Kimberly Key

A Quick Guide to Understanding and Treating the Three Types of Trauma

Trauma has become a popularly used word. So much so that many have questioned if it has been overused. David Brooks recently opined the same sentiment in The New York Times entitled, “Hey, America, Grow Up!” To alleviate confusion, this article provides an explanation of the three main types of trauma and the very real health impacts, along with some suggestions for treatment.

Trauma at a Glance

Acute Trauma -  You’ve been in an accident, explosion, natural or manmade disaster, assault, and/or witnessed a death(s). The jolt is so severe that it knocks out memory and leaves you in a state of shock.

Chronic Stress Induced Trauma - You’ve encountered multiple severe stressors and traumatic exposures, yet no memory was lost. The stressors add-up and your former coping skills are not working. This is a danger zone for adopting maladaptive coping methods like addiction and anger outbursts—and rupturing immune defenses which lead to disease.

Post-Traumatic Stress Disorder (PTSD) - PTSD can result from acute trauma exposure and chronic stress induced trauma. It can also be a latent condition that stems from childhood maltreatment. Some conditions and experiences can be triggering and pull a person back in time to the original trauma. Or a person can re-enact aspects of the trauma.

Trauma and Disease

Stress & Trauma Rewire the Brain - Living in hypervigilance, anxiety, fear, and depression are common with trauma and chronic stress exposures. Decision-making is altered and the person is living in a constant state of threat and reacting from a fight-flight-or freeze response.

Alteration Occur at the DNA level -  The complex reactions to chronic stress and trauma exposure can turn on DNA while up-regulating and down-regulating DNA and neural activity in negative ways. Some of these include behavioral (like being more prone to addiction, isolation, and altered cognitions) and others can activate disease.

A Defeated Immune System - Chronic stress and trauma can shove the immune system into overdrive and disrepair. The result is chronic inflammation and an open door to viruses, infections, and diseases.

Treating Trauma

See a Therapist Trained in Trauma Treatment - While it would be nice to see a therapist, a therapist trained in trauma treatment understands the impact a listener can have when a person is recounting their trauma. The key is for each person to purposely relax their muscles like wet noodles when listening and when recounting a story. This can help to avoid re-traumatization and the inadvertent reinforcement of fear pathways through mirror neurons.

Exercises to Do at Home – Journal about the grief in your own handwriting. You can also write a story about the experience to process the feelings. Creating art can also be powerful. Meditation and yoga can also help. All of these activities are particularly powerful as they help access and balance nervous system responses that run counter to the fight, flight, or freeze response of the sympathetic nervous system.

Recipe for Heart Meditations – As you sit and take slow deep breaths in and out, try to access the energy of your heart and feel it open. Fill it with warmth and compassion and let that energy feeling expand and encircle your whole body. Focus on compassion and gratitude for every cell in your body with each breath. After a while, you can expand the feelings of compassion and gratitude for your loved ones, community, and the world around you.

Honoring Traumatized Families this Memorial Day

As we grieve fallen soldiers on this Memorial Day, I would like to dedicate this post to people everywhere who have a family history that was touched by war.

Some may not realize the roots of Memorial Day stem from the tradition of decorating graves from the Civil War (Decoration Day), a war that almost tore the country apart. Considering the upheaval and conflict in the country, it is fitting to remember the Civil War disaster and what it took to unite people and ensure freedom along with remembering similar themes from subsequent world wars. As Goethe said, “He who cannot draw on three thousand years is living hand to mouth.”

Ideally, remembering would be enough yet history often repeats itself—and the colloquial definition of insanity is doing the same thing over again while expecting different results. Why is remembering not enough?

As a therapist—and veteran, military brat, and descendant of WW II traumatized survivors—I have studied and long been fascinated by the generational transmission of trauma and grief from war that has transformed people and families in unknown ways. In fact, I think a lot of family conflict, abuse, depression, anxiety, and substance abuse stems from traumas from the wars that scarred our ancestors.

When left unprocessed (which was common for centuries and still is, especially among military personnel), grief and trauma can come out as abuse, detachment (emotionally shutting down), unconscious fear, and escapism (through substances, workaholism, excess screen time, etc.). Moreover, sometimes some family members tend to hold the excess emotions that other family members have discarded while others may become the rebellious scapegoats. Thus, each particular family member unconsciously plays out a familiar role that has been echoed in previous generations. Doing a family genogram—a type of family tree that documents relationships, careers, and psychological patterns—can eerily reveal how entrenched roles are recycled through the generations. The good news is that patterns can be changed.

While a therapist might work with an individual and family on genograms and processing grief and trauma in their lives and from those inherited by previous generations, it is not new. Many indigenous cultures have had a strong relationship with their ancestors and practice ancestral healing. They do not try to discard where they came from. Instead, they hold reverence and respect and offer prayers and rituals to earlier family members in the belief that ancestral pain may be a cause of one’s current pain.

With that shared, I am not sure how many people in America know their ancestral history. I take note that this day is often celebrated with festive barbeques, echoing that people have forgotten and perhaps that they don’t want to look closer. Perhaps forgetting represents the detachment and numbing effect of prior trauma. “Why look back when you can keep moving forward?”

My answer is that looking back and understanding can facilitate forgiveness and associated peace and compassion. Looking back can foster empathy and allow one to release old wounds stored in the DNA and inherited neural programming. Looking back can also reveal some heroes, role models, and powerful lessons. Looking back can empower your future and future generations, especially when you share lessons from your family history with your children.

For me, looking back helped me understand how my paternal grandfather was traumatized by WWII and his time on the USS Indianapolis (which was referenced in the movie, “Jaws” and famous because it was torpedoed and 576 men were eaten by sharks until the remaining 316 people were rescued four days later). My grandparents had a terrible divorce which scarred my mother in many unfathomable ways that led her to acting out in my childhood. Meanwhile, my father’s parents were prisoners of war and I grew up hearing abhorrent stories from my grandfather while my grandmother passed somewhat young from cancer on my father’s birthday.

Here is the takeaway. I was in a foster home for a short time because my parents were charged with child abuse. I know this deeply affected my brother and sister—and their children who faced similar and most likely worse experiences. I am horrified and saddened to have witnessed this. I do not share this in any way to dishonor my family. It took a lifetime for me to process and heal from these wounds and to be able to admit some of these secret parts of my upbringing. I deeply love my family and ache that deep wounds have repeated themselves. I sit in meditation and prayer for them daily and also try to practice ancestral healing. I do not blame anyone in my family. I do blame wars though. That is why I dedicate this post to the families on this Memorial Day as I think there are more losses than we realize. I hope this inspires reflection and healing for others.

Healing from Family Dysfunction: Understanding How the Past Keeps Pulling you Back and Impacting Your Life

Grief often brings people to therapy (Photo by Nik Shuliahin)

Most people come to therapy after a relationship (family or career) has erupted. They begin to question themselves and wonder why they are hurting and how they can feel better. Therapists then begin asking about their past and inevitably associations with current complaints come to the surface. Sometimes to the dismay of clients. However, there’s hope for the client when one’s formative blueprint can be understood.

For instance, think of the most painful family hurt you ever experienced. One that left you with such an indelible scar that you suspect it has unconsciously impacted your relationships, career, and satisfaction with life. Then imagine learning that thousands of people overcame strikingly similar experiences—to the point where other family members healed, grew closer, and even transformed into stable, loving, mature, and dependable people. Imagine they also attained their best personal successes.

That’s what going graduate school was like for me. I learned about thousands of real life happily ever afters. Yes, I learned about tragedies too, yet I saw the hope and possibility of genuine family healing. Heal a family and you can help heal the world.

I couldn’t wait to dig in and help people achieve their most cherished and often unconscious dream of healing their family patterns and creating a new life that was healthier, meaningful, and filled with genuine joy. While I cannot give everyone therapy, or even help everyone I work to attain a complete transformation, I can do my best to share what I have learned (and am learning) to help you make the changes you desire. I realize it can be a challenge to work with family members that do not want to change, so I encourage you to keep working on yourself. People cannot play tug-of-war with you if you are not picking up the rope.

The Lesson of the Rescuer

For every rescuer, there is a victim. For every victim, there is a persecutor. People familiar with psychology may know about Karpman’s Triangle. Stephen Karpman developed a model that captures one of the most common triangular interactions among people: Victim, Rescuer & Persecutor. The fascinating thing that Karpman reveals is that each role has an egoic payoff.

Victim: “Poor Me” (The victim avoids responsibility and becomes dependent, getting their egoic needs met by having people do things for them. They also succeed in getting attention, for both the rescuer and the persecutor are focusing on them.)

Rescuer: “Let Me Help You” (The rescuer rushes to the aid of the victim and gets a two-fold egoic payoff by being perceived in a positive light and simultaneously avoiding their own problems and feelings.)

Persecutor: “It’s All Your Fault” (Every persecutor needs a victim and their egoic need of feeling powerful and superior is fulfilled when they blame, attack and bully a victim. Like the rescuer, the persecutor gets to avoid any real feelings and fears they have.)

While people tend to take on a primary role in the triangle, they will often shift and take turns taking on the different roles with each other. Thus, the rescuer may get upset with the persecutor and take on the persecutor role and attack them, placing them in the victim role. The victim may then rescue the persecutor. Or the persecutor may shift into the rescuer role, with endless variations of role-switching. The goal is to recognize the trap of the triangle and to distance oneself from getting seduced into any of the roles—especially when it’s so entrenched that it’s the only culturally acceptable way of behaving in the family

Triangles Prevent Intimacy

One of the ironies about falling into the trap of playing the victim, rescuer, and persecutor triangle is that it impedes the true intimacy each person desperately craves. Humans are social creatures and we need each other. We thrive in community and derive meaning from belonging and having a sense of purpose. Studies in Psycho-Neuro-Immunology (PNI) have now shown that long-term, supportive relationships can improve our immune functioning and prevent disease. Studies also show that having adverse experiences in childhood (from maltreatment, dysfunctional familial patterns like the Karpman Triangle, poverty, and discrimination) can reduce immune functioning and lead to an earlier onset of diseases and reduced life spans. Thus, we need each other yet we need safe, healthy, and nurturing relationships that are driven by true intimacy. Not reactive, egoic defense patterns that sustain connection in surface ways.

As Salvador Minuchin, pioneer of family therapy, revealed: behind a nagging wife is a lonely women—and the husband who responds to the nagging will get sucked into the trap of hounding and evasion. She hounds and he evades. Or vice versa. Hounding can be like the victim role of the triangle. Again, people take turns playing the different roles of victim, rescuer, and persecutor. Or evader. The deal is, no one who is succumbing to playing a role is addressing the underlying needs of each person. The egoic reactivity (the roles in the triangle) becomes a substitute for the cry of true intimacy.

Asking for something deeper from another person requires a level of vulnerability that people are not often prepared to admit. Moreover, getting vulnerable and going deep may be seen as needy or codependent. Today’s-increasingly individualistic and narcissistic culture tends to deepen the divide between deeper connection and surface relationships. Please know, however, that going deeper in vulnerable ways in an attempt to increase real intimacy (or “into-me-see”) IS NOT CODEPENDENT or NEEDY. Instead, codependence involves falling into a state of perpetual role playing (victim, rescuer, persecutor, evader) that stems from ego protection without revealing the heart’s real feelings and intimate needs.

Myths about the Ego

The ego is not a bad thing. It is protective. Imagine the ego as a kind of bodyguard. It tries to protect you when it senses hurt and danger. Sometimes it works. Like when it urges you to run away from fire or seek shelter in the rain or drink water because you’re thirsty.

At other times, the ego does not understand the full situation and only knows you are lonely, so it attempts to solve the loneliness in a primal Hulk fashion (such as, getting mad at the person that’s ignoring you and hounding them or insisting you go eat the chocolate cake because it remembers that it made you happy in the past). Your ego, or personal Hulk bodyguard, does not mean to sabotage you. It is just operating at a lower primal state to protect you. Unfortunately, this means there is often a disconnect between it and your higher brain and your vulnerable heart—which impedes how you may communicate and relate to others in that moment.

While it might seem like the goal is to kill the ego, I would offer that it might help to tend and befriend your ego. Get to know it and its triggers. Appreciate when it’s doing its job right and learn to disarm it when you’re in conflict with someone. Take space as you need and then try to return and repair as possible. If you feel like you are the only one showing up and being vulnerable and that you’re dealing with someone who can’t let go of their ego defenses, don’t be afraid to take a step back. Perhaps your heart can be filled with compassion for the other person and the unfortunate ego battle that might be hijacking intimacy.

Boundaries

While it would be nice to be intimate and present with everyone all the time, that is not realistic. There is a space and time for surface communication and deeper connection. In intimate and close relationships, we try to make more time for the deeper connection. People can be authentic and real without revealing their every deeper thought and feeling with anyone that will listen. Additionally, relationships are a give and take. There needs to be healthy reciprocity. One person cannot carry the emotional baggage for both people. If they do, that protective Hulk may hijack your best intentions and throw back into the merry-go-round of victim that seeks out a rescuer and then begins persecuting the other person. That’s how triangulation occurs. When relationships require a steady pattern of venting to another person, it sets up a dynamic of role playing. Thus, setting up healthy boundaries may help diminish the dangers of triangulation. Just try to do it from an authentic heart space and not a blaming, victim, or persecutor place. Looking within will help you identify your motives.

Health Tip While Working on Relationships

Life is a process and no one is perfect. Be gentle on yourself as you work toward health and healthy intimacy with others. PNI research has shown that negative thoughts can increase inflammation and conditions that allow cancer cells to grow and other diseases to thrive. Thus, watch the resentment, hatred, anger, and despair you may feel. Note that nagging, evading, playing victim, blaming, and even rescuing can be fraught with negative thoughts. If you don’t believe me, take a moment to ponder the thought processes of someone else in those roles. Most likely, those same thoughts occur for you too. Fortunately, PNI research has shown positive thoughts can help to neutralize the inflammatory responses in the body. One of the most profound findings in PNI research is that feeling AWE can help to decrease inflammatory cytokines that cause disease. Feeling awe can be cultivated when we pay attention to the synchronicities around us and when we take a pause from our relationships and experiences to consider how they might be serving us. It is like seeing the magic in life and realizing this is a joyous adventure filled with amazing little surprises that point us to new discoveries. Life can be a magical treasure hunt, so please don’t lose faith and hope in this magnificent game of life. Like tends to attract like, so do not be surprised if more awe experiences reveal themselves as you increase your feelings of awe.

12 Positive Intention Suggestions for Being Your Best Diamond Self in 2021

As we head into the final hours of 2020, I would like to thank everyone I know along with all clients and readers. Thank you for sharing in this fascinating and sometimes painful sacred journey of life. It is an honor and deep privilege to be connected, especially in the deeper realms of life experience.

Like many, I have experienced a number of losses this past year along with personal ups and downs in trying to adapt to this continuing world pandemic. I grieve with you and offer my deepest condolences and heartfelt thoughts and prayers as we all find our way through.

In looking at the new year, I will share that I have had a fifteen-year tradition of spending New Year’s Eve (or New Year’s Day) writing a personal poem about the previous year with inspired intentions for the year to come. I have heard many people taking part in an array of creative rituals for this transitional time and find myself inspired by all the things people are doing. If you haven’t partaken in such a tradition or are looking for some solution-focused intention ideas, here is a list of 12 tips (backed by science) that can help you increase your resilience, creativity, and health so that you can be your best diamond self. (Note, a diamond is the result of a long process of pressure and represents transformation, strength and resilience.)

1. The pandemic has created an environment of social defeat which has led to an increase in maladaptive coping behaviors and consequent self-abuse, so the first suggestion is to pause the button on negative self-talk and start soothing your self-esteem with positive and loving self-soothing.
2. Dust off the lesson of the Golden Rule and start treating others the way your heart genuinely wants to be treated—and be sure to do this with yourself. When we treat others with compassion, patience, love, and seek to understand, we build better relationships and increase our self-worth. And beware of the deadly relationship killers: criticism, contempt, defensiveness, stonewalling (silent treatment), passive-aggression, and overt aggression.
3. Learn from mistakes and approach all disappointments, perceived failures, and even tragedies with the question, “What can I learn from this?”
4. List your strengths and weaknesses and develop a realistic understanding of what you can change and what you can accept.
5. Make an art of practicing delayed gratification and self-control to attain your goals and improve your relationships.
6. List any problems you have been avoiding and adopt a growth mindset to creatively solve problems as they arise.
7. It is super easy to be critical and assume the worst—about everyone and everything. Its even wired into our brains to see a snake instead of a stick as a survival mechanism. However, this reptilian part of our brain is often wrong and leads to more problems than we realize. Overcome it by consciously being optimistic and grateful.
8. Enrich your environment by building essential relationships and resources that support you and provide safety, encouragement, empathy, loving kindness, and respect.
9. Enhance your Emotional IQ by recognizing your feelings and other people’s feelings. Get support to help learn this as it is not always innate and can be challenged through trauma and conditioning from others who seek to avoid feelings.
10. Move your body as much as possible and get outside and walk as you are able. It moves the blood and helps the brain and release pent up stress.
11. Find supportive resources to help you release emotional blocks from trauma, grief, vicarious trauma, illness, and stress.
12. Develop a healthy relationship with your body and treat it with love by listening to it, loving it, appreciating it, nurturing it, and not harming it.

Whatever items you pick from the list, make them incremental and realistic and keep patting yourself on the back for making the EFFORT to TRY. High-five!! Happy & Most Blessed Wishes for your New Year!

Healing from Within: Confronting the Hidden Gift of Conflict

My parents used to fight. Then they would make up. I remember waking up in the middle of the night to their screams and shouts and crying myself back to sleep. The next morning it was as if nothing happened. I once saw a hole in the wall and learned my father punched it. No one explained anything else about it nor would either of them explain why he did it. I found myself staring at the torn drywall as though I was in a hypnotic trance. What had happened to cause such destruction? Why weren’t they talking about? I was only five years old, so I realize my perceptions were that of a child’s comprehension. Still, it left an indelible mark in my psyche as real as the hole itself.

Years later I am still asking these questions. I was drawn to political science, international affairs and psychology to better understand conflict and try to be part of a solution for creating peace and understanding among people. I’ve written about power struggles, family dynamics, relationship theories, organizational development, and personal psychology—where oftentimes the tension of conflict and peacemaking have been a common thread.

A couple years ago, I began editing a book on power struggles that I wrote to have the 2^nd edition celebrate the book’s 10^th anniversary. I began conducting research to contrast the state of conflict by comparing overall rates of measurable conflict when the book was first written to conflict levels ten years later. Needless to say, I felt disheartened by the significant increases in measurable conflict coupled with the intensity of political upheaval in the U.S. I found myself in that hypnotic trance again. I felt like it would be difficult to promote a 2^nd edition if conflict had only escalated. With increasing numbers of psychologists, communication and peacemaking experts, and a broader recognition of systems theory, social justice, post-traumatic stress disorder (PTSD), adverse childhood experiences (ACEs) and health, why was conflict escalating? Could anything be done to bring people together in mutual understanding, trust, respect, and peace?

While political theories abound along with studies that reveal diverse perspectives as varied as colors on the spectrum observable to the human eye, in this post I am going to revisit the first key in my book, Ten Keys to Staying Empowered in a Power Struggle. This key is so important that I placed it first, however, it might have fared better if were near the end to allow people to better process it rather than skipping over it. The 7^th key on crazymakers has consistently been the most popular chapter as it illuminates what’s wrong with the “other” person who exhibits crazymaking tactics like double-binds and other manipulations. That’s the easy stuff to see. It’s the first key that is the absolute hardest to get one’s head around.

With all of that build-up, what is it already?

The first key concerns the psychological concept called projection. We see in the other what we disavow in ourselves.

Imagine that for a moment. Consider it a thought experiment instead of an accusation. Projections are defense mechanisms so any feeling of being judged, attacked, accused, etc. will trigger this powerful wall and shield (protect) you from that which you do not wish to see (or are not yet ready to see).

Back to the thought experiment.

Think of someone who has perturbed you with something they said or the way they are acting. It could be a loved one, a nemesis, an irritating person, or a politician you loathe.

Find the person?

Now identify the thing that upsets you most about them and/or the interaction you’ve had with them. The more specific you can get, the better.

It’s okay if this takes some time. Give yourself the gift of this moment to allow it to clearly surface.

Got it?

Maybe it’s vanity, disloyalty, hatred, rejection, feeling manipulated, feeling threatened. Whatever the ‘lowest common denominator’ feeling state you can identify is the goal.

Now for the mind-switch and where the real work occurs. (Hang in there. You can do this! I believe in you!)

The mind-switch is a lot like the ending of The Sixth Sense when we, the audience, observe the kid’s psychologist is also a ghost. Going back to the feeling you discovered that you detest in the other person, turn it around and see if you can identify this very same thing in you.

This is not an easy exercise as your mind is protecting itself with a denial defense. The best way to dismantle such defenses is with an energy of unconditional love for yourself. Remind yourself that finding any uncomfortable feelings or attitudes in you does not make you a failure or a bad person or defective. It also does not eliminate other person’s accountability. Just explore and see where you can recognize the same or similar thing in you.

To illustrate, I was frustrated with someone for being intrusive and overbearing with their constant demands. I felt they were not respecting my boundaries. I can see where my psychological attitude and communication style that seeks depth and authentic interactions could be viewed as intrusive and overbearing. I can see how I have impatience and be can overbearing. The lesson I get to learn from the experience is to practice increased patience and understanding of others as I more effectively navigate their emotional boundaries.

I also know that whatever I write can be deeply revealing. There is another defense mechanism called displacement which occurs when we displace our reaction from its original source onto something else. There’s the example of the man who gets yelled at by his boss and comes home and kicks the dog. But displacement can take place over a lifetime. As a young girl, I was not in a position to effect change in my family and create a discussion around anger management and the feelings conjured by the hole in the wall. Consequently, I displaced that experience into a career of trying to solve conflict and improving familial relations.

I am not sure if I’ve been successful. Perhaps I am like the person on the beach trying to rescue the beached starfish by throwing them back into the ocean one at a time. When told they could not possibly save all of the starfish, the person tosses another one in the ocean and replies, “I just saved that one.”

If you are reading this and doing the deeper work of looking within, I applaud you. Even if others stir the flames of anger, you have the power to be your best self. To use every opportunity to grow in wisdom, self-care, and love.

The real toxicity of conflict occurs when we introject it and turn it on ourselves (consciously and unconsciously). These conflicts makeup the thousand death cuts to your soul. Be like the person on the beach and heal your inner starfish—one at a time. Then love and peace and healing will win. You had the power all along.

Boundaries and the Art of Self-Care with Bullies

In my last post, I promised to write about how we teach people to treat us. I remember a doctor friend told me this when I was young and I can still recall how mystified I was by that remark. How could we teach a bully not to be mean? Or how can we teach an addict to not use?

Well, anyone who knows an addict knows the pain of not being able to change their behavior. Hopefully they have also learned the lesson of enforcing boundaries. A lot has been written about boundaries. Books have focused solely on the topic.

There are books about boundaries with children and how to teach them boundaries. There are books on boundaries with your boss, colleagues and the people who work for you. There are boundaries for friends, neighbors and social groups. There are boundaries with romantic partners and spouses (lots get written about this topic!). And there are boundaries with yourself.

To give an oversimplified definition, boundaries help you recognize the differences between other people’s feelings and behaviors and yours. Coupled with that is having a firm grasp of your feelings, your values, and behaving in accordance with those values.

Having healthy boundaries involves knowing that we can impact others, yet we are not responsible for other people’s feelings. We are responsible for our feelings. When each of us takes responsibility for our feelings then it is up to us what to accept and what not to accept from another person.

We can drop the rope in a tug of war game and simply walk away. Remaining in the struggle is our decision. If we get rope burns on our hands then that is our fault for remaining in the game—or for not getting gloves.

Relationships are the same. We can stand there in a muddy game of tug of war while feeling exhausted, bitter, and sore from bloody hands and blame the other person for perpetuating the struggle, yet aren’t we remaining engaged?

This is where some relationship guidelines help because sometimes we are reinforcing bad behavior and teaching people not to treat us with dignity and respect.

If you are being treated poorly by someone, it helps to ask yourself some questions:

• Am I treating them poorly?
• Do they treat others differently than they treat me?
• What about this behavior is causing me so much grief and distress?
• What am I not getting in the interaction that I would like?
• How important is this relationship to me?
• Can I walk away from this relationship?
• Is there any part of me that treats myself in a similar manner as this person is treating me? (For instance, if they don’t listen, is it at all possible there are parts of yourself that you ignore? If they are bullying you, do you engage is silent self-ridicule and self-attack?)
• Do I like and respect my responses and reactions to them? What could I change in my behavior that would make me like and respect myself more?
• Is there anything this struggle is teaching me? Is there anything I can take from this interaction that I can appreciate and that can help me grow?

Cultivating healthy boundaries with others becomes a little easier once these questions are answered.

Many people who have been victimized (either through mental or physical abuse, bullying, neglect, and/or who have survived a trauma like a rape, war, mass shooting, fire, or other traumatic event) tend to experience higher rates of boundary violations from others. The phenomenon is known as revictimization. It makes me sad because some of the kindest and most compassionate people have repeatedly suffered at the hands of more insensitive people and narcissistic bullies.  It doesn’t seem fair.

What I have found is a little lie was buried deep down inside that the person falsely believes and introjects from the first victimization experience. The lie says you aren’t worth and that’s why this has happened to you.

If I could wave a magic wand and eliminate all those hidden seeds of lies buried within multitudes of beautiful suffering Souls, I would. Oh, how I wish I could.

For now, what I can offer are these articles (and my sincerest healing prayers). Please honor yourself by answering the above questions. See if you can find any remnants of hidden lies that make you put up with bad behavior. Be kind to yourself and try to stop bullying yourself (you know, that nonstop internal voice that puts you down). You are worthy. You are worth it.

Some Guidelines to Remember as You Practice Boundaries

• While you’re learning how to be kind and loving to yourself, practice being lovingly firm with others. Don’t be afraid to say no. (But beware of the tendency to say yes in order to please others and then bailing out later.)

 

• Listen to your Intuition. It’s okay if it’s hard to do as that’s normal when you haven’t trusted yourself in a long time. Just be patient with yourself and keep practicing.

 

• Surround yourself with at least a few people that truly understand and care about you and provide support. (Don’t be afraid to have a group of friends that offer varying levels of support and/or are buddies in certain activities as no one person can be all things to someone. Try not to wear one friend down. Conversely, don’t isolate and practice reaching out to others if you have the tendency to withdrawal.)

 

• Be brave as you develop boundary muscles. It can feel downright scary and unfamiliar at first. Over time, however, you’ll get stronger and more confident.

 

• Try not to go to extremes by becoming a bully. Or a dismissive and insensitive arse.

 

• Honor yourself by taking the time to pause and re-group. Practice responding from a place of strength and truth versus reacting from a place of fear and defensiveness.

Addressing the Healthcare Burnout Epidemic

Healthcare and psychology practitioners are facing increasing burnout rates in record numbers, so much so that the American Psychiatric Association focused their 2017 annual conference on the “burnout epidemic.” It has only continued to escalate. The 1,710,000 psychology professionals and 12 million+ healthcare workers in the United States provide an essential service to the population. They heal. They listen. More often than not, they genuinely care. If a chain is only as strong as its weakest link then a community might be similarly threatened by its weaker and more vulnerable members. That's why it helps to remember the importance healers have in our communities.

While I urge healers to take their own medicine and practice self-care (get balance in other areas of life, find support, take breaks, take care of your body, take care of your mind—and spirit), I suspect another contributing factor is the attitude a community has about its healers. Are healers supported, valued and appreciated? Or are they the target of criticism and contempt because insurance plans don't cover something someone needs? Are healers discounted because they are part of a "Western Medicine" and "Big Pharma" giant that is taking money from innocent people and making them sicker?

Is the dominant narrative around medicine consumed with fear, mistrust and resentment?

I observe frightened and angered people every day. People don't know what to trust or who they can count on. Instead, people tend to flock to the Internet and diagnose themselves at an almost compulsive level. Armed with reams of online results and haughty know-it-all and defensive attitudes, more and more people jadedly tell their medical professionals what is wrong with them and what to do. Hopefully, a good practitioner can listen without defense and seek to inform, help and heal in a way that earns trust.

Sometimes, the burden of endlessly soothing defensive people can take a toll. In addition, healthcare workers get exposed to repeated traumas and run the risk of suffering re-traumatization of personal wounds along with vicarious suffering. Long hours and back-to-back one-way relationships add to the burnout. The career is strife for burnout. Greeting disgruntled patients just makes it worse.

If I could wave a magic wand, I would make sure that every person in the community was safe and that the relationship between healer and community member could be restored to one of mutual safety, mutual care, genuine connection, and positive healing outcomes. That both people would leave the interaction feeling lighter, freer, happier, healthier--and grateful. 

Joseph Campbell said, "One of our problems today is that we are not acquainted with the literature of the spirit. We're interested in the news of the day and the problems of the hour."

I think he taps into this grander issue. The real healing comes from each person's inner spirit. It is in connecting to the spirit (the heart) that forgiveness and healing emanate. It is where loving and grateful discourse is born. We can do this one person at a time. One heart hug from one person to another. One moment of listening. One moment of respect. One moment of forgiveness.

To my almost 2 million psychology colleagues and 12+ million healthcare workers (and all those around the world) and to every other person around the planet who makes up our Earth community, I send you these Spirit-filled wishes of healing, love, peace, forgiveness, and more. May we each seek to become acquainted with the literature of our—and our bothers' and sisters'—SPIRITS. Perhaps when burnout, illness and discord arise, it can serve as a wake-up call to get re-centered into Spirit and cultivate a spirit-focused interaction.

The Dangerous Cost of People-Pleasing

Where do you fit on the scale of people pleasing? How does it impact what you do in your career and your relationships?

Belonging is fundamental need, so doing anything to disrupt one’s state of belonging can be frightening. People want to be liked and often adopt manners and behaviors to fit in. It's normal and how cultural mores are born. However, seeking to make others happy at the expense of your deeper convictions can only lead to resentment and grief. This can often be seen when trying to fulfill a parent’s wishes over one’s real desires.

As CG Jung said, "Nothing has a stronger influence psychologically on their environment, and especially on their children, than the unlived life of a parent.”

Like all things, there is a continuum to pursuing one’s own interests and serving others. Ironically, it can be just as selfish to sacrifice and make others happy because you want them to like or approve of you.

The key is to check in with your motives and seek behaviors and goals that align with your vision, values and enhance your self-respect. If you're not sure, try writing a list of your parents' values and wishes (or your boss' or a loved one's) and then write your personal list and see how they compare. 

May is Mental Health Awareness Month

World Health Organization defines mental health as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

Deterioration of mental health is caused by as many external factors as internal ones... it takes a community solution where we embrace each other with tolerance, love, dignity, respect and where we help each other - in spite of our differences.

Bullying, discrimination and oppression create self-abuse as much as self-abuse can lead to outward abusive behavior. Err on the side of love....that's where healing, resilience and hope grow.

See if you can use this month to do at least one loving thing for yourself and for someone else and the community where you reside. Then let's see what flowers bloom.

Rebooting Psychology & Health Blog

I started this blog almost a decade ago to provide information to clients that reinforced some of the things we were working on in therapy and to give general guidance on many of life's topics. As a natural health practitioner, I have shared some posts on natural rememdies. Of course, my research and thoughts continue to evolve in this area. As a professional blogger for Psychology Today, I have seriously neglected my own blog and would like to rectify that...especially in today's turbulent poltical times. Please know this is a place for healing - for all people from all walks of life. 

If you want to read any posts on Psychology Today, you can visit www.psychologytoday.com/blog/counseling-keys. Post there include the First Amendment, Women in Leadership, Nine Types of Love, and Child Abuse to name a few. More will be posted here, so thank you for reading and checking back.

What is the Difference Between Counseling and Psychology…and Where in the World Does the Term “Shrink” Come From?

For a discipline that’s only around 130 years old, psychology has a lot of practitioners sporting a number of different titles (and I’m not talking about the local bartender down the street, although they can sometimes be quite excellent listeners). I’m talking about psychotherapists, therapists, psychologists, social workers, psychiatrists, marriage and family therapists, and counselors. What’s the difference and why so many titles?  

This post aims to provide a little more clarity about the differing psychological services among practitioners and describes how one discipline grew to focus on mental health while the other focuses on mental illness. In addition, there are answers to some of the common questions about the people who have taken on psychology.

While many think of Sigmund Freud as the first psychology practitioner, it was Wilhelm Wundt who opened the first psychology lab in 1879. Wundt sought to examine human consciousness using an experimental method he called introspection (for interested researchers, he did not use the scientific method as experiments weren’t able to be duplicated). Like its shaky scientific beginnings, the field grew to have a varied background –some of it contains a solid scientific background and others are a bit more airy-fairy, so to speak. 

Perhaps the ethereal aspect of airy-fairy isn’t so far off as psychology literally means “study of the soul” (psychē means “soul, spirit or breath” while logia means “to study”).  A more modern definition means to study human behavior and thought, but we’re going to come back to that definition in a bit. A blessing of psychology’s birth as a discipline was how mentally ill (or perceived mentally ill) people were treated. Just prior to the late 1800s in Western culture—long after people with ‘visions’ had been treated as oracles or shamans—it was believed that people suffered from mental illness because God had cursed them. Consequently, mentally ill people were punished with severe beatings, chainings and/or ostracism. Psychology helped change such views and a more holistic (and humane) approach to treatment was adopted.

Many of the first practitioners in the field were Medical Doctors (M.D.s). A medical doctor has attended medical school. Today’s M.D.s in the field are called psychiatrists and they can provide therapy services while prescribing medications. Psychologists are practitioners that have received their Doctor of Philosophy (Ph.D.) or Doctor of Psychology (Psy.D.).  A number of other mental health fields offer graduate and Ph.D. degrees in social work, marriage and family therapy, various forms of counseling and counseling psychology—which brings me to the title of this post. What is the difference between counseling and psychology?

Going back to a bit of history, World War II put a big spotlight on mental health as the war had serious mental health impacts on soldiers (war impacts EVERYONE and it has a trickle down effect through the generations). The National Mental Health Act was first passed in 1946 and the U.S. government began funding research and programs related to mental illness and health. In the 1950s, prevention and early detection of mental health problems became a focus. Slowly, a shift in perceptions occurred where people could safely seek treatment for adjustment, transitions, and relational issues without feeling stigmatized. (Clearly, we are still working on shifting those perceptions – in addition to war, old belief systems also trickle down through the generations).

As part of the shift, psychology has generally been defined as treating mental illness and counseling psychology was born to address mental health issues. 

Some of the fundamental tenets of counseling are:

• People should be treated with respect
• If given the opportunity, normal growth will occur
• The goal of treatment is to promote healthy growth
• Counseling is an educational process where the client is part of the process and actively participates
• Counseling builds on strengths as opposed to attacking weaknesses
• Counseling uses empirically validated procedures (scientifically proven via research using scientific method) 

I hope this helps illustrate a little of the history and explains some of the differences in the professional titles and orientations. I could write so much more and may follow up with later posts that address length and duration time of various therapies. For now, let me switch to a few of the common questions I hear.

 

Answers to Some Common Questions

Are you really going to shrink my head? 

No.  Shrink comes from shrinking the issue. Notice how we can sometimes get so overwhelmed by everything that it feels like the sky is falling, so we throw it all out there. Often times a good therapist/counselor can help you SHRINK the issues down to a single root cause. (But now I want a shrunken head for Christmas just to tease folks. ;))

 

Are you analyzing me? (when just meeting me at a social occasion)

No. Well, maybe. Seriously, the therapeutic process follows a particular process of information gathering and analysis. Unless you’re in the office and experiencing that process, you’re probably not getting analyzed. Therapists/counselors cannot see through you or read your mind. :)

 

Have you ever been through therapy?

Yes. Good training requires that you do. Plus, I believe in it. I confess there are some not great folks out there and I’ve seen and paid for their services. Like all fields, there are good people and not so good people. Don’t let the rotten apples deter you from seeking good service.

 

Did you go into the field to work through your problems?

There isn’t a person alive that hasn’t taken a job to work through a problem (e.g. I have bills to pay ;)). I also don’t know anyone who hasn’t been wounded in some way by life. For me, yes, I would call myself a wounded healer. I’ve experienced a number of things in life that I believe ultimately helps me to be more empathetic and understanding of my clients.

 

Do you date your clients? 

No. It’s not like the movies or TV shows. All therapy professionals are prohibited from having dual relationships. If you have had your therapist ask you out or make you uncomfortable with inappropriate flirting, stop seeing them and report them. It’s an abuse of power and your vulnerability.