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As someone who didn't have many healthy attachments growing up and has spent a lot of time with a wide variation of therapies. I agree with the article, many different therapies can fix people and I’ve found it better to have more than one type of therapy. I believe at the root of it is a mindset which centres around the cultivation of self-leadership.

My multi-year long journey of what I learned and getting back to health - which most visibly manifested itself as CFS symptoms (Post exertional malaise) - can be summed up as:

Trusting the therapist and understanding they are not perfect humans themselves. Accepting they are not going to fix me, they are a companion on the journey, I must fix myself with their help.

Going on a journey through all major points in my past and re-experiencing what I'd been through. Whilst having the therapist with me to slowly help unfold the emotions and understand it from a different perspective (i.e. I did not cause the bad things that happened to me, it was not my fault).

This helped me build a foundation, a place of support that didn't rely on other people, which gave me self-confidence to listen to the negative self-talk that I had blocked off for years, because it was too overwhelming to hear. When I started listening to this self-talk, I could then start to converse with it. e.g. "You aren't good enough", "Perhaps I'm not, but let's see what happens when I apply my focus to it", which started taking away its power and effect over me.

Which led me to realising that my intellect and conscious part of my mind is probably only in control of 20%-30% of me. That I'm not a fully logically creature and that I needed to come to peace with my body's needs and messages from my less conscious mind and work together as an integrated whole, rather than trying to force my will based on pure 'rational' thought.

Life has been considerably better since and my decades of depression and low energy have begun to abate.

Whilst the points may seem simple, understanding like this rarely comes from knowing in the conscious mind. It is understanding that has to be understood at a deep level, which is why therapy can take a long time. My favourite way of describing this conscious acceptance but lack of sub-conscious understanding can be summed up as: “I know that, but try telling me that”.



> Which led me to realising that my intellect and conscious part of my mind is probably only in control of 20%-30% of me. That I'm not a fully logically creature and that I needed to come to peace with my body's needs and messages from my less conscious mind and work together as an integrated whole, rather than trying to force my will based on pure 'rational' thought.

I've had a similar realization. I think we vastly underestimate how good our subconscious/automatic parts of our brain are. Every healthy person can run up a flight of stairs without looking where the steps are and analyzing the position of each step. Many sports involve the forming of reflexes that let your brain analyze where an object is and respond to it without even thinking about it. There's A LOT going on in terms of calculation and response. We call that a skill and once mastered, it seems effortless.

So now, as a rational person, I value the conscious part of the brain not as much for its ability to be logical (though I still cherish that as a developer) but as a an agent of improvement, a programmer for the subconscious part of the brain. And the more I can offload and delegate to the subconscious, the more new and fun things I can take on with my slow but rational consciousness.

Of course, there needs to be a feedback loop, to prevent the subconscious from drifting into self-delusion or a general asshole but for that, empathy and the Golden Rule have served me quite well.

This is all very new to me and I'm probably not explaining things very well. But I had the epiphany on this watching squirrels in slow motion do insane calculations when tossed into the air, locking their heads on a target and twisting their bodies to land precisely on their target.


It’s a good epiphany to have - you can offload pretty much anything to your subconscious mind, and call it intuition. Everything can be like playing the piano or riding a bicycle, and utterly automatic. It saves a vast amount of conscious cognitive effort, which can be spent on novelty instead, feeding the underlying machine new patterns, new quanta of information.

It’s like diagnosing sick systems - I don’t think about it, at all - I just look, listen, observe, take in the landscape and the music of the machine, and then point at the problem. Software, mechanical systems, networks, any domain where I have enough knowledge to know what I’m looking at, the pattern recognition system can handle the rest. It makes people think that I have expertise in many domains, but really, I’m just a one-trick system-grokking pony.

The structure and function of the animal brain is remarkable. Only a few weeks ago, I was noting the habits of a hornet, which tended to pass by the same point at the same time each day, and marvelled that such a tiny handful of neurons could manage not only flight and navigation of 3d space, but a routine, habits, behaviour. What the many orders of magnitude more grey matter we have might be capable of beggars belief. There’s the old bullshit adage that you only use 1% of your brain, but there’s perhaps truth to the idea that most people horribly underutilise the power of their minds, because they have been trained to think, not to intuit.


I watched that same YouTube video a few weeks ago, quite an elaborate way to try and get squirrels to stop stealing bird feed.


What video is this?



Hi Adam. I just created this account because your experience mirrors mine - in that i too have been dealing with Post Exertional Malaise for years - and the connection you just made to "negative self talk and ignorance" is extremely interesting to me.

PEM is a rather obscure syndrome which no doctor i have met really understands, also i like you don't really have most of the "other CFS symptoms".

Basically it's an incredibly debilitating post "exertion effect" that means that every time you try to "better yourself", workout, get work done, etc. you end up crashing hard instead of feeling like "yeah i made it, now i can relax!" - you instead feel both mentally and physically like you are on the brink of death, often for days for no reason - it feels so incredibly "unfair". You could have just been promoted, got a raise, finished a marathon, doesn't matter, you feel like you are crashing from a drug bender.

Until now i have been thinking that it's either some cell level or genetic deficiency, OR that it's actually a form of burnout, ie. the way "out of the PEM prison" is through total relaxation, weaning of coffee, stopping hard workouts etc - but i have "often" tried this to little effect - what i haven't tried though is going to therapy for a "longer stretch" and your post just made me realise something: "Maybe i too am too hard on myself" - why this form of neurosis would lead to Post Exertional Mailaise i don't really know, but damn i am so happy to have found someone who's had experienced the same thing.

Anyways - i just wan't to say thank you so much for writing this, and if you or anyone else have any leads to books, forums or podcasts about this issue, i would be so happy.


People like you are the reason I posted my story. If I can even help a small number of people to not endure the same pains, that would make me incredibly happy.

The therapy is the last item in a very very long list of desperate things I've tried to cure PEM (metabolic typing, accupuncture, genetic testing, methylation, nutrition, crazy diets, and so much more).

What was the cause cause of my PEM? Negative emotions alone, wasn't the direct cause. But the supression of those negative emotions. In general terms: supressed, charged emotions directed at myself caused my PEM. Or in HN terms: constant low-level burnout.

Because it takes a lot of energy to hide those feelings from myself. A constant battle that I was generally unaware of that was happening at a deep level. I would deny the feelings of my body. I first had to build the support inside myself, with help of a therapist, before I could truly start to listen to the supressed emotions without being overwhelmed.

This was the beginning of the end for my PEM.

The book I would recommend would be: The Body Keeps the Score by Bessel van der Kolk M.D, which helped me a lot on the journey to recovery.

I've found forums to be generally very unhelpful. Something I wrote down a while back which I hope explains why I don't think they are a good place to resolve problems:

---

The unreasonable ineffectiveness of communities in solving a single problem.

One person has a problem, if problem persists for any length of time, the more likely others will be experiencing that problem at the same time.

If there are enough people with that problem, a community will form around solving it. If the community is ineffective in solving that problem, then the community will grow and begin to sustain itself as new members join with that problem and the existing members continue to work on solving that problem.

For the community to survive, the problem must not be solved or the solution has to be close to unobtainable. Ineffective solutions will be devised to solve the problem. The complexity or discipline involved in solving the problem will exceed the ability of the individuals to implement it. The blame of solving the problem will lay in not in the community itself, but the individual not being able to implement the solution. An example of this may be a nearly impossible diet, regime or routine.

If an effective solution is found to the problem. There are two possible outcomes: either the community will dissipate and active membership dwindles or it will protect itself from the existential threat and block the ideas. This is especially true if the identities or financials of individuals in the community rely upon the problem existing.

Therefore, no community that sustains itself will form around the right solution. It is unsustainable. The communities with the most active members are also the most popular, propogating the problem.

---

Please do let me know how you get on, I wish you the best.


Thank you so much for the answer.

I have already begun The Body Keeps The Score and is actively looking for a therapist now.

The perpetual cycle of overreach, then crash certainly deepens the negative self talk - the fact that you can't tame yourself through excessive discipline while ignoring "how you actually feel" (ie. often like complete trash because you ARE crashing) certainly doesn't help the "neurotic behaviour/emotional armour". But i somehow thought i could "plough through".

The suppression of real emotions seems like a perfectly reasonable explanation for why you become so tired/worn out. Also you get used to ignoring the negative self talk because you feel like it makes no sense from the intellects perspective and you have to "perform professionally" or whatever.

One thing that has kept me from really going in this direction has been the observation that 3-4 days in bed with only my laptop has been able to "heal" all of the pain and fatigue and tension in the body - if done before for example an important meeting i end up completely calm, extroverted, like another person or "the real me", but the "tension" and fatigue soon returns. Such a weird and labyrinthian process. I guess it has to do with the fact that the negative self talk quickly returns and i get burned out again very easily.

Anyway, i guess the way forward is not ploughing through with a tense body and an "ignored" mind. Sounds almost stupid as i write it out like this, but here we are.


I recognise your plight, because it has also been mine. Being hard on yourself and being frustrated by how hard it has been to fix yourself is something I've known well.

However, no one gives us manuals for our body and we're all inside an incredibly complex system which we are not evolutionarily adapted for.

I remember most vividly when I took 6 weeks off work, stayed at my Grandmas house with her feeding me good food and not having to do anything, then going back to work again.

I was incredible. Level-headed, extroverted, energetic. I thought it was just rest, but then I began to understand (many years later) that all my cycles of energy started off in similar ways. For example, if I tried a new diet or regime, I would feel great for a week or two until I wouldn't.

I eventually came to understand that it wasn't what I did, but how I felt. I discovered what the placebo effect was (for me) and why it seemed I'd get a buzz from doing something new or starting afresh. It was because I felt powerful and in control.

This feeling of power was so helpful, so nourishing, because it countered what used to be the worst feeling in the world for me: a maldapted feeling of powerless. That feeling was connected to my trauma/past experiences at a deep level.

As everyone can attest, being in the real world often creates feelings of powerlessness, because you are not in control of everything.

That meant everyday life could quickly wear me down depending on how much nourishment I was getting from feeling powerful vs powerlessness.

An analogy I use to describe this: it is a car with a leaky fuel tank. The hole in the fuel tank is the negative emotion. The bigger the hole or the less the fuel going in, the quicker you run out of energy.

Eventually the requirement to counteract the maladapted feeling of powerless diminished, and thus I didn't need to feel powerful in the same way.

For you, the feeling that wears you down, may not be powerlessness like mine was, but by looking at the things that make you feel good, you'll be able to figure out what you get from laying in bed for a few days on your laptop.

Then perhaps you will come to understand the feelings that you avoid or are the inverse of what you get from sitting on your laptop. e.g. sitting on your laptop might make you feel in control, or might avoid the pressure you feel from having to do something that doesn't nourish you in some way.

But before big life changes are made, I would say it's important to find out which of your negative feelings come from maladaptions (i.e. to past emotions/trauma) and then you'll be able to make more effective decisions once you've resolved those maladaptions.


Our stories are very similar, especially since you experienced the same "cycles of energy" and feeling like yourself after doing nothing for a while.

I think most importantly the new connection for me is that i simply get worn down outside or among other people incredibly fast for some reason - same with work projects.

I am still unsure of the actual physiological cause, as it seems to me that i can also get a crash even if i run alone in the woods - ie. no other people, but it's still a "performance" and "you" still judge it with your own mind.

What makes me sure that there is something this is the fact that you have experienced both this AND the feeling of powerlessness - and the paranoia around this - i hadn't really seen this before but i totally also have that - down the fact that i have also been high on new fads, diets, lifestyle changes but only for a few weeks or months before i try something new.

So in short "the crash" is related to feelings of being in control, bodytension and not letting things go properly, instead judging hard, becoming perfectionist and having feelings of "not good enough" - even though i just finished something. Being a hermit with your laptop is fleeing from all responsibility and letting the mind rest, just as the body, and you are probably right that the mind is just as important.

So to sum up mostly for myself. Letting go, being kind on yourself, and being comfortable with "other peoples eyes" around me, appreciating smaller incremental victories, and just as you also mentioned in you first comment - building self reliance is something i have to learn to do. I have probably had a pretty high level of anxiety inside of me that i have ignored like "everyone has imposter syndrome", or "everyone is afraid of getting exposed (whatever that means)", but it wears you down.

Just writing this out is untangling a few things for me so thank again!


It is no problem at all - I'm glad this is helpful.

You are on the right track. I'd speculate there are memories from your childhood that could be the root cause of it.

It will take time for things to change. To figure out what is going on and to listen to the messages from your body, but things will get better for you.

It took around 2 years for me (with reading and therapy) to make significant progress, but I had to exist in a world where some of the people who created the original issues were in my life still and were very unsupportive of my new revelations, which made the process harder than it needed to be. The process isn't over for me yet, but the hardest part is over with the PEM disappearing and depression abating.

Please drop me an email (email in profile) sometime, I'd be keen to know how you get on and what you learn.


I highly recommend you (or anyone, really) reading 'Embracing Our Selves', a book by Sidra and Hal Stone. It is an introduction to Voice Dialogue method, where you literally talk to different parts of someones psyche. Its a mind blowing perspective.

You both mention self negative talk and for that reason I come forward with this recommendation, but things you discuss (repressed emotions, powerlessness/vulnerability, self-leadership,...) are all intertwined and addressed in the book in an insightful way.


This is very intriguing. It looks like this could be part of the family tree of Internal Family Systems (IFS) therapy. I'll take a read.


IFS (Internal Family Systems) and VD (Voice Dialogue) are based on the same principle, that we are comprised of number of sub-personalities (which is nothing new). They are just practical methods of communicating with these sub-personalities - you can literally _talk_ to them as if they were independent person, with their own views, outlook on life, needs, emotions, etc.

The most important thing is to _experience_ Voice Dialogue (or IFS, which slightly differs in approach), ie. to be in the situation when someone talks to your 'voices'/'selves' and you 'enter' those 'voices'/'selves'. This experience results in a revelation which I tend to call (a deep) insight, no less.

VD precedes IFS (which is not that important) and I have a strong preference to VD over IFS (I would need to read more on IFS and clarify my points, which range from personal to very technical, to justify my preference).


Came here to emphasize reading “The Body Keeps the Score” as well. It helped me tremendously and played a large role in getting me through the door to therapy in the first place.


I just wanted to pop in and say that I found your mini-treatise on "The unreasonable ineffectiveness of communities in solving a single problem." to be very insightful. And I came back today to tell you so after reflecting on it off and on overnight.


Thank you for your kind words. Unusually, I wrote it almost verbatim in one afternoon. However, the understading took me a long time to gain after years spent in communities desperately trying everything to progress without results. It is why self-leadership is so important to me.


Your comment regarding your intellect and the conscious part of your mind only controlling about 20% - 30% of you is super interesting. I'd love to hear more specifically what made you come to that conclusion, as I've experienced a similar insight. Mine came from an overdose of marijuana ironically enough, but it gave me just enough perception of the feeling of two minds. I don't think I'll ever forget that experience.


This is actually really easy to prove to yourself. Just try to do something that you historically find hard to do, like making a habit of going to the gym or something that you "know" should be good for you. If you're anything like me, you'll mysteriously find yourself unable to do it consistently, even though you know that it's a good idea. The only conclusion to make is that there must be more to yourself than just your conscious mind, because if there wasn't, there'd be nothing to stop you.


The concious mind controlling 20-30%, in itself was not that much of a realisation, I would suspect a lot of people could agree they are not fully in control of themselves. So the understanding of that I'd known for a long time came from many sources.

But the difference in understanding that at superficial level vs being able to experience that at a deeper level, is what caused changes to my behaviour at a deeper level and is the real revelation.

As to how I experienced that, I would preface this by saying that this is going to be very unique for everyone depending on how your mind communicates with itself so I won't go into the exact process for fear of someone trying to emulate my path exactly (self-leadership is more important than being led). It is something I came up with myself rather than a specific therapy (again, self-leadership)

After many many sessions of eventually being able to see and feel the parts of myself pushing against each other. I began to see the person that I thought was me, which was the 'cleverest part', that was centered in the front part of my brain and that denied listening to the rest of my body. Was really a small piece of a whole. When I realised I could move my observation and inhabit different parts of my mind and body that is when I knew I wasn't leading the show in the way I believed I was.

I could see I didn't have control of the other voices or feelings that were inside of me. They would express what they wanted. I could either deny, accept them or attempt to change it if I thought that part was maladjusted and needed help. An example of a maladjusted response might be wanting to apologise for being abused or feeling shame for things that I had no control over.


Can you elaborate on identifying the various parts that push against each other? What are these parts? Voices or something more subtle like desires or aversions?

As an aside, based on various therapies I’ve worked out my method of emotional acceptance of past events and traumas which has and is helping me to accept and integrate them, but it still feels crude. I catch any strong emotion and then observe it and allow it and accept it. Sometimes it’s tied to a seemingly trivial memory(my mind trick is that the memory is not actually trivial) which I can look at and integrate and accept as well.


You don't need drugs for that. Set a reminder for tomorrow, two hours after waking up. When the reminder comes up, list all the actions you took, and mark those where you made a conscious choice. Most actions will not have been the consequence of a conscious deliberation:

- waking up when the alarm goes

- hitting snooze a few times

- getting out of bed with the right leg first

- wearing the blue shirt instead of the black one

- lifting your foot to avoid the doorstep when stepping out of the front door

- breathing, for that matter, or your heartbeat, your digestive processes, etc.

Honestly the 20%-30% number is way off. I would guesstimate something like 1-2% conscious decisions max.


Even when we believe we made a conscious decision we are often just rationalizing after the fact. Most people lack the necessary level of metacognition to distinguish the difference.


I just started binge-watching a tv show called Patriot (unexpectedly hilarious, if dark, spy comedy). There was one throwaway remark about how a spy handler would find an unlocated mark:

> We have this principle we use when we're trying to locate someone who doesn't want to be discovered.

> You are what you can't stop doing.

> What that means is if we discover what someone is passionate about, then that person and that thing will intersect. Passion involves compulsion. And people, all people, have compulsions that draw them away from their safety and their best interests. People and what they love don't always intersect. People and their compulsions do. And John, well, he's compelled toward you. He's crazy about you.

And it's a quote I have a hard time not thinking about, ironically..


This mirrors my experience. Even down to the book recommendation in sub comments (the body keeps score).

Learning to incorporate all of me, my physical and emotional needs, had drastically helped me improve from being burnt out and depressed.

For so long I focussed on my rationality without any regard for my emotions. It’s like droving a car without being able to see out of the windows. I needed to listen to me, my body, learn to interpret it (still learning), learn what it needs, what I need.


This is a great summary and the first part nicely describes what is, somewhat jokingly, referred to as the Dodo Bird Verdict: All therapies are equally effective and it is instead the relationship with a trusted therapist that is important.

I guess it depends on your definitions, but I think your 20-30% numbers are still way to high.


20-30% numbers, could be too high. It is hard to know. In the way that I would define it, it would be this:

The part of you that is in control and makes the decisions that give you agency over yourself. I used to believe I was directing myself day to day, but I'd guess that the concious only has a 20-30% say in the matter.

This opposed to who is performing the actions in which the subconcious mind is involved in 99% of the work. e.g. walking is almost entirely a subconcious activity.


Eastern philosophy puts it at 1% at best, rest is pure autopilot mode.


Maybe I’ve had a string of shitty therapists, because I desperately want to improve my mental health but no one has been able to help me. Even with drugs.


No one can fix you, it won't work. But you can fix yourself with their help.

This is the most useful mindset I've found with progressing through therapy, because it is about self-leadership.

"The body keeps score" is a book that may help you.




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