Gaining awareness of attachment dynamics can empower individuals with rare diseases to enhance their emotional and relational well-being. The following strategies can help them cultivate healthier relationships and improve their psychological resilience. 

1. Recognize Emotional Responses 

Cultivating self-awareness about emotional responses is vital. Understanding how attachment styles influence reactions can help patients navigate relationships more effectively. For instance, recognizing anxious behaviors can prompt patients to communicate their needs openly rather than relying on others to intuit them. 

2. Communicate Openly 

Clear communication is critical in mitigating misunderstandings rooted in attachment dynamics. Patients should express their feelings using “I” statements to foster understanding and reduce defensiveness in conversations. For example, saying, “I feel anxious when my symptoms flare up, and I need you to listen” can clarify needs without placing blame. 

3. Seek Support Networks 

Engaging with support networks can alleviate feelings of isolation. Sharing experiences with others who understand the challenges of living with a rare disease can reinforce a sense of belonging and mitigate the effects of insecure attachments. 

4. Establish Boundaries 

Setting healthy boundaries is crucial for both patients and caregivers. Clients should recognize when emotional demands become overwhelming and communicate these limits to others, fostering healthier relational dynamics. 

5. Practice Self-Compassion 

Cultivating self-compassion is essential for emotional resilience. Recognizing that struggles are valid and allowing space for grief over lost normalcy can promote healing and self-acceptance. This practice can also counteract the negative self-talk often associated with insecure attachment styles. 

6. Embrace Narrative Flexibility 

Patients can benefit from reframing their narratives to focus on resilience and growth. Acknowledging challenges while also recognizing strengths can shift perspectives and enhance emotional well-being. 

7. Seek Professional Support 

Clients are encouraged to seek professional support tailored to their unique experiences. Mental health professionals can provide insights into attachment dynamics, helping individuals navigate their relationships and develop healthier coping strategies. Therapy can also help address cognitive distortions and enhance emotional regulation skills. 

The interplay between attachment theory, the complexities of rare diseases, and the psychological dynamics at play illustrates how attachment styles profoundly influence emotional and relational well-being. By understanding how their attachment dynamics shape their experiences, individuals can enhance their emotional resilience and foster healthier relationships. Ultimately, these considerations, combined with professional support, can lead to improved mental health outcomes and a more fulfilling life, despite the challenges posed by rare diseases. 

Iguaraya (Igua) Morales, Psychological Associate (Supervised Practice), is a bilingual psychologist (English and Spanish) with over 30 years of experience. She provides psychological services to adults, families, and communities, addressing challenges such as behavioral issues, emotional regulation, and psychosocial difficulties. Iguaraya uses an integrative approach, combining Humanistic (Person-Centered, Emotion-Focused) and Cognitive-Behavioral techniques, tailored to the unique needs of her clients. She also incorporates mindfulness and yoga practices to promote holistic well-being. In addition to her clinical work, Iguaraya Morales has a distinguished career as a professor, mentoring students and professionals in psychology and research. Based in Ontario, she is registered with the College of Psychologists of Ontario. 

References 

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Erlbaum. 

Bowlby, J. (1982). Attachment and loss: Vol. 1. Attachment (2nd ed.). Basic Books. 

Good communication is key to any successful relationship. It’s not just about talking—it’s about understanding, showing care, and connecting with each other. When partners communicate well, they build a stronger bond and can handle problems more easily.

1. Active Listening: One of the most important skills in communication is really listening. This means focusing on what your partner is saying without thinking about your response while they talk. Show you’re interested by nodding, making eye contact, and saying things like “I understand.” This makes your partner feel valued and helps you understand their feelings better.

2. Expressing Yourself Clearly: It’s important to express your thoughts and feelings in a clear way. Use “I” statements to share how something makes you feel, like “I feel upset when…” instead of saying “You always…” This helps avoid arguments and encourages honest conversations.

3. Non-Verbal Communication: Communication isn’t just about words. How you act—your body language, facial expressions, and tone of voice—also matters. Being aware of these can help you understand each other better and show that you’re sincere.

4. Being Empathetic: Try to understand things from your partner’s point of view. Showing empathy helps close emotional gaps and makes your partner feel safe in the relationship. When people feel understood, they are more likely to share their feelings.

Good communication helps create a healthy relationship. By listening carefully, speaking clearly, being aware of body language, and showing empathy, you can build a stronger and more supportive partnership.

The experienced team at CFIR can help you work on and improve communication in your relationships by providing a safe space for couples to express their thoughts and feelings, fostering deeper understanding, empathy, and conflict resolution skills.

Riley Cheskes, R.P., is a compassionate and experienced Registered Psychotherapist who works with individuals and couples to foster emotional well-being and personal growth. With a warm, empathetic approach, Riley creates a safe and supportive environment where clients can explore their thoughts, feelings, and relationships. Specializing in issues such as anxiety, depression, relationship struggles, life transitions, parenting, post-partum, and self-esteem, Riley utilizes evidence-based therapeutic techniques tailored to each client’s unique needs, including but not limited to psychodynamic, emotion focussed, and attachment based therapies. Whether you’re seeking to improve communication in your relationship or navigate personal challenges, Riley is committed to helping you achieve lasting change.

Natalie Guenette, M.A., R.P.

What does it mean to be in a healthy relationship? Many elements are important in a relationship, such as open communication and reciprocity. The Ontario Psychological Association suggests that “when our relationships are strong, we’re more resilient in the face of stress and hardship. But when our relationships are fraught, we are more likely to experience anxiety, depression and maladaptive coping behaviours” (The psychology of relationships: Connections for better well-being, 2023). 

The Crisis and Trauma Research Institute (CTRI) identifies 5 elements to a healthy relationship. Let’s explore them.

1. Respect
2. Boundaries
3. Sharing of power
4. Guidelines on conflict management
5. Adaptability and flexibility

Respect

In relationships, respect is about allowing each member to be as they are. It is about accepting their personality, individuality, unique opinions, thoughts and feelings and recognizing that everyone has a right to express themselves. Respect is about holding space for differences to exist; despite the discomfort this can create in you. 

Boundaries

Boundaries in relationships are about identifying your limits in order to have your needs met. Individual boundaries are set and communicated with one another. In relationships where children are involved, their needs are prioritized and boundaries are set to protect them from adult challenges and conflicts. 

Sharing of power

This means that everyone involved in the relationship can co-exist and that there is space for everyone to openly and freely share their thoughts, feelings, and opinions without fear of consequences. It is important to consider individuals’ ages in relationships (i.e.: it is OK and normal that parents/adults make more decisions and have more responsibilities than children. This does not mean, however, that children’s wants and needs are not considered). The risks for relationships to become unhealthy are increased when there is an imbalance of power.

Guidelines on conflict management

The fourth element is about having rules on how conflicts will be managed. Conflicts are stressful and can trigger uncomfortable emotions. For this reason, having a structure for conflict management can help navigate the discomfort that conflicts may elicit in you and other member(s) of the relationship. In addition, because we all respond differently to stressful situations, it is important to discuss openly about the best ways to handle conflicts for everyone involved (e.g.: having a code word that reminds you to take a step back; taking a 10-minute break when the conversation is escalating before going back to it; etc.). 

Adaptability and flexibility

The fifth and final element to a healthy relationship is about being adaptable and flexible to trying new ways of working through stressful situations together. It is also about wanting to work as a team towards a collective goal, such as having a healthy relationship.

If you or someone you know is experiencing challenges in their relationships, know that CFIR-CPRI has many clinicians available to help you reinforce your skills to improve your relationships. 

References: 

Coburn, S.C. (2021). Family Violence [Workshop]. Crisis and Trauma Research Institute.

The psychology of relationships: Connections for better well-being. Ontario Psychological Association – The Psychology of Relationships: Connections for Better Well-Being. (2023, December 21). https://www.psych.on.ca/Public/Blog/2023/the-psychology-of-relationships

Natalie Guenette, M.A., R.P. is a Registered Psychotherapist at the Centre for Interpersonal Relationships (CFIR). She provides online and in-person individual psychotherapy services to adults in both French and English. Natalie offers services to individuals experiencing a wide range of difficulties related to interpersonal relationships, anxiety, depression, self-esteem, trauma, and substance use. She works from humanistic and psychodynamic approaches and integrates a variety of therapeutic interventions from emotion-focused therapy (EFT) and cognitive-behavioral therapy (CBT).