure. At the end of the seminar, the attendees signed a contract pledging to give more love, kindness, and attention to themselves.

When Margot returned home, she withdrew from her book club so she could read the recommended self-help books. (Plus, she told me, because the club didn’t always choose books she liked, she felt further justified in her decision.) The signed pledge gave Margot the license to decline invitations that weren’t convenient or to her liking. She decided not to attend a friend’s birthday dinner because it wasn’t being held at a vegan restaurant. When her sister came to town for a visit, Margot barely made time to see her.

The upside of Margot’s newly adopted self-care regimen was that she was getting lots of sleep, eating a healthy diet, reading a self-help book a week, meeting with a life coach every two weeks, meditating thirty minutes a day, and getting plenty of exercise. For her vacation, she canceled a visit to see her grandmother and opted instead for a silent retreat. Yet in spite of her efforts to give back to herself, Margot said that her efforts hadn’t provided the boost she had hoped for. If anything, she told me in almost a whisper, she felt worse.

As I write about in my book, Everyday Vitality, when taken too far, self-help can be self-sabotaging, especially when it greenlights self-focus and cuts us off from others. If self-help isn’t the answer, what actually helps? While it may sound counterintuitive, other-help is what reliably gives us an enduring boost.

I told Margot about an experiment published in Emotion, in which volunteers were asked to choose one of three acts to perform each week for a month: to show kindness to others, to humanity, or to themselves. The groups that performed acts of kindness towards others or humanity experienced a greater boost than those who focused on themselves. A massage is relaxing and enjoyable in the moment, but the positive feeling fades quickly. When acts of kindness are other-oriented, not self-oriented, people feel better for longer. The study concluded that when “people do nice things for others, they may feel greater joy, contentment, and love, which in turn promote greater overall well-being and improve social relationships.” In short, a cascade of uplifts follows other-oriented actions—and they linger.

According to research published in Science, people also tend to feel better when they buy a gift for someone else than they do when they buy it for themselves. Plus, the happiness derived from giving things does not wear off in the same way as purchasing something for oneself does. Having can get boring, but the “warm glow” of doing something for someone sustained itself over the course of the study. A study published in Motivation and Emotion found that altruistic behavior can even dial down anxiety. People who are socially anxious were able to override feelings of insecurity and feel more confident after actively leading a helping hand, such as by mowing a neighbor’s lawn or doing a favor for a roommate. During the pandemic, graduate students who tutored high-school students reported improved mental health and reduced stress according to a study in Nature.


To be clear, I am not promoting self-neglect or martyrdom. Nor am I recommending a life that rivals that of a doormat. It is important to take care of yourself. All I am saying is that too much self-focus can become an excuse to shut ourselves away from the rest of the world.
There is nothing wrong with doing good things for yourself, but taken to the extreme, it can turn into a justification for self-absorption.

Bottom Line: self-help might be all the rage, but it’s important not to forget other-help as a source of vitality and resilience.

I wish you all the best,

Dr. Samantha Boardman

What Happy Couples Do Differently When Tensions Arise

Life often feels like a game of Wac-A-Mole or, as one patient put it, like an endless wave of attention-requiring energy-draining drudgery: “I basically crisis-surf all day.” Not surprisingly, when people report a lot of stress outside their romantic relationship, they also report more stress inside their romantic relationship. This “spillover stress” takes the form of harsh words, criticism, less forgiving behavior, fewer positive interactions and no doubt, more eye rolls.

Anyone who has ever had a bad day can relate. The moment we get home, we unzip that bursting-at-the-seams emotional backpack, filled with all the annoyances and hassles accumulated over the course of the day, and dump its contents on our partner’s lap. Venting, finger pointing, and laying blame typically follow. All too often, we cannot resist holding them responsible for the empty tank of gas, the broken dishwasher and the sick dog (“Weren’t you the last one to feed him?”).

Over time, this behavior functions like relationship anthrax—it poisons good will, asphyxiates intimacy, and propagates contempt. A study entitled “Under Pressure: The Effects of Stress on Positive and Negative Relationship Behaviors” published in the Journal of Social Psychology found that people gave 15% fewer compliments to their partner and were also more likely to want to flirt with someone else when experiencing “high stress.” In other words, not only do we roll our eyes more at the other person and interpret their behavior through a less glamorous lens when feeling flattened by the daily grind, we also tend to have more of a roving eye.

Unloading pent up frustrations on those closest to us erodes the quality of the relationship and usually ends up leaving us feeling even more stressed out. Research suggests an alternative more helpful strategy: instead of blaming the other person for your woes, focus on the big picture instead. For instance, during the 2007-2009 financial crisis, people who blamed the economy for their problems rather than the other person reported feeling happier than couples who blamed each other for their day-to-day money issues. Similarly, as described in a recent Scientific American Mind article entitled “It’s Not You, It’s COVID,” a study found that couples who blamed the pandemic for tension rather than each other stayed happier. Attributing stress to the coronavirus enabled them to cope more effectively together.

The research suggests that couples who present a united front against a stressor are better equipped to navigate tough times. Reframing obstacles as a shared challenge makes it easier to tackle as a team. As the researchers observe, when faced with a great deal of stress, “the ability to shift blame for relational distress away from each other and onto the stressor may inspire partners to unite in the face of a common threat.”

Bottom Line: Stress can tear us apart. It can also bring us closer.

 

I wish you all the best,

Dr. Samantha Boardman