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A Few new F words for you

We have inherited nervous systems that automatically and instinctually react when faced with threat, pain or stress. While crucial for our survival, they can become maladaptive if the danger is not as big as we perceive it to be and if the reactions persist after the danger has passed. You’ve likely heard of the fight or flight response. Less well known are the freeze, faint/flop and fawn responses.

Fight
With the fight response you feel a surge of adrenaline, irritability, anger, and/or tension. You might become argumentative and have an urge to confront the perceived threat by lashing out verbally or physically. This can give us the illusion of power when we feel out of control, but it can strain our relationships.

Flight
With the flight response we feel an urge to avoid a threatening situation. You might avoid confrontation by seeking physical or emotional distance. You might feel anxious, restless, and experience social isolation.

Freeze
If we cannot fight or flee a threat, the freeze response is designed to help us to avoid detection from the predator or not feel its full impact if the danger is inevitable. You might feel suck, unable to move, dissociated or numb.

Faint/Flop
During the freeze response our vitals can drop so low that we faint. We more commonly experience flop with light-headedness, a sudden drop in energy or extreme fatigue. You might feel a sense of resignation, helplessness and hopelessness.

Fawn
This is experienced as people pleasing, compliance, putting other peoples’ needs above your own, conflict avoidance, difficulty saying no or setting boundaries, being afraid of abandonment or rejection. This can create a pattern of others taking advantage of you and result in a lack of self-worth, difficulty identifying your needs, repressed anger and physical tension.

These responses are automatic biological reactions, and we are all susceptible to them. We may experience all of them, or we may have tendencies for specific ones. If you can understand what is happening (in the moment or even later when you reflect upon it) you can have more compassion for yourself. If you or anyone you know need help to develop more adaptive coping mechanisms in the face of threat, pain or stress our team is available to help. You can reach us on the contact page of our website www.wellnessinmind.ca or by phone 514 223 5327 or by email info@wellnessinmind.ca.

Written by Shawna Atkins, Ph.D., OPQ., Psychologist

How listening can help your relationship [and five ways to improve it]

Much ink has been spilled on the importance of communication in romantic relationships. For instance, the benefits of using “I statements”, the importance of talking about one’s feelings, or trying to avoid using accusing or criticizing language. All of the above are positive, and I promote their use wholeheartedly. But there is, however, a subtler element to communication that does not seem to benefit from as much attention. An ingredient so important that without it, ‘communication’ would simply be ‘speaking’. The key element is listening.

At first glance, listening appears rather simple, and we all do it, right? Sit back, relax, and just hear the words exiting your partner’s mouth. But such a description would likely suit ‘hearing’ better than listening. In reality, listening is more complex, and certainly more challenging. But the good news is that knowledge and practice can lead to a significant improvement in our ability to truly tune into one another, and the payoffs are plentiful.

Listening entails much more than merely hearing a partner’s spoken words. In a 2003 study on communication in relationships, researcher Faye Doell drew attention to a key distinction, namely the difference between listening to understand and listening to respond, concluding that the former led to greater relationship satisfaction. And this distinction highlights one of the central elements of listening: understanding. Here are five strategies to help you along in your quest to become better listeners and as a result, most likely better partners, (and while you’re at it, better parents, family members and friends…)

Don’t make it about you. How many times are we engaged in conversations and all we want to do is give our opinion? Fix things? Defend ourselves? Listening is mainly about the other. It is about putting your needs, your opinions, your hurts aside temporarily and creating space and attention for the other to speak, to laugh, to cry, to explore – to just be. By being supportive and encouraging of this space, we are creating safety and freedom for our partners, as if saying to them: “You can say and feel what you need to say and feel right now. I can create that space for you.” Putting your partner first can be hard, especially if what they’re talking about is triggering or hurtful. Keep in mind that you don’t need to agree with your partner, or even like what they have to say. But being in listening mode is not the time to share your side of the story. (Don’t worry, you’ll get your turn… see below.)

Tune into their world. If you need to, take the time to actively prepare yourself to tune into your partner’s world. This can look like a brief solo-pep talk, or even a grounding ritual that can help you clear out your own agenda and focus on the other. Immerse yourself in your partner, turning their words and non-verbals into a narrative of a movie or book of their experience.

Strive to understand. As the listener, your first responsibility is to try to understand the position or experience of the other. Therefore, if what you’re getting isn’t clear, then ask clarifying questions to get the full picture. Steer clear of judgment and opinion, (which tend to be more about you than about your partner) and instead focus more on expressing interest and curiosity. This is your partner after all – would you not want to acquire a greater understanding of what they’re experiencing? Learn more about what makes them tick? Discover how they’ve evolved? Beyond being supportive in listening, acquiring a more profound knowledge of your partner deepens intimacy – one of the greatest antidotes to relational strife.

Take turns. Take a few deep breaths if you need to, and keep in mind that it is crucial for both partners to get a shot at expressing themselves and be listened to. Your turn may not be in 5 minutes, it may not be until after your partner’s finished their part. In fact, if you don’t feel the need to share your part, you may not even need to take your turn… this time. But be sure to get your turn next time around, or when something comes up for you and you will feel the need to express yourself. It’s only fair that if you provide that support to your partner, that they return the favour. So hang tight.

Don’t try to fix. Validate instead. Although good intentions may underlie attempts to fix, it is best used when solicited, as fixing often overshadows a partner’s experience and fast-tracks the discussion to the solution stage. Bombarding the other with suggestions and recommendations may appear caring & helpful, but it can also be received as “how is it that you haven’t thought of this?” Ultimately, as social creatures, what we often need above all else is to be heard, to be held, and to know that we are not alone. And therefore, validating our partner’s experience can go very far in providing such supports.

When working with clients, it never ceases to amaze me how many relationships have benefitted by simply applying some of the techniques listed here. As discussed above, part of the reason for this is that we acquire a greater understanding of one another, which is extremely important. But there are two more critical benefits that listening provides, often hidden from view. For one, in itself, being listened to deeply is calming and it can act as a dependable stress-reliever. Second, and more importantly, recognizing that our partner can reliably listen to us and be there for us significantly improves trust, the granddaddy of all relationship needs. So much so that renowned couples’ clinician and researcher Dr. John Gottman reported that the most significant predictor of healthy long-term relationships is reflected by the feeling that “I can trust that you will be there for me if I need you”.

So go out there, get your partner. Sit them down and let them tell you about them.

If you and your partner believe you would benefit from improving your listening skills, or if your couple is experiencing other struggles affecting your relationship, our clinicians would be pleased to support you through this challenging time. Call us at 514 223 5327 or complete the form below to schedule an appointment.

Written by: Julien Elia, M.A., OPQ, Psychologist

Dyspareunia: Healing painful sex

Painful intercourse can be devastating for women and their relationship(s). It runs counter to our expectation of sex being pleasurable; aside from consensual BDSM sex, sex should not hurt. Physicians have only recently begun to take women’s pain during sex seriously. It had long been dismissed and framed as a sign of neurosis. Imagine being both in pain and belittled. Thankfully more and more medical professionals are recognizing the signs and symptoms of painful intercourse and are helping women to get proper treatment.

What exactly is pain during intercourse? There are several conditions under this umbrella (see our blog on Vaginismus for an overview of that condition). This blog focuses on Dyspareunia: persistent or recurrent genital pain that occurs just before, during or after intercourse. This pain can be triggered by the insertion of a tampon, finger, or penis, and intensify during thrusting. Burning, aching, or throbbing can also occur briefly or for several hours after insertion.

Dyspereunia can lead a woman to feel isolated, as oftentimes the condition is kept secret. The universal assumption is that sexual intercourse is supposed to be pleasurable, so sufferers tend to quickly question what is wrong with them. Is it in their head? In their vagina? Is it both? When something we expect to be normal and pleasurable is not, it is confusing. Dyspereunia almost always has a deteriorating effect on romantic/sexual relationships. Sadly, some men do not believe when a woman tells them that they are in pain. They think it is in their head, it will pass, or dismiss the idea altogether without any discussion or attempt at easing the pain.

It is true that sex can be painful, but it is also true that treatments exist that can reduce or eliminate it. Both physical and emotional components to dyspareunia need to be considered since pain involves both the body and the mind. Also, if one route of treatment does not bring much change in the pain, the other route is worth exploring. Oftentimes a combination of physical and emotional factors are associated with dyspareunia. This is because initial pain can lead to a cycle of fearing future pain, which makes it difficult to relax and can loop back to more pain. Starting out by consulting with your physician is a great way to identify the cause(s) of painful sex in order to set you on a tailored treatment plan. Causes can include:

– Not enough lubrication
– Injury trauma, or irritation to any part of the vagina
– Inflammation, infection, or skin condition
– Allergic reactions (e.g., to latex condoms)
– Medical conditions (e.g., endometriosis, irritable bowel syndrome, ovarian cysts)
– Prior surgeries in the genital area
– Psychological contributors (e.g., sexual trauma, stress, anxiety, depression, poor body image, fear of intimacy)
– Relationship problems

Once you have a better sense of the cause(s) of painful intercourse, treatment can include one or more of the following:

– Experimenting with sexual positions (e.g., to control the depth of thrusting, which can be painful)
– Improving communication with your romantic/sexual partner (what causes pleasure and what causes pain)
– Extending foreplay (30 to 45 minutes to avoid penetration before the woman is receptive, which causes pain; kissing, cuddling, whole-body massage, and oral sex before attempting penetration)
– Using artificial lubricant and avoiding medications that diminish lubrication
– Experimenting with sex toys, especially external ones (remaining sexual even without penetration, and regaining orgasm)
– Estrogen therapy (insufficient estrogen can cause lack of natural lubrication)
– Desensitization (gradually decreasing the fear of intercourse and relaxation exercises to relax the mind, body, and vagina)
– Counselling or sex therapy (changing the negative emotional response to sex that has built up; working on relationship issues that contribute to emotional pain, triggering physical/sexual pain; talking about what is happening and about your feelings; getting a better sense of what brings you each physical and sexual pleasure; broadening your concept of sex to include activities other than penetration; sensate-focus)

Having a solid grasp of causes and treatment options will help you and your partner to form a plan for how to deal with dyspareunia. Avoidance is not an option. Even when you experience painful intercourse, you do not want to give up on sex altogether. Remember that intercourse is no necessary for great sex. You can experience sexual pleasure from the hands, the tongue, toys, even feet. Keep communication open, set up optimal conditions, and and keep trying.

If you need support in taking charge of sexual pain, we can help you to better understand and deal with the problem as well as to decrease relationship distress. Reach out to us at 514-223-5327 and begin counselling with one of our experienced therapists.

Written by: Andrea Guschlbauer, Ph.D., OPQ., Psychologist

The Power of Awe

I saw fireflies a few nights ago, they were mesmerizing. I hadn’t seen them in years and they had me fixated on the dark waiting for them to work their magic. As we stood there captivated for almost 20 minutes I began to think about the power and psychological benefits of ‘awe’.

Michelle Shiota of the University of Arizona studies the impact that awe has on us physiologically and refers to it as the “Gucci bag of emotions”. She notes that we generally tend to think of awe as a luxury but it does not need to be. All of us can experience awe and benefit from it. Awe is the feeling of being in the presence of something vast and greater than the self and because it often exceeds our current understanding of the world, our thought processes must expand to accommodate it. Contrary to most positive emotions that activate us, awe slows us down and focuses our attention onto one thing. It slows down the sympathetic nervous system, the part of our nervous system that makes us fight, flight or freeze in the face of stress or danger. As a result, it soothes the body, sharpens our focus and increases our sense of connection to something larger than us.

We are biologically hard wired to continuously scan the environment to ensure our safety. We would not have evolved as far as we have if our nervous systems had not done this for us. As a result, most of our worries are a result of a hyper-focus on the preservation of the self. Awe has the effect of reducing this tendency momentarily as it focuses us on the world around us and changes the way we think about it. Studies have linked awe to reduced irritability, increased well-being and pro-social behavior.

Awe also changes our perception of time. Adults tend to lose their sense of wonder about the world and as we are getting faster and faster paced in our society awe can help us to slow time down and captivate our attention into the present moment. Awe has the quality of making time expansive.

Think about what is most likely to elicit awe for you. Is it nature? Art? Music? A spiritual experience? Witnessing children experience wonder? I encourage you to identify this and actively look for opportunities to experience these more regularly. I also encourage you to seek out new experiences so that you can broaden your sources of awe-inspiring opportunities. Experience these in real time if you can but researchers get their participants to experience awe virtually so why not give that a try too? Consider a collection of images that relate to your sources of awe that you can use.

We hope these ideas support your quest for wellness. If along the way you struggle, give us a call 514 223 5327. We are committed to helping people lead flourishing lives.

Written by: Shawna Atkins, Ph.D., OPQ., Psychologist

Sexless relationships: How to reignite the sexual flame.

Many couples struggle with sex. Maybe you have different sex drives, you are preoccupied with your job or kids, or you have different sexual interests. Whatever the reason(s), when you find yourself in a sexual rut something that can be a highly pleasurable part of a relationship can become emotionally painful. People who previously felt close to their partner(s) through sex suddenly feel disconnected. Oftentimes sexual problems are seen as taboo and you do not talk about it. Not only does sex become an off-limits topic within the couple, but you might refrain from sharing with friends from whom you normally receive support. You might wind up feeling alone, neglected, frustrated, and ignored. The problem with avoiding the topic is that the problem will not go away. Without effort to change them, sexual problems can ruin your relationship.

Intimacy acts as glue in your relationship. By nurturing intimacy, you feel connected, happy, and cared for. There are different kinds of intimacy (emotional, physical, intellectual, recreational, and spiritual), but the one that tends to set intimate relationships apart from friendships is sexual intimacy. Without sex, couples tend to report feeling like roommates rather than partners.

Clients often ask what is a normal amount of sex. Rather than prescribing a golden rule, I tell them that it is more important that you are content with the amount of sexual intimacy in your relationship. Each couple defines their unique sexual threshold. We know that sex can fizzle when you have been in a relationship for a long time, but it certainly does not have to burn out and fade away.

Here are a few suggestions to reignite your sexual flame:

Schedule sex. Sounds unsexy right? It is sexier than no sex at all though! If you want sex to be a priority, you need to decide to make time for it just as you would for anything else (household chores, exercise, meals, etc.). Picture marking sex (or code word “date-night”) down on your calendar – could that be something to look forward to? It can feel both calming and exciting when you can rest assured that sex is on the horizon.

Communicate. Too often when couples come in for help in the bedroom, they tell me that they do not talk about the problem. The more you do not talk about it, the less likely you will get back to having the sex you are so sorely missing. Communicate with compassion and empathy. “It’s been so long since we’ve had sex. I miss you” works better than “Why haven’t we had sex?! What’s wrong with you?! You’re a bad partner!” Talk about what has changed over the last while that has contributed to lack of sex. Remind each other what you used to like about sex. Discuss fantasies, turn-ons, and new things you would like to try. Initiating the conversation is sometimes the hardest part. Once you are talking, it can actually be fun to talk about sex!

Experiment. Oftentimes sex becomes the same old thing – shake things up! What worked for years might have changed. Read erotica, watch pornography together, buy sex toys. Open a discussion about sexual desires and interests. Incorporate new activities in the bedroom; change your usual sexual routine and menu. That can range widely from doing something like wearing heels, putting on sexy music, trying new sexual positions, or having sex in a different part of the house, for example.

Incorporate mindfulness. Along with falling into a boring sexual routine, sometimes couples find themselves going into auto-pilot. By default auto-pilot means you are zoned out, not in the moment enjoying it. Wake up and tune in! Slow down and pay attention to all your senses (sight, smell, touch, taste). The simply act of touching different parts of your partner’s body can become exponentially exciting and arousing if you slow down and take your time. Rather than race to the finish, fully engage in the entire experience of having sex.

Take turns initiating. Usually the longer you have been in a relationship the more set your dynamic becomes, including who initiates sex. Having a usual sexual dance is not necessarily an issue, but it can be a problem if one of you is tired of your role. Maybe you question your desirability if you are always the initiator, or maybe you feel pressured if your partner always initiates. Even if you are content with your usual roles, it can be exciting to switch things up. Imagine your surprise if your partner acts out of character and initiates sex! If you are typically more passive, you may find it exciting and arousing to take on a more active/initiator role.

Educate yourself about sex and sexual issues. If you are experiencing a sexual disorder (erectile dysfunction, premature ejaculation, vaginismus, dyspareunia, inorgasmia, etc.), inform yourself about the condition. It can help to normalize what you are experiencing, thus decreasing stress and anxiety and you can begin to learn about ways to cope with the condition. You might choose to pursue counseling/sex therapy to benefit from a professional’s guidance in treating the issue.

Prioritize physical affection. All too often, when sex has become a sore spot within a couple, physical affection comes to a halt. It is important to remain connected physically. Exchanging touch reminds us that we are cared for and instills a sense of closeness. Physical touch releases “feel-good” hormones (oxytocin), decreases stress hormones (cortisol), and reduces blood pressure. That is to say, physical touch positively affects our brains, which becomes especially important if we are struggling emotionally related to lack of sex.

Some couples are content being in a sexless relationship. If you are not one of those couples and you want to reincorporate a healthy sexual connection, decide that sex is important and take the necessary steps. Remember that you have to actively engage in keeping sex alive, it will not keep up by itself. For couples who are emotionally intimate and are willing to put in the work, there is a good chance at getting back that satisfying sex life.

Sometimes couples wait a long time before seeking help. Rest assured, there is still hope even if it has been going on for years, however the longer you wait the more challenging it can be. If you recognize yourself in parts of this blog, one of our clinicians would be pleased to assist you in resuming a healthy sexual relationship. Call us at 514 223 5327 to schedule an appointment.

Written by: Dr. Andrea Guschlbauer, Ph.D., OPQ., Psychologist.

Sex after childbirth: The good, the bad, and the ugly.

Newsflash for all new or expecting mothers worrying about sex after childbirth: You are not alone! We often think of having a baby as a wonderful time; for many people it is a long-awaited blessing. There is no denying that this life-changing event can bring immeasurable joy, however a less talked about reality is that giving birth can greatly impact sex and sexuality. Soon-to-be parents often feel intensely close during pregnancy, preparing for the new addition and planning for their new life as a family. However, once the baby arrives, partners can be suddenly launched into opposing directions with the little one resting in between.

Many women have conflicting feelings about their bodies after childbirth. Let’s face it; giving birth changes a woman’s body. Picture a bulging belly, swollen feet, sagging breasts, hair loss, skin changes, vaginal discharge, swollen legs and varicose veins and increased sweating. One can imagine that women may feel self-conscious about some of these bodily changes. They might not want to be touched shortly after childbirth. On top of dealing with body image issues, women may simply need space from touch after having an infant clinging to them day and night. Breasts can be especially prone to this issue of touch; breasts and nipples can become sore, bleed and chaffed from breast-feeding.

Related to concerns about their bodies, many women have conflicting feelings about sex after childbirth. Giving birth is a trauma to the vagina and women often feel anxious about their vaginas and penetration. Any kind of vaginal penetration can become uncomfortable or even painful because of muscles and nerves being affected by pregnancy and labor. Natural lubrication can also be an issue as women might experience excessive dryness after birth, especially if they are breastfeeding. What’s more, breasts can become so strongly linked to the mother-child bond that women can stop seeing them as part of their sexuality. Having breasts touched during sexual play can serve as a distraction rather than an erotic experience.
Women can experience urinary incontinence and flatulence after childbirth, which can be embarrassing and make women more likely to avoid sex.

Not only can women have fears about resuming sex after giving birth, they might lose interest altogether. Libido often takes a hit after having a child. Hormonal changes can contribute to decreased libido. Furthermore, women might find themselves sleep-deprived and exhausted and might have a new or increased self-consciousness about their bodies. What’s more, sex tends to be the last thing on a new mom’s mind given that she is likely to be exhausted, sore and preoccupied. A new mom might associate sex with conception and immediately after childbirth the last thing she wants is another pregnancy. Fatigue is another contributor to decreased libido; not only in the obvious way (too tired to have sex) but also by contributing to marital conflict through increased arguing. If the bulk of your interactions with your partner consist of arguing, you might both be less interested in having sex.

When resuming sexual activity, women can expect some degree of tightness after childbirth. They can also expect a certain degree of pain with the goal being to decrease it as much as possible. When engaging in penetrative sex remember that different positions will affect the perineum (which may have torn during childbirth) differently. The importance of communication about sex after childbirth cannot be stressed enough. Your partner may not know what you are going through or how to best help you ease back into a fulfilling and pleasurable sex life. Your sexual repertoire may have changed and your partner needs to partake in creating the new menu.

A sudden change in sexual intimacy can be devastating, painful and cause extreme tension. One of the best things you can do if you are struggling in the areas of sex and sexuality after childbirth is to talk to your partner. Remember that you can be intimate without having sex or at least penetrative sex. Kiss, hug, cuddle, fondle and use your hands and mouth. Couples may benefit from changing their sexual expectations. It is so important to maintain overall (not just sexual!) intimacy and to communicate, communicate, communicate!

Bringing a child into the world can be wonderful but the often-overlooked issue of sexual problems can leave women feeling embarrassed and alone. Know that you are not alone if you are struggling with changes in sex and sexuality after childbirth. We want to help you receive the support you need to adjust and get back to the intimate and sexually fulfilling relationship you had before giving birth. Call us at 514-223-5327 to schedule with one of our clinicians.

Written by: Dr. Andrea Guschlbauer, Ph.D., OPQ., Psychologist.

Vaginismus

Vaginismus is a condition wherein a woman’s vaginal muscles contract involuntarily when something is inserted (e.g., a penis, finger, tampon, dildo). As the vaginal muscles squeeze and spasm, the vaginal opening narrows. Penetration becomes painful; some women describe it as a searing tearing sensation. In some cases, the vaginal muscles are so contracted that penetration is impossible. One can imagine that women who have vaginismus might develop negative attitudes toward sexuality and sex and that sex becomes an unpleasant experience for all involved.

There is a great range of experiences of vaginismus; some women only experience it with certain partners, some experience it with penile penetration but not tampon insertion or gynecological exams, and still others have vaginismus in all scenarios. It’s not clear exactly why vaginismus happens, but it’s most often linked to anxiety. However, it can be difficult to determine what came first, the anxiety or vaginismus.

Anxiety is the killer of good sex. Physically, anxiety creates tension in the body. When feeling anxious, we tend to tense up in all different areas of our body (neck, stomach, shoulders, hands, etc.). Women who have vaginismus experience tension in the pubococcygeus (PC) muscle during sex. To locate this muscle, try starting and stopping urine flow next time you pee; that’s it. A clenched PC muscle makes penetration painful or impossible. In addition to affecting our bodies, anxiety impacts our thoughts. Anxious negative thoughts are not conducive to good sex. Women who experience Vaginismus might have thoughts such as “Sex is scary”; “My partner is going to be mad if I clench up”; “I’m bad at sex”; “My partner isn’t going to be understanding”. These kinds of thoughts distract from being in a relaxed yet aroused state. A woman might begin to avoid all forms of sexual and non-sexual contact to prevent the negative outcomes she’s expecting.

Women experiencing vaginismus are encouraged to focus on four main areas to address the issue of painful sexual intercourse.

1. Anxiety: Women are advised to learn strategies to decrease anxiety. These can include Cognitive Behavior Therapy (CBT) techniques like challenging negative thoughts/assumptions as well as relaxation training and stress management. A mind at ease is well suited for positive sexual experiences. Being able to call on such a state helps women to engage in intimate interactions with a sense of calm that opens the door for arousal and pleasure.

2. Relaxing the vaginal muscles: Women might begin with a breathing or visualization exercise to instill a sense of calm, then practice squeezing and releasing their PC muscle. Doing so enables them to gain awareness of the automatic tension that’s developed and allows them to experience sensation in the PC muscle with a relaxed state of mind.

3. Use of dilators: Women can learn to override the involuntary muscle contraction and desensitize vaginal muscles (and the mind!) to having something inserted into the vagina. By practicing this and becoming desensitized, a woman is preparing herself for “the real thing” and decreases the likelihood of tension and pain during sex.

4. Address relationship problems: Vaginismus is not just about the pain, it’s also about the way the pain impacts women and their partner(s). You might notice increased frustration and irritation in your couple resulting form the stress caused by the problem of vaginismus. Partners can benefit from learning to support each other and work as a team in addressing the problem. You might work on improving communication and increasing a sense of connection. In doing so, a couple may experience a shift in the negative cycle of avoidance of intimacy and rediscover pleasure.

Vaginismus is associated with not only sexual pain, but emotional pain as well. It impacts not only the women who has the condition, but her intimate partner(s). The good news is that vagnismus is a highly treatable condition; women and their partners can rediscover pleasure, excitement, arousal, and satisfaction in the bedroom.

If you or someone you know could benefit from talking to one of our clinicians about overcoming pain during sex and reviving sexual pleasure, we are here to help. Call us at 514-223-5327 to set up an appointment.

Written by: Dr. Andrea Guschlbauer, Ph.D., OPQ., Psychologist.

How to tell if you are in an abusive relationship

The Montreal Gazette recently published an article about the Canadian Orthopedic Association’s efforts to train their clinicians to better detect intimate partner violence as the source of the fractures they treat. In it, they cited Statistics Canada reporting one quarter of all violent crimes in Canada being due to domestic violence and that 80% of these victims are women. Stats Can also found that conjugal violence costs the federal government about $7.4 billion per year in health-care and law-enforcement costs.

¼ of all violent crimes. 7.4 billion dollars. 80% are women.

These numbers compel us all to become aware of the signs of conjugal violence. They say that it takes an average of five to seven acts of violence before a woman begins to think about leaving her abusive partner. And we know that a woman’s risk of serious or fatal injury increases the further into the relationship she proceeds before trying to leave.

Abuse can be hard to detect because it doesn’t start out that way. Abusers are often charming, attentive, and sweet in the beginning of a relationship. An abuser will work to make you feel so appreciated and loved, you won’t even notice they are controlling you. There are warning signs we can look out for, to help us spot an abusive relationship, before it goes too far. These signs pertain to all intimate partner violence, no matter your gender or orientation.

1. Your significant other is loving you one minute and punishing you the next such that you feel like you are on an intense emotional roller coaster.
2. Arguments tend to escalate quickly and rarely resolve.
3. Your partner is jealous of your time with others and increasingly isolates you from friends and family.
4. Your partner pushes for commitment early.
5. They may use concern for your wellbeing as a mask for control.
6. You find yourself asking for their approval.
7. The words they use make you feel small.
8. You start to believe that you are worthless.
9. You work hard to please them and it never seems enough.
10. You find yourself staying silent just to keep the peace.
11. Your partner blames others for their mistakes: “I wouldn’t get so angry if you didn’t…”
12. Your partner uses “playful” force during sex that is not consensual by you.
13. Your partner makes threats of violence.

If you have been a victim of intimate partner violence, or know someone who has, a helpful hotline number to have on hand is 1-800-363-9010. If you or someone you know need help to recover from an abusive relationship and prevent re-experiencing one, our therapists can help. You can reach us at 514 223 5327.

Written by: Dr. Shawna Atkins, Ph.D., OPQ, Psychologist

Helping Someone Who is Grieving

Losing someone can be a destabilizing and overwhelming experience. Every aspect of our lives can be impacted by the loss. It is so difficult to adjust to the new routines in our lives following the death of a loved ones. Learning to set the dinner table for one less person or making coffee for one instead of the usual two for yourself and your partner every morning – loss manifests itself in the details of our day to day. Grief does not end after a person’s funeral or memorial service. It is a lived experience that will take time to work through. Each person will experience their grieving in a unique way as they slowly and patiently process their emotions when they surface one day at a time. Here are five tips for how to help someone you care about cope with their grief:

1- Listen: It might sound simplistic but one of the most healing experiences for coping with the pain of losing someone is to be heard. Having the supportive space to talk about whatever it is that they might be thinking and feeling can be the most helpful thing for that person. This may even be to talk about anything but the loss itself. It is important to be respectful of where the person is in their own journey rather than to force someone to confront emotions they may not be ready to explore.

2- Avoid Platitudes: Making statements like “time heals all wounds” or “they’re in a better place” may seem kind or helpful but in fact often trigger frustration for the person who is grieving. Though we might believe those adages, in the midst of the heartbreak, a person may not be in the mental state to accept truths that may not resonate for them. It is best to avoid them.

3- Don’t Assume: Relationships are complex. We never fully know a person’s relationship to the person who has died. Therefore, it is important to respect the person’s process of grieving without assuming that they are feeling certain emotions regarding the loss. For example, the individual may have had a conflictual relationship with a parent or a partner and is working through a myriad of feelings such as anger towards past wrong doings, relief at the relationship tensions ending, or even guilt for experiencing those emotions.

4- Be present: In moments where one’s world is crumbling and a person is left to pick up the pieces of their lives following a death, simply being present can be the most healing support. There will never be perfect words to offer or magic solutions for someone who is grieving, but being there even in silence can allow the other person to feel seen in the midst of their suffering. Simply saying that you are here for them and that you are around for whatever they might need is often incredibly grounding when the world feels chaotic.

5- Be patient: Reading about grief might help you better understand the need for patience. Each person’s grief takes on its own journey and may differ in timeline. There is no right or wrong way to grieve and it can often feel for many people like there is a need to rush back to being “okay” sooner than they might feel ready to do so. Therefore, an important piece keep in mind is that grieving may take longer than imagined and the emotions that a person experiences may resurface at varying times of their life following the death of their loved one. This is especially true of anniversary dates, holidays, and other milestones which people value (ex: graduations, birth of a child, weddings, and travels people may have planned to do…). Respectful patience with those who you know are grieving is often appreciated from the bereaved.

For additional support for yourself or someone you know who might be grieving, please call us at 514 223 5327 to schedule an appointment with one of our clinicians.

Written by Marianne Chivi, M.A., C.O.

Managing your Emotions

Generally, people try to increase the experience of pleasurable emotions such as joy, happiness, excitement, and hope and have a tendency to try to avoid or distract from painful emotions, such as anger, sadness, loss, and disappointment. However, part of being human is to experience a spectrum of emotions which ranges from pleasurable to painful without remaining stuck or overwhelmed in any one emotional state. When the painful emotions feel threatening or overwhelming to a person, it can seem safer to distract or numb the emotions by engaging in avoidant behaviors. These behaviors might include technology addiction, self-harming behaviors, alcohol and substance use, or overeating habits. In order to be able to tolerate our emotional experiences, we need to begin to understand our emotions first. Emotion regulation encompasses a set of skills which you can learn to use in order to increase your tolerance for emotional distress in moments where your anxieties, fears, and other painful emotions are amplified. The key to emotion regulation is developing the ability to be flexible in how you respond to situations that trigger intense or painful feelings.

1- Understanding Emotions: Learn to pause, step back, and reflect on your emotional experience in the moment to begin can to observe what has led to the change in your feelings. The purpose of becoming mindful in your observation is not to judge or change the emotions but to practice increasing awareness of the triggers which led to the emotional shift, the underlying thoughts /messages which you might be telling yourself about a given situation, and to begin to identify any physiological changes within your body associated with the feelings you are having.

2- Radical Acceptance: Part of developing distress tolerance involves learning to accept our emotions when they arise. When referring to “acceptance”, this does not mean “approval” of a situation that might be harmful or upsetting, nor does it mean that we like what is occurring. It simply means that we accept the situation, emotion, or experience as it is without trying to alter it or escape it.

3- Learning New Responses: Over time, we all tend to develop deeply ingrained reactions to situations that are stressful. One strategy to practice in order to develop healthier coping is to intentionally respond in a way that is the opposite of how you would typically respond. For example, if you are feeling angry at someone and you would typically raise your voice and confront the other person in the heat of the moment, then you would pause, take a deep breath, and mindfully respond in a soft or quiet voice instead. This will take time and practice as you begin to unlearn your old patterns of emotional reactivity.

4- Creating Positive Experiences: Actively focusing your thoughts on positive things in your life and establishing healthy lifestyle habits will enhance your ability to experience more positive emotions as well as to manage the more painful ones better. Engaging in activities that you enjoy and spending time with people you care about is one example of how you can increase opportunities for joyful moments. Eating well, exercising regularly, and practicing regular self-care such as cultivating gratitude also supports you in developing healthier coping strategies for your mind and your body.

If you or someone you know is struggling with managing their emotions and would like support in developing healthier coping skills, please call us at 514 223 5327.

Written by Marianne Chivi, M.A., C.O.