Counselling Articles Sex and Relationship Advice

Unexpressed grief becomes anxiety

Unexpressed grief becomes anxiety

Many of the clients I work with report experiencing some sort of anxiety in their lives, which makes sense, as anxiety is considered to be a fairly normal part of living in this world. Normal or not, most people want less of it. Clinicians use specific markers to determine a diagnosis of an anxiety disorder (there are several types). An anxiety disorder basically means that you have more of it than is considered normal.

Anxiety is physiological, emotional, and cognitive (body, heart, mind)

Anxiety is conventionally viewed as a cognitive or “thought” disorder, but I have suggested elsewhere that anxiety is simultaneously rooted in the body, and that it can be approached through the body via nervous system self-regulation (and co-regulation) techniques. It’s also worth adding that anxiety is emotional as well as cognitive and physiological, and I believe that emotion needs to be met on its own terms (more on that another time; much to say, including why do we continue to mislabel emotional health as “mental health”? Why don’t we address emotional health for what it is, directly? So strange, and yet entirely consistent with a head-centric culture that minimizes feeling and heart-intelligence.)

Anxiety… Grief in disguise?

Here I want to make a proposition – not a definitive or universal claim about anxiety – but rather a part of the picture or piece of the puzzle: Anxiety can be a result of unexpressed grief. Unexpressed grief can become anxiety. Unexpressed grief can be carried in the body, in the heart (the metaphorical or “feeling” heart), and in the mind (mentally, as thoughts), and over time this unexpressed grief comes to take the shape of what we call “anxiety”. In other words, anxiety might be grief in disguise.

We might not instinctively think of grief and anxiety side by side. Many of us don’t tend to think of grief much at all. Instead, depression gets most of the attention, probably because it fits more snugly into categorical and diagnostic parameters. Grief, not so much. For a while the experts worked with a model that tried to fit grief into tidy stages, but that project was largely discarded. Grief is too unwieldy. Too wild. Untameable. Also, grief is distinctly feeling. Depression, on the other hand, can be squeezed into the “mental health” box. Here’s an interesting insight about another difference between grief and depression: Depression disconnects us from life. Grief connects us to life.

Grief connects us to life

Grief doesn’t connect us to the parts of life we favour or prefer, but it very much connects us to an essential and unescapable (and, come to think about it, anxiety-provoking) part of life: Loss.

Grief is loss. Pretty simple equation. We grieve what we lose. We don’t grieve everything we lose, but when we grieve it is because we have lost something; something we cared about, something we loved. So here we can see that grief is distinctly connected to love. No love, no grief. No grief, no love. We grieve the loss of people we love, relationships we love, even an identity or idea or fantasy or way of life that we have loved and lost.

Grief demands expression

Grief is expressed through the body, somatically, through an action, most notably through weeping (for some reason I prefer “weeping” over “crying” in this case; there’s a different kind of connotation or significance, and language matters), but also through shaking or trembling, writhing, wailing, screaming, fists pounding, contortions of the body, even vomiting.

When we treat grief with the reverence and attention it deserves, it can also be expressed through language, through writing or journaling, through poetry, through talking or conversation. In more traditional cultures, grief is expressed through songs, through prayer, and through ritual or ceremony. When we lack these kinds of expression grief can turn into violence, self harm, hatred, substance abuse and harmful excesses. Denied or repressed, grief can also become depression, or, as I am proposing here, anxiety.

Some writers, leaders, and activists – Francis Weller and Stephen Jenkinson come to mind – suggest that grief must be expressed within the container of community, in the company of others, in order to be properly metabolized. Other thinkers on the subject, like Thomas Moore, take a more private introspective approach (Moore was a monk after all).

Grief is an ongoing initiation

In my professional life I have witnessed how grief, expressed or unexpressed, plays a role in how relationships unfold. In my personal life – I am now in my fiftieth year – I have discovered firsthand the inescapable hand of grief. The longer we live, the more we lose; the more we lose, the more we are put in touch with the grief energy. Grief is an ongoing initiation; we are initiated into the realm of grief through time and through aging. Grief comes with age, and it ages us. It comes with maturity, and it matures us.

As a slight aside, I want to offer another idea about grief while we’re on the subject, just to make things even more interesting: Grief is not the opposite of joy. In fact, grief and joy are neighbours. They’re not really even antagonistic neighbours. They might have a somewhat uneasy relationship, but ultimately they affirm each other.

Back to my original proposition… Unexpressed grief becomes anxiety. I share this idea because many people are perplexed by their anxiety. They struggle to know the cause or the source, to understand it. I invite you to give this idea some consideration. Entertain it. Investigate it. I offer it here humbly, that it might support you on your journey.

All My Best,
Justice Schanfarber

(Read the comments on this post on facebook – click here. I especially like the idea offered by one reader that grief must be “tended”.)

Follow me on social media for sex and relationship tips, tools, and insights – Facebook | Instagram | Twitter

Like what you’re reading here?
You’ll love my book.
Read the first 10 pages free.

The Re-connection handbook for couples - by Justice Schanfarber - web box2
Campbell River Marriage Counselling Justice Schanfarber

Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email to request a client info package.

Like Justice Schanfarber on Facebook

Never miss a new post. Sign up to get my articles by email –

Want to share this article? You can use the buttons below.

Counselling Articles Sex and Relationship Advice

“Stop feeling that” – Can you tolerate your partner’s difficult feelings?

"Stop feeling that" - Can you tolerate your partner's difficult feelings?When faced with our partner’s difficult feelings, the reflexive response tends to be some version of this: “Stop feeling that.” We might dress up our response in language that sounds more caring or compassionate, but the essential meaning of our message – stop feeling that – rings loud and clear.

We want our partner to stop feeling what they are feeling because it makes us uncomfortable in a hundred ways. Until we examine the discomfort that their feelings activate in us, we will continue to respond with some version of “Stop feeling that.” The problem with this response is that it easily turns the partner’s feelings into a point of contention, defensiveness follows, and a familiar escalation of conflict is often not far behind.

The alternative?

Another possibility is to respond to our partner’s difficult feelings with some version of this: “Please tell me more.” The problem with this is that it conflicts with our true intentions and desires. “Please tell me more” is a nice idea, but the truth is that we don’t want our partner to tell us more; we want them to stop feeling that.

Who would we have to be in order to genuinely want our partner to tell us more about their difficult feelings?

First, we’d have to be someone who can tolerate our partner’s difficult feelings. This is no small task. When the people closest to us are feeling something difficult, it is virtually impossible to not feel anxious. How we manage this anxiety determines our ability to be curious about their experience rather than trying to avoid, control, or fix it. In other words, our ability to be present in relationship hinges our ability to tolerate or manage the anxiety we feel.

Many of the complaints I hear in my marriage counselling practice come down to this –

“My partner doesn’t listen to me; they try to fix me or control me. I just want to be heard.”

Of course, the person saying this isn’t always telling the whole truth. Often there is a secret desire to have our partner rescue us, or there’s a not-so-secret attempt to pin our feelings on our partner, which makes it even harder for them to just “be with us” when we are suffering. There can also be an expectation that our partner demonstrate sufficient understanding, acknowledgement, or agreement when we reveal our feelings.

These dynamics can best be seen in the context of a “relationship system.” Thinking of relationship in terms of a system means acknowledging that relationship dynamics can’t be reduced to a simple cause and effect, but rather that there are multiple inputs that shape the system in complex ways, and that each person in the system has a part in either maintaining or changing it, no matter if they see themselves as the protagonist or the antagonist.

Learn more about tolerating feelings and changing difficult relationship dynamics in my book The Re-Connection Handbook for Couples.

Follow me for sex and relationship tips, tools, and insights – Facebook | Instagram

Like what you’re reading here?
You’ll love my book.
Read the first 10 pages free.

The Re-connection handbook for couples - by Justice Schanfarber - web box2

Campbell River Marriage Counselling Justice Schanfarber Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email to request a client info package.

Like Justice Schanfarber on Facebook

Sign up to get my articles by email –

Like this article? Share it! You can use the buttons below –

Counselling Articles Sex and Relationship Advice

“My husband’s anger is wrecking our marriage.”

My husband's anger is hurting our marriage

Brian and Glory had been working with me for just over a year. The complex impulses and patterns shaping their relationship were slowly being revealed. Brian had a war-like energy, and could escalate a conflict to massive proportions in a matter of moments. This frightened Glory, who disliked conflict and shied away from any expressions of anger, even just a raised voice. To Glory it was obvious that, faced with a partner’s anger, any reasonable person would naturally want to retreat.

Glory was a highly intelligent and sensitive woman, and she had been clear in our sessions that she was willing to investigate her role in perpetuating the conflict cycle that had developed. Nonetheless, despite her stated willingness in this regard, she always came up empty handed when searching for her own complicity. After all, it was HE who would raise his voice, it was HIS anger that would spark and catch fire.

Many counsellors, as well as family and friends, will naturally side with the more “peaceful” person in this dynamic, the assumption being that the onus is on the “war-like” personality to change. This bias has its problems, as we’ll see.

To really understand all that is going on beneath the surface of a relationship like Glory’s and Brian’s it’s useful to take problem-solving off the table for a time. I like to do this transparently with clients, and to get their explicit consent and participation. I assure them that we can and will come back to the matter of solutions, but for now, I ask, can we just investigate without any agenda… can we simply be curious? Interestingly, this is where change tends to actually begin. When we start to examine a relationship with simple, genuine curiosity we make new discoveries.

Putting problem solving aside allowed Glory and Brian to come to some new realizations about their relationship patterns. By doing “little experiments” (this is a Hakomi term for setting up small, carefully controlled interactions for the purposes of observing the experience and noticing habitual responses) Glory discovered that she had virtually no tolerance for anger or conflict. In the face of anger, even the subtlest anger, she would begin to retreat. The idea of meeting anger or conflict face-on had never even occurred to her as a possibility.

In Glory’s world, anger and conflict were intolerable. They were, in the simplest terms… bad. It made sense that she had been unable to identify any role that she might play in the relationship conflict cycles that plagued her marriage. After all, she always did everything in her power to avoid anger and conflict!

Once it dawned on her that her aversion to conflict and anger might actually be her role in the pattern, Glory had something to work with. She experimented with facing anger and conflict more directly. This let her see just how conflict-avoidant she was, and she got a glimpse of how this part of her personality had shaped her life.

Now remember, we’re still in simple curiosity mode. No problem solving, no prescribing, just noticing. And we’re not just talking about anger and conflict, we’re actually working with it as it comes up in session. We’re doing little experiments all the time. This requires a particular orientation from a therapist – they must recognize these opportunities as they naturally arise and use them for a client’s insight and learning.

This is not an orientation every therapist shares. I’ve been witness to many sessions where a counsellor does just the opposite; they try to calm down or smooth over strong emotions or outbursts in session so that they can get back to talking about the couple’s problems from a safe distance. Certainly there are times for de-escalation and peace-keeping, but if this is always the strategy, and if it is an automatic or unconscious strategy, opportunities will be missed, and old cycles will continue.

Back to Glory and Brian… Glory has now realized that she has always treated anger and conflict as inherently bad, something to be avoided, and she is beginning to see how this avoidance has both perpetuated their cycle, and has blinded her to role within it. She sees that her task may be to confront Brian’s anger and, it is revealed later in our sessions, perhaps her own anger as well; not surprisingly, it isn’t just other people’s anger that makes her uncomfortable.

Here’s what I presented to this couple and asked them to consider –

The moment that Brian feels Glory retreat in even the smallest way, he panics (it took some careful attention for him to recognize the degree of this panic response). Brian’s panic is expressed first as annoyance or criticism, but then moves quickly into rage. His rage is the rage of abandonment.

On her side of the equation, the moment Glory feels the smallest expression of Brian’s annoyance or criticism, she begins to retreat; she knows what is coming next. It’s crucial to note that we are talking about the tiniest expressions here. Barely discernible eye movements. Subtle changes in body language, posture, or verbal tone. Like most long-term couples, Brian and Glory are exquisitely attuned to each others state of being, and like most couples they are in denial of the power that their anxiety holds over each other and the relationship.

As I’ve often explained in my various writings, our nervous systems are in constant communication with each other, for better or for worse. Most of this communication is happening below conscious awareness, hence those conversations that everyone knows, beginning with –

“Why are you looking at me like that?”

“Like what?”

“Like THAT.”

“I’m not looking at you like anything!”

As we debriefed a particular incident that had threatened to escalate into a familiar multi-day meltdown, I was struck by the fact that both Brian and Glory experienced major incongruence between their two accounts of the event; they believed that their stories did not match. But I found their two stories remarkably consistent, the only notable discrepancy being this –

Each was acutely aware of each others subtle cues, but more or less oblivious of their own.

Glory could describe in detail Brian’s eye movements and the change of tone in his voice that led her to retreat, and yet she was blind to her equivalent cues to Brian, cues that essentially said “I’m disconnecting from you now.”

Conversely, Brian had a photographic memory of the moment Glory averted her gaze, and how that affected him, but he could not understand how his accusatory tone could possibly elicit such a strong response from her.

This was a good opportunity to draw some parallels. I explained that their two accounts of the same event sounded remarkably congruent to me, and I observed that each of them put disproportionate significance on each others cues, while downplaying the impact of their own responses on each other.

In other words, Brian couldn’t believe that a tiny little bit of criticism from him could make Glory retreat so dramatically, and Glory was baffled that the mere hint of disconnection or retreat from her could throw Brian into a rage. Each downplayed their own cues and reactions, while simultaneously inflating the other’s.

“I get a little angry. No big deal. But then she totally withdraws!”

“I take a little space for a few minutes, like any normal person, and then he totally blows up!”

The behaviour of each is deeply habitual, and feels completely “natural” from the subjective point of view. Neither Brian nor Glory could imagine how their minor little habits could trigger such a strong reaction in the other. A switch gets flipped, for both of them, a switch that runs right to their core.

As we continued experimenting and gaining insight through a collaborative curiosity and a willingness to suspend judgement, Glory and Brian each discovered how much impact their own triggers had on each other, and how this caused the escalation they experienced.

This was in important and ongoing discovery. Previously, they had dismissed each other’s reactions, while simultaneously holding their own to be natural and valid. Now they were each beginning to see how the other’s experience was as legitimate, in its own way, as their own. This, by the way, is an example of genuine empathy.

Empathy has its own nature and arises spontaneously when the conditions are right. Having an actual felt experience of each other’s vulnerability, coupled with a growing understanding of each other’s life experiences, outlooks, and character provided the right conditions for empathy to organically emerge. This allowed Glory and Brian to imagine themselves more as allies than adversaries, and it set the ground for co-operation as we began to address behavioural change.

As we began to address behavioural change and taking responsibility for one’s own actions, we started with some education on what I call “building capacity.” Both Glory and Brian needed to develop tolerance for each others anxious behaviours.

Brian needed to practice allowing Glory to make small retreats. Glory needed to practice allowing Brian to express anger or criticism. Neither Brian’s anxious anger nor Glory’s anxious withdrawal were inherently bad or wrong, and they only threatened the relationship to the degree that each could not tolerate the other. By growing their capacity, stretching their tolerance for each other, the burden of change falls on neither, and yet both are apt to find their own way of changing. Like most profound relationship work, it’s paradoxical. By allowing each other to be themselves, by practicing tolerating one another, a behaviour pattern is interrupted and the stage is set for change based on personal maturation; much more valuable than ultimatums or even negotiated compromise.

Change that comes out of growing our capacity feels satisfying and nourishing. It’s a source of pride and freedom. Change that comes from making demands, ultimatums, or even negotiated agreements about behaviour – “You promise to do this and I promise I won’t do that” – tends to be short-lived and can even be potentially destructive.

You might have noticed that there is virtually no story, no content, no “he said/she said” included in the account above. That’s because the issue that this couple faces isn’t, at core, about a particular disagreement or argument. Their conflict is rooted in something much deeper. We might call it habituated nervous system responses, or we could use another lens and call it attachment styles. The point is, we could spend forever dancing around the details of who said what and who did what, but underneath all that are two nervous systems doing their thing. Attending too much to “story and content” would just distract us from the work of capacity building.

So how to build capacity? How to develop tolerance for our partner’s small cues that set us off?

First we must begin to notice that which has always gone unnoticed. Brian and Glory, like all of us, developed strategies early in their lives for getting their needs met – needs for safety, for connection, for soothing, for autonomy, and so on. These strategies are unconscious, and are sometimes even pre-verbal. We make certain decisions about how to be in the world and with others before we even begin speaking as children. These strategies do not live in our conscious mind, they are held in the body, in the nervous system, in the emotional and instinctive parts of ourselves.

When these unconscious strategies get expressed in our adult relationships, they might create strong impulses and feelings (or perhaps numbness), but they tend to elude conscious awareness. Because they feel so naturally a part of us, it’s necessary to practice recognizing them. Until we do some work examining them, they really aren’t negotiable, they’re more or less hardwired. It’s also worth mentioning that the gender associations in Glory and Brian’s case can just as easily be reversed; a woman might tend toward anger and a man toward withdrawal, in fact I see this just as commonly.

Our task is to start noticing how we respond to particular stimuli, how we react to our partner’s cues. We practice in session, slowing down these interactions and noticing the subtleties contained within. From here, with a little experience under their belts, client couples will take this practice into their lives. If they will continue this difficult work, they will likely be rewarded. To learn more, read my book The Re-Connection Handbook for Couples – Insights and practices for cultivating love, sex, and intimacy (even in difficult times).

Follow me on social media for sex and relationship tips, tools, and insights – Facebook | Instagram | Twitter

Like what you’re reading here?
You’ll love my new book.
Read the first 10 pages free.

Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email to request a client info package.

Sign up to get my articles by email –

Want to share this article? Use the buttons below.

Counselling Articles

Relationship triggers – How to take care of yourself without abandoning your partner when sh*t blows up

Relationship triggers

You’ve been invited to listen in on a marriage counselling session. They’re starting…

Susan: I get anxious and triggered then I want re-assurance about our relationship. All sorts of stories start up in my head about how he doesn’t love me enough, or if he really loved me he’d do this or that. It’s like torture, and I want help, so I ask him to tell me what I want to hear, but then he gets triggered and withdraws. For some reason he can’t say what I need to hear when I need it most. Then all my triggers are activated and I get even more desperate.

Marcus: It’s true. I feel her anxiety growing and I feel myself shutting down. Then she needs me to say the right thing, but it’s literally impossible for me. I don’t know how to explain it. I think it’s because old feelings of being controlled or manipulated come up for me. I withdraw, which is the opposite of what she needs, and it makes it worse for her, but I just can’t do the thing she wants. I can’t jump through the hoops. We crash and burn again and again. How do we fix this?

Take a moment and reflect on this story. How would you fix this problem? Where do you think the burden lies? Do you relate to Susan or to Marcus, or to both?

I have heard a hundred different versions of this same story from clients. It’s a perennial relationship quandary. Usually couples who present this issue come to me wanting a communication tool or technique that will let them finally get through to their partner, finally be understood, finally get their needs met.

But they’re in for a surprise. I have to tell them that I doubt there’s a communication technique that will help. I go on to explain that what they are dealing with is not a communication problem, at least not in the ordinary sense. They each feel misunderstood, but the misunderstanding isn’t about what is being said between them; the misunderstanding is about the very nature of their conflict.

Here’s how I explain it in my book The Re-connection Handbook for Couples (click here to download a free sample chapter)

Underneath all our words and our conscious intentions, our primary relationship follows the twists and turns of two highly attuned nervous systems. Your nervous system and your partner’s nervous system are in constant, silent communication. Beneath the radar of awareness, these two parts of self are setting the mood, raising the stakes, making peace, or waging war. This is happening under the surface of normal consciousness, despite whatever agreements you might be making and whatever “communication tools” you might be employing.

Nervous system arousal is like an invisible hand directing your relationship. The felt experience of nervous system arousal is called anxiety. This anxiety is, perhaps surprisingly, highly contagious.

Anxiety moves back and forth between spouses in predictable ways. We all try, mostly unconsciously, to offload our anxious feelings onto our partner. Think of a hot potato being tossed back and forth. No one wants to hold it, and so we quickly pass it along.

Many of our requests, agreements and interactions – and especially our conflicts – are unconscious attempts to find relief from our nervous system arousal.

As an experiment, let’s look back on Susan and Marcus’s revelations at the top of the page, but we’ll strip away the content, strip away the words, and instead simply imagine two nervous systems interacting.

Susan’s nervous system gets activated for some reason (any reason – for our purposes it doesn’t really matter). It sends a wordless message to Marcus’s nervous system, “Alert! Danger!” Now both nervous systems are activated.

These two nervous systems continue to activate each other, creating significant mental and emotional anguish. Both people want relief, and they want it desperately. They use the tools they know, they try to talk it through. But nervous systems that are on high alert do not respond well to words or reasoning, and so relief doesn’t come. With no relief, anxiety escalates, turning into panic, frustration, rage, or withdrawal (any history of trauma will exacerbate the situation, and should be addressed specifically).

Susan gets anxious, and she turns to Marcus for soothing. (Marcus’s anxiety may have come first, who knows. It’s a chicken and egg situation.) Marcus instinctively withdraws. Perhaps it’s his nervous system saying “Get me out of here! This shit’s contagious!” Susan feels his withdrawal, and she takes it as evidence of her worst fears, He doesn’t really love me.” Her anxiety spikes, and Marcus’s nervous system responds in kind. He retreats even further.

Here we see the classic spiral… the stuck relationship and hopelessness… the repeating conflict loop. We usually assume that these loops are related to something we are saying, and so we search desperately for the right thing to say, some better way to say it, some escape from the tortuous deja-vu we’re stuck in.

We turn to the tool we use for virtually everything… reason, intellect. We try to think our way through, and we share our thoughts verbally. The trouble is, when our nervous system is all fired up, we have limited access to our thought and speech centres. But we don’t know what else to do, and we desperately want relief from the uncomfortable anxiety we’re experiencing, so we keep trying, and, like Susan and Marcus we dig ourselves deeper into the hole.

Relationship triggers and de-escalation.

It feels agonizingly counter-intuitive for most of us, but rather than trying to express ourselves more clearly, or even to understand or empathize with our partner, we need to first turn our attention inward and attend directly to our own poor, suffering, anxious nervous system.

This isn’t an intellectual or communication task, it’s physical and internal. Most of us assume that anxiety is mental, but our nervous system resides more in our body than in our mind, and so it’s our body that holds the key. Not thinking, not talking, but attending to the body, your body, directly.

As much as we are tempted to seek relief outwardly, from our partner, through attempted communication, negotiation, empathy, or understanding, this is usually a case of putting the cart before the horse. It can be much more effective to turn inwards first, moderating our own nervous system. You can read my simple 3-step system for soothing an activated nervous system by clicking here.

Here we’re faced with the paradoxical, delicate and oftentimes confusing dance between self-care and other-care, between being an autonomous individual and being connected through relationship. The fact is, neither of these states are absolute or entirely exclusive; we are simultaneously distinct AND connected.

We live in an age of utility, and my client couples often expect practical tools and solutions that they can apply immediately. The advice I give is this: Practice attending to your own nervous system arousal, turn inward, as you simultaneously remain present and connected with your partner. Easy in theory, but not in practice.

I will sometimes have them practice this in our sessions. In family systems theory this experience of feeling ourselves as distinct and autonomous, while simultaneously connected, is known as differentiation. Think of it this way – Your ability to defuse your own triggers in relationship while also caring for your partner is determined by your level of differentiation. This practice of becoming differentiated begins with a conceptual understanding (hopefully this article helps; for more support have a look at my book), and then becomes a life-long practice of moderating your own nervous system and soothing your own anxiety.

Only by developing this kind of deeply personal relationship with our own inner workings can we manage to stay grounded solidly in ourselves even in the face of our partner’s and our own anxiety and emotional triggers. As we become more skilled at this, we may uncover unresolved issues – resentment, hurt, trauma – that do want attention, and then a focus on communication, conversation, discussion can be fruitful, but without first attaining a sufficient level of self-management and differentiation we end up stuck in the same old mess of hair-trigger nervous system activation. Yes, it’s hard work, but it’s required if we want to have mature, satisfying relationships.

Like what you’re reading here?
You’ll love my new book.
Read the first 10 pages free.

The Re-connection handbook for couples - by Justice Schanfarber - web box2

Campbell River Marriage Counselling Justice Schanfarber Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email to request a client info package.

Like Justice Schanfarber on Facebook

Sign up to get my articles by email –

Want to share this article? Use the buttons below.

Counselling Articles

Trauma and counselling – Recognizing trauma and choosing a suitable approach to therapy

Trauma counselling and therapy - suitable approaches
A client came to counselling bracing themselves for what they expected would be a terrifying and awful experience. I was the fourth counsellor she had seen over the period of a few months.

This client was a woman who had been suffering from depression and anxiety following an extended period of abuse. In my office she fidgeted, avoided eye contact and appeared anxious and distressed. She told me she was tormented by something that had happened a few years ago. She had finally sought help, but after one session with her first counsellor she couldn’t bear to go back for a second.

She’d tried other counsellors too but it always ended up more or less the same. They would ask her about the event that was troubling her, she would tell part of the story, the session would end, and she would go home feeling like a wreck. Now she found herself in an impossible bind; her symptoms were getting worse but she was increasingly afraid to get help.

Being with this woman in my office, I could practically feel her nervous system reaching out and clawing at me in desperation. I focused on moderating my own nervous system as we began our first session. (Our human nervous systems, like those of other mammals, are constantly, silently communicating with each other.) I explained that I would not be pushing her for any details around painful life events. In fact, I assured her that I didn’t need to hear the story of her abuse to help her.

Everything I was sensing from this person, from her story to her body language, hinted at trauma. Here’s a useful definition of psychological trauma –

Psychological trauma is the unique individual experience of an event or enduring conditions, in which the individual’s ability to integrate his/her emotional experience is overwhelmed, or the individual experiences (subjectively) a threat to life, bodily integrity, or sanity.

My trauma counselling approach is in some ways different from my other treatment methods. Without a suitable map for working with trauma, it’s easy to inadvertently re-trigger a traumatic response in someone and cause harm. This is true for counsellors and therapists, but also for doctors and medical professionals, teachers and educators, even parents and spouses.

This woman in my office had been repeatedly re-traumatized by helping professionals who either didn’t recognize trauma, or didn’t have a sufficient map for working with it.

Traumatic life events are generally experienced in one of two ways –

  1. The event is experienced and then integrated over time until it takes an appropriate place in our memories, or
  2. The event is experienced but then continues to haunt us with a variety of persistent mental, emotional and physiological symptoms.

In the first case, when we talk about a traumatic event from the past it feels like it happened in the past. It has taken its rightful place in the past and although it may trigger painful memories we do not feel our safety threatened in the present moment.

In the second case, talking about a traumatic event from the past may trigger extreme distress in the present moment. We may feel, against all rationality, that the event is happening again or may happen any moment. We may understand logically that this is not true but our nervous system is in fight or flight (or freeze) mode.

When past traumatic experiences get triggered, we might become panicked. We might perspire, tremble, clench. We might feel rage or despair. We might freeze, go numb or dissociate.

As you can see, trauma can trigger a lot of different symptoms. What they have in common is immediacy and a sense of disproportion. We might be confused to see someone get so triggered or so shut down by just a few words or a sound or some other small cue.

It’s important to understand that the post-traumatic response is much more visceral than it is logical. It’s a body experience more than a head experience. Feeling more than thinking. When someone is panicked or dissociated it is very hard to get through to them with reason. Trauma therapy that works directly with the body rather than entirely cognitively, or that engages reason in slow, small steps can be effective.

By instructing someone to tell the story of their traumatic event we may be setting them up for re-traumatization, as happened with the client mentioned above. If we understand something of the nature of trauma, and learn to recognize its signs, we can better support people who are struggling with its lingering effects.

Pacing is critically important when working with trauma. There is a window of tolerance that must be carefully observed. Go too fast, push too hard, and a traumatized person can quickly go into hyper-arousal or dissociative states. Nothing useful happens in these states.

Here are some signs that a trauma response may be activated in a person –

  • Trembling, clenching, flushing of skin
  • Darting or wide eyes
  • Swallowing, fidgeting
  • Shallow breathing, minimal movement, “freezing”
  • Far away sounding voice, avoidance, sense of not being present
  • Rage, aggression or terror

If you suspect that a trauma response is activated, it’s best to slow down whatever process you’re engaged in. Back off the hot topic. De-escalate any conflict or stress. Simplify your language. Show support and caring with words and body language. Attend directly to the nervous system activation that is happening in the moment. This is vitally important.

As my sessions with this particular client continued, she slowly revealed details of her ordeal. It isn’t that she didn’t want to tell her story – on some level she wanted desperately to talk about what happened. But every time she did it made matters worse. By parsing out the details at a pace that was manageable for her, and by attending to her nervous system directly at every step, and by working relationally and building trust, I was able to help this woman get some relief from her symptoms.

Telling her story – to me and to key people in her life – was actually an important step for regaining perspective, moderating nervous system arousal, and healing the sense of alienation she experienced. But she had to build up to it slowly. Only by understanding the effects of trauma and having a map to navigate it in therapy could I work with her in a truly helpful way.

Understanding and treating trauma requires training, study and practice. I use somatic processing rooted in mindfulness and Hakomi principles. This allows me to gently work with the trauma that is locked in the body, without forcing clients into potential overwhelm or retraumatization.

To learn more about trauma, PTSD and treatment I recommend Peter Levine’s books –
Waking the Tiger – Healing Trauma: The Innate Capacity to Transform Overwhelming Experiences
In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness

Follow me on social media for sex and relationship tips, tools, and insights – Facebook | Instagram | Twitter

Like what you’re reading here?
You’ll love my new book.
Read the first 10 pages free.

The Re-connection handbook for couples - by Justice Schanfarber - web box2

Campbell River Marriage Counselling Justice Schanfarber Trying to grow, fix, change, understand or save your marriage? I provide couples therapy, marriage counselling, coaching and mentoring to individuals and couples on the issues that make or break relationships – Sessions by telephone/skype worldwide. Email to request a client info package.

Like Justice Schanfarber on Facebook

Sign up to get my articles by email –

Want to share this article? Use the buttons below.