Your Loved One Has Dissociative Identity Disorder?

If you have a loved one who has Dissociative Identity Disorder (AKA “multiple personalities”), you may have felt uneasy or even frightened at times. It can be disconcerting to think you do not really know who they are. It may be awful to think of the traumatic experiences they survived that led to the dissociation.

This is partly because for many people, the only understanding they have of Dissociative Identity Disorder comes from sensationalized depictions in movies or TV, showing DID experiencers as unpredictable, deceptive, violent–nearly supernaturally so!

But it’s important to take a pragmatic approach to understanding this experience and not to exoticize or blame your loved one.

In other words, they are not an exotic disorder. They are not their traumatic experiences. They are not possessed. They did not “cause” the disorder. They did not ask for nor deserve the trauma during which it developed. They aren’t “faking.” They are not a case for you to manage. They are a regular person who needs love, acceptance, and healing.

Everyone has “parts” –different personality presentations and experiences that are expressed in different situations. We all act at least somewhat differently at a job interview than at the club, or at church, or with a close friend who is very accepting, or in class, or around a judgmental neighbor, or around a secret crush.

The main difference is that for those who have DID, those different presentations have become dissociated from each other: there is a disruption of the underlying thread of memory and consciousness that most of us have between all our parts.

An important thing to remember is that while you may not like one or some of your loved one’s parts (and you don’t have to!), there are no “bad” parts. Every part’s feelings are a valid expression, even if not every part’s wishes should be acted on.

Nothing your loved one experiences is beyond the understanding of humans generally. You don’t need to be an expert in Internal Family Systems to connect with them. It’s useful to have some information, but primarily, just be a human with a loving connection. ❤

If you are interested in reading more in-depth about Dissociative Identity Disorder from someone who experiences it, here is an essay that is addressed to therapists but may also be useful for others who have loved ones with this type of dissociation:

TEN STEPS TO BECOMING A DISSOCIATION-FRIENDLY THERAPIST

 

 

Immigrant Families Finding Therapy

Because of the many layers of stresses and even traumas associated with immigration, immigrants and their families may face high levels of mental distress. This includes things such as traumatic events that were severe enough to make them leave their home country in the first place, as well as the great difficulties in adjusting to a new and sometimes hostile environment.

In today’s social and political climate, stresses and traumas are higher than ever, making mental health support even more crucial. But as challenging as getting started with therapy can be, it can be even harder for immigrants and their families.

This piece by Lauren Hodges explains why, and offers MANY great suggestions to help you or a family member get mental health support!

 

 

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You Are Not Your Trauma

 

An early experience of trauma can have effects that you may not start experiencing until adulthood. It can feel “crazy”! But having PTSD symptoms doesn’t mean that you will always feel that way. It means that you have emotions and reactions that are ready to be processed so that you can begin healing.

While healing from trauma can be a lifelong process, you can often start feeling better in many ways right away! You are still a whole, worthy human being, rich in the capacity to enjoy life in your own ways.

If you are ready to start processing, please review our quick chart to see how you can access our therapeutic services from anywhere in Pennsylvania!

 

Mental Health: Accepting Healing Over Time

 

Valarie Ward has written a good breakdown of how pop mental health writing is often not only unhelpful, but perpetuates stigma and judgment. Treatment–whether chemical, cognitive, or situational–can support and help to heal mental health, but it’s not a magical instant “cure.”

It’s useful to find the type of treatment or intervention that is most helpful and supportive to YOU. It doesn’t mean you’re “doing it wrong” if you still have symptoms or flare-ups. It means that humans are biological, not mechanical objects that can have new parts swapped in for an instant fix. [See: PTSD as chronic illness]

There is nothing wrong with trying to find things that help you feel better and function better. We encourage you to explore treatment modalities!

But the danger in chasing a “cure” can be the idea that if it’s not “cured,” then we just aren’t trying hard enough. Plenty of people with mental illness and injury hear this message from well-meaning friends, family, and loved ones, though sometimes in different words.

“You’ve been in therapy for weeks/months/years, why isn’t it helping?”: If it’s truly not helping, then of course try something else, or something additional!

But often this really means “I’m upset that you’re not ‘cured’ yet.” Unfortunately, we may also internalize these messages ourselves, which just means that we have found another “should” with which to beat ourselves up; another way to use perfectionistic standards against ourselves.

Instead, notice how far you’ve come since you started working on your healing. Even if it has only been a few days, I bet you already learned some things that help you to comfort yourself or to reframe your thoughts in a healthy way that hurts less!

And if you’ve been working on healing for a while, I bet you are experiencing more days during which you can get out of bed. Or get out of the house. Or days you can do some meaningful work or play. Or days you can spend time with your children. Or fewer days spent in the hospital. Or a better ability to see yourself having a future. Or a few more relationships that are going a little better than they used to. I bet you’ve already done a lot more healing than you think!

So instead of beating up on yourself for not suddenly being “cured” or “fixed,” take stock of how your healing really is progressing, and be proud of yourself. ❤

 

Holocaust Remembrance Day

“How wonderful it is that nobody need wait a single moment before starting to improve the world.” (– Attributed to Anne Frank)

Stanton’s 10 Stages of Genocide and how the US stacks up:

 

Reflect on your own values, and see what you may do to “start to improve the world.” ❤

Anti-Semitism Still Active

 

In 2019 in the United States of America, the Jewish community still experiences life-threatening anti-Semitism:

We don’t want more people to have to die singing.

Antisemitism is real and being stirred.

If the Jewish and Muslim communities can support one another, then others can–and must–also learn to de-escalate.

Rabbi Yisroel Goldstein, of Chabad of Poway, who was injured in the shooting today, wrote this post in March:

Yisroel

If you would like to help in a concrete way, donations are being collected:

Be mindful of neighbors and coworkers who may be very affected by these events and check in with them if you can.

Be safe, and help others feel safe, too. ❤

Learning Boundaries as a Self-Parenting Skill

 

I recently saw this tweet from writer Jacinda Townsend:

Jacinda, you are definitely not alone!

For those who grew up in a family of origin with appropriate boundaries, learning how to set boundaries probably happened as invisibly as learning to walk, write their name, or sing songs. Interpersonal interactions were healthy and just “happened that way.” Those people often don’t even realize that’s how they are living. (See: fish, water!)

But for those of us from families with more dysfunction, we may have just as invisibly learned unhealthy boundaries, and it will greatly affect our daily lives. Like much of self-parenting, this is harder to learn in adulthood, but necessary and definitely worth the work.

Since I am also a therapist who hands out materials on boundaries to my clients, here are links to two articles I frequently use with clients. Others may also find them useful:

Like any skill, boundary setting takes repeated practice over time. We may see how we’re “supposed to” do it right away, but that doesn’t mean we will be able to implement it right away. Throw away that perfectionistic expectation. But you can start experiencing relief right away from even small changes! Read the articles and see what parts apply to your experience. Start small, keep working on it, and develop the habit of treating your boundaries as being important! ❤

 

 

 

 

 

 

 

Targeted Violence in New Zealand Shatters the Peace for All

 

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We are saddened and outraged to hear of the deaths of 49 Muslim worshippers at the mosques in Christchurch, New Zealand. We extend our condolences to the Muslim community in New Zealand and also our Muslim neighbors locally.

A reminder to all that it is important to avoid sharing harmful imagery and materials that primarily publicize terrorist acts and terrorists. This includes the video livestreamed by the shooter, but also stills from the video. One reason is to avoid giving terrorists the publicity they crave, which can also encourage terrorist acts by others.

Another reason is to minimize traumatizing people by making exposure to images of actual violence and killings practically unavoidable as they go about their everyday lives. Traumatic material can severely affect not only those in the specific target group of the violence, but many others as well.

As the above Twitter user has pointed out, instead of giving terrorists free publicity, find ways to help, locally and internationally. Some ideas from others include: showing support and solidarity online or in person, contacting local Muslim organizations to offer help, or donating to specific victim aid.

For Muslims anywhere,

Be mindful of neighbors and coworkers who may be very affected by these events and check in with them if you can.

Be safe, and help others feel safe, too. ❤

Healing, Not Fixing, PTSD

 

Post-Traumatic Stress Disorder (PTSD) is often best approached as a chronic condition that may have “flare-ups.” This is true of many other mental illnesses and mental injuries as well.

It can certainly be the case that someone experiences some symptoms of PTSD one time and never again in their life, but for most of us, what it means is that we are vulnerable to experiencing symptoms again during periods of stress (or in the case of activating events).

We are experiencing healing, which means we are able to improve certain things with support and as we learn to attend to ourselves, but we don’t know how much everything will heal nor how long it may take. This is different than “fixing,” which is when we remove a “broken” part and replace it, and then everything is as though nothing ever happened. You are an organism, not a bicycle.

This does not mean “I have PTSD, so now everything is hopeless forever,” it means that we need to learn how to manage our environments, life situations, and our selves in order to reduce the severity of symptoms and the likelihood of recurrence, rather than to assume “I haven’t had any symptoms in a year, this must mean it’s okay to stop attending to myself!”

It means not subjecting ourselves to unreasonable stressors and life-sucking situations, personally and in our work. It means taking our physical and emotional discomfort seriously instead of blowing it off until it blows up. It means not listening to internalized minimizing messages that say “suck it up” when distressed. It means learning to re-parent ourselves where necessary.

It means treating ourselves with support, care, and dignity, and developing boundaries to ensure that others do, too. It means practicing self-care as a habit, not only when unduly stressed. It means recognizing symptoms as symptoms, rather than as some kind of weakness that deserves self-punishment.

It means learning what events, people, and circumstances make your symptoms worse, and modifying those as best you can. It means learning what activities, people, and circumstances help you feel better, and including those more. It means taking yourself to the doctor or the therapist when you need to go. Sounds simple, but it’s not always easy!

Basically, it means learning to take care of ourselves “as though” our well-being actually mattered instead of as an afterthought. Let me repeat: treat yourself like your well-being matters, because it does. ❤

 

“Treating yourself with kindness is a life skill. It doesn’t matter whether you are ”good at” this skill It only matters that you keep going💛” — Jeffrey Marsh

 

 

Immigrant Families Managing Depression, Anxiety

Because of the many layers of stresses and even traumas associated with immigration, immigrants and their families may face high levels of mental distress. This includes things such as traumatic events that were severe enough to make them leave their home country in the first place, as well as the great difficulties in adjusting to a new and sometimes hostile environment.

In some cases, cultural conflict and cultural differences may make dealing with mental health issues even more difficult.  But some members of immigrant groups are working to alleviate this and support mental health of fellow members, such as  Ryan Tanep, in this piece by Malaka Gharibh: