“I Can’t Breathe” – How To Not Accept What Is Unacceptable, From a Therapist’s Perspective

George Floyd was murdered on camera, by police officers, on May 25th, 2020. The world is in a pandemic. We have just learned how to respond to a global crisis. And now, hopefully, we will respond to systemic racism and police brutality with the same amount of response and action.

There are a lot of painful things in the world, and mental health can be difficult to maintain in the light of taking everything in, even in the pre pandemic world, which was already a lifetime ago. If we let all of the pain into our hearts and our psyches all of the time, we would drown. Ignoring the pain of the world is a defense mechanism that we have formed to cope with our daily realities, with the news, with death, with the pandemic, with war. Ignoring the pain of racism is a privilege, a privilege only allotted to those who have basic safety in the world because they are not in danger walking down the street, from the police, the people who are meant to protect us. Please stop ignoring this privilege, fear, and pain. Because it’s painful for a reason. And it is imperative to treat the cause of the pain as a crisis.

When one accepts racism and murder as a reality, when one accepts police brutality against Black people as “the way things are”, they are normalizing something that is not normal, thus training themselves to accept a truth that is not true. In psychological terms, this concept fits somewhere in between societal gaslighting and mystification. We could also call this dissociation, it’s a type of splitting off of reality and of emotion.  The concept behind “un- intentional” is that it is unconscious. And in the case of normalized, systemic racism across a country over hundreds of years, it is the collective unconscious, which is the unconscious agreement of how things are within a group of people.  The concept behind “intentional” is that we have agency, we have a choice to make something conscious, to be conscious, to purposely choose our awareness. In the case of America, our violence against Black lives has been intentional in our past and in our present.  And our choice to ignore this or not fight this may have been “un-intentional”(and intentional as well, by many groups of Americans over the years), but now that America is finally trying to pay attention, we must choose to be intentional, and to be conscious.

Let’s think about the pain. Unlike a breakup or childhood trauma, which is rooted in the past or the recent past and is a concrete event that has happened, the pain that we feel when we consider what has happened to George Floyd, Breonna Taylor, and Ahmaud Arbery is in the present. Systemic racism is happening in our present, on a daily basis. We attempt to understand what is happening and the grief that we feel with each murder, but understanding what is happening and preventing future murders requires us to see this as something bigger, like a wound that does not go away even when the pain from yesterday has passed. What happens emotionally when one feels that they are trapped in a hopeless situation is that they shut down, and collapse into hopelessness. That is how many people may feel in the face of creating change. Instead of facing that pain every time they see a new death of an unarmed Black person on the news, they may shut it out or dissociate it out to cope with their daily life. This is a defense mechanism, and it’s a privilege only allotted to the people in society who can afford it, in this case, people with white privilege who can afford to not think about it because they are not in danger, and they do not fear that their death (or the death of a loved one) will be next.

Stop ignoring your feelings and your pain. It is there because the wound is being continuously opened. We are still all sick, we all have a disease and the pain is the symptom. Murder is the symptom. White privilege is the symptom. Misuse of power, via whiteness of skin and police brutality, is the symptom. We are still all agreeing to these terms of systemic racism on the level of the collective unconscious by choosing to brush off each death, minimize the extreme injustice, the hatred that ignites within us, the disgust that we experience in our gut, when we think about how wrong it is, really.

Are you white? Let’s talk about shame and guilt.  Let me go first. I have privilege that I benefit from: this makes me feel guilty. I don’t know how to be a good ally or how to talk about racism without saying or doing something wrong. This brings up extreme, crippling shame within me. How could I not know? I am a part of the problem. I don’t already know, because I haven’t had to know. Because I haven’t had to learn, from an early age, what it’s like to be treated differently, what it’s like to be in danger, what it’s like to make a system work for me that was made to benefit someone else. I haven’t had to fight, to work extra hard to get the same grade, to be extra good to not get in trouble, to have to be three times more well behaved than everyone else just to not be made bad for not being white. I haven’t had to evaluate, on a daily basis, whether or not people are being racist towards me, in normal interactions at the grocery store or walking down the street.

 When I feel shame I shut down. In shameful situations that are not race related, that’s ok. When it comes to making mistakes around race (and white fragility) that’s the worst because then, I may unintentionally make it about me, and people then feel obligated to take care of me. But ultimately, it’s not about me. And, it’s also not about you right now, if you benefit from white privilege. A goal is to ideally push past the shame and  continue to try to be a better ally and to educate myself in how to do so if I make mistakes around race. That is my responsibility at this point as a white person. Shame and guilt are normal feelings for white people in this dynamic, they must be acknowledged and moved through swiftly so that one can continue to learn and try to stand up for injustice. They must be put aside so that one can instead acknowledge the guilt and rage of the injustices that are happening.

Let’s talk about power dynamics and the history of racism- up until the present time. America has the darkest of histories. White people came to the united states, killed Native Americans, and stole their land. White people kidnapped Africans and forced them into slavery. White Americans actively tortured and lynched Black Americans. Our history is bloody. People with power will always actively resist giving away their power. We are still seeing that today. Most of the senators, judges, and people in congress are White Americans. Most of the millionaires and Billionaires are White Americans. People in power are reticent to dismantle the system because then it will not serve them anymore. This is where white Americans who would like to dismantle white privilege and systemic racism must use their intentionality and awareness. By voting, and actually doing research. By supporting grassroot organizations and candidates. By choosing to support POC businesses and organizations, and choosing to withdraw support from corporate organizations that hold all the power.

So just to recap, systemic racism is a crisis in society that must be treated. Just like, say, coronavirus, it will get much worst if you ignore it, and it takes a lifestyle change, care, consciousness, and intention to heal. Most people will ignore the symptoms of an illness until their lives are threatened. In this case, people of color are having their lives threatened. But everyone is living in the environment that causes coronavirus. And in order to heal this environment, everyone must pay attention to the symptoms, our feelings, our gut. We just changed our entire lives to flatten the curve for the vulnerable during coronavirus. Can we change our lives to protect the vulnerable to police brutality and racism?

If you feel terrible after hearing about a racist event, a racist comment, a racist person, or the way that systemic intergenerational racism affects people, great, you have what we call “normal empathy”.  If you feel stuck and frozen about what to do, you are probably in a freeze response- induced by fear or shame.  Now is the time to change this freeze response to a fight response. Anger is not the enemy, it is an indicator that we need to change something. It is a protective emotion that helps us protect those that we care about. If we ignore our feelings,  we also ignore our care and our desire to make changes.

We are at a critical moment. If you are an American, you have a choice to fight, or not to fight. This week was a turning point. People are choosing (or not choosing) to pay attention. Couples are finding that it may be a deal breaker if their partner doesn’t care about fighting injustice as much of them. Many people are re-evaluating who they would like to be in this civil rights and social justice fight with, and who they’d like to leave behind. We are in an important historical moment. Who will you be in this moment?

Resources for Allyship and futher education:

An Antiracist Starter Pack:   https://parade.com/1046031/breabaker/anti-racist-tv-movies-documentaries-ted-talks-books/?fbclid=IwAR3sGgZGymDMnl8qvJGYZcihVaqYgAP0lNEIjXmTCaAg_1qN7blSgVYmWNg

Antiracism Resources for White People: https://docs.google.com/document/u/1/d/1BRlF2_zhNe86SGgHa6-VlBO-QgirITwCTugSfKie5Fs/mobilebasic?fbclid=IwAR3SVmtbdTi1nZaT6E_qmipBR6S0_hnj6PJN3g_74AvYlCOnzsigqGw3378

Take Responsibility: It Will Change Your Life.

Do you feel like your life is out of your control? Do the same bad things seem to be happening to you over and over again? Do you feel powerless to what happens to you in relationships, with jobs, and with friends?  If so, then I am sorry to hear it, and I think that there may be a solution for you.  

The world can be a difficult and unpredictable place.  Bad things happen to people all the time. Unfortunately,  when someone has experienced a traumatic event that is out of their control, one might feel powerless and like other people are responsible for how they feel. And to some extent,  they aren’t wrong. Other people make choices that impact us. There is no doubt about that. Someone may choose a fate for you, one that you would have never chosen for yourself.  And this is where things get tricky, because if you are a victim of a crime or an assault, alcoholic or narcissistic parents, or relationships with controlling people, you may have forgotten that you too, have agency, and you too, can continue to make decisions that can affect the outcomes of not the past, but of the present and forward.

Let me tell you about taking personally responsibility and how it will change you life. Lets first talk about what it means to take responsibility.  Taking responsibility is owning that you may be acting in a way that is propagating your current situation. For example, if you are in a bad relationship with someone who is selfish. Maybe you made a mistake and didn’t know what the warning signs were. That’s ok. There is no need to blame or shame yourself. But you also don’t need to continue to suffer.  A way to take responsibility is to own that, although maybe you made a mistake, you are choosing now to stay in this relationship, and it is therefor your responsibility to choose to stay or to decide to leave.  

Please do not mistake someone telling you to take responsibility for victim blaming.  If something terrible has happened to you, such as a sexual assault, a car accident, or an attack, that’s not your fault. You cannot take responsibility for the actions of another who has harmed you.  You cannot change the past, and you cannot stop bad things from happening. You can, however,  take responsibility for yourself as much as possible. Going to therapy to explore your beliefs in the world, your tendencies in relationships, and what responsibility you are taking to heal, be accountable to others, and choose to surround yourself with supportive people can be helpful.  

And this is how it will change your life:  once you take responsibility for yourself and for your actions, you might find that you feel empowered, because when you believe that you have agency and you can change your situation,  you may realize that you are making choices for yourself, as opposed to the world around you making choices for you.

Bianca Aarons LMFT is a licensed psychotherapist in San Francisco . Bianca’s specialties include attachment, trauma, sexual abuse, post traumatic stress, relationship issues, depression issues, couples work and work with teenagers. Learn more about Bianca at www.biancaaarons.com, email her at BiancaAaronsMFT@gmail.com, or call her at (415) 553-5346 to ask any questions or to set up a consultation session. 

How do you know if therapy is working?

It can sometimes be confusing to know if therapy is working, or if it is still working for you over a long period of time.  Sometimes, when we begin going to therapy, it can seem like things are getting worse.  This is something that is valuable to notice and it may be an indicator that the therapy is working, as things can get worst before they get better. Below are some key indicators that therapy is working for you, as slow and long as the process may sometimes seem.

•You feel relieved.

•You feel understood by your therapist.

•You feel safe talking about your life.

•Things start to slowly shift in your life for the better, if not immediately, than within the first Six months.

•You can both like and dislike your therapist at times, because you feel safe enough to have both positive and negative feelings with them.

•You can talk about deeper and deeper things as time goes on.

•You start to think about what to talk about in your next session during the week.

•You miss a week and can’t wait to go the next week.

•You begin to feel more secure because you know that you can rely on therapy to open up your feelings. 

Bianca Aarons LMFT is a licensed psychotherapist in San Francisco through the auspices of the Grateful Heart Holistic Therapy Center. Bianca’s specialties include attachment, trauma, sexual abuse, post traumatic stress, relationship issues, depression issues, couples work and work with teenagers. Learn more about Bianca at www.biancaaarons.com, email her at BiancaAaronsMFT@gmail.com, or call her at (415) 553-5346 to ask any questions or to set up a consultation session.

When Fear Shows Itself: Part 2

Thoughts on Working Through Fear.

Baby steps.  That is how you must work through fear, a belief that you are not safe, the terror that it may happen again. The question becomes, How? How do I confront terror? Because as you now know if you have been in an accident, have lost a loved one suddenly, have experienced an abusive relationship, have been sexually abuse, or even have just gotten your heart broken, you may find that you are now afraid that it will happen again. Perhaps at any new moment or with any new person you meet. 

When we have a fear response it often gets stored in the body. Let’s say you have always loved riding your bike until recently, when a car accidentally merged into you and you’ve broken a bone. During the time that it’s taken you to heal, you have replayed the event over and over again in your head. Every time you are in a car and see a bike next to the car you are in, you now replay your accident and are afraid that the biker will be hit.  This is a form of post traumatic stress related to your accident. You’ve always had great associations with bike riding. Now, when you are riding, it is as if every car that passes you on your bike is going to hit you. Maybe you no longer enjoy riding your bike because your bike rides now induce small panic attacks and uncommon spells of fear. Maybe this is an indicator that you should stop riding your bike forever, but probably not.

How do you work through this??? Well, by riding your bike, of course.  We must do the exact thing that scares us in order to learn to not be afraid again. Maybe the first time, or first twenty times, of riding your bike will be terrifying after your accident. But each new time that you ride your bike and not get into an accident is proof that you are in fact safe to ride your bike again. Does this mean that you wont ever get into a bike accident again? I’m sorry, but no. There is some innocence that has been lost when bad things happen to us. We must move through the world with a different awareness that we may not be completely safe.

Confronting your fear is the only way that you will work through it. And how you choose to take this task into your own hands is completely in your control. When you realize that when and how you confront your fear can be your choice, you take some of your power back that you lost when something bad happened to you, totally out of your control.

As a therapist, I specialize in sexual abuse trauma and PTSD related to abusive relationships and incidents where people have been raped, taken advantage of, and exposed to painful relationships with partners and/or caregivers.  Part of what is so painful about this type of betrayal within relationship is that it makes it hard to trust others again. Unfortunately, something that can be so sweet, so good, so exciting and passionate, is now paired with fear. That inherent innocence that we are all capable of when trusting another person has been taken away; now when trying to trust another, all one can think about is what might go wrong if they do. One of the scariest parts of post-traumatic stress in a relationship is that it feels like what happened before may be happening again, whether it is being cheated on or being abused. These feelings and fears make it very difficult to date and/or trust again in relationships.

So again, when working through fear, many would like to jump in and get it over with. I recommend baby steps toward confronting the fear. There are many layers to traumatic incidents that must be explored. When we go into the fear and tell our stories all at once, we may not be resourced; we may not be able to titrate our feelings, bring ourselves out of the fear if we need a break. That is why it’s helpful to have another person to share with. Therapy can be incredibly useful to begin to navigate ones’ needs around healing an event like this. I notice that when one talks about a traumatic event in therapy, they often forget that they can feel ok again. I will often remember something that they told me they enjoy, such as friends, family, or a happy memory, and I will remind them of this to bring them back to an ok place.  Other resources may include yoga, chocolate, your dog, a book… you get the point. Everyone has their own unique resources that feel good to them. Therapy can be used to identify what your resources are, so when you experience that fear again while dating, while riding your bike, and within relationships, you now have a map to resource yourself. When we confront the fear, we often return to the fear state that we were in when the traumatic event happened; maybe this is a freeze response, maybe it’s a flight response. Maybe we cling again to someone like we did before, even if they aren’t who we need. It’s really important to learn how to breathe, and it’s really helpful to have someone you trust to tell you to breathe again, and to help you identify what’s happening.

It might seem like you will never recover, like you will be afraid forever. I want to tell you that your fear can be worked through. Your decisions are possibly being made out of a place of fear, but as you confront your demons, you can begin to make decisions out of a place of love again. Just as the seasons change, our emotions can too, with gentleness and a guiding hand.

Bianca Aarons LMFT is a licensed psychotherapist in San Francisco through the auspices of the Grateful Heart Holistic Therapy Center. Bianca’s specialties include attachment, trauma, sexual abuse, post traumatic stress, relationship issues, depression issues, couples work and work with teenagers. Learn more about Bianca at www.biancaaarons.com, email her at BiancaAaronsMFT@gmail.com, or call her at (415) 553-5346 to ask any questions or to set up a consultation session.

Love, Self, and the Addiction to Perfection

(and learning to love yourself, of course)

Addictions can come in all different shapes, sizes and forms.  When one thinks of addiction, they often assume that an addiction is referring to a substance, such as drugs, or an activity, such as sex.  There are many types of addictions; food addictions, love addictions, ect. Addictions are coping mechanisms that are formed when emotions are intolerable and stress levels are unmanageable.  Often times, a person feels out of control of their addiction, and when they try to manage or change it, they find that the addiction gets worst.  

Many addictions can be misunderstood or misjudged, such as the addiction to control or abstinence.  Anorexia is actually an addiction to avoiding eating or preventing food intake.  "Sexual Anorexia" or contact avoidance is yet another misunderstood and highly unseen addiction, where one can go unnoticed in being addicted to finding ways to avoid relationships and prevent themselves from having sex.

One of the most recent addictions that I have encountered is the addiction to perfection. The signs of this are when someone feels that they cannot do anything because they cannot, or will not, be perfect enough when they do it.  Many people who have an addiction to perfection find that they experience procrastination or a hard time doing anything at all for the daunting reality that what they do will not fit their own expectations.  A person who is addicted to perfection will walk away from a partner who is not "perfect" enough, or walk away from a potential partner because THEY THEMSELVES feel that they are not perfect enough, or will just avoid dating in general for the same reasons.  An addiction to perfection can stilt a person from being able to do things that they could maybe do if they were ok with "good enough", like get a good enough job as opposed to being jobless in lieu of the the perfect job.

An addiction to perfection is surprisingly, and comparatively, as difficult to work through as other addictions.  And to work through this addiction, and many other addictions, some deeper issues may need to be confronted around fundamental sadness, self-hatred, grief, and hopelessness that may lay just beneath the protective layer of the addiction. 

Bianca Aarons LMFT is a licensed psychotherapist in San Francisco's Duboce Triangle neighborhood. Bianca’s specialties include attachment, trauma, sexual abuse, post traumatic stress, relationship issues, depression issues, couples work and work with teenagers. Learn more about Bianca at www.biancaaarons.com, email her at BiancaAaronsMFT@gmail.com, or call her at (415) 553-5346 to ask any questions or to set up a consultation session.