Physical Therapy Quotes

Mind control is built on lies and manipulation of attachment needs. Valerie Sinason, (Forward)

Though the physicality of death destroys us, the idea of death may save us.

All emotions, even those that are suppressed and unexpressed, have physical effects. Unexpressed emotions tend to stay in the body like small ticking time bombs—they are illnesses in incubation.

By masking my mental illness, I get along with almost everyone. Although the odd duck, I honor society’s rules. No one else could imagine my mind’s interior.

Today I hit rock bottom but didn’t busy myself with activity to take my mind off it, like I usually do. I allowed myself to sink as deep as possible. It’s like an infection: let it run its course and be done with it. Rising, I felt cleansed.

You'd never tell an athlete to just get over a sprain; you'd give them time to recover, physical therapy, whatever they needed. Why are mental health conditions any different?

Cooking and baking is both physical and mental therapy.

Let me put it this way: You cannot live in the world without being in pain, spiritual and physical pain. We have developed mechanisms to deal with these pains, to overcome them somehow. Therapy, religion and spirituality, relationships, material success. All this can work, but also become a problem itself. The pursuit of happiness has even been put into the American constitution a couple centuries ago. Today we're so rich, we own much more than we need, we have liberties unknown before, even though they are endangered in the current political climate in the US - and we forget how wonderful it nevertheless is, compared to most other political and economic systems. We have a saying that goes: Give a man enough rope and he hangs himself.

It must stink to know everyone’s future but your own. (Danger) You’ve no idea. It’s actually cruel in my opinion. But then maybe it doesn’t matter after all since futures can and do change. Something as simple as you’re supposed to turn right down a street one day…and in your bones you know it, and yet for reasons no one understands, you decide to debunk fate and go left. Now instead of meeting the spouse of your dreams and having a house full of kids, you get flattened by an ice-cream truck and spend the next five years in physical therapy. And all because you exercised free will and turned the opposite way on a whim. (Alexion)

A supervisor once likened doing psychotherapy to undergoing physical therapy. It can be difficult and cause pain, and your condition can worsen before it improves, but if you go consistently and work hard when you’re there, you’ll get the kinks out and function so much better.

Emily just knew that the grocery store clerk’s cousin had slipped on a bath mat and fallen out a second-story open window only to be saved because the woman landed on a discarded mattress. But what interested Emily most about the incident was how the cousin had subsequently met a man in physical therapy who introduced her to his half brother who she ended up marrying and then running over with her car a year later after a heated argument. And that man, it was discovered, had been the one to dump the mattress in her yard. He’d saved her so that she could later cripple him. Emily found that not ironic but intriguing. Because everything, she believed, was connected.

You are not sick You are injured

They always say doctors save lives and nurses keep them alive, and physical therapy gives them a life,” he says. “Our whole thing is function.

As circulation improves over the next couple weeks, you'll start to get a persistent tingling, and then you'll need physical therapy to work toward regular functioning. Then, around October, a massive object will strike Earth and you will die.

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

By failing to engage it in intellectually challenging activities, your brain will fail to grow new connections, and it will indeed become disorganized and ultimately dysfunctional. The converse is also true for both body and brain. If someone who has not been physically active for a sustained period starts a program of physical therapy and regular exercise, she can regain her muscle mass and tone within a matter of months. The same thing is true of your brain.

Ken brought my hand to his lips and kissed it. I'd been paying so much attention to Ken, I didn't know what happened during the game. I don't think anyone cared too much what the outcome was after Ken's at bat. "Do you know who won?" I asked Cooper, who automatically translated into sign language for Shawn. Shawn laughed his odd laugh and signed something back. He looked at Ken, who had an arm wrapped possessively around my waist. Cooper grinned. "Shawn says it looks like you did, Jordie.

Depression is a serious problem, but drugs are not the answer. In the long run, psychotherapy is both cheaper and more effective, even for very serious levels of depression. Physical exercise and self-help books based on CBT can also be useful, either alone or in combination with therapy. Reducing social and economic inequality would also reduce the incidence of depression.

How do we find words for describing levels of betrayal and emotional, physical, sexual and spiritual torture that fragment and destroy a child or cast and case traumatic shadows over the whole of adult life? We might, as a society, slowly find it possible to accept that one in four citizens are likely to have experience some form of emotional, psychical, sexual or spiritual abuse (McQueen, Itzin, Kennedy, Sinason, & Maxted, 2008), in itself a figure unimaginable and hidden twenty years ago. However, accepting the way a hurt and hurting parent or stranger re-enacts their disturbance with a vulnerable child or children remains far easier to digest than to consider the intellectually planned, scientific, methodical, procedures of organized child-abusing perpetrators-in other words, torture.

Happiness is a state of mental,physical and spiritual well-being. Think pleasantly,engaged sport and read daily to enhance your well-being.

Hoping to move forward with physical therapy.

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

That we must share our knowledge with other people. That we all have abilities far beyond what we use. Some of us find this out sooner than others. That you should check your vices before you come to this point. If you do not, you carry them over with you to another life. Only we can rid ourselves … of the bad habits that we accumulate when we are in a physical state. The Masters cannot do that for us. If you choose to fight and not to rid yourself, then you will carry them over into another life. And only when you decide that you are strong enough to master the external problems, then you will no longer have them in your next life.

For you know that you can get nothing more out of this lifetime. When you have time, when you have had the time to rest and re-energize your soul, you are allowed to choose your re-entry back into the physical state. Those people who hesitate, who are not sure of their return here, they might lose the chance that was given them, a chance to fulfill what they must when they’re in physical state.” I

Fear, by its depressing effect on our mentality, thus causes disharmony in our physical and magnetic bodies and paves the way for [bacterial] invasion. The real cause of disease lies in our own personality. ..

There were nights when I left the sessions physically and emotionally drained after hearing the anguish pour out like blood from a gaping wound. Don’t let anyone ever tell you different – psychotherapy is one of the most taxing endeavors known to mankind; I’ve done all sorts of work, from picking carrots in the scorching sun to sitting on national committees in paneled board rooms, and there’s nothing that compares to confronting human misery hour after hour and bearing the responsibility for easing that misery using only one’s mind and mouth. At its best it’s tremendously uplifting as you watch the patient open up, breathe, let go of the pain. At its worst is like surfing in a cesspool struggling for balance while being slapped with wave after putrid wave.

Rest is not the answer Activity and therapy help healing most

Each body is different Therefore each rehabilitation must be different

Some people go to the gym to get more attractive physically, i've chosen to study the past and patterns i was trapped into. It is more about dropping than lifting weight.

Given how tedious and dull the hospital could be, I always expected hospital inpatients to be happy to see us. But they frequently had the opposite reaction. Patients cringed as soon as the door swung open to reveal, ta da! Physical Therapy!

Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current healthcare system. There are few insurance reimbursement codes for most of the largely preventive interventions that I believe are necessary to extend lifespan and healthspan. Health insurance companies won’t pay a doctor very much to tell a patient to change the way he eats, or to monitor his blood glucose levels in order to help prevent him from developing type 2 diabetes. Yet insurance will pay for this same patient’s (very expensive) insulin after he has been diagnosed. Similarly, there’s no billing code for putting a patient on a comprehensive exercise program designed to maintain her muscle mass and sense of balance while building her resistance to injury. But if she falls and breaks her hip, then her surgery and physical therapy will be covered. Nearly all the money flows to treatment rather than prevention—and when I say “prevention,” I mean prevention of human suffering.

Reflecting on his physical therapy reminds me that I’m not a fan of the “fighting” metaphor for cancer. I don’t think you fight it, or beat it. The effort I saw Henry expend, again and again, at the age of one, under such duress, suggests someone who could beat anything that can be beaten. Cancer’s pretty much going to do what it wants. Should it come for me, I hope I’ll just ride the wave.

I may have no emotional skin and come undone at the smallest interpersonal upset, but I’d make a great bullfighter or firefighter—anything that gets my adrenaline going and focuses me on a physical target. The motorcycle is all of that and more. When I’m on the bike, it feels like a door opens in my chest and the world rushes in, pure, fresh, and sparkling with clarity. It forces me to approach fear with total awareness and to pull reason mind into the moment of intense reactions.

Futures can and do change, something as simple as you're supposed to turn right down a street one day... In your bones u know it, and yet for reasons no one understands, you decide to debunk fate and go left. Now instead of meeting your spouse of your dreams and having a house full of kids, you get flattened by an ice-cream truck and spend the next 5 years in physical therapy recovering from the injuries; or worse you die from it. And all cause you exercised free will and turned the opposite way on a whim.

A peculiarity of the nature of your mind is that, in contrast to your physical constitution (dosha) that is fixed from birth, it can be altered through discrimination and choice.

Lack of communication can drive a spike between two people wider than any physical distance.

Love without restraint makes one saint and the other faint; the sweetest face and the tenderest embrace bring the sun to every place in such grace.

No class in physical therapy school prepared me to counsel a patient dealing with a life-changing injury.

Even the physical therapist, who until that day has been seen as an unwelcome tormentor, is pulled into the picture.

Armor and character work together. Character emphasizes the form rather than the content of a person's psychological defenses. It is a person's typical way of acting and responding. Armoring is the physical structuring and manifestation of these characteristic psychological defenses; that is, armoring is the physical partner of psychological character defense.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

Born of neurons, soul is the very essence of being - soul is the very foundation of your existence - your psychological existence, from which all your physical prowess and progress manifest.

Although most psychotherapeutic approaches "agree that therapeutic work in the 'here and how' has the greatest power in bringing about change" (Stern, 2004, p. 3), talk therapy has limited direct impact on maladaptive procedural action tendencies as they occur in the present moment. Although telling "the story" provides crucial information about the client's past and current life experience, treatment must address the here-and-now experience of the traumatic past, rather than its content or narrative, in order to challenge and transform procedural learning. Because the physical and mental tendencies of procedural learning manifest in present-moment time, in-the-moment trauma-related emotional reactions, thoughts, images, body sensations, and movements that emerge spontaneously in the therapy hour become the focal points of exploration and change.

Regardless of a patient’s true motives to get out of bed, I always applaud on the inside. That’s what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym.

chapter 38 your weight is morally neutral feeding your body is a care task. Resting your body is a care task. Taking medication to control health symptoms is a care task. Moving your body is a care task. Physical therapy and other healing activities are care tasks. It’s a wonderful thing to investigate what foods and nutrients help your body function and feel best. But making or keeping yourself thin is not a care task.

In projecting onto others their own moral sense, therapists sometimes make terrible errors. Child physical abusers are automatically labeled “impulsive," despite extensive evidence that they are not necessarily impulsive but more often make thinking errors that justify the assaults. Sexual and physical offenders who profess to be remorseful after they are caught are automatically assumed to be sincere. After all, the therapist would feel terrible if he or she did such a thing. It makes perfect sense that the offender would regret abusing a child. People routinely listen to their own moral sense and assume that others share it. Thus, those who are malevolent attack others as being malevolent, as engaging in dirty tricks, as being “in it for the money,“ and those who are well meaning assume others are too, and keep arguing logically, keep producing more studies, keep expecting an academic debate, all the time assuming that the issue at hand is the truth of the matter. Confessions of a Whistle-Blower: Lessons Learned Author: Anna C. Salter. Ethics & Behavior, Volume 8, Issue 2 June 1998 p122

We must realize that mental problems are just as real as physical disease, and that anxiety and depression require active therapy as much as appendicitis or pneumonia,” wrote Dr. Howard Rusk, a professor at New York University who penned a weekly column for the New York Times. “They are all medical problems requiring medical care.”12

To learn theory by experimenting and doing. To learn belonging by participating and self-rule. Permissiveness in all animal behavior and interpersonal expression. Emphasis on individual differences. Unblocking and training feeling by plastic arts, eurythmics and dramatics. Tolerance of races, classes, and cultures. Group therapy as a means of solidarity, in the staff meeting and community meeting. Taking youth seriously as an age in itself. Community of youth and adults, minimizing 'authority.' Educational use of the actual physical plant (buildings and farms) and the culture of the school community. Emphasis in the curriculum on real problems and wider society, its geography and history, with actual participation in the neighboring community (village or city). Trying for functional interrelation of activities.

Emotional and physical isolation from attachment figures is inherently traumatizing for human beings, bringing with it a heightened sense, not simply of vulnerability and danger, but also of helplessness (Mikulincer, Shaver, & Pereg, 2003).

Another relevant factor is money. In the United States and many other countries, health care is partly a for-profit industry.21 Consequently, there is a strong incentive to invest in or promote treatments such as antacids and orthotics that alleviate the symptoms of diseases and that people have to buy frequently and for many years. Another way to make lots of money is to favor costly procedures like surgery instead of less expensive preventive treatments like physical therapy. Preventive

as anxiety with no particular content, as physical tension or illness, as shyness, as phobias, as a feeling of being easily overwhelmed from being with other people, as avoidance of social and intimate relationships, or just as a feeling of stress.

I suspect that in the late ’90s alone, youth group games were responsible for millions of mono breakouts, thousands of broken bones, dozens of stomach pumps, and countless hours of therapy, for they typically involved placing insecure, hormonally charged teenagers in as physically awkward and borderline dangerous a situation as possible, preferably in the company of food,

Fatigue also depletes frontal resources. As the workday progresses, doctors take the easier way out, ordering up fewer tests, being more likely to prescribe opiates (but not a nonproblematic drug like an anti-inflammatory, or physical therapy). Subjects are more likely to behave unethically and become less morally reflective as the day progresses, or after they’ve struggled with a cognitively challenging task. In an immensely unsettling study of emergency room doctors, the more cognitively demanding the workday (as measured by patient load), the higher the levels of implicit racial bias by the end of the day.[27

For people who are depressed, and especially for those who do not receive enough benefit from medication of for whom the side effects of antidepressants are troubling, the fact that placebos can duplicate much of the effects of antidepressants should be taken as good news. It means that there are other ways of alleviating depression. As we have seen, treatments like psychotherapy and physical exercise are at least as effective as antidepressant drugs and more effective than placebos. In particular, CBT has been shown to lower the risk of relapsing into depression for years after treatment has ended, making it particularly cost effective.

The very first picture that came up on the camera’s little view screen was of him. What did that mean that she’d kept this picture of him? Was it because she still cared? Or had she saved it as a warning? Like, “Never forget how completely screwed up your relationship was with this loser . . .” It wasn’t a particularly good picture. In fact, it was pretty embarrassing. Sitting up in his bed, Max was in his room at Sheffield. It was the photo Gina had taken the day after he’d arrived there. He looked like crap warmed over after his very first physical therapy session, and he was glowering into the camera because he goddamn didn’t want his picture taken.

Empathy teaches this lesson; it is one of the feelings we are put on Earth to learn, a key aspect of our preparation for immortality. It is difficult lesson in that we must experience it not only in our mind but in our physical bodies, and in the mind and body we have pain, dark emotions, difficult relationships, enemies, loss and grief. We thus tend to forget others and concentrate on ourselves. But we also have love, beauty, music, art, dance, nature, and air, and we long to share them. We cannot transform negativity into the positive without empathy, and we cannot truly understand empathy without experiencing it in our present life, in our past, and in our future.

One need only to observe the physical response of a child to realize that, when happy, he is happy all over.

One patient got up and used his wound care supplies to tape his hospital door shut.

I got hit in the fucking head with the medicine ball.

Local grandmas came in and out of our clinic bringing homemade cookies and fudge, because nothing soothes phantom limb pain better than a homemade brownie.

All the material wealth cannot be substituted for the spiritual, physical, emotion and mental well-being.

When clients are hyperaroused or overwhelmed emotionally, voluntarily narrowing their field of consciousness allows them to assimilate a limited amount of incoming information, thereby optimizing the chance for successful integration. For example, as one client began to report her traumatic experience, her arousal escalated: Her heart started to race, she felt afraid and restless, and had trouble thinking. She was asked to stop talking and thinking about the trauma, to inhibit the images, thoughts, and emotions that were coming up, and orient instead to her physical sensation until her arousal returned to the window of tolerance. With the help of her therapist, she focused on her body and described how her legs felt, the phyisical feeling of anxiety in her chest, and the beating of her heart. These physical experiences gradually subsided, and only then was she encouraged to return to the narrative.

One great help here - and I make no claim that it is the only help or even a necessary condition for forgiveness - is sincere repentance on the part of the wrongdoer. When I am wronged by another, a great part of the injury - over and above any physical harm I may suffer - is the insulting or degrading message that has been given to me by the wrongdoer: the message that I am less worthy than he is, so unworthy that he may use me merely as a means or object in service to his desires and projects. Thus failing to resent(or hastily forgiving) the wrongdoer runs the risk that I am endorsing that very immoral message for which the wrongdoer stands. If the wrongdoer sincerely repents, however, he now joins me in repundiating the degrading and insulting message - allowing me to relate to him (his new self) as an equal without fear that a failure to resent him will be read as a failure to resent what he hs done.

For example, in order to identify these schemas or clarify faulty relational expectations, therapists working from an object relations, attachment, or cognitive behavioral framework often ask themselves (and their clients) questions like these: 1. What does the client tend to want from me or others? (For example, clients who repeatedly were ignored, dismissed, or even rejected might wish to be responded to emotionally, reached out to when they have a problem, or to be taken seriously when they express a concern.) 2. What does the client usually expect from others? (Different clients might expect others to diminish or compete with them, to take advantage and try to exploit them, or to admire and idealize them as special.) 3. What is the client’s experience of self in relationship to others? (For example, they might think of themselves as being unimportant or unwanted, burdensome to others, or responsible for handling everything.) 4. What are the emotional reactions that keep recurring? (In relationships, the client may repeatedly find himself feeling insecure or worried, self-conscious or ashamed, or—for those who have enjoyed better developmental experiences—perhaps confident and appreciated.) 5. As a result of these core beliefs, what are the client’s interpersonal strategies for coping with his relational problems? (Common strategies include seeking approval or trying to please others, complying and going along with what others want them to do, emotionally disengaging or physically withdrawing from others, or trying to dominate others through intimidation or control others via criticism and disapproval.) 6. Finally, what kind of reactions do these interpersonal styles tend to elicit from the therapist and others? (For example, when interacting together, others often may feel boredom, disinterest, or irritation; a press to rescue or take care of them in some way; or a helpless feeling that no matter how hard we try, whatever we do to help disappoints them and fails to meet their need.)

Correct me if I’m wrong,” he said, “but I was under the impression that you weren’t looking for anything more than a short-term arrangement either, Miss Free Spirit.” She flushed. “I wasn’t the one who ran for the door that night. I was doing just fine with the summer-fling thing.” “I did not run for the door. I left in a hurry, but I did not run.” “Details.” “Important details. And I’d like to remind you that I showed at your gallery the next morning,” he said. “It’s not like I didn’t call. And how the hell do you think I felt when you told me that the sex had been therapeutic? You made it sound like a good massage or a tonic, damn it.” She bit her lip. “Well, it was in a way.” “Great. Well, do me a favor. The next time you want physical therapy, call a masseuse or a chiropractor. Or buy a vibrator.

If you send a child to therapy before you've been for yourself, the child rightly discerns that you consider the child the problem. If, however, you've used therapy in your life before asking your child to go, she learns that therapy is a natural choice for people who want to live conscious, healthy lives. Therapy is good emotional and mental hygiene - just as teeth cleanings and going to the gym are good for physical health. Nothing to be ashamed of!

Suppressing our inner cries for help does not stop our stress hormones from mobilizing the body. Even though Sandy had learned to ignore her relationship problems and block out her physical distress signals, they showed up in symptoms that demanded her attention. Her therapy focused on identifying the link between her physical sensations and her emotions, and I also encouraged her to enroll in a kickboxing program. She had no emergency room visits during the three years she was my patient.

Many research studies, as well as my own clinical experience, have confirmed that severely depressed patients who appear very "biologically" depressed with lots of physical symptoms often respond rapidly to cognitive therapy alone without any drugs.5

Licensed, regulated, taxed, safe. People pay for therapy, for physical training,” he added, nodding at the board. “For spiritual guidance, and so on and so on. People pay for all manner of basic needs, and others train to provide those needs. Sex is a basic need.

Regardless of a patient's true motives to get out of bed, I always applaud on the inside. That's what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym. To do their strengthening exercises. To buy into the program. All in order to prepare them for the day they will eventually walk again. But I downplay my enthusiasm at a soldier's pain-tinged request for fear he'll figure out that's what I've been trying to get him to do and rebel. It's always better to make it seem like it is their idea all along.

The Dilemma of Human Suffering Nothing external ensures freedom from suffering. Even when we human beings possess all the things we typically use to gauge external success—great looks, loving parents, terrific children, financial security, a caring spouse—it may not be enough. Humans can be warm, well fed, dry, physically well—and still be miserable. Humans can enjoy forms of excitement and entertainment unknown in the nonhuman world and out of reach for all but a fraction of the population—high-definition TVs, sports cars, exotic trips to the Caribbean—and still be in excruciating psychological pain.

I think the biggest thing is just how hard it is to be taken seriously, to be looked in the eye by doctors. I remember my doctors always looking at and talking to my partner, never to me, and if I was alone, just looking away. That’s an experience that Miranda frequently has in the book. Also, doctors quickly grabbing at “anxiety” as the reason why you might be in this shape. I felt pressure to make sure I wasn’t displaying any signs of stress so they had no reason to dismiss me or shut me up with a drug. I found there was a lot of pressure to be a good patient and to conform to some sort of progress narrative that my therapist or surgeon might have. And when your body fails to get better, they sort of want to blame you. So in All’s Well, Miranda is very anxious to prove that she is a good patient to her physical therapists and her doctors. But because she’s not improving, they dread her and don’t really know what to do with her anymore and they just kind of randomly experiment with her during therapy appointments—let’s do some tests, they say. It breeds a toxic relationship and a power dynamic that makes her really helpless, desperate, and ultimately worse off. There are some very sadistic surgeons and physical therapists in this book.

This reorienting is not an attempt to avoid or discount clients' pain and ongoing suffering. Rather, it is a means to help them observe, firsthand, how their chronic orienting tendencies toward reminders of the past recreate the trauma-related experience of danger and powerlessness, whereas choosing to orient to a good feeling can result in an experience of safety and mastery. As clients become able to do so the new objects of orientation often become more defined and & Goodman 1951). Rather than attention being drawn repeatedly to physical pain or traumatic activation, the good feeling becomes more prominent in the client's awareness. This exercise of reorienting toward a positive stimulus can surprise and reassure clients that they are not imprisoned indefinitely in an inner world of chronic traumatic reexperiencing, and that they have more possibilities and control than they had imagined. These orienting exercises need to be practiced again and again for mastery.

The redirection of orientation and attention can be as simple as asking clients to become aware of a "good" or "safe" feeling in the body instead of focusing on their physical pain or elevated heart rate. Or the therapist can ask clients to experiment with focusing attention away from the traumatic activation in their body and toward thoughts or images related to their positive experiences and competencies, such as success in their job. This shift is often difficult for clients who have habituated to feeling pulled back repetitively into the most negative somatic reminders of their traumatic experiences. However, if the therapist guides them to practice deeply immersing themselves in a positive somatic experience (i.e., noting the changes in posture, breath, and muscular tone that emerge as they remember their competence), clients will gain the ability to reorient toward their competencies. They experience their ability to choose to what they pay attention and discover that it really is possible to resist the somatic claims of the past.

depression in its major stages possesses no quickly available remedy: failure of alleviation is one of the most distressing factors of the disorder as it reveals itself to the victim, and one that helps situate it squarely in the category of grave diseases. Except in those maladies strictly designated as malignant or degenerative, we expect some kind of treatment and eventual amelioration, by pills or physical therapy or diet or surgery, with a logical progression from the initial relief of symptoms to final cure. Frighteningly, the layman-sufferer from major depression, taking a peek into some of the many books currently on the market, will find much in the way of theory and symptomatology and very little that legitimately suggests the possibility of quick rescue. Those that do claim an easy way out are glib and most likely fraudulent. There are decent popular works which intelligently point the way toward treatment and cure, demonstrating how certain therapies—psychotherapy or pharmacology, or a combination of these—can indeed restore people to health in all but the most persistent and devastating cases; but the wisest books among them underscore the hard truth that serious depressions do not disappear overnight. All of this emphasizes an essential though difficult reality which I think needs stating at the outset of my own chronicle: the disease of depression remains a great mystery. It has yielded its secrets

Ironically, many of the institutions that run the economy, such as medicine, education, law and even psychology are largely dependent upon failing health. If you add up the amounts of money exchanged in the control, anticipation and reaction to failing health (insurance, pharmaceutical research and products, reactive or compensatory medicine, related legal issues, consultation and therapy for those who are unwilling to improve their physical health and claim or believe the problem is elsewhere, etc.), you end up with an enormous chunk. To keep that moving, we need people to be sick. Then we have the extreme social emphasis placed on the pursuit and maintenance of a lifestyle based on making money at any cost, often at the sacrifice of health, sanity and well-being.

Needless to say, elderly people taking steroids may also experience the same side effects as younger persons. So, if you are a senior and need to be on a long course of steroids, what should you do? We would suggest a practical approach—which could apply to anyone on steroids, regardless of age, but may be particularly relevant for seniors because they are particularly vulnerable to side effects: • Understand and verify the need for steroids in your own situation, weighing the anticipated benefit with the possible risks. This means that you should explore the range of other treatments that may be available for your particular condition. You need to learn about the benefits and risks of any other treatment suggested. In other words, get all the information you can prior to going on treatment, be it with steroids or other medications. • Be sure that your health is well-assessed before or at the start of therapy. If you have underlying, separate health conditions, those should be noted and followed while you are on steroids. • Assess bodily systems that might particularly be affected by being on steroids. This means an assessment of your skeletal health, your eyes, your teeth, and your internal organs. • Request guidance about staying active. Physical therapy should be planned, to minimize the chances that your muscles and joints will be overtaxed or that any existing damage might get worse. • Ask to reassess the length and dose of your medication course at various intervals. A reasonable interval is every couple of months, if you are on a long course of steroids.

Excepting machinery, there is hardly anything secular in our culture that does not come from Greece. Schools, gymnasiums, arithmetic, geometry, history, rhetoric, physics, biology, anatomy, hygiene, therapy, cosmetics, poetry, music, tragedy, comedy, philosophy, theology, agnosticism, skepticism, stoicism, epicureanism, ethics, politics, idealism, philanthropy, cynicism, tyranny, plutocracy, democracy: these are all Greek words

We have created a rhetoric of “gender identity” that is disconnected from biological sexual fact, and we have done so largely in the service of enabling the sexual mutilation of physically healthy men and women (significantly more men) by medical authorities who should be barred by professional convention if not by conscience from the removal of healthy organs (and limbs, more on that later), an act that by any reasonable standard ought to be considered mutilation rather than therapy.

It cannot be too firmly realized that every Soul in incarnation is down here for the specific purpose of gaining experience and understanding, and of perfecting his personality towards those ideals laid down by the Soul. Let everyone remember/hat his Soul has laid down for him a particular work, and that unless he does this work, though perhaps not consciously, he will inevitably raise a conflict between his Soul and personality which of necessity reacts in the form of physical disorders

We live in the world, Jacob thought. That thought always seemed to insert itself, usually in opposition to the word ideally. Ideally, we would make sandwiches at homeless shelters every weekend, and learn instruments late in life, and stop thinking about the middle of life as late in life, and use some mental resource other than Google, and some physical resource other than Amazon, and permanently retire mac and cheese, and give at least a quarter of the time and attention to aging relatives that they deserve, and never put a child in front of a screen. But we live in the world, and in the world there’s soccer practice, and speech therapy, and grocery shopping, and homework, and keeping the house respectably clean, and money, and moods, and fatigue, and also we’re only human, and humans not only need but deserve things like time with a coffee and the paper, and seeing friends, and taking breathers, so as nice as that idea is, there’s just no way we can make it happen. Ought to, but can’t.

I’ve got some good physical therapy for you. Any good at fencing?” Joss almost choked on her mouthful of coffee. She sat up straight in her chair and shook her head. “No, Gus.” Troy ignored her. “I can fence in my sleep.” “Gus.” She narrowed her eyes at her father-in-law who could be stubborn as a mule. “He dislocated his elbow. He shouldn’t be doing any heavy lifting with his arm. Not to mention it’s going to be in a splint for a couple of weeks.” “He’s still got his right arm, don’t he?” “Yeah,” Troy drawled, amusement flattening his vowels even more than usual. “I’ve still got my right arm.” She glared at Gus. “You want to take on a one-armed fencer?” “Damien’s got his summer job starting today so I’m losing my sidekick and Cody’s out with his broken leg for another couple of weeks. It’d be handy to have even one extra hand on.” “I bet I can fence better one-armed than most men can with two.” There was no bravado to the claim. His expression was sincere and Joss believed him. She didn’t doubt this man could do a crap ton of things better than most men.

Dawn’s afternoons at the Baker Institute for physically disabled kids sounded fascinating. She rode to Stamford in a specially equipped van with four children from Stoneybrook who went to Baker for physical therapy, classes in the arts, and a chance to make new friends. The bus driver was a woman who was going to college to learn to be a physical therapist. She drove the bus to earn some extra money, but the kids were more than just a job to her. She really enjoyed being with them. “Candace is so funny,” Dawn told me. “She jokes around with the kids, and they love her. She treats all of them the way you’d treat kids who aren’t in wheelchairs or wearing braces. She’ll say to them, ‘Hurry up! I haven’t got all day,’ and the kids just giggle. Most people tiptoe around the kids like they’re going to break. And never mention their braces or anything. But if a friend of yours got new clothes, you’d make a comment, right? So if a kid gets on the bus with decorations all over the back of his wheelchair, Candace will say, ‘Your chair looks great today! I think you should go into business as a decorator.

theory and science are: 1. From the cradle to the grave, human beings are hardwired to seek not just social contact, but also physical and emotional proximity to special others who are deemed irreplaceable. The longing for a “felt sense” of connection to key others is primary in terms of the hierarchy of human goals and needs. Humans are most acutely aware of this innate need for connection at times of threat, risk, pain, or uncertainty. Threats that trigger the attachment system may be from the outside or the inside, for example, troubling construals of rejection by loved ones, negative images or concrete reminders of one’s own mortality (Mikulincer, Birnbaum, Woddis, & Nachmias, 2000; Mikulincer & Florian, 2000). In relationships, shared vulnerability builds bonds, precisely because it brings attachment needs for a felt sense of connection and comfort to the fore and encourages reaching for others. 2. Predictable physical and/or emotional connection with an attachment figure, often a parent, sibling, longtime close friend, mate, or spiritual figure, calms the nervous system and shapes a physical and mental sense of a safe haven where comfort and reassurance can be reliably obtained and emotional balance can be restored or enhanced.

WARNING: Before commencing any program of sustained physical inactivity, consult your physician. Sedentary living doubles the likelihood of stroke and coronary artery disease, making it as risky as smoking, high cholesterol, or high blood pressure. If unaccustomed to sitting for extended periods, you may experience weak muscles, low bone density, high cholesterol, hyperglycaemia, a rapid resting heart rate, mental decline, mood disorders, and obesity. Start slowly and increase inactivity gradually. If you experience drowsiness, difficulty in concentration, or craving for stimulation, discontinue inactivity immediately.:-)

The sour old cow gave me a sum much more difficult than any I had encountered before: say, a four-digit number divided by a three-digit number. I guessed how to do it, and got it wrong. Without offering help, she told me to do it again. I failed a second time; she warned me to try hard; I did; I failed again; and she told me to hold my hand out and, grasping it firmly, she caned the palm three times, hard. My first reaction was astonishment: none of my kindergartens had been Catholic establishments, so I was unprepared for this kind of assault. Then it hurt, a lot! My precious palm! When I first started having therapy twenty-five years later, this was one of the first traumas I recalled, and I was astonished at the power of the feelings that came flooding back: anger—no, fury; self-pity; humiliation; a deep, deep sense of hurt; and a pure indignation at not so much the unfairness, but the insanity of punishing someone physically for getting an answer wrong. It is terrifying how much of this deeply unkind, utterly pointless, in fact, mind-bogglingly COUNTERPRODUCTIVE kind of behaviour was meted out to children over the centuries by half-witted, power-crazed zombies like this heinous old bat—a large proportion of such psychopaths allegedly acting in the name of an all-loving God. (A

Original Statement by Hunger Strikers to Psychiatric Association, National Alliance for the Mentally Ill and the U.S. Office of the Surgeon General 1. A Hunger Strike to Challenge International Domination by Biopsychiatry. This fast is about human rights in mental health. The psychiatric pharmaceutical complex is heedless of its oath to “first do no harm.” Psychiatrists are able with impunity to: Incarcerate citizens who have committed crimes against neither persons nor property. Impose diagnostic labels on people that stigmatize and defame them. Induce proven neurological damage by force and coercion with powerful psychotropic drugs. Stimulate violence and suicide with drugs promoted as able to control these activities. Destroy brain cells and memories with an increasing use of electroshock (also known as electro-convulsive therapy). Employ restraint and solitary confinement—which frequently cause severe emotional trauma, humiliation, physical harm, and even death—in preference to patience and understanding. Humiliate individuals already damaged by traumatizing assaults to their self-esteem. These human rights violations and crimes against human decency must end. While the history of psychiatry offers little hope that change will arrive quickly, initial steps can and must be taken. At the very least, the public has the right to know IMMEDIATELY the evidence upon which psychiatry bases its spurious claims and treatments, and upon which it has gained and betrayed the trust and confidence of the courts, the media, and the public.21

Schools, gymnasiums, arithmetic, geometry, history, rhetoric, physics, biology, anatomy, hygiene, therapy, cosmetics, poetry, music, tragedy, comedy, philosophy, theology, agnosticism, skepticism, stoicism, epicureanism, ethics, politics, idealism, philanthropy, cynicism, tyranny, plutocracy, democracy: these are all Greek words for cultural forms seldom originated, but in many cases first matured for good or evil by the abounding energy of the Greeks. All the problems that disturb us today—the cutting down of forests and the erosion of the soil; the emancipation of woman and the limitation of the family; the conservatism of the established, and the experimentalism of the unplaced, in morals, music, and government; the corruptions of politics and the perversions of conduct; the conflict of religion and science, and the weakening of the supernatural supports of morality; the war of the classes, the nations, and the continents; the revolutions of the poor against the economically powerful rich, and of the rich against the politically powerful poor; the struggle between democracy and dictatorship, between individualism and communism, between the East and the West—all these agitated, as if for our instruction, the brilliant and turbulent life of ancient Hellas. There is nothing in Greek civilization that does not illuminate our own. We shall try to see the life of Greece both in the mutual interplay of its cultural elements, and in the immense five-act drama of its rise and fall. We shall begin with Crete and its lately resurrected civilization, because apparently from Crete, as well as from Asia, came that prehistoric culture of Mycenae

Patients who develop ME/CFS often lose the natural antidepressant effect of exercise, feeling worse after exercise rather than better. Patients may have a drop in body temperature with exercise. Thus fatigue is correlated with other symptoms, often in a sequence that is unique to each patient. After relatively normal physical or intellectual exertion, a patient may take an inordinate amount of time to regain her/his pre-exertion level of function and competence. For example, a patient who has bought a few groceries may be too exhausted to unpack them until the next day. The reactive fatigue of post-exertional malaise or lack of endurance usually lasts 24 hours or more and is often associated with impairment of cognitive functions. There is often delayed reactivity following exertion, with the onset the next day, or even later.

He actually had a relationship once with someone who’d committed suicide. Not emotional, physical. It happened in the army. He was serving in general-staff headquarters at the time, and he’d been brought up on charges of being seen with his boots unpolished. And just when he was walking past the tall staff headquarters building, someone dropped to the ground next to him, splattered. A girl-soldier, they said, with a broken heart, a corporal, Liat Something. Later he remembered hearing a kind of scream above him as she was falling. But he hadn’t looked up. The sound didn’t even register. He reached the hearing all covered in her blood. They let him off. Liat Atlas. That was her name. They even called on him later, to testify at the military police investigation. It couldn’t go on this way, that much he knew. Maybe he needed therapy.

I was headed into the final fitting of my leg. I’d gone through the test socket phase and my leg was finally ready. I was so excited! I walked into the physical therapy lab and shouted, “Man, I cannot wait to put this leg on and walk!” My physical therapist, Bob, and the prosthetist exchanged nervous glances. My right leg was still pretty weak and by all normal standards, I should not be able to walk right away. But then, of course, I never like to be like everyone else. They had me wheel over to the parallel bars to attach my new leg. “We’re just going to have you stand for now,” said Bob. “Nah, I’m walking.” I offered up my best shit-eating grin. “Let’s just see how it feels,” Bob replied with some firmness. I stood up and said, “I feel good. I feel really good.” Bob relented and they let me try to walk. They put a belt around me so that Bob could hold on to me as I walked the parallel bars. Most guys can use the parallel bars for support. I only have one arm so that only helped me so much. Good thing I didn’t really need them. I started walking without faltering right away. “Yeah, this feels good. I feel good. You can back up,” I told them. They backed up and I started walking by myself, holding on with one hand. Then, feeling bolder, I lifted my hand off the bar. I took a step. And then another step. I was walking without any help. I walked up and down those parallel bars the very first day I put on my leg. I did all this with an audience. Dad and Uncle Johnny were right there with me, watching and cheering me on. They were so excited. Uncle Johnny snapped a picture and sent it to my mom back home in Alabama. And as any proud mom would do, she sent that picture to everyone she knew. That picture went the pre-viral version of viral! It was a triumphant snapshot. I was walking again. And not only that, I was wearing those shiny new New Balance shoes the nice ladies had given me. As the picture made the rounds through my mom’s friends and friends of her friends and friends of friends of friends, somehow it ended up with people at New Balance. They reached out to my mom to ask what sizes of shoe Colston and I wore. She told them and then soon after that, Colston and I had matching sneakers.

The Pathe & Mullen (1997) sample almost unanimously reported deterioration in mental and physical well-being as a consequence of the harassment. (..) These victims often described a preoccupation with their stalker, one commenting: "I think I’ve become as obsessed as the stalker himself". (..) Whenever stalking victims present it is essential to assess their suicide potential and continue to monitor this. (..) Victims of stalking often respond to cognitive-orientated psychological therapies because stalking breaches previously held assumptions about their safety. The belief of victims in their strength and resilience and their confidence in the reasonable and predictable nature of the world are frequently shattered, to be replaced with feelings of extreme vulnerability and an expectation of pervasive danger and unpredictable harm. Cognitive therapies attempt to restructure these morbid perceptions of the world that threaten the victim’s adaptation and functioning. (..) Avoidance can respond to behavioural therapies such as prolonged exposure and stress inoculation, which aim to assist victims to gradually resume abandoned activities and manage the associated anxiety.

One year later the society claimed victory in another case which again did not fit within the parameters of the syndrome, nor did the court find on the issue. Fiona Reay, a 33 year old care assistant, accused her father of systematic sexual abuse during her childhood. The facts of her childhood were not in dispute: she had run away from home on a number of occasions and there was evidence that she had never been enrolled in secondary school. Her father said it was because she was ‘young and stupid’. He had physically assaulted Fiona on a number of occasions, one of which occurred when she was sixteen. The police had been called to the house by her boyfriend; after he had dropped her home, he heard her screaming as her father beat her with a dog chain. As before there was no evidence of repression of memory in this case. Fiona Reay had been telling the same story to different health professionals for years. Her medical records document her consistent reference to family problems from the age of 14. She finally made a clear statement in 1982 when she asked a gynaecologist if her need for a hysterectomy could be related to the fact that she had been sexually abused by her father. Five years later she was admitted to psychiatric hospital stating that one of the precipitant factors causing her breakdown had been an unexpected visit from her father. She found him stroking her daughter. There had been no therapy, no regression and no hypnosis prior to the allegations being made public. The jury took 27 minutes to find Fiona Reay’s father not guilty of rape and indecent assault. As before, the court did not hear evidence from expert witnesses stating that Fiona was suffering from false memory syndrome. The only suggestion of this was by the defence counsel, Toby Hed­worth. In his closing remarks he referred to the ‘worrying phenomenon of people coming to believe in phantom memories’. The next case which was claimed as a triumph for false memory was heard in March 1995. A father was aquitted of raping his daughter. The claims of the BFMS followed the familiar pattern of not fitting within the parameters of false memory at all. The daughter made the allegations to staff members whom she had befriended during her stay in psychiatric hospital. As before there was no evidence of memory repression or recovery during therapy and again the case failed due to lack of corrobo­rating evidence. Yet the society picked up on the defence solicitor’s statements that the daughter was a prone to ‘fantasise’ about sexual matters and had been sexually promiscuous with other patients in the hospital. ~ Trouble and Strife, Issues 37-43

Remember, babyhood is not a time of bliss; it’s one of terror. As babies we are trapped in a strange, alien world, unable to see properly, constantly surprised at our bodies, alarmed by hunger and wind and bowel movements, overwhelmed by our feelings. We are quite literally under attack. We need our mother to soothe our distress and make sense of our experience. As she does so, we slowly learn how to manage our physical and emotional states on our own. But our ability to contain ourselves directly depends on our mother’s ability to contain us—if she had never experienced containment by her own mother, how could she teach us what she did not know? Someone who has never learned to contain himself is plagued by anxious feelings for the rest of his life, feelings that Bion aptly titled nameless dread. Such a person endlessly seeks this unquenchable containment from external sources—he needs a drink or a joint to “take the edge off” this endless anxiety. Hence my addiction to marijuana. I talked a lot about marijuana in therapy. I wrestled with the idea of giving it up and wondered why the prospect scared me so much. Ruth said that enforcement and constraint never produced anything good, and that, rather than force myself to live without weed, a better starting place might be to acknowledge that I was now dependent on it, and unwilling or unable to abandon it.

biomedical view, for its part, increasingly recognizes the power of things like meditation and traditional talk therapy to render concrete structural changes in brain physiology that are every bit as “real” as the changes wrought by pills or electroshock therapy. A study published by researchers at Massachusetts General Hospital in 2011 found that subjects who practiced meditation for an average of just twenty-seven minutes a day over a period of eight weeks produced visible changes in brain structure. Meditation led to decreased density of the amygdala, a physical change that was correlated with subjects’ self-reported stress levels—as their amygdalae got less dense, the subjects felt less stressed. Other studies have found that Buddhist monks who are especially good at meditating show much greater activity in their frontal cortices, and much less in their amygdalae, than normal people.n Meditation and deep-breathing exercises work for similar reasons as psychiatric medications do, exerting their effects not just on some abstract concept of mind but concretely on our bodies, on the somatic correlates of our feelings. Recent research has shown that even old-fashioned talk therapy can have tangible, physical effects on the shape of our brains. Perhaps Kierkegaard was wrong to say that the man who has learned to be in anxiety has learned the most important, or the most existentially meaningful, thing—perhaps the man has only learned the right techniques for controlling his hyperactive amygdala.o

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

Cognitive-Behavioral Therapy There are almost no pure cognitive or behavioral therapists. Instead, most therapists use a combination of both techniques. This is known as cognitive-behavioral therapy. It is generally recognized as the best therapy for social anxiety. In cognitive-behavioral therapy, a therapist helps you identity maladaptive thinking patterns and replace them with new ways of thinking. He or she also teaches you relaxation techniques and new behaviors that make you feel more comfortable in social situations. Cognitive-behavioral therapy uses many of the same techniques that we explored in the previous chapter. Although you might make great strides on your own, sometimes it is easier and faster to have someone guide you. Often it is difficult for people to explore hidden beliefs about themselves. A professional therapist is experienced in working with people who are trying to change. Often a therapist will see connections in your situation that you cannot. Carlos was terrified of speaking in class. Whenever the teacher called on him, his heart raced, he blushed, and his stomach felt upset. His therapist first had him focus on his thoughts during class. As an experiment, she had him purposely answer a question incorrectly during biology class. To his surprise, the teacher didn’t make a big deal out of it, and the other students didn’t laugh. As a result, Carlos realized that his imagined consequences for making errors were greatly exaggerated. He also realized that he held himself to a higher standard than other people, including the teacher, did. Next, his therapist showed him various relaxation techniques to lessen the physical symptoms of anxiety. Soon, he felt more comfortable and even volunteered to lead a discussion group.

PATTERNS OF THE “SHY” What else is common among people who identify themselves as “shy?” Below are the results of a survey that was administered to 150 of my program’s participants. The results of this informal survey reveal certain facts and attitudes common among the socially anxious. Let me point out that these are the subjective answers of the clients themselves—not the professional opinions of the therapists. The average length of time in the program for all who responded was eight months. The average age was twenty-eight. (Some of the answers are based on a scale of 1 to 5, 1 being the lowest.) -Most clients considered shyness to be a serious problem at some point in their lives. Almost everyone rated the seriousness of their problem at level 5, which makes sense, considering that all who responded were seeking help for their problem. -60 percent of the respondents said that “shyness” first became enough of a problem that it held them back from things they wanted during adolescence; 35 percent reported the problem began in childhood; and 5 percent said not until adulthood. This answer reveals when clients were first aware of social anxiety as an inhibiting force. -The respondents perceived the average degree of “sociability” of their parents was a 2.7, which translates to “fair”; 60 percent of the respondents reported that no other member of the family had a problem with “shyness”; and 40 percent said there was at least one other family member who had a problem with “shyness.” -50 percent were aware of rejection by their peers during childhood. -66 percent had physical symptoms of discomfort during social interaction that they believed were related to social anxiety. -55 percent reported that they had experienced panic attacks. -85 percent do not use any medication for anxiety; 15 percent do. -90 percent said they avoid opportunities to meet new people; 75 percent acknowledged that they often stay home because of social fears, rather than going out. -80 percent identified feelings of depression that they connected to social fears. -70 percent said they had difficulty with social skills. -75 percent felt that before they started the program it was impossible to control their social fears; 80 percent said they now believed it was possible to control their fears. -50 percent said they believed they might have a learning disability. -70 percent felt that they were “too dependent on their parents”; 75 percent felt their parents were overprotective; 50 percent reported that they would not have sought professional help if not for their parents’ urging. -10 percent of respondents were the only child in their families; 40 percent had one sibling; 30 percent had two siblings; 10 percent had three; and 10 percent had four or more. Experts can play many games with statistics. Of importance here are the general attitudes and patterns of a population of socially anxious individuals who were in a therapy program designed to combat their problem. Of primary significance is the high percentage of people who first thought that “shyness” was uncontrollable, but then later changed their minds, once they realized that anxiety is a habit that can be broken—without medication. Also significant is that 50 percent of the participants recognized that their parents were the catalyst for their seeking help. Consider these statistics and think about where you fit into them. Do you identify with this profile? Look back on it in the coming months and examine the ways in which your sociability changes. Give yourself credit for successful breakthroughs, and keep in mind that you are not alone!

THE VISION EXERCISE Create your future from your future, not your past. WERNER ERHARD Erhard Founder of EST training and the Landmark Forum The following exercise is designed to help you clarify your vision. Start by putting on some relaxing music and sitting quietly in a comfortable environment where you won’t be disturbed. Then, close your eyes and ask your subconscious mind to give you images of what your ideal life would look like if you could have it exactly the way you want it, in each of the following categories: 1. First, focus on the financial area of your life. What is your ideal annual income and monthly cash flow? How much money do you have in savings and investments? What is your total net worth? Next . . . what does your home look like? Where is it located? Does it have a view? What kind of yard and landscaping does it have? Is there a pool or a stable for horses? What does the furniture look like? Are there paintings hanging in the rooms? Walk through your perfect house, filling in all of the details. At this point, don’t worry about how you’ll get that house. Don’t sabotage yourself by saying, “I can’t live in Malibu because I don’t make enough money.” Once you give your mind’s eye the picture, your mind will solve the “not enough money” challenge. Next, visualize what kind of car you are driving and any other important possessions your finances have provided. 2. Next, visualize your ideal job or career. Where are you working? What are you doing? With whom are you working? What kind of clients or customers do you have? What is your compensation like? Is it your own business? 3. Then, focus on your free time, your recreation time. What are you doing with your family and friends in the free time you’ve created for yourself? What hobbies are you pursuing? What kinds of vacations do you take? What do you do for fun? 4. Next, what is your ideal vision of your body and your physical health? Are you free of all disease? Are you pain free? How long do you live? Are you open, relaxed, in an ecstatic state of bliss all day long? Are you full of vitality? Are you flexible as well as strong? Do you exercise, eat good food, and drink lots of water? How much do you weigh? 5. Then, move on to your ideal vision of your relationships with your family and friends. What is your relationship with your spouse and family like? Who are your friends? What do those friendships feel like? Are those relationships loving, supportive, empowering? What kinds of things do you do together? 6. What about the personal arena of your life? Do you see yourself going back to school, getting training, attending personal growth workshops, seeking therapy for a past hurt, or growing spiritually? Do you meditate or go on spiritual retreats with your church? Do you want to learn to play an instrument or write your autobiography? Do you want to run a marathon or take an art class? Do you want to travel to other countries? 7. Finally, focus on the community you’ve chosen to live in. What does it look like when it is operating perfectly? What kinds of community activities take place there? What charitable, philanthropic, or volunteer work? What do you do to help others and make a difference? How often do you participate in these activities? Who are you helping? You can write down your answers as you go, or you can do the whole exercise first and then open your eyes and write them down. In either case, make sure you capture everything in writing as soon as you complete the exercise. Every day, review the vision you have written down. This will keep your conscious and subconscious minds focused on your vision, and as you apply the other principles in this book, you will begin to manifest all the different aspects of your vision.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.