Justin Shubert Justin Shubert

Holiday Regression: How to Avoid Becoming a Teenager Again

Negar Sarshar, LMFT

Do you ever catch yourself feeling and acting like a teenager when you go home for the holidays? You’re a full grown adult. You just tied up some loose ends at work (and are trying to forget about the unraveled ones), used your hard-earned money to pay for a flight or gas to get home, and are ready to welcome in a tryptophan-induced coma. You have a few warm moments upon arrival home, but somehow before you know it, things spiral out of control. 

It may start with a bubbling irritation – Mom’s prying about your “attitude” and your brother’s sitting and relaxing while everyone else helps out with dinner. They’re so annoying, you think quietly to yourself, but with one more poke from Mom, the internal thought turns into an explosion – you’re suddenly screaming at your brother for being a spoiled brat and storming off to your room to text friends about your crazy mom. It’s like a time warp, and just like that you’re fifteen years old again. 

This process of acting like your younger self around your family at this time of year is called, “holiday regression.” Regression, or a retreat to an earlier stage of development, is a defense mechanism that is provoked by emotional stress. While defenses aim to protect us against difficult emotions, they can also impede growth and keep us stuck in old, dysfunctional ways.

If we slow down the scene above, we can illuminate some moments that acted as triggers to conflict: Maybe when you were a moody teenager, Mom became sensitive to a furrowed brow or a cold response from you; now when she asks about your mood, it takes you back to your younger self who felt ambushed and intruded on by her questions, and needed to defend against them to create space. Watching your brother sit unbothered while nobody requests his help may activate the angry, jealous part of you who felt he was “the favorite child.”

Maybe Mom’s accusation of your “attitude” makes you feel trapped in the family’s image of you as “the downer” - it feels like no matter what you do and how much you grow up, they will always perceive you this way. You become even more frustrated because you’ve now validated their flawed perception, as you lashed out at her simple, “What’s wrong?” inquiry and ruined the mood. Your misunderstood inner child took the wheel, and it was a domino effect from there. 

What you may miss in this rapid, seemingly automatic process is how you are contributing to the regression to old family roles. By reacting to perceived threat, as you’ve known it in your past, you are confining your family members in the same way that you feel confined by them. For example, it can be tempting to imagine we know exactly what another member’s tone of voice means about their mood. While there may be some truth to that idea (after all, you’ve heard that tone before), the assumption that we know all of each other can actually keep us, and them, stuck – we can get in the way of learning about each other and encouraging growth when we anticipate old behaviors. So what might happen if you give Mom a chance to show up differently? You can interrupt the explosive cycle (of frustration met with frustration, leading to more frustration) by choosing to respond instead of react. Responses come from a thoughtful place, while reactions are emotional and often defensive. “Oh did I look off? I’m actually enjoying being home and away from work,” you might respond to Mom. Your teenage self can take a backseat while adult you attends to your need to protect yourself in a more efficient, developed way. 

Try to remind yourself that you are not that powerless teenager anymore and you now have more authority over your choices. When you step out of a reactive place in response to Mom reverting to her usual family role as “the worrier,” you give her a chance to show up differently as well - your new response sends the message that she does not need to take care of you in the same way she did when you were a child, and she is invited to engage with you as an adult.

When we recognize our contribution to conflict, we actually empower ourselves to have more control. The idea is to become mindful of our triggers and learn to emotionally regulate in overly activating settings. Learning to respond from a rational place can be liberating, as other people no longer dictate our behaviors. If we’re lucky, the old cycle is disrupted and a new, healthier kind of relationship can develop.


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Justin Shubert Justin Shubert

About That 'GayGene'

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Jack Drescher, MD, shares some thoughts on societies quest for a 'gay gene,' and how the issue is more complicated than it sounds:

https://psychnews.psychiatryonline.org/doi/10.1176/appi.pn.2019.10a23

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Justin Shubert Justin Shubert

The Fallacy in "Evidence-Based" Treatment

What does evidence-based treatment really mean? Lance Dodes MD makes the case for psychodynamic therapy:

https://www.psychologytoday.com/us/blog/the-heart-addiction/201907/the-fallacy-in-evidence-based-treatment

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Justin Shubert Justin Shubert

U.S. Psychoanalysts Apologize for Labeling Homosexuality an Illness

In honor of Pride month, The American Psychoanalytic Assoc. has issued an apology for their past views on homosexuality. This apology is long overdue, but it is very meaningful. Many patients sought treatment for decades only to be demeaned and in some cases damaged by their therapists prejudices. Let's hope this apology marks a new era in mental health possibilities for the LGBTQ+ community.

See Dr. Shubert's quote in the article below:

https://www.reuters.com/article/us-usa-lgbt-stonewall-psychoanalysts-idUSKCN1TM169

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Justin Shubert Justin Shubert

My Friend Came Out As Gender Non-Binary!

In this Psychology Today blog post, Dr. Shubert sorts through the confused, anxious reactions that he noticed after a friend came out as gender non-binary.

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Justin Shubert Justin Shubert

What we’re running from when we count our steps

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Dr. Susie Orbach examines our relationship to apps and wearable gadgets for self-improvement.  She asks the question: What might we be running from when we count our steps? “In a culture bent on targets, we create the illusion of an objective test telling us whether we are living life well enough. It is a bit like being in an exam the whole time.”

https://www.prospectmagazine.co.uk/magazine/what-were-running-from-when-we-count-our-steps

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Justin Shubert Justin Shubert

Don’t Turn Individuals with ADHD into Neurotypicals

The implications of this new understanding are vast. The first thing to do is for coaches, doctors, and professionals to stop trying to turn people with ADHD into neurotypical people. The goal should be to intervene as early as possible, before the individual has been frustrated and demoralized by struggling in a neurotypical world, where the deck is stacked against him.”

Dodson lays out a two pronged therapeutic approach that has a chance of working, when nothing else has...

https://www.additudemag.com/secrets-of-the-adhd-brain/

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Justin Shubert Justin Shubert

The Psychopharmacology of Everyday Life

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”We do have a choice about whether to medicate and how we do so. I think we have forgotten this because of how easy it is to obtain pills, along with the pervasive idea that our problems are simply chemical or genetic. So I want to begin by recalling what the drug panacea is treating at the most basic psychological level: pain, attention, sadness, libido, anxiety, sleep. Freud was surprisingly insightful about these crucial aspects of the psyche, even from his earliest writings before the turn of the century.”

https://www.nybooks.com/daily/2018/11/19/the-psychopharmacology-of-everyday-life/

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Justin Shubert Justin Shubert

How To Deal With Making More Money Than Your Parents

Dr. Shubert was quoted in this recent girlboss story about how to deal with making more money than your parents, by Theresa Avila:

https://www.girlboss.com/money/how-to-deal-with-making-more-money-than-parents

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Justin Shubert Justin Shubert

Why Sex Is Not Binary

Some biology to back up the matter:


https://www.nytimes.com/2018/10/25/opinion/sex-biology-binary.html

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Justin Shubert Justin Shubert

They Gave Up Their Cell Phones For Their Mental Health

We are very proud of Negar Sarshar, LMFT, for helping out Buzzfeed’s burnt-out LadyLike crew on their quest for rejuvenation!

You can watch the video here:

https://www.youtube.com/watch?v=Pp9l3hvOuEQ

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Justin Shubert Justin Shubert

Using Psychoanalysis to Understand #MeToo Memories

An interesting article about how current changes in social norms affect how we look back at traumatic situations:

“The cultural shift in what is deemed acceptable, and the recent increase in women holding their abusers accountable, does more than just help individuals realize that they were violated back then…something that is inscribed as a memorable but not necessarily traumatic event can become traumatic through the prism of time and later experience.”

https://www.nybooks.com/daily/2018/10/11/psychoanalysis-and-metoo-memories/

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Justin Shubert Justin Shubert

The Origins of Generosity

This article from the New York Times uses observation of primates to explore the origins of our generosity.

"The researchers designed an experiment that could provide strong evidence that bonobos could give things to each other simply out of generosity — rather than being pressured into doing so, or expecting some sort of immediate payback” … “Would they do it if there was no benefit to them?” asked Brian Hare, a primatologist at Duke University who helped run the study.

https://www.nytimes.com/2018/09/11/science/generosity-apes-bonobos.html?action=click&module=Discovery&pgtype=Homepage

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Justin Shubert Justin Shubert

A Somatic Perspective on the Trauma of Growing Up Gay

Payam Ghassemlou MFT, Ph.D. explains how bodies, in particular the bodies of gay kids, can be affected by oppression. It's a useful read for anyone interested in stress, trauma, or the somatic/psychological effects of prejudice.

"In other words, under a daily homophobic assault, a child’s sympathetic system (“stress response” or “fight or flight” response) gets overly activated. Often during such stressful situations, neither fighting nor fleeing can resolve the overwhelming situation, and the thwarted or incomplete fight and flight responses can become “trapped” within the body and dysregulate the nervous system. Such a dysregulated nervous system is more likely to get stuck on “high” or hyper-arousal. Anxiety, panic attacks, rage, hyperactivity, mania, hypervigilance, sleeplessness, exaggerated startle response, digestive problems, and many other symptoms are the result of a dysregulated nervous system that is stuck on “high” or hyper-arousal."

http://drpayam1.blogspot.com/2018/08/a-somatic-perspective-on-trauma-of_18.html

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Justin Shubert Justin Shubert

Rethinking Adultery

Attached is a review of Esther Perel's newest book, The State of Affairs: Rethinking Adultery, in which she talks about the surprising concept that affairs, if processed honestly, can actually save a relationship.

In this review Zoe Heller also brings up larger points about how much we can expect from our partners overall. A quote from the article:

"This—the impossibility of absolute romantic security—is the bracing moral at the center of Perel’s book. There is no “affair proof” marriage, she warns, whatever the self-help industry tries to tell you. To love is to be vulnerable. Relationships can inspire varying degrees of trust, but trust is always, as the psychoanalyst Adam Phillips puts it, “a risk masquerading as a promise.” To believe yourself to be the sole progenitor of your partner’s desire, rather than merely its current recipient, is a folly. Elizabeth Hardwick, who stoically endured the countless infidelities of her husband, Robert Lowell, knew something about this. In her famous essay “Seduction and Betrayal,” she described the terrible wisdom vouchsafed to the betrayed heroine of classic literature: she 'is never under the illusion that love or sex confers rights upon human beings. She may of course begin with the hope, and romance would scarcely be possible otherwise; however, the truth hits her sharply, like vision or revelation when the time comes. Affections are not things and persons never can become possessions, matters of ownership. The desolate soul knows this immediately and only the trivial pretend that it can be otherwise.'"

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Justin Shubert Justin Shubert

Burnout, and how to avoid it.

Dr. Kate Tepper's thoughts about the causes of burnout and how to avoid it are featured in Girlboss' 8 Ways to Avoid Falling in to a Black Hole of Burnout:

"Just as the airlines recommend putting on your oxygen mask before tending to the person next to you," says Dr. Tepper, "it’s critical to look after your own personal well-being first and foremost."

The first step of addressing potential or impending burnout is to take stock of your work situation and your mental health. If you find yourself experiencing an "underlying anxiety about the unknown" or stress about "the internal demands for success, happiness, perfection or ideals," you might be headed toward a "reactive state of mind: fight, flight, freeze, or faint," according to Dr. Tepper. 

 

 

https://www.girlboss.com/girlboss/2018/1/16/how-to-avoid-burnout

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Justin Shubert Justin Shubert

Stop Diagnosing Your Co-Workers: Why Words Matter..

Our own Dr. Lauren Harb was interviewed for a Girlboss article about what it means when laypeople use real jargon to diagnose their co-workers. Here's what she had to say:

 

 

 

https://www.girlboss.com/girlboss/2018/1/8/stop-calling-coworkers-psychopaths

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Justin Shubert Justin Shubert

8 Ways to Have a Better Relationship in 2018

While we don't believe that an "8 best ways" list can truly change a troubled relationship, it couldn't hurt either:

https://www.nytimes.com/2017/12/03/smarter-living/8-ways-to-have-a-better-relationship-in-2018.html?action=click&module=Smarter%20Living&pgtype=Homepage

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Justin Shubert Justin Shubert

Against Empathy

"In this video, Paul Bloom, psychologist and Yale professor, argues that empathy is a bad thing—that it makes the world worse. While we've been taught that putting yourself in another's shoes cultivates compassion, it actually blinds you to the long-term consequences of your actions. In this animated interview from The Atlantic, we hear Bloom’s case for why the world needs to ditch empathy."

He says in the video, "If you really want to make the world a better place, spend less time thinking about how to maximize your own sense of empathic joy, and spend more time, in a cold blooded way, about how to help other people."

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Justin Shubert Justin Shubert

David Sedaris on Keeping a Diary in the Age of Over-Sharing

Therapy works through equal parts catharsis and getting to know yourself (among some other things), which is why we often encourage our patients to write - write letters you don't send, poems, or keep a diary. Here's a fun little video where David Sedaris tells his story about writing for himself.

 

 

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