All posts by Danielle Kiesler

6 Principles of Healing Developmental Trauma Using Touch

Treating early developmental trauma can be a complex and challenging task for even the most skilled therapists. As healers, we often feel the pressure to quickly fix our clients’ complex problems. This is especially true when they have sought our services after having visited multiple providers before us, often to mixed results. However, developmental trauma is a tricky nut to crack, and healing it requires a different approach.  This is where somatic therapy comes in.  Understanding the underlying causes and patterns of developmental trauma is crucial. Developmental trauma is often a result of childhood experiences that can shape a person’s behavior and emotional regulation. It can lead to a variety of symptoms such as anxiety, depression, and dissociation.

How developmental trauma happens

Developmental trauma occurs when a child experiences a lack of nurturing, support, and protection during crucial stages of their development. This can lead to patterns of behavior and emotional disturbances on the nervous system level that can be difficult to identify and treat. It can affect all aspects of a person’s well being. From their physical and mental health, to their ability to form healthy relationships or attachments with others. Touch therapy, also known as somatic touch therapy, has been shown to help clients with developmental trauma to regulate their nervous system, process emotions, and build healthy relationships.

 

Why somatic touch therapy is helpful for healing early trauma

Studies have shown that somatic touch therapy can be an effective way to help clients with developmental trauma to regulate their nervous system. Developmental trauma can lead to disorganization of the nervous system, making it difficult for clients to manage their emotions and responses to stress. Research has shown that somatic touch therapy can help to reduce stress and promote relaxation, which can help to regulate the nervous system and improve emotional regulation.

Developmental trauma can lead to a variety of emotions, such as anger, fear, and shame, that can be difficult to process and manage. Often clients spend a lot of time just managing symptoms. Somatic touch therapy can help clients go beyond simply symptom management by allowing them to access and process these emotions & physical reactions in a safe and supportive way. In some cases, the symptoms are greatly diminished or may even become a non-issue over time.

The 6 core principles for healing early trauma using touch

That said, healing developmental trauma is definitely not easy. There are many programs out there to help both therapists and clients in this endeavor. But not all programs and practices are helpful. Here are a few practices and principles that I think are really essential for healing developmental trauma.

1. Practice Healthy Separation

Learn to identify what’s happening in your own body-mind experience as separate from your client’s. The tendency to merge with a client’s experience is real. And often it can lead to therapist burn out. This is especially true if you do any hands on work. You can easily get sucked into a client’s energy field and trauma material. On the other end of the spectrum you also don’t want to have overly rigid boundaries. Some healers, in attempt not to merge with clients will hold back too much. Not touching, responding to or having compassion for clients are just some examples.

2. Lay a Strong Somatic Foundation for Touch Work to Happen.

Somatic touch therapy can be a direct and extremely effective way to help clients                     with developmental trauma to heal. And it is considered an advanced skill. That’s                     why you should have a strong foundation in somatic work before attempting to use                 touch to heal this type of deep trauma. There are a few basic somatic therapy                             training programs I really like for this kind of foundational work. One program is                       Somatic Experiencing another is Pat Ogden’s work.

It’s important that you, as a therapist, get solid training and awareness of boundaries of self and others in order to provide sensitivity and respect for a client’s boundaries. Some clients with developmental trauma may have a history of physical or sexual abuse, and touch therapy may trigger traumatic memories or feelings of discomfort. Also if a client has never experienced a healthy boundary before they may become confused. Clients may have a tendency either to blur boundaries or to have overly rigid ones or some of both. That is why it is essential to create a safe and supportive environment as a foundation for touch therapy

3. Get Tools to Help you Stay Grounded, Regulated and Clear in the Midst of the Chaos.

Developmental trauma can lead to a variety of emotions, such as anger, fear, and shame in the client that can be difficult to process and manage. And that’s just the mental health side of it. Often there are a constellation of physical symptoms as well that are some times changeable. Clients often come in understandably overwhelmed and with a lot of confusing symptoms that can also lead to overwhelm for the therapist too.  Touch therapy can help a client access and process these emotions in a safe and supportive environment. But they can only do that if the therapist is relatively present and grounded.

4. Learn to See the REAL Nervous System Pattern that’s Underlying all those Confusing Symptoms BEFORE you Intervene.

Often there’s an underlying nervous system pattern that’s really running the show.  The truth is that when it comes to trauma, looks can be deceiving. And if we jump too soon for an intervention in order to relieve our client as quickly as possible ( which, let’s face it, many of us do) we end up missing the mark. This leads to spending too much time and energy throwing intervention after intervention into the trauma fire to little or no effect (at best), or worse, we end up making things worse. Why? Because in our rush, we failed to see what was TRULY going on in our nervous system and theirs. In other words, we didn’t take enough time with the assessment of the two bodies in the room before we intervened.

I don’t want that for you, or your client. What I’d like is for your to feel confident enough in your own regulation to actually see clearly. And from that clear seeing, to be able to know exactly when to intervene and also why.

5. Learn to Undo the Many Double Binds on a  Nervous System Level.

Because early trauma is by its nature a relational trauma, often many double binds exist for the client. Those double binds make up part of the overall pattern of disorganization in a client’s nervous system.

A double bind is a situation in which a person is faced with two conflicting options or expectations. In the context of developmental trauma, double binds can arise when a caregiver is perceived as unpredictable or inconsistent in their behavior towards a child. For example, a child may feel two seemingly opposite reactions towards their caregiver at once: the impulse to go towards that parent for protection and away from the parent out of fear. These conflicting emotions can create a sense of confusion and helplessness that can be difficult to overcome without therapeutic intervention.

This is why adult survivors of developmental trauma can  find it difficult to form healthy relationships with others in their present life. They have so many double binds when it comes to relationship. Touch therapy can help people process these double binds and also learn how to establish healthy boundaries, communicate effectively, and build relationships based on mutual trust, respect and safety.

6. Enjoy the Connection

Yes, trauma healing can be hard work, but it can be deeply rewarding too, both for client and therapist. Not enough people are talking about this side of it. Perhaps we are embarrassed to admit we all have this basic human need that gets easily overlooked, even in healing circles. But trauma healing after all is about restoring connection, maybe even for the first time. And that is a reason to celebrate!

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Need help putting these principles into hands-on practice? Join us!

Whether you want more confidence in working with difficult cases of complex trauma, or you are interested in healing your own trauma or both, there is help and support for you!

Please consider joining us for Steve Terrell’s training on how to use touch skills for healing the effects of early developmental trauma. It’s called: Transforming the Experienced Based Brain (TEB). If you are in or near Saint Louis the place to go is here. If you are in another part of the country or world you can go here. In this training you will learn how to see, feel and treat developmental or attachment trauma. Knowing the how, why and what to do in a hands on, supportive environment, makes a huge difference. Hope to see you there!

 After the Affair: one couple’s story in 3 phases

When Kevin and Emily* first came to my office one cool afternoon, the tension between them was undeniable. They immediately sat in chairs on opposite sides of the room and kept their eyes on anything but each other. Emily brushed her hands through her curly dark hair and played nervously with her earrings. She stared at the carpet intently as though trying to locate something on the floor. Kevin was dressed in a blue business coat and brown loafers. His light brown hair was slicked back and showed traces of gray.

Anatomy of an Affair

After we got through the usual pleasantries Kevin sat up in his chair and cleared his throat as though ready to make a speech.  “Basically we are here because I messed up big time,” he said plainly. He glanced at Emily who nodded ever so slightly but kept staring at the floor. I asked both of them more questions and Emily finally spoke. Her voice sounded tentative as she spoke. She described the strange messages she had seen on his phone once. And she described how she had suspected Kevin had been cheating on her for a while though he denied it. How one day she had returned home early from work only to discover him in the act with a co-worker of his. On the sofa.  Their sofa. She described her feelings of shock, rage and disbelief. Kevin looked out the window while she spoke, biting his lip. I asked them both more questions and noted their responses.

Kevin squared his body to mine and raised his eyebrows. “ Do you think you can help us?’ We stared at each other for a moment. “Yes.” I answered. “Of course. But it’s going to take a lot of hard work on both your parts.” I looked at both of them. What kind of hard work? he wanted to know. The following is a longer version of my response, with examples of the real work Emily & Kevin did end up doing together. So, let’s begin.

How to Recover from an Affair

Couples can recover from an affair but it takes real work. Most of this work will fall on the betrayer. In order for Kevin to help himself and Emily heal from the pain his infidelity caused  he needed to change course. That meant he had to show up in new ways in their relationship. Ways that would feel completely foreign to him.

In order to rebuild trust and work towards affair recovery Kevin needed to complete a series of tasks. And he needed to do  them not once, but repeatedly. Specifically he had to:

Tasks for the Betrayer if trust is to be rebuilt

  • Show regret
  • Be completely transparent about everything
  • Make a real effort to understand the pain you caused your partner and allow plenty of space for it
  • Make no excuses for your behavior. And do not expect understanding in return
  • Be non-defensive
  •  Show extraordinary patience

And also just as important. Emily had some work to do.

Tasks for the betrayed: 

  • Allow time and space for shock and grief to occur
  • Identify  feelings and begin to express them clearly and honestly
  • Don’t try to smooth things over too quickly ( if that is the tendency)
  • Be  curious about what you need now from your partner

Phase 1 of affair recovery: assessing the damage

In the beginning, Kevin had to admit that his actions had caused lasting damage to their marriage. That damage could never be undone and would run its own course. And healing would take time. A lot longer than he expected or wanted it to.  Betrayal is often experienced as trauma to the betrayed spouse. And Emily had all the classic signs of acute post traumatic stress. She watched Kevin’s every move with a heightened tension neither of them had known before. And she was agitated and suspicious most of the time. Often she would question him relentlessly and sometimes fly into a rage. She simply could not relax. It was like the affair could occur again at any moment.

They had tried to talk things out many times before at home, often with the same result. Emily would fly into a rage and Kevin would get to the point that he would rage back. They were stuck. Kevin needed a lot of help in how to not get defensive in the face of Emily rage. And Emily needed to not feel pressured to heal and make amends before she was ready.  I worked with both of them carefully on these tasks over many sessions until they finally got where they needed to go

Phase 2 of affair recovery: looking under the hood

Eventually Emily’s rage settled and her real sadness, fear and deep despair surfaced. She hated how vulnerable and out of control she felt since the affair. The way she saw it, if he deceived her once, he was capable of deceiving her again. She asked him some tough questions. I coached Kevin in how to receive her pain in a good way. He needed help  answering her questions in a clear and honest way  without trying to negotiate or collapse. Kevin also had to deal with his own feelings of guilt, shame, and remorse for what he did. Not by running as always done, but by facing the fears directly. They were ready for the next phase.

Phase 3 of affair recovery: the great repair

The unspoken questions that one or both partners are often asking is whether to stay or go. And no one would blame them if one person decided to leave. Part of my job as Marriage Therapist is to help support them with all the tools and information they need to decide. If the couple decides to stay, they must also be willing to do the difficult work of completely revamping their marriage. That was the case with Emily & Kevin. They both agreed they had invested too much in each other and their marriage to walk away. And they were willing to do whatever it takes to rebuild their marriage from the ground up. The motivation was there to work towards affair recovery. And over the course of our work together they had built up the skills and capabilities they needed to get there.

* not their real names. Personal details have been changed in order to protect privacy. Any resemblance between the characters in this story and real people is completely coincidental.

Do you need to Recover from an Affair? 

Contact us and get connected with an experienced Licensed Marriage and Family Therapist. Whether you are a new couple thinking about marriage or a mature couple with tons of experience behind you, we’ve got you covered. We will help coach you and your partner through relationship repair and recovery.

We are located in St Louis, Missouri and serve couples in the following communities:  Webster Groves, Kirkwood, Crestwood, Maplewood, Brentwood, Rockhill, Richmond Heights, Clayton, Shrewsbury, Lindenwood, Ladue, Central West End and the surrounding areas.

Give us a call at: (314) 827-5448 or email us at admin@danceofchange.com

We offer video (Telehealth) session for anyone located in the state of Missouri

“Fix My Spouse!” The truth behind what it takes to help a marriage

marriage help

Let’s consider for a moment a dangerous fantasy that just about every couple has when they first step into  my office. Often it’s unspoken. The fantasy is so powerful it can single-handedly derail an entire marriage for years. The fantasy goes like this: “Since my spouse is the real cause of our marital problems, I need someone skilled to fix them” Some time in the middle of the first session as they seek marriage help the fantasy will reveal its self like an unwelcome guest.  One of the spouses will lean back in the over stuffed sofa in my office and drop the  not-so-subtle hint: “ Can you please fix my spouse?”

On the surface this seems like a reasonable request. Sometimes the spouse will even agree that they are the problem. They will offer themselves up like a willing patient. Ready to put on the hospital gown and slap on the ID band. None of which, of course is necessary. But it adds to the drama of the fantasy. That’s when I know it’s time to deliver the hard truth .

The sobering truth of marriage therapy: how problems really get solved

“ It seems that you both are in agreement that one of you is the main problem here.” at which point both or one partner usually nods. I take a breath and go on ” But I have to say, in all my years as a marriage therapist, that has never been the case.”

“In fact, just the opposite is often true. Neither of you got here by yourselves. So, it’s going to take both of you to solve this problem. At this point the two will usually look at each other for the first time. They may size each other up.  A look of either disappointment or shock on their faces.  Sometimes it’s a combination of the two.  The true state of their marriage is re-considered.  Now therapy has begun.

Marriage help: The good and the bad news

Can I fix your partner? Sure, I can. But it likely won’t work. Just like a patient is likely to reject an organ transplant if the donor is not a good match (no matter how skilled the doctor might be) The only good match in the case of your marriage is you. You created this marriage together, problems and all. And  if this marriage is to get better, if it is to heal, then both need to shoulder the burden equally. Both partners need to be a part of the solution. This might seem like bad news but it’s not.

You can’t change another person, but you can …

You can change yourself of course. If you are seeking marriage help and want your spouse to change you are going to have to do some changing too. It’s just the law of relationships. This is how they work.

Different problems require Different Kinds of Solutions

On the one hand it makes sense. When you have a problem, you go to an expert to solve it. When you need your car fixed, you take it to a mechanic. They do the work for you. You will never be asked to be an active participant in the process. That would be ridiculous. You don’t have the training. The only thing you are expected to do is fork out a lot of cash in the end. Accountants and financial advisors expect you to simply hand over your information and leave. They don’t want you involved in the numbers. That would only screw things up. And doctors don’t even allow you in the surgery room if your spouse is sick.

But what if the relationship itself is sick? Even if the relationship is not sick per se, but a problem for one or more people, then that  requires a different approach.

The more complex the Marriage problem, the more team work is needed from both partners when seeking marriage help.

marriage help

Marriage help requires a different Approach. 

This is obvious when you look at other professions geared towards solving relational problems. And there are a few. A corporate business consultant would be of no use if he or she did not meet with the key team players. Not just once, but multiple times. In fact our whole legal system is predicated on the idea of fairness and justice. That means both sides of any dispute need to represented fairly and they need to be heard. The same is true for marriage.

Yes, but my spouse really does have a problem…….

I hear you. And that problem is real. But here’s the deal: when one person has a problem everyone is affected by it. Therefore everyone needs to be a part of the solution. This makes sense when you think about it. Whether the problem is an addiction, communication, sex, kids, money or cleanliness everyone’s lives are touched by it. Individual therapy can help. But it won’t improve your marriage.

Chronic Pain Relief Guide

Chronic Pain Chronic Pain Relief Guide:

8 Essential Practices you need to live pain-free.

Are you part of the 20% of  people living with chronic pain? If so, you are in good company. It’s estimated that more than 1 in 5 Americans suffer from chronic pain. What’s worse many doctors may feel at a loss about how to help pain suffers, other than to prescribe more medication. For some, medication offers some needed temporary relief. For others, the side effects can be just as bad as the pain itself. Its seems that many solutions are often temporary or may not work at all. This can add to the sense of overwhelm, fear and exhaustion that is already part of the pain experience.

Health care: where we are now

Let’s face it, the pandemic hasn’t made things any easier. With long-haul COVID reported in anywhere from 15-50% of cases, it’s likely that many millions of people worldwide will be suffering from chronic pain. And with chronic pain often comes grief, depression, trauma and anxiety.  It doesn’t help that our current  healthcare system is already stretched to its limits.  Many folks can alternate between hopelessness and desperation when it comes to getting help.

This guide was designed to give you a window into another way. Both another way to think about your pain and another way to deal with it. That way involves a body oriented, holistic approach. I know! You likely feel you’ve tried that already. Perhaps you’ve done acupuncture, herbs, over the counter medicines, prescription medicines, maybe you’ve even tried meditation. That’s all good. But let’s explore for minute what might be at the source of the pain for a moment.

The Pain Dance

Peter Levine, founder of Somatic Experiencing and author of Freedom from Chronic Pain, has this to say “Since pain comes from the body, we abandon and leave our bodies behind. In that way we betray our bodies.” But many people also feel betrayed by their bodies and so it’s easy to abandon them in the first place. It can feel like a vicious cycle .

So the purpose of this guide is to help you gradually think about how you can build trust with your body. Once you have even a little bit of trust with your body you start to befriend it. Befriending you body is the essential first step in beginning to free your self from the pain dance. The challenge is to befriend your body even when it feels bad.  This is not an easy task. But like learning anything new, befriending your body gets easier over time. It’s like a muscle that gets stronger the more you use it.

1. Befriend Your Body, Shift the Chronic Pain Dance

    1. Identify a pain free or less pain place within your body.
    2. Pendulate between a place of no pain or less pain ( hold your awareness there for 5-10 seconds). Bring your attention to a moderate pain point – not the most painful spot ( hold your focus there for 5-10). Bring your focus back to the experience of no/less pain ( hold focus for 5-10 seconds). Rest.

Do this during your free time at your own pace.

The more you can identify sensations, the richer your relationship with your body.

Let it go on the exhale

  1. Bring attention to a pain free part of the body. Sense into it as you breath in. Let it go as you breath out.
  2. What are you finding now in your body that you didn’t notice? ( no right or wrong answer here). There is only your way. And that way is always changing because you are always changing.

“““

2. Flow of Breath

I often invite people to explore breath flow in their body. Chronic pain suffers are often also shallow breathers. Or you may be more of a breath holder. Either way, both breathing patterns can create a sense of constriction in the body, which can aggravate pain. The following is a mindfulness practice using the breath.

To practice, do this now:

Take some time to sense your breath in your body. You are looking for areas that  feel OK,  relatively OK, as well as areas of discomfort. In addition to chronic pain, you might also notice parts of you that feel numb or disconnected. Now begin to notice the felt sense of right side of your body. Compare this to your breath. Is there a difference? Often there is. See if you can get clear on that difference. Usually, it’s a difference of quality or texture. Maybe one feels heavy and another light. Perhaps one feels tingly and the other calm. What ever that difference is see if you can hold both in your minds eye for at least 10 seconds. Breathe.

Now let’s do the same on the left side. Is there one side of your body that’s more comfortable than the other? See if you can use the language of sensation ( hot/cold, heavy/light etc) to sense that difference from the inside. Imagine you can breath in through and up the more comfortable side of your body. Starting up through your foot, to the center of your breathing, your belly. Sense your breath crossing up through your body and as you exhale, cross over. Feel your breath moving down and through and out through the other leg, through the center of the breath

Breath + Image

Imagine for a minute that your breath is a magnet that can pick up more comfortable sensations. What sensations would it pick up? Warmth? Coolness? Calm or ease? Pulsation or stillness? Take your time to imagine this now. As you breath in the breath picks up the comfortable sensation. Then, as you exhale visualize  bringing those more comfortable experiences into your body. You can either see these sensations move down from the top of your head to the rest of your body. Or  you can see them traveling up through your feet to your leg.  Pause and see what’s different in your body. No rush here.

When there’s flow in our bodies, we don’t experience the pain as much, and sometimes not at all. Flow is the opposite of the pain state.  Where there is a sense of flow there is no pain.

 

For back discomfort: Imagine, as you inhale, breathing from the base of the pelvis up to the mid line.  Imagine coming all the way up to top of head.  Feel your spine naturally lengthening. As you exhale, imagine your breath down through your low back and out your mid line. What’s different? What’s the same?

 

3. From Chronic Pain to Deep Rest 

Start at your head or your feet. Take a journey up or down your body and find places of respite or rest from your pain. Pay particular attention to parts of your body you can’t feel. Now go up to your legs and pay attention to areas where you tend to connect and also where you tend to disconnect.  Move up or down the body gradually.  Take a few moments to use your breath and sense your way into the numb and disconnected places you have found.  Breathing in, feel the numb or disconnected parts of your body. And now do the same breathing out.

What’s different? Are there ways you feel more connected?  Is your sense of pain different?

Chronic Pain

4. Touch  Ground to Ease Pain

There often exist a connection between trauma and physical pain. If this true for you, than you already know that spending too much time in your body can sometimes feel like too much.  This next exercise may be helpful. The goal is to fine safety in your physical environment, but also in a neutral body part, like your feet. If your feet are the primary source of pain for you than choose a different body part such as your hands. Assuming your feet are a neutral place than let’s begin there.

You can do this in a standing, sitting or laying down position, though sitting is better. Notice how each of your feet contact the ground. Allow your feet to become wider as you breath. Notice the ground support you from the bottom up.

Gently shift your weight more onto your left foot. Shift your weight ever so slightly so there’s a little more weight on your right foot, subtly shift back and forth.  As you do this a few times you’ll probably notice a rhythm emerge. Allow your body wants to continue to go from one side to another. Remember to stop and rest if your get tired or dizzy. Enjoy this sense of rhythm and flow.

5. Simple Breath 

Follow the flow of breath as it moves and it moves out again. Notice what changes in your body with that one simple cycle. What a changes in your pain? Try another breath, like waves on the beach. What changes next time?

Explore Sound:

Sound can open and create vibrations in the organs and in the belly.  Expression through sound can also send new signals to the body and brain that may have been shut down due to stress.  When you make a sound you stimulate the vagus nerve which helps signal relaxation and also social engagement. You also open up the chest, throat, and lungs. It’s also a great way to help to  self regulate.

Voo Sound. This is both a sound exercise, as well as a breathing  breathing practice. To get a sense of how this works you might first watch this video.  Feel the vibrations that are created in your belly. Imagine a fog horn. Enlivens our viscera while creating an optimum balance of carbon dioxide in the blood. Getting down deep to the very reptile part of our brain can shift your relationship to the chronic pain dramatically. But it takes some time! Do this as much as you want. At least 3x a day especially when you notice your chronic pain increase or you start to feel stressed.

6. Shift Your  Posture=decrease chronic pain

A combination of life habits and trauma can have an impact on your posture. That posture can then reinforce chronic pain patterns. Mane people get stuck either in a bracing pattern or a posture of collapse. The goal here is to shift out of these patterns to a neutral posture.  Bracing posture is often characterized by tightness or rigidity through the spine and limbs. When you are in a collapsed posture, your shoulders curl forward and there is weakness in the belly.

Practice:

Feel strength in your legs. Push down into your feet. Notice vertebrae by vertebrae how your spine starts to strengthen and lengthen. Notice how the strength in your legs starts to move up into your spine and how the shoulders begin to rest open into a more even position. Imagine a tiny string attached to the top of your head. And as you feel the string pulling you up to the sky, feel your spine elongating. Feel your head floating and moving toward the sky. Notice what happens to the feelings of helplessness and collapse. As you feel the strength, the feelings of helplessness and collapse disappear. Practice times several times throughout the day. Whenever we feel triggered by feelings of helplessness, notice the collapse in your body and the strength

Move a little bit into the familiar collapse posture, then move out. Notice your spine elongate again. Your breath now has more room to move. Feel the strength in your feet and also the length of the spine. Imagine your head as though it were a balloon. The balloon is light and lifting upwards. yet, your feet still keep you connected to the ground. See if you can sense both. Note what happens to your pain when you create this much space in your torso.

7. Notice Exceptions to Chronic Pain

When your pain is at it’s worse it’s easy to fixate on it. That’s understandable but not helpful. the problem is that your brain can easily get into a habit of fixation. This can actually amplify your experience of the pain and make it feel more chronic. To counteract this, it helps to notice exceptions. For many people this is hard to do! You’re not alone if you struggle with this exercise. The brain’s natural negativity bias is partly to blame. But you can change it!

Practice:

Try answering the following questions:

When in the past days or week have you felt less chronic pain?

When in the past day or week have you felt less anxious?

Are there any times in the past week to two weeks when you felt most like yourself?

Can you feel what happens in your body as you recall this experience? Take your time. This is what the late Dr. Maggie Phillips called the conflict free moment.

8. Explore Your Fight Response

Many of us have an unhealthy relationship with anger. It’s one of the strongest and hardest emotions to navigate. Anger can get triggered for any reason, but it often gets triggered in our most intimate relationships with partners, friends, kids and family. Some people express anger too much, and it can become almost like an addiction. Others do not express it enough. Regardless of where you fall on the anger spectrum,  anger, like any emotions can get stuck. Especially, for chronic pain suffers. When anger gets stuck it is often held in the body. When that happens it’s often helpful to explore your fight response. By exploring you fight response you can gently begin to release it.

Practice:

Imagine you are your favorite wild animal. Picture in your mind’s eye what that animal looks like. See it’s face and body. Notice how it walks, whether it makes noise or not. Now, step into the body of the animal. Feel the strength and power of this animal in your body. How does this animal see, move, taste or smell? What’s different about this experience compared to your own?

Now, pretend that an equally powerful animal is entering your territory. They are coming closer. Remember, this is YOUR territory and it’s your job to defend it. If you notice your body moving into fear, retreat or collapse, then stop. Go back and imagine the animal again. Take time to feel the power in your own body and also your connection to the ground. This may be enough for now.

You can go back to explore the fight response again whenever you are ready.  Practice feeling the determination to protect and fight back. Remember, this is not about anybody getting hurt. It’s about simply practicing a natural nervous system defense. You may start to feel yourself prepare for action. Notice the strength in your arms and legs. Feel the readiness in your torso. How long are you able to stay with this strength? Stay with this experience as long as possible until it begins to naturally shift.

Want some guidance with these practices?

Connect with a highly trained Somatic Therapist or Yoga Therapist by contacting our office.

Book your appointment now.

We are located in St Louis, Missouri and serve people in the following communities: Webster Groves, Kirkwood, Crestwood, Maplewood, Brentwood, Rockhill, Richmond Heights, Clayton, Shrewsbury, Lindenwood, Ladue, Central West End and the surrounding areas.

Give us a call at: (314) 827-5448 or email us at admin@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri.

 

 

 

The Couples Dance: the 5 couples communication patterns that keep you stuck

By understanding  your unique couples communication pattern you can Learn to free yourselves .

Every relationship is unique. And relationships are often complex. That is because they are comprised of a combination of communication patterns between two people, both verbal and non-verbal, including attachment patterns ( how you each learned to DO relationship growing up) as well as how each of your nervous systems are uniquely wired. This is what I call the couples dance.

And it’s a lot to navigate. No wonder most couples communication problems can get out of control so easily, and are often resistant to simple problem solving! So, to make things easier and hopefully more understandable I’ve identified 5 clear interactions patterns that couples can fall into with each other. These are inspired both by attachment theory, polyvagal theory, the developmental model and the psycho-biological approach to working with couples, and of course my own clinical experience.

And because I love dance and believe dance is a great metaphor to describe these couples communication patterns, I’ve given them each a dance name. This is by no means an exhaustive list, it’s just what I tend to see show up in my office most frequently. Perhaps communication with your spouse or partner fall in one of these patterns? Let’s look at them.

1. The Freedom Waltz

Couples Pattern #1 image

Your Couples Communication Pattern:

You value freedom and independence as a couple. Perhaps you both have careers that are rewarding and require that lion’s share of your time and energy. You both don’t mind giving each other plenty of time and space to pursue these activities. Constant communication for you as a couple is not a necessity. You both need your alone time. Perhaps you even have agreed to have a somewhat unconventional relationship. Again, all in the name of freedom. Perhaps you have a somewhat separate lives, live in separate places, have decided to have an open marriage, and that works for both of you for the most part.

The Problem:

Freedom Waltz couples are at risk of doing the “slow drift” apart. You might be so focused on your independence that you actually loose your partner. Everything can seem fine on the outside until it’s not. Perhaps an undeniable problem has emerged: someone feels hurt and betrayed. You’ve stopped talking, stopped having sex. Communication as a couple has come to a halt.The air between you feels chilly, tense and distant. Perhaps one or both of you have been questioning if you should even stay married.

Your Growth Edge:

Freedom Waltz couples need to learn to put as much (and probably more) investment in the relationship as they do in things and people outside the relationship. Shows of affection and other positive communication as a couple needs to be high priority. You need to let your partner meet your needs instead of always reaching for more “alone time” or some other external reward system (TV, food, etc.). You both need to learn that you get as much as you are willing to invest in the relationship. Also, you both need to risk feeling like each other’s “burden” at times and to recognize this as GOOD thing. It’s part of the glue that’s needed to make your marriage work in the long run.

As long as there is insecurity in the couples system there will be problems in the relationship. This is what I call the couple’s dance. It’s my job to find these insecurity patterns that lead to predictable problems in the relationship and teach the couple how to change the dance between them.

2. The Intensity Tango

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Your Couples Communication Pattern:

Your communication as a couple is both emotionally expressive and intense. The chemistry between you was strong from the beginning. You are adventurous together and can create excitement easily. maybe you even thrive on this intensity. However the intensity can become problematic over time.

The Problem:

The vitality between you also means that you set each other off easily. You are both quick to anger outbursts and misunderstand each other easily. If you don’t get your communication under control as a couples, small misunderstandings can add up.  Insensitive words or gestures can lead to intense burst of rage. If you have kids, pets or neighbors, you may frighten them at times with your loud, intense fighting. Perhaps this has done serious damage to your relationship already. Just as quickly as the fire and chemistry builds between you, it can be snuffed out. In general you both tend to avoid difficult emotions like sadness, disappointment, fear or grief in favor of anger.

Your Growth Edge:

You both need to learn to stand more on your own two feet and regulate your own emotions before communicating them. Strong couples communication is not always about sharing emotions with your partner. Sometimes it’s about helping each other calm down. This means getting in touch with the difficult feelings that are likely hiding underneath the anger such as fear, sadness or disappointment. Also, it is likely that abuses from the past are seeping into your relationship and coloring your experience of each other now. You would both be well served by professional help as a couple in order to understand how this plays out for each of you in the relationship.

Remember, you co-created this relationship together and you can re-create it ways that serve you better. This includes learning to see and hear each other more clearly and accurately. It also means learning to establish healthy boundaries with yourself and with each other in order to be less defensive.

3. The High Contrast Jive

Your Couples Communication Pattern:

Yours is a classic story of “opposites attract”. You are very different people, and that difference is likely what attracted you to each other in the first place. Whether you experienced your partner as “fun” exciting” and “adventurous” or “calm”, “solid” and “down-to earth” you opposing energies probably seemed like a positive initially. The best thing about this coupling, is that you can actually complement each other and help each other stretch in grow in new ways. Often we choose partners because they possess a quality that we admire and value.

The Problem:

The differences that initially attracted you to each other can also be the source of a lot of resentment and frustration. This can lead to a lot of hurt feelings and misunderstanding.  You may feel that your partner chronically “doesn’t get it” but feel compelled to stay together regardless. You may be on a mission to change your partner, or them of you. This of course, doesn’t work and leads to more hurt, misunderstanding and eventually resentment.

Your Growth Edge:

As a couple, you  need to learn that you chose someone who will, generally on an intuitive level, make no freaking sense to you, even on a good day. You both need to really get good at asking non-attacking questions for clarification, never assuming anything and not making the other person wrong  because of their choices or actions. Because you choose someone who is fundamentally different in their orientation towards people and relationships, you would do good to cultivate curiosity, a sense of humor and acceptance.

Along those lines the High-contrast couple, is well served by seeing your partner as representing a book that they VERY MUCH need to borrow some pages from (not the whole book, mind you). This goes against your natural impulse: which is to think that your partner’s “book” (how to be in a relationship) is “wrong” and you want nothing from it because your “book” is better. A little humility and openness goes a long way.

4. The Topsy-Turvy Tail Spin

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Your Couples Communication Pattern:

All bets off in terms of consistency in your relationship. You may find yourself doing a  intensity tango one minute, and then ease into a Steady Swing for a while and then move a high-contrast Jive the next.  You or your partner may act one way until they hit a pocket where there is unresolved trauma and then all of a sudden they act completely different.

The Problem:

It’s hard to feel safe and secure in a relationship that is so unpredictable at times. You likely are triggering each other constantly without knowing it and that can be frustrating. It’s highly likely that one or both people have a history of past trauma that is being played out unconsciously in the relationship. The good news is that even Topsy Turvy Couples can find a sense of safety and security, with each other, its’ going to require patience and work.

Your Growth Edge:

You both need to learn that significant trauma is makes everyone scared and self-protective and this is likely what’s driving the interaction problems between you.  You and your partner need to get really, really good at not looking threatening to each other by following basic rules of engagement to keep everyone in the window of tolerance and out of trauma response.

5. The Steady Swing

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Your Couples Communication Pattern:

You and your partner genuinely love and respect each other through all the trials and tribulations. You know what makes your partner tick and feel that they know you well. Your marriage is built on principles like equality, good communication, sensitivity and fairness. You likely both came from families that valued relationships first and foremost and you have been able to carry that value through to your own marriage. You show affection for each other easily.

The Problem:

Even though your couples communication is basically solid and secure, problems in your environment can still set your marriage off course. Steady Swing couples basically have a good foundation, but you still need support just like anyone else, especially if a crisis arises.  It’s important to note that even positive life transitions can temporarily place stress on a marriage. A job offer, new baby, a major move, a wedding, changes in financial or health status, in law problems can all cause strain on a marriage.

Your Growth Edge:

If you are in a life transition or crisis situation know that the stress you are experiencing is temporarily and also normal often in these situations what you need is some fine tuning in your communication skills and also help to temporarily shift course in order to get back on track. If you are in a new life phase, structural issues in your marriage may need to be addressed first. Then your couples communication will be built on a stronger foundation. Both are needed in order to move forward again. A Steady Swing marriage is often helped by a short term course of couple’s therapy in order to address these issues.

What if we don’t fit?

Keep in mind that the above pattern are general patterns that many couples, but not all fit into. You may relate to several patterns or none of them. It’s all good. In the end, what matters most is that you and your partner are on the same page when it comes to your relationship. Do you both see clearly the pattern you are in? Is there agreement that it’s a problem? Are you both agree on how you will solve that problem together? If the answer is no to any of these, than it’s probably a good idea to seek professional help All relationships endure struggle and communication problems at some point in their life span.

Many couples wait too long to get help the help they need. Don’t let that be you. You don’t have to wait until the patterns between you become deeply entrenched. Perhaps it’s time to decide to change them. In fact, change will happen more quickly and easily if you don’t wait. And remember, no pattern is set in stone. If your couples dance is not working for you in any way, you both have the power to change it.

Want to change your communication as a couple? It’s time to change the dance!

Contact our office and get  connected with an experienced Licensed Marriage and Family Therapists. Whether you are a new couple thinking about marriage or a mature couple with tons of experience behind you, we’ve got you covered. We will help coach you and your partner toward a better relationship.

We are located in St Louis, Missouri and serve couples in the following communities:  Webster Groves, Kirkwood, Crestwood, Maplewood, Brentwood, Rockhill, Richmond Heights, Clayton, Shrewsbury, Lindenwood, Ladue, Central West End and the surrounding areas.

Give us a call at: (314) 827-5448 or email us at admin@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri

More than Words: 5 Keys to Great Couples Communication

Couples often come to counseling seeking better communication, yet many already understand its basics intellectually. However, two key challenges arise:

  1. Intellectual knowledge hasn’t translated into lived experience
  2. Even if they have been able to communicate well at times,  they struggle to do so under stress. This is a much more challenging task. 

Let’s look at both of these situations, starting with the second. Then let’s explore the 5 keys to improve your couples communication style.

The Foundation of Good Communication

The truth is, we can’t separate communication from the background noise that is in a couples life. There are factors in a couple’s life that tend to set a strong foundation for good communication. You can think of them as background noise, or the lack thereof. When a couple is feeling calm, when there are mutual feelings of love flowing in both directions then communication is easy.  Let’s also add to this list a few other factors that tend to decrease stress in relationships and therefore lead to better communication: the feeling that there is enough time, money, energy and attention to go around. Yet, for many couples that I know, particularly couples in distress, at least a few of these factors are chronically missing. That means, they are trying to communicate from an already weak foundation. 

Communicating Under stress: Why It’s So Hard

What I find is that when they are under stress all that knowledge and good communication goes out the window. And so what they are really asking is either: how do I communicate with my partner when we are both under stress and/or how do I not let stress derail my marriage and erode things like trust, connection in the first place. Communication lies at the surface of all that. Communication lies on the surface of this more deeper question. Many self-help books have been published about how to communicate under stress. Unfortunately, many are predicated on a false assumption: if we just get into the right mindset, and choose the right words our relationships will fall into place. But as so many of us find out, it’s not that simple.

The Dance of Fire: The Patterns Between Us

So, how do you communicate when both you and your partner are under stress? That depends on three factors:

  1. How well you know your partner under stress 
  2. How well you know yourself under stress
  3. Whether or not you’ve current couple’s dance ( pattern of interactions between you)  can accommodate both.

The truth is that probably you and your partner process stress differently. That makes sense because you are different people.  You have different relationship histories and different brains and nervous systems that process that history in unique ways. When under stress often our brains instinctively draw from the memory banks of our past in order to determine how much of a threat our present experience with our partner is, and how to act. In other words, when there is an argument do we fight, try to get away, check-out, or apologize? 

The Missing Key: Your Body

Unfortunately, most couples (and also most couples therapists!) think of communication as mostly words. Despite the research stating the fact that something like 80% of communication  is actually non-verbal of communication. Dr. Bessel Van Der Kolk underscored the importance of the body in his seminal book on trauma . You can also watch him discuss his ideas in this video. The recent explosion of neuroscience has supported the importance of the body in healing across many fields. Whether your goal is exceptional job performance, becoming a better parent, or creating a solid marriage. There are at least  five most important aspects of communication, let’s look at them. 

Five Non-Verbal Aspects of Communication

Not surprisingly, it’s not what we say that matters most, it’s how we say it. Let’s consider:

  • Body posture & positioning
  • Eye contact (or lack of it)
  • Facial Expression
  • Vocal Tone, pitch  and rhythmicity 
  • Emphasis or intensity of physical gestures and/or Vocal Tone

One of the most interesting recent research findings on the vocal tone quality, also known as prosody, is how important it is for creating bonding and a sense of safety. This has been established and observed in mother infant studies, but also applies to couples. The research suggested that the more modulation or sing-songy quality a woman has in her voice, also known as Motherese , the more positively associated that attachment bond is between mother and infant. Interestingly, this holds true even for adults in relationship with other adults. It seems we have a preference for certain voice characteristics throughout our entire lives. Another interesting study with men, actually shows that masculine voices can predict attachment style.

What This Means for You and Your Partner

It’s not what you say that’s important so much as how you say it. This is just as true in the living room as it is in the office. A lot of self-help books and communication classes are predicated on a false assumption: that if we just get into the right mindset, and choose the right words our communication problems will be solved. But this is often not the case. Partners are constantly scanning each other for what’s not being said and also checking to see if words are congruent with behavior. We need to get good at recognizing both our own non-verbal signals as well as our partners. 

             

When Silence is Golden.

By now you know that communication is not just about using the right words. But what about silence? In my office there are times when the silence between two people is so thick and heavy you can cut it with a knife. In these instances, couples often have a lot to say to each other but there is so much resentment built up they may not know where to begin. Perhaps, there are certain subjects that when talked about seem to automatically result in a fight. On the other hand, there are times when the best communication is no communication at all. There are times when a look or a touch is all that’s needed to communicate something of importance. These are times when silence is golden. 

Communicating in the Middle: Neither Suppression Nor Ruthless Self-Expression

Twenty years ago, I taught classes in anger management and mind body medicine in a wellness clinic that was part of a busy medical center. One of the ideas that ran through all the classes was this concept of the middle path. It’s a concept that is pretty familiar in ancient wisdom traditions such as Taoism, Yoga, and many others. Yet it’s a concept that’s so counter intuitive to our Western way of being, the very idea of it can be disconcerting.

The middle path is the road to moderation. It applies to all areas of life: communication, drinking, eating, working. The middle path will keep you out of trouble and heading in the right direction in most areas of your life. Yet, because many of us in Western culture are accustomed to living on the edge of extremes, it can feel out of reach. I remember the students in my class staring at me with blank expressions, and at times out right irritation when I talked about the middle path.  Many of them were men and women who were referred to my classes by doctors, psychologists and social workers. Some of them had dangerous heart conditions and a tendency for road rage. Others appeared mild mannered and calm, yet were dealing with a host of somatic symptoms that doctors could not figure out. 

What This Has to Do with Couples Communication

At its heart the middle path is about balance. How we live our lives also carries over to our close relationships. The two are interrelated.  If you are in sync and balance with your own body, mental and emotional needs then it is easier to sync up with your partner’s. Yet, many of us live our lives out of touch and out of balance. This shows up in our relationships.  For many folks, it’s easy to live on the edge of extremes: either complete denial or suppression of their needs or ruthless and unchecked self expression. In my work with couples it’s not unusual to find one partner who lives on the suppression side of things, while the other counter balances them by being overly expressive. This is what renowned couples researcher John Gottman called a classic distancer-pursuer dynamic

Questions to Explore Further Together

 Do you tend toward either of the extremes of emotional suppression or over expression when it comes to communication? Or do you start off in one of these two places and end up in the other?  Does your partner lean toward one of these extremes? Do you find that you expend a lot of time and energy either attempting to manage their behavior or your own behavior in an attempt to find balance? Are there certain subjects that are off limits or result in an instantaneous fight? If you answered yes to either of these questions you and your partner are in need of some real time coaching on how to better communicate. It’s never a sign of weakness to ask for help and can only create greater strength in your relationship together. 

Need Help Communicating?

Contact our office to get connected to an experienced Licensed Marriage and Family Therapist who can help coach you and your partner toward a better relationship.

We are located in St Louis, Missouri and serve couples in the following communities: Webster Groves, Kirkwood, Crestwood, Maplewood, Brentwood, Rockhill, Richmond Heights, Clayton, Shrewsbury, Lindenwood, Ladue, Central West End and the surrounding areas.

Give us a call at (314) 827-5448 or email us at admin@danceofchange.com with any questions or request an appointment on our booking page.

We offer in person sessions in our office in Saint Louis, MO as well as video (Telehealth) session for anyone located in the state of Missouri.

 How to Get the Most Out Of Couples Counseling

Couples Therapy What to ExpectCouples Counseling is one of the most important investments you will make in your life. A little preparation can go a long way in making that investment pay off in big ways.

Many couples enter counseling or marriage therapy each year not knowing what to expect. Many times spouses think that choosing  the right Marriage Therapist or Couples Counselor is all that’s needed. But the truth is, while finding a good therapist is important, it’s only part of the equation. Couples therapy is a big  investment of both time, money and energy. It is also one of the most important investments you will make in your life. A little preparation can go a long way in making that investment pay off in big ways in your relationship.

Note: In this article we use couples counseling and marriage counseling to mean the same thing!

Assumptions of Couples Counseling

To prepare, lets look at some of the basic assumptions of couples counseling. Let’s take a look at what makes a healthy relationship. A healthy relationship is based in the following  principles:

  • Mutual respect, fairness, sensitivity, shared power, collaboration, justice, shared vision and a shared purpose that’s based in reality.
  • You can’t change another person, you can only change yourself.
  • Positive changes that you make in your own behavior will positively impact the relationship as a whole.
  • Under stress everyone behaves badly. It’s not your job to placate, punish, demand perfection, shame, criticize, blame or simply accept bad behavior in yourself or in another person.
  • It is your job and your right to take responsibility for your own behavior in the relationship and to make amends or ask for repair from another person when necessary.
  • These principles and actions combined over time build trust and a stronger relationship.

Initial Goals and Vision

The first task of Couple Therapy is to get clear about:

  • The kind of life you want to build together.
  • The kind of partner you aspire to be in order to create the life and the quality of relationship you desire.
  • Your individual blocks to becoming the kind of partner you aspire to be.
  • The skills and knowledge necessary to do the above task.

What’s Needed to Succeed: the four essential ingredients

In order to create sustained improvement in your relationship over time and to work effectively as a couple unit and as a team there will be some trade-offs. Here is what’s needed:

1. Time.

It simply takes time to create a relationship that flourishes. Time that may have been devoted towards other things will need to reallocated if it isn’t already  towards the following priorities:

  • Basic self-care: This includes adequate sleep, nutrition, etc. to maintain the energy and focus necessary to learn new skills.
  • Basic Relationship Care:  Time together to play, relax, recharge, reconnect and refocus and make repairs. This is necessary to maintain the energy, focus and motivation and to practice new skills.  This time will encroach on some other valuable areas – your personal or professional time.
  • Time to Reflect: Review goals, vision and progress together.
2. Energy and Motivation.

You will need motivation to persist. It takes concerted effort to sustain change overtime. This means remembering your vision and purpose at the beginning of this journey together. Maintaining these intentions even on the worse days can make a huge difference. It is the difference between a slight setback (often a normal and necessary part of the change process) and starting all over again.

3.  Vulnerability and Emotional Risk.

You will be asked to gently but persistently expand your comfort zone with yourself and your partner. Creating a healthy relationship means taking a certain amount of emotional risk: to let go of old defensive patterns and test out new ones. This is a necessary part of personal development as well as marital growth. My job is to help you take these necessary risks without too much stress or overwhelm. At times this will actually be fun.

4. Mental Flexibility.

You should expect imperfection in both yourself and your partner.  This can be very difficult for some, but is a necessary skill in improving reactions to problems. Change is non-linear. There will be ups and downs. This is a normal and necessary part of learning. Just as a young child falls down as it is learning to walk, mistakes are often a necessary part of learning and not a sign of failure. For this reason, it can be helpful to embrace the following paradoxes that are often part of couples work:

    • The slower and more careful we are with each other, the faster things shift in a positive direction.
    • The greatest growth often occurs during our ugliest moments together.
    • It’s not what you say, it’s what they hear.
    • Solutions, no matter how perfect, can still lead to an unsolvable problem.
    • But, when we improve our reactions to problems, the problems themselves can become irrelevant.

How to Prepare for and Maximize Couples Counseling Sessions

The main goal of marriage therapy is to expand your knowledge of yourself, the couple of which you are a part, and the patterns of interaction between you.  As you become more aware of these patterns, they will begin to loosen their hold on you and other family members. Therapy becomes effective when you can bring new knowledge to these patterns and effectively change them or develop new ones.

What to Do Just  Before Each Couples Counseling Session:

Before Each Therapy Session It is a Good Idea to:

  1. Reflect on your goals and reasons for being in therapy.
  2. Think about the next step that supports your larger vision or purpose for being together. Ask yourself “What is needed from me personally in order to be the kind of partner I aspire to become?”

Could you Use a Good Couples Counselor or Marriage Therapist?

Contact our office to get connected to an experienced Licensed Marriage and Family Therapists who can help turn your relationship around.

We are located in St Louis, Missouri and serve couples in the both Saint Louis City and Saint Louis County. This includes the following communities: Maplewood, Webster Groves, Kirkwood, Crestwood, Maplewood, Brentwood, Rockhill, Richmond Heights, Clayton, Shrewsbury, Lindenwood, Ladue, Central West End and the surrounding areas.

Give us a call at: (314) 827-5448 or email us at admin@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri

When Anger Gets Stuck: One Man’s Story Of Transformation

When anger gets stuckJohn* was a likeable, and successful lawyer in his late thirties who studied photography on the side. As he sat across from me in the chair in my office he spoke quickly as though in a hurry, yet his eyes were tired, his skin thin and faded. His body appeared hunched over on itself as he propped his head up on the arm of the sofa in my office. He came to me because of an anger problem and sleep disorder that was “messing up” his life.

Though he had admittedly always tended to hold a grudge, his anger quickly got out of hand when his serious girlfriend of four years left him to be with his best friend.  That was two years ago. Though he had thought that he had gotten over it, the anger flared up once again when he found out through a mutual friend that they had become engaged. That’s when the sleep problems started.

The Vicious Cycle

No matter how much he tried to calm himself and get a good sleep, he could not. During the day he would do just fine. There was enough going on at work that he could put his mind on other things, and almost forget about it for a while. But the thoughts and rage seems to flare up again as soon as his head hit the pillow. The next day at work he was tired and irritable. Even the littlest thing would set him off. It was to the point that it was starting to affect his work performance.

John did not want to be so tired and angry all the time, but he felt powerless to do anything about. He was caught in a vicious cycle and needed out quick. Not only was he angry at others but he was angry at himself. How could he have let things get this bad?

Mind Trap

He felted betrayed by the two people in his life he thought he could trust and was plagued by violent fantasies almost daily. The fantasies frightened him and contributed to his poor sleep which set of a vicious cycle of dependence on sleep medication and alcohol in order to “calm down and get to sleep”.

He wanted out of his own mind. Or at the very least not to be plagued by violent fantasies. He wanted to know if I could offer him some techniques to manage his anger and also to get a good night sleep.

Mind Trap: The roots of anger

The Roots of Anger

Suspecting that anger had been a problem for him long before the issue with his Ex, I asked some questions about his history. I wanted to know if anger was a problem for him in other areas of his life. How had he been managing up until now? Did other family members also struggle with this issue?  He described his father as a “rageaholic” that would often be verbally abusive. This was disheartening but also not a surprise. There has been a fair amount of researching documenting the negative affects of parental verbal abuse on children’s brains. Also, a strong connection often exists between excessive anger and  depression. This is especially true for men. So much so, that some people actually don’t make a distinction between the two. The affects of both anger and depression can also have a long lasting impact on families for generations.

In his own family, john was clear he did not want to follow in his father’s path.  As a teenager, he  had watched his father, a successful business owner, lose everything to a combination of rage and alcohol. He was terrified that he too was on this same trajectory. It turns out that anger had also cost John a job and was the main reason for his self-employed now. An avid Kick boxer,  he had successfully channel this anger into his sport  for a period of time. But now he wondered if it was actually making things worse. Also, as he got busier attending kickboxing classes was less of an option.

Taking The Edge Off

I also evaluated his strengths: He had a good relationship with his mother and felt that this was a relationship he could trust. He also had begun to practice a mindfulness based mediation practice that had helped him “take the edge off” from work stresses. We evaluated his sleep medication use together and determined that it was actually a helpful support right now in order to get the sleep that he needed to be less reactive and this was being monitored by his doctor. We both agreed that getting good sleep was an essential part of anger management. And once the pattern had shifted for him, tapering off the sleep medication would be a secondary goal.

What is healthy aggression?

My initial goal with his was to help him understand the difference between healthy and unhealthy aggression. I made it clear: our goal was not to get rid of anger: that would be impossible. Anger is one of the five basic emotions wired into us. We can’t help but get angry from time to time. What he needed was not to “manage” his anger to try to control or stop it, but rather to transform it. Before he can transform anger he first recognize the difference between anger that’s unhealthy and the healthy kind. A lot of people get confused about anger. They thing all anger is the same. And it’s all bad. But it’s not.

Heathy vs Unhealthy Anger

Anger gets such a bad rap, most people can’t tell the difference between the healthy and unhealthy kind.

From Thought to Action: A Bottoms up Approach

Traditional approaches of working with anger often involve cognitive interventions. This can be helpful. However, for many people, cognitive interventions along are not enough. That’s because when we are truly angry, our cognitive abilities actually go offline. It’s seems our brain is wired to have a physical response immediately, before the slower moving rational part of our brain even has a chance to kick-in. This is why a body-based (often called “Bottoms Up“) approach is often helpful when it it comes to dealing with states of stress. Including traumatic stress states such as anger and rage.

Letting the Body Be the Guide

Once john understood the difference between healthy vs unhealthy anger, at least intellectually it was time to learn how to access the healthy kind. He had to learn how to embody it. Many approaches focus on going for the jugular. The idea is to leap right into the fire pit of anger and expose your self to it, but use mental tools try to think or see it differently. In my experience, while these kind of experiences can be catharsis, they are often short lived. For this reason, I held off on doing any kind of trauma work initially. Instead, we let his body be the guide.

I knew that John was trapped in a paradigm of unhealthy aggression that touched everything. It seeped into his view of himself and the world, and also how he experienced these relationships. As he walked around my office I noticed how this paradigm played out in his physiology. He had a stiffness and rigidity in some parts of his body, yet other parts were collapsed and disconnected from the whole. I knew that if we started to connect these parts one by one, he would start to experience himself differently. He would began to not only feel different, he would actually be different. He would embody, perhaps for the first time, a healthy side of himself that he did not know existed.

A Better Foundation

I have many toys and tools in my office. One of them is called the Smovey Ring. A ring shaped tool filled with ball bearing. I worked with John’s posture initially to help him establish a sense of support that was neither rigid nor collapsed. Then guided him to move the rings in a way that established a rhythmical pattern. John laughed initially at the ridiculousness of it. He was expected to do “serious work” and to “confront his demons”, but this felt more like play.

I assured him that we would be addressing his demons, but in order to do that he needed a better foundation. Without that foundation, I predicted, he would end up in the same place, once stress got high enough. He agreed and was game. When he got good at this we added some sounds. Initially a low open sound that he held out for a length of time and then we added some other sounds to stimulate different parts of his nervous system.A New Dance-Dance of Change

A New Dance

It took several months of both play and hard work but eventually I noticed John start to hold himself differently. His movements were more integrated and smooth and his professional relationships were starting to change for the better. One day john shared with me that had successfully handled a conflict with a colleague. What normally would have “sent me over the edge” and resulted in more resentment, broken trust and an even larger problem, now was something all entirely different.

John had stood his ground and had successfully addressed his concerns, yet he had been able to do so with a flexible, open posture that invited more of a back and forth conversation. Unlike  the past, when john might have lashed out, or quickly shut down, he was  doing a different dance. He had learned the dance of healthy aggression. This changed everything for John. Both his relationships with himself and others felt different. They were sources of connection and possibility rather than loss, betrayal and disconnection.

Building Trust Over Time.

Of course there were times when the betrayal and old wounds still got triggered. John still had occasional nights of bad sleep, but he was less worried about them. He knew he could recover and find his balance again. He had earned a sense of basic trust with himself.  It was a trust that he could depend on more and more. This is what some people in the field of psychology call “healthy dependency”.

Once this healthy dependency grew, he realized he was ready to let go of the unhealthy kind of dependency. It was time to let go of his use of sleep medication and alcohol to sooth his nerves. After consulting with is doctor, he began to taper off both.  A new chapter of his life was beginning to unfolded so were new possibilities. He started dating again and eventually became serious with a woman with whom he felt a strong connection. Friendship with other people that he had abandoned in his “angry withdrawn phase” needed to be repaired. And thankfully now he had the energy to do it. Not everyone was receptive, but many were. Finally, the support they he most needed and wanted in life, was there. He was learning to trust others again, but more importantly he was learning to trust himself.

*The names and characteristics of the people in this story have been changed and some details have been altered to protect privacy and confidentiality. This story has been written with full permission and consent. Any characteristics or identifying information that appear to resemblance real people either in or outside of the therapy office of Danielle Kiesler, LMFT is strictly coincidental.

Do you have Anger or Depression?

Are you ready to get control of your anger?

Contact our office to make an appointment:

Give us a call at: (314) 827-5448 or email us at danielle@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri

Unbreakable (a Poem)

Lake-Expressive Arts Therapy

Beneath the wounds, the armor and debris of childhood,
under the buzz and hum of your current life, bustling and urgent,
Beneath the deadlines and promises
lies a river,
Subtle and meandering, yet deep.
It weaves through the very fabric of your being, though you may have hardly noticed
Its cool glistening currents of blue gold and green
Undulate, and fold,
Rolling over all obstacles in its path, nourishing them at the same time.
It a surprise and delight to witness.
The air here is clean and wide
It stretches open, yawns and
Breaths with you.
Emptying and filling,
Emptying and filling again and again.
Until you feel both empty and full at the same time.
Over time this will feel like less of a contradiction.
Because you will have learned the secret of the yogis and the mystics:
What pervades you and everything is you.
You are intimately woven into the fabric of life.
It is possible to make deep contact with yourself and the world without getting lost.
You can’t be injured here. And it can’t be broken.
You are unbreakable.
It is unbreakable.
And the river flows on.

Interested in Poetry and Expressive Arts Counseling?

Contact our office to make an appointment:

Give us a call at: (314) 827-5448 or email us at danielle@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri

Dancing with Anxiety: overcoming fear in four steps

Dancing with Anxiety
You can actually thrive and shift the grip hold that anxiety has on your life.

Often people come to my office asking me to help them “stop their anxiety”. They say that no matter what they DO, the anxiety keeps getting the best of them. That is certainly understandable. Anxiety that’s out of control can wreak havoc on our health and our sanity. But here’s the painful truth: you can’t stop fear or anxiety from happening, our brains and bodies are wired for it. What you can do is shift your relationship to it.

Shifting the dance:

Anxiety does not have to run your life. And you don’t have to work so hard to try and stop it.  You can actually thrive and shift the grip hold that anxiety has on your life. This is what I call dancing with anxiety. Like learning a  new dance, there are steps that you’ll need to learn. There is some practice involved. But mostly all that’s required is a little patience and a desire to do it differently. Let’s look at what this means.

Dancing with anxiety means…..
  • Befriending yourself and your body even when stress is high
  • Learning to shift your attention in ways that actually help you calm down vs just “manage” your symptoms.
  • Gently confronting anxiety, without making it worse or spiraling out of control
  • Shifting your perspective of your own anxiety to see it as the super power it really is.
  • Enjoying a life with less anxiety. Also, feeling confident that when anxiety does hit, you can handle it.

How anxiety works

Before we start doing that steps and start dancing with anxiety, first we have to understand the mechanism of fear. Let’s figure out why you are using anxiety in the first place.

Just like you can’t prevent a car crash from happening after it’s already occurred, you can’t prevent an anxiety attack after the fact. The good news is that anxiety is actually very predictable cycle. Anything you can predict you can actually change to some degree.

If anxiety is the match that eventually leads to a forest fire, we must first understand how that match gets lit.

Your brain on Stress and AnxietyYour brain on fear: Signs you are being hijacked by anxiety:
  • Narrow, tunneled vision
  • Mind in a frenzy: Rapid, negative, future-focused thinking “What if…”
  • Self-perception also becomes narrow and also negative focused.
  • Judgement and complaining about self and others increase “somethings wrong with me” or “something’s wrong with them”
  • Obsessive thinking about how it “should be” how we or another person should be behaving, performing, thinking.
  • Mental Repetition: Replaying the same dreadful scenario over and over again in our mind.
  • Over focus on “Doing” vs “Being”
  • Perception shifts from Perception of a self whose on her way somewhere, get to something
  • William James “ we leave in a perceptual frenzy, always thinking we should be doing something
The two kinds of Anxiety:

 Though anxiety comes in many flavors and variations, it can be boiled down into two main categories: specific anxiety and general anxiety. Specific anxiety I just as it sounds, the anxiety is usually focused on a specific target or triggered by a known set of circumstances. Specific anxiety can include Obsessive Compulsive Disorder (OCD), Specific phobias like agoraphobia and many others. General Anxiety does not have a specific known target or trigger and appears to be pervasive and chronic. Some people also refer to this as Existential Anxiety.  Some anxiety has its origins in deep trauma. Existential Anxiety does not. Existential Anxiety looks and feels like habitual stress.

Regardless of the type of anxiety you are suffering from there is a way to shift the dance.

When we begin to feel at home in our bodies and our minds, we can begin to interrupt that anxious part of us that wants to sound the alarm.

A New Approach to Dancing with Anxiety

There are some predictable steps we can take that will help shift the dance.
1. Start with the body.

Anxiety is primarily a lived and felt experience. That means your body is giving you important signals for you’re to pay attention. No matter what you are doing, start by taking a pause. Listen and feel what your body is trying to communicate to you. Is it tense or constricted in anyway? Are there places where this is less the case? Just by slowing down to notice our physical state can shift us out of the anxiety a bit. Stop and allow the dust to settle.

2. Create a Circle of Safety:

Often we don’t allow ourselves to enter our own experience because we have been taught it’s not safe. Part of stepping out of the grip of anxiety is letting ourselves know it is safe to feel now. Set an intention to step out of anxiety and befriend yourself. Once you befriend your body you might start noticing and befriending other parts of your experience: your thoughts, your emotions. Try to do this without judgement. If you need help with this you might imagined safe people, places or allies that represent safety and curiosity for you. You can also ask for help from a trusted friend or therapist.

3. Shore up on resources:

Once things feel safe enough on the inside and the outside we can look towards sources of creative and life inspiration to help heal. Anything that inspires us, opens us up and allows us to feel free can be used to transform our experience of anxiety. I call these resources. Often it’s a good idea to have a combination of resources to offset the effects of anxiety. Resources can be positive affirmations, soothing people, exercise, creative practice, spiritual practice, community, as well as a whole host of other things. In my work with people we often identify the specific resources that people are using already and which ones are most effective for them. We may also identify new ones that perhaps have been overlooked.

4. Add a Dab of what Frightens

You may be surprised to discover that things that frighten you and normally cause anxiety can actually strengthen you if used in the right way. Familiar anxiety “triggers” can be transformed into helpful reminders to change course. We can learn to choose a different path than the one our anxiety tends to follow. A racing heart can be transformed into a reassuring beat. A tightened jaw can soften and open.

 

Do you have anxiety?

Ready to  dance with it instead of let it run you?

Contact our office to make an appointment:

Give us a call at: (314) 827-5448 or email us at danielle@danceofchange.com

We offer in person sessions in our office in Saint Louis, MO in Webster Groves as well as video (Telehealth) session for anyone located in the state of Missouri