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June 2, 2020 By Susan O'Grady Leave a Comment

Third Ear Listening: Ethics and Teletherapy in Quarantine

Social distancing due to COVID-19 has caused a radical shift in our work as psychologists. In talking with other therapists, I’ve found that many of us are feeling the strain of doing therapy by teleconferencing. Talking with our clients via a one-dimensional digital representation lacks the subtle interpersonal interaction and relationship that characterize psychotherapy. By now, we’ve created a facsimile of our psychotherapy office that accommodates teletherapy where we try to listen with free hovering attention sitting in front of a screen with a camera, microphone, and perhaps earphones.

Video can be taxing due to the way digital images are encoded, which cause artifacts such as blurring, freezing, and audio that doesn’t always sync. We miss the powerful nonverbal communications that shed so much light on the intangibles of what might be contributing to a person’s issues. A blush, an eye-roll, a tear welling up, the fidgeting of someone with a secret, the nervous giggle, or shy smile—these nuanced communications can give us insight and aid our understanding of unconscious dynamics.

Whether in person or over the phone, we can still be attuned to our clients in the moment. In my psychotherapy practice, I have been influenced by Theodor Reik and his book Listening with the Third Ear (1943): 

We are… encouraged to rely on a series of most delicate communications… collecting all our impressions; to extend our feelers, to seize the secret messages that go from one unconscious to another. . . . The student often analyzes the material without considering that it is so much richer, subtler, finer than what can be caught in the net of conscious observation. The small fish that escapes through the mesh is often the most precious. 

Important in adjusting to providing teletherapy that most approximates in-person sessions is solving technical problems while paying attention to ethics (see updated information on ethical practice from the American Psychological Association) and HIPAA compliance. Some of these issues include:

  • Deciding on a HIPAA- compliant secure videoconference platform such as VSee, Zoom, Doxy, or Simple Practice (which I use.) 
  • Ensuring good WIFI (I had to buy an extender because my home office’s connection was sluggish and intermittent) and closing all other browser windows 
  • Learning how to code for insurance reimbursement
  • Giving clients clear instructions on how to access our video link and what to do if we get disconnected
  • Creating  a telehealth consent form and discussing potential risks and limitations of treatment 
  • Discussing safety plans
  • Confirming with clients how to ensure privacy and security before, during, and after our video call. 
  • Clarifying how to send payment
  • Asking for ID from new clients to confirm they live in California (unless we’re licensed to provide service in another state)

Other telehealth considerations have to do with making the session work visually. We’ve learned to position screens so the camera catches us from above and doesn’t show a double chin. To see each other clearly,  we’ve learned to position the lighting behind our screen, and when necessary, have instructed clients to do the same. To lessen distraction and be better present in the session, we avoid glancing down at our own image. Though it’s impossible to make real eye contact in a video call, we can better focus on a patient’s facial expressions by minimizing their image and moving it up the top of the screen nearer to the camera. This helps with connection, even if we can’t pass a tissue when we see our client cry. I have also discovered that sitting a little way back more clearly echoes sitting somewhat apart, as we would in person. There is more of a space between us. 

But there’s no new thing under the sun, and telemental health has been used for decades. Before smartphones, video chat, FaceTime, or Zoom, therapy via landline improved access to care, offering a cost-effective alternative to in-person therapy in many situations and populations. In Mules of Love (2002), Ellen Bass — poet and co-author of The Courage to Heal — wrote about the possibilities for therapeutic connection even across a seemingly impersonal, clunky telephone line:

Phone Therapy

I was relief, once, for a doctor on vacation

and got a call from a man on a window sill.

This was New York, a dozen stories up.

He was going to kill himself, he said.

I said everything I could think of.

And when nothing worked, when the guy

was still determined to slide out that window

and smash his delicate skull

on the indifferent sidewalk, “Do you think,”

I asked, “you could just postpone it

until Monday, when Dr. Lewis gets back?”

The cord that connected us—strung

under the dirty streets, the pizza parlors, taxis,

women in sneakers carrying their high heels,

drunks lying in piss—that thick coiled wire

waited for the waves of sound.

In the silence I could feel the air slip

in and out of his lungs and the moment

when the motion reversed, like a goldfish

making the turn at the glass end of its tank.

I matched my breath to his, slid

into the water and swam with him.

“Okay,” he agreed.

During this global crisis, doing psychotherapy so differently from our usual way of working requires facile adaptability, even once the practicalities are solved. But we can rely on our ethical principles to give us, and our clients, a safe and secure way to experience the moment. By endeavoring to listen and respond with the Third Ear, we strengthen our ability to make a healing therapeutic connection. In fact, being forced into this situation may reveal the usefulness of teletherapy that will last well beyond COVID-19.

This article was originally published in The Contra Costa Psychological Association Newsletter, May 2020.

Filed Under: Blog, Dr. Susan O'Grady's Blog, Psychotherapy, Stress, Uncategorized Tagged With: Psychologist Ethics, Telemedicine, Teletherapy, Third Ear Listening

May 11, 2017 By Susan O'Grady 5 Comments

Anxiety Knows No Age Limits: Each moment is all we really ever have

We all get anxious from time to time. Even mild panic that’s morphed from mere anxiety is normal. Most often, though, anxiety will peak right before an event that makes us worry, such as an exam or dinner party—a kind of anticipatory anxiety—and then fade 10 minutes into the event. The ebb and flow of anxiety can be unpleasant but usually isn’t a major concern.

But the usual ebb and flow can worsen. According to the American Psychiatric Association’s most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-5), normal anxiety becomes diagnosable as generalized anxiety disorder when:

  • Excessive anxiety and worry occurs more days than not, for at least six months, about several events or activities (for example, performance at school or work)
  • Controlling the worry is difficult
  • The anxiety/worry includes at least three out of six symptoms (in diagnosing children, just one of these symptoms is required): restlessness or feeling on edge; being easily fatigued; difficulty concentrating, or the mind going blank; irritability; muscle tension; sleep disturbance
  • These symptoms cause significant distress in functioning
  • The disturbance isn’t related to medication, drugs, or a medical condition
  • The disturbance isn’t explainable by another mental disorder

I recently saw an 88-year old woman who was referred by her internist for anxiety. Her primary symptoms were her mind going blank, trouble letting go of thoughts, and agoraphobia (the desire to avoid leaving her home). The usual culprits were ruled out: hyperthyroidism, a medication side effect, or, given the client’s advanced age, dementia.

Composedly, my client said her anxiety came from feeling pressured to do more, and a sense of failure for not being good enough. This surprised me; I had expected her to talk about a fear of approaching mortality.

It’s a psychologist’s job to ask the hard questions, the ones that seem most obvious—the ones most friends and family wouldn’t touch for fear of making the person feel worse. So, I gently inquired if some of her anxiety could be related to thoughts about aging and death. But my client was quite definite that that was not the case! Her physician had assured her she would live to be 94 years old. I did a quick calculation—math was never my strength as I still count in my head with little dots—and determined that would give her five more years. Wouldn’t such a short countdown to death be enough to bring about anxiety, I still wondered?

Another job of a psychologist is not to jump to conclusions or make assumptions. Using inquiry, we ask for further thoughts, feelings, and associations. Some of her anxiety, she acknowledged,  was longstanding, but a new worry was that she was no longer as interested in venturing from home. What was this about?  Was she worried about taking a fall, breaking a bone, and ending up in the hospital? Again, no, it wasn’t fear that losing her balance and falling would lead to death because she knew that it most likely would. Anyone who reaches the age of 88 has seen in their own peer group how a broken hip can spiral downwards to a skilled nursing facility, with all the loss of dignity that brings.

Perhaps the most important part of our job as a psychologist is to trust that our clients know what they’re talking about. That trust is huge because it eventually leads us to an understanding of what is going on inside, in the deeper places we can touch if given time and attention. It turned out that my client’s anxiety was about just what she’d said it was. She was feeling like she should be doing more, going out more, and accomplishing more. Until she retired 23 years ago, she had been very productive in her job as an accountant. She loved her work, and she loved her retirement. She hadn’t slowed down in retirement until recently. She couldn’t understand the desire to just stay home. It was unlike her, and she felt she should be keeping up the pace she was accustomed to.

We discussed her symptoms; a mind going blank can be due to anxiety, and also to what my neuropsychologist husband refers to as benign senescent forgetfulness. (He tells me I have a mild case of it—our brains shrink as we get older, it’s entirely normal.) I also recommended that she turn off CNN. I wasn’t being flippant: Non-stop watching the news these days is making a lot of us anxious. Being bombarded with daily images of worldwide pain and suffering pervades our senses and creates disturbances that go deep into our unconscious minds, harming emotional health.

What about not wanting to leave the house? She wasn’t worried about going outside, but rather, as we figured out together, she desired to retreat from the world, to reflect and take time to appreciate her many gifts: a life well lived, a 65-year marriage to a good man, and her overall sense was that she had had a good, if not perfect, life. It was time to turn inward a bit more and let herself off the hook. Over the next several weeks, we explored how she could do just that.

Acceptance of who we are, imperfect and flawed, allows us to live more fully each moment, for as is said in mindfulness practices, each moment is all we really ever have.

Filed Under: Couples & Marriage & Family, Depression & Anxiety, Dr. Susan O'Grady's Blog, Health Psychology, Mindfulness & Meditation, Relationships, Self-care, Stress, Uncategorized, Well-being & Growth

February 7, 2017 By Susan O'Grady 4 Comments

Working with Emotions: How mindfulness and awareness help

hiding from emotions is never a good strategy
Hiding from emotions is never a good strategy

Bringing the hidden to light is an important part of psychotherapy, sometimes achieved through focus on intellectual reflections. But in recent years, mindfulness-based therapies emphasize awareness of how feelings and physical sensations are related. It is enlightening to notice what happens in the body when we feel strong emotions.

As an example of how lack of mindfulness can hurt, I would sometimes react with anger at my husband when he disagreed or corrected me. But rather than seeing my point of view, he only experienced my anger as defensiveness, while I experienced him as overbearing. The result was that I felt worse.

This pattern continued until I learned to slow down my automatic reaction of anger, by becoming aware of the physical sensations that accompanied my feelings. This allowed me to become aware of the small, fleeting, and easily overlooked span of time between my internal commentary about his comment and my emotional reaction.

What was surprisingly helpful in doing this was to become aware of physical sensations; in mindfulness practices, we call this “mindfulness of the body.” Sleuthing out my emotions when corrected by my husband, I could actually feel my hackles go up. It was subtle but unmistakable.

Sensing our Hackles Before a Fight

When a dog’s hackles go up, the hair between their shoulder blades becomes erect as an automatic reaction to feeling threatened. As Adrienne Janet Farricell, a certified dog trainer explains, special muscles attached to hair follicles “are innervated by the sympathetic branch of the autonomic nervous system and are therefore not under conscious control. The function allows the dog to appear larger, taller and therefore more intimidating than it is. This is a ‘fight or flight’ response triggered by adrenaline.”

Paying attention to my physical response after my husband criticized me, I began to sense that distinct feeling of my hackles going up. But what surprised me even more was what followed:  I felt myself contract, my shoulders dropping and my chest becoming slightly concave. I submitted instead of fighting, just as a dog lies submissively on the ground. In the animal world, cowering is a useful and self-protective signaling “I am not a threat to you, so you don’t need to attack me.“ But when we humans do that, we lose some of our power.

Paying attention to this small and subtle sequence of physical sensation help us notice the physical reactions that often precede the ultimate expression of strong emotion. Without being aware of how we succumb to our initial reactions we are unable to address the problem that’s making us react.

Making the automatic conscious is liberating on many levels. First, we gain some control over our automatic responses—something dogs cannot easily do. Second, greater physical and emotional awareness lets us link direct relationship to felt experiences. Being able to name an experience or find an image for it, as I did with the hackles example, opens our understanding, bringing meaning to what on the surface looks like plain old anger.

It is important to know that an angry outburst is not always a bad thing. Anger is a reaction that often stands in for other feelings that are less available to us. Let’s imagine a typical couple’s situation of the sort I see in my practice.  When Jill got angry at Sam, she didn’t always stop to feel what that anger signified. Their arguments escalated as they each get more flooded with emotions. But when Jill reflected on her anger, her felt-sense was of being small, childlike, and without a voice of her own. Childlike? Sure enough, just as she’d felt in her family growing up with three older brothers, she experienced Sam as being dismissive of her opinions and dominating her in a situation where she was powerless.

Sam, meanwhile, had no idea she was feeling this way, because all he saw was her childish, to him, outburst. He tagged Jill as being easily out of control, making him feel all the more self-righteous toward her, which further reinforced Jill—and Sam–feeling like Jill was the problem in the relationship. Sam was off the hook, and did not have to look at his role.

Pausing Before Reacting

As this example shows, our reactions and feelings may mean more than we consciously know. In some traditions such as Tibetan Buddhism, mindfulness translates as “to remember.” This process of witnessing our emotions and our physical sensations requires remembering to push the pause button before our automatic reactions take hold. In a disagreement between couples, this may mean agreeing to a time-out, or the pause may be as subtle as one breath—a period between two sentences. Pausing gives us the space to be aware without becoming stuck in automatic reactions, attacking back, or inwardly growing smaller and losing the essence of our feelings, which are usually quite valid.

This pause also gives us time to consolidate our understanding of our self. Jill recognized an old memory: that of being discounted, unheard, or dismissed. She also understood that when anger dominates, the more important issues get lost.

Being Alert to Underlying Emotions

Of course, staying calm while having hard conversations can be challenging. It helps to recognize the early and subtle signs that you are becoming flooded. Once flooded, meaningful conversations come to a grinding halt or turn into a yelling match. Be alert for automatic reactions. Remembering to pause before automatically reacting allows us to tune into the deeper, less conscious feeling: what emotions and what physical sensations are triggered?

At this point, we have a choice. We can either use our awareness to ask directly for a bit of time to get back in emotional balance before continuing. Or, we can use the pause to go deeper into what may be coming up from within. This doesn’t have to be a lengthy process; with practice, that pause can take mere seconds for insight to come.

And in that pause, when we bring awareness to physical sensations like raised hackles or a churning gut, we can use these as signals to look more deeply into our role in what is getting triggered. Too often our automatic response is to assume fault lies outside us, not within. As Cassius says, “The fault, dear Brutus, is not in our stars, but in ourselves.”

While taking responsibility for what is arising in us, we also need to be aware of its impact on others. When we do this, hackles go down and the back and shoulders lengthen, bringing real power, liberating the Self to be more fully alive and present. Our defense mechanism was only masquerading as power, and that briefly.

What is Your Role?

Taking responsibility does not result in guilty self-recrimination but liberation and power. Once we take ownership of our contribution to conflict, we can more readily bring insight and thus control over our automatic reactions. It may reveal qualities within us that are active and useful in opening us up to be freer, more whole in ways we‘ve barely glimpsed.

Being aware of our default defense mechanisms can help us deal more effectively with difficulty. While many defenses help us cope—psychologists call this defense in service of the ego—they can backfire and hurt us. Because defenses are unconscious, it’s difficult to be aware when they emerge. The best clue that our defenses are lurking is when we react with strong emotions or behaviors, such as rage or sharp criticism.

Some of the most common defenses are projection and denial. They are related in that both mechanisms protect a person’s sense of self by attributing to another (projection) or rejecting (denial) their own unacceptable impulses or feelings, which are made unconscious. Let’s see how that worked with Amie and Jon, who were locked in a cycle of blame when they came to counseling. Amie saw Jon as extremely self-centered, and Jon felt Amie was too emotional, always criticizing him and trying to control him; meanwhile, each felt innocent of playing a role in this cycle.

With therapy, both Jon and Amie could see how they projected unacknowledged parts of themselves onto the other. Amie never gave herself permission to ask for time to be with her friends or to play. She then criticized Jon for taking time for himself instead of spending time with the family. Further examination revealed that Amie’s mother was a martyr and never let anyone in the family forget it. Amie grew up feeling that taking time for herself was selfish. She denied feelings of wanting to take time for herself and projected her anxiety about selfishness onto Jon. Meanwhile, Jon disowned his own anger by projecting it all onto Amie.

This dynamic created misunderstanding and distance. Once both Amie and Jon saw their role, they not only reduced conflict but had more access to dormant passions. Replacing anger with understanding brought new ways of relating. Sex reentered the marriage, along with play and a deeper acceptance of each other.

When your hackles go up–whenever you have a strong emotional reaction–you have an opportunity to learn something new. By pausing and paying close attention to your bodily sensations and your thoughts, you can discover something unexpected, something that ultimately empowers you.

Filed Under: Couples & Marriage & Family, Depression & Anxiety, Dr. Susan O'Grady's Blog, Mindfulness & Meditation, Psychotherapy, Relationships, Stress, Uncategorized, Well-being & Growth Tagged With: Conflict in Marriage, Couples, Couples Communication, Dealing with Conflict in Marriage, Flooding, Mindfulness, Mindfulness-Based Stress Reduction

January 26, 2016 By Susan O'Grady 10 Comments

The Elusive Muse: Reclaiming creativity and focus

NorthernLights
Photo by Marcelo Quinan, Unsplash

For three months, I’ve resisted writing. I sat at my desk or the kitchen table—my favorite place to write—to compose an essay, but distraction beckoned me at every turn. The muse, that slippery, elusive impulse to create words from experiences and observations, had gone missing. Each week I’d tell myself that I’d write over the weekend, and Sunday night would come with nothing to show.

Wonderful ideas came at moments in my psychotherapy work, or on a hike, or in conversations with friends. I had flashes of insight, but writing them down was the tricky part. I used apps like Evernote and Pocket to collect interesting, pertinent articles to reference. I’d write a few lines and a title, but not finish the post. In fact, my Mac desktop became so cluttered with ideas and open pages that I was overwhelmed with all the fragments of potential posts staring back at me, giving me a glimpse into the world of attention deficit disorder (ADD). The mindscape becomes so cluttered with snippets of thoughts and ideas that nothing sticks for long, and nothing gets finished.

When Ancient Greeks needed inspiration, they’d call upon the muses. The one I’ve been needing is Calliope, the goddess of epic poetry and eloquence. Socrates said that when a muse takes hold of us, we’re compelled to create.

It would be great if invoking the muse were all there was to it. But the muse alone is not enough. Focus and perseverance provide the steam, the energy that gets things going. As Victor Hugo said, “Persistence is necessary to accomplish most anything of value.”

Claude Monet (1840–1926) offers a good example of persistence. He painted his garden at Giverny, France, with its beautiful water lilies, some 250 times over the last 30 years of his life. Some water-lily paintings were enormous murals, some were smaller canvases. “Know that I am absorbed by work,” he wrote in a 1908 letter, when he was 68. “These landscapes of water and reflections have become an obsession. It is beyond my power as an old man, and yet I want to arrive at rendering what I feel. I have destroyed some. . . . Some I recommence . . . and I hope that after so many efforts, something will come out” (quoted in Monet, Narcissus, and Self-Reflection: The Modernist Myth of the Self by Steven Z. Levine, p. 206).

Despite being displeased with his work, feeling that it failed to capture his intentions, and despite the cataracts that plagued him until a 1923 operation, Monet persisted. And he succeeded in creating some of the world’s most famous and best-loved art: his water-lily paintings hang in museums all over the world.

Monet found his work absorbing to the point of obsession even when he had to destroy canvases. Many people, though, find it hard to persist in tasks that are unrewarding.

In my three months of a writing slump, I did not persist. I gave up when the writing didn’t come easily. Sitting at the computer to write, I gave in to mind-numbing web browsing.

I had distractions besides the internet. Of course, I work nearly full-time as a psychologist, and have home and family obligations. The holidays took over a big portion of my attention, updating my software entailed much time-consuming tinkering, and my 24-year-old daughter told me she was leaving to work on an mhealth project in Darfur, Sudan, to help the 90,000 displaced people living in refugee camps. I learned a lot in the last month about that region’s history and its genocides. Letting young adults make their own choices is the right thing to do…but still, I kept searching for recent news from Sudan, and that was a big distraction from my own writing.

At one point, my friend Sarah told me, “Susan, I think you need to get back to your blogging—besides, we all miss your posts.” In Walking on Water: Reflections on Faith and Art (WaterBrook Press, 2001), Madeleine L’Engle quotes an unknown writer on the subject of discipline: “If I leave my work for a day, it leaves me for three,” going on to cite Arthur Rubinstein: ”If I don’t practice the piano for one day I know it. If I don’t practice it for two days my family knows it. If I don’t practice it for three days, my public knows it” (p. 196). By that formula, I will need a lot of catching up to do. But fortunately, I love to write, and I sense that the muse is not lost. She may have been taking a break, but she is near.

I have learned a few things over these last few months about how to make space for the muse to re-enter. Some ways to refocus:

  1. Tidy your computer’s home screen. Close all windows except the document you are working on; turn notifications off. Open a browser window only if it relates to your project. You can also try an app that blocks distractions.
  2. If you have a noisy environment, try headphones and/or closing the door to minimize distractions.
  3. Keep a regular schedule. As William Faulkner said, “I only write when I am inspired. Fortunately I am inspired at 9 o’clock every morning.” Return to that schedule after vacations, holidays, or sickness.
  4. If you’re having trouble finding sustained time to write, try working in “chunks.” Break up your writing task into manageable pieces that you can accomplish in half an hour or 45 minutes. Then, knowing you have (say) half an hour before starting dinner, you can work on a half-hour chunk.
  5. Be mindful of self-care—get good sleep, eat well, exercise, and make time to relax.
  6. Don’t call your mother unless you’ve finished your writing task for the day.
  7. Cultivate will power and self-control.
  8. Write even when you don’t feel inspired.

One of the reasons that mindfulness has gained such traction is that most of us know we are only half awake. We use only a small part of our mental and physical resources. As William James wrote, being cut off from our creative resources leads to feeling as if a “sort of cloud weighed upon us, keeping us below our highest notch or clearness in discernment, sureness in reasoning, or firmness in deciding.” On Vital Reserves: The Energies of Men (The Perfect Library, 1833).

James observed, that in a single successful effort of will, such as saying ”no” to mindless temptation, we gain vitality and reanimate our energy for days and weeks, giving us a new range of power. Giving in to habitual avoidance behaviors, only provides temporary escape, and ultimately leads to fatigue and inertia. It is not what we do that causes fatigue, but what we don’t do.

Filed Under: Depression & Anxiety, Dr. Susan O'Grady's Blog, Mindfulness & Meditation, Stress, Well-being & Growth Tagged With: Depression, Mindfulness

October 28, 2015 By Susan O'Grady 3 Comments

Facebook’s False Face: Comparing our insides to other people’s outsides

Social media often contributes to feeling left out, leading to depression and social comparison.

Guidelines for Kindness When Posting

We seldom deliberately present a bad face on social media. Selfie stick in hand, we depict ourselves smiling before an elaborate, expensive meal, in front of a landmark in an exotic land, or simply celebrating with friends (which all can see, including those not fortunate enough to be present in those moments).  Accumulating ubiquitous likes and thumbs-up is gratifying in the way that cotton candy is: briefly sweet,  but fading quickly as the posts scroll by. Posts may have sad news; they may be angry, ranting, or commented on by haters, but in constructing a public version of ourselves, we promote something: a lifestyle, an idea, or an image.

First generation Face bookers–the early adopters—now in their twenties, have mostly abandoned it for Twitter and Instagram where they look for news in their areas of interest.  Their parents, on the other hand, who may have started a Facebook page as a means to snoop on their kids, (and friends of their kids)—are more active than ever, but for themselves now, posting about their kid’s achievements. That’s understandable. The need to know that others care about us is normal.  Seeking attention in the right way, at the right time, is healthy: An actor needs interaction with her audience; a poet wants to hear audible sighs when reading their work. In conversation, we seek reciprocity. I speak while someone listens, then I listen attentively in turn. I can tell you now, having published a blog, that I want to know that people read my posts, and it is the best when someone comments.

 No one wants to be a Debbie Downer to their friends, and no one wants to read the sad, drab, boring parts of life. So what’s wrong with shaping a good-looking, successful persona for social media? One answer: it’s depressing. The theory of social comparison suggests that we evaluate and define ourselves in relation to others, and Facebook is no exception. But if we’re always comparing our lives, which we know to be full of difficulty (unrealized dreams, illness, money problems, strained relationships, etc.) to the carefully curated, only-the-highlights lives of others, it’s easy to feel envious and depressed at how you don’t measure up.

More than that, when we’re obsessing over social media, we’re not paying attention to our own present moment. Instead, we take a mini-time travel to a future moment, imagining other people witnessing our experience, or become lost in memories, wishes, and comparisons. We become exhibitionists and voyeurs, which detaches us from other people rather than bringing us closer together.

Chao-pien was a Chinese official of the Sung dynasty and lay disciple to a Zen master. He summarized a spiritual experience in a four-line poem:

 

Devoid of thought, I sat quietly by the desk in my official room,

With my fountain-mind undisturbed, as serene as water;

A sudden crash of thunder, the mind doors burst open,

And lo, there sits the old man in all his homeliness.

                                 T. Suzuki (Essays in Zen Buddhism, Second Series (1953; reprint, London: Rider, 1970)

 

Thomas Merton unpacks this metaphor in his book The Inner Experience:

Suddenly there is a clap of thunder and the “doors” of the inner consciousness fly open. The clap of thunder is just startling enough to create a sudden awareness, a self-realization in which the false, exterior self is caught in all its naked nothingness and immediately dispelled as an illusion. Not only does it vanish, but it is seen never to have been there at all—a pure fiction, a mere shadow of passionate attachment and of self-deception. Instead, the real self stands revealed in all his reality.

A serene mind, devoid of the constant stream of media, allows us to see ourselves as we are: homely and human. The irony for those of us hoping to portray perfection is that it takes seeing our homeliness—our unpolished, unedited life—to begin glimpsing our wholeness.

When we don’t see our homeliness because we are busily posting all the good stuff, we evade the difficult yet real feelings we have, and we evade real emotional contact with ourselves and others. Our rejected, unacknowledged feelings go underground—and will pop up again as symptoms of unease. In this way, social media becomes a defense mechanism, like denial or projection.

The vivid starkness of D. T. Suzuki ‘s excerpt speaks to what we must eventually encounter when we sit alone without our devices. We see the door burst open to our humanness, in all its homeliness and ordinariness. We are fine as we are, warts and all.

Over the years I have seen clients who obsessively look at social media; some create a complete alter ego. This keeps them from true and honest relationships, even with themselves. For tips on putting down the smartphone, try this link.

Consider the following these guidelines for kindness when posting.

  1. Be considerate of others when posting photos of exclusive activities, amazing holidays, or expensive vacations—especially ones your friends can’t afford, weren’t invited to, or couldn’t attend.
  2. Don’t overshare—no one wants to see your every activity, meal, and outfit.
  3. Check your privilege. Make sure you are not being insensitive in your posting.
  4. Be genuine; avoid arrogance.
  5. Make posts that are about other people and issues, not just yourself.
  6. Try taking a break from posting.
  7. People want to see your artwork, your successes, and accomplishments, but don’t upload every single thing.

Filed Under: Depression & Anxiety, Dr. Susan O'Grady's Blog, Mindfulness & Meditation, Stress, Well-being & Growth Tagged With: Mindfulness, Relationships, Social Media, Stress

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Dr. Susan J. O’Grady is a Certified Gottman Couples Therapist

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