Type 1 Diabetes and Your Relationship: How to Address Common Challenges

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Medically Reviewed by Rosalyn Carson-DeWitt, MD

Managing type 1 diabetes can take a physical, emotional, and financial toll on your relationship, whether you’re dating, married, or in a long-term partnership. Although every relationship has challenges, there are some issues that can seem especially tricky when you have a chronic condition like type 1 diabetes.

A qualitative study published in March 2013 in Diabetes Care found that people with type 1 diabetes and their partners feel that the condition impacts their relationship, posing both emotional and interpersonal challenges — and that partner support is a vital source of support for those living with the condition.

If you find that your type 1 diabetes has taken a toll on your relationship, there are steps you can take to help reconnect with your partner and get back on track.

Common Relationship Challenges

Here are some common issues that people who have type 1 diabetes and their partners may face, as well as tips to help address these concerns and maintain a healthy relationship.

Lack of support Diabetes requires many daily management tasks. If your partner isn’t aware of what all those tasks are and why each is important, it can be difficult for them to support you, says Mark Heyman, PhD, a certified diabetes educator and the founder and director of the Center for Diabetes and Mental Health in Solana Beach, California. “I encourage people to educate their partner or have a healthcare team who can help educate their partner about each step in managing type 1 diabetes. Your partner needs to be able to offer support — not only when you aren’t feeling well, but also in the day-to-day,” he says. “That means support in making healthy choices when it comes to eating, exercise, and other activities. It can be really hard to manage type 1 diabetes when you feel like you’re all on your own.”

Feeling micromanaged On the other hand, you may sometimes feel like you’re receiving too much support. It may seem like your partner is constantly asking you about how you feel and what you ate, and monitoring your every move. “It usually comes from a place of caring and not always knowing how to help,” says Dr. Heyman. In those cases, it’s important to let your partner know what’s helpful for you and what’s not helpful, he says.

“For example, you might tell your partner, ‘It’s really not helpful for you to be looking at my blood sugar numbers all the time and commenting on them. What would be more helpful for me is if we could plan time this weekend to take a walk together or prepare a healthy meal,’” says Heyman. “That does two things: It helps you set boundaries with your partner around how they interact with you about your condition, and it also gives them a concrete way to help you manage type 1diabetes, which can help relieve some of the anxiety your partner may have,” he says.

Lack of spontaneity Because type 1 diabetes involves a lot of planning, it might feel like there isn’t enough spontaneity in your relationship. While it may feel counterintuitive, doing a little planning in advance can help you be spontaneous. “Having supplies packed and ready to go can help if a last-minute trip or fun activity comes up,” says Heyman. Keep extra insulin and anything else you might need in a bag, he suggests. “If you want to take off on a weekend road trip, it’s nice to know you can just grab that bag and have everything you need to stay healthy,” he says.

“If one of you would like to be more spontaneous, ask the other person, ‘What can we do together to make you more comfortable with that?’” he says. “You may be amazed at the ideas that can come about if one of you just asks the question.”

Intimacy challenges A study published in May 2018 in International Journal of Environmental Research and Public Health found that people who have type 1 diabetes may be at an increased risk of sexual disorders. Communication is key in helping with these issues, says Heyman. “You have to let your partner know how you’re feeling, just as in any relationship,” he says.

“Lots of things can impact the desire for intimacy. There are times when you just don’t feel well. Maybe there are fears about having low blood sugar while you’re being intimate,” he says. The more you can communicate about what you’re experiencing and what your partner may be able to do to help, the better. “Being able to talk about it may lead to increased intimacy; often communication can make you feel closer to your partner,” says Heyman.

Financial strain The cost of managing type 1 diabetes can vary, but according to the American Diabetes Association, people who have diabetes spend approximately $9,600 a year on diabetes-related medical costs. This may include anything from doctor visits to medications and supplies. These extra expenses can add stress to your relationship. Communicating and planning are key, says Heyman. “Have a really frank conversation about your financial health and what your goals are. How does diabetes impact this? How can we manage it?” he says.

Sometimes there can be resentment if one of you feels “stuck” in a job you don’t like because you can’t afford to lose your health insurance. Talk about the situation and brainstorm together, suggests Heyman. “Is there a solution that can be agreeable to everybody, and if not, can you find a compromise?” he says. Bottom line: Staying healthy is critical to living your best life.

Dealing with low blood sugar When you’re experiencing low blood sugar, you don’t always act like yourself, says Heyman. “You may become aggressive or defiant,” he says, which can be concerning, medically dangerous, and stressful. “It’s helpful for couples to set rules around how they’re going to deal with an episode of low blood sugar — before it happens,” he says.

Sometimes you may be in the middle of a low blood sugar episode and not realize it, or think you’re just fine and your blood sugar will correct itself, he says. Developing rules that are “non-negotiables” are a good idea.

“For example, if your partner thinks your blood sugar is low, agree that you’ll check it. If your partner sees that your blood sugar is low or if you’re exhibiting signs that it is, agree to take the snack they offer you without question,” he says. “Agreeing and sticking with rules like this can go a long way in easing tension and letting your partner know that their concerns are heard and you’re going to be okay,” says Heyman.

Find Support — for Both of You

Your partner needs to understand that sometimes you just don’t feel well. “High blood sugar doesn’t always feel good and low blood sugar is not only dangerous, it just doesn’t feel great,” says Heyman. “That can be a hard thing to communicate to people; diabetes can be a very invisible disease. Someone may look fine even if they’re not feeling well, and explaining what the different symptoms feel like can be challenging.”

Seeking social support, either in person or online, where you can get other couples’ perspectives on what these things are like and how they handle them, is a good idea, says Heyman. “Online communities are a great source of support,” he says. Beyond Type 1 and Type One Nation are two helpful resources for people with type 1 diabetes.

“Diabetes can be overwhelming and frustrating. You can experience lots of emotions that go along with that,” says Heyman. Having a partner you can count on and who can understand and empathize can go a long way.

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Preventing Mental Health Effects Of Divorce On Children

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By Michelle Manno

 

Researchers have found that teachers and other school personnel may show bias against children in divorced families without even realizing it. This bias can impact expectations about a student’s academic, social and emotional functioning. Even though children are amazing in their ability to navigate the changes and challenges of life, students who experience this type of bias can be at increased risk for long-term mental health struggles later in life.

Recently, Counseling@NYU released a guide to help with this issue because it is essential for educators and parents to work together to ensure the effects of divorce on a child do not become permanent. Educators can use the guide to identify misconceptions about divorce that may impact their behavior and bias and to better understand their role in working with families going through a divorce.

Sometimes, it can be difficult to assess whether a divorce is negatively impacting a child or whether problem behaviors are just an expected part of the growing process. Knowing the signs of struggle according to age can help parents and educators identify whether a child needs additional support:

Grades K-3:

  • Blame themselves or their “bad behavior” for the divorce
  • Complain of headaches and/or stomach pain
  • Experience separation anxiety and/or emotional outbursts
  • Regress to younger behaviors, like needing a pacifier, wetting the bed or throwing tantrums

Younger children may lack the ability to communicate their thinking about the divorce. Parents should ensure young children that no bad behavior will ever make them leave or stop them from loving their child. In addition to seeking professional support, educators and parents should create space for children to express their fears and worries about the divorce.

Grades 4-6:

  • Most likely to show anger, embarrassment or frustration
  • Might stir up conflict with peers
  • Could show frequent tearful distress and/or lack of interest in activities

Children of this age may feel pressure to “pick a side,” keep both parents happy or take personal responsibility for one parent’s emotional well-being. Educators should work with parents to encourage students to try out new activities that can direct their attention toward play and creativity.

Grades 7-12:

  • Experiment with new and risky behaviors (i.e. substance use)
  • Display extreme moodiness or negativity
  • Begin demonstrating poor school performance and/or disinterest/distraction from their future

Teenagers experiencing the effects of a divorce might feel guilty about leaving home or feel that they have to change or sacrifice their plans. Parents can support teens’ mental health by encouraging them to pursue their goals and to plan for the future. Educators can do the same by listening to their students’ college goals, for example, and helping them plan.

At any age, individual professional counseling can be a useful space for children to express their frustrations outside the home and to get help for extreme changes in behavior. Educators and school counselors can also set up counseling groups for children in changing families so students know that they are not alone. With thoughtful and engaged parents and educators, children can maintain good mental health and healthy relationships later in life, despite divorce.

 

Michelle Manno is the education editor at 2U. She works with programs such as Counseling@NYU’s online master’s in school counseling and online master’s in mental health counseling from NYU Steinhardt to create resources that support K-12 students. Say hi on Twitter @michellermanno.

 

https://www.nami.org/Blogs/NAMI-Blog/August-2017/Preventing-Mental-Health-Effects-of-Divorce-on-Chi

Your Relationship Bill of Rights

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By Rebecca Matthes,

When we enter into long-term relationships—and certainly marriages—we may keep in our mind a list of the things we’d like to get from (and, one hopes, are willing to give to) a partner. Recent research suggests certain gestures are especially important for fostering satisfaction and are closely associated with couples’ long-term success. Collectively, these can be thought of as a Relationship Bill of Rights.

“Expectations are essential, and if you’re not expecting good stuff, then you very likely won’t get it,” says social psychology professor Eli Finkel, who directs the Relationships and Motivation Lab at Northwestern University and is the author of The All-Or-Nothing Marriage. “We should be honest with ourselves about what things are essential for us to get through the marriage, focus on those things, and let the other things go.”

This goal, he says, shouldn’t be put aside when couples face conflict, because every partner has the right to disagree—and to be imperfect. “It’s constructive to think of difficulties not only as unpleasant circumstances to be endured but also as opportunities to learn about each other and deepen the relationship,” Finkel says. “I’m optimistic about people’s ability to make progress on problems.” But he notes that resolution is more likely if partners’ beliefs about relationships are not based on the theory that people must find the one and only individual who’s perfect for them. The idea that any given partner is “meant to be”—or not—can make someone more likely to discard a relationship when hard times hit, convinced that the search for an ideal mate needs to continue elsewhere.

The following rights have consistently been found to form a baseline that gives couples the best chance of going the distance.

You have the right to your partner’s attention.

Your partner’s attention is likely to improve your satisfaction with a relationship, whether it’s spontaneous—like an unexpected afternoon text that makes you smile—or in response to your requests. A 2017 study on relationship experiences published in the Journal of Personality and Social Psychology found that on the days when their partners had supported them or said something that made them feel loved, people reported higher relationship quality.

Couples often show attention to each other in the little things they do. Jennyvi Dizon, 37, a fashion designer in New York City, is touched every time her husband of 15 years picks up a treat for her at the grocery store or remembers that she needs almond milk for her breakfast. “He says it’s his job to remember,” she says. “He really believes in the saying, ‘Happy wife, happy life.'” In return, she makes a point of tucking him in when he goes to bed every night, though she herself often doesn’t go to sleep until a few hours later.

How to get it: If your partner is kind, but not naturally attentive, it may help to explain the sort of attention you need and then to give positive feedback when you get it. And if busy schedules conspire to keep you from each other, engineer some together time. As Finkel explains, “Spouses who spend more time together engaged in actual conversation tend to be happier than those who spend less. And spouses who pursue more leisure activities together—including outdoor activities, sports, card games, and travel—are at reduced risk of divorce.”

Proposed amendment: The arrival of a child typically causes couples to take a short-term happiness hit because their attention is diverted from each other to the new addition; newborns in particular tend to be quite vocal about their own rights. New parents spend less time talking or doing activities together, and their relationship satisfaction declines as a result, making this a time to be even more conscious of finding or making moments to focus on each other.

You have the right to a partner who will try to work out your differences.

All long-term relationships encounter sore spots and conflicts. Ignoring these problems won’t make them go away, even if partners do so because they sincerely don’t want to pick a fight. “No relationship can thrive when the two parties hold in frustrations that need to be shared and resolved,” says Leon Seltzer, a clinical psychologist in Del Mar, California. “When couples stop trying to work out their differences and revert to passivity to keep the peace, they hold more and more inside of them and their alienation grows. The frustrations tend to leak out through sarcastic, taunting remarks, thinly veiled criticisms, or increasing inattention to the other’s needs.”

Illustration by Eric Palma
Illustration by Eric Palma

Addressing problems as they arise improves spouses’ psychological well-being and ratings of marital quality, especially for women. One study of 205 married couples found that wives who believed that their husbands did more emotional work were more satisfied with their relationships.

Once differences are out in the open, even those that might have seemed irreconcilable in one’s imagination can often be addressed with a compromise or a conscious agreement to disagree. “You can learn to validate the hardcore differences that exist—and will always exist—between you and your mate,” Seltzer says. Consider a scenario in which one partner is far more extraverted than the other. Rather than sitting at home seething, or endlessly haranguing a husband or wife who doesn’t want to go out, partners who open a conversation might discover that their mate really doesn’t mind if they sometimes socialize without them.

Monica and Melvin Pullen, both 42, of Lititz, Pennsylvania, had been married for about four years, and were expecting their first child, when they bought their first home with the understanding that both would continue to work. However, once their daughter arrived, “I knew immediately that I didn’t want to return to work,” Monica says. But she kept it to herself. After about six months, the family started to feel the financial strain. Finally, she confessed her feelings. “He was fine with my staying home; we would just need to downsize.” As they prepared to do that, a new job came along for Melvin that allowed them to get by without needing to move. Still, Monica says, “the experience taught us to be upfront, open, and honest about what we want, regardless of the outcome.”

How to get it: “The party that initiates the discussion must do so with tact, diplomacy, and restraint—and the willingness to respect the other’s reluctance to engage on a topic that might make them feel very vulnerable,” Seltzer says. If your partner is prone to conflict avoidance or stonewalling, you may need to maneuver around those defense mechanisms: “I know this topic makes you uncomfortable, and that’s the last thing I want, but I think pushing it under the rug is keeping us from being closer. Can we talk about this in a way that helps us both understand why it’s so button-pushing? I want us to be closer and more trusting of each other.”

The discussion should help each of you better understand the other’s needs—and you’re both entitled to a partner who will validate your position, even if they don’t agree with it. “Resolution doesn’t always take the form of one person having to change their views or behavior,” Seltzer says. “It’s empathic understanding that minimizes the conflict.”

Proposed amendment: In some cases, as a couple ages, confronting problems head-on can actually lose some of its positive effect and even turn counterproductive. A 2015 study published in the Journal of Family Psychology suggests that for older wives, more marital “work” is associated with decreased satisfaction with their union. A research team led by Jakob Jensen of East Carolina University proposed that as we age, our marital priorities shift away from conflict resolution and toward maximizing the emotional rewards of maintaining a relationship.

Illustration by Eric Palma
Illustration by Eric Palma

You have the right to a partner who’ll share the load.

This is a right well worth defending, in part because it appears to deliver significant benefits to both partners.

The stark division of household labor that was nearly ubiquitous in households of the past is less common today, with both outside earnings and domestic responsibilities more likely to be shared by partners. A 2018 study, published in Socius and led by Daniel Carlson of the University of Utah, compared national data from the early 1990s and 2006 and found that contemporary couples shared more household tasks than did couples in even the recent past, and that this advantaged many aspects of their relationships, starting with their sex lives. “Sharing housework is associated with greater feelings of fairness, teamwork, and overall relationship quality,” Carlson says. “In particular, feelings of teamwork—communication, cooperation, and shared vision—are important to sexual intimacy.” These feelings foster a partnership based on reciprocity and mutual gratification, he has found, improving a relationship’s quality and lowering the risk of its dissolution.

It isn’t necessary that couples split the work precisely in two, research finds—which is fortunate, because most couples still do not do so. In about 31 percent of families with two parents working full-time, women still handle more household chores and responsibilities; 59 percent report that they share them equally. And in more than half of these families, women continue to do more to handle children’s schedules and activities, according to 2015 data from the Pew Research Center. But Carlson’s work still shows measurable benefits to a couple’s sex life as long as neither partner does more than 65 percent of the domestic work. Partners tend to be satisfied with relationships in which the work is divided, not necessarily equally, Carlson says, but in a way they both feel is fair.

How to get it: Discuss your expectations with your partner. “I would even recommend writing down the tasks that you have and coming up with a plan to divide them and then track their completion,” Carlson says. “Partners—men especially—often don’t see that they are not contributing to the degree they promise, so having something concrete to point to can be helpful.”

“We had a lot of fights about housework,” says Anna Aquino, 40, of Canal Winchester, Ohio. “The majority of it wouldn’t get done or would fall to me. Because I work from home, I understand I can have more to do, but I would get frustrated, and my husband would get annoyed when things weren’t done. It didn’t seem fair to anyone.” The couple finally agreed to post a chore chart on the fridge. “It saves a load of fights,” she says. The day-to-day chores aren’t split down the middle, since Aquino’s husband works more outside the home, but she says both partners are happier now because “it’s pretty fair all around and everyone agreed to it.”

Proposed amendment: When it comes to sharing domestic responsibilities, couples don’t need to aim for a specific target, but should work to find the breakdown that serves their relationship best. “You could have a good relationship with someone doing 100 percent of the household work,” Finkel says. Your partner might actually love cooking, cleaning up, and caring for kids or pets, while you feel more fulfilled by work and hobbies. “If a couple sees that as fair,” Carlson says, “they certainly can be happy.”

Illustration by Eric Palma
Illustration by Eric Palma

You have the right to honesty about sex.

What are partners entitled to in the bedroom? The answer will vary from couple to couple, but the research finds that it’s not necessarily the presence or absence of sexual activity, a specific schedule or frequency, or even the pleasure derived from it that is most associated with relationship satisfaction. What matters is that both partners’ expectations, whatever they are, are met. That’s why two people can sincerely find satisfaction in a sexless relationship: If neither expects sex, nor seeks it, its absence doesn’t affect how they feel about each other. But sexual expectations can and do change over time, and it’s crucial for a couple’s satisfaction that partners communicate shifts in both their desire and their capability.

“It’s the disparity in partner preferences, whether for frequency or type of stimulation, that can potentially result in the greatest unhappiness,” says sex and marital therapist Michael A. Perelman, a professor of psychiatry at Weill Cornell Medicine in New York City. When such a disparity exists, “communication and compromise skills become critical to mutual satisfaction.” Both partners need to be upfront about their expectations and help their partner understand them. From this place, a mutually agreeable plan can be drafted. If never-uttered sexual concerns are leading one partner to question his or her place in the relationship, the other partner has the right to hear about it, no matter how awkward the ensuing conversation may be.

How to get it: Find a comfortable time to talk about the issues, Perelman advises. For some, it might be while relaxing in bed, a setting that can lead to openness and intimacy; for others, he says, such a conversation will best be broached over a glass of wine or a cup of coffee, “in any comfortable place that affords privacy.” Try a gentle opener: “I have a few thoughts about our sex life I’d like to discuss, if that works for you.”

Proposed amendment: Partners should never criticize each other during sexual activity (unless something is uncomfortable or painful). If you’re hesitant to start a conversation, you might unilaterally consult a sex therapist first. “Even if only one person in the couple seeks assistance, it’s highly likely that some relief can be found,” Perelman says.

Illustration by Eric Palma

You have the right to affection.

Sexual passion may wax or wane over time in any long-term relationship, but it’s important that affection carry on. “Giving and receiving affection is associated with feelings of pleasure, acceptance, happiness or contentment, and a sense of being loved or cared for,” says Anita Vangelisti, a communications professor at the University of Texas at Austin who has studied affection’s effects, specifically in the early years of marriage. She has found that hearing “I love you,” and receiving physical affection outside of sexual intercourse, among other behaviors, predicts higher marital satisfaction for both men and women.

While expressions of affection typically become a little less frequent over time, she says, “partners who maintain relatively high levels tend to be happier.” Research on the physiology of affection has also shown that giving and receiving it are associated with the release of oxytocin, as well as the regulation of stress hormones throughout the day, enhancing well-being and enabling each partner to manage stress more successfully.

How to get it: “Ask for it,” Vangelisti says. You can start by giving more affection to your partner. “Once your partner sees you giving them more affection, they may reciprocate.” You can try to arrange more opportunities for affection by planning relaxed time together. “If one or both of you are always busy and rushing around, it’s more difficult to give and receive affection.”

And don’t fear that “manufacturing” affectionate behaviors, or the opportunities for them, will strip them of their power. Research by Brittany Jakubiak of Syracuse University and Brooke Feeney of Carnegie Mellon University has shown that people felt more secure and trusting in a relationship, and more confident that it would endure, after a partner held their hand or threw an arm around their shoulder, even if they were told that the partner had been instructed to show them affection.

Proposed amendment: Be clear about the type of affection you seek and make sure you and your partner both understand how you each define the term. If they think they’re showing affection by taking your car to get washed, while you want hugs and a whispered “I love you,” that’s the kind of misunderstanding that can erode satisfaction with a relationship.

Illustration by Eric Palma
Illustration by Eric Palma

You have the right to the benefit of the doubt.

Relationships flourish when couples attribute the best of intentions to each other all the time. This means that, yes, your partner really should view you through rose-colored glasses, idealizing you in normal circumstances and forgiving you relatively easily when you fall short. “A little bit of positive illusion is better,” Finkel says. “It’s easy to go down rabbit holes of perceived slights, but if we have a general view that our partner is loving and at core a decent person—maybe even more decent than they really are—then when we do have difficulties, we’re better at overcoming them. Some amount of self-delusion is linked to better relationship quality.”

Relationship satisfaction typically starts falling immediately after a couple says “I do,” but many studies have pointed toward a prescription for sustaining it. In just one recent example, Sandra Murray of the University at Buffalo found that partners who continue to idealize their spouse, even somewhat unrealistically, experience less decline in satisfaction with the marriage over three years than people who cannot maintain the same belief.

How to get it: “We have a lot of latitude in how we perceive our partner’s behavior,” Finkel says. If you show up late to an important event, your partner could label you inconsiderate—or remember that you’ve been overwhelmed at work but are still trying to get everything done. If you or your partner tend more toward reflexively blaming the other, try thinking about the situation from the perspective of a neutral third party who wants the best for both of you. “It gets us out of our myopia and gives us a broader perspective,” Finkel says. Implementing some psychological distance can help you and your partner feel less angry about conflicts and should strengthen the relationship over time.

Proposed amendment: Beware of the doormat effect. “We have studies showing that if someone is highly forgiving, with no amends made, or if a partner is always difficult, forgiveness may still have beneficial consequences, but it undermines the aggrieved party’s self-respect,” Finkel says. If a problem festers over time, the relationship is likely to suffer. Minor flaws or occasional missteps can be sugarcoated, but more serious issues must be addressed and ideally resolved.

“It’s a shared responsibility,” Finkel says. Partners need to own up to hurtful things they’ve done and express regret, even if they don’t fully believe they are in the wrong. For the hurt partner, there’s a lot of benefit in both hearing an apology and seeing amends. It can help you both put infractions in the past. “Let them be speed bumps, rather than barricades.”

Illustration by Eric Palma
Illustration by Eric Palma

You have the right to gratitude.

Partners who are grateful for each other, studies have shown, feel more satisfied in their relationships. And even when just one partner feels gratitude—whether on an existential level or for simpler things like being brought a favorite drink—both benefit. Amie Gordon of the University of California, San Francisco calls it a cycle of gratitude. “If you start doing nice things, and your partner picks up on it and feels appreciated, it should inspire their own good feelings,” she says. Gratitude can increase people’s motivation to stay in, and improve, a relationship, and make them more likely to engage in more considerate behaviors, like better listening and sacrificing for their partner. Gordon’s research has shown that more grateful people are likelier to maintain long-term relationships.

A recent study in Social Psychological and Personality Science suggests it’s the feeling of gratitude that makes a difference, not the acts that engender it. Researchers found that people are equally likely to notice a partner’s sacrifice as not, and they are just as likely to see a sacrifice where there is none as they are to correctly note its absence. No matter: When a person believes a partner has sacrificed for them, accurately or not, the benefits of gratitude accrue. And when they fail to detect a sacrifice, their partner feels less satisfied.

How to get it: Your partner is not obligated to keep a gratitude journal or meditate with you on life’s blessings. So how to elicit it? You can prime a partner’s expressions of gratitude by showing your appreciation for them. “If you feel unappreciated or taken for granted, try doing some of the things you wish they would do for you,” Gordon suggests. “It’s a nice way to jumpstart gratitude in a reasonably well-functioning relationship.” If you’re having trouble accessing your own gratitude, think about what life was like before you were with your partner. That can help counter hedonic adaptation—or becoming accustomed to, and perhaps less appreciative of, the benefits they bring to you. When showing your own gratitude, make it personal. “It’s not just, ‘Hey, thanks for taking out the trash.’ Say, ‘You know how much I hate it; you’re so thoughtful for doing the thing that I hate.’ You’re not just thanking them for the act,” Gordon says, “but for the person they are. It bumps it up a notch.”

Proposed amendment: Gratitude shouldn’t be used to gloss over problems such as emotional abuse. “It’s not healthy to try to feel gratitude because, hey, this person didn’t yell at me today, or get mad when they usually do,” Gordon says. No one should use gratitude to prop up a relationship that they should be exiting.

 

https://www.psychologytoday.com/us/articles/201811/your-relationship-bill-rights

What I’ve Learned about Relationships and Mental Illness

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Relationships and mental illness — can it work out? People who struggle with mental health issues might find themselves wondering if they can handle a relationship as well. I know I did. After all, it’s hard to think about being with another person when some days just managing life feels hard.

I didn’t date that much in my twenties. I was diagnosed with depression and anxiety at the age of 19, and I honestly thought that being in a relationship would be too much stress. I had all these worries — what if I wasn’t fun to be with? What if my partner got fed up with my issues and left? What if I wasn’t ready to deal with being in a relationship alongside dealing with my mental health?

And worst of all — what if I told someone about my mental health issues and they ran in the opposite direction? There’s such a stigma about mental health that I worried a lot about how my prospective partner might react.

I’m nearly 40 now and have been happily married for 15 years. Along the way, I’ve learned a few things about balancing a relationship together with mental health issues. Here’s what I’ve learned about relationships and mental illness.

  1. They Are Totally Compatible

Having a relationship is as possible for you as it is for anyone else! Whether we have mental health issues or not, each person comes with their own “stuff.” A mental health condition doesn’t have to be a barrier to a healthy relationship. Yes, it does take a bit of work, but it’s totally doable.

  1. But You Have to Find the Right Person

The key to having a good relationship is to find the right person. You’ll need someone who is open minded about mental health and empathic enough to be willing to learn and understand. Someone who shows patience when you are having a rough day.

  1. Disclosure Is a Must

Keeping your mental health a secret puts immense pressure on you, and that stress will only add to your problems and make your symptoms even worse. To have a successful relationship you need to know you can be open about your issues, even on your worst days.

  1. But Pick Your Time

Knowing when to disclose is a tough call. On one hand, you probably don’t want to mention it on the first date. It’s nothing to be ashamed of, but it is very personal. On the other hand, you don’t want to get really invested in the relationship only to find out they can’t handle it. I waited until it was obvious this was more than just a handful of dates, before we made any commitments

  1. Know Your Limits

Your mental health condition most likely put some limits on what you can do in a day. For me, I know if I get too stressed, my anxiety gets worse. So I have to take things more slowly than some people. Stress might affect you in a completely different way, but be aware when it does.

  1. But Don’t Make Your Partner Responsible

Ultimately, only you are responsible for your behavior and for managing your mental health. It’s a good idea to make your partner aware of how your condition affects you and it’s absolutely ok to ask them for support — but don’t make them responsible for you. For example, sometimes my depression makes it hard for me to get motivated for a night out, but I don’t stop my husband from going out. My depression is not his problem to solve.

A healthy relationship can actually boost your mental health by bringing joy, laughter, and support into your life. If you’ve been worrying about having a relationship because of your mental health, I’d say, why not give it a try? Just be aware of your needs and limits — make sure the relationship is nourishing, not draining, you!

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5 Myths We’re Taught About Relationships

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We’re taught a lot of myths when we’re children: “If you cross your eyes, they’ll get stuck!” “You can’t go swimming for 30 minutes after eating!” “If you touch a toad, you’ll get warts!” We’re also taught myths about relationships, like: “Compromise is key!” “Just be yourself!” “There is a ‘right’ person out there for everyone.”

We practice these myths from the time we first wink at, message or talk to someone. And by trying to fit our relationships into these myths, we create exactly the kinds of relationships we don’t want. Then we sit back and wonder, “Why am I always drawn to unhealthy relationships?”

Because relationships are so important to our well-being, keeping these myths alive can worsen depression, anxiety or other conditions and symptoms we may have. So, let’s look at five common relationship myths and how we have the power to break out of them.

Myth #1 – Healthy Relationships Aren’t Possible When Mental Illness Is Present

Connection is an essential part of mental health and can improve mental illness symptoms. The key is keeping up with your own treatment and letting the other person know how they can support your efforts.

While it is true that certain symptoms can add challenges when it comes to creating healthy relationships, thinking “I can’t be in a relationship because I’m depressed” is what might keep a person isolated and alone. If depression is interfering with your ability to create new and healthy relationships, then prioritize your mental health. Seek help and find coping mechanisms that work for you, putting you on the path to getting the healthy relationships we all need.

Myth #2 – Compromise Is 50/50

Compromise is when I give up something I don’t want to give up, and you give up something you don’t want to give up in the name of cooperation. In reality, compromise is a shortcut to working out conflict. Instead, explain why you want what you want and listen to what the other person is saying. Enter a dialogue and work out your differences together. Your relationship will be healthier and will evolve, and through that evolution, you’ll feel closer.

For example, if you’re experiencing symptoms of mental illness, rather than “give up” a much-needed yoga session for your household responsibilities, ask your loved one what you want and need from them while you’re taking care of your symptoms. Be clear on what’s going on for you. Instead of wanting to hide what you’re going through or compromising on your recovery, be clear and follow through on what is important to you.

Myth #3 – Being Loving Creates A Healthy Relationship

Being loving towards your significant other is important, yes, but love presents itself in a multitude of ways. Sometimes “being loving” means being more assertive, quieter, more giving or less giving. Sometimes it means setting limits, creating boundaries or stepping back from the relationship. Whatever it is, healthy behavior leads to healthier relationships.

Caregivers walk this fine line every day. The personal story “How To Love Someone With A Mental Illness” gives good, practical advice on walking this line, like use empathy and validation; learn about the symptoms and stop taking them personally; learn treatment options, and share them in a way that doesn’t try to persuade or have the other person follow your agenda; do not try to “fix” your loved one; build a community of supportive people around you; and, remember, healing is a process that takes time.

Myth #4 – Relationships Are How To Find Yourself

Relationships are not about being yourself or finding yourself—they’re about developing yourself. Abraham Joshua Heschel wrote that in order to be happy, one has to learn how to develop different sensibilities to different situations. For example, if you live with mental illness, and your symptoms are flaring, it’s important to learn what you need to develop about yourself so you can cope or manage them in a way that doesn’t significantly impact the people around you, or yourself. If you’re not sure how to do this, you can develop these skills through healthy communication and counseling. You don’t need to be perfect by any means, but there’s always room for growth.

Myth #5 – There Is A “Right Person” For Everyone

When we spend our energy looking for Mr./Mrs. Right, we give up our power to create what we want. The power to create the world we want is contained in the many relationships we have. Even if we’re depressed or anxious, experience mood swings or other symptoms, we have the power to shape the relationships in our lives to increase our well-being.

And we do this by making the decision to do so and then “leading” others into healthier ways of interacting. Not in a controlling or domineering way, but by example—by showing, “This is the kind of relationship I want in my life, and I’m going to act in ways that make it happen.”

So, take a step back from whatever relationship you’re in and clear all the “noise” out of your head. Then define the kind of relationship you want—not the kind of relationship that looks nice on television or the kind of relationship your parents or friends want you to have. After you do that, decide what you might need to develop about yourself to achieve that relationship and start doing it. It won’t be long before the kinds of relationships you want start to manifest in your life.

We can all take a lesson from Gloria Steinem who said, “Far too many people are looking for the right person, instead of trying to bethe right person.”

 

Larry Shushansky has seen thousands of individuals, couples and families over 35 years as a counselor. Through this and the process he used to get clean from his alcohol and drug addiction, Larry has developed the concept of Independent Enough. Follow him on Facebook here. You can also access his blog through his website at Independentenough.com

6 Ways You Can Help A Loved One On Their Healing Journey

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Take a moment to consider all the people in your life: your coworkers, friends, family. At any given time, 1 in 5 of these individuals is living with a mental health condition. You may have noticed them struggling, but if you’re not a trained mental health professional, you may not have known how to help.

However, you can help. You can be supportive and encouraging during their mental health journey. Here are a few tips on supporting the mental health of those you love.

1) Educate Yourself

There are hundreds of mental health concerns; your job is not to become an expert in all of them. When you do notice potentially troublesome symptoms, it’s helpful to determine if those signs may indicate a mental illness. Familiarizing yourself with common symptoms can help you understand and convey your worries. You may also benefit from expanding your knowledge by taking a course or joining a support group of individuals who can relate to the hardships you and your loved one may be facing.

2) Remain Calm

Recognizing that a loved one might need help can be daunting, but try to remain calm—impulsively approaching the individual might make you seem insensitive or aggressive. Try to be mindful and patient. Take time to consider your loved one’s symptoms and your relationship before acting. Writing down how you feel and what you want to say may be useful to help you recognize and understand your thoughts and feelings, and help you slow down while connecting to your good intentions.

3) Be Respectful And Patient

Before talking to someone about their mental health, reflect on your intention to promote healing and keep that in mind. Ask how you can help in their recovery process and be cautious not to come off as controlling. While encouraging a person to seek help is okay, it is not appropriate to demand it of them. Let them know that if they ever wish to talk in the future, you’re available.

4) Listen

Give your loved one the gift of having someone who cares about their unique experience. Don’t bypass their narrative by making connections to others’ experiences. You might recognize a connection to your own experience, however, sharing your story prematurely may undermine their experience. You may be prepared with hotlines, books, or a list of community providers, and although these are excellent sources of support, it’s important to take time to thoroughly listen before giving advice. It’s a privilege to have someone share intimate details of their mental health. Be present and listen before moving forward.

5) Provide Support

One of the best ways to help is to simply ask how. It’s not helpful to try to be someone’s therapist, but you can still help. People don’t like being told what to do—asking how you can help empowers them to take charge of their recovery, while also letting them know you are a source of support.

6) Establish Boundaries

As you support your struggling loved one, it’s important to consider both your boundaries and theirs. When trying to help, you are susceptible to neglecting yourself in the process; boundaries will help you maintain your self-care, while also empowering your loved one. Be sure you’re not working harder than they are at their own healing process.

As a caring person, you may grapple between wanting to encourage and support your loved one while wanting to honor their process and independence. Unfortunately, there are no foolproof guidelines for helping your loved one on their journey towards recovery. However, you can connect to your intentions, convey compassion and maintain your own self-care while empowering your loved one regardless of where they are in their healing journey.

By Shainna Ali

https://www.nami.org/Blogs/NAMI-Blog/March-2018/6-Ways-You-Can-Help-a-Loved-One-on-Their-Healing-J

When Betrayal in a Dream Leads to Real-Life Conflict

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I don’t recognize the bedroom. The walls are black and bare, except for a chaotic painting hanging in a random corner. From the doorway, I see two people laced together on a bed. I’m embarrassed, because they’re naked, but I don’t think they know I’m here. There’s a woman whose voluptuous silhouette is blurred by shadows — apart from her hair. Even against the dark contrast of the room, her cascade of long, black curls stand out. There’s a man too. I can see him clearly, but … that can’t be … oh, god.

For the past few months, I’ve had a vivid, recurring dream that I catch my husband being unfaithful with some mysterious woman, always the same one.

Every time, I wake up shaking, almost in tears, and immediately want to lash out at my husband — even though he is fast asleep, drooling away on one of our overpriced down-filled pillows. He’s done nothing wrong, but I still can’t help but hope that a stray feather drifts up his nose and makes him sneeze. The emotions I have in this dream are different — deeper, more painful — than anything I’ve felt in dreams past. And they linger.

The next morning, behind red, swollen eyes, I try to shake off the hurt and anger that have been plaguing me all night. But lately, things haven’t ended so well. While eating breakfast the other day, my husband mentioned running into a girl from high school at a local convenience store. An innocent story, except that I’d just had the dream again the night before. In my mind, I saw her face on the unidentified woman — and stormed off, leaving behind a man who was incredibly confused.

Later in the day, I apologized and we carried on — but somewhere deep inside, I continue to hold a tiny grudge. Yes, it’s unfair, and I know the whole thing makes me sound slightly unhinged. How can I stay mad at someone over a hypothetical situation? Besides, I’m not normally the jealous type, and I know my husband would never cheat. So, why is a dream affecting my reality so much?

“Typically, dreams that are troubling to us or that have particularly intense emotions tend to stick with us more than neutral or less intense dreams,” explains Alexis Conason, a clinical psychologist based in New York. Most people dream at least four to six times per night — that’s generally about two hours total, adding up to a twelfth of our lives — but remember only a tiny sliver of what they’ve dreamed about. And most of the time, the dreams they remember are the emotionally shocking or difficult ones, filled with anxiety, fear, guilt, shame, helplessness, or confusion.

In part, the explanation is straightforward — negative experiences are generally more emotionally charged, and easier to remember, than positive ones. Timing also plays a role: The majority of our dreams — especially our most vivid dreams — happen during REM sleep, which is also when the limbic system, a collection of structures in the center of the brain that deals with emotion, is especially active.

While researchers still aren’t sure why we have nightmares, one theory is that they provide a safe, low-stakes space to work through difficult emotions or situations that might be troubling us in waking life. “Dreams are the number-one way in which we process emotions, particularly emotional tensions that we are experiencing in waking life,” said psychologist and dreaming expert Ian Wallace. “They are part of the same problem-solving processes that we use during the day.”

This might explain why I keep having the same recurring dream. “Generally speaking, we dream about whatever it is that is going on in our lives as we are falling asleep, or it’s the most prevalent stressful situation that’s going on in our world,” explains psychologist and sleep specialist Michael Breus. “If you have a situation where you are thinking about something that is very, very stressful on a fairly regular basis, then it will show up as a dream or in your unconscious.” And that same dream can replay over and over again during stressful periods.

That’s not to say that the dream scenario is a literal representation of what’s bothering you in waking life — it can just be an indication that something is wrong. Breus, for instance, has a recurring “stress” dream of his own: “I’m in high school, the bell rings, and I run to my locker to get my books for the next class,” he says, but “it’s a combination lock and I cannot remember the combination. I sit there and I spin the dial and I get more and more stressed out.” He wakes up in a cold sweat, he says, but understands it’s a sign that there’s something going on that he needs to think about.

Infidelity dreams, similarly, often have a lot to do with stress. “This has more to do with insecurity or self-esteem that’s going on with you personally than with your husband,” Breus says. And Wallace, who studies dream interpretation, suggests that I may conjure up the affair dream when I’m disappointed with myself. (Ironically, I’ve struggled with writing a novel this year, despite my husband’s support.)

And, as my husband unfortunately already knows, dreams can also impact our relationships. One 2013 study in the journal Social Psychological and Personality Science found that the mood-altering effects of troubling dreams can last throughout the following day or even longer, negatively affecting intimacy and communication.

The good news, as Breus is quick to highlight, is that there’s no predictive value to dreams. And there are ways to stop the emotions of a bad dream from bleeding over into regular life: One approach is to give dreams better outcomes in our waking lives. “Prime your brain right before bed. And what that means, is to think about things that are positive before you go to sleep,” Breus recommended. Deep breathing and relaxation exercises can help. So can a technique called Image Rehearsal Therapy, in which a person writes out the entire content of their dream and then gives it a different ending. The idea, developed by sleep-disorder specialist Barry Krakow, is that over time, the exercise can alter the dream with the new outcome.

For now, I need to find a quiet corner and reflect on what stressors in my life could be causing my recurring nightmare. It might be the unfinished novel, or it might be something else. Until I find an answer, I’m hoping the mystery woman remains faceless and the pillows stay in one piece. And as far as my husband knows, my red eyes in the morning aren’t necessarily caused by the dream, anyway. I think I’m allergic to down.

By Crystal Ponti

http://nymag.com/scienceofus/article/when-betrayal-in-a-dream-leads-to-real-life-conflict.html

‘Magic 6 hours’ could dramatically improve your relationship

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 When John Gottman talks, I listen.

Actually I’ve never heard him talk, but when he writes, I read.

So when a newly revised edition of his best-selling “The Seven Principles for Making Marriage Work” (Harmony Books) hit my desk this week, I cracked it open immediately.

Gottman is a psychology professor at the University of Washington and the founder/director of The Gottman Institute, a marital research and counseling center in Seattle.

Maybe you’ve read about his theory on “master couples” versus “disaster couples.”

Co-authored with Nan Silver, “Seven Principles,” which has sold a million-plus copies, was first released in 1999 — before Tinder, before Facebook — heck, before some of us even had cellphones.

The updated version (out next week) offers tips for dealing with digital distractions, including Gottman’s suggestion to agree on rules of tech etiquette: How much are you comfortable with your partner sharing on social media? When is texting/posting off-limits (mealtimes, date nights)? Do you create cyber-free zones in your home?

Most compelling of all, though, is Gottman’s “magic six hours” theory, based on interviews with couples who attended marital workshops at The Gottman Institute.

“We wondered what would distinguish those couples whose marriages continued to improve from those whose marriages did not,” Gottman writes. “To our surprise, we discovered that they were devoting only an extra six hours a week to their marriage.”

If your first thought is, “Only? Where am I going to find an extra six hours in my week?” — I hear you.

If that was not your first thought, forget I said anything.

Anyway, back to the winning formula.

Couples who saw their relationships improve devoted extra time each week to six categories.

First up: Partings

“Make sure that before you say goodbye in the morning you’ve learned about one thing that is happening in your spouse’s life that day,” Gottman writes. “From lunch with the boss to a doctor’s appointment to a scheduled phone call with an old friend.”

(Two minutes per day for five days, for a grand total of 10 minutes per week.)

Second: Reunions

Gottman recommends greeting your partner each day with a hug and kiss that last at least six seconds and ending each workday with stress-reducing conversation that lasts at least 20 minutes. (About 1 hour and 40 minutes per week.)

Third: Admiration and appreciation

Spend five minutes every day finding a new way to communicate genuine appreciation for your spouse, he says. (35 minutes per week.)

Fourth: Affection

“Show each other physical affection when you’re together during the day, and make sure to always embrace before going to sleep,” he writes. (Five minutes per day, seven days a week: 35 minutes.)

Fifth: Weekly date

For two hours once a week, Gottman recommends one-on-one time, during which you ask each other open-ended questions. “Think of questions to ask your spouse, like, ‘Are you still thinking about redecorating the bedroom?’ ‘Where should we take our next vacation?’ or ‘How are you feeling about your boss these days?'” (2 hours per week.)

Sixth: State of the union meeting

Spend one hour a week talking about what went right that week, discussing what went wrong and expressing appreciation for each other. “End by each of you asking and answering, ‘What can I do to make you feel loved this coming week?'” he writes. (1 hour per week.)

All of it adds up to six hours per week.

Some of these suggestions sound a tad awkward. “What can I do to make you feel loved this coming week?” reminds me a little too much of the last time I bought a car. (“What can I do to earn your business today?”)

But I like to think of marital advice like the food pyramid: You’re not going to adhere to it every day, but it’s an instructive guide to shape your habits around.

http://www.chicagotribune.com/lifestyles/ct-improve-relationship-in-six-hours-balancing-20150430-column.html

Loving a Trauma Survivor: Understanding Childhood Trauma’s Impact On Relationships

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Survivors of childhood trauma deserve all the peace and security that a loving relationship can provide. But a history of abuse or neglect can make trusting another person feel terrifying. Trying to form an intimate relationship may lead to frightening missteps and confusion.

How can we better understand the impact of trauma, and help survivors find the love, friendship and support they and their partner deserve?

How People Cope With Unresolved Trauma

Whether the trauma was physical, sexual, or emotional, the impact can show up in a host of relationship issues. Survivors often believe deep down that no one can really be trusted, that intimacy is dangerous, and for them, a real loving attachment is an impossible dream. Many tell themselves they are flawed, not good enough and unworthy of love. Thoughts like these can wreak havoc in relationships throughout life.

When early childhood relationships are sources of overwhelming fear, or when absent, insecure or disorganized attachment leaves a person feeling helpless and alone, the mind needs some way to cope. A child may latch onto thoughts like

  • Don’t trust, it’s not safe!
  • Don’t reach out, don’t be a burden to anyone!
  • Don’t dwell on how you feel, just move along!

These ideas may help a person cope when they hurt so badly every day and just need to survive. But they do not help the emerging adult make sense of their inner world or learn how to grow and relate to others. Even if the survivor finds a safe, loving partner later in life, the self-limiting scripts stay with them. They cannot just easily toss them and start over. These life lessons are all they have (so far) to survive the best way they know how.

Noticing Trauma’s Impact On Behavior and Mood

Many times, trauma survivors re-live childhood experiences with an unresponsive or abusive partner (an important topic for another article). This often happens without the ability to see the reasons why they feel compelled to pursue unhealthy relationships. Beneath awareness is a drive to revisit unresolved trauma, and finally make things right. Of course, childhood wounds cannot be repaired this way unless there are two willing partners working on changing those cycles. But if these forces remain unnoticed, survivors can get caught in a cycle of abuse.

Even with a safe partner, a trauma survivor may

  • Experience depression
  • Develop compulsive behavior, an eating disorder, or substance dependence to try and regulate their emotions
  • Have flashbacks or panic attacks
  • Feel persistent self-doubt
  • Have suicidal thoughts
  • Seek or carry out the adverse behavior they experienced as a child

Partners of trauma survivors may want desperately to help. But partners need to “be clear that it is not your problem to fix and you don’t have the power to change another human being,” says Lisa Ferentz, LCSW in a post for partners of trauma survivors. Rather, know that both of you deserve to connect with resources to help you find comfort and healing.

Seeing Trauma’s Impact On Relationships

It is important to recognize unhealed trauma as a dynamic force in an intimate relationship. It can super-charge emotions, escalate issues, and make it seem impossible to communicate effectively. Issues become complicated by:

  • Heightened reactions to common relationship issues
  • Emotionally fueled disagreements
  • Withdrawal or distant, unresponsive behavior
  • Aversion to conflict and inability to talk through issues
  • Assumptions that the partner is against them when it is not the case
  • Lingering doubt about a partner’s love and faithfulness
  • Difficulty accepting love, despite repeated reassurance

In a relationship, a history of trauma is not simply one person’s problem to solve. Anything that affects one partner impacts the other and the relationship. With guidance from therapy, partners begin to see how to untangle the issues.

Many people do not even realize that they have had traumatic experiences. Trauma-informed therapy works by helping couples begin to see how they experienced traumatic abuse or neglect, and how it still affects them, and impacts their current relationships. This approach enables the therapist to provide specific insights to help couples separate past issues from present ones. Progress often comes more readily through a combination of individual sessions and work as a couple.

Trauma-informed therapy helps partners give each other the gift of what I and other therapists call psychoeducation – learning to understand each individual’s story, how it impacts their relationship, and how to process thoughts and emotions in healthier ways.

The Importance of Self-Care For Trauma Survivors and Their Partners

Trauma survivors and their partners have different needs for support. How can one respond when the other is grappling with mental health issues? How do you calm things down when overwhelming emotions get triggered?

It takes therapy for couples to find answers that are most healing for them. But some general tips for trauma survivors and their partners that can help are:

  • Have a really good support system for each of you and the relationship. Make time for family and friends who are positive about your relationship and respect you and your loved one.
  • Find a trauma-informed therapist to guide you as a couple or as individuals in your effort to better understand yourselves and each other.
  • Find resources outside of therapy such as support groups or other similar activities
  • Take time for psychoeducation. Learn about the nature of trauma, self-care and healing techniques like mindfulness. For example, one helpful model is Stan Taktin’s “couple bubble.” This is a visual aid to help partners see how to become a more secure, well-functioning couple. Surrounding yourself and your partner with an imaginary bubble “means that the couple is aware in public and in private they protect each other at all times. They don’t allow either of them to be the third wheel for very long, at least not without repair. In this way, everybody actually fares much better.” See More Helpful Resources below.

Communication Tips for Partners of Trauma Survivors

Building a healthy bond with a trauma survivor means working a lot on communication. Grappling with relationship issues can heighten fear and may trigger flashbacks for someone with a history of trauma.

Learning how to manage communication helps couples restore calm and provide comfort as their understanding of trauma grows. For example, couples can:

  • Use self-observation to recognize when to slow down or step back as feelings escalate
  • Practice mindfulness to raise awareness and recognize triggers for each of you
  • Develop some phrases to help you stay grounded in the present and re-direct your dialog, such as:
    • “I wonder if we can slow this down.
    • “It seems like we’re getting triggered. Can we figure out what’s going on with us?”
    • “I wonder if we are heading into old territory.”
    • “I’m thinking this could be something we should talk about in therapy.”
    • “I wonder if we could try and stay grounded in what is going on for us – is that possible?”

Communication can also help a partner comfort a loved one during a flashback. Techniques include:

  • Reminding the person that he or she is safe.
  • Calling attention to the here and now (referencing the present date, location and other immediate sights and sounds).
  • Offering a glass of water, which can help stop a flashback surprisingly well. (It activates the salivary glands, which in turn stimulates the behavior-regulating prefrontal cortex.)

Healing childhood wounds takes careful, hard work. But it is possible to replace old rules bit by bit. Finding a therapist who can recognize and acknowledge the hurt, which the survivor has carried alone for so long, is key to repairing deep wounds.

Partners may decide to work individually with their own trauma-informed therapist, while working with another as a couple, to provide the resources they need. When a survivor of early trauma can finally find comforting connection with a therapist, and then with their partner, the relationship between the couple can begin to support deep healing as well.

The more we understand about the impact of trauma, the more we can help those touched by it to go beyond surviving, and find the healing security of healthier loving relationships.

More Helpful Resources

Articles and Websites

“Helping a Partner Who Engages in Self-Destructive Behaviors” by Lisa Ferentz, LCSW

“Trauma-Informed Care; Understanding the Many Challenges of Toxic Stress” by Robyn Brickel, M.A., LMFT

Sidran Institute (resources for traumatic stress education and advocacy)

Books

Wired for Love: How Understanding Your Partner’s Brain and Attachment Style Can Help You Defuse Conflict and Build a Secure Relationship by Stan Tatkin, PsyD, MFT

Allies in Healing: When the Person You Love Was Sexually Abused As a Child by Laura Davis

Trust After Trauma: A Guide to Relationships for Survivors and Those Who Love Them by Aphrodite Matsakis

Mindsight: The New Science of Personal Transformation by Daniel Siegel

http://brickelandassociates.com/trauma-survivor-relationships/

How To Get Your Sex Life Back On Track After Having A Kid

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Kids chuck a frag grenade at many parts of your life, but it doesn’t have to ruin your sex life. A new baby too often causes a sexual dry spell for the parents that extends beyond the months it takes to recover from birth — in some cases, it can go years. This is the product of a new family struggling to find a new normal, focusing too much energy on the kid, and forgetting the couple who created the kid. Or, more to the point, the coupling that created the kid.

A family forces you to focus your resources that once went toward the couple — time, money, energy, hours in bed — toward the family’s newest member. Your supply of resources stays the same, but demand just increased by a factor of screaming human libido killer. “We now want a balance between me, us, and family,” says Esther Perel. “Those were not tensions that existed before.”

You probably remember Perel from her wildly popular TED talks on maintaining desire in long-term relationships or how a couple can survive an affair, so you already know she knows this topic better than most. Unless you’re one of those annoying couples whose sex life actually improved after having kids, read on …Redefine “Sex”
Contrary to popular opinion, the hokey pokey is not what it’s all about. “You can do the act in 5 minutes, done, and it has zero effect on you,” Perel says. She’s talking more about “the erotic presence — the feeling of connection, pleasure, aliveness, vibrancy.” Loss of erotic presence in a relationship is the reason sex stops, so focus on fixing the cause not its effect. “If people had a less narrow definition of what sex is, there would be an ability to feel much more sexually connected after having kids,” she says.

“If people had a less narrow definition of what sex is, there would be an ability to feel much more sexually connected after having kids,”

Learn The Erotic Ingredients And “Eros Redirected”
This may be the most important sentence you ever read: The erotic ingredients are playfulness, novelty, looks, curiosity, and touch. Perel points out that every one of these things are at risk of being entirely redirected toward your kid if you’re not careful. There’s even a fancy term for it: “eros redirected.”

For Perel, the core of the issue in any couple where the sex life has faltered post-kid is that all the energy that once went toward the erotic ingredients in your relationship go to the kid. Here’s how she puts it (and try not to wince if it sounds too familiar):

“Playfulness: You have loads of playfulness, but it’s all with the kids. Novelty: I see you constantly looking for new experiences with your children but you do the same old, same old [with your partner]. Looks: I see your kids walking around in the latest fashion, and I see you in your old schmattes. Curiosity: I see you being curious about anything your child is doing, but when was the last time you gazed at each other? Touch: I see you often living on a diet of quick pecks, and I see your children experience languid hugs and affectionate everything.”


Break Your Routine And Plan Together
Undoing eros redirected is in some ways as simple as behaving toward your partner the way you behaved before the kid was born. “When people meet and are in love, they live face to face. When people have children, they create this whole enterprise, and they live side by side. What they need are moments of turning their bodies back to each other in face to face situation.” That means date nights, complete with touching, playing, and all those other ingredients.

Among Perel’s clients, there are couples who hire a babysitter to attend Burning Man and couples who haven’t left the house in 4 years. Guess which ones have better sex lives. You don’t have to drop peyote in the desert to appreciate a novel couple’s activity, but you do need to occasionally break the schedule that parenting has forced you into by planning together. “The reason everybody talks about planning dates and all of that is because it’s not just about putting it in the calendar,” She says. “It’s about assigning value. It says it’s important.”

[ted http://www.ted.com/talks/esther_perel_the_secret_to_desire_in_a_long_term_relationship?language=en expand=1] Whether it’s a date night or an annual couple’s vacation separate from the child, which Perel also recommends, plan together. For many couples, she finds it helps if one person is responsible for the adult end of the planning (date nights, researching vacations, booking reservations, etc.), while the other focuses on the kid’s end (reserving babysitters, packing overnight bags for the grandparent’s house, etc.).

Divide, conquer, and turn “eros redirected” into “eros directed,” with the direction being straight to … well … use your imagination.

https://www.fatherly.com/parenting-and-relationships/how-to-get-your-sex-life-back-on-track-after-having-a-kid/