Tag: Cognitive Behavioral Therapy

A Lot Of Anger

Today’s story – She is 13 years old. She has reactive attachment disorder (RAD) and takes it out on the whole family. She is my cousin’s child, so also my cousin. She is placed here along with her 2 other sisters. She is triggered by her younger sister’s happiness in being here and how we are one big happy family but she doesn’t feel a part of that.

An interesting suggestion was this one – Therapeutic Boxing. This is a style of depth psychotherapy using boxing skills to bring subconscious and unconscious material to the conscious mind, an unconventional style of mindfulness to look beneath the surface of behaviors. Also contact sports to help channel the anger into a positive. Some recommendations included kickboxing and Krav Maga (an Israeli martial art developed for the defense forces, it is derived from a combination of techniques used in aikido, judo, karate, boxing, savate and wrestling. It is known for its focus on real-world situations and its extreme efficiency) and rugby.

With adoptees – it is a given to seek out an adoption trauma informed therapist. Managing how an adoptee navigates trauma is a life-long road with peaks and valleys. Another type – Dialectical Behavioral Therapy (DBT) – a type of talk therapy for people who experience emotions very intensely. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation, as well as for changing behavioral patterns such as self-harm and substance use. There is also Cognitive Behavioral Therapy (CBT) – a structured, goal-oriented type of talk therapy. There are also rage rooms, also known as smash rooms or anger rooms, where people can vent their rage by destroying objects. Results according to experts appear mixed. One suggested that her oldest (age 10) loves to break large blocks of ice. There’s a lot of sensory input with that activity and it works wonders! One had a high school art teacher that always had old clay projects she could smash into the dumpster. She found that a very satisfying and helpful release. Another suggests group therapy because having other people who can relate makes some feel less alone with their situation. There are so many forms, yet another is Dyadic Developmental Psychotherapy (DDP). Some target difficulties in attachment and some difficulties in intersubjectivity, finding it hard to give and take in relationships.

There are activities one can apply to develop coping skills and emotional regulation skills. Some examples include – Relaxation techniques: deep breathing, meditation, progressive muscle technique. Also taking a quiet bath in the dark, being alone but intentional about where and how one spends that time, eliminating all other distractions. Exercise; dancing, talking a walk, lifting weights. Talking with someone you trust. Engaging in art; drawing, coloring, painting, photography, playing a musical instrument.  Journal, then later burn it into ashes. Also, scream into a pillow. 

For the time being validate her anger. Acknowledge that you couldn’t even imagine what she is going through and apologize to her. Tell her that she’s welcome to be a part of that family bond, whenever she’s ready, and to take her time. And tell her until then, you can be a friend – if she let’s you. Some adoptees find only adulthood brings the freedom they need to cease being so angry.

Epigenetics and Abandonment Issues

An adult adopted woman wrote – My biological daughter is 30, married with 1 child and she is struggling so much with similarities to abandonment issues that I had all my life. Her self esteem is very low, she does not feel she’s worthy of her husband, sees him as being the better person as a father and in their relationship a better husband than she is a wife. I see her trying to sabotage her relationship which reminds me of myself doing the same because I always thought people would leave me because I’m not good enough. I had to leave them first (I find this remark interesting because I am the child of 2 adoptees and I have always been the one to leave a romantic relationship) or make them leave me to prove my point to myself. She has no abandonment experiences. She’s always been loved and cherished by her father and I. I am thinking it’s epigenetics like you’ve talked about.

Our children and grandchildren are shaped by the genes they inherit from us, but new research is revealing that experiences of hardship or violence can leave their mark too. Unlike most inherited conditions, this was not caused by mutations to the genetic code itself. Instead, the researchers were investigating a much more obscure type of inheritance: how events in someone’s lifetime can change the way their DNA is expressed, and how that change can be passed on to the next generation.

This is the process of epigenetics, where the readability, or expression, of genes is modified without changing the DNA code itself. Tiny chemical tags are added to or removed from our DNA in response to changes in the environment in which we are living. These tags turn genes on or off, offering a way of adapting to changing conditions without inflicting a more permanent shift in our genomes.

If these epigenetic changes acquired during life can indeed also be passed on to later generations, the implications would be huge. Your experiences during your lifetime – particularly traumatic ones – would have a very real impact on your family for generations to come. There are a growing number of studies that support the idea that the effects of trauma can reverberate down the generations through epigenetics.

A lot of epigenetic research requires a proof by elimination and looking at what may be the most consistent explanation. Many of the times when trauma is thought to have echoed down the generations via epigenetics in humans are linked to the darkest moments in the ancestor’s personal history. The idea that the effect of a traumatic experience might be passed from a parent to their offspring is still regarded as controversial by many people.

The consequences of passing down the effects of trauma are huge, even if they are subtly altered between generations. It would change the way we view how our lives in the context of our parents’ experience, influencing our physiology and even our mental health. Knowing that the consequences of our own actions and experiences now could affect the lives of our children – even long before they might be conceived – could put a very different spin on how we choose to live. Despite picking up these echoes of trauma down the generations, there is a big stumbling block with research into epigenetic inheritance: no one is sure how it happens. 

A recent paper has revealed strong evidence that RNA (rather than DNA) may play a role in how the effects of trauma can be inherited. Researchers examined how trauma early in life could be passed on by taking mouse pups away from their mothers right after birth. The model is quite unique. It mimics the effects on dislocated families, or the abuse, neglect and emotional damage that you sometimes see in people. Different lengths of RNA molecules were linked to different behavioral patterns: smaller RNA molecules were linked to showing signs of despair.

The science of epigenetic inheritance of the effects of trauma is still in its early stages. It is suggested that if humans inherit trauma in similar ways to the mammal experiments, the effect on our DNA could be undone using techniques like cognitive behavioral therapy. That there is a malleability to the system. Healing the effects of trauma in our lifetimes could put a stop to it echoing further down the generations.

More about the research and results are described in this article – Can the legacy of trauma be passed down the generations?