Small changes, big impact.

You might be surprised by the positive impact of a few small changes, or exercises, and how they may generate changes in how you react to the world, and therefore your mental health.

Sleep

When a new client comes in for a session, one of the first questions I might ask them is, “How are you sleeping?”

We each need 8-10 hours of sleep a night but few of us get that amount.  Sometimes people brag about only needing 5 hours a night.  Paradoxically these people are often snappy with colleagues.  That is not a coincidence.  To be able to be calm, we need to be well rested.

Sleep debt is a key ingredient of burnout.  Burnout is a condition characterised by feelings of exhaustion or depletion, negative affect towards one’s job and feelings of dissociation.

Luckily the human species can catch up their individual sleep debt at the weekend, but this burnout-crash out cycle is not good for your health in the longer term.

Breathe

The implementation of calming breath techniques can help us calm down in the early steps of anxiety.

I personally use box breathing/ 4 Square techniques myself and with clients when I see their anxiety build up in session.

Regular use of breathing techniques won’t erase your anxiety, but it will help, in the short term, to elevate some the symptomology. That way each individual incident when you feel anxious, might be better managed.

Talk

Possibly you’ve heard “you should talk to someone”, and maybe you should.  Thoughts expressed verbally create different reactions than those maintained inside the privacy of your head.  When you feel overwhelmed reach out to a friend, colleague or professional to talk.  People can’t know what you don’t communicate so share your experiences, the good and the difficult.  People would rather give you a hour of their time, than have you suffer in silence.

Obviously, I am a big believer in the benefits of counselling (also referred to as talk therapy). Research also supports counselling with all types of populations – from stressed out professionals, to youth, to older people, to couples in conflict.  Client – therapist rapport; how well the two-perspective work together, is essential for the best results.

So, if you have a negative experience with a counsellor in the past, consider that it was maybe simply a therapist – client mismatch rather than a testimony if counselling will work for you or not in the long term.

Focus on what matters

In an era of Instagram, you may find yourself comparing yourself to others, constantly building a larger and larger “to do  list of things you believe you ‘should’ be doing in your life. .

Let’s try the opposite.  By learning about your key values and what matters most to you can ‘let go’ of all the superfluous “to do”s that you’ve written in your life.

In counselling we use values checklist to start a discussion about who you are use family exercises to help you identify your key life goals as well as what you want or need to avoid.  You can do some of the work yourself reading some coaching focused webpages, or talking with a counsellor.

Once you know what matters, can identify what attractions are really just ‘noise’ and have a stricter road map of who you are and want to be you will feel more able to prioritize your time more effectively. In counselling we use a few techniques to help refine what you want, from what is really essential for you to achieve. Sorting the ‘wants’ from the ‘musts’, helps people prioritise their time and energy.

Habits

Small habits soon accumulate into meaningful behaviours change.  If you start a small habit change today, or even a medium habit, and keep at it you can accomplish great change in your life.

As derailed in the famous James Clear book. “Atomic habits”, the compounding effect of small chapters are amazing.

One technique I use frequently in counselling is “don’t break the thread.”  Once you have decided on a small change imagine yourself add up a bead to a thread/string. Every day you add a bead to the thread and don’t break the thread.  Otherwise, you need to start collecting beads from zero again.

This counting behaviour is the basis of many sober apps (e.g. I am sober) help you track a number of cessation behavioural changes.

How long does it take to form a habit.  When we discuss this in counselling sessions, I recommend you plan for 3 months, or 100 days for real change to occur. You will truly feel different than if you only tackle one month of change.

Gain flexibility

The greatest small change you can help yourself with is to start training yourself towards greater cognitive flexibility.

Cognitive flexibility describes the ability to adjust your thinking to view and interpret situation from different perspectives.  When we are inflexible, even rigid, we tend to construe situations as black and white, right and wrong, perfect or unacceptable. .

Being flexible is different from overthinking or second guessing a situation.

When we are working to be flexible, we first need to understand that in every situation we are telling ourselves a narrative. It is helpful for you to consider starting the description of any situation with the phrase, “the story I am telling myself” so that you can better appreciate that you are indeed, telling yourself a story.

Our personal narratives have significant power.  When we continuously tell ourselves, ”You are stupid”, or,  “You are not as good as other people” we poison our hope in ourselves.  When you start to listen the narrative of your inner voice you may be surprised by how harsh that voice actually is. You have probably spent years allowing this inner critic to hold court, and pass down judgement within your head. You deserve the chance to set yourself free from your inner tyrant.

Some people might swing between feelings of superiority and inadequacy. This experience of pendulum self-esteem is unhealthy. You are not the best, or the worst. Accepting that you have strengths, and weaknesses, and are still ENOUGH, is freeing.

A key component of being cognitively flexible is to understand that you will understand that you may feel differently about a given situation, when you look at it from different perspectives.

For example, you could be urgent about on incident that happened today at work/ school.  If I and you, “Will this indecent still upset you in a year?”, you may automatically start to perceive the importance of such an incident differently.  Suddenly you are reminded that the humiliation or anger that you feel today will not last.

There are a number of questions that help build cognitive flexibility. You don’t have to talk through these questions with anyone else, but it can be helpful if you are open to exploring how tightly you hold onto certain narratives rather than exploring different perspectives.. Counsellors who focus on building cognitive flexibility may ask you some of the questions below.

A few questions that build cognitive flexibility.

  • What would “winning look like in this situation?
  • Will this situation incident be as important in a month?
  • If you had more self-compassion, could you approach this situation differently?
  • Is it possible you are over reacting in this situation?

Sometimes we have too many thoughts and we need to think less. As is the case with overthinking. A specific type of overthinking is rabbit warren thinking. In this situation, you fall from are “what if” catastrophic chasm to another.  People who are guard at risk mitigation in their day jobs are often very good, and well trained, to develop this type of thinking. A type of thinking that might be helpful in one circumstance, can be problematic in another.

Sometimes when we have too many “what if” questions we need to find a way to think less.  In order, to do this I work with clients to remind them to have the confidence that they CAN respond almost every situation. Therefore, you don’t need to constantly worry about identifying the situations in advance. Sometimes we can navigate our way to calm from wherever we land, we just need to have the confidence in ourselves to respond constructively.

Instead of worrying, “What if?”, you can simply tell yourself, “No matter what, I can respond”

Write

When is doubt, write. In am a strong proponent of journalling. I recommend journals with prompts over simply writing an account of your day.

Prompted journals provide a pathway to a deeper understanding of yourself. When we write out our thoughts, we give our brains that opportunity to see our thoughts on paper. This distance allows us the chance to utilise perspective building exercises.

Responding to prompts is a great method to help us build greater cognitive flexibility around incidents in our lives. Sometimes it helps to look at events that have hurt us, in challenging ways. Perhaps even find what we learnt from such situations. This doesn’t mean that we weren’t hurt, or that others have not been careless with our feelings, but also empowers us to take charge of the outcome of situations.

I hope you can consider to take up a challenge, to highlight one or two of these small changes. I promise you, it will have a big impact on your mental health.

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Note: part of this content was previously shared as a speech at an event for the the musicians foundation in March 2024.

#change #habits #sleep #creatingcalm #counselling #counseling #talktosomeone #valueschecklist #cognitiveflexibility #perspective #reflection #journalling

About the author: Angela Watkins is a counsellor and psychologist working with adults and teens. Angela has been named best therapist in Hong Kong. To contact Angela for an appointment email angelaw@reddoor.hk or message +852-93785428.

Finding your PRIDE

We’re about to embark on Pride month – thirty days to celebrate and commemorate Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ+) people, to recognise the impact LGBTQ+ people have had on history and culture, and to acknowledge the past and ongoing adversity the community faces.

Ok, I get it, let’s celebrate!

But why is this important and what does it have to do with mental health?

Well, consider this – 83% of LBGTQ+ people still hide their sexual orientation.[1]

Yes, societal attitudes towards sexual minorities have improved in the last few decades, and yes, LGBTQ+ visibility and rights have made progress. However, studies show that LGBTQ+ individuals, and especially LGBTQ+ youth, still face disproportionate mental health burdens with significantly higher rates of depression, anxiety, and suicidality. This isn’t because these individuals are inherently prone to poor mental health, but because LGBTQ+ people tend to have lower rates of self-acceptance and experience the effects of minority stress.

Minority stress is the chronic social stress that LGBTQ+ people are exposed to day-in-day-out, ranging from prejudice to negative stereotyping, hostility, harassment, rejection, limited rights from laws and policies, stigma, internalised homophobia – the list is long.

All these micro-aggressions mean something, they build and chip away at our self-esteem, our wellbeing, and positive development. This societal stigma, discrimination, and rejection from family and friends contributes to lower rates of self-acceptance amongst LGBTQ+ people, and in turn leads to higher rates of depression, anxiety, suicidality, and substance abuse in the community.

The Rainbow Reality

With these societal challenges, it’s not surprising that the vast majority of LGBTQ+ people are still hiding. However, living a hidden life and concealing one’s true identity is significantly associated with depression and negative psychological wellbeing.

So how do we reconcile with our identity and overcome the shame? How do we manage the stress of living in a society that often doesn’t accept or validate our identities, as well as the trauma of discrimination, bullying, harassment, and violence, plus the potential lack of support and acceptance from family and peers?

Where to Begin?

Changing societal norms is hard, although so many people are doing incredible work to improve equality. Putting this aside, we are able to create change within ourselves and we are in control of the way we understand and respond to our world.

The challenges that LGBTQ+ people face can lead to feelings of isolation, discrimination, rejection, shame, and low self-esteem. Exploring these thoughts and feelings about your identity can be difficult and uncomfortable. That’s where counselling can help, providing a safe space to do the hard work, with empathy and encouragement.

A counsellor can help you challenge your negative thoughts about your sexuality and instead engage in affirmation of your identity, visibility, and validation of your experiences. Evidence-based approaches such as cognitive-behavioural therapy (CBT) can help shift problematic thought patterns, and teach coping skills or alternative ways to think, behave, and react to situations and experiences.

The Road to Self-Acceptance

Regardless of sexual identity, mental wellbeing improves when we feel respected, valued and psychologically safe. Self-acceptance is the act of acknowledging who you are, in all your fabulous and flawed glory. It is an essential part of living a fulfilling life.

Sadly, research shows lower rates of self-acceptance among LGBTQ+ people. Importantly, low self-esteem is unlikely to blame for this lower rate of self-acceptance among LGBTQ+ people. Instead, the adverse opinions, prejudice, and victimization that many LGBTQ+ people face is what poses significant obstacles to self-acceptance.

It’s challenging to avoid internalizing negative society attitudes and ideas when constantly exposed to negative messaging about queer identity. These internalized messages have the potential to lead to increasing self-criticism and negative self-perceptions over time. Our individual lack of self-acceptance is ultimately caused by this social lack of acceptance.

But where to start?

Learn about the LGBTQ+ community, its history, and the challenges still being faced. There is culture and connection waiting for you. Validate and celebrate your identity and the diversity of the LGBTQ+ community. You belong here.

  • Connect with others and build a support system

You are not alone. Find your own LGBTQ+ community, whether through in-person support groups or online. Surround yourself with people who accept you and support you, whether it’s friends, family, or allies. Join in Pride events and affirm your identity.

  • Practice self-care and compassion

Be kind to yourself – we are always harder on ourselves and more generous with others. Take care of yourself physically and mentally. Eat well, sleep well, and engage in activities that bring you joy.

  • Challenge negative thoughts and your inner critic

When we hear things frequently, we start to believe them. Identify your inner critic – that little voice inside your head that tells you you’re not good enough – and tell it to shut up. Replace negative self-talk with positive affirmations. Try journaling to identify problem patterns, reflect, and express yourself authentically.

  • Identify your personal values and goals

Redefine yourself according to your own values. Embrace your authentic self and live your life in a way that feels true to you. Addressing self-blame and shame, affirming your own identity, and validating your experiences fosters self-acceptance and helps develop resilience against past, present, and future adversity.

  • Doing the hard work

Don’t kid yourself, none of this is easy. Finding self-acceptance and establishing a positive identity is difficult, but it is a vital source of resilience. Counselling provides a supportive and safe space to explore feelings, process emotions, and develop coping strategies. It can help LGBTQ+ people better understand their sexual orientation and gender identity, and work through experiences of discrimination or rejection. Finding your pride is much deeper than a month on the calendar, true self-acceptance is key to improving mental wellbeing and a happier, healthier life.

So if you or someone you know is struggling with mental health challenges related to their LGBTQ+ identity, consider reaching out to a counsellor for support.

RESOURCES

Support and Spaces

Communities

Events

About the author: This blog is written by Fiona Travers. Fiona works with adults, focusing on the following areas in her practice: LGBTQ+ challenges. Grief and bereavement. Fertility issues. Couples counselling.

Fiona is a part-time counsellor at RED DOOR who is currently on sabatical. Fiona’s counselling style is informed by two decades creating values and purpose-led brands in the corporate world. She is passionate about helping individuals build personal resilience and find their own sense of self in the world.

RED DOOR is committed to being a gender affirming and LGBTQ+ supporting practice. Contact the Red Door Reception to set up an appointment with one of our therapists contact reception@reddoor.hk or text 852-93785428.


[1] https://medicine.yale.edu/news-article/the-global-closet-is-hugevast-majority-of-worlds-lesbian-gay-bisexual-population-hide-orientation-ysph-study-finds/