This past week I’ve been thinking about the discouraging thoughts that keep us from moving forward towards our goals. And the background soundtrack to my thoughts has been a tweak on a huge 90s hit by the Spice Girls. I know, I know, but the song was everywhere.

My earworm version of the lyrics goes, “Gimme what I want, what I really, really want.” It occurs to me that the biggest roadblock that stands between us and our ability to achieve our goals is connecting with how much we really want to realize these goals.

If we say we want independence in our medical career, we need to assess how much we want it.

If we kinda sorta want it, discouraging thoughts will have the power to come along and paralyze our ability to take action. If we delude ourselves into thinking we want to gain independence, but really, we get tired just thinking of the work it will take, discouraging thoughts will have the power to come along and paralyze our ability to take action.

Only when we are convinced, down to the marrow of our souls, that we want something will we have the fortitude to face down any discouraging thoughts that stand between us and get to where we “really, really” want to go.

10 Discouraging Thoughts That Prevent You From Gaining Independence

1. I don’t have time to dream.

2. I may not be good enough.

3. I’m afraid of what other people will think.

4. I feel burnt out just now.

5. I’m too busy already.

Discouraged Doctor

6. It’s too hard.

7. I can’t gain independence gradually.

8. The future is too unpredictable.

9. It’s too late in my career.

10. There’s so much that could go wrong.

The Power of Your Thoughts

It’s no secret that your thoughts have tremendous power over you. In a study on heart health, John Hopkins expert Lisa Yanek, M.P.H., found that having a positive outlook gave people a 13 percent less likely chance of having a heart attack or other coronary event than those who presented similar health risks but didn’t share a positive outlook.

If it’s true that our positive or negative thoughts impact our physicality, it’s also true that our mindset has a huge impact on how we feel and how we take actions to move forward.

Doctor In Thought

Our thoughts create our feelings. Our feelings directly affect our actions.

The feelings our thoughts create can make us feel full of energy and enthusiasm, or they can drag us down and make us feel lethargic and exhausted. This helpful post outlines 15 Feelings Charts that allow you to give language to what feelings may be holding you back from accomplishing your goals.

Dozens of studies have proven how nagging and negative thinking creates a self-defeating cycle that stands in your way. Moreover, negative thinking about potential negative outcomes can become a self-fulfilling prophecy, so it’s clear that dealing with discouraging thoughts is a critical component of achieving goals!

The Beck Institute

Aaron Beck (Jul 18, 1921 – Nov 1, 2021) was the father of Cognitive Therapy and the founder of the Beck Institute for Cognitive Behaviour Therapy in 1994. Research shows that it’s among the most effective approaches for various mental health concerns and conditions.

Dr. Beck recognized that there are specific patterns to negative thinking. These were often distortions or negative conclusions, not based on actual facts. His patients focused on faulty thoughts, which led to negative feelings and did nothing to help them heal and get better.

As he met with his patients and allowed them to talk freely about their depression and struggles, he began to see ten different types of negative thinking emerge. These patterns are called “Cognitive Distortions” or “Distorted Thinking.”

The Beck Institute

Patients seemed to experience streams of negative “automatic thoughts” which fell into three categories: negative ideas about oneself, the world, and the future. Even spending limited amounts of time contemplating these automatic thoughts led patients to think, act and behave as if they were true.

By helping his patients challenge and change their thoughts, he was able to help them take control of their lives and manage depression, anxiety, and other mental health concerns.

We don’t all need to struggle with a severe mental illness to appreciate the truth that our own negative and discouraging thoughts need to be challenged to see if, in fact, they are valid. While many of these negative thoughts and distortions don’t stand up to scrutiny, they can stand in our way.

Ten Cognitive Distortions

Researching Cognitive Distortions

While some other therapists and researchers have contributed to the development of cognitive distortions, the following 10 are the most common ones.

  1. All or nothing thinking. There are no shades of gray in this type of thinking, just black and white. If things aren’t perfect, everything is a failure.
  2. Overgeneralization. When something happens once, the tendency is to believe it always happens. Or, if you want something to happen and it doesn’t, you believe it will never happen.
  3. Mental filter. When many things are going well, one negative detail gets elevated above all the successes and becomes more important.
  4. Discounting the positive. This is a tendency to ignore positive experiences and continue to feel inadequate or unappreciated.
  5. Jumping to conclusions. With a negative bias, it’s easy to jump to a negative conclusion despite having no evidence to support this conclusion.
  6. Magnification/minimization. Magnifying an issue makes it bigger than it really is, while minimizing an issue gives it less weight and power than it has. Often, discouraging thoughts get magnified, while positive ones are given less weight than they should.
  7. Emotional reasoning. This cognitive distortion tells you that your feelings are probably the litmus test for what is true.
  8. “Should” statements. You have a clear idea about how things “should” or shouldn’t” be. When they don’t turn out that way, we blame ourselves or others.
  9. Labeling. Labeling comes into play when you don’t realize that you are not your behavior. There’s a difference between making a mistake and being a mistake. What you do or don’t do does not describe who you are.
  10. Personalization and blame. You hold yourself responsible for events or things you don’t have 100% control over. This distortion also involves the blame game — when you can blame something or someone else, you don’t have to look at your part in the situation.

The Importance of Mindset

Mindset is all about the secret that your thoughts have tremendous power over you. According to the Oxford Dictionary, mindset is “a set of attitudes or fixed ideas that someone has and that are often difficult to change.”

A recent post on the Harvard Business School site explains the difference between the two types of mindset related to becoming an entrepreneur. A common misconception is that you either have what it takes or don’t. And you may not figure that out until you succeed or fail when you try.

Doctor With Positive Mindset

In reality, entrepreneurial skills can be learned and strengthened like any other skill. You don’t have to be young, technical, a college dropout, or risk-seeking to become an entrepreneur.

“Every person can find opportunities, attract necessary resources, and build teams to bring successful products and services to customers.”

The mindset you need to have is called a growth (or change) mindset. The opposite of a growth mindset is a fixed mindset, and it’s that mindset that keeps bombarding you with negative and discouraging thoughts.

Below are the Coles Notes on the difference between growth and fixed mindsets.

Fixed Mindset:

People with a fixed mindset and thoughts believe that everyone is born with their own unique, unchanging talents and abilities. If this talent or ability isn’t something you already possess, you will not succeed.

Fixed Mindset Doctor

A fixed mindset avoids challenges, gives up easily, sees the effort as useless, and ignores any criticism that could be helpful. They allow discouraging thoughts to stop them in their tracks and not move forward.

Growth Mindset:

Someone who has a growth mindset believes they can achieve what they want in this life with learning, practice, and persistence. A growth mindset learns from mistakes and feedback.

Doctor With Growth Mindset

A growth mindset looks for challenges, persists in the face of setbacks, sees the effort as the path to specialization, and is willing to learn from criticism. This person can always find a way to solve challenges and achieve their life goals.

Growth Mindset and Intrinsic Motivation

In a fascinating 2018 article by the National Library of Medicine, Betsy Ng unpacked “the neuroscience of growth mindset and intrinsic motivation.” She writes in the article abstract:

“Our actions can be triggered by intentions, incentives, or intrinsic values. Recent neuroscientific research has yielded some results about the growth mindset and intrinsic motivation…Little is known about the neuroscientific interplay between growth mindset and intrinsic motivation.

 

This paper attempts to draw on the theories of growth mindset and intrinsic motivation, together with contemporary ideas in neuroscience, outline the potential for neuroscientific research in education. It aims to shed light on the relationship between growth mindset and intrinsic motivation in terms of supporting a growth mindset to facilitate intrinsic motivation through neural responses.

 

Recent empirical research from the educational neuroscience perspective that provides insights into the interplay between growth mindset and intrinsic motivation will also be discussed.”

Doctor With Intrinsic Motivation

In a nutshell, Ms. Ng shows how critical adopting a growth mindset is and how individuals with this growth mindset believe that motivation can be nurtured. The notion that external motivation (getting chocolate as a reward after accomplishing a task) can be internalized even more exciting.

Rather than reward or punishment, intrinsic motivation prompts us to take action for the sheer pleasure and satisfaction of setting a goal and attaining it. Which, by the way, is linked to releasing dopamine. According to the author, dopamine is considered a key substrate of intrinsic motivation.

Countering A Discouraging Thought With Truth

Let’s look at the ten discouraging and fixed thoughts I jotted down at the beginning of this post and see how they would translate into growth and change thought patterns.

1. I don’t have time to dream. Can it really be true that you have no time to dream? Zero? Zilch? This type of all-or-nothing thinking can be hugely self-limiting. The truth is that dreaming is a luxury we can all afford. And should. Dreaming about achieving independence in your career can create helpful neural pathways that open up possibilities you hadn’t yet thought of.

2. I may not be good enough. Another type of all-or-nothing thinking, this fear of not being good enough majors on perfectionism. Fear of making a mistake or fear of having a less than perfect result can hold you back. With a growth mindset, you can tell yourself the truth that you can get to your goal’s end with learning, practice, and persistence.

3. I’m afraid of what other people will think. This type of labeling is the inverse of thinking you are your behavior. It negatively assumes and predicts how other people will respond to your efforts to try something new. The truth is that it doesn’t matter what others think. It matters that you have a goal and the self-agency to work hard towards it.

4. I feel burnt out just now. It’s very clear that a huge number of doctors are experiencing stress and burnout at this time. When this depressing thought pesters you, it’s important to assess whether this sums up where you are in full or in part. Whether you are completely or partially burnt out, be kind enough to yourself to get help as the first step towards gaining independence.

5. I’m too busy already. We’re all busy. Almost everyone I know would say they’re too busy. It might be helpful to consider whether this bias leads you to jump to a negative conclusion that stops you from taking any action to realize your goal. Where are you too busy, and what changes can you make to free up time to pursue your dream?

Doctor Countering Discouraging Thoughts

6. It’s too hard. This statement is a classic overgeneralization and is actually a meaningless thought. The reality is that working towards gaining independence will be hard. Of course it will. But nothing that you want to achieve is too hard. It’s just hard, but you are equipped to persist in the face of setbacks and see effort as the path to specialization.

7. I can’t gain independence gradually. This discouraging thought sure sounds like one is jumping to a conclusion without solid evidence. Rather than overgeneralizing, consult with someone familiar with both the medical field and entrepreneurship. Someone like me.

8. The future is too unpredictable. If the previous seven discouraging thoughts are about oneself, this thought is about the world and the future. The future has never been predictable, and times are no different now. But what is predictable is your level of desire and commitment. As a physician, you have already achieved a milestone goal, and there’s no reason to assume the unknown future has the power to control your life.

9. It’s too late in my career. Emotional reasoning is another cognitive distortion that tells you your feelings are true. This sentiment can become true if it goes unchallenged, but there is no reason to let it do so. If you think you’re the exception to the rule on this one, shoot me an email, and I’ll be happy to give you a second opinion!

10. There’s so much that could go wrong. You could equally say that there’s so much that could go right. By discounting the positive, you will continue to be held back by focusing on what can go wrong. The truth is that some things will go wrong, and many things will go right. What matters is that you adopt a growth mindset that learns and moves forward from mistakes.

I hope this has been a worthwhile read. It’s sometimes hard to pull our negative thoughts out into the light of day but doing so gives you a chance to challenge and trade them in for optimistic and positive thoughts that will surely serve you better.

I’ve built EntreMD with this in mind. Building a business is the culmination of slowly building and laying bricks every day for years until you have a steady income stream.

And if you’re interested in knowing more about transforming negative thoughts into positive actions as you move towards independence, let me know. I would love to talk with you.