Inner Space

Mental Health Week Series

Here is a collection of article series our team has penned on a broad range of mental health topic during Mental Health Weeks.

How Developmental Trauma causes psychosomatic symptoms

How Developmental Trauma Causes Psychosomatic Symptoms : World Health Day Series

This is the second sharing in our World Health Day series. The last one was on Lack of Routine and its impact on physical health. Today’s sharing is on Psychosomatic Symptoms and its relationship with chronically unprocessed emotions.  In my therapy practice, I see several clients coming in with complaints like chronic body pain, asthma, ulcerative colitis, Crohn’s disease, even life threating cancers.  They have typically spent years on various medical regiments before coming in for therapy. Some clients experience a sudden loss of functioning in a part of their body, which cannot be explained medically. Again, several years pass by before they think of seeking therapy for their concerns. Their history suggests normal lifestyles with no big ‘trauma’, man-made or natural, to offset such intense chronic concerns. Can psychological therapy make a difference in these cases? Turns out it can! After a considerable amount of therapy, some clients experience even a complete resolution of symptoms, whereas some became more responsive to their medical treatment, leading to a better prognosis. So What Worked? Why Did Therapy Help? Becoming aware and working on the common thread running through these apparent physiological concerns is what helped.  The root cause was in the mind, not in the body. Though they hadn’t experienced big traumas, a closer analysis of their life suggested the presence of “developmental trauma” in many cases. Experience or perception of negative, abusive, neglectful (lack of warmth) harsh environment in childhood left them ill equipped to deal with stressors as life progressed. To deal with their circumstances, they numbed themselves, suppressing and cutting off from their emotional pain. Unfortunately, if you numb the negative emotions, the positive ones get numbed too. Hence, this compromised their capacity to feel positive as well. They interacted with the world more cognitively, focusing on getting things done and moving on. Over a period of time this unprocessed emotional energy started to manifest in bodily symptoms. Chronic body pain for instance was associated with the burden of carrying responsibilities from a very young age and a lack of love and support. Asthma was associated with a suppression of one’s own voice and not articulating one’s feelings in most situations. Ulcerative colitis and cancer were associated with huge amounts of guilt and anger. Some people I have worked with haven’t undergone developmental trauma but have experienced prolonged stress and are left with issues like migraines and repetitive eruptions of ulcers and skin conditions. Mobilizing and processing the emotional energy in a safe and holding environment began the psychological healing process, which started reflecting on the body as well.  Clients with complaints of different aches and pains demonstrated remarkable improvement while patients suffering from advanced conditions like Cancers felt more in control of their diagnosis and medical treatment. A unanimous feeling they all shared was a regret of not keeping their mental health in check and seeking psychological help at an earlier stage that could have perhaps averted the physiological condition altogether.  One of the other key commonalities was the complete lack of awareness of the emotional suffering they were experiencing over a period of time. On the contrary, they dismissed their suffering as trivial and unimportant. They were either not feeling the pain as a consequence of numbing themselves or were in state of (helpless) denial about its existence that ultimately led to chronic physical diseases that warranted attention. Breaking The Cycle: Preventing Psychosomatic Symptoms ‘The past is present for new learning to occur’. Tune into your inner world, be honest with yourself and answer the following questions: Do you generally feel little or no emotions? It’s like being on neutral in every situation. Do your thoughts comprise primarily of things to do? Quickly shunning away emotionally loaded material? Do you have past experiences that you believe you are over however get uncomfortable when triggered? Do you consider others’ needs before yours and have a hard time saying no? If the answers to the above questions is a “yes” you are prone to developing psycho- somatic symptoms because of your tendency of coping by suppression and by not putting yourself as priority. As they say – A healthy body is a reflection of a healthy mind. On this “World health day” make a resolve for improving your mental- health as your physical health depends on it. Attune to your emotions, as they are messengers guiding you through life. When there are pleasant experiences allow yourself, to feel the pleasant feelings completely. Challenging situations will produce unpleasant emotions. Instead of resisting it, embrace it as it teaches you to bring about a change towards healthy growth. Is Trauma negatively impacting your life? Counseling can be a great tool for you to manage and learn more about trauma and lead a happy, stress-free life. We are here for you. Book an Appointment Frequently Asked Questions What are some ways to manage Developmental Trauma by myself? Some of the best ways to manage developmental trauma is through mindfulness practices, learning and being informed about trauma, and being in groups to provide support to yourself and others from trauma.  Can all trauma be Developmental Trauma? No, as there are multiple forms and types of trauma. Developmental trauma, in particular, occurs in childhood and can hinder a normal development of the child.  Can I get better from Developmental Trauma? Certainly. Trauma can be effectively healed and managed with the help of various therapeutic and self-help strategies.  About the Author This article was written by Gitali Chatterjee, Counselor at Inner Space. This post was consulted & approved by professional therapists practicing online therapy and counseling.  Ask a Therapist If you are interested to know more about Developmental Trauma and other mental health topics, ‘Ask A Therapist’ is a platform for you to ask your questions related to Mental Health, Mindfulness & Emotional Well-Being to our team of qualified Therapists. Ask a Therapist Related Blogs Coping With The Psychological Effects Of Traumatic News Vicarious Trauma and PTSD Disciplining Children With Compassion

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How Does Lack of Routine Impact Your Health? : World Health Day Series

Today is World Health Day!   We don’t need ‘days’ to look after ourselves. However, they are good reminders to look into anything we might be missing out on. After all, they make us think of whatever the day is about, even if for a few moments. This World Health day, we decided to write about ways in which Mental Health affects Physical Health. With the boom in mental health awareness, we all know that mental health affects physical health.   However, the specifics of this are still not known to many. How does mental health affect physical health? What factors can affect it? To what extent can the effect be? To shed light on these questions, over this week, we will share an article on the effect of 3 factors on mental and physical health: Lack of a Routine – irregular sleep, lack of proper eating habits and a sedentary lifestyle Loneliness – lack of companionship and feelings of isolation Developmental and Relational Trauma – chronic and intensely distressing experiences in childhood and adulthood Today’s sharing is the first of these three. It is a sharing from Nandita Sarma,  one of our therapists. Stay tuned this week for the other two!   How is Lack of a Routine Detrimental to Physical and Mental Health? What is lack of a routine? It is irregular sleep, eating habits and exercise. Most often we think of mental health and physical health as two separate entities but they are often very closely linked. These irregular habits often show immediate effects on our emotional well being. It often makes us restless, focus in our day to day activities becomes a task, we feel fatigue or a dip in energy and we become short tempered…to name just a few effects. A lot of us suffer from poor sleep patterns and we often blame – stress, taking work home, our relationship with our gadgets. What Are We Missing? The cost of a lack of routine is much higher than just bad moods and lack of focus. There is research evidence that irregular sleep habits put you at a risk of diabetes, heart disease, obesity and it shortens your life expectancy. If you seem to catch almost every flu and cold that is going around, your bedtime could be to blame. Extended periods of lack of sleep can disturb your immune system and your body might not be in a position to fight, like it used to. Regular sleep habits boosts your immunity, prevents diabetes, increases sex drive. Regular sleep habits generally help us function better mentally and physically. Lack of irregular eating habits and exercise may lead to many mental and physical ailments. The National Institute of Health links long-term poor nutrition with a number of physical issues. These include obesity, high cholesterol, diabetes, heart disease, cancer, gallstones, gout and many other health problems. According to them, a sedentary lifestyle increases the risk for heart disease, diabetes, high blood pressure, stroke, sleep apnea, osteoarthritis and infertility. In recent times, I have noticed that a lack of routine in the lifestyle has become a norm. There is no consistency, therefore people struggle to maintain a balance in their personal, professional and social lives. It is sometimes difficult to identify what comes to the forefront first – mental stress or physical ailments. But maintaining a routine will definitely help in functioning to the best of your abilities at a steady pace. We almost always put a lot of thought before doing anything….on this World Health Day, leave the thinking aside and just start. It’ll do a lot of good to both your mental and physical wellbeing. ADD THIS SIMPLE PRACTICE INTO YOUR LIFE TO CREATE A ROUTINE. https://www.youtube.com/watch?v=mDP181LvDrc&ab_channel=InnerSpace about the author share this blog! read similar blogs

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defenses-of-rusty

DEFENSE MECHANISMS – DAY 8: RUSTY COHLE

Rusty is an intense character with a depressing past. He is shown to be a misanthrope, highly self-aware, truthful, responsible, messed up, cruel, obsessive, perceptive, intelligent – all rolled in one. But why are his defenses designed to keep him from experiencing happiness?

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defenses of dr. house

Defense Mechanisms – Day 6: Dr. House

Dr. House seems to be this bitter, grumpy, cynical middle- aged man full of pride and lacking empathy. However, we can surmise that this image is but a defense. In what ways does Dr. House manage to maintain an emotional distance when relating to others and why does he need to do it?

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defenses of carrie

DEFENSE MECHANISMS – DAY 5: CARRIE MATHISON

The very perceptive CIA Agent, Carrie, often digs out solutions that others may miss. She seems driven by her principles to catch the bad guys, and to uphold justice. In dealing with people who embody terrorism, she is objective and often ruthless. However, there are times when her objectivity can be questioned.

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defenses of phoebe

DEFENSE MECHANISMS – DAY 4: PHOEBE BUFFAY

Spiritual practices and beliefs help us in many ways. They give us a sense of peace and solace, when times are tough. They also help us foster gratitude and guide us in our daily lives. Who would ever think that a religious or a spiritual belief or practice, could be a defense mechanism? What is the Defense Mechanism of Spiritual Bypass? A clinical psychologist, John Welwood coined the term Spiritual Bypass: It refers to the use of spiritual practices and beliefs to avoid dealing with our painful feelings, unresolved emotional wounds and developmental needs. When spirituality is used as a defense, it acts as an escape from accepting reality. Examples of how Spiritual Bypass may be used as a defense mechanism: A lady stuck in an abusive marriage says that her spiritual belief is to accept her destiny and fate. She needs to continue to serve her husband. She hides behind this belief and does not acknowledge the pain, helplessness and trauma she is undergoing. A gentleman who meditates regularly and does yoga. Every time anger comes into him he represses it telling himself that one should always be compassionate and anger is not the correct response for someone who is spiritually inclined. A person who has a very poor self concept, is not able to accept it and work with it. But suddenly develops delusions of being highly evolved as he or she practices certain religious rituals on a daily basis. How does Phoebe use the Defense Mechanism of Spiritual Bypass? Phoebe, from the popular sitcom, Friends, has had a pretty tough life: her mother committed suicide, she grew up on the streets and was even homeless for some time. She never knew her father, she and her twin sister don’t have the merriest of relationships. But despite all that she is strong, resilient and ever smiling with her new age quips and hippie wishes for world peace. Throughout the show; Phoebe is depicted as having several spiritual beliefs which serve her a lot of good. However, she uses these beliefs sometimes to avoid facing her true feelings. In this shot, we watch Phoebe break the news of her grandmother’s death: https://youtu.be/cCphb3vi6qI If you followed the show regularly you would recall that Phoebe was extremely close to her grandmother especially after her mother committed suicide. In this clip she uses the spiritual bypass to avoid the deep sense of loss and feelings of grief that might have been under the surface. She says that she will see her grandmother again and that she will probably meet her soon, not acknowledging the fact that in real life she will be no more. Here is another interesting clip. https://youtu.be/gL4-cIVeBA0 Here, Phoebe is probably missing her mother and is unable to allow herself to feel these sense of missing and loss. Her mother had committed suicide when she was very young, so she probably felt very abandoned. In this video clip she assumes her mother is a cat. She also expresses a fear of the cat leaving her. How can you tell if you’re using Spiritual Bypass as a Defense? In his book Spiritual Bypassing: When Spirituality Disconnects Us From What Really Matters(North Atlantic Books, 2010), Robert Augustus Masters lists the symptoms of spiritual bypassing: Symptoms of Spiritual Bypass: exaggerated detachment, emotional numbing and repression overemphasis on the positive, anger-phobia. Blind or overly tolerant compassion weak or too porous boundaries, lopsided development (cognitive intelligence often being far ahead of emotional and moral intelligence debilitating judgment about one’s negativity or shadow side, devaluation of the personal relative to the spiritual, delusions of having arrived at a higher level of being.”   Also, what does one do if this is constantly occurring? The first step would be to notice each time you are doing it. The awareness can then lead you to understand what are the emotional wounds, unmet needs or things you are trying to avoid by using the spiritual bypass. Staying with those feelings would really help. A very important aspect of any spiritual practice or ritual is integrating it into our real lives. If you catch yourself building a wall around you or disconnecting from reality, you may need to ask yourself if you are really experiencing spirituality or are you merely intellectualizing it? And lastly, here is some advice from Thich Nacht Hanh: “Every time you give your internal formations a bath of mindfulness, the blocks of pain in you become lighter and less dangerous. So give your anger, your despair, your sorrow a bath of mindfulness every day—that is your practice. If mindfulness is not there, it is very unpleasant to have these seeds come up. But if you know how to generate the energy of mindfulness, it is very healing to invite them up every day and embrace them. And after several days or weeks of bringing them up daily and helping them go back down again, you create good circulation in your psyche, and the symptoms of mental illness will begin to disappear.” – Thich Nhat Hanh Post Contributed by: Michelle Pereira  Image Credit: Bright/Kauffman/Crane Productions and Warner Bros. Television

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defenses of cersei

DEFENSE MECHANISMS – DAY 3: CERSEI LANNISTER

Ruthless, narcissist, vile – she’s called many things. You either love Cersei Lannister or you hate her. Being one of the most complex characters in the fantasy world today she also has several defenses at the core of her being – that almost make up the essence of who she is.

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The Art of Listening