[THREAD] Let's talk about repetitive (obsessive) thoughts a little bit. It is a bit of a misconception that they happen only with OCD. Almost all mental health conditions have some form of obsessive or repetitive thinking. How do they happen and what we can do to alleviate them?
Given that we get around 80k thoughts a day, it is impossible to remember all of them. Usually, the ones that our brain deems important happen because we attach emotions to them. Those emotions act like a filter that trap the most important thoughts.
When we are depressed or anxious, our brain will mostly attach emotions to the thoughts that are consistent with the theme of our general mental health. Because they are deemed important, our mind will keep bringing them back.
When those thoughts are brought back, they still trigger a strong emotional response in us, therefore making them more likely to come back more. Let's pause here and do a small exercise. For the next 30 seconds, I forbid you to think about pink elephants. No matter what!!
It is impossible. That is because we can't voluntarily not think about something. The more we try, the more likely it is to come back. Therefore, the solution is not trying to get rid of them. So what can we do? One of the main things to do is adopt a non judgmental approach.
We allow these thoughts to stay in our brain as much as they want to, we are not going to try to kick them out or get scared of them. They can stay or go, they can do whatever they want. What this does is remove that emotional connection between the thoughts and the mind.
Therefore, our minds will think, well there is less and less emotion connected to this thought, that means that we don't need to remind them anymore. It loses its power and is therefore more likely to leave. This exercise takes time and a lot of practice, it doesn't just happen.
But the more we practice it with thoughts that tend to come back and give us anxiety or depression symptoms, the more likely we are to make them go away by using some patience and not judge them. This exercise is mainly for repetitive thoughts linked to anxiety and depression.

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More from @bazzapower

10 Oct
[THREAD] I want to talk about compassion fatigue in more detail. It is something that happens more often than we think and can add a lot of guilt because we feel we no longer care for other people, even when it is not accurate. So what is it? And can we get out of it?
Compassion fatigue is simply the inability to help or feel empathy for certain periods of time. It was first identified in healthcare providers such as doctors, nurses and therapists who work long hours with patients and who need to constantly show empathy.
It is a symptom of burnout and exhaustion when it seems like they no longer care. This is because they have been compassionate over and over again without a break and their minds is simply tired from it. However, we started to notice this effect also happening outside healthcare.
Read 11 tweets
9 Oct
[THREAD] I want to talk about one of the most underrated exercises that I love so much. It is called core beliefs. All of us have core values and beliefs about ourselves and the world. However, when we are anxious or depressed, we sometimes internalize negative core beliefs.
We may start to believe that “we are annoying” or “no one loves us” as core belief because we have been depressed for so long that we believe it even if there isn’t a lot of evidence to suggest that this is true. Core beliefs are very important because they dictate our identity!
The purpose of this exercise is to write down all our core beliefs. After that, we pick those that have negative connotations or stem from low self-esteem. When we identify all those that are negative, we will pick one of them (for now) and change it.
Read 7 tweets
3 Oct
[THREAD] I want to take sometime to discuss exam, presentation and deadline anxiety. It is a question I get multiple times per week and debilitates a lot of students and professionals. So let’s dive a little deeper into it, why it happens and if we can overcome it.
First of all, performance anxiety is not a different type of anxiety per say. Usually, those of us who have it have anxiety in other areas of our life. But performance anxiety can directly affect results and increase our mental health distress.
The root of performance anxiety is society based. When parents put too much pressure on kids and schools have this attitude that failing exams can ruin our life, it is easy to realize why we put so much pressure on ourselves to perform. However, that pressure can backfire.
Read 10 tweets
1 Oct
[THREAD] I want to take a moment to explain health anxiety (formerly known as hypochondria). It is something that continues the cycle of anxiety and it spirals to the point where we think that something is wrong with us physically almost constantly. Health anxiety is very common.
We may go to the doctor for physical exams but the tests keep coming back with nothing wrong. However, our health anxiety convinces us that something is wrong and the doctors simply haven't caught it yet. We may get a small relief when we get our tests back but it doesn't last.
Our anxiety simply tends to move to another part of our body. If we do a heart test and everything looks fine, we will think that something is wrong with our lungs. It is a never ending struggle. We often look up symptoms on google to self-diagnose. However, this is a bad idea.
Read 12 tweets
28 Sep
Trigger warning: grief

As COVID-19 continues to rise across the world, we are coming at a point where most people have lost someone to it on top of other factors. Grieving is a process that all of us will go through at one point or another. So how do we deal with it?
Losing someone is a very painful experience. How we lose that person also plays a role. The younger someone is, the harder it can hit. Accidents and sudden passing take away lives unexpectedly will also be quite shocking because it doesn’t follow the normal rule of dying old.
There are 5 distinct stages of the grieving process. Denial, anger, bargaining, depression and acceptance. Most people think that we go through these stages in a linear way and when we reach acceptance, we are considered recovered. However it doesn’t quite work that way.
Read 12 tweets
25 Sep
[THREAD] let’s talk about thoughts. I mentioned them a lot in threads but I think they are important enough to deserve their own thread. They are central to our mental health and are one of the main reasons why we feel bad. Why do thoughts play such a central role?
First of all, we get many thoughts a day. The average is 80,000. Even in healthy people, around 60% of them are negative. In terms of evolution, the more paranoid and negative we were, the more we were on guard for dangers and likely to survive, which then passed on.
Given that we get 80k a thought a day, what makes some of them stick and the other ones we forget as quickly as they come? The answer is the amygdala (emotional centre of the brain). The more an emotion is attached to a thought, the more it is flagged as important and return!
Read 12 tweets

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