Tag: psychotherapy

Individual Emotionally-Focused Therapy

Emotionally-focused therapy (EFT) for couples is a highly effective method for resolving relationship distress and creating deeper connection.  EFT methods prioritize the innate need for a secure bond with another human.  An insecure bond compromises our physical and psychological welfare.  EFT zeros-in on the barriers to connection and carefully dismantles and replaces them with an open pathway to bonding.  First one partner, and then the other, each learns to walk the new path, both alone and then together.  On this new path, partners jointly create a bond by sharing emotions.

Anything that thwarts the honest and direct expression of emotional needs is a barrier to the bond that we depend on.  Cliched but true, the barriers to connection are forged in childhood.  Lessons learned so long ago feel instinctive; we remain oblivious to them and the effect they have on our relationships.  The clinician trained in emotionally-focused therapy creates opportunities to notice patterns of feeling and reacting that form these hidden barriers.  Our awareness offers the chance to break out of reflexive, default reactions.

Can I do it?

Virtually everyone has the capacity to re-shape default reactions.  In fact, we are born in with the innate ability to share emotions.  An infant’s survival hinges on alerting the parents that there is a need.  Infants cry when they’re hungry; they cry when in pain; they cry if frightened.  Ideally, parents get the signal and meet the infant’s need.  With parents who are responsive to the emotional signals, the infant learns to rely on the outside world as a source of comfort.  Moreover, the infant senses that emotional needs are legitimate, important, and worthy of attention.

Word of caution: responsiveness differs from indulging or spoiling a child.  Good parenting also involves teaching a child to be patient, to take turns with others, and to master a myriad of other skills for living successfully in our social world.  One of the surprising facts about parental responsiveness is that “good enough” gets the job done.  One study showed that the mothers of securely-bonded children are in-tune-with and responsive to their children about 30% of the time.

Emotional Styles.

Emotionally-Focused Therapy: Flee!
Shut-down needs, turn away from partner!
Emotionally-Focused Therapy: FIGHT!
Demand, accuse and scare partner away!

Denied adequate parental responsiveness, children learn that other people are a dubious source of comfort and bonding.  Simultaneously, they learn to doubt their emotional needs.  The doubt disguises emotional needs as weakness and things to be hidden, or deforms their expression into demands or accusations.  These become our emotional styles in our most intimate adult relationships.  In the moments when we need connection the most, we unwittingly cut ourselves off from the person we need.

If one of these descriptions sounds like you, individual emotionally-focused therapy may help you.  You can learn to “tune in” to your emotions and to express them in a way that pulls loved ones closer, rather than push them away. You don’t need to wait for couple therapy.

 


Share this post
Facebooktwitterlinkedin

At what age do humans develop emotional intelligence? The answer might surprise you.

Emotional pain typically drives the quest for psychotherapy.  Pain, after all, is nature’s signal that an organism’s welfare, and survival, are threatened.  Hence, taking action to identify the cause of the pain and to eliminate it are adaptive.  Any psychotherapist, and anyone who has undertaken psychotherapy, will tell you that it is not always easy to identify the cause of the pain and treat it — unlike how we diagnose and treat bacterial infections with antibiotics.  We have no clinically-available biological markers for emotional distress: no blood tests, brain scans, or urine assays.  The pain is no less real than that experienced elsewhere in the body, but explaining it is orders of magnitude trickier and requires more indirect methods of assessment.

Just try finding a word to describe the experience of an emotional ache.  The exercise renders most of us speechless for minutes.  Patient: “It feels bad.”  Therapist: “Yes, but which bad feeling is it?”  Patient: “I don’t know.”  And so the patient and therapist begin the excavation of the layers of his/her emotions and emotional learning history, down the layers of time as far as we can go — working to identify the feeling, its duration, its triggers in real time, and its roots in emotional history.  Read more


Share this post
Facebooktwitterlinkedin

Talk to Your Children about Their Family History

It is scary to be diagnosed with depression.  However, it’s a lot less scary to be diagnosed with depression when you know that your grandmother and your uncle on your mother’s side also had it.  We may live in the age of biological psychiatry, and the NIH may have just announced their plan to map the human brain http://www.neuroscienceblueprint.nih.gov/connectome/, but we are still haunted by a view of brain illnesses that led our forefathers to drill holes in the skulls of depressed persons to let out the evil spirits.  Stigma is alive and well.  But its impact is reduced by the realization that, “It’s not my fault.”  Moreover, people diagnosed with the illness may be more open to the proven treatments (talk therapy combined with medication) when shown evidence that the predisposition is inherited, not a function of personal failure.   Most of my new patients with the illness have no idea that they are suffering from depression; they just know that they are suffering — sometimes for 30 years.  Without treatment.  Blaming themselves.  Concluding that they are worthless and that their situation is hopeless.

If depression runs in your family, do your children a favor.  Save them potentially years of suffering.  Tell them about it.


Share this post
Facebooktwitterlinkedin

Life is Not a Pass/Fail Test

In my psychotherapy practice in Baltimore, I see a great deal of emotional pain caused by the view that life is a series of pass / fail tests.  “I chose the wrong job, the wrong wife, the wrong plants for the garden. Hence, I am a failure.”  This attitude is reinforced by the most optimistic adage we have for less-than-optimal outcomes:  Learn from your mistakes.  Even worse, people can become paralyzed in making any decisions if undesired outcomes are generally framed as mistakes.  I propose an alternative viewpoint:

Life is a series of experiments.

Do some experiments and learn about yourself.  Unlike the simplest electronic gadgets, a human body has no user’s guide – no guide for how to create success and contentment.  Creating a satisfying life using our biological endowment and learning history requires experimenting to find out with what we’re good at and what we’re not, what works for us and what doesn’t, what makes us happy and what doesn’t.

Do some experiments.  Make a decision and collect data about the outcome:  I like this / I don’t like this.  Regardless of the outcome, you haven’t passed or failed:  you’ve learned something new about yourself.


Share this post
Facebooktwitterlinkedin

Depression is a Treatable, Medical Illness

Symptoms of Depression

The National Institute of Mental Health (NIMH)1 provides this list of symptoms:

* People with depressive illnesses do not all experience the same symptoms. The severity, frequency and duration of symptoms will vary depending on the individual and his or her particular illness.

* Persistent sad, anxious or “empty” feelings

* Feelings of hopelessness and/or pessimism

* Feelings of guilt, worthlessness and/or helplessness

* Irritability, restlessness

* Loss of interest in activities or hobbies once pleasurable, including sex

* Fatigue and decreased energy

* Difficulty concentrating, remembering details and making decisions

* Insomnia, early–morning wakefulness, or excessive sleeping

* Overeating, or appetite loss

* Thoughts of suicide, suicide attempts

* Persistent aches or pains, headaches, cramps or digestive problems that do not ease even with treatment
Read more


Share this post
Facebooktwitterlinkedin

Individual Emotionally-Focused Therapy

Emotionally-focused therapy (EFT) for couples is a highly effective method for resolving relationship distress and creating …

At what age do humans develop emotional intelligence? The answer might surprise you.

Emotional pain typically drives the quest for psychotherapy.  Pain, after all, is nature’s signal that an organism’s …

Major Depression May Be Triggered by Teenage Stressors

A recent study using mice to mimic stress and depression in adolescents suggests that the teenage years are a particularly …