TRIGGERS: Help When Triggers Trouble a Loved One

triggersTriggers: Often counselees speak of triggers, whether or not they have post-traumatic stress. It’s a societal buzzword. So what are triggers? How does the Bible term them? And what can you help your friend, counselee, or yourself handle them? The guest post by Andrea Lee whose article appeared first here on The Biblical Counseling Coalition website and is used with permission.   

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As a biblical counselor, I often hear about “triggers.” These are situations, locations, words, and people that remind counselees of past pain or current heartache. These triggers threaten to engulf counselees in an avalanche of despair, anger, or anxiety. What is a trigger and how can a biblical counselor engage with people who seem to be subject to them?

Counselees view a trigger as an event or circumstance that is the cause of a particular response or emotional process. As a counselor to women, here are some situations I have encountered:

  • It could be a mom who identifies her rambunctious toddler as a “trigger” – one energetic outburst and the mom is overwhelmed with ­­­­­­­­­­exhaustion and despair.
  • It could be a wife whose husband’s typical response in conflict is a “trigger”- one phrase or condescending look and the wife is flooded with anger or hopelessness.
  • Or it could be a young single woman who sees Friday nights as a “trigger” – she has been alone and miserable for many Fridays and now dreads the end of every week.

In seeking to help these women, I explain to them that triggers do not cause their response. The so-called “trigger” is a reminder that tempts them toward a well-worn destructive thought pattern. The reminder is often associated with pain: previous failures, past hurts, or current broken relationships. Women feel helpless because they don’t know how to stop responding in a destructive way. I love to give hope by showing a new perspective on these moments.

When we label someone or something a “trigger,” we shift the place of emotional control from our own heart to an external object. The connection between event and emotion can mistakenly lead us to think the trigger is a cause. Actually, we have developed habits of thoughts in response to pain that continue to lead to these predictable emotional conditions. Our despair, anxiety, and anger reveal that we are ignoring God and disregarding His promises as we respond to the brokenness around us or in us. Instead of thinking in terms of triggers, I want counselees to see certain situations and people as cues – signals, prompts, and reminders – to begin a series of thoughts that are radically God-oriented. This shift in vocabulary begins to engage counselees in a process of repentance and trust when they are troubled by triggers.

So how do we move from the victimizing idea of a trigger to the hope-giving idea of a cue? Consider the following steps:

Step 1: Recognize the triggers and the accompanying thinking

Women often know what launches them into a familiar path of pain. But here are questions that can help:

  • What was the stimulus that began this descent into despair, anxiety, or anger?
  • When do I have a disproportionate reaction to a situation or a person?
  • Are others puzzled by the intensity of my response or mood swing?

Once the triggers are identified, it is vital to have the counselee write down their exact thoughts. You will probably hear some of these in the counseling room. For example:

  • I can’t believe this is happening again. I can’t take it anymore. What if this never gets better?
  • I’m stuck. Nothing ever changes. It’s unfixable. I’ll never change.
  • Also I can’t breathe. I have to do something right now. I can’t stand the pressure.

If your trigger is related to an experience of sexual and/or physical abuse, please seek further help from a biblical counselor. You will also want to explore In the Aftermath, by Pam Gannon and Beverly Moore and Putting the Past in Its Place, by Steve Viars. If you are struggling with triggers associated with PTSD, Greg Gifford’s book, Helping Your Family Through PTSD, is a valuable resource.

Step 2: Repent by evaluating three categories

triggersGod is gracious to help us identify triggers. It is a gift because it alerts us to repent in specific, concrete areas. Since repentance is the key to change, this gives us hope.[1] Repetitive elements in the counselee’s thinking will reveal weaknesses in theology and worship. Counselees often minimize or ignore God’s goodness, God’s presence, and God’s perfect ways.

Psalm 40:1-3 is a great passage to address these areas of unbelief.

  • God IS good: “As for you, O Lord, you will not restrain your mercy from me; your steadfast love and your faithfulness will ever preserve me!”
  • God IS present: “As for me, I am poor and needy, but the Lord takes thought for me. You are my help and my deliverer; do not delay, O my God!”
  • And God IS working: “He inclined to me and heard my cry. He drew me up from the pit of destruction…He put a new song in my mouth”

The Psalmist doesn’t believe these things because he has a perfect past or a blameless record (see Psa. 40:12), but because God gives salvation out of His great mercy in Jesus Christ.

A prayer of repentance may sound something like this:

  • Lord, this thought process reveals that I am not believing the truth about who you are. Please forgive me for going astray after a lie (Ps. 40:4).
  • My thinking has become futile because I am not honoring you or thanking you (Rom. 1:21).
  • I am in a pit of destruction and a miry bog of my own making when I continue to think hopeless, godless thoughts (Ps 40:2-3).
  • Instead of spinning into despair and anxiety, help me to wait patiently for you and keep crying out to you. Thank you for your forgiveness and help.

Step 3: Mobilize your cue

Finally, help counselees prepare specific thoughts they will embrace the next time a trigger comes. Identify one thought that most fuels the downward cycle and prepare a God-honoring thought that will replace it. Develop simple statements that can be easily memorized and repeated. When they experience a trigger, the counselee should:

  • Engage in gratitude:

    • Thank God for this opportunity to worship Him and to be changed.
    • Thank Him for the reminder that we all need a Savior and God has provided one.
    • And thank God for the reminder of past sin or hurt because it humbles us and pushes us to know Christ better
  • Embrace a promise:

    • God’s grace is up to the challenge.[2]
    • God will give me all the grace and strength I need to obey Him (1 Cor. 10:13, 2 Cor. 9:8).
    • Also God hears my cries; He is working and He is good (Ps. 40).

There is great joy and hope in moving from trigger to cue by specific repentance and obedience. As you help counselees to recognize, repent, and then prepare for specific situations, you are equipping them to worship God and love others with greater wisdom and diligence. Painful reminders in life can be a cue to trust God by remembering and rehearsing His goodness, His presence, and His perfect ways.

Questions for Reflection

What triggers trouble your counselees? What thoughts fuel the negative spiral? And what cues have you mobilized in your counseling that have been particularly effective?

[1] Heath Lambert, “Die to Self and Grow in Love,” (presentation, Association of Certified Biblical Counselors Annual Conference, 2013; https://biblicalcounseling.com/product/die-to-self-and-grow-in-love-heath-lambert-2/)

[2] Kevin Carson, “Five Favorite Passages in Biblical Counseling” (presentation, Biblical Counseling and Discipleship Training, Atlanta, GA, Jan. 27, 2018).

About Andrea Lee

Andrea Lee lives in Atlanta, Georgia with her husband of 11 years. She serves women in the church and community as a biblical counselor.

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Counseling Hearts to Hope,
Loneliness Hurts But Help’s on the Way

Loneliness Hurts But Help’s on the Way

Loneliness plagues everyone at some point in their lives. So the real question is, how can you help the lonely? And if you are among the lonely, how can you find hope? This article by Anne Dryburgh appeared first here at the Biblical Counseling Coalition website and it used by permission.

Loneliness is an emotionally painful sense of not being connected to others. The lonely person may feel unwanted, isolated, and left out.”[1]

Feelings of loneliness are often the result of living in fear, being isolated, lacking an emotional connection with others, a lack of intimacy with God, or feeling rejected by someone significant. All of us will experience some level of loneliness at some point in our lives.

The people who are most likely to experience the biting pain of loneliness include those who are facing grief, marital problems and/or divorce, chronic illness, unfamiliar surroundings or culture, or children who are growing up in a difficult home.

Loneliness in the Bible

There are many lonely people in the Bible.

Elijah: In 1 Kings 19:10, Elijah was in a state of great distress. He believed that he was alone in serving the Lord.

David: David’s soul waited in silence for God alone (Ps. 62:5). There was no other person who took notice of him, or took care of his soul (Ps. 142:4).

Asaph: He had no one on earth or in heaven besides God (Ps. 73:25, 26).

Paul: Demas, Crescens, and Titus abandoned Paul. It was only the Lord who stood by him during his first trial (2 Tim. 4:10, 16-17).

Jesus: Those closest to Jesus deserted him (Mark 14:50); Peter denied him (John 18:15-18; 25-27), and Judas betrayed him (Matt. 26:47-50). Jesus suffered alone in the Garden of Gethsemane (Matt. 26:36-46), and was forsaken by the Father when he hung on the cross (Matt. 27:46).[2]

Intimacy with the Lord

As we have read, the Bible speaks about loneliness, but the Lord ministers powerfully to the lonely. He has promised believers throughout the ages that he will not leave them nor forsake them, but will always be with them (Ps. 139:7-12; Isaiah 41:10; Matt. 28:20; Heb. 13:5).[3]

God calls himself a husband to his people, and compares his people to a “wife deserted and grieved in spirit, as a wife of youth when she is cast off” (Isa. 54:5, 6). We read in Hosea that God’s people were betrothed to Him in righteousness, justice, steadfast love, mercy, and faithfulness (Hos. 2:19, 20).

In the New Testament, believers are described as the bride of Christ (Eph. 5:31, 32; Rev. 21:2). This speaks of a deep intimacy of the soul, which is greater than that which human beings can experience with each other.

Providing Support

Someone who is suffering loneliness will have the tendency to be focused on themselves; what they want and what they don’t have. When supporting the lonely person, you will need to discover what they are thinking and how they spend their time.

Are they looking at what other people are doing on social media and feeling sad because they do not have nice date nights, beautiful vacations, or fun evenings with friends? Are they watching films or programs and wishing that they were somewhere else, with other people, or had something that they don’t have at present? These thoughts can quickly progress to thinking that nobody loves them and that their lives are a waste.

What is the truth about the Lord and their situation? What are some ways they can use their time more constructively; what would be a more edifying use of time than social media? Learning about God’s providence can help them discover that the Lord is actively at work in their circumstances for his purpose and glory.

Trusting this truth and living for his glory in the midst of their difficulty can turn painful loneliness into a time of experiencing the glory of the Lord.

Importance of Community 

It is important to help them come out of isolation and begin establishing relationships with other people as much as possible. Even if the person would rather stay at home, it is essential that they take steps to be with others and to seek to take an interest in what is happening around them.

The church can look for ways to care for those who are lonely by visiting or providing practical support. For example, creating connections for teens by building relationships across generations can help the lonely teen grow in their faith while living through difficult situations.

Sometimes, people who have lived in a state of loneliness for a long time will become very needy and want to hold onto any form of sincere love that they experience. Encouraging the lonely to pursue intimacy with the Lord and to seek to love others will help prevent them from developing an unhealthy dependency on those who reach out to them. In this way, genuine community and fellowship can develop.

Conclusion

Loneliness is painful, and all of us will experience it at some point in our lives.

Thankfully, the Lord speaks into our loneliness and ministers to us in a deeply meaningful way. When supporting the lonely, discover what they are saying to themselves and how they got to that stage. Help them focus their hearts on the providential God who is working out his glorious purpose in and through their situation. When they focus on loving others, they will emerge from their isolation and become a source of blessing.

Questions for Reflection

  • As you think about the most lonely times in your life, how did the Lord minister to you?
  • How did scripture speak deeply into your soul at that time, and how did that impact your life?
  • Do you know someone who is lonely? How can you encourage and bless them?

[1]Mary Somerville. “Coping with Loneliness.” National Association of Nouthetic Counselors, Annual Conference, 2005, mp3.

[2]Ibid., Wayne Mack, “Loneliness & Self-Pity#1: How to Handle Loneliness,” The Dr. Wayne Mack Library. CDWM4191.

[3] Mary Somerville, “Coping with Loneliness,” National Association of Nouthetic Counselors; Caroline Newheiser, “Helping Women who are Married but Lonely,” The Institute for Biblical Counseling and Discipleship.

About the author: Anne is an IABC and ACBC certified biblical counselor who has been a mission worker in Flemish-speaking Belgium since the early 1990s. She is also a guest lecturer at Tilsley College in Scotland, an external reader for doctoral candidates at the Masters International University of Divinity, an author, a frequent contributor to the blog Biblical Counseling for Women, and coordinates the European hub of the Biblical Counseling Coalition.

Counseling Hope to Your Heart,

Easiest Way to Boost Your Mood

moodWho doesn’t need a mood-boost? A routine prescription for women with depression and anxiety is exercise. Regular physical activity of any sort can lift sagging spirits.

A glad heart makes a cheerful face, but by sorrow of heart the spirit is crushed. Proverbs 15:13, ESV

Even Exercise-Lite Boosts Your Mood

At the Cooper Aerobics Research Institute, 120 volunteers followed the standard gym recommendations and another 120 volunteers tried exercise-lite. Both groups on average reduced their blood pressure by eight points, lowered total cholesterol, and gained about the same amount of muscle and dropped about the same amount of fat.

What about boosting endorphins while exercising-lite? They got that too. 

But for a bigt boost, it seems you must stress muscles for the release of the endorphins.  Remember, you don’t have to train for the Olympics to get a mood boost from exercise. So get up and get moving.

And break a sweat! A shiny glow looks good on you.

Pick an exercise you like! For me, walking wins. Early in the day, I grab my sneakers and walk. In the evening, I stretch and do some simple exercises like push-ups. Once you figure out which exercise works best for you, make a plan and do it.

Making a New Mood-Boost Habit

Making a new habit and sticking with it is the most difficult part for most of us because new habits must be formed. Beth, a soft-spoken, 20-something who has mild anxiety, would like to lose five pounds and feel physically better.

Then I told her about the mood-boosting effects of exercise, and she said she’d start for sure. Awareness is the first step, isn’t it?

What’s next? Here are 3 quick tips toward making a new mood-boost habit:

1. Put it on your calendar. You write “dentist visit” on your calendar,  don’t you? So why schedule exercise? Be specific. Select a time, days, and place.

2. Be realistic. Be safe. Most people the greatest success in forming a new exercise habit when they build on beginning successes. If you choose walking and are a healthy beginner, start with a daily 10-minute walk at a moderate pace, for instance. The next week add 5 minutes to your daily walk. Add another 5 minutes the following week and so on. Once you reach 30 to 60 minutes of walking daily, you’ve developed an amazing mood-boost habit. (Check with your doctor before beginning an exercise program.)

3. Reward yourself. Each time you complete your exercise, give yourself a small reward. It could be as simple as a smiley face on your calendar to something a bit more extravagant, such as $5 toward a purchase. At the end of the week, grab your stash and go for lunch with a friend, take in a movie, or buy something fun.

Counseling Hearts to Hope,

 

3 Ways to End Perfectionism

perfectionsimPerfectionism is an impossible standard! For you and me, that is. God is perfectly perfect!

But to attain perfectionism, you may drive yourself nuts. Or you may face-plant into the wall of “I cannot do it” and give up and retreat. You may even find a frenemy in dark chocolate. This is my go-to happy place. What’s yours?

Either way, all-or-nothing thinking turns into anxiety, even anger and hopelessness.

Jana, a mother of three boys and a nurse, worked part-time in the evening, and during the day she had the family on a tight schedule in order to get everything done: piano lessons and soccer practice for the kids and a book club and Zumba for her. When her all-or-nothing thinking turned into yelling–something she swore she’d never do when she became a mom–she didn’t see that her perfectionism played into the family tension. A wise counselor compassionately and truthfully pointed it out, and she agreed her heart needed to change.

Have you ever wanted to do it all or think you should do it all? Have you based your worth and success on how well you measure up to your standards or fulfilling your expectations?

  • When you are driven to achieve and overdo, you live in fear that there is always something more you can do, another phone call to make, another website to check, another friend to check in on.
  • When you hold exceptionally high expectations for yourself (or your family or coworkers), you may come across as pushy and demanding. Your relationships may suffer.
  • When you compare your accomplishments to others, you may feel defeated and get grumpy or throw a pity party. No one shows up to pity parties. Too depressing!

Signs of Perfectionism

The all-or-nothing thinking of perfectionism overwhelms a person because, as I mentioned up top, it’s a myth. No one is perfect but God!

“Your heavenly Father is perfect.” Matthew 5:48, ESV

Very often someone with all-or-nothing thinking suffers from anger, anxiety, depression, or fatigue. Trying to keep up with overwhelming perfectionism is daunting. You just can’t do it. No one can. That you cannot be perfect doesn’t mean you are “less than” or “not enough.” It simply means you’re human.

Here are pictures of three signs of perfectionism.

AngerWhen your perfect plans fall though, do you seethe or feel irritated? Do you lash out at a friend or family member? A common result: difficult relationships! Think about it. You don’t like anger directed at you and you may step away from an angry person or not return her phone calls. Proverbs 15:1 says,

A soft answer turns away wrath, but a harsh word stirs up anger.

Anxiety: Do you feel uptight and nervous when you think about all you need to do? Do you worry that you’ll fail? Sometimes anxious people have physical symptoms such as nausea, insomnia, headaches, and fatigue, even panic attacks. Others develop ulcers. Talk with your medical doctor about physical manifestations of anxiety.

Depression: Do your unmet desires  lead to sadness and self-recriminations? Are you disappointed with yourself that you failed to meet your high expectations? Do you say mean things to yourself, like “I’m a loser”? Depression feels like sadness, despair, hopelessness. Sometimes it has an organic cause, such as hormone imbalance. Again, talk with your medical doctor about physical causes of depression.

Out of the Perfectionism Trap

Your way out of perfectionism is to make a heart change and to look to your Creator for the answer. Here are 3 ways to end perfectionism:

1. Accept the invitation to rest.

May I suggest that you write the verse below in a journal or your electronic device and read it daily? 

Come to me, all who labor and are heavy laden, and I will give you rest.

Take my yoke upon you, and learn from me,

for I am gentle and lowly in heart, and you will find rest for your souls.

For my yoke is easy, and my burden is light. Matthew 11:28-30, ESV

When you get to the end of your abilities and energy, you need rest. Your mind and your body. You feel depleted and weary. The question is, how will you respond to this invitation? Do you value yourself and your family enough to rest?

2. Ask yourself a few questions.

To get to the heart of your perfectionism, ask yourself questions and jot down your answers. Ask yourself:

  • Who am I trying to please? My boss, my friends, my parents, myself, God?
  • Is my all-or-nothing thinking all about getting other people to accept me or to impress them?
  • Do I think I can do life without God? That I don’t need him?

Now read your answers and look for a pattern. Is your pattern to please others or to get attention? Do you see another pattern? How can you change your thinking so that your thougts align with God’s?

3. Love God above all else.

You’re probably familiar with the Great Commandment.

You shall love the Lord your God with all your heart and with all your soul and with all your strength and with all your mind, and your neighbor as yourself. Luke 10:27, ESV

When you love God above all else, your priorities and motivations change. You are more concerned with pleasing God who loves you lavishly than with pleasing yourself.

You’ll discover that you’ll remove some items from your calendar and rethink the best use of your time and talents.

Whatever you do, work heartily, as for the Lord and not for men. Colossians 3:23, ESV

Rethinking the best use of your time and talents means establishing God-honoring goals for life in every area: spiritual, family, social, intellectual, physical, occupational, financial, and emotional.

I invite you to use this download to help you plan your priorities for the purpose of loving God most of all. If you have questions or would like to set up a time to talk on the phone to see how biblical counseling would help you get out of the  perfectionism trap, why not drop me a line here?

Counseling Hearts to Hope,

2 Steps to Restoration After Regret

regretIs regret messing with your peace? Is it so painful that you’d like to erase a part of your past? Let’s look at regret — what it is, the two main types, and how to move toward restoration.

Regret Defined

Regret is feeling sorrow or remorse for something you did or failed to do. Sometimes it turns into disappointment. This feeling of regret can be turned toward God as you seek him in your pain. Or it can become discontentment, even despair.

Discontentment is an ugly response to regret. It describes a person’s dissatisfaction with what God is doing in his life at the moment. She may have self-pity and see herself as the undeserving victim of unfair circumstances. 

Regret Due to Human Error

Regret may result from an honest though awful mistake. Dr. Erwin Lutzer shared the story of a missionary airplane mechanic with an excellent service track record. One day while tightening a bolt, he was called away before he finished. He forgot to return and complete the bolt tightening.

The consequence of this one mistake proved disastrous. The plane took off. Gasoline leaked from the place where the bolt was loose. The plane caught on fire and all seven people on the plane died. Without a doubt, this mechanic wished he could erase the past. He feels deep regret.

Regret Caused on Purpose

This type of regret results when you choose a certain path that you know is wrong. The Holy Spirit impresses on your heart the your ugly choice rubs against God’s will but you continue on.

Think Peter the apostle.

He denied knowing Jesus Christ three times, then the rooster crows. Peter weeps tears of regret and emotional pain.

And immediately the rooster crowed a second time. And Peter remembered how Jesus had said to him, “Before the rooster crows twice, you will deny me three times.” And he broke down and wept. Mark 14:72, ESV

2 Steps to Restoration

1. Bring it into the open.

Pushing down the past smothers you. Did you know that the more you try not to think about the regret, the more focus you direct toward it?

God’s plan for moving forward requires facing the past and acknowledging the sin, the pain, and the fallout.

2. Move forward.

To move forward means forgiving, repeatedly if necessary, letting God deal with those who have sinned against you, and continuing to respond in a godly way regardless of how they behaved.

 Beloved, never avenge yourselves, but leave it to the wrath of God, for it is written, “Vengeance is mine, I will repay, says the Lord.” Romans 12:19, ESV

When you choose God’s solutions, an upward and forward movement begins! It’s time, don’t you think, for a fresh start? Christ and His Word will move you in the right direction if you let Him!

Through the Lord’s mercies we are not consumed, because His compassions fail not. They are new every morning; Great is Your faithfulness. “The Lord is my portion,” says my soul, “Therefore I hope in Him!” Lamentations 3:22-24, ESV

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Do you need help finding peace? I’d love to help you!

Sharing hope with your heart, I’ll provide you with solution-focused biblical counseling. Contact me today and we can set up an appointment in person or by Skype. (I’ve counseled women, couples, and families in five continents.) Check out more about me here.

Counseling Hearts to Hope,

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