Therapy Chat Podcast Episode 25: What Is Childhood Emotional Neglect?

CLICK ON THE IMAGE ABOVE TO LISTEN TO EPISODE 25 OF THERAPY CHAT!

Welcome! My guest for Episode 25 of Therapy Chat is Dr. Jonice Webb, a clinical psychologist and blogger for Psych Central. She’s the author of the book, Running on Empty: Overcome Your Childhood Emotional Neglect. We’ll delve into this topic and its impact in our society today. Listen to Episode 25 by clicking here or on the image at right.

What you’ll hear in this episode:

• The definition of Childhood Emotional Neglect: a parent’s failure to respond enough to the child’s emotional needs

• This is different from physical neglect and abuse.

• In her private practice, Dr. Webb kept seeing clients with the same patterns.

• She has identified 12 different types of parenting styles that lead to Childhood Emotional Neglect.

• Children who experience may grow into parents with the same communication patternsif CEN isn't identified and addressed.

• Dr. Webb has developed a questionnaire, designed for adults, to determine if you’ve been affected by this CEN.

• Her book gives case examples of parent-child dynamics leading to CEN.

• She explains how to overcome CEN. 

• Dr. Webb wants to put together CEU trainings for therapists who want to work with this specialty, but first, she wants to complete a research project to compile results.

• She has a special offer for therapists working with clients who struggle due to Childhood Emotional Neglect. Listen in to hear it!

• Contact Dr. Webb at www.emotionalneglect.com or email her at jwebbphd@rcn.com. Sign up for her newsletter on her website and check out her blog at Psych Central!

It was great hearing Dr. Webb share her knowledge about Childhood Emotional Neglect! If you liked this episode, please visit iTunes to download episodes, rate and review! You can also listen on Stitcher and Google Play (available now in some areas). And for more of what I'm doing, please  sign up for my newsletter, and follow me Twitter, Facebook, Pinterest, Instagram & Google+. If you're a trauma therapist you may be interested in my new Trauma Therapist Community, forming now. Click here for the info. I look forward to connecting!

Wholeheartedly,

Laura Reagan, LCSW-C

The Epidemic of Childhood Trauma

The Epidemic of Childhood Trauma - A Public Health Issue Which Is Preventable

On Episode 19 of the Baltimore Annapolis Psychotherapy Podcast I talked about a subject which is extremely important to me. It is an issue I talk about every day in my psychotherapy practice, as I specialize in helping people who have experienced childhood trauma. Many of us have experienced traumatic events in childhood and think "that was a long time ago, I should be over it by now," or "it happened before I was old enough to remember so it can't be affecting me so many years later." But whether or not we consciously remember traumatic events, they can still affect us. 

Click here to listen to this discussion in podcast form on Therapy Chat (formerly known as the Baltimore Annapolis Psychotherapy Podcast)!

CLICK ON THE IMAGE ABOVE TO LISTEN TO EPISODE 19 OF THERAPY CHAT!

And these effects are not only emotional - although the truth is that childhood trauma can have long-lasting emotional effects, including anxiety, depression and post-traumatic stress disorder (PTSD). Yes, you read that correctly - PTSD, which we usually associate with veterans who have experienced combat, can be caused by experiencing childhood trauma too. 

In additional to the emotional effects of childhood trauma, a large study has found a connection between childhood trauma and physical ailments as well. The Adverse Childhood Experiences Study (also known as ACES), which was conducted beginning in 1987, found that people who had experienced childhood trauma had higher rates of suicide, mental health problems, addiction, autoimmune disorders, heart disease, lung disease, obesity and other chronic illnesses contributing to shortened lifespan than people who had not experienced childhood trauma.

The study also illuminated the fact that childhood trauma is much more common than most people realize. Sixty-four percent of adults have at least one traumatic event in their childhood history, according to the study. 

I'm passionate about intervening as early as possible to help people who have experienced traumatic events in childhood, which is why I decided early on to work with children as well as adults. It is never too late to work on healing childhood trauma, but the earlier the better. 

If you're in Maryland and you'd like some support in healing trauma click here to see if working together would be a good fit. You can also e-mail me at laura@laurareaganlcswc.com or call me at (443) 510-1048.

Want to hear more of what I have to say? You can sign up for my newsletter. I'm not one to bombard you with newsletters and clog up your inbox. I send them every so often when I have something to say that I think you might find useful. You can also follow me on Twitter, Facebook, Pinterest & Google+. 

To listen to Therapy Chat, where I discuss trauma as well as mindfulness, psychotherapy, worthiness, perfectionism, self compassion and many related subjects, click here! Please consider subscribing on iTunes, Stitcher, iHeartRadio or Google Play if you like it!

Sources:

National Child Traumatic Stress Network. (n.d.). Effects of complex trauma. Retrieved from: http://www.nctsn.org/trauma-types/complex-trauma/effects-of-complex-trauma

Stevens, J.E. (n.d.). ACES 101. Retrieved from: http://acestoohigh.com/aces-101/

Stevens, J.E. (n.d.). Got your ACE score? Retrieved from: http://acestoohigh.com/got-your-ace-score/

United States Centers for Disease Control. (2014, May 13). Injury prevention and control: Division of violence prevention. Retrieved from:http://www.cdc.gov/violenceprevention/acestudy/

Think You Might Have Seasonal Affective Disorder?

Do you have Seasonal Affective Disorder or are you simply sad? 

I often hear from clients that the winter months are hard. A common statement is, "I think I have Seasonal Affective Disorder." Seasonal Affective Disorder refers to having less energy and increased depressive symptoms at certain times of year, particularly during the Fall and Winter months. It is thought that less sunlight during the winter interrupts the body's cicadian rhythms and causes changes in Serotonin and Melatonin levels, causing mood changes and sleep issues. You can find more detailed information about the definition, causes, risk factors and treatment for Seasonal Affective Disorder by visiting the Mayo Clinic website. 

Much has been written about Seasonal Affective Disorder. I invite you to consider another possible cause for this seasonal sadness. Trauma anniversaries can cause intense feelings at certain times of the year. A trauma anniversary is the date that something traumatic happened in your life. I will explain more below.

Susan felt that her symptoms were completely unexplainable and unpredictable, but when talking in more depth about the story of her childhood and the loss of her mother, she revealed that her mother died on May 31. She also pointed out that she never had a chance to grieve her mother's death since she was too busy trying to survive in an abusive home without her only protector. Her father was not attuned to her emotional needs and he lacked the ability to cope with his own grief. 

Susan's annual experience of overwhelming depression in June makes sense when you consider that her mother died at the end of May, so that incredible pain she experienced throughout the month of June 28 years ago, when she was 12, was never processed. Trauma is held in the body, and feelings which are outside of our conscious awareness can show up seemingly at random. You can learn more about this by reading Bessel van der Kolk's book "The Body Keeps The Score," Peter Levine's "In An Unspoken Voice,"  Babette Rothschild's "The Body Remembers," and many other books on the subject of trauma and the body.

Considering whether there is any explanation which may relate to prior traumatic experiences helps us take back control of our own wellbeing.  Susan's body was reminding her every June of the deeply painful loss of her mother. She struggled all year with depression, which is common for survivors of childhood abuse, and in June it became unbearable every year. Susan was able to break this annual cycle and take back control of her emotional and physical health by working with a therapist specializing in trauma. She was able to process these traumatic experiences and she felt better than she had ever thought possible.

*Susan is not a real person. Her story is a composite of many stories clients have shared about their trauma anniversaries. 

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This is by no means a comprehensive list of traumatic experiences. If you believe you have experienced trauma, and you are ready to start the healing process, find a qualified therapist who has specialized training in trauma. As difficult as it may be to begin therapy for trauma, it is so worthwhile to find out that you can feel better than you ever thought you could. I know this is true because I have personally witnessed that transformation. 

If you don't have trauma and you really do have Seasonal Affective Disorder, the article I cited above recommends getting more sunlight, taking a vacation to a sunny place (heck yeah!) and/or trying therapy or medication. If you're not sure, talk to a helping professional, whether your primary care doctor or a therapist. 

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Susan's Story

Susan* had experienced depression throughout her adult life. Despite taking medication faithfully, she found herself being hospitalized for inpatient psychiatric treatment once a year -always in June - and she lived in fear of when her next depressive episode would cause this disruption in her life. When Susan was a little girl her father was an alcoholic. Her mother tried to protect her from his rage but when her dad was drinking, he often physically and sexually abused Susan. When Susan was twelve her mother died suddenly, and Susan was left alone with her father, who continued to abuse her until she was able to move out on her own at 18. The effects of her traumatic childhood continued to haunt Susan when I met her at age 40. She explained that she felt sad much of the time and her pain would build throughout the year, until in June she would have a breakdown and end up in the hospital because of suicidal thoughts. 

So Do I Have Seasonal Affective Disorder or Trauma? 

So before you assume that you have Seasonal Affective Disorder, ask yourself whether there is a certain date or specific month that is especially difficult for you. Is there any event you can recall which happened at that time of year which might relate to your feelings about this? Have you experienced trauma? It's not always as obvious as we think. Some situations which can cause trauma include:

• Loss of a parent or other primary caregiver during childhood
• Sudden, violent or traumatic death of a loved one or close friend
• Witnessing domestic violence in childhood or being in a physically violent relationship
• Growing up feeling that your emotional needs weren't met, that no one was there for you
• Experiencing physical abuse, including being "spanked" with a belt or other object, or being hit in any way when you were a child, even if you don't consider it abusive
• Being bullied
• Any unwanted sexual contact, from touching to intercourse without your consent or when you were incapacitated in some way

If you'd like to talk to me about working together click here or send me an e-mail at laura@laurareaganlcswc.com. You can reach me by phone at (443) 510-1048. For more from me, sign up for my newsletter! I send e-mails every so often when I have something to say, and I definitely won't overwhelm your inbox. You can also follow me on Twitter, Facebook, Pinterest and Google+. I have a weekly podcast which you can listen to here.

Source: 

Author Unknown. (2015) Retrieved on November 10, 2015 from: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047

Wholeheartedly,

Laura Reagan, LCSW-C

Forgiveness: Is It Necessary for Healing?

Forgiveness: Is It Necessary for Healing?

I recently attended a beautiful healing retreat in San Diego. I have been thinking about forgiveness a lot lately. While reflecting during the retreat I realized that I've been holding on to some resentment that has been a barrier to my relationships with important people in my life. As painful as it is to have this barrier in those relationships, I realize that it is actually creating a barrier to my own relationship with myself as well. Self-forgiveness is a key factor in being able to forgive anyone else. Taking the time to reflect helped me see that and let go of that old stuff, and as a result, I feel better and I'm relating differently to the important people in my life.

This subject frequently comes up in my therapy sessions with adults who have experienced childhood abuse, neglect, or other traumas. It's also a popular theme in our culture. Click on the image to the right to listen to Episode #10 of the Baltimore Annapolis Psychotherapy Podcast on forgiveness.In it, I discuss the concept of forgiveness and offer some thoughts on the role of forgiveness in the healing process. I also offer resources for forgiving in a way that is authentic and true. Here's a summary of what I said in the podcast:

In the last episode of the Baltimore Annapolis Psychotherapy Podcast, I asked whether you'd ever had a loss of relationship with someone with whom you were formerly very close. Something happened which led you to decide that you do not want to communicate with this person anymore. Or maybe you are setting boundaries around the role they have in your life because continuing to be close after what happened feels too painful. 

I raised the point that our culture tells us, both through religion and our popular culture, that forgiveness is a requirement for healing. But what if the person hasn't asked for your forgiveness? What if they deny that they did anything wrong? What if they have passed away, and you will never have the discussion about how their actions hurt you? What if they have apologized in a way that feels hollow? Is forgiveness really about the person who did wrong or about the person who has been hurt? Is it for your healing or theirs? Or the healing of the relationship?

Healing childhood trauma involves allowing oneself to feel the painful emotions we may have been avoiding, consciously or unconsciously.  Before jumping to forgiveness it is important to acknowledge these painful emotions. Self-compassion is extremely helpful to healing these hurts and moving the process of forgiveness forward. I offer resources for increasing self compassion in the podcast.  

Researcher Kristin Neff, PhD has researched and written extensively on the subject of self compassion. I highly recommend her book, "Self Compassion," and her website: http://www.selfcompassion.org/ to facilitate healing and allow forgiveness of yourself and those who have hurt you. 

If you're in the Baltimore area and looking for a therapist to begin or continue your journey of healing childhood trauma, get in touch with me at (443) 510-1048 or laura@laurareaganlcswc.com to talk about how I can help. See below for places to get more of what I have to say. 

Find me on Facebook, Twitter, Pinterest,  and Google +. You can listen to my podcast here and sign up for my e-mail newsletter here.  Check out my website, www.laurareaganlcswc.com for information on upcoming workshops, groups and retreats. I'd love to talk about how we can work together!  

                     What does asking for forgiveness look like?

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Click on the image to listen to the podcast episode on forgiveness.

Laura Reagan, LCSW-C Psychotherapist, Clinical Supervisor, Podcaster, Consultant

Kids Are Resilient, Right?

Conventional wisdom holds that children are resilient, and they bounce back easily from childhood experiences by the time they reach adulthood. This is considered to be even more true if the child doesn't remember the events. A large study has de-bunked that myth. Read on! 

There's an epidemic in the United States which is causing increased risk of suicide, chronic disease – including heart and lung disease and cancer – as well as addiction, violence and divorce. It costs the U.S. healthcare system over $103 billion annually. The good news is that there is a cure, and we can prevent new cases. This short TED Talk explains:

Dr. Nadine Burke Harris’s TED Talk explains that Adverse Childhood Experiences, also known as ACEs, correlate highly with poor health outcomes in adulthood.  

ACEs include the following experiences during childhood:

• ·      Abuse, whether emotional, physical or sexual – or emotional or physical neglect
• ·      Witnessing one’s mother being abused (domestic violence)
• ·      Losing a parent to separation or divorce, or another reason
• ·      Having a family member who is depressed, has addiction or is incarcerated

How Was This Epidemic Discovered?

As explained in this article, when a physician conducting research on obesity noticed higher than expected numbers of dropouts in his study, he began asking questions and discovered that most of the patients reported history of childhood sexual abuse. 

Until then, he did not realize how common sexual abuse is. We now know that one in four girls and one in six boys will experience sexual victimization at some point before his/her eighteenth birthday. The study also found that 64% of Americans have experienced at least one ACE, and of those people, 87% had 2 or more.

Image copyright Laura Reagan, LCSW-C Psychotherapy Services, LLC

The higher the score, the worse the respondents’ health outcomes. In other words, those who had more ACEs were more likely to have cancers, heart disease, autoimmune disorders, addiction, depression, divorce, and overall their lifespans were shortened by as much as 20 years compared with people who had no ACEs.

Adverse Childhood Experiences Study

This information was gained from the Adverse Childhood Experiences Study, a longitudinal study conducted by Kaiser Permanente on a huge sample of insured patients – 17,000 mostly white, educated, middle- to upper- class, employed people – in other words, some of the most high-functioning members of society who should have the best access to healthcare. This makes me wonder how much higher the stats on the incidence of childhood adversity and poor health would be if the sample had included people who live in poverty, those who are incarcerated, and others of less means and access to healthcare.

All of This Sounds Pretty Scary, but Here’s the Good News!

For one thing, if you have experienced childhood trauma, you now know that you aren’t alone. Traumatic experiences in childhood are quite common in the United States. The most important thing is to recognize that traumatic experiences can affect us years later, even if we think we should be over it by the time we reach adulthood.  

How Do I Find Out My ACE score? 

You can take the quiz at this link. As I’ve mentioned - and you may have read in the linked articles - the higher your ACE score, the more likely you are to be affected by mental and physical health issues.  It’s scary to hear that having an ACE score of 6 or higher is correlated with lifespans as much as 20 years shorter than the average.

However, you don’t have to fall into those statistics, even if your score is high! I have worked for years helping people who have experienced childhood trauma and what I know is that having traumatic experiences is very painful, but the most damage comes from ignoring how you have been affected by these experiences – and the healing begins when you allow yourself to feel the emotions you’ve been avoiding. 

When the emotional effects of childhood trauma are not addressed, they don’t go away on their own. Often we develop methods of coping with trauma symptoms - like avoiding developing close relationships so we don’t get hurt - and numb the emotional pain with drugs, alcohol, the internet, being busy, sex, shopping, perfectionism, eating disorders, work, school, and/or gambling. 

Image copyright Laura Reagan LCSW-C Psychotherapy Services, LLC

Knowledge is power – what do you do with the information once you learn about it? You can ask yourself honestly whether you have healed from the Adverse Childhood Experiences referenced in your score. If not, what are the steps you can take to begin the healing process?  

You can heal from childhood trauma.  There's a therapist out there for you!

Psychotherapy for trauma can include, among other techniques:

• ·      Cognitive-Behavioral Therapy techniques
• ·      Creative methods such as art, music, yoga and dance therapy
• ·      Mindfulness approaches
• ·      Body-based (also known as somatic) methods including Somatic Experiencing and     Sensorimotor Psychotherapy
• ·      Eye-Movement Desensitization and Reprocessing (EMDR)

There are many useful methods therapists use to help you heal from trauma – I don’t mean for this to be a comprehensive list. In fact, I’d love to hear what you have tried in the comments below! 

It’s important to speak to a potential therapist about his or her training in trauma treatment. Make sure you feel comfortable that this is the right person for you, and if you don’t, it’s okay to tell the therapist that and find someone else who can help you. Trust is an important part of the therapy process, and without developing a trusting therapeutic relationship with your therapist it will be extremely difficult to work through the trauma.   

Childhood trauma is preventable! I will write about that in a future blog post. By the same token, the health outcomes the ACE Study identified are not a matter of fate. Rather, they are the body's expression of unresolved trauma, and by addressing the underlying cause you can potentially limit future illness.  I’m so glad the ACE Study has provided so much information which is now being used to help spread the word about this major public health issue affecting our children and so many adults in the United States. I hope more people will understand the effects of their own ACEs and address them as needed.

If this has made you think about finding help to work through your own childhood trauma, call me at (443) 510-1048 or visit my website. 

Sources:

Burke, N.B. (2015, February 17). How childhood trauma affects health across a lifetime. Retrieved from: https://www.youtube.com/watch?v=95ovIJ3dsNk

Center for Nonviolence & Social Justice. (2014). What is trauma? Retrieved from: http://www.nonviolenceandsocialjustice.org/FAQs/What-is-Trauma/41/

Maryland Coalition Against Sexual Assault. (2013). Sexual assault in the U.S. Retrieved from: http://www.mcasa.org/_mcasaWeb/wp-content/uploads/2014/02/Sexual-Assault-in-the-US-updated-2013.pdf

National Child Traumatic Stress Network. (n.d.). Effects of complex trauma. Retrieved from: http://www.nctsn.org/trauma-types/complex-trauma/effects-of-complex-trauma

Reagan, L. (2015, February 21). Why can’t I just get over it? Retrieved from: http://www.yourtango.com/experts/laura-reagan/why-cant-i-just-get-over-it-0

Stevens, J.E. (2012, October 3). The Adverse Childhood Experiences Study – the largest, most important public health study you never heard of – began in an obesity clinic. Retrieved from:  http://acestoohigh.com/2012/10/03/the-adverse-childhood-experiences-study-the-largest-most-important-public-health-study-you-never-heard-of-began-in-an-obesity-clinic/

Stevens, J.E. (2015, February 17). Nadine Burke Harris: How childhood trauma affects health across a lifetime. Retrieved from: http://acestoohigh.com/2015/02/17/nadine-burke-harris-how-childhood-trauma-affects-health-across-a-lifetime/

Stevens, J.E. (n.d.). ACES 101. Retrieved from: http://acestoohigh.com/aces-101/

Stevens, J.E. (n.d.). Got your ACE score? Retrieved from: http://acestoohigh.com/got-your-ace-score/

United States Centers for Disease Control. (2014, May 13). Injury prevention and control: Division of violence prevention. Retrieved from: http://www.cdc.gov/violenceprevention/acestudy/

What do you think? I'd love to hear your thoughts in the comments below! And if someone you know needs to read this, please share!