9/11, the FDNY and My “Inside Shift”

A couple weeks ago, Emma Bell, host of the Inside Shift podcast, reached out to talk with me on air… not about the ways I work to shift patients’ and readers’ perspectives, but about a time of “inside shift” in my own life. Of course I chose 9/11. How could I not? In the aftermath, I started work with the FDNY counseling unit, which has profoundly shaped the way I work with trauma, especially with men who aren’t quick to admit their own suffering. I hope this meaningful discussion helps shed light on your own experience of trauma: https://theinsideshift.podbean.com/e/dr-suzanne-lachmann-podcast-9/


Donald Trump

Why Donald J. Trump is Unfit to be President

The President of the United States has a psychiatric disorder that requires his immediate removal from office. Thus far, many psychiatric practitioners have noted President Trump’s erratic, impulsive, paranoid, self-consumed thought patterns, communications, and behaviors and are increasingly alarmed by his altered judgment. He demonstrates an inability to grasp details, and an insistence that his beliefs, no matter how skewed or inconsistent, are what is real and true, despite significant and extensive evidence to the contrary.

Like most psychiatric disorders, tense situations exacerbate symptoms. Being President of the United States means the stakes cannot be higher. The person who holds this office must have the mental capacity and endurance to withstand the pressure, responsibility, publicity and fame that come with this role. Donald J. Trump cannot uphold the duties of this office because he appears to have a Delusional Disorder. In its most heightened state, it grossly impairs judgment, insight, and the capacity to understand ramifications of impulsive actions and communications (crucial for anyone in a position of leadership).

As a New York City native and New York State licensed Clinical Psychologist, I have practiced psychology on the Upper West Side since the late 1990s. Through time I have served in many positions that trained and honed my capacity to diagnose and treat patients with all sorts of psychiatric disorders and impairments. I have done therapy and cognitive evaluations for numerous facilities, including psychiatric hospitals, nursing homes, outpatient facilities, treatment programs, and in private practice. But, most notably, as pertains to the observation that an ever-growing number of clinicians and I recognize, is that Donald J. Trump is unfit to lead. In part, my diagnosis comes from a long, extensive often grueling history of working with active duty New York City firefighters. I have been under the employ of the New York City Fire Department’s Counseling Services Unit since directly after the events of 9/11/2001 and continue to work with members of the FDNY to this day.

Since 9/11 my work has involved the necessity of diagnosing firefighters on the spot when stress overtakes them. When any symptoms manifest that alter their thinking, judgment, or perception of reality, I help to relieve them of their active duty status, as the antidote to their stress reactions and trauma is to be placed in less stressful situations with far less responsibility, such as light duty status, or when symptoms are more severe, they are referred to psychiatric, therapeutic, and rehabilitation facilities. Allowing firefighters to stay on active duty status when their psychiatric health is compromised by stress not only puts their lives in danger, but their coworkers and the public they are assigned to protect. When I, or any clinician elects to take a firefighter “off-line,” it is because allowing them to stay on active duty, even when they insist they are “fine,” is not in anyone’s best interest. Rather, it imperils the lives of those they are assigned to protect. Just because they claim to be fine, since their judgment is altered, they cannot be taken at their word, not when lives are at stake.

Because there is not often the opportunity or luxury of doing one-on-one interviews and evaluations to formulate a diagnosis in the FDNY setting, I have honed my diagnostic skills via direct observations, as when they are called upon to respond to an emergency, or when they are casually sitting in the kitchen at the firehouse interacting with others. Their interactions, behaviors, perceptions and conduct with others enables me to discern when behavior and judgment are impaired. The FDNY Counseling Services Unit trusts me at my word when I inform them that a firefighter is demonstrating impaired judgment. Thus far, every firefighter I have requested be taken off line and provided with treatment has benefitted from the interventions. I have had to request that firefighters be taken off active duty with far less information than what is available in the case of President Trump.

New York City natives in the 1970s, 80s, and 90s could not help but know or know of Donald J. Trump as a member of Manhattan’s society and financial elite. Before most people outside of New York and New Jersey knew he existed, he was part of the consciousness of New Yorkers. News coverage was more selective then, but as a glamorous, glitzy and intriguing skyscraper mogul, his movements, actions, and opinions were well tracked and documented. Being consistently in the spotlight in New York City is no easy task, but Donald Trump knew how to stay relevant, interesting, and exciting, each new business or personal undertaking permeated our local news.

Those of us who listened loyally and diligently to Howard Stern’s (then terrestrial) radio show on K-Rock, 92.3, WXRK, listened to many long conversations between Howard and “The Donald,” a frequent guest on the Stern show or many years. It was a welcoming platform for Mr. Trump, as Howard’s on-air admiration and effusiveness toward Mr. Trump; his financial and sexual conquests, his power, wealth, prestige, societal celebrity and exploits were the topics of their interviews. For Mr. Trump, Howard’s on-air effusive praise and deference to him, encouraged long, intimate conversations between them. To this day, those media settings and platforms are the ones in which Mr. Trump functions most productively. They are admiring, unchallenging settings, and he is in charge of the direction of the conversation, and as such, they are less stressful, so his delusional disorder does not manifest as prominently.

When he is demonstrating the symptoms of delusional disorder, President Trump cannot make reasoned, measured decisions as his view of reality is so painfully distorted. For example, Mr. Tump described the million dollar loan he received from his father as a “small loan.” If he was referring to the loan he received from his father in 1985 to expand his casino empire, that loan was for fourteen million dollars (which equates to approximately thirty-one million now).The discrepancy between his perception of the meaning and value of a dollar in contrast with the average American reflects an alarming lack of awareness about the life struggles of his constituents. Mr. Trump has been able to protect his personal view of wealth within his private world.

With Howard Stern in their many hours of interview footage, as well as with other amiable and unchallenging interviewers or audiences, Mr. Trump can remain intact and can appear to be relatively measured, with a more easy-going demeanor. Mr. Trump has been able to avoid even being aware of the magnitude of his delusional belief system, because he continues to control the focus, content and direction of the conversations and interviews in which he participates. For example, his first address the the joint session of congress as President on Feb 28th, 2017, since dissenters must remain silent, and supporters can cheer, he remained unchallenged in his statements, and so was able to get through the address without showing the extent of his disordered thinking.

In nearly every forum, President Trump’s ability to exercise self-control disintegrates when anyone, especially the press, breaks through his rigorously protected delusional system by challenging him. It is at these times, he makes claims that all news sources (with the exception of the ones that support him) are not only biased, but are the enemy of the people. His outrageous, unfounded claims are not just limited to the body of the press, but against fellow Americans as well, including his most recent claim that President Obama wiretapped Trump Tower. Those kinds of baseless, claims that inflame already tenuous relations between citizens in the country over which he presides are exclusively self-serving, irrational, impulsive, and destructive. His conduct is extremely dangerous to the citizens he has pledged to protect. He does not think twice before hurling accusations to protect his image at the expense of the safety and unity of the country. He has been able to feed and preserve a delusional belief system of this level because he has had the wealth and power to do so. Delusions are fiercely protected by their holders. When President Trump’s delusional belief system is in any way challenged, he lashes out with baseless accusations, fueled by his paranoia and obsession with maintaining his image as invincible in an attempt to nullify the challenges to his authority.

My colleague, Dr. John D. Gartner observed, “We have seen enough of Donald Trump’s behavior now that we can make (this) diagnosis indisputably.” Considering the disordered thinking, altered perceptions, and impaired judgment Mr. Trump manifests, we, as clinicians have a duty to warn the public. Dire situations such as this one demand action. The man in the office of President is mentally unfit to be there and must be removed.

Directly after Mr. Trump’s divorce from his first wife Ivana became front page news, they both attended a charity function where I was volunteering. Since he was a member of Manhattan’s elite, his presence at this fundraiser caused a stir. Many people there watched his conduct while in the same space with his new ex-wife. His behaviors in this social setting were indicative of a person who deemed himself superior to others, he stood apart, entertaining no conversations with women he did not find physically attractive, or men who were not fawning over his power and reassured him of his dominance. Toward the end of the event, I approached him to introduce myself and share some thoughts I had about his most recent interview on Stern. He said, “Why would I want to talk to you? I wouldn’t even let you suck my d*ck. Look at all the beautiful women here. Don’t waste my time.” The event was a charity auction for the designer Missoni, so the audience included many attractive models.

The more access the public has to seeing President Trump in both scripted and unscripted situations, the more obvious it becomes that there is a marked deterioration in Mr. Trump’s cognitive functioning, especially when looking at how much less control he has now over managing how he is perceived by others (a vital responsibility for the person who represents us in the world). In his private empire, he could avoid or squelch people or situations that disturbed how he perceives himself. However, that is far more challenging on a public stage, which explains why it is so difficult for him to be coherent or consistent in any decision he makes or opinion he renders. Too many people can interfere with how he views things, which angers and distracts him. In his private world he can rid himself of anyone who does not adhere to his beliefs. However, that is not as easy on a giant public stage. Thus, he becomes overwhelmed, fixated, reckless, retaliatory and impulsive when he feels personally threatened.

A delusional disorder, when you have the power and funds to make your visions real, becomes more and more intractable and toxic. Mr. Trump went on to create innumerable platforms of reverence and adoration for himself, including buying the Miss Universe Pageant in 1996, further setting the stage for viewing himself as “Mr. Universe” in the process. The fuss made by beautiful women over the man who had the power to judge them and consequently shape their futures is one of the many settings he has been able to create to celebrate his wealth, power, and control. His ability to make or break the careers of his subordinates as he sees fit has aided in building what appears to be a delusional disorder of magnificent proportions, as he holds the highest office in the land.

Building a TV-related empire to go with his real estate empire was Donald Trump’s next goal. In 2004 he created and starred for 14 seasons in the still-running reality TV show, The Apprentice. Each week, contestants were put into sometimes impossibly challenging positions that involved shame and betrayal. He also encouraged the participants to be ruthless and cutthroat toward each other in order to earn the coveted spot as his “apprentice” for one year at a Trump portfolio company. On the show, contestants compete in business-oriented competitions. Ultimately, like so many other forums, only he possessed the power to hire or fire them and banish them from the group of hopefuls, thus changing their lives forever. In the last scene of each show, Mr. Trump sat in the biggest chair at the boardroom table, often flanked by business associates plucked from his own corporation, and/or family members like Ivanka or Donald Jr. At this point, all eyes were trained on him as contestants anxiously awaited his decision on whether they’d be weeded out because they were not “qualified” for the position of his apprentice. Mr. Trump typically delivered scathing commentary about the shortcomings and failures of his cast of would-be entrepreneurs. He did not hold back from publicly abusing and shaming them on camera.

Trump reprised the role of being the center of this self-created universe of worship, day after day, month after month, year after year. It’s enough to make anyone believe they are god, or god-like. Since god is immortal, so is Mr. Trump, to himself. Therefore, he can make reckless decisions because he believes that due to his power, he is invincible, so if US citizens are considered at all, the assumption is what is good for Donald is good for everybody.

In every area of his life, Donald J. Trump has been able to create the outcomes he desires, exclusively from his perspective of how things are or should be. That extremely limited perspective has been most influenced by his self-created world where he forces outcomes and escapes ramifications without having to face consequences or engage with people who have gotten hurt by his actions along the way. In the private sector, Mr. Trump’s conduct and behaviors only indirectly affected the general public. In his role as President, Mr. Trump’s self-oriented decisions directly affect all of us. He now has close to, if not total control of the environment in which he exists, how he is treated, responded to, addressed, and viewed. It is a vicious cycle.

In short, Trump has had the means, resources, and ingenuity to cast himself in god-like roles, where he continues to exist unchallenged amidst his personal team of “yes men” nodding in agreement with whatever decision he makes. Being able to create scenario after scenario where, as he asserted while running for President, “…I alone can fix it,” reflects the results of years of being able to create outcomes that have solidified a dangerously skewed perception of his own power to accomplish whatever he wants, whenever he wants. He believes he can conquer all. Over time these roles drastically intensified, and the responsibility he now holds is potentially life shattering for us. His perception of his invincibility is cemented for him. When it is challenged by anyone who is not beholden to him, he becomes retaliatory so as to reassert his control, regardless of how it imperils others. His perception of himself as invincible and his drive to prove his mastery on the most crucial of world stages directly impacts the lives of the citizens of this country every day. His ability to force outcomes and create circumstances for which he is revered and adored no matter how he conducts himself is a manifestation of a severe delusional disorder, which calls for him to be removed from public office immediately.

“A delusion is a belief that is held with strong conviction despite evidence disproving it that is stronger than evidence supporting it.” – DSM-5 297.1 Delusional Disorder

According to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013), Mr. Trump fits the criteria for Delusional Disorder (DSM-5 297.1) of the subtype “Grandiose,” defined as delusions of “power, wealth, importance, relationships to famous people, a special relationship to God or even being a deity” in which “the individual’s way of life becomes progressively overwhelmed by the intensity and intrusiveness of the delusional beliefs.” There are likely other features that manifest privately: erotomanic, jealous, and persecutory delusions, which lend themselves to a diagnosis of Delusional Disorder – of mixed type.

Grandiosity is the most prevalent of President Trump’s delusions. In claiming to know more than the intelligence community whether in regard to Russian hacking, U.S. security, or the ongoing needs of its citizens, Trump has remarked: “I don’t have to be told, you know, I’m, like, a smart person. I don’t have to be told the same thing and the same words every single day for the next eight years,” continuing on that he knew “things that other people don’t know.”

Based on how he speaks of himself and his brand, in his own words, “I comprehend very well, okay? Better than, I think, almost anybody,” he has declared himself to be one of, if not the only person capable of solving the problems of the world. According to him, only he can manage difficult situations and right the injustices of the planet.

When people wonder how has he been able to do accomplish all he has accomplished with this level of psychiatric impairment. The answer is that prior to entering the world stage he is now on, he used his funds and his wherewithal to force the system to adhere to his beliefs about himself and his personal interests in the world. In his private empire, he has always been surrounded by people who have supported his delusional beliefs and justified his interests in creating more power and wealth for himself. At no time has Mr. Trump had to or tried to take into consideration the health and well-being of anyone who he could not directly profit from. That is a perilous situation for the roughly 324 million people who live in the United States.

As President, Mr. Trump is behaving the same way, only the stakes are so much higher. In my clinical opinion, because of his delusional disorder, he believes he knows all, so anyone who challenges his world view will be, and have already been, pushed out of his circle. Sally Yates was fired during the President’s second week in office for questioning the legality of his executive order, as Mr. Trump called for a sweeping ban without regard to logistics or consequence for people entering the United States from Muslim-majority countries where he does not have personal business dealings.

Clinicians have identified Mr. Trump as being Pathologically Narcissistic. Narcissistic Personality Disorder (DSM-V code 301.81). His level of narcissism intensifies his distorted belief system – his delusions about himself and the world. Mr. Trump’s inability to control himself from talking about himself admiringly in so many inappropriate situations, ranging from Twitter outbursts to overstating his inauguration crowd size while standing in front of the CIA’s wall of stars honoring members who have died in the line of duty, are just a few examples of his level of mental illness. His narcissistic personality further pollutes his thinking and further strains his grasp on reality. As such, Donald Trump’s personality disorder exacerbates his delusional beliefs, and vice versa.

President Trump’s distorted thinking, disorganized conduct, and erratic, impulsive behavior, combined with his fixation on his own importance and demonstrated desire to seek revenge directly imperils our safety as citizens of the United States. President Trump must be removed from the line of duty, and brought to a psychiatric hospital or treatment facility where he can receive a psychiatric medication consult. Perhaps time away from the stressors of the Presidency will allow those with proper psychiatric training to manage the symptoms of his disorder and create a proper course of treatment, thus enabling the American public to be relieved of the burden of worry about a problem in which we currently feel we have no recourse.


You Are Not Alone in Being Retraumatized by Trump

Recently, in session, a patient was sharing her fears about the direction the world seems to be heading. What are we going to do? We are stuck in this situation. No one is going to do anything to help us! She was fatalistic, felt alone and isolated. And while on the surface she was reflecting on her terror about the current political climate, on a deeper level she was also re-experiencing trauma from her early life.

When you find that in the last few months you’re shakier, more irritable, more anxious, you feel less safe and you can’t figure out why, it may be that old traumatic experiences and memories are bubbling back up to the surface, triggered by how things have unfolded in the U.S. and in the world. The unapologetically authoritarian manner in which the man who occupies the Oval Office conducts himself is painfully similar to abusers, predators, sexual harassers, and seething misanthropes that so many people, females especially, have been forced to endure, or have likely been exposed to in one way or another in their lives. It is especially jarring because for many, the “President of the United States” is a symbol of bravery, intelligence, care and compassion. Instead, this President triggers memories of hurt, shame, fear, divisiveness, and distrust.

Politics aside, in this election the male won in large part by beating the woman down. She was brutalized yet always maintained her exterior decorum while he was and continues to be brazenly abusive. For many it is surreal and creates associations to being captive to their abuser(s) with nowhere to turn all over again.

When you’ve experienced trauma – physical, sexual, emotional or any other kind — or when you’ve had your self-experience negatively impacted by someone who overpowered, bullied or shamed you, it’s very hard to live through and live down. It takes a lot of effort and dedication to take your life and self esteem back from someone who subjected you to their sadism. It is like putting back together the pieces of your shattered sense of self, or trying to develop a sense of self in the first place. And now here you are, going along in your life, keeping the emotional and physiological experiences that come with trauma at bay… until that scary man began to infiltrate every pore in your body and neural pathways in your brain.

His style, his irrational inconsistency and inability to experience compassion or empathy are painfully familiar. He  reminds you of the painful past you have worked hard to escape.  When you’re retriggered, it’s like enduring the abuse all over again. In a traumatized state, you feel isolated – only you know how imprisoned, scared, alone, and shaken you feel.

Here is the good news: This time, you’re not alone. Rather, what  feels so eerily familiar is now not an individual trauma, but a collective one.

With that in mind, one of the most important ways to address the symptoms of trauma reemerging is to first and foremost recognize that many, many people are suffering in the same way you are. The best thing you can do is reach out to others and share that you feel triggered. What you will receive in return – unlike the isolation of your original trauma – is validation and comfort in finding that so many other people feel as you do.

At the same time, understand that your trauma is debilitating and immobilizing. You feel like you should be doing something but you feel helpless, in large part because you haven’t yet succeeded in removing yourself from the situation. There’s so much going on and so many ways people are attempting to regroup and fight back and find civility in their lives again, but you may be so traumatized that you can’t engage.

Though in the past you’ve turned to social media for connection, now it’s nothing but bad, scary news that most certainly triggers even people who haven’t been traumatized, putting you in a position of being re-traumatized over and over again. Finding out from one minute to the next how chaotic and inflammatory the world is does you no service whatsoever.

Your best bet is to try the same strategy you would use to get over a relationship: Stay away from provocative social media. Instead, work to extend yourself in a real, personal, physical way. When an opportunity presents to attend a vigil or go to a meeting or write a congressperson, try to take that step. Be helpful to others and have them be helpful to you.

First and foremost, find connection with other people. When you’re ready, do what you can to contribute in small steps. But try to stay away from the kinds of things that further intensify or over-stimulate your brain in way that can send you reeling back into the fear, pain, despair and helplessness you experienced in the first place.

Other people feel as you do and humans are safe-havens. Physical connection, emotional connection, and sharing your struggle with others will help you find strength and unity. It will help you calm down and remember that the only way anyone can get through any traumatic experience is to be a safe haven for each other. Take it one step at a time.

4 Clues to Hillary’s Real Character

Everywhere we turn there are extraordinary amounts of violence. People are terrified and confused. It seems as if things have never been worse. This is especially true of the younger generation – all we ever know are the times we have lived. In this trying time, we want certainty from our leaders. Unfortunately for Hillary Clinton, certainty and absolutism are things she has struggled to convey. From the email scandal to her paid speeches to Wall Street, her history has sent mixed messages. Of course, we no longer trust anything that politicians say. It is their actions that count. So what can we learn about Hillary Clinton’s character from her actions? Here are four facts of Hillary’s life that seem instructive:

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What We Can Learn About Trump and Clinton From Their Children

We may disagree on what is in the best interest of the United States. However, at the core, what we’re all looking for in a President is a person we can trust to have our best interests at heart to the best of his or her ability. But words are just words – how can we tell who is honest and who is acting? Whose fundamental beliefs and way of being reflect an investment in making the world a better place?

It’s what people do when you’re not looking that tells you the most about who they are. Because children are, at least in part, a product of their parents, one hint at how people act over time and in private is the way their children choose to conduct themselves in the world.

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Blake And Gwen: Why An Intense Situation Can Make Opposites Attract

The burgeoning love affair between Blake Shelton and Gwen Stefani, two of the coaches on the NBC show “The Voice,” has a lot of people talking. Both are creative, talented musicians, whose life histories, home lives, previous relationships, musical backgrounds, career directions, and forms of artistic expression are vastly different. He’s a country music star who, through the years, has taken a more conservative approach to recording, performing, and now “coaching,” by staying close to his country roots. Conversely, she is the trailblazing lead singer of a funky, edgy, progressive pop band who has pushed limits, broken down barriers, and shattered the glass ceiling for current and future female pop singers everywhere. For these reasons and many more, they are a surprisingly unlikely romantic pair.

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What It Really Means to Be ‘Friends With Benefits’

Whether it’s online dating or out in the physical world, there are a lot of people looking for and trying to establish a friend with benefits arrangement, or “FWB”. The problem is, when an FWB hasn’t had time to develop organically, the label doesn’t fit and may add pressure when it’s intended to take pressure off. When you’re entering a new arrangement, calling it an FWB is confusing because it doesn’t reflect the complicated nature of what you’re trying to create with someone you barely know.

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The 9 Stages of Grieving a Breakup No. 9: Hope

Here, I’m exploring the 9 Stages of Grieving a Breakup. I encourage you to start at the beginning of the series with the entry describing the first stage, Shock. In previous days, I have also written about the stages of  Denial, Desperate for Answers, External Bargaining, Internal Bargaining, Relapse, Initial Acceptance and Anger. Today we are exploring the final stage of grieving a breakup, Hope.

9. Hope

Hope or lack thereof about yourself, your relationship, and your future is a defining factor of your grieving process. Not only has your relationship been severed, but so has your access to hope about what could have been and what will be. When you lose access to hope, your first inclination is to try to salvage hope by funneling or redirecting it into reviving the relationship any way you can.

Why? Because being without hope is a profoundly desperate feeling. In fact, it is one of the most devastating feelings a human can experience. Hope is a life force, a basic survival need. In reality, the only time you literally lose all the hope in your reserves is when you give in to death. Otherwise, what you are losing is not hope itself, but your access to hopeful feelings. As long as you’re alive and breathing, it remains in your reserves whether you have access to it or not.

As you begin to accept that reconciliation it is not an option, you shift from the hope that the relationship can be saved, to the possibility that you just might be ok without it. For now, hope lies in small accomplishments, all of which lead toward greater hope that you will be okay and there will be new reasons to be hopeful in the future.

Remember that your progression through these stages won’t be linear. You won’t necessarily start with Shock and progress through the stages in order until reaching Hope. Hopefully you now have a better understanding of where you are in your process, which can feel comforting in its own right. And hopefully I have provided you with language and a way of understanding your experience so that you can communicate about it and feel less alone as you go through your grief.

The 9 Stages of Grieving a Breakup No. 8: Anger

Here, I’m exploring the 9 Stages of Grieving a Breakup. I encourage you to start at the beginning of the series with the entry describing the first stage, Shock. In previous days, I have also written about the stages of  Denial, Desperate for Answers, External Bargaining, Internal Bargaining, Relapse and Initial Acceptance. Today we are exploring the eighth stage of grieving a breakup, Anger.

8. Anger

Anger takes many forms in-breakup. There are earlier, more primal forms, and later more developed ones. In the beginning, anger can take the shape of self-blame. It’s most tempting to look for answers in your own shortcomings. You’re angry at yourself for what you see as messing up the relationship, and you say to yourself, “I got what I deserve.” This kind of anger also takes the shape of self-disgust; you’re “not good enough” – you’re “ugly,” “stupid,” “fat,” “old,” “useless, “undeserving.” Blame is an unproductive and immobilizing form of anger. It’s a long way out of that hole you’re digging yourself into.

When you’re angry at yourself or even at your ex for the demise of your relationship, that’s you trying to make sense of what happened by determining whose “fault” it is, who to blame. But no matter who’s at fault, blaming yourself, your ex, or anyone else you believe is implicated can’t and won’t change the outcome.

Progress comes when you recognize that you’re most angry about the breakup itself. It is unfair and unjust, but it is reality. When you are responsible for your own anger, you begin to re-unify the pieces of you that were shattered by breakup, the faulty dynamics of the relationship, and the misunderstandings that occurred as a result. This kind of anger gives you the power to move forward.

9 Stages of Grieving a Breakup No. 7: Initial Acceptance

Here, I am exploring the 9 Stages of Grieving a Breakup. Please see posts on earlier stages Shock, Denial, Desperate for Answers, External Bargaining, Internal Bargaining and Relapse. Today we are exploring the seventh stage of grieving a breakup, Initial Acceptance.

7. Initial Acceptance

Initial acceptance happens repeatedly during your process of grief. It is a stage you are likely to visit again and again. Between the waves of agonizing rediscovery of your loss, you will experience moments of clarity. During those moments, you may be able or even willing to accept the inevitability of breakup, and will resolve to keep away from your ex to the best of your ability. You will find that you go in and out of having the to recognize that the relationship is no longer viable, and will have the self-control to hold onto that concept, at least briefly.

At these times, no matter how fleeting they are, you will make a conscious effort to exercise restraint when the urge to contact your ex descends on you. Over time, initial acceptance and the strategies you used to sustain it become more substantive and consistent. You will build on it, and continue to put boundaries in place that you make the breakup stick, because you know it has to, you don’t have a choice.

But for now, know that it’s okay when the moments of clarity and the realization that you’ll be okay are submerged more often than experienced. Your shift in perspective will come with time.