Author Archives: Tamera

Timing Your Training

Now that we’re getting close to the end of the school year, I anticipate receiving the calls I usually get in late spring from parents who are planning ahead and trying to squeeze in neurofeedback training for their student over the summer, before school starts again in the fall. This makes it a good time to explain the timing of how I practice neurofeedback.

The usual format is twice weekly training sessions that start with whatever number of minutes the trainee can tolerate and work up to an hour-long session that includes about 40 minutes of brain training. This is because with once a week sessions, it often takes too long to start seeing results, and with more sessions, it gets difficult to schedule them into busy lives.  For those who I think would benefit from jump-starting their success and who can manage it, I suggest three sessions a week for the first several weeks, then scale back into twice weekly sessions.  Regardless of how the training regime is customized, however, a regular training program includes days that are not back-to-back, so that the results of training can be spread out better.

Some people don’t like this evenly spaced program and want a more intense training program.  Fortunately, it IS possible to accelerate results if one is in a hurry or has a deadline to meet.  For example, I have on more than one occasion conducted 90-minute training sessions twice a day, five days in a row, for two or three weeks.  I also know trainers who have had people fly in from out-of-state to conduct accelerated training programs like this—generally because no trainers are available in their geographic area.  Condensed training programs are often quite tiring for the trainee, and it requires clearing one’s schedule to the point of perhaps taking a vacation from work to do training, but it has been effective in my experience and satisfying for the person who needs to get it done asap.

The flip side of this is the person who is seeking to do fewer sessions than the norm. Often, this is someone who has read claims online that a full course of neurofeedback can be conducted in six or eight sessions and is therefore suspicious of anyone who conducts more sessions.  I will not agree to work with someone fewer than 20 sessions. This is because although I have in the past had trainees who achieved their results and had them stick in as few as 25 sessions, their rapid success has not been the norm.  Often, someone who achieves results rapidly is someone who is integrating multiple self-improvement or healing modalities at once.   The last person who finished in 25 sessions was someone who was simultaneously switching to a clean eating diet and receiving both acupuncture and chiropractic care at the same time as doing neurofeedback.  It was a lot of work for that person, but in the end it was a cost saving and speedy way to get to a point of living better and feeling better.  Such individuals are my favorite clients, but they are uncommon.

If you’re interested in getting started with neurofeedback, give me a call, and we can discuss what timing works best for you and your situation.

Neurofeedback and Cancer

Science Daily shared a University of Texas study showing that neurofeedback helped reduce neuropathy in chemotherapy-induced neuropathy.  I’ve seen neurofeedback increase brainwave coherence, thereby reducing brain fog or “chemo brain,” but this is a new and exciting development.  Read a summary of the study at:

https://www.sciencedaily.com/releases/2017/03/170303102858.htm

“A type of functional brain training known as neurofeedback shows promise in reducing symptoms of chemotherapy-induced nerve damage, or neuropathy, in cancer survivors, according to a study by researchers at The University of Texas MD Anderson Cancer Center. The pilot study, published in the journal Cancer, is the largest, to date, to determine the benefits of neurofeedback in cancer survivors.”

Practical Wisdom–Reacting to Change

This is the time of year when many of us slow to take stock in our lives and make changes, including New Year’s resolutions. Many experts advise us that we fail to follow through on the changes we want to make due to a lack of willpower, but I wonder if it’s the change itself that slows us down.

If you don’t like something, change it. If you can’t change it, change your attitude.

Attributed to Maya Angelou

I have always thought of myself as open to change and as one who’s not especially attached to material things. That changed a bit when we learned we needed to replace our washing machine.

Before it broke down completely, I researched new machines and sought the advice of our repairman. My husband and I decided on a particular make and model that we thought would perform well, meet our family’s needs, and be water/electricity efficient. We were satisfied with our decision, but when we went to purchase our selection, we learned that the charcoal gray color cost significantly more than the white. Because it felt foolish to pay so much extra just for color, we bought the model in white.

Leaving the store, I felt pleased by our choice, with the exception of one thing: the color. I still wanted the charcoal gray, even though it wasn’t a sensible choice.   Over the next several hours, I realized that I was actually mourning the loss of what I thought was a pretty appliance, and those feelings of sadness and loss caught me by surprise. After all, I don’t consider myself especially materialistic, and the machine is not ugly; it’s just white. I spent time just sitting with those upset feelings and wondering about them.

The next day, I realized that it was all about change.  I have had a charcoal gray washing machine in one form or another for almost 20 years. Plus, my old machine had served my family well, and I’d never had to think much about it. It was just there, ready and waiting every time I needed it. I hadn’t realized the comfort that came with that trustworthiness. I could be on auto pilot and not think about the machine at all; I could just use it.

Recognizing that I wasn’t attached to the machine itself but instead was attached to the comfort and aesthetics it provided was liberating. I realized that I could change because the new machine will be just as reliable and perhaps even more so. I realized that I could make it seem pretty and please my sense of aesthetics by painting the laundry room. I can adapt and make the best of this change even after close to 20 years of things being the same.

I felt silly in the wake of my brief washing machine upset, but I think I learned a few things about change and me.

THOUGHTS AND QUESTIONS FOR REFLECTION

Where in your life has a change upset you or caught you by surprise?

When in your life have you resisted change?

Are you facing or perhaps denying the need for change in your life right now?

Are there minor tweaks, such as repainting the laundry room is for my situation, that you can make in your life to allow yourself to be more fully open to change?

No, It’s Not a Cult Thing

An acquaintance of mine shocked me a few days ago by asking me if neurofeedback is related to a well-known cult. He wasn’t joking and was genuinely curious, which made me realize that many people have misconceptions about what neurofeedback really is, how it works, and who uses it. As someone who uses neurofeedback on an almost daily basis, it seems perfectly mainstream to me, but I realized that perhaps additional clarification would be useful.

Neurofeedback is the use of EEG devices and audio-visual rewards that come from sophisticated software programs for the purpose of changing electrical patterns in the brain, which in turn improves the quality of peoples’ lives. As with most things, the use of neurofeedback is part art, but it is a science-based tool at its core. It came out of a serendipitous combination of a UCLA neuroscientist’s work and NASA’s needs in the late 1960s, and there are hundreds of peer-reviewed journal articles that address its benefits for many applications. It may not yet be a household word, but the popularity of neurofeedback spread with increasing speed once personal computers and their speed increased dramatically in the 1990s. It is now researched in several major universities both in the United States and abroad, and just within the past few years, more universities have been offering formal coursework in neurofeedback, making it possible to learn how to use it outside private sector training.

Neurofeedback is an interdisciplinary tool and not a field of endeavor in itself, which means that people from many walks of life use neurofeedback for themselves or perhaps to apply it in their professional lives. Because it deals with the brain, some of the more visible users are in the field of mental health, often clinical psychologists or, on more rare occasion, psychiatrists. A few neurologists and chiropractors use it in their practices, yet physicians as a whole generally are not avid users. Many others, such as educators and tutors, use it in their work, and there are also people like me, who focus almost exclusively on neurofeedback. Then, there are people who are not professionals at all but are using it for their own purposes, at home, and people who use neurofeedback to enhance their spiritual well-being. Despite this diversity of users, backgrounds, and purposes, I have never met a cultist using neurofeedback. So, as long as you find a skilled, ethical, and decent practitioner to teach you or train you, I think you’ll be just fine.

Practical Wisdom–Your Inner Compass

Every man has to learn the points of compass again as often as he awakes…Not till we are lost, in other words not till we have lost the world, do we begin to find ourselves.

Henry David Thoreau

Henry David Thoreau (1817-1862) was an American author, philosopher, and transcendentalist whose most famous work, Walden, continues to influence lives today.

 

When I was nine years old, my parents divorced and I had to attend a new school in a new, small town. I was shown the way to get there when my mother registered me, and the next school day, I headed out the door with some trepidation about what the other kids in my class would be like but completely confident that I could find my way to school without a problem.

The fact that there was a heavy, pea-soup fog that kept me from seeing more than a few feet in front of me wasn’t a worry. I knew the school was only a short walk away and trusted myself to get there.  Then, as I reached an intersection, the nature of the pavement changed from asphalt to a gravelly aggregate.  The many pebbles and bits of gravel in the road made me worried I had reached the end of town—my new house was only a couple of blocks from a corn field, after all—and I was stopped cold.  I thought the right way to school was directly in front of me, but the road change made me think that if I kept going straight, I’d end up out in the country and hopelessly lost.

I peered intensely into the fog but could see nothing in any direction. My choices were to turn around and go home, where I knew I’d receive a scolding, keep going straight and potentially end up hopelessly lost out in the country, or turn to the left, which I knew would take me further in to town but would not necessarily get me to school.  To be late on my first day would have been an utter disaster and embarrassment, I was certain.  It was all just too much, and I froze, paralyzed by my inability to see combined with not trusting my inner compass because it conflicted with the more tangible gravelly road.

Within a couple of minutes, I saw a dark shadow off to my left. Another kid was walking in the fog, and he or she boldly strode into the gray mist, apparently unaware of the gravel on the road that portended disappearance into the freshly harvested corn rows.  It occurred to me that if that person was walking into the fog without fear, then maybe it was the right way to go.

I walked after this person into the fog. The road remained a weird, pebbly aggregate and never turned to actual gravel.  And then, not long after I could no longer see the intersection behind me, I began to make out the black shadows of the two-story tall evergreens that lined the playground of the elementary school.  I still couldn’t see the school, but I knew the trees would help me find my way; I was going to be okay.

THOUGHTS AND QUESTIONS FOR CONSIDERATION

Journal or sketch your reactions to the quote and the reflection on it. Then, consider the following questions:

Starting a new calendar year means that many of us are striving to start new things and head down new paths. Where are you headed?  Do you have a clear map of how to get there?

What tools will you take along so that when the path forward gets foggy and unclear, you’ll discern what to do next?

What will you do if you get lost in the fog?

Trust is a huge factor in starting new adventures, whether your goals are large or modest. What do you trust yourself to do when the next steps aren’t clear?  What signs and messages from within yourself will you trust?

What can you do to remember to be kind to yourself and engage in second-guessing when you feel confused?

Practical Wisdom–Getting Your Needs Met

Nothing, I am sure, calls forth the faculties so much as the being obliged to struggle with the world.

Mary Wollstonecraft

Mary Wollstonecraft (1759-1797) was an English scholar, philosopher, writer, and women’s rights activist who was a champion for giving women access to education. Her daughter, Mary Wollstonecraft Shelley, wrote Frankenstein.

 

Once a week, I do volunteer work that involves sitting at the information desk of a local church. Although what I do is unaffiliated with the church, I am asked many questions related to the church and try to help when I can. One afternoon, a man strode purposefully into the lobby and up to the desk.  Catching my eye, he tapped his index finger to his head multiple times and informed me that he had memory problems and needed help getting back to a shelter.  He repeated his sentence in a rote manner until I was able to interrupt and promise to help.

I managed to identify the shelter he told me to find and make contact with a social worker who promised to send a van to get “Mike” and expressed astonishment that he had wandered so far. Mike sat with me while awaiting his ride, and the next thing I knew, he’d told me many significant, tragic stories about his life.  In fact, he repeated each of his stories at least half a dozen times, breaking my heart as I realized how awful much of his life had been and the extent of his memory problems.  Reading in between the lines of his stories, I realized that multiple traumas had set him up in such a way that it was practically impossible to make healthy decisions, and I felt as if it was easy to see how he’d ended up as he had, finally sober but brain-damaged and homeless.

He remained on my mind and even kept me awake that evening as I wondered what I could do to be beneficial in his life beyond helping him get back where he belonged. The next day, I called the shelter, and it turned out that he wasn’t truly homeless; he’d become lost walking out the door of the home he’d just moved into, and he couldn’t recall that he had a place to live.  He also had an incredible network of support around him that was providing for his basic needs as a result of the social worker who obviously cared profoundly about his well-being.

In the end, I realized that Mike’s ability to reach out for what he needed in life went far beyond his ability to find a church to help and recite a script when he got lost; he knew how to touch people’s hearts and receive care and love in return.

THOUGHTS AND QUESTIONS FOR CONSIDERATION

Journal or sketch your responses to Wollstonecraft’s words and the reflection. Then, consider the following questions.

Where in life do you struggle with the world? How do you rise to the challenge?  What is your experience of how the world responds?

How have your struggles shaped your skills and mental abilities? What have you been called upon to do that you have not yet mastered?

Where do your needs remain unmet? What faculties do you need to call forth to get them met?

When have you been called upon to help meet someone else’s needs and ease their struggles with the world? How have you responded?

Practical Wisdom–Observing the Rules

This is the first of what I intend to be weekly posts that use quotes as a jumping-off point for self awareness and personal growth.  Grab a journal or sketch pad to record your responses and reactions to the questions at the end.  See my post from August 30th for more information.

 

The young man knows the rules, but the old man knows the exceptions.

Oliver Wendell Holmes, Sr.

One of the finest writers of his times, American poet and author Oliver Wendell Holmes, Sr. was also a physician, lecturer, university dean, and law student.

A young woman practically leapt out at me as I pulled into a pharmacy parking lot one afternoon a few months ago, because she seemed not to belong in the setting. Pretty to the point of being striking and perhaps not much more than 20 years old, she was sitting all folded up along the curb, with a heartbroken, almost forlorn look in her eyes and on her face. Her face haunted me as I did my shopping. I knew she was no midday drunk—in an instant, I had considered and dismissed the idea that her pained look had anything to do with substance abuse. My thoughts had moved on to awful possibilities, such as the idea that she might be a victim of human trafficking, which has become a big problem in our area, and I knew I’d continue to ruminate and worry about her if I drove off without checking on her. So, when I was finished shopping, I decided to drive by the place where the girl had been sitting, just to see if she was okay.

The girl was still folded up in the same position I’d first seen her, so I rolled my car window down to ask if she was okay. She replied that she had gotten to the pharmacy by bus and now wasn’t sure how to get home, because she’d waited over an hour, and no bus had come. I explained that I didn’t know much about the bus schedule except that it didn’t run as frequently in the middle of the day as it did in rush how. I asked where she was trying to go and what she needed, and she told me she could get home if she could only make her way to the metro.

I happened to be planning to drive right past the nearest Metro station. I knew intuitively that she was no threat, and so I mustered up my courage. I told her I’d never given a ride to a stranger before, but that if she wanted a ride, I was willing to take her to the Metro.

I could see her sizing me up, and then a look of relief crossed her face. Charmingly, she informed me that she’d be a safe passenger. “I’m not going to kill you or anything,“ she informed me earnestly.

On the ride to the subway, significant pieces of her life story poured out. She told me she’d recently moved to the area from out-of-state because her fiancé had died, and she’d decided to move home with her mother. She told me many other private things that out of respect for her I will not share, but I got stuck on the idea of what it must be like to grieve when one doesn’t have society’s stamp of legally being a widow, especially at such a young age. It also clarified for me why she looked so lost and forlorn when I first noticed her.

After I dropped her off, I called my husband to tell him what I’d done, not because I believed I had been in any danger, but because I felt guilty about breaking the safety rule of never giving a ride to a stranger. He was unsurprised that the young woman had shared so much of her life story with me, because people randomly share so much with me. He also thought it was no coincidence we’d been thrown briefly together. I agree.

 

THOUGHTS AND QUESTIONS FOR CONSIDERATION

We all have rules of life we follow, most of which become automatic and receive no thought from us. Consider your rules of life. What are the significant ones? Why do you follow them? What has been the outcome of breaking one or more of them? What did you learn? Do you have regrets?

The young woman I met was grieving the loss of her fiancé. Would you feel differently about her and her loss if she’d been a newlywed? What if she’d been slightly older and married several years? What if the fiancé’s death had been from something like a drug overdose rather than disease or an accident? How would that change your reaction?

How do your unspoken rules of life serve you? Have they kept you safe, perhaps? How have they harmed or hindered you?

 

 

Holding Space for Letting Go

There are many people for whom the presidential election has triggered great worry, fear, sadness, and a whole host of concerns about what the future political situation might bring. If you or someone you know needs a place to sort things out for themselves, please give them my name and contact information. For the next several weeks, I am offering one-time sessions during which they can unburden themselves in an accepting and safe environment. It is not psychotherapy–I come from a spiritual perspective–but it is confidential. Suggested payment is $50 for a one-hour session plus optional meditation and mindfulness guidance..

Hyperactive Default Mode Network Behind Many Emotional Disorders

The brain’s default mode network, a series of connections that create what the brain is doing/thinking when it isn’t focused on any one thing in particular, appears to be hyperactive when emotional disorders are present, according to research from the University of Illinois-Chicago.  For more information, read Science Daily’s summary of the research, which is linked below.

Neurofeedback is not mentioned in this article, but certain neurofeedback protocols are designed to train the default mode network.

https://www.sciencedaily.com/releases/2016/09/160928141901.htm

 

 

Neurofeedback vs Entrainment

Over the past few months, I’ve been asked several times about various hand-held devices meant for a layperson to use at home, and I thought it might be beneficial to share my responses more broadly.

Neurofeedback is a means of gently teaching new electrical patterns to the brain using tones and other non-invasive rewards. It does not force the brain into specific states, and because it is a teaching tool, it takes time to create long-lasting results.  Once the brain learns those results, however, the patterns are set, and the brain holds onto its progress.

Unlike neurofeedback, most portable entrainment devices provide no feedback to show the brain what it is doing and create space for change. Instead, these devices—some called AVE, or audio-visual entrainment, some called CES, or cranio-electrical stimulation, and some called binaural beats—push the brain into a desired state using sound, light, or even light electrical charges to achieve change.  These devices, generally considered safe for relaxation purposes, do not teach the brain to change.  Because they force the brain into a new condition, changes may happen in just minutes, but the changes are short-lived and in most cases will not become permanent.

Entrainment devices have their benefits, even though they don’t create long-lasting change. For those who cannot afford the time or money to pursue a course of neurofeedback brain training, for example, entrainment tools provide immediate, short-term benefits until the person is able to do neurofeedback. They also are beneficial for some people to use in between neurofeedback sessions to extend the benefits of training—in fact, I keep a few types of entrainment tools available to share with my clients.  In addition, many neurofeedback software programs include binaural beats to help the brain shift into new states, so they can be useful during brain training.

The bottom line is that to create long-lasting change that does not require continual daily effort, neurofeedback is the better path. For short-term benefits to hold one over before implementing longer-term solutions, entrainment is a beneficial choice.

Stress, Trauma, and the Amygdala

A recent study in Biological Psychiatry found that neurofeedback was effective in helping calm the amygdala, a part of the brain that becomes over-activated in stressful and traumatic situations. The authors enthused that EEG-guided neurofeedback “holds the promise of reaching anyone, anywhere” and of its usefulness for stress resilience training.

Read more on the study at: https://www.sciencedaily.com/releases/2016/09/160912122608.htm.

Practical Wisdom for Creating Change

Next to the originator of a good sentence is the first quoter of it.

Ralph Waldo Emerson

Who doesn’t love the feeling of inspiration that comes from reading the quoted words of our wise and sometimes humorous ancestors? Especially over the past decade or so, inspirational quotes have been appearing everywhere from social media and email signature lines to headings in chapters of books.  I even have a few on refrigerator magnets.

A few years ago, I began to wonder about how those brief feel-good moments from reading a quote could be taken a step further and used to create meaningful change in one’s life. It seemed to me that there is a richness that can come from taking in the practical words of wisdom available to us and using them as agents of change.

I know it can be done, because it happened to me. As an undergraduate, there was a point at which I worried I wasn’t going to be able to make it in college, would lose my scholarship, and would have to leave.  One day at about the high point of my anxiety, I received a newsletter from a group to which I belonged, and it contained the following quote from Winston Churchill, “If the motivation be sufficient, even a donkey might fly.” Those words hit me hard, and from them, I found the encouragement to keep working hard toward my goals.  My anxiety dissipated, and everything shifted.  All these years later, I still have that quote clipped and set aside for moments at which I lose my courage and resolve.

As a result of this experience, I have over time compiled a large number of quotes on subjects related to personal growth and change. With each of them, I have written a reflection on the quote and composed questions designed to make the reader stop, reflect, journal, and shift as a result.  They are part of a forthcoming book, but I will occasionally be posting quotes and reflections here in this blog.  I hope you enjoy them and, more importantly, use them!

 

Note:  Emerson’s quote can be found on page 67 of The Journals and Miscellaneous Notebooks of Ralph Waldo Emerson, Volume XVI 1866-1882, Ronald A. Bosco and Glen M. Johnson, eds., The Belknap Press of Harvard University Press, 1982.

Starting the Year off with Self Care

September always feels more like the beginning of the year for me than January 1st ever does.  It’s probably left over from school days, when everything from crayons to clothing to textbooks was fresh and new for the new academic year.

As a result, this is the time of year when I try out new things, usually related to self care or continuing education. And although I don’t make new year’s resolutions, the things I choose to take on and add to my world feel seem like promises to myself. Many of my friends and colleagues feel the same way, and perhaps you do, too.

One promise my clients make to themselves at this time of year is the decision to pursue neurofeedback training. This self-care promise has a rhythm that feels like a new year’s resolution, because I experience spikes in calls  throughout the month of September, just as I do during the first two weeks of January.  People are toying with whether they want to make a commitment to personal improvement, and because it’s a commitment that lasts longer than an actual new year’s resolution, it requires some forethought.  I find that those who call me think they want change but are not quite sure about what they could be getting themselves into if they make such a commitment.  That’s understandable and is probably in part because neurofeedback and the research that backs it still isn’t that well known.

If you’re toying with the idea of trying out neurofeedback for yourself or a loved one as part of your new year, give me a call. I offer free consultations that allow you to meet me, discuss how neurofeedback works (and, just as importantly, what it doesn’t do), and what brain training might mean in your life.  I think it’s valuable to educate yourself before you make a decision.  In addition, taking steps toward personal improvement is a great way to start a new year.

 

Better Approaches to Trauma–Neurofeedback, Body Work, Even Theater

Beginning this week, my intention is to share periodically about a book I’ve read that may be of interest to anyone who is exploring or considering neurofeedback training for whatever reason. Some of these books may be scientific and heavy on neuroscience, whereas others may have a more spiritual bent, because neurofeedback encompasses mind, body, and spirit.  In any case, I am sharing what strikes me and not providing a review or report.

Normally when I read a book, I end up scanning pages and sometimes entire sections or chapters, simply because either the writing failed to capture my attention or the content was weak. With The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma, by Bessel van der Kolk, I found myself doing the opposite.  I read slowly, taking in the long but well-written and content-rich words of one who is in my mind the most prominent and respected name in the field of trauma.  For someone whose life has been touched in any way by life’s traumas large and small, this book is worth reading the same way—a few pages at a time, with a notebook nearby.

Van der Kolk decries the emphasis that mainstream psychology places on medications and cognitive approaches to resolving trauma and treating Post-Traumatic Stress Disorder (PTSD), noting that they have a dismal record of success in restoring a person to healthy emotional functioning. He also points out that many people end up with a multitude of false diagnoses that share only a trauma response underneath the myriad of symptoms. Van der Kolk prefers an approach that recognizes how the body’s safety systems have been hijacked and that reconnects body and brain in a way that makes it safe for individuals to experience healthy emotions so that they can actually live inside their bodies again.  He explains why this is so through an explanation of brain functions—including a description of the limbic system and polyvagal theory, and the memory distortions that occur in individuals who have experienced trauma.  He speaks to the irrationality and non-verbal nature of trauma, and he talks about how trauma in childhood causes different physiological responses than trauma in adulthood.  Most importantly, Van der Kolk offers hope to those who suffer and their families.

In the final and perhaps most important section of his book, Van der Kolk shares what he views as essential approaches to helping individuals tone down their internal alarm systems in ways that allow them to function better in life. He suggests body work, especially yoga, massage, and EMDR.  He suggests a more dynamic approach to psychotherapy called IFS, or Internal Family Systems, which is quite similar to psychosynthesis.  Van der Kolk also encourages therapeutic theater participation, although that may be much harder to find such a program than his other suggestions.  Of especial interest to me is that Van der Kolk is a strong proponent of integrating neurofeedback into any wellness plan for trauma recovery and dedicates an entire chapter to the subject.

His emphasis on brain training and body work have not yet received support from the American Psychological Association, but individuals around the country are paying attention to his ground-breaking efforts. As someone who has been a long-time neurofeedback trainer and has specialized training in the IFS-related field of psychosynthesis, I especially appreciate his wisdom, leadership, and courage in the face of nay-sayers.

If you have any interest in this topic or relationship with someone who’s experienced trauma, put this book on your must-read list.

 

Fix What You’re Tolerating to Create Space

If you’ve read the previous post, you know that putting together a list of the things you’re tolerating in life can result in a daunting list. The first time I did it, my list was close to 200 items. I worked on the little ones first, because getting something done in 10-15 minutes made me feel like I was making progress, not just from the task itself but from the process of crossing out items on my tolerations list. It meant that I was tolerating less in life.

What I wasn’t expecting, though, was that no sooner would I cross off one of the more moderate-sized items, than I’d realize that there were a handful of items that either popped up or I had forgotten about. It meant that although my tolerations list got low, it still existed. I realized that it was a flow—some things off, some things on the list. That ebb and flow, as long as I did a reasonable job of making sure I was taking care of things rather than putting up with them, meant that my overall stress level reduced just enough that I was able to sit back and look at the bigger picture.

Looking at the bigger picture is the key aspect of this exercise. Yes, you’ll feel better about taking care of the little things—the gnats and mosquitos of life, as one of my former counseling clients put it, but you’ll also be creating room in your life to take a more serious, more careful look at the bigger stressors in your world.

What you’ll find is likely to surprise you. You are likely to see that it really isn’t the thing you THINK is making you crazy that is really the cause of stress in your world. Instead, it’s almost always something underlying the surface problem. Bad bosses, delinquent children, poor relationships…there’s always something else fundamental to how the situation got to where it is for you. Knowing that there’s something deeper and that you can find it is life changing, because it opens up new doors and new options for change.