Avoidance Coping Quotes

Most people can motivate themselves to do things simply by knowing that those things need to be done. But not me. For me, motivation is this horrible, scary game where I try to make myself do something while I actively avoid doing it. If I win, I have to do something I don't want to do. And if I lose, I'm one step closer to ruining my entire life. And I never know whether I'm going to win or lose until the last second.

Avoidance is a simple way of coping by not having to cope.

One thing you who had secure or happy childhoods should understand about those of us who did not. We who control our feelings, who avoid conflicts at all costs, or seem to seek them. Who are hypersensitive, self-critical, compulsive, workaholic, and above all survivors. We are not that way from perversity, and we cannot just relax and let it go. We’ve learned to cope in ways you never had to.

What matters is not how well you can avoid trouble, but how you cope with trouble when it comes.

One of the major problems encountered in time travel is not that of becoming your own father or mother. There is no problem in becoming your own father or mother that a broad-minded and well-adjusted family can't cope with. There is no problem with changing the course of history—the course of history does not change because it all fits together like a jigsaw. All the important changes have happened before the things they were supposed to change and it all sorts itself out in the end. The major problem is simply one of grammar, and the main work to consult in this matter is Dr. Dan Streetmentioner's Time Traveler's Handbook of 1001 Tense Formations. It will tell you, for instance, how to describe something that was about to happen to you in the past before you avoided it by time-jumping forward two days in order to avoid it. The event will be descibed differently according to whether you are talking about it from the standpoint of your own natural time, from a time in the further future, or a time in the further past and is futher complicated by the possibility of conducting conversations while you are actually traveling from one time to another with the intention of becoming your own mother or father. Most readers get as far as the Future Semiconditionally Modified Subinverted Plagal Past Subjunctive Intentional before giving up; and in fact in later aditions of the book all pages beyond this point have been left blank to save on printing costs. The Hitchhiker's Guide to the Galaxy skips lightly over this tangle of academic abstraction, pausing only to note that the term "Future Perfect" has been abandoned since it was discovered not to be.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it’s worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets.

The most common emotional defense is avoidance (an ineffective coping skill for any stressor) as expressed through denial (e.g., "That wasn't really bad, I barely remember it").

The way you are self-sabotaging: Mindlessly scrolling through social media as a way to pass the time. What your subconscious mind might want you to know: This is one of the easiest ways to numb yourself, because it is so accessible and addictive. There is a world-altering difference between using social media in a healthy way versus as a coping mechanism. Mostly, it has to do with how you feel after you’re finished. If you don’t put the phone down feeling inspired or relaxed, you’re probably trying to avoid some kind of discomfort within yourself—the very discomfort that just might be telling you that you need to change.

When problems beat upon you like a raging storm, search for the eye. You might not be able to avoid misfortunes, but you can find the calmest spot within them.

The dirty secret she’d learned about grief was that nobody wanted to hear about your loss a week after the funeral. People you’d once considered friends would turn their heads in church or cross to another side of a shopping mall to avoid the contamination of your suffering. “You might imagine I’m coping day by day,” she murmured. “But it’s more a case of hour by hour, and during my worst times, minute by minute.

It's not a crime to feel sad, down or depressed. Moving through difficult feelings is an essential part of living life authentically. Though society would have us believe that when we are sad, we need to smack a silly smile on our face and pretend everything is okay. Problems arise when we repress, deny or bury these feelings. We need to know when it's time to seek help and support, to avoid becoming overwhelmed by these types of emotion. Life is a bittersweet symphony, we need to hear every instrument and listen to every note.

Parts of you are phobic of anger and generally terrified and ashamed of angry dissociative parts. There is often tremendous conflict between anger-avoidant and anger-fixated parts of an individual. Thus, an internal and perpetual cycle of rage-shame-fear creates inner chaos and pain.

Changes in Meaning: Finally, chronically traumatized people lose faith that good things can happen and people can be kind and trustworthy. They feel hopeless, often believing that the future will be as bad as the past, or that they will not live long enough to experience a good future. People who have a dissociative disorder may have different meanings in various dissociative parts. Some parts may be relatively balanced in their worldview, others may be despairing, believing the world to be a completely negative, dangerous place, while other parts might maintain an unrealistic optimistic outlook on life

Many of us learned that keeping busy…kept us at a distance from our feelings...Some of us took the ways we busied ourselves—becoming overachievers & workaholics—as self esteem…But whenever our inner feeling did not match our outer surface, we were doing ourselves a disservice…If stopping to rest meant being barraged with this discrepancy, no wonder we were reluctant to cease our obsessive activity.

Alterations in regulation of affect (emotion) and impulse: Almost all people who are seriously traumatized have problems in tolerating and regulating their emotions and surges or impulses. However, those with complex PTSD and dissociative disorders tend to have more difficulties than those with PTSD because disruptions in early development have inhibited their ability to regulate themselves. The fact that you have a dissociative organization of your personality makes you highly vulnerable to rapid and unexpected changes in emotions and sudden impulses. Various parts of the personality intrude on each other either through passive influence or switching when your under stress, resulting in dysregulation. Merely having an emotion, such as anger, may evoke other parts of you to feel fear or shame, and to engage in impulsive behaviors to stop avoid the feelings.

But the framers were not visionaries. They knew that rules of government, however brilliantly calculated to cope with the imperfect nature of man, however carefully designed to avoid the pitfalls of power, would be no match for men who were determined to disregard them.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it's worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is. We live orphaned on a tiny rock in the immense vastness of space, with no hint of even the simplest form of life anywhere around us for billions upon billions of miles, alone beyond all imagining. We live locked in our own heads and can never entirely know the experience of another person. Even if we're surrounded by family and friends, we journey into death completely alone.

We routinely replace damanged parts of ourselves with new ones that are, arguably, more resilient, more able to handle challenges. As long as we avoid the trap of growing our skin so thick that nothing gets through, getting bruised can only boost our ability to cope with whatever life throws at us.

Avoidance has always been my coping mechanism. If I don’t think about it, it doesn’t matter. My day goes on.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it's worthwhile to face it occasionally. The further we push aloneness away, the less we are able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is.

I don't cry, as a rule. Nothing good comes out of fighting, i'll give you that, but crying? For a moment, you might feel a touch of release, but for me that's always been followed hard by waves of shame, and helplessness. I hate feeling helpless. I'll do anything to avoid it.

Specific parts of you personality may be angry and are usually easily evoked. because these parts are dissociated, anger remains an emotion that is not integrated for you as a whole person. Even though individuals with dissociative disorder are responsible for their behavior, just like everyone else, regardless of which part may be acting, they may feel little control of these raging parts of themselves. Some dissociative parts may avoid or even be phobic of anger. They may influence you as a whole person to avoid conflict with others at any cost or to avoid setting healthy boundaries out of fear of someone else’s anger; or they may urge you to withdraw from others almost completely.

Planning can't save you from everything. Change is inevitable and uncertainty is a given. And if you plan so much that you can't function without one, life's no fun. All the calendars, journals, and lists in the world won't save you when the sky falls. And maybe, just maybe, I've been using planning less as a coping mechanism and more as an excuse to avoid anything I couldn't control. But that doesn't mean preparation is altogether bad. Planning can be useful when you've come out on the wrong side of a cave and need to figure out a new way to get back on route. When all you can do is put one foot in front of the other and push forward.

The cases described in this section (The Fear of Being) may seem extreme, but I have become convinced that they are not as uncommon as one would think. Beneath the seemingly rational exterior of our lives is a fear of insanity. We dare not question the values by which we live or rebel against the roles we play for fear of putting our sanity into doubt. We are like the inmates of a mental institution who must accept its inhumanity and insensitivity as caring and knowledgeableness if they hope to be regarded as sane enough to leave. The question who is sane and who is crazy was the theme of the novel One Flew Over The Cuckoo's Nest. The question, what is sanity? was clearly asked in the play Equus. The idea that much of what we do is insane and that if we want to be sane, we must let ourselves go crazy has been strongly advanced by R.D. Laing. In the preface to the Pelican edition of his book The Divided Self, Laing writes: "In the context of our present pervasive madness that we call normality, sanity, freedom, all of our frames of reference are ambiguous and equivocal." And in the same preface: "Thus I would wish to emphasize that our 'normal' 'adjusted' state is too often the abdication of ecstasy, the betrayal of our true potentialities; that many of us are only too successful in acquiring a false self to adapt to false realities." Wilhelm Reich had a somewhat similar view of present-day human behavior. Thus Reich says, "Homo normalis blocks off entirely the perception of basic orgonotic functioning by means of rigid armoring; in the schizophrenic, on the other hand, the armoring practically breaks down and thus the biosystem is flooded with deep experiences from the biophysical core with which it cannot cope." The "deep experiences" to which Reich refers are the pleasurable streaming sensations associated with intense excitation that is mainly sexual in nature. The schizophrenic cannot cope with these sensations because his body is too contracted to tolerate the charge. Unable to "block" the excitation or reduce it as a neurotic can, and unable to "stand" the charge, the schizophrenic is literally "driven crazy." But the neurotic does not escape so easily either. He avoids insanity by blocking the excitation, that is, by reducing it to a point where there is no danger of explosion, or bursting. In effect the neurotic undergoes a psychological castration. However, the potential for explosive release is still present in his body, although it is rigidly guarded as if it were a bomb. The neurotic is on guard against himself, terrified to let go of his defenses and allow his feelings free expression. Having become, as Reich calls him, "homo normalis," having bartered his freedom and ecstasy for the security of being "well adjusted," he sees the alternative as "crazy." And in a sense he is right. Without going "crazy," without becoming "mad," so mad that he could kill, it is impossible to give up the defenses that protect him in the same way that a mental institution protects its inmates from self-destruction and the destruction of others.

When you really understand that God will accept you on the basis of what Christ did, you don’t have to prove to the world how important you really are.

A mind inclined to misery is a mind that must keep busy.

In avoiding any situations reminiscent of the past trauma, or any initiative that might involve future planning and risk, traumatized people deprive themselves of those new opportunities for successful coping that might mitigate the effect of the traumatic experience. Thus, constrictive symptoms, though they may represent an attempt to defend against overwhelming emotional states, exact a high price for whatever protection they afford. They narrow and deplete the quality of life and ultimately perpetuate the effects of the traumatic event.

The ideal parent is not anxiously hanging around trying to micromanage everything. The ideal parent makes it feel that problems, difficulties and dangers don’t always have to be avoided: they can be coped with, solved or skilfully overcome. Such a parent makes the child secure.

A properly educated leader, especially when harassed and under pressure, will know from his study of history and the classics that circumstances very much like those he is encountering have occurred from time to time on this earth since the beginning of history. He will avoid the self-indulgent error of seeing himself in a predicament so unprecedented, so unique, as to justify his making an exception to law, custom or morality in favor of himself. The making of such exceptions has been the theme of public life throughout much of our lifetimes. For twenty years, we've been surrounded by gamesmen unable to cope with the wisdom of the ages. They make exceptions to law and custom in favor of themselves because they choose to view ordinary dilemmas as unprecedented crises.

But like so many other things in my life, I had a feeling it would come and bite me on the ass. Until then, I’d cope by avoiding the topic at all costs. Swallow that puppy down and hope I didn’t choke on it.

Pain is a predator when we run from it, it will inevitably chase us down and catch us in its clutches. The goal isn't to wallow in the pain or to avoid it, but rather, to move through it. Pain only holds us hostage when we get stuck in it or try to repress it. Pain is a part of the human experience. Life is a bittersweet journey. Developing the ability to learn from our pain and to cope with it, effectively, is one of the most empowering gifts we can give ourselves.

If…an infant, especially one born with a genetically-encoded altered neurophysiologic reactivity, does not have adequate experiences of being part of an open dynamic system with an emotionally responsive adult human, its corticolimbic organization will be poorly capable of coping with the stressful chaotic dynamics that are inherent in all human relationships. Such a system tends to become static and closed, and invested in defensive structures to guard against anticipated interactive assaults that potentially trigger disorganizing and emotionally painful psychobiological states. Due to its avoidance of novel situations and diminished capacity to cope with challenging situations, it does not expose itself to new socioemotional learning experiences that are required for the continuing experience-dependent growth of the right brain. This structural limitation, in turn, negatively impacts the future trajectory of self-organization.

Emotions Individuals who experience self-loss often struggle to self-regulate, self-soothe, or emotionally connect—they lack inner grounding. As a consequence, they begin to cope through mechanisms of avoidance, suppression, or escapism.

To tell you the truth, I've just been avoiding everything. I walk around the school hallways and look at the people. I look at the teachers and wonder why they're here. If they like their jobs. Or us. And I wonder how smart they were when they were fifteen. Not in a mea way. In a curious way. it's like looking at all the students and wondering who's had their heart broken that da, and how they are able to cope with having three quizzes and a book report on top of that. or wondering who did the heart breaking. And wondering why. Especially since I know that if they went to another school, the person who had their heart broken would have had their heart broken by somebody else, so why does it have to be so personal? And if I went to another school, I would never have known Sam or Patrick or Mary Elizabeth or anyone except my family. (Pg 142)

Not knowing how to regulate their own painful, aversive feelings, such as shame and anger, makes people with BPD walking powder kegs. Because of their deficits, they tend to regulate emotional pain with actions that bring quick, short-term relief, such as cutting themselves (parasuicidal acts) using drugs or alcohol, shopping or overspending, binge eating, anorexia, gambling, or engaging in unsafe sex. The consequence of these behaviors is usually more emotional pain. Alternatively, they may cope by avoiding or dissociating from the trigger or the actual emotion they are feeling. Some people with BPD may have developed too much control of their emotional responses. They may be described as emotionally over-controlled or emotionally constipated.

There are two basic coping mechanisms. One consists of dreading the chaos, fighting it and abusing oneself after losing, building a structured life of work/marriage/gym/reunions/children/depression/affair/divorce/alcoholism/recovery/heart attack, in which every decision is a reaction against the fear of the worst (make children to avoid being forgotten, fuck someone at the reunion in case the opportunity never comes again, and the Holy Grail of paradoxes: marry to combat loneliness, then plunge into that constant marital desire to be alone). This is the life that cannot be won, but it does offer the comforts of battle—the human heart is content when distracted by war. “The second mechanism is an across-the-board acceptance of the absurd all around us. Everything that exists, from consciousness to the digestive workings of the human body to sound waves and bladeless fans, is magnificently unlikely. It seems so much likelier that things would not exist at all and yet the world shows up to class every morning as the cosmos takes attendance. Why combat the unlikeliness? This is the way to survive in this world, to wake up in the morning and receive a cancer diagnosis, discover that a man has murdered forty children, discover that the milk has gone sour, and exclaim, 'How unlikely! Yet here we are,' and have a laugh, and swim in the chaos, swim without fear, swim without expectation but always with an appreciation of every whim, the beauty of screwball twists and jerks that pump blood through our emaciated veins.

Your current situation fits every one of the criteria for this disorder:   Exposure to a traumatic event. Yes, relationship abuse from someone you love is traumatic and life-altering. Persistent re-experiencing. Yes, through the mean and sweet cycle, you were repeatedly subjected to their abuse. Persistent avoidance and emotional numbing. Yes, this is the coping mechanism you adopted to excuse their behavior. Persistent symptoms of increased arousal not present before. Yes, you begin to feel these during the delayed emotions stage, ultimately manifesting as anxiety and fear. Duration of symptoms for more than 1 month. Yes, most survivors will require anywhere from 12-24 months of recovery before they begin to trust & love again. Significant impairment. You tell me—how do you feel right about now? I’d say impaired is an understatement.

Some find that they can keep bereavement at bay by staying busy. This is a perfectly normal way of coping which works well for some – but if you keep bereavement away by constant action, you may pay for it later. The action may turn out to be an avoidance technique, like putting a finger on the pause button on the bereavement video. When you stop doing whatever you were doing – going to parties, helping others, seeing movies – you still return home to a film which hasn’t moved on since you stopped watching it.

Bowlby uses the notion of faulty internal working models to describe different patterns of neurotic attachment. He sees the basic problem of 'anxious attachment" as that of maintaining attachment with a care-giver who is unpredictable or rejecting. Here the internal working model will be based not on accurate representation of the self and others, but on coping, in which the care-giver must be accommodated to. The two basic strategies here are those of avoidance or adherence, which lead to avoidant or ambivalent attachment.

Learn to contain your anger if it threatens your welfare or that of others.

hatred consumes the heart and leaves little room for love or laughter.

Learning to keep our brain active can help us avoid excessive worrying.

Cynicism appears to be a coping strategy by the cognitively less gifted to avoid being duped by others.

From those women I also learned that a terminal illness is less distressful when it is attributed to the natural cycle of life rather than to failure. The secret to coping with the pain of an uncertain loss, regardless of culture or personal beliefs, is to avoid feeling helpless. This is accomplished by working to change what we can and accepting what we cannot.

to have poor shame tolerance. They learned in childhood to manage feelings of inadequacy by adopting unhealthy coping mechanisms to forestall or avoid shaming experiences. Poor shame tolerance causes behaviors associated with the just-mentioned DSM disorders, including vindictive anger, lack of insight and accountability, dishonesty, impulsivity, entitlement, paranoia, lack of remorse and empathy, self-importance, and attention-seeking. Trump is an extreme example, but “subclinical” versions of this behavior exist in millions of people, including domestic abusers.

The angry reaction supports the academic literature on Appalachian Americans. In a December 2000 paper, sociologists Carol A. Markstrom, Sheila K. Marshall, and Robin J. Tryon found that avoidance and wishful-thinking forms of coping “significantly predicted resiliency” among Appalachian teens. Their paper suggests that hillbillies learn from an early age to deal with uncomfortable truths by avoiding them, or by pretending better truths exist. This tendency might make for psychological resilience, but it also makes it hard for Appalachians to look at themselves honestly. We

avoidance and wishful-thinking forms of coping “significantly predicted resiliency” among Appalachian teens. Their paper suggests that hillbillies learn from an early age to deal with uncomfortable truths by avoiding them, or by pretending better truths exist. This tendency might make for psychological resilience, but it also makes it hard for Appalachians to look at themselves honestly.

Ford Shouted out, "Hey listen! I think we've got enough problems of our own having you shooting at us, so if you could avoid laying your problems on us as well, I think we'd all find it easier to cope

Take Action If You’re Ruminating Because of Avoidance Coping If you’re ruminating because you’ve been putting off dealing with an issue, taking any level of action to address what you’ve been avoiding will usually help alleviate your rumination. Most of the time, you won’t need to completely resolve the issue to lift your rumination—for example, you might just send an email or make a phone call to get the ball rolling.

aversion leads to fear; fear leads to hatred; hatred leads to aggression. Unwittingly, the oh-so-natural instinct to avoid the unpleasant becomes the root of hatred. It leads to war: war within, war without.” —Stephen Cope

Nature’s ultimate goal is to foster the growth of the individual from absolute dependence to independence — or, more exactly, to the interdependence of mature adults living in community. Development is a process of moving from complete external regulation to self-regulation, as far as our genetic programming allows. Well-self-regulated people are the most capable of interacting fruitfully with others in a community and of nurturing children who will also grow into self-regulated adults. Anything that interferes with that natural agenda threatens the organism’s chances for long-term survival. Almost from the beginning of life we see a tension between the complementary needs for security and for autonomy. Development requires a gradual and ageappropriate shift from security needs toward the drive for autonomy, from attachment to individuation. Neither is ever completely lost, and neither is meant to predominate at the expense of the other. With an increased capacity for self-regulation in adulthood comes also a heightened need for autonomy — for the freedom to make genuine choices. Whatever undermines autonomy will be experienced as a source of stress. Stress is magnified whenever the power to respond effectively to the social or physical environment is lacking or when the tested animal or human being feels helpless, without meaningful choices — in other words, when autonomy is undermined. Autonomy, however, needs to be exercised in a way that does not disrupt the social relationships on which survival also depends, whether with emotional intimates or with important others—employers, fellow workers, social authority figures. The less the emotional capacity for self-regulation develops during infancy and childhood, the more the adult depends on relationships to maintain homeostasis. The greater the dependence, the greater the threat when those relationships are lost or become insecure. Thus, the vulnerability to subjective and physiological stress will be proportionate to the degree of emotional dependence. To minimize the stress from threatened relationships, a person may give up some part of his autonomy. However, this is not a formula for health, since the loss of autonomy is itself a cause of stress. The surrender of autonomy raises the stress level, even if on the surface it appears to be necessary for the sake of “security” in a relationship, and even if we subjectively feel relief when we gain “security” in this manner. If I chronically repress my emotional needs in order to make myself “acceptable” to other people, I increase my risks of having to pay the price in the form of illness. The other way of protecting oneself from the stress of threatened relationships is emotional shutdown. To feel safe, the vulnerable person withdraws from others and closes against intimacy. This coping style may avoid anxiety and block the subjective experience of stress but not the physiology of it. Emotional intimacy is a psychological and biological necessity. Those who build walls against intimacy are not self-regulated, just emotionally frozen. Their stress from having unmet needs will be high.

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.” People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The hard question we face, then, is not how we can afford this system’s expense. It is how we can build a health-care system that will actually help dying patients achieve what’s most important to them at the end of their lives.

While interacting with television, the mind is protected from personal worries. The information passing across the screen keeps unpleasant concerns out of the mind. Of course, avoiding depression this way is rather spendthrift, because one expends a great deal of attention without having much to show for it afterward. More drastic ways of coping with the dread of solitude include the regular use of drugs, or the recourse to obsessive practices, which may range from cleaning the house incessantly to compulsive sexual behavior. While

Often the thoughts that can act as emotional triggers seem to come from nowhere.  They can be positive or negative in nature.  For example a memory of a happy past experience can trigger a thought process which leads you to compare a good time in the past with your present circumstances.  Things may not seem as good now as they did then and this leads into an unpleasant cycle.  Alternatively, a negative thought can lead you to developing negative emotions, in turn leading you to avoid these, perhaps using impulsive behaviors to avoid the issue.

accommodation is helpful when it teaches your child the valuable lesson that she is able to cope with feeling anxious. Accommodation is unhelpful when it reinforces your child’s belief that she cannot cope with anxiety and must avoid situations that are likely to trigger it.

Both the suicidal and non-suicidal are often angry with others. One way to discharge this anger is to fantasize about violent revenge. The insults of daily life often cause fantasies of revenge to flare up and quickly subside. The people with these fantasies usually do not act on them; they are not motives or goals. They are involuntary responses to perceived insult—ways of coping with rage. The suicidal, whether or not they attempt, suffer tremendous and persistent pain and anger. That this pain should find its way into their fantasies and dreams is no surprise. This ideation is not a motive for action; it is an alternative to action. Fantasizing about suicide is an effort to delay or avoid suicide, not the activity of formulating a motive, goal, or intention. Fantasies doubtlessly succeed in preventing many attempts.

Our brains cope automatically with all three layers of time—past, present and future. The issue is which one we concentrate on. My suggestion is not to avoid making long-term plans, but once they’re in place to focus wholly on the now. Make the most of your present experiences instead of worrying about future memories. Savor the sunset instead of photographing it. A life of wondrous yet forgotten moments is still a wondrous life, so stop thinking of experiences as deposits for your memory bank. One day you’ll be on your deathbed, and your account will be permanently closed.

Avoidance, the second coping strategy for anxiety, is not showing up and often spending a lot of energy zigzagging around and away from that thing that already feels like it’s consuming us. And avoidance isn’t benign. It can hurt us, hurt other people, and lead to increased and mounting anxiety.

I know his death could have been avoided with a doctor who was really on top of it. He had so much life in him. It was wrong. I played my way through that first show and did "Old Man" for Ben (Keith) at the end. I looked over to my right and he was out there somewhere, but not next to me anymore.

Our inner experience is that which we think, feel, remember, perceive, sense, decide, plan and predict. These experiences are actually mental actions, or mental activity (Van der Hart et al., 2006). Mental activity, in which we engage all the time, may or may not be accompanied by behavioral actions. It is essential that you become aware of, learn to tolerate and regulate, and even change major mental actions that affect your current life, such as negative beliefs, and feelings or reactions to the past the interfere with the present. However, it is impossible to change inner experiences if you are avoiding them because you are afraid, ashamed or disgusted by them. Serious avoidance of you inner experiences is called experiential avoidance (Hayes, Wilson, Gifford, & Follettte, 1996), or the phobia of inner experience (Steele, Van der Hart, & Nijenhuis, 2005; Van der Hart et al., 2006).

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it’s worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is.

Avoidance is one of the main factors that fuels anxiety. Avoidance can be behavioral—you avoid situations or doing things that make you feel anxious. Or it can be cognitive—you try to avoid thinking about topics that trigger your anxiety. Avoidance will eat you alive psychologically if you don’t work on it. Avoidance coping generates additional stress in your life. Further, the more you avoid, the more your anxiety will tend to spread to other tasks and situations. And when you avoid, you miss out on opportunities to learn that you can cope with situations, and you miss out on gaining skills through experience.

Planning can’t save you from everything. Change is inevitable and uncertainty is a given. And if you plan so much that you can’t function without one, life’s no fun. All the calendars, journals, and lists in the world won’t save you when the sky falls. And maybe, just maybe, I’ve been using planning less as a coping mechanism and more as an excuse to avoid anything I couldn’t control. But that doesn’t mean preparation is altogether bad. Planning can be useful when you’ve come out on the wrong side of a cave and need to figure out a new way to get back on route. When all you can do is put one foot in front of the other and push forward.

As an adult, emerging from the ether's of an abusive childhood, i found myself left with a constant craving for protection, safety and security. I spent many years living my life, waiting for the other shoe to drop. I needed to control everything, in an effort to prevent any harm from coming my way (even though control is an illusion). It took me many years to realize i had to become that safe harbor for myself. And that part of becoming that safe harbor was not about avoiding life, but rather, developing the confidence and coping skills to know that i would have what it takes to find my way through life's inevitable trials and tribulations.

The impulse to eschew the unpleasant leads to avoidance; avoidance leads to aversion; aversion leads to fear; fear leads to hatred; hatred leads to aggression. Unwittingly, the oh-so-natural instinct to avoid the unpleasant becomes the root of hatred. It leads to war: war within, war without. Entertaining aversion is a slippery slope.

Masked Autistics are frequently compulsive people pleasers. We present ourselves as cheery and friendly, or nonthreatening and small. Masked Autistics are also particularly likely to engage in the trauma response that therapist Pete Walker describes as “fawning.”[53] Coping with stress doesn’t always come down to fight versus flight; fawning is a response designed to pacify anyone who poses a threat. And to masked Autistics, social threat is just about everywhere. “Fawn types avoid emotional investment and potential disappointment by barely showing themselves,” Walker writes, “by hiding behind their helpful personas, over-listening, over-eliciting or overdoing for the other.”[54]

If you can not call out bigotry, corruption, racism, sexism, xenophobia, islamophobia, ageism, agnosticism, imperialism, antiblackism, antisemitism, authoritarianism, terrorism, egoism, and totalitarianism; then you are encouraging it to grow. There is no retreat from all the "isms" conflicts with which we must cope. The most fecund killer of innocent in all of human history is not a disease or natural catastrophe. It is rooted in a sick way of thinking in which we have been programmed. Avoiding the quandary isn't helpful. A public discussion of these challenges could open up a new dialogue of approach. Without, this is the reality that the next generation would have to live with.

The natives called the four travelers “the children of the sun” because they seemed to have come from such unimaginably remote lands. It is tempting to narrate their journey as an extreme tale of survival: four naked men at the mercy of the natural elements, facing an extraordinary array of native societies. Comparisons to Joseph Conrad’s Heart of Darkness are difficult to avoid. It was certainly a hellish journey. But it was also much more. At its heart, it is the story of how a handful of survivalists, out of necessity, were able to bridge two worlds that had remained apart for 12,000 years or more. Deprived of firearms and armor, the castaways were forced to cope with North America on its own terms.

Our brains work automatically to create strategies for avoiding unpleasant feelings (such as anxiety) and masking their severity. This avoidance is built into our neural pathways and wiring and helps us manage stress and keep going. But as our internal and external lives/environments change, we often outgrow these coping mechanisms or they just stop working.

Do you use the opposite as a means of avoiding the actual which you don’t know how to deal with? Or is it because you have been told by thousands of years of propaganda that you must have an ideal – the opposite of ‘what is’ – in order to cope with the present? When you have an ideal you think it helps you to get rid of ‘what is’, but it never does. You may preach non-violence for

availability bias—making decisions on the basis of more recent and more accessible information loss aversion—the strong preference to avoid a loss rather than to make an equivalent gain selective cognition—taking on board facts and arguments that fit with our existing frames risk bias—underestimating the likelihood of extreme events, while overestimating our ability to cope with them.

An intolerance for uncertainty is an important contributing factor to all types of anxiety. Those of us who are generally uncomfortable with uncertainty are more likely to experience anxiety in specific situations as well as to have trait anxiety and anxiety disorders. Our anxiety often leads to one of two coping mechanisms: worry or avoidance. Unfortunately, neither of these coping strategies is very effective.

Acting in New Ways Social anxiety also has a strong impact on how you act. As explained before, when people experience anxiety they usually either freeze or completely avoid the situation. These maladaptive coping mechanisms may protect you in the present, but will probably cause you to lose confidence and lower your self-esteem over time. The final part of coping with social anxiety is to practice new ways to behave.

Ten minutes after loading up her plate, when Iris is sipping pale apple juice, she asks Els across the table, “I’m told I should make myself useful. What are my options?” Els spears a strawberry. “What can you do?” “I organize.” “Like your sister.” “I organize people, events,” Iris says. “Denise organizes information.” I absorb that. I never thought of myself as organizing anything. I think of myself as listening, coping, avoiding. The words feel good, rolled over in my mind: Denise organizes information.

Tonight: I remind myself that it will require iron discipline to cope with these forces, and whatever else comes my way. Back pain, bad shots, foul weather, self-loathing. It’s a form of worry, this reminder, but also a meditation. One thing I’ve learned in twenty-nine years of playing tennis: Life will throw everything but the kitchen sink in your path, and then it will throw the kitchen sink. It’s your job to avoid the obstacles. If you let them stop you or distract you, you’re not doing your job, and failing to do your job will cause regrets that paralyze you more than a bad back.

In a December 2000 paper, sociologists Carol A. Markstrom, Sheila K. Marshall, and Robin J. Tryon found that avoidance and wishful-thinking forms of coping “significantly predicted resiliency” among Appalachian teens. Their paper suggests that hillbillies learn from an early age to deal with uncomfortable truths by avoiding them, or by pretending better truths exist. This tendency might make for psychological resilience, but it also makes it hard for Appalachians to look at themselves honestly. We tend to overstate and to understate, to glorify the good and ignore the bad in ourselves.

Try a 30-Day Project for Overcoming Avoidance Coping Avoidance coping habits aren’t something you can snap your fingers and change. A 30-day project focused on gradually turning around avoidance coping can help. You can use this approach as an alternative to the exposure hierarchy if doing a 30-day project seems more appealing or relevant to you. During the 30 days, take as many opportunities as you can to be less avoidant than you usually would be. This will help you overcome any problems you might have with not knowing where to start in reducing your avoidance. As situations come up, focus on taking some action, even if you’re not certain what the absolute right action is. For example, if you’re confused by all the options for backing up your digital photos in the cloud, you might ask your most tech-savvy friend what she does, and just go with that. You can always switch later. Don’t be too all-or-nothing about overcoming avoidance coping. We all have only so much willpower available for dealing with things we’d prefer not to do. The goal is to start unraveling your avoidance coping habits bit by bit. If you sometimes fall back into the avoidance coping trap, that’s to be expected.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it’s worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is. We live orphaned on a tiny rock in the immense vastness of space, with no hint of even the simplest form of life anywhere around us for billions upon billions of miles, alone beyond all imagining. We live locked in our own heads and can never entirely know the experience of another person. Even if we’re surrounded by family and friends, we journey into death completely alone.

and confused if someone does not appreciate their niceness. Others often sense this and avoid giving them feedback not only, effectively blocking the nice person’s emotional growth, but preventing risks from being taken. You never know with a nice person if the relationship would survive a conflict or angry confrontation. This greatly limits the depths of intimacy. And would you really trust a nice person to back you up if confrontation were needed? 3. With nice people you never know where you really stand. The nice person allows others to accidentally oppress him. The “nice” person might be resenting you just for talking to him, because really he is needing to pee. But instead of saying so he stands there nodding and smiling, with legs tightly crossed, pretending to listen. 4. Often people in relationship with nice people turn their irritation toward themselves, because they are puzzled as to how they could be so upset with someone so nice. In intimate relationships this leads to guilt, self-hate and depression. 5. Nice people frequently keep all their anger inside until they find a safe place to dump it. This might be by screaming at a child, blowing up a federal building, or hitting a helpless, dependent mate. (Timothy McVeigh, executed for the Oklahoma City bombing, was described by acquaintances as a very, very nice guy, one who would give you the shirt off his back.) Success in keeping the anger in will often manifest as psychosomatic illnesses, including arthritis, ulcers, back problems, and heart disease. Proper Peachy Parents In my work as a psychotherapist, I have found that those who had peachy keen “Nice Parents” or proper “Rigidly Religious Parents” (as opposed to spiritual parents), are often the most stuck in chronic, lowgrade depression. They have a difficult time accessing or expressing any negative feelings towards their parents. They sometimes say to me “After all my parents did for me, seldom saying a harsh word to me, I would feel terribly guilty complaining. Besides, it would break their hearts.” Psychologist Rollo May suggested that it is less crazy-making to a child to cope with overt withdrawal or harshness than to try to understand the facade of the always-nice parent. When everyone agrees that your parents are so nice and giving, and you still feel dissatisfied, then a child may conclude that there must be something wrong with his or her ability to receive love. -§ Emotionally starving children are easier to control, well fed children don’t need to be. -§ I remember a family of fundamentalists who came to my office to help little Matthew with his anger problem. The parents wanted me to teach little Matthew how to “express his anger nicely.” Now if that is not a formula making someone crazy I do not know what would be. Another woman told me that after her stinking drunk husband tore the house up after a Christmas party, breaking most of the dishes in the kitchen, she meekly told him, “Dear, I think you need a breath mint.” Many families I work with go through great anxiety around the holidays because they are going to be forced to be with each other and are scared of resuming their covert war. They are scared that they might not keep the nice garbage can lid on, and all the rotting resentments and hopeless hurts will be exposed. In the words to the following song, artist David Wilcox explains to his parents why he will not be coming home this Thanksgiving: Covert War by David Wilcox

We got pregnant with Angel almost by accident. I was thinking it was just about time to go on birth control and wham-it happened. We wanted two children, but were thinking of spacing them out a little more. God and Angel had other plans. I’m so glad. Bubba and Angel are so close in age and such good friends that I can’t imagine it any other way. But at the time, I was more than a little apprehensive about it. Once again, it worked out that Chris was preparing to leave just when I was due. They say God only gives you what you can handle. Chris didn’t cope with crying babies very well. So either he paid the military to deploy him with each baby, or God was looking out for him with well-timed, newborn-avoiding deployments. This time, the Team guy karma worked: the sonogram technician confirmed it was a girl several months into the pregnancy. She was going to be the first female born into the Kyle side of the family in eighty years. Which made her unique, and her grandparents particularly tickled. Chris couldn’t resist the opportunity to tease them with the news. “We’re having a boy,” he said when he called them back in Texas with the news. “Oh, how nice,” they said. “No, we’re having a girl.” “Whoo-hoo!” they shouted. “No, we’re having a boy.” “Chris! Which is it!?” “A girl!” If they could have gotten away to visit us that night, I doubt they would have needed an airplane to fly.

Fundamentally, the task is to articulate not just an alternative set of policy proposals but an alternative worldview to rival the one at the heart of the ecological crisis - embedded in interdependence rather than hyper-individualism, reciprocity rather than dominance, and cooperation rather than hierarchy. This is required not only to create a political context to dramatically lower emissions, but also to help us cope with the disasters we can no longer avoid. Because in the hot and stormy future we have already made inevitable through our past emissions, an unshakable belief in the equal rights of all people and a capacity for deep compassion will be the only things standing between civilization and barbarism.

There is no problem involved in becoming your own father or mother that a broad-minded and well-adjusted family can’t cope with. There is no problem about changing the course of history—the course of history does not change because it all fits together like a jigsaw. All the important changes have happened before the things they were supposed to change and it all sorts itself out in the end. The major problem is quite simply one of grammar, and the main work to consult in this matter is Dr. Dan Streetmentioner’s Time Traveler’s Handbook of 1001 Tense Formations. It will tell you, for instance, how to describe something that was about to happen to you in the past before you avoided it by time-jumping forward two days in order to avoid it.

for ordinary African Americans, coping with hegemonic gender ideology can be so demanding that generating alternatives can seem virtually impossible. But the importance of this task cannot be underestimated because African American survival may depend on it. One important task lies in rejecting dominant gender ideology, in particular, its use of the thesis of "weak men, strong women" as a source of Black social control. Because hegemonic masculinity equates strength with dominance, an antiracist politics must challenge this connection. Within this project, the fundamental premise of any progressive Black gender ideology is that it cannot be based on someone else's subordination. This means that definitions of Black masculinity that rely on the subordination of Black women, poor people, children, LGBT people, or anyone else become invalid. Definitions of Black femininity that do not challenge relations of sexism, economic exploitation, age, heterosexism, and other markers of social inequality also become suspect. Rather than trying to be strong within existing gender ideology, the task lies in rejecting a gender ideology that measures masculinity and femininity using gendered definitions of strength. In this endeavor to craft a more progressive Black gender ideology, African American men and women face similar yet distinctive challenges. The task for African American men lies in developing new definitions of masculinity that uncouple strength from its close ties to male dominance. Good Black men need not rule their families with an iron hand, assault one another, pursue endless booty calls, and always seem to be "in control" in order to avoid the sigma of weakness. The task for African American women lies in redefining strength in ways that simultaneously enable Black women to reclaim historical sources of female power, yet reject the exploitation that has often accompanied that power. Good Black women need not be stoic mules whose primary release from work and responsibility comes once a week on Sunday morning. New definitions of strength would enable Black men and women alike to be seen as needing and worthy of one another's help and support without being stigmatized as either overly weak or unnaturally strong.

How do you avoid turning them into little cynics? Falling in love is magical, after all, romantic, breathtaking... but falling in love and love are different. Aren't they? Don't they have to be? Good grief, no one could cope with being newly infatuated, year after year. When you're infatuated you can't think about anything else, you forget about your friends, your work, your lunch. If we were infatuated all the time we'd starve to death. And being in love means being infatuated...from time to time. You have to be sensible. the problem is that everything is relative, happiness is based on expectations, and we have the Internet now. A whole world constantly asking us: 'But is your life as perfect as this? Well? How about now? is it as perfect as this? If it isn't, change it!

Weekly Check-Ins Instead of focusing on your anxiety all the time, try scheduling a weekly check-in session with yourself. Clients who have been coming to sessions weekly often just put that same day and time aside. Instead of meeting with me, they meet with themselves. You can do the same. Pick a time and place that will work for you to do your weekly check-in. Start a notebook (or use the note-taking app on your phone) in which you can record things you might want to address during your weekly check-in. When it comes time for your check-in, use the list as your agenda. If you have lots of issues that come up during the week and end up with a long agenda, just pick the one or two that seem most important to work through. This process will allow you to take some time to focus on any anxiety-driven issues that occurred during the week that you didn’t get a chance to deal with as they happened or where you tried something but it didn’t seem to do the trick. Remember to include behavioral traps, like overworking or avoidance coping, if these have occurred during the week. For each issue, go back to what seems like the most relevant chapter and try a solution from that chapter. For example, if you noticed yourself ruminating about a problem but didn’t take problem-solving action (meaning you didn’t move from thinking about the problem to taking a behavioral action), you might try defining your problem, generating a list of your best three to six options for moving forward with that problem, picking one option, and planning when and where you’re going to implement that solution.

UNDERLYING NEED “COPING” MECHANISM To have support in figuring out your talents Getting stoned to avoid thinking about it To be loved, held, appreciated Negativity, pessimism to “control” expectations To have feelings received Overeating as an attempt at self-soothing To be recognized as mattering Overwork to prove worth To forgive yourself Becoming perfectionistic to try and avoid mistakes To avoid punishment or disapproval Focusing solely on the needs of others so you don’t take care of yourself by exercising Rest and rejuvenation Drinking alcohol to excess, “rewarding” yourself with fatty or sweet foods Solitude and contemplation Picking fights so you end up alone Stability in chaos Worrying as a way to feel in control A sense of purpose Overspending in an attempt to find meaning in material things

Social Skills Training Social skills training is based on the belief that socially anxious people lack certain social skills, such as how to make small talk or introduce themselves to strangers. Therapists think that anxiety would lessen for people if they knew the correct way to behave. In social skills training, you practice techniques such as rehearsal (practicing a certain skill until it becomes comfortable), modeling (imitating others in social situations until the behavior feels natural), and role playing. You also receive homework assignments, such as “This week, talk about the weather with three strangers.” A problem with this type of therapy is that even though many people know how they should act, they can’t do it because of fear, negative thoughts, and avoidance. Although practicing social skills may take away some of the uncertainty, it doesn’t address the deeper issues.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it’s worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is. We live orphaned on a tiny rock in the immense vastness of space, with no hint of even the simplest form of life anywhere around us for billions upon billions of miles, alone beyond all imagining. We live locked in our own heads and can never entirely know the experience of another person. Even if we’re surrounded by family and friends, we journey into death completely alone. “Solitude is the profoundest fact of the human condition,” wrote the Mexican poet and Nobel laureate Octavio Paz. “Ultimately, and precisely in the deepest and most important matters, we are unspeakably alone,” wrote the Austro-German poet Rainer Maria Rilke.

Although we don’t like to think about it, it seems that sorrow and suffering are inevitable in any human life, even a happy one. There’s the suffering of loss, of disappointment, of disrespect; the suffering of physical pain, illness, old age; the suffering of broken relationships, of wanting something badly and not being able to have it, or not wanting something and being stuck with it. There’s the inevitable suffering of painful, afflictive emotions, like jealousy, grief, anger, hatred, confusion, anguish—all kinds of emotions that cause suffering. These things are part of life. No one can avoid suffering. Given that this is so, how can we not take our lives in hand and make a serious effort to develop wisdom, compassion, and resilience? How can we not prepare our minds and hearts for the inevitable suffering that we are going to be facing someday? We have insurance for our car or home because we know we need to protect ourselves from the possibility of accident and loss. We go to the doctor because we know our health requires protection. Why then would we not think to guard and strengthen our mind and heart to cope with the suffering that certainly will be coming in some measure at some time?

Stress mindsets are powerful because they affect not just how you think but also how you act. When you view stress as harmful, it is something to be avoided. Feeling stressed becomes a signal to try to escape or reduce the stress. And indeed, people who endorse a stress-is-harmful mindset are more likely to say that they cope with stress by trying to avoid it. For example, they are more likely to: Try to distract themselves from the cause of the stress instead of dealing with it. Focus on getting rid of their feelings of stress instead of taking steps to address its source. Turn to alcohol or other substances or addictions to escape the stress. Withdraw their energy and attention from whatever relationship, role, or goal is causing the stress. In contrast, people who believe that stress can be helpful are more likely to say that they cope with stress proactively. For example, they are more likely to: Accept the fact that the stressful event has occurred and is real. Plan a strategy for dealing with the source of stress. Seek information, help, or advice. Take steps to overcome, remove, or change the source of stress. Try to make the best of the situation by viewing it in a more positive way or by using it as an opportunity to grow. These different ways of dealing with stress lead to very different outcomes.

Using the Worst-Case Scenario Technique Another way to correct inaccurate expectations is to imagine what would happen if the worst possible scenario occurred. Pretend that everything has gone wrong at once. Picture all the details and then exaggerate them. As you visualize the worst situation possible, you may start to laugh. The scene will seem so ridiculous that you realize there is not the slightest chance that it will take place. Lupe used the worst-case scenario technique after deciding that she really wanted to join the yearbook committee. The students in the group met after school once a week, and Lupe felt anxious about attending her first meeting. She was certain she would clamp up when people spoke to her. The morning before the meeting, she relaxed and imagined the worst things that could happen. She pictured herself saying something and everyone ignoring her. She pictured her face getting so red that it looked like she was going to explode. Then she imagined people laughing at her, saying she didn’t belong. This exercise helped Lupe realize that her fears were unfounded. That afternoon, after a little pep talk and a few deep breaths, Lupe walked into the meeting. She was relieved that people were genuinely happy to have her there. She felt proud that she was able to be involved in a situation that she would have previously avoided.

Avoiding School or Dropping Out Unfortunately, school sometimes becomes so difficult for people with social anxiety that they start avoiding it as much as they can. This has a serious effect on a person’s future. It is difficult to get a good job with a decent salary if you do not have a high school diploma. If you drop out, you are setting yourself up for a difficult time. Cedric has always had a hard time in school because of his extreme social anxiety. He feels uncomfortable with his classmates and avoids speaking with them. During classes, he always sits in the back and never participates. When teachers call on him, he usually mumbles “I don’t know.” As a result of his social anxiety, he has low self-esteem and suffers from depression. One day, he decided that it didn’t matter if he went to school or not. Some mornings, he hides in the yard until his mother leaves for work, and then he stays in his room all day. Other times, he wanders around the woods. Cedric has no idea what he wants to do with his life. He knows it is only a matter of time before his mother finds out he has been missing school. He wishes he could just hide and hibernate. Deep down, he knows he has a problem, but he doesn’t know what to do about it. Secretly, he hopes his mother forces him to see a therapist because he is afraid of what the rest of his life is going to be like.

…we encourage you to trust your coping plan over the long haul. It is useful to acknowledge your small and daily successes, such as facing things you would typically avoid. There will likely be daily examples of slipups, too, but, similar to looking at a garden, we encourage you to focus on the flowers as much, if not more so, than you do the weeds. As an aside, both of us have taken up bike riding in the past few years. In our appreciation of the multiday, grand stage races in Europe, such as the Tour de France, we have seen a metaphor that helps to illustrate the goal of coping with ADHD. These multiple stage bike races last from 3 or 4 days on up to 3 weeks. Different days are spent climbing steep mountain roads, traversing long flat stages of over a hundred miles that end in all out sprints to the finish line, and individual time trials where each rider goes out alone and covers the distance as quickly as possible, known as “the race of truth.” The grand champion of a multiday race, however, is the rider whose cumulative time for all the stages is the fastest. That is, if you ride well enough, day-in and day-out, you will be a champion even though you may not be the first rider to cross the finish line on any single day’s race. Similarly, managing ADHD is an endurance sport. You need not cope perfectly all day, every day. The goal is to make progress, cope well enough, handle setbacks without giving up, and over time you will recognize your victory. Just keep pedaling.

Choosing Careers Many people with social anxiety do not have the job they would like the most because of fear. They hold jobs in which their duties are clear and repetitive. They let other people make decisions because they do not want to be responsible. Social anxiety often causes people to find careers in which they can work alone. Many women with social anxiety immerse themselves in family to avoid the workplace altogether. People suffering from social anxiety often remain at the same position for a long time because they are not seen as leaders. They avoid managerial roles and usually have a hard time communicating. As a result, work becomes boring, uninspired, and unfulfilling. Debra has worked at the Boston Public Library for five years, returning books to the shelves. It is a very peaceful job and the only time she has to speak with people is when they ask her where to find certain books. She has always been a big reader, and the job seems like the perfect fit. Lately, however, she has been feeling dissatisfied with her life. The library job doesn’t pay very much so she still lives with her parents, at age twenty-seven. Most people she went to school with have exciting jobs and are getting married. Often, Debra feels like life is passing her by. However, when she thinks about applying for a new job, Debra becomes very anxious. She is embarrassed that she has limited work experience and fears people will not take her seriously. She reads the Help Wanted section of the paper every day but is too scared to call for more information or to send out her résumé.

When the routines and circumstances of your life are set up so that your lifestyle is a good fit for your natural preferences, it can give you a feeling of being in equilibrium. This will help prevent you from getting overwhelmed by anxiety on a regular basis. And by arranging your life to suit your temperament, you’ll have the time to process and calm down from life events that make you feel anxious. Some areas in which you can set up your life to fit your temperament are: --Have the right level of busyness in your life. For example, have enough after-work or weekend activities to keep you feeling calmly stimulated but not overstimulated and scattered. Note that being understimulated (for example, having too few enjoyable activities to look forward to) can be as much of a problem as being overstimulated. --Pick the physical activity level that’s right for you. Fine-tuning your physical activity level could be as simple as getting up from your desk and taking a walk periodically to keep yourself feeling calm and alert. Lifting things (such as carrying shopping bags up stairs) can also increase feelings of alertness and energy. Having pleasurable activities to look forward to and enough physical activity will help protect you against depression. --Have the right level of social contact in your life, and have routines that put this on autopilot. For example, a routine of having drinks after work on a Friday with friends, or attending a weekly class with your sister. Achieving the right level of social contact might also include putting mechanisms in place to avoid too much social interruption, like having office hours rather than an open-door policy. --Keep a balance of change and routine in your life. For example, alternate going somewhere new for your vacation vs. returning to somewhere you know you like. What the right balance of change and routine is for you will depend on your natural temperament and how much change vs. stability feels good to you. --Allow yourself the right amount of mental space to work up to doing something—enough time that you can do some mulling over the prospect of getting started but not so much time that it starts to feel like avoidance of getting started. --If coping with change sucks up a lot of energy for you, be patient with yourself, especially if you’re feeling stirred up by change or a disruption to your routines or plans. As mentioned in Chapter 2, keep some habits and relationships consistent when you’re exploring change in other areas. --Have self-knowledge of what types of stress you find most difficult to process. Don’t voluntarily expose yourself to those types without considering alternatives. For example, if you want a new house and you know you get stressed out by making lots of decisions, then you might choose to buy a house that’s already built, rather than building your own home. If you know making home-improvement decisions is anxiety provoking for you, you might choose to move to a house that’s new or recently renovated, rather than doing any major work on your current home or buying a fixer-upper. There’s always a balance with avoidance coping, where some avoidance of the types of stress that you find most taxing can be very helpful.

Know Yourself: Are You a Freezer, Flyer, or Fighter? How avoidance coping manifests for you will depend on what your dominant response type is when you’re facing something you’d rather avoid. There are three possible responses: freezing, fleeing, or fighting. We’ve evolved these reactions because they’re useful for encounters with predators. Like other animals, when we encounter a predator, we’re wired to freeze to avoid provoking attention, run away, or fight. Most people are prone to one of the three responses more so than the other two. Therefore, you can think of yourself as having a “type,” like a personality type. Identify your type using the descriptions in the paragraphs that follow. Bear in mind that your type is just your most dominant pattern. Sometimes you’ll respond in one of the other two ways. Freezers virtually freeze when they don’t want to do something. They don’t move forward or backward; they just stop in their tracks. If a coworker or loved one nags a freezer to do something the freezer doesn’t want to do, the freezer will tend not to answer. Freezers may be prone to stonewalling in relationships, which is a term used to describe when people flat-out refuse to discuss certain topics that their partner wants to talk about, such as a decision to have another baby or move to a new home. Flyers are people who are prone to fleeing when they don’t want to do something. They might physically leave the house if a relationship argument gets too tense and they’d rather not continue the discussion. Flyers can be prone to serial relationships because they’d rather escape than work through tricky issues. When flyers want to avoid doing something, they tend to busy themselves with too much activity as a way to justify their avoidance. For example, instead of dealing with their own issues, flyers may overfill their children’s schedules so that they’re always on the run, taking their kids from activity to activity. Fighters tend to respond to anxiety by working harder. Fighters are the anxiety type that is least prone to avoidance coping: however, they still do it in their own way. When fighters have something that they’d rather not deal with, they will often work themselves into the ground but avoid dealing with the crux of the problem. When a strategy isn’t working, fighters don’t like to admit it and will keep hammering away. They tend to avoid getting the outside input they need to move forward. They may avoid acting on others’ advice if doing so is anxiety provoking, even when deep down they know that taking the advice is necessary. Instead, they will keep trying things their own way. A person’s dominant anxiety type—freezer, flyer, or fighter—will often be consistent for both work and personal relationships, but not always. Experiment: Once you’ve identified your type, think about a situation you’re facing currently in which you’re acting to type. What’s an alternative coping strategy you could try? For example, your spouse is nagging you to do a task involving the computer. You feel anxious about it due to your general lack of confidence with all things computer related. If you’re a freezer, you’d normally just avoid answering when asked when you’re going to do the task. How could you change your reaction?

Generalized Social Anxiety In contrast to people with specific social anxieties, you may be afraid in a wide variety of situations. You might feel that people are judging everything you do and you might set unreasonable standards of perfection for yourself. This condition is called generalized (or discrete) social anxiety. Generalized social anxiety accounts for 80 percent of all cases of social anxiety. Often, people with generalized social anxiety get caught in a vicious cycle. Because they are overly anxious in many situations, they act in clumsy and awkward ways, which in turn makes them feel even more discouraged and anxious. This cycle often results in depression and chronic stress. Generalized social anxiety can affect almost every aspect of your life. This has been the case for Toni, a college senior. In high school, I hardly had any friends. I didn’t participate in any extracurricular activities and managed to get by with average grades. Because I attend a large state university, I am even more invisible. So far, I have avoided any class that has any interaction with my peers, such as discussion groups or labs. As graduation approaches, I need to decide what type of career I want. The thought of job interviews terrifies me. I am considering grad school but would need recommendations to apply. I haven’t even spoken to most of my professors, and the ones who know me probably can’t say anything good about me. As a result, I’m really depressed. When I imagine the future, I can’t see myself being happy. I’ll probably move back to my parents’ house after graduation. I know they are disappointed in me, and that makes me feel like a complete failure.

The first step in retracing our way to health is to abandon our attachment to what is called positive thinking. Too many times in the course of palliative care work I sat with dejected people who expressed their bewilderment at having developed cancer. “I have always been a positive thinker,” one man in his late forties told me. “I have never given in to pessimistic thoughts. Why should I get cancer?” As an antidote to terminal optimism, I have recommended the power of negative thinking. “Tongue in cheek, of course,” I quickly add. “What I really believe in is the power of thinking.” As soon as we qualify the word thinking with the adjective positive, we exclude those parts of reality that strike us as “negative.” That is how most people who espouse positive thinking seem to operate. Genuine positive thinking begins by including all our reality. It is guided by the confidence that we can trust ourselves to face the full truth, whatever that full truth may turn out to be. As Dr. Michael Kerr points out, compulsive optimism is one of the ways we bind our anxiety to avoid confronting it. That form of positive thinking is the coping mechanism of the hurt child. The adult who remains hurt without being aware of it makes this residual defence of the child into a life principle. The onset of symptoms or the diagnosis of a disease should prompt a two-pronged inquiry: what is this illness saying about the past and present, and what will help in the future? Many approaches focus only on the second half of that healing dyad without considering fully what led to the manifestation of illness in the first place. Such “positive” methods fill the bookshelves and the airwaves. In order to heal, it is essential to gather the strength to think negatively. Negative thinking is not a doleful, pessimistic view that masquerades as “realism.” Rather, it is a willingness to consider what is not working. What is not in balance? What have I ignored? What is my body saying no to? Without these questions, the stresses responsible for our lack of balance will remain hidden. Even more fundamentally, not posing those questions is itself a source of stress. First, “positive thinking” is based on an unconscious belief that we are not strong enough to handle reality. Allowing this fear to dominate engenders a state of childhood apprehension. Whether or not the apprehension is conscious, it is a state of stress. Second, lack of essential information about ourselves and our situation is one of the major sources of stress and one of the potent activators of the hypothalamicpituitary-adrenal (HPA) stress response. Third, stress wanes as independent, autonomous control increases. One cannot be autonomous as long as one is driven by relationship dynamics, by guilt or attachment needs, by hunger for success, by the fear of the boss or by the fear of boredom. The reason is simple: autonomy is impossible as long as one is driven by anything. Like a leaf blown by the wind, the driven person is controlled by forces more powerful than he is. His autonomous will is not engaged, even if he believes that he has “chosen” his stressed lifestyle and even if he enjoys his activities. The choices he makes are attached to invisible strings. He is still unable to say no, even if it is only to his own drivenness. When he finally wakes up, he shakes his head, Pinocchio-like, and says, “How foolish I was when I was a puppet.

As we pulled up at the big school gates, I saw tears rolling down my dad’s face. I felt confused as to what part of nature or love thought this was a good idea. My instinct certainly didn’t; but what did I know? I was only eight. So I embarked on this mission called boarding school. And how do you prepare for that one? In truth, I found it really hard; there were some great moments like building dens in the snow in winter, or getting chosen for the tennis team, or earning a naval button, but on the whole it was a survival exercise in learning to cope. Coping with fear was the big one. The fear of being left and the fear of being bullied--both of which were very real. What I learned was that I couldn’t manage either of those things very well on my own. It wasn’t anything to do with the school itself, in fact the headmaster and teachers were almost invariably kind, well-meaning and good people, but that sadly didn’t make surviving it much easier. I was learning very young that if I were to survive this place then I had to find some coping mechanisms. My way was to behave badly, and learn to scrap, as a way to avoid bullies wanting to target me. It was also a way to avoid thinking about home. But not thinking about home is hard when all you want is to be at home. I missed my mum and dad terribly, and on the occasional night where I felt this worst, I remember trying to muffle my tears in my pillow while the rest of the dormitory slept. In fact I was not alone in doing this. Almost everyone cried, but we all learned to hide it, and those who didn’t were the ones who got bullied. As a kid, you can only cry so much before you run out of tears and learn to get tough. I meet lots of folks nowadays who say how great boarding school is as a way of toughening kids up. That feels a bit back-to-front to me. I was much tougher before school. I had learned to love the outdoors and to understand the wild, and how to push myself. When I hit school, suddenly all I felt was fear. Fear forces you to look tough on the outside but makes you weak on the inside. This was the opposite of all I had ever known as a kid growing up. I had been shown by my dad that it was good to be fun, cozy, homely--but then as tough as boots when needed. At prep school I was unlearning this lesson and adopting new ways to survive. And age eight, I didn’t always pick them so well.

When we reflect on our daily lives, we might look back at a day that was very stressful and think, “Well, that wasn’t my favorite day this week.” When you’re in the middle of one of those days, you might long for a day with less stress in it. But if you put a wider lens on your life and subtract every day that you have experienced as stressful, you won’t find yourself with an ideal life. Instead, you’ll find yourself also subtracting the experiences that have helped you grow, the challenges you are most proud of, and the relationships that define you. You may have spared yourself some discomfort, but you will also have robbed yourself of some meaning. And yet, it’s not at all uncommon to wish for a life without stress. While this is a natural desire, pursuing it comes at a heavy cost. In fact, many of the negative outcomes we associate with stress may actually be the consequence of trying to avoid it. Psychologists have found that trying to avoid stress leads to a significantly reduced sense of well-being, life satisfaction, and happiness. Avoiding stress can also be isolating. In a study of students at Doshisha University in Japan, the goal to avoid stress predicted a drop, over time, in their sense of connection and belonging. Having such a goal can even exhaust you. For example, researchers at the University of Zurich asked students about their goals, then tracked them for one month. Across two typically stressful periods—end-of-semester exams and the winter holidays—those with the strongest desire to avoid stress were the most likely to report declines in concentration, physical energy, and self-control. One particularly impressive study conducted through the U.S. Department of Veterans Affairs, in Palo Alto, California, followed more than one thousand adults for ten years. At the beginning of the study, researchers asked the participants about how they dealt with stress. Those who reported trying to avoid stress were more likely to become depressed over the following decade. They also experienced increasing conflict at work and at home, and more negative outcomes, such as being fired or getting divorced. Importantly, avoiding stress predicted the increase in depression, conflict, and negative events above and beyond any symptoms or difficulties reported at the beginning of the study. Wherever a participant started in life, the tendency to avoid stress made things worse over the next decade. Psychologists call this vicious cycle stress generation. It’s the ironic consequence of trying to avoid stress: You end up creating more sources of stress while depleting the resources that should be supporting you. As the stress piles up, you become increasingly overwhelmed and isolated, and therefore even more likely to rely on avoidant coping strategies, like trying to steer clear of stressful situations or to escape your feelings with self-destructive distractions. The more firmly committed you are to avoiding stress, the more likely you are to find yourself in this downward spiral. As psychologists Richard Ryan, Veronika Huta, and Edward Deci write in The Exploration of Happiness, “The more directly one aims to maximize pleasure and avoid pain, the more likely one is to produce instead a life bereft of depth, meaning, and community.