hope – Natalie Mills, San Francisco Psychotherapist, Trauma Specialist

5 Books to Read When You’re Struggling to Live Life

January 16, 2018September 2, 2018

Those of us who have experienced relational trauma understand the discomfort of being in our own bodies. We understand how unnatural it feels to self-advocate and take care of ourselves. (And I mean actual self-care, not just rigidly refusing to lean on anyone else.) We understand what it’s like to live our lives and make choices based in fear. I have put together a list of five books that I often recommend to clients who want to improve their self-care, learn how to set better boundaries, communicate more honestly and effectively, stop being controlled by their fear, listen to, understand and respect their bodies, support themselves, deepen intimacy, and stop dysfunctional behaviors that are hurting their ability to connect.

Codependent No More: How to Stop Controlling Others and Start Caring for Yourself by Melody Beattie

This is one of my top favorite books of all time, and I recommend it to anyone who is or has ever been a caregiver in any capacity and to those working in helping professions. The term “codependent” was popularized by Melody Beattie in the 1980s, but no one’s sure who coined it. (Although many people have taken credit for it.)

Its definition was hard to narrow down to a succinct phrase since there are so many behaviors and reasons for those behaviors that fall under the umbrella of being codependent. Most of us agree that the heart of codependency can be defined as behaviors employed in the attempt to control someone else’s behavior so that the codependent can get their needs met and whose behavior keeps them from getting their needs met. It’s when we make someone else’s problem our problem.

The term was originally used to describe loved ones of addicts, but we don’t need to be in a relationship with an addict to be codependent. People who have been abused, raised by parents with personality disorders, loved ones of people with eating disorders, those with an anxious attachment style, those who are caregivers, people in helping professions, or people with otherwise lower self-worth can find themselves demonstrating codependent behaviors.

Like pretty much all things, codependency is a spectrum. Some of us have more traits than others and demonstrate them more or less often. The author understands that when we are trying to control someone’s behavior, trying to get them to do something or stop doing something, we do things “at” them (use substances, clean, make a passive aggressive comment, nag, sigh loudly, eat, starve, spend money, etc.). There are endless ways that we might try to persuade someone to change their behavior. This book helps us to see that we’re already holding the key to our own prison.

Codependent No More is an invaluable box of tools that teaches us to identify the problematic and controlling behaviors we use in an effort to get our needs met/avoid being abandoned and teaches us how to create healthier, more self-supportive behaviors for ourselves. In an honest, nonpathologizing approach, this book shines a light on why we’ve come to behave this way in relationship, our thinking, and self-beliefs behind the behaviors, and walks us through other options.

It’s essential for those of us who want to learn how to set better boundaries. It’s possible for us to be supportive of others and those in need without becoming completely worn down, exhausted, and bent out of shape. We don’t have to hawk over someone’s problem-behavior, be embarrassed by them, feel like the “mean one” in the relationship, and arrange our entire lives around people.

When someone else’s problem has become our problem and we’re tired of feeling helpless, frustrated, and resentful I recommend reading Codependent No More. Stop doing more than we can do.

I also recommend the Codependent No More Workbook for those who want guided practice of these new healthy behaviors.

Nonviolent Communication by Marshall Rosenberg

When we’ve been oppressed, marginalized, or abused we usually don’t see our options. We either react or see our choices as a series of ultimatums. We believe that people, places, and things can “make us feel” a certain way. It’s the old, “I only did that because you completely infuriated me.” We speak the languages of blame, shame, and guilt. We don’t understand accountability, personal responsibility, and choices.

We’re used to living stressed out lives. We’re habituated to feeling controlled in our relationships, at work, in life. We’ve acclimated, but it’s not a normal way of living. Trauma symptoms are often described as “normal reactions to abnormal situations.” Many of us have either experienced abnormal situations growing up or have grown accustomed to living life as a continuous series of abnormal situations, often both. We end up normalizing disempowerment. We believe that others hold our happiness in their hands.

Nonviolent communication is so much more than the name lets on. It’s about recognizing our choices and acknowledging the difference between our backs being up against the proverbial wall and feeling as though they are. It gives us tools to understand how we’ve interpreted an event, teaches us to identify our feelings about it, helps us to see our choice of response to the event and our feelings about it, and how to take responsibility for our feelings and choices.

We learn to stop trying to control others’ behavior and beliefs. Our intention shifts from trying to get something from another person to clear, honest communication for the sake of our integrity, sanity, and wellness. We learn to employ curiosity to deepen understanding of our experiences, of others’ experiences. Through the practice of nonviolent communication, we start the process of transforming our judgments. We create more space between ourselves and reactivity.

We land the jump from, “I yelled at you because you made me mad,” to “I yelled at you because I’ve been feeling overwhelmed and insecure about a lot of things. I interpreted what you said as dismissive and felt sad and outraged. I lost it.” The practice of nonviolent communication helps us to see our part in things, that everything isn’t our fault and everything isn’t someone else’s fault. It gives us the freedom to identify our responsibility in a situation, to own it, and, realizing we can’t control other people, to let the rest go.

The Places That Scare You by Pema Chodron

There are myriad books about humans’ innate fear of death, but I’d always found a shortage of discourse about our fear of life. I came across this book ten years ago, and it pointed me in the right direction. (As it turns out, there is much discussion on our fear of living in psychospiritual literature.)

In The Places That Scare You, Pema Chodron talks about the common human fear of living our lives. Most of us experience this at one time or another, but those of us who have lived through extended relational trauma often experience this fear more chronically. We feel anxiety about everything- doing something, not doing something, going somewhere, leaving somewhere, falling in love, never falling in love, staying stuck, making progress, literally anything. We are anxious all the time and driven into depression from our lack of traction.

Pema Chodron helps us to reconnect with our inner intelligence that allows us to interpret our fear and helps us to find ways to support our fearful parts. Her book shines a light on the path back to self-trust and resilience. We learn to listen to our experiences, take care of ourselves around fear and pain, and reemerge from our protective shell.

Above all, the message in this book serves as an encouraging and insightful guide to allowing people and circumstances to be whole in their complexity. It’s possible for us to hold all of our experiences without having to over-compartmentalize. We can handle disappointment, hurt, and anger without having to permanently retreat.

Pema introduces us to the simple application of gentle curiosity. When we practice this, eventually, we begin to recognize what our fear is telling us. Using our own intelligence, we can identify, accept, and respond to our needs.

BodyWise: Discovering Your Body’s Intelligence for Lifelong Health and Healing by Rachel Carlton Abrams

When we’ve been physically, sexually, emotionally, or systematically abused and traumatized, we have felt unsafe in our bodies. Even having a body has felt unsafe. Many of us have depersonalized to the point of being unaware of our biological needs and urges (hunger/satiety, thirst, body temperature, pain, urination, and other body sensations).

Our bodies hold valuable wisdom. They communicate all sorts of information to us like when we are getting a bad feeling about someone, when we need more protein, when we’re relaxed, when something is working for us, when something needs to shift, when we need attention and help. If we are cut off from our bodies, we are cut off from that intelligence.

In BodyWise, we find helpful, detailed techniques for establishing a safe and empowered connection to our physical bodies. If we’ve been struggling, it’s possible for us to feel at home in and accepting of our bodies. Dr. Abrams offers an insightful 28-day program for bringing physical and emotional healing and balance to our bodies. This program is most empowering because rather than presenting general tips, it requires a detailed self-assessment. This makes the program unique for each participant.

Dr. Abrams’ gives clear, accessible advice for exploring and taking ownership of our physical health (or unhealth). Her approach is nonpathologizing, direct, and humorous. She reminds us that we can have a safe, loving, intuitive, and supportive partnership with our bodies.

Self-Compassion: The Proven Power of Being Kind to Yourself by Kristin Neff

Self-compassion is still making its way into mainstream culture. While it looks like mainstream culture isn’t quite finished strong-arming itself, a lot of us are. People who are tired of living a life of self-criticism, blaming others, perfectionism, chronic overwhelm, and disempowerment will find great refuge in this book.

Those of us who have experienced any form of relational trauma are not well-practiced in the art of self-compassion. We know how to care-take, anticipate the needs of others, turn off our own needs for long stretches, blame others for our feelings, blame ourselves, guilt ourselves, and are experts at all-or-nothing thinking. In fact, due in large part to our conditioning, most of us are pretty sure that self-compassion is synonymous letting ourselves off the hook or getting away with something.

Self-compassion is “self-kindness, common humanity, and mindfulness,” as defined by Kristin Neff, author of Self-Compassion and leading researcher of this subject. When we extend compassion to ourselves in difficult times, we offer support to ourselves. Here is an exercise called “Self-Compassion Break” taken from her book:

This is a moment of suffering (or difficulty).

Suffering (or difficulty) is a part of life.

May I be kind to myself.

There is no letting ourselves off the hook or getting away with anything. There is only acknowledgment of our experience, validation, and support. If it is hard for us to accept outside support, this is a soothing exercise. If we feel like we can never get enough support from others, this is also a great exercise. There’s power in our ability to face our experiences and offer ourselves support and kindness.

In this book, Kristin Neff guides us through the demystification of self-compassion, clarifies what self-compassion is, why it’s necessary and teaches us direct and accessible daily practice.

If we are struggling with shame, guilt, and anger, this book is especially helpful for us. It doesn’t sugar-coat a situation. To be sure, the tenants behind the practice of self-compassion encourage us to look honestly at whatever we’re dealing with so that we can support ourselves, ask for help when we need it, and respond in alignment with our values.

Like all self-help books and therapeutic tools, these books are only as useful as the reader is willing to put their advice into action. Sometimes it takes a few rounds of reading them. Sometimes we need to be in therapy and go through them with a skilled clinician. If you have been thinking about starting or going back to your own therapy process and have any questions about next steps, please contact me for help.

Learning to self-advocate is not easy, especially if we have received messages that it is not safe for us to do so. And often, in some way or another, we have. Self-care and self-support do not always come naturally to us. And making choices based in fear often seems like the only available option.

While these books are not the silver bullet we’ve been waiting for, they are helpful tools, and the authors offer deep insight into healing our physical and emotional selves. We can learn to live more fully and authentically, communicate more directly, self-advocate, and participate wholeheartedly in our relationships.

We have been living in a dim room with one arm tied behind our backs. There is hope for illumination and freedom. We don’t have to struggle through life. We can accept ourselves, feel at home in our bodies, and respond to issues in our lives healthfully and skillfully.

Love and Be Loved,
Natalie

I am a licensed mental health professional serving Portland, OR. 97205.

Trusting Yourself in Times of Failure

December 18, 2017September 2, 2018

So many of us gravitate toward challenging ourselves and our status quo- The Whole 30, New Year’s resolutions, 100 pictures in 100 days, Couch to 5K, creative writing competitions, training for a race. I love getting to see people who want to better themselves preparing to accomplish a new thing or hit a new goal. There’s something inspiring about being around other people who are plotting their next achievement.

A pretty major defining part of a challenge is that it’s hard. We are confronted by parts of ourselves that don’t think we can finish or maintain, parts of ourselves that are afraid of being uncomfortable. We get overwhelmed or don’t see results as fast as we want them, or we lose steam or skip a day/week/month, and we give up and forget about our goals.

This is why we’re encouraged to participate in group challenges and tell other people about our goals. We need each other for support, to hold one another accountable, especially when the going gets tough.

And even then it’s still so easy to slip out of the new routine we’ve created. Little by little or all at once, we find ourselves letting go of progress. We feel defeated, and we berate ourselves for failing to accomplish another goal. We make excuses. Sometimes we punish ourselves. Sometimes we let ourselves off the hook.

But we have another option. There’s another opportunity available to us that doesn’t involve making excuses or punishing ourselves or letting ourselves off the hook. We can begin again.

Sometimes we’ll need to reassess so that we can begin again. It will be hard for us to keep up with the goals we’ve set for ourselves if they’re too advanced for our current skill set or if we’re not listening to ourselves. When we embark on a challenge, we’ll be more successful if we are honest with ourselves and start where we are, not where we wish we were. It’s critical that we listen to ourselves and go back to the drawing board if something isn’t working for us.

Beginning again is an essential ingredient to meeting a challenge. There will, of course, be days where we don’t feel like going for the run, eating the clean meal, sitting down to meditate, going to our wellness appointment, reading the articles, writing the articles. There will be days where we do feel like it, but something prevents us from sticking to the plan. We will have to begin again.

There will be times when we are in the middle of a run or a mediation or a meal or a plan and know that we’re phoning it in or not fully present. There will be moments when our commitment falters. This is an expected and built-in part of any challenge. We’re allowed to struggle and we will. We can accept it and begin again. (Some days, I begin again 25 times during a run. I’ve begun again countless times during meditations.)

We can practice a “begin again” mindset with any challenge, including the daily challenges of life and being a person. We can apply it to driving when we discover our feathers have been ruffled by our fellow road warriors. We can begin again when we’re in the middle of a disagreement with someone, and we don’t like how we’re acting. We can begin again at work.

We can make it as momentous or pedestrian as we want. We don’t have to go anywhere or close our eyes or have a special ritual. It can be as simple as taking a breath and beginning again.

Beginning again marks its own challenge. Play around with it and see what works for you. Be curious about when it seems to be easier and when it’s harder.

Love and Be Loved,
Natalie

I am a licensed mental health professional serving Portland, OR. 97205.

“It’s Chaos. Be Kind.”

December 11, 2017September 2, 2018

“You think your pain and your heartbreak are unprecedented in the history of the world, but then you read. It was books that taught me that the things that tormented me most were the very things that connected me with all the people who were alive, who had ever been alive.”

-James Baldwin

Not often enough is each of us asked, “What’s it like moving through the world as you?” We are not often asked about our fears and insecurities, hopes, frustrations, and about what makes us feel alive. We are not often asked about what we’re thinking, what we’re wondering about, or if we’re worried.

Some of us experience racism and homophobia. Some of us experience ableism or transphobia or sexism or classism or ageism.

Some of us suffer from depression, crippling anxiety, post-traumatic stress symptoms, chronic pain, or addiction. Some of us are navigating the complicated mourning process and feeling what can only be described as unyielding fragility. Some of us are numb.

All of us are grappling with something- marital problems, financial instability, a terminally ill child, a best friend dead from aggressive cancer, panic about the future, historical or intergenerational trauma, chronic mental or physical illness, a break-up, discrimination, sexual harassment, the aging process, our own inexorable thoughts.

I get the pleasure and honor of creating a space for people to sit down and tell me about what it’s like for them as they move through the world. I get to see couples learn, for the first time, in a deeper way what it’s like for their partners to be them. I have made a career out of witnessing what happens when people speak honestly and listen compassionately.

Not everyone has the privilege of making this their daily life, and I’d like to help make it as accessible as possible. It’s the act of intelligently tuning into our own experience and seeing what’s there. It’s the act of deepening our understanding of ourselves and another.

When we become attuned to and present with our pain, we can tune into and be present with another’s pain. The reverse is also true, that when we are present with and attuned to another’s pain we can also be present with our own. We are complex creatures, capable of many things, some being empathy and compassion.

When we open space for ourselves to be present and attuned, it’s easier to listen to what is really being said. It’s easier to see someone for who they are instead of our projection of them.

We can’t do this all the time, but we can do it more often. We can slow down and drop in.

A client recently recommended I watch Patton Oswalt’s “Annihilation” performance. In it, he talks about his late wife, writer Michelle McNamara, and her belief system. He quotes her as saying, “It’s chaos. Be kind.”

There is chaos. And there is kindness.

I wonder, what’s it like moving through the world as you?

Love and Be Loved,
Natalie

I am a licensed mental health professional serving Portland, OR. 97205.

Your Devotion to Healing

December 4, 2017September 2, 2018

We all want to know how people feel about us. Most of us want to know how our therapists feel about us. “Does he think about me in between sessions?” “Does she think I’m smart? Funny? Doing a good job?” “Does my therapist like me?” I think of clients often, both past and present. In fact, I think of our work together and how I’ve received immeasurable benefit from knowing each and every client.

Every single day I’m aware of the gifts of this profession. I’m deeply thankful and appreciative to be in a position that allows me to make contact with so many different members of my community. I’ve wanted to write a thank you letter to past and present clients for some time, but I’ve been fearful that I couldn’t express my gratitude as clearly as I’d hoped. I decided that it’s better to try than to stay silent.

We start out as strangers. You call or email, looking for help with your pain and suffering, questions, and frustration about your situation. Sometimes you’ve been suffering for years. Other times your discomfort is recent.

I know how hard it is to make that first contact, to come in for the first few sessions, before we’ve established a connection. You feel a mix of trepidation and cautious optimism. You’re afraid I might judge you. You’re afraid of stigma. You’re afraid there’s nothing anybody can do to help you, that you’re beyond hope, but you’re not ready to give up just yet. Thank you for your fight.

You show up and share your history, parts of yourself. You answer my questions. Little by little, you start to let go and engage in the process. You fight against the urge to clam up when you’re visited by self-judgment and fear. Sometimes you win. Sometimes the urges win. You keep trying. Thank you for your persistence.

I am awe-struck by your courage. You’ve been through so much life. We live in similar worlds so, I know that you’re working against years of people telling you to suck it up, that your pain isn’t a big deal, that there is more pain, worse pain out there, and that you’re lucky. I know you tell yourself this, too. But there’s a small part of you that doesn’t believe it. Thank you for your courage to hold onto this small part.

You come to our sessions when you don’t feel like it, when you’re thrown around by life, when you’d rather finish that work project or Netflix show or go out with friends. You come to our sessions when you’ve got a million responsibilities, when you’re afraid to face your feelings, when you’re embarrassed about what you shared last session. Thank you for your commitment to this work.

Somehow, you push through your own self-judgments, fear of judgment from me, discomfort, and you bring your authentic self. You allow yourself to ask revealing questions. You face your vulnerability and insecurity. You tell me what makes you feel joy, loneliness, hate, fear, and rage. Thank you for your authenticity.

For these and so many other reasons, I am inspired by you. You remind me that, while life is undoubtedly a painful experience, it is also wonderful. You remind me that it’s better to take chances instead of staying grounded in fear. Thank you for your inspiration.

You have changed me. I’m not the same person I was before I started this work. You have inspired me to become more self-aware, more patient, more curious, more direct. You’ve inspired me to learn and to embrace my vulnerability, to live more authentically. You’ve taught me to stop getting angry at people for being who they are and instead be curious. You’ve taught me to look and listen more closely and more compassionately. I would not be who I am today without our work. Thank you for changing me.

It is an honor and privilege to work with all of you. I hope my words and actions demonstrate my gratitude for you. Thank you for all you share with me.

Love and Be Loved,
Natalie

I am a licensed mental health professional serving Portland, OR. 97205.

Why Are Relationships So Hard?

October 23, 2017

What We Want:

We all long for fulfilling, stable, and safe connections to others. We want to be understood and hope for people to experience us as we experience ourselves. We long for someone who will take care of us and reassure us that everything will be ok. We want to feel held and contained. We want our rage and defiance to be tolerated. We want to feel that someone understands our experiences of the world and we want those our feelings about those experiences to either be validated or soothed.

Why That’s Challenging:

We will often be misunderstood by and misunderstand others.

We don’t always know how to tolerate someone else’s rage and defiance. Some of us were taught that rage and defiance are intolerable and unacceptable. We were taught that in order to be lovable we had to be “good” which meant being pleasing and accommodating.

We all have some degree of self-idealization, over-inflation of certain qualities and that is often in conflict with a) others’ self-idealization and b) others’ self-concepts. It gets in the way. I might think of myself as a smart, fantastic listener and you might consider yourself a smart, effective communicator. If we come across a misunderstanding or a fair amount of tension during an encounter in our relationship, depending on how psychologically flexible we are, both of us might jump to the conclusion that the other is not as smart as they think they are or not a great listener/communicator.

We are a complex constellation of inner experiences and reduced to words as a means of communication.

Some of us have been deeply hurt by intimacy. Some of us respond to this wound by avoiding intimacy. Others respond by developing a preoccupation with it. Depending on the experiences endured in childhood, we might view safety as either boring, untrustworthy, or elusive. (And plenty of people would say that safety is downright illusory.)

A lot of us don’t know how to manage our own difficult emotions, let alone tolerate high emotionality in others.

What We Can Do:

We can begin by learning to accept that we are never going to be completely understood by nor completely understand others. Having some understanding can be enough.

At any moment, we can slow down and label what is happening to give us space from the immediate interpretations calculated by our brains.

We can look at our expectations.

We can start to be more curious about which narratives we’re living by that aren’t serving us.

We can remind ourselves that, at the core, what we want from others is often what they want from us and that we might define this differently.

We can learn to balance between our attunement to others’ needs and our own.

Listening is an ineffably effective tool. When we’re willing to listen to ourselves and others we create an open, stable environment. Listening allows us to contact an experience on a deeper level and then make choices that are more in alignment with what is needed.

As always, none of this exhaustive but it’s off to a good start. Happy relating!

Love and Be Loved,
Natalie

How Do I Know If I Need Therapy?

October 2, 2017October 5, 2017

“So about how long should it take until I feel better?” “How long do you think I’ll need therapy?” “How many sessions should I expect to attend before my problem is solved?” I have asked all of these questions during time spent on the other side of the couch. I know what it’s like to want concrete answers and expectations met. Everyone wants a sure thing in the face of so much uncertainty.

Therapy is not exactly a sure thing. Surely, it can and does help, but it’s not as simple as basic input of time and results yielded. Results depend on client honesty (with themselves and the therapist), right fit with a therapist, client’s commitment to the work both in and out of the therapy office, and right fit with whatever therapeutic modality is used.

Therapy is almost never a quick fix, but there are quicker-fix type/brief therapeutic modalities available. Whether or not these protocols are right for someone depends on a lot- personality, history, diagnosis, whether or not a person has experienced complex trauma. Even in the best of scenarios, it still requires the practice of skills through time to maintain results.

Under the psychotherapy umbrella, there are five really (really) broad categories we use to organize treatment strategies:

Psychoanalysis and Psychodynamic Therapy:

Makes the unconscious conscious, insight oriented. Emphasis on client-therapist relationship. Brief therapy model (20 session maximum) is not the rule, but is available for single-incident trauma like an attack, rape, catastrophic event, targeting a single life shift.

Examples of Psychodynamic Therapy: Jungian, Dream Work, Attachment-based

Often used for: Increasing self-compassion, improving self-concept, self-actualization, mood disorders, relational problems, trauma, developing insight to identify and manage internal conflict, shifting external locus of control to internal locus of control, couples, families,

*Psychoanalysis: Multiple times per week. The therapist is a blank slate onto which client projects their beliefs and experiences. Relies heavily on free association.

Behavior Therapy:

Focuses on conditioning new behavior. Uses brief therapy model.

Examples: Applied Behavioral Analysis, Aversion Therapy, System Desensitization

Often used for: Phobias, Addiction, Anger issues, Impulse control problems, self-injury

Cognitive Therapy:

Focuses on changing thought pattern. Uses brief therapy model.

Examples: Rational Emotive Behavioral Therapy, Cognitive Behavioral Therapy

Often used for: Phobias, Addiction, Schizophrenia, Bipolar Disorder, Suicidal ideation, Anxiety disorders

Humanistic Therapy:

Focuses on cultivating personal accountability and reaching highest potential. Emphasis on free will. Uses both brief and long-term therapy models.

Examples: Gestalt, Client-Centered, Transpersonal, Solution-Focused, Adlerian

Often used for: Improving self-concept, self-actualization, improving communication with others, cultivating self-awareness, shifting external locus of control to internal locus of control, couples, families, existential crises

Integrative or Holistic Therapy:

Often referred to as “Eclectic Therapy.” (Some practitioners will basically fight to the death in disagreement over whether or not Integrative is also Eclectic.) Uses various modalities depending on what is indicated for each client. One therapeutic modality combines various features of the previous four categories. Uses both brief and long-term therapy models.

Examples: EMDR, Narrative, Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, Gottman Method, Transactional Analysis

Often used for: All of the above

Some people prefer to see the same therapist for various issues they’d like to target while others seek out a different specialist to treat each issue. There’s no right way to do this, just whatever feels like it’s working for the client. Some clients come with an agenda and leave when their goals have been reached. Some stay for a while after because they like having a professional to talk to who’s all about them. Plenty of people try therapy and find it difficult to give themselves over to the process, take a more passive route to treatment, get frustrated and give up. Sometimes this is because traditional psychotherapy is not a good fit for them right now, maybe ever. There are so many other great therapeutic options. Traditional psychotherapy is not the only way to heal or feel better.

I know it’s overwhelming to look for a therapist and decide which kind of therapy would be best for you, especially when you’ve been dealing with a problem for years, and you’ve finally decided to take the plunge and ask for help.

If you describe the issue and a little bit about yourself, many of us will be able to direct you in the right direction. There are plenty of therapists who won’t do this because they are sure that they can handle it regardless of their training and orientation. While I would like to believe that this is mostly the exception rather than the rule, it happens. If you feel too overwhelmed or busy or exhausted to educate yourself on various therapeutic tools and modalities, remember that you can interview multiple therapists at a time to see who feels like the best fit for you. (You can also do this regardless of your stamina to self-educate.) Once you start seeing a therapist, you can audition us. If you’re not feelin’ it for some reason, you can switch. It’s ok not to like your therapist or to like them, but feel like they’re not actually helping you. Therapy is an investment, and you have the right to switch providers at any time for any reason. If you’re feeling like you need to discontinue treatment, I usually recommend addressing this with the therapist; sometimes it just takes a little direct communication to shift things. Even if you don’t plan on continuing your work with the therapist, honest feedback is good for both sides.

If you’d like to talk more about this, please email me or call and I would be happy to answer any questions. This is one of my favorite subjects!

Love and Be Loved,
Natalie

If You Want to Be Heard, Start Listening

September 27, 2017

A lot of couples seek therapy looking for help with their communication. They want to feel seen, heard, and understood. Pretty much all of us want to feel this.

Often, what ends up happening is a lot of talking and explaining and scrambling but not a lot of listening. We want to be heard before we hear. We want to be seen before we see. It becomes a rigid bartering system with the understanding that “If you listen to me and understand what I’m saying, I’ll listen to you and try to understand what you’re saying.”

And it’s understandable. When an intimate relationship is fraught with miscommunication and misunderstanding, there are wounds. There is pain. Most of us don’t know how to navigate our pain and the pain we’ve caused our loved ones. We are defensive when confronted and quick to point out what the other has done to hurt us. It’s hard to forge ahead together with this strategy.

If we’re unsure of how to navigate our hurt, we usually use anger as a secondary emotion. During an intense discussion or argument, we become angry enough that we forget we love the other person. Our stance becomes adversarial, and in a minute we say something deliberately hurtful. This kind of defense amplifies our communication problem and is a devastating hit to emotional intimacy.

In the heat of the moment, it’s hard to slow down. It goes against everything our nervous systems are telling us to try hear and see the other person’s experience. But if we want to deepen and maintain our bonds, we have to learn how.

When we’ve experienced trauma, hearing and seeing while regulating our emotions is especially hard. Fatigue, hunger, and loneliness also stack the odds against us. There are a million reasons that contribute to the challenge of hearing and seeing. And there is one big reason to keep trying- increased peace and understanding within ourselves and our relationships.

To be proficient in inquiry of others’ experience, it’s helpful to start to with ourselves. It’s also helpful to start by being pretty basic about it. Initially, try it when you’re feeling relatively calm. Pause and see what you notice. What’s happening? What do you hear? What do you smell? What do you notice in your body? Then, try it when you’re feeling slightly irritated. The more you practice it (or anything), the more available it will be to you when you need it. Eventually, you’ll try this when you are really struggling whether on your own or in relationship. If you’d like to talk more about this or have any questions, feel free to reach out.

Love and Be Loved,
Natalie

There Is No Way to Avoid Pain

September 22, 2017October 1, 2017

There is no way to avoid pain. The human brain has evolved to avoid pain, but there is no way to avoid it. So we find ourselves in a bind.

We make concerted efforts to protect ourselves from pain. We try to minimize it or hide from it, trade one type of pain for another. We try to protect loved ones from their pain. And mostly it comes from a loving place. But when we try to protect ourselves and others from something so inevitable as pain we are doing a disservice.

We are reinforcing the belief that pain is something to fear, that we cannot handle it, that we should go to any length not to experience it. So we don’t take risks. We numb. We deny ourselves. We micromanage. We hide. We lie to ourselves. We stay in relationships that don’t feed us. We stay at jobs that don’t serve us. We silence our voices. We don’t get off the couch. We make excuses, and we rationalize. We do not live fully.

The worst thing about pain isn’t that it hurts or that it’s scary; it isn’t even pain itself. The worst thing about pain is our fear of it. We’ll do anything to put a wide berth between us and pain.

But what would it be like if instead of avoiding it, we learned how to interpret pain? What if we learned how to understand what it is telling us and how to manage it, how to soothe ourselves?

Because sometimes it’s telling us to move away from something. Sometimes it’s telling us to slow down or rest. Sometimes it’s telling us to move toward or into something. And sometimes it’s telling us that we’re on the right track.

How can we hear the messages that only pain can communicate and learn from this teacher if we don’t attune to it?

When we are willing to listen to our pain’s message, we find our limits and our limitlessness. We explore unseen capabilities and gifts. We become less afraid to live our lives. We experience intimacy. We trust ourselves. We stop asking for permission and start living in our authentic space. We stop people-pleasing. We explore what it means to be groundless. We explore what it means to live as embodied consciousness.

Love and Be Loved,
Natalie

Black Lives Matter

September 13, 2017September 24, 2017

As a practitioner in the helping profession, it is my job to help people thrive. None of us can truly thrive if groups of us are being singled out, mistreated, attacked, harmed, and killed. The Black members of our communities continue to experience this.

It is my responsibility as a member of this community, health practitioner, and white-presenting person to use every platform I have to address issues of injustice and inequity in my community to communicate that this community cares about what happens to you and we will fight alongside you for your rights and your lives. Racism oppresses, harms, and kills.

Yes, all lives matter, but here in the United States, Black lives specifically are historically and consistently undervalued. It does not devalue anyone’s life to say that Black lives matter. If it offends you or is uncomfortable for you to hear the phrase, “Black lives matter,” consider the reasons why a group of people in our community feels like they need this movement. Consider why this movement is criminalized. What must their experience be like if they are so vocal about this movement? One group is saying, “All lives matter,” while another group is saying “Stop abusing and killing us.”

White people are often afraid to talk about racism. Many of us feel uncomfortable around it and silence ourselves. Our silence is unacceptable and is a very real, harmful symbol of our agreement that some lives are more important than others. It is a clear sign of our privilege that we are afraid to have uncomfortable conversations about race while Black people are afraid for their lives. As people who hold privilege, it is our responsibility to talk openly about racism and how we can work to eradicate it. It is our responsibility to keep learning and unlearning, growing and changing, and to be better for our community members who deserve our respect, our voices, and our solidarity.

Know Your Demons

May 22, 2017May 23, 2017

Have you ever watched a thriller about demon possession? Kind of off my usual beaten path, I know, but you’ll see where I’m going with this. I promise. Anyway, I like them sometimes. Every so often, I’ll check around for a good one to watch and see what piques my interest. I’ve found that sometimes I’m drawn to thrillers that make demonic possession of someone their central plot. (Which is surprising to me because I’m not usually interested in seeking out super dark stories about evil, especially when there’s more than enough of it to be found in the news). About once every three or four years, one of these dark plotlines pulls me in and I find myself watching an unsuspecting upstander begin the struggle of (and for) their life.

When I find a good possession thriller, I like almost everything about it. I like the journey the character takes from being ok (or pretty ok) to decompensating to being pretty possessed most of the time to being fully possessed all the time to finding progressive healing to being stronger and more conscious than when their story started. I like the tension over “will this character we’ve all come to love make it through this?” I like the research and deep inquiry that the other characters employ in an effort to find out more about the demon that is in possession of the victim.

What I am particularly drawn to, what I appreciate most is that there’s always ample time given to the journey taken by the characters in finding out the particular nature of the demon and its name. When the demon is called by name, its possession breaks. The demon always gives clues as to who they are, but they’re usually abstract and steeped in about a million layers of epic composition of poetry and require a doctorate in theology. At some point, to the rest of us, it pretty much seems like a lost cause. Just in the nick of time, someone puts all of the pieces together and discovers the name of the demon. Then we feel that surge of renewed hope.

What I’ve noticed is that, in all of the stories that I find most gripping, there are at least five commonalities:

There is a specific name of the demon, which when finally discovered and uttered face-to-face to the demon is the only defense against it.

The possessed or loved ones of the possessed enlist help.

The demon seems to have limitless ways of manifesting itself.

Someone, whether the possessed or loved ones of the possessed, experiences self-doubt, retreats, somehow finds the motivation to throw themselves into the metaphorical fire of terror and uncertainty, and contacts the demon for a head-on battle.

The demon never really goes away. It’s still there lurking around, but now the characters have more strength, courage, willingness, and awareness to deal with it.

I appreciate the symbolism because darned if that just isn’t that just how life is.

Whether it’s depression or anxiety or addiction or a particular pattern of behavior or thought pattern or chronic pain or the fear of fear or general dispiritedness, we all go through periods of life when we feel utterly possessed by pain and completely out of control. And many of us have found release through inquiry about the name of our experience or feeling and asking for help from loved ones, peer groups, and professionals.

Many of us have realized that our demons never completely go away, but that our relationship with them changes, and that with each bout with and experience of those demons, we learn to sit with whatever they bring. Through this long, uncomfortable process, we’re learning that our demons have many, many ways of manifesting themselves in our lives. We’re learning to coexist in a world where demons can’t be extinguished but instead faced with self-compassion, willingness, and courage. We’re learning to stop believing the bullshit they spew in an attempt to maintain their control over us. We’re becoming more connected with ourselves and with others, with life.

Keep on keepin’ on.

Love and Be Loved,

Natalie