by Megan Caper | health, illness, physical, wellness
Migraines wreak havoc in people’s lives and are much more than a headache. Migraines cause pain (headache, or stomach ache in the case of abdominal migraines) and can also include symptoms like light and temperature sensitivity, dizziness, distorted vision or “floaters”, numbness in face or extremities, nausea, vomiting, and racing thoughts. Scientists are still unclear about what causes migraines, but current research points to a connection between serotonin levels and sudden changes in blood pressure and there appears to be a genetic component, as well.
However, the real reason for migraines isn’t just biological – people who are HSPs (highly sensitive people) and who tend to internalize stress and blame themselves (rather than blame the situation or other people) are the ones who will eventually develop migraines.
First, let’s look at the HSP link. People who fit the “highly sensitive person” profile are more finely attuned to both sensory stimuli and emotions. HSPs make up about 15-20% of the population and have brains that process more information than the norm and reflect on that information more deeply than others. HSPs tend to be more sensitive to sensory stimuli in their environments like flashing or bright light and noisy environments. They will often need to recharge with some alone time, preferably in a cozy Hygge-like environment. They also tend to pick up on details that others may miss – a brain that processes more information and reflects on it more deeply is not a bad thing after all, and can be a superpower. HSPs are good at seeing both the big picture and the little details, simultaneously. HSPs also have heightened empathic abilities as they are more aware of their inner emotional environment as well as the emotions of others. HSPs have more “mirror neurons” which are a type of brain cell that allows deeper social connections and greater awareness of the emotional state of others, which allows knowing more quickly and deeply what others are feeling, often more deeply than those others may know themselves.
As you can imagine from this description, HSP brains also tend to get overloaded more easily, and that’s when migraines can occur. If HSPs are constantly trying to operate in an environment or in social situations with high levels of sensory and emotional stimuli, it will eventually be more than they can handle. This tipping point of overwhelm is what can cause the neurological and blood pressure changes that can trigger a migraine.
But the overwhelm itself is not really the issue, it’s what we do with the overwhelm that matters.
There are two basic options for a brain that feels overwhelmed or stressed – we can blame the situation and other people (“That meeting was too crazy! I feel exhausted just from being in that room.”) or we can blame ourselves (“I should have been more prepared for that meeting. Everyone got upset and that probably could have been avoided if I’d had the information they were looking for beforehand.”) For those of us that tend towards the “freeze” or “appease” type of stress response, we usually will blame ourselves or put undue pressure on ourselves at work or school to try to avoid any feelings of shame or guilt. The changes in hormones and neurotransmitters caused by this type of self-blame, self-abandonment or self-gaslighting are the real culprits when it comes to migraines. When I made an effort to stop being a perfectionist (which is really a fear of the shame from disappointing people) my migraines reduced significantly.
When we can shift from thinking that there’s something wrong with us and we’re not doing a good enough job to realizing that our HSP sensitivity is just another type of neurodiversity (that is also a superpower) and that we are most likely doing plenty at whatever job or task is at hand, then our bodies will no longer have to stop us in our tracks with a migraine.
You are a sensitive soul, with the ability to think more widely and deeply than most, and that is a superpower. You are enough, and in fact people admire you and want to have you around just because you are you.
If you can start believing these two things, your migraines will diminish and you’ll find yourself on the road to true healing.
Xo Megan
PS: This post was by request! When I talked about digestive issues last week, someone asked if I could do one on migraines. So, if you have a medical issue that you’d like me to write about please let me know and I’ll make a future post about that topic.
by Megan Caper | Childhood trauma, illness
I’ve noticed a pattern over the years in many of my clients with chronic illness, especially those with autoimmune diseases like MS, Rheumatoid Arthritis, and IBS. Most of these clients have strong “appease” or people pleasing nervous system responses in times of stress or conflict.
The appease response is about avoiding or defusing a potentially dangerous situation. When you grow up in a household with a lot of unpredictable anger, you develop the appease response as a way to avoid the anger (an attempt to keep the other person happy at all times) or defuse it (calm the person down before the anger reaches the lashing out stage).
When this becomes integrated into our nervous system, we become appeasers all the time, even when we’re no longer in the dangerous situation. In day-to-day life, this looks like making everyday decisions based on what will make others happy, choosing your words and actions to avoid making other people uncomfortable, or making sure everyone is happy and has what they need before you tend to yourself (if you ever even get to yourself!)
This is especially true for women, because a lot of the “appease” response looks a lot like what’s expected of us culturally: be a selfless mom, loving wife, supportive and agreeable employee. We get treated more favorably by society if we do these things and punished if we don’t. (See Kate Manne’s brilliant Down Girl if you want to know more about how this works.)
When the appease response becomes a constant way of being, we’re constantly focused on the needs of others and lose track of what we need, which creates “messy boundaries.” Boundaries are a form of self-care that helps to create clear guidelines, rules, or limits of how we’d like to be treated. But if you don’t ever focus on yourself, how do you even know how you want to be treated? How do you even know what’s truly important for you to be happy? To feel safe? Or fulfilled?
One thing I knew for sure after helping hundreds of clients is this: our physiology mimics our belief systems. If we have messy boundaries in our minds, then we have messy boundaries in our bodies, as well. When we’re in appease mode, we have a hard time knowing where our needs start and others’ needs end. We’ve convinced ourselves that making other people happy IS what we want, even when that leads to self-abandonment of our own needs in small ways, every day.
How does this relate to an autoimmune condition? Autoimmune conditions are where your body gets confused about what is “self” and “non-self” and your immune system starts attacking your own cells rather than invaders like viruses. It’s basically messy boundaries in our body’s physiology. We don’t know where we end and others start, and our immune system starts to develop self-abandonment on a cellular level, attacking ourselves out of confusion and messy boundaries. I see this time and time again in the clients that I treat – the folks that come in with chronic autoimmune issues are almost always the people pleasers. Once we work on releasing that trauma from their nervous system and releasing or replacing the appease-based belief systems, they are finally able to heal.
If you want to start healing this in your own life today, it’s important to start centering yourself and your own needs. This way you’ll start to learn what healthy boundaries look like for you, and your body will learn the same. Asking yourself, “Who am I and what do I want?” can be the most important question on your road to healing your illness.
by Megan Caper | Childhood trauma
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
