How Trauma Therapy Can Help with the Avoidance of Pain

We have all stubbed a toe or sprained an ankle, gotten bitten or sunburned at some point in the last month. The instant ouch, the resounding throb, and tender joints for days are common for most ordinary people, and the more extreme and active you are, the more likely those will become.

Most of us have also eaten a new delicacy or old favorite, and gotten sick enough to throw it up due to food poisoning, and in future days, months, even decades for some, become so averse to the food, we completely avoid it.

Emotional Pain

Sometimes emotional pain caused by mistreatment while a child, difficult, frightening and uncontrollable things, feeling physical pain above the threshold of toleration, or being inappropriately touched or betrayed by someone, can make our bodies and minds respond similarly, just like becoming averse to food, or nervousness about playing that sport again in case your ankle might hurt again.

We are instinctively averse to things that cause us pain. A conversation about healthy fear versus unhealthy fear and healthy stress response and unhealthy stress response is valid. But for now, we can assert it is true that a powerful force in our mind prompts us to take special note of pain and quickly choose options to deal with it somehow.

Some of the ways we deal with emotional pain are suppressing our feelings, addiction, denial when it comes up, walling ourselves off from more pain or situations, fantasy and daydreaming, and other kinds of avoidance.

What we get from these are anxiety, a feeling of lurking feelings underneath the surface, and hopeless, cynical, antisocial, or isolative behavior. The problem with these is that none of them deal with root causes. All of them look to reduce or avoid symptoms.

Broken Cisterns

In Jeremiah 2:13, God tells the prophet Jeremiah about his people Israel: “For my people have committed two evils: They have forsaken me, the fountain of living waters, and hewed out for themselves cisterns, broken cisterns that can hold no water.”

We can see a parallel to the broken cisterns that can hold no water, to those instances of avoiding pain, our rushed way of acting, but not getting to the root solution. Historically, cisterns were reservoirs or wells that would be built to hold and contain water. God used this metaphor to point out to His people that certain avenues and choices will never truly satisfy and comfort us or support us with the right provision of healing.

Ice cream is great for celebration, but not great for reducing the pain of rejection from people. Leaving in a hurry and swearing at someone to get away might be useful if being chased by an assailant, but not if you need to work a thorny issue with a family member. There is a reason and a season for things that make something an applicable or not-so-applicable choice to cope. The same goes for emotional, mental, and spiritual pain.

What is trauma therapy?

Let’s now take this philosophical topic and distill it to the psychological topic you came here for; how trauma therapy (“trauma” being the Greek word for wound, and so trauma therapy is the attending to the wound) can intersect with pain and help the sufferer face it and cope with it in the right way.

For nearly every theory proposed, tested, and verified in modern therapy, some theorists looked at basic questions like what unhealthiness is, what healthiness is, and useful thinking and feeling, and what is the vehicle of change to go from unhealthy to healthy.

Many theorists looked long and hard at how pain, wounding, fear, and negative habits of the past shaped people’s decision-making, defense mechanisms, and worldviews. They also proposed what they believed were common traits of healthy thinking, responses, and outlooks, and then went to work to derive hypotheses and develop interventions that could become vehicles of change toward healing in some way.

Some looked at reducing the pain and negative symptoms, while others looked at becoming more flexible and accepting negative feelings, and changing one’s outlook about them.

Types of Trauma Therapy

Trauma-Focused Cognitive Behavioral Therapy

For example, TFCBT (trauma-focused cognitive behavioral therapy), which is an evidence-backed theory for how to help children and teens experiencing symptoms of post-traumatic stress, has a particular understanding of trauma and how to heal.

The theory lays out an eight-step protocol that starts with educating caregivers about trauma, teaching relaxation skills for a body wracked by trauma, acknowledging emotions around pain and loss for kids, helping enhance adaptive thinking about events, thoroughly describing events through one’s narrative and then incorporating these skills into day-to-day life with the help and support of a support network.

According to this theory, you must come face to face with the wound and address it in trauma therapy, learning new ways to calm the body, understanding the normal mental reactions to trauma, making sense of it, and beginning to readjust to living in the presence of or in the wake of a painful event.

Dialectical Behavior Therapy

Another evidence-based method is called Dialectical Behavior Therapy, which is effective for individuals experiencing big overwhelming feelings in relationships, outbursts, and/or addictions, and also looks to address suffering and the conditions that drive us to act in unwanted ways.

1“Radical Acceptance,” a sub theory in this method, suggests that until we wholly accept that a trauma or a wrongdoing occurred in all its detail, we will get stuck in suffering, thinking about why or why not, and why me. While not accepting what happened is understandable initially, over time, it becomes problematic.

The answer this theory offers, is to hold our emotions hand-in-hand with logic and cold hard realities, and find a middle ground of wise behavior called “wise mind” thinking, which listens to the feelings, needs, and urges of the emotional side and balances them with acceptance of fact, to synthesizes them into a new, more adaptive way of thinking. In this theory, neither trying to medicate away feelings nor accepting reality without feeling would benefit healing.

Acceptance And Commitment Therapy

Yet another evidence-based theory called Acceptance and Commitment therapy was based on its founder, Steven Hayes’ experience of having his panic attacks get worse the more he tried to avoid the panic he felt in those moments.

He came to realize that befriending the fearful thoughts, recognizing they were a part of him but not him in totality, and reminding himself of his values and desired path of life that he was committed to, even amid that pain, helped him come out the other side. Flexibility came when there was more than just one way to handle pain, so that he could accept it, and move on, learning along the way and staying true to his beliefs.

12-Step Groups

Lastly thinking of all 12-step groups which have been proven effective over many decades, acknowledging pain and the past, not shutting the door on it, and committing to a plan of action with steps that improve your relationship to yourself, to God and other people, has assisted millions of addicts twisted by avoidance of pain become people reforming into witnesses to their pain but in recovery toward wholeness as recovering addicts.

The Common Factor

What do all these approaches have in common? They don’t advocate avoiding pain in the healing process; they offer strategies to heal through the moments and seasons with pain in it, with acceptance, a different vision, and tools to emerge resilient and more of yourself than you would be if merely avoiding pain.

And still, I want to escape. I still want to escape pain, sadness, and wounding. I want to throw my hands up and ask, “Why?” And that’s okay – it’s human. But the question is whether I can refocus after I acknowledge the real pain I feel so that I can recover.

Bringing back the theological aspect, what might be God’s desire for my handling of this situation? Do we believe that God works all things into our lives for a reason to yield a certain result, if not desiring pain, at least allowing it?

Tim Keller, a renowned late pastor and writer, shared about a time he talked with a psychiatrist friend of his who was feeling stuck in a rut with his psychiatric training. He said one day he looked at his massive textbook and asked, “What if I read this textbook for Christ?”

Suddenly, the friend said, he was thirsty to learn, compare, make connections and insights for treatment out of a sense that he was learning for Christ, thus the fulness of his work was coming out of his response to the question “What if there is more to this textbook than a textbook?”

What if there is more to pain than pain? Keller also goes on in other sermons to describe how the secularized post-modern Western world has precious few resources for explaining, dealing with, and enduring distress. Since, in most of Western culture, pain is meaningless, it should be avoided as an ultimate evil, right?

Christ, as detailed in the Gospels, gave another view. That there “will be trouble” in the world, that pain and sin are inevitable, but that we should ask for deliverance from them at the same time.

As the Serenity Prayer (credited to a 1920’s German preacher Reinhold Niebuhr and read at many 12 step groups around the world) says, the prayerful person asks to start “Accepting hardships as the pathway to peace; Taking, as Jesus did, this sinful world as it is, not as I would have it; Trusting that He will make all things right if I surrender to His will; That I may be reasonably happy in this life and supremely happy with Him forever in the next.”

Trauma Therapy Reconsidered

Let us synthesize all of this. In the theology of pain and the healing therapies, we see both a universal issue and helpful ways through it. Be it Dialectical “Radical Acceptance,” CBT reorientation and resilience in facing hard things, or the twelve steps of becoming willing to accept a new path rather than the old one of avoidance and addiction, we see a strange, foreign theme emerge.

This theme is in contrast to avoiding pain and distress at all costs, which the world and our instincts ironically tell us is unavoidable. It is a theme of not clearing out from pain, but grasping it, acknowledging hardship and caring for ourselves in the midst of it, and taking the world as it is, not as we would have it, because that avoidance – that wishing for an alternative reality – keeps us in more pain and bitterness.

One last spiritual picture: If you are not familiar with the story of Job, it is a biblical account that starts with Satan coming to God and requesting to make life difficult for one of God’s chosen people, a blameless and upright man named Job. Satan, the accuser, tries to prove to God that Job, faced with stress, insult, fear, and pain, will surely curse God and not act blameless, for Job was only trusting God (said Satan), because of God’s kindness and material blessings.

What we see instead is a man who endured pain, but cried out to God in anger, but the key phrase is that he cried out “to God.” Job was a man who, though he experienced the pain, remembered to fix his eyes on God, and had faith that God can take our experience and raw expressions of pain and can provide healing and strength through it, not around it.

And the three therapies and the 12-step philosophy listed above all touch on different ways of bearing up underneath the burden of pain in this same way, attending to it rather than avoiding it.

Photo:
“Napping”, Courtesy of Daniel Martinez, Unsplash.com, Unsplash+ License

Seeking Help from Symptoms of Chemical Dependency

Gaining an understanding of chemical dependency and its effects has become important over the past couple of years in America. It is important to know what chemical dependency is, how it starts, and how one can get treatment. Newport Beach Christian Counseling can provide guidance and support for those struggling with chemical dependency and help find the right path to recovery.

Many families have a loved one who is suffering from chemical dependency. Chemical dependency is a person’s inability to stop using a mind-altering substance or drug because their body has now become dependent on it. This dependence is usually both physical and psychological.

Chemical dependency on a drug or substance is a result of continued use and the body’s ability to assimilate the drug and its tolerance is increased. People can get chemically dependent on narcotics, prescription medication, alcohol, or nicotine.

Because chemical dependency is a complex condition, diagnosing it can be hard. This is why The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) outlines the criteria for a person to be diagnosed.

The more criteria one meets, the more severe their condition as described below:

  • Mild Substance Use Disorder – 2-3 symptoms.
  • Moderate Substance Use Disorder – 4-5 Symptoms.
  • Severe Substance Disorder – 6+ symptoms.

Below are the criteria:

  • Taking the substance in larger amounts or for longer than initially intended.
  • Failing at any attempts to quit or control the amount of use.
  • A significant amount of time spent obtaining, using, or recovering from the substance(s).
  • Cravings or strong desires to use substances.
  • Inability to meet one’s responsibilities at home, work, or school as a result of drug use.
  • Continued use despite social or interpersonal problems.
  • Giving up or reducing social, occupational, or recreational activities because of substance use.
  • Recurrent use in physically hazardous situations (such as drinking and driving).
  • Continued use despite health or psychological problems caused by or exacerbated by substance use.
  • Increased tolerance.
  • Development of withdrawal symptoms resulting in the need to take the drug or substance.

It is important to note that diagnosis of substance use disorder can only be done by a licensed professional and a person should not self-diagnose.

Why it’s important to seek help for chemical dependency?

Its complexity

Chemical dependence can be so severe that one can’t get clean on their own without the help of trained professionals. These people have a deeper understanding of how different substances interact with our bodies and minds and can come up with an effective treatment plan.

Multi-disciplinary team

Chemical dependency affects many aspects of a person’s functioning. Seeking help will ensure that all areas are given attention and assessed. This could be a person’s mental health, physical health, or relational wellness. Treatment centers work with experts in different fields to offer comprehensive support.

It is life-threatening

Dependency on substances can lead to serious medical issues that can contribute to health complications that unfortunately sometimes lead to death.

Renewed hope

When a person seeks help it shows that they have hope that their situation will improve. Taking that first step is important as it opens a door to recovery and a more fulfilling life.

Restored Relationships

Our strength and quality of life come from the relationships we have. When one seeks help, they communicate to their loved ones that they are willing to be better. This gives way to renewed trust and relationship rebuilding.

We can help

If your life has taken an unexpected turn as a result of substance use and you are looking for help, contact our office today. At Newport Beach Christian Counseling, we have trained counselors who can offer you the help you need.

Photos:”Fallen Leaves”, Courtesy of Klim Musalimov, Unsplash.com, CC0 License; “Fall Leaves”, Courtesy of Annie Spratt, Unsplash.com, CC0 License; 

What is Chemical Dependency, Anyway? A Closer Look

Among lower income and homeless populations, easy access to drugs fuels the addiction crisis. For some, addiction to prescription pain relievers eventually leads to heroin use once the habit is no longer financially sustainable. Every day increasing numbers of addicts die from an overdose, but the chemical dependency epidemic cannot be blamed exclusively on easy access. Newport Beach Christian Counseling can provide support and guidance for those dealing with addiction, offering a compassionate approach to overcoming substance abuse.

Alcohol abuse has often been seen as a separate, distinct problem from chemical dependency. While different chemicals do indeed affect the body uniquely, substance abuse of any kind – alcohol, narcotics or opiates – results from a psychosocial dynamic that is no respecter of substance. Because of this common framework, alcoholism cannot be segregated from other chemical addictions.

Drug and alcohol abuse typically stem from a person’s desire to cope with pain when healthy and adaptive coping skills are insufficient. The difference between alcohol and other chemical dependencies is not so much about what prompts the dependency but about how easily accessible the substance of choice is. Because alcohol is legal to purchase, it is not only readily available but is also more socially acceptable as well. Addiction to street drugs, on the other hand, requires a person to circumvent the law, which makes the addiction more costly and recovery more problematic.

Defining Chemical Dependency

What exactly is chemical dependency? It is difficult to define without acknowledging the many opinions that have informed our discussion of addictions over the years. An organic definition of dependency, for example, looks at the chemical composition of a substance (i.e. the “hook”) that makes addiction highly probable.

A moral definition of addiction considers one’s spiritual disposition (i.e. – lack of faith) as a leading contributor. A biological definition provides yet another vantage point in which a person’s brain is implicated as having an addictive bent (i.e. – an addictive personality). With all these differing perspectives, how does one arrive at the truth? There are a few things that we do know about chemical dependency.

Scientists and researchers inform us that addictions are hereditary. Does heredity point to a genetic predisposition toward chemical dependency, or does it imply that a family’s environment cultivates addictive tendencies through a culture of addiction that passes down to the next generation?

It is known that substances have a withdrawal component which strengthens the organic or biological argument. From a moral standpoint, the Bible forbids drunkenness and encourages Christians to be empowered by the Holy Spirit rather than intoxicated by wine. The theory that substances contain a “chemical hook”, however, proves rather outdated.

Johann Hari exposes this outdated theory in a powerful TED Talk entitled, “Everything You Think You Know about Addiction is Wrong”. I strongly recommend that you watch his presentation, or at least watch the condensed, animated version entitled “Addiction,” created by Kurzgesagt (translated, means “in a nutshell”).

The chemical hook theory arose from a study involving rats that were offered both water and heroin-laced water. The experiment showed that the rats overwhelmingly chose the heroin water over the regular water and showed signs of addiction. This finding was then generalized to human populations, despite later experiments that yielded very different results.

In one such subsequent experiment, the rats were still offered both water and heroin-laced water, but the conditions of their confinement were altered. Instead of a sparse cage, the rats were enclosed in a stimulating environment with other rats. This time, the rats did not show a preference for the heroin water.

It would be unethical to replicate this experiment with human subjects, but a look at the Vietnam War offers some insight into how humans might respond in kind. During the war, heroin use was prolific among soldiers with few other options for recreation or diversion. There was a fear that, when they returned home, their recreational drug use would have become a full-fledged addiction. On the contrary, most soldiers were able to give up heroin upon return to their families and civilian life.

Hari points out the discrepancy in the hook theory given the results of both the rat experiments and the Vietnam War example. When one’s environment is taken into account, addiction is seen in a different light. Difficult and hopeless surroundings (i.e. the sparse cage or the battlefield) provide the context within which drugs become a viable escape. In fulfilling and hopeful environments, however, drug abuse makes little sense.

The implications seem clear, but how can they be integrated into our thinking about and treatment of substance abuse disorders? While addiction cannot be oversimplified, one of the often overlooked components in treatment is an individual’s social context.

Professionals must consider a client’s environment when treating chemical dependency. Advocacy becomes a vital role for the clinician in helping identify support systems for their clients as well as encouraging vocational, volunteer, and recreational interests. When recovering addicts can find fulfillment and purpose in their lives, the draw toward substance use weakens.

One former addict stated that he “wanted to have a life worth being sober for.” When it’s all said and done, having a life full of meaning and purpose provides the best alternative to substance abuse as well as other non-substance related escapes. Whether an individual is battling a substance abuse issue or addiction to pornography or food, therapy aims to explore the pain that is being numbed and examine the context in which the coping mechanism became an addiction.

Newport Beach Christian Counseling desire is to come alongside those who are struggling with chemical dependency and work with them to achieve sobriety and to create a life worth staying sober for. These goals can be achieved one small step at a time with the strength that God gives and the encouragement of your support system.

Photos
“Walking Home,” courtesy of Jesus Rodriguez, unsplash.com, CC0 License; “City girl,” courtesy of George Gvasalia, unsplash.com, CC0 License; “Take a sip,” courtesy of Tanja Heffner, unsplash.com, CC0 License; “Field,” courtesy of Karl Fredrickson, unsplash.com, CC0 License