Showing posts with label Trauma. Show all posts
Showing posts with label Trauma. Show all posts

Monday, April 14, 2014

What it Means to Relax Part 1

The internet and blogs and books are full of information about the fight, flight, or freeze response and the sympathetic nervous system. My favorite personal writing about it was in response to getting chased by a sea lion in New Zealand. It was a perfect example of the fight, flight, or freeze response done right . . . and for the reason we have the response in the first place. I was being chased by a wild animal, and I had to get away. I got away. What happens, though, when that threat is gone? Can our body go back to its resting state?

The sympathetic nervous system is the part of the nervous system that activates when we are in fight, flight, or freeze. The parasympathetic nervous system is what allows us to relax and heal. It is the “rest and digest” part of the nervous system. It is what allows our body to go into its healing place. As I have mentioned before, the body is capable of healing itself, but in order to do that, it must be in a state of rest.

Chronic stress (of all varieties) has a tendency to keep our bodies in a constant state of the fight, flight, or freeze response without an opportunity to get into the parasympathetic “rest and digest” and heal mode. This, of course, can wreck havoc on our health. And look around at the world and notice how many people deal with chronic dis-ease. Many of us are not living in our parasympathetic state most of the time.

But what does it mean to truly rest? How many of us are able to get into that space? How many of us know what it really feels like to allow the body to release its tension patterns?

Most of us get so used to our tension patterns we do not even realize when we are holding them. Yoga is one of the ways we learn how to go into our bodies and learn to listen to them and find our patterns. The patterns in our body are similar to our mental patterns, called samskaras. Undoing a samskara is not an easy task. It requires knowing it and wanting it to change. But then it also requires unwinding the pattern itself, a task that can seem daunting when we have lived with the samskara longer than we have not. Imagine taking a hike and ask yourself which is easier – the pre-made path or the path never before taken? Imagine cutting down a path to hike, and that is what it takes to release a long-held samskara.

Releasing a tension pattern in the body is no different. We have to first feel the tension patterns and then be willing to release them. But then we have to understand what it takes to relax. We have to trust that when we release the tension, something else will continue to hold our body up.

Tension patterns exist for a reason. Some are there because of how we sit at a desk or in a car. Some are there, however, as a response to the traumas we have faced in our lives. Trauma can come in many forms – childhood abuse, relationship abuse, earthquakes, floods, and even vicarious trauma. When we experience trauma, we tense up to protect ourselves and never let go for fear of not having the strength to stay upright. But those patterns then begin to cause their own problems. Long after they have stopped protecting us from a trauma, they wreck havoc on our bodies and make it difficult to allow the body to relax.

And then we have a three-fold problem. The mental samskaras are the thoughts we hold as a result of our childhood and events in our lives, and they hold the body in tension. Together, they inhibit our parasympathetic nervous system from activating, and we end up with a downward spiral of tension and mental patterns that becomes more and more difficult to overcome, and at the end of the day it is our health (mental, physical, and spiritual) that suffers. Our ability to heal is diminished until we learn to bypass these tension patterns.

I want to be clear. We never lose the ability to heal. We inhibit our body’s access to its healing capabilities. And it is because we are literally stuck in a rut and trying to pull ourselves out. But this can be overcome, and deep within us we never lose the ability to heal ourselves. The parasympathetic nervous system is always there, and it is always able to function if we give it the time and quiet to do it.

But instead we hold our tension patterns. We live in a world with nearly constant overwhelm. There are more forms of pollution today than ever before. We have chemical pollutions, of course, but we also have noise, news, and phone pollution. We have stress of constantly being connected, and we have the stress of trying to keep up as the world moves faster and faster and faster.

But amidst it all, relaxation is still possible. We can find a way to release the tension in the body and allow our body to enter its natural healing state. But we have to be willing to surrender. We have to be willing to trust that when we let go, the body, and therefore ourselves, will be safe. We hear so often how the body and the mind are connected. I do not actually subscribe to that mentality. In my worldview, they are simply the same thing. The more I read in scientific, not new age, literature, the more true that statement is.

So tension is tension, whether mental or physical. They are one and the same. Our brains run our bodies, and together they create health or dis-ease. So, today I ask you to notice your mental patterns. Notice your physical tension patterns. Where are they? What do they mean? And then ask yourself the all-important question. In this world of constant overwhelm, are you willing to release these patterns to find calm and health? Part 2 will have some ideas for learning these techniques.

Namaste!

©Rebecca Stahl 2014, all rights reserved

The post, What it Means to Relax Part 1, first appeared on Is Yoga Legal.

Sunday, March 30, 2014

Coming Back

This has been the longest break I have ever taken from this blog. There are several reasons for it, but most importantly, I have not been motivated to write, so I decided not to try to write for no reason. I also felt I was getting away from what this blog was originally designed to be – a way to integrate yoga and a professional life, in my case, a lawyer.

But these past few months have also taken me deeper into my practice than ever before. None of it has been “yoga” in the western definition of asana. It has not even really been a traditional yoga practice as I have described on this blog so many times.

But yoga means “to yoke.” It means union. And that is exactly the path I have been on these past couple of months.

I do not know if you have noticed, but this year has been even quicker than 2013, and it is not looking like it is going to calm down anytime in the near future. Somehow, in the midst of this craziness, we have to find a way to not just hang on for dear life but also to ride the waves doing what we want to do with our lives in a way that does not destroy us.

I have been reading several books about how we can learn from the body’s sensations and the way we move. This work comes in many forms: Feldenkrais, Hanna Somatics, Somatic Experiencing, Trauma Releasing Exercises, Neurogenic Yoga, Core Awareness, and Somatic Intelligence. And these are just the ones I have found. But they all have one thing in common – they are designed to help our bodies release trauma so we can heal.

I am finally seeing information about Vicarious Trauma (or Compassion Fatigue) take root in the legal profession. Other professions have known about this phenomenon a long time. I have a label about it for a reason – it’s important. But so much of what is being taught do not involve understanding the body’s piece of our trauma and stress. These past two months have been the deepest exploration of this phenomenon I have ever done, and I have not even begun to scratch the surface.

And yet, I knew I had to write about it. I knew I had to share it. Because I think this is the piece that is missing from so much of our discussions. Pain is rampant in society, particularly among professionals. There are too many reasons for its existence among professionals for me to go into right now, but we rarely talk about how trauma is stored in the body and what we can do to release it.

The most important step is just noticing. So many of us have trained ourselves not to feel, either our emotions or our bodies. But both of them eventually get to a point where they take over and force us to pay attention. Better to nip it in the bud ahead of time and begin to notice what our bodies are telling us.

And so, as you sit here and read this, notice your body. Just notice. Does it feel tense in one place? Does it feel fluid in another? Does it feel like it wants to move in ways you have not allowed because you’re staring at your computer or your phone? What happens when you take a moment to notice the sensations of your body?

Ask yourself what the sensations feel like. Do they feel hot or cold or neutral? Do they move, or are they static? If they move, do they move in circles or linearly? Is it stabbing? Is it shooting? Is it painful? Is it throbbing? Does it feel open? The body is constantly sending us signals, and we have done a wonderful job learning to tune them out. But tuning out the signals of our bodies rarely serves us.

And so, in this coming back to writing blog, I hope you can just take the time to notice the body. If emotions or thoughts come up with it, just go with them. Our bodies are messengers, and we just have to learn how to interpret. The most important step, however, is the first – awareness. Becoming aware of our bodies opens us up to possibilities we never knew existed. And then, being in our bodies, we can begin to find some grounding and calming as the world continues to move faster and faster.

I would love to hear what you feel and notice. Please share it in the comments.

Namaste!

© Rebecca Stahl 2014, all rights reserved.

The post, Coming Back, first appeared on Is Yoga Legal.

Friday, September 13, 2013

Starting Fresh and Forgiving the Trauma

I think we have all heard the word trauma. It probably means something different to each of us. This week, we marked the 12th anniversary of the 9/11 attacks, and I have been reading an interesting discussion about how people in the United States were traumatized differently if they were actually in New York, D.C., or Pennsylvania vs. the rest of us who “just” watched it on television. This year, we had a similar event, though smaller in numbers, with the Boston Marathon bombing.

But even without these major events on our own soil, if you’re an American reading this, most of us hear the news about what is happening in Syria and the rest of the Middle East. I have not seen the photos (I refuse to watch them because I do not think at this point I can handle them), but I know they are out there. I did watch the video of the woman dying in Egypt during their revolution in 2009. As if we do not have our own individual trauma, we now have a world of shared trauma. In an instant, we can be across the world watching someone die . . . over and over again.

On an individual level, we all have experienced our own personal trauma. Today, I was talking to a yoga therapist, and she asked me if I had trauma as a child. My response was, “don’t we all?” I mean, I looked back at some of the very intense physical issues I had to deal with as a very young child, and I see now how incredibly intertwined they are with my current physical situation. There are many people who believe, and I think rightly so, that birth itself is a trauma. And then, of course, there are the children and adults, who deal with ongoing physical, emotional, or sexual abuse. 

I rarely discuss the work I do on this blog. Part of that is because so much of it is confidential, but also because it is really not the specific point of this blog, and because I frankly think it would be unprofessional to get into anything beyond the most general. Trauma is a really big word in the juvenile court world. These days, the goal is to be a trauma-informed or trauma-responsive system. It is a noble goal, and one I do not think anyone takes lightly. The legal world is, therefore, focusing on this one word a lot. The military, and even the NFL, are talking about responding to traumatic brain injuries and PTSD.

The word trauma seems to be everywhere.

And I sometimes feel like we get lost in the word because we use it so much. Do we get desensitized to it because we talk about it so much? Do we forget sometimes real peoples’ lives are at stake below this word TRAUMA that seems to pepper every discussion we have?

I cannot stress enough how important it is to have these discussions, to help people accept that their trauma is real, and it is okay to experience the repercussions. It is important to have these discussions to find the best ways to work with trauma, and perhaps most importantly, to realize we can heal from trauma. I have written about this before in the context of healing professionals and vicarious trauma. But during this time to focus on forgiveness, I think it is important to look at trauma as something to forgive.

It is very easy to dwell on why things happen to us. It is very easy to dwell on how terrible it is that they happened.  It is very easy to be upset about decisions adults made in our lives when we were children when we think we would have made different ones. But the truth is that life happens. We all make the best decisions we can along the way. And as long as we hold onto the victim stance, our bodies will respond with dis-ease.

There is an entire aspect of yoga focused on trauma and how best to bring very traumatized people into yoga safely, so they can begin the healing journey. But regardless of who we are, yoga is going to force us to see our own trauma, whether we watched the Twin Towers fall, were beaten by a parent, or fell down one too many times as a child. We are going to face whatever good and bad experiences we have had in our lives, whether we want to face them or not. Yoga brings us to the brink of our humanness.

At times it can be very difficult to accept that we are still feeling the effects of what happened to us 5, 10, or even 50 years ago, but the truth is that we are. Some of us get really upset at ourselves for not healing, not getting better fast enough. But as someone said to me once, “what would you say to the child or the person in the moment they experience the trauma and the fear?” That is how we need to treat ourselves regardless of when the reaction to the trauma arises. We must learn to forgive the event, the people who we have told ourselves caused the event, and the fact that we are re-experiencing the event however many years after it occurred.

I have often wondered why the Jewish New Year is before the Day of Atonement. Would it not make more sense to let go of the past, ask for forgiveness, and then celebrate with the New Year? But as I look at it from this lens, I realize it does make sense.  In fact, it makes a lot of sense. The fact that the new year happens first reminds us that the world has already moved on. Now we just have to follow suit. We absolutely can move on and heal. We just have to do the actual work to allowing the healing to happen. And that is forgiveness.

We have to let ourselves forgive ourselves, each other, and the Universe for whatever we believe has caused us dis-ease during the year. And we can do this because we have already opened our hearts and attitudes to the idea that we have moved past it, that we are on a new path. And through forgiveness on so many levels we can begin to heal the trauma each and every one of us experiences, whether it be trauma or Trauma.

How are you forgiving the past? Yourself?

Namaste!

© Rebecca Stahl 2013, all rights reserved.
The post, Starting Fresh and Forgiving Trauma, first appeared on Is Yoga Legal.


Sunday, May 12, 2013

Facing our Powerlessness


The other day I was in a vicarious trauma workshop. I have not discussed this topic in quite some time, but I have been thinking about it almost nonstop. This seems like the perfect time to bring it up again. The presenter gave us an option to ask some questions / make some comments at the beginning. Someone said she had been talking to a colleague who said, “This work is amazing because it allows us to face our powerlessness every single day.”

Wow . . . just stop and think about that. Facing our powerlessness is a gift, not a problem.

Lawyers are not very good at dealing with being powerless. We face crises, but we also like to fix them. We like to have problems and find solutions. My guess is that doctors are similar. Actually, most people I know feel that way. Feeling powerless is difficult.

But the truth is that sometimes we are powerless, especially when it comes to other people. And how we respond to that is something profound for each and every one of us. There are some things in the world we cannot change. And one of the most important of those to realize is that we cannot change the people sitting right in front of us.

People deal with this in all sorts of relationships in life – romantic, family, friends, co-workers, etc. We can try to influence people and situations, but at the end of the day, we cannot change them. We cannot make situations different than they are. But how can we see that as a blessing and not a curse?

A lot of spiritual traditions, including the more spiritual/philosophical side of yoga, teach that our greatest teachers are those people who are most difficult for us to be around. Our greatest lessons come from that which is most difficult for us. Powerlessness may be at the top of that list, particularly in this “do” culture.

But even though we may be powerless to change an entire situation, we may be able to be a party in it. For example, we can simply offer compassionate listening. We can let people know we care enough to hear their stories. We can offer suggestions and not get caught up in whether people heed our suggestions. It is, after all, their choice in the matter.

And then we can accept their choices. That may be the hardest part. Even though our culture is one where we hope to be able to change circumstances and do something, more often than not, we are simply powerless. And we learn over and over again to accept that sense of powerlessness.

So, why did this come up in a vicarious trauma workshop? Well, it was not actually from the instructor, but it fit perfectly. People in helping professions have to face trauma on a daily basis. And powerlessness in the face of that trauma is sometimes the most difficult. If we could make the trauma better, perhaps it would not cause so much damage to the healing professionals. But when we cannot do anything about it, that trauma comes into our lives more and more.

But the gift is that it forces us to always be vigilant about taking care of ourselves. And the irony, or the greater gift perhaps, is that the more we take care of ourselves, the more we can help others. Only now, with the gift of facing our powerlessness every single day, we are able to move forward when our attempts to help go unheeded.

This post is not to make it sound easy. While facing our powerlessness is certainly a gift, it may also be the most difficult aspect of our work, both professionally and personally. It can be frustrating and overwhelming at times, probably even most of the time. But the more we can come back to noticing that we are powerless despite our best efforts, the more we can let go of outcomes and focus instead on simply offering the best version of ourselves day in and day out. And really, that is all we can ever ask of ourselves in life generally.

How do you have to face your own powerlessness?

Namaste!

© Rebecca Stahl 2013, all rights reserved.
The post, “Facing Our Powerlessness” first appeared on Is Yoga Legal

Tuesday, April 16, 2013

In the Face of Tragedy


I do not usually post about man-made tragedies. I have certainly posted before about natural disasters (Christchurch and the Japan earthquake), but I never feel like I have a good response to shootings and bombings and the like. I do not, in any way, want this blog to become political, and these issues are usually so wrapped up in politics (perhaps as they should be) that I just feel uncomfortable.

And yet, the bombing at the Boston Marathon seems exactly like what needs to be addressed here.

If I have learned one thing from a yoga practice, it is how connected we really are. There is a lot of talk about oneness in yoga (and other spiritual disciplines), and yoga gave me the opportunity to experience that and know I was experiencing it. It is a concept the legal community would do well to understand a bit better. There is simply no escaping that what happens to one person happens to us all.

And it need not be next door. I am not a runner. Never have been. To be honest, I did not even know the Boston Marathon was happening yesterday. I have only been to Boston once. I loved it, but it is not a place with years of nostalgic memories for me. For all the ostensible lack of interest in the event and even the place, the tragedy touched humans and, therefore, touched me.

A tragedy such as this is an opportunity to remember that what we do to each other matters. How we treat each other affects the entire world. And I have lamented before about how it takes a tragedy or a disaster to remind us of these truths, but sadly we seem to forget in our everyday life.

The people at the Boston Marathon finish line experienced firsthand trauma. Whether they were physically injured or not, they experienced the shock and horror themselves. Those of us watching from afar had to experience the secondhand trauma, the vicarious trauma. And this is why these moments shock us into paying attention. All of a sudden, we all need to be comforted at some level. For anyone on facebook, I am sure you saw, as I did, the number of prayers sent out. And then there was the Mr. Rogers quote reminding us to “look for the helpers.” In the internet age, it takes only seconds for there to be an iconic image of an event, and the ones emerging from Boston always seem to have people helping out. The favorite story was of people who had finished the marathon running to the hospital to give blood.

We reach out together to find the people that make us feel better about the moment. After the Christchurch earthquake hit, I remember people in suits helping dig people out of rubble. In Boston, police ran into the street unsure of whether more bombs would explode and others helping those who were wounded. Mr. Rogers’s quote reminds us we need those stories because we need to feel a sense of calm. We need to see that not all of humanity is set on destruction. That is how we shake the trauma.

As people start saying Boston will never be forgotten, just like 9-11 and the Holocaust, I ask you, again, what that means. Does it mean we just remember these awful tragedies? Does it mean we expand our knowledge and remember other bombings and genocides? Or does it mean we remember the lessons of these tragedies?

Can we remember every single day how precious life is? Can we remember every single day how precious our friends and family are? Can we remember every single day how precious the stranger on the street is? Can we remember every single day how precious even those we do not like are?

That is what we learn in the face of tragedy, and hopefully that is what we can remember going forward. 

Namaste!

© Rebecca Stahl, 2013, all rights reserved. 

Tuesday, June 26, 2012

Navigating Out: Overcoming Vicarious Trauma

The last post was a bit of doom and gloom. I apologize. I wanted to write this post the very next day, so the doom and gloom would not last too long. This post is, therefore, the opposite – tools for overcoming vicarious trauma. Not surprisingly, a few of them, ok a lot of them, have graced these posts before, and many of them are related to yoga in some way.

Once again, vicarious trauma stems from experiencing other peoples’ trauma day-in and day-out, without the ability to come down from the physiological response. That physiological response is the fight-or-flight response caused by increased cortisol and adrenaline with the added benefit of the hyperarousal associated with PTSD. Thus, the ways to overcome vicarious trauma include ways to release those hormones and ways to create boundaries in ourselves to decrease the effect the repeated trauma has on us.

The first step, of course, is the intention to move beyond the stronghold it has on our lives.

The number one way to reduce adrenaline and cortisol in the body is to get oxygen to the brain. As discussed before, one symptom of vicarious trauma and long-term stress is shallow, quick breathing. The opposite is, of course, deep and slow breaths. Therefore, one of the simplest and most effective ways to calm the physiological response is deep breathing - calm and cool breathing. Here is a link to all the posts here that have discussed breath (including this one).  The other way to get oxygen into the brain is through aerobic exercise. We all know how good exercise is for us, but some people still do not know how effective it is for overcoming stress responses and even vicarious trauma. It is great! Take a walk. Go for a run! Go swimming! Just make sure to get the heart rate up and oxygen into the brain.

And while we are on the topic of “what your doctor would tell you to do even if you were not overly stressed and suffering from vicarious trauma,” we can talk about diet. I try to keep discussions about diet off this blog. People who know me in “real life” are tired of me talking about food, but here it is very important. What is the last thing people who live off adrenaline and cortisol need in their diets? Stimulants! What is in every office breakroom? Coffee and sugar – stimulants!

I drink too much coffee. I try not to eat sugar. But when I feel my body getting tired and overrun, the need for both kicks in. I know they will only make the problem worse, but the body craves energy when we refuse it the rest and calm it deserves. But remember that when the body is in fight-or-flight mode, digestion is the first thing to shut down. Even reducing the coffee and sugar intake can help the body relax, especially if you reduce them in the afternoons and evenings. Instead, try for some fresh fruit, vegetables, or nuts. Nuts have fat the brain needs to function, and when we provide the body with complete nutrition, the cravings diminish. They may not go away, but nuts, whole grains, fruit, and vegetables will keep the body moving without the constant need for stimulants.

The next step is balance and boundaries. One of the indicators of someone who will suffer from vicarious trauma is a lack of boundaries. We take work home with us. We take peoples’ problems home with us. Setting up boundaries to give work its time will open up space for our own personal time. And that leads to the rest of the steps.

It is vitally important to have hobbies. I know someone who has been working with children and families for almost 30 years, and guess what she talks about most? Her craft projects. As a mentor, she teaches many of us young lawyers to have a hobby. She calls it therapy. And she is absolutely right! What do you love to do? Is it knitting? Gardening? Running? Going to the movies? Going out to eat? Reading? Playing video games? Going to a religious or spiritual place? Yoga? Whatever it is, follow Nike’s advice – just do it!

And enjoy your activities with a friend. Humans are social creatures. Again, we would not be here as a species if not for our social interactions. We need them. We crave them. And the surest sign that vicarious trauma has overtaken your life is when you start pushing away the people you love. So bring them back. They may be a bit upset about your recent irritability, but let them know you need their help. Let them know you want them around you for something fun. And make a promise – do not talk about the trauma. At least not at the beginning. Just have fun! Do what you love! And do it with someone you love!

There are other steps and stages and ideas. But these are the big ones. Oxygenate the brain, decrease the stimulants in the body, increase boundaries and social interactions, and find something you love to do and do it. But try not to do them all at once. Pick one. Right now. Before you close this page. Are you going to take a 15-minute walk each day with a friend? Are you going to drink one less cup of coffee? Are you going to start doing photography again? Are you going to sit and breathe for five minutes each day?

Do you intend to overcome vicarious trauma? What are you going to do to start the upward spiral?

"Navigating Out: Overcoming Vicarious Trauma" is part of the series, "Overcoming Crisis Mode," in which we discuss the second-hand trauma associated with being a lawyer and specific ways to overcome it.

© Rebecca Stahl 2012, all rights reserved.

Monday, June 25, 2012

Recognition is the First Step

In the last post, we discussed the concepts of Vicarious Trauma and Secondary Shock. At a conference I attended last week, a presenter called it Compassion Fatigue. That is a lot of names for the same issue. But what is it? And what does it have to do with you? Most importantly, how can we know if it is affecting us?

As I mentioned before, I had not heard of this concept until after I graduated from law school. I loved law school (seriously, I did), but I find it unconscionable that I managed to graduate never having heard of this concept. Lawyers are four times as likely to be depressed as the general population. I knew that statistic, but I did not understand why. Of course, part of the problem is the hours, but I think it actually has more to do with Vicarious Trauma and Compassion Fatigue.

This is burnout on an entirely different stage. Burnout is not a lesser form of vicarious trauma, but it is something different. The difference between them is what causes each of them. Burnout comes from overwork or from a lack of support. It comes from stress that never dissipates. Vicarious trauma originates in the repeated interactions with people experiencing trauma. While some of the symptoms may look similar between burnout and vicarious trauma because they are both stress responses, the symptoms of vicarious trauma also include those  associated with PTSD.

I am not, in any way, minimizing the effects of burnout. It is painful and difficult and can be just as awful as vicarious trauma. My point is simply that they are different in kind. It is possible, and common, to suffer from both, but recognizing how each is different helps us recognize how best to overcome them on their own terms. And here we are focusing on vicarious trauma. In many ways, this entire blog is about burnout. In this series, however, I want to stay focused on the issues associated with vicarious traums.

What makes vicarious trauma unique is the trauma. It is the constant, repeated exposure to other peoples’ trauma. The person experiencing vicarious trauma gets there by being empathetic. Too empathetic. Empathy is the ability to put yourself in someone else's shoes, to put yourself in their situation. Too much empathy is wearing those shoes until the soles fall off. One of the first stages of compassion fatigue is an overzealous need to change the world. Sound familiar? That was the last post.

But overzealous leads to something else when we realize we cannot change the world overnight. And that’s the vicarious trauma. The symptoms follow many of the signs of primary trauma, though they are not always as intense . . . at first. Zealous excitement to change the world becomes cynicism, hopelessness and despair at the belief that change is possible. This leads to changes in our underlying belief structures, of ourselves, our family, our friends, and even our spirituality. Instead of believing we can change the world, we start believing we cannot change anything. 

Physiological signs include sleeplessness, irritability, guilt, anger, disgust, and fear. The downward spiral of email is a common side effect. Interestingly, someone with vicarious trauma experiences some PTSD-like symptoms including hyper arousal (at noise or startling events) and increased sensitivity to violence and other kinds of pain in the world. Watching the news becomes not mildly depressing but painful and nearly impossible.

And then this parade of horribles leads to relationship problems, social withdrawal, issues surrounding trust, and the favorite among lawyers – substance abuse! When your entire worldview is shattered by feeling that you cannot change anything, substances can numb the pain (alcohol) or keep you going long enough to keep on working, hoping you can get it back (cocaine and other stimulants). It starts to feel as though you never have time for yourself. You know you have to take care of yourself, but there is simply no time. There are other signs and symptoms, but these are the big ones.

But why? Where does all this originate? Why do these particular symptoms occur?

Cortisol! Once again, we are back to the fight-or-flight response. As I learned while being chased by a sea lion in New Zealand (hey, I had to add a bit of humor to this post), the fight-or-flight response is necessary to survival. We only exist because we respond to trauma with hypervigilance and what feels like superhuman strength. But we are not supposed to live in that state constantly. Cortisol and adrenaline shut down what are non-essential bodily functions. You know, digestion, rational thinking, creative thinking, and immunity. They do not sound too non-essential, do they? In their place, we get an increased heart rate, speedy and shallow breathing, and tensed up muscles. The natural cycle is to come down from that state, but vicarious trauma does not allow that natural cycle to occur. Instead, we live in that state of hyper-vigilance. And on top of the stress response, there is the fear response. Every sound freaks us out, and news reports bring us to tears. 

When our bodies live in that state, and continue to experience vicarious trauma, there is no coming down from it. And then it becomes a downward spiral. The lack of sleep precludes our bodies and minds from releasing the trauma, and then we need more stimulants to get us through each day, and then we retraumatize throughout the day, do not sleep, cannot release the trauma from the day before, and on, and on, and on.

Sound like someone you know? If you are interested, here is a link to a self-test you can take to see where you stand. Maybe you are not as bad off as you think. Maybe you are in a more heightened state of trauma. The key is knowing. Recognition is the first step.

The next post will be less of a downer and will offer some tips for overcoming vicarious trauma. But until then, do you see this in yourself? Do you see it in others?

Namaste!

"Recognition is the First Step" is part of the series, "Overcoming Crisis Mode," in which we discuss the second-hand trauma associated with being a lawyer and specific ways to overcome it.

© Rebecca Stahl 2012, all rights reserved. 

Monday, June 18, 2012

When Crises Leads to Trauma

The word lawyer has a lot of connotations in the non-legal community. Our reputation is created by daytime television ads, television drama, famous trials, and stand-up comedians. There is, however, on aspect of lawyering that seems to have evaded notice by the general populace. The legal profession, as a whole, is unhappy. This is not true of all lawyers, and it is not even necessarily true of the majority of lawyers. But there is something about lawyering that leads to a higher rate of depression and substance abuse than the general populace. 


But why?


I started thinking about this again because a friend of mine posted a really depressing article about lawyer depression on facebook. It is called, “Broken hearted idealists,” and it is written by a Kentucky Supreme Court Justice. It is absolutely worth reading, and here is the link. The article starts with a friend of the author’s committing suicide, the fourth of his friends in “recent years.”

His thesis is simple. Many lawyers go to law school to change the world, but it is not as easy as we had hoped. Instead, lawyers deal with crises, one after another. I have written about this before numerous times, but I think he explains it well.

Lawyers—most of them—are heroic. You go home at night with your problems. They go home with the problems of many. And then they deal with their own personal problems— sick children, an alcoholic spouse, or a parent who is deep in Alzheimer’s—layered over by the demands of clients and judges and other lawyers.

But worst of all for practicing lawyers is the sinking feeling which settles upon them that in all the struggles, in the thick of battle, it all amounts to nothing. The growing suspicion that all that they do makes no difference. . . . But they lose purpose. They lose hope.

The article is full of the statistics about depression and substance abuse in the lawyer population, but unfortunately, the author provides no solutions. This article ends dark and sad for those of us in this profession.

I will admit it; I went to law school to change a system I think is slowly changing for the better but needs to move at a much more rapid pace. I went to law school specifically to give children a voice. A real voice. And after six months, I often go home at night wondering whether I have done anything worthwhile. Nearly all my clients are in some form of acute crisis, or else they would not need a lawyer. 

What most people call burnout from dealing with clients in crisis day after day has another name – Second hand trauma or vicarious trauma. This concept has graced this blog before, but it needs some more discussion. It needs some more depth. Why here? Why in a blog?

Yoga is one of the best ways to overcome trauma, whether first hand or second hand. The universe has been sharing a lot of yoga blogs about trauma with me recently. Here is a link to a series on Trauma Sensitive Yoga, and here is another link to an interview by someone who teaches trauma yoga therapy (with links to other articles on teaching yoga to people with PTSD). In addition, a Tucsonan (I have to give Tucson a shout-out once in awhile) has written a book called, Yoga for Depression and teaches her techniques around the world. This is but the smallest introduction to a topic that is bursting at the seams.

Lying in savasana one night during my yoga teacher training, I was extremely relaxed and thought, “lawyers need this,” and this blog was born. But as it has grown over the past 2.5 years, something has changed. Yoga for lawyers is not just about learning to relax. It is not just about learning to sit at a desk. There is little that is easy about being a lawyer. We interact with people in crisis all day long. And we need an outlet.

Most of the lawyers I know really do want to be doing great work. They really do want to be helping people in crisis. They really do care about the people they serve. But it is difficult to face their crises every day without some balance, and unfortunately for many lawyers that means mind-altering substances. 

But it does not have to mean that. So with that, I am announcing a new series on this blog called, “Overcoming Crisis Mode.” Several older posts probably qualify, but going forward there will be new ideas from around the world of Vicarious Trauma experts and Yogis alike. I am tired of reading articles about the depressed legal profession and the suicides it is causing (the article here is not, by any means, the first I have read). Not all lawyers are depressed. Not all lawyers abuse substances. And most lawyers enjoy the work they do. 

Together, we can learn to give to our clients and take care of ourselves all at the same time.

How do you notice your clients’ crises becoming yours? Do you tend to get pulled into the darker areas of your being? Has yoga helped before?

Namaste!

© Rebecca Stahl 2012, all rights reserved.

When Crisis Leads to Trauma is part of the Series, “Overcoming Crisis Mode,” in which we discuss the second-hand trauma associated with being a lawyer and specific ways to overcome it. 

Monday, April 23, 2012

The Power of a Smile

How often do we talk about smiling? Phrases such as “Turn that frown upside down” are cute ways of telling us that smiling is better than frowning. There is controversy over whether it takes more muscles to smile than frown, but everyone has their version, and many like to share it. And of course, there is the old adage that we can “fake it til we make it.” In other words, we can make ourselves happier just by smiling. We talk about it a lot, but do we ever actually think about the power that a simple smile holds?

When I was in band in high school, my parents (and other band parents) would always come up to me after concerts to tell me how serious I looked. As some people got to know me better over the years, they even went so far as to tell me that I looked downright dangerous. I always just laughed. How serious could I really look? Once in a yoga class, I was in reclining virasana, one of my favorite poses, and I was happy as a clam. The teacher came over to ask me if I was ok. Apparently I did not look happy as a clam. It continues, and one of my current teachers now just walks over and places her hands on my head and says, “relax your brow.”

My response to these situations has changed over the years. As a high school musician, I was confused. Did I really look that bad? The first time in yoga, I tried to be serious about not being so serious. Now I just laugh.

When I teach, I tend to teach hard poses in a similar way. I start at the beginning, move through the pose step-by-step, and then just as everyone looks like they are struggling as much as they can, my instruction is nearly always the same, “now smile.” I have never really thought much about why I do that, but as I am being reminded more and more by the same teacher how serious I am, I have started to ponder the power of the smile.

First, there is some, actually a lot, of truth to the “fake it til you make it” mentality. Simply smiling really does release endorphins, which help us feel happier. Over time, we really can become happier. That is a powerful benefit, but it is not the only one. Smiling, especially in the midst of being tense, releases that tension. A smile can snap us out of a different state simply by being different. Finally, and this might be the best lesson for me, it reminds us to take ourselves less seriously.

I deal with a lot of serious stuff every day. I work with kids who have been removed by Child Protective Services. But even if your day job does not involve CPS, we all feel the seriousness of the world. There are wars raging, people starving, homeless people on the street, and whatever else the media wants to bombard us with. One of the only ways to remove ourselves from that onslaught of seriousness and unhappiness, is to break the cycle. Breaking the cycle starts with a smile. It is the antidote, the way to snap ourselves out of the collective serious world.

This is not to say that those issues should not be addressed in a serious way. In many ways, I find it difficult to smile in the face of so much distress, but then I remember that it might be the key to actually bringing light to those situations. We can start to break their cycle with a wee smile.

Smiles help us relax. Those endorphins do more than just make us happier. They actually help put us back on the path to overcome the fight or flight response. A smile breaks the stress cycle. Once we are able to break that stress cycle, we can begin to see the world from a more holistic vision. Stress gives us a very narrow focus – either run away from danger or freeze in its face. But once we break that cycle, other options open. A smile is the first step.

When I look back at my confused reaction in high school I wonder if I could have had more fun and been less singularly focused, would I have been a better musician? Maybe I would have actually gotten into music school? But then I would not be on this path, and that definitely is not something to smile about. I am happy to use it as a reference, and now those memories simply bring a smile to my face.

Who knew that such a simple act could be so powerful?

How have smiles helped you break cycles in your life? When is your favorite time to remind yourself to smile?

Namaste!

© Rebecca Stahl 2012, all rights reserved. 

Tuesday, February 28, 2012

The Body as Storage, or Confronting Trauma


My travels have finally stopped for a bit, and I have found a few yoga classes I like. It feels good to be getting back into the groove of a more “normal” life. By normal, I mostly mean that I stay at home on the weekends and can actually do some errands. It also means I can start attending yoga classes more regularly. My daily practice has, once again, become daily, and it feels wonderful. But there is something differently wonderful about attending a class. Sometimes they are not everything I hope they will be, but sometimes they hit me just where I need. This Sunday’s class was one such class.

The teacher started class by reminding us that we hold emotions in our bodies. She said, and I am paraphrasing to the best of my memory, “Each traumatic experience we have is stored in our body, and it can come back to us at any moment.” Think muscle memory and brain patterns. The body literally holds onto experiences until we let them go. Of course, this is just as true for joyful memories as it is for traumatic ones. People have been known to laugh or cry hysterically in yoga “for no reason.” The reason, however, is the body remembering the occasion and bringing it back to the surface.

This is something I think about all the time on my own (some would, perhaps, say too often). In the class, however, we went together into the pain we hold in our bodies. The teacher asked us to face the fear we hold in our bodies. Generally, the only classes I attend where we consciously go deep into long-held postures and really confront the body’s depths are restorative and yin classes. I love both those types of classes. In Sunday’s class, however, we held Warrior 1 and Triangle for long periods. We did not hold them for five minutes, but we definitely held them for longer than is generally typical.

While I certainly have my own hip / low-back issues to address, I found myself thinking throughout class about my clients. With the reminder that every traumatic experience we have is stored in our body’s muscle memory, my mind turned to my clients who, by definition, have experienced some sense of trauma, and many of them have experienced a significant amount of it. My clients range in age from 17 days to 17 years. All of them have trauma.

And then my mind turned to the lawyers with whom I work, and the rest of the people who work within the legal system generally, whether lawyers, staff, social workers, psychologists. More and more people recently have become aware of the concept known as Secondary Shock or Vicarious Trauma, in which people in helping professions experience the trauma of their clients vicariously through them. The only difference is that when trauma is experienced secondhand, we do not always recognize it for what it is. The body can tell no difference, but our minds, for whatever reason, think there is one.  

I asked myself what I can do to help these people who hold so much in their bodies and have no idea. My mind wandered to my infant clients born into this world in even more trauma than typical of birth (birth, of course, being a traumatic experience for everyone). It then wandered to my clients who have chosen life on the streets because, as they say in their own words, they don’t know any different.

Of course, this blog is the step I took to try to bring awareness to these issues. I do not see this being my only confrontation of this topic on this blog. It is not only important; it is vital that we learn about it and talk about it. But what about today? What about the people who have no internet access or the people who know nothing about yoga. I take my yoga-ness with me everywhere, on some level. I have talked to clients and others about breathing and walking away at times.

But then I remember the trauma. I remember all they have experienced. All I can do in those moments is hope, pray, and believe that the human spirit and consciousness is greater than the sum of its parts, and that everyone and anyone is capable of overcoming anything they have experienced in life.

I have said before that I believe yoga is for everyone. It does not take a particular level of fitness, calm, flexibility, or even time. It does, however, take a desire to start. Sometimes living life through a yoga lens means seeing all the people who have not yet seen its beauty. I do not think yoga is the answer for everyone, but I wish more people were able to find their answer.

Where do you notice the tension being stored? Have you ever experienced unannounced emotion in a yoga class?

Namaste!

© Rebecca Stahl 2012, all rights reserved.