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Mental illness isn’t an excuse to abuse.

There is a permanent struggle with clients over whether the behaviours narcissists exhibit are in intentional. There’s a deeper struggle around the fact that narcissism is listed in the DSM, which officially makes it a mental illness.

Society is shifting towards an understanding and awareness of mental health issues and conditions. There’s a growing acceptance that people struggle emotionally in all kinds of ways and as such we should still our judgement and increase our compassion and tolerance.

And that’s a BEAUTIFUL thing. It’s amazing. It warms my heart and I’m so grateful that we are starting to normalise it.

But there’s a but.

What can get mixed up in that is that toxic behaviour can be assigned to mental illness. And it’s just not true. Lots of people have depression or anxiety, and aren’t toxic. However in narcissism, it is toxic behaviour that characterises the condition.

Here’s the thing. The narcissist knows exactly what they’re doing. They know how to ‘play’ you. They know how to create the trauma bond. They know what their manipulative behaviours do to you.

They cannot be excused their abusive behaviours on the ground of their mental illness because they KNOW. (I have research to back this up if anyone wants the article name)

When we know we are using an unhealthy behaviour, even if it’s something that we’ve been using to survive emotionally, we have a responsibility to correct that behaviour.

Back in the day I did a law degree. In criminal law, the defence of innocent by reason of insanity is only upheld when a person is unaware that what they’ve done is wrong. So for example, when someone murders someone else and hides the body, the act of hiding the body indicates they knew what they had done is wrong.

If they know what they’re doing they’re responsible.

Narcissism is borne from extreme abuse, neglect or smothering, where a child has to develop the idea that they are okay in the world for themselves because their parent doesn’t mirror that for them. To survive they develop narcissism. That isn’t their fault. But it is their responsibility.

What I’m trying to say is that you can hold people accountable for toxic manipulative abusive behaviour, even if they have a mental health issue.

Because the first time they do it might be about survival, but if they don’t take responsibility and they don’t change the behaviour, it’s toxic. End of.

You do not have to tolerate abuse because there is a mental illness. ❤️

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Mental Health Awareness Week. Month. Year. Lifetime.

So it’s mental health awareness week. I’ve been thinking about what I can post to be part of this worldwide movement, but I’ve been really struggling. And speaking to someone earlier today has helped me clarify why.

It’s because it seems so reductive to draw attention to an international, perpetual crisis for a week. One week of 52 we hear media outlets championing the causes of those struggling with mental illness.

For one week the spotlight is shone on those whose battle is never ending and brushed aside or away altogether, not given the funding or support it needs to help them exist in equity with those that don’t struggle.

And that’s not okay!

Sure, there are plenty of you wonderful people who share posts and photos regularly to show you are supportive and inclusive, and for that I thank you.

Here’s my biggest problem with it all though.

There is almost like a disinfectant affect around mental illnesses.

Because it seems to me when mental illness doesn’t come in a nice little package, we don’t know what to do with it.

When someone with depression uses substances to self medicate, suddenly they become an addict, they become ‘untreatable’ and ‘deserve’ what they get.

When someone with schizophrenia stands shouting at cars, half naked in the snow, they get laughed at and mocked, shoved in a police van, or abandoned to themselves altogether.

When someone with Emotional Dysregulation Disorder (formerly borderline personality disorder) attempts suicide ‘half heartedly’ they are attention seeking and pathetic.

When someone with attachment disorder sends one too many texts looking for reassurance and support they are labelled ‘psycho as and ‘crazy’.

But THAT’s the reality.

Mental Health isn’t just anxiety and depression, as crippling and dangerous as they are, it’s bigger than that, and we HAVE to accept that someone exhibiting behaviour that isn’t ‘normal’ isn’t crazy, psycho, attention seeking, skanky, or mad.

They are struggling.

So please. This mental health awareness week. Educate yourself and remember not being okay comes in many many forms. And don’t stop campaigning for better support, access and facilities for those who need it. Mental illness doesn’t discriminate, everyone is at risk.

Be kind to yourselves, and each other

H ❤️

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Instrumental Parentification

One of the things that I hear repeatedly in therapy is the parentification of children from a young age, particularly children of narcissists. It’s something that parents need to be very careful not to do to children, so as to avoid the impact of that behaviour, which I’ll explain later.

So, I guess the first thing is to establish what it is.

There are three types of parentification. The first is Instrumental Parentification, the second is Emotional Parentification, and the third is Narcissistic Parentification.

Because this topic is big, I’m going to break it into individual blogs for each one, so I can do them each justice.

I’ll start with Instrumental Parentification (I suspect most of you want to know about Narcissistic Parentification, so sorry if I’m disappointing in the first two instances!)

This is when, a parent burdens a child with too many of the household chores and responsibilities. A child who is asked to look after a sick relative, or other children in the house, who is made to cook or clean more than is appropriate for their age. A child whose natural social development is inhibited by the responsibilities at home.

One example of that inhibition might be where a teenager is repeatedly required to stay home to look after younger children instead of joining their friends to go to the shops or for sleepovers etc. Once a month or every couple of months yes, but every weekend? No. It’s not appropriate for a child to raise children they didn’t have themselves.

So, finding the line between appropriate and inappropriate might be hard, but ultimately, it comes down to asking a child to do something that is beyond the scope of their years, and takes too much of their personal time.

For example, a 10 year old can unload the dishwasher and feed the dog every day, but they can’t hoover and mop the floors every day too. They can put the bins out for the rubbish lorry with some assistance, but they aren’t responsible for emptying all the bins and carrying all the bags outside. They can sit with their younger sibling for 10 minutes, but they can’t be left with them for hours without adult support and supervision. They aren’t responsible for cooking every day, or bathing smaller children.

Good parenting means teaching your child life skills such as cooking, cleaning and laundry, but it isn’t about making them wholly responsible for those chores, and punishing them when they get it wrong or if they aren’t ‘up to standard’.

Part of family life is pitching in, but finding the balance between teaching and holding responsible for is vital.

The impact of Instrumental Parentification is one where the child grows into an adult who feels they are responsible for much more than they are. Have difficulty asking for help, could have problems with perfectionism, anxiety, control. They may struggle with boundaries and being able to say ‘no’, even when completely overwhelmed and unable to complete the tasks they already have. They may be the complete opposite of that too!

They may feel their only contribution is to help others and not be able to accept help from others at all. They will seem strong and independent.

Please don’t misunderstand this. Children need to help around the house and learn what it takes to look after themselves, but they also need to be a kid and learn about balance and fun and joy in being young.

To help guide on what’s appropriate for the varying ages for household chores I have attached an image to explain. I cannot emphasise enough that, just because they are capable, it does not become their exclusive responsibility, merely something they do to help their parent.

As ever, please feel free to ask any questions.

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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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Why can’t they see the poison?

It can be really tough when we see through someone’s behaviour, and recognise it for toxicity, and yet, others don’t.

Especially in narcissistic families, when the scapegoat realises the parent is abusive it can be isolating and frustrating that others in the same family can’t or won’t acknowledge how unhealthy the behaviour is.

The same applies when someone is in an abusive relationship, and they keep accepting obvious and transparent lies, or emotional or physical abuse, without disengaging from the relationship.

It’s because the unknown, or rather the thought of the unknown is MUCH more terrifying than the current reality, however toxic and abusive it might be.

Adult children on narcissistic parents often ask ‘why can’t my sibling see it? Why do they think it’s okay?’

It’s such a heartfelt question and has so much pain attached to it that it can be overwhelming for the client. Naturally it touches me too.

Here’s the thing. We repeat patterns we know because they’re comfortable. Change is something everyone struggles with, and drastic dramatic change, such as leaving a partner or refusing to be abused in a toxic family system, is terrifying.

How can you help? Don’t judge, allow their process, occasionally notice behaviours you don’t agree with, but refer to self rather than them. When we try and prise someone’s eyes open, they merely shut them more tightly, most likely blocking us out too.

Hold that person in their space, and move at their speed. And when they finally open their eyes, you can be there to help them understand the new way of seeing.

 

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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.