Co-Rumination: Talking Too Much Can Lead To Depression And Anxiety In Adolescent Girls

4164756091_80f19ce3e2_zFor the most part, adolescent girls talk more than adolescent boys.  They just do. Little girls generally start talking sooner than boys and even as children are able to verbalize and express themselves much more efficiently. This ability to communicate has many advantages, especially in helping develop social-perspective taking skills (the understanding of other peoples thoughts, motivations, feelings and intentions).

Females are generally more gifted in the area of social-perspective skills which have great benefits including greater quality of friendships, better ability to get along with others, to show empathy and to be great caretakers. However, there is a downside to having well-developed social-perspective taking skills, including what is called co-rumination.

Co-rumination refers to extensively talking about and revisiting problems, focusing on negative feelings and speculating about problems with peers. While it is usually healthy to talk about problems, co-rumination generally focuses more on the problems themselves (especially negatively) and not on actual resolutions and therefore can be maladaptive.

Adolescent girls with good social-perspective skills are more likely to co-ruminate because they find it easier to talk to and relate to their friends about their problems and to understand their friends negative feelings about the problems. This type of understanding breeds closeness.

A  problem with co-rumination is that it exposes the person to their friends problems, worries and negative affect repeatedly which can lead to empathetic distress. Empathetic distress is feeling the perceived pain of another person. Which means not only does the youth have their own problems, they are also taking on the problems of their friends.

When I worked in the high school I would be amazed at how teenage girls would take on each others problems so much so that you would think it were their own. Some would see this as an endearing quality, but much of it was definitely dysfunctional. Sometimes the amount of enmeshment would almost seem pathological. Some teens would find it hard to concentrate because they were so worried about their friends problems even when in all reality, it had no impact on them.

I would listen to them discuss the same problems with each other over and over again offering no real resolutions, but instead harping on and internalizing them in ways that were more detrimental than helpful.

As a counselor, I would encourage problem solving and positive thinking. I would try to help them understand that their friends issue isn’t theirs as well as try to help them understand disclosure. Many teenagers today, in part thanks to social media, share way too much personal information with each other without understanding the impact it may have later.  Not understanding personal boundaries and disclosure is a crucial part of co-rumination and  both rumination and self-disclosure have been linked to increased anxiety.

Girls in friendships with a lot of co-rumination often view their friendships as high quality because there is a lot of understanding and empathizing, but there is often also a lot of internalizing of problems which leads to negatively and has been shown to increase the risk of anxiety and depression.

Boys on the other hand generally do not socialize and c0-ruminate as much as girls do. The trade off is that while they may be more protected from empathetic distress, they are also less likely to have high quality friendships. There must be a balance.

I also believe that the impact of co-rumination and empathetic distress affects people well into adulthood, especially those in enmeshed friendships or in the helping fields where we in some instances we call it secondary PTSD and burnout.

So what do we do with this information?

It’s hard to curtail co-rumination without discouraging social-perspective taking which also has very high and much needed benefits. One solution is to help the individual understand and balance their concerns for other people with their own needs. Helping an individual learn what is their problem, and what is not their problem also helps to start separating some of the negative affects of co-rumination.

Also, focusing on the positive would help a lot. Many young girls focus on and talk about their problems way too much and internalize them instead of resolving them which only makes them feel worse.

I’m not discouraging talking about problems or young girls talking to their friends about their problems, but there is certainly a healthy and unhealthy way for young girls to discuss, think about and solve their issues without ruminating and falling victim to empathetic distress.

Your Plans For Your Life May Upset Those Who Are Supposed To Support You

Ronda Rousey - Press ConferenceThis morning I read about Ronda Rousey, someone many of you probably have never heard of, but she is one of, if not the most famous woman in mixed martial arts and is the current female bantam weight champion.

Last week Thursday she hinted in a MMA article that she may retire early and possibly have a baby. A simple consideration for a young lady in her twenties, but many of her “fans” didn’t take it that way.

Many of her “fans” were irate and took to Twitter angry that she could even be thinking about retiring early, when she is still in the prime of her fighting career, and even more so, to retire and have a baby as if even thinking about a life outside of fighting was a sin.

She fought back on Twitter with her own angry comments and disappointment that even her talking about, thinking about retiring had her receiving backlash. She went on to say basically that she isn’t going to continue doing something if she feels like she’s accomplished what she set out to accomplish and/or doesn’t enjoy doing it any more.

That got me to thinking about a lot of things, including how we are affected by other peoples expectations for us and plans for us. You see, many of her so-called “fans” had put Ronda into a box and couldn’t even imagine her stepping outside of that box until they were ready for her to do so.

People will always have expectations and plans for us and a lot of times those expectations and plans will go against our very own expectations and plans. As long as we are living up to other people expectations and plans for us and our lives (living within their box) then things are very copacetic, but once we go outside of those boundaries, then things can get complicated and even heated.

We know this from being children, especially teenagers and young adults.

Maybe your parents expected you to go to college to be a doctor, but you decided to follow your dreams of being a fashion designer. How did that work out? Did your parents still support you or did they show their disapproval the way Ronda’s “fans” have at her decision to not fight until she is physically beat to a pulp with no life outside of fighting?

The same thing comes with friends and relationships. Maybe your husband expects you to stay at home with the kids, but that’s not what you want for your life? Is he going to support you in your decision or is he going to make you feel bad for even considering working outside of the home?

Most of us are influenced to some extent by other people’s expectations and plans for us and often times we don’t even know it. When we make plans for our own lives that go against what other people already had planned for us, it can send across waves of anxiety, even amongst those who are supposed to have our best interest at heart.

Take for example if you and all of your friends are stuck in a dead end job, but you decide to go back to school, switch jobs or are given a promotion. These same friends may resist that change, try to prevent you from making it or have animosity towards you for doing it.

Why?

One reason is that when we do something for ourselves that goes against other people’s plans and expectations for us, it causes them to reflect on how that change will effect them and forces them to think about themselves, their lives and about what they are and are not doing.

That’s why you can’t always expect your friends and family to encourage or celebrate your changes and accomplishment because your new direction may cause them anxiety which usually causes people (instead of focusing with in) to lash out either by not supporting your decision, plotting against it or having bitterness towards you for something as simple as buying a new car or getting a new hair-do.

When you do something that is different, they have to ask themselves, “now what for me?” and/or “What does this say about me?” Does your new car make them wonder what are they doing wrong so that they can’t afford a new car? Does your new hairstyle make them wonder why they can’t be as courageous as you are (instead of looking inward and recognizing that unconscious thought, they are likely to “dislike” your new hairstyle and try to make you dislike it too).

So, when making plans for your life, I think it is good and healthy to expect some resistance from those who are supposed to care about you the most. Hopefully all you will get is support, but don’t be surprised if you meet resistance or what some people call “hate”. Don’t get frustrated by it or allow it to distract you. All it is is a mirror being reflected back on them that makes them have to question their life and that is a good thing when they use it for motivation instead of “hater-ation”.

Betrayal Of Trust: How To Let Go And Move On When You’ve Been Hurt

affair_istock270Trust is an essential part of every relationship (romantic, family, business, friends, etc.). Trust defines interactions in relationships by building bonds and strengthening intimacy. Without trust, no relationship can truly grow to it’s full potential.

But what happens when that trust is betrayed?

Not everyone values trust as much as they should. Because trust at times is easily given, especially at first, it at times is also easily taken for granted. When trust is loss, the relationship suffers and sometimes fails.

When the trust is loss, it can be very hard, if not impossible to earn back. Whether trust can be restored or not depends on how much damage was done. Often the betrayed person just wants to end the relationship because of the pain and that is understandable.

However, many marriages have survived affairs and many relationships have survived betrayals.

If someone wants to work on rebuilding trust in the person that betrayed them, there are some things that they can do:

  1. Let the anger out– let the person that betrayed you know that you are hurting. It’s okay to let them know how you feel and you should. Often times the betrayed person feels rejected and is afraid to show anger towards the other person, but they end up just holding it in and letting it consume them, preventing any type of healing or rebuilding of trust to truly happen.
  2. Make up your mind to let it to, and then let it go– once you have let out your anger, let it go. That doesn’t mean blind forgiveness, but forgiving the person that betrayed you will free you up and set you free. If the person that betrayed you apologizes and you forgive them, then never bring up the incident over and over again. Don’t hold it over the person. Acknowledge that it happened. Acknowledge how you feel, but don’t beat them over the head with it if you hope to move on. Forgiveness is as much for you as it is for the other person.
  3. Know that will can never go back to the way they were before the betrayal– sadly, things have changed. The betrayal has done it’s damage. Things will never go back to the way they were before. Things will get better, but never the same. You may never trust the person the same again, but you can develop a type of mature trust and maybe not the naive trust you may have had before. I once counseled a woman who’s husband had had multiple affairs with multiple women, and surprisingly (through counseling) they managed to save their marriage and are still happily married today, but she couldn’t talk about her marriage and the affairs without crying, even years later, despite forgiving her husband and moving on.
  4. Be willing to ask others for help– you will need your support system to get through this. You can’t and don’t have to do it alone. know that you can ask for help when needed, even if it’s from the person that betrayed you. Let them know what you need from them. Often times we are too embarrassed about being the betrayal to ask for help because we don’t want others to judge us for forgiving the other person. If that’s the case, talking to a counselor may be the best source of support. There you will have someone who will listen to you without judgement and give you the support needed.
  5. Practice Trusting– people can’t earn back our trust without the opportunity to do so. This doesn’t mean you give the person “tests” to pass or fail, but practice giving them opportunities to show you that they deserve your trust. Sometimes people will say, “I forgive you”, yet cling to the other person as if they are trying to control their every move and thought. This isn’t forgiveness, trust or love. It’s fear.

Part of loving and trusting includes opening yourself up to potential pain and betrayal. It doesn’t mean it has to devour you and ruin your life.

The Importance Of A Good Support System

It’s National Novel Writing Month and I am still plugging away towards the finish line at 11:59pm, November 30th and 50,000 words.

So far I have about 43,000 words so I am on track, but that wasn’t so just a few days ago.

Just a few days ago I was behind by about 7,000 words and had almost thrown in the towel. With the Holiday, friends and family, and just the normal stressors of life, my motivation was starting to wane and giving up would have been a lot easier than plowing through my train wreck of a story.

Thank goodness for something called nanowrimosprints (https://twitter.com/NaNoWordSprints) on twitter. It’s a twitter feed that challenges you with prompts, but most importantly, time specific writing frenzies to really pump you up and get you to writing.

It breaks up the monotony of feeling like I am working alone when I am being challenged along with thousands of other participants.

Write-Ins do the same thing, where writers meet up and write together, challenging each other to increase their word count and stay motivated and focused.

Writing can be such a lonely hobby and knowing that I am not alone in this journey really helps, and that’s what pulled me away from throwing in the towel and helped me to get back on track.

That got me to thinking about the importance of having a good support system.

Working in the psychiatric hospital, it was easy to see that clients who had good support systems usually had a better prognosis than clients who didn’t.

Clients who’s family and friends were involved in their care usually had less relapses (and less severe relapses) and shorter hospital stays.

Working in the school setting, it’s not very much different. Students who have good familial support, good friends and supporting teachers/adults, usually cope better with whatever issues they are facing, compared to students who do not.

It’s important that we all have a good “team” around us. When we don’t have anyone to be accountable to or to lean on for support, it’s easy to give up.

A lot of times we think we have to do things on our own, and no doubt, often we can and have to because no one can do the work for us, but it is very important and beneficial to have a supporting team who can help keep us accountable, honest, motivated and on track. And we can do the same for others.

Think about who is on your team right now, who would you like to be on your team in the future? Family members, friends or professionals are all viable candidates. Sometimes we don’t think about these things until we are in the middle of an issue or crisis.

Think about when things were really great. Who did you have around you that supported you?

Maybe right now everything is good and you don’t really think you need a support system and that’s great, but it’s always a good idea to know who you can turn to when you need help.

Your support system can help remind you to stick to your diet, exercise, take your medicine, stay away from bad people/ situations, save money, etc.

It’s ultimately up to you to accomplish your goals and live the life you want to live, but having a good support system goes a long way in making those things achievable.

How Much Responsibilty Should You Have For Your Friends?

I am a big proponent of everyone being responsible for themselves, and this is largely because of my own personal flaws. I am a codependent. I often feel responsible for other people’s happiness and well being. This often times puts me in situations where I get used or even worst, don’t treat myself right because I’d prefer to see others happy before myself. Still, I think there are times when you should have a responsibility to and for your friends, and of course times when you should not.

The other night, a friend of mine went out drinking with a female friend of his. They both got intoxicated, she more so than he. After the drinking was done, he tried to help her sober up by walking around with her and forcing her to drink water. It was getting late and he was ready to go home so he took her to an establishment and according to him, told them that they were responsible for her and to not allow her to drive. Well, an hour later he got a call from a police officer saying that he had stopped her, was giving her a DUI and wanted to know if he was available to pick up her car from the side of the road.

My friend was devastated. At one end he felt responsible and on the other, felt like he had done all he could do and that she was a grown woman responsible for her own decisions. I agreed with him to a certain extent, except she was intoxicated and intoxicated people usually make very poor decisions. On top of that, as a friend, I felt like he should have placed her in a taxi and make sure she got home safely. When my friends and I go out drinking, we ALWAYS have a designated driver. I thought it was a poor decision on both of their parts to both drink in the first place. And as a man, I thought he should have been extra protective of his female friend.

I watched as he went back and forth from feeling bad, to feeling like he did nothing wrong and I notice I was starting to feel a certain way about him, almost as if I couldn’t trust or count on him in a life or death situation. I wondered if we had been together that night and he was more sober than I was, would he have left me to fend for myself the way he did his female friend. Then I had to start questioning what type of friend was he really? Sure he’s a fun person to hang around, but I was starting to think that he certainly wasn’t someone to count on in a life or death situation. Me, being who I am, would have never left my friend to fend for herself while she was inebriated, but maybe that’s just the codependency in me, or maybe that’s because I think friends should always look out for the best interest of each other.

So I think there is a line between taking responsibility for say, your friends happiness and being so codependent that you are not allowing them to learn to take care of themselves, but in the situation when it comes to your friends safety, especially when they are not in the right frame of mine to look out for themselves, I do think a good friend has the responsibility to make sure that their friend doesn’t do something irreparably foolish that they will certainly regret later.