Why insight alone doesn’t heal

The problem: insight that doesn’t change feeling Over many years of working as a psychotherapist, I have noticed a recurring moment in the consulting room. A client will pause, often with a mixture of frustration and self-doubt, and say something like: ‘I know all this already. I understand where it comes from. But it still…

Working with clients in a post-disaster context

When disaster changes the course of life, the effects are rarely contained to the moment of crisis. The visible damage is often matched by hidden struggles that surface in the days, months, or years afterwards. In my own work, I have sat alongside people who have faced devastating events, and I have seen how deeply…

Interdependence: between independence and dependence

Why interdependence is a healthy middle ground for mental and emotional wellness How often do you hear people encouraging others to be ‘independent’ and ‘self-reliant’? Maybe you’ve even been that person trying to motivate someone to ‘stand on your own two feet’ and ‘try not to lean on others’. Sentiments like this might be expressed…

Do Psychotherapists Need to Love Their Clients?

Freud is an extraordinary and greatly misunderstood individual (and mental health practitioner). Many believe we have ‘evolved’ beyond his ‘outdated’ theories and indeed, there are views and theories of his that are no longer literally relevant. However, to dismiss him on this basis is myopic and superficial in that Freud’s writing has taken us to…

Are our emotions shaped by our relationships?

This particularly influences us during infancy, childhood and adolescence. These early experiences can be activated if they have led to the development of unhelpful defenses. The lack of attunement in parental relationships can result in an infant developing an unhealthy attachment style, divorced from reality in the form of fantasy or withdrawal and detachment. This…

The Problem with Change

When people come into therapy it is usually with the wish or hope for something to change. If not, they want help with adapting or stabilising following a major change. It is a paradox that change is such a constant in our lives. As we age our bodies inevitably change and if nothing else this…

Why do ex-boarders find intimate relationships difficult?

What is the purpose of intimate relationships? This is a question I often ask couples who come to see me for couples therapy. Most cannot answer the question beyond the superficial. However, it is an important question to ponder: relationships are not easy for the most well-adjusted of us and so there has to be…

What is ‘Blocked Care’ as it applies to parenting?

The phenomenon of parental ‘blocked care’ is a term coined by Clinical Psychologists Dan Hughes and Jonathon Baylin and Psychiatrist Dan Siegal. It represents a central feature of the Dyadic Developmental Psychotherapy (DDP) approach to treating children and young people with a history of developmental trauma and attachment disruption. Neuroscience research into the areas of…

How are you going to Spend Your Emotional Currency in 2019?

Perhaps it seems odd to you to even think of emotions having an intrinsic value, isn’t it all rather cold and controlling.  However, alongside purchasing a house, a car or other valuable object our relationships will need energy and investment of time to make them work well.   So in the next twelve months, wherever you are…

How Psychotherapy Taught me to Live Life

This piece is written by a ‘fictional’ client who is a composite of three real-life clients who have shared their experience of psychotherapy with me.  Some details have been changed to ensure confidentiality, however, the thoughts feeling and experiences expressed are those of three very real clients: When I came to psychotherapy I did not…

What does Integration mean in Psychotherapy?

Psychotherapy is many things, but on a fundamental level it is about the integration of split-off parts of ourselves. This cannot be achieved without the integration of psyche and soma (body), which is the function of the mind. We need the mind of another to grow a mind and this is what happens in the relationship…

Lady Bird: a Psychotherapist’s Perspective on Key Themes

Warning – This article contains spoilers for anyone who has not seen the movie Lady Bird. A critical success, this film about a mother and daughter relationship falls into the ‘coming of age’ genre, however it is also so much more than this in considering the systemic and unconscious processes at work that make…