Tag Archives: mental health

Am I doing this trauma healing thing right? Part 2, Myths about healing that hinder recovery


In my previous post, I explored how chronic trauma responses lead many of us to think we are doing something wrong and are the reason why we are not getting better fast enough. We named some foundational principles for recovery, landmarks by which to navigate the journey of healing.

  1. Take care of your body.
  2. Look for stability in a triggering world.
  3. Begin (again and again) to tell the story of you.

These three steps are seemingly simple and yet they take every fiber of our being and the help from friends to keep fighting for healing day after day.

Unfortunately, there are some beliefs about healing—myths—that can hinder our recovery journey. As you read my shortlist of 4 misguided views about suffering and healing, consider what beliefs and ideas you have had about healing (or heard from others) that might create an extra barrier in your own journey.

Myth: Complete healing is possible and likely

There is a myth that healing from trauma means that I will no longer be bothered by things that used to trigger me. Healing means, in this belief, that memories will not be painful or show up at surprising times. If I continue to have triggers, these reactions are signs of failure to heal, to trust, to have faith in God.

Sadly, I see many who have found considerable healing after trauma to believe this because they have surprising triggers that knock them off their feet from time to time.

Consider this analogy, Your body has changed as much as if you were hit by a car. If you had been an elite athlete prior to the accident, you might need to accept you could no longer be an athlete as a result. It would not be a sign that you had failed to heal but that in healing, life is now different. When we believe that something is wrong with us since we bear scars (e.g., trauma triggers, bodies that are on higher alert, limitations to what we can now do) we add to our pain by accusing ourselves of not healing.

It doesn’t help when we see others who seem to have found more healing. Stories of “heroes” like Corrie Ten Boom or Malala Yousafzai seem to tell us that some people are truly healed. And since we know we are not, there must be something wrong with us. Truth? While post-traumatic growth is a real thing, there is ample evidence that these heroes still suffer with their invisible wounds. Growth does not eliminate injury.   

Myth: Healing should mean no longer in grief

Grief and growth will co-mingle, and one does not eliminate the other. Loss is loss. When we experience trauma, we also suffer loss. And loss means grief. These losses include safety, predictability, identity, voice, as well as other more physical and spiritual losses. We may lose family members, community, and capacities we once had (recall the elite athlete image above).

We don’t imagine that if you lost a close loved one that you should no longer feel something when reminders of their loss are present. Grief shows up like waves at the ocean. They may be big and knock us down. They may be small and less obvious to us. No matter the size, they are always present. And something will likely trigger a larger wave when we least expect it.

Myth: My faith should be able to be what it was

The story of you has changed as a result of trauma. It impacts every part of your story, including your faith and spiritual experiences. By every definition, you are now different because your story includes something that is difficult, if not impossible, to integrate into the way life was or is supposed to be.

Consider the Psalmist in the Bible. Psalm 42 and 43 tell us this fact in poetic form. The writer struggles to make sense of the loss of his capacity to lead the worship procession. He remembers how led the way to worship but now all he feels is isolation and the sting of those who mock him. He cannot find his way back to who he was and his efforts to press himself to trust God seem not to work. In the end, he is left with big questions for God.

If your trauma happened within your faith community, you may not be able to return or to worship in the same way. Even if you do return to your faith community, joy will likely be tinged with grief. Because you, like the psalmist, are trying to integrate a new disconcerting reality into your story. This new struggle is not a sign of failure to heal. It is a sign that things are now different. And remember, this struggle does not mean you do not have faith or trust God. The act of lament is just as faithful and worshipful as singing praise songs with a crowd. (To read more about lament, try this short essay.)

Myth: Suffering is God’s way of strengthening me

A common myth in Christian circles is that God has some master plan that includes suffering and without it, God could not prepare you for greatness or strengthen you. I see this myth at play when people minimize their suffering and try to whitewash it with phrases like, “but it is all for the glory of God.” Yes, God does get glory when his people seek him and honor him. And, suffering may indeed strengthen new parts of your being, in time. You may thank God for his presence in suffering and for his various ways of showing up in hard times. You may find hidden treasures in dark places (Is 45:3) and discover new strengths you did not know you had.

However, God’s heart for hurting people tells us that suffering is NOT his master plan. When suffering entered the world, God’s master plan was to pursue lost people (Gen 3:9, 21) and to care for them.

Suffering is suffering. Evil is evil. It is never good even if you find something good along the way to recovery. And no such positive outcome dismiss the suffering you have gone through. Our pain and our healing is not some balance sheet looking for a positive tally.

What are some of your beliefs that add to the pain and shame you are now experiencing? What can you release or begin to doubt? If you have a close friend who will listen and ask good questions, consider talking to them about some views on healing that might be holding you back.

A final thought about healing

Healing happens little-by-little. Of course we want it to happen now. You are not alone to long for more healing and less pain. There are things that can help and we will cover that in a future post in this series. I want to leave you with a garden analogy. In front of my office, there has been a lovely Japanese Maple tree. The leaves have been exquisite every fall. But this year, a big portion of it died and so had to be cut down. The spot there is now bare. I feel it’s absence every day. the building looks exposed now. Some small shrubs have been planted in the spot and lovely as they are, they cannot replace what was lost. And yet, when I stand there, I can see small growth and beauty of a different kind. The story of the building is certainly different. I see the stump and the growth that is happening.

You are a garden that had many beautiful things in it. Something happened to the garden of you and now the losses overwhelm any sense of goodness. You must now reconsider what the garden will be like going forward. Give yourself time to grieve what is no more and take time to notice what life is possible in you.

What’s next?

In part 3, we will explore another barrier we face on this journey of healing: the harmful actions of “helpers” and guides. We will look at some red flags you might see in your counselors, therapists, and spiritual guides.

Read more about healing on this site using the search bar. Try this video. Reconsider the language of healing. Would “integration” be a better way to describe recovery after trauma?

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Filed under Post-Traumatic Stress Disorder, Psychology, trauma, Uncategorized

Hope for the hurting: A conversation about mental health and faith


In January I had the privilege of presenting at Springton Lake Presbyterian Church about mental health and faith. Here are the posted videos of that conference. First session: What do I do with my painful emotions? Second Session: How does my faith influence my mental health?

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Look Up Conference on Faith and Mental Health


Today, I will be making two presentations here in Fort Wayne, Indiana at the Look Up Conference on Faith and Mental Health hosted by the Lutheran Foundation. For those interested in the slides, here they are:

Trauma Healing and the Church: Rebuilding Hope after Tragedy

What is Generational Trauma? The Role of the Church in Healing the Racial Divide

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No, how are you REALLY doing?


Most of us say, “fine” even when we are not all that fine.

Check out this op ed in the Christian Post written by me. What would you add as additional things we can do to thrive in seasons that can be very hard?

Are you thriving? How would you know?

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You are NOT alone webinar, 5.19.21


May is Mental Health Awareness month and so it is a good time to talk about how the church can be a place of safety for the millions of Americans who are facing emotional and mental health challenges, whether a result of COVID or other chronic conditions. Did you know, when individuals are part of supportive faith communities, they tend to recover more quickly than those who are isolated and alone?

Join me as I talk with Rev. Dr. Nicole Martin and Toni Collier about improving how we care well for wounded people. I’ll be unveiling some brand new, easy-to-use tools to help Christians bring healing and hope to their communities

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Filed under "phil monroe", Christianity, Psychology

Preparing the church for the oncoming mental health pandemic


A couple of weeks ago, I wrote this essay that Christian Post published today. It is a letter to church leaders and suggests 4 ways they can support positive emotional and spiritual care for their congregants.

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Free Counseling Journal For Counselors


For my counselor readers, I want to let you know of a free counselor journal. Click here for free access with search capacity. It is published by NBCC and is open access to anyone who wants to try to stay current on counseling literature.

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Filed under continuing education, counseling, counseling science, counseling skills, Counselors

GTRI 2014: Day 4


July 4. Transit day.

Today is a transit day. Breakfast of hardboiled egg, bread, and coffee. Talked with Klero of South Sudan. Discussed ideas of how to bring GTRI courses/materials and other counseling training to local areas here in Uganda and in S. Sudan. While Juba has great Internet per Klero, most people there do not have access to it. The same is true here in Uganda. I am very interested in finding a way to bring this training (videos, readings, exercises) to this region without it being in an online format as it is right now. Seems the areas of greatest interest are basic helping skills, trauma healing from the Bible Society, deeper understanding of impact of trauma and expression of PTSD across cultures, and exposure to psychopathology. My goal would be to give this material away and offer live conferencing sessions to the training mentor as needed. Then, possibly follow-up with a visit to “t0p-up” as Harriet Hill is fond of saying.

Anyone want to fund that or help me figure out how to get others to do so? (Smile)

After breakfast we made our way to a nearby Catholic college to talk with Sister Bokiambo and the dean of the counseling department, Fr Evarist Gabosya Ankwasiize. They were interested in future opportunities with shared learning (my bringing students here to engage and interact with their students and participate in joint training). I left with new ideas for this location (on the shorts of Victoria) and with the encouragement that the Bible Society might be able to begin some seminars here to improve the dialogue between Scripture engaged trauma care and traditional mental health trauma care.

After a lunch of fried fish on the shorts of Victoria, I said my good-byes to Justus and Esther at Entebbe airport. The added security was quite evident (3 bag checks and 3 metal detectors before boarding) but there were no problems. The flight to Kigali was under 1 hour on a very new Rwandair airplane. Just enough time for a Passion fruit drink from the steward. Arrived to significant upgrades to the airport.

Arrived at Solace Ministries Guesthouse, our usual haunts since 2011. Solace isn’t hotel level but I love it for many reasons: Simeon’s great cooking (he makes fantastic vegetable soups and dessert of fresh tropical fruit and ice cream tonight), my money goes to a ministry and not a behemoth corporation, the water is hot, the rooms are clean, and it is centrally located. Seems Internet is a bit upgraded since I was able to SKYPE with Kim and boys.  [For a 2012 video of Solace Guesthouse, see here.]

I arrived here after the major July 4 celebrations today. Today marks the end of the 100 day mourning period and celebrates the liberation of Kigali. This is the 20th anniversary. A number of fireworks were shot off tonight, which I was told later triggered some local people into thinking the city was under attack.

Tomorrow, Lord willing, the rest of the team will arrive from the US and other points and our GTRI immersion trip will begin in earnest.

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Comparing ACA and AACC ethics codes: Addressing counselor values impact


Over the next few post I plan to review similarities and differences between the ACA and AACC codes (see this post for the first in this mini-series). Today I want to look at how the two codes talk about counselors as they manage their own value systems with their clientele.

The ACA code raises the issue of values like this:

  • Section A Introduction

Counselors actively attempt to understand the diverse cultural backgrounds of the clients they serve. Counselors also explore their own cultural identities and how these affect their values and beliefs about the counseling process.

  • A.4.b. Personal Values

Counselors are aware of—and avoid imposing—their own values, attitudes, beliefs, and behaviors. Counselors respect the diversity of clients, trainees, and research participants and seek training in areas in which they are at risk of imposing their values onto clients, especially when the counselor’s values are inconsistent with the client’s goals or are discriminatory in nature.

In addition, the ACA clearly states that when there are significant values differences, a counselor is NOT to make referral on the basis of values differences alone. Values clashes cannot be treated as lack of competency in a particular area of counseling.

  • A.11.b. Values Within Termination and Referral

Counselors refrain from referring prospective and current clients based solely on the counselor’s personally held values, attitudes, beliefs, and behaviors. Counselors respect the diversity of clients and seek training in areas in which they are at risk of imposing their values onto clients, especially when the counselor’s values are inconsistent with the client’s goals or are discriminatory in nature.

The AACC code addresses the value systems of the counselor in these sections

  • ES1-010 Affirming Human Worth and Dignity

…Christian counselors express appropriate care towards any client, service-inquiring person, or anyone encountered in the course of practice or ministry, without regard to race, ethnicity, gender, sexual behavior or orientation, socioeconomic status, age, disability, marital status, education, occupation, denomination, belief system, values, or political affiliation. God’s love is unconditional and, at this level of concern, so must that be of the Christian counselor.

  • ES1-120 Refusal to Participate in Harmful Actions of Clients

Within this section are paragraphs discussing the application and limits of the “do no harm” virtue to certain client behaviors deemed not to fit within the biblical framework articulated at the beginning of the ethics code. The AACC code expressed an ethic to avoid supporting or condoning (while respecting and continuing to help) in the following areas: abortion-seeking, substance abuse, violence towards others, pre or extramarital sex, homosexual/bisexual or transgender behavior, and euthanasia. On this last issue, the ACA notes that the duty to breach confidentiality may be optional (thus indicating a values insertion since in all other cases we have a duty to breach confidentiality so as to warn others or protect the life of our client).

  • 1-530: Working with Persons of Different Faiths, Religions, and Values

Counselors work to understand the client’s belief system, always maintain respect for the client and strive to understand when faith and values issues are important to the client and foster values-informed client decision-making in counseling. Counselors share their own faith orientation only as a function of legitimate self-disclosure and when appropriate to client need, always maintaining a posture of humility. Christian counselors do not withhold services to anyone of a different race, ethnic group, faith, religion, denomination, or value system.

  • 1-530-a: Not Imposing Values

While Christian counselors may expose clients and/or the community at large to their faith orientation, they do not impose their religious beliefs or practices on clients.

  • 1-550: Action if Value Differences Interfere with Counseling

Christian counselors work to resolve problems—always in the client’s best interest—when differences between counselor and client values become too great and adversely affect the counseling process. This may include: (1) discussion of the issue as a therapeutic matter; (2) renegotiation of the counseling agreement; (3) consultation with a supervisor or trusted colleague or; as a last resort (4) referral to another counselor if the differences cannot be reduced or bridged (and then only in compliance with applicable state and federal law and/or regulatory requirements).

Differences between codes?

There are many but let me identify two. Notice that the most significant difference between the two is on the basis of the AACC code biblical/christian ethic regarding what is good and what is harmful behaviors. Both codes express the need to respect persons without regard to their beliefs, values, identities, and actions. The AACC code differentiates between imposing of values and exposing of values. What is the difference between exposing and imposing? I suspect it will be in the eye of the beholder. However, I suspect that one of the results of the ACA code is that faith and spiritual values will be less likely to be brought up by counselors since “not imposing” is more emphasized than “exploring.” There is much literature out there suggesting that the failure to explore and utilize spiritual resources actually harms clients in that it slows recovery.

Both codes address the issue of values differences between client and counselor. Both point to a path (though different) about what to do when this happens. The ACA code places pressure on the counselor to work it out while the AACC code suggests a path to resolution either with re-negotiation or referral. Which one sounds better to you?

When the difference is with a colleague? 

Both ACA and AACC codes addresses differences with colleagues. In section D (Relationships with other professionals), the ACA code states,

D.1.a. Different Approaches. Counselors are respectful of approaches that are grounded in theory and/or have an empirical or scientific foundation but may differ from their own. Counselors acknowledge the expertise of other professional groups and are respectful of their practices.

The AACC codes says something similar,

1-710-a: Honorable Relations between Professional and Ministerial Colleagues. Christian counselors respect professional and ministerial colleagues, both within and outside the church. Counselors strive to understand and, wherever able, respect differing approaches to counseling, and maintain collaborative and constructive relations with other professionals serving their clients—in the client’s best interest.

Fun facts

The ACA code never uses the word “faith”, does suggest counselors need to address self-care (includes spirituality), and does suggest counselors seek to utilize client’s spiritual resources…”when appropriate.”

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Filed under AACC, christian counseling, christian psychology, counseling and the law, counseling skills, Uncategorized

When you imagine something does your brain think you see it?


What is the difference between imagination and reality? Sometimes, not that much.

The February 2014 edition of the Monitor on Psychology (v. 45:2, p. 18) lists a brief note about a study published in Psychological Science that looks at eye pupil constriction when imagining light. Here’s the abstract from the link above (emphasis mine):

If a mental image is a rerepresentation of a perception, then properties such as luminance or brightness should also be conjured up in the image. We monitored pupil diameters with an infrared eye tracker while participants first saw and then generated mental images of shapes that varied in luminance or complexity, while looking at an empty gray background. Participants also imagined familiar scenarios (e.g., a “sunny sky” or a “dark room”) while looking at the same neutral screen. In all experiments, participants’ eye pupils dilated or constricted, respectively, in response to dark and bright imagined objects and scenarios. Shape complexity increased mental effort and pupillary sizes independently of shapes’ luminance. Because the participants were unable to voluntarily constrict their eyes’ pupils, the observed pupillary adjustments to imaginary light present a strong case for accounts of mental imagery as a process based on brain states similar to those that arise during perception.

So it seems that thinking about something causes your brain to respond as if it is really seeing. What might this mean about those who are trying to break free of addictions?

  • Would imagining heroin use create observable changes in they body that would make it harder to maintain abstinence
  • Would recalling sexual images create responses that make sexual addictions harder to break?

So, what is the difference between imagining an affair and actually engaging in one? From a brain perspective, maybe not that much. Certainly Jesus’ expansion of the seventh commandment suggests there isn’t a difference between the two from God’s perspective. And yet, we know that actual adultery creates more damage to more people than merely fantasizing about having an affair.

Rumination: the health killer!

I’m currently teaching students a course on psychopathology. Each week we consider a different family of problems. Thus far we have explored anxiety disorders, mood disorders (depression, mania), anger/explosive disorders and addictions. Soon we’ll look at eating disorders, trauma, and psychosis.

There is one symptom that almost every person fitting one of those above categories experiences–repetitive, negative thought patterns.

Rumination.

The content of the repetitive thoughts may change depending on the type of problem (i.e., anxious fears, depressive negative thoughts, illicit urges, fears of weight gain, fears of being hurt, irritability, etc.) but the heart of the problem is the vicious cycle that negative thought patterns produce.

While there are many very good ancillary mental health treatments (Did you know that daily exercise, getting a good 8 hours of sleep each night, and eating a diet rich in protein supports good mental health and may even prevent re-occurrence of  prior problems?) it is essential for those of us who struggle with imagining negative events to find ways to shut down the production of rumination. Mindfulness techniques, thought-stopping, alternate focus may help to interrupt imaging bad feelings, thoughts, events and thereby interrupt the body reacting as if those bad things are indeed happening.

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Filed under christian counseling, counseling, counseling science, counseling skills, Psychology, Uncategorized