Sanctuary for the Abused

Saturday, February 25, 2023

Why Not Everyone Can Just "Move On" and "Get Over It"

Reality and Revictimization...


Victim, survivor, victimology, victim abuse... why are victims being told to deny their reality? 
 

You have been methodically and diabolically abused and suddenly you hear "don't be a victim, choose to be a survivor." The concept that a victim can always consciously choose how to proceed, is wrong.

The phrase, "move on with your life" is common. In a commanding, offhand and arrogant tone, those who have fought and lost a custody battle, their home, car and savings, family, job and may be suffering physically (adrenal fatigue, fibromyalgia, chronic fatigue syndrome, lupus, crohn's disease, etc. are common) are stunned to be told, "well, better move on with your life."


The entire infrastructure of a life is often destroyed leaving the victim, stunned, numb, hypervigilant, indigent, betrayed and perplexed as to why they are expected to "choose" to not be a victim. Give them a time machine and this can be done. Give them revictimization abuse and it cannot. They are victims.

It's time to give that word back its status and in doing so, give respect to the abused. Respect comes in the form of providing help. An empowering, compassionate approach to those who have been stripped of dignity through repeated abuse in courts of law, or by their partners, begins with recognizing and defining the situation of the victim.

What is the definition of a "victim"?
According to the dictionary a victim is: One who is harmed by, or made to suffer from an act, circumstance, agency, or condition; a person who is tricked, swindled, or taken advantage of.

The victim of a narcissist or abuser is traumatized. There are biochemical changes in the body and structural changes in the brain. Thought patterns change, memories are lost, immune system strongly affected, brain cells die, there is chest pain, muscle pain, feelings are intense and emotions chaotic. Victimization is never deserved.

Why are victims revictimized?
So why does someone brutalized, abused, and traumatized have to be afraid of the word "victim" ? Because it's politically correct to say, "I'm not a victim, I'm a survivor." Much the same way, people think the capitalist economy gives everyone an equal chance to become wealthy (which of course it does not - if everyone started with the same funding, self esteem, contacts, educational background, health, then that would be true) but when the playing field is not level some have an advantage.

Not everyone who is the victim of emotional, verbal, and narcissistic abuse are the same. Some have more resiliency than others. Some are numb, some are without any resources or support. Many have physiological changes that need to be addressed. And when those who need help come looking for it, instead of being welcomed, they find "helpers" that tell them they are responsible for their healing and they better choose it now or they will always be a victim and never a survivor. These people are revictimizing those they want to help because "choice" is NOT always an option.

Dr. Frank Ochberg, Harvard trained MD and trauma expert, says our culture now disparages, blames, isolates, and condemns someone for being a victim.
We must reclaim the word "victim" and renew our commitment to those who are victims. We should examine the role of a victim impact statement and victim advocate for those who are traumatized emotionally as well as from a criminal act.

Are you being victimized again by someone who says, "if you won't stop being a victim. I won't help you"? Maybe your attorney, therapist. siblings, or friends are claiming you can just choose to stop being a victim. Maybe they think you can start a company without money, and buy a house with bad credit. Maybe they don't know what they are talking about.

As a victim of any kind of abuse you deserve:
1. Compassion
2. Validation
3. Freedom from therapeutic verbal abuse
4. A support team to open doors to resources
5. A friend, therapist or counselor who can teach you the skills to rebuild your life.

Depending on who you are, this may take a long time or not. Variables include amount and length of abuse, health, supportive family or not, finances, genetic explanatory style (optimism or pessimism), coping skills you may already have and many others. As a victim, you have the right to say, "STOP" to those who blame the victim. An entire self help industry has arisen that believes if you just really really wanted to, you can be happy and healthy and fully functional as soon as you choose to be. A starting point for recovery are post traumatic stress sites. There you will find trained and compassionate support people with articles that explain trauma healing methods.

The Scientific Basis of Healing, Happiness and Recovery
It doesn't matter if you call yourself a victim, survivor or Martian. No one should deny you victim status. It is what is. A victim is not a slothlike creature, nor stupid. Nor is a victim responsible for what happened to her and we must stop worrying about language and start helping. A victim is a person with a life in chaos. What matters is that you get the help you need and the compassionate trained person to give you the skills.

The good news is that happiness is trainable, resiliency comes back and psychologists are moving from the Freudian model which has dominated psychology for too long and was wrong to boot, to a model that moves from pathology as the dominant scheme. The process of de-traumatization begins with validation. It then moves to retraining explanatory style. Depending on the depth and time of the abuse, it may take a long or short time to process to empowerment and control. IT IS NOT NECESSARY to analyze every event. It IS necessary to be heard and listened to and to tell your story. Validation is critical.

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Monday, August 01, 2022

"Get Over It"


By Richard Zwolinski, LMHC, CASAC

Neuroscientistific research shows that our memory is strongest and lasts the longest when our emotions are heightened. This helps explain why we might remember every nuance of our wedding day or our valedictory speech in college.

It also holds true for our memories of traumatic events such as abuse or even one-time events such as severe accidents.

Trauma and abuse seem etched in people’s memories, while “important” information, such as remembering the Capitols of the states, is more easily forgotten. Often, treatment techniques used in the treatment of PTSD (and other disorders such as depression and anxiety which are sometimes related to painful memories), assume that traumatic memories are the hardest to let go of.

Now, new research seems to show that if you really want to forget a memory—you might be able to. Researcher Gerd Waldhauser from Lund University in Sweden says that we can learn to control our memory in the same way as we can control our motor impulses.

EEG measures of the brain show that the same parts of the brain are activated when we stop our motor impulses as when we suppress a memory. Waldhauser believes that just as we can practice restraining motor impulses, we can also actively train ourselves to repress memories and maybe even forget painful or traumatic events.

In general, science says that some of our less-necessary memories are “erased” when current events or other information need new “space” in which to “write” new memories. But emotionally-charged memories (both positive and negative) seem to stubbornly hang on, and sometimes, as in the case of PTSD, haunt us.

Therapists and their clients know that painful memories can also be suppressed or repressed to the point of near-total forgetfulness. In some cases, patients might have to access these painful memories in order to come to a deeper understanding of why they feel/act the way they do. When uncovering these memories, they sometimes feel so “new” and raw that they can, in effect, be re-traumatized all over again.

Traumatized patients often have a hard time coping with everyday life, let alone the work they need to do in order to uncover and resolve painful memories. That’s why many therapists who work with victims of trauma and abuse prefer to first focus on helping the patient build coping skills before uncovering and exploring the painful past.

Not every inability to cope is linked to a traumatic memory. Sometimes many years of maladaptive conditioning and numerous instances of inappropriate messages from caregivers “build up”.

A tip about trauma, memory, and coping skills: If you are involved in any way (as a family member, friend or even therapist), with someone who seems to be “stubbornly” clinging to a painful memory, there’s a right way and a wrong way to help them.

It comes down to a fine line between gently but repeatedly encouraging someone in their efforts to build proactive coping skills and/or a more positive outlook OR telling them to “get over it” and “move on.” The first is about the needs of the person who is suffering; the second is about your needs.

Richard Zwolinski, LMHC, CASAC is the author of Therapy Revolution: Find Help, Get Better, and Move On Without Wasting Time or Money and is an internationally licensed psychotherapist and addiction specialist with over 25 years experience as well as a consultant to organizations and companies in the fields of mental health and addiction.

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Sunday, January 09, 2022

Common Reactions to Trauma


Edna B. Foa, Elizabeth A. Hembree, David Riggs, Sheila Rauch, and Martin Franklin
Center for the Treatment and Study of Anxiety
Department of Psychiatry, University of Pennsylvania


A traumatic experience produces emotional shock and may cause many emotional problems. This handout describes some of the common reactions people have after a trauma. Because everyone responds differently to traumatic events, you may have some of these reactions more than others, and some you may not have at all.

Remember, many changes after a trauma are normal. In fact, most people who directly experience a major trauma have severe problems in the immediate aftermath. Many people then feel much better within three months after the event, but others recover more slowly, and some do not recover enough without help. Becoming more aware of the changes you've undergone since your trauma is the first step toward recovery.

Some of the most common problems after a trauma are described below.

Fear and anxiety. Anxiety is a common and natural response to a dangerous situation. For many it lasts long after the trauma ended. This happens when views of the world and a sense of safety have changed. You may become anxious when you remember the trauma. But sometimes anxiety may come from out of the blue. Triggers or cues that can cause anxiety may include places, times of day, certain smells or noises, or any situation that reminds you of the trauma. As you begin to pay more attention to the times you feel afraid you can discover the triggers for your anxiety. In this way, you may learn that some of the out-of-the-blue anxiety is really triggered by things that remind you of your trauma.

Re-experiencing of the trauma. People who have been traumatized often re-experience the traumatic event. For example, you may have unwanted thoughts of the trauma, and find yourself unable to get rid of them. Some people have flashbacks, or very vivid images, as if the trauma is occurring again. Nightmares are also common. These symptoms occur because a traumatic experience is so shocking and so different from everyday experiences that you can't fit it into what you know about the world. So in order to understand what happened, your mind keeps bringing the memory back, as if to better digest it and fit it in.

Increased arousal is also a common response to trauma. This includes feeling jumpy, jittery, shaky, being easily startled, and having trouble concentrating or sleeping. Continuous arousal can lead to impatience and irritability, especially if you're not getting enough sleep. The arousal reactions are due to the fight or flight response in your body. The fight or flight response is the way we protect ourselves against danger, and it occurs also in animals. When we protect ourselves from danger by fighting or running away, we need a lot more energy than usual, so our bodies pump out extra adrenaline to help us get the extra energy we need to survive.

People who have been traumatized often see the world as filled with danger, so their bodies are on constant alert, always ready to respond immediately to any attack. The problem is that increased arousal is useful in truly dangerous situations, such as if we find ourselves facing a tiger. But alertness becomes very uncomfortable when it continues for a long time even in safe situations. Another reaction to danger is to freeze, like the deer in the headlights, and this reaction can also occur during a trauma.

Avoidance is a common way of managing trauma-related pain. The most common is avoiding situations that remind you of the trauma, such as the place where it happened. Often situations that are less directly related to the trauma are also avoided, such as going out in the evening if the trauma occurred at night. Another way to reduce discomfort is trying to push away painful thoughts and feelings. This can lead to feelings of numbness, where you find it difficult to have both fearful and pleasant or loving feelings. Sometimes the painful thoughts or feelings may be so intense that your mind just blocks them out altogether, and you may not remember parts of the trauma.

Many people who have been traumatized feel angry and irritable. If you are not used to feeling angry this may seem scary as well. It may be especially confusing to feel angry at those who are closest to you. Sometimes people feel angry because of feeling irritable so often. Anger can also arise from a feeling that the world is not fair.

Trauma often leads to feelings of guilt and shame. Many people blame themselves for things they did or didn't do to survive. For example, some assault survivors believe that they should have fought off an assailant, and blame themselves for the attack. Others feel that if they had not fought back they wouldn't have gotten hurt. You may feel ashamed because during the trauma you acted in ways that you would not otherwise have done. Sometimes, other people may blame you for the trauma.

Feeling guilty about the trauma means that you are taking responsibility for what occurred. While this may make you feel somewhat more in control, it can also lead to feelings of helplessness and depression.

Grief and depression are also common reactions to trauma. This can include feeling down, sad, hopeless or despairing. You may cry more often. You may lose interest in people and activities you used to enjoy. You may also feel that plans you had for the future don't seem to matter anymore, or that life isn't worth living. These feelings can lead to thoughts of wishing you were dead, or doing something to hurt or kill yourself. Because the trauma has changed so much of how you see the world and yourself, it makes sense to feel sad and to grieve for what you lost because of the trauma.

Self-image and views of the world often become more negative after a trauma. You may tell yourself, "If I hadn't been so weak or stupid this wouldn't have happened to me." Many people see themselves as more negative overall after the trauma ("I am a bad person and deserved this.").

It is also very common to see others more negatively, and to feel that you can't trust anyone. If you used to think about the world as a safe place, the trauma may suddenly make you think that the world is very dangerous. If you had previous bad experiences, the trauma convinces you that the world is dangerous and others aren't to be trusted. These negative thoughts often make people feel they have been changed completely by the trauma. Relationships with others can become tense and it is difficult to become intimate with people as your trust decreases.

Sexual relationships may also suffer after a traumatic experience. Many people find it difficult to feel sexual or have sexual relationships. This is especially true for those who have been sexually (physically or emotionally) assaulted, since in addition to the lack of trust, sex & sexual feelings themselves are a reminder of the trauma.

Some people increase their use of alcohol or other substances after a trauma. There is nothing wrong with responsible drinking, but if your use of alcohol or drugs changed as a result of your traumatic experience, it can slow down your recovery and cause problems of its own. (See a doctor or psychiatrist familiar with PTSD if you have problems sleeping, eating, working and so on.)

Many of the reactions to trauma are connected to one another. For example, a flashback may make you feel out of control, and will therefore produce fear and arousal. Many people think that their common reactions to the trauma mean that they are "going crazy" or "losing it." These thoughts can make them even more fearful. Again, as you become aware of the changes you have gone through since the trauma, and as you process these experiences during treatment, the symptoms should become less distressing.

The information on this Web site is presented for educational purposes only. It is not a substitute for informed medical advice or training. Do not use this information to diagnose or treat a mental health problem without consulting a qualified health or mental health care provider.

All information contained on these pages is in the public domain unless explicit notice is given to the contrary, and may be copied and distributed without restriction.


For more information call the PTSD Information Line at (802) 296-6300 or send email to ncptsd@ncptsd.org.

From the website of the National Centre for Post Traumatic Stress Disorder

Being at the receiving end of abuse (being lied to, being used, being degraded, coerced, minimized, blamed, bullied, humiliated, emotionally raped, verbally and emotionally abused, etc) IS trauma.

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Thursday, December 23, 2021

Narcissism Victim Syndrome



A new diagnosis?

Do you see a preponderance of middle aged women in your practices with no particular physical disease process, yet a variety of physical and/or emotional complaints, including: insomnia, weight loss or gain, depression, anxiety, phobias, (sometimes but not always, also: broken bones, lacerations, or bruises)? Some may report an overwhelming feeling of emptiness, self-hate or doom. Others may talk about or attempt suicide.

These patients are frequently rather nervous, with a guilt-ridden, anxious look and effect. They may appear restless, worried, and/or demonstrate a fake laugh that seems to hide something else.

In extreme cases they may describe sudden outbursts of rage with accompanying violence. They may have even been arrested for assault on their spouse. A few of them are men.

Who are these patients and how did they get this way? While there may be many situations with similar symptoms, it is important to recognize these may be "Victims of Narcissists" and they need your help. While narcissism itself has been a diagnosis in the DSM - IV, psychiatry's complete reference, little to nothing has been written in the medical literature surrounding those who live with the narcissist … and the torturous lives they live. And there are many of them out there.

Narcissism is a broad spectrum of behaviors. On a scale of 1 - 10, Healthy Narcissism is a one, and Pathological Narcissism, or Narcissistic Personality Disorder, (NPD) is a 10.

Healthy Narcissism is something we all can use. It's having a healthy self-esteem. It's what makes us pick ourselves up after experiencing failure and going on towards the next goal. It's what gives us the ability to help each other, and to love someone - as we already know how to love ourselves.

Yet, Pathological Narcissism is an ironic twist of this healthy state. Outwardly, it appears that these people love themselves too much - to the exclusion of anyone else. It is as if they are God himself and those around them must recognize their omnipotence, supreme knowledge, and absolute entitlement and power. Rules don't apply to them. They have an unrealistic and overblown sense of self, often without the credentials to match, as well as fantasies of unlimited power, success, and/or brilliance. They are interpersonally exploitive and have absolutely no understanding of empathy or compassion.

They are neither kind nor benevolent gods. And those who live with them end up paying the price.

While there is a range of narcissistic behaviors lying between level 1 and 10 on this scale, one doesn't need to have full-blown NPD to do incredible damage to those in the inner circle.

While victims of Narcissists are generally codependents, most have no idea how they got in this situation, because in the early stages of the relationship the Narcissistic person can be the most charming, Academy Award winning actor or actress (according to the DSM-IV, 50-75% of narcissists are men), of the century.

The early days of the dating is fast, furious, and vastly romantic. Oftentimes marriage proposals come within a few weeks. The "victim" sees the narcissist as the "Perfect Partner". She's never met someone so wonderful in her lifetime and falls head-over-heels in love. The two go on to live happily ever after - or so she thinks - until the "real" partner surfaces. The once wonderful Dr. Jekyll turns into the dangerous Mr. Hyde who quickly instills fear, anxiety, uncertainty, and total confusion to the relationship.

The change can be quick and powerful or slow and insidious.


We are all way too familiar with overt narcissists: those abusive husbands who send thousands of battered women to the emergency room each year. They feel it is their God-given right to beat, abuse, and otherwise threat their partner in whatever method they deem necessary and no one can tell them otherwise.

Then there is the verbally abusive and controlling narcissist … the one who uses emotional abuse as his weapon of choice. He tells his victim who she can see, what time she needs to be home, and when she can go to bed. Or in the case of Jamie, whose husband makes her recite every day, "I'm only worth 29 cents - the price of a bullet," he erodes her self-worth to nothing to keep her under his control.

Who else could possible want such a worthless woman as she? With that belief, she will never leave him for good, although she makes many brief attempts to do so. She always returns. The brainwashing that continues day after day is emotionally exhausting, draining, and vastly unhealthy.

Yet almost worse is the "Stealth Narcissist," so sinister and silent in his ability to drive his partner crazy that she doesn't suspect anything bad is happening until it's too late. He is the master of the little digs … "Honey, why on earth would you cook eggs in butter? NO ONE does it that way. What's wrong with you?" Or, "If you'd only do what I say then we'd both be happy."

He issues the "silent treatment" when he is slighted, punishing his family by ignoring them for hours, leaving them wondering what they did "wrong" to make him act this way. He may "forget" birthday or Christmas presents, year after year. He may show up hours late and his partner is just supposed to understand, with no explanation even offered. He may have another woman on the side and feel quite entitled to do so.

Yet, to those outside his inner kingdom he looks like a saint. He probably is president of the Rotary, volunteers at a food bank, and contributes regularly to charity … all to attain the image of being the admired Superman of his community.

No matter which type of narcissist he is, the end result is the same … a slow, insidious, breaking down of the self-esteem of his victims until there's next to nothing left, at which point, the narcissist will frequently throw his partner out in order to look for someone new and full of life to make his next target. Leaving his victim an emotional wreck wondering what she did to destroy their once "perfect" relationship.

The Narcissist himself rarely changes. After all, if you believe you're God-like, you must be perfect. Why should you change your behavior for anyone else? Yet the biggest secret is that deep inside, he loathes himself, and is desperate that no one find out who the "real" person is inside his tough, outer shell.

Victims are not only spouses. They can be coworkers, employees, children, or friends of narcissists. When the narcissist is the victim's mother, it's a difficult spot to be in, as most children (even grown children) find it almost impossible to leave the relationship. And the abuse continues for years.

However, when the narcissist is your patient's boss, coworker, or friend, it may be wise to counsel the victim to seek a new situation elsewhere to best avoid an emotional roller coaster ride that could lead to extreme health issues down the road.

How can you help those with Narcissism Victim Syndrome? First, by asking questions to determine what is going on in their environment. Health care professionals already know the effect that stress has on so many of us, but the added stress of living with a narcissist is rarely understood or recognized by the victims themselves. Knowledge is power and by asking the right questions about their situation, you might be able to help them begin to better recognize their problem and seek help.

You can help them quit being victims, quit blaming themselves for all that's wrong in their relationships, gain knowledge of this disorder, and regain their personal power. Help them to seek counseling from a therapist knowledgeable about narcissism, (not all are, and few fully understand victim issues at all - see www.helpfromsurvivors.com), in order to rebuild their shattered self-esteem and stop looking and acting like a caged animal.

Help them find hope, before years of stuffing their anger due to this abusive treatment, leads them to venting in unhealthy ways, sometimes leading to domestic violence and police intervention. Help them to stop looking like the sick one in the relationship and to start down the road of being a survivor and no longer a victim. Help them escape symptoms of depression that may, in some cases, lead to suicide.

Learn all you can about the "Narcissism Victim Syndrome". You might light a glimmer of hope for someone who's just barely hanging on for dear life.

Mary Jo Fay, RN, MSN is a national speaker, author, columnist and survivor of several narcissistic relationships. Her new book, "When Your Perfect Partner Goes Perfectly Wrong - Loving or Leaving the Narcissist in Your Life" is available at http://www.helpfromsurvivors.com or http://www.outoftheboxx.com. She can be reached at 303-841-7691.

Copyright by Mary Jo Fay, RN, MSN

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Sunday, May 30, 2021

CHILDHOOD STRESS AND EMOTIONAL ABUSE ADD UP TO ILLNESS LATER IN LIFE



If you saw Laura walking down the New York City street where she lives today, you’d see a well-dressed 46-year-old woman with auburn hair and green eyes, who exudes a sense of ‘I matter here.’ She looks entirely in charge of her life, but behind Laura’s confident demeanour lies a history of trauma: a bipolar mother who vacillated between braiding her daughter’s hair and peppering her with insults, and a father who moved out-of-state with his wife-to-be when Laura was 15 years old.

She recalls a family trip to the Grand Canyon when she was 10. In a photo taken that day, Laura and her parents sit on a bench, sporting tourist whites. ‘Anyone looking at us would have assumed that we were a normal, loving family.’ But as they put on fake smiles for the camera, Laura’s mother suddenly pinched her daughter’s midriff and told her to stop ‘staring off into space’. A second pinch: ‘No wonder you’re turning into a butterball, you ate so much cheesecake last night you’re hanging over your shorts!’ If you look hard at Laura’s face in the photograph, you can see that she’s not squinting at the Arizona sun, but holding back tears.

After her father left the family, he sent cards and money, but called less and less. Meanwhile, her mother’s untreated bipolar disorder worsened. Sometimes, Laura says: ‘My mom would go on a vitriolic diatribe about my dad until spittle foamed on her chin. I’d stand there, trying not to hear her as she went on and on, my whole body shaking inside.’ Laura never invited friends over, for fear they’d find out her secret: her mom ‘wasn’t like other moms’.
Some 30 years later, Laura says: ‘In many ways, no matter where I go or what I do, I’m still in my mother’s house.’ Today, ‘If a car swerves into my lane, a grocery store clerk is rude, my husband and I argue, or my boss calls me in to talk over a problem, I feel something flip over inside. It’s like there’s a match standing inside too near a flame, and with the smallest breeze, it ignites.’

To see Laura, you’d never know that she is ‘always shaking a little, only invisibly, deep down in my cells’.

Her sense that something is wrong inside is mirrored by her physical health. During a routine exam, Laura’s doctor discovered that Laura was suffering from dilated cardiomyopathy and would require a cardioverter defibrillator to keep her heart pumping. The two-inch scar from her surgery only hints at the more severe scars she hides from her childhood.

For as long as John can remember, he says, his parents’ marriage was deeply troubled, as was his relationship with his father. ‘I consider myself to have been raised by my mom and her mom. I longed to feel a deeper connection with my dad, but it just wasn’t there. He couldn’t extend himself in that way.’ John’s poor relationship with his father was due, in large part, to his father’s reactivity and need for control. For instance, if John’s father said that the capital of New York was New York City, there was just no use telling him that it was Albany.

As John got older, it seemed wrong to him that his father ‘was constantly pointing out all the mistakes that my brother and I made, without acknowledging any of his own’. His father relentlessly criticised his mother, who was ‘kinder and more confident’. Aged 12, John began to interject himself into the fights between his parents. He remembers one Christmas Eve, when he found his father with his hands around his mother’s neck and had to separate them. ‘I was always trying to be the adult between them,’ John says.

John is now a boyish 40, with warm hazel eyes and a wide, affable grin. But beneath his easy, open demeanour, he struggles with an array of chronic illnesses. By the time he was 33, his blood pressure was shockingly high; he began to experience bouts of stabbing stomach pain and diarrhoea and often had blood in his stool; he struggled from headaches almost daily. By 34, he’d developed chronic fatigue, and was so wiped out that he sometimes struggled to make it through an entire workday.

John’s relationships, like his body, were never completely healthy. He ended a year‑long romance with a woman he deeply loved because he felt riddled with anxiety around her normal, ‘happy family’. He just didn’t know how to fit in. ‘She wanted to help,’ he says, ‘but instead of telling her how insecure I was around her, I told her I wasn’t in love with her.’ Bleeding from his inflamed intestines, exhausted by chronic fatigue, debilitated and distracted by pounding headaches, often struggling with work, and unable to feel comfortable in a relationship, John was stuck in a universe of pain and solitude, and he couldn’t get out.

Laura’s and John’s life stories illustrate the physical price we can pay, as adults, for trauma that took place 10, 20, even 30 years ago. New findings in neuroscience, psychology and immunology tell us that the adversity we face during childhood has farther-reaching consequences than we might ever have imagined. Today, in labs across the country, neuroscientists are peering into the once-inscrutable brain-body connection, and breaking down, on a biochemical level, exactly how the stress we experience during childhood and adolescence catches up with us when we are adults, altering our bodies, our cells, and even our DNA.

Emotional stress in adult life affects us on a physical level in quantifiable, life-altering ways. We all know that when we are stressed, chemicals and hormones can flush our body and increase levels of inflammation. That’s why stressful events in adult life are correlated with the likelihood of getting a cold or having a heart attack.

But when children or teens face adversity and especially unpredictable stressors, they are left with deeper, longer‑lasting scars. When the young brain is thrust into stressful situations over and over again without warning, and stress hormones are repeatedly ramped up, small chemical markers, known as methyl groups, adhere to specific genes that regulate the activity of stress‑hormone receptors in the brain. These epigenetic changes hamper the body’s ability to turn off the stress response. In ideal circumstances, a child learns to respond to stress, and recover from it, learning resilience. But kids who’ve faced chronic, unpredictable stress undergo biological changes that cause their inflammatory stress response to stay activated.

Joan Kaufman, director of the Child and Adolescent Research and Education (CARE) programme at the Yale School of Medicine, recently analysed DNA in the saliva of happy, healthy children, and of children who had been taken from abusive or neglectful parents. The children who’d experienced chronic childhood stress showed epigenetic changes in almost 3,000 sites on their DNA, and on all 23 chromosomes – altering how appropriately they would be able to respond to and rebound from future stressors.


'Kids who’ve had early adversity have a drip of fight-or-flight hormones turned on every day – it’s as if there is no off switch
 
Likewise, Seth Pollak, professor of psychology and director of the Child Emotion Research Laboratory at the University of Wisconsin at Madison, uncovered startling genetic changes in children with a history of adversity and trauma. Pollak identified damage to a gene responsible for calming the stress response. 'This particular gene wasn’t working properly; the kids’ bodies weren’t able to reign in their heightened stress response.,’

Imagine for a moment that your body receives its stress hormones and chemicals through an IV drip that’s turned on high when needed and, when the crisis passes, it’s switched off again. You might think of kids whose brains have undergone epigenetic changes because of early adversity as having an inflammation-promoting drip of fight-or-flight hormones turned on every day – it’s as if there is no off switch.

Experiencing stress in childhood changes your set point of wellbeing for decades to come. In people such as Laura and John, the endocrine and immune systems are churning out a damaging and inflammatory cocktail of stress neurochemicals in response to even small stressors – an unexpected bill, a disagreement with their spouse, a car that swerves in front of them on the highway, a creak on the staircase – for the rest of their lives. They might find themselves overreacting to, and less able to recover from, the inevitable stressors of life. They’re always responding. And all the while, they’re unwittingly marinating in inflammatory chemicals, which sets the stage for full-throttle disease down the road, in the form of autoimmune disease, heart disease, cancer, fibromyalgia, chronic fatigue, fibroid tumours, irritable bowel syndrome, ulcers, migraines and asthma.

Scientists first came to understand the relationship between early chronic stress and later adult disease through the work of a dedicated physician in San Diego and a determined epidemiologist from the Centers for Disease Control and Prevention (CDC) in Atlanta. Together, during the 1980s and ’90s – the years when Laura and John were growing up – these two researchers began a paradigm-shifting public-health investigation known as the Adverse Childhood Experiences (ACE) Study.

In 1985, Vincent J Felitti, chief of a revolutionary preventive care initiative at the Kaiser Permanente Medical Care programme in San Diego, noticed a startling pattern in adult patients at an obesity clinic. A significant number were, with the support of Felitti and his nurses, successfully losing hundreds of pounds a year, a remarkable feat, only to withdraw from the programme despite weight-loss success. Felitti, determined to get to the bottom of the attrition rate, conducted face-to-face interviews with 286 patients. It turned out there was a common denominator. Many confided that they had suffered some sort of trauma, often sexual abuse, in their childhoods. To these patients, eating was a solution, not a problem: it soothed the anxiety and depression they had harboured for decades; their weight served as a shield against undesired attention, and they didn’t want to let it go.

Felitti’s interviews gave him a new way of looking at human health and well-being that other physicians just weren’t seeing. He presented his findings at a national obesity conference, arguing that ‘our intractable public health problems’ had root causes hidden ‘by shame, by secrecy, and by social taboos against exploring certain areas of life experience’. Felitti’s peers were quick to blast him. One even stood up in the audience and accused Felitti of offering ‘excuses’ for patients’ ‘failed lives’. Felitti, however, remained unfazed; he felt sure that he had stumbled upon a piece of information that would hold enormous import for the field of medicine.

After a colleague who attended that same conference suggested that he design a study with thousands of patients who suffered from a wide variety of diseases, not just obesity, Felitti joined forces with Robert Anda, a medical epidemiologist at the CDC who had, at the time, been researching the relationship between coronary heart disease and depression. Felitti and Anda took advantage of Kaiser Permanente’s vast patient cohort to set up a national epidemiology laboratory. Of the 26,000 patients they invited to take part in their study, more than 17,000 agreed

Anda and Felitti surveyed these 17,000 individuals on about 10 types of adversity, or adverse childhood experiences (ACEs), probing into patients’ childhood and adolescent histories. Questions included: ‘Was a biological parent ever lost to you through divorce, abandonment or other reason?’; ‘Did a parent or other adult in the household often swear at you, insult you, put you down or humiliate you?’; and ‘Was a household member depressed or mentally ill?’ Other questions looked at types of family dysfunction that included growing up with a parent who was an alcoholic or addicted to other substances; being physically or emotionally neglected; being sexually or physically abused; witnessing domestic violence; having a family member who was sent to prison; feeling that there was no one to provide protection; and feeling that one’s family didn’t look out for each other. For each category to which a patient responded ‘yes’, one point would be added to her ACE score, so an ACE score of 2 would indicate that she had suffered two adverse childhood experiences.

To be clear, the patients Felitti and Anda surveyed were not troubled or disadvantaged; the average patient was 57, and three-quarters had attended college. These were ‘successful’ men and women, mostly white, middle-class, with stable jobs and health benefits. Felitti and Anda expected their number of ‘yes’ answers to be fairly low.

The correlation between having a difficult childhood and facing illness as an adult offered a whole new lens through which we could view human health and disease

When the results came in, Felitti and Anda were shocked: 64 per cent of participants answered ‘yes’ to having encountered at least one category of early adversity, and 87 per cent of those patients also had additional adverse childhood experiences; 40 per cent had suffered two or more ACEs; 12.5 per cent had an ACE score greater than or equal to 4.

Felitti and Anda wanted to find out whether there was a correlation between the number of adverse childhood experiences an individual had faced, and the number and severity of illnesses and disorders she developed as an adult. The correlation proved so powerful that Anda was not only ‘stunned’, but deeply moved.

‘I wept,’ he says. ‘I saw how much people had suffered, and I wept.’

Felitti, too, was deeply affected. ‘Our findings exceeded anything we had conceived. The correlation between having a difficult childhood and facing illness as an adult offered a whole new lens through which we could view human health and disease.’

Here, says Felitti, ‘was the missing piece as to what was causing so much of our unspoken suffering as human beings’.

The number of adverse childhood experiences a patient had suffered could by and large predict the amount of medical care she would require in adulthood: the higher the ACE score, the higher the number of doctor’s appointments she’d had in the past year, and the more unexplained physical symptoms she’d reported.

People with an ACE score of 4 were twice as likely to be diagnosed with cancer than people who hadn’t faced any form of childhood adversity. For each point an individual had, her chance of being hospitalised with an autoimmune disease in adulthood rose 20 per cent. Someone with an ACE score of 4 was 460 per cent more likely to face depression than someone with a score of 0.

An ACE score of 6 or higher shortened an individual’s lifespan by almost 20 years.

Researchers wondered if those who encountered childhood adversity were also more likely to smoke, drink and overeat as a sort of coping strategy, and while that was sometimes the case, unhealthy habits didn’t wholly account for the correlation Felitti and Anda saw between adverse childhood experiences and later illness. For instance, those with ACE scores greater than or equal to 7 who didn’t drink or smoke, weren’t overweight or diabetic, and didn’t have high cholesterol still had a 360 per cent higher risk of heart disease than those with ACE scores of 0.


Time,’ says Felitti, ‘does not heal all wounds. One does not “just get over” something – not even 50 years later.’ Instead, he says: ‘Time conceals. And human beings convert traumatic emotional experiences in childhood into organic disease later in life.’

Often, these illnesses can be chronic and lifelong. Autoimmune disease. Heart disease. Chronic bowel disorders. Migraines. Persistent depression. Even today, doctors puzzle over these very conditions: why are they so prevalent; why are some patients more prone to them than others; and why are they so difficult to treat?

The more research that’s done, the more granular details emerge about the profound link between adverse experiences and adult disease. Scientists at Duke University in North Carolina, the University of California, San Francisco, and Brown University in Rhode Island have shown that childhood adversity damages us on a cellular level in ways that prematurely age our cells and affect our longevity. Adults who faced early life stress show greater erosion in what are known as telomeres – protective caps that sit on the ends of DNA strands to keep the DNA healthy and intact. As telomeres erode, we’re more likely to develop disease, and we age faster; as our telomeres age and expire, our cells expire and so, eventually, do we.

Researchers have also seen a correlation between specific types of adverse childhood experiences and a range of diseases. For instance, children whose parents die, or who face emotional or physical abuse, or experience childhood neglect, or witness marital discord between their parents are more likely to develop cardiovascular disease, lung disease, diabetes, headaches, multiple sclerosis and lupus as adults. Facing difficult circumstances in childhood increases six-fold your chances of having myalgic encephalomyelitis (chronic fatigue immune dysfunction syndrome or CFIDS) as an adult. Kids who lose a parent have triple the risk of depression in their lifetimes. Children whose parents divorce are twice as likely to suffer a stroke later down the line.

Laura and John’s stories illustrate that the past can tick away inside us for decades like a silent time bomb, until it sets off a cellular message that lets us know the body does not forget its history.

Something that happened to you when you were five or 15 can land you in the hospital 30 years later

John’s ACE score would be a 3: a parent often put him down; he witnessed his mother being harmed; and, clearly, his father suffered from an undiagnosed behaviour health disorder, perhaps narcissism or depression, or both.

Laura had an ACE score of 4.

Laura and John are hardly alone. Two-thirds of American adults are carrying wounds from childhood quietly into adulthood, with little or no idea of the extent to which these wounds affect their daily health and wellbeing. Something that happened to you when you were five or 15 can land you in the hospital 30 years later, whether that something was headline news, or happened quietly, without anyone else knowing it, in the living room of your childhood home.

The adversity a child faces doesn’t have to be severe abuse in order to create deep biophysical changes that can lead to chronic health conditions in adulthood.

‘Our findings showed that the 10 different types of adversity we examined were almost equal in their damage,’ says Felitti. He and Anda found that no single ACE significantly trumped another. This was true even though some types, such as being sexually abused, are far worse in that society regards them as particularly shameful, and others, such as physical abuse, are more overt in their violence.

This makes sense if you think about how the stress response functions on an optimal level. You meet a bear in the woods, and your body floods with adrenaline and cortisol so that you can quickly decide whether to run in the opposite direction or stay and try to frighten the bear. After you deal with the crisis, you recover, your stress hormones abate, and you go home with a great story. For Laura and John, though, that feeling that the bear is still out there, somewhere, circling in the woods, stalking, and might strike again any day, anytime – that feeling never disappears.

There are a lot of bears out there. Chronic parental discord; enduring low-dose humiliation or blame and shame; chronic teasing; the quiet divorce between two secretly seething parents; a parent’s premature exit from a child’s life; the emotional scars of growing up with a hypercritical, unsteady, narcissistic, bipolar, alcoholic, addicted or depressed parent; physical or emotional abuse or neglect: these happen in all too many families. Although the details of individual adverse experiences differ from one home to another and from one neighbourhood to another, they are all precursors to the same organic chemical changes deep in the gray matter of the developing brain.

Every few decades, a groundbreaking psychosocial ‘theory of everything’ helps us to develop a new understanding of why we are the way we are – and how we got that way. In the early 20th century, the psychoanalyst Sigmund Freud transformed the landscape of psychology when he argued that the unconscious rules much of our waking life and dreams. Jungian theory taught, among other ideas, that we tend toward introversion or extroversion, which led the American educationalist Katharine Cook Briggs and her daughter Isabel Briggs Myers to develop a personality indicator. More recently, neuroscientists discovered that age ‘zero to three’ was a critical synaptic window for brain development, giving birth to Head Start and other preschool programmes. The correlation between childhood trauma, brain architecture and adult wellbeing is the newest, and perhaps our most important, psychobiological theory of everything.

Today’s research on adverse childhood experiences revolutionises how we see ourselves, our understanding of how we came to be the way we are, why we love the way we do, how we can better nurture our children, and how we can work to realise our potential.

To date, more than 1,500 studies founded on Felitti and Anda’s hallmark ACE research show that both physical and emotional suffering are rooted in the complex workings of the immune system, the body’s master operating control centre – and what happens to the brain during childhood sets the programming for how our immune systems will respond for the rest of our lives.

The unifying principle of this new theory of everything is this: your emotional biography becomes your physical biology, and together, they write much of the script for how you will live your life. Put another way: your early stories script your biology and your biology scripts the way your life will play out.

Unlike previous theories of everything, though, this one has been mind-bogglingly slow to change how we do medicine, according to Felitti. ‘Very few internists or medical schools are interested in embracing the added responsibility that this understanding imposes on them.’

With the ACE research now available, we might hope that physicians will begin to see patients as a holistic sum of their experiences and embrace the understanding that a stressor from long ago can be a health-risk time bomb that has exploded. Such a medical paradigm, which sees adverse childhood experiences as one of many key factors that can play a role in disease, could save many patients years in the healing process.

But seeing that connection takes a little time. It means asking patients to fill out the ACE questionnaire and delving into that patient’s history for insight into sources of both physical and emotional pain. As health-care budgets have become stretched, physicians spend less time interacting one-on-one with patients in their exam rooms; the average physician schedules patients back-to-back at 15-minute intervals.

Still, the cost of not intervening is far greater – not only in the loss of human health and wellbeing, but also in additional healthcare. According to the CDC, the total lifetime cost of child maltreatment in the US is $124 billion each year. The lifetime healthcare cost for each individual who experiences childhood maltreatment is estimated at $210,012 – comparable to other costly health conditions, such as having a stroke, which has a lifetime estimated cost of $159,846 per person, or type-2 diabetes, which is estimated to cost between $181,000 and $253,000.

Further hindering change is the fact that adult physical medicine and psychological medicine remain in separate silos. Utilising ACE research requires breaking down these long-standing divisions in healthcare between what is ‘physical’ and what is ‘mental’ or ‘emotional,’ and that’s hard to achieve. Physicians have been well-trained to deal only with what they can touch with their hands, see with their eyes, or view with microscopes or scans.

Just as physical wounds and bruises heal, just as we can regain our muscle tone, we can recover function in underconnected areas of the brain

However, now that we have scientific evidence that the brain is genetically modified by childhood experience, we can no longer draw that line in the sand. With hundreds of studies showing that childhood adversity hurts our mental and physical health, putting us at greater risk for learning disorders, cardiovascular disease, autoimmune disease, depression, obesity, suicide, substance abuse, failed relationships, violence, poor parenting and early death, we just can’t afford to make such distinctions.

Science tells us that biology does not have to be destiny. ACEs can last a lifetime, but they don’t have to. Just as physical wounds and bruises heal, just as we can regain our muscle tone, we can recover function in underconnected areas of the brain. If anything, that’s the most important take-away from ACE research: the brain and body are never static; they are always in the process of becoming and changing.

Even if we have been set on high-reactive mode for decades or a lifetime, we can still dial it down. We can respond to life’s inevitable stressors more appropriately and shift away from an overactive inflammatory response. We can become neurobiologically resilient. We can turn bad epigenetics into good epigenetics and rescue ourselves. We have the capacity, within ourselves, to create better health. We might call this brave undertaking ‘the neurobiology of awakening’.

Today, scientists recognise a range of promising approaches to help create new neurons (known as neurogenesis), make new synaptic connections between those neurons (known as synaptogenesis), promote new patterns of thoughts and reactions, bring underconnected areas of the brain back online – and reset our stress response so that we decrease the inflammation that makes us ill.

You can find ways to start right where you are, no matter how deep your scars or how long ago they occurred. Many mind-body therapies not only help you to calm your thoughts and increase your emotional and physical wellbeing, but research suggests that they have the potential to reverse, on a biological level, the harmful impact of childhood adversity.

Recent studies indicate that individuals who practice mindfulness meditation and mindfulness-based stress reduction (MBSR) show an increase in gray matter in parts of the brain associated with managing stress, and experience shifts in genes that regulate their stress response and their levels of inflammatory hormones. Other research suggests that a process known as neurofeedback can help to regrow connections in the brain that were lost to adverse childhood experiences.

Meditation, mindfulness, neurofeedback, cognitive therapy, EMDR (eye movement desensitisation and reprocessing) therapy: these promising new avenues to healing can be part of any patient’s recovery plan, if only healthcare practitioners would begin to treat the whole patient – past, present and future, without making distinctions between physical and mental health – and encourage patients to explore all the treatment options available to them. The more we learn about the toxic impact of early stress, the better equipped we are to counter its effects, and help to uncover new strategies and modalities to come back to who it is we really are, and who it was we might have been had we not encountered childhood adversity in the first place.

SOURCE


This is an adapted and reprinted extract from ‘Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal’ (Atria), by Donna Jackson Nakazawa. Copyright © Donna Jackson Nakazawa, 2015.

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Wednesday, May 19, 2021

Disabled Women & Domestic Violence



Domestic Violence & Disabled Women

By Holly A. Devine MSW, Program Director,
and Carol Briggs, Outreach Coordinator, Barrier Free Living Domestic Violence Program


Domestic Violence is a societal problem that affects women and children of all races, cultures, and ethnicities. However, the problem has been increasingly noted among the disabled population as well. According to the Colorado Department of Health, upwards of 85% of women with disabilities are victims of domestic violence. There are approximately 223,000 in New York City alone.

In spite of the prevalence of domestic violence within the disabled community, there is little awareness of the problem, and there are not enough services in place to work with this population. A majority of people working in domestic violence services are either poorly informed about the problem, or have little experience working with women with disabilities.

Women with disabilities stay in dangerous conditions significantly longer than their able-bodied counterparts, 11.3 years vs. 7.1 years in situations of physical abuse, 8.3 years vs. 4.1 years in situations of sexual abuse, according to a study done by Baylor University. This is due to a number of factors; there is a lack of recognition of the problem, a lack of services available to disabled victims of domestic violence, and high levels of dependence that can cause a woman with a disability to be controlled by their partner or caregiver.

Women with disabilities may view themselves as “damaged goods.” This coupled with abuse serves to decrease one’s self-esteem. Women with disabilities are often dependent upon the abuser to meet their daily needs. Their partners may also be their caregivers. This contributes to the victimization in many ways, an abuser may be able to exert control by withholding of SSI checks, restricting access to transportation, withholding of TTY’s (telecommunications device for the deaf), withholding of wheelchairs and medications, refusal to assist with personal needs and restricting access to family and friends. As a result, a woman with a disability may be forced to stay in an abusive relationship for many years before she reaches out for help. Many women with disabilities accept this behavior due to a different set of dynamics than their able-bodied counterparts.

A deaf women may be forced to use the abuser as her sign language interpreter, due to unavailability of interpreter services. She may fear that her children will be taken away if the abuse is reported. A study done by Barrier Free Living showed that children were removed from deaf victims at a significantly higher rate than from hearing victims. This was due solely on the basis of deafness; legal, mental health, and child welfare systems operating in the city often make assumption about a woman’s ability to be a good parent based on their disability. For example, if a woman has an infant child the court would say the mother was unable to hear the baby cry and therefore unable to care for the child’s needs.

In cases where the abused is wheelchair bound, reporting is uncommon. The victim very often is totally dependent on the abuser to care for their daily needs, this may include personal hygiene, food and clothing. The victim may stay in the relationship out of fear of what will become of her once the abuser is no longer in the household to provide care for her needs. This becomes a major reason for why a disabled victim may find it more difficult to leave an abusive relationship.

Women who were born disabled often come from controlling, overprotective families. They may view controlling behavior by their partners as normal.
A woman who has been abused in her family of origin has come to see abuse as normal and expect it in a relationship.
In the deaf community women will seek out an able-bodied hearing male as a partner because this is viewed as a form of status in the deaf community. In addition, able-bodied men often seek disabled women as partners. These men are looking for an imbalance of power in a relationship, that is the hallmark for abuse. Women with disabilities view their exploitive partners as better than nothing, thereby allowing for a denial of the problem.

Clearly, there is a need for services for disabled victims of domestic violence. Currently there are no domestic violence shelters in place for disabled victims and only one non-residential program that provides services to this population. There is, however, a need for shelters specifically designed and dedicated to disabled victims of domestic violence.

A woman in a wheelchair will need accommodation. For example, doorways that are wide enough, a ramp to gain access to and from the building, hallways that are wide enough, a wheelchair will need to get within three feet of the toilet in the bathroom. A blind individual will need Braille throughout the facility, possibly an accommodation for a seeing eye dog. An individual who is deaf will need staff culturally sensitive to deaf issues. Deaf people may not view themselves as disabled, this is a culture; they have their own community. A deaf individual will also need a sign language interpreter. It is not always acceptable for a family member or friend to interpret for a deaf victim of domestic violence. This may lead to an inaccurate account of the issues. Police officers and service providers need to be trained to assist disabled victims of domestic violence in meeting their needs.

Domestic violence has a powerful impact on women with disabilities, not only physically, both mentally and emotionally as well. Symptoms may include: Depression, Post Traumatic Stress Disorder, self-destructive behavior or self mutilation and low self image. If service providers become adequately trained on the issue of domestic violence and disability, they will be better able to empower disabled victims of domestic violence to take control of their lives, and break the cycle of power and control.

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Saturday, August 01, 2020

WHY DOES IT TAKE SO LONG TO GET OVER A PATHOLOGICAL PARTNER?



by Peace

Relationships with psychopaths take an unusually long time to recover from. Survivors often find themselves frustrated because they haven't healed as fast as they'd like. They also end up dealing with friends & therapists who give them judgmental advice about how it's "time to move on".

Whether you were in a long-term marriage or a quick summer fling, the recovery process will be the same when it comes to a psychopathic encounter. It takes at least 18-24 months to get your heart back in a good place, and even after that, you might have tough days. I certainly do!


The important thing here is to stop blaming yourself. Stop wishing it would go faster. Stop thinking that the psychopath somehow "wins" if you're still hurting. They are out of the picture now. This journey is about you. If you come to peace with the extended timeline, you'll find this experience a lot more pleasant. You can settle in, make some friends, and get cozy with this whole recovery thing.

So why is it taking so long?


You were in love

Yes, it was manufactured love. Yes, your personality was mirrored and your dreams manipulated. But you were in love. It's the strongest human emotion & bond in the world, and you felt it with all your heart. It is always painful to lose someone you loved - someone you planned to be with for the rest of your life.


The human spirit must heal from these love losses. Regardless of your abuser's intentions, your love was still very real. It will take a great deal of time and hope to pull yourself out of the standard post-breakup depression.


You were in desperate love
Here's where we branch off from regular breakups. Psychopaths manufacture desperation & desire. You probably worked harder for this relationship than any other, right? You put more time, energy, and thought into it than ever before. And in turn, you were rewarded with the nastiest, most painful experience of your life.


In the idealization phase, they showered you with attention, gifts, letters, and compliments. Unlike most honeymoon phases, they actually pretended to be exactly like you in every way. Everything you did was perfect to them. This put you on Cloud 9, preparing you for the identity erosion. 


You began to pick up on all sorts of hints that you might be replaced at any time. This encouraged your racing thoughts, ensuring that this person was on your mind every second of the day. This unhinged, unpredictable lifestyle is what psychopaths hope to create with their lies, gas-lighting, and triangulation.


By keeping them on your mind at all times, you fall into a state of desperate love. This is unhealthy, and not a sign that the person you feel so strongly about is actually worthy of your love. Your mind convinces you that if you feel so powerfully, then they must be the only person who will ever make you feel that way. And when you lose that person, your world completely falls apart. You enter a state of panic & devastation.


The Chemical Reaction
Psychopaths have an intense emotional & sexual bond over their victims. This is due to their sexual magnetism, and the way they train your mind to become reliant upon their approval.


By first adoring you in every way, you let down your guard and began to place your self worth in this person. Your happiness started to rely on this person's opinion on you. Happiness is a chemical reaction going off in your brain - dopamine and receptors firing off to make you feel good.


Like a drug, the psychopath offers you this feeling in full force to begin with. But once you become reliant on it, they begin to pull back. Slowly, you need more and more to feel that same high. You do everything you can to hang onto it, while they are doing everything in their power to keep you just barely starved.


Triangulation
There are thousands of support groups for survivors of infidelity. It leaves long-lasting insecurities and feelings of never being good enough. It leaves you constantly comparing yourself to others. That pain alone takes many people out there years to recover from.

Now compare that to the psychopath's triangulation. Not only do they cheat on you - they happily wave it in your face. They brag about it, trying to prove how happy they are with your replacement. They carry none of the usual shame & guilt that comes with cheating. They are thrilled to be posting pictures and telling their friends how happy they are.

I cannot even begin to explain how emotionally damaging this is after once being the target of their idealization. The triangulation alone will take so much time to heal from.


You have encountered pure evil
Everything you once understood about people did not apply to this person. During the relationship, you tried to be compassionate, easy-going, and forgiving. You never could have known that the person you loved was actively using these things against you. It just doesn't make any sense. No typical person is ready to expect that, and so we spend our time projecting a normal human conscience onto them, trying to explain away their inexplicable behavior.


But once we discover psychopathy, sociopathy, or narcissism, that's when everything starts to change. We begin to feel disgusted - horrified that we let this darkness into our lives. Everything clicks and falls into place. All of the "accidental" or "insensitive" behavior finally makes sense.


You try to explain this to friends and family members - no one really seems to get it. This is why validation matters. When you come together with others who have experienced the same thing as you, you discover you were not crazy. You were not alone in this inhuman experience.


It takes a great deal of time to come to terms with this personality disorder. You end up having to let go of your past understanding of human nature, and building it back up from scratch. You realize that people are not always inherently good. You begin to feel paranoid, hyper-vigialant, and anxious. The healing process is about learning to balance this new state of awareness with your once trusting spirit.


Your spirit is deeply wounded
After the eventual abandonment, most survivors end up feeling a kind of emptiness that cannot even be described as depression. It's like your spirit has completely gone away. You feel numb to everything and everyone around you. The things that once made you happy now make you feel absolutely nothing at all. You worry that your encounter with this monster has destroyed your ability to empathize, feel and care.


I believe this is what takes the longest time to recover from. It feels hopeless at first, but your spirit is always with you. Damaged, for sure, but never gone. As you begin to discover self-respect & boundaries, it slowly starts to find its voice again. It feels safe opening up, peeking out randomly to say hello. You will find yourself grateful to be crying again, happy that your emotions seem to be returning. This is great, and it will start to become more and more consistent.


Ultimately, you will leave this experience with an unexpected wisdom about the people around you. Your spirit will return stronger than ever before, refusing to be treated that way again. You may encounter toxic people throughout your life, but you won't let them stay for very long. You don't have time for mind games & manipulation. You seek out kind, honest, and compassionate individuals. You know you deserve nothing less.


This new found strength is the greatest gift of the psychopathic experience. And it is worth every second of the recovery process, because it will serve you for the rest of your life.

If you're worried that your recovery process is taking too long, please stop worrying. You've been through hell and back - there is no quick fix for that. And what's more, when all is said and done, these few years will be some of the most important years of your life.

from this fantastic site

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