Grief in Brief Ken Barringer

Chronic mental health and mental illness impact not only those who suffer from them but also their extended families and support systems. There are associated losses around expectations and hopes for those connected to the person. A diagnosis and a hospitalization can be traumatic and have a feeling of grief for the “patient” as well as their networks. The corresponding feelings are often thought of as behavioral responses but might have their roots in grief reactions. Similarly, the stigma of mental illness parallels stigmatized deaths. Craig Keefe is a social worker who has been the Executive Director of Clinical Services for an inpatient psychiatric hospital. He and Ken discuss these non-death losses in this episode.
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Our autonomic nervous system (ANS) is our friend. It tries to protect us when we are faced with threat, danger, or any time we perceive the situation to not be safe. The ANS controls unconscious bodily processes and has two main branches. The sympathetic branch controls our fight or flight responses while the parasympathetic branch helps us to "rest and digest" and feel emotionally safe and socially engaged. However, a very primitive aspect of the parasympathetic branch controls our freeze response and can slow us down and generate feelings of hopelessness and a perception of the world being dark and dangerous.  Our previous experience of trauma and loss help determine how these systems balance each other. Sometimes the nervous system overreacts, and sometimes it under-reacts. Matt and Ken discuss strategies and interventions for keeping ourselves aligned when we have been thrown out of alignment by overwhelming circumstances. 

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Approximately 85% of the kids the My Life, My Choice program serves in eastern Ma are involved with DCF. Just by being in DCF care indicates a history of trauma before being trafficked. Wherever there is trauma there is grief. Lisa co-developed and co-executive directs My Life, My Choice. The program she has developed incorporates a survivor led staff focusing on values of empowerment, equity, community, and unconditional love to name a few.
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Visit the My Life, My Choice website here: https://www.mylifemychoice.org/
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What is EMDR? Perhaps you’ve heard of it but don’t know what it is. Eye Movement Desensitization and Reprocessing. While practitioners may vary their approach to implementing this form of therapy the intended outcomes are similar: Reduce the stress and distress connected to traumatic memories. Dance Movement Therapy utilizes the connection between movement and emotion to aid in people gaining greater physical, emotional, and cognitive awareness. This will ultimately improve one’s mental health. Genevieve’s psychotherapy practice blends EMDR and DMT to promote healing in those who are grieving, have experienced trauma, are anxious and/or have low self-esteem.
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People can come to know us through the activities we engage in. What happens to our identity when we are absent from those activities? When we sustain a physical injury that prohibits us from doing the things we like to do, we lose a little piece of who we are. Physical therapy may heal the physical problem but what about the psychological part? That can take longer, extending our time away from ‘who we are’. Jane is a psychologist well versed in the psychological response and recovery from physical injury. She shares her knowledge with Ken in this episode.
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Loss is continuous throughout our lifetime. Even though we know this our instinct might be to push away this reality. When we have had complicated, continuous and/or traumatic loss these can trigger additional mental health issues. There are many interventions and paths to help reduce the suffering. When “nothing works” the use of Esketamine in conjunction with treatments can aid in ‘treatment-resistant’ clients. Kurt is a social worker and the vice president of community partnerships at the Brattleboro Retreat in Vermont. He and Ken talk about the impact of loss, use of esketamine, and the new frontier of using psychedelics.
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