top of page

The Compassion Blog

the practice and science of positive mental health 

Search

What do the following types of thoughts have in common?

Ø I never do anything right

Ø If I go to that party, I’m going to be awkward and embarrass myself

Ø I failed another test. I’m so stupid.

Ø They looked at their phone while I was talking. They must be so bored with me.

Ø He didn’t reply to my text, something terrible has happened on the road.

thought trap

They’re all traps! Thought Traps are unhelpful thinking styles that we get caught in all the time. The reality is we will all fall into these traps at some point. These thoughts become problematic when they are so frequent that they start contributing to feelings of anxiety and depression. Paying attention to what your mind is thinking can help you escape the trap before thoughts start to spiral. It’s also useful for us to identify which traps we most often fall victim to so that we can become aware of our patterns and help ourselves get unstuck. Here are some of the most common ones I come across in my work, and how to counter them.


THOUGHT TRAP - Mind Reading



Assuming we know what other people are thinking about us (and usually assuming it to be negative)


Example: They thought I was lame; I could tell by their face that they didn't like me; the teacher thinks I'm a bad student.


It’s a trap because, unfortunately, none of us have mind reading superpowers (and if we did, we would likely see that we often assume incorrectly).


Get Unstuck: We stop mindreading by giving our brain counterthoughts. For example, reminding ourselves that the teacher’s sharp tone could be a dozen different things: maybe it’s their normal voice, or a bad day, or they’re tired. The guy on the bus who seems to be glaring at you could just be zoned out, sleepy, or lost on his own thoughts.

THOUGHT TRAP - Mental Filter

coffee filter

only letting in the bad evidence and ignoring the good. Example: My friend sent a text in the middle of our conversation. They must be bored with me or uninterested in what we’re talking about; three audience members look bored so my presentation must be terrible.

It’s a trap because we are zeroing in on some evidence while ignoring the evidence that disproves our thought in the first place. Someone in the Mental Filter trap might assume that their friend isn’t interested in them because they looked at their phone, but ignore the smiling, eye contact, and back and forth conversation.

Get Unstuck: We get out of this trap when we let more evidence come through our filter. Turn your attention to the positives. It’s true that 3 people looked bored, but a handful of people asked questions and no one got up and left, so it wasn’t as bad in reality as I thought it was.


THOUGHT TRAP - Emotional Reasoning

paper heart

it feels like it’s true, so assuming it must be a fact. Example: I feel unloved, that means I don’t have any friends or family who care; I feel stupid, that means other people must think I am too; I feel tired, that means I’m lazy and never work hard enough.

It’s a trap because feeling a certain way does not make it true.

Get Unstuck: We need to remind ourselves that feelings come and go, just like thoughts. Thoughts and feelings are just things that we have, sometimes they’re accurate and sometimes they aren’t at all. We get out of this trap by acknowledging our feeling and giving ourselves a more reasonable thought to think instead. I feel unloved because no one checked in on me today, but that doesn’t mean they don’t care about me. There’s many days that go by where I don’t text every person I care about either.


THOUGHT TRAP - Overgeneralizing

sweeping

Making sweeping statements about ourselves or others based on only the most recent events. These thoughts often have words like “always” “never” “nobody” “everybody” “all” or “none” attached to them.

Example: I never do anything right; Nobody ever likes me when they get to know me; everybody thinks I did terrible; I always make a fool of myself; none of my friends show that they care; I always have to do all of the chores.

It’s a trap because human beings are never so consistent!

Get Unstuck: We need to pause and consider the counter-evidence. There is surely a time you did one thing right, or one person does like you, or one time you did something that didn’t end with embarrassment. If there is counter-evidence, then your thought is not a fact. Then, we need to replace the thought with something more realistic, like Sometimes I do the wrong thing and someone gets upset with me as a result. Everybody makes mistakes and all I can do is learn from this one; I can’t be everybody’s cup of tea but there are people who like me; my friend just shows he cares in different ways than I do.


THOUT TRAP - Helplessness

human stuck in rope

Ignoring choices and courses of action and believing that you’re helpless.

Example: There’s nothing I can do to change his opinion of me; I’m just bad at school and I’ll never get better; it doesn’t matter what I do, I can’t make friends.

It’s a trap because these thoughts prevent us from taking accountability and moving forward. In reality, there are usually things we haven’t tried.

Get Unstuck: The reality is we always have choice and courses of action, even if some of the courses are ones we’d never take. We need to get real with ourselves and at least list the options that could be taken. For example, making friends could happen if you choose to put yourself out there, join a club, or commit to starting three conversations a day. Even if you don’t want to do any of these things, they are still choices. Once we’ve identified the course of action, we want to reframe the thought so it is more realistic and less helpless. If I really wanted to try and meet new people I could join a few clubs and introduce myself, I’m just not willing to do that yet.



a mindful brain

What could be more of a shared human experience than dealing with stress? None of us need the research articles outlined here to remind us of the impact life events can have on things like sleep, work, family life, stress levels, not to mention physical health. Let's pivot, then, to a discussion about what actually helps us cope effectively.

So, What is Mindfulness?

Mindfulness is a buzzword that many of us have heard but that tends to leave us full of questions. In theory, mindfhowulness means non-judgmental awareness of what your present experience is. Mindfulness means observing and accepting thoughts, feelings, and physical sensations without "over-identifying" with them. In other words, we don't get consumed by these thoughts and instead acknowledge their presence and let them pass. Here's an analogy that I find useful in understanding what the above definition really means. Think of mindfulness like observing a sunrise. You know it's probably a sunrise because of the time of morning and because you've seen one before. You notice where it's coming from in the sky, it's colors, what it's touching in the scenery around you. You may even compare it's colors to a previous sunrise and know it is different but no less beautiful. You know the sunrise is fleeting, that this image will come and go and be replaced with a different sky. We can't hold on to the sunrise because it is something separate from ourselves.


Mindfulness of our own present experience works the same way. When someone is being mindful, they notice what emotion or thought just rose up. They can also identify what probably triggered it and why it's there. They notice what it feels like but also what it looks like from the outside. They realize that thoughts and emotions are fleeting: they come and go throughout life. While it feels powerful right now, it will pass.


What does being mindful look like in everyday life?

  • knowing what emotion you're feeling right now

  • noticing when you're about to become angry

  • Realizing in the moment that your voice is raised or sounds tense

  • staying focused on a conversation

  • paying attention to your surroundings while being out for a walk

  • recognizing that your posture is stiff while sitting at your desk and stretching

  • acknowledging a personal success instead of refocusing immediately on the next goal

What are some clues that I'm not being mindful?

  • Driving on "autopilot" and not being completely aware of how you got from location A to B

  • Snacking out of boredom or habit

  • Repeatedly texting while out to dinner with a friend or date

  • Feeling preoccupied about something that happened in the past

  • Scrolling through social media apps, closing them and reopening them

  • Worrying about the future

  • Being in online class and browsing the internet at the same time

  • Having to reread a paragraph multiple times because the information isn't being retained

How and Why Does Mindfulness Help?


At this point, we know that mindfulness is a helpful skill to have. If you're like me or the common two year old, "why though" is a seriously valid question here. Through scientific studies, researchers have found a few different ways that mindfulness works to improve our coping. Keep in mind that it's often a mix of all of these things that are responsible for the benefits of mindfulness.


1) Reducing "cognitive reactivity". We've probably all been here: we think something negative about ourselves like, "I messed up that presentation, I'm always so awkward!" If we think it enough, it becomes a negative belief about ourselves. When we later have a sad mood, these thoughts and beliefs come back to us with ease, even if it wasn't a presentation or an awkward situation that made us feel sad in the first place. How easy it is to activate these negative beliefs when we are sad is called "cognitive reactivity". A recent study found that mindfulness works to improve our mood by reducing cognitive reactivity, and improving depressive symptoms in the process. In other words, when people build up their mindfulness skills, those negative beliefs and attitudes don't consume them as readily and that's why their depression improves.


2) Improving "positive reappraisal". Positive reappraisal is a person's ability to see stressful events as beneficial and/or meaningful. Someone diagnosed with high blood pressure might positively reappraise the diagnosis as a sign to improve their lifestyle and overall health. To pull on another example from a friend who faced this misfortune this week, someone who brings in their car to a repair shop for one issue and later finds out their bill included the cost of new brakes might "positively reappraise" the bill as having fixed a scary issue before it had the chance to cause serious damage in an accident.


A study in 2012 followed 339 people who participated in an 8-week mindfulness-based course. Researchers found that when mindfulness increased, so did positive reappraisal, which led to people feeling less stressed. Mindfulness helps us take a step back from the stressful situation and keep it in perspective. When we do that, we give positive reappraisal a chance to step in and do its thing.


What Can I Do to Practice Mindfulness?


There's some great ways of practicing mindfulness and building up your skill in this area. Below are some exercises to practice and avenues to pursue if you're interested.

Mindfulness Exercises


Mantram Repetition: research shows us that choosing a particular mantram (sacred word or phrase) that you can repeat to yourself silently throughout the day is a way of building mindfulness . To practice this, try to slow down and focus on something in the present moment while silently repeating the mantram to yourself. Mantram repetition can support the focus needed for a particular task or to steady the mind when dealing with something emotionally taxing.

  • Tip From the Researchers: choose a tradition-derived mantram because they tend to be felt as more powerful and stabilizing. That said, choose something you yourself connect to and find stabilizing. If repeating "You are a smart, powerful person. You’ve got this." is the mantra you want, go for it.

5 Senses Grounding: A common technique and favorite to many therapists and clients alike. I often teach this grounding mindfulness strategy to clients as a way to pull them out of their thoughts and into their bodies and current environment. It is a way of drawing our attention to the present moment and pausing to take in our surroundings in a new way. The key for each of these is to be intentional about what you're observing.

  • Sight: look around the room and choose 5 things you see. Ask yourself what you notice about each thing. If you see a plant, maybe you observe the shape of the leaves, or that it's green, or perhaps you notice the soil is looking a little dry and thirsty.

  • Touch: Turn your awareness to your body, and try to pick out 4 physical sensations that have been there this whole time, we just don't always pay attention to them. You might be able to feel the hair against your cheek, the weight of your glasses on your nose, the shoe around your foot, and your back against the chair.

  • Sound: Letting your focus shift, listen closely for three different sounds in the air around you. Maybe you hear the hum of electricity, the sound of your own breathing, the rustling of your clothes, or voices down the hall. Orient yourself to the sounds around you and the sounds created by you.

  • Smell: For some reason, this one tends to present the biggest challenge. If it doesn't seem like you can smell anything, take a second to work with your sense of smell. If you smell your shirt, does it smell like laundry detergent, dust, or your home? If you smell your hair, can you catch a whiff of shampoo? How would you describe the smell?

  • Taste: Lastly, focusing on your sense of taste, what do you notice? Maybe there's a taste of mint from toothpaste, or a lingering coffee bitterness, or perhaps just a dryness because you haven't eaten in a while.

  • After working through your senses, check in with yourself and try to observe what you're feeling. The goal isn't to get rid of it or "deal" with it, just to notice. Maybe you're calm, tired, hungry, enthused, etc. Just notice it and remind yourself that it comes and goes and hasn't always been there. The grounding exercise above can be used in any combination, and practice in truly any setting. If you're sitting on a bus, waiting in an office, or walking in nature, give it a go!


Mindful Meditation: Mindful meditation can be done without the help of an app, video, or sound file if you prefer to practice it on your own. One thing to remember is that it's natural and normal for the mind to wander while trying to practice mindfulness. It isn't necessary to clear your mind of all thoughts, it's catching your thoughts and drawing your attention back that's the "being mindful" part. Try to notice what thought distracted you without criticism or judgment, and refocus. Here's two ways of practicing:

  • In the morning when your alarm goes off, take an intentional deep breath. Try to notice how you're feeling about getting up and facing the day. If it's not a good feeling, try to take a step back and think about one small thing you could do to start your day off on a better note (maybe a coffee, or a certain item for breakfast, or sending a good morning text, etc). Then set an intention for the day: what's one thing you're planning on doing and willing to see through today?

  • At night while laying in bed, scan your body. Draw your attention to one feeling of comfort, like your soft pillow, the snug sheets, or your body against the mattress. Hold it in your awareness. Then when you feel ready to do so, try to hold another sensation in your awareness at the same time. Feel the pillow and the mattress at the same time. Keep your focus on these sensations, and as your mind wanders, gently bring it back. If keeping two sensations in present awareness is doable for you, add a third and try to hold all three in your awareness at the same time.

  • Tons of resources exist online: check out Positive Psychology's 22 Mindfulness Exercises or Mindful's 5 Simple Practices for Daily Life


Mindfulness Apps: If guided meditation and mindfulness exercises are more your speed, there's a ton of helpful ones available to us. Apps like Headspace and Calm can be downloaded and also have free previews on Youtube.






References


Cladder-Micus, M.B., Van Aalderen, Donders, A., Spijker, Vrijsen, J., & Speckens, A. (2018) Cognitive reactivity as outcome and working mechanism of mindfulness-based cognitive therapy for recurrently depressed patients in remission. Cognition and Emotion,32:2,371-378,DOI: 10.1080/02699931.2017.1285753


Haliwa, I., Lee, J., Wilson, J., & Shook, N. J. (2020). Mindfulness and engagement in COVID-19 preventive behavior. Preventive Medicine Reports, 20, 101246. doi:10.1016/j.pmedr.2020.101246


Garfin, D. R., Silver, R. C., & Holman, E. A. (2020). The novel coronavirus (COVID-2019) outbreak: Amplification of public health consequences by media exposure. Health Psychology, 39(5), 355–357. https://doi.org/10.1037/hea0000875.


Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness, 2(1), 59–67. https://doi.org/10.1007/s12671-011-0043-8 Oman, D., Bormann, J.E. & Kane, J.J. (2020) Mantram repetition as a portable mindfulness practice: Applications during the COVID-19 pandemic. Mindfulness. https://doi.org/10.1007/s12671-020-01545-w


Saricali, M., Satici, S.A., Satici, B. et al. (2020) Fear of COVID-19, mindfulness, humor, and hopelessness: A multiple mediation analysis. Int J Ment Health Addiction. https://doi.org/10.1007/s11469-020-00419-5

Since cannabis’ legalization in Canada in 2018, the amount of questions I’ve received about its usage has skyrocketed. Typically, it's some variation of “I’ve heard weed is supposed to help with anxiety, so why does it make me feel so anxious?” or “Why did marijuana make me feel great before and not so great anymore?” These questions are good ones to be asking, especially since the research in this area has been slow to evolve. Anecdotally, some people will notice that cannabis helps with their anxiety in the moment. That means they use it when they feel stressed or anxious and then feel relaxed or distracted when high. However, cannabis has a different impact on our brains and bodies in the long term, especially when it is used regularly. To really understand the relationship between marijuana and anxiety, let’s take a look at studies that have followed participants over a long period of time.


The Relationship Between Cannabis and Anxiety


First of all, we know there is an established connection between anxiety and cannabis. Research from before legalization showed that frequent cannabis users consistently are more likely to have an anxiety disorder, and that people with an anxiety disorder are more likely to use cannabis¹. A very large study followed over 3000 young adults from birth until they were 21 years old. Those who regularly used marijuana from ages 15-21 were much more likely to experience symptoms of anxiety disorders in early adulthood². Earlier this year, a group of researchers did the heavy lifting for us and analyzed 24 different studies on cannabis use and anxiety. They came to the same conclusions: that cannabis use was significantly associated with increased likelihood of developing an anxiety condition³. This means that smoking/absorbing/vaping/eating marijuana products puts you at greater risk for developing anxiety, especially if it’s used long-term. So, what’s considered “long term usage”? Researchers have found that regular use over a period of 6 months is enough to increase anxiety symptoms. If you yourself are a long-term user, you may have noticed that you experience more anxiety or paranoia when it comes to yourself, others, or your health more than you used to. Some may notice that they have more anxious thoughts; others may notice their anxiety in their body. For example, their body is quicker to shake when they are stressed, they’ve experienced panic attacks more often, or their heart races more quickly than it used to when feeling nervous. If you have experienced any of this, research tells us you’re certainly not alone in that experience.


What’s the takeaway?


By this point you might be wondering something like, “Maybe people with high anxiety are just more likely to seek out weed as a possible way to self-medicate. Just because weed users are more likely to have anxiety, doesn’t mean weed causes anxiety.”


This is true- we can’t say for sure that it causes anxiety symptoms. Following that thought then, maybe they are anxious and turning to weed in hopes that it will reduce their anxious symptoms, thoughts, or feelings. These studies show that even after long term use, anxiety symptoms are just as present (and they actually increase). So, we know that, even if people are using cannabis in the hopes that it improves their anxiety, it doesn’t seem to be working how they’d like it to. In fact, when people reduced how much cannabis they were consuming, their anxiety and depression actually reduced, too.

The Highs and Lows of THC


By now, you might be wondering something like, “Ok, these are general statements. We know that there are different strains and potencies of cannabis, and you might be lumping THC and CBD together here. Does the potency make a difference?” Yes, yes it does, you informed consumer of research, you!

Up until this point, the cannabis we’ve been talking about has included some form of the psychoactive component known as THC (tetrahydrocannabinol). It’s THC that is responsible for that feeling of intoxication known as being “high.” When drug tests are testing for marijuana usage, it’s THC that they are detecting in the blood stream or urine. THC is linked to anxiety, physical and mental sedation, and psychotic symptoms like delusions. Part of its link to these symptoms has to do with the fact that it triggers the release of dopamine, a neurotransmitter in our brain that is part of the reward pathway. Unfortunately, sometimes too much of a good thing can be a problem: the "dopamine hypothesis of schizophrenia" suggests that the psychotic symptoms of schizophrenia (like hearing or seeing things that aren't there) are caused from too much dopamine.


When it comes to THC and its negative effects, part of the problem is the strength or potency of the THC content. At very low doses, THC may help reduce anxiety responses by triggering a relaxing or euphoric state, but at high doses it creates problematic effects like the ones mentioned above. So, what’s a high dose? Studies have found that products with THC doses of 10mg or more can increase anxiety and produce a psychotic effect, while a low dose would be considered around 1.0 to 5.0 mg of THC. Part of the problem some people encounter when it comes to THC is that they keep increasing the amount they’re taking. By increasing the strength of their cannabis, they might unintentionally be causing more harm than good.


Why do people increase their THC doses?


Some people are likely to increase their THC doses because they feel they’ve developed a tolerance and no longer get the same “high.” To understand that, we turn our attention to what THC actually does to our bodies. Chemicals in cannabis bind to certain receptors in our body called cannabinoid receptors. Normally, it's our brain’s natural chemical called anandamine that will bind to these receptors, but the structure of THC is similar enough to bind to them as well. These cannabinoid receptors are found throughout our brain and nervous systems. We have a lot of these receptors in our body because they play a role in motivational, emotional, and affective processing. With continued cannabis use, the body starts to reduce the amount of cannabinoid receptors available¹⁰. This “downregulation” is part of the body maintaining balance and making up for the influx of THC. To oversimplify it: over time, the build up of THC in our blood causes receptors to disappear. Cannabis at first binds to all our cannabinoid receptors, then with regular use our body starts to get rid of some of those receptors, which leads to people experiencing differences in how their minds and bodies react to cannabis. Regular cannabis users might be increasing their doses because they are trying to achieve the same type of high they once got; however, the facts are they just don’t have the same receptor sites they used to.


What’s CBD?


CBD, on the other hand, is another type of cannabinoid found in cannabis. It’s CBD that’s been shown to be safe and well-tolerated by healthy people¹¹ and it doesn’t produce the psychoactive effects that THC does. In other words, people don’t get a feeling of being “high” from CBD. Research has shown that people taking only CBD do not report feeling intoxicated¹². When studies talk about the benefits of cannabis, it’s generally CBD they’re referring to. For example, studies have found that CBD has been useful in the treatment of anxiety disorders¹³ and epilepsy¹⁴. While it’s not without its risks, it doesn’t seem to be connected to developing anxiety, delusions, or paranoia like its THC counterpart.


Here's the "Too Long; Didn't Read" of it:

  • High doses of THC (typically over 10mg) over long periods of time are linked to the development of anxiety, paranoia, hearing voices other people can't hear, and seeing things that are not really there. Lower doses (1 to 5mg) are not as likely to have negative effects.

  • THC builds up in the blood, which shuts down some of our brain and body's receptors over time, and can lead people to experience different highs than they used to have.

  • When people stop consuming THC, these receptors can actually come back. This means that taking a break from cannabis can help your body "undo" some of the impact THC has had on it.

  • CBD does not cause people to feel high or intoxicated. CBD and THC are not the same thing, and it's possible to have cannabis that has a high CBD content without a high THC content.

  • There's still a lot to be known about how and why cannabis affects the brain and body. Research is continuing to explore this area.



References

Battistella, G., Fornari, E., Annoni, J. M., Chtioui, H., Dao, K., Fabritius, M., Favrat, B., Mall, J. F., Maeder, P., & Giroud, C. (2014). Long-term effects of cannabis on brain structure. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 39(9), 2041–2048. https://doi.org/10.1038/npp.2014.67


Boggs, D., Nguyen, J., Morgenson, D. et al. Clinical and Preclinical Evidence for Functional Interactions of Cannabidiol and Δ9-Tetrahydrocannabinol. Neuropsychopharmacol. 43, 142–154 (2018). https://doi.org/10.1038/npp.2017.209

Crippa, J. A., Zuardi, A. W., Martín-Santos, R., Bhattacharyya, S., Atakan, Z., Mcguire, P., & Fusar-Poli, P. (2009). Cannabis and anxiety: A critical review of the evidence. Human Psychopharmacology: Clinical and Experimental, 24(7), 515-523. doi:10.1002/hup.1048 Freeman AM, Petrilli K, Lees R, Hindocha C, Mokrysz C, Curran HV, Saunders R, Freeman TP. How does cannabidiol (CBD) influence the acute effects of delta-9-tetrahydrocannabinol (THC) in humans? A systematic review. Neurosci Biobehav Rev. 2019 Dec;107:696-712. doi: 10.1016/j.neubiorev.2019.09.036. Epub 2019 Sep 30. PMID: 31580839. Hayatbakhsh, Najman, Jamrozik, Mamun, Alati, and Bor (2007). Cannabis and Anxiety and Depression in Young Adults: A Large Prospective Study, Journal of the American Academy of Child & Adolescent Psychiatry, Volume 46, Issue 3, Pages 408-417. doi.org/10.1097/chi.0b013e31802dc54d.


Hser, Y., Mooney, L. J., Huang, D., Zhu, Y., Tomko, R. L., Mcclure, E., . . . Gray, K. M. (2017). Reductions in cannabis use are associated with improvements in anxiety, depression, and sleep quality, but not quality of life. Journal of Substance Abuse Treatment, 81, 53-58. doi:10.1016/j.jsat.2017.07.012


Mammen, G., Rueda, S., Roerecke, M., Bonato, S., Lev-Ran, S., & Rehm, J. (2018). Association of Cannabis With Long-Term Clinical Symptoms in Anxiety and Mood Disorders. The Journal of Clinical Psychiatry, 79(4). doi:10.4088/jcp.17r11839


Raymundi, A.M., da Silva, T.R., Sohn, J.M.B. et al. Effects of ∆9-tetrahydrocannabinol on aversive memories and anxiety: a review from human studies. BMC Psychiatry 20, 420 (2020). https://doi.org/10.1186/s12888-020-02813-8


Skelley, J. W., Deas, C. M., Curren, Z., & Ennis, J. (2020). Use of cannabidiol in anxiety and anxiety-related disorders. Journal of the American Pharmacists Association, 60(1), 253-261. doi:10.1016/j.japh.2019.11.008

Stott, C. G., Nichol, K., Jones, N. A., Gray, R. A., Bazelot, M., & Whalley, B. J. (2019). The Proposed Multimodal Mechanism of Action of Cannabidiol (CBD) in Epilepsy: Modulation of Intracellular Calcium and Adenosine-mediated Signalling. Epilepsy & Behavior, 101, 106734. doi:10.1016/j.yebeh.2019.08.009


Xue, S., Husain, M. I., Zhao, H., & Ravindran, A. V. (2020). Cannabis Use and Prospective Long-Term Association with Anxiety: A Systematic Review and Meta-Analysis of Longitudinal Studies. The Canadian Journal of Psychiatry, 070674372095225. doi:10.1177/0706743720952251

bottom of page