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Addressing Symptoms (Agitation, Frustration Tolerance)

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In the throws of madness I have found some form of peace to hold on to as an anchor in discovering my innermost serenity. Only at the very end of my tormented nights was I unable to identify a technique to self-manage the chaos around me. By that time, I would not suggest self-managing the dysfunction around you. Instead, I would recommend finding a safe space, e.g., a hospital or another service that can help you sort out the extreme distress you are experiencing.

Self-managing our frustration tolerance throttle can be tricky and requires a great deal of self-awareness and practice. The regulation of day to day thinking and all the feelings that come with our lives are no simple task. To peacefully and independently choose the path to serenity and internal peace when their world has become too chaotic to live comfortably is a skill to be gained from this reading.

I have always been a guru when it comes to relaxation and recreation. It seems to be a unique talent of mine to find nothing to do when the world was lighting up with opportunities to insert myself and begin when all I was interested in doing was sitting down to a glass of iced tea in the newspaper. I’m sure my coworkers can vouch for this unique phenomenon and endorse me for this do-nothing talent.

Sometimes, however, doing nothing is required of people to remain goal-oriented and engaged in their lives.

Conversely, sometimes a situation calls upon people to “right the ship” and be more authoritative and directive in their approach to self-managing their lives and particular problems. I suggest starting here to locate your internal barometer—a little more involved than tuning into your gut and doing what feels right.

During a looming personal crisis, tuning into your feelings is only the beginning. If it is a situation that needs fixing, it should capture more than just your feelings on the subject. There should be some ethical, or at the very least, the problem of energy flow, and the mechanics involved to complete the task should be jeopardized or requiring re-tooling for future projects.

My point is that your “feeling” world and your “rationality” need to be inter-linked if you are to truly tune into your moment and decipher or filter out a better way ahead. Accurate for most situations, not just work projects or tasks you are involved with, requiring your attention and focus on completing without incident. Therefore, when managing agitation, be prepared to look at your entire situation before coming up with a new plan.

Agitation can go deep.

It can hit a nerve in the very heart of our dilemma and harken back years in your psychological landscape for creating additional frustrations in your life. So, be prepared to dig deep, and once you have successfully bridged your rationality with your feeling world, begin to play around with your frustration tolerance at times when you aren’t nervous. Prepare yourself to be more relaxed and comfortable with the skill in the throws of seeming disaster ahead when you are already anxious.

There are a few additional caveats to remember. First, when dealing with the interpersonal world, no calm and serenity level can prepare you for what someone will throw at you when they are in crisis and mishandling a situation. In cases like this, you may not have to dig deep into your psychological profile to unhinge your frustration, but instead, remind yourself other people’s problems are their own. Going ahead and feeling or thinking for them will only make their jobs more complicated and difficult to manage independently without you in the future.

The second and last caveat, sometimes you should or need to be anxious. Our anxieties are signals that tell us we need to make changes in our lives. Locate the deep-seated issue. Understand that something has to give; sometimes, just going ahead without digging too deep into your subconscious or psychological wellspring might provide you with a fast and very much needed change to feel better in the next few moments.

About the Author

J. Peters

Max Guttman '08, MSW '12, is the owner of Recovery Now, a private mental health practice. Through his work as a Licensed Clinical Social Worker, therapist and disability rights advocate, Max fights for those without a voice in various New York City care systems. He received a 2020 Bearcats of the Last Decade 10 Under 10 award from the Binghamton University Alumni Association.

Guttman treats clients with anxiety and depression, but specializes in issues related to psychosis or schizoaffective spectrum disorders. He frequently writes on his lived experiences with schizophrenia.

"I knew my illness was so complex that I’d need a professional understanding of its treatment to gain any real momentum in recovery," Guttman says. "After undergraduate school and the onset of my illness, I evaluated different graduate programs that could serve as a career and mechanism to guide and direct my self-care. After experiencing the helping hand of my social worker and therapist right after my 'break,' I chose social work education because of its robust skill set and foundation of knowledge I needed to heal and help others."

"In a world of increasing tragedy, we should help people learn from our lived experiences. My experience brings humility, authenticity and candidness to my practice. People genuinely appreciate candidness when it comes to their health and recovery. Humility provides space for mistakes and appraisal of progress. I thank my lived experience for contributing to a more egalitarian therapeutic experience for my clients."

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