Dr. Kathleen Young: Treating Trauma in Chicago

World AIDS Day: Remembering Lucas

December 1, 2009 · 2 Comments

Today is World AIDS Day. The World AIDS campaign reports that more than two million AIDS related deaths reported globally in 2008 – two million children under the age of 15 now live with HIV.
Although no longer the only or even largest group impacted by HIV,  LGBT people are particularly stigmatized and targeted for HIV-related discrimination. For example, The Ugandan Parliament is considering a bill that allows for a seven year prison term for any person or organization who supports or promotes lesbian, gay, bisexual, or transgender people’s rights. It would jail for up to three years anyone who fails to report a person they suspect of being lesbian or gay. A person living with HIV who has consensual homosexual sex would face the death penalty, regardless of risk of HIV transmission and even if their partner is also HIV-positive. (Punitive Laws threaten HIV Progress, Human Rights Watch)
I heard a bit of the speech by the President of South Africa on NPR today that spoke an important message:

Together we can overcome this challenge.

Let today be the dawn of a new era.

Let there be no more shame, no more blame, no more discrimination and no more stigma.

This is a  day I think about all these things: the political issues, how access to prevention and care is still complicated by stigma.

But mostly it is a day I think about Lucas.

Lucas was my best friend, through college and beyond when we both moved to the same city. Even before we met mutual friends predicted we’d hit it off. And we did. He was creative and witty, a great dancer and and even better dresser. His sense of humor was dark and irreverent.  Because of Lucas I learned that I loved Thai food, indy films, disco dancing and thrift stores.

Lucas got sick in the 80s, when the epidemic was just beginning to be talked about. Long before successful treatments were developed. Many still believed gay men deserved this illness because of their “sinful lifestyle”. Ignorance and homophobia abounded and some folks were afraid to even be around someone HIV+ lest they catch it.

Sometimes I wonder how things could have been different, if our society had been more accepting back then, if we educated everyone about healthy attitudes towards sex and self-care. But mostly I try to focus on how grateful I am that I had Lucas in my life. I would surely be very different without him.

Today I think about and talk about Lucas; he is alive as part of me.

Remember those we’ve lost; celebrate and support the survivors.

Kathleen Young, Psy.D.

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→ 2 CommentsCategories: AIDS · Gay · Health · Homophobia · LGBT · Oppression · Psychologist · Queer
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An Adult Child Abuse Survivor’s Guide to the Holidays

November 28, 2009 · 7 Comments

Too late for Thanksgiving, but just in time for coping with the next round of holidays, I discovered An Adult Child Abuse Survivor’s Guide to the Holidays.  This article is so amazing : practical, empowering, empathic with just the right amount of humor. I love the key idea “Don’t Abandon Yourself”. Although written with adult survivors of abuse contending with families of origin, including perpetrators, it really could be invaluable for anyone from a dysfunctional family of any sort. Or even just  useful strategies for keeping in touch with yourself and grounded while dealing with anyone challenging for you.

I like this so very much I want to share an excerpt here. I highly encourage reading it in full. Tremendous thanks to Grace Davis for this gem of a resource.

First, and most importantly, this is the primary principle to follow when you’re in the presence of perpetrators and their allies:

Remember this always –

DO NOT ABANDON YOURSELF.

I can’t say this enough – do not abandon yourself.

You were abandoned as a child. You did not deserve this. No child deserves this. So, as adults, we take care of ourselves as if we are our own precious child. Imagine taking your child-self gently but firmly by their lovely, grubby little hand and getting them out of harm’s way. There are many ways to do this whether you are in the presence of perpetrators and their allies (like your own dismissive and scornful siblings who get angry whenever you mention the legacy and source of your pain) or if you’re in a place where you may be triggered.

The following is listed in no particular order of importance because it’s all important. I respect that some of these ideas may work for you, some may not. As long as you keep that all-encompassing guidance “Do not abandon yourself” in mind, you can take it from there.

Here we go:

Remember who you are TODAY. You are no longer a child. Indeed, there is a hurt child who is alive and well within you. But, now you’re an adult who can make choices.  Don’t forget, you are an adult and you have power over your life.

One of the choices you can make is to not go to the abusive family’s house. You don’t have to go. You can tell them you’re sick if you can’t tell them the actual reason for your absence. It’s okay to “lie” in this situation if fear keeps you from telling the truth of the matter.  It’s not really a lie, though. The abuse was and is responsible for its consequences that you may suffer from – depression, anxiety, post-traumatic stress disorder.

If you do “call in sick”, don’t answer the phone if you know your abusive family members are trying to call your cell or land line To this, I say – thank you, technology, for caller ID. Don’t answer the calls from your abusive family members for up to a week. Then, if you must, call back and say you’re feeling better. And, when I say”better”, I mean that you’re probably doing great because you didn’t spend time with people who were not good to you and continue to be bad to you.

If you have to be with abusive family members, do whatever you need to do to stay centered as you cannot abandon yourself and you need to remember who you are today.

Staying centered may involve many tactics:

Go to your abuser’s house with your real family, your husband, your kids, your chosen family of dear friends who believe in you. If you need support and active reminders of who you are now, take your supportive people with you. These people are your true family members who love you, won’t abandon you and remind you of who you are today.

This is a big one – STAY SOBER. I cannot emphasize that enough. If you get drunk or high, you will lose that centered spot. You will relax, that’s true, but it’s a false sense of ease.  Do take your Xanax if necessary but stick to your prescribed dose. The Bloggess will always recommend that you should avoid knocking back handfuls of the Judy Garland Trail Mix. And, there you go, a little Bloggess humor for you on a tough day.

Help in the kitchen. Be involved with the preparation. Do this only if such activities are not triggering. I always do this. I put my head down and work. I set the table, I do the dishes, I cook. I put my head down and work it, like a Zen monk whose practice includes performing chores mindfully. That’s an excellent way to stay centered, pretending to be a Zen monk and doing tasks wholeheartedly.

Sit by a window so you can look outside. When you pull in the outside world as you sit with those who abandoned you, the world becomes that much bigger. There’s more out there, beyond the dark cave of the abuser’s house.

Go beyond looking out the window and get out there in that bigger world. Expand your universe. The abuser’s house or the house with the abusers in it is not the core of the world. The world is beyond that house. In this world there are people who believe in you and love you unconditionally. That world contains your working life where you are valued or perhaps your university studies where you excel. So, go outside for a few minutes and take a walk in the bigger world.

Put your therapist’s number on fast dial. Call anytime. Even if you reach their voice mail, leave a message. Don’t fret if they don’t call back. Instead, revel in the knowledge that you were wise enough to reach out. You asked for help and that action alone is therapeutic.

Keeping your therapist in mind, remember the tricks and tools they have suggested to help you through these tough times. For example, I like to use what all of my therapists taught me -  the classic meditation exercise of sitting comfortably and going to my inner place of refuge. FYI – it’s a beach on the Big Island of Hawaii. Not bad, eh?

Minimize conversation with the perpetrator and anyone who has been abusive to you. Again, you can say you’re not feeling well, you have a headache, you need to be quiet. And, again, you ain’t lying here. That person makes you feel unwell and your head probably hurts when you’re around them.

If you cannot avoid conversations with those people, keep something in your pocket to remind yourself of who you are today. I use a little plastic monkey from the Barrel of Monkeys toy-game. Small and with a defined shape, the monkey reminds me of the relative light heartedness of my life away from the abusers. Also, a monkey is not to be messed with and you can pretend the monkey is throwing feces at whoever needs to be taken down.

You can also keep your cell phone on to Twitter, Facebook or chat or whatever you use for social media interactions. Set it to buzz everytime you get an update. Another reminder of the bigger world out there and that you’re part of that bigger, better world.

Okay, get ready for this big one, survivors:

Remembering you are an adult of legal age, Walk out the door the second things get gnarly. Just go.

Everyone, no matter how badaas and brave they seem to be, is scared shitless to do this.  I was scared to do this. But, I’ve done it and I’ll do it again if I need to  because it felt exhilarating, liberating and life affirming.

Don’t leave yelling, but if you do, try to cry, yell some more or laugh really hard once you’re out the door to release what is truly an emotional atomic bomb full of energy. Really try to do that before you get in the car. Do not drive home in an intense emotional state as you are not centered and in control. Respect your anger and anguish and give it time to release and subside. You will feel better and that will help you think clearly as you operate that moving vehicle.

Kathleen Young, Psy.D.

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→ 7 CommentsCategories: Abuse · Childhood Abuse · Family · Health · Holidays · Psychologist · Relationships · Self-care · Severe Trauma · Trauma
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The Burden of Childhood Sexual Abuse

November 27, 2009 · 6 Comments

I write and talk a lot about the impact of trauma such as sexual abuse on the developing child as well as on into adulthood. It can be challenging to find words enough to convey the pervasive, devastating effects. Sometimes clients struggle with understanding just why some area of their adult life is affected by prior abuse.

Psychological effects are likely to be most severe if the trauma is:

  • Human caused
  • Repeated
  • Unpredictable
  • Multifaceted
  • Sadistic
  • Undergone in childhood
  • Perpetrated by a caregiver

Childhood sexual abuse often includes many if not all of these characteristics.

This video, The Burden, illustrates it far better than my words alone can. If you are a survivor of childhood sexual abuse you may find viewing this video triggering, so exercise good self-care. You may also resonate.

“Sexual abuse can be a heavy burden for a child.”

Kathleen Young, Psy.D.

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→ 6 CommentsCategories: Abuse · Childhood Abuse · PTSD · Severe Trauma · Sexual Abuse · Trauma
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Thanksgiving and Gratitude

November 26, 2009 · 4 Comments

Thanksgiving is upon us. Like any holiday, it can be painful and lonely rather than enjoyable for  trauma survivors or any who are socially isolated or disconnected from their families. With its intense focus on food, Thanksgiving can also be loaded for those struggling with eating disorders. Then there is the problematic history of the holiday itself.  For some, it is even a National Day of Mourning:

Many Native Americans do not celebrate the arrival of Pilgrims and other European settlers. To them, Thanksgiving Day is a reminder of the genocide of millions of their people, the theft of their lands, and the relentless assault on their culture. Participants in the National Day of Mourning honor Native ancestors and the struggles of Native people to survive today. It is a day of remembrance and spiritual connection as well as a protest of the racism and oppression which Native Americans continue to experience.

What I have been thinking about lately is a literal read of the name Thanksgiving. I’ve written before about how important tradition and ritual are for us humans. One thing I find meaningful at this time is reflecting upon the things I am thankful for, large and small.

I know how often things like positive thinking or gratitude are urged upon trauma survivors or those experiencing depression as if there is some simple tool like this to fix things. I know that can come across as insensitive and victim blaming. There is no quick fix. Yet research and my personal experience suggest there can be great value in focusing on even the smallest of things we are grateful for in our lives. It is just one more tool to consider using on your healing path.

For example,  Emmons & McCullough have written extensively on the subject of how gratitude can impact mental health. In their Research Project on Gratitude and Thankfulness they reported the following results:

  • In an experimental comparison, those who kept gratitude journals on a weekly basis exercised more regularly, reported fewer physical symptoms, felt better about their lives as a whole, and were more optimistic about the upcoming week compared to those who recorded hassles or neutral life events (Emmons & McCullough, 2003).
  • A related benefit was observed in the realm of personal goal attainment:  Participants who kept gratitude lists were more likely to have made progress toward important personal goals (academic, interpersonal and health-based) over a two-month period compared to subjects in the other experimental conditions.
  • A daily gratitude intervention (self-guided exercises) with young adults resulted in higher reported levels of the positive states of alertness, enthusiasm, determination, attentiveness and energy compared to a focus on hassles or a downward social comparison (ways in which participants thought they were better off than others).  There was no difference in levels of unpleasant emotions reported in the three groups.
  • Participants in the daily gratitude condition were more likely to report having helped someone with a personal problem or having offered emotional support to another, relative to the hassles or social comparison condition.
  • In a sample of adults with neuromuscular disease, a 21-day gratitude intervention resulted in greater amounts of high energy positive moods, a greater sense of feeling connected to others, more optimistic ratings of one’s life, and better sleep duration and sleep quality, relative to a control group.

How can you reap the benefits of gratitude?

What about creating a Thanksgiving tradition of sharing things you are thankful for with those sharing your meal?

Why limit it to one time of year? Many find benefit from a more regular practice of focusing on gratitude, perhaps in the form of a gratitude journal. Looking back on this when you are struggling can provide another mood boost.

Are you thankful for loved ones? Don’t forget to tell them! Make it specific. What do you value about each important person in your life? What ways have they enriched you? We value praise the most when it is individualized and specific. Not only will you reap the benefit of gratitude, you enhance your connection to others with this sort of sharing.

Don’t forget yourself. This can be especially challenging for many people in my practice. Start somewhere, no matter how small! Can you be thankful for your sense of humor? Your perseverance? Your very ability to survive?

Don’t forget the small things. Are you thankful for birds singing in the yard? The cute antics of a pet? A sunny day after a period of gloom? All these count.

This year I am reflecting on how grateful I am to have started blogging. It has enriched and broadened my life in countless ways. I am thankful for the new connections it has lead to and the opportunities it provides to keep learning from other trauma therapist, survivors and activists. So in other words, if you are reading this, I am thankful for you!

Wishing you peace, loving connections and meaningful celebrations.

Kathleen Young, Psy.D.

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