Anger and Stress Management Tips for Satisfying Relationships by Dr. Jeanette Raymond, Ph.D.

Unable to sleep for the third night in a row, thirty-six-year-old Orrin, an investment analyst, got up and took his prescribed pain killers for his lower back pain and sciatica. The relief was temporary and he awoke from a drowsy state with intense throbbing pain down his right buttock, thigh and leg. His lower back pain made it difficult for him to get out of bed, so he used the cane he kept near him to push himself up. He was angry that the pain medications weren’t working, and even angrier that all the physical therapy and meditative exercises he performed regularly had little to no effect.

At work, using his ergonomic chair and work station, the pain persisted, and the stress gave him a nagging headache. When he missed the perfect moment to make a trade for one of his customers, he wasn’t aware of being angry and he just kept going, trying to compensate by working harder. As the journal Anesthesia & Analgesia, 2007 indicated, chronic pain not only makes you uncomfortable, but impairs memory and concentration

He hated the carefree attitude of many of his colleagues, believing that they were shortchanging their customers, and ultimately tarring him with the same brush. He nipped his rising anger in the bud and tried to outdo the performance he had achieved yesterday. But the stress of being mocked by the team elevated the pain in his lower back, and gave him stomach cramps. He was in agony, and took more pain medication that gave him little or no relief. He tried walking around to relieve the pressure on his sciatic nerve but he was so tense that it was a washout.

His thirty-eight-year-old wife Amy offered to massage his back. It felt both relieving and anxiety provoking. He recalled the times when he’d longed for his mother to soothe his headaches and stomach aches, his cuts and bruises and his fears and doubts – but she usually palmed him off with candy and/or video games. He remembered how angry he used to get, but he never showed it, terrified that if he did, she would retaliate with her rage. His mother’s rage was unpredictable and fierce. She would throw food around, hurt he dog and yell at Orrin just for being around! He had prided himself for not losing his cool as he grew up. But was it worth it?

Orrin grew to be afraid of his back pain and stomach cramps returning when the medications wore off, or when he went back to his stressful work environment. It was the same fear he had as a kid when he anticipated the pain that would come with his mother’s smacks and verbal abuse. Negative emotions interfere with the brain processing of actual pain, increasing the anticipating of pain, which in many cases makes it worse, as reported by Gastroenterology, 2011.

Later in the week as Orrin’s throbbing lower back pain prevented him from sitting in his office chair, he found himself welling up in tears.  Sadness enveloped him, making his pain feel even worse, as outlined in an article published in Biological Psychiatry, 2010 – which found that sadness disrupts some neurocircuit pathways in the brain that process pain.  Sadness and depression drive the pain, making it feel much more intolerable.

Despite the sadness, Orrin was very aware of his anger and didn’t ignore or re-label it as ‘just frustration.’  He was furious that the one thing that usually distracted him from the pain – his high pressured and fast paced work – was not possible. He swore and cussed under his breath, threw down his briefcase and went outside. Walking along a nearby nature trail he let out his anger. Sometimes it was by kicking a twig and other times by repetitively banging one rock on another, while swearing and cussing to the squawking crows around.

A couple of minutes later his pain had substantially subsided. He couldn’t understand it, but the relief was palpable. The Annals of Behavioral  Medicine 2013  published an article demonstrating that only Anger Awareness and Expression Training (AAET) was effective in promoting emotional processing and expression leading to less pain, particularly in headaches. The authors indicated that the paid reduction comes when swearing triggers the fight-or-flight response of stress, obliterating the link between fear of pain and the pain itself.

Having put his emotional pain into words by expressing his hurt and anger that he harbored over so many years, released his physical pain. The journal Emotion reported in 2007, that attempts to suppress anger amplifies all the irritating and uncomfortable aspects of pain perception. So by taking the muzzle off his anger reduced the sensitivity of the pain receptors and brought some respite.

Copyright, Jeanette Raymond, Ph.D.

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Disclaimer: this article is for informational and educative purposes only. Dr. Raymond is not responsible for any reactions you may have when reading the content or using the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Jeanette Raymond

Anger and Stress Management Tips for Satisfying Relationships by Dr. Jeanette Raymond, Ph.D.

It was eleven o’clock on a Tuesday morning, and Raul, a thirty-six-year-old property developer was struggling to keep his mind focused on the high powered meeting he had organized. He felt sluggish, his mind wandered and he could barely keep track of the agenda items he was supposed to bring to the table.

For the last six months he had felt lethargic and uninterested in things that he usually enjoyed. He stopped playing squash with his best mate, and he rarely went out on Friday nights with his interior designer wife Pat to their favorite restaurant as they used to do. His day-to-day routine felt awkward, as if he were undertaking something foreign. His autopilot stopped working and he had to force himself to think hard about the simplest of things over and over again.

Raul was depressed but he didn’t want to admit it.

It couldn’t be happening to him. After all he was the whiz kid who started his own company at age 18 and rocketed to becoming the biggest and most famous property developer in the State of Utah. From fancy upmarket shopping malls to exclusive residential gated communities his name was on all the signs. But just when he was about to expand to China and India, his body slowed him down. At first it was just the odd headache that stopped him from ‘Skyping’ all night with people on the other side of the world. Then he developed a pain in the back of his right shoulder that made him feel he was carrying an enormous weight. A week later he noticed that he was clenching his jaws and gritting his teeth – unable to relax his facial muscles. Then the pain all the way down his right leg throbbed and kept him awake night after night.

Medications didn’t help like they used to, and Pat’s home remedies and massages felt loving but did nothing to ease his symptoms. Slowly Raul’s various aches and pains turned into a sort of panic. When he got in the car every morning, he felt his heart race for at least 30 seconds and he often wondered whether he was having a heart attack. Yes, he knew that he should slow down and smell the roses, but that was crap! He needed to prove that he could do what his father talked of but never did. Raul wasn’t a dreamer, he was a doer! Yet no matter how much he achieved it wasn’t sufficient proof that he was not like his dad.

The stress of trying to be as different to his father as possible had been with Raul since he was fifteen – when he saw his dead beat dad take to the bottle after losing his job as an auto-mechanic –  giving up on life, and his responsibility towards his family. Raul’s anger was murderous, but he channeled it into making something of himself as an entrepreneur and had succeeded beyond his wildest dreams.  Yet the anger still rankled him. He had never expressed his fear of having to take care of his family after his father gave up, and he continued to be bitter about the way he was forced to grow up and support his drunkard father.

Years of bitter anger added to the stress of being robbed of his teenage years before his time. But Raul’s discomfort with expressing it made the stress a chronic condition, ultimately leading to depression at the pinnacle of his career.

This time it was serious. It had lasted much longer than his previous dips into down states which he had always been able to get himself out of.  Now his whole life seemed like a nightmare that made him not want to do anything. The more he tried to force himself the less productive he was.

As reported in The Proceedings of The National Association of Science in May 2013, chronic stress makes depression last longer. It prevents regeneration of nerve cells in the brain that would normally counter the chemical imbalance linked with depression. So without the necessary neurotransmitters to change and rebalance his mood, Raul was suffering a longer spell of depression than usual. And this time it was seriously threatening his entire way of life.

Until one day he couldn’t express his words clearly to his colleagues and partners around the world. He snapped at his wife and couldn’t bear her to touch him or want to have sex with him. That’s when he made the call to me and decided to come into psychotherapy, something he had thought weak and stupid for most of his adult life.

As we worked on the raw hurt of his early life Raul’s physical pain eased considerably. At first he felt the pain less intensely and later it was less frequent – we could always trace a flare up to emotions that he had not dealt with, that were adding to his stress load. But most important of all, Raul was able to decide what kind of man he wanted to be irrespective of his parentage and the hell he had been put through. He no longer needed to be the high powered executive since there was no one he had to prove himself to any longer. Instead, Raul and Pat took on exclusive clients and built their dream homes – inside and out – just as Raul had done for himself.

Copyright, Jeanette Raymond, Ph.D.

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Disclaimer: this article is for informational and educative purposes only. Dr. Raymond is not responsible for any reactions you may have when reading the content or using the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Jeanette Raymond, Ph.D.

Tips on anger and stress management for satisfying relationships from Dr. Jeanette Raymond, Ph.D.

Insomnia frustrates Hudson

It was getting to be a bit much. The constant waking up in the early hours, or just not being able to get off to sleep at all. His mind just wouldn't shut down. It seemed to start just as he was closing his eyes, hoping to sleep. The intrusive thoughts were relentless now that he wasn't focusing on anything else. It was as if they delighted in using the space in his brain to torment him. He thought about what he should have said and done, what he would do next time, what might happen, what others may think and worried over other scenarios that his imagination foisted on him.

Insomnia made Hudson feel out of control and unable to enjoy life

Sleepless nights turned into weeks of irritability and stress. He wished he could stop worrying about his girlfriend’s commitment to their relationship. The thought of restful sleep was alluring, but anxiety kept his mind spinning. He went over their conversations imagining the outcome if he had said one thing rather than another. He was trying to undo mistakes in his mind, or he was way ahead in the future preparing for bad things that may happen. All the good sleep hygiene rules that he followed failed to help him relax and fall asleep.

He found it hard to relax and enjoy any moment for fear he would take his eye off the ball and land up in a big mess. Stress induced insomnia, brought on more stress and that in turn made sleeping less likely.

Stress and negative childhood experiences are precursors to insomnia

A report published in Stress and Health, 2012 found that childhood but not adolescent stress was strongly linked to shorter sleep periods, longer times before falling off to sleep and more movements during sleep for individuals that continued well into adult life. Prolonged childhood stress predisposes adults to sleep disturbance irrespective of later life stresses and later onset anxiety and or depression.

A study published in 1981 in the Journal of Psychosomatic Medicine found that the onset of insomnia coincided with stressful life events such as losses and illnesses compared to good sleepers. The childhood experiences of insomniac’s were most likely to be characterized by

1. Poor relationships with their parents.

2. Discontent with the quality of family relationships.

3. Less than satisfying relationships with friends and colleagues as they became adults.

Hudson had little contact with his biological father, and felt guilty and ungrateful if he wanted to spend time with him. Relationships were precarious, inconsistent and unreliable, making him very insecure. He believed he had to make family members happy at all times. He He never learned how to regulate feelings since no one spoke about it or modeled it for him. Everything was seen through a rigid prism of constraint in order to remain in the family circle. He was terrified and consumed with anxiety that if he lost control of his anger it would get the better of him, resulting in permanent loss of all significant relationships.

Hudson's anxiety about not being able to make relationships leads to insomnia

As an adult Hudson was having the same trouble making good solid connections with women and friends. He had no good models to learn from, and just kept repeating the same pattern of failure. His efforts became forced, stemming from fear and a need to control. The harder he tried the worse the results. Failure led to more stress showing up in long periods of insomnia.

photograph copyright, Jeanette Raymond, Ph.D.

How can Hudson improve relationships and sleep again?

1. Take one moment at a time and be fully in it.

2. Focus on other people’s interest in him without trying to mold or control it.

3. Tune into the calmness and purity of the connection that has no expectations or demands.

4. Check in with himself and feel what he wants at that moment. Go with it as near to the time of awareness as possible.

5. Notice that nothing bad is happening in that present moment.

Hudson succeeds in relationships and gets to sleep!

Hudson practiced these steps while in psychotherapy and was amazed at his ability to tolerate uncertainty from one minute to the next. He began to enjoy the relationships he was building without expecting the worst. He learned that being himself was enough for others and now he is trying to make it enough for himself. As a result the stress hormones in his system abated, making it easier for him to sleep.

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