Posted in change, depression, Health and Wellbeing, hopeless, mental health, Needs, Psychotherapy, Self-reflection, Uncategorized

10 Myths About Psychotherapy

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Image from ranchatdovetree.com

 

Hello everyone and Happy Halloweeeeeen!

I have been discussing my own psychotherapy and how it has been helping me for a little while now but I still notice that a lot of people are afraid to try it for themselves. Though therapy might not be for everyone, a lot of the old misconceptions about it still hang about to this day. I feel that some of these ‘myths’ are the reasons some people don’t want to consider psychotherapy as an option for themselves. Today I hope I can help by debunking some of the myths you might have heard about psychotherapy that might be holding you back from giving it a go!

 

1. You’ll be lying on a chair, looking up at the ceiling and talking about your mother.

I think a lot of of people picture this image when they think about therapy. It is what we have seen in old movies and read about in old books but in truth, this is not how therapy works these days. This type of therapy is an old version of what is called ‘psychoanalysis’; a type of therapy made popular by the likes of Sigmund Freud. Though you can still find a lot of psychoanalytical therapists around today, most therapists have moved away from this type of therapy or have at least integrated it with other types. Psychoanalysis is seen as the starting point of modern therapy and a lot of therapists that use this method are very good, but they wont make you lie down on a brown leather couch in a mahogany filled office filled with intimidatingly titled books. Though maternal relationships are often discussed in all types of therapy, it certainly doesn’t have to take center stage. No one will try to tell you that you have an Oedipus complex either, unless of course Freud comes back as a ghost this Halloween….

 

 

 

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Image from redbubble.com

 

2. There is only one type of psychotherapy.

One thing I know I didn’t realise before deciding to study in this area is that there are many different types of psychotherapy. We have already skimmed the first type; Psychoanalysis, but there are two other main divisions of therapy: Humanistic and Cognitive Behavioral Therapy (CBT). Humanistic is the more commonly used type of therapy today and has slowly been replacing psychoanalysis. It is what is called a holistic, client/person-centered approach. It generally consists of building a therapeutic client-therapist relationship and allowing the client to realise their own capabilities and creativity. There are many different sub-types of humanistic psychotherapy such as Gestalt Therapy, which focuses on thoughts and emotions in the here and now, and person-centered which is very much about creating a supportive environment for the client to establish their own identity.

CBT is commonly used today for targeting specific behaviors that a client wants to change. It often consists of written exercises like journaling which helps the client to realise certain triggers and patterns that are causing some of the distress in their lives. It is usually used for short term therapy instead of  long-term.

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Image from cogbtherapy.com

You can also have Art Therapy, Play Therapy, Body Psychotherapy, Jungian Therapy, Existential Therapy and many, MANY, more. Then you have Integrated Psychotherapy which is a method used a lot today in which a therapist may use a variety of different approaches that they feel may help the client depending on the issues they bring to a session. For example, a humanistic psychotherapist may suggest a CBT exercise to a client if they feel that it may be helpful for them to identify certain triggers for panic attacks.

 

At the end of the day it is about what feels right for you, so look up some of the different approaches and see if any jump out at you! Then shop around for a therapist who uses that method and see if it is a good fit. If you are a bit overwhelmed about all the different choices then it might help to consult your doctor to see if they have any recommendations. Make sure the therapist you choose has the appropriate accreditation for your country. For Ireland it is best if they are accredited by the IACP, IAHIP or IAPPC. I will leave links to their sites at the end!

3. Your issues aren’t “serious” or “bad” enough for therapy.

You don’t have to have been abused as a child, witness a death, be a victim of domestic violence or rape or anything else you think you need to be “qualified” to see a therapist. You also don’t have to have been diagnosed with bipolar disorder, clinical depression, psychopathy or any psychological condition to benefit from therapy. If you are feeling sad or down, anxious or scared, but don’t think you have a reason for it, or if you are grieving for something or someone or just struggling with life in general, there is no issue that is “too small” for therapy. If something is affecting you and you can’t seem to get past it psychotherapy may be able to help. I promise you that no good therapist will turn you away for not having a “serious enough issue” or for not being “crazy enough”.

4. You will be asked ‘and how does that make you feel?’ every 5 seconds.

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Image from knowyourmeme.com

Yes, therapy is focused on your thoughts and feelings most of the time, but for the most part the therapist doesn’t talk that much! Roughly 90% of the talking in a therapy session comes from the client. In psychoanalysis the therapist usually doesn’t talk at all! Humanistic types of therapy are where therapists will do a bit more of the talking but even then, it is usually just to make an observation or to ask you what is going on in the moment. CBT therapists often only talk to discuss the things that have come up as a result of one of the exercises you have done the previous week, and to help you to notice patterns from it. Therapy is about you so you are the one who does the talking!

 

5. A therapist will tell you what to do to be happy.

If only it was that simple! Therapists do not have all the answers to our problems. They are there to help us find our own answers because at the end of the day, the only person that can tell you what is best for you is YOU! No-one will ever know you better than yourself, so unless therapists suddenly develop mind-reading powers we have to try and figure it out. They might not be able to give you all the answers but they are there to support you in finding the strength and confidence to make the choices that are best for you.

6. You are paying them huge money to sit in a room and listen to you complain aka to do nothing.

Because of point number 4 this often becomes and issue for people. Therapists don’t give you the golden ticket to life or a book that will tell you how to be happy forever or have a secret potion that will make all your problems go away. So why bother with them? Like I said, therapists are there to support you. Their job is to provide a safe place for you to express what is troubling you in your life and to help you to discover what is holding you back from being happy. They can help you to unlock feelings and thoughts that might be unhealthily buried deep within but are holding you back from having a full life, they can help you to come to terms with a traumatic event or they can just be someone that listens to you when you feel like no-one else will. People go to therapy for many different reasons which is why it is important that you trust the therapeutic process but also speak up if you feel it isn’t helping. Tell your therapist if you feel like it isn’t working, they wont be hurt or insulted. Maybe they need to try a different approach with you or maybe they just aren’t the right fit for you. In that case they will be more than happy to recommend someone else who might be better suited to you.

7. You are just a paycheck to a therapist.

Gregory Reid; prop styling by Renee Flugge

Though therapists obviously need money to pay the bills and fund their own life, don’t think that they see you as a just a quick buck. Most people (remember, they are people too!) who become therapists have done so because they want to help people, or have had to have therapy themselves and want to give back. They have been trained to leave their work in the workplace just like everyone else but trust me, they will think about you and your situation sometimes outside of work. Therapists are human beings and they have been successful in their career because they are good at feeling empathy towards others. They may be holding a straight face in a session but sometimes what you say will really emotionally affect them. It is however, their job to be their for you and not the other way around  so they just wont show how much it affects them in front of you. That is for their own therapist to deal with!

8. They will just try to fill you with drugs.

Psychotherapists are not medically trained so they are not qualified to give you any sort of medication. They can of course recommend discussing the idea of medication with your GP or psychiatrist (if you have one) but they are there to listen, not to dose you up. Medication can be very helpful in some situations and can actually allow you to get the most out of therapy. It might be worth chatting to your GP about it but as for your psychotherapist they won’t be prescribing anything but mindfulness, exercise and self-care!

9. You will feel better straight away.

Unfortunately this is not usually the case. You will have some sessions where you come out feeling amazing but other sessions you will feel worse than when you went in. For those just starting therapy, this is’t very motivating to go back, which is understandable; why pay to go somewhere where you leave crying your eyes out? Therapy can bring out some very deep rooted emotions and issues that you could have been unknowingly carrying around for a long time. Uprooting these emotions can be painful and make you feel worse at the start but by exploring them you can begin to properly heal by accepting these feelings. Therapy is not easy but I advise you to stick with it! If you really feel that you are just getting worse instead of better, discuss this with your therapist and doctor and see if they can help to make the process more easy for you.

10. Therapists have it all figured out.

Though therapists are trained in how to help people cope with all the things life throws at them, that does not mean they are happy, content and fulfilled 100% of the time. It can be hard to practice what you preach so don’t think that your therapist’s life is perfect. They have their own issues too and could also be seeing a therapist! They just generally won’t disclose any personal issues to you because it is seen as bad practice and they are there to support you, not the other way around!

 

I hope this little myth-busting blog has been helpful to calm some people’s fears around the idea of going to s psychotherapist. It can be a scary decision to make but for some it can be completely life changing!

I hope you all have a fun, safe Halloween! Try not to eat too many sweets!

-Vifa

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Posted in depression, hopeless, Psychotherapy, Relationships, Self-reflection

Needs

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Happy Tuesday everyone! The sun has started shining once more and the temperatures are slowly beginning to rise. I am cautiously optimistic that Spring might finally be showing up!

Today I’m going to do a bit of reflection about something I have learned about myself recently. I would be interested in people’s thoughts about it if you would like to share them. So here it goes….

I was at therapy on Thursday and a topic that comes up a lot whether you are studying some form of therapy, or if you are in therapy yourself, is the idea of ‘needs’. When you think of what you need your mind may jump to the things our body needs to live such as food and water, or maybe you will think of things you want such as love or family or even material things like a house and money. Sometimes it is hard to decipher between a need or a want or to realise that what we want can actually be a need.

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I have come learn that I myself don’t like the term ‘need’ when it comes to my own needs. I care a lot about the needs of others and like to give them what they need, but turn that around and I hate the idea of ‘needing’ something from someone else. I don’t like relying on other people because I have it ingrained into my brain that they will just let me down. It is easy to come to this assumption when you have been hurt or disappointed by others in the past, but it dangerous when this assumption becomes fact to your brain. Asking for help, asking for the things that you need from someone else can become terrifying or just something you think is pointless. It can make you isolated and fearful of forming a relationship with others, not wanting them to get close enough to let you down.

Not only do I not like to ‘need’ things from others, but I also often don’t know what my needs are. My therapist often asks me ‘What do you need right now?’. Nine times out of ten I have no idea. My needs don’t enter my head. I could tell you what my brother needs or my mother or my stepdad, or my friends, but I have no idea what I need, because I don’t see my needs as important. You may think that makes me a selfless person which it doesn’t. I have selfish wants all the time, but not needs.

Not acknowledging my needs is a behavior I have picked up over time. I don’t blame anyone else for this behavior but I can see where it started and how  it continued to the point that I no longer see what I need. I need food, water, money to pay rent and bills, basic things to survive, I can acknowledge those things. Anything else like emotional needs are lost to me for now.

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Maslow’s hierarchy of human needs from quora.com

To come to this realisation was quite painful in a way. To acknowledge that I don’t think enough of myself to know what my needs are seems very sad to me. I suppose it gave me a sense of hopelessness. If I do not know what I need to be happy then how can I ever achieve happiness? That is when I found my first and second need. I need to accept I have needs and that they are important. I need to find out what those needs are.

I think it is a good thing to sit down every now and then and ask ourselves what we need. Even if it isn’t obvious straight away, it is a good habit to think about it until we come up with an answer. To fulfill our needs is one of the basic steps we take to achieve happiness, but taking those steps are so important.

I think it will take me a while to dig down into myself and discover what my needs are. I think it will take even longer to accept that I may need other people to help me fulfill some of those needs. For now I am happy that I have taken the first few steps towards figuring it all out.

I guess what I wanted people to take from this week’s blog is that it is ok to need. It is a normal part of life and your needs are just as important as everyone else’s.  It can be hard to see that sometimes but you are much better off acknowledging your needs so you can do something about them, than to hide them away and let them build up. If we are to help the people we care about with their needs then we must make sure we are taking care of ourselves first.

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Image from markmanson.net

I hope my little self-reflection gave you a little something to think about over the next few days.

Enjoy St. Patrick’s Day and take care of yourself!

 

 

-Vifa

 

 

Posted in Psychotherapy

Our Fear of Freedom

“Freedom makes a huge requirement of every human being. With freedom comes responsibility. For the person who is unwilling to grow up, the person who does not want to carry his own weight, this is a frightening prospect.” – Eleanor Roosevelt.

I hope everyone being affected by the cold, snowy weather is keeping safe today. I am lucky to just be getting a few bouts of snow, enough to have that childlike wonder and excitement, but not enough to have the adult fear of the consequences of the weather.

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Image from Joe.ie

I have been getting back into reading recently and found myself finally picking up Irvin D. Yalom’s Love’s Executioner and Other Tales of Psychotherapy. I have been thoroughly enjoying it and have found myself looking into his theories of existential psychotherapy. For those who have no idea what I’m talking about, ‘existential psychotherapy is a philosophical method of therapy that operates on the belief that inner conflict within a person is due to the individual’s confrontation with the “givens” of existence’ (Yalom 1980). According to Yalom, these “givens” are the inevitability of death, freedom and its attendant responsibility, existential isolation and meaninglessness. 

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That might all sound like complete gibberish to anyone who doesn’t have an interest in psychotherapy, but I wanted to talk about one aspect of it that I find particularly interesting. The fear of freedom and responsibility is something I think should be talked about more in society as many don’t realise that it is a fear that we all share. We may think we crave freedom, and on some level we do, but it is also a huge fear in our lives because of the responsibility that comes with it.

Have you ever noticed how often we start a sentence with ‘I have to’? I have to do the dishes, I have to go to work, I have to take the kids to school. These statements often end with ‘I have no choice’, but that is where we are wrong. We always have a choice. Yes, if we want money to pay bills we can go to work and earn money, but we don’t have to. We make that choice to go to work to earn money and pay our bills. We make the choice to find employment, to rent or buy a home, to have electricity and internet, to have children, to get married. These are all choices. Now you may say that you don’t have a choice, that if you don’t work you will become homeless and freeze to death. That is a possibility, but you are choosing the other option, the choice of not being homeless when you have the means to achieve an alternative, is still a choice.

We tell ourselves all the time that we don’t have a choice. ‘Oh I’d love to change jobs but I have to put a roof over my kids head so I can’t, I don’t have a choice’. ‘I want to leave my husband but I have no money so I don’t have a choice, I have to stay with him’. ‘I want to move to America but I can’t leave my parents so I have no other choice but to stay’. We all say that the choice, the freedom to choose is out of our own control but it’s not. We shift this responsibility to someone else, or even to the universe itself, because we are afraid of the responsibility for our own lives, our own choices. We want freedom but we are afraid of it because with freedom comes the realisation that we are responsible for our own lives, no one else. No one is forcing us to make the choices we make but we are too afraid to acknowledge this.

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Image from nationalcarersweek.com

It is a very tough thing to accept, this responsibility for ourselves. We love to blame other people for our circumstances, to shift the responsibility so we feel that it isn’t our fault. You may argue that there are some people who have their choices taken away. You may say for example, what about people who are born into a society that will kill them for being gay? They have no choice but to hide their true selves for fear of their lives. Though that is indeed a cruel and horrible situation, that person still has choices. They can choose to be open about their sexuality and face the consequence, in this case death. They can choose to hide their sexuality and conform to the social norm to avoid death. In many tough and horrendous situations the options are often not good, but they are still options. The choices are still there and the only person who can make that choice for us is us. We fight against this fact of life, against the responsibility for ourselves, to soothe our anxiety over our responsibility for our circumstances.

No one, not even Yalom himself, can truly and fully accept this fact 100% of the time. It is in our nature to deny it, but taking responsibility for the choices we have made and accepting that our circumstances have come from those choices, can be very healing. We all make mistakes, we may think that the choices we have made in the past were not the right ones, but we made them and here we are.

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Image from blog.hefce.ac.uk

Accepting our freedom does not mean judging ourselves or critizising ourselves, it means accepting ourselves and our past choices, the good ones and the bad ones. It means accepting where we are now and trying our best to take responsibility for ourselves going forward. It is a difficult thing to do but I think we would all gain a lot by trying it. The only person that can make me happy is me. The only person that can make you happy is you. There is freedom in that responsibility, we just have to choose to accept it.

I hope that wasn’t too deep and head wrecking for you all! Let me know what you think of this topic, I’d be really interested to hear your thoughts on it!

Enjoy making snowmen and drinking hot chocolate in the snow!

-Vifa