Archive for the 'Tips From Dr. H' Category

How I beat postpartum depression

It was a very long four months for both my husband and I. Which four months? The last month of my pregnancy and the first three of my sons life.

The last month of pregnancy was long because I was huge, cranky and not sleeping. The first three months of our baby’s life were harder because on top of the exhaustion and pain of recovering from a c-section, I, the expert, got blind-sided by a serious dose of postpatrum depression.

I share this to emphasize that prepartum and postpartum depression can sneak up on anyone.  Physical discomfort, lack of sleep, and all those hormones certainly are contributing factors.  So too are less tangible experiences of feeling out of control–out of control of your body, of your baby’s schedule (or lack thereof!), or of your ability to get your feet back under you in general. Continue reading ‘How I beat postpartum depression’

Strengthen marriage with a new perspective

Here’s a sweet letter sent out from our head coach, Dr. Abigail Hirsch, about how her new baby inspired a strengthen marriage tip. Dr. Hirsch gave birth to her fourth child five months ago. At the end of August we’ll be featuring a post from her about her experiences with postpartum depression. Enjoy!

 

Hello Power of Two Member,

Today was a big day in our house.  Our five month old baby just got big enough to sit in a high chair at the table with the

strengthen marriage

Our children can teach us skills to strengthen marriage.rest of us. This new perspective was transformative.  All of a sudden his three big brothers noticed him.  For pretty much the first time they started chatting away with the little guy. And, he in turn found their stories so funny he couldn’t stop chortling.

What does this have to do with marriage?  For me, it was a wonderful reminder how just a little shift in perspective can make a huge difference in how people relate to each other. Continue reading ‘Strengthen marriage with a new perspective’

Dr. Hirsch’s 5 tips for how to have a great vacation

A special post by Dr. Abigail Hirsch

Every summer I’m surprised how often we hear from folks just back from a “really challenging” vacation. Why are family vacations so…well, not a vacation? How can you actually have a great vacation? Having just taken some time off with my family, and therefore having had the time to indulge in reading the Sunday New York Times, I came across a great article on just that topic. In it, writer and father Matt Richtel outlines how to prepare our brains to to turn down the mental static and let us really relax during vacations.

The article inspired my to write my own, and voilá, here are the Power of Two Top 5 Tips for How to Have a Great Vacation:

  1. Vary the rhythm. Concerts are better when there is a variety of music. So too are vacations more fun when they have a mixture of fast and slow, active and vegetable, excitement and low key.
  2. Leave room for spontaneity. The highlight of our recent trip was discovering in the paper one morning that the Ultimate
    Have a great vacation, stress free.

    Have a great vacation by leaving technology–and schedules–behind.

    Frisbee National Championships were being played just down the street. Doing something unplanned and novel is great for putting some pep into your day, vacation, and relationship!

  3. Make a digital intruders plan. For many of us it’s hard to put down all the digital connections. So all the things one goes on vacation to take a break from often come charging right on in. To unplug and really have a great vacation, try setting a fixed time each day to check-in and let people know you are checked-out. I love getting up an hour early, finding a new coffee house, and doing a one hour check-in. Then the phone goes off and it’s time to enjoy my vacation.
  4. Hone those skills! The nature of vacation is that it’s a chance to make all kinds of decisions that are just routine in one’s day to day life. Where to eat? What to do? How much to spend? Make sure your communication in marriage and Win-Win Decision Making skills are ready to roll. Check out my workshop video if you’re new to this or need a refresher.
  5. Most of all LAUGH. Really, lighten up, it’s vacation after all. When the boat is so late you miss your train or the kids spill ketchup all over their shirts, take a deep breath and smile. You can have a great vacation or a lousy one–all depending on how you look at it. Choose to see each challenge as an adventure! If you’re late, hey, it’s not like you’re on a schedule anyway!

Happy Summer, and have a great vacation!

Abigail and the Power of Two Coaching Team

More Tips from Dr. Heitler: Shared decision making as a Couple

Marriage partners are in a sense yoked together. Couples, therefore, need skills for shared decision making and communication. Many couples mistakenly believe that each decision must end in one of them “winning their way.” While this may get things done, it leads to resentment and negativity in the relationship. If they can choose together when to turn left and when to turn right, neither of them will feel compromised, dominated, or controlled by the other. Instead, each shared decision just enhances their loving partnership.

Shared decision making necessitates that couples look deep into why each wants what they do. Often we get stuck on the way Use shared decision making to avoid fightssomething is to be done–this is only the surface level of the decision. As soon as couples see themselves preferring different plans of action, they switch from launching a tug of war over their preferred solutions to exploring the concerns that underlie each of their preferences. As they come to understand their own and their partner’s underlying concerns, then they can look for a solution. They can then use shared decision making to form a plan of action responsive to all the concerns of both of them.

Let’s take an example:

Louise and Chad, who are recently engaged, are discussing where they want to live after marrying. Louise wants to move to Montana; Chad likes living in Arkansas, where they both live now. Chad, on realizing they were beginning to argue over the issue,  switched into “win-win” mode. He asked Louise what about Montana appealed to her. This question switched the discussion from a struggle over who would get their way to an exploration of both of their underlying concerns. Louise explained that she loves the wide open spaces of Montana and wants some day to live on a small ranch. Chad’s concern was whether he would be able to find work outside of the state where he had always lived. Their solution was to agree that Chad would explore job openings in Montana. If a job there looked possible, then he’d be glad to move. A month of monitoring job postings in his field and there it was–a perfect job for Chad, and a move to the state she loved for Louise.

In Power of Two and my marriage help books, we call this shared decision making process the “Win-win Waltz” and it is very much like a dance with each partner giving, taking, and ultimately working in unison. Also like a dance, it requires patience and practice to learn. Next time you find yourself butting heads with your spouse, try taking a first step and delving deeper into their underlying concerns. This is also a very useful tool for shared decision making outside of your marriage. Try it at work, with your friends, and with other family members!

Dr. Heitler on relationship compatibility

All couples sometimes have different viewpoints and struggle with relationship compatibility. All couples, especially in the early years of marriage, discover their first problems in marriage–areas where his way and her way differ. The challenge of become fully successful marriage partners is to be able to talk over each of those differences with the goal of creating an our way, a plan of action that truly works well for both partners. Even if you consider yourselves very compatible, differing viewpoints are especially likely to arise in the courtship, engagement, wedding planning, and first-year stages of a relationship, when couples are first making decisions together. These decision-points offer excellent opportunities to practice building our way solutions.

relationship compatibility dealing with differences

Apples and oranges? Relationship compatibility is how you deal with differences

Let’s take a simple (fictional) example. In Louise’s family, birthdays were a big deal, so her expectation is that there will be a whole lot of fuss and specialness about her birthday celebration. In Chad’s family, by contrast, people at most offered a pleasant “Happy birthday!” When Louise’s birthday comes along, she’s at risk for feeling disappointed if Chad handles her birthday the way that his family of origin would have—with words only. The initial irritation or hurt Louise would feel signals that she and Chad have a his way/her way conflict they need to talk over to increase their relationship compatibility. Their challenge then is to create an our way responsive to both of their concerns.

Louise and Chad’s solution? Louise would become the choreographer of all their birthday celebrations, hers and her husband’s. Chad then would be glad to join in. He’d be glad to join her on shopping trips to pick out presents, and also offered to take out his banjo to enhance their celebrations with music. This new our way to celebrate birthdays delighted them both!

Relationship compatibility does not mean having the same viewpoints as your spouse and never having any arguments; rather, it is the ability to make decisions that work around areas in which you are not compatible. Even the most opposite-seeming couples can have healthy relationships as long as their communication in marriage skills are top-notch. In addition, more our way action means less feelings of sacrifice and resentment for both spouses–you both get what you want! Power of Two offers some fun activities to help you learn how to find our way solutions–also known as win-win solutions. Check them out!

Dr. Susan Heitler, Ph.D.

How to get your ex back

When your spouse insists on separation, is that the end, or is there a way you can win your marriage back? How to get your ex back is the subject of Dr. Heitler’s recent post on Psychology Today. In it she explains five essential steps to recovering from a separation and reconciling with your spouse. She follows the story of Peter, a real patient who allowed her to publish his writings to her in order for others to learn from his experience.

Step #1: Get back on your feet.

“Human experience has not yet devised anything,” Peter writes, “that can shield us from the pain of a broken love, the pain of feeling thrown out of your own world and out into the cold.” A separation–perhaps being thrown out of your own home–is a devastating experience. Allow yourself to feel pain, disappointment, loneliness, and anger. These are part of your grieving process. At the same time, don’t act on these feelings. Know that they are your body’s reaction to an emotionally painful event, acknowledge them, and let them pass through you over time.

A healthy marriage is made from two healthy individuals. Now is the time for you to rebuild your emotional and physical health so you can focus on how to get your ex back from a place of strength. Reach out to friends and counselors, get active, and try new social and spiritual activities. Don’t move forward with the other steps of how to get your ex back until you are truly back on your feet.

Step #2: List your spouse’s complaints.

Listening to complaints about ourselves is one of the hardest things to do. Many times our spouse’s criticisms touch on habits and behaviors we are well aware of and bring up feelings of embarrassment, shame, and guilt. To protect our ego from this pain, we practice avoidance, defensiveness and anger.

Many of your marriage problems may have come from avoiding confronting complaints. Well, no more! Make a list of each specific complaint that your spouse has, each reason that he or she has for divorce. Remember, “information is power,” Dr. Heitler writes, “even information you don’t like.”

Step #3: Clean up your act.

Neither of you bear the full blame for the collapse of your relationship; each of you contribute your own part. Your job is not to change your partner–you can only change yourself. Now that you have an honest list of areas to work on, it’s time to do just that! Make a game plan of clear, doable steps towards how you can address and solve your problem areas.

For example, Peter had once cheated during a business trip. To make sure this would never happen again, he made certain rules: he would never hang out after work with co-ed coworkers; he would go back to his hotel room by 10pm, call home and watch a movie; he wouldn’t drink.

Peter also knew that his dislike of his job had caused him to fall into a self-obsessed depression. This had lead to further distancing from his wife, increased his loneliness, and partly contributed to his infidelity. He promised himself to attend regular therapy, avoid thought patterns of “victimizing” himself, and immediately started looking for a new job.

Step #4: Agree to divorce the old marriage.

An essential part of how to get your ex back is acknowledging that your old marriage is done for, finished, kaput. And that’s a good thing! It was toxic. Let your spouse know that you agree with him/her: you want a divorce from your old marriage. You want a new marriage but still with the same person. This is possible! Our thoughts, behaviors and habits are actually quite maleable. At the same time, they require practice and discipline to change. Learning the skills for a great marriage will take time and dedication, and is achievable for practically every couple.

Step #5: Reconnect from a position of strength.

Now that you are stable, healthy, and have a clear plan for how to do your part to build a new marriage, it’s time to meet with your ex. Get together in a neutral space that doesn’t provoke emotion or appears too intimate, such as a cafe or park. Again, how to get your ex back does not mean changing or controlling him or her in any way. All you can do is show your commitment and capacity to change by the steps that you have already taken. Avoid reacting to his or her comments with emotion, accusations, or criticism. Be prepared to take things slow. Know that you have the strength and love for yourself to weather this.

 

These five steps for how to get your ex back are no guarantee that your marriage will be saved. That depends on your level of commitment, your spouse, and the unique circumstances of your relationship. You will, however, find that these steps will help you find strength, clarity, and calm in a very emotional and painful time. Whatever the ultimate outcome, Dr. Heitler writes, “the panic of a devastating waterfall ahead [will be] replaced by anticipation of a safe and sunny future.”

What do we mean by emotional health?

In this guest post Susan Heitler, Ph.D, explains how psychologists define emotional health and what contributes to it. She reveals that the method for cultivating good mental emotional health involves learned skills that we develop as we grow and experience life–or learn from others and programs like Power of Two!

When we describe ourselves as being physically healthy, we generally mean that our bodies are humming along without pain, enabling us to work and play as we would like.
With mental health, the sign that all’s well is similar.  We feel little or no emotional pain, that is, negative feelings like anger, anxiety, or depression.  In this regard, mental health might better be called emotional health.

There’s lots we can do to prevent downturns in emotional health.  Learning to live in the present instead of dwelling in future-focused “what if’s” for instance can minimize needless anxieties.  Learning from our mistakes instead of beating ourselves up for them can similarly minimize our vulnerability to depression.

At the same time, emotional well-being can be enhanced. Religion, for instance, hopefully reinforces a life stance of gratitude and appreciation.  Devoting time and attention to building loving family, friend, and community relationships sustains self-confidence and augments our opportunities to enjoy happiness, pleasure, delight and affection.  Helping others, learning new skills, sexual release, experiencing something new, exercising our physical selves and accomplishing goals also promote feeling good.

How have other psychological thinkers described mental health?

Freud, the father of modern psychological thinking, defined mental health as the ability to love and work.  Work is what we do on our own, and love is what we do with others.  A subsequent psychological theorist, Adreas Angyal, similarly defined mental health as “the ability to experience both autonomy and belonging.”

A 1970’s group called The Incredible String Band beautifully express this paradoxical set of goals for human well-being when they sing:  “What is it that I am? and what is it that I am part of?”

How can folks upgrade their mental health?

While many think that mental health involves just doing what comes naturally, I myself am a believer that feeling consistently good —  alone with oneself, in work settings, and in relationships — takes skills. In addition to the emotional functioning skills I describe above, “people skills,” like the ones taught at poweroftwomarriage.com, are vital.  These include ability to say things tactfully, to listen constructively, to minimize conflict and be able to make decisions with others cooperatively to repair misunderstandings, to manage emotions so that anger  and jealousy doen’t tarnish your relationships, and more.

Looking for a way to feel better?  Learn the skills that enhance mental health!

Am I depressed? Solving marriage problems through mental health.

Have you ever wondered, “Am I depressed?” Most people will experience depression at some point in their lives. At the same time, many people may feel the symptoms of depression without knowing it. Depression is a sliding scale of emotions, thoughts, actions and chemical imbalances in the brain–it can be a mild sense of being “off” to a debilitating experience. Signs of depression include:

  • Lack of energy/physical fatigue
  • No longer enjoying activities
  • Feelings of hopelessness
  • Feeling an indescribable “dark cloud”
  • Changes in appetite and/or weight
  • Increased irritability and other personality changes
  • Crying and unexplained sorrow

If you feel any of these for a period of a week or longer, it’s a good time to ask yourself “Am I depressed?” Recognizing depression is the first step to addressing it. The second step is understanding where depression comes from. A marriage can be both the trigger and victim of depression. This is the story of Bonnie, a real patient of Dr. Heitler:

Bonnie is a stay at home mom of two young children. She is a strong, creative woman who enjoys spending time with her kids and is usually very positive and energetic. Lately she has been feeling tired and has a hard time being enthusiastic about anything. She finds herself criticizing herself: “Your house is so messy,” “Why can’t you keep track of anything,” “You look old and worn out.” She is uncharacteristically snappy and irritated with her children.

One night she and her husband have an argument. She is unhappy that he works so late at his new job and comes home too tired to interact with her. She is so excited to see him and she feels abandoned. Her husband snaps back: “I’m doing this to support the family! I can’t risk asking for fewer hours. When I come home, you hover over me and the kids are so worked up…I need to relax, I can’t take it.” Bonnie drops the subject.

Interestingly, Bonnie hadn’t wondered “Am I depressed?” while experiencing these dark times. Is Bonnie depressed? Yes. Is she depressed because she feels abandoned and she’s fighting with her husband? Well..yes and no. Depression, Dr. Heitler reveals, comes from an imbalance of power. We feel depressed when we feel powerless. In Bonnie’s case, part of her depression stems from feeling powerless over her lonely situation. Her husband has dominated the conversation, while she defers to him in a submissive role.

Depression is a common result of dominant-submissive conflict resolution. Many people believe that an argument is resolved when you have a winner and a looser. This comes from the mistaken idea that

Am I depressed? Depression comes in many forms

power is the same thing as control–having control over another person. In fact, power is the ability to get what you want, but not by definition at the expense of those around you. Truly powerful people are able to reach satisfying solutions that also satisfy others–win-win solutions.

In reality, when you solve a conflict with a clear “winner” and “looser,” you don’t solve anything. Especially in marriage, a pattern of winning and loosing will lead to depression in the submissive spouse. It simply causes more problems.

To help Bonnie get the the root of her power imbalance, Dr. Heitler used a visualization experiment. You can try this, too.

First she asked Bonnie, “If you could be angry at anybody right now, who would it be?”

“My husband,” Bonnie replied.

“Close your eyes and image the last argument you had with your husband. Picture you two together. Now, who seems bigger.”

“My husband,” Bonnie replied again. “He’s huge. He’s towering over me.”

“Ok, now I wan’t you to look up in this scene and see above you a light powder sprinkling down on you. It could be green, or gold, or like snowflakes. As it falls on you, you find yourself growing, like Alice in Wonderland. Tell me when you’ve stopped growing.”

“Ok, I’ve stopped”

“And where are you now? How big are you.”

“I’m towering over him, at least four times as big.”

“Now that you’re so big, you can look down and see things you couldn’t see before. What can you see about him now?

Bonnie reflected for a minute. “He’s all puffed up. He’s not really that big, he’s puffing himself up like pufferfish.”

“Why?”

“Because he’s scared…and he’s covered his ears because he doesn’t want to hear what I’m saying”

“Why is he scared?”

Bonnie thought again. “He’s scared because he thinks that I’m telling him he’s a bad person. But I’m not, I know he’s a good person. I know he works late because he feels anxious about supporting the family.”

Knowing this, Bonnie was able to have another kind of conversation with her husband. This time, she brought it up delicately, talking about her feelings and clarifying how much she respected and appreciated him. Together, they came to a surprising solution. Bonnie is a highly educated woman with a lot of energy and drive, and she realized that staying home all day with the kids wasn’t stimulating enough. She was feeling bored and frustrated, which contributed to her feelings of powerlessness and led her to get worked up when her husband came home. Bonnie decided to go back to work part time. She found she was excited to see the kids again after her morning’s work, and less frantic about seeing her husband when he came home. Also, the extra income she brought in allowed her husband to be more assertive about setting limits for his hours at work.

Power embalances in marriage can come from one spouse being domineering through aggressive behavior and, in the worst case scenario, violence and insults. Or, as in Bonnie’s case, it can come from the one spouse deferring and “giving up” (this becomes easier the more depressed he/she already is). Usually the truth has aspects of both.

Just as both spouses contribute to the depression of one, both must be part of finding a solution. Whether or not your answer to “Am I depressed?” directly involves marriage problems, it is imperative that you go to joint counseling as part of the treatment. It may surprise you that getting individual counseling for depression leads to a higher chance of divorce.  Your counseling sessions should give you the tools to find the root of the problem and move through it, while providing skills to face similar problems down the road. Remember, you and your spouse are a team! That is a huge strength. Working through depression in marriage will leave your marriage stronger, wiser, and closer.

How low can you go? Anger management in marriage.

Anger management is something all couples have to deal with. At some point we all have those disagreements in our marriage that get out of hand and lead to sparks of anger and days of the silent treatment. The question of the day is– how low can you go when it comes to setting a ceiling on how much anger is allowed to brew in your home?

In my therapy practice, I often ask my clients to rate on a scale of 1 (very low) to 10 (very high) what is the highest they’ll let anger go in an argument. Somewhere in the 7,8 range is a pretty common response. Far too often, it’s more like 11.

Then I ask what they think the maximum anger level is in a really healthy, strong marriage. “Uh, maybe a six?” is pretty standard.

It’s generally quite a surprise to hear that the best thing for marriages is to keep the heat below a 3 at all times. 

So how do you do in this regard? Here’s an activity to help you rate yourself.

Anger management

You will disagree from time to time--it doesn't have to look like this.

Once you know how angry you tend to get, you can set a goal for yourself. Next time you begin to have an argument with your spouse, practice paying attention to your internal “anger” signals. When you hit a 4, practice the PO2 “exit and re-enter” anger management technique. Leave the conversation for five to ten minutes to cool off, and then come back to it. Remember, coming back is just as essential as leaving–you should address the disagreement fully. Oh, and let your spouse know you need a breather to cool down–don’t just storm off!

The bottom line is that in marriage, the lower the ceiling on anger, the better. When differences come up or tensions simmer, it’s better to learn how to resolve them calmly and collaboratively. It takes patience and practice, and you can do it! Anger management–even with just the little things you get irritated with–will make a huge impact in your relationship.

Have a great end to your week,

Abigail

Facing jealousy in relationships: Part 2

Last week I used Dr. Hirsch’s favorite Eric Clapton line to start a post on dealing with jealousy in relationships: “Before you accuse me, take a look at yourself!” This post deals with jealousy that may be unfounded or projected.

Jealousy is a problem–unspoken jealousy eats away at the positivity and love in your marriage and can morph into resentment. Feelings of jealousy shouldn’t be ignored; instead, they can be used as jumping-off points for fixing fault lines in your marriage before they turn into big rifts. At the same time, when addressing the issues, it’s easy to turn to blame and accusation of the other person. Accusations of infidelity and over-protectedness can fly. With jealousy in relationships, especially, it’s easy to blame the other person. Yet, as Eric Clapton sang, part of the problem will lie inside yourself, in your reaction and presumptions and behaviors.

Last week I talked about how feeling jealous can be a legitimate warning sign that your marriage is in jeopardy. Taking a cue from these feelings you can prevent an infidelity from taking place. At the same time, some feelings of jealousy in relationships come from our projection of our own guilt and desire onto our spouse’s behavior.

Case #2: Projection.

Susan and Kyle attend their high school reunion where Susan runs into an old boyfriend. She finds herself thinking about their teenage escapades and noticing how attractive he still is. Susan feels guilty and uncomfortable. Throughout the night she is on edge and jealous whenever her husband talks to other attractive women.

In this case, Susan’ jealousy toward her husband is likely unjustified. If logic doesn’t justify the intensity of the jealous feelings, it often turns out that the jealousy is actually a projection.

Projection means that you are seeing in your partner a set of feelings that in fact are going on in you.  Susan is projecting her guilty feelings of attraction to her old flame onto her husband. She assumes that he must be thinking similar things about attractive people he meets.

Deal with this type of jealousy in relationships by using the three steps outlined in my last post: prepare, talk, plan. In addition, you will need to be clear with your spouse about your own feelings that sparked the projection. This may be awkward, and at the same time, it will make your marriage stronger by clearing up doubts and reaffirming your trust in each other and in yourself. By asking how or what questions and by avoiding accusations, couples can clear up the problems and get back on track.