Tag Archives: Suffer

Men And Women After Trauma: Coping With Differences

• Do men and women react differently after trauma? Yes.

• Does it mean one suffers more than the other? No.

• Do the differences confuse and often create tension for couples? Too often.

The Differences

What we find across cultures is that in the face of traumatic loss, women need to speak about what has happened and men need to do something about what has happened. In one scene from the devastation of the Tsunami in Sri Lanka in 2005, the women gathered, crying for their lost children while the men rebuilt the homes.

In their 2006 review of 25 years of research on sex differences in trauma and post-traumatic stress disorder in the Psychological Bulletin, David Tolin, and Edna Foa reported that although men have a higher risk for traumatic events, women suffer from higher rates of post-traumatic stress disorder. In their analysis, they suggest that the different rates of PTSD may actually be a function of the fact that men and women manifest their emotional pain in different ways.

In the aftermath of a traumatic event, women are more likely to have feelings of anxiety and depression, while men are more likely to express distress and depression in terms of irritability, anger and increased alcohol consumption.

Couple Response

Caught in the physical and emotional pain from a traumatic loss or event, couples often have very little patience for differences. It is hard for them to believe that their partner could feel different. It is even more difficult to believe that their partner could feel the same and react so differently.

When she suffered a miscarriage in the beginning of her fifth month, Claire was devastated. Then in her late 30’s, she was worried that this might have been her only chance to have a child. Even when she regained her strength, she was often unable to concentrate or sleep. She would ruminate and blame herself for waiting until her career was set before starting a family.

Claire was further upset by her husband John’s reaction. He was upset by the loss, but he seemed confident that there would be other chances. Claire wondered why he wasn’t blaming himself for their decision to wait to have kids. When she questioned him about this, he felt judged and blamed her for making it worse. They would end up fighting.

According to Dr. John Gray of Mars and Venus Starting Over, in the aftermath of the loss, both men and women need time to grieve. As such, it is often more common for women to blame themselves and for men to blame others.

Differences Don’t Equate to Lack of Love

If you find yourself struggling with your partner in the aftermath of a traumatic event, it does not mean that you don’t have a good relationship, or that you were never truly in love.

• Traumatic events are beyond what we ever expect. No one is prepared to respond.

• Differences in response don’t mean that as a couple you won’t cope or can’t heal.

If you take your time and give yourself and your partner a chance to grieve, cope and regulate stress in your own way and different ways, you will be able to use your relationship as an asset for coping.

• She joins a bereavement group at the church.

• He increases his workout schedule.

• She doesn’t want to socialize on the weekends, but he needs to get out—they settle on a movie date together.

Couple Considerations for Coping

• Everyone deals with trauma in their own way and in their own time – there is no right way.

• When in doubt don’t assume the worst about your partner – assume you don’t know.

• Interest and acceptance of your partner’s reactions invite sharing and empathy, which enhance healing.

• Being physically next to someone you love is a natural buffer for stress and emotional pain.

• Talking about the pain at times for her, valuing the shared silence for him—reflects the resilience of connection.

Sometimes the best-traveling companion in life is someone who sees and reacts to things in a way you would never have considered.

Image

Advertisements

Dumped? How To Heal The Health Effects Of A Broken Heart?

Romantic rejection can manifest in various forms of physical anguish, researchers find.

Got a stomach ache? A headache? Insomnia? Your health issues may be related to your recent romantic rejection.

When 23-year old Emmie Scott, a direct marketer in Richmond, Va., and her boyfriend/co-worker broke up and still had to endure seeing each other daily, Scott suffered a broken heart—literally. “The most uncomfortable symptom I experienced is the sensation that someone was sitting on my chest—a combination of both pain and pressure that’s left more than one of my friends commenting that my heart must actually be broken.”

Researchers now understand that romantic rejection triggers change in our brains that affect our health. Edward Smith, a Columbia University psychologist, and a team of colleagues found that intense emotional pain can activate the same neural pathways as physical pain. Seems being jilted can hurt in a primitive physical way as if you’ve been sucker-punched by a welterweight.

What’s more, that physical pain can manifest in surprising ways. Aside from chest pain, you may get hit with a kick-butt cold or flu, develop insomnia, or a range of gastro symptoms from loss of appetite to diarrhea. The precise health wallop you suffer may have to do with how your body manifests stress. Asthmatic? You could have an asthma attack. Suffer from a skin condition like eczema or psoriasis? Your skin will likely flare up. Have irritable bowel syndrome? Prepare to hit the restroom.

“While in college I found out my boyfriend (and high school sweetheart) was cheating on me. Although only 110 pounds, I dropped almost 15 and broke out with a case of shingles, which required a week of prednisone to calm,” says Christina Stoever Young, 40, producer of a historic haunted walking tour in Truckee, Calif.

Here, the top health complaints stemming from heartache:

• Complaint: Heart pressure or pain, palpitations, abnormal heart rhythms.

Why: When the stress response is triggered by a breakup or divorce, the body sends out a massive flooding of the hormones cortisol and adrenaline. “Anytime your adrenaline levels are higher, you’re more vulnerable to faster heart rate, palpitations, and certain arrhythmias, or abnormal heart rhythms, as well as skipped beats, lightheadedness, feeling your chest pounding, and a fluttering feeling in your neck,” says Dr. John M. Kennedy, a Marina Del Ray cardiologist and co-author of “The 15 Minute Heart Cure: The Natural Way to Release Stress and Heal Your Heart in Just Minutes a Day.”

Women heart patients facing severe stress from marriage difficulties were found to have three times the risk of heart attack as women without such stress. Worse, there’s a syndrome that mimics heart attack called Takotsuba syndrome, or broken heart syndrome, in which an EKG, chest X-ray, and blood work all indicate a heart attack. But when a cardiologist goes inside the heart searching for the culprit blocked artery, the arteries are wide open. The stress response simulates heart attack symptoms. “A broken heart syndrome is an extreme form of what heartache can do to our bodies,” says Kennedy. While it can be lethal, the heart muscle usually recovers within six months.

What helps: Anything that relieves stress helps prevent these heart problems during relationship troubles: exercise, yoga, meditation, relaxing through breathing or visualization, even short term anti-anxiety medication.

• Complaint: Cold or flu.

Why: These same stress hormones torch your immune system leaving you vulnerable to rogue bacteria and viruses. “Normally when you’re confronted with bacteria or virus, your body will mount a defense,” says Dr. Valerie Scott, a board certified family doctor in Mt. Pleasant, S.C. Post break up, however, your immune system is weakened and those defenses aren’t unable to ward off illness.

What helps: Managing your stress improves your immune system. Exercise, eat well, take a multi-vitamin, especially the B-complex vitamins, which boost immunity, rest enough and decompress with music, comedy or friends to counteract the flood of stress hormones.

• Complaint: Gastro upset (stomach pain, loss of appetite, diarrhea,).

Why: The excess cortisol shooting into your system during your break up diverts blood away from your digestive track, leaving you with GI unpleasantness–that ‘can’t eat for weeks, sour stomach, run to the bathroom feeling you get when your relationship tanks.

What helps: Try over-the-counter meds for your queasy stomach. In one study, researchers simulated rejection in the lab and found that aspirin alleviates the painful feelings triggered by being rebuffed. While it seems skeptical, it’s worth a try, as is curbing your desire to veg on the couch. Exercise prompts your brain to release uplifting endorphins that will settle your stomach. What’s more, misery loves company. “You want to surround yourself with family and friends and supportive people because it’s easy to get depressed,” says Kennedy, which may worsen symptoms. Camaraderie can stimulate a much-needed dose of missing oxytocin, a feel-contented hormone.

• Complaint: Insomnia.

Why: Sleeping patterns, not unlike eating patterns, become skewed during relationship demise. Some people want to stay in bed all day — while others can’t seem to sleep at all. Science really doesn’t understand why it happens, but it’s likely due to racing thoughts, the ‘he-said, she-said’ reenactment of the break up plays out mentally while at rest. Plus, stress hormones, still at their peak, may wreck your circadian rhythms and internal clock.

What helps: Stay active enough so your body will reach the reparative deep levels of sleep it needs, but don’t push yourself to exhaustion, which backfires. Exercise, but avoid it after 9 pm, since it could cause insomnia. Skip caffeine after 3 in the afternoon for the same reason. Turn off TV, computer and cell phone at least an hour before bed and embrace a relaxing sleep routine: low lighting, candles, and a warm bath. “Once you calm that stress response, all of these medical things resolve and get better,” says Scott.

Image

How Depression Hurts Your Heart?

Depression can affect the heart in many ways, both before and after heart disease. It can disrupt the heart’s rhythm, encourage inflammation and blood clots, and bathe the body in stress hormones that can raise blood pressure and harden arteries.

People with blocked coronary arteries have reduced blood flow to the heart, but they can also have blockage in the arteries in their brain making them vulnerable to strokes.

Strokes can affect mood and trigger depression, says Peter Shapiro, MD, Associate Professor of Clinical Psychiatry at Columbia University in New York City. Small areas of brain damage caused by cerebrovascular disease are also associated with an increased risk of depression.

Depression leads to cardiac risk.
Depressed people are more likely to have other risk factors that can contribute to heart disease. They are more prone to smoke, less likely to pay attention to diet and exercise, and more likely to neglect their prescribed medications—all serious risk factors for heart disease. Those who suffer from both heart disease and depression say their depressed mood affects their will to recover.

“Every heart patient is a potential depression patient.”
“You feel that your life has changed dramatically—your own mortality is slapped in your face,” says Bill Valvo, 60, of Newport News, Va., who suffers from heart disease and has had bypass surgery. “And then depression sets in. It’s like a well. It gets darker and deeper and if you don’t get help, you’re not getting out.”

He credits the support of his family, exercise, socializing, and volunteer work with helping him overcome depression and heart disease. Eight years later he worries more about his depression than his heart. “Sure, I could exercise more and eat better, and if I have another problem with heart disease I’ll treat it, but this depression stuff—I never lost it, I just pushed it back,” says Valvo.

“We need to look at every heart patient as a potential depression patient down the road,” says Leo Pozuelo, MD, Associate Director of the Bakken Heart-Brain Institute at the Cleveland Clinic.

Doctors don’t understand all the links between depression and heart disease, and patients usually have more than one risk factor. But one thing is clear: If you’re depressed and you have heart disease, you have to treat both conditions to recover.

Image