Wow, it's been a while since I took finger to keypad and typed out a blog! Where do I begin...
It has been a journey, I'll tell you that. The kind of journey where you thought you had most big things figured out. Then BAM you learn the harsh reality of the term 'false belief system'. I was running blind, swallowed up by my own rules and nonsense. Riddled in defence mechanisms and holding on for dear life to people and things that made me feel some semblance of safe. I mean, where the hell did all this anxiety in the big wide world come from?
I remember thinking certain things when in my early teens and struggling my way through hormones and heartache. I remember noticing that some days I felt on top of the world and others I felt as if no one liked me and the world was against me. I managed though. I more than managed, I wore the biggest mask around. So big was my mask that even those closest to me had no idea what I really went through. The shame, humiliation, embarrassment, fear, insecurity and anger that stewed inside me and had no healthy outlet. I am a loud, extroverted presence and I was never invisible physically (I made sure of that). Love me or hate me, you notice me. This mask bit me in the ass because people were so busy seeing the loud, falsely confident Paula, they had no idea that a scared, insecure little girl was crying out for help.
This damn defence mechanism got misread to my disadvantage again and again. I was seen as a bully because I was always the spokesperson for the group, or I was acting out. To me it was a get them or they will get me thing. I was seen as strong. I was seen as someone who didn't feel very much. I was seen as happy and cheerful. I was seen as whatever mask I chose to wear really. Most teenagers go through this in some way, it's a time when difference is feared more than anything else. It got so bad that I didn't know any other way to be.I desperately wanted to be liked, desperately wanted to be helped and blocked the very things I needed with my behaviour. I became a people pleaser. I suppressed my needs and found it easier to do the things my friends enjoyed. This got out of hand too and I found myself in crowds I didn't fit into, at places I couldn't afford, wearing clothes I had had to borrow. I gave in to peer pressure and had so much freedom and zero structure. I got drunk, walked the streets at night, smoked cigarettes, hooked up with boys, got into verbal fights etc. During the day I captained the tennis team, sang in choir, visited my grandparents, turned pages for my piano teacher at charity concerts, spent time with friends, worked hard in school etc. I changed like the tides, trying to find myself, trying to fit in, trying to be accepted and feel loved. My shame was growing. Shame in myself, in my mum and her lack of control in the situation (I have learnt that she did it really tough and there were so many reasons for this). The real shame though, is the shame I turned inward. The shame I had in myself. To be honest this is still a work in progress.
I was never a stranger to emotions. I am highly empathic and understand emotional experiencing better than I do any other sense or system. I am able to read shifts in people, the mood and atmosphere, people's deeper pain. Other people have always been easy, what I could never master was my own emotional experiencing. I felt like my control over my emotions was paper thin and the hard ones were deeper than I could conceive. As I delved into psychology and counselling I developed a name for this part of myself that held all my deeper emotions and pain. I called this my vault or squishy middle. I spent a lot of energy and time fearing this unknown entity inside me. So much went into the vault that I lost sight of what had gone in there. It became overwhelming. But I ploughed on.
I ploughed through incredible adversity, grief and trauma. I have always recognized my teenage years as difficult. My mother struggled and I became more of a parent then a child. I had no idea what my mother was growing through, I had no words, no support and no one to talk to. I was programmed to hide things from my grandmother and the world. I think my mum always wanted my Granny to be proud of her. My lovely Granny loved us more then anything but love was not expressed verbally. She was very critical but meant it in love. Needless to say I kept my mums secret, it became my secret, we were drowning. Financial, physical, emotional...you name it, we were in strife. I started to resent my mum and rebel in a way. At the time I would never have seen it as rebellion. Awful part of my rebellion, I was always guilt ridden and overly sensitive to my mum's feelings. I could never bare to hurt her, or worry her. I confessed almost all sins. I soon learnt that I was unguided. I was so convincing that I was in control that my own mother did not see how out of my depth I was. How much I needed her to take over and let me be a child. This way of life may have been what saved me in years to come...or the very thing that undid me.
On 3 December, 2002, I went off to celebrate the end of the school year with an old friend. I said my goodbyes to my mother and said our usual 'I love you'. That was the last time I saw my mum. That night some adolescent boys broke in and gagged her too tightly. They never meant to kill her, only to rob us blind. They came through my bedroom window. It was a blur. I learnt this from my friend the next morning, her mum got a call. My whole world stopped turning. It was like a dream, a horrible,sick dream. No one seemed to be able to comprehend my level of loss. On the second or third night after she died I was still staying at my friend's house (I wasn't ready to face my Gran's pain). I was crying in the middle of the night once again. Every time I shut my eyes I saw my mum's face and my heart broke again. I was terrified. I had no idea what would happen to me,where I belonged, where I wanted to be outside of my own home. I had all this emotion and no where to put it. My tears were gut wrenching, my soul was shattered. It was as if someone had severed off a limb. My friend, who had her own grief, cracked under the pressure and blurted out a conversation she and her mother had planned to have with me the following day. At midnight she told me that she thought I needed to find somewhere else to stay, it was too much for her. My pain was too much for her.
I didn't think I could sink any lower. I was wrong. I learnt some very hard lessons that night. I learnt that I had been 'right', people wont want to be around you if you are yourself. Even if you lose your mother, people will not cut you slack, allow you to sob, allow you to grieve. If only I had known then what I know now. These childhood masks, defences, they keep coming back to bite you. Long after they have been rendered useless. People cant be there for you because they don't know how to be there for themselves. So many of us are running blind.
I put a lot of emphasis on my grief. I thought it was the reason for pretty much most of my problems. My anxiety namely. I was well known for being stressed. I suffered from bad back pain my whole life which was never diagnosed or treated adequately. I was used to chronic pain and tension (I still am). My energy levels are often a struggle. I couldn't tell where my back began and the anxiety ended. As the years went on my struggles with anxiety, esp the physical tension side of anxiety increased. It started to effect my work. Working with children became my thing but it kept bringing up memories and emotions I had no idea how to process. I moved to Australia and studied Masters in Counselling. This level of training forces you to unpack yourself quite heavily and confront how you tick. I confronted the edge of my inner vault time and time again. After uni I started to work with families. My clients had an array of issues with high levels of risk and trauma. Slowly but surely I became more and more impacted. It was becoming clear, families and child abuse were more than upsetting to me, this was traumatic for me and triggering a trauma I had no idea I had. I burnt out.
It didn't make sense. The theories didn't fit me. My mum and I were so close. She never ever forgot to tell me she loved me. She would have taken a bullet for me. She did so much for me, encouraged me, watched my tennis games, talked to me about school, always listened. Why, oh why are the signs pointing to neglect? EMOTIONAL NEGLECT!!! It didn't make sense. I started seeing a therapist who was my teacher. I would trust no-one else (I have been through many therapists, I am a tough cookie to counsel). I admire my therapist so much, professionally and personally, and listen when he talks. He identified attachment trauma. I wont go into that here if attachment is a bit foreign (I urge everyone to look it up though). My issues stem from my early childhood - my formative years. My mum, my beautiful childhood, my entire world view...aaahhhh! It was a very very difficult pill to swallow and took many sessions of revisiting this to get my head around it. I finally made peace with it when I allowed myself to start looking back at well known memories. These memories were often the fond ones. That is why I could never see this. My happy memories were still happy, they just held some vital clues to opening my vault. They helped me to finally see the roots of my problems.
It was never what she did to me. What she did to me was nothing but loving. Everything she did was intended to give me love and life lessons. The problems were in what she didn't do. Dr Jonice Webb identifies this as C.E.N - Childhood Emotional Neglect. She feels all abuse has CEN with it but not all CEN accompanies abuse. In fact most families have some degree of this because it is a generational problem. It travels from generation to generation unknown and powerful. We couple this with so many passed down and outdated parenting beliefs and systems and have become so far removed from the reasons why we do things and if they are in line with our intentions.
My mother believed with all her heart that the best way to parent was to give strong discipline like spanking etc in the early years. I remember her telling me that she hit me very early and this is why I am a good girl now. She saw my incessant guilt and obligation that was way beyond what a child my age should have felt as me being special, good and with a good head on my shoulders. I saw it the same way too. I didn't see this as being a problem. I didn't know any other way to be. Hitting me early would have translated to me that I am being punished for trying to communicate my needs. I have had these patterns with people in my life again and again because I gravitate to what I know, mistaking that for what is safe. I have recently discovered that it is not my feelings that are the problem, it is my behaviour. I am so busy trying to be a certain way, to feel in a certain way, I have lost sight of how I actually feel. I have started a new relationship with the real me and have had to confront many demons and unhealthy dynamics in the process. This has been so painful but so necessary.
I realised that I have a gift. I have a deeper understanding of emotional experience through personality, academia and life experience. I am passionate about parenting and helping children through helping parents. I believe that parents are the very best people to help their children. Trauma, attachment, emotional regulation and strength based work should not be elitist knowledge for the educated and professional. It is not as fancy and complicated as it sounds. It is a way of seeing the world. It is about understanding emotions and how powerful they are. It is about understanding the role parents need to play to tackle these growing societal problems, mental health issues, bullying, youth substance abuse, suicide, crime etc. It is ridiculous that this is something only certain people have access to for various reasons. I want to give this gift out for free. I want to create awareness and empower parents. Break the cycles, end the bad patterns and give people something better and healthier to try. I want the world to 'Tackle the feelings before the Behaviour'. Stop blaming children as if they are not a part of a system. No child is born evil. Some have challenges and disabilities. Some struggle with biological challenges. This does not make them evil. Lets take control back. Have the courage to see your own parents and grandparents as human. Love them through their faults so that you may see them as real and learn how to be real with your own kids.
I hope there is something in my story that is helpful :) I am proposing a parenting approach but I am not a mother. My challenge was always a tricky one. I am not coming from the side of a parent though. I am giving your children a voice because I have built a very strong relationship with and deeper understanding of my own inner child. I am also pretty trained up in this area and am not the type to stop learning. This is me, warts and all. Thank you for reading XXX
My YouTube Channel with my Tackle the Feelings before the Behaviour Video Blogs: https://www.youtube.com/channel/UCRODijIN0O_rMw_VkyDU-zQ
My Face Book Page: https://www.facebook.com/pages/Tackle-the-Feelings-Before-the-Behaviour-Parenting-Approach/858064664256192
Wednesday, March 18, 2015
Sunday, January 19, 2014
Reflecting on Reflection
We all reflect. Whether consciously or unconsciously, it is a product of our human gift of higher level functioning. Reflection can come under many different terms and labels which is why we are not always aware of our own processes and abilities to reflect. You may call it 'analysing', 'musing' 'in hindsight', 'when I think about it', 'I realised' etc. Reflection happens when you think about something that has happened or is happening outside of the actual situation. Reflection can be deep and philosophical or it can be simple and seem like going over a memory. It can even be somewhere in between the deep and the simple. The questions I want to pose today are 'Why do we reflect?' and 'What are the benefits or downfalls of reflection?'
Reflection is a vital part of counselling and therapy, for both the client and the therapist. Without it the work that is being done is blind. One cannot recognize the changes made, patterns identified or how or what journey has been taken to end up where you are in the present without reflecting on it. This is important, not only in therapy, but in life. We all know the saying 'learning from your mistakes'. In order to learn we must understand and in order to understand we must reflect. It is not just true of mistakes. We also need to reflect and understand what we do well and on our strengths in order to continue achieving success and living in a way that satisfies us and keeps us safe. This begins to answer the question of 'why we reflect'.
The benefits of reflection can be vast. We all process information in different ways and in different speeds. Some people think on their feet, others need time to formulate their thoughts before sharing them. When we become emotional (positive or negative emotions), our thinking changes and we think and react differently. If we are angry we often say things and act impulsively. This can be true too when we are frightened, feeling stressed, panicked, excited or overjoyed etc. We also gain influence from others or from the values and culture instilled in us. We are a product of learning and much of our character and way of experiencing the world is due to what we have learnt and the environment we have been raised in. We are individuals living in a society with other individuals. We are not perfect, nor should we have that expectation of ourselves. We do, however, have values, morals, standards and beliefs that influence our thinking and behaviour as well as our reactions to experiences. Now add emotions. We can't nor shouldn't control the way we feel, nor should we be ashamed of how we feel. Feelings are natural and fundamentally serve to help us and alert us to how we 'feel' about something. Reflection, therefore, assists us in learning about ourselves and helps us to find 'meaning' in our lives. It also helps us to make sense of our reactions and helps us to find the words to explain our feelings, reactions and needs.
For example, you may have felt wronged by someone and feel angry with that person. You do not want to walk away from the situation but you do want the person to realise they have angered you and you want them to understand why. You may also want them to understand so that they do not wrong you again. Unfortunately, many people do not automatically see their role in the wrongdoing in the same way you do. You may not realise it but when you spend time thinking about the problem, formulating conversations and responses in your head and looking at why this happened in the first place, that is reflection. Looking at things in hindsight and upon reflection can give you the time and space you need to make sense of a situation without the emotional closeness that 'being in the moment' entails. It allows you to look at things with a fresh perspective, perhaps after talking to others or after a distraction from the problem due to other life demands. Sometimes 'sleeping on it' can clear things up for you as this gives your subconscious a chance to process events.
To have healthy reflection and for the benefits to be the greatest the focus must be on YOU. It is easy to fall into the trap of blame and it is easy to look at the role others have in your life. It is less easy to look at your own contributions to a situation, positive and negative. This is one of the biggest downfalls of reflection in my opinion. We seem to struggle to acknowledge our strengths in a situation, particularly if the situation has not been easy or does not have the outcome we had hoped for. We also seem to struggle to see our contributions when the situation is relational and someone else has hurt or angered us. It is so easy to blame someone and picture them as a villain with bad intentions. Sometimes they are villains and sometimes they deserve blame. The catch is though, that assigning blame and holding onto anger without reflecting on your own processes, expectations, strengths or values can be poisonous. It is important to learn from experiences that effect you so that you may grow and let go of the negative thinking and self doubt. Reflecting in a way that focusses on YOU enables you to find confidence in your life and in how you react. It gives you the clarity to ask for what you need and protect against things and people that cause you harm.
When you focus on others and external things you can easily fall into the trap of getting stuck in a thinking pattern that causes stress and anxiety. Other people and external things in your life are often uncontrollable. No matter how much you try, you cannot change someone that does not want to be changed. You cannot change your past (recent or historical). You can riddle yourself in guilt, anger or shame until you are crippled with it, it wont change what happened. Reflecting on what should have been is only beneficial if you look at the past in a way that encompasses questions and curiosity without blame. So you blew up at your friend for something small, it happened. Look at why it happened first. What was going on for you at the time, why did you feel so angry, was it about the friend or something else? Once you have established the 'why' look at the present. What can you do about it NOW. What do you feel would be the best outcome for YOU? What do you need? Perhaps that friend has let you down in a way that really hurt you. Do you want to save the friendship? If so, what needs to change so that you feel better about it? How could you handle things better in the past so that you have more control over your reactions? The answers are there and it takes courage and reflection to listen to yourself and listen to your needs. You have choices and in order to make them you need to understand the context of the situation and your role in it. Most importantly though, you need to understand yourself in the situation and this is never easy. The harder you are on yourself, the harder it will be to gain the truth and listen to your needs.
Being conscious of how you think,
react and behave is the best place to start. Give yourself time and space to do this and open yourself up to healthy reflection. You are worth the trouble!
Be kind to yourself
XXX
Paula
Reflection is a vital part of counselling and therapy, for both the client and the therapist. Without it the work that is being done is blind. One cannot recognize the changes made, patterns identified or how or what journey has been taken to end up where you are in the present without reflecting on it. This is important, not only in therapy, but in life. We all know the saying 'learning from your mistakes'. In order to learn we must understand and in order to understand we must reflect. It is not just true of mistakes. We also need to reflect and understand what we do well and on our strengths in order to continue achieving success and living in a way that satisfies us and keeps us safe. This begins to answer the question of 'why we reflect'.
The benefits of reflection can be vast. We all process information in different ways and in different speeds. Some people think on their feet, others need time to formulate their thoughts before sharing them. When we become emotional (positive or negative emotions), our thinking changes and we think and react differently. If we are angry we often say things and act impulsively. This can be true too when we are frightened, feeling stressed, panicked, excited or overjoyed etc. We also gain influence from others or from the values and culture instilled in us. We are a product of learning and much of our character and way of experiencing the world is due to what we have learnt and the environment we have been raised in. We are individuals living in a society with other individuals. We are not perfect, nor should we have that expectation of ourselves. We do, however, have values, morals, standards and beliefs that influence our thinking and behaviour as well as our reactions to experiences. Now add emotions. We can't nor shouldn't control the way we feel, nor should we be ashamed of how we feel. Feelings are natural and fundamentally serve to help us and alert us to how we 'feel' about something. Reflection, therefore, assists us in learning about ourselves and helps us to find 'meaning' in our lives. It also helps us to make sense of our reactions and helps us to find the words to explain our feelings, reactions and needs.For example, you may have felt wronged by someone and feel angry with that person. You do not want to walk away from the situation but you do want the person to realise they have angered you and you want them to understand why. You may also want them to understand so that they do not wrong you again. Unfortunately, many people do not automatically see their role in the wrongdoing in the same way you do. You may not realise it but when you spend time thinking about the problem, formulating conversations and responses in your head and looking at why this happened in the first place, that is reflection. Looking at things in hindsight and upon reflection can give you the time and space you need to make sense of a situation without the emotional closeness that 'being in the moment' entails. It allows you to look at things with a fresh perspective, perhaps after talking to others or after a distraction from the problem due to other life demands. Sometimes 'sleeping on it' can clear things up for you as this gives your subconscious a chance to process events.
To have healthy reflection and for the benefits to be the greatest the focus must be on YOU. It is easy to fall into the trap of blame and it is easy to look at the role others have in your life. It is less easy to look at your own contributions to a situation, positive and negative. This is one of the biggest downfalls of reflection in my opinion. We seem to struggle to acknowledge our strengths in a situation, particularly if the situation has not been easy or does not have the outcome we had hoped for. We also seem to struggle to see our contributions when the situation is relational and someone else has hurt or angered us. It is so easy to blame someone and picture them as a villain with bad intentions. Sometimes they are villains and sometimes they deserve blame. The catch is though, that assigning blame and holding onto anger without reflecting on your own processes, expectations, strengths or values can be poisonous. It is important to learn from experiences that effect you so that you may grow and let go of the negative thinking and self doubt. Reflecting in a way that focusses on YOU enables you to find confidence in your life and in how you react. It gives you the clarity to ask for what you need and protect against things and people that cause you harm.
When you focus on others and external things you can easily fall into the trap of getting stuck in a thinking pattern that causes stress and anxiety. Other people and external things in your life are often uncontrollable. No matter how much you try, you cannot change someone that does not want to be changed. You cannot change your past (recent or historical). You can riddle yourself in guilt, anger or shame until you are crippled with it, it wont change what happened. Reflecting on what should have been is only beneficial if you look at the past in a way that encompasses questions and curiosity without blame. So you blew up at your friend for something small, it happened. Look at why it happened first. What was going on for you at the time, why did you feel so angry, was it about the friend or something else? Once you have established the 'why' look at the present. What can you do about it NOW. What do you feel would be the best outcome for YOU? What do you need? Perhaps that friend has let you down in a way that really hurt you. Do you want to save the friendship? If so, what needs to change so that you feel better about it? How could you handle things better in the past so that you have more control over your reactions? The answers are there and it takes courage and reflection to listen to yourself and listen to your needs. You have choices and in order to make them you need to understand the context of the situation and your role in it. Most importantly though, you need to understand yourself in the situation and this is never easy. The harder you are on yourself, the harder it will be to gain the truth and listen to your needs.
Being conscious of how you think,
react and behave is the best place to start. Give yourself time and space to do this and open yourself up to healthy reflection. You are worth the trouble!
Be kind to yourself
XXX
Paula
Tuesday, December 3, 2013
Grief: After the 10 year mark
When you experience deep loss, your world goes into a bubble where time stands still. You seem to lose future planning and the past is too unbearable to fully reflect on. People don't always realise this but it is often after time has lapsed and things resume into mundane rituals, where life goes on,
that a person in grief struggles the most. In my belief, this is because you start to realise that this is it, finality sinks in and there is a gap and emptiness which only others who have experienced loss may even begin to understand.
Somehow, with some time and care, you integrate this loss into your world view. You make peace with the pain and emptiness and almost get used to having this as a part of you. You develop rituals and strategies, you talk or you block it out, you form a new relationship with your lost loved one and start to anticipate the days that are going to be harder than others. I always say to people who have just experienced loss that the first year is the hardest. That is not to say it will be ok after a year, no, more like in that year you will experience all the 'firsts'. The first birthday, anniversary, milestone, breakdown without their support, happy occasions, longest time without speaking etc etc. You start to form coping skills and ways of dealing with this loss without losing control completely. There are times where the grief feels as fresh as it did that first day but you learn that these times are normal and a new part of your life that you adapt to.
As the years go by, things happen and 'firsts' continue. You wake up one day and struggle to fathom how you have made it through for this long. You may even feel guilty and panic because you can't remember their voice or need an answer for a question which only they can provide. The loss is relived again and again in big and small ways but you keep moving. You wonder how your life would have turned out if they were still here. You wonder what they would say about your current predicament and you listen when people tell you your loved one would be proud of you. In your heart you know they would because you have carried on despite times when you ached to join them and relieve the emptiness and pain, if only to see them one last time.
Today, for me, it has been 11 years. I know my grief well. Time has provided understanding and new grief. Loss has come in various forms and in some cases, completely unrelated to my biggest loss. I still feel stuck in a weird unknowing. I hold on to my memories as if they happened yesturday. Interestingly they are more centred around me than my mother. I reflect on this regularly and for me, I think it is because my loss has gone in two ways. I lost the person I loved most in the world, my primary attachment figure and the only person who has been there in almost every way from the beginning. But 11 years ago I lost something else, just as precious. I lost a part of myself. I lost my sense of identity in a way. I lost my safety net, my unconditional love and answers to questions I will forever need the answers to. I lost my faith and I lost a sense of belonging. People will tell you that you are loved, that you are not alone and that they will always be there for you. I personally don't know where I would be today without those people. The truth is though, those declarations can bring on an even greater sense of emptiness and loneliness because you still feel alone but people don't get it. They don't understand how you can feel alone when you are loved, how you can feel empty when you have people there to support you and believe in you.
At the end of the day, you can feel alone. It takes understanding that there are different types of being 'alone'. There is no filling this gap because the cause of the loneliness of grief is more like a severing of a part of yourself that you will never get back and will have to learn to accept and live with. We may never shake this. We may always feel like we are missing some big element of ourselves. We may try to fill this in destructive ways, we may project this onto other people in our lives and expect them to fill roles and gaps that they will never be able to fill. We may think we are ok with our loss and realise abruptly that we are not when we start blubbering like a baby when something triggers our grief (the movie 'Stepmom' is a good example for me). A dear friend said to me once, the pain doesn't lesson, is just becomes less frequent. I love that. It may not hold true for everyone but for me, it hit home.
Grief is a part of life and we will all experience this at some point. I don't want to give people the impression that there is a time limit and you will 'move on' and things will be better in time. The truth is though, in some ways you do move on and things are better but in other ways it can feel harder and more confronting. Grief works in phases like the tides. We all have different triggers, we all had different hopes and dreams and we all need things at different times and in different ways. One common thread I believe is that we learn how to make this a part of our new selves. We find ways to carry on, feel love, take risks and cherish memories. Perhaps the memories are of happier times without the loved one, that is ok too. The best thing to do however, is to find a way to keep your loved one in your life despite them not being in it. This is called a 'continuous bond' in grief theory. You will never replace them, thus they will need to be present in a different way. Whether you talk to them, talk about them, cry for them, laugh at them, learn from them or live in their honour, keeping them as a part of you will help the finality of the situation seem less daunting.
For all those people who have been dealing with loss, I am writing this with you in mind and heart. You are a survivor and it is no easy feat this carrying on business.
Be kind to yourself
XXX
Paula
Somehow, with some time and care, you integrate this loss into your world view. You make peace with the pain and emptiness and almost get used to having this as a part of you. You develop rituals and strategies, you talk or you block it out, you form a new relationship with your lost loved one and start to anticipate the days that are going to be harder than others. I always say to people who have just experienced loss that the first year is the hardest. That is not to say it will be ok after a year, no, more like in that year you will experience all the 'firsts'. The first birthday, anniversary, milestone, breakdown without their support, happy occasions, longest time without speaking etc etc. You start to form coping skills and ways of dealing with this loss without losing control completely. There are times where the grief feels as fresh as it did that first day but you learn that these times are normal and a new part of your life that you adapt to.
As the years go by, things happen and 'firsts' continue. You wake up one day and struggle to fathom how you have made it through for this long. You may even feel guilty and panic because you can't remember their voice or need an answer for a question which only they can provide. The loss is relived again and again in big and small ways but you keep moving. You wonder how your life would have turned out if they were still here. You wonder what they would say about your current predicament and you listen when people tell you your loved one would be proud of you. In your heart you know they would because you have carried on despite times when you ached to join them and relieve the emptiness and pain, if only to see them one last time.
Today, for me, it has been 11 years. I know my grief well. Time has provided understanding and new grief. Loss has come in various forms and in some cases, completely unrelated to my biggest loss. I still feel stuck in a weird unknowing. I hold on to my memories as if they happened yesturday. Interestingly they are more centred around me than my mother. I reflect on this regularly and for me, I think it is because my loss has gone in two ways. I lost the person I loved most in the world, my primary attachment figure and the only person who has been there in almost every way from the beginning. But 11 years ago I lost something else, just as precious. I lost a part of myself. I lost my sense of identity in a way. I lost my safety net, my unconditional love and answers to questions I will forever need the answers to. I lost my faith and I lost a sense of belonging. People will tell you that you are loved, that you are not alone and that they will always be there for you. I personally don't know where I would be today without those people. The truth is though, those declarations can bring on an even greater sense of emptiness and loneliness because you still feel alone but people don't get it. They don't understand how you can feel alone when you are loved, how you can feel empty when you have people there to support you and believe in you.
At the end of the day, you can feel alone. It takes understanding that there are different types of being 'alone'. There is no filling this gap because the cause of the loneliness of grief is more like a severing of a part of yourself that you will never get back and will have to learn to accept and live with. We may never shake this. We may always feel like we are missing some big element of ourselves. We may try to fill this in destructive ways, we may project this onto other people in our lives and expect them to fill roles and gaps that they will never be able to fill. We may think we are ok with our loss and realise abruptly that we are not when we start blubbering like a baby when something triggers our grief (the movie 'Stepmom' is a good example for me). A dear friend said to me once, the pain doesn't lesson, is just becomes less frequent. I love that. It may not hold true for everyone but for me, it hit home.
Grief is a part of life and we will all experience this at some point. I don't want to give people the impression that there is a time limit and you will 'move on' and things will be better in time. The truth is though, in some ways you do move on and things are better but in other ways it can feel harder and more confronting. Grief works in phases like the tides. We all have different triggers, we all had different hopes and dreams and we all need things at different times and in different ways. One common thread I believe is that we learn how to make this a part of our new selves. We find ways to carry on, feel love, take risks and cherish memories. Perhaps the memories are of happier times without the loved one, that is ok too. The best thing to do however, is to find a way to keep your loved one in your life despite them not being in it. This is called a 'continuous bond' in grief theory. You will never replace them, thus they will need to be present in a different way. Whether you talk to them, talk about them, cry for them, laugh at them, learn from them or live in their honour, keeping them as a part of you will help the finality of the situation seem less daunting.
For all those people who have been dealing with loss, I am writing this with you in mind and heart. You are a survivor and it is no easy feat this carrying on business.
Be kind to yourself
XXX
Paula
Saturday, October 12, 2013
Overwhelm is like Stress with a Twist
Lately I have been surrounded by overwhelm. In my personal life, with my clients and with people around me. It has got the cogs turning because it is not like your common anxiety or stress where we seem to fixate on certain things or events, stressful issues and such the like. Overwhelm is something quite chaotic and disorganised and seems to prevent any focus or control, despite being triggered by stressful events and issues in our lives.
The problem with being overwhelmed is that it seems to create an extreme loss of control with many people, thus perpetuating the feelings of hopelessness and frustration. Even the idea of asking for help may seem too much to bare as many people have no idea how to articulate their problems, focus on the main concerns or make sense of reactions. Have you ever felt as though you are just going to explode, want to scream, burst into tears, bang your head a few times? This is often the nasty side effect of being overwhelmed.
People feel overwhelmed in many different and diverse situations and for many different reasons. It can come about from the stress of your present life: too many tasks at work, bills to pay, kids to take care of, being time poor and unable to fit everything you would like to do into you day/week/month/year. Perhaps thinking of the future brings overwhelm: you see your dreams slipping away, the reality of your life does not match your desired hopes and goals, people you love may leave you, kids may grow up, jobs may end etc etc. There is also the past to worry about: unresolved issues rearing their heads in your present life, regrets, past hurt, failed relationships, mistakes or poor choices, anger you are unable to let go. Perhaps it is a bit of all of these things.
We have a saying in the West, 'if it doesn't rain it pours' and it is a well versed saying in many households when your fridge decides to break when you have just taken a loan out for a car. You have been struggling with relationship issues and get fired from your job. I know for myself, everything seems to run out at the same time, when I am at my most broke! The world is a stressful place and you do not need an anxiety disorder to feel the crippling effects of modern day life as people with past histories and future plans.
Unfortunately, when we get into a state of being extremely overwhelmed, this seems to be when we are least effective in problem solving. We struggle to create distance from our troubles and feelings and new stress keeps flooding in. We may even be taking on board the stress of the people around us, worrying about a world of things that are out of our control, pressured and strained from the things we need to get done and we become out of touch with our own needs. This is when people start to shut down and ignore their bodies, their impulses, their rationality and the offers for any form of help. It becomes a state of survival in my experience and can start to effect our ability to take care of ourselves and sometimes others. We often pick up illnesses during this time and I always say 'it is your body telling you to slow down'.
There may not be a way to ease the load you are bogged down with. This I am well aware of. So what do you do?
Think of an emergency room on a Saturday night. So many people are coming in with immediate concerns, injury's, instability and crisis. How do you help everyone with a limited amount of staff and resources? They call it 'Triage'. People are systematically put in a hierarchy of severity. It is understood that every person is important and every case is an emergency but within this realm there are cases that require a faster response than others. These systems sound cold, you may say. Wouldn't it be great if everyone could be helped upon arrival, given immediate care and priority. The same could be said about your own overwhelm, wouldn't it be ideal if you could address every one of your issues immediately and tackle each task simultaneously. For that you would need something short of super human powers - it is not possible to be superman!
We need to take a leaf out of the triage book and step aside from the chaos and our feelings for a minute. Create distance and clear our heads. In whatever way suits you, it is good to put things down objectively and out of your head and onto paper/chalk board/verbally/in a drawing or diagram. I like mind maps personally but that is simply my preference. I also use highlighters because my brain likes colour and finds it easier to separate and organise with different colours. Get all your worries, tasks and concerns and even your feelings if you would like, onto something you can visualise clearly. At this point the objective is not to do anything with them. Just get them out there and in a different format from thought (cognition). Our brains are amazing and we have so much coming in and being processed, it is not hard to see that we get caught up from time to time. Give your brain a break and use your other senses.
You may be surprised to see that problems that seem enormous in your head can fit neatly onto a corner of paper, in point form even. This in itself may be helpful because it allows you to 'forget' your troubles or 'to do list' a bit as it is down on paper (or somewhere) and you can go back to it later. This is a great thing to do on a Friday before you leave work, if you have things to catch up on the next week. Put them in a 'to do List' so that you may allow yourself to 'forget them' over the weekend. As you keep thinking of them, add them to the list or keep another list on you and leave the other one at work. It is a great feeling when you can start crossing things off the list too, but that is up to you :)
Once all your overwhelm is put down on paper etc, start the process of 'triage' and identify your most pressing issues and concerns. Be flexible, circumstances are always changing. If there are things you are worried about but have no control over, such as you mum having an operation the following week or you sent in an application for something and are awaiting results, acknowledge that these concerns are creating stress but there is nothing you can do about them right now. Work out what needs to be tackled first, what cannot be tackled by you, what are your responsibilities and most importantly, what are not. We are social creatures and this has many pro's but the downside is we care deeply about our loved ones or about other people as humans. If you work in my industry and listen to the problems of other people whilst developing relationships with people (even therapeutic ones), you are going to empathise with them and care about their lives. It is a very hard thing to step back and let people make mistakes, return to old habits that are more than likely going to have the same outcome, take risks that could be detrimental etc. It is hard not to feel sadness and pain for people, to feel angry on their behalf or to feel a sense of wanting to 'fix' things.
The bottom line is that we can only hold people's hands through their hardship. We are not nor should be responsible for other people's lives. We have responsibilities to them (particularly children). We can give people knowledge, tools, guidance, support and love, but we cannot control their lives or their perspectives. Everyone is different and that is a good thing. It is time to let go, cut yourself some slack and take the control back in your own lives. Once you have a clear idea of your
overwhelm, then you may start to have more of an idea of what you need and what change needs to occur. Don't beat yourself up about things that are out of your control or capability, you have a right to have limits, to feel what you feel and to say no to things that are too much for you. You also have skills and knowledge, you have survived this world your whole life, you are a fighter! It is normal to struggle from time to time, take action and create some distance so that there is space for other things that can bring you joy.
You can do it
XXXX
Paula
The problem with being overwhelmed is that it seems to create an extreme loss of control with many people, thus perpetuating the feelings of hopelessness and frustration. Even the idea of asking for help may seem too much to bare as many people have no idea how to articulate their problems, focus on the main concerns or make sense of reactions. Have you ever felt as though you are just going to explode, want to scream, burst into tears, bang your head a few times? This is often the nasty side effect of being overwhelmed.
People feel overwhelmed in many different and diverse situations and for many different reasons. It can come about from the stress of your present life: too many tasks at work, bills to pay, kids to take care of, being time poor and unable to fit everything you would like to do into you day/week/month/year. Perhaps thinking of the future brings overwhelm: you see your dreams slipping away, the reality of your life does not match your desired hopes and goals, people you love may leave you, kids may grow up, jobs may end etc etc. There is also the past to worry about: unresolved issues rearing their heads in your present life, regrets, past hurt, failed relationships, mistakes or poor choices, anger you are unable to let go. Perhaps it is a bit of all of these things.
We have a saying in the West, 'if it doesn't rain it pours' and it is a well versed saying in many households when your fridge decides to break when you have just taken a loan out for a car. You have been struggling with relationship issues and get fired from your job. I know for myself, everything seems to run out at the same time, when I am at my most broke! The world is a stressful place and you do not need an anxiety disorder to feel the crippling effects of modern day life as people with past histories and future plans.
Unfortunately, when we get into a state of being extremely overwhelmed, this seems to be when we are least effective in problem solving. We struggle to create distance from our troubles and feelings and new stress keeps flooding in. We may even be taking on board the stress of the people around us, worrying about a world of things that are out of our control, pressured and strained from the things we need to get done and we become out of touch with our own needs. This is when people start to shut down and ignore their bodies, their impulses, their rationality and the offers for any form of help. It becomes a state of survival in my experience and can start to effect our ability to take care of ourselves and sometimes others. We often pick up illnesses during this time and I always say 'it is your body telling you to slow down'.
There may not be a way to ease the load you are bogged down with. This I am well aware of. So what do you do?
Think of an emergency room on a Saturday night. So many people are coming in with immediate concerns, injury's, instability and crisis. How do you help everyone with a limited amount of staff and resources? They call it 'Triage'. People are systematically put in a hierarchy of severity. It is understood that every person is important and every case is an emergency but within this realm there are cases that require a faster response than others. These systems sound cold, you may say. Wouldn't it be great if everyone could be helped upon arrival, given immediate care and priority. The same could be said about your own overwhelm, wouldn't it be ideal if you could address every one of your issues immediately and tackle each task simultaneously. For that you would need something short of super human powers - it is not possible to be superman!
We need to take a leaf out of the triage book and step aside from the chaos and our feelings for a minute. Create distance and clear our heads. In whatever way suits you, it is good to put things down objectively and out of your head and onto paper/chalk board/verbally/in a drawing or diagram. I like mind maps personally but that is simply my preference. I also use highlighters because my brain likes colour and finds it easier to separate and organise with different colours. Get all your worries, tasks and concerns and even your feelings if you would like, onto something you can visualise clearly. At this point the objective is not to do anything with them. Just get them out there and in a different format from thought (cognition). Our brains are amazing and we have so much coming in and being processed, it is not hard to see that we get caught up from time to time. Give your brain a break and use your other senses.
Once all your overwhelm is put down on paper etc, start the process of 'triage' and identify your most pressing issues and concerns. Be flexible, circumstances are always changing. If there are things you are worried about but have no control over, such as you mum having an operation the following week or you sent in an application for something and are awaiting results, acknowledge that these concerns are creating stress but there is nothing you can do about them right now. Work out what needs to be tackled first, what cannot be tackled by you, what are your responsibilities and most importantly, what are not. We are social creatures and this has many pro's but the downside is we care deeply about our loved ones or about other people as humans. If you work in my industry and listen to the problems of other people whilst developing relationships with people (even therapeutic ones), you are going to empathise with them and care about their lives. It is a very hard thing to step back and let people make mistakes, return to old habits that are more than likely going to have the same outcome, take risks that could be detrimental etc. It is hard not to feel sadness and pain for people, to feel angry on their behalf or to feel a sense of wanting to 'fix' things.
The bottom line is that we can only hold people's hands through their hardship. We are not nor should be responsible for other people's lives. We have responsibilities to them (particularly children). We can give people knowledge, tools, guidance, support and love, but we cannot control their lives or their perspectives. Everyone is different and that is a good thing. It is time to let go, cut yourself some slack and take the control back in your own lives. Once you have a clear idea of your
overwhelm, then you may start to have more of an idea of what you need and what change needs to occur. Don't beat yourself up about things that are out of your control or capability, you have a right to have limits, to feel what you feel and to say no to things that are too much for you. You also have skills and knowledge, you have survived this world your whole life, you are a fighter! It is normal to struggle from time to time, take action and create some distance so that there is space for other things that can bring you joy.
You can do it
XXXX
Paula
Saturday, September 14, 2013
Raising Happy Children
With so many of my peers entering the world of parenthood, I have been pondering a blog around 'children and attachment' for quite some time now. To attempt to move away from fancy words and theory's I want to try and explain and discuss 'raising happy and well adjusted children'. I have been working with children in various settings for about 5 years or so now and have worked with a range of cultures and ages. My current job as a family worker unfortunately exposes me to the 'not so happy' children in the community and it is from this growing knowledge that I felt it may be helpful to a few people out there to explore this very broad topic with me. For those who are not parents, perhaps you may start to look at your own childhoods...
No child is born 'evil' or 'bad'. Despite many people out their believing otherwise, the very tough home truth is that children are a product of learning or circumstance. This is something I believe with my whole heart and if no other message goes through, let it be this one! If you were told something awful like that as a child...it is not true. Simple. What isn't simple, however, is understanding why children develop behavioural problems, or behave in ways that are associated with our idea's of 'bad'. I thought the best way to go about this would be to explain some of those fancy phrases or terms such as 'attachment', 'emotional regulation' and 'development' in a way that is easy to comprehend and apply to your own lives.
DEVELOPMENT
I will start with development as most people know about this to some degree - if for no other reason but because we have all progressed through early development ourselves and continue to develop throughout our lives. When development is mentioned in relation to children, it is about how a child is growing, learning and reaching milestones specific to a rough age group. Theorists such as Freud and Erikson (the 2 that spring to mind the most for me) and many others have attempted to create comprehensive 'stages of development'. I wont go into what their theories are in this forum but I will discuss this concept of developmental stages a bit as it can become a great source of stress for parents, particularly if your child is said to be 'delayed' or 'immature' for their age.
There are many theories but none of them are absolute and rigid. These milestones are meant to act as a guide. Children should start to teethe, walk, talk, make associations etc around certain ages. Some children advance in some areas and take longer to develop in others. This is normal. Your child is unique and special and should be assessed as an individual, the same as adults. Some areas require more effort and support than others on the part of parents and educators. Children are often put through assessments at school in their early years in order to assess for readiness to move up to the next grade or level. Ideally this is done in order to support the child, not to criticise and pass judgement. That said, many people do feel judged and finding out your child is behind can be quite confronting for parents. For the most part,delays in development are not an indicator of disability, slowness, lack of intelligence or underlying issues. Often it is about being flexible and understanding that your little nipper is constantly learning and their brains are still developing. Children are each exposed to different stimuli, experiences and learning opportunities and the rate at which this learning takes place is going to differ slightly for each child.
When to be concerned:
With everything, it is always good to consult with a professional if you notice areas of struggle or delay that are worrying or substantially different from other children their age. Keep talking to your Doctor and keep yourself informed about what milestones to expect from what ages so that you are able to align your expectations with your child's capability. When professionals assess a child for abuse, often these developmental stages act as a guide for abnormal behaviour. An example would be a child who is being abused may regress or halt development in certain areas like speech. Teachers should hopefully pay attention when children who are, for example, 3 years old and have not started forming words or sentences yet.
EMOTIONAL REGULATION
This is something that you may actually know about on a basic level. We need to teach children about emotions and appropriate ways of expressing them. This is something most parents do naturally. Emotions are learnt through modelling (children watching you and your emotions) as well as through validation, which is when you reinforce their emotional experiencing by acknowledging their feelings. If you try and hide emotions from children it can actually be more harmful than protective because young children are more in tune with their intuition and senses than with thoughts and reasoning. They will pick up on your emotions and react to them. Being appropriately transparent is a great way to teach your children about different emotions and take away the fear surrounding the more negative emotions such as anger and sadness, I want to stress that you do not need to be transparent about your problems and the reasons you are feeling a certain way, adult problems should not burden children. What you should do, however, is explain that you have an adult problem and it is making you feel sad or angry or frustrated. If you are crying, explain to the child that you are crying because you are feeling sad etc. It is a parents job to familiarise and support children through their emotional experiencing so that they can feel comfortable in their reactions and do not feel guilty or ashamed of 'how they feel'. I find it is easier to teach children about emotions like you would shapes, colours, the alphabet and other common lessons. Associate emotions with colour and ask children to match different emotions to the colours they think represent the emotion. There are many lovely activities to help you with this but the best way is to lead by example.
What happens when a child's emotions are not regulated?
Due to the sheer enormity of child abuse and mental illness, this is an area that is strongly backed up by research although the negative effects of insufficient emotional regulation have been known to many frameworks of psychotherapy and psychology for years. Within child abuse literature and laws, neglect has been proven to be just as harmful, if not more harmful in some cases, than physical abuse. The reason is due to this regulation of emotions and attachment (which I will chat about shortly). Neglect is not simply about not playing with your children or not giving your children constant attention. It is about failure to help them develop and learn, failure to build up their strengths, failure to validate them as human beings and failure to normalise their experiences and teach them that feeling emotions is normal and not to be ashamed of. Safety is not only about a physical environment. Children need to feel like they can make mistakes and will still be loved and accepted. They need to be able to have trust in the people caring for them and they need to be able to ask questions and learn how to manage their feelings appropriately so as not to harm themselves or others in any way.
Going back to my initial statement of children not being born bad or evil, this is a prime example. Children do not have the mental capacity and ability to process their feelings and articulate their needs like adults can. That does not mean they do not feel the same emotions, it means they often are unable to understand them. Children who behave in challenging ways are often acting out their emotions due to a lack of a better outlet or guidance. They are attempting to get their needs met. Discipline and structure are important here, not in terms of punishment, but in terms of safety and boundaries. When you punish a child for expressing their emotions inappropriately, it is important to spend some time teaching the child more appropriate and healthy ways to react without shunning the emotion itself. ALL EMOTIONS ARE IMPORTANT and serve a purpose.
If a child has never been taught how to understand their emotions they will struggle in life to various degrees. The child may go on to develop low self-esteem, mental illness such as anxiety, depression and in extreme cases, more serious mental illnesses such as Borderline Personality Disorder. They will most likely struggle to have healthy relationships and may struggle to handle stress in life. As they have not been taught that certain feelings are normal in certain situations, they will have to work all of this out for themselves along the way. This will mean that they will struggle to feel confident in their reactions and may feel out of control and easily overwhelmed. A good example of a child not having their emotions regulated is when the primary caregiver has mental illness, lets say depression, and struggle to feel their own positive emotions such as joy and excitement and thus are unable to model these to their child. The child may race home with a gold star only to be met with a half hearted smile. The child may become confused and mistake this reaction for a mistake in their own feelings 'this gold star is not something to be excited about'. That lesson will be learnt and the child will be left with confusion. Later in life the child may go on to find that they are unable to recognise joy and excitement.
ATTACHMENT
This ties into both development and emotional regulation and stems from 'Bowlby's Theory of Attachment'. It is about the relationships and emotional bonds
that are formed between people. Children will form an attachment to their primary care giver, usually the mother figure. This is different to other relationships of friendship and romantic attraction/love. It is a deep relationship requiring trust and a sense of belonging where the person creates a bond that is extremely influential to their sense of being in the world. The earliest attachments in childhood are the most important and impact behaviour, self-esteem and self reliance and have a lasting impact throughout the child's life. To have a secure attachment, your child will learn that you love them unconditionally and will be dependable and reliable. Again, many parents do this naturally by meeting the infant's needs, accepting the child's mistakes, spending quality time with the child, creating structure and safety and routine in the child's life, teaching the child continuously, being patient, showing and expressing love and guiding the child through challenges.
When the attachment is not secure:
This can happen for a number of reasons, namely, it happens when a primary care-giver is not consistent or does not create this bond effectively with the child. Inherently, it happens when the child's needs do not get met (physical, emotional and other). If the child continuously receives mixed messages, they will become confused and will not feel secure. This happens when a parent is abusive and the child is never sure how the parent will react. It can also happen when a child is neglected or left to fend for themselves in some way. It also happens when the child's emotions are not regulated. Not having this security can lead to a range of issues down the track for example they may be unable to form healthy relationships, either becoming too dependent or too avoidant, unable to feel secure in a range of areas within their life. Thus this impacts self-esteem and confidence. Some people may go on to suffer from various forms of mental illness, similar to a lack of emotional regulation.
Some final words:
As a parent it is your job to teach your child how to believe in their own ability and experiencing. It is important to take care of yourself so that you may take care of your child. The best way to teach a child is to lead by example. I hope this has not created fear in new parents, it is not meant to frighten and scare, rather to inform. Love your children, treat children like children and don't expect children to deal with adult issues. Children learn best through play and through modelling so remember, live by example and do not use your children to meet your needs, it should be the other way around. There are no rule books and formula's, you will mess up more than once and that's ok. It is how you handle the mistakes that count in the end. Dr Phil always says 'it takes a hundred atta boy's to make up for one criticism. Never call your child names like stupid, useless, bad, hopeless etc, they will believe you and take this on board. Always punish the behaviour not the person. Your behaviour is naughty not you are naughty. Take time to explain why you are angry or upset with them, let's get rid of the 'because I said so' and replace it with a solid response 'mummy wants to keep you safe and so the answer is no'. Encourage questioning and exploration and encourage tolerance and love!
Those are my thoughts and I encourage you all to keep learning about this and find ways that work for you and your family.
XXX
Paula
No child is born 'evil' or 'bad'. Despite many people out their believing otherwise, the very tough home truth is that children are a product of learning or circumstance. This is something I believe with my whole heart and if no other message goes through, let it be this one! If you were told something awful like that as a child...it is not true. Simple. What isn't simple, however, is understanding why children develop behavioural problems, or behave in ways that are associated with our idea's of 'bad'. I thought the best way to go about this would be to explain some of those fancy phrases or terms such as 'attachment', 'emotional regulation' and 'development' in a way that is easy to comprehend and apply to your own lives.
DEVELOPMENT
I will start with development as most people know about this to some degree - if for no other reason but because we have all progressed through early development ourselves and continue to develop throughout our lives. When development is mentioned in relation to children, it is about how a child is growing, learning and reaching milestones specific to a rough age group. Theorists such as Freud and Erikson (the 2 that spring to mind the most for me) and many others have attempted to create comprehensive 'stages of development'. I wont go into what their theories are in this forum but I will discuss this concept of developmental stages a bit as it can become a great source of stress for parents, particularly if your child is said to be 'delayed' or 'immature' for their age.
There are many theories but none of them are absolute and rigid. These milestones are meant to act as a guide. Children should start to teethe, walk, talk, make associations etc around certain ages. Some children advance in some areas and take longer to develop in others. This is normal. Your child is unique and special and should be assessed as an individual, the same as adults. Some areas require more effort and support than others on the part of parents and educators. Children are often put through assessments at school in their early years in order to assess for readiness to move up to the next grade or level. Ideally this is done in order to support the child, not to criticise and pass judgement. That said, many people do feel judged and finding out your child is behind can be quite confronting for parents. For the most part,delays in development are not an indicator of disability, slowness, lack of intelligence or underlying issues. Often it is about being flexible and understanding that your little nipper is constantly learning and their brains are still developing. Children are each exposed to different stimuli, experiences and learning opportunities and the rate at which this learning takes place is going to differ slightly for each child.
When to be concerned:
With everything, it is always good to consult with a professional if you notice areas of struggle or delay that are worrying or substantially different from other children their age. Keep talking to your Doctor and keep yourself informed about what milestones to expect from what ages so that you are able to align your expectations with your child's capability. When professionals assess a child for abuse, often these developmental stages act as a guide for abnormal behaviour. An example would be a child who is being abused may regress or halt development in certain areas like speech. Teachers should hopefully pay attention when children who are, for example, 3 years old and have not started forming words or sentences yet.
EMOTIONAL REGULATION
This is something that you may actually know about on a basic level. We need to teach children about emotions and appropriate ways of expressing them. This is something most parents do naturally. Emotions are learnt through modelling (children watching you and your emotions) as well as through validation, which is when you reinforce their emotional experiencing by acknowledging their feelings. If you try and hide emotions from children it can actually be more harmful than protective because young children are more in tune with their intuition and senses than with thoughts and reasoning. They will pick up on your emotions and react to them. Being appropriately transparent is a great way to teach your children about different emotions and take away the fear surrounding the more negative emotions such as anger and sadness, I want to stress that you do not need to be transparent about your problems and the reasons you are feeling a certain way, adult problems should not burden children. What you should do, however, is explain that you have an adult problem and it is making you feel sad or angry or frustrated. If you are crying, explain to the child that you are crying because you are feeling sad etc. It is a parents job to familiarise and support children through their emotional experiencing so that they can feel comfortable in their reactions and do not feel guilty or ashamed of 'how they feel'. I find it is easier to teach children about emotions like you would shapes, colours, the alphabet and other common lessons. Associate emotions with colour and ask children to match different emotions to the colours they think represent the emotion. There are many lovely activities to help you with this but the best way is to lead by example.
What happens when a child's emotions are not regulated?
Due to the sheer enormity of child abuse and mental illness, this is an area that is strongly backed up by research although the negative effects of insufficient emotional regulation have been known to many frameworks of psychotherapy and psychology for years. Within child abuse literature and laws, neglect has been proven to be just as harmful, if not more harmful in some cases, than physical abuse. The reason is due to this regulation of emotions and attachment (which I will chat about shortly). Neglect is not simply about not playing with your children or not giving your children constant attention. It is about failure to help them develop and learn, failure to build up their strengths, failure to validate them as human beings and failure to normalise their experiences and teach them that feeling emotions is normal and not to be ashamed of. Safety is not only about a physical environment. Children need to feel like they can make mistakes and will still be loved and accepted. They need to be able to have trust in the people caring for them and they need to be able to ask questions and learn how to manage their feelings appropriately so as not to harm themselves or others in any way.
Going back to my initial statement of children not being born bad or evil, this is a prime example. Children do not have the mental capacity and ability to process their feelings and articulate their needs like adults can. That does not mean they do not feel the same emotions, it means they often are unable to understand them. Children who behave in challenging ways are often acting out their emotions due to a lack of a better outlet or guidance. They are attempting to get their needs met. Discipline and structure are important here, not in terms of punishment, but in terms of safety and boundaries. When you punish a child for expressing their emotions inappropriately, it is important to spend some time teaching the child more appropriate and healthy ways to react without shunning the emotion itself. ALL EMOTIONS ARE IMPORTANT and serve a purpose.
If a child has never been taught how to understand their emotions they will struggle in life to various degrees. The child may go on to develop low self-esteem, mental illness such as anxiety, depression and in extreme cases, more serious mental illnesses such as Borderline Personality Disorder. They will most likely struggle to have healthy relationships and may struggle to handle stress in life. As they have not been taught that certain feelings are normal in certain situations, they will have to work all of this out for themselves along the way. This will mean that they will struggle to feel confident in their reactions and may feel out of control and easily overwhelmed. A good example of a child not having their emotions regulated is when the primary caregiver has mental illness, lets say depression, and struggle to feel their own positive emotions such as joy and excitement and thus are unable to model these to their child. The child may race home with a gold star only to be met with a half hearted smile. The child may become confused and mistake this reaction for a mistake in their own feelings 'this gold star is not something to be excited about'. That lesson will be learnt and the child will be left with confusion. Later in life the child may go on to find that they are unable to recognise joy and excitement.
ATTACHMENT
This ties into both development and emotional regulation and stems from 'Bowlby's Theory of Attachment'. It is about the relationships and emotional bonds
that are formed between people. Children will form an attachment to their primary care giver, usually the mother figure. This is different to other relationships of friendship and romantic attraction/love. It is a deep relationship requiring trust and a sense of belonging where the person creates a bond that is extremely influential to their sense of being in the world. The earliest attachments in childhood are the most important and impact behaviour, self-esteem and self reliance and have a lasting impact throughout the child's life. To have a secure attachment, your child will learn that you love them unconditionally and will be dependable and reliable. Again, many parents do this naturally by meeting the infant's needs, accepting the child's mistakes, spending quality time with the child, creating structure and safety and routine in the child's life, teaching the child continuously, being patient, showing and expressing love and guiding the child through challenges.When the attachment is not secure:
This can happen for a number of reasons, namely, it happens when a primary care-giver is not consistent or does not create this bond effectively with the child. Inherently, it happens when the child's needs do not get met (physical, emotional and other). If the child continuously receives mixed messages, they will become confused and will not feel secure. This happens when a parent is abusive and the child is never sure how the parent will react. It can also happen when a child is neglected or left to fend for themselves in some way. It also happens when the child's emotions are not regulated. Not having this security can lead to a range of issues down the track for example they may be unable to form healthy relationships, either becoming too dependent or too avoidant, unable to feel secure in a range of areas within their life. Thus this impacts self-esteem and confidence. Some people may go on to suffer from various forms of mental illness, similar to a lack of emotional regulation.
Some final words:
As a parent it is your job to teach your child how to believe in their own ability and experiencing. It is important to take care of yourself so that you may take care of your child. The best way to teach a child is to lead by example. I hope this has not created fear in new parents, it is not meant to frighten and scare, rather to inform. Love your children, treat children like children and don't expect children to deal with adult issues. Children learn best through play and through modelling so remember, live by example and do not use your children to meet your needs, it should be the other way around. There are no rule books and formula's, you will mess up more than once and that's ok. It is how you handle the mistakes that count in the end. Dr Phil always says 'it takes a hundred atta boy's to make up for one criticism. Never call your child names like stupid, useless, bad, hopeless etc, they will believe you and take this on board. Always punish the behaviour not the person. Your behaviour is naughty not you are naughty. Take time to explain why you are angry or upset with them, let's get rid of the 'because I said so' and replace it with a solid response 'mummy wants to keep you safe and so the answer is no'. Encourage questioning and exploration and encourage tolerance and love!
Those are my thoughts and I encourage you all to keep learning about this and find ways that work for you and your family.
XXX
Paula
Monday, August 12, 2013
The Power of Memories
There are a few ideas that have been milling around my head lately and it has been hard to channel some of them under a neat heading. I wanted to talk about happiness, regret, meaning, identity and other very interesting and relevant topics. It dawned on me how memories embrace all those topics and many more. Instead of spending time talking about why and how we create memories, I thought I would talk about the impact and influence they have in all of our lives in different ways.
When I say the word 'memory', what comes to mind? Do you think of some memories that you have? Have you recalled positive or negative memories? Does thinking about memories make you feel a certain way like happy or sad or nostalgic? Are the memories happy but the feeling you have looking back at them leave you with a sense of loss or longing?
I would make an educated guess that this will depend on the mood you are in when reading this as well as what you are needing or going through in the present. The reason I infer this is because memories are a tool we unconsciously use to inform us and help us find and create meaning in our lives. At times we use our memories consciously, esp when making decisions or working out whether to trust someone or something. If you are like me, you might store a few things in the memory bank to bring up later (this is an important aspect of counselling too). Unfortunately, however, we often tend to remember things in a limited way, mainly based on our feelings at the time of the memory. For instance you could be on the most amazing holiday with all the trimmings but look back on the whole experience negatively because of a single fight you had with your travelling partner. This, to me, is what makes this topic one of great curiosity and interest.
So many of us are trying to put things behind us. How many times have we heard the phrases 'what's done is done' or 'better left in the past' etc. In the Western way of being, we have a nasty habit of sweeping so much under the rug, refusing to sit with uncomfortable feelings and pushing one another to move on and move up so to speak. The problem with this is that the memory may have been stored away, conversations surrounding it may now be limited if not non-existent and there may seem to be a belief of 'out of sight, out of mind'; but lets face it, if it were that simple we would all be very well-adjusted, fearless and perhaps even reckless. We may even learn how to forgive ourselves a bit more readily.
I have never, in all my days, met a problem that someone is very emotionally connected to, that is easy to forget and move on from. You may be thinking that I am crazy to say this so absolutely, that there are people who don't let things get to them and of whom don't seem to dwell on their issues much at all. This is something that is very misleading I believe and it tends to create unrealistic expectations of ourselves and of others. If there is one thing I have learnt it's that people are complex and unpredictable. Try as you may, block a memory from your life that has been extremely influential and powerful in defining who you are, you will start to find it creeping in to other areas of your life. Perhaps some people have heard of a term 'dissociation'? Loosely, this is when we mentally distance ourselves from a problem. We all do it to some degree, daydreaming is a common example, where you get lost in thought and are not in touch with your surroundings for a brief time. Dissociation can be a defence mechanism, particularly in situations of abuse or extreme distress. Often our minds work out a way to compartmentalise information in order for us to protect ourselves. Something like recalling abuse is something that can be intensely overwhelming for people and if safety is not created in some way - even in our minds - there is the potential to become re-traumatised. Many adults have no memories at all about their abuse as children, particularly sexual abuse. When small memories start to emerge, often in the form of nightmares and flashbacks, it can be incredibly distressing and confusing.
It also begs the question, how much information has been stored out of our awareness as we have journey'd through life's challenges? I also start to think of transference and how certain things can get triggered off in our lives without us even realising it (due to associations we are continuously making - linking the past to the present). How many of our stored memories are important and still need to be processed in some way? I am sure there are many, big and small. This is what makes us complex and unpredictable, this is one of the elements that make us human.
But memories are not all negative. The problem is though that we seem to remember the negative ones with a lot more clarity and willingness to understand. My best guess: Regret. I will admit, I put regret up there with guilt and remorse and spend a lot of time trying to avoid these emotions. Unfortunately, just the conscious avoidance of them gives them power over my life. Regret is a tricky one because no matter how hard we try, we cannot have the gift of hindsight until, well, in hindsight. All we have power over is our reactions but even then, if we are not in sync with our experiences and not accepting of ourselves, controlling our reactions may feel like a pipe dream.
Understanding yourself better really is the key here. Not in a 'magic formula' kind of way but rather as a realistic tool to find acceptance and compassion for all things 'you'. Memories shape and define us. We learn from mistakes, whether we repeat the mistakes or not. At times, we pick and choose elements from our past experiences to ground us, to remind us that we belong, to validate us as members of something greater than ourselves. Even immediate memories such as calling a friend in a time of need can help you to remember that you are not alone. Alternatively the memory of trying to get help and not receiving it can make you feel even more alone. Scientists are probably more comfortable with the terms 'cause and effect'. As we navigate through our lives and accumulate experiences, we have the choice to learn and grow. The first step is to look at yourself, with all your flaws, weaknesses and mistakes, and see someone who is not so unlike everyone else. Even if you were to be perfect, perfect means different things to different people.
You cannot change the past. I often say to people who are caught in a spiral of regret: Look back at this time, what you knew, how old you were, what you were feeling, faced with and the time in your life when the experience occurred...Given the place you were in and the ability you had at the time, would you have been able to do things much differently? Sure, you would most likely react better if given this problem now, esp after time and hindsight to think about it, but it is important to remember that we do the best we can given the circumstances. Beating yourself up is a punishment not fitting of the crime. Emotions such as regret, guilt and remorse are guides to us, helping us to be conscientious and loving towards others. Fixating on negative emotions prevents us from learning and maturing.
Remember this: there are just as many good memories as there are bad, we just need to open ourselves up to embracing them.
XXX
Paula
When I say the word 'memory', what comes to mind? Do you think of some memories that you have? Have you recalled positive or negative memories? Does thinking about memories make you feel a certain way like happy or sad or nostalgic? Are the memories happy but the feeling you have looking back at them leave you with a sense of loss or longing?
I would make an educated guess that this will depend on the mood you are in when reading this as well as what you are needing or going through in the present. The reason I infer this is because memories are a tool we unconsciously use to inform us and help us find and create meaning in our lives. At times we use our memories consciously, esp when making decisions or working out whether to trust someone or something. If you are like me, you might store a few things in the memory bank to bring up later (this is an important aspect of counselling too). Unfortunately, however, we often tend to remember things in a limited way, mainly based on our feelings at the time of the memory. For instance you could be on the most amazing holiday with all the trimmings but look back on the whole experience negatively because of a single fight you had with your travelling partner. This, to me, is what makes this topic one of great curiosity and interest.So many of us are trying to put things behind us. How many times have we heard the phrases 'what's done is done' or 'better left in the past' etc. In the Western way of being, we have a nasty habit of sweeping so much under the rug, refusing to sit with uncomfortable feelings and pushing one another to move on and move up so to speak. The problem with this is that the memory may have been stored away, conversations surrounding it may now be limited if not non-existent and there may seem to be a belief of 'out of sight, out of mind'; but lets face it, if it were that simple we would all be very well-adjusted, fearless and perhaps even reckless. We may even learn how to forgive ourselves a bit more readily.
I have never, in all my days, met a problem that someone is very emotionally connected to, that is easy to forget and move on from. You may be thinking that I am crazy to say this so absolutely, that there are people who don't let things get to them and of whom don't seem to dwell on their issues much at all. This is something that is very misleading I believe and it tends to create unrealistic expectations of ourselves and of others. If there is one thing I have learnt it's that people are complex and unpredictable. Try as you may, block a memory from your life that has been extremely influential and powerful in defining who you are, you will start to find it creeping in to other areas of your life. Perhaps some people have heard of a term 'dissociation'? Loosely, this is when we mentally distance ourselves from a problem. We all do it to some degree, daydreaming is a common example, where you get lost in thought and are not in touch with your surroundings for a brief time. Dissociation can be a defence mechanism, particularly in situations of abuse or extreme distress. Often our minds work out a way to compartmentalise information in order for us to protect ourselves. Something like recalling abuse is something that can be intensely overwhelming for people and if safety is not created in some way - even in our minds - there is the potential to become re-traumatised. Many adults have no memories at all about their abuse as children, particularly sexual abuse. When small memories start to emerge, often in the form of nightmares and flashbacks, it can be incredibly distressing and confusing.
It also begs the question, how much information has been stored out of our awareness as we have journey'd through life's challenges? I also start to think of transference and how certain things can get triggered off in our lives without us even realising it (due to associations we are continuously making - linking the past to the present). How many of our stored memories are important and still need to be processed in some way? I am sure there are many, big and small. This is what makes us complex and unpredictable, this is one of the elements that make us human.
But memories are not all negative. The problem is though that we seem to remember the negative ones with a lot more clarity and willingness to understand. My best guess: Regret. I will admit, I put regret up there with guilt and remorse and spend a lot of time trying to avoid these emotions. Unfortunately, just the conscious avoidance of them gives them power over my life. Regret is a tricky one because no matter how hard we try, we cannot have the gift of hindsight until, well, in hindsight. All we have power over is our reactions but even then, if we are not in sync with our experiences and not accepting of ourselves, controlling our reactions may feel like a pipe dream.
Understanding yourself better really is the key here. Not in a 'magic formula' kind of way but rather as a realistic tool to find acceptance and compassion for all things 'you'. Memories shape and define us. We learn from mistakes, whether we repeat the mistakes or not. At times, we pick and choose elements from our past experiences to ground us, to remind us that we belong, to validate us as members of something greater than ourselves. Even immediate memories such as calling a friend in a time of need can help you to remember that you are not alone. Alternatively the memory of trying to get help and not receiving it can make you feel even more alone. Scientists are probably more comfortable with the terms 'cause and effect'. As we navigate through our lives and accumulate experiences, we have the choice to learn and grow. The first step is to look at yourself, with all your flaws, weaknesses and mistakes, and see someone who is not so unlike everyone else. Even if you were to be perfect, perfect means different things to different people.
You cannot change the past. I often say to people who are caught in a spiral of regret: Look back at this time, what you knew, how old you were, what you were feeling, faced with and the time in your life when the experience occurred...Given the place you were in and the ability you had at the time, would you have been able to do things much differently? Sure, you would most likely react better if given this problem now, esp after time and hindsight to think about it, but it is important to remember that we do the best we can given the circumstances. Beating yourself up is a punishment not fitting of the crime. Emotions such as regret, guilt and remorse are guides to us, helping us to be conscientious and loving towards others. Fixating on negative emotions prevents us from learning and maturing.
Remember this: there are just as many good memories as there are bad, we just need to open ourselves up to embracing them.
XXX
Paula
Thursday, July 11, 2013
Post Natal Depression and Baby Blues
Today I thought I would create a bit of awareness around Post Natal Depression (PND) or Post Partum Depression. In a simple way, this is when a new mum becomes depressed for longer than 2 weeks after giving birth. This disorder has the same severe or prolonged symptoms of Clinical Depression that lasts more than a week or two and interferes with the ability to function on a daily basis.
PND can interfere with the relationship between mum and baby in terms of bonding and attachment. It can put relationship strains on the parents and PND can be extremely distressing for the new mum.
This is different from the Baby Blues - NB.
Getting the 'Baby Blues' is very common. 50-80% of women have this experience and it usually lasts a week or two after giving birth. Symptoms include mood swings, tearfulness, anxiety and difficulty sleeping aside from the baby. Baby Blues are thought to be linked with the stresses of pregnancy and hormonal changes. The treatment for this is usually rest and support.
There are 2 types of recognised forms of PND - Melancholic and Non- Melancholic.
Melancholic is rarer and has a distinct genetic or biological basis, thus unfortunately you are predisposed to PND and will most likely require medication in your treatment plan. It is characterised by slowed cognitive processes (thinking), poor concentration and psychomotor disturbances (agitation or slowing of movements); on top of the depression symptoms.
Non - Melancholic is more common and is linked with certain risk factors in your social environment. The depression can still be severe but this form of PND responds to psychological and therapeutic treatment and approaches. This is the PND I would like to chat about today.
There is a focus on fears and the concerns are often about the well - being of the baby or feelings of inadequacy as a parent.
Symptoms of PND can include:
Loss of enjoyment in usual activities
Loss of self - esteem and confidence
Loss of appetite and weight
Broken sleep (irrespective of baby)
Sense of helplessness and of being a failure
Wish not to be alive
Suicidal ideation (thoughts of suicide)
Panic attacks
Loss of libido (sex drive)
Fears of baby or partners' well-being or safety
Risk factors for developing PND can include anxiety during pregnancy, stressful life events during pregnancy, low levels of social support, low socio-economic status or obstetric complications. Risk factors mean that there is an increased risk of developing PND; it is NB to note not everyone with these risk factors will go on to develop PND.
The negative effects of PND can be frightening for people suffering from this disorder as well as for their families. Often the mum will struggle to bond with her baby and may not feel any gratification for her role as a mother. Tasks in her life may be too hard to manage at this time, particularly to do with the baby. Thus the new mum may feel isolated, guilty, helpless and hopeless and these feelings are constantly being reinforced by her inability to tend for and love her baby.
The risk for substance abuse increases with PND as does the suicide risk. Some mums start to have intrusive thoughts of accidental or intentional harm towards the baby. NB it is very rare for a non psychotic woman to commit infanticide but these thoughts can be extremely distressing nevertheless.
Depression will effect a mothers's ability to interact appropriately with her child. She may not respond to her baby's cues or she may be negative, hostile or disengaged. The outcome will be a lower cognitive function and emotional development in the child. In lay-mans' terms a child needs to learn about feelings, behaviours and feel validated and supported in order to develop and grow with confidence and stability. If the child is not being responded to or is receiving mixed messages about how to feel, the child will not feel secure in their own reactions and will not learn to understand their own emotions easily. This is bound to create problems later in life. Perhaps some of you are thinking that your own needs may have not been met as a child....
Breast feeding can be difficult for women suffering from PND.
Medication is not a popular choice for PND, particularly because women are breastfeeding and do not want to taint their breast milk. Side effects are not yet known in this regard and the argument lies between the side effects of medication and the negative effects of PND on the child's development. Something to think about.
The common form of treatment is psychotherapy using psychological approaches. The two approaches that are proven to be effective are Interpersonal Therapy and Cognitive Behavioural Therapy. In my personal opinion, it is important to find a person, group or approach that feels right for you. If you would like to treat this asap and are time limited, money limited or a person who does not like talking about their problems, a more manualised approach like Cognitive Behavioural Therapy (CBT) or Interpersonal Therapy (IPT) may suit you. Both approaches go for a number of weeks (12 - 20 on average, CBT can be less) and the skills you learn can be incorporated into your life outside of therapy. Other forms of therapy are less structured and more open ended, often with a person - centred base. My best advice would be to take into account what you would feel comfortable, talk to your GP about options and shop around for a therapist that works for you.
It is always important to feel comfortable and trusting of your therapist. You should work with them to find the best treatment for you. Your unique problems and commitments should be taken into account and you should feel comfortable enough to say when things are not working for you. Sometimes bringing your baby with you to the sessions may be helpful and the therapist can gain an idea of your interaction styles with your baby. You should NOT feel judged, this is important. If you are suffering from PND you are doing enough judging for yourself, you do not need to add to this.
It is important to understand Post Natal Depression so that we can be understanding of ourselves and of others, should we come across this disorder. We are only human after all and no person is immune to life's hardships in one way or the other. Lets support one another!
Hope this isn't too wordy and academic, hard to casually give the facts as we know them :)
Take care
XXXX
Paula
Reference:
Treatment of postpartum depression: clinical, psychological and pharmacological options
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039003/
PND can interfere with the relationship between mum and baby in terms of bonding and attachment. It can put relationship strains on the parents and PND can be extremely distressing for the new mum.
This is different from the Baby Blues - NB.
Getting the 'Baby Blues' is very common. 50-80% of women have this experience and it usually lasts a week or two after giving birth. Symptoms include mood swings, tearfulness, anxiety and difficulty sleeping aside from the baby. Baby Blues are thought to be linked with the stresses of pregnancy and hormonal changes. The treatment for this is usually rest and support.
There are 2 types of recognised forms of PND - Melancholic and Non- Melancholic.
Melancholic is rarer and has a distinct genetic or biological basis, thus unfortunately you are predisposed to PND and will most likely require medication in your treatment plan. It is characterised by slowed cognitive processes (thinking), poor concentration and psychomotor disturbances (agitation or slowing of movements); on top of the depression symptoms.
Non - Melancholic is more common and is linked with certain risk factors in your social environment. The depression can still be severe but this form of PND responds to psychological and therapeutic treatment and approaches. This is the PND I would like to chat about today.
There is a focus on fears and the concerns are often about the well - being of the baby or feelings of inadequacy as a parent.
Symptoms of PND can include:
Loss of enjoyment in usual activities
Loss of self - esteem and confidence
Loss of appetite and weight
Broken sleep (irrespective of baby)
Sense of helplessness and of being a failure
Wish not to be alive
Suicidal ideation (thoughts of suicide)
Panic attacks
Loss of libido (sex drive)
Fears of baby or partners' well-being or safety
Risk factors for developing PND can include anxiety during pregnancy, stressful life events during pregnancy, low levels of social support, low socio-economic status or obstetric complications. Risk factors mean that there is an increased risk of developing PND; it is NB to note not everyone with these risk factors will go on to develop PND.
The negative effects of PND can be frightening for people suffering from this disorder as well as for their families. Often the mum will struggle to bond with her baby and may not feel any gratification for her role as a mother. Tasks in her life may be too hard to manage at this time, particularly to do with the baby. Thus the new mum may feel isolated, guilty, helpless and hopeless and these feelings are constantly being reinforced by her inability to tend for and love her baby.
The risk for substance abuse increases with PND as does the suicide risk. Some mums start to have intrusive thoughts of accidental or intentional harm towards the baby. NB it is very rare for a non psychotic woman to commit infanticide but these thoughts can be extremely distressing nevertheless.
Depression will effect a mothers's ability to interact appropriately with her child. She may not respond to her baby's cues or she may be negative, hostile or disengaged. The outcome will be a lower cognitive function and emotional development in the child. In lay-mans' terms a child needs to learn about feelings, behaviours and feel validated and supported in order to develop and grow with confidence and stability. If the child is not being responded to or is receiving mixed messages about how to feel, the child will not feel secure in their own reactions and will not learn to understand their own emotions easily. This is bound to create problems later in life. Perhaps some of you are thinking that your own needs may have not been met as a child....
Breast feeding can be difficult for women suffering from PND.
Medication is not a popular choice for PND, particularly because women are breastfeeding and do not want to taint their breast milk. Side effects are not yet known in this regard and the argument lies between the side effects of medication and the negative effects of PND on the child's development. Something to think about.
The common form of treatment is psychotherapy using psychological approaches. The two approaches that are proven to be effective are Interpersonal Therapy and Cognitive Behavioural Therapy. In my personal opinion, it is important to find a person, group or approach that feels right for you. If you would like to treat this asap and are time limited, money limited or a person who does not like talking about their problems, a more manualised approach like Cognitive Behavioural Therapy (CBT) or Interpersonal Therapy (IPT) may suit you. Both approaches go for a number of weeks (12 - 20 on average, CBT can be less) and the skills you learn can be incorporated into your life outside of therapy. Other forms of therapy are less structured and more open ended, often with a person - centred base. My best advice would be to take into account what you would feel comfortable, talk to your GP about options and shop around for a therapist that works for you.
It is always important to feel comfortable and trusting of your therapist. You should work with them to find the best treatment for you. Your unique problems and commitments should be taken into account and you should feel comfortable enough to say when things are not working for you. Sometimes bringing your baby with you to the sessions may be helpful and the therapist can gain an idea of your interaction styles with your baby. You should NOT feel judged, this is important. If you are suffering from PND you are doing enough judging for yourself, you do not need to add to this.
It is important to understand Post Natal Depression so that we can be understanding of ourselves and of others, should we come across this disorder. We are only human after all and no person is immune to life's hardships in one way or the other. Lets support one another!
Hope this isn't too wordy and academic, hard to casually give the facts as we know them :)
Take care
XXXX
Paula
Reference:
Treatment of postpartum depression: clinical, psychological and pharmacological options
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039003/
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