social isolation

Mental Health Awareness Month; Be Wary of Loneliness

May is Mental Health Awareness Month.

Even as quarantines, physical distancing, and other measures have been put in place and practiced to protect us, they have also created a dangerous uptick in loneliness. Domestic violence, situational depression, substance abuse, and suicide have risen to cause a side-by-side epidemic.

Extreme loneliness was already referred to as “The Loneliness Contagion” two years ago when I first penned a resource for ChaplainUSA.org. The recent coronavirus measures have only intensified an already critical situation. John Cacioppo, PhD from the University of Chicago believes it is spreading from person to person like a disease. Though experienced inordinately among millennials, it is increasing across the generations.

Where Is This Loneliness Coming From?

Dr. Shannon Monnat says that we live in an era of individualism, disinvestment in social safety nets, declines in social cohesion, and increased loneliness. Isolation due to lots of time spent on social media sites while glued to cellphones is one of the reasons for decreasing real life interactions and what is being called the Fear of Missing Out. Though there are multiple chatting contacts, swapping of photos and other kinds of interaction, people are feeling lonelier than ever. This is strikingly similar to the social isolation commonly known as an experience affecting the elderly due to decreased mobility and loss of friends and partners. Despite the fact that younger people have massive quantities of friends online, this increasing loneliness stems from a decreasing quality of relationships. In other words, a person may have a lot of friends but still find that their needs for social contact are not met.

We have a fundamental need to belong. This is what gives life meaning. In order to feel a sense of belonging there must be the presence of authentic as opposed to virtual relationships. They must be based on mutual caring responses in which we feel loved and valued. It is also necessary to have frequent interactions with other people. Loneliness diminishes or disappears when we feel like we matter.

The Extreme State; Loneliness and Repetitious Behavior

I am not a mechanism, an assembly of various sections.and it is not because the mechanism is working wrongly, that I am ill. I am ill because of wounds to the soul, to the deep emotional self, and the wounds to the soul take a long, long time, only time can help and patience, and a certain difficult repentance, long difficult repentance, a realization of life’s mistake, and the freeing oneself from the endless repetition of the mistake which mankind at large has chosen to sanctify. ~ D.H. Lawrence

Dr. Corinne Gerwe has done extensive research on what she calls the Extreme State. Her research shows that loneliness can be a predominant feeling which is responsible for igniting addiction and chronic relapse. Her book, The Orchestration of Joy and Suffering: Understanding Chronic Addiction (Algora Publishing 2001), explores the relationship between childhood experiences resulting in extreme feelings and subsequent behaviors that relieve or diminish the intensity of the feelings. She demonstrates that the behavior patterns, including addiction can persist throughout a lifetime. Dr. Gerwe found that when loneliness is experienced in the extreme (or for long durations) that the brain begins to search for relief found in behaviors. Neuronal pathways provide quick solutions to resolve or lessen the intensity of the feeling. Even behaviors which have proven to be destructive such as drug and alcohol abuse are repeated and repeated. It is a cycle that feeds on itself. For example, one set of behaviors that results from loneliness is isolating oneself. It would seem counterintuitive yet is one of the most common responses. As a person withdraws from the world, isolates and avoids, they become even lonelier and more likely to use substances for relief. Is it any wonder that powerful opioids, which practically eliminate physical/emotional pain and suffering are being used to combat chronic loneliness?

Health Issues Result from Loneliness

Loneliness is killing us. It has been reported by Richard Lang, MD of Cleveland Clinic that loneliness affects 60 million Americans and that chronic loneliness poses a serious health risk. New research suggests that loneliness and social isolation are as much a threat to health as obesity and smoking cigarettes. It can impair cognitive performance. Loneliness is one of the feelings most associated with suicide. Socializing and interacting with other people is a basic human need. If social needs are not met, a person can start to feel lonely which leads to depression and possibly suicidal thoughts. Finally, studies show that loneliness increases the risk for early death by 45 percent and the chance of developing dementia in later life by 64 percent. There seems to be no doubt that loneliness is an epidemic, a contagion and one of the most serious health risks facing us today.

Relationships Overcome Loneliness

I once counseled a young man who was suffering from intense loneliness. He had just started his freshman year at a local college and had changed from a happy, confident, outgoing high schooler to an isolated, self-conscious, anxiety ridden guy. All of his friends had gone away to other schools and he was the only one left behind. There were no more service clubs or sports teams in his life. His studies were going nowhere. Jeff was considering suicide. It was not that he was alone. He had a roommate, lived in a busy dorm, had joined an intramural football squad and was attending church on campus. He was a busy as he could be. But there were no real quality personal or community relationships. He might as well have been a hermit for the overwhelming loneliness he was experiencing. Jeff’s situation is not uncommon. Senior citizens who retire from their life’s work know well what he was going through. Folks who relocate to another part of the country for great work opportunities understand it. Suddenly, what I call a ‘peopled life’ becomes vacant. The answer cannot be found by busying oneself. For Jeff, and all the lonely people, the solution lies in connecting and creating personal relationships through belonging to meaningful community. A feeling of being understood and valued creates a closeness that is being craved in loneliness.This closeness doesn’t have to be something that happens randomly or by accident. For Jeff, we connected with a religious fraternal campus organization. He joined and was embraced by the members. He had a new family of friends. He also began attending AA meetings at a nearby community center. There he found other people who were struggling just like him. The members met for coffee and had frequent social events. His loneliness faded into oblivion. It was as simple as that.

As we rejoin and reopen, it is important to reconnect. Community is within our control to create. This contagion or epidemic of loneliness can be mitigated just like COVID-19. We have the power to help others find the way out of loneliness. That power is found in real relationships.

Stronger than Death; Revealing Life's Hidden Promises

All we have to do is turn on the television, check email, or read a newspaper to discover what might be lurking in the dark shadows.

Already experiencing distorted perceptions from quarantines and lack of social interaction, we are quite susceptible to what we are being fed. One look at empty shelves in the grocery store and we panic.  Brené Brown, the popular author, speaker, and research professor posed the question to an audience not long ago which serves as our headline.

She was proposing that scarcity is a collective form of Post Traumatic Stress. I think she could be right. Of course this scarcity isn't about toilet paper, hand sanitizer, or even masks and ventilators. Those things are only harbingers of something far scarier. They are triggers that tell us we are in trouble and somebody must be to blame.

The Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma quite well with this guidance;

"Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse effects on the individual's functioning and mental, physical, social, emotional, or spiritual well being."

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Like those who suffer from PTSD, we are terrified to be vulnerable and out of control. We so want to numb-out from this fear, grief and worry when such bumpy roads appear. But while numbing pain we also numb joy until, at some point we stop feeling like we are alive. And worst of all, the problem doesn't go away even when we find a good scapegoat to fault

My mentor, Henri Nouwen, taught that where we least expect it, something is hidden that holds a promise stronger than death itself. His wisdom shines a light on the powerful notion that we are not required to be victims of trauma. Through these hard times, we might come to terms with the fact that we are mortal, that each moment of every day is sacred, and that love is more important than money or anything else for that matter. There is absolutely no reason to numb out because, contrary to what we are told, there is nothing to be terrified of and there is nobody to blame.

Years ago, I worked with a boy named Thad.

He was among several who were assigned to me for outpatient counseling. The case history I read before meeting him was awful. At 14 he had been in the system already for a decade. DCFS reported details of abuse that descended into torture.

One foster family after another came and went. He had every reason to be bitter and hopeless. But it was far from a traumatized waif who lumbered into my office and plopped in the chair across from me. Thad was a survivor who refused to look on the dark side. No matter how hard I tried to dig into his haunted places, he remained undaunted.

What was baffling was that he didn't really appear to be in denial. He seemed well grounded and able to accept and understand what life had dealt. One day he said this to me; "Bad stuff has happened to me Dr. Bob and I got hurt bad sometimes. But that's not who I am. God loves me no matter what." This youngster I came to help became my teacher. 

So as we isolate in quarantine it is good to remember who we are. Though our arms ache for hugs and eyes long to see loved ones there is no need to fear or cast blame. Scarcity is only a shadow of abundance. After all, as Thad says, God loves me no matter what. And love always wins. May we be our best selves today ever-guided by our better angels.