9 Things I'll be Talking About in 2016: What to Expect on the Podcast In the Year Ahead

At the end of the year we tend to take stock and notice themes. In the beginning of the year we tend to plan and look ahead. So I've taken stock and looked ahead.  CLICK HERE OR ON THE IMAGE BELOW TO LISTEN TO PODCAST EPISODE #17!

Over the past year there have been certain themes that have been really prevalent in my practice and because of that I want to talk about them more on the podcast in the year ahead. There are several big issues - I actually made a list - and came up with the nine things that have been common themes in my practice this year and I feel will be important to discuss on the podcast in 2016.

The first theme that’s really been prevalent in my practice is body image. Men, women and children in my practice talk about wanting to have a more loving relationship with their bodies. As you may know, most people I work with have experienced trauma. I think there is a link between healing trauma and having a loving relationship with one’s body, because we know trauma is stored in the body.

A second theme which has been really prevalent in my practice over the past year is craving deep, meaningful and authentic connection. I live in a wonderful community where people tend to gather with neighbors and friends and people are very kind, but relationships tend to stay at a surface level rather than delving into feelings. People say they wish for friendships in which they feel truly seen and heard. I will discuss this more on the podcast in 2016. 

Along with the theme of craving connection there’s also a theme of allowing connection. The problem is not feeling comfortable letting people in - and again, I work with a lot of people who have experienced trauma, so trust is often a major issue. When you’ve experienced relational trauma somebody has hurt you and it gives you a different perspective on whether or not it’s okay to trust people. So naturally, allowing people to really know you - showing up and being seen as who you really are - can be a challenge for people who have experienced trauma and that’ll be something I’ll be talking about more in the year ahead.

CLICK ON THE IMAGE ABOVE TO LISTEN TO PODCAST EPISODE 17! 

The next theme I identified that I want to talk about is workaholism and perfectionism. Here in the DC/Baltimore area we are working, working, working, working, working, working, doing, doing, doing, never wanting to slow down. It never seems like enough. It can be really hard to make time for oneself - including for therapy appointments - if you feel that without you at work something is going to fall apart. Another theme that goes along with that is being distracted, avoiding, numbing, dissociating, being disconnected from your body. Again, that goes along with trauma too so I’m going to be talking about that more.

When you are avoiding your feelings by numbing, staying busy with work, never giving yourself a moment to be still, you’re not in present moment awareness and you are, as I like to say, on the fast train to burnout city. People are expressing feelings of being burned out - on work, on caregiving, on parenting - all of those things can be very stressful! So it makes sense that you would feel burned out, especially if you never give yourself a chance to rest. And our culture does not encourage that! Wanting to increase self-care but not knowing how is a big theme that I’ve been talking about with people in my practice and I want to talk about more on the podcast. Actually, it’s a pretty consistent theme on my podcasts so far and it will be in the year to come as well.

One thing that I want to change about the podcast this year is that even though I talk about the fact that I’m a trauma therapist I don’t think I really talk very much about trauma on the podcast. I guess I just expect that people really know what it is but I’m realizing that when I say trauma you may be thinking of someone who has experienced a house fire, natural disasters or combat. Those are certainly traumatic event but I’m also talking about childhood experiences of no one attending to your emotional needs or being physically abused.

Many people don’t consider some experiences that they may have had as physical abuse even though they may qualify, like being hit with a hairbrush, being slapped, punched, spanked with a belt...whether or not it would be something that a court would prosecute a parent for doing when you were younger (because it may have been seen as normal then), the effect is traumatic for child. I think there’s an under-recognition of how serious the problem of trauma is, how much it affects so many of us. I will be talking a lot more about the effects of childhood trauma, the Adverse Childhood Experiences study, and things that I talk about in therapy sessions but I haven’t mentioned much here on the podcast.

The last theme that I want to cover on the podcast more in 2016 is negotiating relationships with family of origin when one has had an unhappy childhood. It’s a problem for so many people and one that people don’t frequently speak about. We have this American cultural ideal that families are always there for each other, families come first, etcetera. But if you had an abusive childhood and you are uncomfortable being around your family, where do you fit into our American cultural ideal if that’s your life? It’s true for so many people. We’ll be talking more about that in the podcast this year.

So these are the themes that I’ve heard about in my practice over the past year and want to talk about more in the podcast in the coming year. I would love to hear your thoughts about these topics and any other themes that you may be interested in hearing covered on the podcast so please leave comments on this post!

I would love to hear your feedback! If you like the podcast, please consider subscribing on iTunes and leaving a rating and review. This helps iTunes know that people are enjoying the podcast and it makes it easier for people to find it when there’re more ratings and reviews and subscriptions because that’s how they decide how popular it is.

As always, if you like what I'm doing, please find me on social media! You can follow me  on Twitter, Facebook, Pinterest, Instagram and Google+. To listen to my podcast, search the Baltimore Annapolis Psychotherapy Podcast on iTunes, Stitcher and (coming soon) Google Play. Or click here to listen via my website. You can also subscribe to my occasional e-mail newsletter by clicking here. I only publish them when I have something new to tell you about. 

Here's to an interesting 2016!

Wholeheartedly,

Laura Reagan, LCSW-C

3 Strategies to Survive the Holidays & Thrive All Year

3 Holiday Survival Strategies to Help You Thrive All Year Long

Greetings! In Episode 12 of The Baltimore Annapolis Psychotherapy Podcast (click here to listen) I discussed reasons why the holidays are hard for many of us. Rather than being the most joyful time of the year, November through February is often the most stressful time of the year. If that resonates for you, then keep reading. I'm going to give you three easy strategies for surviving the holidays which you can use every day. 

The holiday season is supposed to be a time of joy and light, but memories of loved ones who aren't there can bring painful emotions to the surface. Feelings of loss related to wishing for a happier childhood frequently arise at this time of year.

And for those of us who experienced feeling unwanted, abandoned, ignored, overlooked, or not (good/pretty/smart/successful/loved/rich/thin...fill in the blank)  _______ enough in our childhood and teenage years, gathering with family can be more painful than fun. Unspoken resentment and unresolved tension interfere with the closeness and loving warmth we wish for. Read on below to learn how to get through it with your sense of well-being intact.

Holiday Survival Strategies:

It's a stressful time of year for many reasons, but to get through it feeling connected to your values, in control and emotionally safe, these three strategies can help.

1. Set Boundaries.

Do you know what it means to set boundaries? The best way I know to explain boundaries is this: Setting boundaries means defining what is okay and what is not okay for you. Here's how it works:

For example, let's say you always gather with your extended family at your mother's house for Christmas. You want to go because it's your family tradition and it's the only time your whole family gathers together. However, your relationship with your mother is strained and you feel uncomfortable being around her. She wasn't really there for you emotionally when you were little and you aren't close with her now. She is critical of you to your face and talks about you negatively behind your back to your siblings. Furthermore, things usually get ugly after dinner when people have been drinking and the sarcastic remarks, passive-aggressive comments and criticism start coming out. Last year you and your uncle got into a huge argument and it hasn't been addressed since you stormed out that night.

You plan to attend this annual ritual this year as always, but you're having mixed emotions. Part of you is hoping that this year will be different, that your mom will be kind and loving toward you and that you and your uncle will get along better. But another part of you is feeling really anxious about going, with the dread increasing daily. You feel you have only two options: go and be miserable or stay home and feel guilty. Here's how to set boundaries:  

First, ask yourself what you need. This can be difficult if you usually make decisions based on what other people need and want, rather than your own thoughts and feelings. Consider that you have many options to choose from, and pick one that feels right to you. You may decide to stay home and not attend the gathering at all. Or maybe you would prefer to go, but not hang around after dinner when things start getting wild. Would it feel better to talk to your uncle beforehand and clear the air about what happened last year? Maybe you'd like to talk to your mom about visiting her on a different day around the holidays, when there is less stress and tension. You can choose how you want to show up - literally and figuratively - for this event. Let your own thoughts and feelings be your guide. It may be helpful to discuss your feelings with a trusted friend or journal about it. Once you've come up with a plan for how you want to deal with the issue of attending the family gathering, talk to your mom about your plans. Let her know what you will be doing this year by speaking directly and without anger. If setting boundaries is new for you, it may be helpful to practice saying this in a mirror so you can feel more confident. And if this is a new communication style within your family your mom may balk at hearing that your plans are different from the usual tradition. That doesn't mean you are wrong to speak up for what you need. Communicating directly and speaking your truth in a loving way is not wrong. In fact, it's because you love your family (and yourself) that you want to find a way to attend an important event that feels right for you, so you and your can family enjoy being together.  This is true year round, not only during the holidays.

2. Manage Your Expectations.

As mentioned above, sometimes we have ideas about how we hope things are going to be when we interact with our families. We have these ideas even though we've had decades of experience interacting with family members, and the communication may not have changed over all those years. So there's a fantasy of how you want things to be, and then there is the reality of how it's more likely to go. Knowing this, it can be helpful to anticipate issues which might arise and plan for how you will deal with them if they happen.

For example, although you wish your mom would be kind, loving and supportive toward you this Christmas, the reality is that she doesn't communicate that way (even if she has those feelings on the inside). You can't control her behavior. What can you control? Anticipating what might trigger you during the visit helps you plan ahead, which allows you to feel more in control. For one thing, you can plan for how you might address it if your mother is critical of you.  On the other hand, if you are caught up in the fantasy of this idealized, perfect family visit, that criticism feels more hurtful because you're surprised and disappointed that things didn't go the way you hoped they would.

This is also a chance to set boundaries. Ask yourself what you need. What would you like to tell your mom about what is okay and what is not okay with you? Maybe you decide that when she begins criticizing you, you will leave. You can also try ignoring her or changing the subject when the criticism starts. Or you can address it with her directly. How you go about it is up to you, but you have the right to set boundaries with your family so you can feel emotionally safe. Especially if your family of origin was abusive, you owe it to yourself and to your children, if you have them, to set boundaries. Children are stuck in these family conflicts with little to no power over what happens. They're depending on you to keep them safe.

Maybe Uncle Freddie gets drunk every year at dinner and begins yelling at his daughter, your cousin Annie. As much as you hate seeing him do this every year, you feel powerless to do anything about it. Again, you can't control his behavior, but knowing that this is likely to happen you can plan for how you will handle it. It is okay to leave the room when you feel uncomfortable, and you can be as direct as you like in explaining your reason for doing so. When others are behaving inappropriately or abusively you don't owe them an explanation, but you can still excuse yourself without being hurtful if you've anticipated what might come up and how you'll handle it. Setting boundaries with love can help you maintain the relationships you value without feeling as if you are tolerating being mistreated. Once again, managing your expectations about your interactions with family members is something you can do year round. 

3. Practice Self Care. 

Self care is another concept which we often hear about but don't always understand. Self care means treating yourself the way you'd treat someone you love. So you don't have to subject yourself to doing what you've always done for the holidays if you don't enjoy it. What would make you feel good during this time of year? This can be a good time to catch up on rest and relaxation. If it's a particularly sad, painful time for you, allowing yourself to feel your emotions and finding ways to comfort yourself can help. As suggested above, ask yourself what you need. Tune into what your body and mind are telling you and let that be your guide. 

Do you give yourself time to feel your feelings, or are you more likely to push through and try to ignore feelings which may get in the way of you completing everything on your to-do list? Practicing self care can be as simple as making time to eat when you are hungry, rather than skipping meals in favor of attending to other responsibilities. Stopping work to go to the bathroom is an act of self care. Getting enough sleep at night is part of a self care practice. Setting boundaries, moving your body daily, taking time to read for pleasure, listening to music, walking in nature, soaking in a hot bath, meditation, spending time doing things you love - all of these are examples of self care. What does self care look like for you? 

I write frequently about self care and talk about it on The Baltimore Annapolis Psychotherapy Podcast. Here are several articles I've written on this subject.

Therapists Share Their Self Care Tips 

Rethinking Self Care

How Self Care Helps Me Succeed In Business

Using Self Care to Nourish Your Soul and Fall In Love With Yourself

Self Care Apps Recommended by Therapists

Using Self Care to Prevent Burnout

Hopefully these will help you understand why you deserve to make self care an important part of your routine. And if the sadness you feel this time of year is not going away, consider getting in touch with me (if you're in Maryland) or another therapist to get started feeling better. You might be surprised how much better you can feel.

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 occasional newsletter! I don’t send them out unless I have something I want you to know, and you can unsubscribe any time you want. You can also follow me onTwitter, Facebook, Pinterest, Instagram and Google+. To listen to my weekly podcast, search the Baltimore Annapolis Psychotherapy Podcast on iTunes, Stitcher and (coming soon) Google Play. Or click here to listen via my website. 

I wish you peace this holiday and a joyful New Year!

Wholeheartedly,

Laura Reagan, LCSW-C

Mourning the Loss of An Important Relationship

Is there someone in your life with whom you used to be close, but you are no longer on speaking terms? Or maybe you still talk, but rather than the close connection you used to have, things feel strained between you. There is so much unsaid that the tension is palpable. The holidays are coming, and challenging family relationships often come to a head at this time of year. 

In my psychotherapy practice I work with adults who feel worthless, despite success and high achievement in their professional lives. They have everything anyone could want - great jobs, wonderful spouses, children who seem to have it all together...they are the envy of their friends and neighbors.  For many of these clients pain from childhood hurts continues to be a barrier to having close relationships with their families of origin, even into their 40's and 50's. 

I'm not talking about being upset because your big sister wouldn't let you ride her bike, but deeper hurts, like childhood abuse. I'm talking about feeling as a child that your needs weren't being met. Feeling like you never mattered, and you may still question whether you are lovable because of it. Deep, painful emotions. Despite trying to "just get over it" and "put the past behind you" as people often advise, these feelings aren't getting better.

Read on below!

In this episode of the Baltimore Annapolis Psychotherapy Podcast I talk about the issue of being estranged from someone who used to be so important in your life, whether it is a parent, sibling or friend. Most people who experience the loss of those important relationships feel hurt by the estrangement, even though they may try to avoid thinking about it. In the podcast I talk about some of these feelings and offer some journal prompts to help get to the bottom of what is really felt inside.

Our society tells us forgiveness is key to feeling better in these situations. However, I think sometimes we rush to claim that we have forgiven someone for hurting us without acknowledging to ourselves how hurt we really feel. It's the "right thing to do." But I question whether true forgiveness is possible without first healing the hurt. My next podcast episode will discuss forgiveness in more detail. In the meantime, I'd love to hear your feedback. Have you had this type of rupture in one of your important relationships? Were you able to resolve it? 

Therapy can help if you are struggling to heal from the hurt of a broken relationship with important people. If you're in Maryland, get in touch with me via e-mail at laura@laurareaganlcswc.com, by phone at (443) 510-1048 or send me a message through my website.    

Want to know more? Find me on Facebook, Twitter, Pinterest,  andGoogle +. 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!  

Wholeheartedly,

Laura Reagan, LCSW-C

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

---

For more episodes, click on the image above. If you like what you hear, please consider subscribing and leaving an honest review on iTunes! 

Laura Reagan, LCSW-C 

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!