When you just can’t stop: Harm Reduction

Harm reduction therapy is an approach to health and social services that aims to minimize the negative consequences associated with certain behaviors, particularly those related to substance use. This approach recognizes that while complete abstinence may be the ideal goal for some individuals, it may not be realistic or achievable for everyone. Instead, harm reduction focuses on reducing the risks and harms associated with drug use and other high-risk behaviors.

Key principles of harm reduction therapy include:

1. Pragmatism: Acknowledges that drug use is a part of our world and chooses to work with individuals rather than against them. It emphasizes practical strategies to reduce harm rather than demanding abstinence.

2. Focus on Risks: Concentrates on understanding and mitigating the risks associated with substance use, such as overdose, infectious diseases (like HIV and Hepatitis C), and other health-related issues.

3. Empowerment: Encourages individuals to take control of their own lives and make informed choices regarding their health. This involves providing education and resources to help individuals understand potential risks and safer practices.

4. Non-judgmental Approach: Harm reduction therapy offers a compassionate and supportive environment, free from stigma and judgment, recognizing the complexities of addiction and the varied reasons individuals may use substances.

5. Individualized Care: Recognizes that each person’s situation is unique, and therefore, interventions should be tailored to meet individual needs, preferences, and circumstances.

6. Incremental Change: Supports small, achievable goals that can lead to significant improvements over time. This might include reducing the frequency of use, using safer methods of consumption, or accessing healthcare services.

7. Community Involvement: Engages communities in harm reduction strategies, often incorporating peer support and outreach programs to create a more supportive environment for individuals who use substances.

Examples of harm reduction strategies include needle exchange programs, supervised injection sites, providing naloxone to reverse opioid overdoses, and offering education on safer drug or alcohol use practices.

Overall, harm reduction therapy seeks to improve the well-being of individuals and communities by addressing the realities of substance use in a realistic and empathetic manner.

Focus is on empowerment, in small steps.

It is not a “preferred” treatment approach. It is when the situation where abstinence is not an option and the person is in danger or may put themselves there.

And those who don’t understand might call it “enabling.”

And nobody participating really likes it nor prefers it. Just necessary to preserve life and reduce, not eliminate, suffering.

Another name for it, when all else fails to work: compassion.

Courage

“Clarence Darrow once said, “The most human thing we can do is comfort the afflicted and afflict the comfortable.”

Self-Energy has the courage to do both.

One might think that Self-Energy’s  “it’s all okay” sense of grace would lead to a detached passivity and acceptance of the injustices of life, but that’s not the nature of Self-Energy. The clarity of the Self-Energy makes it hard for people to deny injustice and ignore suffering. The compassion of the Self-Energy leads people to resist tyranny and fight for the oppressed. The words of Self-Energy bring hope to the hopeless. The Energy of the Self seeps into the cracks in the tyrant’s walls and gradually erodes them.

Consequently, oppressors attack people whenever they show any signs of Self Energy-Leadership. Abusers know that this is the way to control people, which is why virtually all people who have been severely sexually abused report that any time they acted in a spirited, spontaneous, or independent way, they were either verbally or physically punished. As a result, they came to fear Self-Energy and keep it out of their body.

Thus, rather than making people passive, confidence and grace have the opposite effect. If we don’t fear attack because we are as vulnerable and trust that we can handle the consequences, courage is much more accessible to us.  If we know that everyone is a wave in the same ocean, we will challenge injustice without judgment.  As Martin Luther King, Jr. expressed, “We must realize that the evil deed of the enemy neighbor, the thing that hurts, never quite expresses all that he is.  An element of goodness may be found even in our worst energy.”

Elsewhere, he wrote:

[Nonviolence] does not seek to defeat or humiliate the opponent, but to win his or her friendship and understanding . . . it avoids not only external physical violence but also internal violence of spirit. The nonviolent resister not only refuses to shoot his opponent, but he also refuses to hate him. At the center of nonviolence stands the principle of love . . . if I respond to hate with reciprocal hate, I do nothing but intensify the cleavage in a broken community. I can only close the gap in a broken community by meeting hate with love. (King, 1994, pp. 211-214)

Courage is not only about being a voice for the disenfranchised. It often takes more courage to recognize the damage we do to others and try to make amends. Clarity helps us to see what we have done and, if we have confidence, to understand that mistakes don’t mean we are bad people.  We will have the courage to listen to the other’s story with curiosity, apologize sincerely, and ask what can be done to repair the damage.  The Self-Energy-Led person dares to act and has the courage to be accountable for acting.

As a person’s Self-Energy emerges, he or she increasingly demonstrates another aspect of courage — the willingness to go toward his or her pain and shame. A person’s internal journeys often involve entering the most frightening places in their psyches. There, they often wind up witnessing events in their past that they had tried to minimize the impact of or forge entirely.  This witnessing often leads to a clearer view of key relationships in the outside world and the determination to change those relationships. These changes sometimes involve financial and emotional risk. It takes courage to look and act on what we see.” —

From Dick Schwartz, Internal Family Systems Model,  pp. 42-44

With great appreciation for Level One Training and IFSinstitute.com

CLICK BELOW TO EXPLORE The 8c’s of Self-Energy

CALMNESS

CURIOSITY

CLARITY

COMPASSION

CONFIDENCE

COURAGE

CREATIVITY

CONNECTEDNESS

Six Steps Of Focusing: How change happens

This process involved an intuitive, bodily sense that he called a "felt sense," which is a pre-verbal, internal awareness of an issue that can be accessed and explored. Gendlin found that clients who could connect with and articulate this felt sense were more likely to experience breakthroughs and lasting change.

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So exhausted, not being myself

A psychological character defect is a persistent personality trait or flaw that negatively affects a person's behavior or ability to function well in relationships and effectively in the areas of the defects. Everybody has some.

Emotional issues are different in this significant way: they can occur in a person's life but may be healed.

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An unhappy marriage can make you sick

The Gottman Marriage Research data shows that couples that are contemptuous of each other are more likely to suffer from infectious illnesses (colds, the flu, etc.) than others due to weakened immune systems.

The Gottmans discovered four behaviors couples display toward each other that can result in unhappiness and more illness, especially CONTEMPT, which is also the most significant predictor of divorce.

Here are four behaviors and their antidotes.

Each of them is actually a desperate cry for help:

  1. Criticism: Attacking your partner's character or personality rather than focusing on a specific behavior. Instead of offering constructive feedback, criticism often involves blaming, generalizing, and using words like "always" or "never."

    Example: "You never listen to me! You're always so selfish."

    Antidote: Gentle Start-Up
    Instead of attacking your partner's character or personality, express your feelings using "I" statements and describe the situation without blame. Focus on what you need or want, not on what your partner did wrong.

    • Example: Instead of saying, "You never listen to me," try, "I feel unheard and would like to have a more meaningful conversation."

  2. Defensiveness: Responding to your partner's concerns or complaints with excuses, counter-attacks, or playing the victim. This behavior prevents effective communication and resolution of issues by shifting blame rather than addressing the problem.

    Example: "It’s not my fault we’re late. You’re the one who took forever to get ready."

Antidote: Take Responsibility
Instead of meeting criticism with defensiveness, which often escalates conflict, take responsibility for even a small part of the problem. This can de-escalate the situation and lead to more productive conversations.

  • Example: Instead of saying, "It's not my fault we’re late; you were the one who took forever," try, "I should have started getting ready earlier."

3. Contempt: Showing a lack of respect for your partner, often through sarcasm, mocking, or body language like eye-rolling. Contempt conveys a sense of superiority and disgust, which can be highly damaging to a relationship.

Antidote: Build a Culture of Appreciation and Respect
Contempt involves attacking your partner's sense of self, intending to insult or psychologically harm. The antidote is to build a culture of appreciation and show respect by acknowledging and expressing gratitude for your partner's positive actions and qualities.

  • Example: Regularly express appreciation, like saying, "I appreciate how you handled that situation today."

    4. Stonewalling is withdrawing from a conversation or shutting down emotionally to avoid conflict or protect oneself from feeling overwhelmed. Stonewalling can make the other partner feel ignored and unimportant.

    Example: When one partner stops responding, gives one-word answers, or physically leaves the room during an argument.

    Antidote: Physiological Self-Soothing
    Stonewalling occurs when one partner withdraws from the conversation, shutting down or refusing to engage. The antidote is to take a break and engage in self-soothing activities to calm down before returning to the discussion.

    • Example: If you feel overwhelmed, say, "I need a break to calm down; let's take 20 minutes and then talk."

These behaviors are considered destructive to relationships, and Gottman Therapy focuses on helping couples recognize and replace them with healthier communication patterns.

(Click here for the abstract of the study; note it is a dense read)

ADHD can be confused with ASD - Autism Spectrum Disorder by Don Elium, LMFT

Are ADHD and ASD - Autism Spectrum Disorder sometimes confused with each other?


Can ADHD and AUTISM be confused with each other in both children and adults?

YES.

For children, as well as adults who were not diagnosed as a child or were diagnosed with ADHD, and Autism was not considered in the assessment, there could be an undiagnosed condition whose symptoms are being addressed with the support, accommodation, or medication needed.

With new testing instruments for ADHD and ASD (Autism Spectrum Disorder) for both adults and children, it is essential to use the appropriate testing instruments when examining behaviors and symptoms of these two conditions. Although sometimes costly, many consider the expense of thorough psychological testing from a clinical psychologist worth it because if there is an undiagnosed condition, it can make specific treatments ineffective. A screening checklist can help decide if testing is needed; more is required in order to fully understand what is happening and how the treatment and kinds of support are required.

Neither condition is curable, but both are treatable.

The difference between treatable and curable lies in the outcome and approach. A curable condition is one where treatment of the disease leaves the patient free of the ailment, such as a bacterial infection treated with antibiotics. In contrast, a treatable condition can be managed or controlled with medical intervention, alleviating symptoms and improving quality of life. However, the underlying disease persists, like diabetes, which requires ongoing medication and lifestyle adjustments to manage.

ADHD and ASD are both not curable and need management with accommodations and different levels of support. Medications can be used to manage symptoms but will not cure them.

So, what are the differences and the similarities?

ADHD (Attention-Deficit/Hyperactivity Disorder) and Autism Spectrum Disorder (ASD) are both neurodevelopmental disorders that can exhibit overlapping symptoms, leading to confusion between the two. Here are some key points where confusion can arise:

Similarities and Overlapping Symptoms

  1. Inattention and Focus Issues: Both ADHD and Autism can involve difficulties with attention and concentration. Individuals with ADHD may have trouble sustaining attention. They may be easily distracted, while individuals with Autism might appear inattentive or disengaged due to different underlying reasons, such as intense focus on specific interests.

  2. Social Interaction Challenges: Both disorders can involve social challenges. Individuals with ADHD might struggle with social interactions due to impulsivity or inattentiveness, while those with Autism may have difficulties understanding social cues and engaging in typical social behaviors.

  3. Hyperactivity: Hyperactivity is a hallmark of ADHD but can also be seen in Autism. Children with Autism may exhibit repetitive behaviors or movements, which can sometimes be mistaken for hyperactivity.

  4. Impulsivity: Impulsivity is common in ADHD and can also be present in individuals with Autism, though in Autism, it might be linked to difficulties with communication or understanding social norms.

Key Differences

  1. Root Causes of Symptoms: The underlying reasons for similar behaviors can differ. For example, inattentiveness in ADHD is often due to a deficit in the ability to sustain attention. In contrast, Autism might be related to being overwhelmed by sensory input or focusing intensely on a specific interest.

  2. Social Interaction Differences: While both disorders involve social challenges, the nature of these difficulties differs. In ADHD, social issues often stem from impulsivity and inattentiveness, whereas in Autism, they are more related to problems with social communication and understanding social cues.

  3. Communication Styles: Individuals with Autism often have distinct communication styles, including a lack of eye contact or masking when looking in another’s eyes, difficulty understanding sarcasm or humor, and a preference for literal language. These communication challenges are less common in ADHD.

  4. Repetitive Behaviors and Interests: Repetitive behaviors and restricted interests are core features of Autism but are not typically seen in ADHD. These might include repetitive movements (like hand-flapping) and intense focus on specific topics or activities.

Diagnosis and Misdiagnosis

  • Diagnostic Criteria: The diagnostic criteria for ADHD and Autism are distinct, but the overlap in symptoms can lead to misdiagnosis or dual diagnoses. Clinicians must carefully evaluate the full range of symptoms and their impact on functioning.

  • Co-occurrence: It's also possible for an individual to have both ADHD and Autism. This comorbidity can complicate the diagnostic process and the approach to treatment.

Conclusion

Confusion between ADHD and Autism can arise due to overlapping symptoms, but careful assessment and understanding of the distinct characteristics of each disorder can help in making accurate diagnoses. Clinicians must consider how symptoms manifest and affect the individual's daily life to distinguish between the two.

Below is a graphic not to be used for diagnosis but to start looking at these two conditions and gifting in a broader, more accurate way. For a COMPLETE diagnosis, consult with a PhD Clinical Psychologist who has experience with both ADHD and ASD - Autism Spectrum Disorder.

Take a Quick Autism Screener Click Here

We are just two VERY different people?! How do we live with THAT!? by Don Elium, LMFT

In marriage, "accommodations" refer to the adjustments and compromises that partners make to support each other and maintain a satisfying relationship. This can involve adapting to each other's preferences, needs, and habits. It might include practical changes, like altering daily routines or sharing household responsibilities, as well as emotional adjustments, such as being more understanding and patient with each other’s differences.

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Autism as an adult? What are the signs?

Autism is a type of neurodiversity that is often diagnosed in childhood but can be missed and, as an adult, brings about confusion in the healthcare field and the person seeking help with struggles. The estimated prevalence of Autism Spectrum Disorder (ASD) among adults in the United States is approximately 2.2%, approximately 7.3 million men and women.. These are adults who happened able to fly under the radar of school situations, therapists, doctors, and psychologists, who are sometimes misdiagnosed with other conditions of ADHD or anxiety, and the treatment falls short of maximizing treatment and understanding.

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Grief Rewires The Brain After Loss Of Love Ones

By Don Elium, LMFT

By Don Elium, LMFT

Grief is a deeply personal experience that can profoundly impact our emotional and physical well-being. However, many may not realize how grief affects our brain's structure and function. What are the neurological mechanisms behind grief, particularly after the loss of a spouse or partner, and how can these changes manifest in our behavior and emotions?

“Grieving can be thought of as a form of learning—learning that this person is really gone, learning to predict their absence, learning what it means to be a person who has grief or to understand our own identity as a widow instead of a married person.”—-Mary Francis O’Connell, Scientific American

The Brain and Bonding: A Lifelong Connection: The human brain is wired to form and maintain attachments with loved ones. When we bond with someone, our brain encodes this connection as lasting and constant. This is why, when a spouse, partner,  child, or very close friend dies, the brain struggles to accept their absence. The bond is so deeply ingrained that it feels unnatural for the brain to comprehend that the person is no longer there. The brain’s model of the world is disrupted, leading to the intense emotional pain that accompanies grief.

The Challenge of Updating the Brain's Predictions: Our brain relies on experience and repetition to make sense of the world. When a loved one dies, the brain must undergo a lengthy process of redrawing its internal map to update its predictions. This means learning to adjust to the new reality without the person. This process explains many complex emotions during mourning, such as disbelief, confusion, and yearning for the lost loved one.

Functional Changes in the Brain: Grief doesn't just affect our emotions; it can also lead to changes in our brain's functions. Functional MRI (fMRI) research has shown that grieving can alter connectivity in crucial brain circuits. For instance, studies have found that people grieving the loss of a child show increased activity in areas of the brain related to attention and emotion, such as the Ventral Attention Network, while experiencing reduced activity in regions involved in self-regulation, like the medial prefrontal cortex. These changes can make it difficult for grieving individuals to focus, regulate emotions, and feel like themselves.

Structural Alterations: Grief Rewires the Brain: Grief can lead to structural alterations in the brain and functional changes. Studies have shown that the severity of grief can be linked to changes in the brain’s white matter, which is involved in communication between different brain regions. These structural changes suggest that the brain undergoes a reorganization process as it adapts to the loss, which can be emotionally and physically exhausting.

The Role of the Attachment System: The attachment system is a set of brain circuits that help us form close bonds with others. When a loved one is lost, these circuits are disrupted, leading to feelings of longing and searching. The brain’s attachment system, which is driven by dopamine, a neurotransmitter associated with reward, continues to "search" for the lost loved one, even though they are no longer there. This search behavior is a significant part of why grief can feel so overwhelming and unending.

The Impact on Memory and Reflection The Default Mode Network (DMN), a brain network active during rest and self-reflection, plays a crucial role in processing grief. This network helps retrieve memories of the loved one, which can trigger intense emotional responses. Grieving individuals often find themselves ruminating on memories, which can be both comforting and painful. The DMN’s involvement in grief highlights how intertwined memory and emotion are during the mourning process.

Therapeutic Interventions: Helping the Brain Heal: Understanding the brain's response to grief has led to the development of targeted therapeutic interventions. Mindfulness-Based Cognitive Therapy (MBCT) and the Grief Recovery Method are two approaches that have shown promise in helping individuals manage grief. MBCT can reduce excessive connectivity between brain networks involved in rumination and stress, helping to improve emotional regulation. Though the process may be slow and challenging, these therapies can support the brain’s natural ability to adapt and heal over time. The Grief Recovery Method helps process the Resentments, Regrets, Unexpressed Emotions, and Unexpressed Gratitude, helps loosen the grip of the rumination and obsessions on the past, and frees up a person to live more in the present in acceptance.

Compassionate Understanding of Grief: Grief is not just an emotional experience but a profound neurological event that rewires the brain in response to loss. Understanding the brain’s role in grief can help us approach the grieving process with more compassion, both for ourselves and for others. By recognizing the significant changes in the brain during grief, we can better appreciate the depth of the mourning experience and the importance of providing support during such a difficult time.

When we’re grieving, the feelings we have, the thoughts that we have, even some of the things that we do—we feel like we’re losing our mind. But if you understand why your brain might be reacting this way, I think it gives us a little patience with ourselves. Grieving is a form of learning. And learning takes time and experience, and our brain is doing its best to help us. But it’s going to take some time. — Mary Francis O’Connor, PhD

—————Resources for this article include:

Mary Francis O’Connor now runs the Grief, Loss, and Social Stress (GLASS) Lab at the University of Arizona, where she tries to tease out the biological mechanisms underlying grief. In particular, she studies prolonged grief, a state in which people don’t seem to heal, instead staying immersed in their loss for years. In her book, The Grieving Brain (HarperOne, 2022), O’Connor explains how insight into brain circuits and neurotransmitters can enable us to navigate bereavement with self-compassion. “Grief is the cost of loving someone,” she writes. When a loved one dies, it can feel like we’ve lost a part of ourselves because their presence is coded into our neurons. ……. The Grieving Brain: The Surprising Science of How We Learn from Love and Loss by Mary Francis O’Connor.

REDUCE ANXEITY with Diaphramatic Breathing

Diaphragmatic breathing, also known as deep breathing or abdominal breathing, involves breathing deeply into the diaphragm rather than shallowly into the chest. This technique has several benefits:

Physical Benefits

  1. Improved Oxygenation: Diaphragmatic breathing increases lung capacity and enhances the oxygen supply to the blood, which can improve overall energy levels and physical performance.

  2. Reduced Heart Rate: It can help lower the heart rate and blood pressure, contributing to cardiovascular health.

  3. Enhanced Digestion: This type of breathing stimulates the vagus nerve, which can improve digestion and reduce symptoms of gastrointestinal distress.

  4. Pain Relief: Deep breathing can release endorphins, which are natural painkillers produced by the body.

  5. Improved Posture: Engaging the diaphragm helps improve posture by aligning the spine properly and reducing tension in the neck and shoulders.

Mental and Emotional Benefits

  1. Stress Reduction: Diaphragmatic breathing activates the parasympathetic nervous system, promoting relaxation and reducing stress and anxiety.

  2. Improved Focus and Concentration: By increasing oxygen supply to the brain, this breathing technique can enhance cognitive function and mental clarity.

  3. Emotional Regulation: Deep breathing can help manage emotions by calming the nervous system, making it easier to respond to stressors more calmly and effectively.

  4. Better Sleep: Practicing diaphragmatic breathing can promote relaxation and improve sleep quality by calming the mind and reducing physical tension.

Long-term Health Benefits

  1. Chronic Pain Management: Regular practice can help manage chronic pain conditions by reducing muscle tension and promoting relaxation.

  2. Enhanced Immune Function: Reduced stress and improved oxygenation can support the immune system, making the body more resilient to infections and illnesses.

  3. Reduced Risk of Hypertension: Consistent practice can contribute to lower blood pressure over time, reducing the risk of hypertension and related complications.

Incorporating diaphragmatic breathing into daily routines can lead to significant improvements in both physical and mental health, promoting overall well-being.

5 Different Pathways For Divorce

Here are the different pathways for divorce:

1. Do it yourself: The couple handles the divorce process independently.

2. Mediation: A neutral third party helps the couple settle.

3. Collaboration: Each spouse works with their lawyer to negotiate a settlement.

4. Court Settlement: The court decides on the divorce terms.

5. Going to trial: The divorce case is heard in court, and a judge makes decisions.

Most Common Pathway For Divorce: The most popular option is mediation, which is less adversarial and can result in a quicker and more cost-effective resolution than going to trial.

Least Common Pathway For Divorce: The least popular option is going to trial, typically seen as a last resort due to its time-consuming and expensive nature.

My spouse and I are separating. What's the best way to tell the children?

Don: Here are some key points to consider as you take this very difficult step.

Preparation: Preparing for this conversation with your spouse with a counselor is best. You need to sit down with your spouse and jointly come up with answers to the questions your children are most likely to ask. This may be tense, but it is best done before being in front of the children.

1. Why is your marriage ending? Or why are you separating, and does this mean your marriage is ending?

2. When will the first visit to the parent moving out be?

3. How will future decisions about the kids be made?

4. Will the children have a room in the new place?

5. Will the children have to move from their current house and school?

~ When to tell them: Ensure they are said at least a few days before one spouse moves out. It is better to say it to them sooner than later so they do not overhear it in the house or from those outside the home.

1. Plan a block after telling them to answer more questions or provide comfort.

2. Don’t break the news on a holiday, such as Christmas, birthdays, or anniversaries of family events. This is a day that will be remembered for a long time. Choose well.

~ Where to tell them: The best place is at home in a family space. It allows them to express themselves openly where they are most familiar. They can also be alone in their bedroom if they desire. Know that the place you choose will carry the memory of this conversation.

~ Who should be there: Ideally, if possible, you and your spouse and ALL the children. Presenting a united front at this challenging time will show that the marriage may end, but your joint care and concern for them won’t. Everyone will be emotional. This is normal.

~ Let honesty be your guide. Simple honesty. Resist the urge to be critical, blame, and bad mouth the other or yourself. Your children will remember EVERYTHING YOU SAY about the other spouse, and they will hold you accountable for that later. Therefore, DO NOT argue and get over the need to hurt your spouse in front of the children emotionally or after the separation. Many children say they never understood why their parents divorced. Save them this worry by being honest about your reasons. It could save the children from begging for reconciliation if they understand the circumstances of the split.

~ Reassure your children that this divorce is about the parents' relationship, not the children's. They are not to blame. Being honest about your split will reduce the guilt of the child. Many children think that there was something they could have done to keep their parents happy together. Having a parent move out can feel like the ultimate punishment for something, so remind them that you both still love them and will continue to care for them.

~ Talk about expectations around the move of the parent leaving. Tell them the day it will happen, when they will see the new place, and when they can stay overnight. Let them know how often they will visit, whether they will have their room right away, if they can bring their pets, and if their school will change.

~ Try to create a positive but honest attitude about their new rooms and having two homes, but don’t oversell it. Just keep it positive and accurate. If there is shouting and discord, you can also tell them that this will stop and that parents will have more time to focus on the kids.item4a1a1

~ Know that this is the beginning of the grief process for each family member, whether it is a separation or a divorce. The family is changing, and each person will react differently.

Final Note: Practice presenting the decision to your children and answering these questions with a friend. You can do this with your ex, but if that is too tense, practice with a friend first, then with your spouse. The more you become familiar with role-play, the more familiar you will be with the emotion that will come when you tell the kids. This is to reduce your shock and help you be present and emotionally available with your kids.~

However, in some cases, little to no emotion is left in the parents' relationship. Be sure to practice what you will say anyway. Sometimes, when you look into your children's faces when they hear the news, your emotions will come. Your feelings aren't destructive; it is just more comforting to the kids if you have adjusted some emotionally to the split so you are not more upset than they are.

And lastly, keep it brief and to the point. Don't try to talk on and on to stop their reactions. Work with whatever they bring up. Be kind to yourself. Later, debrief with a friend.

It is hard on everyone. No one planned for this. It is not easy, but necessary. It is possible to get through these times and keep the kids foremost in mind as the adults work out their adult things. Take it all, one step and then the next.

Should I date while separated?

Don: No.

Not until you clearly define the purpose of this separation with your spouse. There are no rules except the ones you make or don't make. Dating is one of the first issues to be addressed when starting the conversation with separation. Here is why:

Marital separation can have many different purposes.

1. It can be a cooling-off period. You and your spouse have wisely called, “I give up.” Now, you need counseling to address the underlying conflicts that have brought your relationship to the brink. It doesn't mean you will stay married and reunite in one home, but it will be a time to see what is possible before taking the next step. It can be a time to slow down and find CLARITY about your needs now. Don’t make it an emergency when it is already very unsettling for both people. SLOW DOWN.

2. It can be a way of warming up to the reality of divorce. Some couples have things that are not repairable, and separation is just a step for the children and for each person to face the end of a marriage and an intact family.

3. It can be a time to step back, work on the relationship issues, and connect and rebuild the friendship that has been lost.

Whatever the reason for a separation, it is best to get the dating option out on the table and decide. If you don't make a conscious choice, you create a potentially volatile situation if one spouse thinks one way and the other thinks another. The rumor network is very active now, and Social Media can add to the complexity of your situation. If left vague, your children could end up in the middle when you or your spouse is spotted in public being affectionate with another person or hearing from a best friend what they heard from their parents.

So, if you want a cocoon to work on your marriage and to see if a future is possible, then DO NOT DATE. Talk with your spouse up front. If you or your spouse wants to date, then it is doubtful you will be able to focus on the trouble in your relationship and repair it successfully. As long as either of you dates or has a romantic friend, neither will be honest about the issues that need to be faced between you. You will share more with your date or romantic friend than your spouse. You will compare your spouse--- shows your worst side--- with someone trying to impress you. Don't mix apples and oranges. Get clear about what you want. What you do in this area has a tremendous impact, constructively or destructively.

If either of you want to date, agree that dating is okay. Agree to keep it far from the children and not in each other's faces. Your separation is a time to take thoughtful steps forward, but know that this makes divorce more inevitable. See the separation, in this case, as a transition to divorce. Work on getting along for the children's sake, not to rekindle a possible relationship. Start thinking about child custody, visitation schedules, and creating a parenting partnership for your children, not remaking a marriage. That will soon be over. This is a pathway to deal with the business of change and divorce.

When a couple is on the brink, there is so much emotional pain. It is natural to want a new and fresh, soft place to land, talk, and be physically close to what a new dating relationship would provide. Many people don't realize the consequences of dating during separation until it is too late. Crossing this line is hard to recover from. If done secretively, the breach of trust and hurt that results is hard to undo, no matter what was assumed.

So, don't assume; discuss. Decide sooner than later. It is common for those on the brink to reach out to an old high school or college girlfriend or boyfriend who wants to revisit old times and maybe create some new ones. Don't go if you want your marriage to last. Know that you are not at your best right now. You are wounded. No matter who you meet, a big part of yourself and attention is devoted to your painful marriage and family situation. It is natural to want an escape. Find a way to step back instead of stepping over this line.

If you must date, keep it very light; it will be difficult, if not impossible, to be emotionally open until at least a year after the divorce is final. A part of your brain and nervous system is engaged with divorce until it is legal. Give you and your children a chance to adjust, heal, and recover from this unexpected turn that life has brought.

But if you want to try and work things out with your spouse, bring your best self to the most complex issue you and your spouse are having. If you don't want this marriage, get your best self to end it with clarity and respect with a parenting partnership in the future.

What is grief, having a broken heart, really about?

Don: Reality.

Grief-—-having an emotionally broken heart—---is the natural process of coming to terms with the way things are now compared to the way they were. You can expect things to be a certain way, for example, "We will always love living in this house." Then, reality happens, and you have to move because of financial changes. "This is the best dog we will ever have," and then reality happens: eventually, you get a new dog and feel torn up inside. "We will be together forever." Then, a partner suddenly dies. Grief is the natural process of accepting the difference between expectations and the reality of what occurs.

You will know where you are grieving as you note the degree to which events happening right now feel like now instead of being compared to the past. Another indication of where you are grieving is the degree to which you have imaginary conversations about what should, could, or would have been happening instead of what is occurring. Simply, the degrees between what your mind expects or insisting that isn't so.

Four specific reactions hold the pain of grief in place: (1) unresolved or unfelt resentments, (2) regrets, (3) appreciation, and (4) unexpressed emotions. The Grief Recovery Method focuses on transforming resentments into actions of forgiveness, regrets into actions of apology, appreciation into actions of expression, and unexpressed emotions into actions of acceptance.  

Through this process, the mind's expectations lose their grip on your awareness, and you become free to see and work with reality--it is what it is--in your daily moments.

The Grief Recovery Method takes you through the action steps to loosen the grip of imaginary conversations of unreal expectations and free your attention to what is happening in your life. The resolution of grief is being more accessible to be present in what is happening in your life.