Good questions! I don't think there is a one size fits all answer and that it depends. For myself it has been a combination of laziness/convenience and ignorance. Probably the more I learn then the fear starts to seep in. Stepping up or stepping out would be into the unknown and that can cause anxiety or fear of what we perceive we may lose. It makes me think of what things have caused change for me in the past. Usually there is either a reward I'm striving for or a negative consequence I'm trying to make sure doesn't happen. What about you, what was the source of the changes in your life?
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When I went through my recovery from depression and learned about what a healthy relationship looks like, I started to explore and examine ALL my relationships. Not just with family and friends, but also with the state, corporations and the like. When I found out just how violent and abusive the state really was, I had to say no or accept the abuse. However, I learned to love myself and there was no way I would accept that level of abuse. So I chose to take a leap of faith and remove myself from it and confront the abusive behaviour head on. I did it because of the fear. I learned through martial arts that if I AM afraid, I turn and confront it. No runny away any more, which was an old behaviour of mine as I used to avoid confrontation at all costs. No more!