Tag Archives: trauma

The Trauma Couple

Most traumatized adults are not conscious of the profound ways in which the past permeates their thoughts, emotions, decisions, and actions on a daily basis. Nor do their partners recognize the way the trauma of the significant other dictates their own lives.

It’s natural for all of us to see only that which is directly in front of us. We get caught up in the moment and fail to see the shadows of a past that lurks behind the present-day crisis. The demons battled by the trauma survivor are not in the partner’s line of vision. Even the trauma survivor may be in the dark as to the source of unwanted feelings and thoughts. The intrusive traumatic images, fear, and anger are like fireworks exploding in the survivor’s brain, while the explosions are completely invisible and inaudible to everyone else.

Like an animal cowering from the noisy celebrations on the Fourth of July, triggered individuals become withdrawn and quick-tempered, pushing others away in an attempt to find safety and comfort. Their significant others are often blind and deaf to what is happening on the inside of the person they love. They see only the inexplicable emotional wall. They feel shut out, lonely, and hurt, which may turn quickly into outrage. Trauma survivors are typically unable to respond with empathy to their partner’s underlying hurt, but react immediately and reflexively to their outrage. The anger they feel from their partner may be perceived as an assault, leading to escalating fear, pain, and loneliness—and so the chasm grows. The partner in turn may feel increasingly alienated, hurt, angry, and fearful.

Eventually, the partner comes to resemble the trauma survivor with whom he or she is struggling to relate–reactive, defensive, and searching for relief from emotional pain. In fact, the partner is suffering a vicarious traumatization. As the partner’s symptoms and reactions escalate, so do the symptoms of the trauma survivor. Both individuals can quickly become caught up in an endless negative feedback loop of reactivity. The physical closeness that used to trigger the release of love hormones may now triggers the release of stress hormones for them both. Increased closeness equals increased anxiety and stress.

Yet–it is possible for a “trauma couple” to heal. Neither partner started the relationship intending to cause hurt to the other. Seeking help from a professional is an important step, as an understanding third party can help sort out the stuck patterns and treat the traumas that lie at the root of everything. The professional can help the partners communicate from an understanding that neither is to blame and both are equally responsible for becoming part of the healing process. If just one partner takes the risk of letting go of defenses, it can be enough to interrupt the negative feedback loop and begin a new, healthier pattern of communication, with the help of a therapist. The alternative is a perpetual stand-off, like two cowboys standing in the dust with guns drawn and ready.

It requires courage for partners to explore their triggers and call themselves out on their own unhealthy methods of self-defense. It requires a willingness to be vulnerable to open up emotionally and share deeper feelings. It requires commitment to set aside fear and really listen to the other without blame or guilt. Both partners are likely to struggle and fall back into old patterns due to the underlying traumas and triggers, but if they can learn to give one another the benefit of the doubt and let go of trivial offenses, they will each come to see the real person behind the survival mechanisms of the other. If both partners practice staying emotionally present to one another, their mutual sense of understanding and compassion can grow and deepen into a strong and loving relationship.

Photo Credit: Dollar Photo Club

Articles, Attachment and Trauma-Adults

“Trauma Time”

Trauma survivors live with a difficult phenomenon that is sometimes referred to as “trauma time.” Trauma Time is a phenomenon that has grabbed and deceived almost every survivor of trauma at one point or another. Traumatic memories are stored differently than normal memories. They are encapsulated in unmetabolized form in the limbic, or emotional region of the brain—an area of the brain in which time has no meaning. This is actually a good thing in the big picture of “mother nature,” with the many challenges that humans have faced through evolutionary time and the ultimate goal of human survival.

Consider this. If I have experienced frightening or threatening events in my life, there is a good chance that I live in an environment that may also be unsafe for me in the future. How am I to survive in such a world? I must remain vigilant and reactive to suspicious sounds, smells, facial expressions, and actions. I cannot allow myself to be fooled by the passage of time, because the dangerous element might be watching and waiting for me to let go of my vigilance. Never mind that the original source of my trauma is vanished from my life. Never mind that I am older, wiser, or beyond its reach. These concepts mean nothing to the limbic brain.

It is one of many miracles of nature that the limbic brain is designed without a clock. “Forever vigilant” is its motto. Quality of life is of no concern to this part of the brain. After all, what is quality of life if there is no life?

If I have suffered a trauma one, two, ten, twenty, or forty years previously, a sound, a smell, or a sight may remind my limbic brain of the original danger, triggering an immediate surge of cortisol into my brain. The cortisol leaves my heart racing, my palms sweating, and my thoughts disorganized and fragmented. In a split second I may find myself arguing and fighting or hiding in fear. I may be as confused as others around me regarding my extreme behaviors, and later I may be overwhelmed by guilt and shame.

Some trauma survivors “dissociate,” meaning that the “front part of self” becomes separated from the “emotional parts of self.” If suddenly I find myself operating from an emotional part of self that holds the feelings related to the trauma, I may truly lose touch with reality and forget the year, my age, and the passage of time. I am there again–in the middle of the experience, as pictures flash in front of my eyes, and sounds bombard my brain. It may take seconds, minutes, or hours until I remember where I am and who I am today, in present time.

To be effective, therapy must strengthen the “front part of self,” helping the traumatized individual develop skills for staying centered, self-aware, and tolerant of stress. After building skills, it becomes possible to help traumatized individuals bring “stuck” memories into the therapy office and integrate those memories with helpful information, work through the feelings in a safe, secure environment, and find a new present-day perspective with which to view the memories. The therapeutic relationship is vital, for it is impossible to tolerate the vulnerability of the work without a sense of connection and compassion from a supportive other.

Therapies that reach into the emotional region of the brain are important to processing stuck traumas, such as Eye Movement Desensitization and Reprocessing (EMDR). The EMDR therapist instructs the patient to watch her fingers as she moves them back-and-forth while bringing up memories. This process stimulates important centers needed for processing the material located in the right and left hemispheres of the brain. Art, music, poetry and other creative methods for expressing feelings also help reach into the emotional brain, where memories are stuck.

It is important not to forget the family members of trauma survivors affected by “trauma time.” Their feelings of powerlessness, fear, and anger need validation. Psycho-education can help clear up confusion and anxiety in family members, and communication work can help open up new channels for understanding and support.

Articles, Attachment and Trauma-Adults

Talking Back to Your Emotional Brain

Distressing events from earlier life are stored in the emotional part of the brain along with negative thoughts and beliefs that were present at the time of the trauma. Old negative beliefs naturally get triggered for any of us when we are feeling vulnerable. Pay attention to your thoughts. You may notice yourself thinking, “I’m stupid” or “I’m worthless.” You may notice yourself thinking, “I’m not safe,” or “Bad things always happen to me.” All of these thoughts are irrational beliefs that typically accompany traumatic events.

Don’t believe everything you think. Don’t be complacent and let the negative thoughts run away with you. You are not your thoughts. Thoughts are just thoughts. Beliefs can be accurate, or beliefs can be irrational and false. Talk back to them. Remind yourself: “I don’t have to be perfect. I’m OK as I am.”

Draw a line down the center of a piece of paper.
Write your irrational negative thoughts on the left side of the paper.
Think about your most rational friend or acquaintance and ask yourself, “What would he/she say to me about these statements?”
Write down the rational responses on the right side of the paper.
Do this exercise again and again on a regular basis.

Articles, Attachment and Trauma-Adults

Catch-22 for Victims of Trauma

I work with trauma victims, young and old. It is an honor to be allowed to walk the journey of healing with individuals facing challenges brought on by traumatic stress. Although most people sympathize with victims of abuse or violence when they hear about such events in the news, the symptoms experienced by traumatized individuals often include behaviors that cause interpersonal problems, such as aggression, anger, and isolation. This leads to a “Catch-22,” in that trauma victims need emotional support from others to help the healing process — yet the symptoms lead to relationship problems. The trauma therapist is often the individual’s first encounter with someone who understands what is happening.

To say that traumatized children have challenging symptoms and behaviors is probably an understatement. Children affected by chronic traumatic stress often have a poor sense of self and the lowest self-worth imaginable. They are anxious and mistrustful, waiting for the next bad thing to happen. They relive the earlier events of their lives through nightmares or flashes of memories, triggered by reminders of the past, or through compulsive behavioral reenactments of early events. Children suffering from traumatic stress have chronic high levels of cortisol and adrenaline keeping their nerves on edge and lowering the much needed neurotransmitter, serotonin. Their hyper-arousal makes it difficult for them to access the logical regions of the brain to think, process, delay gratification, or solve problems. Their neurology is wired to fight, flee, and freeze, and so they are reactive, aggressive, and unpredictable. Their ongoing emotional dysregulation interferes with their cognitive, emotional, and social development. They think concretely, don’t understand social cues, and have little insight into their own thoughts and feelings.

An observer in the waiting room of our therapeutic center might see one child sitting quietly, withdrawn, and head down, while another child is bouncing from chair to chair, overturning cushions, and tearing pages out of books. Many of the children in our waiting room have difficulty recognizing the personal space of others. They invade privacy by asking personal questions of complete strangers, and they tease and pick on one another. The waiting room observer might see teenagers with ankle bracelets due to house arrest along with pierced body parts, tattoos, and black nail polish. It’s probably difficult for most adults to view the pandemonium without judgments regarding the children or their parents. Many of the children are brought in by foster or adoptive parents following removal from birth parents, and the parents themselves are angry, overwhelmed, confused, and frustrated. Teachers, like the one I contacted last week, say things to me like, “I don’t care what happened in his earlier life, he needs to learn his lesson and shape up.”

Society needs more education about trauma in order to better meet the needs of our most vulnerable and hurt citizens. Caregivers of traumatized youngsters also need support, as raising hurt children is a challenging task. For traumatized children to heal, they must learn that the world is now a safe place for them, with adults who care and accept them for who they are. Unfortunately, the symptoms of traumatized children lead to confusion, anger, and frustration from the adults around them. The judgments and rejection they see in the eyes of their parents, teachers, and neighbors reinforce their fears, skewed perceptions, and survival mechanisms. As they mature into adulthood, their unhealed wounds lead to yet another generation of children who become traumatized by the adults who are supposed to protect them.

Lack of understanding of the behaviors and symptoms of traumatized children are obstacles to solving the problems of abuse and neglect. In my work with hurt kids, I have to be mindful of my own judgments and frustrations. I have to stay committed on a daily basis to connecting the dots between their current behaviors and the traumas that drive them. I feel I owe it to them to give them my best self. My dream is that knowledge of early trauma and its devastating effects can spread, so that the eyes of society will one day reflect a picture of hope and healing for these youngsters.

Articles, Therapy

When I walked into the office this morning…

I conducted a training along with my wonderful colleagues Stefanie Armstrong and Cathy Schweitzer here in Omaha yesterday, and the entire group became involved in a discussion regarding how traumatized children and adults over-read anger on faces. Even facial expressions that exhibit sadness, boredom, or fatigue can be easily read as anger or disapproval. Voice tones that are monotone or bored are read the same way. We teach parents the importance of lifting the eyebrows, using a lighter voice tone, being playful and light, as part of developing stronger bonds with hurt children.

I woke this morning a little dismayed about the idea of going into work after conducting a 3-day training here (still jet-lagged from Hong Kong–plus a couple of inches of new snow on the ground to deal with.) However, when I walked into the office, I was greeted by the kind of scenario that plays itself out all the time here. My colleagues Cathy and Bonnie were bantering with all the children and the adults in the waiting room. There was lots of laughter and chaos. There was a cute, red-haired kiddo lobbying for a good movie for the DVD player. The atmosphere of laughter and love that we have here immediately lifted my mood and energized me for the day. Though our group is made up of 10 women who are extremely skilled professionals, there is no pretense, stuffiness, or arrogance in this group. The tone is light, the atmosphere is one of warmth and acceptance. No wonder so many kids and adults feel immediately at home here. I am really grateful for this.