So last week, we talked about building a ladder. I wasn’t ready to share then, perhaps because I hadn’t quite built the ladder yet… and I was stuck on a pretty low rung.
I was stuck in overwhelm.
In my coaching curriculum, overwhelm was taught as one of the “indulgent emotions.”
This was defined as: an emotion that doesn’t give you the result you want. There’s no traction, growth, or movement. These emotions keep our brain busy but are not productive; the often sited examples often are confusion, overwhelm, worry, doubt, boredom.
Jimmy Turner is a great physician coach, has his own podcast and coaching company, and recently wrote a book Determined: How Burned Out Doctors Can Thrive in a Broken Medical System. I’ll try to get to a summary soon because he has some amazing points I’d love to share. On this topic, he talks about indulgent emotions. They often happen due to unintentional thoughts; “the work is to figure out what unintentional thought is driving these indulgent emotions and then to get ride of it. In other words, indulgent emotions happen when we have broken stories, perspectives, paradigms, or soundtracks. Playing them on repeat isn’t helpful.”
Bottom line: These emotions keep our brain busy but are not productive.
It got me thinking a lot more about overwhelm. It didn’t feel indulgent at all. I could certainly see it was keeping my brain busy and it surely wasn’t productive… but I was struggling to ‘figure it out’ so I could stop it.
This work took me back to Atlas of the Heart by Brené Brown. In Chapter 1: Places we go when things are uncertain or too much: stress, overwhelm, anxiety, worry, avoidance, excitement, dread, fear, vulnerability.
I like her distinctions between stress and overwhelm and found these pieces really helpful:
“Feeling stress and feeling overwhelmed seem to be related to our perception of how we are coping with our current situation and our ability to handle the accompanying emotions: Am I coping? Can I handle this? Am I inching toward the quicksand?
Jon Kabat-Zinn describes overwhelm: “that our lives are somehow unfolding faster than the human nervous system and psyche are able to manage well.”
…Kabat-Zinn suggests that mindful play, or no-agenda, non-doing time, is the cure for overwhelm.
…we don’t process other emotional information accurately when we feel overwhelmed, and this can result in poor decision making.
…the term “overwhelmed” to describe an experience where our emotions are intense, our focus on them is moderate, and our clarity about exactly what we’re feeling is low enough that we get confused when trying to identify or describe the emotions.”
| Coming back to my last few weeks, specifically I had a few really crappy shifts. Then one particular shift in a single coverage place overnight and I was overwhelmed. I left that shift completely defeated and deflated… and swimming in shame.My ladder seemed to be sitting in a pool of sewage. I was stewing in it. But I wasn’t hiding anymore, at least not from my self. I had learned to be an emotional bottler (learned terminology from Susan David: Emotional Agility). This isn’t something I am necessarily proud of— it was a survival mechanism of childhood and medical training. I self-identify as a highly sensitive person but have been wearing iron armor for some time… I digress.As I let go of some of the armor, to have power in and with my feelings, I’m learning to feel the feels. And you know what comes with that: feeling the occasional crush of overwhelm. Sometimes lost or off course. Or disconnected. But the magic in that: tapping into my why… and then being able to course correct much faster, and without as much guilt or shame. So last week I was at the bottom rung: stuck in I can’t do this anymore. The self-doubt was swallowing me and I was questioning my ability to be a doctor and coach. What did I need? ‘No-agenda’ and ‘non-doing time.’ So I sat for a bit. A few days later, I read an email from a coach: “Because guess what, doubting yourself is f*&king normal. I don’t know who needs to hear this, but you can doubt yourself sometimes AND lead your clients. “ -Corinne Crabtree Me: I needed to hear this. I needed to normalize my feelings. The shitty shift wasn’t really the problem; back to Jimmy’s point about the unintentional thought that was driving the overwhelm… the thought “I can’t do this anymore” was really driving the overwhelm piled on top of shame. No wonder I was stuck. As bizarre as it sounds, creating these mental models can help you move to more intentional spaces. Building my ladder out: I can’t do this anymore. I’m ashamed. I’m not sure I want to do this anymore. There are ways I can make this doable if I want to. (The brain starts to re-engage) -ditch my nights only schedule -reprioritize sleep, exercise -take a break and normalizing the need for this -get coached! Yep:) -schedule time with a brilliant mindfulness teacher -say no -stand up for patient care concerns All of the sudden, this opens the brain to what is possible… and you can start to leapI want to care for patients in a safe environment.I want to build my business and work some shifts. I feel passionate about caring for patients and physicians. I can feel the passion about caring for myself, too. And I get to design what that looks like. My ladder had some really important skills I learned from coaching. Self-compassion, (seeing the shared humanity in some of my struggles), being an emotional adult and owning my own control of my feelings, processing them in healthy ways… and more.I look forward to teaching and sharing more about these in the future. They really help… especially if you are sitting in ???? And even more so when you are trying to soar!I don’t know who needs to hear this right now, but know you’re not alone in these feelings. There is a shared humanity in all of this. Grateful for Bethany who pointed me to Rumi’s The Guest House poem above. |
Feeling stuck in an unhelpful thought pattern and want coaching to build a ladder?
Finally feeling ready to dive into our small group coaching?
Sign up here –> Small Group: $100/month: 4x/month in a small group
*Discounts available for Medical Students and Residents. So pass along to anyone who might be interested!
I also have Zelle, PayPal, Venmo available. Email me @ doctorsempowered@gmail.com with any questions.
| Sharing some links here: Determined: https://a.co/d/cf0oLyI Atlas of the Heart: https://a.co/d/eeUaAy5 Emotional Agility: https://a.co/d/eRHTC7G |
2 Responses
Some great thoughts here Heidi! Love the guest house poem. Our mindfulness coach at Penn, Cory Muscara (who you ought to follow in addition to Kabat-Zinn) shares this wisdom: when your inner critic is speaking out, rather than fight back, say “you’re welcome here too…” With regards to emotional overwhelm, suggest you check out The Resilience Factor in addition to Susan David’s Emotional Agility that appears you’ve read. We have typical thinking patterns that can lead to unwanted emotions and cloud or judgements. Rock on coach ????
Oooh! Thanks for the recs– can’t wait to check them out. I also really liked Soundtracks: The Surprising Solution to Overthinking and Breaking the Habit of Being Yourself.