Managing Transitions with Mindfulness

In a previous post I explored the use of storytelling as a way to manage life transitions.  In this post I want to discuss a story of personal transition shared by Peggy Farah, mindfulness teacher and licensed physiotherapist.   Peggy was interviewed by Jon Waal on his Life Through Transitions podcast (Episode 48).  Her focus in the interview is tuning into your body using mindfulness as a way to manage life transitions.  She initially started her more than 20 years working with emotional and mental health by supporting children and youth who were dealing with grief, loss or critical illness – all extreme life transitions that are described by Bruce Feiler as “lifequakes”. 

Beneath Peggy’s competence as a therapist was a private struggle with “body image” – she was disgusted with her body (despite dieting) and had a “difficult relationship with food”.  It was as if she disowned her body and continuously retreated into her thoughts, becoming lost in cognitive processes – avoiding having to confront her challenging relationship with her body.  It was during her Masters study of Psychotherapy and Spirituality that she was able to use mindfulness to “reclaim her body”.

As part of her postgraduate studies, Peggy had explored the concept of “presence” and discovered the merits of Eastern religions, especially Buddhism.  She was also introduced to the numerous documented benefits of mindfulness which she describes as “deep noticing” in a way that is non-judgmental.  This opened up the possibility of overcoming her own negative self-evaluation and time spent in her “monkey brain” – in Buddhist philosophy, the concept of “monkey mind” relates to restlessness, disorder and lack of control.

Mindfulness to manage transitions

From her reading, Peggy came to understand that mindfulness could provide her with an “emotional breather”, could actually enable her to “press pause” in her debilitating negative thinking pattern.   She decided to re-focus her Masters thesis on herself undertaking a heuristic study (where she was both the researcher and subject of her research).  Her aim was to apply the principles of mindfulness and presence to her negative relationship with her own body and food so that she could gain “self-acceptance” – a fundamental outcome of mindfulness.

Interestingly, Peggy’s route to mindfulness was through her body – being present in the moment through her body (our body is always in the moment, in the “here and now” – it’s our minds that persist in exploring the past or the future).  She was able to become grounded by focusing on her feet on the floor, her body on the chair, and getting in touch with the physical sensations of her body (a process that involves a “body scan”).  She adopted “mindful eating” practices – the opposite to her previous behaviour.  She expanded her mindfulness practices to daily observation and journalling and engaging in “micro-practices”.   She became aware that the more you practise mindfulness, the more often “spontaneous mindfulness’ occurs in your daily life – you suddenly feel more present in everyday events, such as when observing a flower or leaf.

As she continued her mindfulness practise and her Master’s research on what was happening for her, she began to experience the documented benefits of mindfulness – increased joy and compassion, greater awareness (of self, others and nature), and “deepened relationships”.   She changed from being a “wound-up” Type A senior manager caught up in endless daily tasks to someone who became “anchored in the moment”.   She was able to spontaneously appreciate the shape and beauty of a leaf, to achieve real “presence” when doing yoga, and be really present to her family at the dinner table.   Previously, yoga became a catalyst for negative  self-comparison – comparing her body to that of others participating in practice on the mat.

Penny graduated with her Master’s degree in 2012 and it was not long after this achievement that she moved into her private psychotherapy practice, where, among other services she shares her own experience and learning to enable clients to heal their relationship with their body and food (thus overcoming “emotional and binge eating, chronic dieting, negative body image”).  Peggy also offers anyone a free 12-session, self-help course that she describes as the Deeper Cravings Path™ – a path to achieving a “true connection with your body and develop a peaceful relationship with food”.

Reflection

Peggy has achieved a number of significant life transitions including moving from a person who disowned her own body (despite externally recognised therapeutic competence) to “body reclamation” and self-acceptance; from an overworked and highly stressed senior manager to a calming influence in her private practice helping others achieve creative life transitions.  Peggy now sees her body as “an avenue to return to myself”.  She is living evidence of the transformative effect of mindfulness practice.

Peggy asserts that her achievements to date do not mean that she no longer encounters personal challenges or that she will be free from “lifequakes” in the future.  What it does mean is that she now has the ability to drop into her body when feeling stressed and to take an “emotional breather” and “press pause” in her negative thinking pattern.  Her interviewer, Jon De Waal, reminds us that “every thought we have carries an emotional charge”.  Thus mindfulness practice by suspending or reducing our thinking provides us with a refuge from life’s challenges.

In my current life transition from a competent and active tennis player to a person in rehabilitation for spinal degeneration, I can take inspiration from Peggy’s journey and storytelling.  As I grow in mindfulness, I can experience gratitude for the many positives in my life, persist in the process of rehabilitation and creatively develop a new identity and life story

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Managing Life Transitions through Storytelling

Many writers and podcasters highlight the challenges involved in life transitions.  Some focus on specific transitions such as aging, menopause for women, or transitions precipitated by organisational change.  Their discussions frequently highlight the need to reframe specific transitions such as aging or job loss as periods of growth and creativity rather than decline – this means changing our mindset and our narrative about these transitional periods.  As William and Susan Bridges point out in their book, Managing Transitions: Making the Most of Change, many people become stuck in the “endings” phase of transitions because they focus solely on what is being lost, rather than appreciating the potentiality of “new beginnings”.

Bruce Feiler, in his TED Talk©, The Secret to Mastering Life’s Transitions, contends that one of the core problems people have in managing life’s transitions is that they have a linear mindset, a perception that life is always “onwards and upwards” with a predictable forward-moving pattern – schooling, job, home purchase, marriage, and children, and career promotion.  We are thus ill-prepared for “setbacks” or deviations that occur through job loss, ill-health, loss of a partner, or physical disability.  Bruce, who was diagnosed with cancer when he was a new father of twin girls, suggests that when we are “side-tracked” or things go “offtrack”, we can feel as though we are “living life out of order” – living a life that is totally unexpected.  In his TED Talk© and his book, Life is in the Transitions: Mastering Change at any Age, Bruce maintains that life is a series of “disruptors” and some of these are “lifequakes” that involve massive change and demand managing the transition to a new state. 

The role of storytelling in managing life transitions

Bruce, along with many other writers, podcasters and public speakers, offers tips for managing life transitions that we encounter.  He maintains that a key to transition is to explore our “life story” – this is the narrative we create about our own life. The solution to mastering transitions is often in our own narrative – false assumptions, self-deceits, delusions or denials (e.g. “it can’t happen to me”!).  Bruce maintains that a life transition, especially a “lifequake”, is an invitation to “revisit, rewrite and retell our life story”.  He offers a catalyst for this process through his Life Story Online Interview which provides an interactive form for reflection on, and  recording of, our personal narrative.  Bruce’s insights on life transitions have been gained through his own life experiences as well as through over 1,000 interviews with people about their life story.

Jon DeWaal, in his TED Talk©, Two Factors that Make or Break Every Messy Life Transition, stresses the need, when exploring our life story and the associated narrative, to adopt two practices to ensure that the exploration leads to a constructive outcome.  Firstly, he contends that we need to be honest with ourselves – to own up to our own part in contributing to our side track or offtrack experience.  This requires deep reflection, total honesty, self-awareness and avoidance of the tendency to blame others rather than look at ourselves.  Associated with this is what he calls “community support” – not the gentle, warm kind that confirms our invalid self-assessment, but the kind that offers “supportive challenge” which makes us confront our weaknesses, unfounded assumptions or persistent mistakes/oversight.  Jon is a learning facilitator and life transition guide at Liminal Space – a team of transition experts who can help us grow and thrive through difficult transitions.  Jon is also the creator of the podcast, Life Through Transitions, drawing ideas and inspiration from interviewees who have been able to make life’s “formative transitions” into opportunities for personal transformation.

Dr. Annie Brewster, MD, and journalist Rachel Zimmerman, in their book, The Healing Power of Storytelling, focus on the personal narrative as a way to “navigate illness, trauma and loss”.  Annie shares her own life experiences and transitions and, together with her co-author, offers specific guidance in the process of using storytelling for healing.  She is also the founder of the Healing Story Collaborative which provides shared stories and resources through a collaborative blog – processes that are open to anyone to engage with personal storytelling for the purpose of healing.

Reflection

We are continuously controlled by the narrative in our head and this is particularly true in times of significant life transitions.  We can become embroiled in negative self-stories, get stuck in the endings phase or be blind to the creative options open to us in a life transition.  We need to break this destructive cycle especially when confronted with what Bruce describes as a “lifequake”.

Using reflective storytelling, meditation and other related practices enables us to grow in mindfulness and can help us to increase our self-awareness and insight, to have the courage to move beyond our “comfort zone” and to creatively explore options to manage difficult life transitions and move forward to a new personal identity and reality.

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Self-Care When Exploring Long Covid Symptoms

I mentioned in a previous post that I had thought initially that the peripheral neuropathy that I was experiencing was a symptom of Long Covid.  However, as explained in a previous post, I had discovered on investigation with my doctor that there was a structural explanation for these symptoms.  In that post, I encouraged persistent exploration of symptoms with our medical practitioner because our assumptions about symptoms may be misleading.

Self-Care in the face of disinterest or denial

One of the problems in discussing Long Covid with doctors is that there is no general agreement amongst medical practitioners as to what constitutes this condition (or even that the condition exists at all) yet doctors readily accept “fibromyalgia” as a condition.  Fibromyalgia, like Long Covid, involves a set of symptoms  such as muscular pain, cognitive disturbance and fatigue and, in common with Long Covid, symptoms vary with each individual.  In one sense, today’s patient experience with Long Covid diagnosis and treatment is similar to the experience of Lyme Disease sufferers who are faced with ignorance or denial.   This experience is eloquently described in case studies by Allie Cashel in her book, Suffering in Silence: Chronic Lyme Disease in the Age of Denial

In her book, Allie also recounts her own experience with Lyme Disease and other chronic conditions.  She strongly encourages patients experiencing any form of chronic illness that is typically denied by the medical profession to persist in sharing our symptoms with our doctor until we achieve a satisfactory outcome in terms of adequate diagnosis and effective treatment options.  Interestingly, she also shares her story and advice in one of the “stories shared for health” on the Healing Story Collaborative platform.  Her storytelling, which includes practical hints on how to approach your doctor with difficult symptoms, is presented in her recorded conversation with Val Walker, Being Fair Reporters: Self-advocating about Chronic Illnesses with Doctors.  Sometimes, self-care may require finding a medical practitioner who really listens and demonstrates that they do the necessary medical research and are across chronic health conditions such as Long Covid.

Reflection – my story to date

Previously, I discussed healing through storytelling as a way forward to recovery from chronic illness or disability.   This is in addition to qualified medical treatment that may take the form of medication and/or physical intervention.  As identified earlier, the problem with chronic illnesses such as Long Covid is that they contribute to a sense of isolation and can lead to depression, anxiety and other mental health issues.  Suzy Bolt’s Programme, Rest, Relax, Recover, addresses the emotional and psychological aspects by providing social support and healing modalities such as mindfulness practices, breathing techniques and group discussion.  In line with the healing power of storytelling, I am continuing my own story of exploration of my chronic symptoms such as peripheral neuropathy.

When searching for a medical practitioner who could help me diagnose my symptoms and suggest appropriate treatment, I came across a local doctor, David Eaton, who has dual qualifications as a General Practitioner and as an Occupational and Environmental Physician.  The breadth of his qualifications was a clue for me in terms of his willingness to explore complex, chronic symptoms and openness to the potential influence of Long Covid.  I have since discovered that he has several special interests that are relevant to my situation:

  • Musculoskeletal medicine, physical impacts of ageing and sports injuries
  • Skin conditions
  • Diagnosing and managing chronic and complex medical conditions.

David initiated a comprehensive investigation of my symptoms including blood tests.  Through David (via X-Ray and CT scan) I acknowledged a structural explanation of my ongoing experience of peripheral neuropathy in the form of spinal degeneration (including spinal stenosis and arthritis).   

The diagnosis of my symptoms is ongoing.  Compounding my current health situation is a group of symptoms that I have assumed are a consequence of Long Covid.  Gez Medinger in his Long Covid Handbook identifies three sets of Long Covid symptoms experienced by people categorised as experiencing mild disease but not hospitalised when suffering Covid initially (my experience as well).   The three sets of Long Covid symptoms that Gez identifies can be categorised loosely as: (1) increased intolerance to foods, (2) cognitive and physical exhaustion (including brain fog), and (3) increased heart rate (palpitations) and associated health issues.  I still experience unexplained symptoms of post-exertion malaise (Category 2) and increased intolerance of certain foods (Category 1 – what was previously experienced as “food sensitivity” is now being experienced as “food allergy” with the attendant aggravation of symptoms (changing from mild to severe).

David was aware that research has supported the observation that Long Covid can increase intolerance to specific foods.  He has also demonstrated that he is continuing to research the emerging literature on Long Covid – a criterion that is very welcome when seeking medical assistance with chronic and complex health conditions in our pandemic era.  David also reinforced the three elements of the health triangle – physical, psychological and social – and their interdependence.

Unfortunately, many patients experience an unwillingness of their doctor to acknowledge the existence of Long Covid or to make the effort to explore the growing research and anecdotal evidence of its existence and pervasive health impacts. 

As I grow in mindfulness through mindfulness practices and reflection, I can continue to challenge my assumptions, gain increased insight into my habitual behaviours, adopt appropriate self-care techniques and move to develop a new personal narrative that reflects my current situation of chronic disability.  In the process, I hope to gain the acceptance that Alexia Chellun describes in her song Allowing:

I’m allowing everything to just be
As it comes to me

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Healing through Storytelling

A challenging medical diagnosis can turn your life upside down, make you question your self-image and increase feelings of isolation, particularly if it prevents you from actively engaging with your social or sporting network.  Dr. Annie Brewster M.D., who experienced these challenges when she was diagnosed with multiple sclerosis in 2001, found that medical practitioners lacked understanding and compassion for her situation – they were ill-equipped to help her deal with the internal fallout that accompanies a chronic illness diagnosis.  Annie is now Assistant Professor of Medicine at Harvard Medical School while actively engaged as a practicing physician in Boston at the Massachusetts General Hospital.

Annie, who had been quite athletic, found that her sense of identity was challenged by her diagnosis.  She discovered that by storytelling – writing her own story addressing her identity confusion, accompanying anxiety and resultant trauma – she was able to move towards recovery reframing her identity, restoring her own power in the healing process and building resilience to handle uncertainty and fear.  She recounts her story, and offers storytelling techniques with co-storyteller and journalist Rachel Zimmerman, in their book, The Healing Power of Storytelling: Using Personal Narrative to Navigate Illness, Trauma and Loss.

Healing through storytelling

Through her book, Annie helps chronic sufferers to process their challenging emotions, create their own healing story, reframe their identity narrative and reconnect with people close to them as well as the wider supportive community.  She encourages us to utilise whatever medium we are comfortable with – whether art, music audio, video or writing – to share our healing journey and accompanying story.  The techniques she and Rachel offer can help us in that process. 

Inspired by her own positive experience of healing through storytelling, Annie created the Health Story Collaborative which acts as a platform for people to share their stories of health challenges and recovery.  The Collaborative offers a medium for overcoming the isolation of chronic illness and is “patient-centered and research based”, drawing on the research providing evidence of the therapeutic power of storytelling.  The Health Story Collaborative enables people to share their stories of illness and healing and offers multiple modes for doing so.  There are videotaped Healing Stories Sessions (accessible to anyone), as well as Audio Stories (available for public consumption).  You are encouraged to share your story of illness and recovery and the options also include music, art, poems, written stories or alternative media.  Some of the more helpful stories are featured on the collaborative blog.

Storytelling about my own diagnosis of a chronic disability

I have recently started writing my memoir, inspired by Jeff Brown’s online course, Writing Your Way Home.  One of my motivations has been the opportunity provided by storytelling to work through my personal experience of trauma.  Almost simultaneously, I have received a diagnosis of spinal degeneration resulting from “wear and tear” over my 76+ years.  A contributing factor was a serious car accident when I was 12 years old, with the undiagnosed injury aggravated by playing competitive and social tennis over 65 years. 

I am now confronted by the challenge of rehabilitation and the loss of my capacity to play tennis, cutting me off from the game I love and my social tennis network (one of my few social activities).  I can relate especially to what Annie calls the need to “integrate a traumatic health event into a new and evolving identity”.  I have to reframe my identity from my self-image of a fit, competent tennis player, which has been an integral part of my life to date.

Reflection

Ash Barty has provided me with inspiration and encouragement through her own life story.  She has also made me realise again why I loved the game of tennis.  I’ve been reading Ash’s memoir, My Dream Time – A Memoir of Tennis and Teamwork, which could alternatively be called Developing Resilience through Adversity (as she documents her multiple injuries, mental health challenges and recovery strategies).  Ash, the smiling assassin, who achieved World Number 1 WTA singles ranking for 114 weeks, shares openly her battle with negative self-messages, including the inexplicable negative self-talk about “not being good enough”.  

I can relate deeply to what Ash describes as the pleasure she developed in playing tennis – enjoying the game for its own sake and finding “love in the marriage of movement and timing and speed and strength and guile and nerve” (the willingness “to go for your shots”).  I found sheer enjoyment in my competence at tennis and my ability, even in my seventies, to surprise my opponents with unpredictable shots (such as a backhand half volley drop shot, a shot down the line or a half volley backhand lob).  I would often mentally record the competent shots that I played and still to this day can replay some of them mentally as if on videotape.  I undertook this process of recall and replay of my best tennis shots to build my sense of self-efficacy in playing tennis.

It is interesting that Ash talks about her slice backhand as her competitive advantage.  In her words, the slice backhand produces “ an unpredictable low bounce” and is created by hitting the ball “with enough angle and speed to generate a fade”.   Ash, through her slice, changed women’s tennis game at the elite level.  In the mid 1970’s, I used to employ a slice backhand as my main attacking shot when playing competitive tennis … and I would follow it in to the net to complete an attacking volley as my opponent would have to hit the ball up to clear the net.  However, over time while playing social tennis, after my competitive tennis days were over, I stopped using my slice backhand – for unknown reasons at the time.  On reflection, I discovered that what had got in the way of my using this particular shot was a form of cognitive blind spot – I had unconsciously begun to view it as “not a real shot”.  Ash’s resurrection of the slice in women’s tennis made me realise that I had unwittingly discontinued a shot that gave me a competitive advantage.

Ash at one stage in her book talks about “acceptance” – everyone is imperfect and “we’re all unique, all fallible and all with our own foibles”.  It is the nature of being human that we are prone to making mistakes and subject to life-changing mental and physical challenges.  We need to acknowledge the fragility of the human condition, accept what we can’t control, and act on what we can change for the better.  Mindfulness can help us to develop resilience in personally challenging times.

As I grow in mindfulness through reflection, meditation, writing and storytelling, I hope to develop a new narrative about my evolving identity, grow in self-awareness, and strengthen my courage to undertake the necessary, ongoing rehabilitation.  Life’s challenges can “make or break us” – mindfulness can help us to remain grounded, develop resilience and explore creative options.

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By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Trauma Recovery: A Program for Resetting Your Nervous System

Alex Howard recently provided a five-part series titled Decode Your Trauma which is designed as an introduction to his groundbreaking online coaching approach incorporated in the RESET Program.  He also provides a free three-part video series to help people to reset their nervous system after the experience of trauma.

Alex is a world-renowned health specialist noted for his work in integrative medicine, his therapeutic work and his entrepreneurial projects.  He has created a real life YouTube Series, In Therapy with Alex Howard, where your are able to join him as he works with patients in therapy sessions.  Alex is also the Founder and Creator of The Optimum Health Clinic (OHC) – an integrative medicine clinic providing support to patients in more than fifty countries, especially those suffering from “fatigue-related conditions”.

The principles and practices of the Optimum Health Clinic – incorporating approaches such as mindfulness, developmental psychology and NLP – have been encapsulated in a Therapeutic Coaching Program led by Alex.  It draws on the extensive experience and research of the OHC practitioners who have worked with thousands of patients.

Alex has also established Conscious Life – an online video platform designed to help people unlock their potential through courses, workshops and interviews with the world’s leading health and wellness experts.  Through Conscious Life, Alex has hosted two of the world’s leading online conferences, the Fatigue Super Conference and the Trauma & Mind Body Super Conference

The ECHO Model of Trauma

In his video presentations Alex describes his ECHO model of trauma which has four components (the name reflects the fact that experienced trauma has its echo in our day-to-day lives):

  • Events – these are the significant life events that created a trauma response in our mind and body.  They can be quite overt such as the categories of Adverse Childhood Experiences (ACE) – “abuse, neglect, and household dysfunction”.  Alternatively, the traumatising events can be more covert and subtle such as disrespect of your heritage or where significant others disown your lineage (a situation that Ash Barty describes in her memoir, My Dream Time – A Memoir of Tennis & Teamwork).  Bruce Perry and Oprah Winfrey put the spotlight on the traumatic events in our life when they ask, “What Happened to You?
  • Context – Alex described “context” in terms of whether our three core emotional needs were met or went unmet.  He describes these as a need for boundaries, safety and love. In the absence of boundaries in our early childhood we can suffer from the “need to please” – where we can’t say “yes” or “no” appropriately and where we make our own needs subservient to the needs of others.  Where a sense of safety was missing owing to a violent or turbulent/unpredictable home environment, we can find that we have difficulty in self-regulating.  Where love was missing – reflected in aspects of our early home life such as the lack of presence, interest, nurturing, respect and/or care – we can feel we need to overcompensate to earn love (to always achieve or accomplish something visible and significant).  Bruce and Oprah explore these emotionally deficient contexts by asking, “What didn’t happen for you?”.
  • Homeostatic Shift – “homeostasis” in this context refers to the human capacity to maintain equilibrium in the face of an external, fluctuating environment.  Alex highlights the fact that both the physical body and emotional body are constantly seeking to maintain a “stable internal environment”.  However, trauma can upset our internal balance and lead to emotional dysregulation.  This can be reflected in maladaptive stress responses or what Bruce Perry describes as a “sensitised stress response”.   Alex draws on the Polyvagal Theory of Dr. Stephen Porges to highlight potential maladaptive responses in the form of “fight/flight” or “freeze” responses.  He indicates that “to switch off the maladaptive stress response we have to get the nervous system back to safe and social” – described by Stephen Porges as the “ventral vagal” state involving social connection, openness, and groundedness.  Bessel Van Der Kolk describes the “homeostatic shift” in terms of the “visceral imprint” resulting from traumatic experiences.
  • Outcome – the outcomes from traumatic events and the resulting disequilibrium can take many forms – dysfunctional communication and relationships, anxiety and depression, addiction, sleep deprivation, mood swings and various physical health issues.  Negative self-stories and a distorted worldview can underlie addictive behaviour and other maladaptive stress responses.

The RESET Program

Alex developed the RESET Program after more than 20 years of therapeutic experience working with traumatised people.  The Reset Model involves recognising our mind-body disequilibrium, exploring how this is being created, stopping thoughts that are harmful and replacing them with positive energising thoughts, facing up to challenging emotions to heal from them, and transforming our relationship to ourselves (both mind and body).  The program employs multiple healing modalities including mindfulness, EFT (Emotional Freedom Technique), somatic experiencing and the S.T.O.P. process.   In the final analysis, the Reset Program is a pathway to achieving what Stephen Porges described as the “safe and social” stress response.

Reflection

I can relate strongly to Alex’s ECHO Model of trauma, having experienced multiple traumatic events in my early childhood and adult life. My early childhood context involved “household dysfunction” as well as separation anxiety.  I feel that at times I have over-compensated for the absence of love in periods of my early life and engaged in other maladaptive stress responses.  I discussed some aspects of my early childhood trauma in an earlier blog post, Reflections on Personal Trauma.

I have progressively drawn on mindfulness practices such as meditation and Tai Chi to regain my equilibrium and build emotional resilience.  As I grow in mindfulness, I am increasing my self-awareness, understanding my habituated responses, improving my emotional regulation and learning to deepen my relationships.

I found Alex’s five-part Decode Your Trauma series enlightening, thought-provoking and energising.  He draws on his personal experience of trauma as well therapeutic experience of helping numerous people heal from trauma.  His sincerity and keenness to help are manifested through his presentation style and his sustained efforts to explain complex concepts in simple terms. The free, three-part video presentation on his website is well worth viewing as an aid to self-reflection.

Alex is also the author of the recent book, Decode Your Fatigue: A Clinically Proven 12-Step Plan to Increase Your Energy, Heal Your Body and Transform Your Life.

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Image by John Hain from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Mindfulness: A Pathway to Long Covid Recovery

Gez Medinger, creator of more than 90 video interview podcasts on Long Covid, strongly recommends visiting your medical practitioner if you have symptoms related to this emerging  illness. He also suggests that any medication should be supplemented by whatever way you find useful to calm your autonomous nervous system.  He argues that there is no recovery from Long Covid without calming the mind and body because the illness is a form of inflammation affecting multiple parts of our human makeup (as reflected in the more than 200 systems identified as being associated with Long Covid).  The illness creates pain because of over-activation of nerves in multiple parts of the body (the body goes into a fight/flight response).  Dr. Deepak Ravindran, pain management expert and Head of a Long Covid Clinic, encourages the use of gentle mind/body practices such as Tai Chi to aid the management of pain and overall recovery. 

After interviewing yoga teacher Suzy Bolt in one of his podcast interviews, Gez strongly advocates her course, Rest, Repair, Recover Programme, as a pathway to recovery from Long Covid.   Suzy’s Programme incorporates yoga, breath techniques, meditation and other mindfulness practices.  She also provides a community of people who are currently experiencing Long Covid or have recovered from it and who readily provide supportive relationships by sharing their own experience of what works for them and offering encouragement and inspiration.  The three different levels within the Programme cater for everyone, irrespective of their physical limitations or mobility issues.

Evidence of the effectiveness of the Rest, Relax, Recover Programme (incorporating mindfulness)

Of particular note, is Suzy’s interview with a course participant Joe Iddison and world famous cardiologist, Dr. Boon Lim.  In the video interview, Joe talks about his recovery journey from Long Covid with the aid of Suzy’s Programme and Boon’s medical advice.  Joe had experienced multiple Long Covid symptoms including PoTS, brain fog, fatigue and insomnia.  Boon recommended Suzy’s Programme because of the many reports he had been receiving from his patients who had recovered from Long Covid with the aid of medication and the Programme.   He indicated that he meditated a number of times each day in his busy cardiac practice.

Suzy herself had recovered from extreme symptoms of Long Covid and her capacity to launch and manage her Programmes with the aid of other professionals, bears witness to the power of her approach.  She stressed the value of her Programme in helping people deal not only with the physical side of the condition but also the mental and emotional side.  Long Covid can negatively impact your role, self-identity, work and home activities (including caring for children) – some people, for example, are so ill that they cannot get out of bed (and you can see them participating in Suzy’s Programme from their bed).  People, too, experience fear and anxiety as a result of the uncertainty and lack of understanding of the illness (from doctors, family, bosses, colleagues and friends).  Mindfulness has been shown to help people manage their anxiety.

While participating in the Programme in real time is desirable for the community connection, the Programme’s effectiveness can also be realised through accessing the resources provided after the activities have been completed live.  Suzy offers an on-demand version of the Programme, at a reduced rate, for people who cannot attend live because of family or work commitments or time differences (the Programme is offered according to the UK time zone).   Joe attests to the effectiveness of the on-demand Programme because that is the version he used for his recovery from extreme Long Covid symptoms.  He indicated in the interview mentioned above that he undertook one activity per day drawing on the Programme’s resources (e.g., yoga, breathing techniques, meditation or listening to the group discussion).

Developing a positive mindset

A key element in the Suzy’s Rest, Relax, Recover Programme is the power to create hope in participants.  This is generated through Suzy’s positivity, the community support and the video testimonials and education provided by participants and medical practitioners.  A key element in recovery from Long Covid is a positive mindset because this determines whether or not you will make the necessary adjustments to your lifestyle to aid recovery.  Debbie Geraghty, for example, shares her recovery story and emphasises the importance of being positive and tapping into something that you love such as dance, creativity, and/or connection.  

Deepak Ravindran, Long Covid and pain management expert mentioned earlier, has written a book, The Pain-Free Mindset: 7 Steps to Taking Control and Overcoming Chronic Pain, which is available in Paperback or as an e-book.  Deepak also mentioned in the interview with Suzy that he has obtained funding to support his patients to be able to do seated Tai Chi.

Reflection

The inability of many doctors to understand the nature and complexity of Long Covid has left their patients confused and uncertain.  Gez Medinger commented during the Long Haul & CFS Summit that the specialization of medicine has contributed to this.  He stated that many medical practitioners are “inadequately equipped” to take on Long Covid because it is a “multi-system, multi-factorial, multi-organ” condition.  Too often, a medical practitioner will focus on a particular symptom that they know how to address but fail to identify the root cause of the overall debilitating condition.  There are clearly exceptions to this, including Dr. Deepak Ravindran and Dr. Boon Lim.

It is important, however, to establish whether other factors (such as nutrient deficiency, undiagnosed cardiac illness or structural problems) are causing and/or contributing to our emerging symptoms.   Leading neurologist, Dr. Shanna Patterson, in a video interview podcast for the Foundation for Peripheral Neuropathy, emphasised that scientists are reluctant to attribute peripheral neuropathy to Long Covid without supportive scientific evidence (because there are many possible causes of this condition). 

However, individuals who are suffering from other identified Long Covid symptoms report experiencing peripheral neuropathy in the form of numbness, pain or tingling in their arms, legs or feet.  Shanna encourages people to explore different forms of diagnosis with their doctor to determine the type of neuropathy involved and to identify appropriate treatment options.  She indicated that blood tests, for example, can highlight whether diabetes, thyroid problems or vitamin deficiency is contributing to the neuropathy.

As I have experienced peripheral neuropathy and a mild form of post-exertion malaise, I have recently approached a medical practitioner who is very experienced and qualified both as a  General Practitioner and an Occupational and Environmental Physician.  I have undergone a series of tests for my current condition under his guidance.  I have simultaneously registered for the on-demand version of Suzy’s Rest, Relax, Recover Programme (the timing of the live sessions does not suit people living in Brisbane, Australia). 

I have a firm belief that as I grow in mindfulness – through breathwork, meditation, Tai Chi and other mindfulness practices – I will be able to calm my autonomous nervous system, develop confidence and hope and facilitate my body’s self-healing properties.  I look forward to engaging with the training provided by Suzy and her professional colleagues and learning from the experience (and success) of others who have suffered from Long Covid.  Suzy reinforces the view that breath is “the bridge between mind and body” and that we can slow both our mind and body by consciously slowing our breath.  Suzy’s YouTube Channel, with free resources such as podcast interviews with leading experts and sample classes, is located here.

Alexia Chellun’s Healing Song is very apt at this point as it incorporates the mantra:

“My body, mind and spirit are healthy”.

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Image by Zhu Bing from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Moving from Trauma in a Relationship to Trust

Dr. Aimie Apigian recently offered a Trauma to Trust Masterclass in which she discussed the body’s response to trauma, ways to recognise if a relationship is causing trauma and ways to move from trauma in a relationship to trust.  Aimie is a Preventative Medicine physician with Masters in Public Health and Biochemistry.  She specialises as an addiction, trauma and attachment physician – a career that resulted from her desire to heal from own traumatic life experiences and attachment issues and to help other people to achieve healing and recovery.  She shares her career story and her work with Guy Macpherson on the Trauma Therapist Project podcast.  Her experience with foster-parenting led to her consuming interest in helping children experiencing pain and suffering from trauma.

On her YouTube© channel, Aimie provides videos where she discusses topics like addiction, trauma, nervous system, negative thinking, inflammation and emotional regulation.  She draws heavily on her personal experience of adopting a son from her foster care – a child who was traumatised by his insecurity, constant mobility and uncertain future.  She found that love and nurture and time together by themselves did not help to heal him – the manifestations of love themselves became a trigger for his trauma response. 

The day Aimie’s six-year old adopted son told her that he would kill her the following day was the catalyst for a lifetime of study, research and specialisation in helping children and adults recover from trauma.  To help her son, she researched multiple modalities including nutrition, somatic experiencing (developed by Dr. Peter Levine), and Neuro-Affective Touch.  For other parents in a similar situation with a traumatised child, she created the not-for-profit organisation, Family Challenge Camps, that are designed to help families deal with trauma and attachment issues.

3 steps to the trauma response

Aimie drew on her training in the Instinctual Trauma Response Model to explain how the body responds to trauma.  Initially when the body experiences a perceived threat (including a “trigger”), it goes into a startle response (envisage a deer in the wild hearing or smelling the presence of a lion).  This is followed by the stress response which energises the fight/flight response

When the stressor(s) are perceived as overwhelm (we sense we are unable to cope), the body adopts the freeze response which constitutes the “lowest energy state” (in comparison to the “high energy state” of the fight/flight response).

Recognising trauma created in a relationship

Aimie provides three ways to recognise if a relationship (that we are part of) is a source of trauma for us.  At the foundational level, the early indicators relate to a lack of energy.  So the first step is to check our bodily sensations – is the relationship energising or depleting us?  This can be an early indicator of trauma in an emerging Controlling Relationship.

On the second level, is exploration of our thoughts about our relationship. Do we perceive that being in the relationship is too much and beyond us?  Do we feel safe and supported?  Are we wondering why we have built up a dependency in the relationship to make up for some personal deficiency?

The third indicator is how we feel health wise – are we constantly feeling sick in the relationship? Does the relationship “make us sick” (with worry, anxiety or fear, for example).  Aimie reminds us that sometimes we can delude ourselves when our mind says “I love them” but our body gives us away through constant sickness.

3 step approach to releasing stored trauma

Aimie has developed a 3 step approach to assist people to release stored trauma.  She argues that the release process requires certain actions completed in the right order.  In fact, from her own experience and research, she has found that the order of the required steps is the reverse of the trauma creation process described in the previous section (startle, fight/flight/, freeze).

Aimie argues that the trauma release process involves (1) developing a personal sense of safety, (2) building a sense of support and (3) expansion where we begin to lead “the life we’ve always wanted”.   She provides an explanation of the 3 step process in her publication, The Essential Sequence Guide: How to release stored trauma, that is available as a free e-book from her website, Trauma Healing Accelerated™.

Aimie offers specialised training for individuals who want to deal with trauma in a relationship in the form of a 21 Day Journey that provides a somatically-based process of addressing stored trauma in the body.  Each of the three steps of trauma release are addressed by providing seven somatic exercises for each step (safety, support, expansion).  Aimie and an online community provide the supportive relationships necessary to enable people to heal and recover.  During the Trauma to Trust Masterclass, Aimie provided an experience of one of the somatic exercises designed to develop a sense of safety.  It involved linking the stomach to the heart by placing one hand on each body part and exploring the nature of the felt connection (e.g., rejection, resistance, warmth, welcoming, disrupted, undulating).

Aimie provides other experiential and educational workshops, a certification program for practitioners and one-on-one coaching by a certified trauma-informed health coach.  She is also the Creator and Host of the Biology of Trauma Summit

Reflection

Each of us have had our own experience of personal trauma from challenging life events – whether a car accident; death of a child, spouse or parent; a relationship breakdown/breakup and/or divorce; loss of work through redundancy; chronic illness or cancer; loss of a home through fire or flood; adverse childhood experiences or a combination of these (or any other traumatising event).

Aimie and her colleagues provide a clear pathway for trauma release by focusing on the body and providing somatic healing.  Her dedication to releasing trauma in others (whether parents, children or professionals) is a lifetime and whole-hearted commitment.  She offers insights from her own traumatic life journey and in-depth study and research.   

As we grow in mindfulness through somatic experiencing, meditation, connecting with nature and other mindfulness practices, we can develop greater self-awareness, a stronger sense of safety and support and build the confidence and creativity to explore our potential and life purpose.

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Image by Gerd Altmann from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Trauma Resilience

David Treleaven presented on the topic, Resilience to Trauma, at the recent Embodiment Festival 2023.   He made the point that while meditation and mindfulness practices can help some people recover from trauma, meditation may not work in individual cases.  He argued that suggesting “more” meditation is not the answer – we have to recognise the complexity of trauma and how it plays out in different people’s lives.  Individual’s hypervigilance as a result of trauma may impede their capacity to be still and reflect and they may find themselves continuously oscillating between a trauma response and temporary wellness – impeding their capacity to develop resilience.

David commented that trauma can create a level of rigidity in our response to stressors.  He noted that in some cultures such as Australia, Ireland, and South Africa, humour plays an important role in helping people to develop resilience.  Mark Walsh, Festival organiser and interviewer, commented that after undertaking trauma recovery work in Ukraine, he realised that humour is an integral part of the resilience of the Ukrainian people.  It was noted, too, that the current President, Zelenskyy, was previously a comedian and actor.

When Mark asked David what advice he would give to young people in these present challenging times, David suggested that it is important to undertake a regular practice that builds personal resilience.  He maintained that this is very much a personal choice but whatever practice you choose, to do so purposefully and “don’t be afraid to make a mistake”.   This wide-ranging discussion increased my interest in the relationship between trauma and resilience.  I decided to explore David’s podcast series, Trauma-Sensitive Mindfulness, where he interviews trauma experts to explore the intersection of mindfulness, meditation and traumatic stress.

Trauma and Resilience

I was immediately attracted to David’s podcast interview with Anjuli Sherin on the topic, Resilience, Mindfulness and Trauma RecoveryAnjuli is a Pakistani American who specialises in trauma recovery with families, especially members of immigrant families.  She is a highly qualified and experienced therapist who offers individual therapy sessions, healing groups, guided meditations, training and her Joy Blog.  Anjuli is the author of Joyous Resilience – A Path to Individual Healing and Collective Thriving in an Inequitable WorldThe interview is very rich in its discussion of resilience and Anjuli’s book, because she shares insights from her own life experience and the resilience journey of her therapy clients.  David, himself an expert in trauma and trauma recovery, acknowledged that he learnt some new things as a result of the interview.

Anjuli begins with recounting her own trauma recovery journey, highlighting the trauma she experienced as an 18 year old, female immigrant to America.  Not only did she feel totally disconnected from her new cultural environment, she was also carrying the scars of intergenerational trauma resulting from living with her family in the “systems of oppression” present in Pakistan as she was growing up.  She found herself alone in America with no “compass”, family or community, while still in her early 20’s.  

Anjuli experienced what Bruce Perry describes as a “sensitised stress response” which led to overreactivity and maladaptive behaviour.  She describes her trauma as translating into “anger, fear and violence”.  She found that she did not cope with the stressors in intimate relationships, partly because she could not access, and express, her feelings and needs.  She was experiencing “emotional dysregulation” where she lacked control over her emotional responses. Her reactivity in her relationships led to more stress and feelings of shame.  Anjuli describes this trauma experience as the ”cycle of trauma” – the “vulnerable self” experiences stressors that lead to reactivity which, in turn, increases a sense of vulnerability, fear and helplessness that, again, heightens reactivity and maladaptation.  The trauma cycle results in negative self-evaluation, avoidance, and  questioning “what’s wrong with me?” – creating a further “cycle of suffering”.  An alternative mindset explores “what happened to you?” and seeks to understand trauma, its complexity and impacts.

The “circle of resilience”

Anjuli describes the trauma recovery journey experienced by herself and her clients as a journey towards, and into, the “circle of resilience”.  This is a process, not a set state, that involves developing or accessing “four aspects of self” that enable the development of resilience and facilitate trauma recovery.   These aspects of self replace self-criticism, self-neglect and denial of feelings.  Anjuli maintains that people who have experienced trauma are often not able to use the “tools of resilience” (such as mindfulness, yoga, Tai Chi or exercise) in a sustainable way because of their “vulnerable self’ and being stuck in their reactivity and sense of helplessness.

Anjuli noted that in her early stages of arrival in America she ignored advice to seek a therapist to help her with her trauma recovery.  It was only after the stressors she was experiencing increased (e.g. graduation and relationship stress) that she heeded advice to seek therapeutic assistance.  She had been mired in her negative self-evaluation and her maladaptive behaviour up until that time. 

The “four aspects of self” for the resilience journey

Through her own therapy and consulting with her clients, Anjuli identified what she calls the “four aspects of self” that enable anyone who has experienced trauma to undertake the resilience journey.  She found that her own therapy “changed everything” and helped her to develop resilience by providing “foundational teaching” to shift from emotional dysregulation to emotional regulation, to move from stress and shame to self-care, and to develop “healthy control and agency over actions, emotions and relationships”.  Her reactivity diminished and she was able to understand her own needs and ask for what she needed.

During therapy she developed the “four aspects of self” that enabled her to enter the path, and move along the journey, to healing and resilience, thus enabling her to utilise the tools of resilience, such as mindfulness and exercise, in a sustainable way.  The four aspects described in depth by Anjuli in her book are:

  1. Nurturing – self-talk that recognises feelings (naming her feelings) and “turns to those feelings with attunement and loving kindness”, leading to acceptance
  2. Protection – establishing healthy boundaries and limits
  3. Play and creativity – accessing the things that bring pleasure
  4. Awe and Gratitude – through the experience of beauty and “interdependence  with the larger world”.

Anjuli explained that these four aspects of self, enabled her to let go of her “vulnerable self” and to acknowledge that she is able to deal with challenging emotions such as grief and fear.  She stated that these four states “are not built outside of relationship”.  She reinforced the critical role of supportive relationships in the journey to recovery and resilience.  Brooke Blurton in her memoir, Big Love: Reclaiming myself, my people, my country, highlighted the relationship orientation of her Aboriginal culture and its role in helping her through multiple sources of trauma to heal and develop resilience.  She experienced intergenerational trauma, poverty, homelessness, sexual abuse and racism, yet throughout she was sustained by the “constant love” of her addicted mother and the love of her family (especially her Nan and siblings), the extended family of “Aunties” and “Uncles” and what she calls “the mob”.  Anjuli reinforced supportive relationships as a “source of resilience” in that they provide protection, nurturing and a readiness to listen and positively affirm a person’s experience and emotions and offer reassurance that they “are not alone”.

Reflection

Supportive relationships appear consistently as a key element for trauma recovery and the development of resilience.  When I reflect on my own experience of recovery from personal trauma, I am able to acknowledge the central role played by nurturing, protective relationships.  Anjuli’s book promotes personal and collective healing and recovery, and offers supportive practices and insightful case studies that facilitate the development of resilience and encourage joyful thriving.

Resources that can help us achieve trauma resilience, and the ability to cope with life’s challenges, include the Healing Trauma Program offered by Sounds True which involves 13 key trauma recovery experts such as David Treleaven.  Sounds True also offer a shorter course, Trauma and the Embodied Brain, facilitated by Bonnie Badenoch, PhD.  Bonnie is the author of the book, The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships.

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Image by Alex Hu from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

What Happened to You?

I have been listening to the CD-audio version of What Happened to You?  – Conversations on Trauma, Resilience, and Healing.  In the audio, the creators Bruce Perry and Oprah Winfrey, share their experiences and insights – Bruce from a neuroscience and clinical perspective and Oprah from the stories she has gleaned from thousands of interviews of traumatised people.  The audio represents the crystallisation of ideas resulting from an ongoing conversation between the two creators over more than thirty years.   It highlights the complexity of trauma and the multi-faceted nature of effective healing from trauma.

In listening to the audio, you automatically explore, “what happened to you?” in your own early childhood.  The prevalence of trauma and its impacts suggests that most of us in some way experienced one of more adverse childhood experiences (ACE).  Every day you hear of traumatic events globally as well as locally  – such as the Sea World helicopter collision on the Gold Coast.  Survivors and witnesses, as well as grieving relatives and friends, would have been traumatised by the accident.  Some of the survivors have to experience the trauma of multiple surgeries as well.

We are frequently exposed to the traumatic experiences of others, including prominent people who describe their upbringing and provide insights into trauma and its impacts by way of their memoirs.   For example, Bertie Blackman, singer and artist, writes in her memoir, Bohemian Negligence, that she was sexually abused at a young age by a “friend of the family”.  Tove Ditlevsen, famous Danish poet and author, explained in her memoir, Childhood, Youth and Dependency, that she had a violent mother who beat her indiscriminately and was unpredictable, inflexible and critical.   Tove’s dream of becoming a poet was a source of belittlement by others, and disbelief and denigration from her parents and beloved brother.  She was also ostracized at school because she was seen to be “different”.

What happened to you or did not happen for you?

Bruce and Oprah explain that the more we understand the nature of trauma and its many forms and manifestations, we are better able to be compassionate towards others and ourselves when we observe aberrant behaviour on their part or our own.  This can lead to forgiveness of others and ourselves, as well as healing from the impacts of trauma which are pervasive and influence our relationships and communication.    

Oprah and Bruce explain that trauma shapes “our brains, our biases, our systems” – it influences our worldview and the way we perceive ourselves.  A teenager, for example, who experiences roughness and brutality by a policeman when innocent or engaged in some trivial misdemeanour, will view police as “fearful”, not trustworthy and cruel. This traumatic experience builds an implicit bias on the teenager’s part in respect of all police.  Our experience (or lack of direct experience) of people of a different race or nationality to our own can shape our biases.  These biases can be confirmed by observing non-conformist behaviour or seeing images of adverse events involving people of that race or nationality.

Our own trauma is unique in that traumatic experiences and their impact vary from individual to individual in terms of their nature, intensity, diversity and duration.  We each bring to the table of life imprinting from our early life experiences that shape who we are and how we respond under stress.  People with unresolved trauma have “sensitised stress responses” which can be manifested in overreaction, aggression, physical withdrawal, anxiety or dissociation.

Bruce and Oprah make the point that our modern day living conflicts with what is necessary to achieve healing from trauma.  They highlight the emphasis today on superficial relations and communications (e.g. selfies, likes, texts) at the expense of reciprocal relationships involving conversation, sharing, storytelling and empathy.  They discuss the “sensory cacophony of the modern world” – creating discordant sounds, confronting images and information overload.  Oprah and Bruce maintain too, like Johann Hari, that the disconnection and isolation of modern living contribute substantially to the growth of depression, anxiety and suicide.

In contrast, Bruce recounts his experience of Māori culture through an intensive immersion over two days – experiencing firsthand their holistic healing approach and the centrality of relationships characterised by “rich relational density [versus superficiality] and developmental density [involving ages ranging from babies to the aged]”.  Given the nature of trauma, Bruce argues for the development of “stable, supportive, patient and consistent” relationships to offset the impact of developmental relationships that were unpredictable, inconsistent, hurtful, demeaning or neglectful

Reflection

If we reflect on our actions and reactions to daily events and interactions with other people, we can begin to see patterns in our behaviour, e.g., avoidance of conflict, the need to please, or implicit bias in relation to particular groups of people.  Gaining an understanding of trauma, its impacts and conditioned behavioural responses, will enable us to establish causal links between what has happened to us (or “not happened for us”) and how we behave in specific situations, e.g., when criticised, threatened or praised.  Memoirs can be instructive in this regard.

If we consciously grow in mindfulness through reflection, meditation and other mindfulness practices, we can gain the self-awareness necessary to understand ourselves and to develop loving kindness towards ourselves and others.  If we also consciously try to build and sustain supportive, enduring relationships we can move along the path to self-regulation and healing from trauma.  These healing relationships can extend beyond our immediate family to colleagues, friends, our extended family and interest groups (such as hobby, book, faith or aged-based groups).

Bruce and Oprah reinforce the importance of the mind/body connection and highlight the value of movement such as dance, Tai Chi, movement meditation, exercise and reconnection with nature for healing from trauma.  They also advocate bodily-oriented approaches such as massage, somatic meditation, and resting in your body/breath. There are many resources available to help us heal from trauma and develop resilience to face life’s challenges.  Sounds True, for example, offers a Healing Trauma Program involving some of the world’s top trauma recovery experts.  They also provide a Trauma and the Embodied Brain course led by Bonnie Badenoch, author of The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships.

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Image by Ben Kerckx from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Healing from Trauma

Oprah Winfrey and Bruce Perry address the issue of healing from trauma in their book, What Happened to You?  In a chapter on Coping and Healing, they explore the impact of relational deficit in the early years of a child’s life; what neglect and parental conflict does to a child’s development, their worldview and their stress response; and the importance of an understanding, nurturing and patient carer/parent/therapist for healing to occur.   In the process, they discuss, in depth, the nature of neglect, differences in the way individuals are impacted by trauma, behavioural manifestations of adverse childhood experiences, and the road to healing, including creating a new worldview.

This chapter of their book is very rich with stories, insights, principles and personal disclosure by Oprah – disclosures that are enriched by observations by Bruce on her life experiences.  Oprah, herself, and the vast work that she does in the area of trauma healing, is an exemplar for coping with, and healing from, trauma.  What she has learned through her own life experience and ongoing discussions with Bruce over many years, has led to her establishing the Oprah Winfrey Leadership Academy for Girls (OWLAG) in South Africa. 

The emotional environment in early childhood

Bruce maintains that the quality of the emotional climate in early childhood impacts our worldview and our stress response.  If there is stability, nurturing and predictability, our brains and our behaviour can develop.  If the opposite exists, this has an adverse impact on our childhood development and our capacity as an adult to deal with challenges and stress.  We can develop the mindset that we are not lovable or not worthy of people’s attention.    Dr. Gabor Maté utilises a process he calls “compassionate inquiry” to unearth these negative self-stories – vestiges of an early life lived in an environment of neglect.

Bruce highlights the fact that different, deficit emotional environments can result in very different traumatic effects.  He illustrates this point by an in-depth comparison of two boys who manifested their traumatic upbring in contrasting ways.  His explanation shows clearly why one boy became fearful and aggressive while the other “had no feeling at all” and engaged in threats and thefts.  His description of their respective adverse childhood experiences and their differentiated impacts brings into sharp focus the key role that quality relationships play in early childhood.

This discussion of the differences in personal development of the two boys led Bruce to assert that an important consideration is not only “what happened to you?” but also “what didn’t happen for you?” – in terms of the behaviour of a parent/carer who provides undivided attention (in lieu of distracted attention), gentle touch (rather than physical abuse), consistent nurturing (instead of an on/off approach) and regular reassurance (instead of a belittling attitude).  Not only does the quality of relationships in early childhood impact brain development but also the development of social and motor skills.   Bruce contends that “relationships are the key to healing from trauma”  because trauma often results from deficient relationships.

An environment of conflict

Bruce notes that if you are a young child and you are in an environment of parental conflict, you have limited options.  You are too young to flee and unable to fight as you are easily overpowered and may draw physical attacks from either or both parents.  Often in this situation, a child will dissociate – retreat to their inner world. Dissociation becomes a problem when it is prolonged or becomes a habituated response to everyday challenges – this can lead to what is termed a dissociative disorder.  I can relate to dissociation as a stress response  as my parents had frequent verbal and physical conflicts over my father’s alcoholism and gambling – my mother would berate him over his misuse of our family income.  This would sometimes escalate into a physical attack on my mother, on a number of occasions this put her in hospital. 

When I was young, my natural response would be to dissociate from the  traumatic experience, as flight or fight was not an option – fight was out of the questions as my father was a very successful professional boxer.  However, as I reached the age of 12, I used to get on my pushbike and ride into the night as fast as I could (flight response), hoping that when I returned the conflict would be over.  The physical exertion of bike riding at speed served to release some of my pent-up tension and fear from the conflict.

Both Bruce and Oprah make the point that there is a positive side to dissociation in that it could be a life-saving response in some situations but is also part and parcel of what each of us do every day – e.g., day dream.  Bruce contends that the “capacity to control dissociation behaviour is very powerful” – it underpins our capacity for reflection and focus and to achieve a “flow state”.   I experienced  a number of personal traumas in my early childhood and adulthood, including a serious care accident in the family car when our car was hit on the side by another car, rolled a number of times, went over a 10 foot embankment, and came to rest on its hood.  I have learned to control my dissociative behaviour and, as a result,  developed high levels of reflective cognition and focused behaviour – reflected in my PhD, Professorship and this blog (this is my 700th  published blog post for my Grow Mindfulness blog).

Reflection

“What Happened to You” by Bruce and Oprah stimulated a lot of reflection for me and in some instances, “flashbacks” as well.  I began to appreciate more how my five years spent as a contemplative monk (from ages 18 to 22) served to provide me with a highly structured, stable, reflective and meditative environment with high quality relationships that together enabled me to self-regulate after a traumatic upbringing in a conflicted parental environment.  In my upbringing, my mother’s unconditional love and support offset to some degree my father’s (PTSD-induced) behaviour.

I am sure my period of development in an environment of daily silence, meditation, prayer and study helped me to achieve a degree of peace and tranquility (sometimes punctuated by moments of panic over my deteriorating home situation). As I grew in mindfulness, I was able to develop resilience, a positive mindset and the ability to find refuge in meditation.

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Image by Luisella Planeta LOVE PEACE ?? from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.