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Cultivating Mentoring Relationships for Psychotherapists

“It’s important that you feel held.” These words of my clinical supervisor echo in my mind whenever I am in a helping process with someone in distress. And rightly so, for I received those words when I myself was going through distress – managing my first complex case as a starting psychotherapist. My client that time just experienced a terrible trauma and attempted suicide. They survived, thankfully, but I remember feeling overwhelmed, distressed over my client’s safety, and doubtful of my own efficacy. My clinical supervisor made space for me to share my inner process of working with this client; listening attentively, guiding with reflective questions, and, when necessary, sharing advice and her own experience as a beginning therapist. It was her generous sharing of both her technical expertise and compassionate presence that enabled me to replenish my reserves to support my client. Eventually, my client was able to find her path towards safety and thriving; and I also grew to be more competent and confident in my skills. That space became my concrete experience of the parallel process in therapy work; being made to feel held so that one can, in turn, also cultivate a safe holding space with clients and colleagues.

Beyond a space to experience the parallel process in therapy work, having mentoring relationships has been found to positively impact both the professional and personal life of a clinician. Mentoring is defined as “a personal and reciprocal relationship in which a more experienced professional acts as a guide, role model, teacher, and sponsor of a less experienced professional” (Johnson, 2017). Benefits of having a network of mentoring relationships include strengthening one’s clinical competence, self-confidence, and self-identity as a clinician, connections, and career opportunities. Studies show that those who receive mentoring tend to feel more committed to their profession, accelerate their professional development, access more opportunities, and may even earn more than those not receiving mentoring. In the sometimes isolating and emotionally taxing context of therapy work, being connected to a “constellation of mentors” can help nourish one’s socio-emotional well-being and replenish one’s compassion. And while getting a mentor can just happen organically, we can also be more intentional in cultivating our personal “board of mentors” with the following steps:

What is my personal and/or professional vision and mission? What are my values and goals? What skills, knowledge, or opportunities would support these? 

    Once these are clear, it’s easier to identify one’s mentoring needs. What kind of exposure, guidance, and role model would best support one’s goals? Mentoring relationships can range from more formal clinical supervision under structured training programs and academic mentoring, or more informal such as having coffee conversations with more proficient others. It can focus on seeking guidance regarding specific skills, current or future role, one’s profession. But it can also focus on non-work matters such as fitness, spirituality, financial proficiency, that support work-life balance and self-care. While early-career professionals profit the most from highly structured and technical supervision, mentoring relationships for mid-career professionals tend to grow less formal and more collegial peer coaching. These can be found in joining special interest organizations, networking with peers in events, or one’s informal network of professionals. Meanwhile, those in the advanced level of their career often take on the guiding role.

    While it may be daunting to proactively strike a relationship with a potential mentor, it can be affirming to know that mentoring relationships can also be rewarding for mentors. Evidence suggests that having mentees can feel fulfilling, generative, and re-energizing on the side of a more senior professional. Other challenges may be more logistical, such as challenges in availability, limited access to groups or programs providing mentoring, or limited local specialists in the area we would like to be mentored in. To these concerns, it may help to cast wide one’s net and list down all potential guides, as well as leveraging on technology and teleconferencing to access possible guides outside of one’s immediate location. Once the list is set, you can check out these tips and sample templates for reaching out to potential guides.

    Keeping the mentoring relationship warm and mutually rewarding is beneficial for all involved. In reality, many potential mentors already have busy schedules, so cultivating the attitude of a mentee that is a pleasure to guide and finding ways to contribute to a mentor’s goals can make the relationship more reciprocal. Mentors are found to gravitate towards a mentee who is proactive, strives for excellence, is open and responsive to feedback, collaborates with the mentor’s goals, and demonstrates commitment to growth.

    Concrete ways to keep the engagement productive and reciprocal may include preparing well for mentorship meetings, following through on one’s commitment, and determining what you can bring to the mentoring relationship. For more formal interactions, setting parameters on when to close the formal mentoring relationship (but keeping the connection open) would be helpful. The APA expounds more on guidelines for both mentors and mentees here

    To sum, cultivating mentoring relationships is beneficial across the arc of one’s professional development as a psychotherapist. To strengthen your constellation of guides, you can:

    • Reflect on your values and mentoring needs.
    • Reach out to potential guides.
    • Build a reciprocal relationship with them.

    If you’ve done all these and find yourself remembering a guide who made an impact on you in the past, this might be a good time to touch base with them again. Or perhaps consider paying it forward and becoming a mentor yourself.

    References:

    • American Psychological Association. (2012). Introduction to mentoring: A guide for mentors and mentees. Retrieved from https://www.apa.org/education-career/grad/mentoring
    • Phan, J. (2021, March 10). What’s the right way to find a mentor? Harvard Business Review. Retrieved from https://hbr.org/2021/03/whats-the-right-way-to-find-a-mentor
    • Johnson, W. B. (2017). Mentorship in the life and work of the private practitioner. In Handbook of Private Practice: Keys to Success for Mental Health Practitioners (2017th ed., pp. 222-234). Oxford University Press.
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    Blog

    Thoughts on Thinking

    “I think, therefore I am!” Ever since the renowned philosopher René Descartes introduced this concept, the paradigm of the world has shifted. Our thoughts are more than just the little voice in our heads that we hear when we read or think to ourselves. Some go as far as to suggest that one can simply put our mind over matter, or that our problems are all just in our heads. While this may sound invalidating to our subjective experiences, there is a sense of truth in it, as entire modalities in psychotherapy have anchored their effectiveness in addressing our thoughts. 

    Issues brought upon by our thoughts in daily living include how irrational thoughts, automatic negative thoughts, cognitive distortions, and the like can lead to ineffective behaviors that hinder us from truly living. Fast forward to today, I would playfully argue with Mr. Descartes that, thanks to him, we now live in a world where overthinking is rampant, we spend a lot of time in our heads, and how we often try to headbutt our way through life. 

    From philosophers to psychologists, let us take a look at modern perspectives about thoughts. 

    Photo credit: albanycounselingservices.com

    Fundamental to Cognitive Behavior Therapy (CBT) is the concept of the cognitive triangle. The cognitive triangle shows that our thoughts, feelings, and behaviors are all interconnected. Changing one of these parts can affect the others. Understanding this triangle can help us recognize patterns in our thinking, manage our emotions more effectively, and make positive changes in our behavior. While we may have limited control over what happens to us, we have more power to determine our lives when we focus on our patterns of thinking (Beal, 2023). 

    Delving deeper into this thought, we discover various patterns in thinking that have the potential to restrict us from fully experiencing life. These patterns, often observed and addressed by psychotherapists trained in Cognitive Behavioral Therapy (CBT), encompass a range of cognitive distortions, such as catastrophizing, black-and-white thinking, and overgeneralization to name a few. These distortions skew our perception of reality, which could lead to behaviors and emotions that are not based on reality. 

    Additionally, overthinking or rumination, characterized by repetitive thoughts, can consume our mental energy and hinder our ability to focus on the present moment. The Latin origin of the word “rumination” is “ruminatio,” derived from the Latin verb “ruminare,” which means “to chew over again” or “to ponder.” Similarly, irrational thoughts, fueled by unfounded fears or beliefs, can perpetuate negative self-talk and limit our confidence and potential for growth.

    Life offers many paradoxes, and finding the middle path is the main idea when it comes to Dialectical Thinking. This mindset of seeking balance in opposing truths is central to the practice of Dialectical Behavioral Therapy (DBT) and can be observed when we attempt to reconcile two seemingly contradictory beliefs. One particular dialectic that has personally helped me become more compassionate toward myself and others is the idea that we are all striving to do our best while simultaneously having room for improvement. One can imagine that the pressure of wanting to be the best can leave people feeling burnt out. Dialectical thinking reminds me that it’s acceptable to have expectations and standards for ourselves while also granting ourselves the compassion we deserve. 

    When it comes to our emotions, adopting the mindset of thinking “both-and” rather than “either-or” can help create more space to allow us to experience all of our feelings. Recognizing that we can feel both happy and sad, both love and hate someone, enables us to acknowledge and process emotions that we may initially resist. It’s normal to experience mixed emotions, and sometimes even seemingly contradictory emotions about the same thing. Through dialectical thinking, we can embrace the nuances and paradoxes of life, allowing for a richer and more authentic emotional experience. 

    When it comes to our thoughts, have you ever considered who is the thinker? We now know that thoughts are very powerful and faulty at the same time, it would be helpful to build a relationship with our thoughts that allows for more freedom and choice. One of the ways we can do that is through the practice of Cognitive Defusion

    We can do this by simply rephrasing our inner chatter and adding the statement of “I am noticing” to whatever thought or emotion you might be thinking or feeling. For example, when you catch yourself thinking about the uncertainties of the future, you might normally think to yourself, “I am worried about the future”. To create more space, you can change the thought to “I am noticing that I am thinking about the future.” 

    When we develop the ability to watch our thoughts and adopt the mindset of being the thinker of our thoughts, we can create space for us to choose how to proceed mindfully. It does not make the future any more or less certain, but at least we can give ourselves more freedom to choose how to proceed. Try it out and see how this feels for you! 

    Image from DBT® Skill Training Handouts and Worksheets by Marsha M. Linehan

    Another concept that can help us be more skillful in thinking is the concept of the wise mind. We may have heard about how we can be left-brain dominant (analytical) or right-brain dominant (creative). DBT introduces the concept of a balanced approach that integrates both types of brain function. This balanced state, known as the wise mind, encompasses the rational and analytical qualities of the left brain as well as the intuitive and creative aspects of the right brain.

    In the wise mind, individuals can draw upon both analytical reasoning and intuitive insights to navigate various situations and make informed decisions. It involves tapping into a deeper level of understanding that transcends mere logic or emotion, allowing for a more holistic and integrated approach to problem-solving and life in general. 

    As we delve into the intricate web of our thoughts, emotions, and behaviors, we have learned from Mr. Descartes that thinking is the way to go! While our thoughts hold sway over our perception of reality, as seen in the Cognitive Triangle, it becomes evident that there are limitations to our thoughts. From cognitive distortions to overthinking, it’s important for us to identify the shortcomings of our thoughts. While certain thoughts and feelings might initially seem contradictory or opposite, learning to rest in the reconciliation of such ideas can help create more space in our minds and hearts. It can be quite easy for us to overidentify with our thoughts, which is why it’s important to remember that we are not our thoughts and that we have power over these thoughts. Lastly, it is equally crucial to honor and acknowledge the wisdom of our emotions. Striking a harmonious balance between rational thought and heartfelt intuition is key to living in the wise mind. So again, to Mr. Descartes, 

    “I think and feel, therefore I am.” 

    Anonymous

    References:

    • Beal, D. G. (2023). Cognitive behavior therapy (CBT). Salem Press Encyclopedia of Health. 
    • Casabianca, S. S. (2022). Cognitive distortions: Negative thinking. PsychCentral. Retrieved from 
      https://psychcentral.com/lib/cognitive-distortions-negative-thinking#list-and-examples 
    • Codington-Lacerte, C. (2023). Acceptance and commitment therapy (ACT). Salem Press Encyclopedia. 
    • Linehan, M. M. (2015). DBT® skill training handouts and worksheets. Guilford Press. 
    • Moglia, P. (2023). Dialectical behavioral therapy (DBT). Salem Press Encyclopedia of Health.
    Categories
    Blog Everyday Thriving Wellbeing Practices

    New Year, New Me: How to (Actually) Stick to Your New Year’s Resolutions!

    As the holiday season approaches, many of us will start to reflect over the past 12 months and get excited about starting a new year. The start of a new year is a time filled with hope, optimism, and an eagerness to set new goals for ourselves. For many people, New Year’s resolutions symbolize a fresh start to be a better version of ourselves. Despite this being a longstanding tradition, as much as 80% of New Year’s resolutions fail or fall through after a few weeks into the year.

    With 2025 just around the corner, understanding why some resolutions fail and what works can help you *actually* stick to your New Year’s resolutions. 

    But first, why do so many New Year’s resolutions FAIL? 

    As mentioned earlier, the New Year represents a fresh start for many people. It’s a time filled with aspirations to be better and do the thing they’ve been thinking about doing for so long. Starting fresh also means closing a chapter from our past, whether it was good or bad.

    This ‘fresh start effect’ is actually a psychological phenomena that many people use to view new beginnings as motivation towards achieving their goals. It’s very similar to how we feel more motivated when we start a new job or how we would want to turn over a new leaf when entering a new school grade as kids. 

    While the concept of a fresh start is not a bad thing (it has its benefits!), it becomes a dangerous slope when we start to distance ourselves from our past failures and think that we can only improve when we start anew. It’s important to remind ourselves that this tradition of setting New Year’s resolutions is quite arbitrary. We can make goals and change at any point in our lives, and not just on January 1st. This thought is just one of a couple of reasons why people can quickly fall short on their New Year’s resolutions. Some others include:

    Something many people get wrong when setting goals for themselves is making them too big and unrealistic due to their eagerness to change. Making resolutions like “losing 15 kilograms in two months” or “working out everyday for a year” can set yourself up for failure. Rather than having goals that are achievable, the extensive effort needed to attain an overly ambitious goal may lead to demotivation and burnout.

    While it’s common to have different motivations for a resolution, it’s important to realize the reasons behind these motivations. If our resolutions are driven by extrinsic or external motivations, such as societal expectations or peer pressure, rather than by a genuine desire to change for ourselves, then it’ll be more difficult to sustain the motivation as time passes.  

    Sometimes, our biggest challenges when working towards goals are our own irrational or negative thoughts. Common cognitive distortions that get in the way of goal-directed behavior are when we engage in “all-or-nothing” thinking or make “should statements”. The rigidity in these cognitions makes it difficult for us to accept human error or mistakes. For instance, if your goal is to exercise daily and you miss one day, you might feel like you’ve failed and want to abandon the goal altogether. This mindset can undermine your progress and lead to lower self-esteem.

    How to make better goals and stick to your resolutions:  

    While it may seem daunting to set resolutions and stick to them, approaching your goals with careful planning, self-awareness, and self-compassion may help you feel more supported and excited about them. As we prepare to make our New Year’s resolutions, try the following tips to help you create sustainable and attainable resolutions. 

    Before setting any goal, ask yourself why you want to make this change in the first place. Aligning the goals with your own personal values and priorities in life may help you to stay committed to them. It’s also important to evaluate if you are emotionally and mentally prepared to make these changes. Studies have shown that readiness to change and self-efficacy positively predict successful outcomes. Without the emotional readiness for these goals, change can be taxing and relapse is likely. 

    Vague resolutions like “lose weight” or “be happier” are hard to achieve because they lack clear direction. Instead, create specific and measurable goals that have a call to action. For example, instead of “lose weight,” you can aim to “go to yoga class once a week” or “run 10 kilometers in under an hour.” Rather than “be happy,” try reflecting on what contributes to your happiness, such as “have dinner with my parents twice a week” or “go on a date with myself once a month.” Specific goals take away from the ambiguity and make it easier to assess progress.

    While it’s great to have grit and perseverance for growth, it’s equally important to be realistic about your time, energy, and limitations. Take into consideration your routine and other commitments, like work, school, or family and friends, and avoid spreading yourself too thin with too many goals or resolutions that are too big. 

    Know that the process will not be easy. Being kind to yourself when you stumble is crucial. Try to engage in self-awareness when you are having irrational thoughts or cognitive distortions. Instead of thinking of success and failure, adopt a more flexible approach to any setbacks that come your way.

    Self-compassion involves recognizing that everyone makes mistakes and that it’s okay to take a break and recalibrate yourself. Practicing self-compassion exercises can help reduce feelings of guilt or inadequacy, which in turn fosters resilience and encourages you to get back on track.

    Regularly checking-in with yourself by incorporating mindfulness practices can help you stay attuned to your goals and aware of your own thoughts and feelings towards them. Mindfulness also encourages you to be patient with yourself and your journey. Reflect on the process and how far you’ve come with reflective questions like, “How do I feel about my progress so far and where I’m at right now?” and “What can I do to improve?” 

    Having a support system can be a powerful tool when working toward your goals. Whether it’s a friend, family member, or therapist, having someone to hold you accountable and offer encouragement can make a significant difference. You might even consider having a “goal partner” who is working toward a similar resolution, providing mutual support and accountability.

    What happens when things don’t go according to plan? 

    Despite your best efforts, things may not always go according to plan. Practicing radical acceptance, a distress tolerance skill, will be vital if this time comes. Radical acceptance involves accepting reality as it is without judgment. If you break your resolution, it doesn’t mean you’ve failed or that you can’t change. You can always return to your goal after a setback. Moreover, remember that we can make goals and change at any point in our lives and that resolutions are not tied to the beginning of the year. Every day that we get is an opportunity for our growth. 

    Setting and sticking to New Year’s resolutions can be tricky, but with the right mindset and approach, it’s within all of us to create lasting change. By setting realistic and meaningful goals and embracing flexible thinking, self-compassion, and self-awareness, you can fulfill that New Year’s resolution and prove that the new year can still be a time of hope and excitement.

    References:

    Categories
    Blog Everyday Thriving

    My Idea of a Compassionate Christmas…♫: Celebrating the Holidays amidst Adversities

    The onset of popular Christmas songs tells us that connecting with our loved ones brings

    happy memories and joy amidst the holiday rush. 

    However, for some of us dealing with mental health challenges and difficult situations, Christmas songs and the concept of celebrating the holidays can bring painful emotions. We may be uncomfortable when pressured to “pretend” or appear happy and embrace the festive spirit. We may even feel difficult emotions such as guilt and shame when we have to prioritize ourselves and our mental health. Some of us may be dealing with loss, being away from loved ones, conflicts in relationships, and daily challenges such as financial and physical stress.

    For students, additional stress and anxiety could mean abrupt or difficult changes in routine, navigating family dynamics and expectations to “perform” for others, and sometimes having to share academic achievements and deal with comparisons. 

    For adults, parents, and employees alike, this could mean additional responsibilities that can increase physical, emotional, and mental exhaustion while managing conflicting feelings. 

    Hence, preventing burnout and finding your balance from the push and pull of the holidays is significant. We can harness our inner strength of Self-compassion to build our resilience and moments of joy during the holidays. According to Kristin Neff, this means (1) treating ourselves with kindness despite the painful emotions we may be going through, (2) having a sense of common humanity in our struggles, and (3) practicing mindfulness while seeing our experiences from a compassionate and balanced perspective. 

    Research shows that practicing self-compassion and healthy emotional boundaries increases emotion regulation and well-being, which helps us genuinely connect with family and friends during the holidays. 

    Here are 5 tips to celebrate this holiday season with self-compassion:

    Acknowledge your feelings with kindness and curiosity. Treat yourself with compassion and understanding when holiday activities prompt difficult and painful feelings. Start by observing, describing, and participating in your emotions without judgment and pressure to “pretend” otherwise. Remember that feelings and emotions come and go, and it is a natural human experience to feel these in light of the challenges that you may be going through. Recognize the pattern that starts to emerge when you are beginning to react. Instead, respond to your emotions with awareness and self-validation: 

    ● “It makes sense that I am feeling this way.”

    ● “It makes sense that I am feeling different than others may expect me to, and that is okay.” 

    ● “I am not my emotions. My emotions come and go. It does not define me. I can cope.” 

    We can be there for ourselves by practicing mindfulness of our emotions and body sensations to create a sense of safety amidst the holiday stress and pressures. This also helps in modeling emotion regulation to others. When feeling overwhelmed, practice self-soothing techniques, such as breathing and emotional grounding exercises, to return to the present moment. Self-compassion means treating ourselves as a friend in stressful times. Part of this intention is to care for ourselves and accept our emotional experiences as they happen. 

    ● Pause and take a self-compassion break. 

    ● Practice deep and affectionate breathing exercises. 

    ● Practice Loving-Kindness Meditation. 

    To understand our comfort level and build moments of joy, evaluate what’s important to you and your mental health. Do things mindfully and one at a time. Manage your expectations. It is okay to delegate or ask for help. Keep the holidays in perspective and set boundaries to balance your to-do lists and emotional needs. Putting our priorities into action and communicating them means taking care of ourselves first and managing our capacity to care for others. 

    ● Start by writing a list of what truly matters to you and your intentions (“What I am going to do” and “What I am not going to do”). 

    ● Know your limitations and practice radical acceptance to enhance self-compassion when learning to delegate and saying “no.” 

    ● Remember that you can step back when you need to by being mindful of your expectations and limitations.

    Step back from self-judgment and notice negative self-talk. Talk to your critical voice as if talking to a friend. Soften your critical voice by responding with kindness and compassion. Be curious and respond with a reassuring and loving tone. Show physical kindness and warmth to yourself by practicing compassionate self-hug and reframing through compassionate self-talk. 

    ● Ask yourself: “What are my emotions trying to tell me right now?” 

    ● “It makes sense that you are worried about me. You want to look out for me but are taking a harsh approach. Could you let my inner compassionate self say a few words now?”

    We are not alone in experiencing painful emotions during the most joyous time of the year. Feelings of sadness, loneliness, frustration, and even anger are a part of human nature that everybody goes through at some point in our lives, and they can happen even during the holidays. Reminding ourselves that we are a part of a community may help lessen our tendency to withdraw and self-isolate. When we are compassionate to ourselves and others, we can also be more authentic and confident in participating in holiday activities. 

    ● Seek out or stay in therapy for additional support. 

    ● Reach out to a friend or your loved ones and specifically connect with supportive individuals within your circle. 

    ● Interact with others and in holiday events positively and within your set boundaries. ● Volunteer to engage your empathic nature and enhance your mood with positive actions. 

    ● Join support groups that help you increase your sense of community with others. 

    Remember that finding balance in celebrating despite adversities encourages us to respect our feelings while enjoying what we value during the holidays. We can find gratitude in small things and embody a gentle and compassionate holiday.

    Sources:

    • American Psychological Association. (2023, November 30). Tips for parents on managing holiday stress. https://www.apa.org/topics/parenting/holiday
    • American Psychological Association. (2023, November 30). Holidays don’t have to mean excess stress. It’s time to reframe your thoughts.
    • https://www.nationwidechildrens.org/family-resources-education/700childrens/202 3/12/how-adults-can-help-children-prevent-and-decompress-from-holiday-stress ● Hendel, H.J. (2020, November 25). Surviving painful holiday emotions. National Alliance on Mental Illness.
    • https://www.nami.org/blog-post/surviving-painful-holiday-emotions/
    • Mutz, M. (2016). Christmas and subjective well-being: A research note. Applied Research in Quality of Life, 11(4), 1341–1356. https://doi.org/10.1007/s11482-015-9441-8
    • Neff, K. (2003). Self-Compassion: An Alternative Conceptualization of a Healthy Attitude Toward Oneself. Self and Identity, 2(2), 85–101.
    • Páez, D., Bilbao, M. Á., Bobowik, M., Campos, M., & Basabe, N. (2011). Merry Christmas and Happy New Year! The impact of Christmas rituals on subjective well-being and family’s emotional climate. International Journal of Social Psychology, 26(3), 373–386.
    • Velamoor, V., Voruganti, L., & Nadkarni, N. (1999). Feelings about Christmas, as Reported by Psychiatric Emergency Patients. Social Behavior & Personality: An International Journal, 27(3), 303–308

    Categories
    Blog Everyday Thriving General Thrive at Work Thrive in School

    ADHD Diagnosis: Complexities and Caveats

    The Philippines has made significant strides in mental health awareness, thanks to professionals, advocates, and service users’ efforts. Initiatives such as the Philippine Mental Health Act (R.A. 11036) and the recognition of the rights of psychosocial disabilities under the Magna Carta for Disabled Persons (R.A. 7277) have played pivotal roles in this progress. Advocacy groups are also pushing for legislation like the Neurodivergent People’s Rights Act (H.B. 9787).

    Despite these advancements, stigma and misunderstanding surround neurodevelopmental disorders, particularly Attention Deficit Hyperactivity Disorder (ADHD). This is a developmental disorder characterized by patterns of hyperactivity, inattention, or a combination of the two. A diagnosis is given based on the severity of symptoms, level of impairment, and the presence of symptoms since childhood. Globally, ADHD affects 5-7.2% of youth and 2.5-6.7% of adults ,,; but Philippine figures are unfortunately scarce and outdated.

    Consider a young boy in his Grade 1 classroom, labeled as “makulit,” “pasaway,” and even “bad,” while he struggles with symptoms of ADHD that go unrecognized. Similarly, imagine a woman in a bustling high-rise building, where her difficulties staying organized lead to exclusion from important email correspondences and social gatherings, all because her colleagues are unaware of her ADHD diagnosis.

    Unfortunately, ADHD is still so often shrouded in stigma. Those grappling with the disorder find themselves wrestling to keep pace with the demands of daily life, be it at school, work, or social settings.

    Recognizing ADHD as a genuine challenge and not a character flaw, is vital for supporting individuals and dispelling misconceptions.This condition, when properly diagnosed, can be life-saving, paving the way for individuals to alleviate suffering and reclaim their power. But however well-intentioned, there is still a risk of overdiagnosis- an issue that is particularly prevalent in the realm of ADHD, but also within the realm of mental health diagnoses at large. Overdiagnosis can occur due to various factors, ranging from clinician practices to caregiver influences, but this often looks like overprescription of medications and unnecessary interventions. In the case of ADHD, changes in criteria in the

    Diagnostic and Statistical Manual of Mental Disorders between its fourth and fifth editions have contributed to this concern- it added examples of symptoms seen in adolescents and adults, lessened impairment criteria, and revised the age of onset.

    We must also remember that for children, a certain level of kulit is normal and developmentally appropriate. It is a quintessential part of childhood, after all — to dash around, create chaos, and indulge in one’s imagination. However, what distinguishes ADHD diagnosis is the severity and persistence of symptoms over time to the point that there is impairment.

    Context also may play a role in facilitating overdiagnoses and misdiagnoses. While legislative progress and heightened awareness have improved access to care, our “digital by default” age has introduced new challenges, further complicating the diagnostic process for mental health disorders. For example, during the pandemic, the proliferation of misleading TikTok videos about ADHD posed a significant risk, as many individuals were facing attention challenges. A study revealed that over half of these videos were misleading, with non-healthcare professionals being the primary uploaders, potentially leading to widespread misinformation and self-diagnosis among their viewers.

    On the other hand, many individuals may go undiagnosed until much later, their struggles well-masked by societal expectations and coping mechanisms. There exist gendered differences in the diagnosis of ADHD: boys are significantly more diagnosed with ADHD compared to girls due to differences in presentation. Girls with ADHD often exhibit the inattentive type, which may not manifest as disruptive behavior and consequently may be overlooked for treatment unless their symptoms significantly impact their daily functioning.

    And with any diagnosis, whether physical or not, early intervention is crucial. Effective treatment during childhood can significantly improve symptoms and overall functioning, leading to better outcomes. Unfortunately, if left untreated until adulthood, ADHD can result in chaotic lifestyles, other co-occurring mental disorders, and challenges in various aspects of life.

    The journey towards an ADHD diagnosis can be unexpectedly complex. For individuals who resonate with ADHD symptoms, every step of the way demands cautious decision-making. It is crucial to be discerning with the information you consume and the healthcare providers that you trust. Ensure that they are equally diligent.

    Self-reflection is also essential. Clarify your “why” behind seeking a diagnosis—It could be that receiving ADHD treatment might help you lead a much more fulfilling life. It could also be that you want relief from years of overcompensation. Whatever your “why” is, seeking a comprehensive assessment is essential in this process to tailor-fit treatment to your unique brain. It is not a one-size-fits-all diagnosis, however general the diagnostic manual may make it appear to be; a detailed picture of how your mind works, pinpointing your strengths and challenges, will help specify what you need.

    Seeking consultations from various professionals, such as clinical psychologists and psychiatrists, can offer valuable insights and interventions for managing ADHD. Therapy is a crucial component of tailored interventions—it provides individuals with a safe space to learn more about themselves, as well as equips them with essential skills and strategies to cope with their symptoms. Additionally, executive function coaching can further empower individuals with ADHD to navigate daily challenges effectively and achieve their goals. Executive function coaching focuses on enhancing skills like organization, time management, and task prioritization- these are skills that are often affected by ADHD symptoms. By addressing these areas, your quality of life may be significantly enhanced.

    Despite the leaps and bounds in mental health perceptions, access, and service delivery, there is still much work to be done. Whether for ourselves or others, there is no time like the present to advocate for better education on mental health concerns like ADHD. Indeed, it is an ongoing journey to challenge misconceptions, develop discernment, and embrace the complexities of these issues. However, it is essential to see the merit in all this effort, to recognize that finally receiving the proper help can save lives. By advocating for improved access to accurate diagnosis and comprehensive treatment, we can empower individuals with ADHD to finally thrive in their communities.

    For Executive Functioning (EF) coaching and other clinical services, contact us at clinic@wethriveinc.com.

    Sources:

    https://lawphil.net/statutes/repacts/ra2018/ra_11036_2018.html
    http://hrlibrary.umn.edu/research/Philippines/RA%207277%20-%20Magna%20Carta%20of%20Disabled%20Persons.pdf
    https://hrep-website.s3.ap-southeast-1.amazonaws.com/legisdocs/basic_19/HB09787.pdf
    Posner J, Polanczyk GV, Sonuga-Barke E. Attention-deficit hyperactivity disorder. Lancet. 2020;395(10222):450–462. doi: 10.1016/S0140-6736(19)33004-1.
     Song P, Zha M, Yang Q, Zhang Y, Li X, Rudan I. The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of Global Health. 2021;11:04009. doi: 10.7189/jogh.11.04009.
    Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and metaanalysis. Pediatrics. 2015;135(4):e994–e1001. doi: 10.1542/peds.2014-3482.
     Merten, E. C., Cwik, J. C., Margraf, J., & Schneider, S. (2017). Overdiagnosis of mental disorders in children and adolescents (in developed countries). Child and adolescent psychiatry and mental health, 11, 1-11.
    Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun. Table 7, DSM-IV to DSM-5 Attention-Deficit/Hyperactivity Disorder Comparison. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t3/ 
    American Psychiatric Association. (2022). Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.).
    Yeung, A., Ng, E., & Abi-Jaoude, E. (2022). TikTok and attention-deficit/hyperactivity disorder: a cross-sectional study of social media content quality. The Canadian Journal of Psychiatry, 67(12), 899-906.
    Bruchmüller, K., Margraf, J., & Schneider, S. (2012). Is ADHD diagnosed in accord with diagnostic criteria? Overdiagnosis and influence of client gender on diagnosis. Journal of Consulting and Clinical Psychology, 80(1), 128–138. https://doi.org/10.1037/a0026582 
     Ginsberg, Y., Quintero, J., Anand, E., Casillas, M., & Upadhyaya, H. P. (2014). Underdiagnosis of attention-deficit/hyperactivity disorder in adult patients: a review of the literature. The primary care companion for CNS disorders, 16(3), 23591.

    Categories
    Blog Everyday Thriving Thrive at Work

    Why Can’t We Be Friends?: Why it’s hard for adults to make friends and why we should do it anyway

    It was a love-hate relationship in a stressful, high-demand working environment.

    I met Gen, a highly regarded business partner in human resources while I was her new vendor relationship manager, eager to earn my stripes.  In the workplace, measuring each other up can be quite a common phenomenon, and we held each other with a ton of accountability.  A few months down the road and we were regularly going on coffee runs, having lunch dates and laughing about things work and non-work.

    This was several years ago and a few employers then after.  We’ve seen each other four times since. We are “friends”, but not quite.  We keep trying but life gets in the way. She would send me a voice message of her singing that 70’s punk song “Why can’t we be friends?” whenever our schedules to meet up don’t match.  Our story is not unusual. 

    Having recently encountered big life events, such as moving cities and getting married, I can’t help but realize how I’ve neglected to restock my circle of friends. In adulthood, plenty of people enter our lives, but to have actual close friends – the kind you can call in a crisis, those can come in shorter supply.  I got to wondering, what complicates adult friendships?

    1. Time constraints: As adults, we often have numerous responsibilities such as work, family, and personal commitments. Finding time to nurture friendships can become increasingly difficult, especially if friends have conflicting schedules or live far apart.
    2. Life transitions and different life stages: Adults undergo various life transitions such as moving to new cities, changing jobs, getting married, or having children. These transitions can impact friendships as priorities shift and lifestyles diverge. Not all adults are at the same stage in life. Some may be focused on advancing their careers, while others may be starting families or exploring new interests. These differences can lead to disparities in values, priorities, and available time for socializing.
    3. Trust and vulnerability: Building deep, meaningful friendships requires trust and vulnerability. However, past experiences, disappointments, or betrayals may make adults more guarded and cautious about opening up to new friends or maintaining existing relationships.
    4. Limited social circles: Unlike childhood or adolescence, where social circles are often abundant and easily accessible, adults may find themselves with fewer opportunities to meet new people and expand their social networks, especially if they lead busy or isolated lives.

    Today, with hybrid online work spaces, freelancing and the gig economy on the rise, it’s becoming harder to recreate the structure and conditions that sociologists have considered as important ingredients to making close friends: repeated and unplanned interactions, proximity and an environment for people to confide in each other.  

    I wish it was easier like before, but if you are waiting for things to happen organically, then you may have to be ready to wait for a long while.

    I can understand why most people don’t find this as an urgent need or even a crisis – friendship.  There’s a certain hierarchy that culture puts on romantic love or familial love leaving platonic love and friendships at the bottom. Yet our bodies have always craved for a sense of resonance and communion with others. Recent studies on loneliness can certainly agree.

    A paper published in the Nature Human Behavior journal suggests people who dealt with social isolation had a 32% higher risk of dying early from any cause compared with individuals who weren’t socially isolated. The paper was a meta-analyses of 90 studies on the connection between loneliness, social isolation, and early death among over 2 million adults.  The World Health Organization has even launched a commission that would put loneliness at the top of its global public health priorities from 2024 to 2026.

    Now one might think loneliness would not be such a major concern for our country yet because our culture and values compel us to keep in constant touch with our social networks or take responsibility within our family systems. Besides, Filipinos are generally known to be friendly and cheerful, right? Surprisingly, a survey in October of 2023 by Meta and Gallup found that the Philippines is one of the countries with high levels of self-reported loneliness, with 57% of Filipinos saying they are feeling lonely compared to a worldwide average of 24%. 

    In general, adult friendship was found to predict or at least be positively correlated with wellbeing and its components (Pezirkianidis et al., 2023). In particular, the results showed that friendship quality and socializing with friends predict wellbeing levels.  

    Psychologist and author of the book Platonic, Dr. Marisa Franco suggests there are two main reasons why we likely devalue the need to make friends as adults.  First of all, she mentions the paradox of people.  While being around other people has all kinds of benefits, people can also be scary – they can be hurtful and they can reject us. Second of all, not many us know how to make friends!

    Making new friends and cultivating friendships as an adult can indeed be challenging, but it’s certainly possible with some effort and intentionality. So here are a few tips:

    Don’t wait for others to initiate plans. Be proactive in reaching out to acquaintances or colleagues to suggest grabbing coffee, attending an event together, or simply catching up.

      Be open to forming friendships with people from different backgrounds, ages, or walks of life. Diversity enriches our lives and provides opportunities for learning and growth.

        Cultivate active listening skills and show genuine interest in others. Ask open-ended questions, offer support and encouragement, and remember details from previous conversations to demonstrate that you value the relationship.

          Don’t neglect the friendships you already have. Make time to connect with existing friends, whether through regular meetups, phone calls, or virtual hangouts.

            Attend classes, workshops, and join meet-ups with like-minded individuals. Enroll in classes related to your personal or professional development. These settings can provide opportunities for meaningful interactions.

              Building genuine friendships takes time and effort. Don’t get discouraged if it doesn’t happen overnight. Keep putting yourself out there and be patient as you develop new connections.

              By incorporating these strategies in seeking out new connections, you may just increase your chances of making meaningful friendships as an adult.

              I am also keeping in mind that for friendship to happen, one needs to be brave. We have to believe we are likeable and lean into the parts of ourselves that simply want to connect.

                References:

                • Wang, F., Gao, Y., Han, Z. et al. A systematic review and meta-analysis of 90 cohort studies of social isolation, loneliness and mortality. Nat Hum Behav 7, 1307–1319 (2023). https://doi.org/10.1038/s41562-023-01617-6
                • https://www.who.int/news/item/15-11-2023-who-launches-commission-to-foster-social-connection
                • Pezirkianidis C, Christopoulou M, Galanaki E, Kounenou K, Karakasidou E, Lekka D, Kalamatianos A, Stalikas A. Exploring friendship quality and the practice of savoring in relation to the wellbeing of Greek adults. Front Psychol. 2023 Oct 6;14:1253352. doi: 10.3389/fpsyg.2023.1253352. PMID: 37868602; PMCID: PMC10588444.
                • https://www.gmanetwork.com/news/lifestyle/content/887116/57-of-pinoys-self-reported-feeling-lonely-survey/story/
                • Marisa G. Franco, P. (2022). Platonic: How the Science of Attachment Can Help You Make—and Keep—Friends. Unabridged Books on Tape.
                Categories
                Blog Everyday Thriving General Wellbeing Practices

                Eco-diving, Mindfulness, and the Art of Buoyancy in Daily Living

                As a diver, I am captivated by the underwater world’s wonder, beauty, and diverse range of life. However, with this fascination comes the responsibility to experience the underwater realm in a way that respects and preserves its delicate ecosystems. This has led me to adopt the principles of eco-diving, mindfulness, and buoyancy, which have not only transformed my diving experiences but also profoundly impacted my daily life.

                I now view everyday life as a journey filled with challenges, choices, and opportunities for growth. Amidst the hustle and bustle, I have found unexpected inspiration and guidance. The principles of eco-diving, which focus on minimizing our impact on the environment, have taught me to be more mindful of my actions and their consequences. Mindfulness, which involves being present at the moment and observing my thoughts and emotions without judgment, has helped me develop a greater sense of self-awareness and emotional regulation. The concept of buoyancy, which refers to the ability to control one’s depth and movement underwater, has taught me the importance of balance and adaptability in all aspects of life.

                Here are some nuggets of wisdom I have learned along the way that I feel are worth sharing:

                As I navigate the aisles of grocery stores or scroll through online shopping platforms, I am often reminded of the impact of my choices on the environment. Inspired by eco-diving, I have begun to prioritize sustainability in my purchases. Opting for reusable products over single-use plastics, choosing items with minimal packaging, and supporting eco-conscious brands have become small yet meaningful steps toward reducing my ecological footprint. While seemingly insignificant, these choices collectively contribute to a more sustainable lifestyle that aligns with my values and commitment to protecting the planet.

                Amid busy schedules and never-ending to-do lists, it has become crucial to have moments of mindfulness to maintain my mental well-being. Drawing inspiration from my experiences underwater, where every breath serves as a reminder to stay present in the moment, I am trying to incorporate mindfulness practices into my daily routine. Whether it is taking a moment to fully appreciate the aroma of my morning coffee, enjoying a brief walk to appreciate the beauty of nature, or doing breathing exercises before bed, these moments of stillness help me to stay grounded in the present and provide a sense of tranquility amidst the chaos of life.

                Although I do not get to go diving very often, my passion for marine conservation goes beyond just exploring the ocean’s depths. After seeing the positive impact of community-driven initiatives while eco-diving, I have actively sought opportunities to contribute to local conservation efforts. This has included participating in beach clean-ups, volunteering with environmental organizations, and promoting sustainable practices within my community as much as possible. Through these experiences, I have realized the power of collective action in preserving our planet. They have allowed me to make a more significant impact and given me a sense of connection and purpose that goes beyond myself.

                In a world that can often feel chaotic and overwhelming, it has become a constant pursuit to master the art of buoyancy, both underwater and in daily life. As I adjust my buoyancy to maintain stability in the water, I have learned to navigate life’s ups and downs with resilience and adaptability. Trying to prioritize self-care, setting boundaries, and embracing imperfection have become invaluable tools to maintain balance amidst life’s challenges. While the journey towards equilibrium may be ongoing, each moment of grace and resilience serves as a reminder of the inherent strength within myself.

                Despite the demands of modern life, I have made a conscious effort to reconnect with nature in meaningful ways. I take leisurely walks and pause to admire the beauty of the sky. These moments of communion with the natural world nourish my soul and replenish my spirit. The awe inspires me, and the wonder I experience underwater has helped me appreciate the intricate beauty of the world around me and the profound interconnectedness of all living beings.

                As I continue to learn and navigate the complexities of consumer culture, I have become increasingly mindful of my consumption habits and their impact on the planet. Drawing from the principles of buoyancy control, which emphasize awareness of one’s surroundings, I have cultivated a more conscious approach to shopping and consumption. Whether reducing waste, opting for sustainable alternatives, or supporting local artisans and businesses, each choice reflects my commitment to being a responsible steward of the Earth’s resources.

                One of the most important lessons I learned from my experiences underwater is the power of community and collaboration in bringing about positive change. Last year, I went on a solo dive trip with the Coral Reef & Rainforest Conservation Project (CRCP). I witnessed firsthand how eco-divers work together to protect vulnerable marine ecosystems. Since then, I have been actively seeking opportunities to collaborate with like-minded individuals and organizations in my community. Whether joining forces for environmental advocacy, volunteering for conservation projects, or simply sharing ideas and resources, these collaborative efforts remind me of our collective strength in shaping a more sustainable future.

                The principles of eco-diving, mindfulness, and buoyancy can guide us toward a more conscious, connected, and compassionate existence in our daily lives. These timeless truths can help us navigate the complexities of modern living and find solace and inspiration. Embracing the journey with an open heart and a sense of wonder can lead us to a more fulfilling life. As a diver, I have learned valuable lessons by adopting these principles, becoming a more responsible and balanced individual who strives to positively impact the environment and the people around me.

                References:

                https://biologicaldiversity.org/programs/population_and_sustainability/sustainability/live_more_sustainably.html
                https://www.weforum.org/agenda/2022/10/3-ways-help-consumers-make-more-sustainable-choices
                https://www.greenmatch.co.uk/blog/how-to-be-more-eco-friendly
                https://www.unep.org/explore-topics/resource-efficiency/what-we-do/sustainable-lifestyles
                https://www.linkedin.com/pulse/power-mindful-consumption-why-cultivate-restful-world-khan-bhaduri
                https://coralreefandrainforestconservationproject.org/
                https://www.sciencedirect.com/science/article/pii/S0969698923002783
                https://www.sciencedirect.com/science/article/pii/S1877042815020200

                Categories
                Blog Wellbeing Practices

                Living The Way Of The Force: Fostering Mindfulness As Taught By Star Wars

                Qui-Gon: “Do not center on your anxieties, Obi-Wan.
                Keep your concentration here and now, where it belongs.”

                Obi-Wan: “But Master Yoda says I should be mindful of the future.”

                Qui-Gon: “But not at the expense of the moment. Be mindful of the living Force, young Padawan.”

                *** 


                Spoiler warning: This article contains references from scenes in the Star Wars movie franchise. Reader discretion is advised as these references may be spoilers for those who have yet to watch the movies.

                The Force has always been an enigmatic, mysterious concept in the Star Wars universe harnessed by both Jedi and Sith alike that fuels their abilities and lightsabers; and has been thought of as an “invisible energy” that ties every being in the universe together. In order for The Force to be harnessed, one must look insightfully into themselves to find a balance between the light and the dark parts within; to attune oneself into the present moment; and expand one’s awareness of thoughts, emotions, and sensations, allowing them to simply “just be” without judgment  and letting go of them when need be.

                The ways in which Star Wars’ The Force has been described and harnessed by its users can often be interpreted as a fantastical analog to the present-day concept and experience of mindfulness, a way of doing things and living life that has been practiced and used in different therapies (especially those of the Cognitive-Behavioral family of therapies such as Dialectical Behavior Therapy, and Acceptance and Commitment Therapy) to help people live meaningful lives while acknowledging and tolerating suffering as an essential human condition, and accepting and enacting change within ourselves and with others.

                It is a well-known fact that Star Wars hugely borrows a multitude of motifs and themes from different cultures and spiritualities. The nature of The Force and much of the Jedi way of life borrows their motifs from the spirituality of Zen Buddhism (“Zen”, for short)— not a religion or ideology, but a way of living and the manner by which a person thinks or does things mindfully. The Jedi Code, the code that guides the way of Jedi life and their morals, is closely inspired by The Four Noble Truths of Zen Buddhism.  These Noble Truths were taught by The Buddha himself and dissects upon the nature of suffering, how we may transcend beyond that suffering, and how we may live meaningful lives despite suffering: The First Truth, The Reality of Suffering; The Second Truth, The Cause of Suffering; The Third Truth, The End of Suffering; and the Fourth Truth, The Eightfold Path Leads to Nirvana (or simply called “enlightenment” or “awakening”,  freedom from suffering).

                Zen considers suffering as a fundamental condition of humanity through The First Truth, where life is not without physical and mental suffering, and emotional stress. We simply cannot live perfect lives and run from suffering.  The Second Truth teaches us that suffering is not random at all, and comes from the attachment to desires, our moving goalposts— our should haves, would haves, and shouldn’t haves— and our pursuit of and hanging on to impermanent, fleeting pleasures. In this pursuit and effort to satisfy and hold on to our desires and material wants that are essentially impermanent, these desires and material wants are destined to be lost that would in turn, lead to our disappointment, regret and pain. We see this in the example of Anakin Skywalker, who would later become the infamous Darth Vader after he is consumed with his fears. He becomes extremely attached to Padme Amidala, and encounters a vision of her dying in the future. Consumed by the future and his fear of losing her, he seeks to become more powerful by heeding his Dark Side, allowing himself to be overridden by his emotions in an effort to prevent his fears. Out of his fear of losing who it was that he was most attached to, he stopped at nothing to attempt to prevent that from happening— even if he must upturn the galaxy and harm the innocent. 

                ***

                Yoda: “Careful you must be when sensing the future, Anakin. The fear of loss is a path to the dark side.”

                Anakin: “I will not let these visions come true, Master Yoda.” 

                Yoda: “Death is a natural part of life. Rejoice for those around you who transform into the Force… [Extreme] Attachment leads to jealousy. The shadow of greed, that is.”

                Anakin: “What must I do, Master Yoda?”

                Yoda: “Train yourself to let go of everything you fear to lose”

                ***

                But if life is not without suffering, and that it is a fundamental, inevitable condition of humanity, how then, can we be freed from it? The Third Noble Truth answers this, as supported by Master Yoda’s wisdom above: by letting go. In order to alleviate the effect of suffering on our lives, we must first remember its source: attachment to impermanent desires and material wants. While it is perfectly human to desire and want, it is the tenacious chase over often-unrealistic desires and wants that we cannot fulfill as well as with the fear of losing already-attained pleasures that fills us with pain. We often mistakenly illusion ourselves that it is want and desire that holds on to us in a vice grip. We are conditioned that we must absolutely “get that job”, “own that big house”, “have a complete family”, or “make it big” in life. While these are ideal, can contribute to a meaningful life, and would be amazing to all have in our very own lives, we find that the world is never ideal. When despite our best efforts and resources we languish still chasing after these—perhaps, we can take a pause and discern with our wisdom if these goals still work for us realistically. Zen teaches us that it is we who clutch over these wants and desires— that we are indeed empowered to decide to loosen our own grip over them and ultimately let go of things that no longer work for us.  

                Suffice to say, mindfully “letting go” can be easier said than done. It is not something we can do overnight. It is a habit, a process, a series of learned behaviors that we must cultivate over time and train ourselves that it all becomes easier in the long run. In the same vein, we look at when Master Yoda trains a young Luke Skywalker in Dagobah. Luke, being a new Force-user, attempts to Force-pull his crashed ship out from sinking in the swamps with little yield and readily gives up. Master Yoda admonishes him, “You must unlearn what you have learned. Try not. Do, or do not. There is no try.” Thereafter, Master Yoda shows what a lifetime (in his case, over eight hundred years) of practice of The Force, a lifetime of meditation and practice of The Jedi Code cultivates this ability in incremental steps. These incremental steps of practicing mindfulness and training our minds to let go more readily, when done daily, snowballs in weeks, to months, and to years of mastery. We then see Luke in the more recent The Last Jedi movie, now a Jedi Master as was once Yoda before him, with the ability to easily muster the power of his mind and The Force exponentially more than when he was first trained in Dagobah. We often stop ourselves short on our own journeys towards changing the way we think towards wellbeing, telling ourselves punitively, “I can’t change,” or that “I’ll always be like this”. To circle back on Master Yoda’s words: “Do, or do not.” Like Luke’s journey of mastering his own mind and The Force, we must start somewhere, anywhere and decide to take the first step, keeping one foot after the other day after day in training our own minds to be more mindful.

                It then becomes a question of “how” we can cultivate a habit of readily and mindfully letting go of wants and desires that no longer serve us. This is where the Fourth Noble Truth of Zen comes in: The Eightfold Path. This Eightfold Path is a fundamental teaching in Buddhism that outlines the path towards the alleviation of suffering, consisting of eight interdependent and interconnected steps that guide us toward ethical conduct, mental discipline, and wisdom, ultimately leading us to health and well-being where we strike the balance between the extremes of self-indulgence and total self-denial (hence, The Eightfold Path also dubbed “The Middle Way”).  The Middle Way resonates powerfully with the canonical, alternate version to the original Jedi code (often criticized for having been written in an extremist perspective of only validating our “Light” sides) in newer Star Wars media, that establishes harmony with the Sith Code (which has also been written as an extremist perspective of only validating our “Dark” sides). In finding this synthesis with the Sith code, the existence of emotion is valued and heeded with peace, ignorance is forgiven and equipped with knowledge, passion is tempered by serenity, we find harmony with our chaos, and death or impermanence is accepted as a part of life. Hence, the balance between Light and Dark is struck, the duality of our persons and reality itself made meaningful and nuanced. 

                ***

                Emotion, yet peace.

                Ignorance, yet knowledge.

                Passion, yet serenity.

                Chaos, yet harmony.

                Death, yet the Force.

                An alternate version of The Jedi Code from the comic, Star Wars: Kanan 7th issue

                ***

                Among these steps in The Middle Way  or The Eightfold Path is The Right Mindfulness in cultivating this balance over our “Light” and “Dark” sides. What is mindfulness, exactly? Mindfulness has to do with the quality of awareness or the quality of presence one brings to daily living. In her Dialectical Behavioral Therapy Skills Manual, psychologist and Zen practitioner Marsha Linehan (2014) defines mindfulness as “a set of skills, a practice of intentional observing, describing, and participating in ‘what is’ nonjudgementally, without attachment in the moment, and with effectiveness”. Mindfulness as a practice is the repeated effort of directing the mind back to awareness of the present moment; a repeated effort of letting go of judgements and letting go of attachment to current thoughts, emotions, sensations, activities, events, or life situations.  To better understand mindfulness, we talk about “what” it is and “how” it is done. 

                On “what” mindfulness is, it is:

                1. Observing. It is attending to events, emotions, and behaviors without necessarily trying to put a stop to them when they’re uncomfortable or painful, or trying to prolong them when they’re pleasant. It is allowing yourself to experience and tolerate with awareness, in the moment, whatever is happening, rather than leaving a situation  or trying to put an end or prolong an emotion. It also includes the ability to discern whether an event, an emotion or behavior is coming up and being able to decide to step back and let go if need be. 
                2. Describing. It is applying verbal labels to internal and external events that we’re able to exercise effective communication with others so that they may understand us, and allows us to recognize the happenings in our internal worlds— our thoughts, emotions, and sensations— so that when they’re recognized, we are then able to decide how to treat with them. 
                3. Participating. It is the ability to participate with our attention and being able to enter oneself completely into the goings-on and events of the current moment, without completely separating from them. 

                On “how” mindfulness is done, we would think about how we can mindfully observe, describe, and participate:

                1. Nonjudgementally. It is quite human to judge, to evaluate things and events such as emotions or thoughts as “good” or “bad”. Instead, what mindfulness encourages us to do is to take a nonevaluative approach, wherein we drop our judgements of things and events as either falling in the binary of “worthwhile” and “worthless”; and rather see things happening as simply, outcomes or consequences of behaviors and events. Because of this shift in understanding, we learn to see that when these behaviors and events cause destructiveness and suffering upon oneself and/or others, we can uphold the space to decide on changing these behaviors or events. 
                2. One-Mindfully. This is about focusing the mind and awareness in the current moment’s activity, rather than splitting attention among several activities or between a current activity and thinking about something else in auto-pilot mode. Often, we’re distracted by thoughts and images of the past, worries about the future, relentless and punishing thoughts about our problems and our negative moods; that we forget to live in the present moment for what it is. When doing things one-mindfully, we focus our attention on one task at a time, engaging in it with alertness, awareness, and wakefulness.
                3. Effectively. Being mindful entails focusing on what works, rather than what is “right” versus “wrong”, or “fair” versus “unfair”. Being effective means allowing yourself to let go of the need to be or feel “right”. This determination to be “right” can in itself, be self-defeating, unrealistic, and sometimes harmful. However, we must strike a balance between validating our own perceptions, judgements, and decisions as “right” to an extreme, and giving in extremely such that we invalidate ourselves completely. 

                An exemplary example of mindfulness being illustrated in the Star Wars franchise is when Rey meets Luke Skywalker in The Last Jedi, coming forward under his tutelage and asking him about the true nature of The Force. She has very little idea of what harnessing The Force means, and so, he invites her to meditate and experience it for what it is. During this mindfulness exercise that he invites her to do, a meditative practice, she closes her eyes and attunes her full attention to what exists around her in the present moment— things often taken for granted when our attention is stuck thinking about the past and the future. Rey, during this meditative scene, perceives the world around her, accompanied by a visual montage that shows us that we can focus our attention to even the smallest and simplest of external things and events (such as the grass, the sunlight, the sound of the waves and creatures around her), and that doing so cultivates our ability to become mindful. 

                ***

                Luke: Sit here, legs crossed [tapping to a rock]. The force is not a power you have. It’s not about lifting rocks. It’s the energy between all things, a tension, a balance, that binds the universe together. Close your eyes. Breathe. Just breathe. Reach out with your feelings. What do you see?

                Rey: The island. Life. Death and decay, that feeds new life. Warmth. Cold. Peace, and violence. 

                Luke: And between it all…?

                Rey: …balance. Energy. A Force.

                Luke: And inside you…?

                Rey: Inside me, that same force.

                ***

                When Luke invites her to look inward, Rey finds that she can also be mindful of her internal workings, an awareness of both her Light and Dark, her hopes and fears. As she sits in meditation, she’s slowly led by her mind into her dark place. The emotions of anger and fear are ushered into her consciousness as dark imagery overwhelms her. She doesn’t resist the Darkness within her, but still acknowledges it; rather than to turn a blind eye to it and deny its existence. At times, our Dark side exists and resurfaces, simply mechanisms that have protected us in the past hard-wired overtime. Like Rey, we can see our Dark sides as what they are, see them eye-to-eye, acknowledge them and discern what it is they are telling us. In the words of Master Luke, “It offered you something you needed.” 

                While The Force doesn’t exist in our galaxy, we can still learn from how The Jedi use it to guide their lives. We can use these lessons about the Force as a gateway to studying mindfulness and putting practices into action.

                Ready to live The Jedi Way and practice mindfulness in your everyday life? Here are some mindfulness practices that you can do:

                In the words of Jedi master Qui-Gon Jinn, he reminds us, “Remember, concentrate on the moment. Feel, don’t think. Use your instincts.” He reminds a young Anakin before his podrace to be present in the current moment, to free his mind from distractions and overthinking. 

                Practice

                • Choose one activity that you do daily. It could be preparing or eating a meal, drinking your favourite beverage, listening to music, taking a walk outside or doing an exercise.
                • For five minutes, use your senses— touch, taste, smell, sight, hearing— and focusing your full attention to notice the sensations around you, whether it be the temperature of your beverage, how the soles of your feet touch the ground as you walk, or the the flavor of what you’re eating. 
                • When you notice your mind wander to anything else that is not in the present moment, acknowledge the distraction briefly, and redirect your attention to the activity that you are doing and the sensations that come with it. 

                Just like Jedi Masters who equip their Padawans (or students) with the practice of The Force, there are people in our lives that have helped us and made us who we are, supporting us along the way to become better and towards living a more meaningful life. For these things and people, we learn to count them as gifts that we may have taken for granted and only realize to give thanks when we pause. Remembering the people and things we are thankful for can help our minds mindfully attune to the positive things in our life.

                Practice:

                • Select any blank notebook as your gratitude journal. You may also use a document on a computer, or an app on your phone. 
                • Either just after you wake or right before bed, write down the date and at least three things or people you are grateful to have in your life, and write a sentence (or two) about why they make you feel this way. Your gratitude can be for something big or small. 
                • Occasionally look back through the journal and notice how much you have been grateful for. When you can, thank the people who have played a part in what you’re grateful for!

                In a moment of redemption in Star Wars: The Rise of Skywalker, Kylo Ren converses with the memory of his father, Han Solo, and voices out about his struggle to let go of his extreme anger, that which fuels his Dark Side, “I know what I have to do [to let go], but  I don’t know if I have the strength to do it.” To which his memory of his father replies to him, “You do.” In the same way, when we feel extremes of emotion, we feel like we have no control over them and are gripped by them. Mindfulness enables us to acknowledge our extreme waves of emotion and allow us to ride them until they tide over, tolerating them until we return to equilibrium. 

                Practice:

                • Whenever you think of an uncomfortable emotion, pause and notice it. Acknowledge what you are thinking (i.e. “I’m thinking that I’m not good enough”, “I’m having the thought that I might make a mistake.”) or what you’re feeling (i.e. “I don’t feel confident” or “I noticed I’m feeling anxious.)
                • As you notice your feelings, observe everything about it. How does your body react to it? What are the sensations you’re feeling? Perhaps you feel tension in your jaw, or your back muscles, or that you’re breathing much more quicker. Also notice how long you’re lingering on the thought or emotion. 
                • Ask yourself, “What are my feelings telling me? What is it that my body needs?” Perhaps it is to re-evaluate what we are doing, or to take a break and rest, or to advocate for ourselves and our needs.  
                • Remind yourself that feelings are temporary and will dissipate in due time, or can be likened like a wave that gets smaller as it reaches the shore. You may remind yourself, “This feeling will pass.” while stepping back and practicing techniques that help your body reach equilibrium (see: body scan and mindful breathing below).

                The Jedi practice being attuned to the sensations of their body, with their body to keep them in fighting fit form in protection of the innocent. With this attention to the state of their body and cultivating a more in-touch relationship with it,  we are more able to notice the way our body reacts to certain events and emotions, and when we’ve acknowledged these, we are signaled to listen to what it is we need to care for ourselves. 

                Practice: 

                • Sit down on a chair in your most relaxed position. Take deep breaths, inhaling through your nose and exhaling through your mouth slowly to center yourself. You may close your eyes or open them— whatever is most comfortable for you. 
                • Starting with your left foot, scan every part of your body— each toe, each joint— with your mind. The speed at which you scan depends on how much time you have, but the slower, the better. 
                • As you scan, note any sensations you feel, without focusing on why you might feel them. You may also sense nothing more than your internal systems doing their thing. That’s okay.
                • After you’ve scanned your body from your toes to your scalp, expand your awareness to your body as a whole. Focus on your breath, and gently open your eyes if they were closed, and bring yourself back in to the present. 

                As Master Luke trains Rey in harnessing The Force, he instructs her to, “Breathe. Just breathe.” While breathing is an automatic thing that our body does, we forget that it is something readily accessible to us to focus our minds on, with concentration and attention that helps us build our ability to become more mindful. Mindful breathing can help us concentrate and center ourselves in moments of emotional distraction and turmoil. Taking a moment for a few, deep, calming, oxygenating breaths can be useful before, during, and after situations that may be stressful to bring us back to balance. 

                Practice:

                • Sit with your back supported in a comfortable chair and your feet on the floor. Place your hand on your stomach. Close your eyes. 
                • Breathe in through your nose in four counts, feeling your stomach instead of your chest rise.
                • For the next four counts, hold the breath in your lungs, then for the next four counts, exhale through your mouth with pursed lips. Feel your stomach deflate slowly as you exhale. 
                • As you’ve completely exhaled, count to four before taking an inhale once more.
                • Repeat at least three more cycles of this. Notice the sensation of the air going through your nose, through the back of your throat and into your lungs. Notice as well the rising and falling of your hands on your stomach, keeping your attention to the act of breathing. 
                • Should your mind start to wander, notice it wandering and acknowledge the distraction, gently bringing back your attention to your breath each time. 

                Throughout the earlier movies (original and prequel trilogy) and media of the Star Wars franchise, The Force was thought to only be an ability that could only be accessed by a few gifted individuals who were taken to train under the Jedi or the Sith. In the newer movies (sequel trilogy), this is re-written. Luke teaches Rey under his tutelage in the sequel trilogy’s The Last Jedi that The Force is not a superpower, it is an energy that she can harness and has no owner; it moves freely within and among the beings of the universe. The Force belongs to every being. It is no longer about genetics (or midi-chlorian count), no longer about intelligence. It is simply anyone’s ability to notice without judgment, exactly like mindfulness. It is simply an ability that can be honed in due time when practiced. Like a muscle trained to lift in increasing incremental amounts, we, too— regardless of background, of stature, of origin— can train our own minds to become more mindful.  Luke’s messages are powerful, in the same way that we are empowered knowing our thoughts, feelings, and impulses are simply material that flows within us and do not define us.

                And like every Padawan in the quest of seeking mastery of The Force under a Jedi Master; we too, can seek help to empower ourselves in strengthening our capacity for mindfulness, either through reading books or articles, watching videos or documentaries, attending workshops and seminars, and enlisting the help of a trained mental health professional to help us train ourselves to become mindful in daily practice. With commitment to making it a habit like how the Jedi practice meditation daily, and allowing ourselves to acknowledge both our Light and Dark sides, we, too, can harness The Force, the mindfulness to overcome the challenges that we face in our lives while making it meaningful. May The Force be with you! 

                Sources:

                • Feichtinger, C. (2014). Space Buddhism: the adoption of Buddhist motifs in Star Wars. Contemporary Buddhism, 15(1), 28-43.
                • Friedberg, R. D., & Rozmid, E. V. (Eds.). (2022). Creative CBT with Youth: Clinical Applications Using Humor, Play, Superheroes, and Improvisation. Springer Nature.
                • Fuyu, & Fuyu. (2023, April 11). What is the Eightfold Path? | Zen-Buddhism.net. Zen Buddhism | SIMPLE WISDOM FOR HAPPY LIVING. https://www.zen-buddhism.net/what-is-the-eightfold-path/
                • Hayes, S. C., & Hofmann, S. G. (Eds.). (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. New Harbinger Publications.
                • Linehan, M. M. (2014). DBT Skills Training: manual. http://ci.nii.ac.jp/ncid/BB18848503
                • Ratcliffe, A. (2020). The Jedi Mind: Secrets from the Force for Balance and Peace. Chronicle Books.
                • The Human Condition. (2021, June 11). An Introduction to Zen Buddhism. https://thehumancondition.com/an-introduction-to-zen-buddhism/
                Categories
                Blog Everyday Thriving Thrive at Work

                I can HEAR you: Practicing Co-Regulation in the Workplace

                Humans are social beings, and we are hardwired to connect. We intuitively scan our surroundings for cues of safety and danger. In order to survive, we observe, process, and respond to what is going on in our environment. Being aware of what makes our own nervous system responses, as well as those of others, kick in, can help us build healthier communities.

                -Sofie Malm

                I recently was involved in a difficult situation at work. The project lead had a lot of ideas that he wanted to implement without taking into consideration the amount of work and effort it would take to set these up. Apart from that, there were loose ends of the project that were not properly communicated leaving the team at a loss on how to navigate the completion of the project. I found myself very upset about this and instead of having a challenging conversation about how I felt about it, I made passive-aggressive comments and felt checked out about the whole project. Fortunately, one of our team members sensed the tension and encouraged us to take a deep breath in and out for a few minutes to practice mindfulness, to take things one task at a time, and offered support if anyone needed any. 

                Have you ever found yourself in a similar situation? Have you ever wondered why even though we know what we need to rationally do, we still end up doing the irrational one that could possibly hurt our relationships? Don’t fret because this is more normal than you thought and can be explained by how our brain circuitry works. 

                Our brain constantly scans for threats in our environment and this happens subconsciously or what we call neuroception. If it perceives a threat, our autonomic nervous system (ANS) gets activated and prepares our body (increases our heart rate, blood pressure, and breathing, and slows down digestion) to respond. According to the Polyvagal Theory (PVT) our body can respond in three ways. These are influenced by the evolutionary structures of the brain. The oldest structure, the reptilian brain, causes us to be immobilized. It’s when we tend to be frozen, numb, or shut down. The next structure or the mammalian brain moves us to mobilization. When this is activated, we feel the adrenaline rush that helps us either stay and fight or run away from the threat. The newest structure, or the neocortex, allows us to stay engaged, connected, safe, calm, and creative in the present moment. 

                Imagine these responses on a ladder with the immobilized state at the bottom rung and the engaged state at the highest rung. As we are presented with different experiences, we move up and down the ladder depending on how our brains interpret the situation at hand. Going back to our example, as more demands were given for the project that exceeded the resources available, I found myself moving up and down the mobilized and immobilized state unable to reach the socially engaged state. 

                At work, we are faced with different experiences such as an increase in work demand, unclear expectations, and implementation of new systems to name a few, which can be detected as a threat by our nervous system. These provoke different responses in individuals and can cause us to be emotionally dysregulated. This explains why some, me included, may respond in a manner that is not productive for the situation. If this is not managed, it can cause problems in the long run. It can impact productivity and even relationships in the workplace. What do we do now? 

                Co-regulation is the “interactive and dynamic process of mutual emotional regulation, where two individuals seek to help each other actively in order to manage their emotional expression and states.” This is made possible by our mirror neurons. Mirror neurons are specialized brain cells that help us recognize the emotional state of another person. When we embody calmness, our mirror neurons show this message to another person’s mirror neurons which brings them from a state of dysregulation to regulation. 

                In the workplace, whenever you feel that there you or your teammates are in the immobilized or fight or flight state, you can practice co-regulation by following the acronym HEAR. As an example, I included what our teammate said to practice co-regulation. 

                When emotions are very high, we need to give ourselves and others an opportunity to step back, stop what we are doing, and hold space for the emotions that we are feeling. In this step, we want to avoid overidentifying and downplaying our emotions. It is a time to notice what we are feeling and where we are feeling it in our body. We want to pull ourselves in the present so that we can be attuned to our own and other’s emotions without judgement. 

                In this step, we can do grounding techniques such as a body scan and different breathing exercises. This can help us be aware of the physical and emotional warning signs of our body. 

                “Once you read this, I want everyone to breathe in and breathe out for a few minutes and practice a little bit of mindfulness. Close the tabs that are open if your windows are full.” 

                Once we have calmed down, we can proceed to the next step which is to empathize. Empathizing can be shown through establishing eye contact to make a person feel seen or creating physical contact if possible. This can be as simple as sitting near the distressed person or just being with them in a video call. In this step, we should also take into consideration the level of comfortability of the person. 

                Apart from establishing contact, this is where we can express our observations about the behaviors that we were seeing and the tension we were feeling. It is also helpful to ask for feedback if what you were observing and sensing were correct. 

                “I know things have been very busy and tense for the past couple of weeks especially now that our tasks and projects are piling up.” 

                When your teammates are giving feedback and expressing their emotions, thoughts, and concerns, practice active listening. Make sure that as you hear them out, there are no distractions present. To ensure that you understood them, try to use your own words to explain what they just shared. This gives them a signal that you are attuned to what they are feeling and saying. This gives them a sense of validation which increases their feelings of safety. 

                “I completely understand this and I appreciate you opening up to me. I also would love to comment this vulnerability. It’s been a very tough few weeks for everyone especially for your unit. I really understand where you are coming from. If I feel kept in the dark for tasks that I need to do, I would also feel the same way” 

                As the team enters the socially engaged state, it is important to remind each and everyone that it’s normal to feel upset, that things at work may sometimes feel like a threat to us. What’s important is that we are able to notice when our emotional states and resulting behaviors are going against our own values and hurting our relationships and productivity in the process. When we notice, we are able to pull one another into a regulated state. After all, we are working towards a common goal. 

                After our teammate practiced HEAR, I felt safe and more comfortable to have the challenging conversation I was avoiding. I was able to express where the pain point was coming from, what values were being violated that caused me to be uneasy about the progress of the project. To date, we are working on fixing the pain points that we are facing and are more open in airing out similar concerns in upcoming projects. 

                We spend a third of our lives at work and spend at least eight hours a day, five times a week with our workmates. We can leverage our collective power to rewire our brains so that despite challenges, we are able to maintain a regulated state that can enhance not only our own productivity but also develop positive and meaningful relationships with our colleagues as well. 

                References:

                Categories
                Blog Everyday Thriving Wellbeing Practices

                Laugh heals! The Benefits of Laughter and Humor in Our Well-being

                Filipinos are known to be witty, fun-loving, humorous, and always smiling. It is common for Filipino citizens to turn a trending social issue into memes to lighten the mood or make the problem a lot easier to take. On TV and in street bars, there are stand-up comedians entertaining people with banter and jokes, and in a family setting, there will always be that one dad or uncle who is a “jokester”. According to anthropologist  Dr. Clemente Camposano, Chancellor of UP Visayas, jokes allow people to tackle real problems “in a manner that does not create tension.” 

                So what do laughter and humor have to do with our well-being? 

                Positive psychologists are particularly interested in the significance of humor as a character strength and a virtue that is crucial to human flourishing (Peterson & Seligman, 2004). It makes sense that those with a good sense of humor will be in a better position to handle trying circumstances, enjoy more cohesive relationships, find humor in all kinds of experiences, and benefit from more positive mental and physical health. (Martin, 2019).

                Many studies have discovered that engaging in a humor exercise is associated with a positive mood, increased life satisfaction and a pleasurable and engaged life, and positive cognitive appraisals (Edwards, 2013, Maiolino & Kuiper, 2016, Ruch, Proyer, & Weber, 2010, Samson & Antonelli, 2013). Adaptive humor is linked with increased stable positive mood and decreased stable negative mood (Cann & Collette, 2014). On the other hand, detrimental humor (such as sarcasm and self-deprecating humor) is thought to have possible drawbacks like reduced relationship quality and low self-esteem (Martin, 2019). Existing research suggests that humor may have a variety of health benefits for patients, including improved interpersonal relationships, higher pleasant emotions, increased immunity, reduced pain, and happy emotions (Gelkopf, 2011).

                According to Dr. Maria Rhodora Ancheta of the Department of English and Comparative Literature, College of Arts and Letters, University of the Philippines Diliman,  “national humor” unites Filipinos and is a potent showcase of “Filipino-ness.” At times of crisis, it serves as a “social glue” that unites all Filipinos who have gone through the same experiences. This shared laughter is what builds the essential solidarity that enables everyone to understand that many people can connect to their experiences. Despite our daily struggles, traumatic experiences, and embarrassing situations, laughing and humor provide us with comfort and positivity and pave the way for how we socialize with a sense of humor.

                As it lessens the weight of difficult emotions, humor fits under the category of emotion-focused coping. Pinoys utilize comedy as a coping mechanism. By focusing on the funny parts of every situation they encounter instead of the issues at hand, they avoid life’s toughest headaches. Filipinos are able to boost one another’s spirits in the midst of hardship, making stressful circumstances more cheerful and less serious.

                Humor is associated with innovation and productivity. Pinoys use their creativity to make others laugh. Filipinos are also quite talented at adapting and localizing foreign memes. They establish a distinctively Pinoy meme culture by combining elements of Filipino culture into memes, which distinguishes their sense of humor from those of other ethnic groups. Filipinos enjoy a bubble of happiness that is resonated with their common norms and shared experiences in diverse situations.

                Filipinos use humor to resolve disputes without raising stress. Yet, humor may also be a technique for Filipinos to communicate hatred without raising tension or to channel their unfavorable sentiments toward others without immediately leading to heated confrontations. Laughter can sometimes disguise and deter Filipinos from taking critical things seriously. We utilize comedy to communicate our identities as well as our ideas and perspectives, some of which may offend certain individuals. Filipinos have discovered a means to spread relevant ideals and viewpoints based on current national realities by using comedy.

                Then, what’s the difference between humor and laughter? Humor is an attitude. The ability to view the world as something other than awful (Ellis & Adams, 1994). It’s the ability to be childlike, not take things too seriously, and wear a positive worldview lens. Laughter is an expression of the outcome of humor. 

                We are left with the questions of how genuine laughter can be the best medicine and how the power of humor heals.

                Here are some benefits of laughing:

                There is something sacred about humor. If you can laugh at yourself, then you can forgive yourself. And if you can forgive yourself, you can forgive others.

                —Bianca L. Rodriguez, LMFT

                Laughter can improve relationships and your understanding of both yourself and others.

                According to Scott, people laugh in order to get closer to each other. “Laughter is the social glue that makes and strengthens our links with other people.”

                Remember the last time you found someone attractive because of their smile? It helps defuse conflict and adds positivity to conversations. Promotes and enhances teamwork and group bonding.

                Laughing can help to reduce stress, as well as tension and anxiety. In the long run, it can boost resilience, increase joy and zest for life, and elevate mood and memory. Laughter alters your perception, enabling you to perceive situations in a more practical and non-threatening way. A light-hearted viewpoint fosters psychological distance, which can assist you in resolving conflict and preventing feelings of overwhelm. You can unwind and recharge with laughter. It lowers stress and boosts energy, allowing you to maintain focus and accomplish more.

                Humor brings comfort and eases physical pain.

                We know that laughter has been shown in studies to improve your pain threshold, likely due to an endorphin-mediated opiate effect. What is interesting is that this appears to be independent of your mood, meaning that it can have a positive effect even when you are down.

                — Robert Bonakdar MD, FAAFP, FACN

                Laughter can prevent heart disease and improve heart health. It improves sleep, boosts immunity, and lowers stress hormones. Laughter stimulates many organs, increases the amount of oxygen-rich air you breathe in, stimulates your heart, lungs, and muscles, and increases the amount of endorphins your brain releases.  Additionally, laughter can also increase blood circulation and help with muscle relaxation, which can help alleviate some of the physical symptoms of stress.

                According to Dr. Lee Birk, who led a study of the interaction between the brain, behavior, and the immune system, “the anticipation of a happy laughter experience lowers levels of three stress hormones: cortisol, epinephrine (also known as adrenaline), and dopac.”

                Tips on how to bring more laughter into our lives:

                The half-smile is a relaxation technique that helps you feel calmer and accept the reality of stressful situations. Half-smiling is achieved by relaxing your face (from your brow to your jaw and chin) and raising your lips into a tiny half-smile. The act of smiling, whether real or fake, causes your body to release endorphins, which are feel-good chemicals. Furthermore, a fake smile tends to lead to a genuine one, making laughter easier to come by and, as a result, relieving stress more easily.

                Spend more time around funny people. Social support is an essential component of stress management. Find a friend or group of friends with whom you can share your frustrations and challenges while also laughing about them. Even if your friends are not present, you can lift your spirits by thinking about the retelling that will take place later.

                Watch or listen to stand-up comedy and or read funny books. 

                Adults frequently believe that they must always act in an “age-appropriate” manner. However, if being silly and playful made you happy when you were 12, it is likely that it will make you happy now. Don’t deny yourself happiness because you feel obligated to act a certain way.

                Even in the face of difficulties and hardships, Filipinos are known for having the highest levels of happiness. The Philippines ranked as the third-happiest nation in the world in Gallup’s 41st Annual Global End of Year Survey. It is noteworthy that Filipinos use their “national humor” in various contexts and for various purposes. Being able to see the situation through the optimistic lens of humor rekindles Filipinos’ hope and sense of community in overcoming whatever life throws at them. On the bright side, always finding a reason to smile in the middle of a storm adds up to the genuineness of Filipino humor.

                References:

                • Ancheta, Maria Rhodora G. (2011) Halakhak: Defining the “National” in the Humor of Philippine Popular Culture. Thammasat Review, 14 (1). pp. 35-60. ISSN 0859-5747
                • Samuels, Roanne (2019) Filipinos and Their Contagious Laughter. The Power of Humor to Heal.https://kalamansijuice.com/filipinos-and-their-contagious-laughter-the-power-of-humor-to-heal/
                • Field, Barbara (2021) The Health Benefits of Humor and Laughter. Reviewed by David Susman, PhD. https://www.verywellmind.com/health-benefits-of-humor-and-laughter-5101137
                • Robinson, Lawrence; Smith, Melinda;  M.A. and  Segal, Jeanne Ph.D. (2023) Laughter is the Best Medicine. https://www.helpguide.org/articles/mental-health/laughter-is-the-best-medicine.htm
                • Yim, J. (2016). Therapeutic Benefits of Laughter in Mental Health: A Theoretical Review. The Tohoku Journal of Experimental Medicine, 239(3), 243–249.
                • Speer, M. E., & Delgado, M. R. (2017). Reminiscing about positive memories buffers acute stress responses. Nature Human Behaviour, 1(5), 0093.
                • Romundstad, S., Svebak, S., Holen, A., & Holmen, J. (2016). A 15-Year Follow-Up Study of Sense of Humor and Causes of Mortality: The Nord-Trøndelag Health Study. Psychosomatic Medicine, 78(3), 345–353.
                • Manninen, S., Tuominen, L., Dunbar, R. I., Karjalainen, T., Hirvonen, J., Arponen, E., Hari, R., Jääskeläinen, I. P., Sams, M., & Nummenmaa, L. (2017). Social Laughter Triggers Endogenous Opioid Release in Humans. The Journal of Neuroscience, 37(25), 6125–6131.
                • Buchowski, M. S., Majchrzak, K. M., Blomquist, K., Chen, K. Y., Byrne, D. W., & Bachorowski, J.-A. (2007). Energy expenditure of genuine laughter. International Journal of Obesity, 31(1), 131–137.
                • Sangco, Andrea. When In Manila Bob  May 11, 2006. https://www.wheninmanila.com/draft-here-are-4-reasons-why-filipino-humor-is-noteworthy/
                • Robinson, L., Smith, M., & Segal, J. (2021). Laughter is the Best Medicine. Retrieved from the Help Guide website: https://www.helpguide.org/articles/mental-health/laughter-is-the-best-medicine.htm [Last updated: July 2021]
                • Mayo Clinic. Stress Management. Retrieved from the Mayo Clinic website: https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-    relief/art-20044456 [Last updated: July 29, 2021]
                • Lonczak , Heather S., Smith, William. Humor in Psychology: Coping and Laughing your woes away. Retrieved from the Positive Psychology website: https://positivepsychology.com/humor-psychology/#strength [Last updated: July 08, 2020]
                • Scott, Elizabeth; Chung, Adah. How to Use Humor to Cope with Stress. Retrieved from the https://www.verywellmind.com/maintain-a-sense-of-humor-3144888 website [Last updated: June 12, 2022]
                • Lapena, Carmela. Use Pinoy ‘national humor’ to diffuse conflict, survive tough times. Retrieved the  from https://www.gmanetwork.com/news/lifestyle/content/284308/use-pinoy-national-humor-to-diffuse-conflict-survive-tough-times/story/ website. [Last updated: November 29, 2012]