What Is Trauma? Maybe Not What You Think.

When you hear the word "trauma," what do you think of? If you're like most people, you probably imagine that people experience the effects of trauma after a plane crash, surviving a fire, a major car accident, or participating in military combat. It's true that all of those things can cause someone to experience trauma symptoms, but there are many other traumatic experiences which are more common in the general population that we don't always recognize as being traumatic.

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5 Podcasts To Listen To Now

It's International Podcast Day! Find out why you should be listening to podcasts, how to do it, and get started today with these 5 recommendations!

International Podcast Day image Canva

It's International Podcast Day! To celebrate, I created this list of 5 podcasts I recommend to clients and other people in my life on a daily basis. If you are interested in emotional health, wellness, family, parenting, relationships, trauma and improving your most important relationship - with yourself - you will find at least one on this list that you will enjoy. I think you'll love all of them! I do.

First Things First.

Have you wanted to start listening to podcasts but you're not really sure how it works? I felt that way too - and look at me now, I'm a podcaster myself! Listening to podcasts is easy! There are so many ways you can do it. Here's a mini tutorial and then we'll get to the list of recommended podcasts.

How Do I Find Podcasts?

Podcasts can be found in many different places - I'll use my own podcast as an example to show you. Each podcast is posted in various places, depending on the preference of the host. They are usually available on the host's website - see example of my podcast here. You can find almost every podcast on iTunes (mine is here); they are also found on Stitcher; iHeartRadio; Google Play Music; and even YouTube! There are many other places to listen to podcasts. Once you find one you like, see which places it's hosted to find your favorite.

What Can I Use to Listen to Podcasts?

Your Smartphone - You can listen to podcasts using a smartphone with a podcast app. There is a podcast app built into iPhones which connects directly to iTunes. There are other apps you can download to your iPhone or Android phone which have various features making it easy to subscribe to your favorites and make playlists. The great thing about listening to podcasts on your phone is that you can take it with you to the gym, on a walk, or while you are making dinner. 

Image credit: Pixabay

Image credit: Pixabay

Your Computer - If you're not a smartphone user or you spend more time at a desk than out and about, your computer is another great option for listening to podcasts. iTunes is available on both Mac and PC, but if you don't like iTunes you can also open up YouTube and listen that way. You can learn more about topics you choose while performing other tasks on the computer.

In Your Car - Here in the DC area, where I live, most people have long commutes from 30 minutes to 2 hours. Podcasts are perfect for listening in the car. You can bring up the podcast on your phone and plug it into your car's Aux port, connect it with Bluetooth, or just listen through the phone's speaker. Many newer cars have built in music players where you can access podcasts now, and more will be coming in the future. If you have a long commute but don't drive, that's fine too! That's an excellent time to listen on your phone. 

Why Should I Listen To Podcasts?

Variety - You can hear anything on podcasts: how to cope with anxiety; listen to comedy performances or the news; learn a new language; hear TED Talks; get help falling asleep (not while driving); start building a business; find out what your favorite sports team is doing; and many, many more subjects. There is most likely a podcast for any subject you are interested in. If not, why don't you start one? Nothing's stopping you! Anyone can podcast! 

Control - If you don't like a certain episode you can skip it. Unlike radio, if you miss the newest episode you can listen to it later. Many podcasts have ads, but far less than radio, and you can skip them if you choose. You can listen over and over to your favorite episodes and share them with your friends by sending them a link in an e-mail or text message. You also have privacy. If you want to think about how to cope with erectile dysfunction but you're uncomfortable talking about it with anyone, even your physician, you can bet there is a podcast out there on that subject. You can listen without anyone else even knowing. By the way, if there isn't a podcast on ED yet, somebody should get on that because I'm sure it would be a huge hit! 

Free Content - Most podcasts are free to listen to, and you can listen as many times as you want. Some podcasts have membership sites where you can make a donation or pay a minimal subscription fee to support production costs, and if you love a podcast and want it to keep going you can feel good knowing you're helping out. 

Okay, so now you know how to listen and why you should start listening to podcasts - so let's get to the nitty gritty! Here are 5 podcasts I frequently recommend to my therapy clients as well as my friends and family members. Full disclosure - I've been a guest on every one of these (and one is my own). Read on to find out what you can expect on each of these podcasts and why I love each one. Then add your favorite in the comments!  

My 5 Most Frequently Recommended Podcasts:

1. Women In-Depth with Lourdes Viado, MFT, PhD 

I love this podcast. Lourdes Viado, MFT, PhD is a Jungian psychologist in Las Vegas. Her podcast, Women In-Depth, is focused on discussing some of the subjects that women talk about amongst themselves, as well as many topics that are off limits in polite company. I talked with Lourdes about how to respond when your child discloses having been sexually abused. Some other recent episodes have covered the issues of spiritual abuse, infertility and midlife crisis. I recommend this podcast to someone almost every day - and here's a secret: it's not just for women! Many of the topics are applicable to everyone! Check it out on iTunes here.

Click on the image to listen to my interview on Women In-Depth on how parents can support their children who disclose sexual abuse.  These are the kinds of uncomfortable, but super important, discussions that happen on Women In-Depth.

     Image credit: Lourdes Viado, LMFT, PhD

     Image credit: Lourdes Viado, LMFT, PhD

2. Mindful Recovery with Robert Cox, MA, PLPC

Robert Cox, MA, PLPC is a counselor in Missouri who is in recovery himself. He is super down to earth yet passionate about mindfulness, substance abuse recovery and trauma. He also has a specialization in working with individuals who are on the Autism spectrum. On Mindful Recovery Robert moves between offering mindfulness tips, psycho-education about substance abuse, trauma and other important subjects, and interviews with fellow professionals and experts. One episode I frequently recommend is on the subject of process addictions. Robert and I share a passion for advocating for survivors of sexual abuse, and you can hear us talking about it soon on Mindful Recovery. I recommend you check out Mindful Recovery Find it on iTunes here. 

3. Launching Your Daughter with Nicole Burgess, LMFT

Launching Your Daughter podcast with Nicole Burgess, LMFT is a podcast about parenting, with a unique twist. Nicole focuses her podcast on the issues specific to parents raising daughters into adulthood. Nicole and her guests talk about topics related to improving parents' relationships with their daughters. Nicole and I recently talked about sexual violence, an issue that can affect women at any age (as well as men and people of any gender identity), and I'm looking forward to that episode being released. Nicole interviewed Sharon Martin, LCSW about embracing imperfection in episode 15, which is here.  Find Launching Your Daughter on iTunes here.

4. Parenting In The Rain with Jackie Flynn, LMHC, RPT

Play Therapist Jackie Flynn, LMHC, RPT hosts Parenting In the Rain, another parenting podcast I frequently recommend. Jackie covers subjects that are relevant to the parents' emotional experience - when a parent struggles with depression, for example, as well as that of the child, like helping a child with back to school anxiety. Jackie interviewed me about emotional abuse not too long ago. You can listen to Parenting In The Rain on iTunes by clicking here.

5. Therapy Chat with Laura Reagan, LCSW-C (that's me)

I'm obviously biased, but I frequently recommend my own podcast, Therapy Chat. I talk about the subject of psychotherapy, often interviewing fellow therapists who are practicing in ways that are outside of what people usually think of when they consider going to counseling. I've interviewed therapists and other experts on the subjects of mindfulness, trauma, self compassion (with Tim Ambrose Desmond), attachment (with Dr. Jonice Webb) parenting, perfectionism (with Sharon Martin and Dr. Agnes Wainman), self care and worthiness. Dr. Dan Siegel talked to me about his upcoming book The Mind. In the next six months I'll post a series on trauma treatment and a series on attachment, and I published a practice building series for therapists this past summer. You can find Therapy Chat on iTunes here.

So what's your favorite podcast? Let me know in the comments! 

Wholeheartedly, 

Laura Reagan, LCSW-C

9 Things I'll be Talking About in 2016: What to Expect on the Podcast In the Year Ahead

At the end of the year we tend to take stock and notice themes. In the beginning of the year we tend to plan and look ahead. So I've taken stock and looked ahead.  CLICK HERE OR ON THE IMAGE BELOW TO LISTEN TO PODCAST EPISODE #17!

Over the past year there have been certain themes that have been really prevalent in my practice and because of that I want to talk about them more on the podcast in the year ahead. There are several big issues - I actually made a list - and came up with the nine things that have been common themes in my practice this year and I feel will be important to discuss on the podcast in 2016.

The first theme that’s really been prevalent in my practice is body image. Men, women and children in my practice talk about wanting to have a more loving relationship with their bodies. As you may know, most people I work with have experienced trauma. I think there is a link between healing trauma and having a loving relationship with one’s body, because we know trauma is stored in the body.

A second theme which has been really prevalent in my practice over the past year is craving deep, meaningful and authentic connection. I live in a wonderful community where people tend to gather with neighbors and friends and people are very kind, but relationships tend to stay at a surface level rather than delving into feelings. People say they wish for friendships in which they feel truly seen and heard. I will discuss this more on the podcast in 2016. 

Along with the theme of craving connection there’s also a theme of allowing connection. The problem is not feeling comfortable letting people in - and again, I work with a lot of people who have experienced trauma, so trust is often a major issue. When you’ve experienced relational trauma somebody has hurt you and it gives you a different perspective on whether or not it’s okay to trust people. So naturally, allowing people to really know you - showing up and being seen as who you really are - can be a challenge for people who have experienced trauma and that’ll be something I’ll be talking about more in the year ahead.

CLICK ON THE IMAGE ABOVE TO LISTEN TO PODCAST EPISODE 17! 

CLICK ON THE IMAGE ABOVE TO LISTEN TO PODCAST EPISODE 17! 

The next theme I identified that I want to talk about is workaholism and perfectionism. Here in the DC/Baltimore area we are working, working, working, working, working, working, doing, doing, doing, never wanting to slow down. It never seems like enough. It can be really hard to make time for oneself - including for therapy appointments - if you feel that without you at work something is going to fall apart. Another theme that goes along with that is being distracted, avoiding, numbing, dissociating, being disconnected from your body. Again, that goes along with trauma too so I’m going to be talking about that more.

When you are avoiding your feelings by numbing, staying busy with work, never giving yourself a moment to be still, you’re not in present moment awareness and you are, as I like to say, on the fast train to burnout city. People are expressing feelings of being burned out - on work, on caregiving, on parenting - all of those things can be very stressful! So it makes sense that you would feel burned out, especially if you never give yourself a chance to rest. And our culture does not encourage that! Wanting to increase self-care but not knowing how is a big theme that I’ve been talking about with people in my practice and I want to talk about more on the podcast. Actually, it’s a pretty consistent theme on my podcasts so far and it will be in the year to come as well.

One thing that I want to change about the podcast this year is that even though I talk about the fact that I’m a trauma therapist I don’t think I really talk very much about trauma on the podcast. I guess I just expect that people really know what it is but I’m realizing that when I say trauma you may be thinking of someone who has experienced a house fire, natural disasters or combat. Those are certainly traumatic event but I’m also talking about childhood experiences of no one attending to your emotional needs or being physically abused.

9 topics for the Baltimore Annapolis Psychotherapy Podcast in 2016

Many people don’t consider some experiences that they may have had as physical abuse even though they may qualify, like being hit with a hairbrush, being slapped, punched, spanked with a belt...whether or not it would be something that a court would prosecute a parent for doing when you were younger (because it may have been seen as normal then), the effect is traumatic for child. I think there’s an under-recognition of how serious the problem of trauma is, how much it affects so many of us. I will be talking a lot more about the effects of childhood trauma, the Adverse Childhood Experiences study, and things that I talk about in therapy sessions but I haven’t mentioned much here on the podcast.

The last theme that I want to cover on the podcast more in 2016 is negotiating relationships with family of origin when one has had an unhappy childhood. It’s a problem for so many people and one that people don’t frequently speak about. We have this American cultural ideal that families are always there for each other, families come first, etcetera. But if you had an abusive childhood and you are uncomfortable being around your family, where do you fit into our American cultural ideal if that’s your life? It’s true for so many people. We’ll be talking more about that in the podcast this year.

So these are the themes that I’ve heard about in my practice over the past year and want to talk about more in the podcast in the coming year. I would love to hear your thoughts about these topics and any other themes that you may be interested in hearing covered on the podcast so please leave comments on this post!

Baltimore Annapolis Psychotherapy Podcast

I would love to hear your feedback! If you like the podcast, please consider subscribing on iTunes and leaving a rating and review. This helps iTunes know that people are enjoying the podcast and it makes it easier for people to find it when there’re more ratings and reviews and subscriptions because that’s how they decide how popular it is.

As always, if you like what I'm doing, please find me on social media! You can follow me  on TwitterFacebookPinterestInstagram and Google+. To listen to my podcast, search the Baltimore Annapolis Psychotherapy Podcast on iTunes, Stitcher and (coming soon) Google Play. Or click here to listen via my website. You can also subscribe to my occasional e-mail newsletter by clicking here. I only publish them when I have something new to tell you about. 

Here's to an interesting 2016!

Wholeheartedly,

Laura Reagan, LCSW-C

 

Think You Might Have Seasonal Affective Disorder?

Do you have Seasonal Affective Disorder or are you simply sad? 

I often hear from clients that the winter months are hard. A common statement is, "I think I have Seasonal Affective Disorder." Seasonal Affective Disorder refers to having less energy and increased depressive symptoms at certain times of year, particularly during the Fall and Winter months. It is thought that less sunlight during the winter interrupts the body's cicadian rhythms and causes changes in Serotonin and Melatonin levels, causing mood changes and sleep issues. You can find more detailed information about the definition, causes, risk factors and treatment for Seasonal Affective Disorder by visiting the Mayo Clinic website

Much has been written about Seasonal Affective Disorder. I invite you to consider another possible cause for this seasonal sadness. Trauma anniversaries can cause intense feelings at certain times of the year. A trauma anniversary is the date that something traumatic happened in your life. I will explain more below.

winter tree

Susan felt that her symptoms were completely unexplainable and unpredictable, but when talking in more depth about the story of her childhood and the loss of her mother, she revealed that her mother died on May 31. She also pointed out that she never had a chance to grieve her mother's death since she was too busy trying to survive in an abusive home without her only protector. Her father was not attuned to her emotional needs and he lacked the ability to cope with his own grief. 

Susan's annual experience of overwhelming depression in June makes sense when you consider that her mother died at the end of May, so that incredible pain she experienced throughout the month of June 28 years ago, when she was 12, was never processed. Trauma is held in the body, and feelings which are outside of our conscious awareness can show up seemingly at random. You can learn more about this by reading Bessel van der Kolk's book "The Body Keeps The Score," Peter Levine's "In An Unspoken Voice,"  Babette Rothschild's "The Body Remembers," and many other books on the subject of trauma and the body.

Considering whether there is any explanation which may relate to prior traumatic experiences helps us take back control of our own wellbeing.  Susan's body was reminding her every June of the deeply painful loss of her mother. She struggled all year with depression, which is common for survivors of childhood abuse, and in June it became unbearable every year. Susan was able to break this annual cycle and take back control of her emotional and physical health by working with a therapist specializing in trauma. She was able to process these traumatic experiences and she felt better than she had ever thought possible.

*Susan is not a real person. Her story is a composite of many stories clients have shared about their trauma anniversaries. 


This is by no means a comprehensive list of traumatic experiences. If you believe you have experienced trauma, and you are ready to start the healing process, find a qualified therapist who has specialized training in trauma. As difficult as it may be to begin therapy for trauma, it is so worthwhile to find out that you can feel better than you ever thought you could. I know this is true because I have personally witnessed that transformation. 

If you don't have trauma and you really do have Seasonal Affective Disorder, the article I cited above recommends getting more sunlight, taking a vacation to a sunny place (heck yeah!) and/or trying therapy or medication. If you're not sure, talk to a helping professional, whether your primary care doctor or a therapist. 


Susan's Story

Susan* had experienced depression throughout her adult life. Despite taking medication faithfully, she found herself being hospitalized for inpatient psychiatric treatment once a year -always in June - and she lived in fear of when her next depressive episode would cause this disruption in her life. When Susan was a little girl her father was an alcoholic. Her mother tried to protect her from his rage but when her dad was drinking, he often physically and sexually abused Susan. When Susan was twelve her mother died suddenly, and Susan was left alone with her father, who continued to abuse her until she was able to move out on her own at 18. The effects of her traumatic childhood continued to haunt Susan when I met her at age 40. She explained that she felt sad much of the time and her pain would build throughout the year, until in June she would have a breakdown and end up in the hospital because of suicidal thoughts. 

morning light
sunny winter light

So Do I Have Seasonal Affective Disorder or Trauma? 

So before you assume that you have Seasonal Affective Disorder, ask yourself whether there is a certain date or specific month that is especially difficult for you. Is there any event you can recall which happened at that time of year which might relate to your feelings about this? Have you experienced trauma? It's not always as obvious as we think. Some situations which can cause trauma include:

  • Loss of a parent or other primary caregiver during childhood
  • Sudden, violent or traumatic death of a loved one or close friend
  • Witnessing domestic violence in childhood or being in a physically violent relationship
  • Growing up feeling that your emotional needs weren't met, that no one was there for you
  • Experiencing physical abuse, including being "spanked" with a belt or other object, or being hit in any way when you were a child, even if you don't consider it abusive
  • Being bullied
  • Any unwanted sexual contact, from touching to intercourse without your consent or when you were incapacitated in some way
Laura Reagan, LCSW-C

If you'd like to talk to me about working together click here or send me an e-mail at laura@laurareaganlcswc.com. You can reach me by phone at (443) 510-1048. For more from me, sign up for my newsletter! I send e-mails every so often when I have something to say, and I definitely won't overwhelm your inbox. You can also follow me on TwitterFacebookPinterest and Google+. I have a weekly podcast which you can listen to here.

Source: 

Author Unknown. (2015) Retrieved on November 10, 2015 from: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047

 

Wholeheartedly,

Laura Reagan, LCSW-C

Somatic Therapies: Sensorimotor Psychotherapy

Welcome back to my blog series on integrative mental health, highlighting holistic and alternative practices which complement traditional talk therapy. Today I have the pleasure of interviewing Kara Falck, LCSW-C, LICSW, a Clinical Social Worker in private practice in Takoma Park, Maryland who is opening an office soon in the Baltimore area as well.  Kara uses Sensorimotor Psychotherapy in her practice and she has agreed to answer my questions.

Sensorimotor Psychotherapy is a somatic, or body-based, method which is said to be beneficial for survivors of traumatic experiences, especially if the experiences occurred at early developmental stages. This article provides more information about the history of the model. You can read a more detailed article on the Sensorimotor Psychotherapy Institute's website here which was originally published in the journal Trauma. I appreciate Kara sharing information about her work. Hopefully you will learn something new about this method! 

Tell me about your work. What is Sensorimotor Psychotherapy? 

My approach to therapy is to help people learn to regulate their thoughts, emotions, and behaviors and to connect with others in more functional ways. I use sensorimotor psychotherapy to help clients achieve their goals. Sensorimotor psychotherapy is an intervention that’s informed by cognitive-behavioral and psychodynamic psychotherapies, attachment theory, and neuroscience, and that’s effective for the treatment of trauma and relational issues. It looks to the body as a primary source of information about current psychological functioning. It’s a collaborative approach that uses mindfulness to help clients regulate the bodies’ responses to the environment, which improves clients’ ability to regulate feelings, thoughts, and beliefs.

What benefits does Sensorimotor Psychotherapy offer? Who is a good candidate for Sensorimotor Psychotherapy? Who should not participate in Sensorimotor Psychotherapy?

Sensorimotor psychotherapy can be helpful for clients who’ve experienced traumas ranging from violence and abuse to accidents to relationship issues. A major benefit of this treatment is that it starts where the client is and is a collaborative process in which safety is of utmost importance. Sensorimotor psychotherapy first helps clients learn to manage and calm internal sensations. Clients learn to tolerate more and more of their internal experience at their own pace. 

Sensorimotor psychotherapy can be helpful for clients who have had a wide range of life experiences and who are at varying levels of functioning. This treatment teaches mindfulness as a primary skill that’s used throughout the process. Psychoeducation about the interaction of brain and body is provided in ways that clients can understand.

Clients with an alcohol or substance use disorder or a psychotic disorder should seek treatment prior to beginning sensorimotor psychotherapy and should remain compliant with these courses of treatment.

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How does Sensorimotor Psychotherapy help people with these issues?

Sensorimotor psychotherapy was originally developed for the treatment of trauma. It teaches clients about their innate survival defenses and helps clients learn to feel better.

Learning to be aware of internal experience, and then to tolerate and manage internal experience, is the first step in processing traumatic material and is the most important phase of treatment. Clients who don’t know how to calm and soothe themselves are at risk for becoming dysregulated when traumatic material comes up. Sensorimotor psychotherapy teaches clients who’ve experienced trauma how to be mindfully aware of present-moment experience and how to study this experience non-judgmentally, which has regulating effects on the nervous system.

In the same way, learning to manage the physical symptoms of anxiety and depression is the first step in challenging unproductive worry, errors in thinking, and negative core beliefs. When the body is in a state of panic or if we are numb with hopelessness, we can’t access the parts of our brain that are responsible for logic and reasoning. Clients learn to regulate the body first, so they can engage in positive, self-supportive thinking.

Anxiety

 

Similarly, when we experience the physical and emotional symptoms of anxiety and depression, we often attack logical thinking like an unwelcome visitor - “How can I believe I’m safe at this party if I feel fear and if my body’s telling me to run?” “How can I believe I’m a worthy person if I feel hopeless and my body is telling me to give up?” Sensorimotor psychotherapy is a body-oriented treatment that teaches clients the difference between body experience, emotions, and thoughts, and that helps clients interrupt the cycle of anxiety and depression.

And of course, the goal of sensorimotor psychotherapy is not only to help clients learn to reduce symptoms and tolerate distress, but to help clients increase their ability to experience more pleasure in their lives.

calm stillness

Kara Falck, LCSW-C, LICSW is a licensed clinical Social Worker in private practice. She works with adults, couples, and adolescents and children and their families to help people cultivate safer and more satisfying relationships with themselves and with others. She typically works with issues such as anxiety, trauma and PTSD, depression, relationship issues, body image, parenting support, and LGBT. She currently has an office in Takoma Park, Maryland, and an office in Baltimore is coming soon! She can be reached by email at karafalckmsw@gmail.com or at www.karafalckmsw.com.

I'm so grateful to Kara for sharing information about this method, which I wanted to learn more about. If you are interested in finding a Sensorimotor Psychotherapy Practitioner, click here

Please comment below if you have anything you would like to share about Sensorimotor Psychotherapy. 

Sources:

Author unknown. (2003). What is sensorimotor psychotherapy? Retrieved from: http://www.pathoutofpain.com.au/hakomi/html/somatics.html

Sensorimotor psychotherapy institute. (n.d.). About sensorimotor psychotherapy institute. Retrieved from: https://www.sensorimotorpsychotherapy.org/about.html 

Sensorimotor psychotherapy institute. (n.d.). Welcome to the sensorimotor psychotherapy referral list. http://www.sensorimotorpsychotherapy.org/referral.html