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• 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.
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