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

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

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

Do you have a relationship with your mental health?

As a clinical psychologist, I can appreciate how the internet/social media has aided in increasing awareness and knowledge of mental health. With a quick search, you can learn about symptoms, diagnoses, and treatment plans for any mental health condition. While this is great, it isn’t sufficient and often gets in the way of what is most important in my opinion.

And what is my opinion exactly? That- understanding, identifying, and labeling how we feel, think, and behave is only a part of taking care of our mental health. Another part, (which I am biased to believe is the most important part); is establishing a relationship with our mental health. Pause here-have you ever asked yourself that question? “What is my relationship with my mental health?”

In the midst of information overload, I often see high levels of intellectualization of mental health content and deficits in the development of a personalized relationship. Clients, people in my personal life, as well as myself (yes, me too- spoiler-a PhD does not make your void of being a human) can fall into this trap. We can have so many facts and terms regarding mental health and still carry very high levels of avoidance and suppression with our emotions. It’s one thing to rattle off diagnoses and symptoms, it’s a whole other thing to know them for yourself intimately.

My background is rooted strongly in attachment. I fiercely believe that our mental health is a direct reflection of the relationships in our lives, including; our relationship with others and our relationship with ourself. Part of that relationship with the self-is the relationship we each have with our emotions. Our attachments from childhood often are the blueprint for this relationship. How we were responded to by our caregivers is the very data our nervous system uses to learn overtime how we respond to ourself. This is fascinating and at the same time can be overwhelming to untangle.

Back to the question at hand: “Do you have a relationship with your mental health?” Maybe, maybe not. Either way-I invite you to engage in a reflective exercise (come on, give it a try). Think about the range of emotions we can experience and pick a few (perhaps anger, sadness, fear, and embarrassment).

Spend some time with each one and reflect on these questions:

What do I feel when this emotion comes up?

How do I respond to this emotion?

Is this an emotion I suppress?

How does this emotion make me feel about myself?

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

Dr. Cunningham