Tag Archive for: Therapy
Why We Need to Practice Self-Compassion and How Therapy Can Help
Our inner voice is powerful. The dialogue that we tell ourselves can affirm, encourage, and boost confidence towards positive outcomes. On the other hand, our inner voice can be our own worst enemy.
Did you know that most emotions last 90 seconds?
The 90 Second Rule is a term used by Dr. Jill Bolte Taylor, a Harvard-trained neuroscientist who specialized in the anatomy of the brain.
Struggling to Find any Positives?!
As a therapist, I spend many hours a week talking with people who are struggling to find any positives during this time, or at all. My role is to make space for my client’s experiences during this unprecedented time.
What Really Happens in a Therapy Session
When you take your car to the car mechanic, you know what’s going to happen: Your car will get repaired.
When you break a bone and visit your doctor, you know what’s going to happen: Your bone will be set in a splint or cast and eventually heal.
But when you make an appointment to see a therapist, do you know what’s going to happen? Many people aren’t quite certain. Will you just talk? Will you have to discuss your childhood? Will you be “hypnotized?” And what’s the “point” of seeing a therapist, anyway? Why not just talk to a friend?
There is a great deal of uncertainty in our society about what actually happens during a therapy session, what types of issues and problems are suitable for therapy, and what benefits a therapy session can provide. I’d like to address a few typical questions—and misconceptions—about what therapy is, what it isn’t, and how it really works.
Q: Do I have to be “sick” or “disturbed” to go see a therapist?
A: No. Thinking that one has to be “seriously disturbed” in order to see a therapist is a myth.
While some therapists do specialize in severe emotional disturbances—including schizophrenia or suicidal thoughts—many focus on simply helping clients work through far more typical, everyday challenges like mapping out a career change, improving parenting skills, strengthening stressmanagement skills, or navigating a divorce. Just as some physicians specialize in curing life-threatening illnesses, while others treat “everyday” illnesses like flus, coughs, and colds, psychotherapists can serve a wide range of clients with a range of needs and goals, too.
In fact, most of my clients are successful, high-achieving people who are quite healthy, overall. Most are challenged by a specific, personal goal—like losing weight, creating more work-life balance, finding ways to parent more effectively, or feeling anxious about dating again after a rough break up.
Q: How can I choose the right therapist for my goal/situation?
A: Choosing a therapist is like choosing any other service provider—it’s a good idea to visit the practitioner’s website, and read client testimonials or reviews (if they have any—many do not, for confidentiality reasons). It’s also good to ask friends and family members, or your physician, for referrals (and of course, check to see who is covered in your health insurance network).
If you are hoping to work on a specific issue—overeating, smoking, making a career change—try to find a therapist with expertise in that area. Many list their specialties or areas of focus on their websites. There are therapists who specialize in relationship issues, parenting issues, anger management, weight issues, or sexuality—pretty much any issue, goal, or situation you can imagine. If you’re not sure about someone’s expertise, just call them and ask. If they can’t be of assistance with your issue, they may be able to refer you to someone who can.
Q: What actually happens during a therapy session?
A: Each session is, essentially, a problem-solving session. You describe your current situation, and your feelings about it, and then the therapist uses their expertise to assist you in trying to resolve that problem so you can move closer to having the life you wish to have.
At the beginning of a session, the therapist typically invites you to share what’s been going on in your life, what’s on your mind, what’s bothering you, or whether there are any goals you’d like to discuss. You’ll be invited to speak openly. The therapist will listen and may take notes as you speak; some, like myself, take notes after a session. You won’t be criticized, interrupted or judged as you speak. Your conversation will be kept in the strictest confidentiality. This is a special, unique type of conversation in which you can say exactly what you feel—total honesty—without worrying that you’re going to hurt someone’s feelings, damage a relationship, or be penalized in any way. Anything you want—or need—to say is OK.
Some therapists (like myself) may give clients some homework to complete after a session. That homework might be to set up an online dating profile and reach out for a first date, or to exercise three times a week. It may be to spend some time each day pounding a pillow to safely release pent-up emotions, make a nightly journal entry, or any number of “steps” and “challenges” relevant to your goals. During your next session, you might share your progress and address any areas where you got frustrated, stuck, or off-track.
Of course, every therapist is different, every client is unique, and every therapist-client relationship is distinct as well—which means that there is nouniversal description of a therapy session. Some therapists employ dream interpretation in their work. Others bring music or art therapy into their work. Others incorporate hypnotherapy, life coaching, meditation, visualization, or role-playing exercises to “rehearse” challenging conversations. The list goes on and on. Ultimately, regardless of their approach, a therapist will listen without judgment and help clients try to find solutions to the challenges they face.
Q: Will I have to talk about my childhood?
A: Not necessarily. Many people think that visiting a therapist means digging up old skeletons from your childhood, or talking about how awful your mother was, etc. That is a myth. What you talk about during a therapy session will largely depend on your unique situation and goals. And depending on your goals, you may not actually talk about your past that much. The focus of your therapy is as likely to be your present-day reality and the future that you wish to create.
That being said, if you REALLY do NOT want to discuss your childhood, the intensity of your desire NOT to talk about it might suggest that you should! When people have strong negative emotions—about their childhood or any other topic—it’s typically worth doing some excavating to figure out why that is. Whatever is causing them to feel such strong emotions about the past is more than likely impacting their present-day life in some way, too.
Q: How long will I have to go to therapy?
A: This varies from person to person. I’ve had clients who booked one session, we worked out their issue(s), and they were all set: They marched out and didn’t need a follow-up session. Sometimes, one brave, honest conversation is really all you need.
Other clients have booked sessions with me over a period of several weeks or months, focusing on one issue, resolving that issue, then perhaps moving on to a different challenge. Then there are other clients who I’ve been working with for some time—they appreciate having a weekly, bi-weekly, or monthly “check-in.” They may share their feelings, sharpen their life skills as needed, or perhaps enjoy a deeply nourishing guided meditation or hypnotherapy experience to de-stress. As one client put it, “Every two weeks when I meet with you, I leave your office feeling like you pressed my reset button.”
Therapy is really about whatever a client needs—a one-time conversation, a temporary source of support during a life transition, or an ongoing experience to optimize health physically, mentally, emotionally and spiritually.
Q: Is meeting with a therapist over the phone—or through video chat—just as effective as meeting in person?
A: That depends on your personality and preferences. In the state of Hawaii, where I live, at least one insurer that I know of covers doing therapy virtually via video chat (like Skype or Facetime). This makes it a convenient option for people. Many of my clients do enjoy having some, or all, of their sessions via video chat because it means they don’t have to take time out of their busy schedules to drive, park, and so on. They can just close their bedroom or office door, pick up the phone or log in, and away we go—very convenient.
Where feasible, I suggest trying out both ways—do a traditional, in-person therapy session and then try a video session—and see which format is the best fit for you.
Q: Why see a therapist? Why not just talk to a friend or someone in my family?
A: If you are blessed with caring, supportive family members and friends, by all means, share your feelings, goals, and dreams with those people. They are a big part of your support network, and their insights and encouragement can be very helpful. However, people who already know you might not always be completely objective when listening to you. For example, you may want to change your career, and you confess this dream to your wife. She may want to support you 100%, and try her very best to do so, but she may also be dealing with emotions of her own—such as anxietyabout how a career shift will change your lives, not to mention your income. These emotions could make it difficult for her to listen and support you objectively.
This is why working with a therapist can be so valuable. It’s a unique opportunity to share everything you’re feeling, and everything you want to create, without anyone interrupting you, imposing his or her own anxieties onto the conversation, or telling you that you’re “wrong” or that you “can’t.”
A therapy session is a space where you don’t have to worry about hurting anyone else’s feelings—you can be totally honest. It also means you have the potential to solve problems faster and with greater success. In the long run, that’s better for you and everyone else involved in your life, too.
To sum it up:
Therapy is a valuable tool that can help you to solve problems, set and achieve goals, improve your communication skills, or teach you new ways to track your emotions and keep your stress levels in check. It can help you to build the life, career, and relationship that you want. Does everybody needit? No. But if you are curious about working with a therapist, that curiosity is worth pursuing. Consider setting up one or two sessions, keep an open mind, and see how things unfold. You have very little to lose and, potentially, a lot of clarity, self-understanding, and long-lasting happiness to gain.
Suzanne Gelb, Ph.D., J.D, is a clinical psychologist and life coach. She believes that it is never too late to become the person you want to be: Strong. Confident. Calm. Creative. Free of all of the burdens that have held you back—no matter what has happened in the past. Her insights on personal growth have been featured on more than 200 radio programs, 200 TV interviews and online at Time, Forbes, Newsweek, The Huffington Post, NBC‘s Today, The Daily Love, Positively Positive, and much more. Step into her virtual office, explore her blog, book a session, or sign up to receive a free meditation and her writings on health, happiness and self-respect.
We Want You Here
Sometimes life can feel like a burden. It can feel like each day is a challenge. As if making it to your bed at the end of the day is like reaching the finish line of a long race. It can feel as if each interaction is a struggle. As if you only have a limited amount of oxygen, and each word you speak is a drain on your supply.
For those of you who have ever thought about suicide, you know this feeling all too well.
But you should know that you are so strong.
You’re strong for still being here even when your thoughts tell you that being alive isn’t worth the pain. You are strong for carrying the weight of it all on your shoulders for so long. For carrying it by yourself even while thinking you were alone in the way you feel—even while believing that no one and nothing out there could take off some of the weight.
But you should know that you are not alone.
We are a whole community of people who understand what you’re facing. And more than anything, we want to help you. You don’t have to go through this alone. We want you to ask us for help. We want to help you carry that heavy weight because we understand what it’s like to burden it alone. We may not know exactly what you’re facing, but we understand what it’s like to feel hopeless.
But you should know that there is hope.
There are resources. There is help. There is support. There is time. Time that forces everything to change. You may not feel okay today, but that is okay. The awful way you feel is not permanent. You may feel like you can’t bear the pain any longer, you may feel like you don’t have it in you to reach out for help, but you are stronger than you know, and we believe in you.
And you should know that you are worth it.
You are worthy. You are important. Your life is important. You deserve a place on this planet, and we deserve to have you with us.
And you should know that you are an inspiration.
You have faced more than many can fathom and yet here you stand. Your strength is a source of hope for those who feel the same as you do. Not only should you feel comfortable telling us about your darkest moments, but we want to hear it.
And you should know there is no shame in your story.
To feel shame is, unfortunately, part of our experience. But it is not fair. It is not fair to yourself. Because the way you feel is not your fault. You should never blame yourself for your darkness. Your darkness if a part of your story, and we accept you.
More than anything, you should know that we want you here.
Laura Greenstein is communications manager at NAMI.
https://www.nami.org/Blogs/NAMI-Blog/September-2018/We-Want-You-Here
A Therapist’s Journey: Learning The Art Of Self-Soothing
One day, I was standing on the back of my pickup truck and throwing away trash at the town dump when I had an experience that’s hard to describe. My head was swimming, my body felt electrified and I felt detached from the world and myself. A memory then trickled in: I was nine years old, being hit repeatedly by my father one evening because he thought I had lost a 25-cent screwdriver. I remember being scared that he was going to kill me. I remember going numb.
Thirty years later, there I stood, scared and numb again—wondering how or what to do to get out of this state, wondering if I would ever “come back.” I was by myself that day, and not only was nobody home, but I had no one to call. None of my friends had the kind of inclination toward giving me the help I needed, and I also wasn’t in therapy at the time. I was stuck—in more ways than one.
It would take me quite a while before I learned how to soothe myself when I wasn’t doing so well. And I’m still not always the best at it. The old phrase of “physician, heal thyself” rings true for me. Being a therapist, I sometimes think, “Jeez, if my clients knew how difficult it is for me to calm myself down sometimes, I’m not sure they’d keep coming to me.”
Working Through Challenging Symptoms
Therapist or not, learning to self-soothe is hard, but it’s something we all should learn how to do—especially if we have mental health conditions or traumatic pasts. Over the years, I’ve mostly grown past, but I’ve never forgotten, the harshness of my father. That doesn’t mean all my insecurities have gone away, and I don’t expect they ever will; it just means that I’ve concentrated on working toward being independent enough from my experiences. That way, I don’t get so wrapped up in my symptoms of depression and anxiety, and in the fears I still carry around.
Instead of being ruled by these symptoms like I have in the past, I have “worked” psychologically, spiritually and practically to learn and practice the art of self-soothing. I remember when I first started practicing, I latched on to one technique, thinking it would be the answer: breath. I would sit quietly, usually in the morning, and I would breathe in and out, paying attention to the noise of my breath passing through my nostrils. When I became aware of my mind wandering, I would try to refocus. I found this exercise helpful—for a little while.
The sense of peace and calm I once got during the exercise vanished one day, so, I started looking for other ways to self-soothe. This became my pattern. I try a self-soothing exercise, and it either helps me or it doesn’t, then after a stretch of time, I move on to something else.
Over the years, I’ve tried numerous self-soothing techniques. For about a year-and-a-half, I did daily meditations from A Course in Miracles, and once it became too spiritual for me, I stopped. I rode my bicycle for a couple of years. I took up “intentional walking” (a kind of meditation in movement). I tried yoga. I attended spiritual retreats. Jogging was more work than soothing. Walking did not work when I was in my 40s, but was effective in my 50s. Sitting quietly with my legs crossed in meditation was more painful than anything. Qi Gong was not helpful. Tai Chi did not work.
Now, in addition to swimming at the YMCA a few times a week, I meditate while stretching for about 30 minutes in the morning. I also read, at times, from spiritual, poetry or philosophy books, and when I get an “ah-ha” moment, I stop and repeat that saying or sentence or concept throughout the day. I also like to go to the movies and “lose myself” in what’s happening on the screen.
Getting Started
I think one of the most important aspects of self-soothing I’ve discovered is that not every technique works for everyone and it’s unlikely that one technique will be the only technique you ever use. I know that I will likely continue using different techniques, probably for the rest of my life. My initial belief that I would find “one answer” to my anxiety, obsessions and fears was a myth.
I see that a lot in my practice, as well. People want one solution to feel better: one medication, one single action to solve all their problems. The fact is, that’s not how life works. We have to try all kinds of solutions; some will work, some won’t, and some might for a period of time and then stop. Some might not work now, but might later.
That’s a difficult concept to get across to clients and even to myself. I want to feel better right now and forever. But that’s unrealistic. That’s why part of therapy is helping people be realistic in their expectations and to realize that growth, becoming more peaceful and calm as well as happier, is a process that evolves over time. Self-soothing is one of those things as well: It evolves over time. If you’re going to take on learning the art of self-soothing, I have a few pieces of advice.
Realize The Value
Too many of my clients hesitate to take time away from our sessions to practice self-soothing. They have convinced themselves there is little value in learning how to calm themselves when actually, self-soothing can help the recovery process immensely. When you are upset or stressed, it is important to know positive ways to cope on your own—that’s a skill important for our individual growth no matter who we are. Finding ways to self-soothe can help you feel at ease when you are dealing with frustration, excitement or having intense emotions. It can also reduce the amount of worry and fear we carry around with us.
Use Simple, Everyday Experiences
You don’t need to be a guru on the mountaintop raking sand to self-soothe “the right way.” A friend once told me she meditates when she irons. Try to think of something simple you do that you can focus on to relax and find some peace of mind, even if just for a short time.
Adopt A Calming Word Or Phrase
Finding words or phrases that help shift you to a calmer state is like having the right tools for a job. You can find these words, phrases or concepts by reading books or articles or daily meditations, by listening to podcasts or videos, or by making them up yourself. When you find something that makes you feel at ease, stop reading or listening and repeat it a few times to commit it to memory. Repeat the word or phrase periodically throughout the day during stressful and non-stressful times; it will likely bring you a sense of calm.
Practice Makes Perfect
Self-soothing is like any other exercise. The more we do it, the better we get at it. You don’t practice running for a marathon by only running the marathon. You practice by jogging shorter distances and building up stamina. When we practice self-soothing techniques even when we don’t “need” them, we are building a skill and more of an automatic response for when we do need them.
Therapy Can Help
I have used therapists in the past as coaches, supports and idea-generators. My therapists have given me great insight into the kinds of situations that trigger me, and helped me learn how to manage those triggers. Learning to manage my triggers reduces the need to self-soothe in the first place.
As you begin this adventure, remember to be patient. Self-soothing is a skill that develops over time. I’m still learning. But through my learning, self-soothing has helped me be calmer in my day-to-day interactions with people, and I’ve found that I’m more prepared for experiences like the one I had in the back of that pick-up truck.
Learn how to soothe yourself. It could make a difference in your life. I know it did for me.
Larry Shushansky has helped thousands of individuals, couples and families over 35 years as a counselor and public speaker. He has developed the concept of Independent Enough and shares this when giving talks to businesses, nonprofit organizations and educational institutions. Learn more about him at www.independentenough.com.
https://www.nami.org/Blogs/NAMI-Blog/June-2018/A-Therapist-s-Journey-Learning-the-Art-of-Self-So
6 Ways You Can Help A Loved One On Their Healing Journey
Take a moment to consider all the people in your life: your coworkers, friends, family. At any given time, 1 in 5 of these individuals is living with a mental health condition. You may have noticed them struggling, but if you’re not a trained mental health professional, you may not have known how to help.
However, you can help. You can be supportive and encouraging during their mental health journey. Here are a few tips on supporting the mental health of those you love.
1) Educate Yourself
There are hundreds of mental health concerns; your job is not to become an expert in all of them. When you do notice potentially troublesome symptoms, it’s helpful to determine if those signs may indicate a mental illness. Familiarizing yourself with common symptoms can help you understand and convey your worries. You may also benefit from expanding your knowledge by taking a course or joining a support group of individuals who can relate to the hardships you and your loved one may be facing.
2) Remain Calm
Recognizing that a loved one might need help can be daunting, but try to remain calm—impulsively approaching the individual might make you seem insensitive or aggressive. Try to be mindful and patient. Take time to consider your loved one’s symptoms and your relationship before acting. Writing down how you feel and what you want to say may be useful to help you recognize and understand your thoughts and feelings, and help you slow down while connecting to your good intentions.
3) Be Respectful And Patient
Before talking to someone about their mental health, reflect on your intention to promote healing and keep that in mind. Ask how you can help in their recovery process and be cautious not to come off as controlling. While encouraging a person to seek help is okay, it is not appropriate to demand it of them. Let them know that if they ever wish to talk in the future, you’re available.
4) Listen
Give your loved one the gift of having someone who cares about their unique experience. Don’t bypass their narrative by making connections to others’ experiences. You might recognize a connection to your own experience, however, sharing your story prematurely may undermine their experience. You may be prepared with hotlines, books, or a list of community providers, and although these are excellent sources of support, it’s important to take time to thoroughly listen before giving advice. It’s a privilege to have someone share intimate details of their mental health. Be present and listen before moving forward.
5) Provide Support
One of the best ways to help is to simply ask how. It’s not helpful to try to be someone’s therapist, but you can still help. People don’t like being told what to do—asking how you can help empowers them to take charge of their recovery, while also letting them know you are a source of support.
6) Establish Boundaries
As you support your struggling loved one, it’s important to consider both your boundaries and theirs. When trying to help, you are susceptible to neglecting yourself in the process; boundaries will help you maintain your self-care, while also empowering your loved one. Be sure you’re not working harder than they are at their own healing process.
As a caring person, you may grapple between wanting to encourage and support your loved one while wanting to honor their process and independence. Unfortunately, there are no foolproof guidelines for helping your loved one on their journey towards recovery. However, you can connect to your intentions, convey compassion and maintain your own self-care while empowering your loved one regardless of where they are in their healing journey.
By Shainna Ali
https://www.nami.org/Blogs/NAMI-Blog/March-2018/6-Ways-You-Can-Help-a-Loved-One-on-Their-Healing-J
