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Addiction….not a dirty word

I’ve been wondering what to write about lately. Lots of my blogs are informed by client work or observations I’ve made, or even conversations with friends. This one isn’t so much, but it is something personal to me that feels important to share.

When I decided I wanted to become a therapist, I started out expecting to work within addiction, but as life does, I’ve moved away from that as a particular focus, although I obviously face it in the therapy space fairly regularly, and I welcome it. Here’s why:

Addiction is something that sparks great controversy. Whenever the subject arises, I brace myself for comments that are derogatory, unkind, judgemental, and dismissive. And sadly, I’m usually right to do so.

Addiction is something this country seems to be plagued by. Whether it’s alcohol, drugs, gambling, shopping, sex, work, fitness, food, whatever, if there’s a dopamine response, you can bet someone who is struggling with emotion will use the activity to supress their emotion.

And that’s what addiction is. It’s avoidance. It would really be better to call it that rather than addiction, so that’s what I’m going to do from now on.

When someone is in avoidance, whatever their substance or behaviour, they can be VERY challenging to be around. It is absolutely your right to put in strict boundaries that meant you aren’t taken advantage of, but it doesn’t mean you have to let go of compassion all together.

If you are in avoidance, it is hard to see, because those behaviours are keeping you SO safe. They help you function day to day, or at least you think they do, and it’s impossible to break out of the behaviour, because you to do so is to face the thing you are avoiding, and that is not only hideously painful, but also incredibly scary.

When in avoidance, everything becomes about maintaining that position. Everything. In avoidance, you heartily swerve anything that may make you look in the mirror to see your pain. In avoidance, you may hurt those around you to maintain that state. Unfortunately, that capitalises on your avoidance, because now you have to avoid the pain and guilt of hurting those you love.

When someone is in avoidance, rather than judging, or directing, or insisting they stop avoiding, perhaps it is more helpful to say you are there when they are ready to face what they are avoiding. Perhaps it is more helpful to ask them how their behaviour is helping them, and to listen to the response with compassion. Perhaps it is about saying ‘I won’t help you avoid, but I will help you heal’.

People in avoidance don’t need to be isolated further, they need to be embraced and sheltered from the storm inside their own bodies. People in avoidance are in pain and their pain needs to be held until they can look at it without wincing. (Please be clear, I am not asking you to suffer for someone else’s pain, you MUST keep yourself safe before anything else.)

I have never met someone in avoidance who hasn’t experienced a horrific trauma, or abuse, or particularly painful bereavement. I haven’t met someone in avoidance who has experienced emotional stability and been given emotional resilience in childhood. Every single person I have met (and there have been a fair few) who is in avoidance does not have the emotional tool kit to deal with the horrors they have experienced.

So please, when you see someone is destroying themselves and those around them with their avoidance, acknowledge their pain, keep yourself safe, don’t enable, but do try and offer them compassion.

Avoidance doesn’t discriminate, nobody is immune.

If you’ve been affected by avoidance, please get in touch with the wonderful Drugfam You can do so by clicking on their page.

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Self Care isn’t just wine and bubble baths…

Tonight, after spending a lovely day with family, driving 2 hours there and back, I stood at my ironing board and faced my least favourite household chore.

I’m not an ironer, I consider myself more of an ‘aggressive folder’, and when the creases finally defeat me, I throw the offending item onto the ironing pile and ignore it for at least 6 weeks. I’m terrible for it.

But tonight, I stood there and ironed everything that’s been waiting for my attention, and as I lamented the curse I had bestowed upon myself, I realised that this was actually my Sunday Self Care.

You see, here’s the thing. This week is manic. Everyday I’m doing something that means my down time is seriously limited, and as such, my down time is going to be crucial. By clearing my washing and ironing pile this weekend; by making sure every item of clothing I need is clean and in the right place, I’m self-caring for future me.

I’ve talked about this before, I know, a brief comment on how I was looking after future me, and here’s why.

Future me has a lot on her plate. Tons of responsibilities, inside and outside of client work. I’m SO lucky to be in that position, but the danger is if I don’t keep a handle on things, I will burn out. I will wake up one morning and the idea of getting up and ready will seem like an Everest task, rather than a molehill. I’m always trying to keep my tasks like molehills.

I’m not always successful, and that’s okay, I do what I can in the moment to help future me, or Wednesday me. For example, on a Thursday, I see clients until 8pm. I then do notes and tidy the room and get home about 9pm. That’s super late, and leaves me little time to chill out before I need to go to bed. So, I cook dinner in the morning, and I make sure I have everything in place, so all I have to do is walk in, eat, and zone out watching re runs of whatever box set I’m bingeing on Netflix.

So ironing on a Sunday night, or cooking dinner on a Thursday morning is self-care. Self care isn’t always a bubble bath and a scented candle, it’s making sure that morning you will thank evening you and vice versa for the job that we didn’t have to do when we were already stretched thin.

So when you think about self care like that, what do you do for future you?

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Suicide Part 2.

Suicide, part two.

When I wrote the previous post, I was thinking about people who experience suicidal ideation from a place where their external impact is perceived as one so negative that they wish not to be a burden anymore. I was describing what I can only describe as honest suicide.

As I wrote it, I knew I was missing a big piece of the story around suicide out, and it made me uncomfortable because it is big, it is vital to talk about it and I knew it was wrong not to bring it up. So here I am.

Very very often, emotional abusers will use suicide as a tactic to manipulate and control. They will threaten it, even attempt it to coerce and convince someone not to leave, because an empathic person will do anything to avoid the feeling of responsibility bestowed on them by the abuser.

Narcissists are well known for suicide attempts. In narcissists, suicide rates are higher than in general population. It’s thought that this is because eventually a narcissist will be ‘found out’, and the level of shame that this exposes them to provokes suicide.

It could however be argued that suicidal ideation is the best defence mechanism in the world for a narcissist/abuser. Because what person would criticise someone recovering from a suicide attempt? When attention is taken from a narcissist they will go to extreme lengths to pull the attention back on to them, including threatening or attempting suicide.

The point of this post is this. Whatever reason someone has for killing themselves, ultimately, that is THEIR choice. It’s the ultimate choice really, and their right to execute it with free will. I know there are legal situations where people have been pushed and provoked into suicide, so I exclude those.

We all have a responsibility for the choices we make, and choosing suicide lies entirely with that person.

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Suicide Part One.

I want to talk about suicide. It seems so current that I really feel like I need to voice some thoughts about it. I also suspect I’m saying something controversial that may not be well received. But I know those who are suicidal will relate to this, and I hope they will be grateful to be recognised, so this is for them.

There’s a comment I’ve heard SO many times around suicide that I find so deeply misguided and misunderstanding of what it means to suicidal that it feels important to correct it.

‘Suicide is SO selfish’.

No. Just no.

Suicide is not selfish; in the mind of the victim it is selfLESS.

People with suicidal thoughts and feelings often feel like they are a burden on everyone around them. Not just bothering people, but a millstone around the neck of every single person they’re in contact with, and an obelisk for those who love them.

When someone famous (or not) dies by suicide, we often hear how those around them had no idea how low they were. Sure, they had been fighting depression, but she/he had seemed so positive recently. How they were happy and smiling merely hours before. That they never complained and no one would ever have known they were suicidal.

That’s possibly because they didn’t want to increase the burden they perceived themselves to be. Or sometimes when the decision is made to complete suicide the person finds relief and is relieved of their own burden and so is at peace knowing their own suffering and the perceived suffering of others around them will be over soon.

It is never ever a selfless act. It is never done because you weren’t good enough. It is more likely they thought you were TOO good for them. Too good to be imposed upon by them in any way shape or form.

You and I both know they’re wrong, but for them it’s an absolute truth. Suicide is not selfish. It hurts those around them. It causes untold damage on those who love them, but my experience shows me that it is an act of horribly misguided kindness on those they wish to free from the burden of their own pain.

I’m not advocating suicide. Merely suggesting that we have to stop and look at the people around us. There are constant messages that someone who is suicidal should reach out and ask for help. How can they possibly? How can someone who feels like a huge 50 ton weight on people ask to add more weight?

We have to look up and really see those around us. Check in with people. Ask ‘how are you feeling?’ Because when you ask ‘are you ok?’ There’s an unintended agenda for the response to be yes. Leave space for someone to share their true thoughts.

You may have notice I have not said ‘commit suicide’. That’s intentional. Suicide is no longer a crime and for families where suicide exists there’s a stigma attached to the word ‘commit’, so therapeutic parlance excludes that word. We now either say ‘killed themselves’, ‘completed suicide’, or ‘died by suicide’. It both removes the dismissiveness and criminal element attached to suicidal actions.

All this being said. If you’re feeling suicidal here are some contact details for various areas. Please feel free to message me and I will do what I can to find you help nearby. You will NOT be a burden on me. Suicide is often very present in my therapy room. And I welcome it in and sit with it comfortably. You are not alone. Please share this post. Without being overly dramatic; it may save a life.

Argentina: +5402234930430

Australia: 131114

Austria: 017133374

Belgium: 106

Bosnia & Herzegovina: 080 05 03 05

Botswana: 3911270

Brazil: 212339191

Canada: 5147234000 (Montreal); 18662773553 (outside Montreal)

Croatia: 014833888

Denmark: +4570201201

Egypt: 7621602

Finland: 010 195 202

France: 0145394000

Germany: 08001810771

Holland: 09000767

Hong Kong: +852 2382 0000

Hungary: 116123

India: 8888817666

Ireland: +4408457909090

Italy: 800860022

Japan: +810352869090

Mexico: 5255102550

New Zealand: 045861048

Norway: +4781533300

Philippines: 028969191

Poland: 5270000

Russia: 0078202577577

Spain: 914590050

South Africa: 0514445691

Sweden: 46317112400

Switzerland: 143

United Kingdom: 08457909090

USA: 18002738255

#suicide #suicideawareness #suicideprevention #itsokaynottobeokay #therapy #counselling

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Active v Passive Support

I have just seen a devastating post on facebook about a little boy who has died unexpectedly. In the comments was the statement ‘know that you can message me any time of night or day and I will be here for you’.

Now don’t get me wrong, that’s so clearly heartfelt and sincere, but it made me eye roll a bit.

‘that’s not very kind of you’ I thought to myself, ‘why did you do that?’

Ah. I see.

It’s because it’s the kind of passive support that sounds great but doesn’t actually do a lot. Because here’s the thing. When someone is in the depths of despair, when they are grieving a loss, of whatever kind, when they are suicidal, alone, lonely, broken and wounded, they are unlikely to have the mental strength to reach out to someone and ask for help. They may even feel ashamed of doing so. So when you put the burden of support on the sufferer, it’s not as helpful as taking the burden of support on yourself.

Putting the burden of support on the sufferer, or what I think of as ‘Passive Support’, relies on the injured party reaching out.

When you take the burden of support, or ‘Active Support’ upon yourself, you give space and room for the injured party to feel comforted without having to ask for it.

In grief it can sometimes feel as though you ‘should be over it by now’, and it is then that it is probably hardest. Being an active supporter, you would be the one reaching out consistently. Not always saying ‘I’m here if you want to talk’, but just a ‘how are you doing?’ or sending a funny picture, quote or story. Active is support is being in the background saying ‘I haven’t forgotten about your pain, I’m still here’, without reminding them constantly they have pain.

Active support is suggesting a walk, a coffee, a quiet place where tears won’t feel shamed into submission.

Active support is strong and silent but there. Active support isn’t rescuing, fixing or overwhelming, it’s respectful, holding and peaceful.

Reach out to those around you. Just a ‘how are you?’ can be so well timed that you may help without ever knowing. Please don’t expect someone who is struggling to tell you, don’t be passive, be active.