Do you live in fear and anxiety? Do you think they protect you? They may—to a degree.

The startle reflex is protective; if we happen to step in front of a moving car, we immediately jump back, and that is a good thing. This reflex originates in the brain stem.

The fight, flight, or freeze response originates in the amygdala in the mid-brain. It is triggered when we sense danger. When we do not feel safe, we react instinctively without being aware of what we just perceived. The amygdala can be compared to a scanner on a submarine that is always on alert for danger. We are mostly unaware that this is happening. If we perceive a threat to our survival or emotional well-being, we generally respond by fighting back, fleeing, or freezing.

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The third level of fear is irrational beliefs and unreasonable expectations. These beliefs are located in our higher brain, the cortex, which is the seat of judgment and executive functioning. Many of our beliefs were formed so early in childhood that they seem like facts that are a part of who we are. Others were adopted later through cultural influences. Challenging or changing these beliefs may bring up more fears and resistance. We are familiar with the way we think and experience and do not know what our world would be like if we changed our beliefs. We can ask ourselves, “Would I rather be right about my way of thinking and collect evidence to prove and validate my beliefs? Or am I willing to challenge my beliefs in a way that would allow me to be happier?”

Anxiety and stress can take a toll on our mental and physical health. At the same time, they can serve us. If we view stress as bad and try to get rid of it, it has a more negative effect. But if we understand it as serving us, the detrimental effects are negated. The degree of fear, stress, or anxiety, and the effect on us, has to do with our beliefs about it. If you’re about to step on stage in front of a few thousand people, do you experience exhilaration, terror, or panic? How you define the event and what you say to yourself about it will determine your stress or relaxation level. Being a little scared but having a lot more excitement may be the best combination for peak performance.

Worry is frequently based on irrational or unreasonable expectations about the future. You may worry about not having enough money. Or you may worry about not being liked, saying or doing the wrong thing, or doubting that you are worthy and valuable. Specific fears or phobias—for example, snakes, bugs, and storms—may also worry you. All of these can haunt you until you find a way to release them. Notice how much you say to yourself, “What if (fill in the blank)?”

Ask yourself, “Do my beliefs protect me or just cause me to feel miserable? Are they beliefs I have chosen or ones I have taken on because that is what others have told me?” Since you decide what to believe, you also decide what not to believe. It is your choice.

Make a list of the things you think you are afraid of or worry about and challenge them. Ask if these are beliefs you chose or ones you just grew up believing because your parents, teachers, church, peers, or media told you it’s what you should think.

Be honest with yourself. It is the only way you are going to get to having more rational, reasonable expectations that bring you more peace and happiness.

is an important aspect of relationships, which can be incredibly complicated. Being in love doesn’t automatically lead to understanding or responding ideally to another person’s needs. Individuals with anxiety often feel misunderstood or unable to communicate effectively, and they may even avoid situations that require talking about certain topics.

When worry finds its way into your relationship, it can make it difficult to develop or maintain a strong bond with your partner. When you are experiencing fear or anxiety, your tendency may be to push others away, shut down, put up emotional walls, or isolate yourself. It can be a challenge to develop ways to turn to your partner. This can lead to questions, repeated attempts to “understand” what is going on, and this questioning can create feelings of uneasiness or being mistrusted in the anxious person’s partner. Such conflict can leave both partners feeling frustrated or angry.

People with anxiety typically report that their relationships improve once they are able to explain their condition and how it affects them to the important people in their lives.

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Effective reduction strategies can help control anxiety and allow you to challenge your fears more readily. Here are seven basic ones that can help you begin to heal your relationship:

1. Be honest. Talk about how your partner can support you when you are experiencing anxiety. Discuss how your anxiety creates tension.
2. Don’t shut down. If you have a tendency to distance yourself from others when you’re anxious, make sure they know that the distancing is due to the anxiety and not them. Let them know it is simply a coping strategy.
3. Explain what anxiety is and how it impacts you. Describe how it affects your thinking (intrusive and recurring thoughts, effects on decision making) as well as how anxiety manifests in your body (increased blood pressure, muscle tension, sweating). The more specific you can be, the more likely you and your partner will be to develop a plan to address these effects.
4. Incorporate more movement into your day. Many studies show the physical and emotional benefits of exercise. Some show that regular exercise can be as effective as (or more so than) medication.
5. Challenge your fears. Identify when you are having fear responses and pinpoint possible triggers. Dissecting your fears can make them seem less formidable.
6. Listen and reflect. With anxiety, distortions occur. When you are anxious, you may hear only a small portion of what is being said to you before your mind begins to fill in the blanks and get reactive or defensive. By practicing listening skills in nonanxious moments, you can develop skills to use when you become anxious. If you repeat or restate what you heard your partner say, you may listen differently. This can give your partner an opportunity to clarify if your reflection doesn’t match his or her intent.
7. Increase physical touch: Try to be more physically affectionate (holding hands, kissing, being close). Physical touch has been hardwired into all of us; each of us needs some level of connection. Discussing your touch needs can inspire dialogue that begins to repair any disconnect.

Each time we find the courage to challenge our fears, new opportunities can arise. What are you willing to challenge yourself to do in order to make your relationships better?

We all know an adrenaline junkie: the friend who jumps out of airplanes for fun, the sibling who spends her time traveling to war-ravaged countries, or the co-worker who spends her weekends speeding on a motorcycle. Adrenaline rushes are readily available at just about every turn. A number of factors can affect whether a person ends up a risk taker or a quiet homebody, but there’s evidence that a little risk-taking now and again is good for almost everyone.

Effects on the Brain

Risk-taking causes real changes in the brain, which might account for why risk-takers quickly seem to become adrenaline addicts. Major risks release adrenaline, which can lead to a quick rush, and dopamine, which causes intense feelings of pleasure. While these chemicals contribute to a powerful high in most people, the feelings can be especially addictive to people who are struggling with feelings of sadness or depression. Over time, risk-taking can function much like a drug. Risk-takers may need bigger risks to get the same rush, and mundane daily activities can start to seem boring and painful.

Personality

Personality plays a major role in an individual’s propensity for risk-taking behavior. While it might seem like those who worry excessively don’t make for ideal risk-takers, some studies indicate that people who score high on neuroticism – a combination of anxiety, moodiness, and worry – are more likely to become risk-takers. The data is not conclusive, though, and some studies have found that risk-takers actually score lower on measures of neuroticism than the general population.

Personality can also affect the kinds of risks a person is willing to take. The dedicated smoker might be terrified of heights, driving, or illness, without ever recognizing that smoking is a risky behavior. Some adrenaline junkies have a preferred risk-taking behavior, and this could be correlated with personality. People who love novelty, for example, might travel to dangerous locations, while people who are highly physical might get their adrenaline rush from rock climbing or mountain biking.

Culture and Peers

Cultural influences play a huge role in whether or not people are willing to take risks. As travel – particularly to remote locations – has become a part of the educational path of middle class students, more and more students are willing to travel to potentially risky locations. Peer pressure plays a huge role in risk-taking, and study after study has shown that people are more likely to take risks in a group setting.

Benefits of Risk-Taking

While some risky behaviors might not be worth their potential consequences, risk-taking in small doses is almost universally beneficial for your brain and mental health. Novel experiences can help to ward off depression and reinvigorate a stale relationship. Risk-taking is often a necessary prerequisite for starting a new business or launching a new career, and the excitement associated with uncertainty can be a powerful antidote to boredom and even depression. Because dopamine produces a natural high, risk-taking behaviors can help you get a positive mood and a new perspective without the risks associated with drug use.

References:

1. Adrenaline rush: The science of risk. (n.d.). Museum of Science, Boston. Retrieved from http://www.mos.org/imax/adrenaline-rush
2. Gardner, M., & Steinberg, L. (2005). Peer Influence on Risk Taking, Risk Preference, and Risky Decision Making in Adolescence and Adulthood: An Experimental Study. Developmental Psychology, 41(4), 625-635. doi: 10.1037/0012-1649.41.4.625
3. Park, A. (n.d.). Why we take risks — it’s the dopamine. Time. Retrieved December 30, 2008, from http://www.time.com/time/health/article/0,8599,1869106,00.html

Insecurity is one of the trickiest relationship issues because it tends to create a self-perpetuating cycle. Insecure people frequently cling to their partners, which causes their partners to pull away, worsening the insecurity.

Feelings of insecurity often begin with family-of-origin issues or unhealthy early relationships. In many people, these experiences may interfere with their ability to choose good partners; some insecure people may choose partners who make the insecurity worse. There’s no quick fix for anxiety, and some people need therapy to move past anxiety in relationships, but there are several steps you can take to reduce it:

Determine the Cause

Not all insecurity is unwarranted. Objectively examine the behavior of your partner. Is he or she honest? Does he or she respond to your basic needs? Does he or she seem concerned about your feelings?
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If you’re not getting what you need in your relationship, your insecurity might be the other person’s problem, not yours. But this doesn’t mean you can force your partner to fix it. If your partner refuses to meet reasonable emotional needs, you can either end the relationship or find other ways to meet your needs, perhaps by taking up a hobby, expanding your circle of friends, or finding fulfillment in your work.

Negotiate Relationship Rules

Every relationship serves as a sort of mini-government that establishes its own rules and standards of behavior. Something that’s OK in your relationship might not be OK in another person’s relationship.
Talk to your partner about how you want your relationship to function and how each of you can get your needs met. You might, for example, agree that you need a lot of verbal reassurance, while your partner benefits more from favors and nice gestures.

When insecurity is a chronic problem, you should talk openly and honestly about it so that your partner knows you might need extra reassurance. If you have a disagreement about what constitutes a fundamental need, you might need to get out of the relationship or find another way to meet your needs.

Avoid Mind Reading

No two people think exactly alike, and what might mean absolute rejection to you could just be an oversight or misstatement by your partner.
Mind reading can contribute to insecurity when you make assumptions about your partner’s thoughts rather than asking him or her about them. If you’re feeling unsure of something, express this to your partner and ask for clarification.

Quit the Comparison Game

Almost any relationship, no matter how troubled, can look perfect from the outside looking in. Don’t compare your relationship to other people’s relationships, and avoid comparing your current partner to past partners.
It’s easy to find your partner’s weaknesses and assume that he or she doesn’t love you, and when you compare relationships, you’re much less likely to compare your partner’s positive traits to other people’s negative traits. Accept your partner for who he or she is and work on your relationship where it is rather than aspiring to emulate a relationship that might not even be real.

Look for the Positive

Confirmation bias is a psychological phenomenon that causes people to look for evidence of what they already believe to be true. If you’re convinced that your partner doesn’t love you, you might see his or her failure to say he/she loves you on the phone as irrefutable evidence that love has died.
But when you look for confirmation of the positive aspects of your relationship, you’re also more likely to find these. Focus on your partner’s positive traits, and interpret ambiguous statements and actions as positively as possible. In minor cases of insecurity, this can be all it takes to move past anxiety.

References:

1. 20 ways to beat relationship insecurity. (n.d.). YourTango. Retrieved from http://www.yourtango.com/200948412/how-beat-relationship-insecurity
2. Cassidy, J., & Shaver, P. R. (1999). Handbook of attachment: Theory, research, and clinical applications. New York, NY: Guilford Press.

Depression coupled with severe anxiety represents an often-debilitating psychiatric condition. Treatment is frequently a challenging proposition, marked by repeated trial and error. No two people are alike, and reactions to specific medications run the gamut from successful remission of symptoms to no effect whatsoever. In other cases, side effects may be so severe that someone is forced to discontinue a medication.

Severe mood issues and constant worry often lead to pronounced physical symptoms. Severe anxiety, for example, is well known to cause gastrointestinal complaints. Unfortunately, many of the most commonly prescribed antidepressant medications have stomach upset or nausea as one of their known side effects.

Sinequan (doxepin) is an older variety of antidepressant medication that has fallen out of favor because of its broad side effect profile. However, at low doses, these side effects mostly disappear. A pair of case studies demonstrated that a standard antidepressant such as Zoloft (sertraline), combined with low doses of Sinequan, offered noticeable improvements to both depression and anxiety without stomach upset. Both of these individuals had tried and failed with nearly every antidepressant and anti-anxiety medication on the market. Side effects or lack of noticeable benefit was the consistent result, regardless of treatment method.

Even combination treatments proved ineffective. Studies have shown that repeated non-remission of severe depression predicts a negative outcome. Therefore, discovering an effective treatment in these difficult cases is especially important.

Based on previous research findings, attending physicians in these case studies surmised that Sinequan would reduce or eliminate gastrointestinal symptoms at low doses. In the absence of nausea and stomach upset, the patients would be less inclined to discontinue their antidepressant regimen. Furthermore, the low dosage would avoid the most troubling of Sinequan’s side effects, such as drowsiness, weakness, and dry mouth. At regular doses, Sinequan has been known to cause nausea. The dosages in these case studies, however, were far below standard prescription levels.

For the people involved, remission of their gastrointestinal symptoms was instrumental in alleviating both their depression and anxiety. Further research will determine if low-dose Sinequan is applicable in a wider range of cases. The primary concern is with the safety of the medication, particularly in elderly patients or those with a long history of unsuccessful treatment.

References:

1. Doxepin – PubMed Health. (n.d.). National Center for Biotechnology Information. Retrieved March 28, 2012, from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000668/
2. MacLean, L., & Ahmedani, B. (2011). Sertraline and Low-Dose Doxepin Treatment in Severe Agitated-Anxious Depression With Significant Gastrointestinal Complaints:Two Case Reports. The primary care companion to CNS disorders, 13(4). Retrieved March 28, 2012, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219524/?tool=pmcentrez

Since the beginning of recorded history, people have been forecasting the end of the world. In biblical times, many people believed that Jesus would return in a few short years, and religions throughout the world have cautioned people to repent and prepare for the end of days for as long as there have been religions.

In modern times, with science gaining popular acceptance and doomsday scenarios falling outside the mainstream, such beliefs can seem highly unorthodox. But the Daily Mail reports that 22% of Americans believe the world will end in their lifetime, and the belief that a religious figure will return to “save” a chosen few is still commonplace. The National Geographic Channel has dedicated a popular television series to people who believe the world may soon end: Doomsday Preppers follows individuals—sometimes referred to as survivalists—and their families as they plan and prepare for the end of civilization.

Psychology can offer some insight into this phenomenon.

Risk and Preparedness
We live in an increasingly complex and often frightening world. Massive tsunamis can kill thousands, and electrical outages can cripple a city, state, or country. The threat of nuclear war is omnipresent, and protests around the world can make government and order seem increasingly unstable. Many people actively fear the prospect of terrorist attacks, pandemics, fuel shortages, and societal or economic collapse.

Most people prepare to some degree for “what-if” scenarios. People buy flood insurance, swarm the grocery store before a storm, and buy generators to ensure their businesses can keep running if there’s a power outage. The difference between those who take it to the extreme—such as doomsday preppers—and those who simply plan for a rainy day may simply be a matter of degree.

Trauma and Experience
People who believe in conspiracies and doomsday scenarios likely would caution that, if they’re right, they don’t look so strange after all. And when a person’s experiences are taken into account, their worries may even seem justified. A person who has experienced war might be more frightened that war could end the world, while trauma victims and people with posttraumatic stress may have more difficulty assessing risk.

Belief Systems
People tend to accept evidence that supports their belief systems and ignore evidence that doesn’t—a phenomenon called confirmation bias. In some cases, people may believe conspiracy theories because these theories support their most fundamental or earliest-established beliefs. A person whose mother claims to have been kidnapped by aliens might, for example, fervently cling to a belief in aliens because believing in aliens allows him to believe his mother. A highly religious person who believes she experienced a prophecy that the world will soon end is unlikely to abandon such a belief because doing so undermines her religious experience.

Once a doomsday scenario or conspiracy theory becomes part of a person’s belief system, he or she is unlikely to abandon it even in the face of conflicting evidence. This isn’t unique to doomsday preppers. We all have things we believe without evidence, sometimes even in the face of contradictory evidence.

Mental Health Conditions
Some people who believe in conspiracy theories and end-of-days scenarios may be experiencing a mental health issue. Conditions that can contribute to such beliefs include:

• Schizophrenia, which can result in delusions and hallucinations that could convince a person the end of the world is near or that an entity is out to get him or her.
• Paranoid personality disorder, which manifests as constant suspicion, often in the form of fear of the government.
• Persecutory delusion, which may cause a person to believe that another person or entity is out to get him or her and will not stop until harm is done.

References:

1. Cruz, N. (2012, April 3). National Geographic’s troubling, addictive show about survivalists. Slate. Retrieved from http://www.slate.com/blogs/browbeat/2012/04/03/doomsday_preppers_on_national_geographic_is_the_survivalist_reality_show_exploitative_.html
2. Guyatt, N. (2007). Have a nice doomsday: Why millions of Americans are looking forward to the end of the world. New York, NY: Harper Perennial.
3. Hanlon, C. (2012, May 2). 22% of Americans believe world will end in their lifetime (and 10% think the apocalypse is coming this year). Mail Online. Retrieved from http://www.dailymail.co.uk/news/article-2138449/The-end-nigh–Americans-think-world-end-year.html

Most people experience some form of irrational fear or anxiety, and many are concerned about germs and disease in particular. Amid a flurry of films and media reports about antibiotic-resistant infections and life-threatening flu strains, it’s easy to understand why some people actively worry about what they touch and breathe.

While concern about germs can motivate people to make health-conscious decisions such as frequently washing their hands, a serious germ phobia can drastically alter how a person functions and engages with society. Even actor and television host Howie Mandel concedes he has been unable to shake the grip of mysophobia—the technical term for fear of germs. Phobias are differentiated from general fears by degree. A person who is concerned about germs might wash his or her hands or get a flu shot, but a germ phobia can interfere with every area of life. Phobias are treatable, and people experiencing them should seek medical or psychological assistance.

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Symptoms
The primary symptom of mysophobia is an irrational fear of germs. This can manifest differently in different people. One person, for example, might be fixated on a specific germ or disease, while another person might be afraid of germs and dirt in general. Common behaviors associated with mysophobia include:

• Compulsive hand washing
• Excessive use of disinfectants and antibacterial soap
• Fear of physical contact with others
• Extreme fear of getting sick
• Reacting with extreme fear to media reports of new diseases
• Fear of certain locations, such as doctor’s offices and airplanes, where germs or sick people might be present or confined

Effects
Mysophobia doesn’t simply inspire fear and avoidance. The phobia can be all-encompassing and life-altering. While people with mysophobia often recognize that their reactions are irrational, they can’t control them. They may avoid going out in public, developing intimate relationships, or eating food they did not cook. Because mysophobia affects so much of a person’s life, it can lead to other mental health issues such as depression, social isolation, and anxiety. Complete avoidance of germs can actually contribute to the development of health problems. Overuse of antibacterial and disinfectant products has been implicated in the spread of new, resistant infections, and children who are not exposed to germs are more likely to develop allergies.

Causes
No one knows exactly why people develop phobias, but mental health experts have developed a few theories. Some believe that people are more likely to develop phobias that protect from danger. These phobias include germ phobias, fear of large animals, and fear of heights. People who develop phobias may take these natural fears too far and react with extreme anxiety, placing them in danger they are believed to be trying to avoid.

Early experiences also can make a person more likely to develop a phobia. Childhood illness, the death of a parent, or painful medical procedures can condition a person to be extremely fearful of germs and to take extreme measures to avoid them. Phobias also tend to run in families; they may be genetic or simply learned from parents.

Treatment
Phobias are highly treatable and often require only a few sessions with a qualified mental health professional. Cognitive behavioral therapy, which helps people to reframe intrusive and phobic thoughts, can be extremely beneficial. Desensitization, a process whereby a person is slowly exposed to a frightening stimulus, also is highly effective. Some doctors may prescribe anti-anxiety medications to help people with mysophobia cope with their fears during treatment or to enable them to function in public. Some clients also experience success with hypnotherapy, often in only two or three sessions.

References:

1. Audesirk, T., Audesirk, G., Byers, B. E. (2008). Biology: Life on earth with physiology. Upper Saddle River, NJ: Pearson Prentice Hall.
2. Overcoming your Fear of Germs. (n.d.). Fear of Germs. Retrieved from http://www.fearofgerms.com/
3. Kring, A. M., Johnson, S. L., Davison, G. C., Neale, J. M. (2010). Abnormal psychology. Hoboken, NJ: John Wiley & Sons.
4. Phobias. (n.d.). U.S. National Library of Medicine. Retrieved from http://www.nlm.nih.gov/medlineplus/phobias.html

There are many parallels between living with a disability and dealing with an uninvited house guest. If you have ever had an uninvited house guest, I am sure you remember moments when things may have been uncertain and, at times, tense or uncomfortable. At the very least, having an uninvited guest requires some adjustments, much like living with a disability.

An uninvited guest may arrive unannounced, leaving no time to plan or prepare. Likewise, in many cases people living with disability have little or no time to plan for the many changes to come. While there may have been no way to prevent the disability and requisite life changes, having time to prepare—psychologically and literally—can make a huge difference in a person’s ability to adapt and cope.

A period of psychological adjustment is required for a person who has a disability, his or her spouse/partner, parents, and other family members. The adjustment process people frequently talk about resembles the grief process in many ways. Like the grief process, people often experience feelings in what seem to be stages. Similar to the grief process, this adaptation process usually begins with a period of denial.

Denial
In my work with couples and families living with multiple sclerosis, I often hear concerns that one person seems to be “stuck in denial.” To people who have moved through the initial denial stage, it may seem as if their loved one is not progressing as quickly as others. The truth is, different people work through this period of adjustment differently, and it takes as long as it takes. The denial stage usually happens at the time of diagnosis or disability, and may come up again at other times. For example, in a progressive illness, if one begins to lose mobility or other limitations arise, the initial stage of the adjustment process may be triggered again.

It may seem clear to a caregiver/partner or family member who has been helping someone walk even short distances that a mobility device is needed (cane, walker, scooter). For the person who is having mobility difficulty, admitting that it is time to talk to a doctor about a mobility device may affect his or her identity, hope for recovery, or future progress. If so, working through the denial and bargaining, and then later stages of adaptation, may be necessary. It is not unusual to see all members of the family triggered by new developments that start the process over.

Denial is believed to be a protective measure that prevents us from becoming emotionally overwhelmed. Denial slows down the process of coping with traumatic events, giving us more time to psychologically prepare ourselves for the onslaught of feelings. The process of denial, known as a defense mechanism, should not be rushed or sabotaged by well-meaning loved ones who are at a different place in the adaptation process. Doing so can cause the person who needs more time to become emotionally overwhelmed without the necessary skills to cope effectively.

Coping skills: A person with disability and his or her family members should try to be empathetic and understand things from the perspective of others. Be honest, but gentle, about your perceptions. Choose the time to discuss these issues carefully—not when either of you are tired, frustrated, or angry. Always talk to your loved one(s) before bringing up concerns with doctors or other professionals.  Caregivers and family members should keep in mind that their needs are important, too. Take care of yourself and make sure you have plenty of support. When children are involved, be very careful what and how you share information with them. Children need to hear things based on what is appropriate for their age and stage of development. Ask for guidance from a professional if you are unsure how much to tell children or how to talk to them about disability.

Bargaining
The stage that usually follows denial is bargaining. During this time, people often are looking for second opinions, alternative therapies, and other remedies. It can also be a time when we promise the gods that we will turn our lives around if given a second chance without the disability or diagnosis.

It is true that finding the best medical providers, keeping a positive outlook, and staying informed of new research and possibilities is important. However, this can also be a time when people are vulnerable to scams and false promises. Unfortunately, there are a lot of companies and people who offer products and services that guarantee outcomes without doing the necessary research required to back up those assurances.

It is a good idea to check out any new or experimental treatments carefully before trying them—particularly if there is a large commitment of money, resources, or time involved. Check with local and national nonprofit organizations that provide services to people with your specific issue or health challenge. Agencies such as the National MS Society, American Cancer Society, and others often have information about ancillary and alternative therapies. They may be able to send you information or answer your questions.

Coping skills: Make decisions together based on facts. Find local and national organizations that you trust to support you and provide well-researched information. Be sure that any second opinions or ancillary providers have access to all the information you have from other providers. In some cases, taking medications or treatment without being fully aware of how they interact with your other treatment can be life-threatening. Make a commitment to fully investigate any new or experimental treatments before deciding to try it. Ask for and check references when appropriate. Verify the credentials of all providers before visiting them. At some point, you may have to accept a new reality that you had not planned for and do not welcome. If you have prolonged difficulty coping with the diagnosis or prognosis, find support from a professional or support group to help you with the transition.

Over the next few months, I will explore additional aspects of disability, how it affects the lives and relationships of the people involved, and ways of coping with these situations. If you have ideas to share about how you have effectively coped with any of the situations presented, please join the discussion by leaving comments below. Likewise, if you have questions, feel free to ask for input from others who read the blog.

Cyber bullying has become more common with advances in technology. Messages can be posted on social networking websites, and pictures can be downloaded, altered, and made available to the world in seconds. Although there has been abundant research into the consequences of cyber bullying and traditional bullying, little has been done to determine which type may cause more psychological damage. It is well established that bullying itself—the act of terrorizing, intimidating, and ridiculing another through verbal or physical acts—can have numerous deleterious effects.

Those who endure bullying are at increased risk for internalizing problems such as anxiety, depression, and suicide ideation. Understanding how each type of bullying impacts young people is of critical importance in order to target those most vulnerable and help them deal with the ramifications. To get a better idea of the effects of cyber bullying in comparison to traditional bullying, Sheri Bauman of the University of Arizona’s College of Education recently conducted a study asking college students to rate their levels of distress based on hypothetical cyber and traditional bullying scenarios. The scenarios were similar in nature and differed only in delivery.

Bauman discovered that three main bullying themes emerged, including generalized bullying, name calling, and sexual victimization through explicit sexual images. Although the female participants reported higher levels of distress for all three types of bullying, the method of delivery did not impact emotional response. Specifically, although their responses varied by bullying scenario, all participants reported similar distress levels whether the bullying event was traditional in nature or cyber bullying.

However, Bauman found that one type of bullying was the most distressing. “We … found that bullying with sexual material, whether conventionally or by technological methods, is the most upsetting kind of incident to targets,” she said. This was especially true for female participants. Those with a history of victimization had higher distress than those without. In sum, Bauman believes that these findings demonstrate that it may not be the delivery method of bullying behavior that is most detrimental to young people, but rather the content of the message conveyed.

Reference:
Bauman, S., Newman, M. L. (2012). Testing assumptions about cyber bullying: Perceived distress associated with acts of conventional and cyber bullying. Psychology of Violence. Advance online publication. doi: 10.1037/a0029867

Fear can be a strong motivator. People who are afraid of living in poverty may be motivated to pursue any career option in order to avoid financial destitution. In a similar way, individuals who are afraid that they may develop specific health-related problems may work tirelessly to maintain optimal physical condition. Fear often has been linked to motivation, both positively and negatively. Until recently, however, few studies examined how fear of failure affects activity-related performance.

Jocelyn J. Bélanger of the University of Maryland sought to determine how negative feedback on specific tasks affected motivation in individuals fearful of failure (obsessive) and those who were passionate about their activity but less worried about setbacks (harmonious). In a series of experiments, Bélanger found that individuals who are passionate about achieving their goal perform differently based on their style of commitment. In particular, those with obsessive passion responded with positive motivation to negative/failure cues while those with harmonious passion saw no change in performance. In fact, the harmonious passion participants maintained the same level of performance throughout the experiments, regardless of whether they received success or failure feedback.

“Obsessive passion, associated with defensiveness, predicts performance aimed at avoiding failure, whereas harmonious passion, associated with a secure self-concept, predicts stable performance,” Bélanger said. These findings suggest that fear works as a motivator for individuals with obsessive passion. Bélanger believes that people who feel their sense of self is threatened by failure of goal attainment may unconsciously respond to that threat by increasing their performance. However, those who have harmonious passion traits are less threatened and view the feedback, positive or negative, merely as information needed to continue the process of attaining their goals. The results of this study offer valuable information that could be used for the development of goal-attainment strategies in the professional, academic, and sports arenas, and could help clinicians better understand an individual’s reaction to goal-achievement outcomes.

Reference:
Bélanger, J. J., Lafrenière, M.-A. K., Vallerand, R. J., Kruglanski, A. W. (2012). Driven by fear: The effect of success and failure information on passionate individuals’ performance. Journal of Personality and Social Psychology. Advance online publication. doi: 10.1037/a0029585

Psychologists are exposed to many stressors that could cause them to have a negative outlook on their careers. Dealing with long hours, extensive paperwork, and insurance companies can lead to burnout in the mental health field. Working with difficult clients and being privy to distressing information can also place psychologists at a high risk for work-related stress and job dissatisfaction. Although most of the existing research suggests that psychologists are relatively happy with their careers, Patricia A. Rupert, associate professor of psychology at Loyola University in Chicago, wanted to explore the nuances of job satisfaction among them.

Rupert assessed surveys from two groups of psychologists that were part of a larger survey. The first group of 129 psychologists reported high job satisfaction levels, while the second group, consisting of 102 psychologists, reported moderate satisfaction levels. Rupert’s goal was to analyze the factors that contributed to high satisfaction versus moderate satisfaction. She looked first at whether job satisfaction correlated with growth and income opportunities as well as working environments. Secondly, Rupert identified working hours, case load, therapeutic mode, administrative responsibilities, professional improvement strategies, and negative client interactions.

The review provided evidence that several variables contribute to career satisfaction for psychologists. Specifically, Rupert found that the majority of moderately satisfied psychologists had poor professional and personal life balances and felt little sense of control in their work environments. The most satisfied participants were those with a harmonious personal/professional structure and positive work experiences. In contrast to research that suggests high rates of burnout among mental health professionals as a result of the work stressors, this research demonstrates that there are multiple nuances that influence the overall job satisfaction of therapists and psychologists. “Our results provide encouraging evidence that, despite the many challenges providers face in this evolving health care environment, practicing psychologists, as a whole, remain very satisfied with their careers,” Rupert added.

Reference:
Rupert, P. A., Miller, A. O., Hartman, E. R. T., Bryant, F. B. (2012). Predictors of career satisfaction among practicing psychologists. Professional Psychology: Research and Practice. Advance online publication. doi: 10.1037/a0029420

“Why are you out of bed?”
“I’m scared.”
“What are you afraid of?”
“There’s a monster under my bed!”
“There are no monsters. Go back to bed.”
“Nooooooo, I’m scared.”
Sound familiar? Almost every parent has done this. Holding a little hand, down on your hands and knees with a flashlight to prove there is nothing under the bed—unless you count the stray sock, a missing toy, and a few dust bunnies.

Your little one thinks you are a superhero. You faced the monster and saved the day, or in this case, the night. With imagination tamed, feeling safe and secure, your child falls asleep.

Imagination is an amazing thing. Children hone it to a fine art. With a towel on their shoulders and a leap from the couch, they fly!! They feed you imaginary sandwiches and wipe imaginary crumbs from your chin. They introduce you to friends only they can see. They scare themselves at bedtime. Years pass, towels are used for bathing, imaginary sandwiches and friends are forgotten. Monsters no longer hide under the bed. Reality replaces imagination.

Or does it? Many adults continue to exercise their imagination. They don’t have towels on their shoulders or imaginary friends, but they do believe in monsters created entirely with their imagination. Your child, no longer afraid of monsters, is a teenager now. You worry she doesn’t take school seriously, or her current boyfriend is a bad influence, or her college fund isn’t going to be enough. Get the picture?

Adults may not imagine monsters under the bed, but they do imagine a multitude of scenarios that would scare Freddy Krueger, and it’s socially acceptable. A vivid imagination is never questioned if the name is changed from imagination to worry. It is commonly accepted that everyone worries; it’s part of being a responsible adult. How else can you be prepared when the unthinkable happens? If you have played out the worst-case scenarios in your mind, you are ready to deal with them.

Worry is as useful for you as monsters under the bed were for your child. You make things up in your head, believe them, and scare yourself. Who will take you by the hand, shine the flashlight on your imaginary fears, and make them disappear?

Worry is using your thinking to predict the future or to continue to relive the past. Predictions rarely come true, and if they do, worry did not change the outcome. It only made you miserable before the outcome happened. How much have you changed the past by worrying about it? Unless you conquered time travel, it doesn’t work. The past is past. It doesn’t change and it doesn’t cause you pain unless you bring it into your present by thinking about it. So the monsters (worries) of the future and the past are simply you using your imagination to scare yourself. Seems a bit silly, doesn’t it?

Worry (scaring yourself with your imagination) raises your level of tension and lowers your mood. From that low state of mind you expect to find solutions to your problems. It won’t happen. High tension and low mood doesn’t make for good problem solving—ever. Recognizing that you are scaring yourself helps the worries go away. You shine the flashlight on your fears and recognize they are imaginary. From a calmer state of mind, you deal with problems as they occur rather than in the future or the past.

Related articles:
Don’t Worry – Be Happy!
Self-Soothe in Your Own Compassionate Hammock
Mindfulness Practice: Learning to Live in the Moment