Tuesday, August 19, 2014

Living the Gentle Life—Part 2: The Physical Effects



In the previous newsletter, I began talking about the normal aftermath of pathological love relationships—Post-Traumatic Stress Disorder.

PTSD is an anxiety disorder that is often reactivated by ‘triggers’. These can include people, places, things, or sensory feelings that reconnect you with the trauma of the relationship. In the last newsletter, I talked briefly about the gentle life and how an overtaxed and anxious body/mind needs a soothing life. I cannot stress this enough: people MUST remember that their PTSD symptoms CAN BE reactivated if they aren’t taking care of themselves and living a gentle life.

What IS a gentle life? A gentle life is a life lived remembering the sensitivities of your PTSD. It isn’t ignored or wished away—it is considered and compensated for. Since PTSD affects one physically, emotionally, sexually, and spiritually—all of those elements need to be considered in a gentle life. Just as if you had diabetes you would consider what to eat or what medication you need to take, so it is with PTSD.

Interestingly, although PTSD is listed in the psychiatric manual as an emotional disorder, PTSD has some very real physical effects as well. In fact, there has been some discussion among professionals about having PTSD listed in physicians manuals as well, because the untreated, ongoing effects of acute stress are well-known in the medical community. Since PTSD has both components of emotional and physical symptoms, someone recovering from PTSD must take those aspects into account.

Physically, PTSD often becomes a chronic condition by the time you get help. That means you have been living with it for a while and it has been wreaking havoc on your physical body during that time. Unbridled anxiety/stress/fear pumps enormous amounts of adrenaline and cortisol into your body. This over-stimulates your body and mind, and causes insomnia, paranoia, hyperactivity, a racing mind/intrusive thoughts and the inability to ‘let down’ and ‘rest’.

A body that has been living on adrenaline needs the adrenal glands to ‘chill!’ People often complain of chronic insomnia, which also leads to depression. Depression can lead to lethargy, overeating, weight gain and hopelessness. It is possible to have both anxiety and depression occurring at the same time. Unmanaged stress, anxiety, and adrenaline can lead to long-term medical problems often associated with stress—lower GI problems, migraines, teeth grinding, aggravated periods, chest pain, panic attacks, and most auto-immune disorders like fibromyalgia, lupus, chronic fatigue syndrome, arthritis and MS.

So, CLEARLY, PTSD is something that SHOULD be treated. Physically, that means going to someone who can diagnose you—a therapist or psychiatrist. In the early part of treatment, it is normal to take anti-anxiety medication, anti-depressants or sleep aids in order to rectify your depleted brain chemistry and to allow the adrenal glands to rest and stop pumping out adrenaline. Your doctor is the best person to tell you what will help to relieve your physical symptoms. Some use alternative medicine to deal with those symptoms. What is effective for each person varies.

Additionally, you need to help your body and brain produce the ‘good stuff’ in your brain chemistry. This means exercising, eating well, and learning relaxation techniques. Too much adrenaline has been pumping through your body with no way to get utilized.  Excessive adrenaline makes you feel jumpy and restless. Exercise (even moderate walking) helps to produce endorphins in your brain, which produce those feelings of well-being and help to burn off the adrenaline and any extra weight you might have gained.

Although during depression you often don’t FEEL like exercising, you will always feel bad if you don’t get your body moving. Stress is even stored at the cellular level of our bodies. You must, must, must get moving in order to feel better.

Eating well means not trying to medicate your depression and low energy with carbs. When you are depressed your body craves carbs as a source of quick energy, but the spikes in blood sugar add to the sense of mood highs and lows. You’ve already had enough ‘junk’ in the relationship—think of it as nurturing your body with good food to replace all the ‘junk’ that it has been through. You can greatly help mood swings by eating well.

It’s also necessary to deal with the negative habits you have acquired as coping mechanisms. Many people with PTSD try to medicate their anxiety and depression. This could be through smoking, relationship hopping, sex, eating/bingeing/purging, drugs (legal and illegal), and the increased use of alcohol. In fact, one of the devastating side effects of PTSD is how many people develop alcoholism as a result. Any habits you are prone to right now tend to increase when you have PTSD, because the particular habit becomes more and more a way to manage your PTSD symptoms. Finding positive coping skills instead of negative habits is a great step toward your recovery.

Physical recovery also means paying attention to not reactivating your symptoms. Your physical environment in which you live, play and work must be conducive to low stimulation. That means low light, low noise, low aggravation. Sometimes that means making big changes in the people you hang out with—getting rid of the loud, noisy, overactive, aggressive and pathological. And sometimes it means making big changes in a job where the environment does nothing but trigger you.

Lastly, learning relaxation techniques is not optional for people with PTSD. PTSD is a chronic state of hyper-vigilance, agitation, and restlessness. Your body has been over-ridden with adrenaline for a long time and has ‘forgotten’ its equilibrium in relaxation. It must be re-taught. Re-teaching means doing it daily. Take 5 to 10 minutes a day to use relaxation breathing and allow your mind to unwind. Give positive messages to your body to relax to help you tap into this natural relaxation, even during times you are not actively trying to relax. The more you use these techniques, the quicker your body can relax—even at work or when you are doing something else because it has ‘remembered’ how to.

There are many tapes, CDs and videos you can buy on relaxation that walk you through the process of relaxation. We have products created especially for managing PTSD on the magazine site—www.saferelationshipsmagazine.com/category/audio-products.

Taking yoga will also teach you how to use correct breathing techniques that help correct the shallow/panting breathing that is associated with PTSD and anxiety. Shallow breathing or panting can actually trigger panic attacks. Learning to breathe well again is a metaphor for ‘exhaling’ all the junk you’ve been through and releasing it. If you don’t have a relaxation tape, you can download our mp3 audio on relaxation techniques. Most important is to just become acutely aware that PTSD is as physical (and often medical) as it is emotional.

Next week we will talk about PTSD and the emotional effects.

(**If we can support you in your recovery process, please let us know. The Institute is the largest provider of recovery-based services for survivors of pathological love relationships. Information about pathological love relationships is in our award-winning book, Women Who Love Psychopaths, and is also available in our retreats, 1:1s, or phone sessions. See the website for more information.)

Tuesday, August 12, 2014

Living the Gentle Life—Part 1: Be Gentle with Yourself



Be gentle with yourself. The rest of your life deserves it.”  (Sandra L. Brown, MA)

As discussed in previous newsletters, Post-Traumatic Stress Disorder (PTSD) is a trauma-related anxiety disorder, and is often seen as an aftermath constellation of symptoms from pathological love relationships. Exposure to other people’s pathology (and the corresponding emotional, physical/sexual abuse) can, and often does, give other people stress disorders, including PTSD. Our psychological and emotional systems are simply not wired for long-term exposure to someone else’s abnormal psychology. Often the result is a conglomeration of aftermath symptoms that include PTSD, which is described as ‘a normal reaction to an abnormal life event.’

The profound and long-term effects of PTSD create what I refer to as a ‘cracked vessel.’ The fragmentation caused by the trauma creates a crack in the emotional defense system of the person. While treatment can ‘glue the crack back together,’ and the vessel can once again function as a vessel, if pressure is applied to the crack, the vase will split apart again. This means that the crack is a stress fracture in the vessel—it’s the part of the vessel that is damaged and weakened in that area.

There are numerous types of therapies that can help PTSD. If you have it, or someone you care about has it, you/they should seek treatment. PTSD does not go away by itself, and if left untreated, can worsen. People often have missed the opportunity of treating PTSD when it was still relatively treatable and responsive to therapy. The sooner it’s treated, the better the outcome. But any treatment, at any time, can still help PTSD.

However, what is often not recognized is the ‘continual’ life that must be lived when living with the aftermath of PTSD. Because the cracked vessel can crack again, a gentle and balanced life will relieve a lot of the PTSD symptoms that can linger. I have often seen people who have put a lot of effort into their recovery and NOT put a lot of effort into the quality of a gentle life following treatment. This is a mistake, because going back into a busy and crazy life, or picking another pathological, could reactivate PTSD. As much as people want to ‘get back out there,’ and think they can return to the life they used to live, often that’s not true. Wanting to live like you did in the past or do what you did before does not mean that you will be able to. I know, I know… it ticks you off that the damage is interfering with the person you used to be... before pathology exposure (BPE). But wanting it to be different doesn’t make it different. If you have PTSD, you need to know what to realistically expect in your prognosis.

Consequently, many people’s anxiety symptoms return if their life is not gentle enough.  Much like a 12-step program, ‘living one day at a time’ is necessary, and understanding your proclivity must be foremost in your mind.

Living the gentle life means reducing your exposure to triggers that can reactivate your PTSD. Only you know what these are. If you don’t know, then that’s the first goal of therapy—to find your triggers. You can’t avoid (or even treat) what you don’t know exists.

Triggers are exposures to emotional, physical, sexual, visual, auditory, or kinesthetic reminders that set off anxiety symptoms. These triggers could be people, places, objects, sounds, phrases (songs!), tastes, or smells which reconnect you to your trauma. Once you are reconnected to your trauma, your physical body reacts by pumping out the adrenaline and you become hyper-aroused, which is known as hyper-vigilance. This increases paranoia, insomnia, startle reflex and a lot of other overstimulated and anxiety-oriented behaviors.

Other triggers that are not trauma-specific, but you should be on the alert for, are violent movies, TV, or music, and high-level noises. Also, be alert to lifestyle/jobs/people that are too fast-paced, busy environments, risky or scary jobs, bosses or co-workers who have personality disorders and are abrasive, or any other situations that kick-start your anxiety. Women are often surprised that other people’s pathology now sets them off. Once they have been exposed to pathology and have acquired PTSD from this exposure, other pathology can trigger PTSD symptoms. Living ‘pathology free’ is nearly mandatory—to the degree that you can ‘un-expose’ yourself to other known pathologies.

The opposite of chronic exposure to craziness and pathology would be the gentle life.  Think ‘zen retreat center’—a subdued environment where your senses can rest… where a body that has been pumped up with adrenaline can let down… and a mind that races can relax. Where the video flashbacks can go on pause, and fast-paced chest panting can turn into slow, diaphragmatic breathing. Where darting eyes can close, soft scents soothe, and gentle music lulls. Where high heels come off and flip-flops go on. Where long quiet walks give way to tension release … quieting of the mind chases off the demons of hyperactive thinking… so when you whisper, you can hear yourself.

Only, this isn’t a retreat center for a yearly visit… this is your life, where your recovery and your need for all things gentle are center in your life. It doesn’t mean you need to quit your job or move to a mountain, but it does mean that you attend to your over-stimulated physical body. Those things in your life that you can control, such as the tranquility of your environment, need to be adjusted. Lifestyle adjustments ARE required for those who want to avoid reactivating anxiety. This includes psychological/emotional, physical, sexual, and spiritual self-care techniques.

The one thing you can count on about PTSD, is when you aren’t taking care of yourself, your body will SCREAM IT! Your life cannot be the crazy-filled life you may watch others live. Your need for exercise, quiet, healthy food, spirituality, tension release, and joy are as necessary as oxygen for someone with PTSD. Walking the gentle path is your best guard against more anxiety, and your best advocate for peace.

Because of this overwhelming need, The Institute offers retreats several times a year that focus on understanding your PTSD. Watch for announcements in future newsletters.

(**If we can support you in your recovery process, please let us know.  The Institute is the largest provider of recovery-based services for survivors of pathological love relationships. Information about pathological love relationships is in our award-winning book, Women Who Love Psychopaths, and is also available in our retreats, 1:1s, or phone sessions. See the website for more information.)

Tuesday, August 5, 2014

Living the Gentle Life: The Cracked Vessel



Over the years, I have talked about the frequent aftermath of pathological love relationships which is often Post-Traumatic Stress Disorder (PTSD). Many women emerge from these relationships either diagnosed, or not yet diagnosed, with PTSD—an anxiety disorder so extreme that the core concept of self is often fragmented.

To demonstrate PTSD, I use the analogy of a cracked vessel. PTSD causes a fracture to the core concept of self. This fragmentation produces a crack in the soul, but the soul, mind and body must continue to try to function as an undamaged vase or vessel. The vase can be glued back together enough to function, but push on the crack, and the vessel will break again.

PTSD is a mood disorder, specifically, an anxiety disorder. The common symptoms of PTSD (whether in you or someone you care about who has been in a pathological relationship) include:
  • Intrusive thoughts about him/relationship/events of the relationship
  • Nightmares
  • Flashbacks or sensing effects recurring in the present moment
  • Extreme reactions upon exposure to things that symbolize or resemble parts of the relationship
  • Trying to avoid thinking about him or the relationship
  • Trying to avoid situations that remind you of him or the relationship
  • Blocked recall of all the events that occurred
  • Decreased interest in daily activities
  • Feeling numb, detached, unable to feel loving feelings
  • Difficulty concentrating
  • Hyper-vigilance (startle reflex)
  • Hyper-arousal (feeling keyed up or too alert)
  • Insomnia
  • Anger/Irritability

Some of the biggest concerns for women are the symptoms associated with PTSD, because it is interfering with the quality of their lives, their level of functioning, and often their ability to parent effectively. Many don’t realize they have PTSD so they don’t seek treatment. They just feel like they’re ‘going crazy’ or I should be over it by now—why am I still having these experiences?” People are often relieved to learn the name and the reason for their experiences.

Unfortunately, others around them may also not realize what is wrong, and may tell them to “move on,” “get over it,” or “just meet someone else,” and yet, months, and even years later, women can still have PTSD symptoms. That’s because PTSD does not just ‘go away’ without treatment. In fact, it worsens over time when neglected.

PTSD is considered a ‘trauma disorder’ because you have lived through an abnormal and traumatic life event. Trauma disorders require specific types of treatment in order to recover. Untreated PTSD can lead to chronic anxiety and depression, substance abuse to help cope with the anxiety, other compulsive behaviors like eating, smoking, and sexual acting out, addiction to sleep aids, and chronic stress related medical conditions. It’s not a disorder to be taken lightly.

Those who have already been diagnosed with PTSD may not realize that PTSD is often a life-long condition. You won’t always feel as anxiety-ridden as you do now, but depending on the severity of your PTSD, it can leave the vessel cracked. Future damage can cause the stress crack to re-fracture.

Survivors either highly identify with the analogy of the cracked vessel, or hate the analogy. Some have written me and said, “I don’t like what you said about being a cracked vessel—anyone can change.” I didn’t create the symptoms and effects of PTSD.  I have only learned to live with them.

People with PTSD need to live quiet, gentle lives. Their households, jobs, environments, and relationships need to reflect the tranquility that an overtaxed body needs. These are not people who need to have fast-paced, dramatic, traumatic and chaotic jobs, lifestyles or relationships. These are people whose bodies, minds, and spirits need to exist in a healing environment.

In our upcoming seven-part series on ‘Living a Gentle Life,’ we will go into much more detail about recovery from PTSD and other parts of the aftermath from a pathological love relationship.

(**If we can support you in your recovery process, please let us know.  The Institute is the largest provider of recovery-based services for survivors of pathological love relationships. Information about pathological love relationships is in our award-winning book, Women Who Love Psychopaths, and is also available in our retreats, 1:1s, or phone sessions. See the website for more information.)

Tuesday, July 29, 2014

The Other Woman—Now He’s HAPPY With HER!



Nothing cranks a woman up more than going through the drama-filled ending of a dysfunctional, pathological, abusive, addicted and/or sick relationship, ONLY to find that he has rapidly moved on and now seems ‘so happy.’ A women will tend to conclude it must have been her, and if he can be happy with someone else and not her, well then... it was some shortcoming in her and she needs to study up to figure out just what ‘went wrong.’

Ladies, ladies ladies...by now you have been reading enough of these newsletters to be able to chant the ABCs of Pathology I have been teaching you—

Pathology is the inability to:
·       consistently sustain positive change
·       grow to any emotional/spiritual depth
·       develop meaningful insight about how his behavior negatively affects others

When it comes to a pathological, THE BEST PREDICTOR OF FUTURE BEHAVIOR IS PAST BEHAVIOR. 

So, what you have to ask yourself is: How were his previous relationships? I don’t mean what he TOLD you they were (all her fault, she was a psycho, sleaze, or whacked), but what really happened in them.

If you developed a relationship timeline and wrote out all his relationships from his teen years forward AND the quality of them and why they ended, what would you conclude? How successful IS this man in maintaining healthy relationships? Yep… that’s what I thought.

How was his relationship with you? No, I’m not talking about the honeymoon cycle when you were living off of endorphins. I’m talking about the guts of the thing... the meat and bones of it.

So, he has a history of his own ‘Trail of Tears’—a path littered with wounded women and children? Your relationship has left you as one more statistic of his pathological heartbreaks.

Now, there’s HER—appearing all happy, snuggly and ‘in love’! You see her as getting all the good parts of him you always loved and none of the bad parts! After all, the reason you left him was all that bad stuff! 

Doesn’t it make you want to call her up, text her, email her, message her on social media, and tell her what’s just around the corner in the relationship?

Doesn’t it make you want to curl up in a fetal position and cry that he has “found happiness in the arms of another?”

Doesn’t it make you sick in the pit of your stomach or consume you with intrusive and obsessive thoughts about how wonderfully ‘in love’ he is? STOP THE DRAMA! 

Repeat after me... “Pathology is the inability to sustain positive change” … “the best predictor of HIS future behavior is his past behavior”—so just what does that mean?

There are honeymoon phases of every relationship. Lovers live on the high of the ‘falling in love stage.’ We already know that pathologicals don’t ‘technically’ fall in love, but they do hang around and experience some level of attachment. But YOU experienced the whole endorphin falling in love sensation. Well, now SHE is.

How long did yours last? A few weeks, months or maybe a year or two of okayness? What happened next? Oh yeah, you found out his lies or noticed his inconsistencies, or asked him to work, or caught him cheating... once you confronted him, you got the narcissistic rage, then maybe the aloofness, or maybe he even packed up and left.

Guess what’s gonna happen AGAIN? There will be the honeymoon for her, then she will notice his lies, inconsistencies, ask him to work or catch him cheating, then she’ll eventually confront him (or live forever with the miserableness of knowing what he’s doing and not have the nerve to confront him) and then he’ll rage, punish her, reject her, ignore her or leave.

Et VOILĂ€— she is now on his “Stepford Wives List of Rejects.” She’s one more tear on his ‘Trail of Tears.’  You haven’t seen behind their closed doors to know what SHE’s dealing with... he hasn’t changed—he’s hardwired, so she’s going to be dealing with the same things you did. It’s just a matter of WHEN.

If I were a gambling girl, I’d put my money every stinking time on the consistency of pathology and his inability to ever change in ANY relationship—the previous one, yours, or future ones. She’s not getting the best of ANYTHING. She’s you. And in a short time, she’ll be another statistic. Pathology doesn’t change and this relationship is also wired for destruction.

There are NO happy endings in relationships with pathologicals. There are no pumpkin-drawn carriages, no sweet little house with three children... scratch that record! Stop attributing normal characteristics to a profoundly abnormal person.

Women spend all their precious emotional energy on obsessing about the quality of his relationship with the next victim instead of working on themselves—using that energy for their own healing. They live in a fantasy world where they are deprived of this wonderful relationship and he is off living the life of a normal person. This fantasy does not end with, “And they lived happily ever after.” 

Your positive fantasy thoughts of him being happy with someone else are the memories that are pulling all of your focus while you totally forget how this horror flick is going to end. If you need a reminder, read all of our archived newsletters.

Take a deep breath and come back to center. She hasn’t got anything you haven’t already gotten from him—MISERY. If she doesn’t have it right now, she will have it shortly. Once you really ‘get it’ about the permanence of pathology you’ll understand that his ability to be different in any other relationship doesn’t exist. If he was capable, he would have done the changing with you, but he didn’t—and he won’t. Whatever exists right now is that short honeymoon cycle, until she realizes what he is and ISN’T—and what he can NEVER be. Don’t bother picking up the phone, messaging her, texting her, to tell her what he is and isn’t. Just worry about your own recovery... from this moment on, it’s all about you!

(**If we can support you in your recovery process, please let us know.  The Institute is the largest provider of recovery-based services for survivors of pathological love relationships.  Information about pathological love relationships is in our award-winning book, Women Who Love Psychopaths, and is also available in our retreats, 1:1s, or phone sessions.  See the website for more information.)