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Posts Tagged ‘addiction’

Gaslighting, Addiction, and Marriage Counseling: 3 Things You Must Know

Tuesday, June 22nd, 2021

Gaslight

What’s Going On?

It was apparent to me that the person listening, trying to practice ‘a safe holding space’ for her partner like I had taught her, was in distress. Her husband was saying all the right things, using I statements, and owning his feelings, but it was no use. She was looking away, holding her breath, and finally, inevitably I guess, she burst into tears.

As the professional in the virtual room I knew their history. He was in recovery for alcohol addiction and she had suffered from his gaslighting and verbal abuse. I realized that encouraging her to open up, even in a therapeutic exercise, was leaving her overwhelmed and defenseless. If they were going to continue marriage counseling I had to help them see that recovery from alcohol is not the same as recovery from abusive behavior and give them strategies to stay emotionally safe during the process.

The Language of Gaslighting

It is quite common for a ‘recovering addict’ to also be a ‘recovering gaslighter.’ Justifying, minimizing, and blaming (JMB) protect addictive  behaviors by causing confusion, second-guessing, and a false sense of complicity in partners, friends, and family. Partners of addicts unaware of the damage caused by JMB gaslighting enter counseling unprepared for the pressure to focus on intimacy. Once it becomes a problem (and for victims of gaslighting, trying to create intimacy with the gaslighting partner in marriage counseling is always a problem) the victim partner may:

  • Feel they are to blame because they can’t forgive and forget or just ‘get over it’
  • Take responsibility and start to deny their own needs or point of view of the problem
  • Shut down and check out

If you are the non-addict partner who suspects you are also a victim of gaslighting and you REALLY want to participate in a couple counseling experience, how can you make sure it works for both of you? It’s not easy. If you are willing to focus on your own needs, stay in touch your somatic experience in the moment, and most importantly, keep your own individual therapist, marriage counseling can be a helpful experience.

Tools to Survive Marriage Counseling

Victims of gaslighting have been told by the gaslighter that their needs are invalid or selfish. As a result, victims either won’t know what their needs are, or they’ll know but won’t know how to assert them in a marriage counseling session. For most victims of gaslighting, a good marriage counseling session is one that doesn’t go too deep, allows them to keep their guard in place, and doesn’t reveal information that can be used against them by the gaslighter when they get home.

As a marriage counselor I get that the victim partner’s primary need is safety. In fact, my primary job is to keep everyone in the room emotionally safe. So, when I see a partner hold back or have reactions like the ones my client in paragraph one was having, I back off. Did my clients create a holding space for each other and achieve intimacy? No. Was everyone in the room free to maintain boundaries? Yes. Even though they didn’t successfully achieve intimacy, a safe session is a good session.

For victims of gaslighting who are unaware of any needs beyond the need to feel safe, awareness of somatic experiences is vital. Is your stomach clenching? Do you feel like you are about to cry? Do you feel a pressure on your chest? These can all be signals that remind you “I’m not safe to share right now.” In the therapy room I will often see these signals before my client can express them. Because they may not have practice naming the feelings (sad, afraid, or anxious), I can help by simply inviting them to name the feeling. If they disengage at that point, then we take a break.

If you have been a victim of gaslighting from a partner who is in recovery for ANY kind of addiction, individual therapy can provide you with the room to be yourself. You can remember what your needs are, learn to talk about your emotions, and contemplate decisions in a safe holding space. If you then decide to go to couple counseling with that partner, it is vital that you keep your individual therapist. Keep working on your understanding of what is healthy and unhealthy so you can assert what you need and your couple counselor can better understand how to direct the sessions.

Into Me See

Intimacy is the freedom to lower boundaries, name feelings, and process openly without fear of reprisal. Since there is no danger of getting hurt or humiliated you can share spontaneously, laugh, cry, and share grievances in a healthy, reciprocal fashion. Couple counseling is designed to increase intimacy. If you are contemplating couple counseling and you are the non-addicted partner who is also a victim of gaslighting, then give yourself the best possible chance at a positive outcome. Ask yourself; am I able to assert my own needs? Am able to access my somatic experiences in the moment? Am I willing to have my own individual therapist? If you are worried about couple counseling or have had a couple counseling session that left you feeling unsafe, please reach out to your couple counselor and let them know.

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More Than a River in Egypt

Tuesday, March 2nd, 2021

boot sunshineIf It’s Not DENIAL, Then What Is It?

Imagine your spouse seems to be suffering because of what appears to be a sunburn. They can look in the mirror and see the red blisters. They step into a hot shower and complain about the pain of the water on their skin. You remind them that they definitely fell asleep at the beach without putting on sunscreen.  Your spouse doesn’t agree. Instead they say,

“I don’t know why my skin hurts. And who, by the way, covered me with pink make-up? I definitely do NOT have a sunburn.”

Other family members might join you and try to convince your spouse that they obviously have a condition known as a ‘sunburn.’ Your spouse resists. Even though their skin hurts, it is pink and peeling, and they did fall asleep in the sun, they continue to insist they do not have a sunburn. Denial, right?

Maybe. Or it might be Anosognosia.

Anosognosia is my new sixty-four-thousand dollar word. It is an amazing word and I love it so much I wish I could go on Jeopardy right now, and the host would ask (and I know it would be a new host and that makes me sad),

“What is the inability to adjust our self-image or perceive our mental health condition accurately?”

And I would punch my little LED-lit button and scream,

“ANOSOGNOSIA!”

Why not simply call this state of mental-mismatch denial? According to the National Alliance on Mental Illness (NAMI), when we talk about anosognosia it is usually when we are referring to someone who is also suffering with  a mental illness.

“Anosognosia means that someone is unaware of their own mental health condition or that they can’t perceive their condition accurately and it is a common symptom of certain mental illnesses [https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Anosognosia].”

You see our sunburn-sufferer might also be suffering with schizophrenia, bipolar, or dementia. If that is the case, then they may be part of the population whose apparent ‘denial,’ is in fact, anosognosia.

If you are reading this article I imagine you are either curious or you are looking for tools to parent, live with, or love someone with this condition. I’ll try to help by giving you a way to conceptualize the problem so it makes sense, tools to communicate with that suffering-someone, and most importantly, ideas to self-care. You’re gonna need it.

Why Deny?

Denial is more than a beautiful river in Egypt. Denial is the word children, friends, spouses, and siblings can use to conceptualize the dichotomous thinking exhibited by those self-destructive family members who profess to love us.

We ask ourselves,

“How can they love us and drink themselves to illness/treat us this way/refuse to get help?”

We answer ourselves,

“They must be in denial about their problem.”

Unfortunately when we (the healthy ones) use the word denial to explain why you (the family member engaging in the destructive behavior that is hurting us) won’t change, we get angry. The implication is you know you have a problem and you are choosing the behavior over us.

Denial goes a long way explaining how we humans hurt each other in the name of protecting a behavior we love. Yes denial has been around for centuries helping humans justify, minimize, and blame others for relationship-busting behaviors:

Justifying

“I’ve got a tough job and I’ll cut down once things even out at work.”

“My parents fought in front of us and I turned out just fine.”

“But you and the kids love to travel to my races.”

Minimizing

“I don’t drink that much.”

“We haven’t fought in weeks.”

“When was the last time you and the kids were actually awake when I was training? That’s why I mostly train in the mornings and do my long rides when Junior has an out-of-town soccer game.”

Blaming

“I only get this drunk when you’re acting like this.”

“If you wouldn’t push me on that issue I wouldn’t fight back.”

“And you think you’re so perfect?”

The Mental Illness Connection

If your self-destructive family member also suffers with a mental illness, then anosognosia may be a better explanation than denial. I know no one wants to hear that their struggling loved one may also have an underlying personality disorder or suffer from bipolar disease, but it is something to consider. How would you know, especially if your loved one refuses to see a mental health professional?

Behavioral science is different from medical science in that we rely on self-report from the sufferer and observations from family members like you to make our diagnoses. Once we get those reports we can triangulate the data and get a fairly accurate idea of what the patient suffers from. I say fairly accurate because a medical exam needs to be done as well. For example someone who is acting out on the verge of a diabetic coma can look a lot like an angry drunk. It is important that we know the difference.

Here’s Your Sign

Your self-destructive loved one might have an underlying mental health issue if:

  • They sound like they do. Do a you tube search for gaslighting, emotional abuse, verbal abuse, and psychological abuse. You don’t need to watch the videos just listen to them. If you recognize the words in the videos because you hear them from your self-destructive loved one, then they might be also be suffering from an undiagnosed mental illness.
  • They act like they do. The Diagnostic and Statistical Manual 5th Edition is commonly used by mental health professionals to categorize behavior. Do your Google search for ‘DSM 5 ____________[enter troubling behavior].’ The search will help you understand that a diagnosis depends on the type of behavior, how many times it occurs, and how long it has been happening. WARNING: this does not make you a mental health professional.
  • Their family members are already diagnosed. Schizophrenia and bipolar have strong family components. If you discover that your self-destructive family member’s near-degree relatives suffer from bipolar or schizophrenia that was diagnosed, or behavior that was similar but undiagnosed, then your loved one may also be suffering.

AND

  • They have a medical all-clear. They have regular physicals and get blood work-ups. There are no underlying medical conditions or chronic pain complaints. Remember what I said earlier about diabetic comas? Sometimes medical issues can explain bad behavior so you’ll need to rule that out.

Pursuers and Distancers Get Nowhere

This is the part where you get the communication tools, coping strategies, and the self-care advice. If I do my job here, the tools will help you dear reader stay in relationship with your suspected agosognosia-sufferer and out of the ‘trying to convince them they have a problem’ loop. Let’s call this the pursuer-distancer dynamic.

If you try to convince your suffering spouse/parent/sibling that they have a problem, that is the pursuit. If they say, “Nuh uh,’ that is the distancing.

Remember Nuh-uh is a classic symptom of denial and anosognosia.

Reformed pursuers who choose to live with anosognosia-sufferers will spend a lifetime learning to lower the bar regarding what they can expect. Books like ‘His Needs-Her Needs’ won’t apply to your relationship because your needs will never be understood by your suspected sufferer. You will need to become an expert at communicating, self-soothing, and ultimately meeting your own needs.

Communicate and Cope

One way to communicate with your suspected anosognosia sufferer is the Reflection/Self-Care Combo. It looks like this:

  1. [Use your inside voice and say] “I love my partner/sibling/parent and I want to stay in relationship with them but I’m in distress right now and I feel like they need to know about it. I will not fall into the pursuer-distancer dynamic.”
  2. [Use your outside voice and say] “Hey [insert suffering-partner/friend/parent name here] I notice that I’m feeling [insert distressing feeling here]. I’d like it if you could help me by [insert your need here].”
  3. Now just wait. If they meet your need, excellent. If they don’t, it’s time to pull out the healthy coping strategies, support network, and distracting hobbies. Self-care is ultimately how you will meet your needs.

Living with and loving someone suffering from anosognosia or denial takes understanding, communication tools, and excellent self-care strategies. I hope this article helped you understand the difference between denial and anosognosia but I get it. In the end it might not matter because both actions feel the same on your end. Choosing to stay with a self-destructive family member who uses denial or suffers with anosognosia is personal and no one can tell you what to do unless they have walked a mile in your shoes. The tools in this article can help, but ultimately you may need outside help to stay or walk away. Individual, couple, and family counseling can help you make that decision.

 

 

 

 

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Infidelity, Hunger, and Bank Robbery: Emotions Make Terrible Drivers

Thursday, April 30th, 2020

Crime and Empathy

I cannot know what it is like to rob a bank. Or, maybe I can, but I haven’t yet. I do, however, know what it is like to press my right foot against the gas pedal a little harder, to consciously look away from my speedometer, to cast glances at my rear-view and side-view mirrors for police, and to mentally practice the, “My husband was supposed to get my speedometer fixed officer. It’s been off five miles per hour for months,” speech.

I know what it’s like to want something so badly, even if it is just to get to  Trader Joe’s before it closes or to my daughter’s volleyball practice so the coach won’t count her late, that I cheat a little. This little nugget of self-realization means while I truly don’t know the urge to rob a bank, as a human with my own law-breaking nature, I can’t look down my nose at the person who does.

Hangry and Lonely

Urge (and its cousin crave) is a funny word. In Alcoholics Anonymous and Allanon we use the acronym H.A.L.T. to describe typical urges. The acronym stands for Hungry, Angry, Lonely, and Tired. When I work with clients I often add ‘thirst’ and ‘need to potty’ to that list. Urges are good things and key to our survival. If I am hungry, I need to eat. If I postpone eating, I won’t get less hungry as time goes by. In fact, I will grow more hungry and until I eat, I will enlist my emotions to make that happen. Unfortunately emotions are terrible behavior drivers.

For example let’s say I skip lunch and arrive home from work and see my kids’ toys in the driveway. Hungry now looks like anger and I yell at my kids about their toys. Once I eat, all is well with the world. Another example might be, what if I am a shy person and I feel lonely much of the time. I don’t recognize lonely but I do recognize the chocolate cake in my fridge. Instead of calling a friend (which is hard for me) I eat a chocolate cake. The result? I get a  wonderful  endorphin/serotonin hit from the cake but when I crash, I’m still lonely. I may never be brave enough to phone a friend, but I don’t have to be. I know where the cake is.

Urges and Healthy Behaviors

Emotions and urges are brothers-in-arms.  They are designed to work with cognition (our thoughts) to initiate behavior that keeps us healthy.  Go back to my ‘need to potty’ urge and see what I mean. You’re having a lovely conversation with the queen when your lunch begins to turn somersaults in your tummy. You know avoiding this urge is an invitation to disaster so you think of an excuse to politely exit the conversation and go take care of yourself. Rule of thumb? The longer you fight the urges, the sicker you become.

Counseling is about teaching our clients the language for urges so they can match them up with helpful thoughts and behaviors.  Like a miles-long contrail in the sky indicates there is a tiny jet way up there somewhere, infidelity, restricting food, or substance abuse are signs of underlying unmet urges. Unmet urges indicates there’s a lot of pain in there.

Where there is pain there is impulsivity, over-indulgence, restricting, and even healthy-looking things like high performance discipline routines, super healthy eating (orthorexia) and over training (follow David Goggins, author of Can’t Hurt Me if you don’t believe me). Over-ANYTHING can be a sign you have unmet urges (suffering) that you are trying to meet with behavior that completely misses the target. Welcome to humanity.

Healthy Humans

When you make an appointment, counselors don’t judge you because we’ve all been there. We all have urges we’ve allowed to dictate our speed, our relationships, and our health. Your counselor’s job?

  1. Help the hurting identify underlying emotions so they can
  2. Disconnect unhealthy responses to normal emotions and
  3. Reconnect something that IS healthy and will positively affect their job, relationships, health, and freedom.

If you are struggling, you must take care of yourself. Need help? Worried about your own unhealthy behavior? Call a counselor today.

 

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Drug Use Among Teenagers

Thursday, February 14th, 2013

The pronouns ‘he’ and ‘she’ are alternated for brevity.

When parents are struggling with their teen using drugs or alcohol, they may choose therapy as an option. After the initial relief, however, comes the surprise at the amount of work placed squarely on their shoulders.

When a therapist specially trained to work with teens who are using initially meets with parents, he has one goal in mind: learn the family rules. This may take several sessions, but it is vital for the therapist to learn what is permitted in the home (respect, compensation for chores, doors locked/unlocked) and what is not permitted (eye-rolling, substance use, failing grades). If the therapist is confused by the rules, it is likely the teen is also.

Next the therapist will ask the parents to identify and prioritize two or three behaviors they wish to change. Of course using drugs or alcohol is the primary symptom, but typically grades, curfew, and respectful behaviors are identified as well. The list is kept short to maximize effort and success.

Finally, the therapist will need to know how the parents plan to ‘parent’ the identified behaviors (design and enforce consequences). This is important because not only must parents have a plan for the other six days their child is not in therapy, their influence must increase while the therapist’s decreases. Failure to do this could lead to the therapist becoming the ‘influential figure’ in the family (“didn’t the therapist tell you drinking was wrong?”) and this will lead to therapy becoming the consequence rather than the place for help and healing.

Leaving a session with a therapist trained to help teens who are using may leave parents confused. The hard work will pay off, though, and parents will have tools to help them help their child be successful, and drug and alcohol free.

 

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Alcohol Addiction Help during the Holidays: Attending an Addiction Support Group, Seeing an Addiction Therapist

Friday, December 21st, 2012

The holidays are a special time of year when people take time to focus on others, give thanks for what they have, and give to those in need. While it is easy to get caught up in the holiday festivities those in recovery from addiction understand the importance of self-care. Developing a holiday recovery plan will help individuals avoid relapse by ensuring recovery activities are scheduled into each day.
A holiday recovery plan is all about dealing with additional stress, balancing the extra activities involved with the holidays, and managing ‘high risk’ situations. The first step in any good holiday recovery plan would be to check the calendar for upcoming events. Make sure high-risk situations like family gatherings or office parties are limited both in number and time spent participating. Likewise schedule more recovery activities such as AA or NA group meetings, exercising, meditating, or professional counseling sessions.
Even the best-laid plans are not perfect so urges to use are normal. Family, memories, parties, finances, crowds, and even the additional commercials advertising alcohol may trigger urges to use. When managing urges, it is important for individuals to remember how easily inappropriate reactions to high-risk situations can turn into a relapse. Completing a daily inventory at the end of each day can help you stay on track. Reflecting each evening on thoughts, feelings, urges, reactions, and actions can help you gain awareness, knowledge, and skills needed for a continued successful recovery. Even evaluating the triggers that lead to past holiday relapses can provide valuable information about navigating this year’s holiday calendar.
Those with addiction can successfully navigate the holidays by starting with a holiday recovery plan. By carefully planning recovery activities, reducing high-risk situations, and being mindful of ‘what works’ you can have a relapse-fee holiday!

 

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Types of Addiction: the Holidays and Addiction Support Groups and Overcoming Addiction

Wednesday, November 14th, 2012

There is no season of the year quite like the Holiday and Christmas seasons. It’s the time of the year for social activities, excitement, decorating, spending time with family and friends, and entertainment. It’s also a time of additional pressure and worry. The holidays can bring on extra expenses, additional activities, less sleep, poor diets, unpleasant past memories, and an overall increase of stress and anxiety.

Sadly, many who suffer with different types of addiction will have a relapse this holiday season. It is important for those suffering from addiction, and the family of an addict, to to be conscious of the additional pressure so that they can develop plans to reduce the risk of relapse. The individual suffering with addiction can psychologically prepare themselves for the imminent events.

Positive things your folks and you can do includes using appropriate coping strategies like relaxation, meditation, exercise, healthful diet, and positive self-talk. You can use affirming and transparent communication with family and friends to stay on track. The holidays are a superb time to attend extra support group meetings as well. These addiction support groups aren’t only for the addict, but also for family and friends.

Finally, when attending a holiday party where alcohol may be served, it is vital to take a sober buddy or family member for additional support Also, take non-alcoholic drinks, and plan to leave early. Refuse to attend parties where drugs might be available. The holiday season is a great time to update names and numbers of sober family and friends who will be supportive of you in your addiction recovery efforts.

The holidays can be a challenge for sure, with high risk situations for those suffering with substance addiction. It could also be a period of replenished commitments and affirmations, and an opportunity to think on how much has been accomplished through the method of recovery. If you are fighting with substance abuse or addiction issues, be certain to find help. Remember that you are never alone in the journey in overcoming addiction.

Tia Parsley, LPC, LCDC  is a Licensed Professional Counselor and a Licensed Chemical Dependency Counselor in Texas and Arkansas. She can be found at achievebalance.org and at her websites www.tiaparsley.com

 

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Am I an Addict? A Simple Addiction Test to Begin Your Journey as a Recovering Addict

Saturday, July 7th, 2012

“Am I an addict?”

Have you ever asked yourself this simple question? It may be surprising to know that many struggle with identifying addiction in their own life.  Addiction has many definitions, but one way to think of it is to challenge yourself, “Does this substance/behavior have more control over me than I have over it?” It’s a simple question, and provides you with an addiction test that has identifiable methods for gauging an answer.

Here are some addiction test questions which are easy to relate to and may assist you in determining if a substance/ behavior might be an addiction:

•    Do you ever use alone?
•    Have you taken one drug to overcome the effects of another drug?
•    Do you avoid people or places that you used to enjoy because they disapprove of your using?
•    Have you been unsuccessful at cutting back or stopping the behavior or drug use?
•    Do you often use more than you planned?
•    Have you gotten into trouble as a result of using?
•    Have you lied about using a drug or how much you have used?
•    Have you lost any relationships due to your substance use or behavior?
•    Have you used drugs to make you feel better about a situation?
•    Do you continue to use a drug despite negative consequences?
•    Do you have family/friends who have said you need to cut back or stop using?
•    Do you have to use more of the drug to get the same effect as before?
•    Have you forgotten things you did or said while using?
•    Has your job or school performance deteriorated since you have started the drug?

Answering positively to any of these is a cause for concern. Three or more positive responses indicate you have a substance use problem and you may be an addict.

Declaring a drug is a problem takes courage. But admitting the problem is the pivotal event that allows a hopeless addict to become a hopeful, recovering addict.  It is the beginning of getting better and regaining control over your life.

Tia Parsley, MEd, LPC, LCDC has experience assisting adolescents and their families with issues such as addiction, anger management, depression, anxiety, communication, parenting, and stress management. Lear more about TIa Parsley the these websites: www.achievebalance.org and www.tiaparsley.com.

 

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