trauma

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."