Dr. Harris Summer 2019 Reads Suggestions
Dr. Harris Summer 2018 Reads Suggestions
For some, entertainment is an escape from our daily lives, but for many others entertainment is a sensationalized account of real issues we may face. “13 Reasons Why” originally published as a young adult novel, was subsequently adapted into a series by Netflix. The series chronicles the life and subsequent suicide of teenager Hannah Baker. In the series, Hannah posthumously provides 13 cassette tapes to fellow teenagers she has come in contact with, detailing the trauma she and others endured in the weeks prior to her death.
The dark turn of the show may make it difficult for some viewers to watch, covering topics such as drug abuse, sexual assault, bullying, and suicide. While the show is effective in pulling the viewer in, it does little to prepare the viewer for what’s to come, which begs the question: when is it appropriate to address the topics of sexual abuse and suicide?
To answer this question, it is first essential that parents and educators become familiar with the content described in this series, thus providing a basis for future conversations. What “13 Reasons Why” has accomplished is opening the dialogue surrounding assault and suicide between adults and teenagers. For many, the unimaginable trauma of suicide and sexual assault, which is vividly played out on the screen for viewers to watch, is a subject that is not easily broached, however, it allows adults to empathetically gaze at the issues many teenagers face.
As parents and professionals, it is important that the conversations surrounding sexual assault and suicide be had, no matter how difficult they may be. Discussing the depictions and representations of each character may alleviate some of the concerns parents may experience, as well as allow parents the opportunity to correct some of the inaccuracies presented in the series. As teenagers who may view the series, it is imperative that it be known that there will be someone who takes these issues seriously and is willing to address them. For each of us, the series can shine a light on the importance of being intentional in how we interact with each other and how we respond to those hurting or in need of support.
If you or someone you know is struggling with thoughts of suicide please call the National Suicide Prevention lifeline, a 24-hour free and confidential service, at 1-800-273-TALK (8255).
To speak with someone regarding the issue of sexual assault please call the National Sexual Assault Hotline, available 24 hours a day, at 1-800-656-4673.
Additionally, if you or someone you know is affected by the topics discussed in the series, please feel free to schedule an appointment with one of our therapists here at Cornerstone by calling our Intake Department at 312-573-8860.
Marie was feeling productive at work when she received a phone call from her mother. As soon as she saw the caller ID, she felt irritable and dismissed the call. For the rest of the day, she struggled to return her focus to her work or get anything accomplished.
Brenda was enjoying her time out to dinner at a nice restaurant with her boyfriend, Jude. However, she wanted to run out of the restaurant when Jude took his phone out of his pocket and started doing something on it. For the rest of dinner, she just answered his questions with one-word answers and couldn’t wait to get home so she could go to sleep.
Tiffani was fully engaged in the conversation at her 11:00 business meeting, which she found to be fascinating. When the colleague sitting next to her raised his hand to interrupt the discussion, she flinched and had trouble participating in the remainder of the meeting.
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Although at first glance, these women may seem to be drastically different from one another, when we take a moment to investigate their histories, we find similarities in their reactions in each situation. Each of these women’s reactions makes sense. Each of these women’s trauma response was triggered by the circumstances of their environments and made it difficult for her to fully engage in the present moment.
Marie grew up in a home where she never knew what she would experience when she walked in the door. Some days, her mother would be waiting to greet her with a smile and interest in what happened at school. Other days, her mother would be drunk on the couch, waiting for Marie to return from school so she could take care of her mother’s every need.
Brenda’s first marriage started off great, but after a year, her husband didn’t seem to even know she existed, that was, until he wanted something from her sexually and he could not be deterred. Brenda felt unwanted and cast-off and wasn’t surprised the day he filed for divorce because he found a “better woman.” It took a long time to feel ready to date again, but finally, she was willing to try again.
Tiffani’s step-father was scary and mean. She would hide in her closet to stay away from him when he was angry, praying that he wouldn’t find her because she was afraid that this time, he would hit her so hard she might die.
What is a trauma response and why does it happen?
Our brains automatically respond to dangerous, stressful, and traumatic situations by prioritizing reactions that will keep us safe; this is a very good thing, as it helps us to survive. When a person experiences these dangerous, stressful, or chaotic situations time and again, his/her brain gets really good at quickly prioritizing this survival response. Sometimes, the brain is so good at doing this, the survival response becomes the automatic and occurs even when the person is in a completely safe situation. This triggered reaction is a trauma response and it makes sense. Marie’s trauma reaction was triggered because her brain knows that sometimes when she talks to her mom, she isn’t safe. Brenda’s trauma reaction was triggered because she felt unwanted by her boyfriend when he started using his phone; she had been here before and it was not safe. Tiffani’s trauma reaction was triggered because her brain knows that sometimes, when someone near you raises his/her arm, it is to hit her. Although each of these women may not understand why she reacted in the way she did, each response makes sense in light of her past experiences and makes it difficult for her to fully engage in the present moment.
What can I do if I experience things like this?
First and foremost, seek support from safe and trustworthy people. Talking through your current and past experiences with a family member or friend who has consistently been safe and caring can help you express these things so you don’t have to hold them inside or on your own. Many individuals find it helpful to participate in therapy in order to have a safe place to discuss these reactions and the situations that have caused them and work towards growth and healing.
Secondly, take care of yourself when these reactions occur – maybe you need to take a break to go for a walk, grab a coffee, or take some deep breaths. Do something little and easy to help calm your brain and your body down so that you can re-engage in the present moment. Be kind to yourself by reminding yourself that this reaction was helpful for your survival at one point in time and makes sense in the current situation – there is nothing inherently wrong with your reaction and you can do something to help yourself through it.
If you would like to begin receiving professional services for reactions such as those described above, our office has therapists who have specialized training to provide services to individuals who have experienced trauma. Please click here to request an appointment.
*These stories are fictional and were created with the intent to illustrate triggered responses as a result of traumatic experiences in order to increase awareness, offer knowledge, and provide support for those who may be experiencing similar reactions.
Do Children Actually Need Therapy? An Insightful Look into the World of Child and Adolescent Therapy
As a clinical therapist, who specializes in working with children and adolescents, I have been asked why children would ever need therapy. My answer is this: Why does anyone ever need therapy?
People seek therapeutic services for a variety of reasons. Some seek therapy to aid them through a life transition, a death of a loved one, a divorce, a mental disorder or a trauma (to list a few). Life is full of twists and turns; it is full of unexpected challenges. Individuals face an array of challenges throughout their lifetime. However, should a trauma, transition or learning disorder occur during childhood and adolescence, the individual may face a different set of obstacles.
Science shows that the human brain is not fully developed until the age of 25 (Aamodt, 2011). Therefore, any traumatic event that happens during the adolescent life stage occurs while the brain is still developing, meaning the individual simply does not have the cognitive function to react or process the way adults do. One such example is suppressed memories. The brain, while in the developmental stage, will often shut down in response to a trauma in order to survive (Ferrara, 2002). If a child is raped, and they do not understand the concept of abuse or sex, they simply have no way to process the event, but they must go on. This is when the child or adolescent’s brain goes into survival mode, and shields the child from the memory until it can be processed at a later time (Ferrara, 2002). Not all children who experience a traumatic event will suffer from suppressed memories. However they will likely respond in drastically different ways than adults.
One situation I often see in my practice, is a child suffering from grief and depression due to divorce. Children of divorce often harbor anger, the emotion that hides true feelings: hurt, confusion and grief (Luepnitz, 2002). Due to the stage of brain development, a child may respond to the divorce by acting out: negative or destructive behaviors, temper tantrums, bullying, sulking, withdrawal, etc (Ferrara, 2002). Should one ask the child why they are acting in such a manner, and they respond ‘I don’t know’, one should not assume they are lying. They truly may not connect the event (divorce) to their feelings (hurt, confusion) to their actions (disruptive behaviors). This is where therapy may be help the child and the family.
To help a child process and grow beyond a negative event, one must step into their world, and a child’s world is based around play. Children cannot sit still and have a 50-minute conversation about their feelings like adults do; thus child therapists use many tools, such as games, art, role playing, workbooks and music to appeal to the client’s development stage. They are stepping into the child’s world, that they might help them to process in a safe place and learn healthy, age appropriate coping mechanisms. Children need therapy much like adults need therapy. Yet children need therapeutic interventions that are tailored to their life, needs and developmental stage of life.
Aamodt, S (2011, October 10). Brain maturity extends well beyond teen years: NPR. NPR: National public radio: news and analysis, world, us, music and arts: NPR. Retrieved April 30, 2016, from http:// www.npr.org/tempates/story/story/php?story Id=141164708
Ferrar, F.F. (2002). Childhood sexual abuse: Developmental effects across the lifespan. California:Wadsworth Publishing.
Luepnitz, D. A. (2002). The family interpreted: psychoanalysis, feminism, and family therapy. New York, N.Y.: Basic Books.
Each year, children experience violence and disaster and face other traumas. Young people are injured, they see others harmed by violence, they suffer sexual abuse, and they lose loved ones or witness other tragic and shocking events.