Emotional Resilience Blog from The Fear Course

The latest research, realisations and thinking in the world of emotional resilience, anxiety and fear reduction from around the world.

Robin Williams 1951 - 2014

Robin Williams 1951 - 2014

As I was posting my last blog about the problems Experiential Avoidance can escalate into, including suicide and addictions, a heart-breaking drama was playing itself out in the Californian home of the Oscar winning actor and comedian Robin Williams who was 63.

Robin had long been diagnosed with severe depression and had battles with drink and cocaine addiction for which he had famously received treatment for at a rehab centre.

Reporting the death of Robin in the early hours of this morning (UK time) the Marin County sheriff's office stated they suspected suicide by asphyxiation.

Robin's wife Susan Schneider said this morning "This morning I lost my husband and best friend, while the world lost one of its most beloved artists and beautiful human beings. I am utterly heartbroken,"

Robin openly talked about his battles with alcohol and cocaine in the early 1980s, and his relapse in 2006. He appeared to have recovered however last month he returned to rehab in Minnesota.

Suicide is often seen as a selfish act, however as one who had in the past seriously considered such action whilst suffering from depression myself, having dealt with depression and anxiety in many other people therapeutically and having attended suicides and prevented a number of suicides as a police officer, all the individual often wants is relief from the symptoms of the crushing depression.

In an interview in 2010, asked about his depression and had he felt happier, Robin replied : "I think so. And not afraid to be unhappy. That's OK too. And then you can be like, all is good. And that is the thing, that is the gift."

This comes back to the heart of the dangers of Experiential Avoidance.

My heart goes out to Robin's family and friends. We have lost a true talent and extraordinary fellow human being in very sad circumstances.

If you recognise and think you too may be avoiding feelings, thoughts, memories, physical sensations and other internal experiences please get help.

 

Rate this blog entry:
4
Continue reading
3452 Hits
0 Comments

Why the Fear of the Fear is More Damaging than the Original Fear

Why the Fear of the Fear is More Damaging than the Original Fear

When someone gets anxious or has a fear the feelings, thoughts, memories, physical sensations and other internal experiences the the fear or anxiety bring about are frequently so unpleasant that the individual will do just about anything to avoid them. This fear of the fear, or more correctly the fear of the effects of the fear is so distressing for many people that even talking about the issue is a problem. The distress is often heightened when there is no apparent direct cause or fear as occurs with GAD or General Anxiety Disorder or SAD Social Anxiety Disorder. There is a fear that these feelings could strike at any time.

It is not surprising then that people with fear and anxiety often end up not just avoiding the object of the anxiety, if there is one, but also of the resultant feelings, thoughts, memories, physical sensations and other internal experiences. This second type of avoidance is known as Experiential Avoidance.

Recent research has shown that how one reacts to the emotions and feelings that result from the anxiety makes a huge difference as to whether the individual is likely to get worse or not.

A swath of research is showing that people who are unwilling to experience the feelings, thoughts, memories, physical sensations and other internal experiences associated with the anxiety are much more likely to find the symptoms escalating and deeper problems arising.

Part of the problem is avoidance can only ever be a temporary relief and will never 'fix or solve' the problem. It merely side-steps the issue, which means that it is left still to face later. This is one reason why people who engage in avoidance as an emotion regulation strategy keep having the same and often escalating problem.

Another issue is that avoidance of anything psychologically reinforces the idea that the thing, in this case the feelings and thoughts, being avoided are bad or even dangerous in some way.

In order to avoid something requires that you end up focussing on and in many cases often obsessing about the very thing you are trying to avoid. This then means that the individual is focussing and obsessing about a negative. This takes time and effort and in effect crowds out all the other experiences of being a human, many of which are positive and joyful. As the individual focusses more and more on avoiding the horrible feelings and experiences, less and less concentration is placed on the positive things in life. In effect it becomes a negative vortex, dragging the individual down, often resulting eventually in depression, OCD, resorting to drugs and alcohol, self-harming, restricting food intake and even suicide.
We are finding that all of these problems frequently stem from Experiential Avoidance.

This is one of the reasons I deal with the avoidance as a matter of importance whilst treating the presenting anxiety and help the individual develop better and more effective emotion regulation strategies.

 

 

 

References

Chawla, Neharika; Ostafin, Brian (2007). "Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review". Journal of Clinical Psychology 63 (9): 871–90. doi:10.1002/jclp.20400.PMID 17674402.

Gámez, Wakiza; et al (2011). "Development of a measure of experiential avoidance: The Multidimensional Experiential Avoidance Questionnaire". Psychological Assessment23 (3): 692–713. doi:10.1037/a0023242. PMID 21534697.

Hayes, Steven C.et al (1999). Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. New York: Guilford Press. ISBN 1-57230-481-2.

Hayes, Steven C. Et Al (1996). "Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment". Journal of Consulting and Clinical Psychology 64 (6): 1152–68. doi:10.1037/0022-006X.64.6.1152. PMID 8991302.

Losada, A. etal (2014) Development and validation of the experiential avoidance in caregiving questionnaire (EACQ). Aging & Mental Health. Volume 18, Issue 7, 2014

 

Rate this blog entry:
7
Continue reading
3890 Hits
0 Comments