Tag: Counseling for Depression

I don’t know what I want to do with my life!

by Nathan Chua

I often hear this said to me by clients who feel like they can’t figure out how they want to spend their limited time on this planet.  I can understand how difficult it is.  Having spent much of my earlier years in my career doing stuff that I didn’t really like, it took me a midlife crisis to realize I was going on the beaten path that others expected of me.  In my studies in ACT or Acceptance and Commitment Therapy, I have learned the importance of the plumbing underneath the approach that I am using.  The plumbing I am referring to is Relational Frame Theory or RFT.  In RFT terms, doing what is socially acceptable is called pliance.  Many of us do what other people expect us to do in our lives.  I have first hand experience!

There are also ways that our minds can get in the way of us finding more effective approaches to how we spend our time.  These happen when we follow certain rules that eventually lead us to dead ends.  Sometimes these rules are inapplicable or inaccurate.  Sometimes some of these rules lead us to short term gains to the detriment of our longer term goals for life.  Some rules keep us from breaking a glass ceiling so to speak, where we get rewarded with choices that ultimately limit what we are capable of accomplishing. 

This will be a long piece if I discuss them all.  Hopefully, I will be able to come up with a series of posts that can go through each one.  Let’s start first with something that I am sure many of you have experienced.  It is quite often that we hear stories of people going into careers only to get the authority figures around them off their case.  I am quite sure you would get it if I gave a few examples. 

  • The college student who is taking a major only to keep their parents happy and worry-free about their own futures, at least financially.
  • The employee who feels that their job is not what they expected it to be.  Very little satisfaction is obtained after a few years and sadly, this could stretch into decades.

These are examples of pliance.  We all at times make choices that are meant to please others or to be socially acceptable.  It is not always wrong to do so, but if brought to an extreme, it can lead to questions about life’s meaning and purpose such as that question posed in the title of this article.

If you find yourself dissatisfied with life and want to know if you are on the right track, here are some helpful hypothetical questions to ask yourself as written by Drs. Steven Hayes, Matthieu Villatte(my friend and consultant), and Jennifer Villatte in the book, “Mastering the Clinical Conversation: Language as Intervention.”  If you were an unhappy student and feel like you are just out there performing for your parents, here are some good questions to ask yourself:  

  • If your parents would approve your choice of major no matter what it is, do you think your current major will still be your choice?
  • If no one knew that you were going to school, what course would you take?
  • If you were successful at doing what your parents expected you to do but could not tell them about it, what would you do?
  • If you turned into somebody other than yourself, what would you want to be doing?

If you have answers to these questions, then this could mean something in determining how you want to spend the rest of your life.

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How to bring a loved one to therapy

by Nathan Chua

In my recent interview with Dr. Steven Hayes, Ph.D. I got the opportunity to ask him a most-pressing question that many, many people ask me over the phone.  If you are like many out there who have a loved one that you so desperately want to bring to counseling, you know how difficult that could be.  Here’s what, in my words, Dr. Hayes wants to advise you:

Your loved one is not crazy:

One of the biggest hurdles to seeking help is the idea that one is being blamed for problems that come along with mental struggles.  One of the risks of well meaning encouragement to seek help is the thought that everyone in your circle blames you for the problem.  What you can say to your loved one is that they are not broken as we often hear it said in a lot of self-help articles.  There’s nothing inherently wrong with you that needs fixing.  We both have evolved this human mind that works pretty much the same way as everyone else’s.  You are no different from me or any of your loved ones.  It is “normal” to struggle with our minds.  

You also know deep inside you that you are struggling and that somehow you have not been living up to what you expect your life to be.

Someone on your side:

This is unlike other relationships that you have.  This is not another setting where you are being told about what you should or should not do.  Sometimes as you might have experienced, you get well meaning advice that tells you even what you should or should not feel.  

In recent years, I had the privilege of learning from Dr. Russ Harris in his workshop for teen counseling.  It was worth noting that if there was one thing that teens don’t like is another adult telling them what they should or should not do.  Your adolescent child or relative has most probably got enough of these types of advice that it has made them feel disempowered and self-blaming.

This should be farthest from their mind when you ask a loved one to come for therapy, most especially because it is often an elder in the family that wants it to happen.  On the contrary, you can emphasize that this will be done with someone who is paid to be your advocate, or someone who’s on your side willing to listen to things that you might not feel comfortable sharing with others.  

The foolproof way:

As Dr. Hayes said in my interview with him, you can lead a horse to water but you can’t make it drink, there is still one way you can improve the situation that doesn’t involve you having to convince your loved one to come for help.  As you and I both know that the only thing you have full control over is what you do.  We can’t control what others do and as ACT therapists would say, not even what our minds do, but we can certainly control what we do in any given circumstance. 

It takes two to tango, to use another old saying.  Start with yourself.  Go get therapy and let your loved one know about it.  Show them that you use what you are selling them so to speak and you have personal experience doing it.  It only takes one small pebble to create ripples on the water.  A change in you through your hard work in therapy can be your best card in finally convincing your loved one to give this a try.  Why?  Because any change in you will mean a change in your relationship with your loved one.  Your behavior alone may convince them that this can work.  In fact, it may be that your own therapy will be all the therapy you need to change you and your loved one! 

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What I didn’t get to ask Steve

by Nathan Chua

If you were me and you were about to talk to one of the living legends of the field you work in, you would probably be laser-focused on what you would ask them when the moment finally arrives.  Well, lucky me, I got a once in a lifetime opportunity to interview Dr. Steven Hayes, and my internet connection at home happened to be having problems for about a couple of months already.  It was an interview, three months in waiting!  My internet connection had been reliable for the most part of many years, and it chose the worst time to act up!  

There were also severe financial challenges that had been surrounding me since the beginning of the year.  And of course, I forgot to turn on the extension socket where my laptop was plugged so I could charge during what turned out to be a two-hour interview!  It was, after all, akin to a live interview since I didn’t know how to edit video materials.  So what could go wrong, did go wrong!  

To avoid a monumental mishap, I woke up four hours (4 AM folks!) ahead of schedule, took a look at the speed of my internet connection and it was not even ten percent of the speed that I had been paying for.  Having been prepared for the worst case scenario, I still had time to drive up to my office and do the interview there.   

So as you can see I was flustered on the lead-up to the interview date most especially because I had been having connectivity problems since February of this year!  I was so focused on getting the logistics right that I had forgotten to take down a question that I had in my mind as early as three months ago, when Dr. Hayes, through the kind assistance of David Lorscheid, gave me an affirmative response for the interview.  That question could have been the last question I would ask and a fitting ending to the interview.  It is related to what we do in the study of human behavior and what keeps us going even when it’s hard.

So for those of you who might be interested enough to follow what happens after a once-in-a-lifetime opportunity like this, here is the question, and probably the most important one, that I forgot to ask Steve!!!

Question I forgot: 

I was particularly moved by the way you ended your book, “A Liberated Mind.”  For those of you who have the audio version of the book, there is a bonus at the epilogue.  The voice of the narrator suddenly changes into that familiar raspy voice of a wise man in his seventies as he reads what could be the main thing that he’s dedicated his life’s work to and how it could be summed up.      

“Humanity is in a race, a race to create a kinder, more flexible and values-based world—to say it another way, a more loving world that is better able to face the challenges that our own scientific and technological developments present to us. Either we will learn how to create modern minds for this modern world of ours, or we will loom ever closer to disaster… 

None of us knows how it will turn out, but based on human history, I put my bet on the human community evolving to meet the challenge. I put my bet on our capacity to choose love over fear. That can only happen one person, couple, family, business, and community at a time. When each of us learns how to put our own mind on a leash, and become more able to open up, show up, and move forward toward what we deeply care about, we shine a light into the darkness that helps others do the same. There is a good word for it: the word is love. 

We know how important that is. The crying eight-year-olds within us know. Deep down, we all know that love isn’t everything, it’s the only thing.”

There you go my friends, for all their faults and follies, the work of Dr. Hayes and countless other scientists in human history, can at times be at best, misunderstood and at worst, neglected or even scorned at.  The work that he does in the helping business is to make a better world for all of us to experience.  A lot of it can be buried underneath these tail-chasing conspiracy theories that researchers and scientists have some kind of hidden notorious agenda in an age where people can be isolated in their own silos of information. 

I had a follow up question in mind too:  “Could I say that part where you say this is all about love is why you called it Acceptance and Commitment Therapy?”  I have seen Dr. Hayes make a joke about the reason behind the name.  He would say that he wanted it to be the first in the list of hundreds of approaches and models of therapy.  My guess is, the name actually represents with a modicum of words, what love is all about.  For love is after all about acceptance and commitment, isn’t it?  Well, so goes my one and only chance to get confirmation about this idea.  

Like Dr. Fauci or any other advocates for science you and I have seen across thousands of miles, Dr. Hayes has dedicated his life to his work because love matters to him.  The bottomline behind the countless hours these people spend in their labs is love, because science is love.  That’s what it’s all about lest we forget.  Thank you Dr. Hayes for your love for science and the people that your work serves.  We have a better, kinder world because of your dedication to something that could still use more appreciation from all.

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Coping with Tunnel Vision During a Crisis

by Nathan Chua

I am quite certain that most if not all of you, my readers, have experienced being caught in a difficult situation and having to focus mainly on the problem at hand.  When there is a crisis, we often develop tunnel vision and end up doing greater harm to ourselves and others.  For example, when your teenaged child comes home really late, tunnel vision can lead a parent to think that the child doesn’t care and that the only solution is to show your anger in order to keep them in line.  These situations don’t usually end up well.  Often, what could have been a moment of tenderness and bonding, turns into a messy fight.  

Now don’t get me wrong.  Tunnel vision is not always harmful.  There are plenty of times when you and I need it.  If your toddler suddenly feels the urge to go towards an open window and tries to climb over it, tunnel vision will help you get your child out of that precarious situation.  In these instances, following the dictates of your mind works well for you and the survival of your child.  If there was a wild animal chasing you thinking you are prey, tunnel vision is what you need in that moment to come out of it alive. 

The topic I’d like to discuss here is about the times when developing tunnel vision and instantaneously acting on it, may not be a move in our best interest.  A timely example would be that incident when we saw a famous actor in Hollywood come up to a comedian in front of millions of people watching the Annual Academy Awards for motion pictures.  We can say that Will Smith developed tunnel vision in the heat of the moment.  Although the context of the moment would certainly make hurt feelings understandable, standing up and committing a violent act is the proverbial solution that becomes the problem.  

On a larger scale, think about the war in Ukraine.  That tunnel vision can cause egregious acts done against our fellow humans.  To use an example closer to home, how many times have we seen road rage cause tunnel vision, rendering someone who has no record of violence helpless enough to physically or emotionally harm or even kill someone for a slight.

So here are some ways that I borrowed from Dr. Steven Hayes’ book, “A Liberated Mind,” that could be helpful for us to cope with tunnel vision when it occurs.  In my opinion, it is but natural for us to get into that mode of mind, it only takes some mindfulness in the moment to avoid as I had mentioned earlier, making the solution become the problem. 

  • Try to sense in your body where you feel this current issue is affecting you.  Is it a heaviness in the chest?  Does it feel like a weight on your shoulders?  Tightness in your head?  Notice these sensations and give it a good clean yes.  Give yourself a minute to experience this without defense. 
  • Have you seen anyone you cared for in your family who had suffered something like this?  Recall that moment and see if you can purposefully witness their struggles with compassion. 
  • Say yes to the thoughts that come with this problem.  See if you can drop any kind of struggle with it and notice them for what they are, just thoughts. 
  • Is there something here that you can learn from if you project yourself into the future?  Is there something in this experience that can help you learn something about your life’s journey?  
  • See if you can find out why this is so painful for you.  Behind anything that hurts you deeply, there could be the values you hold dear.  Maybe you’re hurt because you care about honesty or openness.  Maybe you are angered because of your love for justice.  What could be the loving and caring thing to do at this moment?   
  • If this was a story in a book you were writing about a hero’s journey, what could this moment be for your hero?  How can this moment make your hero become wiser and more alive?   
  • Do you have other memories attached to this present problem of yours?  Can you willingly say yes to just one more of these? 
  • If there’s someone that you blame for this, can you think of times that you may have done something similar to what they’ve done to you, even if it was in a less hurtful way?  Sometimes we point our problems towards other people and avoid seeing how we have in the past behaved in the same way.
  • If you had a friend who had this problem, how would you feel towards them?  What would you suggest they do?
  • You have picked something that your mind says you have to say no to or that you shouldn’t have.  Is there something that’s hard for you to give up in order to let go of that no?  Perhaps saying yes to the hurt feelings would indicate that you are a weak person.  Can you give up that struggle with that thought and allow that to be there just as a thought?
  • If you could have these thoughts and feelings without having to fight them, what would you be able to accomplish in your life?  Think about taking this along for the ride of your life or the journey you set out for yourself.

That’s all for now folks.  Hope this will give you a wider perspective every time your mind gives you that urge to go into tunnel vision.

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We’re Back at our West Avenue Office!

Hello everyone!

We are very pleased to announce to you that we are back at our West Avenue office starting Wednesday, March 30, 2022! 

The address again is:

CMS Clinic

2nd Floor Back to the Bible Building

135 West Avenue, Quezon City, Philippines!

We can see there every Wednesdays between 10:00 am to 12:00 noon!

See you all there!

Climbing the Mountain of Your Life

by Nathan Chua

Have you lost hope recently?  Does it feel like you have hit a ceiling in your life?  Does it feel like everything is just one dreadful day after another?  Has life turned into a series of musts, shoulds, and can’ts?  Are you tired of running away?  Perhaps running away from a life that you had always wanted?  What is left to pursue with your time? 

Whether it’s an addiction, anxiety, depression, or whatnot, it’s probably time to change your perspective on what’s going on with your life.  If feeling safe is what you had been looking for in a long time, then you might notice that it is only a matter of time when your anxiety, depression, addictive urges, or anger catch up with you.  It’s a fruitless endeavor.  Why?  Because you had been hardwired to have them.  To what extent will depend much on your personal history.  Unfortunately, no matter what, your personal history is going to be with you.  Your memories are not your roommates that you can avoid by just picking another place to stay. 

Clients who start gaining the ability to move forward in their lives would often run back for help whenever there are new challenges that come or when these obstacles feel insurmountable.  Well, here is something that might encourage you.  Let’s say you are a mountain climber.  As you climb up that mountain, you would probably feel the challenges getting more daunting. Why?  Because the higher you go the harder your fall will be.  You also notice that you begin to have some bruises or more tired muscles as you reach one milestone after another.  Your supplies may also show that you have less of what’s left as you climb.  There may also have been unexpected delays or injuries that needed more time to heal.

Such is life when you go after what it is that gives it meaning and purpose.  Success or no success, what’s important is the climbing.  I mean you probably wouldn’t exchange the experience with just having a drive up the mountain in a nice SUV.  

You might be reading this and think about what this has got to do with your problems.  Let’s say you have the dream of finding a partner that you can love.  You may fail along the way.  Not all your relationships end up with an exchange of vows.  The other end of this journey could be finding the person with whom you want to spend the rest of your life.  Either way there is one common denominator in this pursuit of a meaningful relationship.  You want to be in a relationship because you want to love and care for someone.  And this doesn’t change regardless of outcomes, but the challenges can change and become even more challenging.

Another example is, you might be working hard for your dreams of sharing the fruits of your labor with people you care for.  Bottom line is you probably are not working for money for the sake of one day lying down on top of it.  You probably want to use this money for the people that matter to you, including yourself and maybe that sense of being independent.  Whether you succeed or not in making the level of income you want, it would not change the fact that you wanted to be generous with what you earn.  So the outcome doesn’t really change who you are and what you want to be.  That’s a constant companion.  They are your dreams and aspirations of being the person you want to be and living the life you want to live.

So let that mountain that I just stuck in your mind be your guiding metaphor.  As you climb higher towards your dreams, you will have new and more difficult challenges that will come.  Learning how to embrace them as opportunities to continue with your mission is the key.  It is not about results, it’s about you and your dream of just being what you want to be in every step of your way there.  

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