Using the 5-Point Scale for Emotions Expression and Management

Home » Blog » Using the 5-Point Scale for Emotions Expression and Management

Using the 5-Point Scale for Emotions Expression and Management

February 8, 2024 | Joy Thibeault, LCSW-C | 5 min. read

When emotions are high and coping skills have flown from memory, what is a person to do? Use the trusty five point scale, that’s what!

A simple five point scale can be an invaluable tool at home for the whole family, as well as at school for kids! The scale provides common language a family (or classroom) can share to better communicate, especially around difficult things like emotions identification and expression. It assists in making emotion a more concrete and understandable concept. Additionally, it provides modeling opportunities for parents or teachers, as well as making coping strategies readily available.

A five point scale can also assist children in developing personalized coping strategies and dealing with strong emotions.

Emotion Scale Legos | OMHG Blog
Many things can be useful to rate on your five point scale. It could be how angry you are, how depressed you are, how difficult you anticipate a task to be versus how difficult it actually was after completing it, and of course to determine how big (or small) a specific problem is. As you can see, the possibilities are endless once the common language and understanding of scaling are reached. Be creative and remember to model the concept and procedure, including strategy use, aloud so that it becomes the norm for you and your family.

So how does it work? Simple. First you need to create your scale and fill it out.

List emotions that might fit or describe each number. For example, you might write calm beside one, maybe frustrated or down for two, maybe furious or terrified for five, and so on. Then in the column beside that, come up with personalized strategies that help you when you are experiencing an emotion at that numbered level. Strategies could look like: listening to music, going for a walk, drawing, being alone, moving to a particular room or space, calling a certain person, etc., and should be specific to the individual. It may take some time to gather or try out strategies but having them centrally located later will be invaluable.

When first introducing the concept, just for some practice, you could try scaling characters’ feelings during a show, or role play some situations and practice scaling those. Once everyone has the idea, you can move on to “real life” scenarios as they arise. Below are some examples of ways a parent could use the scale moving forward.

Example #1

A parent using the scale to help an angry child might look like this::

Parent to angry child: “It looks like you might be feeling kind of angry.  Can you tell me how angry you are using your five point scale?”

Child points to a 4

Parent: “Oh….so very angry then.  I’m so glad you told me.  Let’s see what your five point scale suggests for strategies (reference the strategies for number 4 and ask the child which one they might like to try first).”

Example #2

An example of a parent modeling might look like this:

Angry parent: “Dad is feeling really upset and is at a 5 right now.  I am going to take a break and use my strategies to get back down to a 1 or 2 and then we can talk about it.”

This scale and ideas are based on: The Incredible 5-Point Scale by Buron & Curtis

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Social Media Misdiagnosis

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Social Media Misdiagnosis

February 7, 2024 | Vanessa Buonopane, Psy.D. | 7 min. read

TikTok. Instagram. YouTube. What do all of these social media platforms have in common? They are wonderful for getting mass amounts of information out to people. One type of information provided is information related to mental health.

Although this is a great way to educate people on mental health disorders, it can also lead to self-diagnosis and, often, misdiagnosis.

Social Media Misdiagnosis OMHG Blog

So, what’s the problem?

While mental health clinicians want people to learn about their diagnoses and connect with others who share similar experiences, we also want you to take in accurate information about mental health diagnoses. One study examined the reach and accuracy of information on autism on TikTok, finding that “videos associated with the #Autism hashtag accrued 11.5 billion views collectively. An examination of the top 133 videos providing informational content on autism…showed that 27% of the videos were classified as accurate, while 41% were classified as inaccurate and 32% as overgeneralized. Videos created by healthcare professionals were more likely to include accurate information” (Aragon-Guevara, Castle, Sheridan, and Vivanti, 2023).

For instance, numerous individuals come into our office for psychological evaluations to determine if they have Attention-Deficit/Hyperactivity Disorder (ADHD) after stating they are having problems with attention and concentration in school, at work, at home, and/or in public settings. While there is a portion of people who legitimately meet the diagnostic criteria for ADHD, many individuals’ difficulties with attention and concentration might be linked to other concerns, such as depression and anxiety (Note: Check out this article for more information on ADHD).

If you or someone you know believes that they identify with a diagnosis on social media but are not formally diagnosed, it can be helpful to encourage the individual to undergo a psychological evaluation to determine if they meet the criteria for a specific diagnosis.

It is important to note that not all symptoms are clinical, meaning we all experience normal ups and downs in life that do not constitute a mental health diagnosis. You can have normal anxiety when giving a presentation and not be diagnosed with Social Anxiety Disorder. Similarly, you can have a bad day and not meet the criteria for Major Depressive Disorder. When it comes to diagnosing, individuals must meet a certain number of the clinical criteria and, in some cases, those symptoms must be present for specific time periods. They must also cause significant distress in a variety of areas, such as at home, work/school, and in social settings.

Ultimately, social media is not all bad, as it has provided platforms for discussing mental health and has made great strides for “visibility, reducing stigma, and helping people gain the insight they may have no other way to access.” For some people, social media has helped them feel less alone. When attempting to understand yourself or your child, the best thing to do is seek professional help and do your research on more than social media (e.g., research articles, academic/educational websites, and government agencies such as the National Institutes of Health).

References:

Aragon-Guevara, D., Castle, G., Sheridan, E. et al. The Reach and Accuracy of Information on Autism on TikTok. J Autism Dev Disord (2023). https://doi.org/10.1007/s10803-023-06084-6 

https://www.verywellmind.com/people-are-using-social-media-to-self-diagnose-5217072 

https://www.cnn.com/2023/07/20/tech/tiktok-self-diagnosis-mental-health-wellness/index.html 

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The Strength of Spirituality

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The Strength of Spirituality

January 26, 2024 | Jessie Nolasco-Sandino, LMSW | 5 min. read

Although religion and spirituality have been synonymous throughout history, in the last couple of decades spirituality has detached itself as a separate entity and therefore can sometimes be overlooked.

As this distinction has become more apparent, research has grown to show the benefits of spirituality in an individual’s health. Research has shown that these benefits are not only mental but physical as well.

The Strength of Spirituality OMHG Blog

Based on the dictionary, spirituality is defined as: the quality of being concerned with the human spirit or soul as opposed to only physical matter.

By this definition, individuals who integrate spiritual practices with the physical properties of the human experience, expand their mental awareness to include themes of the soul or spirit that are often forgotten or unknown. Spirituality allows an emotional attunement to the unseen forces or energy surrounding the physical body.

Here are some benefits of integrating spirituality in one’s life or practice:

1. Spirituality can help develop strength and overcome hardships.

By using spirituality as a catalyst, people face hardships head on and overcome them far more successfully then those who don’t. Having spirituality to rely on ties into a sense of meaning or purpose that is assigned to these difficulties in life and in turn transform them into what might be life lessons, or assets in growth.

2. Spiritual people make healthier choices.

Although spirituality and religion are different; there are some similarities. One of these areas that the two crossover is in the point of tradition. Spirituality does not require tradition, but in the practice of it there are habits that are formed in the experience. These habits (or traditions) can help individuals avoid unhealthy behavior as it is often a point to treat the body with respect.

3. Spirituality may help you live longer.

Research has suggested that people who engage in spiritual or religious activities had 18% reduction in mortality (Lucchetti G, Lucchetti AL, Koenig HG, 2011). Some researchers think that these results are exaggerated, while most agree that there is a positive relationship between religious and spiritual practices to better health outcomes. For example, imagine a single parent struggling to make ends meet and under the daily pressures to take care of his/her children, may turn to spirituality or faith to endure the daily struggles and in the process finds comfort, solace and faith as well.

4. Spiritual community can help improve your well-being.

Participating in spiritual traditions that foster spiritual fellowship, such as attending bible study or a yoga retreat, can be sources of strong relationships and social support. This may create a sense of belonging, support, and community. Whether you follow religious leaders, shamans, palm readers, gurus or other spiritual outlets, having a safe, open community of people to share similar faiths and beliefs, have been proven to increase well-being and bolster life expectancy.

For me, spirituality in psychotherapy and beyond is an intimate dance with the profound; a journey that can elicit feelings of awe, tranquility, and a sense of personal connection to the cosmos. Science will show us that these practices create expansive thinking and can lead to flow states, growing our intuition and creativity. Humans are here to create!

This month, let’s set our compass towards the spiritual horizon. Let’s seek the deeper meaning that lies beneath the surface. Embrace the experiences that stir your soul, whether they be moments of quiet contemplation, the rhythmic flow of your breath in meditation, or the profound connection found in the embrace of nature’s beauty.

As you open yourself to your own spiritual journey, remember that it is a personal odyssey — one that can be as unique as your fingerprint. Let the whispers of the divine guide you, and let the search for meaning illuminate your path. May this year be more than just a turning of the calendar; may it be a transcendental voyage into the depths of your own spiritual awakening.

Sources:

Why Is Spirituality Important? | Taking Charge of Your Health & Wellbeing (umn.edu)

Lucchetti G, Lucchetti AL, Koenig HG. (2011) Impact of spirituality/religiosity on mortality: comparison with other health interventions. Explore New York. Jul-Aug; 7(4):234-8. doi: 10.1016/j.explore.2011.04.005.

Impact of spirituality/religiosity on mortality: comparison with other health interventions — PubMed (nih.gov)

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Avoidance of Pain

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Avoidance of Pain

January 24, 2024 | Katie Lawliss, Psy.D. | 5 min. read

As human beings, our survival instincts lead us to avoid pain. While it makes sense to avoid pain in the sense that touching fire would hurt and burn us, we have begun to apply avoiding pain too broadly.

“Pain is inevitable. Suffering is optional.” — Haruki Murakami

Avoidance of Pain OMHG Blog

There is a big difference between pain and suffering.

When we apply the idea that we should avoid pain too broadly, it has led us to avoiding sadness, anger, disappointment, vulnerability, and more. To avoid pain, oftentimes means to not engage with what is meaningful.

To love, oftentimes means to be sad, angry, disappointed, anxious, and unsure. No matter how secure a relationship is, there will be times when your partner disappoints you, you may be mad at them, or feel sadness when something goes differently than planned. If you were to not open yourself up to the inevitable pain, you would not be vulnerable enough to have a deep close relationship with anyone.

Without acceptance of the fact that pain is inevitable, people tend to be very risk averse.

Wanting to avoid pain may mean that you do not open your own business, buy a house, move across the country, build a family, or even call an old friend. All things in life come with the possibility of pain but we often trick ourselves into believing that if we can control our life enough, we can avoid pain.

In Acceptance and Commitment Therapy, there is a distinction between “clean pain” and “dirty pain”. Clean pain is the pain itself, the discomfort, the emotion that feels uncomfortable. Dirty pain is the feelings about the clean pain, which is where suffering lies.

Have you ever beaten yourself up for feeling disappointed or anxious? Maybe you are nervous to bring up something a friend said that hurt your feelings, and you say to yourself “It is stupid that I am even upset about this” or “Why am I always nervous to be assertive, I am so mad at myself for being anxious about this”. That is dirty pain, your feelings about the initial feeling.

There is freedom in allowing yourself to experience pain and to do so without following it up with judgment about your reaction to pain.

Consider all that you have done in life to avoid pain, what have you missed out on due to this? Consider the times you have experienced pain, how did you react to the fact that you had a reaction to pain, that you experienced pain in the first place? What might your life look like if you opened yourself up to the inevitability of pain and did not judge yourself? Has it been effective to judge your reaction to pain? Has it been effective to avoid or work to get rid of feelings and experiences that are uncomfortable? Has this led to a more meaningful life?

Notice how the world has sold us that the idea that avoiding pain is not only a worthwhile goal, but an attainable one. Going forward, notice what messages you receive from the world about pain and look at it in a new lens given the questions I asked above. I think you may notice the importance of not only knowing that pain is inevitable but allowing yourself to experience it. You are more resilient and capable than you think and living with the knowledge that pain is inevitable will open you up to new experiences and add to your purpose.

If you find yourself struggling with this shift, talk to a therapist about it, explore the concept with your friends or family, do more research on how to live a meaningful life and cope with discomfort.

Our therapists at Orchard Mental Health Group are happy to help you navigate through life’s pain and be more accepting of yourself in the process.

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Understanding Microaggressions as a White Person

Home » Blog » Understanding Microaggressions as a White Person

Understanding Microaggressions as a White Person

January 22, 2024 | Katie Lawliss, Psy.D. | 7 min. read

The term racial microaggression is defined as “brief, everyday exchanges that send denigrating messages to people of color because they belong to a racial minority group” (Sue et al, 2007).

Unfortunately, people of color experience microaggressions in their everyday lives. White people commit microaggressions, even without knowing.

My hope is that by gaining a better understanding of what microaggressions really are, white people can do better to ensure they are not causing harm from their biases

Understanding Microaggressions as a White Person OMHG Blog

Monnica T. Williams named sixteen categories of racial microaggressions.

  1. Not a true citizen: reinforcing notions that non-white people are not American
  2. Racial categorization and sameness: The push to categorize people into a “one size fits all” racial box that neglects the complexity of identity
  3. Assumptions about intelligence, competence, or status: assumptions based on someone’s racial and ethnic background that is based in stereotypes
  4. False color-blindness/invalidation racial or ethnic identity: the idea that an individual’s racial ethnic identity should not be acknowledged or recognized leading to invalidation
  5. Criminality or dangerousness: the stereotype that people of color are more likely to commit crimes or cause bodily harm to others
  6. Denial of individual racism: attempting to make a case that they are not racially biased
  7. Myth of meritocracy/race is irrelevant for success: denying that white privilege has impacted their success and contributes success to only their personal efforts
  8. Reverse racism hostility: hostility related to feelings that people of color are given unfair advantages due to their race and therefore white people are being treated unjustly
  9. Pathologizing minority culture or experience: criticism of cultural differences
  10. Second class citizen/ignored: a lack of respect, consideration, and care for people of color
  11. Tokenism: using a person of color to promote the illusion of inclusivity, rather than the qualities or talents of the individual
  12. Attempting to connect using stereotypes: using stereotyped ethnic speech or behavior to be understood and accepted
  13. Exoticism or eroticization: interacting with people of color according to sexualized stereotypes or categorizing their characteristics as exotic in some way
  14. Avoidance and distancing: measures taken to prevent physical contact or closeness
  15. Environmental exclusion: a lack of representation in decorations, literature, media, and more
  16. Environmental attacks: when decorations or depictions are knowingly affronting or insulting to a person’s culture, heritage, or history.

As a white person, we may notice certain categories of microaggressions more than others and overall, we are less likely to notice microaggressions at all. However, according to research conducted by Monnica T. Williams, microaggressions are stressful, anxiety producing, and traumatizing.

Here are some examples of microaggressions that may seem less obvious:

“I would have never guessed you were valedictorian”— this disbelief comes from the racially charged stereotype that Black people are not seen as intelligent. This falls under the microaggression category of assumptions about intelligence, competence, or status.

“All lives matter” — This is invalidating a person’s race being part of their identity to be considered and celebrated, and is an invalidation of the unique struggles that come with being a minority. This falls under the false color-blindness/invalidation racial or ethnic identity category of microaggressions.

“You speak so well, you sound white”— This demonstrates the racially charged idea that whiteness is preferred. Statements like this are examples of pathologizing minority culture and appearance.

“People are racist towards white people. White people are the ones being targeted and canceled now” — This is an example of reverse racism hostility. It neglects the historical and current privileges white people have and the current and historical oppression of people of color.

“I believe that the most qualified person should get the job”— This is the myth of meritocracy and downplays the disadvantages that people of color experience due their race. Therefore insinuating that people of color just need to work harder to get where they want to be.

I encourage you to think about what microaggressions you may be committing without realizing, as well as identifying the microaggressions that you observe from the people around you. Notice what it is like to gain an understanding of the ways stereotypes and white supremacy have infiltrated what you say to others, even unintentionally. This may feel anxiety provoking at first, or you may feel avoidant of engaging with this at all. Notice what thoughts you have when you consider how you can be more mindful of the words you say and educate others on how their words may be harmful. I encourage you to move through the discomfort and make a choice that can help you grow and help those around you feel safer. We can all do better and we need to start by trying.

References:

Williams, M. T. (2020). Managing microaggressions: Addressing everyday racism in therapeutic spaces. Oxford University Press.

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The Act of Appreciation

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The Act of Appreciation

December 21, 2024 | Jessie Nolasco-Sandino, LMSW | 5 min. read

As we step into the Holiday season — a season marked by warmth, giving, and the promise of a new year — let us reflect on the profound value of appreciation.

Similar to mattering, the theme last month, the act of appreciating and feeling appreciated illuminates the core values that define who we are. Each carefully chosen gift becomes our connection with others, reflecting the spirit of appreciation that defines this festive time.

Whether it’s a gesture of love toward friends and family, meaning behind our spiritual practices, or a grateful acknowledgment of life’s blessings, the act of showing appreciation becomes a universal language as the year draws to a close.

The Act of Appreciation OMHG Blog

Recognizing the distinction between appreciation and gratitude is helpful. Gratitude is primarily an emotional response that can stem from appreciation or other sources. On the other hand, appreciation is more of a cognitive process that involves intentionally acknowledging the worth of a person or thing. While these terms may appear closely related, they have significant differences worth noting, particularly when delving into the concept of appreciation. Put in wonderful words by Sarah Kristenson in the article sourced below, “gratitude is the soil that appreciation is sown into and grows out of.” If we do not have the mindset of gratitude then our appreciation may fall flat when giving out the feedback.

Here are some essential aspects to consider regarding appreciation:

1. Appreciation is something that you extend to others.

Appreciation is usually given to someone for something they did. I may show appreciation for services provided by a business or I may show appreciation for a friend who gives a gift. It can also be shown through the act of positive feedback in the workplace. All these ways of showing appreciation are easy things to do for one another and make such a difference for those who receive it, much like a thoughtful gift!

2. Appreciation benefits relationships.

Showing or giving appreciation can be thought of as food for the soul. When we show or tell others that their actions are appreciated, it can give them a good feeling that helps them get through the day. Again, showing appreciation through words or writing, is a simple act but very often has far reaching benefits for those who receive it.

3. There is no genuine appreciation without gratitude

We first must recognize what we are grateful for then we can show appreciation for it. For example, someone who has graduated college for the first time in their family might show appreciation by thanking specific people for what they did to help them get through college. However, none of that appreciation would mean anything when shared if they were not at least grateful for the things that created the environment that allowed them to succeed.

Remember, gratitude is a feeling and appreciation is a cognitive act.

The simple act of showing gratitude for the people, moments, and privileges we have becomes a poignant acknowledgement of the power of appreciation for what we have and hold dear to us. As we exchange gifts and express our appreciation during this time, let it serve as a beacon of awareness, prompting us to cherish the peace and joy we enjoy and to extend our compassion to those enduring the harsh realities of life. In the spirit of the season, let us not only appreciate what surrounds us but also strive to contribute to a world where the blessings of peace, love, and abundance are enjoyed by others. This December, let appreciation be a celebration of giving and receiving appreciation for our blessings, family and friends.

Source:

Gratitude VS Appreciation: 5 Basic Differences — Happier Human

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