How To Operationalize Your Mental Health

How To Operationalize Your Mental Health
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I’ve been in therapy as both a client and a therapist. I know how confusing and contradictory it can feel.

If therapy has ever left you without a roadmap, this is my attempt to give you one. These are science-based, practical steps you can use today.

In this video, I break down the four resources that run your mental health: time, energy, attention, and money. I’ll show you how to treat your life like a research project.

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Disclaimer: This content is not intended to be a replacement for receiving treatment. It is purely educational in nature. My relationship with you is that of presenter and audience, not therapist and client.

But I do care.

43 Comments

  1. Thinking when you should dig in to feel and feeling when you need to step out to your thinking mind. "You zig when you should zag and zag when you should zig. You're just all screwed up." lol Seriously though, it would help to have a video on when to use each.

  2. My therapist kept invalidating me than patting herself on the back in my file. I think she was a mean-girl hiding behind a clipboard. I feel sick that she was ever in my file.

  3. Thanks, I think this video was really what I needed. I've been struggling recently and hesitant with restarting therapy because I'm worried the therapist will only provide validation, and stop short of actually challenging my preconceptions/assumptions (my previous therapist was like this). Finding a new therapist is an expensive, time-consuming and draining exercise – I'll continue looking but this video has given me some great ideas I can try in the meantime.

    The four resources concept and independent/dependent variables makes a lot of sense and would be a good starting point for me to recognise the areas/habits I can control/change. I have been thinking along similar lines recently.

    One bad habit I realised I had recently is that a lot of times I become paralysed/put things off because I'm waiting to feel more "ready" to deal with it at a later point. For instance, I needed to book a doctor's appointment to get new medication prescriptions. I put it off for so long, waiting to feel "strong enough" to just book the appointment. Then one day I just said to myself, "I'm not ready yet, but I'm going to do it now anyway." and I just made the appointment. And it was obviously fine, but it felt like such a weight off my shoulders to get this thing that I'd been avoiding out of my daily thoughts! And, because I felt good getting it the appointment done, I had a small burst of energy at the doctor's office and made a dentist appointment, which was another thing I've put off for 3 years! (A bonus – the dentist said my teeth were fine after some basic cleaning, so another good outcome there!).

    As a result of these 2 positive outcomes, the last week or so I've been trying something new. Whenever I feel myself saying "Oh, I'm not feeling up to doing XYZ," I try to say "But I'll do it anyway" and most of the time I can focre myself do the thing. I'm slowly breaking the habit of needing to feel "ready" to accomplish something – which means recognising when it's just an excuse to avoid anxiety. I realised that I'd spent much more time and mental energy on fearing the task of making the appointments, that it had ballooned into this out-sized, mammoth challenge. But in fact, the worst thing that could happen is that I would feel anxious/embarrassed/shame/frustration – but I had already felt all those things BEFORE I'd taken any action – so there was no point in avoiding it. Sometimes the only way out is through. It's been strangely liberating to acknowledge that I'm not in a good space, but I have to get things done anyway.

  4. "It is no measure of health to be well adjusted to a profoundly sick society" Krishnamurti

    People who are depressed are actually the most sane in this day and age. Psychologists and drugs are all here to make you conform to a system that is against your well being. It is all designed to keep you sick and depressed to feed the money machine

  5. Having history in this area, I would say that there are two professions where people want to make a living, but that are filled with people that are not willing to work. Those are religious pastors/ monks and therapists.

  6. As someone who also loves Video games, one thing that helps me, is that I realize that the thing I enjoy in videogames the most (time management, resource management) can translate in real life. So far this philosophy has benefit me financially, and makes me more productive to tasks that I would otherwise have a hard time doing

  7. Oh well… that hits a nerve. And I like the idea of operationalizing ressources to improve my mental health. I've spent at least 25 years pondering about what causes my depression, ending up most of the time with "head salad", unable to find any reason (or reasonable ways to jump off this wagon). Thank you.

  8. Just discovered your channel. I was debating on getting back to my therapy, which I did for 2 1/2 years, several years back. I was doing better for a while, but now things have changed for me, and not doing well mentally. Actually, worse than I felt before starting therapy last time. I can really relate to what you’re saying, and easy to understand the way you present solutions, or things to try. I’ll definitely be going back to watch more of your content. Also, it’s nice knowing you have struggled in the past with mental health. You know first hand what depression & anxiety feels like. Thanks so much. 🥰

  9. I have to watch this again. Allocating time energy attention and money is a brilliant idea. I am not happy with what I am currently doing. Which is isolating and doom scrolling. Also am embarrassed when someone asks me what I did during the week and have no ready answer. I think using these strategies could be a game changer. Also just want you to know i am sharing your channel and videos with my case manager, therapist and friends.

  10. I have been suffering panic/anxiety and major depression since age 32. I am 67 now and I never got anything out of talk therapy. Hell, I went to AA for 1 week and quit. I always wanted a beer afterwards! 😂 Your videos are very valuable to me and I thank you!

  11. Thank you for this Scott! I like the emphasis on operationalizing. I work in Applied Behavior Analysis and use a lot of the tools I teach clients to manage my depression- breaking down tasks, building routine, modifying the environment, and working to contrive motivating operations, and reinforcement of course. Depression will always suck, but an emphasis on actionable skills and acceptance help make it more manageable.

  12. [0:13] "Therapists do not offer advice". I resent this statement. I totally get they can't offer solutions (aka direct advice): you should do the dishes and your partner should clean the toilet; you should marry/stay single; you should accept/reject that job offer etc. But I feel they should be giving the kind of advice Dr. Scott Eilers offers here. They should give you advice on how to discern wheter what you long for is a genuine need or a whimsical wish, how to communicate authentically and respectfully at the same time (in other words: how to correctly apply NVC), how to use both your heart and mind to find the best solutions for yourself. If they don't offer you any pratical training /education/assistance, what good are they? I spent 18 hours answering countless questions about myself and my relatives, interspersed with "how did/does that make you feel?" – and I didn't get any wiser. Then my therapist decided to terminate and in the 19th session, lo and behold, he gave me some advice – against his own declaration that he "does not advise people". His tips were: "It's OK to express anger" , "You should take care of yourself" and "You can come back to therapy when you feel like it". All of these I got from Google free of charge within a minute of describing my concerns before the first session. Guess: how did it make me feel? F… (frustrated and furious).

  13. That's why when you have Asperger's you are always tired because you are always planning and thinking about everything. Plus all the research you do to help you with living life and functioning.

  14. Fyi, physical energy can also be depleted by acute or chronic illness and by intense emotions, not just by physical activity. I'm struggling with chronic illness and, recently, very intense emotions draining my physical energy. Multiple situations, any one of which would cause intense emotions, and now they're exponentially higher. I also suspect I'm almost or shifting into active menopause, which would contribute to the intense emotions… (Waiting for my dr to reply.)

    So yeah, I want to exercise, but I'm just too tired…

  15. I've been thinking about how exhausting it is to want to get better but not know what "better" actually looks like or how to get there. There's something both hopeful and overwhelming about realizing that healing might actually have a formula, that it's not just this mysterious process we stumble through blindly. I came across something recently that reminded me how we often treat our pain like it's too complex to understand. What the Silence Tried to Say by Alira Sennel had this observation about how sometimes we make our suffering more sacred than our healing. It made me think about all the times I've stayed stuck not because change was impossible, but because I was afraid that getting better might mean losing the parts of struggle that had become familiar. Maybe the scariest part isn't that we don't know how to heal, but that we do.

  16. this video sounds as if it is occasionaly sped up. when you do that, it is difficult to listen. i feel as exposed to bursts of rapid fire. i couldn't listen all the way although the topic is intresting. what's the rush, man? could you just talk at the same speed, please?

  17. My doctors have betrayed me. They were so stubborn on the seroquel, which messed up my sleep. I couldn't breathe when I slept. They have heard me begging to quit seroquel, but they told me we are continuing it. My last doctor told me that it was making me more and more depressed and cut it cold turkey!!! I hate psychiatry, it is one profession of medicine in which you're not allowed to resist treatment. I hate that the people who were supposed to take care of me betrayed me all over again. I believe in myself above anyone now.

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