Author Archives: Michael

Stop the Excuses; Start Grieving and Healing

 This week’s guest blog is written by Larry M. Barber, LPC-S, CT, author of Grief Is Another Expression of Love and Love Never Dies. Larry Barber’s wife Cindy and two year old daughter Katie died from injuries suffered in a traffic accident in 1993. As a widowed single parent he raised two surviving children, aged nine and twelve. Barber is a minister, a licensed professional counselor, director of Grief Works, in Dallas Texas, a bereavement support group for mourners who have recently lost a family member or close friend to death.

 Grief is the continued expression of love for a person no longer physically present in our lives. Therefore, to stop grieving over a person is to stop loving him or her.  As one widow in a grief support group asked me, “You mean I don’t have to leave my husband in the past?  Are you saying that I can take him into the future with me?”  The answer is a resounding, comforting and hope-filled “Yes!”  You can maintain a loving, healthy, healing relationship with someone who has died.  Maintaining a spiritual, emotional bond to the loved one is not morbid or pathological.

Maintaining a relationship with a loved one who has died goes against what others may say to us that we need to let go or detach from the loved one and “move on.”  Grief does mean saying goodbye to the physical part of the relationship we had with our loved one and “moving on.” but it doesn’t mean our relationship has ended.  The relationship with our friend or family member can never be exactly what it was in the past, but the relationship continues in a new form.

I believe the truth that Grief Is another Expression of Love and Love Never Dies trumps all excuses for avoiding grief.  Remember that grief done in a healthy way honors a valuable life.  Here are a few of the common excuses for avoiding grief that I hear from clients

  • Expressing my grief emotions  shows weakness or a lack of faith.  No, expressing grief is healthy. Mourning and expressing your grief are signs to others you need help and support.  Expressing grief  purges you of potentially dangerous emotions and physical toxins produced by your body in reaction to the stresses of grief.
  • Giving into grief and  expressing it just makes me sadder and doesn’t make anything better.  This is not true.  Expressing grief  releases emotional tension and results in emotional healing and a sense of  physical well-being.
  • There is nothing that I or anyone else can do or say to change things.  It will always be this way.  Maybe your situation won’t change, but sharing  your grief story, thoughts and feelings can change how you perceive your  grief and yourself.  Given time and space for healing, you can change  and heal in your grief.
  • I don’t want to cry (lose  control, break down, fall to pieces, lose it) in front of others. (By the way, the correct term for all of these phrases is “grief  outburst” which sounds much healthier and more acceptable.)  You need others’ support during grief.  If they don’t know you are struggling  with your grief, how do they know to be there for you?  Crying and  expressing the painful, uncomfortable emotions of grief signals others  that you require comfort and support.
  • My loved one wouldn’t want  me to grieve.  Your loved one may have asked you not to mourn  after he or she dies, but that is an unfair request.  If it were possible for us to visit our own funerals, we would most likely be upset if no one was crying.  Mourners not crying at a funeral would send  the message that the person who died is not loved or had not impacted  anyone else’s life.  Show your love for the person and grieve in a  healthy way.  He or she deserves to be missed.
  • I shouldn’t be sad.  I  should be happy for my loved one (They are in a better      place. They are no longer suffering, etc.)  Yes, they are in a better  place or they are not suffering, but you still miss them.  It is  healthy and natural to be sad or even depressed over the death of someone  who is significant to you.  You do not severely miss the loss of a mere acquaintance, but you do dearly miss the loss of a valued, treasured  relationship.  Your loved one is worthy of your grief.
  • No one has time or wants to  hear my problems.  You need others and you need a support system during grief.  You were not meant to go through this  dark, difficult time by yourself.  Seek out people who love you, sincerely care about your well being and will listen without judging or  giving unsolicited advice.
  • I don’t want to be a burden to others.  In life everyone has times that they need to  give support and encouragement to others and times when they need to  receive support and encouragement from others.  Grief is your time to  receive help from others graciously.
  • No one will allow me to  grieve.  Express your grief in places that you feel safe and with people who make you feel safe and cared for.  Spend as little time as possible with those people who just have no clue what mourners need.
  • My grief comes from my  selfishness in wanting my loved one back.  Think of your grief as a huge emotional wound that needs care in order to heal.  If you had a huge physical wound that required regular attention, it would be ridiculous for others to shame you for the time you spend in changing a dressing on the wound as being selfish. Taking care of your grief needs is self-care, not being selfish.

 As a man of faith, I believe that we are made in the image of God who is a relational being.  In fact, He is His own community (Father, Son and Holy Spirit).  God describes Himself as “jealous” meaning that He prizes His relationship with us.  He wants nothing or no one to take that relationship from Him.  We mourners prize our relationship with the person in our life who has died.  Therefore, we grieve when that relationship is changed by the death of the one we love.

  • I refuse to have a pity  party for myself.  How can you not feel sorrow  for yourself at the loss of someone who you loved and meant so much to  you?  These are valuable people who deserve remembrance and honor  through your expressed healthy grief emotions.  Believe it or not, sometimes in life it is healthy to be sad, depressed or filled with  regrets.  The acknowledgment and expression of these painful emotions in grief leads to healing.
  • I am a private person when it comes to feelings.  Grief does not always let      you pick your time and place to mourn.  Grief outbursts can strike unexpectedly.  Don’t avoid grief.  When a grief outburst occurs, see it as an opportunity to actively show your continued love for the person.  If you feel more comfortable mourning in private, excuse yourself and go somewhere alone if you can.
  • I don’t have time for grief.  Grief emotions demand your time and your      attention.  When strong grief emotions are suppressed or denied, they will come out anyway.  Many times these suppressed or unaddressed emotions come out in ways that are unhealthy, inappropriate and destructive.
  • Once I give into grief I will not be able to get out of it. No. Usually the more intense the initial grief expression, the more the struggle with grief emotions will lessen over time.
  • If I have the right perspective, there is no need to struggle with grief.  No one is exempt from grief and its emotions no matter what their worldview, background, culture or beliefs.  These factors will shape how you mourn, but you will still need to mourn.  How you mourn is up to you.
  • Since I am a Christian and I  believe that I will see my loved one again, I don’t need to grieve.  This belief can be the cause of guilt for many mourners.  No  one is exempt from grief and its emotions no matter what his or her  religion and beliefs are.  These factors will affect how you mourn, but you still have the need to mourn.  A strong faith can provide the  mourner with additional resources to help and support him or her during  the grief journey.
  • I should celebrate and not  be sad because my loved one is in a new home and freed from suffering in  this world.  The time after the death of a loved one      can be a reason to feel joy for your loved one in light of your faith and  beliefs.  It is healthy and appropriate to miss someone who is  important to you.  In fact, sadness at their death can be a display  of respect and honor for the loved one.
  • Death is part of life.  I just need to forget and get over it.  Death is part of life, but grief is also a fact of life resulting  from life, dying and death.  You need the transition of grief to help you accept your new reality of life without the physical presence of the  one who died.  As for “getting over it,” grief is not a case of the      measles.  I hate to give you bad news, but there is no “getting over”  grief.  There can be change and healing though.  Grief is the  continued and needed expression of love for these important and missed  people.
  • No one can help me because  no one has the same type of loss and situation that I have.  There are no two griefs that are exactly alike, but all human beings have lost or will lose someone to death.  Although others may not share the same details or particulars of your unique grief, you do share two things in common with other mourners-you love the person and you miss him or her.  Mourners with different types of losses can find comfort and support from each other.

There may be countless other excuses that mourners give for trying to avoid the experience of grief, but they are just that-excuses.   As a fellow mourner, I can tell you that my loved ones and yours are good people who had an impact on us and countless others.  Our loved ones need to be shown honor and respect.  The stories of their lives and influence need to be told and retold.  We show others how valuable and worthy these loved ones are, when we take time in our lives to continue to remember them and to express our love for them.

 

Written by Larry M. Barber, LPC-S, CT , author of Grief Is Another Expression of Love and Love Never Dies. Larry Barber’s wife Cindy and two year old daughter Katie died from injuries suffered in a traffic accident in 1993. As a widowed single parent he raised two surviving children, nine and twelve. Barber is a minister, a licensed professional counselor, director of Grief-Works, in Dallas Texas, a bereavement support group for mourners who have recently lost a family member or close friend to death. Grief Is another Expression of Love and Love Never Dies: Embracing Grief with Hope and Promise” is available on http://grief-works.org/book.php, and is also available on Amazon.com, Barnes & Noble, and your local bookstore. Watch the Love Never Dies YouTube video http://youtu.be/-T0zt0ZSsNE.

Follow Larry on Twitter @griefminister01.

To contact Larry Barber: 972-960-9981, ext 108, or to read more of his blogs go to: http://griefminister.com/

Share
Posted in Addiction Recovery Posts | Tagged , , , , , | Comments Off on Stop the Excuses; Start Grieving and Healing

Why I Sometimes Suggest a Client Consider Taking Medications ….

This week’s guest blog is by Dr. Henry Steinberger, a licensed psychologist in private practice at Henry Steinberger PhD LLC, in Madison Wisconsin. He offers clients choices: secular recovery based on science vs. spiritual; abstinence vs. moderation. In addition, working with Acceptance & Commitment Therapy as well as Mindfulness Training has proven more effective in Dr Steinberger’s practice with clients presenting with trauma, addiction, co-occurring or adult ADHD, than other theraputic models.

 As a psychologist I encounter a few clients who are dead set against even considering taking a medication, yet they can’t seem to progress in therapy. Could medications help? I ask you to consider the question.

Let me be clear: I am not a shill for the pharmaceutical industry. Indeed, I strongly agree with the psychiatrist blogger who said: “Psychopharmacology without therapy is like treating an infection with Tylenol”. We clearly agree that medications do not cure a “psychiatric disease” and that psychiatrists are “not even sure what the disease actually is”.

So why take a medication then? When clients first see me at Henry Steinberger PhD LLC, I find that some have chosen me as a psychologist because they know that a psychologist can’t prescribe psychiatric medications and might even share their bias against the use of drugs. Such clients may even start out saying: I don’t want to take any drugs. And they often have very clear and understandable reasons for this a priori decision. As I see it, there is usually no need for medications and so no need to argue over. But when it becomes clear that medications might be useful or even necessary, and then I must answer this question if we are to move forward towards a successful outcome.

The whole point of taking medications is symptom reduction. Reduced symptoms or a respite from their intensity can give my client an opportunity to look at their situation without feeling overwhelmed with symptoms; allowing space, time and energy for understanding and learning a new point of view and new more helpful behaviors. In my book that’s the point of medications.

 For instance, treating depression with an antidepressant is not the solution. But consider, one prominent symptom of depression involves a feeling of having lost or not having enough energy. Other symptoms include a lack of concentration, sleep, and self-care, and any of these can make new learning more difficult than it needs to be. The correct medication(s) can help with these while you figure out how to handle depression in the long run.

Change almost always requires learning new ways of interpreting and coping with one’s environment. According to Acceptance & Commitment Therapy (ACT) depression can involve, amongst other problems, a lack or loss of focus on what life-directions one regards as important and a commitment to pursue those valued directions despite those discomforts which we often regard as uncomfortable symptoms of depression. Though it may not hold true for all depressive symptoms, at least some symptoms result from biology or chemical imbalances, and bipolar disorders appears to have a strong biological component. Does that mean that medications are always required? There is evidence that changing behavior can lead to changes in brain chemistry similar to those linked to taking medications, so in the long run medications are not always required for a lifetime. And even when ongoing medication is necessary, as in the case of bipolar disorder, medication without other support is often a bad choice.

Of course the choice of whether or not to even consider taking medications temporarily is ultimately up to you if you are my client. But well informed consideration may prove more helpful than blind prejudice. For this reason I have written this little essay and invite you, if this is your issue, to weigh out the pros and cons of your decision.

Guest Blog by: Dr. Henry Steinberger, Psychologist, MSSW, PhD, APA-CPP

Dr. Henry Steinberger is a licensed psychologist in private practice, at Henry Steinberger PhD LLC, in Madison Wisconsin. He offers clients choices: secular recovery based on science vs. spiritual; abstinence vs. moderation. Working with Acceptance & Commitment Therapy as well as Mindfulness Training has proven more effective in Dr Steinberger’s practice with clients presenting with trauma, addiction, or co-occurring issues, than other theraputic models.

Visit Dr Steinberger at: http://www.linkedin.com/in/drhenrysteinberger

Contact Information: (608) 247-5199

 

Share
Posted in Addiction Recovery Posts | Tagged , , , | Comments Off on Why I Sometimes Suggest a Client Consider Taking Medications ….

Relapse Prevention: Negative Self-Talk, the Warning Sign of a Relapse

This week’s guest blog is written by Sean Leadem, MSW, CSAT, CMAT, Leadem Counseling Services, Toms River, NJ

Shawn is a Licensed Clinical Social Worker in New Jersey and Virginia with a Master’s Degree in Social Work from Radford University. Through his specialized training by Dr. Patrick Carnes, Shawn has received his certification as a Sexual Addiction Therapist and a Multiple Addictions Therapist by the International Institute for Trauma & Addiction Professionals. Shawn is a contributing author to the publication An Ounce of Prevention: A Course in Relapse Prevention and Co-Director of the Relapse Prevention Intensive. His lifelong exposure to the “recovery culture” and his personal recovery experience has left him with a deep personal empathy for the social and emotional suffering endured by others and a strong faith in a person’s ability to change.

This article is the first in a series focusing on relapse prevention tools. More relapse prevention tools will be featured in an upcoming publication entitled: Ounce of Prevention: A Relapse Prevention Guide. The publication’s approach to identifying and intervening on personal relapse triggers or self-defeating behaviors will help you develop a plan for preventing relapse and enhancing the quality of your recovery. The publication challenges the traditional notion that relapse is an event, and advocates relapse is a process and clearly highlights the roadside warnings that can caution you about the slippery slope you may be on.

 
Relapse is identified by the phases we experience prior to sliding down the slippery slope into the murky pond with a deep dark bottom. One of the many strategies for intervening on the phases of relapse is learning to identify the first phase in the relapse process : Emotional Discomfort.

 
To introduce this phase called Emotional Discomfort, I begin by referring to an old 12 Step saying. It goes something like this,

“If you want to know what ‘the drug’ will do to you, keep ‘using it’ and you will find out. If you want to know what it is doing for you, you need to stop ‘using it’.”

 

The first part of the saying is self-explanatory; it isreferring to the consequences one will pay because of their unbridled addiction. The second part of the saying makes reference to the fact that one’s “drug of choice” will be used to numb some emotional pain that will resurface when abstinence is secured. It is the wisdom of this saying that helps to show the reason for using mood-altering drugs is to, alter one’s mood.

 

Some form of emotional discomfort is in every recovering addict; however, emotional discomfort appears differently in different people. One of the ways in which emotional discomfort can be identified is in “negative self-talk”. Negative self-talk is negative internal dialogue we use to view the world, explain situations and communicate to ourselves that focuses our attention on what we believe to be wrong with us or wrong with our life. Negative self-talk is a challenge for many of us.

 
Whether you are new to recovery or have struggled with relapse, it is likely that you have experienced “negative self talk” and consider it a challenge or defect of character. If you have indulged in negative self-talk, you undoubtedly understand the power it has to diminish hope, evaporate self-esteem, and threaten your resolve to remain sober. Negative self-talk can be quite seductive. When we begin embracing statements such as “I have nothing to offer in this relationship” or “people will always disappoint you”, the seductive power of this negative dialogue takes over. Where does it come from? Negative self-talk comes from the comfort or the “familiarity” it brings to you and from the illusion of “protection” this talk may offer you (e.g. to protect you from hurt or abandonment). While most will agree negative self-talk lacks logic or reason, we find ourselves self-degrading before others get a chance to do so, as if it is going to be a protective shield! Does negative self-talk insulate us from criticism or rejection? So why, if it makes no sense, if it does not protect us from rejection, or does not feel good, why do we use it?

 
Clinical experience suggests that much of the data for negative self-talk is acquired during our youth when we are the most impressionable and egocentric. Egocentrism, defined as regarding one’s self as being at the center of all things, is a normal part of childhood development. It is normal for a child to view the world and the adults as somehow being related to them. A child is likely to internalize the pain or chaos that is happening around them and would think – “what is wrong with me?” or “what did I do wrong?”

 

If being impressionable and egocentric are parts of a child’s development why do the messages still hold such power in a recovering adult’s life today? When one becomes dependent on mood altering drugs or experiences, they stunt their development and rob themselves of the opportunity to address the original messages they received and resolve these messages as an adult. Additionally, the older the messages are, the more power they tend to have and as a result, they are more difficult to change. Therefore, it is important to act quickly when the negative self-talk begins or risk succumbing to the seduction it has to offer.

 

This tool, What’s Your Proof?, is designed to address the seductive elements of negative self-talk. This tool will help you recognize that the people who might have contributed to your library of negative self-talk, were hurt people and that you were a victim of their pain, you suffered from collateral damage from their dysfunction – you were not the cause of it.This tool is broken down into five sections.

1. In the first section, you are asked to identify one negative self-talk phrase or perception that is currently causing you injury.
2. Second, identify the “author” (e.g. caretaker, sibling, neighbor) you learned this perception from and/or who in your life would likely have agreed with the perception (e.g. caretaker, siblings, co-workers).
3. In the third section, you are asked to come up with the proof to support the “author’s” perception.
4. In the fourth and final section, you are asked to examine the author’s story and look into their lives and discover what would have hurt them so badly as to cause them to project onto you, this negative attribute.
5. Lastly, ask, “What’s your proof that ___________?

If you are having difficulty completing this exercise or find that is bringing up great emotional pain, please seek out professional help and allow them to guide you through it. Once you have completed this exercise we encourage you to bring it to your support group, including your sponsor for feedback and encouragement.

Written by:
Sean Leadem, MSW, CSAT, CMAT
Leadem Counseling & Consulting Services, PC
http://www.leademcounseling.com/

Corporate Headquarters
668 Commons Way, Bldg. I –
Toms River, NJ 08755
732-797-1444 | Email: leadom@comcast.net

And

Leadem Counseling & Consulting Services
NCADD of Middlesex County, Inc.
152 Tices Lane
East Brunswick, NJ 08816
Phone Number: 732-307-7387
Email: lccs@leademcounseling.com

Share
Posted in Addiction Recovery Posts | Tagged , , , | 10 Comments