Tag Archives: Counseling

September: Suicide Prevention Awareness Month

September is National Suicide Prevention Awareness Month. Every day, around 123 Americans die from suicide. Annually, around a quarter of a million Americans will survive an attempted suicide.

Phone calls to suicide hotlines have skyrocketed. According to the Center for Disease Control, the number of people reporting thoughts of suicide has more than doubled from 4% in 2018 to 11% in June 2020. Even before the pandemic, suicide rates had been increasing over the past several years. In 2018, The National Center for Health Statistics reported that suicide was the tenth leading cause of death in the United States and the second leading cause of death in people ages 15-34. And, while women attempt suicide three times more often than men, men are three times more likely to have a fatal outcome.

Because the number of suicides and suicidal attempts continues to climb, the number of people affected by it has increased, as well. If you or someone you love needs support, please reach out. A trusted priest or your diocesan marriage and family life director can help you get started.

Church Teaching

“Man has been given a sublime dignity, based on the intimate bond which unites him to his Creator: in man there shines forth a reflection of God himself” (Pope Saint John Paul II, Evangelium Vitae, 34).

Recognizing that the human person is made in the image and likeness of God, the Catholic Church proclaims the dignity of all human life from conception until natural death. Every person is responsible for his life which is freely given to him by God. Because of each person’s inherent dignity, the taking of one’s own life is contrary to the love of God who gives us life, the love of our neighbor to whom we have obligations, and a just love of the preservation of one’s life (CCC 2280-2281).

While the Church recognizes the grave objective evil of suicide, She is a compassionate mother who recognizes that “grave psychological disturbances, anguish, or grave fear of hardship, suffering, or torture can diminish the responsibility of the one committing suicide” (CCC 2282). God alone is the judge of our actions and intentions. As such, “We should not despair of the eternal salvation of persons who have taken their own lives…The Church prays for persons who have taken their own lives” (CCC 2283).

The heart of the Church is the heart of a mother who holds particularly close all her children who suffer, especially those who are affected by depression, anguish, or the loss of a loved one to suicide.

USCCB Resources

Other Resources

Moving Beyond “Healthy” Anger

Christian married couples are called to love their spouses with a Christ-like love that is patient and kind, with no selfish or unjust anger, envy, or other unloving emotions (1 Cor. 13:4-7).

Don, a Christian realtor, does not love his wife Jaimee with a Christ-like love when she forgets to give him a phone message about an important real estate deal. Don yells angrily: “How could you forget the phone message? You’re so inconsiderate! Promise me you will never forget any of my phone messages again!”

St. Francis de Sales warns Christians that anger can turn into hatred. Couples can deal with anger effectively by managing their anger and, most of all, by following Jesus with love, wisdom, and other Christian virtues. Anger management helps couples grow from an unhealthy anger to a normal, supposedly healthy anger. Following Jesus virtuously helps couples grow further towards a Christ-like, anger-free marital love.

Moving from unhealthy to “healthy” anger

Anger management experts help couples with unhealthy anger move towards a normal “healthy” anger by managing their anger with such things as timeouts, deep breathing, empathy, cognitive therapy, and communication. With “healthy” anger, couples act constructively and reasonably. But they still feel angry at times. They typically experience a few episodes of moderate anger a week, often with some yelling, according to an American Psychological Association report.

“Healthy” anger is better than unhealthy anger. But “healthy” anger is not all it’s cracked up to be. Suppose a couple’s “healthy” anger lingered for the rest of the day or evening, and suppose the couple experienced also a few episodes of “normal” envy every week, and “normal” anxiety, and other negative, un-Christ-like emotions. That’s a lot of negative, un-Christ-like emotional turmoil!

Jesus calls couples to grow from an unhealthy or “healthy” anger towards a Christ-like, anger-free marital love. But many anger management experts, and even some Christian marriage experts, say that we cannot help being angry at times, so we are not morally responsible for our angry feelings or for other emotions.

Growth towards a Christ-like, anger-free marital love

Jesus can help couples grow towards a Christ-like, anger-free marital love. We couples are often morally responsible for our emotions, and we can become Christ-like emotionally. Jesus teaches that “anyone who is angry with his brother will answer for it before the court” (Matt. 5:22). St. Augustine writes that our emotions are morally good if our love is good, and morally evil if our love is evil. St. Thomas Aquinas teaches that our emotions are morally good if they are reasonable, and morally evil if they are unreasonable.

Aquinas explains that we are not morally responsible for the involuntary, irrational, physical elements of our emotions, such as a rapid heart rate, but we are often morally responsible for the voluntary, rational elements of our emotions, such as thoughts and feelings of anger. Most of us become more reasonable and loving emotionally as we grow from infancy to adulthood. During our Terrible Twos we might have thrown temper tantrums if we had not been given Cap’n Crunch’s Crunch Berries for breakfast, but we would not have been morally responsible for this. Adults, however, would ordinarily be morally responsible for temper tantrums like this.

Couples can gradually reduce and eventually eliminate selfish or unjust anger with love, wisdom, and other Christian virtues, together with God’s healing and divinizing grace. Aquinas teaches that we can control anger and other emotions with a wise intellect (wisdom) and a loving will (love). Suppose that the realtor Don took a timeout when he was mad at Jaimee for forgetting the phone message, but he still felt angry. With Christian wisdom, Don could come up with reasons for not being mad at Jaimee. He could reason that Jaimee just forgot to give him the message, so she was not trying to hurt him, and everyone forgets things at times. He could reason also that anger usually punishes itself and profits nobody, and that Jesus wants him to treat Jaimee well instead of blasting her angrily.

With Christian love in addition to wisdom, Don could desire and choose to love Jaimee generously instead of getting mad at her. Then he would be following the advice of Francis de Sales that it is better “to find the way to live without anger, than to pretend to make a moderate and discreet use of it.” Here Francis criticizes the “anger management” theories of his times.

Christian couples can gradually reduce and eventually eliminate anger with love, wisdom, and other Christian virtues. These virtues kill off anger more powerfully than anger management does–especially if couples commit themselves to following Jesus virtuously in a peaceful and joyful Christian marriage discipleship.

About the author
David Sanderlin (Ph.D., University of Notre Dame) is a retired college professor and author of books and articles on Catholic spirituality, ethics, relationships and other topics.

This article is drawn largely from the author’s Catholic marriage guide, The Christian Way to be Happily Married (Christian Starlight Press, 2010), especially Part III, Chapter 3.

Finding Help When Your Marriage Is in Trouble

This document was developed as a print resource by the Committee on Laity, Marriage, Family Life, and Youth of the United States Conference of Catholic Bishops (USCCB) in 2011.

For Sue and Carlos, married for eight years, life is hectic as they try to balance his full-time job, her part-time job, and the needs of three children. Even when they manage a date night, conversation tends to revolve around the kids. Sue misses the connection she felt with Carlos as newlyweds. Carlos loves his family but wonders if there’s something more than the endless routine of carpools and shopping. Both worry that the spark has gone out of their marriage.

Nearly a year after Tom admitted his affair with a co-worker, Sally cannot forgive him. She considered divorce, but Sally takes their wedding vows seriously and doesn’t want to abandon nineteen years of marriage. Besides, Tom is a good father to their teenagers. Tom wants desperately to regain Sally’s trust but doesn’t know how to begin to repair the damage to their marriage.

On their wedding day, when a bride and groom promise to be true in good times and in bad, the hard times seem far away. The Church rejoices with the couple, even as it reminds them of what lies ahead. In the Nuptial Blessing the priest or deacon prays, “Lord, may they both praise you when they are happy and turn to you in their sorrows.”

The Church understands that problems are part of every marriage. The reality of human sinfulness can impair the ability to achieve a happy and holy marriage. Modern stresses on marriage can take their toll.

Nevertheless, God’s plan for marriage persists. He offers forgiveness and healing so that couples might learn to grow in self-giving love and thus become an image of the relationship between Christ and his Church.

How can this happen, however, when couples face the difficulties of married life? In their pastoral letter on marriage, Love and Life in the Divine Plan, the U.S. bishops offer an answer: “We bishops urge couples in crisis to turn to the Lord for help. We also encourage them to make use of the many resources, including programs and ministries offered by the Church, that can help to save marriages, even those in serious difficulty” (24).

This brochure identifies a variety of resources available to couples experiencing marital problems. Some couples, such as Sue and Carlos in the above example, can benefit from marriage education. Others, like Sally and Tom, often need more intensive help, such as counseling. All Catholic spouses can draw strength and healing from the Church’s spiritual resources.

The Parish as a Source of Help

Catholics experiencing problems in their marriage often turn to their parish for assistance. For many, a first step is to discuss their situation with their pastor, who can often offer support and guidance. Although most are not trained counselors, an experienced pastor knows what to listen for and what kind of help to offer. Couples like Sue and Carlos may simply need reassurance that their marriage is going through an unsettling but normal phase.

In some cases, a pastor may identify and challenge an addictive behavior. He may also determine that professional help is needed and recommend a qualified counselor.

The pastor represents a Church that is committed to saving marriages, if at all possible. He promises to offer spiritual and emotional support as the couple works through their difficulties. He asks the couple to make a similar commitment by trying in good faith to save the marriage. (An important note: In Love and Life in the Divine Plan, the U.S. Catholic bishops state that “no one in a marriage is obliged to maintain common living with an abusing spouse” [24]. See also When I Call for Help: A Pastoral Response to Domestic Violence Against Women.)

In some parishes, deacons and lay ministers are able to provide pastoral care to married couples. Other parishes have pastoral counselors—trained mental health professionals who integrate sound therapy and spirituality. If no help is available, it may be possible to find assistance at a neighboring parish. This is also an option for couples who are reluctant to discuss their marital problems with their own pastor.

Helpful Resources for All Couples

  • Skills-building programs. Research has shown that marriages are more likely to succeed when couples acquire certain skills such as communication, conflict resolution, financial planning, and time management. Some parishes and community adult education programs offer skills-building sessions. The diocesan Family Life Office may be familiar with programs offered in the area.
  • In-home resources. Many couples appreciate the flexibility of in-home resources such as books, DVDs, and web-based marriage enrichment programs. These are readily available online and in bookstores. The For Your Marriage website includes lists of recommended books and programs.
  • A Marriage Mentor couple can be helpful for any marriage, especially one in trouble. Some parishes have programs to match couples; otherwise, a pastor might suggest someone, or a couple might look for a more experienced couple whose interactions they admire.
  • Group-based encouragement and enrichment. Various enrichment programs are offered in group settings. Some, such as Marriage Encounter and the Marriage Encounter Weekend Program, bring couples together for a day or a weekend to focus on improving their marriage. Others, such as Christian Family Movement and Teams of Our Lady, offer a chance to meet regularly with other married couples for mutual support and spiritual growth.

For Your Marriage has more information about these and similar resources.

Resources for Couples with Serious Issues

  • Support groups. Addiction to drugs and alcohol, gambling, pornography, and similar behaviors, if left untreated, worsen over time and can destroy a marriage. Twelve Step programs such as A.A. and N.A. can be effective, alone or in combination with other therapy. The spouse of someone with an addiction can benefit from Al-Anon or Narconon. Many parishes have a list of such programs in their area.

See the article on Addictions for more information.

  • Retrouvaille and The Third Option. Retrouvaille is a weekend program with follow-up, designed for couples with serious problems, including those who are separated or divorced. Weekends are offered around the country. The Third Option combines skills-building workshops, sharing with mentor couples, and a support group. It can be used for marriage enrichment or crisis intervention. Spouses may come alone.

Counseling

Sometimes a problem becomes more than a couple can handle alone. Indications that a couple might need counseling include ongoing conflict that does not get resolved; poor communication patterns; disruptive life transitions; substance abuse; disagreement over a child’s needs; and mental health issues such as depression and anxiety. A positive outcome is more likely when help is sought sooner rather than later.

A major challenge is finding the right counselor. The therapist should be committed to saving the marriage, if at all possible, and should respect religious values as a resource for strengthening the marriage. The therapist should have specific training in marriage counseling, with a practice that includes a significant amount of couple work.

The best referrals come from people whose wisdom and integrity can be trusted. This might include a friend, family member, physician, or mental health professional. It could be a pastor or parish staff member. Another referral source is the diocesan Catholic Charities Office or Family Life Office.

See the article on counseling for more information.

Spiritual Resources

Jesus promises to be with those who are dealing with difficulties: “Come to me, all you who labor and are burdened, and I will give you rest” (Mt 11:28).

Couples can experience Jesus’ presence through the Catholic Church’s rich treasury of spiritual resources.

  • In the Eucharist, Catholic married couples encounter the one who is the source of their marriage. Jesus’ self-giving love sustains their own union. Sometimes, however, couples slip in their Sunday Mass attendance, or they do not attend Mass together. A first step might be to make a date for Mass and start to reclaim the spiritual foundation for the marriage.
  • Through the Sacrament of Reconciliation, Jesus offers mercy and healing and the opportunity to make a fresh start after inevitable stumbles.
  • Personal prayer, Bible reading, and devotions such as the Rosary or eucharistic adoration can help couples discern God’s will for their marriage.
  • Some parishes and dioceses offer a day of reflection or weekend retreat for married couples.

Conclusion

The Catholic Church wants couples to have a holy and happy marriage. Addressing problems as they arise helps spouses develop the skills and behaviors that lead to a happy marriage; it also leads them to a holy marriage, as they grow in virtues such as patience, perseverance, and forgiveness. Couples who have worked through serious difficulties often emerge stronger and more committed. Hand in hand, they lead each other to heaven as they witness to God’s own faithfulness and abundant love.

About the document
The document Finding Help When Your Marriage Is in Trouble was developed as a resource by the Committee on Laity, Marriage, Family Life, and Youth of the United States Conference of Catholic Bishops (USCCB). It was reviewed by the committee chairman, Bishop Kevin C. Rhoades, and has been authorized for publication by the undersigned.

Msgr. David J. Malloy, STD
General Secretary, USCCB

Scripture texts used in this work are taken from the New American Bible, copyright © 1991, 1986, and 1970 by the Confraternity of Christian Doctrine, Washington, DC 20017 and are used by permission of the copyright owner. All rights reserved.

First printing, May 2011

ISBN 978-1-60137-199-7

Copyright © 2011, United States Conference of Catholic Bishops, Washington, DC. All rights reserved. No part of this work may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright holder.

This resource is also available in a printed brochure format (Publication No. 7-199). To order copies contact USCCB Publishing or call 800-235-8722.

Pornography

In 2015 the bishops of the United States approved “Create in Me a Clean Heart,” a formal pastoral statement addressing the issue of pornography and all those affected. Learn more about the statement or read it for yourself. Pamphlets in the series are also available here.

Henry seemed to have it all–a loving marriage, four young children, and a solid middle-management position with a local financial corporation. He and his family lived in a good suburban neighborhood and were active in their local parish, where Henry was involved in the music ministry. At 35, he was poised for a promotion to a more lucrative upper-management post.

He always worked long hours, both at the office and at home, but in recent months he had shown signs of wearing down. To his wife and children, he seemed distant, irritable and gloomy, and he was spending longer and longer hours at the computer. He often missed out on family outings, saying he needed to work. Even his co-workers noticed a change for the worse in his mood, efficiency and productivity. He simply wasn’t himself anymore.

Everything came crashing down late one evening when Henry’s 11-year-old daughter, Hannah, walked in on him as he watched an Internet video of men and women engaging in sexual acts. Horrified, Hannah ran and told her mother, and this now-disillusioned family suddenly had some very serious issues to face.

Tragically, Henry’s situation is not unique. While pornography has been around for centuries, the problem of addiction to pornography has increased dramatically in recent years largely due to its vast presence on the Internet.

Dr. Patrick Carnes, who in 1983 first advanced the idea that a person could become addicted to sex, calls the addiction to Internet pornography “the crack cocaine of sexual addiction.” Like crack, it doesn’t take long for an Internet porn user to become hooked, often a matter of just a few weeks. And like crack, habitual viewing of online porn creates an intense cycle of addiction that is extremely difficult to break without expert assistance.

These are some of the devastating effects of Internet pornography upon marriage, the family and the individual:

  • It destroys the trust and intimacy within the husband-wife relationship and often leads to the end of the marriage itself.
  • It creates obstacles to real communication and personal interaction with one’s spouse and with others.
  • It stimulates within the porn addict a distorted view of sexuality that can lead to the desire for riskier, perverse and even criminal sexual behaviors.
  • It draws focus away from one’s family life and relationship with God and sets a destructive example for one’s children.

Epidemic proportions

Porn addiction is an epidemic that has been grown in the Internet age. Some estimates put porn use among churchgoing men at 50 percent, a figure that differs little from use among the adult male population at large.

For Robert Peters, president of Morality in Media, the Internet is the primary factor in the increase in porn use.

“Particularly with the Internet, we usually talk about the three A’s: accessibility, affordability, and anonymity. Sometimes I add a fourth A, addiction,” says Peters. “Pornography is addictive in any medium, but when you’ve got this smorgasbord at your fingertips, and you’re clever enough to keep anyone from finding out about it, it’s an awful lot easier for people to get into pornography.”

Those factors also make it much easier for children and teenagers to access pornography, according to Dr. Richard Fitzgibbons, director of the Institute for Marital Healing near Philadelphia.

“Unfortunately, kids in elementary and high schools can develop a really bad problem with porn at a very early age,” Fitzgibbons says. “They go to school and talk about porn sites with their friends. If it were not for the Internet, these kids would not be into this fantasy world.”

Statistics bear this out: According to studies, 90 percent of children ages 8 through 16 have viewed pornography online, and children 12 through 17 are the largest single group of users of Internet porn.

How a porn addiction develops

An Internet porn habit may begin out of curiosity, by clicking on a racy advertisement or e-mail or happening upon a site by accident. A man may continue to explore online porn because he feels it fills a real or perceived need, explains Mark Houck, co-founder and president of The King’s Men, a Catholic apostolate based in the Philadelphia area.

“Perhaps he is stressed at work, or perhaps he is bored with his life and looking for some excitement,” says Houck. “Whatever the case is, it begins with his false perception that the women and images he will see on the Internet will satisfy his needs. The truth of the matter is that they will never satisfy his needs, and he will be left in a worse situation than he was before. . . . He is using pornography as a substitute for real human relationships, and he is suffering.”

Factors that may lead to the development of a porn-viewing habit include stress, marital conflict, profound self-centeredness, or the “pleasure principle,” a Freudian term for the drive to avoid pain and seek immediate gratification.

Sometimes there is a contributing cause in what Fitzgibbons calls “marital loneliness.”

“The couple has drifted apart in the home,” Fitzgibbons says. “They love each other, but they’re not present to each other, particularly in the evening. They’re in different rooms, even different floors of the house. That’s the worst mistake.”

Other emotional and character conflicts that can lead to addiction include poor body image, an excessive sense of responsibility, a lack of balance in life, mistrust of others, social isolation, lack of acceptance by peers, and repressed anger. Often these traits are rooted in negative formative experiences of childhood. Having had a parent who viewed or was addicted to pornography is another major factor that increases vulnerability to porn addiction.

Whatever the root causes, a man’s attraction to pornographic images can bring about a mental “high” that provides a brief escape from whatever stress or unhappiness he is experiencing in his daily life.

Gradually, the porn addiction escalates as he builds a tolerance to each level of his online experiences. He may seek out more explicit or perverse pornographic. He may be drawn to adult chat rooms where Internet users can meet online.

For some porn-addicted men, the obsession can get to the point that online images and encounters no longer satisfy their desires. They seek to act out their pornographic fantasies, for example, by having an affair, seeking casual sexual encounters, picking up prostitutes, patronizing “gentlemen’s clubs,” committing acts of voyeurism or even sexual abuse of another person.

Seeking help

Eventually, however, the anonymity ends when the secret gets out. As the addiction grows, his cognitive abilities are impaired and he takes more risks. His increasingly risky behavior and his efforts to conceal his problem raise questions among family and co-workers. His wife or child walks in on him in the act of viewing porn, or discovers his secret by chance when he leaves open a web page, a photo or incriminating e-mail onscreen, or fails to erase his browser history revealing the porn addresses he has visited.

The increase in Internet pornography addiction has brought with it an increase in the number of men and couples seeking help to overcome the problem, although it is not usually the man’s idea to seek help, says Fitzgibbons.

“Sometimes it’s the men, but more often the wives become aware that their husbands have this problem,” he says. Most wives consider their husbands’ porn use as a betrayal every bit as deep and damaging as if they had committed adultery.

“The negative impact on marriages is quite significant,” says Fitzgibbons. “I’ve had many women say that this is no different to them than having an affair. A number tell their spouses, ‘Unless you address this and work on this, this marriage will not survive, because I experience it as total betrayal.’ They’ll say, ‘When you are doing that, you’re not thinking of me. You’re involved in adultery of the heart.’ And there’s no response to that one.”

Arduous road to recovery

Most therapists today agree that obsessive viewing of Internet porn qualifies as a behavioral addiction. When a man views the images, the accompanying gratification tends to neurochemically “hard-wire” his brain and burn the images permanently in his memory in what some doctors call an erototoxin effect.

As Houck of The King’s Men explains in layman’s terms, “Overcoming a porn addiction is harder than overcoming a heroin addiction. When rehabbing from a drug addiction, there is a period of detoxification from the drug. With porn, you can detox, but the images never leave your body. Scary, isn’t it?”

Because porn addiction compulsion has so many of the same causes and effects as adultery, the treatment and counseling are pretty much the same, says Dr. Fitzgibbons.

“In adultery, the wife will say, ‘I want all the details.’ So you have to be totally uncovered, transparent, and honest about all the mistakes you’ve made, when, where and why,” he says. “And then there has to be a deep sense of sorrow, a repentance. So it is exactly the same as treating adultery in that there has to be a real commitment to identify the problems and address them.”

Rebuilding marital trust is a major undertaking in itself. The man must patiently discuss all that went on as deeply and as often as she requests. He must provide her with more attention and become more focused on their marital friendship. With time, if he can be chaste and accountable, his wife’s trust in him may grow again.

Part of the recovery process as well as a preventive measure is for husband and wife to practice good interpersonal communication and to spend quality time together – in other words, to build and maintain a strong marital friendship.

“Marital friendship is based on talking, communicating, being present to the other–not just watching television, but taking time to discuss matters or to do things together, even pray together,” Fitzgibbons says.

While treatment clinics and support groups can be helpful, Fitzgibbons emphasizes the need for a strong spiritual component if a man is to address and overcome his addiction effectively.

“Where there is a spiritual component to the recovery, we have seen great success,” he says. “The Lord doesn’t want this darkness to interfere with the great sacrament of marriage.”

Prayer, frequent reception of the sacraments, Bible study and support groups can be very helpful in the recovery process.

For Your Marriage Resources:

Research on effects of pornography:

  • The National Center on Sexual Exploitation runs a website called Porn Harms: Research, which includes an up-to-date list of major studies and scientific information about the effects of pornography.
  • The Family Research Council released a study in December 2009 on pornography’s effects on marriages, children, individuals and communities. See the Executive Summary and full report.

Catholic Church teaching about chastity and pornography:

For Further Reading (links to book reviews on For Your Marriage):

Illness

Many kinds of illness- physical, mental and emotional- can impact a marriage. They range from the occasional cold, to an unexpected accident, to chronic or terminal illness.

Here we consider long term or chronic illnesses, and serious conditions such as cancer, loss of a limb, diabetes, and life- altering disabilities. All of these test the “in sickness and in health” part of the couple’s marriage vow. Illness, especially chronic illness, changes the relationship with spouse, family, friends, social network, and God. Illness can bring out the best – and sometimes the worst – in both spouses.

A long or severe illness is usually a crisis- a turning point that can lead to ruin or renewal. A chronic or life-threatening illness creates a demand for a “new normalcy.” Not only do familiar daily patterns change, but also your expectations of how you will live, love, and share a mutual life. There is no going back to the way things were – only a going forward. At times it can feel like a roller coaster ride from hope to despair and back to hope. That’s normal. In addition to dealing with the illness itself, other issues that couples need to address include finances, ability to work, lifestyle, intimacy, and emotional and practical support for everyday life.

Dealing with the illness

This starts with understanding your illness and accessing the best medical treatment possible. Many people turn to the internet for assistance. This can be both a blessing and a curse. Which websites offer reliable help? How can you distinguish valid medical information from advertisements? See the websites below for a start. It’s crucial to have a strong network of support. Initially, many people want to help by bringing food, running errands, visiting, calling, and praying. As time goes on, however, many do not know how to give sustained help. The person with the illness and the caregiver(s) may fear asking too much or too often.

Suggestions

  • Keep building your support networks as you age. Make sure you ask many people who can give at least a little time rather than depending on one or two people to do it all. Draw from church groups, neighbors, friends, relatives, community support, and support groups of persons with similar illnesses. Try to have at least five good support friends, or more, to insure that one will usually be available to lend a hand. Depending too much on the same group of people can burn out the entire group.
  • Develop a mutually respectful relationship with your doctor(s). The less stress you feel about your medical care and frustration of dealing with the system, the better your chances for recovery.
  • The primary caregiver needs care too. If you are the caregiver, treat yourself with as much kindness and care as you do your ill spouse.
  • Take advantage of support groups for people with your illness. Look into partnering with a “patient navigator” to help you move through the medical system. Hospitals often sponsor support groups or can link you with a mentor.

Financial stressors

Some couples are blessed with insurance that covers expensive treatments when illness strikes. It may not cover lost income, however. When a wage earner loses a job, everything changes. You may need to draw down your savings and cultivate a simpler lifestyle. The illness may affect the kind of job your spouse needs to get.

If a couple is younger (especially if you are still in the active parenting stage) the financial stressors can be even greater. Some couples use up their resources and need to declare bankruptcy or hope to qualify for Medicaid.

Suggestions

  • While you’re still well, consult with a person who understands the financial issues involved with chronic illness and disability. Make sure you have both a short term and long term plan.
  • If it’s too late for the “while you are well” suggestion, do it now and lean on the medical support services to guide you.

Work

The loss of a job has repercussions besides loss of income. Identity is closely tied to one’s work. Work helps us feel productive, important, and useful. We may need to grieve the loss of this identity. Loss of employment also takes away important social networks. The caregiver may have to take on additional employment or household responsibilities. These role reversals can be difficult for both partners. Few people like depend on another for daily care. The ill spouse may feel guilty about burdening the caregiving spouse. Self-esteem takes a hit. Meanwhile, as generous and loving as the caregiver is, this “job” is time-consuming and draining.

Lifestyle and Recreation

The caregiver might have to do things that he or she had previously not done. The illness can become the focus of your life and everything can revolve around it: researching it, getting to/from treatment, dealing with side effects, doctor visits and support groups. Even cooking can be a challenge if the ill person needs a special diet or needs to be coaxed to eat. Recreational pursuits that both of you previously enjoyed may become physically impossible. Travel may be more difficult. This doesn’t mean you don’t have fun; you just have to be creative about finding new interests that fit changing physical abilities. Recreation may become more passive such as watching TV, movies, or going out to eat. The caregiver may need solo recreation such as working in the garden or going out with friends.

Suggestions

  • Careful planning can help couples work out treatment schedules, but make peace with the reality that the future is not knowable or predictable.
  • Keep a sense of humor. Make sure that each day includes some type of play and spiritual activity.
  • Do not let the illness become the primary organizing principle of your life, even though recreation might not be what you’re used to. Persons who do the best in treatment are those who continue to play, take short vacations or day trips, and continue to socialize to the extent they are able.

Intimacy and sex

Physical limitations, emotional and physical fatigue, financial pressures, and lack of time can all affect intimacy and lovemaking. Snuggling may replace sexual intercourse. Sometimes, even touching or holding is difficult. Many chronically ill people report that although sexual intercourse is limited or non-existent, emotional and spiritual closeness increases because of the shared trauma. Look for new ways to express your love so that you can sustain a caring, growing relationship.

Mental Illness

A spouse with mental illness presents an even more complicated situation. The disease is harder to “see” and often caries a stigma. Relative and friends may not be compassionate. It can be hard for the caregiver if the spouse is unwilling to accept help and follow treatment. The mentally ill person may show little gratitude for the efforts of the caregiving spouse. In this situation, a support group with an effective counselor is a must.

RESOURCES:

Hanks, Jerry and de Cordova-Hanks, Bobbie. Tears of Joy. Infinity Publishing, 2006.

Stephen Ministries trains and organizes lay people to provide one-to-one Christian care to hurting people in a faith based setting.

The author acknowledges the Durham, NC Cancer Support Group for its help.

For Further Reading:

Resources for Caregivers:

  • Nourish for Caregivers – a faith-based program designed to meet the practical, emotional and spiritual needs of family caregivers.

About the author
Susan Vogt is an author and speaker on marriage, parenting, and spirituality. Her website is SusanVogt.net.

Household Duties

The Situation

It’s not just the ‘uns’ that irritated Heidi: the unmade bed, the un-emptied dishwasher, the un-folded laundry. It was the fact that Sam had been home all day and was asleep when she returned from her extra weekend shift at the hospital. She was tired and resentful and felt that he hadn’t done his share of keeping up the apartment, but always had time to watch his favorite sit-coms and sporting events.

Sam was angry because he thought he was doing very well and that Heidi didn’t appreciate his efforts. He was doing more picking up and cleaning than he had ever done as a bachelor. He never left dirty dishes in the sink or clothes on the floor. He took his turn at vacuuming and cooking meals and he thought Heidi was being a neat freak about the whole thing.

Hoping to buy a home soon, Sam and Heidi were both working overtime in order to pay down their school debts. As a result, they had very little free time together or money for recreation. They had agreed to share household tasks as well as cooking and shopping. But it wasn’t working out so well. Sam referred to his wife as “tidy Heidi” and she in turn called him “sloppy Sam.” Their conversations about a more equitable division of household chores ended in Sam’s increasing anger about Heidi’s not valuing his efforts and Heidi’s growing resentment that Sam didn’t take this seriously. They want to address this problem, but don’t know where to start.

A Response

In studies that measure marital satisfaction, the topic of sharing household duties is one of the primary sources of dissatisfaction for couples, especially in the early years of marriage and when both spouses work outside the home. Like other responsibilities that are shared in married life, homemaking is an important part of building a life-giving partnership, one that respects the dignity, the needs and the abilities of both spouses.

Sam and Heidi are wise to see the need for addressing this source of irritation in their relationship. When disagreements are swept under the rug they often grow in size and significance and become entangled with other issues, eventually becoming much larger problems than they started out to be. Some things Sam and Heidi can consider in finding an agreeable solution to this problem are the following:

  • How neat is neat? Sam and Heidi may have agreed on dividing up the labor, but not on what “neat” or “clean” means to each of them. Making a list of what needs to be done daily or weekly may help them to agree about what is absolutely necessary and what can be left undone till there is more time. In any partnership, there is always some giving in. Heidi may have to lower her standards about some things and Sam may have to raise his a bit.
  • It’s impossible to settle differences when there is name calling, labeling or blaming in the conversation. Research shows that healthy married couples avoid such behaviors as part of their promise to “love and honor” one another. Conflict resolution skills might help Heidi and Sam understand each other better, find an agreeable solution, and lessen the anger and resentment they feel toward each other.
  • Is there a problem under the problem? Sam and Heidi are overworked and have little time or money to enjoy themselves. The stress of too much time at work may be part of the cause for their resentment and anger over household tasks. Consulting a financial advisor about paying down their debt at a slightly slower pace may reduce the stress and make housekeeping less aggravating for both of them. If they buy a house one year later but have a happier, more satisfying marriage, they’ve made a good investment.
  • Sharing household responsibilities is a common source of irritation for couples. Talking with friends about how they have worked out their division of tasks may give Sam and Heidi some new ideas for addressing their own situation. They may discover that, like other couples, setting aside an evening or weekend time for working together on the apartment would be a more enjoyable way to get the tasks done.
  • There is no one perfect solution to the problem of household duties, or any other marriage conflict. Sam and Heidi can agree to try a variety of cleaning schedules, convenience products that lesson the burden of a task, or methods of doing things. After six months, they can re-evaluate and try something else. A marriage relationship is organic; spouses are always growing and changing as is the environment around them. Part of being faithful in marriage is being willing to try new ways of doing things when one way doesn’t work. As someone once said, marriage isn’t a hundred yard dash, it’s a marathon!

About the author
Mary Jo Pedersen is a teacher and trainer in the areas of marriage and family ministry and author of several books including “For Better, For Worse, For God: Exploring The Holy Mystery Of Marriage,” Loyola Press, 2008.

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How To Strengthen Your Marriage After Porn Addiction

Forgiveness

“Forgiveness is critical in healing the marriage damaged by cybersex or pornography use,” the Bennetts write. Although forgiveness is difficult and will take time, it is important for the spouse who used porn to ask for forgiveness and to acknowledge the pain he has caused his wife and family. He should patiently allow his wife to air her feelings as much as she needs, and he should be completely honest in discussing his addiction and answering all questions. He must accept responsibility for his actions and not shift any blame onto his spouse. “Professional help, spiritual guidance, and a program for life that shows a radical commitment to addressing this problem makes forgiveness possible,” they write.

Addressing faulty beliefs

Dr. Patrick Carnes identified four beliefs that reinforce sex addictions:

  • I am basically a bad, unworthy person;
  • No one would love me as I am;
  • My needs are never going to be met if I have to depend on others;
  • Sex is my most important need.

“These beliefs must be rejected, but they have to be acknowledged and confronted first, and one may need help in defeating them,” say the Bennetts.

Improving communication

Better communication will not solve every problem, but it is a great tool for addressing the emotional distance created by sex addiction and may require the guidance of a professional therapist. “The couple may have to learn new skills fostering cooperation, understanding, openness and consideration in order to replace the existing defensiveness and repression,” they write.

Intimacy

“Intimacy depends upon openness, and that implies vulnerability,” write the Bennetts. Vulnerability requires trust, but trust and self-worth are severely damaged by sex addictions. The need to rebuild intimacy goes beyond sexual intimacy: The Bennetts identify other key areas of intimacy in need of healing as emotional, recreational, physical, intellectual, social, and spiritual intimacy.

Humility

Humility lays the foundation for self-knowledge, love and forgiveness. “By strengthening our prayer and spiritual life, we should grow in humility, which in turn will strengthen our ability to love and thereby our marriage,” they write.

Respect and affection

“It is necessary to discuss problems and ill feelings,” and it is a mistake to try to “get back to normal” by avoiding conflict in an effort to minimize problems. Such lack of communication only creates distance between husband and wife. Here, too, a professional marriage therapist may be helpful, the Bennetts say.

About the authors
Dr. Arthur and Laraine Bennett are authors of The Temperament God Gave You and The Temperament God Gave Your Spouse (Sophia Institute Press).