How Do We Get The Men Into Mental Health?

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*Trigger Warning*: Suicide

Note: This blog is presented as a cross-collaboration between NAMI and the American Foundation for Suicide Prevention, whose mission is to save lives and bring hope to those affected by suicide. It originally appeared on the AFSP Lifesavers Blog.

Dude. Dudes. It’s time for some real talk. Let’s get real here and look at the numbers. According to the latest figures from the Center for Disease Control, men are responsible for 76.92 percent of all completed suicides. Basically, about four out of every five completed suicides is a guy.

Yet here in South Carolina, where I’m on the local state board for the American Foundation for Suicide Prevention, I notice that every time we do a public mental health awareness program, about 80 percent of the attendees are women. A lot of these women show up because they’ve lost a loved one to suicide, and much of the time, the loved one they’ve lost was a man.

The numbers tell us a lot of men out there are suffering…but most men aren’t showing up to get help, raise awareness, or help encourage their fellow bros to talk about what they’re going through.

I’d like to ask all the women reading this blog post to leave the room for a minute.

Are they gone? Cool. Dudes, it’s just us now. Let’s talk.

I’ll start.

I lost two brothers to suicide. That’s right. Two. 11 years apart. Mark and Matthew. After the second one, I found myself in a very dark place. Sobriety, counseling, and time have helped me immensely, and in 2010 I started to volunteer for AFSP, and this has accelerated my recovery even further. It has taken me years to get to this point, but when you start helping other survivors of suicide loss and start focusing on preventing future occurrences of completed suicides, you ultimately end up helping yourself. My work with AFSP has benefited me greatly on a personal level, but I am still very bothered by what is happening with men and suicide.

So, I’m going to turn this around on you now, and ask for your help. First, a couple questions:

  • Why is the number for male suicide so high?
  • How do we lower it?

I personally think the first step is for us dudes to become more comfortable talking about it. How can we get our fellow men to open up? First of all, let’s realize that when we show vulnerability, we are actually showing strength. We need to focus on forming some really tight connections with each other. Once those are in place, we need to get comfortable sharing real life situations, knowing full well that two (or more) brains are better than one. How do we get our other dude buddies to feel comfortable doing this?

For me, I am involved in a faith-based, men’s-only group that meets every Friday. We in the group have grown together to a place where we are quite comfortable admitting to each other when we’re screw ups, or when we’re worried about something…but that has taken some time. That’s just one example. I saw recently that the construction industry is including mental health into their meetings, and the NCAA is addressing mental health issues through their Sport Science Institute. Progress!

Maybe another tactic is to keep things light. One thing I’m thinking about doing is hosting a men’s only comedy night with a mental health theme. Laughter helps people feel relaxed. Maybe if we guys can sit around, talk about feelings – I know, a lot of us hate that word—in a light way, it can help us become more comfortable opening up.

Another thought I had in terms of encouraging our fellow men to join our efforts in suicide prevention is to not make it too time consuming. Men tend to volunteer in spurts. We’ll do a golf outing, but mention a three-year commitment to a board and most of us are out the door. It’s important to remember that we can all get involved within the constraints of our own personal comfort zone. Every little bit helps. Dip your toe in the pool. The water’s warm.

No matter what strategies we use, the overall message is simple: mental health and suicide are okay to talk about, and we all matter. Talk Saves Lives.

So, what are your thoughts? If you’re a guy and have been impacted by mental health conditions or possibly a suicide attempt or a loss, reach out for help, or come help us at AFSP. Get off your duff and find your local chapter and volunteer for something — anything! Even just making a point to talk matter-of-factly about mental health and feelings (jeez, that word again!) with your friends makes a difference, because it lets them know you’re a safe person to talk to when they have something to say.

Women – I can see you’ve stepped back in, now, that’s okay – do what you can to drag the men in your life to a community walk, a survivor’s meeting, or somewhere you feel they can benefit from, but might not feel comfortable going to themselves. Many of us will not do it without your help.

Finally, think about ways we can better reach men about suicide prevention, and share your ideas. Come at us with all you’ve got. If we want to lower the suicide rate 20 percent by 2025, we’ve got to put the men back into mental health.

By Dennis Gillan | Sep. 08, 2017

9 Signs You Should Break Up with Your Therapist

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But let’s say, for example, you picked your therapist while you were in the midst of a crisis and now you feel like you’re too far into your treatment to leave. Or maybe you’ve gone a few times but you’re not really sure that you’re getting what you need from the interaction.

There are many reasons people find themselves in an established relationship with the wrong therapist or seeing someone they’ve outgrown. We asked experts for red flags that indicate you need to break up with your therapist and find a new one. Here’s what they had to say:

1. Your therapist fell asleep on you

Believe it or not, this actually happens.

“I have had more people than I can count come to my office and tell me that they’re coming because their previous therapist fell asleep,” Chloe Carmichael, a clinical psychologist based in New York City, told The Huffington Post. “And they’ve told me that it’s happened more than once.”

If your therapist ever falls asleep on you in session, take that as a sign that he or she is not fit to be working with patients and you should find someone new.

2. You feel like your therapist doesn’t support your goals

It is important that you feel supported. Carmichael gives the example of a troubled relationship: If your therapist thinks you should break up with your partner but you are seeking help to repair the relationship, have a conversation with your therapist about this, she advises.

“I would encourage the person to say, ‘I want to clarify if we should continue working together, because I want to clarify that we have the same goals. I want to stay with my boyfriend and sometimes I feel like you want me to break up with him. Is that true?’” Carmichael said.

This kind of conversation provides the opportunity to see if you and your therapist see eye-to-eye, learn about potential red flags he or she might be noticing and agree about the direction in which your life is going.

“You do not want to be with somebody who comes across as judgmental,” agreed Liana Georgoulis, a clinical psychologist and director of Coast Psychological Services in Los Angeles.

On the other hand, sometimes you won’t always hear what you want to hear, Georgoulis said. The right therapist won’t always agree with you. And, of course, any therapist has a responsibility to intervene if you’re in an abusive or otherwise dangerous situation.

3. The therapist claims he or she is an expert in every condition

Beware of therapists who say they’re able to help with everything or market themselves as a “Jack of all trades.”

Many therapists know which conditions they can help with, and also where they can’t, Carmichael notes. A good therapist will refer you to someone else if your condition falls out of his or her scope.

4. You’re not sure why you are in therapy

Therapy can provide tools for coping with everyday stress or a mental health condition. Make sure you are working with your therapist toward mutually agreed-upon and clearly defined goals.

“Sometimes there might be differences in what that work is or how to get there,” Georgoulis said. But ask the professional you’re seeing to outline the treatment plan so you have a good sense of what it is you’re doing together.

5. Your therapist needs reminders

You should not feel like you need to brief your therapist on events or facts you’ve already covered in previous weeks.

“If that happens every session, that might be a sign that you want to get a therapist that’s more organized or more attentive,” Carmichael said. “You shouldn’t have to lead the therapist.”

6. You don’t feel like you’re getting anywhere

Let’s say you went into therapy for anxiety and you’ve learned tools to help you cope better each day. So rather than talk about anxiety, you bring up other issues that you need help working out. But session after session, you just don’t see any progress in these areas.

“Sometimes you’ve just gone as far up the mountain as you can with somebody, and it’s justifiably time to say goodbye,” Carmichael said.

Georgoulis agrees. If you’ve been in therapy for a long time but the needle hasn’t moved on certain issues, bring this up to your therapist. If you are still in pain, or not feeling good, it may serve you to find another person to talk to, she said.

7. You know too much about your therapist’s life

When therapists tell patients information about their own lives to make a point or illustrate an idea, it’s called disclosure. Researchers have been debating where the line is when it comes to this technique for ages ― even Sigmund Freud grappled with it, The New York Times reported.

Here’s how Carmichael suggests approaching it: If the therapist is telling you things about his or her own life for an obvious reason and it feels helpful, it’s probably fine. But if you can’t figure out why the therapist is sharing certain stories, or if he or she is taking up your valuable therapeutic time, it could be an indicator that this therapist is not the right fit.

Carmichael suggests finding a therapist who expresses him or herself quickly and distinctly during your time together.

“There’s not room for long winded answers,” she said.

8. You go to therapy just to vent

A core component of good therapy is the therapist’s ability to connect a patient’s thoughts, find patterns and then trace it all back to concrete changes in thinking, Georgoulis said.

“If a therapist is just letting you come in and ‘vent’ each week, that’s not a good sign,” she said.

Find a therapist who does more than just make you feel better in the moment or provide advice for particular situations.

9. You feel good after every session

“There’s a misconception, I think, that people are supposed to walk away from a therapy session feeling great and I don’t think that’s true,” Georgoulis said. “The work is hard and sometimes you leave therapy sessions feeling challenged or drained. Stuff gets stirred up.”

If you are always leaving therapy feeling like everything is perfect, Georgoulis urges you to ask yourself if you are truly doing the work. It could be a sign that you need a different therapist who can help you process challenging emotions.

So, what should you do?

Both experts say the best route to securing the right therapist from the outset is to interview several of them, be straightforward about why you need counseling and ask about specific treatment methods he or she uses.

Bottom line, there are many excellent reasons to go to therapy. But once you’re there, consider if the therapist is really the right fit for you. If it’s not the right match, do what you need to do to find the right person.

It’s worth it.

Therapists work for you. Read these signs to determine if you need to “shop around” a bit more to get the help that you deserve!

https://www.huffingtonpost.com/entry/signs-you-should-break-up-therapist_us_58ed18f0e4b0ca64d919dd01?utm_hp_ref=mental-health

Brené Brown on Teaching Kids to Fail Well

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Failure is excruciating. But it’s not as excruciating as watching your child fail. It’s not just that parents are biologically programmed to care about them. We really want them to succeed, partly so they have a great life and partly because, frankly, their success reflects well on us.

But as parents increasingly navigate their kids’ lives so that they avoid failure, those kids lose an important life skill, and one one they will inevitably need: how to find the courage and motivation to get back up. So how do you help kids fail, or rather, how do you help kids deal with failure? Brené Brown, whose new book Rising Strong is about coming back from failure, has spent nearly her whole career studying shame and courage, and in a recent interview with TIME she gave this advice: first, don’t try to fix it.

“If my child, you know, tries out for a team, or you know really wants to get into a certain college or gets shunned at lunch,” she says, “am I willing to sit with her or sit with him and not fix it, but just be with her or him in the struggle? Am I willing to look over and say, ‘God, I know how crappy this feels right now?’ “

Brown wants parents to let kids feel the sting of failure and learn to overcome it. Even when parents can fix something, she sees more value in teaching kids to feel the emotions failure produces. “Teaching them how to get curious about it, teaching them how to name it, teaching them how to ask for what they need,” she says. “That’s the gift that parents give.”

Brown, who has two kids, also thinks it’s helpful to give kids a reality check, to retell their stories to them. “I’ve got a 16 year old daughter who sometimes can compare her life with Instagram,” she says. “And the stories she makes up: this is what everyone looks like, the fabulous stuff everyone is doing, the time with the entire posse of friends. A lot of times I’ll say, let’s reality check the story you’re making up right now.”

Brown then recounts her daughter’s story a slightly different way. “You’re at home studying chemistry, and you’re making out that everyone is out having a fabulous time. Where are your friends tonight? They’re studying for chemistry. Right. And did anyone ask you to do something tonight? Yes, they did. And why didn’t you go? Because you’re making a choice to study for chemistry.

Getting kids to cast themselves in their own narrative helps kids recall what they consider success and reminds them what their aims are. “We don’t want to be victims in the story. We don’t even want to be heroes in a story,” says Brown. “We want to be the author of the story. And you can’t do that unless you own the story and dig into it.”

http://time.com/4025350/brene-brown-on-teaching-kids-to-fail-well/

The Stanford professor who pioneered praising kids for effort says we’ve totally missed the point

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It is well known that telling a kid she is smart is wading into seriously dangerous territory.

Reams of research show that kids who are praised for being smart fixate on performance, shying away from taking risks and meeting potential failure. Kids who are praised for their efforts try harder and persist with tasks longer. These “effort” kids have a “growth mindset” marked by resilience and a thirst for mastery; the “smart” ones have a “fixed mindset” believing intelligence to be innate and not malleable.

But now, Carol Dweck, the Stanford professor of psychology who spent 40 years researching, introducing and explaining the growth mindset, is calling a big timeout.

It seems the growth mindset has run amok. Kids are being offered empty praise for just trying. Effort itself has become praise-worthy without the goal it was meant to unleash: learning. Parents tell her that they have a growth mindset, but then they react with anxiety or false affect to a child’s struggle or setback. “They need a learning reaction – ‘what did you do?’, ‘what can we do next?’” Dweck says.

Teachers say they have a “growth mindset” because not to have one would be silly. But then they fail to teach in such a way that kids can actually develop growth mindset muscles. “It was never just effort in the abstract,” Dweck tells Quartz. “Some educators are using it as a consolation play, saying things like ‘I tell all my kids to try hard’ or ‘you can do anything if you try’.”

“That’s nagging, not a growth mindset,” she says.

The key to instilling a growth mindset is teaching kids that their brains are like muscles that can be strengthened through hard work and persistence. So rather than saying “Not everybody is a good at math. Just do your best,” a teacher or parent should say “When you learn how to do a new math problem, it grows your brain.” Or instead of saying “Maybe math is not one of your strengths,” a better approach is adding “yet” to the end of the sentence: “Maybe math is not one of your strengths yet.”

The exciting part of Dweck’s mindset research is that it shows intelligence is malleable and anyone can change their mindset. She did: growing up, she was seated by IQ in her classroom (at the front) and spent most of her time trying to look smart.

“I was very invested in being smart and thought to be smart was more important than accomplishing anything in life,” she says. But her research made her realize she could take some risks and push herself to reach her potential, or she could spend all her time trying to look smart.

She and other researchers are discovering new things about mindsets. Adults with growth mindsets don’t just innately pass those on to their kids, or students, she says, something they had assumed they would. She’s also noticed that people may have a growth mindset, but a trigger that transports them to a fixed-mindset mode. For example, criticism may make a person defensive and shut down how he or she approaches learning. It turns out all of us have a bit of both mindsets, and harnessing the growth one takes work.

Researchers are also discovering just how early a fixed and growth mindset forms. Research Dweck is doing in collaboration with a longitudinal study at the University of Chicago looked at how mothers praised their babies at one, two, and three years old. They checked back with them five years later. “We found that process praise predicted the child’s mindset and desire for challenge five years later,” she says.

In a follow-up, the kids who had more early process praise—relative to person praise—sought more challenges and did better in school. “The more they had a growth mindset in 2nd grade the better they did in 4th grade and the relationship was significant,” Dweck wrote in an email. “It’s powerful.”

Dweck was alerted to things going awry when a colleague in Australia reported seeing the growth mindset being misunderstood and poorly implemented. “When she put a label on it, I saw it everywhere,” Dweck recalls.

But it didn’t deflate her (how could it, with a growth mindset?). It energized her:

I know how powerful it can be when implemented and understood correctly. Education can be very faddish but this is not a fad. It’s a basic scientific finding, I want it to be part of what we know and what we use.

https://qz.com/587811/stanford-professor-who-pioneered-praising-effort-sees-false-praise-everywhere/

10 Things That Changed Me After the Death of a Parent

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Sad Young Woman Sitting Outdoors

ALEXANDERNOVIKOV VIA GETTY IMAGES

I don’t think there is anything that can prepare you to lose a parent. It is a larger blow in adulthood I believe, because you are at the point where you are actually friends with your mother or father. Their wisdom has finally sunk in and you know that all of the shit you rolled your eyes at as a teenager really was done out of love and probably saved your life a time or two.

I lost both of mine two years apart; my mother much unexpected and my father rather quickly after a cancer diagnosis. My mom was the one person who could see into my soul and could call me out in the most effective way. She taught me what humanity, empathy and generosity means. My father was the sarcastic realist in the house and one of the most forgiving people I have ever met. If you wanted it straight, with zero bullshit; just go ask my dad.

Grief runs its course and it comes in stages, but I was not prepared for it to never fully go away.

  1. My phone is never more than 1 foot away from me at bedtime, because the last time I did that I missed the call that my mother died.
  2. The very thought of my mother’s death, at times, made me physically ill for about six months after she died. I literally vomited.
  3. Their deaths have at times ripped the remainder of our family apart. I did my best to honor their wishes and sometimes that made me the bad guy. The burden of that was immense, but I understood why I was chosen. It made me stronger as a person, so for that I am grateful.
  4. I’m pissed that my son didn’t get to experience them as grandparents. I watched it five times before his birth and I feel robbed. He would have adored them and they him.
  5. I would not trade my time with them for anything, but sometimes I think it would have been easier had you died when I was very young. The memories would be less.
  6. Don’t bitch about your parents in front of me. You will get an earful about gratitude and appreciation. As a “Dead Parents Club” member, I would take your place in a heartbeat, so shut your mouth. Get some perspective on how truly fleeting life is.
  7. It’s like being a widow — a “club” you never wanted to join. Where do I return this unwanted membership, please?
  8. Other club members are really the only people who can truly understand what it does to a person. They just get it. There is no other way to explain it.
  9. Life does go on, but there will be times even years later, you will still break down like it happened yesterday.
  10. When you see your friends or even strangers with their mom or dad, you will sometimes be jealous. Envious of the lunch date they have. Downright pissed that your mom can’t plan your baby shower. Big life events are never ever the same again.

Here I sit eight and ten years later and there are still times that I reach for the phone when something exciting happens. Then it hits me; shit, I can’t call them.

Their deaths have forever changed me and how I look at the world. In an odd way it has made me a better parent. I am always acutely aware of what memories can mean to my son and how I will impact his life while I am on this earth. He deserves to know how much he is loved and when I am gone, what I teach and instill in him now, will be my legacy.

https://www.huffingtonpost.com/lisa-schmidt/10-things-that-changed-me-after-the-death-of-a-parent_b_7925406.html

Fear and Anxiety – An Age by Age Guide to Common Fears, The Reasons for Each and How to Manage Them

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It is very normal for all children to have specific fears at some point in their childhood. Even the bravest of hearts beat right up against their edges sometimes. As your child learns more about the world, some things will become more confusing and frightening. This is nothing at all to worry about and these fears will usually disappear on their own as your child grows and expands his or her experience.

In the meantime, as the parent who is often called on to ease the worried mind of your small person, it can be helpful to know that most children at certain ages will become scared of particular things.

When is fear or anxiety a problem?

Fear is a very normal part of growing up. It is a sign that your child is starting to understand the world and the way it works, and that they are trying to make sense of what it means for them. With time and experience, they will come to figure out for themselves that the things that seem scary aren’t so scary after all. Over time, they will also realise that they have an incredible capacity to cope.

Fears can certainly cause a lot of cause distress, not only for the kids and teens who have the fears, but also for the people who care about them. It’s important to remember that fears at certain ages are completely appropriate and in no way are a sign of abnormality.

The truth is, there really is no such thing as an abnormal fear, but some kids and teens will have fears that are more intense and intrusive. Even fears that seem quite odd at first, will make sense in some way.

For example, a child who does not want to be separated from you is likely to be thinking the same thing we all think about the people we love – what if something happens to you while you are away from them? A child who is scared of balloons would have probably experienced that jarring, terrifying panic that comes with the boom. It’s an awful feeling. Although we know it passes within moments, for a child who is still getting used to the world, the threat of that panicked feeling can be overwhelming. It can be enough to teach them that balloons pretend to be fun, but they’ll turn fierce without warning and the first thing you’ll know is the boom. #not-fun-you-guys

Worry becomes a problem when it causes a problem. If it’s a problem for your child or teen, then it’s a problem. When the fear seems to direct most of your child’s behaviour or the day to day life of the family (sleep, family outings, routines, going to school, friendships), it’s likely the fear has become too pushy and it’s time to pull things back.

So how do we get rid of the fear?

If you have a child with anxiety, they may be more prone to developing certain fears. Again, this is nothing at all to worry about. Kids with anxiety will mostly likely always be sensitive kids with beautiful deep minds and big open hearts. They will think and feel deeply, which is a wonderful thing to have. We don’t want to change that. What we want to do is stop their deep-thinking minds and their open hearts from holding them back.

The idea then, isn’t to get rid of all fears completely, but to make them manageable. As the adult in their lives who loves them, you are in a perfect position to help them to gently interact with whatever they are scared of. Eventually, this familiarity will take the steam out of the fear.

First of all though, it can be helpful for you and your child to know that other children just like them are going through exactly the same experience.

An age by age guide to fears.

When you are looking through the list, look around your child’s age group as well. Humans are beautifully complicated beings and human nature doesn’t tend to stay inside the lines. The list is a guide to common fears during childhood and the general age at which they might appear. There are no rules though and they might appear earlier or later.

Infants and toddlers (0-2)

•   Loud noises and anything that might overload their senses (storms, the vacuum cleaner, blender, hair dryer, balloons bursting, sirens, the bath draining, abrupt movement, being put down too quickly).

Here’s why: When babies are born, their nervous systems are the baby versions. When there is too much information coming to them through their senses, such as a loud noise or being put down too quickly (which might make them feel like they’re falling), it’s too much for their nervous systems to handle.

•   Being separated from you.

Here’s why: At around 8-10 months, babies become aware that when things disappear, those things still exist. Before this, it tends to be ‘out of sight, out of mind’. From around 8 months, they will start to realize that when you leave the room you are somewhere, just not somewhere they can see you. This may be the start of them being scared of being separated from you, as they grapple with where you’ve gone, and when you’ll be coming back. During their second year, they begin to understand how much they rely on your love and protection. For a while, their worlds will start and end with you. (Though for you in relation to your little heart stealers, it will probably always be that way.)

•   Strangers.

Here’s why: An awareness of strangers will peak at around 6-8 months. This is a good thing because it means they are starting to recognize the difference between familiar and unfamiliar faces. By this age, babies will have formed a close connection with the ones who take care of them. They will know the difference between you and the rest of the world, not only because of what you look like or the sound of your voice, but also because of what you mean for them. For many babies, strangers and ‘sort of strangers’ – actually anyone outside of their chosen few – will need to move gently. Babies will be sensitive to their personal space and will be easily scared by anyone who quickly and unexpectedly enters that space.

(At this age, separation anxiety and stranger anxiety can be a tough duo for any parent. Your little person doesn’t like being away from you, but they might not be too fond of the person you leave them in the care of. It can be tough, but hang in there – it will end.)

•   People in costume.

Soooo lemme get this right – you’re putting me in front of a big man in a red suit with a white beard the likes I’ve never seen before and you want me to sit on his lap? Nope. Not today. Probably not until I’m like, five. Or 72. Or when I figure that out he brings stuff. Then I might get close enough to tell him want I want, or maybe I’ll throw him a letter or something. And I don’t get the point of the big people-sized rabbits that carry baskets of shiny wrapped thin- … actually, wait. No to the rabbit people. Yes to the shiny wrapped things. Just put them where I can reach them and leave. K?

•   Anything outside of their control (exuberant dogs, a flushing toilet, thunder).

Here’s why: At around age one when your child starts to take little steps, he or she will start to experiment with their independence. This might look like moving small distances away from you or wanting to play with their food or feed themselves. With this, comes an increasing need for them to have a sense of predictability and control over their environment. Anything that feels outside of their control might seem frightening.

Preschoolers (3-4)

•  Lightning, loud noises (the bath draining, thunder, balloons bursting, fireworks, loud barking dogs, trains) and anything else that doesn’t make sense.

Here’s why: They will become very aware of their lack of control in the world. Because of this, they might show a fear of things that seem perfectly innocent to the rest of us to make no sense at all to a grown up. It can be a scary world when you’re new to the job of finding your way in it!

•  Anything that isn’t as it usually is – (an uncle who shows up with a new beard, a grandparent with different colored hair).

Here’s why: It’s hard enough when strangers are strangers, but when favorite people look like strangers … whoa! Familiarity is the stuff of happy days. There’s so much in the world to get used to when you’re fairly new to the job. When things change unexpectedly, it can feel like being back at the beginning and having to get comfortable all over again. Massive ‘ugh’.

•  Scary noises, Halloween costumes, ghosts, witches, monsters living under the bed, burglars breaking into the house, burglars making friends with the monsters living under the bed and ganging up  – and anything else that feeds their hardworking imaginations.

Here’s why: Their imaginative play is flourishing and their imaginations are wonderfully rich. At this age, they will have trouble telling the difference between fantasy and reality.

•  The things they see on television or read in books might fuel their already vivid imaginations and come out as scary dreams. This might bring on a fear of the dark or being alone at night.

Here’s why: At this age, kids can struggle a little to separate fantasy from reality. If they hear a story about a pirate for example, as soon as the lights are out they might imagine Captain-Russell-With-The-Boat-Who-Steals-Toys-From-Sleeping-Kids is waiting under their bed, ready to cause trouble. A calming bedtime routine and happy, pirate-free stories can help to bring on happy zzz’s.

•  People in costume (Santa, the Easter Bunny, story or cartoon characters.)

Here’s why: At this age, grown-ups in dress-ups are no more adorable than they were in the baby days. If Santa doesn’t know what they want, he might just have to work harder, because there’s no way they’ll be telling him in person. Lucky he’s magic and has people on the ground who know the important stuff.

•  Being separated from you or being away from the people or pets they love.

Here’s why:  They might worry that something will happen to themselves, the people they love or a pet, particularly if something happens to someone close to them.

•  The dark and being on their own at night, particularly if they hear a strange sound or see lights or shadows on the wall.

Here’s why: The dark can feel scary at this age. With their imaginations running wild and free, they might put their own explanations to strange night-time noises or shadows on the wall. They might convince themselves that the sound of a moth hitting a light bulb is definitely a robber, because no other explanation makes any sense.

5-6 years.

•  Being separated from you.

Here’s why: At this age, children might show a strong reaction to being separated from one or either or their parents. This comes as they start to see outside of themselves and realize that bad things can happen to the people they love. They might want to avoid school or sleepovers so they can be with you and know that you’re safe and sound.

•  Ghosts, monsters and witches – and anything else that bumps around in their wonderfully vivid imaginations. This can also show itself as a fear of the dark – because we all know the spooky things love it there.

Here’s why: Their imaginations are still hard at work so anything they can bring to life in there will be fuel for fear.

•  The dark, noises, being on their own at night, getting lost, getting sick.

Here’s why: As well as being scared of things that take up precious real estate in their heads, they might also become scared of things could actually happen. These are the sorts of things that might unsettle all of us from time to time.

•  Nightmares and bad dreams.

Here’s why:  Because of the blurred line between fantasy and reality, bad dreams can feel very real and are likely to peak at this age.

•  Fire, wind, thunder, lightning – anything that seems to come from nowhere.

Here’s why: They are still trying to grasp cause and effect and their minds are curious and powerful. They might scare themselves trying to explain where scary things come from. Lightning might mean the sky is about to catch fire. Thunder – who knows – but anything that loud surely doesn’t come in ‘cute’ or ‘chocolate coated’.

7-11 years.

•  Monsters, witches, ghosts, shadows on the wall at night.

Here’s why: Though their thinking is more concrete, children at this age will still have a very vivid imagination.

•  Being at home alone.

Here’s why: They’re still learning to trust the world and their capacity to cope with small periods of time on their own, without you. Staying at home alone might be exciting, scary or both – then there’s that imagination of theirs that might still ambush them at times.

•  Something happening to themselves or the people (or pets) they care about.

Here’s why: They start to understand that death affects everyone at some point and that it’s permanent. They might start to worry about something happening to themselves or the people (or pets) they care about.

•  Being rejected, not liked, or judged badly by their peers (buckle up – this one might stay a while).

Here’s why: This can show up at any age but it might ramp up or towards the end of these years. This is because they will start to have an increased dependence on their friendships as they gear up for adolescence.

Adolescents (12+)

•  What their peers are thinking of them.

One of the primary developmental goals of adolescence is figuring out how they are and where they fit into the world. As they do this, they will start to worry about what other people think. They also have the job of moving towards independence from you. What their friends think will take on a new importance as they start to make the move away from their family tribe and towards their peer one. They will always love you (though it might not feel that way if you’re weathering one of the storms that comes with adolescence!), but their dependency on you will shift. This is healthy and important and the way it’s meant to be. It’s all part of them growing from small, dependent humans into capable, independent, thriving bigger ones.

•  Themselves or someone they care about getting hurt, becoming sick or dying.

Here’s why: They will be very aware that accidents happen, people get sick, and sometimes you just can’t see it coming. This fear will probably have more muscle if they hear of someone around them becoming sick or getting hurt. Realising that people can break isn’t all bad for them. During adolescence, they will be particularly prone to taking silly risks. It’s all part of them extending into the world and learning what they are capable of. What’s important is keeping their fear at a level that it doesn’t get in the way of them being brave, learning new things, and finding safe ways to discover what they’re capable of.

•  how they’re doing at school, exams, failure, getting into college or university, not being able to ‘make it’ after school.

Here’s why: They’re thinking about life after high school . They want to do well, live a good life, and chase the dreams they’ve been dreaming.

•  Strangers getting into their room at night, war, terrorism, being kidnapped, natural disasters – and any other frightening thing they might hear about in the news.

Here’s why: They realize that bad things happen sometimes but don’t understand the likelihood and the rarity of such events. With their increasing time on social media, they will tend to hear about bad news more often and come to believe that the risk of it happening to them is greater than it actually is.

•  Talking to you about important personal issues.

Here’s why: It’s their job during adolescence to learn how to need you less. Adolescence isn’t always gentle with it’s developmental tasks and needing you less might be felt as ‘loving you less’. It’s not this – they love you as much as ever and however they might act towards you, what you think really does matter to them. They want you to be proud of them and they don’t want to disappoint you.

•  Fear of missing out.

Here’s why: Being connected to their friends and being a part of what’s going on in their friendship group can feel like a matter of life or death. It sounds dramatic and for them, it is – but there is a good reason for this. For all mammals throughout history (think cave-people) and in nature, exclusion from the tribe means has meant almost certain death. For our adolescents, that’s how it feels when they feel on their outside of their tribe – it feels like death. In time they will learn that they will still feel connected to their friends even if they aren’t a part of everything that happens.

What to do:

For babies.

•  Play peek-a-boo.

It will start to teach your baby that even when your face disappears, you’re still there. (That, and because the way their face lights up when they see you is gorgeous.)

•   Teach them that separation is temporary, but go gently.

Practice leaving the room for short periods at a time so your baby can learn that you will always come back. Start with a minute, then, when your baby is ready, move up from there. When you are ready to leave them in the care of others, start with people they are familiar with for short periods, then work gently up from there.

•  Always say goodbye.

Saying goodbye is the most important thing to do when you leave them. Making a quick dash while they are distracted might make things easier in the short term, but it will risk your baby being shocked to find you’re not there. This can add to their fears that you’ll disappear unexpectedly and it also runs the risk of chipping away at their trust. Have your ‘kiss and fly’ routine ready – tell them you’re leaving, a quick kiss, and let them know you’ll be back soon – or whatever works for you. It will be worth it in the long run.

For kids and adolescents.

•   Give them plenty of information.

Even though kids at this age are aware of their environment, they don’t understand all of the things that go on in it. Thunder feels really scary – it’s unpredictable, it’s loud, and for a curious, powerful, inquisitive mind, it can surely feel as though the sky is breaking. For the child who is still getting used the world, it’s not so obvious that they won’t be sucked down the plughole when the bath drains. Point out what they can’t see. (‘Water fits down the plughole, but my arm won’t fit, neither will this boat, or the vacuum cleaner, or the car, or a hippo, or my foot, or my elbow. An ant would fit – wait – maybe that’s why ants don’t have baths! If I’m away from the plughole, nothing happens to me. See?’)

Give them all the information they need to put their scary things in context, where they belong. There’s no such thing as too much talk and at this age, they’re so hungry to learn. Make the most of it. By the time they reach adolescence, you will no longer be as smart (or sought after) as you think you should be. Celebrate their curiosity and feed it. They love hearing the detail of everything you know. You’re their hero and if anyone knows how to make sense of things, it’s you.

•   Meet them where they are.

Some kids will love new things and will want to try everything and speak to everyone. Others will take longer to warm up. Unless it is a child who races towards the unknown like it’s the only thing to do, introduce new things and people gradually. There’s so much to learn and little people do a brilliant job of taking it all in when they’re given the space to do it at their own pace.

•  Play

Play is such an important part of learning about the world. So much of their play is actually a rehearsal for real life. If your child is scared of something, introduce it during play. That way, they can be in charge of whatever it is they are worried about, whether it’s playing with the (unplugged) vacuum cleaner, being the monster, or having a ‘monster’ as a special pet. Give them some ideas, but let them take it from there. Through play they can practice their responses, different scenarios, and get comfortable with scary things from a safe distance.

•  Be careful not to overreact.

It’s important to validate what your child is feeling, but it’s also important not to overreact to the fear. If you scoop your child up every time they become scared, you might be inadvertently reinforcing the fear. Rather than over-comforting, get down on their level and talk to them about it after naming what you see – ‘That balloon scared you when it popped didn’t it.’

•  Don’t avoid.

It’s completely understandable that a loving parent would want to protect their child from the bad feelings that come with fear. Sometimes it feels as though the only way to do this is to support their avoidance of whatever it is that’s frightening. Here’s the rub. It makes things better in the short term, but in the long term will keep the fear well fed. The more something is avoided, the more that avoidance is confirmed as the only way to feel safe. It also takes away the opportunity for your child to learn that they are resilient, strong and resourceful enough to cope. It’s important for kids to learn that a little bit of discomfort is okay and that it’s a sign that they are about to do something really brave – and that they have what they need inside them to cope.

•  Let them explore their fear safely.

Introduce the fear gently, in a way that your child can feel as though they have control. If your child is terrified of the vacuum cleaner, explore it with them while it isn’t plugged in. If your child is terrified of dogs, introduce them to dogs in books, in a movie, through a pet shop window, behind a fence. Do this gradually and in small steps, starting with the least scariest (maybe a picture of a dog) and working up in gently to the fear that upsets them most (patting a real dog). The more you can help them to feel empowered and in control of their world, the braver they will feel. (For a more detailed step by step description of how to do this, see here.)

•  Don’t give excessive reassurance.

If your child has had a genuine fright or is a little broken-hearted, there is nothing like a cuddle and reassurance to steady the ground beneath them. When that reassurance is excessive though, it can confirm that there is something to be worried about. It can also take away their opportunity to grow their own confidence and ability to self-soothe. Finding the scaffold between an anxious thought and a brave response is something every child is capable of. Understandably, it can be wildly difficult to hold off on reassurance, particularly when all you want to do is scoop them up and protect them from the world that they are feeling the hard edges of. What is healthier, is setting them on a course that will empower them to find within themselves the strength and resources to manage their own fear or anxiety. Reassure them, then remind them that they know the answer, or lovingly direct them to find their own answers or evidence to back up their concerns. Let them know you love the way they are starting to think about these things for themselves.

•  Understand the physical signs of fear.

Fear might show itself in physical ways. Children might have shaky hands, they might suck their thumbs or their fingers and they might develop nervous little tics. When this happens, respond to the feelings behind the physical symptoms – fear, insecurity, uncertainty.

•  Something soft and familiar makes the world feel lovelier. It just does.

Toys or special things might be a familiar passenger wherever your child goes. Let this happen. Your child will let go of the toy or whatever special thing they have when they are ready. Security blankets will often be the bridge between the unknown and familiar, and will form a strong foundation upon which they will build confidence and trust in their own capacity to cope with new and unfamiliar things.

•  Be alive to what they are watching on TV or reading in books.

If you can, watch their shows with them to understand how they are making sense of what they see. Some kids will handle anything they see, and others will turn it into a brilliant but terrifying nightmare or vivid thoughts that become a little too pushy.

•  Remember they’re watching.

They’ll be watching everything you do. If they see you terrified of dogs, it will easy for them to learn this same response. Remember though, if you can influence their fears, you can influence their courage. Let them see you being brave whenever you can.

•  Validate their fears and let them put word to their fears.

Let them talk about their fears. The more they can do this, the more they will be able to make sense of the big feelings that don’t make any sense to them at all. Talking about feelings connects the literal left side of the brain to the emotional right side of the brain. When there is a strong connection between the right brain and the left brain, children will start to make sense of their experience, rather than being barrelled by big feelings that make no sense to them at all.

•  Acknowledge any brave behavior.

Because they’ll always love being your hero and it will teach them that they can be their own.

And finally …

It can always be unsettling when fears come home and throw themselves in your child’s way. Often though, fears are a sign that your child is travelling along just as he or she should be. The world can be a confusing place – even for adults. Of course, sometimes fear will lead to a healthy avoidance – snakes, spiders, crossing a busy road. Sometimes though, fear will be a burly imposter that pretends to be scarier than it is.

Fears are proof that your child is learning more about the world, sharpening their minds, expanding their sense of the world and what it means to them, and learning about their own capacity to cope. As they experience more of the world, they will come to figure out for themselves that the things that seem scary aren’t so scary after all, and that with time, understanding, and some brave behavior, they can step bravely through or around anything that might unsteady them along the way.

Fear and Anxiety – An Age by Age Guide to Common Fears, The Reasons for Each and How to Manage Them

Forget Positive Thinking – Try This to Curb Teen Anxiety

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“I didn’t get invited to Julie’s party… I’m such a loser.”

“I missed the bus… nothing ever goes my way.”

“My science teacher wants to see me… I must be in trouble.”

 

These are the thoughts of a high school student named James. You wouldn’t know it from his thoughts, but James is actually pretty popular and gets decent grades. Unfortunately, in the face of adversity, James makes a common error; he falls into what I like to call “thought holes.” Thought holes, or cognitive distortions, are skewed perceptions of reality. They are negative interpretations of a situation based on poor assumptions. For James, thought holes cause intense emotional distress.

Here’s the thing, all kids blow things out of proportion or jump to conclusions at times, but consistently distorting reality is not innocuous. Studies show self-defeating thoughts (i.e., “I’m a loser”) can trigger self-defeating emotions (i.e., pain, anxiety, malaise) that, in turn, cause self-defeating actions (i.e., acting out, skipping school). Left unchecked, this tendency can also lead to more severe conditions, such as depression and anxiety.

Fortunately, in a few steps, we can teach teens how to fill in their thought holes. It’s time to ditch the idea of positive thinking and introduce the tool of accurate thinking. The lesson begins with an understanding of what causes inaccurate thinking in the first place.

We Create Our Own (Often Distorted) Reality

One person walks down a busy street and notices graffiti on the wall, dirt on the pavement and a couple fighting. Another person walks down the same street and notices a refreshing breeze, an ice cream cart and a smile from a stranger. We each absorb select scenes in our environment through which we interpret a situation. In essence, we create our own reality by that to which we give attention.

 

Why don’t we just interpret situations based on all of the information? It’s not possible; there are simply too many stimuli to process. In fact, the subconscious mind can absorb 12 million bits of information through the five senses in a mere second. Data is then filtered down so that the conscious mind focuses on only 7 to 40 bits. This is a mental shortcut.

Shortcuts keep us sane by preventing sensory overload. Shortcuts help us judge situations quickly. Shortcuts also, however, leave us vulnerable to errors in perception. Because we perceive reality based on a tiny sliver of information, if that information is unbalanced (e.g., ignores the positive and focuses on the negative), we are left with a skewed perception of reality, or a thought hole.

Eight Common Thought Holes

Not only are we susceptible to errors in thinking, but we also tend to make the same errors over and over again. Seminal work by psychologist Aaron Beck, often referred to as the father of cognitive therapy, and his former student, David Burns, uncovered several common thought holes as seen below.

  1. Jumping to conclusions: judging a situation based on assumptions as opposed to definitive facts
  2. Mental filtering: paying attention to the negative details in a situation while ignoring the positive
  3. Magnifying: magnifying negative aspects in a situation
  4. Minimizing: minimizing positive aspects in a situation
  5. Personalizing: assuming the blame for problems even when you are not primarily responsible
  6. Externalizing: pushing the blame for problems onto others even when you are primarily responsible
  7. Overgeneralizing: concluding that one bad incident will lead to a repeated pattern of defeat
  8. Emotional reasoning: assuming your negative emotions translate into reality, or confusing feelings with facts

Going from Distorted Thinking to Accurate Thinking

Once teens understand why they fall into thought holes and that several common ones exist, they are ready to start filling them in by trying a method we developed in the GoZen! anxiety relief program called the 3Cs:

  • Check for common thought holes
  • Collect evidence to paint an accurate picture
  • Challenge the original thoughts

 

Let’s run through the 3Cs using James as an example. James was recently asked by his science teacher to chat after class. He immediately thought, “I must be in trouble,” and began to feel distressed. Using the 3Cs, James should first check to see if he had fallen into one of the common thought holes. Based on the list above, it seems he jumped to a conclusion.

James’s next step is to collect as much data or evidence as possible to create a more accurate picture of the situation. His evidence may look something like the following statements:

“I usually get good grades in science class.”

“Teachers sometimes ask you to chat after class when something is wrong.”

“I’ve never been in trouble before.”

“The science teacher didn’t seem upset when he asked me to chat.”

With all the evidence at hand, James can now challenge his original thought. The best (and most entertaining) way to do this is for James to have a debate with himself. On one side is the James who believes he is in big trouble with his science teacher; on the other side is the James who believes that nothing is really wrong. James could use the evidence he collected to duke it out with himself! In the end, this type of self-disputation increases accurate thinking and improves emotional well-being.

Let’s teach our teens that thoughts, even distorted ones, affect their emotional well-being. Let’s teach them to forget positive thinking and try accurate thinking instead. Above all, let’s teach our teens that they have the power to choose their thoughts.

As the pioneering psychologist and philosopher, William James, once said, “The greatest weapon against stress is our ability to choose one thought over another.”

https://blogs.psychcentral.com/stress-better/2014/11/forget-positive-thinking-try-this-to-curb-teen-anxiety/

It Didn’t Start With You: How Inherited Family Trauma Shapes Who We Are

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Trigger Warning: Self Harm, Suicide

A well-documented feature of trauma, one familiar to many, is our inability to articulate what happens to us. We not only lose our words, but something happens with our memory as well. During a traumatic incident, our thought processes become scattered and disorganized in such a way that we no longer recognize the memories as belonging to the original event. Instead, fragments of memory, dispersed as images, body sensations, and words, are stored in our unconscious and can become activated later by anything even remotely reminiscent of the original experience. Once they are triggered, it is as if an invisible rewind button has been pressed, causing us to reenact aspects of the original trauma in our day-to-day lives. Unconsciously, we could find ourselves reacting to certain people, events, or situations in old, familiar ways that echo the past.

Sigmund Freud identified this pattern more than one hundred years ago. Traumatic reenactment, or “repetition compulsion,” as Freud coined it, is an attempt of the unconscious to replay what’s unresolved, so we can “get it right.” This unconscious drive to relive past events could be one of the mechanisms at work when families repeat unresolved traumas in future generations.

Freud’s contemporary Carl Jung also believed that what remains unconscious does not dissolve, but rather resurfaces in our lives as fate or fortune. “Whatever does not emerge as Consciousness,” he said, “returns as Destiny.” In other words, we’re likely to keep repeating our unconscious patterns until we bring them into the light of awareness. Both Jung and Freud noted that whatever is too difficult to process does not fade away on its own, but rather is stored in our unconscious.

Freud and Jung each observed how fragments of previously blocked, suppressed, or repressed life experience would show up in the words, gestures, and behaviors of their patients. For decades to follow, therapists would see clues such as slips of the tongue, accident patterns, or dream images as messengers shining a light into the unspeakable and unthinkable regions of their clients’ lives.

Recent advances in imaging technology have allowed researchers to unravel the brain and bodily functions that “misfire” or break down during overwhelming episodes. Bessel van der Kolk is a Dutch psychiatrist known for his research on post-traumatic stress. He explains that during a trauma, the speech center shuts down, as does the medial prefrontal cortex, the part of the brain responsible for experiencing the present moment. He describes the “speechless terror” of trauma as the experience of being at a “loss for words”, a common occurrence when brain pathways of remembering are hindered during periods of threat or danger. “When people relive their traumatic experiences,” he says, “the frontal lobes become impaired and, as result, they have trouble thinking and speaking. They are no longer capable of communicating to either themselves or to others precisely what’s going on.”

Still, all is not silent: words, images, and impulses that fragment following a traumatic event reemerge to form a secret language of our suffering we carry with us. Nothing is lost. The pieces have just been rerouted.

Emerging trends in psychotherapy are now beginning to point beyond the traumas of the individual to include traumatic events in the family and social history as a part of the whole picture. Tragedies varying in type and intensity—such as abandonment, suicide and war, or the early death of a child, parent, or sibling—can send shock waves of distress cascading from one generation to the next. Recent developments in the fields of cellular biology, neurobiology, epigenetics, and developmental psychology underscore the importance of exploring at least three generations of family history in order to understand the mechanism behind patterns of trauma and suffering that repeat.

The following story offers a vivid example. When I first met Jesse, he hadn’t had a full night’s sleep in more than a year. His insomnia was evident in the dark shadows around his eyes, but the blankness of his stare suggested a deeper story. Though only twenty, Jesse looked at least ten years older. He sank onto my sofa as if his legs could no longer bear his weight.

Jesse explained that he had been a star athlete and a straight-A student, but that his persistent insomnia had initiated a downward spiral of depression and despair. As a result, he dropped out of college and had to forfeit the baseball scholarship he’d worked so hard to win. He desperately sought help to get his life back on track. Over the past year, he’d been to three doctors, two psychologists, a sleep clinic, and a naturopathic physician. Not one of them, he related in a monotone, was able to offer any real insight or help. Jesse, gazing mostly at the floor as he shared his story, told me he was at the end of his rope.

When I asked whether he had any ideas about what might have triggered his insomnia, he shook his head. Sleep had always come easily for Jesse. Then, one night just after his nineteenth birthday, he woke suddenly at 3:30 a.m. He was freezing, shivering, unable to get warm no matter what he tried. Three hours and several blankets later, Jesse was still wide awake. Not only was he cold and tired, he was seized by a strange fear he had never experienced before, a fear that something awful could happen if he let himself fall back to sleep. If I go to sleep, I’ll never wake up. Every time he felt himself drifting off, the fear would jolt him back into wakefulness. The pattern repeated itself the next night, and the night after that. Soon insomnia became a nightly ordeal. Jesse knew his fear was irrational, yet he felt helpless to put an end to it.

I listened closely as Jesse spoke. What stood out for me was one unusual detail—he’d been extremely cold, “freezing” he said, just prior to the first episode. I began to explore this with Jesse, and asked him if anyone on either side of the family suffered a trauma that involved being “cold,” or being “asleep,” or being “nineteen.”

Jesse revealed that his mother had only recently told him about the tragic death of his father’s older brother—an uncle he never knew he had. Uncle Colin was only nineteen when he froze to death checking power lines in a storm just north of Yellowknife in the Northwest Territories of Canada. Tracks in the snow revealed that he had been struggling to hang on. Eventually, he was found facedown in a blizzard, having lost consciousness from hypothermia. His death was such a tragic loss that the family never spoke his name again. Now, three decades later, Jesse was unconsciously reliving aspects of Colin’s death—specifically, the terror of letting go into unconsciousness. For Colin, letting go meant death. For Jesse, falling asleep must have felt the same.

Making the connection was a turning point for Jesse. Once he grasped that his insomnia had its origin in an event that occurred thirty years earlier, he finally had an explanation for his fear of falling asleep. The process of healing could now begin. With tools Jesse learned in our work together, which will be detailed later in this book, he was able to disentangle himself from the trauma endured by an uncle he’d never met, but whose terror he had unconsciously taken on as his own. Not only did Jesse feel freed from the heavy fog of insomnia, he gained a deeper sense of connection to his family, present and past.

In an attempt to explain stories such as Jesse’s, scientists are now able to identify biological markers— evidence that traumas can and do pass down from one generation to the next. Rachel Yehuda, professor of psychiatry and neuroscience at Mount Sinai School of Medicine in New York, is one of the world’s leading experts in post-traumatic stress, a true pioneer in this field. In numerous studies, Yehuda has examined the neurobiology of PTSD in Holocaust survivors and their children. Her research on cortisol in particular (the stress hormone that helps our body return to normal after we experience a trauma) and its effects on brain function has revolutionized the understanding and treatment of PTSD worldwide. (People with PTSD relive feelings and sensations associated with a trauma despite the fact that the trauma occurred in the past. Symptoms include depression, anxiety, numbness, insomnia, nightmares, frightening thoughts, and being easily startled or “on edge.”)

Yehuda and her team found that children of Holocaust survivors who had PTSD were born with low cortisol levels similar to their parents, predisposing them to relive the PTSD symptoms of the previous generation. Her discovery of low cortisol levels in people who experience an acute traumatic event has been controversial, going against the long-held notion that stress is associated with high cortisol levels. Specifically, in cases of chronic PTSD, cortisol production can become suppressed, contributing to the low levels measured in both survivors and their children.

Yehuda discovered similar low cortisol levels in war veterans, as well as in pregnant mothers who developed PTSD after being exposed to the World Trade Center attacks, and in their children. Not only did she find that the survivors in her study produced less cortisol, a characteristic they can pass on to their children, she notes that several stress-related psychiatric disorders, including PTSD, chronic pain syndrome, and chronic fatigue syndrome, are associated with low blood levels of cortisol. Interestingly, 50 to 70 percent of PTSD patients also meet the diagnostic criteria for major depression or another mood or anxiety disorder.

Yehuda’s research demonstrates that you and I are three times more likely to experience symptoms of PTSD if one of our parents had PTSD, and as a result, we’re likely to suffer from depression or anxiety. She believes that this type of generational PTSD is inherited rather than occurring from our being exposed to our parents’ stories of their ordeals. Yehuda was one of the first researchers to show how descendants of trauma survivors carry the physical and emotional symptoms of traumas they do not directly experience.

That was the case with Gretchen. After years of taking antidepressants, attending talk and group therapy sessions, and trying various cognitive approaches for mitigating the effects of stress, her symptoms of depression and anxiety remained unchanged.

Gretchen told me she no longer wanted to live. For as long as she could remember, she had struggled with emotions so intense she could barely contain the surges in her body. Gretchen had been admitted several times to a psychiatric hospital where she was diagnosed as bipolar with a severe anxiety disorder. Medication brought her slight relief, but never touched the powerful suicidal urges that lived inside her. As a teenager, she would self-injure by burning herself with the lit end of a cigarette. Now, at thirty-nine, Gretchen had had enough. Her depression and anxiety, she said, had prevented her from ever marrying and having children. In a surprisingly matter-of-fact tone of voice, she told me that she was planning to commit suicide before her next birthday.

Listening to Gretchen, I had the strong sense that there must be significant trauma in her family history. In such cases, I find it’s essential to pay close attention to the words being spoken for clues to the traumatic event underlying a client’s symptoms.

When I asked her how she planned to kill herself, Gretchen said that she was going to vaporize herself. As incomprehensible as it might sound to most of us, her plan was literally to leap into a vat of molten steel at the mill where her brother worked. “My body will incinerate in seconds,” she said, staring directly into my eyes, “even before it reaches the bottom.”

I was struck by her lack of emotion as she spoke. Whatever feeling lay beneath appeared to have been vaulted deep inside. At the same time, the words vaporize and incinerate rattled inside me. Having worked with many children and grandchildren whose families were affected by the Holocaust, I’ve learned to let their words lead me. I wanted Gretchen to tell me more.

I asked if anyone in her family was Jewish or had been involved in the Holocaust. Gretchen started to say no, but then stopped herself and recalled a story about her grandmother. She had been born into a Jewish family in Poland, but converted to Catholicism when she came to the United States in 1946 and married Gretchen’s grandfather. Two years earlier, her grandmother’s entire family had perished in the ovens at Auschwitz. They had literally been gassed—engulfed in poisonous vapors—and incinerated. No one in Gretchen’s immediate family ever spoke to her grandmother about the war, or about the fate of her siblings or her parents. Instead, as is often the case with such extreme trauma, they avoided the subject entirely.

Gretchen knew the basic facts of her family history, but had never connected it to her own anxiety and depression. It was clear to me that the words she used and the feelings she described didn’t originate with her, but had in fact originated with her grandmother and the family members who lost their lives.

As I explained the connection, Gretchen listened intently. Her eyes widened and color rose in her cheeks. I could tell that what I said was resonating. For the first time, Gretchen had an explanation for her suffering that made sense to her.

To help her deepen her new understanding, I invited her to imagine standing in her grandmother’s shoes, represented by a pair of foam rubber footprints that I placed on the carpet in the center of my office. I asked her to imagine feeling what her grandmother might have felt after having lost all her loved ones. Taking it even a step further, I asked her if she could literally stand on the footprints as her grandmother, and feel her grandmother’s feelings in her own body. Gretchen reported sensations of overwhelming loss and grief, aloneness and isolation. She also experienced the profound sense of guilt that many survivors feel, the sense of remaining alive while loved ones have been killed.

In order to process trauma, it’s often helpful for clients to have a direct experience of the feelings and sensations that have been submerged in the body. When Gretchen was able to access these sensations, she realized that her wish to annihilate herself was deeply entwined with her lost family members. She also realized that she had taken on some element of her grandmother’s desire to die. As Gretchen absorbed this understanding, seeing the family story in a new light, her body began to soften, as if something inside her that had long been coiled up could now relax.

As with Jesse, Gretchen’s recognition that her trauma lay buried in her family’s unspoken history was merely the first step in her healing process. An intellectual understanding by itself is rarely enough for a lasting shift to occur. Often, the awareness needs to be accompanied by a deeply felt visceral experience. We’ll explore further the ways in which healing becomes fully integrated so that the wounds of previous generations can finally be released.

An Unexpected Family Inheritance

A boy may have his grandpa’s long legs and a girl may have her mother’s nose, but Jesse had inherited his uncle’s fear of never waking, and Gretchen carried the family’s Holocaust history in her depression. Sleeping inside each of them were fragments of traumas too great to be resolved in one generation.

When those in our family have experienced unbearable traumas or have suffered with immense guilt or grief, the feelings can be overwhelming and can escalate beyond what they can manage or resolve. It’s human nature; when pain is too great, people tend to avoid it. Yet when we block the feelings, we unknowingly stunt the necessary healing process that can lead us to a natural release.

Sometimes pain submerges until it can find a pathway for expression or resolution. That expression is often found in the generations that follow and can resurface as symptoms that are difficult to explain. For Jesse, the unrelenting cold and shivering did not appear until he reached the age that his Uncle Colin was when he froze to death. For Gretchen, her grandmother’s anxious despair and suicidal urges had been with her for as long as she could remember. These feelings became so much a part of her life that no one ever thought to consider that the feelings didn’t originate with her.

Currently, our society does not provide many options to help people like Jesse and Gretchen who carry remnants of inherited family trauma. Typically they might consult a doctor, psychologist, or psychiatrist and receive medications, therapy, or some combination of both. But although these avenues might bring some relief, generally they don’t provide a complete solution.

Not all of us have traumas as dramatic as Gretchen’s or Jesse’s in our family history. However, events such as the death of an infant, a child given away, the loss of one’s home, or even the withdrawal of a mother’s attention can all have the effect of collapsing the walls of support and restricting the flow of love in our family. With the origin of these traumas in view, long-standing family patterns can finally be laid to rest. It’s important to note that not all effects of trauma are negative. In the next chapter we’ll learn about epigenetic changes—the chemical modifications that occur in our cells as a result of a traumatic event.

According to Rachel Yehuda, the purpose of an epigenetic change is to expand the range of ways we respond in stressful situations, which she says is a positive thing. “Who would you rather be in a war zone with?” she asks. “Somebody that’s had previous adversity [and] knows how to defend themselves? Or somebody that has never had to fight for anything?” Once we understand what biologic changes from stress and trauma are meant to do, she says, “We can develop a better way of explaining to ourselves what our true capabilities and potentials are.”

Viewed in this way, the traumas we inherit or experience firsthand not only can create a legacy of distress, but also can forge a legacy of strength and resilience that can be felt for generations to come.

https://www.scienceandnonduality.com/an-excerpt-from-it-didnt-start-with-you-how-inherited-family-trauma-shapes-who-we-are-and-how-to-end-the-cycle-viking-april-2016-by-mark-wolynn/

High Functioning Depression Masks Its Dangers

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I first saw a psychiatrist for my anxiety and depression as a junior in high school.

During her evaluation, she asked about my coursework. I told her that I had a 4.0 GPA and had filled my schedule with pre-AP and AP classes. A puzzled look crossed her face. She asked about my involvement in extracurricular activities. As I rattled off the long list of groups and organizations I was a part of, her frown creased further.

Finally, she set down her pen and looked at me, saying something along the lines of “You seem to be pretty high-functioning, but your anxiety and depression seem pretty severe. Actually, it’s teens like you who scare me a lot.”

Now I was confused. What was scary about my condition? From the outside, I was functioning like a perfectly “normal” teenager. In fact, I was somewhat of an overachiever.

I was working through my mental illnesses and I was succeeding, so what was the problem?

I left that appointment with a prescription for Lexapro and a question that I would continue to think about for years. The answer didn’t hit me all at once.

Instead, it came to me every time I heard a suicide story on the news saying, “By all accounts, they were living the perfect life.”

It came to me as I crumbled under pressure over and over again, doing the bare minimum I could to still meet my definition of success.

It came to me as I began to share my story and my illness with others, and I was met with reactions of “I had no idea” and “I never would have known.” It’s easy to put depression into a box of symptoms.

Even though we’re often told that mental illness comes in all shapes and sizes, I think we’re still stuck with certain “stock images” of mental health in our heads.

When we see depression and anxiety in adolescents, we see teens struggling to get by in their day-to-day lives. We see grades dropping, and we see involvement replaced by isolation. But it doesn’t always look like this.

And when we limit our idea of mental illness, at-risk people slip through the cracks.

We don’t see the student with the 4.0 GPA or the student who’s active in choir and theater or a member of the National Honor Society or the ambitious teen who takes on leadership roles in a religious youth group.

Depression can look completely different for everyone.

No matter how many times we are reminded that mental illness doesn’t discriminate, we revert back to a narrow idea of how it should manifest, and that is dangerous.

Recognizing this danger is what helped me find the answer to my question.

Watching person after person — myself included — slip under the radar of the “depression detector” made me realize where that fear comes from. My psychiatrist knew the list of symptoms, and she knew I didn’t necessarily fit them. She understood it was the reason that, though my struggles with mental illness began at age 12, I didn’t come to see her until I was 16.

If we keep allowing our perception of what mental illness looks like to dictate how we go about recognizing and treating it, we will continue to overlook people who don’t fit the mold.

We cannot keep forgetting that there are people out there who, though they may not be able to check off every symptom on the list, are heavily and negatively affected by their mental illness. If we forget, we allow their struggle to continue unnoticed, and that is pretty scary.

Source : http://www.upworthy.com/the-danger-of-high-functioning-depression-as-told-by-a-college-student