Category: ptsd

71% (Or… Beating the Mental Health Odds)

Published on by Scott Williams4 Comments

In my ongoing quest to possess the world’s largest private collection of audiobooks, I am reading/listening to an amazing book called Rock Breaks Scissors.

The book is a meandering collection of scientific beauties that most of us have never heard about. How to use science to win the lottery, or at cards, or when betting on tennis, football, baseball, and especially soccer. This book is part of a genre of popular science books written to beguile the amateur. I read as many as I can get my hands on. I have names if you want in.

So let’s learn something new about soccer.

In this little known study scientists studied soccer penalty kicks between the years 1994 and 2010 during the FIFA World Cup. What they found was incredible. Scientists have studied professional soccer goalies and found that when their team is trailing they will choose to jump to their right side 71% of the time. That is a huge statistic for a game built on seconds and millimetres. It only takes 1/5 of a second for a kicker to put a ball in the net and it is statistically impossible for a goalie to know which way the kicker will kick. Or is it?

If you knew which way the goalie would jump, seven out of ten times you were faced with a penalty kick while your team had the advantage, this would be statistically important information to have. Science tells us (and here’s where they start to suck you in to their cult) that because of millennia of conditioning and probable biological predisposition, humans will look to the right when confronted with a precarious situation requiring their attention. You look to the right first when you enter unfamiliar room, for example. Test yourself if you can somehow not prejudice the experiment because now you know what is supposed to happen.

All this is to say that knowing this information may win you games. If your team plays forty games and has, say, 40 penalty kicks a year, occasionally you would be facing a goalkeeper who is wondering which corner you will pick. This may not be a frequent occurrence but consider also that in most soccer leagues there is the occasional infamous “shoot-out” where you can have up to ten penalty kicks in a single match. Knowing this information could mean three or four goals. And in soccer, 3 or 4 goals is everything.

Knowing the statistical likelihood of anything will vastly increase your ability to make good decisions. Suppose I were to tell you that 80% of people with depression got better after one year of good counselling (this is a theoretical question only). Most people who suffer with depression would surely put in this time, right? After all, 80% is a very high number and you have at least a decent shot at transforming your life.

I’m not so sure.

I have seen hundreds and hundreds of people who were only months away from radical transformation, but were simply unwilling or believed they were unable to do what needed to be done. Most mental health issues, for example, can be much better managed with a modicum of effort. Most people still do not put in the time.

Therein lies the nugget of hope. Good things come to those who don’t give up. I have had a front-row seat to many hundreds of changed lives. To a person every one of them undoubtedly told me at some point that things would never change. I have listened to them describe in great detail the impossibilities they were forced to endure. Every one wanted to give up, sometimes every day. Most though I was lying when I said that they could be whole. They were the ones who didn’t quit.

I have known more than a few people who have spent time in prison. Talking with them while they were doing time was often very difficult. I could not convince them that one day they would be free. While you are in the trenches all you can imagine is the war. It is only looking back that they believed things could change.

There was a time I believed I would always be broken. I instinctively knew I would always carry that backpack of pain. It defined me. It absorbed me. I would never be well. I could not understand how other people could go on with their lives as if nothing had happened. I cried every hour of every day. Every hour of every bloody day. Usually much much more.

Then one day I didn’t anymore. One day I had a good day. One day I didn’t feel sorry for myself. It started with a few minutes, then a few more. Little by little. Digging yourself out of depression, or anxiety, or trauma can be unimaginably hard. Some of us can barely get out of bed. People who struggle with mental health or addictions, past traumas or abuse must spend hours and years doing and thinking things that are uncomfortable, difficult to endure, and incredibly demanding of us emotionally and relationally. It is far easier to self-medicate, check out, or get bitter.

Like many of us I still bear the scars of that time. Other scars too.

Rejection

Published on by Scott Williams9 Comments

We’ve all felt it. I felt it again very recently. One would think that inasmuch as I do mental health for a living I would be beyond such things, but alas. Rejection is, obviously, very personal. It’s hard to blow off because it is ultimately about a perceived flaw in our character, or a shortcoming, or a failure. Someone has chosen to treat us as “less” – usually someone we care about or whose opinion apparently matters. People have an uncanny way of finding what hurts us, don’t they? Most of us are intimately familiar with rejection. We have experienced it all our lives. We were the fat kid, or the ugly kid, the mouthy brat or the wallflower. Sticks and stones will break my bones but names will never hurt me. What tool wrote that? What kind of an emotional child could actually believe that “names will never hurt me”. I understand the cliché, it speaks to that part in each of us that feels strong enough to not let disparaging comments hurt us. How is that working out for you so far? iuI once got hit in the face with a big rock, thrown by a much older teenager while I was riding my Pursuit 5 bike. It was a very cool bike when I was ten… but that’s another story. The scar healed and there is no longer any physical trace of the injury. Some of my emotional scars didn’t heal quite so well. Being told by my grandmother that I was “useless and nobody will ever love me”. Rejection by the love of my life, so many years ago. You have your list and we could get them out and compare. Sticks and stones… Part of wisdom is understanding that some of those voices from our past (and not so distant past) need to be dealt with and put to rest. I often do such exercises with patients – working through those horrific childhood memories until they are bored enough or healthy enough, have learned enough and cried enough, to move forward. Some of us are still haunted by messages we heard in early childhood. We were picked on at school by other children, called names, labelled and abused. “Have you ever met a five-year old?” I will say to them. “Do you know how stupid little children are? Would you believe them today if they came up to you and insulted you?” Of course not. Children are morons and their opinions about my self-worth are meaningless. But still the voices carry. Some of us were rejected by an abusive parent or lover. We understand cognitively that their opinions of us are less than stellar, and subsequently less than reliable. We wouldn’t  believe a word out of their mouths, but we have. Their criticisms still bite, in spite of such an unreliable source. We are hard-wired to believe the worst, especially when the worst is about us. If you don’t believe me, do this little experiment. Think of a stressful, negative, frustrating situation you are dealing with. Spend ten minutes thinking about all the possible issues. How did things end? If you have an amygdala chances are you started catastrophizing. Catastrophizing is a great psychological word because you don’t ever need to explain it (much). It’s making a mountain out of a molehill. Few of us have the wherewithal to argue ourselves happy in a bad situation. We naturally think of all the worst-case scenarios. We think of ourselves as “realists”, when in all likelihood many are pessimists who simply cannot fathom labelling themselves something so negative. Catastrophizing is the minds natural response to stress and fear. Some of us are professionals. I wish I could end this article with a snazzy little anecdote and tell you that there will be people who will get you and not reject your love. I don’t actually know that to be true. What I have come to understand is that the more healthy I am, the better my self-esteem gets, the more I learn to accept and even appreciate myself, the less that kind of stuff hurts in the long-run. A healthy Scott is quicker able to put things in perspective, better suited to not catastrophize or feel like my world is coming apart. A healthy Scott knows that chocolate and kayaking and sunshine and self-talk can sooth, a little at a time. I have a brain injury. A few years ago I had a grand mal seizure and stopped breathing. It happens sometimes to people for no obvious reason, but I was very fortunate that this happened at the doctor’s office where I worked. I had two of the best docs I know ramming in an airway and giving me emergency triage within seconds. It undoubtedly saved my life. I have written about this before if you care to look. It has radically changed my existence, but interestingly enough not all for the bad. I have lost a great deal of my memory, which is bad. I have a difficult time staying angry or remembering slights, which is very good. It has given me the gift of forgetfulness. And the curse. I still remember things, although to a much lesser degree. I still remember the day my best friend showed up at my door and told me he didn’t want to be my friend anymore because I wasn’t spiritual enough, or at least that is how I remember it. Smaller hurts, though, I cannot recall. This, at least, was a blessing in disguise. On a related note: If you have some of my books or DVD’s I still want them back. I will look surprised when you return them but whoever has my signed Churchill book or my War of 1812 coin, you’re stealing from a mentally disabled person! But as usual I digress. I wish you peace and contentment in a world that is designed to hurt you; in a society that preys on its weak and slanders the broken. The best thing you can do for yourself is become free and strong. The only real armour against rejection is personal wholeness. And a really thick milkshake.

Waiting for Change

Published on by Scott Williams10 Comments

Waiting-chorus-string-quartet-pianoAnd waiting.

I remember hearing the song, “Waiting On The World To Change” and thinking, that’s not going to happen anytime soon! Things tend to get worse before they get better, or so the maxim goes. What I have found is that things get ridiculously old before they change. Most of us spend day after day, month after month, even year after year desperately praying for change, until things slowly move. And we’re talking slowly. I don’t have any recollection of when I got out of my all-pervading, soul-stealing, life-draining, ‘who gives a crap about anyone or anything’ depression. There was no “ah ha!” moment, no prayer meeting that turned the corner, no epiphany, no medication, no counselling appointment that finally turned the tide. No conversation seemed to help at the time, though later it was obvious looking back that small change was beginning.

I remember, when I was grieving, going to see a really terrible religious counsellor. I went religious because I could get it cheaper. Mistake. Some religious counsellors are undoubtedly fabulous, but they never met this guy. I should have saved the money and bought a milkshake. NOTHING he said helped. But then again, nothing anyone could say at that point made much of a difference. He was extra pathetic inasmuch as he couldn’t keep confidences and literally ratted me out, exacerbating the situation exponentially. Long story short… he sucked. Sadly, many counsellors do. They go into this occupation to save the world and somehow fix their own dysfunction. They are rarely successful. By way of example, hundreds of addicts I have worked with, and we’re talking hundreds, are convinced six weeks into sobriety that they want to be a drug and alcohol counsellor, or work with youth. People love love love theoretically working with youth… until they work with one and realize that adults actually listen, most youth in counselling have no longer than five minutes of attention span (thank you every adolescent male for the stimulating conversation), and adults won’t attempt to give you a wedgie during your coffee time or fart out loud and blame you at Starbucks. These are, of course, only theoretical examples and I’m not really upset with that little puke who blamed me at the coffee shop I frequent almost daily by yelling and holding his nose, pointing and gagging. Completely theoretical.

Anyway… what were we talking about? Oh right, depression. Happy times.

Coming out the other side of depression seems to take forever. By the time someone lands in my office to actually deal with such things they usually are so far gone it can take months just to talk them into getting up in the morning. I never start by asking a depressed person to do much of anything. The key problem with depression, as I oft recite, is the lack of motivation. The number one thing you need to get out of depression is… motivation. So how do you get motivated to get motivated? Certainly not by going to a doctor who prescribes an hour or walking, journaling, or going out socially on dates. Such goals are laughable, in the beginning. Unfortunately doctors are left to diagnose and prescribe such maladies on a daily basis, while having little understanding of psychology or mental health in general. It simply isn’t really covered all that much in medical school. But again I digress.

I cannot point to a day when I felt better because there wasn’t one. Coming back from the living dead took years of reading and crying and praying and talking and talking and talking… and not a little bit of drinking, much to my chagrin. I don’t recommend taking a depressant for depression. It’s similar to smoking pot for your anxiety – short-term gain, long-term pain. Doctors recommend that too!

It is the same with trauma, anxiety, and much of the mental health spectrum. There is no fad diet or cleansing that really can make you whole again; no magic pill or medication that will solve your problems. Some of us desperately need to be medicated, but with an understanding that medication alone is rarely sufficient. What really needs to happen is time. Time to move beyond the raw beginning. Time to let all that good stuff you are learning congeal and begin to take effect. Healing takes time. Real healing always does.

I tell this to patients all the time. Even with the best counsellor change rarely happens overnight. I find, and this is not even remotely scientific, that my clients usually take about three months of intense therapy before stuff starts to vibrate. Six months to a couple of years to deal with trauma, or anxiety, or serious depression. Sorry to say but a combination of co-morbidities could require longer than that. Some of us know this, though it’s counselling suicide to speak of it out loud. “Short term interventions” that we were all teethed on in college are only relatively short, when compared with how long it takes to not get better. Consider then, if you will, that most extended health plans cover 5 or 6 counselling sessions. So why aren’t you better yet?

Depression is not necessarily a terminal illness. Neither is anxiety or trauma. What is true, is that they are not easy to overcome. It took me years, and I still bear the scars even today.

Waiting.

 

 

Innocence

Published on by Scott Williams9 Comments

howbigisyourbraveI like doing groups. Usually, at the beginning, I dread losing another night of my week for something that resembles work. I wonder why I volunteered again. Here we go… again.

But something happens after a few weeks. People begin to open up. The group starts to jelly. Friendships are born and confidences given. One by one the participants let us into their pain, their dysfunction, and their beauty. I begin to count the weeks differently – now I’m counting down the days until the group is over. I’m not sure what will happen, this time. What if we decide it shouldn’t end?

One of the groups I created, that I do from time to time, it called “Welcome to Normie Land”. I hold it at the Addictions Centre where I spend some of my week, usually for a room full of people who are living in transitional housing, trying to swim their way back to what they once lost. They are good people, wounded people. I walk well with this part of the population, having spent most of my adult life working with the poor, the oppressed, the addicted. The lowly. They are my people now, for better or worse. But back to the story…

She had been coming to groups where I work for over a year, a long time to be in transition. She had a hungry mind and loved to talk about neurochemistry, among other things. I loved hanging out with her.

In one part particular group, while we were talking about relationships, she began talking about her new romantic interest. With eyes twinkling she sheepishly admitted that she was struggling with dating ‘clean and sober’. She was embarrassed. Without her “buffer” she had depended on for so many years to deaden the emotions she was suddenly shy, emotional, even “girly” around one particular cute guy at church. She went on and on about how mortified she had been after letting her emotions get the best of her whenever he was around. She told the group that she felt like a loser. As she continued speaking I couldn’t help it, I blurted out, “That’s so amazing. That’s absolutely wonderful!”

What I had realized, what nearly everyone in the room except for this person knew, was how amazingly alive she sounded. She was falling in love, living in a storybook, most likely for the first time in her life. What years of abuse and pain had taken, time had begun to restore. A return to innocence.

That’s what can happen, if you want it bad enough and the stars manage to align. One of the greatest perks in my job is the front row seat I get when people discover who they really are. Every once in a while someone wakes up, having hurt enough and striven enough, won and lost and gotten up again. After what seems like years and years, change comes to those who don’t quit. Actually, those who have probably quit a hundred times and still are in the fight. Over a matter of weeks I watch things radically change, from the way you dress to what you now believe. You have done what you said you would never do, you have moved on. It was impossible those many days ago, unimaginable. You laughed when I suggested that things could be different. I remember but it’s ok, everyone seems to in the beginning.

And that’s the good news at the end of the fairy tale, or is it at the beginning? I was always a firm believer that good things happened to other people. Then I grew up a little. I wasn’t sure I wanted to get better, but I did. Much slower than I thought, but it did. People who are reborn know that when your parts go back together again they fit differently, somehow. You are changed and you know it. Happiness means something different now than it once did. You have finally said goodbye to your emotional youth, though not without a fight.

But it’s not really a fairytale, is it? I hope. Normal people who don’t look good under florescent lights can relate to this story. Even the almost happy ending. Don’t give up, it always seems impossible at the beginning. Even if that beginning is the sixtieth beginning. And while we’re talking about it I give you permission to let go of some of the shame and guilt. Seriously, haven’t you done enough penance? Sure you screwed it up, welcome to the real world. I keep screwing it up and I get paid to know this stuff. Time after time clients complain that they constantly fail. They have broken self-esteem. Some people even stop coming to see me because they are so embarrassed that they screwed up again. Please, don’t think like that. It doesn’t matter if you fell down again. Don’t listen to the critics, especially if you are one of them. When people come to me and sheepishly confess that they are abysmal losers all I ask is, “So what lessons have you learned?”. No guilt, no shaming. I might be an idiot but even I know that you have beaten yourself up enough.

I learned that I was usually more vulnerable that I wanted to admit. I realized that my issue was a lot stronger than I wanted to believe and I needed to respect my opponent. I finally learned that each and every one of my failures taught me something about myself that I needed to know. And one day, that last day, I walked away. I don’t why it was that time but I must have been ready. And many, many of us can testify that they finally healed.

Forgive and Forget?

Published on by Scott Williams15 Comments

Probably not.

Many of us have talked to someone about our painful past. Most likely you have heard the advice, “you can forgive (with help) but you probably will never forget’. This is generally good advice and is given when people ask, “how am I supposed to forget what he/she has done?” In cases of violence against persons, hurt, or abuse, unfortunately forgetting is rarely an option. Even years of intense counselling cannot erase some memories. Anyone who says otherwise is probably selling something.

But what about forgiving? We have all been taught in church or school or by a guardian that we need to forgive those who have harmed us. There are a plethora of stories of individuals who have chosen to forgive the person who has murdered a family member, or done egregious harm. Let me make this perfectly clear so there is no misunderstanding of where I am headed with this. In my experience this is the EXCEPTION, not the rule. Most of us in similar situations spend our entire lives seeking to work through such pain. There is counseling and prayer and screaming and tears and more counseling. We are taught to move forward, and many of us do. It takes time and tears and work to loosen the grip such experiences have had on our lives.

Most of us have been taught that moving forward is primarily a matter of forgiveness. This is not always good advice. Telling a patient that he or she must eventually forgive their rapist, for example, is overwhelming and inconceivable at the beginning of the journey. It may be possible for some to eventually forgive after working through much of the pain, but is this the only option?

Let me suggest a third option (as opposed to bitterness or forgiveness). Many of us will never be able to fully forgive those who have injured us. Common wisdom dictates, therefore, that we will never “truly be able to move forward.” As a result, even with counseling or prayer or whatever floats your boat, we remain in bondage to that trauma for the rest of our lives. This often has catastrophic ramifications. Untreated trauma can lead to all manner of mental health issues from depression to hoarding to constantly painting our front room, to being unable to commit to a healthy relationship, or have an orgasm, or cope with catastrophic shame and pain. “Trauma trumps all” as the saying goes and leaving it untreated is often a prescription for a haunted life.

So what is the answer?

Over the years I have worked through hurtful memories with hundreds, even thousands of people. We are taught in school that tools such as Exposure Therapy help clients to deal with such issues. Clients are often encouraged to tell their stories over and over again until they can do so without the emotional discharge. There is some wisdom in this, in spite of the fact that Exposure Therapy no longer enjoys the popularity it once did. What is good about such methodologies is that contained within is a nugget of dynamic truth.

Here’s what I often tell clients. Sometimes moving forward is more about boredom than forgiveness. Let me put this another way – Let’s deal with you story until it bores you (figuratively speaking). Let’s work through your stuff until you learn enough, hurt enough, think and feel enough, that the tragic parts of your story lose their power… until one day you realize that you want to talk about something else.

And therein, as the bard said, lies the rub. There is real power in teaching your heart to listen more to your head. Most of us are a raging bundle of hormones and emotion and tend to make decisions and have opinions based on how it “feels”. Therapy will help you gain perspective. The real message of counselling is, “change your mind and your ass will follow”. You are hurt. It often becomes virtually impossible to see beyond the pain. I often tell clients, “when you are really hurting it can feel like you are insane. You think and do things that are born out of that pain and it is almost impossible to be objective. You may not understand, in such times, what is the best for you. You may not care. Movement involves wrestling with the demons until you are able to loosen the emotional hold such memories can have on you. Until your story becomes less interesting to you. Until you are able to push ahead without being ambushed by the pain. It still hurts, but you are on the move.”

Bore Me To Life

Published on by Scott Williams4 Comments

I have spoken with a lot of people about trauma. It’s kind of my job. Rarely a day goes by without hearing about someone’s life taking a tragic detour, of heartache and ruined families and ruined lives. That’s pretty much what we call “a week day” around here. I love it and I hate it.

Most of us know a little something about trauma. We’ve seen enough and heard enough to believe that people who have deep-seated resentments need to “get it out”. Pain breeds bitterness and bitterness breeds an ugly and petty life. Just get it out.

I used to think that “getting it out” meant that we had to go over every little ugly detail, line by line, over and over again. We called it Exposure Therapy, we called it CBT. We called it a lot of things. Over and over and over.

There may be something to that, though maybe something different from what was initially intended. Talking does, for reasons that often even escape me, help. This is not even a controversial truth. Everyone, with the possible exception of a few Scientologists out there, understands that counseling can have value.

Quite a bit of this is really about boredom.

The jury may be out on whether or not rehashing your childhood “until you can let go of it” is even possible. What I do know is that if we talk about this stuff long enough you are going to grow tired of rehashing it over and over. Eventually I am going to wear you down until you care about that issue – 1% less. With time the emotional death-grip that this hurt has on you begins to loosen, very very slowly. With time the details seems to matter a little less. Talking about something you have spent your life trying to ignore helps to loosen up the vice. There is insight and perspective, arguments and pain. One day you realize you haven’t grieved in a few days and you know that you are learning to walk again.

Time heals, sometimes.

Working through your issues and coming through to the other side is less about techniques and more about showing up. If you find a counselor that doesn’t suck and are willing to put in the effort, anything is possible. It may take a lot longer than you first imagined but it is always, always worth it. You have only one life, and I don’t know about you but I do not wish to spend that life broken.

Maybe moving forward begins with some of us walking into a counselor’s office and saying, “bore me to life”.

Making It Work After Someone Cheats

Published on by Scott Williams9 Comments

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Not everyone can do it. I’m not sure I could, to be honest. Many couples choose to stay together after infidelity and I salute them. Remaining together is one thing, trusting ever again is another. So if you are in this situation, what can you do?

Earning trust back is a monumental task requiring an incredible amount of humility from both partners. It takes way longer than people want to admit. I have, however, seen couples who are committed to making things better, in spite of the horror and the obsessive thoughts, jealousy, and pain. Sometimes.

Working as a counselor I have, as you can imagine, my share of marital issues to wade through with people. Nothing comes close to the difficulty of rebuilding trust and safety. Trust and safety – two words that constantly come up when I talk to clients, especially female ones.

People don’t generally understand how devastating infidelity can be. For the partner who has been rejected (yes I said that word) the process can take years, if ever. There are nights and days of obsessing about the “why” of it all, about how they have failed as a lover and a spouse. There are hours and hours of anger and more obsessing. Even being touched by the cheater becomes loaded, and potentially volatile. The spouse who has cheated is often subjected to months and years of the “short leash”. They are forced to phone more often, report in more often, talk to potential attractions much less often. Sometimes there is punishment and condescension, anger and vengeance. The one who is on the short leash usually grows tired of the lack of trust. Why can’t your partner ever seem to move on?

Spouses who cheat, especially men, are prone to verbalize how tired they are of not being trusted. Many will, after some months, flatly refuse to jump through any hoops or even talk about the infidelity… yet again. They are sick of the same tears, the same logic, the same belittling. A surprising number of relationships break up a year or more after the actual incident. Things just won’t seem to go away and both partners are not getting what they need.

If you have been betrayed in this way the first thing you need to understand is that there is no template for how to respond correctly to such a nightmare. It’s so easy for counselors to give out prescriptions for happiness but the sad truth is that most of us are permanently damaged. There can be forgiveness, even reconciliation, but the relationship will change. For some of us leaving is the only emotionally healthy option.

If you or someone you love is tortured by infidelity, either their own or someone else’s, encourage them to talk to a professional. The most important part of moving forward is personal healing, no matter what the outcome. Learning how to process what has happened is the key to healing. Time doesn’t hurt either.

No one really knows what you are going through although some of us can understand that pain. Whether it’s your parents or your partner you owe it to yourself to do everything necessary to be whole again. You’re worth it, in spite of how you may feel right now.

The Truth About Suicide

Published on by Scott Williams13 Comments

Most of us will probably be touched by a suicide in our lifetime. In a world that fancies itself evolved, suicide remains a leading cause of premature death and is more popular today than ever before. There are groups and chat rooms dedicated to the promotion of suicide and it is not uncommon to hear of suicide pacts and self-inflicted copycat deaths. Some cultures create cultural myths and mores which promote, even glorify, the suicide act. Rock stars do it all the time.

There is so much misinformation and misunderstanding around suicide that it is difficult to know where to begin. I regularly meet clients and patients who have been devastated by the suicide of a loved one and subject themselves to self blame, recrimination, and second-guessing on a pathological scale. Sons are still mad at fathers who killed themselves twenty or even forty years ago.

How could someone do that to themselves? How could someone do that to their family? How could a sane person have ever convinced themselves that their children and family would be better off without them? Isn’t that insane?

You know it.

I thought of taking my life once, or rather, constantly for a single period of time.

I can look back at that Scott and see that he was an incredibly sick little boy. He was completely and totally off his nut (sorry for the clinical terminology). I look back at that Scott and I can see clearly how he could believe that he should take his own life. I can re-enter his mind and see what he sees, taste what he tastes. I’m back there right now as I write. He’s crushed, broken, deeply wounded and unable, even unwilling, to lift himself up. He’s insane with grief. Is he capable of believing that he should end it all?

Why not.

I did a lot of things I regret, once a long time ago. It’s easy to wallow in the guilt and the muck and actually believe that this insane, crushed, broken man was fully responsible and incapable of being forgiven. If health has taught me anything it’s that I need to be more gracious to myself when I was sick.

Back to our topic.

I have no idea how you are reading this article but it was intended to bring healing to someone out there who still cannot let go of the anger and the pain. Maybe it will help someone else become more empathetic, more understanding of those who are battling mental health issues. They were insane, and insane people do insane things. It was never your fault. It wasn’t even really their fault. People in their right mind do not take their own life. I know.

Spitting At My Wife

Published on by Scott Williams7 Comments

English: A sign forbidding spitting in Shijiaz...A couple is in the shower and he is brushing his teeth. Lately showering together has become routine and he is feeling playful. On a whim he spits his toothpaste onto his wife’s back. Playful. Fun. Spontaneous. Funny though admittedly gross.

Not so much.

Most guys would find that hilarious. We have a deep and intrinsic understanding of gross stuff you can do to your friends without needing bail money. Farting is hilarious. So are wedgies. Flinging poo – no I haven’t done that but it’s not funny! Seriously.

Ha ha… poo.

What could be more funny than getting your best girl with fresh tooth spit? Hilarious. So why isn’t she laughing? Granted, at the right time and place I know lots of women who can be much grosser than this. Hilarious. In this particular case, however, she was looking for a little intimacy, a little steamy assistance. Shocking as it may seem, some women don’t get off on being spit at. I know, I’m only talking hypothetically, but apparently it’s true. Even your innocent peeing down the drain doesn’t seem to amuse her.  Go figure. Girls are weird.

No one told me that I would have to spend the rest of my life trying to understand my partner. I earnestly had no idea that I would be donating so much of my time learning to interpret someone else’s words, emotions, body language, and intentions. I do this for a living and I am only now beginning to understand even the most obvious aspects of a female’s psyche. Relationships are ridiculously tough and anyone who is not growing in their understanding of their partner is doomed, in my estimation.

Negotiating a good relationship is damn near impossible some days. Moving forward when you are angry or feel misunderstood, and live with someone who is not willing to be humble enough to learn, well that’s another thing altogether. Throw in passive-aggressive personalities, emotional immaturity, money problems, neediness, addictions, chronic pain, mental health issues, family problems, entitlement, insecurity, past trauma or sexual abuse, unresolved conflict, lack of sleep, misunderstanding, or someone who is angry or emotionally unavailable, and you have a recipe for conflict, confusion, and potential misunderstanding. Compound this over several years and it is no wonder, then, that couples grow bitter, interpret every issue as confrontation, or build their own little damaged worlds.

Relationships are hard. Many are worth it. Do the work. Reap the rewards.

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Do I Like It Sick?

Published on by Scott Williams12 Comments

Many spouses will stay in a relationship that is sick and twisted, but why?

It is a truly terrifying story – a young girl grows up in a sick home and is repeatedly sexually abused by a relative or family friend. This person then becomes sexually active at twelve of thirteen with a boyfriend who in his mid-twenties or beyond. Often this is followed by a period of extreme promiscuity. They are sexually intimate with every boyfriend and come to believe that this is expected of them if they want to stay in that relationship. She starts to associate sex with being loved or loving someone else appropriately. They often engage in sexual acts which they do not enjoy, most of which are degrading in some way. They have an overwhelming compulsion to “perform” in order to be loved. For some strange reason, however, after they have settled in with someone they discover they are not truly happy and still have trauma and self-esteem problems. They struggle to find the intimacy and completeness in romance that they so desperately yearn for.

In counseling it often becomes apparent that this person is actually attracted to the sickness they have come to associate with love. They go after the “bad boy” or they seem to hook up with men who are always emotionally unavailable, their romantic interests usually are selfish, misogynistic or emotionally unhealthy.

If you can relate to what I am writing about then it’s time to ask yourself a question, “Am I attracted to this person because of their sickness or their health? Is this person irritating me right now because they are desiring something healthy (emotional connection, vulnerability, working on the relationship, planning for the future, stability, etc)?

Is it sick or is it healthy? I often send my patients home with this homework. For the next two weeks ask yourself, whenever you feel emotional in your romantic relationship, is this sick or is this healthy?

When he ignores me I pursue him. Is this sick or is this healthy?
I feel repelled by his attentions. Is this sick or is this healthy?
I am overly critical or easily angered by this person. Why? Is it sick or is it healthy?
He/she never seems to live up to expectations. Is this sick or is this healthy?

You get the idea, a good exercise for whenever we are struggling with our loved ones. Ask yourself, “Is what I am experiencing a result of a healthy and legitimate concern, or is this an unhealthy response to a sick situation?”

That may not be a bad idea for any of us.

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When Intuition Is A Curse

Published on by Scott Williams13 Comments

When people come into my office and tell me, very early in a conversation, that they are ‘intuitive’ and ‘can see into people’ I often wonder if they have had trauma. The longer I do this for a living the more I realize that some of us developed our insights into humanity as a protection mechanism. We never knew, when dad or mom walked into the room, whether we were safe or in danger. We had to develop the skill for knowing how to react around instability. We constantly had our radar on. To this day, when we walk into a room, we are keenly aware of how people are feeling and reacting. We have a ‘bead’ on people and think it’s a gift. For some people a gift born out of a curse.

Trauma does weird things to people. Some other day I will talk about the link between trauma and hoarding, or people who can’t seem to finish projects, or those who go from romantic relationship to romantic relationship and consistently make bad decisions. People with trauma often repaint their house too often, or have spending or drug addictions, or have difficulty making decisions. Most trauma survivors become control freaks. Trauma has a way of twisting us emotionally and relationally, of creating fear and insecurity.

A few days ago I went to Swiss Chalet with a close friend who is a 6th Dan Master at his martial art. As we walked to the restaurant I was not worried about being jumped or attacked. I was hoping. When I’m with my martial arts buddies there is little danger of violation. My radar is turned off. The world is a safe place and I am not even remotely worried. Most people grow up in a world that is safe, and therefore have no pressing need to become discerning when they are at home or on the playground. For them the world is a safe place and they have no need for emotional radar.

A few years ago, in a trauma group I was leading, a woman shared about her afternoon and the fearful event she had endured just prior to group. She was in a McDonalds parking lot when two men in hoodies, with the hoods up, approached her in the twilight. As a victim of trauma she was keenly aware of danger and had struggled all her life to trust men, especially strangers. Some time in her past she had been attacked by men, beaten and raped. That late afternoon in the parking lot her radar came on and the meter went through the roof. As she walked across the parking lot she felt her pulse quicken, she began to sweat. She started to panic. In her mind she imagined violations galore and began to catastophize and soon found herself running to the door of the restaurant, in a state of extreme duress. She grabbed the door, threw it open, and fled into the bright lights.

From where she was in the restaurant she watched in horror as the two predators entered the restaurant, pulled down their hoodies and…

… they were ten or eleven year old boys who were completely oblivious to her presence.

One the primary characteristics of PTSD and trauma is something called ‘hyper-vigilance’.

That night in group we talked at length about her fear, born in trauma and pain. It was the beginning of a journey for her, one that takes far longer than people want to admit, filled with counseling and discomfort and setbacks. A journey to freedom. As we say in counseling – trauma trumps everything. What that means is that if you have experienced severe trauma that depression or anxiety you are feeling may not just be because you have situational issues right now that are bringing you down. You need to deal with your emotional trauma, before it ruins the rest of your life. It is a difficult journey but a necessary one. Get help. Talk to a counselor who understands trauma and doesn’t suck.

You’re worth it.

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Dealing With Your Baggage

Published on by Scott Williams5 Comments

child abuseSexual abuse is destroying our society. It’s almost impossible to find accurate statistics on the percentage of women who were molested as children and adolescents. Numbers vary wildly between 20-60%. Statistics about the molestation of boys hovers somewhere between 6 and 24%.

Emotional and physical abuse statistics are difficult to measure but can be equally as devastating, and not just for children.

What everyone does agree on, however, is the devastating impact of sexual, physical and emotional abuse and neglect. Almost every day I hear story after story of pain and abuse from earliest memory to adulthood. I have often contended that just about everyone has endured some form of abuse by the time they are in their forties. It is easy, therefore, to believe that there is no hope, no cure, no relief from something that looms so large that it feels impossible to overcome. But what if it could be dealt with? What if the effects of this hell on earth could be diminished, even alleviated?

Trauma, whether from childhood or as an adult, is devastating and left undealt with, often affects us for the rest of our lives. Even those of us who have not had a ‘trauma’ event, so to speak, may also have the effects of trauma due to long-term abuse, neglect, or situations which have damaged us emotionally or physically.

Maybe you were not sexually or emotionally abused as a child but wonder if you may still have real baggage. Maybe you grew up in a single family home and it has left you tainted or emotionally wounded. You may have had an emotionally unavailable parent, heard more than your share of verbal abuse or yelling, or had parents who drank too much or used drugs.

Divorce can often have devastating effects on children as well. So can witnessing violence, so can growing up with insecurity or self-esteem issues. Your parents may have shown you dysfuntional ways to deal with stress or relationships.

Although we have different issues, many of us are carrying baggage around. In my course on Trauma we talk about some of the bizarre ways this has impacted many lives. Survivors of trauma are often hoarders, or cannot commit to a relationship, or have difficulty finishing problems, or have long term sexual issues including the seeming inability to be sexually satisfied.

Wounded people often struggle with more loneliness, are far more critical of themselves or others, or are what we call hypervigilent. Their danger radar is especially fine tuned and they are constantly on a high state of alert. There is even evidence to suggest that many who consider themselves ‘discerning’ or ’emotionally in tune’ are actually victims of trauma who have developed this hyper awareness as a defence mechanism.

The list of potential issues associated with trauma goes on and on – difficulty relaxing, problems with intimate relationships, difficulty sharing feelings, extreme reactions to normal situations, anger and anxiety, cycles of abusive relations, approval seeking, etc.

Counselors often say that “Trauma trumps all”. They mean that there are clear indicators that trauma affects every area of your life. If you have not dealt with your baggage it is very likely that you are not living the life you were meant to live. I meet people all the time who have been carrying around this garbage for years, for decades, who believe that there is no choice but to stuff their hurts and try to cope the best they can. While this may work for some, it didn’t work for me. Maybe it isn’t working for you either.

If you are weighed down by a backpack of abuse, neglect, and pain you need to know that there is hope. Working through your issues may be hard but it can lead to hope and liberation. You don’t have to spend the rest of your life reeling from the hurts of your past, no matter the issue.

Talk to someone. Find a friend or colleague that understands and empathizes. Or better yet go see a counselor that doesn’t suck. You can do it.

You’re worth it.