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

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

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

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