Therapy Is Good Quotes

I'm so good at beginnings, but in the end I always seem to destroy everything, including myself.

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

In therapy we aim for self-compassion (Am I human?) versus self-esteem (a judgment: Am I good or bad?).

At your absolute best, you still won't be good enough for the wrong person. At your worst, you'll still be worth it to the right person.

I explain to my patients that abused children often find it hard to disentangle themselves from their dysfunctional families, whereas children grow away from good, loving parents with far less conflict. After all, isn't that the task of a good parent, to enable the child to leave home?

She laughed softly. "Therapy isn't so much about what I think as you do." "Then why do it at all?" "Because we don't always know what it is we're thinking or feeling. When you have a guide, it's easier to figure things out. You'll often discover that you already know what to do. I can help you ask questions and go places you mihgt not have on your own." "Well, you're good at the qujestion part." I noted dryly.

Tough love and brutal truth from strangers are far more valuable than Band-Aids and half-truths from invested friends, who don’t want to see you suffer any more than you have.

Achievements can bring you satisfaction but not happiness.

Labeling yourself is not only self-defeating, it is irrational. Your self cannot be equated with any one thing you do. Your life is a complex and ever-changing flow of thoughts, emotions, and actions. To put it another way, you are more like a river than a statue. Stop trying to define yourself with negative labels—they

ISABEL: Sorry I missed my session Monday. DR. RUSH: Would you like to tell me why? ISABEL: I was depressed. DR. RUSH: That's a good reason to come to therapy.

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

If you make a mistake, admit it. Any attempt at cover-up will ultimately backfire. At some level the patient will sense you are acting in bad faith, and therapy will suffer. Furthermore, an open admission of error is good model-setting for patients and another sign that they matter to you.

My therapists didn’t pity me, not the good ones; they made me strip myself of pandering, manipulation, presentation—they wanted the truth more desperately than I did, and then they wanted me to speak it—live it every moment. I feel like writing is that way. Writing can be hard therapy.

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

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

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

That was something they taught you in anxiety therapy- the thoughts may come, but you don't have to chase them all. It was sort of the opposite of good detective work, in which you had to follow every lead.

The number of days and years one lives on Earth is insignificant. It’s the quality of those days and years that’s important, quality measured in loving acts and achieved wisdom. ‘Some people do more good in one day than others do in a hundred years.’ This is their message. ‘Every soul, every person is precious. Every person helped, every life aided or saved, is immeasurably valuable.

my favourite emotions include 'brief calmness in good weather' and 'i am the only person alive

Much everyday anger results when we confuse our own personal wants with general moral codes.

Ultimately, forgiveness is usually about one thing—“This is for me, not for you.” Hatred is exhausting; forgiveness, or even just indifference, is freeing. To quote Booker T. Washington, “I shall allow no man to belittle my soul by making me hate him.” Belittle and distort and consume. Forgiveness seems to be at least somewhat good for your health—victims who show spontaneous forgiveness, or who have gone through forgiveness therapy (as opposed to “anger validation therapy”) show improvements in general health, cardiovascular function, and symptoms of depression, anxiety, and PTSD. Chapter 14 explored how compassion readily, perhaps inevitably, contains elements of self-interest. The compassionate granting of forgiveness epitomizes this.41

Oxygen is a need, but love is a want. I repeat: LOVE IS NOT AN ADULT HUMAN NEED!

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

You must first consider that a human life is an ongoing process that involves a constantly changing physical body as well as an enormous number of rapidly changing thoughts, feelings, and behaviors. Your life therefore is an evolving experience, a continual flow. You are not a thing; that's why any label is constricting, highly inaccurate, and global.

Each of us is ultimately responsible for our own psychological well-being, happiness, and success in life. As much as we might wish good things for one another, we really do not have the ability to create mental stability, well-being, or happiness for someone else.

Ultimately you, and only you, can make yourself consistently happy. No one else can.

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

In my experience the most crucial predictor of recovery is a persistent willingness to exert some effort to help yourself. Given this attitude, you will succeed.

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

A happy brain is a supple and flexible brain, he believes; depression, anxiety, obsession, and the cravings of addiction are how it feels to have a brain that has become excessively rigid or fixed in its pathways and linkages—a brain with more order than is good for it. On the spectrum he lays out (in his entropic brain article) ranging from excessive order to excessive entropy, depression, addiction, and disorders of obsession all fall on the too-much-order end. (Psychosis is on the entropy end of the spectrum, which is why it probably doesn’t respond to psychedelic therapy.)

When a person is in emotional pain, it’s hard to be rational and to think of a good solution. Nevertheless, many of the coping strategies used by people with overwhelming emotions only serve to make their problems worse.

ALL-OR-NOTHING THINKING: You see things in black-and-white categories. If your performance falls short of perfect, you see yourself as a total failure.

Let me explain why. "Perfection" is man's ultimate illusion. It simply doesn't exist in the universe. There is no perfection. It's really the world's greatest con game; it promises riches and delivers misery. The harder you strive for perfection, the worse your disappointment will become because it's only an abstraction, a concept that doesn't fit reality. Everything can be improved if you look at it closely and critically enough—every person, every idea, every work of art, every experience, everything. So if you are a perfectionist, you are guaranteed to be a loser in whatever you do.

It’ll take years of therapy. Probably for all of us: a long uphill battle. But we’re still on the field fighting the good fight, battered and beaten though we are, and I understand just what a great gift that is.

I feel high on the knowledge that I can talk as much as I want to, as quickly as I want to, in any direction that I want to, without anyone overtly rolling her eyes at me or suggesting I go to speech therapy. I’m not saying this is good pedagogy. I am saying that its pleasures are deep.

When something seems unbalanced and out of rhythm, just a song can tune things up in a moment. The power of music is therapy.

Will you teach me how to paint?” “Just paint.” “I’m not any good.” “Do it for therapy. You can go to art school later.

Every thought, feeling, and sensation within your body throughout the day offer you an opportunity to love. Good or bad, whatever you experience is a lesson or a reminder to connect with love.

But these abnormal emotions feel just as valid and realistic as the genuine feelings created by undistorted thoughts, so you automatically attribute truth to them. This is why depression is such a powerful form of mental black magic.

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

I am a rationalist, and I don't believe in genies, or sudden personality changes. I wanted David's anger to vanish only after years and years in therapy.

Dissociative Disorders have a high rate of responsiveness to therapy and that with proper treatment, their prognosis is quite good.

Your thoughts create your emotions; therefore, your emotions cannot prove that your thoughts are accurate.

Marriage is going to be that happy state in which we get all of the nurturance and care and love and empathy and even good advice that we didn't receive from our families.

Effective therapy is about lowering your defences so that you can deal with the issues that arise in your life.

Ask people for suggestions on how to improve, and if they're going to reject you for being imperfect, let them do it and get it over with.

Judas, boredom is such a drag, drag, drag. Writing might be good therapy for me, though.

Rage and pain can apparently pass quickly if one is free to express them.

Trying to reason with whiteness is akin to reasoning with a clinical narcissist who refuses to go to therapy: frustratingly impossible because the untreated narcissist simply does not have the requisite tools to see themselves as anything other than “good,

Self-esteem can be defined as the state that exists when you are not arbitrarily haranguing and abusing yourself but choose to fight back against those automatic thoughts with meaningful rational responses.

I wanted to cheer him up, but it felt weird wanting to cheer up someone who was possibly depressed because they didn’t murder you correctly, and that’s when I thought, "This must be what love is. When you want to make it less difficult for someone to murder you.” And that’s when I realized that I was far too in love with him for my own good, and also that I probably needed therapy.

Each of us is like seed, planted by the Good Gardener so we might grow into something majestic.

Nearly two thousand years ago the Greek philosopher, Epictctus, stated that people are disturbed “not by things, but by the views we take of them.

The irony of taking Anti Depressants: you take them to feel good but they also make you feel bad or worse because you worry about your purse.

A fundamental approach to life transformation is using social media for therapy; it forces you to have an opinion, provides intellectual stimulation, increases awareness, boosts self-confidence, and offers the possibility of hope.

Healing was a terrifying and painful experience and my life was as full of struggle and heartache as it had always been. Several years after I started therapy, I began to feel happy. I was stunned. I hadn't realized that the point of all this work on myself was to feel good. I thought it was just one more struggle in a long line of struggles. It took a while before I got used to the idea that my life had changed, that I felt happy, that I was actually content. Learning to tolerate feeling good is one of the nicest parts of healing.

What would be the best therapy? Punching the evil sod in the knob! [...] It doesn't undo it though. You'd feel good for a second and then there's just emptiness. It's like bingeing. After the chocolate there's the wrappers.

There was nothing dreadfully wrong with me, I was just upsetting myself with my irrational thinking. I just couldn't admit it until I knew for sure. Now, I feel like a whole man, and I had to call you up and let you know where I stood . . . It was hard for me to do this, and I'm sorry it took so long for me to get around to telling you.

So one of our ultimate goals here in therapy is to reduce judgement around food. All judgement. We want you to neutralize food. It's just a thing you eat, neither good nor bad. Regardless of whether it's pineapple or pancakes.

The true aspiration of art should be to reduce the need for it. It is not that we should one day lose our devotion to the things that art addresses: beauty, depth of meaning, good relationships, the appreciation of nature, recognition of the shortness of life, empathy, compassion, and so on. Rather, having imbibed the ideals that art displays, we should fight to attain in reality the things art merely symbolises, however graciously and intently. The ultimate goal of the art lover should be to build a world where works of art have become a little less necessary

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

Our scars are part of our story, but they are not its conclusion. The past is ours and will always be a part of us, and yet it is not all there is. It’s a process, moving from wounds to scars to grief to showing those scars. It takes time, and maybe therapy, and maybe being vulnerable in community, and maybe working through the twelve steps, and maybe making a lot of mistakes, and maybe experiencing a tiny bit of joy.

Get off your high horse and get yourself grounded! Know what it is like to have your world turned upside down! Your becoming a good therapist is not about putting yourself apart from the people you work with; it is about coming to know intimately their pain, their humiliation, and their ability to rise above it.

most cherished desires of present-day Westerners are shaped by romantic, nationalist, capitalist and humanist myths that have been around for centuries. Friends giving advice often tell each other, ‘Follow your heart.’ But the heart is a double agent that usually takes its instructions from the dominant myths of the day, and the very recommendation to ‘follow your heart’ was implanted in our minds by a combination of nineteenth-century Romantic myths and twentieth-century consumerist myths. The Coca-Cola Company, for example, has marketed Diet Coke around the world under the slogan ‘Diet Coke. Do what feels good.’ Even what people take to be their most personal desires are usually programmed by the imagined order. Let’s consider, for example, the popular desire to take a holiday abroad. There is nothing natural or obvious about this. A chimpanzee alpha male would never think of using his power in order to go on holiday into the territory of a neighbouring chimpanzee band. The elite of ancient Egypt spent their fortunes building pyramids and having their corpses mummified, but none of them thought of going shopping in Babylon or taking a skiing holiday in Phoenicia. People today spend a great deal of money on holidays abroad because they are true believers in the myths of romantic consumerism. Romanticism tells us that in order to make the most of our human potential we must have as many different experiences as we can. We must open ourselves to a wide spectrum of emotions; we must sample various kinds of relationships; we must try different cuisines; we must learn to appreciate different styles of music. One of the best ways to do all that is to break free from our daily routine, leave behind our familiar setting, and go travelling in distant lands, where we can ‘experience’ the culture, the smells, the tastes and the norms of other people. We hear again and again the romantic myths about ‘how a new experience opened my eyes and changed my life’. Consumerism tells us that in order to be happy we must consume as many products and services as possible. If we feel that something is missing or not quite right, then we probably need to buy a product (a car, new clothes, organic food) or a service (housekeeping, relationship therapy, yoga classes). Every television commercial is another little legend about how consuming some product or service will make life better. 18. The Great Pyramid of Giza. The kind of thing rich people in ancient Egypt did with their money. Romanticism, which encourages variety, meshes perfectly with consumerism. Their marriage has given birth to the infinite ‘market of experiences’, on which the modern tourism industry is founded. The tourism industry does not sell flight tickets and hotel bedrooms. It sells experiences. Paris is not a city, nor India a country – they are both experiences, the consumption of which is supposed to widen our horizons, fulfil our human potential, and make us happier. Consequently, when the relationship between a millionaire and his wife is going through a rocky patch, he takes her on an expensive trip to Paris. The trip is not a reflection of some independent desire, but rather of an ardent belief in the myths of romantic consumerism. A wealthy man in ancient Egypt would never have dreamed of solving a relationship crisis by taking his wife on holiday to Babylon. Instead, he might have built for her the sumptuous tomb she had always wanted. Like the elite of ancient Egypt, most people in most cultures dedicate their lives to building pyramids. Only the names, shapes and sizes of these pyramids change from one culture to the other. They may take the form, for example, of a suburban cottage with a swimming pool and an evergreen lawn, or a gleaming penthouse with an enviable view. Few question the myths that cause us to desire the pyramid in the first place.

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

In addition, we still do not really know how the brain creates emotions. We do not know why some people are more prone to negative thinking and gloomy moods throughout their lives, whereas others seem to be eternal optimists who always have a positive outlook and a cheerful disposition.

Survivors who repeatedly believe they are the problem, they are broken, and they are not good enough, are people who are never going to see the hidden abuse. Not because they don’t want to, but because they are looking in the wrong spot for answers. In therapy, we start to literally deprogram the conscious and subconscious lies the abusers have planted in the survivors.

When emotions turn and stay sour, when thoughts become cynical and judgmental, good and compassionate treatment is on the line. Helpers who become sour and cynical tend to begrudge their high need clients for their neediness. There is a risk that helpers become too well-practiced at taking a bleak view of those they have avowed to assist. There is a temptation to begin to blame clients for their failure to improve. If treatment ends pre-maturely, with either a client never returning to treatment or a helper 'firing' them out of frustration, there is a tendency for the client to take the fall. Of course what we are talking about here are signs of burnout.

these negative emotions are not simply something to endure and erase. They are purposeful. Beneficial. They tell us what we need. Anger inspires action. Sadness is necessary to process grief. Fear helps keep us safe. Completely eradicating these emotions is not just impossible—it’s unhealthy. These negative emotions only become toxic when they block out all the other emotions. When we feel so much sadness that we can’t let any joy in. When we feel so much anger that we cannot soften around others. True mental health looks like a balance of these good and bad feelings. As Lori Gottlieb says in her book Maybe You Should Talk to Someone, “Many people come to therapy seeking closure. Help me not to feel. What they eventually discover is that you can’t mute one emotion without muting the others. You want to mute the pain? You’ll also mute the joy.

A good therapy helps you develop a sense of irony about your life so that when you start to repeat old and unhelpful patterns, something within you says, "There you go again; let's call this to a halt. You can do something different." Often the first step toward doing something different is developing the capacity to not act, to stay still and reflect.

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

And yeah, I had to go to therapy to get over my childhood issues and work through my shit but you know what I found when I was done? I still liked having my ass smacked, my hair pulled and being told to get on my knees like a good little girl because that’s my fucking right as a woman. And screw anyone that has a problem with it." -Beth Anderson, The Missing Orchid

It is now recognised that dissociation is a way of forgetting, for a time. The mind siphons off the bad memories into a separate part, and reclaiming those hidden-away memories us a complex process. So, when the memories resurface it does not feel as though they belong to you, it feels alien, more as if someone had told them to you, or you had seen the images in a film.

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

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

So remember three crucial steps when you are upset: Zero in on those automatic negative thoughts and write them down. Don't let them buzz around in your head; snare them on paper! Read over the list of ten cognitive distortions. Learn precisely how you are twisting things and blowing them out of proportion. Substitute a more objective thought that puts the lie to the one which made you look down on yourself. As you do this, you'll begin to feel better. You'll be boosting your self-esteem, and your

My biggest anxiety about becoming a therapist is feeling that I am inadequate. My instructors reassure me that this is a normal feeling, that many therapists experience this in their first year or two of training, and that we’re not expected to be perfect. But it doesn’t make any difference—it remains my biggest anxiety. I believe it’s because I was always second best in my family of origin. No matter what I did, my sister was always smarter...more creative. I learned to feel really uncomfortable whenever I wasn’t in complete command and didn’t know just exactly what I was supposed to do. So, even though some part of me knows that I’m really not inadequate, it still churns my stomach when I am not good at something right away.

Table 3–1. Definitions of Cognitive Distortions 1. ALL-OR-NOTHING THINKING: You see things in black-and-white categories. If your performance falls short of perfect, you see yourself as a total failure. 2. OVERGENERALIZATION: You see a single negative event as a never-ending pattern of defeat. 3. MENTAL FILTER: You pick out a single negative detail and dwell on it exclusively so that your vision of all reality becomes darkened, like the drop of ink that colors the entire beaker of water. 4. DISQUALIFYING THE POSITIVE: You reject positive experiences by insisting they “don’t count” for some reason or other. In this way you can maintain a negative belief that is contradicted by your everyday experiences. 5. JUMPING TO CONCLUSIONS: You make a negative interpretation even though there are no definite facts that convincingly support your conclusion. a. Mind reading. You arbitrarily conclude that someone is reacting negatively to you, and you don’t bother to check this out. b. The Fortune Teller Error. You anticipate that things will turn out badly, and you feel convinced that your prediction is an already-established fact. 6. MAGNIFICATION (CATASTROPHIZING) OR MINIMIZATION: You exaggerate the importance of things (such as your goof-up or someone else’s achievement), or you inappropriately shrink things until they appear tiny (your own desirable qualities or the other fellow’s imperfections). This is also called the “binocular trick.” 7. EMOTIONAL REASONING: You assume that your negative emotions necessarily reflect the way things really are: “I feel it, therefore it must be true.” 8. SHOULD STATEMENTS: You try to motivate yourself with shoulds and shouldn’ts, as if you had to be whipped and punished before you could be expected to do anything. “Musts” and “oughts” are also offenders. The emotional consequence is guilt. When you direct should statements toward others, you feel anger, frustration, and resentment. 9. LABELING AND MISLABELING: This is an extreme form of overgeneralization. Instead of describing your error, you attach a negative label to yourself: “I’m a loser.” When someone else’s behavior rubs you the wrong way, you attach a negative label to him: “He’s a goddam louse.” Mislabeling involves describing an event with language that is highly colored and emotionally loaded. 10. PERSONALIZATION: You see yourself as me cause of some negative external event which in fact you were not primarily responsible for.

It is not the trauma itself that is the source of illness but the unconscious, repressed, hopeless despair over not being allowed to give expression to what one has suffered and the fact that one is not allowed to show and is unable to experience feelings of rage, anger, humiliation, despair, helplessness, and sadness. This causes many people to commit suicide because life no longer seems worth living if they are totally unable to live out all these strong feelings that are part of their true self.

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

I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.

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

For people who are depressed, and especially for those who do not receive enough benefit from medication of for whom the side effects of antidepressants are troubling, the fact that placebos can duplicate much of the effects of antidepressants should be taken as good news. It means that there are other ways of alleviating depression. As we have seen, treatments like psychotherapy and physical exercise are at least as effective as antidepressant drugs and more effective than placebos. In particular, CBT has been shown to lower the risk of relapsing into depression for years after treatment has ended, making it particularly cost effective.

The second trait of narcissism in which asceticism plays a role is blankness. “If only I could feel”—in this formula the self-denial and self-absorption reach a perverse fulfillment. Nothing is real if I cannot feel it, but I can feel nothing. The defense against there being something real outside the self is perfected, because, since I am blank, nothing outside me is alive. In therapy the patient reproaches himself for an inability to care, and yet this reproach, seemingly so laden with self-disgust, is really an accusation against the outside. For the real formula is, nothing suffices to make me feel. Under cover of blankness, there is the more childish plaint that nothing can make me feel if I don’t want to, and hidden in the characters of those who truly suffer because they go blank faced with a person or activity they always thought they had desired, there is the secret, unrecognized conviction that other people, or other things as they are, will never be good enough.

I’m not your boyfriend!” I snapped, trying to gently move her hands away from my body. “How can you say that?” Sara asked in horror. “It’s shockingly effortless,” I replied. “My vocal chords vibrate, and my mouth and tongue articulate. I can even do it without thinking.” I had to remind myself to stay calm, and sarcasm was the best way to do that. “When are you going to give me a key to your house so I don’t have to knock like some guest?” Sara asked, coming at me again. I backed away. “How about never? Is never good for you?” Sara, undeterred, said, “You’re the reason I go to therapy on Fridays.” “The plot thickens!” Gabby exclaimed for comedic relief.

While in principle groups for survivors are a good idea, in practice it soon becomes apparent that to organize a successful group is no simple matter. Groups that start out with hope and promise can dissolve acrimoniously, causing pain and disappointment to all involved. The destructive potential of groups is equal to their therapeutic promise. The role of the group leader carries with it a risk of the irresponsible exercise of authority. Conflicts that erupt among group members can all too easily re-create the dynamics of the traumatic event, with group members assuming the roles of perpetrator, accomplice, bystander, victim, and rescuer. Such conflicts can be hurtful to individual participants and can lead to the group’s demise. In order to be successful, a group must have a clear and focused understanding of its therapeutic task and a structure that protects all participants adequately against the dangers of traumatic reenactment. Though groups may vary widely in composition and structure, these basic conditions must be fulfilled without exception. Commonality with other people carries with it all the meanings of the word common. It means belonging to a society, having a public role, being part of that which is universal. It means having a feeling of familiarity, of being known, of communion. It means taking part in the customary, the commonplace, the ordinary, and the everyday. It also carries with it a feeling of smallness, or insignificance, a sense that one’s own troubles are ‘as a drop of rain in the sea.’ The survivor who has achieved commonality with others can rest from her labors. Her recovery is accomplished; all that remains before her is her life.

Deprived of bread or the equal benefits of the commonwealth, the person shrivels. Obviously. And that is a clear line to fight on. But when the transcendent energies waste away, then too the person shrivels--though far less obviously. Their loss is suffered in privacy and bewildered silence; it is easily submerged in affluence, entertaining diversions, and adjustive therapy. Well fed and fashionably dressed, surrounded by every manner of mechanical convenience and with our credit rating in good order, we may even be ashamed to feel we have any problem at all.

I wrote many things for and with John. I know this is one assignment he'd rather I didn't have to take on. Although I had a close – head to head, arm to arm working relationship with John, that proximity never affected the fact that from the moment I met him, through all work, I remain his number one fan. He was a brilliant performer, writer, tactician, business strategist and most importantly, he was the only man that I could dance with. He was a great – a world class – emissary of American humor. John was a patriot, a resident of the most wide open, liberal society on earth, and he took full advantage of it. In come cases, real greatness gives license for real indulgence; whether it's as a reward, as therapy or as sanctuary. For as hard as John worked, there had to be an additional illicit thrill to make the effort all worthwhile. John was a nighthawk, true. But he was not an immoral individual. He was a good man, a kind man, a warm man, a hot man. What we are talking about here is a good man – and a bad boy. Johnny – you can be sure that I'll have my antennae out for the paranatural and the spiritual, and believe me, if there's any contact with him, I'll let you know.

A way to do this is to "hand back" the projection to the client. For example, if the client says, "You're making me feel really jumpy today," the therapist could say, "Are you feeling jumpy today?" If the client says, "You must be feeling really tired after doing so many massages," the therapist can ask the client, "How are you feeling? Are you feeling tired?" If the client seems to be anticipating the future, the therapist can ask, "Is this what you are expecting will happen?" These responses must be made in a casual and nonchallenging manner. Asking in a manner that is too penetrating makes the client feel self-conscious and possibly judged. Handing back a projection is a good strategy because projections are a way a person puts, displaces, gets rid of, or abandons something of him- or herself into the environment and away. By handing it back, the therapist gives the client an opportunity to become more aware of it as belonging to him- or herself.

My other client, whom I will call Teresa, thought Lorraine had MPD and hoped I could help her. Almost no one recognized this condition in those days. Lorraine was forty years old and had been in and out of psychiatric hospitals since she was thirteen. She had had various diagnoses, mainly severe depression, and she had made quite a few serious suicide attempts before I even met her. She had been given many courses of electric shock therapy, which would confuse her so much that she could not get together a coherent suicide plan for quite a while. Lorraine’s psychiatrist was initially opposed to my seeing her, as her friend Teresa had been stigmatized with the "borderline personality disorder" diagnosis when in hospital, so was seen as a bad influence on her. But after Lorraine spent a couple of months in hospital calling herself Susie and acting consistently like a child, he was humble enough to acknowledge that perhaps he could learn some new things, and someone else’s help might be a good idea.

it felt increasingly, as I became more whole, that I had made it all up, and that I was a phoney. I had to come to some place of acceptance. If I made it all up, then I am an unspeakably evil person, leading so many wonderful, intelligent people astray. What a scheming mind I must have. I knowledge will be hard too live with. But harder still is the thought that perhaps, just perhaps it is all true; that I really was horribly, ritualistically abused in a satanic setting, over and over again and as a result my mind fragmented. The implications of that are completely overwhelming. It was me, my body, that they did those things to. No, I would rather believe I am an evil and deceitful person. At least the I can change, and say sorry, and live a better life from now on.

The hamster friend said being able to do front rolls didn't make the hamster as good as Bruce Lee, which was not a true statement and not an untrue statement, because the word 'good' is meaningless until defined within a context and a goal, and hamsters when enjoying the company of other hamsters rarely define or think about contexts and goals, because to do so would make them aware of certain things about the universe that would make them feel a kind of emptiness or 'neutrality of emotion' that is usually desirable only in situations where the hamster wants to stop his or her self-perpetuating cycle of negative thinking, in order to fight severe depression or crippling loneliness. In a situation of severe depression or crippling loneliness caused by a period of time of uncontrollable negative thinking this 'kind of emptiness'--effected by an understanding (of the arbitrary nature of the universe) that is attained by thinking comprehensively about context, goals, and meaning--can be used to neutralize the hamster's automatic and self-perpetuating pattern of negative thoughts, at which point the hamster can form new thoughts, that will cause new behaviors, that will cause new patterns of thought, with which the hamster can better function in life and in relationships with other hamsters.

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

I immersed myself in my relationship with my husband, in little ways at first. Dutch would come home from his morning workout and I’d bring him coffee as he stepped out of the shower. He’d slip into a crisp white shirt and dark slacks and run a little goop through his hair, and I’d eye him in the mirror with desire and a sultry smile that he couldn’t miss. He’d head to work and I’d put a love note in his bag—just a line about how proud I was of him. How beautiful he was. How happy I was as his wife. He’d come home and cook dinner and instead of camping out in front of the TV while he fussed in the kitchen, I’d keep him company at the kitchen table and we’d talk about our days, about our future, about whatever came to mind. After dinner, he’d clear the table and I’d do the dishes, making sure to compliment him on the meal. On those weekends when he’d head outside to mow the lawn, I’d bring him an ice-cold beer. And, in those times when Dutch was in the mood and maybe I wasn’t, well, I got in the mood and we had fun. As the weeks passed and I kept discovering little ways to open myself up to him, the most amazing thing happened. I found myself falling madly, deeply, passionately, head-over-heels in love with my husband. I’d loved him as much as I thought I could love anybody before I’d married him, but in treating him like my own personal Superman, I discovered how much of a superhero he actually was. How giving he was. How generous. How kind, caring, and considerate. How passionate. How loving. How genuinely good. And whatever wounds had never fully healed from my childhood finally, at long last, formed scar tissue. It was like being able to take a full breath of air for the first time in my life. It was transformative. And it likely would save our marriage, because, at some point, all that withholding would’ve turned a loving man bitter. On some level I think I’d known that and yet I’d needed my sister to point it out to me and help me change. Sometimes it’s good to have people in your life that know you better than you know yourself.

I am not all knowing. Therefore, I will not even attempt to be. I need to be loved. Therefore, I will be open to loving children. I want to be more accepting of the child in me. Therefore, I will with wonder and awe allow children to illuminate my world. I know so little about the complex intricacies of childhood. Therefore, I will allow children to teach me. I learn my best from and am impacted most by my personal struggles. Therefore, I will join with children in their struggles. I sometimes need a refuge. Therefore, I will provide a refuge for children. I like it when I am fully accepted for the person I am. Therefore, I will strive to experience and appreciate the person of the child. I make mistakes. They are a declaration of the way I am - human and fallible. Therefore, I will be tolerant of the humanness of children. I react with emotional internalization and expression to my world of reality. Therefore, I will relinquish the grasp I have on reality and try to enter the world as experienced by the child. It feels good to be an authority, to provide answers. Therefore, I will need to work hard to protect children from me! I am more fully me when I feel safe. Therefore I will be consistent in my interactions with children. I am the only person who can live my life. Therefore, I will not attempt to rule a child's life. I have learned most of what I know from experiencing. Therefore, I will allow children to experience. The hope I experience and the will to live come from within me. Therefore, I will recognize and confirm the child's will and selfhood. I cannot make children's hurts and fears and frustrations and disappointments go away. Therefore, I will soften the blow. I experience fear when I am vulnerable. Therefore, I will with kindness, gentleness, and tenderness touch the inner world of the vulnerable child. - Principles for Relationships with Children

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

Carter: "Dude, I don't know why it works, it just does. [...] Just pretend you're not into 'em and then ask a question. What's the worst that could happen?" EJ makes eye contact with the smallest one, off to the side. [...] She looks up at EJ and gives him the nicest smile. He pulls the trigger and yells, "You think you're hot stuff, don't you?" What the...? Where are you going with this? "Excuse me?" she replies, kind of sweetly. EJ asks, "You think you're cool, don't you? Where did you get that shirt, the Salvation Army? What the hell is with your hair? My eyes are as big as basketballs as he fires one mean-ass question after another at her. "You don't have a boyfriend, do you?" he continues. It's like he's armed with self-esteem killer. "Did your parents have any kids that lived?" EJ asks. The girls starts to buckle, and tears are on the way. "Are these your friends, or are they like, counselors here to observe you?" EJ shouts. [...] He asks, "Does your grandma know you borrowed her shoes?" as I drag him away. The girl is crying pretty hard, and her friends are trying to console her. [...] "Man, that didn't do very well. What do you think I did wrong?" EJ asks. "Are you serious?" I ask "I was just doing what you told me to," he replies. "I-I-I told you to go up to that girl and start abusing her?" I ask. "You said to ask her questions and pretend I didn't like her!" he yells back. "Pretend YOU'RE NOT INTO HER!" I clarify. "Not that you hate her and wish she would die! Good God, that girl thought she was gonna get a boyfriend when you walked up, not years of therapy." "Do you think I still have a shot?" he asks "NO, I don't!" I bark

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

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

How did you find me?" "I've followed you for a long time." He must have mistaken the look on my face for alarm or fear, and said, "Not literally. I just mean I never lost track." But it wasn't fear, or anything like that. It was an instant of realization I'd have a lot in the coming days: I'd been thinking of him as coming back from the dead, but the fact was he'd been there all along. He'd been alive when I cried in my room over him being gone. He'd been alive when I started a new school without him, the day I made my first friend a Jones Hall, the time I ran into Ethan at the library. Cameron Quick and I had existed simultaneously on the planet during all of those moments. It didn't seem possible that we could have been leading separate lives, not after everything we'd been through together. "...then I looked you up online," he was saying, "and found your mom's wedding announcement from before you changed your name. I didn't even need to do that. It's easy to find someone you never lost." I struggled to understand what he was saying. "You mean...you could have written to me, or seen me, sooner?" "I wanted to. Almost did, a bunch of times." "Why didn't you? I wish you had." And I did, I wished it so much, imagined how it would have been to know all those years that he was there, thinking of me. "Things seemed different for you," he said, matter-of-fact. "Better. I could tell that from the bits of information I found...like an interview with the parents who were putting their kids in your school when it first started. Or an article about that essay contest you won a couple years ago." "You knew about that?" He nodded. "That one had a picture. I could see just from looking at you that you had a good thing going. Didn't need me coming along and messing it up." "Don't say that," I said quickly. Then: "You were never part of what I wanted to forget." "Nice of you to say, but I know it's not true." I knew what he was thinking, could see that he'd been carrying around the same burden all those years as me. "You didn't do anything wrong." It was getting cold on the porch, and late, and the looming topic scared me. I got up. "Let's go in. I can make coffee or hot chocolate or something?" "I have to go." "No! Already?" I didn't want to let him out of my sight. "Don't worry," he said. "Just have to go to work. I'll be around." "Give me your number. I'll call you." "I don't have a phone right now." "Find me at school," I said, "or anytime. Eat lunch with us tomorrow." He didn't answer. "Really," I continued, "you should meet my friends and stuff." "You have a boyfriend," he finally said. "I saw you guys holding hands." I nodded. "Ethan." "For how long?" "Three months, almost." I couldn't picture Cameron Quick dating anyone, though he must have at some point. If I'd found Ethan, I was sure Cameron had some Ashley or Becca or Caitlin along the way. I didn't ask. "He's nice," I added. "He's..." I don't know what I'd planned to say, but whatever it was it seemed insignificant so I finished that sentence with a shrug. "You lost your lisp." And about twenty-five pounds, I thought. "I guess speech therapy worked for both of us." He smiled. "I always liked that, you know. Your lisp. It was...you." He started down the porch steps. "See you tomorrow, okay?" "Yeah," I said, unable to take my eyes off of him. "Tomorrow.