Sunday, April 21, 2019

Fight Social Anxiety by Embracing Your Inner Fool

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When I was in seventh grade, my family relocated to the United States after having lived in Europe for several years. Before we moved, my mother took me shopping for new school clothes.
On my first day at that school, I wore a neon green jumpsuit. I loved that jumpsuit. It had shiny silver zippers up the front and on the pockets. It was the coolest thing ever. Except that it wasn’t. Not in 1980s Michigan.
Somehow the latest European trends hadn’t found their way to the Detroit suburbs, where the height of “cool” at the time was Lacoste Alligator shirts and sweaters tied around the neck.  Those preppy kids made merciless fun of me and my jumpsuit from Milan.
I begged my mother to take me shopping, but she refused. She told me that I should set trends instead of following them. Sure. Tell that to a seventh grader.
For the rest of that year, I resigned myself to wearing “dorky” clothes. I became obsessed with not drawing further attention to myself in any way that would make me look “uncool.” I elevated being invisible to an art.
Most of us have a similar childhood tale about a time when we felt foolish. We remember how deeply painful that moment felt. That “Inner Kid” takes tyranny over our lives.
As adults, some people go to great lengths to avoid looking foolish in any way. That inner kid is in the driver’s seat of their adult lives. Whenever they think about coming out of their comfort zone, that Inner Kid yells, “Watch out! They may laugh at us or think we’re stupid!”
In the extreme form, this fear of negative judgment and the steps taken to avoid it becomes social anxiety. This diagnosis refers to an intense anxiety in situations where one might be negatively evaluated. The fear is typically out of proportion to the situation.
Indeed, as I so often witness in my practice, people find themselves overpreparing for a work meeting to the point of exhaustion. They obsess for weeks about what to wear to a reunion and then, at the last minute, don’t go at all. They turn down a promotion because the new job involves speaking in front of groups. And so, it goes – parties not attended, classes not completed, jobs not applied for, potential partners not met – in short, lives not fully lived.
In the context of discussing success, author Malcolm Gladwell has said, “What I try to do – try to be- is unafraid of making a fool of myself.”
In fact, the empirical research supports just such an approach to vanquishing the inner demons that keep us from stepping forward more confidently in our lives. Numerous meta-studies support the use of exposure therapy, a form of therapy that helps us to confront our fears. One such meta-study analyzed 33 treatment outcome studies conducted between 1977 and 2004. It found exposure-based treatment to be more effective than either no treatment, placebo, or non-exposure-based interventions.
The fear of appearing foolish can crush opportunities for spontaneity, mastery, and joy. What has the fear of looking foolish cost you? What were the risks not taken? The words not spoken? The adventures unexperienced? If more than a few examples come to mind, it may be time to challenge yourself to confront that fear and to learn to embrace “foolishness.”
How, exactly, can we learn to embrace our “Inner Fool?” The answer lies in changing not only how we think about foolishness, but also what we do in response to it.
I tell my clients, “Play it out all the way to the end.” In other words, whatever catastrophic outcome you imagine, play it out to its horrible conclusion (even better, write it out.)
Let’s return to the example of not going to the high school reunion. Maybe, something like this:
“I walk into the room and it turns out that I didn’t get the email that said it was a Beach Party-themed reunion.  Everyone is wearing Hawaiian shirts, and I’m way overdressed in a formal wear gown. Everyone has apparently been on Keto for the last 363 days of the year and they all I look amazing.  I’ve gained 30 pounds since the last reunion. A few people comment on my weight gain. People are pointing and snickering at me. I go into the bathroom and cry. I sneak out as soon as I get a chance.”
Let’s say that’s the worst that could happen. And now let’s imagine that it does happen. How bad is it?
“Well, pretty bad,” you’d say. And I’d agree. If all of that happened, that would stink. But then the next thing to ask yourself would be, “For how long?”
In other words, would it still matter in a day? Yep.  A week? Probably. What about in a month? Less so. What about in a year or five years from now? Probably not. (I am, after all, telling you about my green jumpsuit.)
This is known as perspective-taking. It refers to the ability to look past the immediate feeling of embarrassment and to re-assess it from a perspective further out in time. Perspective-taking helps us take small, positive risks because it helps us to see that even if the worst imaginable thing happens, we will likely still recover and live to tell the tale.
Along with perspective-taking, it helps to do probability testing. In other words, ask, “How likely is it that the worst possible thing that you are imagining will actually happen?”
Odds are, not very likely. The most probable outcome is likely somewhere in between the best-case scenario and the absolute worst-case one. Again, it helps to write these down—the best-case, worst-case, and the most probable outcome.
The anxious brain automatically goes to the worst-case scenario, and we often forget to consider the other outcomes as well. Perhaps the reunion goes flawlessly, and you have a fantastic time. Or maybe you feel a little discomfort at first but are later able to relax and even reconnect with a few people.
When we remember to include all the possible outcomes, it helps our brains relax enough to come out of our comfort zones.
Another thing that helps with embracing our Inner Fool is to purposely go out and do something foolish. “Why on Earth would I do that?” you ask.
The research strongly supports leaning into the fear and exposing yourself to the fearful situation rather than avoiding it. Avoidance tends to make the fear stronger because it gives you short-term relief. That short-term relief reinforces the behavior, so you continue to avoid things that make you anxious.
The problem, however, is that the short-term relief creates a long-term sacrifice—a sacrifice of quality of life, a sense of mastery, and increased confidence in the world. Exposing yourself to the feared situation, on the other hand, allows your brain to get the message that it’s not so bad. Anticipatory anxiety is typically far worse than the actual situation.
In my practice, I work with socially anxious clients to come up with experiments that teach them to embrace their Inner Fool. One of my favorites involves going through the drive-through at McDonald’s but ordering as if you were at Taco Bell.
Yes, I know. That sounds horrifically embarrassing, and you can’t even imagine doing such a thing. How did I even come up with such a torture?
Truth is, I didn’t come up with it. I was sitting in the passenger side of my car one afternoon when my jokester husband did exactly this. He has a playful side to his nature and loves to make others laugh. He is, in all ways, a natural jester.
Following his order, there was a long pause. Then a voice responded through the microphone, “Sir, this is McDonald’s, not Taco Bell.” He made some joke at that point and laughed. When we pulled up to the delivery window, the person taking the order was smiling and laughing too.
Natural jesters embrace foolishness and enjoy the spontaneity that comes from those moments. For the rest of us, especially those who may struggle with social anxiety, we must challenge ourselves to discover that most of the fears in our head are unfounded ones.  All of my clients who have completed this exercise come back giggling, saying, “I did it! And it was actually kind of fun!”
So, go ahead. Order some fast food at the wrong place. Wear the green jumpsuit. Embrace your Inner Fool.
References:
  1. Abramowitz, J.S., Deacon, B.J., & Whiteside, S.P.H. (2011). Exposure therapy for anxiety: Principles and practice. New York, NY: Guilford Press.
  2. Wolitzky-Taylor, K.B., Horowitz, J.D., Powers, M.B., & Telch, M.J. (2008). Psychological approaches in the treatment of specific phobia: A meta-analysis. Clinical Psychology Review, 28(6), 1021-1037.
© Copyright 2019 GoodTherapy.org. All rights reserved.

Saturday, April 20, 2019

16 Things to Do When You Can’t Stop Beating Yourself Up

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Many people believe being one’s own private drill sergeant is the best way to be a good person. Countless advertisements and workout videos have taught us that if we berate ourselves enough, we’ll get up off the couch and be more productive. If we break down, overeat, or underperform, many of us believe it is helpful to call ourselves “maggot” and “lazy piece of @#$%.”
Most of the time when we’re being hard on ourselves, it’s in service of this misguided belief that self-criticism is the fastest road to self-improvement. We believe the meaner we are, the more we’ll want to obey. We suspect the opposite must also be true: if we’re kind and loving to ourselves, that will be an excuse to nap all day or spend countless hours playing video games.

It’s part of our national history to believe in the “spare the rod, spoil the child” method of motivation. Yet lately we have tempered our child-rearing techniques, teaching via rewards instead of punishments. For ourselves, however, we most often still choose the whip over the carrot. Client after client sits in my office and tells me how, in an attempt to lose weight, they tell themselves they look like a whale. While trying to be a better parent, they scare themselves with thoughts that they’re destroying their kids. Hoping to get ahead at work, they call themselves useless or pathetic.
To be clear, this behavior doesn’t work. Imagine a child who wants to learn math, but the teacher constantly humiliates them, calls them stupid, and points out their mistakes. Most people under this kind of pressure will crack, either agreeing they must be incapable, or rebelling and refusing to try. No one has ever felt energized and ready to learn after being yelled at for their failures.
Instead, the key is to be gentle with yourself. Allowing for failure can give you enough energy to get back up after you stumble and start over again. If you want to cultivate perseverance, resilience, and grit, then you can reinforce these characteristics with praise. Support can create encouragement so you actually want to continue the difficult work of self-improvement.

16 STRATEGIES TO CHANGE YOUR RELATIONSHIP WITH YOURSELF

If you find yourself stuck subscribing to the philosophy of punishment-as-motivation, here are some quick strategies for changing this ingrained habit.
1. Thought stopping: One of the simplest ways to block a thought is to put your mind to stopping it. Picture a red stop sign, yell stop (whether out loud or in your head), stomp your foot, or imagine yourself stomping. This action captures your attention. It reminds you the thought is unhelpful and you’re trying to change it. Done consistently, thought stopping creates a new habit in exchange for the old, mindless pattern of self-criticism.
2. Thought replacing: Once you’ve stopped the thought, it’s time to replace it. Come up with a different statement, one that is actually motivating. Instead of “I’m so dumb,” perhaps you could say “I’m committed to reading more,” making it your mantra until it has power. Write the new phrase on sticky notes and place them where you’ll see the notes daily.
3. Compassion: Empathy is often a better motivator than cruelty. The phrase “I’m trying hard and want to succeed” can build energy, while “I’m no good and never will be” will likely drain it. You may feel sappy telling yourself warm and loving statements, but after you get past the discomfort, you may be shocked at how good you feel.
4. Being realistic: If you strongly believe you must look hard at your faults, go for it. Just do it in a balanced way. Criticism tends to work best when it is constructive. Decide what you want to change and why (“I need to be healthier.”). Next, own your faults or past mistakes (“I haven’t exercised enough in the past.”). Then move back to a realistic point of view (“I’m working on feeling healthier, so I’ll do one active thing today.”). Constructive criticism can be difficult to do, especially if you have a history of perfectionism, so you may wish get help from a trustworthy individual.
5. Thought labeling: Some thoughts are distorted and can’t be trusted. Sometimes by labeling these thoughts as the cognitive distortions they are, you can take away their power. You can find a list of common cognitive distortions here. Which are your go-tos?
6. Thought observation: “Observing” thoughts means sitting back and watching without judgment. It is a key component of mindfulness. Observation sounds simple, but it can pack a big punch. Gaining some objective distance often waters down the harshness of our critical thoughts. Thought observation often involves a simple meditation in which you relax, breathe, and acknowledge your feelings and thoughts without trying to fix them.
7. Emotion labeling: Reframe automatic thoughts as what they really are: reactions to a feeling, usually fear or anger. So “I’m such a loser for not getting an A on my test” is, in reality, “I’m scared I’m not lovable unless I am a top achiever.” Try to figure out the feeling under the statement to expose it for what it really is: a vulnerability that needs to be soothed.
8. Being kind to that emotion: Now do the soothing. It can be with words, by talking to yourself about how it’s okay to be scared, or sad, or imperfect. You could try talking things through with someone you trust. You can also sooth yourself by resting more or doing an activity that feels nice. Boosting your confidence and your mood can help energize you to do what you really want.
9. Being kind to the critical voice: Now move that wonderful compassionate approach to the inner critic itself. There’s a judge in your mind who thinks it knows all the answers, who has been taught to be cruel. Tell that voice you love and understand it, and watch what happens—many times it shrinks under the weight of all that kindness.
10. Inner child work: Imagine one the first times you told yourself, or were told from someone else, the negative message in question. Who first taught you that eating an extra cookie was repulsive? If you can picture your younger self getting that message, feeling hurt and shame, then you can imagine holding that kid, that part of you, and comforting them.
11. Doing something pleasant: Don’t underestimate the power of distracting your mind. Performing an activity that you enjoy has multiple benefits. It’s a way of being kind to yourself with actions instead of words. It can keep your mind too busy to continue attacking yourself. Plus, it may increase endorphins and other stress-relieving hormones.
12. Talking to someone who likes you: Social interaction is often a key component of well-being. We tend to be influenced by other people’s moods. If your friend is judgmental, you may struggle to curb your own inner critic. But if your friend is energetic and upbeat, you may be inspired toward change. Having a conversation with someone who feels positively about you can help you feel better about yourself.
13. Finding support: Friends aren’t the only—and sometimes aren’t the best—means of support. Often people feel safer talking to someone with no personal ties to them. Some people find it easier to be honest and vulnerable with someone they don’t have to see over dinner. They may turn to an individual therapist, a phone support line, or a support group.
14. Making a list of your achievements or good qualities: Self-esteem building can be as simple as reciting the qualities you like about yourself. When we get in the habit of believing we need to highlight our faults to stay on top of them, we weaken the “muscle” that reinforces our positive attributes. Start by writing down all the things you and others like about you. Put the list near your bed to look at each night or morning. For more tips, read my earlier blog post on self-esteem.
15. Taking one step in the right direction: If you truly believe there’s something you should be doing but aren’t, maybe the scope of the undertaking is overwhelming you. Try starting with a bite-sized piece of your plan. For instance, if you want to get a college degree, but a BA program seems too expensive and time-consuming, start by taking one class. If that still sounds intimidating, you could buy a book in one subject. Or talk to one college counselor. Any movement in the direction you want to go can feel like momentum toward your larger goal.
16. Accepting failure: Finally, get way, way more accepting of your limitations. It’s utterly counterintuitive, but success often requires being okay with mistakes. Giving yourself permission to fail does not mean you’re okay with not trying and not achieving. It means you’re realistic that trying sometimes means screwing up.
Any one of these techniques is its own first step to an approach that’s more compassionate and realistic. Give yourself the space to experiment, with one goal in mind: switching from being your own worst critic to your biggest fan.
© Copyright 2018 GoodTherapy.org. All rights reserved. Permission to publish granted by Vicki Botnick, MA, MS, LMFT, therapist in Tarzana, California

Monday, April 15, 2019

What to Do Before Scheduling Your First Therapy Session

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Choosing to see a therapist is a huge decision. It’s that moment when you decide:
  • You need or want help (did you actually just admit that to yourself?).
  • You can no longer manage this situation as effectively as you’d like to.
  • You’ve been stuck for a while and want to move forward.
As a therapist, I can often perceive a shift in the person I’m speaking to on the other end of the line once that first appointment has been set. I can sense that person breathing just a little bit easier, and there’s often a subtle acknowledgment of hope and even accomplishment, as in, “I’ve just taken the first important step toward my future well-being.”
What leads up to that first step? How can you take that first step with more confidence so that you don’t feel like you’re grasping at straws? So that you feel empowered in the process?
I recommend doing five things before finding a therapist.

1. THINK ABOUT WHAT YOU WANT TO GAIN FROM THE COUNSELING PROCESS

It’s helpful to have a goal or two in mind as you begin. For example, are you focused on processing a particular incident in your past? Are you interested in developing better communication skills? Are you eager to challenge the way you customarily think about yourself or the world around you (your inner dialogue)? Do you want to create a toolbox for coping with anxiety? Are you looking for a “safe” place to express your feelings regarding a loss?

It can be helpful to have a place to begin and to be able to express that to the person you choose to work with. Of course, you can alter your goals or add to them once you begin counseling. Sometimes a deeper objective comes to the surface later on, once a therapeutic foundation and a sense of trust has been established.

2. DO A LITTLE RESEARCH

Find out which therapists in your area are accustomed to helping people with the kinds of things you hope to explore. Most therapists have online profiles that outline the type of work they typically engage in.
If you’re comfortable asking, find out if people you trust have any recommendations. You will need to be sure that if you choose to work with someone who also counsels someone you know, you will not find yourself censoring what you have to say. (You can expect anything you say to remain confidential.) Otherwise, it’s probably best to find someone on your own.
Stack the odds for a successful and pleasant experience in your favor. This might mean finding someone you don’t need to travel too far to see, finding a therapist who has an ample parking lot (so that you don’t get stressed trying to find parking each time you go), making sure the office is handicap accessible, or ensuring the office has hours that will accommodate your schedule. You want to remove as many potential barriers as possible to getting there and obtaining the help you desire. You certainly don’t want therapy to add an additional layer of stress.
This leads us to the third thing to do before therapy.

3. EXPLORE YOUR BEHAVIORAL HEALTH BENEFITS

Be familiar with the insurance coverage you have, if any, and what it will cover in terms of behavioral health, both in-network and out-of-network. Find out if you have a deductible and how much you have satisfied so far, what the therapist’s fees are, what your copayment is, whether you need a referral or authorization, and whether you are allotted a limited number of sessions. Having this information will enable you to be an informed consumer.
It’s best to know what therapy will cost per session before you begin so there are no surprises once you start. Again, you want it to be as comfortable and smooth a process as possible.

4. HAVE QUESTIONS READY WHEN YOU SCHEDULE YOUR FIRST APPOINTMENT

Write down the name, number, and location of the therapist you are calling, as well as the questions you want to ask. This way, you can keep track of responses if you reached out to more than one counselor. Don’t be afraid to get the answers you need. You may want to ask the therapist directly about how they work, how long the sessions are, and how often you will typically meet. Feel free to ask about office procedures such as last-minute cancellations, what happens when there’s bad weather, etc.
This conversation gives you the opportunity to get a “vibe” or sense of whether you will be comfortable working with a particular therapist.

Finally…

5. PREPARE TO DO SOME WORK

You will get out of counseling what you are willing to put into it. It’s not always easy. It requires thought, introspection, reflection, and effort, a willingness to “try on” different perceptions or experiment with alternative behavioral approaches.
Know that there will be days you will feel resistant and won’t want to attend your session. I tell people I work with in therapy that THOSE sessions, when you DO show up, are often the most meaningful and powerful ones. Hesitation can serve as a signal that important work is about to be done. Showing up and telling your therapist that you contemplated canceling can open up a significant dialogue about where you are in your healing process, as well as where you’re going.
Don’t throw a dart at an online directory. Take responsibility for your healing as best you can. Don’t expect that every therapist will be the perfect match for you. Find the right fit. Feel the relief and self-assuredness that you are making an informed choice when you make that call and schedule your first therapy appointment.
© Copyright 2015 GoodTherapy.org. All rights reserved. Permission to publish granted by Laurie Leinwand, MA, LPC, therapist in Denville, New Jersey

Let's see if we're a good fit. 

Saturday, April 13, 2019

How Can Befriending Our ‘Head Noise’ Diminish Anxiety and Depression?

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Psychotherapy is swiftly changing, as are the people we serve. One new element is what we are learning in areas of trauma resolution, particularly methods similar to Somatic Experiencing®, focalizing, eye movement desensitization and reprocessing (EMDR), and sensorimotor psychotherapy. A new world of healing is surely upon us—and it is a breath of fresh air.
There’s a shift from the archeological digs of psychoanalysis and cognitive techniques where, in my experience, depression and anxiety often linger and remain unresolved. Although these techniques have been and continue to be helpful, they may not be as effective as newer methods of going within the bodyThese newer approaches transcend talk therapy, inducing new felt-body experiences that help resolve habitual stress and anxiety.
These graceful naturopathic processes can help us become aware of the separation of the mind (as a tool of execution) and the body and heart as an access to aliveness and well-being. Our minds are a creative tool of execution, yet they are also a reservoir of past conditioned thinking (often wrong, harsh, punishing, and outdated). They tend to regurgitate and ruminate old news from in our heads, “head noises,” if you will, that can make us believe they are who we are. We’ve been conditioned to listen to these noises as they build (or collapse) the worlds we live in today, but still, I find this ludicrous. These regurgitated thinking patterns can often lead us to feel like we are imprisoned and can be major contributing factors in the development of depression and anxiety.

CONSIDERING NEW POSSIBILITIES

New possibilities, especially those inspired by the life force that comes from the innate intelligence in our heart, bodies and nature may be helpful at diminishing or silencing these head noises. I lovingly refer to this as a Greek chorus (voices of judgment, voices of cynicism, and voices of fear). Until we learn to befriend them as natural parts of our being and understand how they have been programmed by earlier life events, they may hinder our growth, development, and even typical function. If the chorus never stops, indeed if it runs our lives, it will continue to block assess to our innate wisdom. Our minds know nothing of the future and lack the comprehension of love, multidimensionality, or the nuances of our present realities–this is the domain of the heart and soul.
The body has innate intelligence and grounding in nature, and once we become skilled at accessing our inner wisdom, we may be able to awaken an impressively wiser aptitude, which can allow our hearts and nature to provide an organic inner compass for our next best step(s) forward. As we experience this felt sense of grounding and ability for self-regulation, we may be able to become better custodians of our minds and more equipped to manage the head-noise of conditioned thinking that often produces so much stress and anxiety.

As I’ve heard in yoga practice, you are not your mind. You are not the Greek chorus.
Many find these techniques easy to learn, even if it is less easy to adequately put them into the mind’s language of words. Exposure to these techniques may help free us from the entanglements that are wrapped around our potential to receive and experience more from life, such as contentment and joyful moments. This new learning simply teaches us the experience, practice and provides a takeaway proficiency of how befriending our head-noise can manage and reduce stress and anxiety. These somatic, whole-body approaches are often studied through workshops or one-on-one experiences with a trained facilitator.
Here’s a short exercise that can help you start the process of befriending head noise and becoming what I call a “curious observer.” Since it involves closing your eyes, you may wish to read through each of the steps before beginning.
  • Set a timer for three minutes. Sit in a comfortable position, feet on the floor.
  • Close your eyes or find a comfortable place to rest your gaze, a few feet in front of you on the floor.
  • Bring the focus of your attention down into your body. Sometimes I envision the focus of my attention as a magnifying glass or a spotlight. Bring this spotlight down to the soles of your feet. Sit with your attention on your feet. Notice as many sensations as you can and note them.
    • What does the floor feel like? The fabric of your socks? The temperature? And so on.
  • Once you’ve sat with those felt sensations for a minute, bring your attention up to your breathing. Notice the rise and fall of your chest. See how long you can pay attention to the physical feeling of your breathing without trying to control it. No matter how you breathe, let it be the perfect breath at that moment. The key here is non-judgment.
  • Throughout this exercise, notice if voices of judgment, voices of fear, or voices of cynicism come in. For example, you may notice a thought asking “Am I doing this right?”
    • When you notice these voices, gently thank them for their presence and then visualize them going to a different corner of the room you’re in. Or, if you prefer, send them to an island where they can stay while you continue focusing on the felt sensations of your breath.
    • Each time the voices come back, gently visualize the voice going back to a corner or an island. It’s best that we avoid becoming antagonistic with the thoughts. Just thank them and then visualize them moving on.
  • When the three minutes are up, open your eyes. Take a moment to notice your surroundings. Do you notice a sense of clarity with your vision? Did you get an experience of timelessness at any point when you were doing the exercise? Some may notice their thoughts seem quieter than before.
This is the beginning of what focalizing techniques can bring to people seeking help. Focalizing can serve as a starting point that snowballs into meaningful and lasting healing after only a few sessions. As we become a curious observer to our head noise, we connect with a part of ourselves that is beyond conditioned thinking. With this new connection, we may no longer rely on replicating the solutions of the past. Instead, we are likely to find ourselves newly equipped to innovate and find graceful solutions that better address the present circumstances.
© Copyright 2017 GoodTherapy.org. All rights reserved. Permission to publish granted by Michael Picucci, PhD, MAC, SEP, therapist in New York City, New York

Friday, April 12, 2019

How to Recognize and Overcome Childhood Emotional Neglect

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Because it’s mostly silent and invisible, childhood emotional neglect is largely an overlooked phenomenon in psychology. Unlike physical neglect or abuse, where there are signs such as bruises or children coming to school underfed, emotional neglect is difficult to identify as there are frequently no observable signs. More importantly, emotional neglect is generally unrecognized by the child until symptoms begin to appear in adulthood.
Emotional neglect can take many forms, from a parent having unrealistically high expectations or not listening attentively, to invalidating a child’s emotional experiences to the point he or she begins to feel self-doubt. When a parent is not emotionally attuned to a child, there is no mirror held up, no positive reflection being shared with the child. Developing a positive sense of self, then, becomes more challenging for the child.

SYMPTOMS OF EMOTIONAL NEGLECT

As outlined in Running on Empty: Overcome Your Childhood Emotional Neglect by Dr. Jonice Webb, symptoms of childhood emotional neglect that show up in adults may include (but are not limited to):
  • “Numbing out” or being cut off from one’s feelings
  • Feeling like there’s something missing, but not being sure what it is
  • Feeling hollow inside
  • Being easily overwhelmed or discouraged
  • Low self-esteem
  • Perfectionism
  • Pronounced sensitivity to rejection
  • Lack of clarity regarding others’ expectations and your own expectations for yourself
While having these symptoms doesn’t necessarily mean you were emotionally neglected, if you identify with more than one symptom, it may be worthwhile to talk with a therapist about the possibility.

WHAT KINDS OF PARENTS TEND TO EMOTIONALLY NEGLECT THEIR CHILDREN?

First, let me say most parents are well-intentioned and well-meaning and generally do the best they can. Some may have experienced emotional neglect themselves as children, and therefore may not have a lot to give emotionally. However, there are some parenting styles and characteristics that lend themselves to emotional neglect.
Authoritarian parents want their children to follow the rules, and have little time or inclination for listening to a child’s feelings and needs. As adults, children raised by an authoritative parent may either rebel against authority or perhaps become submissive.
Permissive parents have a laissez-faire attitude about child rearing and may let children pretty much fend for themselves. Children raised by permissive parents may have a tough time setting boundaries and limits for themselves in adulthood.
Parents with narcissistic qualities feel the world revolves around them. It’s typically all about the parent’s needs instead of the child’s. As adults, these children may have difficulty identifying their needs and ensuring that they’re met. They may even feel that they don’t deserve to have their needs met.
Perfectionistic parents tend to believe their children can always do more or better. These are the parents who may complain when a child brings home a report card with all A’s and one B. Children of such parents may grow up to be perfectionists, and set unrealistically high expectations for themselves, resulting in anxiety around feelings of never being good enough.
Absent parents can be removed from a child’s life for a variety of reasons, such as death, illness, divorce, working long hours, or frequent travel for work. Children of absent parents end up raising themselves to a large extent, and if they are the oldest child may also raise their younger siblings. These children tend to be overly responsible, which may carry over to adult life. As children, they seem like little adults, overburdened with worry about their families.

TIPS FOR RECOVERING FROM EMOTIONAL NEGLECT

So what can you do if you think you may have been emotionally neglected as a child? Here are some tips:
1. Learn to be aware of positive and negative emotions when you’re experiencing them.
If you’ve spent your adult life being disconnected from your feelings, the first step is to learn to identify positive and negative emotion. It’s important to acknowledge just good and uncomfortable feelings to begin with.
Once you have that down, you can focus on noting subtler nuances of feelings. You may not even have words for how you feel, which is perfectly normal if you didn’t grow up in a home where people talked about their feelings.
2. Identify your needs, and take steps to meet them.
Many adults who experienced emotional neglect as children are often unaware of what they need and typically don’t feel deserving of getting their needs met. Develop your emotional vocabulary by researching emotions and needs online or at the library. Once you know what you need, it’s time to take action.
3. If you believe you don’t deserve to have your needs met, acknowledge the belief and see it as just that—a belief, not a fact.
It can be helpful to begin to deconstruct old beliefs you’ve held for a long time that may no longer hold true. Like everyone else on the planet, you have emotional needs that you deserve to have met, no matter what you experienced in childhood.
4. Be gentle with and take good care of yourself, starting with small steps.
Adults who experienced emotional neglect as children often have difficulty with self-care. Unaware of their feelings and needs, they frequently don’t know where to start. Try treating yourself with the same care and gentleness you would give a child who wasn’t able to take care of themselves. Be tender and compassionate with yourself, especially if you tend to be self-critical or judgmental.
And remember: Rome wasn’t built in a day! This is a process. When you skin your knee, you need to clean out the wound and expose it to the light of day; the same holds true for emotional wounds. Dare to bring the wound out of hiding, give it some light and air, and you’ll be on the road to healing.
Reference:
Webb, J. (2012). Running on Empty: Overcome Your Childhood Emotional Neglect. New York, NY: Morgan James Publishing.

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