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How anxious brains work

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How anxious brains work is an important part of the understanding of anxiety and panic. So let’s begin to understand it.

Let’s start with the anxiety response. If we can understand what’s going on, we have a useful starting point. This is another in the series of learning how anxiety works.

Triggers begin the process; we’ve all had those feelings of being in a dangerous place, even when physically we aren’t. Clients often describe this as a feeling of ‘dread’. So what happens when anxiety is triggered in this way?

The parts of your brain responsible for anxiety are the amygdala and the thalamus, the limbic system. The aim of the thalamus is to keep us safe. The thalamus scans for potential dangers around us all the time, monitoring all our senses, a little like anxiety radar.

If it detects a potential threat, rightly or wrongly, even if something that isn’t a threat is recognised as a threat, it sends a message to the amygdala.

The amygdala then does all those things that we recognise as unwelcome and unpleasant. It may raise heart rate, cause sweating, shallow breathing, and tense our muscles. We are from that point hyper-vigilant.

This is the ‘fight or flight’ response that I am sure you are familiar with; it’s a natural and useful response to dangers around us.

The problem here is that in anxious people, this process can begin at any time, sometimes even for no apparent reason. It can happen on an otherwise good day – it makes us anxious, panic and want to escape.

This trigger can be tied to danger or it could be a trigger from the past, wrongly recognised in the present, it could come from a sight, sound, smell, touch or any of our senses.

Once the thalamus has signaled the amygdala, the amygdala takes over and shuts down our rational thinking. We are left with instinctive simple reactions such as fight or flight; we are out of reason and into instinct.

Importantly, we are responding to the stimulus without choice, the amygdala is preparing the body to deal with the threat.

What is needed to combat this response are methods that reassure the amygdala so that we can regulate the body, regulate the breathing and by doing that, tell the brain that everything is alright.

By doing that we turn back on the rational part of our brain and we no longer have an anxious brain.

Stay tuned for more resources on understanding and treating the anxious brain.

 

Hypno gastric band – the truth

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The hypno gastric band truth

 

If you want a hypno gastric band in Bolton, then please read this

 

The ethical problem with the hypno gastric band is simple. The therapist is lying to the client. You are not getting a gastric-band, you are getting an illusory shortcut,  you are buying a lie.

 

Where else would you pay for a professional to tell you a lie?

 

Would your Doctor be able to lie to you? Of course not, they are governed by an ethical code to cause you no harm, as a registered hypnotherapist and registered psychotherapist so am I, so why put your mind in the hands of a liar and pay for the privilege?

 

Unfortunately in the UK anyone can take a course (or not) and advertise themselves as a ‘hypnotherapist’ and make a living from telling weight-control lies to clients, the hypno gastric band method.

 

I believe that you deserve more honesty and value for money.

 

What you deserve is a lasting weight loss system that is based in expert knowledge and skills, UKCP and CNHC accredited.  After all, how you got into difficulty with weight control is unique to you, and so is the solution.

 

As a registered healthy weight coach as well as a registered hypnotherapy and psychotherapy provider. I am able to offer you a safe and supportive environment and method to make an honest and lasting difference.

 

All a hypno gastric band is designed to do is to make you think you are full sooner, why not just have professional therapy? Why not have access not to some one-size-fits-all solution, but to therapy designed around your needs and tailored personally to them?

 

The benefits are many, not only will you be taking control of this issue, but you will be empowering yourself to take control of other aspects of your life. 

I know you can do it, and you do too, even if you don’t know that you know it yet.

 

As you can probably tell, I feel strongly about this issue and I make no apologies for that. The hypno gastric band is an insult to your integrity as a client and to mine as a therapist.

So don’t buy a lie, but instead make an investment in yourself and your future.

 

Learn about anxiety

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No learn about anxiety resources would be complete without looking at emotional resilience. The word comes from ‘resili’ – the Latin word for ‘spring back’ – it’s the process of adapting in the face of adversity.

Think of anxiety a bit like a see-saw with ‘perceived’ ability to cope on one end and demands on the other. When demands are lower that ability to cope, we are OK, when the demands are bigger than our perceived ability to cope, we have a problem, we can learn to be less anxious.

Ego strengthening and emotional resilience are about improving ability to cope. We all use scales of 1 to 10, if our ability is say a grade 4 and a grade 6 problem comes up, we can struggle, if the ability is a 9, then the grade 6 problem is easily handled.

This resilience can be cultivated. The more we learn about anxiety, the more tools we have to cope.

The first step is Realism, being realistic about a situation, for example one of the difficulties with depression is that people often attach inappropriate meaning to events. If a depressed person telephones a friend and they don’t ring back, they might think ’my friend doesn’t like me’ when the actual reason may be that they didn’t even get the message.

Next we look at establishing a goal that we can work towards, a favourable outcome. Now here hypnosis can really help with what we call ‘future pacing’. We all know that hypnosis can help us look back at past problems by regressing. The other side of that coin is looking forward which is equally (if not more) powerful.

Self-discipline is important, abandoning those ‘crutch activities’ that feel safe and familiar. It might be drink or drugs or avoidance. Ego strengthening techniques can really help with this process.

Cultivating wider interests helps because it gives us different versions of ourselves. Think of all the energy an anxious person uses just being anxious, once they are less anxious they have a surplus or energy and time to spend, space to ‘grow into’.

Re-framing is seeing something through a different frame and really important if you want to learn about anxiety. Say you suffer an ankle injury; you may well be focusing on how it stops you doing what you want to do. If you’re a soldier on the front line of a war zone, a simple ankle injury might mean rest and relaxation away from stress and danger.

Here’s a great re-frame that goes directly to the next in our list – Identity. It’s easy to concentrate on all our difficulties and things that have gone wrong. Look though at the old saying ‘what doesn’t kill you makes you stronger’. That’s re-framing from victim to survivor, think of all the strengths you’ve built up in those hard times!

Flexibility is also key, changing change, making change into opportunity rather than threat.  Flexibility is vital for surviving life’s storms, if you bend with the storm winds, you don’t break.

Hypnosis, mindfulness and meditation can all help to moderate outbursts and reinforce neural pathways. Think of your mind like a cornfield for this one. The old outdated negative patterns of thought are like well-trodden paths in the corn, easy to tread again and again. By treading down new paths of positive neural pathways in the corn, like the old ones, they get flatter and flatter, and easier to tread.

A strong social network is good for emotional resilience; reach out in times of difficulty. Today, we live more and more isolated lives, often secure in the belief that Facebook friends mean we’re well supported. Look for support in times of difficulty; seek out therapy if you need to.

For control, look to Victor Frankl, “Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.” Moving your locus of control internally rather than externally can make a big difference.

Finally, test the changes, keep a journal and monitor your progress, learn about anxiety with free resources posted on this blog,  after all this isn’t work, it’s your life’s work!

 

Anxiety resources

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Anxiety resources are one of the keys to feeling better. So what’s the first to understand?

It has to be relaxation.

Think of your anxiety a little like a light switch, on is anxious and off is relaxed. It’s simple but profound.

It’s physically impossible to be relaxed and anxious at the same time.  Relaxation is the first practical tool I teach my clients to use in the fight against their anxiety. Why?

Because it puts the power back in the anxious clients’ hands, and an empowered client has made a first step towards recovery. That is one of the benefits of relaxation, we CAN all do it, sometimes we forget how, but it is an ability we all share.

A little like Carl Jung’s idea of the common subconscious, relaxation is a natural healing resource that we can all access to fight anxiety, with the right help.

I’m not talking about the bottle of wine and a film type of relaxation with Facebook pinging all the way through; I’m talking about deep relaxation of the autonomic nervous system. It’s kryptonite for anxiety.

And that is something most of us very rarely do.

And it’s the ultimate ‘me time’. If you don’t know that, do yourself a huge favour and try it out even if you aren’t struggling.

Hypnosis is a fantastic tool to kick start the relaxation process if it’s been long neglected, so is mindfulness or meditation. Whichever way it happens, once it happens, clients have a tool they can access anywhere to turn the intensity right down, like you would a radio.

Think of that from the anxious person’s perspective. They are often confused, frightened, lonely, and sometimes desperate but mostly they want tools. They want to help themselves.

In the toolbox, relaxation is the soft, soothing, comforting, velvety hammer of anxiety. You can use it and enjoy using it too. It’s not the medicine that made us screw our faces up as kids. It feels good and it helps, what’s not to love about relaxation?

You can feel it working too, slower heart rate, lower blood pressure, steady, easy breathing, benefit after benefit after benefit.

Every time you flick on or off a light switch, think of it… anxiety on, relaxed off.

 

Anxiety on.

Relaxed off.

Anxiety and you

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ANXIETY AND YOU

So why did I decide to specialise in anxiety?

Well, anxiety chose me, not the other way around. As a busy Lawyer, I didn’t see the warning signs on the road to anxiety until all of a sudden… BAM!

Huge panic attack on the first day of a holiday, fear, confusion, feeling isolated and vulnerable, I felt like I was the only person in the world that this was happening to. I had no tools to help me help myself.

Fast forward ten years and I moved from anxiety’s latest victim to hopefully its worst enemy. How did I do this?

I condensed expert personal therapy, countless hours of study, became a therapist, researched and researched into my desire to understand anxiety and how to help others. It led to UKCP accreditation, thousands of hours of dedicated work towards helping people like you, but most importantly it gave me a skill set that really makes a difference.

So what does that mean to you?

It means you’re not alone in this struggle; people have been there before, while your route into anxiety is personal to you, the symptoms of anxiety, generalised anxiety disorder, social anxiety and that spiral of panic are very common to us all.

There are many useful ways to combat anxiety and find your peace, relaxation, CBT, hypnotherapy, reframing, behavioural methods and various forms of psychotherapy can all look at the causes and help move you forward.

You are not alone, I have been there and I have moved on.

You can move on with the right answers and methods. Therapy isn’t a magic wand, it’s sometimes hard work but the therapist collaborating with you as the client is the key to making that progress.

Whether anxiety strikes out of the blue or is a familiar part of your life when that feeling of dread, the fear of fear comes over you, you can use some of the resources posted on my last blog to help in the short term.

I find that with clients in my treatment room, learning about anxiety is a major part of the process and so I decided to put some of that knowledge out here to help you.

In the next blog, I will talk in more detail about therapy methods and how they work, but more importantly about how they can help you. Whether face to face or by online therapy, the more you understand, the more tools you have to combat anxiety.

I hope you’ll join me

Stuart

15 Motivation Essentials

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15 MOTIVATION ESSENTIALS

Motivation can be overcomplicated very easily, but in therapy we shouldn’t underestimate its importance. Here I’ll try and break down what you need to know and leave out what you don’t to make things easier.

  1. WHAT IS MOTIVATION?

The simplest definition is that motivation explains your behaviour, it’s why you do what you do, why you want what you want and why you need what you need.

  1. WHY DO I NEED IT?

Because it’s part of a cycle of achievement, if you want results then motivation is not optional. The more motivation you have in therapy, the better.

  1. INTERNAL MOTIVATION

As the name suggests, this comes from within you. What do you love doing? Do you remember how you used to play as a child with no reward other than the sheer enjoyment of the process? Think about your ‘Me-time’ and that’s internal (or intrinsic) motivation right there. It’s as unique as you are and tends to be lasting.

  1. EXTERNAL MOTIVATION

This can be the carrot or the stick, for example money or punishment, and it’s the opposite of internal motivation because there is a (desired or undesired) outcome.  In therapy this could be someone who wants to change something because there is a reward for doing that or a drawback for not doing it. In other words they don’t want to do it just for themselves.

  1. DIRECTION IN MOTIVATION

Really important is where you are going; are you moving away from pain, or towards pleasure? If it’s a little of both, that tends to work best in the therapy room. Choice is key here, smokers may think they have no choice but to smoke but can go for a long time without a cigarette on a holiday flight.

  1. PERSISTENCE AND CONTINUING

Can you stick at it? The important thing here is to change the idea that it’s a hardship, of course you may suffer a setback, it’s part of being human. In therapy we don’t see things as linear or so black and white, it isn’t snakes and ladders after all! If you can learn to be gentle with yourself and remember why you were doing it, and what your motivation is you can get back on track.

  1. FAR BEYOND DRIVEN

We’ve all seen intensity and we know what it looks like, but intensity can be daunting and it can also be turned down by turning down the difficulty level. How do you see yourself? Letting go of the labels you may have given yourself makes it easier to move on from that old version of you

  1. I THINK THEREFORE I CAN

Guiding behaviour through goals (literally, in the case of sportsmen) therapy helps you to visualise an outcome and then build the psychological architecture to succeed. This is very powerful at a subconscious level and represents a tool that you can use for your own results.

  1. TAKING SMALL STEPS

By taking small steps and checking off the simplest milestones on your list towards your desired result, you build encouragement and therefore motivation. Do you know you can do it? Have you done something similar before?

  1. FOLLOW THE LEADER

Do you know someone else who has done it? Seeing others succeed before you can build motivation and help you to get where you want to be.

  1. COME ON, YOU CAN DO IT!

Do you have a champion of your cause? Is there someone in your corner that can support your efforts and encourage you along the way to change?

  1. YOUR BELIEFS AND ATTITUDES CAN HELP YOU

Your beliefs, emotions and behaviours can all help here; having a strong belief is a big step in making your change.  Do you have one habit that you can use as proof that you can form a new and more beneficial habit?

  1. SURVIVOR NOT VICTIM

You may have had hardships and it may feel like you are the victim of events that conspired against you, but you’re still here. Seeing those challenges as having strengthened you because you got through them rather than weakened you and made you more vulnerable changes your perspective and can increase motivation.   

  1. OWN YOUR GOAL

When you take ownership of a deeply held goal, you build subconscious motivation and you bring the subconscious into the process. Your subconscious is a powerful tool for change and ally in the process; it’s yours, so use it.

  1. SPREAD THE WORD

We can all increase motivation if we understand it, nobody else’s aim will be exactly the same as yours, it isn’t a contest, so spread the good news about motivation and see the benefits multiply.

 

Stuart Cale is the founder of Talking-Cure, a bespoke Psychotherapy and Hypnotherapy practice specialising in anxiety, stress management and self-esteem.

 

 

Hypnosis not for TV

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hypnotherapy is a natural and healthy state of deep relaxation

Hypnosis not for TV but for clinical settings

Hypnosis is not for TV. “You’re back in the room”; ITV’s latest game show which features contestants being hypnotised by “master hypnotist” Keith Barry and longtime presenter Philip Schofield begins this weekend.

For decades, the hypnotherapy profession has worked hard to legitimise itself and leave the parlour trick stage hypnosis image in the past. With so much research into the efficacy of hypnosis in medical and psychological worlds, the public is now to be treated to ridiculous tricks performed by people most likely role playing and making hypnosis appear to be more magical than empirical.

Now, some in the public (and sadly some in the profession) will see a programme like this as a bit of fun and nothing to become agitated over. Some might even see this programme as positive press for hypnosis. I, however, see this programme as something very different.

In my practice, as with many other professionals, all the people I work with have genuine issues that they want to change. The decision to see a hypnotherapist is not always an easy one due to the portrayal of hypnosis as being some odd occult practice. When a person seeks out a mental health professional they are not looking for a sideshow act.

As professionals it is our duty to put the welfare of our clients and potential clients at the forefront of everything we do. This programme is potentially detrimental to them and so we must speak out. Programmes like this give a false idea of what hypnosis is, and I call upon all my fellow professionals and those with an interest in mental health to take to social media to voice your disquiet about this extremely tasteless and damaging form of entertainment. Let the public know what hypnosis is used for therapeutically and how programmes like this set the profession back in recognition terms, by years.

Remember there are no stage surgeons and there is a good reason for that, they are health care professionals who are take client care seriously. Should hypnotherapists see their profession in any less of a light?

Therapy for jealousy

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Jealousy can feel like we are losing our hold

Therapy for jealousy and emotional issues. These can be helped by individual therapy in a safe and supportive setting

Jealousy, something (often secretly) familiar to many of us. Jealousy and Envy (yes, they are different things, envy occurs when we lack a desired attribute enjoyed by someone else and jealousy when something we already possess is threatened by a third person) can both be very intense feelings that in turn can easily dominate aspects of our lives. Another problem is that they can be as hard to shift as they are to deal with, and often are not talked about or discussed.

Jealousy can destroy love, and it’s rare to find someone who hasn’t been touched by the classic signs of jealousy such as lack of trust, fear of losing someone we love, or anger at attention paid to others. When it comes, that intensity of emotion can render rational thinking impossible and even cause behaviours in the sufferer that drive people away and reinforce the self-fulfilling prophecy.

The emotional content of jealousy is complex, abandonment, loss, fear, sorrow, humiliation, betrayal; the list is long and infamous. Even violence can make an unwelcome appearance where jealousy is concerned, and it can be as irrational as it is damaging, Steven Stosny, a psychologist says, “The formula for jealousy, is an insecure person times an insecure relationship” and goes on to point out that it isn’t just sexual jealousy at play, sometimes children or any kind of friendship that diverts attention from the sufferer can be a problem.

With origins based in our far-distant evolution, perhaps to protect intimate relationships, in our current lives where we may change partners several times in the course of a lifetime, jealousy can become a painful burden. The feeling of inadequacy makes it seem a particularly poignant and difficult burden.

So, what can be done? Well, like many things, communication is often at the root of the solution, jealousy is often something we deny in ourselves so just recognising and acknowledging it are also important steps. It’s often too personal and complex for a list of self-help suggestions as seem to be so common in our culture that demands quick fixes. Jealousy isn’t something we can cast off like an unwanted coat when spring comes, it’s a treatment process, and moving beyond jealousy is a skill that often takes a little time to learn.

Having said that, as is so often the case, people can travel through life with often debilitating levels of jealousy, accepting that as their fate. Surely, if you’re affected, it’s worth taking some steps now to hopefully improve the quality of life and relationships still to come…?

Change in therapy

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Clients often dwell in the past or live in the future, mindfulness can help with focus as one of many benefits

Clients often dwell in the past or live in the future, mindfulness can help with focus as one of many benefits

 

Change in therapy, one common denominator is clients often seeks a big change, rather than gradual shifts into change, we can make ourselves mountains to climb. We’re most of us familiar with the famous Chinese quote from Laozi “a journey of a thousand miles begins with a single step” and this is how the guides tell us to effect change, bit by bit. In a world of instant gratification however, this is less appealing than the idea of announcing to the world (or ourselves) that we are suddenly different in a big way, a dramatic way.

For some of course, who are ready for change, it can be a resounding success, for others we’re setting ourselves up for disappointment when those old familiar patterns creep back in. Patterns are a big part of how we live, and of course are often a big part of how those around perceive us, and therefore predict our behaviour. Most people aren’t fond of change, but many want it.

The science of change, habits, addictions and patterns, is far too big and complex to even touch upon here, but that’s just a repetition of the ‘oh it’s no use, it can’t be done’ mantra that appeases the slip back on the seemingly endless path into ‘changed forever’. So I say this, consider the effects of that change, that potential small step.

When we change one thing that means other things change as a result.

You get off a plane after a few hours to a blue sea and sun, your mood changes. You serve up breakfast in bed, you get a great big smile, someone else’s mood changes, so your mood changes, and on it goes… One thing affects another and before you know it, your small change has taken you somewhere completely different. One of my old lecturers used to call it the M62 (an English highway) principle, a turn off begins by diverging only a tiny bit from the route and before you know it, you’re on a radically different path, and that’s it, evolution and not revolution.

So maybe don’t dismiss that small change as not enough, or if you’ve made a big resolution that has fallen by the wayside but leaves a fragment of its intent or meaning to germinate on fertile ground, then maybe make that your focus, tend it, nurture it and see where that beanstalk leads you.

‘Changes aren’t permanent, but change is’ (thanks to Neil Peart for that quote).

Stress and anxiety

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Man suffering from stress and anxiety

Man suffering from stress and anxiety

Stress and anxiety, we all know the effects, we recognise the all too familiar signs… be it sleepless nights, waking up in the dead of night, drinking or smoking to excess, headaches, bad-tempers, repetitive thinking or habits, or even full blown panic attacks with the associated frightening physical symptoms. If panic strikes, the result can be physically and mentally very scary. The thing that we don’t all know, is that something can be done to help and crucially, before we get to that stage.

We all need some stress, but it helps if we can recognise the type of stress. ‘Eustress’ as it is called is the type of stress that benefits us, the type of stress that pushes us to go that little bit further, to achieve, the type of stress that readies us for exams or business presentations, or for any occasion where we need to perform at our best.

Then there is bad stress. The problems with the bad type of stress ‘Distress’, come when demands on us exceed our perceived abilities and then when stress builds, anxiety can often accompany it. We pop a painkiller, or we lose ourselves in the T.V. or a glass of wine, temporary fixes, but there is another way.

If we can’t change the pressures on us, then we can certainly change how we react to them, and more importantly our perception of them. This has many benefits; firstly, the unpleasant and worrying effects of stress are lessened so that we can enjoy life more. Secondly, we can improve our physical health, lower blood pressure, heart rate etc. and thirdly, we are building a set of skills that will allow us to deal better with stress in the future, because we understand it. This in turn allows us to be the best version of ourselves that we can be… for us and for our loved ones.

At Talking-Cure I teach these coping skills, how to turn down the intensity from red to amber to green, how to relax, how to increase energy levels and cope with the pressures that modern life throws at us. By giving ourselves the ability to deal with stress and anxiety before they become crisis issues, we are taking a preventative path rather than looking for a cure. As we have touched on before, this is a fresh and positive approach to well-being, and the benefits in quality of life and saving in lost productivity can literally be enjoyed by anyone with the desire to take the necessary steps, we see it as an investment in your future.