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	<title>Toronto Therapy Blog</title>
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		<title>Reversing the Cycle of Depression</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/reversing-cycle-depression/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/reversing-cycle-depression/#comments</comments>
		<pubDate>Sat, 23 Jun 2012 15:53:21 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[cognitive behavioural therapy]]></category>
		<category><![CDATA[cognitive therapy]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[mindfulness]]></category>
		<category><![CDATA[therapy in toronto]]></category>
		<category><![CDATA[CBT]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=276</guid>
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<div class="txt"><img class="alignright" style="padding-left: 20px; padding-bottom: 10px;  padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/up_spiral.gif" alt="upward spiral" />In a previous post, we looked at the cognitive behavioural therapy (CBT) model of  the <a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-depression" target="_blank">vicious cycle of depression</a> involving thoughts, feelings, behaviours, memories and physical symptoms. One of the first steps in overcoming depression is to put and end to this vicious cycle, and gain some momentum that can help you cycle in a positive direction. </div>
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<div class="txt">Just as automatic negative thoughts result from and contribute to depression, by engaging in more neutral and balanced ways of thinking, we can begin to stop the vicious cycle involving negative thoughts and depression. <a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-behavioural-therapy-cbt/" target="_blank">Cognitive therapy</a> provides an effective tool to help break out of negative patterns of thinking. As our thoughts become less negative, we begin to feel less depressed, and as we become less depressed, our thoughts about ourselves, our lives and our future become less negative, and so on.</div>
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<p><a href="http://www.gregdorter.com/toronto-therapist-blog/reversing-cycle-depression/" class="more-link">Read more on Reversing the Cycle of Depression&#8230;</a></p>
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<div class="txt"><img class="alignright" style="padding-left: 20px; padding-bottom: 10px;  padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/up_spiral.gif" alt="upward spiral" />In a previous post, we looked at the cognitive behavioural therapy (CBT) model of  the <a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-depression" target="_blank">vicious cycle of depression</a> involving thoughts, feelings, behaviours, memories and physical symptoms. One of the first steps in overcoming depression is to put and end to this vicious cycle, and gain some momentum that can help you cycle in a positive direction. </div>
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<div class="txt">Just as automatic negative thoughts result from and contribute to depression, by engaging in more neutral and balanced ways of thinking, we can begin to stop the vicious cycle involving negative thoughts and depression. <a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-behavioural-therapy-cbt/" target="_blank">Cognitive therapy</a> provides an effective tool to help break out of negative patterns of thinking. As our thoughts become less negative, we begin to feel less depressed, and as we become less depressed, our thoughts about ourselves, our lives and our future become less negative, and so on.</div>
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<div class="txt">We can experience similar reversal in these vicious cycles in other areas of our lives that are affected by, and affect depression. <a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-behavioural-therapy-cbt/" target="_blank">Cognitive behavioural therapy (CBT)</a> can help change behaviours that result from and contribute to depression such as reducing level of acitivity and withdrawing socially. Changes in diet, exercise, sleep habits and self-care can help alleviate the distressing physical symptoms associated with depression and lead to more energy and motivation.</div>
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<div class="txt"> Learning distress tolerance and mindfulness skills to deal with difficult emotions can help lift our mood and reduce depression, leading to fewer and less severe periods of sadness and despair. Cognitive therapy, cognitive behavioural therapy (CBT) and <a target="_blank" href="http://www.gregdorter.com/toronto-therapist-blog/tag/mindfulness/">mindfulness</a> can help overcome rumination about the past and the bias towards negative memories that is associated with and feeds into depression. </div>
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<div class="txt">Eventually the vicious cycles that were feeding into depression can become positive cycles that help turn depression around. These positive cycles are depicted below (click on the image to view a larger version):
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<p><center><a href="http://www.gregdorter.com/toronto-therapist-blog/pos-cycle-large.html" > <img class="aligncenter" alt="positive cycle of depression" src="http://www.gregdorter.com/toronto-therapist-blog/images/pos-cycle.png"  border="none"/></a></center></p>
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<div class="plaqueCenter left"><img class="profile"  src="../images/torontotherapist.png" alt="Toronto Therapist Greg Dorter" />
<div class="bioTxt">I&#8217;m a Toronto therapist specializing in helping people overcome depression, anxiety and low self-esteem. For more information about cognitive therapy/cognitive-behavioural therapy (CBT) fopr depression in Toronto, or to make an appointment for counselling or therapy, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>The Vicious Cycle of Depression</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-depression/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-depression/#comments</comments>
		<pubDate>Thu, 21 Jun 2012 18:25:34 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[cognitive behavioural therapy]]></category>
		<category><![CDATA[cognitive therapy]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[toronto therapist]]></category>
		<category><![CDATA[CBT]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=242</guid>
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<div class="txt"><img class="alignright" style="padding-left: 10px; padding-bottom: 10px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/depressioncycle.png" alt="depression cycle" />In the cogntive behavioural therapy (CBT) model of depression, one of the reasons that breaking out of depression can be so difficult is that depression generates vicious cycles involving a number of aspects of your life. Once you get stuck in these vicious cycles, they can be hard to break.</div>
<p><a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-depression/" class="more-link">Read more on The Vicious Cycle of Depression&#8230;</a></p>
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<div class="txt"><img class="alignright" style="padding-left: 10px; padding-bottom: 10px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/depressioncycle.png" alt="depression cycle" />In the cogntive behavioural therapy (CBT) model of depression, one of the reasons that breaking out of depression can be so difficult is that depression generates vicious cycles involving a number of aspects of your life. Once you get stuck in these vicious cycles, they can be hard to break.</div>
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<div class="txt">According to cognitive behavioural therapy (CBT), when you&#8217;re experiencing depression, you will tend to have automatic negative thoughts about yourself, the world and the future. This pattern of negative thinking you deeper into depression. This brings about further negative thoughts; which lead you to feel even more depressed; brining about more negative thoughts; and so on.</div>
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<div class="txt">Other vicious cycles that arise from depression involve feelings, behaviours, memories and physical symptoms. These vicious cycles are depicted below (click on the image to view a larger version):
</div>
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<p><center><a href="http://www.gregdorter.com/toronto-therapist-blog/cycle-large.html" ><img class="aligncenter" alt="vicious cycle of depression" src="http://www.gregdorter.com/toronto-therapist-blog/images/cycle.png" border="none"  /></a></center></p>
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<div class="txt">These vicious cycles act together to create downward spirals that can carry you deeper and deeper into depression. One of the keys to overcoming depression is to become aware of when these cycles are happening, and engaging in ways to slow them down, and then reverse them, transforming them from vicious cycles that lead you deeper into depression, to positive cycles that lead you out of depression.</div>
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<div class="txt">The earlier in the process you become aware that these cycles are starting, the more options you have to deal with them. Once the vicious cycles begin to get stronger, they are more difficult to break. Cognitive-behavioural therapy (CBT) and mindfulness-based cognitive therapy (MBCT) can help you recognize when these cycles are starting, learn what you can do to nip them in the bud, and how you can slow and reverse them once they have set in.</p>
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<p>In anothernext post, we&#8217;ll look at some of the ways that <a href="http://www.gregdorter.com/toronto-therapist-blog/reversing-cycle-depression/">mindfulness and cognitive behavioural therapy (CBT) for depression</a> can help you break these cycles.</div>
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<div class="plaqueCenter left"><img class="profile"  src="../images/torontotherapist.png" alt="Toronto Therapist Greg Dorter" />
<div class="bioTxt">I&#8217;m a Toronto therapist specializing in helping people overcome depression, anxiety and low self-esteem. For more information about how mindfulness and cognitive therapy/cognitive-behavioural therapy (CBT) for depression can help you end your vicious cycles, or to set up an appointment for counselling or therapy, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>5 Steps to Handle Conflict in Your Relationship</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/5-steps-to-handle-conflict-in-your-relationship/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/5-steps-to-handle-conflict-in-your-relationship/#comments</comments>
		<pubDate>Thu, 24 May 2012 20:56:00 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[couples counselling]]></category>
		<category><![CDATA[marriage therapy]]></category>
		<category><![CDATA[relationships]]></category>
		<category><![CDATA[couples]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=2321</guid>
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<p><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/relationship-therapist.jpg" alt=""/>Handling conflict in a relationship is challenging for many couples. It can be difficult to find ways to talk about disagreements or complaints that don&#8217;t devolve into arguments that don&#8217;t resolve anything, leave you both feeling worse, and potentially lead to more fights down the road.</p>
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<p><a href="http://www.gregdorter.com/toronto-therapist-blog/5-steps-to-handle-conflict-in-your-relationship/" class="more-link">Read more on 5 Steps to Handle Conflict in Your Relationship&#8230;</a></p>
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<p><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/relationship-therapist.jpg" alt="">Handling conflict in a relationship is challenging for many couples. It can be difficult to find ways to talk about disagreements or complaints that don&#8217;t devolve into arguments that don&#8217;t resolve anything, leave you both feeling worse, and potentially lead to more fights down the road.</p>
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<p>Marriage expert John Gottman  describes five steps to deal with conflicts without  letting them turn into fights.<span id="more-2321"></span></p>
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<p><strong>Step 1. Soften Your Startup</strong>: We looked at some tips to <a href="http://www.gregdorter.com/toronto-therapist-blog/fights-into-discussion-by-softening-your-startup/">soften your startup</a> in an earlier post. “Startup” refers to how you initiate a discussion with your partner about a complaint you have or an issues of  conflict in your relationship. Regarding startups, Gottman says:
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<blockquote><p>If you start an argument harshly—meaning you attack your spouse verbally—you&#8217;ll   end up with at least as much tension as you began. But if you use a softened startup—meaning  you complain but don&#8217;t criticize or otherwise attack your spouse—the discussion is likely to be productive. And if most of your arguments start softly, your marriage is likely to be stable and happy. If you are the one most responsible for harsh startups in your relationship, I can&#8217;t emphasize enough how important it is to the fate of your marriage to soften up.  </p></blockquote>
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<p><strong>Step 2. Learn to Make and Receive Repair Attempts</strong>: Once a discussion starts off on the wrong foot and you get caught up in attacking  or blaming each other, you can still turn things around if you’re able to stop this pattern long enough to get things back on track. Repair attempts refer to the ways in which you try to rescue a discussion that has stated to turn into a fight. </p>
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<p>A repair attempt is any attempt to  put the brakes on once a discussion is starting to become an argument, to prevent things from escalating further, and get things back to a nicer tone. Repair attempts Includes things such as:
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<ul>
<li>Telling your partner how you are feeling: “I’m feeling a little upset right now.”</p>
<li>Telling your partner  what you need: “I just need you to listen to me for a minute without saying anything.”
<li>Apologizing: “I’m sorry. I shouldn&#8217;t have said that.”
<li>Asking to take a break: “I need to take a little break right now before I can continue to talk about this.”
<li>Showing appreciation: “Thanks for telling me what you’ve been going through.”
</ul>
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<p>Once you learn to make repair attempts, and just as importantly, learn to pick up on when your partner is making a repair attempt, you become able to reign things back in once a discussion starts turning into a fight, and then continue to discuss things in a more productive fashion.</p>
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<p><strong>Step 3. Soothe Yourself and Each Other</strong>: During conflicts with your partner, it’s easy to become flooded with negative emotions. Once this happens, you’re no longer in a position to have a productive discussion because your emotions have become too overwhelming: your ability to process what your partner is saying goes out the window and it becomes almost impossible to think clearly and rationally.
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<p> When this happens, if you try to continue your discussion you’re likely to either blow up at your partner, or shut down and stop communicating altogether, either  of which are only going to make things worse. When your emotions start to get too heated, it’s essential to take a time out, temporarily stop the discussion, and give yourself a chance to calm your emotions.
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<p>After you’ve calmed yourself, anything you can do to help soothe your partner will go a long way towards reducing any tension even further. This also helps makes your partner feel safer expressing themselves in the future, because they know that if things get heated or they get upset, you’re able to help calm and soothe, rather than triggering even more distress. In turn, this makes flooding less likely to happen in the future.</p>
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<p><strong>Step 4. Compromise</strong>: As nice as it is to get your own way, in a marriage or relationship, the key to resolving conflict is to compromise, even if you’re convinced that you’re right. In order to be able to negotiate a compromise, the above three steps need to be in place. A comprise that you’re both satisfied with is difficult to achiever unless the discussion starts gently, repairs are made when things start to escalate, and you both manage to keep relatively calm and not become overwhelmed by emotions. </p>
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<p>Compromise involves finding some common ground you can both agree on. Gottman presents an exercise to help find that common ground:
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<blockquote><p>
Decide together which problem you want to tackle. Then sit separately and think about the problem. On a piece of paper, draw two circles—a smaller one inside a larger one. In the inner circle make a list of the aspects of the problem you can&#8217;t give in on. In the outer circle list all of the aspects of the problem you can compromise about.
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<p>Try hard to make your outer circle as large as possible and your inner circle as small as possible. Once you&#8217;ve filled in your circles come back and share them with each other. Look for common basis of agreement. </p></blockquote>
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<p>In order to achieve compromise, Gottman suggests asking yourselves the following questions:
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<ul>
<li>What do we agree about?
<li>What are our common feelings or the most important feelings here?
<li>What common goals can we have here?
<li>How can we understand this situation, this issue?
<li>How do we think these goals should be accomplished?
</ul>
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<p>Being able to reach compromises is an essential part of having a long-lasting, successful relationship.</p>
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<p><strong>Step 5. Be Tolerant of Each Other&#8217;s Faults</strong>: The final step in reducing conflict in your relationship is to realize that neither of you are perfect. It’s easy to wish your partner were different: richer, smarter, more attractive, more organized, more spontaneous, etc. However, the reality is that your partner is the way they are and they’re not going to change that much. So if you blame the problems in your relationship on the character of your partner, there’s not going to be much room for those problems to change.
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<p>Compromise is hard to reach if your focus is on changing your partner or wishing they were different. Until you’re able to accept your partner the way they are, flaws and all, you’re going to have trouble compromising. Unless you’re able to tolerate and accept each other’s faults, finding common ground is going to difficult to accomplish.</p>
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<p>Every relationship has conflicts. There will always  be times when you and your partner disagree about things or have complaints about each other&#8217;s behaviour. The key to a successful relationship isn&#8217;t to remove or avoid conflict, but to learn to navigate and negotiate these conflicts in ways that leave both of you feeling  respected, listened too and safe. Using the five principles described above helps ensure that you and your partner handle conflict in ways that allow your relationship remains strong and secure.</p>
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<div class="bioTxt">I&#8217;m a couples counsellor and marriage therapist in Toronto who can help you work through issues in your marriage or relationship. To learn more, please see my <a href="http://www.gregdorter.com/couples-counselling-toronto-marriage-therapy.html">couples counselling</a> and <a href="http://www.gregdorter.com/relationship-help-toronto.html">relationship issues</a> pages. For further information, or to make an appointment for  marriage therapy or couples counselling, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>Breaking the Vicious Cycle of Anxiety</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/breaking-vicious-cycle-of-anxiety/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/breaking-vicious-cycle-of-anxiety/#comments</comments>
		<pubDate>Sat, 28 Apr 2012 17:54:08 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[anxiety]]></category>
		<category><![CDATA[cognitive behavioural therapy]]></category>
		<category><![CDATA[cognitive therapy]]></category>
		<category><![CDATA[generalized anxiety disorder]]></category>
		<category><![CDATA[panic attacks/panic disorder]]></category>
		<category><![CDATA[therapy in toronto]]></category>
		<category><![CDATA[CBT]]></category>
		<category><![CDATA[GAD]]></category>
		<category><![CDATA[panic]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=664</guid>
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<div class="txt"><img class="alignright" style="padding-left: 20px; padding-bottom: 10px;  padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/up_spiral.gif" alt="upward spiral" />In a previous post, we looked at the <a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/" target="_blank" >vicious cycle of anxiety</a>, in which an anxiety-provoking events triggers an anxiety-related thought, feeling, behaviour or physiological symptom, which generates additional anxious thoughts, feelings, behaviours and physiological symptoms. </div>
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<div class="txt">One of the keys to overcoming anxiety is break this cycle before it begins to gain momentum. We often don&#8217;t have control of our initial response to an anxiety-provoking situation, but once we become aware that something has triggered an anxiety-related thought, feeling, behaviour or physiological symptom, then we can choose how we react. Mindfulness, and congitive behavioural therapy (CBT) or cognitive therapy, are effective ways to help you stop these cycles before they can build. </div>
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<p><a href="http://www.gregdorter.com/toronto-therapist-blog/breaking-vicious-cycle-of-anxiety/" class="more-link">Read more on Breaking the Vicious Cycle of Anxiety&#8230;</a></p>
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<div class="txt"><img class="alignright" style="padding-left: 20px; padding-bottom: 10px;  padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/up_spiral.gif" alt="upward spiral" />In a previous post, we looked at the <a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/" target="_blank" >vicious cycle of anxiety</a>, in which an anxiety-provoking events triggers an anxiety-related thought, feeling, behaviour or physiological symptom, which generates additional anxious thoughts, feelings, behaviours and physiological symptoms. </div>
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<div class="txt">One of the keys to overcoming anxiety is break this cycle before it begins to gain momentum. We often don&#8217;t have control of our initial response to an anxiety-provoking situation, but once we become aware that something has triggered an anxiety-related thought, feeling, behaviour or physiological symptom, then we can choose how we react. Mindfulness, and congitive behavioural therapy (CBT) or cognitive therapy, are effective ways to help you stop these cycles before they can build. </div>
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<div class="txt"> Often we respond to our initial anxiety in ways that generate further anxiety-related thoughts, feelings, behaviours or physiological symptoms. This creates a vicious cycle, such as the ones we looked at in an <a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/" target="_blank" >earlier post</a>. However, we can also learn to respond to anxiety is ways that don&#8217;t lead to more anxious thoughts, feelings, behaviours or physiological symptoms, preventing the vicious cycle from getting started.</div>
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<div class="txt"><img class="alignleft" alt="peace" src="http://www.gregdorter.com/toronto-therapist-blog/images/peace.png" style="padding-right: 10px;padding-top: 3px; padding-bottom: 12px;" >Often, the first sign of anxiety is physiological. By learning to recognize what your anxiety-related physiological symptoms are, and learning to become aware of them when first start, you can deal with your anxiety before it begins to build.  <a href="http://www.gregdorter.com/toronto-therapist-blog/tag/mindfulness/" target="_blank"  >Mindfulness</a> is a great way to learn to become aware of any physiological symptoms you&#8217;re experiencing as a result of anxiety.</div>
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<div class="txt"><a href="http://www.gregdorter.com/toronto-therapist-blog/category/cognitive-therapy/" target="_blank" >Cognitive therapy</a>, and <a href="http://www.gregdorter.com/toronto-therapist-blog/tag/cognitive-behavioural-therapy-cbt/" target="_blank" >cognitive behavioural therapy (CBT)</a> are effective tools for helping you to understand how your thoughts and behaviours contribute to your anxiety, and can help you make adjustments in your thinking and behaviours that will allow you to deal with your anxiety, and reduce the amount of anxiety you&#8217;ll experience in the future. </div>
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<div class="txt">Both mindfulness and CBT/cognitive therapy can help you learn to deal with the intense emotions you may experience when you begin to feel anxious, without making these emotions stronger or generating further anxiety.
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<div class="txt">The earlier in the process you become aware that these vicious cycles of anxiety are starting, the more options you have to deal with them. Once the cycle of anxiety begins to gain momentum, it is more difficult to break. </div>
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<div class="txt">Mindfulness and cognitive therapy/cognitive-behavioural therapy (CBT) for anxiety can help you recognize the first signs that you&#8217;re beginning to feel anxious, and learn how to deal with your anxiety in ways that prevent it from cycling out of control. </div>
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<div class="bioTxt">I&#8217;m a Toronto therapist specializing in helping people overcome anxiety, depression and low self-esteem. For more information about how you can benefit from cognitive therapy/cognitive-behavioural therapy (CBT) for anxiety and <a href="http://www.mindfulnesstherapy.ca" target="_blank" >mindfulness-based therapy</a>, or to make an appointment for counselling or therapy in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>The Vicious Cycle of Anxiety</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/#comments</comments>
		<pubDate>Fri, 27 Apr 2012 13:58:37 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[anxiety]]></category>
		<category><![CDATA[cognitive behavioural therapy]]></category>
		<category><![CDATA[cognitive therapy]]></category>
		<category><![CDATA[generalized anxiety disorder]]></category>
		<category><![CDATA[panic attacks/panic disorder]]></category>
		<category><![CDATA[toronto therapist]]></category>
		<category><![CDATA[CBT]]></category>
		<category><![CDATA[GAD]]></category>
		<category><![CDATA[panic]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=608</guid>
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<div class="txt"><img class="alignleft" style="padding-right: 20px; padding-bottom: 10px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/down_spiral.gif" alt="downward spiral" />According to the cognitive behavioural therapy (CBT) approach to anxiety, one of the reasons that overcoming anxiety can be so difficult is that anxiety generates vicious cycles involving your physiological, cognitive, behavioural, and emotional domains. We looked at these <a href="http://www.gregdorter.com/toronto-therapist-blog/four-components-of-anxiety/" title="4 components of anxiety" target="_blank">four components of anxiety</a> in a previous post. Now we’ll look at how they act together to form vicious cycles that create and maintain anxiety. </div>
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<div class="txt">In the cognitive behavioural therapy (CBT) model of anxiety, the vicious cycle begins with an anxiety-provoking situation. This situation can be something external such as a work commitment, a trip, a social engagement, or any other event happening in the future that you’re worried about. Anxiety can also be provoked by something internal such as a physiological sensation, a thought about something you’re dreading, or an unpleasant emotion.<span id="more-608"></span></div>
<p><a href="http://www.gregdorter.com/toronto-therapist-blog/vicious-cycle-of-anxiety/" class="more-link">Read more on The Vicious Cycle of Anxiety&#8230;</a></p>
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<div class="txt"><img class="alignleft" style="padding-right: 20px; padding-bottom: 10px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/down_spiral.gif" alt="downward spiral" />According to the cognitive behavioural therapy (CBT) approach to anxiety, one of the reasons that overcoming anxiety can be so difficult is that anxiety generates vicious cycles involving your physiological, cognitive, behavioural, and emotional domains. We looked at these <a href="http://www.gregdorter.com/toronto-therapist-blog/four-components-of-anxiety/" title="4 components of anxiety" target="_blank">four components of anxiety</a> in a previous post. Now we’ll look at how they act together to form vicious cycles that create and maintain anxiety. </div>
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<div class="txt">In the cognitive behavioural therapy (CBT) model of anxiety, the vicious cycle begins with an anxiety-provoking situation. This situation can be something external such as a work commitment, a trip, a social engagement, or any other event happening in the future that you’re worried about. Anxiety can also be provoked by something internal such as a physiological sensation, a thought about something you’re dreading, or an unpleasant emotion.<span id="more-608"></span></p>
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<p>This anxiety-provoking situation then triggers a vicious cycle involving the four domains, as depicted below:
<p class="aligncenter"><img style="padding-top: 10px; padding-bottom: 10px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/anxiety-cycle.png" alt="anxiety cycle" /></p>
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For example, you’re at a social event, and feeling shy, and this triggers a physiological response such as increased heart rate, or blushing, or sweaty hands. You become aware of this physiological symptom and think, “Oh no. Everyone just saw me blush”; or “What am I going to say? I have nothing to talk about.”
 </div>
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This thought can lead to more physiological symptoms. Or perhaps it leads to an emotional response, and you start feeling nervous or scared. And this leads to a behaviour, such as stuttering or mumbling your words, or just not saying anything. This can lead to another thought: “I’m making a fool of myself. Why did I even bother to go out?” And this can feed into further physiological symptoms, or thoughts, or emotions, or behaviours, each of which generate increased anxiety.
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<a href="http://www.gregdorter.com/toronto-therapist-blog/category/panic-attacks-panic-disorder/"  target="_blank">Panic attacks</a> usually begin with a physiological symptom. Perhaps you notice your heart rate increase. Then you start thinking, “Something’s wrong. I’m going to have a heart attack.” Then you start feeling scared. This increases your heart rate. And so on. Then, if you can, engage in an avoidance behaviour and flee wherever you are, or vow in the future to avoid the situation that lead to the panic at all costs.
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Worrying usually begins with a &#8220;What if?&#8221; thought. &#8220;What if I screw this up?&#8221;; &#8220;What if something&#8217;s wrong?&#8221;; &#8220;What if something bad happens?&#8221; This can lead to emotions such as fear or dread. These emotions can lead to a nervous feeling in the pit of your stomach. When you notice this feeling, on top of everything else, you start to worry about the anxiety you&#8217;re experiencing. And so on.
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<div class="txt">In each of these examples, there was an anxiety-triggering situation that set off a vicious cycle of interactions in which the physiological, cognitive, behavioural and emotional realms feed into each other, creating more and more anxiety. In another post, we&#8217;ll look at some of the ways that  <a href="http://www.gregdorter.com/toronto-therapist-blog/breaking-vicious-cycle-of-anxiety/">mindfulness, and cognitive therapy and  cognitive bevhaioural therapy (CBT) for anxiety</a>, can help you break these cycles.</div>
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<div class="plaqueCenter left"><img class="profile"  src="../images/torontotherapist.png" alt="Toronto Therapist Greg Dorter" />
<div class="bioTxt">I&#8217;m a Toronto therapist specializing in helping people overcome anxiety, depression and low self-esteem. For more information about how I can help you end your vicious cycles through mindfulness and cognitive therapy/cognitive-behavioural therapy (CBT) for anxiety, or to make an appointment for counselling or therapy in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>Cognitive Defusion and Letting Go of Thoughts</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/cognitive-defusion-letting-go-of-thoughts/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/cognitive-defusion-letting-go-of-thoughts/#comments</comments>
		<pubDate>Wed, 14 Mar 2012 14:11:29 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[acceptance and commitment therapy]]></category>
		<category><![CDATA[anxiety]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[dialectical behaviour therapy]]></category>
		<category><![CDATA[emotions]]></category>
		<category><![CDATA[mindfulness]]></category>
		<category><![CDATA[mindfulness based cognitive therapy]]></category>
		<category><![CDATA[negative thoughts]]></category>
		<category><![CDATA[stress management]]></category>
		<category><![CDATA[acceptance]]></category>
		<category><![CDATA[ACT]]></category>
		<category><![CDATA[MBCT]]></category>
		<category><![CDATA[stress]]></category>
		<category><![CDATA[worry]]></category>

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<div class="txt"><img class="alignright" style="padding-left: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/thought-balloons.png" alt=""/>In a previous post we looked at some ways to practice <a href="http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/" title="Watching Thoughts and Letting Them Go">letting go of thoughts</a>, but it can often be difficult to let of thoughts because they have such a powerful pull, especially when the thoughts are related to a strong emotion. <!--We look at this phenomenon in more detail in a post on Wise Mind in Dialectical Behavioural Therapy (DBT).-->
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<p>In this post we’re going to look at some things you can do to get some separation from  your thoughts when your emotions are particularly strong and you’re having some thoughts you&#8217;re finding hard to let go.<span id="more-1907"></span></div>
<p><a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-defusion-letting-go-of-thoughts/" class="more-link">Read more on Cognitive Defusion and Letting Go of Thoughts&#8230;</a></p>
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<div class="txt"><img class="alignright" style="padding-left: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/thought-balloons.png" alt="">In a previous post we looked at some ways to practice <a href="http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/" title="Watching Thoughts and Letting Them Go">letting go of thoughts</a>, but it can often be difficult to let of thoughts because they have such a powerful pull, especially when the thoughts are related to a strong emotion. <!--We look at this phenomenon in more detail in a post on Wise Mind in Dialectical Behavioural Therapy (DBT).-->
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<p>In this post we’re going to look at some things you can do to get some separation from  your thoughts when your emotions are particularly strong and you’re having some thoughts you&#8217;re finding hard to let go.<span id="more-1907"></span></p>
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<p>Steven Hayes, who developed Acceptance and Commitment Therapy (ACT), coined the term “cognitive fusion” to describe times when we are so tightly stuck to our thoughts, we become “fused” to them. When we&#8217;re experiencing cognitive fusion, we can&#8217;t separate ourselves from our thoughts. Our thoughts become our reality. We feel removed from the world outside of our thoughts, removed from  our senses, from what we&#8217;re doing, and even from the people around us. </p>
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<p>The opposite of &#8220;cognitive fusion&#8221; is &#8220;cognitive <em>defusion</em>.&#8221; Cognitive defusion involves taking a step back from what&#8217;s going on in our minds, and detaching a little from our thoughts. In this state of defusion, we can observe our thoughts and other internal processes without getting lost in them, stuck in them or fused with them. We can simply notice our thoughts, watch them, accept them  and let them go if we choose to. </p>
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<p>A concept from mindfulness-based cognitive therapy (MBCT) that can help us defuse from our thoughts is the idea that <em>thoughts are not facts</em>: Just because you think something doesn&#8217;t necessarily mean it&#8217;s true.  When we&#8217;re in a state of cognitive fusion, our thoughts have a tendency to become our reality. The notion that thoughts are just thoughts—just mental events—rather than facts can help us achieve cognitive defusion, and simply saying to ourselves, &#8220;Perhaps I&#8217;m confusing a thought with a fact,&#8221; can help you defuse from that thought.</p>
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<p>Another way to help get past the belief that, just because you&#8217;re thinking something it must be true, is to <em>label your thoughts as thoughts</em>. For example, if you&#8217;re thinking &#8220;there&#8217;s no way I&#8217;ll be able to cope,&#8221; rather than accepting that thought as a fact, say to yourself, &#8220;I&#8217;m having the thought that there&#8217;s no way I&#8217;ll be able to cope.&#8221;</p>
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<ul>
<li>Instead of thinking, “I’m never going to be happy,” say to yourself, “I’m having the thought that I’m never going to be happy.” </li>
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<li>Instead of thinking “I’m never going to be able to get all that work done,” say to yourself, “I’m having the thought that I’m never going to be able to get all that work done.” </li>
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<li>Instead of thinking, “I’m going to embarrass myself at that meeting/social event,” say to yourself, “I’m having the thought that I’m going to embarrass myself at that meeting/social event.” </li>
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<p>This process of labelling your thoughts as just thoughts allows you to  step back and defuse yourself from the content of your thoughts.</p>
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<p><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/label.png" alt="">A similar strategy is to give a name to a persistent thought or type of thought you&#8217;re having, simply  labelling it as “worrying,” or “planning,” or “obsessing.” This takes you a step further back from your thoughts than labelling them as thoughts. Adding the word &#8220;just&#8221; in front of the label can make it seem less threatening or overwhelming, for example, labelling your thoughts as &#8220;just worrying&#8221; or &#8220;just planning,&#8221; or &#8220;just obsessing.&#8221;
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<p>When you label a thought in the form “I am having the thought that I have too much work to ever get it all done,”  you are still describing the content of the thought (“I have too much work to ever get it all done”), and by paying attention to the content, you are still engaging the thought on some level. </p>
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<p>By giving a more general description to the thought, such as “worrying,” or “planning,” or “regretting,” or “criticizing myself,” you are no longer labelling the content of the thought, but just the type of thought you’re having. This removes you one step further from the actual thought as you’re not longer paying attention its content at all, giving you more distance, and helping you defuse from it.</p>
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<p>Below is another exercise from <em>The Dialectical Behaviour Therapy Skills Workbook</em> by Sheri Van Dijk that incorporates the strategy of labelling your thoughts into an exercise similar to the ones we looked at in the post on letting go of your thoughts.</p>
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<blockquote><p>
In your mind&#8217;s eye, visualize yourself standing in a forest, enjoying the sights and sounds of nature. As you stand there, you see leaves start to fall from the trees. Whenever a thought enters your mind, imagine that it rests on a leaf that&#8217;s drifting down. As you watch each leaf fall and as the thought becomes visible, see if you can pick up the leaf and place it in a pile according to what the thought is about.
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<p>For example, when the thought &#8220;I&#8217;m not having any thoughts&#8221; drifts down on its leaf you might put this in the &#8220;worry thought&#8221; or &#8220;observing thought&#8221; pile. When the thought &#8220;This is a stupid exercise&#8221; appears on its leaf you might label it and put it in the &#8220;anger thought&#8221; or &#8220;judgment thought&#8221; pile, and so on.  </p></blockquote>
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<p>Letting go of thoughts can be difficult, but the exercises in this post and the post on <a href="http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/" title="Watching Thoughts and Letting Them Go">letting go of thoughts</a> will help you get some relief when you&#8217;re in a state of cognitive fusion, and allow you to slow down your mind and defuse from your thoughts. With practice, you&#8217;ll be able to step back from your thoughts, get some distance, and eventually to be able to simply let go of your thoughts if you so choose.
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<div class="bioTxt">I&#8217;m a Toronto therapist who specializes in helping people overcome depression, anxiety, stress, anger and low self-esteem.  For more information, or to make an appointment for counselling or therapy in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>Watching Thoughts and Letting Them Go</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/#comments</comments>
		<pubDate>Fri, 02 Mar 2012 00:09:18 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[acceptance and commitment therapy]]></category>
		<category><![CDATA[anxiety]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[dialectical behaviour therapy]]></category>
		<category><![CDATA[emotions]]></category>
		<category><![CDATA[mindfulness]]></category>
		<category><![CDATA[negative thoughts]]></category>
		<category><![CDATA[stress management]]></category>
		<category><![CDATA[ACT]]></category>
		<category><![CDATA[DBT]]></category>
		<category><![CDATA[stress]]></category>
		<category><![CDATA[worry]]></category>

		<guid isPermaLink="false">http://www.gregdorter.com/toronto-therapist-blog/?p=2018</guid>
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<p><img class="alignleft" style="padding-left: 0px; padding-right: 20px; padding-bottom: 5px;padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/clouds.jpg" alt="clouds" />In a recent post we looked at how <a href="http://www.gregdorter.com/toronto-therapist-blog/letting-go-of-thoughts-mindfully">mindfulness can help us let go of our thoughts</a> when we get caught up in ruminating or worrying or just thinking in circles. Letting go of thoughts is never easy, however, and in this post we&#8217;ll look at how simply watching our thoughts can help us let them go.
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<p> Thoughts pop into our heads all the time, and usually we don’t pay any special attention to them: they enter and leave our minds  all on their own, just like a car that drives into our line of sight, remains in our field of vision for a few moments, and then drives along and passes out of our line of sight again.<span id="more-2018"></span></p>
<p><a href="http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go/" class="more-link">Read more on Watching Thoughts and Letting Them Go&#8230;</a></p>
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<p><img class="alignleft" style="padding-left: 0px; padding-right: 20px; padding-bottom: 5px;padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/clouds.jpg" alt="clouds" />In a recent post we looked at how <a href="http://www.gregdorter.com/toronto-therapist-blog/letting-go-of-thoughts-mindfully">mindfulness can help us let go of our thoughts</a> when we get caught up in ruminating or worrying or just thinking in circles. Letting go of thoughts is never easy, however, and in this post we&#8217;ll look at how simply watching our thoughts can help us let them go.
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<p> Thoughts pop into our heads all the time, and usually we don’t pay any special attention to them: they enter and leave our minds  all on their own, just like a car that drives into our line of sight, remains in our field of vision for a few moments, and then drives along and passes out of our line of sight again.<span id="more-2018"></span></p>
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<p> But certain thoughts tend to attract our attention. They grab us, suck us in, and we get stuck on them. Often it is thoughts that have a particularly strong emotional pull to them that we having trouble letting go of and allowing to just pass by on their own. It&#8217;s like our emotions are an adhesive that make thoughts related to a particularly strong emotion stick in our mind, where they stay stuck and don&#8217;t go away no matter how hard we try.
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<p> For instance, if we’re feeling anxious, we’ll tend to get stuck on worrying thoughts; if we’re feeling sad, we’ll get stuck on thoughts of regret and disappointment; if we’re angry, we’ll get stuck on thoughts of having been treated unfairly or wronged. But if we can learn to just watch these thoughts despite their emotional pull, they don&#8217;t get stuck, and we can let them go as freely as any other thought that we don’t give a lot of attention to.</p>
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<p>The opposite of watching thoughts is to engage with them. We engage with thoughts by trying to understand them, respond to them, change them, judge them or react to them in any way. However, when we watch our thoughts, we simply notice that they are present in our mind, and just watch them as they come and go. We allow then to enter our minds and stay there for a while, and then let then go on their way. </p>
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<p> As soon as we engage our thoughts, they tend to stick around, and lead to more thoughts, and before we know it we’re back to ruminating or dwelling or worrying. But if we can just let the thoughts come and go as they please, they tend to go away on their own, without us having to do anything special.
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<p>There are a number of metaphors that describe this process of watching our thoughts, including the ones below:
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<div class="indent"><em><strong>Thoughts as Clouds:</strong></em>  Whenever a thought enters your mind, imagine that it rests on a cloud that&#8217;s floating by. Don&#8217;t judge the thoughts, and don&#8217;t label them; simply observe them as they float through your mind. Don&#8217;t grab onto them or get caught up in thinking about them—just notice them. (from <em>The Dialectical Behavior Therapy Skills Workboo</em>k by Sheri Van Dijk)
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<p><img class="alignright" style="padding-left: 15px; padding-right: 10px; padding-bottom: 10px;padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/leaves.png" alt="thoughts as leaves" /><em><strong>Leaves Floating Down a Stream:</strong></em> Imagine a beautiful slow-moving stream. Once in a while, a big leaf drops into the stream and floats away down the river. Imagine you are sitting beside that stream on a warm, sunny day, watching the leaves float by. Now become conscious of your thoughts. Each time a thought pops into your head, imagine that it is written on one of those leaves.
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<p> The goal is to stay beside the stream and allow the leaves on the stream to keep flowing by. Don’t try to make the stream go faster or slower; don’t try to change what shows up on the leaves in any way. Just watch a thought come into your mind, write it on a leaf, and let the leaf float away downstream. (from <em>Get Out of Your Mind and Into Your Life</em> by Steven C. Hayes)</p>
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<p>The next time you find yourself caught up in your  thoughts, unable to stop ruminating or worrying or going over the same thoughts over and over again, see if you can’t try to step back a bit and watch your thoughts. Instead of engaging them, just  let them go, allowing them to pass out of your mind just like a cloud passing  through the sky or a leaf floating down a stream.
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<p>Letting go of thoughts is often something we can&#8217;t do easily. The more stuck a thought or line of thinking gets in our head, the more difficult it becomes to let it go. In the next post, on <a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-defusion-letting-go-of-thoughts">cognitive defusion and letting go of thoughts</a>, we look at some more ways to take a step back from your thoughts and get unstuck from them, and some additional strategies to help you watch your thoughts rather than engaging and getting caught up in them.
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<div class="bioTxt">I&#8217;m a Toronto therapist and counsellor who uses mindfulness to help people deal with issues such as depression, anxiety, stress and anger.
<p/> For more information about how you could benefit from mindfulness-based therapy, visit my <a href="http://www.mindfulnesstherapy.ca" target="_blank">mindfulness therapy</a> webpage.  To make an appointment for counselling or therapy in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>Stop Stress and Anxiety</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/stop-stress-and-anxiety/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/stop-stress-and-anxiety/#comments</comments>
		<pubDate>Tue, 28 Feb 2012 17:56:07 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[anxiety]]></category>
		<category><![CDATA[buddhist/buddhism therapy]]></category>
		<category><![CDATA[cognitive behavioural therapy]]></category>
		<category><![CDATA[cognitive therapy]]></category>
		<category><![CDATA[emotions]]></category>
		<category><![CDATA[mindfulness]]></category>
		<category><![CDATA[stress management]]></category>
		<category><![CDATA[CBT]]></category>
		<category><![CDATA[stress]]></category>

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<div class="txt"><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/stop-stress.gif" alt="stop stress"/>One of the most common concerns that leads people to seek counselling and therapy is feeling overwhelmed by stress and anxiety, and not knowing how to get any relief.
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<p>	What often happens is we let our stress or anxiety build and build all day without doing anything about it, trying to ignore it, and just hoping it will go away. Then, when we finally can&#8217;t take it anymore and start feeling overwhelmed, we&#8217;re desperate to find a way to manage all of this stress and anxiety and get some relief, but at that point, it can be so hard to get any relief.
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<p><a href="http://www.gregdorter.com/toronto-therapist-blog/stop-stress-and-anxiety/" class="more-link">Read more on Stop Stress and Anxiety&#8230;</a></p>
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<div class="txt"><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/stop-stress.gif" alt="stop stress">One of the most common concerns that leads people to seek counselling and therapy is feeling overwhelmed by stress and anxiety, and not knowing how to get any relief.
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<p>	What often happens is we let our stress or anxiety build and build all day without doing anything about it, trying to ignore it, and just hoping it will go away. Then, when we finally can&#8217;t take it anymore and start feeling overwhelmed, we&#8217;re desperate to find a way to manage all of this stress and anxiety and get some relief, but at that point, it can be so hard to get any relief.
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<p>The more we allow stress and anxiety to accumulate, the more difficult they become to address. That&#8217;s why one of the keys to managing stress and anxiety is to find ways to not let them build up so much in the first place.<span id="more-1290"></span></p>
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<p>One effective way to accomplish this is with an exercise called STOPP. STOPP is designed to help you stop stress and anxiety in their tracks, as soon as you begin to notice them, rather than waiting until they become overwhelming.
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<p>STOPP stands for:
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<li><strong>S</strong>top what you’re doing</li>
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<li><strong>T</strong>ake a few deep breaths to calm and gather yourself</li>
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<li><strong>O</strong>bserve
<ul>
<li>What physical/physiological symptoms am I experiencing? Where in my body am I experiencing them?</li>
<li>What thoughts am I having? What is going through my mind? What am I saying to myself?</li>
<li>What feelings or emotions am I experiencing? </li>
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<li><strong>P</strong>erspective—get some
<ul>
<li>What can I say to myself to help calm myself?</li>
<li> Is there another way of looking at it? </li>
<li>What advice would I give to someone else in this situation?
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<li><strong>P</strong>lan
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<li>What can I do to help relax and calm myself? </li>
<li>What is an appropriate and effective way for me to deal with this? </li>
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<p>If you&#8217;d like to try a written version of this exercise, please download a .pdf version of the <a href="http://www.gregdorter.com/handouts/mindfulness/STOPP-Stress.pdf" title="Stop Stress and Anxiety" target="blank">STOPP Stress and Anxiety worksheet</a>, or a word version of the <a href="http://www.gregdorter.com/handouts/mindfulness/STOPP-stress.docx" title="Stop Stress and Anxiety" target="blank">STOPP Stress and Anxiety worksheet</a>.</p>
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<p>In the video below, you&#8217;ll find a similar mindfulness-based exercise that you can also use to help manage stress and anxiety.
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<p><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/PhwQvEGmF_I&#038;hl=en_US&#038;fs=1&#038;rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/PhwQvEGmF_I&#038;hl=en_US&#038;fs=1&#038;rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></p>
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<p>Everyone has trouble dealing with high levels of stress and anxiety at times. Rather than resorting to damage control when your stress or anxiety gets to be too much, the key is to find ways to not let things to become so extreme in the first place.
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<p>Doing one of these exercises whenever you  become aware that you&#8217;re starting to feel stressed or anxious can help ease your stress and anxiety before they start to build. This is a great way to prevent stress and anxiety from becoming unmanageable and save yourself from becoming overwhelmed. In the next couple of posts, we&#8217;ll look at some more tools you can use: the <a href="http://www.gregdorter.com/toronto-therapist-blog/breathing-time-out/" target="_blank">Breathing Time Out</a> and the <a href="http://www.gregdorter.com/toronto-therapist-blog/break-from-stress-anxiety-and-depression/" target="_blank">Three-Minute Breathing Space and Mindful Check-In</a>
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<div class="bioTxt">I&#8217;m a Toronto therapist specializing in helping people overcome stress, anxiety, depression, anxiety and low self-esteem. For more information about how I can help you manage stress and anxiety,  or to make an appointment for counselling or therapy in Toronto, please call me at    <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration: none;">greg@gregdorter.com</a>.</div>
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		<title>Letting Go of Thoughts Mindfully</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/letting-go-of-thoughts-mindfully/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/letting-go-of-thoughts-mindfully/#comments</comments>
		<pubDate>Tue, 14 Feb 2012 23:56:44 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[anxiety]]></category>
		<category><![CDATA[buddhist/buddhism therapy]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[meditation]]></category>
		<category><![CDATA[mindfulness]]></category>
		<category><![CDATA[mindfulness based cognitive therapy]]></category>
		<category><![CDATA[negative thoughts]]></category>
		<category><![CDATA[stress management]]></category>
		<category><![CDATA[MBCT]]></category>
		<category><![CDATA[stress]]></category>
		<category><![CDATA[worry]]></category>

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<p><img class="alignright" style="padding-left: 10px; padding-right: 10px; padding-bottom: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/racing-thoughts.jpg" alt="racing thoughts" />It’s easy to  get swept away by our thoughts, especially in the face of strong emotions. We get stuck ruminating and dwelling about the past, filled with guilt or regret. Or our minds start racing and we can’t stop worrying about the future and imagining all the things that could go wrong. Or we replay conversations over and over again in our heads, trying to make sense of them or figure out what we could have said differently.</p>
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<p><a href="http://www.gregdorter.com/toronto-therapist-blog/letting-go-of-thoughts-mindfully/" class="more-link">Read more on Letting Go of Thoughts Mindfully&#8230;</a></p>
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<p><img class="alignright" style="padding-left: 10px; padding-right: 10px; padding-bottom: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/racing-thoughts.jpg" alt="racing thoughts" />It’s easy to  get swept away by our thoughts, especially in the face of strong emotions. We get stuck ruminating and dwelling about the past, filled with guilt or regret. Or our minds start racing and we can’t stop worrying about the future and imagining all the things that could go wrong. Or we replay conversations over and over again in our heads, trying to make sense of them or figure out what we could have said differently.</p>
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<p>When our minds get going like this, not only is it exhausting; these patterns of thinking tend to make us feel bad, intensifying the emotions we’re already feeling and generating additional negative emotions as well. Because this experience is so unpleasant, it’s natural to want to these thoughts to stop, and  to be able to prevent yourself from even having them in the first place. We often wind up trying to make these thoughts go away, and shut them out completely and make sure they don’t come back. But just like we can&#8217;t <a href="http://www.gregdorter.com/toronto-therapist-blog/controlling-emotions">control our emotions</a> or <a href="http://www.gregdorter.com/toronto-therapist-blog/avoiding-emotions/">suppress our emotions</a>, neither can we control or suppress our thoughts.<span id="more-1884"></span></p>
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<p>So what can we do when our thoughts start racing, we get stuck ruminating, or we just can&#8217;t quiet down our minds? One way of approaching negative and disruptive thinking is to examine our thoughts and see if there aren&#8217;t some alternative ways of thinking about the situation. We looked at how we might deal with distressing and negative thoughts in this manner using cognitive  therapy (CBT) in a post on <a href="http://www.gregdorter.com/toronto-therapist-blog/cognitive-therapy-challenging-negative-thoughts">cognitive therapy and challenging negative thoughts</a>.</p>
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<p>An alternative approach is to bring mindfulness to our thoughts, and  learn how to just let go of them. “We do not need to fight with thoughts or struggle against them or judge them. Rather, we can simply choose not to follow the thoughts once we are aware that they have arisen,” write Zindel Segal, Mark Williams, John D. Teasdale and Jon Kabatt-Zinn in their book <em>The Mindful Way Through Depression</em>, about the Mindfulness-Based Congitive Therapy (MBCT)  approach to depression.</p>
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<p><img class="alignleft" style="padding-right: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/mindfulness-of-breath.jpg" alt="mindfulness of breath">Mindfully letting go of thoughts is something we learn to do when we meditate. Many people think mediation involves having a blank mind completely void of any thoughts. However, in mindfulness meditation, the idea is not to shut out thoughts altogether, but simply to not allow yourself to get carried away by your thoughts.</p>
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<p>In mindfulness meditation of the breath, for example, we bring our attention to our breath, and try, as best we can, to keep our attention focused on our breath. Despite our intentions, our mind inevitably does wander from the breath, and we start thinking.</p>
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<p>  When this happens, we simply acknowledge that our attention has wandered to our thoughts, and then let go of those thoughts and return our attention to our breath. And when our mind wanders again and we start thinking about something else, once again we acknowledge our thoughts, let go of them, and return our attention to our breath.</p>
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<p>Just as we learn to repeatedly let go of our thoughts and return our attention to our breath when we meditate, we can do the same thing as we go about our every day life. When we practice letting go of thoughts in everyday life, we don&#8217;t always need to return our attention to the breath (though <a href="http://wp.me/pQGp1-lV">taking a breathing time out</a> or <a href="http://www.gregdorter.com/toronto-therapist-blog/break-from-stress-anxiety-and-depression/">returning to the breath for a few moments</a> is always a great way to relieve stress). Instead, we can let go of a thought and return our attention to the work we were doing, or the book we were reading, or the person we were talking to, or whatever else we were doing when our thoughts began to steal our attention.
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<p>Another way to we can let go of a thought is to refocus our attention from our thoughts to our senses: the taste of the food we&#8217;re eating, the sound of the music we&#8217;re listening to; the sights around us; or the sensations of our feet striking the ground as we walk. Letting go of thoughts is as simple as acknowledging that our mind is off thinking about something other than the present moment, and then allowing that thought to pass out of our mind as we return our attention to whatever it is we are doing and whatever is going on in the present.</p>
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<p>In theory, letting go of thoughts is simple. In practice, though, it&#8217;sis not as easy as it sounds. It can seem like as soon as we let go of a thought, there it is again, back in our head. In the next post, we look at how <a href="http://www.gregdorter.com/toronto-therapist-blog/watching-thoughts-and-letting-them-go">watching your thoughts</a> can help you through the process of letting go of thoughts.</p>
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<div class="bioTxt">I&#8217;m a Toronto therapist and counsellor who uses mindfulness to help people deal with issues such as depression, anxiety, stress and anger.
<p/> For more information about how you could benefit from mindfulness-based therapy, visit my <a href="http://www.mindfulnesstherapy.ca" target="_blank">mindfulness therapy</a> webpage.  To make an appointment for counselling or therapy in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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		<title>Seven Tips to Help Your Relationship Prosper</title>
		<link>http://www.gregdorter.com/toronto-therapist-blog/tips-help-relationship-prosper/</link>
		<comments>http://www.gregdorter.com/toronto-therapist-blog/tips-help-relationship-prosper/#comments</comments>
		<pubDate>Tue, 14 Feb 2012 20:55:17 +0000</pubDate>
		<dc:creator>Greg</dc:creator>
				<category><![CDATA[couples counselling]]></category>
		<category><![CDATA[marriage therapy]]></category>
		<category><![CDATA[relationships]]></category>
		<category><![CDATA[couples]]></category>

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<p><img class="alignright" style="padding-left: 12px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/couples-therapist.jpg" alt=""/>In a previous post we looked at some signs that suggest <a href="http://www.gregdorter.com/toronto-therapist-blog/relationship-marriage-trouble/" >your relationship or marriage is in trouble</a> according to relationship expert John Gottman. Gottman also describes seven principles that can help you get your relationship or marriage back on track.    </p>
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<p><strong>1. Enhancing Your Love Maps</strong>: Love Maps are the part of your brain where you keep information about your partner’s life.  The more familiar you and your partner are with each other’s world, the more detailed your love maps. You know each other’s histories, day-to-day life, friends, values, interests, dreams, etc. You know how things are going in in their life, at work, whether they’re having a bad day or week, what’s been on their mind, anything that’s troubling or worrying them, and important things that are coming up in their life. You also know the little details like their favourite foods, books, movies and  tv shows. You keep track of what’s important in each other’s lives, and in so doing become closer and more intimate with each other.<span id="more-2291"></span></p>
<p><a href="http://www.gregdorter.com/toronto-therapist-blog/tips-help-relationship-prosper/" class="more-link">Read more on Seven Tips to Help Your Relationship Prosper&#8230;</a></p>
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<p><img class="alignright" style="padding-left: 12px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/couples-therapist.jpg" alt="">In a previous post we looked at some signs that suggest <a href="http://www.gregdorter.com/toronto-therapist-blog/relationship-marriage-trouble/" >your relationship or marriage is in trouble</a> according to relationship expert John Gottman. Gottman also describes seven principles that can help you get your relationship or marriage back on track.    </p>
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<p><strong>1. Enhancing Your Love Maps</strong>: Love Maps are the part of your brain where you keep information about your partner’s life.  The more familiar you and your partner are with each other’s world, the more detailed your love maps. You know each other’s histories, day-to-day life, friends, values, interests, dreams, etc. You know how things are going in in their life, at work, whether they’re having a bad day or week, what’s been on their mind, anything that’s troubling or worrying them, and important things that are coming up in their life. You also know the little details like their favourite foods, books, movies and  tv shows. You keep track of what’s important in each other’s lives, and in so doing become closer and more intimate with each other.<span id="more-2291"></span></p>
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<p> <strong>2.  Increasing Fondness and Admiration</strong>: When things are going rough in a relationship, you can sometimes lose track why you fell in love in the first place and forget the things about your partner or spouse that you value, admire and love.  Instead of focusing on your partner&#8217;s flaws and the ways in which they annoy you, when you remind yourself of their good qualities, you keep the positive feelings alive in your relationship. According to Gottman:
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<blockquote><p> Fondness  and admiration  can  be  fragile  unless  you  remain  aware  of  how  crucial they are to the friendship that is at the core of any good marriage. The  simple  reason  is  that  fondness  and admiration  are  antidotes  for  contempt.  If  you  maintain  a  sense  of respect for your spouse, you are less likely to act disgusted with him or  her  when  you  disagree.  </p></blockquote>
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<p>	By nurturing your fondness and admiration for each other, you make it more likely that when you do disagree or argue, you’ll do so in ways that lead towards resolution rather than  escalation.</p>
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<p> <strong>3. Turning Towards Your Partner</strong>:  Turning towards your partner involves connecting with your partner in little ways on a continual and ongoing basis. This forms the basis of a strong friendship, which is the basis for a strong relationship.
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<p>Turning towards your partner is as simple as doing things together like cooking or cleaning, asking about each other’s days, going for walks together, or taking a few minutes out a busy day to offer support to each other. When your partner looks for attention, affection, humour or support, you are there for them.
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<p>Turning towards your partner is how you forge an emotional connection, and is the basis for romance, passion, and even a good sex life. When couples turn towards each other they stay emotionally engaged and remain together; when they don’t, they end up drifting apart.
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<p>Gottman finds that in turning towards your partner you build up an “emotional bank account,” storing up affection and goodwill that helps get you through conflicts hard times. More importantly:
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<blockquote><p>Turning toward  your  spouse  in  the  little  ways  is  the  key  to  long-lasting romance. Many people think that the secret to reconnecting with their partner  is  a  candlelit  dinner  or  a  by-the-sea  vacation.  But  the  real secret  is  to  turn  toward  each  other  in  little  ways  every  day.  A romantic  night  out  really  turns  up  the  heat  only  when  a  couple  has kept the pilot light burning by staying in touch in the little ways.</p></blockquote>
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<p><strong>4. Letting Your Partner Influence You</strong>: Instead of needing to get their own way or be right all the time, people in strong relationships show an interest in their partner’s opinions. They learn to listen respectfully  to each other, even when there’s disagreement, and are willing to find compromises.
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<p>This doesn’t mean always giving in to your partner. Rather, you are able to come up with solutions that both of you can agree on and that consider both of your opinions, wants and needs, which is key to maintaining a healthy relationship. Sometimes you may benefit from “yielding in order to win,”  and let your partner have their way even if it’s not your ideal solution, because it’s preferable to continually fighting or arguing about an issue.
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<p>Gottman finds that if you’re a man in a heterosexual relationship, letting your partner influence you is particularly important, as “The wives of men who accept their influence are less likely to be harsh with their husbands when bringing up  difficult marital topics, which in turn increases the odds their marriage will thrive.”</p>
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<p><strong>5.  Solve Your Solvable Problems</strong>: Gottman recommends five ways to resolve conflict in a relationship, which we’ll look at in more detail in a post about how to  <a href="http://www.gregdorter.com/toronto-therapist-blog/5-steps-to-handle-conflict-in-your-relationship" >handle a conflict</a>. These five ways are:
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<ul>
<li><a href="http://www.gregdorter.com/toronto-therapist-blog/fights-into-discussion-by-softening-your-startup/">Softening your startup</a> when bringing up difficult issues</li>
<li>Learning to phrase issues as complaints rather than criticism or blame</li>
<li>Being able to make and accept repair attempts when disagreements are escalating</li>
<li>Finding ways to soothe yourself and each other</li>
<li>Learning to compromise and being tolerant of each other&#8217;s faults </li>
</ul>
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<p><img class="alignright" style="padding-left: 15px; padding-bottom: 5px; padding-top: 5px;" src="http://www.gregdorter.com/toronto-therapist-blog/images/relationship-gridlock.jpg" alt=""><strong>6.  Overcoming Gridlock</strong>: Not all problems are solvable. Some conflicts don’t have a resolution. Unsolvable problems can include things such as how clean the house needs to be, how often you go out together, how often you have sex, your religious beliefs, how to raise your children, or whether or not you want children in the first place. Every couple has a set of unresolvable problems, and relationships are successful to the extent that you learn to cope with these issues.
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<p>Gridlock occurs when you start having the same argument over and over, you become more extreme and entrenched in your opinion, and every time the issue comes up you wind up feeling hurt, frustrated, and rejected by your partner. Gottman says that “gridlock is a sign you have dreams for your life that aren’t being addressed or respected by each other.”
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<p>In order to navigate around gridlock, you need to find out what these dreams entail. Then you’ll become able to to move away from gridlock and towards dialogue, and talk about the issue without hurting each other. Even though the issue isn’t resolved, it doesn’t need to  create dissatisfaction with the relationship. Ending gridlock involves:
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<ul>
<li>Discovering and respecting the dreams behind the conflict</li>
<li>Determining what is non-negotiable for each of you </li>
<li>Finding areas within the issue where there is some flexibility</li>
<li>Coming up with  temporary compromise</li>
<li>Continuing to engage in respectful discussions about the ongoing conflict</li>
</ul>
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<p>Following these steps won’t end the conflict, but the issue will no longer hold such a powerful negative grip on your relationship, and your relationship will still be able to thrive despite these differences.</p>
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<p><strong>7. Creating Shared Meaning</strong>: Gottman says that if you manage to adhere to the first 6 pinciples above, it’s likely you have a good, stable relationship. However,  relationships can also have a deeper dimension in which you and your partner create an inner life together. It&#8217;s possible to create a culture within your relationship full of rituals and customs that link you and your partner together.
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<blockquote><p> In  essence,  each  couple  and  each  family create its own micro culture [with]  their  customs  (like  Sunday  dinner  out),  rituals  (like a champagne toast after the birth of each baby), and myths&#8211;the stories the  couple  tell  themselves  (whether  true,  false,  or  embellished)  that explain their sense of what their marriage is like, what it means to be part of their group.</p>
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<p>Developing a culture doesn&#8217;t mean a couple sees eye to eye on every  aspect  of  their  life&#8217;s  philosophy. Instead  there  is  a  meshing. They  find  a  way  of  honoring  each  other&#8217;s  dreams  even  if  they  don&#8217;t always  share  them.  The  culture  that  they  develop  together incorporates both of their dreams….  When  a relationship  has  this shared sense of meaning, conflict is much less intense and perpetual problems are unlikely to lead to gridlock. </p></blockquote>
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<p>If things are already going well in your relationship, you may be doing a lot of these things already. By making sure you continue to keep doing what you&#8217;re doing and working on some areas that could use improvement, you can help inoculate your relationship from problems down the road. And if you&#8217;re going through some problems, learning to impliment these principles in your relationship can help you turn things around.<br />
 
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<div class="plaqueCenter left"><img class="profile"  src="../images/torontotherapist.png" alt="Toronto Therapist Greg Dorter" />
<div class="bioTxt">I&#8217;m a Toronto marriage therapist and couples counsellor. To learn more about how I can help you prosper in your marriage or relationship please see my <a href="http://www.gregdorter.com/couples-counselling-toronto-marriage-therapy.html">couples counselling</a> and <a href="http://www.gregdorter.com/relationship-help-toronto.html">relationship issues</a> pages. For more information, or to make an appointment for  marriage therapy or couples counselling in Toronto, please call me at  <span class="nobr">416-516-6024</span> or email <a href="mailto:greg@gregdorter.com" style="text-decoration:none;">greg@gregdorter.com</a>.</div>
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