Science-Based Tools for When You're Stressed, Obsessed, or Overthinking | Dr. Jenny Taitz

Feb 12, 2024 Episode Page ↗
Overview

Dr. Jenny Taitz, a clinical psychologist and assistant clinical professor at UCLA, shares evidence-based tools from her book "Stress Resets" to manage stress, anxiety, and overthinking. She discusses practical resets for acute moments and buffers for prevention, emphasizing flexible thinking, accepting physical sensations, and strategic approaches.

At a Glance
24 Insights
1h 6m Duration
19 Topics
12 Concepts

Deep Dive Analysis

Introduction to Dr. Jenny Taitz and Stress Management

Distinguishing Between Stress and Anxiety

The Three-Part Cycle of Stress Escalation

Understanding Overthinking and Rumination's Impact

Practical Strategies to Break Overthinking Habits

Dr. Taitz's Motivation and the Origin of Stress Resets

A Clinical Perspective on Benzodiazepine Use

Dan Harris's Experience with Panic and Benzos

Defining Stress Resets and Buffers

Mind Reset: Acknowledging Your State of Mind

Mind Reset: Diffusing Thoughts by Playfulness

Body Reset: Activating the Mammalian Dive Response

Body Reset: The TIP Skill for Rapid Regulation

Behavior Reset: Cultivating a Willing Attitude

Mind Buffer: Untangling Negative Core Beliefs

Preparing for Stressful Situations: Coping Ahead and Exposure

Dr. Taitz's Favorite Personal Resets and Buffers

The Role of Meditation in Stress Management

Viewing Stress as an Opportunity for Growth

Stress

Stress is a feeling of not having enough resources to meet current demands, often triggered by external factors. If not managed early, it can easily lead to ongoing anxiety.

Anxiety

Anxiety is characterized by worry and physical symptoms like panic, often stemming from a disproportionate psychological response to a perceived threat. It can be more internal than stress, which often has an external trigger.

Toxic Troika of Stress

This refers to a three-part cycle that amplifies stress: getting mired in negative thoughts, judging physical symptoms of stress as bad, and coping by avoiding the situation. This cycle exponentially increases suffering.

Overthinking / Rumination

Also called perseverative cognition, this is the act of repeatedly replaying upsetting incidents or worries. It transforms acute, temporary stress into chronic, long-lasting stress by carrying the distress forward in time.

Cognitive Diffusion

A technique to reduce the grip of unhelpful thoughts by taking them less seriously. It involves seeing thoughts as mere combinations of letters and sounds, rather than absolute truths, often by playful methods like singing them.

Emotion Mind

One of three states of mind, where an individual is primarily governed by raw feelings and emotions. In this state, decisions and reactions are often impulsive and driven by strong emotional urges.

Reasonable Mind

One of three states of mind, characterized by a focus purely on logic, facts, and objective reality. In this state, emotional influences are minimized, and decisions are based on rational assessment.

Wise Mind

The integration of Emotion Mind and Reasonable Mind, combining facts and logic with feelings and intuition. This state allows for balanced decision-making and a more holistic understanding of a situation.

Mammalian Dive Response

An innate physiological response activated when the face is submerged in cold water while holding one's breath. It stimulates the vagus nerve, slows heart rate, and redirects blood flow, serving as a quick way to calm the body and mind.

Willingness

An attitude of acceptance and openness to reality, characterized by a 'hell yes' stance towards situations and actions that align with one's values. It contrasts with 'willfulness,' which is a resistant, 'hell no' approach.

Negative Core Beliefs

Fundamental, often negative, views individuals hold about themselves or the world, such as 'I'm unlovable' or 'people can't be trusted.' These beliefs tend to be pervasive, permanent, and personal, influencing reactions and behaviors.

Opposite Action

A DBT skill where one acts contrary to what an unhelpful emotion is prompting, especially when that emotion is not serving one's long-term goals or values. For example, if feeling tired and not wanting to exercise, one chooses to go to the gym.

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What is the difference between stress and anxiety?

Stress is feeling overwhelmed by demands, often from external triggers, while anxiety involves worry and physical symptoms, often a disproportionate psychological response to a perceived threat.

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How does overthinking turn temporary stress into chronic stress?

Overthinking and rumination prolong the experience of stress by repeatedly replaying upsetting incidents or worries, causing the body to re-experience the physiological effects as if they are happening in the present.

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Can simple distractions help stop rumination?

Yes, studies show that engaging in simple, absorbing activities like eavesdropping on a conversation or looking at colorful balls can effectively interrupt and stop ruminating thoughts.

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What is the role of benzodiazepines in anxiety management?

Benzodiazepines act on GABA receptors to amplify the nervous system's braking power, providing anxiety relief, but they can lead to dependence, difficult withdrawal, cognitive decline with long-term use, and dull mental sharpness.

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How can one use benzodiazepines responsibly for panic attacks?

Benzodiazepines can be used as a temporary bridge for specific, high-stakes situations (e.g., flying for work) while simultaneously engaging in exposure therapy and working to taper off, rather than as a regular standing dose.

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What are the three states of mind in DBT?

The three states are Emotion Mind (governed by feelings), Reasonable Mind (focused on logic and facts), and Wise Mind (an integration of facts, feelings, and intuition).

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How can one 'play' with unhelpful thoughts to reduce their power?

One technique is cognitive diffusion, such as singing a negative thought to a familiar tune, which helps to lighten its grip and remind you that thoughts are just combinations of words, not necessarily truths.

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What is the 'mammalian dive response' and how can it be used as a stress reset?

The mammalian dive response is a physiological mechanism triggered by submerging the face in cold water while holding one's breath, which quickly activates the vagus nerve, slows heart rate, and calms the body.

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What does it mean to cultivate a 'willing attitude'?

It means approaching life with a 'hell yes' stance, embodying acceptance of current reality and acting in ways that align with one's values, rather than a 'hell no' or willful resistance.

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How can one untangle from negative core beliefs?

First, identify your core beliefs, then become aware of when they are triggered, and purposefully act in ways that are counter to them (e.g., if you feel you don't belong, actively pursue communities).

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How can one prepare in advance for stressful situations?

One can 'cope ahead' by mentally and logistically rehearsing for things to go right, or 'practice panicking' by intentionally recreating feared physical symptoms in a safe space to build familiarity and reduce catastrophic interpretations.

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How does meditation contribute to managing stress?

Meditation helps cultivate awareness, which is crucial for identifying and changing problematic thought patterns and behaviors, and can be accessed in small, accessible bites like a three-minute mindfulness practice.

1. Live According to Values

When facing demands, shift your mindset from ‘I can’t’ to ‘I just need to show up and live according to my values and share information.’ This approach automatically makes situations less stressful by focusing on purpose rather than overwhelming expectations.

2. Think Flexibly, Accept Sensations

Reduce stress by learning to think more flexibly and allowing physical sensations to be present without judgment. This helps you move from feeling overwhelmed to having a plan and strategically approaching challenges.

3. Unhook from Re-experiencing Distress

Prevent acute stress from becoming chronic by learning to unhook from incessantly re-experiencing upsetting incidents. This kindness to yourself stops the cycle of replaying events and their physical effects, transforming chronic stress into something temporary.

4. Set Overthinking Goals

Instead of trying to stop overthinking entirely, create specific, measurable, attainable, realistic, and time-sensitive goals. For example, commit to not thinking about work during specific hours to be more present with family or for personal time.

5. Reschedule Worry Time

Designate a specific, limited ‘rumination time’ (e.g., 4:00-4:20 PM) to open up all your worries with full attention. This transforms an all-day stress habit into a mindful, controlled session, often making worries feel boring or less incessant.

6. Journal Expressively for Processing

Engage in expressive writing by detailing a distressing event with full emotions, exploring how it affected your past and present life. This deep processing, done for three days, can significantly reduce rumination and depression by allowing yourself to truly feel and gain closure.

7. Distract with Sensory Focus

When stuck in rumination, quickly get absorbed in something else, even simple sensory observations like noticing three sights, three sounds, and three sensations. This helps you re-enter the moment and provides a quick reset from stressful thoughts.

8. Play with Your Thoughts

Practice cognitive diffusion by taking your thoughts lightly, seeing them as ‘Plato rather than cement.’ A favorite technique is singing your unhelpful thoughts to a familiar tune, which can make them lose their grip and remind you they are just combinations of letters and sounds.

9. Acknowledge Your State of Mind

Identify which of the three states of mind (emotion, reasonable, wise) you are currently in. Simply labeling your state, such as ’emotion mind,’ can help you take a step back and see more clearly, preventing you from taking unhelpful thoughts too seriously.

10. Access Wise Mind

To integrate facts, feelings, and intuition, practice accessing ‘wise mind’ by slowing down, breathing in ‘wise’ and out ‘mind,’ and leaning into the pauses between breaths. This helps counteract the reactive, fast, and impulsive nature of emotion mind.

11. Cool Down with Ice Water

For a quick physiological reset, submerge your face in a salad bowl full of ice water for 30 seconds while holding your breath (avoid if you have a heart condition). This activates the vagus nerve, slowing your heart rate and redirecting blood flow to quiet the mind and regulate the body.

12. Practice Paced Breathing

Slow your breathing down to five seconds for an inhale and five seconds for an exhale. This activates the parasympathetic nervous system, helping to calm and regulate your body and mind.

13. Use TIP Skills for Stress

Employ the TIP acronym for intense urges or overthinking: Temperature (ice face), Intense Exercise (90 seconds of squat jumps/burpees), Paced Breathing (5-second in/out), and Progressive Muscle Relaxation (tensing and releasing muscles). This combination quickly changes your chemistry and bodily response to high-stress situations.

14. Cultivate a Willing Attitude

Approach life with willingness (‘hell yes’) rather than willfulness (‘hell no’), especially in situations beyond your control like traffic. This attitude embodies acceptance and helps you be more effective and agreeable, aligning your actions with your values.

15. Identify Core Beliefs

Take time to reflect on your fundamental core beliefs about yourself and others (e.g., ‘I’m unlovable,’ ‘people can’t be trusted’). Getting clear on these beliefs helps you recognize when they are triggered and how they influence your behavior.

16. Act Counter to Core Beliefs

Once you identify your core beliefs, purposefully act in ways that transcend them, especially when they are triggered. For example, if you believe you don’t belong, actively pursue communities you wish to join, or if you believe others can’t be trusted, strategically lean in to increase trust.

17. Cope Ahead with Mental Rehearsal

Instead of dreading stressful situations, ‘cope ahead’ by mentally and logistically preparing for things to go right. Imagine yourself successfully navigating a difficult conversation or situation, as mental rehearsal uses the same brain parts needed for actual performance.

18. Practice Panicking Safely

If you anticipate specific physical symptoms of panic (e.g., racing heart, shortness of breath) in stressful situations, deliberately recreate those symptoms in a safe space. This helps you develop a ‘been there, done that’ attitude, reducing catastrophic interpretations and fostering learned optimism about their temporary nature.

19. Use the STOP Acronym

When feeling overwhelmed or acting problematically, use the STOP acronym: Slow down, Take a step back, Observe, and Proceed mindfully. This quick technique helps you gain awareness and control, allowing for more effective responses.

20. Practice Anchoring with Awareness

To ground yourself, dig your heels into the floor, feeling the earth’s support, and perform a quick three-point check: ‘What am I thinking? What am I feeling? What am I doing right now?’ This brings awareness back to the present moment and what is helpful.

21. Practice Half-Smiling for Serenity

Adopt a ‘half-smiling’ facial expression by slightly raising the upper corners of your lips. This automatically releases tension in your brow and makes it difficult to get lost in judgmental thoughts or overthinking, promoting a sense of serenity.

22. Practice Opposite Action

When an emotion is not serving you, do the opposite of what it compels you to do. If you feel tired and don’t want to go to the gym, go; if you feel annoyed, lead with kindness. This allows you to design and embody the life you want to live.

23. Practice 3-Minute Mindfulness

Engage in a three-minute mindfulness practice daily, which is a treatment found to be as helpful as antidepressants in preventing relapse into depression. This accessible meditation can be found on platforms like YouTube or specific apps.

24. Use Benzos as Bridge

If prescribed benzodiazepines for severe panic, consider using them as a temporary ‘bridge’ to facilitate exposure therapy, rather than as a standing dose. This strategy allows you to gradually face fears while tapering medication, promoting self-mastery and avoiding dependence.

Stress is when we feel like we don't have the resources to meet the demands that we're facing.

Dr. Jenny Taitz

The most thoughtful thing we could do in those moments is be kind enough to ourselves to learn how to unhook from the incessant re-experiencing, which also creates a cascade of physical effects.

Dr. Jenny Taitz

We are amazing. Humans are amazing. And we're also straight Muppets. Like the fact that we are so distractible can be used to our advantage. And that's kind of hilarious.

Dan Harris

I just find it's so painfully ironic that when we need to be our sharpest, these medications really dull our ability to think clearly and to be energized to do the things that we need to do.

Dr. Jenny Taitz

I think the assignment of being alive is getting more comfortable with discomfort.

Dan Harris

Dragging is not going to help anyone dance towards what they want.

Dr. Jenny Taitz

Stress is the price we pay for a meaningful life. I mean, if we didn't have stress, our lives would be really boring. We'd probably be pretty checked out.

Dr. Jenny Taitz

Abbreviated Guide to Breaking Up with Overthinking

Dr. Jenny Taitz
  1. Develop a specific, clear goal for when you will not think about a particular stressor (e.g., 'not think about work between six and eight').
  2. Reschedule ruminating by setting a specific 'worry time' (e.g., 4:00-4:20 PM) to focus on worries, rather than letting them run all day.
  3. Write it out: Journal about distressing events with full emotions, exploring how they affected your past and present life, for a specific duration (e.g., three days).
  4. Get absorbed in something else: Engage in a simple, distracting activity to change your mental channel (e.g., noticing three sights, three sounds, three sensations, or looking at colorful balls).

TIP Skill for Rapid Regulation (from DBT)

Dr. Jenny Taitz
  1. Temperature (T): Submerge your face in a salad bowl full of ice water for 30 seconds while holding your breath (mammalian dive response). (Note: Do not do if you have a heart condition).
  2. Intense Exercise (I): Engage in 90 seconds of quick, intense physical activity like squat jumps or burpees to change your body chemistry.
  3. Paced Breathing (P): Slow your breathing to 6 breaths per minute by inhaling for 5 seconds and exhaling for 5 seconds.
  4. Progressive Muscle Relaxation (P): Systematically tense and release different muscle groups (e.g., forehead, neck) to release physical tension.

STOP Skill

Dr. Jenny Taitz
  1. Slow down (S): Literally stop what you're doing and reduce your pace.
  2. Take a step back (T): Create mental distance from the situation.
  3. Observe (O): Notice what you are thinking, feeling, and doing in the moment.
  4. Proceed mindfully (P): Make a conscious choice about how to respond, guided by awareness and inner wisdom.

Practicing Panicking

Dr. Jenny Taitz
  1. Identify the specific physical symptoms you anticipate and fear in a stressful situation (e.g., racing heart, sweating, shortness of breath, dizziness).
  2. Intentionally recreate these symptoms in a safe space (e.g., put on a jacket, do jumping jacks, breathe through a pinched straw while pinching your nose).
  3. Practice each recreated symptom for about a minute repeatedly.
  4. Develop a 'been there, done that' attitude towards these sensations, concluding they are temporary rather than terrible.
18
Average breaths per minute for a person This is the typical breathing rate before slowing down for paced breathing.
6
Target breaths per minute for paced breathing Achieved by inhaling for 5 seconds and exhaling for 5 seconds, slowing breathing to a third of the average.
3 days
Duration of expressive writing for significant reduction in rumination/depression College students who wrote about distressing events for this duration saw significant reductions six months later.
30 million
Number of people who take benzodiazepines This figure is mentioned in the context of the pharmacology and widespread use of benzodiazepines.