Tag Archive for: Mental Health Support

Family Members or Friends – Supporting Those with OCD

Family and friends may be become quite involved in one’s rituals. When an individual is confronted on their behaviors, the range of experiences can include anxiety, panic attacks, disgust, and feelings of unsettledness. The time spent on compulsions are time consuming or cause significant distress. Avoidance of situations, disruption or delay of plans, and distress within relationships are a few examples.

How to Talk About Recovery (If YOU Want)

There is incredible power in sharing one’s story. There are various characters that are part of story. The settings and plot change. There is a beginning, middle, and end as well as elements of conflict and resolution.

The Healing Power of Telling Your Trauma Story

When we’ve survived an extremely upsetting event, it can be painful to revisit the memory. Many of us would prefer not to talk about it, whether it was a car accident, fire, assault, medical emergency, or something else.

However, our trauma memories can continue to haunt us, even — or especially — if we try to avoid them. The more we push away the memory, the more the thoughts tend to intrude on our minds, as many research studies have shown.

If and how we decide to share our trauma memories is a very personal choice, and we have to choose carefully those we entrust with this part of ourselves. When we do choose to tell our story to someone we trust, the following benefits may await. (Please note that additional considerations are often necessary for those with severe and prolonged experiences of trauma or abuse, as noted below.)

1. Feelings of shame subside. 

Keeping trauma a secret can reinforce the feeling that there’s something shameful about what happened — or even about oneself on a more fundamental level. We might believe that others will think less of us if we tell them about our traumatic experience.

When we tell our story and find support instead of shame or criticism, we discover we have nothing to hide. You might even notice a shift in your posture over time — that thinking about or describing your trauma no longer makes you feel like cowering physically and emotionally. Instead, you can hold your head high, both literally and figuratively.

2. Unhelpful beliefs about the event are corrected.

Many people experience shifts in their beliefs about themselves, other people, and the world following a traumatic event. For example, a person might think they’re weak because of what happened, or that other people can never be trusted. When we keep the story inside, we tend to focus on the parts that are most frightening or that make us feel self-critical.

I’ve often been struck during my work with trauma survivors by the power of simply telling one’s story to shift these unhelpful beliefs. These shifts typically don’t require heavy lifting by the therapist to help the trauma survivor recognize the distorted beliefs. Instead, there’s something about opening the book of one’s trauma memory and reading it aloud, “from cover to cover,” that exposes false beliefs.

For example, a person who was assaulted might believe they were targeted, because they look like easy prey; through recounting what actually happened, they may come to see that it was due to situational factors (“wrong place, wrong time”), rather than something personal and enduring about themselves.

Telling the trauma story to a supportive therapist is one of the key components of Cognitive Behavioral Therapy (CBT), which is one of the most effective treatments for post-traumatic stress disorder (PTSD). I recently explored the latest findings on PTSD treatment research with psychologist Dr. Mark Powers, Director of Trauma Research at Baylor Scott and White Health. As we discussed, effective CBT typically doesn’t require an intensive examination of the survivor’s beliefs and evidence for those beliefs, as is often done in CBT for other conditions. Instead, insights about the truth of what happened emerge just through talking about what happened and what it means.

3. The memory becomes less triggering. 

Revisiting a trauma memory can be very upsetting, triggering strong emotional and physical reactions and even flashbacks to the event. Those reactions can stay in place for years if we have unprocessed trauma memories, especially when we’re trying to avoid thinking about the trauma.

Through retelling the story of what happened, we find that our distress about it goes down. The first time, it’s likely to be very upsetting, even overwhelming, and we might think we’ll never be able to tolerate the memory. With repeated retelling to people who love and care about us, though, we find the opposite — that the memory no longer grips us. As Dr. Powers noted, we find that the memory no longer controls us. It will never be a pleasant memory, of course, but it won’t have the same raw intensity that it once had.

4. You find a sense of mastery.

As we talk about our trauma, we find that we’re not broken. In fact, as Dr. Powers pointed out, we can come to see that our reactions to trauma actually make sense. For example, it’s understandable that our nervous systems are on high alert, since they’re working to protect us from similar danger in the future.

Many trauma survivors I’ve worked with described the strength they found as they faced their trauma and told their story. They said they felt like they could face anything, as they saw their fear lessen and found greater freedom in their lives. It takes courage to tell your story, and witnessing your own courage shows you that you’re not only strong, but also whole.  

5. The trauma memory becomes more organized.

Trauma memories tends to be somewhat disorganized compared to other types of memories. They’re often stored in fragments, disconnected from a clear narrative and a broader context. Existing research suggests that these differences are detectable in the brain, with unprocessed trauma memories showing less involvement of areas like the hippocampus that provide context to our experience.

Recounting the trauma begins to organize the memory into a story of what happened. We can see that it has a beginning, a middle, and an end, and that it happened at a specific place and a specific time. We can better understand the events that led up to it, and our own reactions at the time and in the aftermath. By putting a narrative frame around it, the memory can become more manageable and less threatening.

6. You begin to make sense of the trauma.

The biggest benefit from sharing our trauma stories may come from starting to make sense of a senseless event. “As humans we gravitate toward processing and trying to make sense of our experience,” Dr. Powers said, and that need is especially pronounced following a trauma. “That’s why treatment is often geared toward finding a sense of meaning.”

While PTSD treatment shares elements with the treatment of anxiety, such as phobias, Dr. Powers pointed out that it focuses more on meaning than does treatment for anxiety. “We don’t see the same type of drive to make sense of one’s fear in panic disorder or spider phobia,” he said. “The person doesn’t tend to say, ‘I really need to understand my fear of spiders.’ But that does seem to happen in PTSD, that our brains need to process what happened.”

Accordingly, effective therapy for PTSD includes not only revisiting the trauma memory, but also exploring its possible meanings. The meaning doesn’t come “off the shelf,” of course, but can only be arrived at by each individual. According to Dr. Powers, “At best we can help guide them through that discovery process.”

Important Considerations

It probably goes without saying that not everyone is the ideal person to share your trauma with. Some people may have a hard time hearing it based on their own trauma history. Others might respond with blame or criticism, or other non-validating responses. Choose carefully so that the person is likely to meet your story with understanding and compassion.

Timing is also important. It may take time before you’re at the point where you’re able to put the trauma into words. Be patient with yourself, recognizing that “not now” doesn’t have to mean “never.” Again, you get to decide when, where, and how you tell your story, which is a crucial part of owning the events of your life.

A Note About Complex PTSD

As noted above, the points raised here are based for the most part on work with discrete types of trauma — for example, a one-time car accident or violent assault. Other considerations may be necessary for those experiencing more complex forms of PTSD, such as those with a history of severe childhood maltreatment. The National Center for PTSD provides additional information on complex PTSD.

SOURCE

Strategies For Living And Working Well With ADHD

By Alexis Anderson

 

More than three-fourths of adults who had attention deficit hyperactivity disorder (ADHD) as children, still experience symptoms—and no matter the setting, it’s a challenge every day.

Starting from childhood, it’s critical for school counselors to use evidence-based interventions to help students with ADHD stay organized and manage their time. And those skills can translate into the workplace as adults. According to Counseling@NYU, which offers an online master’s in school counseling from NYU Steinhardt, small steps to manage a child’s time in the classroom efficiently and minimize distractions can make a big difference in the long run.

As an adult, you can use similar practical tactics that school counselors would use to manage your ADHD. You might not struggle with all these issues, and all these solutions may not work for you, but these tips may help boost your productivity at work.

Minimize Distractions

  • Start work earlier or stay later when it’s quieter.
  • Keep your desk clear of clutter.
  • Put a “Do Not Disturb” sign on your office. If you don’t have an office, find an empty office or a conference room.
  • Position your desk away from office traffic.
  • Ask if you can work from home on certain days.
  • Use noise-canceling headphones or listen to music (this can help the brain concentrate).

Track Time

ADHD means you may take longer to finish projects. So, it’s important to get help staying on track.

  • Bundle tasks. If you can, answer your phone, check your email and scan Twitter only at set times of the day. Otherwise, let your calls go to voicemail and stay off the Internet.
  • Clock yourself. Use an alarm or your phone to keep from veering off to another task. prematurely. A beeper also can be handy if you’re prone to hyper-focus and lose track of time.
  • Enlist your supervisor. Your boss may be able to help you stay on top of your deadlines with reminders and regular feedback.

Get Moving

If you’re prone to hyperactivity, you already know that moving any part of your body can bring relief. Turns out even tapping your fingers can help raise levels of dopamine and norepinephrine brain chemicals that help sharpen focus and attention, so:

  • Move around. If you’re restless, find an appropriate excuse to get up and walk. Grab a coffee from the cafe. Go to the bathroom. Take the stairs. Chat with a coworker down the hall.
  • Fidget. If you’re trapped at your desk or at a meeting, look for unobtrusive ways to release physical tension. You can discreetly wiggle your toes, tap your pen on your thighs, doodle, take sips of a drink or squeeze a stress ball.
  • Work out. Exercise can be a powerful antidote for hyperactivity. Just pick something you enjoy—whether it’s yoga, walking, biking or team sports—and get moving.

Don’t Forget Self-Care

It’s a myth that you can treat ADHD only with medications or professional therapy. Self-help strategies can also help corral your attention and energies, so you can focus and be productive. Here are some ways to help yourself:

  • Get out. Being outdoors, especially when the sun’s out, can boost your mood.
  • Eat right. Fuel your body with lean proteins, whole grains and vegetables.
  • Sleep well. Make getting quality shut-eye a priority. Avoid caffeine in the evenings, put away the phone and stick to a restful bedtime routine.
  • Chill out. Destress your mind and body with meditation, yoga, tai chi or mindful walking.

ADHD may be a well-known condition, but it’s often misunderstood. You may help yourself if you educate your loved ones and coworkers about how it affects your life and job. Then make these productivity and self-help tips your habits, and you might just turn chaos into calm.

 

Alexis Anderson is a Digital PR Coordinator covering K-12 education at 2U, Inc. Alexis supports outreach for their school counseling, teaching, mental health and occupational therapy programs.

 

https://www.nami.org/Blogs/NAMI-Blog/December-2017/Strategies-for-Living-and-Working-Well-with-ADHD