Showing posts with label psychotherapy. Show all posts
Showing posts with label psychotherapy. Show all posts

Tuesday, August 17, 2021

Using Poetry in the Journey of Psychotherapy

by Michael R. Bridges, Ph.D.

           

I’ve been reading, writing and listening to poetry for inspiration, enjoyment, and as a balm for heartbreak and grief since I was a teenager. In fact, it was the discovery of the poetry of the renegade, anti-psychiatrist R. D. Laing in books like “Knots” and “The Politics of Experience” when I was sixteen, that made me start to explore psychology as a way of understanding myself and perhaps, as a both a field of study and profession.   

           

Once I became a psychologist and started to accompany and guide my clients on their own healing journeys, I found myself sharing certain poems again and again that described struggles, traumas, or the inevitable loses and joys that we all face on the journey of life. I’ve collected some of those poems that my clients and have shared have been most helpful in therapy and have included these below with some comments and suggestions.

 

Leaving Home and Learning to Listen to Your Own Voice

           

Leaving home and starting to separate and individuate from our families is one of the first, most difficult, and exciting of tasks we all face on the road of life. This task is made even more difficult if the families we are trying to separate from give mixed messages, saddle us with guilt, or, worse, involve more abuse, neglect or trauma than love, safety and support. The great poet Mary Oliver, who has been very honest that she had to flee her own family at an early age because of the abuse she was experiencing, offers a beautiful, evocative and ultimately inspiring hymn to the need to take this difficult journey out into the world and in so doing, to discover one’s true self. While this poem speaks strongly to adolescents and young adults that are struggling to leave home and discover who they are, I’ve also found it a very helpful poem to share with clients who have decided that they need to leave an abusive or co-dependent relationship.       

 

The Journey

by Mary Oliver

 

One day you finally knew

What you had to do, and began,

Though the voices around you

Kept shouting

Their bad advice‚

Though the whole house

Began to tremble

And you felt the old tug

At your ankles.

“Mend my life!”

Each voice cried.

But you didn’t stop.

You knew what you had to do,

Though the wind pried

With its stiff fingers

At the very foundations‚

Though their melancholy

Was terrible.

It was already late

Enough, and a wild night,

And the road full of fallen

Branches and stones.

But little by little,

As you left their voices behind,

The stars began to burn

Through the sheets of clouds,

And there was a new voice,

Which you slowly

Recognized as your own,

That kept you company

As you strode deeper and deeper

Into the world,

Determined to do

The only thing you could do‚

Determined to save

The only life you could save.

 

The Difficult Work of Love

 

When I first see couples who are struggling in their relationship, I sometimes share this line from the poet Rilke “For one human being to love another; that is perhaps the most difficult of all our tasks, the ultimate, the last test and proof, the work for which all other work is but preparation.” I share this quote from Rilke to both validate their sense of struggle and effort while providing hope that their hard work is ultimately worth it.

 

A few years ago, I was asked to be one of the keynote speakers at the annual conference of The Pennsylvania Association for Marriage and Family Therapists. In my opening remarks I said, only partially joking, that I had become so frustrated with how useless the DSM (Diagnostic & Statistical Manual of the American Psychiatric Association) was in conducting therapy, particularly couples therapy, that I had returned to my first inspiration, poetry, for guidance. I then shared the following poem. The number of couples therapists who emailed me for a copy of this poem afterwards suggested I had hit a nerve, so I decided to share it here.

 

A Ritual to Read to Each Other

by William Stafford

 

If you don't know the kind of person I am

and I don't know the kind of person you are

a pattern that others made may prevail in the world

and following the wrong god home we may miss our star.

 

For there is many a small betrayal in the mind,

a shrug that lets the fragile sequence break

sending with shouts the horrible errors of childhood

storming out to play through the broken dike.

 

And as elephants parade holding each elephant's tail,

but if one wanders the circus won't find the park,

I call it cruel and maybe the root of all cruelty

to know what occurs but not recognize the fact.

 

And so I appeal to a voice, to something shadowy,

a remote important region in all who talk:

though we could fool each other, we should consider—

lest the parade of our mutual life get lost in the dark.

 

For it is important that awake people be awake,

or a breaking line may discourage them back to sleep;

the signals we give — yes or no, or maybe —

should be clear: the darkness around us is deep.

 

Stafford’s poem offers a darker and more somber vision of the repetitious cycles and legacy burdens that can be passed on from childhood, or even previous generations, that can get triggered in our intimate relationships as adults and end up, “sending with shouts the horrible errors of childhood storming out to play through the broken dike.” However, I still think his poem harkens to and encourages us to engage in the same “difficult work” that Rilke reminds us is, “…the work for which all other work is but preparation.”

 

The Difficult Work of Recovering Love for One’s Self After Love Has Ended

 

One of the more common and heartbreaking reasons that many people decide to enter therapy is due to the end of a marriage or a romantic relationship. This is particularly true when someone starts to realize some version of, “I just lost myself in this relationship. I can’t seem to remember who I was before. I’m not even sure I can find that person again. Maybe I’ve lost them forever.”

 

Derrek Walcott, who has the distinction of being the only Nobel Prize winner from the Caribbean, in the following poem provides the necessary hope that the pain and heartbreak will eventually recede while also providing the powerful reminder that love does not only come from others. Even if that other person was the one we thought, and perhaps vowed, we would be with for the rest of our life. Indeed, being able to consistently love and support to our “self” is often an important antidote to those of us who have been preoccupied with finding our emotional salvation and redemption through romantic love.

 

Love After Love

by Derrek Walcott

 

The time will come

when, with elation

you will greet yourself arriving

at your own door, in your own mirror

and each will smile at the other's welcome,

 

and say, sit here. Eat.

You will love again the stranger who was your self.

Give wine. Give bread. Give back your heart

to itself, to the stranger who has loved you

 

all your life, whom you ignored

for another, who knows you by heart.

Take down the love letters from the bookshelf,

 

the photographs, the desperate notes,

peel your own image from the mirror.

Sit. Feast on your life.

 

 

The Difficult Work of Welcoming Our Painful Emotions

           

When I was a young man and first starting my own spiritual and therapeutic journey, I imagined that one day, after I had become enlightened and had successfully uncovered and experienced the catharsis and resolution of all my traumas that, well, it was just going to be smooth sailing the rest of my days. These days I can look back with love and appreciation on the determined young man I was, while also shaking my head with a bit of bemusement at his naiveté. While all the work I’ve done on myself has certainly led to a much calmer, compassionate and good-humored inner landscape than when I started my journey, the tribulations and at times, absolute horrors of the external world, and the occasional resurfacing of desperate and howling parts of my own psyche that I thought had been lain to rest, have  helped me once again realize the wisdom conveyed in the following poem from the great Sufi mystic and poet Rumi, as channeled through this interpretation by Coleman Barks.

 

The Guest House

by Rumi

 

This being human is a guest house.

Every morning a new arrival.

 

A joy, a depression, a meanness,

some momentary awareness comes

as an unexpected visitor.

 

Welcome and entertain them all!

Even if they are a crowd of sorrows,

who violently sweep your house

empty of its furniture,

still, treat each guest honorably.

He may be clearing you out

for some new delight.

 

The dark thought, the shame, the malice.

meet them at the door laughing and invite them in.

 

Be grateful for whatever comes.

because each has been sent

as a guide from beyond.

 

The Poem That Has Been My Mantra for Almost 40 Years

 

I thought I would close these musings on poetry and the journey of life with a poem that I first read when I was nineteen years old and in the very early days of leaving home and trying to find my own inner, guiding voice. When I first came across The Waking, I had no idea what a villanelle was. But I do remember that the repeating rhymes and refrains were both powerful and soothing. And while I was aware from my readings in philosophy and psychology that an awareness of my own mortality was important, exactly why that was important was an abstract concept that eluded me. Still, I was aware even as a young man, that the sleep that Roethke was referring to, was that bigger sleep that waits for all of us at the end of our journey. But without giving too much away, I’ll let you read and experience Roethke’s wonderful work before sharing more about how much The Waking has influenced my life.

 

The Waking

by Theodore Roethke

 

I wake to sleep, and take my waking slow.  

I feel my fate in what I cannot fear.  

I learn by going where I have to go.

 

We think by feeling. What is there to know?  

I hear my being dance from ear to ear.  

I wake to sleep, and take my waking slow.

 

Of those so close beside me, which are you?  

God bless the Ground!   I shall walk softly there,  

And learn by going where I have to go.

 

Light takes the Tree; but who can tell us how?  

The lowly worm climbs up a winding stair;  

I wake to sleep, and take my waking slow.

 

Great Nature has another thing to do  

To you and me; so take the lively air,  

And, lovely, learn by going where to go.

 

This shaking keeps me steady. I should know.  

What falls away is always. And is near.  

I wake to sleep, and take my waking slow.  

I learn by going where I have to go.

 

 

My love for The Waking has only deepened over the years and has actually inspired my own poetic attempt at a morning, spiritual practice for several years now. I take Roethke’s advice to “…take my waking slow” literally. I try to always make sure I wake with at least an hour to continue waking slowly. The most hurry I display after I first wake is to get my first cup of coffee. (I’m very sure that Roethke neglected to mention coffee only because it through off the rigid rhyming requirements of the villanelle.) After I fill my cup, I immediately return to my bed where I sit, sip coffee, and give myself time to notice things like fragments of dreams, the way the light comes through my bedroom window, how the light changes with the seasons and the weather. I also notice the way the just waking, “To Do List” managers of my mind start planning our day. But my internal managers and I have reached an understanding, and I remind them this is still the time for poetry and reflection.

 

As I continue to sip my coffee and take my waking slow, I reach for one of the books or anthologies of poetry that I keep nearby and sometimes scan the table of contents for inspiration, or occasionally just randomly flip through until a particular title or line calls out. Then I read the poem aloud. I’ve noticed over time that certain poems that move me when I read then silently, will bring tears to my eyes when I read them aloud. Occasionally, I will be inspired to pick up my journal and attempt a poem of my own. And, while I am very aware that I lack both the talent and discipline of the poets I’ve shared thus far, I will close with one of my poems that, I hope, in a small way conveys how much poetry has influenced by experience of the journey of my life.

 

How Did I Get Here? What Have I Learned?

by Michael R. Bridges

 

I’m grateful I’m learning

To look back on all my

Bumbling, misguided failures

And see them as difficult,

Steep, rocky, dark, and

Muddy trails that still

Led me to the same

Spacious vista

I was hoping for.

 

Out of breath,

But each exhale

A silent, ragged

Hallelujah.

 

Michael R. Bridges, Ph.D. is a licensed psychologist and former professor of clinical psychology at Temple University and UNC-Chapel Hill. He is a self-described “psychotherapy nerd” who has done research and published articles on what constitutes the “corrective emotional experience” in therapy. He provides therapy to adults as individuals and couples. Michael works with his clients to address a variety of issues, including trauma, attachment injuries, depression, anxiety, self-esteem, and repetitious relationship issues. He also specializes in helping clients resolve issues where they feel internally in conflict with themselves. To learn more or schedule an appointment, contact Michael at drmbridges1@gmail.com or 215-868-6393.

Monday, November 18, 2019

The Bruised Heart: The Importance of Inner Work in Therapy


by Michael Bridges, PhD

One of the great blessings I’ve experienced is that most of my professional life has involved helping people from all walks of life heal through the practice of psychotherapy. While I’ve practiced psychotherapy since I received my PhD in the early 90s, for many years I was also a university professor who did research on what factors brought about a “corrective emotional experience” that helped people change for the better. One of the most important factors is, not surprisingly, the quality of the relationship clients develop with their therapist. However, a factor that may be even more important is the relationship that clients develops in therapy with their own inner world. Research now shows that some of the most healing moments happen when clients move from focusing in therapy on the outer world and shift their attention to their inner world of emotions, sensations, memories and images. This is what I refer to as the “Inner Work” of therapy.

The importance of focusing on this inner world was brought home to me some years ago when I was doing research on what helped people get over betrayals and other attachment injuries in close relationships. I was the therapist for Elizabeth (aspects of the following have been changed to protect the client’s confidentiality), an intelligent and motivated young woman in her thirties who was participating because she was having difficulty letting go of the pain and anger related to an affair. Years before she had found out that her husband of 12 years was having an affair with her best friend. This double betrayal left her so devastated that she eventually left her marriage. She also became so depressed that she entered therapy and for a few months took an antidepressant. After about a year she regained her ability to function and no longer felt depressed. But in our first session she shared that she still thought about her ex several times a week and felt pangs of sadness and anger. She also shared that, although she was a vivacious, intelligent and attractive woman and had no problem finding men to date, whenever she started to become emotionally close, something in her would say, “That’s it!” And she would end the relationship.

Elizabeth had already been in therapy for a year after her divorce and had liked her therapist and felt they made substantial progress that had alleviated her depression. So why was it that, four years later, she still felt she had to shield her heart in a romantic relationship? Instead of continuing to explore her history and go back over the insights she had from her previous therapy, I suggested that, in our second session, she allow me to guide her into her inner world by using a technique developed by the psychologist Eugene Gendlin, called Focusing. This involved having her close her eyes and move out of thoughts and words and to wait for her body to develop a “felt sense” of what was holding her back.

After a few minutes she sighed and placed her hand over her heart and said softly, “It’s like my heart is tender and bruised.  It is like my heart is not saying, “Don’t love.” It is more that it is saying, “Be careful! Be careful.”

In stark contrast to her bruised heart, she also became aware of a sense of energy and strength in her stomach. She smiled as she placed her hand over her stomach and described how she could tell how this felt sense inspired her in her work as a dancer and choreographer and she continued to beam as she described seeing the energy spread down her legs connecting her with people she loved.

I was frankly amazed and delighted by what was Elizabeth was sharing. This, after all, was only our second session! I also think it is important to add that I was not using guided imagery. All what Elizabeth was sharing was coming from her just patiently attending to the sensations, images and associations that were spontaneously arising from her own inner work. We were near the end of our session and, I found myself imagining her standing in that place of strength and light in her stomach and looking up at her bruised heart. Almost on a whim I shared the image with her and she agreed to try it out. What happened next astounded both of us.

As she imagined moving to that place of light and strength in her stomach and gazing up at her heart, the smile slowly faded from her face. Suddenly she leaned forward and put her face in her hands and started sobbing. When she lifted her face up, she was still crying but there was a smile on her face. She was literally smiling through her tears as she shared, “When I looked up…I saw this red, purple bruised heart... but suddenly, there was white light bursting out of it! Like my heart was showing me, I still have so much love to give!”

As profound as this session was for both of us, I don’t want to suggest that Elizabeth shed all her fears surrounding romantic relationships in one session. But she often referred to that session as significant for restoring her faith in her own ability to love. Since this was a research study, our therapy was limited to 14 sessions. But at the end of that time she was feeling much less anxious, had started to date for the first time in over a year, and instead of ruminating about her ex several times a week shared, "I'm really not thinking about him. If I do, it's almost like thinking about a movie I saw a couple years ago. It's not charged the way it was."

If you would like to read a Philadelphia Inquirer article about the research that this article was based on, which includes an interview with Elizabeth, click here: http://theresiliencycenter.com/wordpress/wp-content/uploads/2017/12/What-becomes-of-the-broken-hearted-Philly-Inq-Article-2004.pdf

If you are more scientifically minded or a therapist yourself, the link below leads to a PDF of an article I wrote for The Journal of Clinical Psychology that describes the research in more detail:
http://theresiliencycenter.com/wordpress/wp-content/uploads/2017/12/Activating-the-Corrective-Emotional-Experience-Bridges-2006.pdf

Michael R Bridges, Ph.D. has been a psychologist, professor and therapist for over 30 years. Dr. Bridges’ psychotherapy specialties include depression, trauma and anxiety, job stress and career transition. He has experience working with individuals from diverse backgrounds but currently works with many physicians, health-care professionals, attorneys, business professionals, academics and other therapists who function in demanding work environments. He helps clients do their own inner-work using empirically informed methods derived from Internal Family Systems (IFS) therapy, Emotionally Focused and Cognitive Behavioral Therapies. He can be reached at drmbridges1@gmail.com or 215-868-6393.

Thursday, January 11, 2018

Loving your Emotions


by Catherine McLaughlin, MA, NCC, LPC

Emotions are defined as “a natural instinctive state of mind deriving from one’s circumstances, mood, or relationships with others; instinctive or intuitive feeling as distinguished from reasoning or knowledge.” In other words, emotions are something that comes from within us, beyond our control, and naturally occurring. Despite what we may have been taught, emotions are not bad, wrong, or abnormal. Receiving this message can cause us to repress our emotions; to push them down or brace against them. Over time, this “emotional backlog” can cause issues. There’s nowhere for the emotions to go, but they have to come out. If you’ve ever had a clogged pipe in your house, then you know what happens next - the water just starts spraying out everywhere, all over everything. What a mess! 

And our repressed emotions don’t usually come out as what they were to begin with – they’ve morphed into something else. Health problems, intense anger, anxiety, depression… all painful expressions of the feelings hiding inside for so long. But there is a better way.

Feel your feeling – instead of shying away from feelings, as much as you can, allow yourself to feel them. This may take some work, as we have all received messages in our lives that some feelings are “bad” or “wrong.” Give yourself permission to sit with and really feel your feeling. It may be uncomfortable. But it will not last forever.

Acknowledge and name the feeling – what is it, exactly? Are you angry, or are you infuriated? Sad, or distraught? It is especially helpful to give your feeling a specific name. 

Allow the feeling to leave – when you allow yourself to feel and name your feeling, it should naturally resolve. Let it! Unnecessarily holding on to feelings can cause pain and suffering. 

By feeling, naming, and allowing emotions to resolve, we’re following the natural path of feelings moving through our bodies. If this is a struggle for you, or if you know you have an “emotional backlog” of your own, a therapist could help you to work through this process. We provide a safe place to experience the emotions and feelings that have been clogging up the pipe for so long. And we have lots of buckets to catch all the spraying water. 

Catherine McLaughlin loves working with people to identify and experience their emotions in order to feel like themselves again. She specializes in issues of adolescence, and working with artists and creatives. Contact her at 267-800-5073 or Catherine@cjmcounseling.com for a free 20 minute phone consultation or to get started in therapy today.

Sunday, February 19, 2017

Big Picture Living

by Catherine McLaughlin

The term “holistic” can mean different things to different people. To me, it means looking at your life from a “big picture” viewpoint, and noticing patterns (good and bad) that may have developed. Some of your patterns may be detrimental to your life experience, while others may be supportive and guiding you through. While everyone has unique factors that comprise their “picture”, there are a few common lifestyle factors that work in everyone’s favor. By making small changes in specific areas of your life, you can move from dis-ease to ease.

As a psychotherapist, I see people who are struggling in various aspects of their life. But psychotherapy is only part of the picture. Visiting a medical doctor to rule out any medical conditions that could be interfering with your overall well-being is the first step. You may also be taking prescription medication to address your symptoms. In addition to psychotherapy and medication, assessing your current lifestyle habits could improve how you interact with your symptoms - and your life.

Good [psychotherapists and] psychiatrists most often look not only to medication and talk therapy, but also lifestyle changes, regularizing sleep patterns, daily routines, circadian rhythms, exercise and diet can make an enormous difference. A mind body connection continues to grow in relevance for everyone. Riding the Tiger, PBS Documentary

I love working with people as a “lifestyle detective” to figure out how all the pieces come together and interact. Once we determine your personal lifestyle factors, we can start putting it all together to create a picture of wellness and ease. There are a few lifestyle factors everyone has in common, including exercise, nutrition, and sleep.

Exercise
If you’re experiencing symptoms of depression and/or anxiety, exercising may be the last thing you feel like doing. But scientists have proven that not only can make you feel better, it can help prevent symptoms from returning. Exercise helps the brain release chemicals that make you feel good (neurotransmitters, endorphins and endocannabinoids), strengthens your immune system, and raises your body temperature. This combination can have a calming effect on your nervous system, which makes you experience fewer symptoms. Sticking with an exercise plan can positively affect your confidence, connect you more to a social network, and serve as a form of “moving meditation.”

Nutrition
Have you ever noticed how you feel after eating? Do some foods make you feel “different” than others? Foods with high nutrient density - like fresh vegetables, fruits, whole grains, and lean meats - provide our bodies with nutrient-packed calories to use as fuel. Eating nutritionally rich foods can leave you feeling energized, alert, and light. Conversely, foods that are high in fat, salt, and sugar can leave you feeling bloated and tired. Foods like doughnuts, chips, and french fries are high in calories, but low in nutritional value. Eating nutritionally sparse foods in excess can make you tired and irritable, then lead into a vicious cycle of overconsumption and a worsening of negative symptoms. Researchers have demonstrated that eating regularly (not skipping meals) and maintaining a healthy, well-balanced diet can support holistic well-being and positive mental health. They are even finding that eating certain foods can help reduce symptoms of anxiety and depression.

In addition to paying attention to the foods we eat, it is important to pay attention to what we’re drinking. Drinks like juice, soda, and alcohol are high in sugar and calories, and low on hydration. While it may feel as if they quench our thirst in the immediate moment, their sugar content dehydrates us. Water is the best drink around: Not only does it lack calories and sugar, it contains nutrients vital to our brain development and maintenance. Appropriate water consumption not only make our brains work better, but enhances our memory and performance.

Sleep
According to the National Sleep Foundation, adults need 7-9 hours of sleep every night (while teens need 8-10). As we know, lack of sleep is a factor in poor memory, concentration, performance, and mood. Individuals with insomnia are ten times more likely to suffer from depression. Paying attention to your sleep habits (hours per night, how you feel when you go to bed at night/ wake up in the morning, patterns) may help clue you in to how your symptoms may be connected to your sleep.

In addition to exercise, nutrition, and sleep, there are many other factors that can be considered when using a lifestyle approach. Monitoring media consumption, screen time, and stress levels - and adding in self-care routines, daily habits, hobbies, and alternative therapies, such as Reiki, Rubenfeld Synergy, Qi Gong, mindfulness meditation - can work together in harmony to support your well being. The Resiliency Center offers many of these programs; Check the calendar for times and dates. The most important factor, though, is to discover how it all fits together for you. The holistic picture of your life is yours, and yours alone.


To learn more about Catherine McLaughlin, MA, NCC, LPC, please call 267-800-5073, email catherine@cjmcounseling.com, or visit www.cjmcounseling.com.