Choose Yourself While Respecting Others: The Whys and Hows of Assertiveness

Choose Yourself While Respecting Others: The Whys and Hows of Assertiveness

Good relationships undoubtedly have a positive impact on our mental and physical health (1). Yet we face many challenges in relationships, including how to balance our own needs and preferences with those of others. In other words, how do we accommodate and compromise with our friends, partners, family members, coworkers, etc. without putting aside our own needs? And how do we take care of our own needs without being a jerk to others? One extremely useful tool that will help us cultivate respectful and mutually fulfilling relationships is assertiveness! Assertiveness will help you respect yourself, respect others, and have better relationships!

What is assertiveness?

Assertiveness starts from the basic premise that you are a person worthy of respect, and you have the right to a good life. If you have trouble being assertive, it may be a sign that you have low self-esteem, lack self-compassion, or struggle with social anxiety. For tips on improving your feelings of self-worth, check out my blog posts on the self-critical voice and my colleague Andrea’s blog post on Why Self-Compassion?

Assertiveness is a communication style that respects our own needs and preferences and balances them with the needs and preferences of others. It’s expressing our thoughts and feelings in a direct and respectful manner. It is not just about the words we use, but our tone and body language also help us communicate in an assertive manner.

If we’re not being assertive, we’re likely communicating in a non-assertive fashion (2) such as:

  • Passive: Putting others’ needs and preferences before our own.
  • Aggressive: Violating others’ rights and putting our own needs first.
  • Passive-aggressive: Acting aggressively but in an indirect way (e.g., slamming the door loudly, expressing hostility with backhanded comments).

Why Be Assertive?

1. Assertiveness is part of healthy self-esteem.

Research shows that self-esteem is correlated with assertiveness (3), and assertiveness training improves self-esteem (4). This makes sense because when being assertive, we are sticking up for ourselves, giving our needs and desires a voice. Just like if we were to stick up for a friend, by sticking up for ourselves we show our own self that we're worthy and valued. So “be your own friend” and make your voice heard! Even if it doesn’t “work”, in the sense that you don’t get what you want, you’ll likely feel better knowing that you stuck up for yourself.

2. Assertiveness is good for our psychological well-being.

 If we are often putting our needs and preferences second, accommodating others first, and not openly expressing our thoughts and feelings, we may end up feeling anxious about relationships, we may feel depressed and disconnected from others, and we may get resentful. Not fun!

3. Assertiveness is good for our relationships

Authenticity and feeling understood are key ingredients to strong connections and fulfilling relationships (5), and assertiveness gives us an effective way for our authentic selves to be heard and understood. If we are not assertive and don’t voice our needs and opinions, people close to us may feel like they really don’t know us, and they may wonder and worry about whether our words and actions represent our true interests and needs. If we’re assertive people are more likely to feel like they can trust us to take care of our own needs vs. having to guess what we want.

If we’re aggressive, on the other hand, people will lose respect for us and we may eventually lose friends and develop low self-esteem.

Obstacles for Assertiveness

1. Unhelpful Beliefs about Assertiveness.

Myth: Assertiveness is the same thing as aggression.

We may falsely believe that assertiveness is basically the same thing as aggression. If we’re not used to being assertive, assertiveness may feel like aggression. If this is the case for you, it’s helpful to remember the difference between assertiveness and aggressiveness. When we’re being assertive, we’re not only taking care of our own needs, but we’re being respectful of others. When we’re being aggressive, we are focusing solely on our own needs and disrespecting others.

Myth: It’s always more helpful and polite to put others’ preferences first.

We may believe that putting others’ needs and preferences first is the polite and helpful thing to do. We may have learned this belief growing up, from our parents or from other influences. In fact, being assertive can be helpful to others. When we’re assertive, others are more likely to feel like they know and understand us, and can trust us to take care of ourselves and our own boundaries (vs. feeling like they have to guess what we really want).

Myth: An assertive person has to be assertive in every situation.

Assertiveness is a helpful way of communicating in many situations, but there are always exceptions. For example, you’re riding the subway and a stranger begins making aggressive comments toward you. In situations like this, your personal safety is top priority and it would be wise to exit the situation as passively as possible or ask someone for help, rather than confronting the aggressive individual. Or, perhaps you have a boss who is consistently verbally abusive. Ideally you’d be able to quit your job, but in the meantime you might try “picking your battles”, especially if your assertiveness is often met with hostility. Don’t give up too easily on assertiveness though; sometimes it takes many tries before people respond constructively (or at least not destructively) to our assertive behaviour.

Myth: If you’re assertive you will get what you want.

It would be great if being assertive worked every time. Unfortunately, we cannot control other’s behaviour, so even if we are perfectly assertive, we may not get what we want. There are still many benefits to being assertive though even if we don’t get what we want, such as protecting our self-esteem by allowing our needs and preferences to be heard (2).

See Assert Yourself! Module 1: What is Assertiveness? for more!

2. Anxiety.

Anxiety exists to protect us, but sometimes it’s overly protective and our anxiety alarm starts going off when it doesn’t need to. In situations where we want to be assertive, our anxiety system may be telling us, “Don’t do it, you’ll make a fool out of yourself; you’ll damage your friendship; something bad will happen”, etc. Anxiety gets us to focus on the worst-case scenario while at the same time underestimating our ability to cope with difficult situations. Fortunately, there are plenty of effective ways to manage anxiety. Check out my blog post on anxiety for some tips. And try this simple yet helpful anxiety-reducing breathing hack

3. Skills deficit.

Assertiveness is a skill and like any other skill it takes practice. I’ve listed some assertiveness tips below. In addition, try to find an assertive role model in your social network, and ask them what their approach to assertiveness is. You might even take a class on communication, debating, or even improv! Try practicing out loud at home alone, or with a friend or a therapist. Remember to pay attention to your tone and posture.

4. Cultural and Generational Influences.

Western society tends to be more individualistic, meaning people are more likely to be motivated by their own needs and preferences, and prioritize them over the needs and preferences of the group. Other cultures value interdependence and relatedness more than individualism, and tend to view themselves as part of a whole, and are more motivated by norms imposed by the group and maintaining harmony (6). If you are living in a culture that values collectivism over individualism, you may want to weigh the pros and cons of living by these cultural values vs. being assertive.

Similarly, different generations, often older, may have been taught to defer to authority more, and women are more likely to have been taught that it is aggressive for a woman to firmly and directly state her needs and opinions.

How to Be More Assertive

1. Think more assertively and accept differences. Be honest with yourself. Check in with yourself and ask yourself, “What do I really want here?” “What is my own true opinion?” Being assertive means accepting that your opinion might be significantly different from those you care about, and accepting that in certain situations you are not willing to put your needs aside (7).

2. Practice non-verbal assertive behaviour

  • Use direct eye contact but avoid staring
  • Take an erect, open body stance
  • Practice receptive listening. Check out this wonderfully helpful video on being a good listener: Are You A Good Listener? 
  • Allow your facial expressions to represent how you feel (e.g., smile when content; frown when frustrated or angry)
  • Use a firm, relaxed voice; not overly loud or quiet.

3. Clearly express your wants, beliefs, opinions, feelings, etc. using “I” statements. Be specific, direct, and genuine.

  • “I want to discuss our vacation plans this evening.”
  • “I need to leave the house by 7am for an important appointment.”

4. Be empathic. When in a situation in which the person’s needs, preferences, etc. conflict with your own, be empathic, thereby communicating you are sensitive to their position and are trying to take their perspective.

  • “I understand it’s difficult for you to discuss these issues, but I believe it’s important we have this discussion so we can come up with possible solutions.”
  • "I can see that it’s a really busy time for you, however it would be helpful if you did your share of the household chores.”

5. Communicate negative feelings calmly. When we’re feeling hurt by or anger toward another person, it can be very difficult to communicate our negative feelings in a controlled manner. The goal is to communicate the undesirable effect of the other person’s behaviour is having on you in as calm of a tone as possible. You might want to practice this out loud on your own first.

  • “I find you often cut me off when we’re having a conversation, and I find myself feeling frustrated and not connected to you. I would really appreciate it if you gave me the space to finish my thought before cutting me off. I will try to let you know when it's happening in the moment.”

6. Be a Broken Record. If you have a great deal of difficulty being assertive, or are perhaps feeling really nervous and are having to express your negative feelings to someone who is particularly quick on their feet, you might try the broken record technique. This is simply repeating your assertive phrase over and over in a calm, controlled manner. This is helpful when the conversation is getting off topic, when the person you’re having the discussion with might be pressuring you or inappropriately causing you to question your needs, preference, feelings, etc.

  • Sandra: "I think we should go to the party tonight."
  • Johanna: "I can’t go to the party; I have to work in the morning."
  • Sandra: "It’s going to be really fun – let’s go! We’re only young once."
  • Johanna: "I have to work tomorrow. I’m not going to the party."
  • Sandra: "I thought you didn’t care that much about your work? I think this party should take priority."
  • Johanna: "I’m choosing to prioritize work and I won’t be going to the party tonight."

7. Use phrases that facilitate connection with the other person.

  • Co-operative phrases, e.g., “What are your thoughts on this?”; “How does that sound to you?”
  • Avoid “should” and “oughts” e.g., “How about…”.
  • Seek others’ opinions, e.g., “How does this fit in with your ideas?”
  • Explore other solutions together, e.g., “How can we get around this problem?”

8. Distinguish between fact and opinion.

  • “My experience is different than yours.” (FACT)
  • “You were 1 hour late today. I felt angry.” (FACT) vs. “Your lateness is a sign you don’t respect me.” (OPINION)

See Assert Yourself! Module 4: How To Behave More Assertively for more!


Assertiveness is the "super-food" of communication. It helps us feel more authentic, it aids our self-esteem, it allows us to connect more deeply with others, and it helps others know our boundaries, among other things. So if you’re struggling with assertiveness, I hope you’re able to give some of these tips a try and experience how assertiveness can help you.

*Please note that much of this info is taken from the Assert Yourself! modules from the Centre for Clinical Interventions (CCI) website. Thanks CCI for your awesome resources!


Lisa Linardatos is a clinical psychologist in Westmount, Montreal, Quebec, at Connecte Montreal Psychology Group. The team at Connecte loves writing about ways to boost our mental health and bring psychology into our everyday lives. For more helpful tips, check out Connecte’s blogspodcast, follow @connectepsychology on Instagram or @ConnecteMTL on Twitter, or like us on Facebook.


References

1) Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: Five-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25, 453– 463.

2) Assert Yourself! Module 1: What is Assertiveness? Centre for Clinical Interventions (CCI). http://www.cci.health.wa.gov.au/docs/Assertmodule%201.pdf

3) Sarkova, M., Bacikova‐Sleskova, M., Orosova, O., Madarasova Geckova, A., Katreniakova, Z., Klein, D., ... & Dijk, J. P. (2013). Associations between assertiveness, psychological well‐being, and self‐esteem in adolescents. Journal of Applied Social Psychology, 43(1), 147-154.

4) Stake, J. E., DeVille, C. J., & Pennell, C. L. (1983). The effects of assertive training on the performance self-esteem of adolescent girls. Journal of Youth and Adolescence, 12(5), 435-442. 

5) Reis, H. T., & Shaver, P. (1988). Intimacy as an interpersonal process. In S. Duck (Ed.), Handbook of personal relationships (pp. 367- 389). Chichester, England: Wiley.

6) Triandis, H. C. (1995). Individualism & collectivism. Westview press.

7) Assert Yourself! Module 4: How To Behave More Assertively. Centre for Clinical Interventions (CCI). http://www.cci.health.wa.gov.au/docs/Assertmodule%204.pdf

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How to recognise if substance use is a problem for you:  the role of personality and coping

How to recognise if substance use is a problem for you: the role of personality and coping

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Have you ever wondered whether alcohol or drug use is a problem for you? Sometimes it can be hard to tell. Take some of characters we have come to know and love (or hate) in TV shows. In The Mindy Project and Grey’s Anatomy, the main characters deal with break-ups and fights by downing wine and tequila. However, no-one bats an eyelid and they then return to work the next day- no worse for wear. At times, Don Draper’s drinking is considered macho and even romantic in Mad Men- at least not out of the ordinary compared to those around him (although we do start to realise that he is having problems with alcohol use in later seasons). For others like Jesse Pinkman (Breaking Bad­) and Frank Gallagher (Shameless), it can seem clearer that substance use is getting in the way of them leading fulfilling lives- to say the least. But it’s not always that cut and dry. The upcoming legislation to legalise cannabis use across Canada this spring provides a good example of how public attitudes towards drug use can change over time. So how can we tell when substance use is problematic?

Some questions clients have asked me include: “What if I only smoke weed to relax in the evening?” “What if I only drink alcohol at parties to help me feel more confident?” “What if I only take cocaine if it’s a special occasion?... is there something wrong with that?”

What about you?

One of the main questions you may want to consider is: “Am I using alcohol or drugs to cope?” In other words: “Do I feel able to socialise/ have fun / relax/ feel sad/ be mad/ feel anxious/feel lonely without using alcohol or drugs?”

Some other questions to consider:

Has alcohol or drug use got in the way of my responsibilities, my relationships or my interests?

Do I feel bad or guilty about my alcohol or drug use?

Do people around me feel that my alcohol or drug use is a problem?

If the answer to some of these questions is yes, you may want to consider completing a self-assessment questionnaire regarding your level of substance use. 

Thinking about your personality- a way to understand substance use problems

Addiction is a complex and multi-faceted problem, and research has identified numerous factors that can increase an individual’s likelihood of having problems with substances. Interestingly, one of these factors is our personality. Four personality traits (sensation seeking, impulsivity, anxiety sensitivity and hopelessness) can be measured from as young as 12 years old using a measure called the Substance Use Risk Profile Scale, and a high level of any of these personality profiles is associated with a greater risk of experiencing substance use and mental health problems. Just to be clear: we all have a certain level of these personality traits. But high levels can be difficult to manage at times (e.g., think Mickey from Love, who experiences multiple difficulties related to impulsivity, including substance use). Our personalities are associated with the reasons in which we may choose to seek out alcohol or drugs. In other words, substance use can be a way that we cope with difficulties that may be related to our personalities. Individuals with high levels of anxiety sensitivity, for example, are particularly sensitive to the physical effects of anxiety (e.g., racing heart beat, muscular tension, restlessness, sweaty palms) and experience these physical sensations as unpleasant and worrying. Alcohol or drugs can be used to dampen those physical sensations and to feel less anxious in the moment. Somebody with high levels of sensation seeking, on the other hand, is prone to risk-taking behaviours in general, and may seek out the “high” or adrenaline rush associated with substances (e.g. to get a buzz in social situations). These individuals can have a lot of difficulty tolerating boredom, and substance use can become problematic when social situations do not feel interesting or fun enough without using alcohol or drugs. Several studies have shown that personality-targeted interventions can help to prevent and treat substance use problems, both with adolescents and adults.

Recognising barriers to treatment

If you are concerned about your substance use, my final point to you is: be compassionate towards yourself. Individuals with alcohol or drug use problems are known to have difficulty accessing treatment due to multiple factors, such as perceived stigma, concerns about what treatment might entail, feeling ambivalent about whether or not to deal with the problem and not feeling sufficiently supported to address the issue. Unfortunately, this means that many people lack the support that they need, and can spend many years struggling with substance use problems before seeking help. This may perpetuate the problem- check out this great TED talk discussing the fact that feeling disconnected from others and from society can drive addiction problems

Remember that help is available, and treatment does work. Multiple studies have shown that cognitive or dialectical behaviour therapy (CBT and DBT) are effective in addressing substance use problems, and provide individuals with a wider range of coping skills to manage difficult situations or emotions. You can read more about these approaches in Andrea, Michelle, Lisa and Natsumi’s blog posts.

So be kind to yourself, and do what’s best for you. If you are concerned about your substance use or mental health, please consult a mental health professional to discuss your treatment options.                                                         

Some addiction resources

Online alcohol help centre: http://camh.alcoholhelpcenter.net/

Centre de Readaptation en Dependance de Montreal (CRDM- previous known as the Centre Dollard Cormier): www.ciusss-centresudmtl.gouv.qc.ca/nos-installations/centre-de-readaptation-en-dependance

The Foster Addiction Rehabilitation Centre (CRD Foster): www.crdfoster.org


Maeve O'Leary-Barrett is a clinical psychologist in Westmount, Montreal, Quebec, at Connecte Montreal Psychology Group. The team at Connecte loves writing about ways to boost our mental health and bring psychology into our everyday lives. For more helpful tips, check out Connecte’s blogspodcast, follow @connectepsychology on Instagram or @ConnecteMTL on Twitter, or like us on Facebook.


References

Conrod, Stewart, Pihl, Cote, Fontaine & Dongier (2000). Efficacy of brief coping skills interventions that match different personality profiles of female substance abusers. Psychology of Addictive Behaviors, 14(3), 231-242.

Pearson, Caryn, Teresa Janz and Jennifer Ali. 2013. “Mental and substance use disorders in Canada” Health at a Glance. September. Statistics Canada Catalogue no. 82-624-X. Retrieved from: www.statcan.gc.ca/pub/82-624-x/2013001/article/11855-eng.htm 

Rapp, Xu, Carr, Lane, Wang & Carlson (2006). Treatment barriers identified by substance abusers assessed at a centralized intake unit. Journal of Substance Abuse Treatment, 30 (3): 227–235.

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Blog Swap - MissPsychLife on Self-Care

Blog Swap - MissPsychLife on Self-Care


Guest post from MissPsychLife

MissPsychLife (AKA Dr. Brooke) is a Clinical Psychologist in private practice in Brisbane. She began her blog as a way of sharing her passion for psychology and the promotion of self-acceptance, self-growth, self-care and self-love in other people (as well as herself she says!). For more of Dr. Brooke's awesome tips check out her Facebook or Instagram


We all know the feeling. It has been several months since your last holiday, work is crazy, you feel exhausted every day, perhaps you’re staying up a few hours too late at night to get that extra episode of Game of Thrones in. You aren’t sleeping well because you keep thinking about that presentation you have at work in a few weeks time. Forget about the gym because seriously who has time for that? The dog hasn’t been walked for weeks, and heck- let’s just order a pizza tonight because who has the energy to cook when you are working such long hours and barely have time to scratch yourself?

Hello daily grind and hello road to burnout!

We have all experienced this. Winter is renowned for it when the days are much shorter and colder (yes colder- even in Brisbane. It’s all relative!!) and it doesn’t take long after returning from a holiday for this all to set back in again. Life is busy and it seems to just be getting busier by the minute.

It’s times like this that we might wish we were a yoga or meditation guru- those people who just seem to have their sh#t together and don’t ever get stressed! (I’m sure that’s not actually the case but it does seem that way sometimes when you are in yoga class staring at the instructor thinking “how is she always so Zen?”). But most of us don’t have our sh#t together, let’s face it. Overall, we do ok. But adulting can be hard and stressful and most of us don’t prioritize stress management and take time for ourselves nearly enough. I am guilty of this at times just as much as the next person. So….. How do we find that extra time in an already crazy busy life to look after ourselves?

“Self-care” is a term that is being used a lot on social media at the moment (Yay!) and I know it certainly comes up a lot in my work with clients too. But throwing the term around and actually applying it are two very different things…..So what is self-care and why should you even bother?

Some definitions suggest that self-care is any activity that is purposely enacted to improve or add to physical, psychological and social well-being. Vague I know……. and probably very much open to interpretation. One person might think going into work on a weekend to get more work done is “adding to their psychological well-being” while others (including me in most cases) would disagree and say it’s important to have time away from work. So ultimately, I think the term “self-care” should apply to anything that promotes and enhances the level of balance that we have in our lives.

Evidence suggests that when we spend time engaging in activities that are in line with our values balanced across multiple domains (work, social life, intimate relationships, spirituality, health and well-being etc.) that we tend to be more psychologically resilient. It’s no surprise really…. like most things in Psychology, it is just common sense. When we spend too much time at work, we feel blah…. When we don’t spend enough time at work and only focus on binge drinking on weekends and staying on the couch all day, we feel blah…. When we spend all our time doing for others and never doing for ourselves, we feel resentful and end up feeling blah. So, balance is the key.

I work with clients every day who have lost sight of balance and are now paying for it with depression, exhaustion, strained relationships, inability to continue working… And I have experienced first-hand what it’s like to be totally imbalanced and I certainly will never let myself get back there. When I was in my final years of Uni, I was already working as a psychologist 4.5 days per week. I would go to work from 8am until 5pm. I would do 45-minute bumper to bumper drive home. I would get home, cook dinner, have a very brief conversation with my partner of the time, and then head to the study to work on my doctoral thesis until the early hours of the morning. I’d then get some sleep…. If my mind would let me. Then I would be up again early the next day to do it all over again. I’m no superhero. I’m human. I needed 7 to 8 cups of coffee each day to cope. And by cope, I mean to just get by. Needless to say….. My body and mind suffered. I started needing more sick days.  I lost too much weight (I can’t believe the photos when I look back on them! My arms were so thin even though I was still eating three meals a day). I had headaches nearly every day. My stomach was in knots. I was a bit of an emotional wreck…. and definitely not the most fun person to live with. My work suffered too. Thankfully I managed to still hold it together to treat my patients, but my paperwork was appalling. I fell behind which then made me even more stressed. I withdrew from friends and family because I was “too busy” for that. Overall, it was pretty miserable. But the scary thing is I didn’t really notice how imbalanced I was. It had become my normal.  Thank God my boss pulled me aside one day and asked what was going on. She had noticed things were slipping and she was concerned.

So, after I submitted my thesis, I visited Thailand for three weeks, I ate, I slept, I relaxed, and I reflected. I knew a change was needed and that’s exactly what I did. I rearranged my work and got a different job so that my workload was less intense. I started spending more time with friends and family. I moved house closer to work and my social support network. But most importantly, I gave myself permission to slow down.

It took some time. I think about six months after I went to Thailand I was still having difficulty sleeping in on the weekends. I would wake up in a panic. My mind just didn’t want to slow down. But gradually, with more and more balance, things slowed down and I realized what it meant to be normal and balanced, and truly relaxed.

So, the moral of the story. Slow your asses down, balance your life out and take care of yourselves. It’s important. I’m just grateful I learnt this lesson early on in life, instead of having a breakdown in my 50’s when I would have run myself into the ground.

Here’s some tips for self-care that I often suggest to clients who are burnt out or lacking balance…. Remember. It’s ALWAYS better to be proactive rather than waiting until you are utterly exhausted. I can’t stress this enough. Doing small things towards your self-care regularly is what’s going to ensure you avoid the dreaded burnout.

Tips for self-care:

  1. Check in with yourself regularly – recognizing that you need to up the self-care requires you to regularly check in with yourself and notice early warning signs that perhaps things might be getting on top of you. No this doesn’t mean waiting until you blow up at a colleague at work to recognize you are stressed. It will be more subtle and can be different for everyone. Perhaps you aren’t sleeping quite as well. Perhaps you are feeling just that little bit more irritable in evening traffic or your mind is busier than normal and unable to focus. The earlier you catch it, the more effective your self-care strategies will be. However, nothing beats having regular self-care strategies tied into your weekly routine – it means you have to think about it less and it just happens.
     
  2. Don’t be afraid to say no – this is something my Mum has always told me and she couldn’t be more right. One of the trickiest things for some people is being able to say no to requests from other people, be it colleagues, your boss, friends, family or partners. Saying no politely but confidently when you don’t feel able to do something is important for maintaining your own sanity, but also healthy interpersonal relationships. Don’t worry- the sky won’t fall down if you say no. The person will survive. I dare you to try it.
     
  3. Watch out for guilt – if you are someone who struggles with the last point or if you are someone who is used to always being busy, watch out for guilt when you say no or when you consciously choose to slow down. I’ve had to battle this over the last four days. I’ve spent a lot of time at home relaxing and not doing a whole lot and would occasionally get pangs of guilt thinking “I really should be productive”. Notice these thoughts, acknowledge them, and let them go. You are actively choosing to refresh yourself and will be better for it in the long run.
     
  4. Take time out, alone, at least once a week (or more if you are introverted and need alone time to recharge) – spending time on your own doing something that you find relaxing and fulfilling can be incredible refreshing. What you do is different for everyone as we all enjoy different things. I find working on projects like painting furniture, tidying, or blogging to be enjoyable, as well as reading a book in the sun or having an at home pamper session, or even just a simple cup of tea (Barry’s tea all the way!).
     
  5. Disconnect – spend a few hours disconnected from technology. This is definitely the one I struggle with the most. We have all become so dependent and addicted to technology that leaving our phone off for a few hours while we have breakfast with a friend (gasp!) can seem impossible. But go on- try it. You will feel more connected and mindful in the moment and will experience your present moment more.
     
  6. Connect - do something to feel connected with others. If you feel you have been neglecting your family or friends, reach out and connect in some way. Even if it’s just a phone call, or a coffee. Check in with someone you love and really see how they are going. If you can do this in combination with the last point- you will connect even more (yes I just suggested, you connect and disconnect at the same time.)
     
  7. Be mindful – do a task mindfully- this means, notice every aspect of that task. Touch, taste, sound, smell, sight. This can be very grounding and relaxing. Sit outside for half an hour and try your best to stay focused on the sounds or the feel of the breeze on your face. Yes, your mind will wander, many times. That is ok. Just keep redirecting it back to the present moment and try not to get frustrated with yourself.
     
  8. Sleep routine – I really can’t stress enough the importance of good sleep. I never used to value it much and always stayed up late. But with conscious effort now to get my minimum 8 hours it makes such a big difference. If for any reason I get less than this now, I feel confused about how I used to cope. Set a bed time, and stick to it. It might take a few nights for your body to adjust but you will thank yourself for it.
     
  9. Schedule regular mini breaks – having something to look forward to can make the daily grind much easier to bear. Look ahead at your calendar and pencil in some long weekends, whether you go away or just stay home. Knowing you have that little break is always nice.
     
  10. Don’t be afraid to ask for help – we all need help. We are social creatures who depend on one another. Yet so many of us are bad at asking for it- me included in that at times. Look at your workload and life load and assess where you might be able to get help.
     
  11. Relaxation/meditation/yoga - this is an obvious self-care exercise. It is shown to reduce stress and is a nice way of scheduling “you time”. In my previous post “10 ways to boost low mood” I suggest a few apps you can use, including the headspace-au meditation app.
     
  12. Exercise/go for a walk – this is another obvious one. Some of us enjoy exercise more than others and that’s ok. You don’t need to be an athlete. Take the dog for a walk or even just yourself. The fresh air really does work wonders.

Now go forth and care for thy self. Let’s all get on board with self-care and try to do at least one small thing towards our self-care daily. I know I will be!

Dr Brooke @MissPsychLife xx

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Getting off tilt

Getting off tilt

I’ve been trying some new things and recently I decided to branch out into poker. There’s a lot of stuff going on in the game - keeping track of the odds, reading the other players, deciding on your risk-taking comfort level - that I’ve actually found to be helpful for me in my day to day life. In fact, probably the most useful thing I’ve learned about so far is being “on tilt”.

In poker, when a player in on tilt, it means that their emotions have taken over and reduced their ability to make decisions. So something negative happens like they lose a big pot, and then they get really upset and make decisions in the next hand that are not ideal. And of course, they get into a bit of a spiral, with negative emotions leading to poor decision making, which then leads to more negative emotions and so on. Sound familiar?

We have all had similar experiences - we get really angry, or sad, or frustrated, and then react in an unhelpful way. Maybe we yell at a family member and say something that we regret, or hit someone and end up escalating the situation. All of us know what it’s like to be on tilt, the questions is, how do we right ourselves?

In the moment, Linehan (2014) recommends that we STOP. So we:

  • Stop what we are doing
  • Take some deep breaths
  • Observe what is happening
  • Proceed effectively

The key is to not react impulsively, but to give ourselves time to calm down. See Natsumi’s blog post for other great ways to handle strong emotions.

This is also a wonderful time to put your deep breathing and other relaxation skills to use. Again, inserting some time between the situation and our reaction can only be helpful.

Once you’ve moved past the initial emotion, engaging with your thoughts can be helpful. Is this the worst thing that could happen? Will this matter six months from now? Why has this affected me so strongly? What are other options for reacting that may be more helpful? In cognitive behavioural therapy, the focus is on the thoughts that lead to the emotions, with the goal of reducing unhelpful thinking.

Sometimes, the urge to do something can be overwhelming. However, it’s important to recognise when we are not in a space to make good decisions, and to take the time we need. After all, as a great philosopher once said “To tilt is human, to break out of the cycle is definitely possible with some practice” :)


Ava-Ann Allman is a clinical psychologist in Westmount, Montreal, Quebec, at Connecte Montreal Psychology Group. The team at Connecte loves writing about ways to boost our mental health and bring psychology into our everyday lives. For more helpful tips, check out Connecte’s blogspodcast, follow @connectepsychology on Instagram or @ConnecteMTL on Twitter, or like us on Facebook.


References

Linehan, M. (2014). DBT skills training manual: second edition. Guilford Press.

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Yoga et santé mentale, mythes ou réalités?

Yoga et santé mentale, mythes ou réalités?

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L’engouement pour le yoga est un phénomène grandissant auprès d’un bon nombre de gens. Les studios, les styles et les festivals de yoga se multiplient à grande vitesse. D’ailleurs, depuis 2015, le 21 Juin a été désignée la journée internationale de yoga par « United Nation General Assembly » (UNGA, 2014). De plus, le premier salon international sur le yoga (expo yoga) s’est tenu au palais des congrès de Montréal en Février dernier. Au sein de notre équipe, Connecte groupe de psychologie Montréal, des psychologues et des professeurs de yoga collaborent régulièrement pour organiser des ateliers de bien-être et de santé mentale.

Lorsqu’on fait une recherche internet avec le terme yoga comme mot-clés, il est facile de s’emballer quant aux bienfaits cités (amélioration de la qualité de vie, gestion du stress, diminution de la détresse psychologique, promouvoir l’activité physique, etc). Toutefois, d’autres sources citent les méfaits (preuves insuffisantes, simple mode, danger de blessures, degré de difficulté, absence des bienfaits promis, etc).

Face à cette situation, j’ai jugé pertinent d’écrire à ce sujet, notamment sur les liens entre le yoga et la santé mentale. Tout d’abord, il importe de préciser que je suis biaisée : je suis une adepte du yoga depuis plusieurs années et ma thèse doctorale portait sur le yoga. Cependant, l’objectif ici est de résumer ce qu’est le yoga, les bienfaits et les limites observés concernant la santé mentale selon des recherches scientifiques et fournir quelques ressources.

Le mot « yoga » est un dérivé de la racine sanskrit « yuj », qui veut dire « unir ». Ultimement, « yoga » signifie l’union du moi individuel avec le moi universel. Le terme renvoie aussi à la discipline pratiquée menant à cette union (Bower et al., 2005). Cette activité vise à améliorer le bien-être physique, émotionnel et spirituel (Bower et al., 2005). Cette activité est pratiquée pour explorer le lien corps-esprit, la conscience du corps, l’importance de la respiration et de la relaxation.

Bon nombre de recherches ont été effectuées auprès de diverses populations (en santé, oncologie, maladies cardiovasculaires, troubles anxieux, troubles dépressifs, etc). Dans l’ensemble, les études suggèrent une amélioration quant à la gestion des symptômes dépressifs, des symptômes anxieux, la détresse psychologique et une amélioration au niveau de la qualité de vie (Buffart et al., 2012; Chong et al., 2011; Jeter et al., 2015; Kirkwood et al., 2005; Li & Goldsmith, 2012; Patel et al., 2012). Cependant, il importe de mentionner que la littérature scientifique révèle une variabilité importante quant à la rigueur méthodologique des recherches menées (petits échantillons, un nombre restreint d’essais randomisés, diverses interventions, etc). Par conséquent, les bénéfices du yoga sont prometteurs mais avant de pouvoir conclure son efficacité à grande échelle, il faut plus d’études bien menées. Heureusement, les recherches à ce niveau se multiplient!

Alors, en attendant les résultats de ces recherches, que faire et quoi dire tant à ceux se méfiant du yoga que ceux ne jurant que par le yoga? Voici ce que je propose: Le yoga est l’une des interventions complémentaires et alternatives (ICA) les plus pratiquées et les plus sollicitées. Les ICA réfèrent à des interventions holistiques, axées sur les produits naturels, n’étant pas considérées comme des interventions standards et souvent nommées « orientales ». À ce jour, les études sur le yoga semblent démontrer des bienfaits importants pour favoriser le bien-être et la santé mentale, il s’agit d’une intervention sécuritaire pouvant être pratiquée par des individus en santé et diverses populations cliniques. Toutefois, il faut plus d’études avant de pouvoir généraliser les bénéfices du yoga. Plus important, le yoga est une stratégie et non pas LA stratégie. Cela signifie donc qu’il est possible d’utiliser cette intervention conjointement avec les interventions standards pour améliorer son bien-être (psychothérapie, traitements pharmacologiques, conditionnement physique, etc).

Pour conclure, je vous invite à visiter les sites de Passeport Santé et Mon Yoga Virtuel afin d’en apprendre davantage sur le yoga.

Bonne exploration!

Namasté


Annélie S. Anestin est une psychologue à la clinique Connecte Groupe de psychologie de Montréal. L’équipe de Connecte aime bien écrire sur les diverses façons d’améliorer notre santé mentale et inclure la psychologie dans notre vie quotidienne. Pour plus de conseils utiles, consultez les blogues de Connecte, les baladodiffusions, suivez-nous sur Instagram @connectepsychology, sur Twitter @ConnecteMTL ou aimez notre page sur Facebook.


Références

Bower, J.E., Woolery, A., Sternlieb, B. et Garet, D. (2005). Yoga for cancer patients and survivors. [Review]. Cancer Control: Journal of the Moffitt Cancer Center, 12(3), 165-171.

Buffart, L.M., van Uffelen, J.G., Riphagen, II, Brug, J., van Mechelen, W., Brown, W.J. et Chinapaw, M.J. (2012). Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. [Meta-Analysis Research Support, Non-U.S. Gov't Review]. BioMed Central Cancer, 12, 559.

Chong, C.S., Tsunaka, M., Tsang, H.W., Chan, E.P., Cheung,W.M. (2011). Effects of Yoga on Stress Management in Healthy Adults: A Systematic Review J Altern Ther Health Med, 17(1), 32-8.

Jeter, P.E., Slutsky, J., Singh, N. et Khalsa, S.B. (2015). Yoga as a Therapeutic Intervention: A Bibliometric Analysis of Published Research Studies from 1967 to 2013. J Altern Complement Med, 21(10), 586-592.

Kirkwood,G., Rampes, H.,Tuffrey, V., Richardson, J., et Pilkington, K. (2005). Yoga for anxiety: a systematic review of the research evidence. Br J Sports Med, 39, 884–891.

Li, A.W. et Goldsmith, C-A.W. (2012). The effects of yoga on anxiety and stress. Altern Med Rev 17(1), 21-35.

Patel, N.K., Newstead, A.H. et Ferrer, R.L. (2012). The Effects of Yoga on Physical Functioning and Health Related Quality of Life in Older Adults: A Systematic Review and Meta-Analysis. J Altern Complement Med, 18(10), 902-917.

United Nations, International Yoga Day (2014)

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