Showing posts with label counseling. Show all posts
Showing posts with label counseling. Show all posts

Tuesday, March 28, 2017

When the Need for Connection Trumps Authenticity



http://drpayam1.blogspot.com/2017/03/when-need-for-connection-trumps_28.html

As a baby, you were an authentic being. Your laughter and tears were real. You were also helpless and depended on your caregivers for survival. Your caregivers had an important role in helping you feel securely connected to and loved by them. The depth and genuineness of your current connection with others stems from how successfully your caregivers managed their role as an attachment figure. This complex interplay between the quality of attachment formed between a child and a caregiver and one’s current ability to form significant connections with others has been discussed extensively by many experts in psychology, including Dr. Gabor Mate. In one of his talks, Mate has discussed how the need for attachment can trump authenticity. When as a small child, your survival depended on your caregivers, you were more likely to do whatever it took to stay connected to them even if it meant hiding your true feelings. For example, if your caregivers did not approve of your genuine expressions of anger or sadness, most likely you hid them in favor of pleasing or staying connected to your caregivers. In other words, for the sake of survival you had to choose attachment over authenticity.

The impasse of being real versus the need for survival continues into adolescence and creates a unique challenge for gay youth and others who did not flow with the mainstream. As a LGBTQ youngster, if you felt unsafe to express your real essence, you probably had to create a fake or “straight acting” identity to protect yourself from homophobic mistreatment. The need to hide contributed to the dilemma of choosing survival over authenticity. It is important to have empathy for your struggle of growing up in a heterosexist and homophobic environment that made it scary for you to express your true essence. It is important for many LGBTQ people to learn how to honor their true essence and work on healing years of oppressive homophobic mistreatment. The price of not individuating is summed up by a quote by Oscar Wilde, "Most people are other people. Their thoughts are someone else's opinions, their lives a mimicry, their passions a quotation."

Being real and authentic can be a struggle if you spent most of your childhood finding expression of authenticity as a threat to your survival. What helped you to survive as a child may not serve you today. Relying on the old survival mechanism of pleasing others has become a barrier to be fully present in your significant relationships with others. The process of letting go of such a survival mechanism in favor of honoring your true self involves psychological labor of reaching out to your younger self. The inner child is the part of you that was forced to hide and not show his or her genuine feelings. This part of you needs help to connect with others without the mask of pretending or people pleasing.

In summary, since your ability to be authentic with yourself and others has a lot to do with how you were treated growing up, it makes sense to examine how your past impacts your life today. Psychotherapy can help you not only to heal from childhood mistreatment that can hinder building healthy relationships with others, but also other major life events that contributes to such problems.


For more articles by Dr. Payam, please click on the following link:  https://drpayam.com/articles_and_book

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© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), somatic experiencing practitioner (www.SomaticAliveness.com), and artist (https://somaticalivenessart.etsy.com).
 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.




Monday, January 23, 2017

Personal Myth


http://drpayam1.blogspot.com/2016/11/personal-myth.html


For over twenty-five years, I have been listening to life stories of many incredible people. It is part of my job.  Many people might think I am listening to their problems, but I hear stories. People who come to me are brave storytellers. It is a privilege to hear a personal mythology that has never been shared before. There are times when someone’s story is a mixture of broken pieces of tragedies and losses. No matter how fragmented and tragic a person’s story, I know there is a hero somewhere in it, waiting to be validated. I view psychotherapy as a place of storytelling where a fragmented tale can be weaved into a hero’s journey, and help people feel proud of their resiliency and courage to survive. This is how people become mythical beings. Often the emotional wounds begin to heal once the personal narrative finds a voice.

Sometimes the stories are forgotten, or filled with emotional intensity that is too painful to share. It is not easy to share narratives that have been captive by fear and shame in the dark corner of one’s memory. I empathized with how hard it must be to liberate a personal story that is filled with tragedies. Perhaps, the story was shared once before, and the storyteller did not receive the empathy she or he deserved. With the help of a caring listener, private life stories can see the light of consciousness. Sometimes a person’s sense of wellbeing depends on transforming painful untold stories into to healing narratives.

What happens to those banned stories that don’t break away from the basement of one’s repression? It is not uncommon for emotionally injurious life events to get pushed out of the realm of awareness. But they do find a back door to escape. Those forbidden tales find expression through reenactment which is unconscious compulsion to repeat the traumatic past. I sometimes notice an unhealthy pattern of behaviors in people’s lives correlates with their unexamined past histories.  Once the tale of mistreatment is empathized with, reflected upon, and understood, it often leads to insight and behavioral change. People do not have to recreate their history of mistreatment. It is hopeful to know that illuminating significant life events to gain insight, and find meaning in them can be a liberating experience.

There are times that one’s personal story is filled with so many atrocities that sharing them can feel re-traumatizing. Sharing one’s traumatic tale needs to be done with the help of a trained counselor. It takes special clinical skills to help someone not only find a channel to release the untold story but reveal the truth of what one endured. During one’s psychotherapy process, the untold or forgotten personal story can be conveyed through dream analysis, bodily sensations (somatic psychotherapy), dance movements, psychodrama, drawings, sand tray images, paintings, journaling, and other channels of expression. We are living in an exciting time in which healing counseling tools are available to people.

Not all personal stories involve devastation. Life stories that involve joy, accomplishments, and overcoming obstacles need to be embraced as well. Such uplifting legends can be life affirming and lead to feelings of gratitude. Having a balanced view on life experiences can add harmony to one’s life. We all carry special stories that once acknowledged and understood can add meaning to our lives and inspire others. Everyone deserves to be heard and deeply understood. 


For more articles by Dr. Payam, please click on the following link:  https://drpayam.com/articles_and_book
http://drpayam1.blogspot.com/2016/11/personal-myth.html


 

© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), somatic experiencing practitioner (www.SomaticAliveness.com), and artist (https://somaticalivenessart.etsy.com).
 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.










Saturday, December 31, 2016

Goal Oriented Psychotherapy Practice


Goal Oriented Psychotherapy Practice

By


There are number of ways to conduct psychotherapy sessions that can be helpful in meeting the client’s needs and matches the therapist’s style. A goal oriented psychotherapy practice which utilizes a goal setting method is one way to practice psychotherapy. This is a collaborative process that clarifies what the client would like to accomplish during his or her psychotherapy process. Goal setting also helps with constructing a vision of life as it relates to each person’s unique circumstances. Some goals relate to the betterment of one’s external life such as career, finances, education, relationship, and health. Other goals can be about exploring one’s inner world and working toward inner balance, deepening the relationship with the Self, accessing one’s creativity, healing from trauma, and improving mood. These are small examples of common goals clients bring to their psychotherapist which can add clarity to the process.

 In general, working on establishing decisive goals for one’s life can help increase motivation and avoid getting lost. People often feel more motivated in life when they have a sense of purpose, and goal setting can give them such a sense. In addition to helping with motivation, goal setting can improve self-confidence. It affirms the fact that one’s life is worthy to have goals, and the attainment of them helps believing in oneself. I find it extremely rewarding when my clients express joy for progressing toward their goals or attaining them.

Writing down goals in positive language, practicing patience in achieving them, and keeping them manageable for the client are part of the goal setting process. Establishing goals in an affirmative manner can help generate positive emotion to support their attainment. Also, while practicing patience avoids unrealistic expectations in attainment of one’s goals, the process needs to be time-bound. Since every client’s circumstances are unique, it is important to respect people’s time table while collaborating with them in creating target dates. Moreover, goals need to be manageable to avoid making the client feel overwhelmed. The more specific the goal the more manageable it becomes. In some cases, it is important to help the client prioritize their objectives and work on one goal at the time.

Therapists can help clients feel less alone in achieving their goals. This can be done by working with them to identify resources in their lives and in their communities. I often find it helpful to provide a list of community resources to clients who have difficulty obtaining them. For example, a client who is unemployed and can’t afford accessing the internet might find it useful to know about the free internet access at the West Hollywood library.

Finally, those individuals who have difficulty setting decisive goals can benefit from depth oriented psychotherapy which tends to look for unconscious elements that can get in the way of having a clear direction in life. I find helping people to understand their life challenges on a deeper level very useful. No one deserves to feel shame for his or her difficulty in establishing clear goals and having empathy for such struggle is essential. When it comes to practicing psychotherapy, one size does not fit all. Therapists can be flexible in offering modalities that meet the client where they are. 

 


© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist

 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.








Sunday, November 24, 2013

A Brief Reflection on Climate Change




A Brief Reflection on Climate Change

https://www.drpayam.com/


More people are worried about climate change and its devastating impact on their lives than ever before. Many of us have seen the horrible images of weather-related catastrophes on the news. These images are sad to watch because they reflect how the mistreatment of the planet and exploitation of its natural resources has contributed to the problem of climate change. 


Many politicians and policy makers who don’t believe in the science of climate change often deny the fact that the greenhouse effect adds to the concentration of carbon dioxide in the Earth's atmosphere, and this is one the major reasons why we are experiencing more weather-related problems. We are being warned by many scientists that life as we know it today is changing. Our ecosystem is being ruined by oil spills, pollution, resource exploitation, and other destructive acts. With our ecosystem in crisis, we need to put the “planet before profit.” Those of us who hear the cry of the Earth cannot ignore the pain that has been inflicted on the planet by greed driven consumerism. Since not enough is being done to protect the planet from exploitation, we all need to get ready for an unknown future.    

No one can predict with certainty what ten years from now is going to look like. There are scientists who believe we are passed the tipping point. Those of us who love and respect the Earth and witness its torment can no longer count on politicians to save our ecosystem or prevent further environmental damage. Humanity cannot solve this problem with the same consciousness that created it. It is time to embrace a new way of dealing with climate change that involves relating to the Earth as a living being with a soul. The Earth is alive and in need of love. We can love the Earth by keeping it in our hearts during meditation. By going within and practicing meditation with the soul of the planet in our hearts, we can trigger a healing energy that can love the Earth back to health.


We need to look deep within our own hearts and look for a new light that can guide us out of the impending doom of climate change. In such a hopeless situation we need to ask for a miracle and open our hearts to a power beyond our ordinary consciousness. 


Here is the link to Love the Earth Meditation:

© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist

 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.


https://www.drpayam.com/

Sunday, January 9, 2011

LGBT Suicide and the Trauma of Growing Up Gay


By

Payam Ghassemlou MFT, Ph.D.





        As a mental health counselor for the past twenty years, I have listened to many painful stories from some of my lesbian and gay clients regarding their upbringing in a homophobic and heterosexist world. Many of my gay and lesbian clients, including a number of bisexual and transgender individuals, have shared with me that as young as age five, they felt different. They were unable to articulate why they felt different, and, at the same time, they were too afraid to talk about it. Many reported that they knew this feeling of being different was related to something forbidden. “It felt like keeping a tormenting secret that I could not even understand,” described one of my gay clients. Others shared with me that this feeling of difference revealed itself in the form of gender nonconformity, which could not be kept secret. Therefore, it made them more vulnerable to homophobic and transphobic mistreatment at school and often at home. They had to cope with a daily assault of shame and humiliation without any support.


The experience of carrying a sense of differentness, because it related to some of the most taboo and despised images in our culture, can leave traumatic scars on one’s psyche. Most school-age children organize their school experience around the notion of not coming across as queer. Any school-age child’s worst nightmare is being called faggot or dyke, which is commonly experienced by many children who do not flow with the mainstream. One gay high school student disclosed to me that, on average, he hears more than twenty homophobic remarks a day. Schools can feel like a scary place for LGBT children, or any child who gets scapegoated as queer. For the most part, LGBT kids do not get any protection from school officials. This is a form of child abuse on a collective level. Mistreatment of LGBT youth and a lack of protection are contributing factors to the issue of LGBT teen suicide.


 The feeling of differentness as it relates to being gay or lesbian is too complex for any child to process and make sense of, especially when coupled with external attacks in the form of homophobic, derogatory name calling. Unlike a black child whose parents are typically also black, or a Jewish child with Jewish parents and relatives, the LGBT youth typically does not have gay or lesbian parents or anyone who could mirror his or her experience. In fact, many families tend to blame the mistreated LGBT youngster for not being like everyone else, making the child feel like he or she deserves this mistreatment.


When parents are either unable or unwilling to “feel and see” the world through the eyes of their child and do not provide a reflection that makes the child feel valued, that child can not develop a strong sense of self. Faced with isolation, confusion, humiliation, physical violence, not being valued in the eyes of their parents, and carrying a secret that the youngster connects with something terrible and unthinkable is too stressful for any child to endure – especially when there is no empathic other to help him or her to sort it out. The youngster suffers in silence and might use dissociation to cope. In a worst-case scenario, he or she could commit suicide.

http://drpayam1.blogspot.com/2011/01/lgbt-suicide-and-trauma-of-growing-up.html

Many LGBT youth who found the courage to open up about their identity issues have experienced rejection from their families and peers. Some families treat such disclosures as bringing shame on the family. They may throw their kid out of the house, which forces the youngster to join the growing population of homeless kids on the street.


The stress of trying to come to terms with a complex matter such as same sex attraction, one’s family’s rejection as a result of finding out about same sex attraction, and becoming victimized through verbal and physical abuse by peers due to being different are contributing factors to the trauma of growing up gay or lesbian. Such traumatic experiences can explain why lesbian, gay, bisexual, transgender, and questioning youth are up to four times more likely to attempt suicide than their heterosexual peers. Suicide attempts by LGBT youth are their desperate attempts to escape the traumatic process of growing up queer.


Those of us who survived the trauma of growing up queer without adequate support and managed to reach adulthood can benefit by becoming conscious of our internalized homophobia. When a gay or lesbian youngster experiences humiliation every school day for being different and has no one to protect them, that child can develop internalized homophobia. Internalized homophobia is internalization of shame and hatred that gay and lesbian people were forced to experience. The seed of internalized homophobia is planted at an early age. Having one’s psyche contaminated by the shadow of internalized homophobia can result in low self-esteem and other problems later in life. Bisexual and transgender youngsters can also internalize the hatred they had to endure growing up, and may develop self-hatred.


To not deal with internalized homophobia is to ignore the wreckage of the past. Psychological injuries that were inflicted on LGBT people as result of growing up in a homophobic and heterosexist world need to be addressed. Each time a LGBT youngster was insulted or attacked for being different, such attacks left scars on his or her soul. Such violent mistreatment caused many to develop feelings of inferiority.



Life after the closet needs to include coming out of toxic shame, which means becoming aware of repressed or disassociated memories and feelings around homophobic mistreatment that was experienced growing up. All the rejection and derogatory name-calling one suffered growing up queer can be stored in the psyche in the form of implicit memory: a type of memory that impacts one’s life without one noticing it or consciously knowing its origin. Coming out of toxic shame involves recalling and sharing what it felt like growing up in a world that did not respect one’s identity, fully feeling the injustice of it. Providing empathy and unconditional positive regard for the fact that one has endured many years of confusion, shame, fear, and homophobic mistreatment can give birth to new feelings of pride and honor about one’s LGBT identity. This is an alchemical process that involves transforming painful emotions through love and empathy.


 As a community, learning to know ourselves can add vitality to our struggle for freedom. The LGBT liberation movement should not only include fighting for our equal rights, but also working through the injuries that were inflicted on us while growing up queer in a heterosexist world. External changes such as marriage equality or the repeal of the Don’t Ask Don’t Tell policy alone cannot heal us from homophobic mistreatment and rejection we received growing up gay or lesbian.


We need to open a new psychological frontier and take our struggle for freedom to a new level. The gay civil rights movement is like a bird that needs two wings to fly, not just one. So far, the political wing has been the main carrier of this movement. By adding psychological healing work as the other wing, the bird of gay liberty can reach even greater heights.




© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist

 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.








Wednesday, March 19, 2008

Coming Out for Gay and Lesbian Iranians

Coming Out for Gay and Lesbian Iranians

By 

Payam Ghassemlou MFT, Ph.D.


As a gay Iranian living in Los Angeles, I would like to do my part in bringing attention to the fear, shame and isolation that many gay Iranians (LGBT community) experience living in Iran and overseas. Per my dialogue with other gay Iranians, who are still living in Iran or have recently escaped the country, and as noted in several news articles, countless number of gays have been tortured and persecuted by the Iranian government. It has been reported that undercover Iranian law enforcement has entrapment operations that arrest and execute suspected gay people in secret prisons. Despite extreme violence against gay people in Iran, many still risk their lives by trying to exercise their basic human needs to connect and build loving relationships. They are brave people for jeopardizing their lives this way.

The world knows that not only the gay population but Iran itself is a victim of oppression. With worldwide recognition, the 2009 uprising in Iran has gained respect internationally at the cost of many sacrificing their lives just to be differentiated from the regime of the current dictator, Khamenei.  More international efforts are being called to help Iran.

Gay Iranians who live abroad are dealing with other sets of challenges, including the struggle to come out and live an authentic life. They may not deal with Iran’s oppressive government, but they still find themselves oppressed by both intrinsic and extrinsic homophobia. Growing up in a homophobic and heterosexist society contributes to the angst of shame and rejection that most gay Iranians experience. Heterosexism dictates only one kind of existence and it is being married to the opposite sex and raising children. Any deviation from such a traditional lifestyle is denounced by individuals and religious groups that patronize heterosexism. One can only imagine how it feels like for LGBT people to grow up in such societies.

Extrinsic homophobia that many gay people experience includes being bullied and called derogatory names, not having freedom to marry, getting fired from their job, being blamed for AIDS, and becoming victim of gay bashing. As long as gay people are subject to homophobic mistreatment, the fight to challenge homophobia needs to continue.

The remedy for the negative impact of homophobia and heterosexism is self acceptance. Learning to take pride in one’s gay identity is an important step toward healing. Pride and self-acceptance requires work and dedication which involves participation in gay-affirming counseling sessions, attending coming out groups, volunteering for gay pride events, reading self affirming books, and building friendships with other gay people.

Gay Iranians often deal with lack of family acceptance and support. Many Iranian families who migrated to the United States live in close knit communities. Most of which live in Southern California and are most commonly referred to as Persians. For the most part, the Persian community does not embrace gayness. Lack of acceptance by the community and by their family members make it very difficult for some gay Persians to come out. As an immigrant myself, I understand that having a strong relationship with one’s family and one’s community are vital in order to survive in a foreign country. Many gay Iranians live a double life as a way to avoid jeopardizing such vital support. Staying “in the closet” helps many gay Iranians avoid rejection from their family and their community, but it comes with a high price. Many closeted gay people resort to lying and hiding their true identity which later on can lead to negative feelings like dishonesty and disingenuous.  Gay individuals need to obtain support in order to avoid remaining a victim of homophobia and live a double life.

Coming out involves a degree of differentiation and establishment of a personal identity outside one’s family. Another reason gay Iranians might have a harder time coming out is due to difficulty in having a different identity than what is expected from their own family. A traditional Iranian family is patriarchal, and the father is the undisputed head of the family. The mother tends to encourage her children to respect their father’s authority and seek his approval.  For the most part, no one dares to question this system, sacrificing one’s needs to gain parental approval. In many Iranian family systems, there is no room to express one’s gay identity. In most Iranian families coming out is viewed as “bringing shame to their family.”  It is not uncommon for Iranian parents suppress their gay children by using guilt factors like accusing them of being “namak nashnas” (Persian for ungrateful).

Even though Persians  who migrated to the United States are very educated people, still many of them believe that being gay is a choice and one can always change. I disagree on the other hand.  It has never been a matter of choice for me and my intention of coming out to my family during my early twenties is to have a real relationship with them and stop pretending.

Sadly, for some repercussions of “coming out” can entails family violence, homelessness or extreme financial burden. The decision to come “out of the closet” is a continuous process that requires support from other individuals who have relevant experiences. Each individual has to assess his or her personal safety before deciding to move forward and come out. No one should be pressured or forced to come out.

Iranian families, who are dealing with their children coming out, also go through a painful journey. Many parents raise their children hoping they would grow up “normal” as affirmed by the conservative society. They look forward to having grand children as a result of their children’s heterosexual union. “Coming out” can shatter such dreams for many parents. Support groups are encouraged to assist these parents who mourn the loss of their children’s perceived heterosexual identity. Parents would often blame themselves, and they find difficulty understanding that it is not merely a choice. We are born this way.  The best thing Iranian families can do for their gay children is accepting and loving them with no judgment. There is no valid reason for families to fall apart.

Being gay is more about loving another human being and should never be judged as unnatural. PFLAG, Parents, Friends and Families of Lesbians and Gays, is a national non-profit organization that aims to provide families with moral support and counseling to address their issues.

Despite all the suffering that gay people worldwide, Iranians as well, have endured due to homophobia, many have overcome these challenges and live happy lives. “It does get better,” as the saying goes.

No one should be made to feel bad about his or her identity. Iranian people have a rich culture of poetry and mysticism that is filled with homoerotic stories and poems. We can look into our own rich literature for validation of gay love. We can stand together and help to liberate one another from the bondage of homophobia hoping someday none of us has to suffer for love.







© Payam Ghassemlou, MFT, Ph.D., SEP, is a psychotherapist (www.DrPayam.com), Somatic Experiencing Practitioner (www.SomaticAliveness.com), writer (https://www.drpayam.com/articles_and_book) ,and artist

 
Licensed Marriage and Family Therapist online anywhere in CA & Florida.




He is the author of Fruit Basket: A Gay Man’s Journey. In his book, Dr. Payam Ghassemlou writes about the psycho-spiritual journey of a gay man named Javid, in which he struggles with homophobia and having a life purpose. Available on Amazon