Living with Mild Cognitive Impairment (MCI)

HABIT Healthy Action to Benefit Independence & Thinking

Welcome to the HABIT page for people living with Mild Cognitive Impairment (MCI) and program participants.  The HABIT Program is for individuals with MCI and their loved ones to learn the best strategies for adapting, coping, and living their best lives with MCI.

Follow the HABIT page to receive updates and information about adjusting to MCI and combating dementia. Our goal is to connect you with others and provide you with information and support.

PUBLIC PAGE
Oct 20 8:00am

The Problem with Our Problem Solving Brain

By Andrea Cuc, @AndreaCuc

shutterstock_684872701

Do you ever find yourself ruminating and feeling overwhelmed by unhelpful thoughts?  Yeah, me too. Our brains naturally turn on problem-solving mode most of the time, but there are times problem-solving mode isn't helpful. Below is a perspective and exercise to help you unhook from unhelpful thoughts.

Observing our thoughts and looking “at” them, rather than “through” them, can help us see thoughts for what they are – just products of our busy minds and something passing through.  Being an observer to our thoughts and emotions can help us take a step back and unhook from them.  This unhooking, or detaching ourselves from them, is a term called “cognitive defusion” that was coined by Acceptance and Commitment Therapy (ACT).  It can help you acknowledge the thought and take a step back and assess the helpfulness and unhelpfulness of it.  When you get “cognitively fused,” or hooked, by a thought you join its story.  You attach yourself to the thought and give it energy.  Getting hooked by an unhelpful thought can be problematic because this attachment can further create problematic patterns of thinking, increase emotional suffering, and potentially drive problematic coping behaviors.

Defusing or detaching from unhelpful thoughts can help you notice that you are having a thought without further engaging the thought or getting lost in it.  You can see the thought as something passing by.  Perhaps the thought is something you need to take care of, but maybe you don’t have to take action the second the thought pops up, you can write it down and take care of it at a later time. Other thoughts you may need to practice letting go of completely because there is nothing more you can do about it, despite the fact that your problem solving mind thinks it still can (so it still tries!).  Notice what it feels like to watch your mind and not get caught up in its story.  Label the story, label the emotion, and let it go by.  Labeling thoughts can help you acknowledge your thoughts, and then step back and defuse yourself from the content of your thoughts.

Below is a script for an ACT thought/emotion defusion exercise called “leaves on a stream.” A perfect exercise moving into fall! You may want to record yourself reading the script, and then play back the recording and follow along.  Or you can read the script and pause between each number and allow yourself to absorb into it before reading the next part.

Leaves On a Stream:

(1) Sit in a comfortable position and either close your eyes or rest them gently on a fixed spot in the room.

(2) Picture yourself in a peaceful area that has a gentle flowing stream running through it.

Now, bring your attention to the stream and notice that you can see the water flowing towards you.  Create a bend in the stream so that the water flows towards you, and then goes down and around the bend and out of sight.

Visualize yourself either sitting beside the stream or stand in the shallow gentle flowing stream.  You choose whatever is best for you.

(3) Start to notice leaves floating along the surface of the water.  The leaves are coming from upstream and floating downstream, past you, down and around the bend and out of sight.

(4) For the next few minutes, take each thought that enters your mind, give it a label, write that label (the word that describes the theme of your thought) on the leaf, and let the leaf float by down and around the bend and out of sight.

Do this with each thought – pleasurable, painful, or neutral.  The label doesn’t need to be very specific, it could be “planning, judging, criticizing, scared, sad, happy etc.”

(Pause and notice for at least 30 seconds or more)

(5) Allow the stream to flow at its own pace.  Don’t try to speed it up and rush your thoughts along.  You’re not trying to rush the leaves along or “get rid” of your thoughts.  You are allowing them to come and go at their own pace.

(6) If a leaf gets stuck, allow it to hang around until it’s ready to float by.  Thoughts are like that sometimes, sticky, and they like to hang around.

(Pause and notice)

(7) If a difficult or painful feeling arises, simply acknowledge it.  Say to yourself, “I notice myself having a feeling of (whatever feeling arises)… ”boredom/anxiety/impatience.”  Place that emotional label on a leaf and allow that to float down the stream as well.

(Pause and notice)

The result

From time to time, your thoughts may hook you and distract you from being fully present in this exercise. This is normal.  As soon as you realize that you have become sidetracked, and your attention is no longer on the stream, just gently bring your attention back to the stream and choose to be the mindful observer.  Observing thoughts and emotions coming and going without attaching yourself to them. The more practice with this exercise you get, the more you'll be able to practice an acceptance space for those things that you cannot change. Acceptance is not "giving up" or resignation. It is often a very adaptive frame work as it allows us to stop trying to change what we can't and move to adapting, refocusing on what we can control, or gratitude for what brings us joy-- all which typically foster ongoing resilience.

Do you have any experience with this type of exercise?  Or other suggestions for how to "unhook" from unhelpful thoughts?

 

 

I am 67 years old and i still go backwards to my first abusive marriage. I still talk to my narcissist of an x husband , as I feel at times i have to help out with our son who is 46 and has wernicke korsakoff syndrome, he needs help at times, with day to day remembering.
i don't know why I allow myself to continue to be berated because I don't live in the same state. I could go on and on.I was so depressed I didn't want to be here a few days ago. but my kids save me, knowing the consequence.

COMMENT
@karjack

I am 67 years old and i still go backwards to my first abusive marriage. I still talk to my narcissist of an x husband , as I feel at times i have to help out with our son who is 46 and has wernicke korsakoff syndrome, he needs help at times, with day to day remembering.
i don't know why I allow myself to continue to be berated because I don't live in the same state. I could go on and on.I was so depressed I didn't want to be here a few days ago. but my kids save me, knowing the consequence.

Jump to this post

Hi @karjack, welcome to Mayo Clinic Connect, an online community of patients supporting patients.

I'm relieved to hear that your kids give you a good reason to keep on. I'm also glad you reached out and posted to several places in the community. Keep in mind that community members are not trained crisis workers. If at any time you feel like you are in crisis, please call the National Suicide Prevention Lifeline at 1-800-273-8255 for immediate help. Your safety is the most important thing to us and needing to talk to a professional doesn’t show weakness, it shows strength!

I look forward to continuing to connect you with fellow members in the Depression & Anxiety group (https://connect.mayoclinic.org/group/depression-anxiety/), where you will find others who listen and understand.

COMMENT
Please login or register to post a reply.

Invite Others

Send an email to invite people you know to join the Living with Mild Cognitive Impairment (MCI) page.

Please login or register to send an invite.