26. October 2011 by John Schinnerer.

For years, I’ve been teaching clients simple frameworks to manage the emotional mind. These frameworks have to be accessible within 1/3rd of a second, before the emotional mind hijacks the rational mind.

A powerful example of this is the framework developed by Phillip Zimbardo at Stanford regarding time perspectives and valence, which is a fancy way of saying that our attention can take you certain places - internal (e.g., monitoring your heart rate, your thoughts) or external (e.g., the room you are in, the people you are with); past, present or future; and/or positive or negative emphasis.

From Ken Pope’s excellent newsletter…

*CNS Neuroscience & Therapeutics* has scheduled an article for publication in a future issue: “Treating Major Depression by Creating Positive Expectations for the Future: A Pilot Study for the Effectiveness of Future-Directed Therapy (FDT) on Symptom Severity and Quality of Life.”

The authors are Jennice S. Vilhauer, Sabrina Young, Chanel Kealoha, Josefine Borrmann, Waguih W. IsHak, Mark H. Rapaport, Narineh Hartoonian, & Jim Mirocha.

Here’s the abstract:

[begin excerpt]

Introduction: This nonrandomized pilot study assesses the efficacy of a new future-oriented form of therapy, known as future-directed therapy (FDT), as a treatment for patients with Major Depressive Disorder (MDD) in a naturalistic hospital-based outpatient psychiatry clinic. The study measured symptom severity of depression and anxiety, in addition to quality of life pre- and posttreatment.

Aims: The study examined a new manualized treatment designed to help people anticipate a more positive future. The intervention consists of twenty 90-min group sessions administered twice a week over 10 weeks. The intervention was compared to depressed patients in the same clinic who enrolled in traditional cognitive-based group psychotherapy. Sixteen patients with MDD completed the FDT intervention as part of their outpatient treatment for depression. Seventeen patients with MDD participated in treatment as usual (TAU) cognitive-based group therapy. The Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form, self-report instruments were administered prior to and immediately after the completion of therapy.

Results: Patients treated with FDT demonstrated significant improvements in depression (P= 0.001), anxiety (P= 0.021) and quality of life (P= 0.035), and also reported high satisfaction with the therapy. Compared to the TAU group, patients treated with FDT showed greater improvements in depressive symptoms (P= 0.049).

Conclusions: FDT may have the potential of becoming an additional treatment option for patients with MDD.

[end excerpt]

On the Cedars-Sinai (where the research was conducted) web site there was the following additional information:

[begin Cedars-Sinai info]

Patients with major depression do better by learning to create a more positive outlook about the future, rather than by focusing on negative thoughts about their past experiences, researchers at Cedars-Sinai say after developing a new treatment that helps patients do this.

While Major Depressive Disorder patients traditionally undergo cognitive-behavior therapy care that seeks to alter their irrational, negative thoughts about past experiences, patients who were treated with the newly-developed Future-Directed Therapy(TM) demonstrated significant improvement in depression and anxiety, as well as improvement in overall reported quality of life, the researchers found.

Results were published recently in the peer-reviewed journal CNS Neuroscience & Therapeutics.

“Recent imaging studies show that depressed patients have reduced functioning in the regions of the brain responsible for optimism,” said Jennice Vilhauer, PhD, study author and clinical director of Adult Outpatient Programs for the Cedars-Sinai Department of Psychiatry and Behavioral Neurosciences. “Also, people with depression tend to have fewer skills to help them develop a better future. They have less ability to set goals, problem solve or plan for future events.”

According to the U.S. Centers for Disease Control and Prevention, an estimated one in 10 American adults meet the diagnostic criteria for depression.

Anand Pandya, MD, interim chair of Cedars-Sinai’s Department of Psychiatry and Behavioral Neurosciences, said, “Future-Directed Therapy is designed to reduce depression by teaching people the skills they need to think more positively about the future and take the action required to create positive future experiences.  This is the first study that demonstrates this intervention intended to increase positive expectations about the future can reduce symptoms of Major Depressive Disorder.”

When people talk only about the negative aspects of their lives, it causes them to focus more attention on what makes them unhappy, Vilhauer said.

“Talking about what makes you unhappy in life doesn’t generate the necessary thinking patterns or action needed to promote a state of thriving and create a more positive future,” Vilhauer said.  “Future-Directed Therapy helps people shift their attention constructing visions of what they want more of in the future and it helps them develop the skills that they will need to eventually get there.”

In the study conducted at Cedars-Sinai, 16 adult patients diagnosed with Major Depressive Disorder attended future-directed group therapy sessions led by a licensed psychologist twice a week for 10 weeks.  Each week, patients read a chapter from a Future-Directed Therapy manual and completed worksheets aimed at improving certain skills, such as goal-setting.  Another group of 17 patients diagnosed with depression underwent standard cognitive group therapy. The study team measured the severity of depression and anxiety symptoms, and quality of life before and after treatment, using the Quick Inventory of Depressive Symptoms, the Beck Anxiety Inventory, and the Quality-of-Life Enjoyment and Satisfaction Questionnaire short form.

Results include:

Patients in the Future-Directed Therapy group experienced on average a 5.4 point reduction in their depressive symptoms on the Quick Inventory of Depressive Symptoms scale, compared to a two point reduction in the cognitive therapy group.

Patients in the Future-Directed Therapy group on average reported a 5.4 point reduction in anxiety symptoms on the Beck Anxiety Inventory, compared to a reduction of 1.7 points in the cognitive therapy group.

Patients in the Future-Directed Therapy group reported on average an 8.4 point improvement in their self-reported quality of life on the Quality of Life Enjoyment and Satisfaction scale, compared to a 1.2 point improvement in the cognitive therapy group.

[end Cedars-Sinai info]

The author note provides the following contact information: Jennice Vilhauer, Ph.D., Cedars-Sinai Medical Center, Department of Psychiatry and Behavioral Neurosciences, 8730 W. Alden Drive, Thalians W-101, Los Angeles, CA, USA. Tel.: +(310) 423-2620; Fax: +(310) 423-0114; E-mail:

<vilhauerj@cshs.org>.

Posted in San Francisco Bay Area, Men's feelings, Self-help book, Optimal Human Functioning, San Ramon CA, Danville CA, Positive expectations, Emotion & productivity, keys to happiness, Managing anger, San Ramon Valley, Men's anger, Attention, Online anger management class, Managing Pain, Free self-help book, Stress management, Free online anger management course, National speakers, Awareness, Anxiety, Tips to help anxiety, Guide To Self Beginners Guide To Managing Emotion, Guide to Self, Creativity, Managing stress, Measuring emotions, Dr. John Schinnerer, Depression, Rational mind, Managing Sadness, Alexithymia, Men's emotions, Anger Management, Managing Anxiety, Emotional mind, Emotional management, Positive Psychology | Print | No Comments »

23. September 2011 by John Schinnerer.

As an individual who is currently going through divorce, I know firsthand the emotional distress that divorcees experience. Divorce brings up feelings of loss, sadness, anger, jealousy, grief, guilt, shame, embarrassment, and anxiety (to name but a few!).

All of these are normal feelings for one muddling through a divorce. While I have struggled at times with my divorce, overall it has gone better than I ever could have imagined. Yes, there have been days filled with depression. There have been moments of hopelessness. There are the occasional bouts of anger. Yet, on the whole, I greatly misjudged just how difficult the experience would be.

Self-Compassion is the Key to an Easier Divorce

Partly, this success is due to my having taught and practiced self-compassion for the past five years.

Self-compassion is basically being kind to yourself when things go badly. However, this is a greatly watered down version of self-compassion.

The goal is to treat yourself with the same type of kindness and compassion that most people extend to loved ones when they fail. When someone else makes a mistake, most people will react with some degree of kindness and understanding. Self-compassion turns down the volume on anger typically associated with huge mistakes while still maintaining your sense of personal responsibility. A 2007 study at Duke University found that ‘inducing self-compassion may disengage the relationship between taking responsibility and experiencing negative affect.’ This allows you to still take full responsibility for your mistakes while minimizing the amount of time that you spend beating yourself up as well as reduced the intensity of those ubiquitous destructive emotions I mentioned earlier.

The way in which you do this is to speak to yourself as if you were a three-year-old child. This allows for mistakes (which is a major path for learning), screw ups, and errors. Self-compassion is related to greater resiliency (the ability to bounce back from difficulty) which every divorcee can use.

New Study on Self-Compassion and Divorce 

A study is coming out this month in Psychological Science on the importance of self-compassion for those in the midst of a divorce. The authors, David Sbarra, Hillary Smith and Matthias Mehl, state ‘Self-compassion can promote resilience and positive outcomes in the face of divorce.’

The study compared self-compassion to other major traits, such as self-esteem, resistance to depression, realistic optimism, or social intelligence. The findings?

Self-Compassion Accurately Predicted Quickest Positive Outcome Following Divorce 

The only trait that consistently predicted positive outcomes following a divorce was self-compassion. That is amazing!

The study involved 105 participants (38 men and 67 women) with an average age of 40. They’d been married, on average, for 13 years and had been divorced for 3-4 months. The researchers had the participants call to mind their ex-spouse and then talk for four minutes about their thoughts and emotions related to the break up. This was done at three time points - initial visit, three months later and six to nine months later.  The researchers looked at the frequency of intrusive unpleasant thoughts, negative emotions related to the divorce and their ex and how well they were getting on with life since the break up.

Those participants with higher levels of self-compassion recovered from divorce faster and were doing better after the nine month period.

Self-compassion, according to my former Cal classmate, Kristin Neff, is a combination of mindfulness (being aware of feelings of jealousy and anger, for example, without getting stuck in them), an awareness of the interconnectedness of humanity (we all suffer at times), and self-kindness.

Self-compassion, in my opinion, is an integral part of positive psychology in the sense that it is rapidly showing itself to be an instrumental tool in any happy, thriving, meaningful life.

To find out more, check out my award-winning self-help book, Guide to Self: The Beginner’s Guide to Managing Emotion and Thought which is currently available for free at www.GuideToSelf.com.

If you are angry about your divorce, please visit my new video blog (vlog) at AngerGeek.com for free tips on how to turn down the volume on anger!

To life, love and laughter,

John Schinnerer, Ph.D.

Founder Guide to Self, Inc.

Award-winning author, award-winning blogger, national speaker, emotion expert

Posted in Men and Women, Relationship problems, Self-help book, De-escalating anger, Alamo CA, San Francisco Bay Area, Guilt, Free self-help book, How to deal with divorce, Divorce and emotion, Cultivating Positive Emotions, Free online anger management course, Emotion and physical health, Compassion, Self-compassion, San Ramon CA, Guide To Self Beginners Guide To Managing Emotion, Depression, Guide to Self, Dr. John Schinnerer, Forgiveness, Realistic optimism, Parenting, Emotional mind, Mindfulness, Danville CA, Resiliency, Relationships, Anger Management, Dealing with loss, Positive Psychology | Print | No Comments »

22. August 2011 by John Schinnerer.

The evidence is mounting…

evidence that positive emotions exist for a reason…

evidence that evolution has selected positive emotions for specific reasons that help our species - reasons that help you in every area of your life.

Positive emotions include feelings such as awe, curiosity, gratitude, compassion, calm, love, joy, interest, passion and happiness.

Evidence is mounting to support the importance of cultivating positive emotions for success in a variety of areas in your life.

A comfy nesting bed with egg pillows

At the beginning of every session with a new client, I make a point of sharing a short, humorous video clip. One of my personal favorites is the popular Mother’s Day video by Barats and Bereta (www.BaratsAndBereta.com)…

The reason for sharing a humorous video with new clients is three-fold.

First, the funny video unlocks any negative emotions the client may be holding onto such as anger, irritability, anxiety or sadness (Fredrickson, The Broaden-and-Build Theory of Positive Emotions, 2004, The Royal Society).

Second, those few, fleeting moments of laughter, mirth and smiling  reduce depressive symptoms and improve your well-being and  satisfaction with life (Sin & Lyubomirsky, Enhancing Well-Being and Alleviating Depressive Symptoms With Positive Psychology Interventions: Practice-Friendly Meta-Analysis, JOURNAL OF CLINICAL PSYCHOLOGY: IN SESSION, 2009).

Combination stairs and slide for young ones

Third, science has known for over a decade that chronic anger, anxiety and depression put you at an elevated risk for cardiovascular disease (Suls & Bunde, Anger, Anxiety, and Depression as Risk Factors for Cardiovascular Disease, Psychological Bulletin, 2005). Most people go through life with the sympathetic branch of the ANS stuck in the ‘on’ position. The sympathetic branch is similar to the gas pedal in a car. Negative emotions (along with stress, exhaustion, and lack of exercise) activate the sympathetic nervous system which leads to increased heart rate, pulse and higher levels of cortisol into the blood stream. The sympathetic nervous system is responsible for the ‘fight, flight or freeze’ response.

On the flip side, positive emotions activate the parasympathetic branch of the autonomic nervous system (ANS) which acts like the brakes on a car.  The parasympathetic nervous system (PNS) is in charge of calming the body, reducing heart rate and pulse, and bringing the body back to a resting state. The extent to which you can activate your PNS predicts your emotional and physical health. It is intimately related to how well you can self-regulate your own emotions.

Lower levels of PNS activity are related to higher levels of depression (Chambers and Allen, 2002), anxiety (Friedman and Thayer, 1993), aggression (Beauchaine and others, 2007), and hostility (Virtanen and others, 2003).

On the other side, higher levels of PNS activity are associated with better psychological flexibility, health and resiliency. Individuals with higher levels of PNS activity are related to more resiliency to stress (Britton and others, 2008) as well as greater mental health in children in the face of chronic conflict between parents at home.

How do you come up with such an idea? Start with passion and curiosity

Importantly, the frequency with which you experience positive emotions is related to a more active PNS. Individuals who were shown humorous video clips demonstrated faster heart rate recover after experiencing intense negative emotions (Fredrickson & Levenson, 1998). In addition, simply asking people to think about a time when they felt grateful activated the PNS.

Other ways to ‘turn on’ the PNS include exercise, laughter, mindfulness, massage, yoga, walking your dog and taking fish oil.

You’ve gotta’ be inspired to come up with a bedroom like this! 

The success I’ve experienced with clients in my private practice is directly related to how well I can make them laugh. With laughter comes opportunity…

opportunity to unlock stale old anger,

opportunity to teach critical new skills,

opportunity to think outside the box, and

opportunity to transform your life for the better.

How do you proceed from here?

Begin to become more aware of the percentage of time you spend in a positive emotional state as compared to a negative state. This simple realization, this basic level of awareness will begin to produce massive tectonic shifts in your life. And you will reap the benefits…on a number of levels…physical, relational, and emotional.

To life, love and laughter,

John Schinnerer, Ph.D.

Founder, Guide to Self, Inc.

Award-winning author of Guide to Self: The Beginner’s Guide to Managing Emotion and Thought (for a free PDF version, visit http://www.GuidetoSelf.com and enter your name and email address)

Award-winning author of The Shrunken Mind - the blog on positive psychology

Free online anger management classes which incorporate humor and positive psychology at WebAngerManagement.com

Posted in Managing anger, Courage and Anxiety, Free self-help book, Emotion and physical health, Self-improvement book, Self-help book, San Francisco Bay Area, Well-being, Men's feelings, Real Men Real Emotion, Work life balance, Stress management, Laughter, Cultivating Positive Emotions, San Ramon Valley, Men's anger, Amusement, Humor, Compassion, Free online anger management course, Positive psychology anger management, Online anger management class, Awe & Elevation, Optimal Human Functioning, Guide To Self Beginners Guide To Managing Emotion, Emotional management, Managing Anxiety, Anger Management, Happiness, Staying calm, Business & psych, Managing stress, Dr. John Schinnerer, Creativity, Managing Sadness, Men's emotions, Emotion & learning, Danville CA, Emotion & productivity, Employee engagement, National speakers, Curiosity, Resiliency, Hope, Gratitude, Positive Psychology | Print | No Comments »

8. May 2011 by John Schinnerer.

I’ve seen this phenomena for years in my private practice where I teach clients anger management tools - parents bring in their teenage son and want me to ’fix’ his anger problem. The adolescent often has ADHD (Attention-Deficit/Hyperactivity Disorder) and trouble managing his emotions (i.e., mainly anger, but also anxiety, shame, guilt and sadness). As I begin to work with the troubled teen, it becomes obvious that he is not the only person in the family with difficulty managing anger and other negative emotions.

Online Anger Management Class For Parents Plus Individual Anger Management Coaching for Teenager

Typically, I’ll suggest that the parents take my online anger management course, in conjunction with individual coaching for their teenager. This has been highly effective in creating families that are cooperative, peaceful, and respectful.

This study just came out today demonstrating that ADHD and difficulty managing strong negative emotions, such as anger, run in families. In my mind, it’s a genetic predisposition which is activated by an emotionally volatile environment.

You may be interested in a guide book to your mind if you are reading this. If so, I have just the thing, and it’s free! You can instantly get a complimentary PDF copy of my award-winning book (Guide to Self: The Beginner’s Guide to Managing Emotion and Thought). It teaches you concrete steps to turn down the volume on anger and other negative emotions (as well as proven methods to turn up the volume on positive emotions). All you have to do is visit my main website at www.GuideToSelf.com, click on the yellow book icon at the top left of the page and enter your name and email address.

For more information on my online anger management class, visit http://webangermanagement.com. There are even four free online anger management classes available there!

To life, love and laughter,

John Schinnerer, Ph.D.

Founder, Guide to Self, Inc.

Anger management coach

Proudly Serving San Ramon, Danville, Alamo and Walnut Creek CA since 2000

Here is the write up of the study from Science Daily…

Combination of ADHD and Poor Emotional Control Runs in Families, Study Suggests

ScienceDaily (May 5, 2011) — A subgroup of adults with attention-deficit hyperactivity disorder (ADHD) also exhibit excessive emotional reactions to everyday occurrences, and this combination of ADHD and emotional reactivity appears to run in families. A study from a Massachusetts General Hospital (MGH)-based research team finds that siblings of individuals with both ADHD and deficient emotional self-regulation (DESR) had a significantly greater risk of having both conditions than did siblings of those with ADHD alone.

The study, which will appear in the American Journal of Psychiatry, has received early online release.

“Our research offers strong evidence that heritable factors influence how we control our emotions,” says Craig Surman, MD, of the MGH Pediatric Psychopharmacology and Adult ADHD Program, the study’s lead author. “Emotion — like capacities such as the ability to pay attention or control physical movement — is probably under forms of brain control that we are just beginning to understand. Our findings also indicate that ADHD doesn’t just impact things like reading, listening and getting the bills paid on time; it also can impact how people regulate themselves more broadly, including their emotional expression.”

Along with the classic ADHD symptoms of trouble paying attention, excessive physical activity and poor impulse control, many individuals with ADHD display high levels of anger, frustration and impatience. In contrast to mood disorders, which are characterized by the persistence of specific emotions and behaviors, DESR involves emotional expressions that are brief and occur in reaction to situations that would be expected to produce similar but much less extreme responses in most individuals. For example, an individual who consistently reacts to minor disappointments by snapping at family members or co-workers or who displays great distress in response to small inconveniences may have DESR.

While some investigators have proposed that poor emotional control be included among the defining symptoms of ADHD, previous studies have not clarified whether the two conditions are separate conditions that appear together by chance or if they are related. Also previously unknown was whether DESR is transmitted among family members, something that is well known to be the case for ADHD.

The current study began with a group of 83 participants — 23 with ADHD alone, 27 with ADHD plus DESR, and 33 comparison participants with neither condition — and then enrolled one or more siblings of each of the original participants. Researchers conducted standardized diagnostic interviews with all participants to determine whether they met the criteria for ADHD and other mental health conditions. Diagnoses were confirmed by expert clinicians who were blinded to participants’ diagnoses or their sibling status. Participants also reported their current frequency of DESR-associated symptoms and were determined to have DESR if their control of emotional reactions was worse than that of 95 percent of a large group of individuals without ADHD, which included the comparison sample in this study.

As expected, ADHD was more common, in the siblings of original participants with ADHD than in the comparison group. However, co-occurrence of both ADHD and DESR was found almost exclusively among siblings of the original participants who reported both conditions.

“Other research that we and another group have conducted found that individuals with ADHD who also display emotional overreaction have a reduced quality of life and difficulties with personal relationships and social success,” Surman says. “Studies have shown that 4 percent of the adult population has ADHD, and this investigation is part of a larger study that found DESR in more than half of the enrolled adults with ADHD, suggesting that roughly 5 million adults in the U.S. may have the combination of ADHD and poor emotional control.”

He adds, “Increased recognition of emotional dysregulation, its frequency in adults with ADHD and the potential consequences of both conditions will help people get support for these challenges. Future research needs to examine both medication- and non-medication-based therapies and improve our understanding of who could benefit from these therapies.” Surman is an instructor in Psychiatry at Harvard Medical School.
Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by Massachusetts General Hospital.
________________________________________
Journal Reference:
1. C. B. H. Surman, J. Biederman, T. Spencer, D. Yorks, C. A. Miller, C. R. Petty, S. V. Faraone. Deficient Emotional Self-Regulation and Adult Attention Deficit Hyperactivity Disorder: A Family Risk Analysis. American Journal of Psychiatry, 2011; DOI: 10.1176/appi.ajp.2010.10081172

Posted in Managing anger, Guilt, Anger management therapy, Self-improvement book, De-escalating anger, Self-help book, Free self-help book, Anger in the workplace, Shame, Anger management coach, Online anger management class, Positive psychology anger management, Stress management, Free online anger management course, Parenting adolescents, San Francisco Bay Area, Emotional management, Anger Management, Depression, Emotional IQ, Dr. John Schinnerer, Guide to Self, Men's emotions, ADHD, Executive coach, Optimal Human Functioning, Violence and abuse, San Ramon CA, National speakers, Danville CA, Measuring emotions | Print | No Comments »

7. May 2011 by John Schinnerer.

Brene’ Brown is my new hero(ine). You must check out this fantastic talk she did at TED in 2010.

I’m currently ordering numerous copies of her recent book, The Gifts of Imperfection, for all the mothers I know for Mother’s Day.

Emminently readable, vastly significant and life-changing.

If you’d like a FREE copy of my award-winning book, Guide to Self: The Beginner’s Guide to Managing Emotion and Thought, simply go to www.GuideToSelf.com, click on the yellow book icon on the left side of the page and enter your name and email address.

Have a relaxing Mother’s Day!

To life, love and laughter,

John Schinnerer, Ph.D.
Founder Guide to Self, Inc.
Award-winning author and blogger
Anger management coach
http://webangermanagement.com

Posted in keys to happiness, Men and Women, Managing anger, Guilt, Self-help book, Pursuing Purpose, San Francisco Bay Area, Well-being, Men's feelings, Courage and Anxiety, Free self-help book, Managing Pain, Human connection, Shame, Vulnerability, Positive psychology anger management, Compassion, Emotion and physical health, Redemption, Stress management, Optimal Human Functioning, Brain plasticity, Anxiety, Guide To Self Beginners Guide To Managing Emotion, Depression, Emotional mind, Emotional IQ, Guide to Self, Managing stress, Measuring emotions, Dr. John Schinnerer, Managing Anxiety, Anger Management, Curiosity, National speakers, Danville CA, Meaning-making, Awareness, Hope, Managing Sadness, Men's emotions, Resiliency, Business & psych | Print | No Comments »