Why Anxiety and Depression Are Connected: Avoidance and Willingness With Painful Emotions

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Hi everyone Emma McAdam here! In this little nugget of help I want to share one way that anxiety and depression are linked, and I'm gonna try to explain how our response to difficult emotions can lead to a pattern that makes us feel less joy more sadness and more apathetic. So, this video also fits under the category of stuff you do that makes you feel more depressed. So I'm going to start this  video by sharing a story  about one of my clients. Now I've changed some of the details to protect my clients identity, but the gist of it is true. Okay and real quick don't forget I've got a bunch of courses on udemy.com there's a coupon link in the description below so check those out if you want more mental health resources. Alright, back to the video. So I recently had a client come in who was concerned that he was feeling a little bit depressed and most worrisome to him was this overwhelming feeling of apathy, like he was no longer excited about his career this this field that he had been so excited and engaged in before, and he was a Social Work professor. He he loved the work he loved helping people in this creative process of solving problems and reaching out to serve those who had few resources, and he also enjoyed training new Social Work students. But, because he was feeling so apathetic about his work he felt bad even just about teaching them because he was worried that he was setting them up to be miserable in their work too. So, he was experiencing a lot of distress around his career, and as we talked about what was going on and we ruled out a bunch of things, I began to ask him about avoidance patterns in his life. So, was he avoiding his life his responsibilities, and he said that basically he really was just putting in minimal effort into his work and then as soon as he got home he'd just kind of veg out and watched TV for the rest of the day. Now for me, avoidance is a big red flag. As it usually indicates a response to anxiety and stress that that makes things worse over time. So avoidance is different than relaxation. Relaxation, which is things like going for a walk or getting a massage or spending time with friends, this actually turns on the parasympathetic nervous system. The part of the nervous system that calms us down and helps us heal and it turns on our immune system. So, this you know good relaxation helps our body feel rested and relaxed. Avoidance, on the other hand just numbs us out while we're doing it, so we don't have to think about what's bothering us. But as soon as we're done you know watching a show or something the problem and the stress which has been on hold, it just comes back even stronger. So avoidance is like the one response that's almost guaranteed to make anxiety and depression worse. Anyways I asked him about avoidance and he said he was doing a lot of it. For him it was food and TV, but for other people avoidance might look like drugs or social withdrawal gaming or spending too much time on social media. So, I shared I shared this analogy with him. I said, "so this piece of paper represents your emotional capacity your ability to feel the whole spectrum of emotions and the right hand of this paper represents your positive emotions and the left hand of this paper represents the negative emotions. Now I'm using those terms positive and negative, kind of in quotes because I don't actually believe in positive and negative emotions. I think even painful emotions serve a purpose, but that's not what this video is about. So, anyways trying to shut down our negative emotions and not feel them is kind of like breaking off the second half of this paper right. So we take those feelings of stress or discouragement and we we throw it away so I don't want to feel sad or hurt or disappointed a so just tear off that half of my emotional spectrum and try and throw it away. Okay now now great now I'm just left with the positive emotions. Except for here's the thing with our emotional spectrum this paper now this half of the paper represents my capacity to feel positive emotions joy and love and connection, and this half of the paper represents my capacity to feel disappointment and sadness and stress and and other emotion. So we say oh I don't I don't want to feel disappointment I don't want to feel sadness, so I'm gonna avoid that I'm gonna just try and escape I'm not gonna feel that I'm gonna suppress those feelings and we're gonna get rid of that negative half of our emotions. Throw that away we don't want that in our life. Well now this is your emotional range right? We're gonna take and this half represents your ability to feel joy and happiness and sadness and hope and connection and this half is sadness and fear and disappointment and we say oh I don't want to feel disappointed or sad or upset or unhappy so I'm going to avoid those feelings I'm gonna suppress those feelings I'm gonna get rid of them and throw them away. Okay, and now this is your emotional range. Now you get the idea right? As we try to get rid of those negative or uncomfortable emotions, we might avoid love because it hurts or we forget our dreams because we might fail we might avoid performing because it might give us anxiety. But the problem is is what we're really doing is we're cutting our joy in half, we're cutting our hopes in half, we're cutting our range of emotions down. Now we're not only left with a very short emotional range a very small window of positive emotions, but this pile of negative emotions like failure loneliness and quenched dreams because we gave up on those, we actually still have it. So now we've got about this much capacity to feel joy and happiness and this much capacity to feel loneliness and disappointment. Essentially by avoiding things that make us feel uncomfortable, we create misery by trying to run from the pain. So this is the analogy I shared with my client and he seemed to understand it and and we moved on to talking about a few things he could practice to build back his emotional capacity. So, things like feeling joy and excitement again. So these steps included things like less avoidance, doing some exercise to get the blood pumping a little bit so when you get excited and exercise it gets your nervous system you know expand your nervous systems capacity to be to feel joy and to feel good. I encouraged him to write a list of things that he used to enjoy about his work, so remembering the good, and I asked him to tell me about a time that he really loved doing his work. To remember to bring to mind some experience that helped him feel that it was all worth it, and you know what was interesting he really struggled to tell me about a time he enjoyed his work. It's not that he hadn't had them but he couldn't recall them, he couldn't recall an experience like that. This is actually really common with depression and trauma. So with trauma survivors they've experienced so much pain and they've tried so hard to shut down those emotions and not think about it, that it's often much harder for them to talk about their hopes and their joys then it is for them to talk about their worst memories. And with depression it's just hard to bring to mind the reality that you used to feel happiness. So anyways, he couldn't bring to mind really any of these positive experiences that he had in his career. But he also couldn't quite figure out why. So right at the end of the session, I told him something I had written down in my session plan prior to the session but it may be helpful to for him to have a passion project. To find something that he does for fun that reignites his passion for his career, and at this point he got pretty animated and he said, "you know, I had this volunteer project that was my passion project last year we were helping young women who were coming out of jail we were helping them find housing and work and I was developing this program and I was really excited about it..." and as he talked I could see his eyes light up but he told me then there was this guy who was working with him on the project and he took over. He wouldn't let him do something that he wanted to do. He said "I really cared about this project so because that was so frustrating I just decided to stop caring." and that's that's what he said. "I stopped caring about my work I told him fine you figured out" and he told me he's still working on the project but he was just doing what he'd been told he wasn't trying to be creative or invested in anyway. And he basically said he's just staying with this project because he hasn't figured out a way how to get out of it yet. Now, when he told me that story I got excited because he had basically just described exactly what I was talking about with this paper analogy. He had just shared a perfect example of what I call emotional compression. Which is how we shut down our ability to feel joy when we try to avoid feeling hurt. So he had cared immensely about this project and then he was upset when something didn't go his way or got really difficult. So, he shut down his care for the project and when he couldn't be hurt, he also couldn't feel joy. When we shut our heart off the pain we shut our hearts off to joy. You can't selectively numb, you can't say I only want to feel the good emotions. When you cut off grief you can't feel love, when you cut off the possibility for disappointment you can't feel hope either. So it's not what happens to us that makes us depressed, but how we respond to sadness that makes us depressed or joyful. When something painful happens we have a choice. So if we feel social anxiety hanging out with friends and we say like I don't want to feel that, so we avoid hanging out with friends so that we don't feel so anxious then we also cut ourselves off from feeling the joy of hanging out with friends. If something your spouse does hurts you and instead of opening up and staying engaged and working through it, instead of instead of you know connecting you turn away and you numb yourself off a little bit and you avoid him or you blame him or you just spend less time with him. Then pretty soon the marriage becomes a little bit colder. You're not as open to being hurt but you're also not as open to joy or love. So, the antidote to emotional compression and one treatment for apathy and depression and anxiety is to expand our emotional capacity. So this is getting better at feeling, instead of just focusing on feeling better. This is a skill that can be learned you can teach yourself to increase your ability to feel joy, by also getting better at feeling disappointment. So strangely opening yourself up to pain makes sadness and grief and anxiety more comfortable. It's like one of those like Chinese finger traps have you seen those the harder you try to escape the tighter it pulls and when you lean into your emotions and you sit with them and you notice them without fighting or judging them first, then they don't overpower you. Now, that being said, there is a bunch we can do to get rid of the pain and the anxiety that we can create right. We can decrease depression by letting go of lies about ourselves and catastrophizing and black and white thinking and other cognitive distortions that make us depressed or anxious. But when we've cleaned that up we still need to have a response to the painful emotions, that in the long run this response needs to help us stay open to feeling joy and love and and the full spectrum of the emotions of life and this essential skill is called willingness. Now I'm gonna make a couple more videos on this topic it's you know the skill of willingness, it's the ability to sit with emotions instead of running from them but the basic idea is to allow yourself to feel vulnerable. To allow yourself to care, to let go of your rules that say it's not okay to feel sad or mad or disappointed, and instead say I can feel sad but still make good choices. So keep an eye on this channel I'm making three or four more videos in the next couple of weeks about willingness. But, I'm gonna close with some quotes from Brené Brown so she does a great job of describing this in her books Daring Greatly and Rising Strong. So I'm gonna end on one of her quotes so first she quotes Theodore Roosevelt. "The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly so that his place shall never be with those cold and timid souls who neither know victory nor defeat." and then Brené Brown says "I want to be in the arena. I want to be brave with my life. And when we make the choice to dare greatly, we sign up to get our asses kicked. We can choose courage or we can choose comfort, but we can't have both. Not at the same time. Vulnerability is not winning or losing; it's having the courage to show up and be seen when we have no control over the outcome." As you work to overcome depression and anxiety in your life and to live a life of joy and love and hope and peace, may you be able to expand your emotional capacity by choosing to lean in instead of numbing out. Thank you for watching, please subscribe, and take care.
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Channel: Therapy in a Nutshell
Views: 448,969
Rating: undefined out of 5
Keywords: why anxiety and depression are connected, anxiety and depression connected, why are anxiety and depression connected, willingness, willingness ACT, willingness act therapy, act willingness exercise, acceptance and commitment therapy, acceptance and commitment therapy metaphors, emma mcadam therapist, therapy in a nutshell, emotional compression, emotion numbing, emotional avoidance, emotional numbing, emotional numbing ptsd
Id: tqFBipaU620
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Length: 14min 25sec (865 seconds)
Published: Thu Feb 06 2020
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