When Everything Seems To Be Going Wrong

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I’ve had a bit of a rough week. I’ve been working as an attending physician on an inpatient service populated with incredibly sick patients, several of whom are intensely angry about their diseases and are projecting their anger toward me and the team of residents with whom I work. The medical informatics project on which I’m the physician sponsor has just gone live with its most ambitious and radical portion and many physicians are nervous and resistant and are acting out in negative ways. I’m struggling to find the time to practice Buddhism, to work on my book and this blog, fulfill my work responsibilities, my relationship responsibilities to both my wife and son, continue a regular program of exercise, get adequate sleep, and relax. In short, in the last week my life has felt a bit out of control and a little overwhelming.

In a previous post, The True Cause Of Depression, I discussed how having multiple problems at once seems to cause more stress than having only one or two. I likened the handling of challenges to balancing a “plate” of a certain size and suggested if we pile too many problems onto it, not only do we risk having it topple over, we often find ourselves wanting to pitch the whole thing on purpose.  That’s certainly how I’ve been feeling. So I thought it might be helpful to review the strategies I use when my life-condition slips.


And a slip in my life-condition is what’s really to blame. Certainly many people are facing far more oppressive circumstances than what I described above (especially the very patients I complained about). But the degree of pain and suffering people experience can’t be calculated by observing their outward circumstances. Pain and suffering always occur as a result of a low life-condition, explaining, among other things, how millionaires can be miserable.

A famous story tells of a buddhist who went to see a mentor of his for encouragement about a particular problem he was having.  However, before he could even begin to explain his circumstances, the mentor pointed to a large oak desk and asked him to lift it.  Bewildered, the buddhist replied, “There’s no way I can lift that. It’s way too heavy.” To which his mentor responded, “The problem isn’t that the desk is too heavy. The problem is that you’re too weak.” His point was that our ability to win isn’t determined by the size of our problems but by our own strength and determination. When you feel overwhelmed by your own life, rather than focusing on finding a different set of more manageable problems (as if that were even possible), you should look for ways to raise your life-condition so you can gain access to the wisdom, courage, and energy you need to solve the problems you have. If you don’t have a process or a practice that does this for you, find one. Willpower and intellect alone are often insufficient.

This is the real answer about what to do when everything seems to be going wrong: find a way to transform your perspective so that obstacles feel like opportunities. But if that seems too abstract, or you’re having trouble finding a practice that works for you, or you’re not interested in finding a practice at all, I’d offer the following techniques for making yourself feel better when you feel bad. These are just clever tricks—some comforting thoughts really—but ones that you might find useful.

  1. Visualize yourself succeeding. Like a professional skier envisioning every twist and turn of a ski run before making it, imagining yourself on the other side of a problem even in the abstract can activate a powerful belief in your ability to succeed.  Even if today you have no idea how to win, a belief that you can—even a “blind” belief—can be empowering if it’s a belief in yourself.
  2. Avoid making important life decisions when your life-condition is low. The kinds of thoughts you’ll have in general are always more reflective of your life-condition at the moment rather than the circumstances in which you find yourself. You’ll best avoid future misery if you can consciously recognize when circumstances have gotten you down and thereby produced gloomy feelings and defeatist thoughts—which, when your life-condition is higher, are nowhere to be found.
  3. Imagine you’ve already achieved a desired goal (one you’re completely confident you can) and bathe now in the joy you anticipate you’ll feel later. I’ve often found that daydreaming about future successes lifts my spirits by bouncing my mind out of my present difficulties into future imagined glories.
  4. Force yourself to focus on one problem at a time. Focus on what’s easiest, most important, or that which you can solve soonest. Reducing the total number of challenges confronting you will be an enormous relief and help combat the tendency to feel defeated when facing what seems to be an overwhelming number of problems.
  5. Wait. My four favorite words for weathering all storms: this too shall pass. Think of entering into a waiting mode as an active process, not a passive acceptance of whatever fate has in store for you. Other good things often happen that raise your life-condition and enable you to handle the mess you’re facing more easily. You may think you know all the bad things that are going to happen, but outcomes we anticipate—good and bad—most often don’t turn out the way we envisioned.
  6. Access your creativity to solve problems. Reduce the chatter in your head by listening to moving music or by meditating. Solutions often bubble up from the subconscious when the conscious mind floats.
  7. Find something to distract you. Take a real break from thinking about your problems when you’re not actively engaged in solving them. Because it’s much harder to turn off obsessive thoughts about the challenges facing you than turn on more positive thoughts, finding something genuinely distracting is the best strategy. Humor works for me as long as it’s humor that’s genuinely funny. Nothing wrong with taking a break from fighting the good fight to recharge your batteries. In fact, strange as this may sound, there’s nothing wrong with engaging in controlled denial. As long as you don’t let it prevent you from acting when action is required, it can be an extremely effective way to combat anxiety. Or…
  8. Take on your anxiety directly. Identify the thoughts that make you anxious and follow them to their logical extreme. Wrap your mind around what it would feel like for your worst fears to be realized. What would you do then? Often if we force ourselves to imagine the worst in concrete terms it feels less frightening than it does when we imagine it abstractly.
  9. Ask for help. You don’t have to do it all by yourself. I struggle with this one a lot, not because I have any aversion to asking for help, but because I just rarely seem to think to do it.
  10. Accept that you must face something unpleasant. Stop worrying about experiencing pain. Stop trying to avoid it. You’ll make it through and survive. Prepare yourself to feel whatever there is to feel. The longer you wait to feel it, the more anticipatory dread you’ll feel as well.
  11. Whatever you’re going through actually does represent an opportunity for growth. The thing about cliches is that they’re mostly true.
  12. There will come a time when you’ll struggle even to remember what’s causing you so much angst today. It’s hard to project yourself into that future, but if you stop think about it, you’ve almost certainly already forgotten about most of the trying experiences you’ve faced in the past (not, of course, the life-changing experiences—but most things that get us down on a daily basis are much more mundane).


Or maybe it’s even worse for you than I’ve described. Maybe you feel like everyone and everything is conspiring against you, that no one sees things quite the way you do, and that you’re alone in the wilderness and the world. Whether this is actually true or not is irrelevant: if it feels as though it is, it can’t but help plunge your life-condition into the world of Hell, the lowest of the Ten Worlds.

When this is how you feel, you must summon up the stand-alone spirit. Even if everyone and everything—the entire world—is pointing left, if you believe the correct direction to point is right, then point to the right you must. If you feel within whatever context your problems are occurring that you have the gift of sight in a country of the blind, you must fight to help others to see until either they do or you learn you were wrong, not they.

Society, discovery, and culture are advanced by people who have every reason to remain seated but who stand up anyway; by people who resolutely and consistently point out what they believe is true. If you do this despite whatever fears the prospect of doing so brings, eventually others will be emboldened by your example and stand up with you. And then you’ll have made a worthy contribution to the world.

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  • Beautiful! So well said. And the last paragraph—a gem. I want to remember this sentence—it gives one courage & in my life experience it has indeed been true:

    “Society, discovery, and culture are advanced by people who have every reason to remain seated but who stand up anyway; by people who resolutely and consistently point out what they believe is true.”

    As to your list, #5 is my standby too—because it is so true: This too shall pass.

    And #10—you’re right on the money. For most of us, our greatest growth happens at difficult times—but we all want to avoid those difficult times! Kind of like childbirth—everyone reaches the point where they think they can’t stand the pain another minute, but there’s no going back, you can’t stay pregnant forever—and then—you give birth.

    One thing to add: Everything is easier when we show up for each other—when you don’t go through pain alone.

  • Great post! So funny that we wrote about the same topic today! 🙂 Great minds think alike!


  • I love that story about the oak desk; it illustrates the point about changing perspectives well. I really think “difficulty” is generally “opportunity” in disguise in one way or another, but it’s easy to forget this when you’re in the thick of it.

  • “Think of entering into a waiting mode as an active process, not a passive acceptance of whatever fate has in store for you.”

    That’s some good medicine. If you can make your rough week into something active and positive, then so can I.

  • Thanks for your wise words and profound concepts. Even those of us who know these things must hear them again and again, it seems.

    I’m especially glad that you shared in the last paragraph about the importance of standing up even when you’re fearful because others around you will be emboldened by your example and stand up with you. In my chapter on leadership in a book I’m writing, I have expressed this idea to support my belief that we are all leaders.

  • What a pleasant surprise to stumble upon your blog. I really appreciate what you are doing here, and I look forward to continued reading. I’ll share this with others who may also appreciate your sage, sane, and engaging entries.

  • Now, you employed one technique that I have found helpful but you did not list it—help someone else!

    Your writing and your blog turned your dilemma from inward to outward and you spoke as if to a good friend—and in so doing, became a friend to yourself.

  • I decided to come to your blog after reading many of your posts on the New York Times Wellness blog. I have three autoimmune diseases and another chronic one that no one understands. I’m told I’ve done remarkably well (I’m alive and look great—ha!) but I have many periods when everything goes wrong. I follow many of the steps you mentioned, but I’d like to add one: maintain your sense of humor. It seems the worse things get, the funnier I am. Gallows humor. I do have trouble with Step 11. I have a tee shirt that says: “Whatever doesn’t kill you DOESN’T make you stronger.” I had it made after threatening to hit a friend over the head with a frying pan if she said it one more time. I’m a nonviolent, small woman so the tee shirt keeps me out of trouble. Looking forward to next week’s topic. Been there a lot.

  • Miss Jan is entirely correct, as is Miss Andrea. After quitting one job, and being fired from another due to chronic, intractable migraines, I decided to work part-time until I could get my health under control. I became a bookkeeper, administrator, and person of all work at the largest social service agency in my home county. The Society of St. Vincent de Paul ran a free dining room which was open 7 days per week and served up to 1,200 hot lunches per day onsite and 700-900 in satellite locations. It closed once per month for a deep cleaning in accordance with the Public Health Department. Other services included a free clinic which gave flu shots, immunizations, TB skin tests, basic first aid, free clothing, diapers, shoes, home furnishings, baby formula, grocery vouchers, rehab referrals, AA and NA meetings, ESL classes, GED classes, laundry facilities, showers, and toiletry kits; shelter referrals and daily lunch bags for those who needed more than free lunch to stay alive. All of this was privately funded without a dime of city, county, state, or federal money. The small paid staff, even part-time workers, received medical benefits for $10.00 per month.

    It was wonderful.

    Laughter works as well. When a neurosurgeon grasped the bandage covering 1/4 of my head, he said “This will hurt.” I replied, “That’s fine. I’ll pretend I’m waxing my legs.” He laughed, losing his grip. I also relish saying to all medical problems: ‘Never mind. It’s not brain surgery.” My favorite conversation happened when a friend called me during yet another hospitalization and screamed “You’re sinking like the Titanic!” “The Lusitania sank in 18 minutes.”

    The only thing I disagree with here is that sometimes EVERYTHING IS WRONG. PERCEPTION is not in question if one has three potentially fatal illnesses at once.

  • A friend forwarded your inspiring post to me; as a health psychologist, I am always working with acceptance, decreasing anxiety about the things we cannot control (infertility, chronic illness), and the like. One of my favorite sayings (personally, at least) is “this too shall pass.” It helps remind me of the existential context for our suffering, and that none of it is eternal. A friend forwarded your inspiring post to me; as a health psychologist, I am always working with acceptance, decreasing anxiety about the things we cannot control (infertility, chronic illness), and the like. One of my favorite sayings (personally, at least) is “this too shall pass.” It helps remind me of the existential context for our suffering, and that none of it is eternal.

  • Platitudes, while too often used, are only one way a doctor can communicate with a patient with, let’s say in my case, chronic pain.

    Never underestimate the power of touch. A hand on a shoulder, a “sorry you feel so poorly” pat…not condescending or a way to push a patient off but a way to tell the patient you accept her problem as reality and want to help her overcome it.

    Through malpractice, disfiguring surgeries, unknown disorders, and a failed back requiring new surgery in the next few weeks, I am mostly treated but not listened to, ignored completely when another person is in the room, or passed off as someone who complains too much (that was the major comparison when I had a severe infection after surgery that was largely ignored..I complained!)

    Hello doctor! I am here! See me!

  • Wonderful piece! A welcome reminder as I am facing an avalanche of health related, employment and ADL issues. At a crucial moment right now—article helped me to redirect. I will continue to follow you.

  • Hi Alex.

    Just thought you’d like to know that the story about the desk happened to—and was related by—the SGI member who introduced me back in 1982. I then put it into the book I ghosted for Dick Causton, The Buddha in Daily Life.

    I’ve reprinted this at thiswayupezine.com—hope that’s OK with you and we’ll bring you more traffic.


  • I only recently came across your blog, because its title is the same as a Gosho it took me 25 years of practice to understand and appreciate.

    I enjoy the posting and would only add one thing: sometimes when I feel overwhelmed by all that needs to be done, it helps just to write a list of all those things—and usually there aren’t as many as I thought. And once I have a handle on what there really is to confront, I can chant, take action, delegate, etc.

  • Very good advice! I believe most of us go through periods like this in our lives and I was just searching online for some inspiration and found it in your blog post—thank you!

  • Wow! Loved finding you, especially today. Thank you so much for your advice.

  • But changing your attitude to focus on what’s bad in your life and tackling it can be a negative thing. What happens if the thing that is ruining your life is something that, when removed, would also hurt?

    Sometimes, when the same thing repeatedly suppresses you, unless you convince yourself to become completely ignorant to it (which doesn’t work, I don’t believe in “ignorance is bliss”) there isn’t a way to tackle the problem.

    Willpower is dwindling in my situation at the moment—it’s becoming hard to maintain a positive attitude. I’m finding myself wanting to remove myself from my own family so as to remove myself from these situations (which actually don’t involve me). But, of course, this would only make things worse.

  • I have been looking for a child for eight years now and I am yet to find one I am 35 years old and almost loosing hope. The problem is that my tubes, they are total closed. I wish some could advise me with drugs to treat this problem apart from operation. Money is also another problem on my side.

  • You have done the best thing for me. It’s feels great when you get the solutions for all of your problems .. Thanx for the blog .. 🙂

  • Remember that some things just appear more sophisticated than they are actually. Here is what to do: open your mouth and speak positive things about yourself. Don’t allow the outside negative to influence the inside of you but allow the inside of you speak positive to the outside of you. Greater is your inside than that outside!

  • Great article! I badly need to follow these tips right now. I remember a write-up by Moustafa Hamwi—the passion guy in his blog entitled “Passion Sundays”he said that there should be a passion in everything. How can I turn passion into positivities? what does he mean by this? Thanks for the reply.