Tools, tips, and musings related to all things therapy and mental health.
Not sure when to stop therapy or how to bring up feedback with your therapist if it’s not working out? It’s common for clients to have a hard time talking to their therapist about things that concern therapy directly. Here, LA therapist Kim Bielak shares a few tips for having difficult conversations with your therapist, and a few things to keep in mind.
Whether or not you’ve been in therapy before, it can actually be quite hard to know what to expect when you start with a new therapist. In a way it’s a lot like dating (we are talking about a real relationship here). And, just like every client is unique, every therapist is also going to be a bit different from the next.
Moreover, when a new client walks through my door, I also don’t know exactly what our sessions will hold. I can’t know what unforeseen incident is going to hit an unexpected wound, the places they might not be ready to take me to for months - even years - into our work, or the parts of our work for them that will feel like a hit, and the parts that will feel like a flop…
Clients often come to me looking for a way to “get rid of” their anxiety. Even if most people know it’s not realistic to think they’ll do away with it forever, their underlying intention is to “fix” their anxiety, “overcome” their anxiety, and get themselves to a place where they won’t have to “deal” with anxiety anymore.
The truth is, you’re never going to just “get rid of” anxiety. It’s kind of like saying you can just get rid of sadness. Sadness will come and go many times in your life, and quite frankly I don’t think we’d want a life completely without it…
I was recently invited to share my thoughts on codependency on fellow therapist Marissa Esqibel’s, podcast, “The Codependummy Podcast,” based on my experience as a clinician working with individuals and couples. And it got me thinking - rarely do I use the word “codependent” when working with clients because - like many terms in the mental health field - it’s become quite heavy with pre-existing stigma and negative connotation.
And yet one of my favorite things about our conversation was the opportunity to normalize the idea of codependency - explaining how it makes sense that people often enter relationships this way, and even share some personal experiences related to codependency of my own.
Oftentimes in session when I slow my clients down just enough to actually notice and stay with their body, there is something there, just below the surface.
Sometimes it's emotion - tears, grief, anger, pain. Sometimes it's even a part - any indication of imperfection they are afraid to accept, or an identity that's unsafe to express...
The greatest weapon against stress is the ability to choose one thought over another.
- William James
A lot of therapeutic approaches - from cognitive-behavioral therapy to narrative therapy - employ the same powerful insight: our reality is created by the stories we see it through.
When we choose to see all we have, rather than all we don't have yet, we live in a different world. When we choose to see a challenge as an opportunity rather than a calamity, we take different actions.
In fact, our interpretation of any given event can change our response all the way down to the biological level! One perspective can send us straight into fight or flight - heart pounding, palms, sweating, shallow breath - while just a small reframe suddenly allow our nervous system to remain calm, grounded and open to new experience. This is, quite literally, the power of a thought.
So next time you find yourself feeling triggered by a situation, step back ask: What is the story I'm telling myself? What might be different if I chose to see it a different way?
"Just tell me what to do."
It's one of the most common things I find my clients saying without - you know - actually saying. Sometimes it's a look in their eye, as they long for me to be the one to save them from the uncomfortable silence. Sometimes it's a subtle sense of frustration in their voice, as they recalibrate their expectations around what they thought therapy would be. And, of course, there are the clients that just lay everything out in front of me and ask: "So now what?"
We live a lot of our lives in our heads. A lot of my clients literally come to therapy because they can't seem to "get out of their heads." And yet when it comes to the wisdom, information and immense healing potential our bodies often offer, our culture has historically overlooked and devalued the body, reinforcing a great split between body and mind.
For me it started with the "honors track." The pressure to succeed never came from my parents - in fact, every time I was offered the option of testing for GATE, signing up for my first set of honors classes, or trying out for the varsity sport, my mom called around to check if it was even the right thing to do. She didn't want me to lose my childhood. She just wanted me to be a happy kid.
It's raining in California this week. The gentle drumming of raindrops, smell of moist asphalt, and warmth of a candle next to my laptop or steamy cup of tea in my hands... It brings me back to the little delights of being alive. The ones that don’t cost money. That don’t hinge upon “success.” That are completely outside the undisciplined pursuit of more.
One of the biggest things I do as a coach and as a therapist is hold a mirror up for my clients.
Mirrors make it possible to see some of the things we can't from our own limited point of view, and while often many of these reflections tend to be patterns and beliefs we may have previously been unaware of, I've found that one of the most consistent and significant ways I serve my clients is to mirror the unique strengths and qualities in themselves they simply seem unable to accept.
If I just say the words "awkward silence," can you already start to feel the subtle discomfort begin to creep up through your body? The compulsion to already devise the quickest route to escape it? The anxiety, self consciousness, and existential dread that perhaps this painful experience will never come to an end…
“If over time more and more of a person’s true values become replaced by values taken and borrowed from others but perceived to be their own, the self will become a house divided against itself. They will feel as if they do not really know who they are and what they want.”
- Calvin S. Hall & Gardner Lindzey
Two weeks ago I had my first group supervision as a new Marriage & Family Therapy Trainee at The Center for Professional Counseling. As we discussed each of our clients with my new supervisor - whose thick accent and provocative metaphors makes me feel like I have my very own personal Esther Perel - one of her comments regarding a client stuck with me pretty strongly: "This is a time that we all regress."
A pretty bold statement; and yet it also felt like it hit the nail exactly on the head…
Clients often come to me in the middle of a big decision: whether or not to pursue a career change, go back to school, accept a certain offer, etc.
First, I encourage you to destroy the idea that you will ever "know" with 100% certainty what you should do next, or that there is one "right" direction at all. However, there are decisions and lives that will feel more fulfilling, authentic, and satisfying than others, and there are many different ways of tapping the information and intelligence that will guide you closer to them.
We call these different ways of knowing…
I came across a meme that made me laugh the other day:
“How can psychology majors be depressed…bro, just look at your notes.”
In reality though, psychology students and yes, even your therapist, still have stuff they work through, and yes, even sometimes still struggle with their own mental health battles.
“Some people spend their whole lives in love with the idea of who a person could become, and fail to see who they are.” - Mark Groves
I think this actually goes two ways...So often when we date people for their "potential," we miss seeing and wholeheartedly loving who they are - inside and out - as they are. If we are not willing to do that, then we simply aren't in the right relationship in the first place.
Have you ever been kinda annoyed at the people (let's be real, probably including me) who always tell you "nothing is permanent"? Ok, maybe it's just me...but honestly, when you're feeling a certain way (sad, anxious, lonely...) it can be so hard to think of it changing anytime soon. That is, until you actually watch it happen...
Try it: Keep a log of all of your emotions or moods throughout the day today. Set a timer, check in once every hour or so, and write down how you currently feel.
You don't need to analyze it or try and figure out where you were and what you were doing that caused a certain emotion (certainly extra credit if you want!) You simply need to notice. How did your emotions change - how did they flow in and flow out - throughout the day?
Next time you're dealing with a difficult emotion, does reminding yourself that it's not permanent feel any different? Can you embrace the more challenging emotions as part of a full palette of paint? 🎨
Disclaimer: While occasionally I include research and insights from my graduate classes in clinical psychology on my blog, I am not at this time a licensed therapist or mental health provider and therefore no content on this blog or website should not be considered or serve as replacement for therapeutic advice.
Kim (Bielak) Slipski, Licensed Marriage and Family Therapist #143946
(310) 734-8140 | kimbielaktherapy@gmail.com | 32 S. Raymond Ave, Suite 3B, Pasadena, CA 91105
