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Showing posts with label psychotherapy. Show all posts
Showing posts with label psychotherapy. Show all posts

Tuesday, March 11, 2014

Tuesday's Mental Health Tips: Overcoming Addictions


Thought for the Day: On Tuesday's, I have been sharing some of the questions and answers I have given on HealthTap on various Mental Health issues. This week, I chose one about drug addiction. I have given a more detailed response than I can provide on HealthTap, but you can see the original post and follow my other answers on my HealthTap virtual practice by clicking on my name below.
Today's question was:

Who should I see for my anxiety from extreme drug cravings? Addiction counselor? Therapist? Drug detox? CBT (Cognitive Behavioral Therapy)? I can't get rid my substance abuse mindset.

Monday, December 9, 2013

Miraculous Mondays: Part 3: Psychotherapy: Miracle or Science?

Thought for the Day: It is Monday & I have not posted for three days. A friend is here doing work on our house. When I need to help make sure he has all the supplies to complete projects, my writing gets neglected. In the interim, I have also been moved by the outpouring of both tributes and celebrations of the life and work of Nelson Mandela. Ironically, one of his quotes inspired my Wednesday's Words of Wisdom post last week, the day before he died. Therefore, some of my thoughts on miracles in marital therapy today, will include my perception of Mandela's contribution to the psychology of reconciliation. At a later date, I will write about the mourning process in South Africa, since I am fascinated by the cultural differences in our societies. As promised last week, today, I am finishing a three part series on: Psychotherapy: Miracle or Science? (Part 1, Part 2). Although Linda & Henry's therapy is not completed, I'll be reporting the progress & thoughts about the science behind the miraculous moments in their work.

Last week, Linda and Henry left the session laughing and talking in a way I had not seen before the role play. They reported that their week, since the last session, was much better than before. They were speaking more frequently and able to work through rough moments better than in the past. Although Henry has been very busy at work, he has read more of the book and has been trying to apply the techniques he is reading about. Linda, who's life is consumed by caring for a small infant, has not made time to read the book yet, but is appreciating the change in Henry's behavior. She is not convinced that the changes will be permanent. Although she had been going out at night after Henry came home from work, she has been staying home more and spending time with him without it leading to arguments. My biggest concern is that Linda is not totally on board and still is questioning whether things can change enough for their marriage to work.

My job is to help them experience more and more of the miraculous moments in their interactions, so that they can rekindle and strengthen their relationship. Their marriage has been deteriorating since they began to live together. Linda who felt free and liberated before she married, has been feeling trapped and unfulfilled for years. I have made it clear to both of them that she is responsible for making sure she is following her dreams in life. If she feels trapped, she is the only one who can set herself free. Henry must be able to support her efforts, but he cannot do the work for her. I will be meeting with her individually to help her examine why she is feeling so stuck in her life. Reconciling their differences will take time and work on both their parts.

Here's where Nelson Mandela's miraculous reconciliation efforts are informative to me as a therapist. Mandela was oppressed, jailed and tortured as were his people. Fortunately, most married couples do not suffer to that extreme; however, if marriage begins to feel like a prison, they may begin to treat their spouse like a jailer with anger and bitterness. When this occurs, they can learn about reconciliation, as we all can, from Mandela. Other peoples have suffered from similar holocausts and have not been able to reconcile. Many survivors of political oppression remain angry, hateful and bitter. What allowed Mandela to reconcile his differences with his oppressors? After he was freed, he met with many of those who oppressed him and made amends with them. I believe, he discovered a liberating principle which allows for forgiveness without expectations of forgetting, revenge or retribution which led to the Truth and Reconciliation Commission hearings. In these hearings full disclosure of the crimes with the possibility of amnesty led to healing. (Bill Moyer's PBS Series Facing the Truth gives a good introduction to the process).

Although the process can be painful, sharing feelings of discomfort in a marriage may be the prerequisite for the miracle moments that lead to reconciliation and healing of marriage therapy. As a psychologist, I help provide a safe place to air all the issues that have been troubling my clients in their relationships. Without trust, marriage cannot work. Therapy gives them a place where they can be truthful with one another. What do you think? Is psychotherapy a miracle maker or a science or a bit of both?

In subsequent posts I will share other techniques that tend to help people work their miracles in therapy.

Wednesday, February 1, 2012

Can Self Help Books Really Help?


Attribution Some rights reserved by victoriapeckham
Thought for the day: You've changed my life...& I thank you for it!  JCP 
This was my 4th correspondence from a reader thanking me for how the book & or therapy with the book helped them.
I tried to get the words on this photo to be clear like the original, but couldn't & decided that perhaps it's a sign that sometimes the lines between psychology & self help are blurred. What do you think? Has a self help book helped you gain self understanding? How has it helped you change your life? Stand alone or with the help of a psychologist?
To be honest, I believe that some self help books can help, but often their ability to change people's lives is limited. Usually, I see them as adjuncts to therapy or a starting point to stimulate thought & start people on a path towards change in their lives. I often suggest that clients read a book that I believe will speed up the process in therapy. 
I wrote my book to teach people how to use techniques I have developed over the years in therapy. I encourage readers to consult with a therapist if in the process they need some additional help. The book & the challenge it presents grew into something which encompasses more than me & my private practice. I have been focusing on helping the nonprofits I feature in the book. If I helped just this one person, it was worth it to me to have written this book. I know that it has the power to do much more & want it to reach as many people as possible. Here's what transpired with one of the first readers of my book:
A little over two weeks ago I received an e-mail from someone who heard me on the first internet radio program interview that I did for the book (To listen to the podcast http://toginet.com/shows/payingitforward ). Here's what she wrote:
Jan 12, 2012 Subject: Guidance?
Dear Dr. Lavi, 
After reading The Wake Up And Dream Challenge, I've come to the conclusion that I really like the way you think & I'm wondering if you might be interested in helping me...
Why am I turning to you? Your experience dealing with trauma, your credentials,... & because I trust that you could be the person to help me achieve a better life not just for me, but for my family as well.
I'm...pretty far from Connecticut...& I'm not a big fan of 45 minute sessions--they make me crazy. Just when I start to feel like the session is going somewhere, the bell rings &....to be continued next week. I hated that feeling... I was holding my heart in my hand & I would always leave counseling feeling empty.
I totally respect you as a professional & I hope that somehow we will be able to work together.
     JCP
 
      We talked on the phone & arranged a 2 & 1/2 hour session for 1/30/2012. JCP had to drive 2 hours each way to see me. She had read multiple self help books in the past & spoken to many therapists over the years, but always left feeling worse than when she came. JCP mind you, leads a successful professional life with many outstanding accomplishments, but there were skeletons in the closet that were holding her back. She never allowed herself to share some of these issues with anyone till two days ago. She feared that these trauma needed to be addressed to be more present with her husband & children. 
     We met. She trusted me & left the gift of her heart-felt history in my hands. Tears were shed leftover from years of pain. We barely touched upon the issues she is concerned with today & planned to meet again soon.
I received this e-mail from her yesterday:

Jan 31, 2012 Follow Up to yesterday's meeting


Hi Dr. Lavi,
Thank you again for taking me on as a new client. I knew deep inside that you were the right person for me.
I felt such a weight lifted off of my chest that yesterday's experience almost felt like a rebirth. But one other thing had happened that I thought was worth noting. I had jaw surgery years ago & when they went to pull the tube out of my nose, the interior of my nose never properly healed. I got accustomed to not fully being able to breath fresh air into my body. When I left you yesterday, I realized almost immediately that I could breath more freely.  I told myself it's only a matter of time that I will have build up back in my nose. I know this sounds crazy, but if you could imagine living life with a cotton ball in your left nostril--that's what was happening to me...until yesterday. 
After getting into my car, I had such a light feeling I almost didn't want to talk to anyone. I wanted to stay pure. I didn't want anyone to taint my conversation I had with you. I didn't even want to go to sleep because I was afraid I would wake up with the weight on my chest that I was also accustomed to--but no, you freed me & I feel better than I have in years!
So if you went into your profession because you truly wanted to make a difference, in the world & in the lives of people--consider your profession well chosen & consider your job well done.
You've change my life...& I thank you for it! 
              JCP

Clients have shared similar feelings in the past & it has been more than enough for me, but since I have just started to publicize my book, I decided to ask permission to share JCP's e-mail.

Jan 31, 2012 RE: Follow Up to yesterday's meeting

Dear JCP,
        Thank you for telling me. I am so glad that I was able to start working with you. Just self help books alone cannot do what therapy does. I wish I had seen you years ago, but am glad we did meet. if I had not written the book, I would never have met you!
         I know that I can & have helped people throughout my career. Can I post parts of your e-mail on my blog with just your initials saying you read my book & came for an appointment? I want people to find my book so that I can help more people!...
    
                   It is amazing how the psyche & the body are interconnected.

                              Barbara
Jan 31, 2012 RE: RE: follow up to yesterday's meeting

YES! You absolutely have my permission to use my initials. JCP
What do you think? Do self help books really help?