How to Stop Overthinking and Start Living

How to Stop Overthinking and Start Living

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Do you find yourself constantly overthinking? Does life feel overwhelming?

You may struggle with constant thoughts of “what if…” keeping you up at night. Mentally preparing yourself for the worst-case scenario, there’s a constant sense of tension in the background.

Sometimes you feel like you’ll explode, while other times, you believe your worrying is the only thing keeping everything together.

Focused on keeping things together, you’re unable to live the life you want. Deep down, you know you could be so much more focused, joyful, and free, if only the alarm bells in your mind could stop ringing all the time.

In this article, I will discuss how you can stop overthinking so you can take a breath, relax, gain inner peace, and refocus on living a joyful life of meaning and purpose.

So how do you stop overthinking and start living?

  1. Change your relationship to uncertainty
  2. Notice what is happing in the present moment
  3. Act in alignment with your values

In short, this means being open, aware, and engaged.

These three characteristics are the foundation of psychological flexibility, the core feature of Acceptance and Commitment Therapy (ACT), supported by over 330 clinical trials.

Many people try to stop overthinking through positive thinking, focusing on the breath, or through distractions. These can be helpful sometimes, but often produce limited results in the long-term because they don’t target the underlying issue.

As a counselor, I’ve seen huge results using the principles I share in this article. Noticing the power of these principles in my one-on-one work with clients, I’ve been inspired to make these ideas more accessible to a broader audience.

Let’s take a closer look at how you can apply these techniques in your own life so you can stop overthinking and start living.

Change your relationship to uncertainty

As described in my previous article on addiction to overthinking, many people consider overthinking to be a strength. As an academic, I can relate to this sentiment, but I also believe it is important to distinguish overthinking from critical thinking.

Overthinking is closed, rigid, and based on fear. It is generally unproductive and results in analysis paralysis.

Critical thinking is open, flexible, and based on curiosity. It is generally productive and results in useful information about how to proceed.

Overthinking thrives on closeness and rigidity. If we try to give the overthinking mind a false sense of certainty, it only wants more. Like giving money to someone with a gambling addiction, it only fuels its insatiable apatite.

If you’ve ever tried to stop overthinking by getting reassurance, you may be able to relate. Like an addiction, it offers short-term relief at a long-term cost.

Treating overthinking like an addiction, the problem is not thinking. The problem is your relationship to thinking. Like addiction, the problem is not the specific drug or addictive behavior. Alcohol or gambling can be used as entertainment, or they can be used to cope with underlying issues.

The problem is not the substance or addictive behavior. The problem is one’s type of relationship to that specific substance or behavior.

Telling someone to “just stop overthinking” is like telling someone with an addiction to “just stop being addicted.” Although well-intentioned, it does not address the fact that the person relates to the addictive substance or behavior to cope with underlying issues.

Are you using overthinking as a way to cope with an underlying avoidance of uncertainty?

If so, consider how it can feel productive, as if running through all of the “what if” scenarios will finally result in certainty.

What thoughts generally run through your head? What situation beyond your control is your mind trying to generate certainty for?

What is your mind telling you about the worst-case scenario?

At this point, it would be common sense to ask you to weigh the evidence for and against this worst-case scenario, but it would probably just result in another form of short-term reassurance at a long-term cost.

In the counterintuitive world of psychology, common sense is often a stumbling block.

Logic and reason become a different form of overthinking in disguise. They may give temporary relief, only fueling the underlying avoidance of uncertainty.

Trying to eliminate uncertainty through logic and reason often results in feeding the overthinking mind fresh meat. It comes back roaring with alternative scenarios trying to convince you that you’re wrong.

tiger metaphor by Steven Hayes, the founder of Acceptance and Commitment Therapy (ACT), seems fitting here.

Imagine you adopted a cute young tiger cub. It wanders through your home like a kitten, and you begin to notice it won’t stop purring loudly. The only way you can make it stop is to feed it red meat. Over the months and years, you keep doing this, but the tiger is now several hundred pounds, requiring whole sides of beef to feed its insatiable hunger. Rather than a cute purr, the tiger roars ferociously for its meat. You are terrified, so you keep giving him the meat so he will leave you alone. The more you feed it, the larger it gets, and the more trapped you become.

In this metaphor, feeding the tiger symbolizes overthinking. Constantly feeding your mind analysis and “what if” scenarios feel like you’re giving it what it needs, but in reality, the problem grows because you’re not addressing the underlying issue.

The underlying issue is the infinite desire for certainty.

Like trying to recover from a gambling addiction by winning a jackpot, there is no endpoint in the search for certainty.

The first step to recovering from overthinking requires giving up on this infinite game.

In practical terms, this means accepting uncertainty and letting go of things outside of your control. For example, choose a specific “what if” such as, “what if I run out of money and lose everything.” A common thought pattern might be overthinking all the various ways things might go wrong, then beating yourself up, and feeling ashamed.

Making peace with uncertainty means answering the “what if” with “maybe yes, maybe no.” Then, you can move forward and focus on what you can control.

Back to the example, your mind says, “… you’ll lose everything”. You can thank your mind for trying to keep you safe and gently answer, “maybe yes, maybe no, but your constant reminders are not helpful right now, so I’m just going to go over here and do this other thing right now.”

Whatever you choose to focus on can be related to the concern, but if there is nothing you can directly control right now, it means focusing on something that matters to you. We’ll discuss this more in the final section of the article.

The first step in the process is to open up to uncertainty. Although living with a big question mark hanging over your head is uncomfortable, like exercise, a healthy dose of discomfort can go a long way.

As described by Kelly G. Wilson in the book Things Might Go Terribly, Horribly Wrong:

“Learning to sit with ambiguity can be a very important start at a life liberated from anxiety—and the way to do it is to resist the urge to chase answers to questions that may actually be unanswerable.”

Notice the title of his book, “things might go terribly horribly wrong.” This is the opposite of a friend’s well-intentioned reassurance, but it is also not meant to be all doom and gloom.

Just because things might go terribly horribly wrong does not mean they will. Not accepting the fact that things might go wrong makes your problem-solving mind go into overdrive. By overthinking all the ways things might go wrong, your mind tries to gain certainty that things will work out.

Although problem-solving can be productive in many areas of life, it is unproductive to seek certainty regarding things outside your control. Rather than contributing to practical next steps, it takes your attention away from potentially more worthwhile endeavors.

Notice what is happing in the present moment

When the problem-solving mind goes into overdrive, it seeks certainty in an uncertain future. Thoughts beginning with “what if” point to potential future catastrophes.

This fixation on the future is like driving with your eyes glued to the GPS overview of your route. It can be helpful to glance at the GPS every once and a while but overthinking leads to neglecting the present. While your problem-solving mind is trying to figure out if there will be traffic holdups at some point on your journey, you miss the stop sign right in front of you.

We can easily recognize how too much of a future orientation can lead to dangerous driving, but we often neglect how it affects our daily lives.

As Lao Tzu said:

“If you are depressed, you are living in the past. If you are anxious, you are living in the future. If you are at peace, you are living in the present.”

Although you may recognize the importance of living in the present, you may be put off by practices such as meditation and breathing exercises. These approaches can be effective but are often too advanced for people who are struggling the most.

For example, if someone has ADHD or intense anxiety, jumping into meditation can have the opposite of the intended effect. This phenomenon is called relaxation-induced anxiety. On the cognitive level, it goes something like this:

Meditation instructor: “okay.. now bring your attention to the breath.”

You: “oh no, my chest feels tight… am I breathing too fast?”

Meditation instructor: “…and with each breath, you feel more relaxed.”

You: “I’m so tense… I must be doing it wrong.”

Meditation instructor: “Notice the rise and fall of your chest.”

You: “AHHH!.. It’s getting worse! Now my heart is racing!”

To avoid relaxation-induced anxiety, I generally introduce mindfulness as something distinct from meditation.

Jon Kabat-Zinn, founder of ​mindfulness-based stress reduction (MBSR), defines mindfulness as the following:

“…the awareness that arises from paying attention, on purpose, in the present moment and non-judgmentally.”

Notice how there is no mention of “relaxation” in this definition. It simply refers to paying attention to the here and now without the extra mental chatter casting constant judgments on the situation.

A practical way to pop yourself out of your head and into the present is called “grounding.” Although there are slight variations between different grounding techniques, here is a common simplified one I like to use:

Take a moment to notice some things you can see around you.

You might notice the shape, color, texture, and arrangement of the objects.

Next, bring your awareness to the things you can hear right now.

You might notice the various layers of sound: a fan humming, birds chirping, people talking.

Next, bring your awareness to the feelings in your body.

You may notice the feeling of the chair, your feet on the floor, or any tension in your jaw, hands, or shoulders/ neck.

Keeping this as simple as possible takes away the rigidness, complexity, and expectations people generally falsely associate with these types of practices.

For people who have difficulty sitting still, this can be done while walking, cleaning, waiting in line, or any other daily activity where you frequently find yourself getting stuck in your head.

This takes the practice of mindfulness off of the meditation pillow and into everyday life. It also opens up mindfulness practice to those who shudder at the idea of sitting still in silence for ten minutes.

If you are interested in trying some simple meditation practices, many people find it easier to start with guided meditation. You can check out headspace or some great guided meditations on youtube here and here.

Act in alignment with your values

Analysis paralysis is one of the biggest ways overthinking stops you from living the life you want. Stuck in your head, searching for certainty before you act, your overthinking mind is trying to protect you from disappointment while keeping you locked into old ineffective patterns.

In its search for certainty, your mind becomes perfectionistic. You put off actions that push you outside the realm of the familiar. It’s as if your mind wants to make sure you’re completely prepared before making any change, saving you from any potential failure.

“What if I try and it all goes wrong… what would that mean about me as a person?”

The fear of failure is just as strong as the fear of success.

“What if I succeed and I can’t handle the pressure… everyone will find out I’m an imposter.”

You may self-sabotage, preferring the comfort and certainty of sameness over the uncertainty that comes with change. Self-sabotage gives a false sense of control. Rather than making yourself vulnerable to someone else letting you down, we can feel like masters of our fate, even if it means our own demise.

Choosing to act also comes with heightened expectations for yourself. Since there is no certainty that it will work out, choosing to act makes you vulnerable to your inner critic if things don’t work out.

Maybe you’ve experienced situations in the past where you’ve hoped to achieve something and have been let down. This sense of disappointment can stick with you, increasing your mind’s threat detector.

It’s easier to not have something than to have it and lose it. This is the psychology of loss-aversion hard at work. Although it’s your mind’s way of protecting you, it can also keep you stuck.

Your brain’s primary job has been to keep you alive throughout evolution, not necessarily to make you feel happy and thriving. If you feel like you’re going through life in a constant state of coping and never truly thriving, this is your brain’s survival mechanism at work.

When your threat detector is highly sensitized, your overthinking mind keeps you from acting. If this is the case, it might be helpful to consider your relationship to uncertainty.

Analysis paralysis keeps you safe by avoiding the risks that come with making a change. By avoiding the pain of a potential future disappointment, you’re also avoiding the pleasure of thriving. Like an addiction, worrying provides a sort of destructive comfort. Although it’s not necessarily pleasurable, it numbs you to the larger more uncertain pain associated with the vulnerability of change.

As Brené Brown states:

“You can’t numb those hard feelings without numbing the other affects, our emotions. You cannot selectively numb. So when we numb those, we numb joy, we numb gratitude, we numb happiness. And then we are miserable, and we are looking for purpose and meaning, and then we feel vulnerable, so then we have a couple of beers and a banana nut muffin. And it becomes this dangerous cycle.”

When you avoid pain, you also avoid pleasure.

Choosing to take a step into the unknown breaks this cycle. I use the word “step” because it’s often tempting to imagine change to require a massive overhaul of one’s life. This all-or-nothing approach is the reason why New Year’s resolutions often fail.

Like the 12-step recovery saying, “one day at a time,” approaching change with this attitude makes changes more sustainable and less intimidating.

When your mind races back into the future-planning mode with the constant “what if’s” you can catch it and bring it back to the present. Then, you can ask yourself, “what do I need to focus on today?” If taking it one day at a time is too overwhelming, perhaps consider taking it one hour at a time or one moment at a time. What is the next practical step?

In completing small practical steps, you gain motivational momentum through small wins. The other aspect of motivation consists of understanding your “why.” 

As Friedrich Nietzsche states:

“He who has a why to live can bear almost any how.”

Understanding your “why” requires getting clear on your values.

As described in my article on How to Improve Psychological Flexibility, values can be found by looking at one’s role models. Pick a person you admire. What qualities of theirs do you admire? Some examples might be compassion, creativity, or genuineness.

Clarifying your values goes beyond just “niceness” or “being a good person.” These things turn values into rules, making them highly unmotivating. Instead, clarifying your values allows you to be the author of your life. What do you stand for? What quality do you want to bring forth into the world? What causes do you genuinely care about?

If you’re looking for a psychologically validated exercise to gain further clarity in this area, I recommend checking out the Self Authoring Program.

Values are something we choose for ourselves. They are not meant to be rigid, constraining, or rule-based. Although values may be culturally informed, we still have the freedom to choose what we want to stand for and how we want to show up in the world.

Rather than going through life, “just following orders,” choosing our values can give a sense of meaning, purpose, and self-determination in otherwise stressful situations.

Courage to act does not come from the absence of fear. Instead, it means acting despite the fear by getting focused on what you want and why you want it.

Conclusion

Throughout this article, I’ve discussed ways you can stop overthinking and start living the life you want.

Based on the principles of Acceptance and Commitment Therapy (ACT), I’ve summarized the three major themes that compose psychological flexibility: openness, awareness, and engagement.

In practical terms, this requires accepting uncertainty, noticing the present moment, and acting in alignment with your values.

If you want an even more in-depth overview of this therapeutic approach and its theoretical underpinnings, you can check out my article, How to Improve Psychological Flexibility.

In that article, I delve into each of the pillars of psychological flexibility, providing metaphors, practical exercises, and explanations of why it works.

I hope the information in this article has been both practical and relevant. As always, I am looking for your feedback, so I can continue to refine these ideas in future content.

Looking for Your Feedback

Are You Addicted to Overthinking?

Are You Addicted to Overthinking?

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Many people struggle with repetitive thoughts racing through their head, beginning with the phrase, “what if…”.

What if I can’t handle all of this? What If I fail? What if I’m not enough?

Whatever follows the “what if” statement generally involves the following factors:

  • An uncertain situation
  • A perceived catastrophic outcome
  • Perception of personal inadequacy  

For example, if you’re uncertain whether you’ll be able to pay the bills this month due to a shortage of work, your mind may go on overdrive, dwelling on the worst-case scenario. You imagine losing everything.

You then beat yourself up with thoughts of being worthless. Focused on these thoughts, you cannot sleep, making it more challenging to take action due to mental fatigue and feeling overwhelmed.

Overthinking is different from critical thinking. Overthinking is based on fear, whereas critical thinking is based on curiosity. The former is closed whereas the latter is open.

In our time of increasing uncertainty, anxious thoughts about the future are a common form of overthinking. On the mild end, overthinking consists of occasional worrying. On the severe end, it consists of debilitating anxiety.

According to research, roughly a third of people suffer from an anxiety disorder at some point in their life. As a counselor, this is one of the most common issues I see people struggling with, so if you can relate to this issue, you are not alone.

In this article, I use the word overthinking instead of anxiety to separate it from the diagnostic realm. Many people experience forms of worrying that do not necessarily become an anxiety disorder. High functioning anxiety is another non-diagnostic term that has been used for this issue.

Like persons with anxiety disorders, many people who regularly engage in overthinking are high functioning, intelligent, and successful in their fields. They can outwardly appear to have everything together while bottling up increasing levels of stress.

What Causes Overthinking?

As someone with an academic background, I value thinking. As I entered the counseling field, I noticed how too much thinking is part of the problem for many people. Rather than getting you closer to your goal, overthinking can cause procrastination, anxiety, and other health problems caused by stress.

Since overthinking is counterproductive, what is its purpose? What causes overthinking?

Overthinking is caused by the brain’s need to create a sense of order and certainty when faced with uncertainty. Its inability to gain certainty in uncertain situations results in a fear response, provoking further thinking to resolve this discrepancy.

For example, uncertainty regarding the meaning of one’s physical health symptoms can result in overthinking. You may turn to google, checking the meaning of your symptoms, leading to further uncertainty when told it could range from a minor infection to symptoms of a specific kind of cancer. This can then spiral you into a panic, worrying about worst-case scenarios, imagining you’re not going to survive.

Thinking can spiral into overthinking, which can spiral into panic, magnifying the physical symptoms and creating further symptoms resulting from the increased stress.

As things start to feel overwhelming, it is tempting to double down on problem-solving. But, unfortunately, since thinking likely got you into this situation, more thinking is not the way out.

Since this kind of thinking is generally focused on things outside of your control, it only gives you the illusion of control. Worrying feels productive but only digs you deeper into the anxiety pit.

Is Overthinking an Addiction?

Recently, I discovered how overthinking is a form of addiction.

As an addiction counselor, I understand addiction as the continued use of substances or addictive behaviors despite adverse consequences. The addiction creates an illusion of control while leading to the loss of control over one’s situation.

Consider how overthinking does the same thing. Many people continue to worry about a situation, despite the negative consequences of this worrying. Worrying can make you feel like you are productive when in reality, it takes away from your ability to take action on things within your control.

This way of conceptualizing overthinking goes deeper than just surface-level similarity.

According to Judson Brewer MD PhD in his new book Unwinding Anxiety, worrying is a form of addiction. Like playing a slot machine, it is unproductive in the long-term, but worrying sometimes results in perceived random payoffs, keeping you hooked.

For example, perhaps you are worried about not getting a promotion at work, and then you get the promotion. Although your worrying did not necessarily cause the promotion, they become associated in your mind.

This is how persons with a gambling addiction develop superstitions or theories regarding patterns. When a random reward is presented, our brains try to determine the cause of this reward. This is an ancient survival mechanism that helped us find patterns in nature.

Random rewards trick the brain into perceiving patterns where none exist. Although the superstitious behaviors have no connection to the actual outcome, they give an illusion of control.

There are random moments where things outside of your control happen to work in your favor when worrying. This reinforces the worry pattern since your brain begins to associate the worrying and the outcome falsely.

Over time, you become psychologically dependent on worrying, believing it is the only thing holding everything together. Although worrying can have some short-term benefits if it spurs a necessary action—as discussed in my article here—its long-term effects are generally unhelpful.

Mary Schmich illustrates this when she states:

“…worrying is as effective as trying to solve an algebra equation by chewing bubble gum.”

Beyond not being helpful, this type of worrying can be detrimental to your health, according to WebMD:

“Chronic worrying can affect your daily life so much that it may interfere with your appetite, lifestyle habits, relationships, sleep, and job performance. Many people who worry excessively are so anxiety-ridden that they seek relief in harmful lifestyle habits such as overeating, cigarette smoking, or using alcohol and drugs.”

Although many people think of addiction in terms of drugs or alcohol, behavioral addiction often goes unnoticed.

Consider how your relationship to your phone might resemble a gambling addiction. You are bombarded with randomly rewarding notifications. Hearing the buzz, you’re compelled to check, uncertain of the potential reward waiting for you. If you’re interested in seeing if you’re addicted to your phone, I created a self-assessment quiz in my article here.

If the compulsion to check your phone is driven by fear rather than a potential reward, the same addictive process is at work. This form of checking is like worrying. It makes you feel busy and productive while taking away your ability to focus on what matters most.

Applying the concept of behavioral addiction to worrying, Judson Brewer classifies worrying as a “mental behavior,” even if it does not lead to physical action such as checking your phone.

For example, many people find themselves living in their head on Sunday afternoons, worrying about all the work they need to do on Monday morning. Unfortunately, spending time and energy on this mental behavior may not involve doing actual work. In fact, it likely takes away from your ability to do the actual work since it can lead to loss of sleep and mental fatigue.

Overthinking is like running on the mental treadmill. It keeps you busy with the endless pursuit of control over the uncontrollable. But, like gambling superstitions, it is a futile attempt to gain a sense of certainty and predictability where it does not exist. More thinking merely puts your mental treadmill on high speed, expending the energy that could be applied to more worthwhile endeavors.

Signs of Addiction to Overthinking 

Here are a few signs you may be addicted to overthinking:

You mentally over-prepare to avoid difficult emotions.

Although thoughtful attention to detail and preparation is helpful, overthinking involves repeatedly resorting to the problem-solving mindset to suppress underlying emotions. Like an addiction, the rational mind becomes the drug, providing temporary relief at a long-term cost to the emotional mind. As described in Dr. Gabor Maté’s book, When The Body Says No, this can result in various forms of physical illness.

You continually focus on the way things “should” be.

Constantly focusing on the way things “should” be can be a mentally rigid way of not accepting the way things are in reality. Although it is helpful to maintain critical thinking and push for change when things are unjust, or systems are broken, overly focusing on the “shoulds” often becomes counterproductive. This attempt to gain a sense of order often amplifies the sense of disorder, creating a sense of helplessness. This can diminish one’s ability to take action on aspects of the issue directly within one’s control.

You spend a lot of time living in the future or the past.

Worrying about the future or dwelling on the past can be forms of overthinking that keep you from living in the present. Although it is helpful to plan for the future and learn from the past, overthinking about these areas can be like driving without looking at the road directly ahead of you. Fixating on the GPS (future planning) or the rear-view mirror (past dwelling) makes it challenging to engage in safe and effective driving.

You are driven by the thought of not being enough.

Constantly thinking about yourself in comparison to others makes you feel isolated. This way of operating fuels an inner voice of shame, telling you you’re not good enough. Although it can be helpful to strive for progress in one’s life, it is counterproductive when heavily fueled by social comparison. When coming from a place of not being enough, your mind will only race faster as you progress, often resulting in self-sabotage due to the underlying sense of being unworthy or unable to handle success.

You lose touch with your underlying values. 

Overthinking can often come from being overly preoccupied with what is expected of you. Rather than acting for the purpose of self-care or to maintain alignment with your values, you often worry about others and worry about doing enough to satisfy their expectations. Although helping others can be based on genuinely valuing compassion, losing touch with this value can lead to constantly doing things for others, neglecting self-care, and worrying about what other people think. As a result, you become hyper-focused on the goal but lose touch with your “why”.

You constantly find yourself in analysis paralysis. 

Although analysis can be helpful, it becomes a form of overthinking when it takes away from your ability to act. Analysis paralysis is a form of perfectionism fueled by a sense of insecurity regarding one’s abilities or one’s underlying sense of being an imposter. This process results in procrastination. On the surface, procrastination often looks like laziness, but this is often far from reality. An unwillingness to take action is usually based on fear, and overthinking is an unhelpful attempt to gain a sense of certainty.

Conclusion

If you find yourself engaging in ineffective attempts to gain a sense of control by overthinking, it can be helpful to take a step back and notice when this is happening. In these moments, noticing how these mental habits are unrewarding allows you to break the illusion of control. Immediately recognizing this, you can shift your focus to something directly within your control, noticing the reward value of this alternative behavior.

If you want to learn more about breaking worry habits, I highly recommend the new book Unwinding Anxiety by Judson Brewer MD PhD. In the book, he lays out a practical step-by-step approach to rewiring your brain’s reward circuitry to address habitual worrying.

If you’re interested in this topic, stay tuned for future content where I’ll delve deeper into this phenomenon and offer more practical tips on overcoming overthinking. 

Looking For Your Feedback

In my next article, I will share several practical tips on how to stop overthinking. In order to make it the most relevant to your specific situation, I am looking for your feedback.

Also, answers will remain anonymous. Since I am not asking for any identifiable information, I will not be able to respond to any of the submissions. Just know I appreciate the support, and I will be reviewing your feedback carefully.

Answers may be used as anonymous examples in upcoming content.

What to Expect From Alcohol Withdrawal

What to Expect From Alcohol Withdrawal

On the go? Listen to the audio version of the article here:

As a chemical dependency counselor in a detox facility, I watched many people go through withdrawal from substances. Coming off opioids is the most painful, coming off stimulants leads to a lot of eating and sleeping, but coming off depressants like alcohol is the most dangerous. Although it is difficult, I’ve seen many people successfully go through the process and see the benefits of living a sober life.

Many people underestimate the danger of alcohol withdrawal since the substance is so widely available and socially acceptable.

The reason why alcohol withdrawal is so dangerous is because it can lead to severe seizures. While working with individuals coming off of alcohol, I had to keep a close eye on them, regularly monitoring their symptoms in case emergency medical support was required. 

Alcohol withdrawal symptoms range from mild shaking in the hands to severe anxiety, restlessness, and full-body trembling, depending on the severity of the substance use.

If you or someone you know has been drinking daily for an extended period and wants to stop, it is important to seek medical direction from a family doctor or support from a local withdrawal facility.  

What is Alcohol Withdrawal?

Alcohol withdrawal happens when a person dependent upon alcohol suddenly stops drinking or drastically reduces their intake. 

Alcohol withdrawal is the result of a neurological rebounding effect. The process is initiated by two categories of neurotransmitters: excitatory (stimulating) and inhibitory (relaxing). 

Excitatory neurotransmitters increase the likelihood that a neuron will fire an action potential. Inhibitory neurons are the exact opposite, and their effect decreases potential neural firing. Alcohol consumption increases inhibitory neurons and decreases excitatory neurons. 

The brain’s main inhibitory chemical is GABA (gamma-aminobutyric acid), and the main excitatory chemical is Glutamate. When a person drinks alcohol, the brain signals GABA to increase, and Glutamate decreases, resulting in the sedating effect. Over prolonged use, your brain adapts to the sedation by boosting Glutamate, resulting in tolerance to alcohol. Therefore, you need more alcohol to get the same sedating effect since your brain’s Glutamate system is on overdrive to counterbalance the increased GABA.

If you suddenly stop consuming alcohol after your brain habituates to being sedated by its effects, your brain is pushed off balance into a hyper-stimulated state. As described before, this can mean shaking, anxiety, restlessness, or seizures.

Alcohol Withdrawal Severity

According to a person’s level of physical alcohol dependence, symptoms will vary. This dependence severity includes the amount of alcohol, the frequency of consumption, and the length of time this level of consumption has been occurring.

The American Academy of Family Physicians have identified three stages a person experiencing withdrawal may go through:

Stage one (mild):

This is the beginning of alcohol withdrawal symptoms such as hand tremors, gastrointestinal issues, mild anxiety, headaches, and insomnia. This may be the extent of the symptoms for many people experiencing withdrawal. 

Stage two (moderate):

Along with the symptoms of stage one in mild frequency, stage two symptoms will include increased abnormal rapid breathing, increased blood pressure, and mild hyperthermia. This stage is from 1-3 days after discontinuing alcohol.

Stage three (severe):

Stage 3 includes symptoms of stage two and may also cause hallucinations, seizures, attentional issues, and disorientation. This stage can start at a week and can last up to several weeks.

While the specific alcohol withdrawal symptoms will vary from person to person, these stages are a rough guideline to categorize severity. If you are experiencing symptoms, it is important to seek immediate medical support. 

Although most people recover from their symptoms without medical detox, support from a medical professional can minimize risk.

A Timeline of What to Expect

Alcohol detox symptoms can occur for up to 5-10 days after your last drink. Most detox facilities offer 24-hour supervision for five days, covering the period when you are most at risk. Although it is different for everyone, here is a general timeline of what to expect: 

6-12 hours after last drink

The mild symptoms of stage 1 may start to appear, including mild anxiety, headaches, insomnia, and upset stomach.

24 hours after last drink

Some people start to experience hallucinations at this point, including visual, tactile, and auditory hallucinations. However, this is not common for persons going through mild withdrawal.

24-72 hours after last drink

At the 24-48 hour mark, seizure risk increases. Again, seek medical supervision if the shaking in the hands becomes severe or you have a history of seizures. From 48-72 hours, withdrawal delirium may also appear. 

After the acute symptoms subside, some people may experience fatigue, mood changes, and sleep disturbances for months as the brain continues to adjust. 

Treatment for Alcohol Withdrawal 

Detox is the first step in treatment if you are experiencing alcohol withdrawal. It is essential to talk to your doctor or seek support from a local withdrawal facility during this stage of the process. 

A standard prescription protocol given by medical doctors for alcohol withdrawal consists of a benzodiazepine taper. In plain language, this generally consists of being prescribed an anti-anxiety medication like Valium over five days, slowly lowering the dosage each day. 

The benzodiazepine taper can be ordered for a person to do at home with constant supervision or in a withdrawal facility under the supervision of nursing staff or chemical dependency counselors.

Other commonly prescribed medications include clonidine to manage acute high blood pressure and extra strength ibuprofen to manage the discomfort.  

Although treating the physical symptoms is the first step, there is a high likelihood of relapse if it is not immediately followed by counseling or residential programming. This is because the detox only addresses the physical aspects of withdrawal and not the cognitive or behavioral characteristics of the addiction. 

Inpatient or residential treatments

Inpatient treatments involve around-the-clock support and programming. Some residential treatment facilities offer medical detox, and most offer group therapy, individual therapies, and other recreational activities. Some may also provide aftercare groups or more intensive aftercare programming such as a sober house.

Outpatient treatments

Outpatient treatments consist of individual counseling, such as the service I offer. This includes having weekly or bi-weekly conversations about the cognitive and behavioral elements driving the addiction and developing a plan to navigate challenging situations, reducing the risk of relapse effectively. 

Outpatient group therapies can also be another option for treatment. This generally consists of attending a regularly scheduled group program. One of the benefits of outpatient treatment is that you can practice skills in your real-world context between sessions, integrating them into your daily life. 

Another resource that can be drawn on after detox includes peer-support groups such as 12 step AA meetings. The benefit of 12 step programming is that it is free and widely available. 

The 12 step process also allows individuals to gain a mentor in the form of a “sponsor”. This person helps guide you through the steps, often offering immediate peer-support when thoughts of relapsing occur. This kind of programming gives a sense of belonging, connection, structure, and the sense of not being alone in one’s struggles.  

Conclusion 

Recovery can be challenging at times, but with the proper support, you can safely make it through the process. The initial stage of withdrawal can be physically demanding, and the long-term process can be psychologically challenging. 

If you notice signs of alcohol withdrawal, it is crucial to seek immediate medical support. Talk to your doctor if you plan to discontinue alcohol after a sustained period of regular use. This is especially important if you have a history of seizures. 

Getting over the initial physical symptoms allows you to seek ongoing forms of psychological support where you can delve into what drives your addiction and how to move forward more effectively, gaining long-term freedom from addiction. 

How To Heal Your Relationship With Food

How To Heal Your Relationship With Food

On The go? Listen to this article here:

If you have a love-hate relationship with food, you may find yourself constantly thinking about it, depriving yourself of it, or compensating for foods you’ve eaten.

Like the cycle of an abusive relationship, food seduces you with its charming lure of comfort, often resulting in shame, regret, or physical pain.

You tell yourself you’ve had enough, and this is the last time, but you keep going back to old patterns. This can manifest as food addiction or eating disorders such as anorexia, bulimia, or orthorexia—an addiction to dieting.

If you have an unhealthy relationship with food, there is a way to heal.

In this article, I will illustrate how diet-culture perpetuates counterproductive messages about eating. When these cultural messages result in shame, they fuel the problem they were intended to solve.

Diet-culture moralizes food, resulting in a constant sense of resisting temptations. As psychologist Carl Jung states, “What you resist persists.” In constantly resisting food, it gains more power over your life.

This article will highlight the sociological and psychological forces keeping millions of people stuck in this unhealthy dynamic.

By healing your relationship to food, you can break free from these messages and reclaim your mental and physical health.

What is an unhealthy relationship with food?

If you struggle with an unhealthy relationship with food, you are not alone.

This is an invisible issue affecting the mental health of millions of people, perpetuated by well-intentioned health professionals and diet gurus.

It comes in many different forms and severity, ranging from relatively benign to severe and life-threatening.

Here are some signs you might have an unhealthy relationship with food:

You classify certain foods as good or bad. 

Although certain foods are better for nutrition than others, a strong moralizing stance focuses on weight or willpower, making the body something to be overcome rather than nourished.

By labeling foods as “bad,” we feel the need to constantly resist them, fueling even further desire. The sense of deprivation and forbidden nature of “bad” foods amplifies their allure. When succumbing to the temptation, eating “bad” foods leads to shame, fueling even further binging or strict food avoidance, adding to the vicious cycle of unbalanced eating.

You are overly preoccupied with food.

Although it is effective to plan for healthy meals to maintain your energy and nutrition, becoming overly preoccupied with food gives it power over your life. Rather than food serving you, you begin serving it.

Like an addiction, preoccupation with food takes away from your ability to focus on other important areas of your life, resulting in a constant state of vigilance and energy depletion.

You restrict food and or binge on food.

This is the core problem with diet-culture. Since dieting emphasizes restricting certain foods, it gives these foods power. As described above, “What you resist persists.” Although the nutritional science backing a specific diet may make sense, diets don’t work psychologically.

Food restriction often results in food binging, perpetuating the yo-yo dieting cycle.

You eat based on rules rather than internal cues.

Diets are also counterproductive because they disconnect you from your body. Rather than eating based on internal hunger and satiation cues, diets reinforce mistrust of the body’s cues.

Eating based on these external rules keeps dieters in their heads rather than in tune with their bodies, resulting in a sense of deprivation, fueling the desire to rebel against these rules.

You feel guilty when enjoying food.

When enjoyment is synonymous with guilt, it takes away a genuine sense of satisfaction. When genuine satisfaction is lacking, binging on one’s “guilty pleasure” replaces natural satiation.

Like the cycle of deprivation and binging, guilty pleasures become scarce resources. This scarcity fuels binging rather than genuine enjoyment.

You become obsessed with numbers and nutritional labels. 

Although it can be helpful to be guided by a food’s nutritional value, an over-fixation on numbers and labels can keep you trapped in a form of preoccupation with food, resembling addiction at an extreme end.

This unhealthy obsession with healthy eating has been called orthorexia. It can result in compulsive label checking and nutrition tracking, resulting in long-term damage to one’s mental and physical health. Like an addiction, the perceived solution is actually the problem in disguise.

You eat for the primary purpose of changing your body.

Although your body can change based on your eating habits, punishing your body to achieve your weight goals sets you up for long-term mental and physical instability.

If changing your body comes from a place of self-loathing, progress becomes about the numbers rather than your mental wellness. This definition of progress can only be sustained for a limited period of time since the underlying strained relationship with your body is increasingly reinforced.

You restrict food to gain a sense of control.

Eating disorders are often an attempt to gain a sense of control in one’s life. If you have been in a chaotic environment or an overly strict environment, your sense of control may have been taken away. Restricting food or binging on food are ways to gain a sense of control.

Like an addiction, this is an illusion of control. When discovering the reality of one’s relationship to food, one may realize how they paradoxically give away further control, allowing food to dictate their lives.

You use food to cope with difficult emotions. 

Although many people use certain foods to relax, like alcohol is used to unwind, it becomes a problem when it becomes a person’s go-to solution to underlying problems, resulting in increasing use despite negative consequences in one’s life.

Difficult emotions such as fear or guilt from the past can trigger emotional eating or food restriction to escape the pain or gain a sense of control. As stated above, these are short-term solutions resulting in more significant problems in the long-term.

You hide certain eating behaviors from others.

Moralizing food can lead to shame and secretive eating to avoid further shame. Like an addiction, someone can present as highly functional while hiding their use of a specific substance or behavior.

Rather than reducing the shame, these secretive eating sessions further contribute to a sense of shame, making a person feel even further disconnected from others.

What causes an unhealthy relationship with food?

Diet-culture causes an unhealthy relationship with food. This unhealthy relationship is further reinforced by psychological triggers such as habitual emotional coping through food restriction or binging. 

As a former personal trainer, I learned about the toxic side of fitness and diet-culture from within the industry. During my time as a trainer back in 2010, it was also the height of the weight-loss television genre.

It seemed like everyone and their workplace was developing some kind of Biggest Loser challenge. I had even unknowingly participated in this fat-centric fitness focus, creating my own Bootcamp fitness program called “The Last Ten Pounds,” which I ran out of a local facility.

I preached the standard gospel of avoiding sinful foods and exercising to lose weight. Although it made biological sense, I didn’t realize how it was counterproductive psychologically.

Sensing something was wrong with this body-transformation-obsessed fitness culture, I conducted research on the popular weight loss genre in my Master’s thesis in sociology. Completed in 2011, you can find the full thesis here.

In short, I demonstrated how transformation narratives in the weight-loss genre are a warped version of Christian morality, demonizing fat and idealizing reason and rationality as the way to overcome the body and its desires.

In my research, I did a discourse analysis of MTV’s “I Used to Be Fat,” a show where recent high-school graduates are subjected to intense body transformations in the summer before college. Gaining control over their bodies by getting one’s weight down to a specific number on the scale was the sign of overcoming adolescent immaturity and gaining entry into adulthood.

Each episode begins with a confession by the participant standing in front of a mirror, talking disparagingly about their body, reinforcing their underlying self-loathing.

Next, the participant is subject to a penance whereby they “cleansed” their body of “toxins” through an overly intense first workout.

During each episode, temptations such as cookies are presented, generally from a maternal figure. Inversely, a mentor emerges, generally from a paternal figure, who helps them along their hero’s journey.

Lastly, salvation is achieved when the body is overcome through intense discipline, and the final number on the scale is revealed.

Normalizing extreme body transformations sets people up for long-term yo-yo dieting and mental health issues. Rather than focusing on their long-term relationship to food and their bodies, the show normalizes a toxic diet-culture focused on food restriction for weight loss.

The underlying message is that arriving to college without a slender body would result in further shame and lack of belonging.

By focusing on fitness as the cure for low self-esteem, the psychological issues are left unaddressed, leaving a person more vulnerable to disordered eating.

Diet-culture preaches problematic messages about willpower and discipline. Although these may be noble traits at times, they are ineffective when portrayed as the only psychological tools.

As an addiction counselor, I now understand the true shortcoming of willpower. It can get someone over a craving momentarily, but it quickly depletes, leaving a person more vulnerable to temptation if there are no other psychological coping strategies in place.

Although discipline can be an admirable trait as well, it is necessary to question the source of this discipline. The Latin root of the word ‘discipline’ comes from ‘disciple,’ or follower of Jesus. In the modern weight-loss context, we are disciples of diet-culture, disciplining our bodies to overcome their desires.

Accepting the gospel of diet-culture puts you at constant war with your body. It implies the body cannot be trusted and needs strict rules to keep it in check.

By getting out of your body and into your head, your body is put into a constant state of deprivation, resulting in intermittent rebelling, fueling the cycle of shame and disordered eating.

This critique of diet-culture goes beyond a social justice lens. Diet-culture is stigmatizing and psychologically ineffective at achieving its own goals.

How to have a healthy relationship with food

If you are tired of being constantly at war with your body, there is a better way forward.

If you want evidence-based practical advice on how to heal your relationship with food, I highly recommend checking out Intuitive Eating by Elyse Resch and Evelyn Tribole.

This book is written by two registered dietitians whose approach to healthy eating is based on psychological evidence about what works in the long-term.

Their revolutionary anti-diet approach to healthy eating is based on getting in touch with your body’s needs—the exact opposite of diet-culture’s focus on disconnection from one’s body through rules, restriction, and willpower.

Intuitive eating does not mean throwing caution to the wind and engaging in massive fast-food binges. This potential criticism of removing food restriction is steeped in the logic of diet-culture. Instead, intuitive eating sidesteps this the deprivation-binging cycle by not restricting any foods. Taking the morality out of food takes away its power over your life.

Instead of following a strict set of diet rules, intuitive eating rebuilds trust in your body as you listen to its needs and eat according to its hunger cues and responses to food.

Although this approach sounds counter-intuitive, it resonates with my understanding of the psychology of addiction.

Persons struggling with dieting resemble someone struggling with an addiction. Dieting is a short-term solution to a long-term problem. It provides temporary relief, with long-term harms. It gives you the illusion of control, but actually takes away your control in the long-term. It preoccupies your mind, taking away your ability to focus on things that matter. Lastly, it is a process fraught with constant instability and relapse.

Like how someone struggling with an addiction needs to give up the substance to regain control, the intuitive eating approach advocates complete abstinence from dieting.

By giving up dieting, you can end the war and make peace with food. By making peace with food, it takes away its forbidden allure. If everything is allowed, nothing takes on the psychological specialness of being a forbidden fruit. Just as marketers and economists know very well, when something is scarce or rare, its value increases.

By making peace with food, you can focus on satisfaction when eating, increasing your ability to stop eating when your hunger is satiated because you are not operating in a state of deprivation.

Rather than using the term “junk food,” the intuitive eating approach labels these as “play foods.” By changing the moralizing language around food, you take away its power over your life. Consider that we regularly use terms like “sinful, tempting, or cheating” when referring to food. This language only increases the forbidden fruit effect, giving food more power over your life.

Intuitive eating requires getting in touch with your body and its needs. It means honoring your hunger and feeling your fullness. When living in your head, you become out of touch with the body’s needs and are perhaps out of touch with hunger and fullness signals.

By respecting the body rather than treating it as an object to be overcome, you develop self-compassion. By treating your body like something you care about, rather than something to be beaten up and deprived, you heal your relationship with yourself, and therefore your relationship to food.

Healing your relationship to physical activity 

Shows like The Biggest Loser often made the gym look like a chamber of punishment, with contestants puking, fainting, or falling off treadmills.

When you heal your relationship to food, you may consider your relationship to physical activity. Rather than seeing physical activity as a punishment, it becomes an opportunity to enjoy the feeling of physical movement.

Since COVID, we have all learned that the gym is not the only outlet for physical activity. Although some people like myself enjoy the gym, the key to long-term health is enjoying the process; otherwise, like dieting, the activity will be temporary.

Also, as a former personal trainer, one would imagine my gym routine would be rigid and numbers-focused, but this is quite far from reality. For the past few years before COVID, I would show up to the gym without a plan.

Walking through the gym, I started moving my body, feeling any soreness from previous workouts. If a particular muscle group was not sore from the previous workout, I’d consider which kind of exercise felt interesting for that muscle group and which type of movement or equipment I felt attracted to at that moment. Each next activity was decided at the moment, without regard for any rules or plans. The gym felt like my playground.

I actually stopped using weights and machines for about a year or so, just enjoying the pullup bars, TRX ropes, gymnastic rings, and other body-weight exercises such as pushups and pistol squats. This gymnastic-style workout kept me highly motivated due to the enjoyment of making progress with new forms of movement and the need to remain highly in tune with my body’s needs and limits.

In my days as a personal trainer, if someone asked me for exercise advice, I’d give them a basic circuit training routine or a more advanced split training routine with an 8-12 rep range. Although these plans may be physiologically adequate, they are often far from psychologically adequate. If going to the gym is a terrible experience, you’ll probably not go for too long. The most optimized exercise plan is worthless if it’s not being used.

These days, when someone asks for a workout plan, I ask them what they enjoy. I inquire about all of the outdoor activities they enjoy, sports they’ve participated in, and what things they’ve perhaps enjoyed doing at the gym. I also inquire about activities they may be curious about but have not tried. I then ask which of these enjoyable forms of movement are realistic, given their current lifestyle and schedule.

Like giving up a diet mentality, healing your relationship to exercise means not depriving yourself of genuinely enjoyable movement, focusing on function rather than numbers gets you in touch with your body, rather than trying to subjugate it to a form of rationalized discipline.

Recognize the six internal food voices

In Intuitive Eating, the authors highlight six food voices that are helpful to recognize when healing your relationship with food.

The Food Police

This is the familiar moralizing voice of diet-culture. Certain foods are forbidden, and the food police condemn the temptation to indulge in these sinful foods.

The food police may have initially been a parent, coach, or partner. Now, the internalized voice of the food police fills your head with “should’s” and “should not’s,” making you feel guilty when breaking a diet law.

The food police are punitive and may even lead to the compulsion to use exercise as punishment for “bad behavior.”

The food police is an unhelpful voice that separates you from your body. When it pops up, it can be acknowledged and gently reminded that its rules no longer apply because you no longer operate in its jurisdiction.

The Nutrition Informant 

The nutrition informant feeds the food police up-to-date information on the latest diet fads. In the past, it cautioned against high-fat diets and counting calories. Now, it’s generally focused on counting macros and minimizing carbs.

The nutrition informant can be your ally if its information is used to help you understand the various nutrients and ways of eating so you can more carefully experiment with how your body responds to certain foods.

The Diet Rebel 

The diet rebel is the voice that starts getting louder right before a binge. It tells you you’ve had enough deprivation, and you deserve to indulge. It can also appear as the apathetic voice of “screw it, you only live once.”

When you listen to the food police for too long, the diet rebel starts gaining strength. After a period of deprivation, it is only a matter of time before it shows up.

The diet rebel can be your ally when you direct it at diet-culture, body shaming, or other attempts to cross your food boundaries.

The Anthropologist 

The anthropologist is the helpful voice of an observer perspective. Rather than merely reacting to the unhelpful food voices, you can step back and observe what is happening.

Like an anthropological researcher, you can observe the social dynamics of your inner food voices. In addition, you learn to observe your bodily cues, studying their subtle sensations of hunger and fullness.

The Nurturer

The nurturer is the helpful voice of self-compassion. It talks to you the way you would speak to someone you care about. If the shame of diet-culture remains strong, this voice may not come naturally and must be ingrained over time.

The nurturer helps you recognize when difficult emotions are triggering the desire to cope by using food. It reminds you of helpful coping skills and encourages you to reach out to others for support during challenging moments.

The nurturer also reminds you to approach intuitive eating gently. It says, “progress, not perfection.” When you are tempted to beat yourself up for any perceived imperfection, it talks to you kindly instead.

The Intuitive Eater 

The intuitive eater is the combination of the anthropologist and the nurturer. It draws on the allied version of the nutrition informant and the allied version of the diet rebel.

First and foremost, the intuitive eater trusts your gut.

Conclusion

Healing your relationship with food means healing your relationship with yourself and your body. It means taking the morality out of food, letting go of any attempt to impose rigid rules on your eating habits.

Intuitive eating does not mean throwing caution to the wind and living on a steady fast-food diet. This would be against the tenants of intuitive eating since listening to your body would likely tell you it does not actually feel satisfying choosing these foods in excess.

By taking back your body’s intuitions, you start listening to its cues and regaining its trust. If your relationship with food has been heavily affected by diet-culture, it may take time to regain your own trust. Like any strained relationship, patience is required.

Although intuitive eating sounds simple, many people find it just as difficult as dieting in the beginning. Not having strict rules and regulations around food means you have to constantly check in with your body to maintain balance.

Over time, this approach becomes natural. Healing your relationship to food allows you to take back control over your life and start focusing on what matters, regaining your health in the process.

If you want to learn more, I highly recommend checking out Intuitive Eating by Elyse Resch and Evelyn Tribole. Their approach is supported by a great deal of research and has been revolutionary for many people.

As an addiction counselor and former personal trainer, I believe the intuitive approach to eating is based on a deep understanding of the psychology of motivation.

If you struggle with yo-yo dieting or an eating disorder, I highly recommend checking out the book.

How to Heal From Emotionally Unavailable Parents

How to Heal From Emotionally Unavailable Parents

On the go? Listen to the audio version of the article here:

If you’ve grown up feeling like something was missing, you may have been emotionally neglected. You may not identify as being neglected if your physical needs were met, but the lack of emotional support left you emotionally isolated.

You may have felt invisible, dismissed, or unaccepted the way you are. This is a commonly overlooked experience among children of emotionally unavailable parents. These children grow up suffering in silence, feeling empty but not necessarily knowing what’s wrong, often blaming themselves.

Being told they are too sensitive, these children often feel dismissed and rejected, learning to avoid going to their emotionally unavailable parents for support.

They learn their parents are a source of stress rather than support. They can be unpredictable, unreliable, or too self-involved to attend to the child’s emotional needs.

From an early age, these children may take on adult responsibilities or find themselves parenting their parents. As they grow up, this behavior can lead to self-neglect by constantly putting others first.

Finding themselves repeatedly involved in lopsided relationships, doing all of the emotional labor, with people who exploit their generous nature, the fantasy of emotional connection is withheld like the ever-elusive carrot on a stick.

“If I do more, maybe I’ll finally be enough, and they will meet my emotional needs,” you may tell yourself, as you run on the endless treadmill of others’ demands.

The starved need to be needed results in constant emotional repression, masking your true nature. Toxic shame leads to lowering personal boundaries and resentment of others who constantly cross them. This repressed anger is concealed by a mask of cheeriness and determination.

If you or someone you know is burnt out and looking to heal from the distress instilled by emotionally unavailable parents, there is a way out.

I recently discovered the following book, which gives powerful insights and practical tips on how to recover from this exact issue:

Adult Children of Emotionally Immature Parents: How to Heal from Distant, Rejecting, or Self-Involved Parents by Lindsay C. Gibson PsyD.

It has quickly become one of my favorite psychology books. Immediately after reading it, I was compelled to reread it and summarize the insights.

As a counselor, I talk to a wide range of people, and this has been one of the most common invisible injuries. Since I couldn’t find a good summary of this book, I thought I would create one.

If you’re interested in reading the full book but can’t find the time, you can check out the audiobook version I linked above and listen to it while you’re driving or doing household work.

Otherwise, enjoy the summary!

What is Emotional Immaturity? 

Throughout the book, Lindsay C. Gibson PsyD demonstrates how emotional immaturity among parents leads to emotional neglect among children. She proposes several traits associated with emotional immaturity, which can be summarized as the following:

Emotional Immaturity is characterized by a fear of emotional involvement resulting in emotional distance, emotional instability, psychological inflexibility, and self-centeredness.

Emotional distance often presents as holding back from emotional closeness, fear of emotional involvement, and lacking the ability to provide emotional support to persons in need of genuine connection.

Emotional Instability presents as unpredictable emotional states and unreliability. A person may fluctuate between anger, engagement, and coldness, keeping others walking on eggshells.

Psychological Inflexibility presents as having rigid beliefs. Rather than dealing with reality, a person relies on coping mechanisms that resist reality.

Self-centeredness presents as blindness to the needs of others, using others, boundary issues, and emotional manipulation. At the extreme end, there may be diagnosable narcissism or sociopathy.

Emotional Immaturity Test

In her self-assessment tool, Lindsay C. Gibson PsyD lists the traits of emotionally immature parents, which I organized into four clusters for ease of use.

She states that you may be dealing with an emotionally immature parent if you can check off more than one of the following statements.

Emotional Distance

  • My parent didn’t express much empathy or emotional awareness.
  • When it came to emotional closeness and feelings, my parent seemed uncomfortable and didn’t go there.
  • I didn’t get much attention or sympathy from my parent, except maybe when I was really sick.

Emotional instability

  • My parent often overreacted to relatively minor things.
  • My parent was inconsistent—sometimes wise, sometimes unreasonable.
  • If I became upset, my parent either said something superficial and unhelpful or got angry and sarcastic.

Psychological Inflexibility

  • My parent was often irritated by individual differences or different points of view.
  • Even polite disagreement could make my parent very defensive.
  • Facts and logic were no match for my parent’s opinions.
  • My parent wasn’t self-reflective and rarely looked at his or her role in a problem.
  • My parent tended to be a black-and-white thinker, and unreceptive to new ideas.

Self-centeredness

  • When I was growing up, my parent used me as a confidant but wasn’t a confidant for me.
  • My parent often said and did things without thinking about people’s feelings.
  • Conversations mostly centered on my parent’s interests.
  • It was deflating to tell my parent about my successes because it didn’t seem to matter.

Types of Emotionally Immature Parents

Emotional immaturity tends to manifest as four general types:

  • The emotional parent 
  • The driven parent
  • The passive parent
  • The rejecting parent

One or both of your parents may fall into one of these general categories. Let’s take a deeper look at what each of these types entails.

The emotional parent instills feelings of instability, producing nervousness and anxiety for all those who have to walk on eggshells. They have “stormy emotional weather,” and you never know the forecast.

Intoxication amplifies the instability, perhaps leading to intimidation. These individuals are easily thrown off their emotional balance by mild distress and are primarily governed by emotional impulsivity.

The driven parent stays busy trying to make everything and everyone perfect. They appear to be quite normal and well-adjusted, but under the surface, they show their emotional immaturity by believing they have all the answers and they know what others what.

They appear supportive of your success but make assumptions about your desires, often pushing things on you. Their driven support comes from their own need to live up to high internal standards rooted in their own emotionally deprived upbringing. They may fear embarrassment if you underperform, leading to you feeling constantly evaluated in school or hobbies.

Driven parents are always keeping busy and worrying about getting things done. This added pressure makes you feel like you should always be doing more or doing something other than what you are currently doing. This can lead to thoughts of not being enough or insecurity regarding evaluation.

Driven parents often cross personal boundaries. Making assumptions or invalidating your interests, they often do things for you without asking for permission and become overly involved in your life, extinguishing a sense of independence.

The passive parent avoids dealing with anything upsetting. They can be easygoing, playful, affectionate, and often in good spirits but fail to protect their children when they need it emotionally.

If a passive parent gives you affection, it often comes from a self-centered place of using you to feel loved or needed, meeting their own emotional needs. Without recognizing this, you may naturally gravitate to the attention given by this parent, perhaps thinking of them as the “favorite parent.” Despite potential positive experiences, you may feel like this parent is not there in an essential way.

Passive parents turn a blind eye to abuse or neglect, retreating when times are tough. They may even leave the family if they get a chance at a better life, leaving their children feeling deeply rejected.

The rejecting parent is withdrawn, dismissive, and derogatory. They openly reject attention from their children, appearing irritated and dismissive of children in general.

They constantly have a wall around them, lack empathy, and can appear menacing and aloof. At the extreme end, they may have sociopathic tendencies and are capable of physical attack.

If you have a rejecting parent, you may find it hard to ask for what you need, resulting in an avoidant attachment style.

The Two Reactions to Emotional Immaturity 

Children of emotionally immature parents commonly react in two general ways, depending on the child’s temperament:

  • Externalizing 
  • Internalizing 

Externalizers have an external locus of control when things go wrong, whereas internalizers have an internal locus of control. In simple terms, externalizers blame others, and internalizers blame themselves.

Although you may generally fall into one of the two categories, there may be mixed reactions since it is a spectrum rather than a binary.

Let’s take a closer look at what each of these reactions entails.

Externalizing

Externalizers blame others when things go wrong. They may act out, and people generally label these children as having behavioral problems. This may involve substance use, reckless behavior, or rebellion.

These children may also take on characteristics similar to emotional immaturity. Growing up, they force their needs on others, using emotional manipulation such as guilt and blame.

Externalizers present as having a visible issue, and their struggles are not easily overlooked, causing others to recommend treatment. Although they are the most likely to be confronted by others to seek treatment, they are often the least likely to get support because they tend to externalize blame.

Internalizing

Internalizers look within themselves for why things go wrong. They are highly sensitive and attuned to their environment, keeping strong emotions bottled inside. Wearing a mask when engaging with others, they fear truly opening up and being genuine because they believe their very nature is a problem.

Internalizers have a deep need for connection and feel painfully lonely, constantly seeking genuine emotional connection. They believe the best way to find connection is to become a likable person, putting others first, constantly over-extending themselves for others. Self-neglect is seen as the cost of connection.

Fueled by the thought of “not being enough,” internalizers seek to make up this lack of “being” through constant “doing.” They believe their value depends on how much they do, not who they are. The fantasy of winning the affection of others keeps them on this treadmill of self-neglect.

Unable to say “no,” internalizers do most of the emotional work in relationships, often feeling resentful of those for whom they have taken responsibility. Instead of expressing their anger, they wear a mask of cheeriness or a determined can-do attitude.

Since emotionally immature parents rejected their feelings, they internalize the voice of rejection, taking a rejecting attitude toward their own feelings. They downplay their suffering, often apologizing for their emotions. Feeling guilty for taking other people’s time, they feel like a burden when asking for help.

Internalizers may also internalize the voice of judgment. Harshly criticizing themselves, they remain closed off to sharing their needs or struggles, fearing judgment by others for being inadequate. This leads to feeling further isolation and embarrassment if requiring support.

If an an internalizer’s emotions are taken seriously, they are often surprised since they are used to “getting by on vapors” regarding affection from others.

Unlike externalizers, internalizers can go unnoticed. They are often high-performing and focused on achievement. Therefore, an emotionally immature parent may see them as having no needs. If an internalizer has an externalizer sibling, this may also cause jealousy or criticism from the externalizer, due to the social comparison.

Internalizers focus a great deal of their energy on fixing and rescuing others. The greater the difficulty, the more they try. The more they try, the greater the difficulty. This spiraling effort is often spent trying to change people who don’t want to change themselves, leading to burnout and resentment.

Healing from Emotionally Immature Parents

You were not born to fix your parents’ unhealed trauma.

From @selfhealth3

Healing from emotionally immature parents requires discovering your healing fantasy, stepping out of your role self, clarifying your values, setting personal boundaries, taking an observational perspective, and engaging in self-care. 

The healing process may take time since old habits are deeply engrained, but there are things you can start doing today to begin the process.

Discover Your Healing Fantasy

Throughout the book, Lindsay C. Gibson PsyD uses the concept of the “healing fantasy” to describe an internalizer’s attempt to win the affection of their emotionally immature parent.

The healing fantasy generally consists of thoughts that perhaps they will change if only you can do more. This can lead to the ineffective helping behaviors described above, overachievement, perfectionism, or falling into old patterns in relationships with romantic partners.

The first step to healing from an emotionally immature parent requires identifying your healing fantasy.

Where are you acting like a gambler chasing their losses, holding out for a jackpot that will fix everything? Take a moment to reflect on where you hold onto false hope.

Where do you tell yourself, “if only…”?

Where are you tapping the metaphorical slot machine button, constantly hoping for a different result?

What forms of endless striving are you engaged in to win the approval of others?

Letting go of your healing fantasy, you recognize their rejection is more about their past trauma or experiences with an emotionally immature parent than about your worth as a person.

It is helpful to view emotionally immature parents as emotionally phobic. If you have a fear of spiders, snakes, heights, or public speaking, consider how you would feel if someone told you that you had to engage with one of these things. This is the experience of the emotionally phobic person.

Discarding the healing fantasy requires accepting your parents for their emotionally phobic selves. This does not excuse their behavior; instead, it allows you to manage your expectations and work with reality.

Emotionally immature people may appear distressed, cynical, and constantly complain, but perhaps they don’t want to change. And in your own experience, how have attempts to change them worked out so far?

Once you have identified your healing fantasy, you can let it go and accept you are dealing with someone who is emotionally phobic.

Step Out of Your Role Self

The role self is the role you played within the family dynamic. Were you a fixer, an avoider, a comedian, an overachiever, or a rebel?

In enmeshed families where emotions are not discussed, playing rigid roles holds the family together. It is a form of dysfunctional homeostasis. By playing your role, you have a place in the family system, but your belonging comes at the cost of your genuine feelings.

Like a stage performance, everyone puts on their costume and stays in character. Talking about the deeper issues requires breaking character, threatening the tenuous sense of belonging provided by the enmeshed system.

Stepping out of your role-self requires noticing the role you play and making a conscious decision to be your true self. This does not mean opening up emotionally to emotionally phobic people. Instead, it means clarifying your genuine values and acting in alignment with this true self.

Clarify Your Values and Your True Self

Stepping out of the role self and into the true self requires trusting your gut feelings and intuition. When do you find yourself in a flow-state where time disappears? What were you like as a young child? What types of things did you naturally gravitate to? What did you enjoy doing? When do you experience moments of true joy? Clarifying your true values provides a compass for how you want to engage with others.

When stepping out of the role self, you may uncover suppressed anger. If you’re an internalizer, you may be perceived anger as unacceptable and dangerous. Since our emotions are like internal check-engine lights, repressed anger leads to unmet needs. The sense of “getting by on fumes” fits well with this metaphor.

Allowing yourself to feel anger does not mean switching into rage and resentment. Anger can focus your attention on unmet needs and motivate action to meet those needs through assertive communication or personal boundaries.

You may have grown up believing certain emotions are “good” or “bad.” Instead, viewing emotions as information, you step outside the need to repress the “bad” ones. There are comfortable and uncomfortable emotions, but they are all there to convey useful information regarding your underlying needs.

Set Personal Boundaries

Setting personal boundaries means saying “no” when you find yourself helping others at the cost of your health. It means recognizing and communicating your needs through assertive communication. Lastly, it means disengaging from toxic relationships.

In another great book on the subject, When the Body Says No, Dr. Gabor Maté says when given a choice between guilt and resentment, choose the guilt. This means noticing when guilt drives your decision to do things for others that you will eventually resent them for.

Choosing guilt means caring for yourself enough to say no. Although there may be a temporary deeply engrained guilt response, this step toward self-care heals underlying shame.

Guilt says, “I did something bad,” whereas shame says, “I’m bad.”

Choosing short-term guilt heals long-term shame. This allows you to gain a sense of self-worth, in turn, healing the constant guilt.

As you build momentum, notice the amount of “shoulds” you tell yourself. Notice how this is potentially the internalized critical voice of a parent. Setting boundaries with your parents means setting boundaries with your own inner-critic, as well.

You can give yourself the compassion you never received. Practicing self-compassion may consist of imagining what you would tell someone you care about who is going through the same situation. Being kind to yourself allows you to heal underlying shame and step back from your thoughts during moments where the inner-critic tries to lower your personal boundaries through the “shoulds” that lead to guilt.

Take an Observational Perspective

After gaining some perspective regarding the nature of underlying shame, guilt, and the inner-critic, it can be helpful to use an observational perspective when engaging with an emotionally immature parent.

An observational perspective means stepping back from interactions within your family system and viewing the situation like a scientist. Perhaps you can imagine you’re an anthropologist like Jane Goodall, studying primate interactions. Get curious about the various roles, reactions, and scripts being acted out. How is everyone falling into their usual role selves?

With this new perspective, you can gain emotional distance from heated situations, noticing your conditioned thoughts and emotions rather than merely reacting. Rather than reacting, you now have space to respond appropriately.

Perhaps this means taking a timeout, politely saying you cannot do something, or maybe it means just doing nothing, accepting you are dealing with an emotionally phobic person stuck in a role self. Whatever the situation calls for, you are free to choose your response based on your core values.

Taking this observational perspective breaks old reactive emotional habits that keep you locked into a toxic dynamic. It allows you to step back and recognize what is really going on. Lastly, it allows you to manage your expectations and deal with reality rather than a non-productive healing fantasy.

Engage in Self-care

Many people have heard about the common self-care tips such as diet, nutrition, sleep, and making time for things you enjoy. These are pretty obvious, and if someone is an internalizer, they’ve probably been told to do these things many times. So why isn’t it enough to simply give this advice?

As you may have noticed by now, internalizers prioritize helping others over helping themselves. The ability to engage in self-care is perhaps part of the healing fantasy, perpetually postponed because there are more urgent matters regarding the needs of others. You may unconsciously tell yourself you’ll deserve self-care when you can finally fix everyone else.

Getting into the classic list of self-care tips is irrelevant if these underlying issues block motivation to engage in self-care. So why would someone continue to engage in self-neglect, even after recognizing this fact?

The most simple answer is because familiarity feels safe. We are creatures of habit, and it is very common to take self-destructive paths because they feel familiar. The sense of uncertainty and fear of the unknown keeps people stuck in suboptimal situations, settling for the scraps rather than taking the bigger, better offer of a new way of life.

If you grew up with an emotionally immature parent, emotional immaturity feels familiar. As a result, you may find yourself attracted to these types of people in other areas of your life. The people we find most charismatic are often triggering us. Therefore, instant chemistry might be a red flag that you are falling into old family patterns.

Before you can think about self-care, you’ll need to let go of these underlying attachments to unhealthy relational dynamics.

Whose validation are you seeking? Do you really need their validation, or do they need you to need their validation? Do you need to be needed? If so, are your attempts to meet this need getting you closer to genuine belonging, or are they keeping you meeting someone else’s need to be needed at your own expense.

For more on this theme, see my article, The Need to be Needed.

Characteristics of Emotional Maturity

If you’ve made it this far, you can probably relate to the sense of feeling trapped in constant emotional turmoil and unhealthy relational dynamics. Once you’ve applied some of the principles listed in the previous section, you may realize these patterns are so familiar and deeply ingrained, it is challenging to spot emotional maturity.

Although we’ve covered the red flags indicating emotional immaturity, here are the positive signs of emotionally mature individuals:

Emotional maturity consists of being realistic, reliable, flexible, non-judgmental, respectful, empathetic, level-tempered, genuine, reciprocal, and having an overall positive vibe.

Emotionally mature people are like a well-designed house. When everything is working the way it should, you almost don’t even know it’s there. If you’re used to constant flooding and leaking, you may initially feel a sense of calm and ease.

Interactions with emotionally mature people are lighter and more effortless. They are generally even-tempered, reliable, consistent, and can meet your basic emotional needs.

They are psychologically flexible and work with reality rather than fighting against it. If you decide to change plans, they respond flexibly, sharing their input and working out a mutually beneficial way forward.

They can use both reason and emotion in a balanced way, depending on the needs of a specific situation.

Emotionally mature people are not perfectionistic and recognize everyone is imperfect. This perspective allows them to demonstrate genuine compassion for others and themselves.

They treat others with respect, honoring your boundaries, and maintain your individuality.

When you need their emotional support, they listen non-judgmentally and empathetically, not assuming they know you better than you know yourself.

They approach life with a win-win mentality. They don’t want to use others, nor do they want to be used by others.

When conflict arises in a relationship, they are willing to deal with it effectively and bring it to a close rather than using emotional manipulation or long-term silent treatment.

Emotionally mature people are willing to consider your perspective and have a secure sense of self, allowing them to approach others with a non-defensive natural curiosity.

They are truthful, genuine, and forthcoming about their thoughts and intentions.

When they make a mistake, emotionally mature people are willing to genuinely apologize, demonstrating careful attention regarding your concern and describe how they intend to do things differently next time, following through with these intentions.

They are genuinely interested in you, remembering specific details regarding your interests and passions, referencing these topics in future conversations. They celebrate your individuality rather than expecting you to conform to their interests.

Emotionally mature people see you positively, allowing you to be yourself, free of the fear of judgment. When you share your emotional needs or discomforts, they take you seriously.

If you share personal details, they reciprocate, building mutual intimacy.

Although they are generally even-tempered, they can laugh and be playful. Their sense of humor is used to connect and bond rather than using it to gossip and ostracize others.

In general, they are enjoyable to be around and have an overall positive vibe.

Most importantly, they make you feel seen and understood for who you really are, not who you pretend to be.

How to Build Genuine Relationships 

If you’ve never experienced a deep relationship with emotionally mature people, this kind of relationship may seem like a pipe dream.

You may be conditioned to settle, take emotional scraps, or be led on by a trail of emotional breadcrumbs. Besides the healing fantasy, it can be hard to let go of these relationships because you may think it’s all you’ll ever get. The thought of being alone forever induces fear, keeping you locked into familiar patterns.

Before letting go of toxic relationships, it can be helpful to assess those in your life, considering who fits the description of emotional maturity. Of course, no one is perfect, but the above description can offer guidance in making this assessment.

If you’ve determined there is someone in your life who is relatively emotionally mature, and you’ve been afraid to reach out for support, notice how the fear of judgment, rejection, or feeling like a burden is keeping you from doing so. Notice how although these reasons may have served you growing up, they are no longer useful when engaging with emotionally mature people.

Taking off the mask and opening up to emotionally mature people helps build an emotional safety net, allowing you to let go of unhealthy relationships.

Emotionally mature people can help you practice being yourself, so you can take this practice into interactions with others who are less emotionally mature. Rather than reacting based on old patterns, you can pause, maintain self-composure, and be true to yourself, whether people accept it or not.

You are not responsible for being parented by an emotionally immature parent, but you are responsible for the recovery process. This means recognizing others are responsible for their own feelings and communicating their needs, just as you are.

Trusting your emotions as offering useful information regarding unmet needs, you can have compassion for yourself. You can then accept that emotionally mature persons will likely respond to you with this same compassion if you reach out for support.

Conclusion

Letting go of old mental habits instilled by an emotionally immature parent gives you the freedom to live by your genuine thoughts and feelings. With this newfound sense of empowerment, wholeness, and self-reclamation, life feels lighter and easier.

Although you can’t make others change, you can change. You do get to start over, almost as if you’re rebirthing yourself, giving yourself the gift of living twice in one life.

This article has been an in-depth summary of the book, Adult Children of Emotionally Immature Parents: How to Heal from Distant, Rejecting, or Self-Involved Parents by Lindsay C. Gibson PsyD.

If you want even more tools on how to heal from an emotionally unavailable parent, you can check out her follow-up book, Recovering from Emotionally Immature Parents: Practical Tools to Establish Boundaries and Reclaim Your Emotional Autonomy.

As you can probably tell, I have been pretty obsessed with her book, given the time it took to write this summary. As a counselor, this is one of the most common themes I encounter in my conversations with clients.

This issue can often go unnoticed since there may not necessarily be a specific event identified as “traumatic.” Adverse childhood experiences do not need to be physically abusive or neglectful. As you can see, emotional neglect can have significant negative consequences and is often perceived as “normal” by those who have experienced it.

The issue is often made even more invisible because internalizers often blame themselves, carrying significant guilt or shame regarding unhealthy dynamics.

The book provides an insightful perspective, allowing the reader to see the bigger picture, giving practical tools to heal from emotionally immature parents. In the near-perfect 5546 reviews, many people share they found it life-changing, and I can see why.

If you know someone struggling with the issues outlined in this article, feel free to share it with them. Healing invisible wounds starts with awareness of the problem.

Additional Resources

I’ve been on an audiobook binge over the last few weeks and have read a series of great books that would make the perfect follow-up to this article, so I’ve listed them below—in addition to a few others.

If you find yourself struggling with the inner critic, causing you to experience guilt and beat yourself up over “not being enough,” here are my best book recommendations:

Self-Compassion: The Proven Power of Being Kind to Yourself by Kristin Neff PhD

Radical Acceptance: Embracing Your Life with the Heart of a Buddha by Tara Brach PhD

Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead by Brené Brown PhD

The Whole-Brain Child: 12 Revolutionary Strategies to Nurture Your Child’s Developing Mind by Daniel J. Siegel MD

When the Body Says No by Gabor Maté MD

If you have further recommendations, feel free to share them in the comments! I am always looking for new audiobooks to devour while driving or doing housework!