63 [Healing Series] Triggered Triage Kit
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Full shownotes: https://www.adopteeson.com/listen/63
Haley Radke: This show is listener-supported.
You are listening to Adoptees On, the podcast where adoptees discuss the adoption experience. I'm your host, Haley Radke, and this is a special episode in our Healing Series, where I interview therapists who are also adoptees themselves, so they know from personal experience what it feels like to be an adoptee.
Today we tackle something so many of us deal with: What do you do when you get triggered? Let's listen in.
I'm so pleased to welcome back to Adoptees On, Pamela Cordano. Welcome, Pam.
Pamela Cordano: Thanks, Haley.
Haley Radke: Pamela is a fellow adoptee and a psychotherapist who specializes in helping you to discover meaning in your life. And today you're going to help us with: we get triggered all the time, so you're going to help us with a triggered triage kit. I love that.
Pam Cordano: A triggered triage kit, what every adoptee needs.
Haley Radke: Yeah, how much do you charge for that? Because I would pay a lot of money–
Pam Cordano: A lot of money!
Haley Radke: –to carry that around with me.
Pam Cordano: We need special purses with bling or whatever. Man-purses with bling. Everybody can have a purse, A trigger triage kit.
Haley Radke: So before we talk about the kit, which is awesome, can you just tell us what does it even mean to get triggered? We see and hear that word all the time. It's like a buzzword now, “getting triggered”.
Pam Cordano: The thing is, we all know what it is, right? Because we experience it. It's really just overwhelm. It could even be trauma. Our system just gets lit up like a Christmas tree with too many lights on it, and it's more than we can handle. And so we get overwhelmed or unable to really tolerate what we're feeling. And we often have our pattern ways that we deal with being triggered. Some of us get panicky and anxious, and some of us go toward addictions, and some of us get kind-of sleepy and disengaged, or disassociated, and we all have our ways that we deal with being triggered that we probably all know, to some degree.
Haley Radke: Okay, I think I've had all of those. Plus stomach issues. Lots of stomach issues for me.
Pam Cordano: Yeah. Sometimes I think that we don't even quite catch the moment it happens until we're fully into it, and then we're like, ‘oh my gosh,’ and we're overwhelmed, and we're triggered. It takes practice, and it takes maybe living more and more years to really get good at identifying when it happens, so that we can catch it sooner.
Haley Radke: Okay. I'm just like, ‘Okay, I need to figure this out. How do I catch it sooner?’ Okay. So last night I was reading a book and my favorite genre is psychological thrillers, pretty much. I almost am always reading one, and I don't know if you read much of those, but I'd say about 10% of them have some form of an adopted person showing up to exact revenge on their birth family–
Pam Cordano: Oh my gosh.
Haley Radke: And you don't find that out till a little later on. Yeah. Nice. What a nice picture.
Pam Cordano: You read this out of choice? Before you go to bed?
Haley Radke: Well, it's only about 10%, I would say, so, you know, most of the time it's okay. But last night I was about halfway through the book and I started feeling a little suspicious, so I went to the end, because I don't like surprises anyway. It takes a lot to surprise me, I would say. I don't know why I enjoy thrillers so much, it doesn't make sense, I know. But I went to the end and I find this out, this is an adopted person who is coming to obliterate her family. And I just got so mad. Yeah. And so I was trying to sleep and I couldn't, of course, because all the things: my heart was racing, and my stomach was in knots, and I wanted to break my Kobo, and it's like this heightened response to something that shouldn't make me, I don't know, I feel like it shouldn't make me that angry–
Pam Cordano: Wait, wait. But who's that saying that it shouldn't make you that angry? That voice is quite suspicious. Who is that?
Haley Radke: It’s me, my inside voice! I don't know.
Pam Cordano: Okay, so can I interrupt this, bring up something about what you just said? How we talk to ourselves when we get triggered is really important. And you and I have talked about this before on your show about having that internal adult that talks to us. So when we're triggered, if we have a voice that comes in and starts to criticize us, that says, “Oh you shouldn't be this upset,” or “You shouldn't be this triggered,” or “What's wrong with you?” Then we're just adding insult to injury when our system is hyper-aroused, and it's super uncomfortable on a physical and emotional level. So how we talk to ourselves with our triggers is something we can learn to do differently. With help. I learned it in therapy.
Haley Radke: Okay. I need to learn how to do that, because I often do have that inner talk, like, ‘Why is this thing that no one else seems to be affected by pushing me over the edge?’ And the other thing that's happened quite frequently, I haven't talked too much about this, but I'm in a little bit of a situation with my church. I would say they probably feel everything is resolved on their side, and I am doing my best to get to that point, but every time we go, in the service now, I really pick up on any time the word “orphan” is mentioned, or the word “adoption” or anything about blood or family, there's these key words, right? And even though in context what's being presented in the service doesn't necessarily have anything to do with my situation, or even with adoptees in general, it's those things plus this conflict I'm having, then the whole rest of the service I'm just like, ‘Yep, this is what happens.’
Pam Cordano: Okay, so I know you're not my client and we're not doing therapy right now at all, but if you were my client, I would ask you to just pause. Because both examples, from reading a story about an adoptee killing their birth family, and then this example with the church, and these words, and the way that we adoptees have an experienced understanding of these words which is different from how they might be talked about at church. These are two huge examples of triggers. I don't know if listeners even listening to this might be like, ‘Whoa!’ and overwhelmed already, you know what I mean?
So actually the first tool in the triage kit is pausing. When we start to notice that something's going wrong in our systems, like we've read a story that's really triggering or upsetting to us, or we're hearing something that we're not expecting to hear, but we hear it and it triggers us. As soon as we start to notice that physiological hyperarousal –like that's what I was feeling when you were sharing the examples– the first thing to do is to try to learn how to pause. Some people call it “the sacred pause”. It's a pause to try to take a good look at what's actually happening in the moment, and to get one's bearings so that they can even know how to start breaking it up into little, more bite-sized pieces, to even figure out what to do.
Haley Radke: So what does that look like when I am, say, sitting in a service and this is happening? What does the pause look like? Does that mean I exit?
Pam Cordano: The more we can start to slow our awareness down –this is mindfulness– and pay attention to what's happening inside of us in the moment. If you were to really break it into a slow motion kind of thing, even if you're already triggered, you might notice your heart's speeding faster, or that your body's gotten kind-of firm, or that your muscles are tensing in resistance to what's being said. Or you might feel a fight-or-flight feeling like you want to get out of there.
And all of this, with practice, can be observed before a decision is made about what to do with anything. So if you were really, really overwhelmed, it might be the best thing for you to quietly get up and exit, because it's just too much. As we learn to bear sensations in our bodies, either with the help of a therapist, or with a meditation practice, or a yoga practice, we become more and more comfortable handling more and more reactions that are physiological and stem from trauma and overwhelm. And that's where we become more able to make choices about what to do next. Because if we're not used to this intensity, these feelings in our body, we might just be used to cutting off our awareness of our bodies, and not even really know what's going on until we're really overwhelmed to the point we have to maybe just go in our rooms and shut the door. Or for other people it might be, like, engaging in some vindictive behavior or whatever. We go into some other action. So ideally, like if I was that little angel on your shoulder and you're in church, and on the other shoulder is the one saying, “Guy, why is this upsetting you? It's not upsetting anybody else. What's wrong with you?” So if I'm the nice little person on your shoulder, I might say, “Okay, hold on, hold on, we don't have to listen right now. Let's just take a breath and pause. What's happening right now?” And the question, “What's happening right now?” is really: “What's happening inside of you right now?”
And the answer is really about sensations, like, “My chest is tight. I'm sweating. My shoulders are super tight, my jaw is tight. I have this urge in my body to just get up and get out of here.” Answers like that would be available with enough loving asking of the self, “What's happening right now?”
And then you might say, “This, that, and this is happening.” And I might say, “Okay, let's just take a couple of breaths.” Because breathing is always good for being triggered. A couple of big breaths. And that changes things in the body and the nervous system. The shoulders can drop sometimes and you can see a bit of breathing, and even just being talked to by somebody inside yourself is helping. And we have to go bit by bit with being triggered of, ‘Can we hang in there or do we have to make a change?’ Like, a behavioral change. Like, get out of the room, or something else, depending on the situation. Put the book down, throw the book away! Put the book in the backyard until tomorrow morning and tell your husband to get rid of it.
Haley Radke: That's pretty good.
Pam Cordano: What do you think?
Haley Radke: Well, I've already calmed down, because I was breathing when you were talking me through that, and I was like, ‘Oh, I've already calmed down.’ That's good.
Okay, pausing–
Pam Cordano: What do you think it was that calmed you down? Was there a moment that you noticed something started to shift into calmer?
Haley Radke: I was doing deep breaths. So sorry for the sound on that, I'll mute it. But I was doing deep breaths and when you said, “And then your shoulders could drop,” that literally happened, my shoulders dropped back and I just felt like my whole posture was more relaxed.
Pam Cordano: Yeah. So, if we say that the first thing in the trigger triage kit is to pause, then the second thing could be to take a couple of big breaths and just oxygenate yourself. And then to ask the question, with a really kind voice, of, “What's happening right now?” and trying to notice what's happening, even in a sensation way, because the sensations are the most honest answer. Our brains could start saying, ‘Oh my God, that woman is such a jerk. I can't stand her! She always does this, blah, blah, blah!’ but that's not gonna get us anywhere.
But if we say to ourselves, ‘What's happening right now?’ and we check inside, ‘Okay, I feel like I'm gonna throw up,’ or ‘I feel like I'm gonna pass out,’ or whatever things might be happening inside of us, if we have a kind voice asking, then our response has a chance to be listened to. And then now we're relating to ourselves in a way that a mother or father might relate to a child in a loving way.
Haley Radke: That feels peaceful.
Pam Cordano: That's good. Problem solved!
Haley Radke: Yeah, I'm good! But this is my recounting of the triggering moment, it's not necessarily the moment.
Pam Cordano: Right. So there's more, so we could go on and say more things about the trigger triage kit.
Haley Radke: What would you do next?
Pam Cordano: Well, something we talked about a lot at the adoptee retreat with Anne and with the participants, was we talked about how there's two different networks in the brain. One network is called the default network, and it's just the same stuff we already think and know, that's based in fear and based in our previous experiences in the world. It kind-of goes around and around in circles. It's just recycling what we already know, it's not open to new information. And so our default network is really that voice that says to you like, ‘Why are you reacting to this story? Nobody else is.’ That's the default network talking and it's just this patterned way we talk to ourselves, that often isn't very nice, because it's fear-based, and it wants us to get in line and pull it together or whatever.
And the other network that's completely unrelated, it's an entirely different network, is the direct experience network, which takes place in the present moment. So that's the place where something new can happen and where we can actually change what's happening with us. And so in the example of being in church where you're hearing stuff and you're triggered, with the example of pausing and taking a couple of breaths, already taking a couple of breaths is in the present moment, it's a direct experience in the present moment.
And then talking to yourself and saying, “What's happening?” The question really is “What's happening right now?” So the answer is going to be what's happening right now, and now we have a chance for something new to happen and for there to be something that can heal in the trigger. Because we're in the direct experience network, where new things can happen.
So to me, therapy is about helping clients get into the present moment and into their direct experience so that they can have a new experience. I never want to sit with a client and have them just tell the same stories with the same emotions over and over again, because they're going to leave the session in exactly the same shape as when they walked in.
Haley Radke: I love what you say about that's a healing thing to go into that, like you're reprogramming.
Pam Cordano: Yeah, you're literally changing your brain.
Haley Radke: And I think what our default is when we're triggered is to run, right? And if we can build these couple steps in, this is giving us the opportunity for healing instead of avoiding it and then always getting triggered by the exact same thing. Because you can't always avoid it.
Pam Cordano: Yeah. And it takes sometimes more than what we do with ourselves, but even if we're in therapy, we still have the six days in between the sessions where we have to deal with life and our own triggers ourselves. It's really the awareness of what's happening in our traumatized systems, and then the kind voice that understands we've got a reason to feel that frightened or angry or overwhelmed.
So we have kindness and we have awareness, and those two things are really going to help us. And that's really what therapists do is they're kind and they're aware and they're investing themselves in us.
Haley Radke: So will you fit in my bag that I'm gonna carry around everywhere? In my kit? Nice, sparkly–
Pam Cordano: Yeah! And then when you– this is what's happening with me is then when you get really good at this you're just gonna kick me out, because you're going to want to put something else in your bag. I'll be in the way at some point. And that's when we know we can handle it ourselves.
Haley Radke: Oh, this is so helpful. Thank you.
Pam Cordano: Another thing to think about with when we get triggered– and of course there are variations. There's mildly triggered, moderately triggered, severely triggered. When I'm severely triggered, which happened to me a couple weeks ago, I can have a feeling of kind-of paralysis. Not physical paralysis, but I don't know what to do, and I feel terrible and I don't know how to get myself out of it, and I have to wait a bit for something, whether it's some rest, or whether it's the right conversation with the right person, or some part of me to show up to help myself. Sometimes I can't do this on the spot, like we're talking about with the church example.
But when we're not that severely triggered, when we're more mildly to moderately triggered, and we pause and we ask, “What's going on?”, a lot of times if we're not used to this yet we have an impulse to do something. For me, if I'm triggered and I just can't cope with it, Ben and Jerry’s sounds really good to me.
And so part of my brain knows that if I eat a whole pint of Ben and Jerry's, I'm not going to sleep very well. I'm going to feel bad in the morning. Like, I'm going feel like too much sugar in the morning. But what we can do with ourselves or some people, they have other things they do. They maybe they do online shopping, or they're playing phone games, or whatever to try to soothe themselves. And there's nothing wrong with soothing ourselves, but when the soothing behaviors aren't really our goal in the long run –like, I don't wanna play Candy Crush for too long, like half an hour's okay, but I don't want to play for hours– then we can work with ourselves. I can say, “Okay, Pam, I know you want to go play Candy Crush right now. That's fine. You're welcome to do that, but let's just give it five more minutes. Let's see if we can bear this feeling for five more minutes before we go to that.” And that's a way of titrating our tolerance for how we feel. And again, this is not when we're extremely triggered. This is just when we're mildly, we're moderately triggered. So we build in space to experience what we're feeling, even journal about it before we go to the trusted behavior that's going to soothe it or change it.
And then there's always other things, too, I'll just throw these out. Like it's always good to do, if we are up for it, when we feel triggered and we're inclined to be either like, we want to do flight, fight, or freeze. If we can manage it, it's good to do a few gentle yoga poses and be with our breath. It's good to call a friend or somebody that we trust and talk it through with them and go toward a person who's safe. It's good to journal. It can be good to turn on music that is soothing or happy or comfortable music. There's a lot of things we can do. It could be good to go read poetry or some kind of inspirational text that reminds us about another way of feeling in the world. So, we can make a connection to things that make us feel better. That's always a good thing to do, too, if we can manage it. When I'm really triggered, sometimes I just can't. I just isolate and, you know, go down the rabbit hole for a while, and then I've come out and apologize later.
Haley Radke: Yeah, if I didn't have two young kids, I'm sure I would be spending more time in my bedroom with the door closed some days.
Pam Cordano: Yeah. As long as you're nice to yourself in there, it's fine with me. We can’t go in the bedroom and be mean to ourselves, that's just terrible.
Haley Radke: Oh my goodness. I won't give you any more examples of the things that I've said to myself because it's been worse. So anyway, this was really helpful. Thank you. You mentioned the retreat, you and Anne Heffron run adoptee healing retreats, and there's some coming up. Do you want to tell us a little bit about that?
Pam Cordano: Yeah. We had our first one in February in Berkeley, California. And it was just incredible. I knew we had a good program lined up for everybody, we had 10 people that flew out to see us, but I didn't know how it was going to feel to be in a room with 12 people, all of us adopted. Something about the resonance of adopted people where we don't have to explain anything and we just get to work, really, at what's in our way of becoming more comfortable in our skin and more joyful in having more access to what we want in life. So it was a wonderful experience. I feel changed by it.
So we have one coming up in July, again in Berkeley, and one in November in Berkeley. And then Anne and I, in January of 2019, are going to go out to New York and then we're going to go to London and have a weekend each place. So we're really excited. And then we're going to have a Part Two adoptee retreat for people who have already taken Part One who want to come to Part Two, and we're just going to reinforce and build some new aspects of healing.
Haley Radke: Amazing. Amazing. So if people are interested in attending that, where can they get in touch with you?
Pam Cordano: They can find Anne Heffron or me on Facebook and message us, or they can also email me at pcordano@comcast.net.
Haley Radke: Awesome. And I have links to all of your social media and your websites up on Adopteeson.com so people can find you there too. Great. So in addition to the adoptee retreat, you have something else that's really exciting. Please tell us about it.
Pam Cordano: Yeah. This is not adoptee-specific, but a friend who's a Jungian psychologist and I are leading a group of 10 women on the Camino de Santiago in Spain, and we're considering it, like, a non-religious pilgrimage. It can be religious depending on the person, but it's just a pilgrimage of growth and transformation. So we'll be walking for eight days in a row, and then we're gonna meet up with an artist in Santiago and we're going to do an integrating project. And the trip filled up really quickly, so we're really excited about that. And we're gonna have another one in April of 2019, and we're going to do the same thing. We're just going to walk for eight days and spend two additional days on the Camino, an ancient pilgrimage pathway in Spain.
Haley Radke: That sounds incredible.
Pam Cordano: Yeah, it's like one of my dreams to put healing together with traveling. Even though we're not going to be acting as therapists on the trip, I just think traveling in an intentional way is therapeutic in and of itself. So I'm really excited about it, yeah.
Haley Radke: Beautiful. People can get in touch with you for more details if they would like to come along.
Pam Cordano: Thanks, yes.
Haley Radke: So good to talk to you. Thank you for the very, very helpful triggered triage kit. I think that people are gonna find it really valuable. I already do.
I hope you had some good takeaways from Pam like I did, and some of those things seem so simplistic, but honestly, when you are in the moment and you're having this experience that is so emotional, that's what it takes is those tiny little steps to bring us down back into awareness of what's really going on for us.
So I want to challenge you to try it. I'm going to be trying it out, too. Lots of deep breathing in my future, friends. If you would like to come and meet Pam in person, and myself, and our friend Anne Heffron, who Pam does these wonderful adoptee retreats with, come to San Francisco, come and meet us in May! Sunday, May 20th, Anne is gonna be teaching her Write or Die class, which I'm very excited to take from her, and then later on in the evening, we're going to just have a hangout meetup. Just hanging out, that's it. Excited to spend time with listeners and some former guests of the show and you can come, I would love it. If you check out Adopteeson.com/events, has the details, or you can go to our Facebook page and click on the events tab there. All the details are available for you and I'd love to meet you in real life.
This show is listener-supported, and what that means is there are so many of you standing with me, actually donating to the show monthly as a financial partner, which helps keep the show going. You are helping to cover all the production costs and all the behind-the-scenes things that it takes to run a podcast like this. So I just want to say thank you so much to my generous donors. And if you feel that this podcast is a valuable resource, if you have learned something from it or if you know another adoptee that would find value from it, I would really love it if you would consider partnering with me. Adopteeson.com/partner has details of how you can join up monthly, or there's a one-time donation link right on the homepage of Adopteeson.com. Thank you. Thank you so much.
And another way that you can help support the show is by telling just one person about this episode. Maybe you know of an adoptee that struggles with triggers just like me, and they would find some of these tips really, really valuable. So I'd love it if you would just text them right now and say, “Hey, have you heard the latest Adoptees On episode?” Or send them a message on Facebook. I think it would be really helpful for them to learn these techniques that Pam has taught us today. Thank you for listening. Let's talk again next Friday.
