Getting Therapy Quotes

When I'm with him, I can feel myself getting better. It's like he's picking up broken pieces of me and putting me back together, and I don't even know he's doing it. We never talk about it. We don't go to therapy. He just loves me and that's enough.

It's not Cam's fault," Bex told her. "We rigged her bed so that if she gets up, I get an electric shock." "Liz designed it," Macey said, and Bex shrugged. "We told you we were taking precautions." Of course. Because at Gallagher Academy, "precautions" usually equals "voluntary shock therapy".

Hopefully as you get older, you start to learn how to live with your demon. It’s hard at first. Some people give their demon so much room that there is no space in their head or bed for love. They feed their demon and it gets really strong and then it makes them stay in abusive relationships or starve their beautiful bodies. But sometimes, you get a little older and get a little bored of the demon. Through good therapy and friends and self-love you can practice treating the demon like a hacky, annoying cousin. Maybe a day even comes when you are getting dressed for a fancy event and it whispers, “You aren’t pretty,” and you go, “I know, I know, now let me find my earrings.” Sometimes you say, “Demon, I promise you I will let you remind me of my ugliness, but right now I am having hot sex so I will check in later.

There are many ways of getting strong, sometimes talking is the best way.

Jealousy always has been my cross, the weakness and woundedness in me that has most often caused me to feel ugly and unlovable, like the Bad Seed. I’ve had many years of recovery and therapy, years filled with intimate and devoted friendships, yet I still struggle. I know that when someone gets a big slice of pie, it doesn’t mean there’s less for me. In fact, I know that there isn’t even a pie, that there’s plenty to go around, enough food and love and air. But I don’t believe it for a second. I secretly believe there’s a pie. I will go to my grave brandishing my fork.

Honestly, shopping beats therapy, anytime. It costs the same and you get a dress out of it.

By masking my mental illness, I get along with almost everyone. Although the odd duck, I honor society’s rules. No one else could imagine my mind’s interior.

Of course, a culture as manically and massively materialistic as ours creates materialistic behavior in its people, especially in those people who've been subjected to nothing but the destruction of imagination that this culture calls education, the destruction of autonomy it calls work, and the destruction of activity it calls entertainment.

All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

People who are diagnosed as having "generalized anxiety disorder" are afflicted by three major problems that many of us experience to a lesser extent from time to time. First and foremost, says Rapgay, the natural human inclination to focus on threats and bad news is strongly amplified in them, so that even significant positive events get suppressed. An inflexible mentality and tendency toward excessive verbalizing make therapeutic intervention a further challenge.

And so, it is not astonishing that, though the patient enters therapy insisting that he wants to change, more often than not, what he really wants is to remain the same and to get the therapist to make him feel better. (4)

I have bipolar 2 disorder, anxiety disorder, and ADHD. I take my medications every day. I go to therapy every week. I hope, one day, I can be on the other side of therapy - you know, like the one who gets to write stuff down and shakes her head and listens.

Voicemail #1: “Hi, Isabel Culpeper. I am lying in my bed, looking at the ceiling. I am mostly naked. I am thinking of … your mother. Call me.” Voicemail #2: The first minute and thirty seconds of “I’ve Gotta Get a Message to You” by the Bee Gees. Voicemail #3: “I’m bored. I need to be entertained. Sam is moping. I may kill him with his own guitar. It would give me something to do and also make him say something. Two birds with one stone! I find all these old expressions unnecessarily violent. Like, ring around the rosy. That’s about the plague, did you know? Of course you did. The plague is, like, your older cousin. Hey, does Sam talk to you? He says jack shit to me. God, I’m bored. Call me.” Voicemail #4: “Hotel California” by the Eagles, in its entirety, with every instance of the word California replaced with Minnesota. Voicemail #5: “Hi, this is Cole St. Clair. Want to know two true things? One, you’re never picking up this phone. Two, I’m never going to stop leaving long messages. It’s like therapy. Gotta talk to someone. Hey, you know what I figured out today? Victor’s dead. I figured it out yesterday, too. Every day I figure it out again. I don’t know what I’m doing here. I feel like there’s no one I can —” Voicemail #6: “So, yeah, I’m sorry. That last message went a little pear-shaped. You like that expression? Sam said it the other day. Hey, try this theory on for size: I think he’s a dead British housewife reincarnated into a Beatle’s body. You know, I used to know this band that put on fake British accents for their shows. Boy, did they suck, aside from being assholes. I can’t remember their name now. I’m either getting senile or I’ve done enough to my brain that stuff’s falling out. Not so fair of me to make this one-sided, is it? I’m always talking about myself in these things. So, how are you, Isabel Rosemary Culpeper? Smile lately? Hot Toddies. That was the name of the band. The Hot Toddies.” Voicemail #20: “I wish you’d answer.

BDSM isn't about play, not for pleasure purists. It's our own fucked up version of therapy. If we weren't fucked up, sick and twisted this shit wouldn't get us off.

I want a dyke for president. I want a person with AIDS for president and I want a fag for vice president and I want someone with no health insurance and I want someone who grew up in a place where the earth is so saturated with toxic waste that they didn’t have a choice about getting leukemia. I want a president that had an abortion at sixteen and I want a candidate who isn’t the lesser of two evils and I want a president who lost their last lover to AIDS, who still sees that in their eyes every time they lay down to rest, who held their lover in their arms and knew they were dying. I want a president with no air-conditioning, a president who has stood in line at the clinic, at the DMV, at the welfare office, and has been unemployed and laid off and sexually harassed and gaybashed and deported. I want someone who has spent the night in the tombs and had a cross burned on their lawn and survived rape. I want someone who has been in love and been hurt, who respects sex, who has made mistakes and learned from them. I want a Black woman for president. I want someone with bad teeth and an attitude, someone who has eaten that nasty hospital food, someone who crossdresses and has done drugs and been in therapy. I want someone who has committed civil disobedience. And I want to know why this isn’t possible. I want to know why we started learning somewhere down the line that a president is always a clown. Always a john and never a hooker. Always a boss and never a worker. Always a liar, always a thief, and never caught.

The important question regarding spirituality is not which God you follow but are you true to your soul? Are you living a spiritual life? Are you a kind person here on earth, getting joy from your existence, causing no harm, and doing good to others?

What we need to learn to do is to look at thought, rather than from thought.

Therapy can get you only so far with exorcising your childhood nightmares; after that it's willpower, and you, and people you can trust to hold your hand along the way.

I sit down on the bed, cradling her little head against my shoulder, inhaling her sweet baby scent. Someday she'll get older, and the world will start having its way with her. She'll throw temper tantrums, she'll need speech therapy, she'll grow breasts and have pimples, she'll fight with her parents, she'll worry about her weight, she'll put out, she'll have her heart broken, she'll be happy, she'll be lonely, she'll be complicated, she'll be confused, she'll be depressed, she'll fall in love and get married, and she'll have a baby of her own. But right now she is pure and undiminished and beautiful.

You have sex on the brain twenty-four seven Viv. I think you might need therapy." "Perhaps I do. Don't get me wrong I'm no Russell Brand, but I do have quite an avid interest in shagging.

And why do you want to be near me?" Because you're all I can think about, day and night. I don't know what the hell is going on with us; I only know I can't get rid of it. I don't care if you're batshit insane and think you're the reincarnation of Cleopatra. I hear voices; you hear dogs. We'll work it out. Maybe get a discount on therapy.

I am a cutter, you see. Also a snipper, a slicer, a carver, a jabber. I am a very special case. I have a purpose. My skin, you see, screams. It's covered with words - cook, cupcake, kitty, curls - as if a knife-wielding first-grader learned to write on my flesh. I sometimes, but only sometimes, laugh. Getting out of the bath and seeing, out of the corner of my eye, down the side of a leg: babydoll. Pull on a sweater and, in a flash of my wrist: harmful. Why these words? Thousands of hours of therapy have yielded a few ideas from the good doctors. They are often feminine, in a Dick and Jane, pink vs. puppy dog tails sort of way. Or they're flat-out negative. Number of synonyms for anxious carved in my skin: eleven. The one thing I know for sure is that at the time, it was crucial to see these letters on me, and not just see them, but feel them. Burning on my left hip: petticoat. And near it, my first word, slashed on an anxious summer day at age thirteen: wicked. I woke up that morning, hot and bored, worried about the hours ahead. How do you keep safe when your whole day is as wide and empty as the sky? Anything could happen. I remember feeling that word, heavy and slightly sticky across my pubic bone. My mother's steak knife. Cutting like a child along red imaginary lines. Cleaning myself. Digging in deeper. Cleaning myself. Pouring bleach over the knife and sneaking through the kitchen to return it. Wicked. Relief. The rest of the day, I spent ministering to my wound. Dig into the curves of W with an alcohol-soaked Q-tip. Pet my cheek until the sting went away. Lotion. Bandage. Repeat.

Do you think any of us know how to love?! Do you think anybody would ever do anything if they waited until they knew how to love?! Do you think that babies would ever get made or meals cooked or crops planed or books written or what God-damn-have-you? Do you think people would even get out of bed in the morning if they waited until they knew how to love? You have had too much therapy. Or not enough. God knows how to love, kiddo. The rest of us are only good actors. Forget love. Try good manners.

How can you get through to yourself?

I've grown up with an ethic, call it a part, that insists I hide my pain at all costs. As I talk, I feel this pain leaking out—not just the core symptom of BPD, but all the years of being blamed or ignored for my condition, and all the years I've blamed others for how I am. It's the pain of being told I was too needy even as could never get the help I needed.

Listen up, ’cause I’m only gonna say this once,” Ty muttered as they walked to their gate. “I don’t talk when I fly. I sleep. And I don’t listen when I eat, understand? I don’t wanna be buddies. I don’t wanna chat,” he said with a sarcastic lilt to the word. “I don’t wanna know about your childhood or how your momma whipped you with a rubber glove or how much therapy you had to go through ’cause you flunked out of preschool. I don’t wanna hear about how you want to be Director someday or how many collars you got chasin’ those Internet freaks or how proud you are of your bowel movements. I don’t wanna go shopping at Barney’s with you, and I’m not gonna help you pick out your ties to match your socks and, I swear to God, if you get me shot, I’ll kill you.

Most parents try really hard to give their kids the best possible life. They give them the best food and clothes they can afford, take their own kind of take on training kids to be honest and polite. But what they don't realize is no matter how much they try, their kids will get out there. Out to this complicated little world. If they are lucky they will survive, through backstabbers, broken hearts, failures and all the kinds of invisible insane pressures out there. But most kids get lost in them. They will get caught up in all kinds of bubbles. Trouble bubbles. Bubbles that continuously tell them that they are not good enough. Bubbles that get them carried away with what they think is love, give them broken hearts. Bubbles that will blur the rest of the world to them, make them feel like that is it, that they've reached the end. Sometimes, even the really smart kids, make stupid decisions. They lose control. Parents need to realize that the world is getting complicated every second of every day. With new problems, new diseases, new habits. They have to realize the vast probability of their kids being victims of this age, this complicated era. Your kids could be exposed to problems that no kind of therapy can help. Your kids could be brainwashed by themselves to believe in insane theories that drive them crazy. Most kids will go through this stage. The lucky ones will understand. They will grow out of them. The unlucky ones will live in these problems. Grow in them and never move forward. They will cut themselves, overdose on drugs, take up excessive drinking and smoking, for the slightest problems in their lives. You can't blame these kids for not being thankful or satisfied with what they have. Their mentality eludes them from the reality.

Forget about the scant hours in her brief life when Sylvia Plath was able to produce the works in Ariel. Forget about that tiny bit of time and just remember the days that spanned into years when she could not move, couldn’t think straight, could only lie in wait in a hospital bed, hoping for the relief that electroconvulsive therapy would bring. Don’t think of the striking on-screen picture, the mental movie you create of the pretty young woman being wheeled on the gurney to get her shock treatments, and don’t think of the psychedelic, photonegative image of this sane woman at the moment she receives that bolt of electricity. Think, instead, of the girl herself, of the way she must have felt right then, of the way no amount of great poetry and fascination and fame could make the pain she felt at that moment worth suffering. Remember that when you’re at the point at which you’re doing something as desperate and violent as sticking your head in an oven, it is only because the life that preceded this act felt worse. Think about living in depression from moment to moment, and know it is not worth any of the great art that comes a its by-product.

But I don't want you to keep pretending you're okay. I don't want you to keep downplaying the hurt you feel like you're not even human. You keep it up - all these lies to yourself, to other people, and soon you're not going to know who you are.

Make a schedule for yourself that incorporates time for phone calls to catch up with your annoying family and friends, sex with your boyfriend, exercise, dinners, therapy, parties, texting, social networking, mani-pedis, shopping, and the work that’s gonna get you paid to maintain the lifestyle you so desire! Create boundaries and structure! You have to be your own parent!

There is a kind of listening with half an ear that presumes already to know what the other person has to say. It is an impatient, inattentive listening, that despises the brother and is only waiting for a chance to speak and thus get rid of the other person. This is no fulfillment of our obligation, and it is certain that here too our attitude toward our brother only reflects our relationship to God. It is little wonder that we are no longer capable of the greatest service of listening that God has committed to us, that of hearing our brother's confession, if we refuse to give ear to our brother on lesser subjects. Secular education today is aware that often a person can be helped merely by having someone who will listen to him seriously, and upon this insight it has constructed its own soul therapy, which has attracted great numbers of people, including Christians. But Christians have forgotten that the ministry of listening has been committed to them by Him who is Himself the great listener and whose work they should share. We should listen with the ears of God that we may speak the Word of God.

One of the most important aspects of being verbally assertive is to be persistent and to keep saying what you want over and over again without getting angry, irritated, or loud.

How odd that we spend so much time treating the darkness, and so little time seeking the light. The ego loves to glorify itself by self-analysis, yet we do not get rid of darkness by hitting it with a baseball bat. We only get rid of darkness by turning on the light.

It’s interesting-most people think about therapy as something that involves going in and undoing what’s happened. But whatever your past experiences created in your brain, the associations exist and you can’t just delete them. You can’t get rid of the past. Therapy is more about building new associations, making new, healthier default pathways. It is almost as if therapy is taking your two-lane dirt road and building a four-lane freeway alongside it. The old road stays, but you don’t use it much anymore. Therapy is building a better alternative, a new default. And that takes repetition, and time, honestly, it works best if someone understands how the brain changes. This is why understanding how trauma impacts our health is essential for everyone.

And anyway, considering that her mother dies and her boyfriend's spending a small fortune to get high off someone else's bad breath, I'd say Sophie's next in line for therapy.

Someone's got to do some more research, but I would really like to know: when a CBT therapist really gets distressed, who does he go see?

There's something satisfying about getting your hands in the soil.

You can get attached to plants when you lose faith in people.

Secondly, extroverts often incorrectly assume that introverts are suffering. Introverts internalize problems; we like to take things inside and work on them there. Extroverts prefer to externalize and deal with problems interactively. Because of this difference, introverts may seem psychologically burdened, while extroverts spread the burden around and seem healthier—from an extroverted standpoint. But note that I said introverts like to take problems inside. Sure, an introvert can overdo it, but so can the extrovert who feels compelled to express every unresolved thought or emotion. The former gets depressed or anxious and goes to therapy; the latter sends others to therapy.

I was on a mission. I had to learn to comfort myself, to see what others saw in me and believe it. I needed to discover what the hell made me happy other than being in love. Mission impossible. When did figuring out what makes you happy become work? How had I let myself get to this point, where I had to learn me..? It was embarrassing. In my college psychology class, I had studied theories of adult development and learned that our twenties are for experimenting, exploring different jobs, and discovering what fulfills us. My professor warned against graduate school, asserting, "You're not fully formed yet. You don't know if it's what you really want to do with your life because you haven't tried enough things." Oh, no, not me.." And if you rush into something you're unsure about, you might awake midlife with a crisis on your hands," he had lectured it. Hi. Try waking up a whole lot sooner with a pre-thirty predicament worm dangling from your early bird mouth. "Well to begin," Phone Therapist responded, "you have to learn to take care of yourself. To nurture and comfort that little girl inside you, to realize you are quite capable of relying on yourself. I want you to try to remember what brought you comfort when you were younger." Bowls of cereal after school, coated in a pool of orange-blossom honey. Dragging my finger along the edge of a plate of mashed potatoes. I knew I should have thought "tea" or "bath," but I didn't. Did she want me to answer aloud? "Grilled cheese?" I said hesitantly. "Okay, good. What else?" I thought of marionette shows where I'd held my mother's hand and looked at her after a funny part to see if she was delighted, of brisket sandwiches with ketchup, like my dad ordered. Sliding barn doors, baskets of brown eggs, steamed windows, doubled socks, cupcake paper, and rolled sweater collars. Cookouts where the fathers handled the meat, licking wobbly batter off wire beaters, Christmas ornaments in their boxes, peanut butter on apple slices, the sounds and light beneath an overturned canoe, the pine needle path to the ocean near my mother's house, the crunch of snow beneath my red winter boots, bedtime stories. "My parents," I said. Damn. I felt like she made me say the secret word and just won extra points on the Psychology Game Network. It always comes down to our parents in therapy.

Before drifting away entirely, he found himself reflecting---not for the first time---on the peculiarity of adults. Thet took laxatives, liquor, or sleeping pills to drive away their terrors so that sleep would come, and their terrors were so tame and domestic: the job, the money, what the teacher will think if I can't get Jennie nicer clothes, does my wife still love me, who are my friends. They were pallid compared to the fears every child lies cheek and jowl with in his dark bed, with no one to confess to in hope of perfect understanding but another child. There is no group therapy or psychiatry or community social services for the child who must cope with the thing under the bed or in the cellar every night, the thing which leers and capers and threatens just beyond the point where vision will reach. The same lonely battle must be fought night after night and the only cure is the eventual ossification of the imaginary faculties, and this is called adulthood.

From a distance,' he says, 'my car looks just like every other car on the freeway, and Sarah Byrnes looks just like the rest of us. And if she's going to get help, she'll get it from herself or she'll get it from us. Let me tell you why I brought this up. Because the other day when I saw how hard it was for Mobe to go to the hospital to see her, I was embarrassed that I didn't know her better, that I ever laughed at one joke about her. I was embarrassed that I let some kid go to school with me for twelve years and turned my back on pain that must be unbearable. I was embarrassed that I haven't found a way to include her somehow the way Mobe has.' Jesus. I feel tears welling up, and I see them running down Ellerby's cheeks. Lemry better get a handle on this class before it turns into some kind of therapy group. So,' Lemry says quietly, 'your subject will be the juxtaposition of man and God in the universe?' Ellerby shakes his head. 'My subject will be shame.

Build a life worth living. I stare at this phrase on my ceiling every morning before I decide to get out of bed. I painted it a few years ago after completing a few months of dialectal behavioral therapy. It is a quote by Marsha Linehan, who created DBT. After therapy, I impulsively decided to paint it on my ceiling in black, as some sort of reminder to build a life worth living. I don’t regret painting it up there - well, not yet, at least.

Unfortunately, you’re wrong. Motivation does not come first, action does! You have to prime the pump. Then you will begin to get motivated, and the fluids will flow spontaneously.

The price you pay for your addiction to praise will be an extreme vulnerability to the opinions of others. Like any addict, you will find you must continue to feed your habit with approval in order to avoid withdrawal pangs. The moment someone who is important to you expresses disapproval, you will crash painfully, just like the junkie who can no longer get his “stuff.” Others will be able to use this vulnerability to manipulate you. You will have to give in to their demands more often than you want to because you fear they might reject or look down on you. You set yourself up for emotional blackmail.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

Therapists don’t perform personality transplants; they just help to take the sharp edges off. A patient may become less reactive or critical, more open and able to let people in. In other words, therapy is about understanding the self that you are. But part of getting to know yourself is to unknow yourself—to let go of the limiting stories you’ve told yourself about who you are so that you aren’t trapped by them, so you can live your life and not the story you’ve been telling yourself about your life.

You'd never tell an athlete to just get over a sprain; you'd give them time to recover, physical therapy, whatever they needed. Why are mental health conditions any different?

This is data as you have never known it: it is data as therapy. It is understanding as a source of mental peace. Because the world is not as dramatic as it seems. Factfulness, like a healthy diet and regular exercise, can and should become part of your daily life. Start to practice it, and you will be able to replace your overdramatic worldview with a worldview based on facts. You will be able to get the world right without learning it by heart. You will make better decisions, stay alert to real dangers and possibilities, and avoid being constantly stressed about the wrong things.

I’ve read that, for some borderlines, the flip side of abandonment fear is the fear of engulfment. It’s another one of those “screwed if you do, screwed if you don’t” situations. All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

The best way to get quiet, other than the combination of extensive therapy, Prozac, and a lobotomy, is first to notice that the station is on. KFKD [K-Fucked] is on every single morning when I sit down at my desk. So I sit for a moment and then say a small prayer--please help me get out of the way so I can write what wants to be written. Sometimes ritual quiets the racket. Try it. Any number of things may work for you--an altar, for instance, or votive candles, sage smudges, small-animal sacrifices, especially now that the Supreme Court has legalized them.

After a while Mary said, “Zsadist?” “Yeah?” “What are those markings?” His frowned and flicked his eyes over to her, thinking, as if she didn’t know? But then . . . well, she had been a human. Maybe she didn’t. “They’re slave bands. I was . . . a slave.” “Did it hurt when they were put on you?” “Yes.” “Did the same person who cut your face give them to you?” “No, my owner’s hellren did that. My owner . . . she put the bands on me. He was the one who cut my face.” “How long were you a slave?” “A hundred years.” “How did you get free?” “Phury. Phury got me out. That’s how he lost his leg.” “Were you hurt while you were a slave?” Z swallowed hard. “Yes.” “Do you still think about it?” “Yes.” He looked down at his hands, which suddenly were in pain for some reason. Oh, right. He’d made two fists and was squeezing them so tightly his fingers were about to snap off at the knuckles. “Does slavery still happen?” “No. Wrath outlawed it. As a mating gift to me and Bella.” “What kind of slave were you?” Zsadist shut his eyes. Ah, yes, the question he didn’t want to answer. For a while it was all he could do to force himself to stay in the chair. But then, in a falsely level voice, he said, “I was a blood slave. I was used by a female for blood.” The quiet after he spoke bore down on him, a tangible weight. “Zsadist? Can I put my hand on your back?” His head did something that was evidently a nod, because Mary’s gentle palm came down lightly on his shoulder blade. She moved it in a slow, easy circle. “Those are the right answers,” she said. “All of them.” He had to blink fast as the fire in the furnace’s window became blurry. “You think?” he said hoarsely. “No. I know.

Dissociation leaves us disconnected from our memories, our identities and our emotions. It breaks the trauma into digestible components, so that different aspects of the trauma get stored in different compartments in our brain. What happens as a result is that the information from the trauma becomes disorganized and we are not able to integrate these pieces into a coherent narrative and process trauma fully until, hopefully, with the help of a validating, trauma-informed counselor who guides us to the appropriate therapies best suited to our needs, we confront the trauma and triggers in a safe place.

DBT's catchphrase of developing a life worth living means you're not just surviving; rather, you have good reasons for living. I'm also getting better at keeping another dialectic in mind: On the one hand, the disorder decimates all relationships and social functions, so you're basically wandering in the wasteland of your own failure, and yet you have to keep walking through it, gathering the small bits of life that can eventually go into creating a life worth living. To be in the desolate badlands while envisioning the lush tropics without being totally triggered again isn't easy, especially when life seems so effortless for everyone else.

Changing the memories that form the way we see ourselves also changes the way we view others. Therefore, our relationships, job performance, what we are willing to do or are able to resist, all move in a positive direction.

It must stink to know everyone’s future but your own. (Danger) You’ve no idea. It’s actually cruel in my opinion. But then maybe it doesn’t matter after all since futures can and do change. Something as simple as you’re supposed to turn right down a street one day…and in your bones you know it, and yet for reasons no one understands, you decide to debunk fate and go left. Now instead of meeting the spouse of your dreams and having a house full of kids, you get flattened by an ice-cream truck and spend the next five years in physical therapy. And all because you exercised free will and turned the opposite way on a whim. (Alexion)

There is a very dark and painful side to life, but that is natural. People in our culture think they should never be unhappy. They think that being unhappy is unnatural. They try to make it go away. They take pills or they go to therapy to "fix" themselves. They blame themselves or others for their suffering. We need to understand that sadness is as much a part of life as joy. It would be easy just to get bitter and cold while focusing on the dark side, but there is also an amazing, wonderful side of life. If you look for it, there is true magic all around us. Maybe that sounds trite to the hardened, self-protective modern ego, but there is magiv in this miraculous life. If you open yourself up, you do make yourself vulnerable to pain but the deeper the pain you experience, the deeper joy you have.

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.

I'm not sad or embarrassed to be an alcoholic anymore. I get irritated when I hear parents use that jokey shorthand: God, I hope my kid doesn't end up in rehab. Or: God, I hope my kid doesn't end up in therapy. I understand the underlying wish -- I hope my kid grows up happy and safe. When we say things like that, though, we underscore the false belief that people who seek help are failures and people who don't seek help are a success. It's not true. Some of the healthiest, most accomplished people I know went to both rehab and therapy, and I've known some sick motherfuckers who managed to avoid both.

Suppressing Your Thoughts Suppose you have a thought you don’t like. You’ll apply your verbal problem-solving strategies to it. For example, when the thought comes up, you may try to stop thinking it. There is extensive literature on what is likely to happen as a result. Harvard psychologist Dan Wegner (1994) has shown that the frequency of the thought that you try not to think may go down for a short while, but it soon appears more often than ever. The thought becomes even more central to your thinking, and it is even more likely to evoke a response. Thought suppression only makes the situation worse.

In Gretchen Schmelzer’s excellent, gentle book, Journey Through Trauma, she insists on the fifth page: “Some of you may choose a therapist: a psychiatrist, psychologist, social worker, counselor, or member of the clergy. Some of you may choose some form of group therapy. But I am telling you up front, at the beginning: in order to heal, you will need to get help. I know you will try to look for the loophole in this argument—try to find a way that you can do this on your own—but you need to trust me on this. If there were a way to do it on your own I would have found it. No one looked harder for that loophole than I did.

I, also, decided to get rid of the need of approval. That is a strong addiction, the need of approval, isn't it? That---I'm on the patch right now, actually. It releases small doses of approval until I no longer crave it. And, I'm going to rip it off!

A tree grows taller to the degree that its roots go deeper and wider. If we wish to jump high, we must first bend close to the ground to get the impetus for the spring. Like a jet engine, we move forward by thrusting backward. In therapy each backward move provides the energy for the leap forward. Regression and progression go on side by side.

When I look at my father, I can see that he doesn't get it, either, and right then and there, I realize that there's a big part of me that my parents will never get no matter how many therapy sessions we attend - even if we have a million and one conversations about who I am.

A supervisor once likened doing psychotherapy to undergoing physical therapy. It can be difficult and cause pain, and your condition can worsen before it improves, but if you go consistently and work hard when you’re there, you’ll get the kinks out and function so much better.

Former pleasures meant nothing to me anymore. Life was a series of tasks to be endured, and even the simplest ones were painfully arduous. It took everything I could muster to cook a meal, wash the dishes, or do the laundry. My income was virtually nonexistent. My occupation was therapy.

In the last twenty-five years, the borderline patient, who confronts the psychiatrist not with well-defined symptoms but with diffuse dissatisfactions, has become increasingly common. He does not suffer from debilitating fixations or phobias or from the conversion of repressed sexual energy into nervous ailments; instead he complains "of vague, diffuse dissatisfactions with life" and feels his "amorphous existence to be futile and purposeless." He describes "subtly experienced yet pervasive feelings of emptiness and depression," "violent oscillations of self-esteem," and "a general inability to get along." He gains "a sense of heightened self-esteem only by attaching himself to strong, admired figures whose acceptance he craves and by whom he needs to feel supported." Although he carries out his daily responsibilities and even achieves distinction, happiness eludes him, and life frequently strikes him as not worth living.

For you know that you can get nothing more out of this lifetime. When you have time, when you have had the time to rest and re-energize your soul, you are allowed to choose your re-entry back into the physical state. Those people who hesitate, who are not sure of their return here, they might lose the chance that was given them, a chance to fulfill what they must when they’re in physical state.” I

He smiled without his teeth. Small, shyly. I found myself smiling back. Like an impulse Then he ruined it by saying… "You're not like other girls, are you?" And I activated. Every single emotion I'd been squashing into my guts exploded like a burst appendix. I jumped off the bed and turned to him with a scowl I was sure he'd need permanent therapy to recover from. "Are you kidding me Harry?" "Woah Audrey. Hey, hey, hey. It's a compliment." I felt like screaming. "It's NOT a compliment. I threw my arms up, any motion to get rid of the rage pulsing through me. It's an insult to every single woman on this PLANET. Don't you DARE try and pull that shit on me. "What shit?!" Harry was stupid enough to ask. "I was saying something nice…" I shook my head so hard. "No, you were saying something clichéd and UNTRUE. I AM like other girls, Harry. Don't misinterpret my hatred of romance as some kooky, laid-back, manic pixie NONSENSE. I am DAMAGED. I am not CUTE. I am emotionally-fucking-traumatised right now, okay? I am screaming on the inside. I am too angry and messed up to contain all the stuff girls spend every day containing. That's why I seem different. That is NOT sexy.

that was bad; i shouldn't have done that to prevent you from entering a catatonic state i am going to maintain a calm facial expression with crinkly eyes and an overall friendly demeanor i believe in a human being that is not upset i believe if you are working i should not be insane or upset--why am i ever insane or upset and not working? i vacuumed the entire house this morning i cleaned the kitchen and the computer room and i made you a meat helmet with computer paper the opportunity for change exists in each moment, all moments are alone and separate from other moments, and there are a limited number of moments and the idea of change is a delusion of positive or negative thinking your hands are covering your face and your body moves like a statue when i try to manipulate an appendage if i could just get you to cry tears of joy one more time

People architect new lives all the time. I know this because I never see them again once they find these new lives. They have children or they move to new cities or even just to new neighborhoods or you hate their spouse or their spouse hates you or they start working the night shift or they start training for a marathon or they stop going to bars or they start going to therapy or they realize they don’t like you anymore or they die. It happens constantly. It’s just me. I haven’t built anything new. I’m the one getting left behind.

Some people give their demon so much room that there is no space in their head or bed for love. They feed their demon and it gets really strong and then it makes them stay in abusive relationships or starve their beautiful bodies. But sometimes, you get a little older and get a little bored of the demon. Through good therapy and friends and self-love you can practice treating the demon like a hacky, annoying cousin.

I’M SORRY I am developing a new board game. It’s called “I’m Sorry.” It’s also a form of “Self-Help Psychological Therapy!” You take turns moving around the board like Monopoly. But if you land on a Yellow or Green “I’m Sorry Space”… you have to make a Phone call. Both green and yellow cards are labeled- the same with things like: Your Ex, Parental figure, friend, co-worker, boss, children, etc. You get the point… If you land on the yellow space, the game stops, everyone gets quiet and you have to call that person up – on speakerphone. You apologize for something you’ve done in your past. Come on you know you are not perfect and you probably screwed up, hurt or disappointed everyone in your past at one time or another. So you call and you apologize. You explain what you did to them wrong if they forgive you, you move forward 10 places and everyone cheers! No forgiveness back- you move back to the beginning. If you land on the green space- it’s similar. But you call the person up and you try to explain to them how, in someway, they hurt you in the past. If they apologize… cheers and you move forward 10 spaces. No apology… move backward ten spaces. They curse at you- game over. In the original packaging of the yellow and green cards, are mixed in a set of “I’m Sorry Cards.” If you are lucky enough to get to pick up an “I’m Sorry Card,” it’s like a Get Out of Jail Free Card, and you don’t have to make the call. The only catch is that the cards come hermetically sealed. After opening up the package, and the cards are exposed to air, all of the “I’m Sorry Cards,” magically turn into “Deal With it Cards!” And so, you really never get a free ride. In reality, every time you pick up a yellow or green card, you have to- Deal with It! Of course you can always order a new factory set of sealed of “I’m Sorry Cards.” But they only last about 30 minutes and are very expensive, so you’ll have to play fast. Cute Game? Hey, don’t steal my idea!!!

It’s tragic. The wounds that humans get are so strong that they’re like robots operating on childhood programming. And even if they learn the truth about themselves in therapy and rehab, they still cling to their false beliefs and make choices that don’t serve them—over and over again.” He shakes his head at the cosmic absurdity of it all. “It takes hard, conscious, diligent work to genuinely change.

            Tempting as it may be to draw one conclusion or another from my story and universalize it to apply to another's experience, it is not my intention for my book to be seen as some sort of cookie-cutter approach and explanation of mental illness, It is not ab advocacy of any particular form of therapy over another. Nor is it meant to take sides in the legitimate and necessary debate within the mental health profession if which treatments are most effective for this or any other mental illness.             What it is, I hope, is a way for readers to get a true feel for what it's like to be in the grips of mental illness and what it's like to strive for recovery.

It is not unreasonable to want repentance from a wrongdoer before forgiving that wrongdoer, since, in the absence of repentance, hasty forgiveness may harm both the forgiver and the wrongdoer. The forgiver may be harmed by a failure to show self-respect. The wrongdoer may be harmed by being deprived of an important incentive - the desire to be forgiven - that could move him toward repentance and moral rebirth.

I may have no emotional skin and come undone at the smallest interpersonal upset, but I’d make a great bullfighter or firefighter—anything that gets my adrenaline going and focuses me on a physical target. The motorcycle is all of that and more. When I’m on the bike, it feels like a door opens in my chest and the world rushes in, pure, fresh, and sparkling with clarity. It forces me to approach fear with total awareness and to pull reason mind into the moment of intense reactions.

Parents need to realize that the world is getting complicated every second. With new problems, new diseases, new habits. They have to realize the vast probability of their kids being victims of this age, this complicated era. Your kids could be exposed to problems that no kind of therapy can help. Your kids could be brainwashed by themselves to believe in insane theories that drive them crazy. Most kids will go through this stage. The lucky ones will understand. They will grow out of them. The most unlucky ones will live in these problems. Grow in them and never move forward. They will cut themselves, overdose on drugs, take up excessive drinking and smoking, for the slightest problems in their lives. You can't blame these kids for not being thankful or satisfied with what they have. Their mentality eludes them from the reality.

There’s no reason, on paper at least, why I need these pills to get through life. I had a great childhood, loving parents, the whole package. I wasn’t beaten, abused, or expected to get nothing but As. I had nothing but love and support, but that wasn’t enough somehow. My friend Erin says we all have demons inside us, voices that whisper we’re no good, that if we don’t make this promotion or ace that exam we’ll reveal to the world exactly what kind of worthless sacks of skin and sinew we really are. Maybe that’s true. Maybe mine just have louder voices. But I don’t think it’s as simple as that. The depression I fell into after university wasn’t about exams and self-worth, it was something stranger, more chemical, something that no talking cure was going to fix. Cognitive behavioral therapy, counseling, psychotherapy—none of it really worked in the way that the pills did. Lissie says she finds the notion of chemically rebalancing your mood scary, she says it’s the idea of taking something that could alter how she really is. But I don’t see it that way; for me it’s like wearing makeup—not a disguise, but a way of making myself more how I really am, less raw. The best me I can be.

There’s a term we use in therapy: forced forgiveness. Sometimes people feel that in order to get past a trauma, they need to forgive whoever caused the damage—the parent who sexually assaulted them, the burglar who robbed their house, the gang member who killed their son. They’re told by well-meaning people that until they can forgive, they’ll hold on to the anger. Granted, for some, forgiveness can serve as a powerful release—you forgive the person who wronged you, without condoning his actions, and it allows you to move on. But too often people feel pressured to forgive and then end up believing that something’s wrong with them if they can’t quite get there—that they aren’t enlightened enough or strong enough or compassionate enough. So what I say is this: You can have compassion without forgiving. There are many ways to move on, and pretending to feel a certain way isn’t one of them.

And so we see people who are spiritually disconnected, living in boxes and driving in boxes, perhaps once a year going "out to nature" to get a small touch of what was once the daily experience of humans. These people seek escape. They sit in urban and suburban homes and feel miserable, not knowing why, experiencing anxiety and fear and pain that cannot be softened by drugs or TV or therapy because they are afflicted with a sickness of the soul, not of the mind.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

I hadn't realized how supremely shit-housed I was until we stumbled into our room at the Embassy Suites. You ever been so drunk you forgot that you have to shit until the last minute? Well I was at that stage. I nearly had my pants completely off when SlingBlade snaked past me and got into the toilet first. Fine, I go get out of my bar clothes and change into a t-shirt and pink Gap boxers to sleep in. I wait patiently for about three minutes, then I start pounding on the door, screaming at him that I am going to shit on his bed if he doesn't get out of there. A short time later he opens the door laughing his ass off, and says, "That was perhaps the most prodigious shit ever. I just put that toilet into therapy." I take a gander into the bathroom. It looks like Revelations. The toilet is overflowing, brown shit water is spilling out all over the bathroom floor, and the tank is making demonic gurgling noises. THE MOTHERFUCKER CLOGGED UP A HOTEL TOILET! Hotel toilets are industrial size; they are designed to be able to accommodate repeated elephant-sized shits, and their ram-jet engine flushes generate enough force to suck down a human infant, yet skinny ass 170-pound SlingBlade completely killed ours.

When people recover from depression via psychotherapy, their attributions about recovery are likely to be different than those of people who have been treated with medication. Psychotherapy is a learning experience. Improvement is not produced by an external substance, but by changes within the person. It is like learning to read, write or ride a bicycle. Once you have learned, the skills stays with you. People no not become illiterate after they graduate from school, and if they get rusty at riding a bicycle, the skill can be acquired with relatively little practice. Furthermore, part of what a person might learn in therapy is to expect downturns in mood and to interpret them as a normal part of their life, rather than as an indication of an underlying disorder. This understanding, along with the skills that the person has learned for coping with negative moods and situations, can help to prevent a depressive relapse.

Every addiction story wants a villain. But America has never been able to decide whether addicts are victims or criminals, whether addiction is an illness or a crime. So we relieve the pressure of cognitive dissonance with various provisions of psychic labor - some addicts got pitied, others get blamed - that keep overlapping and evolving to suit our purposes: Alcoholics are tortured geniuses. Drug addicts are deviant zombies. Male drunks are thrilling. Female drunks are bad moms. White addicts get their suffering witnessed. Addicts of color get punished. Celebrity addicts get posh rehab with equine therapy. Poor addicts get hard time. Someone carrying crack gets five years in prison, while someone driving drunk gets a night in jail, even though drunk driving kills more people every year than cocaine. In her seminal account of mass incarceration, The New Jim Crow, legal scholar Michelle Alexander points out that many of these biases tell a much larger story about 'who is viewed as disposable - someone to be purged from the body politic - and who is not.' They aren't incidental discrepancies - between black and white addicts, drinkers and drug users - but casualties of our need to vilify some people under the guise of protecting others.

The first generation of therapists doing this work were told by their clients that the one massive cult was everywhere, knew everything, had access to state-of-the-art technology, and was willing to kill both clients and therapists to stop the information from getting out." [] "The reality is that even before stories of ritual abuse and mind control began coming out to therapists, the groups had agreed on what kind of disinformation to spread, so that clients would be afraid to tell their therapists what had happened to them, and therapists would be afraid to work with these clients." [ ] "We know that there is not one massive Satanic cult, but many different interrelated groups, including religious, military/political, and organized crime, using mind control on children and adult survivors. We know that there are effective treatments. We know that many of the paralyzing beliefs our clients lived by are the results of lies and tricks perpetrated by their abusers.

Dr. Talbon was struck by another very important thing. It all hung together. The stories Cheryl told — even though it was upsetting to think people could do stuff like that — they were not disjointed They were not repetitive in terms of "I've heard this before". It was not just she'd someone trying consciously or unconsciously to get attention. really processed them out and was done with them. She didn't come up with them again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something. Or that she was just living in this stuff like it was her life. Once she dealt with it and processed it, it was gone. We just went on to other things. 'Throughout the whole thing, emotionally Cheryl was getting her life together. Parts of her were integrating where she could say,"I have a sense that some particular alter has folded in with some basic alter", and she didn't bring it up again. She didn't say that this alter has reappeared to cause more problems. That just didn't happen. The therapist had learned from training and experience that when real integration occurs, it is permanent and the patient moves on.

When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.

Some seek the comfort of their therapist’s office, others head for the corner pub and dive into a pint, but I choose running as my therapy. It was the best source of renewal there was. I couldn’t recall a single time that I felt worse after a run than before. What drug could compete? As Lily Tomlin said, “Exercise is for people who can’t handle drugs and alcohol.” I’d also come to recognize that the simplicity of running was quite liberating. Modern man has virtually everything one could desire, but too often we’re still not fulfilled. “Things” don’t bring happiness. Some of my finest moments came while running down the open road, little more than a pair of shoes and shorts to my name. A runner doesn’t need much. Thoreau once said that a man’s riches are based on what he can do without. Perhaps in needing less, you’re actually getting more.

Speech therapy is an art that deserves to be more widely known. You cannot imagine the acrobatics your tongue mechanically performs in order to produce all the sounds of a language. Just now I am struggling with the letter l, a pitiful admission for an editor in chief who cannot even pronounce the name of his own magazine! On good days, between coughing fits, I muster enough energy and wind to be able to puff out one or two phonemes. On my birthday, Sandrine managed to get me to pronounce the whole alphabet more or less intelligibly. I could not have had a better present. It was as if those twenty-six letters and been wrenched from the void; my own hoarse voice seemed to emanate from a far-off country. The exhausting exercise left me feeling like a caveman discovering language for the first time. Sometimes the phone interrupts our work, and I take advantage of Sandrine's presence to be in touch with loved ones, to intercept and catch passing fragments of life, the way you catch a butterfly. My daughter, Celeste, tells me of her adventures with her pony. In five months she will be nine. My father tells me how hard it is to stay on his feet. He is fighting undaunted through his ninety-third year. These two are the outer links of the chain of love that surrounds and protects me. I often wonder about the effect of these one-way conversations on those at the other end of the line. I am overwhelmed by them. How dearly I would love to be able to respond with something other than silence to these tender calls. I know that some of them find it unbearable. Sweet Florence refuses to speak to me unless I first breathe noisily into the receiver that Sandrine holds glued to my ear. "Are you there, Jean-Do?" she asks anxiously over the air. And I have to admit that at times I do not know anymore.

Do some magic,” Ryan whispered to me, right in my ear. “Slowly. So I can watch.” “When we get out of here, I’m going to do so much magic all over you,” I told him. “You’re going to be covered in it.” At that moment, I really wished I’d been born mute and had never set eyes on Ryan Foxheart. “Make it stop!” Gary wailed. “Yeah. Cover me in your magic.” Ryan was blushing so hard, I thought his face was about to explode. “I want to stop talking. You have no idea how much I want to stop talking.” He leaned closer and I could feel his breath on my face. It smelled of corn and eroticism. “Um,” Eloise said. “Maybe you guys could—” We ignored her completely. “I’m going to do so many spells,” I said, because it seemed impossible for me to stop. “You won’t even believe how many spells I can do. Flora Bora Slam, motherfucker.” Our lips were inches apart. “I want you to Flora Bora Slam me,” Ryan said and I just choked. “Therapy,” Gary said. “I’m going to need so much therapy. It’s like watching cows mating and it’s wet and sticky and uncomfortable but I can’t look away because I’m worried some of it is going to get on me.

A modern fad which has gained widespread acceptance amongst the semi-educated who wish to appear secular is the practice of meditation. They proclaim with an air of smug superiority, ‘Main mandir-vandir nahin jaata, meditate karta hoon (I don’t go to temples or other such places, I meditate).’ The exercise involves sitting lotus-pose (padma asana), regulating one’s breathing and making your mind go blank to prevent it from ‘jumping about like monkeys’ from one (thought) branch to another. This intense concentration awakens the kundalini serpent coiled at the base of the spine. It travels upwards through chakras (circles) till it reaches its destination in the cranium. Then the kundalini is fully jaagrit (roused) and the person is assured to have reached his goal. What does meditation achieve? The usual answer is ‘peace of mind’. If you probe further, ‘and what does peace of mind achieve?’, you will get no answer because there is none. Peace of mind is a sterile concept which achieves nothing. The exercise may be justified as therapy for those with disturbed minds or those suffering from hypertension, but there is no evidence to prove that it enhances creativity. On the contrary it can be established by statistical data that all the great works of art, literature, science and music were works of highly agitated minds, at times minds on the verge of collapse. Allama Iqbal’s short prayer is pertinent: Khuda tujhey kisee toofaan say aashna kar dey Keh terey beher kee maujon mein iztiraab naheen (May God bring a storm in your life, There is no agitation in the waves of your life’s ocean.)

People with an entertaining rigid structure are brought up in environments in which the parents are uncomfortable with expressing feelings. This is not to say that the parents do not care, but they do not express feelings like affection, warmth, and caring or feel comfortable with expressing such feelings (Keleman). The experience within the family is not one of intimacy and true interchange of feeling. To contend with the situation, the child may learn to draw out the parents by being cute, entertaining, or charming. Although being charming is something most children do naturally to some extent, the difference in the case of people with an entertaining rigid structure is that this becomes the primary mode of relating. Furthermore, the entertaining rigid structure pattern is reinforced as the parents respond primarily to the child's charm, rather than to their own feelings. Therefore, such children effectively learn that they will not get the reaction they crave without using that behavior. At the same time, these children are also developing or have developed a discomfort with intimacy that is similar to that of their parents. As a result, people with an entertaining rigid structure as adults act out this pattern in which they are energized or emotionally fed by being able to cause another person to be attracted to them, but they become anxious if the person becomes too close or expresses "real" feeling. Love is what they are really craving, and they think they are getting it, but are not. In other words, they have mistaken the energy of attraction for love.

Although the idea has been around for ages, most depressed people do not really comprehend it. If you feel depressed, you may think it is because of bad things that have happened to you. You may think you are inferior and destined to be unhappy because you failed in your work or were rejected by someone you loved. You may think your feelings of inadequacy result from some personal defect—you may feel convinced you are not smart enough, successful enough, attractive enough, or talented enough to feel happy and fulfilled. You may think your negative feelings are the result of an unloving or traumatic childhood, or bad genes you inherited, or a chemical or hormonal imbalance of some type. Or you may blame others when you get upset: “It’s these lousy stupid drivers that tick me off when I drive to work! If it weren’t for these jerks, I’d be having a perfect day!” And nearly all depressed people are convinced that they are facing some special, awful truth about themselves and the world and that their terrible feelings are absolutely realistic and inevitable. Certainly all these ideas contain an important gem of truth—bad things do happen, and life beats up on most of us at times. Many people do experience catastrophic losses and confront devastating personal problems. Our genes, hormones, and childhood experiences probably do have an impact on how we think and feel. And other people can be annoying, cruel, or thoughtless. But all these theories about the causes of our bad moods have the tendency to make us victims—because we think the causes result from something beyond our control. After all, there is little we can do to change the way people drive at rush hour, or the way we were treated when we were young, or our genes or body chemistry (save taking a pill). In contrast, you can learn to change the way you think about things, and you can also change your basic values and beliefs. And when you do, you will often experience profound and lasting changes in your mood, outlook, and productivity. That, in a nutshell, is what cognitive therapy is all about. The theory is straightforward

Dear Jessa, I’ve started this letter so many times and I’ve never been able to finish it. So here goes again . . . I’m sorry. I’m sorry that Riley is dead. I’m sorry for ignoring your emails and for not being there for you. I’m sorry I’ve hurt you. There isn’t a day that goes by that I don’t wish it had been me that died and not Riley. If I could go back in time and change everything I would. I’m sorry I left without a word. There’s no excuse for my behaviour but please know that it had nothing to do with you. I was a mess. I haven’t been able to talk to anyone for months. And I felt too guilty and didn’t know how to tell you the truth about what happened. I couldn’t bear the thought of you knowing. I got all your emails but I didn’t read them until last week. I couldn’t face it and I guess that makes me the biggest coward you’ll ever meet. I’m sorry. I’m sorry I never replied. You needed me and I wasn’t there for you. I don’t even know how to ask your forgiveness because I don’t deserve it. I’m just glad you’re doing better. I’m better too. I’ve started seeing a therapist – twice a week – you’d like her. She reminds me of Didi. I never thought I’d be the kind of guy who needed therapy, but they made it a condition of me keeping my job. She’s helped me a lot with getting the panic attacks under control. Working in a room the size of a janitor’s closet helps too – there aren’t too many surprises, only the occasional rogue paperclip. I asked for the posting. I have to thank your dad ironically. The demotion worked out. Kind of funny that I totally get where your father was coming from all those years. Looks like I’ll be spending the remainder of my marine career behind a desk, but I’m OK with that. I don’t know what else to say, Jessa. My therapist says I should just write down whatever comes into my head. So here goes. Here’s what’s in my head . . . I miss you. I love you. Even though I long ago gave up the right to any sort of claim over you, I can’t stop loving you. I won’t ever stop. You’re in my blood. You’re the only thing that got me through this, Jessa. Because even during the bad times, the worst times, the times I’d wake up in a cold sweat, my heart thumping, the times I’d think the only way out was by killing myself and just having it all go away, I’d think of you and it would pull me back out of whatever dark place I’d fallen into. You’re my light, Jessa. My north star. You asked me once to come back to you and I told you I always would. I’m working on it. It might take me a little while, and I know I have no right to ask you to wait for me after everything I’ve done, but I’m going to anyway because the truth is I don’t know how to live without you. I’ve tried and I can’t do it. So please, I’m asking you to wait for me. I’m going to come back to you. I promise. And I’m going to make things right. I’ll do whatever it takes. I’ll never stop trying for the rest of my life to make things right between us. I love you. Always. Kit

Follow your doctor’s orders. For me that means antidepressants and behavioral therapy. Exercise thirty minutes a day, six days a week. Get sunlight, or if you can’t, use light therapy. Do not overuse your light therapy lamp even though you want to. Treat yourself like you would your favorite pet. Plenty of fresh water, lots of rest, snuggles as needed, allow yourself naps. Avoid negativity. That means the news, people, movies. It will all be there when you’re healthy again. The world will get on without your seeing it. Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for. Those terrible things you tell yourself? Can you imagine if the person you love most were telling themselves those things? You’d think they were crazy. And wrong. They think the same about you. Those negative things you are thinking are not rational. Remember that depression lies and that your brain is not always trustworthy. Give yourself permission to recover. I’m lucky that I can work odd hours and take mental health days but I still feel shitty for taking them. Realize that sometimes these slow days are necessary and healthy and utterly responsible. Watch Doctor Who. Love on an animal. Go adopt a rescue, or if you can’t, go to the shelter and just snuggle a kitten. Then realize that that same little kitten that you’re cradling isn’t going to accomplish shit but is still wonderful and lovely and so important. You are that kitten. Get up. Go brush your teeth. Go take a hot shower. If you do nothing else today just change into a new pair of pajamas. It helps. Remember that you are not alone. There are crisis lines filled with people who want to help. There are people who love you more than you know. There are people who can’t wait to meet you because you will teach them how unalone they are. You are so worthy of happiness and it will come.

Of course, we cannot deny the fact that many people live for a long time even though they idealize the parents who were once cruel to them. But we do not know how they contrived to come to terms with their own un-truth. Most of them passed it on unconsciously to the next generation. What we do know is that, at some point, the writers we have been discussing began to suspect their own truth. But isolated in a society that will always take the part of the parents, they were unable to find the courage to abandon their denial. Just how strong this social pressure can be is something that each and every one of us can experience for ourselves. Adults realizing that they were cruelly treated by their mothers in childhood and talking openly and frankly about that fact will invariably get the same response, from therapists as much as anyone else: “Yes, but she had a difficult time of it, and she did a lot for you. You shouldn’t condemn her; you shouldn’t see things in black and white and take a one-sided view of things. There’s no such thing as ideal parents, etc.” The impression we get is that the people who talk in this way are, in fact, defending their own mothers, though the person they are speaking to is not attacking them. This social pressure is much stronger than we tend to realize. So I hope very much that my discussion of these writers will not be understood as a criticism of their lack of courage. It is meant rather as a sympathetic portrayal of the tragedy of people unable in their isolation to admit their own personal truth, although they sensed it deep down in their own selves. I am writing this book in the hope of being able to reduce that isolation. In therapy, it is by no means unusual to encounter the loneliness of the small child that the adult once was. After all, therapy itself is usually conducted in a way that is also dictated by the Fourth Commandment.

Rea­sons Why I Loved Be­ing With Jen I love what a good friend you are. You’re re­ally en­gaged with the lives of the peo­ple you love. You or­ga­nize lovely ex­pe­ri­ences for them. You make an ef­fort with them, you’re pa­tient with them, even when they’re side­tracked by their chil­dren and can’t pri­or­i­tize you in the way you pri­or­i­tize them. You’ve got a gen­er­ous heart and it ex­tends to peo­ple you’ve never even met, whereas I think that ev­ery­one is out to get me. I used to say you were naive, but re­ally I was jeal­ous that you al­ways thought the best of peo­ple. You are a bit too anx­ious about be­ing seen to be a good per­son and you def­i­nitely go a bit over­board with your left-wing pol­i­tics to prove a point to ev­ery­one. But I know you re­ally do care. I know you’d sign pe­ti­tions and help peo­ple in need and vol­un­teer at the home­less shel­ter at Christ­mas even if no one knew about it. And that’s more than can be said for a lot of us. I love how quickly you read books and how ab­sorbed you get in a good story. I love watch­ing you lie on the sofa read­ing one from cover-to-cover. It’s like I’m in the room with you but you’re in a whole other gal­axy. I love that you’re al­ways try­ing to im­prove your­self. Whether it’s running marathons or set­ting your­self chal­lenges on an app to learn French or the fact you go to ther­apy ev­ery week. You work hard to be­come a bet­ter ver­sion of your­self. I think I prob­a­bly didn’t make my ad­mi­ra­tion for this known and in­stead it came off as ir­ri­ta­tion, which I don’t re­ally feel at all. I love how ded­i­cated you are to your fam­ily, even when they’re an­noy­ing you. Your loy­alty to them wound me up some­times, but it’s only be­cause I wish I came from a big fam­ily. I love that you al­ways know what to say in con­ver­sa­tion. You ask the right ques­tions and you know ex­actly when to talk and when to lis­ten. Ev­ery­one loves talk­ing to you be­cause you make ev­ery­one feel im­por­tant. I love your style. I know you think I prob­a­bly never no­ticed what you were wear­ing or how you did your hair, but I loved see­ing how you get ready, sit­ting in front of the full-length mir­ror in our bed­room while you did your make-up, even though there was a mir­ror on the dress­ing ta­ble. I love that you’re mad enough to swim in the English sea in No­vem­ber and that you’d pick up spi­ders in the bath with your bare hands. You’re brave in a way that I’m not. I love how free you are. You’re a very free per­son, and I never gave you the sat­is­fac­tion of say­ing it, which I should have done. No one knows it about you be­cause of your bor­ing, high-pres­sure job and your stuffy up­bring­ing, but I know what an ad­ven­turer you are un­der­neath all that. I love that you got drunk at Jack­son’s chris­ten­ing and you al­ways wanted to have one more drink at the pub and you never com­plained about get­ting up early to go to work with a hang­over. Other than Avi, you are the per­son I’ve had the most fun with in my life. And even though I gave you a hard time for al­ways try­ing to for al­ways try­ing to im­press your dad, I ac­tu­ally found it very adorable be­cause it made me see the child in you and the teenager in you, and if I could time-travel to any­where in his­tory, I swear, Jen, the only place I’d want to go is to the house where you grew up and hug you and tell you how beau­ti­ful and clever and funny you are. That you are spec­tac­u­lar even with­out all your sports trophies and mu­sic cer­tifi­cates and in­cred­i­ble grades and Ox­ford ac­cep­tance. I’m sorry that I loved you so much more than I liked my­self, that must have been a lot to carry. I’m sorry I didn’t take care of you the way you took care of me. And I’m sorry I didn’t take care of my­self, ei­ther. I need to work on it. I’m pleased that our break-up taught me that. I’m sorry I went so mental. I love you. I always will. I'm glad we met.

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.