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Psychotherapy: A Guide for Us

 

Introduction

 

Psychotherapy is a transformative process that aims to elevate our emotional well-being, improve relationships, and unlock our personal and professional potential. A course of treatment also tends to mitigate chronic feelings of anger, self-defeat, insecurity, confusion, and sadness.

The Past

 

Our early environments—mostly centered on the attitudes, behaviors and concerns of our caregivers—can powerfully shape our emotional vulnerabilities, often contributing to unbalanced patterns of distrust and fear. Over time, these patterns may congeal into traits and mentalities, which becomes the lens through which we read our present relationships. Often (not always), this process results in unnecessary and complicated suffering. Sometimes, the suffering results from events that happen much later in life—well into our adult years. Regardless of where the suffering resides, psychotherapy aids in fostering self-compassion and understanding for the unchangeable past, allowing for personal growth in the changeable present.

Features of an Emotionally Sturdy Foundation

 
 

In an ideal upbringing, caregivers will consistently prioritize our needs, understand our unspoken wants, console us, provide structure, and bestow a positive image of ourselves onto us. Many of us get a “good-enough” start, which greatly helps, although most of us carry some deficits from even the best-intentioned upbringing. Psychotherapy is a good place to address such deficits and build upon the sturdier elements of our psychological foundation. A sturdy foundation may include:

  • Self-love: A realistic and grounded sense of self-worth.

  • Candour: The ability to confront difficult truths, within ourselves and others.

  • Communication: Expressing desires and feelings effectively.

  • Trust: A belief that the world is mostly safe and reasonable enough for us to have a legitimate chance at contentment and redemption.

  • Consistency: Stability in self-perception and views of others.

  • Efficacy: Feeling in control of one's life.

  • Resilience: The ability to understand and accept one’s own strong feelings, regulate them and govern their expression so they lead to adaptive rather than destructive outcomes.

  • Insight: Understanding behaviors from multiple perspectives and resisting biased explanations.

  • Comfort in Solitude and Social Settings: Enjoying alone time and company, both in good measure.

  • Passion for Life: Curiosity and drive in one’s pursuits.

  • Positivity: Inclinations towards acceptance, forgiveness, and gratitude.

  • Success in Love, Work, and Play: Fostering caring relationships, engaging in meaningful work, and enjoying play, humor and leisurely pursuits.

How Psychotherapy Works

 

Psychotherapy offers a structured environment to explore self-understanding, establish trust, communicate, realize potential, and cultivate serenity and authenticity. Regular sessions in a comfortable, private space fosters this process.

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Safety | Therapy is premised on the absolute requirement that the person in need feels physically and emotionally safe to participate. The patient or client must know that they are free to withdraw their consent or leave at any time, without fear of punishment or retaliation.

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Boundaries |  Therapy operates like a forge, in which interactions with intense emotional ‘heat’ are contained and made safe within strong walls of confidentiality, professionalism, and accountability agreements from both parties. The therapist must agree to uphold their patients’ privacy, physical boundaries, time, and health-oriented goals. The patient is obliged to honor the therapist’s time, fee and invitation to participate. Any other arrangements can and should be discussed together, never assumed.

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Witnessing | Therapy is a unique setting where we can freely articulate inner thoughts without fear of judgment, undercutting the isolation that normally lies between people. Good therapists are deeply curious—and even enthusiastic—about attending to the patients’ experiences. They recognize the privilege of bearing witness to our most private expressions.

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Kindness | Knowing that someone is on our side is designed to help us look at areas of vulnerability we otherwise lack the courage to tackle. The kindness of a strong therapist often provides us the security needed to constructively sort through our clever, bewildering, evasive minds.

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Listening | Therapists employ 'active listening' to validate our thoughts and guide us through the complexity of our minds, helping us better articulate unstructured feelings and ideas.

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Attention to emotions are particularly important, as these internal experiences are in fact very detailed assessments, synthesizing a vast amount of information about ourselves, others and the world at large into largely unverbalized stories and beliefs. A careful, patient and thorough exploration of our emotions can reveal much about our particular motivations, ambitions, wounds and anxieties.

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Interpretation | Therapists help us connect our current issues with those from our past, particularly childhood experiences, and subtly guide us to our own self-discoveries. These connections do not typically read like self-help book formulas, but instead account for the complexity of our unique circumstances. Blunt confrontations with reality are not so common in therapy, as these are less often helpful.

 

Relationship | The therapeutic relationship often starts to resemble our general relational patterns. A good therapist helps us to notice this and adjust our emotionally-driven behaviors, thereby transforming our interactions outside therapy. A therapist may also help us feel that the person we are relating to is just that—a person; who may deeply empathize with—and even relate to—our closest held secrets.

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Faith | Therapists have faith that no matter how dire the situations may seem, the specific problems for which we are seeking help can and will get better with effort, honesty and patience. The therapist sees possibilities that may be invisible to us, when we are deep in suffering.

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Judgment | What therapy provides, in part, is an opportunity to refine the lens through which we view—and judge—ourselves. After hearing the constructive, kindly voice of a skilled therapist often enough, it may feel like our own response in the face of future challenges. Eventually, therapy will reform the very mechanisms of our internal judgment.

Misconceptions about Psychotherapy

 

The Public of Psychology | Contrary to the belief that psychotherapy is reserved for severe mental illness, it is actually a sophisticated practice of self-care in response to life's common (and uncommon) trials and miseries.

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Therapy and Self-Interest | Another stigma is that by talking too closely about ourselves, we may be regarded as bathetically egoistic. However the origins of egoism do not begin from focused, kind attention but rather from harshness and neglect. Therapy is unlikely to make us less interested in the lives of others; the greater probability is that it will open invisible walls within us, allowing us to participate more fully in the lives of those we wish to connect to.

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Dignity in Discovery | The fear that therapy strips us of our dignity by exposing our flaws is unfounded. Accepting our ongoing development, which often includes reconciling adult and childlike aspects of our being, is not degrading. It's a process best approached with gentle humor and hospitality.

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Realistic Expectations of Therapy | Believing that therapy will miraculously transform our lives may also be overly optimistic. Psychotherapy is not a magic solution for success but aims to help us grow in maturity, restraint, and self-awareness. Therapy does not negate life's inherent challenges but equips us to face these challenges with grace and a kind (yet sturdy) pace.

The Possibilities of Psychotherapy

 

Gaining Freedom | Psychotherapy helps us understand our past coping mechanisms and consider new ways of being beyond those survival strategies. As we assess our current reality, we recognize the possibility of adopting safer and healthier behaviors.

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Cultivating Compassion | Therapy often reveals the disappointments of our past and may initially evoke blame. However, as we gain insight into our own imperfections, we learn to see others' hurtful actions as a reflection of their own struggles. This fosters a compassionate understanding of a world where pain is inadvertently inherited across generations.

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Improved Self-Expression | Past fear and humiliation can dissipate with a therapist's support, enabling us to express our needs more openly. Giving voice to our innermost concerns allows us to boldly assert our existence and better articulate our personal wishes to ourselves and to important others.

Further Reading 

 

What is Psychotherapy? | School of Life A short, smartly written book that was frequently referenced here.

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