authenticy

Why Group Therapy Works, Part 3

 by Sam Bearer, PLPC

Group therapy is a great way to help individuals make changes in their lives.  There are several aspects of group work that help make these changes possible. The first two I’ve talked about focus on the client’s investment in the group process. The first is for each group member to choose to be radically vulnerable with the other group members. The second is for each member to foster in himself or herself an outlook of unconditional positive regard in which it is safe to share, feel, learn, and empathize within the group setting.

The next piece focuses more on how the group can invest and intervene in the individual member’s life. Following the individual work of being open, the group now has the opportunity to disrupt radically the emotional foundations underlying each member’s coping behaviors that got him or her into therapy. This is one of the most difficult parts of group work, but as is usually the case with therapy, it is essential for change.

Each member must allow the very personal, negative feelings about himself/herself or others to be shared and eventually challenged by the other group members.

These negative feelings are both bound up in and displayed by each person’s style of relating.  Almost without fail, these negative feelings have been activated within the first few sessions of group work because of conflicting expectations, styles of relating, radical vulnerability of some members but not others, etc.  However, they most likely have not been fully expressed.

This is so difficult for many reasons. The most common roadblock is that the learned responses to emotional stressors, also known as styles of relating or coping patterns, are so ingrained and automatic that slowing the process down into separate phases or component parts can be daunting.

Individuals often identify themselves as inseparable from their comfortable style of relating.

In our next blog, we will conclude this series on why group therapy works.

Why Group Therapy Works: Part 1 

by Sam Bearer, PLPC

There is a lot of research out there evaluating the efficacy of group work to address lots of different issues. The evidence is clear that group work is tremendously effective in helping individuals make positive changes in their lives.  But why?  For the past two years, I have volunteered with a local ministry that runs men’s groups to address sexual addiction and acting out.  I have had the chance to observe and think about what makes these groups work.  This experience has helped me identify several different components that I believe are key to unlocking positive change in our group members’ lives.

The first is choosing to be vulnerable.  Every man that has come to our group has felt ashamed, isolated, and singled out by the experience of feeling trapped in his addiction or by being exposed in it.  The terrible discomfort of this experience may be enough to get him through the door and into therapy, but it doesn’t mean that the therapy will be effective.  The work each person has to do is to risk being totally open about his struggle in therapy.

Within a therapy group context, there is little room to shade the truth or hide parts of it.

One of the easiest and most prevalent ways of avoiding vulnerability is to share only the parts of the struggle that we have shared before, or can be framed as something that we used to struggle with or happened in the past.  So often, these past struggles are also very much present ones, but by placing it in the past, it puts convenient barriers up which it is easy to hide behind.  We have all tried to hide our struggles at one time or another.

At some point in our story, we learned it wasn’t safe to share and be vulnerable because someone close to us would exploit our weakness.

Group therapy is intentionally confronting this emotional reality and seeking to do the opposite.  Again and again, I have seen group members gently confront each other about whether or not individuals are sharing all of the impact of the story or just the safe parts.  When a group member deliberately and consistently chooses not to hide in this or other ways, it becomes possible for the other group members to empathize, connect with, and enter that individual’s experience in the present.  This willing vulnerability is a sign that change is already taking place in the group member as well as opening the door to the possibility of deeper, positive change.

Survival Tips for the Holidays

by Courtney Hollingsworth, LPC

Here are a few small tips for changing the ways you engage with your relatives around the holidays. It isn’t easy to change the ways we relate to people we’ve known most or all of our lives, but it is often worth the work. This list is by no means conclusive, but a good place to start.

Take people at their word.

Try to notice how often you are attempting to read between the lines of others’ words or times when you feel expected to know what someone else feels or wants without them actually saying anything. Reading between the lines or finding the hidden meeting is common in family systems that operate more passive aggressively. Taking people at their word forces others to speak up on their own behalf, say what they really mean, and address one another with respect.

Mean your words.

The reverse of taking people at their words is true as well. If you are frequently not saying what you truly mean, then feel upset when others are not doing as you want, odds are you were not meaning your words. Speak directly and kindly, and you can avoid many of the passive-aggressive communication games that conflict avoidant families tend to get bogged down in.

Check your expectations.

Holidays are filled with expectations and typically time with family is also, therefore holidays with family members can be a double whammy. It can become the perfect traffic jam of various expectations.

Know your limits.

Try to realistically assess your limits on various planes prior to making your holiday plans. Are there certain family members you have a lower tolerance for spending time around? Is your social/extroversion threshold depleted more quickly at family gatherings? Are there certain relatives’ houses where you become a worse version of yourself longer you stay? Does being around babies and toddlers bring out the worst in you? Is your alcohol tolerance lowered in family settings? Assessing your limits prior to making your plans can help you make a more informed choice, and perhaps plan action steps toward self-care when you can’t predict that your limits will be tested and or pushed.

Know your triggers.

This one is similar to knowing your limits, in that it can be helpful to do some self-assessment prior to walking into family dynamics that are laden with emotional landmines. Try to think about instances in the past when time spent with family has led to blow-ups, arguments, hurt feelings, or even the silent (or shouted) conclusion that you’ll never go back again. Try to see if there’s a pattern between these various situations. Do you tend to be triggered by your mom’s passive aggressive comments? Do you tend to be triggered by your brother’s constant bragging about his successful career? Do you tend to be triggered by your niece talking all of the toys leaving them for the other cousins? Whatever your triggers, knowing them in advance can help prevent them from being a surprise, or even activated at all.

Make a private game of unavoidable unpleasantries.

Now, this is a little bit nuanced because it needs to be done discreetly and with wisdom, but can be helpful in surviving unavoidable unpleasantries. However, if you and your spouse or sibling share a negative feeling towards a person or behavior, you can make a private game out of how often you have to witness or endure that behavior. For example: does your dad tend to condescendingly correct other peoples grammar? Making bets on how often that will happen during the time that you spend with him. Does your aunt make snide comments under her breath? Rather than fume as you, it can be a survival strategy to find a way to laugh about it. What makes this game nuanced is you certainly don’t want others to find out about it or extend it to the point of being disrespectful.

Perfectionism and Blogging

Perfectionism and Blogging

by Frank Theus, LPC

In my line of work as a therapist writing a blog or contributing to one is considered part and parcel of the profession; in fact, I know many fellow therapists who attest to how much they enjoy writing informally via a forum that invites conversation. Perfectionism has stood in my way before now.

“Every time I write a [blog], I have to remind myself that all I have to worry about is the next paragraph.” – Donald Miller

However, what does a therapist-blogger do when the writing becomes de rigueur du jour and try as best they can simply can’t lift a pen, or type out the next word much less “…the next paragraph” (Miller)?

Ignore the panic attacks? Obfuscate, deny, and delay regarding the topic and proposed deadlines? Stop writing? Quit the job? Does any of this seem extreme to you? Well, hello, I’m that guy who has been there, done that, and has those t-shirts.

You see, I hate to write. Duh!

Writing’s a powerful medium that can expose the author’s heart-life leaving them vulnerable to evaluation and critique – real or imagined – by others; and, my basic survival instinct wants no part of that. Perfectionism won out. Are you able to relate?

You see I’m recovering from perfectionism, triggered by the thought of writing, grammar, punctuation, and (reasonable) expectations of me around this topic. For a variety of reasons I failed to learn the basics in secondary school and later in my undergraduate years. In Abba’s infinite and providential sense of humor I was thrust into leadership roles within professions that required me to write for the sake of other’s careers. No pressure there. Right?!

But writing didn’t get easier for me then or by the time I went through graduate school as a 50-something reinventing retiree, or afterward here at Avenues Counseling. Finally, I shared my angst with my boss and we agreed I’d take a mini-sabbatical from writing. I wish I could say I used this holiday to constructively reflect, engage in intense psychotherapy to get at the root causes of my graphophobia, become a modern day contemplative Reformed-Benedictine, to journal (God forbid) but I didn’t do any of those things. Instead, I more often than not simply disengaged from any thought of ever writing again. I was good with that.

But here I am. Writing. Haltingly so. Imperfectly, and [relatively] free. What happened? I’m not sure; and, I don’t know that I have to have it all figured out.

Whatever the “it” is in your life that keeps you stuck or otherwise diminishes your quality of life maybe the first step is to be kind and gentle with yourself and to simply acknowledge it aloud.

But don’t stop there. Risk, yes, risk being vulnerable enough to tell someone that’s trustworthy what the “it” is. Ask for help, learn, grow, heal, and re-engage with enjoying the whole of your life. L’chaim!

Does Validation Matter?

Validation: Why it matters.

 

by Mary Martha Abernathy, LPC

We have all experienced a situation where we have not validated a person’s beliefs or behaviors as we interact with them.  We also know what it feels like for someone to ignore our feelings, minimize our experiences, or change the subject of a conversation when the topic really matters. Validating our own feelings and those of other people is an important skill to have and to hone.    

What is validation?  Validation means “acknowledging that a person’s emotions, thoughts and behaviors have causes and are therefore understandable”.  

To validate someone means we are looking for the kernel of truth in another person’s perspective, even if we don’t agree with them.

Why is it important?  Well, it shows that we are listening to the other person and that we are trying to understand them.  It helps to strengthen our relationships because we can avoid a power struggle over who is right by validating the other person.  When we don’t validate others, it hurts.

How do we do it?  Pay attention to what the other person is saying.  Actively listen and reflect back to them what they are saying, without judging them!  We have to use our observation skills and we have to be pay attention to the conversation.  It is important to notice the little things, how is the person standing, are their arms crossed, is their face red, do they look like they are getting ready to cry?  All of these clues help us in conversation.  

We need to notice how a person is acting, listen to what a person says, and respond according to what we see and hear to help create and improve connection in relationships.

What’s the impact?  Like I said, validation helps to create connection. Validation challenges us to be present in conversation. We have to be listen to what the other person is saying in order to respond in a way that helps a person to feel understood. Validation can de-escalate a situation because you’ve avoided the fight and acknowledged the other person’s experience.  

Give it a shot!  

 

 

 

 

Information adapted from DBT Skills Manual for Adolescents, Rathus, Jill H., and Alec L. Miller. “Validation.” DBT Skills Manual for Adolescents. New York: Guilford, 2015. Print.

When “Can’t” Isn’t a Four-Letter Word

When “Can’t” Isn’t a Four-Letter Word

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“Can’t is a four-letter word.”  “Can’t never could.” “I think I can, I think I can, I think I can.” Did you grow up hearing any of these phrases (or something similar)?  Encouragements from parents and caregivers to help you face a new challenge that you currently weren’t able to conquer.  An acknowledgement that negative thinking or giving up too easily with “I can’t” will hold you back from growing and learning to do new things. Instilling and maintaining a “can do” attitude is important – to push through the fear of inability and courageously take a risk, believing that you can do something and acting out of that hopeful and determined belief.  If you don’t try, you won’t grow and learn.

But somewhere along the way, after pushing through our fear or inexperience to get beyond “I can’t” when we are young, we can develop a belief that we can (and should) be able to do everything. And be everyone to everyone.  And never disappoint anyone.  We forget that we are human, and with that reality comes certain limitations – limitations of having finite time, emotional capacity, energy, and abilities.

For some of us, “I can’t” still comes too easy and holds us back from trying something new or risking…and if that is you, I encourage you to consider what makes “I can’t” roll off your tongue. Is it protecting you from the risk of failure? Does it feel safer to remain in the comfortable place of what you know?

But for some of us, embracing “I can’t” can be a path towards freedom.  A way to embrace our humanity and draw healthy boundaries around what we were made to be and do. Some versions of “I can’t” change with seasons of life while others remain true our entire lives.  “I can’t be a mom, work full time, be President of the PTA and have a perfectly kept household.” “I can’t have a chronic disease and do everything the way I used to.”  “I can’t be responsible for your emotions.” “I can’t obtain everyone’s approval.” “I can’t be perfect.”

Saying “I can’t” isn’t always about fear or failure, sometimes it’s the healthiest acknowledgement of our humanity that puts us on a path towards freedom.  Where might it be helpful for you to say “I can’t” today?

-Melinda Seley, PLPC

Does your past matter?

Does your past really matter?

by:  Courtney Hollingsworth, LPC

shutterstock_155509727How often to you pick up a novel or biography you have not previously read, flip to a random page in the middle of the book, and start reading from there? Have you ever tried to sit down in the middle of a movie and pick up the storyline? Our lives are stories full of experiences that connect and impact what comes next. So when we say that the past doesn’t matter or our childhood has no significance when it comes to what’s going on in our lives today, it seems to me more like it’s wishful thinking than what is actually true.

I think there are different reasons why we want to downplay the significance of our past, specifically our early years. Sometimes it seems to stem from a desire to believe we’ve moved past it all, grown too strong and mature for any of those vulnerable years to still have the power to impact us today. For others the motivation to downplay prior experiences comes from an avoidance of the pain which accompanies them.

The reality, however, is that our lives are a whole intricate story.

Think about it this way: what’s the first thing a doctor asks about? Your medical history. What do you want to know about a car before buying it? Accident history and mileage. Similarly, when you are getting know someone new, whether a friend, co-worker, or date, conversation will surely be filled with facts about the present, but part of getting to know them is also understanding their past and where they come from, both literally and figuratively.

Neglecting the importance of our past, especially our early impressionable and very vulnerable years, is a misstep that hinders our growth and depth in the present.

History is a mandatory subject in school for a reason. We can become students of our own histories and discover how and why we got to where we are, potential pitfalls and blindspots we operate with, and relational patterns and styles that may contribute to our present relational struggles.

The Healing Presence of Brutal Reality

The Healing Presence of Brutal Reality

by: Jason Pogue, PLPC

Do you know that uncomfortable tension when you realize you are trying to be somebody or something you are not?

I’m not sure what it feels like for you. For me, it is as if my mind begins to separate itself from my heart, trying to press ahead and leave my knotted stomach and racing heart behind. If I just do these things I can pull it off and no one will know. Often my mind is so good at this that it can be in this place for weeks before I start to recognize my body aching from carrying all the tension – my tight shoulders and aching legs like clues to the mystery of where I actually am. And, no wonder it sometimes takes weeks! Prior to beginning my own counseling journey my mind was in this place for years unaware – racing ahead to avoid the deep fears of being “found out” as an imposter or discovered as someone broken beyond hope. Perhaps my mind was racing ahead at light-speed to avoid the deep pain that I didn’t know how to experience yet, unaware that this pain collects interest over time.

Recently I sat down with some colleagues to discuss an interview with a prolific psychiatrist and author, Irvin Yalom. Irvin recounted early in his career a moment when he sat in the therapy room with “a red-headed, freckled woman, a few years older than” him. In the first session, this woman shared with Irvin that she was a lesbian. Irv writes, “That was not a good start because I didn’t know what a lesbian was. I had never heard the term before.” I about burst out laughing when I first read that. This is the prolific therapist Irv Yalom! Yet even Irv has moments where he must make a choice. Am I going to try to be someone I’m not, or be real in this moment with this person?

Irv, being the gifted therapist he is, made the split-second decision that “the only way [he] could really relate to her was to be honest and to tell her [he] didn’t know what a lesbian was.” And so, he invited her to enlighten him in the coming weeks about her experience and they developed a great relationship in their work together.

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The truth that this little story reveals to me is that what we all need most is genuine and honest connection. If that exists, we can learn from each other and enjoy each other even in our differences, failures, finitude, and confusion. However, this connection is impossible when my mind is racing ahead of my heart – when I’m living in a world designed to protect me from the present, rather than risking being honest about the reality of what is happening right now.

Unfortunately the world we live in continues to tell our minds to run ahead…to forget about the moment because you have a million other things to do, too many things to worry about…or to forget about the moment because what if the moment is unbearable? And yet, it is only when we risk acknowledging the present reality of the now – when we don’t shy away from our fears, inadequacies, wounds, guilt, powerlessness – that we can ever truly enjoy the beauty in and around us and the joys of living in this world.

If you’re tired of trying to be someone you are not, what is stopping you from being who you are? What is stopping you from stopping, and entering into the reality of now?

(The interview with Irvin Yalom can be found at: https://www.psychotherapy.net/interview/irvin-yalom)

Blood is Thicker than Water, Part III

What does “holding out for healthy” look like, anyway?

By Jonathan E. Hart, LPC

This blog presumes you’ve read the previous two in the series.  If you haven’t, Click HERE to be taken to the first entry.

Now that you’ve recognized that your family member is not the person that their job description calls for, you’re beginning to take some steps.  You’ve come to understand that, for example, Dad is not in the “Parents and Siblings” ring of intimacy.  He is more an “Acquaintance”, based on the way that the relationship feels and works.  You’ve started to give yourself permission NOT to call every week because you don’t call your other acquaintances that often.  You’re arguing with the guilt that arises from being a “bad child”, and with the healthy compassion that comes from seeing him struggle with loneliness.  You’re resisting the impulse to go in and rescue him.Levels of Intimacy

And you feel like you’re being mean, cold-blooded, and harsh.  You’re being told, “You’ve changed, and not for the better.”  Other family members are calling you to convince you to “seek reconciliation”, or to chew you out for your “bad attitude”.  The pressure becomes enormous, and you sometimes forget what you are fighting for.

“Holding out for Healthy” is hard.  It means defying everything the relationship in question has taught you all your life.  It means holding on to the desire for real intimacy, even if your hope that the desire will be fulfilled looks too remote to be realistic.  A very old aphorism says, “Hope deferred makes the heart sick”.  It means clinging tight to the idea that a healthier relationship with your father is worth the loss of the false intimacy you’ve been used to all your life.

Because what you’ve been used to all your life was not real.  It was a counterfeit of relationship and, when you tried to use it as currency, you discovered you’d been cheated.  Which would you rather have: A fist full of play money, or nothing?  It’s a trick question.  You’ve got nothing either way.

The hard truth is that when you start operating according to the way that the relationship actually exists, you are not changing anything about it.  You’re merely speaking the truth about it for once.  You’re finally allowing the natural outcome of Dad’s way of being to actually touch him for once, rather than protecting him from it.

The reason the relationship persists the way it does is likely due in part to the fact that nobody has dared to tell him what it’s like.  Nobody has named the fact that the Emperor has no clothes.  Naming it to him hurts, but it also offers him the chance to see that what he’s doing is hurtful, and provides him with an opportunity to grow.

“Holding out for Healthy” invites the other person into a better place themselves.  It calls them to be a better human being, to seek healing for their own wounds, and to acknowledge the wounding they have done themselves.  They will either be able to do this, or they won’t.  Even if you can step into one ring closer with them, you have more than you’ve ever had before, and that is wealth indeed.

“Holding out for Healthy” also leads you to healing of your own.  This relationship loses its power to define you because you are actively defining the relationship.

What does Holding out for Healthy look like?  It’s a mess.  It’s painful and it rocks the boats of a lot of people.  You’re not going to do it well.  But doing it at all represents a change that has real value on your own life, and — potentially —  in the lives of those you love.  It’s worth the risk.

 

 

Say Goodbye to Life-Sucking Fears

by: Lianne Johnson, LPC

Learning to acknowledge the fears we have within ourselves and with others is the first step to becoming free from them.

Perhaps Franklin D. Roosevelt was onto something when he said, “The only thing we have to fear is fear itself.”
Having a fear of something isn’t bad.  In fact, sometimes our responses to fear can save our lives.  We sense danger, so we run.  We are swimming and running out of breath, so we get to shore.  Fear itself isn’t the problem.  It is what becomes of our fear that matters.  Once our fears begin to control us – limit our life, change our thoughts/beliefs about ourselves, irrational behavior surfaces – this is when a fear becomes problematic.
A fear not dealt with has the potential to overcome us to the point of robbing our joy in life.
Anything can become a fear.  Nothing is too far from its reach.
Oftentimes I find people hating what they fear yet, unwilling to change.  I can’t say that I blame them.  After all, even though they hate what they fear and want so badly for it to change, it is also known to them.  Theoretically, they have already lived with their fear for a number of years, and have become accustomed to how it limits their life and restricts their happiness.  Asking someone to take the risk learning to let go of their fear, is one of the scariest risks I ask of people to try in my job.  Asking people to give up the known for the unknown requires much trust, courage, and vulnerability on their part.  Asking them to believe change is possible is the first step.
What are you fearing?
-Not being good enough?
-Letting people down?
-Being abandoned or rejected by those you love?
-Being a bad parent?
-Not having enough money to pay your bills?
-Not being liked?
-Loosing your spouse?
-Never being happy?
-Something bad that happened in your past?  
-(insert your fear here….)
Are your fears limiting your life?  Are they altering your beliefs about yourself?  Are they causing you to act in ways you normally wouldn’t?  
If you answered yes to any of the above questions then seeking help is your next step.

What do we do when ours fears begin altering how we live our lives?

1.  Acknowledge your fear is controlling or altering the way your think and live.
2.  Seek help.  Ask friends for support. Find a trusted counselor to help you.
3.  Believe change is possible.
These steps may sound trite, but believe me they are not!  These initial steps are hard and require courage and vulnerability.  You are choosing to step out into the unknown and say, “I want something better than what I currently have.  I want to take back control of my life!”  This is no easy task to begin engaging in.
Some of the common fears I see people struggling with actually have nothing to do with something outside of themselves.  Usually, I find people most fear something having to do who they are, how they perform and how they perceive the need to measure up to others, or being good enough or perfect enough to be loved.   If I just described you, know you are not alone in your struggle.  I hope you will reach out for help because freedom from your fears is possible!