Coming Out: Risk and Reward

Given that it is National Coming Out Week, I’ve been thinking more about coming out; about the benefits and the risks involved. Coming out takes courage. It takes the willingness to be vulnerable, something often frowned upon in our culture. Sharing any part of our authentic selves requires vulnerability and the willingness to take a risk. How much more so when the aspect of self we are sharing is still seen by some as pathological, sinful, or just plain wrong.

And yet with great risk comes great reward, for with vulnerability comes the potential for deep growth and connection with others. As a trauma therapist, I see this risk pay off in therapy all the time, as clients are willing and able to connect with their authentic selves and share this with others.

I want to share an amazing piece by AJ Durand that illustrates the coming out struggle, the risks and rewards, through the lens of yoga practice. After reading this today I couldn’t stop thinking about how well it expressed and illustrated what coming out is like.  I am grateful for AJ’s  permission to share it with my readers. If you are lucky enough to be in the Chicago area, you can attend a class with AJ at yogaview.

Coming out – a body practice. it happened slightly like this…

I taught some straight people about coming out today. As a yoga teacher, it’s interesting the different populations of people who may occupy my class. And today I decided to be fearless. I try to never force my opinions on my students as I believe this is their space to transform and to work within and beyond their own borders. This is why I usually refrain from my disdain for Christianity, conservatism, censorship and the like.

But today, I was fearless. Today is national coming out day. Most queer folks know this and my friends and I all have a specific tether to the moment that we came out. To this day, I live with the memories of those precious moments, for me in late adolescence, as transformative, revelatory and ultimately healing.

I opened my classes saying “you may or may not know that today is National Coming Out Day” and received some nods, some confused faces, and some blank stares. To be fair this happens every time I open class with a statement. I could say – “you may know that today is a full moon” and I would likely look upon these yogis and see similar responses. From there I began to digress.

“it’s clear that this date is intended for people who are in the closet, but I think it’s important to address the underlying qualities that make coming out such a transformative, revelatory and healing experience. We opened class with a familiar pose, downward facing dog. I invited my students to explore the way that their body moves and introduced the yogic principal of “svadyaya” or self-study. I asked them to address the pose and try to see how their body fit into it. I asked “is this a pose you enjoy and if not, will you ever enjoy it? How does breathing and subtle movement enhance or discourage you and the pose itself? what will it take to make this familiar pose all your own? only yours.

as we began to move and breathe together. I developed a flowing sequence that took a lot of concentration to link the body’s movement with the breath, a lot of attention and awareness. For about 20 minutes. And then we rested in child’s pose. That’s when I asked the question – “what’s the secret you are keeping?” a group of heaving and breathing body’s rose and took reclining hero’s pose. I asked them to look beyond the ceiling and ponder the sky. What if you could give this secret to the sky? I asked and followed with a short “you can’t”

For the last twenty minutes the only thing you were able to focus on was breathing into these poses, moving your body sequentially through the sequence I have given you.

What sense of courage does it take? what fearlessness do you seek to be your truest self no matter what anyone tells you. Please come into your favorite pose. Bask in the light of it – see that joy is light.

they were confused. clearly they wanted a more specific direction. I waited.

I said “why are you confused? What is holding you back from the pose you hold in your mind right now? I know you have a favorite.

and then they came out. almost everyone came into downward facing dog. but one student in my morning set up blocks and laid herself in supported fish pose. When I came over to her and asked her if that was her favorite pose and she said to me frankly, “it makes my heart explode and I love it” Three students in pigeon prep told me that this was the one that felt the best.

I cried a little.

Something as simple as declaring your favorite yoga pose was threatening. It seemed as though the level of certainty required to identify it simply lead everyone back to what they knew was safe. downward facing dog. home.

I turned off the lights and said – now we’re practicing in the dark. everyone chose a new pose. to put it simply – I died. Some in camel, some in happy baby, others in triangle! a small few remained in dog or pigeon.

When I turned on the lights I asked everyone to come into a comfortable cross-legged position.

So for the last twenty or so minutes – you let go of your mind- embraced your body and breath – and still didn’t know what to do with it when I asked you to speak for yourself. who are you? and do you possess the uncompromising desire to be your truest self that you could do it in the face of danger – of ridicule, of shame? That’s what it takes to come out.

come out, come out, wherever you are.

So what’s your secret? the one thing you don’t want anyone to know about? Do you wish to be free and feel proud of who you are? Come out.

Because who you are is exactly what the world needs.

Posted in Activism, LGBT, Mental Health, Psychologist, Queer, Therapy, Trauma | Tagged , , , , , , , , , , , , | 10 Comments

Coming Out Week 2011

Every October 11, thousands of lesbian, gay, bisexual and transgender people and allies celebrate National Coming Out Day. Coming out refers to the process of lesbian, gay, bisexual and transgender people sharing their sexual orientation and/or gender identity with others. Why is this important? The idea is that it is harder to remain bigoted and ignorant when you realize that LGBTQ folks really are everywhere: they are your family, friends, neighbors, respected professionals, politicians and celebrities. And for those who are queer, coming out gives provides access to more support and decreases the shame inherent in keeping such a huge part of yourself a secret.

The University of Arizona recognizes this whole week as Coming Out Week, and there are many related events happening on campus and in the surrounding community! Below is an announcement and list of activities from the office of LGBT Affairs:

Celebrate Coming out Week 2011, which features a variety of events on and off the University of Arizona campus, including resource fairs, workshops, speakers, films, panels, drag bingo, Tucson Pride, and AIDSWalk. Also, help us celebrate National Coming Out Day on Tuesday, October 11th with the “Out & Proud” ad in the Daily Wildcat.

The month of October is LGBTQ (lesbian, gay, bisexual, transgender, questioning) History Month and is an important time to recognize the extraordinary national and international contributions of the LGBTQ community. Learn more about our history through Equality Forum. Each day in October Equality Forum will feature an icon with a video, biography, bibliography, downloadable images and other educational resources. The videos are offered without charge to educational institutions, nonprofit organizations, for profit companies and the public. For more information, please visit: www.lgbtHistoryMonth.com

FULL CALENDAR OF EVENTS:

Tucson Pride Parade
Saturday, Oct. 8th, 8pm
Downtown
Come and show your support of the LGBT community in Tucson with Tucson’s annual Pride Parade, which will march through downtown Tucson. LGBTQ Affairs will be marching in Pride parade, come out and join us (meeting on Congress between 6th and Stone Ave.)!

Made for Flight Workshop
Monday, October 10th, 4-6pm
Union Gallery, Student Union 3rd Floor, NE corner
Made for Flight is a transgender youth and ally empowerment project created by TC Tolbert that incorporates transgender history, ally development, creative writing, and kite building to commemorate the lives of the transgender individuals who have been murdered in the last year. Come help us build kites in honor of Transgender Day of Remembrance 2011.

LGBTQA Support Group
Tuesday, October 11th, 4-5:30pm
Student Union, Room 412
This group is a safe space for UA students to talk in an open and supportive environment about issues impacting their lives and the LGBTQ and Allied community. Students can discuss topics ranging from coming out to making new friends, from the media to gender identity. This is a weekly group facilitated by LGBTQ staff to provide resources and guidance if needed; the group is free and confidential. Please drop in – no need to call! For more information, please contact Martie van der Voort, MC, LPC, 621-3334 or email: vandervoort@hea​lth.arizona.edu

Intersections: QPOC Panel
Tuesday, October 11th, 5:30-7pm
Chavez, Room 205
Please join us for an engaging panel discussion about the intersection of being a person of color and LGBTQ. We will explore racism within the LGBTQ community, homophobia within ethnic communities, and look at effective ways to be allies across areas of difference.

Allies of Delphi: Greek Safe Zone Training
Tuesday, October 11th, 6-8pm
Delta Delta Delta House, 1541 East Second Street
The boys of Delta Lambda Phi invite all members of the Greek community to attend this ally development workshop. Food and drinks will be provided. Preregistration required, contact: omega.chapter@dlp.org

3rd Annual Multifaith Pride Service
Tuesday, Oct. 11th, 7pm
Just Be, Emerging Out of the Wilderness
First United Methodist Church
915 E. 4th St.
Join us as we come together to honor, remember, and celebrate the lives of LGBT people with participation from a diverse mix of warm and welcoming faith communities. All are welcome regardless of religious affiliation or theological belief. Doors open at 6:30 pm. Service begins at 7:00 pm. Reception to follow service.

Shower of Stoles Exhibit— Witness liturgical stoles and other sacred items representing the lives of LGBT people of faith from various faith traditions beginning at the service and continuing 10/12-10/16. Contact 622-6481 or sylviats@cox.net for viewing hours.

Free parking in adjacent parking garage – parking coupons available at the service. Visit http://wingspan.org/event/multi-faith-pride-worship-service/ for periodic updates about the service.

LGBTQ Resource Fair & Courtney Robbins
Wednesday October 12, 2011
11am-2pm
University of Arizona Mall
Come check out organizations from all over campus and the community at our LGBTQ Resource Fair! Resources include campus clubs and resources, community organizations, and HIV/AIDS support. A passive education piece will detail why such resources are needed. Local rock star Courtney Robbins will be playing from 12-1pm!

The Ripple Effect: LGBTQ Health and Wellness Workshop Series
Step Up! Bystander Intervention Training to Prevent Violence
Wednesday October 12, 2011
5:30-7pm
Kiva Auditorium, Student Union
What do we do when we hear someone saying ‘that’s so gay,’ or calling someone a dyke or a fag? How do we respond when it seems like a situation we are witnessing could escalate and become violent? Step Up! is an interactive training program, presented by Campus Health Outreach Specialist Melanie Fleck and Violence Prevention Specialist Erin Strange, which will help develop skills to address offensive language, harmful actions against others, and ultimately prevent violence in your community. “Life’s most persistent and urgent question is: what are you doing for others?” – Martin Luther King Jr.

Bullied: A Student, a School and a Case that Made History
Wednesday October 12, 2011
7-9pm
Gallagher Theatre
Bullied is a documentary that tells the story of Jamie Nabozny, a gay student who endured relentless bullying in both middle and high school despite seeking help from school administrators. The film shows how Jamie’s legal battle helped him secure justice and underscores how important it is to confront anti-gay bullying.

Out on the Job Featured Speaker: Kent Burbank
Thursday October 13, 2011
2-3pm
Career Services Classroom
Light snacks will be provided, feel free to bring your lunch!
Kent Burbank has worked in the field of human services and social change for the past couple decades. Kent is currently the Director of the Victim Witness Program at the Pima County Attorney’s Office. In this capacity, he oversees a staff of 25 employees and over 120 volunteers who respond to the needs of crime victims, witnesses and their families. Most recently, Kent coordinate the victim advocate response to the January 8th Tragedy in Tucson. Previously, Kent served for as the Executive Director of Wingspan, Southern Arizona’s lesbian, gay, bisexual and transgender community center. Prior to moving to Tucson, Kent worked for a nonprofit refugee organization in Mexico City and served as a Peace Corps volunteer in Thailand. He has a Master’s Degree in Social Service Administration from the University of Chicago, as well as a Master’s Degree in Divinity from Meadville/Lombard Theological School in Chicago. Kent participates in numerous community and civic organizations, including serving on the board of directors for Child and Family Resources, Planned Parenthood Advocates of Arizona, and the UA President’s LGBT Advisory Council. OUT on the Job is a monthly series that brings ‘out’ professionals to campus for brown bag lunch discussions.

Drag Bingo & Queer-e-oke
Thursday, October 13th, 5-9pm
Games Room, Student Union in Wilbur’s Underground
Join us for this Coming Out Week tradition! There will be great prizes and loads of laughs. Enjoy drag performances between games! Drag Bingo will take place from 5-7 and this will lead into Queer-e-oke from 7-9. Enjoy a fun night of classic karaoke with a queer twist!

TransFormations
Thursday, October 13th, 7pm
Pima Community College, Center for the Arts Proscenium Theater, 2202 W. Anklam Road
“TransFormations” is a one-actor play about transgender people, their lives and their stories. With truth and a generous amount of humor, as well as touches of activism and politics, “TransFormations” is a poignant theatrical experience and a statement of transgender pride. It was written, and is performed, by Martie van der Voort, a Tucson actor and therapist who developed the script through formal interviews, advocacy work and friendships with members of the transgender community.
Safe Zone Training
Friday October 14th, 12-5pm
Saguaro Room, El Portal
Safe Zone is a campus-wide effort committed to making the University of Arizona a safer and more inclusive environment for members of the LGBTQ community. This is a two part workshop, for more information, or to register by 10/10/11, visit: http://deanofstudents.arizona.edu/LGBTQaffairs/safezone

Tucson Pride in the Desert
Saturday, October 15, 11am-8pm
Kino Memorial Stadium, $10 in advance, $15 at the door
Join us for Tucson’s annual Pride in the Desert celebration. Come by the UA table showcasing our LGBTQ student organizations! No labels, no limits, just PRIDE! To buy tickets: www.tucsonpride.org/

AIDSWalk Tucson
Sunday, October 16, Check-In begins at 7am
UA Mall
Join the Pride Alliance team for the 21st annual AIDSWalk Tucson. To register, go to: www.aidswalktucson.org, select “join a team,” team name: UA Action Heros.
Let’s raise lots of money for this important cause!

Sponsors and Collaborators for Coming Out Week 2011 include: Student Services Fee, ASUA Pride Alliance, Office of LGBTQ Affairs, Dean of Students Office, Associated Students for the University of Arizona, Graduate Professional Student Council, Residence Hall Association, Center for Student Involvement and Leadership, Delta Lambda Phi, USFC, Delta, Delta, Delta, Campus Health/CAPS/Oasis/Step Up, Career Services, African American Student Affairs, Asian Pacific American Student Affairs, Chicano/Hispano Student Affairs, Native American Student Affairs, Casa Libre, Southern Arizona AIDS Foundation (SAAF), Wingspan, Wingspan’s Multifaith Working Group, the LGBT Jewish Inclusion Project Tucson Pride, Inc. and Pima Community College.

For more information, or to request a copy of the full calendar, please contact us:

Office of LGBTQ Affairs
deanofstudents.arizona.edu/LGBTQaffairs
(520) 626-1996

Pride Alliance
pride.asua.arizona.edu
(520) 621-7585

Posted in Activism, LGBT, Psychologist | Tagged , , , , , , , , | 1 Comment

Trauma and World Mental Health Day

I blog for World Mental Health Day
When Psych Central reached out and asked me if I would take part in the first blog party devoted to World Mental Health Day, how could I say no? I am a long time fan and admirer of all Dr. John Grohol and Psych Central do to educate and provide quality mental health information. Check them out if you have not already!

In honor of World Mental Health Day I thought I’d reprise an earlier post on a topic I care very much about: the impact of trauma on mental health. If you have been reading this blog at all, I am sure you are aware that I focus a great deal on this topic. In fact, I consider it a mission,  educating others about the ways trauma is even broader than commonly understood and is also a component underlying many psychological diagnoses.

Trauma, little t and big T, complex and simple, has lasting effects and is still not well enough understood. Awareness is so crucial to combat the stigma that still exists, about mental health issues in general and trauma specifically. The pervasiveness of childhood trauma and its long lasting impact is a big secret and survivors who try to talk about their experiences are often shamed, blamed and stigmatized.

For my contribution to the blog party, I decided to share some highlights from my past blog posts, a sort of quick reference guide to understanding how trauma impacts mental health.

What is trauma and what is its impact?

Psychological trauma is the unique individual experience of an event or enduring conditions in which:
The individual’s ability to integrate his/her emotional experience is overwhelmed or the individual experiences (subjectively) a threat to life, bodily integrity, or sanity. (Pearlman & Saakvitne, 1995, p. 60)

Quoting myself: The important part of this definition in my practice is the emphasis on “unique individual experience”.  You get to define which experiences are traumatic for you, whether or not it would impact others in the same manner.  It’s not the objective facts that determine whether an event is traumatic,  but your own emotional experienceof the event.

The following are examples of how childhood abuse might impact you as an adult:

  • Relationship Problems–difficulty with communication, trouble setting healthy boundaries, repeating unhealthy patterns in choices of partners and difficulty with intimacy.
  • Social Alienation–feeling different from others, not accepted, stigmatized, social phobia.
  • Low Self-Esteem–self-doubt, self-blame, shame, feeling like an imposter.
  • Difficulty with Feelings–trouble in recognizing, managing and appropriately expressing feelings, depression, panic attacks, anxiety
  • Body issues–disconnection/dissociation from body, distorted body image, coping mechanisms that can harm the body (self-injury, eating disorders, abuse of alcohol and drugs), see sexual problems.
  • Sexual Problems–sexual inhibition or compulsive sexual behavior, flashbacks to abusive experiences during sexual contact, inability to achieve orgasm, pain or numbing during intimacy.
  • Physical problems– migraines, chronic pain, arthritis, chronic fatigue and irritable bowel syndrome
  • Other Symptoms of Trauma–feelings of fear, agitation, amnesia for events or parts of your life, numbing of bodily areas, nightmares, dissociation.

Trauma can impact your physical health:

Trauma plays a role in many mental health disorders:

Trauma impacts your relationships:

And of course, trauma affects the development of your sense of self:

What can you do to combat trauma-related stigma?

  • Stop blaming the victim.  Speak up as an ally when you hear victim blaming conversations.  Those who have been abused and need to get help for it are not the problem. Abuse and the systems that allow it to continue are.
  • Understand that avoidance, denial, not talking about childhood trauma and abuse does not make it better. If a survivor could just think it away, they would have long ago.
  • Realize that nature vs. nurture is a false dichotomy. Our environment (how we are nurtured) effects our brain chemistry. “Chemical imbalances” as the cause of psychological problems rarely exist in a vacuum.

The good news about trauma is that it can be treated! Trauma-informed therapy is available and effective in addressing all the types of trauma aftermath outlined above. You can find a therapist who is a good fit for you. Some good places to look for referrals includeSidran Institute and the International Society for the Study of Trauma and Dissociation.

Kathleen Young, Psy.D.

Posted in Psychologist | Tagged , , , | 11 Comments

Weight Stigma

I was really excited to learn that this week has been designated the “First Annual National Weight Stigma Awareness Week” by the Binge Eating Disorder Association (BEDA). I have written before about how important it is to separate health from size due to how incredibly damaging our diet-centered culture can be.

It seems like every day I encounter some new reference to the ”war on obesity”. I have been troubled by this from the first. I even have a partly written letter to Michelle Obama living in my drafts file regarding my feelings about the inherent contradiction in waging a war on obesity whilst decrying bullying. Check out the stats below! Did you know that weight is the #1 reason children are bullied? Seems like the “epidemic” we need to be more concerned about is the lack of respect for differences. But I digress.

Effectiveness aside (and it isn’t), what I keep thinking about is the message this sends and the emotional toll this takes on an already stigmatized group: fat folks. (Note: In purposefully use and reclaim the word “fat” as a value-neutral descriptor to raise awareness that people come in all shapes and sizes. I also dislike the medicalized term “obese” because fat does not necessarily equal medical problem. I get that this term is very loaded and not everyone’s cup of tea!). It is possible to focus on healthy behaviors (see Health at Every Size for a great example of this) without contributing to the cultural climate that makes it acceptable to “other” and stigmatize people who are fat. We know that stigma takes a toll on our physical and emotional health.

So with that being said I share with you the press release I received from BEDA:

BEDA Launches First Annual National Weight Stigma Awareness Week

Severna Park, MD (September 21, 2011) – The Binge Eating Disorder Association (BEDA) announced today that it will launch its first annual National Weight Stigma Awareness Week, September 26-30, 2011. The objectives of this event are to build awareness of what weight stigma is, the harmful effects weight stigma can have on people of all ages in all environments, and what can be done to stop it.

“Whether it is children being teased and bullied in school because of their weight, adults being discriminated against in the work place, or patients being shamed in a physician’s office, weight stigma insidiously affects a variety of people.” says Chevese Turner, CEO of the Binge Eating Disorder Association. “We want to raise awareness around weight stigma and how a focus on weight rather than health and placing a higher value on “thin” can, in fact, have a negative effect on the physical and mental health of a person-of-size-especially those who have or are predisposed to eating disorders.”

As the “war on obesity” rages on and the $60 billion weight loss industry continues to grow, paradoxically, rates of obesity are not decreasing and eating disorders are rapidly increasing.

Afflicting more women than breast cancer, eating disorders have the highest rate of mortality of all mental illnesses. They are complex disorders triggered by environmental factors, and studies have shown weight stigma plays a significant role. Several studies conducted by The Rudd Center for Food Policy & Obesity at Yale University have found that more frequent exposure to stigma was related to more attempts to cope with maladaptive eating practices and higher BMI.

“Weight stigmatization is widespread in our society and affects individuals in multiple domains of life, often on a daily basis,” says Rebecca M. Puhl, Ph.D, Director of Research and Weight Stigma Initiatives at the Rudd Center for Food Policy & Obesity at Yale University. “We know from decades of research that children and adults are targets of weight stigmatization in educational institutions, employment settings, health care facilities, the media, and even from family members and friends.This has a devastating effect on people’s quality of life, and leads to numerous consequences for emotional and physical health. Weight stigmatization is both a social injustice and a public health issue. We need to increase public awareness and societal efforts to address this problem. Otherwise, it will continue to create disparities, discrimination, and barriers to effective prevention and treatment for individuals affected by obesity.”

The call to action for BEDA’s first annual Weight Stigma Awareness Week is “Healing Myself First: Challenging Weight Stigma from the Inside Out.”

BEDA encourages individuals to participate in several activities BEDA proposes as part of Weight Stigma Awareness Week, beginning with looking within to assess personal weight biases and becoming an advocate.

Turner says, “Let’s begin by asking ourselves, ‘Did I make fun of other kids when I was a child because they were overweight?’ ‘Do I look down on myself or others because of size? Do I exclude people based on body size? Do I contribute to ‘fat talk,’ such as, ‘I need to lose 10 pounds,’ or, ‘You’re too fat to wear that,’ or, ‘You look great! Did you lose weight?’”

A recent Journal of Pediatrics study found that children are bullied 63% more if they are overweight than for any other reason. Yet statutes do not include any language around size bullying. Individuals can write letters to members of congress in support of protecting overweight children from bullying.

For more information about BEDA’s first annual Weight Stigma Awareness Week, visit www.bedaonline.com.

For more information about The Yale Rudd Center for Food Policy & Obesity, visit http://www.yaleruddcenter.org/.

Posted in Activism, Body Image, Bullying, Eating Disorders, Health, Mental Health, Psychologist | Tagged , , , , , , , , , , , , , , , | 2 Comments