Do Positive Affirmations Work? A Look at the Science

Do Positive Affirmations Work? A Look at the Science

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The self-help genre has popularized positivity as being the superpower of personal development.

We’ve been told we can overcome anything by just thinking positive. Motivational messages from Instagram gurus tell people who are suffering to simply change the way they are feeling as if it were as easy as changing the channel.

Are you suffering from negative thoughts and tired of being told to “just get over it”? Have you tried changing your thoughts without being able to control how you feel? If you’ve tried all of the feel-good self-help methods or advice of well-intentioned coaches and haven’t seen any results, this article will explain why.

Do positive affirmations work?

Positive affirmations do not work for persons trying to boost self-esteem, change negative thoughts, or escape from painful emotions. The evidence suggests positive affirmations only work in individuals who are already positive or high performing. 

In this article, I take a closer look at the psychological literature on the effectiveness of positive affirmations.

I conducted a brief literature review using Google Scholar. I then sorted through the studies based on their major findings, showing when positive affirmations don’t work vs. when they do work.

After exploring when they work and when they don’t work, I provide a more effective alternative to positive affirmations.

Each study is hyperlinked in their title text if you’re interested in further exploration.

Also, if you or someone you know is struggling with mental health issues, you can check out my resource page for suggestions on how to find help.

When Positive Affirmations Don’t Work

Affirmations don’t work when people need them the most. 

According to Steven Hayes in A Liberated Mind:

“A recent study showed that positive affirmations like “I’m a good person!” work great as long as we don’t really need them. When we do need them, like when we start feeling bad about ourselves, such affirmations make us both feel and do worse! It’s a cruel joke.”

After tracking down the study cited above, I was able to confirm this finding. The study is titled, Positive Self-Statements: Power for Some, Peril for Others, and the researchers state:

“Positive self-statements seemed to provide a boost only to people with high self-esteem—those who ordinarily feel good about themselves already—and that boost was small.”

Affirmations don’t work when trying to escape from negative thoughts.

Why is this the case? According to the previously cited study:

“…if people who believe that they are unlovable repeat, ‘‘I’m a lovable person,’’ they may dismiss this statement and perhaps even reinforce their conviction that
they are unlovable.”

If you don’t believe a positive statement about yourself, trying to convince yourself through positive affirmations is like arguing with your brain.

How does your brain respond to arguments? No different than anyone else.

Have you ever tried to change someone’s mind by arguing with them? How did that work out for you?

Let me guess… they immediately changed their mind after rationally weighing the merits of your argument.

Or not.

More likely, they argued back even harder and more aggressively.

Just like everyone else, our mind doesn’t respond well to arguments. It digs its heels in and fights back. Trying to beat your mind into submission with relentless positivity will often backfire, further entrenching it in negativity.

Affirmations don’t work to improve your mood.

In another study titled When Self-Help Materials Help, the researchers found positive affirmations lowered the mood of individuals whose needs were not being met:

“…we found that participants experienced negative mood change after reading positive self-statements, if they have low level of need satisfaction.”

The researchers then compared reading positive statements to listening to them. Interestingly, they actually found a difference:

“…participants experienced a mood boost after listening to positive self-statements…”

They concluded that reading the positive statements caused participants to process it more deeply, causing them to reject it when not in alignment with their existing self-concept, whereas listening to positive statements allows for a more superficial level of processing.

Based on these mixed findings, the authors state:

These findings suggest that self-help materials with a focus on positive self-statements should be used with caution.”

Since positive affirmations don’t work the way we expect, we need to be careful about how we use them so they don’t backfire.

Let’s take a closer look at the research showing how positive affirmations can sometimes work in specific situations.

When Positive Affirmations Work

Affirmations can work if they facilitate social pressure.

In an article titled Social Standard Setting, the researchers had children watch videos teaching them positive affirmation techniques to overcome their fear of the dark. These affirmations seemed to help the children stay in a dark room longer than children who did not use these techniques.

Does this mean the affirmations worked?

The researchers then reran the experiment, with the children not knowing they were being observed as they learned these affirmation techniques. The improvements in coping with the dark immediately went away!

When learning these affirmation techniques in front of the researchers, the children performed better due to social pressure.

The researchers state:

The results are interpreted as showing that in this situation these therapies were effective due to specific social influence mechanisms. When public, the treatments appeared to set up social criteria for improved performance.

Therefore, the children weren’t performing better due to the content of the positive affirmations, themselves.

Although the affirmations were not the direct mechanism leading to improved performance, they were a secondary mechanism leading to social pressure that can improve performance.

Affirmations can work when focused on affirming your existing values.

Building on the results of the previously cited child study, I found another study that might offer further insight into how affirmations may work in relation to social pressure.

The study is titled The Impact of Self-Affirmation on Health-Behavior Change: A Meta-Analysis. The researchers found that affirmations focused on your existing values can lead to increased acceptance of positive health information and change in healthy behaviors:

“Self-affirmation inductions—such as questionnaires or writing exercises that remind participants of their important personal values—may have the potential to reduce defensive resistance to health-risk information.”

The researchers concluded:

“…deploying self-affirmation inductions alongside persuasive health information has positive effects, promoting message acceptance, intentions to change, and subsequent behavior.”

There is an element of social pressure involved here since the affirmations may increase the social pressure to remain consistent with one’s values and self-definition when subsequently receiving health information.

Beyond the social pressure, the study also shows how people strive to remain consistent with their own values and self-definitions.

In a counseling setting, this is perhaps the closest I come to using affirmations. Having someone clearly state their values is helpful by giving them a sense of direction, in addition to increasing motivation for change.

Although this might look a lot like affirmation, I would argue that it’s very different than the ineffective positive affirmation approaches described in the previous studies.

Reminding yourself of your core values in a statement such as, “I value authenticity,” is very different than trying to convince yourself of a specific identity you don’t currently hold.

Affirmations can help improve performance for athletes.

In a study titled, The Effects of Overt Head Movements on Physical Performance After Positive Versus Negative Self-Talk, the researchers found that combining positive affirmations with head-nodding improved performance among athletes:

“…positive self-statements led to better performance than negative self-statements
in 2 out of 3 physical tasks… self-statements are significantly more impactful on physical performance in the headnodding condition than in the head-shaking condition.”

So do affirmations work?

Recall the studies cited at the beginning of this article. Affirmations only work for those who don’t necessarily need them. They can be effective for persons with higher self-esteem and persons whose needs are already met.

Therefore, positive affirmations may work for athletes since they are likely already high performing. The affirmations are confirming their existing reality rather than trying to convince them of something they don’t believe.

Affirmations can work if focused on effort rather than competence. 

Another study looked at the effect of affirmations on children with negative beliefs regarding their math abilities.

Titled, Effort Self-Talk Benefits the Mathematics Performance of Children With Negative Competence Beliefs, the study compared affirmations focused on ability, “I am very good at this!” with affirmations focused on effort, “I will do my very best!”. The study concluded:

“…effort self-talk benefited the performance of children holding negative competence beliefs: It severed the association between negative competence beliefs and poor performance. By internally asserting that they will deliver effort, children with negative competence beliefs can optimize their achievement in school.

This study confirms the idea that trying to convince yourself of something you don’t believe is not effective.

Rather than affirming a false reality, it is far more effective to affirm the fact that you will give the task your best effort.

This is a simple distinction between what you can control and what you cannot control.

We can control the amount of effort we put into a task, but we can’t immediately control how we think and feel about a task.

A Better Way to Cope with Negative Thoughts 

Although affirmations can work, they only seem to work in particular situations. In my work as an addiction counselor, I don’t use positive affirmations because they are generally ineffective.

Persons suffering from addiction are often using a substance or behavior to cope with underlying pain or unmet needs. As seen in the literature, using positive affirmations to cope with these underlying issues often backfires.

Instead of using affirmations, there is a better way to deal with difficult thoughts and painful emotions.

If affirmations have not been working for you, it might be helpful to consider trying a strategy called acceptance and defusion.

Acceptance and defusion techniques come from Acceptance and Commitment Therapy (ACT), a therapeutic approach supported by over 330 clinical trials.

As described in my previous article on How to Stop Living in Your Head, you can use the following to more effectively cope with unhelpful forms of worry:

  1. Accept what you can’t control
  2. Step back from your thoughts
  3. Focus on the present moment
  4. Remove limiting self-definitions
  5. Live by your core values
  6. Take action toward what matters

Take a look at the full article if you are interested in exploring each of these areas in-depth, in addition to learning some practical exercises designed to gain a healthy perspective.

Summary

Positive affirmations don’t work for those trying to escape from negative thoughts or painful emotions. In fact, affirmations can often make the situation worse by reminding an individual they are not living up to the affirmation.

Like trying to change someone else’s mind by arguing with them, we can’t change our own that way either. Insisting we are happy and successful does not make us feel more happy or successful if we don’t already feel that way.

Affirmations can work to improve mood and performance among individuals who are already high functioning, such as athletes.

Specific types of affirmations can also work, including affirming your existing values or affirming the fact that you will give your best effort.

In general, a more effective approach to dealing with negative thoughts or difficult emotions includes accepting what you can’t control and taking a step back from your thoughts, as described in detail in my article on How to Stop Living in Your Head.

Does Online Counselling Work?

Does Online Counselling Work?

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Approaches to mental health and addiction treatment have evolved significantly over the years.

Within the last couple of decades, the explosion of online resources further extended the availability of professional counselling and peer support.

This shift to online platforms has led many people to ask if online counselling methods work, or if traditional face-to-face approaches work better. I decided to dig into the academic literature on online counselling to answer the question.

Does online counselling work?

According to recent evidence, online counselling is effective for treating mental health and addictions. Multiple studies show it is generally as effective as face-to-face counselling and has the benefit of expanding access to mental health and addiction treatment.

Let’s take a closer look at the research.

Summary of Evidence for Online Counselling

The following consists of a summary of my brief review of the academic literature on online counselling.

Using Google Scholar, I searched for articles on the effectiveness of online counselling, studies comparing the effectiveness of online counselling vs. face to face counselling, and studies that particularly focus on addiction treatment.

Articles were not filtered based on their conclusions, and most of the studies included are systematic reviews and meta-analyses, meaning they are comprehensive studies of the studies themselves.

The major findings of each article are presented as excerpts, but you can click the title to view the full text.

Evidence for Treating Mental Health Conditions 

Internet Interventions for Mental Health and Addictions: Current Findings and Future Directions

“There is considerable evidence for the effectiveness of Internet-based interventions targeting depression, anxiety disorders, alcohol use and smoking. Small to moderate effect sizes have been reported for interventions targeting depression, anxiety and alcohol use, and smoking interventions have shown large effects.”

A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions

“There was support for the application of psychotherapeutic interventions through the Internet; online therapy was especially effective for treating anxiety and stress-effects that lasted after therapy ended and on average was as effective as face-to-face intervention.”

Guided Internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta‐analysis

“…guided Internet‐delivered cognitive behavior therapy (ICBT) and face‐to‐face treatment produce equivalent overall effects.”

The Therapeutic Relationship in E-Therapy for Mental Health: A Systematic Review

“Although the results do not allow firm conclusions, they indicate that e-therapy seems to be at least equivalent to face-to-face therapy in terms of therapeutic alliance…”

Evidence for Treating Addiction

A systematic review of Internet-based therapy for the treatment of addictions 

“The review concluded that Internet-based therapies for addictions are effective in achieving positive behavioral changes but that more research is required to determine the comparative effectiveness of various Internet-based therapies
and their components.”

Computer-Delivered Interventions to Reduce College Student Drinking: A Meta-Analysis

“…computer-delivered interventions (CDIs) reduce the quantity and frequency of drinking among college students. CDIs are generally equivalent to alternative alcohol-related comparison interventions…”

Technology-Delivered Cognitive-Behavioral Interventions for Alcohol Use: A Meta-Analysis

“These results show a benefit for technology-delivered, CBT-based interventions as a
stand-alone therapy for heavy drinking or as an addition to usual care in specialty substance use settings.”

A review of technology-assisted self-help and minimal contact therapies for drug and alcohol abuse and smoking addiction: Is human contact necessary for therapeutic efficacy?

“…self-administered and predominantly self-help computer-based cognitive and behavioral interventions are efficacious, but some therapist contact is important for greater and more sustained reductions in addictive behavior.”

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

“Results suggest that, compared with stand-alone face-to-face therapy, blended therapy may save clinician time, lead to lower dropout rates and greater abstinence rates of patients with substance abuse, or help maintain initially achieved changes within psychotherapy in the long-term effects of inpatient therapy.”

Disadvantages of Online Counselling

In an article titled, Internet Help and Therapy for Addictive Behavior, by Mark Griffiths, PhD, he reviews some of the potential disadvantages of online counselling.

Legal and ethical considerations: It may increase the opportunity for unqualified or unskilled counsellors to market their services without proper oversight.

Confidentiality: As opposed to using paper records and in-person encounters, technological communications present an element of cyber-security risk.

Severity of client problems: Sensitive areas such as extreme trauma or grief counselling might be better conducted in person.

Client referral problems: If a client requires other types of services, a counsellor who is not from the same region will likely be unfamiliar with local resources for referral.

Establishing client rapport: Technological lag can sometimes result in unintended interruptions or requests to repeat statements, making natural rapport slightly more difficult.

Commercial exploitation: If you are visiting websites for online counselling, advertisers may be able to track your browser cookies, using the information to target advertising.

Convenience: The level of convenience could encourage dependency on the counsellor through frequent casual checking in rather than fostering client autonomy.

Advantages of Online Counselling

In the same article cited above titled, Internet Help and Therapy for Addictive Behavior, by Mark Griffiths, PhD, he also reviews some of the potential advantages of online counselling.

Convenience: This could encourage clients to enter treatment and maintain a regular focus on recovery that is logistically simple.

Cost-effective for clients: Clients who are not covered by insurance can often find lower prices by shopping around online. Note that it is not necessarily advisable to go for a bargain on this type of service. Also, note that expense is not always a guarantee of quality.

It overcomes barriers that otherwise prevent people from seeking face-to-face help: For someone suffering from extreme social anxiety or agoraphobia, online counselling can be a way to begin an effective therapeutic relationship.

It helps overcome social stigma: Rather than having to enter into a facility or attend a meeting in-person, clients can gain further anonymity.

It allows therapists to reach an exponential amount of people: Online counselling provides increased access to treatment, particularly for rural clients or clients with unique conditions requiring specialized practitioners.

In general, the evidence for online counselling is somewhat preliminary but shows great promise as an effective approach for treatment.

Is Worrying Helpful?

Is Worrying Helpful?

In light of Covid-19, I’ve been thinking about the role of worry in our lives. As anxiety, uncertainty, and social isolation ramp up, we need to take care of our mental hygiene as well as our physical hygiene.

From panic shopping to media obsession, there is no shortage of worry going around. This new situation led me to become curious about how worry impacts our mental health.

Is worrying helpful?

Worrying can be helpful or harmful, depending on the type of worry. It is helpful when focused on practical short-term actions, but it is harmful when focused on abstract ideas about the future that lead to repetitive thoughts and inaction.

Let’s take a closer look at what this means and how you can keep your worrying in check.

What is Worry?

Researchers Kate Sweeny and Michael D. Dooley state:

“Worry is an aversive emotional experience that arises alongside repetitive unpleasant thoughts about the future.”

In simple language, worry is unpleasant emotions and thoughts about the future. These thoughts begin to act like a broken record, replaying the same lines over and over.

The emotion is usually fear, and the thoughts generally involve catastrophic scenarios—for example, a pervasive fear regarding the thought of potentially being infected by a virus.

Having this worry may be helpful, or it may be unhelpful, depending on the extent of the worry and the actions that follow. Let’s take a closer look at the research on helpful forms of worry.

Helpful Forms of Worry

A study titled The Surprising Upsides of Worry found that worrying acts as a motivator to take helpful precautionary measures. The researchers state:

“It also triggers efforts to mitigate the consequences of bad news, motivates productive behavior that in turn reduces worry, and enhances the effectiveness of goal‐directed action by prompting people to focus on obstacles that might derail best‐laid plans.”

People who worry more are more prepared and less likely to face risks in many areas of life.

A 2014 study found that people who worry more about skin cancer are more likely to wear sunscreen. A 2006 meta-analysis of the evidence found that women who are more worried about breast cancer are more likely to get screenings. Lastly, a 1990 study found that people who are more worried about getting an injury in an automobile accident are more likely to wear a seat belt.

In addition to motivating helpful preventative measures, worry can also act as an emotional buffer to adverse outcomes. This means you are less disappointed when things don’t go well. According to the researcher who conducted the study on the Upside of Worry:

“If people’s feelings of worry over a future outcome are sufficiently intense and unpleasant, their emotional response to the outcome they ultimately experience will seem more pleasurable in comparison to their previous, worried state…”

Worry lowers expectations about future outcomes, leading to better emotional states when things go better than expected.

Although worry has its benefits, it needs to be kept in check. Let’s take a closer look at the research on unhelpful forms of worry.

Unhelpful Forms of Worry

Unhelpful forms of worry are quite common and can cause an upward spiral of negative thoughts and uncomfortable emotions, leading to paralysis.

In an in-depth review titled, Constructive and Unconstructive Repetitive Thought, Edward R. Watkins states:

“…worry characterized by a concrete level of construal is constructive, whereas worry characterized by an abstract level of construal and negative intrapersonal context (e.g., low problem-solving confidence) is unconstructive.”

This finding means worry is productive when focused on practical actions and unproductive when worrying about large scale issues without a focus on concrete actions.

Unhelpful forms of worry are focused on repeatedly thinking about issues beyond your control. Since you cannot do anything about issues beyond your control, your mind pretends to be busy by worrying. Worrying feels productive when it is doing nothing to solve the problem.

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 useful, 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, relationshipssleep, 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.”

When worry becomes pervasive and harmful to areas of your life, it may be helpful to consider whether you are using worrying as a way to feel busy. Although it gives the illusion of control, this type of worrying takes away your ability to take control.

When worry hijacks your brain, your fight or flight response turns on, reducing activity in the higher evolved prefrontal cortex, the area associated with control over one’s behavior. When worry spirals out of control, it leads to intense fear and paralysis.

In addition to limiting one’s ability to take practical actions to reduce the worry, it narrows one’s ability to move toward any valued directions in life.

Luckily, if you find yourself falling into this form of unhelpful worry, there are things you can do to regain balance.

How to Cope with Unhelpful Worry

As described in my previous article on How to Stop Living in Your Head, you can use the following to more effectively cope with unhelpful forms of worry:

  1. Accept what you can’t control
  2. Step back from your thoughts
  3. Focus on the present moment
  4. Remove limiting self-definitions
  5. Live by your core values
  6. Take action toward what matters

Take a look at the full article if you are interested in exploring each of these areas in-depth, in addition to learning some practical exercises designed to gain a healthy perspective.

Summary

Worrying can turn you into the slave of your thoughts and emotions. It can also motivate you to take necessary preventative action. Some worry is better than none, but too much worry can cause more harm.

Helpful forms of worry consist of short-term concrete actions, whereas unhelpful styles of worry include abstract catastrophic thinking leading to paralysis.

If you find yourself engaging in unhelpful forms of worry, it is also unhelpful for someone to simply tell you to stop worrying. If it were that easy, psychologists and addiction counselors would not exist.

How to Stop Living in Your Head

How to Stop Living in Your Head

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Are you stuck in your head, over-analyzing everything, replaying the same thoughts like a broken record? Are you unable to focus on what matters, zoning out, or becoming socially withdrawn because of racing thoughts often starting with “what if…?”.

“What if I’m not good enough? What if I didn’t do that report properly? What if I fail this class and don’t graduate on time?”

Living in your head can feel like being controlled by a dictator, keeping you from living a life of purpose and connection.

So how do you stop living in your head?

  1. Accept what you can’t control
  2. Step back from your thoughts
  3. Focus on the present moment
  4. Remove limiting self-definitions
  5. Live by your core values
  6. Take action toward what matters

This information is based on the principles of Acceptance and Commitment Therapy (ACT), supported by over 330 clinical trials.

Let’s take a closer look at each of these principles and how they can help you get out of your head.

Also, if you or someone you know is struggling with mental health issues, you can check out my resource page for suggestions on how to find help.

Accept What You Can’t Control

When you are living in your head, you are often attempting to control things outside your control through over-analysis. The problem-solving mind thinks it has all of the solutions, leading to constant thinking.

“I can’t feel this way… I need to fix this… I can’t stand this!”

Although your rational mind is useful when doing logical things like fixing a car or doing financial reports, it is unhelpful when dealing with uncomfortable emotions.

As Russ Harris states:

“Stop trying to control how you feel, and instead take control of what you can do”

Acceptance of what you cannot control opens you up to the discomfort of uncertainty but liberates you from the eternal battle with your mind.

A common ACT metaphor is the Chinese finger trap. The harder you pull, the tighter it gets. Your mind works the same way. Try convincing your mind of something and you will quickly hear the mind’s counter-arguments.

You can continue the battle with the rational mind at the expense of less and less freedom to remain fully engaged in meaningful activities.

To use another common ACT metaphor, imagine you find yourself on quicksand. Your natural reaction might be to run or struggle. The more you do this, the faster you will sink.

A more effective approach is to lay down and make as much contact with the quicksand as possible. This increases your surface area, preventing you from sinking.

Here is a simple exercise designed to help you practice acceptance skills with your own forms of mental quicksand:

Think of a memory or thought you find yourself avoiding.

For the next minute, simply make room for the discomfort, noticing the specific sensations that come up. Where are these sensations located in your body? What emotions come up? What is your mind telling you about these sensations? Curiously tune into what is going on, noticing and making space for it.

Like the quicksand, the purpose of this exercise is to willingly make contact with the difficult area, allowing you to stop the pattern of avoidance that keeps you locked in an unnecessary and unproductive battle.

Step Back From Your Thoughts

It is easy to become entangled with your thoughts, trapped as they distort everything you see. A good day can be easily ruined by a bit of criticism, sparking a forest fire of negative thinking.

“I can’t believe he cut me off!… This is not fair!… I’m going to teach him a lesson!”

In order to stop this cascade of catastrophic thinking, take a step back from your thoughts, distinguishing the metaphorical forest from the trees.

When you step back and notice a thought, you are no longer entangled in it, giving you the freedom to choose what you want to do rather than simply reacting to the thought.

As stated by ACT founder Steven C. Hayes:

“What we need to learn to do is to look at a thought rather than from thought.”

This is especially useful when you notice common thought patters. For example, the thought “I’m not good enough” might show up every time you give a presentation. Rather than fusing with the thought, you can notice it, thank it for helping you stay prepared, and continue to give the presentation anyway.

Thoughts only have power over you if you buy into them as real. Like the Wizard of Oz, noticing a thought as just a thought is like revealing the harmless man behind the curtain.

Here is a simple but powerful ACT exercise called “do the opposite”, designed to develop distance between you (the observer) and your thoughts:

If you are currently sitting down, repeat to yourself, “I can’t stand up” several times. As you continue telling yourself you can’t stand up, simply stand up.

You can do these exercises with any thought. Notice what your mind is saying you can’t do, make space for that thought, and simply do the opposite. There is no need to argue or struggle with the thought. Just notice the thought, acknowledge its presence, and take it with you.

Focus On The Present Moment

When living in your head, most of your time is likely spent thinking about the past or worrying about the future.

“Did they misunderstand what I said the other day?… Will they be upset?… Did I make a mistake?… Will I regret this?

Notice how quickly these statements flip from the past to the future. They focus on everything but the present moment.

Although focusing on the present moment helps you stop living in your head, there is a time for thinking about the past or the future. Without this ability, we wouldn’t be able to learn from mistakes or plan for the future. The problem occurs when these thoughts become so frequent that they begin interfering with your life.

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 this is a bit of a generality, it is important to refocus your attention on the present moment when the past or future thinking is no longer helpful.

So what does it mean to be focused on the present moment? Daniel J Siegel states:

“Mental presence is a state of being wide awake and receptive to what is happening, as it is happening in the moment, within us and between the world and us. Presence cultivates happiness.”

When you live in your head, you lose touch with the present moment. This creates a barrier between you and the world by preventing you from noticing opportunities for connection. It also prevents you from noticing the beauty in simple everyday things.

Here is an exercise you can do to practice getting out of your head and getting back in touch with the present moment:

If you are sitting down, bring your attention to the sensations in your body. Notice the sensation of your back or legs against the surface.

Now bring your attention to your feet, noticing how they feel against the surface they are resting on.

Now notice the sensation of your breath. Feel the rise and fall for a few moments. You may even now be aware of your heartbeat.

When you’re ready, bring your attention to your face. Notice any tension in your jaw, and simply let it go. You can then bring your attention to the sounds (or silence) around you. Notice the details of any sound. Listen to any sounds curiously, as if listening to a fine piece of music.

Now you can take a few moments to look around, curiously noticing the textures, colors, shapes, and placement of the things around you.

Any time you find yourself getting stuck in past or future thinking, take a moment to ground yourself in one of these areas. Some people find starting with the breath to be the most effective, whereas others prefer focusing on a body part like the feet.

Remove Limiting Self-definitions

Living in your head often results in excessive concern regarding self-image.

“Will they like me?… Am I good enough?… Am I smart enough?”

When you apply rigid labels to yourself, you are limiting your ability to connect with others. Holding too tightly to labels about yourself puts you into social comparison mode. Being “not good enough” implies self-comparison to a made-up standard.

These made-up standards could be ones portrayed by the media, or they could be learned early on in childhood. Either way, you take on the voice of that standard, criticizing yourself for never living up to it. The problem is that this standard is constantly out of reach like a donkey chasing a carrot on a stick.

Although it is tempting to replace the negative self-concepts with positive ones, these can be limiting and disconnecting too.

Positive rigid self-definitions contribute to social comparison and disconnection, similar to negative ones. For example, needing to identify as smart requires your mind to constantly justify this sense of smartness by comparison to others. This social comparison causes a sense of disconnection from others.

Rigid self-definitions are the ego’s armor, protecting a fragile underlying sense of self. Rather than countering low self-esteem with positive affirmations and false high self-esteem, opting out of this process altogether is more effective, helping you get out of your head and connect more deeply with others.

As stated by Eckhart Tolle in A New Earth:

“Give up defining yourself – to yourself or to others. You won’t die. You will come to life. And don’t be concerned with how others define you. When they define you, they are limiting themselves, so it’s their problem. Whenever you interact with people, don’t be there primarily as a function or a role, but as the field of conscious Presence. You can only lose something that you have, but you cannot lose something that you are.”

Here is a metaphor from The Big Book of Act Metaphors you can use if you find yourself getting trapped in self-critical or grandiose thinking:

You are the sky and your thoughts are the weather. Clouds may come and go, become turbulent or calm, but no matter what happens with the weather, the sky above remains blue and unchanged. No matter how bad the weather, the sky always has room for it. When the clouds become thick and stormy, we may forget the sky is still there, but like flying in an airplane, when we rise above the cloud-line, the sky is clear, stretching in all directions.

You are not your thoughts. Rather, you are the awareness of your thoughts. Like the sky, you are the space that contains the thoughts. They can come and go like the weather, but remaining connected to the sense of yourself as an observer allows you to more flexibly act according to your values.

Live By Your Core Values

When you are living in your head, comparing yourself to others, you begin to live by external values rather than your own.

“Am I doing this right?… Am I doing enough?… Am I going to be successful?”

The media bombards us with messages that success means having money, power, privilege, or beauty. This false image of success keeps us always looking for more. Bigger, better, smarter, faster, stronger, more attention, more stuff! The more we get, the more we want.

So what is the true meaning of success?

It means living in alignment with your personal definition of success by taking meaningful actions in line with your values. A stated by Russ Harris:

“Success in life means living by your values.”

When living in your head, it is easy to get distracted by external definitions of success. External definitions of success give you a hollow goal, void of a deep sense of purpose.

Values are distinct from goals since they provide a sense of meaningful direction and do not have an end-point. Goals are finite, whereas values can be drawn on indefinitely, acting as a compass for action.

Here is a quick practical ACT exercise designed to help you get in touch with your personal values:

Imagine you have a mind-reading machine that can tell you the thoughts of someone close to you. Tune in to what that person is thinking about you. What are they thinking about what you stand for? What do they think are your personal strengths? What do you mean to this person? In an ideal world where you are the person you want to be, what do you hear this person thinking?

What theme do you see?

Come up with a few core values and keep them with you throughout the next week, being mindful of how they inform your actions.

Some examples of values include compassion, creativity, authenticity, community, order, justice, courage, curiosity, and loyalty.

Simply put, values are a way of being.

Rather than second-guessing yourself and worrying about what others are thinking, getting out of your head requires being mindful of your values, and acting in accordance with them.

Rather than getting lost in your thoughts, you can ask yourself one simple question: did I act in alignment with my values?

Take Action Toward What Matters

When living in your head, it is easy to procrastinate, hoping for some ideal time to take action.

“I’m just not ready yet… what if I fail?… am I an impostor?

This is the realm of perfectionism. When your desire for competence becomes distorted, you constantly question whether or not you are ready to take action. Impostor syndrome can take over, and you feel like you are a fraud.

When stuck in a state of analysis paralysis, we stall our efforts to take meaningful action toward what matters. So how do you get out of your head and begin to build behavioral momentum? The key is building habits into your daily routine. As Aristotle stated:

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.”

The most effective way to build new behaviors is to slowly integrate new patterns of action into your daily routine.

Here is a practical guide to getting out of your head by incorporating meaningful behaviors into your life:

  1. Consider one of your core values from the previous exercise.
  2. List some new actions you can take to bring this value into the world.
  3. Create a goal for a specific action based on the SMART principle:
    Specific: Is this a specific goal, or is it too broad?
    Measurable: How would you measure progress toward this goal?
    Achievable: Is this a realistic goal?
    Relevant: Is this meaningfully connected to your values?
    Time-bound: What is your timeline/ deadline for this goal?
  4. Consider where you can slot this new action into your daily routine.
  5. Consider ways of amplifying this action within your routine over time.
  6. Continue to remind yourself how this action is based on your specific values.

Conclusion

Getting out of your head requires accepting what you can’t control, stepping back from your thoughts, focusing on the present moment, removing limiting self-definitions, living by your core values, and taking action toward what matters.

In short, it means letting go of the dictator within, reconnecting with your core values, and acting in alignment with those values.

Letting go of the dictator can help you gain freedom from addictions (notice the commonality between the two words). Addictions to alcohol, substances, gambling, gaming, the internet, or work are ways to turn the mind off and temporarily escape the dictator within. When you escape the dictator through these short-term methods, it comes back with a vengeance, leading to longer-term consequences and even stricter rules.

Trying to fight the dictator within only leads to a futile tug of war. You spend all your time struggling while the meaningful moments pass you by. The ACT techniques described in this article are designed to help you drop the rope.

This is not meant to be an easy process. Working on getting out of your head requires a degree of short-term discomfort that can lead to longer-term freedom.

You can undertake this process yourself or with the support of a mental health or addiction specialist who can partner with you on the journey.

How Gambling Addiction Works

How Gambling Addiction Works

What is so appealing about regularly spending most of your paycheck at a casino or online gambling? Why do some people keep gambling, despite the increasing harm to themselves and others?

If you or a loved one suffers from gambling addiction, you may be wondering how someone’s gambling can get so out of control.

Working in problem gambling treatment and prevention, I’ve discovered some common features to help make sense of problem gambling.

How Does Gambling Addiction Work?

Gambling addiction works by hijacking the brain’s learning mechanism through random rewards.

This means you feel rewarded often enough to keep going, despite increasing losses. The idea of missing a potential win keeps the person focused on trying to get the money back. As you lose more, you begin to lose control.

At this point, gambling is no longer a form of entertainment. For some, it can feel like a job. For others, it becomes a way to escape from an increasingly stressful reality.

Gambling becomes both the problem and the solution. It is used to escape from stress in the short term while contributing to even more stress in the long term.

According to a 2006 study, the following variables are correlated with problem gambling:

…an early big win, the size of the win, boredom susceptibility, impulsivity, a poor understanding of random events, use of escape coping, stressful life experiences and depression.

In other words, gambling addiction works by keeping you locked into a pattern of behavior where you continuously expect to replicate an early big win, compounded by an illusion of control, all while allowing you to escape from boredom or stress. One or many of these factors may exist in someone struggling with their gambling.

Gambling is No longer Just Entertainment

Many people use gambling as a form of entertainment, similar to going out for dinner. You have a budget, expecting to spend a certain amount for the entertainment.

When gambling becomes problematic, it’s no longer about entertainment. It becomes a way to profit or escape.

Jodie shares her experience with an early big win in an article in BASIS:

“I obsessed over the machine I had been playing and won on. I thought if I could just get back to it – get back to the incredible high I felt – a high unlike any I had experienced before – get back to that moment of possibility as the reels spun around – things would be good, money would be easy, life would be better.”

Craig shares a similar experience in an article in The Guardian:

“Gambling for me wasn’t about chasing the big win, it was about chasing the money I’d already lost”

Others primarily use gambling as a way to escape. According to a participant in a study published in the Journal of Gambling Issues:

“It’s just been a nice escape for me, so even though it causes me grief at times it’s an escape from reality… I think that’s the basic reason, is to get away from reality, just go to a fairy world. Yeah, it’s an escape, wherever your mind blanks out, you don’t think about it. That’s it, your little hideaway, on that chair.”

Just like any addiction, short term relief can come at a long term cost once the harms begin to exceed the entertainment value.

Gambling Changes the Brain

Problematic gambling changes the reward pathway in the brain, causing you to lose control over the behavior. Dopamine is produced when you encounter a favorable situation, rewarding you so that you can learn from the positive event and try to repeat it in the future.

This dopamine response is a useful learning mechanism if you are practicing a skill such as shooting basketballs into a net. Each time you get closer, your brain rewards you, reinforcing more skillful actions.

Our brains evolved to seek out patterns. Finding patterns helped us evolve as human beings. Consider the thousands of years of early human learning as hunter-gatherers. Recognizing weather patterns, animal behavior, and types of plants allowed early humans to survive and evolve.

In the case of gambling, this learning mechanism is hijacked by randomness. No patterns exist in a state of randomness, but we naturally try to find them anyway. The intermittent rewards trick the brain, continuously causing a dopamine response to near-misses, urging you to try again.

Though unlike basketball practice, there are no patterns and you have no control over the outcomes. Even if you know this consciously, your brain’s deeply entrenched learning mechanism continues urging you forward anyway.

As a participant shares in a 2017 study:

When you have a gambling problem, it’s the same as if you used heroin, or something else. Like, you don’t think anything else but where can you get more money. (Male, 34)

Even though gambling doesn’t require ingesting chemical substances, it produces the same dopamine response as any drug.

It’s Not Necessarily About the Money

As you can probably tell by now, gambling addiction is about much more than greed. Gambling is both a form of escapism and a source of thrill.

Going one step deeper, gambling is also often used to meet basic human needs. The basic human need for belonging particularly stands out.

When someone lacks a sense of belonging they often cope by seeking out status or specialness. Casinos are built around this principle, fostering status and specialness through elaborate marketing and reward programs.

Casinos often have multiple tier-leveled membership programs based on the amount someone wagers throughout the year. With names like Gold, Platinum, or Diamond status, members strive to achieve the next level, giving them special access to parking, entrances, rooms, trips, and events.

Casino hosts are sent real-time electronic information on where members are playing, how much someone has spent, and any other relevant information such as birthdays. Members are greeted by name at their machine or table and offered incentives. Of particular interest are players spending increasing amounts of money.

Other common casino incentives include invitation-only gift giveaways where players are mailed an invitation to visit the venue to pick up a gift which often consists of common household items like pots and pans.

Casino’s have a culture of their own, constantly facilitating a sense of specialness. For those who are socially isolated or suffer from low self-esteem, the casino marketing machine can artificially meet this need.

Summary

Gambling addiction works by hijacking the brain’s learning mechanism through random rewards.

As the harms outweigh the entertainment value, a person loses control over the behavior and becomes fixated on winning back losses.

Gambling can be a source of thrill or a form of escape from stressful life events. As gambling is used as an escape in the short term, it contributes to further problems in the long term.

Gambling addiction is not necessarily about money. Rather, it is often a form of escape, in addition to a way to fulfil an unmet need for self-esteem or belonging.

Although gambling addiction has several unique features on the surface, it functions like any other addiction. To learn more about the underlying processes in addiction, check out my article, What are the Root Causes of Addiction?

To learn more about my approach to addressing these underlying issues, check out my article How to Improve Psychological Flexibility. In that article, I delve into the six processes of Acceptance and Commitment Therapy (ACT), sharing my favourite therapeutic metaphors and exercises.

Want some practical tips on how to control your gambling? Check out my new article, 7 Ways to Stop Gambling and Save Money.

If you are looking for specialized support, click here to learn more about my online services.