Celebrities do it, regular folks of all ages do it, and several articles and blog posts have been written discussing and analyzing the fascinating trend that is the selfie. It’s a word that has become synonymous with social media, self-love, and in some cases, shocking levels of self-obsession. Justin Bieber, a pop star and trailblazer in the selfie stratosphere, is currently backing a new camera app called “Shots of Me,” which is devoted entirely to the ongoing proliferation of the selfie. And the Oxford Dictionaries Online officially dubbed “selfie” 2013’s Word of the Year.

In case you’ve managed to remain unfamiliar with the term, the selfie consists of any photo taken by the self, of the self, and then posted online, typically via social media sites like Facebook and Instagram. It’s the modern-day self-portrait, and anyone who has access to a camera and the Internet can partake. Over 31 million photos tagged with “#selfie” have been posted to Instagram to date (Walker, 2013), and according to a “nationally representative” report by the Pew Internet & American Life Project, teens are especially caught up in the selfie hype. Approximately 91% of those surveyed have posted at least one selfie (Madden et al., 2013).

Considering the very nature of social media is largely self-focused, with profiles catering to personal descriptions, interests, status updates, photos, and pretty much whatever else a person feels inclined to reveal to the masses, it doesn’t come as a huge surprise that selfies have become so popular. But their prevalence still begs the question: Why are people so obsessed with snapping photos of themselves and posting them online—and what does this say about those who do it?

Selfies: The Good …

Many theories have been shared regarding the widespread popularity of selfies, as well as the context in which some of them have been taken. Some take a more positive slant than others.

An article on Slate.com suggests that “selfies are good for girls,” as they encourage young girls, in particular, to be proud of who they are (Simmons, 2013). Author Rachel Simmons posits that despite the many advances in gender equality, many young girls still grow up with the understanding that being submissive and humble are desirable traits and that to have self-confidence is often seen as being conceited. In contrast to this, the selfie empowers females to celebrate not just their looks but also their accomplishments by shooting “tiny bursts of pride” into cyberspace, thereby encouraging other young women to do the same.

In a New York Times article, Jenna Wortham writes that the selfie is merely a mode of self-expression, and a means of communicating and connecting with others (2013). She also touches on the empowering nature of the selfie when she describes an old black-and-white photo she procured in an antique store of “a female pilot on a mountaintop,” in which the camera is most definitely being held by the woman in the photo.

Wortham stumbled upon a selfie taken decades before the word officially existed, which shows the longstanding human desire to capture ourselves in our moments of personal satisfaction and triumph, with or without the Internet.

… The Bad …

Others, however, view the selfie as a much more problematic reflection of where society stands with regard to self-obsession and sexual objectification. A recent article on Jezebel.com describes them as a “cry for help” (Ryan, 2013).

“Selfies aren’t empowering; they’re a high tech reflection of the… way society teaches women that their most important quality is their physical attractiveness,” writes Erin Gloria Ryan. A Teen Vogue article similarly delves into the “unexpected consequences of selfie-obsession” (Walker, 2013) by examining the potential dangers of a person’s sense of self-worth being tied to pictures posted online and the comments that go along with them.

Researchers in the United Kingdom recently reported that overdoing the selfies may also damage relationships, romantic and otherwise (Miller, 2013). Though it can be intriguing to see the person you’re interested in or involved with feeling confident enough to post selfies, it can also be a deterrent if that person posts too many self-portraits online. According to the researchers, friends, family members, and colleagues may feel alienated if an individual appears overly self-obsessed in social media outlets.

… And the Unsightly

Some even post selfies en route to and while attending funerals, a phenomenon so curious it has its own Tumblr blog: selfiesatfunerals.tumblr.com. The site was created by Jason Feifer, who quite simply states in his introductory video, “There’s some things a man should never do at a funeral.”

The funeral selfie trend doesn’t seem to be more popular with one sex over another; one of the photos on the site depicts a teen girl with styled hair and pouty pink lips sitting in an attention-attracting pose. The words underneath her picture read, “You never appreciate what you have til its [sic] gone. R.I.P. Grandpa, you will be missed,” followed by a sad face and a heart.

Does Selfie Analysis Promote Sexism?

Much of the discussion about selfies is centered on women and young girls who take them, regardless of the reality that plenty of teenage boys and grown men take them, too. One group of guys posted a YouTube video called the “Selfie Song” (Mippey5 Music, 2013). In it, a handful of young men take selfies in various locations and repeat the chorus, “I’m bored, so I’m gonna take a selfie. I’m obsessed. It’s unhealthy. Click, share. I don’t care that I’m a man. I’m gonna take another pic and I’m gonna post to Instagram.”

And yet, attention remains largely focused on the young girls and women who engage in selfie posting.

In September of this year, Kimberly Hall, a mother and women’s ministry leader in Austin, Texas, wrote a letter on her blog “Given Breath” to the teenage girls who post selfies. Hall expressed obvious disdain for the seductive nature of girls’ photos. “Wow—you sure took a bunch of selfies in your skimpy PJs this summer!” wrote Hall.

Although she has since removed the photo, she originally posted the letter with a picture of her three sons on the beach wearing only their swim trunks. Many readers found the photo highly inconsistent with the content of her post—even hypocritical—and following outcry, Hall replaced the photo with one that showed her sons fully clothed and smiling.

The indignant tone of the letter remains online, however. Hall shames girls who photograph themselves in their bathing suits and bedrooms and reprimands them in the name of the purity of her teenage sons. Hall didn’t mention whether her sons had any male friends who were posting summertime selfies, but considering what we know from teen selfie stats from earlier this year, she probably did see several selfie posts from young men. Were those pictures less offensive or worrisome?

Self-Obsession: Who Are You, Anyway?

Self-exploration and analysis are ongoing themes in social media, life in general, and in the field of psychotherapy. Examining our ideas of self and where they originate is a trademark of traditional therapeutic sessions, in which self-love, self-acceptance, and self-compassion are widely encouraged, and each of these traits requires time spent evaluating and developing a deeper understanding of the self.

But what about when someone is so confident—or confused—that he or she feels compelled to post constant selfies in an attempt to gain approval, attention, admiration, and validation? When does the desire to attain self-acceptance via social media shift into a potentially destructive form of self-obsession?

Studies conducted in previous years have attempted to assess whether Facebook promotes narcissism as well as the extent to which narcissistic traits are connected to low self-esteem (Parker-Pope, 2012; Tucker, 2010). In 2010, using the Narcissism Personality Inventory and the Rosenberg Self-Esteem Scale, psychology researcher Soraya Mehdizadeh measured the Facebook activity of 100 college students.

Mehdizadeh’s findings suggest that those with narcissistic behavior and those with low self-esteem are likely to spend over an hour a day on Facebook, and that those who inflate their own reputations or identity in their photos and status updates may very well be doing so to compensate for feelings of inadequacy. Along these lines, yet another concern surrounding selfies is the extent to which the images can be altered and manipulated to project a person’s ideal identity as opposed to his or her real identity.

A nationwide survey of 1,000 girls between the ages of 14 to 17, conducted in 2010 by the Girls Scouts of the USA, revealed that nearly 74% of those asked believe their female peers use social media to make themselves appear “cooler than they really are.” The survey also shared the view that most young women “downplay” their positive traits like intelligence and kindness on their social media profiles. Instead, what gets the bulk of the attention is physical appearance, as is reflected in the selfie.

Of course, the ability to create an online profile that reflects the ideal versus the real you does have a strangely enticing allure: Create a page devoted entirely to yourself; post photos on that page that reflect exactly how you want to be seen, often with carefully calculated camera angles, lighting, and edits; and share this work of social media art with whomever you  choose. In other words, you are in control of who others think you are, which may or may not be who you actually are.

Ultimately, the reality is that regardless of the authenticity or lack thereof displayed in people’s profiles, social media sites like Facebook and Instagram are well established as outlets for self-expression and social connection, and they don’t appear to be going anywhere any time soon. Perhaps some simply need a reminder to use them wisely and simmer down on the selfies. After all, there are other people who are worth photographing, too.

References:

1. Girl Scouts of the USA. (2010). Who’s that girl? Image and social media survey. (New York, NY). Retrieved from http://www.girlscouts.org/research/publications/stem/image_and_social_media_survey.asp
2. Hall, K. (2013, September 3). FYI (if you’re a teenage girl). Given Breath. Retrieved from http://givenbreath.com/2013/09/03/fyi-if-youre-a-teenage-girl/
3. Madden, M., Lenhart, A., Cortesi, S., Gasser, U., Duggan, M., Smith, A., and Beaton, M. (2013, May 21). Teens, social media, and privacy. Pew Internet & American Life Project. Retrieved from http://pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy/Summary-of-Findings.aspx
4. Miller, T. (2013, August 12). Too many selfies on Facebook can damage relationships: study. New York Daily News. Retrieved from http://www.nydailynews.com/life-style/selfies-damage-relationships-study-article-1.1424830
5. Mippey5 Music. (2013, January 22). Selfie song. YouTube

   . Retrieved from http://www.youtube.com/watch?v=y_O7aM0J3CI

6. Parker-Pope, T. (2012, May 17). Does Facebook turn people into narcissists? The New York Times. Retrieved from http://well.blogs.nytimes.com/2012/05/17/does-facebook-turn-people-into-narcissists/?_r=0
7. Ryan, E. G. (2013, November 22). Selfies aren’t empowering. They’re a cry for help. Jezebel.com. Retrieved from http://jezebel.com/selfies-arent-empowering-theyre-a-cry-for-help-1468965365
8. Tucker, J. H. (2010, November 2). Study of Facebook users connects narcissism and low self-esteem. Scientific American. Retrieved from http://www.scientificamerican.com/article.cfm?id=status-update-im-so-glamorous
9. Walker, M. (2013). The good, the bad, and the unexpected consequences of selfie-obsession. Teen Vogue. Retrieved from http://www.teenvogue.com/advice/2013-08/selfie-obsession
10. Wortham, J. (2013, October 19). My selfie, myself. The New York Times. Retrieved from http://www.nytimes.com/2013/10/20/sunday-review/my-selfie-myself.html
11. Simmons, R. (2013, November 20). Selfies are good for girls. Slate.com. Retrieved from http://tinyurl.com/munjlpo

“I’m such a loser.”

“I can’t do anything right.”

“I’m ugly.”

Too often, people brutally judge and attack themselves. If everyone treated others as poorly as they treat themselves, the old biblical adage, “Love your neighbor as yourself,” could be a recipe for war.

Negative Beliefs, Self-Loathing, and Why It Matters

Incessant negative beliefs about oneself may be called self-loathing, self-judgment, self-attack, or low self-esteem, but it all boils down to one menacing problem: self-hatred. At its most extreme, self-hatred can lead people to retreat into substance use, suicidal and other self-destructive behaviors, or violence toward others.

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If you beat up on yourself, are disgusted with yourself, or in any other way experience the effects of self-hatred, there are two important things to know: why the self-hatred exists, and what you can do about it.

Why Self-Hatred?

Self-hatred almost always stems from childhood. Trauma experienced after childhood also can fuel negative feelings about oneself.

Children believe what they hear from others. If a parent tells a child that she is good for nothing or can’t do anything right, then that becomes the truth in the child’s mind. It takes a very mature and insightful child to say to herself, “Something is wrong with Mom/Dad for telling me this. An adult shouldn’t say such mean things to me. I’m just a child.”

Instead of saying, “Something is wrong with Mom/Dad,” the child usually thinks, “Something is wrong with me.” That simply is how a child’s mind works. Children need safety and stability. It is much less chaotic for a child to think something is wrong with himself than to think he cannot rely on the people upon whom he depends for food, shelter, and survival.

Sometimes, a child never hears harsh judgment from a parent or other caregiver, yet self-hatred manages to fester. This happens when, for whatever reason (genetics, environment, plain bad luck, etc.), a child experiences anxiety, perfectionism, or other traits that conjure feelings of self-blame in the face of fear, imperfection, or other perceived flaws.

Trauma, too, can inspire self-hatred. It can feel safer to attack oneself over what happened than to accept that bad things happen randomly in the world—and can happen again, at any time. As a result, many people who have endured sexual assault, combat, or other trauma blame themselves for what they endured, and self-hatred grows.

Self-hatred and shame are related but not synonymous. Shame can be healthy, the mind’s tool for helping people understand when they have done something that must not be repeated. However, the majority of shame that people experience is not a healthy tool for learning right from wrong. Instead, it is a manifestation of self-hatred, a message that when they do things wrong (or, at least, differently than they wish they had) then they are wrong, a judgment of the person and not the act.

Many people who feel shame cannot assign it to any particular action. Shame is a feeling of essential badness that they simply cannot shed. Often, people experiencing unhealthy shame feel that if others saw their real self, then nobody could possibly love them.

It is helpful to understand how your own self-hatred is formed. This can help you to develop compassion for yourself. No matter what you did or did not do as a child, no matter what trauma you endured, the hurt part of you deserves love, compassion, and nurturing. No matter what, you possess a fundamental goodness that is not touched by external events, in the same way the clouds can cover the sun but never really touch it.

The Antidote: Self-Compassion

A seminal work on self-hatred and self-compassion is titled, appropriately enough, Compassion and Self Hate (by Theodore Isaac Rubin). More recently, mental health professionals have published quite a few more books on self-compassion, including The Mindful Path to Self-Compassion (by Christopher Germer), Self-Compassion: Stop Beating Yourself Up and Leave Insecurity Behind (by Kristin Neff), and The Power of Self-Compassion (by Mary Wellford).

There are websites devoted to self-compassion. There also is an evidence-based psychotherapy that cultivates self-compassion. Called compassion-focused therapy, it extends cognitive behavioral concepts to foster in people the ability to soothe, accept, and understand themselves.

The common theme underlying all these works is that self-compassion is the antidote to self-hate. So how do you create more compassion for yourself? Over time, I will write about many different ways to grow the seeds of self-compassion. For now, here are a few tips to get you started:

• Talk to yourself the way you talk to someone you care about: In Compassion and Self Hate, Dr. Rubin advises readers to tell themselves, “I treat myself as I treat a child I love.” Cognitive behavioral therapists employ a similar technique, often invoking the question, “What would you say to a good friend who was going through the same thing you are going through?” These are important questions. If you hate yourself, you likely say things to yourself that you would not dare say to another person. What would you say to somebody else who has the exact same traits as you? What could you say to yourself?
• Recognize that beliefs do not equal truths: Often, people believe what they tell themselves. If you think you are a loser, you may believe it is absolute truth. Try this cognitive behavioral technique called “the three C’s”: catch, check, change. Catch yourself thinking something negative about yourself. Check whether your distressing thought is true. Change it, if not. You can talk back to your negative thoughts. Challenge them. Serve as a defense attorney to the prosecutor in your head.
• Embrace the concept of “good enough”: Many people feel they should be perfect—never angry, always generous, never critical, always right, and so on. These expectations deny that imperfection is the human condition. If you are one of these people with too-high expectations for yourself, ask yourself what is good enough?
• Consider turning to spirituality or religion: Many spiritual or religious traditions center on the belief that people are flawed but inherently good, not only lovable but also inherently loved. These beliefs can serve as a huge balm for the hurting soul. The practices of meditation and mindfulness, too, can foster feelings of self-compassion as well as loving kindness toward others.
• If you hate yourself for mistakes you made, make amends: You may be reading this and thinking, “This does not apply to me. I did something so awful that I can never be forgiven.” First, as much as you condemn yourself, ask if you would equally condemn—to their face—someone else who did the same thing. If not, then you are being unfair to yourself. Perhaps you really did do something awful. If you cannot make amends to the person or people you harmed, do something good for somebody else. Beating up on yourself serves nobody. Doing good for others or taking part in a larger movement not only helps others, it helps you—and it can lead to self-forgiveness.
• Try therapy: A good, compassionate therapist can help you foster self-compassion and better understand the roots of your self-loathing.

My Questions for You

Do you ever hate yourself? If so, what helps you to deal with this brutal judge who lives inside your head? What tips do you have for others in the same situation?

Last weekend I went to see the musical Wicked and found myself thinking about perception and self-acceptance. The show, based on a book of the same title, is the story of The Wizard of Oz as told from the perspective of Elphaba, the wicked witch of the west. From the beginning, the reimagining of this story questions the power of how we see things, and what happens when that perception is shifted. Our heroine is now the vilified underdog who was born with green skin instead of the sweet, young girl from Kansas.

In the play, the wizard himself speaks at great length about the power of perception. He acknowledges that the only power he really has is that other people believe he is powerful. His entire identity relies on the power of perception. The film version of the wizard is exposed by Toto to be just a man behind a curtain. Fallible and even a little bit tacky, his identity is based not on an internal sense of who he is, but on how others see him. When we actually meet the great and powerful Oz, he feels inauthentic.

We all have inside of us a “person behind the curtain.” For some, it’s an internal voice that doles out judgments aimed at others or internally at ourselves. From behind the curtain, we watch to see how people see us and if it matches the version of ourselves we want to put out into the world. Our internal wizard feeds on fear and anxiety. What will people think? How do I compare to others? It can be exhausting, working so hard to not feel rejection or judgment. In all of the hustle and bustle, it’s easy to lose track of our authentic selves.

The practice of radical self-acceptance provides an alternative perspective from which to view ourselves. It’s a way to interrupt the voice of self-judgment that comes from the “person behind the curtain.” Clinical psychologist Tara Brach writes that “wanting and fearing are natural energies. … But when they become the core of our identity, we lose sight of the fullness of our being.” (2003, p. 20) Brach points out that having feelings or fear, anxiety, jealousy, and envy is natural; it’s part of being human. Experiencing these feelings is not something that we need to be ashamed of. In fact, when we judge them and try to push them away, we can become stuck in a cycle of self-judgment. From a perspective of radical acceptance, internalizing these feelings into our identity can inhibit our ability to fully be ourselves, our ability to be authentic.

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In the story of Wicked, Elphaba spends her life as an outcast because of her green skin. This experience of suffering impacts her view of the world and who she grows up to be. Because of her differences, Elphaba cannot live behind a curtain as easily as the wizard. By accepting herself and the things that have happened to her, she is an example of the practice of radical acceptance. Elphaba never tries to be perfect or to be someone who everyone likes; instead, she tries to be her whole self.

Accepting our whole selves is not a cop-out to justify not making changes in our lives. Carl Rogers points out, “The curious paradox is that when I accept myself just as I am, then I can change.” (p. 38) The act of acceptance is a powerful one, and a difficult one. The practice of radical self-acceptance acknowledges and holds lovingly our whole selves. This includes the parts of us that we don’t like, the parts that we’re ashamed of, and the parts that we don’t want to share with others. What if it were OK that we’re not perfect? What if we strove instead to be whole?

How a story is told changes the meaning of what we hear. In Wicked, we’re asked to see things from a different perspective, and we learn things about the villain in the story that change everything. Suddenly, good and bad are harder to determine. Real life is like that, too; it can be messy, murky, and beautiful all at the same time. In our own lives, we are the authors of the story. We get to decide how we want to see ourselves. Challenging our self-judgments and accepting all parts of ourselves can help us stay connected to our own authenticity.

Reference:

Brach, T. (2003). Radical acceptance: Embracing your life with the heart of a buddha. New York: Bantam Bell.

“Paradoxically, the ability to be alone is the condition for the ability to love.” – Eric Fromm, The Art of Loving

Self-Nurture through Self-Mirroring

Finding a way to emotionally take care of ourselves when we are alone is an individual process of self-discovery. One way to truthfully see ourselves is through collage therapy. Collage therapy is a simple form of art therapy that does not require drawing or painting. It can help you see your inner life in a fresh way. We all project personal meaning onto everything we see. If we are having trouble verbalizing what we are feeling, we can mirror our emotions through spontaneous collage.

Choosing imagery spontaneously, and then seeing what feelings and ideas arise, can incite new understanding about what you unconsciously believe about yourself and how you feel about your life. Whenever you feel strong feelings that you do not fully understand, take a few moments to spontaneously choose some imagery from an old magazine. Cut out and glue your pictures down without much thought. Then take a few minutes to contemplate what you have chosen.

The Loneliness of Individuation

As we learn to express ourselves more authentically, our particularity asserts itself into our life, and we may begin to feel misunderstood by those around us. Many years ago, I put together a spontaneous collage about loneliness when I was discovering my true life path. At the time, I was discovering new strengths and gifts inside of myself and I excitedly tried to share my newly discovered authenticity with the people in my life. But few at the time seemed to understand what I was going through. I was mistakenly looking outside of myself to be mirrored for my inner truths.

I was not yet devoted to mirroring myself to myself. I was still looking for validation from the outside. I was still looking for other people to help me feel good about myself. Sitting alone with ourselves is not always easy. Difficult emotions that we do not want to feel tend to come into our awareness when we are quiet and alone. We can mistake these uncomfortable feelings as loneliness instead of seeing the emotional awareness that is trying to rise. It is during such times of emotional discomfort that is becomes easy to fall into unhealthy distractions. Thinking we are lonely, we may want to spend time with people in ways that are not healthy or meaningful to divert our attention away from what feels emotionally uncomfortable inside.

Instead of spending time in ways that are merely distracting us from what we feel, we could turn towards our inner strength and creativity during our alone time instead. Being alone is a fruitful time to tend to our emotions in order to understand how we feel on a more truthful level. When we start to see our deeper thoughts and feelings more carefully—in the outer projection of our collage—we realize that we have a distinctiveness that wants to reveal itself. We consider that we may never be able to rely on other people to know the total depths of who we are, but we can choose to know ourselves profoundly. When we realize that we need to do our own inner work, without insisting on validation from others, we may begin to feel lonely.

Strength in Loneliness

As we become more authentically expressive and self-examining of all our feelings, we might find that some of the relationships we have been hiding in no longer support our fullest self-expression. Some people do not leave unhealthy relationships because they fear loneliness more that they fear abuse. If we have felt abandoned, shunned, or ignored for expressing our true feelings as children, the loneliness of true self-expression can be a primal place of fear. The genuine loneliness of authenticity can feel piercing to the core when we have received little validation for how we felt in the past.

Our authentic self-expression can feel like it is the exact place where we have not been loved in the past, yet it is this very place where we need to learn how to love ourselves. As we progressively delve into our uniqueness, however, we grow to understand that we can find self-love and emotional strength in the aloneness of our unique personhood. As we become more honest about expressing the truth of our feelings, the fear of not being loved and accepted can intensify at first. But it is in our most alone places, when we are willing to stay in supportive witness to our arising truths, that we can find the love we crave.

Emotional Self-Connection Heals Loneliness

It is our own emotional self-connection that heals loneliness. We can be surrounded by people, but if we are not authentically expressing who we are, we will feel lonely. When we feel authentically connected to ourselves, we feel connected with others. When we begin to know who we truly are, we can reach out for help in ways that are healing instead of hindering to our emotional growth. We can start to build a support system that can help us further develop into our unique strengths in the world.

We can extend ourselves in healthy ways towards genuine friendships with people on similar life paths. When we are in touch with our deeper truths we will start to gravitate towards people who nurture their own unique personhood and who respect our individuality. As we come to know how to soothe our painful feelings without demanding that other people do it for us, we deepen into a self-nurturance that is kind and mature. We can choose to become deeply present to our emotional life. As we tend to our own emotional needs, we discover the warmth and abiding friendship of the true self.

“I am indeed rich, since my income is superior to my expenses, and my expenses are equal to my wishes.” —Edward Gibbon

Self-love, self-respect, and self-compassion are all helpful when it comes to creating inner balance and a healthy outlook. They are also prerequisites for a good relationship with money. Interestingly, one’s relationship with money often mirrors one’s relationship with oneself, as changes in either affect the other. So, if you decide to do some financial house cleaning, you will reap rewards in increased self-confidence, self-respect, and self-compassion.

Let’s take a closer look at how that actually plays out. If you are saddled with debt, for example, you can easily feel stressed, self-doubting, insecure (both financially and emotionally), strained in your relationships, and limited in future plans. Luckily, though, there is something you can do about your fiscal situation, and it’s far easier than you might think. Read Your Money or Your Life by Vicki Robin and Joe Dominguez; there is an updated version (2008) and the original (1999), both of which should be available at your local library. It is a quick, easy read that has the power to change your relationship with money. Unlike many books preaching financial freedom, this one really shifts your perspective on some essential levels. In other words, it is not about investing—it focuses on day-to-day choices and how they impact your present and future financial life.

Let’s take one example of how financial neglect can have deleterious effects on mental and fiscal health. We all know people who say they never balance their checkbook, which is fine if it works for them. However, I think a balanced checkbook can mirror a greater feeling of balance in other areas of life, as it can be one more area that feels under control. You can’t control whether your boss fires you, if the stock market falls, or whether you suddenly get sick; however, you can decide to consciously manage your money by taking the reins of your spending habits. Every dollar you don’t spend translates to less money you need to make, which lowers your stress level.

It is amazing how modern-day life has made past luxuries into necessities. I am certainly not exempt from these societal shifts, whether it is eating chocolate daily, watching what I want when I want from Netflix, or simply doing yoga any time of day or night. And I take all these luxuries for granted. That said, the chocolate doesn’t break the bank, I subscribe to Netflix because I cut my cable years ago and bought a Leaf antenna for a one-time fee of about $35 (which saves me a small fortune yearly), and my subscription to My Yoga Online costs me only pennies per class. The point is, by making some minor changes, I cut my expenses and still enjoy three daily pleasures. With just a little forethought and intention, it is possible to live well for less.

As counterintuitive, and almost shocking, as this next tidbit might seem, there is anecdotal evidence that doing your finances will relax you. Again, it is probably the increased sense of control and mastery that accrues as you handle your money in ways that provide more choices and fewer unknowns.

Paradoxically, among those choices is giving more away. By now, most people are familiar with the studies that show a greater sense of well-being comes from being charitable. The same pleasure centers light up in the brain when you are being generous as those that light up for food and sex. It need not be writing a check—it could be volunteering or simply giving things you aren’t using to people who need them. By developing a regular practice of sharing, you will not only be helping others, but getting an endorphin high and clearing out some clutter, leaving more space for all that lovely energy to flow.

Getting back to the original concept, the more you keep your fiscal house in order, the more you will feel self-loving, self-respecting, and self-compassionate. That, coupled with a slightly different spin on your true wealth, will help you resist impulse buying (no small feat in our current point-click-buy Internet culture), and encourage you to take joy in saving, planning, and consciously choosing your purchases.

Note: Much debt in America these days is from health expenses that most people simply can’t afford no matter how diligently they might have saved. Naturally, this article is not directed at fellow travelers in those challenging and anxiety-provoking situations.

Are you a “beaten dog”? Rest assured, I’m not calling anyone names here. But have you been kicked around, treated like nothing, and hurt? Do you not feel loved unless you are treated badly? This is what I mean when I say “beaten dog.” If you are offended, maybe some truth is staring you in the face. If you are not offended, I’m glad—and while this may not apply to you, perhaps it does apply to someone you know.

If it does apply to you and you can see how this role has affected your life, I want to apologize. No one should feel beaten, abused, and treated so poorly that he or she feels unworthy and believes life is cruel. I hope you seek help in breaking this mind-set and take hold of the reality that you ARE worthy!

Some questions you can ask yourself:

1. When someone is nice to me, do I question it? Do I question that the niceness is sincere?
2. When things are calm and smooth, do I need to throw a fit so that I can verify that I am loved via being yelled at?
3. Do I want or tend to take advantage of a person’s niceness because I believe I can?
4. Do I pick negative, hurtful people to be around?
5. Am I envious of others who are in healthy relationships?
6. Do I want a healthier relationship but believe I can’t have one?
7. Do I believe that this is how things will be for the rest of my life and that nothing—not even me—can change?

To change a self-belief statement or self-perception, admitting the need to change is a must. If you change for someone else, the change may not last long. Identifying how you respond to the above questions is key. Looking at ourselves can be a difficult and painful challenge, but it is where healing begins.

A self-belief statement can be defined as how you view who you are, how your “world” is, and how things (positive or negative) happen/happened to you. When someone is brought up in a negative, abusive, and painful environment, a negative self-belief is formed. The self-belief statement can be changed, but it can be difficult and takes time.

To change a negative self-belief statement:

1. Identify and be aware of your negative self-belief statement. As Dr. Phil says, you can’t change what you don’t acknowledge.
2. Self-examine your thoughts and mind-set, and take responsibility for why your belief statement is negative.
3. Acknowledge what you can and can’t change. Example: You can’t change what happened to you growing up, but you can change how you respond and whether the past controls you.
4. Grieve. You lost out on a healthier childhood, the unspoken expectation that the adults in your life would be there to help you grow. Let go of the pain. Mourn. Cry.
5. Forgive. It’s a hard thing to do. Forgiveness is for YOU, not for them. To lose the power that the past has over you, forgiveness is key. Forgive shortcomings, failures, pain, whatever. Let go. Forgive yourself for not being perfect. When you forgive, you’ll feel less weight on your shoulders and be able to move on a little easier. Forgiveness is a part of a cleansing process, allowing healing to begin.
6. Redefine yourself—who you want to be, how you want to be, the type of people you want to be around, etc. Your personality may not totally change, but you can choose to be happier, to not let the same roadblocks stand in your way, and to have healthier relationships. You can choose to be a person who is not going to allow yourself to be kicked around anymore. Find what is good in your life; maximize those things while minimizing your weaknesses.
7. Be at peace with yourself. Self-acceptance is a great accomplishment. No one can do this for you. When you love and accept you, other people will see that and be drawn to it. Self-acceptance allows your inner beauty to shine.

This is a process. It’s not always easy. Personal growth is not a straight journey. It has lumps, bumps, breaks, and is topsy-turvy. But if you are moving toward health, you will get there.

Unconditional love is a concept that is bandied about frequently in religious/spiritual and secular contexts. I’ve been thinking of it more frequently as a result of some premarital counseling I recently provided to a young couple. The opinion (and keep in mind it was my opinion) I expressed was that unconditional love was not possible between adults; that all adult love was, in fact, based on certain expectations and requirements. Because adult love comes with expectations and requirements, it is therefore conditional. I also said that the time we are supposed to receive unconditional love is when we are born and are infants. (Hopefully this occurs, but it is not always the case.) Unconditional love occurs between mother and infant, as well as between human and dog and human and God.

I started to reflect on what I had said about God’s love being unconditional and read a few online articles on the subject. The opinions seem split between those who believe it is unconditional and those who don’t.

What I’ve concluded is that it’s a paradox, intentionally so. God’s love is unconditional, but God also has expectations and requirements. If we don’t meet those expectations and strive to fulfill those requirements, God doesn’t stop loving us—but is not happy, and expects us to continue to strive to do better next time. God is also extremely patient and appreciates effort. God does not expect perfection (unlike some humans, who expect it of themselves and thus think they know better than God) because only God is perfect. From that perspective, perfectionism takes on the qualities of narcissism, doesn’t it? (That’s a whole other article.)

So what are God’s expectations and requirements? I suppose that depends on one’s spiritual/religious orientation. As a Yoruba priest, according to God (Olodumare) and the Orisas (the divinities who interact with humans), I am expected and required to: develop good character (Iwa Pele); honor my ancestors; respect the earth; honor and practice the traditions of the faith; and live in gratitude. (There are others, but hopefully you get the point.)

If I don’t do those things, it’s not as if Olodumare and the Orisas will no longer love me, but my life will not turn out well. Things will not happen as expected or hoped for, and there may be unforeseen reversals of finances, health, and relationships. It’s not that I will be punished (as in the concept of being punished for sins), but rather that I will have blocked my own blessings.
Therefore, it makes sense to do what Olodumare and the Orisas want me to do. I know what they want through divination, which takes some of the pressure off me to figure it out alone. Once I have the information, it is my choice to do it or not, but given the consequences, there’s really no other healthy choice.

I have found that since I became a Yoruba priest almost 12 years ago, when I did what I was told to do by the divinities that guide me, my life either improved, changed in a significant way, or took a direction that might have been scary initially but ultimately worked out for the best. When I did not do what I was instructed to do (which wasn’t very often) or dragged my feet, I felt like I had abandoned not only my strongest supporters but myself as well. In a word, I started to become depressed.

Even though my belief system is specific, I believe we are all looking for that unconditional love we may or may not have experienced as infants from our mothers. Unconditional love (even with requirements and expectations) brings with it feelings of serenity and calm, a sense of completeness and wholeness and a hopeful attitude toward life. For those who have found it on a spiritual path, it is the only love that can fill the space left by not getting that love from other humans.

I watch Lifetime movies. Yes, I help people get their lives back on the “straight and narrow” and be healthier with themselves, their emotions, and their relationships, but I still like to indulge Lifetime movies. That feels good to write!

The Pregnancy Pact is about girls who become pregnant. The issue makes the news, and a reporter tries to not just get the story but to also increase awareness about teen pregnancy. I recommend checking out Lifetime for the rest of the story.

The issue that I want to present today is parents’ responsibility to speak with their children about safe sex—abstinence, using condoms (if they do decide to have sex), and sexual health—and not just leave it to the schools.

It can be a scary thing to talk to your children about sex, but the reality is that they are going to ask because they are curious about their bodies and what they see on television. They don’t want to know that they shouldn’t have sex; they want to know why they should not have sex at a particular age. As a parent, it is part of your job to teach your kids about sexual health. I believe you get the picture.

There is a lot to think about, and no parent is ever truly “ready” to talk with a child about the “birds and the bees,” but again, it’s a necessity—and your child may, in fact, ask you. Of course, they will go to their friends, but they’ll come away with a lot of misinformation. You will give them the facts and help them make a healthy, well-informed decision. Yes, the child may still go out and have sex, but when he or she is informed with the pros/cons, the facts, etc., he or she can make a wiser choice.

When to Start
It’s best to start at a young age. My son will be 2 years old next month. At bath time, I show him how to clean himself, and he does a pretty good job. The other day, we had a conversation about him and Daddy having a penis, but not Mommy. That was it. I also said that only Mommy, Daddy, and a doctor would be able to see it, if needed. In the bath, we talk briefly about making sure our bodies are clean head to toe, and that’s one way to take care of our bodies.

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If your child is older, it might be good to ask what he or she knows about taking care of his or her body. This is part of sexual health, self-respect, and beginning to set healthy boundaries. Our bodies are important, and we need to keep them as healthy as possible.

What to Share
If the child is older, ask what he or she knows first, or what kids are talking about at school. Ask if peers are talking about who’s having sex, if there’s pressure, etc. This will help in pointing you in the best direction to help your child. Of course, if your child is in a sex-education class, and you have waited that long, use it to open up the discussion.

Be calm. Listen to what your child is saying. Observe how he/she is responding to your questions, the looks on his or her face. You need to know what he or she knows and what you will need to correct it, if the information is wrong. Try to limit your responses so that your child does not give you the glazed look on his or her face when you have said way too much or he or she is not interested anymore.

Share Your Beliefs
I grew up in church and was raised to not have sex before marriage. I grew up knowing what the Bible says about premarital sex, what my parents expected of me, and these things helped me develop my beliefs and standards about who I give my body to (or not). It also taught me to keep my kisses for people who are going to respect me and not just what I can give them.

That is definitely an important aspect of sexual health: teaching your child that his or her virginity is important, and whom they choose to have sex with may either take it or nurture it. Kids need to know that when they have sex, they need to make sure that the person receiving their virginity will protect it, respect it, and not take advantage of it.

I am not trying to stand on a soap box or anything like that, but the reality is that kids are having sex—a lot more than statistics will probably show, and sex is not to be used for random wants. Oral sex is often not perceived as “sex,” but it still involves the giving of oneself. There are feelings involved, even with a one-night stand. Whether you go to church or not, you have your own morality about sex, and all parents want their children to make healthier decisions than they did.

How Each Parent Can Help

• Dads: You can help demonstrate to your sons and daughters about how a girl/woman should be treated. You can share how you would like your daughter to be treated by how you treat your wife. Again, not on a soap box, but our children learn from us—verbal communication and nonverbal. You can share with your daughter the lines that boys may say to get into her pants: “If you love me …” “I love you.” “We can go slow.” And so on. You can also help your daughter to be confident in herself; treat her with respect. Tell her how much she means to you, and what type of guy you would like her to find. You can also help your boys to show respect to women—more than just opening doors for them, but demonstrating respect in speaking to them, etc. You are as valuable as your spouse, and you can give insight regarding men because you are one!
• Moms: You can help demonstrate to your sons and daughters how to treat a man. You can share with your sons what girls are like, how they can be, what type of girl they should be with, how to help with communication, how self-respect is important, and how to set healthy personal boundaries.

There are many more points that can be discussed on this particular topic. I wanted to highlight that it is the parents’ job to help teach children about sexual health, potential diseases, and all that encompasses choosing to have sex. Sex-education classes alone may not be enough.

As a parent, you are very important in your child’s life, even if he or she is not going to admit that. Keep the discussion about sex open with your child. Keep listening. Give the facts. Be there.

Don’t wait for trouble to set in when it comes to the enriching elements of your life, such as sensuality and sexuality. Often, we are draining ourselves of the essence in our sexual, erotic selves through seemingly small, inconsequential thought and behavioral patterns.

This article addresses some of the most common drains to our sexual energy. I encourage you to use it as an awareness-raising exercise and to begin to investigate your own energy drains. In response to what you learn from your own self-reflection and investigations, you may begin to compile and act on antidotes to your drains.

• The great storyteller: Being in your head too much creates performance anxiety and, sometimes, perfectionism. Telling yourself that your skills aren’t up to par, or wondering if your lover’s last lover was better or more interesting than you in the sex department, will keep you from fully engaging all your senses and fully being your erotic self. If you are telling yourself that sexual engagement with another (or yourself) has to look like candles and a quiet house, you are engaging in a false story and draining your sexual energy. You may have authored a story that is keeping you hostage.
• Swinging for the fences: When we engage in all-or-nothing thinking, we miss out on opportunities to replenish our sexual energy. No time for a long-lasting lovemaking encounter? Do not forgo a wonderful, engaged, 30-second kiss or a good, ol’-fashioned make-out session. The dog needs to be walked, there are bills to be paid, and you have phone calls to return, but give yourself time and space to indulge in some physical contact before tackling the rest of life. Trust me, it is far more enjoyable putting sexual energy replenishment at the top of your to-do list than skipping the kiss because you don’t have time for a full lovemaking session. When we assume sexual engagement must be a “home run” every time, we are draining ourselves and missing the opportunity to replenish our sexual energy.
• Relying on the goodness of others: Relying on your partner(s) to replenish your sexual energy by initiating or expressing interest is enemy No. 1. Your strength and sexual energy, including self-esteem, self-care, self-love, and empowerment, are all too often thought to be somebody else’s job. When we as individuals fulfill our own needs, we embark on a new way of relating to ourselves and others. To feel good about ourselves outside of the bedroom is essential to feeling good in the bedroom.
• Glory days: It’s particularly draining to ourselves, relationships, and sexual energy when we dwell on “better times” in our relationship. Within a longstanding relationship, we tend to think back to when we first met our partner and lament the times we couldn’t keep our hands off each other. One of the greatest gifts we have as humans is relating and relationships. Yes, it tends to be that the closer we get to our intimate partner, the flame can be dampened, however the fuel to that fire is drained only by focusing on “how it used to be.” In Patricia Love’s book, The Truth about Love: The Highs, the Lows, and How You Can Make It Last Forever, she shares with readers the predictable stages of “better times” and a more enriching, emotionally intimate relationship, which is often coupled with less “firework” sex. It is essential to understand the ebb and flow of sexual energy.
• Keeping score: Unresolved resentment and conflict, and not voicing our own needs, drains our sexual energy. Gatekeeping, policing, and “giving to get” drains the sexual energy from us and our relationships. Our sexuality is not a weapon or a reward system. When we engage in this thinking and pattern of interacting with our lovers, we drain the essence of our sexual selves.

So, what stories are you telling yourself? What habits need a little tweaking in order to replenish your sexual energy? I encourage you to monitor your own thinking and behavior patterns, and note what drains you and what replenishes you. Enjoy!

While not everyone’s experience is the same, when people have a major depressive episode, generally the world looks, feels, and is understood completely differently than before and after the episode. During a major depressive episode, the world can literally seem like a dark place. What was beautiful may look ugly, flat, or even sinister. The depressed person may believe loved ones, even their own children, are better off without them. Nothing seems comforting, pleasurable, or worth living for. There’s no apparent hope for things ever feeling better, and history is rewritten and experienced as confirmation that everything has always been miserable, and always will be.

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When this reality shift happens, it’s difficult to remember or believe what seemed normal before the episode. What the person believes during the episode seems absolutely real, and anything that conflicts with it is as unbelievable as a memory or message telling him or her that the sky is purple. For example, if the person is unable to feel love for a spouse, and someone reminds the person that he or she used to feel that love, the person may firmly believe he or she had been pretending to himself/herself and others—though at the time he or she really felt it. The person can’t remember feeling the love, and can’t feel it during the episode, and thus concludes he or she never felt it. The same process happens with happiness and pleasure. Attempts to tell the person that he or she used to be happy, and will feel happy again, can cause the person to feel more misunderstood and isolated because he or she is convinced it’s not true.

Even if nothing was wrong before the episode, everything seems wrong when it descends. Suddenly, no one seems loving or lovable. Everything is irritating. Work is boring and unbearable. Any activity takes many times more effort, as if every movement requires displacing quicksand to make it. What was challenging feels overwhelming; what was sad feels unbearable; what felt joyful feels pleasureless—or, at best, a fleeting drop of pleasure in an ocean of pain.

Major depression feels like intense pain that can’t be identified in any particular part of the body. The most (normally) pleasant and comforting touch can feel painful to the point of tears. People seem far away—on the other side of a glass bubble. No one seems to understand or care, and people seem insincere. Depression is utterly isolating.

There is terrible shame about the actions depression dictates, such as not accomplishing anything or snapping at people. Everything seems meaningless, including previous accomplishments and what had given life meaning. Anything that had given the person a sense of value or self-esteem vanishes. These assets or accomplishments no longer matter, no longer seem genuine, or are overshadowed by negative self-images. Anything that ever caused the person to feel shame, guilt, or regret grows to take up most of his or her psychic space. That and being in this state causes the person to feel irredeemably unlovable, and sure everyone has abandoned or will abandon him or her.

It’s difficult to describe all of this in a way that someone who’s never experienced it can make sense of it. I can’t emphasize enough that when this happens, what I am describing is absolutely the depressed person’s reality. When people try to get the person to look on the bright side, be grateful, change his or her thoughts, or meditate, or they minimize or try to disprove the person’s reality, they are very unlikely to succeed. Instead, they and the depressed person are likely to feel frustrated and alienated from one another. I do believe cognitive therapy has an important place, but generally not in the throes of a major depressive episode.

Support for People with Depression

So what does a person whose reality has shifted in this way need? Please keep in mind that I am talking about a major depressive episode—severe depression that has lasted more than two weeks. I would take a different approach for someone with milder depression, or one that is a response to a terrible loss.

For some people in a major depression, psychotropic medication works and is the only thing that works. The same could be said for electroshock treatment, though it’s not for everyone. Many people will emerge from major depression in time, though episodes seem to make more episodes more likely, so if medication works to end the episode, it’s usually prudent to take it. Nutrition, acupuncture, and other body-based treatments as well as therapy can help without the side effects of medication.

What Loved Ones Can Do

Loved ones can gently hold and show love and commitment to the depressed person, try not to take on the person’s reality, but also not argue with him or her about it. They can also gently remind the person that depression causes his or her perspective on everything to change, and he or she is unable to think outside of depression mode at the moment. It is a time for the person to avoid making decisions, or avoid doing anything significant that requires a nondepressed perspective. If this is a repeated experience for this person, it can be helpful to discuss all of this between episodes so he or she is more prepared when caught in the quicksand.

As someone who loves a person with depression, it can be emotionally difficult or stressful at times to support that person. It can be beneficial to focus on your own needs and self-care, and to reach out for help if you need it such as seeking the support of a counselor or therapist.

To me, “vulnerable” is wonderful word. It means openness, freedom, and the opportunity to love and be loved. But for others, it is what they are trying to get away from: They feel that they are too vulnerable. In actuality, the opposite is true. They feel unsafe because they are too defended, too guarded. True vulnerability comes only with acceptance of self. And with that, fear drops away.

By becoming vulnerable to life, we discover its meaning. Not the meaning of life in an objective sense, but rather its meaning and purpose for each one of us, as individual souls. Whether that is the truth of a given moment, or an expanded sense of purpose and destiny in our professional or personal lives, we can discover it only if we learn to listen to our own hearts in an unguarded and open way.

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Our Own Vulnerability

To be happy and content in life, we must give in and learn to listen to ourselves deeply. We must accept our vulnerabilities, open ourselves to them, and embrace them! Why? Because only then do we feel the safety net that is always there; that mysterious presence that is beauty, love, kindness, and truth. When we don’t move into the mystery of vulnerability, it is like we are clinging to a tightrope after having fallen off, peering into the dark, afraid that there is no net. We find the net by letting go, by falling into the unknown.

This surrender does not have to be, as many think, a large display of emotion, because it is at its heart something internal, something private. Our closest, longest, and most intimate relationship is the one we have with ourselves. So while we might first experience vulnerability with someone else, it is at its heart something we must do with ourselves, by ourselves. It is not enough to be accepted by someone else: We must accept ourselves.

Allowing Others to Be Vulnerable

By becoming vulnerable to yourself, you move toward being vulnerable in your relationships and, just as importantly, being able to accept the vulnerability of those you love. This can be some of the hardest work we do: allowing the people we depend on to have their own vulnerabilities, their own weaknesses, their own struggles.

When vulnerability is not allowed in a relationship, it separates people, no matter how much they love each other. A person may love someone, but he or she may also want that person to be something he or she is not, or to just plain stop having the pain or struggle that he or she does. This dynamic can create a vicious cycle of resentment and frustration in one person, and a sense of confinement, judgment, and claustrophobia in the other.

Practice

Maybe this sounds simple to you, or perhaps complicated and confusing. It all begins with whatever moment you are in. And it takes baby steps. If you are interested in exploring more, note the time and do this five-step practice for the next five minutes:

1. Take three deep breaths. In through the nose, out through the mouth. Soften your shoulders, your forehead, your eyes.
2. Become vulnerable to everything happening in this moment. All the feelings, all the thoughts. Accept and allow everything. Soften toward every part of yourself. Breathe.
3. Soften all resistance to what is here. Feel the energy of your body, emotions, and mind. Feel whatever pain you may be having. Don’t label or think about it, just sense it fully. Don’t push anything away. Breathe.
4. Allow the waterfall that is the experience of each passing moment to wash over you. Just for this moment, accept fully and forgive yourself for all the failings and faults, all the regrets and mistakes that are marching through your mind. Let go of the fight and allow yourself to be just as you are right now. Breathe.
5. Now return to the top and continue the practice. Close your eyes as you are able, repeating the steps and continuing to soften and breathe.

Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment approach used to treat individuals with a wide variety of issues, including relationship conflict, anxiety, depression, bipolar, self-injury, eating issues, and substance abuse. Developed in the 1980s by psychologist Marsha M. Linehan for the treatment of borderline personality disorder and chronic suicidality, this method has since been adapted and utilized to help clients with much less severe issues. The therapy can help clients who exhibit extreme emotional reactions, helping them develop self-acceptance while also learning coping skills to better regulate their emotions and handle distress. DBT uses both individual therapy sessions and group skills training, as well as telephone coaching between sessions.

The DBT model combines a behavioral therapy approach with eastern mindfulness practices. In one sense, the term dialectical refers to the goal of synthesizing the extreme opposites inherent in the rigid “black and white” thinking of many clients who have trouble regulating their emotions. “Dialectical” also applies to the core DBT principle of practicing acceptance strategies while implementing change strategies, in the process of reducing and modifying self-destructive behaviors.

This type of therapy is very support-oriented; it helps clients identify their strengths, build new skills, and increase their self-esteem. DBT focuses on cognitive issues by indentifying destructive thought patterns and replacing them with more neutral and accepting internal dialogues. It is designed to be a nonjudgmental collaboration, with the therapist and client working together to increase emotional awareness and understanding, minimize negative thought patterns and behaviors, and develop new coping and problem-solving skills.

The four modules of dialectical behavior therapy:

• Core mindfulness: The first of the four primary modules of DBT, this concept involves learning to observe one’s emotions, describe those emotions, and fully participate in present experiences. This skill forms the foundation for the other three modules, and is derived largely from eastern practices of living in the moment.
• Interpersonal effectiveness: The second core component of DBT teaches clients assertiveness skills and strategies to ask for what they need, set boundaries and say no when appropriate, and deal more effectively with interpersonal conflict.
• Distress tolerance: The third module entails clients developing nonjudgmental acceptance of themselves as well as their current situation. The focus is on learning to accept the present reality and to tolerate crises, and making use of strategies such as distraction, self-soothing, and improving the moment. Practicing these skills will increase the client’s ability to tolerate challenging events and environments.
• Emotion regulation: The final module of DBT consists of three main goals: to understand one’s emotions, reduce emotional vulnerability, and decrease emotional suffering. With this in mind, some of the specific skills taught in DBT include identifying and labeling emotions as well as evaluating: events that prompt the emotion, interpretations that trigger the emotion, how the emotion is experienced, how the emotion is expressed behaviorally, and the aftereffects of the emotion.

In the case of adolescent treatment, Dr. Alec Miller has adapted Dr. Linehan’s model to incorporate parents attending skills training groups with their teens. There is an additional module, “walking the middle path,” which focuses on helping parents and their children understand each other’s viewpoints and reduce conflict and invalidation.

The five functions:

Dialectical behavioral therapy was designed to fulfill five primary functions:

• Enhance behavioral capabilities: DBT helps clients develop important life skills that help them regulate emotions, experience the present moment, improve interpersonal interactions, and better tolerate distressing situations.
• Improve motivation to changes: DBT supports clients’ motivation to change by tracking and reducing detrimental behaviors, thereby increasing quality of life.
• Generalize capabilities to other environments: In order for the client to make progress, the skills learned in therapy must transfer to a wide variety of situations. This is accomplished through homework assignments and practicing skills. Telephone consultations also can be valuable in helping clients utilize these skills in their daily lives.
• Support client and therapist capabilities: DBT aims to maintain and build the capabilities of therapists through continued training and consultation-team meetings.
• Enhance therapist motivation: The DBT model encourages the use of support, validation, feedback, and encouragement between therapists to avoid burnout and improve their effectiveness.

Stages of treatment:

The course of DBT generally flows through three stages:

• Stage 1: This stage is primarily focused on eliminating or reducing serious behaviors, including self-injury, suicidal thinking, and aggression. Behaviors that interfere with therapy also are addressed, such as missing appointments and not returning phone calls.
• Stage 2: The client strives to increase quality of life and experience emotions in a less intense manner. The client continues to eliminate or decrease destructive behaviors, and address other issues or situations that are interfering with daily life, such as past trauma.
• Stage 3: The client is experiencing increased feelings of completeness, self-respect, and love.

Who can benefit:

Though DBT originally was developed to treat more severe issues, such as borderline personality disorder, suicidal behaviors, and self-harm, the treatment has become a widely respected method for treating clients who exhibit the following, much milder traits and issues:

• Difficulty with emotional regulation
• A high level of reactivity, with a slow return to baseline
• Impulsiveness with a tendency toward self-destructive behaviors
• An inclination toward extreme thinking, unable to perceive a middle ground
• A lack of sense of self, tending to feel incomplete or empty
• A history of instability in relationships, and difficulty with interpersonal interactions
• Extreme sensitivity, accompanied by rapid mood swings, anxiety, and depression
• Fears of abandonment and trouble with intimate relationships

Dialectical behavior therapy has proven to be a very effective tool to help people manage intense emotions, change negative thought patterns, and decrease self-destructive behaviors. Individual therapy sessions focus on current detrimental behaviors in the client’s life, while group sessions involve learning skills from the four modules: mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation.