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Hidden in Plain Sight

 

Ethan Kross Ph.D.

Rafael Nadal is one of the greatest tennis players of all time. Although he’s well known for his speed and power on the court, there’s another feature of his performance that defines his play but subtly involves his mind more than his limbs: the quirky rituals he engages in.

Take, for example, Nadal’s behavior during the French Open championship match in 2018. As he left the locker room, he walked towards his bench, gripping a racket. When he arrived, he took off his warmup jacket as he looked at the crowd and bounced energetically back and forth on the balls of his feet. Then, when he was done, he placed his ID card on his bench, making sure his picture was facing up. None of this is that notable—until you consider that he follows this precise sequence of movements before every match.

His rote behaviors don’t, however, end once the match begins. During breaks between play, he drinks from his power drink, then his water. And when he is done, he returns both bottles exactly where they were before he picked them up: to the left of his chair, one in front of the other, aligned diagonally with the court. Nadal’s struggles with what I call chatter our tendency to get stuck experiencing negative thought loops that can undermine our performance, decisions, relationships, and health—aren’t a secret. “What I battle is hardest to do in a tennis match,” he once confessed, “is to quiet the voices in my head.” And the courtside rituals he engages in provide him with a useful tool for doing just that. “It’s a way of placing myself in a match,” he explains “ordering my surrounding to match the order I seek in my head.”

Although it might be tempting to dismiss Nadal’s relationship with rituals as anecdotal, you can find people engaging in similar behaviors under chatter-provoking conditions in countless other contexts. Consider, for example, the prevalence of burial and mourning rituals. When a person dies, their loved ones are often thrust into a grief-filled world of chatter. What will life be like? What will happen to the person who died? Cultures around the world prescribe rituals to help people manage these painful losses. Rituals aren’t simply habits. As Nicholas Hobson and colleagues describe in their superb review of the literature,  they consist of rigid sequences of behaviors that are infused with meaning and don’t have any obvious connection to the reasons why people perform them. Taking your medication before breakfast every day, in contrast, is a habit—there’s a direct connection between the pill and your health. Research shows that engaging in rituals helps people control their emotions, and boosts their sense of control,  just like Nadal suggests. But how do rituals help? Through multiple pathways, it turns out. Rituals are like a chatter-fighting cocktail made of several potent ingredients. Consider three key elements that Hobson and colleagues describe in their review.  First, engaging in a structured sequence of actions is something that is under a person’s control, which in turn leads some people to feel more in control of themselves—the conditions we’re often lacking when we experience chatter.

Second, rituals offer us a distraction. Engaging in a sequence of rigid behaviors helps us block out chatter and home our attention on the task at hand. Go ahead and Google a clip of Nadal positioning his water bottles before a game—it’s not something a person can easily do while ruminating.

Lastly, many rituals are performed with others, often in a spiritual context. Engaging in these kinds of rituals can foster a powerful sense of social connection that insulates us against chatter. We feel less alone. They can also lead us to adopt a broader perspective that helps us break free from focusing narrowly on our problems, a quality that we see in several other effective tools for managing chatter. Like any tool, rituals can be taken to an extreme. In such cases, people rely on them excessively, which interferes with their normal daily functioning. OCD is a prime example. But there’s nothing inherently harmful about performing rituals in moderation during times of stress. On the contrary, research suggests that they are quite useful.

What research on rituals makes clear is that tools for managing the conversations we have with ourselves are often hidden in plain sight, waiting to be called into action. In some cases, we use these tools without even knowing it or being aware of how they work. And the best part is that we can incorporate them into nearly all realms of our life—both on and off the tennis court.

Strategies for Self-Improvement During Difficult Times

Teyhou Smyth Ph.D., LMFT

Is it good to have a New Years Resolution?

It seems there was less talk about new year’s resolutions during the transition from 2020 to 2021. Perhaps that was one of the few positive outcomes of Covid-19 and the myriad of other challenges from such a difficult year. New year’s resolutions, despite their seemingly optimistic and empowering intent, often set us up for failure. Lasting changes and efforts at self-improvement stem from a series of incremental changes that are sustainable and based on realistic action-steps.

Getting Started on Positive Change

It may be relatively simple to list things that need improvement, but that is part of the problem with developing traditional resolutions. While it is practical to think about what needs work, it automatically puts our minds in a defensive mode of thinking. Instead, consider a broader approach to your self-assessment.

Create a three-column list with the headings:

what I like about myself, what I do well, and what needs work. Taking an inventory of your strengths, positive attributes, and areas for improvement shifts the focus from identifying only the problem areas. Most of us respond well to positive reinforcement, and this includes the way we talk to ourselves. Negative self-evaluation and derogatory self-talk are some of the most detrimental aspects perpetuating depression and other emotional health challenges. Practicing a more balanced view of ourselves offers a greater likelihood of making sustainable change in the areas that need it, without ignoring our strengths. As you consider your three categories in the self-assessment exercise, look for ways to use your positive traits and skills to bolster your work on the areas of need.

For example, if you noticed that you have “organizational skills” listed as something you do well, and “financial problems” as an area that needs work, consider approaching the finances through the lens of organization, creating priority categories and problem-solving ways to organize the budget effectively.

Establishing Reasonable Goals and Action-Steps

If you have a goal that is a bit complex, such as “lose weight,” it may be necessary to create smaller action steps to work toward that goal. Establishing action steps is a good way to make that large goal more doable; it is taking on the problem one inch at a time. An action step toward the weight loss goal could be something simple such as “eat a green salad with one meal each day,” or “for each cup of coffee I will drink two cups of water,” and “I will do five crunches each night before bed.” These are simple and measurable steps that, when consistently followed, will yield results.

Ideas for Self-Improvement

Perhaps you are interested in self-improvement but would like some ideas for where to get started. Here are some ideas to consider, with simple action steps to help you reach your goal.

Broaden your cultural awareness.

It is easy to become culturally myopic in day-to-day life. To broaden your horizons, learn more about other cultures, and have fun while doing it. Action step ideas: Watch a foreign film or documentary about another culture once per week or select a random country to learn about, including traditions, belief systems, and other areas of interest.

Reduce stress.

Everyone is so stressed out right now, and with good reason. Now more than ever we need a connection to our inner sense of calm, but will we begin meditating every day for an hour? Probably not. Small steps toward stress reduction are more practical. Action step ideas: Practice mindfulness through small increments of time. Set aside two minutes per day to carefully observe an object, such as a natural item (a pinecone, rock, or shell); notice as much as you can about the item and bring your attention back to the item if your mind starts to wander. Mindful walks are also helpful for reducing stress; pay attention to the sights, smells, and sounds as you go, staying fully present in the moment.

Have more fun.

Hard work is important but having fun and enjoying life is equally as vital for a life well-lived. What do you like to do? Have you always wanted to try something new but haven’t made time for it or felt unsure? Action step ideas: Schedule time for fun activities. Make sure you put it into your schedule every single week and allow yourself plenty of time for it without rushing. Check your guilt at the door; remember to look at fun activities as an important part of your overall health; you wouldn’t feel guilty for eating a bowl of broccoli, right?

Whether you opt for health or fitness goals, financial stability or simply having more fun, your self-improvement goals can be achieved through paying attention to your strengths, using them to your advantage, and creating smaller, action steps toward success.

The Attunement Bridge: Healing From an Affair

By: Jenn TeGrotenhuis, LMHC

John and Shannon brought their tattered marriage to therapy, to see if they could salvage it from an affair. Right away, we discovered they had a deep habitual communication pattern. John had a veneer of sweetness that we decided to call the “chill dude.” He liked to maintain this state of seeming “easy-going,” which appeared flexible but was actually a defense—another form of rigidity. Meanwhile, Shannon’s nervous system ran hot. She functioned from a high-energy, high- productivity demeanor which her family referred to as “the boss.”

John’s “chill dude” triggered Shannon’s “boss,” and vice versa. He blamed her for being uptight. She blamed him for being immature and indifferent. They each stimulated disintegrating shame in the other. After arguments, they reinforced their own angry beliefs through the stories they told themselves in their heads.

After the affair

When Shannon’s world collapsed through her discovery of John’s two-year affair with their mutual friend, Robin, she entered therapy with me. She reeled from the double betrayal and wanted to focus exclusively on her own healing. We set to work on emotion regulation, processing her trauma, rage, and grief, and recovering from her life-long kinship with stress.  “I’m committed to my own healthier future with or without John!” she declared, which was the wisest thing she could have done. John also agreed to do some therapy with me. He was interested in healing his childhood wounds. The emotional blocks from the past, which he suspected were getting triggered in his relationship with Shannon, could be resolved. In time, they agreed to attempt couples therapy to see if they could save their relationship. A sequence of therapeutic changes was the key that unlocked the damage in their relationship. It allowed a healthy bridge of attunement to grow between them. Although counter-intuitive, the first step they needed was detachment. This was followed by a form of empathy called cognitive perspective-taking, which paved the way for the deeper exquisite empathy needed for actually healing trauma.

Detachment

After a few weeks, Shannon’s calmer, detached demeanor was the first thing that helped them both. It changed the dynamic of their ordinary interactions. She pulled back—to protect herself—and she was no longer “the boss,” but her genuine self. Although deeply hurt, Shannon was respectful with John. The differences in her seemed to leave some room for John to feel remorse, and his “chill” warmed a bit. He wasn’t using any energy to defend or to hide as he had before since now Shannon wasn’t blaming or criticizing him. John was more comfortable connecting with Shannon. Meanwhile, he and Robin completely ended their affair. After wading through a murky sea of complex grief in his personal therapy, John could reexamine the situation. He had a deep shift in perspective, felt used and betrayed by Robin, and regretted the affair that wounded Shannon so completely and cost him so dearly. Even though he was under tremendous emotional strain, if he were to salvage the marriage with Shannon, it would be essential that he be able to listen well and actually empathize with Shannon by adopting her perspective. And, even though she was essentially blameless in the situation, Shannon was willing to own her part in some factors in their relationship that had made John unhappy.  What he’d done about his unhappiness was never okay. They were perfectly clear on that. But she wanted to extend empathy to him, as well, and this helped them both. She owned that she’d been preoccupied with the kids and work and had taken him for granted; that she hadn’t put any effort into their relationship for a long time. This didn’t level the playing field, but it did offer an opportunity for connection. It was Shannon’s way of reaching out to him, a reach-in his direction. If they were each able to share in the others’ experiences, needs, and desires, they might be able to create the emotional bridge needed to cross back over to a committed marriage. We processed their most painful issues together, and slowed all of these important conversations way down, allowing them to reflect and resonate with the emotions of the other. It was important that they take the time to deeply validate the feelings they heard because that process stimulates cognitive perspective-taking, a very important part of empathy.

Cognitive Perspective-Taking

After the first few couple sessions, I had John interview Shannon. I wanted him to stay open and genuinely curious to learn how Shannon was doing. He needed to slow his brain and keep his natural defenses from rising so he wouldn’t emotionally flee and put on the mask of the “chill dude.” I reminded him to start with learning her feelings first, before getting the whole story. That would help him stay open, curious, and nondefensive.

He leaned over toward her and looked into her eyes. “Can you tell me the feelings you’ve been having since you found out I cheated?”

She looked up at him from the feelings chart in front of her.  “This is going to be a lot, I hope you’re ready!” she exclaimed.

A little smile of shared sadness passed between them, and she softened.  Her feelings of betrayal trauma poured out, and he patiently reflected them all back to her.

She then narrated the account of her discovery of the affair. He responded by mirroring it all back to her slowly, checking to see if he got the details of her experience correct.

If she was ever going to trust him again, Shannon needed to see him fully engaged — emotionally and cognitively — with her experience.

At one point, she stopped and asked him how he was feeling.

He glanced at a feelings chart.  “Fragile,” he answered.  “But not that fragile. It hurts, but let’s keep going.” He softened and soothed, so he could stay present as his genuine self.

“Okay,” she agreed.

“Tell me more,” he said until she was finished, and he’d reflected it all back to her with loving-kindness.

John heaved a full breath and paused, with eyes closed.  Then his gaze reconnected with Shannon’s, and he said, “I know I did this to you. I don’t know where my head was at.  Obviously not connecting to you like this.  And I’m so sorry.  You never deserved this.”

“I can’t make it up to you,” he continued.  “All I can do is tell you how much I want to be with you now.  I’m really feeling hopeful that we can love each other again if you’ll have me.”

Through tears, she nodded “yes.”

He continued, “I know it’s going to take time for us to fully reconcile, but I owe you that time. I am all in. I’m not going anywhere.”

Shannon longed for a new, whole-hearted commitment from John and accepted it when offered. She would also need to continue to process the trauma of John’s betrayal to piece together her fragmented sense of the timeline from the past two years. This helped her clarify her feelings about the relationship and determine what changes she needed if things were to move forward.

At the same time that he witnessed healthy changes in Shannon, John also saw the scars that his betrayal had left on her. When she reached out for him, they both had to acknowledge her worry and insecurity.

She had to confide to him that she needed him to check in with her or disclose where he’d been, what he was doing on his phone, or what he’d spent money on. John willingly did these things because he understood he needed to be an open book for Shannon if she were ever to trust him again. The trauma of betrayal wounded her brainstem, giving her a form of PTSD, which could heal in time if he was consistently transparent with her.

Exquisite Empathy and Memory Reconsolidation

In order to stimulate deeper empathy between them, I had them voice what they imagined their partner was going through—and how they would feel if roles were reversed. In using their imaginations this way, they were engaging in a complex interplay of neural networks allowing them to experience exquisite empathy. This solidified the connection upon which they could continue to build their relationship bridge.

Through this process in therapy, each partner became safe support to the other, where once they had been the source of their partner’s pain. The deeper listening conversations I was able to facilitate between them did reactivate painful memories in the present moment, but through a therapeutic process of memory reconsolidation, built upon exquisite empathy, true healing happened in this couple. Their old painful memories were now paired with the new experience of loving attentive care from their partner.

In therapy together, they each experienced a mismatch between their expectations from old patterns and this new exquisite empathy. Shannon once assumed John’s “chill dude” would continue to be untrustworthy and would refuse to commit to her, while John had expected that her “boss” would perpetually blame and criticize him. When neither of these old patterns reappeared, and they met instead with the very safe supportive love they longed for from the other, old triggers stopped firing in their brains. New bridges of deeper bonding were literally built through the loving surprise of new firing and rewiring in their nervous systems.

As they repeated these experiences by turning towards one another frequently, processing everyday arguments in healthier, more supportive ways, and giving one another positive reminders of their loving presence, the bridge of attunement was reinforced and strengthened.

So many factors contribute to recovery from an affair, and not every couple is able to reconcile as well as John and Shannon.  Both of them did significant individual therapy to bring growth and healing changes to their own parts in the relational rupture.  And most importantly, they each genuinely desired to stay together.

Now, for John and Shannon, the affair is not only in the past but has been integrated into their shared story. They can each describe how it devastated their marriage, and then how together they rebuilt a stronger, more intimate relationship.

 January is Mental Wellness Month!

 

 

January is Mental Wellness Month! Focusing a few minutes every day on enhancing mental wellness can increase resilience, help manage stress, and build on an overall sense of well-being. Mental Wellness also helps combat symptoms of serious mental illness. If the concept of mental wellness is new to you, consider the following steps that can easily be added to your routine:

Develop an attitude of gratitude

  • Focusing on the people and things we are thankful for can help build a positive sense of self. It is often said that while every day may not be good, there is something good in every day. Take a moment or two to focus on the good things, and draw your attention away from what might be dragging you down. Some people find it helpful to keep a list of what they are grateful for, others find it helpful to express appreciation through prayer, conversation, or writing a note.

Set aside time to do the things you enjoy

  • Often we can become overwhelmed by the things we feel we “have” to do, and lose sight of those things that give our lives joy and meaning. Set aside time each day to engage in something pleasant and meaningful to you; take a walk, hot bath, or engage in a hobby. Your pleasant event does not have to take a lot of time out of your day to add a feeling of well-being to your day.

Take a break from the stress

  • Try eliminating or reducing those things that are not healthy or helpful to you.  Take a break from watching the news, or unfollow negative people on social media. Set appropriate boundaries in your life, and learn to say no sometimes.

Slow down

  • Notice with intention the things you are doing. Drawing your awareness to the moment, especially those moments that are pleasant, enhances our ability to be mindful, and connected with ourselves and others.

Take care of yourself

  • Enhancing our physical wellness also improves mental wellness. Exercising, eating well, and treating physical illness are all important steps to take to help build an overall sense of wellbeing.

Ask for help when you need it

  • Seek support and talk to people who care about you. If you are feeling overwhelmed, talk to a licensed mental health counselor who is trained to work with people who are struggling with everyday stressors, as well as working with people who may have a serious mental illness. Call us to find a counselor in your area, and get back on the path to wellness today!

Intimate Connections by Dr. April: Welcome 2021! New Beginnings, New Found Hope, New Look

Holidays, COVID-19, and Addiction Recovery: Now What?

 

By: Robert Narvarra

As the holiday season draws closer, families are faced with the uncertainty of how exactly these events will unfold. Traditions and long-held practices in celebrating holidays are up in the air as the world continues to grapple with the impact of the COVID-19 pandemic.

According to the CDC, about 41% of the population in the U.S. report experiencing mental health issues as a result of the pandemic, including anxiety, depression, and trauma-related symptoms.  About 13% of the population admits to starting or increasing substance use. People in recovery from an addictive disorder face increased stress and an increased risk for relapse.

The holiday season can invite many emotions stemming from the traumas of our past, memories of previous holidays ruined by addiction, and anxieties about the future. Alice’s partner Greg* started a recovery program several months ago. Alice commented, “Our past Thanksgiving celebrations always ended up a disaster, especially last year. Now that Greg is in recovery, and we have this COVID thing, we have to figure out what we are going to do this year.” Alice and Greg began talking about their expectations and hopes for this year’s celebrations.

Relationships have never been more important  

A healthy relationship between partners is the single biggest predictor of long-term recovery for those impacted by addiction. Severe substance use and compulsive behavioral problems create significant damage to family rituals and roles in the couple relationship. An approach that supports couple recovery highlights the importance of both individual recovery, and relationship recovery. The implications are clear: Partners need to address how they will integrate recovery into couple and family life and specifically, manage the holiday season. Couple recovery involves conversations on how to provide support for each partner’s recovery (wellness) as well as relationship recovery. Let’s start with managing the holidays.

Rituals of connection provide safety and stability in relationships

In his book “The Relationship Cure,” Dr. John Gottman states that rituals are like routines in that they are repeated over and over so that they are predictable—everyone knows what to expect. The difference between a routine and a ritual is that rituals have symbolic meaning. Rituals draw people together creating safety, predictability, and connection. This is the opposite of what happens in active addiction where uncertainty and unpredictability create fear, confusion, and a lack of safety.

Three essential steps for couples and families for managing holidays this year  

Step 1: Both partners acknowledge past trauma and triggers without blame or defensiveness. Use the “Softened Start-Up” formula describing perceptions, feelings, and needs. To avoid criticism, describe the self, not the partner. Sharing your feelings can be scary. It is important for partners to acknowledge, without judgment, what is important to each person and make that a part of the plan. Vulnerability actually increases intimacy and emotional connection. Talk about:

  1. Impact of addiction. Example: “Last Thanksgiving was difficult and upsetting because of the arguing and the impact of alcohol (and/or other substances) consumption on our celebration. I feel anxious about Thanksgiving this year, even though we started recovery. I need for us to figure out what we want this year and create new ways to celebrate that feel meaningful.”
  2. Impact of COVID-19.  Example: “I miss being with our families. I am sad and frustrated. I would like to arrange a (video conference/socially distanced gathering/a family-only Facebook page with pictures and updates, etc.).”

Step 2: Develop a plan that supports what’s healthy for you, your partner, and you both as a couple. It can be empowering to establish a plan for welcoming the holiday season and essential for individuals and couples who have been impacted by addiction. Establish rituals that are predictable and meaningful as part of your plan. Before putting a plan together, ask each person what means the most to them about that holiday. Then decide what plan you would like to develop. Decide what happens and who does what and when.

Part of this plan may include revisiting Step 1 as needed and on a continuing basis. After all, one’s feelings never go away. If anything, they are bridges already built, waiting to be crossed to meet your partner on the other side. They are already there. You just need to use them in ways that are accepting of yourself and your partner.

Step 3: Make sure that this fits what is healthy for you.  In the workshop Roadmap for the Journey: A Path for Couple Recovery, there is an exercise designed for decision-making involving partners writing out a list of core needs, recovery needs, and areas of flexibility. This sorting out helps define boundaries and supports good self-care. A final check before going through with the proposed agreements involves each partner asking themselves three questions:

  1. Is this decision potentially helpful to my own recovery or wellness?
  2. Is this decision potentially harmful to my own recovery or wellness?
  3. Is this decision neutral to my own recovery or wellness?

Example: Marty loved getting together with her family on video conferencing and looked forward to doing so during the holidays. Her partner, who is in recovery from an alcohol use disorder, stated that it was really uncomfortable personally, because of the drinking that took place during these conference calls. It was important to come up with a plan that addressed those concerns and made family video conferencing work for both partners. The core need was time with the family, a recovery need was creating a safe environment with the family, and an area of flexibility included the time of day for the call, which occurs before “happy hour.”

This process is a practice. Creating an openness to each other’s ideas, feelings, and needs provides the best environment for successfully navigating the holiday season.

5 Common Myths About PTSD

 

 

 

 

 

 

By: Shauna Springer

As a nation simultaneously struggling with a healthcare pandemic, an economic crisis, and significant social justice issues, heightened levels of anxiety and stress have become the norm. That’s why now is a critical time to gain a better understanding of PTSD—and how to recognize its symptoms in ourselves and those around us.

As with many emotional and mental disorders, PTSD can come with a stigma that can itself be dangerous, as stigma can cause sufferers to keep quiet and avoid getting help. These stigmas are fueled by misinformation in American discourse, and it’s high time to debunk some of the most common among them.

Myth 1: PTSD is an invisible disease that is all in someone’s head.

False. The absence of visible symptoms makes PTSD hard to see with the naked eye. The invisible wound can make it hard for family and friends to believe it’s real, especially if the sufferer hasn’t personally experienced a violent or traumatic event. While it’s true that you can’t tell if someone has PTSD just by looking at them, the past decade has ushered in the frequent use of brain imaging to assess the effects of traumatic stress on the brain. Using MRI technology, researchers can now identify changes in neurochemical systems and specific brain regions, or circuits connecting them, involved in the stress response. The Pentagon is currently funding promising research to explore whether PTSD can be identified from blood samples. These developments in the field of trauma care transform our understanding of PTSD as more than just psychological, but as a biological injury that can be seen and treated.

Myth 2: Most people who are exposed to trauma will develop PTSD.

False. The length of time that symptoms persist is key for diagnosing PTSD. The diagnostic definition of PTSD requires that symptoms persist longer than 30 days. Yet for 90 percent of people who experience PTSD-like symptoms following a trauma, these symptoms usually resolve within a month, especially with proper emotional support.

A more common cause of those symptoms is a likely acute stress disorder. Acute stress disorder (ASD) is a brief period of psychological stress following a life-altering or traumatic event. While common symptoms such as anxiety, insomnia, and heightened reactivity, make it easy to confuse the two disorders, ASD does not persist for longer than 30 days. Both ASD and PTSD, however, are worthy of attention and the right care.

Myth 3: Only veterans who see combat can develop PTSD.

False. Most people still associate PTSD with soldiers returning from combat (think Forrest Gump’s, Lieutenant Dan). While it’s true that many veterans who see combat suffer from PTSD, they are not the military population with the highest incidence of the disease. The highest rate of PTSD in veterans, both men, and women, occurs as a result of military sexual trauma (MST).

Military sexual trauma refers to an experience with sexual assault or sexual harassment occurring at any point during military service. Examples include forced sexual encounters, repeated advances, and quid pro quo scenarios from upper ranks.

According to the VA health care system, an estimated 1 in 4 female veterans and 1 in 100 male veterans report experiencing MST. By percentage, women are at greater risk of MST, but nearly 40 percent of veterans who disclose MST to the VA are men. Sexual trauma adds a layer of shame that can complicate recovery and become an obstacle to seeking mental health support.

Myth 4: You have to experience extreme violence to get PTSD.

False. According to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), PTSD can occur if a person experiences, witnesses, or is confronted with an event or events that involve actual or threatened death or serious injury, or a threat to the physical integrity of self or others. In addition, PTSD can occur when the person’s response involves intense fear,  helplessness, or horror. While it might make sense that 49 percent of rape victims develop PTSD, a less obvious example is breast cancer. A quarter of women who undergo a mastectomy develop PTSD. They experience a potential life threat from cancer, with additional anxiety over a change in body image.

Under this definition of PTSD, it’s hardly shocking that COVID-19‘s front-line workers will face the very real risk of developing PTSD in the months ahead. Recent headlines around front-line caregiver suicides are a harbinger of a scary truth: Stressed front-line caregivers risked their own lives every day as they helplessly watched their patients die in record numbers. Even setting the turmoil of 2020 aside, 1 in 10 U.S. Adults already suffer from PTSD at some point in their lives. COVID-19 is just gas on the fire—and the latest example that PTSD can result from a wide array of life’s circumstances.

Myth 5: PTSD is a life sentence.

False. The majority of patients who suffer from PTSD can find effective relief. Successful treatments for PTSD exist and are evolving every day. Traditional treatments include a combined approach to patient educationcognitive behavioral therapy, and Psychopharmacology. Traditional therapies can achieve an estimated 60 percent success rate, although they require health care resources and a time commitment from the patient to put in the mental work of recovery. With increasing recognition of PTSD’s biological nature, treatments such as the stellate ganglion block (SGB) are showing a 70-80 percent success rate in a single-day procedure, and the positive effects can be felt almost immediately.

As we collectively shift into recovery mode from the pandemic, the economy, and the social unrest, we have a responsibility to help each other heal. That starts by breaking down stigmas of yet another invisible enemy and actively recognizing the signs of trauma in ourselves and those around us.

 

 

Do You Have PTSD?

 

By; Dana Carretta-Stein

The concept of Post-Traumatic Stress Disorder (PTSD) is used to describe mental health problems that some people develop after experiencing or witnessing an intensely traumatic experience such as a sexual assault, natural disaster, combat, or car accident.

According to the American Psychiatric Association, about 1 in 11 people that have gone through a traumatic experience will have PTSD in their lifetime.

If you have been exposed to an actual or threatened serious injury, sexual violation, or death, you might be at a high risk of developing post-traumatic stress disorder. It is important to early recognize and address PTSD symptoms because this can save you from further suffering.

Early screening of yourself for possible signs and symptoms of PTSD can help you cope with a traumatic experience, get your life back on track, and stay mentally, physically, and emotionally healthy.

Wondering if you’re symptoms are trauma-related? Take this quick 10 question quiz to find out. A score of 4 or higher may suggest that you have symptoms related to traumatic life experience.

The Common Symptoms of PTSD

While the anxiety and depression symptoms are a huge part of post-traumatic stress disorder, they are not the whole picture. In addition to anxiety and depression, people with PTSD often suffer from negative thoughts, re-experiencing the trauma through flashbacks and nightmares, difficulty sleeping and concentrating, impulsive or self-destructive behavior, and being easily angered and irritated.

However, sometimes the signs and symptoms of post-traumatic stress disorder can be subtle and not always obviously recognizable bot to the person experiencing them and those around them. This can generate different problems, from being incorrectly diagnosed and not receiving the appropriate treatment, to be stuck in a vicious circle of suffering symptoms you don’t understand.

Signs and Symptoms you May not Know are PTSD

Unusual signs and symptoms of PTSD may go undiscovered for a long period of time or you may be wrongly diagnosed with different mental health issues. Thus the treatment provided may not give the expected results. It is very important to be familiar with these signs of PTSD so you can keep an eye out for them.

Social Anxiety and Emotional Withdrawing

Sometimes the fear of social situations that involve interaction with other people or fear of being negatively judged by other people can be one of the signs of PTSD. If you have difficulties interacting or communicating with others, this may be a result of your fear of coming in contact with anything that can remind you of trauma.

Also, feelings of detachment or estrangement from others may signal that you actually suffer from post-traumatic stress disorder. Depression as one of the main symptoms of PTSD causes social withdrawal, isolation, and lack of motivation. If you are avoiding people or activities you normally enjoy, including family and close friends, talk to your GP as you may be struggling with PTSP without knowing it.

Drug and Alcohol Abuse

In a search for ways to cope with the traumatic experience, a person may engage in behaviors of excessive drinking or drug abuse. This of course just causes further problems and a deterioration of a person’s overall well-being.

Eating Disorders

Abnormal or disrupted eating habits like anorexia nervosa may be one of the main symptoms of post-traumatic stress disorder. If you have experienced any drastic changes in your diet and appetite, talk to your health provider as this may lead to other serious health conditions.

Rapid Weight Loss

Some people with PTSD report having symptoms such as a rapid weight loss without trying, and even without the significant loss of appetite. At the same time, others may struggle with increased appetite and excessive eating.

Sensory Overload

According to some people that experienced trauma, sometimes one of the main symptoms of PTSD may be sensory overload. They report having a super-sensitive sense of smell or hearing or troubles with distorted vision or hearing. For some people, this sensory overload is so strong that it gets to the point of a panic attack.

Excruciating Migraines with Horrifying Dreams

Some trauma survivors experience severe headaches and migraines as one of the main PTSD symptoms. The pain is often followed by nightmares so these people don’t get to rest even while they sleep. These symptoms often don’t get recognized as signs of PTSD and sometimes develop into further health problems.

If you have experienced or witnessed an extreme trauma, pay close attention to these atypical signs and symptoms of post-traumatic stress disorder. They don’t have to emerge right after you survived trauma. Sometimes the symptoms may occur weeks or months after a traumatic experience. For most people post-traumatic stress disorder develops within about two to three months after the traumatic event. However, some signs of PTSD don’t show up until months or years later.

When left untreated, the symptoms of post-traumatic stress disorder can have a damaging impact on a person’s life. If you don’t receive the right treatment for PTSD symptoms, you are at risk of developing other mental health disorders or medical conditions.

 

Congratulations to Dr. David Hall

From Everyone here at the Cape Coral Therapists team, we would like to congratulate you!!! Many Blessings for your Future.

 

 

October Intimate Connections Newsletter by Dr. April

A New Season Brings New Found Hope!!!

https://mailchi.mp/af1b6de4785c/a-new-season-brings-new-found-hope