Nervous System Care is Self Care

In the work that I do, the nervous system is a main player. I tell my clients often that I think through the nervous system to make sense of thoughts, feelings, and behaviors. It is not uncommon for me to ask clients, “What do you think your nervous system is telling you?”

You see, our nervous system holds the blueprint to how we function. It’s been with us every single day of our lives. For all of our experiences, our nervous system has been present-collecting data. Your nervous knows you, like REALLY knows you. It holds memories and experiences that you may not even have conscious memory or verbal ability to articulate. That’s right, our preverbal experiences also live in our nervous system. 

Despite it’s importance, we can forget it’s such a big role in our emotional, cognitive, and behavioral functioning. I strongly encourage my clients to think about what their nervous system is signaling to them during times of excitement, discomfort, avoidance, fear, or worry. This practice also supports building self-acceptance and love towards the self. Taking time to learn your nervous system and what activates it leads to knowing how to respond and regulate it.

Traumatic experiences are overwhelming by definition. They are experiences of such significance and severity, our current operating system is unable to cope with what is occurring. Traumatic experiences can be so excruciating and painful, we will block memories out altogether. The fascinating thing is though, even if we cannot consciously grab hold of a memory, our nervous system often still has reactions that are reflective of our trauma. Isn’t that wild? 

There is so much power in learning what both regulates and dysregulates our nervous system. Often, traumatic experiences can make down-regulating very uncomfortable. We can become accustomed to the level of activity in our nervous system, even if that level of activity is inappropriate. If for example, we were raised in a household with lots of anger, conflict, and loud arguments; in turn, our nervous system can become accustomed to that level of chaos. We can even find ourselves unsettled and out right uncomfortable when we experience regulation because to the nervous system it feels so foreign. Learning what our body needs in the context of stress and dysregulation to settle itself into regulation is called self-soothing. Traumatic experiences, particularly those experienced in childhood are a direct interruption to us learning how to soothe ourselves. Any guesses on what helps us regulating our emotions across our lifespan? That’s correct, our ability to self-soothe.

In a world that is bombarding you with messaging about self-care, I ask you today the following reflective prompts listed below. I invite you to sit with and consider how your daily life routines and activities either support a healthy nervous system OR replicate a pattern of activity that may be familiar to previous trauma experiences. 

What events in life may have impacted your nervous system?

What do you do to tend to your nervous system?

How does a resting state feel for you?

Do you find it difficult to find comfort in stillness?

What things have you learned about what helps you feel settled in your body?

Be mindful, lead with love, and don’t forget to listen.

Dr. C

The Story Behind Our Boundaries

Often, discussing boundaries comes with discomfort. It is not uncommon for worries to accompany setting boundaries, especially if there is a story within us related to boundaries (or lack thereof) in our nervous system. 

What do I mean by this? Attachment behaviors form procedurally (interaction by interaction overtime). Our nervous system collects data from these interactions to make sense of relationships and creates what we refer to as a “working model.” Think of the working model as a script that tells the story of what to expect in a relationship. 

Even though research has found many benefits of boundaries within relationships, setting boundaries for ourselves is a layered experience. In fact, boundaries have been found to be associated with improved communication, decreases in conflict, and increases in self-esteem. Nonetheless, setting boundaries for ourselves often is a reflection of the attachment style we have with ourself. If our relationships in life have lacked boundaries, we can question if we deserve them, if they are rude, fear the other individual’s reaction, or even fear the ending of the relationship altogether! We are certainly a part of that story, but so are the other people we have experienced relationship with. If boundaries were never formed, encouraged, or respected-they can feel threatening, unsafe, and trigger feelings of rejection and/or abandonment. Depending on the attachment styles our nervous system has experienced, the story around boundaries can vary widely. 

This evening, I invite you to reflect on the story your boundaries tell. Not only with others, but within yourself. That’s it. I know I usually provide lots of reflection prompts, but as mentioned, this topic is layered. If it feels safe to do so, peel them back, take a look, and sit with your story. 

Be mindful, lead with love, & don’t forget to listen. 

Dr. C

What is the Story of Your Nervous System?

Working in trauma, grief, and attachment requires a framework of understanding people through the story of their nervous system. You see, it is our nervous system that has been collecting data our whole lives that determines our emotional, behavioral, and cognitive experiences. Our nervous system holds the story of our life experiences-including the good, the bad, and the ugly. 

Have you ever thought about yourself in this way? What is the story of your nervous system? How does your body respond in times of stress, love, excitement, fear, or rejection (to name a few)? How do you respond to being needed by another person? In contrast, how do you respond when someone doesn’t need you? What do you do when someone expresses emotion in front of you? What about when you show emotion in front of others? These are all questions that our nervous system answers.

Learning the story of our nervous system is an overwhelming process. Acknowledging relationships and experiences that were significant in our lives is often heavy and emotionally intense. I find we often want so badly to tell ourselves that things didn’t matter “that much,” or that we’ve “moved on,” or that “it all happened so long ago I was a kid.” We have the same nervous system our whole lives. It’s always taking in data and that data gets encoded into our emotional, behavioral, and cognitive functioning, at any age. As much as I wish this was true, age is not relevant. Even experiences that occur before we can even talk are influential to our nervous system. 

Today I invite you to go through the questions I’ve posed throughout today’s message. Take some time and think about the story of your nervous system. Consider what life events and relationships make up the chapters to the story. And, as an added challenge-I invite you to start perceiving the people in your lives through a similar lens. While you may not know the story of their nervous system and the intimate details involved, it can do a wonder for our relationships if we simply practice being curious, rather than being immediately judgmental. When a person in your life has a reaction that stands out to you, I invited you to remind yourself, they too have a story.

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

What Would Happen If We Got Real With Grief?

For an experience that we all go through as humans on earth, I continuously find the available resources on grief insufficient. What do I mean by this? I often am left with a feeling of annoyance that grief support is always wrapped up in flowery undertones. I regularly say to myself “Has the person who created this actually experienced loss of a loved one?” I never feel like it’s raw and real enough to grasp what we actually go through living life with grief. There is a break in the system.

Am I alone in this?

To me, grief is fucking hard. It’s messy, scary, unfamiliar, confusing, and shitty. Why don’t we say that more? Grief is fucking hard and it’s shitty. It has no timeline and does what it is going to do. How are we suppose to process and regulate the intense emotions involved in grief, if we are bombarded by an unrealistic portrayal of them?

Now, before you come for me and this opinion-it is not lost on me why. I get that humans are uncomfortable with distress and we would prefer to be uncomfortable for the shortest amount of time possible-or avoid it altogether. The problem is, that isn’t grief. Grief isn’t comfortable. Grief doesn’t follow rules or fit nicely in a box. Grief is not a construct designed by Hallmark, it’s a real-ass tough life experience. When we find ourselves in the thick of grief, I think we are often angered by the lack of depth of the conversations and support we receive. 

Do you think these things are related? Do you think the continuous flowery undertones enable the cycle of insufficient support? Do you think that if we started actually realistically describing grief out loud and sharing our experiences that it would change what support looks like? This is a place mentally I go often. Pondering and wondering how in the safety of our meaningful relationships, we could change the narrative. Attachment is kind of my thing, I believe relationships are a crucial point in healing. I believe magic happens when we are willing to be uncomfortable (safely of course). 

Today I invite you to reflect on the conversations you’ve had in your life around grief and ponder with me on the following prompts:

How many conversations about grief have I had?

How would I describe my experience of grief?

What sentiments have brought me comfort in grief?

What do I wish more people knew about grief, based on my experience?

What needs to be said out loud more?

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

How Are You at Listening?

Listening is a fascinating concept. So much so, if you search Google Scholar for studies on listening, millions of results are produced. While it is such a widely studied skill, it is something we take for granted every single day. As important as it is, we often fail at it. Not only that, we often don’t even have insight into how poorly we do it. The truth is, listening takes intentional and conscious effort. Listening is a skill, and like any other skill; listening requires practice and prioritization.

When it comes to listening, I can only speak from my cultural lens as someone raised in the United States. In the US, we are not (or very rarely) praised or encouraged for our listening abilities. Rather, we are socialized to focus on OURSELVES. What WE think, what WE want, what WE believe. There is an imbalance in fostering a love for curiosity, learning, and understanding of OTHERS. This is one of the many reasons I am a proponent of citizens of the United States engaging in talk therapy as a way of life-simply because we have very few spaces dedicated to and prioritizing listening. Going back to listening being a skill, how can we perfect a skill we are never exposed to?

You know me, I love a reflective exercise. I’d like for you to take a moment and think about the loved ones in your life. Think about the meaningful relationships in your village. How would you say you do when it comes to truly listening to each of them? Better yet, how would each of them assess you on your ability to listen? 

Now, certainly there are very real life stressors and neurological conditions that can influence our ability to listen. ADHD, concussions, and exhaustion are just a few examples. And while we can acknowledge the things that can make listening harder, do we also hold ourselves accountable for things we implement to make listening a conscious priority that we practice? Do we also identify things that make listening easier for us?

Listening is a regulator in our relationships. It serves as a critical factor in feeling understood, acknowledged, and respected by others. In a society that overly pushes hyperindependence and the stroking of the individual ego, we NEED to WORK to counteract those messages. And, it’s not just good for the other person-LISTENING IS GOOD FOR THE LISTENER. It improves empathy, provides clarity, and can increase productivity to name just a few positive outcomes. 

Below you will find an exercise I do with my clients, I refer to it as a listening assessment. Take a look and see how you are doing. I encourage you to acknowledge if this is an area that doesn’t come naturally, that is OK! I encourage you to again think about your relationships and how your friends and family would answer the questions on your behalf. Most importantly, I hope that you are encouraged to do the work to place listening as a priority in your meaningful relationships. 

What does listening look like? How do I know if I am effectively listening?

Would I consider myself a good listener?

What does it feel like when I am being listened to?

What does it feel like when I am not being listened to?

What helps me focus and be an effective listener?

What gets in the way of me listening?

Do I often interrupt others?

How much of my conversations with friends and family are focused solely on me?

How often do I take control of the conversations I am in?

Be mindful, lead with love, & don’t forget to listen. 

Dr. C

Is Mental Health in Your Vocabulary?

Think for a moment of the meaningful relationships in your life. Think about each individual person, what they mean to you, how much you cherish the relationship you have with them, and the purpose they serve in your life. Think about who they are and what you know about them.

How often do you ask them about their mental health?

Time and time again, clients, friends, and family members tell me how infrequent conversations about mental health are in their lives. I could retire if I had a dollar for each time I was told, “Dr. C, you are the only person in my life that asks about these things.” Ok, I couldn’t actually retire but you get my drift here. 

Now, of course I understand that not everyone is a therapist, that people aren’t always sure what to say, and that socialized constructs add to the stigma around mental health. In understanding all of those influential factors, I’m left with curiosity as to what to do about it. How do we begin to change this? As with any growth point in life, developing this skill requires us to be willing to be uncomfortable, not have all the exact answers, and open to learning.

That being willing to be uncomfortable part seems to really get in our way, doesn’t it? So much so, we will come up with lots of self-protecting excuses. Yes, they are excuses. Some of them may sound familiar: “I wasn’t raised like that.”, “I don’t want to be nosey.”, or how about this one, “Oh me and so & so don’t talk like that”. Those are all examples of stories we tell ourselves to avoid being uncomfortable. 

It’s ironic right? That we can logically and emotionally truly care for someone, yet never ask certain questions or talk about certain topics-simply because they are uncomfortable. Today I urge you to consider the enormous value on the other side of that discomfort. On the other side of that discomfort is the smashing of social and societal stigmas. On the other side of that discomfort is a new level of knowing your loved ones. On the other side of that discomfort are relationships that involve real life shit. On the other side of that discomfort is the difference between someone suffering in silence and someone having a safe place to say the inside stuff out loud. 

Our mental health is who we are. How can we claim to have meaningful and loving relationships if mental health isn’t even in our vocabulary?

Be mindful, lead with love, & don’t forget to listen. 

Dr. C

Understanding the script

I love attachment for so many reasons. I know I am biased, but it really is a fascinating lens to see the world through. Our attachments with our primary caregivers set the stage for how we navigate our world. A big part of that navigation process is what we do with our emotions. 

How our caregivers responded (or lack thereof) to our emotions is important data for our nervous system. Our nervous system takes in this data one interaction at a time to build a blueprint or script of what happens when emotions are present. Our nervous systems are smart and can build different scripts for different emotions. 

Think for a moment how your caregivers responded to your feelings. Did you receive different responses for different emotions? How did your caregivers respond when you were mad? What about sad? What did it look like when you were excited or curious about something? What did you learn about what happens when each of these emotions are present in your relationship with your caregiver(s)?

Ideally, we receive help to organize our feelings. Receiving help in the midst of our feelings supports us in learning what to do with them. Specifically, it helps us to learn when can I manage this by myself and when do I need support? When the attachment is either too intrusive/co-dependent or too avoidant/absent-this process gets thrown off. In doing so, it becomes confusing to know how/when to self-soothe and when to seek support from others. 

As an adult, how are you at self-soothing and knowing when you need to turn to others for more support? Does turning to others bring up discomfort, embarrassment, or shame? Do you have confidence that even if an emotion is uncomfortable that you can take steps to soothe it? Or are uncomfortable emotions too intense to feel without the presents of someone else? 

These are all questions that can be answered from understanding our attachment systems. Different from therapy modalities that focus on thought patterns or exposure, attachment work aims to understand the script of our nervous system. If we can understand that script, we can start to explore and identify places in the script we’d benefit from editing. We can start to learn in adulthood the things that perhaps were absent from our attachment systems. 

Today I encourage you to explore. To sit with the questions posed and start understanding your own script. 

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

Defending protects & blinds us from our wounds

How often do you take feedback from others? 

What are you willing to admit you need to work on in your relationships?

How aware are you of people’s experience of you in relationships?

Are there things that are patterns across relationships that others have told you?

Are there specific relationships that seem to be the only spaces where you have difficulty?

These are just a few examples of reflective self-work prompts. As we develop and grow, we don’t always take the time to reflect on our relationship data. We often take the time to think about our own experiences, but what about how others receive and experience us? 

From both a trauma-informed and attachment-based lens, this is important data. How others experience us is intimate and important information. Now, to be clear-this is not a recommendation to live your life according to others or to be a people pleaser or to be hyper focused on being what other people want. Not at all. This is a recommendation to consider how the people in our lives that we love dearly experience us. This is a conversation to apply to safe and trusted relationships in our lives.

How others experience us is often different from how we see ourselves. As humans, we are used to who we think we are and the stories we tell ourselves about ourselves. Read that sentence again. Sometimes, as a result of trauma or strained attachment relationships, our perspective can get skewed and we can even find ourselves in denial about how we come across to others. Experiences related to trauma, grief, and attachment involve very intense emotions. Our nervous system will seek ways of being in relationship that feel or give the illusion of feeling protection, even if those behaviors cause strain in our relationships. Take example anger. Boy oh boy, will we defend our righteousness to be angry. We will give a whole speech about why we are right and why that anger was warranted- often without ever stepping into a space of reflection to understand truly what is bothering us. And then we will double down when a loved one brings it to our attention-completely losing out on a moment to acknowledge what is happening inside the relationship and someone else’s experience of us. Another one is control. Anyone willing to admit this is a space they cling onto with the jaws of life? Control is a natural response to trauma. It also gives us the illusion of safety. While it may provide that illusion, it makes our relationships tough. 

When we are so focused on defending ourselves, we often are not available to receive feedback. **Again-this is within the context of safe, meaningful, and loving relationships.** When we are not available to receive feedback, we are contributing to the strain in our relationships. We are communicating back to the relationship that we aren’t safe and need to self-protect through defending. By deciding defending ourselves is the most important thing, we also rob ourselves of safe but difficult conversations. Working through receiving feedback in safe spaces not only helps us better understand where our wounds are, it also validates that the relationship truly is a safe place. Not only that, it allows for personal growth. That’s the thing about safety, it lowers the need for self-protection-if we will let it. 

I encourage you to return to the questions above and spend some time. 

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

Ping Pong

A really unhelpful question we humans can berate ourselves with in response to terminal news is, “Would it be better if I didn’t know?” Faced with holding the knowledge that you or someone you love has a terminal illness, we will search our thoughts in desperation for relief. Like a never ending game of ping pong, we find ourselves fantasizing that it may have somehow been better to not know and be taken by surprise by death. Aside from that question being unhelpful, it is also question we can never truly answer. Although our anxiety makes us believe the fantasy would be somehow different, that’s all it is-a fantasy. 

I specifically use the word desperation when referring to asking ourselves these types of questions. Let’s call it what it is. When we are faced with the unimaginable, we are desperate for relief. We so badly want to believe there is a world in which this process would be easier. A wild thought if we take a moment to really dissect it. We desperately want to find a version of life where losing someone we love isn’t painful. As much as we all wished that was the case, losing our loved ones involves pain.

Although this game of ping pong may be labeled by some (by me) as unhelpful, I dare also say it is a game that is comforting. Yes, two (or more) things can be true at the same time. To engage in a world where the process of death would somehow be less painful, even if this world is fantasy, can bring relief. How? It serves as a temporary escape and distraction from the current pain we are saturated in. It also gives us a sense of control, which is important to our brains and how it functions. Perceived control is not only comforting, it’s regulating. Although there might not be an answer to end the game of ping pong, it can feel good to play for a little while. 

As with most things, there is a balance to how often to engage in this game. It’s an enticing game that can be comforting and keep us disengaged from the present moment. That disengagement may feel good temporarily, but disengagement does exactly what it says in it’s name-it disengages us from the present. Escaping is attractive when the present moment is unbearable. We are only human, which means we are limited to our capacities. When our nervous system senses these capacities are tapped, it looks for relief. It’s tough to continue to face pain day after day and we can make the mistake that avoidance is the best route. Avoidance may temporarily relieve us, but it also robs us of all of the other aspects to the relationship we are grieving. We forget that in the midst of that pain is so much love and we can convince ourselves the two cannot exist together. It’s a convincing lie; a lie so convincing that we often believe it and turn away. Today’s message is a reminder that although that may feel true, it is not. The relationships you may be grieving are filled with so much more. And while pain may now be a part of the interaction in the relationship, I encourage you to not let it be the definer. I encourage you to be present and to remind yourself of other emotions that coexist in the midst of pain. Love, humor, anger, excitement, and delight are just a few that come to mind. 

If you’re new here, I don’t always tie things up nicely in a bow. Mostly because the work I do in trauma, grief, and attachment doesn’t come with bows. Instead I offer reflection and encouragement to feel the unsettling, to engage in the present moment even if it’s hard, and to allow yourself to play whatever your own version of ping pong is from time to time. It’s ok to need breaks, it’s ok to be overwhelmed, it’s ok to be in pain. The goal is to try and balance acceptance and allowance of these terrible feelings, while also encouraging ourselves to engage in the relationship.

Below are some reflections to support this process:

What emotions are involved in my grief other than pain?

How do I know when I’m overwhelmed and need to take a break?

Do I find myself avoiding the relationship?

Is my version of ping pong different or similar to the one described above?

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

The Terrible, Awful, and Overwhelming: Helplessness in the midst of traumatic experiences

I had an idea already planned for today’s message. I was going to talk about distress tolerance in relationships. An important and interesting topic, however; some things in my life brought another issue to the forefront. How freaking awful it is to feel helpless. 

My areas of expertise focus on trauma, grief, and attachment. All of which have an element of helplessness because these are all areas of life that happen to us. Life does not ask us permission, nor does it check in on how these events will impact us. Traumatic experiences happen to us, without notice, without permission.

The thing about humans is that we like predictability, consistency, and routine. Familiarity is a comfort to the brain and nervous system. When we encounter traumatic experiences, one factor, among many, that is distressing is the factor of lack of control. It’s really a mind f*** to process the idea that something significantly scary, threatening, and devastating can happen and there isn’t anything we can do about it. The human brain doesn’t like that, and it’s common protective response is anxiety. We start having obsessive thoughts, overly focusing on every detail, running “alternative reality” versions in our heads, and engaging in rigid/compulsive behaviors. Why? Because all of these things are the human attempt at feeling control in the midst of the terrible, awful, and overwhelming nature of helplessness. 

While we need to give ourselves grace when those anxiety thoughts and behaviors come our way; we need to also remember these control-seeking behaviors do not change what is happening in our lives. They are attempts at distraction and coping, often through avoidance. So, if you find yourself tasking or overthinking, welcome to the club of being human. These reactions are to be expected in responses to traumatic experiences. 

So, what’s the takeaway? I think it’s about understanding normative responses to trauma. If we can see something as human, it can make it a bit easier to approach, understand, and ultimately challenge. If you find yourself engaging in these anxiety behaviors, after first reminding yourself that you are human, here are something you could do to support your brain and nervous system to combat the terrible, awful, and overwhelming nature of helplessness. 

Rather than avoiding it, I invite you to:

-Pay attention to your senses: What are you seeing? Smelling? Hearing? Tasting? Touching?

-Lay down flat on the floor, put your hands over your belly, and slowly take breaths in and out (make sure when you breathe in your belly inflates and when you breathe out that it deflates)

-Go on a walk

-Engage in a safe relationship

-Stretch

-Develop a mantra of soothing self-talk 

-Scan your body- slowly scan from the top of your head to the tips of your toes, with each section-acknowledge what you notice, breathe deeply several rounds, and then move to the next section.

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

Calling Ourselves Out

Now, before we even get started today, talking about our own human tendencies can be tough and often triggers defensiveness. As you read today’s message, remind yourself that you are human. To my clients-I know you are rolling your eyes because I say this frequently, but it is always worth repeating. Welcome to being human.

When we experience anxiety, a common response is to further protect ourselves. Unfortunately, we often do that by yelling, rudeness, and spewing hurtful comments. Other times we can totally ice out the other persons involved, giving doses of the silent treatment. Because our own nervous system senses it’s under attack, we go to battle. This not only reinforces and strengthens are anxiety, but it’s not so great for our relationships either. 

One part of being human that seems to show up for most (if not all) of us-is that we can so quickly forget our loved ones are on our side when anxiety is activated. This intensifies even more so when we’ve experienced relationships that mishandled our emotional safety. When anxiety is present, we often feel we are on our own-even if we are in currently in safe relationships. 

Today’s message was titled, “Calling Ourselves Out,” and here is my pitch for accountability. Our emotion regulation and our meaningful relationships benefit immensely when we can feel tough stuff without turning against one another. I know, I know, -easier said than done Dr. C. That’s true, it isn’t easy-but it is worth it. In the midst of safe relationships-the more we can learn our triggers, challenge ourselves to anchor back to the present moment, and hold in mind we are safe-the better not only our regulation but our relationships. Being able to come alongside and process a tough emotion as a team, rather than opponents, strengthens intimacy, trust, and most importantly safety. 

So, today I ask-is this something to call yourself on? Do you find yourself turning to battle even in the midst of safety? Are you willing to work on catching it in the moment? If so, here are some reflective prompts to guide this work. As you do, maybe I’ll annoyingly be in your head saying “Welcome to being human.”

What triggers my anxiety?

How do I respond to my loved ones when I’m anxious?

What would it be like to feel anxious with my loved ones’ support, rather than pushing them away to self-protect?

Be mindful, lead with love, and don’t forget to listen. 

Dr. C

Think About How You Think

A common part of therapy is identifying how we think. Exploring our thoughts helps to identify patterns that may be problematic and adding to symptoms of conditions such as anxiety and depression. Doing this sort of exploration is often eye-opening, as it can reveal the framework our mind applies to the things we experience. Often these frameworks are distorted but feel real and accurate to us nonetheless.

For example, a common problematic thought pattern is referred to as dichotomous or “black-and-white” thinking. This pattern is rigid, and assigns things into two categories such as good/bad, yes/no, right/wrong, all/nothing. They are called problematic or distorted because they are riddled with mistakes. Take black-and-white thinking- if we only look at things through that lens-we completely miss any compromising, middle ground, or duality. Problematic thought patterns not only increase anxiety and depressive symptoms, they also make it more difficult to cope/regulate through distressing emotions.

While this sort of identification of thought patterns is common in therapy modalities that are cognitive focused, the conversation goes a bit deeper when working through an attachment-informed approach. When I am working with clients, not only do I focus on identifying problematic thought patterns; I also focus on identifying the relationships that influenced them.

You see, the meaningful relationships in our lives influence how our brains perceive things. For instance, if we grew up with a caregiver that was very black-and-white in their thinking, we can find ourselves also adopting that strategy. Thought patters are learned in the brain overtime, and they will feel natural and automatic. It isn’t until we step back, reflect, and examine how we think, that we can identify where distortions show up. Often these thought patterns also align with how we felt our emotions were handled by our caregivers. Did you grow up with some emotions being labeled as good and others as bad? Did you have a caregiver that ignored the details/context to your emotions and instead responded with a “this is right and that is wrong” mentality? Our thought patterns not only influence how we think, they influence how we feel, and how we respond to both ourselves and to others!

Similar to attachment styles, our thought patterns are also capable of change with consistent investment and effort. Today I invite you to sit with this black-and-white thinking example a bit more. Is this something you can relate to? Here are some reflective prompts to support diving in a little deeper!

How did my caregiver(s) respond to my emotions?

Did I agree with how my caregiver(s) responded to my emotions?

What did my caregiver(s) misunderstand or fail to see in my times of distress?

When I experience more distressing feelings, like anxiety or depression-do I apply this pattern? (right/wrong, all/nothing, good/bad, yes/no)

How does black-and-white thinking influence my relationship with others?

How does black-and-white thinking influence how I respond to my own emotions?

Be mindful, lead with love, and don’t forget to listen.

Dr. C

What’s on Your Playlist for Your Mental Health?

Today I want to start off with an exercise. I am going to list some basic emotions below and want you to think about what song comes to mind when you think of each one.

Scared

Happy

Heartbroken

Excited

Angry

Did certain songs come to your mind right away? Were there emotions that stumped you? When thinking about the song, did you feel the emotions in real time too? Music is amazing in that way-it can take us right back to the memories as if it’s happening for the first time.

Working in the areas of trauma, grief, and attachment-I am often supporting people through unimaginable and indescribable life experiences. Due to the nature of the experiences, the emotions attached to them are often hard to find words to describe them. Somehow though, music can fill that gap. That gap between knowing with your whole body how you feel but at the same time knowing the words available fall short to truly paint the picture.

Music not only helps us feel connected to our emotions, but it can help us to regulate them too. Research on music therapy has shown that music can help with depression, anxiety, and trauma symptoms. Music can also make us feel closer to ourselves and to others. Have you ever been in a room full of people and a song comes on and everyone knows the words? Music helps us access our emotions, regulate them, and to not feel alone in them.

That being said, I think it’s often overlooked or missed as a coping mechanism. Music interacts with our nervous system, impacting our breath pattern and even heart rate. When we listen to music mindfully, or with our full attention-these changes can be observed. Listening to music actively or mindfully (this means really really paying attention to the words, beat, instruments, and also your body’s reaction) supports regulation of the nervous system.

It’s also important to note that some music (even the music we say is our favorite) can be activating to our nervous system- perpetuating moods like anger/irritability. This is where you come in as the expert as the dj to your own playlist. The better we know our mental health and our body’s reaction to music- the better we can select which tracks we should hear depending on our emotional state.

What does today’s message mean? Music is a powerful tool to support our mental health. Music influences the nervous system in both regulating and dysregulating ways. To best use it as a coping mechanism, we benefit from knowing ourselves, our emotions, and our nervous system. And finally, taking the time to truly mindfully listen to music is different from being autopilot. The more we can attune to the music, the more we can also attune to our body and how it responds to what we listen to.

In addition to the exercise above, here are some questions to support you building the playlist for your mental health.

What emotions are tied to the music I most frequently listen to?

How do I feel after I listen to the music I most frequently listen to?

Do I tend to listen to music when in certain moods and not others? If so, what do I think contributes to me listening to music.

Where are areas of my life/routine that I could incorporate listening to music mindfully?

Be mindful, lead with love, and don’t forget to listen.

Dr. C

Notice I didn’t say was: A love letter to a grieving soul

Dear grieving soul,

Grief comes with so many realizations, it transforms us both inwardly and outwardly. As you are reading this, you may not even feel like you know who you are. While that in and of itself can be unnerving, it’s a signal of how significant the one you are grieving is to your sense of self. Notice I didn’t say was.

I bet you never realized just how uncomfortable the rest of the world around you is with intense emotions until now. Have you found yourself completely annoyed and dreading encounters with others? Have you found the space to laugh at the ridiculous things people say? Perhaps you are desperately waiting for a single other human to just fucking get it. Grief brings a magnifying glass to how unequipped most are at holding space for things that are intense, uncomfortable, and that don’t have a clear “fix.” The fact that there isn’t an easy fix or words that bring much comfort is that same signal. The signal of how significant the one your are grieving is to your sense of self. Notice I didn’t say was.

Our brains work so hard to make sense of our lives and experiences, especially the ones that accompany intense emotions. One of the ways our brains try to help us when things are overwhelming is to organize and create a story line. Our brains work to think of and discover the hows and whys in effort to navigate what is going on around us. It’s typically a good strategy, until it comes against grief. Often, there aren’t answers to our questions in our loss. We are left here living with sometimes no answers or if we do get them, they fall short in comparison to the pain. The answers we do have so often are insufficient and leave us angry and well-aware that answers be damned, it isn’t fair. Having to live life with loss isn’t fair and the fact the brain’s typical strategy falls short is yet another signal of how significant the one you are grieving is to your sense of self. Notice I didn’t say was.

Grief is a complicated ride to say the least. It can influence how we think, what we want to do, create fears, boil up anger, change our priorities, and introduce guilt and doubt-just to name a few. Because of this, it is only human that we desire for it all to go away and meet these differing emotions with resistance. It’s in this resistance that we are the most desperate for control. The thing about grief though, is it isn’t something to be controlled. It is something that lives with us throughout our lifespan after loss. Grief is organic, subject to change, surprising, sometimes silly, sometimes painful, and sometimes down right exhausting. While on this ride, grieving soul, remind yourself that each twist and turn is a signal of how significant the one your are grieving is to your sense of self. Notice I didn’t say was.

Grieving soul, as you put one foot in front of the next, I hope this letter will serve as a reminder to engage with your grief. It is present and will continue to be. The intensity may change, but the loss of someone significant to your sense of self is a loss we feel infinitely. Your grief will likely morph and feel differently at different timepoints in your life, but it will likely always bring certain emotions back to the forefront. Grief does not go away because we don’t have all the answers, because it isn’t fair, because people don’t know what to say, or because we desire to resist. As you take each step in living life with loss, remember the relationship with the one you’ve lost continues too.

Grief is. Not was.

Be mindful, lead with love, and don’t forget to listen.

Dr. C

Being Vulnerable Safely is Good for Your Health

What comes to mind when you think of the word vulnerable? If you were asked to describe it, what words would you choose? A quick google search produces the following Oxford result for the term, “the quality or state of being exposed to the possibility of being attacked or harmed, either physically or emotionally.” What sticks out to me are two words. Before I tell you my two; what two words stick out for you?

Did you also choose exposed and attacked?

 Our relationship to vulnerability directly impacts our mental and physical health, our relationships with others, and perhaps most importantly, our relationship to ourselves. Depending on our attachment experiences, being vulnerable may or may not be a safe affective state to experience. If our prior experiences have taught our nervous system it is not safe to be vulnerable, we will come up with alternative strategies that feel “safer.” I put safer in quotations because these strategies trick us in the moment and often come at a cost overtime.

Strategies are adopted by our nervous system as a means of protection. Our nervous system works hard to keep us “safe,” even if the strategy comes at a cost. A common strategy to avoid vulnerability is emotional suppression. Emotional suppression is a tricky strategy because while it can be effective, it does come with consequences when utilized as the only way to regulate emotions. Emotional suppression is conscious, meaning we make the decision to not feel the emotions at hand. Rather than choosing to feel the emotion, because it has been deemed unsafe by the nervous system, the individual does not acknowledge, accept, or process the emotions. While this works in the moment to offer a perception of relief and maintaining safety, there are scientifically documented consequences to long-term emotional suppression. Higher rates of anxiety and depression, as well as heart disease and autoimmune conditions are just a few on the list. So, while it may be scary to feel our emotions, it is also imperative to our mental and physical well-being.

Today I offer an invitation to reflect on your own relationship with vulnerability. I encourage you to think about your influential relationships throughout your life and what contributed to the level of safety you feel in your vulnerability. As always, I’ve provided a few prompts to support you in this exercise.

What does vulnerability feel like for me?

Who in my life am I able to be vulnerable with?

What relationships influenced my relationship with vulnerability?

Are there emotions I suppress more than others?

Be mindful, lead with love, and don’t forget to listen.

Dr. C

When Life Keeps Going For Everyone Else, Trauma & Grief Completely Halts Your Own

If you know anything about me, it’s hard for me to have a conversation about what I do without acknowledging both gratitude and privilege. In my private practice, I specialize in trauma, grief, and attachment-all extremely intimate areas of life to be invited into. These privileged relationships I have with clients are often started in the thick of unimaginable, terrible, indescribable life circumstances. These privileged relationships originate in the midst of experiences such as the loss of a loved one, a chronic and/or terminal illness, or becoming a parent to a medically complex child.

In the thick of things and in the immediate time afterward, it is not uncommon for social support systems to be active. This is the time that people tend to jump in-checking in frequently via texts/phone calls, setting up fundraisers, offering help with transportation, and  volunteering to provide meals. These acts of service are important and vital in the midst of the unimaginable, terrible, and indescribable. The reality is, more is often needed.

Slowly but surely, social support systems find themselves back to business as usual. Everyone else’s life continues on, despite trauma and grief being anything but over for those experiencing it. Not only do social support systems return back to baseline, the rest of the world also continues to go on. It is not uncommon for the texts/phone calls to slow down, the fundraisers to diminish, offers for rides to stop, and meals to no longer show up at the door. And of course those things happen, because life goes on. The problem is, trauma and grief don’t follow that tight of a timeline. Trauma and grief aren’t just present in the moment of the event, they linger for much much longer, sometimes indefinitely.

Today’s message is a message of acknowledgement and remembering. Acknowledgement that as people, we can often be so great in the moment of crisis, and struggle to uphold what the situation truly calls for long-term. The length of an individual’s/family’s world halting is unique and does not fit into a nice structured timeline. This is an especially important message for those of us that live in the United States, a country that pushes hyperindependence and convenience. Trauma and grief are not convenient and serving those in our lives experiencing them is also not always convenient. Today’s message is also about remembering. Inviting us to hold the trauma and grief of the people in our lives in mind and not to forget simply because life goes on. There is power in remembering. Why? Because while the rest of the world returns to baseline and business as usual, it feels like everyone has forgotten. It’s a specific set of emotions that comes with feeling like you are the only one that remembers. Isolation, pain, and anger to name a few. So, today is about acknowledging and remembering. Choosing to do an inconvenient act of service is choosing to remember and acknowledge, rather than to treat life as normal. Because, life after trauma and grief is not normal. I invite you today to take some time and think about your people and community while reflecting on the prompts below.

 Who are the people in your life that could use some acts of service?

When in life have you been a social support system toward someone going through a tough time?

What indicates to you when a friend/family could use an act of service?

What does acknowledging and remembering look like to you in your relationships?

Be mindful, lead with love, & don’t forget to listen.

Dr. Cunningham

Mother’s Day

Yesterday was Mother’s Day in the United States. And although we can recognize the holiday has origins in commercialism and capitalism, it’s a day that often influences our mental health. It’s a day that can heavily influence our mood, the thoughts we have, and the emotions we feel.

It makes sense, right? Even if you yourself are not a mother, the day can bring about whatever (resolved or not) is included in your relationship with your mother. It’s a day that also has pressure and expectation- because good ole’ social media is alive and well displaying perfect and romanticized content celebrating motherhood. It’s a day that can be filled with love, festivities, and smiles for some; while also a day that can be filled with longingness, anxiety, anger, grief, and immense sadness for others.

As a psychologist that works in trauma, grief, and attachment, I have the privilege of working with all kinds of mother-child relationships. From difficulties with fertility/conception, to bonding with your baby in the NICU, to grieving the loss of your child, to finding your identity as a mother, to working through your childhood trauma with your own mother- I am grateful for the many ways in which I get to work with you mothers. It’s an honor to be invited in to such intimate and important relationships.

One of the many things I take away from this work is that how we are mothered matters. How we were loved, seen, spoken to, disciplined, celebrated, or the lack thereof matters. It influences how we see ourselves, how we process our emotions, and the internal voice we carry with us throughout our lives. Sometimes we benefit from and keep these influences, while at other times we redesign and create new ways of mothering. Whether the way we were mothered was helpful or hurtful; how we were mothered matters. Because it matters, it is worth exploring, acknowledging, and understanding.

So today, if it feels safe to do so- explore the prompts below:

What words describe the relationship I have/had with my mother?

What does motherhood mean to me?

How was I influenced by my mother?

How does the way I was mothered influence how I mother/my relationships?

 Be mindful, lead with love, and don’t forget to listen.

 Dr. Cunningham

Attachment Styles: The Blueprints We’ve Had Since We Were Babies

One of the many reasons I am highly interested in attachment work is the concept that so much happens in our very early years of life. We literally come into this world ready for and dependent on relationships. Take a moment to appreciate the significance of that; during a time of complete vulnerability, our brains are being influenced by our relationships in a way that has lifelong impact for our developmental, physiological, and neurological health. Our society can fall into a terrible coping mechanism making claims that little ones do not remember or understand what is going on around them. That could not be further from the truth. During infancy, we look to our caregivers for signals to make sense of not only ourselves, but the people and the world around us. These signals define what is safe and what is not safe. Interactions with our caregivers build up, one at a time, resulting in a blueprint for our nervous system. Before we are even ready to talk, our brain is collecting data and filing it away.

So, what is this blueprint I’m referring to? Our nervous system collects data procedurally to establish expectations and processes for the world around us. Through the relationships with our caregivers we receive crucial information about the importance of our physical and emotional needs, the availability of the caregiver to get them met, what those needs activate for them, and how well they are able to regulate stress in the process. In turn, this data also informs us on things like our ability to trust others, regulate our own emotions, and even the behaviors we engage in when we are upset. These are all ingredients used in the recipe of our attachment style(s). And although we have the capacity to change our attachment styles, without conscious effort and safe relationships to do that work-we are left navigating the world through the data that we took in from our early years.

Attachment conversations are not easy, and in fact are quite fragile for all parties involved (for this conversation let’s use caregiver vs care-receiver). For the care-receiver it can be quite uncomfortable revisiting moments of unavailability, let down, isolation, fear, shame, anger, or disappointment to name a few. It can be emotionally overwhelming to connect with earlier versions of the self when our needs failed to get met. We can also be bombarded with the desire to protect our caregivers so fiercely that we neglect acknowledging our experiences. For the caregiver, it can be equally (yes equally-not more, not less) emotionally intense to sit with, face, and process the influence one’s own behavior had on another. To revisit those moments in time and what was going on that contributed how the caregiver showed up can include processing trauma and other difficulties with mental health. I cannot stress enough that these conversations are not about blame, they are about learning, understanding, and identifying what ingredients went into each of our individual blueprints. Because remember, that caregiver has a blueprint from their childhood too.

Today is not about how to have those conversations (let’s bookmark it and revisit it in a way that it gets the space it deserves). Today is about understanding the influences to your blueprint. It’s about exploration. I invite you to take sometime getting to know your blueprint. Our attachment styles are processes we’ve had our whole lives, yet we can live life never getting to know them. Despite them being so important for our relationships, mental health, and physical well-being- we can be completely unaware and detached from the data our nervous system continues to use today. So, if it feels safe to do so, I invite you to start exploring.

Who was involved in your caregiving system?

What did your caregiving system relationships teach you about your emotional/physical needs?

What comes to mind when you think about the words you would use to describe how your caregivers responded to your emotions?

Does your blueprint look different with your caregivers vs other relationships in your life? (For example are you more avoidant with your caregiver but more secure with friends or partners?)

Be mindful, lead with love, and don’t forget to listen.

Dr. C

Anger: Protection at the risk of collateral damage

Set the stage with me. We’ve all been there. When what we had in mind for a conversation, well; the exact opposite happened. Although there was every intention to keep our cool, stay level-headed, and communicate the way we practiced in our head…..the interaction brought out something entirely different.

As frustrating and disappointing as this is when it happens, it’s human. Interactions that involve tension, aggression, and intensity can make it difficult to stay regulated. Not to mention if the relationship has preexisting trauma within it. If that’s the case, anger can be sitting right beneath the surface, on-call, and ready to jump in at a moment’s notice. Our nervous system works so hard to take care of us. Even if it is at the risk of damaging our relationships. How exactly does our nervous system protect us in these difficult interactions? Anger. And don’t get me wrong- you may be thinking to yourself “Well, don’t I deserve to get angry?” or “Dr. C if you knew what they did you’d be mad too!” Of course you deserve to feel anger. Today’s conversation isn’t about that empowering anger that fuels us to stand up for ourselves-no, no, no-today we are talking about the anger that gets the best of us and results in hurting the people we love.

It all happens so fast. The calm and collected version of ourselves is so quickly replaced by yelling, rudeness, and overall defensiveness. This is the part where I repeat, we’ve all been there-to remind both myself and you that this happens. I know I need the reminder because it can feel icky to acknowledge that part of myself.

So what flips the switch? How can something go so differently than how we intended it to go? Typically the answer is anger. Anger is interesting…..fascinating really. It’s an expressive emotion-it takes up space and is accompanied by notable behaviors. Take a moment here to think about how you display your anger. Does it show up in your tone? Body language? Criticism? The thing is though, when it comes to anger-what we see on the outside is often covering up what is happening on the inside. Anger you see, is referred to as a secondary emotion. Secondary emotions show up as a result of feeling something else first (the ones that come first are called primary emotions). Now remember, I said this all happens so fast. When we get angry-we just feel angry-we don’t always realize that it’s coming out because we are first internally feeling something more vulnerable.

What are some of the more vulnerable emotions that anger comes to protect? I’m glad you asked: sadness, worry, fear, disappointment, loss, and discouragement to name a few. All of these emotions, by the way, can and do occur in our meaningful relationships with the people we love.  Today also isn’t about solving it. We will tackle that in a later blog. Mostly because we cannot tackle something we don’t know or recognize. So, today is about getting to know the anger that shows up with your loved ones.

If it feels safe enough to do so, return back to that stage you set at the start of this. Here are some starter reflections to support you getting to know your anger. With increased awareness and understanding-we can then start to problem-solve how to allow that anger to be felt while minimizing collateral damage to those we love.

In what relationships does my anger come out?

Can I identify the underlying (primary) emotions involved (remember-things like fear, sadness, disappointment, loss)?

How do I show my anger toward others?

What is my own comfort with feeling vulnerable?

 Be mindful, lead with love, and don’t forget to listen.

 Dr. Cunningham

Do You know you?

Biases are important. They absolutely influence perspective. So, let me claim mine here at the start. I am a psychologist that is heavily influenced by attachment theory, research, and clinical practice. That is-I believe relationships are critically important in any conversation about mental health. Now that that is out of the way, let’s proceed. But also- keep this whole biases thing in mind as we continue………

A big component of my approach to therapy is focusing on the relationship with the self. I’ve never quite understood how symptoms of depression, grief, anxiety, or trauma could be assessed and treated without attachment as a core component of that process. A lot of mental health treatments focus on investigating and changing thoughts, feelings, and behaviors. How can we talk about changing thought patterns, challenging beliefs, or building new habits if we don’t know the quality and history of the relationship within? Even more-so if we are totally disconnected with ourselves? Our relationships impact our reactions, perspectives, and how we regulate. How can we work on any of those things if we don’t first learn about the relationship with them?

It is not uncommon for people to struggle with answering questions about their relationship with themselves. We live in a world that offers lots of ways to distract us from spending time with ourselves. Distraction is an effective strategy (watch out-effective does not equal healthy) to avoid all of the thoughts and feelings we’ve accumulated throughout life. Although our brain and body have been present for all of our life experiences, we can live life completely severed from building a relationship with our internal self. What’s even more interesting, is the fact that we can be so unfamiliar with the internal self-while still letting that internal self run havoc on our lives. That internal self can engage in negative self-talk, create self-doubt, hate, and total disdain for ourselves; and is capable of creating entire narratives about our self or the world without a single ounce of objective data. For a part of us that is so influential on our mental health- it seems it would be a good use of time and resources to get to know us a little better, no?

As with any relationship, the relationship with ourselves needs time, prioritization, and investment. Also like any other relationship, work with the internal self requires consistency, vulnerability, and honesty (just to name a few). It can be a daunting and overwhelming task to even think about, let alone to sign up to do it repetitively.

Here is a reminder that often what we need is very different from what we want. If you are feeling overwhelmed at the idea of getting to know yourself, perhaps that is a good place to begin. I highly recommend leading with curiosity and responding to whatever comes up with grace. The cool thing is (insert nerd alert-I understand cool is a very subjective descriptor and you may be reading this thinking “Dr. C, nothing about this sounds cool.”) the more you do this work, the more magic happens. It is truly incredible how improving our relationship with ourselves can and does spill over into our lives (Remember those things above? I’m talking about those-our self-talk, our reactions, our ability to regulate-those things!). Today, I invite you to consider where in your life you can start carving out some time for you to get to know you.

Starter reflective questions:

How did I feel reading about this?

What do I feel inside when I think about my relationship with myself?

How would I describe my relationship with myself?

What comes to mind when I think about what has influenced how I talk to myself?

Be mindful, lead with love, and don’t forget to listen.

Dr. Cunningham