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Toxic Relationships: Recognizing Key Signs

Toxic Relationship

What is a toxic relationship?

A toxic relationship is any relationship we have with another person that makes us feel drained, anxious or less then. Instead of building us up and making us feel good about ourselves, these relationships break us down in subtle and not so subtle ways. We can have toxic relationships with just about anyone, from the receptionist at the dentist, to our boss or co-workers, to our parents and children, to our most intimate romantic partner. The more intimate the relationship, the harder it is to recognize that the relationship is toxic- and the harder and more painful it is to change it.

What are the signs of a toxic relationship?

1. How do you FEEL around the person?

-Do you get anxious thinking about your next interaction with them? (anticipatory anxiety)

-Do you have a physical reaction? (your stomach hurts, your head spins, you feel ungrounded or unsafe)

-Are you drained emotionally and physically after you leave the toxic person?

2. How do you ACT around the person?

-Are you making excuses for or needing to constantly defend yourself and your actions?

-Do you become a person who you are not normally either by becoming overly hostile or passive?

3. Do you need to RECOVER after you leave them?

-Are you so drained emotionally and physically that you need to go to bed, eat, drink or take drugs?

-Do you swear that you will never see or interact with them like that again?

-Do you scratch your head and wonder “What was that about?”

Why is it so hard to get out of toxic relationships?

-Because we get addicted. We think we need the approval, validation and love of a person who once gave it to us.

-We keep chasing the original high, hoping it will come back to us.

-We deny the truth of the situation, because it’s painful. Who wants to admit that they are addicted to a toxic relationship. There’s an incredible amount of shame associated with that.

What to do to get out?

-Be willing to admit there is an issue.

-Because our denial is so strong around toxic relationships we need to write our feelings down and create a record of them. Keep a journal of how you feel before, during and after your interactions with your trigger person.

-Find a trusted friend or professional with whom you can test your reality. The nature of toxic relationships is that they are crazy making. They make us doubt ourselves and our self worth.

-Set boundaries. Limit your time and exposure to certain people who trigger negative emotions in you.

-Believe in yourself and trust that the universe will provide a better more loving place for you.

 

 

 

 

 

The DSM-5: Update to Changes

The DSM-5 is the main tool clinicians- and insurance companies- use to code mental health conditions. It’s also a highly controversial scientific manual for in addition to codifying mental health issues, it often stigmatizes the people who are diagnosed.

On December 1, 2012, the American Psychiatric Association’s board of trustees approved the newest version. This was no simple task. It took 13 years to complete and involved the participation of 1,500 mental health experts.

The changes to the DSM-5 attempt to view mental health issues on a spectrum rather than in fixed boxes. The best example is the changes to the diagnosis of autistic disorders. Previously, autism was codified as stages of severity that began with Asperger’s. Under the DSM-5, these sharp distinctions are lost and in their place a single autism spectrum disorder has been established.

Other changes include additions and eliminations. New diagnosises include:

Hoarding

Bing Eating

Skin Picking

The DSM-5 did not include diagnosis codification for:

Children who experience difficulty after their parents divorce

Hypersexual behavior

While not a perfect manual, the DSM-5 is our profession’s best effort in diagnosing and treating the wide range of mental health disorders from which people suffer.

 

Asperger’s Syndrome

As the facts of the Sandy Hook tragedy come to the fore, we are learning more and more details of the Lanza family’s life. A New York Times article suggests that the son may have suffered from Asperger’s Syndrome which is a psychological condition that impacts a person’s ability to empathize with or find compassion for other human beings. WebMD provides the following succinct and clear definition of Asperger’s.

WebMD

Asperger’s syndrome (or disorder) is a developmental disorder in which people have severe difficulties understanding how to interact socially. People with Asperger’s syndrome may not recognize verbal and nonverbal cues or understand normal social rules, such as taking turns talking or recognizing personal space.

Asperger’s syndrome and autism belong to a class of disorders called pervasive developmental disorders. Asperger’s syndrome shares some similarities with autism. Like those with autism, children with Asperger’s syndrome have abnormal social interactions, facial expressions, and gestures, and unusually focused interests. Unlike those with autism, children with Asperger’s syndrome usually have normal intelligence and language development (although the rhythm, pitch, and emphasis are irregular), age-appropriate self-reliance, and interest in the world around them.

Children with Asperger’s syndrome have a better outlook than those with other developmental disorders. Many lead productive, independent lives in adulthood.

Asperger’s syndrome affects males more than females. Its cause is unknown, although it tends to run in families, suggesting a possible genetic link.

Talking to Your Kids About Tragedies: Age Appropriate Guidelines

Many parents mistakenly assume they can shield their children from the tragedies that occur in the world around them. Unless they live in a hermetically sealed bubble, they cannot. Children, no matter what their age, are incredibly intuitive. They feel what’s going on- especially when what’s going on makes them feel threatened and unsafe.

For this reason, it’s important for parents to discuss tragedies with their children in age appropriate ways. How tragedies are explained to a 4 year old is markedly different from how they will be explained to an adolescent. To help you in this regard, I’ve copied  guidelines from the government agency SAMHSA below. These guidelines explain what is appropriate and what is inappropriate to share with children of various ages.

PRESCHOOL CHILDREN, 0–5 YEARS OLD

Very young children may go back to thumb sucking or wetting the bed at night after a trauma. They may fear strangers, darkness,
or monsters. It is fairly common for preschool children to become clingy with a parent, caregiver, or teacher or to want to stay in a place where they feel safe. They may express the trauma repeatedly in their play or tell exaggerated stories about what happened. Some children’s eating and sleeping habits may change. They also may have aches and pains that cannot be explained. Other symptoms to watch for are aggressive or withdrawn behavior, hyperactivity, speech difficulties, and disobedience.

Infants and Toddlers, 0–2 years old, cannot understand that a trauma is happening, but they know when their caregiver is upset. They may start to show the same emotions as

their caregivers, or they may act differently, like crying for no reason or withdrawing from people and not playing with their toys.

Children, 3–5 years old, can understand the effects of trauma. They may have trouble adjusting to change and loss. They may depend on the adults around them to help them feel better.

EARLY CHILDHOOD TO ADOLESCENCE, 6–19 YEARS OLD

Children and youth in these age ranges may have some of the same reactions to trauma as younger children. Often younger children want much more attention from parents or caregivers. They may stop doing their school work or chores at home. Some youth may feel helpless and guilty because they cannot take on adult roles as their family or the community responds to a trauma or disaster.

Children, 6–10 years old, may fear going to school and stop spending time with friends. They may have trouble paying attention and do poorly in school overall. Some may become aggressive for no clear reason. Or they may act younger than their age by asking to be fed or dressed by their parent or caregiver.

Youth and Adolescents, 11–19 years old, go through a lot of physical and emotional changes because of their developmental stage. So, it may be even harder for them
to cope with trauma. Older teens may deny their reactions to themselves and their caregivers. They may respond with a routine “I’m ok” or even silence when they are upset. Or, they may complain about physical aches or pains because they cannot identify what is really bothering them emotionally. Some may start arguments at home and/or at school, resisting any structure or authority. They also may engage in risky behaviors such as using alcohol or drugs.

Signs and Symptoms of Habitual Liars

Ugh. We all know at least one. Those people who lie all the time for no apparent reason. Why do folks do this and what to look for in figuring out who is a habitual liar?

Symptoms of habitual liars:
1) Low self esteem: They don’t feel good enough so they create lives based on fiction
2) Narcissism: They need to be the center of the universe and important.
3) Tend towards sociopathic personalities: Feel other people don’t matter and that the end justifies the means.

Signs of habitual lairs:
1) Body language: Little to no eye contact. Rigid posture when lying.
2) Difficulty maintaining intimate relationships: Constantly cycling though friends and acquaintances.
3) Strained relationships with family members.
4) Gypsy like behaviors: Frequently change jobs, neighborhoods, cities, circles of friends.

Divorce Step Family Style: Dr. Hokemeyer quoted in New York Times

In today’s Style section of the New York Times, Elissa Gootman penned a great article on how to negotiate relationships with step children in a divorce. I’m honored that she closed the article on a positive, up beat note that contained my discussion of how in the midst of the turmoil, make sure you are guided by love- Love of self and others! Here’s the section I’m referring to:

WHAT’S YOUR MOTIVE?

The decision to nurture former step-relationships can mean accepting certain awkward situations, like waiting in the same hospital as your former husband while your former stepdaughter-in-law gives birth to a baby who would have been your stepgrandchild.

When a client of Dr. Hokemeyer’s expressed a desire to be present at the hospital while the daughter of her longtime but now former husband gave birth, the therapist worked with her to answer what he considered the key question: what was her motive?

“When there’s a divorce, there’s a profound sense of loss, and people try to mitigate that loss by holding on to relationships that they would be better off letting go,” Dr. Hokemeyer said. “Make sure that you are acting out of genuine love and concern for the other person, and not out of anger and attempts to manipulate.” In the birth case, Dr. Hokemeyer and his client determined that her motives were pure. She genuinely cared for her ex-stepdaughter-in-law and wanted to preserve their relationship, which was meaningful and deep, though convoluted to describe

Is your Honey Cheating on You?: 6 Things to Look For

Think your honey is cheating on you. Trust your instincts and check out this great article by Dr. Susan Perry to find 6 clues to help you find out:

6 Clues to Your Partner’s Future Infidelity

His shirt needn’t smell of perfume for you to guess.
Published on July 23, 2011 by Susan K. Perry, Ph.D. in Creating in Flow

 

When I interviewed long-term couples who said they were very happily married, I was surprised at how many of them had overcome affairs. I detailed that study in Loving in Flow: How the Happiest Couples Get & Stay That Way, and later began writing a “Love Advice” column. After 8 years of responding to lovelorn letters, I’ve compiled some hints that a husband or wife may have been or will be unfaithful in the near future. 

6 clues to infidelity:1. Your husband or wife has begun keeping secrets. If he walks into another room while on the phone, or shuts down the computer monitor (or hurriedly presses a couple of keys the second you appear), such secretive behavior means your mate is beginning to put up a wall around him/herself in case it may be needed one day.

2. Arguments flare up for no apparent reason. When your mate gets angrier than is warranted, there is often something else going on under the surface issue. That anger and the argument itself may be a way of making it “obvious” that YOU are the problem in this relationship.

3. He/she insists that you’re not “growing.” While your mate is growing and developing new interests, it is claimed, you are lagging behind and unchanging. If this is not based in reality, and in fact, your mate’s only new interest is in watching new kinds of porn, beware.

4. Your mate still believes in magic and soul-mates. Mature partners adapt to the reality of long-term love. Some men and women, though, persist in thinking that what they actually have is second-best, and that “the one” is still out there. How does your mate respond to movies that idealize love vs. “ordinary” life? Does one of you blame the other for the diminishment of sexual frequency? Does either of you have a habit of “if onlies,” as though happiness can only be given TO a person, without their own hard efforts?

5. One of you feels subtly abused all the time. Constant criticism, even if couched in gentle “helpful” words, makes you feel judged and found wanting, as though you would have to become a whole other person. Sooner or later either one of you will seek a way out.

6. Your mate has forgotten your early starry-eyed history together.You bring up a thrilling date, some beloved memory or other, and he/she can’t recall it. Such glowing memories cause cognitive dissonance in the unhappy present, so they are put deeply away.

Don’t say I didn’t warn you. And if you have experienced something like this in your own relationships, what were the clues you wish you had noticed earlier?
Copyright (c) 2011 by Susan K. Perry, Ph.D.

‘Smiles’ linked to teen deaths

Latest designer drug called ‘Smiles’ linked to teen deaths

By Stephanie Pappas

Published September 24, 2012 in Fox News.com

LiveScience

Law enforcement officials and parents are concerned about the next in a long line of illegal synthetic drugs: 2C-I, also known as “Smiles.”

The drug, a hallucinogen, has been linked to two deaths in East Grand Forks, North Dakota, though little is known about this drug’s dangers. Other synthetic drugs, including K2 or “fake weed,” have caused problems by proliferating before being made illegal.

“There is hardly any research at all in the scientific literature on these things, even in animals, much less any sort of formal safety evaluation in humans,” said Matthew Johnson, a professor of behavioral pharmacology at Johns Hopkins University.

A new high

2C-I is part of the 2C family of drugs, a group of closely related molecules that have psychedelic effects. Along with the other 2Cs, 2C-I was discovered by chemist and synthetic-drug guru Alexander Shulgin, who published the formulas of psychoactive drugs in his book “PiHKAL: A Chemical Love Story.” As of July 2012, the Drug Enforcement Administration classifies 2C-I as a Schedule I controlled substance, making it illegal to manufacture, buy, sell or possess the drug. [Trippy Tales: The History of 8 Hallucinogens]

Read more: http://www.foxnews.com/health/2012/09/24/latest-designer-drug-called-miles-linked-to-teen-deaths/#ixzz27mDjZXAO

The Shades of Depression (Dysthymia)

This post was published by the Harvard Medical School Newsletter and discusses dysthymia- a type of low grade, simmering depression that reduces the quality of our lives. It also has a negative impact on our relationships with our romantic partners, parents and children. The full article is reprinted below:

“Mood, like color, has a range of hues, from the bright shades of happiness to the dark ones of depression. A mood problem that’s down in the dark range, but doesn’t quite reach the level of depression, is dysthymia (dis-THIGH-me-ah). It refers to a long-term drone of low-grade depression that lasts for at least two years in adults or one year in children and teens. While not necessarily as crippling as major depression, its persistent hold can keep you from feeling good and interfere with your work, school, family, and social life. Think of dysthymia as a dim gray compared to depression’s blackness.

You might have dysthymia if you feel depressed during most of the day. You carry out your daily responsibilities, but without much zest for life. The depressed mood lingers for more than two months at a time, and is accompanied by at least two of these symptoms:

overeating or loss of appetite
insomnia or sleeping too much
tiredness or lack of energy
low self-esteem
trouble concentrating or making decisions
feelings of hopelessness

 

This low-grade depression lasts an average of five years. That’s another way it differs from major depression, in which relatively short episodes can be separated by considerable spans of time. It’s possible for an episode of major depression to occur on top of dysthymia; this is known as double depression.

Dysthymia often begins early in life, during childhood, the teen years, or early adulthood. Being drawn into this low-level depression tends to make major depression more likely. In fact, up to 75% of people who are diagnosed with dysthymia will have an episode of major depression within five years.

This low-grade depression doesn’t usually fade away all by itself. Treatment, though, helps ease dysthymia and other depressive disorders in about four out of five people.

 


Human Desire

The deepest principle of human nature is the craving to be appreciated.
William James