Best 257 quotes in «therapy quotes» category

Rikki looked over at me. “Why now?" she asked, looking back at Arly. “Why is this happening now?" "Hard to say." Arly [therapist] replied. "DID usually gets diagnosed in adulthood. Something happens that triggers the alters to come out. When Cam's father died and he came in to help his brother run the family business he was in close contact with his mother again. Maybe it was seeing Kyle around the same age when some of the abuse happened. Cam was sick for a long time and finally got better. Maybe he wasn't strong enough until now to handle this. It's probably a combination of things. But it sure looks like some of the abuse Cam experienced involved his mother. And sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.

Someone mentioned therapy to me once. I read a book instead. ~ Drew Stirling

Someone's therapist knows all about you.

Roland knew the story and said nothing. It was Eddie who didn’t know the story, an Eddie who was really clear-headed for the first time in maybe ten years or more. Eddie wasn’t telling the story to Roland; Eddie was finally telling the story to himself.

Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134

Seek the ones you love. --- Only therapy.

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

Spontaneity in the therapeutic work arises when the therapist can allow creative and authentic impulses to arise from moment to moment from the inner being, from the meditative quality within, from the inner emptiness, from the capacity to surrender to life. Then the therapist becomes less of a technician and more of an artist in the therapeutic work. It is then when the therapist and client meets in awareness without any barrier between.

Sometimes silence is the only therapy you need.

Sometime, the only way you can make someone listen is with your fist. This is not a technique espoused, I know by the diagnostic manuals on most therapists' shelves. Then again nobody ever said I was a therapist.

So on a scale of one to Adele, how bad was this breakup?

Still, children seem like empty vessels who pick up on everything and are so affected by their surroundings. I mean, that's what they tell me in therapy and it seems to be true. Stuff I don't consciously remember affects my behavior every day. I see that now

Social media is a hotbed for insecurities. In my practice, I’ve actually seen people break up relationships over fights about social media. This is kind of a new era of marital and relationship conflict. It all comes down to intention.

The act of consciously and purposefully paying attention to symptoms and their antecedents and consequences makes the symptoms more an objective target for thoughtful observation than an intolerable source of subjective anxiety, dysphoria, and frustration. In ACT, the act of accepting the symptoms as an expectable feature of a disorder or illness, has been shown to be associated with relief rather than increased distress (Hayes et al., 2006). From a traumatic stress perspective, any symptom can be reframed as an understandable, albeit unpleasant and difficult to cope with, reaction or survival skill (Ford, 2009b, 2009c). In this way, monitoring symptoms and their environmental or experiential/body state "triggers" can enhance client's willingness and ability to reflectively observe them without feeling overwhelmed, terrified, or powerless. This is not only beneficial for personal and life stabilization but is also essential to the successful processing of traumatic events and reactions that occur in the next phase of therapy (Ford & Russo, 2006).

The benefit of personal growth and self-discovery is that we become better human beings with the strength to endure and carry on, and then we may experience something magical when we begin to reach out to others. We discover a feeling that is so rewarding and fulfilling: that fact that we can make a difference. Here is to your willingness to begin with making a difference with yourself! Michael James

The aim of therapy is not to help people transition through a sex change, and nor is it to try to persuade them against having a sex change. Neither of these aims is appropriate as they would indicate an overt or hidden agenda on the part of the therapist, who would not be in a position to help the patient, as their own political, moral or religious ideals would interfere with their ability to adopt an essentially impartial position.

The cases described in this section (The Fear of Being) may seem extreme, but I have become convinced that they are not as uncommon as one would think. Beneath the seemingly rational exterior of our lives is a fear of insanity. We dare not question the values by which we live or rebel against the roles we play for fear of putting our sanity into doubt. We are like the inmates of a mental institution who must accept its inhumanity and insensitivity as caring and knowledgeableness if they hope to be regarded as sane enough to leave. The question who is sane and who is crazy was the theme of the novel One Flew Over The Cuckoo's Nest. The question, what is sanity? was clearly asked in the play Equus. The idea that much of what we do is insane and that if we want to be sane, we must let ourselves go crazy has been strongly advanced by R.D. Laing. In the preface to the Pelican edition of his book The Divided Self, Laing writes: "In the context of our present pervasive madness that we call normality, sanity, freedom, all of our frames of reference are ambiguous and equivocal." And in the same preface: "Thus I would wish to emphasize that our 'normal' 'adjusted' state is too often the abdication of ecstasy, the betrayal of our true potentialities; that many of us are only too successful in acquiring a false self to adapt to false realities." Wilhelm Reich had a somewhat similar view of present-day human behavior. Thus Reich says, "Homo normalis blocks off entirely the perception of basic orgonotic functioning by means of rigid armoring; in the schizophrenic, on the other hand, the armoring practically breaks down and thus the biosystem is flooded with deep experiences from the biophysical core with which it cannot cope." The "deep experiences" to which Reich refers are the pleasurable streaming sensations associated with intense excitation that is mainly sexual in nature. The schizophrenic cannot cope with these sensations because his body is too contracted to tolerate the charge. Unable to "block" the excitation or reduce it as a neurotic can, and unable to "stand" the charge, the schizophrenic is literally "driven crazy." But the neurotic does not escape so easily either. He avoids insanity by blocking the excitation, that is, by reducing it to a point where there is no danger of explosion, or bursting. In effect the neurotic undergoes a psychological castration. However, the potential for explosive release is still present in his body, although it is rigidly guarded as if it were a bomb. The neurotic is on guard against himself, terrified to let go of his defenses and allow his feelings free expression. Having become, as Reich calls him, "homo normalis," having bartered his freedom and ecstasy for the security of being "well adjusted," he sees the alternative as "crazy." And in a sense he is right. Without going "crazy," without becoming "mad," so mad that he could kill, it is impossible to give up the defenses that protect him in the same way that a mental institution protects its inmates from self-destruction and the destruction of others.

The contortions of the gargoyles were the only therapy we had.

The concept of “realness” goes hand in hand with the idea of confront. Basically, the more you confront something, the more you face it, the more real it will be to you. Also, the more real something is to you, the easier it is to face, and thus the easier it is to handle.

The cultural past is rigidly deterministic to the extent that the individual is unaware of it. An analogy, of course, is found in any psychoanalytic treatment: the patient is rigidly determined by past experiences and previously developed patterns to the extent that he is unaware of these experiences and patterns.

The critics cite malpractice suits as evidence that DID treatment is harmful (e.g., McHugh, 2013). There have been malpractice suits for treatments of most major psychiatric and medical disorders. If a plaintiff wins in a lawsuit against a clinician for malpractice, it does not follow that the established treatment model itself is at fault. Rather, the judgment is that the treatment fell below the standard of care. All treatments, including those for DID, should be consistent with the current standard of care. It is illogical to conclude that because a few therapists have failed to do this for individual DID patients, all DID treatment is harmful.

The development of a working alliance is crucial because it addresses a psychic phobia associated with relationships that is common in complex trauma clients. As we discussed, when primary relationships are sources of profound disillusionment, betrayal, and emotional pain, any subsequent relationship with an authority figure who offers an emotional bond or other assistance might be met with a range of emotions, such as fear, suspicion, anger, or hopelessness on the negative end of the continuum and idealization, hope, overdependence, and entitlement on the positive. Therapy offers a compensatory relationship, albeit within a professional framework, that has differences from and restrictions not found in other relationships. On the one hand, the therapist works within professional and ethical boundaries and limitations in a role of higher status and education and is therefore somewhat unattainable for the client. On the other, the therapist's ethical and professional mandate is the welfare of the client, creating a perception of an obligation to meet the client's needs and solve his or her problems. Furthermore, the therapist is expected to both respect the client's privacy and accept emotional and behavioral difficulties without judgment, while simultaneously being entitled to ask the client about his or her most personal and distressing feelings, thoughts and experiences. Developing a sense of trust in the therapist, therefore, is both expected and fraught with inherent difficulties that are amplified by each client's unique history of betrayal trauma, loss, and relational distress.

The experience of chronic abuse carries within it the gross mislabeling of things. Perpetrators are really "nice daddies." Victims are "evil and seductive" (at the age of three!). Nonprotecting parents are "tired and busy." The survivor makes a giant leap forward when [he or ]she can call abuse by its right name and grasp the concept that what was done was a manifestation of the heart of the perpetrator, not the heart of the victim.

The "apparently normal personality" - the alter you view as "the client" You should not assume that the adult who function in the world, or who presents to you, week after week, is the "real" person, and the other personalities are less real. The client who comes to therapy is not "the" person; there are other personalities to meet and work with. When DID was still officially called MPD, the "person" who lived life on the outside was known as the "host" personality, and the other parts were known as alters. These terms, unfortunately, implied that all the parts other than the host were guests, and therefore of less importance than the host. They were somehow secondary. The currently favored theory of structural dissociation (Nijenhuis & Den Boer, 2009; van der Hart, Nijenhuis, & Steele, 2006), which more accurately describes the way personality systems operate, instead distinguishes between two kinds of states: the apparently normal personality, or ANP, and the emotional personality, or EP, both of which could include a number of parts. p21

The best way to overcome depression is to work it to death. Whether it be your body or your mind, just be active and some relief you’ll find.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

The first generation of therapists doing this work were told by their clients that the one massive cult was everywhere, knew everything, had access to state-of-the-art technology, and was willing to kill both clients and therapists to stop the information from getting out." [] "The reality is that even before stories of ritual abuse and mind control began coming out to therapists, the groups had agreed on what kind of disinformation to spread, so that clients would be afraid to tell their therapists what had happened to them, and therapists would be afraid to work with these clients." [ ] "We know that there is not one massive Satanic cult, but many different interrelated groups, including religious, military/political, and organized crime, using mind control on children and adult survivors. We know that there are effective treatments. We know that many of the paralyzing beliefs our clients lived by are the results of lies and tricks perpetrated by their abusers.

The first thing the therapist asked me was, 'Are you here because you're depressed?' I said, 'Not at all--I'm here because I'm Southern.'" Anne Herndon

The first thing you need to know if you are a survivor is that parts of you have probably been trained to create a variety of symptoms and behaviours. Abusers actually train child parts to cut the body, to make other parts cut, to attempt suicide, to create flashbacks by releasing pieces of visual or auditory memories, to create body memories of pain or electroshock, and to create depression, terror, anxiety, and despair by releasing the emotional components of memories to the rest of the personality system. The front person and most of the rest of the system do not know that this is the source of these feelings and behaviours. p126

The greatest teacher in healing is nature itself. To be out in the nature is like being surrounded and embraced by love. Trees are also very beautiful people, who have their own innate wisdom and who are already in oneness with Existence. And the sky whispers its silent message that, beyond everything, there is only one sky. A female meditator describes it like there is a basic meditative quality in nature. She says: "There is nothing in nature that questions each others existence like people do. Everything is allowed to exist and everything is allowed to be exactly as it is – and seasons come and go. It is not strange that people love to be out in nature and experiences that they come in harmony with themselves, because, in nature, there is nothing that tries to change them. There is a quality in the air, which can be called a meditative quality".

The individual psychotherapy patient comes to the therapist with an almost automatic deference, a sense of dependence and compliance. The role pattern is old and established: the dependent child seeking guidance from a parent figure. There is no such traditional image for the family, no established pattern in which an entire family submits to the guidance of an individual. And the family structure is simply too powerful and too crucial for the members to go trustingly into an experience that threatens to change the entire matrix of their relationships. If the family therapist is to acquire that initial "authority figure" or "parent" role that is so necessary if therapy is to be more powerful than an ordinary social experience, he has to earn it.

The irony of taking Anti Depressants: you take them to feel good but they also make you feel bad or worse because you worry about your purse.

The most important therapeutic capacity is the ability to be present with an open heart and to be grounded in our inner being,in our essence and authentic self, in the meditative quality within, through which we can meet another person. It is to meet that which is already perfect within a person.

The observer self, a part of who we really are, is that part of us that is watching both our false self and our True Self. We might say that it even watches us when we watch. It is our Consciousness, it is the core experience of our Child Within. It thus cannot be watched—at least by anything or any being that we know of on this earth. It transcends our five senses, our co-dependent self and all other lower, though necessary parts, of us. Adult children may confuse their observer self with a kind of defense they may have used to avoid their Real Self and all of its feelings. One might call this defense “false observer self” since its awareness is clouded. It is unfocused as it “spaces” or “numbs out.” It denies and distorts our Child Within, and is often judgmental.

The fear of what might happen stops people but the trauma process is so beautiful and transformational. There is nothing to fear in our emotions, they will not swallow you whole - they will speak to you in profound ways.

The power of music, narrative and drama is of the greatest practical and theoretical importance. One may see this even in the case of idiots, with IQs below 20 and the extremest motor incompetence and bewilderment. Their uncouth movements may disappear in a moment with music and dancing—suddenly, with music, they know how to move. We see how the retarded, unable to perform fairly simple tasks involving perhaps four or five movements or procedures in sequence, can do these perfectly if they work to music—the sequence of movements they cannot hold as schemes being perfectly holdable as music, i.e. embedded in music. The same may be seen, very dramatically, in patients with severe frontal lobe damage and apraxia—an inability to do things, to retain the simplest motor sequences and programmes, even to walk, despite perfectly preserved intelligence in all other ways. This procedural defect, or motor idiocy, as one might call it, which completely defeats any ordinary system of rehabilitative instruction, vanishes at once if music is the instructor. All this, no doubt, is the rationale, or one of the rationales, of work songs.

The overarching principle of a therapeutic relationship is that therapists should be ever mindful of a variant of the Hippocratic oath and, to the degree possible, strive to "do no more harm" (Courtois, 2010). Complex trauma clients have already experienced considerable harm, much of it at the hands of other human beings. As a result of the ubiquitous processes of transference, attachment styles, and IWM [Internal working models], these clients often view the therapist's behavior and their relationship through the lens of their trauma-related negative interpersonal expectancies and unhealed emotional wounds and injuries. Therapists should not be surprised to be "guilty until proven innocent", not because clients with complex trauma histories are "unfair" or "unreasonable" but precisely the opposite - because the most realistic self-protective stance for them (given the fact that betrayal and harm have been more the rule than the exception) is to "distrust first and verify" (or to be hypervigilant) rather than to start with an expectation of safety and trustworthiness.

The quick ticket to ecstasy is to catch yourself feeling in a very low state of mind--depressed, stupid, hateful--and to love yourself for feeling that way. When you do that you can experience a rocket ride right to the top. Love does not take time; it's possible to transform depression into ecstasy in a flash. But please do not accept my word for it. Try it as an experiment next time you are feeling low. Something else to consider is that we will always be in the process of remembering how to love ourselves, then forgetting, then remembering again. It does not seem to be our destiny to be any one way all the time. So let's get used to being pendulums and enjoy the ride.

Therapy entails the conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent "inhabitants" of a given universe from "emigrating". It does this by applying the legitimating apparatus to individual "cases". Since ever society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomena. Its specific institutional arrangements, from exorcism to psycho-analysis, from pastoral care to personal counseling programmes, belong, of course, under the category of social control. [...] Since therapy must concern itself with deviations from the "official" definition of reality, it must develop a machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that include a theory of deviance, a diagnostic apparatus, and a conceptual system for the "cure of souls".

Therapy to life: Eat with the wise, and drink with the fools!

Therapy must begin with empathy - not a patronizing sympathy, but instead one that is unflinching (Marotta, 2003). Empathy of this sort is highly attuned to the client, no matter the circumstance. The therapist strives to "travel in the client's shoes" or to "view the world from the client's perspective" in order to really understand his or her emotions, cognitions, and beliefs - in short, to understand from the perspective of the other (Wilson & Thomas, 2004). Treatment involves understanding that a client's defeatist and apparently helpless, disempowered, or "masochistic" perspectives can be a logical outgrowth of formative traumatic experiences and, further, may be highly creative means of self-protection. The therapist must not attempt to undo or "make up for" past abandonment or betrayals by their client's caregivers or in their close relationships, but instead first understand the client's perspective and approach to the world, while working to provide alternative perspectives on both past and present that promote change.

There is no doubt that I am selective in my listening, hence "directive" if people wish to accuse me of this. I am centered in the group member who is speaking, and am unquestionably much less interested in the details of his quarrel with his wife, or of his difficulties on the job, or his disagreement with what has just been said, than in the meaning these experience have for him now and the feeling they arouse in him. It is to these meanings and feelings that I try to respond.

There were times when I would sob until I shook, until my eyelids were so swollen that it pained me to open them, and through hiccoughs, trembling, I would hiss, don’t touch me! as he moved to place a gentle hand on my shoulder. There were times when we seemed locked into our chairs, discrete, the static between us more eloquent than words. But there was never a moment when I doubted Peter’s ability to heal me.

The role of the therapist is to reflect the being/accepting self that was never allowed to be in the borderline.

The sessions had been going on since the eleventh, and I was having a hard time coping with some of my childhood and adult memories. Some I would have rather left tucked inside of some hole that I never again revisited; but my psychotherapist, Doctor Herrenstein, told his patients that the longer they denied themselves remembering their memories, the longer they would deny themselves recovery. That remembering the past was painful, but necessary to the process of growth. Wasn't everything that was worth it also painful in the process of getting there?

The shame, embarrassment, feeling of low self-worth, and scores of "labels" we give ourselves are not fitting. I am beginning to see how I had no control over the situation. He was a big man, I was a little boy.

... the silent client may be experienced as withholding, oppositional, and sulking or as holding the therapist "hostage" in ways that elicit resentment and other negative responses. Because it is not unusual that relational and other forms of traumatization began when the client was preverbal, he or she may not have words. The lack of access to emotions or to words to describe them is known as alexithymia and is a common response to trauma. What the client is likely to have instead is somatosensory, behavioral, dissociative, and relational manifestations that therapists must seek to understand and translate into words, a process that involves hard work and intense focus.

The signs you ignore in the beginning end up being the reasons you leave later. —Trust yourself—

The Tanzanian told her that all fiction was therapy, some sort of therapy, no matter what anybody said.

Things change as they are discovered.