How to improve mental health in 2020 - What’s the difference between a top down and a bottom up approach to wellbeing?

By Richard Fryer

If you’re feeling stressed, anxious or depressed at the moment – you aren’t alone. It’s a difficult time for many of us, but fortunately there are practices we can integrate into our lives to enhance our sense of wellbeing. By learning to use bottom up and top down approaches, and to find the ones that work the best for you, you can maintain and perhaps even improve your mental health into the future.The World Health Organisation describes mental health as a state of well-being that enables a person to realise their full potential. Mental health is a fundamental building block of human performance – not something separate or somehow less important. Yet how many organisations have their wellbeing programs separate from their performance initiatives? In my experience, the answer is ‘most’.

We sometimes neglect the importance of wellbeing while focussing on the day-to-day of “living our lives”. So, how do we nurture more mental health and well-being? There are many different ways proven to help people increase their levels of wellbeing which can be broadly grouped into two types of activity.

The first set are ‘top down’ approaches – thinking and talking techniques. These might include talking with a psychologist, socialising with friends, learning new skills and some types of mindfulness meditation. Talk about your experiences with the people you’re close with, immerse yourself in learning new skills, spend time non-judgementally noticing what thoughts and feelings arise for you. You could spend a moment writing down all the feelings that arise for you. Often our inner thoughts are very tumultuous, and it can be surprising how much we’re feeling at any given moment. By taking a moment to name those thoughts and feelings we can make some space for them. Naming difficult thoughts and feelings won’t make them go away, but it can help us to carry them lightly.

The second set can be called ‘bottom up’ approaches as they work through the body to improve the mind. The body and the mind work together to shape our experiences, by using a bottom up approach we can improve our sense of wellbeing through physical experiences. Bottom up approaches to wellbeing include exercise, yoga, diaphragmatic breathing, music and other forms of play. Schedule some time to do things that make your body feel at peace.

You may notice that some activities are a combination of top down and bottom up – for example mindfulness practise that uses breathing as a way to connect with the present moment non-judgmentally.So which mix of approaches is best for me? The answer is likely to be ‘the one that you enjoy doing the most’ – which you’ll discover with expert psychologist help and encouragement! The most important point is that investing time in our mental health is an essential foundation for flourishing in our lives – not something that we should put off because of seemingly more “urgent” work or life priorities.

This is why expert ACT therapist help in building your psychological flexibility can really enhance your life performance outcomes – they have the skills and training to integrate mental health and wellbeing work with valued living improvement work, recognising that everyone needs a bit of everything from time to time.

Richard Fryer is a general and sport and performance psychologist at Brisbane ACT Centre. He works with a broad range of clients, whatever their struggle to help people realise their life performance potential – and live more rich, full and meaningful lives – during the Covid-19 crisis and beyond!

Turning Shame into Sunsets: How ACT can Help you Commit to your OCD Treatment

By Richard Bunker

Obsessive Compulsive Disorder (OCD) is a highly debilitating psychological disorder which affects approximately 3% of the population. Yet despite its prevalence, many people with OCD will often delay seeking treatment because of shame, embarrassment or fear of being judged. So powerful is this shame that sadly the delay can be months, years or even decades. Unfortunately, OCD does not get better on its own and requires evidence-based treatment delivered by a therapist trained in Exposure and Response Prevention (ERP). However, ERP can be a tough treatment and some people discontinue treatment prematurely before they experience an improvement of their OCD symptoms. This is where Acceptance and Commitment Therapy (ACT) can help.

At the heart of ACT is a real connection between two human beings. This relationship is built from a place of warmth, respect, compassion and from an understanding that you are not broken, damaged, nor a bad person. An ACT therapist will sit with you during your deepest moments of shame, doubt and embarrassment without judgment or evaluation. It is from within this context of a healing relationship where we turn shame into sunsets and create meaningful life change.

You are not a bad person and you are not alone. Having unwanted and intrusive thoughts even about the most distressing content, for example molesting children, incest, rape, bestiality or harming others does not mean you are a bad person. You are a perfectly normal human being. Most of us; roughly 85% experience having unwanted intrusive thoughts. It’s normal and so are you.

ACT will help you open up to living and to see a bigger perspective than just what the OCD says. You will learn powerful tools to create distance from the painful intrusive experiences, connect more with the world around you and discover the important things in life that matter to you. ACT is a powerful approach that will help you commit to your OCD treatment journey.

You are so much more than the content of your OCD. You are so much more than the horrific and painful intrusive thoughts that repeatedly bombard you. You are so much more than your compulsions and rituals that consume large portions of your day. You are so much more than your OCD suffering. Your OCD does not define who you are, and you no longer need to sit alone in silence with shame.

With ACT you turn crippling fear into courage, transform self-doubt into self-compassion, and turn embarrassment into connection. Together with your therapist, you will be taking small steps toward your OCD treatment goals and turning shame into sunsets as you build a life that is directed by you and not your OCD.

About the Author

Richard Bunker is a clinical psychologist and ACT therapist interested in helping folks suffering with OCD. He has extensive experience in delivering Exposure and Response Prevention therapy (ERP) and has helped many people overcome their OCD using ERP and ACT.

If you would like to know more about Richard, please view his profile here: https://www.brisbaneactcentre.com.au/project/richard-bunker/

If you would like to make an appointment with Richard, please phone the Brisbane ACT Centre on 07 3193 1072.

The Ostrich Effect

Have you ever found yourself putting off something important? Something that you knew you needed to do but found reasons to avoid. Maybe you avoided checking your email for fear of what was inside, maybe not checking a debt balance or a bill or maybe you avoided going to the doctor for fear of unpleasant news.

Ostriches are famous for burying their heads in the sand to avoid predators, although this is a fictitious belief – ostriches don’t really do this. Like the apocryphal story of the ostrich, many of us will commonly bury our heads in the sand to avoid unpleasant experiences, even if those experiences are vital to leading a full, rich life.

The ostrich effect is a tendency to ignore important information when we feel overwhelmed, stressed or worried. In particular, people may delay acquiring information, even when doing so may improve their situation. One study even found that investors check their portfolios growth more frequently in a growth market than one that’s receding. It may be easier to pretend that the problem doesn’t exist than to deal with it, especially if we don’t feel like we have the cognitive resources or emotional capacity to be able to cope with the challenge ahead. We may be in a job that doesn’t fulfil or satisfy us, we may feel that we’re in a relationship with the wrong person, we may regret living in the city we move to, or maybe we’re questioning our sexuality or whether we are studying the right degree? Maybe we’re lacking meaning or purpose in our lives but we don’t know what to do so it’s easier to power on and “just get on with it” and pretend that we’re just doing “fine”.

These types of “problems” we have in life are difficult to talk about and finding the right person to have a discussion with can sometimes be challenging. We all fear people’s judgments, and we prefer to show the version of ourselves that is our “best selves” rather than admitting that things aren’t the way we expected.

In our society today, we are taught to think that we have “control” over our lives. When things go “wrong” or when we have “problems” we have a tendency to overestimate how much influence we have over outcomes. People who are self-critical believe that they got themselves into the mess that they are in, and therefore has the responsibility to get themselves out. When we feel like we are the problem it is more likely that we are going to bury our heads in the sand, to save “face” for as long as possible. However, what if we don’t actually have as much control over our lives than we think we do? What if sometimes stuff just happens and what we need to do is talk about it so that we can overcome our challenge?

If we think about it, businesses are run with groups of people, each person has a different task to do, people have meetings to talk about how each member is going on their particular task and each person is able to get help and feedback from other team members if they are struggling with their project. What if we were to have regular meetings with ourselves and the people we have in our lives? To check in and ask “what’s currently working for you?”, “what do you think you need to improve on?” “what are you finding most challenging”, “Is there anything you’re finding difficult to approach right now?”, “are you missing some important information”, “how can we get through this together?”. Checking in with others and getting and receiving feedback about our personal problems with the right people, can open up new doors to feel differently about our situation. Doing this regularly will decrease stress and prevent problems from getting worse.

When it’s an external problem that has guidelines to follow, objectives to meet and outcome to measure, it’s much easier to talk about because the problem is “out there” rather than something “inside” of us. But when it’s an internal problem, personal situations, difficult thoughts and feelings about life, work, relationships and our future, it’s much harder to articulate and express the issue in words, especially when we haven’t taken the time to process what’s going on for ourselves.

People have a tendency to “avoid” problems. Therefore use different types of methods to help them get rid of them. Some methods include:

-Over productivity: taking on too many new projects, excessively cleaning or exercising, having a regimented routine.

-Suppression: pushing difficult thoughts away, pretending that everything is okay.

-Numbing or Withdrawing: drinking more alcohol than usual, taking drugs, over eating, restrictive dieting, sleeping too much or too little.

The first step to change is to identify what avoidance strategy you are using. Once we admit that something is not working out we usually feel much better about ourselves and our situation because most of the time it’s not half as bad as we think it is. When we open up and talk to a trusted friend, colleague or professional a huge weight is lifted off our shoulders because we are actually dealing with the problem instead of pretending that it doesn’t exist. We all have problems, but most of us don’t like to admit or talk about. If we can stop burying our heads in the sand, open up and be honest to ourselves and others then maybe our lives will be filled with less stress, and only then we can truly experience a life filled with meaning and purpose.

It’s very common to ignore information to avoid unpleasant thoughts and feelings, but by burying our heads in the sand we do ourselves no favours, in fact we only deny ourselves the chance to grow, to be brave, and to be vulnerable with ourselves and others. Talk to those around you about the things you’re avoiding, and do your best to open up and accept that it might be unpleasant, but it’s in service to living your values – and being the kind of person you’d like to be.