Towards a New You
As we see it, life is dynamic and rarely if ever stagnant. In other words, life is always changing. From the moment you are born you are exposed to your environment. As a result you experience, interpret, feel, think, and form beliefs for the rest of your life. All of which has difference in import and duration. It seems almost inevitable that at one time or another you, your friends, family, coworkers, classmates, etc. will experience pain, fear or fear of pain due to the fact that life can be difficult, hard, stressful, anxiety provoking, sad, depressing, traumatic and tragic. How that is seen in your day-to-day life is vast and varies from person to person.
When in trouble if we have people in our lives close to us we turn to them for advice or counsel. This can be a great source of support and care. But, not all of us have this. For a multitude of reasons, maybe we are not close to friends or family, we are estranged, don’t trust, or don’t want to talk to them because we think they might not understand, or alternatively might not be helpful and worse might contribute more harm. You might find yourself in a “rock in a hard place”, where you might want things to be different and or feel different and are not sure of the proper course of action. In this event, sometimes having someone that is unrelated, uninvolved and objective to help with considering what choices you have and perhaps which choices make the most sense.
As licensed psychotherapists we are trained to work with people, some things bad and some things good. We offer individualized treatment based on the things that are uniquely part of you; past, present, and where you want to go. We attempt to form a relationship, one that is trusting, kind and understanding where we attempt to be looking for your best interest no matter what. In this way, we can be a great resource for people finding what the want, take care of how they feel, and figure out what’s next.
When people do decide to come to psychotherapy they might experience as, described above, symptoms of discomfort. Primarily in this country when we think of mental health we turn to diagnosing. Clinicians use the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The manual lists all types of manifested symptoms the American Psychiatric Association determined to be harmful, bad, or abnormal and lays out each one with a set of criteria and duration. You might have heard of some of them as they are commonly used on TV, heard of from friends, families or acquaintances describe themselves as having depression, anxiety, panic, PTSD, addictions, ADHD, bipolar disorder, borderline personality disorder, schizophrenia, OCD, marital trouble, difficulties with their children, etc. All of which we see on a hour-to-hour basis. For those of you who haven’t heard of these disorders or are confused by what is said online about each I’ll describe them in more detail. Additionally, I’ll try my best to describe them in a way that doesn’t sound too much like clinical jargon.
Common Concerns
One of the most commonly seen discomforts in our office is depression. You might have seen or felt this yourself. It is one of the oldest observable diagnoses. The Greeks described similar symptoms, although they thought the symptoms derived from fluid imbalances. Hippocrates described the condition of melancholia being the concern of feeling despondent (sad to excess) for extended period of time. Today it is expressed for having a low mood, sad, not wanting to do things for fun, not finding joy in things they might have once had fun with, not eating well or sleeping well, weight gain or loss, tired most of the day with no energy, not thinking clearly or feeling fuzzy or not concentrating, and in more severe cases feeling like ending one’s life, planning to end ones life, and or attempting to end one’s life. This is not to say that it is not ok to have these feelings or that it is abnormal to have these feelings. In our experience, it is pretty common. However, it might not be good for your health to feel this way for too long. And of course some events are sad, tragic, seemingly non-changing or we feel stuck and then we feel depressed. It makes sense. But, it can be taken care of.
Anxiety
Anxiety is often described with physical sensations or feelings. Like when I am around people I feel a tightening in my chest or a mass in my throat. Sometimes feeling anxious makes sense. It can be a natural sensation like if a tiger is chasing you, or you were mugged. Makes sense that you might have some anxieties about where you are or what you’re doing. It becomes problematic if it is impacting you from doing what you want to do, uncomfortable (panic, sweating, chest pain, nausea, dizziness, chills, fear of dying, etc.) happening at times when at this surface are not traceably connected and impacting your functionality (relationships, work, etc.). Commonly anxiety is related to “what if?” Being consumed by potentially good, bad, right and or wrong can be consuming, distracting, irritating and painful. Therapy we discuss this often as the future is riddled with the unknown since none of us have a crystal ball or any glimpse into what the future my hold.
Depression
The most common condition in the world. Depression is a serious medical condition that affects how you feel, think, and handle daily activities. It is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities once enjoyed. Depression can also cause physical symptoms such as changes in appetite, sleep disturbances, and fatigue. It can vary in severity, from mild, temporary episodes of sadness to severe, persistent depression.
Psychotherapy can be an effective treatment for depression. It involves working with a trained mental health professional to address emotional, behavioral, and psychological issues contributing to depression. Psychotherapy can be used alone or in combination with medication, depending on the severity of depression and individual needs. It’s important to work with a qualified mental health professional to determine the most appropriate treatment plan. Psychotherapy addresses depression by providing a structured and supportive environment in which individuals can explore and understand the underlying causes of their emotional distress. Through various therapeutic techniques, psychotherapy helps individuals identify and challenge negative thought patterns, develop healthier coping strategies, and improve emotional regulation. It also focuses on enhancing interpersonal relationships and building self-esteem, which can alleviate feelings of loneliness and worthlessness. By fostering a safe and empathetic space, psychotherapy enables individuals to express their emotions, gain insight into their behaviors, and work collaboratively with a therapist to create personalized strategies for managing and overcoming depression, ultimately leading to improved mental health and quality of life.
Post Traumatic Stress Disorder (PTSD)
Posttraumatic stress disorder has also been observed for many years although not always by the same name. Most of the research stems from war. Soldiers returning home were observed to be not as they were when the left. It has been called a range of different things before landing the most recent title of PTSD; nostalgia, soldier’s disease, railway brain or spine, and shell shock. More recently we are seeing that almost everyone is susceptible to having PTSD as it seems to be expressed when someone experiences something traumatic, which can range a wide variety of events and extremeness. What I mean is two people in the same traumatic event might take the experience entirely different. For instance, we could be in a car together and we get in accident. For me it could be devastating and you it could be Tuesday.
Relationships
Relationships can be a signifier of how people see the world and operate in it. If we break down the word relationship it is meant to describe how we relate or if we understand. Relationships are formed between ourselves, adults, kids, parents, strangers, teachers, the sandwich shop guy, etc. Our first being as an infant, shapes much of how we interact with the world around us. It is where we learn to trust, kindness, fear, pain, nurturing and care. Some are hurt during these shaping years where our brains and physicality are vulnerable. This can lead to catastrophic problems that plague many people. For many people these experiences can remain subdued and hidden until they are exposed and cause great issues for people when dealing with friends, family, coworkers, etc. As children we are primarily dependent on those charged with caring for us as models as to how to relate to the ourselves in relation to the rest of the world. When we get older the most important relationship we form is with ourselves. If we work to protect, care, and mitigate future injury. For many reasons people develop ways, known and unaware, to cope with how they relate to themselves, injury, and others all of which are not all good and not all bad. Some people work hard to avoid and feel something different. This could be in the form of an addiction, which can vary in degree and severity, self-harm or abuse. Others form patterns of distrust, lack of attachment to relationships, paranoia, self image issues, over eating or lack there of, avoidance, preoccupation, perfectionism, etc. which are sometimes defined as personality disorders. All of which is very treatable, but does require work. Like if one day it was this, tomorrow it is that. Can’t do the same things, and expect different results. So psychotherapy can be that opportunity for people to form a new type of relationship where both parties work towards being kind, and understanding no matter what.
1. What is psychotherapy?
Psychotherapy, also known as talk therapy, is a form of treatment where clients work with a trained therapist to explore emotions, thoughts, and behaviors. It helps people understand and resolve problems in their lives, develop healthy coping mechanisms, and improve their overall mental health and well-being.
2. How does psychotherapy work?
Psychotherapy works by creating a safe, confidential space where clients can openly discuss their thoughts and feelings. The therapist uses various therapeutic techniques to help the client explore their issues, gain insight, develop coping strategies, and make positive changes. The therapeutic relationship itself can be a key part of the healing process.
3. What types of issues can psychotherapy help with?
Psychotherapy can help with a wide range of mental health conditions and life challenges, including:
- Depression
- Anxiety and panic disorders
- Stress management
- Trauma and post-traumatic stress disorder (PTSD)
- Relationship problems
- Grief and loss
- Substance use disorders
- Eating disorders
- Life transitions and personal growth
- Chronic illness or pain
4. What are the different types of psychotherapy?
There are many approaches to psychotherapy, and the type used will depend on the client’s needs and the therapist’s expertise. Common types include:
- Cognitive Behavioral Therapy (CBT): Focuses on identifying and changing negative thought patterns and behaviors.
- Dialectical Behavior Therapy (DBT): Combines CBT with mindfulness techniques, often used for borderline personality disorder and emotion regulation.
- Psychodynamic Therapy: Explores unconscious thoughts and past experiences to understand current behavior and emotions.
- Humanistic Therapy: Focuses on personal growth and self-acceptance, often using techniques like client-centered or Gestalt therapy.
- Interpersonal Therapy (IPT): Addresses relationship issues and social functioning.
- Eye Movement Desensitization and Reprocessing (EMDR): Often used for trauma, helps clients process distressing memories.
5. How long does psychotherapy take?
The length of psychotherapy varies depending on the individual and their specific issues. Some people benefit from short-term therapy (6–12 sessions), while others may engage in long-term therapy that lasts for months or even years. Your therapist will work with you to set goals and determine the most appropriate timeline for your treatment.
6. What happens during a typical therapy session?
During a typical therapy session, which usually lasts about 45–60 minutes, you will talk with your therapist about the issues you are facing. The session may involve discussing recent events, exploring past experiences, identifying problematic thoughts or behaviors, and working on strategies to cope with challenges. The exact content will depend on your goals and the type of therapy being used.
7. How do I know if psychotherapy is right for me?
Psychotherapy can be beneficial for anyone who is struggling with emotional, behavioral, or mental health challenges, or simply looking for personal growth. If you’re feeling overwhelmed, stuck, or unsure of how to cope with certain issues, therapy can help you gain insight and develop tools to navigate those challenges. An initial consultation with a therapist can help determine if therapy is right for you.
8. What’s the difference between psychotherapy and counseling?
The terms psychotherapy and counseling are often used interchangeably, but there can be differences. Counseling is generally more short-term and focused on specific issues or life events, such as grief or career changes. Psychotherapy tends to be longer-term and addresses deeper mental health issues, including past traumas, relationships, and patterns of thought and behavior.
9. Is psychotherapy confidential?
Yes, psychotherapy is confidential. Therapists are bound by ethical and legal standards to keep your information private. However, there are exceptions to confidentiality, such as if you pose a risk to yourself or others, or in cases of child abuse or court orders. Your therapist will explain confidentiality and its limits at the beginning of treatment.
10. How often do I need to go to therapy?
Therapy sessions typically occur once a week, but the frequency can vary depending on your needs, goals, and the recommendations of your therapist. Some clients may benefit from more frequent sessions, while others may meet less often as they progress in their treatment.
11. How do I choose the right therapist?
Choosing the right therapist is important for a successful therapeutic experience. Consider factors such as:
- The therapist’s qualifications and areas of expertise
- The type of therapy they provide
- Their approach to treatment
- Your comfort level with them It’s important to feel a sense of trust and rapport with your therapist, as a strong therapeutic relationship is key to progress.
12. How will I know if therapy is working?
You may notice improvements in your mood, behaviors, relationships, or ability to handle stress. Progress in therapy often comes gradually, but key signs include feeling more empowered, gaining new insights, and developing healthier coping strategies. Regularly discussing your goals with your therapist can help assess whether therapy is working for you.
13. Can I do psychotherapy and take medication at the same time?
Yes, many people benefit from a combination of psychotherapy and medication. Medication can help manage symptoms such as anxiety or depression, while therapy can address underlying issues and provide long-term coping strategies. A Psychiatric Mental Health Nurse Practitioner (PMHNP) or psychiatrist can work with your therapist to provide integrated care.
14. What if I don’t feel comfortable with my therapist?
It’s important to feel comfortable with your therapist in order to make progress. If you feel uncomfortable or feel that the therapist is not the right fit for you, it’s okay to discuss your concerns with them. If necessary, you can also consider finding a new therapist. Building trust and rapport can take time, but a good therapeutic relationship is key to a positive outcome.
15. Can psychotherapy change my personality?
Psychotherapy is not designed to change your personality but rather to help you understand yourself better and make positive changes in your thoughts, behaviors, and emotional responses. It can lead to personal growth and self-awareness, helping you live more authentically and manage challenges more effectively.
16. What should I do if I don’t know what to talk about in therapy?
It’s normal to feel unsure about what to talk about in therapy from time to time. Your therapist can guide the session by asking questions or exploring recent experiences, thoughts, or emotions you’ve been having. Therapy doesn’t always require a structured topic—sometimes just exploring what’s on your mind or what’s bothering you can lead to valuable insights.
17. Is psychotherapy covered by insurance?
Many insurance plans cover psychotherapy, but the coverage varies depending on your provider and policy. It’s important to check with your insurance company to understand what is covered, including co-pays, session limits, and which therapists are in-network. Some therapists may offer sliding-scale fees or payment plans for those paying out-of-pocket.
18. What if therapy brings up difficult emotions?
It’s normal for therapy to bring up difficult emotions, especially when working through deep or painful issues. This is part of the healing process. Your therapist will provide support and help you manage these emotions, ensuring that you feel safe while navigating challenging topics.
19. Do I have to talk about my past in therapy?
Not necessarily. The focus of therapy depends on your goals and the type of therapy you’re receiving. While some therapies (like psychodynamic therapy) may focus on past experiences, others (like Cognitive Behavioral Therapy) are more focused on the present and future. Your therapist will work with you to determine the best approach.
20. Can I bring a family member or friend to therapy?
Some types of therapy, such as family or couples therapy, involve multiple participants. If you’re in individual therapy and feel that bringing a family member or friend would be helpful for a particular session, discuss this with your therapist. They can guide you on whether it’s appropriate based on your goals.