Thursday, November 10, 2011

Freedom From Verbal Abuse

A home should be a happy place, or at least a safe place. Dealing daily with the outside world, with its tensions, pressures, and surprises, can be difficult. The home is a place to come back to, a place to feel free, relaxed, and comfortable. The home should be the place where we feel loved and accepted just for being ourselves. This is, of course, an ideal description of what a home can be.

In truth, home is also the place where our personal conflicts are worked out, sometimes in destructive ways. Our internal conflicts may involve issues of anger, power, and control – all of which can lead to verbal abuse. The verbally abusive household is usually not a happy place, and, in extreme conditions, it might not be a safe place. It is important to recognize verbal abuse when it occurs – and then do something about it. Fortunately, there are effective ways of dealing with such situations and making the home a safe haven.

Verbal abuse leaves no physical scars, but the emotional wounds can be just as deep and recovery can be prolonged. On the surface, others may see both the verbal abuser and the victim of the abuse as a happy couple, the nicest of people. But behind the scenes there exists a subtle pattern of manipulation and intimidation, unreasonable demands, sarcasm, and angry outbursts. At the onset of these relationships, everything may seem wonderful. The person who later becomes verbally abusive may shower the eventual victim with gifts and compliments and make that person feel like the most important person in the world. Gradually, however, the relationship deteriorates.  The abuser’s anger and need for control are projected onto the victim. The victim is blamed for not being “good enough,” and the relationship gradually turns into an emotional roller coaster. When things seem to be going well, a fight emerges unexpectedly.

The victim may adjust to this situation over time, so that he or she is unaware of the extent of the abuse. Victims may come to see themselves as not “good enough.” They may feel that they are truly at fault, and if only they could change their behavior, the abuser’s anger would stop. The abuser usually fails to take responsibility for creating the problem and it is the partner who takes the blame. These relationships, then, are characterized by denial, poor interpersonal boundaries, control and power issues, trust issues, and unresolved anger.

Codependence and Verbal Abuse

The partners in a verbally abusive situation are usually involved in a codependent relationship, and neither partner may realize that verbal abuse exists. But they do know that something is wrong. Codependence exists when the partners in a relationship have grown up in dysfunctional families. In these families, the needs of the parents are usually put before those of the children, there is great instability, and interpersonal boundaries are poor. The children may be verbally battered so that they grow up with unresolved anger and a negative image of themselves. People who grow up in this sort of household may find themselves in a verbally abusive relationship in adulthood. The abuser is charming at first and the victim is eager to please. Neither party is clear about his or her own boundaries, so the abuser feels justified in imposing anger on the victim while the victim in turn tries to win love and approval – often by accepting blame and adjusting his or her reality to conform to what the abuser demands. The agenda for the victim is to be loved by taking care of the abuser. The agenda for the abuser is to control the victim into taking care of him or her. And both parties want to end the pain associated with negative self-esteem. The victim seeks to win approval, which provides some semblance of self-esteem. The abuser, who also suffers from damaged self-esteem, sees him or herself as the victim and uses power and control over others as a way to survive in what he or she sees as a threatening world.

Recognizing Verbal Abuse

Verbal abuse can almost always be seen as a control issue. Ironically, it is the abuser who sees him or herself as the victim. Thus, the abuser feels the need to control the partner in order to allay his or her own insecurities. The victim, hoping for closeness and approval, goes along with the control and may accept blame for causing the problems. In a sense, then, roles become confused – the abuser is the victim and the victim is the abuser. The situation becomes murky and perpetuates the conditions which breed abuse. To confront verbal abuse we need to become aware of the conditions which lead to abuse. Consider the following examples.

Blaming: The verbal abuser will accuse the partner of inciting trouble. “Dear, let’s talk about who will drive the kids to practice tomorrow.” “You’re always planning out my life! Can’t you just give me a break once in a while?” (Notice here how the abuser feels like the victim.)

Denial: The abuser claims that the reality of the partner is invalid. “Hon, remember when we were talking about taking a weekend just for ourselves?” “We never talked about that. You’re making it up.”

Discounting: Similar to denial, discounting trivializes the feelings of the partner. “Larry, I don’t like it when we fight like this.” “You’re just too sensitive, always making problems when you could just leave well enough alone.” (Notice that the abuser retains the control, especially if the partner then goes along with his suggestions.)

Blocking Discussion: The abuser refuses to respond to a communication, thereby blocking resolution of a problem. “Joyce, let’s go through the bills tonight and see how much we can put into savings this month.” “Who asked for your opinion? Get off my back, buster!”

Countering: The abuser sees the partner as the enemy and immediately counters anything the partner has to say without thinking it through. “Look at that lovely vase of zinnias.” “They’re dahlias, dummy.” (Notice here that Name Calling is also an especially destructive, and obvious, form of verbal abuse.)

Withholding: Refusing to communicate and share thoughts and feelings can also be seen as a category of verbal abuse, especially because it damages the chances of achieving intimacy and empathy. Withholding occurs when the abuser distances him or herself and reveals as little as possible to the partner. This is a way of keeping control and leaving the partner feeling frustrated and lonely. The partner may excuse this behavior by believing that the abuser is just a quiet person.
(This is also known as passive-aggressive behavior.)

Joking and Verbal Abuse
: The abuser claims that he or she was only joking and then blames the partner for not being able to take a joke. “Did you really mean it when you said my mother couldn’t come here for the holidays?” “You just don’t have a sense of humor. Like, duh....”

Dominating: Commanding the partner to do something undermines the equality of a relationship and puts the abuser in the dominant position. “You get dinner on the table right now,” or “You are going to my office party and I want you dressed in ten minutes.”

Changing the Verbally Abusive Relationship

Because the partners in a verbally abusive relationship have usually adapted to their situations, as painful as this may be, it might require the intervention of a trained therapist to interpret the communication patterns objectively and empathically. In therapy the partners in the relationship may learn how dysfunctional families breed codependence, as well as how negative self-esteem and lack of adaptive interpersonal boundaries can lead to a verbally abusive relationship. New and healthier ways of communicating can be learned, along with the issues of control, the need for equality in a relationship, and how to trust and respect one’s partner. Learning assertiveness and refusing to participate in the cycle of abuse are crucial steps in coming to terms with the destructiveness of the verbally abusive relationship. Our homes can, and should, be happy, loving and safe. We owe it to ourselves, and to our partners, to confront the issues which prevent us from making trust and love essential ingredients in the recipes of our lives. The rewards of doing so are immeasurable.

The Cycle of Abuse

The typical abusive relationship falls into a three stage cycle, and the participants may not be aware of the cycle. One of the main ways of coming to terms with verbal abuse in a relationship is to increase your awareness of this cycle so that you can respond more appropriately.

  1. The Buildup of Tension.
    The verbal abuser during this stage becomes increasingly critical, detached, preoccupied and contemptuous. The abuser becomes jealous and controlling. They may try to make the victim account for his or her actions and criticize how the victim dresses, talks, or cleans house. The abuser usually places limits on the actions of the victim in an attempt to assuage his or her own insecurities. It is during this stage also that the victim tries to accommodate the abuser by going overboard to please him or her in an attempt to keep the peace. The tension increases until the next stage of the cycle, the abuse stage, erupts.
  2. The Abuse Stage.
    A major fight erupts and it is usually over a trivial incident, an incident so minor that the participants may not recall later what the fight was all about. There may be a great deal of yelling and threats, and sometimes the abuse can turn physical. One characteristic of growing up in a dysfunctional household is that people never learn to process their anger adaptively as a problem-solving tool, and in the verbally abusive household this anger may erupt as uncontrolled rage. Words which are very damaging, but which usually have no basis in reality, are hurled at the victim. The victim is left confused, hurt, and in need of retreat from the painful interaction.
  3. The Regret Stage.
    Once things calm down, the victim feels distanced from the abuser and the abuser feels remorseful. The abuser may promise never to lose control again and then makes an extraordinary effort to win back the approval of the victim. The more distant and self-protective the victim is from the abuser, the more the abuser becomes conciliatory. The abuser uses all of his or her charm to make things right again, and because he or she is in the controlling role, is usually successful. This honeymoon stage lasts until tension begins to build up again – and the cycle is repeated. Unfortunately, over time the cycle can repeat itself more rapidly and usually with greater intensity – with the abuser taking less and less, or no, responsibility for the pattern.
At Dr. Quintal & Associates, we specialize in relationship and marriage counseling.  If you think you are in a relationship that involves abuse or verbal abuse, please contact us for a free consultation.

Friday, September 23, 2011

Developing a Plan for Building a Strong Family

Some people believe that their families are too troubled to change. They feel that their families bring out the worst in each other and that they are plagued with insurmountable problems. They feel hopeless about changing their family life. However, many strong families have emerged from this place of despair, often in the face of a family crisis, to achieve a quality of strength, support, and vitality that they never thought would be possible. People can learn from their failures.

It may take the trained eye of a professional therapist to help a family move from this feeling of failure to one of success. An outsider can often observe patterns that family members themselves are not able to see. The support of a therapist can lead a family, one step at a time, through the process of identifying problems, developing strategies for dealing with each problem, and then following through. Even the most troubled families can grow with this type of support. A family has everything
to gain by deciding to work on building its strength. Home should be a vital, secure, and enhancing place – where comfort and support reside.

One way to start the process of strengthening your family is to try the following steps:
  1. Look at the strengths your family already has.
    Each member of the family can identify positive qualities that exist in even the most troubled of households. Let each person in the family discuss these strong points without condemnation.
  2. Visualize what you would like your family to become.
    Let each family member make up a “wish list” of things they would like to see in the family. Discuss these points and let the feedback be warm and accepting.
  3. Identify specific goals.
    Each family member should come up with a list of specific goals that they would like to see the family aim toward. These should be things can be accomplished (like going to a movie together or having dinner together every night). Then agree on five of the most important goals and put a date beside each goal. 
  4. Put people in charge of each of the goals.
    One person will be responsible for ensuring that his or her assigned goal is accomplished by the agreed upon date.
  5. Understand that this is only the beginning.
    Strengthening a family takes time. It is a process, not a one-time event. And we take it step by step.
Looking for family counseling services in Tampa, Sarasota or Bradenton? We treat depression, anxiety, PTSD and more. Call us today for a free phone consultation: 941-907-0525 or visit us on the web at http://www.drquintal.com

Friday, August 5, 2011

Do You Have PTSD?

Do you have any of the following problems?

If you check at least seven of the following items and it is several months after you have experienced a catastrophic event, it is advisable to have a professional consultation to determine if therapy for PTSD is indicated.

  1. I have strong physical sensations (e.g., sweating, rapid heart beat) when I think about the event.

  2. I try to avoid having upsetting thoughts or having contact with things or places associated with the event.

  3. My feelings are numb and I have difficulty experiencing normal pleasure and happiness.

  4. I am always watchful to make sure I don’t experience the same event again.

  5. I have feelings of guilt associated with the traumatic event

  6. I have the feeling of being unreal or that the world is unreal.

  7. I feel alienated or isolated from others.

  8. I get irritated or angry a lot.

  9. I have flashbacks of the event (feeling like the past event is happening all over again in the present).

  10. I have trouble falling asleep or staying asleep because memories of the event come into my mind.

  11. I have memory difficulties and trouble concentrating these days.

  12. I am easily startled when I hear a loud noise or when danger seems imminent.

  13. I have been relying increasingly alcohol or drugs to get through the day.
If you or someone you love is suffering from the symptoms of PTSD, please contact us for more information about how we can help.
Dr. Quintal & Associates
941.907.0525
www.drquintal.com
Successful treatment of PTSD is possible.

Sunday, July 31, 2011

Patient Testimonial After Treatment for Anxiety

Hi Dr. Quintal,

Just wanted to touch base about how I was doing. Well it has taken time to get use to NOT having anxiety. I figured I have probably had that horrible anxiety like that for about 39 yrs and it just got worse as time went on. After my treatment it felt weird because I had to get use to the voice in my head not being there felt like something was missing. Now I feel better not missing it so much anymore don't really think about it that much or not at all. So it has been 5 weeks since I started my new job it was an adjustment a bit scary and overwhelming a new place and new people.

What is nice at my new job for me is I am not focusing on my new co-workers and scrutinizing them thinking they are up to something. I do like my new job and it is a very professional and respectful work atmosphere no ridiculous nonsense goes on there. When my co-workers act different sometimes I say thats about them not me and walk away and not think about it again and that works. So without all that anxiety I am able to focus on my job and start to enjoy my life a lot more without all that worry.So that's about it and thanks it sure has changed my life for the better!

Sincerely,

Maureen M.

Wednesday, June 29, 2011

Some PTSD Statistics

Most people who are exposed to extreme stress are able to process their way through their reactions and never develop PTSD.

  • It has been estimated that 70 percent of people will be exposed to a traumatic event in their lifetime.

  • Of those people, 20 percent will go on to develop PTSD.

  • At any given time, an estimated 5 percent of people have PTSD.

  • Approximately 8 percent of the population will develop PTSD during their lifetime.

  • Women are about twice as likely to develop PTSD as men, mostly because women are more susceptible to experience interpersonal violence, including rape and physical beatings.

  • Victims of domestic violence and childhood abuse are at tremendous risk for PTSD.

  • Rape is the leading cause of PTSD.
Are you or a loved one suffering from PTSD? Contact us today for information about PTSD treatment options: http://www.drquintal.com or 941-907-0525