Anger, Stress and Anxiety Management Tips for Satisfying Relationships

A LACK OF SELF-CARE LEAVES YOU DEPLETED WITH NOTHING LEFT TO GIVE AND NO CAPACITY TO RECEIVE

 

Are you exhausted taking care of your partner, your family, your extended family, your colleagues and your living arrangements?

Does it make you feel good that you attended to your partner and children, put them first and played the role of dutiful and loving care giver?

Perhaps you think that by making everything and everyone else your priority that you will be rewarded with appreciation, recognition, and admiration.

But there is probably another part of you that is aching to get off the treadmill and feed your soul. You know you are depleted and often not able to enjoy your relationship as much as you would if you didn't feel burdened with never ending duties and jobs.

You know that most of the day you shut off your feelings and needs because they conflict with your dutiful self. So you kind of 'die' inside, feeling less than human.

When you aren't able to fully enjoy your relationship, you put it in jepoardy. If you can't fully participate emotionally then the threads of connection get lose and threaten the unity between you.

In order to avoid losing your connection, you have to take care of yourself and others. It's not an either or situation, it's a "both" scenario. It doesn't mean leaving them and going on trips or avoiding chores for a day or two, but rather a recognition of your humanity and the important role it plays in maintaining and sustaining your most important relationship.

What is self Care and Why is it So Important In a Long Term Relationship?

Self-care means you tune into your feelings and needs, and take charge of getting them met. Self-care involves putting your contentment and fulfillment in your own hands, being empowered to create and utilize opportunities to have your emotional needs met – for security, stability, achievement, caring and being cared for.

Self-care is about valuing yourself in an authentic manner and taking your emotional and psychological wellbeing seriously. It’s more than just surviving physically so you can get by on autopilot. It’s about functioning as a tuned in, grounded, centered and flexible person, able to go with the flow of emotional upheavals that would otherwise decimate you.

Self-Care is relevant to both men and women struggling to keep their balance in relationships in same sex and heterosexual connections

The evidence for self-care in maintaining good mental, emotional and physical health

Science tells us that self-care is essential for healthy relationships with good boundaries and realistic expectations. Without proper regular and consistent self-care people end up in abusive relationships, co-dependent relationships, use and abuse substances and are prone to anxiety, depression, eating disorders, and psychosomatic conditions like chronic pain, gastric and skin problems.

When we neglect self-care we are depersonalizing ourselves and giving the power and authority to others to value us enough to take care of us.

For example many of my clients will go on till they drop to show their commitment and martyrdom to their loved ones. They do this hoping to get permission to slow down and take care of their need for down time, alone time, play time and soul replenishing time. Then they get angry when those same loved ones respond by saying, " I never asked you to do this!" Resentment festers on both sides, and distance grows as each party tries to navigate the trecherous waters of isolation versus relying on one another in a healthy way.

Taking Care of You Own Emotions and Needs Makes Less Demands on the Relationship, Making More Time for Enjoying Each Other

 

How did you get to be this way? How have you become a master at taking care of everyone else and a loser when it comes to taking care of yourself?

Growing up in an atomosphere where your parents needs competed and conflicted with your own sowed the seeds for neglecting yourself. You were probably focused on making sure your parents were okay and were rewarded for it by getting some attention or treat. On the other hand, if you cried out for what you needed or showed displeasure when you didn't get it, you were most likely berated and or punished. So your needs became dangerous and ugly. You survived by putting all your energies into taking care of those around you, waiting for the praise and recognition, that you were important and deserved care too.

Real life examples of clients who struggle with self-care

A. Joanne, a 37 year old carer in a residential home for the elderly, cannot stop working and has projects lined up so that when one finishes she has another. She gets anxious when she has ‘space’ for herself because it echoes her childhood desperate need to “work” to please and get attention from her mother who was a work- a- holic! Now as an adult she is not able to be emotionally present for her husband, She is drowning in guilt She has to break a toe, forcing her to stop her frantic work/exercise routine and take time for some personal space. As her therapy progresses she is beginning to notice that she gets care from me just for being herself and that she doesn't need to please me in order to get it. This is the beginning of her entertaining the idea that she is worthy, and deserves to care for herself.

B. Brody a 39- year- old banker is permanently stressed out. He travels for work, has a large team to manage, and feels overwhelmed when he is at home and the demands of a wife and young children get to him. He feels guilty if he spends time with friends, sleeps too long or responds to work calls when he is home. He tries to organize activities and do practical household repairs and such to take care of his family, but never feels that he earns some "me time." He keeps waiting and hoping that his wife will see the pressure he is under and take him off the hook. But she doesn't, making him feel inadequate. Instead of taking care of his emotional needs he doubles down on doing things in the home, and then in the guise of 'fitness', goes for bike rides, in an effort to free himself of the vicious cycle.

C.Helen a 45- year- old personal assistant and single parent of a teenage boy has a hard time with self-care. Keeping house and home for her son, earning her way in life and managing co-parenting with a difficult divorcee she is easily overwhelmed. She gets exhausted, depressed, angry, protests and then drops off the world into a bubble and does nothing – giving herself back to herself in a way. She also develops pains and ‘fainting’ that make her stop being a robot and take care of herself. Otherwise she numbs herself with food.After a period of therapy when she has allowed me to nurture her, she then takes care of herself by joining dance, photography, and other creative arts classes, as well as being with friends. 

D. Tyrone a 32-year-old self made business man worried about his three young children all the time. He didn't trust his wife to treat them with care and kindness becasue of her harsh personality. He put all his efforts into ensuring that his kids had good nannies, extra-curricular activities to which he accompanied them, and most of all he made himself available to adddress their emotional hurt, anger, frustration, desires and fears. He went overboard on the latter because he didn't have those important things when he was young. He knew the toll it took on him and went all out to make sure his children didn't suffer in the same way. But while doing this, he completely ignored himself. He was tired all the time, pushed himself when he was exhausted and irritable, He hoped that his wife would notice, and learn from him so he could let go a little. But that was a pipe dream. He was always at hand to help his mother and siblings when they needed something, and they never hesitated to ask because he was so willing . Similarly with cousins and other extended family figures He was known for his unselfish devotion to duty, except that it was killing him. He didn't have any sense of self-care until his health started to deteriorate. His blood pressure rose with his weight, he started drinking and suffered insomnia. Finally well into his therapy he began to see the value of self-care. He was feeling empty and cut off from his loved ones. He gave of himself, but got nothing in return and was angry and bitter. We worked on him saying 'no' when he didn't want to do things. At the same time, we worked on his guilt about it, and his fear that he would be alone and shunned if he didn't take care of everyone the way he had been doing.

 

 

 

 

 

Beginning The Act of Self-Care: Setting up strategies

One of the most important aspects of self-care is to realize when you need to depend on someone for something. Self-care involves knowing and allowing yourself to ask for help and support for as long as you need it while you are dealing with difficult issues.Recognizing your energy limitations, stress overload, need for sleep or solace is a vital component to self care. Waiting till you get ill and incapacitated or someone rescues you to ease your guilt and suffering is the opposite of self-care.

1. Develop a hobby and or interest outside the family and make it part of your life, not just fit it in if you suddenly have a few free minutes.

2. Work on being aware of and in tune with your body without trying to push yourself into exhaustion just to feel the 'burn!'

Yoga, running, hiking, biking, swiming, dancing, tai chi, etc. 

3. Make sure you have healthy boundaries with family and friends. That means not getting sucked into other peoples needs and treating them as kids, while being encouraging when they begin to take care of themselves. Healthy boundaries includes developing a skin that takes care of what you are experiencing in ways that honor yourself, without panicking or leaking out for others to mop up.

4. Make time for personal 'check-ins' to discover what's going on inside you so that you plan for and take care of your needs before they reach a crtical point. A 30 second check in several times a day works and when it becomes automatic, your awareness will ensure effortless maintaining of boundaries and satisfaction of need. That means you won't be over dependent or have others be overly dependent on you.

5. Express your feelings when they come up in the moment. That ensures that you don't stuff them, become stressed, ill and angry. Expressing your feelings in the moment educates others and maintains authenticity on both sides. Being true to yourself means you take responsibility for yourself, another term for self-care.

 

How do I as a therapist help clients engage in Self-Care?

In addition to helping my clients understand their mind-body connection, I help them view the repeated patterns of relationship interaction that create co-dependency rather than mutual inter-depenency. 

I have used art therapy – specifically collage to give them a chance to get in touch with and talk about their feelings, processing their experiences rather than just going at it. In addition I have found giving clients permission to step out of their routine and go to a museum, hike, spa, tea shop, farmers market etc. has been enormously powerful in developing habits of self-care.

 

copyright, Jeanette Raymond, Ph.D. 2016

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Anger, Stress and Anxiety Management Tips for Satisfying Relationships

Chronic pain is the most common debilitating experience for a quarter of all American’s under 60 years of age, and costs $635 billion a year to health care services. Opioids caused 18,893 overdose deaths in the United States in 2014, according to the American Society of Addiction Medicine. Andrew Ahn, chief scientific officer of pain research at Lilly, said opioids are effective against acute pain, but have limited and decreasing effectiveness against chronic pain. Recently, in May 2016 in JAMA Internal Medicine reported that opiods perform in a subpar manner for chronic low back pain. .An article in the Journal of Neuroscience, 2105, reports that strong opiates like morphine offer little relief because they don’t release the rewarding dopamine neurotransmitters that would ease chronic pain. The Journal Anesthesia & Analgesia, 2007 indicates that pain disrupts the process whereby you consolidate your learning into long-term memory storage. So when you can’t form a memory of a good feeling or experience during relaxation, meditation, yoga or other non-invasive practices, your chronic pain quite literally, drives you to distraction.

In many cases there is no organic source for chronic pain – MRI and CAT scans reveal no particular abnormality or malfunction that could be medically corrected. Alternative medicine such as acupuncture can help for some types of pain, but chronic emotional stress renders the benefits moot. Exercise, Tai chi, and meditation involve life style changes that many with chronic pain are not inclined to invest in while suffering.

But, there is enormous hope and relief available to you at little cost as a large body of research shows that intense negative emotions unexpressed are held in the body and are usually at the root of chronic pain.

It starts from early childhood when your care givers fail to tune into your feelings and soothe you while helping you feel safe. Perhaps you were shut down if you tried to express your anger, fear, distress or need for comfort. If so, you will have learned that it’s not safe to let your feelings out. So you stuffed them in the body trying to be strong. You may have little or no conscious memory of being hurt in this way, because early childhood memories are stored in the body. Furthermore if you grew up in an environment where no one talked of feelings, you never developed a vocabulary of emotional expression, and continued stuffing the bad feelings in your body.

Chronic Pain in Adulthood Often Stems From Childhood Adversitites

Children from high conflict homes, by training their brains to be vigilant, process signs of interpersonal emotion, either anger or happiness, differently than children from low conflict homes, (Journal of Family Psychology, 2015) and are more likely to feel stressful emotions in their body since they learned it was the safe thing to do.

You have been doing a valiant job trying to survive by holding in your stress, fear, hurt and desperate need for comfort and security. You’ve been so brave not showing how neglected, rejected and undervalued you felt by those who you were supposed to rely on. But in order to be the good soldier, you had to stuff those unbearable feelings somewhere, and the easiest place to do so was your body. After all, fear and anxiety is a physical experience – that pit in your stomach, and the racing heart, with tension in the muscles. You freeze and that fear is stored as a memory in your body because you daren’t show or tell for fear of being ridiculed or ignored. Over time, it’s become overwhelming and screaming out to you in pain, begging you to own those awful feelings, look at them, touch and feel them, understand them, digest them and free yourself forever.

For example the way in which you were attended to as an infant when you were uncomfortable and needing soothing, has a huge influence on the severity of chronic pain in adulthood. If you were left hanging as a kid, and never knew when or if you were going to be taken care of when you were then your focus was on getting the care, or trying to handle the fear of being ignored. These two styles of attachment, known as the ‘preoccupied’ and ‘fearful’ styles of attachment are associated with heightened pain severity, and pain catastrophizing’ according to a report by the American Pain Society in 2009.

Another study reported in Cognitive and Affective Neuroscience, 2015 found that greater levels of cumulative stress during childhood and adolescence predicted lower reward-related  activity in the ventral striatum of the brain in adulthood. Lower rewards in this part of the brain means that pain becomes more prominent and persistent.

Childhood stress and psychological abuse and neglect has been shown to increase inflammatory markers in the blood stream that continues into adulthood. Inflammation caused by stress leads to chronic pain and becomes a major health issue, (Molecular Psychiatry, 2015). Women who have been severely mistreated and abused emotionally and or physically end up with chronic pain through heightened cortisol levels that reflect permanently altered stress hormones.

 

 

Chronic pain can be viewed as a learned memory, reported The 9th Annual Canadian Neuroscience Meeting, 2015 Just like in the way that repetition of a piano piece enables you to learn it by facilitating transmission of the appropriate signals through your neurons, pain that persists can become chronic because your neurons become more efficient at transmitting pain signals. This strengthening of connections between neurons through repeated use is called Long Term Potentiation, because you have kept those emotions stuffed, and then add repeated layers of uncomfortable feelings. So the pain gets stronger and they feed off each other.

Chronic Pain is Reduced By Expressing Anger and Sadness Bottled Up For a Long Time

Let’s take the case of 35-year old Matthew who suffered chronic right hip pain with excruciating sciatica all down his right leg. He was irritable anticipating the pain as he woke and got out of bed, having to brace himself against the pain as he stood up. The persistent chronic pain affected his mobility, sapped his energy and made him want to give up on life. Imaging scans revealed no abnormalities or bone loss. Strong medication made him nauseous, physical therapy increased the pain; and massage was only temporarily soothing. Matthew was constantly tense and ‘armored up’ ready for the pain, wishing he could control it. He tried comfort food and alcohol but it was a fleeting sense of taking action that made him feel good. The pain remained, like a dark shadow he couldn’t shake and had to succumb to.

While in therapy to deal with marital conflict, Mathew noticed that when he felt understood and accepted, his pain went away. He discovered that when he went camping or sailing, and when he played with his kids, he was pain free. But he wasn’t aware of it at the time: it was only when he reflected on his experience of comfort versus discomfort that he made this connection. As he got more connected with his emotions Matthew realized the rage inside him about having to play a parental role in his marriage, just as he had parented his mother during his childhood when she ‘lost it,’ and frequently panicked. As we explored his earliest experiences with information from his grandmother and mother, we learned that his mother was sick after giving birth, , and his care became somewhat haphazard. Matthew as you can imagine wasn’t secure and couldn’t rely on care givers to meet his needs. Fear for his survival and later anger at his mother for not being emotionally strong – all went into his body, and it was only when he was safe and received consistent care in therapy could he reconnect with these awful feelings. When he did feel them in session the pain lessened, once we started putting words to them.

He began to notice that the pain got worse when he anticipated his wife demanding that he behave a certain way, and haranguing him when he didn’t live up to her expectations. It was the same when he knew he had to spend time with his mother and brother who derided him for not molding himself to their ideal. But he never told them how he felt. He never shared how angry he was at being controlled, nor how he feared that his autonomy and individuality was being crushed. He tried to be ‘above’ it, as if nothing touched him – except that it did, on a continual basis, resulting in severe and chronic pain in his body. The journal Emotion , 2007 published a study that showed that attempts to suppress anger may amplify pain sensitivity by ironically augmenting perception of the irritating and frustrating qualities of pain. Matthew was keeping his pain bottled in and feeling more pain as a result.

Chronic Pain Management Success – Research Shows Emotional Expression Relieves Pain

It took a long time for Matthew to feel safe enough to express his anger and terror of being squashed in session with me. But when he did, he felt seen, heard and acknowledged. He was validated and the pain vanished until the next time he ignored his feelings and let his body scream out his emotional pain.

The Annals of Behavioral Medicine, 2013, published a study that anger awareness and expression training was effective in helping with headaches, and it’s likely that Matthew whose therapy was facilitating anger awareness, will also be helped to deal with his hip and sciatic nerve pain.

 

Chronic Abdominal and Musceloskelatal Pain Releieved By Expressing Long Suppressed Emotions

At the age of 40 Sara had been suffering from a range of chronic pains including stomach cramp, ankle pain, ear ache, neck and shoulder pain as well as back pain. These chronic conditions that flared up from time to time and caused enormous exhaustion trying to manage them, since neither homeopathic nor traditional medicine appeared to offer relief or an understanding of the source of the pain. There were no organic abnormalities and other than binge eating when she needed to comfort herself, health wise Sara was doing okay. She went through life pretending to be interested or present with family and others. But inside she was always on guard. Would they see and acknowledge her or would she just be on the periphery of their lives, just as she had experienced as a child? Wanting comfortable connection but fearing being ignored or chided, it was easier to just become part of the scenery as if she didn’t exist. The only problem was that she suffered a deep and insatiable longing for connection from a receptive caring person that she could trust. That longing became stuffed because it would be weak to show it. The longing and pain of not having that connection and nurturance was reflected in her ankle pain when she didn’t want to go to work, and wished to be put to bed and cared for. As soon as she and I worked on exposing the feelings of needing reassurance and being important enough to be cared for, the ankle pain abated.

Stomach cramps plagued Sara often. They seemed to come from nowhere and despite Sara’s desperate efforts to relate it to her menstrual cycle; we noticed that the cramps came at random. She did not have any disease such as Irritible Bowel Syndrome or Inflammatory Bowel Disease, although those who do often experience non-organic pain. The Journal of Gastroenterology, 2011 reports that a tendency to experience the world in negative ways (neuroticism) tends to be higher in patients with irritable bowel syndrome (IBS), and is a risk factor for chronic, unexplained pain in IBS.

After I drew out Sara’s anger at her father for not protecting her as a youngster, and her current feelings of being unsafe in her apartment, it was as if the cramps were massaged away after she expressed the suppressed emotions. Other times our discussions would reveal that her abdominal pain was a sign of the stuffed terror of being forgotten by her parents, leaving her alone in a big storm. I encouraged her to put her terror into words and speak the fear to her parents as if they were there with her. The dry nauseous sobs coming from the pit of her belly released her from her pain – until the next time she felt her alone and abandoned. She let out her fear, rage and anxiety about being unloved – otherwise why would they have abandoned her. Then we worked on her abandonment fears, helping her express them, and receive the security she craved from my consistent presence and nurturing in a reliable way.

As Sara became more aware of all her stuffed emotions, and therapy made it safe for her to feel them, she released the pain from her body, owning the emotions and letting out the years of unresolved relationship stress. At first Sara found it easiest to access and express her intense emotions through various artistic activities and then talking with me about them. We also used her vivid dreams to help access her unbearable and overwhelming emotions that had been stuffed for her whole life. Getting her to write journal letters to her mother, grandmother and father about all the times she felt rejected and unimportant helped her to keep up the emotional expression in between therapy sessions.

In 2016 the American Pain Society at their 35th Annual Scientific Meeting presented a study that showed that patients with Fibromyalgia did best when offered Emotional Awareness and Expression Therapy, as I did with Sara. These patients did least well with Cognitive Behavioral therapy that is more intellectual and doesn’t release the feelings buried in the body, giving pain.

The two examples I have described represent many of the patients I see with similar chronic pain issues. They all have concurrent mental health issues such as anxiety, depression, eating disorders and chronic pain disorders. An article in the Journal of Pain 2015 reports that one quarter of young people have co-existing emotional disorders and chronic pain, showing the intimate connection between them. The onset of pain was frequently preceded by mental disorders. For example, affective disorders such as depression occurred particularly frequently before headaches. Furthermore, anxiety disorders often occurred before neck and back pain, as well as before headaches.

With so much evidence pointing to early mistreatment and neglect causing stress, with suppression of emotions leading to chronic pain in adulthood, it’s important to take your feelings seriously in terms of releasing yourself from the pain that plagues you. We now also have a good deal of evidence that therapies involving emotional expression especially anger and sadness work! Chronic pain is reduced and that reduction is maintained as you feel safe to continue expressing feelings as they arise.

 

Copyright, Jeanette Raymond, Ph.D.

 

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Disclaimer: this article is for educational and informational purposes only. There is no liability on the part of Dr. Raymond for any reactions you may have when reading the material or following the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Raymond.

 

Anger and Stress Management Tips for Satisfying Relationships

 

Stressed About Having Second Child

Getting the news that she was finally pregnant, should have been immensely relieving to 25-year-old Kerri, but she was as stressed if not more than before. Previously she had been stressed about having her second child before she was 35 years old, but now she was stressed about not having enough energy for her lively first born, 4 year-old Eric. She fretted over giving him less attention and potentially creating a long term problem

 Family Relationship Issues Began the Negative Chronic Stress Cycle for Kerri

Recalling her own childhood Kerri remembered being the oldest in her family, and with each new baby that came along, she was pushed further and further into the background, being forced to take on parenting tasks. Her father worked long hours and was also in competition for the scant energy his wife may have for him when he was home. Kerri had vowed to herself that her children weren’t going to suffer like that, and she was going to make sure her husband Ari would never feel he had to battle to get quality adult time with her.

As a teen ager, Kerri tried to feel wanted and cared for by her school friends but it just wasn’t the same as being wanted by her mother. The only time her parents seemed to show any interest in her was when she was needed as a babysitter. She focused on her school work determined to be an independently wealthy professional, tamping down her anger, and the part of her that ached for the love and attention her parents never gave.

 

Stress made her want to eat – but she tried to gain control over her bingeing and purging

 

 Lonely, angry, stressed and depressed, Kerri started to binge and purge. Those activities filled in the gaps between her school and then college schedules.  When she saw clumps of hair falling out in the shower she had a wakeup call and stopped the binging and purging.  The stress of not being in control anymore gave her eczema. Her immune system had been compromised by stress.  Kerri did her best to deal with each new symptom as I came up.  Until she met Ari at a smoothie bar on her way from class.

He seemed entranced by her and she fell head over heels in love with his attentive and thoughtful nature. They were married within the year. Both decided to finish college and put off having children until their careers were well established. Ari became a hot-shot-celebrity lawyer, traveling all over the place to be on all the prime time talk shows. Kerri fulfilled her dream of becoming a business owner at the age of 30 with a profitable nanny and babysitting agency.   

Stress Effected Kerri's Health

Ari’s absences triggered her stress and she began to feel that same old sense of overwhelm, lack of control and a need to get even more busy to blot out the feelings.  She was angry but once again never allowed herself to process it or express it. That added to her stress. Shadowed with fatigue and insomnia, Kerri did what she knew best – distract herself with another goal. She decided to expand her business into a daycare facility. The bureaucracy involved did the job of using up the excess adrenalin from the stress, but the stress hormones like cytokines depleted her energy. She never talked to Ari about her stress, or her wish that he wouldn’t travel. She didn’t want to upset him or his career, and plus she was used to taking the burden in the household. It was a job she grew up doing, and doing it well. Aware of her previous response to stress, Kerri made sure she ate properly because she wanted to conceive her first child. She was careful to look out for skin problems and made sure she was well hydrated, used nourishing skin lotions and had regular appointments with her dermatologist. So far so good. Then one morning she awoke with stomach cramps and nausea. The cramps intensified after eating and she felt as if she needed to have a bowel movement at least 3 times per hour. Kerri was diagnosed with Irritable Bowel Syndrome a week later. No organic causes were found, and stress was the named culprit.

 

Kerri deliberaetely blinded herself to her stress and it's harmful effects on her  future children

 

The recommendation to reduce stress didn’t strike Kerri as helpful. She had a new business plan and discovered that she was pregnant. She plowed on thinking that things would just get better and for a time the joy of pregnancy countered the stress. She had no idea that she had chronic stress and that it could affect her unborn child.

Research Evidence Predicted Problems for Kerri's First Child Directly Related to his Mother's Chronic Stress

Eric was diagnosed with Asthma at the age of two and a half. He had always been a colicky baby but now he needed an inhaler. The thought of him not being able to breathe at night unless she was watching like a hawk spiked her stress levels to acute proportions. Kerri was devastated, but did her duty and made sure Eric had his inhaler at hand at all times. What Kerri didn’t know was that in 2010 the American Journal of Respiratory and Critical Care Medicine reported on a study with high and low stressed pregnant women. They found that in the high stress group, women like Kerri passed on their lowered immune response to their child as they passed through the birth canal, making them more likely to have allergic diseases such as asthma.

The journal Endocrinology published an article in June 2015 demonstrating that stress during pregnancy altered the healthy eco system of the gut microbiota in the maternal vagina, passing on that changed and less healthy bacterial system to the offspring on its way out.  Stress hormones passed onto the baby effected the gut and brain development, making the infant’s ability to manage stress much weaker than otherwise, especially for boys.

How can Kerri make sure her second child doesn't inherit her stress and be disadvantaged for the rest of its life?

Kerri didn’t want her second child of whatever gender to inherit her weakened immune response and be prone to all the stress related diseases that she had faced and more. Was it too late for her to manage her stress and give her second baby a strong immune system from the get go? No, but she must be willing to learn to de-stress and maintain that as a new way of life, because her stress is chronic and unrelenting.

Since she never learned how to recognize and attend to her stress before it became acute,

1. She has to begin to become aware of the earliest signs of stress like

Irritability, going from excess energy to depletion, exhaustion after rest, inability to concentrate

Tuning into signs of stress is the first step in managing it

2. She has to watch for her usual coping mechanisms and change them:

• For example, instead of bingeing and purging – write down her feelings regarding loss of control.
• Instead of getting busy with interminable lists of things to do – draw, paint, collage, make art in other forms which calms the brain and reduces stress hormones.
• Go to therapy and work on her stressed childhood. Above all this is the most useful long term way of letting the stress go, making sure she doesn’t pass on an compromised immune system to her next child, BUT that she doesn’t model stress behaviors for either child.

Copyright, Jeanette Raymond, Ph.D.

AUTHOR OF:' Now You Want Me, Now You Don't! Fear of Intimacy: Ten ways to recognize it and ten ways to manage it in your relationship.

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Disclaimer: this article is for educational and informational purposes only. There is no liability on the part of Dr. Raymond for any reactions you may have when reading the material or following the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. Raymond.

 

Anger and Stress Management Tips for Satisfying Relationships

 

Are you envious of other peoples relationships?

Are you consumed with frustration that other people seem to get what they want and have the 'perfect' relationship while you are struggling to get off the ground?

When you are feeling unfulfilled and unhappy in your own relationship, other couples are viewed in idealistic terms. You imagine that just because they are out together or buying groceries together that their relationship must be warm and stress free.

You wan the same thing! You don't know why you can't have it, and you feel life is treating you unfairly, despite you being a 'good' person.

Thats what happened to thirty-seven year old Jocelyn after her marriage ended in divorce.

She was filled with rage that she had given her all in the marriage and yet it hadn't been enough to make it work.

Enraged by her husband being away a lot and shirking his responsibilities, she filled herself up with hate for him for making her end up alone with two children.

She kept the anger and hate inside, pretending that she was doing okay. But she also looked for any excuse to tear a strip off her husband when he wasn't paying what she felt she needed to maintain her household with the children. She wanted that money, and atonement money – she wanted him to bleed.

She tried to act like a single person and go out with friends but she felt even more angry that she had to start going out and date again!

Jocelyn found a million reasons why she would never find a partner again. So everytime a possiblity arose she stamped on it by saying, " I'm too fat, I'm too old, I'm not funny and I'm not sexy!"

It worked. She made sure she never got a date – it was a great way to hang onto the anger and hatred.

Yet the anger and hate never went away. In fact it got a lot worse. Jocelyn couldn't stand the fact that he was enjoying his life while her life was going down the drain.

What are Jocelyn's options for dealing with the anger and hate?

She can sit back and complain about her misfortune, treating herself as a helpless victim on the one hand, and as a merciless avenger on the other hand when she gets mad at her ex-husband.

She can fill herself up with anger about life being unfair and leave no room to take in care and find a good connection.

She can blind herself to the love that is available because it doesn't match her wish to turn back the clock and force the marriage to work.

She can seethe with frustration, release stress hormones into her body and get sick.

She can have a fit about the fact that her efforts aren't being rewarded immediately or consistently,.

 OR

She can use that  frustration and the excess adrenaline that it produces to make it happen for her.

 

Three ways Jocelyn can use her frustration, anger and hate to get her share of the good things in life

1. Tune into the discomfort in her body whenever she is frustrated, revengeful and angry. Notice the enormous energy that could overwhelms her, but is at her disposal to channel –

2. Imagine the choice she has –

• use the anger, hate and frustration for destructive purposes – throwing a tantrum because she isn't given what she want.
• use the energy to get in touch with DESIRE.and use that force to open up a space inside where she can allow others to touch her, make her laugh, care for her and make her feel wanted.

3. Frustration is the mother of desire

Choose the second more hopeful option and put herself out there as the valuable person she is. Emotional energy can be used to wake up DESIRE for life and all that it offers. Without desire there is only destructive tendencies because no one took care of you the way you wanted. Fierce desire makes you walk through fire and wade through snake filled swamps.

When Jocelyn wants her life to be happy with a new boyfriend more than she wants to feel the power of anger, then she uses frustration transformed into desire to get her wish.

She needs to look for and take what she wants, not wait for someone to rescue her. That's where the frustration comes in handy. It catapults Jocelyn into a 'must have' place rather than a ' have to wait and see' place or a passive aggressive place just to get even. Taking revenge and punishing will only keep Jocelyn in a strait jacket of rage hoping it will burn the reality of the broken marriage into it's original attractive experience. Desire on the other hand is self-empowrering because it comes from the frustration of not being gratified by the person you depend on to care for you.

 

As the famous British Psychologist and Pediatrician Donald Winnicott said – a mother has to refrain from indulging a child all the time or anticipating every need. Without the feeling of frustration the child will never want to do something badly enough to grow and develop the skills and the pride of self-care.          

copyright, Jeanette Raymond, Ph.D. 2014

AUTHOR OF: Now You Want Me, Now You Don't! Fear of Intimacy: Ten ways to recognize it and ten ways to manage it in your relationship.

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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

 

Arguing with your Spouse About Mother-in-law Problems Makes you Angry and Stressed

 

The power of a mother-in-law to interfere in a marriage causes intense negative feelings that can destroy the spousal bounds

Angela and Josh a newly married couple were at logger heads about Angela's mother telling him how to treat and take care of her daughter.  She kept calling and texting him about Angela's food needs, her anxieties, her need to get pregnant and the need for child to be a son.  Josh tried to talk to Angela about his distaste for being told how to be a good husband by his mother-in-law, but Angela secretly smiled. She was thrilled that her mother was on Josh's back to do the 'right thing' by her, because she was too scared to do it herself. She loved that her mother was her champion, and whipping up her husband to do the same.

What Angela didn't appreciate was that Josh was feeling emasculated and furious. He was angry about the temerity of his mother-in-law to tell him what to do, as if he knew nothing of his wife's needs. He was fuming that he wasn't given a chance to find his feet in his new role as a husband., But most of all he was livid that his wife enjoyed seening him as a puppet controlled by her mother. Lurking underneath all that rage was shame – making him feel small, powerless and inadequate.

 

Caught Between His Bossy Mother-in-law and His Uncaring Wife, Josh Buckled Under the Stress

Josh's anger made him want to punish Angela. He wanted her to feel the threat of losing him, and he withdrew. He couldn't take the feeling of being helpless to manage his mother-in-law without upsetting his wife and feeling like he was to blame for causing friction in his new marriage.

Feeling Trapped Between a Rock and a Hard Place Creates More Stress Because Josh Keeps His Anger Hidden

Telling his mother-in-law nicely to back off didn't work. She was too strong a personality and insisted that she needed to help him be a good husband – and that without her he would fail – just like her husband failed her – and she wasn't going to let that happen to her precious daughter.

Getting his wife to speak up on his behalf didn't work either. She didn't see why it was such a problem, and told him that he should be grateful to her mother for giving him such good advice!

What are Josh's Options?

1. He can continue keeping silent and seethe inside as he allows himself to be disempowered.

Risk – he might cheat or take a mistress who allows him full control. He may conquer his shame by feeling his power in another relationship.

Benefit – he doesn't upset the applecart of mother-daughter alliance against his entitlement to be a full partner in the marriage, excluding the third party of his mother-in-law.

 

2. He can let the stress get to him by getting sick – then his wife might refocus her lens on him and their marriage.

Risk – the shift in focus will probably be short lived. His wife and mother-in-law may join forces and continue their close relationship, leaving him on the sidelines.

Benefit – he doesn't hurt anyone's feelings, and still hopes that Angela would choose him over her mother.

 

3. He can decide that he isn't going to be ousted from his rightful place in the marriage, and reclaim his position and power by telling his wife what he wants

Risk – his wife may have a small tantrum, and his mother-in-law may have a huge tantrum. He might feel guilty and scared that he won't be able to pull it off.

Benefit – he gets his wife to redraw the boundaries between her mother and herself, committing to Josh and their marriage.

 

WHICH SOLUTION DO YOU THINK IS GOING TO WORK BEST?

Yes, you are right, the one where Josh reclaims his wife and makes the marriage a priority.

What shoud have happened before the marriage?

Mothers-in-laws can't intefere in a marriage unless there is a huge hole through which she can enter and divide a a couple that wern't really a strong and united coulple in the first place. Ideally the couple should have formed a bond that made their union solid and made it known to all other family members that no one could come in and operate with either of them in ways that they had done before. Josh and Angela had not shifted their allegience from family to each other fully enough, so Angela's mother had a wide berth.

HOW DOES IT WORK OUT?

1. Once Josh takes ownership of his role in taking care of Angela, his demeanor and attitude will give off the message that his mother-in-law is no longer the boss.

2. Then Angela receives the same message and invests in her husband as a good partner and care taker. She relinquishes her primary tie with her mother and makes it with Josh.

3. Next Josh and Angela work on making their union water tight. They agree to express their needs, fears, wishes and disappointments directly to one another, so they can fine tune their relationship while it is still new and maleable. They get to avoid resentment and hate building up and making them sick or tearing the marriage into a battle zone.

4. Josh and Angela give each other the chance to repair hurts, understand and empathize with each other's unfulfilled needs and frustrations, while navigating their way towards a more wholesome connection. That enables them to grieve their losses and move on.

5. The couple learn to read each other's body language and signals for care and become the go to people for one another. They learn from their mistakes rather than bury them.

6. Both Angela and Josh make a pact to tell each other what they feel, need, want and expect at the time that they are aware of it. That's how they avoid building up anxiety and stress related insomnia.

7. Finally, Josh and Angela make sure that any holes that might appear in their relationship are noticed and promptly sewn up by attending to the issues – underlying negative emotional experiences that are bubbling beneath the surface. Taking preventive action rather than waiting for a crisis is a fool-proof method of never having to deal with the anger and stress of an interfering mother-in-law.

copyright, Jeanette Raymond, Ph.D. 2014

AUTHOR OF: Now You Want Me, Now You Don't! Fear of Intimacy: Ten ways to recognize it and ten ways to manage it in your relationship.

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

 

Now that Maureen a divorced medical secretary had reached her fiftieth birthday, raised her children and had a chunk of disposable income she wanted to go on cruises with her friends. But each time she thought about booking her travel plans she felt sapped of energy. Her allergies played up and she lost the will to go through with her plan. Sometimes she got as far as buying theatre tickets, but a day or two before the show she would be swamped with work and too exhausted to use them.

Unable to have what she looked forward to, Maureen became anxious and stressed. Her allergies got worse and she had to stuff herself with Benadryl just to make it through the day. She worked hard for her money and now that she didn’t have dependent children or a boyfriend, she felt entitled to use it on herself. But she was either too busy or too sick to take advantage of her good position in life. After noticing that she continually missed out on her dreams, Maureen got angry and felt deprived. She felt as if life was taunting her with goodies and then snatching them away at the very moment she reached out for them.

 

On the odd occasion that she did go out with friends and enjoy a meal she was wracked with guilt.

She came home with a massive headache and drank herself to sleep while beating herself up for being so foolish with her money. She told herself she didn’t deserve her evening out, that it was just an indulgence and she ought to have used the money to buy her granddaughter ballet classes. Maureen’s self-castigating added to her stress and worsened her allergies. No matter how much Benadryl she took she couldn’t get out of bed and lay there depressed, feeling unworthy.

 

Research Evidence About Stress and Allergies

What Maureen didn’t realize was that antihistamines like Benadryl isn’t effective for stress that is long term or that peaks on particular days, according to researchers from Ohio University, 2008, and others, published in Psychoneuroendocrinology, 2009.

A report in Annals of Allergy, Asthma & Immunology,  2014 indicates that allergies are exacerbated by actual stress and perceived or anticipated stress, and recommends relaxing and doing fun things, meditating and deep breathing exercises to reduce stress in order to minimize its effect on allergies. But the troube is that stress caused by long term emotional problems don’t respond to these remedies.

Maureen’s source of stress was way back in her childhood

Growing up in a large family, Maureen had never felt seen and wanted. Shuttled from her parents to her grandparents and then aunts and uncles when it suited her carers, she longed to prove her value. She excelled in school and used her smarts to get jobs at the weekend to earn money and buy stuff for herself and family members. She didn’t want to feel like a burden, and enjoyed taking care of others. Basically she bought herself a place in their good books. That’s what made her feel good, and when she spent money on herself it didn’t give her that same sense of value and self-worth.

So Maureen filled most of her waking hours busy – as far away as possible from her feelings of not being wanted and loved for who she was. The long term stress that she endured wasn’t easy to manage. She read self-help books when she couldn’t sleep at nights. She bought meditation DVD’s and tried Yoga a few times before she felt guilty about working on herself and reverted back to her routine.

It wasn’t until she couldn’t shut out the fear of not being loved just for herself any longer that she came to therapy. Nothing distracted her from the palpitations and breathlessness that she experienced on waking up and during here working day. Physical checkups revealed no problems with her heart or lungs and Maureen was left with having to face the fears and the guilt about wanting to have a good time but believing that she didn’t deserve it in the eyes of her family.

In psychotherapy we worked on Maureen’s terror of being overwhelmed by feelings of sadness and anger about her childhood. Putting words to them and feeling them in the presence of someone who understood her dilemmas gave her permission to value herself for who she was and not just for how well she took care of others at work or in her family. Gradually her stress levels abated and her allergies subsided. She is now able to handle yoga and meditation without the terror that her suppressed feelings would overwhelm her if her mind was at rest.

Take the stress quiz

Copyright, Jeanette Raymond, Ph.D.

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Disclaimer: this article is for informational and educative purposes only. There is no liability on the part of Dr. Raymond for any reactions you may have while reading the article or implementing the suggestions therein. Interacting with this material does not constitute a therapeutic relationship with Dr. 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.

 

 

 

 

 

 

 

 

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

 

The reunion between 43-year-old Petra and her two dogs when she got back home from an extended horse riding weekend on a Wyoming ranch was warm and rewarding, except for the serious outbreak of hives on her arms, chest and neck that itched, and made her feel ugly.

She couldn’t sleep, waiting for the morning to arrive so she could see her doctor and get answers to the questions swimming around in her head about why she was suddenly afflicted with this nasty outbreak – obviously she was allergic to something, but what? She had never had hives before, and the fact that it was so visible made her feel that she was being punished for leaving her workplace, and her dogs, which she rarely did.. Now, just when she was taking time out to enjoy herself, she gets slapped with hives!

The news from the doctor was no great help. Her immune system seemed to be having a non-specific reaction to something or other, and other than prescribing antihistamine she was told to wait a couple to three weeks for results. Petra just wanted to step out of her skin. It felt wretched, wrinkly, spotty, stained with red lumps that no amount of creams or lotions could soothe or hide. The medication made her drowsy and all she wanted to do was to go into a deep sleep and wake up in a new body with fresh skin.

 

Three days later Petra was despondent, wondering if she would ever feel good again.

She wasn’t able to concentrate on her management duties at a popular fast food franchise that was open long hours. But it was important that she take charge again and get everything back in order, because she didn’t trust the staff to work efficiently. In fact she had to make up for all the time she was away so that the business was operating in tip-top shape, putting her up for her fifth manager of the year award.

She didn’t feel like swimming or sailing, two of her favorite sports. Her mind was embroiled in questions about what was in store for her if the hives persisted. Even if this outbreak faded, would she be prone to having it again? Would it flare up every time she was stressed at work or stressed because she wasn't dating enough? Was hives something she had to live with as she traversed the bridge between being a young, single career woman, and entering middle age without a partner and having no hope of finding one? Was this the message that she was supposed to get from having hives at this juncture of her life?

 

Six months before her long awaited vacation Petra had been especially anxious about the ticking of her biological clock.

She hadn’t worried too much about it before her fortieth birthday, but since then she had periods when it became acutely alarming. She usually dealt with it by burying herself at work which easily consumed both her physical and psychic energy. But lately no matter how deeply engrossed she was in her work her focus seemed to shift to her being alone and childless. Despite dating men whom she met socially at friends’ homes or online, none of them did anything for her, and she was quick to find reasons why they weren’t right for her. Except for that one time she had a huge reaction to one man she was introduced to at the sailing club. Every pore of her being tingled and she didn’t know how to control her desire to throw herself at him. She wanted him to ask her out but she didn’t want to appear too eager. She was bitterly disappointed when the man didn’t read her mind and body signals, walking away on Sunday evening, leaving her sad, defeated and a little angry.

When Petra realized that despite giving herself good vacations like the horse riding weekend she was still unhappy, and that life seemed to be getting worse, she decided to attend therapy.

Petra described her alarm about having hives and how it spelled doom for her future. She would never be able to attract a decent man, wear swim suits or buy sexy clothes with this awful skin condition closing the door on her life as she knew it and imagined it would be for some time to come.

 

But as we talked it became clear that the outbreak of hives was a way for Petra to breakout of her narrow and constrained life. We acknowledged how hard it was for her to ‘escape’ the straitjacket she had existed in. Contracting hives on her return was like hiring a set of contractors to build herself a new, more spacious, and brighter place to live. But she couldn’t do that until she saw how ugly her old place was. The red welts of hives did just that. It helped her to shed her old tight skin and make way for a structure and scaffolding for the new home she was to live in.

Without the hives, she would have carried on as before, slowly dying inside with nothing but a brittle skeleton to show for it. But the hives made her slow down, focus on her emotional needs and finally build a house that would make room for relationships that could nurture and satisfy her.

 Hives are after all the homes of bees. They are strong and reinforced, yet flexible. They are ideal for the manufacture and storage of honey, the perfect food for developing creatures. Petra, like the bees had to develop her emotional life that had been stifled and strangled almost to death. She had to build a welcoming and strong house for her emotional life, and feed herself with the honey it produced, rather than wait for some miracle to happen, or for some magic spell to whiskk her into the land of fulfilling relationships.

Petra’s hives did abate and she started to date men with a more open heart and mind. The rest of her story is yet to come, but she is now firmly in a more supple and receptive spirit. She is making her honey and it is the ideal antidote to skin hives!

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.

 

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

 

Looking Forward To Warm Moments

Preparing for her younger sister's visit put some pep into Faith's steps. Her sister was the one member of her family that she kept in touch with. She had long since given up on getting her mother and stepfather to approve of her life choices. Cutting herself off from their judgment and disapproval had been difficult, but it made for a more peaceful existence. She recalled Nancy's last visit when they had fun talking about boyfriends and clothes, going to movies and eating out. The thought of having that camaraderie again made Faith feel warm inside. Both had become career women since then. Nancy was now a well paid executive, Faith was a Nurse practitioner. There was a lot to catch up on.

Anticipating Shared Sister Pride

Faith did everything she could to make Nancy feel at home. She and Bruno did the cooking and the cleaning and took Nancy out on the town. Faith wanted to show Nancy how different she was to their mother who never put herself out for her children or their families. Faith was proud of Nancy's rise to the elite classes, with company cars and lavish expense accounts. Now she wanted Nancy to be proud of how far she had come in finding a good man as a partner and a respectable profession to belong to.

 

The Disappointments Come Thick and Fast

The first disappointment came when Nancy didn't want to go with Faith to planned social events. It was as if Nancy was ashamed to be associated with her. The second let down was harder to swallow. Nancy never asked about Faith's job, her relationship with Bruno, or their future plans. Nancy used Faith's house as a hotel and didn't bother with even the most basic of social graces. Any efforts on Faith's part to confide in Nancy met with the same critical hostility and dismissal that her mother doled out. There was no togetherness, no reminiscing, no sisterhood.

Faith's Blood Boils at Nancy's Thoughtlessness

Nancy took the hospitality for granted, and Faith saw red. Her blood began to boil each time Nancy left her dirty dishes on the table, threw her clothes on the floor and tuned the dial to her favorite programs without asking if it suited her hosts. She never offered to take them out or pay for anything during family outings. Nancy couldn't get over the fact that her well heeled sister would be so selfish, thoughtless and ungrateful. Her buttons were pushed a million times a day during that long weekend. But she never said a word.

Faith Takes Her Anger Out on Her Partner

After Nancy left, Faith sniped at Bruno just for being in the same room. All the things she had wanted to tell Nancy, she said to Bruno. "Wash the dishes before bed!" she commanded. "You can do your own laundry, I'm busy," she pronounced as he got undressed for bed." I paid for the groceries this weekend, so you better pay for the rest of the week," she vented at him.

Bruno sniped right back. " Don't take your anger at your sister out on me! I am not your servant. You acted as if you were Nancy's slave, so what are you so upset about? If you didn't treat her like some queen whose blessings you were trying to earn, you wouldn't be in this state!"

 

Stomach Cramps Keep Faith Awake

Getting through the nights so full of disappointment and anger was no easy thing. Faith began to have excruciating abdominal cramps that kept her awake for the next week. She didn't want to reach out to Bruno, imagining that he would think she deserved it. Pain medication didn't ease her agony, nor did herbal remedies, soothing baths, heating pads, massages or cleansing diets.

" My night cramps have come back with a vengeance," Faith told me during our next psychotherapy session. I thought it was too good to be true when they eased up over the last six months. I am so frustrated. I can't get a good night's rest. Why does this pain torment me?"

 

Digesting the Anger and Easing the Pain

Faith and I had worked for some months with her pain symptoms for which no medical cause had been found despite exhaustive investigations. As we talked about the awful family life she had experienced and her fears that she would somehow make the same mistakes with a family of her own, the pains subsided. Nancy's visit stirred up all the unhealed wounds, and dashed hopes for loving family connections. Nancy's behavior had put salt in the wounds. Faith had kept quiet during Nancy's visit. All her pent up anger and resentment was lodged in her abdomen.

Talking about the pain her sister inflicted on her wasn't comfortable. A lot of tears were shed as Faith digested her hurt. She learned how to make herself less vulnerable in the future. The next day I got a message thanking me for helping her to sleep through the night, something she hadn't done in a while!

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