No Stupid Questions - 94. What to Do When Everything Looks Like a Catastrophe?

Episode Date: April 10, 2022

What is the relationship between “catastrophizing” and anxiety? How did Angela react when her mother came close to drowning? And how can you gain perspective when the worst-case scenario is all yo...u can visualize?

Transcript
Discussion (0)
Starting point is 00:00:00 We had prepaid flights, and there's nothing that gets Americans to do anything more than just making good on their prepaid flights. I'm Angela Duckworth. I'm Stephen Dubner. And you're listening to No Stupid Questions. Today on the show, how can you stop catastrophizing? I think you hate me. I think I'm a bad person. I think this is the end of our friendship and our working relationship. Angela, I think of all the people I know, you are the least likely person to catastrophize, which is a word I did not know until recently.
Starting point is 00:00:42 I think, Stephen, by catastrophizing, you mean making a mountain out of a molehill. Is that what you mean? Correct. I'd read this article in The Guardian by a clinical psychologist named Linda Blair, not the Linda Blair of... From The Exorcist? I'm pretty sure it's not the same Linda Blair.
Starting point is 00:00:59 But according to this definition, catastrophizing is what happens when you hear some, as she puts it, uncertain news, and then you imagine the worst possible outcome. So I can imagine that if a person were to consistently do this, it would be really damaging. I could imagine that you are someone who does not do this. So I wanted to ask you today whether there's someone out there who does this all the time or even a little bit. I'm curious what your advice would be to manage this. And by the way, I'm not suggesting that it's the bad or the wrong way to go.
Starting point is 00:01:37 You don't want to be judgy. I don't want to be judgy. Even though the word catastrophizing is a little judgy, but go on. Well, I will say mountain molehilling does sound a little bit less judgy. Not much, but still. Well, first of all, how many of us have ever actually encountered a molehill? I think it's the hill of a mole, is it not? You know, even I figured that part out.
Starting point is 00:01:58 But like, is it a big bump in the dirt? Is it invisible to the naked eye? I don't know. We need to have more moles on the show, I think. I think that's an excellent suggestion. Excuse me, Sir Mole, when you build a hill, what would you say are the dimensions of said mole hill? And how does that compare to the dimensions of your local mountain? But that's not the question that I really wanted to know. I want to know if someone catastrophizes, what's the harm? What are the downsides? Maybe what are the upsides? But assuming there are downsides as a positive psychologist and someone who I assume does not catastrophize, what's your best advice to manage this?
Starting point is 00:02:47 of my dad. So growing up, my dad, I remember, was in the front seat of the car driving. I was in the back seat. We were in a parking lot near Four Eyes or something. I must have been getting my annual eye exam. Wait, there's an eyeglass place called Four Eyes? Isn't that clever? That's embracing the epithet. You got the joke though, right? Four Eyes, like four eyes, but also four eyes. Oh, I didn't even need the double entendre. You got the joke though, right? Four I's like four I's, but also four I's. Oh, I didn't even need the double entendre. I just liked owning your own epithet. Yes. Well, it's a self-confident myopic population that perhaps frequents four I's. And anyway, I do remember being in that parking lot and I remember that it had those little speed bumps built in to kind of slow you down. But my dad wasn't going,
Starting point is 00:03:23 well, not particularly fast, but we hit a speed bump and he clearly hadn't anticipated it. And the car went up and it went down and it was like, boom. And my dad spontaneously emoted, as he often did, disaster. Was it his catchphrase, would you say? Well, he was a bit of a catastrophizer. This tendency in clinical psychology is sometimes called maximizing. It is a feature of people who not only tend to be, as I think Linda Blair was hinting at, anxious, because anxiety is thinking about the worst possible outcome that has yet to happen, but is also a feature of depression. And in that case, it's more typically looking back at something that just happened, like you and I have a misunderstanding. And if I
Starting point is 00:04:11 catastrophize about that past event, I blow it all out of proportion. I think you hate me. I think I'm a bad person. I think this is the end of our friendship and our working relationship. So I think catastrophizing can be anticipatory or retrospective. And yeah, my dad was pretty good at both. You described anxiety as envisioning the worst possible outcome yet to happen, which sounds a lot like catastrophizing. Is that the case? Can there not be a healthy level of anxiety? Oh, yeah. I mean, anxiety is an emotion. We have emotions for survival purposes. But anxiety is an emotion doesn't have to be at its extreme, which is, for example, PTSD or generalized anxiety disorder. You know, this emotion, which comes from the anticipation of future bad things at its extreme can be debilitating and awful and paralyzing and dysfunctional. But I had anxiety this morning thinking that maybe I wouldn't get to the recording studio on time. So that's a helpful thing to experience that emotion, to think, wow, I might not get there and to pick up my step a little bit, which I did.
Starting point is 00:05:16 Let me propose a scenario. I'm imagining now this spectrum of, let's say, zero to five, this spectrum of let's say zero to five, and let's say zero is blissed out. I have zero negative thoughts or anxious thoughts or catastrophic thoughts about anything. And then five is catastrophizing. If that were the spectrum, would anxiety live somewhere on that spectrum? And how close is it to catastrophizing? Or are you saying that anxiety is the variable that brings us from blissed out to catastrophizing? I think it might be helpful just to think of it as a continuum, like you said, zero to five. You could ask me like, how anxious, Angela,
Starting point is 00:05:55 are you feeling right now on a scale from zero to five? I could say I'm maximally anxious or I'm minimally anxious. The word catastrophizing suggests that whatever number I give you, it's actually not a number that matches reality. Oh, okay. Let me just give you a specific example. When my mother was drowning next to me on Christmas Eve,
Starting point is 00:06:15 I was a five on a scale from zero to five. I don't think I could have been more anxious, more like heart rate racing, adrenaline coursing. That is not the same thing as catastrophizing because you could say, well, if you're in the middle of the ocean, 45 minutes by speedboat from shore, and your 86-year-old mother is drowning by your side, you better be a five, right? And the anxiety response, which is physiological, which is cognitive, which is motivational, like literally your body shifts gears into a different mode, is in that case incredibly appropriate. And also the key here is that when it's no longer appropriate, we're on the shore, the EMTs are there, et cetera, it's the normal thing to actually go down from five to what was like a 4.5 and then eventually, you know,
Starting point is 00:07:05 to be maybe a two. So the catastrophizing language here is really important. I think it's appropriate to think this person has blown out of proportion whatever reality is. So you just indirectly told this story that is wild that you told me on the phone shortly after it happened. Did I never mention that before on No Stupid Questions? I think our listeners, this is the first time they're hearing this. So can you just describe you and your family went on a holiday recently to Florida and then... Yes, a quote unquote vacation. We went to Miami. This is a vacation that we had planned to do months before. Remember those golden days? The COVID window.
Starting point is 00:07:48 The COVID window when the vaccine was announced and everybody anticipated the liberation of human society. And then, of course, you know, it ended up being the height of the Omicron variant. Nevertheless, we had prepaid flights and there's nothing that gets Americans to do anything more than just making good on their prepaid flights. So we go to Miami, my husband, Jason, my daughters, Amanda and Lucy, my mother-in-law, Sharon, and my 86-year-old mother, Teresa, who, by the way, was nearly 87, if that makes this any more dramatic. So on the fifth day of this vacation, it's Christmas Eve, And we go two hours driving south of Miami to the Florida Keys and we get on a speedboat. This is all of us and a captain. We travel 45 minutes at pretty high velocity, by the way, out to the middle of the ocean, or that's what it felt like to me. And we go in to snorkel. And I was the last person to go in. And I was the last person to go in. So Jason goes in, Amanda goes in, Lucy goes in, my mother goes in, and then I go in. My more sensible mother-in-law stayed on the boat. I hate to cast aspersions or even potential aspersions, but what... But what was I thinking? Did anyone express reluctance about the potential downsides of an 86 or 87-year-old woman going into the high seas? Let's round up. Let's call her 87.
Starting point is 00:09:11 Let's call her 90. Hell, if we're rounding up. Basically a centenarian. The only person who experienced the emotion of anxiety to a level that was notable or vocalized was my daughter. So Amanda, who's 20, said to me, gripping my wrist, I'm worried about Popo. Popo is what we call my mom. It means grandmother in Chinese. And she says, stay with Popo. But it was Christmas Eve. So it's like, come on, the whole family's going to stay together. And it is a famous Chinese tradition to go snorkeling on Christmas Eve. Well, if there's any tradition to be made,
Starting point is 00:09:45 I think my family tradition will now be to not go snorkeling on any day, because in this case, this is a story of catastrophe, not a story of catastrophizing. But I use Amanda here as an example because this is why we have anxiety. It's an alarm system for your mind. Her thought that the future was going to be bad was a useful warning. She vocalized her anxiety. We went snorkeling anyway. I did ask the captain. I said, is it okay that my 87-year-old mother is going to do this? He said, the most dangerous thing that you did today was to drive the two hours here from Miami.
Starting point is 00:10:25 I have been doing this for decades. And when I got into the water, Stephen, I said, I'm a pretty strong swimmer. And even for me, I was like, wow, this current is super strong. And it was immediately taking me away from the boat in the opposite direction of where we were supposed to be swimming. So I had anxiety then. If you ask me on a scale from zero to five how much anxiety I have, I probably immediately had at least a three or four. And you had gone in after your mother.
Starting point is 00:10:55 So where is your mother now? My mom is being carried out to sea. So my mom is like 95 pounds. And so I immediately went to swim to my mother. I held her hand and I tried to point. I was still trying to look at the wildlife. Honestly, I was like, oh, I guess I should look down. Like there is a fish in this incredibly murky.
Starting point is 00:11:15 It ended up being a very windy day. You're wearing life jackets, I assume. Okay, Stephen, this captain gives us these yellow plastic vests. And I say, are these the life jackets? And he said, oh, no, no, no, we're snorkeling. You don't want to have a life jacket on. You want to be able to dive down if you want to. If you're really in trouble, see this straw here? You can blow it up. And then it's something like a life jacket. I was like, oh, well, I am blowing up my mother's life jacket. And by the way, the captain was like, oh, well, I am blowing up my mother's life jacket. And by the way, the captain was like, oh, that's too puffy.
Starting point is 00:11:49 So he took out some of the air of hers. Wait, the captain de-puffed your mom's vest? He de-puffed the vest and then he like handed her a noodle. You know, the kind you have in the swimming pool? He's like, here's a noodle. So it's you and your mom in the open water. She's got a vest and a noodle and she's 87 years old almost. Both daughters and husband are already in the water, she's got a vest and a noodle, and she's 87 years old almost. Both daughters and husband are already in the water, correct?
Starting point is 00:12:13 Yeah, and they swam to the reef because they're young and they're very athletic. And how far away were they by this point? I don't know because they were on the other side of the boat. So I tried to look at the fish. I'm sort of looking down. I think at this point I wasn't holding her hand, but I was really trying to stay with her, which meant swimming back toward her and being by her side. By the way, when you snorkel, you have these fins on. They're plastic and they're sharp.
Starting point is 00:12:37 So I was trying to orient my body away from her, but also keep her in my sights. And at one point I did look up because I knew that we were being carried by the current. And the boat was this like small white object in the distance. I could see the captain at that point. And he was waving at us and telling us to come in because we were not in the right direction. And we were obviously getting farther and farther from the boat. So anxiety level now, I don't know, four. So I go and try to gesture to my mom, Geddes pantomime, when you're snorkeling. And I point and she sort of nods. I swim a little bit in front of her and I turn around and she's not there. Oh, boy. And I grab her hand and now anxiety goes to five because my mother's hand is totally limp. And then I flip her over and she's gray, blue, and she's got these unblinking fish eyes. And I rip off her mask and her snorkel and I try to talk to her, but she's completely unresponsive. But we should say you're not catastrophizing now because you've got an actual catastrophe. on the anxiety scale is that catastrophes happen. So at this point, I'm having a completely appropriate fight or flight response. Everything is on. Cortisol was just rushing into my body.
Starting point is 00:14:11 I take off her mask and I take the snorkel out of her mouth and her head is very heavy. So I had to tread water and hold her head up with my left hand so that her nose and her mouth could stay above water. And I was not wearing a life vest and didn't have a noodle. And then with my left hand so that her nose and her mouth could stay above water. And I was not wearing a life vest and didn't have a noodle. And then with my right hand, I had to wave wildly. It felt like I was in a movie. Something's very cliche about it. I was like, help, somebody help me. My mother's dying. So thank God you're a good swimmer. This must have been so scary. I know the end of the story, which is that she survived. So does this mean that you somehow dragged your mother through the water and got her onto the boat?
Starting point is 00:14:53 So let me fast forward then through what happened next. In that moment, there was a flash of like, oh, this is where you give up. Why am I treading water and screaming and screaming when my mother's already dead? And in that moment, I kept treading water and I kept screaming and I kept waving, even though at some level it seemed like all hope was lost. This is what happened next. The captain saw us and he drove the boat to us and he was able to drag my mother's listless body onto the deck. At that point, there was already another snorkeling instructor who had seen what was going on, left his boat, dove into the ocean and was already on deck. And he immediately administered CPR. By the way,
Starting point is 00:15:37 in the middle of the Omicron spike, with no thought to his own personal safety, his name is Jeff, by the way, and I have been trying to find him. I've been like Google searching snorkeling instructors named Jeff in the Florida Keys. So if you're listening, please let me know. I would love to give you everything I own. What's the name of the other guy, though? I am not going to say because I have to say I think there were serious errors in judgment and I'm not a litigious person. The boat ride back, Stephen, just to give you a sense of how incredibly stressful this whole thing was. So, yes, my mother is starting to breathe. So now I'm thinking, like, great, now I have a brain-dead mother.
Starting point is 00:16:13 Yay. The captain picks up Jason, Amanda, and Lucy, so they're not abandoned in the middle of the ocean. And we go back to shore so quickly that, I kid you not, Lucy, who's 18 years old and very athletic, subsequently had to see a orthopedic surgeon for nerve damage. It was such a rough ride back. And the way that we got my mother back is my husband, Jason, laid on one side of her. I laid on her other. We put her head onto some balled up sweatshirts. We braced ourselves and her body between us by holding on to a bench on the deck. And that whole time, Stephen, I was literally praying to God. And here's the weird thing I said. This is a digression, but I said, God,
Starting point is 00:16:58 if you save my mother, I won't be jealous anymore. I will need years of therapy to figure out why that came out of my mouth. You won't be jealous anymore. I will need years of therapy to figure out why that came out of my mouth. You won't be jealous of who? I don't know. I don't know. That's just the promise I made God. So your mother lived. Does this mean you've had to strike jealousy from your...
Starting point is 00:17:16 From my heart. I had a lot of time to think about it because my mother went from the ER to the ICU to the regular hospital to being discharged to now being, happy ending, a seemingly healthy, now 87-year-old at home making dumplings. She's wonderfully lucky to be alive. And how does she see this incident in her mind and memory? So if my father was a catastrophizer, then my mother was the opposite. The first thing the ER doctor said is, I just need to tell you that in instances like this,
Starting point is 00:17:53 where there has been lack of oxygen to the brain for who knows how long, like your mother's quite elderly. So he's kind of preparing me for the worst, right? But then later he was like, I don't want to say for sure, but I'm optimistic. And I said, why? He was like, well, she wanted to show me her artwork on her iPhone. And I was like, that's a good sign. So as pessimistic and depressive as my dad was growing up, my mom was just like a ray of sunshine, even on a rainy day. So my mom immediately thought to
Starting point is 00:18:21 herself, oh, it's such a wonderful thing that this happened. I got to spend time with you in this hospital room. Still to come on No Stupid Questions, Stephen and Angela discuss how to gain perspective when the worst case scenario is all you can visualize. Oh, my God, this is going to ruin us in so many ways. This is going to ruin us in so many ways. Before we return to Stephen and Angela's conversation about catastrophizing, let's hear some of your thoughts on the subject. We asked listeners to let us know what you find to be most helpful when your anxiety feels out of control. Here's what you said.
Starting point is 00:19:03 A recent tool I've been using to deal with anxiety and other undesirable emotions is diner theory. Let me give you an example. When I had to slam on my brakes the other day to avoid hitting the car in front of me, I pictured myself in a 1950s diner with a gum-chewing waitress who, with notebook in hand, asked me, would you like some unproductive anger with that order of slamming on the brakes? To which my answer was, not today, thanks. It just helps me to separate my emotional reaction, which I control, from the circumstances, which I cannot. That waitress in my mind has recently asked me about all sorts of things. Unrealistic catastrophizing, toxic comparison, excessive rumination. If a 50s waitress isn't your thing, you can think of a
Starting point is 00:19:46 staunch English butler or even a caddy if you're a golfer like Dubner. Hi, this is Carla Weil. My son inherited anxiety from me and we have what we call the anxiety hotline where one of us will call the other when we're feeling very anxious. We will talk about the catastrophizing thoughts in our mind, saying them out loud to someone who's nonjudgmental, allows us to see how absurd the thoughts are, and we go away feeling better. Hi, Stephen and Angela. My name is Danielle. I'm from Cambridge, Massachusetts.
Starting point is 00:20:20 When I get anxious, one of the things I always remind myself is that this feeling won't last forever. So just kind of accepting that feeling and reminding myself that it will all be over soon. That was, respectively, Jeff Erickson, Carla Weil, and Danielle Kaplan. Thanks to them and to everyone who sent us their thoughts. Now, back to Stephen and Angela's conversation about fear, anxiety, and snorkeling in the Florida Keys. First of all, I'm really sorry you and your whole family went through that. It was traumatic. This may sound bizarre, but this story, as tragic as it is with a happy ending,
Starting point is 00:21:00 it makes me think, especially in context of our conversation about catastrophizing about Ukraine and Russia. I think about your father, who I never knew. I think about your mother, who I haven't met, but I feel I know her pretty well from this. Oh, you should come and have dumplings. She would love to make you dumplings. I would love that. And show you her artwork. I would also like to see the artwork. I know you pretty well. I know Jason,
Starting point is 00:21:21 your girls a little bit, and so on. So I'm imagining this whole scenario, and I'm imagining how every individual has a different level of expectation and anxiety. And you've described how it was working in this case. And I guess the cynic in me, or maybe from hanging around with economists for too long, thinks, well, let's look at the incentives. This captain had an incentive to make it work this day because he doesn't get paid otherwise, even though it sounds like the water was pretty choppy. And even though maybe this client base wasn't optimized towards snorkeling on this day and so on. But you think about how an individual may approach a given scenario and the level of danger that you foresee. And the reason it makes me think about Russia and
Starting point is 00:22:05 Ukraine is it's been such a strange scenario playing out. I mean, as we speak, we're about a month into this invasion. By the time people hear this, who knows how many developments may have occurred. But if you look at the lead up to Russia's invasion of Ukraine, a lot of European countries were blaming the U.S. and Britain for catastrophizing the events on the ground there. For weeks leading up to the war, President Biden was saying that U.S. intelligence showed that Putin had already decided to invade. British intelligence was saying that not only was Russia planning to invade, but they had plans already to get rid of Zelensky and install a pro-Russian leader. Zelensky himself, on the other hand, was telling the U.S. and Britain especially to calm down.
Starting point is 00:22:53 Let's not panic. Let's not make a mountain out of a molehill. And there have been many theories as to why he was saying that. One was to project calm from leadership. One was to not send the Ukrainian economy into a spiral. One was to not lead Ukrainians to flee and so on. And so when we look now, we see that, well, is it a catastrophe? Yeah, it's pretty hard not to call it a catastrophe.
Starting point is 00:23:15 On the other hand, it does seem that humans are prone to expect the very worst. You think about whenever a new technology comes along, it seems like the first instinct is to notice and magnify its flaws and ignore its benefits. And ultimately, most technologies end up benefiting a lot of people. But the first wave is to say, oh, my God, this is going to ruin us in so many ways. I think about how we feel about social media at the moment. I think about how we feel about social media at the moment. I think about how we feel about cryptocurrencies at the moment. It's very easy to make the panic arguments against them. And so to me, this notion of catastrophizing is a deep, deep, deep riddle because one doesn't want to ignore obvious risks, even if they're relatively small risks. I mean, when I hear the
Starting point is 00:24:03 story of your mom and the boat, it's like one of those terrible movies where you want to jump onto the screen and say, no. Right. Don't go down into the basement. Yeah. It's a kind of existential question, Stephen, right? Because how do you know when it's a catastrophe and how do you know when you're catastrophizing? You really can't know subjectively. Right. Risk assessors and economists and other scholars, they talk about the low probability, high risk event, which is, yes, the worst thing probably won't happen. But if it will, it's really devastating. as catastrophizing. What do you suggest? Because this piece by Linda Blair in The Guardian had some very concrete suggestions. I have no idea how useful these would be. She suggests
Starting point is 00:24:50 establishing a regular worry time to stop it from invading your entire life. Another piece of advice she gives is to use what she calls the best friend test, which is ask yourself how you'd advise your best friend to deal with this concern, and then you take that action yourself. She also suggests learning to self-soothe, which is a phrase that I know a lot of people use as a benefit, but I also think about the potential dangers of self-soothing. We're reading now a lot of reports about what's been going on during the pandemic. If you look at alcohol-related deaths, drug overdoses, and car crashes, those are all substantially up. So those are a lot of really negative downstream effects of the pandemic, some of which are the result of
Starting point is 00:25:37 what I would consider self-soothing. So where do you come down on this? What's some practical advice? There's practical advice that I can give you. It comes actually from Tim Beck, who was really the pioneer in understanding catastrophizing and the godfather of modern psychotherapy. At the same time, I will say that if you really feel like you are somebody who has a problem with this, the answer is not to listen to no stupid questions. The answer is to go and seek therapy. So what did the architect of modern psychotherapy say about catastrophizing? And what are some of the practical things that you do learn about with a therapist in a session? The whole
Starting point is 00:26:17 point is to get to more accurate, non-distorted understandings of reality. One tactic is to think of three possible futures. The first one is the catastrophe scenario, the worst possible thing that can happen. You're driving down to the Florida Keys with your family, you're eating sandwiches in the car, and you think to yourself, what is the worst possible thing that could happen today? Oh, I don't know. My mother could drown next to me snorkeling. That's the worst possible. Then you think, what is the best possible scenario? Okay, the best possible scenario is I learned that I super love snorkeling and it's the best vacation of our lives. what is the most likely scenario? I guess the most likely scenario is somewhere in between. But what it does is it gives you an upper bound, a lower bound, and some way of thinking about odds in a less extreme way. Now, would we have turned around and gone back to Miami and said, having looked at the worst, best, and most likely scenarios, I no longer want to do this. I mean,
Starting point is 00:27:22 prepaying for an airline flight is in the same category as prepaying for a snorkeling trip. It's like, well, we're already on the hook for the money. I don't want to say that this is a technique that is going to help in every case. But I do think it does one very key thing that is important for all of us in life, which is to put things in proper perspective. And that is the major error that people make in catastrophizing, is that you're not putting things in perspective. You are only looking at one of those three scenarios. And like I said, I don't know whether it would have changed my Christmas Eve, but it is generally something that I think is helpful. Tim Beck, when he described catastrophizing as a sort of cognitive route or maybe even a bias, were there others that were available to a given person in a similar situation like that that were more or less damaging? You know, I don't know whether there's like a rank ordered list that I can give you, but Tim Beck indeed found that our
Starting point is 00:28:15 thoughts can be distorted in other ways, too. And I'll just use as an example, minimizing, like you're in an abusive relationship and you're completely being traumatized as a person, but you then minimize it. The idea of cognitive therapy is that when you have a disorder of emotion, what is really going on is that you have a disorder of thought. I think if we had to put a headline on this conversation, it would be something like Grit Scholar shows Christmas Eve grit by hauling her dead-seeming mother back to snorkeling boat. Mother survives, continues making art that ER doctors around the world are now scrambling to purchase. Oh, my mother's really going to like the end of that.
Starting point is 00:28:58 She's going to make you dumplings, Stephen, to celebrate. No Stupid Questions is produced by me, Rebecca Lee Douglas, and now here's a fact check of today's conversation. In the first half of the show, Stephen and Angela wonder about the dimensions of a molehill. The hills, which mark a system of underground tunnels that moles reside in, are typically five to eight inches high and less than 12 inches in diameter. By comparison, most geologists classify a mountain as a landform that rises at least 1,000 feet above its surrounding area. Mount Everest, Earth's highest mountain above sea level, is 29,032 feet, or approximately 58,000 times the
Starting point is 00:29:40 height of a typical molehill. Also, Stephen expresses skepticism at clinical psychologist Linda Blair's suggestion that learning to self-soothe can be an effective means to combat catastrophizing. While drugs and alcohol are obviously used as a means of self-soothing, in the article, Blair was specifically referring to tools like breathing exercises and confidence-building techniques. Finally, Stephen asks Angela about cognitive biases similar to catastrophizing, and Angela mentions minimizing. These types of thought patterns are called cognitive distortions, and cognitive behavioral therapists use a list of different distortions to help patients identify and correct destructive
Starting point is 00:30:22 ways of thinking. In addition to catastrophizing and minimizing, cognitive behavioral therapy teaches how to address polarized thinking, overgeneralization, emotional reasoning, jumping to conclusions, and several other distortions that we'll link to in our show notes. That's it for the Fact Check. Coming up next week on No Stupid Questions, a listener writes to Stephen and Angela about the unexpected way that she dealt with grief.
Starting point is 00:30:50 He's alive, I said over and over to myself in my head. Suddenly, my stomachache and my headache ebbed. Repeating denial words made me feel physically better. That's next week on No Stupid Questions. For that episode, we want to know what helps you the most during times of grief. Is it structure? Sharing memories of the person who died? Maybe it's a favorite song or poem. To share your thoughts, send a voice memo to nsq at Freakonomics.com with the subject line, grief. Make sure to record someplace quiet and please
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Starting point is 00:32:10 underscore show and on Facebook at NSQ show. If you have a question for a future episode, please email it to NSQ at Freakonomics.com. To learn more or to read episode transcripts, visit Freakonomics.com slash NSQ. Thanks for listening. I've seen you ignore every set of instructions you've ever encountered. What? Look at you, judgy Steven. I don't mean to be judgy. I mean to be factual here. It's an insult for sure, but it's a factual insult. for sure, but it's a factual insult.

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