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Trauma, Trauma Bond, Fight Flight Freeze Fawn Elizabeth Mahaney Trauma, Trauma Bond, Fight Flight Freeze Fawn Elizabeth Mahaney

Navigating Trauma Responses: Understanding the Four F’s of Trauma - Fight, Flight, Freeze, Fawn

Ultimately, recognizing these responses is the first stride towards transformative healing. At South Tampa Therapy, we offer holistic support and a safe space for your healing journey, empowering you to reclaim your narrative and foster resilience.

In the realm of our psyche, trauma triggers an orchestra of responses, unveiling a range of survival behaviors we inherently adopt when faced with perceived threats. These automatic reactions - the Four F’s - are intrinsic, revealing themselves in moments of distress, pushing us into a realm of defense mechanisms.

The Neurobiological Unveiling: Our bodies, intricately wired to respond to danger, unleash a cascade of protective measures through the sympathetic nervous system. Initially designed for short-term survival, these mechanisms inundate our system with chemicals, creating a defensive shield. Yet, when these responses persist, our system gets overwhelmed, and we become trapped in survival mode, with our sympathetic nervous system taking the reins.

The Continuum of Trauma: Trauma, however, isn't just confined to monumental life events. It permeates a spectrum, where even seemingly minor incidents, such as a heart-wrenching breakup or a chronically toxic work environment, can inflict trauma. It's subjective and personal, living in the shadows of our stressors, often remaining unprocessed and lurking within us, impacting our physical, emotional, and spiritual realms.

  1. The Fight Response: Healthy assertiveness and boundaries morph into reactive conflict, a fear-based defense mechanism unleashing anger and aggression. Physical fights, aggression, or a firm jaw are telltale signs, but they come at the cost of severed connections and alienation.

  2. The Flight Response: Avoidant behavior takes center stage, compelling us to distance ourselves entirely from distressing emotions. However, escaping into busyness or avoidance deepens the emotional void within us, requiring grounding exercises to reconnect with ourselves.

  3. The Freeze Response: A mechanism designed for careful assessment transforms into freezing - a state of emotional numbness, detachment, or dissociation. Grounding techniques and conscious effort help snap out of this mental paralysis.

  4. The Fawn Response: At the core of fawning lies the desire to appease, often at the expense of our own identity. People-pleasing and subsuming our needs for others' approval can lead to losing oneself. Identifying and setting boundaries is the first step toward reclaiming our individuality.

A Hybrid of Responses: Our reactions often intermingle, forming hybrids like fight/fawn or flight/freeze, shaped by our environments and the perceived consequences of our behaviors. These hybrids reveal the fluidity and complexity of our trauma responses.

The Journey to Healing: Acknowledging and discussing our trauma responses with empathetic listeners helps unravel these patterns. Embracing self-soothing techniques like journaling and seeking trauma-informed therapies pave the way for healing. Embodying healing through practices like yoga aids in feeling safe within our bodies.

In this process, be gentle with yourself; change takes time. Cultivating compassion, acceptance, and patience in our healing journey is key. Remember, you're on a path toward reclaiming your wellbeing, one step at a time.

Ultimately, recognizing these responses is the first stride towards transformative healing. At South Tampa Therapy, we offer holistic support and a safe space for your healing journey, empowering you to reclaim your narrative and foster resilience.

Book a session with Elizabeth Mahaney, LMHC, MFT, LPC, LCPC, CCTP, NCC, DCC, Ph.D, Gottman & EFT Couples Counselor, NVC Compassionate Communication Specialist, and Trauma Informed Therapist!

https://SouthTampaTherapyBOOKAPPT.as.me/initialintake

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Affairs, Infidelity Recovery, Trauma, Trauma Bond Elizabeth Mahaney Affairs, Infidelity Recovery, Trauma, Trauma Bond Elizabeth Mahaney

Navigating the Storm: Understanding Trauma Responses in the Wake of Infidelity

As we navigate the complex aftermath of infidelity, the lens of trauma response offers clarity and guidance. Each relationship is unique, and treating infidelity requires a nuanced, individualized approach. By embracing the transformative power of understanding trauma responses, we, as relationship experts, can contribute to the profound healing and resilience of those traversing this challenging terrain.

Introduction:

In the intricate tapestry of human relationships, few challenges rival the seismic impact of infidelity. As a relationship expert, my journey into the heart of healing has unveiled the profound connection between trauma responses and the aftermath of betrayal. Let's embark on an exploration of how understanding trauma can guide us in treating infidelity and fostering resilient relationships.

The Landscape of Trauma Responses:

Infidelity, like an emotional earthquake, can trigger a spectrum of trauma responses. These responses, often rooted in attachment styles and past experiences, can manifest as shock, denial, anger, anxiety, or even dissociation. As a relationship expert, recognizing these responses is crucial for tailoring effective interventions.

  1. The Shockwave of Betrayal: Infidelity rocks the very foundation of trust. Partners experiencing betrayal often describe an initial shock, akin to the ground shaking beneath them. Understanding this shockwave allows us to provide a supportive, stabilizing presence in the immediate aftermath.

  2. Navigating the Depths of Denial: Denial is a common defense mechanism, a shield against the overwhelming reality of betrayal. Acknowledging and gently challenging denial, while respecting the individual's pace, opens the door for deeper exploration and healing.

  3. Unveiling the Flames of Anguish: Anger can be an intense manifestation of pain, serving as a protective mechanism. As a relationship expert, guiding partners in channeling anger constructively and expressing their emotional needs is pivotal in the healing process.

Treating Infidelity through a Trauma-Informed Lens:

  1. Creating a Safe Haven: Establishing a safe space is paramount. Infidelity survivors need assurance that their feelings are valid, and this acknowledgment forms the bedrock of the healing journey.

  2. Unraveling the Roots: Delving into the roots of trauma responses is essential. Understanding attachment styles, past traumas, and individual coping mechanisms enables tailored therapeutic strategies.

  3. Fostering Effective Communication: Infidelity often exposes communication fault lines. As a relationship expert, empowering partners with nonviolent communication tools can pave the way for honest, vulnerable conversations.

  4. Rebuilding Trust Brick by Brick: Rebuilding trust is a meticulous process. Small, consistent actions that demonstrate commitment and accountability become the building blocks of a renewed foundation.

Conclusion:

As we navigate the complex aftermath of infidelity, the lens of trauma response offers clarity and guidance. Each relationship is unique, and treating infidelity requires a nuanced, individualized approach. By embracing the transformative power of understanding trauma responses, we, as relationship experts, can contribute to the profound healing and resilience of those traversing this challenging terrain.

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Understanding Why Some People Subconsciously Choose Partners Resembling Their Parents

Discover the reasons behind subconscious partner choices resembling primary caregivers. Learn how early experiences influence romantic relationships and identify potential red flags.

Discover the reasons behind subconscious partner choices resembling primary caregivers. Learn how early experiences influence romantic relationships and identify potential red flags.

Introduction:

When it comes to choosing a life partner, most people rely on a checklist of desirable qualities. However, relationships built on shared values and intimacy tend to be more stable and secure. This article explores the intriguing phenomenon of individuals subconsciously selecting partners who resemble their primary caregivers, often resulting from unresolved attachment trauma. Recognizing these patterns can lead to healthier, more fulfilling relationships.

Key Points:

1. Shared Intimacy and Interdependence in Relationships:

Partnerships rooted in shared intimacy and interdependence foster stability and security, leading to a healthier union.

2. Unresolved Attachment Trauma Influencing Partner Choice:

Unconscious attachment trauma from early life experiences can shape one's selection of a romantic partner, potentially leading to dissatisfaction and communication challenges.

Identifying Red Flags:

Spotting signs that a romantic relationship may be influenced by unresolved core wounds or childhood conditioning is crucial. These include mirroring dynamics learned from primary caregivers, superficial conversations, and a choice of partner echoing past emotional wounds.

Three Common Reasons for Subconsciously Choosing a Parental Resemblance:

1. Fear of Growth and Change:

Some individuals may opt for partners who resist emotional growth, favoring familiarity over personal development. This reluctance to evolve can hinder progress in the relationship.

2. Compulsion to Repeat Patterns:

Choosing a partner resembling an abandoning or neglectful parent may stem from a subconscious desire for closure or rescue. This behavior pattern, while familiar, can lead to self-sabotage.

3. Validation of Learned Scripts and Beliefs:

Selecting a partner with dysfunctional traits similar to those learned in childhood may provide a sense of predictability, even if it perpetuates a cycle of dysfunction. This familiarity can be mistaken for comfort.

Conclusion:

While not everyone consciously "marries their parent," our early experiences profoundly influence our romantic choices. Recognizing these patterns and seeking professional guidance can lead to healthier, more fulfilling relationships. If your formative years were marked by abandonment or neglect, consulting a trained clinician can offer invaluable support in your emotional journey.

Book an appointment with Dr. Elizabeth Mahaney to find out more about how to disrupt these subconscious patterns:


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Transform Anger Into Connection

When anger arises in a relationship, couples often fall into destructive communication patterns, exacerbating the initial pain and creating a cycle of suffering. However, NVC offers a way to break this cycle and foster understanding and connection.

Transforming anger into an opportunity for connection and growth in intimate relationships is possible through the practice of Nonviolent Communication (NVC).

When anger arises in a relationship, couples often fall into destructive communication patterns, exacerbating the initial pain and creating a cycle of suffering. However, NVC offers a way to break this cycle and foster understanding and connection.

Marshall Rosenberg's insight into anger helps shed light on its underlying dynamics. When someone is angry, it indicates a strong need that they urgently want to be met. However, in an attempt to ensure their needs are met, they may employ moralistic rules, which often lead to unpleasant treatment of others. Recognizing these underlying needs and shifting the focus from moralistic rules to unmet needs is crucial for transforming anger into understanding and connection.

To identify the unmet needs behind anger, it is important to look beyond the rules and reactions of the person expressing anger. One approach is to set aside one's own reactions and inquire about the person's upset. Asking questions like, "When I hear that you are upset about this, it tells me there was a way you wanted to be treated that didn't happen. Am I right?" opens up the conversation and invites the person to share their perspective.

Continuing the exploration of unmet needs, asking questions about the ideal way they would have liked to be treated can help uncover their desires and dreams for the relationship. This can include questions such as, "If you could have been treated in a way that was perfect for you, what would that look like? What would have happened?" This process encourages them to think about the positive outcomes they envision and articulate their needs more explicitly.

The answers provided serve as clues to identify their unmet needs. By presenting different possibilities and allowing them to decide what resonates, it becomes easier to narrow down and understand their specific needs. This process is akin to trying on different clothes until the right fit is found. It requires empathy, active listening, and an open mind to accurately grasp the underlying needs being expressed.

By delving deeper into their needs and offering empathy and understanding, the initial anger can be transformed into a sense of relief, relaxation, and genuine connection. This process of uncovering and addressing needs is a form of deep empathy that brings joy and closeness to the relationship.

While learning this approach may take time and practice, it cultivates a sense of eagerness to explore the needs underlying anger and fosters a stronger bond between partners. Through NVC, anger can be seen as an opportunity for growth, understanding, and strengthening the connection in intimate relationships.

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anxiety, OCD, Trauma Elizabeth Mahaney anxiety, OCD, Trauma Elizabeth Mahaney

Exposure and Response Prevention (ERP): The Most Effective Treatment for OCD

If you're struggling with intrusive thoughts or obsessive-compulsive disorder (OCD) and seeking effective treatment, first of all I want to let you know that I see your struggle – and that you are not alone. What you are going through IS hard. And, there is hope, thanks to a treatment called Exposure and Response Prevention (ERP). This therapeutic approach has demonstrated remarkable success in helping individuals regain control over their lives by confronting their fears and breaking free from the shackles of OCD. In this blog post, I will guide you through the ins and outs of ERP and delve into each step of the ERP process.

If you're struggling with intrusive thoughts or obsessive-compulsive disorder (OCD) and seeking effective treatment, first of all I want to let you know that I see your struggle – and that you are not alone. What you are going through IS hard. And, there is hope, thanks to a treatment called Exposure and Response Prevention (ERP). This therapeutic approach has demonstrated remarkable success in helping individuals regain control over their lives by confronting their fears and breaking free from the shackles of OCD. In this blog post, I will guide you through the ins and outs of ERP and delve into each step of the ERP process.


Understanding Exposure with Response Prevention (ERP):

ERP therapy is a behavioral treatment that forms a cornerstone in the management of OCD. It revolves around the idea that through systematic and controlled exposure to anxiety-provoking situations (either real or imagined) along with refraining from engaging in related compulsions, you can learn how to relate to their anxiety in a healthier way. ERP empowers you to confront your fears head-on and make the choices that are in line with your values and goals. You will learn that a thought is just a thought – even if it is scary. You’ll also learn that if you go beneath the thought and lean into (even embrace) the feeling of anxiety beneath it with self-compassion, even if the anxiety increases for a bit, it does lessen. ERP is often used in conjunction with mindfulness and cognitive defusion practices from Acceptance and Commitment Therapy (ACT) that shift clients’ relationship with their own thoughts as well as with the experience of anxiety. 


Effectiveness of ERP in Treating OCD:

Extensive research and clinical evidence support the efficacy of ERP therapy as a highly effective treatment for OCD, both alone and in combination with medication. It’s been shown to be effective between 50 and 85 percent of the time. Numerous studies have consistently shown that ERP significantly reduces OCD symptoms, improves overall functioning, and enhances quality of life. While ERP doesn’t completely get rid of intrusive thoughts (because humans always have those), it does help clients manage their reactions to those thoughts so that they are no longer ruled by their OCD. 


Types of OCD Treated by ERP:

ERP therapy is effective in treating various subtypes of OCD. Whether your obsessions are centered around contamination fears, fears of causing harm or being responsible for harm, concerns about symmetry or order, or intrusive thoughts that challenge your core values or beliefs, ERP can be a powerful tool in your journey toward recovery. The flexibility of ERP allows it to be tailored to the specific themes and triggers that underpin your OCD symptoms, ensuring a personalized approach to your treatment.


The ERP Process: Taking One Step at a Time

  1. Psychoeducation and Collaborative Goal Setting: The first step of ERP involves educating yourself about OCD, understanding its mechanisms, and learning how ERP can empower you to challenge its grip on your life. Together with your therapist, you will establish specific goals and identify the situations or triggers that cause distress. You will learn to shift your perspective on thoughts and also learn about the importance of accepting – even getting excited about – the experience of anxiety, instead of trying to push it away or become ruled by it. 

  2. Building a Hierarchy of Fear: Next, you and your therapist will create a hierarchy of feared situations or stimuli. Starting with situations that elicit mild-to-moderate anxiety and gradually progressing to more challenging ones, this hierarchy serves as a roadmap for your exposure exercises.

  3. Exposure and response prevention: In this step, you will purposefully and gradually expose yourself to the situations, objects, or thoughts that trigger your obsessions. You and your therapist will likely do this in session together, and you may be asked to try it at home as well. While the exposure may initially induce anxiety, it is essential to resist engaging in any associated compulsions or rituals. By resisting the urge to engage in compulsions, you will learn that anxiety subsides naturally over time.

  4. Continued Practice and Generalization: As you progress through ERP, you will practice exposure and response prevention techniques consistently, both in therapy sessions and in your daily life. Over time, this regular practice will strengthen your resilience and enable you to confront OCD-related fears independently.

  5. Maintenance and Relapse Prevention: ERP therapy emphasizes long-term success. Your therapist will help you develop strategies to maintain progress, cope with potential setbacks, and prevent relapse. By creating a relapse prevention plan, you will have the tools necessary to sustain the positive changes achieved during therapy.


Embarking on the journey of ERP therapy may seem daunting, but remember that change happens one step at a time. By embracing exposure with response prevention, you are taking an empowering step toward reclaiming your life from the clutches of OCD. The effectiveness of ERP in treating OCD, coupled with its ability to address various subtypes, makes it a powerful tool in your recovery arsenal. With the support of a qualified therapist and your commitment to the ERP process, you can break free from the limitations OCD imposes and rediscover a life filled with freedom, resilience, and renewed hope.


Remember, you are not alone, and there is hope for a brighter future.

Book with author of this blog post, Kaitlin Lowey, here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

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Why your therapist won’t tell you what to do

So, what do we do when our clients ask us, “What should I do?” We have several approaches we can take. We can help our clients to think through the pros and cons of each choice. Through this process, we may collectively uncover possibilities our clients had not thought of before. We might even go deeper than the surface level questions, challenging catastrophizing, black-and-white thinking, and other cognitive distortions. Perhaps we’ll find that the situation is not as bleak as it seems. If a client seems to be intellectualizing a choice, we might focus on expressing feelings and underlying needs. Contrary to popular belief, feelings and needs play an important role in decision-making and should not be ignored.

One question us therapists often hear from our clients is, “What should I do?”

It makes sense that a client would want our advice. After all, we are often the only people in our clients’ lives who know all of the intricate matters of their hearts. We sit with the ambivalent feelings, desires, and conundrums our clients find themselves encountering. And, because we aren’t interwoven in our clients lives in the way that a friend or family member is, we aren’t directly impacted by the decisions our clients make. In short, we get the full picture without being in the picture. So, why shouldn’t we give them advice? 


Let me answer this question by painting a picture of a hypothetical client scenario. In this situation, a client has been dissatisfied with her relationship for quite some time. She feels that her partner cannot connect with her on an emotional level, and their sex life has been lackluster for the past year. She explains the full details of her situation to her therapist and asks, “What should I do?” Her therapist says, “Well, it sounds like this may not be the best relationship for you. I think you should leave.” 


What are the possibilities coming out of this? Let’s consider a few. 1. The client leaves her partner but later feels she has made a mistake. 2. The client leaves her partner and is thrilled about making the decision, but she is robbed of her confidence in her ability to make her own decisions and relies on her therapist for all future major decisions. 3. The client stays in the relationship and no longer trusts the therapist's opinion. 4. The client finds that she actually resents being told what to do and ghosts her therapist, losing faith in therapy and never getting the therapeutic help that would have helped her confront her deeper underlying reasons for seeking help in the first place.


As you can see, there is no winning when we provide advice to our clients.

In fact, this can do more harm than good. When providing an opinion, we may also fall into the unethical trap of imposing our own beliefs and values onto our clients – a direct violation of our ethical code. We also strip our clients of the very empowerment they come to therapy to build. While providing an answer to our clients’ problems may temporarily provide relief from uncertainty, it also reinforces reliance on the therapist to provide a sense of certainty. We want our clients to stand in their own power and trust in themselves – and to believe that no matter what the outcome of their dilemma, they will be able to handle it. 


So, what do we do when our clients ask us, “What should I do?”

We have several approaches we can take. We can help our clients to think through the pros and cons of each choice. Through this process, we may collectively uncover possibilities our clients had not thought of before. We might even go deeper than the surface level questions, challenging catastrophizing, black-and-white thinking, and other cognitive distortions. Perhaps we’ll find that the situation is not as bleak as it seems. If a client seems to be intellectualizing a choice, we might focus on expressing feelings and underlying needs. Contrary to popular belief, feelings and needs play an important role in decision-making and should not be ignored. Finally, we might explore how similar situations in the past are connected to the client’s emotions and beliefs about the current situation – or even confront the concepts of uncertainty and control more abstractly. 


We therapists are certainly flattered that our clients think our opinions are worth seeking on-high stakes decisions. But we also care about our clients enough to not tell them what to do. What we can do – and what is ultimately far more helpful – is  help them gain more insight into themselves. And this in itself is so powerful. Because when our clients know themselves better, they can make better-informed decisions that are aligned with their own goals, values, and beliefs.  

Book with Author Kaitlin Lowey: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

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Are You Arguing with Your Spouse?

Many couples believe that arguing with their spouse is a sign of a troubled relationship. However, the truth is that disagreements are a natural part of any healthy relationship. In fact, it's normal and even healthy for couples to have arguments from time to time. Here are some reasons why it's okay to argue with your spouse.

Many couples believe that arguing with their spouse is a sign of a troubled relationship. However, the truth is that disagreements are a natural part of any healthy relationship. In fact, it's normal and even healthy for couples to have arguments from time to time. Here are some reasons why it's okay to argue with your spouse.

  1. It allows for honest communication: Arguing with your spouse can provide an opportunity for honest communication. When couples argue, they are expressing their true feelings, thoughts, and concerns. This kind of communication is essential to building a strong and healthy relationship.

  2. It helps to resolve conflicts: Disagreements can provide an opportunity to resolve conflicts. When couples argue, they are addressing issues that need to be resolved. By working through these conflicts together, couples can strengthen their relationship and create a deeper understanding of each other.

  3. It shows that you care: Arguing with your spouse can also be a sign that you care about each other. When couples argue, they are expressing their passion, which is a sign of emotional investment in the relationship. It shows that you are willing to stand up for your beliefs and values, which can create a more meaningful relationship.

  4. It leads to growth and learning: Arguing with your spouse can also lead to personal growth and learning. When couples argue, they are challenging each other's perspectives, which can lead to new insights and understanding. By working through conflicts and disagreements, couples can learn from each other and grow together.

  5. It can bring you closer together: Finally, arguing with your spouse can actually bring you closer together. When couples argue, they are working through difficult issues together, which can create a stronger bond. By being willing to engage in difficult conversations, couples can create a deeper connection and a more intimate relationship.

Arguing with your spouse is a natural and healthy part of any relationship. It allows for honest communication, helps to resolve conflicts, shows that you care, leads to growth and learning, and can bring you closer together. The key is to approach arguments with respect, empathy, and a willingness to listen to each other's perspectives. By doing so, you can turn disagreements into opportunities for growth and strengthen your relationship in the process.

Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

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What is the difference between LMHC and MFT?

ELIZABETH MAHANEY, MA, LMHC, MFT, LPC, LCPC, CCTP, NCC, DCC, PH.D HAS A MA IN BOTH MENTAL HEALTH COUNSELING AND MARRIAGE AND FAMILY THERAPY WITH SPECIALIZED TRAINING IN COMMUNICATION, TRAUMA AND MANY CERTIFICATIONS. HERE IS WHY THIS IS IMPORTANT:

When it comes to seeking therapy, there are a variety of mental health professionals to choose from. Two common options are Licensed Mental Health Counselors (LMHCs) and Marriage and Family Therapists (MFTs). While both professions offer valuable support to individuals and families, there are some important differences to consider. In this blog post, we'll explore the difference between licensed mental health counselors and marriage and family therapists.

Elizabeth Mahaney, MA, LMHC, MFT, LPC, LCPC, CCTP, NCC, DCC, Ph.D has a MA in both mental health counseling and marriage and family therapy with specialized training in communication, trauma and many certifications. Here is why this is important:

Licensed Mental Health Counselors (LMHCs)

LMHCs are mental health professionals who provide counseling services to individuals, couples, and families. They are trained to diagnose and treat a variety of mental health issues, including depression, anxiety, and trauma. LMHCs use evidence-based therapies such as cognitive-behavioral therapy (CBT) and psychodynamic therapy to help clients work through their challenges.

LMHCs typically hold a Master's degree in counseling or a related field and are licensed by their state's licensing board. In order to become licensed, LMHCs must complete a certain number of supervised clinical hours and pass a licensing exam.

Marriage and Family Therapists (MFTs)

MFTs are mental health professionals who specialize in working with couples and families. They are trained to address the unique challenges that arise in family systems, such as communication breakdowns and relationship conflicts. MFTs use a variety of therapeutic approaches, such as Emotionally Focused Therapy (EFT), Gottman Approach, and Internal Family Systems, to help families and couples improve their relationships.

MFTs typically hold a Master's degree in Marriage and Family Therapy and are licensed by their state's licensing board. In order to become licensed, MFTs must complete a certain number of supervised clinical hours and pass a licensing exam.

Differences between LMHCs and MFTs

While both LMHCs and MFTs provide counseling services, there are some key differences between the two professions. The main difference lies in their areas of specialization. LMHCs are trained to address a wide range of mental health issues, while MFTs focus specifically on relationship and family dynamics.

Another difference is the types of clients they see. While LMHCs work with individuals, couples, and families, MFTs primarily work with couples and families. MFTs use a systemic approach, meaning they view individuals within the context of their family and larger social systems.

Which one is right for you?

The decision between seeing an LMHC or an MFT ultimately depends on your individual needs. If you are struggling with a specific mental health issue, an LMHC may be a better fit. If you are experiencing challenges within your relationships or family system, an MFT may be a better choice.

It's important to do your research and choose a therapist who is licensed and trained in the areas that are most relevant to your needs. Additionally, it's always a good idea to schedule an initial consultation with a therapist to get a sense of their approach and determine if they are a good fit for you.

Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

Book with Dr. Liz: https://southtampacounselor.com/bookappointment

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Everyone Benefits from Therapy

‌The decision to seek therapy can often feel like a big step, and it's not uncommon for people to put it off until they are in the midst of a major life crisis. However, therapy can be incredibly beneficial even when things are going relatively well in life. In this blog post, we'll explore some of the reasons why it's good to go to therapy even when nothing major is going on.

‌The decision to seek therapy can often feel like a big step, and it's not uncommon for people to put it off until they are in the midst of a major life crisis. However, therapy can be incredibly beneficial even when things are going relatively well in life. In this blog post, we'll explore some of the reasons why it's good to go to therapy even when nothing major is going on.

  1. Preventative Care

Just as we go to the doctor for annual check-ups and preventative care, therapy can serve as a form of mental and emotional preventative care. By addressing any underlying issues before they become major problems, you can prevent them from escalating into something more serious.

  1. Increased Self-Awareness

Therapy provides a space for you to reflect on your thoughts, feelings, and behaviors. By exploring these aspects of yourself, you can gain a greater understanding of who you are and what makes you tick. This increased self-awareness can help you make more intentional choices in your life and improve your overall well-being.

  1. Improved Communication Skills

Therapy provides an opportunity to practice communication skills in a safe and supportive environment. This can help you become more adept at expressing yourself, setting boundaries, and resolving conflicts in your personal and professional relationships.

  1. Coping Skills

Life is full of ups and downs, and therapy can equip you with coping skills to navigate the inevitable challenges that come your way. By learning healthy coping mechanisms, you can manage stress, anxiety, and other difficult emotions more effectively.

  1. Personal Growth

Even when things are going well, there is always room for personal growth. Therapy can help you identify areas for improvement and provide guidance and support as you work towards your goals.

So basically, there are many reasons why it's good to go to therapy even when nothing major is going on in your life. From preventative care to personal growth, therapy can provide a wealth of benefits that can improve your overall well-being and quality of life. So, if you've been considering therapy but have been hesitant to take the leap, consider giving it a try. You might be surprised at the positive impact it can have on your life.

Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

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The Steps and Stages of Emotionally Focused Therapy for Couples

EFT for Couples is a three stage nine step process that takes a couple out of their negative repetitive fights that are causing a couple distress, anguish and pain and into a new place of bonding and connection where the fights are resolvable and solutions can be found.

EFT for Couples is a three stage nine step process that takes a couple out of their negative repetitive fights that are causing a couple distress, anguish and pain and into a new place of bonding and connection where the fights are resolvable and solutions can be found. It was created by Dr. Susan Johnson and based on research in attachment theory and emotion, as well as, on systems, humanistic, and experiential treatment models. As a model itself, it has been validated by research to help about 70% of couples achieve some long term gain.

Stage One - Stabilization (assessment and de-escalation) 

In stage one of EFT, the therapist works empathically with the couple helping them identify and break the negative cycle, pattern or what Dr. Johnson calls the dance that keeps them separated and in emotional distress. During this stage of therapy, the therapist helps the couple begin to get more in touch with the underlying feelings, fears, and unmet relationship longings driving the negative dance. Experiencing these emotions and seeing their partner experience them, helps the couple to start to feel close again. Things at home start to go along more smoothly. There is a sense of calm and hope. Finally, in this stage, as de-escalation begins to take root, the individuals in the couple pair begin to see, feel, and understand that together they have created this dance of distress. Each person begins to understand more deeply the effect of his or her behavior on the other. Couple learns to work together as a team to stop the cycle.

Step 1: 
Assessment: Delineate conflict issues. Assess how these issues express core conflicts in the areas of separateness/ connectedness and dependence/ independence.

​Step 2:
Identify the negative interaction pattern or cycle.

Step 3:
Dive more deeply into and feel and share the emotions underlying and fueling each partners position in the cycle. 

Step 4:
Develop an understanding and experience of the problem (reframe) in terms of the cycle, the underlying emotions driving the cycle and the attachment needs which are normal and longing to be meant.

Stage Two - Bonding 

Once the couple begins to understand the dance they do together and is able to step back and stop it or repair it when it gets going at home, they are ready for stage two of EFT. Stage two essentially involves bonding moments where the couple begins to learn how to communicate their vulnerabilities to each other in a new and non-reactive manner. They are supported by the therapist to take risks in expressing their core sense of self, in asking for the other to be there for them and in requesting understanding and acceptance. Partners take turns reaching out to each other in vulnerability and responding back with empathy creating a new sense of togetherness and secure attachment.

Step 5:
Delve into and identify disowned needs and aspects of self that have been hidden for each partner.

Step 6:
Promote acceptance of these tender and hidden parts, aspects of self and new ways of relating.

​Step 7:
Facilitate the expression of needs and wants, and restructure the interaction to create true emotional engagement.

Stage 3 - Consolidation of Change

After the couple has finished the bonding and restructuring events of stage two, they will begin to feel more secure with each other. During stage three, they feel like a team again. The narrative of their relationship has shifted to one where the distress and conflict is understood, resolved, and just part of the story.

Step 8:
Facilitate the emergence of new solutions to old problematic relationship issues.

Step 9:
Consolidate new positions and cycles of emotional closeness and attachment.

Sure, people still fight and sometimes even go back into their cycle. This is normal and will happen especially during times of stress. However, they are able to pull themselves out of it and be there for each other because their sense of self and experience of the relationship has changed. Because of this new ability and sense and during stage three, the focus is more practical and mostly involves consolidating gains and problem solving.

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A Lesson for those who feel Unworthy or “Never Enough”

Sometimes we have all these negative feelings towards ourselves and fears that drive us. We identify with them and think they are us. What a relief when we can understand that those thoughts aren’t us. The inner critic is not you and you don’t have to act in reaction to it.

The topic of self-worth is common amongst therapists who are passionate about guiding their clients towards relief from negative thinking, anxiety, and low self-esteem. To gain a sense of self-worth it is important to identify what subconscious (or conscious) beliefs you hold that might be blocking you from offering yourself UNCONDITIONAL positive regard.

The term unconditional positive regard was coined by the American psychologist Carl Rogers. Carl Rogers believed that all humans are inherently “enough” and “worthy.” It was Rodger’s mission to bestow upon all his clients the experience of being treated with unconditional positive regard. Spoiler alert: that is also my mission! 

Ok, but for the sake of this post let’s define the terms. I want to focus on the “unconditional” part. Unconditional means that no condition sets you up against your inherent worthiness. To believe you are worthy of unconditional positive regard you must identity what Rodgers called “conditions of worth.” Conditions of worth are the beliefs that block you from accepting unconditional positive regard and from feeling worthy for just being you. 

Conditions of worthy might go something along the lines of……

  • If I am funny, people won’t notice my insecurities

  • I am safe and worthy if I keep this job or make x amount of money

  • If I am agreeable and quiet, I am acceptable.

  • It is not okay to show who I truly am I can be a chameleon and be loved

  • I must make peace; conflict will show that I am an angry person

  • As long as I stay beautiful, my husband will love me

I could probably write thirty pages of hypothetical “Conditions of worth” but I will spare you from that. The point is that we all have internalized “conditional worth” beliefs learned from caregivers, parents, teachers, cultural messages, or religious institutions. 

Once you have taken in these messages as fact, your brain starts to scan for evidence that will validate that belief. 

For example, if you believe that “good people are agreeable and don’t pick fights,” every time your partner picks a fight or confronts you, you might push down your feelings or reactions to appease them.

You do this because, “good people don’t fight back” right? “Good people are agreeable” right? You can’t possibly share your truth or advocate for your feelings because if you do, you won’t be good, and everyone wants to believe they are good right? 

Do you see the danger in this type of thinking? Continuing to live in reaction to these beliefs, with a brain that is wired to scan for evidence that bolsters them, is essentially what creates the “inner critic” in our heads. The voice that does not sound warm and fuzzy. The voice that certainly does not speak unconditional positive regard to our dear souls. 

So, step one is to think about your parents, your family, your spouse, or your religious organization. Try to identify any messages you’ve learned that set you up against your inherent worthiness with any “condition” that you must meet. 

Once you are aware of these messages you can begin to externalize them. For example, when you hear the thought: 

“I shouldn’t speak up because I will be seen as too much” you might say “I notice I am having the thought that I shouldn’t speak up because I will be seen as too much.” You might say, “I am hearing my moms voice in my head.” At that, you might begin to chuckle as you notice that some of the thoughts in your head are not your true thoughts but merely conditioned beliefs that your little child brain absorbed as absolute truth. 

At this point, you have awareness which is a powerful tool. Once you’re aware you can choose not to put energy towards that thought and more importantly you can choose not to act in reaction to that thought. 

Sometimes we have all these negative feelings towards ourselves and fears that drive us. We identify with them and think they are us. What a relief when we can understand that those thoughts aren’t us. The inner critic is not you and you don’t have to act in reaction to it. 

My final thought is that when you experience anxiety when trying to go against the thoughts, remember that you can tolerate it. The only reason it feels scary is because you have never opposed those thoughts in the past. The more you notice them, do the scary thing and act from your thoughts (not your conditioned thoughts) the more you essentially become you. 

Maybe it is just me, but I don’t want to live in a world where I must earn my worth or worthiness. Most people when looking at an innocent child, inherently know there is something worthy about them regardless of what they do, how they look, what they say, etc. We are still those innocent children deep down. The more we live from a place of worthiness the freer we become to treat others with such unconditional positive regard. 

I hope this blog taught you something or sparked an insight. If you have questions about this topic or want to explore your past and conditions of worth, I offer free 15 min consultations and would love to get to know you. 

Shaundra McGuire, MFTI 813-298-8905

Book With Shaundra: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

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How Psychotherapy Retrains the Brain to Expect (and Feel) Better!

Learn how to work with your brain to disrupt negative thinking by recognizing the signals and reactions and replacing these bad habits with intentional responses that include four steps: Observations, Feelings, Needs, and Requests. Turn toward, pause and get grounded, and show up in your life intentionally!

People enter psychotherapy with the desire to feel better, but they are often unsure how therapy will help them accomplish this goal. A common refrain from people hesitant to enter therapy is, “How is talking going to help?” People are used to talking to other people to get practical solutions to problems, and while problem-solving does have a place in therapy, change also occurs on a much deeper and unconscious level. This process has to do with the way the human brain is programmed and cannot easily be mimicked outside of a relationship with a psychotherapist.

Our brains are always evolving unconsciously through our relationships. People who experienced painful relationships growing up have been trained to expect hurtful experiences with others. It takes a new type of relationship—in particular, a therapeutic relationship—to retrain the brain to expect more positive experiences, which is a big part of ultimately feeling better. 

WHY CAN’T A THERAPIST JUST TELL ME WHAT TO DO?

To understand why the therapeutic relationship can be so valuable and cannot be mimicked by, for example, advice in a self-help book, it is instructive to look at how the human brain has evolved. Broadly, there are three parts of the human brain that represent different phases of evolution: There is the reptilian brain, which evolved first and is responsible for the automatic control of vital bodily functions such as breathing; the limbic brain, which evolved second and is responsible for the regulation of emotion and behavior; and the neocortex, which evolved last and is responsible for higher-order functions such as symbolic thought, language, and reasoning.

When a person asks their therapist or a friend what they should do about something, they are essentially asking for a neocorticol solution—something that is rational and can be consciously implemented. Often, however, their problems are a result of hurtful experiences in their earlier relationships that have caused changes in their limbic brain, and only a new type of relationship can alter their limbic brain to produce fewer negative emotions and more positive ones.

BRAIN WIRING IN OUR YOUTH: HOW EMOTIONAL ISSUES BEGIN

Our emotions are meant to help us survive in a world in which we need the help of others. Over time, our limbic brains evolved to automatically create emotions, such as anger and sadness, that are meant to help us navigate the social world. When someone mistreats us, evolution has programmed us to become angry to try and change their behavior. When someone rejects us, we feel sad so we can mourn the loss of what we wanted with them and move forward with our lives.

However, when we are young and particularly dependent on others for survival, whether our emotions actually help us navigate the world has a lot to do with how other people—our parents in particular—respond to them. A child who responds to unfair or disappointing experiences with anger and is further punished for doing so may, over time, come to unconsciously pair the expression of anger with pain. As this occurs, rather than directly experiencing anger at times of unfair treatment or disappointment, they may instead experience anxiety about having anger because their brain has been trained by their social environment to expect that anger will hurt rather than help. Their limbic system is in effect attempting to prevent further emotional pain in the form of being punished, but the cost is another type of emotional pain in the form of persistent anxiety. This can be particularly problematic when people enter into new relationships (friendships, romantic relationships) where there would not be the same costs associated with the open expression of an emotion like anger, but earlier experiences still create anxiety and inhibit its expression.

RETRAINING THE BRAIN WITH PSYCHOTHERAPY

A psychotherapy relationship allows a person to essentially retrain their limbic system to no longer expect negative reactions to the expression of certain emotional experiences, and in doing so can alleviate the anxiety and unconscious emotional suppression their earlier experiences programmed into them. The therapeutic relationship does this in part because the parameters of psychotherapy recreate the type of relationship in which a person was first forced to suppress their emotions: one where they are dependent on another person to meet their needs.

A successful course of therapy helps restore a person’s emotional flexibility and empowerment so they can have greater agency in their relationships.

Just as a parent has a daunting task in meeting all of a child’s needs, so too does a psychotherapist, especially since many people arrive to therapy wanting a conscious, rational solution to their problems when such a solution often does not exist. Therapy presents a unique opportunity to heal and feel better by the way the therapist solicits and responds to feelings such as disappointment, anger, and sadness that emerge over the course of treatment. Rather than punishing a person for having these emotional experiences in the same way that may have occurred when they were younger, a therapist can actively solicit, explore, and normalize their feelings. This helps to retrain a person’s limbic system to no longer pair the expression of those emotions with punishment. As this de-coupling unconsciously occurs, the person becomes more easily able to tolerate the experience and expression of emotions.

THRIVING IN ADULTHOOD

This shift in tolerance for emotions naturally causes a person’s anxiety level to diminish because their mind is no longer fighting to ward off their innate emotional impulses. In addition to symptom relief, the beautiful part of this process is it restores a person’s ability to constructively access their emotions for their original purpose—as a way of helping to navigate the social world. It is hard to thrive in relationships when we have been programmed to believe we must accept the mistreatment of others or that we cannot show others when we are hurting and in need of care. As adults, this is often no longer the case, but our early experiences may make such underlying beliefs unconsciously feel true.

A successful course of therapy helps restore a person’s emotional flexibility and empowerment so they can have greater agency in their relationships. The result can be genuinely transformative, and studies suggest people who have been through therapy show less activity in the areas of the brain responsible for creating negative emotions. Talking, it turns out, can help quite a bit when the person you are talking to is a skilled and compassionate therapist.

If you’re struggling, reach out to a therapist in your area for help.

References:

  1. Bowlby, J. (2005). A secure base: Clinical applications of attachment theory (Vol. 393). UK: Taylor & Francis.

  2. Cozolino, L. (2010). The neuroscience of psychotherapy: Healing the social brain. New York, NY: W.W. Norton & Company.

  3. Damasio, A. R. (2006). Descartes’ error. New York, NY: Random House.

  4. Grecucci, A., Theuninck, A., Frederickson, J., & Job, R. (2015). Mechanisms of social emotion regulation: From neuroscience to psychotherapy. In Emotion regulation: Processes, cognitive effects and social consequences, pp.57-84.

  5. Karlsson, H. (2011). How psychotherapy changes the brain: Understanding the mechanisms. Psychiatric Times, 21.

  6. Lewis, T., Amini, F., & Lannon, R. (2007). A general theory of love. New York, NY: Vintage.

  7. MacLean, P. D. (1990). The triune brain in evolution: Role in paleocerebral functions. Berlin: Springer Science & Business Media.

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Narcissistic Abuse: Tips for Recognizing and Recovering 

Abuse is a spectrum, and the word doesn’t do justice to describe the many forms of subtle and overt abusive behaviors and toxic relational dynamics. Narcissistic abuse is a very real form of abuse. The power and control dynamics might not include physical or sexual violence, although they can, but the psychological, emotional, interpersonal, and spiritual effects devastate individuals who find themselves trapped in the narcissistic abuse cycle

When I bring up the word “Abuse” with my clients I notice they are prone to discount their experience because they don’t’ see their situation as being “real abuse.” Abuse is a spectrum, and the word doesn’t do justice to describe the many forms of subtle and overt abusive behaviors and toxic relational dynamics. Narcissistic abuse is a very real form of abuse. The power and control dynamics might not include physical or sexual violence, although they can, but the psychological, emotional, interpersonal, and spiritual effects devastate individuals who find themselves trapped in the narcissistic abuse cycle. This post intends to do two things: 

  1. Describe the Narcissistic Cycle of Abuse to help those suffering recognize they are not “crazy.” This is a definable pattern that many others are experiencing.

  2. Provide some practical tools and tips to cope and eventually recover from said abuse.

The narcissistic abuse cycle can be defined as a “pattern of highs and lows in which the narcissist confuses their partner through manipulation and calculated behaviors aimed at making their partner question themselves” (Hammond, 2015). I want to make it clear that your partner does not have to have an official diagnosis of “narcissist” for your situation to be a valid case of narcissistic abuse. Media and pop culture usually only portray the most extreme examples of narcissism thus exacerbating the problem and preventing victims from getting help. 

The cycle involves three phases that work in tandem with each other. 

The first stage is Idealization. 

This is the stage where your partner makes you feel like the most special person in the world. The term “love bombing” comes to mind. You might feel as if you’ve never been loved or adored for like this before. The pursuer will become vigilant in giving attention to you and will shower their “target” with gifts, compliments, and promises. 

The idealization phase may include: 

  • Love-bombing

  • A lot of attention given to partner

  • Grandiose gestures

  • Elaborate gifts and dates

  • Discussing marriage

  • Lack of boundaries

  • Attempts to isolate partner in the name of love

  • Quickly moving into intimacy

  • Creates a sense of ownership of partner and the relationship (Hammond, 2015).

The second phase is devaluation.

During this stage, you might start to notice your partner acting one way with you and one way in public which makes it hard to understand which person they really are. If you express concern, you might be labeled as “jealous” or “needy” or a “nag,” The disillusionment at this stage makes some cling harder to the memory of when things were ideal. You might have an intuitive feeling that something is wrong but because of the hot and cold nature of their affection for a time, it is easier to push that voice down. A huge red flag is that you begin to doubt yourself. You begin to see the real person for who they are, and you notice more incongruency in their behavior. This is where the abuse really starts to hurt and many start to exhibit anxiety, depression, obsessive thoughts, develop a trauma bond, amongst other symptoms. Visit this resource to learn more. This is where people get trapped because they are so beaten down and confused, it seems easier to just stay for fear of what might happen or what threats might be made.  

The devaluation phase might include:  

  • Attempting to change their partner

  • Increasing criticism and insults

  • Gaslighting

  • Physical threats

  • Poor communication

  • Increased violation of boundaries

  • Triangulation

  • More isolation or control over their partner

  • Withholding physical, emotional, and sexual intimacy (Hammond, 2015).

Finally, the third phase is rejection. 

In this phase, the narcissistic partner rejects their partner and essentially places complete blame of the downfall of the relationship on their partner. In healthy relationships conflicts and disagreements are navigated with patience, grace, and the use of helpful problem solving skills. In narcissistic abuse relationships, there are no compromises. It is if the victimized partner doesn’t even exist, and they begin to lose any power or autonomy. Sometimes the cycle repeats itself over and over. Sometimes, once the phases are complete, the abuser become disinterested and finds another partner to begin another cycle with. 

The rejection phase may include: 

  • Feelings of contempt and rage

  • Betraying the relationship

  • Invalidating their partner’s emotions and placing all the blame on them

  • Playing the victim

  • Physical, emotional, and verbal abuse

  • Ending the relationship permanently or temporarily with attempts to continue this cycle of abuse (Hammond, 2015).

Now that I have described, briefly, common signs and symptoms of the narcissistic abuse, I will provide some tips for coping. At the end of the article, I have provided additional resources for you to begin your journey to safety and recovery. 

1. Label the Abuse

Once you recognize the abuse and have educated yourself about it labeling it is a vital step towards healing. Consider communicating what you are learning out loud to a trusted person.  

2. End the relationship if you haven’t already done that.

Get in touch with a trusted person, a professional, or your family to create a safety plan if necessary before you leave. 

3. Set Clear and Specific Boundaries

Setting clear boundaries requires discipline but it is vital to protect you from getting manipulated or tricked again. If you share children with your ex-partner and must make contact, make sure you have clear boundaries and a safety plan.  

4. Seek Support

The resources attached to this blog are a great way to find support during this hard time. Additionally, reaching out to a therapist will help you tell your side of the story, be validated, and learn how to grief. A therapist can support you in creating new patterns of living and implement new coping skills. 

5. Rediscover Yourself

In many cases, the abusive relationship has taken over your mind, emotions, physical health, and schedule. Once you are ready it is important you take the time to rediscover who you are, what you want, what you like, what you enjoy, what you need, and how you want to see yourself. This can seem daunting but there is not rush. Rediscovering ourselves is a life long process and we change throughout life. The key is that you recognize you have been deprived of your voice and allow yourself to rediscover it. 

There is no way I can describe all that narcissistic abuse is and how to recover in this short blog but my hope for you is that you feel validated and affirmed if you or someone you know is suffering or trapped in this cycle. There is hope, people can leave their partner, grief the loss, and heal. If you are unsure if you want to start therapy as a part of your healing, I offer free consultations and it would be a pleasure to hear your story and get to know you!

By Shaundra McGuire, MFTI Book With Shaundra: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

Additional Resources: 

Stages of Narcissistic Abuse - Narcissist Abuse Support

https://narcissisticabusevictims.org/

You Are Not Alone - Educate Yourself - Find Support - Get Healed - Find Peace Again - Narcissist Abuse Support

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Suicide Awareness and Assessing Signs of Risk in Loved Ones:

When I work with clients who are struggling with suicidal ideation, I start by normalizing those thoughts and taking some of the weight and judgement away. I explain that it’s natural for our minds to search for escape routes from life’s struggles. For some people, that escape route looks like “I just want to drop everything and move to a remote island where I know no one and have no responsibilities.” For others, it may look like suicidal thoughts. The theme of escaping life’s responsibilities is the same — and we can share empathy about how hard it can be to face overwhelming difficulty, especially when we don’t have enough support.

Suicidal thoughts can be very isolating for an individual. Letting someone know that you are aware of their struggles and here as a helpful support for them can make all the difference. Know that it can help to talk with the individual openly about their suicidal thoughts, make it known that it’s okay that they are dealing with this, and always share that there are resources to help.

 According to the CDC, suicide is the 10th leading cause of death in the United States. Nearly 46,000 people died by suicide in 2020, which would equate to an average of 1 death every 11 minutes. But suicide can be preventable, and there are resources available to help.

 

On July 16th of this year, 988 became the nationwide suicide hotline number. All texts or calls made to 988 are directly rooted to the National Suicide Prevention Lifeline where you will be supported and helped by trained mental health professionals.

 

YOU can also help!

 

Noticing signs of suicide:

If you hear or notice any of the following thoughts or behaviors in someone you know, they may be at risk for suicide.

  • Talking about wanting to die

    • “I just can’t take it anymore”

    • “I wish everything could end”

    • “I feel too much guilt or shame to continue on”

    • “I feel like a burden and people would be better off without me”

  • Expressing feelings surrounding:

    • Loneliness, feeling isolated and that there is no one to live for

    • Hopelessness, feeling like there is no “light at the end of the tunnel”

    • Trapped, feeling stuck in a difficult situation with no foreseeable way out

    • Sad, depressed, anxious feelings

    • Strong emotional or physical pain

    • Low self-esteem, feeling unworthy of love and connection

  • Behaviors:

    • Researching ways to die

    • Making a suicide plan

    • Purchasing lethal weapons (guns, knives, pills, rope)

    • Withdrawing from social circles and saying goodbye to loved ones

    • Giving away important keepsakes

    • Writing a will

    • Dangerous risk-taking behaviors, such as driving reckless

    • Exhibiting extreme mood swings

    • Eating and/or sleeping less

    • Increased substance use (drugs and/or alcohol)

    • Poor self-hygiene

The first step in being a helpful resource to someone who is struggling with suicidal thoughts is knowing and understanding the signs above. If you notice someone who is exhibiting any of these signs, it’s important to talk directly with them about it. It’s also important not to pass judgment or shame on the individual for having these thoughts.

 

When I work with clients who are struggling with suicidal ideation, I start by normalizing those thoughts and taking some of the weight and judgement away. I explain that it’s natural for our minds to search for escape routes from life’s struggles. For some people, that escape route looks like “I just want to drop everything and move to a remote island where I know no one and have no responsibilities.” For others, it may look like suicidal thoughts. The theme of escaping life’s responsibilities is the same — and we can share empathy about how hard it can be to face overwhelming difficulty, especially when we don’t have enough support. 

 

Suicidal thoughts can be very isolating for an individual. Letting someone know that you are aware of their struggles and here as a helpful support for them can make all the difference. Know that it can help to talk with the individual openly about their suicidal thoughts, make it known that it’s okay that they are dealing with this, and always share that there are resources to help.

 

The National Suicide Prevention Lifeline at 988 is available 24/7, 365 days a year.

https://988lifeline.org/

 

Also, helping that individual find a supportive therapist can help with long-term improvement and maintaining safety plans. Book an appointment for you or a loved one today.

Author: Jamie Rudden, MFTI https://SouthTampaTherapyBOOKAPPT.as.me/JamieRuddenMFTI

 

For more facts on suicide visit:

https://www.cdc.gov/suicide/facts/index.html#:~:text=Suicide%20rates%20increased%2030%25%20between,one%20death%20every%2011%20minutes.&text=The%20number%20of%20people%20who,attempt%20suicide%20is%20even%20higher.

A special thank you to Jamie Rudden for all of the supportive work that you have done with us and prior to your hard work at South Tampa Therapy! It takes a special compassionate and supportive person to BE THERE and STAY ATTUNED.

I appreciate you.

Liz

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The Power of Connection in Addiction Recovery

My message here is to offer what I have learned about the power of connection as a healing force against addiction and shame. I do not intend to invalidate the real suffering of millions living moment to moment amidst the chaos of chemical dependency and behavioral addictions. The experience of the addicted brain, body, or even “spirit” is extremely real. Anecdotal wisdom and tired truisms, when offered flippantly, hurt the suffering. Addiction is not simple, you can breathe. You are safe here. I will not offer you a magic cure.

 My message here is to offer what I have learned about the power of connection as a healing force against addiction and shame. I do not intend to invalidate the real suffering of millions living moment to moment amidst the chaos of chemical dependency and behavioral addictions. The experience of the addicted brain, body, or even “spirit” is extremely real. Anecdotal wisdom and tired truisms, when offered flippantly, hurt the suffering. Addiction is not simple, you can breathe. You are safe here. I will not offer you a magic cure.

Ok, so let’s talk about Connection! 

One of the most shame inducing parts of addiction is isolation. Even if you are a part of the minority of sufferers and you’ve rallied the bravery to share your experience it is still common to have thoughts such as…

No one understands me. People see me as an addict, broken, helpless.”

I can’t tell X because I would lose my job, my kids, my leadership role!” 

“Even when I am with my partner I feel inexplicably alone

Brene Brown, popular researcher and public speaker, defines shame as “the fear of disconnection” (Brown B, 2010). People hide in shame because they fear that if they were fully honest or vulnerable it might jeopardize their connection to others. Shame is viewed as a negative emotion in pop psychology but from this perspective, the instinct for shame stems from the pure desire for connection to others. 

If we follow this logic, then certainly we shouldn’t add additional shame on ourselves for experiencing shame. Shame is the fear of disconnection. Shame is not inherently bad, but it hurts. We are sensitive to the pain of shame because it makes us feel isolated and impairs our authenticity.  

If we fear disconnection to the point of letting shame isolate us, we remain unseen and misunderstood even by those whom we have a “connection” with. You might be able to pull off a certain level of inauthentic connection with others, but this leaves you starved of true connection that comes from living in the “shame free zone” where you feel safe to be honest about what you are experiencing in any given moment. This is true connection. Safety, acceptance, and mutual vulnerability. 

But at this point, we face another obstacle. Many have experienced the thing they fear most when stepping into authenticity and vulnerability: Rejection and Disconnection from others. For some, the people they trusted with their honesty weren’t deserving of it. These experiences reinforce the shame-instinct. These experiences break my heart, and they are real, and they hurt. But here’s the good news. Each day, given your unique situation ability and access, you can work towards building connections that are worthy of your trust. You can have corrective connections. Your brain is made to regenerate its physical matter and to rewire toxic neurological pathways. Your heart can be healed through the power of pure love and connection. It is possible to live a meaningful life of connection that does not require you to escape from. 

Once again, it is not this simple. Addictions are complex and multifaceted, but research has shown that authentic and safe connection is one of the most powerful forces in overcoming addiction. This is one reason why therapy is effective in treating addiction, it might not just be the cognitive tools and intellectual processing that heals addiction. It might just be the power of a loving and safe connection.

In closing, I will share with you the results of a study published by a Canadian psychologist Bruce Alexander (Hayes, 2020). In this study, the scientists observed rats in empty cages with two bottles. One bottle was filled with water and one bottle was filled with heroin laced water. Each rat observed, was isolated in the cage with the two bottles. Over time, each isolated rat became addicted to the heroin water and eventually all of them overdosed and died. Sad, I know. 

Bruce Alexander was bothered by the size of the cage and began to consider “maybe it was the lack of stimulation and other pleasures that reinforced the rats to get high. What else did they have to do?” This is when the team created what is now referred to as “Rat Park.” This cage was over twenty times the size of the first cage and included all sorts of fun and stimulating objects and activities for the rats to enjoy. This cage was full of delicious foods, and over 20 rats of different genders were placed there. The same two water bottles were placed in “Rat Park,” one with pure water and one with heroin laced water. Guess what? All twenty of the rats ignored the heroin water and simply lived in their natural bliss of connection, play, nourishment, and mating. 

The outcomes of this study reinforce my deep conviction that authentic connection is the opposite of addiction. Is it possible that the success rates of therapy and even twelve step programs have less to do with “rigorous morality” or professional expertise as much as they have to do with connection? 

Honest, Authentic, Safe, Shame-Free, Fearless, and Vulnerable Connection. This is my hope for the suffering and alone. To experience “Rat Park” in real life and experience the transformative power of connection. 

Author: Shaundra Mcguire, MFTI

Book an appointment with Shaundra online here: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

References

Dr. Brené Brown on “The Power of Vulnerability” – Whitney Johnson. (2010). Whitney Johnson’s Distuption Advisors. https://whitneyjohnson.com/brene-brown-vulnerability/

Hayes, T. (2020, November 13). The opposite of addiction is . . .. Integrated Addiction Care. https://www.integratedaddictioncare.com/2020/11/12/the-opposite-of-addiction-is/

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