Guided Visualization Meditation to Build a Sense of Safety

by Abby Birk, LMFT

Recently, many of my clients (and I) have desperately needed to revisit our regulation skills. Skills that bring us back to a sense of calm, ease, relaxation or restoration in our bodies. In today's world, this state of being can be elusive between the go-go-go pace of life and the incessant call to be more and more productive. The need for intentional mindfulness and somatic regulation keeps increasing as we fall more and more into the trap of "I just don't have the time" day after day.

Below, I've written out the script I use to walk my clients through a visual meditation called Safe Place, to cultivate safety and security in the here and now. Many have their own version of this skill; here is the one I utilize in my sessions. My hope is to demystify these types of skills and make them accessible for practical, everyday use. As you continue, I recommend reading through (or listening to) the entire script at least once before trying it on your own with your eyes closed or gaze lowered.

Listen to the audio below:

Or read the script here (and maybe record it for yourself, or have a loved one record it for you!):

Find a comfortable seated, reclined, or supine position. Whatever position you choose, make sure you are not holding any tension to support this position, rather lean into and feel the support of your chair, floor, or object you are resting on, in, or against. It's best for grounding purposes (if you are in a position that allows it) to rest the soles of your feet on the floor. Let yourself get weighty and heavy as you allow your body to rest fully supported. You may place your hands wherever you'd like, on your thighs, in your lap, or on your heart and chest.

Now draw your attention to your breath. Do not seek to change anything yet, first observe with gentle curiosity the quality of your breath, the parts of the body that move or don't move as you breathe, the speed or sound of your current breath cycle...

As you observe, you might notice your breath starting to change anyways, that's okay. You can soon begin to intentionally lengthen your inhales and exhales. For this visualization meditation, we want to focus on elongated our exhales more than our inhales to better turn on our vagus nerve and calming parasympathetic nervous system.

Take a few rounds of deep breaths with longer exhales.

Minds wander, that's what they do. Label your thoughts as "thoughts" or "thinking" and return back to an aspect of your breath that can provide a bit more focus: the quality, speed, depth, length, feel, temperature, movement, etc.

Now you will select a safe place that you can imagine or think about for the rest of this exercise. It can be real or imagined. A place you've been to or never visited. It can obey the laws of physics or not. Whatever place you choose, you are in control here, you decide what is in the scene and what is not: if there's anyone with you, the weather, the way you feel here. You are completely safe and at ease in this landscape of your choosing. Take a minute to select a place or try a few different images to see which serves you today.

You will then explore your safe place through your 5 senses, starting with sight.

As you imagine looking around in your safe place, what can you see? How far can you see into the distance? What living things are around? What colors? What's the weather like? What buildings or people or nature fill up your space, if any? What surrounds you, what do you sit or stand or lay on? Once you've taken time observing, take some deep breaths simply enjoying the sensations that arise just by being in this place and looking around you.

When you're ready to move along, we'll continue our exploration through our sense of touch. What textures make up your safe place? Is there sand running through your fingers? Water? Are you surrounded by cozy blankets or laying on a fuzzy rug? Petting an animal? There are no wrong answers. Take stock of what you can feel on your skin, temperature, breeze, weather, etc. Take a few deep breaths once you're done observing with your sense of touch to enjoy the sensations that arise from the textures of your safe place.

Next, imagine closing your eyes in this place, identifying all that you can smell. If there are no naturally derived smells in your safe space landscape, you can invent some: maybe pulling in some of your favorite smells from different parts of your life like perfume/cologne, essential oils, warm drinks, nature, candles, etc. Take a few more deep breaths enjoying how the sense of smell in this place interacts with your body to create more safety and relaxation.

Now, you can continue imagining your eyes closed as you pay attention to the sounds that exist in this safe place. Further ground yourself into this landscape by singling out various sounds around you. Maybe you prefer your safe place to be silent, that is okay too! Whatever you find, just give yourself time to experience it fully and pay attention to how your body reactions to what it can hear in this space.

Lastly, we will engage with your sense of taste in this space. Like smell, you may have to manufacture a taste in your safe space if one is not naturally derived. You may pull from favorite foods, flavors, crisp, clean autumn air or the taste of the air after rainfall. Let yourself enjoy, with a few deep breaths, whatever flavors show up in your safe place.

Integrating all 5 senses in this imagined location allows for further grounding and experiencing of this beautiful internal resource. It allows your brain to fully simulate what it is like to exist in that safe, secure, relaxed state.

Take a few more breath cycles allowing yourself to simply exist in this safe place, remembering to see how your body feels. You will end the meditation with a body scan -- checking in slowly from head to toe (as if you were going through a scanner) for any sensations, feelings, emotions, etc. that arise. Then, you can wiggle your toes, eyelashes, and fingers: opening your eyes to fully come out of the meditation.

Remember, you are the author and originator of your own safe place, which means you have access to this space whenever you need it. Come to ground, regulate, relax, or restore yourself anytime you'd like! Visit when you need and just because you can, even allowing yourself a visit once daily or weekly. The more often we practice skills like these, the better utilized they will be when we actually NEED them in a difficult moment. Your safe place can change however you'd like or remain the same, time after time; don't forget, there are no rules, no "right" or "wrong" way to do this exercise. The important part to keep in mind is that YOU have full agency and autonomy over your safe place. View this guide as an invitation of cues to further ground you in your own experience -- which is all you, baby! Allow this guide to remind you of your own internal resources that you can avail yourself of anytime you'd like. Enjoy!

If you’d like to meet with a therapist to build a safe place together, or to further process stress in your life, Riverbank Therapy has therapists with openings, in person and virtual! Click here to schedule your free 20 minute consultation.

What is "Family of Origin" Work in Therapy?

by Abby Lombardo, LMFT

You're searching through therapist bios and you keep coming across the term "Family of Origin work" or "FOO Work". But what does it actually mean? In this post, we try to de-mystify what Family of Origin Work means and how it might be relevant in your therapeutic journey.

To start, Family of Origin (FOO) is a term used by therapists to refer to the primary caregivers an individual had when growing up, whether they be related, adoptive, foster, or any other type of guardianship or caregiver relationship. As you might have guessed, Family of Origin work shows up in therapy sessions quite often. You are probably doing some FOO work in your own therapy or even on your own, without even realizing it!

Some clients seek a therapist to help them through these specific kinds of issues, but most clients end up realizing their family of origin work is a more central issue to their lives than they might have thought at the outset of their therapy journey. Either way, there's a reason for the centrality of this kind of work in therapy. There are few things in our lives our families of origin don't impact, for the simple reason that they are our first relationships and first experiences of the world.

As an illustration, I like to use Dr. Emily Nagoski's metaphor of a garden. Each person is born with a garden; some plants are already planted in this garden at birth--without your say so--things like a sensitive nervous system, a predisposition for anxiety, depression, addiction or even a good memory, natural resilience, and other strengths. There are some seeds that have been planted generations before you and there will be some species of weeds that everyone inherits in the garden they are born with. As you mature, you begin to choose how to tend and manage this garden, what weeds you pull, and what plants you want to start growing instead. In therapy, FOO work involves being aware of what's in your garden--what was there before you had a say--and creating intention around how you want to address, manage, or change what your garden looks like as an adult. As the metaphor implies, it can be hard, messy work. That's a major reason it can be helpful to have a therapist with you while you're doing family of origin (FOO) work.

Here are a few topics that are involved when we use the term "family of origin issues". Some of these (or all of these) may or may not be relevant to you and you might find you resonate more with some than others.

Attachment & Self Worth

Developmentally, we are dependent on our caregivers for a significant portion of the early stages of our lives. We need caregivers to survive. And depending on the caregiver, we learn we can trust our needs to be met most of the time or we learn that we cannot trust others to meet our needs most of the time (or something unpredictable in between). This sets the stage for the type of attachment styles we develop and further impacts the way we relate to others and the world around us. We derive meaning from the way our early caregivers interact with us. Our families or contexts in which we are raised give us our earliest experiences in which we learn if we are valuable, special, and matter to someone...or not. We learn how to gauge our worth or seek connection: if it is inherent or earned with achievements and accolades, athletic prowess, and academic success. We might earn it through being a "good girl/boy/child" or an accommodating and pleasing child. We might learn what is "good" and what is "bad" in our family, and so begins our relationships with shame/guilt and ultimately, our relationship with ourselves.

In therapy, identity and self-work can look as different as the clients who walk through the office doors (or open up their laptop screens) for session. Topics such as inner child work, self-differentiation, setting boundaries, re-storying old narratives, redefining and reframing values and qualities, and attachment work all address how you are relating to yourself and the world around you via the lens of your FOO and learned attachment styles.

Family Roles

Some of the most relevant FOO work I do with clients involves understanding how the roles they played in their family growing up (and now) impact their life in other areas outside of their family of origin. For example, a client might come in wanting to work on people pleasing and how detrimental that has been in her career and friendships because she's finding it very difficult to speak up for herself and ask for what she wants and needs. After a few sessions discussing her family of origin, she might realize that it all started in childhood trying to please her parents, playing peacemaker during their divorce, or caretaking their emotions. Because we are so dependent as children on our caretakers, we often will do anything to keep them around and keep our attachment to them -- even if it costs us significantly. This is how family dynamics and environments shape us. This client learned as a child that to keep her caregivers close and happy, she needed to emotionally caretake and please them to get connection. After learning this and having it reinforced over and over again in her own family, this client continues playing this role in her other relationships, but with different outcomes. Where it served her in her FOO, it does not serve her in her friendships or professional relationships. Bringing awareness, through therapy, about how these old family roles play out in current day-to-day life can help change these patterns.

Conflict & Communication

In my work with couples, conflict and communication challenges almost always trace back to differences in family of origin: my family avoids conflict and brushes things under the rug; your family likes to hash things out right here and now until someone is right and someone is wrong. My family is soft-spoken and everyone gets a turn to speak; your family is loud and boisterous and people must fight to be the loudest in order to be heard. My family does not talk about emotions; your family can't stop talking about their feelings and opinions. It goes on and on. Our families teach us certain implicit and explicit rules, especially rules around communication and conflict. Family rules are often informed by culture, religion, class, beliefs, or value systems. We learn somethings are off-limit, while others are dinner-table conversation appropriate. Often times, we are punished--usually with shame or guilt--when we break these spoken and unspoken rules, which leads to internalization of these rules and other shame-based narratives.

FOO work around conflict and communication patterns starts with acknowledging the rules you have learned and continue to abide by--usually without awareness! This new awareness then leads to decisions about what type of communication patterns and approaches to conflict you want to plant in your garden in the stead of the ones you inherited/learned.

Generational Legacies & Intergenerational Trauma

We now know that intergenerational trauma, trauma that happened to your ancestors and predecessors, can make its way into your own DNA and body (even your dreams). Some people inherit gardens loaded with intergenerational trauma caused by various stressors or challenges such as poverty, racism, sexism, homophobia, etc.--trauma and stressors they might never have experienced for themselves, but are nonetheless taught in subtle and powerful ways to the next generation. For example, hyper-arousal is a common symptom that arises after a traumatic event, where you are on alert for threats, scanning your environment constantly, or anticipating worst case scenarios at all times in order to prepare for or prevent bad things from happening. This symptom, while a typical response to trauma in someone who has experienced trauma, can be taught and passed down by vigilant parents, teaching their kids not to trust others or themselves, making the world feel like a constantly dangerous place where there is no room for rest or relaxation because one must always be on guard for the worst to happen. While this may serve an important purpose or reflect a true reality of danger, depending on the environment in which one finds themselves, the chronic stress of being in a state of hyper-arousal and threat does significant damage to the mind and body. It can be difficult for those taught this state of being to challenge it in favor of taking time to rest, relax, be taken care of by others, and to appropriately depend on others when called for. Working through intergenerational trauma with a therapist looks a lot like naming legacies you've inherited, understanding the impact of systems larger than you and your family, externalizing the blame in order to foster compassion, understanding, and validation, as well as working to challenge and heal some of the perpetuated suffering.

Gender, Power, Money, Sex, & Relationships

Our families teach us our earliest values and beliefs, before we even have a chance to form our own opinions and worldviews. In our families of origin we learn about gender, power, money, relationships, and sex. We learn that gender can mean who cooks and who works. We learn that gender can mean equality and fluidity. We learn that it can mean who is powerful and who is powerless. We learn about money and what financial security or insecurity feels like. We learn to see the world as a place of abundance or scarcity. We also learn how to share affection, what love looks like, how to act in relationship, and how to treat others. We learn what is "normal" in terms of displays of affection and physical touch. We learn what is not okay in terms of sexuality, bodies, and acting on our desires. FOO work in therapy can involve unpacking our biases and beliefs around concepts like these in order to have more agency and choice in how we relate to others. With awareness we can have more say in how we move through the world.

Our earliest experiences with our families of origin shape our biases, tendencies, and what we consider "normal." These experiences make up our gardens. As adults, through the therapy process, we learn what does or doesn't serve us anymore: what might need to be uprooted and unlearned like racism and sexism or what needs to be planted and learned like how to communicate vulnerable emotions to a romantic partner or how to accept one's sexuality. In therapy, FOO work can help unpack our earliest messages around influential constructs and breakdown old narratives we continue to perpetuate, but that don't actually serve us or fit us anymore, so that we can learn to live in ways that support our wellbeing individually and relationally.

IF YOU WANT TO WORK WITH ONE OF OUR THERAPISTS, HEAD TO OUR CONTACT FORM AND WE’LL GET YOUR FREE 20 MINUTE CONSULTATION SCHEDULED. WE HAVE A RAD TEAM OF THERAPISTS HERE, AND OUR INTAKE COORDINATOR CAN HELP YOU FIND THE BEST FIT.

How Riverbank Therapy Got Its Name

by Founder, Toni Aswegan, LMHC, NCC

It is surprisingly difficult to name a therapy practice. When I started Riverbank Therapy, I knew I wanted to expand into a group practice and so I did not want to name it “Toni Aswegan Therapy”. That makes no sense if other therapists would also be working in the practice in the future (which, they are! This team is kickass). I wanted to find a name for the practice that would be encompassing of all sizes of the practice, and that reflected the type of work we do here.

I also didn’t want it to be cheesy AF.

My partner and I sat at dinner for a month throwing words back and forth:

“Rise”…

“Thrive”…

”Evolve”…

all the words you might associate with the therapy process.

Also, all words that felt meaningless and corny to me (no shade at practices with these names, they just don’t feel authentic to me or how I practice therapy).

So, in a last ditch effort to find a good name, I went to my trusty bookshelf. I read voraciously, especially books about therapy, human development, mindfulness, and emotions. I keep all of the books I’ve read related to my work on my office bookshelf, and often reference my notes and highlights in those books.

In the search for a name, I pulled down the books that had the biggest impact on my therapy style and my own personal growth.

Books like the Body Keeps the Score, Trauma Stewardship, and, Wherever You Go, There You Are.

I started flipping through pages, and reading the excerpts I had underlined.

In writing this blog post I went back through several of those books to find the exact quote that inspired me, but alas, I could not find it again! It must have truly been kismet that I found it once and not again.

 In any case, one of the underlined sections described mindfulness practice as sitting on the banks of a river, watching the current go by, carrying sticks and leaves with it, but staying grounded and steady on the riverbank.

It was perfect. Riverbank Therapy.

As a long time meditator, and a therapist who brings mindfulness practices into sessions with clients, this was it. A metaphor for being present, observing, and not being swept up by the currents. Not only is that what I do as a therapist, it’s what I support my clients in learning how to do with their own emotions, and is much of the magic of the therapy process.

Not to mention, “Riverbank” didn’t sound cheesy to me. A win all around.

So, there you have it! Riverbank Therapy. Mindfulness, grounded-ness, presence.

If you want to work with one of our therapists, head to our contact form and we’ll get your free 20 minute consultation scheduled. Like I said, we have a RAD team of therapists here, and our intake coordinator can help you find the best fit.

How Naming Your Feelings Improves Relationships (Including the one with yourself)

In sitting with clients and myself, I like to start off with the simple, yet, powerful question, “How are you feeling?”

It’s slightly different from, “How are you doing?” or “how’s it going?”

Asking yourself or others how they feel is very specific and lends opportunity for you to check in with yourself emotionally. Before rolling your eyes, hear me out.

I know talking about emotions and naming feelings can be challenging and uncomfortable. Sometimes this is because we may not have the words to name the feeling, or weren’t socialized to recognize them and talk about them, or we’re so out of touch with our feelings that it may seem like more of a headache to name them than to ignore. It’s easy to answer, “I’m fine,” or “I’m good,” to those other questions, but neither one of those answers actually name a feeling. 

A feeling is an actual sensation tied to your emotional state. By answering “fine” or “good,” we’re not exactly connecting to an actual emotion. Of course, at times, this type of response is appropriate. For instance, if you’re checking out at the counter in a store, you may not want your cashier to know you’re super frustrated with your partner for not listening to you that morning. However, checking in with yourself or those you are close with can be extremely important. Naming feelings such as “I’m frustrated,” or “joyful” gives yourself a pulse on your emotional state which ultimately creates connection to self, or as I like to call it, your spirit.

Naming your emotions affords you with the opportunity of acknowledging yourself. This can be the first step to creating a relationship with yourself. Growing to understand yourself is the foundation to your mental health and external relationships. If you’re not certain of your feelings, you may not be aware of your needs and how to meet them. This makes it hard to acknowledge and navigate your moods and behaviors in a supportive way. It’s ok, we’re all figuring it out.

It feels nice to be acknowledged by someone else, why not allow that to be something you do for yourself? As Beyoncé said in her song “Me, Myself, and I,” “I’m gon’ be my own best friend.”

(The queen herself is never wrong but…I digress.)

via GIPHY

It’s a social norm to greet or acknowledge others when we walk into a room. You can make it a similar norm with yourself acknowledge how you’re feeling from time to time. Your spirit will smile when you acknowledge it. More than likely, you wouldn’t ignore a child who is crying, a friend who seems unsettled during a social function, or a family member experiencing joy when celebrating an accomplishment. But how often do you ignore yourself? It is an act of kindness and self-compassion to not ignore your emotions.

Building a relationship with yourself is the first step to building any relationship, especially as an adult.

As adults we often navigate relationships on our own because we’ve left the guidance of our parents and caretakers. We left the nest without a proper manual for relationship building, as if a manual exists for anything in adulthood. Often times you can find that guidance in therapy along with trial and error through various relationships. Nothing beats the opportunity to build and explore the longest standing relationship that you will ever have, a relationship with yourself. 

Naming your emotions with yourself can also be helpful for your relationships with others. Being clear with yourself about how you’re feeling helps you communicate to other people more effectively, and makes it much more likely that your needs will be met by the other person, and definitely will help you feel more heard, understood and cared for, even though it’s really vulnerable. Despite discomfort, you are worthy of understanding and getting your needs met, and that’s on periodt!

By recognizing a feeling such as frustration, you allow yourself to recognize this emotional state within. This invites you to potentially explore why you’re feeling that way or where it’s coming from so that you can address it. Feeling frustrated may not feel good in the moment, but processing and exploring why you feel this way can help change the feeling or care for yourself as you feel it. 

Frustration signals that maybe your needs aren’t being met in the moment or you feel misunderstood by someone. Instead of potentially channeling your frustrations toward someone else in a way that isn’t helpful or intentional, you’ve acknowledged your emotion and invited yourself to process the situation. This way your emotion can be seen and validated by yourself, and then communicated to the other person. 

Becoming self-aware after processing your emotions can lead to understanding yourself, connection to the physical implications of your emotional state, along with a path to finding useful coping skills when needed. Once you’ve processed what made you frustrated, you can also name your bodily responses to recognize the impact of this emotion on you physically; furthermore, this deepens your connection with yourself. For instance, when I’m frustrated I tend to get hot, my shoulders become tense, my jaw tightens, and I’m not breathing as deeply. By recognizing my physical state in moments of frustration, I’ve realized my go-to coping mechanism is to take deeper breaths and focus on my breathing pattern.

This allows for me to slow my thoughts and responses to others; as a result, I can be more tactful in my responses so the way I’m communicating will potentially be more receptive. Although breathing may not be your go-to coping skill, or how you would cope with “frustration,” in particular, naming your emotion will allow to recognize if and what coping skill you may need.  After exploring your emotion, it’s beneficial to explore coping skills that work for you with various grounding techniques such as naming sensations, meditating, engaging in movement whether it be dance or taking a walk, hanging out with people who love and support you, or engaging if your favorite hobby.

You may also externalize the issue so that there’s no reason to channel frustration toward someone else or yourself ineffectively. Externalizing means to name the problem not the person. 

Externalizing the issue creates room for you to detach the issue from a person to looking at it more objectively. Ask yourself, “what is the issue in this moment outside of the individuals involved?”. This helps you invite a little grace by shifting your perspective from blaming someone to instead, seeing the problem removed from the person. For instance, your frustration may not actually be with the person in the moment, but in the fact that it’s misunderstanding in communication; as a result, communication is the issue and not the person. This process can alleviate that frustration and maybe even transition that emotion to hope, or feeling as sense of clarity, after processing your emotion. 

It can also help you more effectively communicate to someone what you’re frustrated about. Rather than fighting words such as, “You’re an asshole”, you can say something like “I’m frustrated because I feel unheard right now”. You’re shifting the frustration in the situation from the person to the dynamic, which can help you and the other person face it together, rather than facing against each other.

Naming your emotion may seem simple, yet, a powerful exercise that will open doors for processing your feelings and deepening relationships. This process lends itself to you becoming connected to yourself, understanding yourself, and becoming aware of your needs in the moment. Identifying what’s happening for you internally can be the first step to building a solid relationship with your spirit, with your soul, with you.

Think of how many music artists have made millions off of naming and acknowledging their feelings: Drake, Whitney Houston, Adele, Otis Redding, the list goes on. If you’re not certain of how to put your feelings into words, feel free to Google “feelings wheel,” or “wheel of emotions” or check out this blog post about it.

You can check in with your feelings anywhere, anytime. So, now I have to ask, how are you feeling?

Read about more ways to cultivate a relationship with yourself here.

If you’d like to work with a therapist at Riverbank Therapy, fill out our contact form!

5 Tools to Deal with Avoidance

By: Abby Lombardo, LMFT

An issue cropping up a lot in my work with folks in this season of the pandemic is avoidance.

Not wanting to do something, procrastinating on this thing, stressing over that thing, completely forgetting the other thing, until we are back at the beginning or something bad happens…like…a consequence for not getting this something done on time or …at all.

I’m not only talking about avoidance that shows up in our work or because of our daunting, never-ending to-do lists, but also the avoidance that results from wanting to push away emotional discomfort. Sometimes the two are deeply linked, more than we often think. This post will give you some tools for when it’s time to look yourself in the mirror and face what you’ve been avoiding, whatever that may be.

Here are some ideas inspired by my work with clients on the topic of avoidance:

1)      Explore what contributes to your desire to avoid.

It might be ironic, that in order to help your avoidance, you must stop avoiding the reason you are avoiding in the first place. Avoidance is often a coping skill, a strategy we use in the face of overwhelm, threat, insecurity, perfectionism, pressure, fear, etc.

It might be helpful to break down your experience to the simplest feeling word you can find. For example, I am afraid of what my boss will think of me if I send this email with an error. Therefore, I am avoiding sending this email until it feels perfect. Once you whittle it down to a basic emotion, it’s a bit easier to deal with than the layers and layers your thoughts and feelings about your feelings have added or even distracted from your original experience.

Discomfort is a common reason I’ve found amongst by own clients for why they avoid certain situations or tasks or conversations. The icky feeling they get deep down that something is not okay can often be a trigger for our nervous system’s stress response: fight, flight, flee, even fawn (neutralizing a threat by befriending it). When we avoid, we are often fleeing to get away from a stressor or threat. Our ancient evolutionary biological systems cannot often distinguish a true threat to our survival from a stressful experience.

For the average person in 2022, our day-to-day modern-day stressors do not usually include life or death situations. They mostly include chronic stressors that have to do with our jobs, our relationships, or our sense of self. If we can pinpoint how our avoidance is trying to serve us, as in, get us as far away from our stressor as possible, then we can learn to relabel these threats and recalibrate our response system. We can learn to soothe our nervous systems with mindful movement or self-care, teaching our brains that this task will not hurt me, this person’s opinion of me may sting yet it does not change who I am, this conversation is challenging, yet it is survivable.

Try asking yourself:

What am I truly avoiding?

Why am I avoiding that thing?

How is avoidance trying to serve me? Am I fleeing because my nervous system is activated and stressed?

Am I avoiding something because it makes me feel uncomfortable? Or another emotion?

What can I do with that emotion instead of avoiding it?

How can I soothe, self-care, or move my body to remind it I am safe and okay even if I am uncomfortable or stressed?

2)      Create a simulation in your mind.

This idea comes from the practice of exposure therapy for anxieties and phobias, as well as trauma. The idea is that you practice simulating in your mind the very thing you have a strong avoidance towards. If you are avoiding household chores that have gone neglected too long, you might imagine yourself taking the first step to get up and collect all the dishes to place them in the kitchen or collecting all the laundry needing to be done. The idea is that step-by-step your brain is getting used to the very thing it has been blocking out via avoidance.

The simulations work two-fold, 1) your brain literally practices the task even in your imagination, which makes it a bit easier to do the task in real life and helps you anticipate some difficulties you might have along the way 2) you are breaking down tasks into accessible steps, which makes the whole thing a little less daunting by the time you actually decide to approach the task in real life.

3)      Break down tasks

When we are overwhelmed, it is usually because we are feeling many things about one or several other things at the same time. My clients who live with ADD/ADHD have to make common use of the skill of breaking down tasks in order to make tasks more accessible to their brains. A helpful question my clients and I have landed on: What is the most accessible thing I can do right now that could help? Then do that. Doesn’t matter how small or ridiculous. For some, it’s standing up, collecting necessary materials, opening the computer, starting the document/email, writing down next steps…

4)      Color code tasks

Along with this idea of breaking down tasks, it can be helpful to have a system to code tasks or steps of tasks into green, yellow, red. Green, accessible now. Yellow, it’s doable but maybe a bit challenging for one reason or another. Red, feels very challenging at the moment. The idea is to start with the green tasks to build momentum and confidence. Then, if you still don’t feel up to the yellow or red tasks at a later time, you can learn to further break those down into green-coded tasks until those tasks feel more accessible.

5)      Organize/prioritize tasks

Great! You’ve learned why you’re avoiding something; you’ve imagined in your mind how to do the thing; you have the accessible steps all listed out. But wait, you have about 10 other tasks you need to repeat this process for, where do you even start in tackling them all? In comes the skill for organizing and prioritizing tasks. For my folks with ADD/ADHD, this is an important skill to learn to externally structure what their pre-frontal cortex (the area of executive functioning) does not. It is important to find a system that works and is intuitive for you, if you don’t like the process or the system you’re using, you won’t use it. Ultimately, find a system that helps you lay out everything you’re expecting of yourself to be done so you can catch early if it is an unrealistic expectation and also so you can prioritize which tasks to do first or in order. Think big picture first, then move into the details of each task once you’ve identified it as a task worth working on at this moment in time. Too often, we get sucked into the minutiae of the tasks that we forget to gain perspective on is this really what I need to be working on right now?

For my visual and tactile clients, I often suggest the use of a dry-erase board or sticky notes. Writing out your items for the day and then placing the one you are currently working on in the center of your workspace/visual field as a practical way to manage focus and keep up with real time prioritization. The other sticky notes can be swapped out at any time to be your “main focus sticky note,” so it is flexible often like our attention and daily demands. Steps can be written on the front of the sticky note or on the back to help with traction towards a bigger item or goal.

Don’t forget a done pile! I encourage clients to have a moment of celebrating the doneness of a task, before skipping right to the next thing. This is an opportunity to “complete the stress cycle” by saying to yourself: you know that thing I was wildly stressed about before? I did what it took to complete this task. Yay me! I did it! It is an opportunity to build confidence and competence for future challenges, as well.

I hope this practical guide for how to work with your own avoidance feels accessible and applicable to what you find yourself avoiding, if not, stay tuned for Part 2 of this post. Remember that you’re in good company, which is why I felt inclined to write this post in the first place!

Take a moment to also remind yourself that you’re doing the best you can with what you’ve got at this moment in time. If you feel that you might need more personalized help with your avoidance or notice your avoidance significantly impacting your functioning in different areas of your life: work, school, home, relationships, etc., then reach out to us and we will match you with a therapist available to help you address your avoidance more specifically.