Friends As Therapists Quotes

A friend is more than a therapist or confessor, even though a friend can sometimes heal us and offer us God's forgiveness. A friend is that other person with whom we can share our solitude, our silence, and our prayer. A friend is that other person with whom we can look at a tree and say, "Isn't that beautiful," or sit on the beach and silently watch the sun disappear under the horizon. With a friend we don't have to say or do something special. With a friend we can be still and know that God is there with both of us.

Now here's Amy Pond, standing in the freezing ocean, holding the body of her imaginary friend, and shouting at the sea to make him better. Yeah. If only my therapists could see me now.

Most of us don't need a psychiatric therapist as much as a friend to be silly with.

I love Nick. I love Nick so, so much. But what I’ve realised through all of this is that we need other people too. Siblings. Parents. Friends. More friends. A therapist. Even teachers, sometimes. That doesn’t mean our relationship isn’t strong. If anything… I think we’re stronger now.

Top 10 Deathbed Regrets: 1. I wish I'd had the courage to live a life true to myself, not the life other people expected of me. 2. I wish I took time to be with my children more when they were growing up. 3. I wish I had the courage to express my feelings, without the fear of being rejected or unpopular. 4. I wish I would have stayed in touch with friends and family. 5. I wish I would have forgiven someone when I had the chance. 6. I wish I would have told the people I loved the most how important they are to me. 7. I wish I would have had more confidence and tried more things, instead of being afraid of looking like a fool. 8. I wish I would have done more to make an impact in this world. 9. I wish I would have experienced more, instead of settling for a boring life filled with routine, mediocrity and apathy. 10. I wish I would have pursued my talents and gifts. (contributed by Shannon L. Alder, author and therapist that has 17 years of experience working with hospice patients)

we talk to ourselves more than we’ll talk to any other person over the course of our lives but that our words aren’t always kind or true or helpful—or even respectful. Most of what we say to ourselves we’d never say to people we love or care about, like our friends or children.

Wish for more pain,” a friend’s therapist once told her, “because that’s how you’ll change.” It has to hurt so much that you have to do something differently. The pain forces your hand.

Modern man thinks he loses something—time—when he does not do things quickly; yet he does not know what to do with the time he gains except kill it.” Fromm was right; people didn’t use extra time earned to relax or connect with friends or family. Instead, they tried to cram more in.

ABUSIVE MEN COME in every personality type, arise from good childhoods and bad ones, are macho men or gentle, “liberated” men. No psychological test can distinguish an abusive man from a respectful one. Abusiveness is not a product of a man’s emotional injuries or of deficits in his skills. In reality, abuse springs from a man’s early cultural training, his key male role models, and his peer influences. In other words, abuse is a problem of values, not of psychology. When someone challenges an abuser’s attitudes and beliefs, he tends to reveal the contemptuous and insulting personality that normally stays hidden, reserved for private attacks on his partner. An abuser tries to keep everybody—his partner, his therapist, his friends and relatives—focused on how he feels, so that they won’t focus on how he thinks, perhaps because on some level he is aware that if you grasp the true nature of his problem, you will begin to escape his domination.

With aging comes the potential to accrue many losses: health, family, friends, work, and purpose.

Changes in Relationship with others: It is especially hard to trust other people if you have been repeatedly abused, abandoned or betrayed as a child. Mistrust makes it very difficult to make friends, and to be able to distinguish between good and bad intentions in other people. Some parts do not seem to trust anyone, while other parts may be so vulnerable and needy that they do not pay attention to clues that perhaps a person is not trustworthy. Some parts like to be close to others or feel a desperate need to be close and taken care of, while other parts fear being close or actively dislike people. Some parts are afraid of being in relationships while others are afraid of being rejected or criticized. This naturally sets up major internal as well as relational conflicts.

To make matters worse, everyone she talks to has a different opinion about the nature of his problem and what she should do about it. Her clergyperson may tell her, “Love heals all difficulties. Give him your heart fully, and he will find the spirit of God.” Her therapist speaks a different language, saying, “He triggers strong reactions in you because he reminds you of your father, and you set things off in him because of his relationship with his mother. You each need to work on not pushing each other’s buttons.” A recovering alcoholic friend tells her, “He’s a rage addict. He controls you because he is terrified of his own fears. You need to get him into a twelve-step program.” Her brother may say to her, “He’s a good guy. I know he loses his temper with you sometimes—he does have a short fuse—but you’re no prize yourself with that mouth of yours. You two need to work it out, for the good of the children.” And then, to crown her increasing confusion, she may hear from her mother, or her child’s schoolteacher, or her best friend: “He’s mean and crazy, and he’ll never change. All he wants is to hurt you. Leave him now before he does something even worse.” All of these people are trying to help, and they are all talking about the same abuser. But he looks different from each angle of view.

My therapist says, show people who you really are, and you get the absolute thrill of knowing they love you for you. That’s why the friends I do have aren’t many, but they know and love the real me.

The Psychopath Free Pledge: 1. I will never beg or plead for someone else again. Any man or woman who brings me to that level is not worth my heart. 2. I will never tolerate criticisms about my body, age, weight, job, or any other insecurities I might have. Good partners won't put me down, they'll raise me up. 3. I will take a step back from my relationship once every month to make sure that I am being respected and loved, not flattered and love-bombed. 4. I will always ask myself the question: "Would I ever treat someone else like this?" If the answer is no, then I don't deserve to be treated like that either. 5. I will trust my gut. If I get a bad feeling, I won't try to push it away and make excuses. I will trust myself. 6. I understand that it is better to be single than in a toxic relationship. 7. I will not be spoken to in a condescending or sarcastic way. Loving partners will not patronize me. 8. I will not allow my partner to call me jealous, crazy, or any other form of projection. 9. My relationships will be mutual and equal at all times. Love is not about control and power. 10. If I ever feel unsure about any of these steps, I will seek out help from a friend, support forum, or therapist. I will not act on impulsive decisions.

That's it: watch your moods. Don't let people see you fluctuate. Don't let yourself run your mouth. Never ever cry, even alone, because your cat or your kettle might tell. Always smile, but don't laugh loudly. Mania is an extrovert, but if you need to vent, tell your mattress or maybe your therapist, but put nothing in writing and never tell a friend or coworker how you're really feeling. Downplay any problem or joy. Pay attention to any signs that your life is shitty or excellent, because either is an illusion. Be careful around men, especially ones with big arms or opinions. Stop talking.

Her neighbor’s husband fell in love with a girl who served coffee to him every morning. She was twenty-three and wanted to be a dancer or a poet or a physical therapist. When he left his family, his wife said, “Does it matter to you how foolish you look? That all our friends find you ridiculous?” He stood in the doorway, his coat in his hand. “No,” he said. The wife watched her neighbor get fat over the next year. The Germans have a word for that. Kummerspeck. Literally, grief bacon.

The most mortifying fact of my life is something that happened when I was fourteen and I have never admitted to anyone: not to friends nor therapists; not even in rehab when we were detailing our own personal spirals of shame did I confess. It is this: I am a graduate of the Barbizon School of Modeling.

A friend is by definition an unpaid therapist.

If a child stays quiet in the context of extroverted friends, or even prefers time alone, a parent may worry and even send her to therapy. She might be thrilled— she’ll finally get to talk about the stuff she cares about, and without interruption! But if the therapist concludes that the child has a social phobia, the treatment of choice is to increasingly expose her to the situations she fears. This behavioral treatment is effective for treating phobias — if that is truly the problem. If it’s not the problem, and the child just likes hanging out inside better than chatting, she’ll have a problem soon. Her “illness” now will be an internalized self-reproach: “Why don’t I enjoy this like everyone else?” The otherwise carefree child learns that something is wrong with her. She not only is pulled away from her home, she is supposed to like it. Now she is anxious and unhappy, confirming the suspicion that she has a problem.

She relaxed, fitting perfectly into my body. In the crisp, cold February air, we swayed together, moving to our own personal beat. For one moment, we escaped hell. No teachers, no therapist, no well-meaning friends, no nightmares-just the two of us, dancing.

Another lesson for bookshop owners: "Learn how to listen yet let it pass through you." Thanks to some therapist friends, I have finally acquired that tough skill. But it wasn't part of our anticipated job description.

will protect you from your suffering. You can’t cry it away or eat it away or starve it away or walk it away or punch it away or even therapy it away. It’s just there, and you have to survive it. You have to endure it. You have to live through it and love it and move on and be better for it and run as far as you can in the direction of your best and happiest dreams across the bridge that was built by your own desire to heal. Therapists and friends can help you along the way, but the healing—the genuine healing, the actual real-deal, down-on-your-knees-in-the-mud change—is entirely and absolutely up to you.

It is not okay to ‘live and let live,’ to let ‘bygones be bygones,’ to ‘forgive and forget,’ to let the ‘past be the past’ or any of the other clichés your family and friends will try to persuade you to forget about what happened and to move on. Try not to accept these messages.

Everyone needs a support system, be it family, friends, coworkers, therapists, or religious leaders. We cannot do life alone and expect to keep mentally, emotionally, and spiritually healthy. Everyone needs some sort of support system on which to rely.

Assume that most times when you feel anxious, depressed, or angry you are not only strongly desiring but also commanding that something go well and that you get what you want. Cherchez le should, cherchez le must! Look for your should, look for your must! Don’t give up until you find it. If you have trouble finding it, seek the help of a friend, relative, or REBT therapist who will help you find it. Persist!

This is the most revolutionary thing a woman can do: the next precise thing, one thing at a time, without asking permission or offering explanation. This way of life is thrilling. I understand now that no one else in the world knows what I should do. The experts don’t know, the ministers, the therapists, the magazines, the authors, my parents, my friends, they don’t know. Not even the folks who love me the most. Because no one has ever lived or will ever live this life I am attempting to live, with my gifts and challenges and past and people. Every life is an unprecedented experiment. This life is mine alone. So I have stopped asking people for directions to places they’ve never been. There is no map. We are all pioneers.

I told you, I’m a loyal friend. Kicking therapists, punching sharks, whatever it takes.

She told her therapist it reminded her of coming home the summer after her freshman year at Rutgers, stepping back into the warm bath of family and friends, loving it for a week or two, and then feeling trapped, dying to return to school, missing her roommates and her cute new boyfriend, the classes and the parties and the giggly talks before bed, understanding for the first time that that was her real life now, that this, despite everything she'd ever loved about it, was finished for good.

Relationships in life don’t really end, even if you never see the person again. Every person you’ve been close to lives on somewhere inside you. Your past lovers, your parents, your friends, people both alive and dead (symbolically or literally)—all of them evoke memories, conscious or not. Often they inform how you relate to yourself and others. Sometimes you have conversations with them in your head; sometimes they speak to you in your sleep.

Finally, one just has to shut up, sit down, and write. That is painful. Writing is so simple, basic, and austere. There are no fancy gadgets to make it more attractive. Our monkey minds would much rather discuss our resistances with a friend at a lovely restaurant or go to a therapist to work out our writing blocks. We like to complicate simple tasks. There is a Zen saying: “Talk when you talk, walk when you walk, and die when you die.” Write when you write. Stop battling yourself with guilt, accusations, and strong-arm threats.

Torma means “offering cake.” You offer the torma to your don. You feed the ghost that does you harm, “that which possesses you.” Giving it a little something sweet is a way of saying, Thank you for the pain you caused me, because that pain woke me up. It hurt enough to make me change. “Wish for more pain,” a friend’s therapist once told her, “because that’s how you’ll change.” It has to hurt so much that you have to do something differently. The pain forces your hand.

As a therapist, I have many avenues in which to learn about DID, but I hear exactly the opposite from clients and others who are struggling to understand their own existence. When I talk to them about the need to let supportive people into their lives, I always get a variation of the same answer. "It is not safe. They won't understand." My goal here is to provide a small piece of that gigantic puzzle of understanding. If this book helps someone with DID start a conversation with a supportive friend or family member, understanding will be increased.

In a marriage, words are like rain. And the land of a marriage is filled with dry washes and arroyos that can become raging rivers in almost the wink of an eye. The therapists believe in talk, but most of them are either divorced or queer. It's silence that is a marriage's best friend.

We didn't finish that dance." "Here?" "Why not?" Echo's high heel tapped against the sidewalk, the telltale sign of nerves. I took a deliberate step forward and caught her waist before she coud back away from me. My siren had sung to me for way too long, capturing my heart, tempting me with her body, driving me slowly insane. Now, I expected her to pay up. "Do you hear that?" I aked. Echo raised an eyebrow when she heard nothing but the sound of water trickling in the fountain. "Hear what?" I slid my right hand down her arm, cradled her hand against my chest and swayed us from side to side. "The music." Her eyes danced. "Maybe if you could tell me what i'm supposed to be hearing." "Slow drum beat." With one finger i tapped the beat into the small of her back. "Acoustic quitar." I leaned down and hummed my favorite song in her ear. Her sweet cinnamon smell intoxicated me. She relaxed, fitting perfectly into my body. In the crisp, cold February air, we swayed together, moving to our own personal beat. For one moment, we escaped hell. No teachers, no therapist, no well-meaning friends, no nightmares-just the two of us, dancing. My song ended, my finger stopped tapping the beat, and we ceased swaying from side to side. She held perfectly still, keeping her hand in mine, her head resting on my shoulder. I nuzzled into the warmth of her silky curls, tightening my hold on her. Echo was becoming essential, like air. I eased my hand to her chin, lifting her face toward me. My thumb caressed her warm, smooth cheek. My heart beat faster. A ghost of that siren smile graced her lips as she tilted her head closer to mine, creating the undeniable pull of the sailor lost to the sea to the beautiful goddess calling him home. I kissed her lips. Soft, full, warm-everything i'd fantasized it would be and more, so much more. Echo hesitantly pressed back, a curious question for which i had a response. I parted my lips and teased her bottom one, begging, praying, for permission. Her smooth hands inched up my neck and pulled at my hair, bringing me closer. She opened her mouth, her tongue seductively touching mine, almost bringing me to my knees. Flames licked through me as our kiss deepened. Her hands massaged my scalp and neck, only stoking the heat of the fire. Forgetting every rule i'd created for this moment, my hands wandered up her back, twining in her hair, bringing her closer to me. I wanted Echo. I needed Echo. Her eyes met mine again. "So what does this mean for us?" I lowered my forehead to hers. "It means you 're mine.

I understand now that no one else in the world knows what I should do. The experts don't know, the ministers, the therapists, the magazines, the authors, my parents, my friends, they don't know. Not even the folks who love me the most. Because no one has ever lived or will live this life I am attempting to live. Every life is an unprecendented experiment. This life is mine alone. So I have stopped asking people for directions to places they've never been. There is no map. We are all pioneers.

Suicide is one of the greatest professional taboos for a therapist, as you abandon not only friends and family, but also vulnerable clients. It

The result is a nation where gurus and therapists have filled the roles once occupied by spouses and friends, and where professional caregivers minister, like seraphim around the throne, to the needs of people taught from infancy to look inside themselves for God. Therapeutic religion promises contentment, but in many cases it seems to deliver a sort of isolation that’s at once comfortable and terrible—leaving us alone with the universe, alone with the God Within.

A group therapist created a terrific visual example of what a healthy relationship looks like. She put three pillows on the floor and asked a couple of us to stand on the pillows. She told us to leave the middle pillow open. She pointed at my pillow and said, "Don, that's your pillow, that's your life. The only person who gets to step on that pillow is you. Nobody else. That's your territory, your soul." Then she pointed at my friend's pillow and told her that was her pillow, that she owned it and it was her soul. Then, the therapist said, the middle pillow symbolized the relationship. She said that both of us could step into the middle pillow any time we wanted because we'd agreed to be in a relationship. However, she said, at no point is it appropriate to step on the other person's pillow. What goes on in the other person's soul is none of your business. All you're responsible for is your soul, nobody else's. Regarding the middle pillow, the question to ask is, "What do I want in a relationship?" If the pillow you two step on together works, that's great. If not, move on or simply explain what you'd like life to feel like in the middle pillow and see if the other person wants that kind of relationship too. But never, she said, ever try to change each other. Know who you are and know what you want in a relationship, and give people the freedom to be themselves.

One of the survival mechanisms of children raised in alcoholic families is an awareness of parental needs and feelings and of changes in parental moods and behavior. The Adult Child often makes a full-time occupation of mind reading with partners, friends, employers, and therapists. As a consequence, they earn a Ph.D. at the age of six in observing the behavior of others and assessing parental needs—but are in elementary school at age thirty, trying to learn to assess, label, or communicate their own needs and feelings.

people we love, as well as how often we can tolerate this venting while not feeling listened to ourselves. Relationships thrive on reciprocity. That’s one of the reasons why therapists charge us for their time and friends don’t.

Another learning which cost me much to recognize, can be stated in four words. The facts are friendly. (...) Especially in our early investigations I can well remember the anxiety of waiting to see how the findings came out. Suppose our hypotheses were disproved! Suppose we were mistaken in our views! (...) I have perhaps been slow in coming to realize that the facts are always friendly. Every bit of evidence that one can acquire, in any area, leads one that much closer to what is true.

Go ahead. Tell our friends about it. See if they can imagine what it's like, let alone believe it. The more outrageous the things you say about me, the more convinced they are that it is you who have taken a turn for the worse. And don't expect much more from your therapist either. You may tell him this or that, but what he sees when I visit him is something quite different. So what's the therapist to believe? After all, it was you who came for help. No! That's what this is all about. No! That simple two-letter word that, regardless of how bad I am, you simply cannot say. Who knows? You might even acquire some of my behaviour yourself.

It can be extremely hard to figure out the right amount of growth and sacrifice to be devoting to a friendship, because we're not taught that friends are worth stretching for at all. Your spouse? Definitely ... Your family? There's a therapist for that too. Friends though? When things get hard, it's socially acceptable to abandon them with no conversation about it whatsoever, even if you've been intimate parts of each other's lives for years.

The Korean word jeong is untranslatable but the closest definition is “an instantaneous deep connection,” often felt between Koreans. Did I imagine jeong with this therapist? Why did I think she’d understand me, as if our shared heritage would be a shortcut to intimacy? Or more accurately, a shortcut to knowing myself? Maybe I looked for a Korean American therapist because I didn’t want to do the long, slow work of psychotherapy. Maybe I didn’t really want to explain my life. A Jewish friend told me he never went to a Jewish therapist because it’s too easy to assume everything dysfunctional about your family is cultural.

But I got a second chance too. Wendell once pointed out that we talk to ourselves more than we’ll talk to any other person over the course of our lives but that our words aren’t always kind or true or helpful—or even respectful. Most of what we say to ourselves we’d never say to people we love or care about, like our friends or children. In therapy, we learn to pay close attention to those voices in our heads so that we can learn a better way to communicate with ourselves.

As Buddhism has been integrated into the West, the meaning of sangha has come to include all our contemporaries who in various ways are consciously pursuing a path of awakening. We are held by sangha when we work individually with a therapist or healer, or when a close friend lets us be vulnerable and real. Taking refuge in the sangha reminds us that we are in good company: We belong with all those who long to awaken, with all those who seek the teachings and practices that lead to genuine peace.

Wish for more pain,” a friend’s therapist advised, if you want to change. If you’re in enough pain, you won’t be able to continue living the way you’ve been living; you’ll have to do something differently. But be careful what you wish for, because you just might get it—and then what? Then the pain is yours. The pain is yours and it will change you.

told Rita what I tell everyone who’s afraid of getting hurt in relationships—which is to say, everyone with a heartbeat. I explained to her that even in the best possible relationship, you’re going to get hurt sometimes, and no matter how much you love somebody, you will at times hurt that person, not because you want to, but because you’re human. You will inevitably hurt your partner, your parents, your children, your closest friend—and they will hurt you—because if you sign up for intimacy, getting hurt is part of the deal.

According to Siegel, when we are feeling emotion, we are integrating and absorbing new awareness into our consciousness (2009). I often tell clients that tears can be thought of as a physical sign of the integration process that’s occurring in our hearts and minds. When you cry these deeper tears of realization, you ultimately end up feeling better. This kind of crying helps you develop into a more integrated and complex person, and will leave you feeling more settled and able to regroup. Regaining the ability to feel for yourself comes in waves, and some of these waves can be very intense. Having a lot of unprocessed emotion to integrate can feel overwhelming. You’ll benefit from reaching out to a compassionate friend or therapist for comfort and support to help you through these times, but don’t be afraid of this natural process. Your body knows how to cry and grieve. If you let your feelings arise and keep trying to understand them, you’ll come out of the experience a more integrated, mature person, with greater compassion for both yourself and others. Freedom

My friends are hurting. It's my job to protect them. It's my job to keep them safe." "No, your job is to love hard enough to counterbalance the hatred. That's enough.

I don't need a therapist when I have friends. You guys, combined, can help me.

All of this resulted in my classmates laughing at me, which, thanks to what my therapist describes as habitual disassociation, I did not process in real time.

The here-and-now is the major source of therapeutic power, the pay dirt of therapy, the therapist’s (and hence the patient’s) best friend.

Their parents may fill the children’s hours with therapeutic equipment, tutors, drivers, therapists, psychiatrists, and special schools, while what a child wants and needs most desperately is a friend. Often a child longs for a friend despite rejecting everyone who reaches out. Such a child may be convinced to come out of hiding if the proffered playmate is a dog

The first step to reconstructing your faith is to start by telling the truth. You need to find a safe place to tell your story, like to a therapist or trusted pastor or friend. It’s essential.

It is not your child’s job to hold space for you to fall apart. Call your therapist, your priest, your rabbi, or your best friend but don’t you dare ask your kids to carry you through a hard season.

There’s a colleague who used to be in my consultation group,” she begins. “But I’m not sure. He’s great. Very skilled. He always has insightful things to say. It’s just—” Caroline hesitates. “Just what?” “He’s so happy all the time. It feels . . . unnatural. Like, what the hell is he so happy about? But some patients like that. Do you think your friend would do well with him?” “Definitely not,” I say. I, too, am suspicious of chronically happy people.

I remember an insight that taught me much about life. One day I felt that I had everything that I really wanted in life. I had a creative and meaningful work as a therapist and course leader, I had a relationship with a beautiful woman, who I loved and who loved me, I had friend that I trusted and I had money to do what I wanted. But in spite of all this, I still had a feeling that there was something missing in my life. I was not satisfied. The thirst and longing in my heart was still searching for something more. It made me realize that the deepest pain in my heart was that I was still separated from the Whole and that no outer things or relationships could ease this pain.

Strays is what a writer I recently read calls those who, for one reason or another, and despite whatever they might have wanted earlier in life, never really become a part of life, not in the way most people do. They may have serious relationships, they may have friends, even a sizable circle, they may spend large portions of their time in the company of others. But they never marry and they never have children. On holidays, they join some family or other group. This goes on year after year, until they finally find it in themselves to admit that they'd really rather just stay home. But you must see a lot of people like that, I say to the therapist. Actually, he says, I don't.

[Therapist and friend, with a voice like Raul Julia during his Gomez Adam’s days] Rudy studied my face, “I have a two o’clock open on Tuesday.” I sighed, “Yeah, ok. Tuesday at two.” He nodded, pleased. “Bring Starbucks.” “Sure, what do you want?” “My usual. Iced half-caf ristretto quad grade two-pump raspberry two percent no whip light ice with caramel drizzle three-and-a-half-pump white mocha.” “Is any of that actually coffee?” “More or less.” “And you think I’m damaged …

Persons facing existential challenges or crises may seek advice or guidance from family, friends, therapists, or religious counselors. Sometimes such advice is helpful; sometimes it is not. Persons facing difficult choices may not fully appreciate how much their own attitude interferes with the decision they need to make or the action they need to take. Frankl offers readers who are searching for answers to life’s dilemmas a critical mandate: he does not tell people what to do, but why they must do it.

Therapy, therapists, promised a rigorous lack of judgment (but wasn’t that an impossibility, to talk to a person and not be judged?), and yet behind every question was a nudge, one that pushed you gently but inexorably toward a recognition of some flaw, toward solving a problem you hadn’t known existed. Over the years, he’d had friends who had been convinced that their childhoods were happy, that their parents were basically loving, until therapy had awakened them to the fact that they had not been, that they were not.

I also see how essential a comprehensive treatment plan is, a plan that incorporates education, understanding, empathy, structure, coaching, a plan for success and physical exercise as well as medication. I see how important the human connection is every step of the way: connection with parent or spouse; with teacher or supervisor; with friend or colleague; with doctor, with therapist, with coach, with the world “out there.” In fact, I see the human connection as the single most powerful therapeutic force in the treatment of ADHD.

Just then, in that instant, I saw His eyes. I recognised them. They were the eyes of that trembling father in a smoke-filled room on the ninety-third floor of Tower One, dialing his little girls for the last time. Those were the eyes behind that calming voice singing 'Amazing Grace' in a crowded and slippery stairwell, trapped outside a roof door when the ceilings began to cave. The eyes of the people who stayed behind with the handicapped victims waiting for police officers who never made it up the stairs. Those were the eyes of firemen who pushed me to safety, the doctor who cared for me for more than a year free of charge, the therapist who visited my home regularly so that I could sleep a little, the children who loved me, the brother who prayed nonstop, and the pastor who became my friend. Those were the eyes of God.

Guts,” never much of a word outside the hunting season, was a favorite noun in literary prose. People were said to have or to lack them, to perceive beauty and make moral distinctions in no other place. “Gut-busting” and “gut-wrenching” were accolades. “Nerve-shattering,” “eye-popping,” “bone-crunching”—the responsive critic was a crushed, impaled, electrocuted man. “Searing” was lukewarm. Anything merely spraining or tooth-extracting would have been only a minor masterpiece. “Literally,” in every single case, meant figuratively; that is, not literally. This film will literally grab you by the throat. This book will literally knock you out of your chair… Sometimes the assault mode took the form of peremptory orders. See it. Read it. Go at once…Many sentences carried with them their own congratulations, Suffice it to say…or, The only word for it is…Whether it really sufficed to say, or whether there was, in fact, another word, the sentence, bowing and applauding to itself, ignored…There existed also an economical device, the inverted-comma sneer—the “plot,” or his “work,” or even “brave.” A word in quotation marks carried a somehow unarguable derision, like “so-called” or “alleged…” “He has suffered enough” meant if we investigate this matter any further, it will turn out our friends are in it, too… Murders, generally, were called brutal and senseless slayings, to distinguish them from all other murders; nouns thus became glued to adjectives, in series, which gave an appearance of shoring them up… Intelligent people, caught at anything, denied it. Faced with evidence of having denied it falsely, people said they had not done it and had not lied about it, and didn’t remember it, but if they had done it or lied about it, they would have done it and misspoken themselves about it in an interest so much higher as to alter the nature of doing and lying altogether. It was in the interest of absolutely nobody to get to the bottom of anything whatever. People were no longer “caught” in the old sense on which most people could agree. Induction, detection, the very thrillers everyone was reading were obsolete. The jig was never up. In every city, at the same time, therapists earned their living by saying, “You’re being too hard on yourself.

Yet it taught me a lesson: While it’s okay to be friends with my investor, it’s not okay to be friends with my direct reports. If you need someone to listen as you drag your psyche across the coals, find a friend or a therapist, but don’t do it with someone you’re expected to manage on a daily basis.

the mother’s narcissism is confirmed by how she seeks reassurance from the magic mirror on the wall early in the story, long before Snow White’s beauty surpasses her own. There is no better tale for conveying how imperilled a teenage girl can feel with a narcissistic, competitive mother. And for Madeline, there were no friendly dwarves.

Masked Autistics are frequently compulsive people pleasers. We present ourselves as cheery and friendly, or nonthreatening and small. Masked Autistics are also particularly likely to engage in the trauma response that therapist Pete Walker describes as “fawning.”[53] Coping with stress doesn’t always come down to fight versus flight; fawning is a response designed to pacify anyone who poses a threat. And to masked Autistics, social threat is just about everywhere. “Fawn types avoid emotional investment and potential disappointment by barely showing themselves,” Walker writes, “by hiding behind their helpful personas, over-listening, over-eliciting or overdoing for the other.”[54]

I feel my eyes get wet and the next thing I know my son calls out, “Mom, over here!” and I see that he has negotiated his way into Julie’s line. I hesitate. After all, Julie might feel awkward ringing up her therapist. And, truth be told, I might feel awkward too. She knows so little about me that even displaying the contents of my shopping cart feels somehow too revealing. But mostly, I’m thinking about how Julie talks about the sadness she experiences whenever she sees her friends’ kids while she and her husband are trying to find a way to become parents themselves. What will it be like for her to see me with my son? “Over here!” I reply, gesturing for Zach to move to a different line. “But this one’s shorter!” he yells back, and of course it is, because Julie’s so goddamned efficient, and that’s when Julie looks over at my son and then follows his gaze to me. Busted. I smile. She smiles. I start to head to the other line, but Julie says, “Hey, lady, listen to the boy. This line’s shorter!” I join Zach in Julie’s line.

He changes his perception of himself, becoming more realistic in his views of self. He becomes more like the person he wishes to be. He values himself more highly. He is more self-confident and self-directing. He has a better understanding of himself, becomes more open to his experience, denies or represses less of his experience. He becomes more accepting in his attitudes toward others, seeing others as more similar to himself. In his behavior he shows similar changes. He is less frustrated by stress, and recovers from stress more quickly. He becomes more mature in his everyday behavior as this is observed by friends. He is less defensive, more adaptive, more able to meet situations creatively.

Decades after that day in the therapist’s office, Donald Trump was elected president. A friend called me and said, “This is the apocalypse. This is the end of our country as we know it.” I said, “I hope so. Apocalypse means uncovering. Gotta uncover before you can recover.” She said, “Oh, God, not more recovery talk. Not now.” “No, listen—this feels to me like we’ve hit rock bottom! Maybe that means we’re finally ready for the steps. Maybe we’ll admit that our country has become unmanageable. Maybe we’ll take a moral inventory and face our open family secret: that this nation—founded upon ‘liberty and justice for all’—was built while murdering, enslaving, raping, and subjugating millions. Maybe we’ll admit that liberty and justice for all has always meant liberty for white straight wealthy men. Then maybe we’ll gather the entire family at the table—the women and the gay and black and brown folks and those in power—so that we can begin the long, hard work of making amends. I’ve seen this process heal people and families. Maybe our nation can heal this way, too.

Whenever one person in a family system starts to make changes, even if the changes are healthy and positive, it’s not unusual for other members in this system to do everything they can to maintain the status quo and bring things back to homeostasis. If an addict stops drinking, for instance, family members often unconsciously sabotage that person’s recovery, because in order to regain homeostasis in the system, somebody has to fill the role of the troubled person. And who wants that role? Sometimes people even resist positive changes in their friends: Why are you going to the gym so much? Why can’t you stay out late—you don’t need more sleep! Why are you working so hard for that promotion? You’re no fun anymore!

Question: What do patients recall when they look back, years later, on their experience in therapy? Answer: Not insight, not the therapist’s interpretations. More often than not, they remember the positive supportive statements of their therapist. I make a point of regularly expressing my positive thoughts and feelings about my patients, along a wide range of attributes—for example, their social skills, intellectual curiosity, warmth, loyalty to their friends, articulateness, courage in facing their inner demons, dedication to change, willingness to self-disclose, loving gentleness with their children, commitment to breaking the cycle of abuse, and decision not to pass on the “hot potato” to the next generation.

My very best thinking led me to a therapist’s office weeping and pleading for help regarding my alcoholism at the age of 19. I thought I could ‘manage’ my alcohol addiction, and I failed miserably until I asked for help. My older friends in recovery remind me that I looked like ‘death’ when I started attending support groups. I was not able to give eye contact, and I covered my eyes with a baseball cap. I had lost significant weight and was frightened to talk to strangers. I was beset with what the programme of Alcoholics Anonymous describes as ‘the hideous Four Horseman – terror, bewilderment, frustration and despair’. Similarly, my very best thinking led me to have unhappy, co-dependent relationships. I can go on. The problem was I was dependent on my own counsel. I did not have a support system, let alone a group of sober people to brainstorm with. I just followed my own thinking without getting feedback. The first lesson I learned in recovery was that I needed to check in with sober and wiser people than me regarding my thinking. I still need to do this today. I need feedback from my support system.

He ended up shuttered in his house, with no friends, doing drugs alone for days on end and wondering whether he should kill himself just as his father had. “My life was total hell,” he says. Finally he went to a therapist, who suggested he go to Alcoholics Anonymous. He attended a meeting and started sobbing. Someone gave him a hug and told him he wasn’t alone. “That’s when life really began for me,” he says. He says he’s been sober ever since.

No matter which route you take, within twenty-four hours the day will be over. Tomorrow should be better. But if it’s not, nor the next day, or the next, then know that it’s okay to ask for help from friends, a support group, a therapist, a doctor, or your Higher Power. Dark days come to all of us. Yet discouraging days bring with them golden opportunities when we can learn to be kind to ourselves. Believe it or not, today offers you a hidden gift, if you’re willing to search for it.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

Focus on yourself instead. Go see a therapist and dig into your earliest memories, what makes you tick, what you want from your life, and what you expect from love. Dig in and figure out who you are. Keep a journal and write down your thoughts every morning and every night. Listen to music if that helps you to access your emotions more easily. While you’re doing this, train your social energies on enriching your friendships. Think about what it would take to have closer friendships with people. Would you have to see each other more often for camaraderie and familiarity to build? Would you need to have lunch or dinner so you could sit across from each other and talk? What if you hosted a weekly poker game with the same people every week, women and men? What if you tried to go out to a movie with a friend once a month? Casual friendships grow into close friendships with repeated experience, so allow it to happen. Accumulate experience together. As you each open up, trust will build.

And I knew, I knew as I answered her that I was breaking a rule of conduct which was there to protect them and me equally. Therapists, teachers, doctors, nurses: none of them should share their personal lives with their charges. It isn’t appropriate or fair. They aren’t friends, even if they take your advice, even if they rely on it, even when they share their darkest thoughts and deepest wishes with you. You must never reciprocate and share your feelings, hopes and fears, because in doing so you damage your respective roles in each other’s lives beyond repair.

A good assistant is someone with good time management skills, good communication skills, and the ability to balance a lot of very different tasks at the same time,’ I replied with well-earned confidence. ‘But the difference between a good assistant and a brilliant assistant is the ability to anticipate potential problems before they arise. You’ve got to be prepared for whatever comes at you when the job turns out to be equal parts assistant, therapist, and best friend, but still know your boundaries. And you should always have mints. I’ve basically got stock in Tic Tacs.

When I was 15 years old, I came in contact with my first ashram, my first spiritual commune, in the form of Ljusbacken ("The Hill of Light") in Delsbo in beautiful Halsingland in the north of Sweden. Ljusbacken consisted of an international gathering of yogis, meditators, therapists, healers and seekers of truth. It was on Ljusbacken that I for the first time came in contact with my path in life: meditation. It was also on Ljusbacken that I meet people for the first time in my 15 year old life, where I on a deep wordless level felt that I meet people, who were on the same path as me. It was the first time that I meet people, who could put words on and confirm my own inner thirst after something that I could only occasionally sense vaguely, like some sort of inner guiding presence, or like a beacon in the distant far out on the open and misty ocean. For the first time in my life, I meet brothers, sisters and friends on the inner path. It was also on Ljusbacken that I meet the mystery called love for the first time in my 15 year old life. With my 15 year old eyes, I watched with wide eyed fascination and fear filled excitement the incomprehensible mystery, which is called woman. My own thirst after truth, together with my inner guiding light, resulted in an early spiritual awakening when I was 15 years old. It led me back to the inner path, which I have already followed for many lives. It led me back to a life lived with vision, with dedication and meaning, and not only a life governed by the endless desires of the ego, a mere vegetating without substance between life and death. It led me to explore the inner journey again, to discover the inner being, the meditative quality within, and to come in intimate contact with the endless and boundless ocean of consciousness, like the drop surrenders to the sea. At the source, the drop and ocean are one.

Eat and heal your metabolism. Let your body gain weight. Eat carbs. Sleep a lot. Do your lie-down. Say no to things you hate doing. Say yes to things that sound fun. Take personal days. See friends. Eat probiotics or fermented food. Take a supplement to support your adrenals and stress hormones. Breathe deeply. Stretch. Find ways to laugh. Watch or read something life-affirming or heartwarming. When you have energy, move your body in ways you like. Go to your weight-neutral doctor. Get a massage or acupuncture. Go to a therapist you trust. Try new foods. Get out in nature. Get in the sunshine. Put plants in your house.

I believe the perception of what people think about DID is I might be crazy, unstable, and low functioning. After my diagnosis, I took a risk by sharing my story with a few friends. It was quite upsetting to lose a long term relationship with a friend because she could not accept my diagnosis. But it spurred me to take action. I wanted people to be informed that anyone can have DID and achieve highly functioning lives. I was successful in a career, I was married with children, and very active in numerous activities. I was highly functioning because I could dissociate the trauma from my life through my alters. Essentially, I survived because of DID. That's not to say I didn't fall down along the way. There were long term therapy visits, and plenty of hospitalizations for depression, medication adjustments, and suicide attempts. After a year, it became evident I was truly a patient with the diagnosis of DID from my therapist and psychiatrist. I had two choices. First, I could accept it and make choices about how I was going to deal with it. My therapist told me when faced with DID, a patient can learn to live with the live with the alters and make them part of one's life. Or, perhaps, the patient would like to have the alters integrate into one person, the host, so there are no more alters. Everyone is different. The patient and the therapist need to decide which is best for the patient. Secondly, the other choice was to resist having alters all together and be miserable, stuck in an existence that would continue to be crippling. Most people with DID are cognizant something is not right with themselves even if they are not properly diagnosed. My therapist was trustworthy, honest, and compassionate. Never for a moment did I believe she would steer me in the wrong direction. With her help and guidance, I chose to learn and understand my disorder. It was a turning point.

Bowlby's conviction that attachment needs continue throughout life and are not outgrown has important implications for psychotherapy. It means that the therapist inevitably becomes an important attachment figure for the patient, and that this is not necessarily best seen as a 'regression' to infantile dependence (the developmental 'train' going into reverse), but rather the activation of attachment needs that have been previously suppressed. Heinz Kohut (1977) has based his 'self psychology' on a similar perspective. He describes 'selfobject needs' that continue from infancy throughout life and comprise an individual's need for empathic responsiveness from parents, friends, lovers, spouses (and therapists). This responsiveness brings a sense of aliveness and meaning, security and self-esteem to a person's existence. Its lack leads to narcissistic disturbances of personality characterised by the desperate search for selfobjects - for example, idealisation of the therapist or the development of an erotic transference. When, as they inevitably will, these prove inadequate (as did the original environment), the person responds with 'narcissistic rage' and disappointment, which, in the absence of an adequate 'selfobject' cannot be dealt with in a productive way.

If you follow these simple points, you will find permanent freedom from toxic bonds:   I will never beg or plead for someone else again. Any man or woman who brings me to that level is not worth my heart. I will never tolerate criticisms about my body, age, weight, job, or any other insecurities I might have. Good partners won’t put me down, they’ll raise me up. I will take a step back from my relationship once every month to make sure that I am being respected and loved, not flattered and love-bombed. I will always ask myself the question: “Would I ever treat someone else like this?” If the answer is no, then I don’t deserve to be treated like that either. I will trust my gut. If I get a bad feeling, I won’t try to push it away and make excuses. I will trust myself. I understand that it is better to be single than in a toxic relationship. I will not be spoken to in a condescending or sarcastic way. Loving partners will not patronize me. I will not allow my partner to call me jealous, crazy, or any other form of projection. My relationships will be mutual and equal at all times. Love is not about control and power. If I ever feel unsure about any of these steps, I will seek out help from a friend, support forum, or therapist. I will not act on impulsive decisions.

There was an unspoken irony to all of this. People wanted a speedy solution to their problems, but what if their moods had been driven down in the first place by the hurried pace of their lives? They imagined that they were rushing now in order to savor their lives later, but so often, later never came. The psychoanalyst Erich Fromm had made this point more than fifty years earlier: “Modern man thinks he loses something—time—when he does not do things quickly; yet he does not know what to do with the time he gains except kill it.” Fromm was right; people didn’t use extra time earned to relax or connect with friends or family. Instead, they tried to cram more in.

which is to say, everyone with a heartbeat. I explained to her that even in the best possible relationship, you’re going to get hurt sometimes, and no matter how much you love somebody, you will at times hurt that person, not because you want to, but because you’re human. You will inevitably hurt your partner, your parents, your children, your closest friend—and they will hurt you—because if you sign up for intimacy, getting hurt is part of the deal. But, I went on, what was so great about a loving intimacy was that there was room for repair. Therapists call this process rupture and repair, and if you had parents who acknowledged their mistakes and took responsibility for them and taught you as a child to acknowledge your mistakes and learn from them too, then ruptures won’t feel so cataclysmic in your adult relationships. If, however, your childhood ruptures didn’t come with loving repairs, it will take some practice for you to tolerate the ruptures, to stop believing that every rupture signals the end, and to trust that even if a relationship doesn’t work out, you will survive that rupture too. You will heal and self-repair and sign up for another relationship full of its own ruptures and repairs. It’s not ideal, opening yourself up like this, putting your shield down, but if you want the rewards of an intimate relationship, there’s no way around it.

EXCITED was not the right word. Stevie NEEDED to go back and she WANTED to go back, but the accompanying emotion was anxiety. Anxiety and excitement are cousins; they can be mistaken for each other at points. They have many features in common - the bubbling, carbonated feel of the emotion the speed, the wide eyes and racing heart. But where excitement tends to take you up, into the higher, brighter levels of feeling, anxiety pulls you down, making you feel like you have to grip the earth to keep from sliding off as it turns. This was the sympathetic nervous system at work, her therapist had told her. To work with anxiety, you had to let it complete its cycle. Steve tapped her foot against the SUV floor, telling the cycle to get a movie on. What was she anxious about? Going back to the case, going back to her friends, going back to her classes, going back...

Sexual violence is a difficult topic to think about and even harder to deal with. I understand that a wide range of emotions may have been ignited while reading this book, so I ask you to take care of yourself. Always remember to take care of yourself no matter what, and never stop doing the things you love that bring peace and joy to your life. Whether it is music, art, exercise, cooking, reading, sports, prayer, nature, or any of the other amazing gifts life has to offer: Embrace them. Do what you love to do, embrace all the beauty that exists within yourself and the world around you, and take care of yourself. And of course, reach out to someone if you need help. Talk to a family member or friend, find the right therapist, or seek out a religious or spiritual guide if needed. Life is very difficult to go through it alone, so please talk to someone you love and trust, and one who always has your best interest at heart.

The case of a patient with dissociative identity disorder follows: Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis. Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen. Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life. Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged. At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.

Sometime soon, my cruelty would go too far, and now that her mother was dead, Reva’s head would start to clear of its superficial nonsense. She’d probably go back into therapy. She’d realize that we had no good reason to be friends, and that she would never get what she needed from me. She’d send me a long letter explaining her resentments, her mistakes, explaining how she had to let me go in order to move on with her life. I could already imagine her phrasing. “I’ve come to realize that our friendship is no longer serving me”-that was language her therapist would have taught her-“which is not a criticism of you.” But of course it was about me: I was the friend in the friendship she was describing….”I got your note,” I would begin. “You have confirmed what I’ve known about you since college.” I tried to think of the worst thing I could say about a person. What was the cruelest, most cutting, truest thing? Was it worth saying? Reva was harmless. She wasn’t a bad person. She’d done nothing to hurt me. I was the one sitting there full of disgust, wearing her dead mother’s shoes. “Good-bye.

Sometime soon, my cruelty would go too far, and now that her mother was dead, Reva’s head would start to clear of its superficial nonsense. She’d probably go back into therapy. She’d realize that we had no good reason to be friends, and that she would never get what she needed from me. She’d send me a long letter explaining her resentments, her mistakes, explaining how she had to let me go in order to move on with her life. I could already imagine her phrasing. “I’ve come to realize that our friendship is no longer serving me”-that was language her therapist would have taught her-“which is not a criticism of you.” But of course it was about me: I was the friend in the friendship she was describing….”I got your note,” I would begin. “You have confirmed what I’ve known about you since college.” I tried to think of the worst thing I could say about a person. What was the cruelest, most cutting, truest thing? Was it worth saying? Reva was harmless. She wasn’t a bad person. She’d done nothing to hurt me. I was the one sitting there full of disgust, wearing her dead mother’s shoes. “Good-bye.

Dawn’s afternoons at the Baker Institute for physically disabled kids sounded fascinating. She rode to Stamford in a specially equipped van with four children from Stoneybrook who went to Baker for physical therapy, classes in the arts, and a chance to make new friends. The bus driver was a woman who was going to college to learn to be a physical therapist. She drove the bus to earn some extra money, but the kids were more than just a job to her. She really enjoyed being with them. “Candace is so funny,” Dawn told me. “She jokes around with the kids, and they love her. She treats all of them the way you’d treat kids who aren’t in wheelchairs or wearing braces. She’ll say to them, ‘Hurry up! I haven’t got all day,’ and the kids just giggle. Most people tiptoe around the kids like they’re going to break. And never mention their braces or anything. But if a friend of yours got new clothes, you’d make a comment, right? So if a kid gets on the bus with decorations all over the back of his wheelchair, Candace will say, ‘Your chair looks great today! I think you should go into business as a decorator.

When someone is judging you, it's unlikely that their judgment is actually about you. As I see it, we're all carrying around a bunch of suitcases. We have our insecurities suitcase. We have our stress suitcase. We have our guilt and our worries suitcases. Some suitcases we might have been carrying since our childhood, stories we were told about who we are that aren't even true. They're fiction that we were handed, picked up, believed, and still carry. Sometimes a person comes along with one of their suitcases, with their issues all packed up and ready to go, and they try to hand it to us. Do not pick up that suitcase! Do not pick it up! Because if you pick up their suitcase, you will be up all night, worrying if what they said about you is true, stressing yourself out, questioning yourself, getting bitter, and feeding your insecurities. Over a suitcase that never belonged to you in the first place. So if people keep trying to hand off their suitcases to you like you're a bellhop, you might need to break up with them the same way you would break off an unhealthy relationship with an emotionally abusive boyfriend. And as you go through life, trying to figure out how to ferry around those suitcases that do belong to you (and we all have our own stuff . . . the stuffiest of stuffs!), don't try to hand those off to someone else as a way to try to get rid of your pain. Instead, sit down with a friend or a great therapist and have a big, nonjudgmental "let's unpack these suitcases together" session.

Eventually the girl-child will turn away from the Spirit-filled One. Her original spirituality will become confined within the acceptable lines of religion. She will be taught the right way to imagine and name god. “He” will be mediated to her through words, images, stories, and myths shaped, written, and spoken by men. She will adopt the god she is given. It is too dangerous to rebel. If she dares to venture out of the lines by communing with the spirit of a tree, the mysterious night sky, or her grandma, she will be labeled heretic, backslide, or witch. She is told: Prideful One, your grandma is not god; neither is your favorite star or rock. God has only one name and face. You shall have no gods before him. God is Father, Son, and Holy Ghost. He is found in the church, heavens, and holy book, not in you. God is the god of the fathers and sons; the daughters have no say in the matter. As it was in the beginning, it is now and ever shall be. The Spirit-Filled One falls asleep. Occasionally she awakens to remind the girl-child-turned-woman of what she once knew. These periodic reminders are painful. The woman fills her life with distractions so she will not hear the quiet inner voice, calling her to return home. Years later, new teachers enter the woman's life—a therapist, a self-help group, a support circle, a beloved friend, or perhaps this workbook. They remind her of what she once knew: Spirit-filled One, your grandma is god and so are your favorite star and rock. God has many names and many faces. God is Mother, Daughter, and Wise Old Crone. She is found in your mothers, in your daughters, and in you. She is Mother of all Living and blessed are her daughters. You are girl-woman made in her image. The spirit of the universe pulsates through you.

I was headed into the final fitting of my leg. I’d gone through the test socket phase and my leg was finally ready. I was so excited! I walked into the physical therapy lab and shouted, “Man, I cannot wait to put this leg on and walk!” My physical therapist, Bob, and the prosthetist exchanged nervous glances. My right leg was still pretty weak and by all normal standards, I should not be able to walk right away. But then, of course, I never like to be like everyone else. They had me wheel over to the parallel bars to attach my new leg. “We’re just going to have you stand for now,” said Bob. “Nah, I’m walking.” I offered up my best shit-eating grin. “Let’s just see how it feels,” Bob replied with some firmness. I stood up and said, “I feel good. I feel really good.” Bob relented and they let me try to walk. They put a belt around me so that Bob could hold on to me as I walked the parallel bars. Most guys can use the parallel bars for support. I only have one arm so that only helped me so much. Good thing I didn’t really need them. I started walking without faltering right away. “Yeah, this feels good. I feel good. You can back up,” I told them. They backed up and I started walking by myself, holding on with one hand. Then, feeling bolder, I lifted my hand off the bar. I took a step. And then another step. I was walking without any help. I walked up and down those parallel bars the very first day I put on my leg. I did all this with an audience. Dad and Uncle Johnny were right there with me, watching and cheering me on. They were so excited. Uncle Johnny snapped a picture and sent it to my mom back home in Alabama. And as any proud mom would do, she sent that picture to everyone she knew. That picture went the pre-viral version of viral! It was a triumphant snapshot. I was walking again. And not only that, I was wearing those shiny new New Balance shoes the nice ladies had given me. As the picture made the rounds through my mom’s friends and friends of her friends and friends of friends of friends, somehow it ended up with people at New Balance. They reached out to my mom to ask what sizes of shoe Colston and I wore. She told them and then soon after that, Colston and I had matching sneakers.

In the world of mental health, the lowest-functioning clients and the highest-functioning clients receive the worst care. The lowest-functioning clients typically struggle with serious mental illnesses that are maintained more than cured. And, because of downward drift that draws a disproportionate number of such patients into the lower income brackets, these clients often do not have access to top-notch care. The highest-functioning clients, on the other hand, usually have a lot going for them, including family or schools that connect them with private therapists when needed. These high-functioning clients are what therapists call YAVIS—young, attractive, verbal, intelligent, and successful—and these qualities bestow all sorts of social and psychological advantages. Being young means, as a colleague once put it, “that you haven’t completely screwed up your life yet.” Being verbal allows you to easily exchange a common currency with friends and bosses as you parlay being talkative into social status. Intelligence aids achievement and problem-solving, and even leadership. Successful people are generally brimming with confidence. And, as Aristotle said, “beauty is a greater recommendation than any letter of introduction.” So, YAVIS clients are well received nearly everywhere they go, and many therapists light up when one comes walking in the door. Still, there are two paths to being smart and charming when you are young: Life has been good or life has been bad. When life has been good, maybe someone goes to see a therapist for a while because some isolated thing is not currently going well. Most likely, the difficulty will be resolved quickly and the client will be on his way. When life has been bad, someone goes to see a therapist because even though things look pretty on the outside the person feels horrible on the inside, and this is a discrepancy that even many therapists cannot hold. Sometimes it is just too jarring to imagine that someone who seems so perfect has lived a life that has been so imperfect. What results is a therapy where the client’s image gets in the way of the help that he or she needs. The client has come to focus on what has not gone well, but the therapist is blinded by what has. Too often, being successful when you are young is about survival. Some people are good at hiding their troubles. They are good at “falling up.

Kathy’s teachers view her as a good student who always does her homework but rarely participates in class. Her close friends see her as a loyal and trustworthy person who is a lot of fun once you get to know her. The other students in school think she is shy and very quiet. None of them realize how much Kathy struggles with everyday life. When teachers call on her in class, her heart races, her face gets red and hot, and she forgets what she wants to say. Kathy believes that people think she is stupid and inadequate. She imagines that classmates and teachers talk behind her back about the silly things she says. She makes excuses not to go to social events because she is terrified she will do something awkward. Staying home while her friends are out having a good time also upsets her. “Why can’t I just act like other people?” she often thinks. Although Kathy feels isolated, she has a very common problem--social anxiety. Literally millions of people are so affected by self-consciousness that they have difficulties in social situations. For some, the anxiety occurs during very specific events, such as giving a speech or eating in public. For others, like Kathy, social anxiety is part of everyday life. Unfortunately, social anxiety is not an easily diagnosed condition. Instead, it is often viewed as the far edge of a continuum of behaviors and feelings that occur during social situations. Although you may not have as much difficulty as Kathy, shyness may still be causing you distress, affecting your relationships, or making you act in ways with which you are not happy. If this is the case, you will benefit from the advice and techniques provided in this book. The good news is that it is possible to change your thinking and behavior. However, there are no easy solutions. It takes strong motivation and time to overcome social anxiety. It might even be necessary to see a professional therapist or take medication. Eventually, becoming free of your anxiety will make the hard work well worth the effort. This book will help you understand social anxiety and the impact it can have on your life, now and in the future. You will find out how the disorder is diagnosed, you will receive information on professional guidance, and you will learn ways to cope with and manage the symptoms. Becoming an extroverted person is probably unlikely, but you can become more confident in social situations and increase your self-esteem.

Hypnotherapy You may have seen scenes on television in which hypnotists make people act like chickens or take off their clothes. In reality, hypnotherapy is nothing like that. You actually might experience a hypnotic state many times every week, or possibly every day. It is essentially no different than being engrossed in a book or movie, or being in the meditative state you may reach while exercising. During hypnosis you are highly focused and are not distracted by random thoughts. At the same time, you are aware of outside events, such as the telephone ringing or a door slamming. When you see a hypnotherapist, he or she is simply a guide helping you reach a deeply relaxed state. The therapist may begin by having you picture a pleasant and safe environment. Or, he or she might ask you to focus on an object in your line of vision until your eyes become heavy. Once you are in the hypnotized state, it is easier to focus on your anxiety. You can talk about past experiences, can work on your self-esteem, and can prepare for upcoming social events. You won’t have distracting thoughts or be monitoring everything you say. You may remember events you had forgotten, or may come up with new ways to help yourself cope with the symptoms of anxiety. Adriana was really nervous when her therapist suggested they use hypnosis to work on her fear of meeting new people, but she decided to try it. First, the therapist asked her to visualize a quiet place where she felt completely relaxed and comfortable. When Adriana’s body felt heavy and warm, the therapist asked her to describe how she feels when she speaks with strangers. Adriana discussed how she feels embarrassed and worried, how her face gets red and hot, and how her mind is distracted by negative thoughts. Next, the therapist asked Adriana to visualize being introduced to a stranger. She imagined herself feeling calm and relaxed and looking the person in the eyes. She rehearsed what she would say about herself and said it over and over, sounding more confident each time. The therapist then asked her to think of three things that could help her in those situations. Adriana decided to try relaxing, making sure she is breathing properly, and focusing on the other person instead of on her negative thoughts. Later that week, she dined with a friend and his cousin, whom she had never met before. She was able to take deep breaths and remain relaxed. Once initial introductions went well, Adriana felt more confident and was able to maintain conversations for the entire evening.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.