Showing posts with label trauma. Show all posts
Showing posts with label trauma. Show all posts

Sunday, October 6, 2013

The Good News About Chronic Pain

With good therapeutic support and a commitment to do some hard work on important life issues, chronic pain can be managed very effectively. For some people, mind/body strategies have been shown to eliminate pain altogether, even when all else has failed. People who have been through therapy which addresses pain report significantly reduced pain severity, lessened depression and anxiety, and decreased feelings of losing control. They report reductions in the degree to which pain interferes with their daily activities. Even if the pain continues, the sufferer can experience less distress and emotional suffering – and can become an active participant in life again.

Successful Treatment and Therapy For Chronic Pain with Dr Quintal
Therapy For Chronic Pain
 There are several good physical treatments that can alleviate pain. Some forms of acute pain respond well to painkilling medications ranging from mild analgesics to strong opium-based drugs for the most severe cases. Some chronic pain responds well to anti-inflammatory medications or antidepressants, although narcotic drugs are seldom effective for chronic pain (they may work for short-term acute pain) since narcotics tend to require ever increasing doses and they become less effective over time – not to mention their effect on our sleep, our mood, and our ability to think and perform clearly. Sometimes electrical stimulation methods provide some relief, as well as local anesthetics, surgical procedures, ice, heat, and massage. If these medical interventions fail, however, it may be time to take a hard look into some psychotherapeutic techniques that focus on the way we handle our emotions and our general way of living.

Although the cause of chronic pain is usually difficult to pinpoint, most pain experts believe that it is caused by damaged and inflamed nerves, muscles and blood vessels – and it is very real. The body becomes locked into a vicious cycle. You naturally limit movement in the painful area, and this causes you to lose strength and flexibility. If you try to ignore the pain and increase your activity, the pain becomes so severe that you again become inactive. Sometimes you unconsciously guard against the pain and this leads to muscle tension and spasms. Your body becomes weak and deconditioned, and you begin to feel frustrated, angry, and depressed. Your friends and family do not understand the pain and may underestimate its impact on your life. This leads to more anger and depression.

Sometimes, though, it may overindulge you, and this can make you feel more dependent and out of control of your own life. These negative emotions can actually perpetuate pain. The more negativity we feel, the greater our pain – and the greater our pain, the more negative emotions we experience. This negative spiral, though, can be broken. We are sometimes told that we will just have to live with our pain after all else has failed, but we are far from doomed at this point. The realization that nothing else medically can be done can actually force us to examine the way we have lived and what brought us to the point where pain can play such a dominant role in our lives. In fact, this may just be the thing that it takes to turn one’s life around in a very positive and meaningful way.

You are invited to explore the many alternative ways of dealing with pain that therapy has to offer. Please visit our site at DrQuintal.com or call us at 941-907-0525 for a free phone consultation.

You can also receive more information by following us on Twitter and Facebook.


Sunday, October 28, 2012

Growing Up in a Substance Abusing Household

Countless millions of adults in this country have a parent with a drinking or drug problem. The emotionally available parent is one who can read and validate the moods and needs of the children and who encourages their independence as they grow up.In these healthier households there is a sense of security, consistency and predictability. As the children grow up, they gain a feeling of trust and mastery in the world with the support of the parent.

Dealing with the ramifications of growing up in an alcoholic family
But what happens in the dysfunctional household where alcohol or drugs dominate the domestic climate? When an adult has formed a dependence on alcohol or drugs, the normal give-and-take of everyday life can become disrupted. Rather than working through daily problems and frustrations and modifying behavior to adapt to these problems, there is always the drink or drug at the end of the day.
 
Have a drink and the problem goes away, at least in one’s mind. The parent is emotionally unavailable. Thus, the needs of the growing child are often ignored. The drunk or chemically influenced parent can hardly perceive the feelings of the child – and usually places his or her own needs over those of the child. Even if the parent is addicted to a substance but not using it at the time, there is still a tendency, because of how substance abusers approach the world and problems in general, to neglect the child’s needs. The healthy option for the chemically-dependent parent is to work on coming to terms with the impact of substance abuse on his or her own life and the life of the
family.

Getting counseling for children who grow up in substance abusing families
The Child Becomes Either Overly Responsible or Irresponsible

Children growing up in the substance abusing family cope by attempting to stabilize their chaotic environments and find ways to minimize conflicts or make the parent feel better. Later on they may become compulsive overachievers, taking pride in these behaviors they learned while growing up. They are the ones who help others, yet harbor anger when others don’t do for them to the extent that they do for others. Alternatively, siblings growing up in the same family might become irresponsible, hoping, as they did in childhood, that others might come through and take care of their needs. Regardless of the outcome, when they grow up they avoid looking openly into their own behavior and understanding the effect that it has on themselves and others.

Coping in Adulthood with a Legacy of Dysfunction

The first step in coming to terms with an emotionally conflicted childhood is to admit it, and this can be very difficult. We may have learned to use denial as a way of dealing with our parent’s substance abuse problem, in much the way our parent used denial in dealing with their own use of alcohol or drugs. It may seem that the pain is more easily handled when it is cast out of our minds. But it does not really go away. And the survival patterns we learned in childhood continue to interfere with happier experiences after we have grown up. It takes courage to confront the situation openly and honestly, but the payoff can be life changing. A healthy, functional, and satisfying life is possible and attainable.

For additional information and help dealing with the aftermath of growing up in a dysfunctional family please call us for a free consultation at 941-907-0525 or visit our website.

We can also be found on Facebook and Twitter.

Wednesday, February 23, 2011

Dr. Quintal & Associates Partner with Manatee Glens For Rapid Resolution Therapy Research Study

Dr. Quintal & Associates, in association with the Institute for Rapid Resolution Therapy and the University of Portland, have partnered with Manatee Glens to conduct a research study to scientifically demonstrate the effectiveness of Rapid Resolution Therapy (RRT) for the treatment of trauma patients, specifically those suffering from post traumatic stress disorder (PTSD).

The study that begins on Feb 26 and continues through May 30 will be conducted through Manatee Glens, a non-profit behavioral health hospital and outpatient practice. Participants in the research study can be anyone who has experienced trauma, big or small such as domestic violence, rape, or incest; a car accident, fire, gang fight or military combat; and/or unresolved ongoing grief. These individuals may be experiencing anger, resentment, guilt, shame, nightmares, phobias, and/or panic attacks. Registration is required with Manatee Glens. Manatee Glens screens all candidates prior to the study, where half will be placed with a RRT therapist and half will receive the traditional cognitive behavioral therapy (CBT) from Manatee Glens. Participants will receive pro bono services for RRT treatment, provided by Master Certified Practitioners at Dr. Quintal & Associates’ office in Lakewood Ranch.

The goal for the study is to provide evidence-based-research of the effectiveness of RRT as a treatment modality for trauma. “Rapid Resolution Therapy quickly heals the emotional wounds that don't get better over time or through traditional talk therapy methods,” says Dr. Jason Quintal, a certified Master Practitioner in RRT. Unlike other approaches to trauma treatment which require the client to experience painful emotions while reliving the trauma, RRT clears the effects of trauma gently and painlessly.RRT is an integrative and holistic approach that completely resolves the psychological and physiological effects of trauma.

Candidates interested in applying for participation in the research study may apply in person at the Manatee Glens Walk-In Center located at 371 6th Avenue West in Bradenton or Manatee Glens Access Center at 2020 26th Avenue East in Bradenton. For more information about this study, please contact Dr. Sharon Richie-Melvan at 352-476-5599. Rapid Resolution Therapy™ was developed by Dr. Jon Connelly. You can learn more about him and RRT at www.rapidresolutiontherapy.com.

Dr. Quintal & Associates opened their Lakewood Ranch, Florida counseling center in July 2008 in the Creekwood East Professional building near the intersection of I-75 and State Road 70. The center offers customized therapy, matching patients with a therapist and program specifically tailored to ensure their success. The center uses a variety of therapeutic approaches to create a personalized counseling plan for patients based on their specific needs. For more information Dr. Quintal & Associates, please call at 941-907-0525 or visit their website at www.drquintal.com.

Founded as a nonprofit in 1955, Manatee Glens is a state-of-the-art behavioral health institute located in Bradenton, Florida. Through their private hospital and outpatient practice, they provide personalized care to local patients as well as those from across the state and around the country. Manatee Glens helps families in crisis with mental health and addiction services and supports the community through prevention and recovery. For more information about Manatee Glens, please call 941-782-4150 or visit their website at www.manateeglens.org.

Friday, January 21, 2011

Loss

Loss is embedded in the process of living. It happens to everyone and it is inevitable. There is no such thing as constant gain in our lives. Despite our wish to live in the security of abundance and perfect health, we necessarily must lose something, over and over again throughout our lives. Time itself eventually creates loss. We come into this world with everything to gain and leave it with everything to lose. And in between we go through a series of gains and losses, ups and downs. Learning to accept both is a sign of wellness, maturity – and even wisdom.

Losses can be catastrophic, such as the death of a partner, parent, child or close friend, or they can be minimal, such as losing a favorite houseplant or finding the first dent in your new car. Obviously, we usually accept minor losses quite well, but major losses can rule our lives for years with feelings of helplessness, confusion and overwhelming sadness. If our losses are not handled adaptively, they can drain us of energy and interfere with our ability to live fully in the present. If we are not able to deal with our losses and then let them go, we can spend our lives under the spell of old issues and past relationships, living in the past and failing to connect with the experiences of the present.

There are many reasons why we may find it difficult to deal with losses. In the first place, contemporary society does not prepare us with adequate rituals and support to help us handle loss. We focus on gaining, acquisition and the promise of the future – and there is little social support for grieving loss and letting go. Indeed, we often avoid those who suffer loss just at the time they need the most support. On a more personal level, we may have difficulty in coping with loss because we never gained the tools for accepting loss. If we have problems with self-esteem, unresolved anger, jealousy, depression, excessive dependency, or poor interpersonal boundaries, we may find it difficult to shoulder loss. When we experience a series of losses without resolving them as they come along, it may be difficult to handle yet another one.

We face numerous losses throughout the course of our lives. Some of our losses are built into the normal developmental milestones that are an expected part of the life process. Humans feel impelled to move on, to explore, to grow. But each time we move on to a new phase of life, we must lose something of the old.

Here are some of the typical lifetime losses that we experience:

Separation-individuation – The infant must inevitably break the early bond formed with a parent. Young children, to be healthy, must see themselves as separate beings with their own sense of identity. The separation-individuation phase is the child’s first introduction to loss. If it is facilitated by a supportive parent, the child may be able to handle future losses more adaptively.

Sibling rivalry – Little babies have a special place in the life of a family. They usually get lots of attention. Older children may feel abandoned when their place in the family has been replaced by a younger sibling, and they may show aggression toward the infant or signs of withdrawal and depression.

Adolescence – As we grow into teenagers, we lose the old family bonds we have always known. We may begin to give more attention to our friends than to our families. Adolescence is a time of tremendous growth with the acquisition of new social skills and life responsibilities, but it is at this time that we must necessarily say goodbye to the play, the pleasures and the nurturance of childhood.

Friends – Friends leave – especially in our mobile society. They move, or marry, or sometimes they just drift away from us. The loss of a close friend, one who has seen us through life’s ups and downs, can be devastating. We may feel that a lost friendship will never be replaced, but our challenge is to appreciate what we had in our old friendship, to retain our memories, and to carry our skills into other friendships in the future.

Marriage – Those who marry normally shift their attention and allegiance from the family they grew up in, as well as their old single friends, to the creation of a new family. Modifying the old ties to family and friends can create a severe crisis, but there is a world of exciting new possibilities to replace this loss.

Letting go of children – When parents watch their children grow into adulthood, they lose a part of their old sense of identity and purpose. To cling to the old parental roles past their time is to invite conflict, yet many endure this conflict rather than simply grieve their loss and then move into new life experiences.

Losing our parents – When our parents die, we must adjust to the stark truth that we are next in line. This can raise issues about our purpose in life and what we have accomplished. Saying goodbye to the ones who have known us the longest can dredge up very deep questions, both pleasant and unpleasant, but we can learn life lessons from this crisis and use this knowledge to build more meaningful and richer lives for ourselves.

Middle age – The mid-life crisis is a time of giving up those things we no longer need in life and consolidating and building on those things we value and want to make a part of the rest of our lives. The loss of youth and physical vigor can present a tremendous struggle for some people, but middle age can also be a time of sharing wisdom and pursuing pleasures one never had the time for before.

Growing old – The losses of old age can bring on depression. Our bodies are no longer what they once were, we retire from jobs that have been a crucial part of our lives, and we experience the deaths of family and friends. Those who have learned to deal well with loss, however, can gain from their wisdom and fully enjoy each day. For some, old age is the best time of life.

Facing death – The death of those we love can be the harshest loss of all. And ultimately, we must face our own death. Grieving death is a very personal experience and one of the most painful to endure. It takes time to get through it. Bereavement can be a journey into the depths of our lives that can ultimately reveal our strength of character.

Next week we'll post some methods of dealing with loss in its various forms.

Thursday, September 30, 2010

Dealing with Emotional Pain

When a person undergoes a life disruption, it may not advisable to take medication that will alleviate the pain immediately. When pain is alleviated with medication, the person’s motivation to make changes is reduced. And there is a great deal to learn from the process of managing emotional pain. (Of course, there are times when medication becomes necessary, especially with the suicidal thinking that may accompany a major depression. Many other life crises can be endured better with the use of medication. This is a medical decision.) When you undergo a major life crisis, you need time to gain insight into what has gone wrong and achieve integration again. Emotional pain, while unpleasant, serves its purpose, just as physical pain does in alerting us to something that is going wrong in our bodies. It prompts us to take action.

Similarly, drugs and alcohol may help to alleviate emotional pain – but then the opportunity to learn our life lessons vanishes. Reinforcing pain chemically may allow old patterns of behavior to continue – in which case, paradoxically, the pain you are trying to escape will persist into the future. Pain spurs us to learn new ways of coping.

There are tactics that people in crisis can use to get through the crushing periods of pain that accompany a life disruption. These methods do not end the pain, which has value, but they allow us some relief for a time.

First is diversion. Sometimes we need to remove ourselves physically or mentally from our emotional pain for a while. We can take a weekend trip, read a book, watch an engrossing movie, talk to a friend, take a walk or get some other physical exercise. Diversion allows us time to heal and it may give us sufficient distance from a problem that we can come back to it again and perhaps see it in a new light.

The second tactic for dealing with emotional pain is to stay in control over those aspects of your life that you still have some ability to control. A major life disruption can leave you with the feeling that you have no control over events. However, you can use self-discipline to clean your residence, bathe, feed the dog, water your plants, and pay your bills. Stay in control of those things that you can control, and let those things which are uncontrollable run their course.

Finally, find someone who can show you empathy.

There is no better way to relieve emotional pain than to talk to a trusted friend or therapist who can say with conviction, “Yes, I understand – and I care.”

Dr. Quintal & Associates
5460 Lena Road, Suite 103
Bradenton, FL 34211
941-907-0525

Thursday, September 23, 2010

Why Doesn't Trauma Get Better Over Time?


There are three reasons why trauma doesn’t get better over time. Here’s a way we can think of it:

The first reason why trauma doesn’t get better over time is because when going through an experience that was a painful or confusing or weird or troubling or upsetting or traumatic, that experience slammed into the person’s consciousness and left its impression. Picture my hand slamming into the sand and it leaves an imprint of my hand in the sand. Kind of like the sand hasn’t yet gotten the message that my hand is no longer there. The first thing that keeps the trauma stuck is that impression. Meaning the deeper part of our mind, not our intellect, but the part of our mind that controls our automatic functions, that part of our mind has a tendency to confuse the impression left by the experience, thinking it is the experience itself. It is why somebody who was in a robbery 20 years ago begins to tell you about it and as he is talking about it he gets all emotional. Why is that happening to him? Well, what’s happening is the deeper part of his mind is confusing the impression, or the thought of the experience, thinking it is the experience itself. That is the first thing that keeps the trauma stuck.

Here is the second thing that happens: When going through disturbing events a meaning gets attached to that troubling event and if you ask a person who is troubled what happened they’ll typically tell you the meaning that their mind attached to what happened, thinking that they are telling you what happened. I’ll give you an example of somebody who came in to my office. She had left work at about 4:30 in the afternoon. She walked out to her car when two men in a truck drove up. One of them punched her in the face. They dragged her and threw her into the back of that pickup truck and raped her. This is what she said when she came in to visit me. She said ‘You know I’ll never forgive myself for that.’ And I said ‘For what?’ You might be thinking the same thing. She said ‘Well, you know, being so reckless, so careless, so stupid. I can’t believe I put myself in danger like that.’ What happened was that was the meaning that got attached to that troubling experience. And, of course, the more upsetting something was, the more distorted the meaning would be that got attached to that experience. The meaning that typically gets attached to bad experiences are something to do with ‘I was bad, I was wrong or there is something wrong with me.’

The third thing that happens once those first two pieces are slammed in place, the impression and the meaning, is that our mind will have a tendency to confuse things that are structurally similar but will confuse it as identical. Let me give you an example of that. Let’s say we have a returning Iraqi combat soldier who is walking down the street with you. You guys are engaged in a wonderful conversation. It is a beautiful, sunny day and an old pickup truck drives by and it back fires. And now our soldier is on the ground, hugging the grass, screaming. What just happened to him? We call that experience, of course, a flash back. But what happened? The deeper part of his mind confused the similar sound, but confused that sound as identical and had that guy react as if he were in war.

Those are the three things that keep the trauma stuck, and those three things have one thing in common and that is they are all based in distortion. Because, my hand print isn’t the same thing as my hand. The meaning certainly isn’t what happened. And how different is a car backfiring than machine gun bullets? So Rapid Resolution Therapy clears the impression and turns the lights on so that the deeper part of the mind gets the really good news that the troubling experience is no longer happening. As soon as that happens it no longer ever confuses things that are similar as identical. No more flashbacks.

Tuesday, August 17, 2010

Won't My Trauma Always Live In My Memory?

Lots of people ask that question because they have been experiencing pain every time they thought about that troubling experience. So people often times go “Well, how can RRT really clear the trauma? Won’t it always live in my memory?”

The traumatic experience didn’t actually exist in the person’s memory, there is a memory of it; but that doesn’t mean it is the trauma. Just like if I said to you “I remember seeing a big yellow truck yesterday.” I have a memory of that, but does that mean I have a big yellow truck in my head? No, I don’t have a big yellow truck in my head but instead I have a thought about it. When something is traumatic the deeper part of the person’s mind has a tendency to confuse the thought of the experience – thinking it is the experience. That is why it is still troubling, meaning that that memory and trauma are active; and what RRT does is deactivate it. Meaning the person will still have the memory of the experience but it will no longer be associated with the painful emotion and the physical discomfort. When people are done working with me they could talk about the traumatic experience in detail without experiencing any pain at all because that memory is now just a memory. It has been deactivated and so it is no longer troubling or traumatic for that person.


Dr. Quintal & Associates
5460 Lena Road, Suite 103
Bradenton, FL 34211
941-907-0525


Thursday, August 5, 2010

What You Won't Do In Rapid Resolution Therapy

  • In Rapid Resolution Therapy you won’t be exploring negative feelings.
  • In Rapid Resolution Therapy you won’t spend any time trying to gain incite and understanding into why you might be feeling the way you are feeling; and how you’re feeling now might relate to some past experience that you went through.
  • You won’t spend time trying to figure yourself out so that you can change yourself.
  • You won’t have to scream into pillows or rescue your inner child.
  • You won’t be spending any time trying to figure out how you can ‘let it go’ to move forward.
  • What you WILL do is fix the current problems that you are having so that you CAN move forward with comfort and ease.
To learn more about RRT and view the FAQ, please visit my website: www.drquintal.com