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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10 Things Not to Say to Someone Suffering From Depression
10 Things Not to Say to Someone Suffering From Depression
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Playing Dead Emotionally: How Numbing Your Pain Can Be a Curse (and a Blessing)
Playing Dead Emotionally: How Numbing Your Pain Can Be a Curse (and a Blessing)
Fight, Flight and … Freeze? Most people have heard of the “fight or flight” response. It is the body’s naturally hard-wired way of dealing with threats to one’s safety. I have written about it before, a few times, so I won’t go into it again but today I’m going to mention the third part of this response: freeze. In nature, animals typically go to flight first, since they are free of ego and have nothing to prove, only to enhance their own chances of survival. If they can’t go to flight and escape danger, they will go to fight, posturing and growling in hopes of scaring off the threat. If this fails, they will actually engage in aggressive behavior, albeit defensive aggression. Once these two options are unsuccessful, or if they are unavailable, most species have a form of reflexive behavior that could be termed “playing dead”. Playing Dead Emotionally Since most of the threats people face in our neck of the woods are social or emotional (although many do face actual physical threats in many forms), the freeze response may look a bit different than it does for a possum or cat. In our case, we tend to play […]
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The Sun and the Shadow: Making Sense of Inconsistent Behavior
The Sun and the Shadow: Making Sense of Inconsistent Behavior
My Grade 7 year at Salmo Elementary School was a year of great highs and profound lows. I discovered music for the first time, real popularity, great embarrassment, and of course, girls. Well actually I discovered girls in Kindergarten. That was also the first year that I was involved in any kind of athletic endeavour. I was tall for my age, as were a few of my friends and so when the school formed a basketball team and we played against other elementary schools we dominated. When you have three kids who are almost 6 feet tall in grade 7 and the hoops are only 8 feet tall, it is a recipe for disaster for the other teams. I tried all sports that year as they came up on the calendar, too naïve to realize that most people aren’t good at everything. The sport that was probably the worst match for me physically and mentally was cross-country running. This didn’t stop me from joining the team, of course; any excuse to get out of school or do anything extracurricular was something I would gladly sign up for, even if it meant limping along, drenched in sweat, wanting to puke, while […]
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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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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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