Tag Archives: trauma

Believe that there is more to you

It is a sad and common theme.

A person is struggling: with an addiction, or obsessions and compulsions, or moral injury, or the impact of trauma, and has come to a place where the sense of self has been entirely subsumed by the problem and its pain.

The definition of self becomes “the addiction,” or “the monster who did (whatever has led to moral injury)” or “the mental disorder diagnosis.”

And, of course, as a therapist, I believe it is critical to address mental health troubles with the best of the science we have, with the particular approaches suited, as discerned ongoing, with the specific needs of that client.

But I also believe that a parallel need is extant and urgent: the need for this person, who is suffering, to come back to an awareness of self as a deeply beloved child of God. Not generically loved, like we may say that we “love” some food or activity or type of animal – but particular, personal, and intense.  Women who, like me, have been blessed to give birth will recall that wild wave of emotion that engulfs us when we meet that little person face-to-face after the peculiar intimacy of pregnancy. It makes us irrationally jealous of everyone and anyone; what mother doesn’t remember resenting the nurses and physicians who separated us from the baby long enough to do the general assessments and necessary care? Well, that is a reflection God’s love for each person.

If a person who is suffering is willing to enter into, and do, the hard work of therapy, which will include lifestyle changes and “homework,” and also becomes open to reconsidering his or her existence as a deeply loved person, someone who is more than the addiction, or bad choices, or terrifying memories, or intrusive thoughts and painful compulsions, then true and deep healing can happen.  This is what I would wish for every person struggling with emotional wounds.

Not another horrible day

A different day, another awful situation. 

A child, or teen, or young adult has been struggling with emotional turmoil and is tumbling into danger. They confide in a friend, or maybe a few friends.

They may have “met” someone in an online chat and now this person is their “boyfriend” or “girlfriend,” and they are planning to run way to meet this person.

Perhaps the young person has been “sexting” with someone they know personally, or “met” online, and now are being threatened with “sextortion,” that the images of them will be spread around, unless they meet some demand. This has recently led to many teen and young adult suicides.

Perhaps the young person shares that they are a victim of abuse.

Or, perhaps they stumbled upon, or were led to, the terrible misinformation that hurting oneself is a useful way to cope with painful feelings. The young person proceeds to experiment with self-harm, and posts online about it.

So-called friends hear the plan, listen to the horrible stories, or see the images of scratches, cuts or burns, and fail to turn to an adult for guidance.

Every parent I’ve ever spoken to is under the impression that their child would, of course, come to them if a friend were in grave danger. And sometimes that is true, but an awful lot of the time – in almost any of these kinds of incidents I’ve ever encountered in clinical practice or consulted on, as it happens – that was not the case. The case was, almost every time, that other young people knew about the plan to run away, or the abuse, or the self-harm, and did not seek the guidance of an adult.

Sometimes these “friends” have an unflagging alliance, suddenly, to keeping promises (unlike the promises they have made to you, dear parent, about everything from cleaning their room to homework being done well to treating your automobile with respect). Sometimes they believe they are better equipped to help than an adult would be, although they cannot arrest an abuser, drive someone to the emergency room or help them connect with a mental health professional for counseling, and their capacity to manage extreme distress is probably not much better than the troubled friend’s skills. Sometimes they dread social disapproval for breaking the rule that you keep adults out of it, whether the “it” is someone self-harming, or sharing that they are a victim of abuse, or are planning to run away from home to meet up with the “boyfriend” they “met” online.

I urge you to have frequent, open conversations about these topics with your young people. Make them age appropriate; be calm and encouraging. If you are too stressed out, you may be misread as “angry.” Remember that adolescents go through a stage where their brain interprets almost every non-happy facial expression as “angry.” If that happens, the conversation will probably be a complete failure.

Be calm, be matter-of-fact, and be sincere. Ask questions, too:

How do the people you know handle things like a friend telling them this kind of stuff?

If this was your friend, what would you do?

If it were (fill in the blank for some close friend or family member), what would you want their friends to do in this type of situation?

Why do you think people are reluctant to ask adults for help with this?

What would make an adult seem safe to go to with this problem?

Don’t lecture; have the conversation. It may be a conversation that occurs for a few minutes at a time over an extended period. That’s okay; sometimes a few sentence and letting it simmer is what’s necessary.  

You may, without knowing it, be setting the groundwork to save a life.

Cutting off Mom and Dad, Part 1

We were talking about families, generally, over breakfast.

“I don’t know why family therapy isn’t held in greater esteem,” my husband commented. “Look at what things are like for families…people are really struggling.”

I agreed with the struggling. And, yes, it would be nice if family therapy were more respected. It is rich with the integration of lifespan development, evolutionary psychology, personality, temperament, and culture. Family psychology and family therapy seem to be the neglected child in the world of mental health. Yet every theory of development, and most personality theories, see the family and early life experiences as foundational to the development of the adult person.  How we attach to others, the ease of trust, our expectations of the world, are all rooted in life experiences, particularly those early life experiences most often lived in the context of family.

Well, of course, if we emphasize family then we are saying family is important, pivotal, vital. And that, it seems, flies in the face of much of the mainline culture.

I will take one small slice for now: the bizarre movement to cut off parents who were not, and are not, abusive, neglectful, cruel, or so otherwise dysfunctional that remaining in active relationship with them would be endangering to one’s safety and/or sanity. There seems to have been, over the past few years, a growing movement in this regard. I have spoken with people, and read books by professionals, on both sides of these issues: the grieving parent and the disgruntled adult child; the professionals who attempt to help parents bridge the gap or, if that is impossible, to heal from the grief, and the therapists whose main lens is the toxic relationship that will only hurt you until you extricate yourself.

Are there cruel, abusive and destructively manipulative parents? Yup. And, likewise, selfish, cold and manipulative adult children, too.  And my somewhat limited professional experience (I’ve been in this field about 30 years) is that sometimes children who cut off parents did not have abusive, cruel parents. Sometimes, people cut off parents who did not do what the child wished, did not read their minds, did not feel obliged to agree and praise everything their child did.

And here we come to a piece of the culture guaranteed to undermine the family: the demand that people validate and accept whatever one thinks, feels, and does as indisputably “okay” because it is how we “feel,” etc. Well, now we have a problem that any family therapist could easily explain.

Mommies, generally, give children the majority of early care.  They provide unconditional love and approval because, as Dr. Jordan Peterson often points out, infants are “always right.” If the baby is crying, the baby is right: something needs attention, swiftly, lovingly and gently! That loving care must come even if baby is colicky, pukey, poopy, or otherwise quite disagreeable.  The baby is, after all, always right. However, this stage of life passes, and then Daddy’s influence increases: Daddies specialize in unconditional love with conditional approval. “I love you, and the room is a mess. Get going on it, kid. Here, I’ll give you a hand.”

This coordinated approach works great: it prepares children for the real world, where people have expectations and you can’t just do “whatever” and then complain it’s how you feel, and have everyone act shame-faced, shrug and say, Oh, OK. If that’s how you feel. Whatever.  Children benefit from the solid backing of both parents’ love, and the experience that disapproval of how I behave does not mean I am not loved. It means my behavior probably needs improvement.

The world, or the part of it to which children and young adults are often exposed, plays another tune. The modern message is that the relentlessly approving gaze of a nursing mother ought to be the perspective of parents forever, across all circumstances. That is a set-up to disrupt and undermine the family.

And it appears to be working terrifically.

A child goes off to college and is enlightened about…it matters not.  Politics, nutrition, whatever. They realize their parents are abject idiots. Worse, their parents may be bad and ill-intentioned because, look! A younger sibling is being raised in a religious/liberal/conservative/omnivore/vegetarian/whatever home. Big sibling becomes disrespectful towards the parents, dismissive, and undercuts them in an attempt to rescue little sibling from the fate of growing up in the same family.

Or, a young adult who is apparently sliding along, perhaps in perpetual adolescence, shifting from goal to goal, engaged with street pharmacology or alcohol, resents the parent who dares express concern and perhaps even the intent to turn off the money tap. Anger, resentment, and accusations flare; the young person demands parental fealty, blames the parents, and the parents, afraid of losing the relationship, are tempted to cave and pretend that a ten-year cycle of major changes in undergraduate school is just okay. It wouldn’t be okay even if the young person was the one financing it with their series of so-not-serious jobs; it would still be a waste of talent and youth.

In short, the mainstream culture offers the illusion that new-mommy bottomless approval is what is normal for adults. Do parents contribute to the problem of parent/child alienation? Absolutely; and that will be a story for another day.