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Can You Avoid Emotion and Successfully Push It Down?

Can You Avoid Emotion and Successfully Push It Down?

Can I just push this emotion down and avoid what is there? Will this tension just go away?

This is a good question that often I ask or hear others ask.

Researcher and developmentalist Gordon Neufeld answers this question with some umfh

No.

He answers this through differentiating emotion and feelings, which I’ll explain below.

The Importance of Feeling and Expressing Emotions

We are exquisitely complex creatures, and one central aspect of our being is our ability to feel emotions and then let them “move us out” (the actual definition of emotion) into the world. Cultural narratives abound: “it’s just your feelings… get over it.” A familiar message to you? The norm tends to be dismissing these biological functions as irrational whims. It is true emotions can be extreme and regulating them is an important skill, but listening to them is essential. Even more, expressing them is essential.

Freud famously said, “we get sick when we fail to give expression to the emotions within us.”

More and more, research in the medical and psychological fields draws connections between the mind and body, agreeing with both Neufeld and Freud. 

Emotions vs. Feelings: Understanding the Difference

Neufeld uses a funny yet powerful image to drive this home: “It is as essential for emotions to be expressed as it is for bowels to be emptied.” Think about that for a moment.

Now here comes the differences between emotions and feelings: emotions just happen, you cannot change that fact. However, our ability to feel and express these emotions (how he defines feelings) is our response to these inevitable emotions that come and go. For example, while you are at your work emotions might come up, and you could choose not to feel them if they seem to disruptive at the time. However, if these emotions stay underground for too long or never find expression, we face problems. Namely, anger issues, low-level persistent anxiety, and emotional distance from the people we care about.

Emotions Require Movement to Function Properly

How do you ride a bike? Not through staying still, but through movement and motion. In the same way, emotions require this motion to function properly. This requires that, after a stressful day, we have a safe home base to return to, in order to move through the emotions that exist within us. Can you think of someone or place that is this home base for you? A place to express what is going on inside.

A big problem we face is that expressing our emotions requires a safe environment, and this can often feel like a luxury many of us don’t have time or space for. Our fast paced culture, our competitive society, and our fractured social bonds all contribute to this challenge of expressing and understanding our emotions. 

Perhaps it’s time to slow down, take a breath, and take a pulse of how we are doing, what is going on beneath the surface, and risk expressing what we find there. You’ll notice the difference. You’ll feel more attuned to yourself and the world around you, and your vision will be filled with colour as you tap into these wonderful adaptive biological parts of ourselves.

You’ll start living from this centered place: calm, clear, curious, courageous, creative, and connected.

Sounds good to me.

 

Get the Support You Deserve

If you’re feeling overwhelmed by your emotions or struggling to express them, you’re not alone. Seeking support from a professional can help you better understand and navigate your emotional landscape. Our team at Alongside You is here to provide a safe, compassionate space where you can explore your feelings, build emotional resilience, and gain the tools you need to thrive.

Contact Us to learn more.

Becoming a Neurodivergent Ally

Becoming a Neurodivergent Ally

So, you have a friend who tells you they are ‘neurodivergent’. This might mean that they have autism, ADHD, Down’s syndrome, synaesthesia, Tourette’s syndrome… or a number of other conditions. Basically, it just means that their brains work a little differently than what is considered ‘typical’. This can mean that they are incredibly smart, creative and sensitive – but it can also mean that they may struggle with certain aspects of daily life. If you’re reading this blog post so that you can learn how to best support them and be their friend, read on!

 

What Should I Know About Neurodivergence?

It’s hard to describe the way in which sensory input can be overwhelming to people with neurodivergence. Not only can it make it even harder for the brain to process information through all the sensory “noise”, it can be really difficult to tolerate, to the point of being painful. You can help your friends by understanding what they need in order to deal with tough situations. For example, if you know that your friend is sensitive to noise, make sure they have their noise-cancelling headphones with them – make room in your bag if need be! Realize that even if they are doing something they love, they may need to take a break, go outside or to a quieter corner, chill out or regroup. You can always ask them what they need! If you’re going somewhere you know will be challenging, have a plan for if things get too much.

 

Don’t rely on your neurodivergent friend remembering something you told them, like what needs to be done before the party next week, or the deadline for the next academic paper. Especially if they are currently doing something else, stressed out, or coping with a lot of external sensory stimulation, they may converse with you and seem engaged, but may not be able to turn that input into longer-term memory. Ask your friend what works best to help them remember – is texting or emailing better? Do they want you to bug them until they put it into their Google calendars? They know what works for them best.

 

How Can I Be Supportive?

A lot of neurodivergent people rely on plans to help them to prepare for situations that might become overwhelming. So when plans change without warning, they can become really stressed out. As much as possible, try to stick to the plan and, if something happens to derail it, be prepared to do whatever will help, whether that’s getting a favourite “comfort” coffee drink, finding ways to make it easier, or even abandoning plans to try again another day. Again, don’t be afraid to ask the person what they need.

 

Neurodivergent people often feel really guilty about having to have people make extra effort for them. If you do have to go out of your way, do things differently from what you’re used to, or even abandon a planned outing, try not to make them feel bad. That doesn’t mean ignoring your own feelings – just try not to let your frustrations show too much. Guaranteed, they are even more frustrated than you are!

 

It’s wonderful to give choices, but when neurodivergent people get overwhelmed, sometimes it’s too much to have to make a decision. You can ask, “do you need me to make a decision for you?”, or maybe offer a choice of two options, rather than six. Obviously, this applies to questions like which takeout to choose … not which school to attend or career to pursue! Decision fatigue is also a real issue, which is why activities like grocery shopping can be really tough (as well as the overwhelming sensory stimuli). Sometimes, just being with your friend (known as body doubling) can help them to feel grounded enough to make progress themselves.

 

Learn More About Allyship

If you are interested in learning more about neurodivergence or how to better support your loved ones, please contact our Client Care Team to connect with an experienced clinician.

Somatic Psychotherapy

Somatic Psychotherapy

“On occasion, our bodies speak loudly about things we would rather not hear. That is the time to pause and listen.”  Verny, Thomas R

Somatic therapy, rooted in the belief that the body is where life happens, empowers individuals to take an active role in their healing journey. It harnesses body techniques to strengthen the evolving dialogue between the client and therapist, fostering a deeper understanding of the relationship between bodily experiences and mental states. By focusing on a holistic perspective, somatic therapy cultivates embodied self-awareness, guiding clients to tune into sensations in specific body parts. This approach has been found to be particularly beneficial for addressing issues such as eating disorders, body image issues, sexual dysfunction, chronic illness, emotion regulation, disassociation, and trauma.

Breathwork in somatic psychotherapy

Breathwork, a cornerstone of somatic therapy, has a rich and diverse history in the realm of physical, psychological, emotional, and spiritual healing. Its transformative power can alleviate psychological distress, soften character defenses, release bodily tension, and foster a profound sense of embodiment and tranquility. Somatic therapists employ breathwork techniques, from energizing the body for emotional processing to soothing and grounding hyperactive body parts, offering a hopeful path to healing and self-discovery.

Conscious breathing practices are used:

  • to help couples and families to connect through touch
  • assist in recovering from trauma
  • to promote sensory awareness,
  • and to access altered states of consciousness for healing purposes

What is disordered breathing?

Disordered breathing, a term often used in the context of somatic therapy, refers to a state where the physiology and psychology of breathing intertwine. It’s characterized by irregular breathing patterns, which can trigger anxiety or panic and disrupt cognitive processes like decision-making. These patterns can vary based on emotional states, with sighing, increased depth, or rate of breath often associated with anxiety and anger.

Irregular respiratory patterns could be associated with anger, guilt, or deep, weeping sadness. Hyperventilation associated with panic or anxiety creates lower levels of CO2 in the blood, often leading to decreased attention and mental impediments. Loss of concentration, memory loss, poor coordination, distraction, lower reaction time, and lower intellectual functioning are all associated with low CO2.

Feeling anxious: produces a distinguishing pattern of upper-chest breathing, which modifies blood chemistry. This leads to a chain reaction of effects, inducing anxiety and reinforcing the pattern that produced the dysfunctional pattern of breathing in the first place.

Body Posture: has also been cited as a factor in breathing efficiency and patterns. Somatic therapy tends to operationalize posture as a function of personality or character. Somatic therapists often note how one’s posture is presented when describing the emotional state. They track feelings and sensations in the body to help the client make sense of their experience in connection with their body.

What are some benefits of somatic psychotherapy?

  • The body is not just a location for distress but also for pleasure, connection, vibrancy, vitality, ease, rest, and expansion. Somatic therapy could make this easier to achieve through processing and resolving difficult bodily experiences.
  • Positive self-image: Somatic therapy can help clients feel a positive connection to their bodies and promote self-confidence.
  • Positive body image: Somatic therapy can enhance body connection and comfort instead of disrupting body connection and discomfort by pairing difficulty with enjoyable sensations to increase tolerance.
  • Enhance the body’s ability to experience and express desire by encouraging the client to Stay with and expand enjoyable sensations.
  • Encourages attunement of the body and enhances self-care instead of self-harm and neglect.
  • Provides a protective space where clients can re-associate with their bodily experience.

In conclusion, our bodies contain a complicated, unified, multilevel cellular memory system that allows us to be fully functional human beings, and attending to our body’s needs could enhance our overall mental and physical well-being.

If you are interested in somatic psychotherapy, please contact our Client Care Team to connect with one of our clinicians.


References

Stupiggia, M. (2019). Traumatic Dis-Embodiment: Effects of trauma on body perception and body image. In H. Payne, S. Koch, and J. Tantia (Eds.), The Routledge International Handbook of Embodied Perspectives in Psychotherapy (pp. 389-396). Routledge

Verny, T. R. (2021). The Embodied Mind: Understanding the Mysteries of Cellular Memory, Consciousness, and Our Bodies. Simon and Schuster.

Victoria, H. K., & Caldwell, C. (2013). Breathwork in body psychotherapy: Clinical applications. Body, Movement and Dance in Psychotherapy, 8(4), 216- 228. https://doi.org/10.1080/17432979.2013.828657

“It’s a Wonderful Life!” – Every parent’s response: “is it really?”

“It’s a Wonderful Life!” – Every parent’s response: “is it really?”

What does Family Systems teach about being Parent-Oriented?


Let me paint a fictional yet very real picture: 

“I can’t take it! This yelling is killing me,” Trish cried out to her husband in frustration.

Trish: 41 years old, married to Owen, mother of two boys (Jake, 9, and Sam, 14), and working part time at a Marketing firm – sat down with her head down. 

She went on, “I’m exhausted… and feel more tyrant than parent! I can’t take much more…”

So much for the classic Christmas exclamation (yes, I’m still in the Christmas/New Years reflective mode) we wish we could all shout from the rooftops: “It’s a wonderful life!” 

Trish’s internal dialogue: 

What an absolute battle! Shouldn’t swimming lessons be fun? Nevermind my lovely intentions for him to make some friends, something he is clearly struggling to do.

Our internal critics can be ruthless in their judgements: 

The tone you used was too intense! What sort of mother screams like this at her kids? Hopefully none of the neighbors heard that. It’s hopeless! I cannot stop this yelling. Am I just a bad mother?

It’s one of those moments when you have intrusive thoughts about how you wish you could escape all the commitments you have. You are trying to uphold an image of order and yet the cracks are forming and your will power is running dangerously low.

If this is you, breathe in and out deeply. Right now. Try it. It helps. Slowly breathe in and out again. Take your time. I’ll explain in a second. This is important.

There is hope.

There are new dance moves to learn! New songs you and your family can move to. 

There is hope.

Do you sense a little doubt rising up? If so, go ahead and acknowledge that part of you that is skeptical. Take a moment, and acknowledge that inner skeptic. Listen to what it’s saying. Makes sense. Change is difficult. We’ve gone down this road too many times. Hope often feels out of reach.


Well, as a therapist and fellow human (who is new to the parenting game), I want to encourage you and share some steps you can take to become that peaceful presence you long to be within your family.

Take the First Step.

I want to encourage you: walking up those stairs to confront your child, to investigate the brewing chaos, or to engage in the struggle to get your kid to swimming lessons is so important. Being a parent is a sacred duty. As much as I can through the medium of a blog, I want to say this: Well done! Parenting is so important.

Some of the biggest names in psychology and parenting – Gordon Neufeld and Gabor Maté – together wrote a book called Hold Onto Your Kids and they repeatedly highlight the importance of our children being attached or connected to us as their parents. Perhaps this seems obvious but, in fact, researchers are seeing a trend of children becoming increasingly more attached to their peers than their parents. This means our kids are getting their cues or primary validation from their friends over us, their parents. Do your kids lean towards being peer-oriented or parent-oriented? A helpful sign is who do they turn to when in crisis? Or this: when your child is freaking out at you it’s a sign of their safety with you. 

Whatever the answer may be, your involvement is critical. And that means walking up those stairs over and over again.

I think of the movie It’s a Wonderful Life where George Bailey doubts whether his life has made any difference in light of the chaotic forces of big business creeping in and widening the inequality gap. In a moment of despair George wishes he had never lived! The classic parental exclamation: “is anything I am doing making a difference!?” Spoiler warning. George Bailey gets his wish to see what his community would look like if he never lived…and what does he discover? His life, in fact, has positively impacted countless lives. This movie is a beautiful witness to the power of a life well lived. The takeaway? Our lives, our love, and each little decision we make has a significant impact in ways that, more often than not, we will never see.

Your attention, your love, your concern for your kids, even if it comes across not perfectly, is worthwhile, essential and life changing.

Take the Next Step.

So back to our main question: how do we end this seemingly endless screaming match and attain that wonderful life we all want?

Deep breath in. And breathe out slowly. 

Here’s an answer according to Family Systems research:

One of the best things you can do for your kid is to focus NOT on your kids but to focus on yourself.

What? This is a strange invitation indeed. 

Hal Runkl, a seasoned family therapist, puts it this way, “We all feel incredibly anxious about our kids, and their choices, and we don’t know what to do about it. We fret and worry about how our kids will turn out. Inevitably, we’re so focused on our kids that we don’t realize when this anxiety takes over—and we get reactive.” (Runkl, 2009, p. 9). 


Hal continues, “First, it’s a given that there are things in this world we can control and things we cannot control. Now ask yourself this question: How smart is it to focus your energy on something you can’t do anything about, something you cannot control? Answer: Not very. Follow-up question: Which category do your kids fall into? In other words, are your children something you can control or something you cannot control? Here’s an even tougher question: Even if you could control your kids, should you? Is that what parenting is all about? And what if it’s not the kids who are out of control?” (Runkl, 2009, p. 11). 

Compelling right? Take a moment to think about that paragraph. Not fully sold yet? That’s okay. Stay with me just a bit longer so I can paint a picture of what this sort of parenting might look like. 

So the natural next question to ask is: what does it look like to focus on ourselves as parents? 

Take A Different Step.

It means doing what I got you to do above.

First, breathe in. Breathe out. 

Then, acknowledge the parts of yourself that rose up (the inner skeptic we acknowledged earlier). 

And then finally, move towards your kids.

Hal Runkl puts it this way: calm down, grow up, get close.

This sort of parenting is less about mastering the available parenting techniques but harnessing what Edwin Friedman (another family therapist) calls a “non-anxious presence.” It’s less about skills to learn and more about managing our anxiety. It’s difficult but doable. And it works! 

The power of harnessing a non-anxious presence is that if change occurs in one part of the family system, it affects the entire system. When anxiety rises in one person, it instantly impacts the entire family system. Like certain house heating systems: if the temperature drops, instantly the heating system alters to adjust the temperature. Thus, as the parent, when one lowers their own anxiety (perhaps through our three steps – calm down, grow up, and get close) you will immediately impact the entire family. In fact, our heightened anxiety often creates the very outcomes it seeks to prevent (check out counterwill and Otto Rank for more on this).

This is why the first step of harnessing a non-anxious presence is breathing or getting calm. This aligns with new research that teaches us about mirror neurons which activate in those around us in response to our emotional state (Rizzolatti & Craighero, 2004). Our brains are beautifully programmed to be really good at mirroring, or “getting in tune” with those around us. So, as you manage your breathing in high intensity situations, it will impact those you are around. So, first: calm down. Breathe.

Think Things Through.

Some questions to ponder related to our first step: what situations with your children make you the most reactive? What is said that typically triggers you? What are you feeling at that moment? Have you ever remained calm in the midst of family chaos? How did that affect those around you? 

The second step – grow up – is about how we handle the anxiety that is inherent in our families. It’s about avoiding speedy responses (emotional reactivity), increasing our self-awareness, and taking time to really think. 

Can you, in the heat of the moment as you walk up the stairs in response to the apparent chaos brewing, acknowledge the sadness, anger, and anxiety in you that is rising up? 

Hal puts it this way, “the only way to retain a position of influence with our children is to regain a position of control over ourselves” (Runkl, 2009, p. 16). Part of growing up, and thus infusing peace into our families, is our ability to embrace the emotional intensity present, the painful words unleashed, and the immediate discomfort for long-term pay-off. This is the process of maturity: our sacred responsibility as parents. 

“I hate you!” “You’re no fun… I want to go out Friday night.” “I don’t know how to do this homework!”

Cue anxiety. Do you feel it in your shoulders? This anxiety leads to two usual responses: Scream or avoid! Instead, each time this anxiety rises up it is an opportunity for us to grow up. And this process of pausing, thinking, and becoming aware of our own emotions, gives us enough space to think and respond from a non-anxious position… or as close as we can get to it.

So, the second step is to grow up: embrace your own anxiety, name the thoughts and emotions that come up, and take a moment to think.

I’ll keep the third step simple. The final step is to get close, which simply means remaining connected. From this place of calm move towards your kids. 

The Take Home Message. 

Let’s put this all together:

Your kids are fighting upstairs. Your heart rate starts to increase.. Angry thoughts start to arrive: “I’ve got dinner to make…I just put out five different fires today and now this kid is at it again!” These intrusive thoughts and more flood your brain. 

Here is what you need to do.

Walk upstairs… slow your pace… (unless danger is truly on the table… but it probably isn’t)…. Breathe in and out… attempt to slow your heart rate… even a little bit. Become aware of the part of you that is angry… where do you experience it? What is its job for you? Then, enter the room…

In conclusion, peace enters our families not in the way we expect, not through focusing on our kids – something we cannot or shouldn’t control – but through focusing on ourselves. Calming down, growing up, and getting close.

 

References

Neufeld, G., & Maté, G. (2004). Hold On to Your Kids: why parents need to matter more than peers. Vintage Canada. 

Rizzolatti, G., & Craighero, L. (2004). The mirror-neuron system. Annu. Rev. Neurosci., 27, 169-192.

Runkel, H. E. (2009). Screamfree parenting: The revolutionary approach to raising your kids by keeping your cool. Broadway. 

Are You New to this Therapy Thing?

Are You New to this Therapy Thing?

New to Counselling?

Are you new to this counselling thing? Are you contemplating giving it a try? Do you need to go to counselling? Or just curious as to what the fuss is all about? 

Well, here’s my attempt at giving you a little glimpse into the beauty of this phenomenon that is growing in its cultural acceptance and perhaps this can help you figure out whether signing up for counselling is the next right move for you. I speak as a fellow human who has attended counselling and as a therapist who has sat opposite to many who have courageously sought out help through the medium of therapy.

Here are some stats to gain a wider picture:

  • Statista conducted a survey of 1,650 people ranging from 18 years and older in 2020 via telephone interview. They asked the respondents, “in the past 12 months, have you received any counseling or treatment for your mental health?” 43.7% of respondents from British Columbia said “yes.” New Brunswick wins (or loses depending on how you look at it…) at 60.1% of respondents responding with “yes.” Manitoba was the lowest at 27.7%. 
  • Another study found that between 2019 and 2021 the percentage of adults who had received mental health treatment in the past 12 months grew from 19.2% to 21.6% (Terlizzi & Schiller, 2022). 
  • Statistics Canada found that in 2018 17.8% of Canadians aged 12 and older reported needing some help with their mental health. This is around 5.3 million people. That’s a lot of people! Out of that 5.3 million, 43.8% reported that their needs were either not met (they did not go to therapy) or were partially met (they went to therapy but it was not enough).

What do these three sources tell us? 

Simply put, therapy is being accessed more and more. Perhaps, we are catching on to the fact that our mental health is worth investing in. It really is. Gone are the days when therapy was reserved for those that we lazily labeled (or diagnosed) with words like “crazy” or “problematic.”

5.3 million Canadians acknowledged the need for assistance with their mental wellbeing. 

Deeper than just being accessed more, these studies are perhaps a helpful reminder that you are not alone, not part of a small fringe group, but… dare I say… human. Not yet got this “life” thing figured out. Normal? I think so.

 

What Does Therapy Look Like?

So, if you’re new to this or not yet bought into it, give me a moment to paint a picture of what it looks like: 

You arrive in a cozy office, sit in the waiting room, another fellow human – your counsellor – will arrive and call your name, together you’ll enter a room with a couch and perhaps a few chairs. You sit down. And then…

This is what you may see on the outside but so much is happening internally. 

You are setting out on a grand adventure. 

You are escaping the noise and bustle of every-day life.

You are marching out into battle. 

You are sitting by a warm fire on a stormy winter evening.

You are resolving unfinished business.

You are tending a wound that no-one around you sees.

You are aspiring and hoping for who you could become.

You are settling into who you are, becoming more at home in your own skin.

If you break your arm, you go to a doctor. This doctor will first assess your injury and then set you off on a path of healing and recovery – aligning your arm, bracing it, and advising you on what activities may or may not be achievable in light of your wound. 

In a similar way, you may have experienced various psychological/relational/emotional challenges – a huge setback in your work life and left feeling fragile, recurring conflict in your most intimate relationships, abuse from people that were supposed to be your protectors – and the question remains: where do I go to sort through/respond/heal these challenges?

The added challenge of mental health is its invisible quality, which leaves us vulnerable to the pushback: “is this just in my head? Can I just push through and deal with this?” A broken arm just seems so simple and obvious. However, mental pain and suffering left unattended can fester in similar ways than an untreated wound. Though, it may come out in angry outbursts, tension in your shoulders (perhaps its not so invisible…), the inability to know what you feel, a low sense of self-worth, or intrusive thoughts that plague you every time you slow down. 

This is where counselling becomes useful in attending to your mental well-being. It is true that humans are resilient and often, even after experiencing traumatic life events, people bounce back with courage and vitality. And yet, counselling is a protected space to address and tend to our relational, emotional, personal challenges.

 

How does counselling accomplish change?

At very least it accomplishes this through undoing our unbearable aloneness. Dr. Diana Fosha passionately declares that our relational, emotional, personal challenges largely stem from “being alone in the face of overwhelming emotion” (Fosha, 2000). Thus, therapy, at its best, works to undo aloneness.

Judith Herman, the legendary trauma therapist, writes that “the fundamental premise of the psychotherapeutic work is a belief in the restorative power of truth-telling” (Herman, 2015, p.181). In the presence of another human, can you share honestly how you are doing? Can you express, in detail and with clarity, the truth of your being? As you dive into the biggest challenges that seem to plague your life through this act of “truth-telling”, you are met with wise attentiveness and deep compassion.

Bessel Van Der Kolk, the medical director of the Trauma Center in Brookline, Massachusetts, says “being able to feel safe with other people is probably the single most important aspect of mental health; safe connections are fundamental to meaningful and satisfying lives” (Van der Kolk, 2015, p. 81).

 

A Safe Relationship

Do you have relationships marked by trust, safety, honesty? How can you tell?

Bessell highlights the importance of each of us being heard and seen by another person in our lives. We need to be held in someone else’s mind and heart. He writes, “no doctor can write a prescription for friendship and love; these are complex and hard-earned capacities” (Van der Kolk, 2015, p. 81).

Do you feel a desire to be met with this sort of attentiveness and care? Does it feel too good to be true? Too simple? Fair responses. A helpful question to explore is what the costs are for not receiving this hard-earned capacities? 

I know I need them. And as I step into vulnerability—this act of receiving and trusting—I find myself walking lighter, thinking with greater clarity regarding my relationships and problems, and feeling more at home in my body and in this world. Perhaps you could call it feeling mentally healthy.

I encourage you to find relationships that are characterized by these qualities. Whether or not they are counsellors. It will change your life. It’s changed my life.

Here at Alongside You, these quotes inspire our work; We offer award-winning counselling services that are shot through with these qualities: a safe context to be seen, held in the mind of another, and this “hard-earned” love that Bessell speaks about. If you wish to learn more, contact us to see how we can help.

 

References

Elflein, J. (2022, August 31). Adults who received past-year Mental Health Counseling Canada 2020. Statista. Retrieved from, https://www.statista.com/statistics/1328941/adults-who-received-past-year-mental-health-counseling-canada-by-province/ 

Facts and figures. Fraser. (n.d.). Retrieved from, https://vancouver-fraser.cmha.bc.ca/impact/influencing-policy/facts-and-figures/#:~:text=Between%2019.6%25%20and%2026.2%25%20of,a%20mental%20illness%20each%20year. 

Fosha, D. (2000). The transforming power of affect: A model for Accelerated Change. Basic Books. 

Herman, J. L. (2015). Trauma and recovery. Basic Books.

Statistics Canada. (2019, October 7). Mental health care needs, 2018. Health Fact Sheets. Retrieved from, https://www150.statcan.gc.ca/n1/pub/82-625-x/2019001/article/00011-eng.htm 

Terlizzi, E. P., & Schiller, J. S. (2022). Mental health treatment among adults aged 18-44: United States, 2019-2021. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

Van der Kolk, B. A. (2015). The Body Keeps the Score: Brain, Mind and Body in the Healing of Trauma. Penguin Books.

Why I’m Optimistic in 2023

Why I’m Optimistic in 2023

Finding Hope in a World Full of Challenges

Reflecting on the past year, it’s easy to feel discouraged. We are facing multiple ongoing crises in mental and physical health, the environment, economic inflation, political divisiveness, civil unrest, and war. Social injustice remains rampant. These concerns should not be dismissed, and I want to start by emphasizing that optimism in no way neglects their importance. Nor do encouraging statistics take away from the fact that every needless death is a tragedy.

However, it’s also important – for our own sanity – to consider the good news. I often describe to my clients how our brains are hard-wired to pay more attention to negative events or feelings than positive ones. This is a well-studied psychological phenomenon known as negativity bias. It can lead to rumination and even depression. We recall criticism better than praise. We remember negative events more strongly than positive ones, and think about bad things more frequently than good things. Counterintuitively, our brains do this for our own benefit. It is far more important for survival to know where the dangers are than to take time to appreciate the wonders of life!

We see this reflected in our news and social media: negative and alarming news grips our attention, and so it gets more airtime. We click more frequently on alarming headlines, so they get published more often. This amplifies the illusion that the world is threatening by default.

We cannot make effective change when trapped in a state of despair. To avoid such a toll, it is important to balance our negativity bias with mindful awareness of what’s going well. And it turns out there are many, many good things happening!

Discovering Optimism

One antidote to the prevailing doom-and-gloom narrative of our time can be found in Matt Ridley’s Book The Rational Optimist. He uses hard data and historical analysis to show that we have made incredible progress in recent centuries, and this trend of increased prosperity is likely to continue as we innovate and adapt to ever-changing circumstances.

Another important book is the late brilliant physician Hans Rosling’s Factfulness: Ten Reasons We’re Wrong About the World–and Why Things Are Better Than You Think. He writes:

“Every group of people I ask thinks the world is more frightening, more violent, and more hopeless—in short, more dramatic—than it really is.

Uncontrolled, our appetite for the dramatic goes too far, prevents us from seeing the world as it is, and leads us terribly astray.

Step-by-step, year-by-year, the world is improving. Not on every single measure every single year, but as a rule. Though the world faces huge challenges, we have made tremendous progress. This is the fact-based worldview.”

Such thinking is not new, either. Even back in 1830, British historian Thomas Macaulay posited:

“Hence it is that, though in every age everybody knows that up to his own time progressive improvement has been taking place, nobody seems to reckon on any improvement during the next generation. … On what principle is it that, when we see nothing but improvement behind us, we are to expect nothing but deterioration before us?”

So, what exactly is all this progress that thinkers like Ridley, Rosling, and Macauley are talking about? Here are some examples.

Good News for a Change

Poverty is declining.

Globally, the number of people living below the poverty line (defined as living on less than $2.15 USD a day, in 2017 dollars) fell from 2.01 billion people (37.8% of the population) in 1991 to 648 million people (8.44% of the population) in 2019. It is still too early to calculate precisely how the covid-19 pandemic affected this trend; preliminary estimates indicate it may have pushed 70 million people or about 9% of the population back into extreme poverty in 2020. Yet the overall trend continues as it has for past decades. In 2017 renowned economist Max Roser commented that “Newspapers could have had the headline ‘Number of people in extreme poverty fell by 137,000 since yesterday’ every day in the last 25 years.” For more insights, see his excellent research website Our World in Data.

Population growth is stabilizing.

Although the global population is still growing, the rate of growth has been slowing down since 1968 in an accurately predicted manner. The population is expected to peak somewhere around 10.4 billion people in the year 2100, and then decline. With reduced poverty comes gains in education and health, and declines in child mortality, all of which are associated with lower birth rates.

The rapid decline in child mortality deserves its own emphasis: Hans Rosling once stated that “child survival is the new green.” According to his educational website Gapminder.org, “saving poor children is an important factor in ending both poverty and population growth. The death of children is not holding back population growth. It is one of the reasons poor people still have many children.” People have less children when they do not need to worry about whether or not those children will survive to adulthood.

Medical advancement continues at an astonishing pace.

Life expectancy is rising everywhere. People around the world are living longer and healthier lives, thanks in part to advances in medicine as well as increased access to nutrition and education. From vaccines that have eradicated deadly diseases like smallpox and polio to new treatments for chronic conditions, the progress in medicine is astounding.

For example, new medical technology allows us to identify cancer and other diseases earlier, leading to better treatment outcomes. Targeted therapies are becoming more widely available, less invasive, and more effective than traditional treatments like chemotherapy. Midstage trials are providing renewed hope for the development of vaccines against various cancers.

Genetics represent another marvel of medical advancement. Knowledge about the genetic basis of diseases helps improve diagnoses and treatments. Researchers are making significant progress in developing gene therapies that can cure sickle cell disease, HIV/AIDS, and other debilitating diseases. Genetic testing is now available for certain inherited conditions, like Huntington’s disease, which can help people make more informed decisions about their health and their future.

We are also making progress towards treatments for amyotrophic lateral sclerosis (remember the ice bucket challenge in 2015?) and Alzheimer’s disease. The development of robotics has transformed surgical procedures, resulting in faster recovery times and fewer complications. Telemedicine makes healthcare more accessible and convenient. Wearable tech like smartwatches and fitness trackers can monitor vital signs and alert patients and their physicians to potential health issues.

Mental health care is advancing too!

Technology is helping mental health treatment as well. Our clinic and many others offer secure telehealth appointments, so that remote clients can get the same treatment as everyone else. We utilize cutting-edge measurement-based care platforms such as Greenspace to monitor mental health outcomes and help clients gain insight into treatment progress. Apps like How We Feel and Calm help clients develop emotional intelligence and mindfulness skills in an easy, approachable way. Neurofeedback is another relatively recent technology that provides an excellent alternative (or complement) to traditional talk therapy.

There are many more examples of medical innovation, and it may take time for some of these gains to become sufficiently accessible. But every day we are making great steps towards a healthier world.

There’s still time for the environment.

There’s no denying the reality that ecological sustainability and preservation are serious concerns. It seems likely we will overshoot 2.5°C of global warming, leading to severe weather events, expansion of deserts, food insecurity, animal species extinction, and economic harm. However, we can take solace in the fact that many initiatives are working, and progress is being made.

Many countries have reduced their greenhouse gas emissions while increasing their GDP. The world is making great strides towards clean and sustainable energy. Renewable energy sources like solar, wind, and hydro are becoming more accessible and affordable. Even though nuclear energy has suffered tragic accidents, it remains one of the safest and cleanest forms of energy when compared to death rates from air pollution created by fossil fuels. Fourth-generation nuclear reactors currently being developed will be even smaller, safer, and more efficient with far less nuclear waste produced.  Scientists are making important discoveries towards fusion power, which has the potential to radically transform the world’s energy usage.

Another real concern is deforestation, but let us remember the wise words of Mr. Rogers concerning catastrophes: look for the helpers. Organizations like Cool Earth, which I fundraised for in 2019 and continue to support, are doing excellent work in this field. And we have data to support progress: a 2018 study published in Nature (one of the top scientific journals) identified with confidence that global tree cover has increased 7.1% since 1982.

Less harm from natural disasters

Furthermore, improvements in infrastructure and emergency preparedness have significantly reduced annual deaths from natural disasters, which were 3.7 million in 1931 and only 13,008 in 2022. Although we cannot prevent events like earthquakes, we can prevent high losses of life. The numbers prove that our efforts are working.

Admittedly, the tasks ahead will not be easy. But there is strong evidence that human effort and adaptability will allow us to fight current environmental threats and build a more sustainable world.

The world is more peaceful than ever before.

Given the widespread destruction and devastation in the first half of the 20th century, it is notable that the world has not seen a major global conflict in the past 78 years. Even considering the recent Ukraine conflict, warfare today is less frequent, less lethal, and more localized. While nobody knows the future for certain, there are reasons to believe that this calm and stability will persist. The globalization of trade means that the citizens of other countries are worth more to a nation alive than dead. As quality of life improves, we have less reason to engage in the discomforts of violence and vengeance. Institutions such as the United Nations have been developed to foster diplomacy, and cooperation has become more productive than armed invasion.

Violent crime is trending downwards as well. And the number of terrorist attacks and deaths from terrorism around the globe has dropped markedly since the 1970s (contrary to the over-representation of terrorism in the media, it accounted for just 0.05% of global deaths in 2017).

Overall, a person born in the world today is far less likely to be a victim of violence than a person born at any prior time in human history. That’s a remarkable achievement!

Basic needs are becoming more affordable.

It may be hard to believe, but it’s true: basic needs such as food, water, healthcare, housing, and education are becoming more affordable around the world. We owe this development to government and non-profit initiatives to reduce basic costs to individuals and families, as well as advances in technology, transportation, agriculture, and the global economy (lower prices stemming from businesses competing on a global scale).

The International Telecommunications Union, a United Nations agency, reported in 2022 that the price of mobile-broadband services has dropped to just 1.5% of gross national income per capita. Almost two-thirds of the world population has access to the internet. This number continues to rise, along with ownership of mobile phones. With more accessibility and affordability, the world is also becoming increasingly connected. I believe that will be a very important part of furthering communication and cooperation to solve global challenges.

What Now? “Learned Optimism.”

I hope these examples have conveyed that there are many reasons to see hope in all our futures. Our natural negativity bias can lead to a sense of learned helplessness. I firmly believe in countering it by cultivating learned optimism. We are better equipped to take on problems when we have an accurate, factual view of the world. The overwhelming evidence shows that the future is looking positive!

Here’s another piece of good news: the myth-driven stigma around accessing mental health care is disappearing rapidly.

In my clinical work, I often draw upon dialectical behaviour therapy (DBT), which teaches skills to strengthen emotional resilience and build a life worth living. These skills include radical acceptance (seeing situations as they are and focussing on what you can control rather than what you cannot) and checking the facts (developing a more accurate and realistic understanding of a situation rather than relying solely on assumptions and emotions).

Therapy can be useful in overcoming negativity and developing a more positive outlook on life. This is not simply turning a blind eye to suffering. Instead, it is about developing the skills to face challenges with a helpful and more effective outlook.

If you’re struggling with negative thoughts or feelings of helplessness, it’s important to remember that you don’t have to face these challenges alone. Consider reaching out to our team of skilled clinicians to explore therapy options and start building a more helpful future.