” Self-care is not selfish. It’s an act of compassion that helps in restoring one’s equilibrium and balance. Ideally self-care is practiced life long.” Andrea Schneider

When a person is reeling in the aftermath of a toxic relationship, there are a number of steps towards finding inner peace that can help the survivor to transcend emotional pain. It is inevitable that most people will encounter toxic people in either work, family, friendship or love relationships. The abusive person need not have a full blown diagnosis of NPD (Narcissistic Personality Disorder) or psychopathy to cause emotional harm. Just possessing a few of the traits of pathological Cluster B personality disorders can render any contact with such a person equating to emotional harm and pain (Brown, 2009). The good news is that once armed with information about how to protect oneself from deceptive, toxic people, healthy individuals develop a discerning shield in terms of their intimate relationships. And in circumstances where a survivor has unfortunately been blindsided by a malignant narcissist or other toxic person, there is hope for healing and finding balance and good health.

I want to emphasize that experiencing a toxic relationship with an abuser is traumatic for the survivor. In the aftermath of narcissistic (or psychopathic) abuse, individuals can experience depression, anxiety, PTSD, C-PTSD (complex-PTSD), somatic pain, and panic attacks. Being in the force field of a pathological abuser for any length of time (but especially during chronic, long-term circumstances) results in psychological harm for the survivor. With that, it is imperative that the survivor seek out and obtain qualified psychotherapy with a licensed mental health professional who is trained in trauma-informed care and who knows about narcissistic/psychopathic abuse. Life coaching by survivors can be very beneficial as well, to provide validation and confirmation. However, because recovery from toxic relationships can feel like you are emerging from the Dark Side with a complex constellation of clinical concerns (see above), you require recovery with a clinician (psychotherapist) who understands the delicate interplay of trauma, healing from abusive relationships, and has the training to provide such interventions. If someone you are working with claims to be able to “treat” these clinical concerns, and they are not, in fact, a licensed clinician, they are practicing unethically and illegally, and out of their scope. Buyer beware. The good news is that there is a growing number of therapists who are trained in this specialty. Look for a trauma-informed, strengths-focused, empowering clinician to help you in your recovery.

The following are some suggestions for survivors that I provide for my clients in my own private practice. In the aftermath of abuse in a toxic relationship, survivors need and deserve inner peace and healing:

1) As mentioned above, connect with a qualified helping professional who can address the very intricate and specific nuances of C-PTSD, depression, anxiety, etc. Healing will take some time, and the traumatic grief resulting from the toxic relationship requires an “unpacking” that is multi-layered in the presence of a caring, empathic, non-judgmental specialist (In some circumstances telehealth consultation may be appropriate for individuals who are geographically far from specialists). In-person trauma-informed clinicians can also provide EMDR (Eye Movement Desensitization and Reprocessing) interventions which help the brain to release how trauma is encoded. Trauma-informed clinicians may practice other interventions such as Emotional Freedom Technique, somatic experiencing, mindfulness-based cognitive behavioral therapy and/or expressive arts. You need to research and inquire how your trauma-informed clinician approaches trauma release and integrating wellness into the treatment plan.

2) Surround yourself with caring and authentic others in your tribe — these people may be family, friends, colleagues, helping professionals, acquaintances. Part of the healing in the aftermath of a toxic relationship is continuing to experience safety and belonging in healthy circles of support. For people who do not have family or friends nearby, it is especially imperative to seek out qualified helping professionals who can serve in the form of a “safe holding environment” (Winnicott, 1973) as the survivor is building her tribe of caring others. A word about online forums: some may be helpful, but many are not supervised by trained professionals. Some forums are magnets for cyberstalkers and trolls. Again, buyer beware. An in-person support group facilitated by a trained clinician and specific to healing from toxic relationships is ideal. Barring that, online support groups supervised and facilitated by trained and empowering professionals would be an alternative.

3) Go No Contact with any abusive person. If you share children or have to work with this individual, you can do Limited Contact, whereby your only communication is either strictly related to parenting (in which case you can use computer software like Family Wizard that is monitored by your attorney/the courts or in the case of work, keep conversation and communication strictly for business purposes and with a witness/second party present). Ideally and optimally for complete healing, at minimum Limited Contact (and only in the circumstances mentioned) , and in all other cases, absolutely No Contact. With No Contact, that’s when healing really begins. The toxic forcefield of the abuser is removed/unshackled, and the survivor has the opportunity to thrive again. ? 4) Practice supreme self-care. Taking care of oneself is not selfish. Self-care practices that are vital to healing and target all aspects of health: physical, emotional, social, spiritual, and mental. This includes: * exercise: at least 30 minutes daily, preferably in the sun and in nature. If you live in a cold climate, getting outside is still important (snow-shoeing, cross-country skiing, etc). Studies show that immersing oneself in nature has multiple mental health benefits, particularly hiking (Bratman, 2015). Exercise lifts serotonin and endorphins, which are feel-good chemicals our body and mind need to operate smoothly and without depression or anxiety. Twenty minutes of sunshine/day lifts Vitamin D in our bodies (a deficit of this vitamin can result in depression). *Physiological release of pent up tension from trauma: in the form of yoga, meditation, journaling, kick-boxing, massage. Studies show that our bodies hold trauma; we must physiologically release trauma in a healthy way (van der Kolk, 2015). *Connect with spiritual affiliation, whether that is in an organized religious institution or as a solo practitioner – having a sense of peace from a Higher Power, through prayer, reiki, meditation, nature, etc can have very beneficial impact on the healing journey. *Expressive arts release— one of the key mechanisms in releasing trauma is expressing the “felt” pain in a sensory manner (Malchiodi, 2015). Locate a trained trauma-informed expressive arts practitioner to help you with this component of healing. (Side note: coloring books are not art therapy. They can be very helpful with mindfulness, but they are NOT a substitute for expressive arts trauma-informed therapy.) *Good nutrition and sleep hygiene. Studies show we must have at least 5 consecutive (without interruption) hours of sleep to have a complete sleep cycle. When that is disrupted (for whatever reason but often by insomnia where trauma is concerned), depression and anxiety results due to plummeting serotonin levels. Tackling excellent sleep is imperative for healing. Some individuals may need to consult with a health practitioner about possible options for melatonin or sleeping aids (temporarily), stress reduction exercises before sleep, etc. Good nutrition is equally important. You don’t need to purchase expensive supplements to nourish your body with good nutrition. Studies show that omega-3 fish oil is excellent in protecting the brain against depression and anxiety (among other wonderful benefits) (Kendall-Tackett, 2014). Research healthy meals that are abundant in fiber, protein, fruits and veggies. Remember to drink ample water, reduce (or eliminate) caffeine and alcohol consumption. *Routines are important. The brain needs time to work through the trauma, cognitive dissonance, anxiety/depression after having been in a toxic relationship. Therefore, giving your brain ample time to be bathed in logic and creative expression is key to providing relief for the intensity of emotions in the aftermath of trauma. For example, if you find you are ruminating over a abusive relationship, it will be helpful to problem solve with your therapist a list of logical or creative actions you can take to get your mind off being stuck on flashbacks. Some suggestions may include, keeping your regular routine in place (for work, etc). Keep the brain focused on logical activities that require getting out of the emotional brain (sometimes a crossword puzzle or Words with Friends can zap you back into logical thinking and reasoning). Some of my clients like to do projects that help them with mindfulness, like crafting, knitting, playing a musical instrument, or just “puttering” around the house with various organizing or cleaning projects. *Keep a journal for when intrusive thoughts surface, because they will. And you will need help dismantling the cognitive dissonance associated with psychological abuse– by a trauma-informed therapist.Alternatively, Zen Doodle or a sketch pad can be used as a visual journal in expressing and releasing any intrusive thoughts. As well, give yourself permission to grieve the traumatic loss of someone who betrayed you. Therapy will be important to guide you through traumatic loss, walking through the stages of grief, and healing the traumas associated with that connection.

Healing takes time and is multi-layered. The above are only a few suggestions on the pathway to healing. So much of the work is done in the therapy session and in homework assignments as you heal from trauma. Again, I emphasize the importance of working with a trained trauma-informed , strengths-focused clinician, nuanced in narcissistic/psychopathic abuse recovery. We are out there. We love helping people heal. It is an honor and privilege to bear witness to the healing my clients go through. I have seen the most courageous and fierce survivors rise from the ashes and emerge, soaring again in good health, inner peace, and wellness. So can you. Begin today!

(The original version of this blog can be found at the author’s website: andreaschneiderlcsw.com and her blog, From Andrea’s Couch)

Photo by Alyssa L. Miller