Latest / Free Therapy with Ben & Kevin / How to manage anxiety and ruminate less #11
Transcript
- 0:00Speaker 1: The world is free therapy. Hey, everybody, my name is Ben.
- 0:03Speaker 2: And I'm Kevin. And every week, you know this, Ben
- 0:06Speaker 2: and I sit down with a different therapist and we
- 0:08Speaker 2: talk about this stuff that everybody's struggling with, but nobody
- 0:11Speaker 2: says out loud.
- 0:12Speaker 3: Dude, I'm so pumped for everyone to hear this episode. No, No,
- 0:14Speaker 3: we brought on my dear friend, an expert therapist, Kimberly
- 0:17Speaker 3: Quinlan on anxiety and rumination.
- 0:19Speaker 1: She's such a boss, such a boss.
- 0:21Speaker 3: She's been doing this for so long. She was just
- 0:23Speaker 3: doing an interview with Dak Shepherd on Armchair Expert. She's
- 0:25Speaker 3: been featuring so many blogs online. She has hundreds of
- 0:28Speaker 3: thousands of followers. She is literally one of the best
- 0:30Speaker 3: to help you manage your anxiety and rumination.
- 0:33Speaker 2: One of the funniest things I thought she was telling
- 0:34Speaker 2: was how she pulled all of her followers on how
- 0:37Speaker 2: often they ruminate. Yeah, and the answer was ninety percent
- 0:41Speaker 2: of the day, which is insane. And now you can
- 0:43Speaker 2: relate just because how pervasive anxiety and rumination is in
- 0:47Speaker 2: our daily lives. You know.
- 0:48Speaker 3: In this episode, we really focus on the tools that
- 0:50Speaker 3: Kimberly recommends to live with anxiety better, how to have
- 0:53Speaker 3: a better relationship to that anxiety, and what to do
- 0:56Speaker 3: when you're ruminating all the time. One of my favorite
- 0:58Speaker 3: parts of the episode was when you shared this amazing
- 1:00Speaker 3: trick for what to do if you're spiraling at two am.
- 1:03Speaker 2: I thought it was so funny, it was perfect. So
- 1:05Speaker 2: if you struggle with any of this, which I know
- 1:07Speaker 2: many of us do, I think you're gonna love this episode.
- 1:10Speaker 2: Enjoy the show.
- 1:31Speaker 1: Hi, Kimberly.
- 1:34Speaker 2: Therapy, Welcome.
- 1:35Speaker 3: I am so happy to have Kimberly here. I have
- 1:38Speaker 3: known Kimberly for years and she has been an amazing
- 1:42Speaker 3: resource in my life around anxiety and OCD and a friend.
- 1:47Speaker 4: She is so so good at.
- 1:51Speaker 3: Calling my anxiety. She is so good at making me
- 1:54Speaker 3: feel less alone in my anxiety. And I cannot wait
- 1:57Speaker 3: for everyone to soak up all of your knowledge.
- 2:01Speaker 2: So you're not Ben's therapist. You've just been giving him
- 2:04Speaker 2: free therapy. Is that what I'm hearing?
- 2:07Speaker 5: No, I think he's like, I know, I feel like
- 2:10Speaker 5: I don't know how to say it. I think I
- 2:13Speaker 5: feel like just really a beautiful friend who I love
- 2:17Speaker 5: being there for. I guess yeah, but that's the point.
- 2:20Speaker 2: I think friends friends are free therapy.
- 2:21Speaker 5: Yeah, yes, it's true.
- 2:23Speaker 2: That's yeah.
- 2:24Speaker 3: And my dream has been to surround myself with therapists
- 2:26Speaker 3: as friends so I could just get free therapy.
- 2:30Speaker 1: Okay.
- 2:30Speaker 3: So, Kimberly is a marriage and family therapist and she
- 2:33Speaker 3: specializes in anxiety and OCD and she has been just
- 2:37Speaker 3: like all over in the last ten years online doing
- 2:41Speaker 3: such good work. She's been featured in the La Times,
- 2:43Speaker 3: the Seattle Times, the International OCD.
- 2:45Speaker 4: She was on Armchair Expert with Dak Shepherd.
- 2:48Speaker 3: She's just so so good at this. She has an
- 2:51Speaker 3: amazing following online. Everyone will be able to find her later.
- 2:54Speaker 3: And on this episode, we just wanted to get into
- 2:56Speaker 3: anxiety and rumination and why so many of us suffer
- 3:00Speaker 3: from it. Everyone has anxiety and everyone struggles with it,
- 3:03Speaker 3: and everyone wants to know how do we get.
- 3:04Speaker 1: Rid of it? And I'm excited to dig it.
- 3:06Speaker 3: On this episode, I wanted to start with a little
- 3:11Speaker 3: bit of something that I struggle with personally, is when
- 3:15Speaker 3: there's uncertainty in my life, how much anxiety it causes me.
- 3:21Speaker 3: And when that uncertainty shows up, whether it's is this
- 3:25Speaker 3: job the right job for me? Do I need to
- 3:28Speaker 3: switch jobs? Whether it's my health and what can happen
- 3:32Speaker 3: in the future, whether it's you know, a girl that
- 3:35Speaker 3: I've been dating in the past and she hasn't responded
- 3:38Speaker 3: if she likes me, right, like, when that certainty shows up,
- 3:41Speaker 3: I get so much anxiety and it just creates this
- 3:45Speaker 3: voice in my head that makes me feel like stuck.
- 3:51Speaker 1: Is that normal?
- 3:52Speaker 5: Yes, it's very normal. Anxiety is in a very normal
- 3:58Speaker 5: human emotion that is trying to keep you safe. So
- 4:04Speaker 5: if your brain detects a potential danger, it's going to
- 4:08Speaker 5: set out an alarm in your system, whether that be
- 4:12Speaker 5: through physical discomfort, your heart increases, your tummy hurts, or
- 4:17Speaker 5: it's going to increase by having you go over very quickly.
- 4:21Speaker 5: All the potential possibilities and how can we solve this
- 4:24Speaker 5: so that it doesn't happen. That is why we are alive.
- 4:29Speaker 5: That anxiety response stops you from putting your hand on
- 4:33Speaker 5: the hot plate at home, it stops you from running
- 4:36Speaker 5: out onto a highway. However, there are people who are
- 4:40Speaker 5: genetically set up to have more anxiety, and that alarm
- 4:45Speaker 5: gets set off way sooner than necessary, or in situations
- 4:50Speaker 5: that actually aren't dangerous, but we experience them as being dangerous.
- 4:54Speaker 2: So someone is feeling a ton of anxiety, it's affecting
- 4:56Speaker 2: their life in a big way, and they go to therapy.
- 5:00Speaker 2: How are you supporting someone through that through that journey?
- 5:04Speaker 2: Do you sounds like you don't get rid of it? Right? Okay, great,
- 5:09Speaker 2: so then what do you do?
- 5:11Speaker 5: Well, it's a loaded question. So the first thing I
- 5:14Speaker 5: do when I'm with clients is we readjust expectations and
- 5:18Speaker 5: what I don't I don't mean that we lower your expectation.
- 5:21Speaker 5: We adjust it. Because you've got to understand that if
- 5:25Speaker 5: you're trying to get rid of anxiety, you're actually fueling
- 5:31Speaker 5: more anxiety. We all have it. We all have anxiety.
- 5:35Speaker 5: But if your response to anxiety is oh, no, I
- 5:38Speaker 5: don't want this, this is bad, this is terrible, you're
- 5:41Speaker 5: actually training your brain to be anxious about anxiety, right,
- 5:46Speaker 5: And so the goal isn't to get rid of it. However,
- 5:49Speaker 5: that's not to say there are so many different modalities.
- 5:53Speaker 5: I'm a cognitive behavioral therapist that help people overcome anxiety,
- 5:57Speaker 5: meaning it doesn't take up their functioning anymore, it doesn't
- 6:01Speaker 5: take away their quality of life. So I want to
- 6:04Speaker 5: sort of give people hope, like you can go on
- 6:07Speaker 5: to live a life where anxiety doesn't make the shots,
- 6:10Speaker 5: it doesn't make your decisions. You can live here. I
- 6:12Speaker 5: live my life every day where anxiety doesn't call the shot.
- 6:15Speaker 5: That doesn't mean I'm rid of anxiety.
- 6:18Speaker 2: Right.
- 6:19Speaker 3: That was a big thing that can really helped me
- 6:21Speaker 3: with Years ago. It was always I talked about this before,
- 6:24Speaker 3: Why am I so anxious? I don't like that I'm anxious?
- 6:27Speaker 3: And then that thought alone made me more anxious, and
- 6:30Speaker 3: so for me, and I'd love for you to give
- 6:34Speaker 3: your version of this, but for me, it was, Man,
- 6:37Speaker 3: I'm feeling so anxious right now, And immediately my brain
- 6:40Speaker 3: would go to why I'm maying all that, But instead
- 6:44Speaker 3: it's I'm feeling really anxious right now, And that makes
- 6:48Speaker 3: a ton of sense. Yeah, something happened with my job recently,
- 6:52Speaker 3: and I'm in a new environment and the future is unknown.
- 6:55Speaker 3: It's completely normal to be anxious. So what are a
- 6:57Speaker 3: couple of things I can do right now to help
- 6:59Speaker 3: me get another job?
- 7:01Speaker 4: Yeap.
- 7:01Speaker 3: People want to get rid of anxiety, and that's the problem. Yeah,
- 7:05Speaker 3: that you learn how to live with it, you get.
- 7:08Speaker 5: To want to get rid of it. No one wants
- 7:10Speaker 5: to suffer, Yeah, right, So it makes sense that we
- 7:12Speaker 5: don't want it, but my job is to teach people
- 7:16Speaker 5: how to have a different relationship with it. You cannot
- 7:21Speaker 5: want it, you cannot like it. But if your reaction
- 7:24Speaker 5: is contraction, you are making it worse. You are strengthening
- 7:29Speaker 5: that cycle in your brain, and you will have more anxiety.
- 7:32Speaker 5: So I'll always say to clients, like, the work we
- 7:35Speaker 5: do in therapy is for the like one month you
- 7:39Speaker 5: in a month's you're not going to get an immediate
- 7:41Speaker 5: Maybe you'll get some relief like just being and feeling
- 7:44Speaker 5: heard and feeling understood and feeling like you've got a
- 7:47Speaker 5: direction and skills. That's really important. But we're actually changing
- 7:51Speaker 5: the neuropathways in our brain today so that we can
- 7:56Speaker 5: help the six month us or the three months us.
- 8:00Speaker 2: Yeah, I feel like it's the five year me. Yeah,
- 8:02Speaker 2: like I worked on stuff five years ago in therapy
- 8:05Speaker 2: that I'm like, thank god in my relationship now, Yes,
- 8:08Speaker 2: thank god I've worked on that.
- 8:09Speaker 1: Yeah.
- 8:09Speaker 5: Yeah, a lot of anxiety too, And this is hard.
- 8:13Speaker 5: We do a lot. To answer your question again, so
- 8:16Speaker 5: someone comes into therapy with me, the first part of
- 8:18Speaker 5: therapy is education. It's not like tell me how you
- 8:22Speaker 5: feel like, that's not the kind of therapy that I do.
- 8:25Speaker 5: It's a lot of education. Having them understand why their
- 8:28Speaker 5: brain keeps tricking them, of course, why they end up
- 8:31Speaker 5: responding in these faulty ways. Like having them understand that
- 8:35Speaker 5: is so important. And then we put together a plan
- 8:38Speaker 5: of attack and the plan of it because it is
- 8:41Speaker 5: a game. It's a game you play with anxiety. If
- 8:45Speaker 5: you do what anxiety wants you to do, anxiety will win.
- 8:49Speaker 5: It will win. And so we are playing a game.
- 8:52Speaker 5: It's like who gets the most points, anxiety or you?
- 8:55Speaker 5: And we look at how can we get more points
- 8:58Speaker 5: than anxiety can get? And that often means we face
- 9:01Speaker 5: our fears, we do the things that scare us. And
- 9:05Speaker 5: let's say we're in the first session and they're like,
- 9:07Speaker 5: I love that, Kimberly, I can. I know it works,
- 9:10Speaker 5: the science shows that, but is there another package goodbye
- 9:16Speaker 5: that requires me to just not have the anxiety and
- 9:19Speaker 5: then I'll be fine? Yeah? And I always say, if
- 9:22Speaker 5: they can figure that out, we can go into business
- 9:25Speaker 5: and we'll make millions of dollars. But that's not likely.
- 9:27Speaker 5: Even with medication, you're still going to need to change
- 9:30Speaker 5: your response to anxiety.
- 9:32Speaker 2: So what's the tactic in the moment when someone's feeling
- 9:35Speaker 2: very anxious that they can incorporate and use to reduce
- 9:39Speaker 2: our anxiety.
- 9:40Speaker 5: Well, there are so many pieces to this, and it
- 9:43Speaker 5: does take a while, Like this would have to be
- 9:45Speaker 5: like a six hour podcast, which I know we can't
- 9:47Speaker 5: do today. But I think one of the most important
- 9:50Speaker 5: things to take away is just because you think something
- 9:55Speaker 5: doesn't mean it's true. A thought is not a fact.
- 10:01Speaker 5: We don't have to respond to every thought we have.
- 10:05Speaker 5: We have hundreds and thousands of thoughts a day. Most
- 10:09Speaker 5: of them are trash, right, So you can put many
- 10:14Speaker 5: of the especially the anxious ones, you can put a
- 10:17Speaker 5: lot of them in the spam folder. They do not
- 10:19Speaker 5: require our attention. They don't require us to be like
- 10:23Speaker 5: solving them and resolving them and relieving ourselves from them.
- 10:27Speaker 5: We can just be like, oh, thanks, brain, good one, Yes,
- 10:30Speaker 5: I hear you, Thank you, and then move on.
- 10:33Speaker 1: Why do the thoughts feel so real?
- 10:36Speaker 3: Like you think you have the thought, and you're like, oh,
- 10:38Speaker 3: it's definitely real, a real thought, it's true, and it
- 10:40Speaker 3: gets you're like in your gut, You're like, this is real,
- 10:43Speaker 3: But how do you know it's not? How do you
- 10:44Speaker 3: know if you should ignore a thought or you should
- 10:46Speaker 3: listen to a thought.
- 10:47Speaker 5: Well, I would say if it feels urgent, and if
- 10:51Speaker 5: you looked around and there's not a bus coming for you,
- 10:53Speaker 5: like if your actual core fear, you're you're probably it
- 10:56Speaker 5: probably is a thought.
- 10:57Speaker 4: Yeah that's true.
- 10:59Speaker 5: You know, and I know that this is where it's
- 11:02Speaker 5: very nuanced. Right, Like, let's talk about an example of
- 11:04Speaker 5: health anxiety. So someone might have a headache and then
- 11:08Speaker 5: have the thought, what if this is a brain tumor.
- 11:11Speaker 1: I literally have that a brain tumor. Yeah, I have
- 11:14Speaker 1: to start and no, I have this thought.
- 11:27Speaker 2: I know.
- 11:30Speaker 5: It doesn't do anything.
- 11:32Speaker 4: What looking what doesn't?
- 11:34Speaker 2: It just doesn't do anything. It isn't anxious.
- 11:42Speaker 5: Don't don't treat thoughts like they're.
- 11:44Speaker 2: In Wow, that was deep.
- 11:47Speaker 1: It's funny.
- 11:47Speaker 4: I literally will get that is all knocking on what
- 11:49Speaker 4: is like, don't jinx it.
- 11:52Speaker 2: It's just like I had an anxious thought and you responded, yeah,
- 11:56Speaker 2: don't do that.
- 11:58Speaker 1: Gosh, Kevin, why did you do?
- 11:59Speaker 2: That's just learned something. I just learned something.
- 12:05Speaker 1: That's right.
- 12:05Speaker 2: So by knocking on the word, you're feeding the anxious thought.
- 12:08Speaker 5: Yeah, unless you have some special magical like magic. I
- 12:11Speaker 5: don't know about knocking on wood does not help your outcome.
- 12:15Speaker 1: Yeah, but we think we can. By knocking on the wood,
- 12:18Speaker 1: we're helping prevent a certain It.
- 12:20Speaker 5: Makes you feel like you have some certainty.
- 12:23Speaker 3: See, I have to sit with the uncertainty that maybe
- 12:26Speaker 3: down the road I could get a brain tumor.
- 12:29Speaker 5: And the thought. Just because we have thoughts doesn't mean
- 12:33Speaker 5: it's fact. So even if I have a thought that
- 12:35Speaker 5: it could be a brain tumor, I'm still not going
- 12:38Speaker 5: to give it that attention. Now, this takes thousands of
- 12:40Speaker 5: wraps of practice. But how do you get really awesome biceps? Yeah,
- 12:45Speaker 5: you do dozens and dozens of bicep calls and it's
- 12:49Speaker 5: totally worth it. Right, So it's just a muscle that
- 12:52Speaker 5: you have to strengthen.
- 12:53Speaker 2: Yeah, so is it the self talk muscle? Is that
- 13:12Speaker 2: all we're strengthening when you talk about doing that? Like,
- 13:14Speaker 2: what is the equivalent of the curl for anxiety?
- 13:18Speaker 5: It's a really good question. It is both. Well, again,
- 13:20Speaker 5: I'm a cognitive behavioral therapist, so it's not just cognitions. Okay,
- 13:24Speaker 5: cognitions alone, So I could go and I'm not. Let
- 13:28Speaker 5: me be clear, I'm not saying it's not a tumor.
- 13:31Speaker 5: I'm not saying because I don't know that, I'm not
- 13:34Speaker 5: brainwashing myself with positivity. I'm saying maybe it is, but
- 13:38Speaker 5: we're not tending to it right now. I'll probably roll
- 13:41Speaker 5: my eyes and be like, thank you brain once again
- 13:43Speaker 5: for trying to bring my attention to this. But right
- 13:45Speaker 5: now it's like Monday, and I want to hang out
- 13:47Speaker 5: with my friend Kevin Ben, So we're not doing this
- 13:50Speaker 5: right now. So there is a cognitive component, but the
- 13:53Speaker 5: behavioral component is also that I'm not going to tighten
- 13:57Speaker 5: my shoulders and I'm not going to be hyper vigil
- 13:59Speaker 5: and kind of feel the back of my head. I'm
- 14:02Speaker 5: not going to sit on the cop Sometimes when I'm
- 14:04Speaker 5: really anxious, like ten out of ten, nine out of ten,
- 14:07Speaker 5: you probably resonate with this is like you can't do anything.
- 14:10Speaker 5: You just kind of like stare at the cup and
- 14:12Speaker 5: be like I can't move, like I'm so freaked. You're
- 14:17Speaker 5: so you can get stuck. And so for me it
- 14:19Speaker 5: would be like Kimberly, you're stark, right, Okay. What would
- 14:24Speaker 5: the non anxious me do right now? They would wash
- 14:28Speaker 5: the dishes? Okay, I'm going to get up and I'm
- 14:31Speaker 5: going to go wash the dishes, and I'm going to
- 14:33Speaker 5: feel the feeling of the SuDS on my hands, the
- 14:35Speaker 5: warmth of the water, the feeling of the gloves, or
- 14:38Speaker 5: whatever it might be. I'm going to bring my attention
- 14:40Speaker 5: back to the present. I'm not going to wash the
- 14:42Speaker 5: dishes while going Well, it could be a humor and
- 14:44Speaker 5: I die and I wouldn't see my kids get married.
- 14:46Speaker 5: And I'm that's just ruminating. Yeah, So it's cognitive and
- 14:50Speaker 5: its behavioral.
- 14:51Speaker 2: So the babyel just is acting yourself out of the anxiety.
- 14:55Speaker 5: The question that I probably ask every day to most
- 15:00Speaker 5: of my clients is what would you do if anxiety
- 15:03Speaker 5: wasn't here? Go do that?
- 15:05Speaker 2: Hmm, what would you do if anxiety wasn't here? Go
- 15:08Speaker 2: do that? Nice?
- 15:10Speaker 3: Yeah, I was gonna ask about more about rumination now,
- 15:14Speaker 3: because when you get anxiety, you get worried, and then
- 15:17Speaker 3: you ruminate about that worry, and then it makes anxiety less.
- 15:21Speaker 1: What are some tactics to stop the ruminating?
- 15:26Speaker 5: They're very similar to what I had just talked about.
- 15:28Speaker 5: So number one is awareness, because most of us are
- 15:33Speaker 5: ruminating and we don't even know it. Yeah, I just
- 15:36Speaker 5: pulled on social media and said how much of the
- 15:38Speaker 5: day do you spend ruminating? The majority said ninety percent.
- 15:42Speaker 1: Wow, yeah, sounds a right.
- 15:44Speaker 5: But the thing is that doesn't mean they're just sitting
- 15:46Speaker 5: on a couch thinking. Most of them are out and about,
- 15:48Speaker 5: highly functioning. They're a lawyer, they're a mom, they're a teacher,
- 15:53Speaker 5: they're in high school. But while they're doing those things,
- 15:57Speaker 5: they're ruminating.
- 15:59Speaker 1: This is me, It really is, Like, I.
- 16:03Speaker 2: Agree, that's true.
- 16:06Speaker 3: I ruminate all day every day close to and I
- 16:10Speaker 3: try not to, but I ruminate. It's just subconscious now,
- 16:13Speaker 3: and I'll be doing multiple things at once. I'll be
- 16:17Speaker 3: working on a podcast prep episode, I'll be focusing on
- 16:20Speaker 3: the work I have to get done later, and I'll
- 16:22Speaker 3: be ruminating about something that happened last night, and I'll
- 16:24Speaker 3: be worrying about something in the future.
- 16:26Speaker 5: Why are you doing that? And I don't mean that
- 16:28Speaker 5: in like a judgmental way, Like what when when you're
- 16:31Speaker 5: working with someone on rumination, I want to know what
- 16:35Speaker 5: benefit it brings you, because it does. Just like imagine
- 16:37Speaker 5: if someone's drinking or an alcoholic, I also want to
- 16:40Speaker 5: it's obviously benefiting them in some way. They're not doing it,
- 16:45Speaker 5: you know, just to punish themselves. There's a benefit. So
- 16:47Speaker 5: what's the benefit to you? How does it very help?
- 16:52Speaker 3: It doesn't help any I know, it doesn't help. It
- 16:55Speaker 3: gives me the illusion.
- 16:56Speaker 5: Of comfort, so it does it gives you short term relief?
- 17:00Speaker 3: Yeah, yeah, And I think the soothing, the wanting to
- 17:04Speaker 3: soothe my anxiety is the compulsion, right. I don't want
- 17:08Speaker 3: to feel anxiety, so I ruminate about it, and the ruminating,
- 17:13Speaker 3: I think will give me relief. Yeah, And I look
- 17:15Speaker 3: to ruminate to give myself relief. I don't really ever
- 17:19Speaker 3: get relief, but I think I will, and I guess
- 17:23Speaker 3: I do get it when I think I solve it
- 17:26Speaker 3: in my brain when there's a when I tie the
- 17:28Speaker 3: pieces together and somehow makes sense, I do it. And
- 17:31Speaker 3: then I call Kevin like, yoah, I figured it out,
- 17:33Speaker 3: Like that doesn't make sense to me? Yeah, what are
- 17:35Speaker 3: you talking? And I'm like, oh, only in my head
- 17:36Speaker 3: it makes sense, yeah, because it actually isn't. It's mixed
- 17:40Speaker 3: in my brain. And then somehow I think I've solved it.
- 17:44Speaker 5: Well, you've kind of answered the question yourself, because you
- 17:47Speaker 5: kind of work what I heard you say. But correct
- 17:49Speaker 5: me if I'm wrong, is it does give you some
- 17:52Speaker 5: little spurts of relief, and it does give you relief
- 17:56Speaker 5: from the physical discomfort that you feel in that moment.
- 18:00Speaker 5: So it's working right right, except it's not right right,
- 18:05Speaker 5: And so the next step once you can become aware
- 18:08Speaker 5: of it, and that's number one, I'll have you do logs.
- 18:10Speaker 5: I'll have you jot it down. We want to know
- 18:12Speaker 5: when you're ruminating, what's the You know, often there's it
- 18:15Speaker 5: could be all day, but often it's like, oh, it's
- 18:18Speaker 5: the worst in the evening, or it's worse in the morning,
- 18:20Speaker 5: or it's worse when I'm around my partner, or it's
- 18:23Speaker 5: worse when I've got a date. Like we can find
- 18:26Speaker 5: like little tricks and clues. But then you answered it
- 18:30Speaker 5: is you don't want to feel your feelings. So the
- 18:32Speaker 5: next step is, can we practice, in small baby steps
- 18:37Speaker 5: feeling your feelings skillfully, And we'll start with thirty seconds,
- 18:41Speaker 5: we'll start with ten seconds, and you'll build up from
- 18:45Speaker 5: there and you'll start to notice some sort of mastery
- 18:50Speaker 5: of oh, I can feel a feeling.
- 18:52Speaker 1: Now.
- 18:52Speaker 5: Most of the time when people say, oh, I found
- 18:55Speaker 5: the solution, once they learn how to not ruminate, they
- 18:58Speaker 5: realize it wasn't actually the ruminating, it was just time
- 19:01Speaker 5: to help them find the solution. And I'll often say
- 19:04Speaker 5: to people, schedule time to solve problems. Someone asked me
- 19:08Speaker 5: last week, but I have to go to Florida next week,
- 19:12Speaker 5: so I need to sit down and like, book the hotel,
- 19:15Speaker 5: book the rental, pack my bag. Are you telling me
- 19:19Speaker 5: I can't plan for the future, And I'm like, no,
- 19:23Speaker 5: we want to have very very stern rules of like
- 19:26Speaker 5: there are times when you sit down and you get
- 19:28Speaker 5: work done, but beyond that time, we don't solve that thing.
- 19:33Speaker 5: It doesn't mean you can't problem solve. If you know
- 19:36Speaker 5: that you're going to Florida next weekend, you can say,
- 19:40Speaker 5: from five o'clock to five thirty, I'm going to book
- 19:43Speaker 5: the rental, I'm going to book the hotel, I'm going
- 19:45Speaker 5: to pack look at what I need to pack. But
- 19:47Speaker 5: then beyond that, after that, your job is to be
- 19:51Speaker 5: uncertain and be uncomfortable with the anticipatory anxiety about that event.
- 19:57Speaker 5: And then it's feeling your feelings and if you can
- 20:00Speaker 5: learn to have any discomfort and soften around it and
- 20:05Speaker 5: to be tender with yourself and say to yourself. Listen,
- 20:08Speaker 5: I feel it. I know it's here, this emotion or
- 20:11Speaker 5: this tightness in my chest. Don't call it. Some people
- 20:14Speaker 5: will say, no, it's a bad feeling. Don't say that,
- 20:16Speaker 5: because that's just going to make your brain think that
- 20:18Speaker 5: it's unsafe. I'm noticing. Just get really granular. I'm noticing
- 20:22Speaker 5: a tightness in my chest. It's hard to breathe right.
- 20:26Speaker 5: And how can I just soften and allow that feeling
- 20:29Speaker 5: to be there as it rises and falls on its own,
- 20:31Speaker 5: because it will, it will rise and fall on its own.
- 20:36Speaker 5: And how can you have a relationship with it where
- 20:40Speaker 5: it's not the problem and you're not going to treat
- 20:42Speaker 5: it like it's a problem. It's just a part of
- 20:44Speaker 5: being a human. The response, the actual getting rid of
- 20:48Speaker 5: anxiety is paradoxical because you actually have to do the opposite,
- 20:52Speaker 5: and which is to stay and not run, act as
- 20:57Speaker 5: if there's not danger. It's a complete opposite. I actually
- 21:01Speaker 5: had a client once it was like, so you're basically
- 21:03Speaker 5: telling me to do the opposite of fear every time,
- 21:06Speaker 5: And I was like, well, I'm not absolutely saying that,
- 21:10Speaker 5: but he was like, that works for me, that makes
- 21:12Speaker 5: sense to me. Let me try that for a week
- 21:15Speaker 5: and he came back and he was like, that blew
- 21:16Speaker 5: my mind.
- 21:17Speaker 2: So do the opposite of fear. Brain tells you this
- 21:20Speaker 2: is dangerous. Do the opposite as if it's not. Was
- 21:24Speaker 2: that other practice of that client, Yeah, yeah.
- 21:26Speaker 5: Because he wanted to run. He wanted to avoid every time.
- 21:30Speaker 5: Avoidance is huge. Rumination is huge. Avoidance is huge, right.
- 21:35Speaker 5: You know we talked about, you know, loss of functioning
- 21:38Speaker 5: from anxiety. The other big issue is quality of life.
- 21:43Speaker 5: And most of the time, by at the time someone
- 21:44Speaker 5: sits across from me, they have said no and avoided
- 21:50Speaker 5: so much in their life, the things that really matter.
- 21:53Speaker 5: Often by the time they see me, nothing matters. They
- 21:56Speaker 5: don't even know what the point of being a human
- 21:58Speaker 5: is because they've stopped there hobbies, they've stopped their relationships,
- 22:02Speaker 5: they've stopped going to coffee. Maybe they took the job
- 22:06Speaker 5: they didn't want out of fear. It's an Avoidance is
- 22:09Speaker 5: a big piece of anxiety as well.
- 22:11Speaker 2: Hmm.
- 22:12Speaker 3: Some of the best advice I got around the fear
- 22:16Speaker 3: of like I don't want to do something because I'm
- 22:18Speaker 3: afraid something bad will happen, or what's it going to
- 22:22Speaker 3: be like if it doesn't work out the way I
- 22:24Speaker 3: want to do it. Some I think meet you or
- 22:26Speaker 3: my mom or my current therapist. I forgot who gave
- 22:28Speaker 3: it was like, I don't care if you're scared, do
- 22:31Speaker 3: it anyway.
- 22:31Speaker 5: That would have made me.
- 22:34Speaker 3: She's like, do it scared, yeah, and that was like
- 22:37Speaker 3: I was like, oh, Like, I don't know if I'm
- 22:38Speaker 3: ever going to get rid of the fear.
- 22:40Speaker 4: The fear is just whatever, the fear is there. Yeah,
- 22:42Speaker 4: it doesn't matter why it's there.
- 22:44Speaker 1: I just get.
- 22:45Speaker 3: Everything scared now and it gets less scary over time,
- 22:49Speaker 3: but the initial fear is always big. But the muscle
- 22:52Speaker 3: of doing it scared now is a muscle.
- 22:55Speaker 5: Yes.
- 22:55Speaker 4: I just like, don't put the exact same weight on
- 22:59Speaker 4: the fear.
- 23:00Speaker 1: Yes, just do it. Yes, And you know, sometimes it doesn't.
- 23:03Speaker 3: Work out, but it's better than doing something different or
- 23:06Speaker 3: not doing it.
- 23:07Speaker 4: Yeah.
- 23:07Speaker 5: So I have a podcast and at the very end
- 23:09Speaker 5: of every podcast we say the same thing, which is,
- 23:12Speaker 5: it's a beautiful day to do hard things. And that's
- 23:14Speaker 5: because in anxiety we just want to avoid hard things
- 23:18Speaker 5: all the time. Life's hard enough when you have anxiety.
- 23:21Speaker 5: The idea of like I don't want to make it worse,
- 23:24Speaker 5: but that's again that paradoxical thing is you have to.
- 23:27Speaker 5: You know you don't have to. I would strongly encourage
- 23:30Speaker 5: you to do the hard things and put in as
- 23:34Speaker 5: many reps as you can. So. The clients of mine
- 23:37Speaker 5: who do really well, whether it's generalized anxiety, OCD, health anxiety,
- 23:41Speaker 5: social anxiety, panic disorder, you know, phobia, whatever it might be.
- 23:44Speaker 5: The ones who do really well seek out scary things
- 23:50Speaker 5: on purpose. They like can be. And this is where
- 23:53Speaker 5: I say, I don't want to hear you come in
- 23:56Speaker 5: for a session where you're like, you'd be so proud
- 23:58Speaker 5: of me. I had no anxiety this week. I'm like, boom,
- 24:02Speaker 5: not good, not good. I want you to come in
- 24:05Speaker 5: and say you would be so proud of me. I
- 24:07Speaker 5: went on a date this week and I went to
- 24:10Speaker 5: the coffee shop. If they weren't able to, or I
- 24:12Speaker 5: brushed my teeth, if you they weren't able to, like
- 24:15Speaker 5: I want to hear, I had six panic attacks this
- 24:17Speaker 5: week and I let them rise and fall. That's what
- 24:20Speaker 5: I want to hear. I want to hear that you
- 24:22Speaker 5: on purpose did lots of mini raps where you are
- 24:27Speaker 5: building a healthy relationship with physical discomfort and with scary
- 24:32Speaker 5: thoughts where you don't respond.
- 24:36Speaker 1: That's hard.
- 24:37Speaker 5: Yeah, it is hard and it sucks.
- 24:39Speaker 2: Yeah, you talked about self talking and the cognitive part
- 24:59Speaker 2: that first piece. Can you actually say some things that
- 25:02Speaker 2: you would suggest someone says to themselves. You've sort of
- 25:06Speaker 2: done it here and there. But if you had, like
- 25:10Speaker 2: someone that's in the middle of that rumination it's in
- 25:12Speaker 2: the middle of anxiety, or someone you know had We
- 25:14Speaker 2: did a Q and A on on social We got
- 25:16Speaker 2: a bunch of people. We asked, you know, if you
- 25:18Speaker 2: have questions on anxiety and rumination, and one was I
- 25:22Speaker 2: get deep into rumination and it's always late at night.
- 25:25Speaker 2: I wake up at two in the morning and then
- 25:28Speaker 2: I can't fall back asleep for hours because I just
- 25:30Speaker 2: start ruminating about all this stuff that I'm anxious about. Yeah,
- 25:34Speaker 2: like in that moment, they can't go into another behavior.
- 25:37Speaker 2: They can they can't go act. There's two in the morning. Yeah,
- 25:40Speaker 2: what do you do?
- 25:41Speaker 5: So it's funny. I just did an episode on this
- 25:43Speaker 5: as well. Was a question that I got. So the
- 25:46Speaker 5: thing to remember here is you can't just show up
- 25:50Speaker 5: to the golf course and expect yourself to swing beautifully
- 25:55Speaker 5: if you haven't practiced a lot, you know, during the day,
- 26:00Speaker 5: like at other times. So for this person, you're going
- 26:03Speaker 5: to need to practice these skills sort of that we've
- 26:05Speaker 5: been talking about today on repeat during the day so
- 26:10Speaker 5: that you get a benefit in those moments when the
- 26:13Speaker 5: lights are out. You can't of distract, you can't avoid,
- 26:16Speaker 5: So it is work. I give a lot of homework
- 26:20Speaker 5: because it is work. What we're doing. We're having to
- 26:23Speaker 5: change massive neuropathways in your brain, so it does take reps.
- 26:26Speaker 5: So I would encourage them to be practicing bringing their
- 26:29Speaker 5: attention catching like we were talking about catching the rumination
- 26:33Speaker 5: during the day, bringing your attention back to the present,
- 26:36Speaker 5: you know, not treating thoughts like they're important, responding like
- 26:40Speaker 5: the non anxious you would like, and do it on repeat,
- 26:43Speaker 5: like again and again and again and again. Like I
- 26:45Speaker 5: really just want to stress here that it's really the
- 26:48Speaker 5: same practices over and over again. That's where you get
- 26:51Speaker 5: the biceps you're looking for. The other thing here is
- 26:55Speaker 5: our brain gets loud at night. I strongly encourage you
- 27:00Speaker 5: to have a pre planned thing, a practice, a routine
- 27:04Speaker 5: that you will use at night. For me, if I
- 27:08Speaker 5: wake up in the night and I'm anxious, it's usually
- 27:10Speaker 5: because I've got some stress during the day or something's
- 27:12Speaker 5: bothering me during the day. I plan my ninetieth birthday.
- 27:16Speaker 2: You plan your ninetieth birthday.
- 27:18Speaker 5: Every time I've planned.
- 27:21Speaker 4: It's such a such an interesting I've never advice.
- 27:25Speaker 5: I'm not. I have planned cowboy birthday parties. I have
- 27:31Speaker 5: planned themed birthday parties. I have planned. You just pick
- 27:37Speaker 5: a new theme and you plan it.
- 27:39Speaker 1: And what would you do on your ninetieth birthday? Cav
- 27:42Speaker 1: What would you do on your ninetieth birthday?
- 27:44Speaker 2: Oh my god?
- 27:47Speaker 5: If you just plan it, and it's better than ruminating
- 27:51Speaker 5: about ship, you can't contry.
- 27:53Speaker 2: You're redirecting your thoughts. So smart.
- 27:58Speaker 1: Okay. Wow.
- 27:59Speaker 5: So it's like, Okay, I'm really worried about that one
- 28:02Speaker 5: client of mine. I'm really worried about my son or
- 28:05Speaker 5: my daughter, or my husband or or my parents or
- 28:07Speaker 5: any of those things. And I go, Okay, you're ruminating.
- 28:10Speaker 5: Number one. I've become aware. Number two, you can't do
- 28:12Speaker 5: anything about it right now. It's three in the morning,
- 28:15Speaker 5: right and it's not kind to do it right now.
- 28:18Speaker 5: So let's pick a theme. Okay, toy story, let's go
- 28:23Speaker 5: all right, we're gonna need toy story themed tablecloths, toy
- 28:27Speaker 5: story themed cups, what outfit I'm gonna be Buzz light
- 28:31Speaker 5: Year or whatever his name is. Like, that's what I
- 28:33Speaker 5: do until I fall asleep, and that works. This is
- 28:38Speaker 5: not science proved what it works for it, but it
- 28:40Speaker 5: is a skill of cognitive hero therapy, which is attention control.
- 28:45Speaker 2: Ah, so the skill you're actually basing this off of
- 28:49Speaker 2: is attention control because what's happening. I'm trying to just
- 28:52Speaker 2: really get specific on this. When we ruminate, our attention
- 28:55Speaker 2: is focused on the anxiety.
- 28:56Speaker 5: The future, on the future, on the uncertain, catastrophes.
- 28:59Speaker 2: The catastrophes, and that causes to go down that spiral.
- 29:03Speaker 2: And then said, you're just redirecting the attention.
- 29:05Speaker 5: So again, it's a game. Who gets the point? Is
- 29:09Speaker 5: anxiety getting the point? Or am I getting the point?
- 29:11Speaker 5: If I'm planning my ninetieth birthday out of you know,
- 29:14Speaker 5: and the theme is Cowboys, I get the point.
- 29:18Speaker 2: Yeah, Okay, can we double click on that the game thing?
- 29:20Speaker 2: Because you said that earlier, So how I understand that
- 29:25Speaker 2: is that the anxiety is ever going to stop. That's
- 29:28Speaker 2: an opponent that you're playing against. Yeah, and you can
- 29:31Speaker 2: play some defense. But if you just play defense and
- 29:34Speaker 2: don't play any offense, you're never gonna win the game. Yeah,
- 29:36Speaker 2: so you actually have to redirect by playing some offense
- 29:39Speaker 2: the attention. Yeah, is that what you're playing? Yeah, amazing.
- 29:42Speaker 5: So you do play defense and you play offense. It
- 29:45Speaker 5: has to be a balanced game because you can play
- 29:48Speaker 5: just one, but your outcomes are better if you've got
- 29:50Speaker 5: offense and defense. So yes, during the day, you're playing offense. Right,
- 29:56Speaker 5: How can I face my anxiety? How many reps can
- 29:58Speaker 5: I get in of being anxious, being uncomfortable? Bringing my
- 30:02Speaker 5: attention to the future? You like, I call it the
- 30:05Speaker 5: hundreds game. Get me a hundred points today. That's your homework.
- 30:10Speaker 5: I need one hundred points, and one.
- 30:11Speaker 2: Hundred points is through behaviors, just through new actions, is
- 30:14Speaker 2: through facing the fears, not running.
- 30:17Speaker 5: Yeah. Then at the in the for the rest of
- 30:20Speaker 5: the day, when you're not accumulating points, you are practicing
- 30:23Speaker 5: you sometimes defense like a good one, Brain, Yeah, like sometimes.
- 30:27Speaker 2: You love that one. Yeah, it's because it's funny.
- 30:29Speaker 5: It is, well, you can go as fire as brain.
- 30:32Speaker 2: I love how you're trying to get me scared again.
- 30:36Speaker 5: Yeah, I always say, bring on the drama brain like,
- 30:39Speaker 5: it's like fine, Like sometimes you were.
- 30:41Speaker 2: Doing a weird voice. I've heard about that.
- 30:44Speaker 5: Yes, yes, I've had clients. I don't personally, but sometimes
- 30:47Speaker 5: I'm even like brain.
- 30:50Speaker 4: Pick up.
- 30:52Speaker 5: I actually have a client who does it in like
- 30:54Speaker 5: a Texas accent, and it makes me. I can't do it.
- 31:00Speaker 5: It actually makes me laugh and I actually blush every
- 31:03Speaker 5: time he does it because I'm just.
- 31:04Speaker 6: Like, oh my god, it's so uncomfortable, but it's so funny.
- 31:08Speaker 6: It is so funny that you know it's fine, like
- 31:11Speaker 6: anything that helps you diffuse from the thoughts as if
- 31:14Speaker 6: they're important, so you can put your own swing to it.
- 31:18Speaker 3: One therapist told me to give it like a nickname,
- 31:20Speaker 3: and the nickname that like you can make fun of
- 31:22Speaker 3: it like Johnson yea, hey, Billy.
- 31:24Speaker 1: Bobby, you're funny.
- 31:25Speaker 4: Yeah, Billy Bob, what are you doing here?
- 31:27Speaker 1: Get out of it?
- 31:28Speaker 3: Like it just like and you're really try to make
- 31:29Speaker 3: yourself laugh. Another one I do is like I yell,
- 31:32Speaker 3: bring it on, Yes, I'm like, let's fucking go, let's go.
- 31:36Speaker 3: I was like, I will fuck you up and.
- 31:38Speaker 4: I will literally like come on, what you want to
- 31:40Speaker 4: do it?
- 31:41Speaker 1: Take take my job? Will take my money. Take. I
- 31:43Speaker 1: was like, I got this, like, don't mess.
- 31:44Speaker 3: With me, and then I get like angry at it,
- 31:47Speaker 3: and then I feel stronger than that thing I'm afraid of.
- 31:52Speaker 5: Because if anxiety is at a ten out of ten,
- 31:55Speaker 5: you have to match it attitudinally.
- 31:58Speaker 1: What yeah, yeah, attitudally yeah. Oh, because anxiety is so intense.
- 32:04Speaker 5: Yes, if it's a magic with ten or higher. If
- 32:09Speaker 5: it's at a three, yeah, you could be like oh
- 32:11Speaker 5: good one brain and this walk like that. But if
- 32:13Speaker 5: it's at a ten and ten, that's the attitude you
- 32:16Speaker 5: need to come right too, bigger than yeah.
- 32:20Speaker 1: Yeah, that's great advice.
- 32:21Speaker 2: That's really great advice in whatever emotional state. Maybe it's
- 32:25Speaker 2: the aggression, maybe it's laughter. Yeah, but in any.
- 32:30Speaker 5: Yeah, except for the only sort of thing I would
- 32:32Speaker 5: say here is like a caveat is some people get
- 32:35Speaker 5: angry when they're anxious, and then they might throw something. Right,
- 32:39Speaker 5: we're not talking about that. We're talking about like, let's
- 32:41Speaker 5: de off and go year right, And so just for
- 32:45Speaker 5: people listening, I'm not saying like throw your phone right,
- 32:48Speaker 5: like I'll be like in.
- 32:49Speaker 1: A shower screaming like oh.
- 32:50Speaker 5: God, yes exactly, as long as you're still create. You're
- 32:57Speaker 5: doing it in a way where you're saying, bring it.
- 32:59Speaker 5: I want you. I'm willing to be anxious.
- 33:02Speaker 6: But if you're like, I don't want to feel this,
- 33:04Speaker 6: like this is a word like, that's the opposite.
- 33:06Speaker 4: Yeah, that's the opposite, the anxiety worse.
- 33:08Speaker 2: Yeah, I just want to double click as well on
- 33:11Speaker 2: the attention to control. So what another version of that
- 33:16Speaker 2: may be be I want to just give youple more
- 33:18Speaker 2: ideas because and give myself more ideas too, in those
- 33:21Speaker 2: moments you have your ninetieth birthday? Would another one just
- 33:25Speaker 2: be like planning a dream vacation. It doesn't anything, just
- 33:29Speaker 2: anything you can put your attention on.
- 33:31Speaker 5: Anything that is building the you you want to build again,
- 33:38Speaker 5: the management of anxiety is short term discomfort for long
- 33:42Speaker 5: term gains. Rumination and avoidance is short term comfort with
- 33:49Speaker 5: long term discomfort.
- 33:52Speaker 2: So much of you maybe rumination anxiety. I think that
- 33:56Speaker 2: social connection is often and an antidote for it.
- 33:59Speaker 5: Wow, yeah, like so much.
- 34:01Speaker 2: And all that really is to your point is intention control.
- 34:05Speaker 6: Yeah.
- 34:05Speaker 2: Yeah, when you're with someone, it's really difficult. When you're
- 34:08Speaker 2: connecting with someone, it's really difficult to be worrying about
- 34:12Speaker 2: some shit that doesn't exist. Yeah, so if you're with
- 34:15Speaker 2: your friend, you're not ruminating.
- 34:18Speaker 5: And we heal in relationship with people. You know, at
- 34:23Speaker 5: the end of the day, we are relational beings. So
- 34:26Speaker 5: you know, your fear of conflict is probably you know,
- 34:29Speaker 5: the fear of being alone one day and having to
- 34:31Speaker 5: you know, there there's really only four or five core fears.
- 34:35Speaker 5: They all come down to one of them, the most
- 34:38Speaker 5: common being that I'll be alone forever.
- 34:41Speaker 2: Yeah, if someone has that fear, is it the same process?
- 34:45Speaker 2: Is there anything?
- 34:46Speaker 5: Same process?
- 34:47Speaker 2: Same process?
- 34:48Speaker 1: Such good advice, Kim, really.
- 34:50Speaker 2: Thanks so much for coming on.
- 34:52Speaker 5: Thanks for having me.
- 34:53Speaker 3: Can you tell people where they can find you online?
- 34:55Speaker 3: And then she also has had an amazing workbook that
- 34:57Speaker 3: I've taken. Just want me like plug all the things
- 35:00Speaker 3: people can learn, because I think everyone should. She so
- 35:02Speaker 3: much good information online for free yah, and has other stuff,
- 35:06Speaker 3: but yeah.
- 35:07Speaker 5: Thank you. I have a podcast called Your Anxiety Toolkit.
- 35:10Speaker 5: I have a whole bunch of online courses that were
- 35:14Speaker 5: created for folks who can't afford therapy. So I have
- 35:16Speaker 5: a private practice.
- 35:17Speaker 2: Amazing.
- 35:18Speaker 5: I have a private practice in California with staff who
- 35:21Speaker 5: work for me, but we have almost a course for
- 35:25Speaker 5: all of the anxiety conditions, and that is for people
- 35:27Speaker 5: who don't have access to, you know, mental health care.
- 35:33Speaker 5: I have a workbook called the Self Compassion Workbook for
- 35:36Speaker 5: OCD through New Harbinger Publications, and you can catch me
- 35:41Speaker 5: at your anxiety talkit on most social media platforms.
- 35:45Speaker 1: It's so useful.
- 35:46Speaker 3: I've seen the courses, I've done the workbook, I follow
- 35:50Speaker 3: on social media. Even if you just need a little
- 35:53Speaker 3: bit of like support, a little bit of left in
- 35:56Speaker 3: your day, it just makes you feel a little bit
- 35:57Speaker 3: less alone.
- 35:58Speaker 5: Your content's amazing. Thank you. Yeah, it's it's fun.
- 36:01Speaker 4: I love it.
- 36:02Speaker 1: Awesome, thank you amazing.
- 36:05Speaker 2: Hey, thanks for listening. We appreciate you.
- 36:08Speaker 3: If you enjoyed this episode and us embarrassing ourselves and
- 36:11Speaker 3: talking about our feelings, you.
- 36:12Speaker 4: Are definitely going to like everything else.
- 36:15Speaker 2: Follow on on Instagram at free therapy and we'll see
- 36:17Speaker 2: you next time.