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Therapy can help a lot for these problems. Therapists are trained to recognize unconscious reactions of their clients and then bring those reactions into consciousness, so they can be dealt with by the client.

If you want to do it yourself (not recommended), the first step is usually to notice patterns in your behavior - what do you try to avoid, when do you fall into addictions, etc. Also compare that to what other successful people do - do you find that some things are trivial and no big deal to other people, but cause you to turn into a blubbering mess? You're looking for intense anxiety here, which is why this is so difficult to do yourself - most people instinctively shy away from things that make them anxious, but here you have to deliberately seek them out.

Then, once you've got a clue to where the problem might be, you're looking for a thought that seems to skitter away every time you think of it. For example, I had an issue with needing to be certain about everything, and everything needing to be cut & dried facts. The idea that I may not be perfect, that there were some things I didn't know and never would know, was completely anathema to me. So every time I found myself in such a situation, I'd immediately try to force certainty, either by learning as much as I could and jumping to a conclusion, or by avoiding the situation entirely. When I tried to hold the idea of not being perfect in my head, my psyche would rebel, and thoughts would pop into my head like "That's for weaker minds. I wouldn't be myself if I didn't know everything."

Once you've got the thought that always tries to skitter away, hold onto it and face it directly, no matter how much your consciousness rebels. Usually they'll be some sort of intense emotional reaction - you'll start crying, or you'll want to punch something, or you'll feel like your life is ending. That's why movie dramas (eg. Good Will Hunting) often have some teary scene at the therapist's office. Naturally, you will probably want to be in a safe, private place for this.

You'll want to hold onto that thought until you feel completely spent - it doesn't actually take long once you've IDed the issue (20 minutes to an hour is my experience), but it's exhausting. You should feel "lighter" afterwards though, like your body has been through rough exercise but your mind is freer and no longer weighed down by whatever was troubling you.

Good luck. It's much easier with a trained therapist - or actually, I wouldn't say easier in the sense of "less painful", but you spin your wheels less on false theories about why you are the way that you are.



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