Coping skills and Psychological Defenses - An Introduction

In this video I discuss coping mechanisms and defense mechanisms.
Here’s a free download of Positive Coping Activities markspsychiatry.com/coping-sk...
Coping skills are the thoughts and behaviors you engage in that help you manage distressing situations. They can be divided into emotion-focused and problem-focused.
Emotion focused coping skills help you feel better, but they don’t change your situation. They help you manage your reaction to the situation. Problem focused skills are best for situations that you have some control over because they can help you solve the problem or minimize it.
How are coping skills related to defense mechanisms?
Coping skills are the things that you do on a conscious level to deal with distressing emotions. Defense mechanisms occur on an unconscious level, meaning you are not always aware of what you’re doing to deal with the inner conflict. You may become aware that you’re doing it, but usually in the moment, it’s more of an automatic reflex.
The psychological defenses are divided into three categories. Primitive, less primitive and mature. Primitive defenses are considered immature and childlike. They are normal responses in childhood, but as we mature, we’re supposed to adopt more of the mature defenses.
Some personality types employ more primitive defenses. Borderline personality is one such personality. In fact, the name borderline comes from the concept that the personality is on the border between neurotic and psychotic.
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Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

[@Hyderagean]

"venting or having an emotional release, like screaming in your bathroom, is another good way to deal with upsetting emotions" Thank you for adding that part in. Those words were exactly what I needed to hear to stop feeling crazy for having my own feelings. Thank you.

[@maje4120]

Side note... Love the hair!!

[@NikD215]

And the dress.

[@pistol0grip0pump]

Right?! Rocking the whole outfit! Love your content, as someone with bipolar 1 (ultradian rapid cycling), BPD/EUPD, PTSD etc) and your content has helped keep me motivated with all the mad shit going on currently and has given me more insights into my mental health disorders etc, So again,- Thank you 🙂 have a great day

[@TzadikTheManic]

How wonderful it’s coincidentally follicle awareness week! Let’s all say yes to hair

[@amandamcbride1083]

I was going to say I love the outfit!!

[@loveasmr1636]

My first thought

[@brucedonnelly5209]

cracked up at the passive aggressive response, you got me lol

[@TheAdhdGardener]

😑still working on my coping skills. Alcohol is my vice🤦‍♀️ I use my garden as a positive coping mechanism. SO GLAD U MENTIONED GARDENING!!🌻 if only I can live in my garden 🤔

[@PerseveringJenn]

i just started gardening and im in love! it gives me so much peace

[@bw8017]

Mines too

[@christopheroconnor5740]

I‘m really happy that you’re putting out more psychoanalytic content lately :) thank you!

[@DrTraceyMarks]

Thanks Christopher. It’s actually more my lane than the medically based content 😊

[@melaninandaura9713]

@@DrTraceyMarks I’m happy to see these types of videos as well and I brings them. ☺️

[@thisisalbinism2666]

These are some of the best mental health videos on youtube

[@ArtSio443]

true that, I love the way she explain so clearly

[@jviewz88]

My favorite doctor in the whole wide world 🌎❤️✨

[@shirleyhunt3602]

😊

[@sweekley92]

I've noticed that one of my big defensive mechanisms is making jokes/saying funny things to calm myself in stressful or scary situations

[@DrTraceyMarks]

That can be pretty adaptive as a higher level of coping. Too much of it can become a problem sometimes if the person is always making jokes and you never know when they’re serious about something. That doesn’t sound like what you’re talking about but that’s just a way joking can be a problem.

[@OfficalPrinceToni]

@@DrTraceyMarks hey Doc how are you and this sounds like me, I find myself in a lot of bad situations over the entirety of my life so I’ve learned to make jokes in my worst situations to the point people laugh at what I say as I’m going through it and not that I blame them for I am really funny, but it’s like the quote says sometimes you have to laugh to keep from crying, would you say this is bad or good? And what should be my next steps

[@fashiontisiconic586]

Same I tell jokes in stressful situations

[@alexandriarcollins]

Me too

[@beeu9841]

Yup

[@JD-rn8er]

Thank you, Dr. Tracey - I have just started Ketamine infusions for treatment resistant depression and chronic anxiety. The response to the treatments has been nothing short of miraculous. It is as though the darkest elements of depression have been switched off. The treatments have opened a window of opportunity to see the world in a more positive light. My challenge now is to continue to redirect negative thinking and thoughts so that I can modify my perceptions. Your video is very timely and I thank you. I intend to download and utilize the coping skills chart you shared. Thank you, Dr. Tracey!

[@gluebubble_4824]

Thats excellent! I’m so happy you are doing better 😄

[@jaybyrd3240]

May I ask what state you live in? I have tried to find that or micro-dosing and dont know where to go . My state does not provide anything like tha. I have heard it really helps people! The best to you

[@JD-rn8er]

Thanks, @Smiya Coron and @Gluebubble. It has been a tremendous relief for me. It doesn’t work for everyone but has a quite high efficacy rate. I have hope again. @Jay Byrd. I’m from North Dakota. I found a clinic by searching for ‘Ketamine infusion clinic’. I hope you can find what you’re looking for but must say this video is foundational to mental wellness. Negative thoughts and thinking creep in and do so much harm. Peace to you.

[@Ron-SA]

Thank you for expanding the Projection issue Dr Marks. I've been making a conscious decision, Every time I begin feeling like I'm going to have an emotional outburst,and it usually feels like my feelings are a soda bottle that's been shaken, I've decided to just wait before speaking. At first it wasn't easy because the urge is so strong to get my feelings heard, but I've allowed myself to purposely be quiet until that urge passes and strangely after a few Minutes it does. And once the feeling has passed I'm actually able to think more clearly and realise that I may have saved myself and those I love possible hurt. And usually the thoughts that come during those urges are distorted and not true. Just by purposely waiting for the urge to pass. Then I'm able to communicate my feelings and thoughts better. I've found these videos so helpful

[@DrTraceyMarks]

Excellent Ron. Pausing and giving yourself a chance to process is a basic but very effective tool. All the best 👍🏽😊

[@kalash_nikov]

That's awesome Ron. It feels amazing when we become more aware of our behaviour patterns, start interrupting them and see a positive change. But your comment got me thinking - how would we explain to someone the difference between childishly acting/speaking out when we get emotional and actually expressing our needs and feelings? Extreme example - we don't like when our partner chats for 10-20min with strangers of the opposite sex when we go out. We raised this issue few times, but it always ended up in argument, so we stay quiet now. Time passes, emotions go down and we rationalize in our head "it's not a big deal, I'm just being unnecessarily jealous", basically we gaslight ourselves. It can't be a distinction on the basis of *what* bothers us, because it's all subjective. So is it about the level of emotions and control we have when sharing our feelings? But we can project in a quite, calm manner as well. Thanks for the comment!

[@Ron-SA]

@@DrTraceyMarks Thank you so much Dr for the kind response and encouragement! :-)

[@Ron-SA]

@@kalash_nikov Hello Sir :-) wow, that explanation made a world of sense. And you're right. There is always a "what". I greatly appreciate your advise and will remember it.

[@Ron-SA]

@Abigayle Williams thanks so much for sharing that.

[@davemckay4359]

Man, this info is NOT taught at school. Empaths listen up, or quit everything.

[@bw6148]

As an empath I’m so glad to have found this channel. It’s answered a lot of questions for me.

[@Venomonomonom]

Bruh I never met another empath. Internet saved me.

[@sleverlight]

School just teaches you to agree with the system, universities teaches critical thinking

[@D34DF0X17]

@@sleverlight its prity hard for anybody to give a totally unbiased opinion at least without explaining there bias and that isent eazy to explain to children, and that in general is the difference between education and brain washing when someone is trying to push there opinions on you , thats when its brainwashing you into thinking "that's just the way it is" ect , in terms of school and primary education its prity much brainwashing particularly if its a religious school. collage is prity much the same you normally have to look at where there funding comes from, for example state funded schools are aimed at making people fill low end jobs. in higher education it can be genuine education , however again if you pay attention to where the funding comes from and the type of education it can often just be brainwashing as well. an example of this is when you see someone with a degree or even a masters degree ect , driving a buss or driving a garbage truck... for minimum wage. coz that state funded education system was aimed at getting them into a low end job... not actually educating them to think for themselves. just something you might here the government say to prove my point here but "where putting 3 million into education to help lower the unemployment rate" the funding is being put there to get them people working , not to educate them as nice and the notion may seem on the surface, they are investing into making public servants. all that being said there is a chance you just get a good teacher.

[@sleverlight]

@@D34DF0X17 Hmmm makes sense, but maybe thiss just in the US. Idk tbh about other countries if theyre following same things

[@cathygoltsoff9615]

Thank you Doctor. I see people lashing out. To deal with stress I like to exercise, play cello and violin, dance and take a fun class. I tend to be a pleaser and I now realize I need to take care of myself as a priority. I love my husband and he likes to control and I am a live and let live type of personality. In my disagreements I observe his behavior. To get my needs met I choose my arguments carefully. I will go along with his behavior much of the time but not always. I am happier now that I have set some boundaries.

[@SuperGen44]

I appreciate your videos so much. The fact that you keep them down to less than 15-20 minutes long is perfect for me. I have a borderline person in my life whose behavior is very primitive a lot of the time, but never in the company of others. It’s frightening.

[@kalash_nikov]

I'm no psychologist with 20 years of experience, but if someone can control their behaviour in certain circumstances, than it's very unlikely it's an actual syndrome. People with borderline syndrome, schizophrenia, etc. cannot choose when they do and do not have those unfortunate episodes. I used to shout and even swear at my mom in the past when she would keep saying something I didn't like or agree with, but I'd never act this way with friends or strangers. I didn't/don't have a syndrome. I was just being a dick because I knew I can act any way I wanted to, and my mom would still love me and want to talk to me in the future.

[@Kaytecando]

I am borderline myself. These videos have been helpful.

[@gloriamaryhaywood2217]

@@kalash_nikov Absolutely!

[@rhyestripes6059]

@@kalash_nikov being borderline thats not how it is at all, i also never blow up with people not close to me, because of the way i was socialized, its out of fear not out of valid self controll. sure i could be terrified of my partner as well and act "normal", but id like not to

[@sunflowerroark5170]

I have someone that acts like he has been ran over by a train every night. The only thing that gets him going with me is sex. After decades and menopause, my ability to want to get him going or smile is nonexistent. I stated that to say that I sure know what you mean about he never acts that way in the company of others. Thanks for your comment.

[@fabianalfonsoooo]

Hello Dr. Tracey! I've been looking for your new video! Through each one of your video, I get to know myself and people around me better psychologically, so tha k you thank yoy thank you so much! Stay healthy! ♥

[@DrTraceyMarks]

So happy to hear this Fabian. Helping you to understand yourself better is exactly what I aim to do. Keep watching. 👍🏽😊

[@marthajburns]

Ooh, it was helpful to hear that "intellectualization" isn't a mature strategy. I do this a lot. So I try to see where the person is or could be coming from when I feel confused or hurt by something they've said or done while not assuming it is with bad intent. That helps me cope with my negative feelings. My therapist said to me, "Sure, but that doesn't mean you put up with it." This was . . . news to me.

[@DrTraceyMarks]

Hi Martha. On one hand showing that kind of empathy is helpful and youre giving people the benefit of the doubt. But it can also keep you from connecting with or recognizing your true feelings about something because you analyze the situation as if you’re talking about someone else.

[@infallibleblue]

Thank you for making these uploads. Not too long and not too short. Very insightful and helpful.

[@scottmacdonald6088]

Finally someone that can explain things clearly and too the point. Thank you for your time and effort 🙏

[@vapidculture]

Another masterpiece. Dr. Marks is the best!!

[@stuarthirsch]

Thank you Dr. Marks. I hope this video helps many people as it has helped me understand positive responses to emotional upset.

[@hdettore]

I’m so thankful I found your channel. Your voice is relaxing to listen to and your content is more helpful than I could ever say in a comment. 🙏🏼

[@user-pl3lo8cc8y]

I really like the format of these videos- a brief introduction and getting straight to the point. Topics are discussed briefly with options to watch videos that go into more detail. Thanks

[@brianarbenz7206]

I've been at all of these stages, Dr. Marks. Thanks for making such a clear and relatable video on these coping and defense mechanisms. In recent years, when I've felt I can't make any progress on the big challenges in the world, I've begun asking myself, "All right, then what _can_ I do?" And that often is, keep a clean house, get caught up on the bills, get out a fav book and do some enjoyable reading. The so called little things can become big accomplishments.

[@brandonthurman1976]

Thank you Dr. Marks, your videos are soooooo helpful. I love the zero judgemental ways you describe how people function so I can realize how I am me without putting a stigma on myself. A good metaphor for your assessments is like building the border to a 1000 piece puzzle while at the same time showing the picture of what the puzzle should look like.

[@theseigemeister]

Amazing video. One of my favorites so far. I’ve been diagnosed with PTSD & recently I also meet the DSM-5 criteria for BPD. ~I find myself engaging in splitting behaviors with a girl from my past I have regrets & frustration about how my life unfolded at that time with her. Your videos on psychological defense mechanisms have helped me understand myself a lot better in how I subconsciously act in certain aspects of my life. So thank you for that Tracy. 😊

[@christopherhazen6940]

Thank you for making these concepts easy & relatable. It’s one thing to understand concepts and another skill to communicate it to people who haven’t sat through psychology classes. You are very good at all of the above. Thank you Doc.

[@theartistlhaz111]

Thank you Dr. Marks. On point as always. I appreciate you so much.

[@abby74772]

Hey Dr.Marks, you're the first person who's been able to help me and I've been searching for years..! You don't gobbledegook, you just get straight to the point. I'm so grateful for your videos 💞 I've showed you to all my friends and they all love you too!!! Thanks is much.. Also if you do have time would you please go into depth about bulima and dissoation disorder? I struggled with both for years on the extreme end. Thanks for reading 💞

[@realtrader9166]

Dr Marks, your channel is really helping me in many ways. I am impressed and really love your work.

[@Emjay_Music]

I’m really trying to heal from the things I’ve experienced not only for myself but also for my siblings who now look up to me for example. It is so hard but videos like these help a lot thank you.

[@mrgameseeker02]

I only started watching these videos a couple of weeks ago, but im really liking it so far. The quick and understandable facts makes it easy to sit through the videos and even recognise some of the behaviors in others and in yourself too. Very interesting

[@auroradreamcatcher]

This is what the world needs right now, thank you. God bless 💜

[@kereti71]

You are very kind to share these. Thank you.

[@galegreyson4196]

I look forward to more videos in this series. Thank you.

[@DrTraceyMarks]

I’m glad Gale. Stay tuned. 👍🏽

[@juniormendes6659]

Tracey You are the best ❤ you dont know how much you’re helping me thanks 🙏🏾

[@iamnikki1634]

Thank you, for taking the time to produce these videos. Your videos has helped me understand my bipolar diagnosis. Recently, I was diagnosed as having ADHD as well. My mind is all over the place but I am able to watch your videos with no issues. Also, I purchased your book.

[@Assyla_555]

Thank you for taking the time to make these videos. They are very informative.

[@skyysims]

Dr. Tracey be out here just helping people all willy nilly! And we appreciate it..

[@PRS_18]

Dr. Tracey you are already uber successful already, but oh my you are going places! Your content is so useful. You deserve every success.

[@rudolfschenker]

Dr. Marks you are one outstanding psychotherapist.

[@user-ii1uf7tx8l]

I'm sorry this is a little off topic but I just love you, I just want to say thank you so much for everything that you do. God bless you all.

[@icecrystal3255]

So excited for this new series!

[@tbk6494]

This excellent information. These are great things to know for self improvement. As always I love you and your work! Thank you Dr. Tracey

[@yourfavoritecallie]

Your videos help me have a better understanding of myself and others in my life. Thank you. ❤️

[@mariot8695]

Thank you Dr. Marks!

[@adonnicag7534]

So happy I’ve found you on here... I’m 27 and I want to go back to school for my PhD in psychology so bad !!! Thank you Tracy for these videos

[@chronicskeptic]

Yet another great video. Very beneficial indeed. Much appreciated. 🙏

[@icidaimon5670]

The positive coping mechanisms are really helpful - thank you ☺️

[@mxrtov9691]

Thank you so so much, seriously, thank you! This is very helpful and insightful.

[@BigTroubleD]

This was very insightful. I’m a person with BPD in recovery so this is very helpful.

[@Patience2dream]

Thank you so much for these videos, because of you I've realized I am a little bit sadistic (which is something I kind of knew, but didn't fully realize/accept), I have a weak ego (which I knew a bit more) and I'm very interested in being able to improve myself so that I can stop pushing away people around me that I love and want to be around. I can't afford therapy right now, but until then I want to include practices in my life that might help me gain insight and reflect on how to heal and change for the better. Thank you Dr. Marks

[@yelortiz]

I loved it! I always learned something and understand better with your video. Thank you ❤️

[@taniavarela1286]

Thank you for another great video. Oh, and lovely blouse Dr. Marks!

[@annettebist]

That's the reason why you're my favorite😘😘😘😘 The jewelry of knowledge that you wear all the time and aren't afraid,don't hesitate to share it with anyone!!!!!!💞💞💞💞 LOTS OF LOVE FROM INDIA ❤❤❤❤

[@nidaaazeez691]

Thanks Dr. I am always learning something Helpful, 🌹❤️🙏

[@tobsternater]

just incredible explanations from the good Doctor Tracey Marks here! Thankyou so very much Dr. TM!!

[@DrTraceyMarks]

You're most welcome!

[@andrzejmaranda3699]

Dr. Tracey Marks: these informations are VERY IMPORTANT for MANY PEOPLE!

[@dorothysegovia8134]

Thank you for your videos. They have really helped and i appreciate your expertise.

[@talghow-i2326]

Great video had a sutuation less than a week ago and this help me to more readily understand the other person thank you...

[@jessykaros]

I just now found your videos. I only needed to watch one video to know that I want to subscribe to you. You are very well spoken and incredibly knowledgeable.

[@sweekley92]

I really need this. Thank you Dr. Marks

[@DrTraceyMarks]

You’re welcome!

[@HOLYLIFEIFY]

I just came from being able to explain that from over the last three decades here in the now is "I'm the engine and the creator higher power is the mechanic" this explanation pertaining to human spirit. Rather than my human spirit is perfect it's the most perfect one in the whole universe! I was able to ponder on about here after graduating my eight semesters of college the plans ever since jr.high school pertaining to once getting here the plans being then go into engineering psychology!🧑‍🔧 Terrill TC!

[@Syncere20]

Thank you so much for your videos.

[@lindsayf8688]

I really enjoy your videos.

[@kellyberry4173]

Thank you Dr. Marks....

[@violetlove1893]

Thanks again, Dr. Marks 💕😇 Great video. I'm saving this so I can replay when I'm upset.

[@DrTraceyMarks]

Great Violet. I’m glad I can be a resource

[@jentotoponio]

Thank you for this Dr Tracey, I've learned so much about myself from both this and the projection video. More light bulb moments. I'd love for you to do more videos on the primitive coping skills, could you possibly do one on eating disorders? I struggle with anorexia and have BPD as well. I feel like my BPD rallies my eating disorder behaviors as they are around control and you could say anorexia is part of my coping skills. I do self harm and seem quite destructive. So a video on how they may link would be really helpful figuring out the puzzle that is my personality disorder. Thanks again again your videos, I am in the UK and check in each week for your new content as it is always helpful for me. Jennifer x

[@diegofalcone3531]

Always clear explanations 👍

[@adakadak1012]

You are beautiful inside and out Dr. Marks!!! To top it off, Your outfit is gorgeous. 😍 Thank you so much for this video. It was extremely insightful, as I'm working on this myself. 😊 ☺️

[@tiinakiljala1296]

Excellent videos!

[@tontonj97]

realised i use compensation and sublimation a lot, thanks for clearing these out🙌🏻

[@victorbaizan9855]

Very helpful,thank you.

[@_BioKnowledge_]

I do love this video 🧠! Lovely teacher💙!

[@xyzoopsie7804]

Another amazing video! Your channel is my go to place before exams. Thanks for always putting out such high quality educational content. Actually lately I've been struggling with keeping my faith in the field, since many leading theories and practices of the field seem so unscientific. Even the research testing the efficacy of many therapies are disappointing, with lack of randomised controlled trials. If you could make a video on the scientific validity and reliability of different theories(Freud, gestalt, Beck, etc) and practices(projective tests, drawing analysis, therapies) of the field then that'd be awesome.

[@paytoncardinal5504]

Love your videos🙏🏽

[@travytrav6650]

Used to listen to music to get me through my work day now I learn and this is waaaaayyy better I loved psychology in highschool and college but didn’t wanna go all the way with it so I love learning more about it from a real Doctor. 😄

[@ralanca]

Thank you for sharing these informations.👏

[@capnam_12]

Great video! Glad to be a subscriber!

[@DrTraceyMarks]

Thank you. Glad to have you on board ❤️👍🏽

[@iloveserenitychurch]

I'm so glad I found your channel and I've been watching many videos I have borderline personality disorder and this video is extremely helpful I hope you expand more on these things because explaining the all the coping mechanisms and give me examples is extremely helpful thank you

[@DrTraceyMarks]

Hi Rosanne. Yes I plan to cover the other defenses. Stay tuned

[@colleenscott1652]

Thanks Thanks Thanks So Much for sharing this Wonderful Truth So Plain this is Excellent Truth Explained leaving no room for Misunderstanding

[@jarethduke9291]

Wow this is really insightful

[@monaebreak561]

Thank you for making such great videos! 👌 Greetings from 🇸🇪

[@c.m.caruso6883]

Thank you so much! I love your videos ❤

[@daniellacelis2538]

You are amazing. You are so generous with teaching people about important your knowledge in this field. I can really tell that you want to help people. This is such an act of altruism. We need more people like you. Can you imagine? We even get a free coping mechanism handout. *wipes tears* I can't really afford seeking a psych right now... I live in the Philippines where access to free or affordable healthcare is unimaginable. :) As much as I wanna dish out money for psych services, it'll mean cutting down grocery funds. Oh look, the handout is blocked for my country. Thanks anyway! :)

[@ricardoveiga007]

Gorgeous and relevant as usual, thanks a lot! :-)

[@Buzz0Killington]

Love your top this week!

[@DrTraceyMarks]

Thanks Donovan!

[@girigiri2167]

Thanks for your sharing 👍❤️

[@ItstheK]

What is "reaction formation"? Could you go into detail on some of these defense mechanisms, especially the "less mature" category?

[@elzabethdasgracasluchesi5278]

Thank you always the best

[@barbaramalbroux5358]

Si refreshing and informative

[@Boyhead1973]

Thank you for this... what you said at the 1:22 mark reminds me of the US Sprinter in the news... what she did to cope because of the stress of trials and learning her biological mother passed away just resulted in more problems. In the short term, yeah, she felt calmed by using cannabis - but, she's out of the Olympics... this wasn't just a regular track meet...it's the Olympics! Had she learned other ways to cope with stressors in life, she may have been on her way to multiple Olympic Gold. Now - will she bounce back...probably, but this was a hard lesson to learn! Your videos really help me for sure!! Thanks again.

[@DrTraceyMarks]

You make a great point. This is a very hard, sad lesson.

[@demitriwelling1348]

Great video.

[@jaewise6198]

Thank you so much

[@tradingbunny]

Goodness- I love your videos!

[@robmehlenbacher402]

Thank you for these awesome videos. I'm in a PMHNP program and your videos really help to understand.

[@DrTraceyMarks]

Thats great to hear Rob! Best wishes with the program

[@danilogalvez155]

Thank you doc

[@HummingbirdConversations]

Thank you for the sharing your knowledge.

[@DrTraceyMarks]

You’re welcome Frankie!

[@educationiskey3331]

This is one of my favorite clips. ^^ Most pple tend to do these types of behaviors.

[@xxnoobslayer136rblx9]

Thank you. For the video. God bless

[@DrTraceyMarks]

You’re welcome

[@salmanusmani2978]

You are amazing.

[@ekx5120]

Thank you for not demonizing us. I feel that it's possible to improve when you know someone like you can listen. Some... other...very popular Doctor on KZbin uses words that make me want to antagonize her. She's brutal in her approach and makes me feel like a pest that lives AND ENJOYS to hurt other people. I know, it's super childish but again, that's why I'm here... Also the passive aggressive insult at the end is how I roll. I used to be sure I was "funny" but in reality I wanted to get back at people and insult them in the wittiest, snappiest, in your face comments. I like sarcasm/cynicism/dark humour because it allows someone like me to use my negative outlook to make myself laugh. I try to not make it at the expense of others, but I take everything so personal that I always feel I have to go for the jugular.