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Geometry was not a subject I found particularly compelling during my school days, but just this week I found myself reaching for the term “sine wave” as a patient and I discussed the difference between his expectations of progress and the nonlinear path progress often takes. I wanted him to understand that, like the sine wave, progress oscillates and undulates with unpredictable frequency and magnitude. We all want to put in X amount of effort over Y amount of time and watch as our progress take the shape of a gradual, upward course. That perspective is very human, but it’s also very far from the truth.

The truth is, when it comes to the trajectory of recovery and healing, progress rarely looks the way we expect.

For a patient of mine a few years back, progress looked like this: her in the fetal position on our office floor, shaking and crying after a mindful relaxation exercise sent her into a paradoxical anxiety vortex. She’d been through significant childhood trauma, and as a result, she’d long been stuck in a frozen physiological state. Those of you who do trauma work are more than familiar with this type of response, which is a form of nervous system release. The patient was finally, years later, discharging the “fight or flight” energy — the neurochemical bundles that had been trapped in her body since those early life events.

In other words, even on that floor in the throes of anxiety and discomfort, the patient was making progress. Though, as I’m sure you can imagine, it didn’t feel that way to her.

In my first few years as a psychiatrist, it wouldn’t have felt like progress to me either. It took experience, supervision, and both personal and professional work for me to trust enough in the process, and in my own abilities, to recognize progress where others may not — like in the relapse that prompts a patient to finally accept and name their alcohol use disorder, or the depression that feels — for the first time — manageable and short-lived.

Similarly, it took time and experience for that patient to realize that her setbacks, slow downs, regressions and stalls — even those that left her in tears on the floor — were ultimately moving her closer to her healthy, authentic self. She’s in a loving relationship now, and has a full-time job. I see her every three months, and each time I’m impressed with her continued growth.

She never would have believed me, when we first starting working together, that her recovery could take her to where she is now — happy, healthy, and thriving. Just as she didn’t believe me, when she got up off that floor, and I told her that it was a step in the right direction.

I believe that it is our role, as an integrative team, to hold this expanded vision of progress….not only for our patients, but also for ourselves.

With Gratitude,

Dr. Krista Roybal 

The post Progress Is Not Linear appeared first on True Life Center.

For me, recently, it was a poem. When I read The Cure For It All during my morning meditation last week, it struck such a chord of truth. Gratitude for the human experience washed over me and I felt connected to something bigger than myself. I felt the same way I imagine looking up at those magnificent redwood trees or gazing at a sky full of stars on a pitch black night. What an awe-inspiring feeling!

The Science of Awe

This feeling, until very recently, was the realm of theologians and philosophers only. But for the past several decades psychologists have been increasingly attracted to the study of this phenomenon…this “mysterious and complex stimulus provocation” which most of us know simply as “awe.”

The science of awe fascinates me. Not only because I’ve spent much of my life and career in proximity to awe-inducing situations (as a dancer, a doula, a physician…), but also because it has the potential to transform the way we connect — to ourselves, to one another, to the universe — and I believe that connection is the antidote to so much of what ails us.

In beginning to study awe, pioneering researchers first faced the unenviable task of defining it. How does one formally define that goosebump prickling, jaw dropping, thought-halting sensation that we’ve all experienced, but feels, by its very nature, indefinable?

Psychologists Dacher Keltner and Jonathan Haidt, in an oft-cited 2003 paper, suggest awe is defined by its two key hallmarks: Perceived Vastness (literal or metaphorical) and Need for Accomodation. In her white paper on The Science of Awe, Summer Wilson, Ph.D summarizes the latter hallmark as follows:

“An experience evokes a ‘need for accommodation’ when it violates our normal understanding of the world. When a stimulus exceeds our expectations in some way, it can provoke an attempt to change the mental structures that we use to understand the world. This need for cognitive realignment is an essential part of the awe experience as conceptualized by Keltner and Haidt.”

Implications for Mental Health Practitioners

It is also, for me, an essential part of understanding the implications of awe. I feel like we can all sort of wrap our heads around the outcomes of perceived vastness. We can identify and put into words how it feels to look up at a giant redwood or stand at the base of a mountain, for example — small, certainly. Humbled, quite possibly. But it is the “need for accommodation” and the largely imperceptible psychological changes we experience, even momentarily, in service of said accommodation, that could elevate awe from “neat way to feel good” to a legitimate wellness tool.

Now putting aside for a moment that you know the topic of this article, imagine coming across studies for a new methodology with the potential to:

• Expand people’s worldview, encouraging them to see things how they are and not as they expect them to be.
• Encourage critical thinking and make people less likely to rely on internalized scripts.
• Increase people’s sense that they are part of a greater whole or a collective
• Improve a person’s mood and sense of well-being

I don’t think it’s a stretch to say that those of us working in mental health and addiction would be excited about those outcomes, which are, of course, outcomes of the awe experience. Moreover, there’s excitement to be found in the accessibility and scalability of something like awe. One of the most common ways individuals report experiencing awe is through nature. And even for those unable to get out into nature, a recent study was able to replicate awe’s mood boosting benefits for participants engaging with videos and narratives of natural wonders.

As I mentioned, the science of awe is still in its relative infancy, and there are many more questions to be answered in terms of efficacy of various awe elicitors, nature vs. nurture in predisposition to awe, and capacity to “teach” awe. I will be eagerly following along with future developments. But it couldn’t hurt, in the meantime, to invite more awe into life.

Awe in Action

Those of us in the mental health field are lucky to work in a field where awe-inspiring stories of resilience, transformation, and triumph are commonplace. For as much as I am moved by a beautiful piece of poetry, or the vastness of the ocean, I am equally moved by what happens within the walls of True Life Center.

Just last month at one of our True Life Ceremonies (a chance for patients “graduating” from our Intensive Outpatient Program to reflect and celebrate with their practitioners and loved ones), a dear patient invited her whole family to bear witness to her healing journey. It was like a vision of intergenerational trauma healing in front of my eyes. She described her health trajectory — from rigid OCD patterns, control-focused eating and projective anger, to deep self-compassion, forgiveness of her abusive mother, and love toward herself and her two adult daughters (both in recovery). Her daughters beamed with pride as their mother vulnerably shared her story of transforming pain to acceptance, resistance to surrender, and rigidity to lightness.

To me, the “identified patient” has the opportunity to be the leader in the family, braving the path to wellness and inviting others to connect more deeply and be seen in their truth. And in both these large, full-circle triumphs, and the small, in-session breakthroughs, it is an honor to bear witness to this type of healing.

Humankind’s ability to change, reflect, adapt, forgive and love is truly awesome.

With Gratitude,

Dr. Krista Roybal

The post The Science of Awe appeared first on True Life Center.