therapy

COMING HOME


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Carl Sagan once wrote, “We were wanderers from the beginning”. As far as we know, this is true: our ancestors were nomads, crossing savannahs and jungles and forests, ever restless, in search of the next meal or friendlier climes. From the beginning, we were never entirely satisfied with our lot. The relentless push to civilization seems motivated by a single-minded desire for an ever-better life; one where at last we have beaten back the caprice of life to know happiness, satiation, and safety.

 

It is more than this: beyond the callings of our basic animal appetites, a deeper yearning seizes our hearts and minds. We want to know the world and our place within it. We want to understand this mysterious life, an inchoate hunger far more difficult to feed than an empty stomach. Perhaps it is in part borne of our social nature: a basic instinct to feel safe and certain through connection with something larger than ourselves. Perhaps it lies even deeper; with the arising of the human mind, the cosmos is expressing a need to behold and understand itself — a brilliant flash of sentience that illumines Indra’s Net, bearing witness to its glory.


Whatever the origins, we long to belong, and to understand. The nomadic spirit runs deep within us, we are restlessly in search of a home that seems ever to recede over the horizon, an elsewhere whose very appeal is its unattainability, its mystery, its promise of salvation and peace. The irony for this restless, curious wanderer is that we have always been home, and we have always belonged. Throughout history, we have had moments of insight that this deepest hope is true: that we are profoundly at home in the universe. This truth has never changed, but our yearning imagination has wandered far and wide, leaving our hearts heavy with anxiety, a nameless dissatisfaction with life.


For centuries we have seen ourselves as separate from Nature and pitted against her in a titanic and desperate struggle to dominate and survive. We are struggling heroically to awaken from this nightmare.


Though it is true that life is tenuous, the world often dangerous, there is no adversary Out There, only an internal struggle to embrace this life just as it is — beauty and ugliness, miracle and horror. It would appear to be a basic truth of our human psychology that when we fully recognize our Oneness with the world, something in us lets go. It is somehow impossible for us to be at war with the world when we see that the world is us and that we are it. Peace fills our hearts and we come forth changed beings, manifesting the miracle without the distortions of struggle. Life may remain difficult, but it is enchanted with new meaning — it is, in the words of Sǿren Kierkegaard, no longer “a problem to be solved, but a mystery to be lived”.


Yet although a few of us in each age set down the struggle, most of us do not. It is a core purpose in my life to pursue an end to the delusion of separation and to convey what meager understanding I achieve to others in the hope, however vain, that this Great Peace can spread itself more broadly among us in the coming years. It is my belief that the science of today tells a powerful story about our kinship with the whole of the world, revealing quite clearly that this restless nomad has wandered far and may wander much farther still, but has never, not even for a moment, left home.


This article was written by Joshua Sandeman

Click HERE to Learn more about his work.

www.linkedin.com/in/joshua-sandeman

EMOTIONAL INTELLIGENCE - WELLNESS-MINDFULNESS

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Mindfulness involves an awareness of the here and now, and a mindset that is open and receptive to new ideas, information and experiences. In substance abuse treatment, mindfulness can be a way to cope with feelings, stress, triggers and urges and a way to manage stress and anxiety. Mindfulness can be the difference between responding effectively to the trauma symptoms that often co-occur with substance abuse, and a relapse to substance use to escape the unpleasant symptoms.


 Mindfulness, if practiced regularly is a positive skill that counteracts one’s self-destructive behavior. It is not an escape or a means of avoidance. It is a way of staying present with pain and discomfort, rather than fleeing from pain and discomfort. Instead of staying compulsively busy to avoid an urge, running from an urge or giving in to an urge by using; a person practicing mindfulness observes and accepts the urge, and rides it like a wave – knowing that every urge has a beginning, middle and end - and that this one too will pass.  


Mindfulness is a way of engaging the mind in response to any stressor, situation, interaction or activity that is causing any distress on the Physical, Emotional or Spiritual of you. Mindfulness helps a person recognize strong urges or feelings as invitations to accept or decline after careful consideration, rather than commands to act immediately. Mindfulness allows a person to remain calm under fire, then choose a response to a stimulus that is in his/her short-term or long-term best interest.


Skills Defined


There are mindfulness skills that need to be learned and practiced. When practiced routinely, it will be easier to call upon the skills at any time and to apply them when needed. Part of the beauty of mindfulness practice, is that the practice does not necessarily require sitting in a certain position or closing the eyes. Mindfulness can be practiced and skills during activities and as part of the activities. Some essential mindfulness skills are:


Awareness: Awareness involves focusing attention on one thing at a time, while at the same time recognizing that there are many things going on. Some of these things are external such as sounds, odors, touch, and sights, while some of these things are internal, such as our feelings thoughts, urges, impulses, etc.


Non-judgmental: The emphasis is on observing without judging or labeling things as “good” or “bad.” The idea is to observe my angry feelings without judging them as bad or feeling a need to get rid of them or do something about them. It’s like holding my anger at arm’s length and just noticing that this is anger. Then understanding that not only is it anger, but that it’s ok that it is anger and even understandable that anger would be there.


Present Moment: A present moment focus or being in the present moment means fully participating in the present without being distracted by guilt from the past or worry and anxiety about the future. It means engaging in activities that are meaningful today, not just mindlessly doing what I have always done or going through the motions without attention to what I am experiencing.

 

Open Mind (or Beginner’s Mind): An open mind or beginner’s mind is childlike (not childish). It is being open to new experiences and seeing them as they are; not how you have judged them to be or think they should be. If I attend an event with the mindset that “this is going to be a waste of time,” I have a preconceived notion about the event that prevents me from experiencing the event as it is. Likewise, if I already know it all, I’m not open to learning anything new, or experiencing the joy and bliss of learning.

A Beginner’s Mind is what a child has who experiences something for the first time.


This article was written by Marc Baisden, MACP, MIN

Click HERE to Learn more about Marc Baisden.

https://www.alignable.com/anchorage-ak/recovery-intervention-services

MENTAL HEALTH AND REAL HEALING

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A recent Wall Street Journal special report on health care included a revealing article titled “Where Are the Mental-Health Providers?” Reporter Louise Radnofsky presents convincing evidence and sounds the alarm about the increasing difficulty of finding much-needed mental health care in many regions of the United States.

Radnofsky quotes statistics from a recent study by Mental Health America, a patient advocacy group. The study found that while 42.5 million adults in the United States have a mental illness (18% of the population), the ratio of mental health providers to people in the US is just 1:790, while only 41% of people with a mental illness report receiving treatment.

“That’s prompting a sea change in attitudes among mental health advocates,” Radnofsky writes, “who are starting to look at solutions that are broader than just training more psychiatrists.”

It’s about time. In this month’s article and book excerpt, I explain my thinking on the Dr. Jekyll and Mr. Hyde nature of trauma treatment by psychiatrist-prescribed medications. I will stress again that there is an important role for psychotropic drugs in effective therapy. But—too often—drugs are presented as the complete answer for trauma sufferers. Nothing could be further from the truth.

Chemically locking away traumatic memories may help people temporarily, as I’ve outlined above. But I firmly believe that the hope for healing lies in unearthing and resolving the painful past. Drugs can make this process all but impossible when patients have great difficulty accessing their memories. And, over time, serious and life-compromising side effects of medication pile up.

Well-trained psychotherapists play a vital role in our nation’s mental health. I’m all in favor of greater recognition of this serious gap in our mental health system.


By Dr. Peter Bernstein

To read more of his articles, please visit: http://www.bernsteininstitute.com/blog/

*** "This article was written and originally published when Peter Bernstein, PhD was a licensed psychotherapist. His practice has evolved and he is currently a life coach, mentor and consultant."

RELATIONSHIPS AND TRAUMA, PART TWO


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“Trauma and its psychological wounds often destroy relationships, families, and communities, even claiming lives.” - From Trauma: Healing the Hidden Epidemic


Last month, we looked at the ways unresolved trauma affects, or almost “infects” relationships. We examined both the practical and the personal burdens that partners of individuals with unresolved trauma can bear. But what happens when both individuals in a relationship—a family, a marriage, a business partnership—carry wounds from the past?


Yours, Mine and Ours


The challenges in a relationship where both individuals carry unresolved trauma can be illustrated by considering the challenges in blending a step-family. As in a marriage between two individuals with children from other relationships, each individual may bring personal difficulties into the relationship that have nothing to do with their new partner, family member, or loved-one. These painful issues may express themselves in a variety of negative or undesirable symptoms and behaviors.


Each individual in the relationship may have some awareness of their own troubling issues. Each individual may also have some awareness of the emotional difficulties their new partners struggle with. Often, however, such awarenesses are hard to grasp. A great deal of confusion and conflict can arise in the day-to-day give-and-take of relationships when pain from the past is influencing behavior and attitudes in the present.


The confusion only deepens when the third set of challenges arise. To use our illustration, if the painful issues of each individual are the “yours” and “mine” stepchildren of the blended family, the third set of painful challenges will be the “ours” children, or the issues the new couple have with each other. These are the challenges and difficulties which arise precisely because of the nature of being in relationship.


Putting it briefly, two key ingredients in significant relationships are intimacy and dependency. For traumatized individuals, intimacy and dependency are very substantial challenges in themselves. The experience of trauma—whether prolonged developmental trauma or events of shock trauma—frequently, if not always, damages an individual’s ability to trust and feel safe in the world. Healthy intimacy and dependency require some ability to trust, and the willingness to allow that trust to grow and deepen. Individuals must be able to feel some essential element of safety in the relationship and be willing to help create a safe place for their partners and loved-ones.


Often, individuals with unresolved trauma lack the objectivity and awareness to sort out the “yours, mine, and ours” in their relationships. They may find themselves creating unfulfilling, destructive relationships over and over in similar patterns, or their painful pasts may be so overwhelming that they avoid relationships altogether. Competent, effective counseling can help with the sorting-out process to help individuals heal and strengthen their relationships.



By Dr. Peter Bernstein

To read more of his articles, please visit: http://www.bernsteininstitute.com/blog/

*** "This article was written and originally published when Peter Bernstein, PhD was a licensed psychotherapist. His practice has evolved and he is currently a life coach, mentor and consultant."

RESILIENCY AND RECOVERY

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Recovery emerges from hope: The belief that recovery is real provides the essential and motivating message of a better future - that people can and do overcome the internal and external challenges, barriers, and obstacles that confront them.

Recovery is person-driven: Self-determination and self-direction are the foundations for recovery as individuals define their own life goals and design their unique path(s).

Recovery occurs via many pathways: Individuals are unique with distinct needs, strengths, preferences, goals, culture, and backgrounds - including trauma experiences - that affect and determine their pathway(s) to/in recovery.

Recovery is holistic: Recovery encompasses an individual's whole life, including mind, body, spirit, and community. The array of services and supports available should be integrated and coordinated.

Recovery is supported by peers and allies: Mutual support and mutual aid groups, including the sharing of experiential knowledge and skills, as well as social learning, play an invaluable role in recovery.

Recovery is supported through relationship and social networks: An important factor in the recovery process is the presence and involvement of people who believe in the person's ability to recover; who offer hope, support, and encouragement; and who also suggest strategies and resources for change.

— Click HERE to speak to a highly trained and experienced psychologists online. https://onlinetherapies.com

Recovery is culturally-based and influenced: Culture and cultural background in all of its diverse representations - including values, traditions, and beliefs - are keys in determining a person's journey and unique pathway to recovery.

Recovery is supported by addressing trauma: Services and supports should be trauma-informed to foster safety (physical and emotional) and trust, as well as promote choice, empowerment, and collaboration.

Recovery involves individual, family, and community strengths and responsibility: Individuals, families, and communities have strengths and resources that serve as a foundation for recovery.

Recovery is based on respect: Community, systems, and societal acceptance and appreciation for people discrimination - are crucial in achieving recovery.


This article was written by Marc Baisden, MACP, MIN

Adapted from ASAM for Dual Recovery and Trauma

Click HERE to Learn more about Marc Baisden.

RELATIONSHIPS AND TRAUMA, PART 1

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Trauma affects, or almost “infects” relationships. The partners of individuals with unresolved trauma bear burdens that can be both practical and personal.

Practical Burdens

The lives of partners of trauma-affected individuals are burdened in practical ways because they must often fill in for their loved-one who is in some way “not there” to help with the daily demands of life. The spectrum of “not there” can range in severity from mild impairment to highly dysfunctional. Not only is the individual “not there” to help, they can add to the partner’s burdens with their trauma-related demands and needs for care. Trauma-affected individuals can have symptoms (including depression, anxiety, sleep disturbances, sexual dysfunction, mood swings, chronic fatigue, panic attacks, physical pain and disease, See Chapter 1: “Understanding Trauma”) which require care or accommodation. They can also have self-destructive behaviors (addictions, infidelity, risk-seeking activities) which result in negative consequences to the relationship.

Personal Burdens

Partners of trauma-affected individuals are also burdened personally within the relationship. Trauma-sufferers often want to avoid their pain by staying numb, isolating themselves, and refusing to be vulnerable. By limiting the amount of relating or connecting they do with their partners, they reduce the level of intimacy in their relationships, which removes the likelihood of having to feel pain. Partners become a “threat” to the traumatized individual’s sense of safety because they challenge the individual’s carefully constructed defenses against feeling.

The story of Brandon, a veteran of the war in Iraq, illustrates the desire for “numbness” shared by many traumatized individuals:

“But when he was home, the numbness began to wear off. He began to feel the emotional and physical pain of his experiences. Without the tools to successfully confront those feelings and learn to interact with his civilian family and friends, the feelings were completely overwhelming. The symptoms of his trauma were so intense that they were unbearable. Many service members, such as Brandon, feel that the only way to find relief is to be numb again.”
From Chapter 7: “A Note to Veterans and Their Loved Ones”

— Click HERE to speak to highly trained and experienced psychologists online. https://onlinetherapies.com

Self-medication through substance abuse is one way trauma-affected individuals attempt to remain numb, with often devastating effects on their relationships. They often turn to drugs and alcohol, I explain in Chapter 7, “because they want to numb symptoms of trauma. These substances keep the feelings and memories at bay. Their symptoms return when the high wears off, however, and the need to alleviate these symptoms creates an addictive pattern. It isn’t accurate to say that they want to abuse drugs and alcohol. Rather, the issue is that they will do anything to feel ‘normal’ again, or at least, comfortably numb.”

Partners of trauma-affected individuals often feel alone and rejected on some level. They may feel they must always tread lightly in their relationships. They may end up feeling helpless and powerless to make a difference in the lives of their suffering loved ones. Trauma-affected individuals often promote these feelings of powerlessness, because they are committed at all costs to maintaining control and protecting themselves from feeling their pain. Instead of cooperating with their partners by working through their traumas in order to have better relationships, they can actively resist and thwart their partner’s compassionate efforts. This conflictual, combative pattern, if it continues, can destroy trust within the relationship.

By Dr. Peter Bernstein

To read more of his articles, please visit: http://www.bernsteininstitute.com/blog/


*** "This article was written and originally published when Peter Bernstein, PhD was a licensed psychotherapist. His practice has evolved and he is currently a life coach, mentor and consultant."



Exercise And Anxiety

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Exercise and fitness are such a ubiquitous part of our culture today that it is hard to imagine a time when going to the gym after work was not seen as a normal habit. But, just a few decades ago, Americans were much less likely to exercise on their own. People may have been involved in sports, but seldom went to a gym just to work out or went for a run if it were not with a sports team or part of a training program. In 1960, President Kennedy went so far as to call America a "soft" and "under-exercised" nation.

Things began to change in 1968, when Dr. Kenneth Cooper published his then-groundbreaking book Aerobics, outlining the health benefits of exercise. Since then, exercise has become part of daily life for millions of people. Working out is now seen as essential for overall health and a healthy lifestyle.

While the physical benefits of exercise are certainly important, many people also choose exercise for the impact that it has on their mental health. Anxiety is on the rise, and the millions of people who live with anxiety are looking for ways to manage their condition. In addition to therapy and medication, exercise is one of the main ways that people choose to cope with anxiety. Many people find that exercising makes them feel calmer and blow off steam when they feel stressed. But does exercise really help anxiety?

Anxiety: A Growing Problem

Anxiety disorders are the most common mental illness in the United States. It is estimated that over 18%, or 40 million, American adults live with anxiety. And, that number is increasing. A 2018 survey reported that 39% of respondents said they feel more anxious than they did at the same time last year.

People who struggle with anxiety experience some similar symptoms, including feelings of panic and worry.

Can Exercise Help Anxiety?

Yes, exercise can help anxiety. But, it also depends on the type of anxiety and the person. As with all treatments for anxiety, different things work for different people. Many people with anxiety have reported that exercise helps them better manage their symptoms of the condition and feel less anxious overall. But, it is important to try exercise for anxiety for yourself to see what works for you.

How Does Exercise Help Anxiety?

There are numerous ways in which exercise helps anxiety:

Stress Relief

Exercise can be a release for people when they are feeling stressed or tense. If you have ever punched a punching bag during a boxing class, you understand how exercise and movement can help you unload your stresses. After a long day of work, or a fight with a friend, or when you are feeling anxious for seemingly no reason, moving your body and clearing your mind can help you let go of those feelings and prevent them from developing into deeper feelings of anxiety.

Distraction

When living with anxiety, it is all too easy to get caught up in your thoughts. One triggering thought can spiral into many more and lead you to feel extremely anxious and unable to calm yourself down. Working out, whether you go to the gym on your own, attend an exercise class, go for a jog outside, or engage in any form of exercise, is a great way to distract your mind and stop yourself from getting caught up in anxiety-inducing thoughts. While exercising, your mind will be focusing on your body's movements, giving you a much-needed break from the thoughts that make you feel anxious. Sometimes, distracting yourself and having a good workout is enough to stop anxious thoughts in their tracks.


Endorphins

When you exercise, your body releases endorphins, a feel-good hormone that naturally boosts your mood. In addition to making you feel happier, endorphins also reduce stress, which in turn can make you feel less tense and anxious. When you feel anxious, try taking a 10-minute break to move your body and stimulate the release of endorphins to see if their stress-fighting abilities help calm you down.

Improved Sleep

Lack of sleep or poor quality of sleep has been shown to increase rates of anxiety, especially among women. Anxiety can also make it harder to sleep, especially if you feel stressed and anxious at night.Exercise can help with both of these situations, as working your muscles hard naturally makes you more tired. Working out requires an immense amount of energy, so your body will be more prepared to fall asleep at night. Plus, exercise may make you feel less anxious overall, making you less likely to start feeling symptoms of your anxiety as your head hits the pillow.

the best exercise for depression and anxiety (and the best exercise in general) is one that you enjoy. If you try to force yourself into a workout routine that you hate, you will not be able to stick with it. You will always get the most benefit, both mental and physical, out of the type of exercise that you can do consistently. If your favorite workout is not on the above list, don't worry. If you already have a type of exercise that you enjoy and feel that it helps you manage your anxiety, certainly continue to do it. But, if you feel that your current workout routine does not help with your anxiety, try adding one of the above exercises into your routine and see if it makes a difference.

Other Ways to Manage Anxiety

While exercise helps many people cope with their anxiety, it is not the only effective way to manage anxiety. More traditional methods, like medication and therapy, should not be overlooked. Millions of people manage their anxiety with the help of a therapist or counselor, who can serve as a trusted confidant and offer valuable, individualized advice for coping with anxiety.

For many people, a combination of anxiety management techniques works best. If you are struggling with anxiety, remember that treatment is not "one size fits all," and it could take time to find the anxiety treatments that work for you. Get in touch with a therapist or counselor if you want to take the first step towards finding the best way for you to cope with your anxiety.

Reviewer Rashonda Douthit , LCSW

To read more articles like this, please visit: https://www.betterhelp.com/advice