Your True Self will help with the Inner Critic.

May 11, 2013 — Dr. Nicholas Jenner

There are a range of books that tell us how to deal with our family of inner critics. Most centre on mantras and progressively aggressive language to deal with them. While this can be useful, we have to remember that by isolating the critic and pushing it away, we are maybe losing an ideal opportunity to work with it. Working on the theory that it is trying to protect the inner child that was wounded and criticised, we can safely say that it is trying to help, albeit in some dysfunctional way. Getting to know and connecting with a critic or critics is a much more effective way of dealing with them and eventually lessening the grip they have.

One of the key aspects in this process is the discovery of the Self. This is the pure part of us that shines through and guides us when we are not being tormented by the host of inner critics that exist within us. It can be said that we are either in Self (curious, open, compassionate) or in torment(taken over by pain and insecurity) at any given time. Finding the Self is the key to healing and seeing the world in a different light. When this can happen, the natural qualities that embody the Self will shine through. For example, the Self promotes connection, helping you to interact socially. You are drawn to meet other people, join groups and be part of the community. The Self also likes to connect with our inner critics, helping to engage with them and aid healing. The Self is interested and inquisitive. It helps you to take natural risks in life, to be interested in people without judging and promotes an understanding of new things. It is also interested in how your inner critics work and why they react the way they do. Finally, the Self is compassionate and helps you to be compassionate towards others and yourself.

To be help the Self shine through, we first have to understand that our inner critics are not aware that the Self exists and feel they need to control to keep us safe. They are fully ignorant of the fact that underneath it all is a part of us that is fully able to deal with life’s issues. They are still in young and scary mode where the inner child is being protected from hurt and rejection. This is the only way they know. They do not trust that the adult can handle situations that the wounded and criticised child couldn’t, so they step in when triggered and take over. They tell us to avoid conflict, not to take risks or act socially..all in the name of protecting the child within us. True healing takes place when we can appreciate and work with the inner critics, rather than pushing them aside to get to the inner child. These critics have been working tirelessly for years helping us to avoid our childhood pain and when we connect with them and appreciate what they tried to do, they can step back and trust us to take over. . To be able to connect with and understand our inner critics, we must be in Self mode and this is done through a process called unblending. When we can accept that the inner critics are protecting our inner child and an attack happens, we can do various things to sooth the inner child. We can comfort it directly with compassion, letting know that you understand the pain and hurt it feels. You can reassure it that the Self will be interacting with the critic and will help it to understand. You can also use imagery to conjure up pictures of comforting your inner child, standing between it and the critic or images of a protective parent soothing the child while your Self talks with the critic. Once your inner critic is isolated, you can speak directly to it, safe in the knowledge that the inner child is being protected. This is where the strength of Self comes in. Rather than scorning and getting angry with the critic, use compassion, curiosity and connection.

Firstly, openly thank them when they appear.

Thank you, I appreciate all you have done for me
I fully understand that you are trying to protect me
I understand the responsibility you carry.
I know you work hard for me
I understand how hard it is to let go

Ask questions (from the stance of curiosity)

I wonder what you are trying to achieve by protecting me this way? (likely answer is to avoid pain, facing change)
What would be the consequences of not calling me lazy, fat or stupid? ( the critic would have less power)
What happened that made it important for you to judge me? (the wounded child was hurt in the same way and it was triggered)

Be compassionate

I accept that you are trying to help but I would like to do this
I accept you fully and as part of me
Please trust me to lead

This process of having a direct relationship with your critics is in stark contrast to most other advice which banishes the critics with images of aggression and violence. By working with the critics, we can promote a healthy, trustful relationship with them that allows our inner child to be healed. This is not a process that happens overnight and can take some time. However, in therapy, a psychologist can promote this process and help the client come through. In my next post, we will be taking the process to the next stage..that is, the healing of the inner, wounded, criticised child.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples, groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need. Online Therapy details : Here ……

The Inner Critic comes in all forms

May 7, 2013 — Dr. Nicholas Jenner

“I am really driven, but my drive doesn’t affect the conversations I have in my head about life, and my worries and fears and insecurities.” Zach Braff .

Following on from my last post about the early influences we experience that can form the inner critic . The concept of an inner critic is well known but most people have to deal with more than one manifestation. There might be one that attacks you for doing too much of something and another who then berates you for being lazy. The advice would be to work with each separately. I will now look at the types of inner critic that can pop up.

We all know it, only too well. It’s that inner voice, that “inner critic,” that seems always present and always keenly prepared to defeat us. When we feel happy, the voice says: “Yeah, this can’t last.” When we’re about to attempt something, it whispers: “Watch out. You’re gonna fail.” And when we do succeed, the voice dismisses: “That was just luck. It won’t happen again.” However, less known is the fact that a number of inner critics can form and work together to keep us in a hole of negativity. Understanding which ones are present and how they combine and appear can help us to counter them and reduce their power. Following are descriptions of the most common ones I have experienced in my day-to-day work.

1. I am a Perfectionist…I need 120%.

I set very high standards for your behavior, your performance and your interaction with others. My demand is that you do these things and everything else perfectly. When you fail, I will attack you and let you know frequently how not good enough you are. Sometimes my demands will mean that you don’t start something or if you do, you won’t be able to finish it for fear of failure and sometimes even success. My message is….. Don’t do anything unless it is 120% perfect. Doing nothing prevents the feelings you will have about failing and keeps my hold over you strong.

2. Trust is good, Control is better…

I will make you feel bad when you want to do something impulsive or addictive. When you are down on yourself and you overeat, use drugs or get angry, I will remind you how disgusting you really are. You see, I am in a constant battle with the impulsive critic who tells you it is ok to do such things.

3. Work, Work, Work…

I will attempt to motivate you by pushing you harder. I will remind you of how lazy, stupid or useless you are . I like to keep you in that hamster wheel for fear of you falling into the clutches of your procrastination critic.

4. Risks are bad…

I know they say that part of life is the taking of risks, the unknown is exciting but not in my book. I will try desperately to undermine your confidence and self-esteem to stop you taking those risks. You see, I am protecting you from hurt and rejection. Who needs success when you can safely do nothing? You will never amount to anything anyway, so why try?

5. Seek and Destroy…..

I am the most dangerous and powerful of your critics. I am the one who attacks your fundamental self-worth, destroying green shoots of recovery before they grow and reminding you that you should not even exist. My sole task is to wipe out your positive energy, creativity and spontaneity.

6. You should feel Guilty….

My job is to remind you of those things you have done or didn’t do or kept secret. I will tell you how guilty you should feel for hurting that person, betraying that value or repeated behavior you should feel ashamed of. I will never forgive you for what I feel you have done and you have to pay. I am only trying to help you avoid the pain by constantly keeping it in the foreground.

7. The Shaper….

I try to get you to adapt to social and family norms by telling you how few friends you have, how socially inept you are and what an outsider you are. I don’t see change as at all positive.

In order to understand the complexity of the inner critic, we must realise that as children, growing up in dysfunction, we absorbed certain things about the world and used survival mechanisms to cope. Part of the mind’s role, the more primal part, is to protect us from danger. In a sense, it is hard-wired to keep us alive and help us survive. As a result, it “records” past incidents that could cause danger and refers to this when similar incidents occur, sometimes years later. It causes us to react to the perceived danger by withdrawing, stopping or pulling back from certain activities, ( of course, this can be useful when walking out in the street in busy traffic). However, it becomes a hinderance when it holds us back from “dangers” that we are meant to “outgrow”. Indeed, the painful experiences our minds record most vividly are from our earliest years: our infancy, our childhood, even our teens. During these early formative years, we were understandably overwhelmed by the world. In our infancy, we were completely dependent; and, as such, we justly interpreted the slightest physical or emotional discomfort as a very threat to our existence. As children, any sense of separation from our parents or other comforting things triggered a sense of panic or fear of abandonment. Any dysfunction around our basic structures such as abuse, divorce, financial ruin, etc had a devastating effect . ny sense of disapproval might be interpreted as complete rejection. Later, in our adolescence, disappointments that would now seem minor felt then like our world was collapsing. Certainly, we know now that we are no longer infants or children. But because these “traumas” occurred during our most basic developmental years – when our minds were literally “looking” for patterns and associations to make sense of ourselves and our world – these fear associations can become almost instinctual and unconscious … and often fixed in time. This is where the critic(s) step in. They are trying to protect that wounded “inner child”as though we were still children and in real danger. We can assume then that the critic is a voice from the past, a voice of a young child and a “wounded” voice. So, when we do – or even consider doing – something that triggers this old association with danger (or disappointment, rejection, loss, etc.), this wounded part awakens, panics, and starts to vocalize. It will “play back” the original trauma to prevent us from re-injury. Containing and limiting the “inner critic” means working in therapy with the adult and the “child”. This is often why being harsh with your inner critic is difficult. It is part of you. A part that needs nurturing and protecting (in the right way), and most of all allowed to develop. In my next post, I will be looking at ways of siding with and befriending the critic.

Origins of an Inner Critic: Early influence

April 29, 2013 — Dr. Nicholas Jenner

Depression teaches us that we are not deserving of a normal, fruitful life. We go through long periods of believing that there is something inherently wrong with us. One of the major factors in this process is the formation of an inner critic which is a major underlying cause of depression and low self-esteem. In a new series of posts looking at the inner critic, I will be analysing how it is responsible for sending negative messages, causing feelings of worthlessness and hopelessness, how it drives us on with perfectionist thoughts and how we can eventually turn our inner critic into our inner champion.The inner critic is often formed when childhood situations and interaction with caregivers lead to our inner child being wounded and replaced by the inner critic values. How does this happen?

Criticism from caregivers:

Criticism or judgement by parents or caregivers, especially when given in a harsh manner can turn an innocent child into one who believes that they are wrong, inadequate and worthless. If this is accompanied by physical or verbal abuse, then the Inner Child becomes traumatized. All parents set behavior standards for their children concerning such as performing a certain level, not showing emotion, behaving “properly” or in their interaction with others. If love and affection are only given when these standards are met, or even worse withdrawn when not, it has a devastating impact on the inner child. Parents often become frustrated when unrealistic tasks and expectations are not met, this is seen by the child as judgment. Criticism is often used as a motivation to do better as is comparison with more successful peers. Sometimes success is not recognised and mistakes emphasised as a “lesson” and praise is not given appropriately. These actions repeatedly used can wound the inner child and promote feelings of low self-esteem.

Internalization

We often find that our inner critic criticises us in the same a parent did . That is how we think that it is perhaps a mirror image of our critical caregiver. It is usually much more complicated than this. If it was that simple, we could just ignore the critic and get on with it. To make it more complicated, the critic often has its own motivation for judging you in the same way as a parent. Take for example, a mother who constantly is critical of a child for untidiness and this was internalized. The critic would also judge the subsequent adult when they are untidy but for a different reason. To understand this, we have to realise that an inner critic’s prime function is to protect us from harm, sometimes dysfunctionally. When the critic judges in the case above, it is modeling the parent but also trying to protect from the parent. This is dysfunctional in the sense that it is trying to protect from something that happened years ago but the fact that it is basically trying to help means that potentially, it can be worked with.

Ridicule

There are caregivers who find it appropriate to shame and ridicule their children for fun or as a punishment measure. This causes the child to carry this embarrassment into their adult life. As noted above, this would then result in the inner critic causing embarrassment to avoid situations where it could happen. This embarrassment can also be transferred via the parents if there was a sense of shame or difficulty concerning religion, financial status or race. The child tends to “feel” with the parents in this case. This can be consolidated by parental attempts to keep children “in a box” of social acceptance.

Discipline

Parents often punitively punish children when they feel they have done something that puts them in danger. Running away from the parents in a busy street, going to close to a fire are examples of this which need to be stopped and lessons learnt from. However, if parents overreact and engage in punitive discipline , they may have stopped the activity but the inner child can be harmed in the process. Additionally, when parents try to stop natural activities and impulses when children play with others in a demeaning and humiliating way, an inner critic could be formed full of guilt and low self-esteem.

Rejection

The slightest indication that a child is being rejected or parental affection is being withdrawn can form a critic that blames the child in an attempt to forge a connection with the parent. The critic reminds the child that is essential that parents are part of their life, that if they fight back, they will lose their parent and they will be abandoned. They subsequently go on to take the blame for the rejection. This often leads to the fact that a child takes the blame for everything such as illness in the parent or dispute in the family. Children then take on the massive responsibility of thinking that they have to change themselves to change the situation. As parents are models early in life, when children see that there are problems, they believe that they are not ok because they seem to be different to the parent or the parent is displeased on a regular basis.

All of the factors highlighted above can be found in adults to a lesser or greater degree depending on how wounded the inner child was. They can range from mild self-esteem issues to crippling feelings of worthlessness and inadequacy, right through to intense mental pain. In my next post, I will be looking at types of inner critic and their motives.

Depressive Thinking Part 2 : Depression and Perfectionism

March 23, 2013 — Dr. Nicholas Jenner

In the second of a series of posts about depressive thinking, I am looking today at the role of perfectionism and how perfectionist thinking can create a cycle that can lead to depression.

Perfectionism can mean many things to many people. It can be seen as striving for excellence. It can mean a controlling attitude but more often it means holding on to unattainable standards that demand unyielding compliance from self, others and situations. This is more than just having an eye for details or suffering disappointment due to not reaching a target, it is an attitude that promotes stress and psychological strain, ultimately, depression. When depression is involved, a cycle of negative emotions and states such as high expectations, fear and anxiety, fear of rejection and blame and procrastination come into play. This causes a barrage of self-talk ( I must, should) with blame ( I am awful, terrible) and promotes and maintains depressive thoughts.

Let’s look at how this works. perfectionists often dread the thought of failing to meet their lofty targets with a passion. This causes them to experience anxiety at the thought of performing poorly and having to deal with inevitable missing of goals. The paradox is that this thinking leads to a focus on perceived imperfections that apparently caused the failure. This results in negative self-talk, self-downing and a downward depressive spiral, affecting self-worth and self-esteem. Perfectionists often find it difficult to allow themselves breathing space in their pursuit of perfection and the fact that human fallibility is a normal part of life gets lost on them. The sad truth is that perfectionists judge their self-value on their own idea of success and failure. Some very successful people berate themselves constantly for not achieving more than they have. For many people, perfectionism is total. It is not enough to do as well as others, they have to stand out. It is not enough to perform typically, they MUST be the best. It is not enough to have a tidy home, it MUST be spotless. When perfection becomes a condition for personal worth, it inevitably leads to a slippery slope of predictable emotional consequences and responses.

Perfectionists are often identified by the language they use. Words like “should”, “must”, “have to” “require” “expect” are all part of a perfectionist’s vocabulary. These words can, of course be used without making demands but added them to lofty expectations, trouble is in store. They often provoke guilt and shame because unrealistic rigid demands were not met. In therapy, one of the approaches against this is to replace these demanding words with ones less threatening and emotional. “Expect” becomes “would prefer”, “must” becomes “aspire to”, “should” becomes “hope to” and so on. The use of softer language and taking a more realistic approach to life (and self) is key to lessening the demands of perfectionism.

Realism as a Counter to Perfectionism

As a CBT therapist, I deal in realism. What that means is that in therapy, my clients come to realize that life is not always easy with various ups and downs and things are not going to be great all the time. It is how we deal with the downs that determine how good the ups will be. This is an essential mindset to take if recovery from perfectionism is to take place. If we can be mostly satisfied with who we are, what we are doing and who with are with most of the time, then life is really not so bad. Contrast that with the unreal, perfectionist world where the prize of achievement is never reached.

When I take on a new client with signs of perfectionism, one of the first assignments they get is to fill in Daily Mood Sheets. This is a wonderful instrument that charts reaction to perfectionist thinking, looks at the automatic thoughts and behavior that follows and then gives the client a chance to look at the situation from a different angle. The biggest hurdle to these sheets is the ability to look at things realistically. Once this is learnt, ( and it can take some time) a mindset clicks in that is one of acceptance that things won’t and can’t always go our way. This is the idea behind realistic thinking, that we accept that life will not always be as we want it to be . However, only replacing vocabulary in your mind is not likely to do the trick. Part of this process means moving from being self-absorbant to self-observant, questioning the very things that are driving perfectionist values. If you think that you must have or do something, the question could be “why is this the case? Is there an alternative, can I accept less?”. Perfectionist thoughts can also be logged on a continuum. For example, If you didn’t reach a target, you can use terms such as ” I got 60% of what I aimed for”, much better than “I failed”.

Perfectionism is addressable by using and applying cognitive tools. Positive change can be had when thinking is changed and self worth is separated from the requirement to do things perfectly. If you constantly hear your inner critic berating you for not getting or doing that extra 20%, you have noticed your perfectionist beliefs. Discrediting and disputing these values and finding realistic evidence to prove them wrong is a key part of recovery. As humans, we are inherently imperfect. We have the ability to fail without ever being a failure. We sometimes just need to think it and believe it.

Breaking that Depressive Thinking with CBT Part 1 : Procrastination- Depression Cycle

March 17, 2013 — Dr. Nicholas Jenner

In the first of a series of posts about how depressive and pessimistic thinking can cause major issues in life, today I look at procrastination and how it fuels depression and vice versa. Procrastination can be defined as that invisible wall in front of you, stopping you moving on and using effective methods for beating depressive thinking. Incredibly, in 2010, the APA, in its annual Stress in America report, failed to identify procrastination as a major factor in why people do not follow through on programmes designed to beat stress and pressure. This is even more incredible when survey participants recognised a lack of willpower in healthy lifestyle changes. Most said that this willpower was diminished due to lack of energy and confidence and once one was increased, the other increased too. I think you can see the pattern. In this post, I would like to show that depression and procrastination go hand in hand and need to be tackled simultaneously.

What is procrastination ?

Business people define procrastination as the delaying of deadlines. However, a more serious form is the putting off of personally relevant activities for change. This can have a devastating effect on life and our view of it and ourselves. Procrastination is a process or a series of steps employed to avoid facing fears, situations, possible failure and even possible success. Put simply it is an automatic habit of putting off a timely and relevant activity to another day, month or some undefined time in the future. These timely and relevant activities are replaced with easier or simpler tasks. The link with depression comes when you put off making those necessary changes that might pull you out of depression, often with the thought that you are too weak to face the issues or fears. When depressed, you may view getting started on these changes as overwhelming or impossible or even hopeless. But we must remember that depression and procrastination have overlapping features:

Both make you feel uncomfortable at the thought of taking relevant action, making it more likely that we will put off changes.
Both contain elements of rumination and reanalysis, dwelling on depressive thoughts or substituting needed action for “pleasure” activities.
Both have us engaging in self-talk such as “why bother?”

Cognitive, Emotional and Behavioral Aspects

The cognitive aspect of procrastination is well-known. There is always some form of justification found for delaying the pain and the dysfunctional thinking that conditions might be better at some later date. You may tell yourself that dealing with depression is something that can be done later when more inspiration is there or that you are under too much stress to deal with it now. This way we can easily con ourselves into thinking that we are making a planning decision. Procrastination gives us false optimism that things will eventually be right enough to tackle activities. Linked with depression, it holds nothing but false pessimism such as ” I can’t do that” or “I don’t have the energy”. Talking like this means you are stuck in the procrastination-depression cycle of thinking. To change this, you have to change the way you organise your thinking. If you have the energy to think depressing thoughts, you also have enough to think proactively. You can also define timescales. For example, tell yourself, you will undertake that activity at at certain time in the day, for example 3pm (but then it has to be done). This makes the task definable and manageable and you can stop procrastination taking over.

The best way to get yourself out of the cycle is to challenge the inner critic who is fuelling your thinking. Simply do the opposite of what the inner critic tells you. For example : You have to face a task that you have been putting off and you have no desire to do it but you know you have to. The inner critic might convince you that it is ok to sit and read the newspaper or watch tv or do anything else instead. You can still do this but challenging means first the task and then the newspaper and tv.

What are the emotional aspects of procrastination? Well, it plays on our mood for sure, especially when we beat ourselves up for delaying a task which in turn, gives us discomfort. When depression is involved, those thoughts and discomfort are magnified out of all proportion and more things get pushed aside. We often believe that our happiness and depression is conditional on feeling good. This is what is known as a contingency procrastination cycle where we make our ability to do things and move on conditional to how we are feeling. If you are depressed and apply this, this ability will never reappear. Accepting this will allow you to give yourself the tolerance that you need to start. You may not feel better straight away but surely later as a by-product of taking action. It is often useful to look at the consequences of doing something against the consequences of not doing something, which are often greater.

Behavioral diversions are a key aspect of procrastination in the fact that we tend to replace needed action with something less pressing. These are generally worthless, time-wasting activities that side-track us from doing what we need to do. Some fine examples of these are napping, quarrelling, watching hours of tv and ruminating. When depression is added, these activities seem even more appealing. Hard as it is, activity is a great remedy for depression (and procrastination). The result of delaying and endless time-wasting can promote hopelessness and stress.

Help yourself out of Depression and Procrastination

1. “Just Do It” : When we are depressed we tend to isolate ourselves from friends and society in general. This also includes many of the activities we take for granted in our daily lives. This, to the extreme can mean lonliness and isolation. Getting back into these daily activities can be difficult and overwhelming. Robert Heller, Florida psychologist believes that breaking the pattern of behavior associated with the isolation is key to recovery. He advocates a “Just do it” approach. He suggests keeping a daily log of the things you do and to gradually add activities, regardless of whether you feel you want to do them. By reviewing this regularly, one can see gaps where activities can be placed like, saying hello to someone, approaching a friend or shopping every day for an item instead of once a week.

2. Increase Activity : People often believe that once they start to pull out of depression, they will start to catch-up on the activities they have stopped doing. Unfortunately, this is usually a case of shutting the door after the horse has bolted. Research tells us that the very things that have been neglected during depressive spirals are the things that will get us out of it. However, procrastination often takes over but will graded exposure to activities, it can be overcome. I often ask my clients to name a small thing they are prepared to do in the week between sessions and commit to it. This can be started of in a small way and gradually increased.

3. Paradoxical Thinking: If we convince ourselves that by delaying a task, we will feel better, we will repeat that habit over and over. It relieves the stress we are feeling at that moment and procrastination brings reward. Convincing yourself that procrastination will bring rewards is paradoxical thinking. It will bring exactly the opposite of what you hoped. Keeping contact with friends and family when depressed helps the depression in the long run but momentarily it seems better to stay away. Another example of this kind of thinking is when we tell ourselves that we cannot undertake anything until we feel inspired..can you see the chicken-egg theory here? This cycle can be broken by reversing the reward system you have set up for yourself. For example, you could reward yourself every time you resist the impulse to procrastinate. If you must work in the garden but want to watch tv, work for an hour in the garden and reward yourself by watching tv. Reward yourself with something pleasurable each time you avoid procrastination.

Getting Started with Online Therapy…Easy as 1,2,3

March 14, 2013 — Dr. Nicholas Jenner

Getting the help you need is easier than you think. Starting online therapy means communication with your therapist….not a secretary…..not a form…..no sitting in a waiting room….no trips into town…. a simple process. Here is how it works:

Make that appointment: You may have been feeling that life is becoming more difficult. Work is getting on top of you or there are problems in the family. You may just have days where nothing seems to function or you may be worried or anxious about aspects of your life. Maybe even going through major life changes. You know you need to talk to someone but making that decision is difficult. However, it is an important first step……Can it be easier than this?

Simply contact me via email or phone and arrange a convenient time for a free, no obligation initial 60 minute session via video conference or phone.

During your first consultation, you will have the opportunity to present your issues in a comfortable, positive but realistic atmosphere. I realise how difficult it might have been for you to come this far.

Your first appointment with me is primarily an information-gathering session . I need to learn a lot about you and your history in a short amount of time in order to properly evaluate your concerns and arrive at a possible diagnosis. Since diagnosis often helps guide treatment, it’s an important part of the process. Your story is indeed your own and a very personal one at that. Despite what you may have read, a person is not simply a diagnosis. Nor do professionals look at people who come to them that way. They look at each and every person as a unique individual who is in pain and needs help. I will place a lot of emphasis on your current issues because they are usually the ones that can have an immediate effect but these usually hide deeper problems which I will also like to find out about. Many people will leave their first session alternately feeling: relieved, horrified, peaceful, even more anxious, and hopeful, or any combination of these feelings and more. However, most who continue find the process of therapy rewarding and enriching.

Where do you go from here? At the end of the initial consultation, we will discuss my diagnosis and your options. This diagnosis might be a tentative one if the issues presented are complicated or information is lacking.Once we’ve completed the free initial consultation, therapy focuses in on your goals and what brings you to counseling. The therapy hour is your space to safely explore themes, issues, and experiences that are important to you. My approach to therapy is collaborative, in that, I do not assume that I know what is best for you or how we should get there. I support you in moving in the direction you want to live. The first session gives me an idea of where we need to go and this continues to evolve as we work together.

I have a range of affordable monthly plans that cover all budgets. This can be done via video, phone or if preferred, via mail.

More details Here

Facts and Myths about Suicide.

March 8, 2013 — Dr. Nicholas Jenner

Look at these startling facts about suicide rates: Source WHO:

Every year, almost one million people die from suicide; a “global” mortality rate of 16 per 100,000, or one death every 40 seconds.
In the last 45 years suicide rates have increased by 60% worldwide. Suicide is among the three leading causes of death among those aged 15-44 years in some countries, and the second leading cause of death in the 10-24 years age group; these figures do not include suicide attempts which are up to 20 times more frequent than completed suicide.
Suicide worldwide is estimated to represent 1.8% of the total global burden of disease in 1998, and 2.4% in countries with market and former socialist economies in 2020.
Although traditionally suicide rates have been highest among the male elderly, rates among young people have been increasing to such an extent that they are now the group at highest risk in a third of countries, in both developed and developing countries.
Mental disorders (particularly depression and alcohol use disorders) are a major risk factor for suicide in Europe and North America; however, in Asian countries impulsiveness plays an important role. Suicide is complex with psychological, social, biological, cultural and environmental factors involved

The subject of suicide is always heavily covered in the news . Mainly due to the time of year where most people believe suicide numbers rise (though some studies suggest otherwise) but also due to well publicised suicides of an ex-sportspeople and a number of celebrities `coming out` about depression and attempted suicide. While some of the stories have to be seen in the context that any publicity is good publicity, it does highlight the issue that suicide rates are rising. Statistics from the WHO say that over one million people commit suicide every year and this figure is rising every year. That is one death every forty seconds and a sixty per cent rise since 1945. One factor in this is clearly our modern, hectic lifestyle which cares little for emotional well-being. It is also strongly believed that other factors including living conditions, cultural and family restrictions as well as religion play a major role. Alarmingly, suicide amongst young people aged between 15 and 25 is on an all time global high. Interestingly, there are approximately twenty million attempted suicides per year, according to the WHO meaning that 1 in 20 actually achieve their aim.

One of the main features of some of the more recent stories of suicide in the media has been that suicide was committed by people who seemingly had everything to live for and showed no signs of depression, worry or any kind of problem beforehand. One must then ask, was it planned or was it just an explosion of feelings that lead to the ultimate in spontaneous death? Many times, these questions can never be answered and loved ones and friends left behind torture themselves with thoughts of uncertainty, guilt and anguish. Is it however possible that someone ends their life so brutally without a long catalogue of problems? We can only speculate about this but an analysis of suicide notes (WHO) suggests that many times one single event pushed an otherwise depressed person over the edge. However as much as we speculate, suicide is one of the most perplexing aspects of human behavior. There are also many myths surrounding the subject :

Myth: People who talk about suicide don’t do it. Fact: Talking about suicide can be an appeal for help. Most people usually communicate their intentions to suicide to another person, either directly or indirectly. This could include dropping hints about suicide, talking about death or dying, or writing a poem. If not responded to, the person’s thoughts could progress to action – a suicide attempt. All talk of suicide should therefore be taken seriously and acknowledged as such to the suicidal person. People who talk about suicide should be encouraged to talk further and seek professional support.

Myth: Once a person decides to complete suicide, there is nothing anyone can do to stop them. Fact: The suicidal crisis represents a cry for help rather than a wish to die. A part of the person wants to live and a part wants to die. With help the person can be encouraged towards life. If the person receives the help he or she is seeking, an attempt is less likely. Suicidal crises can be relatively short-lived. To protect the person during this time: stay with the person, listen to their struggle and encourage them to keep safe. Help the person to access professional support, as many people do move beyond seeing death as an option with professional assistance.

Myth: All deaths are preventable. Fact: Despite our best efforts to help a person at risk of suicide, some people who attempt suicide will die as a result of their actions.

Myth: Suicides happen without any warning/ are spontaneous acts/ people keep their plans to themselves. Fact: Studies have indicated that as many as eight out of ten people give warning of their intention to suicide. More often, this intention is not recognised rather than hidden.

Myth: Talking openly about suicide increases the risk. Fact: It is important not to treat suicide as a taboo subject. Raising the issue sensitively and asking directly about suicide gives the person at risk permission to speak about his or her distress, and demonstrates to the person that you care. Rather than feeling worse, the person at risk could feel relieved if the issue of suicide is raised in a caring and non-judgmental manner. This could prevent action and increase the chances of the person at risk seeking further help.

Myth: People who talk about suicide/ make a nonfatal suicide attempt are just seeking attention. Fact: All suicidal thoughts and behaviours are a cry for help that need to be listened to and responded to. We cannot make assumptions about the person’s intentions and need to take this seriously. Anyone distressed enough to talk about or attempt suicide needs professional support. Addressing the underlying problems through talking with a professional helper could reduce the likelihood of future attempts.

Myth: Suicidal people always want to die. Fact: The majority of people who attempt suicide are confused about whether they want to live or die. Most people want to live better and happier lives but need relief from the intense emotional pain they are experiencing. If people in the midst of a suicidal crisis were certain that they wanted to die, they would not be communicating their distress to others. In communicating their distress to others in this way, suicidal people are actually reaching out for help to ease their emotional pain.

Let me leave you with a few choice quotes on the subject:

“Suicide is a whispered word, inappropriate for polite company. Family and friends often pretend they do not hear the word’s dread sound even when it is uttered. For suicide is a taboo subject that stigmatize not only the victim but the survivors as well “. EARL A. GROLLMAN, Suicide

“The reality of suicide is far different from the fantasy. Most suicidal thinkers romanticize their death by suicide, failing to realize that any suicide gesture or attempt can result in permanent brain, kidney, or liver damage, loss of limbs, blindness, or even death”. SUSAN ROSE BLAUNER, How I Stayed Alive When My Brain Was Trying to Kill Me

If you are feeling suicidal or know someone who is..there is always help at hand. http://www.suicidehotlines.com/

The best of today from Psychology Today

March 3, 2013 — Dr. Nicholas Jenner

Too Much TV May Make Your Child Anti-Social

Childhood television viewing linked to anti-social behavior in adulthood

Published on March 2, 2013 by Dennis Rosen, M.D. in Sleeping Angels

The American Academy of Pediatrics is just one group among many which strongly recommends restricting the amount of time children spend in front of the television. There are good reasons for this recommendation, as regular readers of this blog already know.The more time children spend watching TV, the less sleep they’re likely to get, the less likely they are to be physically active, the less likely they are to read, and the more likely they are to suffer from overweight and obesity.

Are Affairs Really Worth It?

Before embarking on an affair (or a marriage), read this book!

Published on March 2, 2013 by Jenni Ogden, Ph.D. in Trouble in Mind

The Mess of Infidelity

I am a book lover and a fan of Goodreads, which is where I record my own book reviews and read the reviews of others. Reading, after all, fits all the criteria of my Psychology Today blog title, “Brains, Books and Being Happy”. Reading (and writing even more so) are good for the brain, and both reading and writing books have a place way at the top of my list for making me happy. But it is a rare book I think is so important for our psyche and our potential happiness that I think it worth reviewing here.

3 More Ways to Stop Screaming at Your Kids

By better understanding your anger as a parent, you will yell less.

Published on March 1, 2013 by Jeffrey Bernstein, Ph.D. in Liking the Child You Love

Here are some more powerful, effective tips from my book 10 Days to a Less Defiant Child to help you avoid the yelling trap with your child or teen

Read More…
Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples, groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need. Online Therapy details : Here …… Take advantage of the “online therapy” tester. Try the first three sessions for free. Contact me for more details.

Determining factors in Recovery from Rape and Sexual assault

February 28, 2013 — Dr. Nicholas Jenner

(Rape Trigger warning)

I was rather disturbed to read a recent newspaper article stating that certain sections of the police force in the UK had been encouraging rape victims to drop cases in order to keep statistics on the good side. READ. This is horrifying and makes a mockery of the “serve and protect” stance taken by law enforcement.

Rape should never be encouraged and certainly not in these times where one cannot pick up a newspaper without reading about some vile act committed in one country or another. Anyone who has been raped,whether male or female will attest to the trauma experienced, the overpowering of will, the helplessness, the violation and the long, hard road to recovery. Some never recover (as I know from my clients) and spend their lives dealing with the ongoing effects of being attacked . So to have the very institution that is responsible for catching the offenders to allow them to walk free (and maybe do it again) is scandalous at best. I can only imagine how the victims are feeling…liked being raped again.

When rape occurs, recovery is difficult even if the victim is treated properly after the assault and how the victim is dealt with by police, hospitals, doctors and family and friends determine how long the recovery process is. Burgess and Holmstrem READ MORE studied 109 women who attended the Boston City Hospital in 1974 complaining of rape. They collected their data at the time of initial presentation at the hospital and again 3 months later. They documented the “rape trauma syndrome”. They found two phases of adjustment following rape or attempted rape. They call these the acute phase and the long-term reorganisation phase, both of which are stress reactions to a life threatening situation.

Immediately following the rape they found that an equal number of women had an “expressed” style where they showed feelings of fear by crying, smiling, sobbing or a “controlled” style where the woman was calm and subdued. The primary emotion expressed by victims is one of fear. Most all say that they felt they were going to be killed or badly injured. They reported that in the reorganisation phase women develop increased motor activity, changing their jobs, home or lifestyle as a defensive reaction to the assault. Nightmares relating to the life threatening nature of the assault and the powerlessness and alienation are common. The development of phobic reactions to situations reminiscent of the rape also occur. Some mistrust of men with subsequent avoidance and hesitation, along with a variety of sexual difficulties may develop. Victims are often concerned about the effects of the rape on their close interpersonal relationships wondering how this will affect them.

Interestingly in the same report, the authors looked at the factors that determine a victim’s ability to cope and readjust after the attack. I quote directly from the report :

The way the woman is treated as a victim may also influence her ability to cope.

This includes treatment by:

1) The police. Of necessity the police are required to question the victim thoroughly. If this is not explained to her she may perceive that she is not believed and this can reinforce feelings of guilt and self blame.

If she is unable to accurately describe her assailant or recall details of the attack, this may reinforce feelings of low self worth and inadequacy.

2) Hospital service. If the victim is treated in an impersonal manner then the feelings of depersonalization are reinforced. If hospital staff offer judgement comments on her behaviour then feelings of guilt can be produced.

3) The courts. The above comments apply here as well. The cross examination can seem like a repeat of the rape experience.

4) The circumstances of the assault can affect the victim’s coping capacity.

Whilst a victim’s response to rape may follow a predictable pattern, each individual’s circumstances provide differences that will affect their coping capacity and reaction. The fact that a victim’s psychological adjustment to rape, is in part determined by the social systems that impinge upon them, indicates a need for a widespread community response to ensure that those systems are both responsive to victim’s needs, and used to their maximum therapeutic capacity and this includes the above mentioned police force.

The Mental Torment of Sexually Abused Children

February 24, 2013 — Dr. Nicholas Jenner

TRIGGER WARNING : If you are uncomfortable reading about sexual abuse, please do not read further.

It is estimated that up to fifty percent of sexual abuse victims who receive medical treatment after episodes of abuse carry no physical scars at all. However, it is also estimated that all of them will carry the mental scars for most, if not all of their lives. This makes perfect sense. Abuse victims often report that the physical touch was not the worst part of the abuse but the burden of carrying the “secret” and knowledge of the abuse which stays with them at all times superseded this many times over. This burden also carries the responsibility of what to do with this information. Revealing it could mean being taken away from loved ones or the break-up of a family as well as legal consequences for the abuser. This can cause great hardship for a young mind.

The mental aspects of abuse are cleverly manipulated by the abuser. While the physical boundaries are being destroyed and violated, so is the mind. A child can be lead to believe that their body and mind are under the control of others. Abusers often try to convince a child that what they might believe is happening is really not or when it is mentioned, the child is blamed and the abuse often denied and ignored. Another method is to rename the abuse as a “special” game that only the child is allowed to play. Statistics tell us that most incidents of abuse take place at night, often leading the child to believe it was a dream and making recollection hazy. The sad fact is that many sexually abused children are denied the right to justice due to the mental manipulation of the abuser and carry these scars for a lifetime, trying to cope with life as best they can. However, mental health issues as a result of the abuse are often played out later in life as the subsequent adult tries to deal with the torment of the past. Let’s look at some of these :

Dissociation

Children who are abused tend to emotionally shut off while the abuse is taking place. However, they often take this defense mechanism into adulthood and dissociate when confronted with anything that reminds them of the abuse. Hence, they find it hard to enjoy close relationships and intimacy. This dissociation can range from the mild, referring to oneself in the third person, to extreme complete depersonalization. Due to the abuse, many victims have been taught (or indeed taught themselves) to ignore feelings and emotions, so they often see this behavior as “normal”. In some cases, when the abused has not been believed, the dissociation acts almost as a “friend” and in a way protecting and validating them as it did at the time of the abuse. Many hold onto this and are afraid to let it go, fearing life without it. Since there is a strong likelihood that the victim was in a dissociative state at the time of the abuse, they often find that large chunks of memory of the abuse and other times in their life are blurred, often returning briefly in dreams and flashbacks.

Multiple Personality Disorder

The most extreme example of dissociation is the formation of two or more distinct personalities that take over control of behavior. Research tells us that most sufferers of MPD had a history of sexual abuse in childhood. Multiple personality disorder typically develops at a young age because of some kind of very traumatic experience, usually long-lasting and severe abuse. The earliest age when MPD can develop has not been clearly established, but seems to coincide with early infancy. Abuse that leads to development of multiple personality can be emotional, physical, or sexual, or combinations thereof. In reality, all abuse is mental. The mind perceives and interprets the harmful acts as abusive. The after effects of childhood sexual abuse seem to be responsible for more than 90% of all MPD cases. By contrast, non-abusive traumatic events do not cause multiplicity. Multiple personality disorder only develops when a person is helpless and unable to escape suffering or the threat of suffering, especially when the abuse is repetitive or lasting weeks, months, and years. A significant factor leading to the development of multiple personality is the dependence of the victim on the abuser and establishment of a personal relationship . The abuser becomes an essential and psychologically inseparable part of existence, but also the torturer in the mental sense. The cognitive substrate of the brain is unable to reconcile these dramatically opposing experiences and is forced to split into pieces. The likely triggers (severe traumas) of permanent dissociation hint that the number of possible personalities could run in the dozens. In extreme cases, when the abuse is lifelong, several hundred personalities might be expected to exist.

Mentality

One of the most crippling aspects of sexual abuse is the development of an unhealthy outlook on life in the form of a set mentality. Unlike the diagnosable disorders above, mentalities are often more subtle but just as destructive in their own way. For example, many abused children take on a victim mentality as the child starts to organise the world around its own wound. The abused child sees the world as unsafe, unpredictable and dangerous. The child has learnt through the abuse that what they feel, want or think make no difference and they feel hopeless, ineffective and lack the ability to contradict this with evidence to the contrary. They are often tormented with the thoughts they they were somehow to blame for the abuse and they asked for it or deserved it. Life is consequently full of “shoulds”, leading the abused to the mistaken belief that they had a choice. The basic assumptions about life that most of us take for granted are challenged in a victim mentality, that is invulnerability, I can’t or won’t get hurt, I have worth and the world is understandable and has meaning. These thoughts often lead to problems in later life by seeing poor treatment by others as “normal”, an acceptance that abilities to change are limited and an exaggerated sense of self-blame. Most adults in these cases are passive people. However, paradoxically, some can become agressive…treating others poorly as defense against being hurt. Some become perfectionists, wrongly believing that one needs to be perfect to be accepted. Other attempt to keep control over others while fearing losing control themselves.

Once again, the attitude of the offender has a lot to do with the formation of a victim mentality in the abused. Many abusers show characteristic of “other”-blame as opposed to the self-blame shown by victims and they fit well together. Often an offender will blame the child for “seducing” them or blame circumstances for the abuse. An person with offender mentality will continue to abuse without being overwhelmed with guilt or remorse so there is no internal motivation to stop. They can always find a justification for it. They often paint themselves as “misunderstood” or “framed” by society and sometimes the victim. There is some feeling that people with the offender mentality are often substance abusers as well. In one recent study, up to 45 % of abusers who “blamed” the victim were either alcoholics or took drugs to some degree. This could suggest that substance abuse causes sexual abuse but more likely, the offenders were looking to find a reason to justify what had happened.

This is just a small portion of the disorders that can arise from abuse..there are many others. However, in therapy, the biggest gift a therapist can give an abuse victim is to believe their story and help them relive it in such a way that they can reconstruct their world and gain new insight. It helps to show abuse victims how to question long held beliefs about themselves and the world and their place in it. This is incredibly important as in some quarters, there is the belief that victims often lie about abuse. In my experience of treating victims (and being one myself), they rather tend to minimise it. It is also vital that the therapist feels the need to show emotion towards the act of abuse and the abuser. Many victims have been met with stonewall faces and attitudes all their lives and it can be refreshing to come across someone who feels outrage when talking about it.

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Boundaries of the Soul

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Your True Self will help with the Inner Critic.

The Inner Critic comes in all forms

Origins of an Inner Critic: Early influence

Depressive Thinking Part 2 : Depression and Perfectionism

Breaking that Depressive Thinking with CBT Part 1 : Procrastination- Depression Cycle

Getting Started with Online Therapy…Easy as 1,2,3

Facts and Myths about Suicide.

The best of today from Psychology Today

Too Much TV May Make Your Child Anti-Social

Are Affairs Really Worth It?

3 More Ways to Stop Screaming at Your Kids

Determining factors in Recovery from Rape and Sexual assault

The Mental Torment of Sexually Abused Children

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