counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT

Book Review: Burnout by Emily & Amelia Nagoski

Emily and Amelia Nagoski’s Burnout: The Secret to Unlocking the Stress Cycle is one of the most clinically useful, validating, and culturally honest books I’ve encountered on chronic stress and emotional exhaustion. As a therapist who works daily with clients who feel depleted, overwhelmed, and quietly ashamed for “not handling life better,” I consider this book essential reading—for clients and clinicians alike.

Emily and Amelia Nagoski’s Burnout: The Secret to Unlocking the Stress Cycle is one of the most clinically useful, validating, and culturally honest books I’ve encountered on chronic stress and emotional exhaustion. As a therapist who works daily with clients who feel depleted, overwhelmed, and quietly ashamed for “not handling life better,” I consider this book essential reading—for clients and clinicians alike.

One of the book’s most important contributions is its clear distinction between stressors and stress. Stressors are the external pressures we face—work demands, caregiving, financial strain, societal expectations. Stress, however, is the physiological response that lives in the body, often long after the stressor has passed. Burnout, the Nagoskis argue, is what happens when we repeatedly encounter stressors without completing the biological stress cycle—when the body never fully receives the signal that it is safe to rest and recover.

From a clinical standpoint, this reframing is powerful. Many people believe they should feel better once they “solve the problem,” yet their nervous systems remain stuck in fight‑or‑flight. The book makes clear that dealing with stress is a separate process from solving problems, and that healing requires intentional completion of the stress response through movement, rest, laughter, crying, affection, creativity, and connection—not just insight or productivity.

What truly sets Burnout apart, however, is how directly it addresses culture, not just individual coping. The Nagoskis explicitly name the systems that keep stress cycles perpetually open—particularly for women. Two concepts are especially impactful: Human Giver Syndrome and the Bikini Industrial Complex.

The Bikini Industrial Complex refers to the multibillion‑dollar system that profits from convincing women that their bodies are perpetual problems to be fixed—too big, too small, too old, too much. Through marketing, media, and “wellness” messaging, women are taught to monitor, judge, and discipline their bodies constantly. This ongoing self‑surveillance keeps the nervous system in a chronic state of threat, reinforcing shame, hypervigilance, and exhaustion.

Clinically, I see the effects of this every day. Body dissatisfaction is not a superficial concern—it is a chronic stressor. When someone is at war with their body, true rest becomes nearly impossible. The Nagoskis’ work helps readers understand that struggling to “love your body” in a culture designed to profit from self‑loathing is not a personal failure; it is a predictable response to systemic pressure. Naming the Bikini Industrial Complex gives language to a stressor that many people have internalized but never been taught to question.

Importantly, Burnout does not offer performative positivity or shallow self‑care as solutions. The authors are clear: spa days and bubble baths cannot fix systemic stress. Instead, they emphasize practices that biologically signal safety to the body and challenge the cultural narratives that equate worth with productivity, appearance, or self‑sacrifice. This aligns closely with trauma‑informed and evidence‑based therapeutic approaches that prioritize nervous system regulation and self‑compassion.

The tone of the book is another strength. The Nagoskis write with warmth, humor, and deep empathy. Rather than prescribing rigid rules, they repeatedly return to a core message I often echo in therapy: you are not broken. Burnout is not evidence that you are weak or failing—it is a reasonable response to prolonged stress in an unreasonable environment.

Readers should know that Burnout is written primarily with women in mind and explicitly addresses sexism, emotional labor, and inequity. For some, this will feel deeply affirming; for others, it may feel uncomfortable. From a clinical perspective, that discomfort is meaningful. Burnout does not exist in a vacuum, and ignoring the systems that fuel it only perpetuates shame.

Who I recommend this book for:

  • Clients experiencing chronic stress, emotional exhaustion, or body‑based shame

  • Clinicians, caregivers, and helpers at risk for compassion fatigue

  • Anyone who has tried “doing more” to feel better—and ended up more depleted

Burnout is not about fixing yourself. It is about understanding how your body responds to stress, recognizing the cultural forces that keep you stuck, and learning how to move toward rest, connection, and self‑trust in a sustainable way.

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counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT

“If They Wanted To, They Would” vs. Grace: Navigating Two Conflicting Beliefs in Relationships

In recent years, one phrase has taken center stage in conversations about relationships: “If they wanted to, they would.”

At face value, it sounds empowering. It validates hurt, calls out inconsistency, and pushes back against chronic disappointment. For many people—especially those who have overextended themselves in relationships—it feels like permission to stop making excuses for others.

In recent years, one phrase has taken center stage in conversations about relationships: “If they wanted to, they would.”

At face value, it sounds empowering. It validates hurt, calls out inconsistency, and pushes back against chronic disappointment. For many people—especially those who have overextended themselves in relationships—it feels like permission to stop making excuses for others.

And yet, sitting quietly on the other side of this belief is another value many of us also hold dear: grace. Grace that says people are imperfect, overwhelmed, neurodivergent, traumatized, distracted, learning, growing. Grace that invites us to hold lower expectations and offer compassion rather than constant judgment.

So which is it?

Should we expect more from the people we love—or less?
Should we interpret behavior as a clear reflection of desire—or allow room for human limitation?

The tension between these two beliefs is one I see every day in therapy rooms. And the truth is: both can be true—and both can be harmful—depending on how rigidly we hold them.

The Appeal (and Danger) of “If They Wanted To, They Would”

This belief didn’t emerge out of nowhere. For many people, it was born out of real pain.

  • Being the only one who initiates

  • Repeated broken promises

  • Emotional labor going unnoticed

  • Feeling like an afterthought

In those contexts, “if they wanted to, they would” can be a reality check. It helps people stop rationalizing neglect or minimizing patterns of disregard. It reminds us that behavior matters, not just words or intentions.

From a therapeutic standpoint, this belief can be especially important for people healing from:

  • Codependency

  • Trauma bonds

  • Relationships marked by emotional unavailability or inconsistency

In these cases, the phrase helps shift focus away from why someone isn’t showing up and back toward what is actually happening.

But here’s where it can quietly become problematic.

When taken as an absolute truth, “if they wanted to, they would” assumes:

  • Desire always translates into action

  • Capacity is equal across people

  • Effort looks the same for everyone

And that simply isn’t how humans work.

The Other Extreme: Low Expectations and Endless Grace

On the opposite end of the spectrum is a belief many of us were taught—explicitly or implicitly—to value: grace.

Grace sounds like:

  • “They’re doing the best they can.”

  • “They didn’t mean it.”

  • “I know they care, they just struggle.”

  • “I don’t want to be too demanding.”

Grace is essential for healthy relationships. It allows for repair, growth, and forgiveness. It acknowledges nervous system differences, mental health challenges, stress, trauma histories, and seasons of life where capacity is genuinely limited.

But grace, when untethered from boundaries, can slowly turn into self-abandonment.

I often see clients who pride themselves on being “understanding” but feel chronically lonely, unseen, or resentful. They’ve lowered expectations so far that there’s very little left to hope for—yet they’re still hurt when nothing changes.

Grace becomes harmful when it:

  • Explains away repeated patterns

  • Replaces honest conversations

  • Prevents accountability

  • Keeps someone in a one-sided dynamic

Grace is not meant to erase your needs.

Intention, Impact, and Capacity Are Not the Same Thing

One of the most important distinctions we can make in relationships is between intention, impact, and capacity.

Someone may want to show up—and still struggle to do so consistently.
Someone may care deeply—and still cause harm.
Someone may lack skills or regulation—not desire.

This doesn’t mean their behavior doesn’t matter. It does.
But it does mean that desire alone is not the full story.

At the same time, understanding someone’s limitations does not obligate you to tolerate unmet needs indefinitely.

You are allowed to ask:

  • Is this a temporary limitation—or a long-term pattern?

  • Am I being patient—or am I waiting for potential?

  • Do my needs require change, or acceptance?

These are not selfish questions. They are relationally honest ones.

A More Nuanced Truth

Instead of choosing between “if they wanted to, they would”or grace, I often invite clients to consider a more balanced framework:

People show us what they are able and willing to do—within the limits of who they are right now.

Your job is not to diagnose why.
Your job is to decide whether that reality works for you.

Healthy relationships require both compassion and standards.

Grace without expectations leads to resentment.
Expectations without grace lead to rigidity and disconnection.

The goal is not perfection—it’s mutual effort, responsiveness, and repair.

A Personal Note

I want to share a brief personal moment, because this tension isn’t something I’ve only studied clinically—it’s something I’ve wrestled with myself.

I once asked my own therapist a very similar question:
How do I know the difference between these two concepts? Is it one or the other?

Without missing a beat, she said,
“It’s both and.”

I immediately swore at her. Ha.

Then we both laughed.

Because of course she was right. And because adulting—especially relational adulting—is hard.

We often want clean answers in relationships. A rule we can apply. A phrase that tells us when to stay and when to go. But most of the meaningful work happens in the uncomfortable middle, where two truths exist at the same time: people are limited and our needs matter; grace is necessary and patterns are real.

The work isn’t choosing the “right” belief.
The work is tolerating the complexity.

What This Looks Like in Practice

A balanced approach sounds like:

  • “I believe you care—and I still need more consistency.”

  • “I understand this is hard for you—and it’s still important to me.”

  • “I can have compassion for your limits without shrinking myself.”

It also means recognizing when something is a mismatch, not a moral failure.

Not every unmet need means someone is unwilling.
Not every explanation means you should stay.

Final Thoughts

Relationships are complex because people are complex.

When we cling too tightly to “if they wanted to, they would,” we risk oversimplifying human behavior and losing empathy.
When we lean too heavily on grace, we risk losing ourselves.

The healthiest relationships live in the tension—where honesty and compassion coexist, where needs are named, and where effort flows in both directions.

You are allowed to expect care.
You are allowed to offer grace.
And you are allowed to walk away when both cannot exist together.

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counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT

Meet Claire Leech — Now Full‑Time at Summit Family Therapy!

We’re excited to share some great news with our Summit community — Claire Leech, LPC, is officially joining Summit Family Therapy as a full-time therapist!  She has passed her LCPC exam and will have her independent license in a few weeks. 

Claire has already been a wonderful part of our clinical community, and we’re thrilled to have her joining us in a full-time role. She brings a calm, compassionate presence and a genuine passion for helping people feel supported, understood, and empowered in their healing journey.

We’re excited to share some great news with our Summit community — Claire Leech, LPC, is officially joining Summit Family Therapy as a full-time therapist! She has passed her LCPC exam and will have her independent license in just a few weeks.

Claire has already been a wonderful part of our clinical community, and we’re thrilled to have her stepping into a full-time role. She brings a calm, compassionate presence and a genuine passion for helping people feel supported, understood, and empowered in their healing journey.

Get to Know Claire

Claire is a Licensed Clinical Professional Counselor with a Master’s degree in Counseling from Lincoln Christian University and a background in Psychology from Bradley University. She has experience providing outpatient counseling in both private practice and school settings, and she values ongoing learning, collaboration, and thoughtful care for every client she works with.

Her style is grounded, relational, and client-centered — she believes therapy works best when people feel safe, heard, and met right where they are. Many clients appreciate her steady presence and her ability to create a space that feels both supportive and gently challenging when growth is needed.

How Claire Supports Clients

Claire works with adults and couples, helping clients navigate life transitions, emotional challenges, relationship concerns, and personal growth. She is trained in EMDR, Gottman Method (Level I), and attachment- and trauma-informed approaches, and she integrates evidence-based practices with warmth and empathy.

Clients who are looking for a therapist who is attuned, thoughtful, and collaborative often feel especially comfortable with Claire. She takes time to understand each client’s story and works at a pace that feels respectful and empowering, rather than rushed or one-size-fits-all.

She’s also deeply committed to professional growth and collaboration, regularly participating in consultation and continuing education to ensure she’s providing high-quality, ethical care.

Why We’re So Glad She’s Here

Claire’s values align beautifully with Summit’s heart for therapy — connection, collaboration, and care that’s tailored to each individual. Her thoughtful approach and steady presence make her a great fit not only for our team, but for clients who are seeking meaningful, lasting change in a supportive environment.

If you’ve been wondering whether therapy might be a good fit for you — or if you’re looking for a therapist who offers both compassion and clinical depth — Claire may be a wonderful place to start.

Now Seeing Clients

Claire is now scheduling full-time openings beginning April 7th and is welcoming adults and couples who are looking for a supportive, encouraging space to work toward healing and meaningful change.

We’re so glad to have her on board — please help us give Claire a warm Summit welcome!

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counseling, Summit Family Therapy Brandon C. Hovey, MA, LCPC NCC counseling, Summit Family Therapy Brandon C. Hovey, MA, LCPC NCC

When Dementia Is Not What It First Appears: Understanding Lewy Body Dementia

Author’s Note / Trigger Warning:
The following article discusses neurodegenerative disease, cognitive decline, hallucinations, and loss of independence. This content may be difficult for some readers.

Disease is often an unseen cruelty. Cancer takes bodies. Influenza can take lives. Dementia, however, takes something different. It slowly erodes memory, identity, and recognition. Loved ones fade into unfamiliar versions of themselves. Confusion, agitation, and sorrow become constant companions—not only for the person affected, but for those who love them.

Author’s Note / Trigger Warning:
The following article discusses neurodegenerative disease, cognitive decline, hallucinations, and loss of independence. This content may be difficult for some readers.

Disease is often an unseen cruelty. Cancer takes bodies. Influenza can take lives. Dementia, however, takes something different. It slowly erodes memory, identity, and recognition. Loved ones fade into unfamiliar versions of themselves. Confusion, agitation, and sorrow become constant companions—not only for the person affected, but for those who love them.

Among the many forms of dementia, Lewy Body Dementia (LBD) is particularly devastating and frequently misunderstood.

According to the Lewy Body Dementia Association, LBD affects an estimated 1.3–1.4 million people in the United States, making it the second most common form of degenerative dementia after Alzheimer’s disease. Yet despite its prevalence, it is often misdiagnosed or recognized too late.

What Is Lewy Body Dementia?

Lewy Body Dementia is caused by the accumulation of abnormal protein deposits—Lewy bodies—inside brain cells. These deposits disrupt communication between neurons and affect multiple systems simultaneously, including:

  • Thinking and attention

  • Memory

  • Movement (parkinsonian symptoms)

  • Sleep

  • Behavior and perception

Because LBD impacts both cognitive and motor systems, it often overlaps clinically with Alzheimer’s disease and Parkinson’s disease, contributing to frequent misdiagnosis.

Common symptoms include fluctuating cognition, visual hallucinations, REM sleep behavior disorder, spontaneous parkinsonism, repeated falls, and pronounced sensitivity to certain medications—particularly antipsychotics.

A Case Illustration: Jim

Jim was a 68‑year‑old semi‑retired university professor. He was intelligent, quirky, and socially engaging. Over time, subtle changes began to appear.

He became increasingly prone to falls at home. Because Jim occasionally drank alcohol, these incidents were initially dismissed. His wife later discovered impulsive spending on multiple streaming services he could not recall signing up for. He developed unusual nervous movements consistent with parkinsonian symptoms. His speech, once hyperlexic and articulate, became disorganized. His body language no longer matched his words. His posture and gait changed.

Eventually, Jim became hostile, paranoid, and erratic. He reported seeing “angels” and speaking with his deceased brother. At first, clinicians suspected alcohol‑induced psychosis or a primary psychiatric disorder.

It was not until a hospital admission and neurological evaluation that the words “Lewy Body Dementia” were spoken—words that irrevocably altered his wife’s life.

Why Accurate Diagnosis Matters

Lewy Body Dementia is frequently misdiagnosed as Alzheimer’s disease, Parkinson’s disease, or late‑life psychosis. Studies suggest that nearly 80% of individuals with LBD receive an initial incorrect diagnosis, often after years of symptoms.

This misdiagnosis is not benign.

People with LBD are exquisitely sensitive to antipsychotic medications, particularly first‑generation agents such as haloperidol (Haldol). Up to 50% of individuals with LBD may experience severe neuroleptic sensitivity reactions, including rapid cognitive decline, profound sedation, worsening parkinsonism, and potentially fatal neuroleptic malignant syndrome.

In Jim’s case, the administration of haloperidol dramatically worsened his condition—ironically confirming the diagnosis of LBD.

Due to the severity of his symptoms, Jim was unable to return home and now resides in a memory care facility within driving distance of his family.

When Memory Care Is Not Yet Required

Not everyone with Lewy Body Dementia requires immediate placement in memory care. Some individuals retain partial independence and can remain at home with appropriate supports.

Helpful strategies include:

  • Avoiding over‑the‑counter sleep aids and anticholinergic medications that impair cognition

  • Reducing clutter and establishing predictable routines for activities of daily living

  • Minimizing environmental noise and distractions

  • Avoiding “quizzing” or testing memory

  • Creating financial safeguards to prevent impulsive spending

  • Using calm, clear, and non‑judgmental communication

Support should be adaptive, respectful, and grounded in safety rather than correction.

If You Suspect Lewy Body Dementia

Early recognition can reduce harm and improve quality of life. If you suspect LBD, consult with a neurologist or healthcare provider familiar with this condition.

The Lewy Body Dementia Association provides a comprehensive symptom checklist for patients, caregivers, and clinicians:

👉 Lewy Body Dementia Symptom Checklist (PDF)

Final Thoughts

Lewy Body Dementia is not merely a memory disorder—it is a complex, systemic neurodegenerative disease that demands awareness, accurate diagnosis, and compassionate care. For caregivers and families, the journey is often isolating and overwhelming. For patients, the experience can be terrifying.

Knowledge does not erase grief—but it can prevent unnecessary suffering.

References

  1. Lewy Body Dementia Association. (2023). Diagnosing Lewy body dementia is tricky but vital.

  2. BMJ Best Practice. (2025). Dementia with Lewy bodies: Symptoms, diagnosis and treatment.

  3. Lewy Body Dementia Association. (2026). LBD medical alert wallet card and medication warnings.

  4. Dementia Trainer. (2025). Sensitivity to antipsychotic medications in Lewy body dementia.

  5. Frontiers in Psychiatry. (2025). Case report: Lewy body dementia with antipsychotic sensitivity.

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counseling, Summit Family Therapy Nathaniel Oldenburg, MA, LCPC counseling, Summit Family Therapy Nathaniel Oldenburg, MA, LCPC

When Attraction Hijacks Your Dopamine: People as Hyperfixations

Hyperfixation is a fairly common experience for those of us with ADHD, and it can also show up for people with autism—especially when ADHD and autism overlap. It usually starts innocently enough. We find something new and interesting, our brain releases dopamine, and suddenly that thing feels exciting, energizing, and alive.

Hyperfixation is a fairly common experience for those of us with ADHD, and it can also show up for people with autism—especially when ADHD and autism overlap. It usually starts innocently enough. We find something new and interesting, our brain releases dopamine, and suddenly that thing feels exciting, energizing, and alive.

We want more of it.

Hyperfixation can be genuinely joyful. It can spark creativity, produce a flow state, and give a sense of purpose or momentum. The challenge with ADHD is that the brain doesn’t always know when to stop. A little feels good, so more feels better, and eventually as much as possible feels necessary. That’s part of what makes ADHD brains more vulnerable to addiction and compulsive behaviors.

But what happens when the object of the hyperfixation isn’t a hobby, topic, or substance—but another human being?

That’s where things can get especially complicated.

When the Hyperfixation Is a Person

Hyperfixation on a person can be:

  • Platonic

  • Romantic

  • Sexual

  • Or some confusing combination of all three

The intensity alone can make it incredibly difficult to tell the difference—especially when the person is someone you could plausibly be attracted to romantically or sexually. How this plays out depends on the other person’s feelings, the boundaries involved, and the impact on your existing relationships.

There are a few common patterns I see.

Scenario One: Limerence and the Unknown

One of the most common scenarios today is limerence, where the other person’s feelings are unknown or not reciprocated. Modern life makes this easier than ever—we can develop intense attraction to people who don’t actually know us, whether that’s someone online, a public figure, or someone we only interact with superficially.

This kind of hyperfixation can quietly devastate mental health.

When feelings are uncertain or unreturned, the brain stays hooked on possibility. That uncertainty fuels obsessive thinking, emotional highs and lows, and intense rejection sensitive dysphoria—a crushing sense of rejection that can spiral into despair or depression.

As long as the outcome is unclear, the cycle can continue:

  • Obsessive interest

  • Emotional hope

  • Perceived rejection

  • Emotional collapse

  • Repeat

If left unchecked, this can lead to unhealthy time and money investment in parasocial relationships—or, in extreme cases, boundary violations like stalking. When addressed early, though, people can grieve the fantasy, regulate the dopamine loop, and move toward healthier forms of connection.

Scenario Two: Mutual Attraction, Uneven Intensity

Another scenario occurs when attraction is mutual—but the hyperfixation is one‑sided.

This can look a lot like love‑bombing from the outside:

  • Excessive gift‑giving

  • Wanting to spend every possible moment together

  • Intense distress when apart

  • Over‑prioritizing the other person

The key difference from abusive love‑bombing is intent. There’s no manipulation or hidden agenda—just an unsustainable level of focus driven by dopamine. The person hyperfixating often neglects their own needs, routines, and relationships in the process.

If noticed early, this can settle into a healthy relationship. If not, it often ends with a painful emotional crash once the hyperfixation fades.

Scenario Three: Mutual Hyperfixation

Sometimes, both people hyperfixate on each other.

This can feel intoxicating. There’s often rapid bonding, deep conversations, oversharing, and a sense of “I’ve never connected like this before.” The connection feels deep—but it isn’t very wide. When the dopamine drops, the relationship can feel suddenly fragile or disorienting.

With intention, pacing, and boundaries, mutual hyperfixation can evolve into a deep friendship or romantic partnership. Without those things, it can burn bright and collapse just as fast.

When You’re Already in Another Relationship

Things get even more complicated when someone develops a hyperfixation while already in a romantic relationship or close friendship.

This is especially likely when the existing relationship isn’t meeting certain needs. A new person appears, the connection feels effortless, dopamine spikes, and suddenly unmet needs—or unresolved emotional wounds—start getting attention.

Energy and focus slowly shift. Other relationships begin to suffer. And while hyperfixation eventually fades, the damage left behind may not.

How to Tell If You’re Hyperfixating on a Person

You might be hyperfixating if:

  • Your emotional state revolves around communication with one specific person

  • You constantly worry about how they see you

  • You neglect responsibilities or other relationships

  • You’re overly attached to your phone waiting for messages

  • You ignore your own needs because of the focus on them

Awareness is the first—and most important—step.

What Helps

Set boundaries with yourself. Decide how much time and emotional energy you want this relationship to have. Identify lines you don’t want to cross—topics, behaviors, or situations that blur boundaries.

Redirect energy intentionally. Re‑invest in hobbies, self‑care, and existing relationships. Dopamine needs somewhere to go.

Practice grounding and mindfulness. Watch for spirals of self‑criticism or obsession. Respond with curiosity and compassion rather than shame.

Regulate before reacting. Strong emotions don’t mean you need to act on them immediately.

And if the hyperfixation feels unmanageable or is causing real harm, reach out to a therapist. This is especially important if rejection sensitivity, depression, or anxiety are intensifying.

Final Thoughts

Hyperfixation isn’t a character flaw. It’s a brain doing what it does best—seeking stimulation, connection, and meaning. The goal isn’t to eliminate that capacity, but to work with it instead of letting it run the show.

Attraction doesn’t have to hijack your nervous system—but it does require awareness, boundaries, and self‑compassion.

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counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT

Forgiveness Is Not the Same as Reconciliation (And Why That Matters)

One of the most common questions I hear in my work sounds like this:

I think I’ve forgiven them… but does that mean I have to let them back into my life?

That question usually comes with a tight chest, a long pause, and a lot of fear underneath it.

And the answer is still: no.

One of the most common questions I hear in my work sounds like this:

I think I’ve forgiven them… but does that mean I have to let them back into my life?

That question usually comes with a tight chest, a long pause, and a lot of fear underneath it.

And the answer is still: no.

Forgiveness and reconciliation are not the same thing. I know that intellectually sounds simple, but emotionally it can be incredibly hard to separate the two. I see this confusion play out in therapy all the time.

Let me show you what I mean.

“I Forgave Him… So Why Do I Feel Unsafe?”

A woman once came into therapy convinced she was “doing forgiveness wrong.”

She said, “I’ve worked really hard to forgive my ex-husband. I don’t feel angry all the time anymore. But every time he texts me, my body panics. Doesn’t that mean I haven’t really forgiven him?”

No. It meant her nervous system was paying attention.

What she had done was forgiveness: letting go of the constant resentment that was eating her alive. What she was being asked—mostly by well‑meaning people around her—was reconciliation: reopening a relationship with someone who had repeatedly violated trust.

Those are two very different things.

Forgiveness helped her sleep again.
Reconciliation would have put her back in harm’s way.

Once she understood that she could forgive without reconnecting, the shame melted away. Forgiveness became freeing instead of confusing.

Forgiveness Is Internal Work

Forgiveness happens inside you. It’s about what you carry.

I often tell clients: forgiveness is about setting down the heavy backpack of resentment you’ve been carrying for years. Reconciliation is deciding whether you want to hike with that person again.

One client put it perfectly after weeks of work:

I don’t want revenge anymore. I don’t replay it every night. But I also don’t want him at my dinner table.

That’s forgiveness with boundaries. And it’s healthy.

A Story About Apologies (and the Lack of Them)

Another client desperately wanted to forgive a parent but felt stuck because the parent refused to acknowledge the harm.

They said, “How can I forgive if they won’t even admit what they did?”

This is where forgiveness gets misunderstood.

Forgiveness does not require an apology.

Reconciliation does.

When we shifted the focus away from waiting for the parent to change and toward the client’s own healing, something shifted. They stopped holding forgiveness hostage to someone else’s behavior.

They forgave—not to excuse the past, but to stop letting it control the present.

They did not reconcile. And that was the right choice.

Reconciliation Requires Evidence, Not Hope

Reconciliation is relational. It involves trust, accountability, and change over time.

I’ve seen people try to reconcile based on:

  • Promises instead of patterns

  • Guilt instead of growth

  • Pressure instead of safety

One couple I worked with wanted to “move on” quickly after a betrayal. One partner pushed for reconciliation because they believed forgiveness meant immediate closeness.

The other partner wasn’t ready—and for good reason.

Slowing the process allowed space for:

  • Real accountability

  • Observable change

  • Boundaries that were respected, not resented

Only then did reconciliation become possible.

Forgiveness opened the door to healing.

Reconciliation waited until trust had a reason to return.

One Person Can Forgive. Two People Must Reconcile.

This distinction changes everything.

You can forgive:

  • A parent who never apologizes

  • A friend who disappeared

  • A partner who isn’t safe

  • Someone you’ll never see again

You can forgive without reconnecting.

Reconciliation, on the other hand, should always be conditional. It should be based on reality, not wishful thinking.

I often say in sessions:

Forgiveness is about your heart. Reconciliation is about your safety.

Both matter. They just aren’t the same.

When Forgiveness Becomes Self‑Protection

Some of the most powerful moments I witness in therapy are when people realize they’re allowed to forgive and say no.

No to contact.
No to access.
No to pretending things are fine.

One client summed it up beautifully:

I forgive them. I don’t hate them. And I don’t want them in my life anymore.

That wasn’t bitterness.
That was clarity.

Final Thoughts

Forgiveness can bring peace.
Reconciliation can bring connection.

But peace should never require you to abandon yourself.

If you’ve been struggling with guilt because you forgave someone but chose not to let them back in—please know this:

You didn’t fail at forgiveness.
You practiced wisdom.

Want to Go Deeper? Resources on Forgiveness & Reconciliation

If this topic resonates with you and you’d like to explore it more deeply—whether for personal healing, therapy work, or teaching—these resources are a great place to start.

Everett L. Worthington Jr. is one of the most widely cited researchers on forgiveness and reconciliation. His work forms the backbone of much of what we know scientifically about forgiveness today.

  • Forgiveness and Reconciliation: Theory and Application (2006)
    Worthington’s most comprehensive book on the topic. It clearly explains the difference between forgiveness (an internal process) and reconciliation (a relational one), and outlines when each is appropriate. This is a key resource for therapists, pastors, and educators.

  • The REACH Forgiveness Model
    Worthington’s evidence‑based model for working through forgiveness step by step: Recall, Empathize, Altruistic gift, Commit, Hold on. It has been tested in many clinical and community settings and is widely used in therapy and faith‑based contexts.

  • The REACH Forgiveness Workbook (Free)
    A practical, user‑friendly workbook designed to help individuals work through forgiveness on their own or with guidance. Available in multiple languages and supported by extensive research.

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Summit Family Therapy, counseling Dr. Courtney Stivers, PhD, LMFT Summit Family Therapy, counseling Dr. Courtney Stivers, PhD, LMFT

Big News! Greta Long, MA, LPC is Joining Summit Family Therapy

We are excited to welcome Greta Long, MA, LPC to the Summit Family Therapy team. Greta brings a warm, grounded presence and a thoughtful, relationship-centered approach to counseling that aligns deeply with our values of connection, collaboration, and meaningful change.

We are excited to welcome Greta Long, MA, LPC to the Summit Family Therapy team. Greta brings a warm, grounded presence and a thoughtful, relationship-centered approach to counseling that aligns deeply with our values of connection, collaboration, and meaningful change.

A Therapist Who Helps Clients Understand Themselves in Context

One of Greta’s greatest strengths is her ability to help clients make sense of their inner world within the context of their relationships. Our relationships—past and present—shape how we see ourselves, how we cope, and how we move through life. Greta helps clients slow down, reflect, and better understand these patterns so they can respond with intention rather than feeling stuck in cycles that no longer serve them.

Greta works from a person-centered, collaborative approach, meaning therapy is not something done to you—it is something built with you. Clients can expect a nonjudgmental, steady space where their experiences are honored and goals are shaped together. This approach is especially helpful for those who may feel anxious about starting therapy or who have struggled to feel fully understood in the past.

Supporting Life Transitions, Grief, and Relationship Challenges

Greta has a particular passion for working with individuals navigating life transitions, grief and loss, and relationship concerns. Whether someone is adjusting to a new season of life, processing the loss of a loved one, or trying to improve communication and boundaries in their relationships, Greta helps clients find clarity and emotional steadiness during uncertain times.

Clients often seek Greta’s support when:

  • Life feels overwhelming or uncertain

  • Grief or loss feels heavy or unresolved

  • Relationships feel strained or disconnected

  • Anxiety or stress increases during transitions

  • They want to better understand themselves and how they relate to others

Rather than rushing toward solutions, Greta helps clients understand why certain patterns exist—then gently supports them in creating healthier, more sustainable change.

A Calm, Grounding Presence in the Therapy Room

Beginning therapy can feel intimidating, and Greta is especially mindful of this. She is known for creating a calm, non-anxious environment where clients can take their time, ask questions, and feel supported from the very first session. Her style is steady, thoughtful, and compassionate—ideal for individuals who value reflection, emotional safety, and depth in the therapeutic process.

Using EMDR to Help the Brain Heal from Trauma and Distress

In addition to her relational, person‑centered approach, Greta incorporates Eye Movement Desensitization and Reprocessing (EMDR) into her clinical work when it is an appropriate fit for the client and their goals.

EMDR is an evidence‑based therapy that helps the brain reprocess distressing memories and experiences that can remain “stuck” in the nervous system. These experiences don’t have to be major, single‑event traumas—many people carry the emotional impact of chronic stress, relational wounds, grief, or past experiences that continue to shape how they feel, think, and respond today.

Rather than focusing only on talking through the past, EMDR helps clients:

  • Reduce the emotional intensity connected to painful memories

  • Shift long‑standing negative beliefs about themselves

  • Feel more grounded and present in daily life

  • Respond to triggers with greater flexibility and calm

Greta approaches EMDR with the same care and collaboration that defines her work overall. She prioritizes emotional safety, pacing, and preparation, ensuring clients feel supported and in control throughout the process. EMDR is always integrated thoughtfully—never rushed—and used alongside insight‑building and relational work to support lasting change.

This approach can be especially helpful for clients who feel they “understand” their struggles intellectually but still feel emotionally stuck, reactive, or overwhelmed despite their best efforts.

Education, Training, and Professional Background

Greta holds a Master’s degree in Counseling from Garrett-Evangelical Theological Seminary and is a Licensed Professional Counselor (LPC) in the state of Illinois. Her training integrates clinical skill with a deep respect for the whole person, allowing her to work effectively with clients from diverse backgrounds and life experiences.

Is Greta the Right Fit for You?

Greta may be an excellent fit if you are looking for a therapist who:

  • Values collaboration and mutual understanding

  • Helps you explore patterns in relationships and identity

  • Offers a steady, nonjudgmental presence

  • Supports both insight and practical growth

  • Honors your pace and your story

We are thrilled to have Greta as part of the Summit Family Therapy team and confident that her presence will be a meaningful resource for individuals and families in our community.

Now accepting new clients. We invite you to reach out and take the next step toward clarity, healing, and connection.

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Codependency vs. Healthy Dependency: Understanding the Difference

In recent years, the term codependency has made its way into everyday language. It’s often used casually to describe “needy” behavior or intense attachment, but clinically, codependency is a complex relational pattern rooted in early experiences, trauma, and fears of abandonment. At the same time, humans are wired for healthy dependency — the mutual reliance that strengthens secure relationships.

In recent years, the term codependency has made its way into everyday language. It’s often used casually to describe “needy” behavior or intense attachment, but clinically, codependency is a complex relational pattern rooted in early experiences, trauma, and fears of abandonment. At the same time, humans are wired for healthy dependency — the mutual reliance that strengthens secure relationships.

One of the most important tasks in therapy is helping people distinguish between these two experiences. Understanding the difference is essential for building relationships that feel supportive, balanced, and emotionally safe.

What Is Codependency?

Codependency is commonly defined as a relational pattern in which one person becomes excessively emotionally or psychologically reliant on another—typically to the point of sacrificing their own needs, boundaries, or identity (Beattie, 1987; Cermak, 1986).

Key characteristics of codependency often include:

  • Difficulty saying no

  • Feeling responsible for others’ emotions or choices

  • Fear of abandonment or rejection

  • Self-worth tied to being needed

  • People‑pleasing to avoid conflict

  • Difficulty expressing personal needs

  • A pattern of choosing partners who are emotionally unavailable, unpredictable, or struggling with addiction

Cermak (1986) describes codependency as a “chronic pattern of dysfunctional caring,” where caretaking becomes compulsive and self-neglect becomes normalized.

In trauma‑informed terms:
Codependency often develops when early relationships required a child to be hyper-attuned to caregivers’ emotional states. In adulthood, this can transform into relationships driven by anxiety, over-functioning, or emotional enmeshment.

What Is Healthy Dependency?

Healthy dependency—also known as interdependence or secure dependence—is a natural, necessary part of human relationships.

Attachment science shows that humans are biologically wired for closeness, comfort, and co-regulation (Bowlby, 1988; Johnson, 2004). Healthy dependency is not weakness; it’s a sign of relational security.

Healthy dependency includes:

  • Mutual support and shared emotional labor

  • Freedom to express needs without fear

  • Balanced give-and-take

  • Maintaining individuality while staying connected

  • Respect for personal boundaries

  • Trust that the relationship can withstand honesty and conflict

Dr. Sue Johnson (2004), creator of Emotionally Focused Therapy, emphasizes that emotionally healthy adults “depend on each other without losing themselves.”

Codependency vs. Healthy Dependency: The Core Differences

1. Identity

  • Codependency: Sense of self becomes defined by caregiving, approval, or “being needed.”

  • Healthy Dependency: Both people maintain autonomy while staying emotionally connected.

2. Boundaries

  • Codependency: Blurred boundaries, difficulty saying no, fear that needs will push others away.

  • Healthy Dependency: Clear boundaries, comfort expressing limits and preferences.

3. Emotional Responsibility

  • Codependency: Feeling responsible for managing another person’s mood, choices, or reactions.

  • Healthy Dependency: Supportive but grounded—each person is responsible for their own emotional regulation.

4. Reciprocity

  • Codependency: One-sided giving, often driven by fear or obligation.

  • Healthy Dependency: Mutual responsiveness and shared emotional labor.

5. Motivation for Care

  • Codependency: Caregiving is tied to worthiness, fear of loss, or unresolved trauma patterns.

  • Healthy Dependency: Caregiving is grounded in love, respect, and authentic connection.

Why This Distinction Matters

When people confuse healthy dependency with codependency, they may:

  • Feel ashamed for having emotional needs

  • Avoid closeness to prevent “codependency”

  • Internalize the belief that needing others is a flaw

  • Over-correct by becoming hyper-independent

Hyper-independence can actually be a trauma response (Tummala‑Narra, 2007), not a sign of strength.

Recognizing the difference allows individuals to:

  • Build secure, emotionally safe relationships

  • Set healthier boundaries

  • Practice mutual vulnerability

  • Cultivate relational resilience

Moving Toward Healthy Dependency

Healing often involves shifting from fear-driven relating to connection grounded in security and self-worth. Some therapeutic steps include:

  • Identifying early attachment patterns

  • Practicing boundary-setting

  • Learning to tolerate uncomfortable emotions without over-functioning

  • Rebuilding self-worth separate from caretaking

  • Developing relationships with mutual emotional responsiveness

Therapy can be a powerful place to practice these skills and unlearn patterns that once felt necessary for survival.

Conclusion

Codependency is not simply “needing someone too much” — it is a pattern rooted in fear, trauma, and the belief that love is earned through self-sacrifice. Healthy dependency, on the other hand, is a sign of emotional maturity and secure attachment.

You are meant to lean on others. The goal is not to avoid dependency, but to practice it in ways that honor both your needs and your partner’s.

If you recognize codependent patterns in your own life, know this: healing is absolutely possible, and you are worthy of relationships built on safety, balance, and genuine connection.

References

Beattie, M. (1987). Codependent no more: How to stop controlling others and start caring for yourself. Hazelden.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.
Cermak, T. L. (1986). Diagnosing and treating co-dependence. Alcoholism Treatment Quarterly, 4(1), 5–52.
Johnson, S. (2004). The practice of emotionally focused couple therapy: Creating connection. Brunner-Routledge.
Tummala‑Narra, P. (2007). Conceptualizing trauma and resilience across diverse contexts. Journal of Aggression, Maltreatment & Trauma, 14(1-2).

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Understanding Trauma Bonds: What They Are—and What They Are Not

Trauma bonding is a term that has gained widespread attention in recent years, yet it is often misunderstood or misused in everyday language. In clinical and research contexts, a trauma bond has a specific meaning rooted in patterns of abuse, coercive control, and intermittent reinforcement. This article clarifies what a trauma bond truly is, what it is not, and why the distinction matters.

Trauma bonding is a term that has gained widespread attention in recent years, yet it is often misunderstood or misused in everyday language. In clinical and research contexts, a trauma bond has a specific meaning rooted in patterns of abuse, coercive control, and intermittent reinforcement. This article clarifies what a trauma bond truly is, what it is not, and why the distinction matters.

What Is a Trauma Bond?

An Emotional Bond Formed Within an Abusive Relationship

A trauma bond develops when a victim forms a powerful emotional attachment to an abuser through ongoing cycles of fear, threat, manipulation, and intermittent affection or relief. This dynamic creates a psychological trap that keeps the victim bonded to the perpetrator. According to foundational research by Dutton and Painter, trauma bonds emerge specifically from cyclical abuse and power imbalances.

Driven by Intermittent Reinforcement

The abuser alternates between cruelty and moments of kindness, apologies, or affection. This unpredictable “push‑pull” pattern strengthens attachment in ways similar to the behavioral mechanisms behind gambling rewards. Intermittent reward makes the victim cling tightly to the relationship, hoping for the “good” version of the abuser to return.

Occurs Across Many Forms of Interpersonal Violence

Trauma bonding is not exclusive to romantic partnerships. Research identifies trauma bonds in:

  • intimate partner violence

  • child abuse

  • incest

  • hostage situations

  • cults

  • human trafficking

  • hazing and high‑control group dynamics

Results in Loss of Agency and Self‑Concept

Victims in trauma bonds often internalize the abuser’s perception of them, losing a sense of autonomy and self‑worth. Over time, they may come to believe they cannot leave the relationship, or that they deserve the mistreatment.

Linked to Serious Mental Health Impacts

Long‑term consequences include:

  • low self‑esteem

  • depression

  • distorted self‑image

  • difficulty leaving abusive relationships

  • increased vulnerability to future partner violence

Not Simply a Victim Response—Sometimes It Is Strategically Engineered

Newer frameworks, such as weaponised attachment, emphasize how perpetrators deliberately groom, manipulate, and entangle victims to foster this bond before overt abuse begins—using love‑bombing, secrecy, and emotional dependency as tools of coercive control.

What a Trauma Bond Is Not

Not a Mutual Bond Formed Through Shared Pain or Trauma Disclosure

In casual conversation, some use “trauma bonding” to describe connecting with someone by sharing vulnerable or painful experiences. However, clinically, this is not trauma bonding. A trauma bond specifically involves abuse, not mutual storytelling or emotional intimacy.

Not Just a “Toxic” or Difficult Relationship

Many unhealthy relationships lack the core components of a trauma bond—particularly intermittent reinforcement, coercive control, and fear‑based attachment. Trauma bonding is more severe and systemic than everyday relational conflict or dysfunction.

Not a Sign of Weakness or Lack of Insight

Trauma bonds are neurobiologically reinforced survival strategies. Victims often stay because their nervous system is conditioned to seek safety from the same person causing harm. This is not a character flaw—it is a predictable outcome of the abuse cycle.

Not Explained by Attachment Alone

While attachment patterns may influence vulnerability, trauma bonding is distinct from anxious attachment or typical relational insecurity. A 2024 dissertation analyzing traumatic bonding profiles found that trauma bonds have unique features tied to power, self‑blame, punishment cycles, and coercive control, not just attachment dynamics.

Why the Distinction Matters

Misusing the term “trauma bond” can minimize the severity of abuse survivors' experiences or create confusion about what they are going through. Accurately identifying a trauma bond helps clinicians, survivors, and support networks understand:

  • why leaving an abusive relationship feels impossible

  • why the survivor may defend or idealize the abuser

  • how to structure trauma-informed interventions

  • how to restore autonomy and rebuild internal safety

Understanding what a trauma bond truly is gives survivors language for their experiences—and a roadmap toward healing.

References

  1. Traumatic Bonding, Wikipedia: cyclical abuse, power imbalance, and contexts of trauma bonds.

  2. Trauma Bonding, Psychology Today: definition, signs, and mechanisms of intermittent reinforcement.

  3. Trauma Bonding and Interpersonal Violence, Reid et al. (2013): conceptualization and contexts of trauma bonding.

  4. Palmer, M. (2024). An examination of how individuals experience a traumatic bond: latent profile analysis and distinctions from attachment.

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When the Past Feels Present: How Epstein Files Coverage Can Shake Trauma Survivors—and How We Can Show Up for Each Other

The public release of the Epstein files has reopened a painful conversation about sexual exploitation, systemic failure, and the countless survivors who have endured these harms in silence. But alongside public outrage and political scrutiny, there’s a quieter, more intimate story unfolding—one happening inside the nervous systems of trauma survivors who are reliving echoes of their own experiences.

The public release of the Epstein files has reopened a painful conversation about sexual exploitation, systemic failure, and the countless survivors who have endured these harms in silence. But alongside public outrage and political scrutiny, there’s a quieter, more intimate story unfolding—one happening inside the nervous systems of trauma survivors who are reliving echoes of their own experiences.

If someone you love seems shaken, or if you feel unsettled and can’t quite explain why, you’re not alone. The emotional weight of stories like these can land hard, and understanding why they do is an important part of healing.

When the News Hits Too Close: Why the Epstein Files Impact Trauma Survivors So Deeply

For many survivors, the coverage surrounding the Epstein case is more than just news—it’s a reminder of harm that was ignored, minimized, or hidden. Psychiatrists have noted that survivors often face a “double jeopardy”: first the abuse, and then the disbelief or dismissal that follows, leaving wounds that can last for decades.

When the media revisits stories involving sexual exploitation, power imbalances, and failures to hold perpetrators accountable, survivors can feel retraumatized—especially when the disclosures include graphic details or emphasize how many warning signs were overlooked. Some of the recently released Epstein materials include sensitive descriptions of sexual assault, making them particularly triggering for individuals with a trauma history.

These reactions aren’t “overreactions.” They are nervous system responses shaped by lived experience and protective instinct.

What’s Happening in the Body: A Polyvagal Lens on Trauma Triggers

The physical and emotional reactions trauma survivors feel when exposed to triggering news stories can be better understood through polyvagal theory, developed by neuroscientist Stephen Porges. This framework explains how our autonomic nervous system responds to cues of safety or threat—often without conscious awareness.

The Three States of the Nervous System

  • Ventral Vagal State (Connection & Safety):
    When the world feels safe, we can connect, think clearly, and regulate emotions.

  • Sympathetic Activation (Fight or Flight):
    When a story like the Epstein files hits the news, it can signal “danger,” leading to anxiety, agitation, or a sense of internal buzzing.

  • Dorsal Vagal Shutdown (Freeze or Collapse):
    When the threat feels overwhelming, survivors may emotionally shut down, disconnect, or feel numb—an autonomic strategy for self‑protection.

Polyvagal theory suggests that for trauma survivors, the nervous system can quickly shift into defensive states because earlier life experiences have “reconditioned” their internal alarms. What looks like an emotional reaction is, in reality, a physiological one.

Understanding this can help survivors meet their reactions with compassion—and help loved ones respond in more supportive ways.

How to Support a Friend or Loved One Who Is Triggered

When someone you care about is thrown off balance by traumatic news, your presence can make a meaningful difference. Here are ways to support them without overwhelming them:

Lead With Calm, Not Questions

Your tone of voice, facial expression, and pacing can cue their nervous system toward safety. This is called co-regulation, and it’s a powerful polyvagal-informed principle.

Validate Their Feelings

Sentences like:

  • “I’m here with you.”

  • “This makes sense.”

    These can counter the invalidation many survivors have experienced—even decades after the trauma.

Invite (But Don’t Push) Grounding

Offer gentle options:

  • Slow breathing together

  • Looking around the room

  • Feeling feet on the floor

    These help re-engage ventral vagal pathways that support emotional regulation.

Protect Their Peace

Encourage stepping back from the relentless news cycle. The Epstein materials are extensive and, in some cases, graphic; boundaries around media exposure can be essential for nervous system stability.

Ask What Support Looks Like

Let them define what they need. Trauma often involves a loss of agency; offering choice helps restore it.

How Therapy Can Help Survivors Navigate Triggers and Heal

Therapy—especially trauma informed approaches grounded in polyvagal theory—can help survivors understand their nervous system, regain emotional flexibility, and restore a sense of safety in their bodies and relationships.

Polyvagal-informed therapies focus on:

  • Recognizing and mapping autonomic states

  • Identifying triggers and cues of safety

  • Strengthening vagal regulation through breath, movement, vocalization, and relational connection

  • Building resilience through co-regulation with a therapist

These modalities help survivors shift from being “stuck” in survival states to experiencing more moments of ventral vagal calm and connection. Research shows that polyvagal-informed approaches enhance emotional regulation and reduce trauma symptoms.

Therapy also provides a space to process the secondary trauma that news coverage like the Epstein files can stir—the anger, the grief, the sense of systemic betrayal—and to reconnect with hope.

References

  1. Moffic, H. S. (2025). The Epstein Files, the Abuse of Women, and Psychiatry. Psychiatric Times.

  2. Institute for Functional Medicine. (2024). Understanding PTSD From a Polyvagal Perspective.

  3. PBS News. (2026). The latest Epstein files release includes famous names and new details about an earlier investigation.

  4. U.S. Department of Justice. (2026). Epstein Library (Epstein Files Transparency Act Disclosures).

  5. Sky News. (2026). Epstein files: The key findings so far.

  6. Psychotraumatology Institute. (2025). Polyvagal Theory–Informed Therapies.

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Navigating Grief Together: A Message from Dr. Courtney Stivers

Over the past two weeks, our workplace community has been touched by a profound wave of loss. Three of our employees have experienced the passing of close loved ones, and within my own extended family, we are mourning the loss of a child to cancer. These moments remind us of the fragility of life, the depth of human love, and the universal experience of grief that connects us all.

Over the past two weeks, our workplace community has been touched by a profound wave of loss. Three of our employees have experienced the passing of close loved ones, and within my own extended family, we are mourning the loss of a child to cancer. These moments remind us of the fragility of life, the depth of human love, and the universal experience of grief that connects us all.

Grief is not a linear journey, nor is it something that follows rules or timelines. It arrives without warning, lingers in unexpected ways, and reshapes our understanding of the world. For some, it shows up as tears. For others, silence. For many, it appears as exhaustion, confusion, or even moments of laughter that bring guilt. All these experiences are real, valid, and deeply human.

The Weight We Carry

When loss touches a workplace, it doesn’t stay at the door. We bring our whole selves to our work—our strengths, our fears, our hopes, and our heartaches. As we navigate these recent losses, it's important to recognize that grief affects each of us differently. There is no “right way” to mourn. What matters is that no one faces it alone.

To everyone else who wants to help: your compassion and patience can be a powerful source of comfort. Sometimes the smallest gestures—checking in, offering help, or simply acknowledging someone’s pain—can mean more than you realize.

When Grief Hits Close to Home

As I walk through grief within my own family, I am reminded of both the pain and the privilege of being human. Losing a child—especially to something as senseless as cancer—is a wound that words cannot fully hold. My family is learning, day by day, how to breathe differently, love differently, and find meaning again in the midst of heartbreak.

Sharing this with you is not easy, but it feels important. Leaders are not immune to loss. Professionals do not cease to be vulnerable. And even those who help others through their darkest moments must also learn to walk through their own.

Years ago, I endured the painful loss of my mother after her battle with an aggressive from of breast cancer. Losing a parent leaves a particular kind of void—one filled with memories, gratitude, and the ache of unfinished conversations.

During that time, my family was lifted by tremendous support from friends, loved ones, and our community. Their meals, prayers, messages, and simple presence reminded us that even in the darkest seasons, we do not walk alone. That support helped shape how I understand compassion today—and it continually inspires the way I show up for others in moments of loss.

Supporting One Another Through the Process

Grief becomes more bearable when it is met with community. In the coming days and weeks, I encourage all of us to:

  • Show grace — to yourself and others.

  • Lean on the support available — whether through colleagues, friends, mental health resources, or spiritual practices.

  • Recognize signs of overwhelm — such as withdrawal, irritability, or fatigue — and reach out when you notice them in others.

  • Allow yourself to feel — whatever arises, without judgment.

Healing doesn’t mean forgetting. It means finding ways to carry our memories forward while learning to live with a new kind of normal. 

Sending hugs to anyone who is hurting today.  You do not have to go through it alone.   

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Meet Our New Clinical Director of Family Services!

We are delighted to share an exciting milestone in the growth of our practice. Kate Mills, MA, LCPC has been promoted to Clinical Director of Family Services at Summit Family Therapy!

For years, Kate has been a cornerstone of what makes Summit special. Her dedication, compassion, and professionalism have profoundly shaped the experiences of our clients and our team. This promotion reflects not only her clinical expertise, but also the exceptional heart, leadership, and integrity she brings into every room she enters.

We are delighted to share an exciting milestone in the growth of our practice!

Kate Mills, MA, LCPC has been promoted to Clinical Director of Family Services at Summit Family Therapy!

Dear Friends, Clients, and Community Partners,

For years, Kate has been a cornerstone of what makes Summit special. Her dedication, compassion, and professionalism have profoundly shaped the experiences of our clients and our team. This promotion reflects not only her clinical expertise, but also the exceptional heart, leadership, and integrity she brings into every room she enters.

A Leader Who Embodies Our Values

Kate is known for her deep respect for each individual’s story and her unwavering belief that every person deserves to be heard. She has helped cultivate a workplace where empathy, authenticity, and collaboration flourish—values that radiate into the care our clients receive every day.

Her work ethic and commitment to excellence set a high standard for our entire team. Whether supporting colleagues, consulting on cases, or introducing innovative therapeutic ideas, Kate consistently leads with calm confidence, example, and an encouraging spirit.

Advanced Training & Specializations

Kate’s clinical expertise is both broad and highly specialized. Her flexible, person-centered approach incorporates talk therapy, cognitive-behavioral strategies, EMDR, expressive arts, and play—ensuring that every client can find a path to healing that feels safe, meaningful, and empowering.

A Heart for Families & Community

Kate has a natural gift for helping clients discover deeper meaning and connection within themselves and their relationships. Her warmth and insight have guided countless individuals and families toward resilience, peace, and healthier ways of living.

Outside the therapy room, Kate’s joyful, grounded presence continues to inspire. She draws strength from her large extended family, and she cherishes time spent with her three sons and their dogs—whether playing games, exploring outdoors, or enjoying a great TV re-run or new food adventure.

We are thrilled for what this next chapter means not only for Kate, but for our entire Summit Family Therapy community. Her leadership will continue to shape our commitment to providing compassionate, evidence-based care for individuals, couples, and families across all seasons of life.

Please join us in celebrating Kate Mills!

We are grateful to have her guiding our mission and strengthening the work we do every day.

Warmly,
The Summit Family Therapy Team

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When Friendship Feels Hard: Understanding the Barriers That Keep Us Apart

Most of us agree that friendship is important, yet many people quietly struggle to create and maintain meaningful relationships. As a therapist, I hear this often:

  • “I’m terrible at making friends.”

  • “Everyone else seems to have a social circle. What's wrong with me?”

  • “My friendships drift as life gets busier.”

  • “I don’t even know where to start.”

Most of us agree that friendship is important, yet many people quietly struggle to create and maintain meaningful relationships. As a therapist, I hear this often:

  • “I’m terrible at making friends.”

  • “Everyone else seems to have a social circle. What's wrong with me?”

  • “My friendships drift as life gets busier.”

  • “I don’t even know where to start.”

If you’ve ever felt this way, you’re not alone. There are very real, very human reasons people find friendship harder in adulthood.

Let’s talk about some barriers and why investing in relationships is still one of the best things you can do for your well-being. (See my previous post for more information on how friendships impact our health). 

Barrier 1: We’re Busy. Really Busy

Between work, family duties, childcare, and the daily logistics of life, many adults simply run out of time and emotional energy. Friendship often becomes the thing we get to “when life slows down,” except life rarely does.

Potential Solution:
Schedule connection the same way you schedule appointments. Friendship deserves a place on the calendar.

Barrier 2: Life Transitions Change Our Social World

Moves, breakups, new jobs, parenthood, health challenges or other transitions reshape our routines and priorities. Even strong friendships can weaken without intentional effort.

Potential Solution:
Acknowledge that friendships naturally ebb and flow. Reach out even when years have passed. Reconnection is often easier than we fear.

Barrier 3: We Rely Too Heavily on Digital Connection

Social media can trick us into feeling “connected” while offering little of the emotional engagement that real friendship provides. Online interactions often lack depth, vulnerability, and mutual support.

Potential Solution:
Supplement digital contact with real conversations when possible. Challenge yourself to use voice notes, phone calls, or in-person time. 

Barrier 4: We Learn Early to Prioritize Self-Sufficiency

Many people internalize the belief that needing others is a sign of weakness. But emotionally healthy people do lean on each other: not because they’re fragile, but because connection is part of being human.

Potential Solution:
Try reframing reaching out as strength: “I value this relationship enough to invest in it.”

Barrier 5: Fear of Vulnerability

To form a close friendship, we need to let people see the real us; our hopes, fears, insecurities. That can feel risky, especially if we’ve been hurt before.

Potential Solution:
Start small. Share honest pieces of yourself gradually, giving others the opportunity to know you a little at a time. Trust is built, not assumed.

Friendships Are Worth the Effort

Even with these challenges, research consistently shows that meaningful friendships improve mental health, increase resilience, and create a buffer against life’s stressors.

Friendship is not effortless. But like any worthwhile investment, the rewards far outweigh the work.

Further Reading & Resources

If you’d like to explore this topic further, these resources offer research-based insight in a way that’s approachable, validating, and practical. You don’t need to read or watch everything, consider choosing what feels most relevant to where you are right now.

Books

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The Fourth “F” — Fawning

Most people are familiar with the classic trauma responses: fight, flight, and freeze. But trauma research has increasingly recognized a fourth response that often hides in plain sight: fawning.

Most people are familiar with the classic trauma responses: fight, flight, and freeze. But trauma research has increasingly recognized a fourth response that often hides in plain sight: fawning.

In her book Fawning: Why the Need to Please Makes Us Lose Ourselves — and How to Find Our Way Back, psychologist Dr. Ingrid Clayton describes fawning as a hybrid trauma adaptation—a subconscious survival strategy in which a person moves toward the source of threat rather than away from it. Instead of protecting ourselves through avoidance or defense, we attempt to secure safety by appeasing, pleasing, or over‑accommodating the person who feels unsafe or unpredictable.

What Fawning Is (and Isn’t)

Fawning is often mistaken for people‑pleasing or codependency, but the underlying motivation is different.

  • People‑pleasing is typically about wanting to be liked.

  • Codependency involves enmeshment and lack of boundaries.

  • Fawning, however, is a trauma‑based response rooted in fear, insecurity, and the need for emotional or physical safety.

Fawning shows up when we feel inexplicably drawn closer to someone who causes harm or instability—something that doesn’t make logical sense but makes emotional survival sense. Instead of withdrawing from pain or dysfunction, we move toward it, hoping to minimize conflict or avoid abandonment.

Why Fawning Keeps Us Stuck

Fawning helps explain why people:

  • Stay in harmful relationships

  • Remain in toxic workplaces

  • Tolerate dysfunctional environments

  • Ignore red flags that seem obvious to others

Like all trauma responses, fawning originally served a purpose—it helped someone survive an unsafe environment. But when it becomes an automatic, lifelong pattern, it can lead to resentment, burnout, loss of identity, and chronic self‑silencing.

Signs You Might Be “Fawning”

If you’ve ever found yourself doing the following, you may be operating from a fawn response:

  • Apologizing to someone who hurt you in an attempt to defuse tension

  • Ignoring a partner’s harmful behavior because speaking up feels dangerous

  • Staying up late or overworking to stay on your boss’s “good side”

  • Befriending bullies or difficult people to reduce conflict

  • Worrying constantly about saying the “wrong” thing

  • Shifting your personality, preferences, or opinions for approval

At its core, fawning is about earning safety through compliance—a strategy that may once have been protective but becomes harmful when it replaces healthy boundaries.

How Therapy Helps Break the Fawn Response

Healing requires learning new ways to experience safety, connection, and self‑expression. Several evidence‑based therapies can support this process:

  • Cognitive Behavioral Therapy (CBT): Helps identify survival‑based beliefs (“I’m only safe if everyone is happy with me”) and replace them with healthier cognitions.

  • Dialectical Behavior Therapy (DBT): Strengthens emotional regulation, boundary‑setting, and distress tolerance.

  • Internal Family Systems (IFS): Helps explore protective parts of the self that developed the fawn response.

  • Eye Movement Desensitization and Reprocessing (EMDR): Reprocesses traumatic memories that created the pattern.

  • Somatic Experiencing: Helps the nervous system learn safety through body‑based awareness and regulation.

Fawning is not a character flaw—it’s a trauma imprint. With the right support, people can reconnect with their authentic selves, develop healthy relationships, and rebuild a sense of internal safety.


References

Clayton, I. (2023). Fawning: Why the need to please makes us lose ourselves—and how to find our way back.

Herman, J. L. (2015). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror. Basic Books.

Linehan, M. M. (2015). DBT skills training manual (2nd ed.). Guilford Press.

Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton.

Schwartz, R. C. (2021). No bad parts: Healing trauma and restoring wholeness with the internal family systems model. Sounds True.

Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy (3rd ed.): Basic principles, protocols, and procedures. Guilford Press.

van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

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The Silent Weight Men Carry

“Suck it up, butter cup.”

“Rub some dirt in it.”

Most men have heard some version of these lines, little slogans wrapped in toughness and handed to boys long before they ever understand what they mean. Years ago, someone said I was “the least masculine employee.” To this day, I still don’t know what that’s supposed to mean.

“Suck it up, butter cup.”

“Rub some dirt in it.”

Most men have heard some version of these lines, little slogans wrapped in toughness and handed to boys long before they ever understand what they mean. Years ago, someone said I was “the least masculine employee.” To this day, I still don’t know what that’s supposed to mean.

Some men reading this may already be rolling their eyes or getting ready to accuse me of being woke. But stay with me, because what I’m talking about isn’t politics. It’s pain. It’s shame. It’s the quiet, suffocating struggle that too many men carry alone.

The Shame That Chokes

The shame men feel about seeking mental health support in our culture is palpable. In fact, it’s choking the life out of men who desperately need help but don’t feel allowed to ask for it. We’ve placed this bizarre expectation on men to “have it all together,” as if being male somehow comes with a manual for emotional invincibility.

Understanding the origins of these cultural expectations is important, but that’s a paper for another day. Today, I want to speak from the heart and from years of working with men from every walk of life.

The High Cost of Silence

I’ve worked with hundreds of men and boys, and nearly all of them have struggled under the same pressure:

Be strong.

Don’t cry.

Hold it together.

Don’t let them see you sweat.

I see this pressure at its most intense in first‑responder and military communities. These men are expected to have the answers, rise to the occasion, and if necessary, even meet violence with violence. But ask them how they’re feeling? Suggest that they practice self‑care or see a therapist? Some would rather walk it off even if they’re metaphorically (or literally) bleeding out.

Think Monty Python’s “It’s only a flesh wound” scene from the Holy Grail. That’s how a lot of men treat emotional injuries, as if admitting harm is worse than the harm itself.

Even in faith settings, men are expected to be unwavering pillars, protectors, providers, and leaders. But what happens when they fall short? When they doubt, struggle, or crumble under expectations?

Shame swoops in.

Shame tells them they’re less than other men.

Not good enough.

Not strong enough.

Not smart enough.

Not spiritual enough.

And men begin comparing themselves to other men, it’s what we do, usually while everyone is pretending they’re fine making small talk about the latest game or trend.

So, What Should Men Do?

If you’re a man reading this, here’s a hard but honest question:

Do you know how your behavior and your words impact the people around you?

Sometimes the expectations we cling to, the ones we think make us men, are the very things holding us back from real connection, growth, and emotional depth. It’s possible that what you were taught to value is actually harming your relationships and your own development.

So, here’s the real test of courage:

Can you admit you need help?

Can you take the first vulnerable step toward change?

Because being a man has nothing to do with being the strongest or the most dominant person in the room. It’s about how you show up.

Do people feel secure around you?

Do you act with integrity?

Do your values line up with your behavior?

These are the real markers of strength.

A New Kind of Masculinity

Men deserve deeper connections, richer relationships, and the freedom to be fully human, and not just stoic warriors marching silently toward burnout or breakdown.

If you’ve ever felt like you needed to “suck it up,” maybe today is the day you don’t.

Maybe today is the day you loosen your grip and admit:

“This is heavy, and I can’t carry it alone.”

Because asking for help doesn’t make you weak.

It makes you honest.

It makes you courageous.

And most importantly, it makes you whole.

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Hat, Haircut, and Tattoo Decisions: A Better Way to Decide Almost Anything

Years ago, I stood in a store holding a sweater I didn’t need but really liked.

It wasn’t expensive. It wouldn’t change my life. And yet, I stood there debating it like I was deciding whether to quit my job.

At the same time, I was doing the opposite in other areas of my life. I tended to make impulsive, rushed, high-stakes decisions with far less thought than they deserved.

Years ago, I stood in a store holding a sweater I didn’t need but really liked.

It wasn’t expensive. It wouldn’t change my life. And yet, I stood there debating it like I was deciding whether to quit my job.

At the same time, I was doing the opposite in other areas of my life. I tended to make impulsive, rushed, high-stakes decisions with far less thought than they deserved.

I was reminded of this dilemma when presented with the mental model James Clear shares in Atomic Habits: hat, haircut, and tattoo decisions (Clear, 2018).

Once I learned it, I started noticing how often I get decision-making backwards.

The Mental Model

James Clear breaks decisions into three categories:

  • Hat decisions are easy to reverse. You try them on. If you don’t like them, you take them off.

  • Haircut decisions take time to undo. You’ll live with the result for a while, but it’s not permanent.

  • Tattoo decisions are long-lasting or irreversible. They shape your identity and future options.

The issue isn’t poor judgment.
It’s misclassifying the decision.

Hat Decisions: Low Risk, High Learning

Buying the sweater was a hat decision.

The downside was limited. The upside was learning whether I’d actually enjoy wearing it. Either way, the cost of being wrong was small.

Hat decisions tend to be:

  • Low cost

  • Reversible

  • Rich in feedback

And yet, these are the decisions we overthink the most.

We hesitate to:

  • Try a new routine

  • Publish a piece of writing

  • Attend one class or event

  • Test a new tool or habit

Behavioral science consistently shows that small experiments reduce fear and increase action. This is the foundation of Eric Ries’ Lean Startup methodology, which emphasizes rapid experimentation and learning over premature optimization (Ries, 2011).

Psychologically, this works because it lowers perceived risk and bypasses loss aversion: the tendency to overweight potential losses relative to gains (Kahneman & Tversky, 1979).

Hat decisions aren’t about being right.
They’re about learning quickly.

Haircut Decisions: Commit, Then Revisit

Changing jobs, on the other hand, is not a hat decision.

It’s a haircut.

When I changed roles a few years ago, I knew I wasn’t locking myself into a permanent identity; but I also knew the decision would shape my skills, network, and trajectory for years. There were switching costs. I couldn’t just undo it next week.

Haircut decisions:

  • Require commitment

  • Have delayed feedback

  • Are reversible, but not instantly

Examples include:

  • Changing roles or career direction

  • Moving to a new city

  • Taking on a long-term project

  • Committing to a serious fitness or financial plan

Research on goal-setting shows that commitment paired with clear review points leads to better outcomes than either indecision or blind persistence (Locke & Latham, 2002).

Instead of asking, “Is this perfect?”
A better question is:

“Can I commit to this for a defined period and reassess honestly?”

Haircut decisions shouldn’t trap you, but they should be taken seriously.

Tattoo Decisions: Slow Down and Zoom Out

Then there are tattoo decisions.

For me, this looked like making a meaningful financial sacrifice early in my career: choosing flexibility and alignment over immediate compensation. That choice closed some doors while opening others.

Tattoo decisions tend to:

  • Be difficult or impossible to reverse

  • Shape identity

  • Influence future options in compounding ways

Examples include:

  • Marriage

  • Having children

  • Starting a company

  • Taking on significant debt

  • Publicly anchoring your identity to a role or belief

James Clear emphasizes that identity-based decisions are the hardest to undo, because once something becomes part of who we think we are, it reinforces future behavior (Clear, Identity-Based Habits).

This is why tattoo decisions deserve slowness: not fear, but reflection.

Tattoo decisions aren’t about efficiency.
They’re about alignment.

The Hidden Cost of Category Errors

Most decision-related stress comes from treating the wrong decisions as permanent.

  • Overthinking hat decisions leads to anxiety and stagnation

  • Rushing tattoo decisions leads to regret

Cognitive biases help explain why:

  • Loss aversion magnifies small risks

  • Social evaluation inflates trivial choices

  • Present bias downplays long-term consequences (Thaler, 1981)

Clarity returns when you ask:

What kind of decision is this, really?

A Simple Filter

When faced with a difficult choice, ask:

  1. How reversible is this?

  2. What’s the worst (realistic) downside?

  3. What information will I gain by acting?

Then match your speed accordingly:

  • Hat → act quickly

  • Haircut → commit with a timeline

  • Tattoo → slow down and zoom out

Why This Matters for Habits and Growth

Most meaningful change doesn’t begin with a tattoo decision.

It begins with hat decisions repeated consistently.

Research on self-perception theory suggests that we infer identity from behavior, not intention (Bem, 1972). Small actions, repeated over time, quietly reshape how we see ourselves.

By lowering the stakes on most decisions, we make better ones on the few that truly matter.

So buy the sweater - or don’t - but don’t let it drain your energy.
Save that care for the decisions that will still matter years from now.

Does this idea resonate with you? Check out my works cited, or here's a short list of recommendations:

  1. Atomic Habits by James Clear
    The foundation. Clear’s work on identity-based habits explains why small, reversible actions compound into permanent change, and where the hat, haircut, tattoo framework fits into a bigger picture.
    https://jamesclear.com/atomic-habits

  2. Identity-Based Habits (Article) by James Clear
    A short, high-impact read that clarifies why some decisions feel permanent: once something becomes part of your identity, it’s much harder to undo.
    https://jamesclear.com/identity-based-habits

  3. Thinking, Fast and Slow by Daniel Kahneman
    A classic on how humans misjudge risk and consequence. Especially useful for understanding why we overthink low-stakes decisions and underestimate long-term ones.

  4. Hat, Haircut, Tattoo Decisions (Video)
    A clear, accessible breakdown of the framework in video form. Great if you want a quick refresher or prefer visual explanations.
    https://www.youtube.com/watch?v=AHIXRo7zICM



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counseling, Summit Family Therapy Robin Hayles, MA, LCPC counseling, Summit Family Therapy Robin Hayles, MA, LCPC

The Grieving Body: How Loss Lives in the Body

Grief is one of the most painful and disorienting human experiences. Many describe it as feeling as though a part of themselves has been cut away—an absence so profound it is felt not only emotionally, but physically. In The Grieving Brain, psychologist and neuroscientist Mary‑Frances O’Connor, PhD, offers compelling scientific and clinical insight into why grief feels the way it does and how loss fundamentally reshapes the body and brain.

A Book Review of The Grieving Body By Mary‑Frances O’Connor, PhD.

Grief is one of the most painful and disorienting human experiences. Many describe it as feeling as though a part of themselves has been cut away—an absence so profound it is felt not only emotionally, but physically. In The Grieving Brain, psychologist and neuroscientist Mary‑Frances O’Connor, PhD, offers compelling scientific and clinical insight into why grief feels the way it does and how loss fundamentally reshapes the body and brain.

O’Connor’s work challenges the common misconception that grief is “all in our head.” Instead, she demonstrates that grief is a whole‑body experience, rooted in biology, attachment, and survival.

Grief as a Biological Experience

According to O’Connor, bereavement activates powerful physiological responses. The death of a loved one can trigger increased heart rate, elevated blood pressure, heightened stress hormones, and inflammatory processes throughout the body. These responses occur because close relationships are not simply emotional bonds—they are part of our survival system.

Humans are wired for attachment. When we form a close bond, our nervous systems become attuned to another person’s presence, habits, and rhythms. Over time, the brain comes to rely on that relationship in ways that operate largely outside of conscious awareness. The sudden loss of that bond places the body into a state of alarm, as though something essential to survival has disappeared.

This helps explain why grief can feel so physically distressing: the body is reacting to danger, not metaphor.

The Loneliness of Loss and the Brain’s Search

One of O’Connor’s central themes is the brain’s effort to make sense of absence. After a loss, the world can feel painfully unfamiliar. Widows and widowers often describe a deep loneliness that cannot be easily named—not merely the absence of companionship, but the absence of a shared reality.

O’Connor explains that grief is not just cognitive (“I know they are gone”), but also emotional and neurological. The brain continuously predicts where our loved one will be, how they will respond, and how we will move through the world together. After a death, the brain must repeatedly confront the mismatch between expectation and reality.

This ongoing process of recalibration is exhausting and can leave grieving individuals feeling confused, unfocused, or emotionally overwhelmed.

The Body Keeps the Score of Loss

A particularly sobering contribution of The Grieving Brain is O’Connor’s discussion of the physical risks associated with bereavement. Research shows that chronic health conditions may emerge or worsen sooner following the death of a loved one. The prolonged stress of grief can accelerate inflammation, weaken immune functioning, and exacerbate underlying medical vulnerabilities.

O’Connor highlights the well‑documented “widowhood effect,” which shows a significantly increased risk of illness and mortality following spousal loss. In the first one to three months after a wife’s death, a surviving husband’s risk of death approximately doubles. Following a husband’s death, a surviving wife’s risk increases by approximately 50 percent. While this elevated risk decreases over time, bereavement is clearly a period of heightened physical vulnerability.

In rare but real cases, sudden cardiac events—sometimes referred to as “broken heart syndrome”—can occur following acute emotional loss.

Clinical Implications and Compassionate Care

O’Connor’s work carries an important message for both clinicians and bereaved individuals: grief deserves medical and psychological attention. Survivors are often encouraged to “be strong” or “move on,” yet the science suggests the opposite—grief requires care, monitoring, and compassion.

Medical follow‑ups, mental health support, and reduced self‑criticism during early bereavement are not indulgent; they are protective. Understanding grief as a biological process may also relieve some of the shame grieving individuals feel when their bodies seem to “betray” them.

A Grounded, Hopeful Perspective

While The Grieving Brain is rooted in neuroscience, it is ultimately a deeply humane work. O’Connor does not offer quick solutions or timelines. Instead, she emphasizes that adaptation after loss takes time and that the brain is capable of relearning a world forever changed.

This book is particularly valuable for grief therapists, medical professionals, and anyone navigating loss. It validates the experience of grief as both profoundly painful and deeply human—something that happens not because we are weak, but because we are bonded.

Final Reflections

The Grieving Brain reframes grief as a biological, relational, and survival‑based experience. Mary‑Frances O’Connor reminds us that love does not end when someone dies—and neither does the body’s memory of that love.

Grief lives in the body because love lived there first.

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counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT counseling, Summit Family Therapy Dr. Courtney Stivers, PhD, LMFT

Gaslighting: What It Really Means (And Why We Need to Stop Misusing It)

Have you ever heard someone say, “You’re gaslighting me!” during an argument? These days, the term pops up everywhere—social media, TV shows, even casual conversations. But here’s the thing: gaslighting isn’t just a trendy buzzword. It’s a serious form of psychological manipulation, and when we throw it around carelessly, we risk losing sight of what it really means.

Have you ever heard someone say, “You’re gaslighting me!” during an argument? These days, the term pops up everywhere—social media, TV shows, even casual conversations. But here’s the thing: gaslighting isn’t just a trendy buzzword. It’s a serious form of psychological manipulation, and when we throw it around carelessly, we risk losing sight of what it really means.

Let’s dive deeper into what gaslighting really is, why it’s harmful, how to spot it, and what to do if you’re experiencing it.

What Exactly Is Gaslighting?

Gaslighting is more than lying or disagreeing—it’s a deliberate, ongoing effort to make someone doubt their reality. The term comes from the classic film Gaslight, where a husband manipulates his wife into questioning her sanity by dimming the lights and denying it ever happened.

In real life, gaslighting looks like:

  • Intentional distortion of reality: “That never happened. You’re imagining things.”

  • Power imbalance: It often occurs in relationships where one person holds more control.

  • Long-term impact: Over time, the victim starts questioning their own memory and judgment.

Gaslighting is not a one-time lie or a heated argument. It’s a pattern of behavior designed to erode someone’s confidence in their own perception.

Why Is It So Harmful?

Gaslighting isn’t just frustrating—it’s damaging. Victims often experience:

  • Loss of self-trust: They stop believing their own thoughts and feelings.

  • Emotional dependence: The manipulator becomes the “truth-teller.”

  • Mental health struggles: Anxiety, depression, and trauma are common outcomes.

Imagine constantly second-guessing yourself—wondering if you’re “too sensitive” or “making things up.” That’s the reality for many people who experience gaslighting.

When We Misuse the Term

Here’s the problem: “gaslighting” has become shorthand for any disagreement or lie. That’s not accurate—and it matters. Misusing the term can:

  • Dilute its meaning: Real victims struggle to be heard when the word is overused.

  • Create confusion: Not every argument or misunderstanding is gaslighting.

  • Trivialize abuse: It’s a serious issue, not a casual insult.

Gaslighting requires intent and repetition. A single lie? Not gaslighting. A difference in opinion? Definitely not gaslighting.

How to Spot Gaslighting

If you’re wondering whether you’re experiencing gaslighting, look for these signs:

  • Repeated denial of facts you know to be true.

  • Twisting your words to make you feel irrational or “crazy.”

  • Minimizing your feelings (“You’re too sensitive” or “You’re imagining things”).

  • Rewriting history to fit their narrative.

  • Making you question your memory or judgment over time.

  • Creating dependency so you rely on them for “the truth.”

If these behaviors happen consistently and intentionally, it may be gaslighting—not just a disagreement.

What to Do If You’re Being Gaslighted

Recognizing gaslighting is the first step. Here’s what you can do:

  • Document what happens: Keep a journal of conversations and events.

  • Seek outside perspective: Talk to trusted friends or a therapist who can validate your experiences.

  • Set boundaries: Limit interactions with the person if possible.

  • Prioritize your mental health: Gaslighting can take a toll—professional support can help you rebuild confidence.

  • Know when to walk away: In severe cases, leaving the relationship or environment may be necessary for your well-being.

The Bottom Line

Gaslighting is a powerful term for a harmful behavior. Let’s use it carefully. When we understand what it truly means, we can better support those who experience it—and keep our conversations honest and respectful.

References

  1. Abramson, K. (2014). Turning up the lights on gaslighting. Philosophical Perspectives, 28(1), 1–30.

  2. Sweet, P. L. (2019). The sociology of gaslighting. American Sociological Review, 84(5), 851–875.

  3. Sarkis, S. (2018). Gaslighting: Recognize Manipulative and Emotionally Abusive People—and Break Free. Da Capo Lifelong Books.

  4. American Psychological Association. (2023). Gaslighting. APA Dictionary of Psychology. Retrieved from https://dictionary.apa.org/gaslighting

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When the News Is Scary: How to Talk with Children About National Events

When distressing national events dominate headlines—violence, disasters, protests, political conflict—children notice. They overhear conversations, catch glimpses of images, and feel the emotional “temperature” at home. As caregivers, we can’t control the news cycle, but we can shape how our families process it—together. Using a developmentally appropriate approach grounded in Family Systems Theory, this guide offers practical, age‑specific strategies you can use today.

When distressing national events dominate headlines—violence, disasters, protests, political conflict—children notice. They overhear conversations, catch glimpses of images, and feel the emotional “temperature” at home. As caregivers, we can’t control the news cycle, but we can shape how our families process it—together. Using a developmentally appropriate approach grounded in Family Systems Theory, this guide offers practical, age‑specific strategies you can use today.

Why Family Systems Theory Helps

Family Systems Theory views the family as an interconnected emotional unit. When something stressful happens out there, the ripple is felt in here. Key ideas:

  • Emotional contagion & homeostasis: Families seek balance; anxiety in one member can spread, or the system adapts to restore calm.

  • Differentiation: Each person learns to stay connected while managing their own emotions—crucial during crises.

  • Boundaries & roles: Clear, compassionate boundaries protect children; parents lead, children aren’t burdened with adult worries.

  • Triangles: Under stress, two people may pull in a third (e.g., child becomes a “go‑between” for upset adults). It’s our job to untriangle children and keep adult conflict adult.

  • Family rituals: Predictable routines and shared practices (mealtimes, check‑ins, bedtime rituals) reinforce safety and connection.

Core Principles for Any Age

  1. Regulate first, then relate.
    Children borrow our nervous system. Take a breath, lower your volume, and slow your pace before talking.

  2. Lead with safety and truth.
    Offer simple, honest, age‑appropriate facts. Avoid alarming details or graphic images.

  3. Follow their questions.
    Ask what they’ve heard or noticed. Clarify misconceptions; don’t overshare beyond their curiosity.

  4. Name feelings, normalize reactions.
    “It’s okay to feel worried. Lots of people feel that way when scary things happen.”

  5. Limit media exposure.
    Turn off autoplay and background news; co‑view when appropriate and debrief.

  6. Protect boundaries.
    Adult fears, political debates, and worst‑case speculations stay with adults—not children.

  7. Return to routine.
    Consistency is calming: meals, school, play, sleep.

What to Say: Age‑by‑Age Guidance

Ages 2–5 (Early Childhood)

Goal: Safety, reassurance, and very simple explanations.

  • Script:
    “Something sad happened far away. You are safe here. Grown‑ups are working to help.”

  • Do: Comfort with touch, keep routines, use play for expression (drawing, blocks, pretend).

  • Don’t: Show graphic footage or lengthy news; avoid abstract explanations they can’t grasp.

  • Family Systems Tip: Maintain soothing rituals (bath, bedtime story). Your calm presence restores family homeostasis.

Ages 6–8 (Early Elementary)

Goal: Concrete facts, emotional labeling, basic coping skills.

  • Script:
    “You may hear about people getting hurt in another city. Helpers are there. We’re making sure our family is safe.”

  • Do: Ask what they’ve heard; correct misinformation; teach “stop–breathe–name the feeling.”

  • Don’t: Offer speculative “what ifs.” Keep the focus local and practical.

  • Family Systems Tip: Reinforce roles—parents handle safety plans; kids share feelings and questions.

Ages 9–12 (Late Elementary/Middle)

Goal: Context, empathy, and guided problem‑solving.

  • Script:
    “Events like this can be complicated. People feel many things—sad, angry, confused. Let’s talk about what’s true and what’s rumor.”

  • Do: Discuss media literacy (credible sources vs. clickbait), brainstorm age‑appropriate actions (write a card, donate allowance, kindness projects).

  • Don’t: Offload adult political arguments onto children.

  • Family Systems Tip: Prevent triangles—if adults disagree, don’t recruit the child to “take sides.” Model respectful dialogue.

Ages 13–15 (Early Adolescence)

Goal: Nuance, civic understanding, values clarification, emotion regulation.

  • Script:
    “You’re seeing posts and videos fast. Let’s slow down and fact‑check. How do our family values guide our response?”

  • Do: Validate strong emotions; co‑create a social media plan; encourage constructive engagement (school clubs, volunteering).

  • Don’t: Minimize (“It’s not a big deal”). Avoid doom‑scrolling together.

  • Family Systems Tip: Support differentiation—invite perspectives without making teens responsible for adult anxieties.

Ages 16–18 (Late Adolescence)

Goal: Critical thinking, agency, and balanced participation.

  • Script:
    “If you want to attend a vigil or discuss this at school, let’s plan for safety, accurate information, and self‑care.”

  • Do: Explore multiple sources; discuss peaceful advocacy; set boundaries for debate at home.

  • Don’t: Shame or silence divergent views. Avoid catastrophizing.

  • Family Systems Tip: Maintain connection + boundaries—respect growing autonomy while keeping family rituals intact.

A 5‑Step Family Conversation Framework

  1. Check‑in (Parent self‑regulation):
    “I’m feeling a bit tense. I’m going to take a slow breath so I can listen well.”

  2. Open‑ended prompt:
    “What have you heard or noticed about what’s happening?”

  3. Validate + clarify:
    “It makes sense to feel uneasy. Here’s what’s accurate… and here’s what we don’t know yet.”

  4. Safety + plan:
    “You are safe here. Our plan is… (limit media, keep routine, one family check‑in tonight).”

  5. Coping + closing ritual:
    “Let’s do three calm breaths and read together before bed.”

Media & Social Feed Guidelines (Family Agreement)

  • No autoplay news in shared spaces.

  • Co‑view significant updates; pause and discuss.

  • Time‑bounded checks (e.g., 15 minutes after dinner).

  • Teens: verify before reposting; avoid graphic content; curate follows to credible sources.

  • End the day with a non‑news activity.

When Emotions Run High: Practical Tools

  • Body reset: 5–5–5 breath (inhale 5, hold 5, exhale 5) x3.

  • Name it to tame it: “I feel ___ because ___; I need ___.”

  • Movement: Walk, stretch, throw a ball—co‑regulate together.

  • Containment: Worry box or journal; set “news hours,” not all day.

  • Connection bids: Short, frequent touches—tea together, brief check‑ins.

Special Situations

  • Recent family trauma or loss: Keep explanations minimal, emphasize present safety; increase supportive contact and professional care when needed.

  • Household disagreements about the event: Adults resolve conflict away from children; present a unified message of safety and respect.

  • Community exposure (school discussions, vigils): Prepare your child in advance; debrief after; re‑establish routine quickly.

What Not to Do (Common Pitfalls)

  • Over‑sharing adult fears or worst‑case scenarios.

  • Treating older kids like mini‑adults or younger kids like unaware.

  • Using children to mediate adult conflict (triangling).

  • Leaving the TV/news on in the background.

  • Abandoning routines “until things calm down.”

A Closing Word

Children don’t need a perfectly calm world; they need consistent, connected adults who can help them make sense of a complex one. When families respond with clarity, compassion, and good boundaries, children learn a lifelong skill: how to stay grounded, stay connected, and think clearly—even when the world feels upsetting.

Further Reading (Selected)

  • Bowen, M. (1978). Family Therapy in Clinical Practice.

  • Minuchin, S. (1974). Families and Family Therapy.

  • American Academy of Pediatrics (AAP). Media Use Guidelines & Talking to Children about Tragedies.

  • National Association of School Psychologists (NASP). Talking to Children About Violence: Tips for Parents and Teachers.

  • Foy, D., & McCloskey, L. (2016). Trauma‑Informed Parenting.

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counseling, Summit Family Therapy Kate Mills, MA, LCPC counseling, Summit Family Therapy Kate Mills, MA, LCPC

The Quiet Power of Friendship: Why We Need Each Other More Than Ever

As a therapist, I’m often reminded that some of the most important healing doesn’t happen in my office. Healing happens over cups of coffee, in late-night phone calls, during shared laughter, or when someone says, “I’m here. Tell me what’s going on” or “I support you.”

As a therapist, I’m often reminded that some of the most important healing doesn’t happen in my office. Healing happens over cups of coffee, in late-night phone calls, during shared laughter, or when someone says, “I’m here. Tell me what’s going on” or “I support you.”

Friendship is not just a social luxury. It's an essential component of mental and emotional well-being. Research consistently shows that meaningful social connection is one of the strongest predictors of life satisfaction, resilience, and even physical health. And yet, in a world that prizes independence and busyness, many of us underestimate the quiet power of friendship.

This season I want to explore why investing in healthy friendship matters, and why nurturing these bonds is one of the healthiest choices you can make.

Friendship Supports Emotional Well-Being

Humans are wired for connection. Supportive friendships create a sense of belonging, which reduces feelings of loneliness and isolation. Even a single close relationship can significantly lower stress levels and improve our sense of stability.

Studies show that people with strong social ties have:

  • Better self-esteem

  • A stronger sense of purpose

  • Higher levels of happiness

  • Greater life satisfaction

Friends remind us that we don’t have to carry life alone.

Friendship Protects Mental Health

The benefits aren’t just emotional,  they’re biological. Supportive relationships have been linked to lower cortisol (the stress hormone), better emotional regulation, and reduced symptoms of anxiety and depression.

Friendship acts like a buffer between us and the stressful events of life. When we know we have someone to lean on, challenges feel more manageable.

And importantly: the quality of friendships matters more than the quantity.
A few deep, trusted relationships often offer more support than dozens of casual acquaintances.

Friendship Strengthens Physical Health, Too

Decades of research show consistent patterns: socially connected people tend to live longer, recover more quickly from illness, and have lower rates of chronic health conditions such as high blood pressure.

Why?
Because feeling supported lowers stress, encourages healthy habits, and strengthens the immune system. Friendship, in many ways, is preventative medicine.

Why Friendship Is Especially Important During Transitions

Life transitions often shake our sense of identity. New jobs, moves, parenthood, relationship changes, grief can leave us feeling untethered.

In these moments, healthy friendships provide continuity. They remind us of who we are, what we value, and how much we matter.

If you’re going through a challenging season, consider asking yourself: Who in my life offers comfort, grounding, and perspective? And have I reached out lately?

An Invitation

If friendship has slipped to the bottom of your priority list, as it often does for busy adults, it’s worth revisiting. Even small steps matter: a text message, a short check-in call, or setting a date to reconnect.

Your mental health will thank you.

Want to Learn More About Friendship & Mental Health?

If you’re curious about how friendships support emotional well-being, these resources are a great place to start:

  1. Platonic by Dr. Marisa G. Franco

A compassionate, research-based book about building and maintaining meaningful friendships as an adult.

  1. Friendship by Lydia Denworth

Explores the science behind why connection matters for our mental and physical health.

  1. Mayo Clinic: “Friendships: Enrich Your Life and Improve Your Health”

A clear, easy-to-read overview of how friendships reduce stress, improve mood, and support overall well-being.

  1. TED-Ed: “How Some Friendships Last — and Others Don’t”

A short, engaging video about what helps friendships thrive over time.

  1. BBC Global: “How Friendships Could Help Us Live Longer”

Looks at the link between social connection, health, and longevity.

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