Businesses in Bloom Podcast-Dr. Arielle Schwartz

An Interview with Dr. Arielle Schwartz

This interview on the Businesses in Bloom Podcast with Juliet Austin looks at topics of my personal journey as a psychologist and author. Within, I share stories of my own work-life balance as a wife and mother of two. If you are building a psychotherapy practice and are curious to learn more about how social media, website support, and cultivating a successful business, check this out.

Dr. Arielle Schwartz

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EMDR Therapy for Complex PTSD-Dr. Arielle Schwartz

Is EMDR Therapy Appropriate for C-PTSD?

EMDR Therapy

Quite regularly I receive inquiries from clinicians and prospective clients asking me if it is appropriate to use EMDR Therapy for complex PTSD and childhood trauma. My short answer is yes, EMDR Therapy is an incredibly valuable therapeutic for treating C-PTSD; however, this powerful modality typically requires careful modification to attend to dysregulated and dissociative symptoms that often accompany early developmental abuse or neglect.

EMDR Therapy is an 8-phase treatment modality that systematically allows clients to process traumatic material and resolve lingering emotional, mental, and somatic distress. This post describes some of the most common modifications as related to the 8-phases that allow clients and clinicians to work together safely using EMDR Therapy for complex PSTD.

“Chronic, early developmental trauma memories are often preverbal and tend to be accompanied with dissociative symptoms. Therapists must emphasize the importance of resource development and careful pacing of EMDR Therapy so that clients feel safe in the present moment. You achieve successful treatment outcomes when you slowly build tolerance for the emotions and body sensations that accompany traumatic memories. The once overwhelming symptoms of C-PTSD can resolve as the client learns to turn toward pain and suffering with greater awareness and compassion.”
-Dr. Arielle Schwartz

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Preventing Therapist Burnout-Dr. Arielle Schwartz

Embodied Self-Care for Therapists

Preventing therapist burnout Dr. Arielle Schwartz

This post focuses on the importance of self-care for therapists who work with trauma. Without a commitment to self-care, maintaining a practice focused on the treatment of PTSD can have a significant impact on the mental, emotional, and physical health of the therapist. You can think of this impact as existing on a Burnout Continuum that begins with relatively mild caregiver stress that builds over time progressing into compassion fatigue, vicarious trauma, secondary trauma symptoms, and, in the worst case, into complete burnout. Trauma counselors, such as those who practice EMDR therapy or Somatic therapy, need to have sufficient support to process the mental, emotional, and physical weight of the traumatic material that they are exposed to. Otherwise, it is common to begin to feel weighed down by the heaviness of this work and, as a result feel tension in the body, fatigue, and emotions of anger or resentment.

Clients with trauma often come in with extreme states of high or low arousal. They might be trembling with anxiety and panic, flattened by depression and despair, or numbed by dissociation. The psychophysiology of these states can be induced in therapists. When therapists recognize that they have joined with the physiology of the client they are better able to engage their boundaries or explore valuable self-care strategies. In addition, we must remember that therapists are people first. We come into the field of trauma work with our own historical wounds and injuries. This work tends to flush to the surface personal unfinished business such as unprocessed traumatic memories or attachment related material.

“We must take a preventative approach to mitigate therapist burnout by addressing risk factors and responding to early symptoms of caregiver stress. Too much empathy can have negative repercussions. A therapist must first start by resourcing and re-energizing the self. A therapist who focuses on self-regulation during a session can serve as an important model for the client. This process also allows the physiology of the therapist to be an available, present-centered resource for the client.”
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Embodiment in Somatic Psychology-Dr. Arielle Schwartz

The Body’s Wisdom

Embodiment and Somatic Psychology Dr. Arielle Schwartz

Like most of us, I can become disconnected sometimes. For example, when I spend too much time at my computer; after a while I can find it difficult to sense and feel my body (ironically, this occurs even when I am writing about embodiment).

The truth is, it is easy to disconnect from the sensations of our bodies. Why? We are simply taught to forget. Western culture values the intellect—thoughts, judgments, verbal analysis, mathematical abilities, and logic. It is unusual to go to school and have a teacher ask, “what are you sensing in your body?” Rather, most of us were trained to be “good” by sitting still and paying attention to external sources of information. At home, we adhered to family rules and rhythms. Sometimes these external rhythms do not match our personal sensations but we learn to adjust. In situations of traumatic neglect or abuse, you might have had to disconnect from your body to survive.

In therapy, a traditional approach emphasizes verbal processing and cognitive meaning making (talk therapy). However, somatic therapy helps you access additional pathways for healing by focusing attention on the embodied experiences that coincide with the verbal exchange. Somatic psychology centralizes body awareness as a primary healing agent in psychotherapy; taking the therapeutic experience beyond where words can take the client. This allows you to focus on unwinding the stories held within the body.

“Embodiment is the practice of attending to your sensations. Awareness of your body serves as a guiding compass to help you feel more in charge of the course of your life. Somatic awareness provides a foundation for empathy, helps you make healthy decisions, and gives important feedback about your relationships with others. Embodiment in somatic psychology applies mindfulness and movement practices to awaken body awareness as a tool for healing.”
-Dr. Arielle Schwartz

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Complex PTSD Preverbal Memories Dr. Arielle Schwartz

Healing Childhood Trauma

Resources for Trauma Dr. Arielle Schwartz

Early childhood traumatic events include experiences of neglect, feeling like you didn’t belong or were unwanted, or feeling chronically misunderstood. You might have grown up in a family where your parents had unresolved traumas of their own, which impaired their ability to attend to your emotional needs. Or, in more extreme situations you may been exposed to dangerous abuse. Chronic unresolved childhood trauma is referred to as Complex PTSD (C-PTSD).

Psychologist and neuroscientist, Dr. Allan Schore identifies that our earliest preverbal memories are neither verbal nor stored as images. Instead, they exist as motor patterns and sensations. They are blueprints of our earliest relationships represented by psychophysiological arousal and emotion. Even once a child develops language, traumatic memories are often stored in a disorganized fashion. If you experienced childhood trauma, you may feel burdened by physical and emotional pain or feel haunted by fragments of disturbing memories.

“In order to successfully work with preverbal memories, you must find a way to access the somatic experience related to these early interpersonal exchanges. It is important to know that you can heal C-PTSD. Even though the path to healing can feel daunting, remember that all journeys start with a single step.”
-Dr. Arielle Schwartz

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Boundaries and the Self-Dr. Arielle Schwartz

Boundaries and Relationships

Complex PTSD Dr. Arielle Schwartz

This post addresses the role of boundaries as instrumental to healing trauma, especially childhood trauma. Boundaries are the limits that help to define the self. They create the distinction, “this is me and that is you.” Boundaries are meant to be adaptive and responsive to our environment. For example, when you feel safe, your boundaries can be more flexible allowing for greater emotional or physical intimacy with another person. However, when you feel threatened or are unsafe your boundaries become more defined and can help you protect yourself by saying “no, this doesn’t feel good.”

“Without a boundary, you will be more likely to give in to others. With too rigid of a boundary, you risk feeling isolated. Having clear boundaries helps you adapt the level of emotional or physical intimacy in the moment. Healthy boundaries help with decision making and allow you to take responsibility for your actions and thoughts. Maintaining successful boundaries involves accepting the fact that you cannot please others all of the time. They help you ask for what you need, even though you may be told no or risk feeling rejected. Ultimately, healthy boundaries facilitate self-respect and a sense of your own worth.”
-Dr. Arielle Schwartz

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Shame in Complex PTSD-Dr. Arielle Schwartz

Freedom from Shame

Acute Traumatic Stress Dr. Arielle Schwartz

Childhood traumas can range from having faced extreme violence and neglect to having reckoned with feelings of not belonging, being unwanted, or feeling chronically misunderstood. You may have grown up in an environment where your curiosity and enthusiasm were constantly devalued. Perhaps you were brought up in a family where your parents had unresolved traumas of their own, which impaired their ability to attend to your emotional needs. Or, you may have faced vicious sexual or physical attacks. In all such situations, it is common to develop defenses around your most vulnerable feelings.

When childhood trauma continues over time and remains unresolved a form of post-traumatic stress can result called Complex PTSD (C-PTSD). This has significant consequences on mental and emotional health. It is understandable to experience feelings of helplessness and shame in complex PTSD.

“In order to heal, most people with C-PTSD must confront hopeless thoughts, painful emotions, and intolerable sensations. Navigating this territory requires careful guidance. It is all too common to get stuck in avoidance patterns, fall in a pit of despair, or become imprisoned by the negative thoughts. You can find freedom from shame and helplessness. This process requires gentleness, acceptance, and persistence.”
-Dr. Arielle Schwartz

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The Complex PTSD Workbook-Dr. Arielle Schwartz

book-cover

I am excited to announce my new book, The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control & Becoming Whole! It is now available on Amazon and you can click here to order.

Those affected by complex PTSD (C-PTSD) commonly feel as though there is something fundamentally wrong with them-that somewhere inside there is a part of them that is broken. Though untrue, such beliefs can feel extremely real and frightening. Difficult as it may be, facing one’s PTSD from unresolved childhood trauma is a brave, courageous act…and with the right guidance, healing is possible.

In The Complex PTSD Workbook, you’ll learn all about complex PTSD and gain valuable insight into the types of symptoms associated with unresolved childhood trauma. Unlike other books, this workbook applies a mindful, strength-based perspective to develop and integrate your positive beliefs and behaviors. Within, you will find information about common misdiagnoses and explore a synthesis of therapeutic methods for healing including somatic therapy, EMDR, CBT, DBT, and mind-body perspectives. Importantly, this book creates opportunities for personal reflection using writing exercises to explore how you feel as related to the material presented.

“Complex PTSD is defined by a set of symptoms that are the result of pain and stress that often began at a very early age—they could be all you’ve known. Naturally, these early experiences shape your perspective of yourself and the world. Healing asks that you turn toward your past to find relief from the weight of trauma. As a result, you become less defined by your history and have greater choice about your future. Take comfort in this: your symptoms are the result of learned ineffective beliefs and behaviors and they can be replaced by a positive mindset and health-promoting behaviors.”
-Dr. Arielle Schwartz

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Overcoming Barriers in Complex PTSD-Dr. Arielle Schwartz

Healing Complex PTSD

The Complex PTSD Workbook

Healing from complex PTSD takes time and requires commitment. This is because exposure to neglect or abuse during childhood leaves a profound and persistent mark on your body and mind. Within psychotherapy, clients who do not get better are called “resistant.” Unfortunately, resistance is too often misattributed to a lack of willpower, laziness, or stubbornness. As a result, clients who are most in need of support are left feeling misunderstood or risk losing faith in therapy.

“If you have been told you are a resistant client, it is important to understand what dynamics might be at play. I invite you to think of resistance as a normal process of self-protection. Moreover, become curious—resistance is information and your job is to understand the message. This process requires compassion for yourself and from your therapist.”
-Dr. Arielle Schwartz

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Unsettled-Dr. Arielle Schwartz

Adapting to Change

Unsettled Dr. Arielle Schwartz

I show up for work and sit with many people, face to face. Unlike most weeks when the theme is very personal; this week has been dominated by the impact of recent unsettling events on people’s lives and psyches. Here is a brief synopsis-my takeaway from the perspective of a psychologist.

“Adapting to change involves orienting yourself towards a sense of safety in the here and now. Give yourself space and time to grieve and know that acceptance doesn’t mean that you are ok with what happened, it means that you choose to go on with your life in a meaningful way. Change, even unwanted change, isn’t all bad. Take a moment to focus on the good as it exists in your life. If there are changes that are out of your control than ask “How can you be the change you want to see in the world.”
-Dr. Arielle Schwartz

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