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 |

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 |

Why New Year’s Resolutions Don’t Work

By Lynne Gots, posted on January 6th, 2014.

Not even a week into 2014 and already I’ve broken my resolutions. I should have known better.

Most of the promises made on the eve of January 1st are doomed to fail. Yet we continue to make them year after year, doing the same thing over and over and expecting different results. Isn’t that the definition of insanity?

My first resolution didn’t even last through New Year’s Day. Feeling pleased with the meditation practice I’d cultivated over the last year by setting myself the modest goal of sitting and focusing on my breath for at least five minutes daily, I’d decided to raise the bar. I would meditate for thirty minutes every day!

As it turned out, on the first of January I got involved in preparing a complicated meal, puttering around the house, and sharing the fruits of my labor with my family. When I finally remembered I hadn’t yet meditated, it was 11:00 pm, and I was sleepy. Normally I’d put in my five minutes and call it a night. But instead, I set my timer for 20 minutes and struggled to stay awake while I concentrated on my inhalations and exhalations until the bell chimed.

You’d think, having just quadrupled the length of a typical late-night meditation session while managing not to fall asleep during it, I’d congratulate myself. But no. I felt disappointed.

I kept my second resolution until January 3. I’d decided I would accrue 10,000 steps a day on my activity-monitoring wristband. Despite my sedentary job, I often do get in at least 10,000 steps by taking the stairs instead of the elevator to my seventh floor office, walking the dogs for nearly an hour, and catching up with my favorite TV shows on the elliptical trainer instead of the couch.

Usually, in spite of my aversion to the cold, I manage with a Teutonic-like resolve to drag the dogs (both wimps when it comes to weather extremes) and myself out the door every day for a walk. But with the wind chills hovering in the single digits on January 3 and the sidewalks iced over, none of us could endure more than fifteen minutes around the block, giving me a paltry 5700 steps for the day.

Maybe you’re sticking to your resolutions a little longer than I did. But unless you’re endowed with an ironclad will—and, if so, probably not in need of making vows to improve yourself—you’ll abandon them sooner or later.

Why don’t New Year’s resolutions work? In my experience, both personal and professional, most people fail to stick to their resolutions because they set their sights on inflexible goals. Both my resolutions were too rigid and unrealistic, failing to take into account variability in daily responsibilities and interference from outside forces (like the weather).

Before making my resolutions for 2014, I’d already been meditating regularly and getting more active by aiming for consistency over quantity. This tactic motivated me because even one minute of meditation “counted.” And when I increased the length of a practice, I did it out of choice rather than obligation. But as soon as I changed the rules, demanding of myself 100% adherence to an arbitrary numerical standard, I set myself up to fail.

Fortunately, I recognized my distorted thinking right away and have gone back to striving for consistency. I’ll still try to practice longer when I can carve out the time but I accept that it’s not always possible.

Many people get frustrated and give up altogether when they fall short of their goals. If you’re an “all-or-nothing” thinker, you may believe you blew it if you slipped up even just a little. Then, bye bye, resolutions.

One reason making New Year’s resolutions is so appealing, according to social scientists, is “the fresh start effect.” Researchers found an increased interest in dieting, inferred from the frequency of Google searches for the term “diet,” around the beginnings of new weeks, months, years, semesters, birthdays, and holidays.

Viewing change from the perspective of a fresh start mentality can backfire, as anyone who’s fallen off the diet wagon on a Wednesday knows all too well. Your waistline won’t shrink if you tell yourself, “Oh, well. I guess I can eat whatever I want and start the diet again on Monday.”

But if you must give yourself a mental clean slate to recommit to change, there’s a better way. You can take a page from Zen Buddhism and the concept of Shoshin, or “Beginner’s Mind,” where every moment can be a fresh start. Even the same action repeated over and over is different every time.

So forget about the New Year’s resolutions and just begin again—not tomorrow or next week, but right now.




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Posted in Acceptance and Mindfulness, Behavior Change, Motivation, 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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