Beliefs about Growth & Change

Here are the nuts and bolts–what I think I know about change and resilience

  • The capacity to fully experience both pleasant and unpleasant experiences is key. A wide Window of Tolerance is healthy.
    • Avoidance and denial are only useful short-term survival strategies. Are you able to fully experience and express your unpleasant experiences in real time? Or the soonest appropriate time? This is what grief processing is all about. If the pain is not honored, it may be waiting in the wings to surprise you and project itself into even more situations down the road. Take your devastation seriously (yet don’t act impulsively). Acceptance and meaning develop out of emotional truth (both pleasant and unpleasant truths).
    • Less discussed is Positive Affect Tolerance. Positive affect tolerance is the ability to fully embrace pleasant experiences (love, joy, success, etc). Many folks harbor unconscious fear when a pleasant experience presents itself because they are bracing themselves from future disappointment and pain. They would rather control their experience than ride the emotional highs and lows. This emotional numbing is an understandable strategy yet ultimately limits internal and external connections.
  • Grief is a part of life. If you want to minimize the expense of therapy in your healing journey, you may want to do some serious grief journaling
  • Identify the emotional longing underneath your disappointments, frustrations, and desires. What are you truly longing for? It may not be in line with your initial words or assumptions. For example, if you’re overtly wanting sex, you might be longing to play, be cherished, or to connect. Once you clearly identify your deep emotional longing, you can generate additional approaches.
  • Congruence is vitality. Congruence means authenticity; we can be respectful without masking. Therapy may be a low-stakes opportunity to increase your genuine self-expression, a key ingredient for both autonomy and intimacy.
  • When magic happens in therapy, it’s usually around a Corrective Emotional Experience. If a client is repeating any unconscious patterns or assumptions, I do my best to respond in a way that is helpful, yet goes off-script from the pattern. Relational dynamics that are experienced earlier in life sometimes become expected, maybe even facilitated, unconsciously. The corrective emotional experience can open doors that may increase relational options outside of therapy. This kind of exploration is a huge part of what makes therapy different from other relationships, like friendships or colleagues.
  • Projections. There are a million things I could say about projections. They can wreck havoc on relationships or, if brought to awareness, can be useful in self-development. Recognizing projections can lead to healthy vulnerability and communication. Everyone makes projection errors. When we recognize projections, we can practice self-compassion and repair.
  • Inner child. Self-parenting is cheesy but real, valid, and often necessary. Neglect is gradually healed by taking the inner child seriously and responding with appropriate, consistent self-care (and community-care if you can find it). Our younger selves can be attended to in the here & now.

Ketamine-Assisted Therapy: Procedures and Safety

After graduating from the Integrative Psychiatry Institute this May (250 hours of education), I’ll be offering ketamine-assisted psychotherapy, starting in July. I’m supporting other local therapists and their clients, offering brief treatment that augments their current work. A round of ketamine-assisted psychotherapy with me would include:

  • a consultation with you and your primary therapist
  • medical screening with a physician (referral available) who would prescribe you the Rx if indicated
  • Counseling/preparation meeting(s)
  • a 3 hour medicine meeting (the last hour we talk/process)
  • a follow up integration meeting within 2-3 days of the medicine meeting
  • consultation and referral back to the primary therapist and any additional resources
  • additional rounds if indicated

Safety:

Ketamine therapy is not for everyone. I have seen it effective for treatment-resistant depression and obsessive-compulsive disorder. Manic or hypomanic states, personality disorders, and/or a history of psychosis contraindicate ketamine. Ketamine involves altered states of consciousness that can increase client vulnerability and projection. I’ve heard of misuses. For the safety of everyone:

  • I follow best practices in the field (from my clinical training as well as the Big Tent community and the Jules Evans substack)
  • medicine meetings are videotaped and securely stored according to HIPAA protocols
  • I do not touch clients
  • there is no communication between client and therapist between meetings, except to schedule meetings, or in case of an extreme emergency
  • clients are welcome to bring a calm, quiet support person observe medicine meetings
  • All ketamine treatments are conjunct with psychotherapy (this is not necessarily true of IV clinics or “underground” practitioners)

I’d be happy to answer any questions! julia@juliacounseling.com

2019 Summary

Thank you 2019! Here were the highlights!

  • attended a 40 hour EMDR training
  • hosted a panel presentation of conversion therapy survivors
  • studied the enneagram
  • obtained a Missouri counseling license (in addition to my Kansas one) & became a registered clinical supervisor
  • favorite clinical book I read this year: The Velvet Rage: Overcoming the Pain of Growing up Gay
  • studied men & depression and narcissism
  • facilitated a sex education program for adolescents
  • organized five continuing education events for therapists (Helping Transgender Clients in Transition; Becoming a Resilient Leader; Understanding LGBTQ+ in Islam and Middle East Culture; Sexual Identity, Behavior, and Fantasy with Sexual Trauma Survivors; Therapeutic Touch Practitioners–a Collaborative Resource; and Therapeutic Considerations with LBGTQ+ Active Military and Veterans)
  • joined a biweekly consultation group with 3 other professionals

Dare to Lead

I’ve been enjoying Brene Brown’s new book Dare to Lead and decided 2019 is my Year of Leadership 🙂  I previously resisted being a leader because I’ve seen poor examples. I overlooked many positive examples of leadership. The DTL workbook helps self-assess leadership skills and is giving me courage to make more leadership contributions.

 

Defining Success

I used to work in a university Career Services center. There, I learned that one of the toughest job interview questions was, “How do you define success?” It’s time I answer that question myself.

From my experience, productive counseling meetings incorporate three main therapeutic skills:

  • I provide concentrated attention: capacity to listen, presence, and track the main points from our prior conversations
  • I help someone expand their story: exposing & exploring additional layers
  • I offer concrete options, alternative actions, and resources

Shame Shields

I took a webinar with Brene Brown called Shame Shields. Dr. Brown is mostly known for her research on shame, worthiness, and healthy vulnerability. Her research reveals these core tenants about shame:

  • We all have it
  • No one wants to talk about it
  • The less you talk about it, the more you have it
Shame and addiction are interlinked. Addictive behaviors are an attempt to numb, or shield the shame. However, their effectiveness is short-lived and the shame resumes.
Dr. Brown, and separately–researchers at Wellesley College Stone Center–discovered there main subtypes of these shame shields:
  • Moving away — Avoiding, leaving the room, spacing out, daydreaming, distraction
  • Moving towards — Hyper-appeasing, over-flattery, buttering up, sucking up
  • Moving against — Attacking other people, inducing shame in other people
All three shields are an attempt to deflect shame away from the person. Here’s Dr. Brown’s recommended alternatives for shame resilience:
     1) Recognize triggers
     2) Reality check messages
     3) Reach out
     4) Speaking shame
I know these four prescriptions are easier said than done so I am happy to help be a part of the process.

Originals

I enjoyed reading Originals: How Non-Conformists Move the World. It’s a collection of case studies, from technology entrepreneurs to social justice advocates, where creative-thinking overcomes status quo obstacles. It’s hard to be an Original without feeling isolated at times, so the stories and sociology research in this book are a welcome companion. The book also gives examples and tools for facilitating more Original leadership and cultures.

How to Fall in Love (Again)

If you’re feeling distant from a partner or loved one and want to reconnect–you may need to:

  • look at your partner with beginner’s mind
  • do the scary work of emotional vulnerability

36 Questions is structure that can help you with these common sense, yet often elusive practices. These questions were developed and tested by psychologists. The results? A pair of strangers fell in love.

November and December Updates

Wow, time flies when you’re having fun! Here are my major business updates for November and December 2016, I:

Six Principles of Sexual Health

At a time when people are gaining awareness about the dynamics & negative effects of sexual abuse AND deconstructing puritanical sexual beliefs & misinformation, Doug Braun-Harvey offers us six principles of sexual health. These principles are important guideposts in a frequently neglected and obscured corner of mental health treatment–as well as human lifespan development more generally.

  • pleasure: healthy sexuality leads to joy and/or empowerment (rather than detachment, and/or shame)
  • consent: participants should be in full, active agreement to the particular sexual acts, time, place, people, etc.
  • non-exploitation: secrecy and betrayal prevent partners from engaging in a psychologically-safe intimacy
  • protection: healthy partners collaborate in preventing transmission of STI’s and unwanted pregnancies
  • honesty: healthy partners voice their desires, limits, and ambivalence
  • shared values: connections are built on common meanings

If you would like to examine how your life interfaces with these principles, please contact me. BTW, imagine how much psychological pain would be eliminated and how much pleasure would increase if adolescent sexual education raised conscientiousness about these intra-personal and interpersonal factors.