internal

It’s hard to find love when you don’t feel loveable yourself.

When you know you’ve made a ton of mistakes. Or you’ve internalized the idea that you’re just not a likeable person.

It becomes a self-perpetuating cycle: “I don’t like myself, so why should anyone else like me?” Then we feel lonely, beat ourselves up, feel like a failure, and like ourselves even less than before. We retreat more and more into our shell and lose that “spark” that makes us attractive to someone else as a potential partner

This is exhausting. It’s unfair. And it doesn’t do justice to who you really are on the inside and everything you have to give to the world.

It’s an overwhelming step to think about how to suddenly become supremely confident. So let’s do something more modest today.

In this episode, I want to share a small thing you can start doing today to get back your self-esteem and begin to reclaim your core confidence...

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On this week’s episode of the podcast, I interview Jaeger Ackerman, 4th year medical student about suicide risk factors and treatments.

As a therapist, attempt to closely approximate their reality of feeling suicidal with words. When I first hear their thoughts and feelings, I try to clarify with the patient to make sure I’m understanding their feelings. I usually try to put it into other words, and echo back to them. I’ll say something like, “I hear that you feel like there’s no other way out, that you feel lost and like it’s a very dark time for you.” I ask myself continually how to be present with them in their feelings, in the moment.

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What is Psychodermatology?

At the most basic level, Psychodermatology encompasses the interaction between mind and skin. It is the marriage between the two disciplines of psychiatry and dermatology, uniting both an internal focus on the non-visible disease, as well as an external focus on the visible disease. This tight interconnection between mind and skin is maintained at the embryological level of the ectoderm throughout life.

According to this article, although the history of psychodermatology dates back to ancient times, the field has only recently gained popularity in the United States. More specifically, Hippocrates (460-377 BC) reported the relationship between stress and its effects on skin in his writings, citing cases of people who tore their hair out in response to emotional stress.

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Grief is the multifaceted response—emotional, behavioral, social—to a loss or major life adjustment (like a divorce, loss of a job, etc.). Bereavement is the process of grieving specific to the loss of affection or bond to a person or animal (Parkes & Prigerson, 2013; Shear, Ghesquiere & Glickman, 2013; Shear, 2015).

Some of the signs and symptoms of grief are:

-somatic symptoms (e.g. choking or tightness in the throat, abdominal pain or feeling of emptiness, chest pain)

-physiological changes (e.g. increased heart rate and blood pressure, increased cortisol levels)

-sleep disruption and changes in mood (e.g. dysphoria, anxiety, depression, anger)

(Buckley et al., 2012; Lindemann, 1944; O’Connor, Wellisch, Stanton, Olmstead & Irwin, 2012; Shear & Skritskaya, 2012; Shear, 2015; Zisook & Kendler, 2007)

Medical and psychiatric complications can also arise due to grief and include:

-An increased risk for myocardial infarction

-Takotsubo cardiomyopathy (Broken Heart Syndrome)

-The development of mood, anxiety and substance-use disorders (Cheng & Kounis, 2012; Keyes et al., 2014; Mostofsky et al., 2012; Shear, 2015).

Acute grief begins after a person has learned of the passing of a loved one (Shear, 2015). During acute grief, a person may experience immense sadness, yearning for the deceased, and persistent thoughts of the decreased (Maciejewski, Zhang, Block & Prigerson, 2007; Shear, 2015). Auditory and visual hallucinations are benign hallucinations commonly found in acute grief and involve the person seeing, talking to or hearing the voice of the deceased (Grimby, 1993).

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Maris Loeffler Instagram: @agatetherapy