Your Hand Over the Heat

If you were to put your hand close to a hot burner on a stove, what would happen to your level of anxiety?

• It would quickly escalate.
• You would withdraw your hand.
• You would protect yourself.
• Anxiety would be alleviated.

What would happen to your anxiety if you were forced to leave your hand over the burner?

• It would go through the roof.
• You would feel trapped and extremely angry.

I don’t believe you’re OK.

Anxiety is a Programming Problem

The changes to the central nervous system during chronic pain represent a programming problem rather than a psychological problem.

• Anxiety gains strength with time and repetition.
• Anger is a powerful force that covers up the feeling of anxiety
• Anger spins anxiety-inducing neurological circuits more quickly.
• We deal with anxiety by exerting some form of control.
• If you are successful in controlling the situation or yourself, then your anxiety is alleviated.
• Without control, you become frustrated or angry. Anger = loss control

With chronic pain, you have, metaphorically, lost your ability to “withdraw your hand from the red hot burner.” How can you rate yourself as a zero on anxiety and irritability? If you had no other stress in your life, chronic pain alone would be enough to destroy the quality of your life.

There are several other stress factors to consider with chronic pain.

• People in chronic pain don’t see an end to their suffering. They lose hope in returning to a pain-free life.
• Chronic pain patients are truly victims of pain. So it’s more difficult to let go and not have anger run your life.
• When chronic pain patients suppress anxiety and anger, these negative feelings become much stronger. (2)  White Bears and ANTS.

Being Pain-Free is a Basic Need

We all deserve to live free of constant pain. Being pain-free is a basic need. It has been shown that the impact of chronic pain on a person’s quality of life is equivalent to having terminal cancer. (1) We cannot accomplish higher goals and flourish as human beings without first securing the comfort of being in our bodies. I discuss this in “Maslow’s Miss”  and in the video: “Your Hand Over the Stove.”

“The Link Between Pain and Anxiety”. Inspire, January 21st, 2013

1. Fredheim OM et al. “Chronic non-malignant pain patients report as poor health-related quality of life as palliative cancer patients.” Acta Anaesthesiologica Scandinavica (2008); 52: 143 – 148.
2. Wegener, DM et al. “Paradoxical effects of thought suppression. Journal of Personality and Social Psychology (1987); 53: 5 – 13.

The post Your Hand Stuck Over the Stove first appeared on Back in Control.

The post Your Hand Stuck Over the Stove appeared first on Back in Control.

Power

Many patients have no interest in giving up their pain. Being a victim is a powerful role – and for many is synonymous with love. Some of the reasons to remain a victim and angry are:

• It is a familiar pattern
• You are not aware or connected to your anger
• It effectively covers up feelings of anxiety
• You can use it to manipulate those around you
• Expectations are lowered – of you and others

Another one came to my attention few weeks ago. We were relaxing with couple of friends at a winery on a Saturday afternoon in Napa Valley. I was discussing how my book, Back in Control, was doing. Although I have witnessed hundreds of patients becoming pain free, many people simply do not want consider looking at any information about chronic pain or a structured care process. They are not open to new ideas and engaging with the tools.

Anger and love

Anger is the common trait that blocks openness and engagement. Frustrated people are not rational; there are no exceptions. Our conversation moved on to the reasons why people want to hang on to their anger, (and pain). One possibility was discussed that I had forgotten about – pain can be connected to love.

Our friend Sheila was standing in the checkout line at a grocery store when she heard a young mother screaming at her young five year-old daughter to put something back on the shelf.  She suddenly hauled off and slapped her with a full swing. Almost at the same time the young girl began to cry, she held out her arms and ran to her mother to comfort her. Who else was there to console her? Talk about becoming cross-wired – the girl’s source of pain was also her bastion of love and protection.

My childhood experience with “love”

My mother would fly into rages that would last for two or three days. We never knew what would set them off, although we imagined many possibilities. We thought it was associated with our behavior, but no matter how hard we tried to avoid upsetting her, it just happened. After every tirade she would profusely apologize and tell us how much she loved us. It was quite confusing. What even seems more bizarre in retrospect was that I was convinced that our parents loved us. I recall telling friends of mine in middle school that although my parents had some faults, at least I knew they loved us? Really?

The answer really is yes. My mother spent hours driving us around, volunteering at school, and talked about us in glowing terms to anyone that would listen. What I did not know as a young child is how disconnected anger (she also had chronic pain) can make you. She essentially entered a different reality when she became upset. From our perspective this was all a part of parental support and love.

I am not angry

It was so mixed up in my head that I did not even realize that anger was part of my life until I was almost 50 years old. It was just normal for me to become “frustrated” and since I was “right”, I did not have a clue that this was what anger looked like. I don’t think those close to me felt the same way. Creative vs. reactive

A familiar phrase I hear weekly from my patients is, “I am not angry. I just want to get rid of my pain.” My reply is, “Are you happy about your pain?” It only takes a few more questions to uncover a multitude of things he or she is frustrated with, including me who is not going to be able to immediately get rid of their pain.

What is your concept of love?

When you are an infant or child your mind is a blank slate being downloaded from your environment. If your symbols of love and protection are combined with mental or physical abuse your concept of love will be much different than someone who was raised in a warm, caring, nurturing, and loving environment. In retrospect it is disturbing to me that I was so verbal about how much my mother loved me in the midst of a violent environment.

“Neurons that fire together wire together” is a commonly-used phrase amongst neuroscientists, as the brain learns and functions by association.What is your interpretation of love? What feels the most familiar to you? Is pain a more comfortable pattern? Do you know anything else? How do treat others close to you with your version of love? Are you creating a home filled with peace and joy or are they a target for your frustrations? You do have a choice to move on to a better life.

The post Violence and Love first appeared on Back in Control.

The post Violence and Love appeared first on Back in Control.