Waiting Room Therapy III


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“You’re back. It’s been a while.”

“I was scheduled to come with my husband. I told him I cancelled and came alone.”

“You got married!”

“It’s not that exciting, you know.”

“Well, I was wondering when it would happen for you.”

“Gee, thanks!”

“Do I smell trouble already?”

“No. Everything is wonderful. Why, can’t I come to therapy alone? I give him everything else.”

“Hmm. Yeah. OK.”

“Fine. I am just…grieving.”

“You are always griving.”

“It’s not my fault I get attached to people. It’s just my nature.”

“You have choice. There would be no sense of loss without a sense of ownership.”

“Sounds like you know the feeling.”

“If I can quit drinking, you can quit anyone.”

“I know. I have done it a million times.”

 

 


Attachment Styles in Adult Relationships


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Reading about attachment styles and therapy today and pondering on a few things. There are 4 main types of attachment styles: secure, anxious/preoccupied/resistant, avoidant and disorganized. 

I find the Strange Situation experiment fascinating. Especially if you apply it to your adult relationships. It goes like this:

The infant is left alone with a stranger while the primary caregiver/attachment figure leaves the room. The the attachment figure returns. The infant’s behavior is observed. Three main patterns emerged from this experiment:

The securely attached infant becomes distressed by being with a stranger and being left, however when the parent returns they are able to soothe, re-establish the bond and move on exploring their environment without much fuss.

The anxious/resistant infant vacillates between being needy and angry towards the attachment figure for leaving. They have a hard time being soothed and moving on to exploring the environment independently.

The avoidant infant seems unfazed by the separation and appears equally indifferent to the parent returning. However, the emotional distress he/she is under is equal to the anxious infant except they don’t show it.

Got it?

Good.

Now think about your current or last relationship.

What is your attachment style to them?

Is it different with different people?

Why?

And most importantly, how do you reestablish the attachment bond after a separation, may that be minor or seemingly insignificant? How does it effect your communication?

Research shows that people who are securely attached benefit significantly more from therapy which is interesting since, in therapy, we see more people with insecure attachment styles. That’s WHY they are in therapy to begin with!

As I keep thinking about this topic, I revisit my own childhood and am painfully awakened to the realization of a significant break in attachment to my main parental figures which explains a lot of my issues I have encountered in relationships as an adult. We often think of abuse or trauma during significant attachment periods (0-3 years) in extreme terms (like sexual, physical abuse), however as it turns out, even being sent away to your grandparents for a while may have a significant effect.

The good news is, your attachment style changes over time through secure/safe attachment figures into adulthood.

The question is…

What kind of attachment(s) are YOU choosing for yourself? 


Waiting Room Therapy II


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“So you go to therapy too huh?”

“Nah. I used to. I’m just waiting for my friend. What brings you here?”

“Relationships.”

“Do tell.”

“Well, I’m closed off to them. I don’t think I’m good enough so I don’t even put my self out there. I’m 38 and I get lonely, you know? I want someone to share my life with, go to the movies with, cuddle with on a rainy night like this…instead I’m here talking to a complete stranger about how I can’t connect to another human being. It’s sad really.”

‘But you want to.”

“What to connect? Boy do I!! I’m just not sure I can anymore. It’s like someone has broken in and stolen my human connection device, leaving me robbed and helpless. You ever feel that way?”

“Not really. I am a master in connection, I open up like a flower in bloom. I attach like glue, I’m like a magnet when I find someone I like, I go where they go, whether they feel me or not, whether they notice me or not, even at a distance, they move I move. It’s sick…Or used to be. I’m not like that anymore.”

“What happened?”

“I’m not sure. But I think I finally found someone who actually gives a shit about me. Which means no more chasing, adjusting, adapting, pretending to be someone I’m not, sacrificing, hiding. You know, there were others before, who claimed to care but I know they didn’t. They either didn’t have a clue about who I really was or they were too busy focusing on themselves and their selfish needs to really give a fuck about me. It’s a sad realization to think I have wasted the past 8 years invested in people who were at the least invested in me. Funny thing is, now that I’m with someone who really cares, I’m not quite sure what to do with it. I find myself wanting to break it off, sabotage, you know? But I don’t have the heart to do it. I know this is my last chance at not ending up alone. I hope for my sake I don’t blow it.”

“What’s wrong with being alone? I have for the past 2 years and it’s been great. I can do whatever I want, sleep with whomever I choose, not have to respond to anyone or take their wishes into consideration. It’s just me and my needs. It’s great!”

“Yeah, so great you ended up in therapy!”

Sigh

“It’s OK. You know what I think? I think you should find someone who is OK with your independence, who doesn’t bug you 24/7 or pressure you to be someone you are not. Someone who understands that you are your own person, with a free will and a free spirit. Those are rare, you know women who don’t take shit personally? But they are out there, if you are OK with them being as independent as you are.”

“I’m not jealous at all. I swear sometimes I wish I was. It’s like that’s the standard for caring, if you’re not jealous then you don’t care. Which makes people pissed off at you. And I hate when someone is pissed off at me. I find it my duty to fix it for them. I’m rarely successful.”

“I’ts called boundaries. You are NOT responsible for other people’s feelings. Only for yourself. You can’t fix others. Nor can you make them understand. You just have to focus on you and be the happiest, best person you can be. And hope one day someone will come along who really appreciates all your hard work. Someone who really gives a shit. Just hope you are wise enough by then to take it all in and not screw it up with your bitterness and cynicism.”

“I do have hope. And even though I’m bitter I try not to show it. What can I say, I am a work in progress.”

“Aren’t we all?”

 

 


10 Relationship Skills I Wish I Was Taught.


Skills

No one teaches you about these skills when you are young. You are just supposed to meet someone, like them, be attracted to them, even fall in love with them. The rest is supposed to work itself out. Until it doesn’t. Often you don’t learn about these skills until it’s too late. But once you learn how important they are, you just want to share.

1. Empathy.  Empathy means you can put yourself in someone else’s shoes and imagine what it must feel like to be there. Especially when you disagree or when you can’t relate to them. Try to put yourself in their shoes. Familiarize yourself with their world. Ask questions, be curious, leave your judgement and Ego aside and embark on a journey even knowing sometimes that what you might find is painful or unpleasant. Empathy is essential to creating a safe relationship. It may not be a happy one but you can’t get to happy without going through safety first. Empathy is definitely a skill you and your partner can learn. You don’t have to date a therapist to get empathy from your partner, but it helps if he/she is not self-involved, egocentric, incapable or unwilling to extend themselves in a compassionate, attentive way.

2. Listen. Develop listening skills. Don’t interrupt. Be patient. Listening means shutting up. Let your partner talk without feeling pressured or ignored. Be involved. Listening is active not passive. It involves paying attention, remembering, organizing thoughts and being open-minded all at the same time.

3. Be positive. It’s a harsh world out there. We get criticism from our bosses, parents, co-workers and even friends. Most importantly we get criticism from ourselves. We don’t need to bring more criticism home. We can choose to focus on what’s working, on what our partner is good at, what they can do well, what they excel in. We can choose to point out their best attributes, their wisdom, their strength, their greatness, their awesomeness. It’s there if you choose to focus on it and make it known to them and the world. Make it known you are proud to be on his/her side, thank them for existing, for being them and for all the little acts of kindness towards you and others. Praise them for their successes and turn their failures in a positive opportunity for learning and growth. Be their cheerleader. Lift them up. Be grateful for them.

4. Don’t take it personally. When he chooses to watch the game with his buddies instead of hanging out with you, when she says she’s too tired to have sex, when he is too distracted or stressed by work, when he forgets about something you planned or when she doesn’t like to hold your hand in public. Even when your partner cheats on you, it’s not personal. Shit happens. We are only human, we make mistakes. It’s not a reflection on you. It may not be about you at all. Our partners are individual human beings with an independent will and identity and they make mistakes. Learn to hold on to yourself and be unruffled in your self-confidence and trust of yourself and others. This can be a difficult concept to grasp or practice but not impossible.

5. Turn toward. When your partner shares something that is important to them, pay attention. Turn toward them physically, mentally, emotionally. Pay. Attention. This doesn’t mean you agree with them or even understand why it is important. Still, you turn toward them. If you don’t, if you turn away from what’s important to them, the opportunity may never present itself again. Next time they think about sharing with you, they will remember what it felt like to be ignored or shunned or criticized or even mocked for it and they will shut down and shut you out.  When you realize you have turned away unintentionally, correct as soon as possible. Apologize and then turn toward them. Pay attention to what’s important to your partner even if you consider it to be minor, irrelevant, stupid, non-nonsensical. Know that when your partner bids for your attention (as Gottman puts it), they are looking for validation, approval, acceptance, love.

6. Team work. When your partner bitches about his/her boss, co-worker, friends, parents, the whole world, be prepared to take their side. Show them you are on their team. Show them you are loyal to them and stand by them even if you disagree with their actions, thoughts, feelings and beliefs. Be on their side because if they are in the wrong, deep down they know it. They don’t need you to point it out. Even if they don’t know they are wrong they will only get to that realization if they know you support them. There is nothing worse than feeling alone in a relationship. We want to be with a significant other because we don’t want to face the world alone. Don’t turn against him/her. Your partner does not need a mother or a father. He/she already has one in their own head. And that’s more than enough. Take his/her side and treat them with respect, dignity, trust and confidence that they can handle their shit.

7. Radical Acceptance. As much as it may feel that way sometimes, your partner is not an extension of you. Let go of your need to control. Letting go is a very important skill for peace, sanity and joy. What is needed is called radical acceptance: fully accepting the things you can’t control. Get honest with yourself about who your partner is and be prepared to fully accept them for who they are. They may learn new skills and even change significantly because you came into their life. But some things will never change. Accept it.

8. Ask for what you need/want. Don’t assume your partner knows what you want or need. They can’t read you mind. Learn to figure out what it is exactly you need or want and be able to articulate that assertively. Don’t expect them to know and then get pissed when they don’t give you what you expect. Take responsibility for your avoidance and lack of communication.

9. Diversify. This will sound weird but your partner is not enough. You can not meet all your needs through one relationship. You can not put all the weight of your happiness on one relationship and then expect not to be frustrated or disappointed. Don’t get me wrong, I’m not saying you should have affairs. But lets be honest, most emotional affairs start because someone is unhappy and someone needs a friend. They say it takes a village to raise a child. Well I say it takes a village to maintain a happy relationship. You need friends, co-workers, family, neighbors, community, meaningful and fulfilling work, hobbies, etc etc.

10. Patience. At one point or another you’re going to get frustrated with your significant other. It will feel like they are moving waaaayyyy slower than you would want them to and you don’t understand why they can’t do what you need them to do. You are going to wonder if they really care about you and even question whether you should continue to be in this relationship. What you need is patience and lots of it. Everyone goes through their own process of change and growing up. You can’t rush things. And you can’t place a timeline on someone’s growth.


System Failure.


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I read a blog today on PsychCentral.com on a book titled “The Happiness Choice: The Five Decisions that Take You From Where You Are to Where You Want to Be” by Marilyn Tam. It states:

“There are five decisions we make every day to bring us either more happiness: what we choose to do with, and how we treat our:

  1. Body
  2. Relationships
  3. Money
  4. Spiritual life
  5. Community”

It got me thinking.

I haven’t written in a while. Partly because I have felt uninspired. Not sure why, couldn’t put my finger on it. Until today. The truth is, I love what I do but I have been acutely aware of my limitations lately. You see, we (meaning therapists) like to believe that everything is up to the individual. “You can accomplish anything you put your mind to it” we say and many of us believe it. Generally I would agree.

But what happens when your body, money, relationships, community, etc are largely out of your control? When we talk about individual decisions, are we assuming that problems in each area automatically mean there is something wrong with the individual? Are we carelessly insinuating that unhappy people are inherently broken?

What is the payoff AND cost of such individualistic, narrow-minded, pathologizing point of view?

The pay off is easy to see. It allows us to avoid the heavy burden of thinking about and addressing individual issues systemically. It’s too overwhelming to think about community as everyone’s responsibility. I have met so many perfectly normal, well-adjusted young people who are severely isolated because of the state of our individualistic, extrovert-focused, technology-driven culture. And they all think they are broken.

What happens when your body aches, is malnourished, stagnant, or just simply ignored? Sometimes we do it to ourselves. And we have no one else to blame. But often, the body is simply a powerless victim of our food culture, ignorance, inadequate healthcare, accidents, sedentary work/life environments, etc.

Sometimes seemingly wise money decisions conflict with relationship decisions, or decisions about community and spirituality. What is the impact of financial issues on relationships?

Is it easier to define addiction as an individual problem and avoid the context in which it develops? Is it really surprising that we are largely addicted to prescription pain pills? Our doctors are legal drug dealers who have no consequences for their decisions.  Is sex addiction really just an individual issue? Separate from the technological advances it feeds on and the current state of the marriage institution?

And don’t even get me started on the issue of spirituality!

The cost of blaming individuals for system failures is high. It makes people feel broken. And that is a horrible way to feel.

I’m not saying you are powerless and you can’t make decisions about your body, relationships, money, spirituality and community. You can and you should. In fact, given the right support and guidance you can make incredible changes and dramatically improve your life. I am a witness to this everyday. But I strongly believe that things don’t happen in vacuum. I believe that everything effects everything and we are all connected.

You are not more broken than the system is. Sometimes you can’t change the context in which your problem developed. Sometimes you can. And when you can, you should. I recently found myself coming to the conclusion that advocating for introverts is as important as trying to teach them “social skills”.  Making sense of your reality in all its complexity is sometimes the most important step to change. Acceptance is easiest to achieve when you have knowledge, understanding and empathy.

Sometimes therapy can’t change your reality but it will help you come to a gentle acceptance. You have all the wisdom and the strength you need. But it helps to not be alone.


Let’s Talk About Sex.


The most interesting question I have ever asked in couples therapy is “How is your sex life?” Even if the couple never mentioned problems with their intimacy, the responses I get almost always make me say “Hmm. Let’s talk about this.”

We don’t talk about sex. Not freely anyway. We were taught as kids that sex is taboo, prohibited, sometimes dirty and bad. “Good” girls are often not supposed to enjoy sex. If they do they are “bad” girls. Men identify with their penises, their size, performance, endurance, and so on. The penis is not just a penis . It’s one’s manhood. Vaginas often propel men to a pathetic, ridiculous, adolescent state of silliness. Have you ever seen a man beg for sex? Sex is very powerful yet we don’t talk about it. But sex is the worst kept secret. Couples know this better than I do.

Maybe if we talked about sex the same way we go about talking about current events, we would realize that sex is as normal as thirst. Enjoying sex is as normal as enjoying a great meal (illegal sexual behaviors like rape or pedophilia excluded). The fact that meals come with less guilt, more communication, collaboration and sharing is purely a moral issue. For instance, when we are young we learn women have vaginas and men have penises but no one talks about women’s sexual epicenter, the clitoris. The clitoris is invisible. How many women have been acquainted with their own clitoris? All men can pick themselves out of a line up, no question. But how many women know what their clitoris and vagina looks like?

Why is talking about sex uncomfortable? We all have sex, we just don’t talk about it. And how does not talking about it affect a relationship? Which brings me to what I really want to talk about. Sex addiction.This phrase is thrown around the internet a lot but what does it really mean? I don’t believe sex addiction exists. Maybe we can talk about compulsive sexual behaviors but even then how much say masturbating is too much? Who decides that? How many partners make you a slut? When men can’t seem to stop cheating, why do we say they have an addiction problem and send them to rehab? Who diagnosed Tiger Woods as sex addict? It must have been the media given that an official sex addiction diagnosis does not exist. Don’t get me wrong. I think often people feel out of control when it comes to their sexual choices. Clients will tell me that engaging in sexual relations with other women via internet, sex chat, phone sex or in person has had devastating consequences for their relationships, finances, self-esteem, etc. But problematic behavior is not necessarily addiction. The reason why it’s important to focus on the behavior and avoid labeling is that “sex addict” more often than not means pervert. And when we label people we move away from their complexity. When we label people as sex addicts we inherently pathologise a very normal, healthy and important aspect of human experience: sex.

If sex addition is a a pathology, a problem, then what does recovery entail? With drug addiction, abstinence from drugs is the first step and also the ultimate goal. If we employ the same principals, does recovery from sex addiction means abstinence from sex? I don’t know about you, but I have a problem with that. I suggest that instead of getting caught up in labels, we have to explore problematic behavior for what it is. A behavior. That can be changed. Sex is not to be taken lightly. Sex is emotional and psychological. It’s complex and spills over many areas of one’s life and relationships. Lets talk about it. Let’s explore how to have healthier, happier sex. Let’s have the difficult conversations about intimacy, pleasing each other and ourselves, communication, fantasy. Let’s talk about what cheating does to trust, emotional safety and self-esteem. Cheating is not an individual problem. It is a relationship problem. Compulsive sexual behaviors are often not an addiction problem. They are a life problem. They are a way to deal with life, relationship problems, mental illness, even childhood wounding. They are expressions of a selfish Ego that wants what it wants and gives itself permission to go against the rules. Or have none.

Culturally, American women take cheating personally. When cheated on an American woman asks “What did I do wrong?”. A European woman asks instead “Are we OK?” Your upbringing, religion, family background will also define how you perceive cheating or other sexual behaviors. How does this fit in today’s sex addiction treatment? The problem is, it doesn’t. And that’s not helping anyone.


How To Approach Realtionships Like a Job Interview.


I’m back in therapy. After 4 years of doing relatively well, I felt I had come to a point where I needed to explore some patterns that keep creeping up in my life. Patterns are telling. Pay attention to them. They are desperately trying to tell you something about yourself.

My therapist gave me an assignment. I can’t believe I have never done this before. A list of non-negotiable and negotiable characteristics I would like to see in a partner. This was to be completely separate from actual relationships, past or present. Purely focused on me. Relationships are a very important aspect of one’s life. So why is it that we typically do not go about them in a systematic way? The same way we go about finding a job or buying a house or grocery shopping? We often base relationships on how they FEEL in the beginning, and go with the flow without thinking about things too much.

I have to confess. I have a tendency to be impulsive. I have done things in the past purely based on how they feel. I also thought I wasn’t very clear about what I wanted since I change my mind a lot but as I set down for this assignment things were clearer to me than they have ever been. Truthfully, these thoughts have been dominating my wants and needs historically. I just never wrote them down. Of course, they are subject to change. We are subject to change. Relationships also change with time. But I had to focus on the here-and-now.

Here’s my list.

Not negotiable                                                                                   

Independent (work/career)

Emotionally independent/not needy

Safe (emotionally – I can be myself)

Reliable/trustworthy

Experience seeker/traveler

Smart

Secure/healthy self-esteem

Good sense of humor

Affectionate/loving/caring

Generous

Preferences/Negotiable

Outdoorsy/adventurous

Non-traditional (beliefs)/quirky

A good sense of style

Good cook

Into movies/music/art/photography (similar interests)

Spontaneous

Happy/playful

Good listener

 

I don’t think my list is unreasonable. Also because I am able to offer pretty much everything I’m asking for.

So whether you’re in a relationship or not, what’s your list?