Cognitive Behavioral Strategies

Lynne S. Gots, Ph.D.
Licensed Psychologist

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How to Protect Your Mental Health During the Coronavirus Outbreak

By Lynne Gots, posted on April 1st, 2020.

In my last post, I talked about strategies for managing anxiety during these harrowing times. I have added some new tips for boosting psychological immunity and staying on track with sound mental health practices while sheltering in place in a post I wrote for the National Alliance on Mental Illness (NAMI).




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Posted in Articles, COVID-19 Mental Health, Depression, Health Anxiety, mindfulness, Obsessive Compulsive Disorder, Self-help, Techniques |

The Best Resolution for the Anxiety-Prone

By Lynne Gots, posted on January 20th, 2020.
www.cbs.tc

It’s that time of year. New Year resolutions. Tips on motivation and habit change. Life hacks for cooking healthy meals, fitting in exercise, and taming the clutter.

If you’re looking for such advice, please check out other blogs or previous posts in my archives.  Today I will be talking only about the most important New Year’s goal to set for yourself if you struggle with anxiety.

 Do more exposures!

An essential component of evidence-based practices for OCD, social phobias, generalized anxiety, panic disorder, and even more common anxieties, such as fears of public speaking and flying, is Exposure and Response Prevention (ERP).  In brief, ERP involves putting yourself in a situation that spikes your anxiety while refraining from engaging in “safety behaviors” (eg, carrying a bottle of water or antianxiety medications “just in case”) or compulsions to make yourself less anxious.

Sound scary? Yes! But that’s the point.

Instead of avoiding your triggers, seek them out. Make yourself anxious. You don’t have to jump off the high dive to plunge yourself into the anxiety pool. If slow and steady is more your style, you can dip in just a toe, or a foot. But don’t avoid getting wet.

Here’s the good news. Unlike going to the gym or stocking up on healthy groceries, exposure practice doesn’t require you to carve out extra time in your already over-packed schedule. You can do exposures anywhere or anytime, even while you’re building those new habits, say, going to the gym or stocking up on healthy groceries. Just look for opportunities to get anxious; a little or a lot, it doesn’t matter.

Once you start to move towards these challenging situations, you’ll find it’s not as bad as imagined. You might even start looking for opportunities to face your fears: by approaching, rather than avoiding, your anxiety triggers, your world will open up.

Now wouldn’t that be an incredible way to enter the new year?




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Posted in Anxiety, Behavior Change, Obsessive Compulsive Disorder, Phobias, Social Anxiety Disorder, Techniques |

Why You Don’t Need Willpower to Change a Habit

By Lynne Gots, posted on December 27th, 2017.

There’s no shortage of advice this time of year about eating clean and getting ripped. And while the prospect of a new you in the new year can be seductive, especially after a month of overindulgence, I’m not a fan of restrictive diets or New Year’s resolutions. They simply don’t work over the long haul.

Any rigid regimen carries with it the whiff of deprivation, of restraint, of saying “no” when your mind wants you to say “yes.” The key, we’re told, is willpower.

Just say no. Just do it.

Let’s be real. If it were so easy to turn away from that donut or force yourself out the door on a dark, frigid January morning to go to spinning class, we wouldn’t be having this discussion.

We know from research that willpower is a limited resource. Over time, with repeated use, it becomes depleted, just like any energy source. And the moments when we most need it—say, after a stressful workday at happy hour when the margaritas are $5 and the queso and chips beckon—it’s gone.

So I suggest changing the narrative. It’s too easy to throw in the towel when you tell yourself, “I don’t have any willpower.” Those words render you powerless in the face of overwhelming forces beyond your control.

Instead of recruiting willpower to help you pursue your goals, consider building willingness power.

Willingness starts with motivation. Begin by looking at the costs and benefits of the behavior you want to change. If you want to improve your diet, for instance (notice I didn’t say “eat clean”), pay particular attention to what you get from the undesired habit. The costs will be readily apparent to you. But the benefits? Not so much.

To get you started, here are some real-life examples of the benefits of overeating (continuing to eat past the point of satiety or even to discomfort) I’ve heard over the years:

  • It relaxes me.
  • I enjoy the taste of food.
  • It keeps me from feeling bored/ lonely.
  • It’s social.
  • I don’t like rules.
  • I deserve a reward.
  • It passes the time.

Then look at the costs (I’ll bet you won’t have any trouble coming up with a long list) and review them daily or more frequently if necessary. Remind yourself why it’s worth it to forego all the positive associations with the behavior you want to change in order to achieve your goal.

In a nutshell, willingness means being open to feeling short-term discomfort for long-term gain. It’s a useful skill to cultivate, and not just for sticking with a diet or exercise plan but for all the challenges life brings.

So in 2018, ditch the idea of willpower and practice willingness power. You’ll be laying a more solid foundation for success.




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Posted in Goals, 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.

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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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