Three Paths to Greater Health That Doctors Don’t Acknowledge

Three Paths to Greater Health That Doctors Don’t Acknowledge

There is mounting research showing the massive effect on our health of a well-balanced psychosocial ecosystem. A psychosocial ecosystem includes things like our roles, our social connections, and our daily routines. If we are feeling stress or imbalance in any of these areas, it hampers healing, especially of chronic conditions. Let’s look at these three areas and how they impact our health and bodymind. 

Our roles are the “parts” we play in our lives. If you think about the credits at the end of a movie where it says “mother” or “bank teller” and then lists the actors’ names, this is like the roles we play in our lives. We all have multiple roles, like “friend”, “daughter”, “co-worker”, “employee”, “crafter”, “film buff” and many more. Each of these roles brings some sort of meaning to our lives and each of them is fulfilling in a different way (some more than others!) The key is to look at where the stress lies. Which of these roles are stressful? Are there any of these roles that we simply hate? If there are roles that are causing you stress or unhappiness, then it’s important to look at how to modify them or get rid of them all together. For example, if being a “daughter” is stressful because your parents are toxic, how can you lessen the time and energy you spend on being with them? How do you lessen the role of “daughter”? However, if a role brings you calm and joy, then look at how you can increase that role in your life. For example, if your favorite part of your job is being a “co-worker”, how can you increase opportunities to interact with others at work? 

Social connections are the people we have in our life. This could be family, friends, co-workers, pickleball buddies, online gaming friends, or our favorite waiter at that restaurant we go to – anyone who you know and have some sort of connection to. It’s been shown many times over that the quantity AND quality of these connections is incredibly important for our health. So, even if you don’t feel like you have a ton of good quality relationships right now, you can start chatting with folks at the dog park or in line at the store and even that will have beneficial effects, as the quantity and quality of social interactions are both health-promoting. When you make that connection with another person, even a short interaction, it starts a cascade of healing chemicals in your body that positively affect your nervous system, immune system, mood, and more. 

Our bodyminds love routines because they love familiar things. We love to feel the calm predictability of something that we know is going to work out in the same way it did before. Bonus points if we know it’s something that will make us happy or fulfilled. Routines can range from where we drink our morning coffee or tea to what aisles we go down first in the supermarket to our daily yoga or meditation practice. When our routines get thrown off, we often become stressed because we don’t know exactly how things will unfold. So take a look at your daily routines at home and at work. Which ones bring you joy? What is it about them that makes you happy? Can you bring more of that into your life? And if there’s some part of your day that seems to feel chaotic or unpredictable, can you bring a routine to it so that it feels more predictable (and therefore less stressful)? 

Where can you make some changes to your roles, social connectivity and routines in your life? Remember to start small and build from there, even small changes can make a big difference over time and we only start making bigger changes by starting small, getting positive feedback, and then wanting more. 

What one thing can you change today? 

What Kind of F*er are You?!

What Kind of F*er are You?!

Determining Your Sympathetic Nervous System Response Type

 

If you’re looking to recover from childhood trauma or C-PTSD then I want to know what kind of F*er you are. 

No, not that kind of F*er! I mean, yeah, sometimes even I’m the asshole, but that’s not what I’m talking about here. 

Your particular F*er type is derived from the 4 types of sympathetic nervous system response, also known as the “4 Fs” in physiology.

When we’re in a stressful situation, our nervous systems switch from calm parasympathetic mode into stressed-out sympathetic mode. Stressed-out sympathetic mode is super useful for getting us out of a potentially harmful situation, like almost being hit by a car or seeing a rattlesnake on a hike. 

But what happens when most of life is a potentially harmful situation? What happens when you spent your childhood feeling neglected, scapegoated or silenced? It turns out, your nervous system acclimates to this and decides “stressed out” is just how it is. So instead of having your normal state be the calm, serene parasympathetic mode, your “normal” state becomes a stress response. 

This is what causes the true damage of C-PTSD. Over time, this stress response becomes a trauma response, and we experience much of life as if it’s unsafe or harmful. 

One of the pillars to healing trauma is to retrain your nervous system to have a more healthy baseline, a “normal” that looks like being in parasympathetic (calm) mode most of the time instead of sympathetic (stress) mode. So, it’s really important to know what kind, or type, of stress or trauma response you tend to have. 

This is where the 4 Fs come in. 

The stress or trauma response is divided into 4 types:

  • Fight
  • Flight
  • Freeze
  • Fawn (aka Appease) 

To determine which kind of F*er you are, take a look at the following descriptions, and see which one(s) fit you best. Sometimes, we tend toward two response types, so there may be more than one that fits. 

Fight: If you find yourself having a short fuse or easily getting annoyed at people or situations, then you may have a strong fight response. A healthy fight response is designed so that we can attack when threatened, like when someone fights back when a mugger tries to grab their purse or wallet. But when the fight response becomes a trauma response, we tend to go into anger/fight/annoyed/dismissive mode whenever we feel slighted, ignored, or threatened. It sometimes even surfaces to preemptively avoid a potentially triggering or stressful situation, aka “strike first and ask questions later.”

Flight: Are you someone who finds a good reason to suddenly leave your new job or break up with the new person you’re dating? Do you find that the thing you *knew* would be the right next step for you never seems to be right and isn’t what you thought it would be? Then you might have a flight response. 

The flight response is designed so that we leave a potentially dangerous situation, like when someone yells “fire!” in a movie theater. However, if most of life was a dangerous situation, then the flight response can become a trauma response. This is especially true if the dangerous situations you were in as a child were emotional abuse, gaslighting or manipulation. You learn that emotional closeness is inevitably followed by betrayal or heartbreak, so you learn to leave as soon as something starts to feel good or emotionally nourishing. While this is an unconscious response (nobody thinks,” this relationship is awesome! I think I’ll sabotage it.”) it is something that you can often see as a pattern in hindsight. 

Freeze: Many predatory animals (including humans) are much better at perceiving movement than form or color. So in order to avoid being caught or attacked, many prey animals (including humans!) have developed a hide and freeze response where they become very still, hyperaware, and try blending into the background in the hope that the predator won’t be able to perceive them, and will eventually give up the hunt and go away. When this becomes a trauma response it can look like introversion, dissociation (depression, ADHD, or frequent daydreaming), or shyness (social anxiety or agoraphobia). Many times, this is a preemptive freeze response, where if we check-out-before-we’ve-even-checked-in, we can avoid any potentially dangerous or triggering situations. 

Fawn/Appease: So in keeping with the “F” theme, the 4th F is fawn, but TBH I like appease better — it’s a more accurate descriptor. Have you ever had a creepy guy say something that felt awkward or kind of freaked you out? Like, your spidey senses say, “let’s get away from this guy and make sure he doesn’t follow?” but instead of punching him in the face and running away (hello, fight and flight!) you smile and say, “Yeah, haha. You’re totally right. Thank you!” and then you say it was nice to meet him, and you gotta go meet your friends or something like that? Then you have experienced the fawn/appease response! (Interestingly, this 4th sympathetic type of response was only added a few years ago when researchers started studying how women respond to stress and found that it was different than men’s response.) What happens when this normal stress response becomes a chronic trauma response? It can look like people pleasing, HSP or high empathy, sensory processing issues, codependency, or a fear of conflict or confrontation.

My F*er type looks like freeze with a big side helping of fawn/appease. What does this look like in my life? Here are three examples from yours truly. 

When I was little, I was painfully shy. I was scared of meeting new people (especially adults), and I would run behind my mom, grab onto her leg and start to cry if anyone talked to me. This shyness was a trauma response of both freeze and appease. The “freeze” part was running, hiding and refusing to speak. The “appease” part was putting my mom back into the center of attention as the “good mom” who was protecting her child. (A good survival strategy for being the child of a narcissist is to always put the focus back on them, in any way you can.) Fortunately, I’m not shy anymore, but I can easily see how this could have become social anxiety or even agoraphobia if I hadn’t addressed it. 

I’ve also noticed that my hearing is really damn good, I can often hear sounds that are too quiet for most folks. I know this is from “freezing” and listening very closely (hyperawareness) from my bedroom whenever my parents came home. I became an expert in listening to determine their mood: How were their footsteps sounding on the floor? How forcefully did they open or close the door? Which room did they go to and what were they doing in there? 

I’m still working on the appease response of people pleasing and fear of conflict. This is a big one for me as the fear of retribution or angering people is still embedded in my nervous system, and I don’t want to do or say anything that could potentially upset or disappoint people. I call myself a “recovering perfectionist” because this used to mean always being as perfect as possible and never making a mistake in order to minimize the chance of retribution, but I’ve been working on allowing myself to be a messy human and sometimes miss the mark without fearing repercussions. 

Why is your F type important to know? There are two main benefits.

The first is you can more easily and quickly recognize and address the trauma response when it comes up. For example, if I know that I am avoiding sending an email because I’m worried about the recipient’s response, I can say to myself, “Ah! That’s my appease trigger” and I can use one of my tools to comfort, soothe and care for that inner child part of me. 

The second is that it helps you figure out how to “complete the stress response” so you can get back into that calm, parasympathetic mode. For example, after a stressful day I often pick solitary “freeze” activities to reset my nervous system where I can be quiet, still and alone, like meditation, reading, watching movies, or crafting because I know that my nervous systems feels most safe in these activities and will be able to unwind and clear out any residual stress. If I were more of a “flight” type, then going for a long drive might help me reset into parasympathetic mode. 

I hope this helped you identify your mix of parasympathetic responses and I’d love to know what type of F*er you are!

Drop me a note, and let me know because I like hearing from all you F*ers out there. 

And don’t forget — while you may be shy or short-tempered or a chronic daydreamer, YOU ARE AN AMAZING GOD(DESS) WHO HAS SURVIVED SOME EPIC SHITSHOWS. I see you in all your human, messy glory and I love and admire you all the more for it. Rock on, my warrior friend. 

xo Megan

Four Ways to Reduce Your Stress That Actually Work

Four Ways to Reduce Your Stress That Actually Work

Want to know why you’re still stressed out despite all of the stress reduction techniques you’ve tried in the past? If you’ve taken 500 bubble baths and go to yoga every day and you’re still stressed out, here are 4 things you need to consider to find more ease and balance in your life.

  1. PEO:

PEO stands for “Person, Environment, Occupation” and it’s a concept that comes from the world of Occupational Therapy. (BTW — “occupation” here refers to anything that occupies your time, not just work. So it could be your occupation as a mother, or a crafter, or a student.) When looking at stress reduction through the PEO lens it’s important to consider three factors. 

The “person” part refers to who you are as a person. What are your skills, strengths and relative weaknesses?  What are your preferences and dislikes? What’s your personality like? (Something like the MTBI, enneagram, human design, or Gallup strengths finder can be useful here if you don’t feel like you know this info well enough.)  

“Environment” refers to the place you’re in when you’re trying to function. Maybe your home environment feels more relaxed than the office (or vice versa). Or you prefer the mountains to the desert. Why is that? What is it about the environment that’s a better fit for you? Different environments are also better for different tasks, for example, an energizing environment would be better for work, while a calming one would be better for sleep or meditation. 

The big “O” is the occupation you’re performing. What are the demands of the task at hand?  Do you have the resources for that task? Do you have the skills? The right tools? Proper instructions, guidance, and support? 

Try looking at one of your routine tasks (either at work or home) through this lens of PEO and see if you can make any adjustments to the environment or the occupation in order to make it easier for you. For example, maybe you work better in a bustling environment full of energy. Or maybe you function better when you don’t have access to your phone to distract you. Maybe you can only fully relax in nature, and so the crowded yoga class in the gym doesn’t help you de-stress. 

Take a look at your daily occupations and see how good of a match it is between who you are, the environment you’re in for that task, and the task itself. 

  1. Sensory Profile: 

Every single human on this planet has a unique sensory profile, it’s like a fingerprint. Your sensory profile looks at each of your 8 senses and your preferences and awareness for each. Do you like bright, vibrant, crazy designs? You’re probably a visual sensory seeker. Do you like calm colors and less clutter? You are probably visually sensitive. There are quizzes you can take to find out your specific sensory profile, but you can also think about each of these and ask yourself if you’re a seeker (you like it big and bold), avoider (you’d rather stay away from too much of this type of input), sensitive (you don’t hate it, but too much will grate on you) or low registration (you’re not even aware of those types of sensations).

  • Visual (sight) like bright colors and busy environments
  • Auditory (hearing) like music and talking and louder environments
  • Olfactory (smell) like strong scents
  • Gustatory (taste) like bold flavors 
  • Tactile (touch) like strong touch or softer touch
  • Vestibular (sense of head movement in space) like swings, rollercoasters
  • Proprioceptive (sense of body position in space and feedback from joints and muscles) like dancing, moving around, lifting weights
  • Interoception  (sensations related to the physiological/physical condition of the body like hunger, heart rate, breathing, and more) like needing to pee, being hot or cold, or ASMR tingles.

If your environment is not a good match for your sensory system, it can cause some serious nervous system dysregulation. Your body will release cortisol, you’ll have trouble concentrating, your emotional regulation system will become depleted and you might get cranky or depressed, and you’ll be exhausted at the end of the day. 

  1. Interoceptors and Mindfulness: 

Interoceptors are the sensations we feel related to the physiological/physical condition of the body like hunger, heart rate, breathing, etc. When you’re are stressed, your body shuts down information from the interoceptors (who needs to know that they’re hungry when a lion is chasing them?!) and you become what’s called “low registration” for that type of sensory information. 

If you’re chronically stressed at home or at work, your interoceptors can become permanently set in the low registration setting and you lose touch with what you may need on a basic, physiological level. This is why mindfulness doesn’t work for so many people. If you aren’t aware of what your body is feeling, how can you pay attention to it? That’s like giving someone noise-cancelling headphones and then asking them to tell you about the noises in their environment. If you can’t hear it how can you pay attention to it? 

Personally, I love mindfulness as a stress reduction technique, but before I got any benefit from it I had to heal my interoceptors from years of stress and shut down. Only after slowly cultivating my awareness of these types of sensations was I able to really tune into myself and be fully aware in the present moment. 

If you think you may be low registration for interoceptive sensations, start by concentrating on one sensation, like the feeling of your belly moving in and out as you breathe, and observe it with gentle curiosity, not trying to change it, just trying to befriend it and bring it back to your awareness. Once you start to be able to feel that sensation, try another one, like tune into your thirst and see what it says. Is it there at all? How intense is it? How do you know – what does that feel like in your body? From there you can start to play and experiment with other sensations and emotions and see what they feel like in your body. 

  1. Boundaries

Oh, how I love boundaries! Boundaries start with an awareness of what we like, dislike, will tolerate or won’t. It’s a compendium of the things that make us sing with joy, the things that trigger us, and the things that are neutral. As you learn this stuff about yourself, putting boundaries in place means communicating compassionately and firmly with yourself and others about what works for you, what your needs are, and what will set you off. Having your boundaries ignored or not tended to, by either yourself or others, can be a major cause of stress. 

The first step is to get clear on our boundaries through observing what stresses us out or triggers us, what brings us joy, and what we don’t really care either way about. The next step is to learn to feel comfortable (aka not ashamed, bad, unworthy or fearful) about communicating those needs to yourself and others. Some examples could be giving yourself a 10 minute break when you feel overwhelmed or asking a coworker not to come by your desk for a chat when you’re working on a project. 

Boundaries are a life-long project, both because we get to know ourselves better over time but also because our joy and triggers change over the years, in different environments, with different people, and different tasks (Oh look! We’re back at PEO, where we started.) Having a practice of observing and identifying our boundaries can be a huge step towards a more joyful, stress-free life.

Honestly, I could write SO MUCH MORE on all of these topics. If you’d like to learn more about these, please comment with your questions and I’ll do my best to write about them in a future post!

Xo Megan

How Do I Tell if It’s Trauma Anger or Healthy Anger?

How Do I Tell if It’s Trauma Anger or Healthy Anger?

It’s been an angry week for me (both feeling my own anger and being on the receiving end of someone else’s) and I’ve been thinking a lot about the two types of anger, healthy anger and trauma response anger. Let’s look at ‘em, shall we? 

Healthy anger moves you forward in a positive way, one of my mentors even called it the most spiritual of all emotions. In the five-element cycle, anger is the Wood element and it precedes Fire, which is joy. This means that in order to get to joy, we have to go through anger first. What does this look like in real life? I’ll give you a personal example from this week. As you probably know, this week a draft of a supreme court ruling that would end access to abortion in the USA was leaked to the press. I could go on and on about why this is horrific both in terms of women’s control of their own bodies and in how this is a huge step towards the crumbling of personal freedoms in the US, but there are people who can speak to that much better than I can, so for the sake of this post, I’ll stick to talking about anger. 

When I heard the news, I was furious. It felt like a slap in the face to everyone who has been working on social progress in the last 50 years. I felt an anger welling up inside me and I knew I had to take action to change this. This is the hallmark of healthy anger, it drives you to change something for the better, it makes you strive to create a world for yourself and others that contains more joy, acceptance, compassion, freedom, or understanding. This anger drives you forward to do something that is in alignment with your highest values and that makes a positive change in your world. Positive anger leads you to create positive changes that lead to better things.  

Trauma anger feels very different. Earlier this week, I was on a call with a client and I sensed she was repeating a trauma response pattern (appeasing) that I had seen before, so I voiced my concern. Pretty quickly, she got angry and said she didn’t like what I was accusing her of and she felt attacked. She let me know she didn’t like being yelled at and was done talking about it. It was pretty clear this was a trauma response — I was not yelling and hadn’t attacked her at all. By the end of the call, she was able to see how her anger had been a trauma response, how it had clouded her judgment of what I’d said and how I’d said it, and process through it. 

Trauma anger isn’t driving you to take action towards a better world, it’s purpose is to shut down an uncomfortable situation that reminds you of a similar, traumatic situation from your past. It could be a situation where you felt misunderstood, or like you were “bad”, or unheard, or trapped. Trauma anger is a way of derailing the conversation and making it about something else — your anger — instead of the issue at hand. It’s an escape, and works quite well to get us away from traumatic situations. But now that you’re not in a dangerous place anymore, it’s preventing you from being present with uncomfortable situations, even if you are with safe people that can give your body mind a different, safer experience and help you grow. 

The way to identify trauma anger is to check in with your body and ask, “is there fear or shame beneath this anger?” (To do this, you must be familiar with what the sensations of fear and shame feel like in your body, so doing mindfulness + somatic work is a vital prerequisite here.) If you can answer yes, then it’s trauma anger. Another sign is when, after the event you think, “Wow. I was really angry. I’m not sure why that made me so mad.” There’s a saying “If it’s hysterical, it’s historical” and the awareness that you were more angry than the situation warranted can be another good clue that it’s trauma anger.

I want to stress that neither type of anger is bad. Heathy anger drives, inspires, and motivates us to create a better world. Trauma anger helps us see areas where we still live in shadow and illuminates where we can do more healing work with ourselves. It’s through our own healing work that we lessen the harm we do in the world and simultaneously act as a model for others of what healing looks like. As Ram Dass says, “I am arriving at that circle where one works on oneself as a gift to other people so that one doesn’t create more suffering. I help people as I work on myself and I work on myself to help people.”

With gentle noticing and acceptance, take a look at your anger when you are able to be present with it and ask, “Is this healthy anger or trauma anger?” If it’s healthy anger, go out there and change the world! (Or at least your small corner of it.) If it’s trauma anger, know that you made it as far as you have today because you were smart enough to protect yourself this way. But now that you are safe, you can work on doing it another way, if you’re ready. 

Xo Megan

What if You Don’t Know How to Care for Yourself?

What if You Don’t Know How to Care for Yourself?

One of the most insidious aspects of growing up with emotionally unavailable parents is that I didn’t have models of how to be cared for. I didn’t grow up with examples of what it’s like to be comforted when I felt vulnerable, sad, afraid, or ashamed. I also didn’t have examples of what it was like to have a cheerleader, someone who became happy and proud on my behalf when I worked at something important to me.

Without external models of how to be cared for in these ways (comforted and encouraged) I couldn’t internalize these models into my own self-concept. This meant that in times when I was feeling upset or needed validation or encouragement, I didn’t have an inner voice that could give me these types of messages, because I didn’t even know what these messages sounded like.

This didn’t just happen in response to external circumstances, either. When my inner critic would start spouting off, there was no competing voice in my head. Without any other narrative, my inner critic would run rampant and I’d end up feeling awful.

I decided to create another voice in my head, one that was supportive, validating, kind and encouraging. I didn’t want to call it my inner parent because the word parent doesn’t have the best connotation for me. So, I called it my inner caregiver. I used polysensory mental practice to create a new voice in my head that said all the things I needed to hear, all the emotional nutrients I needed but never got when I was growing up.

I soon realized there was a big problem. Sure, it was a great idea to have a part of me say all the right things, but what were those things?

Like I said, I never had a model. If I didn’t know what comforting and loving language sounded like, how could I start to talk to myself this way? I looked to parenting books, positive psychology research, and nonviolent communication and restorative justice models for their language.

I knew my inner caregiver needed two ways to respond to my inner critic, as the comforter and the protector. The comforter says things like, “I am proud of you,” or “You don’t have to be afraid anymore. I’m here for you.” The protector keeps my boundaries with my inner critic and says things like, “You don’t get to talk to Megan like that,” or “No. I don’t receive that message.”

I’ve used this model with clients as well. Each of us has different needs for who this new voice needs to sound like, and even for its name. Inner caregiver works for me, but for others, they need an inner nurturer, inner mentor, inner big brother or sister, inner parent, or an inner protector.

The messages we need to hear are all different too. I was raised by a narcissist, so I need to hear that I am valuable and worthwhile. Others may need to hear that they are prized for who they are, or that no matter what they do, they will never become unlovable.

Your inner caregiver (or protector, nurturer, etc) is a powerful way to develop self-compassion. But discovering what it is you need this voice to say can be hard for all of us who never heard these things from our own parents. We need to look elsewhere.

I invite you to gently and lovingly start to look for messages that feel good to you. They may be loving messages, anti-bullying messages, messages of worthiness or lovability. You may hear them in real life as you watch your friends parent their children, you may hear them in a movie as one character comforts another, or you may sense them deep down as that thing you always wanted to hear from your parents or caregivers, but never did.

You’ll know them because when you hear them, you’ll have strong sensations/feelings in your body and emotions will bubble up. These are the messages that are speaking loudly to you — they want to be part of your inner self-talk and your self-compassion routine.  

If you don’t know where to begin finding them, here’s a place to start.

I’m still working on developing my inner caregiver, and now have both a woman and a man’s voice in there helping me feel worthy, loved and safe. If you like the idea of having this loving and protective voice in your head and want some help and guidance through the process, this is one of the things we do together in my Unconventional Tools for Healing group program. I’m running it again, starting in a few weeks on the 25th April 2022. If you think this course is something that would give you the information and support you need right now, I invite you to join us.

Xo Megan