Psychological Flexibility

What is Helpful, Effective ("Healthy"*) Mental Health?

*Health looks different for different people. When it comes to mental health, what’s healthy for one person may not be for another. Because of that, the word can sometimes be used in a way that feels judgmental or dismissive. That’s why I prefer words like “helpful” or “effective” when talking about mental health—because they focus on what actually works for you and supports your growth.

Mental health can sometimes feel like a secret code—something only unlocked through years of therapy. Fortunately, that’s not true.

At the end of the day, helpful and effective mental health is about learning one key skill:

Psychological Flexibility

Psychological flexibility means being able to notice what patterns of thought, feeling, and action you tend to use when you’re on autopilot - your default ways of understanding and being in the world. This default has likely emerged as your way of getting your needs met in the past given your unique brain. Much of psychological suffering and mental health challenges come from trying to use our past/default ways of getting our needs met in present moment situations where the default may not be as helpful.

As you learn to notice your default, you can also learn to pause, and choose a response that moves you toward the life you want to build rather than towards your default way of meeting your needs. It doesn’t mean getting rid of your default way of thinking, feeling, and acting—in fact, your default likely reflects your strengths and lived experiences. But sometimes if we only rely on those patterns to get our needs met, they can end up getting in the way of what you truly want or need and we need to learn new ones to help us.

That’s when psychological flexibility becomes so powerful. It helps you relate to your inner world with more clarity and choice, rather than feeling stuck or reactive.

How Do We Improve Our Psychological Flexibility?

We can break it down into four key parts:

Exploring each part can help you better understand your default patterns, how to work with them more skillfully, and how to start to develop new patterns to add to your internal toolkit.

This framework is significantly based on the work of Daniel J. Siegel, MD, and the PDP Group in Personality and Wholeness in Therapy. In some ways the information on this webpage is an attempt to translate his theory and findings into more everyday language.

If you know about the Enneagram and find it helpful, this framework emerged from Dr. Siegel’s study of that system and the ways it shares common ground with current mental health science, and I have indicated which default a certain Type tends to have. For those of you who don’t know or use the Enneagram, disregard anything that says “Type” and then followed by a number

Attention & Energy

All of us focus our thoughts (attention) and effort (energy) in different ways. Most of us tend to focus most on one of three areas:

Inside of us

Focusing thoughts and effort on what’s happening inside of us: our thoughts, emotions, body sensations, urges, memories.

(Types 1, 4, 5)

Outside of us

Focusing thoughts and effort on what’s happening outside of us: what we see, hear, smell, feel, taste; what others are doing or not doing; what’s happening in our environment.

(Types 2, 7, 8)

Both inside & outside

Focusing thoughts and effort on how to hold tension and balance our understanding of what’s happening inside and outside of us simultaneously.

(Types 3, 6, 9)

What might your default be?

Answer these questions to get a better idea of what you tend to pay attention to when you’re on autopilot (default):

Something unexpected happens. What do you notice first?

A) My feelings, thoughts, body sensations, &/or reactions inside myself.

B) What's happening around me &/or what others are doing.

C) Both at the same time—I notice myself and what's going on around me.

When you're talking with someone important, what's easiest for you?

A) Noticing my own thoughts, feelings, body sensations, &/or reactions.

B) Noticing the other person's words, actions, &/or surroundings.

C) Paying attention to both myself and the other person equally.

When you're by yourself, what do you find yourself thinking about the most?

A) My own thoughts, feelings, body sensations, &/or memories.

B) Things I can see, hear, touch, &/or what's around me.

C) A mix of both what's inside me and around me.

When things get stressful, where does your attention usually go?

A) Mostly inside myself (my feelings, thoughts, body sensations).

B) Mostly outside myself (what's happening around me).

C) I usually try to pay attention to both at the same time.

Scoring:

Look at your answers. Which type did you choose the most?

  • Mostly A’s: Your default is focusing Inside yourself (Types 1, 4, 5).

  • Mostly B’s: Your default is focusing Outside yourself (Types 2, 7, 8).

  • Mostly C’s: Your default is Balancing Inside and Outside (Types 3, 6, 9)

  • If there's a tie, it means you might be able to more easily switch between different ways depending on the situation.

Okay, so what?

Now that you’ve identified your potential default, ask yourself if you are having any difficulties getting what you want or need, or if you’re feeling stuck in how to live according to your values or make progress on your goals.

If the answer is yes, it could be helpful to work on shifting your focus to a different area. Sometimes learning how to shift what we focus on can open up new ways of meeting wants and needs, living out values, or progressing on goals.

Consider the Growth suggestions below to explore this.

Growth

Does your default way of focusing help you meet your needs, get what you want, live out your values, and/or reach your goals? If not, consider practicing shifting your focus to different parts of your life through the recommended practices —>

Alternatively, you can play with this simple technique:

  1. Pause

  2. Notice if you’re paying attention and putting energy to your default focus.

  3. Take a slow breath

  4. Try to shift your attention and energy towards one of the other areas of focus and ask yourself, “What new information am I getting as I shift my attention to something new?”

Motivation

All of us are motivated by different things—what drives us to act or make choices. Most people fall into one of these three groups:

Agency & Empowerment

Some people are motivated by feeling strong and in control. They want to make their own choices and feel like they can take action when they need to.

(Types 1, 8, 9)

Certainty & Safety

Some people are motivated by feeling safe. They want to know what’s going to happen and feel sure that things are steady and okay.

(Types 5, 6, 7)

Bonding & Connection

Some people are motivated by feeling close to others. They want to feel cared for, connected, and part of a group or relationship.

(Types 2, 3, 4)

You likely care about all three—but one might be more important to you most of the time. This might not be a conscious choice, but what you are more motivated by default. 

What might your default motivation be?

All of us care about feeling strong, safe, and connected—but one might matter a little more to you most of the time. Answer these questions to get a better idea of what your default motivation might be. Choose the answer that feels most true for you most of the time—even if more than one sounds familiar. If it’s helpful, ask someone who knows you well for their observations of you about this.

When something hard happens, what helps you feel better?

A) Taking action or making a decision.

B) Knowing what to expect or making a plan.

C) Talking to someone I trust or being around people who care.

What matters most when you’re making a choice?

A) That I get to choose for myself.

B) That I know it’s safe and won’t go wrong.

C) That it brings me closer to others or keeps people happy.

What upsets you the most?

A) Feeling helpless or stuck.

B) Not knowing what’s going to happen.

C) Feeling left out or alone.

When you're feeling really good, what’s often true?

A) I did something on my own that I feel proud of.

B) Everything feels steady and under control.

C) I feel connected to someone or part of something.

Scoring:

Look at your answers. Which type did you choose the most?

  • Mostly A’s: You’re likely most motivated by feeling strong and in control. This means that you are often doing things that keep you feeling empowered so that you have agency (Types 1, 8, 9).

  • Mostly B’s: You’re likely most motivated by feeling steady and certain. This means that you are often doing things that keep you feeling safe through the pursuit of certainty (Types 5, 6, 7).

  • Mostly C’s: You’re likely most motivated by feeling close to others. This means that you are often doing things that help you feel connected through bonding with others (Types 2, 3, 4).

  • If your answers are mixed, that’s normal! You might shift depending on the situation—but this gives you a starting place to notice what matters most to you in everyday life.

Okay, so what?

Now that you’ve identified your potential default, ask yourself if you are having any difficulties getting what you want or need, or if you’re feeling stuck in how to live according to your values or make progress on your goals.

If the answer is yes, it could be helpful to work on experimenting with shifting your motivation to a different area. Sometimes learning how to shift what we are motivated by on can open up new ways of meeting wants and needs, living out values, or progressing on goals.

Consider the Growth suggestions below to explore this.

Growth

Sometimes the thing that drives us most (our default motivation) helps us—other times, it might hold us back. If you’re noticing that your usual way isn’t working in some situations, here are some ideas to try —>

Alternatively, you can play with these steps:

  1. Pause

  2. Notice if you’re paying attention and putting energy to your default motivation.

  3. Take a slow breath

  4. Try to shift your attention and energy towards one of the other areas of motivation and ask yourself, “What new information am I getting as I shift my attention and energy to something new?”

Priority Emotions

All of us learn how to deal with our emotions in different ways. Over time, we may start to focus a lot on certain emotions—even if we don’t realize it. These are called priority emotions.

Sometimes we pay a lot of attention to a certain emotion and let it guide our choices. Other times, we try hard to ignore that emotion—we don’t want to feel it, think about it, or be in situations that might bring it up. Whether we pay a lot of attention to it or try to ignore it or pretend it’s not here, we are prioritizing that emotion.

Often, we’ve been doing this for so long that we don’t even notice it anymore. It becomes a habit. But even if it feels automatic, we can learn to notice it and make new choices. This doesn’t mean we can stop the emotion from showing up, but we can decide how we want to respond to it. That gives us more freedom to act in ways that match our values and goals.

Some of the emotions people often default prioritize are:

Fear

There’s always some part of your brain that is worrying (or trying to avoid worrying) about what might go wrong or trying to stay safe.

We can experience fear in many ways:

  • We can experience fear at different levels of intensity: uneasy, nervous, scared, afraid, fearful, panicky, terror, horrified

  • We may be experiencing fear when we have these body sensations and/or urges:

    • Body sensations: Chest tightness, mind racing, wide eyes, pounding heart, fidgety, cold sweat, tension, shallow breathing.

    • Urges: Get away, fight, negotiate, shut down, freeze, people-please, become passive, hide, call for help, be vigilant.

(Types 5, 6, 7)

Anger

There’s always some part of your brain that’s feeling frustrated (or trying to avoid feeling frustrated) or wanting to fight back when something feels unfair.

We can experience anger in many ways:

  • We can experience anger at different levels of intensity: annoyed, frustrated, irritated, angry, furious, outraged.

  • We may be experiencing anger when we have these body sensations and/or urges:

    • Body sensations: Furrowed brow, tension, scrunched face, tight shoulders, jaw clenched, fists in a ball, heat in the head.

    • Urges: Change someone or something, confront, raise your voice, do damage, retaliate, withdraw, seethe silently, point out something indirectly.

(Types 1, 8, 9)

Sadness, shame or loneliness

There’s always some part of your brain that’s feeling down, bad about ourselves, or left out (or trying not to feel those things).

We can experience sadness, shame, or loneliness in many ways:

  • We can experience different levels of intensity: down, hurt, lonely, embarrassed, self-conscious, disappointed, sad, ashamed, hopeless, despair, humiliated, mortified.

  • We may be experiencing sadness, shame, or loneliness when we have these body sensations and/or urges:

    • Body sensations: Heaviness, numbness, crying, slumped, tight throat, low energy, fatigue, pit in stomach, eyes down, flushed face, slumped shoulders.

    • Urges: Get small, cry, freeze, turn anger inward, direct anger to others, people-please, be passive, hide, avoid, shut down, be alone, seek comfort, reflect on what happened, isolate, slow down, rest.

(Types 2, 3, 4)

What might your priority emotion?

We all deal with emotions in different ways. Some emotions show up a lot and may have a big impact on what we think, feel, or do—even if we don’t notice it right away. Read each question and choose the answer that feels most true for you most of the time.

When I feel stuck, what emotion is usually there?

A) I feel nervous, worried, or afraid.

B) I feel frustrated, mad, or like I want to argue or shut down.

C) I feel sad, ashamed, or alone.

When I look back at past choices, what emotion was guiding me the most?

A) I was trying to stay safe or avoid something going wrong.

B) I was trying to stand up for myself or stop something that felt unfair.

C) I was trying not to feel rejected, hurt, or like I failed.

Which of these do you try to avoid the most?

A) Feeling afraid or not in control.

B) Feeling angry or explosive.

C) Feeling sad, hurt, or like I don’t belong.

If I could make one feeling go away, which one would I choose?

A) Fear or anxiety

B) Anger or frustration

C) Sadness, shame, or loneliness.

Scoring:

Look at your answers. Which type did you choose the most?

  • Mostly A’s: Your priority emotion might be fear. You may focus on staying safe or worry a lot about what might happen, or you may put a lot of effort into trying not to feel afraid or be in situations where you might feel fear (Types 5, 6, 7).

  • Mostly B’s: Your priority emotion might be anger. You may often feel like you need to protect yourself or stand up against things that feel unfair. You might also put a lot of effort into trying not to feel frustrated, trying to ignore frustration that you do feel, and/or avoiding situations where you might feel anger (Types 1, 8, 9).

  • Mostly C’s: Your priority emotion might be sadness, shame, or loneliness. You may notice yourself pulling away, feeling down, or wondering if you’re enough. You may also put a lot of effort into trying not to feel these things and/or avoiding situations that might put you at risk for feeling these things (Types 2, 3, 4).

Okay, so what?

Now that you’ve identified your potential default, ask yourself if you are having any difficulties getting what you want or need, or if you’re feeling stuck in how to live according to your values or make progress on your goals.

If the answer is yes, it could be helpful to work on experimenting with shifting how you relate to your priority emotion. Sometimes learning to relate to it differently can open up new ways of meeting wants and needs, living out values, or progressing on goals.

Consider the Growth suggestions below to explore this.

Growth

There’s nothing wrong with feeling fear, anger, or sadness. These emotions are part of being human. But when we notice how they show up for us, we can make new choices—ones that help us live in ways that feel more like the person we want to be —>

Alternatively, you can play with this simple technique:

  1. Pause.

  2. Notice if you’re paying attention and putting energy into fully experiencing or trying to avoid your default priority emotion.

  3. Take a slow breath.

  4. Try to shift your attention and energy towards one of the other emotions that might also be present and ask yourself, “What new information am I getting as I shift my attention to something new?”

What We Do With Our Emotions (Emotion Management or Regulation)

We can’t always control what emotions show up. When we’re on default, we often either automatically act on certain emotions or we automatically try to control or avoid—but we can decide how to respond to them. This is called emotion management (or emotion regulation), and it means asking yourself:

“What do I want to do with this feeling?”

We can all learn to do different things with our emotions. None of them are wrong or bad—they’re just different styles. You might notice that one of these is your go-to (default) way:

Contain & Channel

I hold the emotion in and use that energy to focus, plan, or act.

(Types 1, 3, 5)

Experience & Express

I feel the emotion fully and show or share what I’m feeling with others.

(Types 4, 6, 8)

Reframe & Redirect

I look at the emotion differently and shift my energy toward a new point of view or action.

(Types 2, 7, 9)

You likely use all three at different times, but one might feel most familiar.

What might be your default way of managing emotions?

Ultimately, emotions give us information about what our brain thinks we need in the present based on our past experiences. And throughout our lives, we tend towards one style of emotion management (or regulation) that seems to be most likely to meet our needs. This isn’t something we actively choose, but that can feel automatic. Pick the answer that sounds most like you in everyday life.

When I feel a big emotion, I usually...

A) Hold it in and try to stay in control.

B) Feel it fully and show it, cry, vent, or talk about it.

C) Try to think differently about the situation and shift how I feel.

When someone upsets me, I tend to...

A) Stay calm and take time before reacting.

B) Show how I feel or say something right away.

C) Think through their side or try to shift the story in my mind.

When I’m overwhelmed, I...

A) Focus on what I can do about it.

B) Let the emotion out—talk, move, or express it in some way.

C) Remind myself of a different way to look at it or change my focus.

When I’m trying to get through a tough moment, I usually...

A) Push through and keep going without showing much emotion.

B) Let myself feel it and maybe talk to someone about it.

C) Look for the silver lining or try to see the situation in a new way.

Scoring:

Look at your answers. Which type did you choose the most?

  • Mostly A’s: You may tend to contain and channel your emotions (Types 1, 3, 5).

  • Mostly B’s:  You may tend to experience and express your emotions (Types 4, 6, 8).

  • Mostly C’s: You may tend to reframe and redirect your thoughts about your emotions (Types 2, 7, 9).

Okay, so what?

Now that you’ve identified your potential default, ask yourself if you are having any difficulties getting what you want or need, or if you’re feeling stuck in how to live according to your values or make progress on your goals.

If the answer is yes, it could be helpful to work on managing your emotions in a different, non-default way. Sometimes learning to manage emotions differently can open up new ways of meeting wants and needs, living out values, or progressing on goals.

Consider the Growth suggestions below to explore this.

Growth

Sometimes when we only manage our emotions in one way we miss out on meeting our needs, getting what we want, living our our values, and/or progressing towards a goal. If that is the case for you, consider these practices to help you grow and experience more flexibility in how you manage your emotions —>

Alternatively, you can play with this simple technique:

  1. Pause

  2. Notice if you’re managing your emotions with your default approach.

  3. Take a slow breath

  4. Try to shift how you’re managing your emotions by trying to manage them with one of the other strategies, and ask yourself, “What new information am I getting as I relate to my emotions differently?”