Things won’t get better I’ve experienced darkness in my life. Deep darkness. When I was a kid, I was in boy scouts. One time, on a day trip, our scout leaders took us to an abandoned mine shaft. I know, this story has a very promising beginning, just like the last one. Because we didn’t know anything, and apparently neither did our leaders, we wandered into the mine shaft, deeper and deeper into the mountain. Our way was lighted by an actual torch, not a flashlight or lantern. One of our leaders, who just happened to be the one holding the torch and also happened to have the most severe case of ADHD of the bunch of us, thought it would be a funny trick, once we were several hundred feet into the mine shaft, to knock the torch on the ground, extinguishing the flame. The tunnel that we were exploring had curved to the left, meaning that when the torch was gone, the entrance to the shaft was out of sight around a corner, leaving us with absolutely no light. In review, we were 12 year old kids in an abandoned mine shaft and it was so dark, we […]
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So, What CAN I Say to Someone Suffering from Depression?
So, What CAN I Say to Someone Suffering from Depression?
I got a lot of feedback about my previous post on what not to say to a depressed person. I, myself, realized, after I finished writing, that my list seemed to eliminate most of the seemingly helpful things people actually say to depressed people, along with some of the more useless pieces of advice. So, have I thrown the baby out with the bathwater? I don’t think so, but let me explain. The purpose of the list was to describe, for people who don’t suffer from depression, what the mind can do to even objectively harmless and pro-social encouragement when it is weighed down under a cloud of darkness. The most positive and encouraging sentiments are quickly corroded in the acid bath of negativity, rendering them unhelpful at best and harmful at worst. This naturally leads to the question, “So, if I can’t even tell them that I love them, what can I say to them?” Check out this list of suggestions: 1. That must feel terrible… I’ve written before about the importance of validation, especially when it comes to getting someone to listen to your perspective. Much of the usual feedback given to depressed people is intended to be […]
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10 Things Not to Say to Someone Suffering From Depression
10 Things Not to Say to Someone Suffering From Depression
Depression is no joke. Which is ironic, given how many people mask it with humor, as the recent case of Robin Williams sadly demonstrates. I find it sadly amusing how many experts there are out there when it comes to dealing with the complex interplay between, society, psychology, and our internal biochemistry. Most of these experts are more than willing to share their homespun advice for the rest of us but the reality is that when it comes to helping someone who suffers from major depressive disorder, it’s rarely that simple. For example, try to avoid these common well-intentioned, yet potentially harmful pieces of wisdom: 1. Cheer up This is not useful advice. It’s like telling a sick person to be healthy. If that were possible, they wouldn’t be sick in the first place. Also, you don’t know the reasons behind the depression. Someone once tried to encourage a client of mine to smile more, seeing only their downcast face and negative body language. What they didn’t realize is that this person’s child had just committed suicide. “Cheer up” is an imperative that no one has the right to issue. 2. You Just Need to Find a Hobby To quote […]
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Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 2)
Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 2)
Attachment Injuries Now that we have a rudimentary understanding of the necessity for, and basis of attachment behavior, we can begin to discuss attachment injuries and their effects. The term “attachment injury” refers to trauma that occurs within the context of a relationship. In order to understand the impact of relational trauma, consider an analogy from the field of physiology. Lessons From Physiology Proprioception is the body’s sense of where it is in space. It is the cumulative interpretation of the body’s various internal and external sensory systems that allow it to have an accurate assessment of the external enivronment. In layman’s terms, it is the body’s sense that allows a person to walk up the stairs or type at a keyboard without the necessity of visual information. When areas of the body are damaged or injured, this vital sensory ability is one of the first casualties. Musculoskeletal injuries result in impaired functioning of this vital sensory feedback system. This results in the increased likelihood of future injury, as the body has a reduced kinesthetic (body movement) awareness of the injured limb or joint. The parallels between this sensory system and the attachment system are easy to see. Attachment theorists […]
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Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 1)
Complex Trauma: When the Whole is More Painful than the Sum of its Parts (PART 1)
Post-Traumatic Stress Disorder Post Traumatic Stress Disorder (PTSD) is diagnosed when an individual displays a cluster of symptoms that include various manifestations of the following: dissociation (feeling removed from reality), re-experiencing (flashbacks), and increased arousal (heightened stress response). In order for a diagnosis of PTSD to occur, however, these symptoms need to be as a result of the individual having been directly exposed to an event that threatened their life and/or safety or that of another individual. This criterion is known as the A1 criterion, since it is the primary criterion that must be present in order for diagnosis to occur. Amongst the general population, 7-8% of people will end up with PTSD at some point in their life. Within certain groups of people, however, such as individuals with substance-use disorders, the rate of diagnosis is much higher. For example, in one sample of substance-abusing psychiatric patients, researchers found that 90% had experienced physical/sexual assault and at least 50% met the diagnostic criteria for crime-related PTSD. However, there is a new direction of understanding with regard to trauma-related stress reactions; it is referred to as complex PTSD (CPTSD). Individuals in this category meet all of the same diagnostic criteria as […]
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Grieving Infidelity in Relationships
Grieving Infidelity in Relationships
In my last post I reviewed the five stages of grief as outlined by Elizabeth Kubler Ross in her book “On Death and Dying. As I pointed out, while the stages of grief and loss were originally introduced to help people understand reactions to death, these stages are equally applicable to other forms of loss that may occur. In this post, I will focus specifically on the form of trauma and loss with which I am all too often asked to assist, that of infidelity in relationships. What is (In)Fidelity? The meaning of the word fidelity may be debated with regard to the line between acceptable and unacceptable behavior in relationships, but strictly speaking, fidelity is defined as “strict observance of promises and duties, loyalty, conjugal faithfulness, adherence to fact or detail, and accuracy or exactness.” As this definition shows, fidelity is multifaceted. Many times, disagreements and conflicts over fidelity within relationships are based on different values with regard to any one or more of these facets. However, typically when we refer to infidelity, we are referring to sexual or romantic interaction outside the bounds of the marriage or relationship to which one is expected to be committed. Infidelity has existed as long as values that promote fidelity have existed. It […]
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Non-Conformists Unite!!!
Non-Conformists Unite!!!
Non-linear people in a linear world I used to teach a class called “Understanding Anger and Anxiety”. The class was quite lengthy, taking an entire day. While the class could be summed up in one simple sentence, “Anger is anxiety”, I invested several more hours so that that point would be fully understood and appreciated. I warned the class at the beginning that when I am trying to teach something important, I speak in concentric circles, working my way around the perimeter of the concept, introducing several threads that may at first appear to be unrelated, and then gradually narrowing in on the main point. In this way, they have the proper context for the final, parsimonious concept that I want them to walk away with. Despite this warning, it was obvious to me as the class proceeded that there were people who were having a hard time hanging in there with me as I wandered through philosophy, psychology, sociology, and neurophysiology. As we went around and around in circles talking about so many seemingly unrelated points, their eyes would glaze over. After the class, I sent out e-mails asking for feedback and there were a few people who gave […]
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How to Change The Past
How to Change The Past
One of the most frequently used lines of false consolation that I hear is “you can’t change the past”. Usually this bit of indispensable wisdom is offered as a word of advice when someone is describing the impact of some negative event from their history, something that they wish had never happened and often something that continues to affect them to this day. Of course, this advice and apparent statement of the obvious is rarely helpful, which is not surprising if we look at the gist of this rejoinder. Let’s say you run breathless to the neighbour’s house, pounding on the door. They open the door and ask what’s going on. You tell them that there’s been a terrible accident and you need them to call an ambulance because you think your brother is dead. I don’t think anyone would feel justified or even attempt to rationalize a response such as, “Well, it’s in the past. You can’t change the past. You just have to let it go and get over it.” We would expect that person to offer help, to repair whatever damage had been done, within reason and their capability. Of course we wouldn’t expect them to take […]
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From Shame to Compassion: A How-To Guide to Transforming Pain into Progress
From Shame to Compassion: A How-To Guide to Transforming Pain into Progress
The purpose of this post is to introduce a new way of thinking about problematic behavior. Many of us struggle to curb thoughts or behaviors that are ineffective at best and destructively corrosive at worst. We try and try again, only to meet with failure. Most of us throw our hands up and either set about resigning ourselves to the seemingly inevitable disappointing outcome of our existence, or continue to push against the same brick wall, using the same approach that has already proven so ineffective. This is the cycle of pain. Kathryn Schulz, journalist and author spoke at a TED conference about the experience of being wrong. She asked participants in the audience to describe how it felt to be wrong. Predictable answers ensued, focusing on the theme of embarrassment or similar emotions. She then pointed out that this was the experience of discovering that you have made a mistake, not the experience of actually making the mistake. She stated that the actual act of being wrong carries with it no emotion of its own; it only carries the emotion and meaning that we give to it. I would take Schulz’s idea a step further and point out that […]
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