Five Things to Stop Stress in its Tracks

 

Stress is pernicious and all-pervading, when people come to see me for therapy for it and all the ways it presents (click here for more on that), they understand that it will take more than the one session to get a handle on it, but they also often ask, “is there something I can do now that will help?” And the short answer to that is, “yes.” If you do any of the below daily, it will help you take back control, if you practice all five things on a regular basis, you might well work wonders.

 

One: Walk away

 

Whatever the stressful situation is, if you feel your heart pumping and your pulse racing, if you feel dizzy or like that infamous red mist is descending, just walk away. Take time out, rest, relax, let your mind and body return to baseline and then, when you feel ready to, go back into the situation. Chances are that things will have calmed down by then anyway. And there is nothing wrong in taking time out, or saying, “I just need to take a few minutes to reflect on this,” and then getting the hell out of there.

 

Two: Regular breaks

 

Whilst on the topic of time out, taking regular breaks in your day needs to be routine. One job I had, back in the day (when I was still a fresh-faced teenager) not only had a full hour for lunch (with luncheon vouchers) but also mandatory 15-minute breaks twice a day. People who take regular breaks, those who come in on time and leave on time (special occasions excepting) are less stressed, more productive, less likely to take time of work sick and save money in terms of recruitment and training by staying where they are for longer. In terms of both mental health and business success, pacing yourself is the way!

 

Three: Get some nature

 

Nature is essential to your mental health and wellbeing. You need a daily dose of it and getting it will help. The more, the better! Go for a walk in a park, sit by a pond or river if you can (or a fountain in a square if you can’t). Visit forests, moors, and beaches. Even pot plants on your desk improve wellbeing and mitigate stress. One of the nicest environments I even walked into, there to deliver a workplace wellness seminar, had so much foliage within it that it looked like the Amazon jungle, only with desks and monitors poking out of the lush greenery instead of birds and reptiles.

 

Four: Box breathing

 

Your breath is a great stressbuster. When used properly that is. First up, remove yourself from the stressful situation. Then regulate your breathing. Sit or stand, close your eyes, or leave them open, and breathe deeply, preferably in through your nose and out through your mouth (but either/or works well too), but in a rhythmic fashion. First hold your breath for the count of four, then breathe in for the count of four, hold it in for the count of four, and then breathe out slowly for the count of four. And repeat this for as often as you think you need or until you feel calm and balanced.

 

Five: Meditate

 

Any form of meditation will work wonders on your stress levels, even if you do it for just five minutes a day. One of the easiest ways to meditate also involves your breath. Sit somewhere comfortable and just focus on your breathing, in and out, softly, and gently; in and out, either through your nose or through your mouth, or both. And really give your full attention to your breathing. Notice what it feels like, and what it sounds like. Feel the temperature of your breath, notice all the subtle and not-so-subtle differences between your in breath and your out breath. Try to become as vitally absorbed with your breathing as you can. Whilst fully accepting that your mind will wander. This is perfectly normal. Don’t become frustrated by this. Just accept it as part of the process. Whenever you notice your attention has wandered, just bring it back to your breath. With practice, you can stay with your breath for longer, your attention will wander less and less, and your mind calms right down pretty quick.

 

Chronic stress and situations where you often feel out of control will need a little bit more help than the above and I can heartily recommend both rational emotive behaviour therapy (click here for more on that) and clinical hypnotherapy (click here for more on that too). But, in the heat of the moment, the above things will help calm you down.

Online Hypnotherapy: Will it Work for You?

 

A few weeks ago now, I wrote an article for Psychology Today on the benefits of online therapy and how studies show that it is as equally effective as psychotherapy delivered face-to-face (click here). Since that article went live, I’ve had a fair few emails asking if that also applied to hypnotherapy. And the short answer to that question is, “yes.’”

During the pandemic, hypnotherapists had to switch their clinics to an entirely online affair whether people liked it or not. Since then, as with other forms of therapy, some therapists have remained entirely online whilst others have offered both face-to-face and web therapy.

And whilst official studies into hypnotherapy delivered over digital platforms are few and far between (at least, as far as I know, so feel free to correct me if I am wrong), one study showed that it was effective in treating migraines (click here), whilst another suggested it was effective on children presenting with nocturnal enuresis, or bed wetting (click here).

On the anecdotal front, one magazine editor happily wrote about her experience with digitally delivered hypnotherapy (click here) whilst another espoused the joys of her FaceTime Hypnotherapy session (click here). Plus, there are a plethora of successful hypnotherapy apps available that simply require you to sit back and enjoy some beneficial suggestions delivered via your smartphone or tablet.

I know from experience that the one form of hypnotherapy is is just as effective as the other as I’ve been delivering it online for years now, since way before Coronavirus forced the first UK lockdown back in March 2020.

Quite early on in my therapy career (some 19 years or so at the time of writing), someone asked if they could continue seeing me whilst work sent them away across Europe to a variety of locations. I mainly saw them in various hotels rooms, but also once by a large and empty pool and another time on a patio with a glorious mountain in the background. Back then it was Skype rather than Zoom but, the wide variety of backdrops, both panoramic and otherwise, did nothing to hamper our work together.

At the end of the day (or beginning, or middle, or whenever you see fit to see your hypnotherapist) it all comes down to a matter of choice and/or preference. Some people prefer digital (or are constrained by other factors) whilst some prefer to see their therapist for real.

Reasons for wanting to see a hypnotherapist online include factors such as convenience, schedules, work/life balance management, the ability to choose a therapist from further afield (not just nationwide but other countries), enjoying the comfort of your own home, mobility issues, and more.

Web delivered hypnotherapy is just as effective as live hypnotherapy in treating a wide range of issues including stress (life stress, work stress, burnout syndrome, and so on), as well as anxiety disorders, reactive depression, anger-management, self-esteem and confidence issues, weight control, pain control and the like.

If you are thinking of digital hypnotherapy, there are a few things to consider in advance:

  • A good connection (this is vital for any form of online psychotherapy) enables every hypnotic suggestion to be delivered clearly and precisely
  • A good screen size (so laptops and tablets are preferable to smartphones)
  • A comfy chair (the comfier the better)
  • A blanket (if you like to be all warm and snuggly)
  • Good quality speakers (good quality headphones are even better)
  • Somewhere safe, private, and secure (it’s a therapy session, after all, and you will want to keep things confidential)

Another thing to consider is the severity of the problem. If you are at high-risk of suicide or self-harm, one-to-one live therapy with a nearby therapist plus a clear care plan discussed and agreed by you both is a better fit for you, no matter what modality of therapy is on offer. But, for anything at the mild-to-moderate end of the spectrum, you should be good to go.

If you would like to see me for online hypnotherapy, or even online rational emotive behaviour therapy (REBT), for that matter, my contact details are at the bottom of this page.

Finally, if you’re wondering, REBT is a rather nifty and elegant form of cognitive behaviour therapy (CBT) that works well on everything mentioned above (stress management, anxiety issues, confidence issues and so on), either on its own or in conjunction with hypnotherapy.

Everybody is Stressed, but What Can You do About it?

 

I’ve been a therapist now since 2004 and, for most of that time, when people asked me what I specialised in, I told them that anxiety disorders and work-related stress management were my forte but, on reflection, and for several years now, I would say that both life and work have made me a stress specialist.

That term still covers anxiety disorders and work-stress but, it also covers a whole lot more. Stress affects us all and we are becoming more stressed, not less so. In fact, research from the Chartered Institute of Development has found staff absences due to stress are at their highest levels in over a decade, with the pandemic, the high cost of living and other issues all being significant contributing factors, (click here). But what is stress?

According to the World Health Organisation, “stress can be defined as a state of worry or mental tension caused by a difficult situation.”

However, there are two types of stress: good stress (eustress) and bad stress (distress).

Eustress refers to the sort of challenge and pressure that you thrive under or rise to meet with excitement. It could be a work deadline, or a wedding, or a rollercoaster ride. Meanwhile, distress is what we often mean when we are talking about ‘stress.’ It can refer to seemingly insurmountable pressures in any context (life or work), pressures that you feel you can’t cope with, or are not dealing with as well as you’d like. But stress isn’t a diagnosis in and of itself. It’s an umbrella term for a variety of things including:

 

  • Anxiety
  • Reactive depression
  • Anger-management
  • Guilt
  • Shame
  • Procrastination
  • Insomnia (often stress related)
  • Skin conditions such as psoriasis (also often stress related)
  • Irritable Bowel Syndrome, or IBS, (nearly always stress related)

 

You can turn to unhealthy coping strategies when you are stressed, such as alcohol, drugs (both prescription and recreational) and comforting eating. Stress can wear you down, it can affect you physically as well as mentally. You can become distracted, less productive, more forgetful, and more prone to illness (stress affects your immune system). Chronic work stress even has its own diagnosis: Burnout Syndrome. This is a purely occupational phenomenon not official recognised until 2019 and characterised by exhaustion, increased negativity (or cynicism) towards your job, and reduced professional efficacy.

Stress is such as small word for something with so many distressing ramifications.

Stress affects both your mind and your body. A little bit of it is good for you, but too much stress can easily overwhelm you. And we are living in a very stressful world; one that doesn’t seem to be interested in getting any easier. Stress quickly mounts up and it soon takes its toll.

Thankfully, there are things you can do to help mitigate your stress, such as yoga, meditation, taking regular breaks, and going for long walks. And, if those things aren’t enough then therapy and coaching can help.

I practice rational emotive behaviour therapy (REBT) and clinical hypnotherapy, and both can help you mitigate your stress and build effective coping strategies in the face of it. With REBT and hypnotherapy the seemingly insurmountable obstacles in your daily live become something much easier to deal with.

So, if you think your stress is getting the better of you, feel free to book a call. I work face-to-face and online and can see anyone, anywhere (time zones permitting). And online therapy is just as effective as face-to-face, studies say so (click here).

There’s No Need to Panic About this Pandemic

 

Rational Emotive Behaviour Therapy (REBT) makes a distinction between unhealthy anxiety and healthy concern. Both share the same theme, or inference, as both are about the threats and dangers of everyday life. It doesn’t matter if the threat is real (something that is happening or is about to happen) or imaginary (something that hasn’t happened yet and probably won’t happen at all); anxiety and concern are all about threat and danger.

 

Unhealthy anxiety is the result of irrational (or unhelpful) beliefs about a given event or situation; whilst healthy concern arises when you hold rational (or helpful) beliefs about the exact same event or situation.

 

When you are unhealthily anxious you overestimate the probability of that threat occurring and underestimate your ability to deal with it, you can create an even more negative threat in your mind and might find it difficult to concentrate on other matters. Typically, the anxious will avoid the threat (physically or mentally), ward off the threat, tranquilise their feelings and seek reassurance about it.

 

When you are healthily concerned, however, you are more realistic about the probability of the threat occurring and are equally realistic about your ability to cope with it. You do not create even more negative scenarios in your mind, and you are able to concentrate on other tasks and matters. As a result, the concerned are more able to face up to the threat (if it even occurs) and are more able to take constructive action to minimise said risk or danger.

 

This also applies to health anxieties. A health anxiety is an obsessive and irrational worry that you have caught or are about to come down with a severe medical condition.

 

And, right now, as a health anxiety, as a public and medical concern and as a severe medical condition Coronavirus, or COVID-19, is right up there and scaring us all.

 

But, are our news outlets and our governments overdoing it or not; are we all literally making a drama out of a crisis; are our fears rational or irrational; founded or unfounded? In short, are we experiencing collective Coronavirus anxiety or COVID-19 concern?

 

Considering the statistics (at the time of writing of the 107,828 cases so far, 86 percent have been of a mild condition and a massive 94 percent have so far recovered and/or been discharged.) it would seem to be the former. And so, asset stripping the shelves in supermarkets and chemists of bog roll, antibacterial hand gels and facemasks does seem like reassurance seeking writ large, whilst completely shunning people, public places and public transport could count as avoidance.

 

Beating people up based on their ethnicity or holiday choices, meanwhile, is definitely overkill.

 

Yes, people have sadly died but there have been other factors involved (such as age and other underlying health conditions).

 

Caution is advised, certainly, but the current advice is to wash your hands regularly and thoroughly (for at least 20 seconds) and that’s about it. That is considered effective protection, not just against COVID-19, but all other cough and cold-related germs and viruses.

 

Whilst the Coronavirus is something to be concerned with, and something to take reasonable precautions against, it is nothing to get anxious about.

 

For more on the current global pandemic panic, please feel free to read my post over at Psychology Today (click here).

 

If you want to know more about REBT, the thoughts that can freak you out and, more importantly, how to deal with them, please feel free to purchase a copy of this book that I wrote (click here).

 

Not So Crazy in Love

 

Today, is February 14th; Valentine’s Day, the day for lovers, the day for romance, the day for card companies, florists, chocolatiers, jewellers, and restaurants up and down the country to make you make the most of this day, come what may. Back in the day (my day, that is) you were lucky if you got a small card and a cup of tea in bed. Now, it’s nothing but pressure to perform, please and be more loved-up than thou (we can partly blame social media for the latter, but only partly). Basically, Valentine’s Day has gone and gotten all a bit crazy, when you think about it.

 

But then, love is not the most rational of emotions.

 

Enter then, Rational Emotive Behaviour Therapy (REBT). Not only is it a form of psychotherapy but it is also considered to be a school of thought. This means that, while it is great for dealing with specific emotional problems such as anger, anxiety, depression, jealousy and so on, it is also (and at the same time) a brilliant way of looking at life and all of life’s problems in a whole new way.

 

This is important as irrationality surrounds us and penetrates us (a bit like The Force in Star Wars only crap), and it can bind us together in unhelpful ways if we are not careful.

 

With it, we can develop the tendency to blow things out of proportion, magnify their difficulty, throw our toys out of the pram and, generally, rush headlong into foolish decisions that we later regret.

 

REBT offers a way of stepping back a little, and of questioning a thought and the emotion it engenders, before you react (or overreact) according to it.

 

Once you start to question the validity and rationality of your thoughts, you will soon start to see just how silly life, and by default, our everyday language really is. Like, really, amazingly, off-kilter crazy.

 

This goes double for love songs.

 

To find out how truly ludicrous love songs actually are, to wise up to their irrationality, please read my new post over at Psychology Today (click here).

 

As you do so, whilst remembering that Valentine’s Day can be as restrained or as OTT as you allow it to become, it means that you can still be as romantic as you wish, but it also means you won’t be no fool for love (or any other emotion) again.

 

How’s that for heart-warming?

 

 

 

How to Have a Happy New Year

 

Each year, a friend of mine, when wishing family, friends, colleagues and acquaintances a “Happy New Year,” almost always follows it up with the rather dour postface of “let’s hope it’s better than the last one.” Sometimes they even run through some of the lower points from their preceding 12 months.

 

It’s not surprising that they do that as most human beings have a tendency to focus on the negative. It’s biological and innate; it’s hardwired into us. It’s habitual. But that doesn’t mean it can’t be changed. It’s possible to build a habit of thinking more positively, even if you’re currently the most negative person you know.

 

Positive psychology contains a vast range of tools, exercises, tips and tricks to help you do just that. Whereas most forms of psychotherapy focus on mental illness, positive psychology firmly fixes its gaze on mental wellness. “What can be done to make you feel happier and more fulfilled in your day-to-day life?” it asks. “How can you learn to flourish?”

 

One of its many, many laboratory tested exercises (i.e., a bunch of researchers have made people undertake these things and then rated their mood and physiology in a variety of ways) is one specifically designed to help you reflect upon events in a more positive way. And it does so by getting you to review the day, or the week, or even the month.

 

On a bad day, something nice will have happened (but it’s usually the bad thing you focus on) and, on a rotten week, several good things will also have happened (but it’s usually the rotten things that you reflect upon). But, by ignoring the bad in favour of good, despite your natural inclination, by writing them down in a diary or notebook, you are slowly and steadily building that habit of thinking more positively.

 

But, what does this mean for the new year and your happiness? Well, why not review your whole year? News and current affairs (and pop music) shows do it all the time.

 

So, another positive psychology exercise builds on the above by asking you to get hold of a bell jar, or some such similar receptacle. And, for a sense of occasion it asks that you get it in time for New Year’s Day. Then, over the coming 12 months, whenever something nice happens, you write that event or situation down on a piece of paper and pop it into the bell jar.

 

Note by note, nice thing by nice thing, into the jar it goes. A compliment here, a bonus there; a trip on a sunny day, a night out with friends, you name it. Large or small, any and all events go in the jar. And then, on New Year’s Eve next year, you can gather around the jar with family and friends, or simply on your own if you enjoy being solitary and introspective, and then reflect on what a lovely year you’ve had.

 

“Happy New Year,” you’ll say. “I hope it’s as good as this one was.”

 

You’re not denying that bad things have happened; you’re just choosing to ignore them for once, in favour of the good.

 

Won’t that be nice?

 

 

If You Only Buy One Book This Christmas

 

So, I wrote a book. It’s available to buy right now as you’re reading this and it would be awfully remiss of me if I didn’t blog about my book in my own actual blog so, here it is.

 

It’s called The Four Thoughts That F*ck You Up (and how to fix them) and it’s a hopefully humorous and insightful (I leave that for you to decide) book about rational emotive behaviour therapy (REBT).

 

REBT was invented in the mid 1950s by a psychotherapist called Albert Ellis. It’s actually considered to be the first form of cognitive behaviour therapy (CBT) to be developed. And it’s brilliant.

 

REBT is the form of CBT that I practice and promote. It follows the philosophy that it is not the events in life that disturb you, but what you tell yourself about those events that disturbs you. So if you are thinking, feeling and acting in ways that you don’t like, but don’t seem to be able to change, it’s not because of the thing, but down to what you tell yourself about the thing, change what it is that you tell yourself and you get to change how you think, feel and act.

 

Now, it’s not saying when stuff happens, that it doesn’t have an influence, because it does but, it’s only an influence. So, even in the face of something difficult, or challenging, or downright negative, you can still remain in control (or regain control if you think you’ve lost it) by looking at what you tell yourself in the face of that difficult, challenging or negative thing.

 

This means that nobody makes you angry, nothing makes you anxious, and nobody and nothing can drive you to drink, drugs, distraction, despair or doughnuts. It’s what you tell yourself about those things and people that does that.

 

REBT says that there is always a thing (or an activating event) and a reaction to that thing (a consequence) but, between the thing and the reaction there will be a specific thought process (known as a belief) that drive the reaction about the thing.

 

So, REBT is all about beliefs. My book is all about the four beliefs that REBT says lie at the heart of psychological disturbance (i.e., that f*ck you up) and the four healthy equivalents that can help keep you calm and rational. It also has a step-by-step guide to help you work on a specific problem

 

Someone recently asked me why I wrote it. That answer could be a whole blog in itself but, briefly, I’ve been in practice now for over 15 years and just for once, when I was finishing therapy with someone and they asked if there is any reading material I could suggest, I wanted to be able to say, “why yes, there is this very book right here.”

 

And now I can.

 

It’s available on Amazon and Waterstones and WHSmith, or directly from the Penguin Random House website and it’s available from all good online bookshops in your country, area and/or territory (so it’s not just available in the UK).

 

I am reliably informed that it is both “super-wise” and “warm and funny.” And it wasn’t my friends that said that. It would make for a good Christmas stocking filler, or last-minute Christmas gift idea. And for those of you looking a little further ahead, it would be a great way of coming up with and sticking to any one of a number of New Year’s resolutions.

 

If you haven’t bought it yet, I hope you consider buying a copy. If you have already bought one, I thank you for doing so. And, either way, I hope you will enjoy it, are enjoying it and/or have enjoyed it.

 

Personally, as much as I enjoyed writing it, I will never forget the thrill of standing in the WHSmith bookshop in Paddington station on the day of publication and seeing out on the shelves already.

 

All the feels.

 

 

 

Anxiety Disorders: A Brief Overview

As a rule, I tend to specialise in the areas of anxiety disorders and work-related stress management. Between the two, I cover a multitude of sins. And, but sins I mean I help people deal with a series of emotional and behavioural problems that have them thinking, feeling and acting in ways that they don’t like but don’t seem to be able to change.

The term ‘anxiety disorder’ on it’s own could mean any one of several things up to and including, but not limited to panic attacks and panic disorder, social anxiety disorder, generalised anxiety disorder (GAD), obsessive compulsive disorder (OCD), post traumatic stress disorder (PTSD), psychosexual dysfunction, health anxiety and any and all types of phobias.

Broadly speaking, anxiety is your response to danger; it’s the fight, flight (or freeze, for those of you who experience brain lock) response to a threat or a danger. However, this response is being triggered in situations that aren’t that dangerous. Coming across a hungry lion whilst walking down your street is very dangerous, whereas sitting an exam is not. However, if you have anxiety, the same thoughts and feelings are being triggered in the face of an exam as they are when confronted by that hungry lion.

Anxiety problems are the number one presenting symptom here in the United Kingdom

Panic Attacks

Panic attacks are an extreme type of fear response. They are an exaggeration of your body’s normal response to danger, stress or excitement. They’re not much fun

Panic Disorder

This is where you have regular or frequent panic attacks that don’t seem to have a specific cause or trigger. It can mean that you are so afraid of having another panic attack that the fear itself can bring on a panic attack. Not good.

Social Anxiety Disorder

This is where your fear response is being triggered by social situations, such as pubs and parties, work and networking events. Basically, anywhere you have to talk to another person. This is also known as social phobia and it’s more common than you think.

GAD

Pity the person who is living with this condition, for they are experiencing regular or uncontrollable worries about many different things across most aspects of everyday life. It could be that there are many, many triggers or no specific trigger at all, making GAD a tricky little bugger to pin down.

OCD

This problem is made up of two parts, an obsession and a compulsion. Obsessions are unwelcome and intrusive thoughts, images, urges, worries or doubts that repeatedly appear in your mind. The compulsions are repetitive activities that you feel compelled to do in order to reduce the anxiety caused by the obsession. It could be checking that a door is locked, or repeating a specific phrase in your head and so on. Some people have what is known as ‘Pure O’ where they have the obsession but not the compulsion. This does not make it any less distressing.

PTSD

This is an anxiety problem that gets diagnosed after you have gone through something that you found traumatic. A close brush with death or a violent attack on you or someone near you can do it. PTSD can cause flashbacks and nightmares that make you feel like you are reliving the fear and anxiety you experienced during the traumatic event again and again. Who said the mind isn’t your best friend?

Psychosexual Dysfunction

When related to anxiety, psychosexual dysfunction is the inability to become sexual aroused or achieve sexual satisfaction because you are afraid of something happening or something going wrong. The problem is not physiological it is psychological. It can affect both men and women and, obviously can be quite miserable and debilitating.

Health Anxiety

Perhaps unsurprisingly, this means anxiety about your health. You will have an obsessive preoccupation with the idea that you have (or are about to develop) an illness. Common health obsessions including cancer, heart health, HIV and so on, but people can become preoccupied with any condition. Behaviours include researching symptoms, constant checking to see if you have them and many, many, many visits to your local GP.

Phobias

A phobia is an extreme form of anxiety that can be triggered by a particular situation or object, even when there is no danger. The sufferer knows that their reaction is out of proportion to the danger but they just can’t stop themselves. People can becoming phobic about anything and everything: spiders, mice, lifts, heights, thunder and lightning, buttons, ships, you name it.

Other anxiety problems include performance anxiety (stage fright and exam fears, for instance), body dysmorphic Disorder (BDD) and more.

Thankfully, all forms of CBT are considered the gold standard of treatment for anxiety disorders. Hypnotherapy is also a highly effective adjunct to CBT. So, if you need to find a therapist to help you with your anxiety, look for someone who has CBT skills, or hypnotherapy skills, or both.

Obviously, there is quite a lot to digest here so I’ll leave the heady world of work-related stress (the number one cause of staff absenteeism) until next time.

Men, Mental Health, Barbershops and Talking

 

It’s good to talk, isn’t it? Male or female, young or old, it’s good to have someone to turn to in times of trouble, yes? And yet, despite the many inroads made in raising mental health issues, men still struggle with talking about their feelings, or reaching out if they’re in difficulty. Which is problematic to say the least. And, it needs to change, but how? Read more

Mental Health is Normal

I think one of the most surprising things about psychotherapy is that, despite the many, many strides in mental health awareness, more than a fair few people are still loathe to admit that they just might have mental health issues. But, guess what? Having a mental health issue is completely normal. Read more