Tips to Ease the Transition to Parenthood for Couples:

Brining a baby home is the start of an exciting, yet sometimes overwhelming, new chapter for a couple. It’s a chance for both partners to grow in their relationship as they discover new ways of creating shared meaning and goals for the whole family. These changes can sometimes feel uncomfortable and create conflict within the romantic relationship. Research shows that there is often a dip in relationship satisfaction during the first three years of the transition to parenthood. Babies are messy and they can disrupt the stability and balance that couples create in their romantic relationship. Becoming aware of the common challenges that new parents face will better equip you for the messy journey ahead.

Here are some common challenges that couples’ face when bringing baby home:

Differences in Parenting Styles:

Bringing a baby home means that a new set of rules, expectations, and boundaries are needed to be created to account for this third person coming into the relationship. Couples sometimes disagree on what these rules should look like, which is often when conflict arises. Perhaps your partner wishes to try the “cry-it-out” method, and you have a different vision of how you want to handle the nighttime routine. Learning how to navigate these disagreements and reach a point of compromise is an important skill for new parents to develop. One method that has been proven to help, is implementing an “empathetic dialogue”. This means listening to understand your partner’s point of view, before offering a different approach. Try to see if you can understand why your partner feels and believes in a certain parenting style, and where that belief may stem from. Once you each have a better understanding of each other’s worlds, then you can open the door for a discussion of creating a “compromised” parenting style that feels right for both parents. It's important to note that couples' disagreements on parenting styles is very common and very normal. It highlights the parent’s desire to do what they believe is best for their child, which is a positive thing. Being open to the influence of a partner and your willingness to create shared family rules are two helpful tools in navigating this transition.

Intimacy changes:

Many couples struggle with exhaustion, sleep deprivation, and low sex-drive during this transition period. The demands the new baby brings on the couple can be exhausting, and the romantic relationship may fall on the backburner to make time for new parenting responsibilities. It’s important to create an open conversation about expectations for intimacy. Which includes more than just sex. Intimacy can come in many forms such as hand holding, cuddling, kissing, back scratches, etc. Find out the different ways your partner likes to experience intimacy, and workshop how the two of you can find little moments in your daily life to foster that connection. It’s crucial that you avoid criticism or judgment in the conversations about intimacy. Partners may be coming from very different places with individual struggles and concerns. Be patient with your partner and yourself during this transition. If you are concerned that you or your partner may take sexual rejection personally, it’s important to discuss these concerns openly. Have a conversation about how you can approach when one partner is “not feeling up to it” so that it does not lead to hurt feelings of rejection or misunderstanding on either side.

         The transition to parenthood is a huge shift with inevitable challenges along the way. It is completely normal for couples to struggle with issues surrounding parenting styles, marital expectations, finances, household chores, and more. Although it may feel overwhelming at first, it is possible to create shared family goals, values, and rules that both parents are satisfied with. If you’re struggling with this transition and interested in learning more, book an appointment today for the research based Gottman technique “Bringing Baby Home”.

Written by Jamie Rudden

https://SouthTampaTherapyBOOKAPPT.as.me/JamieRuddenMFTI

https://southtampacounselor.com/bringing-baby-home

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

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.

Narcissistic Abuse: Tips for Recognizing and Recovering

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

What is the Gottman Method for Couples, Relationships, and Families?

What is the Gottman Approach to therapy and counseling? 

I’ll explain~

I absolutely love the Gottman’s therapeutic approach! There is so much that can be said about this method. If you have never heard about this couple’s approach in therapy, then let me give you a little bit of insight. The Gottman Method aims "to disarm conflicting verbal communication; increase intimacy, respect, and affection; remove barriers that create a feeling of stagnancy, and create a heightened sense of empathy and understanding within the context of the relationship." Interventions used in the Gottman Method are research-based and grounded in the Sound Relationship House theory, which specifies nine elements of a healthy relationship. Imagine a house with seven floors and two weight bearing walls.

Floor 1 - Build Love Maps.

Love maps are important because the whole relationship begins on the firm foundation of truly knowing one another. Each partner knows the ins and outs of their partner. In an ideal relationship, you and your partner know one another better than anyone else.

Floor 2 – Share Fondness and Admiration.

We all love to hear something nice about ourselves, right? This is a need, and it means the most when it comes from your loved one. Vocalizing your admiration for one another and being able to articulate the big and little reasons you love each other is huge!

Floor 3 – Turn Towards.

When you need attention, support, and comfort from your partner, you more than likely say or do something to elicit a response from your partner. This what is referred to as a “bid”. When your partner replies with what you need, this is them turning toward. Turning away from one another, or AGAINST each other is asking for trouble. Turning away disrupts the safe space you both need to express yourselves and needs.

Floor 4 – The Positive Perspective.

Your outlook on life and on your relationship is shaped so much by your perspectives and cognitions. When in a healthy relationship, couples see the best in each other and don’t jump to conclusions filled with judgement and criticism if one partner forgets to pick up their socks or give you a kiss goodbye. Truly believing you both are on the same team strengthens the relationship from inside out.

Floor 5 – Manage Conflict.

Conflict is going to happen! It’s inevitable but knowing what to do when it presents itself is key. You need to accept partner’s influence, communicate about the conflict, and be able to self-soothe.

Floor 6 – Make Life Dreams Come True.

Healthy relationships involve having a partner in life who encourages and helps you reach your goals. Making each other’s life dreams come true shows your partner that you want the best possible life for them and are willing to do what it takes to make that dream happen.

Floor 7 – Create Shared Meaning.

Congratulations, you have reached the top floor. This is where you build and understand an inner world as a COUPLE. The Gottman’s believe that developing your own culture of symbols and rituals is what expresses WHO you are as a TEAM. It continues to deepen your connection together. These are referred to as Rituals of Connection and they define you as a unit. The best part of this is that you create them together.

Weight Bearing Walls – Trust and Commitment. Without trust and commitment, the 7 floors can’t hold together, and it will fall apart.

In a healthy and supportive relationship, the partners are CHOOSING to have faith in one another and to be committed to each other. There is no force, and you are freely loving one another and pledging to help that love grow.

 

Author: Crystin Nichols, MFTI

Book With Me: https://southtampatherapybookappt.as.me/CrystinNicholsMFTI

Resources

1. About The Gottman Method. The Gottman Institute. 2021.

2. What is The Sound Relationship House? The Gottman Institute. 2022.

Couples Therapy: Like you’ve never experienced before…

In a Nutshell, What Is Couples Counseling?

If you're reading this, your relationship is likely struggling right now. You might even be considering divorce.. Let me start by telling you I'm sorry to hear that you're going through such a difficult time.

If you're like most couples I see, you've probably come across an online article claiming that all of your relationship's difficulties can be traced to communication breakdowns.. If you could effectively communicate with your partner, you would be able to fix things.… 

And that’s true! I have the tools to teach you how.

That's the problem: it is ineffective advice when you're in the middle of a disaster.. Obviously, if you could communicate better, your relationship would be better. But you can’t, so it’s not. 

But there is hope! I will guide you in session and give you evidence based tools to use between sessions, to apply 4 easy steps to communicate to get to the root of the issues.

Whenever you and your partner try to communicate – Even deciding what to have for dinner can be tough, You may as well forget about trying to have an actually meaningful conversation. – it just turns into another fight, nothing gets resolved, and makes everything even worse.

Then it is just brushed under the rug to linger... until the next argument. Ugh... How exhausting! 

And sure, that might be because your partner is trying to pick a fight (not realizing that all attacks are unskilled ways of trying to get a need met). And more than likely, there was an emotional injury at some point in time that went unaddressed – a crack in your friendship that never healed. Over time, you’ve grown more distant and further apart, until you’re constantly feeling resentful, annoyed, frustrated, hurt, disappointed, and down right angry.

Oftentimes, we know something is wrong but can't seem to put our finger on the problem. If this is where you're at, don't worry.

I am here for you both! I want to help you uncover the root of the problem, rekindle your relationship, and equipped you with the right tools for future success. most likely, the issues are learned behaviors. The beauty of working with learned behaviors is that we can learn how to SHOW UP in our relationships with ourselves and our partner in a much healthier and powerful way.

4 Ways Couples Therapy Is Different with Me:

1. I get to the CORE of the issue.

Too often, couples therapists begin couples work without adequately assessing for each person’s background and the couple’s joint history related to the presenting problems. 

This is where the Gottman Assessment really helps me to conceptualize the problem to formulate a game plan from the get-go!

If you only go to therapy and talk about the problems you're having RIGHT NOW, it's like putting a band aid on a wound when the actual problem is internal bleeding. If you want to work through your problems more effectively, we’ll get to the root cause of the issues you’re experiencing based on each of your needs. 

When we work together, I will begin by asking you to tell me more about:

• your individual narratives

• your family dynamics and how you saw your parents argue (or not)

• your communication styles when fighting

• how your relationship started

• the current state of your relationship and how you got here

• what your ideal relationship looks like (among other questions)

I hear it time and time again from clients about how the assessment procedure was beneficial to them, how it helped everything click for them to finally start seeing a difference in their relationship. 

I also understand that talking about your history might make you feel vulnerable and taking this step requires bravery, but I assure you it's worth it..

2. I equip you with the tools and know-how to achieve long-term relationship success..

Oftentimes, clients come to me and say that couples therapy has failed them in the past because it didn't provide concrete tools for long term success and accountability. While addressing particular issues or complaints can be beneficial, without the necessary communication and listening abilities to interact with one another empathically – and listen compassionately - any discussions we have about your challenges will be ineffective.

So, we start working on specific skills. Such as:

• How to initiate a conversation in a softened way

• How to repair or de-escalate heated conversations

• How to emotionally self-regulate when you feel triggered

• How to come into dialogue in a productive way

• How to compromise based on feelings and needs

Couples are surprised at how quickly they’re able to talk with each other in a calm, compassionate, and respectful manner.

Once you and your partner have worked through some tension and built up resentment in an emotionally safe way, you will be able to understand each other on a much deeper level. Trust builds when we learn how to implement compassionate communication (NVC).

“Well,” you may ask, “Isn't it rather simple? Why haven't we been able to solve this on our own"? "Please understand, this isn't your fault".

When you've been stuck in this vicious cycle and these patterns are ingrained, you may tend to keep creating these predictable bad habits of how you deal with conflict. You start to make assumptions about your partner, your armor goes up and you go into self-protection and defensiveness mode. It becomes less and less easy to give each other the benefit of the doubt that is necessary to sustain a long-term compassionate relationship.

My goal is to help you rediscover that grace, that softness. And ultimately, to help you hit the rest button to INTENTIONALLY create the relationship that you desire and rediscover yourselves too.

3. I help you recognize and understand the role comorbidity (anxiety, depression, ADHD, trauma, addiction, etc) may play in your relationship. 

Basically, comorbidity means your brain is wired a little differently.

And honestly, the more I learn about comorbidity, the more I see just how common it is. Yet so often, it is either not acknowledged, or is seen as something that is wrong – something to blame. 

Even if you don’t have comorbidity in your relationship, this approach is still highly applicable. The basis of comorbidity couples counseling is to help each partner understand, accept, and embrace their differences while working together as a team to overcome obstacles together without blame. 

Comorbidity or not, in working with me your way of seeing the world will be acknowledged, not criticized. 

For many couples I see, discovering comorbidity may be a freeing discovery. It allows them to reframe their relationship, and everything begins to make sense. 

With my trainings in both the Gottman Method, Compassionate Communication, and Comorbidity Couples Counseling, I’m able to provide an organized framework for you to work within, while still flexibly tailoring my approach to your specific relationship needs. 

4. We don’t have to stop at the 50 minute mark. I offer add-on time to customize sessions to meet your needs

You can choose to do 90- 150 minute sessions (or more), not just 50-minute sessions. 

If you've been to couples counseling before, then you know the drill. You describe the problem, communicate your feelings, make steps in the right direction… but just when you really start to dig into it, and peel back the layers~ time's up. You have so much left to say. And by next week’s session, you’ve lost your train of thought, and there are new and more pressing issues to address. 

By offering longer sessions, I’m able to devote the time needed for you to see real progress each week.

We're able to take on large-ticket items and actually reach a resolution that you may put into practice immediately.

Suicide Awareness and Assessing Signs of Risk in Loved Ones:

 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

Practice Empathy in Three Ways: Cognitively, Emotionally, and Somatically

You must first take off your own shoes to put yourself in someone else's shoes.

We stretch our hearts and minds beyond our own experiences, viewpoints, and feelings in order to imagine what it's like to be inside someone else's head. We employ imagination, creativity, and instinct to envision what life is like for them.

Listening with empathy is a fundamental component of coming from curiosity and care, as well as the foundation of discussion. Here are three strategies to start practicing incorporating more empathy into your daily life that integrate living purposefully and empathetically.

PRACTICE: Empathy

It's important to remember that practicing this doesn't have to be limited to situations in which you are the center of attention. Its easier to feel for others when you aren't being attacked. Remember that empathy isn't something you put into words; it's a quality of presence in your heart. Aim to comprehend the other person's situation and let the conversation unfold organically.

SILENT EMPATHIC PRESENCE: Practice listening completely, with the heartfelt intention to understand and "feel into" what the other person is saying. How is this issue for them?

PARAPHRASE: After listening, summarize the gist of what you've heard. What are the key features of what they've said? It's also possible that repeating just a few words will be enough.

EMPATHIC REFLECTION: After listening, check that you understand by reflecting what you hear is most important to them. This may include how they feel and/or what they need. What's at the heart of this individual's narrative? What can you do to assist them to feel understood? Remember to phrase your reflections as questions and double-check that you're correct.

There are other methods for conveying compassion. We may convey empathy by giving a kind word, with a loving touch, or by describing how we're feeling in response to what we've heard. By expressing interest with open-ended questions like "Tell me more," "What else?"

As an example, my daughter's friend a freshman who is usually cheerful and bubbly, began showing up early to practice. I struck up a conversation and realized how much she was struggling. This friend was saying, "I don't want to go to this school anymore," and was thinking about dropping out. I noticed the impulse to go into problem-solving mode, an old habit of mine. Having just finished another book on empathy, I paused and decided to try listening instead. "Tell me more. What's going on?"

She began to open up. She was being bullied. She felt sad, alone, and depressed. Every time I noticed the urge to fix or solve, I attended to feeling the weight of my body and my feet on the floor, and resisted the temptation to offer solutions. I focused my attention on what she was feeling and reflected what I was hearing. She began to cry, oscillating between speaking, sobbing, and awkwardly making eye contact as if to check whether all of this was okay. There were a lot of tears, tissues, and long moments in which I simply held her gaze.

She spoke more about her feelings of sadness, loneliness, and not feeling valued. "I've felt like this since first grade," she mentioned. "Was that the first time you felt so sad and alone?" I inquired. No, it started when she was three, when her dad left. They looked at each other, realizing they'd hit the root of her pain. Eventually they explored what she might need at school. They came up with some strategies to address the bullying. She decided to stay in school and to make a public art piece for the classroom about depression.

This is the power of which empathy may help us. With a listening spirit, we can absorb each statement made, each emotion felt. Healing and change are possible if we come from a place of curiosity and care rather than our usual mode of behavior.

PRINCIPLES

People are more likely to be willing to listen when they feel heard. To build understanding, reflect before you respond.

KEY POINTS

The desire to comprehend is frequently expressed through listening, which entails putting away our own ideas, emotions, opinions, and views temporarily.

We can listen in many ways:

• With complete, wholehearted presence

• To the content of what someone says

• To the feelings and needs beneath the content

Staying connected in conversation helps us build understanding and

collaborate:

DON'T LET THE CALL DROP: Seek to establish and maintain connection in conversation.

REFLECT BEFORE YOU RESPOND: Confirm that you're hearing each other accurately before moving on. This "completes a cycle' of communication.

At the heart of listening is empathy, which includes:

• Cognitive empathy: seeing things from another's perspective

• Affective empathy: feeling another's emotions

• Somatic empathy: sensing another's embodied experience

Q & A

Q: What if someone wants advice? Is that ever okay?

Of course. When someone asks for advice, you might try offering empathy

first. I'll often say, I'm happy to share some of my ideas, but first I just want

to take in what you've said. I'll follow that with an empathic reflection of

what I'm hearing and check if I've understood. This can help the other

person process their experience and clarify what matters. I then circle back

to inquire if they still want advice; sometimes it's no longer relevant.

If the tables are turned and you want to give someone advice, check

first. Let them know: "I have an idea that I think might be helpful. Are you

open to some advice?" This honors their autonomy, minimizes the chances

that your input will be disempowering, and guards against giving advice

as a way of soothing your own anxiety.

Q: I've been exploring these empathy tools with close friends and family

and my new approach creates a lot of awkwardness. What do you do

when others expect you to communicate in a certain way?

It can be confusing when our attempts to create more connection backfire.

Part of what you are experiencing is the relational dimension of communication habits. They occur in a dynamic, so when we shift it affects others.

It also may simply be the learning curve; it takes time to find an authentic

voice with these tools.

Let go of the form and focus on your genuine intention to connect.

What would help this person to feel heard? If someone is used to us

showing care by asking questions or agreeing and we respond by reflecting

their needs, that may throw them off. Try to tune in to what they want.

When all else fails, let people know that you're trying something new that

you hope will bring you closer. Ask them to humor you while you learn.

Betrayal and Relational Trauma: How We Get Stuck in Trauma Bonds

There is hope!

If you are feeling stuck in trauma bonds, it's important to understand that there is hope. You can heal from this experience and even come out stronger on the other side. But it will require time, patience, and a willingness to do the work.

A tsunami of strong feelings might follow the discovery of your spouse's infidelity. After the initial shock and perplexity, most betrayed spouses battle for some time to regain control over their tumultuous feelings driven by intrusive thoughts and reminders. Infidelity, according to Patrick Carnes, a pioneer in the treatment of sexual addiction, can be as traumatic as sexual assault

It's critical to understand how and why the event changes our brain and behavior while recovering from infidelity. Staying curious while discussing what betrayal trauma looks like for both partners, as well as how this shared suffering might lead to harmful patterns in their interactions with one another- these patterns sometimes known as trauma bonds.

What Does Trauma Look Like?

The symptoms of Post-Traumatic Stress Disorder (PTSD) are similar to those caused by betrayal. Trauma causes intrusive thoughts, avoidance, and hyperarousal in individuals with PTSD.

Intrusive thoughts are persistent, unwanted reminders of the traumatic experience, such as flashbacks (reliving the terrible event as if it were happening again) or nightmares about it.

Avoidance can take on a variety of forms, including trying to avoid thinking or talking about the traumatic experience, as well as avoiding places, activities, or people that may remind you of it.

Hyperarousal is characterized by a feeling of distress and anxiety, which can extend to other areas such as difficulty sleeping, being easily startled, sluggish brain function, trouble focusing, and irritability.

Symptoms are frequently changing and varied from person to person. These same symptoms, when combined with detrimental changes in thinking and mood, can result in:

• Negative thoughts about yourself and others.

• Feel hopeless and powerless when the future appears bleak.

• Forgetfulness.

• Detachment from career, family, and friends.

• Lack of interest in activities you once enjoyed.

• It's difficult to experience pleasant feelings..

• Feeling emotionally flat and numb.

So, What Are the Causes of These Changes?

Betrayal trauma can alter your physiology due to the neurobiological changes that are taking place in your limbic system. Your body enters a fight, flight, or freeze (and sometimes fawn or collapse) reaction as a result of these adjustments.

When our amygdala senses danger, the hypothalamus activates the sympathetic nervous system, which causes epinephrine, also known as adrenaline, to be released. Adrenaline makes our heart beat faster and our lungs breathe more effectively on a good workout or training day. When we're stressed, our body releases hormones such as adrenaline, which help us stay safe and alert. It increases blood flow to the brain and muscles, making our mind more attentive to the situation and boosting blood sugar levels for vitality. When we are emotionally or physically scared, this surge of adrenaline is meant to keep us safe and alive.

When the danger level rises to a certain point, the hippocampus instructs the adrenal glands to produce cortisol. The hippocampus is essential for thinking, learning, memory, and behavioral management. Our brain needs to focus on problem solving during extreme stress, such as betrayal and relational trauma. Because you're overwhelmed with stress, your hippocampus isn't functioning well. The end result is conflict or flight from the stress/threat rather than problem solving in order to resolve it.

All of the same things that I previously stated are going on in a freeze response, with one exception: our subconscious has deemed this stress to be too hazardous. The sympathetic nervous system is no longer solely in command. The dorsal vagus nerve is activated on the back side, and it drags us into a condition of self-protection. When we are in risk of physical or emotional harm, whether real or imagined, we may shut down. We may appear calm but, inside, we are emotionally numb and frozen.

Finally, collapse response is comparable to that of freeze; it's a condition of hypo excitation. The dorsal vagus nerve screams, "This is too much!" and goes quiet. We are no longer seeking for methods to survive (fight or flight) but rather for a way to fall apart physically and emotionally. We may be unable to speak or feel removed or disconnected from our bodies. Our blood pressure, temperature, and heart rate drop dramatically. We might even faint or become unconscious in severe situations.

The fluctuating cycles of cortisol levels are detrimental to your immune system and general health. Even after an affair's initial discovery or disclosure, your brain can be bombarded with reminders that flood it with adrenaline and cortisol. This is one of the reasons why it's so difficult for your brain to accept and process this traumatic event, and subsequently let down its guard. The symptoms of PTSD are caused by this higher level of anxiety and isolation.What Do We Do About It?

You may not be interested in the neuroscience aspect, but you can still be interested in when your brain is offline or online. The Hypo-aroused and Hyper-aroused brains are both "offline." We can reclaim our center by practicing observing what goes on inside us while we're "offline". What do we think about and how are we physiologically feeling, such as our heart rate and breath? Are we hot or cold, sweaty or clammy? Do we feel numbness or strong emotions? Meditation, exercise, yoga, and journaling can help us stay centered.

What is Trauma Bonding?

Every relationship reacts to trauma differently. Both partners are frequently on the fight, flight, fawn or freeze continuum, but they're rarely in the same place at the same time, contributing to the negative cycle that couples dealing with infidelity's trauma find themselves in.

After being a therapist for 20 years, I have seen distorted and adaptive bonds form between partners. Some people call these "trauma bonds". It is crucial to understand your trauma as well as your spouse's, and have a working understanding of what is going on in both of your brains.

Here are a few examples of traumatic bond cycles that aren't helpful:

• For more than 6-9 months after discovery, the victim is fixated on the event, what occurred, and why...

• Between wanting a divorce and wanting to work things out, there's an endless debate.

• You and your spouse are continuing to have abusive debates.

• Keeping your relationship a secret from others who might criticize you for attempting to work it out.

• Breaking commitments to yourself or each other and expecting things to get better.

• Feelings of closeness one minute, followed by painful memories and outbursts the next are typical..

It may be useful to take a step back and examine the cycle of events in which you two escalate when you talk about specifics and reminders. Consider whether the way we are discussing the facts of the affair is pushing us closer to forgiveness or making matters worse. Still, you both need to be curious about this cycle that you are co-creating as you work to reconcile. As a reminder, you are both responsible for the co-creation of a new relationship starting today.

If you find that you and your spouse are in an unhelpful cycle, please don't beat yourself up for it; notice it without any shame and be curious about how you can begin to work through the trauma of infidelity more productively.

I'll be sharing more about this topic in future Free Resources, so stay tuned. In the meantime, if you're looking for more resources on this topic, I recommend reading Not Just Friends by Dr. Shirley Glass (the best book that I have found to help couples recover and heal from infidelity and relational trauma) and The Betrayal Bond by Patrick Carnes.

If you are struggling with infidelity in your relationship, please reach out for help. This is not something that you have to go through alone. I offer individual and couples counseling services and have experience helping people heal from betrayal trauma. You can text me here to set up a consultation. 813-240-3237 or book online:

www.SouthTampaCounselor.com/BookAppointment

I hope this has been helpful. Please feel free to reach out. Until next time!

Empowering Couples to Communicate Compassionately~ Using Non-Violent Communication (NVC)

The process of non-violent communication (NVC) was developed by Marshall B. Rosenberg and encourages us to connect with others in a more heartfelt and empathetic manner. NVC emphasizes the significance of language in our day-to-day encounters, calling for conscious responses, instead of reactions, based on perceptions, feelings, needs, and visions for what we DO want to see happen.

The Four Components of NVC

There are four basic components to NVC that include observations, feelings, needs, and requests. What actions are we seeing around us that have an impact on our well-being? How do we feel based on what we've seen or heard? What need, desire, or value sparked those feelings? All negative feelings are unmet needs. Finally, how may we make positive requests of others that will improve our lives? These elements all work together to create NVC's foundation.

Our Language Shapes Our Thinking

Sometimes our thoughts sabotage our needs. It is helpful to gather more data and not just react from our triggers or automatic thoughts. Our thoughts produce the way we feel. Negative thoughts point to an unmet need. If I don't know what I need and react from the story that I tell myself, a lot of bad habits can form from this bad habit. Instead, I can gather more data, not just from thoughts but I want to drop down and gather more data from my feelings, where my feelings live somatically in my body, and what needs I have. When I discover my needs, I am in a powerful position to get my needs met. If I do not know what I need in real time, I may react and sabotage my needs which disconnects us from ourselves and other people in our lives.

All attacks are unskilled ways of trying to get a need met. Attacks create disconnect and defensiveness. Using NVC helps us accept influence and stay connected even through some of the most difficult conversations.

NVC not only challenges us to change the way we talk to one another, it also challenges us to change the way we think and perceive the world around us. In other words, NVC is not just a process of communication where words are simply exchanged. We must reframe our thinking so that we are able to genuinely express ourselves and be empathetic to what others are observing, feeling, needing, and requesting. NVC is truly an amazing process that empowers us to connect with one another in a compassionate way.

How to Calm The Jackal and Put on Your Giraffe Ears

Marshall Rosenberg conceptualized our tendency toward aggression and dominance as a jackal, while our more compassionate side he imagined as a giraffe (since giraffes have the largest hearts of all land mammals). When we listen with Jackal ears, we hear complaints as criticisms and requests as demands. When faced with a demand, collaboration isn’t possible. You either submit or you rebel which disconnects us and neither feels good, nor works well in a long-term relationship.

Conversely, when we put on our Giraffe ears, we listen with more empathy and compassion. We are more likely to hear the feelings and the needs behind what someone is saying. We’re more likely to see those needs as being understandable and reasonable, and not in competition with our own needs. When we understand and empathize, compromise and collaboration become feasible.

Nonviolent Communication in Couples Therapy

With couples, NVC bridges the gap in understanding between each partner and helps counter the judgmental negative stories that may build up about the other person:

“They’re lazy.”

“They’re not putting in as much work as I am.”

“They don’t love and care about my feelings.”

These interpretations or evaluations discourage us from being vulnerable and trusting the other person, and they prevent us from making needed changes. When we choose to replace those judgmental stories with greater understanding, more connection is possible.

NVC may challenge our preconceived notions about others and the world, which can help us to appreciate one another and live more freely. When the guy who is cutting me off in traffic stops being a jerk and becomes a person going through something terrible in their own life, I am able to let go of my anger. When I recognize that my difficulties in keeping my home clean aren't "laziness" but rather a battle for motivation or a desire for "rest and recuperation," the self-compassion I gain not only lessens my suffering, but it also increases the likelihood that I will be able to satisfy that need AND keep my house clean.

Whether you’re looking for Couples Therapy or Individual Counseling, Nonviolent Communication (NVC) can help you create the life you want to live together as a team.

Why do we feel the way we feel? The Power of Attachment

How you show love, how you feel connection, and how you relate to others is all influenced by your attachment style. The key factors that define the quality and security of an attachment bond are based on two questions:

·   Can I count on you?

·   Am I worthy of your love?

It might surprise you that the way you learn to love in infancy can have a direct impact on how you navigate adult relationships. This idea stems from attachment theory, which was first developed in the 1950’s by the work of John Bowlby and Mary Ainsworth. According to attachment theory, a persons’ attachment style is created and shaped during their first years of life, in response to the relationship dynamics with their primary caregivers. Essentially, adult attachment styles are believed to mirror the attachment style learned in childhood with the primary caregiver. In infancy and early childhood, attachment style is developed based on how our basic needs for food, security, and connection, are met. Attachment styles can be thought of as different internal working models of relationships that have evolved from life experiences.

There are four attachment styles: secure, anxious, avoidant, and disorganized.

Secure attachment:

Secure attachment style is characterized by an ability to view oneself as basically loveable, and an ability to view others as generally reliable and responsive. A secure attachment is first developed in childhood if your caregiver was able to be emotionally available, offer reassurance and validation, and make you feel safe and understood. In adulthood, a securely attached individual can depend on others while also maintaining their individuality. A securely attached person has an easier time trusting and accepting others and allows people to get close to them. They are not afraid of intimacy and don’t feel a sense of panic if a partner needs space or time away.

Anxious attachment:

Anxious attachment style is represented by a deep fear of abandonment, fear of rejection, and codependent tendencies. Anxious attachment style can stem from a lack of consistent parental support during infancy and early childhood. For example, this may look like a parent who is sometimes attentive, and sometimes pushing away. This inconsistency can create anxiety and beliefs about what we expect and can count on in relationships. In adulthood, an anxiously attached style usually presents itself in codependent tendencies or behaviors. This stems from that fear of abandonment or rejection. A person with an anxious attachment style usually has a hard time feeling worthy of love and therefore needs constant reassurance from their partners.

Avoidant Attachment:

Avoidant attachment style is characterized by a fear of intimacy and a lack of trust on the dependability of others. Avoidant attachment style can stem from growing up in an environment that is lacking sufficient parental support and supervision. For example, this could be the result of a neglectful or busy parent. It could also be a parent who is present, but not concerned with their child’s emotional needs and fears. In adulthood, a person with an avoidant attachment style usually has a hard time getting close to others and trusting them. Relationships can often feel suffocating for them, and they tend to maintain some distance from their partners, especially emotionally. An avoidant attached person usually prefers to rely on themselves because they have learned not to depend on others for their emotional needs.

Disorganized Attachment:

Disorganized attachment style is defined by extreme inconsistent behaviors in relationships and a lack of trust in others. A disorganized attachment style most commonly stems from a result of childhood trauma, abuse, or neglect. The child often views their caregiver as both a source of comfort and fear, which leads to the disorganized, inconsistent behaviors. Adults with a disorganized attachment style often behave in unpredictable ways in relationships, and view their partner as being unpredictable. They waver between acting distant and independent and being emotional and codependent. Adults with disorganized attachment consistently seek out intimacy, while also fearing it and sometimes rejecting it when it gets too close.

It can be empowering to identify and understand your unique attachment style and where it stems from. Becoming aware of your feelings and behaviors in relationships can make the healing journey much easier. Through this exploration, new avenues of thinking and behaving can emerge to equip you for more secure relationships. If you are interested in learning more about your attachment style and how it influences your adult relationships, click on the link below to take a short attachment style quiz! For a deeper dive into attachment, book an appointment today to conduct an Adult Attachment Interview with one of our skilled clinicians.

http://www.web-research-design.net/cgi-bin/crq/crq.pl

Written by: Jamie Rudden LMFTI 

https://SouthTampaTherapyBOOKAPPT.as.me/JamieRuddenMFTI