What is Trauma?

What is Trauma?

  • WRITTEN BY: MARQUIA CALDWELL, LPC
  • “Trauma is much more than a story about the past…trauma is re-experienced in the present, not as a story, but as profoundly disturbing physical sensations and emotions that may be associated with memories of past trauma”

    -Bessel van der Kolk, a trauma expert

    When mental health professionals talk about trauma and mental health, we are talking about an emotional or psychological injury. Trauma is a response to an experience that overwhelms an individual’s capacity to cope, often as a result of dangerous situations or life threatening events. This can be a single event or multiple events. These experiences cause a negative impact on the mind and heart. There are various forms of trauma such as, but can include the following: 

        • Abuse (sexual, physical, and emotional),
        • Life-threatening accidents or illnesses,
        • Violence in school or the community,
        • Domestic violence (witnessing or experiencing),
        • National disasters,
        • Acts of terror,
        • Public health crises such as COVID-19,
        • Loss of a loved one, especially when sudden or violent in nature,
        • Refugee or war experiences,
        • and Neglect.

      Noticeable signs when struggling with trauma can include:

        • Insomnia, 
        • Poor concentration, 
        • Intrusive memories and thoughts,
        • Isolation, 
        • Self-doubt, 
        • Mood changes, 
        • Detachment from reality, 
        • Nightmares and/or flashbacks, 
        • Panic attacks, 
        • Loss of hope, 
        • Lack of vision for future, 
        • Inability to regulate emotions or lack of emotional response, 
        • Paranoia, 
        • Hypervigilance, and more. 

      Trauma writes itself on the mind and body of survivors. This means our actions, reactions, and behaviors are a result of our painful experiences.  Each traumatic experience is unique and can manifest in lots ways such as PTSD, Anxiety, Depression, Substance Abuse, Eating Disorders, Chronic Pain, Increased chances of experiencing life-threatening conditions, Relationship and Social Issues.

      Our traumas do NOT define us; they are just a PART of who we are.”

      Recovery and Support

      Recovery with trauma is a journey. Think of having a deep cut on your arm. There are options presented to us to heal this cut. You can leave it alone and let it heal on its own, clean it and cover it, or go to a professional to close it up. When it comes to emotional wounds, most cover it up and hope for the best. However, sometimes when we think things are healed, we realize it didn’t quite heal right. 

    • Re-opening wounds can be part of the process of healing, and with counseling, this is oftentimes the case. There are various forms of counseling and psychotherapy to help survivors cope with their traumatic experiences. Along with therapy, doing enjoyable activities/ hobbies and surrounding oneself with a positive support system is incredibly helpful in coping with trauma as well.
    • If you’re not sure where to start, but know you have experienced trauma, don’t wait for things to get harder or worse. Remember, getting help for trauma doesn’t have an expiration date. Even if traumatic things happened “a long time ago,” your heart can still find healing today. 

       

Anxiety- What is it?

Anxiety- What is it?

WRITTEN BY: KIMBERLY ALANIZ, LCSW-S

Nearly every individual will experience symptoms of anxiety in their lifetime. In fact, small amounts of anxiety aren’t necessarily a bad thing. So, can anxiety be good? Or even helpful? The answer is, yes! Like other emotions, anxiety serves an important biological purpose; protection.

The Evolution of Anxiety 

Evolutionarily (think back to cave man days) it protected cavemen from walking through tall grass with the potential of being attacked by an animal hiding feet away. In today’s modern world, anxiety can push you to study for a big algebra test, encourage you to apply for your dream job or discourage you from walking down a dark, empty alley alone.  

Biologically, anxiety prepares and helps the body to fight, freeze or flee a stressful situation in an attempt to protect. You may experience this as a rapid heart rate and breathing, which purpose is to send oxygenated blood to muscles you need in the process (i.e., your legs). You may even experience this as racing thoughts, which mentally prepares you for every possible scenario. Although the experience itself may feel negative, healthy amounts of anxiety are normal.

So, when can anxiety be bad or unhelpful? When the feelings of anxiety become excessive dread or fear that interrupts everyday life even when there is no evidence of a real threat. These symptoms could suggest a clinical anxiety disorder.

Common Anxiety Disorders:

· Generalized anxiety disorder– excessive, unrealistic worry about everyday life situations with no obvious reason.

· Social anxiety disorder- excessive fear and irrational thoughts about social situations to include worries about feeling judged, embarrassed or humiliated.

· Panic disorder- excessive fear and worries about losing control or disaster accompanied by sudden or frequent attacks of fear that last a few minutes to longer (also called panic attacks).

Common Symptoms of Anxiety Disorders

· Feelings of panic, dread and doom,

· Difficulties falling and staying asleep,

· Shortness of breath or rapid shallow breathing,

· Rapid heart beat,

· Tense muscles,

· Stomach issues not explained by another medical condition,

· Over thinking,

· Inability to concentrate.

Sound familiar? If you or someone you love is struggling contact a mental health professional who can help you understand anxiety and help find ways to manage symptoms. Contact us today!

What to Expect When You’re Expecting…Your First Counseling Appointment

What to Expect When You’re Expecting…Your First Counseling Appointment

Thinking of your first session with your counselor can be scary. But rest assured, it’s not as scary as you think. This blog below will go over some expectations you can have for your first meeting with your new counselor.

How a Counselor is Different than a Doctor

To begin, a counseling appointment is very different than meeting with a doctor. A counseling session is a talk therapy session. You and your counselor will be conversating with the intent to go over as much information about you as possible. You will talk about what brings you to counseling and what you hope to get from it. Counselors do not prescribe medication, nor are we able to, so don’t count on us for that. We can, however, diagnose you with a mental health condition like generalized anxiety or post traumatic stress disorder. *If you are looking for medication for psyhological issues, you need a psychiatric appointment.

Counseling Paperwork

The first counseling appointment is about an hour or a little more. You will also have to complete loads of documents and forms (insurance info, informed consent, credit card authorization form, etc). Any good counselor will REQUIRE you to complete these before your session. 

Your counselor will spend some time reviewing the informed consent with you. This form goes through fees, what to expect from counseling, how to get a hold of your counselor, your rights, and limits to confidentiality. One of the most important things is that you know all of what you share in counseling is private and confidential—with the exception of a few things, mainly related to safety of yourself and others.

The Beginning of the Counseling Session 

Your counselor will ask you questions about things sticking out from your intake. Your counselor will get more information about how you grew up, your family and who is part of your family now. We want to know things that give you joy and things that really bother you. Most important, we want to know what brings you into counseling to begin with. Your counselor will talk with you and process different things to get a better understanding of your situation.

The End of the Counseling Session 

By the end of session, you and your counselor will be working to identify goals based on the reason you’re getting counseling. For example, the reason you are seeking counseling might be because of marriage problems and stress. The goal is geared towards what you hope to gain from your experience in counseling. An example of a goal for marriage problems might be to better control your emotions and temper with your spouse and work on stress relieving skills.

Counseling is Your Choice

Going to counseling is a voluntary decision meaning no one can force you to come. Your counselor will make recommendations about how often you should be seen or when to come back. But ultimately it is your choice to continue counseling or not. While others around may want you to come to counseling, it is your decision. If you’re under the age of 18, you and your guardian are in control of this choice.

Remember your counselor is a person, just like you. Your counselor does not have all of the answers, a magic wand, or a special pill to make all your problems go away. The goal is to change you: how you think, how you act, and how take control of your emotions. The focus will not be on changing your situation as much as it will be on changing you.

How to Help a Loved One who has Anxiety

How to Help a Loved One who has Anxiety

Coping with anxiety is difficult for the person going through it. Also true for the people around them. Family members and close friends impacted by having a loved one struggle with anxiety is difficult too. This blog focuses 3 easy ways a loved one can support their family member without enabling.

Listen To Your Loved One.

No matter how many times you’ve heard it, no matter how often this has happened, listen. The person struggling with anxiety does not want to have this condition. They do not wake this morning wanting to feel anxiety. Listen with your ears, but really listen with your heart. Offer non-verbal encouragement, nod your head, look at them, and sit with them on their level.

Limit the Anxious Talk.

Being supportive of your loved one struggling with anxiety doesn’t mean that you are constantly available. While it is important to show consistent support by being physically and emotionally present, you don’t have to stop your own life. Give yourself a magic number. Think of a certain amount of time you are willing [and able] to give to listen and be with your loved one. This number can vary from day to day. For example, this morning you may have 15 minutes, but tomorrow you may have 30 minutes. Let your loved one know you want to be there for them but set boundaries so you don’t make yourself available 24/7.

Ask How You Can Help.

When your loved one is calm, ask what you can do to help the next time they feel anxious. Ask what they need during these times. Ask questions to better understand how anxiety impacts them personally. If your loved one does not know the answer to these questions or are providing answers that seem codependent (ie:”as long as you never leave my side, I’m ok”), that’s a clear indicator they could benefit from getting some extra help.

Having a loved one with anxiety is not easy. It may seem that despite your best attempts, the anxiety does not seem to ease back. But remember, your loved one is different than the anxiety. When you feel angry or frustrated, just remember to target this towards the anxiety not your loved one. The two of you together can fight towards the same cause: managing the anxiety.

Self-Sabotage and Why We Do It

Self-Sabotage and Why We Do It

What is Self-Sabotage

Self sabotage is the result of self inflicted, subconscious or conscious actions or thoughts to derail one’s success. In short, self sabotage is screwing yourself over on purpose. Why would anyone do such a thing? Contrary to popular belief, you are usually the one who gets in the way of your own self. 

A young person had an interesting conversation with me many years ago. We had worked for months on achieving a positive goal and were near final completion. Nearly a week before the goal was accomplished, she engaged in a behavior that completely derailed and destroyed her chances of leveling up. She knowingly engaged in a negative behavior which was so far off from the quality of character and actions she had built over the past year. I felt angry, disappointed and frustrated at her lack of follow through and unwillingness to commit.

Why Do We Self-Sabotage?

When the dust had settled, we had a sit down conversation. I could only bring myself to ask one question, “Why?” She proceeded to draw the following with a pen on white paper:

-side profile of stairs from the bottom of the page to the top, with stick figure person almost to the top; arrow pointed downward from the top of the stairs to the bottom of the page/the ”floor” level.

She explained:

“The higher up you go, the better things get. You are meeting goals and living a life you didn’t know you could ever have. But when you look down, you see how high you are. And you’re still going up. The higher up you go, the harder you can fall, and worse it will hurt. You start to feel like you’re going to fall.

You have 2 choices, you can either jump now, before you get higher and before it hurts worse when you land. Also, you know when you’re going to jump so you see it coming. OR you can keep going higher, the pressure builds, and when you fall, you never see it coming, so it hurts so much worse.”

Wow. I was stunned. The higher up you go, the harder you fall? Then it hit me, it made sense. Why does a recovered addict relapse after successfully completing a rehab program? Why does that woman jump out of a good relationship and claim “it wasn’t a good fit”? Why does he not apply for the higher job position even when his colleagues are begging him to? Why do people pull out of their chosen career path after they fail a board exam? Why don’t we open up our own businesses?  

Fear is the Root of Self-Sabotage

Fear turned inward becomes our kryptonite. The negative thoughts about ways you can fail will slowly end the spark that was required to generate ideas, movement and growth. How you think, becomes how you feel, which then creates actions. You think of all the reasons you fail, you begin to feel discouraged, scared or worried, then behave in ways to support that line of thinking. A discouraged person doesn’t make it on time to the interview. A person says no to going out with friends on a Saturday night although they’re feeling lonely.

Yes, it’s scary to think of failure, but what if you succeed? Ok, let’s say you fall, but not off the stairs completely, just down a few steps? Imagine geting out of your own way and allowing yourself to experience, grow, and move forward.