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Wednesday, July 3, 2024

The Mind-Body Connection: Overcoming the Defense Mechanism of Denial With Experiential Therapy

In my prior article, The Mind-Body Connection: The Body Reacts When the Mind Gets Stuck in Denial, I discussed the defense mechanism of denial and how denial impacts people psychologically as well as physically due to the mind-body connection.

Overcoming the Defense Mechanism of Denial

In this article I'm focusing on how Experiential Therapy can help clients who use denial as a maladaptive coping mechanism  (see my article: Why Experiential Therapy is More Effective Than Regular Talk Therapy).

Denial as an Unconscious Process
For many people using denial is an unconscious process. 

People who use denial unconsciously often have little or no awareness that they are using denial to avoid emotional pain--until there are consequences as a result of the denial and avoidance.

The consequences might be a worsening of their emotional problems and/or health.

People who have more awareness about their use of denial often realize they need help, but their fear of dealing with their problems keeps them from fully acknowledging their problem so they don't seek help.

Overcoming the Defense Mechanism of Denial

What You Can Do on Your Own
  • Recognize and Acknowledge the Problem: This is the first step in overcoming denial. If you recognize you engage in a pattern of denial and avoidance, you can start to make changes. Some of the signs that you use denial as a defense mechanism include:
    • Getting defensive
    • Avoiding thinking about a problem
    • Avoiding taking action to resolve a problem
  • Slow Down: You're more likely to use denial as a way to avoid a problem when you react quickly, so taking the time to slow down can help you to self reflect on how your behavior (or lack of behavior) is affecting a problem you're avoiding.
Practice Mindfulness

  • Practice Mindfulness: Along with slowing down, practicing mindfulness can help you to stay calm and grounded so you can deal with stress and your own habit of denial and avoidance.
  • Develop Self Awareness: Self reflection can help you to be more self aware recognize how you might be self sabotaging.
Writing in a Journal Develop Self Awareness

Asking For Emotional Support
How Experiential Psychotherapy Can Help to Overcome a Pattern of Using Denial
Experiential Therapy is different than regular talk therapy (see my article: Experiential Therapy Offers a Window Into the Unconscious Mind).

Experiential Therapy can help you:
  • Develop Self Awareness: Experiential Therapy can help you to develop better self awareness about unconscious defense mechanisms you might be using, including denial, using mind-body oriented interventions (see my article: Making the Unconscious Conscious).
  • Develop Greater Self Reflective Capacity: Experiential Therapy can help you to develop or improve your self reflective capacity so that you can think about their thoughts, emotions and behaviors, including unconscious motivations. Becoming aware of unconscious motivations and using self reflection can help you to think before you act so they can make better choices (see my article: The Unconscious Mind: The Symptom Contains the Solution).
Gaining Insight in Therapy
  • Gain Insight: Experiential Therapy can help you to gain insight into your thoughts, emotions and behaviors.
  • Provide Clinical Feedback: Experiential Therapists can provide you with clinical feedback to help them understand your patterns and how you make decisions so you can grow and change.
  • Overcome Emotional Blocks: Experiential Therapists are aware that you might have difficulty making the changes you want to make because you might have emotional blocks that need to be identified. Once emotional blocks have been discovered, Experiential Therapists can help you to work through and overcome the blocks. This is often challenging and requires a commitment to let go of dynamics that are holding you back (see my article: Overcoming Emotional Blocks).
  • Facilitate Transformational Experiences in Therapy: Experiential Therapists can help facilitate transformational changes.
Get Help in Therapy
Since defense mechanisms, like denial, are often unconscious, it can be difficult to overcome emotional blocks to change on your own.

Getting Help in Experiential Therapy

If you have been unable to resolve your problems on your own, you could benefit from seeking help from an Experiential Therapist who can help you to overcome maladaptive coping strategies, like denial and avoidance.

Rather than struggling on your own, seek help from a licensed mental health professional who has the expertise to help you lead to lead a more meaningful and fulfilling life.

About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am an Experiential Therapist who works with individual adults and couples.

I have helped many clients to overcome obstacles to their growth.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

 

Monday, July 1, 2024

The Mind-Body Connection: The Body Reacts When the Mind Gets Stuck in Denial

I'm focusing on the mind-body connection when the mind gets stuck in denial and how denial can affect the body.

What is Denial?
Denial is a defense mechanism (see my article: Understanding Defense Mechanisms).

The Body Reacts When the Mind Gets Stuck in Denial

People use denial as a form of self protection against accepting something that would be too painful for them to admit to themselves.  

Signs of Denial
Some common signs include:
  • Refusing to talk about the problem
  • Finding ways to justify denial
  • Blaming others or outside forces for the problem
  • Persisting in behavior despite negative consequences
  • Promising to address the problem in the future, but it doesn't get addressed
  • Avoiding thinking about the problem
Short Term Denial vs Ongoing Denial
Short term denial can be helpful and adaptive under certain circumstances. 

However, ongoing denial, which happens the mind gets stuck in denial, is often self destructive and destructive to others.

Ongoing denial is a maladaptive use of this defense mechanism. 

Short Term Denial Can Be Helpful Under Certain Circumstances
Sometimes short term denial can be adaptive because it gives people a chance 
to get ready to face a situation they're not ready to face in the moment.

An Example of Short Term Denial Being Helpful

    Mario and Judy
When the doctor told Mario and his older sister, Judy, that their mother's cancer was terminal and that any more chemotherapy would only hasten her demise, they were shocked and they refused to believe it at first.  However, after the initial shock wore off, they talked to their mother's doctor about next steps. After their talk, they were ready to accept that their mother would be much more comfortable in hospice care where she would be made comfortable until she passed away. Three days after being in hospice, their mother passed away peacefully in and, although they grieved the loss, they knew they made the best decision for her.  In this example, Mario and Judy weren't ready, at first, to accept the news that nothing more could be done to eradicate the cancer. Their short term denial gave them a chance to process and accept the news, as hard as it was, and prepare themselves for the worst. At that point, they were able to make the decision to have the medical staff transfer their mother into hospice care so she would be made comfortable. After her death, even though they were very sad and they grieved, they knew they made the right decision in accepting the futility of further cancer treatment and hospice was the best possible option under the circumstances.

 An Example of How Ongoing Denial Can Affect the Body

    Nina
Mario and Judy's younger sister, Nina, had a very different experience. After their mother died, Mario and Judy grieved their mother's death and eventually they made peace with her passing. But Nina wasn't able to accept her mother's terminal cancer diagnosis. She was in complete denial. She argued with the oncologist and the nurses on the cancer ward.  She also opposed putting the mother in hospice and argued with her siblings. She kept insisting that more chemotherapy would help, but Judy was on the mother's health proxy and she had power of attorney, so Nina couldn't stop her siblings' decisions. 

After her mother died, Nina contacted several malpractice attorneys. She channeled all her denial and anger about the mother's death into bringing a malpractice suit against the medical staff that treated her mother. But, after reviewing the medical records, every lawyer she contacted told her that she didn't have a case.  No one in the family was able to help Nina to accept that everything that could have been done was done. 

After several months, Nina's denial took a toll on her health. She developed insomnia, frequent headaches and high blood pressure. Her primary care physical advised her that she needed to accept and mourn the loss of her mother. But she wouldn't accept her mother's death and her health continued to deteriorate until she was hospitalized.  

It wasn't until the hospital sent a clinical social worker who was on staff to speak with Nina about the impact her denial was having on her health that she began to take her first tentative steps to overcome her denial. Part of her hospital discharge plan was to see a psychotherapist to deal with her denial and release the grief that was bottled up inside her.

How the Body Reacts When the Mind Gets Stuck in Denial
In Dr. Bessel van der Kolk's excellent book, The Body Keeps the Score, he discusses the connection between the mind and the body.

The Body Reacts When the Mind Gets Stuck in Denial

Ongoing denial occurs when a person refuses to accept something that is too painful for them.  Even though their mind might reject whatever they cannot accept, their body can react.

When someone gets stuck in denial, they use a lot of mental energy to maintain this defense mechanism. This causes stress and muscle tension. 

Over time, stress hormones can take their toll on the body. 

The person who is in denial might not make the connection between their denial and the consequences to their body.

  Other Examples of Denial
  • Someone denies they have an alcohol or drug problem because they're still able to function on a day-to-day basis.
In Denial About Substance Abuse Problems
  • Someone hurts their partner's feelings, but instead of accepting this, they blame their partner for their hurtful behavior.
Blaming a Partner For One's Own Behavior
  • Someone who is having an emotional problem refuses to accept it or get help, so it gets worse over time both emotionally and physically.
Getting Help in Therapy
Before denial takes its toll on your mind and body, seek help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to identify your particular pattern of denial and other defense mechanisms you might be using to avoid dealing with your problems.

Rather than allowing your problems to get worse, seek professional help so you can lead a healthier and more fulfilling life.

See My Other Related Articles
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.