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“I’m interested in therapy but isn’t it a bit self-indulgent?”

Some of the people I see exploring whether to begin therapy, often express doubts as to whether their troubles are significant enough. I often hear the refrain – “nothing that bad has happened to me, maybe I’m just being self-indulgent, or isn’t this all a bit naval gazing?.” 

I think simplified, what the client is really saying is; “Am I justified in feeling this pain and am I worthy of this attention ? ” 

This blog will look at how therapy can help us incorporate our painful experiences as part of a fuller engagement with ourselves, the people in our lives (our relationships) and as a different approach to living

The Psychoanalyst Melanie Klein who was interested in early development, theorised that a key early and ongoing development task is the sad but necessary realisation that others are different and separate from us, with their own needs rather than as extensions of our own. This confronts us with the loss of what we hope and want the other person to be, but if we are able to face and mourn this loss, we can move onto to a more realistic and more liveable life. When the disappointments by the other are too great, or conversely, the other attempts to be everything for us, this task is all the harder. 

Voltaire, the French philosopher and writer, in his novel ‘Candide’, tells the story of a group of travellers who have suffered various trials and tribulations. On hearing of a murder at the Ottoman court they pass an old man peacefully tending his garden. They ask the old man about the trouble at the court and he replies that he doesn’t know anything about it, since he doesn’t keep up with the affairs there. Rather he tends calmly to his own small holding. Voltaire used this example to put forward the idea that in order to live a ‘good life’, we should not overly concern ourselves with worldly affairs, but find a task we can attend to, that leaves us satisfied but tired at the end of the day. 

In my therapy practice I relate to this, not in the sense that we should ignore politics or activism, I think these are important, but in the sense that I regularly experience how clients want to engage me in their ‘rages against the machine’, with different viewpoints and perspectives.  What I often find is that, smuggled into these arguments are parts of themselves they find difficult, or are unable, to face: the bad one is the other one over there – and if only they thought like me, the world would be fine. 

What often lies behind these projections, are painful feelings of despair, hopelessness, insecurities, personal failure, upset, grief, rejection and so on. 

I try to carefully and tactfully sense what is behind these things, and the defenses or shames against feeling them, and try to create a safe enough space where these grievances and pains can be heard, allowing air to the wounds. Allowing, over time, a sad but realistic acceptance of the wounds, limits and realities of ourselves and perhaps the human condition. Rather then than therapy being self indulgent, perhaps it is one the best things we can do for the world, by trying to understand ourselves so that we don’t project our own hurts and conflicts outwards. This is why in therapy I will always be thinking about, and trying to help you understand what is happening inside of yourself, using myself as an instrument to understand what is happening between us, utilising the self awareness I’ve gained through my own work on myself, to help you understand and accept yourself more fully. 

In his book, Voltaire argues that the melancholic position is the only one from which we – any of us who have suffered disappointments, broken hearts, loss, (all adults that I know) – can ever truly live. He contests that we cannot escape suffering, since to some degree, the world is a brutal and cruel place to live. Perhaps rather than getting lost in despair or raging about this, what we can do, is to cultivate our inner worlds, pulling up the weeds, planting, feeling, exploring. Not trying to rid ourselves of the pain or anxieties of life, or the world, but to learn – as sad as it is – to try and accept that these are part of the human condition. That after we have loved and lost, battled our own minds, tried to find the magical other, and failed, that perhaps the best way forward is to attend modestly and honestly to our own human natures, to its wild thorny ways, to our own sometimes unkind and cruel ways, and to do our best to be honest about these, rather than defend against them, driving them underground. To cultivate what we can, humility, acceptance, forgiveness and grace. Like tending a garden, the work is never complete.

 

To enquire about psychotherapy sessions with Paul Savage, please contact him here, or to view our full clinical team, please click here.

Paul Salvage is a Psychodynamic Psychotherapist trained to work with adolescents from 16-25 and adults across a wide range of specialisms including depression, anxiety, family issues, self awareness and relationship difficulties. He currently works with individuals in our private practice in Hove.

 

Further reading by Paul Salvage –

Compassionate Curiosity and the fundamental rule of psychoanalysis

Why there’s nothing as infuriating as Anger Management

What makes Psychotherapy Different?

What’s wrong with good advice?

Psychiatry, Psychology and Psychodynamic Psychotherapy 

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Out of sight, out of mind

Available entertainment over the recent end of year break included the chance to laugh at the prospect of us all being killed. The climate crisis satire, ‘Don’t Look Up’ presented a mirror of our times, with scientists struggling to communicate imminent planetary annihilation by comet to a disbelieving public.

This new year sees the 60th anniversary of Rachel Carson’s landmark environmental work, Silent Spring. Her ‘fable for tomorrow’ begins with a stark picture of a rural American town that has died, its people taken ill, its farm animals barren, its insect life no more and all birdsong silenced. Recognizing the widespread harm caused by indiscriminate use of highly toxic insecticides, her book inspired an emerging environmental protest movement, leading to stricter regulation and a new awareness of how human activity was damaging the natural world.

Separated by sixty years of change, what strikes me most about both these works of warning is they seek to call attention to signals in the environment others have missed – or simply cannot see – and each insists these signals have meanings, with implications for the need to take action for purposeful change.

Not seeing the bigger things

In the same decade that Carson was warning of environmental collapse, a pioneering psychiatrist turned her attention to another neglected area of human experience. Conducting over two hundred interviews with dying hospital patients, Elizabeth Kübler-Ross gave moving shape to their stories with a new theory of how we cope with loss.

In her equally ground breaking publication, On Death And Dying, she proposed five separate stages of coping: denial, anger, bargaining, depression and acceptance. Although later critiqued for proposing a linear ‘stage’ process to change, her assertion that our primary response to loss is ‘denial’ holds truest for me.

Although now commonplace to hear talk of someone being ‘in denial’, this can often sound critical, as though there were something dysfunctional about this deeply human response.

For Kübler-Ross the denial she encountered in her patient interviews struck her as a ‘healthy way of dealing with the uncomfortable and painful’.

I think our human propensity for denial is testament to our powerful capacity to use our brilliant imaginations for self-protection. When faced with the intolerable, we unconsciously block out what threatens our fundamental sense of security.

Not seeing the smaller things

Because denial has acquired this shade of critical meaning, I find a more psychotherapeutic term, the process of ‘discounting’, much more helpful to use.

This theory emerged from a school of thinking in Transactional Analysis in the 1970s, when it was recognised that patients struggling to manage their lives and relationships had one big thing in common: they each engaged in ‘discounting’, whereby their thoughts and behaviours were often based on being plainly unaware of significant aspects of themselves, other people or wider reality.

Just as we can deny our larger reality in a life crisis I believe that an unconscious unawareness of smaller things is part of our day to day human experience. We all regularly discount some aspect of ourselves, of others and the world, simply in order to live in the best way we can. And as our denial must eventually give way to our awareness for change and growth to happen, so must our discounting.

The uses of psychotherapy

Psychotherapy often involves the paradoxical question, ‘What is it, that at some level, I am unconsciously choosing not to notice, and why?’ I see the process of psychotherapy as a sustained collaborative inquiry between therapist and client, so that clients can move at their own pace from self-protective discounting to self-expanding awareness.

In Carson’s fictional doomed American town, her explanation for the crisis is, ‘The people had done it themselves’. And just as her work helped many people to become aware of what they were not seeing and begin to account for healthier ways of relating to nature, so the business of psychotherapy can liberate individuals.

It can do this through carefully exploring their beliefs, feelings and behaviours in order to increase awareness of other ways of being and discover new options for change. In this way, psychotherapy at its most effective helps people, in the only way possible, to do it for themselves.

 

To enquire about psychotherapy sessions with Chris Horton, please contact him here, or to view our full clinical team, please click here.

Chris Horton is a registered member of the British Association for Counselling & Psychotherapy (BACP) and a psychotherapeutic counsellor with experience in a diverse range of occupational settings. He works with individuals (young people/adults) in private practice.  He is available at our Lewes and Brighton & Hove Practice.

 

Other reading:
Carson, R. (1962) Silent Spring Houghton Mifflin Co. Inc
Kübler-Ross E. (1969) On Death and Dying Routledge

 

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Save? Edit? Delete?

In 2002 an Australian journalist coined the term ‘selfie’. June 2007 saw the launch of iPhone and by 2013 the word ‘selfie’ was chosen by the Oxford English Dictionary as the ‘Word Of The Year’. Never as individuals have we been more likely to have a picture taken as we are now. An awareness of how we look, other than what we see in the mirror, is part of our lived experience.

Technology allows us to edit, manipulate or delete images, as we choose. What we don’t like can be edited out, what we can’t bear can simply be deleted. We can edit our selves to a degree that subverts reality.

The selfie could be seen as an expression of a narcissistic, self absorbed, society in which the individual and their image becomes overly important. The selfie could also be a reaction against societal expectations and ideals and a means of expressing individuality. Through a picture one can imagine themselves to be all the things that they might feel that they are, or aren’t.

Which side of the debate you find yourself on we can’t avoid this idea that there is a good, idealized image of ourselves which is sought, and a bad, devalued, version which can end up deleted.

When we speak of idealization and devaluation we’re looking at ways of coping with unbearable feelings. Taking, editing and sharing the perfect picture projects our idealized sense of who we are to the world. It helps us to defend against those feelings which come when confronted by an image that shows a version of ourselves that we find hard to see.

This ‘split’ into either good or bad, idealized and devalued as seen through the relationship to pictures may be revealing unconscious feelings around our sense of who we are. Can we bear to hold onto the images of oneself as ‘less than perfect’?

Thinking about this spilt therapeutically it invites an exploration as to what the client makes of their rejection of some and celebration of other images. Can we help them to recognise these splits and to consider what they might be an expression of? The aim of this is to help the individual to integrate both the idealized and the devalued parts of themselves into a coherent sense of self.

The selfie as a metaphor for how we feel about ourselves could feel like a simplistic idea, but if we can’t hold on to the images that aren’t ideal, are we showing more than we think?

 

David Work is a BACP registered psychotherapist working with adults, offering long term individual psychotherapy. He works with individuals in Hove and Lewes.

To enquire about psychotherapy sessions with David , please contact him here, or to view our full clinical team, please click here.

 

Further reading by David Work –

Football, psychotherapy and engaging with male clients

When Home and Work merge

 

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What is ‘othering’ and why is it important?

What is othering?

Othering describes a phenomenon whereby groups of people with a certain identity are marginalised and seen as outside the mainstream or norm. Those likely to be othered are often done so on the basis of race, ethnicity, sexuality, gender, class, caste, culture, disability, religion and age.

Othering as a concept, alludes to the constructed nature of identity and how these constructs are created to maintain power dynamics as well as an illusion of stability through naturalising difference. So, thinking about othering takes us into the realm of power and how power and identity are interconnected and constructed.

Othering is also bound to issues of inclusion and belonging. Those othered are positioned to ‘hold’ experiences of exclusion and outsider-ness by those who are positioned on the inside and the ‘norm’.

Othering operates in all societies. It has its roots in colonialism, racism, patriarchy, misogyny and homophobia. Othering can have extremely destructive and damaging consequences and at it’s most extreme can be seen in the genocide of one group by another.

On a more interpersonal level othering is hard to see as it is often an unconscious process, invisible, often to those doing the othering although generally less so to those who are othered.

Who has experienced Othering?

Most people I work with as a therapist have at some point or another in their lives experienced themselves as othered. While strictly speaking othering is a social-phenomena based on social identities as described above, many can have experiences particularly in childhood that place them into a position and experience of being othered.

As children and adolescents, many people have found themselves in what feels an outsider and inferior position. This can be for all kinds of reasons beyond larger social dynamics. Bullying is an obvious experience which some people have as children whereby they may find themselves inexplicably seen as different in an othered way. Some children can feel and be othered in their families.

Those who come from socially othered groups may well find these childhood traumas around othering compounded by and enmeshed with their social identity.

Why do I think othering is an important concept in my role as a therapist?

In my mind, therapy fundamentally works from a basic assumption that we have more in common than we have differences. All talking therapies at their heart strive for human understanding and empathy of the ‘other’. Therapy is about searching for connection and inclusion.

Othering is an illusion that exaggerates our differences, creates power dynamics and tells us these are natural. While othering naturalises power constructs between people it also disguises these very constructs. In therapy we strive, I believe, to expose illusions. In my work as a therapist, I try and help people authentically engage with their inner and external worlds.

Othering is also an experience that is likely to become internalised especially when it is bound up with childhood trauma. The othered part of the individual can be split off, denigrated and despised. This, usually unconscious, internal othering process may only start to emerge in therapy. I have seen these kinds of internalised power dynamics in many of my psychotherapy patients. In my experience, they become particularly complicated in those who have internalised a broader social message that who they are or what social group they belong to is outside and inferior to what is deemed the majority and the norm.

 

To enquire about psychotherapy sessions with Claire Barnes, please contact her here, or to view our full clinical team, please click here.

 

Claire Barnes is an experienced UKCP registered psychotherapist and group analyst offering psychodynamic counselling and psychotherapy to individuals and groups at our Hove practice.

 

Further reading by Claire Barnes

Is a Therapy Group Right for Me? Am I Right for a Therapy Group?

What happens in Therapy Groups? The role of the Therapist

What happens in Group Therapy: Mirroring

The Problem with Change

What is it like being in a Psychotherapy Group? Case study – Joe

 

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When it comes to parenting, are you a builder or a gardener?

What a job it is to raise a child! So full of difficulty, so many moving parts in the process, so much resourcefulness and energy required. Then, just when the parent takes breath to admire their creation, off goes the young adult – at times with barely a backward glance. The parents are left behind wondering where those years have gone and trying desperately to remember what life was like before children.

But what about the process of raising a child? The very fact that there are piles of self-help books on an entirely natural process – after all, our species have been doing it for millennia – is enough in itself to make us pause and reflect. How has parenting just got so complicated and how can thinking about builders and gardeners make us reflect on our parenting style?

One of the factors that makes parenting so difficult is the way parents see themselves in the role. As society puts increasing value on the care and wellbeing of children, so the pressure is on parents to do a better job in raising them – to be accountable. Of course, much of this will be driven by the interests of the child – but there is also self interest involved. After all, that child will be a part of the parent, representing what the parent represents. Homer Simpson captured this idea of children replicating the values system of their parents in his usual comic fashion when he said that what he really liked about having children is ‘you can make them grow up to hate all the things you hate!’ Homer saw his children as extensions of himself, carrying within him some model of what he thought his grown-up child should look like – and seeing his job as making sure the way they see the world corresponds with the way he sees it. We might class his parenting style as project based – like a builder, following a set of plans to some fixed outcome.

Others might be comfortable in their role as parent without such a plan, perhaps allowing the child more freedom to find their own way. Rather than building, they might see their job as nurturing and hence we might class their parenting style as gardening. Whilst most of us will fall somewhere on a continuum between the extremes of these two approaches, thinking about them offers us the chance to re-assess what is going on for us, and for our children, in the process.

Builders

Parents who think in ‘building’ terms, might also be seen as project-focussed parents. They will often carry in their heads some template or plan as to what their child is to become. Self-help guides might be more like manuals in their minds. They will busy themselves with gathering the resources to realise that project. Ballet lessons, music lessons, sports sessions – all might be part of that plan. Of course, education will be crucial: the right school, the right approach and right attitude to progress. The aim will be to achieve the right outcome.

It can be extremely frustrating for these project-focussed parents when things do not go according to the plan. It is not unusual for there to be an amount of conflict, either with the child or with the support around them. Talk to any school head and they will have countless stories of this sort of difficulty.

The intention is a good one: to give the child the very best chance to achieve a particular – often aspirational – goal. The difficulty is that the model of the child-as-adult that is carried in the head of the parent may not be the one that the child carries for themself. It is a situation that can lead to anxiety in both camps. For the parents, they have to come to terms with the reality that they may not be able to determine outcome, and they may have to deal with disappointment and a sense of loss, as their children follow a path that was never in their (the parents’) plan. For the child, whom at some stage at least will have wanted to please their parents, they, too, will have to deal with difficult emotions that may involve a sense of having failed in some way. Not surprisingly, low mood and anxiety can be the result.

Gardeners

It would be unfair to say that gardener-parents have no plans for their children, but it is not quite as prescribed as it is in the case of builder-parents. Rather than a fixed plan and a fixed route to a clear end goal, gardeners look to provide the right context or culture for the child to develop – just as a literal gardener would provide the right soil for their plants. The parent sees their role as nurturer – providing the care that is required for their offspring to grow. There may still be ballet lessons, music lessons and extra sports classes, but these are not so much to build towards a pre-conceived plan – more to encourage and find the ‘soil’ that is going to best suit the child, whom, the parents hope, will learn to put down their own roots and gradually begin to nourish themselves.

The neuroscience of nurture and independence

If we consider our species, we will understand the need for parents to want the best for their child – if they did not, there would be many more neglected children and infant mortality would put at risk the propagation of the species. Likewise, it makes considerable evolutionary sense for children to want to please their parents – the people who are going to nourish them through to the point where they can provide for themselves and, once again, continue to propagate the species. These two neurobiological drives can often work in harmony for the infant years of the child, but the onset of adolescence is likely to cause some disruption. The child now is looking to become independent, whereas the parents might still be wanting (or needing) to follow the plan.

Difficult Feelings

Wherever we sit on this spectrum of parental styles, we are unlikely to escape having to deal with difficult moments in the raising of our children. What can sometimes help us is to recognise and separate what belongs to us and what belongs to the child. When we feel disappointed because our child does not seem to be matching the plans for them that we have in our own mind as parents, then the difficult feelings that arise within us will constitute a real challenge. Our own fantasies – ideas we carry about what might and might not be – can sometimes leave us bereft and never more so than in dealings with our children. We need to keep those feelings with us and avoid any temptation to visit them on our children. It is hardly their fault that they do not always carry the same fantasies as we do. We want our children to be independent, but sometimes that can be a very difficult place to get to unless we let go, not just of the child, but of all the plans we carry for them. Then, despite the very difficult feelings of loss, our children’s leaving us with barely a backward glance might just be a mark of a job well done.

 

Kevin Collins is a UKCP registered Psychotherapeutic Counsellor with an academic background in the field of literature and linguistics. He worked for many years in education – in schools and university. Kevin is available at our Lewes Practice.

 

To enquire about psychotherapy sessions with Kevin, please contact him here, or to view our full clinical team, please click here.

 

Further reading by Kevin Collins –

I never thought my son would watch pornography

Care for a dance?

Name that tune

Why is it hard to make decisions?

Communication, communication, communication

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Reflections on getting back to normal

In living with Coronavirus we have shared (to greater and lesser degrees) in a collective experience of trauma. We have had to learn to be separate from friends and family. We have had to live, die and give birth in isolation. We have had to grieve in isolation too. The Covid virus has brought many changes to our lives, on an individual, collective and global scale. It is likely that its shock waves will be felt for generations to come. We have had to adapt and learn to live differently in many ways. Uncertainty and an increasing exposure to our own vulnerability and the reality of our mortality have been forced into the conscious foreground. We have been newly confronted with questions surrounding values and what really matters to us now.  These are important questions. As restrictions ease and we embrace the desire to “get back to normal” we might well pause for thought, to consider what normal really means, or perhaps what normality has involved us in up to this point?

Individualism as isolation

Whatever the lessons of Covid may be, it has shown us how irrevocably bound and interdependent we truly are. Caring about others is what makes us fully human. We depend upon these bonds not just for our survival but for our very being. Modern Western society has resisted this fundamental truth, valuing independence above all things. Autonomy is King in the modern world. Small children, the sick and aged are permitted exceptions, but we are all dependent creatures, right to our core. Individualism and its pursuit is a relatively new phenomenon. My space, my desire, my identity, my need….we are increasingly siloed in our own progress myths, side tracked by the ever increasing burdens of self.

Kindness and its shadow

The world of work has changed beyond recognition in recent years (pre and post Covid). Stable careers (“jobs for life”) have been replaced by freelance or contract work, many demanding long hours, enforced mobility and chronic insecurity. The shape and nature of communities built around stable home and work relationships have crumbled under such changes. A competitive society that divides people into winners and losers also breeds unkindness. Kindness and caring may be natural human capacities, but so too are cruelty and aggression. When people are subject to unremitting pressure they become estranged from each other. When we feel coerced by circumstance we fight back or collapse. When communal bonds weaken tribal loyalties ascend, kindness and caring become a mugs game in a dog eat dog world.

Kindness as vulnerability

There are many accounts, philosophical, biological, psychological and evolutionary of mankind’s innate instinct for self interest, we are it seems unfailingly ruthless and selfish creatures.

History is riven with accounts of mans’ inhumanity to man. We cannot and must not deny our darkest nature, but neither must we believe our selfishness to be the whole story, for this too would be a dangerous state of affairs. The feelings of connection and reciprocity that we can know…deep in our bones, are amongst the greatest pleasures available to human kind. Let us approach kindness and care not as acts of sacrifice or indeed (albeit unconscious) of vanity, for these are surely self serving. Let us approach kindness instead as an act of including ourselves with others, as an intimate act that reminds us in the clearest way that we are vulnerable and dependent creatures who have no better resource than each other.

 

To enquire about psychotherapy sessions with Gerry Gilmartin, please contact her here, or to view our full clinical team, please click here.

 

Gerry Gilmartin is an accredited, registered and experienced psychotherapeutic counsellor. She currently works with individuals (young people/adults) and couples in private practice. Gerry is available at our Brighton and Hove Practice.

 

Further reading by Gerry Gilmartin –

The Passage of Time and the Discipline of Attention

Intimacy: pillars and obstacles

Love and Family

Understanding sexual fantasy

Fear and hope in the time of Covid

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Why is Love Island so Popular? And why it’s not for the reasons we think

For those of you that don’t know, Love Island is a British ‘reality television’ concept that has become a global phenomenon. Arguably deriving from the first global reality programme, Big Brother, which launched in 1997 it is the latest incarnation of this genre.

The premise is one whereby a group of (young, physically attractive) singletons are isolated from the rest of the world in a luxury villa dotted with cameras throughout. The singletons then must avoid elimination (eviction) from the villa through coupling up with another contestant. And like Big Brother the public ‘votes’ to eliminate contestants who do not please them. The ultimate price? Love? Eternal happiness? No, a pot of money.

What is the appeal of watching reality television?
To answer this question we first have to define how reality TV differs from regular TV. Clearly, reality TV is (to a greater or lesser extent) unscripted. And a cynic may argue that it is cheap to produce as the ‘talent’ is free, however I am more interested in the viewers drive rather than the profit margins of the production company.

For the viewer, they are aware it is unscripted – anything could happen. And with offering the audience a piece of the action – the control to vote out contestants, the experience becomes seemingly interactive, almost relational in that viewers feel a form of connection to the contestants.

Reality TV is reminiscent of the Romans and their staged ‘fights’ between gladiators and prisoners, or between imprisoned wild animals and unfortunate humans. And whilst the humble Roman had no direct power over who survived, they could look to their Emperor who would decide with a simple thumb’s-up or -down whether to spare the life of the barely alive prisoner. In turn the Emperor would be guided by the furore of the crowd, hence the illusion of control and investment in the outcome. Fundamentally though, it was entertainment at the expense of an
other(s).

Now let’s consider how reality TV and regular drama such as soaps – Eastenders and the like – differ. Watching a soap opera is a narcissistic endeavour where the lives of fictitious characters are watched according to a script. All are aware of the ‘pretend’ quality. A performance is being given and the boundaries between real people and characters are clear.

Reality television invites the participants to ‘star’ in a version of life judged by the viewer. And the viewer rewards the contestant through sparing them or eliminating them dependent on how ‘entertained’ they feel. It is a game of exhibitionism and voyeurism. One can argue that unlike prisoners of the Romans who were ‘thrown to the lions’, reality TV stars enter into the ‘game’ with their eyes fully open and can be handsomely rewarded. On the face of it this is true, however, taking ‘Love Island’ alone, there has been significant media coverage of three suicides of people
connected to the show. Whether the latter is causation or correlation, my argument is that both the contestants and viewers of reality TV are being driven by something unconscious.

So what’s the appeal?
I believe that this genre of television has become so extraordinarily popular because it appeals to out innate need to feel part of a community. Unlike soap operas, we know that what happens is real – and even if it is not; both contestant and viewer believe it is so the fantasy is complete.

In reality TV we are invited into the intimate lives of a group of people and can exert influence over them – it creates a kind of pseudo-connection. Exactly the kind of pseudo-connection present in a collusive exhibitionistic/voyeuristic encounter. By definition therefore, it is a form of perverse relationship in that it is rigid and without emotional contact. It is a relationship based on power and control rather than real intimacy.

And like any pseudo-connection, whilst it may feel exciting and glamorous, it has the nasty habit of leaving us feeling less connected and thus more prone to feelings of depression, anxiety and loneliness when it all ends. And it always does. For the viewer, they can move onto the next reality TV series thereby keeping their need for authentic connection and vulnerability at bay; for the contestant, they can perpetuate the fantasy through building a career (brand) build on image, or they fall spectacularly from grace or fade away (both are equally devastating for the narcissist).

A loss of belonging
I therefore suggest that ultimately the rise of reality TV correlates with the erosion of community and a sense of belonging. It correlates with an increasingly individualistic world where narcissistic interactions are the norm.

Ultimately though, it speaks of our desire for contact and real relationship, something that can never be fulfilled through reality television or any other kind of perverse relationship where the premise is power and control.

Connection and belonging come from community and from real relationships where two people can take up space and each have their ‘real’ experience validated and understood by the other, rather than one having to be a performing (glamorous) monkey in order to manage to survive (elimination). The latter is pure and simply the definition of a deeply narcissistic and perverse relationship.

 

To enquire about psychotherapy sessions with Mark Vahrmeyer, please contact him here, or to view our full clinical team, please click here.

 

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

What is the purpose of intimate relationships?

Why ‘Cancel Culture’ is about the inability to tolerate difference

The Phenomenon of ‘Manifesting – The Law of Attraction’ and the inability to tolerate reality

Why does the difference between counselling and psychotherapy matter?

Love in the time of Covid

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Cultural Identity and Integration – Feeling at Home in your own skin

I feel lucky to live and work in a place where I am in contact with people of diverse cultural backgrounds. Many seek me out as a therapist to talk about their personal struggles with cultural identity and belonging. Difference is something which is deeply felt in one’s skin and bones and living in a different culture to one’s own can feel like being a fish out of water – permanently. Everyone goes through their own unique set of issues depending on circumstances linked to upbringing, race, gender, immigration status, class, age, sexuality, and disability.

Sense of Belonging

Cultural and psychological integration go hand in hand, given culture is an intrinsic part of one’s identity which is linked to a sense of belonging, safety, and mirroring. All of these are associated to early childhood experiences; for instance, hearing our parents or carers speak in a certain language or with a particular accent, and sensory experiences – smell, taste, sound, and touch. Most of us can recognise the familiarity which transports us ‘home’ through hearing a piece of music, eating certain foods, or hearing our language. Other familiar experiences can include literature and art, nature and wildlife, and weather.

The True Meaning of ‘Cultural Integration’

Migration, whether through choice or not, can result in the loss of everything that has once felt familiar. These losses need to be felt and mourned, so we can better accept and embrace the new culture we are living in. I have come across individuals from other cultures who had on the surface integrated very well in the UK, but on the other hand carried a deep melancholia about their cultural past, preventing them from ever fully ‘arriving’ here. Leaving one’s country and culture for another means reinventing oneself to a certain degree. Whilst this may sound appealing to some, the other side of it is that it can feel that you must constantly explain yourself. The lack of familiar cultural references, working harder to understand and be understood, and the constant feeling of being different are aspects of a migrant’s daily experience which remains invisible to others. We understand cultural integration more superficially as whether one can speak the language fluently, settle and adapt to a new environment. This is only the beginning.

The Role of Psychotherapy

We can think of Psychotherapy as integration of the different parts of the self which conflict with one another. This usually involves mourning losses, accepting reality, and learning to live with (or even embrace) paradox and uncertainty.  This is not about leaving your culture behind – quite the opposite. The more we process and integrate experiences, the more we learn to accept who we truly are. As you can imagine, this will not happen in just a few sessions. Preferably seek a culturally aware psychotherapist who has been through this process themselves or is at least far enough along the journey to take you through it.

 

Sam Jahara is a UKCP Registered Psychotherapist with a special interest in working with issues linked to cultural identity and a sense of belonging. She works with individuals and couples in Hove and Lewes.

 

Blogs by Sam Jahara

How Psychotherapy can Help Shape a Better World

Getting the most of your online therapy sessions

How Psychotherapy will be vital in helping people through the Covid-19 crisis

Leaving the Family

Psychotherapy and the climate crisis

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Addiction


Addictions are strongly related to the level of enjoyment, pleasure or relaxation someone is capable of experiencing through their associated activity. Serious cases of addiction are possible if someone has an intense desire to repeat an activity over and over again. On the other hand, many people engage in potentially addictive activities regularly, such as sex, gambling and alcohol, without a significant problem.

While you may begin to experience these activities with a measured amount of awareness and stability, many people are oblivious to the fact that they are addicted to a particular thing. In most cases, an addiction becomes much more apparent when it leads to uncontrollable behavioural problems that affect your home, work or school life.

You may start to rely on your addiction to get you through the day, or perhaps inherit an aggressive, uncharacteristic nature that fails to subside without your addiction taking hold. Persistent drug and alcohol takers may find that they start to experience severe withdrawal symptoms that get worse as the addiction starts to develop.

Withdrawal symptoms occur when someone is deprived of their addiction and they can cause anything from slight discomfort to intense cravings. They vary depending on the specific type of addiction and on factors that may have lead to addiction in the first place, such as relationship problems, unemployment, stress, mental health and financial concerns.

There are many different types of therapy that focus on relieving withdrawal symptoms and helping someone to overcome their addiction. Cognitive Behavioural Therapy (CBT) is an excellent method of treatment that has proven to be very effective in the past. Here at Brighton & Hove Psychotherapy we will help you overcome your addiction through helpful talking therapies and counselling services, including a treatment programme and plan for change.

You should never be afraid to tell someone you are concerned or afraid that you might have an addiction. Support is essential when looking to tackle an addiction and we offer our expertise alongside family and friends to help you believe that you have what it takes to change your life for the better.

You can read our blog on how psychotherapy can help with addiction.

To learn more about therapy for addiction including pornography, gambling or alcohol in Brighton or Lewes, contact us today. We look forward to hearing from you.

Frequently Asked Questions

What is an addiction?  Read more

    An addiction is defined as a engaging with a behaviour or taking a substance to the point that you are no longer in control of your choice and it is harmful.  With substance addictions it can often be easy to see the harm and consequences of addiction; this can be less so the case with behavioural addiction where the harm is often to oneself.  The latest thinking around addiction is that it is often a type of attachment disorder whereby the addicted person ‘soothes’ difficult or uncomfortable feelings through their addiction rather than through a relationship.

    How do I know if I am addicted to something?  Read moreIf your behaviour feels compulsive, out of control, is damaging to you either outwardly or inwardly, initially reduces stress but then leads to more, it is likely that you have an addiction. Addictions are frequently linked to anxiety and depression issues.

    What is the addiction-shame cycle?  Read moreThe addiction-shame cycle is one of the cornerstones of addiction.  It is a way of describing how a person feels activated by stress, ‘acts out’ (engages with their addiction of choice) in order to dispel the unpleasant feelings, initially feels better and then feels shame and remorse at their behaviour.  A commitment is made to ‘do better’ and then the cycle repeats.

    How can psychotherapy help with addiction?  Read moreAddiction is like a relationally closed loop.  The addicted client often feels alone and ashamed.  The goal of psychotherapy is to bring an awareness to the addicts process, identify triggers, engage in helpful behaviour to manage triggers, learn to regulate emotion better and last but certainly not least, to help the addicted client to find safety in a relationship and to use the therapeutic relationship as a foundation to learning to get something from other relationships in the world.

    What happens in a first session?  Read moreThe first session with one of our practitioners is an opportunity for you both to work out whether you feel able to work together. Your psychotherapist or psychologist will likely ask you various questions relating to what has brought you and explain the process of therapy to you. The first session is a two-way process where you have toe opportunity to ask questions and to decide whether you feel ‘safe enough’ working with your therapist.

    How do I find a psychotherapist of psychologist I want to work with?  Read moreAt Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    How long will it take for me to see a psychologist or psychotherapist  Read more

    We aim to respond to all enquiries within 24 hours.  You may contact our practitioners directly via their profile page. If the practitioner you wish to see has space then an appointment can usually be arranged within a week and sometimes much sooner. If they do not have capacity to see you they can refer you to a colleague in our practice who does have availability.

    How can I get in touch with you?  Read moreYou can contact our practitioners directly via the contact forms on their profile pages. They will then reply to you directly.

    What age groups of clients do you work with?  Read moreWe have psychotherapists and psychologists trained to work with every age group from infants through to adults.

    Do you offer evening and/or weekend sessions?  Read moreWe offer sessions every day of the week including on Saturdays and sessions are available into the evening.

    What are your fees?  Read moreOur fees are set by each practitioner depending on the type of therapy.  For individual psychotherapy or clinical psychology our fees range from £60 – £100 per session. For couple therapy our fees range from £70 – £100 per session.

    Is there parking near your Hove and Lewes practices?  Read moreBoth our Hove and Lewes practices are centrally located close to train stations, bus routes and with on-street parking or car parks nearby.

    Contact us

    At Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website, you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    If you are considering online therapy, take a look at our online therapy services.

    All the content on this page has been reviewed and vetted by Mark Vahrmeyer UKCP Registered Psychotherapist, Supervisor and Co-Founder of Brighton and Hove Psychotherapy. For any questions or more information about the subjects discussed on this page please contact us.


Anger Management

What is Anger Management?

Anger management, as the term suggests, refers to controlling our temper and remaining calm. While this is often appropriate, it can imply that feelings of anger are wrong and this in turn can leave us feeling ashamed about how we are feeling and hiding our emotions from ourselves and others.

Statistically, it is generally men who seek out anger management. Does this imply men feel more anger than women? Perhaps. But, there are other factors to consider such as how men were taught to express their emotions in their family of origin and in society. Amongst men, anger is seen as an acceptable emotion to express. It is often the first emotion men will resort to displaying (although not necessarily the first they feel). To this day, it is not acceptable for men to display sadness or grief, pain or humiliation in public. Men are supposed to be tough. Of course the reality is that men are no tougher than women, they just often lack an outlet for expressing themselves.

Processing Anger

In working with anger it is important to learn to distinguish between a feeling and an action. To use an example: If I am driving along in my car and another driver makes a dangerous manoeuvre causing me to brake suddenly narrowly avoiding an accident, I am likely to experience a range of emotions from shock through to relief and then possibly anger. Anger is an appropriate emotion in this situation, however, if I then resort to forcing the other driver off the road to ‘give them a piece of my mind’ my emotion has become an action or behaviour. We are not responsible for our emotions but the mark of an adult man (and woman) is that we are responsible for our actions.

Processing anger in a safe and judgement free setting, whilst practising the difference between emotions and behaviour, can be extremely useful in learning to accept that all our feelings are acceptable and that we have choices in how we express them. Going a little deeper, once we have some control over our anger, we can start to consider why we may be getting triggered the way we are. Often anger is a mask for more painful emotions such as shame, low self esteem, grief and feeling out of control. Talking therapy can help you become more familiar with your emotional world and find strength in owning and expressing your emotions appropriately.

Frequently Asked Questions

What is anger?  Read more

    Anger is a powerful emotion and one that is often seen as negative. However, anger is one of the most important feelings that we can experience and one of the five main emotions (the others being joy, sadness, fear and disgust). Anger tells us when something is not OK for us.  If the feeling of anger were to be expressed as a word it would be ‘No!’. Problems occur with anger where we are unable to healthily express our anger thereby communicating our ‘no’ effectively and proportionately to the situation.  Anger problems also occur where anger is displaced – in other words we express anger at someone or something rather that acknowledging to ourselves what or whom we are truly angry with.

    What is anger management?  Read moreAnger management is a term used to describe psychological work around helping a person to understand their anger better. It is not about eliminating the anger; if anything it is about getting closer to the anger and forming a relationship with it to understand what the anger is really about and how to express it safely.  Sometimes anger can also be a substitute feeling – particularly with men- whereby it is seen as safer to express anger than other emotions that make us feel more vulnerable such as sadness.  For example, it is not uncommon that after a bereavement close relative(s) feel angry and whilst this is a normal part of grieving, it can also become a way of displacing profound grief.

    How can psychotherapy help with anger?  Read morePsychotherapy is a relational process and so much of the work will be on building an authentic relationship between therapist and client wherein anger is welcome. Many people have learnt that expressing anger is not permitted in a relationship and that it may threaten the whole basis for the relationship.  This should not be the case.  Psychotherapy can also help through the relationship to assist the client in reaching more difficult feelings that may exist beneath the anger.

    What happens in a first session?  Read moreThe first session with one of our practitioners is an opportunity for you both to work out whether you feel able to work together. Your psychotherapist or psychologist will likely ask you various questions relating to what has brought you and explain the process of therapy to you. The first session is a two-way process where you have toe opportunity to ask questions and to decide whether you feel ‘safe enough’ working with your therapist.

    How do I find a psychotherapist of psychologist I want to work with?  Read moreAt Brighton and Hove Psychotherapy, we have two practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    How long will it take for me to see a psychologist or psychotherapist  Read more

    We aim to respond to all enquiries within 24 hours.  You may either contact one of our practitioners directly via their profile page, or you can contact us directly and we will assist you in finding the right person to see as soon as possible. If the practitioner you wish to see has space then an appointment can usually be arranged within a week and sometimes much sooner.

    How can I get in touch with you?  Read moreYou can contact our practitioners directly via the contact forms on their profile pages. They will then reply to you directly.

    What age groups of clients do you work with?  Read moreWe have psychotherapists and psychologists trained to work with every age group from infants through to adults.

    Do you offer evening and/or weekend sessions?  Read moreWe offer sessions every day of the week including on Saturdays and sessions are available into the evening.

    What are your fees?  Read moreOur fees are set by each practitioner depending on the type of therapy.  For individual psychotherapy or clinical psychology our fees range from £60 – £100 per session. For couple therapy our fees range from £70 – £100 per session.

    Is there parking near your Hove and Lewes practices?  Read moreBoth our Hove and Lewes practices are centrally located close to train stations, bus routes and with on-street parking.

    Contact us

    Get in touch with Brighton & Hove Psychotherapy today and find out more about how we can help with anger management issues. At Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website, you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    Read our blog on anger management here.

    We also offer online anger management therapy.

    All the content on this page has been reviewed and vetted by Sam Jahara Transactional Analysis Psychotherapist, Supervisor and Co-Founder of Brighton and Hove Psychotherapy. For any questions or more information about the subjects discussed on this page please contact us.


Anxiety


First of all it is important to distinguish between normal and abnormal anxiety before looking at anxiety counselling. Writers, philosophers and more recently psychotherapists, have been writing about anxiety for many hundreds of years. It would seem that it is not possible to be human without feeling anxiety. Indeed, anxiety at manageable levels is helpful to us. From an evolutionary perspective, it is the most anxious amongst us who have survived – our ancestors who were ‘on-guard’ – anxious – about a sabre-toothed tiger attack, were the ones who survived. The same goes for war situations – anxiety enables soldiers to anticipate danger and remain vigilant. In our relatively safe Western societies, anxiety can be helpful in getting us to do something with our lives: without anxiety we would all be couch potatoes!

A good sleeping pattern can help to deal with symptoms of anxiety and depression. Click this link for our guide on how to improve your sleep patterns and wellbeing.

When Do I Need Anxiety Counselling ?

When anxiety becomes debilitating it can feel extremely uncomfortable with increased heart rate, butterflies in our stomach and lots of strong emotions flowing through us whereby focusing on any one task can seem impossible. These symptoms can be relatively mild, through to meeting the criteria for Generalised Anxiety Disorder.

Talking therapy can be a great form of anxiety counselling and can help you manage, understand and reduce your anxiety. The first step is in working with you to gain some foothold over the unbearable feelings. Once you have a sense of some control, we will gently start to help you explore what may be causing the anxiety which is often the result of deeper feelings that have not been acknowledged or processed, such as sadness, grief or other uncomfortable feelings. In this sense anxiety can be a protection from unbearable emotions that feel too unsafe to feel and work through on our own. This is where we can help you.

Do you want to know how to stop a Panic Attack?  See our useful video guide below

Frequently Asked Questions

What is anxiety?  Read more

    Anxiety is an emotion, but unlike other emotions we often don’t understand why we are feeling anxious.  It can be uncomfortable and make us feel restless and unable to concentrate, calm down or switch-off. Everyone feels anxious at some point in the life and anxiety can help us to feel motivated. However, if our anxiety levels are too high then anxiety can become debilitating and lead to panic attacks. Anxiety is linked to depression and many people who suffer with one will also suffer with the other.

    How do I know if I am suffering with anxiety?  Read moreAnxiety affects our body as well as our minds. If you are suffering with too much anxiety then it is likely that you will find that your mind struggles to both concentrate on tasks as well as ‘switch-off’. And your body may feel agitated with you noticing an increased heart rate, tension and possible panic attacks. If your symptoms are ongoing or frequent then it is likely that your are struggling to cope with your anxiety levels.

    What happens in a first session?  Read moreThe first session with one of our practitioners is an opportunity for you both to work out whether you feel able to work together. Your psychotherapist or psychologist will likely ask you various questions relating to what has brought you and explain the process of therapy to you. The first session is a two-way process where you have toe opportunity to ask questions and to decide whether you feel ‘safe enough’ working with your therapist.

    How do I find a psychotherapist of psychologist I want to work with?  Read moreAt Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    How long will it take for me to see a psychologist or psychotherapist  Read more

    We aim to respond to all enquiries within 24 hours. You may either contact one of our practitioners directly via their profile page, or you can contact us directly and we will assist you in finding the right person to see as soon as possible. If the practitioner you wish to see has space then an appointment can usually be arranged within a week and sometimes much sooner.

    How can I get in touch with you?  Read moreYou can contact our practitioners directly via the contact forms on their profile pages. They will then reply to you directly.

    What age groups of clients do you work with?  Read moreWe have psychotherapists and psychologists trained to work with every age group from infants through to adults.

    Do you offer evening and/or weekend sessions?  Read moreWe offer sessions every day of the week including on Saturdays and sessions are available into the evening.

    What are your fees?  Read moreOur fees are set by each practitioner depending on the type of therapy. For individual psychotherapy or clinical psychology our fees range from £60 – £90 per session. For couple therapy our fees range from £70 – £100 per session.

    Is there parking near your Hove and Lewes practices?  Read moreBoth our Hove and Lewes practices are centrally located close to train stations, bus routes and with on-street parking.

    Get in touch today to find out more or book yourself an initial consultation. At Brighton and Hove Psychotherapy, we have two physical practices, one in Hove and one in Lewes, where we offer a full range of psychological therapies. On our website, you can view each profile of our associates and contact them directly using the form on their profile page. You can also use our handy search function to find the right practitioner for your needs.

    We also offer online anxiety therapy.

    All the content on this page has been reviewed and vetted by Mark Vahrmeyer UKCP Registered Psychotherapist, Supervisor and Co-Founder of Brighton and Hove Psychotherapy. For any questions or more information about the subjects discussed on this page please contact us.


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6 The Drive, Hove , East Sussex, BN3 3JA.

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