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Folks who know me are well aware (and dare I say, tickled) at the way I am able to walk a very fine line between being rigidly rule-governed and, at the same time, aggressively rebellious (thank you, autism). I think this is one reason that I find myself being drawn to and working so well with clients who appreciate structure and also the beauty of going against social norms.
As I'm writing this, we have just come out of another Mother's Day and I am thinking ahead to the next few holidays and what my family will be doing. Holidays, and family get-togethers in general, can really cause a lot of anxiety in me and in many of the folks I talk to (in and out of the therapy room). There is just so much pressure - so many shoulds, have tos, musts, and can'ts. When it comes to these rules, as I call them, who is in charge?
I love that as a culture we are embracing the idea that "it's okay to not be okay." It's so accepting and welcoming of folks with all kinds of struggles and has reduced the stigma around seeking help. But, can I be honest with you for a second? Sometimes when I think "it's okay to not be okay," I find myself meaning it only for other people. It's okay for other people to not be okay. Not me. And I have a hunch I might not be the only one.
The COVID-19 pandemic really turned the mental health world on its head. Not only have rates of mental health issues increased, but therapy completely revamped itself to accommodate for the risks involved in contact between clinician and client. Now that the world is settling a bit, we have had some time to reflect back on the last two years and to explore the research about teletherapy.
When I talk to clients about their struggles, I notice a very familiar pattern that I find myself in: what causes the struggle becomes the focus of our life and we become fused with it. We believe we must get rid of these thoughts (or feelings, memories, urges, etc.) so that we can live a life we dream of living.
If you were to randomly choose a therapist, you would likely end up with someone who uses cognitive-behavioral therapy (CBT), which has been the dominant type of therapy since the 1960s. The general premise of traditional CBT is that our thoughts influence our emotions, which then go on to influence our behavior. So, the idea is that if we can improve our thinking, our emotions and behavior will therefore improve.
