The Pain of Breakups Through Attachment Theory

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“BREAKING UP IS
HARD TO DO”
~
NEIL SEDAKA
UNDERSTANDING AND SUPPORTING JOB CORPS
STUDENTS THROUGH RELATIONSHIP BREAKUPS
PRESENTER INFORMATION:
Helena Mackenzie, PhD, LP
Region 5 Mental Health Specialist
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OBJECTIVES:
DESCRIBE HOW ATTACHMENT THEORY
HELPS EXPLAIN THE INTENSE PAIN OF
BREAKUPS
IDENTIFY 2 MENTAL HEALTH RISKS
FOLLOWING A RELATIONSHIP BREAKUP
LIST 3 NATURAL GRIEF RESPONSES
FOLLOWING RELATIONSHIP LOSS
IDENTIFY 2 WAYS TO BEST SUPPORT
STUDENTS POST BREAKUP
LIST 3 REASONS RELATIONSHIPS MAY FAIL 
LIST 2 SIGNS OF HEALTHY AND
UNHEALTHY RELATIONSHIPS
IDENTIFY 2 SUICIDE WARNING SIGNS
undefined
BREAKUP SONGS
 “When you're gone, the pieces of my heart are missin'
you” (Avril Lavigne)
“I hate to turn up out of the blue uninvited, but I couldn't
stay away, I couldn't fight it. I had hoped you'd see my face,
and that you be reminded that for me it isn't over”
(Adele)
“Thought I couldn't breathe without you, I'm inhaling”
(Destiny’s Child)
"It's been so lonely without you here / I'm like a bird
without a song / Nothing can stop this lonely rain from
falling / Tell me, baby, where did I go wrong” (Prince)
"I wanted you to know / That I am ready to go, heartbeat”
(Childish Gambino)
"I'll have another you by tomorrow / So don't you ever for
a second / Get to thinking you're irreplaceable” (Beyonce)
 "I should live in salt for leaving you behind, behind” (The
National)
"I know a man ain't supposed to cry / But these tears I
can't hold inside / Losin' you would end my life you see /
'Cause you mean that much to me” (Marvin Gaye)
REMEMBER WHEN
RECALL ONE OF YOUR EARLIEST RELATIONSHIP BREAKUPS
WHY IS BREAKING UP SO PAINFUL?
Bowlby’s Attachment Theory
Attachment
 is a deep and
enduring emotional bond that
connects one person to another
across time and space
…”
(
Bowlby
, 1969)
Biological instinct for survival—
seek closeness during times of
discomfort or perceived threat.
ATTACHMENT STYLES:
MARY AINSWORTH’S STRANGE SITUATION
Mary Ainsworth (1970s): Strange Situation
Secure attachment 
(~55-60%): caregivers
consistently available and responsive, child feels
worthy of love, can rely on others, manage
emotions, able to be soothed
Anxious-ambivalent attachment 
(~20%):
inconsistently available caretakers, child fears
rejection, seeks reassurance, afraid to be apart,
clinging behavior, difficulty being soothed
Anxious-avoidant
(~20%): caregivers not
available and responsive. Child has learned not
to seek caregiver for soothing, doesn’t show
distress, but feels it.
Disorganized 
(<5%): chaotic, abusive caregiver
behaviors lead to child to feel confused and
exhibit freezing, odd behaviors, need caregiver
for protection but also afraid of them.
Attachment system triggered by perceived threat or
distress
S
eparation
Rejection
Emotional unavailabiliity
Attachment style is based on relationship with
caregiver and how child has learned to get attachment
needs met
ATTACHMENT STYLES IN ADULTHOOD
 
IMPACT ON ROMANTIC RELATIONSHIPS
For older adolescents/young adults, an intimate
partner often becomes a primary attachment figure
Early attachment style shapes later intimate
relationship style But, later relationships can alter the
internal working model--not set in stone
Adults can hold different working models/attachment
styles for different types of relationships (friend
versus romantic partner)
Adult Attachment Styles
—Hazen and Shaver (1987)
expanded Bowlby’s theory to adult romantic partners. Adult
Attachment Interview by Mary Main and colleagues (1984)--
Secure: 
(~55%) comfortable with self and partner, can
balance intimacy and independence.  Seek partner
support when distressed and provide support when
partner distressed
Anxious/preoccupied
 (~20%): tend to be dependent,
seek high levels of intimacy, approval, responsiveness,
high level of emotional expressiveness, worries about
relationship
Dismissive/avoidant: 
(~23%) want independence, self-
sufficient, suppress feelings, deal with conflict by
withdrawing, distancing, view as not needing close
relationships (but internal distress)
Fearful/avoidant
 (~1-2%): mixed feelings, desire
closeness but uncomfortable with emotional
closeness, mistrust partner, low self-worth, suppress
feelings
ADD PICTURE
BREAKUP TRIGGERS ATTACHMENT
SYSTEM: HIGH ALERT
ADOLESCENT/YOUNG ADULT
BREAKUPS CORRELATED WITH:
First episode of Major Depressive Disorder
Increased rate of suicide attempts
Self Injurious Behavior (SIB)
Increased rate of substance abuse
Increased anxiety
Insomnia
Anger/behavioral problems
 
GRIEF: A 
NORMAL
 EMOTIONAL
RESPONSE TO LOSS
1.
Shock & Disbelief: 
numbness, nauseous,
out of body experience, may not “believe”
loss to avoid pain
2.
Denial: 
refuse to accept relationship is
over or can’t be fixed
3.
Anger: 
towards ex, the world, close
friends and “supports.”  May be expressed
verbally, physical aggression, bullying,
destroying things, dramatic behaviors, or
passively through self-sacrificing acts,
taking on martyr role.
GRIEF: A 
NORMAL
 EMOTIONAL
RESPONSE TO LOSS
4.
Bargaining:  
Trying to win ex back—
begging, promising to change, “if only I
can figure out what went wrong and fix
it, I’ll get them back!”
5.
Depression, anxiety, guilt: 
realize
relationship is truly over despite efforts
and feel sad, hopeless, helpless.
Withdrawal, nothing feels fun.  Anxious,
poor sleep, afraid of future, restless.
Guilty that didn’t do more in
relationship (back to bargaining).
GRIEF: A 
NORMAL
 EMOTIONAL
RESPONSE TO LOSS
6.
Testing/Working Through
: Still feel
sad, angry, but see more clearly again—
begin to think about how to have
normal life, look forward
7.
Acceptance: 
Find a way to let go and
move on, accept and cope with
relationship truly being over.  Feel hope
about future, can find happiness and
peace.  Can think/talk about person
without incredible pain, anger
PHYSICAL IMPACTS OF ”HEARTBREAK”
Psychological pain of breakup feels physical
Same brain regions that process physical pain light up when connecting to the psychological pain of
break up
fMRI studies show insula, anterior cingulate cortex light up to hot probe in arm and same areas light
up when shown pictures of ex-partner and recall shared experiences and pain around breakup
Physiological basis to “cravings” for ex-partner
fMRI studies show areas of brain associated with drug craving, areas associated with reward and
motivation (specifically release of dopamine) light up when thinking of recent unwanted break up
and love still feel for ex-partner
Metaphor of love as “addictive” and breaking up can feel like “drug withdrawal”
Difficulty thinking, focusing, cravings for contact, rumination
COGNITIVE AND SOCIAL IMPACTS OF RELATIONSHIP LOSS
Rumination, obsessive thinking
Constant ”triggers”
Places went together
Activities shared (dining hall, class, gym)
Shared rituals
Shared friends
Social Impacts
Sense of social exclusion/loss of friends
Healthy choice to separate from shared
friends may lead to less social support
POSITIVE IMPACTS OF BREAKUPS
“POST TRAUMATIC GROWTH”
Growth that occurs from “bouncing back”
from traumatic experiences
Helping adolescents/young adults
understand breakups and breakup better
leads to
Better ability to process grief
B
etter self-understanding
Healthier future relationships
IMMEDIATE POST BREAK UP SUPPORT:
WHAT’S HELPFUL/WHAT’S NOT
Validate Emotions: 
“I know this is hard”
or “I know it’s painful to lose someone you
care about.”
DON’T
 minimize feelings, even if it was brief
relationship. DON’T say, “you’ll find
someone better”  or “you’re young, you’ll
date so many more people.” DON’T
immediately judge the relationship (e.g. “it
wasn’t a healthy relationship
…” “he was a
jerk to you...”)
Be a Good Listener: 
Allow student to
express feelings, thoughts, confusion without
interjecting your own opinions. Empathize
with pain.  Can share story of own
heartache/healing to normalize (not
minimize) pain.  
IMMEDIATE POST BREAK UP SUPPORT:
WHAT’S HELPFUL/WHAT’S NOT
Encourage no contact (or limited)
Don’t text, call, IM, make impulsive posts
Take social media break (FB, Instagram
…)
Ask friends NOT to update you on ex even
though you want to know...
Ask friends for support in doing new
things/away from ex
Treat desire to know as compulsion (think
psychological addiction to your ex)
need
”withdrawal”
Encourage journaling/writing about feelings,
thoughts, wants when urge arises to check
on ex
IMMEDIATE POST BREAK UP SUPPORT:
WHAT’S HELPFUL/WHAT’S NOT
Help Student Set Boundaries
Identify/role play concrete plan of what to
do when see ex
Aim for minimal interaction
Spend time with non-overlapping friends
Don’t bring up relationship issues
Don’t take bait if ex insults, belittles, tries
to engage—role play assertive response
Ask friends for support—request friends
DON’T add to drama
IMMEDIATE POST BREAK UP SUPPORT:
WHAT’S HELPFUL/WHAT’S NOT
Help Student Build Support System
Identify supportive friends and spend time
with them
Identify trusted staff support (RA,
counselor, instructor, CMHC
)
Identify key staff members who can keep
eye on student in case isolating
Encourage student NOT to jump into
new romantic relationship
Encourage student to balance pain of
talking about relationship with talking
about other topics, supporting their
friends,  and doing fun things
IMMEDIATE POST BREAK UP SUPPORT:
DEVELOP HEARTACHE COPING PLAN
Establish routine/structure for
downtime
Make list self-soothing activities (5
senses)
Vision
: Look at picture, look at
nature, watch other students (not
ex), watch video/movie, study, read,
do puzzle
Hearing: 
listen to music, sing/hum
song, listen meditation
Smell: 
put on lotion, smell
soap/shampoo, coffee, tea
Taste: 
drink s/t you like, suck candy,
chew gum
Touch: 
hug self/friend, stroke
hand/arm, massage feet/neck, cuddle
in chair, take shower
Positive Activity List
Go for walk, jog
Watch movie
Listen to music
Relax in the sun
Talk with people you like (not about ex)
Read book, cartoons
Draw/doodle
Play sport, weightlift
Sing
Do craft
Join club/team
Play cards, game, instrument
Dance, do yoga, move body
Look at happy photos
Do something new
Send card to someone love (not ex)
Surprise s/o with favor
Play videogame
Volunteer
Go on field trip/outing
Do puzzle, crossword
Play game on phone
And on and on and on
IMMEDIATE POST BREAK UP SUPPORT:
DEVELOP HEARTACHE COPING PLAN
Care for Physical Health: 
Be
aware of heartaches pull to escape
into unhealthy behaviors (overeating,
alcohol, drugs, “hook ups”)
Care for body
: eat well, exercise
(join HEALs or physically active
group)
Sleep: 
sleep routine, refer
CMHC for sleep hygiene tips if
needed (see JC sleep hygiene
presentation on HW website)
IMMEDIATE POST BREAK UP SUPPORT:
DEVELOP HEARTACHE COPING PLAN
Care for Mental State: 
breaking up
can impact self-esteem, create self-
doubt and insecurity
Help student identify and celebrate
their strengths: make list of strengths
Help student know NO ONE is perfect
and how to honestly assess weaknesses
and work on them
Daily gratitude: 
every day write one
thing that you’re thankful, grateful for
Expressive writing/journaling: 
especially
helpful to write about positive aspects
of breakup
Help student understand breakups
aren’t about something being WRONG
with a person, they’re about a
relationship not working
 
TOP REASONS RELATIONSHIPS FAIL
AMONG YOUNG ADULTS
True or False
Different priorities:  
Young people
often have different priorities,
expectations and goals and, over time,
grow apart.
True or False
Commitment: 
Young people who have
had many different dating relationships as
teens tend to be more ready for
commitment.
TOP REASONS RELATIONSHIPS FAIL
AMONG YOUNG ADULTS
True or False
Communication: 
teens/young adults
who 
don’t
 share what they want, or when
they’re unhappy, tend to form stronger
relationships that last longer.
True or False
Possessiveness
 is a sign of love and a
predictor of a strong, lasting relationship.
TOP REASONS RELATIONSHIPS FAIL
AMONG YOUNG ADULTS
True or False
Physical aggression 
is rare in
adolescent/young adult relationships
True or False
Incompatibility: 
teen/young adult
relationships often end because young
people enter into relationships more
quickly and may not realize the level of
incompatibility in values, beliefs, styles
until they’re already emotionally
connected to someone
IN A NUT SHELL: COMMON REASONS
RELATIONSHIPS FAIL AMONG YOUNG ADULTS
Different Priorities and Expectations/Goals/Wants
Lack of maturity (limited impulse control, limited experience with how to treat partner, limited
emotional maturity, difficulty compromising, need to experience different relationships to
mature, so forth)
Poor Communication
Difficulty with Trust
Incompatibility
Abuse—emotional, verbal, physical, sexual, bullying
undefined
WHEN TO REFER
TO WELLNESS/
CMHC
Emotional
Ups/Downs are
NORMAL after a
breakup
Support offered by
counseling, residential, other
staff doesn’t appear to be
helping—student seems
“stuck”
Student continues to
withdraw from social
network and staff
Student shows extreme
mood swings/rage and isn’t
responsive to support
provided
Peers express concern to
staff
Student shows SUICIDE
WARNING SIGNS (see
next slide)
SUICIDE WARNING SIGNS:
Talking about wanting to die or to kill themselves
Looking for a way to kill themselves, like searching online, hoarding medication,  buying rope
Talking about feeling hopeless or having no reason to live
Talking about feeling trapped or in unbearable pain
Talking about being a burden to others
Increasing the use of alcohol or drugs
Acting anxious or agitated; behaving recklessly
Sleeping too little or too much
Withdrawing or isolating themselves
Showing rage or talking about seeking revenge
Extreme mood swings
If worried about suicide, follow your center’s Symptomatic Management Guideline for Suicidal
Behavior or Threats.  
Don’t leave student alone! 
If worried about student’s adjustment to
relationship breakup, consult with the student’s counselor who can help make referral to CMHC.
IMPACT OF ATTACHMENT HISTORY ON
POST BREAK-UP ADJUSTMENT
All of us struggle after important
relationship ends.  However, students with
history of relationship loss (e.g. death of
parent, neglect, history of abuse, foster
home place, so forth) are at higher risk of
having insecure attachment style and more
distress/difficulty adjusting after loss
Students with items on SIF or health
forms indicating early adverse life
experiences may need more
support/guidance post breakup
PREVENTION IS KEY:
 
TEACH ABOUT HEALTHY RELATIONSHIPS
ePRH Chapter 3; 3.17 requires students
receive education in health education,
which includes emotional and social
wellbeing, relationships and much more.
Healthy Relationship Education/Games:
Healthy versus unhealthy relationship
game (break into groups and identify)
Advertisement for friend, partner—
identify qualities and write advertisement
undefined
HEALTHY
RELATIONSHIP
GAME:
HEALTHY OR UNHEALTHY?
HEALTHY RELATIONSHIP GAME:
HEALTHY OR UNHEALTHY?
Loves partner so much that wants
to be with him/her at all times and
doesn’t like doing things separately
Enjoys spending time apart with
own friends or getting together
with group of friends
HEALTHY RELATIONSHIP GAME:
HEALTHY OR UNHEALTHY?
Accepts responsibility for actions
and apologizes when wrong and
works at changing behavior
Uses alcohol and drugs as an
excuse for behavior (“I didn’t mean
to say that, I was drinking”)
HEALTHY RELATIONSHIP GAME:
HEALTHY OR UNHEALTHY?
Gets jealous a lot and accuses
partner of cheating (“it’s because I
love you so much”)
Respects privacy—doesn’t look at
your phone, emails, or journal
HEALTHY RELATIONSHIP GAME:
HEALTHY OR UNHEALTHY?
Solves conflicts by talking things
through in respectful manner—
wants to hear your
opinion/perspective even if
disagrees
Solves conflicts by yelling, cursing,
getting angry or threatening
HEALTHY RELATIONSHIP GAME:
HEALTHY OR UNHEALTHY?
Feel guilty if you don’t have sex
because you know your partner
wants it and is upset
Talk openly about sex and don’t
feel pressured to have it
undefined
HEALTHY
RELATIONSHIP
GAME:
WRITE YOUR OWN ADVERTISEMENT
DEVELOP AN ADVERTISEMENT FOR A
FRIEND OR PARTNER
Break into small groups and identify list of
qualities that would lead to a healthy
friendship/intimate relationship
Normal that not all will agree on the same
qualities—keep list of ones disagree on.
Write creative advertisement based on at
least five agreed on qualities
Share advertisements and discuss why those
qualities are important for healthy
relationship and why it’s normal for people
to also value different qualities
undefined
THANK YOU FOR
PARTICIPATING!
QUESTIONS? COMMENTS? FOLLOW UP?
RESOURCES
Brown, D., & Brown, S. (2016). 
Every young adults breakup survival guide: Tips, tricks & expert advice for
recovering
. Ocala, FL: Atlantic Publishing Group.
Fisher, H. E., Brown, L. L., Aron, A., Strong, G., & Mashek, D. (2010). Reward, Addiction, and Emotion
Regulation Systems Associated With Rejection in Love. 
Journal of Neurophysiology,104
(1), 51-60.
doi:10.1152/jn.00784.2009
Gordon, S. M. (2018). 
Surviving a First Breakup
. New York, NY: Enslow Publishing Group.
Healthy Relationships Resource Kit - Western Health. (n.d.). Retrieved from
http://westernhealth.nl.ca/uploads/Addictions Prevention and Mental Health Promotion/Healthy
Relationships Resource Kit - Western.pdf
Kansky, J., & Allen, J. P. (2017). Making Sense and Moving On. 
Emerging Adulthood,6
(3), 172-190.
doi:10.1177/2167696817711766
Kross, E., & Berman, M. (2011). Social rejection shares somatosensory representations with physical
pain. 
Proc Natl' Acad Sci USA,108
(15), 6270-6275.
Kübler-Ross, E., & Kessler, D. (2014). 
On grief & grieving: Finding the meaning of grief through the five
stages of loss
. New York: Scribner.
RESOURCES
Lewandowski, G. (2009). Promoting positive emotions following relationship dissolution through
writing. 
The Journal of Positive Psychology,4
(1), 21-31.
Lynsen. Ann. (2014, June 18). Suicide Prevention. Retrieved from https://www.samhsa.gov/suicide-
prevention
Muise, A., Christofides, E., & Desmarais, S. (2009). More Information than You Ever Wanted: Does
Facebook Bring Out the Green-Eyed Monster of Jealousy? 
CyberPsychology & Behavior,12
(4), 441-
444. doi:10.1089/cpb.2008.0263
Olson, J. S., & Crosnoe, R. (2017). Are You Still Bringing Me Down? 
Journal of Health and Social
Behavior,58
(1), 102-115. doi:10.1177/0022146516684536
Price, M., Hides, L., Cockshaw, W., Staneva, A., & Stoyanov, S. (2016). Young Love: Romantic Concerns
and Associated Mental Health Issues among Adolescent Help-Seekers. 
Behavioral Sciences,6
(2), 9.
doi:10.3390/bs6020009
Rhoades, G. K., Dush, C. M., Atkins, D. C., Stanley, S. M., & Markman, H. J. (2011). Breaking up is hard
to do: The impact of unmarried relationship dissolution on mental health and life satisfaction. 
Journal
of Family Psychology,25
(3), 366-374. doi:10.1037/a0023627
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Exploring the intense emotional pain of breakups, this presentation delves into Bowlby's Attachment Theory to elucidate the deep bonds that connect individuals and the biological instincts that drive the need for closeness during times of discomfort or threat. Through poignant breakup songs, personal reflections, and professional insights, the audience is guided to identify mental health risks, understand natural grief responses, support students post-breakup, recognize signs of unhealthy relationships, and be mindful of suicide warning signs.

  • Breakups
  • Attachment Theory
  • Emotional Pain
  • Mental Health
  • Relationship Support

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  1. BREAKING UP IS HARD TO DO ~ N E I L S E D A K A U N D E R S TA N D I N G A N D S U P P O RT I N G J O B C O R P S S T U D E N T S T H R O U G H R E L AT I O N S H I P B R E A K U P S

  2. PRESENTER INFORMATION: Helena Mackenzie, PhD, LP Region 5 Mental Health Specialist

  3. OBJECTIVES: D E S C R I B E H OW AT TA C H M E N T T H E O RY H E L P S E X P L A I N T H E I N T E N S E PA I N O F B R E A K U P S I D E N T I F Y 2 M E N TA L H E A LT H R I S K S F O L L OW I N G A R E L AT I O N S H I P B R E A K U P L I S T 3 N AT U R A L G R I E F R E S P O N S E S F O L L OW I N G R E L AT I O N S H I P L O S S I D E N T I F Y 2 WAY S TO B E S T S U P P O RT S T U D E N T S P O S T B R E A K U P L I S T 3 R E A S O N S R E L AT I O N S H I P S M AY FA I L L I S T 2 S I G N S O F H E A LT H Y A N D U N H E A LT H Y R E L AT I O N S H I P S I D E N T I F Y 2 S U I C I D E WA R N I N G S I G N S

  4. When you're gone, the pieces of my heart are missin' you (Avril Lavigne) I hate to turn up out of the blue uninvited, but I couldn't stay away, I couldn't fight it. I had hoped you'd see my face, and that you be reminded that for me it isn't over (Adele) Thought I couldn't breathe without you, I'm inhaling (Destiny s Child) "It's been so lonely without you here / I'm like a bird without a song / Nothing can stop this lonely rain from falling / Tell me, baby, where did I go wrong (Prince) "I wanted you to know / That I am ready to go, heartbeat (Childish Gambino) "I'll have another you by tomorrow / So don't you ever for a second / Get to thinking you're irreplaceable (Beyonce) "I should live in salt for leaving you behind, behind (The National) "I know a man ain't supposed to cry / But these tears I can't hold inside / Losin' you would end my life you see / 'Cause you mean that much to me (Marvin Gaye) BREAKUP SONGS

  5. REMEMBER WHEN RECALL ONE OF YOUR EARLIEST RELATIONSHIP BREAKUPS

  6. WHY IS BREAKING UP SO PAINFUL? Bowlby s Attachment Theory Attachment is a deep and enduring emotional bond that connects one person to another across time and space (Bowlby, 1969) Biological instinct for survival seek closeness during times of discomfort or perceived threat.

  7. ATTACHMENT STYLES: MARY AINSWORTH S STRANGE SITUATION Mary Ainsworth (1970s): Strange Situation Secure attachment (~55-60%): caregivers consistently available and responsive, child feels worthy of love, can rely on others, manage emotions, able to be soothed Anxious-ambivalent attachment (~20%): inconsistently available caretakers, child fears rejection, seeks reassurance, afraid to be apart, clinging behavior, difficulty being soothed Anxious-avoidant(~20%): caregivers not available and responsive. Child has learned not to seek caregiver for soothing, doesn t show distress, but feels it. Disorganized (<5%): chaotic, abusive caregiver behaviors lead to child to feel confused and exhibit freezing, odd behaviors, need caregiver for protection but also afraid of them. Attachment system triggered by perceived threat or distress Separation Rejection Emotional unavailabiliity Attachment style is based on relationship with caregiver and how child has learned to get attachment needs met

  8. ATTACHMENT STYLES IN ADULTHOOD IMPACT ON ROMANTIC RELATIONSHIPS Adult Attachment Styles Hazen and Shaver (1987) expanded Bowlby s theory to adult romantic partners. Adult Attachment Interview by Mary Main and colleagues (1984)-- Secure: (~55%) comfortable with self and partner, can balance intimacy and independence. Seek partner support when distressed and provide support when partner distressed ADD PICTURE Anxious/preoccupied (~20%): tend to be dependent, seek high levels of intimacy, approval, responsiveness, high level of emotional expressiveness, worries about relationship For older adolescents/young adults, an intimate partner often becomes a primary attachment figure Early attachment style shapes later intimate relationship style But, later relationships can alter the internal working model--not set in stone Adults can hold different working models/attachment styles for different types of relationships (friend versus romantic partner) Dismissive/avoidant: (~23%) want independence, self- sufficient, suppress feelings, deal with conflict by withdrawing, distancing, view as not needing close relationships (but internal distress) Fearful/avoidant (~1-2%): mixed feelings, desire closeness but uncomfortable with emotional closeness, mistrust partner, low self-worth, suppress feelings

  9. BREAKUP TRIGGERS ATTACHMENT SYSTEM: HIGH ALERT ADOLESCENT/YOUNG ADULT BREAKUPS CORRELATED WITH: First episode of Major Depressive Disorder Increased rate of suicide attempts Self Injurious Behavior (SIB) Increased rate of substance abuse Increased anxiety Insomnia Anger/behavioral problems

  10. GRIEF: A NORMAL EMOTIONAL RESPONSE TO LOSS 1. Shock & Disbelief: numbness, nauseous, out of body experience, may not believe loss to avoid pain Denial: refuse to accept relationship is over or can t be fixed Anger: towards ex, the world, close friends and supports. May be expressed verbally, physical aggression, bullying, destroying things, dramatic behaviors, or passively through self-sacrificing acts, taking on martyr role. 2. 3.

  11. GRIEF: A NORMAL EMOTIONAL RESPONSE TO LOSS 4. Bargaining: Trying to win ex back begging, promising to change, if only I can figure out what went wrong and fix it, I ll get them back! Depression, anxiety, guilt: realize relationship is truly over despite efforts and feel sad, hopeless, helpless. Withdrawal, nothing feels fun. Anxious, poor sleep, afraid of future, restless. Guilty that didn t do more in relationship (back to bargaining). 5.

  12. GRIEF: A NORMAL EMOTIONAL RESPONSE TO LOSS 6. Testing/Working Through: Still feel sad, angry, but see more clearly again begin to think about how to have normal life, look forward Acceptance: Find a way to let go and move on, accept and cope with relationship truly being over. Feel hope about future, can find happiness and peace. Can think/talk about person without incredible pain, anger 7.

  13. PHYSICAL IMPACTS OF HEARTBREAK Psychological pain of breakup feels physical Same brain regions that process physical pain light up when connecting to the psychological pain of break up fMRI studies show insula, anterior cingulate cortex light up to hot probe in arm and same areas light up when shown pictures of ex-partner and recall shared experiences and pain around breakup Physiological basis to cravings for ex-partner fMRI studies show areas of brain associated with drug craving, areas associated with reward and motivation (specifically release of dopamine) light up when thinking of recent unwanted break up and love still feel for ex-partner Metaphor of love as addictive and breaking up can feel like drug withdrawal Difficulty thinking, focusing, cravings for contact, rumination

  14. COGNITIVE AND SOCIAL IMPACTS OF RELATIONSHIP LOSS Rumination, obsessive thinking Constant triggers Places went together Activities shared (dining hall, class, gym) Shared rituals Shared friends Social Impacts Sense of social exclusion/loss of friends Healthy choice to separate from shared friends may lead to less social support

  15. POSITIVE IMPACTS OF BREAKUPS POST TRAUMATIC GROWTH Growth that occurs from bouncing back from traumatic experiences Helping adolescents/young adults understand breakups and breakup better leads to Better ability to process grief Better self-understanding Healthier future relationships

  16. IMMEDIATE POST BREAK UP SUPPORT: WHAT S HELPFUL/WHAT S NOT Validate Emotions: I know this is hard or I know it s painful to lose someone you care about. DON T minimize feelings, even if it was brief relationship. DON T say, you ll find someone better or you re young, you ll date so many more people. DON T immediately judge the relationship (e.g. it wasn t a healthy relationship he was a jerk to you... ) Be a Good Listener: Allow student to express feelings, thoughts, confusion without interjecting your own opinions. Empathize with pain. Can share story of own heartache/healing to normalize (not minimize) pain.

  17. IMMEDIATE POST BREAK UP SUPPORT: WHAT S HELPFUL/WHAT S NOT Encourage no contact (or limited) Don t text, call, IM, make impulsive posts Take social media break (FB, Instagram ) Ask friends NOT to update you on ex even though you want to know... Ask friends for support in doing new things/away from ex Treat desire to know as compulsion (think psychological addiction to your ex) need withdrawal Encourage journaling/writing about feelings, thoughts, wants when urge arises to check on ex

  18. IMMEDIATE POST BREAK UP SUPPORT: WHAT S HELPFUL/WHAT S NOT Help Student Set Boundaries Identify/role play concrete plan of what to do when see ex Aim for minimal interaction Spend time with non-overlapping friends Don t bring up relationship issues Don t take bait if ex insults, belittles, tries to engage role play assertive response Ask friends for support request friends DON T add to drama

  19. IMMEDIATE POST BREAK UP SUPPORT: WHAT S HELPFUL/WHAT S NOT Help Student Build Support System Identify supportive friends and spend time with them Identify trusted staff support (RA, counselor, instructor, CMHC ) Identify key staff members who can keep eye on student in case isolating Encourage student NOT to jump into new romantic relationship Encourage student to balance pain of talking about relationship with talking about other topics, supporting their friends, and doing fun things

  20. IMMEDIATE POST BREAK UP SUPPORT: DEVELOP HEARTACHE COPING PLAN Positive Activity List Go for walk, jog Watch movie Listen to music Relax in the sun Talk with people you like (not about ex) Read book, cartoons Draw/doodle Play sport, weightlift Sing Do craft Join club/team Play cards, game, instrument Dance, do yoga, move body Look at happy photos Do something new Send card to someone love (not ex) Surprise s/o with favor Play videogame Volunteer Go on field trip/outing Do puzzle, crossword Play game on phone And on and on and on Establish routine/structure for downtime Make list self-soothing activities (5 senses) Vision: Look at picture, look at nature, watch other students (not ex), watch video/movie, study, read, do puzzle Hearing: listen to music, sing/hum song, listen meditation Smell: put on lotion, smell soap/shampoo, coffee, tea Taste: drink s/t you like, suck candy, chew gum Touch: hug self/friend, stroke hand/arm, massage feet/neck, cuddle in chair, take shower

  21. IMMEDIATE POST BREAK UP SUPPORT: DEVELOP HEARTACHE COPING PLAN Care for Physical Health: Be aware of heartaches pull to escape into unhealthy behaviors (overeating, alcohol, drugs, hook ups ) Care for body: eat well, exercise (join HEALs or physically active group) Sleep: sleep routine, refer CMHC for sleep hygiene tips if needed (see JC sleep hygiene presentation on HW website)

  22. IMMEDIATE POST BREAK UP SUPPORT: DEVELOP HEARTACHE COPING PLAN Care for Mental State: breaking up can impact self-esteem, create self- doubt and insecurity Help student identify and celebrate their strengths: make list of strengths Help student know NO ONE is perfect and how to honestly assess weaknesses and work on them Daily gratitude: every day write one thing that you re thankful, grateful for Expressive writing/journaling: especially helpful to write about positive aspects of breakup Help student understand breakups aren t about something being WRONG with a person, they re about a relationship not working

  23. TOP REASONS RELATIONSHIPS FAIL AMONG YOUNG ADULTS True or False True or False Different priorities: Young people often have different priorities, expectations and goals and, over time, grow apart. Commitment: Young people who have had many different dating relationships as teens tend to be more ready for commitment.

  24. TOP REASONS RELATIONSHIPS FAIL AMONG YOUNG ADULTS True or False True or False Communication: teens/young adults who don t share what they want, or when they re unhappy, tend to form stronger relationships that last longer. Possessiveness is a sign of love and a predictor of a strong, lasting relationship.

  25. TOP REASONS RELATIONSHIPS FAIL AMONG YOUNG ADULTS True or False True or False Physical aggression is rare in adolescent/young adult relationships Incompatibility: teen/young adult relationships often end because young people enter into relationships more quickly and may not realize the level of incompatibility in values, beliefs, styles until they re already emotionally connected to someone

  26. IN A NUT SHELL: COMMON REASONS RELATIONSHIPS FAIL AMONG YOUNG ADULTS Different Priorities and Expectations/Goals/Wants Lack of maturity (limited impulse control, limited experience with how to treat partner, limited emotional maturity, difficulty compromising, need to experience different relationships to mature, so forth) Poor Communication Difficulty with Trust Incompatibility Abuse emotional, verbal, physical, sexual, bullying

  27. WHEN TO REFER TO WELLNESS/ CMHC Emotional Ups/Downs are NORMAL after a breakup Support offered by counseling, residential, other staff doesn t appear to be helping student seems stuck Student continues to withdraw from social network and staff Student shows extreme mood swings/rage and isn t responsive to support provided Peers express concern to staff Student shows SUICIDE WARNING SIGNS (see next slide)

  28. SUICIDE WARNING SIGNS: Talking about wanting to die or to kill themselves Looking for a way to kill themselves, like searching online, hoarding medication, buying rope Talking about feeling hopeless or having no reason to live Talking about feeling trapped or in unbearable pain Talking about being a burden to others Increasing the use of alcohol or drugs Acting anxious or agitated; behaving recklessly Sleeping too little or too much Withdrawing or isolating themselves Showing rage or talking about seeking revenge Extreme mood swings If worried about suicide, follow your center s Symptomatic Management Guideline for Suicidal Behavior or Threats. Don t leave student alone! If worried about student s adjustment to relationship breakup, consult with the student s counselor who can help make referral to CMHC.

  29. IMPACT OF ATTACHMENT HISTORY ON POST BREAK-UP ADJUSTMENT All of us struggle after important relationship ends. However, students with history of relationship loss (e.g. death of parent, neglect, history of abuse, foster home place, so forth) are at higher risk of having insecure attachment style and more distress/difficulty adjusting after loss Students with items on SIF or health forms indicating early adverse life experiences may need more support/guidance post breakup

  30. PREVENTION IS KEY: TEACH ABOUT HEALTHY RELATIONSHIPS ePRH Chapter 3; 3.17 requires students receive education in health education, which includes emotional and social wellbeing, relationships and much more. Healthy Relationship Education/Games: Healthy versus unhealthy relationship game (break into groups and identify) Advertisement for friend, partner identify qualities and write advertisement

  31. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY?

  32. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY? Loves partner so much that wants to be with him/her at all times and doesn t like doing things separately Enjoys spending time apart with own friends or getting together with group of friends

  33. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY? Accepts responsibility for actions and apologizes when wrong and works at changing behavior Uses alcohol and drugs as an excuse for behavior ( I didn t mean to say that, I was drinking )

  34. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY? Gets jealous a lot and accuses partner of cheating ( it s because I love you so much ) Respects privacy doesn t look at your phone, emails, or journal

  35. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY? Solves conflicts by talking things through in respectful manner wants to hear your opinion/perspective even if disagrees Solves conflicts by yelling, cursing, getting angry or threatening

  36. HEALTHY RELATIONSHIP GAME: HEALTHY OR UNHEALTHY? Feel guilty if you don t have sex because you know your partner wants it and is upset Talk openly about sex and don t feel pressured to have it

  37. HEALTHY RELATIONSHIP GAME: WRITE YOUR OWN ADVERTISEMENT

  38. DEVELOP AN ADVERTISEMENT FOR A FRIEND OR PARTNER Break into small groups and identify list of qualities that would lead to a healthy friendship/intimate relationship Normal that not all will agree on the same qualities keep list of ones disagree on. Write creative advertisement based on at least five agreed on qualities Share advertisements and discuss why those qualities are important for healthy relationship and why it s normal for people to also value different qualities

  39. THANK YOU FOR PARTICIPATING! QUESTIONS? COMMENTS? FOLLOW UP?

  40. RESOURCES Brown, D., & Brown, S. (2016).Every young adults breakup survival guide: Tips, tricks & expert advice for recovering. Ocala, FL: Atlantic Publishing Group. Fisher, H. E., Brown, L. L., Aron, A., Strong, G., & Mashek, D. (2010). Reward, Addiction, and Emotion Regulation Systems Associated With Rejection in Love. Journal of Neurophysiology,104(1), 51-60. doi:10.1152/jn.00784.2009 Gordon, S. M. (2018).Surviving a First Breakup. New York, NY: Enslow Publishing Group. Healthy Relationships Resource Kit - Western Health. (n.d.). Retrieved from http://westernhealth.nl.ca/uploads/Addictions Prevention and Mental Health Promotion/Healthy Relationships Resource Kit - Western.pdf Kansky, J., & Allen, J. P. (2017). Making Sense and Moving On.Emerging Adulthood,6(3), 172-190. doi:10.1177/2167696817711766 Kross, E., & Berman, M. (2011). Social rejection shares somatosensory representations with physical pain.Proc Natl' Acad Sci USA,108(15), 6270-6275. K bler-Ross, E., & Kessler, D. (2014).On grief & grieving: Finding the meaning of grief through the five stages of loss. New York: Scribner.

  41. RESOURCES Lewandowski, G. (2009). Promoting positive emotions following relationship dissolution through writing.The Journal of Positive Psychology,4(1), 21-31. Lynsen. Ann. (2014, June 18). Suicide Prevention. Retrieved from https://www.samhsa.gov/suicide- prevention Muise, A., Christofides, E., & Desmarais, S. (2009). More Information than You Ever Wanted: Does Facebook Bring Out the Green-Eyed Monster of Jealousy? CyberPsychology & Behavior,12(4), 441- 444. doi:10.1089/cpb.2008.0263 Olson, J. S., & Crosnoe, R. (2017). Are You Still Bringing Me Down? Journal of Health and Social Behavior,58(1), 102-115. doi:10.1177/0022146516684536 Price, M., Hides, L., Cockshaw, W., Staneva, A., & Stoyanov, S. (2016). Young Love: Romantic Concerns and Associated Mental Health Issues among Adolescent Help-Seekers.Behavioral Sciences,6(2), 9. doi:10.3390/bs6020009 Rhoades, G. K., Dush, C. M., Atkins, D. C., Stanley, S. M., & Markman, H. J. (2011). Breaking up is hard to do: The impact of unmarried relationship dissolution on mental health and life satisfaction.Journal of Family Psychology,25(3), 366-374. doi:10.1037/a0023627

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