Monday, November 23, 2009

opening the wound


It as just as I learned in nursing school: in order to ensure a clean wound, you must acknowledge the source, open it, dig through it, remove debris, clean it, close it, and allow it to heal. I have found that the same applies for emotional pain. Through experiences and my time as a student in Counseling Psychology, I have learned the hard way that traditional healing of the wound does not work in the "default" methods that we have become so accustomed to. Sometimes it takes more than a band-aid to really prevent infection and long term damage.

In mental health especially, I have gained an awareness that we are a band-aid oriented culture in the sense that we are so eager to mask symptoms with medication just in order to supposedly integrate them into "normal" behavior. Unfortunately, just as with physical wounds, emotional wounds can create a bigger problem when merely covered with a prescription.

What it does, is forces individuals to rely on a pill a day in order to redistribute biochemical transmitters within the brain so that the balance is in place. However, with time, infection will continue to grow until it is seemingly out of control. Because all that the medication will do is cover up the problem underneath, and will prevent an individual from acknowledging that inner struggle, because for all they know, they are feeling better.

With true emotional healing, the wound at its source must be identified. Once it is named and its origin is understood, then the real work can begin. I am eager to discover how much a person can process through unpleasant experiences and emotions without anything other than conversation. I believe in my heart that we can get farther than we believe we can. This "debriedment" of sorts, when working through emotional turmoil can be extremely painful, just as is the cleaning out of a physical wound, however its power is undeniable.

With that initial painful re-entry back into the source of the hurt, you can really make efforts to moving through it. How is it that we have missed this vital component within the realm of health care? In my nursing school experience in the psychiatric unit, so much of the real humanistic interaction was lost, because patients were sedated as a side effect of their medications.

There is so much fear in the symptoms that surround mental health disturbance, that health care professionals are so eager to have them eradicated that they allow this to cloud over the emphasis on conversation. I have found that so much of what patients want is to be heard and normalized, and when they are merely handed a prescription as a result of admitting to a list of symptoms, their feeling of importance is lost.

I believe that it is my responsibility as a rising mental health professional to make sure that above all else, I realize the power of conversation and the importance of allowing my clients to feel heard and supported. Of course there are always circumstances where western modalities are necessary, I just won't be quick to take that road.

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