“It’s Chaos. Be Kind.”

“It’s Chaos. Be Kind.”

“You think your pain and your heartbreak are unprecedented in the history of the world, but then you read. It was books that taught me that the things that tormented me most were the very things that connected me with all the people who were alive, who had ever been alive.”

-James Baldwin

 

 

Not often enough is each of us asked, “What’s it like moving through the world as you?” We are not often asked about our fears and insecurities, hopes, frustrations, and about what makes us feel alive. We are not often asked about what we’re thinking, what we’re wondering about, or if we’re worried.

 

Some of us experience racism and homophobia. Some of us experience ableism or transphobia or sexism or classism or ageism.

 

Some of us suffer from depression, crippling anxiety, post-traumatic stress symptoms, chronic pain, or addiction. Some of us are navigating the complicated mourning process and feeling what can only be described as unyielding fragility. Some of us are numb.

 

All of us are grappling with something- marital problems, financial instability, a terminally ill child, a best friend dead from aggressive cancer, panic about the future, historical or intergenerational trauma, chronic mental or physical illness, a break-up, discrimination, sexual harassment, the aging process, our own inexorable thoughts.

 

I get the pleasure and honor of creating a space for people to sit down and tell me about what it’s like for them as they move through the world. I get to see couples learn, for the first time, in a deeper way what it’s like for their partners to be them. I have made a career out of witnessing what happens when people speak honestly and listen compassionately.

 

Not everyone has the privilege of making this their daily life, and I’d like to help make it as accessible as possible. It’s the act of intelligently tuning into our own experience and seeing what’s there. It’s the act of deepening our understanding of ourselves and another.

 

When we become attuned to and present with our pain, we can tune into and be present with another’s pain. The reverse is also true, that when we are present with and attuned to another’s pain we can also be present with our own. We are complex creatures, capable of many things, some being empathy and compassion.

 

When we open space for ourselves to be present and attuned, it’s easier to listen to what is really being said. It’s easier to see someone for who they are instead of our projection of them.

 

We can’t do this all the time, but we can do it more often. We can slow down and drop in.

 

Someone recently recommended to me Patton Oswalt’s “Annihilation” performance. In it, he talks about his late wife, writer Michelle McNamara, and her belief system. He quotes her as saying, “It’s chaos. Be kind.”

 

There is chaos. And there is kindness.

 

I wonder, what’s it like moving through the world as you?

 

Love and Be Loved,
Natalie

As It Turns Out, Time Doesn’t Heal All Wounds.

As It Turns Out, Time Doesn’t Heal All Wounds.

Have you ever noticed that one guy at work, the one who you’ve never liked, but couldn’t put your finger on why? Or the neighbor who, for some reason, when she smiles at you, you feel irritated? Or why you can’t stand the smell of a certain laundry detergent? Or why, even though you’re accomplished in your field, you feel like an idiot before you give a presentation?

We all have an information processing system hardwired into our brains. This processing system has evolved to help us integrate emotional turmoil into our mental health and is essential for healing. This system helps us to let go of what is not useful information and make connections to what is useful about an experience so that we can adapt, grow, learn, and face similar situations more intelligently.

Here is an example:

You have a stressful interaction with your mother-in-law while she is visiting for a holiday. You feel angry, disappointed, and resentful. Your chest is tight, and your stomach is in knots. You think negative thoughts about her (“She’s always such a cold, demanding jerk.”) and about yourself (“What is wrong with me that after so many years, I can’t seem to avoid these situations with her? Is it me?”)

You keep mulling over what happened, talk about it with friends, maybe even have a stress dream about it that night. The next day, you still feel a bothered by it but not nearly as much. You’re able to think more clearly about it and understand that you two interpret things differently and that there are ways that you can skillfully manage this. This is your brain’s information processing system at work. It’s transformed this disturbing situation into a learning experience. (You can also thank your REM sleep phase for this since this is the time during which wishes, learning/lessons, survival/stress experiences are processed through the action of “synaptic pruning.”

Because of this uninterrupted time to process, your brain was able to associate the memory of the interaction with your mother-in-law and useful information already stored in your brain (from other stressful interactions with her and others) to create resolution. You remember what happened, what worked, what didn’t, and that it isn’t personal, that this is just the way she is and that you have useful tools for interacting with her. The intense emotional reaction you felt the day before is gone.

Unfortunately, our brains do not adaptively store all of our experiences in this way. Sometimes we encounter traumatic experiences or otherwise stressful experiences that overwhelm our brain’s capacity to process and adaptively store information received during these experiences. This is often referred to as “going off-line.” It’s kind of like short-circuiting.

When we encounter extreme stress, the emotional and physical reactions we experience during the event keep the brain from identifying useful information about the situation; there is no resolve. What happens instead is that the event and its information is maladaptively stored. This means that the event and its components are stored in the brain and body as it happened. Everything you saw, heard, felt (physically and emotionally), tasted, smelled, thought remain in their original, unprocessed form.

You do your best to move through it, but whenever any of these senses are triggered, your emotional disturbance level sky-rockets and you have a reaction. Many times, multiple unprocessed events are linked to one another in such a way that if one is triggered, all are triggered. These events, while often linked to one another, are stored in isolation so that they are not linked to anything adaptive.

No amount of time will help them to integrate. It’s as though these events are frozen in time. An event could have happened 40 years ago, but when triggered it’s as though it is still happening or just happened.

Our personalities, coping skills, perspectives, and beliefs about ourselves and others can develop through the lens of these unprocessed events and impact our emotional and physical capabilities.

Research shows that it’s not just clearly identifiable traumatic events that are responsible for this outcome, but any event or pattern that our brain experienced as overwhelming.

It could be the way someone spoke to you as a child, your interpretation of someone’s behavior you witnessed at three years old or making a mistake during an academic oral exam in second grade. We don’t always know how our brains will store an event.

The good news is that we’re not stuck here. There are therapeutic tools that can help us to free ourselves from the suffering of an unconscious cycle or unprocessed event. One of the most efficacious and reliable tools is EMDR (Eye Movement Desensitization and Reprocessing) Therapy. This therapy helps us to safely contact the disturbing event or maladaptive cycle and process it, giving us a new understanding of the situation so that we can use its information intelligently.

If you would like to know more about EMDR Therapy, please call or email me. I would love to talk with you more about this process and see if it’s right for you. If you’re not quite ready to reach out yet, that’s ok, too. You can find more information on EMDR Therapy here and here.

 

Love and Be Loved,
Natalie

How to Get What You Want in a Disagreement

How to Get What You Want in a Disagreement

At some point, most of us have a hard time letting someone have their feelings. When someone is mad at us or sad about something we’ve done or said, we feel uncomfortable. We get defensive (“That’s not what I meant!”), aggressive (“Ugh, you always do this! Whatever. You don’t need to get upset about it.”), or we try to clean it up by backtracking.

 

When we react to the I-don’t-like-the-way-I-feel-when-you-feel-the-way-you-feel feeling, it usually doesn’t help the situation, right? The other person experiences our efforts as invalidating and self-serving (and they’re right). Everyone gets more upset, and we cause more hurt.

 

So, what can we do? Instead of trying to control how someone feels, instead of trying to control the way they interpret our actions and words, we can show respect and dignity to the other person and their experience while taking care of our feelings about their feelings.

 

This requires:

 

  • Curiosity about the other person’s experience
  • Presence, both with ourselves and with the other
  • Self-compassion for our own experience

 

When we’re employing curiosity, it’s important that the curiosity be as genuine as possible (or at least the wish for it). We’re not looking for ways in which we think they misunderstood us or for an in somewhere. We want to understand their experience. We want to know what they heard and saw and felt.

 

Engaging our presence will help us keep our reactivity to a minimum and provide a solid foundation for the conversation. It’s a great way to soothe ourselves in a moment of upset and show up emotionally and cognitively for the other person (and for any difficult situation).

 

Using self-compassion is helpful for something like this because it helps stabilize us and our need to make sure we’re ok with the other person. It gives us what we are looking for, the knowledge that we are ok, right from the source- ourselves. Often, the reason why we go on the defensive/offensive or try to convince the other person out of their feelings is that we need validation that we’re ok. But when we try to feel ok using those tactics we invalidate the other person. Then, there are two people who feel invalidated and are putting their needs on each other.

 

Managing conflict isn’t easy, and relational discord feels bad. Often, we are challenged by our need to be right and our need to maintain peace in the relationship. Sometimes we’re right. Sometimes we’re wrong. Ultimately, what matters is our ability to validate our own experience and our desire to see and hear the other person. Because many of our experiences will not be shared, it is important for us to be able to validate ourselves and respect other people’s perspectives.

 

The more curious we are about others’ experiences, the more likely it is that we will come to an understanding. If I’m busy trying to talk someone out of their anger, I probably won’t hear their need to feel respected. I probably won’t hear that they experienced me as belittling, that they felt insignificant and small. Chances are, we’ll keep rolling around in the same cycle because we’ll both keep triggering each other and waiting for the other to back down.

 

We will not always do this. I don’t always do this. There are plenty of times when I find myself acting defensively because I don’t like the way I feel when someone else feels the way they feel. But it’s less often. The more I practice taking care of myself and giving someone space for their own experience, the more I feel like it’s my natural primary response.

 

If you’d like to know more about managing conflict, please email or call me.

 

Love and Be Loved,
Natalie

7 Checkpoints for Your Anger

7 Checkpoints for Your Anger

Humans are wired for anger. It’s an important part of our evolution. Anger tells us when something needs our attention, when we have an unmet need, or when something is missing. The problem with anger is in our mismanagement of it. And it can be incredibly destructive.

 

The best way to curb the destruction caused by anger and to use it more intelligently is to understand the feeling, to be curious about it. The more we understand our triggers and patterns, the more present we can be with our anger.

 

Start by identifying what activates it. Get a pen and paper and answer these questions.

 

What triggers your anger? (Here are some common ones)

-yelling

-loud sounds

-having to wait (for someone, for something to happen)

-receiving critical feedback or being corrected

-deceit

-when someone talks over or interrupts you

-being/feeling avoided

-being/feeling smothered

-being in conflict with someone

-rudeness

-inconsiderate actions/remarks

 

Then, start thinking about your pattern of anger. Once your wire is tripped, how do you react?

 

What’s your typical expression of anger?

-lashing out directly at someone, yelling, attacking

-passive aggression, withholding affection/love, trying to control someone using emotional manipulation/guilting, off-handed comments, gossip, isolating

-blame, resentment

-avoidance, defensiveness, stonewalling

-punishing, intimidating, judgment, criticizing, contempt, threatening, using ultimatums

-revenge

-throwing things, breaking things

-physical violence

-broken promises

 

What’s it like for you when you engage any of these strategies? Does it get the job done/ get your needs met? At what cost? Do you like yourself when you use these strategies?  

 

What unmet need underlies your anger-trigger?

Here are some common needs that when unmet, cause us to feel anger:

-Feeling disrespected/ need to feel respected

-Feeling invalidated/ need to feel validated

-Feeling scared or unsafe/ need to feel safe

-Feeling abandoned (physically or emotionally)/ need to feel continuity of relationship or proximity

-Feeling or being out of control/ need to feel in control

-Feeling worthless/ need to feel worthy

-Feeling unlovable/ need to feel lovable

-Feeling inadequate/ need to feel adequate or good enough

-Feeling mistrusted/ need to feel trusted

-Feeling wronged/ need to be treated justly

 

When we stay caught in anger, we behave regrettably. We have no idea what our unmet need is. And we don’t even care; all we know is that something has pissed us off and whoever or whatever it is needs to pay. We can go so far off the rails that we forget we love the person with whom we’re angry. When we don’t know how our anger works and it just happens to us, we can’t catch it, pause, and redirect ourselves. Left uninvestigated, anger can kill or deeply wound any relationship.

 

It’s not easy to respond wisely to our anger. I know that. We run on the fumes of righteous indignation. We feel powerful when we yell or stonewall or manipulate or judge. We’re right, and they’re wrong. If the person really loved us, they wouldn’t do this. Given a choice between fully experiencing our vulnerability or a quick jolt of power, most of us would choose the quick jolt. But learning how to take care of ourselves, translate our anger, and address unmet needs is a much more satisfying, viable, and supportive power. This gives us the opportunity to connect on a deeper level and know true intimacy.

 

“When the gentleness between you hardens
And you fall out of your belonging with each other,
May the depths you have reached hold you still.
When no true word can be said, or heard,
And you mirror each other in the script of hurt,
When even the silence has become raw and torn,
May you hear again an echo of your first music.
When the weave of affection starts to unravel
And anger begins to sear the ground between you,
Before this weather of grief invites
The black seed of bitterness to find root,
May your souls come to kiss.
Now is the time for one of you to be gracious,
To allow a kindness beyond thought and hurt,
Reach out with sure hands
To take the chalice of your love,
And carry it carefully through this echoless waste
Until this winter pilgrimage leads you
Towards the gateway to spring.”
-John O’Donohue

 

Love and Be Loved,
Natalie

The Benefits of Changing the Way You Communicate

The Benefits of Changing the Way You Communicate

I’m a huge fan of the TV show, The Office. There’s an episode during which boss, Michael Scott, says something to his employees about wanting to make an announcement. He starts talking and an employee, Oscar Nunez, says, “These aren’t announcements…” Michael says, “Yes, they are; you just don’t care about the information.” And we do this kind of thing all the time with each other.

 

Productive communication is just as much about the way we hear something as it is about the way we say something. I see a lot of couples who try therapy specifically because they want to address the way they communicate with one another. This usually doesn’t mean what they think it means.

 

There are a million ways we send each other messages- by doing something (or not doing something), the way we ask, when we ask, arguing, avoiding arguments, passive-aggressively, literally a million (or more) ways.

 

Most of us think that when our partners accept an idea, think we’re right, or validate our self-concept we’re experiencing “good communication.” If we disagree, argue, or are invalidating of each other’s self-concept we believe we’re experiencing “bad communication.”

 

A breakdown or disturbance in our communication can happen when we don’t like the messages we’re receiving. We stop talking or argue in circles. Sometimes we acquiesce to one another’s demands or plans. We’re still communicating, but it’s become unproductive because we don’t like the information; the messages don’t make us feel good. We try various efforts to get the other person to understand what we are saying. We think, “Well if they really understood what I am saying, they wouldn’t react this way.” Sometimes that’s true. Sometimes, though, we just disagree with each other or can’t manage our emotions around conflict, and no amount of rephrasing will change that.

 

What do we do when someone knows exactly what we want, they just don’t want to (or can’t) give it to us? What if one person wants a lot of deep, personal conversation and the other person doesn’t? Or what if what one person thinks is a lot of conversation, the other person thinks of as minimal? Going from here, it wouldn’t be that hard for one partner to feel like the other is emotionally withholding nor for the other partner to feel constantly under attack.

 

Our need for a reflected sense of self is often the culprit. Don’t get me wrong, in the moment it feels great to have someone validate us, our ideas, experiences, and feelings. But we can’t plateau here. The drive for other-validated communication can end up being a relationship killer.

 

Here is an example of other-driven need for validation:

“I want to tell you about myself, and then I want you to understand, validate, and accept me. I’ll tell you about myself and then, to make it equal and to make me feel safe, you have to tell me about yourself regardless of your desire to share. Whatever I disclose, you must make me feel that you are trustworthy and you must disclose something that’s just as revealing, if not more.  This is how we will deepen our intimacy and develop trust.” This is most common. In a dynamic like this, the person who requires less intimacy is the one in control.

 

Here is an example of self-driven validation:

“I want you to know me, to see me, to hear me. I believe that in order for you to really love me, you first have to know me. I know that I am taking a risk by sharing this with you, but it’s a risk I’m willing to take because 1) I want to see the real me and 2) I know that I am capable of taking care of myself in the face of rejection. My sense of safety in this relationship is not dependent on your validation of me.  You don’t have to disclose something to me just because I have disclosed something to you. I acknowledge and accept that we are separate, different people.” This is a lot less common. In this dynamic, control isn’t relevant. It’s about the intimacy and security made possible by self-support.

 

The road from other-validation to self-validation is not short, and it’s not at all easy. Most of us grew up in families where other-validation is the ideal. It’s also pervasive in our greater culture. Self-validated intimacy takes acceptance, self-confrontation, practice, and commitment. We have to be willing to know and accept ourselves first. We have to have a willingness to be curious about ourselves and to face things we don’t like.

 

So what are the benefits of shifting from the aim to be validated by others and the aim to validate ourselves?

 

  • Vulnerability doesn’t have to be a four-letter word anymore.
  • We stop being dependent on an other to make us feel loved and important.
  • We learn that we can disagree without turning it into a knock-down-drag-out fight.
  • We stop taking disagreements personally.
  • We trust ourselves.
  • We break free from feeling controlled by someone else.
  • We stop having the kind of conflict that ruins our whole day or week.
  • We get to know the other for who they are, not for the role we need them to play.

 

 

Changing communication patterns isn’t always about empathy, active listening, acceptance, and reciprocity. Those are great skills to have, but they won’t necessarily bring your relationship back from the brink. If you can bring yourself back from the brink, your relationship has a better chance.

 

“Communication is no assurance of intimacy if you can’t stand the message.”
-David Schnarch, Ph.D.

 

Love and Be Loved,
Natalie

6 Steps to Trusting Yourself

6 Steps to Trusting Yourself

“The suffering itself is not so bad; it’s the resentment against suffering that is the real pain.”
-Allen Ginsberg

 

When I first started my own work with mindfulness and radical acceptance, I found myself saying, “I’ll accept this feeling/ this symptom so that I don’t have to have it anymore.” That’s… not really acceptance but it was the best I could do at the time. Since working with clients around mindfulness and radical acceptance, I have heard this sentiment hundreds of times. It’s hard to get behind the idea that accepting our pain or feelings or aversive experiences has therapeutic value, that it could ever help us to make positive changes. Acceptance and Commitment Therapy is driven by just this, accepting the hard-to-accept.

 

Acceptance and Commitment Therapy was created by Steven Hayes in the early 1980s and tested by Robert Zettle in the mid-1980s. It is a form of Cognitive Behavioral Therapy (CBT) and is based on Skinner’s Radical Behaviorism. Acceptance and Commitment Therapy’s (ACT) main objective is to help participants turn toward their feelings and symptoms instead of resisting them. The protocol helps participants learn how not to overreact nor underreact nor altogether avoid the associations with these feelings and symptoms. With ACT, we learn to accept ourselves and the experience we are having in the present moment so that we can commit to a behavior aligned with our values.

 

ACT succinctly describes the change in psychological flexibility in this way:

 

We go from F.E.A.R.

 

F- fusion with our thoughts

E- evaluation of our experience

A- avoidance of our experience

R- reason-giving for our behavior

 

To A.C.T.

 

A-accept our reactions and be present

C- choose a valued direction

T- take action

 

In the book, Acceptance and Commitment Therapy: The Process and Practice of Mindful Change by Hayes, Strosahi, and Wilson, we’re given the six core principles to help us develop psychological flexibility:

  1. Cognitive de-fusion: Learning methods to reduce the tendency to reifythoughts, images, emotions, and memories.
  2. Acceptance: Allowing thoughts to come and go without struggling with them.
  3. Contact with the present moment: Awareness of the here and now, experienced with openness, interest, and receptiveness.
  4. Observing the self: Accessing a transcendent sense of self, a continuity of consciousness which is unchanging.
  5. Values: Discovering what is most important to oneself.
  6. Committed action: Setting goals according to values and carrying them out responsibly.

 

ACT emphasizes mindfulness because presence of mind/contact with the present is the only way to change behavior. Now is the only time that we can truly choose a behavior. We habituate to looking at the world in a certain way which makes us miss important external and internal cues to help us determine what is happening in the present moment by thinking about the past or the future. Awareness of the present moment helps us to differentiate between what we are afraid is happening and what is actually happening. It helps us to describe what is happening and then make choices in response. Jon Kabat-Zinn describes mindfulness as “paying attention in a particular way, on purpose, in the present moment, and nonjudgmentally.”

 

The “acceptance” part of ACT is problematic for some. “So then, if I’m supposed to accept my feelings and my experience, does that mean I’m supposed to accept abuse and maltreatment?” The answer to that will always be no. When we accept our feelings and experience, it means we accept the information that we are receiving and can make choices based on that information. It means that we accept that this is how it is right, not that this is how it should continue to be.

 

When we practice acceptance of what’s happening we can mindfully make choices that are in alignment with our values. I like to use this phrasing in my own life and when working with clients: “I’m going to keep choosing the same behavior of ______ because I care about______.” Or “I’m going to change my behavior to ______ because I care about ________.” So, someone might say “I am going to keep choosing the same behavior of confronting people when they treat me with disrespect because I care about my feelings and how I’m treated.” Or “I’m going to change my behavior to respectfully disengaging from an argument when it no longer feels productive because I care about my feelings and this relationship and I know that continuing in unproductive conversation usually leads to hurt feelings and resentment.”

 

Sometimes the choice is hard to make. For instance, “I choose to go to bed earlier so that I can wake up feeling more refreshed” is a great behavior goal. But what if it means sacrificing quality time spent with loved ones? This is where present moment focus and acceptance of your experience comes in handy. You might prefer to spend the time with your loved ones and wake up feeling a little more sluggish.

 

I know it’s hard to identify choices so let’s do it together. If you want to talk more about Acceptance and Commitment Therapy, changing behaviors, or anything else, please call or email me.

 

Love and Be Loved,
Natalie

Can My Relationship Be Saved?

Can My Relationship Be Saved?

Most of us want security in our relationships. We’re wired to be social so, when we feel like our social standing is threatened or that our intimate connections are unreliable, our brains process it as actual danger, and we freak out.

Some of us crave security and validation of our places and safety in our relationships but can’t seem to find partners with whom we get that. We tend to find and are attracted to people who provide us with incredible highs (and incredible lows), drama and a push-pull style of interacting. When we’re in relationships with partners who help us to feel more secure and receive validation of being loved, respected and cared for, we often feel bored. We mistake the tension-relief cycle and the excitement of the highs and lows for love. This type of behavior is common in those of us who have an anxious attachment style. We think we want security (and we do but getting it also stresses us out) and then when we get it we’re not interested.

 

Look at this scenario. Let’s say you are in the middle of a pretty unstable intimate relationship with a partner. To friends and family, the relationship is fraught with various dramas and issues; everyone thinks it’s run its course and just needs to end. You acknowledge that there are problems, but think you can work through them. You might even believe that you can’t live without your partner or that there is no one you could ever love as much. Your partner is ambivalent about your future as a couple which is weird because when you first started dating, they came on strong and made you feel like you were the only person in the world. Now, you’re lucky if you get a text back. Much of the relationship consists of a good couple of months and then a breakup or the threat of a breakup. Even when things are good, there is a lot of discord because you don’t feel prioritized by your partner and they experience you as suffocating. When it’s good, it’s really good, but when it’s bad, you feel like you might lose your mind. When you’re at work or out with friends, you are often distracted and thinking of your partner, waiting for their text or call. If they do contact you, all of your attention is fixed on them. You often threaten to end the relationship, but when an actual breakup happens, it’s either initiated by your partner or because they are the one who follows through on your threat. You think the relationship would be perfect if you partner would make only a few changes to your dynamic. After all, you’ve sacrificed a lot of your expectations and some of your values in a desperate effort to make this relationship work. You often say you’ve never loved anyone so much until now. This is also one of the most unstable relationships you’ve ever had.

 

In this example, you are exhibiting anxious attachment behavior. It doesn’t necessarily mean that you have an anxious attachment style. During the course of our lives, we are in relationships with people who might connect us to various styles of attachment. If this relationship is representative of most of your intimate relationships, then it might be more likely that you have an anxious attachment style.

 

People with an anxious attachment style (or who have enough of a propensity for it) feel themselves pulled to people who have an avoidant attachment style. The partner above is a pretty good example of someone who might have an avoidant style of attachment or at the very least displays some features. This is usually pretty rough going because while one partner craves validation and is insecure about space in the relationship, the other partner is looking for more space and is insecure about giving validation.

 

This is a pretty crazy-making, taxing cycle. To add insult to injury, the more we engage in this cycle, the more insecure we become. I know it probably feels like there’s no winning here, that you can either be with someone you love but who can’t give you the security you need or be with someone who can give you that security but not a satisfying connection. I would love to talk with you more about this. Please contact me if you would like support.

 

I recommend reading the book Attached., by Amir Levine and Rachel Heller. It’s a great resource for people struggling through these and similar patterns.

 

Love and Be Loved,
Natalie

How Do I Know If I Need Therapy?

How Do I Know If I Need Therapy?

“So about how long should it take until I feel better?” “How long do you think I’ll need therapy?” “How many sessions should I expect to attend before my problem is solved?” I have asked all of these questions during time spent on the other side of the couch. I know what it’s like to want concrete answers and expectations met. Everyone wants a sure thing in the face of so much uncertainty.

Therapy is not exactly a sure thing. Surely, it can and does help, but it’s not as simple as basic input of time and results yielded. Results depend on client honesty (with themselves and the therapist), right fit with a therapist, client’s commitment to the work both in and out of the therapy office, and right fit with whatever therapeutic modality is used.

Therapy is almost never a quick fix, but there are quicker-fix type/brief therapeutic modalities available. Whether or not these protocols are right for someone depends on a lot- personality, history, diagnosis, whether or not a person has experienced complex trauma. Even in the best of scenarios, it still requires the practice of skills through time to maintain results.

Under the psychotherapy umbrella, there are five really (really) broad categories we use to organize treatment strategies:

Psychoanalysis and Psychodynamic Therapy:

Makes the unconscious conscious, insight oriented. Emphasis on client-therapist relationship. Brief therapy model (20 session maximum) is not the rule, but is available for single-incident trauma like an attack, rape, catastrophic event, targeting a single life shift.

Examples of Psychodynamic Therapy: Jungian, Dream Work, Attachment-based

Often used for: Increasing self-compassion, improving self-concept, self-actualization, mood disorders, relational problems, trauma, developing insight to identify and manage internal conflict, shifting external locus of control to internal locus of control, couples, families,

*Psychoanalysis: Multiple times per week. The therapist is a blank slate onto which client projects their beliefs and experiences. Relies heavily on free association.

 

Behavior Therapy:

Focuses on conditioning new behavior. Uses brief therapy model.

Examples: Applied Behavioral Analysis, Aversion Therapy, System Desensitization

Often used for: Phobias, Addiction, Anger issues, Impulse control problems, self-injury

 

Cognitive Therapy:

Focuses on changing thought pattern. Uses brief therapy model.

Examples: Rational Emotive Behavioral Therapy, Cognitive Behavioral Therapy

Often used for: Phobias, Addiction, Schizophrenia, Bipolar Disorder, Suicidal ideation, Anxiety disorders

 

Humanistic Therapy:

Focuses on cultivating personal accountability and reaching highest potential. Emphasis on free will. Uses both brief and long-term therapy models.  

Examples: Gestalt, Client-Centered, Transpersonal, Solution-Focused, Adlerian  

Often used for: Improving self-concept, self-actualization, improving communication with others, cultivating self-awareness, shifting external locus of control to internal locus of control, couples, families, existential crises  

 

Integrative or Holistic Therapy:

Often referred to as “Eclectic Therapy.” (Some practitioners will basically fight to the death in disagreement over whether or not Integrative is also Eclectic.) Uses various modalities depending on what is indicated for each client. One therapeutic modality combines various features of the previous four categories. Uses both brief and long-term therapy models.  

Examples: EMDR, Narrative, Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, Gottman Method, Transactional Analysis

Often used for: All of the above

 

Some people prefer to see the same therapist for various issues they’d like to target while others seek out a different specialist to treat each issue. There’s no right way to do this, just whatever feels like it’s working for the client. Some clients come with an agenda and leave when their goals have been reached. Some stay for a while after because they like having a professional to talk to who’s all about them. Plenty of people try therapy and find it difficult to give themselves over to the process, take a more passive route to treatment, get frustrated and give up. Sometimes this is because traditional psychotherapy is not a good fit for them right now, maybe ever. There are so many other great therapeutic options. Traditional psychotherapy is not the only way to heal or feel better.

 

I know it’s overwhelming to look for a therapist and decide which kind of therapy would be best for you, especially when you’ve been dealing with a problem for years, and you’ve finally decided to take the plunge and ask for help.

 

If you describe the issue and a little bit about yourself, many of us will be able to direct you in the right direction. There are plenty of therapists who won’t do this because they are sure that they can handle it regardless of their training and orientation. While I would like to believe that this is mostly the exception rather than the rule, it happens. If you feel too overwhelmed or busy or exhausted to educate yourself on various therapeutic tools and modalities, remember that you can interview multiple therapists at a time to see who feels like the best fit for you. (You can also do this regardless of your stamina to self-educate.) Once you start seeing a therapist, you can audition us. If you’re not feelin’ it for some reason, you can switch. It’s ok not to like your therapist or to like them, but feel like they’re not actually helping you. Therapy is an investment, and you have the right to switch providers at any time for any reason. If you’re feeling like you need to discontinue treatment, I usually recommend addressing this with the therapist; sometimes it just takes a little direct communication to shift things. Even if you don’t plan on continuing your work with the therapist, honest feedback is good for both sides.

 

If you’d like to talk more about this, please email me or call and I would be happy to answer any questions. This is one of my favorite subjects!

 

Love and Be Loved,
Natalie

Know Your Demons

Know Your Demons

Have you ever watched a thriller about demon possession? Kind of off my usual beaten path, I know, but you’ll see where I’m going with this. I promise. Anyway, I like them sometimes. Every so often, I’ll check around for a good one to watch and see what piques my interest. I’ve found that sometimes I’m drawn to thrillers that make demonic possession of someone their central plot. (Which is surprising to me because I’m not usually interested in seeking out super dark stories about evil, especially when there’s more than enough of it to be found in the news). About once every three or four years, one of these dark plotlines pulls me in and I find myself watching an unsuspecting upstander begin the struggle of (and for) their life.

 

When I find a good possession thriller, I like almost everything about it. I like the journey the character takes from being ok (or pretty ok) to decompensating to being pretty possessed most of the time to being fully possessed all the time to finding progressive healing to being stronger and more conscious than when their story started. I like the tension over “will this character we’ve all come to love make it through this?” I like the research and deep inquiry that the other characters employ in an effort to find out more about the demon that is in possession of the victim.

 

What I am particularly drawn to, what I appreciate most is that there’s always ample time given to the journey taken by the characters in finding out the particular nature of the demon and its name. When the demon is called by name, its possession breaks. The demon always gives clues as to who they are, but they’re usually abstract and steeped in about a million layers of epic composition of poetry and require a doctorate in theology. At some point, to the rest of us, it pretty much seems like a lost cause. Just in the nick of time, someone puts all of the pieces together and discovers the name of the demon. Then we feel that surge of renewed hope.

 

What I’ve noticed is that, in all of the stories that I find most gripping, there are at least five commonalities:

 

  • There is a specific name of the demon, which when finally discovered and uttered face-to-face to the demon is the only defense against it.

 

  • The possessed or loved ones of the possessed enlist help.

 

  • The demon seems to have limitless ways of manifesting itself.

 

  • Someone, whether the possessed or loved ones of the possessed, experiences self-doubt, retreats, somehow finds the motivation to throw themselves into the metaphorical fire of terror and uncertainty, and contacts the demon for a head-on battle.

 

  • The demon never really goes away. It’s still there lurking around, but now the characters have more strength, courage, willingness, and awareness to deal with it.

 

I appreciate the symbolism because darned if that just isn’t that just how life is.

 

Whether it’s depression or anxiety or addiction or a particular pattern of behavior or thought pattern or chronic pain or the fear of fear or general dispiritedness, we all go through periods of life when we feel utterly possessed by pain and completely out of control. And many of us have found release through inquiry about the name of our experience or feeling and asking for help from loved ones, peer groups, and professionals.

 

Many of us have realized that our demons never completely go away, but that our relationship with them changes, and that with each bout with and experience of those demons, we learn to sit with whatever they bring. Through this long, uncomfortable process, we’re learning that our demons have many, many ways of manifesting themselves in our lives. We’re learning to coexist in a world where demons can’t be extinguished but instead faced with self-compassion, willingness, and courage. We’re learning to stop believing the bullshit they spew in an attempt to maintain their control over us. We’re becoming more connected with ourselves and with others, with life.

 

Keep on keepin’ on.

 

Love and Be Loved,

Natalie

Learning to Stay

Learning to Stay

As a species, we’re in for some challenges. Humans have both nervous systems and self-awareness, the awareness of change, loss, and of death. We are aware that situations change and it motivates us to hold onto the situations we like and try to force a shift in situations we don’t like. We’re aware of loss so; we go to great lengths in trying to avoid it. We’re aware of death and generally fear it so, we engage in all sorts of behaviors and thinking in an attempt to gain control over it. Since everything is temporary, all of our grasping and holding and forcing and avoiding is useless. There is no lasting way for us to ever really hold onto something or someone, force a shift, or avoid change, loss, or death. And this creates a pretty uneasy sense of being.

 

Look at some of your own fear-based beliefs for a second. What makes you nervous? What are you believing when you notice the nervousness? What do you dread? What are you believing when you notice the dread?

 

We have an extensive list of strategies that we employ to avoid feeling the discomfort of these beliefs, to avoid feeling our fear of life’s fluidity. We numb. We fight ourselves or others. We seek comfort in addiction.

 

Underneath all of this struggle is the fear that we are not ok.

 

In the mythology of the Buddha, Siddhartha Gautama’s final challenge before he reached enlightenment was doubt. Mara, the dark deity symbol of humanity’s shadow side, our challenging emotions, appeared to Siddhartha in the form many distractions some of which were fear, pain, and lust. Finally, Mara appeared to him as doubt. Siddhartha experienced the most difficulty and discomfort with this last challenge. Siddhartha put his hand to the ground and felt the earth, calling upon it to ground him and give him strength. He looked up at Mara and said, “I see you, Mara. Come, let’s have tea.”

 

I’m always struck by this story. I find it comforting that Siddhartha, someone who had practiced for years, received years of mentoring and training and support, someone who was so well-resourced still felt the challenge of Mara, of the hard-to-feel, painful human emotions. I also appreciate that working through his last challenge involved asking for help, that he didn’t try to do it alone. And to boot, he invited the damn thing to tea!!

 

Siddhartha didn’t gain freedom from Mara all at once. It took years of practice and training. Gradually, after reaching out for help and engaging his own presence, he extricated himself. He was free.

 

On this quest for our own freedom, we learn of at least two important resources available to us as suggested by the Buddha mythology: 1) to ask for help when dealing with a challenge and 2) to be present with our experience of our process.

 

It’s so hard to keep ourselves from being swept away by the runaway train of our limiting beliefs, beliefs about ourselves and others, about the nature of the world; our fears of unworthiness; our doubt of our own lovability. Sometimes we can see this train coming for us and we freeze, unable to fight it. Sometimes we don’t see it coming; we realize we’re on it and don’t know how it happened. Sometimes we try to outrun it or fight it. One way or another, it picks us up anyway. Most of us are familiar with this cycle. Most of us know exactly what it’s like to be caught in Mara’s grip and to feel utterly helpless.

 

Asking for help is hard enough. Sitting with the discomfort, bringing presence to it is even more challenging. It requires a willing attentiveness, a moment of pause, and gentle inquiry. The sheer thought of asking ourselves gentle, inquiring questions when we’re in the middle of some kind of freak out brings with it its own uncomfortable trials.

 

Something I’ve found helpful both personally and professionally is Byron Katie’s work. It is aptly named “The Work.” She gives us four questions to pose to ourselves when we are facing the underlying doubt of our ok-ness. In those moments, Katie recommends that we ask ourselves:

 

  1. Is it true? We know that the experience of the belief feels real, but is the belief true?
  2. Can you absolutely know that it’s true? What is the indisputable evidence?
  3. How do you react, what happens, when you believe that thought? What happens for you? What is it like for you? What is the impact of this thought or belief on you? On others?
  4. Who would you be without the thought? Can you sense what life would be like, what you would be like if you no longer lived your life by this thought or belief?

 

These four questions get us off to a good start in dismantling maladaptive or limiting thoughts and beliefs, thoughts and beliefs that served us at one time in our lives, but that are now crippling us. If you find it difficult to ask yourself these questions, start with this one: Am I willing to pay attention to what this experience is like for me? We can’t always jump right in so, simply bringing the intention of presence if often a good place to start.

 

I recommend first trying these investigative questions with a shallow or midlevel fear-based belief. Since we are often floating around in the experience of these thoughts and beliefs, identified with them, bringing attention and presence can be really intense. Start slow. If you’d like to apply this approach to deeper fears and beliefs including trauma, I recommend doing so with the help and support of a therapist or healer.

 

Love and Be Loved,
Natalie