October 10, 2017
By Natsumi Sawada, PhD, Psychologist
Guest post from Dr. Natsumi Sawada, Registered Psychologist (originally published here).
Dr. Natsumi Sawada is a psychologist in private practice in Vancouver, B.C. Natsumi is passionate about using psychology to help people live meaningful, peaceful, connected, and joyful lives. For more of Natsumi’s transformative tips check out her blog, Facebook or Instagram!
A central feature of one of my favorite therapies, Acceptance and Commitment Therapy (aka ACT) is the idea that identifying our “values” and moving towards them even when we are experiencing emotional pain is crucial for psychological health and wellbeing.
What are values? They are the things in life that are most important to us. They are what we want our lives to be about. They are different from goals in that they are not things that we can achieve or complete and they are not future destinations. They are the the things that are most important to us in life and in the now. Examples might be: Helping, creativity, our relationship, emotional closeness, caring for others, kindness, independence. One way to tap into your values is to ask, “Who or what is most important to me?” I will write more on identifying values in an upcoming blog post.
So why move towards values even when we feel terrible?
Well, ACT proposes that pain is an inevitable part of being human (or sea slug for that matter). To experience physical and psychological pain in the form of difficult thoughts, emotions, and sensations is to be human. It is not pathological, abnormal, or something to be changed. Our lives cannot be separated from pain. We inevitably experience loss and disappointment; feel sadness, anger, fear, guilt, and shame; experience self doubt and self judgment. We don’t often recognize that everybody suffers especially in the Instagram era when all we see is everybody else’s glowing faces and smiles on our screens while we struggle through the slop. But the idea that everyone is happy is bogus. The truth is, every person feels emotional pain and will feel pain throughout their life. Values are important because moving towards them orients us and give life meaning (and all the positive things that come with it). If we want to create meaning in our lives we cannot wait for the skies to clear because being human can at times be a little like living in Vancouver in November.
This sounds grim but it’s actually great news because to be psychologically healthy we need to experience positive AND painful emotions. For one thing, it’s natural to feel painful emotions. Imagine you never felt sad or afraid. I don’t think I need to explain why that would problematic. Painful emotions and thoughts serve important protective functions. We need to experience fear, sadness, and guilt to function in the world and to be human (more on this later). Some people argue we need to embrace this vulnerability that we all share, to connect with and be of service to others. Some research even suggests experiencing too much positive emotion is bad for our health and well being. It can cause us to engage in more risky behavior, impede our performance, and hinder our ability to empathize and take others’ perspectives (something that is crucial for good relationships). Research also suggests pursuing happiness can do more harm than good because the more people pursue happiness the less they seem to experience it. See this article for more. So forget the “don’t worry be happy” stuff. Ideally we have a little of both.
However understandably, humans don’t like to experience pain (and don’t even like to experience the possibility of future pain) so often when we experience it we struggle against it like a fish on a hook and line. We think about it, we worry about it, we dread it, we anticipate it, we question it, we obsess about it, we try to mentally problem solve our way out of it. A large part of the war we fight against our painful mental experiences (such as sadness, anxiety, anger, worries, doubts, obsessions, rumination) often takes place in the form of a why question: Why can’t I be happier? Why me? Why am I so weird? Why am I messed up (or insert another insult of your choice here)? Why does life have to be this way? Why is everybody such a [bleep]?
According to ACT, while this is a totally understandable response to pain, this mental war is problematic because whether you experience a little psychological pain or what seems like a lot, the struggle against it makes things so much worse; It creates pain 2.0 otherwise known as suffering. This is similar to an idea found in Buddhist philosophy, illustrated by the story of the two arrows:
“…When touched with a feeling of pain, the ordinary person sorrows, grieves, and laments, beats his breast, becomes distraught. So he feels two pains, physical and mental. Just as if they were to shoot a man with an arrow and, right afterward, were to shoot him with another one, so that he would feel the pains of two arrows…”
The idea here is that when we experience pain (it could be physical pain as described here or emotional), we often react to it by fighting against it. We feel anxious and we get mad at ourselves for feeling this way, we feel sad and we feel ashamed, we feel depressed and we ruminate on the question “what is wrong with me?” and then ruminate on the answer, “you are deficient.” This causes us to, in effect, shoot ourselves with a second arrow: We add suffering to pain.
One goal of ACT is to teach us how to reduce this suffering by learning to let go of the automatic habit of shooting the second arrow when we experience pain and instead move towards our values. Rather than getting caught up in the net of pain and suffering, we engage with and move towards what’s important to us even when we feel pain. The idea is that we can experience painful mental events such as sadness or anxiety or the thoughts, “I can’t do it” or “I don’t want to” or “I’m a failure” AND we can go on bike rides, work in the garden, do our work, paint a picture, act in a loving way, meet a friend, and do other things that create meaning and value in our life. The experience of a painful mental event cannot stop us from doing these things. The idea in ACT is that we recognize these thoughts and feelings with mindfulness AND then we move towards what’s important to us with pain in hand.
Does it sound hard? It can be! The experience of sadness for example can organize our whole being to want to lie in bed, cry, eat cheetos and ice cream, surf the internet mindlessly for hours, and ruminate about what went wrong. Does this mean this is our only option? No. As difficult as it might be we can mindfully recognize our emotions with kindness and then, with the same attitude of love and care, ask ourselves, “Does acting on my urges take me farther from or in the direction of who or what is most important to me?” We can then do our best to take a small step towards what is important. It is not always easy but with a lot of practice we can learn how to do this. We can learn how to respond more flexibly to emotional pain instead of always going with the knee jerk reaction of resisting it, hiding from it, smothering it, and turning it into suffering. Some of the mental skills that can help us learn to do this are mindfulness, self compassion, and distress tolerance. I will talk more about these skills in future blog posts.
I’m writing this post because I find this idea of moving towards values with pain particularly valuable and I use it a lot in my own life. When I feel despair, sadness, or anxiety, for sometimes what seems to be no reason at all, one of the most helpful things I’ve learned to do is to mindfully take note of the emotion and accompanying urges that arise in me, remind myself of my values, and encourage myself to take one tiny step in the direction of my values.
For example, if I feel despair I might notice the urge to listen to sad music, lie in bed and watch Netflix, or ruminate about the things that are not going well for me and what I’ve done wrong. However, while understandable, these behaviors are designed to numb or escape pain and take me further from my values of learning and teaching, caring for others, developing my skills as a psychologist, being an engaged and loving partner, and creative expression. So, I do my best to notice these emotions and urges with kindness, acknowledge how painful they are, and then if all goes according to plan, I take a tiny step in the direction of my values. I repeat TINY. This is crucial because when we feel anxious or down even “small” steps can seem overwhelming. My tiny step might be washing the dishes in the sink, reading a page of a book, going for a walk around the block, or send a half dozen friends a cat meme (someone usually responds). Although it’s important to note that the point of moving towards values is not to get rid of pain, I sometimes find that after I have made a move towards my values, my difficult emotions loom less large or sometimes even pass. And, at the very least I’m sad but at least I’m sad AND I went for a walk and took a step towards health.
If you want, try this out for yourself. Write down a few of your values and the next time you find yourself caught up in painful thoughts or emotions, see if you might remind yourself of some of your values and ask yourself the question, “Does acting on these mental experiences or thoughts take me closer to or farther away from what is most important to me?” If the answer is farther you might ask, “What tiny step might I take towards my values?” If this seems really difficult get in touch with a counsellor or psychologist for help.
It’s important to note that what feels tiny to me might feel microscopic to you or it might feel huge. Take a step that feels tiny to you. It might be doing five jumping jacks or washing three dishes or it might be reorganizing your house or running a marathon. Meet yourself where you are at. The main point is to take a tiny step towards your values, notice that you did it, and see what happens next and repeat. Let me know what happens.