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  • Mindfulness for Beginners: A Complete Guide to Present-Moment Awareness

    Mindfulness for Beginners: A Complete Guide to Present-Moment Awareness

    Mindfulness has moved from Buddhist monasteries to mainstream mental health care, backed by decades of research showing its benefits for stress, anxiety, depression, and overall wellbeing. But what exactly is mindfulness, and how do you actually practice it?

    This comprehensive guide explains mindfulness in accessible terms, provides practical techniques you can start using today, explores the science behind why it works, and shows you how to build a sustainable practice that fits your life.

    What Is Mindfulness?

    Mindfulness is the practice of paying attention to the present moment with openness, curiosity, and without judgment. It means fully experiencing what’s happening right now rather than dwelling on the past or worrying about the future.

    The core elements include present-moment awareness, meaning you focus on what’s happening now rather than being lost in thought. Non-judgmental observation involves noticing experiences without labeling them as good or bad. Acceptance means allowing experiences to be as they are without immediately trying to change them. Curiosity brings an interested, open attitude toward whatever arises.

    Mindfulness isn’t about emptying your mind, feeling blissful all the time, or achieving some special state. It’s simply the practice of being aware of your experience as it unfolds.

    Why Practice Mindfulness?

    Research over the past 40 years has documented extensive benefits of regular mindfulness practice:

    Mental health improvements: Studies show mindfulness reduces symptoms of anxiety and depression, decreases rumination and worry, lowers emotional reactivity, improves emotional regulation, and reduces stress.

    Cognitive benefits: Regular practice enhances attention and focus, improves working memory, increases cognitive flexibility, supports better decision-making, and may slow age-related cognitive decline.

    Physical health effects: Mindfulness lowers blood pressure, reduces chronic pain, improves sleep quality, strengthens immune function, and may reduce inflammation.

    Relationship benefits: Practice enhances emotional awareness, improves communication skills, increases empathy and compassion, reduces relationship conflict, and strengthens connections with others.

    Work and performance: Mindfulness boosts productivity and focus, enhances creativity and problem-solving, improves leadership capabilities, reduces burnout, and increases job satisfaction.

    These benefits emerge through regular practice over time, not from trying mindfulness once or twice.

    The Science Behind Mindfulness

    Neuroscience research shows that regular mindfulness practice actually changes brain structure and function.

    Studies using brain imaging reveal that mindfulness increases gray matter density in the hippocampus, which is involved in learning and memory. It also increases activity in the prefrontal cortex, which handles executive function and emotional regulation.

    At the same time, mindfulness decreases activity in the amygdala, the brain’s alarm system that triggers stress responses. This neuroplasticity explains why mindfulness practice leads to lasting changes in how you respond to stress and emotions.

    On a biochemical level, mindfulness reduces cortisol and other stress hormones, increases serotonin and other mood-regulating neurotransmitters, and may even affect gene expression related to inflammation and stress.

    Common Misconceptions About Mindfulness

    “Mindfulness means emptying your mind”: Your mind naturally produces thoughts. Mindfulness isn’t about stopping thoughts but noticing them without getting caught up in them.

    “I tried it and I can’t do it”: If you notice your mind wandering during practice, that IS the practice. Noticing and returning attention is the skill you’re building, not preventing mind-wandering.

    “You need to sit in meditation for hours”: While longer practices offer benefits, even a few minutes daily creates positive changes. Quality and consistency matter more than duration.

    “Mindfulness is religious”: While rooted in Buddhist tradition, modern mindfulness is secular and evidence-based. You don’t need any religious beliefs to practice or benefit.

    “It’s just relaxation”: While mindfulness can be relaxing, that’s not the goal. You’re training attention and awareness, which sometimes means being present with difficult experiences.

    “Mindfulness will solve all my problems”: It’s a powerful tool but not a panacea. Some issues require additional support like therapy, medication, or practical problem-solving.

    Basic Mindfulness Techniques for Beginners

    Mindful Breathing

    The most foundational mindfulness practice involves simply paying attention to your breath.

    Find a comfortable position, sitting or lying down. Close your eyes or soften your gaze downward. Bring attention to the physical sensation of breathing—the air moving through your nostrils, your chest or belly rising and falling, the temperature of the air.

    You’re not trying to breathe in any particular way. Just notice how you’re already breathing. When your mind wanders to thoughts, plans, or worries—and it will—gently redirect attention back to the breath without self-criticism.

    Start with just five minutes. The simplicity of this practice doesn’t mean it’s easy, but it’s foundational to all other mindfulness techniques.

    Body Scan

    This practice builds awareness of physical sensations throughout your body.

    Lie down or sit comfortably. Starting with your toes, bring attention to the sensations there. You might notice tingling, warmth, coolness, pressure, or perhaps no particular sensation. Gradually move attention up through your feet, ankles, lower legs, knees, continuing through your entire body up to the top of your head.

    The body scan teaches you to notice subtle physical sensations and recognize where you hold tension. It’s also excellent for grounding yourself when feeling anxious or overwhelmed.

    Mindful Observation

    Choose an object—a flower, piece of fruit, artwork, or anything visually interesting. Spend several minutes observing it as if seeing it for the first time. Notice colors, shapes, textures, shadows, and details you might normally overlook.

    This practice trains sustained attention and helps you break out of autopilot mode where you go through life without truly seeing what’s around you.

    Mindful Walking

    Walking meditation brings mindfulness to movement. Walk slowly and deliberately, paying attention to the physical sensations of each step. Notice your foot lifting, moving forward, placing down, the shift of weight, the contact with the ground.

    You can practice this indoors or outdoors, though outdoor walking adds elements like sounds, smells, and visual scenery to notice mindfully.

    Five Senses Exercise

    This quick practice grounds you in the present moment by engaging each sense. Notice five things you can see, four things you can physically feel or touch, three things you can hear, two things you can smell, and one thing you can taste.

    This technique is particularly useful when feeling anxious or dissociated, as it brings awareness firmly into the present moment through concrete sensory information.

  • How to know when holiday drinking is hurting your brain by Jamie Smolen, MD

    How to know when holiday drinking is hurting your brain by Jamie Smolen, MD

    For many, the holidays are indeed the most wonderful time of the year. Families and friends come together and enjoy food, good cheer – and, often, alcohol.

    Commercially speaking, alcohol and the holidays seem to be made for each other. Alcohol can be a quick and easy way to get into the spirit of celebration.

    And, it feels good. After two glasses of wine, the brain is activated through complex neurobiochemical processes that naturally release dopamine, a neurotransmitter of great importance.

    When the dopamine molecule locks on to its receptor located on the surface of a neuron, or basic brain cell, a “buzz” occurs. It is often desirably anticipated before the second glass is empty.

    drinking addiction
    This image shows an illustration of a man drinking a pint of beer, indicating how the body metabolizes alcohol and the organs that this alcohol affects. Wellcome Images via FlickrCC BY-NC-ND

    There are those, however, who drink right past the buzz into intoxication and, often, into trouble. For them, the brain starts releasing the same enjoyable dopamine, no different than what happens in casual drinkers, but it doesn’t stop there. A compulsion to binge drink can result.

    As someone who has studied alcohol use disorder for over 15 years and who has treated thousands of patients who have it, I think it’s a major, yet often poorly understood, public health problem. Our culture seems to be moving beyond the point of labeling those with opioid addictions as “weak,” and I hope we can do the same for those with alcohol use disorder, too, which is more widespread than people may appreciate. Excessive drinking accounted for one in 10 deaths among working-age adults in the United States.

    Moving Beyond Judgment

    Although alcohol can feel as though it is relieving stress, it contributes to 88,000 deaths in the United States each year. That is more than double the number of people killed by heroin and opioid prescription drug overdose, another major public health crisis, in 2014.

    In addition, more than 66.7 million Americans reported binge drinking in the past month in 2015, according to the recent report on addiction by the Surgeon General.

    The consequences to the individual and the family are staggering, affecting physical and mental health, an increased spread of infectious disease, reduced quality of life, increased motor vehicle crashes, and abuse and neglect of children, to mention a few.

    Scientific study of the brain has helped explain binge drinking, even if it may be hard for family and friends to understand. It’s defined as drinking five or more drinks for men and four for women on the same occasion on at least one day in the past 30 days.

    Binge drinking is a medical condition. It happens through no fault of the individual, who is victimized by the comparative malfunction of the pleasure circuits in the brain. This causes the drinker to want more and more alcohol. The brains of binge drinkers have a disease, acknowledged by the American Medical Association since the 1950s, yet binge drinkers are often vilified.

    Americans typically want to know and are willing to make some lifestyle changes out of fear and common sense when it comes to diseases such as heart disease, obesity, and cancer. We as a society are not quite at the same point with substance abuse disorders, but researchers are desperately trying to bring that same willingness for prevention and treatment to substance use disorders.

    Science understands the cause well enough to explain it and treat it so that lives can be saved and spared the devastating consequences for the millions who suffer with these conditions, their families, and communities. This has become an urgent matter of national importance for scientists and medical practitioners.

    The Three Stages of Addiction

    The alcohol addiction process involves a three-stage cycle: Binge-Intoxication, Withdrawal-Negative Affect, and Preoccupation-Anticipation.

    It begins in the neurons, the basic type of brain cell. The brain has an estimated 86 billion of these cells, which communicate through chemical messengers called neurotransmitters.

    Neurons can organize in clusters and form networks or circuits in order to perform specific functions such as thinking, learning, emotions, and memory. The addiction cycle disrupts the normal function of some of these networks in three areas of the brain – the basal ganglia, the extended amygdala, and the prefrontal cortex.

    The disruptions do several things that contribute to continued drinking. They enable alcohol or drinking-associated triggers (cues) that lead to seeking alcohol. They also reduce the sensitivity of the brain systems, causing a diminished experience of pleasure or reward, and heighten activation of brain stress systems. Last, they reduce the function of the brain’s executive control systems, the part of the brain that typically helps make decisions and regulate one’s actions, emotions, and impulses.

    These networks are critical for human survival. Unfortunately for the binge drinker, they become “hijacked,” and the bingeing continues even after the harmful effects have begun.

    Because binge drinkers’ brains feel intense pleasure from alcohol, there is a powerful motivation to binge drink again and again. What may begin as social binge drinking at parties for recreation can cause progressive neuro-adaptive changes in brain structure and function. The brain is no longer well enough to function normally. It’s getting sick. Continued partying can transition into a chronic and uncontrollable daily pattern of alcohol use. These maladaptive neurological changes can persist long after the alcohol use stops.

    Your Brain on Alcohol

    During the Binge-Intoxication Stage, a part of the brain called the basal ganglia rewards the drinker with pleasurable effects, releasing dopamine, the neurotransmitter responsible for the rewarding effects of alcohol, and creating the desire for more.

    With continued bingeing, the “habit circuitry” is repeatedly activated in another part of the basal ganglia called the dorsal striatum. It contributes to the compulsive seeking of more alcohol. This explains the intense desire (craving) that is triggered while a binge drinker is driving by a favorite bar and can’t resist pulling in, even after a promise to go directly home after work.

    During the Withdrawal-Negative Affect Stage, there is a break from drinking. Because the reward circuit has a diminished ability to deliver a dopamine reward, there is far less pleasure with natural (safe) experiences – such as food and sex – compared to alcohol.

    During abstinence from alcohol, stress neurotransmitters such as corticotropin-releasing factor (CRF) and dynorphin are released. These powerful neurochemicals cause negative emotional states associated with alcohol withdrawal. This drives the drinker back to alcohol in order to gain relief and attempt to reestablish the rewards of intoxication.

    drinking addiction
    Regions of the brain are affected differently by alcohol. Surgeon General’s Report on Addiction

    After a period of abstinence from alcohol, which may last only hours, the drinker enters the Preoccupation-Anticipation Stage. This involves the prefrontal cortex, where executive decisions are made about whether or not to override the strong urges to drink. This part of the brain functions with a “Go system” and “Stop system.”

    When the Go circuits stimulate the habit-response system of the dorsal striatum, the drinker becomes impulsive with a craving and seeks a drink, perhaps even subconsciously. The Stop system can inhibit the activity of the Go system and is important, especially in preventing relapse after being triggered by stressful life events.

    Brain imaging studies show that binge drinking can disrupt the function in both the Go and Stop circuits. This interferes with proper decision-making and behavioral inhibition. The drinker is both impulsive and compulsive.

    An illness that can be treated

    There is good news, as scientific evidence shows that this disorder can be treated.

    The FDA has approved three medications for treatment that should be offered whenever appropriate. There is well-supported scientific evidence that behavioral therapies can be an effective treatment. This includes recovery support services, such as Alcoholics Anonymous.

    Most importantly, it is important to know that alcohol use disorder is a brain disorder causing a chronic illness. It is no different from diabetes, asthma, or hypertension. When comprehensive continuing care is provided, the recovery results improve, and the binge drinker has the hope of remaining sober as long as lifelong treatment and maintenance of sobriety become a dedicated lifestyle choice.

  • A Neuroscientist’s Tips For a New Year Tuneup for Your Brain By Kelly Lambert

    A Neuroscientist’s Tips For a New Year Tuneup for Your Brain By Kelly Lambert

    Starting your brain’s year off right

    Lessons from the laboratory rats also provide potential explanations for some of my own personal favorite New Year’s Day traditions – including the mundane tasks of cooking a familiar southern meal, cleaning my closet and watching HGTV’s Dream House giveaway with my family while we all declare what we would do if we won the beautiful house. Move in? Sell it? Make it an Airbnb rental?

    Thinking like a neuroscientist, I know that cooking and cleaning are active endeavors with clear outcomes that allow me to gain a small sense of control, decreasing stress hormones. Playfully anticipating winning a new home taps into that feel-good dopamine system as we contemplate more serious options for the new year. And, perhaps the best neurochemical hit of all is the spike in oxytocin, the neurochemical involved in positive social connections, as I spend time with loved ones.

    Although it’s common to turn to pharmaceuticals to lift our emotions and improve our mental health, the emotional benefits of many New Year’s traditions remind me that basic responses can serve as what I call “behaviorceuticals” that enhance well-being. New Year’s resolutions may take the form of New Year’s Rx’s as we consider healthy lifestyle choices for the coming year: Shrink those distorting brain bubbles and build realistic connections to enrich life’s simple pleasures.

  • How Putting Purpose into Your New Year’s Resolutions can Bring Meaning and Results By Benjamin Houltberg and Arianna Uhalde

    How Putting Purpose into Your New Year’s Resolutions can Bring Meaning and Results By Benjamin Houltberg and Arianna Uhalde

    People worldwide make New Year’s resolutions every year in an attempt to improve their lives. Common resolutions are to exercise more, eat healthier, save money, lose weight and reduce stress.

    Yet, 80% of people agree that most people won’t stick to their resolutions. This pessimism is somewhat justified. Only 4% of people report following through on all of the resolutions they personally set.

    We have spent years studying motivation, emotion regulation and behavior in family relationshipsathletic performance and health information processing in the marketplace. Now at USC’s Performance Science Institute, we help people attain and sustain high performance in all aspects of their lives.

    Based on our research, we propose a potential solution to the problem of New Year’s resolutions that people can’t keep: encouraging people to reframe their resolutions to emphasize purpose-based performance.

    Why the failures?

    What leads to so many abandoned New Year’s resolutions?

    A large body of research on goal-setting and habits provides insight into the various reasons for failed resolutions.

    Many people are not framing their resolutions in ways that will motivate them over time. For example, “exercise more” is a fairly clear directive, but it lacks depth and personal meaning that could help promote follow through. Overly simplified resolutions, such as “exercise more” and “eat healthier” contribute to the ongoing problem that emerges as early as mid-January each year: unintentional neglect of important self-improvement goals.

    Thinking of purpose as you ponder your resolutions can imbue them with joy and meaning. Kiefer Pix/Shutterstock.com

    Make it purposeful

    Purpose has been defined simply as someone’s reason for doing something. However, scientists have recently developed a more comprehensive framework for purpose.

    Purpose is associated with positive outcomes for people of all ages. People with a sense of purpose make more moneycope with life hardships more effectively and are healthier across the lifespan. Organizations that foster or reinforce employees’ sense of purpose are now referred to as “high performance workplaces”.

    In the context of goal-setting for the new year, the concept of purpose-based performance becomes especially relevant. In our research, we have found that purpose-based performance is much healthier and more sustainable than outcome-driven performance.

    Purpose-based performance has three critical, interrelated components: goal orientation, personal meaning and focus on something or someone beyond the self. We provide three questions that you can ask yourself when developing New Year’s resolutions to inspire purpose-based performance.

    What are my longer-term goals?

    The first thing to consider is your long-term goals, and how each resolution fits with those goals. Purpose-based performance includes goal orientation, or an internal compass that directs people toward some long-term aim. This orientation helps people organize and prioritize more immediate actions to make progress toward that aim. People who are goal-oriented and remind themselves of their “end game” live consistently with their beliefs and values and perform better on the immediate goals they set.

    When setting New Year’s resolutions, many people end up with a long list of simple resolutions without thinking deeply about their rationale for each resolution, or where each resolution will take them. Linking an immediate goal with a longer-term aim can sustain progress. Thinking about who you want to become can help you decide which resolution(s) to take on.

    Why is this personally important?

    The next step to consider is why each resolution is personally meaningful for you. When people pursue personally meaningful goals, they are not only more intrinsically motivated but also find more joy in the process of goal pursuit. They are able to reframe challenges as opportunities for personal growth. In one study with elite athletes, we found that personal meaning helped them regulate their emotions when things didn’t go their way and display more patience as they pursued their goals.

    Someone who pursues a goal for external rewards that are contingent on a particular end result – for example, validation that comes from winning – is likely to experience shame when they fall short of their goal. Even when they win, they may feel disappointed because the end result does not bring meaning to their life. This is exemplified by the “post-Olympic blues,” when Olympians experience depression after such a significant accomplishment.

    Spend time thinking about your motivation for each resolution. Ask yourself, are you focused on a particular outcome because it will give you self-esteem, status or something else? It can be helpful to think about the potential meaning found in the process of pursuing a goal, regardless of whether you attain the desired outcome.

    Who will be positively affected by this?

    The final step is to consider who or what, beyond yourself, will be positively affected by your resolution(s). Desire to be a part of something greater than the self, or transcendent motivation, is beneficial for performance for several reasons.

    Being healthy for one’s kids can be a motivating goal. Pixel head photo digital skillet/Shutterstock.com

    Linking a resolution to transcendent motivation can be a powerful source of inspiration. Someone may link exercise goals to a charitable cause they care about, or they may think about how improving their health will make them a better partner, friend or parent. Research shows transcendent motivation improves self-regulation when things get dull or repetitive during goal pursuit, and it strengthens character virtues like patience and generosity. When someone’s transcendent motivation is prosocial in nature, they are willing to accept feedback about performance and receive increased social support in the workplace.

    Think about the bigger picture. Consider whom you are helping with each goal. Potential impact beyond yourself is added fuel for your goal pursuit.

    Reframing your resolutions

    What might New Year’s resolutions that incorporate purpose-based performance look like? Using the three questions above, we have reworked three common resolutions to reflect purpose-based performance:

    • “Exercise more” becomes “I commit to working out two times per week so I can be more present and energized with my children, so they feel more loved and inspired by me.”
    • “Save money” becomes “I commit to saving US$100 per paycheck so I feel more secure in my role as a husband and father, which will ultimately benefit my family.”
    • “Lose weight” becomes “I commit to losing ten pounds so I feel more confident at work, and my coworkers will experience a more positive version of me.”

    Cheers to a new, purpose-filled year!

  • The Best Way to Follow Through on Your New Year’s Resolution? By Mark Canada and Christine Downey

    The Best Way to Follow Through on Your New Year’s Resolution? By Mark Canada and Christine Downey

    Make an ‘old year’s resolution

    More often than not, the best-laid plans for the new year go awry. Nora Carol Photography/Getty Images

    Authors

    1. Mark CanadaChancellor and Professor of English, Indiana University Kokomo, Indiana University Kokomo
    2. Christina DowneyProfessor of Psychology, Indiana University

    Disclosure statement

    Mark Canada has written an Audible Original called “Ben Franklin’s Lessons in Life.”

    Christina Downey does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    If you’ve made a New Year’s resolution, your plot for self-improvement probably kicks into gear sometime on Jan. 1, when the hangover wears off and the quest for the “new you” begins in earnest.

    But if research on habit change is any indication, only about half of New Year’s resolutions are likely to make it out of January, much less last a lifetime.

    As experts in positive psychology and literature, we recommend an unconventional but more promising approach.

    We call it the “old year’s resolution.”

    It combines insights from psychologists and America’s first self-improvement guru, Benjamin Franklin, who pioneered a habit-change model that was way ahead of its time.

    With the “old year” approach, perhaps you can sidestep the inevitable challenges that come with traditional New Year’s resolutions and achieve lasting, positive changes.

    A period to practice – and fail

    Research has highlighted two potential pitfalls with New Year’s resolutions.

    First, if you lack the confidence to invest in a full-fledged effort, failure to achieve the goal may become a self-fulfilling prophesy. Furthermore, if you maintain the change but perceive progress as unacceptably slow or inadequate, you may abandon the effort.

    The old year’s resolution is different. Instead of waiting until January to start trying to change your life, you do a dry run before the New Year begins.

    How does that work?

    First, identify a change you want to make in your life. Do you want to eat better? Move more? Sock away more savings? Now, with Jan. 1 days away, start living according to your commitment. Track your progress. You might stumble now and then, but here’s the thing: You’re just practicing.

    If you’ve ever rehearsed for a play or played scrimmages, you’ve used this kind of low-stakes practice to prepare for the real thing. Such experiences give us permission to fail.

    Psychologist Carol Dweck and her colleagues have shown that when people see failure as the natural result of striving to achieve something challenging, they are more likely to persist to the goal.

    However, if people perceive failure as a definitive sign that they are not capable – or even deserving – of success, failure can lead to surrender.

    If you become convinced that you cannot achieve a goal, something called “learned helplessness” can result, which means you’re likely to abandon the endeavor altogether.

    Many of us unintentionally set ourselves up for failure with our New Year’s resolutions. On Jan. 1, we jump right into a new lifestyle and, unsurprisingly, slip, fall, slip again – and eventually never get up.

    The old year’s resolution takes the pressure off. It gives you permission to fail and even learn from failure. You can slowly build confidence, while failures become less of a big deal, since they’re all happening before the official “start date” of the resolution.

    A gardener weeding one bed at a time

    Long before he became one of America’s greatest success stories, Franklin devised a method that helped him overcome life’s inevitable failures – and could help you master your old year’s resolutions.

    When he was still a young man, Franklin came up with what he called his “bold and arduous project of arriving at moral perfection.” With charming confidence, he set out to master 13 virtues, including temperance, frugality, chastity, industry, order and humility.

    In a typically Franklinian move, he applied a little strategy to his efforts, concentrating on one virtue at a time. He likened this approach to that of a gardener who “does not attempt to eradicate all the bad herbs at once, which would exceed his reach and his strength, but works on one of the beds at a time.”

    In his autobiography, where he described this project in detail, Franklin did not say that he tied his project to a new year. He also did not give up when he slipped once – or more than once.

    “I was surpris’d to find myself so much fuller of faults than I had imagined; but I had the satisfaction of seeing them diminish,” Franklin wrote.

    Open page of old book.
    Benjamin Franklin recorded his slip-ups over the course of a week. The Huntington Library, Art Museum, and Botanical Gardens

    He made his progress visible in a book, where he recorded his slip-ups. One page – perhaps only a hypothetical example – shows 16 of them tied to “temperance” in a single week. (Instead of marking faults, we recommend recording successes in line with the work of habit expert B.J. Fogg, whose research suggests that celebrating victories helps to drive habit change.)

    Repeated failures might discourage someone enough to abandon the endeavor altogether. But Franklin kept at it – for years. To Franklin, it was all about perspective: This effort to make himself better was a “project,” and projects take time.

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    ‘A better and a happier man’

    Many years later, Franklin admitted that he never was perfect, despite his best efforts. His final assessment, however, is worth remembering:

    “But, on the whole, tho’ I never arrived at the perfection I had been so ambitious of obtaining, but fell far short of it, yet I was, by the endeavour, a better and a happier man than I otherwise should have been if I had not attempted it.”

    Treating self-improvement as a project with no rigid time frame worked for Franklin. In fact, his scheme probably helped him succeed wildly in business, science and politics. Importantly, he also found immense personal satisfaction in the endeavor: “This little artifice, with the blessing of God,” he wrote, was the key to “the constant felicity of his life, down to his 79th year, in which this is written.”

    You can enjoy the same success Franklin did if you start on your own schedule – now, during the old year – and treat self-improvement not as a goal with a starting date but as an ongoing “project.”

    It might also help to remember Franklin’s note to himself on a virtue he called, coincidentally, “Resolution”: “Resolve to perform what you ought; perform without fail what you resolve.”

    Dr. Downey received her B.A. in Psychology with Highest Distinction from Purdue University, and her M.S. and Ph.D. in Clinical Psychology from the University of Michigan, Ann Arbor.

    Mark Canada is the eighth chancellor of Indiana University Kokomo. A professor of English and founder of a free learning platform (mindinclined.org), he has written and spoken extensively in the fields of literature, language, journalism, history, and media literacy

  • Winter brings more than just ugly sweaters – here’s how the season can affect your mind and behavior By Ian Holm and Michael Varnum

    Winter brings more than just ugly sweaters – here’s how the season can affect your mind and behavior By Ian Holm and Michael Varnum

    What comes to mind when you think about winter? Snowflakes? Mittens? Reindeer? In much of the Northern Hemisphere, winter means colder temperatures, shorter days and year-end holidays.

    Along with these changes, a growing body of research in psychology and related fields suggests that winter also brings some profound changes in how people think, feel and behave.

    While it’s one thing to identify seasonal tendencies in the population, it’s much trickier to try to untangle why they exist. Some of winter’s effects have been tied to cultural norms and practices, while others likely reflect our bodies’ innate biological responses to changing meteorological and ecological conditions. The natural and cultural changes that come with winter often occur simultaneously, making it challenging to tease apart the causes underlying these seasonal swings.

    With our colleagues Alexandra Wormley and Mark Schaller, we recently conducted an extensive survey of these findings.

    Wintertime blues and a long winter’s nap

    Do you find yourself feeling down in the winter months? You’re not alone. As the days grow shorter, the American Psychiatric Association estimates that about 5% of Americans will experience a form of depression known as seasonal affective disorder, or SAD.

    People experiencing SAD tend to have feelings of hopelessness, decreased motivation to take part in activities they generally enjoy, and lethargy. Even those who don’t meet the clinical threshold for this disorder may see increases in anxiety and depressive symptoms; in fact, some estimates suggest more than 40% of Americans experience these symptoms to some degree in the winter months.

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    Scientists link SAD and more general increases in depression in the winter to decreased exposure to sunlight, which leads to lower levels of the neurotransmitter serotonin. Consistent with the idea that sunlight plays a key role, SAD tends to be more common in more northern regions of the world, like Scandinavia and Alaska, where the days are shortest and the winters longest.

    Humans, special as we may be, are not unique in showing some of these seasonally linked changes. For instance, our primate relative the Rhesus macaque shows seasonal declines in mood.

    man lying in bed in a room with dim daylight
    It can feel hard to get out of bed on dark mornings. Lighthouse Films/DigitalVision via Getty Images

    Some scientists have noted that SAD shows many parallels to hibernation – the long snooze during which brown bears, ground squirrels and many other species turn down their metabolism and skip out on the worst of winter. Seasonal affective disorder may have its roots in adaptations that conserve energy at a time of year when food was typically scarce and when lower temperatures pose greater energetic demands on the body.

    Winter is well known as a time of year when many people put on a few extra pounds. Research suggests that diets are at their worst, and waistlines at their largest, during the winter. In fact, a recent review of studies on this topic found that average weight gains around the holiday season are around 1 to 3 pounds (0.5 to 1.3 kilograms), though those who are overweight or obese tend to gain more.

    There’s likely more going on with year-end weight gain than just overindulgence in abundant holiday treats. In our ancestral past, in many places, winter meant that food became more scarce. Wintertime reductions in exercise and increases in how much and what people eat may have been an evolutionary adaptation to this scarcity. If the ancestors who had these reactions to colder, winter environments were at an advantage, evolutionary processes would make sure the adaptations were passed on to their descendants, coded into our genes.

    Sex, generosity and focus

    Beyond these winter-related shifts in mood and waistlines, the season brings with it a number of other changes in how people think and interact with others.

    One less discussed seasonal effect is that people seem to get friskier in the winter months. Researchers know this from analyses of condom sales, sexually transmitted disease rates and internet searches for pornography and prostitution, all of which show biannual cyclespeaking in the late summer and then in the winter months. Data on birth rates also shows that in the United States and other countries in the Northern Hemisphere, babies are more likely to be conceived in the winter months than at other times of the year.

    woman with hand on man's shoulder at a holiday gathering
    There’s more to a holiday bump in romance than just opportunity. RgStudio/E+ via Getty Images

    Although this phenomenon is widely observed, the reason for its existence is unclear. Researchers have suggested many explanations, including health advantages for infants born in late summer, when food may historically have been more plentiful, changes in sex hormones altering libido, desires for intimacy motivated by the holiday season, and simply increased opportunities to engage in sex. However, changes in sexual opportunities are likely not the whole story, given that winter brings not just increased sexual behaviors, but greater desire and interest in sex as well.

    Winter boosts more than sex drive. Studies find that during this time of year, people may have an easier time paying attention at school or work. Neuroscientists in Belgium found that performance on tasks measuring sustained attention was best during the wintertime. Research suggests that seasonal changes in levels of serotonin and dopamine driven by less exposure to daylight may help explain shifts in cognitive function during winter. Again, there are parallels with other animals – for instance, African striped mice navigate mazes better during winter.

    And there may also be a kernel of truth to the idea of a generous Christmas spirit. In countries where the holiday is widely celebrated, rates of charitable giving tend to show a sizable increase around this time of year. And people become more generous tippers, leaving about 4% more for waitstaff during the holiday season. This tendency is likely not due to snowy surroundings or darker days, but instead a response to the altruistic values associated with winter holidays that encourage behaviors like generosity.

    People change with the seasons

    Like many other animals, we too are seasonal creatures. In the winter, people eat more, move less and mate more. You may feel a bit more glum, while also being kinder to others and having an easier time paying attention. As psychologists and other scientists research these kinds of seasonal effects, it may turn out that the ones we know about so far are only the tip of the iceberg.

  • Understanding Covert Narcissism in Marriage: Key Warning Signs

    Understanding Covert Narcissism in Marriage: Key Warning Signs

    What Defines a Covert Narcissist in Relationships?

    Unlike the stereotypical narcissist who openly seeks attention and admiration, covert narcissists display their self-absorption in subtler, more insidious ways. These individuals appear humble and anxious to please on the surface, making them particularly difficult to identify in marital relationships.

    Covert narcissism represents a toxic, introverted form of the disorder where superiority remains hidden beneath a veneer of modesty. Rather than broadcasting their self-importance, these individuals harbor deep insecurities while maintaining secret beliefs about their specialness.

    The Unique Marriage Dynamic

    Covert narcissists tend to be quiet and self-contained, often providing minimal attention to their spouses. The marriage becomes a lonely place where empathy is notably absent and conversations invariably circle back to the narcissist’s exclusive focus on themselves.

    Passive aggression becomes a hallmark of these relationships. Spouses receive vague promises and annoyed reassurances, but follow-through rarely materializes. The most defining characteristic involves how criticism is handled—while covert narcissists freely criticize others, they cannot tolerate even the gentlest feedback themselves.

    When partners attempt to raise concerns using diplomatic approaches, covert narcissists may become smug or belligerent, then retreat into sullen, moody withdrawal. This pattern leaves spouses perplexed, particularly in early marriage stages, as reasonable requests for behavioral changes trigger disproportionate reactions.

    The Perfectionism Problem

    The Pride-Shame Split

    Individuals with narcissistic traits experience what clinicians call a pride-shame split, where they are terrified of not being good enough and fear being fundamentally unlovable. This core wound drives them to project superiority as compensation for deep insecurity.

    Research by Logan Nealis and colleagues explored how narcissistic perfectionism manifests socially. The study found that grand expectations paired with feelings of grandiosity and entitlement to perfect performance from others creates a particularly negative combination.

    According to Dr. Sherry, who worked on the research, narcissistic perfectionists need other people to satisfy their unreasonable expectations, and respond with anger when disappointed.

    Vicarious Self-Esteem

    Covert narcissists may demand perfect performance from specific individuals, like a spouse or child, while not necessarily expecting it from others. Nealis explained that these individuals derive self-esteem vicariously through others’ perfect performance, basking in that reflected glory.

    The researchers conducted a 28-day diary study with students. Results consistently showed that narcissistic perfectionism associates with social negativity including anger, derogation, conflict and hostility. Dr. Sherry noted that when examining the thought processes of narcissistic perfectionists, they’re thinking really negative, hostile, critical things about other people.

    Response to Criticism

    Heightened Aggression

    Research involving 540 undergraduate students examined how narcissism relates to responses to criticism. Students with more pronounced narcissistic traits tended to lash out more often when facing verbal criticism.

    Narcissists primarily want to punish or defeat someone who has threatened their highly favorable self-views, according to the study authors. Unlike individuals with healthy self-esteem who don’t become more aggressive when criticized, covert narcissists find threats to their ego too great to leave unchallenged.

    Professor Brad Bushman, the study’s first author, suggested that if children develop unrealistically optimistic self-opinions that are constantly rejected by others, their self-love could make them potentially dangerous to those around them.

    The Direct Approach

    Interestingly, Professor Bushman noted from other research that people willing to admit they are more narcissistic than others probably actually are more narcissistic, as they view narcissism as a positive quality. Covert narcissists may be frank about their superior self-image and exacting standards—they’re simply less flamboyant about it than overt narcissists.

    Seven Tell-Tale Signs of the Covert Narcissist Husband

    1. Pervasive Passive-Aggression

    The covert narcissist husband operates through passive-aggressive tactics that leave his wife confused and frustrated. He may feign interest in what she wants, nodding along during conversations, but seldom shows genuine or sustained follow-through. His behavioral patterns create a unique form of marital torture:

    The “Forgetting” Pattern: He conveniently forgets his wife’s work weekend trip that was planned months in advance and “accidentally” schedules a fishing trip he’s “really been looking forward to.” With a martyred tone, he agrees to cancel HIS event “as a favor to help her career” and stay with the children, “sacrificing” his fun. His wife eventually stops planning trips—especially for pleasure—because she can feel his covert misery radiating through the house.

    The Incompetence Defense: When he does complete spousal requests, he often does so incompetently. The task is finished, but poorly. When confronted, he whines that his wife is being “too picky” or “OCD” in expecting competent performance. He implies she’s a nag or mopes as he attempts to “meet her demanding standards.” His wife learns that asking for help creates more work than doing it herself.

    The Half-Hearted Explanation: In the face of failed expectations, he provides some self-serving explanation for why he didn’t follow through. His wife feels his resentment simmering beneath the surface, but it remains carefully unspoken. He exhibits no active joy in her company, no spontaneous desire to celebrate her or their love. She begins to feel like a burden in his life rather than a cherished partner.

    2. Hidden Superiority and Silent Judgment

    Unlike the blatant narcissist who openly broadcasts his superiority, the covert narcissist husband doesn’t telegraph his sense of being special. He’s more reserved and aloof, but deeply insecure beneath the surface. His superiority complex operates like a silent evaluation machine:

    The Constant Evaluator: He keenly observes, evaluates, and often silently renders abrupt and sometimes merciless judgment about everyone around him. His wife can feel his assessment but rarely hears it spoken aloud. He ruminates endlessly about how he isn’t adequately “appreciated” by her, by his colleagues, by the world.

    The Absent Presence: He maintains an air of being “absent” even when physically present. He demonstrates bored disdain for conversations, family activities, or his wife’s interests. But when asked directly “Is something wrong?” he denies it flatly. Nothing’s wrong. She’s imagining things. She’s too sensitive.

    The Eruption: Until provoked, when suddenly he spews a litany of withheld resentments and cruel comments that shock his unsuspecting wife. These verbal assaults come out of nowhere, revealing he’s been cataloging her every perceived flaw for months or years. But moments later, he reverses course—accusing her of being so hostile that he sometimes “just can’t take it” and has to “give it back to her.” She’s the problem, not him.

    The Rumination Cycle: He keeps a running tally of others’ folly to ease the imagined “unfair judgments” he believes are constantly being leveled at him. He exhibits contemptuous behaviors like smirking, stifled mocking laughter, or eye-rolling—but only in private. In public, he’s a stellar husband and proves it to anyone who’s watching.

    3. Emotional Withdrawal from Family

    The covert narcissist husband maintains a peculiar emotional distance that his family feels acutely, even when he’s in the same room:

    The Absent Father: With his children, he seldom makes genuine eye contact. His parenting style could be described as narcissistic—he claims the children just don’t “like him” as much as they like their mother. This statement becomes his justification for parental withdrawal in preference for hobbies or more solitary pursuits. He’ll even complain that the family dog doesn’t like him, positioning himself as the perpetual victim.

    The On-Again/Off-Again Parent: Children become acutely aware of this erratic attention pattern. Like intermittent reinforcement in behavioral psychology, they hungrily try to capture and hold their father’s attention. When he’s engaged (which is rare), he can be delightful. When disengaged (his default state), his empty presence fills the house with tension. Children learn to tiptoe around his moods.

    The Scorekeeper: He keeps careful track of everyone else’s mistakes and shortcomings to counter any imagined “unfair judgments” against him. If his wife suggests he spend more time with the children, he’ll have a ready list of times she was unavailable or made mistakes. His emotional ledger is always balanced in his favor.

    The Public Performer: The stark difference between his private and public personas becomes apparent at family gatherings or school events. Suddenly, he’s engaged, warm, and attentive—the perfect father figure. His wife and children watch this performance with a mixture of hope and confusion, wondering if this version of him might last when they get home. It never does.

    4. The “Helpful” Husband Who Creates More Work

    One of the most confusing aspects for wives is how their covert narcissist husbands can simultaneously appear helpful while remaining profoundly resentful:

    Performance Without Partnership: His “helping” serves primarily to boost his own sense of being a “good spouse” rather than stemming from genuine adult partnership. As a young man, he was often punished for speaking his truth, so now he substitutes superficial “niceness” for genuine honesty and emotional involvement. He’s learned to demonstrate that he is, in contrast to his wife, being a “good spouse.”

    The 80% Husband: He may complete promised tasks 80% of the time, creating an illusion of reliability. But that unpredictable 20% will haunt the marriage. And when his wife mentions the incomplete tasks, he resents her for it and points out how critically she views him. He complains he can’t do anything to please her.

    The Complexity Creator: Even when he does help, he somehow manages to create additional work for his wife. He’ll do the grocery shopping but buy the wrong items. He’ll help clean but miss obvious areas. He’ll cook dinner but leave a kitchen disaster. His wife finds herself either redoing his work or managing the fallout, realizing it would have been easier to do it herself initially.

    The Martyr’s Stance: Throughout all this “helping,” he maintains a long-suffering demeanor that telegraphs his sacrifice. He’s doing her a favor. He’s being considerate. Unlike her—who is “mean” to him—he’s too “nice” to complain. He takes her “abuse” but is hurt by it. And his wife ends up carrying all the anger inside, feeling frustrated and upset by his engage-ignore pattern.

    5. Impeccable Hypersensitivity and Rage

    The covert narcissist husband possesses an almost supernatural ability to detect and respond to any perceived criticism:

    Zero Tolerance for Feedback: He takes offense at criticism whether real or imagined. He bristles at any suggestion that he has failed in any way, even when the failure is obvious and documented. At the extreme end, these husbands can be extremely emotionally abusive, though they’ll insist their wives are the abusive ones.

    The Relabeling Game: A wife’s reasonable demands for love, attention, engagement, and intimacy get relabeled as her being cloying, never satisfied, demanding, and overbearing. Her attempts to improve the relationship become evidence of her defective character. He claims he has been wronged by her if she dares complain about his behavior.

    The Reminder: He’ll remind her of all he has done and how little she has appreciated it. His wife finds herself asking, “Was I ungrateful? I thought I complimented him… a lot actually…” She second-guesses her own perceptions, wondering if she’s the problem.

    The Dismissive Withdrawal: When offended—and he’s easily offended—he either becomes witheringly dismissive in ways that are hard to articulate, or he skulks off into sullen silence and withdrawal. These periods of stonewalling can last days or even weeks. He tends not to comment on how upset he is, preferring to be perfectly self-contained and aloof. He expects his wife to not only know what she did wrong, but to see how obvious her transgressions are.

    The Counterattack: When he feels any imagined attack, he attacks back—often with shocking ferocity. His wife learns to walk on eggshells, carefully monitoring her words and tone, trying to prevent the next eruption while losing herself in the process.

    6. Complete Self-Absorption Masquerading as Introversion

    It’s easy to confuse the covert narcissist husband with a typical introvert, but there’s a critical difference:

    The False Introvert: Genuine introverts may be quiet, but they’re fully capable of bestowing attention and paying careful attention to others. They can love freely, ask good questions, and show genuine interest in their partner’s inner world. The covert narcissist husband, in contrast, is a reliably poor listener who remains perpetually trapped in his own relentlessly evaluative internal dialogue.

    The Real-Time Judge: He makes quick, real-time assessments of every person and situation. When something captures his attention, he can be delightful company—charming, engaged, and present. When it doesn’t capture his interest, it becomes crystal clear that he deems it dull, stupid, or beneath his attention. There’s no middle ground, no polite engagement with things that don’t fascinate him.

    The Mid-Sentence Exit: He won’t ask questions when disinterested. He’ll act annoyed. He’ll walk away absentmindedly in the middle of your sentence, as if you’ve simply stopped existing. His wife finds herself trailing off mid-thought, realizing he’s already left the room—physically or mentally.

    The Conditional Presence: When he wants his wife’s attention, he’s hurt if she’s unavailable. But when she wants him, she’ll pick up from his body language and tone that this “isn’t the best time.” The relationship operates entirely on his schedule, his interest level, his emotional availability. What he wants, he won’t say explicitly. She’s expected to intuit his needs while hers remain perpetually unmet.

    The Perfection Trap: Try to be an “angel” and she’ll still fall short. He’s not going to trust that “act” because he knows how “mean” she really is and how wary he must be of her. She’s left wondering how she can be nicer to him so he’ll like her more, not realizing the goalposts will always move.

    7. Profound Empathy Deficits and Deep Entitlement

    The covert narcissist husband fundamentally lacks the ability to truly see, hear, or feel what his wife experiences:

    The Conversation Hijacker: Even when his wife explicitly complains about the negative impact of his behaviors, he somehow manages to shift the discussion back to his own needs or accomplishments. Every conversation becomes about him. Every problem is really his problem. Every emotional experience must be filtered through his perspective.

    The Wounded Narcissist: His wife’s unhappiness represents a personal injury to him—an intolerable judgment that he hostilely rejects. The underlying sentiment seems to be: “You can’t be unhappy with me. That offends me and hurts my feelings!” Her pain becomes another burden he must bear, another example of how he’s misunderstood and mistreated.

    The Mind-Reading Expectation: He expects her to simply “know” what he’s thinking, feeling, or needing. This mind-reading requirement links directly to his profound sense of entitlement. He shouldn’t have to explain himself. If she truly loved him, she’d understand him intuitively. When she fails to read his mind, it becomes more evidence of her inadequacy.

    The Information Withholder: He withholds vital information from his wife because he “knows” how she’ll react and doesn’t want to “hear it.” His internal ruminations and assumptions trump whatever real-world thoughts or feelings she may actually have. He doesn’t need to ask her opinion—he’s already decided what she thinks.

    The Rage Response: When confronted with requests for empathy or emotional reciprocity, he may become rageful. How dare she suggest he’s not caring enough? Doesn’t she see everything he does? His defensive fury serves to shut down any further discussion, training her to stop asking for what she needs.

    The Emotional Desert: Living with this empathy deficit creates a marriage that feels like an emotional wasteland. His wife may have all her material needs met, but she’s starving for genuine connection, understanding, and reciprocal care. She begins to question whether something is fundamentally wrong with her for needing emotional intimacy.

  • A Modern Approach to Mental Health Support with Online Therapy and Virtual Counseling

    A Modern Approach to Mental Health Support with Online Therapy and Virtual Counseling

    More people than ever are turning to flexible and accessible mental health support options, and platforms like Theraconnect make it easier to get the care you need from the comfort of your own home. Online Therapy, Online Counseling, and Virtual Therapy have become essential tools for individuals who want reliable mental health support without the barriers of travel, scheduling conflicts, or long waitlists. As Telehealth Mental Health services grow, people now have more ways to Find a therapist who matches their needs and preferences, making care more inclusive and more effective.

    Online Therapy gives clients the ability to talk with a licensed professional using secure video sessions, phone calls, or messaging based support. This flexibility helps people work through challenges at their own pace and in their own environment. Many individuals feel more comfortable opening up from home, which can lead to stronger communication and deeper progress. Online Counseling also removes common obstacles such as transportation, mobility issues, childcare conflicts, or living in rural areas with limited access to Mental Health Services. With Virtual Therapy, help is available to anyone with an internet connection.

    Telehealth Mental Health services also create easier ways to match with a therapist based on specialty. When people try to Find a therapist locally, their choices may be limited by geographic area. Online platforms expand these options significantly. Clients can choose from professionals who specialize in anxiety, depression, trauma recovery, relationship support, stress management, or lifestyle adjustments. This ensures that each person receives guidance from someone who understands their specific experiences.

    Mental Health Services offered through telehealth platforms are often more consistent because scheduling is easier. Without the need to commute, rescheduling or adjusting appointment times becomes simpler. This consistency supports long term progress, which is one of the most important parts of healing. Virtual Therapy encourages ongoing engagement, and many clients find that they attend sessions more regularly than they would with in person care. This steady support strengthens results and leads to better emotional wellbeing.

    Another benefit of online care is increased privacy. Some individuals feel uncomfortable visiting an office or worry about being seen in a waiting room. Online Therapy removes that concern entirely. Sessions take place in a private space chosen by the client, making it easier to relax and speak openly. Privacy also extends to Online Group Therapy, an option that allows people to connect with others who share similar challenges while still participating from home. Group sessions help reduce feelings of isolation and provide emotional support through shared experiences. Whether the focus is on anxiety, depression, self-esteem, grief, or personal growth, Online Group Therapy creates a sense of community that many participants find comforting and motivating.

    Online Counseling also gives therapists the opportunity to work with clients who may not otherwise seek help. People who feel overwhelmed, anxious, or unsure about the idea of therapy often feel more comfortable trying Virtual Therapy first. The format feels less intimidating and more accessible, which helps individuals take the first step toward improving their mental health. Over time, this can build confidence and help people feel more in control of their emotional wellbeing.

    Telehealth Mental Health care also supports immediate needs. When someone is struggling, waiting weeks for an in-person appointment can make symptoms worse. Online platforms often provide faster access and shorter wait times, which means support is available when it matters most. This timely help can prevent problems from escalating and encourage healthier coping strategies.

    Another key benefit is the ability to continue therapy even during travel, illness, or schedule disruptions. With online options, clients do not have to pause their progress when life becomes unpredictable. This continuity is especially valuable for individuals working on long term goals such as managing anxiety, healing from past experiences, or building healthier habits.

    Mental Health Services delivered through telehealth technology are held to the same professional standards as traditional therapy. Therapists are licensed, trained, and experienced in providing support through secure digital platforms. Clients can feel confident that they are receiving high quality care designed to help them grow, recover, and thrive.

    Online Therapy is not just a convenient option. It is a meaningful and effective way for people to receive emotional support, guidance, and mental health care. With Online Counseling, Virtual Therapy, and Online Group Therapy, individuals can choose the method that suits them best. Telehealth Mental Health services offer flexibility, comfort, privacy, and accessibility that many people need now more than ever.

    If you would like more information or want help connecting with a therapist, visit the platform to explore available services or contact support directly if details are listed on the site. Online mental health care continues to grow because it meets people where they are and makes healing more accessible for everyone.

  • Understanding Behavior Therapy: Methods and Practical Techniques

    Understanding Behavior Therapy: Methods and Practical Techniques

    Behavior therapy emerged from psychology’s effort to understand and modify human actions through scientific observation. Unlike approaches that focus on internal mental processes, this therapeutic method focuses on observable behaviors and employs evidence-based techniques to effect meaningful change.

    The Evolution of Behavioral Approaches

    The behavioral approach has developed through distinct phases. Initially rooted in pure behaviorism, it evolved into behavior therapy and eventually expanded into Cognitive-Behavioral Therapy (CBT). Today’s “third wave” includes innovative methods such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and mindfulness-based approaches.

    These modern behavioral therapies share several core principles:

    • An expansive understanding of mental wellness
    • Broader definitions of successful treatment outcomes
    • Emphasis on acceptance as a therapeutic tool
    • Integration of mindfulness practices
    • Focus on creating meaningful, valued lives

    Contemporary Behavior Therapy Methods

    Acceptance and Commitment Therapy (ACT)

    Rather than fighting unwanted thoughts, ACT teaches people to accept their present experiences while identifying what truly matters to them. Clients learn to change their relationship with difficult thoughts and commit to actions aligned with their values.

    Dialectical Behavior Therapy (DBT)

    Originally developed for borderline personality disorder, DBT combines acceptance with change-focused strategies. It helps people understand contradictory forces in their lives while developing skills to regulate emotions and modify behaviors.

    Mindfulness-Based Stress Reduction (MBSR)

    MBSR addresses stress arising from wishing circumstances were different. By cultivating present-moment awareness, people learn to relate differently to both internal experiences and external challenges. This approach has been successfully adapted for various settings and conditions.

    Mindfulness-Based Cognitive Therapy (MBCT)

    Combining mindfulness with cognitive therapy principles, MBCT runs as an eight-session program designed to help people transform their awareness of negative thought patterns. It’s particularly effective for managing depression.

    Practical Techniques for Sessions

    Building the Foundation

    Successful behavior therapy requires strong therapeutic rapport. Therapists collaborate with clients to establish specific, measurable goals using behavioral analysis—particularly the ABC model:

    • A (Antecedents): What triggers the behavior
    • B (Behavior): The specific problematic action
    • C (Consequences): What follows the behavior

    Self-Monitoring

    Clients track their own behaviors, emotions, and thoughts between sessions. This might involve logging angry episodes, cigarette consumption, or upsetting emotional states. While inexpensive and accessible, this technique requires commitment and accuracy from clients.

    Behavioral Interviews

    During sessions, therapists conduct detailed interviews to observe client behavior, identify triggers, and define treatment targets. Rather than accepting general statements, therapists probe for specifics—asking what happens during difficult moments rather than settling for broad descriptions.

    Operant Conditioning

    This approach modifies behavior by changing environmental factors. Therapists begin by clearly defining target behaviors, then adjust environmental conditions while continuously monitoring results.

    Systematic Desensitization

    Clients gradually confront anxiety-producing situations while engaging in relaxation techniques. This method effectively reduces phobias and anxiety disorders but requires patience and consistent practice.

    Progressive Muscle Relaxation (PMR)

    PMR teaches stress management through alternating muscle tension and release combined with controlled breathing. Regular practice enhances the effectiveness of this technique.

    Interoceptive Exposure

    For those experiencing panic attacks, interoceptive exposure helps them tolerate intense physical sensations. Through exercises like hyperventilating or spinning, clients become less reactive to anxiety’s physical manifestations.

    Practical Worksheets and Tools

    Working With Emotional Patterns

    Several worksheets help clients examine their emotional responses:

    • Challenging Emotional Myths explores beliefs like “there’s only one correct way to feel” or “painful emotions should be ignored”
    • Checking Emotional Facts helps distinguish between emotions that fit situations and those influenced by assumptions or beliefs

    Crisis Management

    The STOP technique provides a framework for handling difficult moments:

    • Stop: Pause before reacting impulsively
    • Take a step back: Breathe and create space
    • Observe: Notice feelings, thoughts, and surroundings
    • Proceed mindfully: Choose actions that improve rather than worsen the situation

    Values-Based Living

    Worksheets focusing on values and goals help clients identify what matters most and set objectives aligned with those values. This includes anticipating obstacles and developing strategies to overcome them.

    Engaging Exercises and Activities

    Mindfulness Practices

    Dropping the Anchor: A grounding exercise where clients close their eyes, focus on their breath, feel their feet against the floor, notice bodily sensations, and reconnect with their environment through their senses.

    Morning Mindfulness: Choosing one daily routine activity—showering, brushing teeth, making coffee—and performing it with complete awareness of sounds, smells, and movements.

    Creative Approaches

    Drawing exercises prove particularly valuable, especially when working with younger clients. These might involve illustrating important people in their lives or visualizing acts of kindness toward others.

    Key Takeaways

    Modern behavior therapy offers powerful tools for changing unwanted behaviors and thought patterns. By incorporating mindfulness and acceptance, contemporary approaches help people not only modify specific behaviors but also develop richer, more meaningful lives.

    The techniques range from structured exercises to creative activities, from session-based work to daily practices. Success depends on consistent application, strong therapeutic relationships, and willingness to practice skills beyond the therapy room.

    Whether addressing specific behavioral concerns or seeking broader psychological wellness, behavior therapy provides evidence-based methods that have helped countless people create positive change in their lives.

  • 10 Stages in the Treatment of Narcissistic Disorders By Elinor Greenberg

    10 Stages in the Treatment of Narcissistic Disorders By Elinor Greenberg

    Narcissists can slowly change, with appropriate therapy and a lot of effort.

    THE BASICS

    cottonbro/Pexels

    Source: cottonbro/Pexels

    The internet is full of sites by non-mental health professionals that say that narcissistic personality disorder cannot be treated. They also say that narcissists are master manipulators who can fool even experienced psychotherapists and what appears to be progress is just a temporary behavior change. Or, else they claim that narcissists twist the truth and somehow manage to convince experienced psychotherapists that they are blameless and the real problem is someone else.

    I would like to set the record straight: None of the above is true. There are effective treatments for narcissistic personality disorder. Change is difficult, but possible. Everyone has the capacity to grow and evolve and this includes people with NPD.

    Note: In this article, I am using the terms “narcissist,” “narcissistic,” and “NPD” as shorthand to describe people who qualify for a diagnosis of narcissistic personality disorder.

    So why do so many people believe that NPD cannot be treated by psychotherapy?

    There are three basic reasons that we do not hear about the successful treatment of narcissistic personality disorder:

    1. There are very few psychotherapy training institutes that focus on teaching the diagnosis and treatment of NPD. Most psychotherapy training programs are designed to turn out general practitioners, not specialists.
    2. This is a difficult, expensive, and time-consuming specialty to learn properly. At least three years of advanced training are necessary to become competent in this area.
    3. Most narcissists avoid psychotherapy or quit prematurely when they feel threatened or uncomfortable.

    In summary: There are not enough psychotherapists available who are properly trained in the diagnosis and treatment of narcissistic personality disorder. Not many people with NPD actually want psychotherapy. And many who do want psychotherapy, do not realize that their underlying problem is narcissism. Their ignorance about the real nature of their issues leads them to choose the wrong type of therapist. This means that the majority of narcissists who enter therapy end up with psychotherapists who may not recognize that they have a narcissistic personality disorder, or if they do, they have no idea how to treat narcissistic issues.

    Further adding to the difficulty, most narcissists quit therapy prematurely, even when they have a good therapist. This is usually because they find self-reflection incredibly painful. It involves dropping their defenses and facing their own underlying shame and low self-esteem.

    What is the Therapy of Narcissistic Personality Disorder Actually Like?

    All psychotherapy takes longer than most clients expect. There is no ten-session cure for complex problems. A full psychotherapy of NPD generally takes at least 5-10 years. It is a long, slow, and complex process. It proceeds in stages. Clients can stop at any point. How far they get in therapy depends on how many stages they complete and how impaired they were to begin with. High functioning narcissists who are self-reflective and cope with most parts of their life well are likely to do better in therapy than lower functioning narcissists who are unable to keep a job and have no friends.

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    The 10 Stages of Therapy for Narcissistic Disorders

    Here is a very abbreviated look at the process. In reality, it may not be this neat or linear. And, please keep in mind, that different forms of therapy for NPD exist, and each may see the therapy process somewhat differently than I do. I am describing what my experience treating people with NPD for over 40 years has taught me.

    Stage 1: Symptom Relief or Appeasement. Most clients with NPD do not enter therapy in order to reflect or change. They usually come to get relief from unpleasant feelings and symptoms or to please someone important to them. Some leave as soon as they feel better or the person is appeased.

    Stage 2: Avoid Future Pain. Some clients with NPD find therapy more interesting than they expected. If they are at all capable of self-reflection, they may continue long enough to understand their triggers and develop a plan that will help them avoid future pain. It is still all about them at this stage without any desire to understand or change their impact on other people. It is about understanding other people’s impact on them.

    Stage 3: Identify their Coping Mechanisms. In this stage, I am helping people understand and identify their primary defense patterns. It may involve looking at their childhood situation and how they learned to cope with it. This is still fairly easy because it can be explored (in many cases) without them feeling judged.

    Stage 4: Create New Coping Mechanisms. Now that the person knows what they do and why they do it, the old narcissistic strategies do not simply disappear. If you are holding on to the edge of a cliff with both hands, so as not to fall, you do not just let go because your climbing technique is inefficient or painful. So, we start discussing other ways that they can meet their needs that are more constructive. Eventually, they will identify new methods.

    Stage 5: Form New Habits. Most narcissistic coping mechanisms can be viewed as habits that are encoded in the brain through neuronal connections. The basic goal now is two-fold: (1) Inhibit the old, automatic narcissistic habits and (2) Substitute the new, more desirable patterns.

    If this is done a few hundred times, the new method eventually gets encoded in the brain. The older narcissistic pattern of neuronal connections weakens through lack of use, and now the new coping mechanisms become the automatic default pattern.

    If you would like to know more about what happens at the neuronal level when you try to change a habit, I suggest you check out the work of the Nobel Prize-winning biologist Gerald Edelman (1929-2014), especially his 1987 book: Neural Darwinism.

    Stage 6: Impact on Other People. Most of the time, clients with narcissistic defensive coping patterns cannot seriously consider their impact on other people until they have newer coping patterns in place. They will feel too much shame.

    Their success in understanding themselves and forming new habits creates some realistic pride. This gives them less incentive to be grandiose, and more ability to tolerate the idea that it might improve their life if they took other people’s needs into consideration. This is not about having more emotional empathy. We are still looking at everything through the lens of how it benefits them.

    Stage 7: Focus on Childhood Pain. At this stage, the clients are calmer and their life is generally calmer. They have learned what type of things trigger them and have developed more productive ways of coping with situations.

    Now that some of their defenses against shame are less necessary, painful traumas from the past start to take center stage in the therapy. If this goes well, some healing takes place and in the process, they develop some emotional empathy for themselves as a child.

    They also start to develop the capacity to form a stable, realistic, and integrated image of themselves (Whole Object Relations). This allows them to start to see other people in a more integrated way as well—neither all-good nor all-bad.

    Stage 8: Update the Inner Voice. Before they can develop emotional empathy for other people, most people with NPD need to empathize with themselves. Quite early in the therapy—at almost any stage—I start talking about how children automatically internalize their understanding of how their caregivers saw them, their caregivers’ ideas about right and wrong, and also their ideas about what deserves praise and blame.

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    I point out that we update our cell phones, our computers, and our apps, but most of us are still running our life based on inner “software” that was programmed by a very young child. I suggest that they examine how their inner guiding voice talks to them and pay attention to the following things:

    • Do you like the tone of your inner voice?
    • Is it sweet, loving, harsh, or scary?
    • Is it fair?
    • Is it a reliable guide through life?
    • Does it reward you when you do well?
    • Can you please it?
    • Does it punish you with shame or guilt when you need to be reined in?
    • Is the punishment overly harsh?
    • Do you really require such harshness to get the message?

    Once they are aware of the tone and content of their inner voice, and understand that the way they speak to themselves can be changed, we explore what changes they might like to make.

    Making the changes takes awareness and a willingness to challenge and inhibit the inner voice. Sometimes all that is needed is a firm “Stop that!” when the voice is overly harsh. Then clients practice talking to themselves in the new way that they have decided would be preferable. As with changing the coping mechanisms, this can take vigilance and many repetitions.

    Note: You can usually tell how harsh someone is with themselves from listening to how harsh they are with other people. Inner harshness is proportionate to outer harshness. Blaming and judging other people is a way to redirect the harsh inner critic outward. This buys them some inner peace at other people’s expense.

    Stage 9: Empathy for Other People. Once they understand their own pain and have their harsh, devaluing inner voice more under control, they can start to look outward at other people. Generally, their first real emotional empathy for other people is evoked by someone who meets the following conditions:

    • They are no threat to the narcissist.
    • The other person reminds them of themselves.
    • This person is being traumatized or was traumatized in a way that is very similar to what the narcissist experienced.

    If all goes well, some of these clients will continue to slowly expand their capacity for emotional empathy.

    Stage 10: Authenticity. My consistent and nonjudgmental interest in them, and their dropping of their defenses, improves our relationship. It can be a reparative emotional experience. They feel trust that they can be authentic with me because I have seen their “bad side” and nothing terrible has happened to either of us.

    They take baby steps forward and try and be more authentic with other people. If this goes well, their reliance on their old “false self” defenses diminishes and they become more spontaneous and joyful.

    The above is a highly abbreviated sketch of therapy for narcissistic personality disorder. It is complex, involves many stages, and is likely to take a long time. There is a lot of ground to cover. Sometimes people do not want to do all of this, or cannot do it all. Everyone who keeps plugging away at evolving eventually improves. How much depends on their willingness to keep working on themselves.