Cognitive Behavioral Strategies

Lynne S. Gots, Ph.D.
Licensed Psychologist

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Mindfulness-Based Stress Reduction: Week 1

By Lynne Gots, posted on April 11th, 2014.

As I said in a previous post, I’m taking an eight-week Mindfulness-Based Stress Reduction (MBSR) class. The first session was last night.

I’m very familiar with the structure of the program. I’ve read Jon Kabat-Zinn’s classic, Full Catastrophe Living.  I’ve based the mindfulness cognitive therapy groups I run on the MBSR model. But participating in a group is different from leading one. So I’m trying to approach it as a novice, using the concept of “beginner’s mind” for my framework.

Much easier said than done. Using beginner’s mind means seeing each moment with fresh eyes, without judgments or preconceptions. I found myself doing a lot of anticipating (“He’s coming around to put something in our hand. I’ll bet it’s going to be a raisin.”), comparing (“Oh, he’s having us do the raisin meditation with eyes closed. I usually do it with eyes open.”), and judging (“It’s better to do it with eyes closed.”) Those kinds of thoughts came up frequently as I struggled to stay focused on my reactions to the exercises.

That’s mindfulness in a nutshell: paying attention to what you’re experiencing moment to moment, cultivating awareness. Jon Kabat-Zinn says it best. “It’s simple, but it’s not easy.”

That’s for sure.




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Posted in Acceptance and Mindfulness |

A Psychologist’s Open Letter to Gwyneth Paltrow

By Lynne Gots, posted on March 31st, 2014.

Dear Gwyneth,

I know everyone’s been giving you a hard time lately for saying in your recent E! interview that 9-5 moms have it easier than you movie stars because “when you have an office job . . .it’s routine and, you know, you can do all the stuff in the morning and then you come home in the evening.” You think your life is so much harder because “when you’re shooting a movie, they’re like, ‘We need you to go to Wisconsin for two weeks,’ and then you work 14 hours a day and that part of it is very difficult. I think to have a regular job and be a mom is not as, of course there are challenges, but it’s not like being on set.”

Like working mom Mackenzie Dawson, who skewered you in her NY Post “Open Letter to Gwyneth,” I found your comments utterly out of touch with life outside the rarified bubble of Planet Hollywood. You might as well have said, “Like, let them eat cake.”

But after I picked up my jaw off the floor, I switched to professional mode and tried to see things from your perspective. And I realized you’ve taught us all a very important lesson.

When you’re unhappy, it’s easy to imagine how much better your life would be if only you were [fill in the blank] . . . single, married, younger, older, thinner, prettier, richer, or—hard as it might be for most of us to believe—poorer and more ordinary. Your fantasy of what life as an office worker would be like should remind us that when we think the grass would be greener, we haven’t got a clue.

I can’t, of course, surmise your mental condition just by reading the statement you made on your website Goop about your split with husband Chris Martin. But no matter how you try to spin it—by calling it “conscious uncoupling” instead of divorce, say—ending a 10-year marriage and working out the logistics of coparenting when you have young kids can’t be easy, even for a celebrity.

So, Gwyneth, here’s my unsolicited advice to you: find yourself a good cognitive-behavioral therapist to help you challenge your distorted thinking. And, while you’re at it, you might consider hiring a new publicist.

Sincerely,

Lynne S. Gots, PhD

 

 

 




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Posted in Mental Health and the Media |

The Power of Paradox: to Change Negative Thinking, Say “Yes” When You Want to Say “No”

By Lynne Gots, posted on March 23rd, 2014.

Much of the advice I dispense daily in my clinical practice involves guiding people beset by negative thoughts and feelings to respond to emotional discomfort in counterintuitive ways.  Anxious? Approach your fears. Depressed? Get moving. Impulsive? Ride out your urges.

It all sounds rather simplistic. Yet changing behaviors in this fashion can improve your mood relatively quickly. Even more important, moving towards what feels scary or hard can help you build a protective core of confidence, making it easier to cope with the difficult times you’ll inevitably have to face in the future.

I won’t ask my patients to do anything I wouldn’t agree to do myself. Some of the “approach behaviors” I work on with them—touching a public toilet seat, say, or limiting themselves to only one glass of wine—don’t present personal challenges. But I certainly generate enough of my own worries to give me ample opportunity to practice what I preach.

Here’s an example: I just signed up for an eight-week course on Mindfulness-Based Stress Reduction (MBSR).

Silly that a program designed to reduce stress should significantly increase mine, right? But just thinking about it makes my mouth dry up and my heart beat faster.

I’d been looking for an opportunity to deepen my meditation practice for some time now. Periodically I’d google “Mindfulness Meditation in DC.” The Insight Meditation Community of Washington (IMCW) always came up. I’d pore over the course offerings and then reject them because the timing wasn’t right or the center’s Buddhist orientation made me uncomfortable.

I had many of the same automatic thoughts and a few new ones yesterday when I found the listing for an MBSR course given through the Insight Meditation Community starting in just two weeks. “Maybe everyone will be a Buddhist. I hope they don’t expect me to practice Buddhism.” “I won’t know what to do.” “Will there be chairs or cushions? Should I bring my own cushion?”  “Seven to nine-thirty on a Thursday night . . . I’ll be so tired after work, I won’t feel like going.” “I won’t have time to eat dinner and I’ll be starving.” “I won’t get home until after 10 and I’ll be so wound up I won’t be able to sleep.” “It might be lame, like that last mindfulness course I took.” “I might not be able to find parking.” “I won’t be able to walk the dogs or exercise on Thursdays.” “I don’t know what to wear. Should I wear yoga pants?” “I’’ll have to bring a change of clothes to work.” And even, embarrassing though it is to admit, “We’ll have to take off our shoes. I hope we can wear socks because I won’t have time to get a pedicure in the next two weeks.”

In the end, I recognized my reservations for what they were—excuses designed to avoid an unfamiliar situation causing me trepidation. I don’t like being a newbie, and this class raises all those old first-day-of-school insecurities (probably dating back to the start of kindergarten, when I wet my pants because I was too shy to ask my scary new teacher where the bathroom was and, humiliated, ran to hide in the coatroom when she asked the class who was responsible for the puddle on the floor).

So I did what I’d tell anyone else to do. I signed up.

To be continued . . .




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Posted in Acceptance and Mindfulness, Anxiety, Behavior Change, Cognitive-behavior Therapy, Depression, Obsessive Compulsive Disorder, Self-help, Techniques |

This blog is intended solely for the purpose of entertainment and education. All remarks are meant as general information and should not be taken as personal diagnostic or therapeutic advice. If you choose to comment on a post, please do not include any information that could identify you as a patient or potential patient. Also, please refrain from making any testimonials about me or my practice, as my professional code of ethics does not permit me to publish such statements. Comments that I deem inappropriate for this forum will not be published.

Contact Dr. Gots

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If you don't receive a response to an email from Dr. Gots in 48 hours, please call the office and leave a voicemail message.

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