Building Personal Emotional Strengths

Chapter 10


Building Personal Emotional Strengths




Building Self-Esteem






Everyone Struggles with Self-Esteem


Everyone struggles with self-esteem. Does that surprise you? It might not if you think about it for a minute. Nobody has a precisely accurate view of their self-worth. Everyone’s self-esteem fluctuates in response to moment-by-moment events, percep-tions, self-talk, and feedback. Our self-esteem gets a shake-up every time we experience change, especially on the job, whether it is an extremely challenging patient, a new piece of medical equipment or software, or a different supervisor. No one brings all the skills and experiences to the change that will make us as comfortable as we will eventually become. Just when we get used to a change, and begin to manage or deal with it effectively, everything changes again. Fortunately, your co-workers are in the same boat when change happens at work.


We all judge ourselves compared to others, even if we know we shouldn’t. This process is automatic, and our self-esteem has been under construction since we were babies. It was both built and battered by the messages we received from members of our household and friends, bolstered by achievements and bashed by failures, and influenced by all kinds of feedback, including grades, relationships, and brush-offs.




Characteristics and Benefits of Self-Esteem


How do you know if you have strong self-esteem? Most of us go through our daily lives without really evaluating the role our self-esteem contributes to our success and well-being. Yet, our self-esteem is always evolving, quietly processing our experiences, perceptions and misperceptions, self-talk, and interactions with others. In truth, our self-esteem is shaped not so much by what happens to us but by how we interpret what happens to us.




Fortunately, self-esteem is largely under your personal control. By bringing your self-esteem out of the darkness and into the light of day, you can mold it to become a healthier, more confident, and more effective human being. In fact, your work performance is a great opportunity for building and molding your self-esteem. Use the opportunity of a new job to become more like the person you really want and deserve to be.


For one thing, you can learn to abandon the practices mentioned in Box 10-1 that result in low self-esteem.




How to Build Self-Esteem


Your self-esteem is based on your interpretation of yourself. It may have first evolved from childhood experiences that were beyond your control, but you’re in charge now. You don’t have to live with low self-esteem because you are in control of your own thoughts. You can choose how you view yourself. Even if you have a healthy amount of self-esteem, you can increase it even more.



Make the Right Comparisons; Set the Right Goals


The absolute worst thing you can do is compare yourself to others. There are always going to be people out there who are better than you in some ways. So what? No one can be best at everything. In the same vein, you are going to be better at some things than others. Comparisons with other people are very flimsy platforms for self-esteem.


Rather than comparing yourself with others, compare your present self with your former self. Are you getting better? Do you have a plan to improve your life and circumstances so that you have a brighter future? Instead of trying to impress or seek the approval of others, try to impress yourself. You are the person who cares most about you anyway.



As you learned in Chapter 8, setting realistic goals is the path to a better life and improved self-esteem. If you know what you want to achieve in life, and you feel you are working on a plan to achieve those goals, your self-esteem will rise. Visualize a future full of meaning, success, and satisfaction. Imagine it as richly as you can, using all your senses to think about all the areas of your life. Do not let past failures and disappointments interfere with your opinion of yourself. Those mistakes are over and should be used as learning opportunities. Move on. If you embrace the present—the only place where you can be effective—and take actions that move you closer to the future that you envision and desire, you will have positive self-esteem.



Edit Your Self-Talk


You know your self-talk, that inner chatterbox that just won’t keep quiet? Is your self-talk supportive, or critical? If your self-talk kicks you when you’re down, or if you are harsher with yourself than you would be with others, improve it by changing your beliefs about yourself. Recast your beliefs. Beliefs, including those about yourself, are learned, so choose positive beliefs. Reframe and recast negative beliefs into positive ones.


Like any habit, self-talk can be changed if necessary. The first step is to notice what you are telling yourself and start looking for patterns.



If you are giving yourself positive self-talk, that’s great. Keep it up. If you detect a strain of negative self-talk, however, cut it out immediately. Say “Stop!” out loud or silently to yourself. This is called thought-stopping, and it forces you to recognize and interrupt bad self-talk. Now that you have interrupted your negative self-talk, you can analyze it and change it.


Reword your negative self-talk to make it less powerful. Just as you would call pain “discomfort” to help lessen the severity when speaking to a patient, soften the words you use in your own self-talk. If you make a mistake and start silently criticizing yourself, just tell yourself that you made a mistake. That way, you simply acknowledge making a mistake. You will have moved your self-talk from being negative to being neutral.


Turning a negative self-assessment into a neutral one is important. To take things a step further, see if you can turn it into a bit of positive self-talk. “I made a mistake, and I’m going to learn from this mistake so I don’t make it again.” Look for the positive side of a negative situation.



How you feel is determined mostly by what you are consciously thinking and talking to yourself about. In other words, your self-talk determines your mood.




Know Yourself, Love Yourself


Is it wrong to love yourself? Do you deserve to be happy and successful? Do you give yourself permission to celebrate your accomplishments?


Certainly, self-love can have an ugly side if it veers toward narcissism or arrogance. A strong sense of self-esteem is always best when tempered with humility and modesty. However, never be afraid to give yourself the gift of love. How can the love you give to others be meaningful and genuine if you can’t extend it to yourself? Recognize your strengths and give yourself credit for them. Develop them and keep track of your achievements.


What about your weaknesses? We all have limitations. We can all work to minimize the effects of these limitations, but in doing so, we have to accept them and move on. Let’s concentrate on our strengths and learn to laugh at our limitations. Most importantly, don’t invent limitations through negative self-talk and false beliefs.




Build the Positive into Your Daily Life


Nurturing your self-esteem is a daily struggle. You are constantly being evaluated, challenged, and offered feedback you may not even want. Pursuing actions every day that support your positive self-esteem will help you accept and process criticism.


For starters, make it a point to associate with positive people. Humans need social interaction and acceptance, and you can make this an extremely positive part of your daily life if you choose who you spend your time with. Avoid the “Debbie Downers” out there by surrounding yourself with positive people.


When you are alone, take time to make yourself feel good. Meditate. Practice yoga. Detach yourself from your daily stressors, even it means stepping into a quiet room or taking some deep breaths. The more you know how to protect yourself from stress, the better you will feel about yourself.


Project confidence with your body language. To feel confident, act as if you are confident. A confident mindset is the strongest pathway to actually achieving healthy self-esteem.


Finally, accept praise and criticism with a simple “Thank you.” Even those who criticize you are giving you something to think about. They might be off base, but simply smile, thank them, and say you will give some thought to the help they are offering. When you receive a compliment, a simple thank you acknowledges the kind comment. Put the praise in your gratitude journal.




Challenge Yourself


Nobody improves without challenging themselves. We must all challenge ourselves to become better people. When you accomplish something challenging, you raise your self-esteem. Think about playing a sport. If you play against someone who is much worse than you, you won’t get better. By the same token, if you play against someone who is better than you, you will improve your game. This philosophy applies to any activity or role. You learn best from those who are more advanced than you, so seek these people out when you want to improve your abilities and your self-esteem.


Once your efforts to improve your self-esteem start to pay off, begin developing skills to layer on top of your confidence. Assertiveness, for example, is a great skill to expand. Being assertive is not the same as being aggressive or defensive. Rather, it is simply sticking up for yourself, for others, and for the issues you care about. Of course, there is a proper time and place for asserting yourself. You should defend yourself when something is at stake, such as your self-esteem. You should also use assertiveness to defend the policies and rules of your workplace, the safety and professionalism of your practice, and the standards of behavior you expect from co-workers and clients.


Fear is one enemy of self-esteem. Although some fears are real, most are irrational. Consider ways you could increase your self-esteem at work if you weren’t being held back by fears. To test a fear, challenge it. Most fears, when challenged, disappear or at least recede. If you fear approaching strangers, you will usually find that new people are not as scary as you thought if you challenge your fear. Perhaps you fear public speaking, a particular medical procedure, or aggressive co-workers. Once you identify a fear that is holding you back, make a plan to confront the fear and master the behavior. You will be more effective at your job and possess a solid level of positive self-esteem. When you step outside of your comfort zone, it will feel a little dangerous at first, but persist. “Fake it until you make it,” and soon your comfort zone will open up.



Make Positive Connections


Asking for help is not a sign of weakness. Rather, needing help and not asking for it is weak. Health professionals are usually eager to share their expertise when asked. When you ask for help, you receive assistance with your immediate problem and strengthen a relationship with your co-worker.


Relationships are a source of self-esteem. Attend as many social events with co-workers as you can. Treat meetings as an opportunity to strengthen relationships. Meet co-workers you don’t already know and try to engage in some activity with them. Try to connect with your patients using a smile, body language, eye contact, and active listening. By helping others, you receive help in the form of recog-nition, acknowledgement, respect, appreciation, and gratitude—all great things for building self-esteem.



Case Study 10-1   The Diploma


Christine Sarkasian had been working as a professional coder on cardiology units for three years. She had already earned her Certified Professional Coder® (CPC®) certification, and she had a goal of making a yearly salary of at least $50,000 within two years. She had advanced knowledge of cardiac coding, and she thought she would try for the Certified Cardiology Coder (CCC™) Credential. She submitted the required two letters of recommendation and signed up for a test site. As an American Academy of Professional Coders (AAPC) member, the fee was $245 and included one retake.


The exam didn’t go as well as Christine had anticipated. The 150 multiple choice questions covered many situations she had never encountered before and she had to guess on several of them.


The week-long wait for her score was excruciating. Christine had told many of her colleagues, friends, and family members that she was going for the CCC Credential. Finally, she went online and learned that she had failed.


At first, she was angry. How could she fail the exam with all of her experience? How was she going to tell her friends and colleagues? Christine started beating herself up about her score. “I’m just stupid,” she told herself. “I’m not worth it.” That night, she had trouble sleeping.


When she awoke, she felt better. She called up her friend Marsha who was an instructor with a CPC-I certification and taught at the college Christine had attended. “You should have called me before you took that test,” Marsha said. “That exam is super hard. I could have given you some prep tips.”


“I didn’t prep at all,” Christine said. “I’m so stupid.”


“It was a mistake not to prep, but you’re not stupid,” Marsha said. “You just made an error in judgment.”


After speaking with Marsha, Christine put together a plan for retaking the exam. She asked her colleague, Dr. Bachmann, for help with her cardiac catheterization procedures. He agreed to help her devise a study plan. Christine registered for online practice exams at the AAPC site. With her membership, she could register for less than $30. Plus, the practice exams included rationales, and she could take them as often as she wanted. She asked colleagues about their CCC exam experiences.


After four weeks, Christine took advantage of the exam retake. She figured out that she had two minutes and fifteen seconds to answer each question. She left the test site that afternoon feeling confident about her effort.


Thanks to all of her hard work, Christine passed the exam. Ten days after taking it, she received the certificate diploma and had it framed.




Down a Dark Road


Ava had been a surgical technologist for two years, but she had never had trouble like this. She had been hauled into a meeting of the surgical oncology team for a review of a recent surgery that had gone wrong. The patient had lung cancer, but developed sepsis shortly after the lobectomy, and now he was in a coma and not expected to live.


“For one thing, Ava, we don’t seem to have the patient’s informed consent for the surgery on file,” said Dr. Hector, his face a pale shade of purple. “You did get the informed consent, didn’t you?”


“Yes. You initialed it,” she said.


“Then where is it?” he thundered. “And stop chewing that gum!”


Ava muttered that she would look for it. She was bad at filing. She hated it. But it must be somewhere in the stack on her desk.


“It’s only a matter of time before lawyers are sifting through that chart. Mr. Longoria won’t be signing another one, so I want that consent form in the chart immediately.” He waved her out of the room.


Ava found the consent. “What an idiot I am,” she thought to herself. I’m making problems for myself. She put the consent in Mr. Longoria’s chart and went to let the doctors know.


“Great. Now, what about the infection? What can you tell us about your autoclaving of the instruments?”


Ava’s heart sunk. She thought she had properly sterilized the instruments, but it seemed now as though they were blaming her. “I don’t know.”


“You don’t know, or you didn’t sterilize them properly?”


“I think I did.”


“You think you did,” Dr. Hector snarled at her. “I can hear that in court now. ‘I think I did.’” He waved her out again.


Ava went home angry at herself and the doctors. She flopped on the bed. All that time to become a surg tech, and for what? From now on, it was just a paycheck to her.






Controlling Anxiety


Learning Objectives for Controlling Anxiety







What Is Anxiety?


Anxiety is the feeling you get when your well-being is threatened. You or a loved one could be in physical danger. Perhaps something is challenging your self-esteem. Maybe your status is being threatened because you are criticized in public. Maybe you had a falling out with a friend that threatens the relationship. Maybe you are being micromanaged at work, and it feels as if you’ve lost control of your time and activities. Maybe you are treated unfairly. When you have something to fear or lose, anxiety can dominate your feelings.


Anxiety occurs on a continuum from mild to debilitating. Mild anxiety can actually improve your performance by motivating you and helping you to concentrate on the activity that has raised your feelings of anxiety. For instance, you may be extra careful when taking blood from someone who intimidates you. You may focus intently on your job when you are assisting a dentist you may not know very well. Anxiety like this can still be uncomfortable, but it can help improve your performance by forcing you to plan and concentrate.


Most anxiety associated with work is temporary. It may be triggered by a past negative experience such as losing a job or observing a negative treatment outcome. The more anxiety you experience, the more poorly you may perform, which can create additional anxiety. For that reason, the smartest strategy is to nip your anxiety in the bud.


When anxiety goes beyond mild, however, it impairs performance. Anxiety triggers the stress response, discussed in Chapter 3. It clouds your thinking process, creates rapid, shallow breathing, raises your heart rate, and imposes a sense of panic. More severe is chronic anxiety, which is a constant and general feeling of dread about everything, and phobias, which are anxieties in response to specific triggers such as spiders (arachnophobia) or closed spaces (claustrophobia). If you suffer from chronic anxiety or phobias, you should seek treatment.



How Irrational Thoughts Form Misbeliefs


When anxiety is not addressed in the moment, it can leave you with an irrational bias that affects your professional behavior. For example, a medical assistant may avoid screaming children due to a stressful interaction. He may develop an unfounded belief, such as, “I’m not good with children. I always make them cry.” However, the health professional didn’t necessarily cause the outburst and it doesn’t mean that the same reaction will happen every time. Always take time to challenge the original negative thought before it develops into a bias.


Sometimes, when a profound incident occurs, we develop stories to justify why we perceived the event as negative instead of neutral. For example, almost every medical office assistant will encounter a patient who is upset about a billing error sooner or later. One will handle the situation and not attach any meaning to it, but another one might avoid handling any future billing questions, because he or she thinks, “I always mess up patients’ accounts. Someone who is better at math should handle billing questions.”


For example, suppose a patient vomited after a dental assistant took x-rays of his teeth. The assistant may believe that she caused the patient to gag and vomit, and therefore is not good at taking x-rays. This, in turn, causes her to avoid taking x-rays of patients, which creates hardships for her co-workers.


Avoidance limits your usefulness on the job and creates obstacles to your progress.


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Apr 8, 2017 | Posted by in MEDICAL ASSISSTANT | Comments Off on Building Personal Emotional Strengths

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