The Toolbox
  • The Toxic Undo: (Author Site)
  • Lemon Moms Book Series
  • Free Healing Course
The Toxic Undo: (Author Site)
Lemon Moms Book Series
Free Healing Course
The Toolbox
  • The Toxic Undo: (Author Site)
  • Lemon Moms Book Series
  • Free Healing Course
Browsing Category
Trauma
Trauma•Uncertainty

Why are we hearing so much about self-care?

man looking in microscope
March 18, 2020 by Diane M. Metcalf, MS No Comments

Control what you put in your brain

I’m tired of hearing about the coronavirus. But at the same time, I want and need to stay apprised of what’s happening. Things are changing very quickly, almost hourly, and it’s tempting to keep the TV on just to stay “in the know“. But here’s the thing: staying glued to news programs can overwhelm you, release stress hormones, cause insomnia, worry and unnecessary anxiety.I

I’m not saying don’t watch the news, but know when to turn it off or temporarily disengage. Events are unfolding at such a rapid pace that it’s hard to keep up. Immersing yourself in the negativity without taking breaks for helpful and healing activities will affect your thoughts and your body negatively.

I experienced this myself last Tuesday. Until then, I thought I was handling the unfolding events very well. But quite unexpectedly, I had a surge of overwhelming feelings and I found myself crying with no real “reason“ for it. I felt like I just couldn’t handle another piece of information. It felt good to cry, and, I suggest that you do some crying too. Crying is like a pressure valve. It lets out the feelings we’ve been holding inside while trying to stay strong. But we’re strong even when we cry. I think it’s a smart healing-thing to do, and we feel more clearheaded, grounded and calm when we’re finished.

We ‘re all experiencing traumatic events right now. We may be overwhelmed with information coming through the radio, TV, friends, family, neighbors, or social media. We may not know what to think or what to do. We may become hyper-vigilant, trying to keep up, putting our flight or fight survival mode into overdrive. This means dealing with an excess of hormones like cortisol, (which can cause, among other things, slower healing, weakness, fatigue, irritability, difficulty concentrating, high blood pressure, and headaches) and adrenaline (which among other things, increases heart rate and blood pressure). It also means that our hippocampus and amygdalae won’t be able to store short term memories properly, and you may find yourself feeling scatterbrained.

What you can do

Take frequent breaks from the input. Taking breaks can also feel overwhelming and traumatizing at first. It’s important to know that if you find yourself getting overwhelmed, feeling stressed or anxious, you should turn off the media and do something healing for yourself. Take a bath or a shower, clean a room, rearrange your pantry, clean out a drawer, take inventory of your supplies, journal, reach out to a friend; anything that will make you feel better and serve as a distraction from the situation. Think of all the things you can do to make you feel better and use that list over the next several weeks.

Think back to a time when you felt overwhelmed and life was uncertain, and you got through it. Remind yourself that you coped then, and you will this time, too. Focus less on the changes and uncertainty and instead focus on centering, grounding and calming yourself. Go back to watching the news when you feel you can handle it. Watch in short doses, taking short breaks in between.

woman-wearing-mask-3873194-1-150x150-1 Why are we hearing so much about self-care?

If you’re stuck at home, use this new gift of time to do the things you’ve been putting off. Get started writing that book, read to your kids, organize your digital photos, organize a closet. You get the idea. Think of the things you’ve been wanting to do and wishing you had the time to do, then start doing them. It’s amazing what getting into the “flow“ does to make you feel accomplished.

Connect with people using social media. See if you have “Nextdoor.com” for your neighborhood and connect electronically with your neighbors. You can share information about stores and product availability, other resources, and important information.

Check-in on elderly loved ones and elderly neighbors. Help whoever you can.

Read uplifting material whether it’s spiritual text, poetry, or old love letters. Watch comedies. Read that book you’ve been wanting to read!

Journal! Not only will writing get worries off your mind, but it could be a keepsake for your children later on; a historical record of what’s happening and your thoughts and feelings about it.

Do something physically challenging for stress relief. Jog in place, or pull out one of those old exercise videos and have at it. Make a game of it with your kids. Movement feels good and releases endorphins and other calming hormones. So does guided meditation, yoga, and stretching. Do the things that help you feel grounded, like praying or gratitude exercises.

Control what you’re eating. Sugars and carbs cause inflammation, and inflammation lowers immunity.

Amp up your current healing journey: I’m releasing a special black-and-white printable PDF version of the Companion Healing Workbook for “Lemon Mom’s” this week instead of May as planned.

Look for it on DianeMetcalf.com.

The full-color, bound version will be available for purchase on Amazon when “Lemon Moms” is released this spring.

Although “Lemon Moms” has not been published yet, (we’re in the formatting and cover-design phase!) the companion workbook will take you through multiple healing activities that you can start even before reading the book.

Six things that keep your immunity high

  1. Eat healthy foods in moderation and take a daily multivitamin.
  2. Exercise for 30 minutes daily.
  3. Get enough sleep.
  4. Wash your hands.
  5. Minimize or stop alcohol consumption.
  6. Quit smoking. Now is a great time!

Make time for yourself

As we become accustomed to these new events and our new temporary lifestyle, put yourself on your own to-do list. Make yourself a priority too. Remember, airlines always tell us to put on our own oxygen mask before assisting others. There’s a reason for that: you’re not going to be of any use to anyone if you don’t take care of yourself first.

Stay well, and, stay healthy my friends.

Tools:

Conscious awareness:  Be aware and make conscious choices before acting. Self-awareness releases us from making impulsive and potentially damaging decisions. Learn about setting boundaries 

Self-care: We can only choose to focus on and be responsible for ourselves, our own thoughts, actions, and behavior. The good news is that we can change ourselves with patience, persistence, and practice. We can take responsibility for getting our needs met, instead of waiting for someone to change or meet our needs for us. We are in control of ourselves and no one is responsible for us but us.

Practice mindfulness

Learn about codependency and maladaptive coping skills

Learn about C-PTSD

Recognize the Cycle of Abuse


About the author

DianeM-1-150x150 Why are we hearing so much about self-care?

Diane Metcalf earned her Bachelor of Arts degree in Psychology in 1982 and a Master of Science in Information Technology in 2013.

She has held Social Worker, Counselor and Managerial Positions in the fields of Domestic Violence and Abuse, Geriatric Healthcare, Developmental Disabilities, and Reproductive Health. She is an experienced Advocate and Speaker on the topics of Domestic Violence and Abuse and has been a guest on Lockport Community Television (LCTV), sharing her knowledge and experience regarding Domestic Abuse with the local community. In addition, she experienced Maternal Narcissistic Abuse and has been involved in other toxic relationships. She purposefully learned (and continues to learn) appropriate coping skills and strategies to live happily. She shares those insights here.

Her books and articles are the results of her education, knowledge, and personal insight regarding her own abusive experiences and subsequent recovery work. She is no longer a practicing Social Worker, Counselor, Program Manager or Advocate, nor is she or has she ever been a licensed psychologist.

Currently, Diane runs her own website design company, Image and Aspect, and writes articles and tutorials for Tips and Snips, her inspirational blog for creative people. She continues to learn and write about Emotional Healing.

This website is intended for informational purposes only and is not a substitute for professional therapy.

 

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Reading time: 6 min
Cognitive Dissonance•Trauma

What is C-PTSD and why you should care

brain scan
February 17, 2020 by Diane M. Metcalf, MS No Comments

How it begins

The term Complex-Post Traumatic Stress Disorder (also known as C-PTSD and “disorders of extreme stress not otherwise specified”) is still relatively new. Some mental health practitioners would like C-PTSD to have its own diagnostic criteria, separate from those of PTSD. This change may actually be forthcoming. I think a possible indicator is that  PTSD was removed from the “anxiety disorders”  category and added to a brand new section called “trauma and stress-related disorders” in the DSM-5 (Gattuso, R. 2018).

Symptoms

PTSD symptoms are stress-related coping mechanisms called “triggers” that are associated with hypervigilance. (Lanius et al. 2010). They’re often seen combined with non-anxiety symptoms like angry outbursts, self-destructive behavior, flashbacks, and nightmares, and they include physiological sensations like nausea or a sudden rapid heartbeat. 

People who have C-PTSD  experience the same symptoms of PTSD, but they also suffer from additional symptoms such as:

  • feelings of shame or guilt
  • feelings of responsibility for the abuse
  • difficulty controlling  emotions
  • episodes of losing attention and focus (dissociation)
  • physical symptoms like headaches, dizziness, chest pains, and stomach aches
  • isolation from friends and family
  • relationship difficulties
  • destructive or risky behavior, such as  alcohol  or drug abuse
  • suicidal thoughts

In addition to the C-PTSD symptoms above, there are some additional ones to be aware of:

  • unnecessary worrying
  • adrenal burnout
  • chronic inflammatory disorders
  • mental exhaustion
  • various forms of anxiety
  • depression/ or loss of pleasure
  • black-and-white thinking
  • digestive disturbances
  • weight loss or weight gain
  • self-gaslighting: a form of self-doubt that contributes to codependency. The consequence of living in a hostile environment and lacking adequate emotional support.

Emotional triggers

Traumatic experiences are not stored linearly as stories, but as fragments of sensory input: smells, sights, sounds, touches, tastes. These stored fragments can become the “triggers” that alert us to recurring danger or threats. Triggers are highly sensitive and reactive emotions that are activated by our environment or another person’s behavior or words. When we become triggered, we automatically react without any thought. There is often a sense of losing control of ourselves. When we become triggered because of C-PTSD, it becomes challenging to navigate our daily lives and relationships.

If we’re triggered, we may quietly emotionally withdraw, or we may react rather intensely and aggressively. Either way, it’s because we’re defending ourselves against a perceived threat, whether it’s a real threat or just feels like one.

black-and-white-cave-cold-bw-300x200-1 What is C-PTSD and why you should care

Our emotional triggers are wounds that still need to heal. For example, a friend makes a casual remark, and for some reason, you suddenly and without warning, hear yourself snap back with a cutting and intentionally hurtful remark. You don’t know what came over you. You weren’t in a bad mood or feeling angry, but immediately as the comment was made, you instinctively reacted swiftly and defensively to shut them down and protect yourself. You intuitively understand that you wounded and confused your friend, but you don’t know why. Later, after you’ve taken the necessary time to reflect on and process what happened, you realize that at the moment you heard the comment, you instantly felt distraught, confused, and full of self-doubt. In effect, you felt instantly inferior. It was as if a “switch” had been flipped.

You also recognize that the remark was not said to intentionally hurt you, and yet you deliberately reacted viciously, with a desire to inflict pain. So you decide to apologize to your friend. You understood now that the remark activated one of your triggers, and your triggers are your responsibility.

Get to know your triggers. We can never know all of our triggers because we’re usually not aware of them until they happen. Triggers are created by consistency and repetition. We develop new ones throughout life because we’re continually partaking in new life experiences. Once you have an idea of what your triggers are, you can form appropriate responses to them and have them ready for the next time. You can also replace your triggers by questioning their validity. Whether it is or isn’t, get rid of unrealistic expectations and cut yourself some slack. You are not perfect. There is no such thing as perfection. You’re a human being who doesn’t know everything and never will, but you’re learning and growing every day. Is that not enough?

Survivors of complex trauma often have difficulty forming attachments to other people. An unfulfilled longing for connection can be a cause of deep-seated loneliness, which may further contribute to developing other symptoms. Depression and risky or self-destructive behaviors are often attributed to a lack of emotional connection. It makes sense that the treatment process for C-PTSD includes learning ways to strengthen the ability to feel attached to others while at the same time feeling safe, secure, and loved. It is “an extremely difficult process”  but not impossible. (Franco, F. 2018).

Tools:

Conscious awareness:  Be aware and make conscious choices before acting. Self-awareness releases us from making impulsive and potentially damaging decisions. Learn about setting boundaries 

Self-care: We can only choose to focus on and be responsible for ourselves, our own thoughts, actions, and behavior. The good news is that we can change ourselves with patience, persistence, and practice. We can take responsibility for getting our needs met, instead of waiting for someone to change or meet our needs for us. We are in control of ourselves and no one is responsible for us but us.

Practice mindfulness

Learn about codependency and maladaptive coping skills

Take the Adverse Childhood Experiences quiz

Learn to recognize the Cycle of Abuse


About the author

Diane-Circle-1-150x150 What is C-PTSD and why you should care

Diane Metcalf earned her Bachelor of Arts degree in Psychology in 1982 and a Master of Science in Information Technology in 2013.

She has held Social Worker, Counselor and Managerial Positions in the fields of Domestic Violence and Abuse, Geriatric Healthcare, Developmental Disabilities, and Reproductive Health. She is an experienced Advocate and Speaker on the topics of Domestic Violence and Abuse and has been a guest on Lockport Community Television (LCTV), sharing her knowledge and experience regarding Domestic Abuse with the local community. In addition, she experienced Maternal Narcissistic Abuse and has been involved in other toxic relationships. She purposefully learned (and continues to learn) appropriate coping skills and strategies to live happily. She shares those insights here.

Her books and articles are the results of her education, knowledge, and personal insight regarding her own abusive experiences and subsequent recovery work. She is no longer a practicing Social Worker, Counselor, Program Manager or Advocate, nor is she or has she ever been a licensed psychologist.

Currently, Diane runs her own website design company, Image and Aspect, and writes articles and tutorials for Tips and Snips, her inspirational blog for creative people. She continues to learn and write about Emotional Healing.

This website is intended for informational purposes only and is not a substitute for professional therapy.

 

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Please share!

Reading time: 5 min
Narcissism•Trauma

Tips to process Narcissism Awareness Grief

crying girl
December 10, 2019 by Diane M. Metcalf, MS No Comments

“Whatever the situation may be, in order to fully achieve peace within yourself it is necessary for those who have been victims of narcissistic personalities to complete all the stages of acceptance and learn to grow beyond their previously fabricated reality.”—Christine Hammond, MS, LMHC

What is Narcissistic Awareness Grief?

 “Narcissism awareness grief” is a term coined by Dr. Christine Hammond. It’s a real “thing,” and I remember very clearly what it was like to experience it.

Before I knew what exactly I needed to recover from, I was focusing on issues of low self-confidence and self-esteem, always second-guessing myself, and a myriad of codependency symptoms. A therapist suggested that I “presented” much like an adult child of an alcoholic (ACoA). But there had been no substance abuse or alcoholism in my family of origin. At that time, maternal narcissism was virtually unheard of, and my symptoms were so similar to those of an ACoA, that we agreed my treatment plan would be as if I was an ACoA.

I’ve said this before, and it’s worth repeating: If you think your mother’s a narcissist, you don’t need a “diagnosis” or a label for you to determine that your relationship with her is unhealthy. If there’s a pattern of ongoing power struggles, manipulation, gaslighting, or cruelty, and it causes you to doubt your memory, judgment, or sanity, your relationship is most likely toxic. The best course of action is to accept that you cannot change or control her behavior. You can only control your own, and when you understand this, the ball is truly in your court. The next moves are up to you.

During this particular course of therapy, I was encouraged to read the research done in the late 1970s by Dr. Claudia Black, Ph.D. Her line of inquiry concerned how children are affected by a parent’s substance abuse. It was she who started the “adult child” movement and who identified the rules that dysfunctional families live by: “Don’t Talk, Don’t Trust, Don’t Feel.” I learned that, indeed, I had many of the same issues as ACoA, even though my mother was not an alcoholic. I discovered that, much like my own childhood environment, ACoAs grew up in an unpredictable, often chaotic atmosphere. Inconsistency, irregularity, lack of supervision, no personal boundaries, and little to no parental involvement are the norm in an alcoholic home, just as they had been in my own. It seemed that the ACoAs and I were all preoccupied with our mother’s dysfunctional and irrational behavior. We felt like we were always in fight or flight survival mode. We frequently took our parent’s “emotional temperature” and adjusted our own moods and conduct accordingly.

Because they were so busy emotionally and sometimes physically taking care of their mothers, ACoAs’ emotional needs went unmet, just as mine had. As adults, we had difficulty identifying our feelings and caring for ourselves. It was an astounding discovery for me to learn that other kids grew up in households like my own and that we shared some of the same challenges as adults, seemingly related to our upbringings.

What happens when you begin to experience Narcissistic Awareness Grief?

At some point during those years, when I was actively pursuing healing and personal growth, the idea was broached by a therapist that my mother likely had an undiagnosed and untreated mental illness, probably a personality disorder. Hearing this news was exciting and validating because I had suspected as much for a very long time. Although I was employed as a mental health professional myself, diagnosing my mother without her knowledge or consent, though fun to think about, would have been unprofessional, to say the least.

As I came to grasp the reality of the impact that my mother’s illness had on me, I felt a gamut of emotions—denial, sadness, rage, and everything in between and back.

You see, when we discover that the traumatic lifestyle we’ve endured as children has an actual name, it’s a huge relief at first. There’s an initial rush of validation, and we suddenly realize that we’re not alone, that we’re not crazy, and that we haven’t imagined it. Narcissistic abuse is a real thing, and now we realize that we can deal with and recover from it.

For those of you who are beginning to (or have recently,) become aware that your mother’s worldview is the major problem, not any shortcoming within yourself, you’re likely feeing a colossal torrent of conflicting emotions, and you may not understand why. As you begin to accept this new way of perceiving and understanding your mother, you may have the dawning sense of awareness that your mother’s perspective is dysfunctional and that there is nothing—and there never was—anything inherently wrong with you, as you may have been conditioned to believe. You’re most likely starting to experience Narcissism Awareness Grief (NAG).

Narcissism Awareness Grief (NAG) begins when we become aware of our mother’s narcissism and begin to realize the ways it impacted us.

beer-cars-city-576494-1-300x200 Tips to process Narcissism Awareness Grief

The Six Stages

Much like the famous Kubler-Ross “five stages of grief,” there are several stages of Narcissism Awareness Grief. They’re not linear, so they’re not experienced in any particular order. In fact, we can go back and forth between the stages throughout the process of grieving. But every step must be experienced before we can get to the final stage, which is “acceptance.” It’s possible to become stuck in any phase for any length of time and to never actually enter into acceptance.

The difference between the two grief models is that narcissism awareness grief has an additional and essential phase called “Rewriting.” This is where healing begins in earnest.

  1. Denial: After reading, thinking, processing, and talking about maternal narcissism, you may begin to entertain the idea that your mother might actually be on the narcissism spectrum. This idea may be something you’ve never conceptualized before. Thinking it may make you uncomfortable. Even if you’re certain that she is afflicted, you might continue to minimize the impact it’s had on you until you reach the point where you can’t any longer. At that juncture, you’ll begin to become aware of the scope of her illness and how it impacts the people in her life.
  2. Anger. The anger that follows can be intense. You may be angry with yourself for not seeing the narcissism before; you may be fuming with previous therapists who did not see it. You may be irate with family members who encouraged you to listen to or believe your mom and furious with anyone who believed in your mother’s false face. I believe that what we are feeling in this stage is righteous indignation, which is a natural response to mistreatment or abuse. If we witness injustices like someone being mistreated, bullied, or abused in any way, we automatically feel righteous anger. This kind of anger is hugely motivating for change.
  3. Bargaining. This is a way of regrouping, a kind of reboot. You may question your reality and wish your childhood had been different. I remember wondering, Why did I have to get her as my mother? What would my childhood have been like if I’d had a mother who was able to truly love and care for me more than her own image? You may have these kinds of thoughts too, or you might even shame yourself with ideas like, Why didn’t I see this sooner? I’m so stupid. I’ve wasted so much of my life listening to and believing her. Many of your questions will have no real answer. I cried a lot at first, in fact, any time I thought about it. You may cry too or feel a profound sense of loss and sadness. Like me, you may feel robbed of your childhood and anger at the injustice of that happening to you. It’s essential to see that, in this stage, you may actually be doing what your mother would do to you: insult you, berate you, and question the validity of your thoughts and feelings. But you actually need to go through this dark period so you will be able to enter the rewriting phase of grieving.
  4. Depression: When I understood that I could not “help” my mother to change, or get her to see me differently, or change her worldview, I became very, very sad. When it began to dawn on me that she would never change—that she was incapable of change—my sadness turned into depression. I had formed a rudimentary understanding that I would have to live with this new information from now on and that I would have to change the way I interacted and related to her for my own protection. I saw that I had missed multiple unrecoverable opportunities in my life because I had internalized her limited and incorrect beliefs about me. I saw how my relationships, in fact, every aspect of my life, had been negatively impacted by her faulty ideas and opinions of me. I was working on accepting the fact that there was nothing I could do to make my mother interested in me as a person or to receive me in my imperfection. I had to accept that she would continue to belittle, shame, blame, and intimidate me and that she would never feel a bit of remorse, let alone apologize to me. She was going to remain manipulative, critical, blaming, and attention-seeking. It was a heavy feeling to recognize that I had a lot of work ahead of me, to reconcile the past and to heal while my mother felt no accountability or responsibility for what she had done.
  5. Rewriting/revising: This stage is exclusive to NAG, and it’s where we can really do a lot of healing. It’s about taking this new understanding of maternal narcissism and applying it to our past. When we begin to accept our mother’s narcissism, we begin to understand how seeing ourselves the way our mother saw us has negatively impacted our lives. So now we begin to see things differently. We form new ideas about ourselves from this new information about our mother’s illness. We can think new thoughts like, My mother was not capable of feeling maternal love because of her illness. It had nothing to do with me. I am and always have been lovable. My mother wasn’t capable of feeling empathy. It wasn’t that I didn’t matter. I always mattered, but she couldn’t see it or acknowledge it, and I have flaws, and that’s absolutely OK. Everybody does. There is no such thing as perfection, but my mother continues to chase this false ideal. Too bad for her. When we update our historical view of ourselves by using this new information about narcissism, we can transform ourselves. We can begin to see ourselves in a whole, fresh, healthy light. For many of us, this is the beginning of discovering that we are likable and that we like ourselves and that we matter. We start prioritizing self-care and begin setting healthy personal boundaries, quite possibly moving into the happiest time of our lives.
  6. Acceptance: Once we work our way through the stages mentioned above, this final piece comes pretty effortlessly. We finally accept our mother’s narcissism as the permanent disability it is. We see her narcissism as a revelation of sorts, and there’s an exciting feeling of freedom when we understand that we don’t have any responsibility or the ability to change her. We are finally able to let go of the workings of our dysfunctional childhood and welcome the knowledge that narcissists don’t change, which makes them very predictable. Now we can anticipate her behavior and using this knowledge can make engaging with her feel safer, or at least more tolerable. As our expectations change, we may experience the serenity we never thought possible. Now we can determine what kind and how much exposure we will subject ourselves to, and we can plan accordingly. Some of us may decide to have no contact at all, and some may choose to have limited contact with strict enforceable boundaries. For example, when my mother starts to belittle or humiliate me, I will end the conversation, leave the room, etc. In other words, we can now determine which of her behaviors we are willing to put up with, and for how long. Isn’t that amazing?

Tools:

Conscious awareness:  Be aware and make conscious choices before acting. Self-awareness releases us from making impulsive and potentially damaging decisions.

Self-care: We can only choose to focus on and be responsible for ourselves, our own thoughts, actions, and behavior. The good news is that we can change ourselves with patience, persistence, and practice. We can take responsibility for getting our needs met, instead of waiting for someone to change or meet our needs for us. We are in control of ourselves and no one is responsible for us but us.

Set boundaries 

Understand the Narcissistic Abuse Cycle

Learn about codependency

Learn about letting go of what you can’t control, by using loving-detachment

Learn about expectations


About the author

Diane-Circle-1-150x150 Tips to process Narcissism Awareness Grief

Diane Metcalf earned her Bachelor of Arts degree in Psychology in 1982 and a Master of Science in Information Technology in 2013.

She has held Social Worker, Counselor and Managerial Positions in the fields of Domestic Violence and Abuse, Geriatric Healthcare, Developmental Disabilities, and Reproductive Health. She is an experienced Advocate and Speaker on the topics of Domestic Violence and Abuse and has been a guest on Lockport Community Television (LCTV), sharing her knowledge and experience regarding Domestic Abuse with the local community. In addition, she experienced Maternal Narcissistic Abuse and has been involved in other toxic relationships. She purposefully learned (and continues to learn) appropriate coping skills and strategies to live happily. She shares those insights here.

Her books and articles are the results of her education, knowledge, and personal insight regarding her own abusive experiences and subsequent recovery work. She is no longer a practicing Social Worker, Counselor, Program Manager or Advocate, nor is she or has she ever been a licensed psychologist.

Currently, Diane runs her own website design company, Image and Aspect, and writes articles and tutorials for Tips and Snips, her inspirational blog for creative people. She continues to learn and write about Emotional Healing.

This website is intended for informational purposes only and is not a substitute for professional therapy.

 

Read more

Please share!


Reading time: 12 min
Narcissism•Trauma

The Adverse Childhood Experiences Quiz

girl and teddy bear
November 12, 2019 by Diane M. Metcalf, MS No Comments

What are Adverse Childhood Experiences?

There’s a lot of discussion in the Education field today about “Adverse Childhood Experiences.” “Adverse Childhood Experiences” (ACEs) are certain kinds of traumatic events that occur during childhood before the age of 18.

Childhood trauma research conducted in the ’90s discovered that there is a connection between the number of ACEs a person experiences and adverse adult outcomes. The resulting negative results included physical health and medical issues, mental illness, addiction, and risk-taking behaviors. The original ACE Study was conducted from 1995 to 1997 at Kaiser Permanente. There were two waves of data collection from over 17,000 HMO members.  The study found that experiencing a traumatic childhood not only significantly impacts the probability that the individual will suffer from future health issues, but indicates a higher likelihood of further adult victimization as well.

When children experience trauma and educators can understand its impact, trauma-informed interventions can be developed, which reduces the resulting negative consequences. Communities have also become involved in decreasing ACEs, preventing abuse and mistreatment, and creating more positive outcomes for children and their families (Centers for Disease Control and Prevention, 2016).

Why are Adverse Childhood Experiences important?

Adverse Childhood Experiences are the environmental influences that challenge a child’s sense of safety, stability, and attachment. They include but are not limited to physical and verbal abuse, neglect, addiction, alcoholism, mental illness, and violence.

The data collection questionnaire used for gathering the ACE data is known as the “Adverse Childhood Experiences (ACE) quiz,” and the score is the total count of specific indicators of a turbulent childhood. The harsher the childhood, the higher the score, and the higher the risk for health and other problems later in life such as risk-taking behaviors, chronic health conditions, mental illness, substance abuse, decreased or limited life-potential, and early death (Centers for Disease Control and Prevention, 2019).

broken-heart-150x150 The Adverse Childhood Experiences Quiz

The ACE quiz measures 10 types of childhood trauma, five of which are personal: physical, verbal, and sexual abuse, and physical or emotional neglect. The remaining five are related to family members, for example, an alcoholic parent, family member affected by domestic violence, incarcerated family member,  mentally ill family member, or living in a  single-parent household due to divorce, death, or abandonment. There are many kinds of childhood trauma, but only 10  are included in the ACE quiz because they were the most frequently mentioned by the members of the research group.

Each kind of traumatic experience scores one point. For example, a person who’s been verbally abused and has one mentally ill parent, and lives in a single-parent home has an ACE score of three.

If other types of abuse or neglect were experienced, including extended periods of toxic stress, those would also increase the likelihood of compromised health in adulthood.

The ACE score is only a guideline. Positive childhood experiences can protect against many of the adverse outcomes, even after the trauma has occurred. (Centers for Disease Control and Prevention 2016). Some people who have high ACE scores, including myself, can recover and do well as adults. Resilience, a subject of ongoing research, is thought to be a key component to recovery.

Where can I take the ACE quiz?

If you’re interested in taking the Adverse Childhood Experiences quiz, you’ll find it here.

Trauma bonds can keep us stuck in codependency. The first step to breaking a trauma bond is becoming aware that one exists. Gaslighting, cognitive dissonance, and trauma bonding all contribute to developing a disorder called Complex Post Traumatic Stress Syndrome.

Tools:

Conscious awareness:  Be aware and make conscious choices before acting. Self-awareness releases us from making impulsive and potentially damaging decisions.

Self-care: We can only choose to focus on and be responsible for ourselves, our own thoughts, actions, and behavior. The good news is that we can change ourselves with patience, persistence, and practice. We can take responsibility for getting our needs met, instead of waiting for someone to change or meet our needs for us. We are in control of ourselves and no one is responsible for us but us.

Set boundaries 

Understand the abuse cycle

Learn about codependency

Learn about letting go of what you can’t control, by using loving-detachment

Learn about expectations


About the author

DianeM-1-150x150 The Adverse Childhood Experiences Quiz

Diane Metcalf earned her Bachelor of Arts degree in Psychology in 1982 and a Master of Science in Information Technology in 2013.

She has held Social Worker, Counselor and Managerial Positions in the fields of Domestic Violence and Abuse, Geriatric Healthcare, Developmental Disabilities, and Reproductive Health. She is an experienced Advocate and Speaker on the topics of Domestic Violence and Abuse and has been a guest on Lockport Community Television (LCTV), sharing her knowledge and experience regarding Domestic Abuse with the local community. In addition, she experienced Maternal Narcissistic Abuse and has been involved in other toxic relationships. She purposefully learned (and continues to learn) appropriate coping skills and strategies to live happily. She shares those insights here.

Her books and articles are the results of her education, knowledge, and personal insight regarding her own abusive experiences and subsequent recovery work. She is no longer a practicing Social Worker, Counselor, Program Manager or Advocate, nor is she or has she ever been a licensed psychologist.

Currently, Diane runs her own website design company, Image and Aspect, and writes articles and tutorials for Tips and Snips, her inspirational blog for creative people. She continues to learn and write about Emotional Healing.

This website is intended for informational purposes only and is not a substitute for professional therapy.

 

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Cognitive Dissonance•Trauma

What trauma does to your brain

August 3, 2019 by Diane Metcalf, MS No Comments

Key players

To fully understand how neglectful or traumatic experiences affect human beings, we need to understand some things about our brains.

The key player is the limbic system, which is an intricate network of structures located in the brain beneath the cerebral cortex (the brain’s outer layer, composed of folded gray matter, which plays a vital role in consciousness). Composed of four main parts, the hypothalamus, the amygdala, the thalamus, and the hippocampus—the system controls our basic emotions (fear, pleasure, anger) and, as such, drives hunger, sex, and caring for children. It’s involved with instinct, mood, motivation, and emotional behavior.

The amygdala is a structure that’s part of this system. We have two amygdalae, one on either side of our brains. It’s considered the “emotional” brain because it’s highly involved with memory and the connected emotional responses.

Limbic-4-1024x676 What trauma does to your brain

The amygdala’s job is to convert and move information out of short-term memory into long-term memory and to connect emotions to these memories (Krause-Utz et al. 2017).

Fight or Flight

Whenever we experience any traumatic episode, a hormone called adrenalin is released from our adrenal glands. This action causes a memory of the trauma to be created in our amygdala. The memory is not stored linearly like a story. Instead, it’s saved according to how our five senses experienced the trauma as it happened. So, the traumatic memories are stored as bits of visual images, smells, sounds, tastes, or physical contact. The amygdala then gives meaning and a particular degree of emotional intensity to this event.

If the amygdala is continually on high alert, overstimulated from adrenalin from a real or a perceived threat, our emotions won’t become self-regulated like they’re supposed to. When emotions aren’t self-regulated, we continue to respond to old, buried memories with an automatic, knee-jerk behavior called “triggering.” Triggering is caused when the brain has lost the ability to distinguish between something that is a threat and something that’s not. The amygdala misinterprets input from our senses, eyes, ears, nose, mouth, and/or skin, as being dangerous or threatening, even when it’s not.

And if we continually live in this high-alert, fight or flight survival mode, we’ll likely begin using coping methods that aren’t good for us. We may lie, depend on drugs, overeat, steal, or do whatever it takes to help us cope with the unmanageable stress. 

Another essential structure within the limbic system is the horseshoe-shaped hippocampus.

The hippocampus also plays a role in moving information from short-term to long-term memory, but its job is cataloging memories for eventual storage and retrieval and developing new memories about past experiences.

The hippocampus is in charge of remembering locations for objects and people. When we remember that we left our keys on the kitchen counter, we’re using our hippocampus. We use the hippocampus for spatial memory, navigating, and orientation. Without it, we wouldn’t remember where the kitchen counter is or how to get there from where we are in relation. This is critical information about our surroundings, and we rely on it to find our way around.

The hippocampus continues to be the focus of research regarding cognition (understanding through thought, experience, and senses) and memory-retention in post-traumatic stress disorder (PTSD) (Kolassa and  Elbert 2007).

selfcare2-150x150 What trauma does to your brain

Differences between PTSD and C-PTSD

Complex post-traumatic stress disorder (C-PTSD) results from a series of trauma-causing events, or one prolonged event, whereas PTSD is usually related to a single traumatic event. This repeated exposure causes additional symptoms not experienced by people with PTSD. C-PTSD can be the result of narcissistic abuse because our very being, who we are at our core, is continually attacked or threatened when we’re in a relationship with a narcissist. Common symptoms of C-PTSD are flashbacks, panic attacks, nightmares, excessive startle reaction, and habitually thinking about the traumatic event (McClelland and Gilyard 2008).

Children who experience neglect or ongoing traumatic abuse are at risk for developing complex post-traumatic stress disorder (C-PTSD), depression, self-harming behaviors, and conditions like anxiety, conduct, attachment, eating, substance use, and other disorders. When these children become adults, they’ll be at risk for revictimization, and physical illnesses like diabetes, heart disease, and immunological disorders. Research shows that women who’ve endured childhood abuse-related PTSD may also have altered brain structures, and their cognitive functioning may also be impaired as compared with women who were abused but not diagnosed with PTSD or women with no history of abuse. Abuse-related PTSD is associated with a reduced ability to focus and categorize information. When the attention and memory encoding activities of the limbic system are suspended due to real or perceived threats, verbal language ability may also become impaired (Ford 2017).

We learn our value as people as well as how to develop healthy, supportive relationships by interacting with our primary caretakers and family members. Kids who’ve been neglected or abused by a caretaker find it challenging to form a healthy attachment to them. If our caretaker was emotionally unstable, neglectful, or abusive, we might have learned that we can’t trust or depend on others to meet our needs. Studies indicate that children are more susceptible to stress and its related illnesses when they’re unable to create a healthy attachment to their caretaker. They may have difficulty interacting with authority figures like teachers and other adults. They struggle with managing and expressing their emotions, and they may react inappropriately or even aggressively in specific settings. Later in life, they may have difficulty sustaining romantic relationships and friendships.

Those of us who have experienced maternal narcissistic abuse may eventually find ourselves in an abusive, toxic, or less-than-satisfying adult relationship.

It’s not hard to see why. It makes sense: this person’s behavior and way of relating to us seem familiar, and we already know our role and what’s expected of us in the relationship.


Tools:

Learn about codependency

Learn about adverse childhood experiences

Understand the Cycle of Abuse


About the author

Diane-Circle-1-150x150 What trauma does to your brain

Diane Metcalf earned her Bachelor of Arts degree in Psychology in 1982 and a Master of Science in Information Technology in 2013.

She has held Social Worker, Counselor and Managerial Positions in the fields of Domestic Violence and Abuse, Geriatric Healthcare, Developmental Disabilities, and Reproductive Health. She is an experienced Advocate and Speaker on the topics of Domestic Violence and Abuse and has been a guest on Lockport Community Television (LCTV), sharing her knowledge and experience regarding Domestic Abuse with the local community. In addition, she experienced Maternal Narcissistic Abuse and has been involved in other toxic relationships. She purposefully learned (and continues to learn) appropriate coping skills and strategies to live happily. She shares those insights here.

Her books and articles are the results of her education, knowledge, and personal insight regarding her own abusive experiences and subsequent recovery work. She is no longer a practicing Social Worker, Counselor, Program Manager or Advocate, nor is she or has she ever been a licensed psychologist.

Currently, Diane runs her own website design company, Image and Aspect, and writes articles and tutorials for Tips and Snips, her inspirational blog for creative people. She continues to learn and write about Emotional Healing.

This website is intended for informational purposes only and is not a substitute for professional therapy.

 

Read more

Please share!

Reading time: 6 min
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