“Dear Man”

In an earlier post, ‘DBT: The Skills’, DEAR MAN is used in objectiveness effectiveness as part of interpersonal effectiveness. Interpersonal effectiveness is described as the ability to increase the changes that will help you reach the outcome you are looking for in a specific situation, while not hurting the relationship you have with others or losing self-respect.

DEAR MAN is useful in situations in which you are asking for what you want or refusing a request from someone else. It is also useful for those with depression or mental illness because it is an effective way to communicate your emotions, your wishes and desires and allow you to negotiate a possibly tenuous situation.

DEAR MAN stands for:

Describe

Express

Assert

Reinforce

 

Mindful

Appear confident

Negotiate

Describe the current situation. Tell the person exactly what you are reacting to and stick to the facts. By doing this, you are making clear your perception of the situation but you aren’t coloring it with your feelings, but sticking only to the facts.

Express your feelings and opinions about the situation. Assume that others cannot read your mind and know how you feel. Don’t expect others to know how hard it is for you to ask directly for what you want or to refuse. Use ‘I want’ or ‘I don’t want’ statements instead of ‘I need’, or ‘you should’.

Assert yourself. Ask for what you want or say no clearly. Assume that others will not figure out what you want unless you ask. Don’t assume that others can read minds. And don’t expect others to know how hard it is for you to ask directly for what you want.

Reinforce the person ahead of time by explaining the consequences or the reward. Tell the person the positive effects of getting what you want or need. Also tell the person, if necessary, the negative effects of getting what you want or need. Help the person feel good ahead of time for doing or accepting what you want.

Mindfully keep your focus on your objectives. Maintain your position and don’t be distracted. Keep asking, or keep saying no, if necessary, express your opinion over and over, rewording but staying on point. Ignore the person if they attack, threaten, or try to change the subject and ignore any attempt to divert you from your goal. Don’t respond to attacks and just keep making your point!

Appear confident by using a confident tone and physical manner; make good eye contact. Appear effective and confident. Don’t stammer, whisper, stare at the floor, retreat or say things like ‘I’m not sure’ etc.

Negotiate by being willing to give to get. Maintain your point, but offer and ask for alternative solutions to the problem and ask what the other person is willing to do to fix the problem. Stick to simple things and make your goals realistic. Focus on what will work. What am I willing to ‘settle for’ or ‘give up’ in order to gain what I want in the situation?

Sometimes it helps to write out DEAR MAN for specific situations so you know what to say and how to say it. A more simplified version of DEAR MAN is: “I feel ______ when you ________. I want _______.”

Using ‘I feel’ and ‘I want’ can be difficult, but by phrasing your requests in this manner, you are refraining from accusations which can make people feel attacked.

I have also attached a form that can help you use DEAR MAN in real life situations.

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What Makes A Hero?

What makes a hero?

Today’s world is permeated with superheroes. Every year, there’s a new movie about Iron Man, Superman, Captain America, etc. And while I enjoy these action movies as much as the next person, lately I’ve been considering; what makes a hero? You have the general trait of saving the world. Most of the superheroes are people who find themselves with powers beyond those of a normal human and they use these powers for the good of humankind. Of course that is all fantasies and comic book. Superheroes can’t exist in real life. Can they?

I choose to believe that there is a superhero inside of each of us. Whether it’s helping a stranger or volunteering. It may be the smallest act but eventually all of those acts add up.

Superheroes aren’t perfect. They make their share of mistakes and often those mistakes are bigger because of who they are. We make mistakes too, but we’re also most often given the chance to fix those mistakes.

Heroes are everywhere in everyday life. They can be the person walking down the street or the coworker down the hall. Mental illness is an invisible disease. The smallest act of kindness can make the biggest difference to anyone who is struggling or having a bad day.

So who do you want to be? Your average, normal person or a superhero? Because they come in every shape and size and you can be a hero.

Control

“We first make our habits, then our habits make us.” – Charles C. Noble

We all have a desire to control our lives. We feel helpless when we feel like our lives are not in control, and the problem comes when we can’t let go of that control. The only thing we can control is our behaviors and actions. We can’t control other people, certain situations and their behaviors. Anxiety comes from the worry that we have because of the uncertainty of our situations. By letting go of our need for control, we can find some peace within our lives.

We have a number of choices when it comes to letting go of control. We can accept people as they are and let go of our need to ‘fix’ them. We can let go of the ‘victim’ role within relationships. Be strong enough to get your emotional needs met. Let go of your ‘shoulds’ for people and yourself. Should implies guilt and shame. Read more about Should here. See other people as having wounds, not faults. Realize that the only ‘failed’ relationship is one that you didn’t learn from. Often failed relationships are helpful life lessons. Choose to see the love and the good in other people and yourself. We also need to let go of a thirst for approval, super competitive-comparative mode (comparing yourself to others) and relying too much on other people.

You can understand more about yourself and where your need for control comes into play, by asking yourself two questions. What are three unhealthy habits in your life? And what are you willing to do to break these habits?

In the end, you have to remember that all we can change is ourselves. “It is as it is.” So if you’re having trouble remembering this, ask yourself these four questions:

  1. How much control do I have? What is outside my control?
  2. “It is as it is”. I’m not agreeing with or giving up on it, but I can let it go for now
  3. If I can’t change the situation, can I change the way I think or do about it?
  4. What can I do that is within my control?

 

My Social Environment

I don’t do well in social environments in fact, I downright suck at them. I always feel awkward, like I don’t fit in. I never feel like I’m part of the group, but just hanging on by my fingertips.

Social environments have always been hard for me. I didn’t thrive, socially, in school. I usually had one or two close friends and many acquaintances. I remember times when I would be chasing after the popular group of girls, wanting them to accept me but never being accepted. This hurt, but I never considered it to be my fault. When I was younger, I just accepted it as status quo and I was ok with that. I had friends elsewhere and I never had to worry about having friends to hang out with.

As I grew older and entered high school, I never found my niche. I was involved, with my classes, with choir and theater, but I never quite fit in. It was the same story, feeling like I was on the outside looking in. I was never invited to events unless it was a group thing and while this bugged me every once and awhile, I was too busy for the most part to care. I may not have felt like I fit in but I was involved enough not to care.

College was a disaster for me. Everyone thought I would thrive in a college environment, at this point, I feel like I did everything but thrive. I feel like I crashed and burned. I had many issues with roommates and by the time I left college 3 years in, I hadn’t made any serious friends. In fact, the only thing I had done throughout college was lose friends. As I said, not a good experience for me.

Today, I have 2 friends, one of which is an ex-boyfriend while the other is my current boyfriend. I don’t know what they see that no one else can be I’m grateful that they do. My social environment still sucks. I don’t really get out, but then again I don’t enjoy doing the things normal 20-year-olds do, like drinking every weekend. But I do want to have fun. I want to hang out with people and do things, I just can’t find the people to do things with and I don’t even know how to go about meeting people at this point. I wish I could make friends but my depression makes that nearly impossible, so maybe if I get better, my social environment will change for the better.

My Story Part 8

This is a continuation, part 8, of my daily journal of life after outpatient treatment for depression, and anxiety. Please click for Part 1Part 2Part 3, Part 4, Part 5, Part 6, and Part 7.

Part 8, Day 1:

I’ve been so tired lately. I have a feeling this job is starting to take its toll on me. Working overnights and sleeping during the day is harder than I thought it would be. My new puppy has been driving me crazy lately. She won’t listen to me at all! It’s very frustrating and on top of being tired all of the time my patience is at an all time low. I need a break.

Day 6:

I’m nervous about this upcoming vacation/wedding. Things are tense with this side of the family, so it could be an interesting trip. The BF and I are killing two birds with one stone by going camping instead of staying at the hotel. It gives us a little  more room, more privacy, and this way I get to bring the new puppy with. Hopefully there is no bloodshed at the wedding and everyone is on their best behavior

Day 12:

The wedding/camping trip went very well. My cousin (the one who got married) and I had an interesting heart-to-heart and he told me that he only wants me to be happy. Of course, he and I were more than a little drunk when this occurred. I spent most of the reception getting drunk but had a lot of fun. I caught the bouquet, but I’m definitely not the next person getting married. That would be my other cousin. Unfortunately, I can’t go to his wedding because I have to work. I’ll be working 10 days in a row now because of this vacation and my next trip. This could be interesting.

Day 18:

I’m heading to my grandparents’ house this week. They live on a lake and I love it up there. It is so peaceful. Plus, being born a Pisces, I love the water. It’ll be fun spending the ‘weekend’ during the work week with my boyfriend in a place that I love. I am a little worried because sometimes I get cornered and have to discuss (or receive someone’s opinion) about a topic I would rather not talk about, but all in all it should be nice. When we get back, I’m going to help my best friend with his fundraiser and meet his new girlfriend. I’m a little worried about that, but then again, I worry a lot anyway.

Day 23:

The trip was amazing although the weather did not cooperate. We (the BF and I), ended up going to a couple of wineries because the weather was bad. This brings our total to 15 wineries in 3 months!! Good thing it’s something we like to do! We had nicer weather on the last full day before we left. We spent the day on the beach. My puppy wasn’t very happy because I wouldn’t let her out of her crate, but she had just gotten spayed and I didn’t want to risk infection. When we go up in 2 weeks, I’ll let her out and see what she does in the water. I have a feeling she’ll love it as much as I do!

The fundraiser was an interesting day. He ended up not needing my help which made me feel useless and unwanted. Plus, it seemed like I was ignored by everyone there like I was the plague. I felt like a social pariah. I met his new girlfriend and she seems nice, but I don’t think she likes me very much. Of course my BF says ‘you only said two words to her!’ but some things you can just feel. I hope this doesn’t cause problems between me and my best friend!

Please stay tuned for Part 8. Here are the links for Part 1Part 2Part 3, Part 4, Part 5, Part 6, and Part 7.

100th Post

This is my 100th post.

Firstly, I would like to thank everyone who reads this blog. While this blog is therapy for me, it is also written to inform and educate others regarding mental illness. Without you, this blog wouldn’t have a purpose.

Secondly, I would like to give some background on where I was when this blog was started versus where I am now. When I first started this blog, I was freshly graduated from outpatient treatment. I was writing not only as therapy, but because I was inspired. I wanted to inform and educate others. I wanted to share my personal experiences and take the stigma away from mental illness. And while there was some rockiness in regards to this blog (my two year absence), I have come so much further. I have learned so much and made great strides in my personal life.

While I should never have stopped writing, it was a necessary break for me. I need the time to separate from the friend who started the blog with me. The friend who walked away.

I hope to continue writing and educating others on this blog as I continue my own journey through depression and anxiety. I hope this blog has helped you and I continue to encourage you in your own journey with mental illness. I know it’s a difficult path, however you can make it through. Know that I am here for you and I am rooting for you just as I hope you are rooting for me.

Please note that for the future, because of time restraints I will be posting only once a week.

Rumination

Rumination is the continuous dwelling on issues in our past and difficulties and things that distress us in the present. It is becoming preoccupied with something and not being able to get it out of your mind. There is helpful and unhelpful rumination. The problem comes when you are focusing on what has gone wrong and this leads to negative thinking. Too much negative thinking can lead to depression and maintaining a depressive episode.

Rumination is normal because everyone dwells on their problems to a point. It’s when the circular thinking patterns that are rumination continue in overdrive, that it becomes a problem. Rumination is different than worry in than worry is future focused and often leads to anxiety. Rumination is past focused and leads to depression. Rumination is a learnt strategy for dealing with our problems however unhelpful rumination can lead to inactivity and avoidance of problem-solving.

Unhelpful rumination Helpful rumination
  • Ask my “why…?” questions
  • (Evaluative mode)
  • Why questions tend to focus on the problem, its causes and it consequences
  • “What did I do to deserve this?” & “Will my life ever get better?”
  • Is continuous
  • Asks more “How…?” questions
  • (Process-focused mode)
  • How questions tend to focus on solving problems
  • “How can I make my life better?”
  • Is time-limited. It stops when the problem is solved

One of the biggest strategies for unhelpful rumination is accepting the situation and being mindful in the present moment. Mindfulness is the most useful coping skill for dealing with depression and will be discussed in a future post.

There are many steps to stopping rumination. Some examples would be accepting your situation, being aware that you are ruminating, or distracting yourself. Please follow this link for a list on 11 Steps to Stop Ruminating.

Remember rumination can be helpful if it is time-limited and problem-solving. However, unhelpful rumination can cause and continue depression, so it is better to find ways to stop rumination if you want to continue your road of recovery.

http://jayuhdinger.com/chapters/chapter-3-practice-11-steps-to-stop-ruminating/

http://jayuhdinger.com/chapters/chapter-2-rumination-faulty-thinking/

My Story: Part 7

This is a continuation, part 7, of my daily journal of life after outpatient treatment for depression, and anxiety. Please click for Part 1Part 2Part 3, Part 4, Part 5, and Part 6.

Part 7, Day 1,:

Vacation was amazing!! I lived in the moment and all of my stress and depression melted away. I felt so good on vacation. Of course, the minute I walked through my door at home, everything came crashing down onto my shoulders. So I guess I need to learn how to live like I’m on vacation. That’s easier said than done.

Day 5:

So I’ve decided to get a dog, or more specifically an emotional support animal. I’ve been putting it off lately, but I’ve finally decided that it’s now or never. I can’t keep waiting forever. I’m looking forward to having an emotional support animal. Hopefully it will help me with my depression.

On the flip side, learning to live like I’m on vacation is not an easy task. I’m struggling with it. I was so happy and living in the moment while on vacation and now that I’m home, everything is getting to me. I feel like I’m upset every other day. I wish my depression would get better. Hopefully a dog will help.

Day 12:

Today was a horrible day. I spent most of the day crying. First, I found out that the third dog that I was interested in was no longer available for adoption. Then, I found out that my best friend had changed his plans, making me feel like he had lied to me. Normally, we get lunch or dinner every Thursday, but today I feel like he is blowing me off. I feel like I’m not important or wanted.

All of which is a little ridiculous, because my boyfriend was hanging out with me today so it should have been a good day. At least he lets me use his shoulder to cry on. He even cried a little because I was so upset and he hates seeing me that way. He can be so cute. Of course, I cried when he left. I hate when he leaves. I know I’ll see him again, but I hate that we only get to see each other twice a week. I wish we could be together more.

Day 15:

It’s hard to stay angry at your best friend when he does nice things for you. I’ve been angry at him ever since I felt like he lied to me. But today, he might have found me a puppy and then he stopped by my work on his way home just to say hi. It was very nice of him and I made sure he knew that I appreciated it. It’s just been a struggle with him having a new girlfriend. I feel forgotten until he suddenly decides to do something to show me that I still exist in his life. I just wish those gestures weren’t so few and far between. That can make it difficult to remember.

Day 18:

I got the puppy!!! I was so nervous that my application was going to get turned down. I went and visited them yesterday, but they didn’t have any of the unadopted puppies in so I was told to come back tomorrow. Boy, was I surprised when she asked me if I wanted to take the puppy home with me that day. I wasn’t ready at all!! I had to ask my mom to puppy-sit so I could go get everything I need for her. I’m sure she’ll be a handful but it’ll be so nice having a dog to come home to. I can’t wait to train her!!!

Please stay tuned for Part 8. Here are the links for Part 1Part 2Part 3, Part 4, Part 5, and Part 6.

Reprogramming Me: My Issues & My Struggles

According to the doctors, I have ingrained personality traits that are causing my depression. This means that I have learned certain ways of thinking and doing things that are actually part of the problem. This basically means that I have to learn how to reprogram my ways of thinking and my outlook on the world. Here are a couple of things they believe I need to work on:

  1. Mindfulness
    1. I’m not very mindful. I’m constantly reviewing the past or worrying about the future, so I have a very hard time being present. I need to learn to stay in the moment and be mindful, to pay attention to what is going on around me and to what I am doing in the moment.
  2. Quick Fix
    1. I want a quick fix to everything. I don’t want to have to struggle for answers or solutions to problems, I just want them fixed immediately.
  3. Catastrophize
    1. This is one of a couple cognitive distortions that I have. I tend to view situations in the worst possible light and look for the worst possible situation to occur. You can read about Cognitive Distortions here.
  4. Avoidance and Fixations
    1. I tend to avoid situations that I don’t want to deal with and fixate on things I shouldn’t.
  5. Negative outlook and worst case scenario
    1. I tend to have a negative outlook on life and believe that the worst possible scenario will occur.
  6. Expectation for things to go my way, or the way I plan.
    1. I have an expectation for things to go the way I plan and for everything to work out exactly as I specify. This is often not the case, and I can get extremely upset when the plans I have made go awry.
  7. Fixation on connection.
    1. Because of a lack of friendships, I have a fixation on connection. I yearn to connect with people and make friends. Oftentimes this connection causes me more harm because I form connections quickly and often believe I have a close friendship with someone who may only consider me as a passing friend.
  8. I also need to explore why group social settings are so uncomfortable
    1. Despite my need for connection, I have a hard time thriving in a group social setting. I need to explore why this is the case. I yearn for connection, but feel uncomfortable in group settings. Why?

I also have issues with my primary support group (my family) which I have discussed here and problems related to social environment which I will be discussing in a later post.

Some of the ways the doctors and therapists have suggested that I work on these issues is by focusing on and accepting myself. I’m holding onto ideals and an old relationship with myself that is only hurting me now. By focusing on myself, something I’m not very good at, I can form a new relationship and connection with myself that will make me a stronger person, and help me fight depression

All of these problems are works in progress and I will continue to update you on my progress in my journey to mental healthiness.

Cognitive Distortions: Fixes

Now that we know what cognitive distortions are and how this way of automatic thinking affects our moods, we must now find a way to counteract and change these thought processes. Here is a list of the cognitive distortions and steps that you can take to prevent  these types of thinking.

  1. All or nothing thinking
    1. Instead of categorizing things in black and white, try rating them on a scale from 1-10. By rating the situation, you are considering all sides instead of instantly picking a side.
  2. Overgeneralization
    1. Instead of making a judgment and reacting on that, view the evidence. Examine how others are behaving to the situation and why. Is there another perspective?
  3. Mental filter
    1. Am I only noticing the bad stuff? Am I filtering out the positives? What would be more realistic?
  4. Disqualifying the positive
    1. Am I exaggerating my negatives and minimizing the positives? How would someone else see it? What’s the bigger picture? It can also be helpful to minimize social media usage, where we compare our worst to other people’s best.
  5. Jumping to conclusions
    1. Mind reading
      1. Am I assuming I know what others are thinking? What’s the evidence? Those are my own thoughts, not theirs. Is there another, more balanced way of looking at it?
    2. Fortune teller error
      1. Am I thinking that I can predict the future? How likely is it that that might really happen?
  6. Magnification
    1. Thinking that the worst possible thing will definitely happen isn’t helpful right now. Ask yourself, “ what’s most likely to happen?”
  7. Emotional reasoning
    1. Just because it feels bad, doesn’t necessarily mean it is bad. My feelings are just a reaction to my thoughts – and thoughts are just automatic brain reflexes.
  8. Absolute Statements
    1. Am I putting more pressure on myself, setting up expectations of myself that are almost impossible? What would be more realistic? Avoid using words that have no meaning. Please see the list at the end of this article which shows what words are more helpful than others.
  9. Labeling & Mislabeling
    1. Instead of labeling the situation, look at the evidence. Also avoid double standards, these will only make a situation worse.
  10. Personalization
    1. Would most people who really know me say that about me? Is this something that I am totally responsible for? Instead of blaming yourself or another person, consider the circumstances. Look at the situation and view the evidence.
  11. Memories
    1. This is just a reminder of the past. That was then, and this is now. Even though this memory makes me feel upset, it’s not actually happening again right now.

 

Replace… with…
Should Like or Want
Should not Do not Like or Want
Have to Would Like
Must Wish
Must not Wish would not
Deserve Desire
Always Usually/Frequently
Forever Until/Unless
Never Rarely
Awful Disagreeable
Horrible Unfortunate
Terrible Unfavorable
Perfect Successful

http://jayuhdinger.com/chapters/faulty-thinking/

http://getselfhelp.co.uk/docs/FindingAlternativeThoughts.pdf