The Story Behind Our Boundaries 

This evening, Dr. C talks about boundaries. She identifies some benefits of healthy boundaries in relationships discovered in research. Dr. C explains that our ability to set boundaries reflects the story of the relationships we've experienced. She invites readers to sit with their story to better understand what boundaries bring up for each of us.

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

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Therapy, Attachment, PTSD, Trauma, Childhood Trauma, Anxiety Annelise Cunningham Therapy, Attachment, PTSD, Trauma, Childhood Trauma, Anxiety Annelise Cunningham

What is the Story of Your Nervous System?

Today Dr. C talks through the story of our nervous system. She highlights how our nervous system collects data over our lives and this data influences how we think, feel, and behave. She also brings in how considering the nervous system of others can be beneficial in our relationships.

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

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What Would Happen If We Got Real With Grief?

This Monday, Dr. C is going real on grief. She is calling out the insufficient and unrealistic narrative that too often gets circulated around grief. Dr. C asks readers to join her in pondering how to change the conversations we have when it comes to grief. She invites readers to consider their own experience and bring that to their meaningful relationships.

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

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Understanding the script

Today Dr. C explains attachment and it’s role in our understanding of our emotions. Dr. C breaks down how our caregivers’ responses to our emotions influences our nervous system and sets the stage for how we respond to our emotions ourselves. Dr. C invites readers to take the time to explore questions related to their caregiving system to understand their process of emotion regulation.

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

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Defending protects & blinds us from our wounds

Today Dr. C calls us out on receiving feedback from others in our lives. She discusses how the desire for control can get in the way of safety in relationships. She invites readers to reflect on how defending can be a self-protective strategy and encourages taking the risk of receiving feedback.

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

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Trauma, Death, Grief, Anxiety, Loss Annelise Cunningham Trauma, Death, Grief, Anxiety, Loss Annelise Cunningham

Ping Pong

Today Dr. C reflects on processing terminal news. She brings up the brain’s desire to seek relief and how that can lead to avoidances. Dr. C encourages readers to acknowledge their pain, without it being the definer to the relationship.

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

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Trauma, Grief, Anxiety, Emotion Regulation Annelise Cunningham Trauma, Grief, Anxiety, Emotion Regulation Annelise Cunningham

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

Today Dr. C discusses soothing an awful feeling we can all relate to in the face of trauma-helplessness.

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

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Think About How You Think

This Monday Dr. C touches on the thought patterns we all carry. She explains the link of these patterns to anxiety and depression. Dr. C connects thought patterns to attachment and encourages readers to explore what has influenced their way of thinking.

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

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

Dr. Cunningham pens a love note to those grieving with an emphasis on grief being a present organic relationship, rather than a checklist to complete and move past.

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

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