There are three primary things that people want from therapy. These items are based on a recent valid survey of over 15oo responses as reported by researcher Linda Michaels, PsyD, MBA. She is a clinical psychologist in private practice in Chicago. She is also the chair and co-founder of the Psychotherapy Action Network (PsiAN), a non-profit that advocates for quality therapy. Her group took on an extensive research project leveraging data and techniques widely used in the corporate world in 2024, focused on listening to the public and understanding what people want from therapy. This is the result of that endeavor.
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I was parked on the street in front of a cute little bungalow about to meet my real estate agent one fine summer afternoon. We were scouting out homes for a pending move my husband and I had decided to make in an effort to downsize. I was just swinging open the driver’s side car door when I saw a blue blur of a car race past me, ripping it right off the hinges as it went. Had I been swinging my legs to get out, they would have been gone too, along with the car door. Fortunately, that did not happen.
Ahhhh. We do love a quiz that promises to reveal ourselves to our, well, ourselves. And big business loves to to see how well you might fit into their organizational team. That we love personality tests is the why that drives their proliferation. But I wonder if you might like to understand why many of them are junk, clickbait, and rather useless. And how to pick one that gives useful information about your personality. I am going to help you do that!
The worry box technique is a simple skill used to help you manage when and how you worry. This sounds simplistic, and on its face it is. However, the results can truly help you place and pace worry better than simply allowing the random worries to crawl around in your head in the unending, unresolved circular pattern they tend to create.
Why Bother Using Coping Skills?
If you aren’t practicing coping skills you learn in therapy regularly while calm, there’s a good chance a skill such as deep belly breathing won’t be as effective as you’d like. When the nervous system dysregulates quickly to fight or flight, instantly really, that lets me know you may need to work on stretching the threshold for your fight or flight response, which requires practicing coping skills when calm.
Your OCD thoughts (Obsessive Compulsive Disorder) are false alarms, and you have to treat them as such. What research from Dr. Jeffrey M. Schwartz, UCLA School of Medicine shows: Bio-behavioral treatment works for retraining the brain that is stuck in OCD thought patterns. It’s not easy, but it is longer lasting and more permanently effective than relying on what he calls the “water wings” approach to treatment—that is meds only. There is no medication on the planet that will retrain your brain. Schwartz describes doing this training in the four steps below.
There is no medication on the planet that will retrain your brain.
How often do you dump your spam? If I asked you how often you get spam, I bet there would be a different answer. I could go to my spam folder daily and see dozens of useless offers, from site SEO “experts” to weirdo names like “instrut” or “esiff”, and many foreign language offers to do who knows what. I don’t know, and I don’t care. I never look at the content.
Not looking at the content is a normal behavior for those who receive a lot of spam emails. But what about those of you who receive lots of unwanted spammy thoughts, intrusive thoughts that make you cringe, or ones where you genuinely fear that you might carry out some heinous deed? Frequent, frightening, obsessive, or disturbing thoughts are the hallmark of obsessive compulsive disorder of the thought variety, aka OCD. I’m going to name some frequent fliers that occur for people with OCD, and give examples, because so much shame permeates this disorder. It needs to be said out loud to remove the stigma. You are not alone. Good, kind people have these tormenting thoughts, and I want to help them, possibly you.
I’m sorry. Estrangement is truly heartbreaking. The stories I hear on this topic are always heartbreaking, and include much ongoing, unresolved loss. The stories hold such longing for what could have been rich, healthy, and loving relationships. It happens between siblings, parents and children, and in-laws.
These are always stories about wretched boundaries and differing belief systems, from political parties to substance abuse, and to mental health disorders that disrupt even the possibility of “normal.”
The issues will often be generational as well, passed down in a chain that is among the hardest to break. I often tell clients that the very difficult work they are embarking on is heroic. It requires So. Much. Courage.
I’ll offer some examples of what this can look like.
Sooo many times, we need to complete a task, and the first thought is “I don’t feel like it!” Thinking in opposites is a strategy I want to offer you to challenge this thought. Here’s why.
Why so guilty? Or maybe I should ask ‘Why are you so afraid of being yourself?’