Healing Attachment Wounds

Last month, i shared what Attachment Theory is, via the model of the show This is Us. I may have left you hanging with some thoughts (and possible worries) about your own attachment style. If that did leave you in limbo, i’m sorry. I also hope it motivated you to go to some links and resources to learn more about this body of work. This quiz is a great place to start to learn what your main Attachment Style is. Ironically, how we wait for support (or anything) is a sign of our Attachment Style.

This month, i’m back with some follow-up suggestions to share.

For one thing, i think it’s key to know that our attachment style is not permanent – it can be altered, repaired and heal. We also can have secure attachments with someone, and not so secure with others. In fact, there is a term for when we become securely attached – ‘Earned Secure.’ This is when we may have faced adversity in our childhood, and have become secure now, through therapy or loving relationships. This is because our attachment style is a state, not traits in us that remain stagnant. So, strategies can help us become more secure in our relationships.

There is hope yet.

In order to talk about healing our attachment wounds, we need to also check in about our boundaries. Did you know that both overly rigid boundaries AND permeable ones are responses to the same thing? Yup, it is connected to our earlier insecure attachment style: There was once a time when we didn’t feel safe, so we needed to self-protect.

The rigid boundaries and walls we make to keep people out as well as the people-pleasing response (or fawning) are both powerful adaptive strategies to feeling alone and scared.

While rigid walls were helpful as a child, they becomes an issue when we no longer need to be protective in present day relationships. It’s in our relationships now that those old tendencies and protective strategies can actually interfere with meaningful and deeper connection with others.

Fawning, self abandonment and rigid boundaries are all related to our nervous system’s need for survival, due to developmental or relational trauma and attachment wounds.

Speaking of which, i also want to point out that a relationship rupture is not the same as attachment wounds. We can make mistakes in our relationship, and repair them. Like if we forgot we agreed to something, or we are stuck in a rut. What makes it a deeper wound is when the rupture brings up old wounds that are steeped in attachment, abandonment and rejection. Or the incident is a betrayal of trust in the relationship.

Dan Siegel came up with the 4 S’s of Secure Attachment. While it’s geared for adult-child (parent/caregiver to child) relationships, it can be translated to any relationships. In order to feel SAFE, SEEN, SOOTHED and SECURE in relationship with someone else, our internal system needs to include physical security AND a felt security. If you want to learn more about his approach, here is an article with Tina Bryson, his co-author.

This is why there is a connection to our survival responses of Fight Flight Freeze Fawn and our attachment styles. A rapid flight/fight response in avoidant people sees others as a threat. So their nervous system brings out their Protectors. Avoidants do not rely on external supports but rather trust the handy work of their own Inner Firefighters.

So, what do we do? Here are some helpful strategies that may be supportive:

A) Attunement
Attunement is about signals: In order to know how we feel with others, we need to first know in ourself what we need. This takes some inner reflection and interoception work. One place to start is to learn what your triggers are. Ask yourself some questions like: What happens in your body when you feel abandoned or lonely? What emotions are being signaled? What are you saying to yourself about yourself at the time? When we can have this felt sense of self-awareness, we can follow through with the right remedy or resource to self-soothe or reach out for connection. What helps you personally – does swaying (a movement that mimics being swayed or rocked as a baby or in utero). Does going for a walk in nature help? What things help you feel more calm and centred? When we intentionally ask ourself what we need in a given moment AND act on it, that is healing attachment wounds in the here and now. When we can do this for ourselves, it makes it easier to ask others to meet our needs and trust that they will.

We have a human Need to attune, to our Self and others.

B) Be Seen and Belong
Gordon Neufeld speaks about the need of an Attachment Village. It is imperative to be seen as an individual and be loved in community for who we are. Think of someone in your life that helps you feel safe, soft and seen. We need only one other being that we feel seen by, so a village can start with just 2 members.

Stephen Porges (of Polyvagal Theory) calls this resource finding your Super Co-Regulator. It can be a maternal figure, or a cherished friend. What they do is emit a neuroception of calm and rest. They emit a “Social Releaser” from their body energy; something that releases in our bodies in social connection with others. The key is in their tone of voice, their compassion, and kind facial expression. It happens with socially engaged creatures similar to birdsong – when birds call to each other, or when wolves howl to each other in the night.

This can be challenging when our avoidant Island style has made it hard to be vulnerable and meet new people. So start first with gentle efforts like saying hi to other participant’s in your yoga class, or talk to other parents while waiting to pick up kids after school. Or maybe sign up for that pottery or Tarot class you have been wanting to make. Then reach out and say hi to another participant. Ask them to go for coffee after class. Swap social media contacts. I know it’s hard to make friends as adults – trust me!

“The infant and young child should experience a warm, Intimate, and continuous relationship with (their) mother (or permanent mother substitute) in which both feel satisfaction and enjoyment” (italics are mine to reflect inclusive language) ~ John Bowlby

C) Co-Regulaton fosters Connection
Co-regulation is an awareness of someone else’s experience and responding to it. Even the most securely attached relationships are attuned only 30 to 50% of the time. We can miss the bid for connection. What helps is to repair the damage caused (especially within 48 hours of it happening). For instance, think of when baby has hunger cries and the caregiver responds with nourishment. The baby’s interoception of hunger is validated, and their social engagement system is regulated. Our basic need for safety is having a felt sense of interoception.

Mentalization is the term for the effort the mind makes, the ability to understand actions by others and oneself in terms of thoughts, feelings, wishes, desires. It is about seeing ourselves from the outside and others from the inside : ‘back and forth, back and forth – the ability to see ourselves in another, and another in ourselves, is the gift of a loving relationship”

A high pain tolerance is not always a good thing – our distress in others can be due to developmental trauma, when we could not rely on others when wounded, hurt, or needing care. Similarly, it’s hard to reach out when our internal world feels sacred, whereas the external one carries shame; shame is an attachment wound and it thrives in isolation. So asking for helps is especially vulnerable or triggering.

Connection Bids help us feel seen and connected to others. John and Julie Gottman first came up with this practice. Also, one great complement to bids is to learn how to communicate effectively, as this is a key component in helping get what we want.

You know that feeling you get as you put on your favourite cozy sweater? That’s what co-regulation with an attachment figure, feels like for a child” ~ J. Milburn

D) Mutual Delight
One of the benefits of healthy relationships are the shared delight in an experience. While we want to feel secure in the relationship when we are apart (i.e. due to work trips, living apart, spending time with separate friend groups), we also need to feel that shared delight in doing things together. These moments of mutual delight are catalysts for tender feelings for each other, as well as building memories of stored good and gentle experiences together. When people spend time together doing things that are enjoyed, each member can feel a sense of belonging. This is crucial for building secure attachment.

I think this is why the pandemic has been so hard on relationships – couples, families, friends and colleagues. We have been kept apart and being together still feels scary or awkward. I think our attachment styles have been threatened with this collective trauma. It helps to start small, with something that is an easy delight. Maybe an ice cream date, or a shared meal at a favourite restaurant.

I love a good acronym as a resource. It helps my brain keep the info on hand. Jessica Fern’s book Polysecure has a great tool called HEARTS. Each letter represents a different practice that helps us build secure attachment with others as well as ourselves: H is for being here and now; E is for expressed delight; A is for attunement; R is for rituals and routines: T is for turning towards each other after conflict; and S is for secure attachment with self.

“Regardless of the source of our vulnerability – internal or external – the conditions that satisfy our attachment system’s set goals are primarily internal. We have to feel Felt.” ~ Bethany Saltman

Let’s look at the 3 types of Insecure Attachment now and see if we can get a further understanding of their needs.

Anxious
As you can see from reading my previous article on attachment styles, as well as these GREAT RESOURCES, someone who lives with an Anxious Attachment Style can become preoccupied with pleasing others in order to fit in. What can show up is Toxic Positivity and people pleasing practices in order to have some connection. Anxiously Attached folx are hypoboundaried, meaning they do not have clear boundaries because they fear being abandoned. So they will be more willing to please and follow along to not threaten the separation. While this may sound familiar and also daunting, there are some great and gentle ways to help you repair this pull.

Heal Your Inner Child – you may be been parentified, a saviour, a taught helper. So spend time with reconnecting to your own Wounded Child Part. What does she need right now? How does she want to be loved? What ways can you play with her? One of my favourite exercises is getting creative with a craft activity from my childhood. How about making some beads with polymer clay, or maybe making slime. Put together a play list or watch a show from that time in your life. The key is to witness and nurture her.

When our Inner Child starts to feel loved and seen, the instinct to please others will not be as strong, because we are connecting with our Self. This will be especially helpful and reparative when it comes to dating, so that we don’t self-sabotage our own needs in order to remain in relationship. This article shares more about our how attachment still can impact our sexual relationships. Find ways to grieve what your Inner Child experienced and also ways to not continue the pattern in your adult self now.

Avoidant
Similar to the benefits of taking vitamins for our health, Contact Nutrition is the formula of helping us feel connected. I first learned this from Carmen Spagnola who studied with Diane Poole Heller. There are 5 vitamins to practice: Kind Eyes, Soft Voice, Safe Touch, In Tune Rhythm and Shared Meals. So, when you are starting to feel the pull away from someone, see if you can track their eyes, voice, or reach out and touch them. Try sharing a meal with them and track how your body feels in this communal ritual.

Another way to help stay regulated and centred when it feels too much is to self-soothing resources like Orient to the Space or Find Your Edges. Both are breath exercises that look at your space externally and internally. I love this resource when i am starting to feel overwhelmed in a busy space. I contact a painting or item and then find its edges. I breathe more intentionally, i sigh out a sense of relief and calm. Other steps are breathing out the sound of Voo (a resource from Peter Levine) or saying “I am Safe, I am Home” softly to yourself. This is how we soften our bodies so that we can stay with someone longer. People who have an Avoidant Attachment Style have hyperboundaries and are rigid because they fear becoming engulfed or enmeshed with someone else. So we are trying to thaw and self-regulate before falling into a Functional Freeze State.

It’s important to acknowledge here that when we talk about healing our attachment styles and relationships, i am NOT talking about staying in an abusive relationship or reconciling with someone who hurt you. The repair work can happen with other people. Self-Compassion work can be radical because it reminds you of your dignity and right to live free of fear of someone hurting you. It also means treating others with that same respect and care. It is about having grace for mistakes and learning that repair after ruptures are key ways to heal attachment wounds.

“Self compassion is a Practice of building a secure attachment for the first time” ~ vania sukola

DisorganizedIf you have experienced family violence or partner abuse, it may seem hard to think of someone who has been a support to you. It may feel challenging to trust someone again. One resource that can be helpful is to create one. This is a Competent Protector (something i also learned from Carmen). Have you seen any of these old movies when a doll, mannequin or statue comes to life? It’s a bit like that. While similar to a Recalled Resource or Attachment Village, this resources is one that is created and more of an internal resource. Think of what qualities or traits would be important to you. Think of consistent care examples in others that you know personally or have seen on TV. I also like to blend parts of people i admire or feel safe with and put them into this creation.

After creating this Protector, spend some time in their presence. Do a self-guided visualization and see what happens in your body. Place your hand over your heart and do some Vagal Breaths. In Narrative Therapy, there is a similar resource called the Recalled Resource. This is an intentional practice of recalling someone who was an example of a secure attachment, even if temporary. Maybe it was a teacher, or a family friend, or even your family pet or stuffie.

Speaking of which, if it seems hard to think of another human, don’t start with one – people can can be assholes. Instead, think of how you feel in community with a favourite tree, in a swing, or with your pet now. Some of my favourite Competent Protectors of being in the water (a lake or ocean especially) or sitting under the Full Moon.

One other way to work on healing this attachment style is to reach out to a therapist. This resource can help you feel more anchored and get to a felt sense of stability. Therapy sessions are not real life, so they are a great way to practice in vivo. This is especially powerful if a rupture happens with your therapist, and you can repair the therapeutic alliance in a safe way.

Attachment wounds happen in relationships so we need to heal in secure relationships in the present. The first steps are trusting we are worthy of right relationships, building our capacity to stay within our Window of Presence and take some risks.

You’re worth it.

This is Our Attachment Styles

I am a fan of the show This is Us. I love it for several reasons – It makes me release the tears i hold in my body, i appreciate the genuine and honestly imperfect relationships and characters, i am glad to see diversity represented, to name a few reasons. While there is so much to appreciate, one particular gratitude i have is how the show depicts attachment and relationships.

You don’t have to watch the show or even like it to see attachment theory as a repeating guest in its story. I promise not to intentionally share any spoilers, and yet i can’t help but notice the way Randall, Kevin and Kate, known as The Big Three (the 3 main characters are triplets) showcase the various types of attachment. It’s a good reminder that personality, our own genetic make-up and our resilience are all factors in how our attachment styles show up.

First, let me give you an overview of Attachment Theory, from early childhood development to how it manifests in our adult relationships later on in life.

Generally speaking, there are 4 different attachment styles where young children (before the age of 3) start to attach to their primary caregiver – Secure, Ambivalent, Avoidant and Disorganized. Thanks to the good work of John Bowlby and Mary Ainsworth, we have a better sense of these categories. The differences can be found in many great resources like HERE OR HERE. But to summarize, a Securely Attached child is one who trusts that their primary caregiver has their back, will respond to them with love and attention, and will come back when needing to be apart. An Ambivalent child has some trust that their parent will be there for them, but because sometimes they weren’t able to comfort them (for whatever reason), the child is unsure (or ambivalent) about how much they could trust their adult. An Avoidant child does not entirely trust their caregiver either, but they are more dismissive or avoidant in their reaching out to their adult. As you can imagine, a Disorganized Attachment is one where abuse, neglect, violence or other forms of trauma get in the way of building a healthy bond.

In the show This is Us, the family experiences a tragedy in The Big Three’s late teen years. Diane Poole Heller speaks extensively on how trauma impacts attachment Prior to that, you can see how the children each had their own relationships with each other and each of their parents. You can also see how the death of their dad, Jack (spoiler from season 1) impacts them into their adulthood.

The latest seasons unpack this even further. We get glimpses of their lives growing up and how their relationships with their mom form. The show really is about how trauma impacts a family, and how different attachment styles play a further role in how we move in with our life.

According to Dr. Gordon Neufeld, Attachment is formed by these 6 stages of proximity, sameness, significance, love, belonging and being known. Watching this show, you can see how these stages play out in The Big Three’s childhoods. It is reassuring how they created a way to acknowledge both their differences and sameness as all of them love the same sports team and going swimming in their local pool. In their adult life, the siblings continuously show love, significance and belonging with each other, even with all their different paths in life.

The show moves between past storylines and present-day experiences. As we see both time periods as the same time, this makes the impact of attachment that much more explicit.
Our attachment styles are formed in childhood, and take years to fully develop into any style. When we become adults, that original style typically stays present as our current relationships reinforce it. Or, we heal or shift our attachment style. Some people heal old attachment wounds and form healthy secure attachments with their partners or friends; others get stuck in abusive unhealthy relationships that put cracks in their formerly secure attachment. Stan Tatkin has adapted the Types of Attachment from childhood to reflect on these early attachment styles present themselves in Adulthood. This helps us understand both our love/intimate relationships as well as how we connect to our friends.

The Anchor
Randall is the most securely attached, both to his parents and how it shows in his relationship with his partner and children. Ironically, he has further intersections of trauma that could have played a more key role in how he attached. Scenes from their childhood show that he is the most securely attached to his mom of the 3 siblings. There are some episodes that show how his anxiety is related to his enmeshment to his mom, where he feels responsible for her. It may be because he doesn’t want to lose her as he did his dad, as well as his biological parents. Some of this may stem from his early Attachment Trauma Wound and race as he is black and was adopted into a white family. For many years in their childhood, they struggled with how to intentionally connect to his roots and identity.

It is important to note that our behaviour and personality does not all stem from attachment. This balancing act reminds us just how crucial nature and nurture is in families. Randall has experienced feelings of anxiety since he was young. A way it manifests in his teens is how committed he is and how he cares for his mom even at the age of 18. Now as a committed husband and doting father, he demonstrates how a healthy family can be born.

Memory recall plays a key role in what to look for when reflecting on our attachment styles. Attached people can describe all memories coherently, both positive or negative ones. Adults who are Dismissive don’t remember as much, or idealize parents; Preoccupied adults are wrapped up in those past hurts. These differences become evident in the show, through The Big Three as they recall their dad’s life.

The Wave
Kevin is an actor and he married his high school sweetheart when they were still teens. He has had a harder time committing to any relationship, but always shows up for his family, even when it’s messy showing up. He has struggled with how to take care of his grief and it comes out in unhealthy ways – his originally adaptive social side became maladaptive when it led to a struggle with addiction. He quickly refocuses his love for his partner, who he married at a young age. After the breakup, he struggles with healthy relationships for years.

His need for connection, being seen, and belonging keeps him in the loop of casual relationships and sexual encounters without connection. He commits hard, but then quickly spirals into a worry that he is either not good enough, or the relationship is not what he needs. He is like that perpetual wave; he’s in for a bit and then out. His work life reflects this even more.

Looking back, with the help of more recent seasons, it is easy to understand how torn he is with his grief and guilt regarding the loss of his father. This too is a powerful reminder of how trauma and attachment wounds are instrumental in carving out our life paths as adults.
Just like personality, delinquency is not connected to attachment all the time – risk taking is necessary for adolescence development. It’s when someone becomes more anti-social that is linked to attachment needs not being met.We have learned through research about childhood and adolescent resilience that children typically respond to adversity in three different ways: Promiscuous and Risk-taker, the Perfect Child, or Withdrawing to be Invisible.

Some of what shapes us is our attachment style, as it can be inherited by how our own parents modelled connection and bonding. This is where the concepts of Legacy Burdens (a concept from Internal Family Systems), generational patterns or procedural learning come in. We also are shaped by how our family is reflected in the bigger systems and society. This article showcases what makes a ‘healthy family;’ attachcment is just a part of the bigger picture.

The Island
The sole woman of The Big Three, Kate shows the most powerful transformation for me. Spoiler alert: she was able to heal her former insecure attachment and now become both securely attached as a woman in her adult relationships as well as start to heal the old traumas of her childhood with her mom.

In earlier seasons, Kate is in an abusive first relationship as a teen. She does not believe she deserves better, as she lives with low self-worth and body image. While her parents repeatedly support, validate and encourage her, she feels more seen by her father. When he dies (don’t worry, this is not a true spoiler as we find this out in the first season), she doesn’t feel the same secure attachment to her mom. She feels like she lives in her mom’s shadow and does what she has to get out from under it.

There is something to be said about the ties between mothers and their daughters. As mothers (and maternal nurturing role figures in general) are who in general model connection, this makes some sense. A whole genre of books, courses and stories has been a lot of focus on mother-daughter relationships. Just look at The Lost Daughter to get a sense of this. Sil Reynolds (a Marion Woodman-Jungian coach) wrote a whole book on her relationship with her daughter. Bethany Webster works specifically on Mother Wounds and wrote a pivotal book Discovering Your Inner Mother; and Strange Situation by Bethany Saltman speaks directly about her attachment style and how it shaped her foundation of attachment with her own daughter.

“Take everything off your shoulders and give it to me. I can take it. That’s what I’m here for. ~Rebecca (Mom) to Kate

While we can heal attachment styles, it bears mentioning that they can be passed down through family. Again, this show portrayals the impact of family violence very well. Jack’s own father was very abusive to his mother. This impact of Intergenerational trauma could have become a legacy burden for Jack, a carried down belief that violence and abuse was acceptable. Instead, Jack does some deep inner work to not repeat the pattern.

I love a show where some of my favourite topics as a therapist are covered. Attachment Theory, healthy relationships, trauma, family, for instance. My whole family now looks out for these themes when we watch TV together. While This Is Us in one of the best portrayals of these themes, we don’t have to look far to see them: Stranger Things; Marvel movies for instance – the origin movie for the Black Widow for example; the movie and book The Lost Daughter; the latest Disney movie Encanto (a new favourite as a therapist!)

So the next time you are watching your favourite show, or a new one, think about what the character’s attachment style is. How might that play a role in how they behave in relationships?

Knowing what our history is with attachment, how our family of origin modelled connection and commitment are key hints to what our current relationships are. They set the foundation for our attachment style and ability to hold right relationship wth others in the present and future.

These past two years have really put us through a lot. Our mental health has been impacted, our bodies (whether we got sick or not), and our relationships with others. I know a lot of us have regressed in how we socialize and our connections have suffered. This can impact our attachment stye. Sometimes, our attachment style starts off insecure, and can heal; other times we start off with secure attachment and then have an unhealthy relationship: This shows that our attachment style can change, or be different depending on who we are in relationship with. So, if you are left wondering about how to repair some of your own attachment wounds, don’t’ worry – they can be repaired. I’ll be sharing some ways to do that just that in next article.

Tips to a Find a Good Trauma Therapist

you are already whole just like the moon, who is only going through stages

I’ve been going through a bit of a metamorphosis in my own life, as i have grappled with a decision to do what is best for me, versus something that may have been more aligned with an earlier version of me. I think my wings of transformation have been able to be fully opened now.

I recently made a big decision in my life, which is to fully embrace my private practice full-time. While it was something that i have been deliberating about for some time, i have been in the VAW (violence against women) field so long that it has shaped my identity as a therapist and human. After over 22 years, it is now time to accept this transition. It was hard to let go of this identity, as i jumped into it with all my being. It is also what has made me be the therapist i am today.

When i started my private practice in 2015, it was to complement my work as a gender-based violence counsellor. The work i did initially in my practice was supporting new parents, especially those that experienced a traumatic birth or were having a hard time integrating this new role of parent in their life. It was also a way to balance the hard, necessary and all-encompassing work as a VAW/gender-based violence counsellor.

As my two work hats started to blend over the years (because we cannot separate the intersections of parenthood, trauma, and past abuse), it gave me pause with where i wanted to go moving forward.

Covid and the pandemic has played a role in my decision. As a working mother, it is important for me to balance and have a rhythm that works for me. When schools, extra-curriculars and summer camps all shut down, i noticed the toll of working from home with my children home as well. I also noticed that i need more clear boundaries and self-care practices in order to be the mom and therapist (and friend and partner and daughter) i want to be. Let alone the woman for my own Self. Yes i was burning out, and yes i was not alone with this. And yes we deserve better. (In another post, i will speak to my anger with how this year has gone for us as working moms). I may be a therapist who knows about vicarious trauma, burn-out and self-care, and i am also a human experiencing a collective trauma with everyone else.

Welcome to the new me here: The trauma therapist

While working my decision to make this change, i sat with what kind of therapist i am, what kind of therapist i strive to be, and what makes a ‘good therapist.’ Last year, i shared my thoughts on what is important for therapy to work. You can read it here. Of course, as anything, what makes something good for one person is not necessarily true for others. And yet, there are some important factors to think about when you are looking at starting your path with a therapist.

You have the right to shop around to find the fit that feels right. Book calls with a few therapists – if they don’t offer this free consult, that itself is a sign. Read about what you need in therapy, like Annie Wright’s article. What feels right may be different for each of us, but some things to consider are:

1) Relational
As a general rule, we need to have RAPPORT so that you feel safe enough to want to come back and share intimate things. Rapport is a bit of a vague term, so some things i look for are: using humor, a warm smile and nod, holding space and making room for all emotions and choices, being a compassionate witness to your pain – i really do care about you and have hope for your healing journey. I want you to live the life you love.

Building trust, respect, rapport and a safe container are probably the most important key ingredients for therapy to work. If we don’t have trust, it is hard to go deeper. I can’t promise to fix you or even have a fully safe space, but i do work from a relational place and am honoured when you choose to get support from me. Trust is earned and respect is something we all deserve all the time (and i know that we don’t always get). For instance, when I make a mistake, can you call me in and do i make the changes you ask of me? Do you look forward to therapy, even if that means you may cry or bring up stuff? Do you feel lighter when we are done, even if you feel raw?

Some other ways to show respect are how i treat my space, your boundaries and information. For instance, i strive to provide a safe(r) space and container, which includes privacy. I am committed to write you back quickly, write client-centred notes that i share with you. It is also important to me that you know I am listening fully. My room (even virtually now!) is inviting and i remember details of your life, like the name of your dog or a favourite vacation.

Working from a relational place in therapy means i have a unique, good and special relationship together with you, and what comes up in session is organic and active. I share my delight in seeing you, i see the best in you no matter what, and am grateful and honoured that you come and share vulnerability with me. Our relationship does not exist in a bubble, even though it is a unique one, that usually does live in some secrecy from the outside world. Is the foundation of the relationship solid, and do you get a sense of my authenticity, empathy and compassion for you?

My work is rooted in attachment theory so it shows up in sessions in an overt way. I don’t just mean i ask you about your childhood (full disclosure, i do), but we also work on healing old attachment wounds by repairing your unresolved need for attunement. As social creatures, we thrive when in connection with others. Healing this type of rupture with a therapist is instrumental to get to a more secure attachment style in your present life. This itself depends on the relationship between us that we are working on together.

2) Trauma-Informed
Not all therapists work from a trauma-infomred place, even though we all work with trauma as each human has experienced trauma in their life. So, a respectful and more safe way to support people is to have trauma humility. It starts with learning about what is trauma, the systems that perpetuate trauma, and ways to help integrate the traumatized part into the rest of our Self. This means therapists need to support you to have resources before going to trauma resolution work; we need to ensure you feel safe enough and are within a window of tolerance (or capacity might be a better word to describe this. We are not just building tolerance to hard feelings but the ability to handle them). If we open the wounds too fast, the healing takes longer.

If you are human you have experienced trauma

Being trauma-informed also means that i hold hope for you and you can feel it. I believe that you can get better, and have hope for healing with post-traumatic growth. I am just here as an alchemist, adding the right ingredients to help you get there. You are doing the work. I act as an anchor to guides you and gives you the resources you need to take the plunge.

Another part of trauma-informed care and philosophy is the awareness of Intersectionaity for each of us. Living as a cis-gendered white therapist, i have to do my own work to unpack my inherited white privilege. I can do harm if i do not prioritize this work. A layer of this is to to have unconditional positive regard and a non-judgemental stance of you. I am not afraid of you, and all your emotions are valid, though i can be worried FOR you.

Being a trauma-focused therapist takes it a step further. To help you heal the traumatized part means i honour and sit with your pain without trying to change it, but rather help you find resources that are already there within you. I co-regulate from a place of a regulated Nervous System myself; I do this by staying present and regulated even while feeling compassion and moved by your experience. As Resmaa Menakem shares in his book, this is a necessary part of a good therapeutic alliance: I provide a safe container without assuming safety.

A lot of clients earlier in my career believed it was important for their own healing to tell me their trauma story. While i struggled with this as i intuitively knew this was re-traumatizing them, I honoured their need. Now i know better in how to frame this support. Trauma resolution doesn’t mean I need you to share the details of the actual event; In fact, it is not necessary or even helpful to do so. It runs the risk of re-living the abuse.

3) Integrative
Therapy as a practice is not a new concept. People have been talking to others for support, guidance, and a listening ear for millennia. It is actually also an art, with things coming up organically in the space where there is no agenda. It is a very present and attuned practice. When people come to me for therapy, i do not hold an agenda in mind and the hour flows from there.

We need to be client-centred in order for the work to have any effect. And so there are so many different modalities and styles, approaches and specialities. I believe that knowledge about trauma, anti-oppression, body-based therapies, and working from an integrative and holistic place are the ingredients to make therapy impactful. Honouring the mind body spirit is also integral. That also means that therapists need to continue learning, adapting, unlearning and being vulnerable with their peers. Growth happens when we are uncomfortable as that leads to change.

There are so many therapists with all sorts of training. It is a sign of strength and passion when therapists want to keep learning, as it keeps them humble and human – no one knows everything. I may know a lot about trauma and supports that work, but i cannot assume any expertise in what you need – that is up to you.

Good therapists also seek their own supervision, whether with another colleague, in a peer group or more informally. I do all of these, and i also see my own therapist. This helps me stay grounded, accountable, and present at all times. It also helps me take notice of transference or counter-transference experiences.

I also think it’s important for the people i support to know that i am passionate and committed to this work. I may make people cry for a living, and my compassion for you helps me hold space for you when those tears come up. Do you get a sense that i am skilled and confident in my abilities as a therapist? Do i show that i want to do the best for you?

I wholeheartedly believe that good therapists have learned various modalities. Even if they have a couple of preferences (mine are Feminist Narrative Therapy and somatic therapies), no two people are the same. Part of the art of therapy is that we follow the flow of what comes up organically in a session. So, we need to be integrative because the client is their own expert and the approach on a given day also depends on what is present in the room at the time. We may pull from several modalities in one session, or for one situation are you struggling with. If you are new to therapy, read about the therapists’ bios and see if it feels like a right fit – does the idea of somatic or body-based attunement speak to you, are you more into staying cerebral, for instance?

Further, therapy should not just be talk or cognitive-based – it is imperative to also include emotion-focused resources, as well as somatic/body tools and other ways to learn like expressive arts mediums. There is a time for talk and there also needs space for pause, quiet, and using our pre-verbal, creative part. This is also where our Ventral Vagus Nerves lives, so it makes sense that it needs to be activated in therapy sessions.

This year specifically, i have made a commitment to learn more about how to be a better Anti-racism co-conspirator. I have read books, taken courses, had discussions, and made changes to my business to honour this work. The learning is not a one-time act, nor should it be performative.

4) Own Expert
You are on your Own journey. While i have the honour to support you for a time, i only see you for an hour each week. In between sessions, or when you move on after therapy, you have your Self to get you through. I am happy to meet you where you are willing to go, and to model self-regulation as a mirror. What you do with it is up to you.

I meet you where you’re at and i am next to you on this journey. I may make suggestions – and not the dreaded ‘should’ statements. Sometimes, people i support ask for me what i would do, or to give them advice, and i need to remind that i cannot answer this. I am not in their shoes and empowerment to feel good after a decision only comes from within.This is where change lives too. I do not want to set up for failure either. At times, i may share my own experience. I do this not for you to copy my choices, but rather as a way to honour the attunement and self-compassionat practice of shared humanity.

I also believe that therapy must include advocacy for you and larger systems at play. I am hear (spelling intentional) to help you heal as well as challenge the systemic issues that are impacting our collective healing. We heal in community as we are social creatures, not unlike jaguars, wolves and elephants.

You are in charge of the session. My service to you is professional and catered to what you need. That means you navigate the session and i do not act on my own agenda. If i every steer you away from something you want to focus on, it is your right to get back to the work you want to do. This is Agency. I don’t take this personally. I also ask explicitly (called a frame) what direction you want to go to when we are faced with two paths. This is an example of consent being sought intentionally.

I am a trauma survivor and have done my work to resolve it. This knowledge informs my work, as well as gives me access to lived experience and a shared humanity that healing is possible. I am at a very good place in my own life, as i have done my work, and my nervous system is regulated: You do not need to take care of me when feelings show up in the room together.

Sometimes, we need to normalize the experience of your reaction, by also honouring your unique story. I offer psychoeducation about your reaction as a way of providing safety when a part of you starts to feel shame, guilt, or even anxiety about choices you made when you were scared or hurt. When we know others have felt and responded in similar ways, it resets our nervous system and negative self-talk that we are a worse version of ourselves.

5) Exquisite Risk-Taker
It takes courage to seek out therapy. I push you to take exquisite risks that are NOT beyond your limits. Therapy does not exist in isolation. The hope is that you start to see increments of change, even after a few sessions. Therapists cannot guarantee to ‘fix you.’ Therapy is also NOT a cyclical or linear process, as each session is unique and alive in the here-and-not moment. But it is a moving forward process. It is also not a place to purge your thoughts without also being a space for reflection and support. It helps to think about what is said in a session during the week, and see if you want to work on the resources that are offered. It is not ‘homework’ that gets marked or judged, but rather an opportunity to practice a new language of self-healing.

One of my favourite compliments is when i hear “What would vania tell me.”

I am hear to offer you choice and options, whether it is for resources, or things i hold in my grounding basket. I may make suggestions when i contact (notice) a body or emotion-based response during a session, but i don’t want you to feel that i cannot handle your emotions. I will not pass you a tissue to suggest you need to stop crying. I am here to welcome and honour all the feelings, and to slow them down in order for you to build your capacity to sit with them. Our society is not good with the hard feelings – we typically only welcome joy, surprise, and sometimes fear. Otherwise, we feel like we have to hide the other ones as the person who is with us cannot handle them – which turns into an internalized translation to them not being able to handle us.

I love the word “Organicity.” Pat Ogden’s body of work Sensorimortor Psychotherapy speaks about this concept. It means what happens in the room during a session is what to work on, or what happens together is the work. Sometimes there is some risk to stay with something that is only poked at typically, or passed over quickly. Narrative Therapy and somatic therapies both intentionally dive deeper into the implicit. Kind of like Russian Nesting Dolls where we open up to a new story or opportunity, or version of our Self. We do experiments together, with curiousity. Taking risks can get to a more whole and new stage in your healing. We need this courage to get to a new place, otherwise our cycle remains active.

One way to start to notice if the therapist you are working with is a good fit is to take stock and see if you can sense the change in you and see new positive opportunities. Do you laugh together and have a sense of play together? Does your therapist delight in your progress and process without claiming responsibility or saviourism? This is the balance of taking risks and being held.

I will meet you there.

I am still transitioning into this new role, and version of myself. As a white, cis-gendered and able-bodies female therapist, I know i carry and hold a lot of power and privilege. The world of private practice therapy already feels so reflective of the two-tiered approach that I usually cringe over. This is part of my work – continuously reflecting, checking, and sitting with my discomfort and working towards a new feminist model of private practice therapy that is more inclusive and accessible.

Did you notice how I tilted this ‘good therapist’ and not great or perfect? For one, i don’t believe in perfect anything but i do trust that there are better fits just like there is a perfect hair stylist for each of us. I also think you are the one doing the work, and i am beside you, so the emphasis of the work being done is for you, not for me to take the credit.

Resilience after the Punch

My youngest was hurt by another student recently. She was holding the door open and he sucker punched her. Because she said No to him. He had overheard her talking with friends about snails. She said she liked them but never wanted to be one. Then, at the door, he called her a snail and she said she didn’t like that and he needed to stop. Then, boom, she got punched in the gut.

The mama bear in me is fierce right now. The trauma therapist knows how this may sit in her body – she was intentionally punched in the stomach for saying no to someone. What does that say to her now? The parent in me knows that 6 year olds are still learning how to regulate their emotions so I am working on empathy for the other student. The therapist worries about the boy and where he learned to do this. And the feminist in me knows that boys that hit girls make me mad as hell.

I was at work when i got the call. I left pretty soon after to tend to her, and see how she was coping. And you know what, she is the definition of resilience. She was able to share how it made her feel, she was able to find ways to play regardless of the event, and she was able to rest that night and cuddle with me. Gordon Neufeld talks about what children need in order to be resilient. It is a sound foundation of attachment and then access to Rest, Play and Feelings. This helps them bounce back after adversity.

((This photo captures her making friends with another child at the beach where we camped this summer – she makes friends as easy as she breathes))

My daughter is also fierceless – be it an incident like this or when she fell on the train tracks this summer. She was going over a tricky train track on her bike. We were able to discuss it that night and help her prepare to go over it again. We were able to access her upstairs brain (thanks Dan Siegel) and know that she could get over the tracks again.

It’s no surprise that her dad and i helped her access her feelings – we made it clear that she did nothing wrong, and that we were proud of her for going to the teacher. She followed her instinct to bring in the support of the staff at school, and felt seen by them. My daughter was able to recognize that maybe the boy’s bucket was empty whereas her’s is full – she has a community of friends and he is new to the class. My daughter was also about to reflect that a sucker punch is different than a fight with her brother. The fact that it came from nowhere hurt her more than the punch itself.

Each year, there is an event called Take Back the Night. It’s for women-identified people and children to reclaim the street and fight for the right to feel safe at night. I have been going for years and love the energy that the group commands. I have also taken my kids since they were babies and toddlers. It feels like the timing is perfect this year, as it is this coming Friday in Toronto. I think my daughter needs to march and know what her right is to her body and saying NO. Check out this link to read more about it – there are events like this all over the world.

Don’t get me wrong – we are still working on co-regulation of her emotions too and she has her own struggle still with impulse control and the infamous 6-year change. Just this morning, she was so mad that her brother (who’s older) got a smidge more of juice in his cup. She refused to bike to school with him.

I told her this was emptying my cup, literally. I tried to remind her of bucket filling and she told me that it was a juice cup, not a bucket so it didn’t count. Go figure.