Category: health & wellness

  • Exercise is Not Essential for Weight Loss. It is Vital for Your Health

    Exercise is Not Essential for Weight Loss. It is Vital for Your Health

    Alongside nutrition and sleep, exercise is one of the three pillars of our health. Before coming up with a realistic and sustainable plan, let’s see what types of exercise are most recommended and how much we should try to do each day or each week.

    Walking – is there anything to the 10,000 steps recommendation?

    Historically, humans walked a lot. Often as much as 10 or 12 miles a day when we lived a hunter-gather lifestyle, hunting for animals, foraging for berries, and finding different resting areas. One thing that often set us apart from other animals was not our speed but our endurance and capacity to keep walking. This would eventually lead to an animal becoming completely exhausted, breaking down, and needing to give up. However, once we finally caught up to them, all we had to do was begin preparing our next meal.

                The Japanese were the first to come up with the idea of doing 10,000 steps a day. I don’t think it was based on any science. It was more to do with the fact that it was a nice round number with five digits to aim for on the “Manpo-Kei” pedometer or step counter by Yasama Clock in Japan in 1965. My Japanese is non-existent, but the internet says that “Manpo-Kei” translates to “10,000 steps meter”, which seems to have stuck as the daily step target for many pedometers and activity trackers since then.

                Some research suggests that 10,000 steps a day can improve heart and mental health and lower your risk of diabetes. However, if you have tried to do this daily, you have probably realised just how long it can take. For me, it can be about 90 minutes or eight kilometres of walking. For others, it can take up to two hours a day, which might not make it so sustainable or easy to do consistently.

                Other research from Harvard suggests that walking an average of only 4,400 steps a day can have positive health benefits or lower a woman’s risk of dying. The control group did 2,700 steps a day, so increasing your step count by 1,700 steps a day might make a significant difference in your health.

                If you are already walking 7,500 steps daily, you may not need to increase it further. Another study found that increasing your steps to 7,500 a day reduced your risk of dying, but increasing it beyond that did not. So averaging 7,500 steps a day is going to be my new target. If I do more or less, that’s okay, as long as the average is around that.

                If you wanted to have 7,500 steps a day as a target, too, you could aim to do the majority of it in one block. However, some evidence suggests that regular movement throughout the day and not remaining in one position for too long is even better.

                For example, my Oura Ring gives me an activity score (out of 100) daily. If I don’t move every hour while I am awake, it penalises me that day for my overall activity score. It also recommends achieving a calorie goal in terms of energy used through activity, meeting my activity goals on most days of the week, and occasionally giving myself a rest day where I don’t overdo it and allow my body to recover.

    Is sitting killing us, and can standing desks help?

    I find the public discussion over the last five or so years about the dangers of sitting interesting. Such studies have said that sitting for too long can increase the risk of excess weight around the waist, high blood pressure, high blood sugar, high cholesterol, poor posture, muscle weakness, and even an increased risk of heart attack or stroke.

                A review of thirteen studies found that people who sit more than eight hours a day and do no physical activity outside of this have a similar risk of death to people who are obese or smoke regularly. However, further analysis of the more than one million people showed that 60 to 75 minutes of moderately intense exercise cancelled out the harmful effects of sitting for long periods each day. So, if you need to sit long hours at work each day, try to make sure that you also incorporate some time, either before, during or after work, to get moving and work up a sweat. It may be even more critical for you than for people on their feet more during their workday.

                Many opposing arguments for sitting are pushed by the makers of standing desks. These companies say that if sitting all day while at work is the problem, then standing all day is the answer.

                Standing desks do seem to improve the productivity of some workers. Those in a call centre with standing desks were found to be 45% more productive than those with sitting-only desks. Sit-stand desks can reduce upper back and neck pain by 54% after 4 weeks. Using a standing desk can reduce stress and fatigue after only 7 weeks. Furthermore, 87% of those using standing desks said they had more energy and vigour throughout the day. These levels reverted back to how they used to be when they returned to their old sitting desks. Using standing desks after lunch can even prevent your blood sugar from spiking as much.

                Standing all day may help you burn slightly more calories than sitting, but not much. One study in the Journal of Physical Activity and Health found that the average person burned 80 calories an hour while sitting at a desk or 88 calories an hour while standing. So about 60 extra calories a day if you stand all day. If you instead sat all day and then went for a walk during your lunch break, you would burn 70 more calories than standing all day. I know I’d prefer the sitting and lunchtime walk. It will probably come with less low back, leg or foot pain. What do you think?

    The importance of regular movement and breaks

     My sister’s husband, Dr James Gillard, Osteopath, says that the problem isn’t sitting or standing. It is more the issue of remaining sedentary in one posture for too long each day. So, try to change into different poses once you feel uncomfortable and want to change. If you have a standing desk, hopefully, it is adaptable, where you can spend some time sitting and standing rather than doing only one of them all day long. And please, take regular breaks during the work day if you can. Stand or walk while talking on the phone. Head outside, get some fresh air and go to the park or for a walk at lunchtime. Grab a coffee for morning tea around the corner if you need to. Have a walking meeting with a colleague sometimes rather than just sitting at your desk if you can. Regularly taking breaks and moving throughout the day is the key.

    Photo by Karl Solano on Pexels.com

    Running and is it good for us?

    Running in a race with thousands of other people can be pretty fun. I’ve done several of them over the years, ranging from 5km runs when I was younger to a few 10km fun runs with my brother, to the run for the Kids 15km race with my cousin, and three half marathons by myself. Finishing the half marathon at the Melbourne Marathon festival was terrific. Entering the field of the MCG and completing a lap around the field before finishing the race in front of a few thousand people was a big rush and exhilarating.

                However, running by myself, just for the sake of it, is never something I have particularly enjoyed. I struggled for years to get into a good routine with running. I loved listening to Haruki Murakami’s book What I Talk About When I Talk About Running and even hoped that one day I would feel the same way about it. I never did, though. After several years of trying and failing, I eventually stopped trying to run in 2017.

                1.35 million Australians do run for fun and exercise. If you do it regularly, it can significantly improve your health and reduce your risk of death. It reduces the risk of obesity, high blood pressure, high cholesterol, type 2 diabetes, heart disease and cancer. It can also improve your balance, metabolism, heart function and aerobic endurance.

                Even running for 50 minutes a week can give you all these benefits, with benefits not improving or decreasing if you run more than this. Which makes it great news if you don’t have heaps of time on your hands and want to incorporate it into your life. If you think you could enjoy running for 50 minutes a week, either in one go or across a few, please talk to your doctor to see if it is suitable for you to get started straight away or slowly build up to it. I’ve spoken to a few people who tried the Couch to 5km program and enjoyed the benefits of getting into a good routine and feeling fitter. I think I may need to reconsider my earlier running retirement.

                There are some risks of injury or overuse with running, so try to avoid uneven or hard surfaces if you can, and wear appropriate and well-fitted footwear. Also, try not to suddenly increase the pace and duration of your running, like I did with attempting to run long races with little preparation. Instead, slowly build up your speed and distance over time, and don’t feel you need to run for more than 50 minutes a week. Running can be a healthy pastime that you can do consistently for many years.

                If you’re like me and don’t love the idea of running alone, see if there are any running groups in your area. If you really hate it, see if there is another exciting sport you can do that can give you similar benefits and more enjoyment and rewards. The less your exercise routine seems like hard work, and the more it feels like fun, the more likely you are to stick to it.

    What are the alternatives to running?

    If you look at the complete list of sports worldwide, there are over 800. If you look at the list of international sports federations and recognised sports, there are over 200. It may be that your area has a lot less, but I wonder how much you have looked to see what is available to you. Your sports experience may be what you were exposed to in school. If you weren’t the most athletic, competitive or extroverted child, you might have bad memories of times that seemed to turn you off sport for life.

                If you are in school, there are plenty of times when you have to participate in sports that, for whatever reason, are not your thing. Please do not let those negative experiences put you off all sports or exercise for life.

                If you are not as active as you would like to be, having training or a game to turn up to at the same time each week is an excellent way to get fit. It may also be fun and introduce you to new friends.

                If you are unsure but want to explore the idea further, please check out this list to see if there is anything that looks interesting to you and may be worth trying. Then see on the internet, Facebook, or Meetup if a group exists in your area. Or at your local sports stadium or university. Most of the time, there will be groups, teams, and classes that would love a newcomer to join them.

    Photo by Emily Rose on Pexels.com

    Swimming

    I currently have a pool in my apartment complex and want to get into a routine of swimming 1km, or about 30 minutes, once a week. Swimming has many benefits if you enjoy it or have a pool nearby that you can use when you need it.

                Unlike running or walking, Swimming is more of a full-body workout. Swimming can lower your stress levels, reduce anxiety and depression, and improve your sleep patterns, even after a light swim. It can burn double the amount of calories as walking. Only 30 minutes a week can reduce the risk of heart disease, stroke and type 2 diabetes. It supports the body and requires much less pounding on the body than running on pavement. It can increase your energy levels and doesn’t leave you all sweaty at the end of the workout.

    Cycling

    I currently don’t own a car and use a bike to get to and from work four times a week. As it takes approximately 30 minutes each way, I am already getting enough exercise time each week through cycling. Anything I do outside of this with Running or Swimming is a bonus. I also find it much easier and faster to ride down to the local shops whenever I need anything from the supermarket.

                Like Swimming and running, regular cycling has a lot of potential benefits. It can increase your cardiovascular fitness and reduce your risk of heart disease. It can increase muscle strength, flexibility and mobility, especially in your legs. It can decrease your stress levels. It can strengthen your bones and improve your posture and coordination. It can also reduce your body fat levels.

                There are some risks of injury, especially if you are riding on roads or unstable trails or tracks. However, I’d still much prefer to ride than run. If I ride as part of my commute to and from work, it saves me money by not having to pay for public transport. It also saves me time, as it is much faster than walking and public transport. If I can be less stressed and healthier while also saving money and freeing up more time, that seems a pretty good deal.

    HIIT

    The one thing I am not adequately doing in terms of cardiovascular fitness, even though it is recommended frequently these days, is High-Intensity Interval Training (HIIT). I’ve done a two-week trial of F45 before and didn’t mind it. It was definitely a challenging workout. I’ve never tried Cross Fit, but I’ve heard similar things from the devoted fans who love it and go consistently.

                To do HIIT properly, the aim is to do a repeated exercise at nearly your maximum for short intervals of about 20 to 30 seconds, followed by extended periods of rest, usually at a ratio of 2:1 or 3:1. So if you sprint for 20 seconds, rest for 40 or 60 seconds, and then sprint for 20 seconds again. Allowing your body to somewhat recover before beginning the next high-intensity interval is essential in HIIT. It will enable your body to get used to the two extremes and improve cardiovascular conditioning. I’ve done little bits of it before, but definitely not exactly like I described to you then. I think I will need to talk to an expert on exercise to see how useful it would be for me to include HIIT regularly in my life.

                With HIIT, you can burn a lot of calories in a short period. It can raise your metabolism for hours after a HIIT workout. It can help you to lose body fat and waist circumference. You can gain muscle in the trunk and the legs. It can improve your oxygen consumption. It can reduce your blood pressure and heart rate. Some studies suggest that it improves your heart health more than other forms of cardiovascular exercise. It can lower your blood sugar. Finally, it can improve your anaerobic and aerobic performance, so you can move quickly and for extended periods, depending on your needs.

                If you want to give HIIT a go, please speak to a doctor or exercise physiologist first, especially if you haven’t done much exercise lately.

    Strength training

    The last thing I want to do is utilise the gym in my apartment complex and have a weights workout 2 times a week, for about 30 minutes each time. Even though I am already doing enough cardiovascular training, I tend to view strength training as something that needs to be incorporated into a healthy lifestyle. Even though some of these activities, including Swimming and Cycling, can help maintain muscle mass.

                For many reasons, going to the gym and improving or maintaining muscle mass is positive. One of the main ones males often focus on is wanting to be buff or ripped and look good. While it is true that having more muscle can look and feel better, many other health benefits are less superficial. Strength training can help prevent posture and movement issues and maintain your capacity to do the things you need to do in your life. Maintaining muscle mass can help prevent osteoporosis and broken bones by strengthening your bones. It can also increase your metabolism, even when you are not working out, which reduces your risk of fat and weight gain over time.

                When an article in JAMA Psychiatry reviewed 33 clinical trials on strength training in over 1,800 people, they found that people who did strength training two or more days a week had significantly reduced depression severity. So even if you don’t get physically stronger, it can still give you mood benefits, so you don’t have to lift super heavy or hard.

                If you want to gain muscle or get stronger, doing each set to fatigue is probably the best advice I have been given and one that seemed to have the best results for me. To do this, lift (or pull) the weight for as many repetitions as possible until you struggle to do the entire movement. Then try for one more repetition. If you cannot do it, you are too fatigued, and your muscles will likely grow over time. If you decide to lift this way, make sure you lift with a spotter or a personal trainer, who can assist you at the end of each set when you become fatigued. Otherwise, stopping before you get to this point is much safer.

                A 2017 meta-analysis of 16 studies also found that resistance training can significantly improve anxiety in individuals with and without physical or mental illnesses. So, the mental health benefits of resistance training can be potentially even more prominent and faster than cardiovascular exercise.

                If you want to give resistance training a go, please talk to your doctor first and see a gym instructor, personal trainer or exercise physiologist. All these experts could help if you need more guidance and support on how to establish a good weight routine, how often to go, and what you can do.

    Photo by Nina Uhlikova on Pexels.com

    What is enough, too little or too much?

    Unlike nutrition, I will not give a grade for each sport or type of exercise or tell you that you need to do these things. Instead, I have aimed to highlight that whatever movement and exercise you incorporate into your life will probably be better than none.

                If you want to focus on walking, see if you can begin counting your steps. Most smartphones have a step counter built into them now. This isn’t too bad as long as you bring your phone on your walks.

    I like listening to music, a podcast, or audiobook when walking. It is terrific to do this if you are unmotivated. Listening to something you want to do alongside walking can be considered temptation bundling, making it a little easier to go. For example, people who could only listen to a story when they were at the gym were more likely to go to the gym. If you give yourself a similar rule, you might begin looking forward to your walks or workouts rather than dreading them.

                Once you count your steps for a week, if you are under 7,500 steps a week, see if you can increase your step count slowly each week until you get up to 7,500 steps a day. If you are already doing this, keep up the excellent work and don’t feel you need to do anything extra.

                If you want to focus on sitting less, you could buy a sit-stand desk or take more regular breaks during a work day and ensure you get away from your desk and outside during your lunch break. Or exercise an hour a day if you have to sit for 8 hours.

                If you want to see the benefits of running, aim for 50 minutes a week. If it’s Swimming, aim for 30 minutes a week. If it’s HIIT, try 30 minutes weekly to begin with. If it’s cycling, 30 minutes once a week would be an excellent start too. Finally, if you are going to do strength training, see if you can do two weekly sessions to see the full benefits.

                If you want to lose weight, please remember that nutrition, and not exercise, is the best way to do this. The type, amount, and timing of when you eat and drink are more important for how much weight and fat you lose than how active you are.

    Altogether, if you are doing 30 minutes of moderately intense exercise five times a week, you are likely to be reasonably healthy from an exercise point of view. In addition, you are probably also helping your mental health, stamina and mobility.

    You don’t need to become addicted to the gym or your smartwatch to become healthier. Instead, move a little more, sit a little less, get your heart rate up a few times a week, and see if you notice any of its benefits.

  • Is Your Screen Time Eating Up Your Free Time?

    Is Your Screen Time Eating Up Your Free Time?

    How Did We Get Here?

    In the classic Sociology book ‘Bowling Alone’, Robert Putnam argues that social capital (reciprocal connections among people) has been in a steady decline ever since its peak in 1964.

    By 2000, the average American was 58% less likely to attend a club meeting than an individual only 25 years earlier. It may not seem like a big deal until you realise that regularly participating in a social group halves your risk of dying in the next 12 months.

    It’s not just the joining of groups that have changed either. For example, we are 45% less likely to invite friends to our place and 33% less likely to have dinner around the table with the whole family. We are also 40% less likely to join a bowling league, surprisingly the number one participation sport in the U.S. (Putnam, 2000).

    This overall decline in social capital has also resulted in a loss of mutual trust. For example, from 1966 to 1998, the proportion of Americans who endorsed trusting the federal government “only some of the time” or “almost never” rose from 30% to 75%. Without this trust in others, we no longer know who to turn to for help and support when needed.

    Why Has Social Capital Declined?

    Putnam believed that some of the main culprits for the loss of social capital were:

    1. The changes in family structure. More people live alone, in a single-parent home, or decide not to have children.
    2. Suburban sprawl and longer commutes. With less time, energy and interest for leisure and social activities outside of work and commuting.
    3. A generational effect. Older generations (pre-boomers) have been consistently more civic and socially engaged than the Baby Boomers, who have been more civic and socially engaged than generation X’ers, who have been more civic and socially engaged than Millennials. The only thing that Millenials do more than older generations is hours spent volunteering individually.
    4. Technology has led to the privatisation of leisure time. The more people watch TV or spend time on social media or their smartphones, the less time they spend involved in social capital-type activities. Putnam believed that TV might have contributed up to 40% of the overall decline in social capital since 1965. The internet and smartphones have increased this privatisation of leisure since 2000.

    How Much Time do People Spend on Technology?

    The 2013 documentary ‘The Mask You Live In’ has some pretty scary statistics about how much technology is consumed by male children and teenagers. For example, in the U.S., the average boy:

    * spends 40 hours a week watching television, including sports and movies.

    * spends 15 hours per week playing video games.

    * spends 2 hours per week watching porn, with 21% of young men using porn daily.

    The Potential Consequences of Excessive Technology Use

    Although some people write off the TV, video games, and the internet as harmless forms of entertainment that help keep kids safe, out of trouble and off the streets, they come with their risks and potential consequences. For example, the following data in ‘The Mask You Live In’ documentary:

    * 31% of young males report feeling addicted to the video games they play.

    * 50% of parents don’t monitor the content or ratings of video games, even though 90% of games rated appropriate for children over 10 contain violence.

    By 18, the average male has seen 200,000 acts of violence on screen, including 40,000 murders.

    Exposure to violent media may:

    * lead to children becoming less sensitive to the pain and suffering of others,

    * lead to children becoming more fearful of the world around them, and

    * lead to children behaving in more aggressive and harmful ways towards others.

    Exposure to pornography:

    * increases sexual aggression by 22%.

    * increases the acceptance of rape myths (that women desire sexual violence) by 31%

    — The Mask You Live In

    The typical response by the content producers to statistics like these is that the content we watch doesn’t impact our behaviour.

    BUT if this was the case, WHY do we have a multi-billion dollar advertising industry?

    IF media images don’t affect people’s subsequent behaviour, WHY would commercials, or product placements exist?

    WHY would companies be happy to pay millions for 30-second Super Bowl commercials?

    BECAUSE the COMPANIES paying for the commercials and the marketers producing the commercials THINK that WHAT WE SEE IMPACTS OUR BELIEFS AND BEHAVIOURS.

    If a 30-second commercial can change our attitude or behaviours towards something, why won’t seeing 200,000 acts of violence before 18?

    Who is fooling who? The general public, or the multi-billion dollar corporations and industries?

    The Problem of Smart Phones and Digital Streaming

    Since 2013, the problem of technology has only gotten worse, and it is now eating into even more of our leisure time, as shown in this clear depiction by Adam Alter in his 2017 TED talk:

    The New York University psychologist presented data from the Bureau of Labor Statistics to show that sleep, working, commuting and activities of daily living (cleaning, showering, eating etc.) have all taken up a similar amount of time over the past ten years.

    As shown in the red (data from the mobile app ‘Moment’), what has changed is how much time we spend looking at screens. It used to be only minutes in 2007. Now our phones, laptops and tablet usage is taking up most of our free time and dramatically cutting into our social and leisure time, much like TV had previously done in the second half of the 20th century.

    Unlike TV, this has not been by accident, with today’s most brilliant minds often focusing on how to attract and sustain our attention on their games, sites, and apps. Alter explored this brilliantly in his recent book ‘Irresistible’, which I put in my top 40 favourite psychology books countdown.

    A 2017 review by Brendan Meagher on the Australian Psychological Society Website introduced me to the term ‘problematic mobile phone use’. It is “an inability to regulate one’s mobile phone use, which has negative consequences in daily life” (Billieux, 2012).

    Australia is now fourth in the world in terms of smartphone usage. 84% of us have a mobile phone, with 85% of teenagers and young adults exceeding 2 hours of screen use on their phones every day. The average for all Australian mobile phone users is 2.5 hours a day, which adds up to 38 days per year. We check something on our phones 30 separate times each day, and 45% of Australians now say that they couldn’t live without their phones (Meagher, 2017). The scariest statistic is that 42% of Australians over 18 still use their phones while driving, despite this creating a much higher risk of car accidents (Rumschlag, 2015).

    Consequences of Excessive Mobile Phone Use

    Mobile phone overuse has similarities to addictions or substance use problems, including tolerance, withdrawal, and daily-life disturbance (Kwon et al., 2013).

    Adverse consequences include increased risk of aggression, sleep disturbance (Yang et al., 2010) and physical health problems (Lee & Seo, 2014).

    It can also negatively impact relationships, lead to fewer social interactions across a week, and impair academic performance (Kuss & Griffiths, 2011).

    Is Your Mobile Phone Use Problematic?

    If you are unsure, Meagre recommends considering the following questions:

    * Do you think you spend too much time using your mobile phone?

    * Has your mobile phone use caused problems in a relationship?

    * Do people say that you spend too much time on your mobile phone?

    * Does the time you spend on your mobile phone stop you from doing other tasks?

    * Have you tried to cut down your mobile phone use?

    * Have you used your mobile phone while driving or crossing a road?

    Could You Cut Down Your Screen Time?

    If you answered yes to any of the above questions like I did, you might benefit from tracking your usage and seeing how much time you spend on your phone actively doing something.

    I bought the full version of the app ‘Moment’, as recommended by Adam Alter. I didn’t try to change how much I used my phone to get an accurate baseline for the first week. My average was 1 hour, 48 minutes of screen time a day. Less than the national average, but still not how I wanted to spend my spare time.

    I then took on the ‘Bored and Brilliant Challenge’ on the ‘Moment’ app for the following week and set the goal of less than 1 hour of screen time each day.

    The ‘Bored and Brilliant Challenge’ was first developed by Manoush Zomorodi after she realised just how long it had been since she had last felt bored, thanks to always being able to look at her phone whenever she had a spare second. She also realised that she had very little time to let her mind wander without this time of boredom, which was when she had her best creative ideas. She then decided to set a challenge on her podcast for her listeners, which became the focus of her subsequent book of the same title.

    • On day 1, the aim was to observe my phone usage.
    • On day 2, I aimed to keep my phone out of reach and in my bag instead of my pocket.
    • On day 3, the aim was not to take any photos.
    • On day 4, the aim was to delete an app that I used more than I wanted to. So I deleted Facebook, Twitter and LinkedIn from my phone.
    • On day 5, I took a fake cation and put my phone in aeroplane mode to have fewer distractions during the day.
    • On day 6, I aimed to observe things that I would have missed if glued to my phone, especially while on public transport.
    • On day 7, I tried to make something creative. It consisted of me cooking a nice meal for dinner, and it didn’t taste too bad either.

    As the above data shows, I managed to pick up my phone three times less per day. My baseline was nine less than the average Australian already, but I’m glad to reduce it to 18 times per day.

    The second picture is interesting to me. My phone use took up 7% of my waking life across the challenge. It still seems too much, but it was a decent drop from 12% of my waking life the week before.

    As shown in the data above, the average person who takes on the ‘Bored and Brilliant Challenge’ creates 58 minutes more free time each day by cutting down their phone usage. That’s nearly an extra hour each day to do whatever you want. If people feel time-poor already, that might be a lovely feeling.

    Other Suggestions for Cutting Down Screen Time

    • Book social outings or join a club or sports team. Exercise is also great for mental and physical health, so combining socialising with exercise is recommended.
    • Develop a list of other non-screen activities that you may enjoy and can do regularly.
    • Stop channel surfing on your TV — figure out which shows you want to watch ahead of time and record them. It increases the enjoyability of the programs you watch and cuts down how much time you spend watching TV as you can fast forward through commercials.
    • If you use a TV streaming site such as Stan or Netflix, decide if there is a program you really want to watch and how long you want to watch it before you switch it on. Then, you can set the alarm or reminder to help manage binge-watching.
    • Stop leaving your TV on in the background or switching it on as soon as you get home. Listening to most music is likely to be more relaxing than watching TV.
    • Install the app or plugin ‘Freedom’ on your computer. Freedom helps you block specific sites you can waste time on and makes it easier to set limits for yourself.

    Conclusion

    Hopefully, with everything discussed here, you can now see the potential pitfalls of excessive technological devices, especially those involving bright screens.

    If you feel rushed, always complain about being busy, spend too much time on your phone, or want to find more time for social and leisure activities, I encourage you to consider the role that technology plays in your life. Suppose there is an area where it is becoming problematic or causing you distress. In that case, I recommend implementing any of the above suggestions or challenges to see what difference it can make in your life.

    Dr Damon Ashworth

    Clinical Psychologist

  • Why Do We Not Celebrate the Positives?

    Why Do We Not Celebrate the Positives?

    Recently, an article released in The Age newspaper was titled “Dip in thefts, drugs and family violence but police say drop in crime may not last”.

    In 2021, the number of recorded offences in Victoria, Australia, dropped by 12.6% over the previous year. As a result, the police recorded 70,000 fewer offences. It was the lowest rate of offending (per person) that has been seen in the state since 2012.

    The crime rates in Victoria may be lower than ever, but I am not too sure because the data at crimestatistics.vic.gov.au only goes back to 2012 when I look. Less property and deception offences. Fewer drug offences and family violence incidents.

    Indeed, this is a cause for celebration?

    Not so fast, the experts in the article say, given that “Victoria was in periods of restriction for significant periods of last year”.

    Victoria Police’s Deputy Commissioner also seems to think that “it is likely that overall crime will increase as the community returns to normal”, but it’s not like the 154 days of lockdown in 2020 resulted in less crime than the 113 days locked down in 2021.

    2020 nearly beat out 2016 for the most criminal offences recorded in a year, even though the lockdowns lasted 41 more days than in 2021.

    If the lockdowns were responsible for the reduced crime in 2021, wouldn’t more crime be committed in 2017, 2018 or 2019 than in 2020?

    I guess only time will tell. But maybe it is a good sign that a person in Victoria in 2021 was less likely to be the victim of a criminal offence than in any other year since 2012?

    Why don’t we celebrate the positives when they occur?

    I see it in my friends on social media and the patients I see in my consulting rooms. So many people think that everything is getting worse, and some even believe that the world might be ending.

    Yes, the situation in Ukraine is scary. There also remains inequalities against people based on class, gender, nationality, sexual identity, ethnicity, age and disability. However, progress has occurred in many of these areas.

    Despite this, in 2016, 65% of the US thought the world was getting worse, and only 6% believed it was getting better. In 17 other surveyed countries, 58% thought the world was either getting worse or staying the same.

    People used to worry that overpopulation would lead to poverty and famine everywhere. However, even though our worldwide population is 8 billion now, the poverty rates have declined from 42% in 1981 to 8.6%. In addition, since 1900, our life expectancy has more than doubled, and obesity now impacts more people worldwide than hunger.

    Yes, COVID-19 has been a challenge for many people and continues to be a challenge for many more. However, despite the pandemic, the economies in certain countries, including Bangladesh, Ghana, and China, became more prosperous in 2021 than in 2019.

    Just because progress occurs, it “does not mean that everything gets better for everyone, everywhere, all the time”, Steven Pinker says. “That would be a miracle.” But unfortunately, while we are progressing in general and heading in the right direction, it is not a miracle. Things continue to be imperfect and always will be.

    For more amazing facts about how things have improved and continue to improve, please check out books like ‘The Rational Optimist’ by Matt Ridley, ‘Factfulness’ by Hans Rosling, ‘Enlightenment Now’ by Steven Pinker, or any others like them.

    For a more positive outlook on humans, please check out the excellent book ‘Humankind: A Hopeful History’ by Rutger Bregman. I also really like websites such as humanprogress.org. They highlight the positive stories worldwide that don’t get as much celebration in the news as they deserve.

  • Are You Looking After Both of Your Selves?

    Are You Looking After Both of Your Selves?

    Imagine that you could go on a holiday to anywhere that you want to go in the world. However, you couldn’t take any pictures or tell anyone what you got up to while you were away or afterwards?

    Furthermore, you can only experience the holiday while away and feel all the emotions you do in the present. Once the holiday is over, you will have no memory of where you went or what it was like.

    Where would you go, and what would you do?

    Next, imagine that the trip has no limitations. It is just like any other holiday that you have been on, except you have no budget. So you can take as many photos and videos as your heart desires and look back on these as much as you want.

    You can tell whoever you want to, both during the trip and for the rest of your life afterwards. You can also think back and reminisce about the trip and your memories of it as much as you would like to in the future.

    Where would you go, and what would you do?

    Would your dream holiday be the same in the first situation as it is in the second scenario? If so, do you know why? If not, why?

    For the first example, I want something fun, easy, pleasurable and relaxing. I want a resort with a pool and a spa, tasty food, 27-degree sunny weather, a cozy bed and a comfortable recliner. The resort would have a nice view, maybe of the ocean, or the mountainside. If other people came, they would have to be okay relaxing and occasionally chatting or playing a game. All cleaning and washing and any chores would all be done for me. And I could enjoy each moment as much as possible without any sign of difficulty or personal strain.

    For the second example, now a hike to the Himalayas or Macchu Picchu seems more appealing. More movement, more effort, some beautiful scenery and remarkable experiences. Having a few celebrities who come on the trek is suddenly more enticing because now I can take some snaps and share this with friends or on my social media. Alongside all of the effort that I put into the trip and the natural beauty of the place. Flying first class may even be worth it if I take some videos and photos to show off to everyone else.

    Experiential vs Narrative Self

    If I’m not going to remember the holiday or talk to others about how it was, why would I bother splashing out on heaps of money or putting in a lot of effort or even hanging out with celebrities? Comfort, ease, and enjoyment become the highest priorities. The things that make for a good story, memory or Instagram post become less so.

    This is one of the biggest dilemmas that we all have inside of us.

    We have the part of ourselves that wants to enjoy the moment as much as possible. This is the experiential self. It usually wants to do an activity that requires the least effort and is enjoyable in the short term. This is often why people procrastinate, play video games, lie on the couch, watch TV or a movie, eat junk food, etc. To this part of ourselves, it doesn’t matter if the activity is beneficial to us in the long run as long as it feels good at the moment.

    EXPERIENTIAL SELF

    Want to doHave to doWant to doHave to do
    Enjoy in the short-termYESYESNONO
    Find beneficial in the long-run????

    But we also have the part of ourselves that cares about the stories we tell about our lives to ourselves and others. This is the narrative self. It wants to do activities that are challenging, meaningful and worthwhile in the long run. Doing housework, working hard, eating healthily, exercising consistently, and child-rearing may not always be fun from moment to moment. However, they help us become what we want to tell ourselves and others that we are over time. House proud, successful, fit, healthy, and a good parent. To this part of ourselves, it cares much less about how enjoyable something is in the moment as long as it helps us tell the story about who we are and what we have done.

    NARRATIVE SELF

    Want to doHave to doWant to doHave to do
    Enjoy in the short-term????
    Find beneficial in the long-runYESYESNONO

    Because these two parts of ourselves seem so different, it can be quite hard to keep them both happy.

    Several clients I have seen prioritise the experiential self over the narrative self. They spend most of their day doing enjoyable things at the expense of anything perceived as challenging or uncomfortable. Their experiential self is satisfied, but their narrative self is not. Over time, they are likely to become more and more dissatisfied with where they are in their lives or the story they tell.

    The opposite can also happen but is seen less frequently. These individuals work all the time, never eat any junk food, or let themselves relax and have fun. Instead, they clean all the time, put the kids first nonstop, exercise excessively, and never give themselves a break. As a result, their narrative self can view themselves positively and share this with others, but their experiential self is miserable.

    Want to do vs Have to do

    To see if you could obtain a better balance in your life, ask yourself some of the following questions:

    • What are the things that you have to do in this life?
    • Which of these chores/responsibilities do you enjoy doing in the short term while you are doing them?
    • Which of these chores/responsibilities can you look back at once they are finished and feel glad that you have completed them?
    • Do any of these chores/responsibilities tick both boxes and are fun at the moment and consistent with who you want to be in the long run? Can you do more of these and less of other chores and responsibilities that don’t tick these boxes?
    • Are there any chores/responsibilities that are not enjoyable and don’t help you feel like you are the person you want to be in the long run? In other words, is there anything that you only do because you worry about what others would think if you don’t do them? Can you do less of these chores and responsibilities in your life by not doing them as much? Could you pay someone else to do them or negotiate with someone you live with to do these tasks more in exchange for you doing more of other chores and responsibilities that you enjoy and maybe they don’t?
    • What are the things that you want to do in your life?
    • Which of these activities do you also enjoy doing while you are doing them? Are you doing these things as often as you would like to? Or are you doing them too much for what feels like a good balance? Or too little?
    • Which of these activities do you not enjoy while doing them, but you can look back at them once they are finished and feel glad that you have done them? Are you doing these things in your life as often as you would like to?
    • Which of these activities do you find both enjoyable in the moment and consistent with the person you would like to be in the long run? Do you schedule enough time in your life for these sweet-spot activities?

    How balanced does your life feel between your want-to-dos and your have-to-dos?

    If your have-to-do responsibilities far outweigh your want-to-do activities, you are unlikely to be as happy and as satisfied with your life as you would like to be.

    This is likely to be the same if you are doing many things only because you worry about what others would think if you didn’t do them. For example, if you hate cleaning and ironing and can afford to pay someone to do these tasks for you weekly so that you don’t have to worry about them, what difference could that make to how you feel? Furthermore, what could you do that you might find more rewarding with the newfound time, energy and mental space you would have?

    If you are lucky enough to have at least one sweet spot activity, you will find these tasks the easiest to put your energy into and get better at over time.

    Sometimes people call these activities their passions, and they will be the easiest activities for you to persevere at for a long time. This can be how I feel editing movies or playing sport, or snow-skiing. I enjoy myself, am no longer in my head, and am fully immersed in the task. Then, before I know it, a long time has passed, and it is lunchtime or the end of the day.

    I’m sure that you have heard the famous quote: “Find something you love to do, and you’ll never have to work a day in your life.” If anything helps you feel this way or get into a state of flow regularly, you won’t regret making it a priority in your life.

    Dr Damon Ashworth

    Clinical Psychology

  • Our Environment Makes More of a Difference to Our Health and Mental State Than We Realise

    Our Environment Makes More of a Difference to Our Health and Mental State Than We Realise

    It’s been over 9 months since I moved to Vanuatu to volunteer as a Clinical Psychologist with the Port Vila Central Hospital and the Vanuatu Government’s Ministry of Health. That means that I am over a third of the way through my volunteer experience.

    The first 1–2 months were challenging and a little overwhelming with so many new things to learn and new people to meet. I was also feeling a bit guilty about the people I had left behind to have this experience—especially my old private practice jobs and the patients I had there.

    Once I settled in, however, the following seven months have been some of the best times of my life. I’m not pushing myself too hard anymore. I am experiencing a great variety of opportunities with my volunteering work, helping people where I can. I am developing some excellent friendships too.

    About two months ago, I returned from a two-week trip to Australia to attend my sister’s wedding. It was my first time going back to Melbourne since moving to Port Vila, and I was really excited to go back and curious to see if things felt any different after not being there for the prior 8 months.

    Before I left Melbourne in August 2018, I was burning out. I had been highly productive and efficient with my work and was cramming a lot into every day and every week, but I was also stressed out and exhausted. My elevated blood pressure and constant fatigue were pretty solid indicators that my lifestyle was not going to be sustainable forever. I was also beginning to feel more isolated and disconnected from others and wondered if this was just a sign of the times, age, or environment.

    Moving to Vanuatu for 2 years was the perfect way to find out. Port Vila is a really social place if you want it to be, as people are always willing to stop for a chat or a drink at one of the 400+ nakamals in town. Vanuatu is also said to run on “island time”, which means Port Vila operates much more leisurely than Melbourne. This isn’t so great if you want your 3-on-3 basketball tournament to start on time, but pretty great for reducing stress as long as you don’t worry too much about things that are out of your control.

    The first thing that highlighted to me how much more relaxed I am in Vila is that when it came time to wrap up work to fly to Australia for my sister’s wedding, I felt so refreshed already that I didn’t even feel like I needed to have the holiday. That had never happened to me before.

    The moment I arrived back in Melbourne, however, I felt stressed again and tired shortly after that. I don’t know if it was staying in the city, but many people were rushing and agitated both on the road and walking around. Everyone seemed to be on a personal mission to get from point A to point B as fast as possible because they had important things to do and important people to see. Even I began to get caught up in this way of thinking within a day or two, and it was hard to unwind and relax.

    People in Melbourne also seemed to be off in their own world of headphones and smartphones, with very little interaction with anyone on the street. The few strangers I did smile at or said hello to looked at me like I was weird, and I was like, “oh, yeah…we don’t acknowledge other people here!”

    Reverse cultural shock is a real thing. Sometimes it does take a while to adjust back, even longer than it takes to adjust to a new culture in a new place. For example, people from Melbourne often expect Asia, South America, or Africa to feel different when they first travel there. It is a much weirder experience for things to feel unusual in the place where you grew up.

    My sister’s wedding was beautiful and heartwarming, and I couldn’t be happier for her and her new husband. It was amazing to see many of my friends and family again, and I hope to stay in touch with all of the important people in my life from Melbourne.

    I just don’t know if I still call Australia home.

    Dr Damon Ashworth

    Clinical Psychologist

  • Which Archetype Are You?

    Which Archetype Are You?

    Ever notice how any successful story throughout history tends to have a similar cast of characters?

    If you haven’t bothered counting, I’ll let you know that most characters will fall into one of 12 principal roles, and this explains why and how we can find favourite stories so relatable. Carl Gustav Jung, a famous psychoanalyst, defined these characters and their journey as Archetypes.

    What is an Archetype?

    An archetype is something that symbolises primary human motivations, drives, desires and goals. It influences how one finds meaning in life, what one values, and personality characteristics. Most people tend to identify primarily with one archetype, although it can be a mix of a few different ones.

    Below are the 12 archetypes, with a brief description below them:

    If you’re a visionary, you value innovation above all else. You look for patterns in the ordinary and try to create order out of chaos. You are intuitive and tend to find it much more comfortable than others to predict trends and look into the future accurately. You love to exchange ideas, share your opinions, and try out new gadgets. But you also tend to overthink things or catastrophise if stressed and overwhelmed. When this happens, you need to retreat to somewhere secluded and/or scenic to once again focus on your next innovative idea that you would like to put into action.

    The visionary archetype includes the designer, the detective, the director, the entrepreneur, the hermit, the futurist or the strategist.

    If you’re a caregiver, you value being compassionate, caring and kind to others, especially your family and friends. You struggle to say no to people because you love to help out and give as much as you can. Burnout is a risk if you spread yourself too thin, however. You are easy to get along with, flexible to various situations, and always willing to do what is required to adapt to and fit in with others without losing your sense of self. Your favourite activities involve spending time with those you love, and you are the person that people call or talk to if they have been going through something tough or are in crisis.

    The caregiver archetype tends to include the loving parent, the teacher, the nurse, the doctor, the best friend forever, the rescuer, the mentor, the healer, the veteran and the civil servant.

    The royal wants power and to be in control. They love being a leader and the boss and love living the high life and the sense of entitlement that comes with this. The royal is not afraid to throw money at a problem so that it will go away and is willing to use their status, title or name to get what they want and feel that they deserve. Activities, holidays and clothes all need to be the best that money can buy.

    Royal archetypes include the king, the queen, the prince or princess, the boss, the executive, the politician, the diva and the networker or social climber.

    The performer is all about entertaining others and being the centre of attention, even at social and family gatherings. Like Lady Gaga, they live for the applause and moving others emotionally or making them laugh. The performer wants to be seen and believes that being dramatic and in the right places with the right people is the best way to achieve this.

    The performer archetype includes the actor, the entertainer, the comedian, the clown or fool, the eccentric, the trickster, the storyteller, the spellcaster, the magician and the provocateur.

    The spiritual person has their faith as the cornerstone of who they are. They are belief-driven and pray and seek for what they know to be true to come to fruition. They love to engage in yoga, meditation, and connecting with others on a deeper level and feel very connected with others and the world around them. The biggest trap for the spiritual person is magical thinking and not doing enough to take action and change the questionable things in their lives. They instead have hope and faith that things will work out the way they want, even when all the evidence suggests otherwise.

    The spiritual archetype can include the shaman, the saint, the mystic, the guru, the angel, the missionary, the martyr, the disciple and the Samaritan.

    The tastemaker values the beautiful nature of things above all else. They pay attention to trends, fashion and decor, and ensure that whatever they have is as aesthetically pleasing as possible. But, unlike the royal, they don’t assume that this is just about what is most decadent or expensive. A tastemaker loves to explore new restaurants, shops, technology and holiday spots. Their weakness is judging others who do not prioritise aesthetics as much as them.

    The tastemaker archetype includes the fashionista, the goddess, the gentleman and the metrosexual.

    The explorer loves adventure, exploring the world, and seeking excitement wherever they are. They are curious about everything new and things they are yet to encounter, and as a result, they fear commitment and being stuck in one spot or tied down by someone else in any way. The explorer feels drawn to things unseen and undiscovered and is willing to be practical about what it takes to live their lives in this way. They love meeting new people and immersing themselves in new cultures and experiences.

    The explorer archetype includes the adventurer, the traveller, the seeker, the discoverer, the wanderer, the individualist, and the pioneer.

    The advocate is always being a champion for a good cause and hoping that things will get better if they fight for what they believe in. They may tend to get too caught up personally in the cause but are willing to back up what they believe in by getting signatures for a petition, fundraising money for a campaign, or organising a protest. They also try to live their lives in a way that is consistent with their values and standing up for those less fortunate or those without a voice, such as flora and fauna.

    The advocate archetype includes the hero, the environmentalist, the crusader, the vegan, the lawyer, the feminist, and the human rights advocate.

    The Intellectual takes pride in their extensive knowledge about things that are important to them. They are always seeking new information and trying to apply it in a useful way to increase their wisdom. The intellectual can come across as a know-it-all, but they never feel like they have enough new things to learn. They love to spend time reading books and going to museums and are happy to impart their knowledge to anyone willing to listen.

    The Intellectual archetype includes the philosopher, the student, the geek, the sage, the scientist, the theologian, the crone, the inventor, and the judge.

    The rebel’s core values are justice and autonomy. They are fiercely independent and cannot be contained by the social niceties, order and dutifulness. They do what they want at all times, and like adventure and excitement, challenging convention and being deliberately provocative too. They are at risk of not thinking through the consequences of their decisions, and as a result, can overconsume drugs or alcohol or get into trouble with the law, at work, or with those closest to them.

    Rebel archetypes include the warrior, the hedonist, Don Juan, the femme fatale and the wild man or wild woman.

    The athlete lives for staying active, fit, and in shape. They love to compete in anything involving physical activity and are happiest when they have achieved a big, athletic goal. The athlete tends to turn everything into a competition, which can annoy others, but they are just as happy pushing themselves to improve their health and body. Clothing is worn for comfort and performance only, not aesthetics. The athlete loves to attend sporting events and is also happy to watch sport on the TV.

    The Athlete archetype includes the competitor, the outdoorsman, the dancer, and the tomboy.

    The creative loves being original and genuinely expressing themselves. The creative hates to repeat or copy what others have done before them. They are happiest creating something from nothing, and this may include a piece of art, but it could also be a meal, an outfit, a room in a house or even an idea. The creative tends to be a perfectionist, which can make it difficult to begin a new project. Once you get started, you tend to get into the zone until a project is complete or you need a break.

    The creative archetype includes the artist, the chef, the child, the poet, the novelist, the shapeshifter and the romantic.

    What Are Your Main Archetypes?

    At archetypes.com, it’s possible to find out which archetypes you are most similar to. This may help you identify what journey you need to take in life or what areas may be best for you to focus on going forward. Included below are my results:

    I’m pretty happy with these results and not surprised by my top 2, but I was surprised to see visionary my third highest archetype. I’ve never thought of myself as imaginative or innovative, but I do want the world to change for the better and am willing to do what I can to improve the mental health of others.

    Based on these results, it’s apparent that I love to help others. Still, I need to be cautious about taking on excessive responsibility for others or feeling too guilty or inadequate when I can’t help as much as I would like to. I love to learn and be curious about new things, but I still need to be humble and understand that there’s still so much that I’ll never know. I also need to realise that not everyone wants to learn as I do, which is okay. Lastly, when I have an innovative idea, it is vital that I put this plan into action to make a real difference. I would also benefit from connecting with others and collaborating with the right people to help make these dreams a reality.

    I know that archetypes and the test are not highly scientific, but I still found them useful to think about what story I am trying to live out and what values or principles I am being guided by. Caring for others, learning new things, and creating positive change is what I care about. What about you?

    Dr Damon Ashworth

    Clinical Psychologist

  • Feel the fear, and do it anyway

    Feel the fear, and do it anyway

    I’ve been thinking for a while about what would be the best way to start a psychology-related blog. I have some great ideas for blog series that I would like to do, but none of them seemed fitting for an introduction to the site.

    Then I realised what was happening.

    I was letting perfection get in the way of production and procrastinating. FEAR was holding me back.

    Dr Russ Harris speaks about FEAR as an acronym for things that can keep us stuck and prevent us from making the changes that we would like to make in our life:

    — fusion with unhelpful thoughts — An example of this is “that’s not the best way to start a psychology blog — keep brainstorming until the perfect idea or solution presents itself!” By allowing myself to believe what my mind said, I kept putting off what I wanted to do. I want to share some of the things that I have learnt and found helpful through my eight years of University study and hundreds of psychological books and journal articles that I have read.

    E — unrealistic expectations — If I have never written a blog before, how can I know what style is the right way to express what I have to say? I can’t. We learn through trial and error and experience. Sometimes I’m sure that I will write a piece and be happy with it, but other times this won’t be the case. Some articles may get good feedback, and some may not. All I can do is give it a go, reflect upon it afterwards, get input from others, and make changes as required until I find the right voice for myself and my potential audience. What’s more important is that I enjoy the process of clarifying my thoughts and share them with whoever is interested in a way that they can hopefully understand. I believe Hemingway said that the first draft of anything is shit. If a literary great didn’t expect to produce a fantastic story the first time he wrote it, is it realistic for me to hope for more?

    A — avoidance of discomfort — Does putting my thoughts into writing pose any real threat to me? No. It can help me clarify my ideas further and assist the clients that I see by getting my points across more concisely. Will putting my writing out there expose me to judgment and potential ridicule from others? Possibly. Does staying in my comfort zone and doing what feels safe or secure lead to me living a happy, fulfilled life? No. Quite the opposite. It, therefore, becomes a choice between discomfort and growth or comfort and stagnation. Whether it is worth it or not is up to the individual and depends on the situation and how they feel about it.

    R — remoteness from values — Values are guiding principles for life. If we persist through discomfort in pursuing a goal, we need to get in touch with what is really important to us or what we care about deep down. For me, writing a blog is about helping people be informed about psychological theories and empowered with strategies that can make a difference in their lives. There is so much conflicting information about what can help. Sharing what rigorous scientific studies have found in collaboration with my own personal experience will hopefully be useful for anyone who chooses to read it. It will also give any potential clients an idea about my approaches towards my life and work and help them decide if I am the right clinical psychologist. It is much easier for me to persist in writing this blog and the following articles by connecting with these values.

    With that in mind, what do you fear, and what holds you back from making the changes you would like to make? Is it any of the four things mentioned above? If so, can you challenge or detach from those thoughts, set more realistic expectations for yourself, get in touch with your most important values, and persist with the discomfort in pursuit of the type of life you would like to lead? Maybe not straight away, but hopefully with practice, reflection, feedback and support from others.

    The first self-help book I ever read was ‘Feel the Fear and Do It Anyway’ by Susan Jeffers. It transformed my life to think that I didn’t need to stop feeling scared before doing something. Even though anxiety often feels like it is a life-or-death situation, especially when it comes to social anxiety, it never typically is. So now, I embrace whatever awkwardness I can and challenge myself wherever possible. Through a process called habituation, it actually does get more comfortable in time.

    For any anxiety-based psychological treatment, exposure to the feared stimulus will be recommended at some point in the treatment and is a crucial component to the most successful outcomes. But it is also important to start slowly and begin with tasks that feel a bit challenging and scary, and then slowly work your way up to more challenging and scary tasks once your confidence has built up.

    If you want to try this on your own:

    1. Develop a list of tasks that you are afraid to do, but they would not actually harm you if you were to do them.

    2. Rank these from least scary or challenging to most scary or challenging.

    3. Starting with the least scary first, set a goal for yourself to tackle the task and be as specific as possible with date, time, location and duration.

    4. Attempt the task, and if possible, remain in the situation until the anxiety has subsided (usually about 10 minutes).

    5. If you cannot complete the task, try something more manageable that brings a little fear or discomfort but not too much, and gain confidence with this before reattempting the initial task.

    6. Repeat until habituation has taken place and you feel more confident and less anxious doing that task.

    7. Move on to the next most scary or challenging task on the list.

    Doing it step-wise would take a long time, but as long as you progress, you learn the skills to challenge any fears that come your way.

    Remember, feel the fear, and do it anyway (unless it really is too dangerous and unsafe)!

    Dr Damon Ashworth

    Clinical Psychologist