Tag Archive | Holistic Health

Attachment Disorder – Early Detachment from Mother

Attachment Disorder is not really a diagnosis. You will see it labeled as Reactive Attachment Disorder but I find that it does not always fit neatly into a box. It can be seen as a personality disorder, as chemical dependency, as depression or anxiety. I see it more as a symptom of a client’s mental health. What I am talking about is a child who was separated from mother at birth and this can be for a variety of reasons. One case the mother was mentally ill and had a breakdown on the delivery table between baby one and two, the children were sent to foster homes immediately.  Another case the mother was sick and the child was separated from her for a certain amount of time. The mother might be a drug addict or alcoholic. The mother might have mental health problems and are unable to bond with baby; severing the trust/mistrust stage. I am going to share a story about Bill.

Courtesy of Ashevilleacademy.com

Bill is a child who was born with “yellow jaundice” as they used to call it. He was left in the hospital for a week and his mother was sent home (hospitals are not attune to the effects separation will have on babies – maybe they are now but they weren’t long ago).  Bill’s parents were in a Domestic Violence plagued marriage (father as batterer) and when his mother tried to escape with him, his father caught up with them and kidnapped Bill for six months. The mother did not know his whereabouts and as the parents were not divorced yet, the police could not do anything about it. The father ended up abandoning the baby and then the police brought the baby to the mother. During the divorce proceedings, however, Bill was given to the grandparents. The mother was able to see Bill once a year and tried to reunify with him without success on several occasions. Bill had lost an ability to attach to the mother and the mother was ill-equipped to understand how to recreate a bond with him. It was too late.

As an adult, Bill dropped out of school and became a drug addict for many years. During which time he had many children from various women. He did get clean but never sought out treatment. His children are all over the place and he has no ability to connect with their mothers so that he can have visitation with them. His finances are utilized on the family he did finally stabilize with – another woman who was also a drug addict like him. A woman who also never sought out treatment and came from a family of addictions, sexual abuse, and depression that never went treated. She was seriously neglected and thus probably has attachment issues as well.

I am not treating Bill but a family member shared this story with me. They were concerned about his mother who desperately wanted a relationship with her son and grandchildren. He seems to be a loving father but has never been able to connect with his mother. In fact, he appears to do whatever he can to go against the mother. Along with being a drug addict, he was reported to be a pathological liar. His mother knew this but when she would try to confront him about things he would start crying and throw a fit (as a child). As an adult, he turns the story around and tells her she is crazy and needs help. He will vehemently deny things even those which are obvious. For example: the mother reported that she tried to explain to her son that he was feeding too much candy to the children. The son, standing in the driveway with candy all around him said that he and his wife had stopped giving this to the children. When the mother pointed out the obvious, he stated that the reason it was on the ground was that the children didn’t want it anymore so they through it there. The mother continues to feel isolated and detached from her son because she can’t have conversations with her son unless it is to praise him for something. It is a relationship based on lies. She worries about the life her grandchildren are leading.

People like Bill, who were raised with a separation from their parents, have difficulties bonding with them. Often they are able to bond with the caretaker (who had them the most) but reject the mother. Even the bond that they will have with the caretaker is filled with lies and deception. As Bill was a drug addict, he stole from his caretaker. The caretaker enabled him to continue with the lies and deception because he would tell her that the money he “used” (meaning stole) was to pay for diapers or gas for his car. Even when Bill spent time behind bars, the caretakers coddled him and took him in upon his release. As Bill never spent time completing his treatment, he has never made amends to his caretakers (paid them back) and owes his mother a large sum of money for an attempt to do rehab.

Attachment is severed the minute the baby is removed from the womb. The baby needs to develop an immediate bond with the parent, thus they are given to the mother, after delivery to soothe the baby. Children are okay being in a nursery and sent to their mother’s from time to time for feeding. This is the first stage of learning individuation/separation. The longer the baby is separated from the mother, trust begins to be severed. Without trust, the baby begins to self-soothe and if they are emotionally intelligent can withstand some trauma but if not, they will collapse completely.  Some adult children who talk about being separated at birth and were emotionally intelligent (good survival skills), have attachment issues but I find they are easier to work with in therapy. As I am not an expert on this, I can only go with the cases I have worked with successfully and these are survivors.

I have found that if the birth parent is reunited with the baby – early on (a week or two later) attachment can be supported, yet attachment as an adult is difficult. In these cases I do see self-soothing with an oral fixation. Early detachment from birth mother that is severed completely (adoption or long term foster care with few caretakers) can heal with the consistent caretaker as well but often there is self-soothing here too. Both of these scenarios might show obesity, or a fluctuation with weight but it also might be a smoker. More severe situations of detachment from birth mother and multiple caregivers will show Chemical Dependency and Conflict Disorder or even Reactive Attachment Disorder. This is a more extreme self-soothing and self-sabotage without the resiliency levels to repair the attachment or want to repair the attachment. Some people may get clean and sober but repel psychotherapy because then they have to attach to themselves through self-awareness. Often it can be more painful to try and attach to self than to live their lives in pain (i.e., denial). I have heard a few clients who abandoned therapy make the comment “I have lived for years with [this chaos] and have been just fine why do I need to dredge up all this history?” I suspect this is the case with Bill and probably his wife. People who seriously need psychotherapy have learned to find coping skills that they feel are appropriate but often it is isolating themselves in a cocoon to protect from others.

The wall Bill has built between he and his mother deflects any self-awareness by pushing her away with his invisible shield that spits out swords that pierce her and shut her up. This keeps the relationship under his domination. He controls and manipulates her so that if she wants a relationship with him, she must obey his clues. It is my understanding that his mother has felt afraid of her son on occasion but more specifically when he was on drugs.

As a therapist, I often wonder about the relationship between early attachment and shooters that we see, almost daily now, around the country. I can’t imagine that someone who has a healthy attachment to their mother would have this level of a lack of empathy toward their fellow human beings. I read “School Violence: Facts vs. Fiction” by Dr. Dewey Cornell, many years ago now and the main issue I took away from this was perpetrators being bullied. I don’t recall the discussion of Attachment Disorders because at that time I was not as conscious of this as an issue as I am now. Therefore, if he did mention it, I clung to the bullying instead which was more easily identifiable in my consciousness then. Now, however, we are dealing with much more than school shootings. It is adults who have taken over from the plight of teen angst and wish to have their moment of glory or retribution to those who have harmed their psyche in some perceived way.

As Narcissism and Attachment disorders or early attachment being severed are closely linked if not synonymous, it is important to make people aware of this in the field of mental health, medical fields and social work. Educators could benefit from these teachings as well but this must be handled more carefully with this professional. I find that teachers tend to play psychology professional when they learn about the mental health world. Thus, they are constantly diagnosing and even telling parents what medication a child should be on. More often than not, they are incorrect. Nonetheless, more education needs to go out to professionals dealing with children and parents and adults in general. Hospitals can benefit from learning about early attachment and find ways to keep the child and mother together as much as possible. They will be able to better detect situations when brought into pediatric care, rather than trying to quickly put into a box (assess a more holistic picture of the child). Mental health clinicians will have a better grasp of their client. Social workers will be able to better understand the placement of the foster child and detect a need for therapy earlier on – rather than waiting for the behavioral issues to begin showing itself.

Attachment between mother and child is imperative. Nine months in a womb means that once they are delivered we must, as professionals, be more prudent in assuring that early attachment is protected.

Advertisements

A Holistic Divorce

This past week I attended a two-day training on collaborative law that I would like to share because it is important to be informed of all your choices when considering a #divorce. Disclaimer – this is for #Ohio residents though there are about 18 states and about a dozen countries who practice collaborative law, so please check in your area to find out what applies to you.

If you are considering a divorce, there are four ways to go about this.

A. Collaborative Law

B. Litigation

C. Dissolution

D. Mediation

I’ll start with litigation which everyone knows about and this is your traditional way of going about getting a divorce. The judge may require mediation as a result of this and this is to try and cut down on court time.

Dissolution is where both parties agree on everything and they have an attorney write up their agreement and present to the court. A very inexpensive way to get a divorce however, as mentioned, both parties must agree. Usually this can happen when there are no children involved.

Mediation is where the couple hires a mediator to discuss what needs to happen and they present their agreement to their attorneys who files it in court. This can be done at the onset, you don’t have to wait for the judge to decide on this.

Then there is collaborative law which I call a #holistic divorce. This is where all parties (professionals and spouses) come to a table and discuss the business of getting a divorce. There is *no court involvement in Columbus, Ohio because the judge comes to the attorneys office to sign off on the divorce (*not the same with other major cities in Ohio, check with your state or country). If court involvement it would be once everything has been settled and then there is a filing of paperwork to approve the divorce.

Collaborative law includes two attorneys, a mental health coach or neutral (not in the capacity of a therapist, nor are they providing therapy but, the service is provided by a licensed therapist), a financial coach or neutral and in some cases other specialists are brought in, if need be, for consultation. All professionals meet with the spouse/spouses individually or as a couple upfront to explain the services and begin to assess the couple. Then all parties and professionals come to the table to begin a discussion of what is to take place. This can involve several sessions but there is no court involvement so the schedules are based on everyone at the table rather than dealing with court being in session. Therefore appointments can be more flexible.

What captivated me by this process is that a mental health coach is involved as well as a financial coach. This means two things. One, the mental health coach is there to help determine what is in the best interests of the children and the family. Someone who understands #psychology vs. a Guardian Ad Litem (aka GAL) who, most often, is not a therapist and does not understand mental health. The mental health coach is also doing an assessment to determine if the couple is going to be a good fit for the collaborative law process. In some instances, i.e., domestic violence, substance abuse and mental illness might not be a good fit for the collaborative law process. Two, the financial coach presents the facts of the figures. Then the parties say whose side of the page the items go on and talk about what they see. Eventually, how things will be divided up occurs with much discussion from the team.

In collaborative law, even the attorneys are in a relationship with one another that is not antagonistic as it would be in litigation. While they clearly will represent the spouse who has hired them, at the table they are not in a defensive position but in an empathic position for both parties. This means the spouse who hired them pays for them under the knowledge that their attorney will be listening and be prepared to be concerned for the opposite spouse as well. This is important because the process will not be about “winning” for their side but about the family gaining a supportive outcome.

The divorce process is an uncomfortable position for two people to be in. It is a major transition in someone’s life and how it is dealt with will determine the health and well-being of children involved (as well as the spouses) going forward. When the egos of two people can be mediated by a group of professionals who are helping them to see what is in the best interests of their family, it is more likely that a good outcome can be assured. This is not an inexpensive process yet compared to the time, energy and money that would be spent in litigation, it will most likely be less costly than litigation. The results will most assuredly be less costly on the emotional well-being of both parties and the children involved.

Please note this is NOT legal advice as I am not an attorney. This was presented merely for informational purposes. You should consult with your attorney to find out more information on these options. Also, please take a look at the links provided to gain more knowledge for  yourself. Thank you, Jeannine Vegh, M.A., I.M.F.T.

Barre Girl at 55; Do you plié?

Here is a great article for the over 40 crowd!

Madame

If you have ever been one of those women, like me, who has sat by the sidelines for years wishing your mom would have let you be in a ballet class, now there is a new fitness craze created just for you! Barre classes are springing up all over the nation designed to, well, what I call nurture your inner ballerina.

It is hardly a ballet class and yet there is just a hint of it. You will do some plié’s and use first and second position (possibly other positions depending on the instructor) and if you have arthritis setting in, like me, will use the barre more than most people. Mostly you will do planks, downward facing dog, put a ball between your thighs or hold onto it with your back leg in the air. You will do side planks, lift your legs up while in the plank and…

View original post 541 more words

You Don’t Need a Prince – The Video

Purchase this book and my two novels on Smashwords.com and other ebook retailers.

How Do I Know When Therapy Is Done?

I want to say here “What is the meaning of life?” though that question doesn’t completely relate to my topic above. On some measures it does though. Therapy is different for every single person. On a spiritual level, I know that you will know when it is “done” when you feel ready to leave. This does not mean that therapy is “done” as in forever if you are someone who really appreciates self-awareness and continuing to do in-depth work on yourself. If you are only there for a minor concern, such as an EAP (Employee Assistance Program, aka short term therapy) type matter, often times people get to a place where I know and they know, that there is really nothing more to say.  When I work with couples, I either know that I can’t really do much more for them or things are going really well and they are feeling great about themselves or a change is made and then the choice to continue becomes individual.

When it comes to a traumatic injury whether it be current or long-term (childhood), it is much more intense. Sometimes therapy is for the first time and then I am working with the client to help them to have a voice. It feels good for people to be able to finally say “This is what that son of a bitch did to me…” and for them to hear “That was terrible, OMG, I can’t believe someone would do that…” It is the first time they are getting validation. The wounded child is being soothed and nurtured. I watch them begin to stand up for themselves over time, in their personal lives, as they continue to be heard and acknowledged and respected in a safe environment. This is extremely rewarding for me as a therapist and obviously a huge break through for them. Then the client will at some point walk away from therapy for a bit – to take a break. Sometimes I know that the process is on hold for a short time until they are ready to return to me, or to someone else.

I am happy for a client to choose someone else, if they want to, once they have gone through a breakthrough with me. It is good for a client to get a different voice, a new method and from the place they are at now. Even if they haven’t had a breakthrough but still choose to go to another, it is okay too because this is what they need to do. It is the soul searching process that brings us to enlightenment on some level. The answers are there for you, as you continue to search and when you are ready, it will come.

When I get a client who has been with another therapist, I try to check in with them first, to see what worked and what didn’t work. This is important for me and for them. One, it helps them to have some closure if there was a negative experience and two, it helps them to celebrate the work they have already accomplished. This also builds trust as I am again giving them a voice right up front about being in the psychotherapeutic process.

When I work with someone who have been working on “this issue for years,” I acknowledge that now we are going to work from a different place than where they started. I listen to what they have already learned and accomplished but at the same time I am finding out where it all began (so that I am clear). Sometimes, I hear things or “see” things that maybe someone hadn’t put together before. This is because, when a client tells their story more than once, it changes (with their new voice, new insights they have had since then) so it makes sense that I will or might see things that another therapist did not see (and the same goes for one of my clients seeing a new therapist).

This is why it is important to not be frustrated with yourself when you find yourself needing therapy “once again.” Life impacts us hard and over the years, more things happen to us, we begin to see patterns of our own self-destruction, our mistakes, things we didn’t see at 20, become much more realized at 30, 40, 50, 60, and so on. I could not have told you any of this at 20, nor could I have been the therapist I am now at that age. When I become 70, I will be a much different therapist than I am now. Thank goodness! I hope I will learn something in the next 20 years. The same will happen with the client. We grow and we evolve. What we could expect in 1980, we most certainly cannot expect in 2015. That is sad on so many levels. Yet, this is something that people from the 1890’s would have said in the 1920’s as we see with Violette (Maggie Smith’s character) on Downton Abbey. So this creates depression, frustration, realization, awareness, many mixed emotions that at first can be quite daunting.

Therapy will end when you feel it is time to end. You are in control of your life and making this decision is one that should be made clearly and consciously and of sound mind. It should be made because you are satisfied with the results, though if you are not and find you need a different therapist this of course makes sense too. My only caveat is not to leave because you are confused or frustrated about what your therapist has said. Tell them and if the answer you get doesn’t agree with you intuitively, than you should move on. This has come up for me in the room on a few occasions and I try to deal with it head on. It is important for the therapeutic process, for trust and for the client to determine whether they are going forward with me or someone else. I have so far, only had positive results in these circumstances, except on a very rare occasion. Even then, I knew that it was not meant to be as I was not the right person for the job. I don’t believe in accidents in life. Things happen for a reason.

Finally, it is never wrong to be in therapy. If you are curious, questioning, concerned, unsure, frustrated, grieving, upset, unhappy and what to make a difference in your life…than therapy is a great place to be.