Baby Elephant Beliefs, written by Shale Marks, LCSW CADC and Dr. Kimberly Dennis, MD

Baby Elephant Beliefs

There’s an old adage about baby elephants. Circus trainers would tie a rope around a baby elephant’s leg and would attach it to a stake in the ground, so that the elephant wouldn’t run away.  When the elephant grew to be an adult and weighed 12,000 pounds, the same elephant tied to the identical stake in the ground, still believed it couldn’t move. The elephant could have easily pulled the stake out of the ground and set itself free, but it was held in place by a limiting belief system. Illusion. Most of what keeps “people stuck” in the cycle of addiction or “dis-ease” are old ideas, limiting belief systems about “the self and the world” which keep illusions alive. People are afraid to let go of those beliefs which for so long served to help them survive in a world that was actually or perceived to be very dangerous.

It’s the rule rather than the exception for those with early traumas to develop and to define themselves by their wounds – this forms the basis of identity. A healthy connection to community is never formed and the reality of one’s being alone and overwhelmed turns into a perpetuated belief that no one will ever be there to help and that even if they were, accepting help would be a sign of weakness. Many people with traumatic histories and insecure early attachments also slip into the belief that real change is not possible – that somehow, they are beyond repair. Too broken.

In the face of overwhelming physical or emotional instability in the environment, the most adaptive response for small children is often the freeze response. Kids learn to dissociate, to go inside and use whatever they have access to in order to self-soothe, survive, create the illusion of security. When there is healthy, consistent attachment to caregivers, neural connections in the frontal cortex of a developing brain are formed normally, especially the parts of the brain involved in executive functioning and compassion–a necessary ingredient in healthy interpersonal functioning. When secure attachments aren’t formed at a young age for any reason, normal development of the  frontal cortex will be impaired. When kids are intermittently or chronically in a state of danger, they are prone to developing heightened activation in certain areas of the limbic system. Increased activity in the amygdala, or fear gating center, can lead not only to ongoing hypervigilance (always looking for signs of danger) but also disrupts the development of memory for example, which can have serious effects on a trauma survivor’s sense of cohesiveness and identity.

Prolonged Exposure Therapy, based on cognitive behavioral principles, is one way to break the chains of old beliefs and a brain stuck in activated trauma patterns. PE uses imaginal exposure in a supportive process and guided by a skilled clinician, to revisit painful and traumatic memories, making them speakable. So often, traumatic memories are pushed down far inside, compartmentalized away, and for good reason! The brain does a wonderful job protecting people, and it also does a great job of healing if or when people are ready to access expert help. Another tool used in PE is in vivo exposure, which involves repeated confrontation with the situations that cause activation but which are not actually dangerous in the present. Working through the activation using newly developed coping skills and healthy attachment to support allows survivors to have corrective emotion experiences. These experiences over the course of therapy lead to deep and lasting change. PE does not necessarily rewrite history, but it can significantly reduce the charge that traumatic memories activate, leading to the capacity to write a new present and live in a different way–a manner of living characterized by intention, consciousness, empowerment and choice. After PE, the patient can begin to see the memories through the eyes of a whole adult, rather than fragmented and splintered-off parts of self from childhood.

The benefit of truly integrated and holistic care is that patients are treated first and foremost as whole persons, rather than a cluster of symptoms labeled as disease treated only with others lumped into the same box. Treating substance use disorder, eating disorders, mood disorders and trauma in an integrated way with a cohesive team is good medicine in and of itself for the fragmentation that results from trauma. Fragmented care cannot heal fragmented humans.

So, how do we let go of baby elephant beliefs? By noticing our patterns, naming them,  and sharing them with our fellow travelers – in allowing others to bear witness to our vulnerability, we find our strength. It is only when we become aware of our limiting beliefs, that we can make a decision to accept ourselves, and expand beyond the old with new actions, new beliefs and a new way of life.

Elizabeth E. Sita, MD
Medical Director of Adult Services
Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award. Upon completing her training, Dr. Sita came to Ascension Alexian Brothers Behavioral Health Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders. Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making. She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!   VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services  
Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.