Sunday, July 7, 2019

The Royal Road to Nervous System Regulation By Payam Ghassemlou MFT, Ph.D.






Many years ago, my husband and I worked on a small movie project that involved reshooting and editing some of the scenes. Inspired by that experience, I view life as a movie with the opportunity to reshoot and edit some of the upsetting or disappointing scenes. The editing tool is our imagination. Life experiences can consist of traumatic or tragic scenes, but we don't have to live in the shadow of our tragedies. As Peter Levine, the founder of Somatic Experiencing stated, "Trauma is a fact of life, but it doesn't have to be a life sentence."

With the help of our imagination, we can come up with an alternative to any unsettling life experience. Since these events impact the nervous system, the most important part of this work is noticing how the body responds to the new take along with the bodily sensations that can arise. Noticing how our body responds to a positive replica of an event can help embody a new relationship to the original experience. Many of us have heard how changing our thinking about a situation can impact the intensity of it. This is a similar concept except we work with the imagination along with the inner sensations and any unresolved excess energy within the nervous system. Stephen Porges’, Bessel van der Kolk’s, and Peter Levine’s research and writings have significantly reworked my understanding of how the nervous system responds to threat and trauma. As a result of studying their work, I have gained more respect for the body especially the autonomic nervous system (ANS). 

Since our life tragedies live in the body, they can be experienced as unpleasant sensations. For example, it is not uncommon for people with unhealed trauma to experience sensations such as tightness, freezing, heaviness, tension, shaking or others in their body. Some people that I have worked with have reported the bodily experience of “spacious” in the chest area or a sense of vitality after modifying the original unpleasant event in their imagination. Through my training in Somatic Experiencing, I have been learning about the importance of tracking bodily sensations that often come up during one’s healing journey. In general, this tracking involves paying attention to sensations within the nervous system and distinguishing between pleasant and unpleasant ones. In my experience, the more we bring pleasant sensations to our focus, the more regulated our nervous system can become. Using the imagination to take bad memories and form something new along with embracing pleasant sensations is the royal road to regulating our nervous system.

It is important to note that using our imagination for healing purposes needs to be done with the help of a professional who has training in healing trauma. We need to make sure that there is a trained person available in case we become overwhelmed by the imagination and can't cut it off. Different approaches work for different people, and there is no one size fits all when it comes to therapy. It is empowering when we offer people choices regarding interventions and healing modalities.

When we use our imagination to edit some of the painful scenes in our history, we can experience more mastery over situations that we felt powerless at the time. Imagination as the Sufi mystic Inayat Khan explained “is the stream that feeds the fountain of your mind."  Many people do not tap into the current of this stream and nourish their mind and body with its healing energy. By using our imagination to rewrite some of our life events, we can become an active player and connect with abilities and potencies that we may not have experienced previously. Our imagination can also be utilized in any current situation where we experience powerlessness. We can use it to create a solution or coping strategy for any life challenges we encounter. As Bessel van der Kolk stated, “Imagination gives us the opportunity to envision new possibilities—it is an essential launchpad for making our hopes come true.”

One way of editing our life story is by choosing an unhappy scene from our experience, and just like a movie director, use our imagination and reshoot the scene. Most of our life events have a beginning, middle, and end. We can choose a segment and change the scene to how we wished it had happened. For some, changing the beginning of an event makes more sense and for others modifying the middle or the end feels better. How and what to modify with the intention of creating an alternative scene is a very personal decision.

I once worked with an actor who felt devastated after learning his part in a popular television series was suddenly cut. The producer ended his role by having him killed in one of the episodes. He felt incredibly sad for not being in that show anymore. Sharing and receiving empathy along with grieving for the loss of his role was helpful but not enough. He still had difficulty feeling confident to pursue his acting career. At some point in our work, I invited him to imagine a different take from what had happened. A scene that was completely opposite to the original painful experience. Before starting the re-imagining, I encouraged him to find a comfortable position and notice how his back was touching the couch. Bringing his awareness to sensations that were comfortable in his body helped him be in the present moment in a relaxed way. It is important to be grounded in the present moment when doing this work. While he was imagining a more pleasant alternative to his original devastating experience, he noticed his body became infused with a pleasant warm sensation along with a change in his breathing and a delightful smile appeared on his face. As he was sharing how the exercise was helping him not to feel stuck, he was making a movement with his hands that seemed meaningful. By inviting him to notice the movement, he realized talking about letting go of defeat led to opening of his clinched fist. As he was noticing the movement and slowing it down, he started to sense some tingling in his hands. Something began to change for him in that moment that words could not describe. As Carl Jung stated, "Often the hands know how to solve a riddle with which the intellect has wrestled in vain." In our follow up meeting, he reported feeling less bothered by the loss of his acting job and more relaxed in his body. He also felt more confident showing up for auditions. 


Offering this approach to people has been very interesting. There is a level of unpredictability that makes the process adventurous. I never know how the person is going to re-imagine a scene or what the imagination is going to offer. For some people who are spiritually grounded, I have noticed they tend to receive an offering from their imagination in forms of helpful figures, guides or healing images. For example, one of the refugees from the Middle East who came to deal with his war trauma noticed the appearance of his beloved Sufi teacher who offered him a protective shield made of glowing light. Receiving the shield from his spiritual teacher gave him an “incredible sense of safety” that he had never experienced before. His body was mirroring his imaginal experience with a sense of calmness and relaxation. Having experienced war and other trauma, he often felt nervous in his body. His imagination became an important healing resource by offering him an experience that was in contradiction to the tension he often carried in his body. Every time he imagined the protective shield, he immediately felt safe.

Many people who talk about distressing life experiences in therapy are never given the opportunity to work with the experience in the arena of their imagination. The sky is the limit when it comes to using our imagination to work with any life scenarios. I recently met a gay man who felt traumatized growing up gay in a religious small town. All his past therapy consisted of sharing about his trauma and making the feelings associated with it more conscious. It was important and useful for him to address those feelings and have regard for them. He told me he was done addressing them. He wanted something different than talking about his trauma. Since he was very much into comic books growing up, he imagined one of his favorite comic book heroes rescuing him from this oppressive homophobic environment. The experience felt so real in his body. He had never experienced so much aliveness in a therapy session that involved dealing with his traumas of growing up gay in a homophobic and heterosexist world. For the first time in his life, he experienced the freedom to use his imagination for the purpose of changing what he could not change as a child. He was not in denial about the horror he experienced. For once in his life, he began to feel the opposite of the trauma. A safe therapeutic space can help people to imagine their painful history in a completely different way. Scenes can be added, deleted, modified with a different ending.

Our life traumas or tragedies are not just mental concepts. They are part of our bodily memories that can impact our nervous system. As Peter Levine stated, “Trauma is not in the event, but in the nervous system.” There are many paths toward healing those upsetting life experiences that has kept our nervous system dysregulated. By working with a licensed professional who has training in “body-inclusive therapy”, we can work on healing our nervous system from unresolved traumas. Our imagination can be a very powerful resource and an ally in this process. Trauma does not have to have the last word.  

 

© 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.


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




Friday, April 20, 2018

The Role of Trauma Therapists in the Dawning of the Age of Aquarius


A great change is upon humanity. The Age of Aquarius which values social conscience combined with love and unity is replacing the Piscean Age of dualism, hierarchy, and power. No one knows exactly when each age begins or ends, but most experts seem to agree that humanity is in a very important transition period. Unprecedented change and upheaval can happen when Piscean values that have lasted for over two thousand years is taken down to make room for a new world. Perhaps the COVID-19 pandemic with its devastating impact on health and the economy is related to such a seismic shift.

This transition to a new age is gradual and has been in progress for a long time. The world will become a better place once the transition is completed, and humanity can celebrate the promises of the Aquarian Age. Such promises include peace on Earth, end of poverty, love and kindness, pure spiritual awareness, true democracy and more. Some of these promises are happening now as humanity is racing to combat the coronavirus with medical breakthroughs, along with caring for the sick and dying. The sacrifices of the frontline medical personnel and many essential workers reflects humanity’s  love and kindness.

Everyone has a role to play in welcoming the new energy of the Aquarian Age. It involves letting go of the illusion of materialism as the “secret” road toward fulfillment. Instead, embracing cooperation and humanitarianism is a part of this evolution of consciousness that is needed for this major change. Without a fundamental shift in consciousness and spiritual evolution, humanity won’t be able to move in the new direction. The pure spirituality associated with this new age is the innate knowing of the Divine’s love within one’s heart and not extreme religious ideology.

During such a challenging transition, pure spiritual leaders, along with trauma therapists, can play major roles in helping people. Spiritual leaders can  help humanity realize that this shift to a new era can become less chaotic when people stop worshipping money and power as their source of security. When the world economy is based on infinite expansion which leads to the depletion of the Earth’s resources, suffering is inevitable. Given the fact that economic expansion has resulted in replacing fish in the oceans with plastic,  forests with urban housing, clean air with pollution, and turning the ecosystem into a garbage bin, transformation to a new age is necessary. Spiritual leaders need to remind everyone that an outdated frame of reference to a past era won’t help  love the Earth back to health. It is time to welcome the dawning of the Age of Aquarius.

“The darkest hour is just before the dawn,” as humanity stands upon the cusp of the Piscean-Aquarian Age. They need to be prepared for disruptions that can happen before the completion of this major shift. As exciting as it sounds to move to a different era that can open the world to the splendor of a new life, the transformation might be intense and at times beyond  humanity’s “window of tolerance”. There might be more climate catastrophes, pandemics, mass shootings, political chaos, terrorism, wars, xenophobia, homophobia and other ugly phenomena. To be aware of what is happening allows everyone to prepare, and work in cooperation with this  energy of the new era. Crisis is not always about danger but also the opportunity to transform. Trauma therapists are more than ever needed to hold space and help people  recover from the intensity that is associated with this major transformation. They can play a vital role as the universal trauma holders and healers. Helping people to stay centered and grounded during a crisis is among the contributions that healers of any kind can offer.

Those of us who have spent decades helping traumatized people feel safe again know that trauma is a fact of life. Healing from any kind of injuries involves offering helpful resources for those in need of treatment. Since it is easy to feel helpless in the face of trauma, resource is power. One of the most accessible resources for anyone looking to grow, evolve, and/or heal beyond any traumatic experience is working with the body, in particular the nervous system. Healers who are trained to work with trauma can help people  become more resilient living in this transitional time by teaching them how to find safety within their bodies. As a recent example, a man who survived the AIDS crisis of the past century, and now recovering from a COVID-19 infection, shared during the peak of his illness, there was an episode in which breathing became very difficult to the point he thought he was going to die. It was a scary moment for him since he was living  alone at the time. He did not know if he was experiencing a panic attack, difficulty breathing due to COVID-19, or both. He reported what helped him  lessen the intensity of that terrifying moment so that he could call 911 was hearing a “gentle voice” of his therapist inside him inviting him to notice his feet, hands, and the felt sense of the support his body was experiencing lying on the bed. Perhaps, knowing how to track his pleasant sensations initiated a physiological event that resulted in helping him breathe a little easier until the paramedics arrived. How to track his bodily sensations was an important resource which he described as a “lifesaver.” Another woman, who was struggling with COVID-19, reported listening to calming music helped her chest  feel less tight and began to experience warm sensations flowing around her heart. Tracking her pleasant sensations improved her mood and her physical symptoms.

The COVID-19 pandemic has triggered many people’s survival mechanisms, and their nervous systems have become fixated in one or more processes. For some in a high sympathetic tone (fight/ flight) that can involve being restless, anxious, and for others in the state of  dorsal vagal response that might involve shutdown, freeze, and other acute stress response. Body-inclusive therapy offers  techniques that can help people in distress  shift their autonomic state that is stuck on FFF (fight/flight/freeze) toward safety and relaxation. Offering people resources to lower activation and regulate their nervous system is an example of the important roles trauma informed healers can play during the current pandemic or any crisis. “Body-inclusive” therapy is one approach that healers can offer people in distress to lower their activation and regulate the nervous system. There are many different paths toward healing. One size does not fit all. A resource needs to be tailored to the needs of the individual.

As the planet goes through a turbulent transitional period paving the way to the Aquarian Age, humanity can witness disastrous events, turmoil and other intense experiences. The transition from the Age of Pisces to Aquarius might feel like a traumatic birth that once endured will result in a glorious birth of a new consciousness with universal love at its core.




 

© 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.


Sunday, March 11, 2018

Healing Our Fragmented Rainbow







As a gay man who understands the importance of a supportive community, it saddens me to realize how disconnected gay men are becoming from each other. The essence of gayness is love. We come out to love freely, and yet many of us who broke free from living a closeted life and moved to gay neighborhoods such as WEHO, Castro, or Chelsea are not finding a nurturing connection under the rainbow flag. It is even worse for many gay men of color who often feel marginalized within the community. The experience of being a minority within a minority places them at higher risk for discrimination. When as a community we don’t strive toward building a safer and more welcoming environment, it fragments the rainbow of our unity.


Many gay men that I have the privilege of listening to reported feeling humiliated by how they were rejected by other gay men. For example, a number of gay men who are relying on apps such as Grindr, Scruff, or Tinder reported the rejection takes on a more brutal level on those apps. The shame they experience is often a result of being negatively judged about their looks, age or ethnicity. Such shaming experiences make these men build walls and avoid connection. It is not uncommon for these men to experience depression, suicidal ideations. and health related problems that not only stem from feeling estranged from the gay community, but also growing up with homophobic mistreatment.

For many of us, growing up gay was painful due to homophobia. Schools felt like a scary place for those of us who were scapegoated as queer. As a community, we have been very successful in addressing the trauma of growing up gay. Raising awareness about the issue has helped many people become concerned about the mistreatment of not only LGBTQ kids but also any youngsters who do not flow with the mainstream. In addition to raising awareness, we have done a great deal of activism to fight discrimination against LGBTQ people. However, I believe we can do a better job with embracing diversity and creating solidarity among our community members.

As human beings we are not meant to live an isolated life. The need for connection through community involvement is healthy and necessary. When such a need does not get fulfilled, it can lead to emotional pain. This pain coupled with a lack of connection to a supportive community becomes a recipe for addictions. Working in the gay community, I have learned the rate of addiction is higher among gay men who experience a sense of isolation or exclusion. I also have noticed gay men’s disconnection from one another leads to feelings of emptiness and apathy. Such painful emotional experiences might also cause them to engage in thrill seeking activities like risky sex or dangerous sports.

Gay men who tend to blame their loneliness on how they look can spend a great deal of money on cosmetic surgery and other unnecessary procedures. When it comes to finding a friend or boyfriend, showing love and kindness provides a better result. As a community, learning to know ourselves and working through the emotional injuries that were inflicted on many of us while growing up can add vitality to our struggle for equal rights and protect us from reenacting our lonely childhood experiences. For some of us being bullied and rejected were the norm. Since what is familiar tends to get repeated, many of us are at a higher risk for unconsciously reenacting our painful past. Just like the rainbow that needs sunshine and rain to be complete, we need to access our inner light to make our wounds conscious and wash them away with healing tears that come from sharing and having regard for our traumas. External changes such as marriage equality or the repeal of the Don’t Ask Don’t Tell policy alone cannot heal us from the homophobic mistreatment and rejection we received growing up.

When I started practicing psychotherapy in the gay community over twenty years ago, we did not have hook up or dating apps. Since then, I have noticed a dramatic shift in not only how gay men relate to each other but also people in general. We are given tools of technology without the consciousness of knowing how to use them in service of embracing oneness. This is a missed opportunity, and one of the reasons why so many gay men feel disconnected from each other. The disconnection also comes from turning these apps to a hunting ground. As human beings our ancestors were hunters. Having sexual desire without the participation of our higher self to facilitate such fulfilment can create such a hunting environment. This intense quest for hooking up not only happens on apps but also at bars and clubs. Gay men need to stop hunting each other and start loving each other. This issue of objectifying one another on hook up sites is not just limited to gay men. Humanity in general is creating a mess out of the tools of technology.

Some gay men who attempt to meet others on apps or in person wear a persona that can become a barrier toward building a real and healthy connection. Often such a persona involves rejection of the anima (Jung's term for the feminine part of a man's personality) and oppressing it with a fake “straight acting” masculinity. Many gay men who as children were made to feel ashamed for being in touch with their feminine side are more vulnerable in relying on such persona. They put pressure on themselves to act extra masculine at the expense of being affectionate and emotionally present. Without healthy integration of our masculinity and femininity finding true love can be challenging. The feminine side of love desires a nurturing relationship, and the masculine part helps to find and protect it. This lack of partnership between the feminine and masculine side is not just limited to some gay men. Many heterosexual men who were raised to deny their feminine side also having difficulty with maintaining intimate connections.  

Rejection by other gay people can hurt more than the rejection by homophobic politicians and institutions. Not having a welcoming community can make the coming out process very painful for those of us who need validation and support during it. Given the negative health consequences of experiencing alienation, there is a high price to pay for not embracing a more inclusive and welcoming gay community. Our community leaders should bring more attention to the need for building a more nurturing environment. As gay people, we are naturally creative and industrious. We are often a small percentage of any population and yet our societal contribution is enormous. I take a great deal of pride knowing not only gays, but also our courageous lesbians, transgenders, bisexuals, and other queer members of our community have always stood up for causes that make this world a better place. In such a short time, we achieved a great deal of civil rights, faster than any other oppressed groups in this country. Triumphs like taking care of our dying people during the AIDS crisis when the Reagan administration turned its back on us and how far we have come in our struggle for equal rights are truly a reflection of how courageous we are. Given the fact that we know how to make changes quickly and effectively, it is time we put more effort into our own backyard and take a better care of each other. Somewhere over the rainbow as Rumi puts it, “beyond the ideas of wrongdoing and right doing there is a field” where we can connect through love. Somewhere over the rainbow, as a community, we can make authentic connections. We can be more empathic toward each other’s pain of loneliness, and we can embrace our true gay essence.


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



 

© 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.

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, September 25, 2016

Boredom from a Gay Perspective



Boredom from a Gay Perspective


By


Gay people are naturally creative and industrious. They are often a small percentage of any population and yet their societal contribution is enormous. I take a great deal of pride knowing not only gays, but also our courageous lesbians, transgenders, bisexuals, and queer members of our community have always stood up for causes that make this world a better place. This short article mostly focuses on gay men and the issue of boredom. Many points being made here do apply to lesbians, transgenders, bisexuals, and queers as well.
Despite growing up gay in a homophobic world which can discourage artistic expression, gay people’s creative spirit continues to shine. Given their rich imagination, the experience of chronic boredom and a sense of inertia is contrary to a gay person’s true essence. Whether boredom is momentary or a long lasting experience, it stops people from living a full life. In order to deal with boredom, it is important to understand and learn how to transform it. Examining and understanding your emotions is an opportunity for personal growth. One of the places to examine your emotions as a pathway toward knowing yourself is in a therapeutic setting with a licensed psychotherapist. Working with emotions can be intense, and you need a trained professional to help you navigate through the sea of emotions. In my work as a psychotherapist (licensed MFT), I work collaboratively with my clients. I explore their somatic experiences, feelings, and thoughts in order to support them on their journey of self-discovery to alleviate their boredom.
What is boredom? From a psychological perspective boredom is an emotion, and like any emotion, it can carry important information and messages about your current needs and sometimes unmet needs from the past. It can also reveal something about your current state of mind which becomes an opportunity for deeper analysis. People who are bored often experience life as monotonous. Sometimes boredom can accompany another emotion such as frustration or a feeling of emptiness. When a person gets overwhelmed by ongoing feelings of boredom he can asks himself, “What is boredom trying to reveal to me about my relationship to my psyche, my soul, and the world around me?” or “How can boredom become an opportunity to add meaning and purpose to my life?” The answers to these questions require personal reflection which can become a doorway to a deeper connection to oneself.
An important approach toward understanding boredom needs to involve evaluating your relationship to your sense of curiosity. Curiosity is an emotion that plays a vital role in motivating you to show interest in yourself and the world around you. When fully in effect, curiosity can neutralize your sense of boredom and help you to passionately engage with the mystery of life. When curiosity is embraced, boredom disappears.
When you show curiosity toward your experience of boredom, you are less dominated by it. In general, becoming curiously conscious of your emotions help you to be less controlled by them. By becoming aware of any particular feelings in the moment, you can choose to either embrace the emotion and fully experience it or let it go. “Empathic witnessing” of an emotion such as boredom in the moment without judgment gives you more choices on how to deal with your emotions. 
Sometimes boredom, like a habit, stays with people and it takes willpower to try to change it. Your willpower can be used as a determination muscle to focus on making positive changes in your inner and outer life. You can use your willpower to direct your attention away from boredom and use your curiosity to explore uplifting experiences. For example, when feeling bored you can make an effort to get out of your “comfort zone” and explore healthy activities that you never tried before. Eventually, being curious becomes a personal habit that replaces boredom and enriches your life.
It is important to note that embracing curiosity might be challenging for many gay people because of a homophobic upbringing.  Many gay individuals as a youngster felt too ashamed to show curiosity toward their homoerotic feelings which caused them to find curiosity too threatening to embrace. The habit of embracing curiosity needs to take place at a young age with support of caring adults. The absence of such support makes curiosity less accessible and difficult to embrace.
As you engage with your boredom through your curiosity, you can notice where in your body you sense your boredom. Locating bodily sensations that correspond to how you feel in the moment is another important way of managing your emotions. I often hear clients share with me about experiencing boredom as a sense of dread and emptiness in their chest area. Individuals that I work with in a therapeutic setting often find it helpful when I invite them to curiously scan their bodies and look for sensations of strength. Focusing on a sensation of strength anywhere in their bodies which might include places like the upper arms or legs can lessen their sense of inertia. For others who can’t notice any sensation of strength, they might benefit from making a pleasant or neutral sensation as their focus. For example, neutral or pleasant sensations can be experienced by inviting clients to notice the support of their upper back against the couch. In general, tracking the neutral or pleasant sensations in your body can add harmony and balance to your inner world.
Your curiosity can also be directed toward examining your thinking patterns and belief system. You might discover a link between your beliefs, thoughts and boredom. Many gay people were raised to believe that they were sinners for their same sex attraction.  As such, they have developed a belief system that does not leave much room for feeling deserving of happiness. Thought patterns based on such a negative core belief system can lead to a life void of joy and pleasure. By using the muscle of determination with an attitude of empathy and kindness, we all can change our negative beliefs and thinking. By developing a belief system based on love and acceptance of ourselves, we can feel deserving of joy and vitality instead of boredom and inertia.
From a spiritual perspective, chronic boredom might reveal a lack of relationship to one’s soul and the soul of the world (Anima Mundi). Given that gay history has been often intertwined with shamanism and mysticism, getting bored and living a dull life reveals disconnection from one’s gay essence. From a spiritual perspective, the remedies for such condition can involve not only connecting to one’s gay soul but also connecting to a sacred place within one’s heart through meditation and other spiritual practices that correspond to one’s chosen path. Recognizing a divine spark within one’s heart can be enough to transform boredom and sense of emptiness to feeling of aliveness.
Boredom affects everyone, and it becomes a reason for concern when it turns to an ongoing psychological state. Boredom like any challenging emotion can become an opportunity for deep psychological work. Don’t hesitate to reach out and ask for help when boredom turns to a painful psychological state.


 

© 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.



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


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