Archive for October, 2012

Anxiety and the Horrible Breakup

Monday, October 29th, 2012

So your relationship is over? Whether it is a divorce, a breakup with a long time partner or the dissolution of something that you felt would have potential, breakups are painful. My clients report being in literal physical pain after a breakup, and many do not know how to soothe the pain or where to turn to get better. Let’s discuss the energy of ending a relationship.

 

When a relationship ends there is a grieving process that is rivaled only by death. I have heard some say that death might be easier.  I believe it was Alice Cooper that said he felt like  “the man with no skin” after a breakup. This is echoed by my clients over and over. One client stated that she felt like someone had poured gasoline on her and lit her on fire. This is no small pain.

 

Anxiety prevails alongside the pain as the major emotion that is reported to me. What will I do now? Will she come back? Is it really over? Will I ever really heal? Having to rebuild a life that you thought would be different is a monumental task when you are in pain and twisted in knots with anxiety. Doubting your ability to make decisions and lack of confidence in yourself comes with the blow to the self esteem. Learning who you are all over again seems impossible, since it feels like half of your identity walked out the door.

 

I have been told that the feeling of grief of losing someone is the same feeling of loving someone. The difference is the story that the brain is telling about the sensation. Since you are already in that energetic space in your body, you can leverage the energy by focusing on something that you love and dwelling on that instead of the lost partner. Learning to shift out of the energy of grief and into the energy of love is very helpful in transforming the pain. Transform the focus from the lost partner to your dog, or your child, or even your wounded self can help change the story your mind is telling your body.

 

Allowing the pain and anxiety to flow through your body without resistance is so important. If you resist the waves of pain and anxiety they will set up residence in your body and will be unremitting. If you can focus on your body, visualize the pain there as transitory and actually visualize it passing through you you will find some comfort.

 

Common advice like the “no contact rule” is hard to follow, but I promise if you block their number, unfriend them on Facebook, and give yourself a chance to breathe, you will feel a small surge in anxiety at first, but you will notice a feeling almost like a buffer between you and the energetic tie to the partner. There may be times that feel almost like panic when you realize that those ties of communication are cut, but if you breathe through the panic, and get really grounded (notice the sensations in your body, be aware of what is going on in the moment, feel your feet on the floor) the panic will pass.

 

Actually determine what your emotional needs are. Do you need to socialize? Friends are a life line during this time. Lean on them and let them meet some of your social needs. Do you need to spend some time in the cave? Stock up on comfort food and Kleenex and give yourself time alone to lick your wounds. Do you need to keep busy? Make some plans to start a project, finish one, or pitch in to help someone else with theirs. Really knowing what you need during this time will help you process the grief.

 

When you love someone, what you are really loving is how YOU feel when you think about that person. Given this, know that you can feel that way again about someone else because the feeling comes from within you. During a breakup it is hard to look for the gift. You will know that you are beginning to heal when you notice that you can look at the things you brought out of the relationship that made you stronger, helped you learn to love deeper, or that made you a better communicator.

 

In some people the discomfort passes quickly, in others it feels that it will never go away. Learning to function with the pain and anxiety is key to moving on and thriving after a breakup. Look for small things that bring you joy, notice the change of the seasons, really tune in to others, looking for things you have in common. Making deep connections with others is an activity that stimulates oxytocin, the bonding hormone, and can help ease the pain for awhile.

 

You will get better. One day you will wake up and notice that it does not hurt to breathe, or that you are looking forward to your day. When you can tell your story without wanting to cry you will know that healing is taking place. Until then, be very gentle with yourself. You deserve your love!

 

Carolyn Tucker LAPC is a psychotherapist and life coach specializing in anxiety. For more information call 770-789-0847.

Anxiety..What If I Am Not As Excited About My New Baby As I Expected?

Monday, October 22nd, 2012

New mother anxiety can be overwhelming. Not only do you wake up with a body you don’t recognize, a life that is nothing like the one glamorously portrayed in commercials, but you wake up with this tiny human in your home whom you may or may not connect with. Moms who do not feel immediately connected with their new bundles of joy report high levels of anxiety.

Inability to share these feelings is isolating. There may be reluctance to share with friends lest they be judged, families who minimize the feelings and spouses who may feel helpless or get their feelings hurt by the revelation. No matter what the reason, the new mom feels alone and guilty, and anxious that she is a “bad mother” or that she will never feel connected to this little person for whom she has total responsibility.

In therapy I attempt to normalize these feelings for the new mother. We all experience things differently. I do a screening for post partum mood disorders as well. This is frequently overlooked, and is a simple assessment to identify areas where the mother needs support. Medication is not always recommended. Many mothers want to continue nursing, and medication may compromise this. Nutritional support for the mother can be just as effective as prescription medication and allow the mother to continue nursing, which will enhance the bonding experience, and experience less side effects as well.

Working with the mother to develop bonding by encouraging the mother to notice the baby’s body language, vocalization cues and eye gaze is helpful. Once you start breaking down the baby’s attempts to communicate on a primal level sometimes a mom can step right into her role and be the mirror her baby needs.  Skin to skin contact and staring into the baby’s eyes helps stimulate oxytocin, the bonding hormone.

An exhausted mom is no help to anyone. A good schedule of self care activities is a must. Someone to hold the baby while mom takes an extended bubble bath or long hot shower can make her feel like she has won the lottery. Activities that stimulate the mother’s creative potential are helpful. Taking pictures of the baby can help her feel more connected. Scrapbooking while the baby is sleeping can stimulate those feelings of attachment as well. A mom must be engaged in activities that bring her joy. If she is feeling anxious about the baby usurping her life, then the opportunity to get out for a while during the baby’s nap may help her feel a little more like herself so that when she comes home she is better able to bond with her baby.

There are many reasons that a mom may not feel bonded to her baby in the beginning, some normal, some needing attention. The key is being aware of your feelings and being able to reach out to someone who will not judge you and will be able to ascertain whether you need additional support or not. Know that there are counselors available that can help you get on your feet and that can work with you to develop that relationship with your baby you desire.

 

Carolyn Tucker LAPC is a psychotherapist and life coach specializing in the treatment of anxiety with a special interest in perinatal and postpartum mood disorders. For more information see www.carolyntuckertherapist.com

Many new mothers feel guilty if they don’t bond with their babies right away.

.

Social Anxiety Over the Rainbow

Saturday, October 6th, 2012

According to Alan Downs in his book The Velvet Rage: Overcoming the Pain of Growing Up Gay in a Straight Man’s World. Gay men learn anxiety and anger early in their development. He refers to this development as velvet rage. “Velvet rage is the deep and abiding anger and anxiety that result from growing up in an environment when I learn that who I am as a gay person is unacceptable, perhaps even unlovable,” he explains. “This anger and anxiety push me at times to overcompensate and try to earn love and acceptance by being more, better, beautiful, more sexy – in short, to become something I believe will make me more acceptable and loved.”

“We have created a gay culture that is, in most senses, unlivable. The expectation is that you have the beautiful body, that you have lots of money, that you have a beautiful boyfriend with whom you have wonderful, toe-curling sex every night… none of us have that. To try to achieve that really makes us miserable. The next phase of gay history, I believe, is for us to come to terms with creating a culture that is livable and comfortable.”

There is a significant correlation between gay identity and social anxiety in research. Social anxiety is the extreme fear of being scrutinized and judged by others in social or performance situations: Social anxiety can wreak havoc on the lives of those who suffer from it. People with symptoms of social anxiety often….

fear doing or saying something embarrassing in front of other people
worry about making a mistake or being judged by others
avoid speaking to others
fear meeting new people
blush, sweat, tremble, or feel nauseous when self-conscious
avoid social situations and giving speeches
may drink or use drugs to try to relieve their social fears

Researchers at the State University of New York investigated the occurrence of social anxiety in a sample of undergraduate gay and heterosexual men. Gay men reported greater social interaction anxiety, greater fear of negative evaluation, and lower self-esteem than their heterosexual counterparts. Gay men who were less comfortable and less open about their sexual orientation were more likely to experience anxiety in social interactions.

Is it any wonder that individuals who felt the primal fear of rejection, vilification and being ostracized as children and adolescents should develop a fear of social situations? I find that with my clients as we normalize the sexual orientation and work on developing a positive sexual identity and developing a positive, supportive social network that symptoms of social anxiety tend to diminish.

In my experience with my gay clients who suffer from anxiety, we always end up back in the childhood or adolescence. Rejection by parents of their own children, by peers, teachers or church because of their sexual orientation seems to produce a severe emotional impact. Having to lead an inauthentic life for fear of rejection or ridicule can produce a severe sense of core shame. Fear of being found out or judged creates a constant sense of tension or anxiety.

Being able to live an authentic life is key to reducing anxiety for persons of any sexual orientation, but especially for gay individuals who have felt forced to “wear a mask” hiding who they truly are. The mask forces an individual to expend huge amounts of anxiety causing energy projecting an image and worrying what will happen if they are found out. I find that with my gay clients, that getting support and only allowing people into their personal social network who are loving, nurturing and accepting is so helpful in mediating symptoms of anxiety. Taking small risks with safe people goes a long way towards increasing social esteem and diminishing social anxiety.

I have found the most powerful tool to helping my gay clients deal with their social anxiety is to have them talk about it, not only to me, their therapist, but to be open and transparent with their friends and family members about how they feel. Many clients report feeling ashamed of their shame. The most effective way to address shame is to expose it.

Social anxiety sufferers have negative thoughts and beliefs that contribute to their anxiety. If you have social anxiety, you may find yourself overwhelmed by thoughts like:

“I know I’ll end up looking like a fool.”
“My voice will start shaking and I’ll humiliate myself.”

“People will think I’m stupid.”
“I won’t have anything to say. I’ll seem boring.”

Challenging these negative thoughts, either through therapy or on your own, is one effective way to reduce the symptoms of social anxiety.The first step is to identify the automatic negative thoughts that underlie your fear of social situations. For example, if you‘re worried about an upcoming work presentation, the underlying negative thought might be: “I’m going to blow it. Everyone will think I’m completely incompetent.” The next step is to analyze and challenge the thoughts. It helps to ask yourself questions about the negative thoughts: “Do I know for sure that I’m going to be judged?” or “Even if I’m nervous, will people necessarily judge me?” Through this logical evaluation of your negative thoughts, you can gradually replace them with more realistic and positive ways of looking at social situations that trigger your anxiety.

Learning to become grounded and centered and addressing the symptoms in the body is very helpful. Identifying the anxious energy and allowing it to flow through the body instead of resisting it and allowing it to become trapped and persist is key. Visualizing the emotion as energy flowing into the body and allowing it to flow out of the body while breathing and staying present can bring quick relief.

Social anxiety is an issue that can be treated. Many have viewed it as something that must be tolerated, but with information, support, the proper interventions and occasionally medication, this condition can be addressed and mediated effectively allowing you to function more effectively and authentically, and to live the life you were born to live!