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February 3, 2025 by BHP Leave a Comment

What do dreams mean?

We all dream – whether we remember them or not. And there is plenty of fascination about dreams and what they may mean, ranging from nothing at all, to being a means and method of understanding a patient’s unconscious.

In 1899, Sigmund Freud wrote The Interpretation of Dreams outlining his theory of the unconscious and describing dreams themselves as being “the royal road to the unconscious activities of the mind’. He therefore found dreams to be hugely relevant.

Is there an unconscious?

If dreams matter, they only do so if we believe in an unconscious and, by extension, unconscious process. Which is to say we believe that we are all, to a greater or lesser extent, driven by repressed ideas; thoughts and feelings that have been repressed – pushed out of consciousness – but that nonetheless make themselves known in our behaviours.

Analytical depth psychotherapy (psychoanalysis) believes and works with the patient’s unconscious. While the means and methods of doing so may have morphed and shifted over time, us analytically trained  psychotherapists believe that the unconscious holds the key to understanding a patient’s inner world.

Freud was a neuroscientist and whilst our collective understanding of the mind was limited in the late 19th century, modern neuroscience confirms that most brain processes take place without conscious awareness and that all brain regions are involved in both conscious and unconscious thought. It therefore seems irrefutable that we all have an unconscious.

Do dreams have specific meaning?

There are plenty of folk who are quick to tell us what our dreams mean based on the imagery present in them. They see the content of our dreams as containing symbolic meaning common to all of us. These are people who often do rather well from their version of ‘interpreting’ dreams, as so many of us have a fascination with dreams and wish to see them as prophetic.

Freud and all those who have trained in real psychotherapy are suspicious of this ‘one size fits all’ approach and recognise instead that whilst dreams are symbolic in nature, the symbolism is tightly connected to the individual, and their circumstances, experiences and personality.

When working as an analyst, Freud used a method called ‘free association’ to gain an understanding of the patient’s unconscious mind, including what their dreams may mean. Rather than imposing his own view on what their dreams meant, he would instead ask a patient to share whatever associations came to mind in relation to their dreams, and from this suggest what they might mean. His approach was therefore collaborative.

What is manifest and latent content?

In depth therapy we do not take the presented content – the manifest content – literally. We see it as being coded content from the unconscious, which we refer to as latent content. The unconscious both wants and does not want to be known. It is where memories and experiences that are too painful or contradictory for the psyche are buried – repressed. And yet, repression is never perfect, and so at the same time the unconscious expresses the needs linked to this repressed material through behaviours and through dreams.

How can we know what dreams mean?

Anyone who tries to convince you that they know what your dream means based purely on the content is a charlatan. Human beings are far too complex for this and understanding a dream can only be done in understanding a person’s history and experiences, and in the context of a relationship.

Even when a psychotherapist knows you well, I would hope that they would not suggest that a dream has certain meaning without asking you what you make of it, and your associations with the symbolism. A dream can have multiple meanings and many only become clear over time.

All this said, dreams can be both hugely interesting for both the patient and analyst, in gaining deeper insight into what has been repressed and is seeking expression.

 

Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex. He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.

 

Further reading by Mark Vahrmeyer –

Is starting psychotherapy a good New Year’s resolution?

Twixtmas – surviving that dreaded time between Christmas and New Year

How to minimise Christmas stress if you are hosting

How do you get self esteem?

Why is psychotherapy generally weekly?

Filed Under: Mark Vahrmeyer, Mental health, Sleep Tagged With: dreams, Mental Health, sleep

August 15, 2022 by BHP Leave a Comment

How to Improve Mental Health

Mental health is constantly in the news and not a day goes by without an article, blog post or news piece on the topic.

The great contradiction is that whilst we know more about mental health now and how to manage it, the busy, chaotic and plugged-in world we live in does little to help our mental health. Nor is it often that clear what exactly is meant by the term ‘mental health’.

Mental health is a ‘catch-all’ phrase that encompasses our emotional, psychological and social wellbeing. It therefore includes our mind, our emotional system and our social world. It stands to reason that good mental health means attending to all three, but I would argue that there is a fourth – the body – which is intrinsically connected to good mental health.

When people refer to their mental health, what are they really saying?

As I write this article, the media will have us believe that mental health is currently under crisis in the UK. Waiting times to see a mental health practitioner are at an all time high, people are increasingly struggling to cope with high stress levels and many folks remain isolated or fearful for social contact following the numerous and lengthy Covid lockdowns.

Poor mental health can manifest in a range of symptoms from low level depression and anxiety through to diagnosable psychiatric illnesses. For most people concerned about their mental health, the latter is fortunately not very common and therefore we can think about how you can take responsibility for improving your mental health.

Steps you can take

Sleep is crucial to good mental health and it is no coincidence that many of us struggle with poor sleep which ever time can have a very detrimental impact on our mental health (as well as our physical health).

Establish a sleep routine and stick to it – going to bed at a set time and avoiding stimulants such as caffeine before bed can be very helpful. Another stimulant that you would do well to avoid is watching the news prior to bed – whilst informative, the news impacts significantly on our nervous system and can leave us feeling ‘activated’ exactly when we need to get to sleep.

Exercise is good for the body, but also the mind. Many folks are put off exercise as they see it as something that involves strenuous exercise in a gym, however, this need not be the case.

Exercise does not need to cost anything and can be a way of combining being in nature with moving the body. A brisk walk or sea swim (in the midst of this heatwave) are both good forms of exercise.

Eating sensibly is another activity associated with physical health but which can also have a significant impact on our mental wellbeing. Stimulants such as coffee and sugar impact on moods and with this can in turn impact on sleep patterns, so be aware of when you consume stimulants and avoid eating anything late into the evening.

Socialising is not only enjoyable but is also good for our mental health. Human beings are relational, meaning that we are born into relationship and require relationship(s) to develop. Even when we are alone, in a psychological sense we are in relationship to someone – we call this an internal object – and constitutes how we hold ourselves in mind and make the ‘best’ choices for ourselves.

The mind body connection

All of our emotions stem from the body. They start as sensations and we then notice them and group them into emotions; feelings are the words we use to describe emotions.

Each feeling, or set of emotions, has its own somatic (body) blueprint, which means to say that each feeling is made up of a unique set of sensations in the body. For example, anger, whilst ‘feeling’ different for everyone has the in-common body sensations of tight stomach, tight jaw, clenched or tightened fists and a narrowing of the eyes. Conversely, joy, is felt in the body as an openness and moving towards something or someone. Joy tends to bring a smile to our face and it is as if our whole body opens to receive more of what we are enjoying.

Everyone has a different shaped and sized body and everyone has a body that can perform different tasks depending on fitness, ability, age and (dis)ability. However, unless a person has a ‘good enough’ relationship with their body, it is simply not possible to have good mental health.

Hence why the body must be included in psychotherapy and feelings stemming from the body attended to.

Practicing gratitude towards your body for what it can do and how it looks after you, getting curious about what your body needs and wants and treating your body with respect, are all significant pathways to good mental health.

Talk to someone

When things get too much it can be good to talk and whilst a social and support network is important, some things need to be thought about with a mental health professional such as a psychotherapist.

A psychotherapist is someone who has trained at postgraduate level for a minimum of four years and undergone their own journey of analysis or psychotherapy throughout their training and ideally well beyond. In the UK, psychotherapists are registered with the UKCP who hold a directory of qualified clinicians or you can search for one using the search function on our own website.

People generally enter in psychotherapy because of a crisis of some sort in their life, however, they tend to stay because they find the therapeutic relationship so invaluable in not only improving their mental health but in developing an appetite for their lives. As Freud said, psychotherapy (analysis) begins after the crisis has passed.

 

Mark Vahrmeyer, UKCP Registered, BHP Co-founder is an integrative psychotherapist with a wide range of clinical experience from both the public and private sectors. He currently sees both individuals and couples, primarily for ongoing psychotherapy.  Mark is available at the Lewes and Brighton & Hove Practices.

 

Further reading by Mark Vahrmeyer – 

How do I find the right psychotherapist?

Why do people get the birthday blues?

Is happiness the opposite of depression?

Are people with mental health problems violent?

Mental health problems in Brighton

Filed Under: Mark Vahrmeyer, Mental health, Psychotherapy Tagged With: Mental Health, Psychotherapy, sleep

August 31, 2020 by BHP Leave a Comment

Sleep and Mental Health

We all need sleep, and it is a natural part of our life. On average, most adults need around 8 hours of sleep per night although this can vary from person to person. While no one is entirely sure why we need to sleep, we do know that it is significant for brain development, and maintains normal levels of cognitive skills such as memory, speech and flexible thinking. Indeed, if have as little as 15 minutes less than our normal level of sleep this can have measurable effects on our cognitive functioning.

While sleep is a very natural and important part of our lives, many people can struggle with sleep and this can have a serious impact on their mental health. A lack of sleep can lead to daytime tiredness and this lowers our resilience and ability to cope with everyday life. This, in turn, can lead to a lowering of self-esteem and we can start to feel more worried or stressed about life. This leads to more difficulties getting to sleep or staying asleep and the cycle continues. When we have problems sleeping, we are more likely to feel irritable, anxious or depressed. In more extreme cases, it can lead to psychosis or paranoia.

There are many types of sleep disturbances – difficulties getting to sleep, difficulties staying asleep, night-time panic attacks, waking up too early etc. To the opposite of these can also be sleeping too much which might be the case with someone who is depressed. There are also sleep disorders such as Narcolepsy or Sleep Apnoea which can have a significant effect on sleep and physical health. If you think you have a sleep disorder, it is important to get this checked out by your GP.

So what can we do if we can’t sleep?

There are some obvious and easy changes that we can make to help our sleep habits:

  • Establish a sleep routine – going to be at the same time every night and waking up at the same time. Setting a habit can help your body get into a routine and make sleep come easier.
  • Make your bedroom a relaxing environment, and if you can, only use your bedroom for sleep and not for watching movies or working.
  • Establish a bedtime routine that allows you to wind down gently.
  • Avoid any caffeine before bedtime, and of course avoid electronic devices an hour or so before bedtime – so switch that mobile phone off!
  • Get regular exercise, but try not to exercise just before bedtime.

If you find you are waking up in the night and unable to sleep try not to worry about it. Laying in bed worrying about not sleeping and how you will function the next day can be torturous. It is better to get out of bed and if you have lots of thoughts, then write these down until your mind is a bit clearer. You could also read for a while to help you relax a little more, and keep a compassionate focus on yourself – getting annoyed with yourself for not sleeping will only make it worse!

Of course, if your sleep problems persist, you should consult your GP as they may be able to offer some medical help. You could also consider psychotherapy if you are finding that worries, stress and anxiety is keeping you awake.

During these challenging times that we are all in, it is vital to get a good night’s sleep, so look after your night-time routine so you are better equipped to face the days ahead.

 

Dr Simon Cassar is an integrative existential therapist, trained in Person-Centred Therapy, Psychodynamic Therapy, Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), and Existential Psychotherapy. He is available in our Hove and Lewes clinics and also works online.

 

Further reading by Dr Simon Cassar

Spirituality and mental health

Living with borderline personality disorder

Online Therapy

Student mental health – how to stay healthy at university

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Filed Under: Brighton and Hove Psychotherapy Tagged With: anxiety, sleep, stress

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