Therapist Office Quotes

Some seek the comfort of their therapist's office, other head to the corner pub and dive into a pint, but I chose running as my therapy.

Probably the wisest words that were ever uttered to me. Came from a therapist. I was sitting in her office, crying my eyes out. . . and she said, "So let me get this straight. You base your personal happiness on things entirely out of your control.

As the therapist listened to her patient's deepest fears and insecurities, she couldn't shake the feeling that they were somehow reflecting her own dark thoughts. When she saw her reflection in the mirror, she realized she had been alone in her office the whole time.

It's easy to look back and say if things had been perfect, I could have accommodated all of those things into my life. But as a therapist I do not allow that word to be uttered in my office after the first session, because I believe the only reason for the existence of that word is to make us feel bad. It's the only word in the language (that I know of) that is defined in common usage by what can't be. It sets a vague standard that can't be met because it is never truly characterized. I prefer to think that we're all out here doing our best under the circumstances, looking at our world through the only eyes through which we can look at it: our own.

Sounds like being a therapist. People normally came into my office because something happened. Someone had died, or betrayed them. Their love wasn’t reciprocated. They’d lost a job. Gotten divorced. Something big. But the truth was, while that might’ve been the catalyst, the problem was almost always tiny and old and hidden.

There’s a reason why many people feel most loved and cared for in the therapists’s or counselor’s office: few people ask us questions as well as they do, with the interest that they do. We should consider deprofessionalizing that task, though, and restore it to the context of friendship and mentorship where it originally belonged.

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.

A couple, both age seventy-eight, went to a sex therapist’s office. The doctor asked, “What can I do for you?” The man said, “Will you watch us have sexual intercourse?” The doctor looked puzzled, but agreed. When the couple finished, the doctor said, “There’s nothing wrong with the way you have intercourse,” and charged them $50. The couple asked for another appointment and returned once a week for several weeks. They would have intercourse, pay the doctor, then leave. Finally, the doctor asked, “Just exactly what are you trying to find out?” The old man said, “We’re not trying to find out anything. She’s married and we can’t go to her house. I’m married and we can’t go to my house. The Holiday Inn charges $93 and the Hilton Inn charges $108. We do it here for $50, and I get $43 back from Medicare.

Start small and work your way up,” her therapist suggested. “Start by hating Officer Big Mac, a class traitor who is keeping the other residents of McDonaldland from getting the sandwiches that they need, and who when the revolution comes will have the burger of his head eaten for his crimes.” But this insight produced in her only a fresh wave of discouragement. Her therapist was more radical than her?

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

Children make studies of their parents, decipher them, propose theories about their behavior, turn them this way and that, examining every flaw, and continue to do so long after the parents themselves are gone. In stories, at the therapist's office, at holidays--the story of the parent never ends.

Coming to terms with your sexual abuse and speaking out is necessary for healing. Whether is alone in a therapist's office, in a book or to simply share your trauma with a trusted person the truth always heals. Let's not conform ourselves to live in silence with this trauma. Silence perpetuates more abuse.

You know that joke, about why you can’t be a therapist and smoke? Because it means you’re still fucked up.” He laughed and popped one of the cigars into his mouth. “I think we’re all a bit crazy in this place. You know that sign they used to have in offices? ‘You don’t need to be mad to work here, but it helps’?

Everyone who dealt with disadvantaged kids, from therapists to college admissions officers, treated us as if we could overcome any abuse or neglect with sheer force of will.

Bo-an-throp-ee,” I sounded out the syllables for him. “It’s an extremely rare psychological disorder where the sufferer thinks they’re a bovine.” Officer Donahue furrowed his brow. “Bovine…” “Cattle animals,” I said impatiently.

Whereas we’d once believed that the symptoms and behavior exhibited by our clients primarily reflected their psychological defenses—a view that attributed a degree of intentionality, no matter how unconscious—now, we better understood the symptoms as manifestations of instinctive brain and bodily survival responses. We understood that sympathetic activation fuels anxiety and rage, parasympathetic dominance causes shutdown and passive-aggressive behavior, flight responses spur fleeing the therapist’s office, and fight responses lead to verbal or physical aggression or violence turned against the self. When clients self-harm, for example, these days, we understand their actions to be instinctive, rather than thought out—an effort to regulate or relieve, rather than punish.

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

During one of these lectures, our teacher imparted a morsel of clinical wisdom. This is what he told us: “You will from time to time meet a patient who shares a disturbing tale of multiple mistakes in his previous treatment. He has been seen by several clinicians, and all failed him. The patient can lucidly describe how his therapists misunderstood him, but he has quickly perceived that you are different. You share the same feeling, are convinced that you understand him, and will be able to help.” At this point my teacher raised his voice as he said, “Do not even think of taking on this patient! Throw him out of the office! He is most likely a psychopath and you will not be able to help him.” Many years later I learned that the teacher had warned us against psychopathic charm, and the leading authority in the study of psychopathy confirmed that the teacher’s advice was sound. The analogy to the Müller-Lyer illusion is close. What we were being taught was not how to feel about that patient. Our teacher took it for granted that the sympathy we would feel for the patient would not be under our control; it would arise from System 1. Furthermore, we were not being taught to be generally suspicious of our feelings about patients. We were told that a strong attraction to a patient with a repeated history of failed treatment is a danger sign—like the fins on the parallel lines. It is an illusion—a cognitive illusion—and I (System 2) was taught how to recognize it and advised not to believe it or act on it.

With courageous dreaming, you discover that your problems are no longer overwhelming you or defining your life. While the difficulties you face feel very real, you always have the choice to create a heroic account about your relationship to them instead of a disempowering saga of suffering. You’ll recognize that you can stop being a victim, trying to fix the world all on your own, or feeling vindictive toward those who harmed you. You’ll see that your life is exactly as it should be right now, and you’ll be able to let go of all the stories that keep you feeling trapped and unhappy and venting in your therapist’s office. You’ll begin to practice dreaming the world into being, and everything will change.

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

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

If I walk out of my office today and get hit by a drunk driver, that will not be my fault. But it will be my responsibility to deal with the outcome. I am the one who has to go to the doctor and get surgery. I am the one who will have to go to the physical therapist. I am the one who will have to grieve. And I will be the one who has to work through the anger and do the forgiving. Those things are all my responsibility, even though I did not choose to get hit by a drunk driver. Unsafe people do not do that hard work. They stay angry, stuck, and bitter, sometimes for life. When they feel upset, they see others as the cause, and others as the ones who have to do all the changing. When they are abused, they hold on to it with a vengeance and spew hatred for the rest of their lives. When they are hurt, they wear it like a badge. And worst of all, when they are wrong, they blame it on others. Denial is the active process that someone uses to avoid responsibility. It is different from being unaware of sin. When we are unaware, we do not know about our sin. Denial is more active than that. It is a style and an agenda, and it can be very aggressive when truth comes close. People with a style of denial and blaming are definitely on the list of unsafe people to avoid.

Of course, I should have known the kids would pop out in the atmosphere of Roberta's office. That's what they do when Alice is under stress. They see a gap in the space-time continuum and slip through like beams of light through a prism changing form and direction. We had got into the habit in recent weeks of starting our sessions with that marble and stick game called Ker-Plunk, which Billy liked. There were times when I caught myself entering the office with a teddy that Samuel had taken from the toy cupboard outside. Roberta told me that on a couple of occasions I had shot her with the plastic gun and once, as Samuel, I had climbed down from the high-tech chairs, rolled into a ball in the corner and just cried. 'This is embarrassing,' I admitted. 'It doesn't have to be.' 'It doesn't have to be, but it is,' I said. The thing is. I never knew when the 'others' were going to come out. I only discovered that one had been out when I lost time or found myself in the midst of some wacky occupation — finger-painting like a five-year-old, cutting my arms, wandering from shops with unwanted, unpaid-for clutter. In her reserved way, Roberta described the kids as an elaborate defence mechanism. As a child, I had blocked out my memories in order not to dwell on anything painful or uncertain. Even as a teenager, I had allowed the bizarre and terrifying to seem normal because the alternative would have upset the fiction of my loving little nuclear family. I made a mental note to look up defence mechanisms, something we had touched on in psychology.

You will from time to time meet a patient who shares a disturbing tale of multiple mistakes in his previous treatment. He has been seen by several clinicians, and all failed him. The patient can lucidly describe how his therapists misunderstood him, but he has quickly perceived that you are different. You share the same feeling, are convinced that you understand him, and will be able to help.” At this point my teacher raised his voice as he said, “Do not even think of taking on this patient! Throw him out of the office! He is most likely a psychopath and you will not be able to help him.

This is what he told us: “You will from time to time meet a patient who shares a disturbing tale of multiple mistakes in his previous treatment. He has been seen by several clinicians, and all failed him. The patient can lucidly describe how his therapists misunderstood him, but he has quickly perceived that you are different. You share the same feeling, are convinced that you understand him, and will be able to help.” At this point my teacher raised his voice as he said, “Do not even think of taking on this patient! Throw him out of the office! He is most likely a psychopath and you will not be able to help him.

The most obvious examples of pathological problems are: uncontrollable negative cash flow, continuous emigration of key human resources away from the organization, unresolved quality problems, rapidly declining market share, and tremendous drops in the company’s capacity to raise financial resources. Organizations with those problems can’t afford therapy because therapy takes time, and time is a resource those organizations do not have. Instead of an organizational therapist, the board should hire an organizational turnaround specialist who can temporarily take on the chief executive officer’s role, and perform whatever “surgery” is necessary.

Audio of interview - http://www.youtube.com/watch?feature=... "it's not surprising that in that first group I worked with over 20 years ago I had 2 accounts of Jimmy Savile being an abuser where I did support some people to go to the police but it was seen as something impossible to consider at the time." "We have improved a lot as a society in the last 20 years in accepting the reality of abuse, even though it's still so hard for us." "When we look at adults who were abused in childhood we find that nearly all of them had told somebody..." "The culture of the police has changed dramatically but 20 years ago when even counselors and social workers didn't think the abuse could be so widespread the police were obviously part of that culture too. I mean it's hard to realise that in the 1980s there was a point where it was thought that there were only 486 children on the abuse register. Now the government accepts that 1 in 4 adults will have been abused at some point in their lives. That is a huge change." "This is really different for any survivors listening now if a police officer doesn't listen sympathetically and offer a believing response then something has gone wrong because the police really do have this in their guidelines now." - Dr Valerie Sinason, Clinic for Dissociative Studies, London

Case study: The grief-stricken doctor An elderly doctor, unable to overcome the deep depression into which he’d fallen after the death of his wife two years earlier, went to Frankl for help. Instead of giving him advice or analyzing his condition, Frankl asked him what would have happened if he had been the one who died first. The doctor, horrified, answered that it would have been terrible for his poor wife, that she would have suffered tremendously. To which Frankl responded, “You see, doctor? You have spared her all that suffering, but the price you have to pay for this is to survive, and mourn her.” The doctor didn’t say another word. He left Frankl’s office in peace, after taking the therapist’s hand in his own. He was able to tolerate the pain in place of his beloved wife. His life had been given a purpose.

Gloria-in-human-resources wants an answer by tonight,” I heard Brad say. “Should I pick the smart one or the hot one?” I froze, appalled. “Always pick the smart one,” the other agent replied, and I wondered which one Brad considered me to be. An hour later, I got the job. And despite finding the question outrageously inappropriate, I felt perversely hurt. Still, I wasn’t sure why Brad had pegged me as smart. All I’d done that day was dial a string of phone numbers (repeatedly disconnecting calls by pressing the wrong buttons on the confusing phone system), make coffee (which was sent back twice), Xerox a script (I pushed 10 instead of 1 for number of copies, then hid the nine extra screenplays under a couch in the break room), and trip over a lamp cord in Brad’s office and fall on my ass. The hot one, I concluded, must have been particularly stupid.

Us in speech therapists office, Brandy says, “It helps to know you’re not anymore responsible for how you look than a car is,” Brandy says. “You’re a product just as much. A product of a product of a product. The people who design cars, they’re products. Your parents are products. Their parents were products. You’re teachers, products. The minister in your church, another product,” Brandy says. Sometimes your best way to deal with shirt, she says, is to not hold yourself as such precious little prize. “My point being,” Brandy says, “is you can’t escape the world, and you’re not responsible for how you look, if you look beauticious or butt ugly. You’re not responsible for how you feel or what you say or how you act or anything you do. It’s all out of your hands,” Brandy says. The same way a compact disk isn’t responsible for what’s recorded on it, that’s how we are. You’re about as free to act as a programmed computer. You’re about as one-of-a-kind as a dollar bill. “There isn’t any real you in you,” she says. ”Even your physical body, all your cells will be replaced within eight years.” Skin, bone, blood, and organs transplant from person to person. Even what’s inside you already, the colonies of microbes and bugs that eat your food for you, without them you’d die. Nothing of you is all-the-way yours. All of you is inherited. “Relax,” Brandy says, “Whatever you’re thinking, a million other folks are thinking. Whatever you do, they’re doing, and none of you is responsible. All of you is a cooperative effort.

For my speaking gigs, the title of my presentation is always the same: 'The journey of a hero'. I learned from writer Joseph Campbell, that a hero is someone born into a world where they don’t fit in. They are then summoned on a call to an adventure that they are reluctant to take. What is the adventure? A revolutionary transformation of self. The final goal is to find the elixir. The magic potion that is the answer to unlocking HER. Then she comes "home" to this ordinary life transformed and shares her story of survival with others... My journey was like a war movie, where at the end, the hero has been bruised and bloodied, traumatized from witnessing untold amounts of death and destruction, and so damaged that she cannot go back to being the same woman who went to war. She may have even seen her death but was somehow resurrected. But to go on THAT journey, I had to be armed with the courage of a lioness... Individuals on the journey eventually find themselves experiencing a baptism by fire. It's that moment when they are just about to lose their lives, and they, miraculously, courageously find the answer that gives their life meaning. And that meaning saves them. In the words of Joseph Campbell, in "The Hero with a Thousand Faces", "The call to adventure signifies that destiny has summoned the hero. The hero, whether god or goddess, man or woman, the figure in a myth, or the dreamer in a dream, discovers and assimilates his opposites, his own unsuccessful self, either by swallowing it or being swallowed. I still see my younger self so clearly from that fateful day in my therapist's office. She stands up, in tears, on a mound of snow. Pissed off, she shouts, "Bitch!!! I'm not going to be swallowed!

Type II trauma also often occurs within a closed context - such as a family, a religious group, a workplace, a chain of command, or a battle group - usually perpetrated by someone related or known to the victim. As such, it often involves fundamental betrayal of the relationship between the victim and the perpetrator and within the community (Freyd, 1994). It may also involve the betrayal of a particular role and the responsibility associated with the relationship (i.e., parent-child, family member-child, therapist-client, teacher-student, clergy-child/adult congregant, supervisor-employee, military officer-enlisted man or woman). Relational dynamics of this sort have the effect of further complicating the victim's survival adaptations, especially when a superficially caring, loving or seductive relationship is cultivated with the victim (e.g., by an adult mentor such as a priest, coach, or teacher; by an adult who offers a child special favors for compliance; by a superior who acts as a protector or who can offer special favors and career advancement). In a process labelled "selection and grooming", potential abusers seek out as potential victims those who appear insecure, are needy and without resources, and are isolated from others or are obviously neglected by caregivers or those who are in crisis or distress for which they are seeking assistance. This status is then used against the victim to seduce, coerce, and exploit. Such a scenario can lead to trauma bonding between victim and perpetrator (i.e., the development of an attachment bond based on the traumatic relationship and the physical and social contact), creating additional distress and confusion for the victim who takes on the responsibility and guilt for what transpired, often with the encouragement or insinuation of the perpetrator(s) to do so.

Having studied workplace leadership styles since the 1970s, Kets de Vries confirmed that language is a critical clue when determining if a company has become too cultish for comfort. Red flags should rise when there are too many pep talks, slogans, singsongs, code words, and too much meaningless corporate jargon, he said. Most of us have encountered some dialect of hollow workplace gibberish. Corporate BS generators are easy to find on the web (and fun to play with), churning out phrases like “rapidiously orchestrating market-driven deliverables” and “progressively cloudifying world-class human capital.” At my old fashion magazine job, employees were always throwing around woo-woo metaphors like “synergy” (the state of being on the same page), “move the needle” (make noticeable progress), and “mindshare” (something having to do with a brand’s popularity? I’m still not sure). My old boss especially loved when everyone needlessly transformed nouns into transitive verbs and vice versa—“whiteboard” to “whiteboarding,” “sunset” to “sunsetting,” the verb “ask” to the noun “ask.” People did it even when it was obvious they didn’t know quite what they were saying or why. Naturally, I was always creeped out by this conformism and enjoyed parodying it in my free time. In her memoir Uncanny Valley, tech reporter Anna Wiener christened all forms of corporate vernacular “garbage language.” Garbage language has been around since long before Silicon Valley, though its themes have changed with the times. In the 1980s, it reeked of the stock exchange: “buy-in,” “leverage,” “volatility.” The ’90s brought computer imagery: “bandwidth,” “ping me,” “let’s take this offline.” In the twenty-first century, with start-up culture and the dissolution of work-life separation (the Google ball pits and in-office massage therapists) in combination with movements toward “transparency” and “inclusion,” we got mystical, politically correct, self-empowerment language: “holistic,” “actualize,” “alignment.

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.

MY PROCESS I got bullied quite a bit as a kid, so I learned how to take a punch and how to put up a good fight. God used that. I am not afraid of spiritual “violence” or of facing spiritual fights. My Dad was drafted during Vietnam and I grew up an Army brat, moving around frequently. God used that. I am very spiritually mobile, adaptable, and flexible. My parents used to hand me a Bible and make me go look up what I did wrong. God used that, as well. I knew the Word before I knew the Lord, so studying Scripture is not intimidating to me. I was admitted into a learning enrichment program in junior high. They taught me critical thinking skills, logic, and Greek Mythology. God used that, too. In seventh grade I was in school band and choir. God used that. At 14, before I even got saved, a youth pastor at my parents’ church taught me to play guitar. God used that. My best buddies in school were a druggie, a Jewish kid, and an Irish soccer player. God used that. I broke my back my senior year and had to take theatre instead of wrestling. God used that. I used to sleep on the couch outside of the Dean’s office between classes. God used that. My parents sent me to a Christian college for a semester in hopes of getting me saved. God used that. I majored in art, advertising, astronomy, pre-med, and finally English. God used all of that. I made a woman I loved get an abortion. God used (and redeemed) that. I got my teaching certification. I got plugged into a group of sincere Christian young adults. I took courses for ministry credentials. I worked as an autism therapist. I taught emotionally disabled kids. And God used each of those things. I married a pastor’s daughter. God really used that. Are you getting the picture? San Antonio led me to Houston, Houston led me to El Paso, El Paso led me to Fort Leonard Wood, Fort Leonard Wood led me back to San Antonio, which led me to Austin, then to Kentucky, then to Belton, then to Maryland, to Pennsylvania, to Dallas, to Alabama, which led me to Fort Worth. With thousands of smaller journeys in between. The reason that I am able to do the things that I do today is because of the process that God walked me through yesterday. Our lives are cumulative. No day stands alone. Each builds upon the foundation of the last—just like a stairway, each layer bringing us closer to Him. God uses each experience, each lesson, each relationship, even our traumas and tragedies as steps in the process of becoming the people He made us to be. They are steps in the process of achieving the destinies that He has encoded into the weave of each of our lives. We are journeymen, finding the way home. What is the value of the journey? If the journey makes us who we are, then the journey is priceless.

Treating Abuse Today (Tat), 3(4), pp. 26-33 Freyd: You were also looking for some operational criteria for false memory syndrome: what a clinician could look for or test for, and so on. I spoke with several of our scientific advisory board members and I have some information for you that isn't really in writing at this point but I think it's a direction you want us to go in. So if I can read some of these notes . . . TAT: Please do. Freyd: One would look for false memory syndrome: 1. If a patient reports having been sexually abused by a parent, relative or someone in very early childhood, but then claims that she or he had complete amnesia about it for a decade or more; 2. If the patient attributes his or her current reason for being in therapy to delayed-memories. And this is where one would want to look for evidence suggesting that the abuse did not occur as demonstrated by a list of things, including firm, confident denials by the alleged perpetrators; 3. If there is denial by the entire family; 4. In the absence of evidence of familial disturbances or psychiatric illnesses. For example, if there's no evidence that the perpetrator had alcohol dependency or bipolar disorder or tendencies to pedophilia; 5. If some of the accusations are preposterous or impossible or they contain impossible or implausible elements such as a person being made pregnant prior to menarche, being forced to engage in sex with animals, or participating in the ritual killing of animals, and; 6. In the absence of evidence of distress surrounding the putative abuse. That is, despite alleged abuse going from age two to 27 or from three to 16, the child displayed normal social and academic functioning and that there was no evidence of any kind of psychopathology. Are these the kind of things you were asking for? TAT: Yeah, it's a little bit more specific. I take issue with several, but at least it gives us more of a sense of what you all mean when you say "false memory syndrome." Freyd: Right. Well, you know I think that things are moving in that direction since that seems to be what people are requesting. Nobody's denying that people are abused and there's no one denying that someone who was abused a decade ago or two decades ago probably would not have talked about it to anybody. I think I mentioned to you that somebody who works in this office had that very experience of having been abused when she was a young teenager-not extremely abused, but made very uncomfortable by an uncle who was older-and she dealt with it for about three days at the time and then it got pushed to the back of her mind and she completely forgot about it until she was in therapy. TAT: There you go. That's how dissociation works! Freyd: That's how it worked. And after this came up and she had discussed and dealt with it in therapy, she could again put it to one side and go on with her life. Certainly confronting her uncle and doing all these other things was not a part of what she had to do. Interestingly, though, at the same time, she has a daughter who went into therapy and came up with memories of having been abused by her parents. This daughter ran away and is cutoff from the family-hasn't spoken to anyone for three years. And there has never been any meeting between the therapist and the whole family to try to find out what was involved. TAT: If we take the first example -- that of her own abuse -- and follow the criteria you gave, we would have a very strong disbelief in the truth of what she told.

IN some ways, the relentless electronic interconnectivity of our lives serves to highlight therapy’s singular virtues. We are more appreciative of the strange, private dialogue that is the heart of therapy. There are precious few times and spaces left in our society in which people quietly speak to one another in a sustained, intimate conversation. The therapist’s office is one of the last safe places. Secrets, reflections, fears or confusion never leave the room. And it is also a refuge. My patients often arrive early just to sit in the waiting room — an unusual interlude of quiet. Then there’s the session itself. In some ways therapy is, more than ever, the ultimate luxury: To be the focus of a thoughtful person who is listening, caring and helping to make sense of life’s chaos is something that the Internet can never provide. Anna Fels is a psychiatrist and faculty member at Weill Cornell Medical College.

Failures as people: millions of Americans felt that this description fit them to a T. Seeking a solution, any solution, they eagerly forked over their cash to any huckster who promised release, the quicker and more effortlessly the better: therapies like “bioenergetics” (“The Revolutionary Therapy That Uses the Language of the Body to Heal the Problems of the Mind”); Primal Scream (which held that when patients shrieked in a therapist’s office, childhood trauma could be reexperienced, then released; John Lennon and James Earl Jones were fans); or Transcendental Meditation, which promised that deliverance could come if you merely closed your eyes and chanted a mantra (the “TM” organization sold personal mantras, each supposedly “unique,” to hundreds of thousands of devotees). Or “religions” like the Church Universal and Triumphant, or the Reverend Sun Myung Moon’s Unification Church, or “Scientology”—this last one invented by a science fiction writer, reportedly on a bet. Devotees paid cash to be “audited” by practitioners who claimed the power—if, naturally, you paid for enough sessions—to remove “trauma patterns” accreted over the 75 million years that had passed since Xenu, tyrant of the Galactic Confederacy, deposited billions of people on earth next to volcanoes and detonated hydrogen bombs inside those volcanos, thus scattering harming “body thetans” to attach to the souls of the living, which once unlatched allowed practitioners to cross the “bridge to total freedom” and “unlimited creativity.” Another religion, the story had it, promised “perfect knowledge”—though its adherents’ public meeting was held up several hours because none of them knew how to run the movie projector. Gallup reported that six million Americans had tried TM, five million had twisted themselves into yoga poses, and two million had sampled some sort of Oriental religion. And hundreds of thousands of Americans in eleven cities had plunked down $250 for the privilege being screamed at as “assholes.” “est”—Erhard Seminars Training, named after the only-in-America hustler who invented it, Werner Erhard, originally Jack Rosenberg, a former used-car and encyclopedia salesman who had tried and failed to join the Marines (this was not incidental) at the age of seventeen, and experienced a spiritual rebirth one morning while driving across the Golden Gate Bridge (“I realized that I knew nothing. . . . In the next instant—after I realized that I knew nothing—I realized that I knew everything”)—promised “to transform one’s ability to experience living so that the situations one had been trying to change or had been putting up with, clear up just in the process of life itself,” all that in just sixty hours, courtesy of a for-profit corporation whose president had been general manager of the Coca-Cola Bottling Company of California and a former member of the Harvard Business School faculty. A

FLATOW: So you would - how would you treat a patient like Sybil if she showed up in your office BRAND: Well, first I would start with a very thorough assessment, using the current standardized measures that we have available to us that assess for the range of dissociative disorders but the whole range of other psychological disorders, too. I would need to know what I'm working with, and I'd be very careful and make my decisions slowly, based on data about what she has. And furthermore, with therapists who are well-trained in dissociative disorders, we do keep an eye open for suggestibility. But that research, too, is not anywhere near as strong as what the other two people in the interview are suggesting.It shows - for example, there's eight studies that have a total of 11 samples. In the three clinical samples that have looked at the correlation between dissociation and suggestibility, all three clinical samples found non-significant correlations. So it's just not as strong as what people think. That's a myth that's not backed up by science." Exploring Multiple Personalities In 'Sybil Exposed' October 21, 2011 by Ira Flatow

You’re thinking about one woman while trying to reach another, and despite this apparent abundance of women, you feel lonely and desolate as hell, and, almost unconsciously, you drive to the house of a third, and the third woman is your mother. It has to be unconscious, because conscious, you’d know right away that it’s a big mistake. Somewhere, there’s a therapist sitting alone in his office, staring wistfully at his door, wishing for a patient like you.

Deborah Weisberg, LMFT is a Marriage & Family Therapist in Los Angeles, CA. Her office accepts new patients. Whatever you’re struggling with, I want to help you get what you came to therapy for: another perspective in the room, new insight, and the possibility of real change.

I was finding it hard to manage my negative thoughts because, outside of Wendell’s office, they didn’t have much of an outlet.

But I’m not really here. My therapist’s warm office is in San Francisco, and I am in my dark, freezing, six-by-six-foot office in New York City, talking to her through a small window on my computer. The reason I know about the poem in her office is the same reason I can’t believe she is only telling me my diagnosis now: I’ve been her client for eight years.

(These were often the same people who later admitted that they also glanced at pinging phones during sex or while sitting on the toilet. Upon learning this, I placed a bottle of Purell in my office.)

Those who work in an office often feel that, despite the proliferation of contrived metrics they must meet, their job lacks objective standards of the sort provided by, for example, a carpenter’s level, and that as a result there is something arbitrary in the dispensing of credit and blame. The rise of “teamwork” has made it difficult to trace individual responsibility, and opened the way for new and uncanny modes of manipulation of workers by managers, who now appear in the guise of therapists or life coaches. Managers themselves inhabit a bewildering psychic landscape, and are made anxious by the vague imperatives they must answer to. The college student interviews for a job as a knowledge worker, and finds that the corporate recruiter never asks him about his grades and doesn’t care what he majored in.

Sullivan believed that our struggles were interactional (meaning “relational”). He went so far as to say, “It’s the mark of a senior clinician that he or she is the same person in their living room that they are in their office.” We can’t teach patients to be relational if we aren’t relational with them.

wouldn’t blame you if you were sometimes tempted to let the problem slide. Whether you are family, friend, therapist, or police officer simply trying to help, eventually you get tired of being told, “There’s nothing wrong with me—I don’t need help.” Often, we feel helpless. Certainly, when the person is not causing problems and things are going generally well, it’s easy to ignore the problems of denial and treatment refusal. During those times, we’re tempted to sit back and wait for the next crisis to force the issue or to hope (our own form of denial) that the disease has gone away. It’s always much easier to pretend the situation is not as bad as it appears because facing the reality of the illness can feel intimidating and hopeless.

I am newly married to my husband when he remarks casually, 'There are so many beautiful women in the world.' I freeze when he says this. I know it is a perfectly acceptable and truthful thing to remark on, and yet I feel a familiar twist in my gut. 'What?' he asks. He can feel the switch; he can sense the instant tension in my body. 'I don’t know,' I reply. I press my face into his chest, ashamed of my reaction. 'I don’t know why it hurts to hear you say that.' In the small, windowless room that is my therapist's office, I tell her about my reaction to my husband's remark. I explain the gut pain. The assessing. The other women. 'Apples and oranges,' my therapist tells me. 'What if you're not the same as other women, what if you're an entirely different fruit?' she asks gently. 'But everyone has a favorite fruit,' I tell her. I feel a tear run down my cheek. 'Everyone prefers one over the other. That is how the world works; everything is ranked. One is always better than the other.

me a site visit in Seattle. Barry remembers the visit. “The committee were Hans Strupp, from Vanderbilt, who was one of the premier researchers from the psychoanalytic point of view, and Maria Kovacs, a child behavior therapist at University of Pittsburgh, very prominent.” These visitations can be quite intimidating, especially with scholars of that caliber. And for me, this was a big one. I was so nervous that I dropped a pot of coffee in my office. It went everywhere, a terrible mess. Did they want me to make another pot? I asked sheepishly. No, they did not! It was “Let’s get on with business here.” They discussed whether

To communicate an identity requires some degree of self-delusion. A performer, in order to be convincing, must conceal ‘the discreditable facts that he has had to learn about the performance; in everyday terms, there will be things he knows, or has known, that he will not be able to tell himself.’ The interviewee, for example, avoids thinking about the fact that his biggest flaw actually involves drinking at the office. A friend sitting across from you at dinner, called to play therapist for your trivial romantic hang-ups, has to pretend to herself that she wouldn’t rather just go home and get in bed to read Barbara Pym. No audience has to be physically present for a performer to engage in this sort of selective concealment: a woman, home along fro the weekend, might scrub the baseboards and watch nature documentaries even though she’d rather trash the place, buy an eight ball, and have a Craigslist orgy. People often make faces, in private, in front of bathroom mirrors, to convince themselves of their own attractiveness. The ‘lively belief that an unseen audience is present’, Goffman writes, can have a significant effect.

There is likely much more going on under the surface than the issue you first come into a therapist’s office to discuss.

There’s a magnet that somebody stuck on the refrigerator in our office’s kitchen: PEACE. IT DOES NOT MEAN TO BE IN A PLACE WHERE THERE IS NO NOISE, TROUBLE, OR HARD WORK. IT MEANS TO BE IN THE MIDST OF THOSE THINGS AND STILL BE CALM IN YOUR HEART.

Diana Adams is more interested in seeing increased social protections for alternative families. While same-sex marriage was an important victory for gay rights and opened up a cultural conversation about the definition of marriage and love, she says, we shouldn't forget that the movement was also "a queer critique of the nuclear family and traditional monogamous sexuality." The same is true of monogamy's insurgents. Rather than "cram people into the institution of marriage," she says, "we ultimately want to get the government out of the business of deciding whether you get tax benefits, health insurance, and immigration status based on whom you're having sex with." Her thoughts remind me of the late psychologist and gay activist Michael Shernoff, who reflected critically on the shift "from gay men radically transforming American society" to gay men "assimilating into it in conservative and hetero-normative ways." He lauded consensual nonmonogamy as a "vibrant, normative, healthy part" of the gay community, and expressed concern that the advent of gay marriage might consign this "venerable, multigenerational tradition" to the category of adultery. "Couples who succesfully negotiate sexual nonexclusivity," he wrote, "are, whether or not they are conscious of it, being genuinely subversive, in one of the most constructive ways possible...by challenging the patriarchial notion that there is only one "proper" and "legitimate" (hetero-normative) way that loving relationships should and need to be conducted" Monogamy was once a subject that was never even discussed in the therapist's office, but today as a matter of course I ask every couple, What is your monogamy agreement? Marriage without virginity was once inconceivable. So, too, sex without marriage.

Don’t you have a gun?” he asked. “Why didn’t you stop him?” “I’m not going to execute a man for mooing at me,” I snapped. “For God’s sake, please just find him. He needs help, and he needs it fast. He’s on the verge of a total mental collapse.” He sighed again, but then he rolled his eyes and leaned into his radio. “This is Officer Donahue, requesting backup for the cow situation.

From their mentors, therapists need to learn how to weather storms of negative feeling coming directly at them from miserable people, how to keep their self-esteem when being relentlessly devalued, how to recognize and deal with the grain of truth in patients’ complaints about them, how to handle their traumatic internal responses to searing accounts of trauma, how to bear ugly and personally alien feelings in themselves, how to tolerate uncertainty, how to set boundaries with people who feel wounded by reasonable limits, how to maintain an unnatural level of secret keeping, how to find hope when clients fill the office with their despair, how to manage anxieties that a patient may die by suicide, and other emotionally taxing lessons.

Is there any other place where a more vibrant palette of human behaviour can be observed than the Scottish pub? Our drinking holes are social spaces, shelters and, with the rise of flexible working and free WiFi, informal offices. The pub is a courtroom, a therapist's clinic, a place to let socks dry out after an arduous day orienteering. Relationships begin and end in its confines. Pub dogs become celebrities. If we run with the myth that there are languages with fifty words for snow, Scots could match that with their own terms related to the act of drinking.

I look over at him. He looks back. He smiles, I smile, and a deafening silence descends again, broken only by the rustling sound his twitching foot is making under the covers. Now I’m alarmed. In my office I can sit through marathon silences, but in my bedroom I last no more than three seconds.

Every therapy session belongs to both patient and therapist, to the interaction between them. It was the psychoanalyst Harry Stack Sullivan who, in the early twentieth century, developed a theory of psychiatry based on interpersonal relationships. Breaking away from Freud’s position that mental disorders were intrapsychic in origin (meaning “in one’s mind”), Sullivan believed that our struggles were interactional (meaning “relational”). He went so far as to say, “It’s the mark of a senior clinician that he or she is the same person in their living room that they are in their office.” We can’t teach patients to be relational if we aren’t relational with them.

So they sit on the therapist’s couch and look up expectantly, hoping to find some understanding and, eventually (but preferably immediately), a cure. But therapists don’t have an immediate cure because these people are complete strangers to us. We need time to acquaint ourselves with their hopes and dreams, their feelings and behavior patterns, sometimes more deeply than even they have. If it takes from birth to the day they arrive in our offices to develop whatever is troubling them or if a problem has been incubating for many months, it makes sense that they might need more than a couple of fifty-minute sessions to attain the desired relief.

Julie’s crying again. “Sorry,” she says. Almost every woman I see apologizes for her feelings, especially her tears. I remember apologizing in Wendell’s office too. Perhaps men apologize preemptively, by holding their tears back.

Bucket list,” Julie said in session as we tried to envision her Holland. “It’s such a funny term, isn’t it?” I had to agree. What do we want to do before we kick the bucket? Often people think about bucket lists when somebody close to them dies. 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. 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.

I was finding it hard to manage my negative thoughts because, outside of Wendell’s office, they didn’t have much of an outlet. Breakups tend to fall into the category of silent losses, less tangible to other people. You have a miscarriage, but you didn’t lose a baby. You have a breakup, but you didn’t lose a spouse. So friends assume that you’ll move on relatively quickly, and things like these concert tickets become an almost welcome external acknowledgment of your loss—not only of the person but of the time and company and daily routines, of the private jokes and references, and of the shared memories that now are yours alone to carry.

There’s a magnet that somebody stuck on the refrigerator in our office’s kitchen: PEACE. IT DOES NOT MEAN TO BE IN A PLACE WHERE THERE IS NO NOISE, TROUBLE, OR HARD WORK. IT MEANS TO BE IN THE MIDST OF THOSE THINGS AND STILL BE CALM IN YOUR HEART. We can help patients find peace, but maybe a different kind than they imagined they’d find when they started treatment. As the late psychotherapist John Weakland famously said, “Before successful therapy, it’s the same damn thing over and over. After successful therapy, it’s one damn thing after another.

Shelby put in her time, did the right thing, took good care of her mom, and now it’s her turn. She’s going to go back to school. She says she’s going to be a nurse, but you watch—she’ll end up a doctor or something. She’s quiet, but scary smart. She has money from selling a paid-off house—so she can travel all over the world, pay for a dozen years of college. You know how important that is, we’ve been all over the world and it’s worth seeing.” Aiden laughed. “I hope she sees better parts than we did. You saw a bunch of deserts, I went to sea, medical officer on a ship…” “But it all counts. Life experience—it’s worth it. She’s young—she has time to look around. I’ll tell you what—that girl’s going to have men hunting her down, she’s that good-looking. She never had that before. In high school she was shy, had a couple of short-term boyfriends, but she lost a lot of shyness, got tougher and more aggressive while she was taking care of her mom and had to go up against doctors and therapists and hospitals and insurance companies.” His eyes glistened proudly. “Believe me, she’s ready now. It’s her time.” He’s letting her go, Aiden thought. For her, though it’s going to kill him.

..."Suzette Boon also become very much involved [in dissocation]... She was in my office and was a family therapist, and when I left for a yearlong sabbatical in Isreal, she took over my patients. And the interesting thing is that she was very skeptical about what I was seeing, while now she's one of the real experts in Europe and has done marvelous research with regard to the diagnosis of the dissociative disorders!

I was starting to feel a little weird about this—even though it’d taken over a day to set up, it suddenly seemed like this meeting was happening really fast. Consulting a magical healing witch was, at the very least, socially awkward, sort of like walking into a strip club, a therapist’s office, or a Chinese grocery store for the first time—you just don’t know what to do.

On average the people watching the videos correctly identified the lairs 56% of the time. Other sociologist have tried similar versions of the same experiment, the average for all of them? 54%. Just about everyone is terrible, police officers, judges, therapists even CIA officers running big spy networks. Everyone. Why? Tim Levine answer is called Truth-default theory.

After seeing a couple therapists on and off through student health, I finally got sent to a private practice so someone could see me for more than 6 weeks. When I called to make my first appointment at the first therapist on my list, the last thing she said to me after setting up the appointment was "Oh, on Thursdays I bring my golden retriever to the office. Is that a problem for you? Let me know and I'll keep her home." I spent every Thursday for the next eight months sitting on the floor with Skyler as we worked through my general anxiety depression and family issues. And then when my class schedule changed for my last semester, Skyler's schedule changed, too. She started coming on Tuesdays to see me. Skyler wasn't a trained therapy dog, just a goofy golden with a pure heart, very soft fur, and a very amazing therapist as an owner. 7 years later I still haven't found another therapist team as amazing of Missy and Skyler.

Reading is like therapy; the characters are the therapist, their world is their office, and the adventures are the sessions.

You’ve begun to master several techniques for controlling your anxiety. You’re learning the finer points of interaction and studying ways to apply your interactive skills. The next step is to add community resources—relevant agencies, groups, and organizations—to your self-help program. As you consider your particular needs, look to your own community for ways to enhance your social system: Parks and recreation departments, churches and synagogues, singles groups, self-help groups, clubs, volunteer organizations, business associations—there is an infinite array of resources to choose from. Contact your local chamber of commerce, consult newspapers for upcoming activities, and even inquire at area shops about any clubs or groups that share an interest (for example, ask at a garden center about a garden club, at a bookstore about a book club, and so on). Working through the exercises in this book is merely one component of a total self-help program. To progress from background knowledge to practical application, you must venture beyond your home and workplace (and beyond the confines of a therapist’s office, if you are in counseling). For people with social anxiety an outside system of resources is the best place to work on interactive difficulties. Here are three excellent reasons to use community resources: 1. To facilitate self-help. Conquering social anxiety necessitates interaction and involvement within the community, which is your laboratory. Using community resources creates a practical means of refining your skills and so moving forward on your individual map for change. 2. To diminish loneliness. Becoming part of the community provides the opportunity to develop personal and professional contacts that can enhance your life in many ways. 3. To network. Community involvement will not only give you the chance to improve your interactive skills, but will allow you to promote your academic or work life as well as your social life. Building connections on different levels can be the key. Any setting can provide a good opportunity for networking. In fact, I met the writer who helped me with this book in a fairly unlikely place—on the basketball court! A mutual friend introduced us, and when the subject of our professional interests came up, we saw the opportunity to work together on this project. You never know!

It’s exhausting,” I said. “I have to battle this part along with the sense of frustration and hopelessness it creates. It’s so tough and strong that it seems undefeatable.” “What does the overburdened restless part want?” “It wants someone to bring it under control to rest and have peace. It’s like a hyperactive fidgety child, pacing back and forth, crying for someone to make it stop.” I was having trouble connecting my inner true self to the stressed part because of the intense energy it was creating. Keith guided me by helping me communicate with the stressed part. I needed to make it understand that by stepping aside it would allow the healing process of unburdening the emotional component that was holding in the shame. Without the burden of the disgrace, the anxious, stressed-out, perfectionist, striver part would not have to work so hard to compensate for its self-perceived shortcomings. Furthermore, relieving the humiliating burdens would bring rest, tranquility, and peace. The intense energy could then be orchestrated in better ways. At this point, we ended our session. I left his office once again annoyed and uncertain, wondering if I was ever going to be able to live a normal peaceful life. As I meditated on the session during the week, I understood what my therapist was explaining. I visualized fast-forwarding directly to the ultimate goal of un-blending the various multiple defender traits from the abuse. Getting to the root of the therapy and healing process of dealing with the disgraceful iniquity was my goal. I had trouble believing whether or not my logic in understanding the process was correct. It seemed too simplistic to me at first. I envisioned confessing all my scandalous deeds and desires for the world to know. I imagined no more secrets or lies and eliminating the need to masquerade with a phony façade to hide the atrocious creature I thought I was. Instantly, I was buoyant as helium. The crushing weight from the wicked acts was lifted from my shoulders. The mortifying and disgusting impressions I had were no longer there. I was able to get a brief glimpse of the divine true self. For a moment, I physically felt what life could be like while at peace with myself. Happiness and comfort engulfed me at the possibility of living a life free of judgment, low selfesteem, anxiety and paranoia. While in this good frame of mind, I became aware of all the goodness inside of me and the decent things I was doing in life. My human flaws appeared to be minor bumps in the road rather than being amplified into major roadblocks. I began to see how I pulled myself out of mental illness, addiction, and sexual perversion. I became conscious that I survived sexual abuse at an early age and persevered by holding it together. I was imbued with a sense of accomplishment. I now comprehended and conquered the difficult therapeutic work of dealing with the harmful emotions associated with bringing the misconduct to the surface.

An occupational therapist will usually evaluate the child in her office. The evaluation is ordinarily a pleasant experience. While costs vary, expect to spend several hundred dollars. This will be money well spent, and it may be covered by health insurance. Here are some of the areas an OT investigates: Fine- and gross-motor developmental levels Visual-motor integration (doing puzzles or copying shapes) Visual discrimination Neuromuscular control (balance and posture) Responses to sensory stimulation (tactile, vestibular, and proprioceptive) Bilateral coordination Praxis (motor planning)

Is that a pajama top?” Julie asks as she walks into my office. It’s the afternoon after the Boyfriend Incident, right before my appointment with John (and his idiots), and I’ve almost made it through the day. I give her a quizzical look. “Your shirt,” she says, settling onto the couch. I flash back to the morning, to the gray sweater I intended to wear and then, with a sinking feeling, to the image of the sweater laid out on my bed next to the gray pajama top I’d taken off before stepping into the shower in my post-breakup daze. Oh God. On one of his Costco runs, Boyfriend had gotten me a pack of PJs, their fronts emblazoned with sayings like AREN’T I JUST A FUCKING RAY OF SUNSHINE and TALK NERDY TO ME and ZZZZZZZZZZ SNORE (not the message a therapist wants to send her patients). I’m trying to remember which one I wore last night. I brace myself and glance down. My top says NAMAST’AY IN BED. Julie is looking at me, waiting for an answer.

It isn’t that I haven’t been able to write at all. In fact, during the time I was supposed to be writing my book, I was crafting fabulously witty and flirtatious emails to Boyfriend, all while telling friends and family and even Boyfriend that I was busy writing my book. I was like the closet gambler who gets dressed for work and kisses his family goodbye each morning and then drives to the casino instead of the office.

Dear Lord, keep my name out of the therapist's office.

This is not a conventional “how-to” book. It contains no exercises, and it has few formulas saying “first do this, then do that.” This is intentional. As we’ll see later, eros doesn’t like to be told what to do. If you set a goal, your sexual mind will be happy to reject it. It’s kind of childish and brilliant that way. You also won’t find much about sexual biology or neurochemistry on these pages. Sex books these days tend to be full of advice for “boosting your dopamine”—or your oxytocin, or some other such nonsense. In all my 30 years as a sex therapist, I’ve yet to see a dopamine molecule walk into my office. We’ll stick with things you can see and feel yourself, without needing a laboratory. I’ll also spare you the body diagrams. You already know what a penis and vagina look like, right? And we won’t discuss how many neurons are concentrated in your clitoris. It’s an impressive number, but who really cares? There are a few great sex books already out there, and I’ll point them out to you as we go along. But reading most of the others is like gnawing on dry bones. As my friend and colleague Paul Joannides, the author of Guide to Getting it On (one of the aforementioned great ones), has accurately noted, “the trouble with most books on sex is they don’t get anyone hard or wet.” This book is not intended to get you hard or wet. But it’s meant not to get in your way either. The chapters are short, so you can read them even if you get a little distracted. Hey, I hope you get a little distracted. There are no lists to memorize, and there won’t be a test afterwards. We’re dealing with a part of the human mind that hasn’t gone to school yet, and never will. Any questions? OK, let’s get started . . . Adapted from LOVE WORTH MAKING by Stephen Snyder, M.D. Copyright © 2018 by the author and reprinted with permission of St. Martin’s Press, LLC.

It looks amazing! Stunning. Gorgeous. The office, I mean. The office looks gorgeous. “Did you use a decorator?” I ask, and he says he did. I figured. If the earlier furniture was his doing, he clearly needed a professional for this. Still, it fits Wendell perfectly. The new Wendell. The spruced-up but still unpretentious Wendell.

Before having a baby, I’d relished the freedom of a non-office job. But now I longed to get dressed every day and be in the company of verbal grownups. It was during this perfect storm of isolation and plummeting estrogen that I started to wonder if I’d made a mistake by leaving medical school.

At three, I open Skype and click Call, expecting to find John sitting in an office at a desk. Instead, the call connects and I’m looking into a familiar house. It’s familiar to me because it’s one of the main sets of a TV show that Boyfriend and I used to binge-watch on my sofa, arms and legs entwined. Here, camera and lighting people are moving about, and I’m staring at the interior of a bedroom I’ve seen a million times. John’s face comes into view. “Hang on a second” is how he greets me, and then his face disappears and I’m looking at his feet. Today he’s wearing trendy checkered sneakers, and he seems to be walking somewhere while carrying me with him. Presumably he’s looking for privacy. Along with his shoes, I see thick electrical wires on the floor and hear a commotion in the background. Then John’s face reappears. “Okay,” he says. “I’m ready.” There’s a wall behind him now, and he starts rapid-fire whispering.

When writing about trauma in a story or memoir, the author must write for the readership. The repetitive loops of conflict and drama can be handled either privately or in the office of a therapist: because the situation happened, or is the "truth" of the author, doesn't mean it has to always appear on the page.

There was a theory among linguists that the brain’s capacity for language learning—language as a concept, a modality for thought—is finite. Scientists called the period from ages zero to five the “critical window,” within which a child had to gain fluency in at least one language, any language, or risk permanent cognitive damage. Once the window shut, learning anything became difficult, even impossible—without a language, how does one think, or even feel? The critical window remained “theoretical,” mostly because intentionally depriving children of language was deemed by ethicists too cruel an experiment to conduct. And yet, February saw the results of such trials every day—children whose parents had feared sign language would mark them, but who ended up marked by its absence. These children had never seen language as it really was, outside the speech therapist’s office, alive and rollicking, had never been privy to the chatter of the playground or around the dinner table.

It sounds like Miss Fairchild really hurt you, Jessica,” Patel said evenly. She wasn’t a therapist, Jessica reminded herself, despite her concerned, sympathetic expression. “You must have wanted to hurt her back.” See? There. Not a therapist—a police officer

Miranda is a few years younger than me and is a kindergarten teacher who loves children. Sam is a physical therapist who recently opened his own office and hired two assistants to work under him. They live in Kansas City, Missouri, not too far away, but Miranda loves Southern California and has visited her brother-in-law on numerous occasions. Luke's mom has rosy, red cheeks and thin, practically translucent skin. She has wide-set eyes, poofy,

It’s one afternoon, Al. And it’s almost over. We just need to get through the luncheon and then you can deal with all of these feelings in the privacy of your therapist’s office,

For the one-hundred-and-eleventh day, I arrived at the office at eight a.m., sat down at my desk, flipped open a notepad, and neatly wrote Elliot Levy’s schedule in black ink. And at the bottom, following the notation for his last meeting of the day, I included a postscript—which I’d been doing for a hundred and one days. Yesterday’s had been: P.S. Are you even human? The day before: P.S. You remind me of porridge. Today’s: P.S. You’re intolerable. Then, like I always did, I precisely sliced that strip off the bottom, slid it inside an envelope with all one hundred and one of the others, and returned it to its place at the back of my desk drawer beneath my box of tampons. In my current condition, I absolutely did not need them, but I’d found tampons were the best deterrent for most men. Though I regularly questioned if Elliot was a cyborg, I couldn’t picture him willingly touching feminine hygiene products either. This was my only form of rebellion. Those postscripts allowed me to release a tiny drip of the anger I swallowed down on a daily basis. When Elliot’s demands became unbearable, I took out my envelope, ran my fingers over the one-inch strips of “fuck you very much,” and immediately calmed. The therapist I’d been forced to see when I was a teen would have been proud…ish.