Illness and Conditions, Uncategorized

Diagnosis Catfish

The face made when you learn who and what is behind the CATFISH!

What began as an MTV reality show documenting the use of fake online profiles to hook people into romantic relationships has become a widely accepted term for a clinically relevant phenomenon. It wasn’t until the second season of its airing that mental health awareness PSA’s started appearing in some of the episodes. Many of the “catfish” and their victims suffered from mental health issues, which made them vulnerable to engaging in the behavior as well as falling prey to it. The emotional impact of revealing the deception also had an adverse effect on mental health. This only served to intensify the drama and pain being witnessed and made it almost irresponsible for the network and viewers to ignore for the sake of entertainment.

Want to know what kinds of mental health issues breed a catfish? Keep reading.

After watching all seven seasons of the show and using criteria from The Diagnostic & Statistical Manual of Mental Disorders, 5th Edition (DSM-5) it became clear that a handful of conditions perpetuate and maintain catfish behavior and falling prey to it.

Anxiety

Anxiety is a mental health condition that’s easy to empathize with because fear can be such an overwhelming emotion. It has the ability to paralyze people from interacting with each other in order to avoid the rejection or ridicule they fear will happen if they do. This was the case for the catfish who reported creating fake online personas to have anxiety free social contact. Diagnoses like Social Anxiety and Panic Disorder can close people off from the outside world. Creating a profile where they don’t have to be themselves is a relational strategy to create “safe” connections with people. Unfortunately, this safety behavior can still have negative consequences even if the person’s deception isn’t revealed. The avoidance of authentic connection to manage anxious distress keeps a person trapped in their negative and fear based thought spirals. And when a meaningful love connection occurs through deception, self-esteem takes a hard blow because the person hasn’t really fallen in love with the real YOU. This painful truth reinforces core beliefs of being unlovable and the fear that if people knew the real you they would run the other way. Imagine how that fear is confirmed when the catfish is confronted and “rejected” by their online romantic partner. When you behave in a way that elicits the negative thing you believe in or fear the most it is known as a self fulfilling prophecy. The only way to prevent that from happening is to challenge or reality test the fearful beliefs and change the behaviors that supports them. It’s hard to do that when trapped behind a screen.

Depression

Anxiety and depression go hand in hand. Some symptoms of depression that underlie catfishing are low self-esteem, social isolation, worthlessness, and persistent negative and distorted thinking about self and others. One of the catfish in Season 1 had used his online connection of ten years to a girl he never met as a means of coping with depression and suicidal thoughts. He felt self-conscious and suffered from low self-esteem due to his weight. He assumed what the girl would probably think and feel about him if she saw what he really looked liked. This is a type of cognitive distortion known as mind reading. Finally meeting her in life challenged a lot of the beliefs that were keeping him from video chatting and meeting up with her. Another catfish had adopted an identity that she felt represented all the things she wished she was and got to live that imaginal “perfect” life through the profile to escape her depressive reality. On the flip side, some of those hooked by catfish also suffered from low self-esteem and depressive thinking. When an awesome, exciting, and beautiful person started complimenting them, they wanted to believe it was the real thing. Their mood and self worth became dependent on the external validation provided by the catfish. Revealing the deception triggered a downward spiral of hopelessness, worthlessness, and despair for some of the victims. Sadly, they are likely to fall prey again if they don’t learn how to cultivate validation from within. Sorry, Nev and Max, but those two month follow up video chats where everyone reports how great they’re doing – probably not that accurate.

Personality Disorders

Some of the most dramatic episodes involved people who catfish for revenge, to get a boost of attention, or to manipulate the victim into providing them monetary support. These catfish are in line with the cluster of personality disorders characterized by their “erratic and dramatic” behavior. Now for the disclaimer – in order to properly assess and diagnose someone with a personality disorder a mental health clinician has to take into account a lot of information including developmental history, family dynamics, trauma exposure, and a host of “rule outs” of other disorders that better explain the problem behavior(s). Moving on…

The three most commonly known disorders in this cluster are Borderline, Anti-Social, and Narcissistic Personality Disorder(s). Catfishing as an act of vengeance for being “wronged”(e.g. one catfish created a fake profile for the purposes of emotionally and financially destroying an ex who had cheated) or to test the limits of one’s love without regarding how that will impact the other person could be interpreted as “borderline” behavior. That shift from love to hate and back again speaks to that erratic emotional state experienced by someone with the disorder in response to perceived abandonment or rejection. The resulting behavior could include threatening to commit suicide or self-harm to keep the other person concerned about them, creating an illness or injury (i.e. what Max referred to as the two C’s – cancer or a car crash) as an excuse that will prevent the person from rejecting or abandoning them, or giving ultimatums such as demanding that the person move, travel large distances to meet them, or make grand gestures to show that their love is “real” only to have the catfish stand them up or disappear for a time. This kind of emotional roller-coaster and instability is a disaster for both the catfish and the people they hook. They aren’t capable of stopping cold turkey without truly wanting to get off the roller-coaster. They will also need some intense therapeutic support to learn to manage their emotions and change their behavior.

Credit: https://www.talkspace.com/blog/borderline-personality-disorder-impacts-relationships/

And now for the scariest of catfish…

Both Anti-Social and Narcissistic Personality disorders have some level of what is known as schadenfreude or deriving pleasure from someone else’s misfortune. Criminal behaviors like assuming someone’s identity to commit fraud (e.g. one catfish manipulated multiple victims to pay her bills and buy the things she wanted, then glibly blamed them for falling for it) or to slander a person’s reputation for “fun” (e.g. one catfish was arrested when she orchestrated a sexual encounter between a well-known athlete and a woman she didn’t know was a minor resulting in him being labeled a pedophile and almost destroying his career) display a lack of empathy and manipulation of people’s emotions to inflate a fragile sense of self. In one of the episodes, a victim whose identity was being used by a number of catfish expressed how a stranger grabbed her on the street and demanded to know why she had stopped talking to him. The woman became so guarded that she barely socialized or went out alone. While one of her catfish was confronted and the fake profile dismantled within a few days, this woman’s hypervigilance and the blow to her sense of identity will probably take a much longer time to undo.

The Catfish relationship take away…

The show identifies a number of “red flags” (see above) to look for when talking to someone online, whether you’re interested in dating or friendship. It also provides a few helpful investigative strategies to use if you suspect that the person might be a catfish. That being said, I think it’s important to also set what I call safe expectations before trying to date anyone on an online platform or app.

Your safe expectations should keep in mind the following three statements:

  • If it’s too much and too soon, it’s misattuned!

Don’t question your judgment with this. It takes time to get to know someone and that offer of all your hopes and dreams in a “perfect” package right from the beginning is just not realistic. If it’s the real deal, this person will not become upset if you slow the pace down. They will also not react with anger or ghost you when you set a limit. Using the phrase, “I’m really enjoying the process of getting to know you” followed by the limit you want to set shows a healthy boundary and sets the pace by which you want to open yourself up to this person. Don’t fall prey to statements that push back at that limit with “loving” manipulation such as “but you’re the perfect woman and everything I’ve been looking for…why are we waiting?” or “we’re adults and don’t have to play games.” Some version of these two repeat themselves in a variety of online dating courtships. If they get mad or ghost you, ’twas your gain in the end.

  • Your time is precious and your own to give.

This is the opposite of “too much, too soon.” If you find that you’re spending a lot of time trying to make something as basic as a phone call happen, you need to take back your most precious commodity. It’s wasteful and emotionally exhausting. Use that time to engage in self-care and to meet someone who’s more present and available…and real.

  • If it doesn’t feel good in your mind and body, it isn’t.

Powerful is the mind and body (gut) connection. Our bodies sometime react before our minds have a chance to process the “warning.” If you find that you’re experiencing some kind of somatic reaction when interacting with someone, check in with yourself. I’ll share my own experience with this one.

A few years ago, I had been talking to someone for about a month and feeling what I thought was a deep connection starting to develop between us. As we were trying to lock down a date to meet up with much excitement coming from both ends of the phone, I ignored some clear physical reactions that only made sense after this person did the slow fade to ghosting. Mixed with his compliments and flirts were little passive aggressive statements. I wasn’t picking up on them consciously, but my body was reacting to them with what looked like a rash on my chest and neck. This rash had occurred in the past in response to a loved one splitting on me (i.e. shifting from loving to rejecting without understanding what I had done.) My body knew this person was going to split before my brain processed the evidence for it.

Trust in the wisdom of your gut – it’s primal and straightforward unlike the stories we weave and tell ourselves to rationalize or deny shit experiences. Leave the stories and the drama for reality tv.

 

Additional sources of information on the mental health issues discussed in this post:

https://www.mentalhealth.gov/

https://www.nimh.nih.gov/index.shtml

Uncategorized

A Boundary Building Crib Sheet

YES and NO are two very powerful words. They are the gatekeepers that maintain the boundary of self and other. We need boundaries to protect ourselves from things that don’t serve our well-being; however, they also need to be flexible enough to filter in the good stuff like life experiences and connections. Many of us have great difficulty building and maintaining healthy boundaries especially in situations and with people we are emotionally invested in. This is because our emotions sometimes mess with the circuitry of our rational higher brain when they interface with each other in our decision making. Finding that middle ground between masochism (YES-ing to death) and isolation (building a wall of NO) is possible, but it takes practice. I’ve created this crib sheet to help guide the process and deal with some of the challenges that come up along the way.

(1) EMOTIONAL ASSESSMENT

It’s important to really examine the emotions that come up for us when setting limits and boundaries. I often ask clients (and myself) to reflect on how they feel when they say either YES or NO. After getting a general sense of what that brings up for them emotionally, we start to examine the feelings triggered in different situations and settings where YES and NO have been exercised. This self-reflection is key in helping us to understand and eventually reframe the responses of others.

Perhaps your friend’s inability to handle your NO is about their own fear of rejection, but their passive aggressive response to you may trigger a stream of intrusive negative thinking that has you fearing you will lose this relationship if you don’t say YES. This cycle only maintains and perpetuates some pretty shitty self-esteem and relationship dynamics.

(2) IMAGINING THE OPPOSITE

What would life be like if you didn’t always say YES? How would it feel if you could just say NO without an explanation? What would change for you? These are just some of the prompts to get you thinking about the real costs and benefits of boundary building. Imagining the opposite is kind of mind blowing. One of my clients sat with the word that came up for her (i.e. freedom) when imagining what life would be like is she didn’t say YES all the time. That imagined life prioritized her own needs and took the burdens of others off her chest. It sparked a series of small changes in behavior that prepared her to let go of a very toxic relationship.

(3) COMMUNICATING OUR BOUNDARIES

This should not be confused with explaining our boundaries. People respond best to open and direct communication that is compassionate. Congruent communication is a skill that helps people in relationships understand and express each other’s needs without defensiveness. Adapting this style of communication to express our need for boundaries will help reduce the blow-back from people in our lives not used to us having them.

Some great examples are the following:

“I know I haven’t always been good at letting you know how I feel and as awesome as you are, I know you’re not psychic. This is why I want to talk to you about a few things.”

“You are very important to me and it means a lot that I can be this honest with you about my needs.”

My personal favorite and one that I find is absolutely necessary when you work in a care-taking and/or helping profession is the following:

“I want to be there for you, but there are times when I am too overwhelmed with my own stuff and life. The only way I can be present for the people I care about is if I am taking care of myself first. This is when I have to say no to certain things.”

(Insert the flock of doves emanating from the heavens)

People may still react to your compassionate dialogue; however, rest assured that their reaction tells you more about whether they are meant to remain in your life or not. A healthy relationship is one that is reciprocal and interdependent. If they truly care about you, they will support your needs even if it takes them a little time to process and understand them. For those that don’t get it, keep reading to (5) TAKE A TIME OUT FROM THE TOXIC.

(4) A ‘NO EXPLANATIONS’ APPROACH

You don’t have to justify your boundaries further than the compassionate communication outlined above. Explanations are often about anticipating and/or managing other people’s emotions. If you find yourself worrying that you might disappoint an important figure in your life by saying NO, you may needlessly over explain your boundary. You may feel the need to exaggerate your explanations to the point of lying to avoid being interrogated about your boundary. Fighting this urge is hard work and success varies depending on the situation and/or relationship.

In the spirit of full disclosure, I only recently got good at the ‘no explanations’ approach. Below is one of my success scenarios.

My then boyfriend asked me to come hang out with his friends while they watched the UFC fights on PPV. There were a number of reasons why I didn’t feel like going, but rather than list them all, I chose to say, “No babe. I’m good. You have fun with the boys.” He immediately asked me what I was going to do on a Saturday night alone. His assumption that I couldn’t possibly have any other plans or things to do was enough to trigger some irritation, but I managed not to react. I smiled and told him, “I’ll be fine. You enjoy the fights.” My lack of explanation started to trigger some mind reading from his end. “You probably want to go out to some club, don’t you? Yeah, I know what you girls do. That’s cool. You go let some bro feel up on you instead of hanging out with your man.” At this point, I wanted to punch him in the face and/or leave the room, but I maintained my calm and restated my original response with a little “sass” to reframe his mind-reading. “I’m going to miss you too baby. You have fun tonight.” I rubbed up on him like an exaggerated club dancer to drive home how ridiculous he was being. He laughed. I laughed. All was good and no more questions were asked.

If only they all worked out this way. What I will say about all the not so successful attempts is that they highlighted my triggers and vulnerabilities. Understanding where and why I got derailed helped me to revise my approach in order to react differently next time. I have several ‘no explanation’ tactics at the ready for interactions with my parents because I know from many a trial and error how my frustration and anger gets the best of me. The worst part of those exchanges was knowing I had gone off the rails, but not being able to bring myself back. When I would hear “relax, it was just a question” I knew I had failed. Prepare your ‘no explanation’ strategies before challenging situations to increase your success and reduce distress (rhyming intentional).

(5) TAKE A TIME OUT FROM THE TOXIC

If you find that your boundaries are being tested over and over again with certain individuals despite all your congruent compassionate communication and ‘no explanations’ attempts, give yourself permission to take distance. If you can’t do that for yourself, then I give you permission to take distance. You don’t have to respond to their texts, DM’s, or any attempts at contact immediately or at all. You can choose the terms by which you will engage with them and interact accordingly. They will almost definitely feel a certain kind of way about your distance, but don’t let their reactions make you feel that you’re “ghosting” them. If your relationship is one-sided and co-dependent, it is not healthy. Your silence is self-care. And speaking of self-care…

(6) REWARD YOUR BOUNDARIES

Setting boundaries that put your needs first is an act of self-love. For those of us who have trouble saying NO to others, work with the YES and recognize that boundaries can be an act of saying YES to yourself. For people with rigid boundaries, look at the ability to say YES as being in control of the gate between yourself and others. You get to choose what and who you let it. Say YES only to what feels good to your being; nothing else gets through the gate.

As you build healthy boundaries, people who do not serve you will start to exit your life. Those exits may be dramatic and may hurt for a period of time; however, you will start to be surrounded by people who not only support your boundaries, but will also have boundaries of their own. You will get to experience what it feels like for someone to communicate a boundary with you, and learn to appreciate their openness and honesty. If we all communicated our needs directly and with compassion to each other, we probably wouldn’t even need to call boundaries boundaries. They would become more like lines of contact connecting individuals to each other in a sort of collective relationship tapestry. We aren’t there yet, but it’s worth imagining.

 

Fitness - Inside and Out, Illness and Conditions, Uncategorized

I know you are, but what am I?

When did “I’m good at Math.” turn into “I’m a genius. You’re stupid.” 

When did “I think he likes me!” turn into “I’m hot. Everybody wants me.

When did “Oh, my butt looks so cute in these pants.” turn into “You wish you had my body, bitch.

 

Society has done an amazing job of conditioning us to hear confidence as cockiness. Positive “I” statements as narcissistic. It’s frightful that a healthy self concept can be skewed so negatively. But it happens and the lower the self esteem of the other person, the worse it is. 

In the behavioral neuroscience courses I’ve taken, many of us struggled with understanding sensation vs. perception. The take away from all those lectures was that perception isn’t necessarily reality. It may not have anything to do with what actually happened. The example in class was of an experiment where people listened to a piece of classical music and then reported their mood afterward. Same stimulus, but many different perceptions. People reacted to the same piece of music differently – some fell asleep, some were crying tears of joy, some became angry, others sad and so on.

Much like the classical music, the positive “I” statement also goes through that auditory pathway into the sections of our higher brain that gives the statement meaning. The meaning comes from our own experiences and core beliefs. How we perceive the words may have nothing to do with the words themselves or the person they came out of.

There’s a Greek expression my father used to say – He who has fleas feels itchy. Essentially, if someone has something in their mind (fleas), their reaction is going to reflect that (itchy). Itchy is their state of being. So, if you make a statement of self esteem and the person you say it to has a low self concept or suffers from cognitive distortions, their filter is going to assign a negative meaning to it. It will become evidence that they aren’t good enough. They will mind read you and assume you think you’re superior to them. They might even call you names and tell you they want nothing to do with you. Being around you doesn’t make them feel good because they don’t like the mirror you have become for them.  Nothing you do or say is going to change that. In the end, they need to take a hard look at their own reflection instead of flipping it back onto you.

You are absolutely allowed to acknowledge your accomplishments and take pride in your traits. We are all little works in progress. The more support we give each other, the more likely it will inspire growth and self love. I look to people who make positive “I” statements and feel inspired. In my head I hear “I should try that” or “Oh, that makes me want to write again” or “I wonder how I would look with that hair cut.” But I wasn’t always like that…

Between the ages of 19 and 22, I suffered from dysthymia or what is now called Persistent Depressive Disorder. It’s a chronic low grade depression that casts what feels like a shadow over every area in your life. My self esteem was almost non-existent and my thoughts were extremely negative. I walked around with a pervasive sense of hopelessness. I definitely perceived everything and everyone through that filter. I had a close friend who was gorgeous. She had body confidence for days, could talk to just about anyone and got the attention of boys/men wherever we went. Being in her company made me acutely aware of all the things I felt I wasn’t. I would get upset or border on crying many times we would go out. I would tell her things like, “You just want everyone. Let me have someone too.” She would look shocked, tell me I was also beautiful and could have whomever I wanted, but I felt like she was just telling me these things out of pity. I perceived the tone of her voice as patronizing. I would ask her why she was talking to me like I was some kind of loser. She would give me this look of confusion mixed with annoyance, which made me scared she would stop being my friend. I would apologize profusely and then compliment her repeatedly. I perceived her as being annoyed with me all the time. It got to the point that I felt so self-conscious being around her that I decided to stop talking to her. I didn’t return her calls. I didn’t make any effort to reach out to her. I needed to relieve myself from the anxiety and lowness I felt when I was around her. None of this was her fault. She did nothing but be herself; a self that I couldn’t be. My depression and distorted negative thoughts convinced me I had no business being around her. In one of the last voicemails she left me, she was semi crying and asking what happened; how it hurt her to not know what she did to make me disappear. It’s really sad and messed up. As I look back on that period in my life, it makes me see recent experiences with former friends in a different light. It’s easier to forgive when you’ve been in their place. It’s easier to have compassion when you know what level of lowness their words and actions toward you came from.

These experiences helped me see how far I have come from that dark time in my life and taught me to be more compassionate for that suffering when I see it and experience it in others. If I could say anything to that friend now it would be, I’m sorry. I had a lot of issues and you were a good friend to me despite it all. You didn’t deserve to be treated like that. I hope you can forgive me.

And to those former friends who treated me in kind, I forgive you too.

 

 

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