Tag: challenges

  • Do You Want To Be Deliberately Better?

    Do You Want To Be Deliberately Better?

    “Good company in a journey makes the way seem shorter.” — Izaak Walton

    ashley-batz-1298.jpg

    It was 2016 when I first decided to take on the challenge of being accountable to myself. I later wrote this blog to take responsibility for my actions in an open, transparent way, do what I said I was going to do, and “practice what I preach.”

    For me, as a Psychologist, becoming deliberately better is all about evidence-based living. It is about engaging as much as possible in thinking patterns and behaviours that research has shown to lead to a happier, more satisfying, higher quality of life.

    The following were five key areas that I planned to focus on for 2016, with the idea of it having positive flow-on effects for my long-term psychological well-being in 2017 and beyond.

    The best part is that just by stating these objectives where they can be seen publicly, my desire to be consistent and faithful to my word did seem to help me to stay more committed to achieving these goals:

    1. Tuning in rather than tuning out

    Too often in Western Culture, we spend all of our day “doing”, rushing around and completing tasks. We do not spend enough time “being”, simply living in the moment with whatever we are experiencing.

    People tune out of their experiences by distracting themselves with watching too much TV, spending too much time on social media, or surfing the internet. They could also smoke cigarettes or use drugs, drink too much caffeine or alcohol, eat junk food, and keep busy with too much work. Some of these strategies are successful in blocking out what we feel in the short term. However, suppose you never listen to the signals that your body sends you. In that case, they will only amplify in intensity over time until, eventually, we will have no choice but to notice the message given.

    Formal mindfulness practice is the best way to get the most benefits from tuning in and just being. Mindfulness practice consists of maintaining our attention on whatever is occurring at the moment in an open, curious, accepting, patient, non-judging, and non-striving way. I recommend learning guided meditations first and then practising on your own if you’d prefer once you have figured out the various forms of meditation and how they help you. I would recommend a few free apps if you are interested in learning these skills: Smiling Mind, Calm, and Headspace.

    Once you have learned the basics of mindfulness, it becomes a lot easier to also engage in informal mindfulness practice, where you apply these same mindfulness principles in whatever task you do throughout the day. By tuning in through Mindfulness, the benefits include reduced stress, pain and anxiety, improved sleep and mood. There is also a higher capacity to soothe yourself when distressed and a reduced risk of a future depressive episode.

    2. Turning towards my values rather than away from fear

    I regularly bring up values with my clients. It is for a good reason. The way I see it, there are two primary motivators in life. We can either be motivated to move towards what is important to us (our values) or move away from the things we fear.

    As first pointed out to me in Daniel Kahneman’s book ‘Thinking, Fast and Slow’, most people are predisposed towards being risk-averse or more motivated by what they may lose rather than what they could gain. As a result, most people play it safe, stay in their comfort zone, try not to change things too much, and don’t take any chances, even if the potential gains outweigh the potential losses.

    Most people need at least a 2:1 ratio of things being likely to turn out well before taking a risk, and some people will never take a chance unless a positive outcome can be 100% guaranteed (which isn’t a risk at all). For example, the risk of dying in a plane crash or being eaten by a shark are minuscule. However, I’ve met several people who choose not to fly or swim in the ocean because of these fears. My question to these individuals is, “What do you lose by not taking this risk?” The chance for fun? Excitement? Adventure? Considering that these values are all important to me, I’d allow myself to feel the fear, sit with it, and take the risk so that I can live a more vibrant, enjoyable and meaningful life.

    All of the most successful treatments for anxiety involve exposure to the feared stimuli as an essential part of the treatment. By facing our fears, stress can be reduced and no longer cause significant distress or functional impairment. It is uncomfortable but worth it in the pursuit of a goal that is consistent with your values. By living in line with your values and not those of others, you are more likely to feel energised, motivated and satisfied with where you are at and where you are headed.

    3. Maintaining an ideal work/life balance

    One of the biggest traps that I see with my clients is putting off enjoyment today until some designated time in the future (e.g. once I finish uni, once I get a job, once I pay off the house, once I’ve saved a certain amount). What tends to happen in the meantime is that they dedicate most of their life to study and work and saving, and postpone looking after themselves or having fun, exercising, engaging in hobbies, being creative, learning a new skill, travelling, and socialising with others.

    The Grant Study, which began in 1938 with 268 Harvard undergraduate men, is still running and collecting data over 77 years later. Across all of this data, they found that one thing was the most significant predictor of health and happiness later in life: relationship warmth. Individuals in loving relationships with close families and good friends outside of their partner were the most satisfied with life. But, of course, it wasn’t just about the number of friends or family either. It was about having those quality relationships where you knew you could depend on the other person when you needed them the most.

    Making more money did correlate with overall happiness and health outcomes, but individuals with higher relationship warmth also tended to make more money. Therefore, it is crucial to spend time with others and put energy into cultivating positive relationships. Given this data, socialising with those we care about should never be seen as a waste of time.

    4. Writing things down rather than keeping things in

    Planning and reviewing are essential for minimising stress and ensuring that we stay on track with our goals. In the excellent book ‘Getting Things Done’ by David Allen, he recommends both a daily review and a weekly review. In these, you can go through everything and process it into an all-encompassing management system. By having everything where it is supposed to be, and either filed away or waiting to be done at a particular time and place, it is meant to ensure that our head is as straightforward as possible. In addition, it can enable us to focus on whatever is most important to us at the moment (e.g. the task that we are doing).

    I recommend that my clients quickly jot down whatever is incomplete or still to be done at the end of the workday. It is crucial to follow this with a quick plan on when you can address this task and the first step that you would take. It shouldn’t take any longer than 5 minutes a day and can help make sure that you can switch off from work once you are at home. For individuals who don’t sleep well due to a racing mind, doing this same process with anything on their mind two hours before they go to bed will also reduce their likelihood of being up all night thinking.

    The crucial step is to write down when you will do it (and what the first action is), rather than just making a to-do list. The Zeigarnik effect shows that our brains will continue to remind us of something incomplete until we have done it or have a plan to do it. But, surprisingly, once we have a plan in a place that we won’t forget, our brains treat the task as already being done, and the result is a less busy mind, less stress and more energy. So even if you want to finish painting the house but won’t have time until your annual leave in 3 months, write it down. Or create a someday/maybe file, and put it in there.

    5. Developing a growth rather than a fixed mindset

    In her book ‘Mindset: The New Psychology of Success’ Carol Dweck has identified a more crucial concept towards academic and occupational success than intelligence.

    Individuals with a fixed mindset believe most of their traits, including intelligence and personality, are fixed or unchangeable. Because of this, they tend to view successes as evidence that they are amazing and mistakes as evidence that they are horrible or not good enough. Unfortunately, this means that whether they win or lose carries massive consequences because their identity is on the line with everything they do in many ways. If they experience a setback, they won’t try to learn from it or improve because what’s the point? They aren’t good enough, so why bother trying. They’ll also give up more quickly when things become challenging and demanding.

    Conversely, the individuals with a growth mindset will view their performance on a task as just that — their performance, and not an indication of how smart or capable they are. Instead, they see setbacks as chances to learn and grow and improve their skills in the future. Because of this, they are happier to challenge themselves and persevere through difficulties. They are also much more compassionate and understanding when they make a mistake, rather than self-critical like the individuals with a fixed mindset.

    Fortunately, you can teach a growth mindset. By praising behaviour and effort (“You tried so hard”) rather than characteristics (“You are so smart”) and viewing mistakes as an essential part of the learning process, growth mindset training increases motivation, resiliency and achievement. So even if you don’t naturally look at things in this way, it’s never too late to learn and grow.

    Dr Damon Ashworth

    Clinical Psychologist

  • How Should We Define Success As A Nation?

    How Should We Define Success As A Nation?

    The Olympic Slide

    Following the completion of the Rio Olympic Games, a theme of concern became evident across the various media platforms in Australia. Our overall medal tally at the Olympic Games has declined since its peak of 58 in Sydney in 2000, with 49 in Athens in 2004, 46 in Beijing in 2008, 35 in London in 2012, and now 29 in Rio.

    The final medal tally in Rio puts Australia in 10th place with eight gold medals, 11 silver and ten bronze, well behind the Australian Olympic Committee’s predictions of 13 gold and 37 medals. Australia’s performance wasn’t too bad considering our population size, but we were miles behind the two countries with the most gold medals. First place was the usual victors, the U.S.A, with 46 gold and 121 medals overall. Second place was the U.K., with 27 gold and 67 medals overall.

    Australia is a proud sporting nation, and part of our national identity has taken a hit seeing the sharp decline in Olympic glory this century compared to the ongoing ascension of the U.S. and the U.K.

    The U.S. has increased their tally from 37 gold and 93 medals in 2000, while the U.K. has dramatically improved from 11 gold and 28 medals overall back in Sydney. We used to be better than the U.K., not even that long ago, and now we are not even close. Let’s not even get started on ‘The Ashes’, where we have now lost five of the last seven test cricket series to England dating back to July 2005.

    If we were to look at these statistics alone as a measure of a country’s overall success, then it is a worrying trend for Australia and a very positive sign for the U.S. and the U.K.

    If we wanted to reverse this trend, it would be essential to figure out precisely what the U.S. and the U.K. are doing right and try to emulate what they are doing to get closer to their levels of success in the future. It would come down to spending more taxpayer’s money on:

    1. improved programs to get people to participate more in a sport at a young age,
    2. enhanced facilities to increase opportunities to excel,
    3. improved coaching to help bring out the best in athletes, and
    4. more focused investment towards the sports and top athletes with the highest potential of producing multiple gold medals at the Olympic Games.

    The problem is that we have already tried to do this, with the Australian Sporting Commission following the lead of the U.K.’s recent success with their own ‘Winning Edge’ program. But, unfortunately, in the four years leading up to Rio, this program unevenly distributed $340m towards summer Olympic sports. These events were the ones that Australia had a better chance to win in, such as Hockey, which cost us $28million for zero medals.

    At over $11million of taxpayers money per medal won in Rio, it becomes crucial to wonder if the extra cost is worth it or if there are better ways that Australia can measure ourselves or improve on the world stage?

    What if there was a medal tally for non-Sporting indicators of success?

    1. Gross Direct Product

    Traditionally, apart from Olympic Glory, Nations have utilised their Gross Direct Product (GDP) to compare themselves to other countries and show the world how successful they are. Considering the nominal GDP of all nations in 2016, the U.S. once again smashes the field and collects the gold medal with $18,558,130,000,000. China collects the silver with $11,383,030,000,000. Japan picks up the bronze with $4,412,600,000,000. The U.K. comes in fifth place with $2,760,960,000,000, and Australia is lagging again in 13th place with $1,200,780,000,000.

    Per capita, the country with the highest GDP is Luxembourg with $101,994, Switzerland is second with $80,675, and Qatar is third with $76,576, based on the 2015 International Monetary Fund 2015 estimates.

    Let’s look at GDP calculations that consider purchasing power parity (PPP) relative to inflation rates and local costs of goods and services. China picks up the gold, the U.S. is relegated to silver, and India comes from nowhere into the bronze medal position. The U.K. drop to ninth, and Australia drop down to 19th.

    Per capita adjusted for PPP, Qatar wins the gold, Luxembourg pick up the silver, and Singapore takes home the bronze, based on the 2015 estimates provided by the International Monetary fund.

    2. The Human Development Index

    The United Nations no longer believe that GDP should be the sole factor when determining which countries are best at helping their citizens develop. Instead, the Human Development Index considers GDP at purchasing power parity alongside life expectancy, education and adult literacy levels. As a result, based on the 2015 results, Norway picks up the gold, Australia claims the silver, and Switzerland the bronze.

    Notably, Australia’s score has slightly improved each year from 2013 to 2015, a good indication that we are not in an overall decline as a nation. Our ranking has also improved from 4th in 2008 to 2nd from 2009 onward. Meanwhile, the U.S. rank 8th in the world, a significant drop from their bronze rank in 2013. The U.K. is 14th, a massive jump from 27th in 2013.

    Once inequality is taken into account, the average level of human development in Australia is 2nd in the world. Norway wins the gold again, and the Netherlands step up to claim bronze. The U.K. drop down to 16th in the world, and the U.S. slide down to 28th.

    What other factors could we also compare nations on to see how Australia stacks up?

    3. The World Happiness Report

    The first World Happiness Report was released in April 2012 after a resolution in July 2011 invited member countries to measure their citizens’ happiness levels and use these findings to guide their public policies. Reports are now issued each year, with the 2016 release considering six main elements as crucial to how successful we can perceive a Nation. These elements are:

    1. GDP per capita
    2. Level of social support
    3. Healthy life expectancy
    4. Freedom to make life choices
    5. Level of generosity
    6. Trust, or perceived absence of corruption in government and business

    Based on the results of this report, Denmark wins the gold medal, Switzerland get the silver, and Iceland the bronze. Australia is currently in 9th place, with the U.S. 13th and the U.K. 23rd.

    Once again, Australia has improved slightly since the last report, a good indicator that we are not rapidly declining as a country. The U.S. and the U.K. are both on the decline. No nation has taken a more prominent hit recently than Greece. Their significant financial difficulties are beginning to influence the social fabric of the country.

    Surely overall Happiness, as measured by these factors, is more important than sporting or Olympic success. Assuming this is true, shouldn’t we be emulating Denmark or the other seven countries ahead of us on this instead of trying to look up to the U.S. or the U.K.?

    4. The Happy Planet Index

    The Happy Planet Index has a slightly different take on what matters most, and to them, this is sustainable well-being for all. They combine life expectancy with individual levels of well-being adjusted for inequality of outcomes within a country and divide this by their ecological footprint to obtain the overall result on the Happy Planet Index. Most Western Countries fare poorly on this scale, with Costa Rica winning the gold, Mexico the silver, and Colombia the bronze. The U.K. is 34th, with Australia and the U.S. far behind in 105th and 108th place.

    Australia does okay in three out of the four items that make up this scale, coming in 7th place at 82.1 years for life expectancy, 11th place at 8% for inequality, and 12th place at 7.2/10 for subjective well-being. However, our ecological footprint, 139th out of the 140 countries included in the data, really lets us down. Only Luxembourg is worse. The U.S. isn’t much better with its ecological footprint, coming in 137th place, while the U.K. is slightly better, currently in 107th place. More needs to be done by these Western countries to reduce the ecological footprint that they are having on our planet. Haiti wins gold for the most negligible environmental footprint, with Bangladesh the silver and Pakistan the bronze.

    For subjective well-being, Switzerland wins the gold with a score of 7.8/10, Norway gets the silver with 7.7/10, and Iceland claims the bronze with 7.6/10, well ahead of the U.S. (7.0/10) and the U.K. (6.9/10).

    For the least inequality, the Netherlands claimed the gold with 4%, Iceland the silver with 5%, and Sweden the bronze with 6%. The U.K. is 19th with 9% inequality, and the U.S. is 34th with 13%.

    Lastly, Hong Kong claims the gold with 83.6 years for life expectancy, Japan the silver with 83.2 years, and Italy the bronze with 82.7 years. The U.K. is 24th with an average life expectancy of 80.4 years, slightly ahead of the 31st ranking for the U.S. with 78.8 years.

    5. Health System

    If we were to think of ways to improve our quality of life further, having a sound health system should be a top priority, yet none of the U.K. (18th), Australia (32nd), or the U.S. (37th) can claim a medal based on the World Health Organisation’s 2000 ratings. So instead, France gets the gold, Italy the silver, and San Marino the bronze.

    6. Academic Performance

    Equally critical to the future of a country should be a good quality of education at the primary, secondary and tertiary levels. When it comes to the 2014 OECD global education rankings, the U.K. is 20th for maths and science, and 23rd for reading, while the U.S. is 28th for maths and science, and 24th for reading. Australia doesn’t fare much better, coming in at 14th in maths and science and 13th in reading.

    More worryingly, Australia has dropped from 6th in maths, 8th in science and 4th in reading in the year 2000. When it comes to schooling, we seem to be declining as a nation and are now 17th for the percentage of students acquiring at least the necessary skills in these areas. We are also 19th in secondary school enrollment rates, behind both the U.S. and the U.K.

    For reading, China claims the gold medal, Singapore collects the silver, and Japan the bronze. Singapore claims the gold, Hong Kong the silver, and South Korea the bronze for maths and science. South Korea was very similar in their academic performance to Australia back in 2000. Although their increase and our decrease may not seem like such a big deal, a 25 point improvement on what is known as the PISA tests would lead to an approximate expansion of $4.8 trillion to Australia’s GDP by the year 2095. Education matters.

    7. Global Gender Gap Index

    Based on the 2015 data, Iceland wins the gold with the slightest gender gap between males and females of 88.1%. Norway the silver with 85%, and Finland the bronze, with 85% also. The U.K. rank 18th with 75.8%, the U.S. 28th with 74%, and Australia 36th with 73.33%.

    Regarding the gender gap, Australia has improved in their score from 72.41% in 2008 but have dropped 15 places over those seven years. We are closing the gender gap at a much slower rate than many other countries. We’re now 32nd in economic participation and opportunity, 1st in educational attainment, 74th in health and survival, and 61st regarding political empowerment.

    8. LGBTIQ Rights

    Based on the first countries to legally recognise same sex-unions, Denmark gets the gold, Norway the silver, and Sweden the bronze.

    These countries also had to have legalised same-sex marriage and allow same-sex couples to adopt a child to qualify for a medal. In addition, they must have LGB individuals who can serve in the military and ban all anti-gay discrimination. They must also have legal documents be amended based on an individual’s recognised gender without the need for surgery or hormone therapy.

    The U.K. nearly ticks all of these items, except same-sex marriage is still illegal in Northern Ireland. Same-sex marriage is now legalised in Australia, finally. Apart from some tribal jurisdictions, the U.S. now has legalised marriage but still has some laws that discriminate based on gender identity and expression, as does Australia.

    9. Refugee Resettlement Actions

    By the end of 2014, one out of every 122 people were internally displaced, a refugee, or seeking asylum, with half of these refugees being children. Wars, persecution and ongoing conflict now mean that we have more people than ever trying to reach safety and begin their new lives in a foreign land, with 59.5 million forcibly displaced in 2014 alone. In addition, due to their proximity to Syria, both Lebanon and Turkey are taking in vast amounts of refugees annually, with 1.59 million Syrian refugees in Turkey at the end of 2014, and more than 25% of Lebanon’s overall population is Syrian as of the 24th of September 2015.

    Based on this article, Germany should win gold, Sweden silver and the U.S. bronze. Meanwhile, the recent Brexit scandal was related to the U.K. not wanting to take on as many refugees and immigrants. Australia’s treatment of refugees and asylum seekers, especially the children, is so notoriously bad that China (not always the best for human rights issues) and the United Nations have publicly spoken out against it.

    10. Freedom of Press

    Based on the 2008 results, Finland and Iceland both get the gold medal, with Denmark and Norway taking home the bronze. The U.S. was 9th best, the U.K.10th, and Australia 13th.

    11. Lowest Infant Mortality Rates

    According to the 2015 estimates provided by the CIA World Factbook, Monaco wins the gold with 1.81 deaths per 1000 live births, Iceland wins the silver with 2.06, and Norway and Singapore both claim the bronze with 2.48 per 1000 live births. Australia is 31st, with 4.43, the U.K. is 32nd with 4.44, and the U.S. is 50th with 6.17 deaths per 1000 live births.

    12. Soundness of Banks

    Based on the 2009 World Economic Forum rankings on a scale from 1 (banks need more money) to 7 (banks are generally sound), Canada picks up the gold with a 6.7/7, New Zealand the silver (6.6/7), and Australia the bronze with 6.6/7. The U.S. comes in at 108th with a rating of 4.7/7, and the U.K. is 126th with a score of 3.8/7. Resilient financial systems are crucial for economic stability, and unstable or unregulated systems were the main culprits in the 2008 financial crisis.

    13. Unemployment Levels

    Based on 2015 figures, Qatar gets gold with 0.4%, Cambodia the silver with 0.5%, and Belarus, according to their 2014 data, get the bronze with 0.7%. By March 2016, Australia’s unemployment rate is 5.8%, slightly worse than its 31st ranking in 2013 with 5.7%. In 2013, the U.K. and U.S. were 44th and 45th with 7.3% each. However, as of July 2016, the U.K. has improved their rate to 4.9%. The U.S. has improved theirs to 5.0% by April 2016.

    And the overall winner is Norway!

    Final medal tally:

    Country Gold (3 pts) Silver (2 pts) Bronze (1 pt) Total points
    Norway II III II 14
    Iceland II II II 12
    Switzerland I II I 8
    China (excl. Hong Kong) II I 8
    Denmark II I 7
    Qatar II I 7
    Singapore I I II 7
    U.S.A I I I 6
    Australia II I 5
    Hong Kong I I 5
    Luxembourg I I 5
    Netherlands I I 4
    Finland I I 4
    Japan I II 4
    Sweden I II 4
    Italy I I 3
    U.K. 0

    Conclusion:

    Australia is doing alright. We aren’t the best country in the world in any of the critical issues that I’ve analysed. Depending on what it is, we could learn a lot from whoever is ahead of us in the rankings, especially Norway and Iceland. This would be much better than always just trying to emulate the U.S. or the U.K. or overreacting to the media every time they catastrophise and tell us that the apocalypse is near.

    Worldwide murder rates (per capita) have declined since the fourteenth century, especially since the 1970s. In addition, higher levels of equality and rights have been achieved across the globe for different races, ethnic groups, females, spouses, children, people with disabilities, and animals, with some countries being more progressive than others.

    Australia still has a long way to go as a Nation. We could be healthier, including have better mental health, indigenous health and well-being. We could have improved climate change policies, LGBTIQ rights, gender equality, refugee and immigration policies, and other areas where people are mistreated.

    At least with the National Broadband System, a higher percentage of the population will have access to a reliable internet connection. It could help more people become better informed, talk about the critical issues through social media, put more pressure on the politicians, and bring about more rapid social change.

    I invite you all to speak up, take action, and follow in Mahatma Gandhi’s footsteps in being the change that you wish to see in the world.

    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