Great Therapist Quotes

You want sensitive and understanding, stick with the therapist.You want great, headbanging sex, get off the fucking phone and come with me.

Your therapist sounds great.” “He was.” “But i still want to commit patricide.

If you don’t mind my asking, why would a demon be concerned about appearances? Aren’t you all about killing, maiming, and torturing?” “That’s the kind of stereotyping that has afflicted demons for billions of years. Don’t you think some of us want to branch out, to explore other options?” “It never occurred to me.” “Yes, we obtain great satisfaction from killing and maiming and torturing. But there’s a lot of competition these days for the torturing thing. So many physical therapists around.”  

I would love to say that I wrote (Good Will Hunting). Here is the truth. In my obit it will say that I wrote it. People don't want to think those two cute guys wrote it. What happened was, they had the script. It was their script. They gave it to Rob [Reiner] to read, and there was a great deal of stuff in the script dealing with the F.B.I. trying to use Matt Damon for spy work because he was so brilliant in math. Rob said, "Get rid of it." They then sent them in to see me for a day - I met with them in New York - and all I said to them was, "Rob's right. Get rid of the F.B.I. stuff. Go with the family, go with Boston, go with all that wonderful stuff." And they did. I think people refuse to admit it because their careers have been so far from writing, and I think it's too bad. I'll tell you who wrote a marvelous script once, Sylvester Stallone. Rocky's a marvelous script. God, read it, it's wonderful. It's just got marvelous stuff. And then he stopped suddenly because it's easier being a movie star and making all that money than going in your pit and writing a script. But I did not write [Good Will Hunting], alas. I would not have written the "It's not your fault" scene. I'm going to assume that 148 percent of the people in this room have seen a therapist. I certainly have, for a long time. Hollywood always has this idea that it's this shrink with only one patient. I mean, that scene with Robin Williams gushing and Matt Damon and they're hugging, "It's not your fault, it's not your fault." I thought, Oh God, Freud is so agonized over this scene. But Hollywood tends to do that with therapists. (from 2003 WGA seminar)

The depressed person’s therapist was always extremely careful to avoid appearing to judge or blame the depressed person for clinging to her defenses, or to suggest that the depressed person had in any way consciously chosen or chosen to cling to a chronic depression whose agony made her (i.e., the depressed person’s) every waking hour feel like more than any person could possibly endure. This renunciation of judgment or imposed value was held by the therapeutic school in which the therapist’s philosophy of healing had evolved over almost fifteen years of clinical experience to be integral to the combination of unconditional support and complete honesty about feelings which composed the nurturing professionalism required for a productive therapeutic journey toward authenticity and intrapersonal wholeness. Defenses against intimacy, the depressed person’s therapist’s experiential theory held, were nearly always arrested or vestigial survival-mechanisms; i.e., they had, at one time, been environmentally appropriate and necessary and had very probably served to shield a defenseless childhood psyche against potentially unbearable trauma, but in nearly all cases they (i.e., the defense-mechanisms) had become inappropriately imprinted and arrested and were now, in adulthood, no longer environmentally appropriate and in fact now, paradoxically, actually caused a great deal more trauma and pain than they prevented. Nevertheless, the therapist had made it clear from the outset that she was in no way going to pressure, hector, cajole, argue, persuade, flummox, trick, harangue, shame, or manipulate the depressed person into letting go of her arrested or vestigial defenses before she (i.e., the depressed person) felt ready and able to risk taking the leap of faith in her own internal resources and self-esteem and personal growth and healing to do so (i.e., to leave the nest of her defenses and freely and joyfully fly).

One of the great paradoxes of life is that self-awareness breeds anxiety. Fusion eradicates anxiety in a radical fashion—by eliminating self-awareness. The person who has fallen in love, and entered a blissful state of merger, is not self-reflective because the questioning lonely I (and the attendant anxiety of isolation) dissolve into the we. Thus one sheds anxiety but loses oneself. This is precisely why therapists do not like to treat a patient who has fallen in love. Therapy and a state of love-merger are incompatible because therapeutic work requires a questioning self-awareness and an anxiety that will ultimately serve as guide to internal conflicts. Furthermore,

Our society assigns us a tiny number of roles: We're producers of one thing at work, consumers of a great many things all the rest of the time, and then, once a year or so, we take on the temporary role of citizen and cast a vote. Virtually all our needs and desires we delegate to specialists of one kind or another - our meals to the food industry, our health to the medical profession, entertainment to Hollywood and the media, mental health to the therapist or the drug company, caring for nature to the environmentalist, political action to the politician, and on and on it goes. Before long it becomes hard to imagine doing much of anything for ourselves - anything, that is, except the work we do "to make a living." For everything else, we feel like we've lost the skills, or that there's someone who can do it better... it seems as though we can no longer imagine anyone but a professional or an institution or a product supplying our daily needs or solving our problems.

Because the problem of ritual abuse and mind control has not gone away - the survivors are still there - many more therapists have learnt about it. Survivors have spoken out and written their stories, and therapists have learnt a great deal from those brave survivors who have discovered what was done to them. There is a large special interest group on Ritual Abuse and Mind Control within the International Society for the Study of Dissociation. Those therapists who have learnt in isolation or in small private online forums are once again sharing their knowledge widely, and books such as this one are beginning to be published again. The work is still very difficult and challenging, but we now know so much more than we did. 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. And we know that, as therapists, we can combat this evil with wise and compassionate therapy.

The principals are quite simple. We can love people who treat us well. We cannot love people who treat us badly because, treating someone badly is not a virtue and we can only love virtue. I don’t think that’s controversial. I mean, there is no marriage therapist that I can imagine in the world who would say to a woman being beaten, humiliated, verbally abused, or completely ignored by her husband, “You just need to love him more. You need to work at making him happier.” That would be sadistic in the extreme to say to someone. So, in the same way I say, if anyone, I don’t care if they are your priest, god, father, mother, or your Siamese twin cousin coming out of your elbow or ass. I don’t care. If someone is treating you badly, that is not good for you. The solution is not you being so great that you both become better. That’s not a realistic solution.

To put it another way that only slightly exaggerates, green spaces seem to function like a great therapist, anti-aging elixir, and immune-system booster all in one.

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.

A great many of our patients have conflicts in the realm of intimacy, and obtain help in therapy sheerly through experiencing an intimate relationship with the therapist. Some fear intimacy because they believe there is something basically unacceptable about them, something repugnant and unforgivable, Given this, the act of revealing oneself fully to another and still being accepted may be the major vehicle of therapeutic help.

Before I die, I want to be completely myself. Soon the idea spawned over a thousand such walls all over the world: Before I die, I would like to have a relationship with my sister. Be a great dad. Go skydiving. Make a difference in someone’s life. I don’t know if people followed through, but based on what I’ve seen in my office, a good number may have had momentary awakenings, done a little soul-searching, added more to their lists—and then neglected to tick things off. People tend to dream without doing, death remaining theoretical.

Every word counts, every glance counts, every touch counts. The five milligrams of a good medicine is very important, but it’s more effective if you take it in the context of being aware that the healer, the doctor, the nurse, the physical therapist, also have an effect on the patient.

In closing, new therapists are encouraged to be themselves with clients rather than trying to fulfill the role of a therapist. Perhaps Kahn says it best: When all is said and done, nothing in our work may be more important than our willingness to bring as much of ourselves as possible to the therapeutic session.... One of the great satisfactions of this work comes at the moment students realize that when they enter the consulting room, they don’t need to don a therapist mask, a therapist voice, a therapist posture, and a therapist vocabulary. They can discard those accouterments because they have much, much more than that to give their clients.

During my training, a supervisor once told me, “There’s something likable in everyone,” and to my great surprise, I found that she was right. It’s impossible to get to know people deeply and not come to like them. We should take the world’s enemies, get them in a room to share their histories and formative experiences, their fears and their struggles, and global adversaries would suddenly get along. I’ve found something likable in literally everyone I’ve seen as a therapist, including the guy who attempted murder. (Beneath his rage, he turned out to be a real sweetheart.)

But you should see the sky tonight. Screw your astrology apps. Screw your games. Look up sometime. There is a whole wing of positive psychology--my therapist told me--that says the greatest way to affect your outlook on life is to consider what you already have more that what you don't have. And so I might not have a cell phone on me, or a sister at home, or a Dad at all, or a future, but holy shit I have the sky.

War thoughts again. I think back to the business cards from that health shop earlier on. I think about miniature wars that individuals fight all the time. They fight against cellulite, or negative emotions, or addictions, or stress. I think about how we can now hire all different sorts of mercenaries to help us fight against ourselves…Therapists, manicurists, hairdressers, personal trainers, life coaches. But what’s it all for? What do all these little wars achieve? Although it is a part of my life too, and I want to be thin and pretty and not laughed at in the street and not so stressed and mad that I start screaming on the tube, it suddenly seems a little bit ridiculous. All the time we do these things we are trying to enlist ourselves into a bigger war. We are trying to join up, constantly, with the enemy. - Hitler tried to impose his shiny, blonde, neat, sparkling world on us all and we resisted. So how is it that when McDonald’s and Disney and The Gap and L’Oreal and all the others try to do the same thing we all just say, ‘OK’? Hitler needed marketing, that’s all. His propaganda was, of course, brilliant for its time, everyone knows that. What a great idea, to make people feel that they belong to something, that their identity makes them special. If Hilter had bee able to enlist a twenty-first-century marketing department, would he have been able to sell Nazism to everyone? Why not? You can just see a beautiful, thin woman with her long blonde hair moving softly in the breezes, and the tagline ‘Because I’m worth it’.

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.

Devlin shifted just the slightest, and the next breath Rosie took lodged in her throat. She felt him against her stomach, thick and hard, and unless he had something weird in the front of his pants, he was totally turned on. So was she. And they were both apparently freaks, because she’d just tried to shove him and he had just threatened her, but here they were, utterly aroused, and there was a really good chance she needed to find a therapist stat. … “Are we going to pretend like you don’t feel me?” he asked, rather calmly. “Yes,” she snapped. “How’s that working out for you?” “Just great.” The moment those words came out of her mouth, she realized how ridiculous they sounded. Devlin’s lips twitched.

Fortunately analysis is not the only way to resolve inner conflicts. Life itself still remains a very effective therapist. Experience of any one of a number of kinds may be sufficiently telling to bring about personality changes. It may be the inspiring example of a truly great person; it may be a common tragedy which by bringing the neurotic in close touch with others takes him out of his egocentric isolation; it may be association with persons so congenial that manipulating or avoiding them appears less necessary. In other instances the consequences of neurotic behavior may be so drastic or of such frequent occurrence that they impress themselves on the neurotic's mind and make him less fearful and less rigid.

Therapist and writer Lori Gottlieb wrote an article for the Atlantic questioning why so many of her twentysomething patients were unaccountably depressed, even though they had great parents and on the surface great lives. This category of patients stumped her until she discovered the right questions to ask. “Back in graduate school,” she wrote, “the clinical focus had always been on how the lack of parental attunement affects the child. It never occurred to any of us to ask, what if the parents are too attuned? What happens to those kids?”2

first started therapy, I found it very hard to cry. I feared I’d be carried away by the flood, overwhelmed. Perhaps that’s what it feels like for you. That’s why it’s important to take your time to feel safe, and trust that you won’t be alone in this flood – that I’m treading water here with you.’ Silence. ‘I think of myself as a relational therapist,’ I said. ‘Do you know what that means?’ Silence. ‘It means I think Freud was wrong about a couple of things. I don’t believe a therapist can ever really be a blank slate, as he intended. We leak all kinds of information about ourselves unintentionally – by the colour of my socks, or how I sit or the way I talk – just by sitting here with you, I reveal a great deal about myself. Despite my best efforts at invisibility, I’m showing you who I am.’ Alicia looked up. She stared at me, her chin slightly tilted – was there a challenge in that look? At last I had her attention. I shifted in my seat. ‘The point is, what can we do about this? We can ignore it, and deny it, and pretend this therapy is all about you. Or we can acknowledge that this is a two-way street, and work with that. And then we can really start to get somewhere.’ I held up my hand. I nodded at my wedding ring. ‘This ring tells you something, doesn’t it?’ Alicia’s eyes ever-so-slowly moved in the direction of the ring. ‘It tells you I’m a married man. It tells you I have a

But it feels so terrible to lose arousal like that.” No, I think to myself. Loss of arousal doesn’t by itself feel terrible. Frustrating, certainly. Disappointing, without question. But “terrible” is one of those over-the-top words that to a therapist signals we’re dealing with something else.

Anyhow, high school is just…The. Worst.” “Funny that you became a high school teacher, then,” I say, and she laughs again. “Something I should talk to my therapist about. Speaking of which, you could speak to the school counselor if you want. We have a psychiatrist on staff. A life coach too.” “Seriously?” “I know, right? Finding ways to justify the tuition. Anyhow, if not them, feel free to come talk to me anytime. Students like you are the reason I chose to teach.” “Thanks.” “By the way, I look forward to your and Ethan’s ‘Waste Land’ paper. You’re two of my brightest students. I have great expectations.” Dickens is next on the syllabus. A literary pun. No wonder Mrs. Pollack was destroyed in high school. “We intend to reach wuthering heights,” I say, and as I walk by, she reaches her hand up, and I can’t help it—dorks unite! nerd power!—I give her a high five on my way out.

Jack was the kind of guy you could take into any situation and he would figure out how to fit in. Wayne, not so much. So they didn't really ever bond." "You know what we therapists say about people who fit in in every situation?" "What?" "They have no inherent genuine personality. They aren't themselves, they are only who they think the current audience expects them to be. Flawed though some of Wayne's actions may seem to you, at the end of the day he sounds like someone who isn't afraid to just be himself, all day, every day. That takes a fairly strong sense of self, to not go against your natural instincts, to not try to make yourself into something you aren't in order to be better liked or more homogenous." "I never thought about it that way." "Most people don't. But if you look at some of the truly great minds and artists of our history, they are often people who didn't necessarily fit, who were outside the norm. Some of them had actual disorders, many of the great minds are now presumed to have some level of Asperger's or low-level autistic tendencies, but a lot of them were just left of center." "Are you saying that Wayne is a secret genius? Do I have a Jobs or Spielberg or something on my hands?" "Of course not. I'm just saying that fitting in, or caring about fitting in, isn't necessarily in and of itself the world's most desirable trait.

He blinks a few times. It’s like watching his consciousness swim toward the surface. “Obviously I like the book. I begged to work on it, remember?” “I’ll remember you begging until my last dying breath.” He looks abruptly to the screen, all business, and it feels like my heart is taking on water. “The pages are great,” he says. “The perky physical therapist is a good foil to Nadine, but I think by the end of this section, she needs more depth.” “I wrote that too!” I’m immediately self-conscious about my teacher’s pet I-just-aced-a-quiz voice when I see Charlie’s face. “What?” He squelches his smirk. “Nothing.” “Not ‘nothing,’ ” I challenge. “That’s a face.” “I’ve always had one, Stephens,” he says. “Fairly disappointing you just noticed.

Anyway, how could therapy even work on me, when I was so far from sharing Svetlana’s therapist-like belief that people should be healthy and well-adjusted, that they should go to bed at the same time every night, even if they were reading or having an interesting conversation, or that it was great and life-affirming to go hiking with some guy, or to get married? Of course therapy worked for someone who believed those things.

The Seattle Times reported in 2018 that the median net worth of white Seattleites is $456,000. The median net worth of black Seattleites—and here you should probably beep-boop-boop that therapist again—is $23,000. White net worth in my city is twenty times that of black net worth. If you are one of those people who believes that racism is a thing of the past, never existed at all, or is defined simply as one person being mean to another person, you are claiming that white people genuinely earn—through ability alone, because anything else would be a systemic advantage—twenty times as much as black people. White people are twenty times as good at their jobs, twenty times as skilled, twenty times as deserving. If you believe that, you are racist. That is racism. (Congratulations! I don’t know if you’ve heard, but 2019 is a great time for you guys.)

Antidepression medication is temperamental. Somewhere around fifty-nine or sixty I noticed the drug I’d been taking seemed to have stopped working. This is not unusual. The drugs interact with your body chemistry in different ways over time and often need to be tweaked. After the death of Dr. Myers, my therapist of twenty-five years, I’d been seeing a new doctor whom I’d been having great success with. Together we decided to stop the medication I’d been on for five years and see what would happen... DEATH TO MY HOMETOWN!! I nose-dived like the diving horse at the old Atlantic City steel pier into a sloshing tub of grief and tears the likes of which I’d never experienced before. Even when this happens to me, not wanting to look too needy, I can be pretty good at hiding the severity of my feelings from most of the folks around me, even my doctor. I was succeeding well with this for a while except for one strange thing: TEARS! Buckets of ’em, oceans of ’em, cold, black tears pouring down my face like tidewater rushing over Niagara during any and all hours of the day. What was this about? It was like somebody opened the floodgates and ran off with the key. There was NO stopping it. 'Bambi' tears... 'Old Yeller' tears... 'Fried Green Tomatoes' tears... rain... tears... sun... tears... I can’t find my keys... tears. Every mundane daily event, any bump in the sentimental road, became a cause to let it all hang out. It would’ve been funny except it wasn’t. Every meaningless thing became the subject of a world-shattering existential crisis filling me with an awful profound foreboding and sadness. All was lost. All... everything... the future was grim... and the only thing that would lift the burden was one-hundred-plus on two wheels or other distressing things. I would be reckless with myself. Extreme physical exertion was the order of the day and one of the few things that helped. I hit the weights harder than ever and paddleboarded the equivalent of the Atlantic, all for a few moments of respite. I would do anything to get Churchill’s black dog’s teeth out of my ass. Through much of this I wasn’t touring. I’d taken off the last year and a half of my youngest son’s high school years to stay close to family and home. It worked and we became closer than ever. But that meant my trustiest form of self-medication, touring, was not at hand. I remember one September day paddleboarding from Sea Bright to Long Branch and back in choppy Atlantic seas. I called Jon and said, “Mr. Landau, book me anywhere, please.” I then of course broke down in tears. Whaaaaaaaaaa. I’m surprised they didn’t hear me in lower Manhattan. A kindly elderly woman walking her dog along the beach on this beautiful fall day saw my distress and came up to see if there was anything she could do. Whaaaaaaaaaa. How kind. I offered her tickets to the show. I’d seen this symptom before in my father after he had a stroke. He’d often mist up. The old man was usually as cool as Robert Mitchum his whole life, so his crying was something I loved and welcomed. He’d cry when I’d arrive. He’d cry when I left. He’d cry when I mentioned our old dog. I thought, “Now it’s me.” I told my doc I could not live like this. I earned my living doing shows, giving interviews and being closely observed. And as soon as someone said “Clarence,” it was going to be all over. So, wisely, off to the psychopharmacologist he sent me. Patti and I walked in and met a vibrant, white-haired, welcoming but professional gentleman in his sixties or so. I sat down and of course, I broke into tears. I motioned to him with my hand; this is it. This is why I’m here. I can’t stop crying! He looked at me and said, “We can fix this.” Three days and a pill later the waterworks stopped, on a dime. Unbelievable. I returned to myself. I no longer needed to paddle, pump, play or challenge fate. I didn’t need to tour. I felt normal.

But another type of life review happens to all of us when we die and our consciousness leaves the physical body at the end of each lifetime. This time it is not done with a therapist, but rather with our spiritual guides or other wise beings; it is not a clinical life review but a karmic one. As we are replenished by the beautiful light, our awareness is directed to review the results of our actions while we were on the physical plane. We see the people we have harmed and we feel their emotional reactions, magnified greatly. Similarly, we feel the emotions, again enhanced, of those we have aided and loved. In this manner, we examine all our relationships, and we deeply experience all the anger, hurt, and despair that we have caused—but also all the gratitude, appreciation, love, and hope that we have elicited. This life review is not done in a spirit of punishment or guilt. By truly understanding the result of our behavior, we learn the importance of loving-kindness and compassion. As

Remember, your example will last a long time. As family therapist Peggy Papp reminds us, the quality of a mother’s life and her courage are among her most important legacies to her daughter. “A woman who can believe in herself when no one else does, who will fight for herself when no one else will, who will continue to struggle even though she is unprotected, this woman demonstrates to her daughter that these possibilities exist.” One great gift a mother can give her daughter is to live her own life as well as possible. To do so is a gift to her son—and herself—as well.

One of the great paradoxes of life is that self-awareness breeds anxiety. Fusion eradicates anxiety in a radical fashion—by eliminating self-awareness. The person who has fallen in love, and entered a blissful state of merger, is not self-reflective because the questioning lonely I (and the attendant anxiety of isolation) dissolve into the we. Thus one sheds anxiety but loses oneself. This is precisely why therapists do not like to treat a patient who has fallen in love. Therapy and a state of love-merger are incompatible because therapeutic work requires a questioning self-awareness and an anxiety that will ultimately serve as guide to internal conflicts.

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.

In supportive work, the therapist cedes great control to the patient. It may seem otherwise. The therapist is setting limits, perhaps implicitly commenting on the patient's behavior or sense of self, and so forth, and on the surface it seems that the therapist is taking responsibility for the patient's progress. but all this activity leads nowhere except, if we succeed, to stability. In supportive therapy, change arises in a more or less miraculous way , through the patient's suddenly feeling secure enough to move in a certain direction, perhaps one unanticipated by the therapist. It is this pathless quality of supportive work - the degree of blind faith it requires of the therapist - that makes it most uncomfortable.

When I lived in New York and went to Chinatown, I learned that these flavors and their meanings were actually a foundation of ancient Chinese medicine. Salty translated to fear and the frantic energy that tries to compensate for or hide it. Sweet was the first flavor we recognized from our mother's milk, and to which we turned when we were worried and unsure or depressed. Sour usually meant anger and frustration. Bitter signified matters of the heart, from simply feeling unloved to the almost overwhelming loss of a great love. Most spices, along with coffee and chocolate, had some bitterness in their flavor profile. Even sugar, when it cooked too long, turned bitter. But to me, spice was for grief, because it lingered longest.

Fifteen years ago, a business manager from the United States came to Plum Village to visit me. His conscience was troubled because he was the head of a firm that designed atomic bombs. I listened as he expressed his concerns. I knew if I advised him to quit his job, another person would only replace him. If he were to quit, he might help himself, but he would not help his company, society, or country. I urged him to remain the director of his firm, to bring mindfulness into his daily work, and to use his position to communicate his concerns and doubts about the production of atomic bombs. In the Sutra on Happiness, the Buddha says it is great fortune to have an occupation that allows us to be happy, to help others, and to generate compassion and understanding in this world. Those in the helping professions have occupations that give them this wonderful opportunity. Yet many social workers, physicians, and therapists work in a way that does not cultivate their compassion, instead doing their job only to earn money. If the bomb designer practises and does his work with mindfulness, his job can still nourish his compassion and in some way allow him to help others. He can still influence his government and fellow citizens by bringing greater awareness to the situation. He can give the whole nation an opportunity to question the necessity of bomb production. Many people who are wealthy, powerful, and important in business, politics, and entertainment are not happy. They are seeking empty things - wealth, fame, power, sex - and in the process they are destroying themselves and those around them. In Plum Village, we have organised retreats for businesspeople. We see that they have many problems and suffer just as others do, sometimes even more. We see that their wealth allows them to live in comfortable conditions, yet they still suffer a great deal. Some businesspeople, even those who have persuaded themselves that their work is very important, feel empty in their occupation. They provide employment to many people in their factories, newspapers, insurance firms, and supermarket chains, yet their financial success is an empty happiness because it is not motivated by understanding or compassion. Caught up in their small world of profit and loss, they are unaware of the suffering and poverty in the world. When we are not int ouch with this larger reality, we will lack the compassion we need to nourish and guide us to happiness. Once you begin to realise your interconnectedness with others, your interbeing, you begin to see how your actions affect you and all other life. You begin to question your way of living, to look with new eyes at the quality of your relationships and the way you work. You begin to see, 'I have to earn a living, yes, but I want to earn a living mindfully. I want to try to select a vocation not harmful to others and to the natural world, one that does not misuse resources.' Entire companies can also adopt this way of thinking. Companies have the right to pursue economic growth, but not at the expense of other life. They should respect the life and integrity of people, animals, plants and minerals. Do not invest your time or money in companies that deprive others of their lives, that operate in a way that exploits people or animals, and destroys nature. Businesspeople who visit Plum Village often find that getting in touch with the suffering of others and cultivating understanding brings them happiness. They practise like Anathapindika, a successful businessman who lived at the time of the Buddha, who with the practise of mindfulness throughout his life did everything he could to help the poor and sick people in his homeland.

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.

If I know the classical psychological theories well enough to pass my comps and can reformulate them in ways that can impress peer reviewers from the most prestigious journals, but have not the practical wisdom of love, I am only an intrusive muzak soothing the ego while missing the heart. And if I can read tea leaves, throw the bones and manipulate spirits so as to understand the mysteries of the universe and forecast the future with scientific precision, and if I have achieved a renaissance education in both the exoteric and esoteric sciences that would rival Faust and know the equation to convert the mass of mountains into psychic energy and back again, but have not love, I do not even exist. If I gain freedom from all my attachments and maintain constant alpha waves in my consciousness, showing perfect equanimity in all situations, ignoring every personal need and compulsively martyring myself for the glory of God, but this is not done freely from love, I have accomplished nothing. Love is great-hearted and unselfish; love is not emotionally reactive, it does not seek to draw attention to itself. Love does not accuse or compare. It does not seek to serve itself at the expense of others. Love does not take pleasure in other peeople's sufferings, but rejoices when the truth is revealed and meaningful life restored. Love always bears reality as it is, extending mercy to all people in every situation. Love is faithful in all things, is constantly hopeful and meets whatever comes with immovable forbearance and steadfastness. Love never quits. By contrast, prophecies give way before the infinite possibilities of eternity, and inspiration is as fleeting as a breath. To the writing and reading of many books and learning more and more, there is no end, and yet whatever is known is never sufficient to live the Truth who is revealed to the world only in loving relationship. When I was a beginning therapist, I thought a lot and anxiously tried to fix people in order to lower my own anxiety. As I matured, my mind quieted and I stopped being so concerned with labels and techniques and began to realize that, in the mystery of attentive presence to others, the guest becomes the host in the presence of God. In the hospitality of genuine encounter with the other, we come face to face with the mystery of God who is between us as both the One offered One who offers. When all the theorizing and methodological squabbles have been addressed, there will still only be three things that are essential to pastoral counseling: faith, hope, and love. When we abide in these, we each remain as well, without comprehending how, for the source and raison d'etre of all is Love.

A Final Word Now that you have become familiar with social anxiety, you know that it is a common problem, especially for teenagers. You’ve learned that it affects you physically, mentally, and behaviorally, and that it can have a tremendous impact on all aspects of your life. Most important, you’ve learned ways to cope with social anxiety. Now, make the techniques presented in this book part of your daily life. With practice you will be able to calm anxious feelings and develop self-confidence in social situations. Remember that change does not happen overnight. There will be tough times mixed in with the good. It may be necessary to see a professional therapist or to take medication. There is no reason social anxiety needs to remain a part of your life. If you are committed to lessening your anxiety, you will see great results. With time and hard work, you can become the person you want to be and live a healthy, happy, and productive life.

It seemed to me that Rita’s current despair about Myron was tied to an old despair, and that was why it was hard for her to enjoy any of the ways her life had expanded. She was used to viewing the world from a place of deficit, and as a result, joy felt foreign to her. If you’re used to feeling abandoned, if you already know what it’s like for people to disappoint or reject you—well, it may not feel good, but at least there are no surprises; you know the customs in your own homeland. Once you step into foreign territory, though—if you spend time with reliable people who find you appealing and interesting—you might feel anxious and disoriented. All of a sudden, nothing’s familiar. You have no landmarks, nothing to go by, and all of the predictability of the world you’re used to is gone. The place you came from may not be great—it might, in fact, be pretty awful—but you knew exactly what you’d get there (disappointment, chaos, isolation, criticism).

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.

Ten New Rules for Parent–Adult Child Relations RULE #1: Your adult child has more power than you to set the terms of your relationship because they’re more willing to walk away. Basic game theory: she who cares less has more power. RULE # 2: Your relationship with your adult child needs to occur in an environment of creating happiness and personal growth, not an environment of obligation, emotional debt, or duty. RULE # 3: You are not the only authority on how well you performed as a parent. Your adult child gets to have their own narrative and opinions about the past. RULE #4: Use of guilt trips or criticism will never get you what you want from your adult child, especially if you’re estranged. RULE #5: Learning to communicate in a way that is egalitarian, psychological, and self-aware is essential to a good relationship with your adult child. RULE #6: You were the parent when you were raising your child and you’re the parent until they die. You brought your child into this world. That means that if your child is unable to take the high road, you still have to if reconciliation is your goal. RULE #7: A large financial and emotional investment in your child does not entitle you to more contact or affection than that which is wanted by them, however unjust that may seem. RULE #8: Criticizing your child’s spouse, romantic partner, or therapist greatly increases your risk of estrangement. RULE #9: Criticizing your child’s sexuality or gender identity greatly increases your risk of estrangement. RULE #10: Just because you had a bad childhood and did a better job than your parents doesn’t mean that your adult child has to accept all of the ways that they felt hurt by you.

Cognitive-Behavioral Therapy There are almost no pure cognitive or behavioral therapists. Instead, most therapists use a combination of both techniques. This is known as cognitive-behavioral therapy. It is generally recognized as the best therapy for social anxiety. In cognitive-behavioral therapy, a therapist helps you identity maladaptive thinking patterns and replace them with new ways of thinking. He or she also teaches you relaxation techniques and new behaviors that make you feel more comfortable in social situations. Cognitive-behavioral therapy uses many of the same techniques that we explored in the previous chapter. Although you might make great strides on your own, sometimes it is easier and faster to have someone guide you. Often it is difficult for people to explore hidden beliefs about themselves. A professional therapist is experienced in working with people who are trying to change. Often a therapist will see connections in your situation that you cannot. Carlos was terrified of speaking in class. Whenever the teacher called on him, his heart raced, he blushed, and his stomach felt upset. His therapist first had him focus on his thoughts during class. As an experiment, she had him purposely answer a question incorrectly during biology class. To his surprise, the teacher didn’t make a big deal out of it, and the other students didn’t laugh. As a result, Carlos realized that his imagined consequences for making errors were greatly exaggerated. He also realized that he held himself to a higher standard than other people, including the teacher, did. Next, his therapist showed him various relaxation techniques to lessen the physical symptoms of anxiety. Soon, he felt more comfortable and even volunteered to lead a discussion group.

Remind yourself where you come from. I spent the majority of my life running away from Utah, from the life I led there, from the memories I associated with those early years. It felt very someone-else-ago to me. London changed me profoundly. When we were dancing on DWTS together, Jennifer Grey called me one night. She was having trouble with her back and wanted to see a physiotherapist. “Can you come with me?” she asked. She drove us through a residential section of Beverly Hills. We pulled into a house with a shed out back. Oddly, it didn’t look like a doctor’s office. There was a couch and incense burning. An Australian guy with a white beard came in : “Hey, mates.” I looked at Jen and she winked at me. This was no physical therapy. She’d signed us up for some bizarre couples therapy! The guy spoke to us for a while, then he asked Jennifer if she wouldn’t mind leaving us to chat. I thought the whole thing was pretty out there, but I didn’t think I could make a run for it. “So, Derek,” he said. “Tell me about your childhood.” I laid it all out for him--I talked for almost two hours--and he nodded. “You can go pick him up now.” I raised an eyebrow. “Pick who up?” The therapist smiled. “That younger boy, that self you left in Utah. You left him there while you’ve been on a mission moving forward so vigorously. Now you can go get him back.” I sat there, utterly stunned and speechless. It was beyond powerful and enlightening. Had I really left that part of me behind? Had I lost that fun-loving, wide-eyed kid and all his creative exuberance? When I came out of my therapy session, Jennifer was waiting for me. “If I’d told you this was where we were going, you wouldn’t have come,” she said. She was right. She had to blindside me to get me to grapple with this. She’s a very spiritual person, and she saw how I was struggling, how I seemed to be in some kind of emotional rut. Just visualizing myself taking the old Derek by the hand was an incredible exercise. I think we often tuck our younger selves away for safekeeping. In my case, I associated my early years with painful memories. I wanted to keep young Derek at a distance. But what I forgot was all the good I experienced with him as well: the joy, the hope, the excitement, the wonder. I forgot what a great kid Derek was. I gave myself permission to reconnect with that little boy, to see the world through his eyes again. It was the kick in the butt I needed. Jennifer would say, “Told ya so.

Matt takes some time to settle himself before he speaks. When he does, he shares an anecdote about how Julie had written a book for him to have after she was gone, and she titled it, The Shortest Longest Romance: An Epic Love and Loss Story. He loses it here, then slowly composes himself and keeps going. He explains that in the book, he was surprised to find that near the end of the story—their story—Julie had included a chapter on how she hoped Matt would always have love in his life. She encouraged him to be honest and kind to what she called his “grief girlfriends”—the rebound girlfriends, the women he’ll date as he heals. Don’t mislead them, she wrote. Maybe you can get something from each other. She followed this with a charming and hilarious dating profile that Matt could use to find his grief girlfriends, and then she got more serious. She wrote the most achingly beautiful love letter in the form of another dating profile that Matt could use to find the person he’d end up with for good. She talked about his quirks, his devotion, their steamy sex life, the incredible family she inherited (and that, presumably, this new woman would inherit), and what an amazing father he’d be. She knew this, she wrote, because they got to be parents together—though in utero and for only a matter of months. The people in the crowd are simultaneously crying and laughing by the time Matt finishes reading. Everyone should have at least one epic love story in their lives, Julie concluded. Ours was that for me. If we’re lucky, we might get two. I wish you another epic love story. We all think it ends there, but then Matt says that he feels it’s only fair that Julie have love wherever she is too. So in that spirit, he says, he’s written her a dating profile for heaven. There are a few chuckles, although they’re hesitant at first. Is this too morbid? But no, it’s exactly what Julie would have wanted, I think. It’s out-there and uncomfortable and funny and sad, and soon everyone is laugh-sobbing with abandon. She hates mushrooms, Matt has written to her heavenly beau, don’t serve her anything with mushrooms. And If there’s a Trader Joe’s, and she says that she wants to work there, be supportive. You’ll also get great discounts. He goes on to talk about how Julie rebelled against death in many ways, but primarily by what Matt liked to call “doing kindnesses” for others, leaving the world a better place than she found it. He doesn’t enumerate them, but I know what they are—and the recipients of her kindnesses all speak about them anyway.

In late fall, I had a phone sessions with my Oregon therapist. For some reason, we started talking about happiness. “Chris achieved happiness so easily,” I said to him. “And I don’t.” The counselor interrupted me. “Do you know how he did?” I started to answer that I didn’t. But then I realized that Chris had set out to do many things, and he’d achieved them. He’d wanted to be a rodeo competitor, work as a cowboy, join the SEALs. He’d done all of those. What’s more, he excelled at them. Those achievements made him happy, or at least confident enough that he could be happy. As we talked, the counselor noted that I, too, had my own achievements. But I told him--as he already knew--that I wanted to do so many more things. And I always do. Was that a reason not to be happy? The counselor pointed out that I tend to focus on what I haven’t done, rather than what I’ve achieved. My thinking runs; If I do A, then B, then C, then I’ll be happy. But when I achieve A, rather than saying “Yay!” I say, “I haven’t done B and C, so I can’t be happy.” Why focus on what I haven’t done? Why not celebrate those things I have done, even as I look forward to doing other things on my list? Those achievements are accomplishments--I should feel good about them, confident I can do more. And happy. Or at least happier. Another lesson. There are other components to happiness beyond achievement. “Smaller” things, like carving out time for workouts as well as the kids, are actually big things when they are added up. Yet I often feel those things are distractions from what I really want to achieve. Blockers, rather than stepping-stones. Obviously, the wrong way to think about them. On paper, it doesn’t seem like a very profound realization. But put into practice, it means that I--we, all of us--have to keep things in the larger perspective. If you want to achieve a lot, then the reality is that you are always going to have something else you want to do. Keep trying to achieve, but don’t beat yourself up for not getting everything done. The “smaller” things are just as essential to happiness. So: the key to my happiness is appreciating what I have and what I’ve done, and realizing that I’ll always have something else to do. Profound? No, but empowering. I might never have realized it had I not been grieving so deeply. I would have felt silly, really, talking about achieving happiness when Chris was alive. Why wouldn’t I be happy with a great husband and wonderful children? I was happy. But not at the deepest level. I’m not there yet, obviously. But it is possible now. And yet I still wonder: How can I possibly be happy with Chris gone?

Our patients predict the culture by living out consciously what the masses of people are able to keep unconscious for the time being. The neurotic is cast by destiny into a Cassandra role. In vain does Cassandra, sitting on the steps of the palace at Mycenae when Agamemnon brings her back from Troy, cry, “Oh for the nightingale’s pure song and a fate like hers!” She knows, in her ill-starred life, that “the pain flooding the song of sorrow is [hers] alone,” and that she must predict the doom she sees will occur there. The Mycenaeans speak of her as mad, but they also believe she does speak the truth, and that she has a special power to anticipate events. Today, the person with psychological problems bears the burdens of the conflicts of the times in his blood, and is fated to predict in his actions and struggles the issues which will later erupt on all sides in the society. The first and clearest demonstration of this thesis is seen in the sexual problems which Freud found in his Victorian patients in the two decades before World War I. These sexual topics‒even down to the words‒were entirely denied and repressed by the accepted society at the time. But the problems burst violently forth into endemic form two decades later after World War II. In the 1920's, everybody was preoccupied with sex and its functions. Not by the furthest stretch of the imagination can anyone argue that Freud "caused" this emergence. He rather reflected and interpreted, through the data revealed by his patients, the underlying conflicts of the society, which the “normal” members could and did succeed in repressing for the time being. Neurotic problems are the language of the unconscious emerging into social awareness. A second, more minor example is seen in the great amount of hostility which was found in patients in the 1930's. This was written about by Horney, among others, and it emerged more broadly and openly as a conscious phenomenon in our society a decade later. A third major example may be seen in the problem of anxiety. In the late 1930's and early 1940's, some therapists, including myself, were impressed by the fact that in many of our patients anxiety was appearing not merely as a symptom of repression or pathology, but as a generalized character state. My research on anxiety, and that of Hobart Mowrer and others, began in the early 1940's. In those days very little concern had been shown in this country for anxiety other than as a symptom of pathology. I recall arguing in the late 1940's, in my doctoral orals, for the concept of normal anxiety, and my professors heard me with respectful silence but with considerable frowning. Predictive as the artists are, the poet W. H. Auden published his Age of Anxiety in 1947, and just after that Bernstein wrote his symphony on that theme. Camus was then writing (1947) about this “century of fear,” and Kafka already had created powerful vignettes of the coming age of anxiety in his novels, most of them as yet untranslated. The formulations of the scientific establishment, as is normal, lagged behind what our patients were trying to tell us. Thus, at the annual convention of the American Psychopathological Association in 1949 on the theme “Anxiety,” the concept of normal anxiety, presented in a paper by me, was still denied by most of the psychiatrists and psychologists present. But in the 1950's a radical change became evident; everyone was talking about anxiety and there were conferences on the problem on every hand. Now the concept of "normal" anxiety gradually became accepted in the psychiatric literature. Everybody, normal as well as neurotic, seemed aware that he was living in the “age of anxiety.” What had been presented by the artists and had appeared in our patients in the late 30's and 40's was now endemic in the land.

• 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.

What do you hope we’ll be studying for History Day?” Bruce asks. “Pioneer times would be nice,” I reply. “I like the books by Laura Ingalls Wilder. They’re ever so lovely, don’t you think?” Oh my God. Why am I talking like that? Ever so lovely?! Bruce nods. “What about studying the Great Depression? That could be fun to learn about.” “Or depressing,” I add. Whew. OK. Good comeback. “What caused the Great Depression, anyway? Was there a therapist shortage?

A couple of women are playing golf one sunny Saturday morning. The first of the twosome tees off and watches in horror as her ball heads directly toward a foursome of men playing the next hole. The ball hits one of the men and he immediately clasps his hands over his groin, falls to the ground, and rolls around in evident agony. The woman rushes down to the man and begins apologizing profusely. “Please allow me to help. I’m a physical therapist and I know I could relieve your pain if you’d allow me,” she told him earnestly. “Ummph, oooh, nnooo, I’ll be all right. I’ll be fine in a few minutes,” he replies breathlessly, as he remains doubled over in pain. The woman persists in trying to help and he finally agrees. She gently takes his hands away from his groin and lays them to his sides. She loosens his pants and she puts her hands inside. She begins to massage him, asking, “How does that feel?” “It feels great—but my thumb still hurts like hell.

CIRCUIT BREAKER MEDITATION First, settle into your body and your breath, as described in the Basic Mindfulness Meditation in Chapter 3. Invite yourself to move slowly through the meditation exercise, taking your time with each step. Bring your awareness to your jaw and your mouth. Allow your tongue to relax inside your mouth and let your jaw open slightly. Feel your breath passing easily through your relaxed throat. When you feel ready, gently place your hand on your heart, in the center of your chest. Place your other hand on your lower belly, below your navel. Imagine your hands getting warmer, the tiny capillaries and arteries relaxing just a bit to allow warmth to flow into them. Breathe gently and deeply, imagining the breath going into your heart and your belly. With each breath, invite yourself to also breathe into your heart and your belly any sense of goodness, safety, trust, acceptance, or ease that you’re able to bring to mind. Once that’s steady, call to mind a moment of being with someone who loves you unconditionally, someone you feel completely safe with. This may not always be a partner or a parent or a child. Those relationships can be so complex and the feelings can be mixed. It may be, for example, a good friend or a trusted teacher. It may be your therapist, your grandmother, a third-grade teacher, or a beloved pet. Pets are great. As you remember feeling safe and loved with this person or pet, see if you can feel the feelings and sensations that come up with that memory in your body. Allow yourself to really savor these feelings of warmth, safety, trust, and love in your body. When that feeling is steady, gently release the image for now and simply bathe in the feeling for 30 seconds or so. As always, when you’re done with your formal practice, gently and gradually bring yourself back into the room and into the stream of

So what does it take to be a good therapist? First of all, you must love doing therapy. You must believe in your own creative power to put things together with vision and insight. You must have confidence in your understanding of people involved. You must love the drama and be fascinated with the sudden revelations that bring enormous changes. You must stand for truth and be able to question everything, down to everyone’s secret motives. You must love humanity and be willing to empathise with all those who suffer, to get inside their skin and see the world through their eyes. You must dream and follow your imagination wherever it leads. You must love humour for it restores balance. You must delight in language and all it’s nuances. You must be sensitive to life’s contradictions and always suspicious that things aren’t always what they seem. You must be brave and audacious, and tolerate ridicule. And most of all, you must be brave enough to provide the spark that bridges the gap between limitations and possibilities, knowing that there’s a great deal to human beings, so a great deal can be made out of them. They don’t have to stay the way they are now and we don’t have to see them only as they are now, but also, as they might become.

Before I met Rosie, I’d believed that a snake’s personality was rather like that of a goldfish. But Rosie enjoyed exploring. She stretched her head out and flicked her tongue at anything I showed her. Soon she was meeting visitors at the zoo. Children derived the most delight from this. Some adults had their barriers and their suspicions about wildlife, but most children were very receptive. They would laugh as Rosie’s forked tongue tickled their cheeks or touched their hair. Rosie soon became my best friend and my favorite snake. I could always use her as a therapist, to help people with a snake phobia get over their fear. She had excellent camera presence and was a director’s dream: She’d park herself on a tree limb and just stay there. Most important for the zoo, Rosie was absolutely bulletproof with children. During the course of a busy day, she often had kids lying in her coils, each one without worry or fear. Rosie became a great snake ambassador at the zoo, and I became a convert to the wonderful world of snakes. It would not have mattered what herpetological books I read or what lectures I attended. I would never have developed a relationship with Rosie if Steve hadn’t encouraged me to sit down and have dinner with her one night. I grew to love her so much, it was all the more difficult for me when one day I let her down. I had set her on the floor while I cleaned out her enclosure, but then I got distracted by a phone call. When I turned back around, Rosie had vanished. I looked everywhere. She was not in the living room, not in the kitchen, not down the hall. I felt panic well up within me. There’s a boa constrictor on the loose and I can’t find her! As I turned the corner and looked in the bathroom, I saw the dark maroon tip of her tail poking out from the vanity unit. I couldn’t believe what she had done. Rosie had managed to weave her body through all the drawers of the bathroom’s vanity unit, wedging herself completely tight inside of it. I could not budge her. She had jammed herself in. I screwed up all my courage, found Steve, and explained what had happened. “What?” he exclaimed, upset. “You can’t take your eyes off a snake for a second!” He examined the situation in the bathroom. His first concern was for the safety of the snake. He tried to work the drawers out of the vanity unit, but to no avail. Finally he simply tore the unit apart bare-handed. The smaller the pieces of the unit became, the smaller I felt. Snakes have no ears, so they pick up vibrations instead. Tearing apart the vanity must have scared Rosie to death. We finally eased her out of the completely smashed unit, and I got her back in her enclosure. Steve headed back out to work. I sat down with my pile of rubble, where the sink once stood.

Great doubt: great awakening. Little doubt: little awakening. No doubt: no awakening. —Zen mantra

The last great paragraph of Romans 8, so often and so appropriately read at funerals, leaves no room for purgatory in any form. “Who shall lay any charge against us…? Who shall condemn us…? Who shall separate us from the love of Christ? Neither death nor life nor anything in all creation shall be able to separate us from the love of God in Christ Jesus our Lord.”8 And if you still want to say that Paul really meant “though of course you’ll probably have to go through purgatory first,” I think with great respect that you ought to see not a theologian but a therapist.

Traditional psychotherapy gives “problems” great reality. An enormous amount of time and energy is frequently expended trying to get rid of emotions that would simply pass through, like changing weather, if we weren’t judging them to be a problem to be solved, or a statement about a “me” rather than about a moment. Years can be spent trying to change a negative self-image into a positive one without ever questioning whether an image is really who we are. Clients want to feel better, and they come to a therapist in order to effect that change. That is fine. But while a positive self-image may feel better, it is just as limiting, untrue, and temporary as any other image. What is here beneath the image? “What is actually true?” becomes a much more interesting question than “How can I manipulate life, ‘me,’ ‘you,’ or ‘them’ to feel/be a certain way?

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.

That’s what happened for Candy Chang, an artist who, in 2009, created a space on a public wall in New Orleans with the prompt Before I die _____. Within days the wall was completely filled. People wrote things like Before I die, I want to straddle the international dateline. Before I die, I want to sing for millions. Before I die, I want to be completely myself. Soon the idea spawned over a thousand such walls all over the world: Before I die, I would like to have a relationship with my sister. Be a great dad. Go skydiving. Make a difference in someone’s life.

Let me tell you the story of Alice in Wonderland,” said John. “Alice sees this very unusual rabbit go down a hole, and she jumps in with two feet. She has no idea what this journey is going to be and Wonderland isn’t really all that great a place—there’re scary things, challenging things, and things that are also interesting and fascinating. It’s an adventure, and Alice doesn’t know what’s in store for her, but she jumps in anyway. Alice doesn’t hesitate or think maybe a better rabbit will come along tomorrow. She feels in her heart that she’s embarking on a profound journey and that, despite the difficulties, it’s still magical and amazing. Alice doesn’t look back and doesn’t question the adventure she’s chosen. That’s commitment. You two never did that. You have the trappings of commitment and loyalty, but you go to a party and think someone else can meet your needs better. You don’t like each other’s behavior and think that means they’re not the one for you. When you negotiate with each other, it’s always from a point of self-interest, not mutual benefit. You haven’t built trust, or commitment, or a foundation of loyalty to each other because you’re not really in this relationship. That’s why no therapist can help you. You’re both still looking over your shoulder thinking the grass would be greener if you had followed some other rabbit down some other rabbit hole, into some different wonderland.

My good mood is dissipating and I start to question if my contentment was real or if I was experiencing a “flight to health” in Wendell’s absence. A flight to health is a phenomenon in which patients convince themselves that they’re suddenly over their issues because, unbeknownst to them, they can’t tolerate the anxiety that working through these issues is bringing up. Typically, a patient might have a difficult session about a childhood trauma, then come in the next week and announce that therapy is no longer needed. I feel great! That session was cathartic! A flight to health is especially common when the therapist or patient has been away and in that break, the person’s unconscious defenses take hold. I did so well the past few weeks. I don’t think I need therapy anymore! Sometimes this change is genuine. Other times, patients abruptly leave—only to come back.

Steve Timmis: We can no longer assume that if people want to find God or discover meaning or cope with a personal crisis, they will go to church. They may attend any number of religious bodies or sects. Or they may go to a therapist. Or read a self-help book. Merely opening our doors each Sunday is no longer sufficient. Offering a good product is not enough. . . . What is clear is that great swathes of America will not be reached through Sunday morning services.

People don’t always remember events or conversations clearly, but they do remember with great accuracy how an experience made them feel.

Another great boon occurred when Kelly discovered an effective trauma approach that taught her how to regulate her arousal (which triggered the dissociative episodes), get grounded, and come into the present. Her therapist was kind and reflected back to Kelly the good things she saw in her. Slowly Kelly began to experience herself as a person who was separate from everyone else and who had numerous positive qualities. Kelly learned that this adult self, who was present right now, was proof that the wispy, barely existing child had existed and had survived. She describes how shocked she was to discover this. Perhaps it is a similar shock when the butterfly breaks out of the cocoon and discovers that it is not the caterpillar it remembered.

Its not that people want to get hurt again. Its that they want to master a situation where they felt helpless. "Repetition compulsion" Maybe this time, the unconscious imagines, I can go back and heal that wound from long ago, by engaging with somebody familiar- but new. The truth is that they reopen the wounds and feel even more inadequate and unlovable." "He may be resistant to acknowledging it now, but I welcome his resistance because resistance is a clue to where the crux of the work lies; it signals what a therapist needs to pay attention to." "Conversion disorder: this is a condition in which a person's anxiety is "converted" into a neurologic conditions such as paralysis, balance issues, incontinence, deafness, tremors, or seizures." "People with conversion disorder aren't faking it- that’s called factitious disorder. People with factitious disorder have a need to be thought of as sick and intentionally go to great lengths to appear ill." "Interestingly, conversion disorder tends to be more prevalent in cultures with strict rules and few opportunities for emotional expression." "Ultracrepidarianism, which means "the habit of giving opinions and advice on matters outside of one's knowledge or competence" "Every decision they make is based on two things: fear and love. Therapy strives to teach you how to tell the two apart." "if you are talking that much, you cant be listening" and its variant, you have two ears and one mouth; there's a reason for that ratio)" "To feel better now, anytime, anywhere, within seconds" Why are we essentially outsourcing the thing that defines uses people? Was it that people couldn’t tolerate being alone or that they couldn’t tolerate being with other people?" "The four ultimate concerns are death, isolation, freedom, and meaningless" "Flooded: meaning one person is in overdrive, and when people feel flooded is best to wait a beat. The person needs a few minutes for his nervous system to reset before he can take anything in." "Developmental stage models: Freud, Jung, Erikson, Piaget and Maslow

Piers Morgan Piers Morgan is a British journalist best known for his editorial work for the Daily Mirror from 1995 through 2004. He is also a successful author and television personality whose recent credits include a recurring role as a judge on NBC’s America’s Got Talent. A controversial member of the tabloid press during Diana’s lifetime, Piers Morgan established a uniquely close relationship with the Princess during the 1990s. I mentioned I’d been in contact with her mother. “Oh crikey, that sounds dangerous!” “She’s a feisty woman, isn’t she?” William giggled. “Granny’s great fun after a few gin and tonics.” “Sh, William,” Diana said, giggling too. “My mother’s been a tremendous source of support to me. She never talks publicly; she’s just there for me.” “And what about William’s other granny?” “I have enormous respect for the Queen; she has been so supportive, you know. People don’t see that side of her, but I do all the time. She’s an amazing person.” “Has she been good over the divorce?” “Yes, very. I just want it over now so I can get on with my life. I’m worried about the attacks I will get afterward.” “What attacks?” “I just worry that people will try and knock me down once I am out on my own.” This seemed unduly paranoid. People adored her. I asked William how he was enjoying Eton. “Oh, it’s great, thanks.” “Do you think the press bother you much?” “Not the British press, actually. Though the European media can be quite annoying. They sit on the riverbank watching me rowing with their cameras, waiting for me to fall in! There are photographers everywhere if I go out. Normally loads of Japanese tourists taking pictures. All saying “Where’s Prince William?’ when I’m standing right next to them.” “How are the other boys with you?” “Very nice. Though a boy was expelled this week for taking ecstasy and snuff. Drugs are everywhere, and I think they’re stupid. I never get tempted.” “Does matron take any?” laughed Diana. “No, Mummy, it gives her hallucinations.” “What, like imagining you’re going to be king?” I said. They both giggled again. “Is it true you’ve got Pamela Anderson posters on your bedroom wall?” “No! And not Cindy Crawford, either. They did both come to tea at the palace, though, and were very nice.” William had been photographed the previous week at a party at the Hammersmith Palais, where he was mobbed by young girls. I asked him if he’d had fun. “Everyone in the press said I was snogging these girls, but I wasn’t,” he insisted. Diana laughed. “One said you stuck your tongue down her throat, William. Did you?” “No, I did not. Stop it, Mummy, please. It’s embarrassing.” He’d gone puce. It was a very funny exchange, with a flushed William finally insisting: “I won’t go to any more public parties; it was crazy. People wouldn’t leave me alone.” Diana laughed again. “All the girls love a nice prince.” I turned to more serious matters. “Do you think Charles will become king one day?” “I think he thinks he will,” replied Diana, “but I think he would be happier living in Tuscany or Provence, to be honest.” “And how are you these days--someone told me you’ve stopped seeing therapists?” “I have, yes. I stopped when I realized they needed more therapy than I did. I feel stronger now, but I am under so much pressure all the time. People don’t know what it’s like to be in the public eye, they really don’t.

Charlene puts a hand on Sunny’s. “I’m sorry for the things you’re about to hear. I know they pertain to your brother, and it’s probably going to be disturbing. I have the name of a great therapist if you happen to need one later.” “I’m

But you should see the sky tonight. Screw your astrology apps. Screw your games. Look up sometime. There is a whole wing of positive psychology--my therapist told me--that says the greatest way to affect your outlook on life is to consider what you already have more than what you don't have. And so I might not have a cell phone on me, or a sister at home, or a Dad at all, or a future, but holy shit I have the sky.

Back at Onsite, our 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. I wish I’d have heard that in my twenties. I can’t tell you how many girls’ pillows I’ve stomped on trying to get them to change. And the sleepless nights I’ve spent wondering what they were thinking or how much they liked me or whether I was a good enough man for them. A complete waste of time.

Helping professionals, therapists, life coaches, healers can greatly assist you in changing your life for the better, but they pale in comparison to the power thats gained from developing a relationship with yourself. It's you that holds the power for change

Memory Makes Magic Happen “Have you ever been away from someone for a while and when you are reunited after a long absence, they ask about something or someone whom you talked about previously? My friend Teresa Palm is an amazing massage therapist. Months can go by between our appointments, however, without missing a beat, she can start up our conversations exactly where we left off ages ago. Her memory has always impressed me and demonstrated that she is interested enough to remember things which were meaningful to me. She always conveys a sincere interest which makes me feel great.

You’re still supposed to be using a crutch, Mr. Morgan!” I call after him. “Thanks, Physical Therapist Lydia! How’s my cum taste?” I giggle. “Great!

It’s a complicated disorder. After reading the literature, viewing tapes, and consulting with experts, I concluded that several phenomena have to happen simultaneously for it to arise. The patient has to have a complex PTSD, such as what Danny suffered—meaning that they’ve experienced severe emotional, sexual, and sometimes physical abuse over a prolonged period. That same patient must exhibit great natural tenacity and resilience, thus refusing to go completely insane. It also correlates with a good memory, creativity, and a relatively high IQ. This unusual combination of variables doesn’t come along that often, which is one of the reasons why the disorder is so rare. It’s a sophisticated way to make the unbearable bearable—a way to protect your mind and keep a piece of yourself, the largest piece, safe.

Mobile Hairdresser, Beauty Therapist and Cosmetic Tattooist, Professional service to your door. Gina has 34 years of experience and is passionate about making people look and feel good, with great listening skills and educating clients on how to manage their new look and maintenance. Gina will customise services to each client and make them feel at ease.

The first and foremost task for the therapist is to create an accepting and empathic context, which in itself has great therapeutic value because for many people it is a novel and deeply gratifying experience to be accepted and listened to respectfully.

Rita shook her head. “You see,” she went on as if she hadn’t heard a word I said, “this is exactly why it’s better to keep my distance.” I 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. 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. Still, Rita called me every day to let me know that Myron hadn’t responded. “Radio silence,” she’d say into my voicemail, then add sarcastically,

In movies, therapist silences have become a cliche, but it's only in silence that people can truly hear themselves. Talking can keep people in their heads and safely away from their emotions. Being silent is like emptying the trash. When you stop tossing junk into the void- words, words, and more words- something important rises to the surface. And when the silence is a shared experience, it can be a gold mine for thoughts and feelings that the patient didn't even know existed. ... Even great joy is sometimes best expressed through silence, as when a patient comes in after landing a hard-won promotion or getting engaged and can't find the words to express the magnitude of what she's feeling. So we sit in silence together, beaming.

In those times no one really spoke about their feelings in the way in which they do nowadays. Today we have huge industries set up that profit from the idea that people suffer from a mental illness called ‘depression’; from the big pharma corporations to therapists, there is plenty of money to be made from emotional misery. The culture I grew up in discouraged people, especially boys, from ever discussing their ‘feelings’. You had to just accept whatever situation you were in and ‘get on with it’. I am a strong believer in that ethos of self-help and stoicism. Indeed, my father is a great example of that. In 1983 he was given six months to live by the doctor unless he gave up smoking and drinking. So he just went cold turkey and never told anyone. On his own, no shrinks or treatment centres for him; a man of the old school brought up the hard way.

Finding a person to declare your craziest, most profound insecurities to is not exactly a picnic. But the bureaucratic idiocy of America’s healthcare system turns what should be a chore into torture. If you’re a middle-class person in America, the dance goes like this: You call your insurance provider to find a meager list of therapists who take your insurance. Most of the people on the list are licensed clinical social workers or licensed mental health counselors. They can be wonderful and very helpful, but they often have less schooling and experience than, say, psychologists and PhDs. After digging deeper, you find that some of these therapists don’t take your insurance after all; others have full client lists. And even if they do have space in the day to treat someone, they might not be interested in treating you. According to one study, a low-income Black person had up to an 80 percent lower chance of receiving a callback for an appointment than a middle-class white person. And even though intellectually, therapists tell you that anger can be a helpful and legitimate emotion in processing trauma, God forbid you actually seem angry on the phone. Several mental health professionals have told me that therapists often avoid rageful clients because they seem threatening or scary. Therapists instead prefer to take on YAVIS—Young, Attractive, Verbal, Intelligent, and Successful clients. They love an amenable type, someone who is curious about their internal workings and eager to plumb them, someone who’s already read articles in The New Yorker about psychology to familiarize them with the language of metacognition and congruence. Good luck if you’re a regular-ass Joe who’d rather watch It’s Always Sunny in Philadelphia. But say you get lucky and find a licensed clinical psychologist with an open slot. The psychologist is white, of course (86 percent of psychologists in the United States are), which isn’t ideal if you are a person of color. But, fine, whatever: You just need to receive an official diagnosis for your insurance. You are certain you have complex PTSD, but he can’t diagnose you with that because it’s not in the Diagnostic and Statistical Manual of Mental Disorders. Your insurance only covers treatment for conditions listed in the DSM in order to assign a number of sessions to you. Most forms of insurance will pay for, say, only six months of therapy relating to anxiety, ten for depression, as if you should be better by then. Another consequence of C-PTSD not being in the DSM: This psychologist hasn’t been trained in treating it. He says he doesn’t believe that it’s a real diagnosis. He’d like to provide you with some questionnaires to see if you have something he can actually handle—bipolar disorder, maybe, or manic depression. This does not inspire confidence, so you leave. After some internet sleuthing, you find a woman of color who seems really cool. She’s specifically trained in the treatment of complex trauma. She has blurbs on her website that resonate with you—it seems as if she might truly understand you. But she doesn’t take insurance. (Psychologists are the least likely of any medical provider to take insurance—only about 45 percent of them do. And most of the time, the ones who don’t are the most qualified practitioners.) You can’t exactly blame her. You learn on the internet that insurance companies haven’t updated reimbursement rates for therapists in up to twenty years, despite rising rates for office rent and other administrative costs. If therapists were to rely on reimbursement rates from insurance alone, they’d wind up making about $50,000 a year on average, which is fine, but like, not great if you’re an actual doctor.

We need to find you an outlet that’s going to be healthy and sustainable.” ​I consider these words for a moment. “Like what?” I finally ask, coming up with nothing. ​“Well, you could write,” the bigfoot therapist suggests. “Something creative is a great way to let that illogical side of you come out and play.” ​“Knowing my hyperfocus I’d probably just end up writing hundreds of books expressing every corner of my personality in a deeply intricate catalog of feelings,” I offer with a scoff. ​My therapist doesn’t seem phased.

How easy it is, I thought, to break someone’s heart, even when you take great care not to.

The Western transition away from tribal culture has caused us a few great losses - one of them is the concept of true community. Without community we turn to the economy to replace what we’ve lost by hiring therapists, nannies, doulas, reiki healers and housekeepers. But it’s hard to hire a mentor, to find women and men who’ve been there before us and are willing to honestly counsel us about what marriage really has in store.

As I look at it now, I was peeling off layer after layer of defenses. I’d build them up, try them, and then discard them when you remained the same. I didn’t know what was at the bottom and I was very much afraid to find out, but I had to keep on trying. At first I felt there was nothing within me—just a great emptiness where I needed and wanted a solid core. Then I began to feel that I was facing a solid brick wall, too high to get over and too thick to go through. One day the wall became translucent, rather than solid. After this, the wall seemed to disappear but beyond it I discovered a dam holding back violent, churning waters. I felt as if I were holding back the force of these waters and if I opened even a tiny hole I and all about me would be destroyed in the ensuing torrent of feelings represented by the water. Finally I could stand the strain no longer and I let go. All I did, actually, was to succumb to complete and utter self pity, then hate, then love. After this experience, I felt as if I had leaped a brink and was safely on the other side, though still tottering a bit on the edge. I don’t know what I was searching for or where I was going, but I felt then as I have always felt whenever I really lived, that I was moving forward.

Emotional Inheritance is about silenced experiences that belong not only to us but to our parents, grandparents, and great-grandparents, and about the ways they impact our lives.

Each person is an island unto himself, in a very real sense; and he can only build bridges to other islands if he is first of all willing to be himself and permitted to be himself. So I find that when I can accept another person, which means specifically accepting the feelings and attitudes and beliefs that he has as a real and vital part of him, then I am assisting him to become a person: and there seems to me great value in this.

Oprah: What if you don’t have the resources to get a therapist? Dr. Perry: Great question. Most people who experience adversity and trauma do not have access to therapy, let alone a clinical team like I just described. But what we’re learning is that having access to a number of invested, caring people is actually a better predictor of good outcomes following trauma than having access to a therapist.

When you have Harm OCD, it can often feel like you're repeatedly being accused of a terrible crime. OCD is your accuser, but it also acts like a high-powered defense attorney who says, "Look, I can get you a not-guilty plea, guaranteed. I'm going to get all the witnesses and all the evidence and bring it all up in your trial and if you stick with me, the jury will acquit you. 100%." You hear this and think, Great, let's do this. I know I'm not guilty. Let's make sure it's official. Then the OCD says, "Sure thing. By the way, I cost $1000/hour, I bill 24 hours a day, and the case will take a few years, maybe more. In the end, you'll get your not-guilty verdict, probably, but I should tell you, the long trial will decimate you and the verdict might not make that much of a difference. But never mind that, let's get to that evidence of your innocence." An OCD therapist like me is no high-powered attorney. I'm more like a public defender and my advice is simple: Plead the fifth. In an American court, when you plead the fifth amendment to the U.S. constitution, you are saying that you will not answer a question that could incriminate you. In other words, no matter what OCD asks, just don't answer. You're probably thinking, "No, that makes me look really guilty." Then I explain, "If you don't take the bait and answer OCD's questions, this thing will go to mistrial in a week. No one will remember it. It might as well have been just a forgettable fluke." This approach is what it means to accept uncertainty, and it is indeed scary. It doesn't come with that shiny promise of complete vindication. But it also doesn't cost you a lifetime of obsessing. Accepting uncertainty about your violent thoughts means allowing the possibility that they could be true by not trying to prove otherwise.

A lifetrap is a pattern or theme that starts in childhood and repeats throughout life. The theme might Abandonment or Mistrust or Emotional Deprivation or any of the others we described. The end result is that, as an adult, we manage to recreate the conditions of our childhood that were most harmful to us. A life-trap is self-destructive. This self-defeating quality is what makes lifetraps so poignant for us as therapist to watch. We see someone like Patrick get abandoned again, or someone like Madeline get abused. Patients are drawn to situations that trigger their lifetraps, like moths to flame. A lifetrap damages our sense of self, our health, our relationships with others, our work, our happiness, our moods - it touches every aspect of our lives. A lifetrap struggles hard for survival. We feel a strong push to maintain it. This is part of the human drive for consistency. the lifetrap is what we know. Although it is painful, it is comfortable and familiar. It is therefore very difficult to change. Furthermore, our lifetraps were usually developed when we were children as appropriate adaptations to the family we lived in. These patterns were realistic when we were children; the problem is that we continue to repeat them when they no longer serve a useful purpose.

But as the correspondence progresses, it becomes obvious that now, unlike earlier with his mother, he can perceive and articulate his needs more and more clearly, that although he is in constant danger of subordinating his need to be a writer and to be alone to bourgeois ideals of familial happiness, he never succumbs to this danger. In the end, he knows he can never give up his writing without giving up himself, and he accepts the consequences. Since it is not possible for him to go on writing in the world from which he comes without suffering from guilt feelings, he pays for his decision by becoming ill. 5. Kafka's insight into the origins of his tuberculosis can help us in our attempts to understand psychosomatic illnesses and their societal context. Don't we as therapists make it difficult for patients to live their own lives if we have preconceived ideas about what constitutes happiness, psychic health, social commitment, altruism and goodness in a person? According to these conventional standards, still very prevalent today, Franz Kafka was a neurotic or an eccentric, whom a psychotherapist would be tempted to "socialize" in order to enable him to marry Felice. One of my goals in this chapter is to make clear how absurd such an attempt would be. A visionary of rare greatness and dept came into being, and it is obvious that his attempts to adhere to bourgeois norms were bound to fail. Whether humankind cares to pay heed or not, the prophetic power of "In the Penal Colony" endures (...) because he took his own experiences seriously and thought them through to their bitter end. Advocates of manipulative strategies in psychotherapy could counter my views by saying that not everyone has the talent of a Franz Kafka and that most people seek help because they would like to get along better with others, because they suffer from their symptoms, want to improve their relationships, cannot being themselves to marry, and the like. I would reply that these were precisely the complains Kafka had. It would be disastrous, however, not to perceive the longing to find one's true self inherent in these complains.

began this book by observing that death anxiety rarely enters the discourse of psychotherapy. Therapists avoid the topic for a number of reasons: they deny the presence or the relevance of death anxiety; they claim that death anxiety is, in fact, anxiety about something else; they may fear igniting their own fears; or they may feel too perplexed or despairing about mortality. I hope that I have, in these pages, conveyed the necessity and the feasibility of confronting and exploring all fears, even the darkest ones. But we need new tools-a different set of ideas and a different type of therapist-patient relationship. I suggest that we attend to the ideas of great thinkers who have faced death forthrightly and that we build a therapeutic relationship based on the existential facts of life. Everyone is destined to experience both the exhilaration of life and the fear of mortality.

I have never told anyone the exact details of my particular sex fantasy: it is my only secret and I am not going to divulge it here. I once told almost all of it to my former therapist; he died last year, and when I saw his obituary I felt a great sense of relief: the only person in the world who almost knew how crazy I am was gone and I was safe.

Step 2: Understand the childhood origins of your lifetrap and feel the wounded child inside of you: To feel your lifetrap, you will need to remember your childhood. We will ask you to close your eyes and let the images come. Do not force the images – just let one rise to the top of your mind. Get into each one as deeply as you can. Try to picture these early memories as vividly as possible. If you do this a few times, you will begin to remember what you felt as a child. You will feel the pain or emotions connected with your lifetrap. This kind of imagery is painful. If you feel completely overwhelmed or frightened by the experience, that is a sign you need therapy. Your childhood was so painful that you should not remember it alone. You need a guide, an ally. A therapist can be this for you. Giving comfort to your inner child, offering guidance and advice, and empathizing with how the child feels are some of the things we will ask you to do. Even though these exercises may seem silly or uncomfortable to you at first, we have found that most people benefit enormously from them.

Of the two, Rick Doblin has been at it longer and is by far the more well known. Doblin founded the Multidisciplinary Association for Psychedelic Studies (MAPS) all the way back in the dark days of 1986—the year after MDMA was made illegal and a time when most wiser heads were convinced that restarting research into psychedelics was a cause beyond hopeless. Doblin, born in 1953, is a great shaggy dog with a bone; he has been lobbying to change the government’s mind about psychedelics since shortly after graduating from New College, in Florida, in 1987. After experimenting with LSD as an undergraduate, and later with MDMA, Doblin decided his calling in life was to become a psychedelic therapist. But after the banning of MDMA in 1985, that dream became unachievable without a change in federal laws and regulations, so he decided he’d better first get a doctorate in public policy at Harvard’s Kennedy School. There, he mastered the intricacies of the FDA’s drug approval process, and in his dissertation plotted the laborious path to official acceptance that psilocybin and MDMA are now following.

Steps to changing your subjugation lifetrap 7. Pull back from relationships with people who are too self-centred or selfish to take your needs into account. Avoid one-sided relationships. Change or get out of relationships where you feel trapped. When we first started as therapists, our tendency was to try to preserve every relationship in the patient’s life. If the patient was married, our impulse was to try to preserve the marriage. If the patent was having a love affair, our impulse was to try to preserve the affair. But we no longer feel that relationships should be preserved at all costs. Some relationships are simply too damaging, and have too few prospects for change. There will be some people in your life who will refuse to adjust to your attempt to balance the relationships. If you are married or if they are part of your family, you can give them every opportunity to change. But if, in the final analysis, they will not change, then you have to pull back from the relationship. You may even have to end it.

I’ll call you at lunch,” Jen says. “But in the meantime, I don’t know that this is the end of the story. Something’s screwy. Unless he’s a sociopath, it doesn’t jibe at all with what I saw for the past two years.” “Exactly,” I say. “Which means he’s a sociopath.” I hear her take a sip of water and put the glass down. “In that case,” she says, swallowing, “I have a great guy for you—one who’s not a kid hater.” She also likes Boyfriend’s new name. “In a few weeks, when you’re ready, I want to introduce you.

realized that I could no longer do this alone and that I needed help from someone else to keep the wheelbarrow upright on this stretch of the road. It took a lot of courage and a great deal of trust to dare ask for that help—trust in that other person, but even more, genuine trust in myself.

Then one day, when I arrived at the biggest, deepest pothole in the road, I realized that I could no longer do this alone and that I needed help from someone else to keep the wheelbarrow upright on this stretch of the road. It took a lot of courage and a great deal of trust to dare ask for that help—trust in that other person, but even more, genuine trust in myself.

That meant my body was becoming convinced by my mind. It was no longer repeating the story that death is imminent unless we’re on full alert at 12:45. The same thing happened the following night. That’s a positive change! It’s important to love our bodies. So often when they don’t behave, by getting sick or developing patterns like insomnia, we want the problems to go away. We ignore them, deny them, suppress them, get mad at them, or medicate them. If instead we can strive to understand our bodies and accept them just the way they are, we open the door to healing. Carl Rogers, the great client-centered therapist of the 20th century, called this the paradox of growth: We need to love ourselves just the way we are, with all our problems and limitations. When we do that, we start to change. When your body knows it will be listened to, it can speak quietly. A little rumble here. A slight pain there. We hear the message and take care of its needs. When I teach live workshops, I often work with people who’ve been ignoring or even hating their bodies for many years. They aren’t attuned to the body’s messages. They aren’t picking up those subtle signals. When its soft communications are ignored, the body has to speak more loudly. The small pain might become arthritis. If ignored, it might become a full-fledged autoimmune disorder. So many people are at war with their bodies, trying to mute their messages with medication or addictive substances. Growth begins with self-love. Healing begins with self-acceptance, even when circumstances seem unacceptable. Practicing self-love lowers our stress levels and opens our awareness to the potential of our lives. Through that window of possibility, the love, peace, and beauty of the universe can shine.

Some snapshots are disturbing, and glimpsing them reminds me that we all have a dark side. Others are blurry. People don’t always remember events or conversations clearly, but they do remember with great accuracy how an experience made them feel. Therapists have to be interpreters of these blurry snapshots, aware that patients need to be fuzzy to some extent, because those first snapshots help to gloss over painful feelings that might be invading their peaceful inner territory. In time, they find out that they aren’t at war after all, that the path to peace is to call a truce with themselves.

There’s something likable in everyone,” and to my great surprise, I found that she was right. It’s impossible to get to know people deeply and not come to like them. We should take the world’s enemies, get them in a room to share their histories and formative experiences, their fears and their struggles, and global adversaries would suddenly get along. I’ve found something likable in literally everyone