Posts Tagged ‘psychiatrist’
Sue was a 27-year-old, single woman who was intelligent and valued self-awareness. She came to therapy after her roommate told her that she needed therapy because she was “far too rational to be real.” She was able to see everyone’s perspective and rarely got angry. Sue had recently broken up with Clay, a boyfriend of three years after she had walked in on him having intimate relations with his secretary in his office. Sue admitted being hurt and feeling betrayed. However, she quickly was able to rationalize his infidelity by citing his difficult childhood and that the secretary was pretty. She genuinely felt sad for him because she thought he would never be able to have a monogamous relationship. I was beginning to understand why her roommate was concerned.
Physically, Sue was suffering from several different but related gastrointestinal disorders and severe tension headaches that seemed to “come out of nowhere.” When I asked if she were happy, Sue replied, “I am satisfied, but I couldn’t actually say ‘happy’.” → Read more
Mildred, a fifty-five-year-old woman, was referred for therapy after the death of her husband of 29 years. She finds herself immobilized, unable to make decisions about the slightest facet of her life. Mildred describes herself as depressed about her inability to solve problems. She is unable to leave a job she didn’t feel was challenging; undecided whether to sell her home or keep it, frustrated because she wants to change banks and doesn’t have the energy; bewildered about what to do with her old, but wonderful dog; and concerned because her children want to borrow money for a down-payment on a new home. In as much as she has always been self-sufficient, she finds the inability to make a decision or take any action debilitating to her self-confidence and lifestyle.
Mildred appears confused, lethargic, mildly depressed, and in need of some motivation to move her forward with her life. She describes herself as “helpless” because of her inability to make decisions. → Read more
Ericksonian Integrative Medical Institute of Orange County Orange, CaliforniaEstimated Reading Time: 3 minutes, 36 seconds
We are often presented with a patient who complains of what appears to be mild depression or general fatigue. Both of these terms have significant overlap, and in reality they may be difficult to distinguish. Fatigue may actually lead to depression or visa versa. About 25% of the general population will experience a symptom profile consistent with fatigue and/or depression. The symptoms can be insidious. They gradually build up into what feels like concrete blocks, impeding health, or compromising resilience. After a while these symptoms may become familiar to patients and a level of resignation may appear. “Maybe this is just who I am.”
We as healers use our tools to intervene, be it CBT, hypnosis, or other forms of psychotherapy. But try as we may, for a specific patient we may reach a ceiling (and sometimes not a good foundation) with our treatment. We all have had such a patient for which our typical interventions do not appear adequate. We discuss with the patients their motivations, tap into their environmental and social systems, or refer them for medication consultation. And yet it still feels like an uphill battle. → Read more
I am from Argentina, and my first encounter with hypnosis was watching Tusam, a stage hypnotist who swallowed glass and put a dog in trance.
I was the executive director of MRI when we added Ericksonian hypnosis to our international externship program. Dr. Eric Greenleaf became our teacher. Later, after leaving MRI, I consulted with his institute. I translated courses and trances, but I had never been in trance. Hypnosis scared me. → Read more
Frigid rain peppers hard blackened snow. You continue to season my thoughts.
When I saw her in the waiting room last March I knew the lymphoma had recurred. She’d aged. Her shrunken profile barely stirred the air as she walked into my office. Undaunted, she wanted to write more of her memoir. As a Registered Poetry Therapist, I offer healing trances through spontaneous free writing and bibliotherapy, as well as hypnosis.
I met Abby several years ago in my poetry therapy group. To continue the work she began then, we agreed to meet in my office, unless the chemotherapy was debilitating, in which case we’d met at her home. → Read more
I begin all my treatments with the question: “What would you like to change today — and why?” The client M.T. answered, “I want to quit smoking because it’s bad for me.” (I find this is a staple answer for most people who are asked the same question.) I normally follow my question with a destabilization technique. This is intended to simultaneously create an increase in motivation to the point where the clients are almost demanding to be treated. It also brings about a state of confusion during which, taken aback momentarily, clients will look for coherence anywhere and therefore accept any suggestions they can understand; a little bit like clutching at a straw.
My response to M.T. was spoken quickly so he wouldn’t have a chance to analyze my words. I said, “So what? We’re always doing things that are bad for us! We don’t exercise; we don’t eat enough fiber; we don’t drink enough water; we don’t get enough rest; we load ourselves with stress, and we can change all those things whenever we want to.” → Read more
Milton H. Erickson Institute of Western Australia
In Erickson’s work I learned about treating clients as individuals, listening to their metaphors, and utilizing their resources. I also found permission to be bold, take risks, and venture beyond the restrictions of theory. However, as I have discovered many times over, my clients are my best teachers; Pat was one.
Her physician’s referral letter said she suffered severe insomnia following hospital admission for minor surgery twelve months earlier. Pat, a middle-aged ethnic Chinese, said, “I’ve lost my soul.” Previous therapy failed to bring relief. According to her metaphor, a person’s soul leaves the body when asleep and, if not reunited, can cause both physical and emotional distress, including insomnia. → Read more
Note: Joe was not a “usual” client. Highly motivated, in therapy at exactly the right time, he believed life was good, and the therapy fit his paradigm perfectly. Even though it is not common that everything works so well, the concepts and ideas used in this case can be useful in many situations.
Joe walked into the office with a diffident yet paradoxically firm attitude. A handsome 32-year-old, he had never had a long-term relationship. He used to start out just fine, he said, but after having sex a few times, he would lose his erection half-way through. As time went on, he would lose his erection more quickly. Now he couldn’t even get one at the beginning of an encounter. Worse, he was starting to choose people who were not his type, who drank too much or had no ambition. He was sure the two problems were related.
When children paint the sun, they often draw a circle with rays coming out. You’ve all seen that; you probably did it yourself when you were young. A year or so later, a child might paint the sun partly behind clouds. Several years later, they might paint rays coming out from the clouds, but the sun is not visible — what a friend of mine calls a “God sunset.” Even subtler is to paint only the scattered reflection of sunlight on water. An accomplished artist doesn’t paint the sun at all but suggests where the sun is by painting a tree with a little more light on one side than the other, and a subtle shadow to indicate the sun’s location. I think that’s a good metaphor for implication: indicating something without ever explicitly stating it. One of my favorite quotes is: “The larger the island of knowledge, the longer the shoreline of wonder.” (Ralph W. Sockman) Knowledge and wonder are stated; the ocean of ignorance is implied.
On the first page of the first volume of Conversations with Milton H. Erickson, (in which the word “implication” appears about every third page) Jay Haley says, “I have a whole week, so I suspect I can learn all about psychotherapy in that time. I wouldn’t expect that anywhere else but here.” Erickson laughs and says, “Well, we can have our dreams.” That’s a polite way of implying, “You are wildly optimistic!” → Read more
My wife, Jennifer, is not a big traveler, but she has always wanted to go to Alaska to see the wildlife. So in the summer of 2015, we signed up with National Geographic/Lindblad and went for two wonderful weeks. Jennifer is a hospice nurse, and what makes the story interesting is that for many years if you asked her how someday, she would like to die, her answer was that she would like to be eaten by orcas—those magnificent creatures sometimes called “killer whales,” even though they are actually oceanic dolphins. She had recurring but not frightening dreams of a big orca devouring her—she had talked about it several times. And here I was, signing up to be in a two-person kayak in Alaskan waters teeming with orcas with someone who wants to be eaten alive! → Read more