Arts In Health – Why We Should Be Using Art In Healthcare

Arts In Health – Why We Should Be Using Art In Healthcare

by | Jul 26, 2022 | Art, Chronic Pain, Connection, Creative Arts Programs, Creativity, Mental Health, Mindfulness Meditation, Pain, Self Care

What is Arts in Health?

 

The idea that The Arts have a role in the health of individuals and communities has a long history in cultures around the world.i Arts in Health (also known as Arts in Medicine or Art in Healthcare) incorporates The Arts (visual, performing, literary, music, and dance) to support and enhance the continuum of care and plays a critical role in the overall health and well-being of people seeking help for various conditions.

This growing field of research and inquiry is developing world-wide, especially in The United Kingdom, Australia, the United States, and across Europe.ii Increasingly, medical professionals are ‘socially prescribing’ non-medical, community-based activities and services that provide patients and practitioners greater health options when faced with complex medical and social problems.iii Though not as developed as in other countries, there are various health initiatives that incorporate The Arts with diverse creative holistic approaches to health across Canada.iv

This multi-disciplinary approach to health is becoming recognized both as an effective and creative way to positively impact health outcomes in both inpatient and outpatient healthcare and community settings, and boost mental, emotional, social, physical and brain health.

Specifically, participating in the art-making process:

 

  • Reduces stress, anxiety and depressionv
  • Improves self-confidence,vi self-awareness and empowermentvii
  • Encourages positive self-care skills
  • Provides a supportive setting to socialize, decreasing loneliness and social isolation
  • Is an effective preventative tool to manage symptoms of chronic pain and illness, and diseases such as Dementia, or Alzheimer’s disease
  • Improves and maintains neuro-spatial functions, memory processing and problem solving as we ageviii
  • Fosters emotional resilience, confidence, and personal growth
  • Is a healthy outlet and distraction tool to heal from physical, emotional, and psychological issues

To learn more, check out this infographic based on the research of Alain De Bolton and John Armstrong “Art As Therapy.”

 

Where does Arts in Health take place and what does it actually look like?

 
If you have ever been to a museum, a hospital, or community-based care home, you have most likely come across both art work and programs that fit under the umbrella of Arts in Health.

Museums and art galleries are accessible places where art can be viewed, questioned, created and bought. Artists and craftspeople are culture makers; they often play a huge role in cultural education and wellness. They are catalysts and bring people together through exhibitions, celebrations, ceremonial performances, and demonstrations. Artists can also showcase their work and sell their handcrafted art pieces.

Art work or painted murals are displayed in hospitals in hallways, waiting rooms, intensives care units, palliative and hospice wards, treatment and operating rooms and children’s wards. Outdoor art installations are also found on hospital grounds, music is played in high stress areas to benefit the patients and health-care staff, art activities are used at bedsides or during treatment (chemotherapy, radiation, and dialysis).

Community-based organizations such as rehabilitation and addiction centres, women’s shelters, day programs for people with diverse abilities, and immigrant services are just a few examples of where recreational forms of art-making are used to strengthen, to heal, and to communicate.
 

Who Benefits from Arts in Health Programs?

 
Along with other therapeutic interventions such as counselling, neurofeedback, Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), occupational therapy and physiotherapy, The Arts allows us to discover, explore, practice, connect not only with others, but with ourselves. More specifically:
 

  • Kids and Teens: Approximately 20% of Canadian youth are affected by a mental illness or disorder.ix Extracurricular activities such as art making can be especially beneficial for both teens and children because it provides a fun, non-threating, and inclusive setting where they can be introduced to new skills, learn coping strategies, shore up defenses and can develop deeper understandings of themselves and others.x
  • Socially Isolated Individuals: Approximately 1 in 5 Canadians say that are not satisfied with their number of friends.xi Loneliness is real. Making art with others can promote social satisfaction and allow individuals to connect with others with similar interests
  • Caregivers or other individuals with overwhelming stress and anxiety: Using The Arts is good place to begin when coping with the stresses of everyday life. Picking up a paint brush or writing in a journal can be small but positive self-care steps to improve everyday life
  • Individuals with diverse needs, abilities, and diagnoses: People with diverse physical, intellectual, developmental, and emotional needs thrive when art activities are tailored to suit their individual interests and needs. Those with chronic pain or illnesses also benefit from the art making experience which helps in pain management
  • Individuals who just want to have fun! Making art in a beautiful space with a variety of different art, alongside others can really boost our mood. We can also receive individualized and collective support and guidance while working on creative projects

    •  

    Who is considered an Arts in Health practitioner?

     
    Arts in Health practitioners are composed of a variety of individuals: professionally trained artists, artists-in-residence, expressive arts practitioners (who use multiple forms of art), arts or health educators, art consultants, community-based support staff, other health-care professionals, recreational instructors in hospital or community programs, or other creative individuals who incorporate art in health disciplines.xii

    These practitioners provide patients, family members, and caregivers with opportunities for creative engagement in a variety of ways. Many artists are involved in fundraising efforts for health-related causes. From auction items, art commissions, internet sales, art shows, and community events, artists are uniquely woven into the commercial market, bridging artistic development to benefit healthcare initiatives. It is common for artists to work as educators inside schools or workplaces. They lead students, teachers, businesses and organizations in creating collaborative art pieces, and provide training and professional development on how to practice self-care and how to infuse wellness in their classroom or organization.

    Artists have always played a pivotal role in places of religious expression and places of worship, such as churches, mosques, temples and more. They help bridge creative expression (music, building architecture, prayers) with spiritual health and healing.

    Musicians, performance artists, dancers, visual and literary artists play a huge part in improving our collective quality of life, especially during challenging times. Throughout the pandemic, we have seen how The Arts have brought us together and helped us cope anxiety and stress.
     

    So why does Arts in Health matter?

     
    Increasingly, the health-care system is going thought a shift, one that focuses on treating the whole person (body/mind/soul), not just the condition. Medical programs are integrating the arts into training, teaching and research because of the overwhelming evidence-based research that shows a direct correlation between healing and the arts.xiii

    This infographic provides a great visual on the importance of community-based Arts in Health.

    Both on an Individual and community level, at Alongside You, we seek to reduce the burdens of illness, to foster connection, provide hope and build resilience so we can help others live vibrant and thriving lives. It is for these reasons that we offer Arts in Health programs at Alongside You. If you have any questions about how our Arts in Health programs can help you on your journey, please reach out to me and I’ll be glad to hear your experience and talk about how including arts in your health plan could help!
     

    “An active engagement with the arts – whether as a participant, or as a viewer – is one effective way for individuals and communities to address issues of public health. We recognize that prevention and health promotion are important in avoiding the costs and issues associated with acute care later on, down the road. This is where the arts are effective in health promotion.”

    – Sarah Chilvers, (former Program Director for Health and Social Development for the Vancouver Foundation)

    i. Clift, Stephen, and Paul M. Camic (eds). Oxford Textbook of Creative Arts, Health, and Wellbeing: International Perspectives on Practice, Policy and Research. Oxford University Press. 2016. Page 3.

    ii. Clift, Stephen, and Paul M. Camic (eds). Oxford Textbook of Creative Arts, Health, and Wellbeing: International Perspectives on Practice, Policy and Research. Oxford University Press. 2016. Page 4.

    iii. Wouldn’t it be great to have this in Canada?

    iv. To name a few: Dalhousie University’s Medical Humanities Program called Heals, that combines the arts and humanities with healthcare; The University of Prince Edward Island’s Advancing Interdisciplinary Research in Singing (AIRS) Research Environment that connects researchers across discipline with singing and well-being; McGill University’s leading researcher in neurosciences, Daniel Levitin’s work on the impact of music and the brain; Arts Health Network is hub that links research in arts and health knowledge across Canada; In Manitoba, University of Victoria’s Health Initiative (UHI) aims to enhance health research, healthy aging, indigenous health, and mental health.

    v. Repar, Patricia Ann DMA; Patton, Douglas Med. Stress Reduction for Nurses Through Arts-in-Medicine at the University of New Mexico Hospitals. The Departments of Music and Internal Medicine.

    Holistic Nursing Practice: July 2007 – Volume 21 – Issue 4 – p 182-186. University of New Mexico. Accessed July 14th, 2022. https://journals.lww.com/hnpjournal/Abstract/2007/07000/Stress_Reduction_for_Nurses_Through.4.aspx

    vi. McNiff, Shaun. Chapter 2: The Role of Witnessing and Immersion in the Moment of Arts Therapy Experience. P. 40. In In Mindfulness and the Arts Therapies: Theory and Practice. Laury Rappaport ed. Jessica Kingsley Publishers. 2014: 38-50.

    vii. McNiff, Shaun. Chapter 2: The Role of Witnessing and Immersion in the Moment of Arts Therapy Experience. P. 41. In In Mindfulness and the Arts Therapies: Theory and Practice. Laury Rappaport ed. Jessica Kingsley Publishers. 2014: 38-50.

    viii. Zeki, Semir. Art and the Brain. Journal of Consciousness Studies 6(6-7). 1999. Accesses September 14th, 2020. Link

    ix. Canadian Mental Health Association Statistics: Mental Health and Mental Illness. Link

    x. Coholic, Diana. Arts Activities for Children and Young People in Need. (2010). P. 11.

    xi. Canadian Mental Health Association. Coping with Loneliness. Link

    xii. Dewey, Patricia, Bettes, Donna et.all. Arts, Health and Wellbeing in America. (2017). Accessed July 15th, 2022. Link

    xiii. This is evident with the growing recognition amongst Canadian physicians the establishment of medical schools such as Queens University, Memorial University of Newfoundland, the University of Alberta that bridge medical training with The Arts.

My Journey To Becoming A Counsellor – Bell Lets Talk Day 2022

My Journey To Becoming A Counsellor – Bell Lets Talk Day 2022

by | Jan 26, 2022 | Counselling, Mental Health, Post-Traumatic Stress Disorder, PTSD, Safety, Therapy, Trauma, Trauma sensitive

Director’s note: The following article is written by our Registered Clinical Counsellor, Marcia Moitoso, in conjunction with Bell Let’s Talk Day. If you haven’t met us yet, you’ll find out quickly that we’re about being real. We’re all here because we are on our own journey, and want to help others on theirs. Marcia’s article is a very real, personal account of her own journey with mental health and trauma and how it led her to where she is today. I want to express my gratitude to Marcia for being willing to share her journey with others, and I hope you find it helpful. Please be aware, the article describes some traumatic events that may bring up some emotions while reading. – Andrew
 

My Journey To Becoming A Counsellor

 

I came to a career in counselling as part of a long, arduous struggle with my own mental health. I want to share my journey with you as a way to show you that whatever you’re going through, you’re not alone, things can get better, and we’re in this together.

 

My Story

 
My story toward healing really begins at 20 years old, when I hit the lowest low and far more psychological pain than I could have ever predicted. Laying on the bathroom floor of the courthouse after a two-year court battle against the person who sexually assaulted me, I remember thinking this is it, I can’t imagine continuing to live at this point, how can I possibly keep going? Unfortunately, like many of us, I had been through a lot of sexual assault in my early years. I had always felt immense shame about everything that happened to me, believing it was my fault and so I never told anyone how I felt, kept it inside and instead coped with eating disorders, self-harm, and substance use. This last incident in my late teens was the straw that finally broke the camel’s back. I couldn’t keep going like this, something had to change or I didn’t think I’d survive.

I wrestled a lot with the urge to give up and give in to self-destructive impulses. One part of me wanted to survive and get better, a second part wanted to give up, and a third part of me wanted desperately to change the world for other women like me. Frankly, that part kind of wanted revenge (or at least justice) too. I think that third part of me is the one that started to carry me toward healing. At this time in my life, I was learning about feminism, and while it made me confront some very difficult truths about myself and what had happened to me and what I was also complicit in, it made me get in touch with all the rage I felt, and my rage (though sometimes overwhelming) motivated me toward change.

It wasn’t – and still isn’t – a straight line. I remember sitting in my very first counsellor’s office week after week and refusing to speak. She was kind enough, she would recommend interesting female empowerment movies and give me little snacks. I liked her, I just wasn’t ready to talk, and I’d had years of learning to push all of my emotions way down and disconnecting from my body and myself. I wasn’t ready for her to change that. She gave me the notes I needed for extensions on my university assignments that I couldn’t write because the flashbacks were so overwhelming, and I was grateful for that. I don’t think I’d have graduated without her. At that time I also started kickboxing at a small gym that quickly started to feel like a family. I didn’t have to talk, which was important to me back then, but I could punch and kick and secretly cry my heart out. It was everything; I started to feel what powerful could feel like.

But as life goes, more devastations occurred that set me off balance and back into my self-destructive behaviours. I left kickboxing and withdrew into my own world ruled by fear and dissociation. My social anxiety got to the worst point it had ever been, and I lost the majority of my friends. This was another point where I could have lost myself completely, but I had managed to retain one friend who wouldn’t let me go despite the many times I disappeared and definitely let her down. During this time I had started to realize that my self-destructive behaviours needed to stop, but I was still unable to ask for help or admit that I had a problem. I got lucky though, one night at about 2am this friend of mine texted me asking if I’d want to go and travel South America for a year by bicycle. I wanted to get as far away from the place where I grew up as possible, so I didn’t even hesitate, I immediately said yes and with very little planning we got out bikes and just went.
 

The Ride That Changed My Life

 
Since that time I’ve tried to put my finger on just what it was about that year on my bike that was so healing. I think it was a combination of things. I finally really felt like I had a friend who loved me unconditionally (she also had no choice because we depended on each other for survival, traveling by bike with almost no money). I also started to feel powerful and connected to my body for what it could do for me for the first time, instead of focusing on what it looked like or what other people wanted from it. For the first time my body was mine and it was carrying me thousands and thousands of kilometres just by sheer force and will. I also learned to get in touch with my intuition and figure out which situations felt safe and which ones I needed to get out of right away. I experienced some luck, and happened to meet incredible people in every place I went who reminded me that people actually are fundamentally good and that those few who did some bad things to me are not an indicator of all of humanity. And bonus: I didn’t have access to my unhealthy coping means of choice, so my addictions started to fizzle away.

I met so many people from so many backgrounds, and heard their stories of devastation and transcendence, and slowly I started to share mine too. Hearing about the ways people make meaning from tragedy and find ways to survive and make life beautiful again after being in the absolute gutter of life was healing beyond belief. I learned that suffering is part of living and that it actually connects us to others. We suffer tragedies and then we find each other and we heal together. After hearing from these beautiful people in various towns, I’d always have a day or a few of riding my bike to the next place, getting in touch with my body and mind and processing everything I’d heard. It was in one of these in-between cycling times that I realized I wanted to become a counsellor. It was actually a need. I was in awe of how incredible humans are, and their innate urge to move toward growth and healing, and I wanted to be a part of that for myself and for others.
 

The Journey Is Ongoing

 
When I moved back to Canada, I spent several years in personal counselling before going back to school to become a counsellor. I was finally ready to talk and ready to continue the healing that had started on my trip. I knew I couldn’t do it alone, and I knew the triggers would come back now that the excitement of cycling from country to country was over. I’m endlessly grateful for the counsellors who helped me. I started in CBT to rework my self-shaming thoughts and my social anxiety, then I moved into somatic trauma counselling to learn how to heal psychologically through the power of my body, and then I continued the trauma processing work through EMDR. I still have sleepless nights with flashbacks but they’re few and far between now, and when they happen, I know how to ground myself, breathe through it, and look for my body’s wisdom to heal and do what it needs to. I still sometimes get urges to go back into those self-destructive behaviours, but I now know what to do with those urges rather than giving in to them. I’ve developed great friendships, thanks to my counsellors who helped me get out of my own way and soothe my social anxiety. And every day I get the massive privilege of walking with my clients on their journeys toward healing. I’m still a work in progress and know I will always be, and so I continue to work on myself, see my counsellor, and challenge myself to talk to friends and my partner when I need to. I’m endlessly grateful to the people who have helped me along the way, and continue to help me. We’re all in this together and we all have the capacity to grow and heal even if it sometimes really doesn’t feel like it.

I hope my story encourages you, and reiterates that we are all on a journey toward hope and healing. If we can help you on your journey, please Developing a Healthy Sex Life After Sexual Abuse/Assault – Part 2

Developing a Healthy Sex Life After Sexual Abuse/Assault – Part 2

by | Nov 23, 2021 | Connection, Counselling, Love, Mental Health, Post-Traumatic Stress Disorder, PTSD, Relationship, Relationships, Safety, Therapy, Trauma, Trauma sensitive

This article talks about some skills and strategies to heal the traumatized part of your brain and move toward the intimacy you deserve. If you missed the last article about the ways that sexual abuse/assault impacts intimacy and sexuality, I’d recommend going back and reading that article before beginning this one.

Remedies

Every nervous system is a little different. What works for one person may not work for another. There are many options for healing trauma and developing a healthy intimate and sex life, so I encourage you to choose options that resonate best with you.

Shift Ideas about Sex

A good place to start might be with the ideas you and your partner(s) hold about sex. Often survivors of sexual assault hold negative beliefs about sex. These beliefs result from parts of our brains confusing sexual assault (violence) with sex (consent, pleasure, equality). The two are not the same, and we need to rewire our brains to reflect this. I recommend having a look at Wendy Maltz’s comparisons chart here https://healthysex.com/healthy-sexuality/part-one-understanding/comparisons-chart/. This will help explain the difference between ideas about sex that come from experiences of abuse, versus healthy ideas about sex.

You can continue to develop a healthy sexual mindset by avoiding media that portrays sexual assault or sex as abuse or talking about sexual attitudes with friends or with a therapist. You can also educate yourself about sexuality and healing through books and workshops. One book I strongly recommend is Come as You Are by Emily Nagoski.

Communication with Partners

This may be the most important recommendation in this article. You cannot have consensual sex without communicating about it. That’s true for anyone, whether they’re an assault survivor or not. Sex remains a taboo subject in our culture, even though sex is very normal and most people have some form of sex at some point in their lives. When things are taboo and not widely talked about and understood, people develop feelings of shame about the taboo subject. Shame lurks in the darkness. This feeling of shame or embarrassment or even just awkwardness keeps many people from talking about sex with their partners despite engaging in sex.

  1. Consent is dynamic: It can be given and withdrawn at any time

All people, and especially survivors of assault/abuse need to be able to give and withdraw consent AT ANY TIME during a sexual or intimate act. Many survivors will experience flashbacks or triggers at various times through physical or sexual activities. Because they don’t feel safe to tell their partner to stop (often out of fear for making them feel bad), they will instead dissociate and push through the sexual experience. When you do this, you are telling your brain and body that what you feel doesn’t matter and that the other person’s pleasure or comfort is more important.

While it may feel frustrating to have to stop mid-sex or mid-kiss or mid-hug because something has triggered you, listening to your body will actually help the healing process go much faster. Each time you override what your brain and body needs, the trauma gets reinforced and the triggers continue to come back. Slower is faster when healing from trauma. This is something partners need to understand. If a survivor is saying no, it’s because they trust you enough to say no, not because they’re not attracted to you. Every “no” is sexy because it’s getting you closer to an enthusiastic, consensual “yes”

  1. Understand and Communicate your preferences

In addition to understanding and respecting the need to withdraw consent at any time, it’s important to talk about sexual preferences. What feels good, what feels neutral and what doesn’t feel good. Communicate when something felt uncomfortable and explore together to find what does feel comfortable. When sex is approached with curiosity and exploration rather than rigidness and shame, it becomes increasingly safe and pleasurable for both parties.

  1. The need to take a break

Sometimes survivors of sexual abuse and assault may need to take a prolonged break from sexual activity. This can happen when the individual is in a relationship or not. The break allows space to focus on healing and figuring out what feels good and what doesn’t without worrying about the anxiety of managing their partner’s advances. When you are ready to engage in sexual activity again, do so when you want it, not when you believe you “should.” You have a right to be an active participant in your own sex life. Communicate your likes and dislikes and give yourself permission to say no at any time.

How to Manage Triggers and Flashbacks

As mentioned above, some survivors will experience triggers or flashbacks during physical touch or sexual activity. Flashbacks and triggers are often thought of as images of the traumatic experience. But they can also be experienced as unpleasant sensations, or a lack of sensation, an experience of disconnection, or an experience of overwhelm. When this happens it’s important to stop whatever is triggering the flashback, i.e. stopping the sexual activity or the physical touch. When you have a flashback, a part of your brain thinks it is in the past when the trauma happened, You need to remind that part of your brain that you are in the present moment and that the danger has passed. Another word for this is “grounding.”

Grounding Strategies/Orienting back to the present moment

  • 5,4,3,2,1
    • Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, 1 you can taste
  • Deep breaths
    • Breathe in for 4, hold for 7, out for 8 (or any variation of that where you breathe out longer than you breathe in
  • Box breaths: in for 4, hold for 4, out for 4, hold for 4 (repeat 4 times)
  • Stand up and move your body – get the adrenaline out
    • Run on the spot, go for a walk, jumping jacks
  • Watch youtube video that makes you laugh (laughter is grounding)
  • Play a categories game
  • Say the alphabet backwards
  • Show these strategies to your partner and do them together

Once you’ve successfully grounded (and give yourself as much time as your nervous system needs for this, remember slower is faster), take some time to rest and find comforts. Your nervous system has just gone through a lot. It can also be good to think about what triggered you and to discuss with you partner how to change that in the future. You may want the help of a counsellor to determine this.

Counselling

Trauma counselling can really help you to overcome the impacts the trauma has on your life. You may also want to incorporate some couples counselling to help improve communication so that the two of you can work as a team on this.

There are 3 types of trauma counselling that can be beneficial. You may benefit from a mix of all three.

  1. Top-Down counselling:

This type of counselling helps you to change the thought patterns and behavioural habits that have formed as a result of the trauma. You will learn to notice the emotions and to change the behaviours and thoughts that tend to come as a result of the emotions. Some examples of this include CBT and DBT.

  1. Bottom-Up Counselling:

Emotions and survival responses are physiological. You may notice a tightness in your chest when you feel anxious, a lump in your throat when you feel sad, a pit in your stomach when you feel embarrassed, or any variety of physical manifestations of emotions. When we feel an emotion our bodies are automatically mobilized to do something with it. For example, if you see a grizzly bear, your body might instinctively run or freeze or even try to fight it. You don’t even have to think about it, your brain does it automatically! Your body also knows how to heal from the trauma, but often circumstances prevent us from being able to allow our bodies to do what they need to do. Bottom-up counselling approaches such as EMDR, Sensorimotor Psychotherapy, or Somatic Experiencing can help you to process the trauma by mindfully allowing your body and brain to do what it needs to do to heal. This will also greatly improve your relationship to your body

  1. Mindfulness Counselling or Practices

Through mindfulness practices you can train your nervous system (brain and body) to become fully present. You learn to notice when triggers are happening while keeping a foot in the present-moment so that you don’t become overwhelmed. With mindfulness you can learn to allow emotions to come and go naturally without being swept away. If you’d like to start mindfulness on your own I’d recommend starting with short 2 minute practices and slowly working your way up. Examples of mindfulness-based counselling include Mindfulness Based Cognitive Therapy and Mindfulness Based Stress Reduction.

I hope these tidbits can help you get started, or to continue on your healing journey. You deserve a healthy intimate life that includes boundaries, consent, pleasure and joy. Slower is faster; trauma takes time to work through, but it is very treatable, and you don’t have to do it alone.

Sources

Maltz, Wendy (2021). Healthy Sex: Promoting Healthy, Loving Sex and Intimacy. https://healthysex.com/

Nagoski, Emily (2015). Come as you Are: The Surprising New Science that will Transform your Sex Life. Simon & Schuster Inc: New York.

University of Alberta Sexual Assault Center (2019). Sexual intimacy after sexual assault or sexual abuse. https://www.ualberta.ca/media-library/ualberta/current-students/sexual-assault-centre/pdf-resources-and-handouts/intimacy-after-sexual-assault-2019.pdf

Developing a Healthy Sex Life After Sexual Abuse/Assault – Part 1

Developing a Healthy Sex Life After Sexual Abuse/Assault – Part 1

by | Nov 16, 2021 | Connection, Counselling, Love, Mental Health, Post-Traumatic Stress Disorder, PTSD, Relationship, Relationships, Safety, Therapy, Trauma, Trauma sensitive

Note: This article speaks in broad terms about sexual assault and abuse. If you feel overwhelmed at any point reading this article, I encourage you to stop reading (or skip to the section on “grounding”) and allow your body to do what it needs to do to come back to the present. Whether it’s going for a brisk walk, doing some deep breathing, or calling a trusted friend. As this article will discuss, there’s no need to push yourself past the point of overwhelm. Healing can only take place with patience.

Many survivors of sexual assault face difficulties with intimacy and/or sexuality at some point in their lives. While this is a very common experience, it’s certainly not the case for all survivors. Traumatic events affect people in a variety of different ways dependent on each person’s life experiences and their unique nervous systems. This article will focus on the people who do struggle with sex and intimacy after traumatic events. It will show that even though it can feel really hopeless at times, there are some amazing ways forward to achieving a healthy and satisfying sex life. We have some powerful innate abilities to heal trauma, but it often takes patience, support and work to get there.

Understanding the Impacts

Sexuality and the Central Nervous System – Stress and Love

Sexuality is impacted by the emotional systems managed by a very primal part of your brain often called “the reptilian brain.” This part of your brain is responsible for stress feelings as well as love feelings, all of which have helped us to survive as a species. Stress and love are also the main emotions that impact intimacy and sexual desire.

Stress responses are the neurobiological processes that help you deal with threats. Your brain prioritizes one of the following three main components based on survival needs: fight (anger/frustration), flight (fear/anxiety), or collapse (numbness, depression, dissociation).

Love is also a survival strategy; it’s the neurobiological process that pulls us closer to our tribes and bonds humans together. Love is responsible for passion, romance, and joy. It’s also responsible for the agony of grief and heartbreak.

Common Reactions

When a person lives through a traumatic event, the stress response in their central nervous system (brain and body) often gets locked into survival mode. It has detected that there is danger and so it learns that it must always be scanning for any sign of danger. As a result, there are two very common reactions to sexual trauma that affect a survivor’s sex life.

  1. Sexual Avoidance/Difficulty Experiencing Pleasure

The main function of the central nervous system is to prioritize survival needs in order of importance. For example, if you can’t breathe, you’re unlikely to notice that you’re hungry until you get oxygen again. Similarly, although love is indeed a survival mechanism (bringing us together with our tribes), the brain tends to prioritize attention to stress over love because stress points to a more immediate threat: the possibility of another dangerous and violent act.

After a sexual assault, sensations, contexts and ideas that used to be interpreted as sexually relevant (like physical touch) may instead now be interpreted by your brain as threats. So sexual situations actually make your brain sound the “danger” alarm bell. Our central nervous systems confuse sex (an act of consent, equality and pleasure) with sexual assault (an act of violence and power over another). Remember, your nervous system’s primary function is to keep you alive and safe, so anything that feels in any way similar to a violent situation from the past will sound your brain’s alarm bell.

Basically, you may be experiencing love or desire, but your brain is still stuck on survival mode. This makes it almost impossible to experience pleasure, desire and closeness.

  1. Engaging in Compulsive Sexual Behaviours

Remember how love is also a survival strategy? It draws us closer to others and makes us feel whole. So instead of stress hitting the sexual brakes, some people get locked into patterns of feeling out of control sexually and having multiple partners. In this case, sometimes the innate survival strategy prioritizes closeness for that feeling of being whole; however, when this is a survival mechanism, it’s often happening from that “collapse” stress response, or a more dissociated place. People stuck in this pattern may experience a brief feeling of relief but may still struggle with the deeper components of intimacy.

  1. Additional common symptoms
  • sexual avoidance/anxiety
  • sex feeling like an obligation
  • dissociation during sexual activity/not present
  • negative feelings associated with touch
  • difficulty achieving arousal/sensation
  • feeling emotionally distant
  • flashbacks/intrusive thoughts or images during sexual activity
  • engaging in compulsive sexual behaviours
  • difficulty maintaining an intimate relationship
  • vaginal pain in women; erectile dysfunction in men
  • feelings of shame
  • negative beliefs about sex

This is a short list of reactions, there are many more impacts on a person’s sense of self and experiences in relationships. If you’d like to get a better sense of how your traumatic experiences may have impacted your sex life, you can have a look at Wendy Maltz’s Sexual Effects Inventory here https://www.havoca.org/survivors/sexuality/sexual-effects-inventory/

Remedies: Developing a Healthy Sex Life 

This short article was just to give you an idea of some of the many ways that sexual assault can impact intimacy. These impacts sometimes show up directly after the assault and sometimes show up years later.

Stay tuned for the next article which will talk about some of the many ways to heal the parts of your brain that are impacted by the trauma and to help you to find safety and pleasure in intimacy.

Sources

Maltz, Wendy (2021). Healthy Sex: Promoting Healthy, Loving Sex and Intimacy. https://healthysex.com/

Nagoski, Emily (2015). Come as you Are: The Surprising New Science that will Transform your Sex Life. Simon & Schuster Inc: New York. 

University of Alberta Sexual Assault Center (2019). Sexual intimacy after sexual assault or sexual abuse. https://www.ualberta.ca/media-library/ualberta/current-students/sexual-assault-centre/pdf-resources-and-handouts/intimacy-after-sexual-assault-2019.pdf

Vestibular Conditions: When the World Won’t Stop Spinning

Vestibular Conditions: When the World Won’t Stop Spinning

by | Sep 22, 2021 | Anxiety, Depression, Health, Mental Health, Vestibular Conditions

In Canada, anyone over the age of 40 has a 35% chance of experiencing a vestibular problem at some point in their lives. Vestibular conditions involve difficulty with balance, dizziness, and vertigo. They can also affect (and be affected by!) your mental health.

As a counsellor who has worked with thousands of clients with vestibular conditions, I can say without a doubt that these symptoms are not fan favourites! Feeling unsure on your feet or that you might fall over, or experiencing the nausea that can often accompany these symptoms, is alarming, upsetting, and demoralizing. If you can’t trust your body to keep itself upright it can be hard to relax. Often people with vestibular conditions cannot manage day-to-day tasks. Work, household chores, playing with or taking care of the kids, and more can all become difficult. Even getting up out of bed can be an unpleasant adventure! At the very least, feeling gross or worried can sap the joy out of a lot of normally fun or rewarding activities. It should be no wonder, then, that vestibular conditions are highly co-occurring with depression and anxiety.

 

Vestibular Conditions, Depression, and Anxiety

 

For people who are already experiencing anxiety or depression, adding a vestibular condition can make it a lot worse. If you are already having trouble getting out of bed because of depression, having the spins when you do certainly won’t help! Those who have struggled with anxiety and depression in the past can often see a return of their mental health difficulties along with the vestibular condition. It is certainly understandable that for someone who has gone through depression or an anxiety disorder, feeling helpless, overwhelmed or fearful because of their vestibular condition can trigger fears that they are sliding back into those mental health conditions.

Equally problematic is that anxiety and fearfulness can often make the experience of dizziness worse. People often feel sensations similar to dizziness when anxious, such as light-headedness. This can be misattributed to the vestibular condition, as these sensations don’t come with a clear memo as to what is causing them. (“I’m dizzy because of the concussion!”, as opposed to lightheaded because of the understandable anxiety.

Anxiety and depression can also hinder us in engaging in the activities that are useful in rehabilitating from a vestibular condition. They can lead to “catastrophic” all-or-nothing thinking. For example, “I’ll never get better!”, “I can’t do anything!”, “If I try going for that walk I’ll fall and break my neck!” and so forth. Furthermore, clients often struggle with having an “invisible injury”. They often can’t point to an obvious injury, like a leg in a cast, and may wonder if others doubt the severity of their condition, or may even doubt it themselves

 

Pathways Forward

 

Fortunately, there is a way out. Working with a vestibular physiotherapist can help to rebuild confidence in your capacities. They can provide treatments and exercises that can be done safely, without risking re-injury. Their deep knowledge and experience with these conditions can provide tremendous reassurance about what to expect with your condition, and what you can do safely.

In addition to this, working with a counsellor in conjunction with a vestibular physiotherapist (and other members of your health care team, like your family doctor), can really help you to adapt to the symptoms, provide coping skills to be more effective with them, as well as rebuild your hope in the future and faith in yourself. Working with both a counsellor and a vestibular physiotherapist is a “one-two punch” that I have seen be helpful for countless clients with vestibular conditions, providing the support and encouragement needed to help them get their lives back.

If you are interested in learning more about how counselling can help with your vestibular condition, please contact our reception team to request an appointment with me. We’re here to help!

How Can Therapeutic Dance/Movement Help Me?

How Can Therapeutic Dance/Movement Help Me?

by | Jul 12, 2021 | ADHD, Anxiety, Autism, Creative Arts Programs, Depression, Health, Mental Health, Post-Traumatic Stress Disorder, PTSD, Stress, Therapy, Trauma

Many people feel apprehensive or intimidated when they hear the word “dance.” Movement is a beautiful and intricate part of who we are. We are in constant motion, from blood flowing through our veins to neurons firing during thought processes and through the simplicity of breath. Our very existence depends on the continuous movement happening within the body.

Therapeutic dance, or movement, is a mind-body approach for working with emotions towards holistic wellness. We often dismiss the subtle signs of stress from our bodies until it becomes a chronic issue, preventing us from functioning in our daily lives. Therapeutic dance and movement explores the presence of emotions within the body and shows us how to care for the emotional symptoms that we may find.

What do you mean by emotions living in the body?

Have you ever noticed sayings like, “I have butterflies in my stomach,” “That gave me the heebie-jeebies,” or “My blood is boiling”? These sayings are examples of how we experience nervousness, fear, and anger in the body. Some people describe these feelings in their body as “gut feelings.” We often override gut feelings using the mind and ignore what is happening in the body. Learning to trust in the body’s wisdom is an important skill to possess in today’s fast-paced world.

In therapeutic dance and movement, the connection between the mind and the body is facilitated as a conversation used to achieve a deeper understanding of the self. Emotions in the body are made aware by paying attention to the subtle shifts in the body and linked back to spoken language.

What does an appointment look like?

Clients are often surprised that a session does not have to involve dance whatsoever. Sessions are NOT like a dance class, experience in movement is not even required. Therapeutic dance/movement is an approach that gives your body the space to express what words cannot. Do you ever move your hands when you talk? That’s a form of therapeutic movement! A session can consist of talking to someone, along with the optional invitation of moving, breath-work, or spontaneous dance. It’s entirely up to you! Another way to interpret therapeutic dance/movement is as a counselling session. Your whole body is invited into the conversation, and expression is created from the inside to the outside.

There have been times clients have said, “I’m not sure why I just did that.” The body knows what the mind may not understand quite yet. Therapeutic dance/movement helps to bring understanding and self-compassion to patterns of being. Session goals are co-created between client and practitioner. With this, a therapeutic movement session becomes a journey of creative expression and experiential processing.

What can therapeutic dance/movement help with?

Therapeutic dance/movement can help with anything, such as stress, pain, difficulty sleeping, relationship issues, chronic illness, temper tantrums, developmental disabilities, and neurodiverse diagnoses.

 Some other issues therapeutic dance/movement can support:

  • Feeling stuck
  • Feeling agitated or angry
  • Anxiety
  • Depression / low mood
  • Trauma
  • Autism Spectrum Disorder
  • Attention Deficit Hyperactivity Disorder
  • Tantrums and intense emotional upsets
  • Strengthening relationships

How Can I Start Moving?

Whether you want to start moving by speaking, storytelling, writing, drawing, or dancing, get your emotions moving today by calling our office to book a therapeutic dance/movement session. Have a quick question about therapeutic dance/movement? Click here to email our therapeutic dance/movement practitioner, Stefanie.