This past weekend I did something I thought I’d never do — mountain climb. My husband has been, to put it nicely, obsessed with Mt. Rainier for a long time. When he asked if I would “hike” with him on our trip to Seattle, I agreed, not knowing what I was really signing up for.
What I thought I signed up for was a tricky hike alongside a mountain. What I got was snowshoeing for 5 hours, at times at a 45 degree incline! The weather was phenomenal (65 and sunny!), so it was about 40% physical struggle and 60% psychological/mental struggle. I found that if I kept my focus a few inches ahead of where I was walking, I did not psych myself out as much by looking too far ahead (at the very steep mountain) or too far behind (at the very steep mountain).
I don’t know about you, but when I am put in situations where my life feels threatened, I tend to lash out (i.e. yell) at the person who put my life in danger. In this case, it was my husband. We had almost reached our destination, Panorama Point, when I slipped and fell, keeping myself from sliding down the snow-covered mountain using my knees and trekking poles. I fell into the snow and couldn’t move. This is when the lashing out really started. Even though my husband had stopped me from sliding further down the mountain, that didn’t stop me from telling him how much I regretted doing the climb and how much he was not being helpful to me at the time. What can I say? I’m only human!
My husband recognized that I was “freaking out” and asked another climber to assist me by making foot holds so that I could stand back up and continue ascending. “She’s not listening to me at this point,” he told the helpful stranger, “so maybe she will listen to you.” Of course, I wasn’t listening to him! I had lost confidence in my ability to climb further and truly wanted to call it quits! I was also mad at him for even fathoming doing such a dangerous task in the first place! Once I realized that I could in fact get myself standing, I began climbing slowly up. With the encouragement of my husband, I continued to climb until we both safely reached the top of the point.
It was then that I realized how proud I was of my husband. When I was clearly being critical of him, he did not get defensive and make the situation worse. Instead he recognized the frightened state I was in and did not personalize what I was saying to him. Without his encouragement, I would have never gotten over my fall and would have never believed in myself enough to continue climbing. He really does have a special gift to not personalize my attacks. If he had, both of us probably would have slid down further, not reached our destination, and felt defeated. Instead, I felt triumphant and accomplished!
I’d like to think that he is able to handle these situations so well because I am such a gifted couples therapist, but some skills just can’t be taught. Talk about an awesome shared experience! This has been one we will remember for the rest of our lives. When he asked if I’d like to go back, “You bet,” I said. “As soon as possible!”
Next destination will be Camp Muir and who knows, maybe someday the Mt. Rainier Summit!
“Our greatest glory is not in never falling but in rising every time we fall.” ~ Confucius

Picture taken of view from Panorama Point on Mt. Rainier
Tired of Arguing About Nothing in Your Relationship?
/in Couples Therapy, From the Therapist's ChairJohn Gottman calls these moments “bids for attention.” These little bids might not seem like a big deal, but they add up after a while and can be the difference between feeling supported and cared for by your partner or feeling unhappy and alone in your relationship. In his research, he discusses how arguments or fights are usually started over one person getting upset because the other did not “answer their bid” or give them attention when they reached out for it.
Why do these failed bids result in arguments? Most bids are not delivered overtly; they are subtle and can often be missed. Bids also may not be delivered so sweetly. A “Hi, I’m home and I want attention after my long day” is more often than not delivered in a “My day at work was horrible! I had back-to-back meetings and am so tired I can’t even think!” If I heard that from my partner, I certainly would not think that my partner wanted my attention!
People also make bids by exhibiting actions or behaviors. These are often very hard to ascertain. They could be made in the presence of a partner with a direct action such as sitting closer to him or her, holding the partner’s hand, hugging him or her or doing something less overt such as sighing. Bids can also be made in advance. An example would be performing actions that would be helpful for the relationship or partner, such as making dinner, cleaning up, going to the store to get milk, planning a “date night” etc. What results in the arguments is the person that made the bid then gets angry when his or her efforts go unnoticed. Some people make their action bids more well known by throwing a “did you notice I unloaded the dishwasher?” question out there, but usually, nothing is said and those failed bids just keep piling up. These failed bids add up to consequences where the partner who is not getting his or her bids answered becomes more sensitive to the failed bids and usually picks a fight over something they normally wouldn’t pick a fight about. This is when I usually hear the “our fights come out of nowhere” comment from couples. The fights do not come out of nowhere; they result from one person not getting attention when they bid for it.
An even trickier bid for attention, and in my opinion, the most likely bids to result in an argument, are those bids that we make when we try to get attention by making our partner jealous. If you are not getting attention from your partner, you might be more aware of getting attention elsewhere. Just like the “did you notice I unloaded the dishwasher” comment, one might also point out to a partner “a good-looking woman hit on me today and asked for my number.” What do both of these comments have in common? Both have hidden meanings. Both are saying “I want attention from you.” Why bring up the attention from someone else if you did not want the comment to result in an increase in attention from your partner? Granted, the latter might bring on the emotion of jealousy that clouds the ability to recognize the bid for attention. Just like that bid was not delivered sweetly, the attention from the partner might not be delivered so sweetly either. After all, getting angry at your partner is a form of attention. So the bid did result in attention, but not the kind that was probably wanted.
Why are so many bids (especially bids that involve jealousy) missed? Is it because admitting that we want attention and affirmation from our partners leaves us vulnerable or sounding weak? Is it because simply asking our partner for attention seems silly or childish?
I would argue that if more people started flat out saying to their partners “I want attention” that this would result in the partner answering that bid and giving attention. Try it sometime when you notice your bid is not getting “answered.” Instead of starting an argument, say what you are really desiring, attention.
The Struggle with Being an Authentic Therapist
/in From the Therapist's ChairOne version of myself that I believe I am fairly true to each day is my “therapist self.” This was certainly not always the case, especially when I was just starting out in the field. I would take theories that made the most sense to me and for my clients then do my best to apply interventions like Aaron Beck (CBT) or Carl Rogers (humanistic psychology). I’d read and try to memorize phrases, hoping to appear very knowledgable and insightful to my clients. I am not sure if it was a lack of experience or a lack of confidence in myself as a therapist that made me feel like I had to be a certain type of therapist.
This got old. Fast. I also soon became too busy to read textbooks every night and conceptualize the best interventions for each client down to every word. By far, one of the best pieces of advice I’ve ever gotten was “the best therapist you can be is yourself.” It is sort of like that phrase “be yourself, everyone else is already taken.” This is very true for therapists as well. I could never have been Aaron Beck. Aaron Beck is Aaron Beck and I’m still me. Once I finally embraced this and let go of all of the “therapist selves” I thought I was supposed to be, my life in and out of session got easier. I started to come into my own and take the theories, interventions, and metaphors and put my own spin on them, adding my own humor and life experiences.
I also found that if am myself in a therapy session, that the clients picked up on this and were more of their true selves with me. They seemed to open more more and be more interospective. I hope that I can create the type of space where someone can be his or her authentic self, at least for a hour. Hopefully, afterwards, they will struggle a little less with showing others that version of themselves outside of the therapy session.
Vulnerability During and After a Therapy Session
/in From the Therapist's Chair, Life Outside the OfficeI often have clients say to me in session “I’m sorry I was so emotional” or “I’m sorry I cried the whole time.” It’s interesting to me that clients feel the need to apologize for their vulnerability during session. I can definitely see why they do this. Most people were raised not to express vulnerable emotions, weaknesses, and flaws. Having to do just that while in therapy for one hour each week or so can be incredibly intimidating! I remember I had one client who said he needed to “take time” after our sessions because he was not used to telling anyone, let alone someone he didn’t really know, about his unpleasant emotions and flaws.
I am always careful not to placate or invalidate a client’s vulnerability by saying “it’s ok.” Instead, I try to thank them for trusting me enough to be vulnerable in session because that is what I need to see in order for clients to make changes in their life. As a therapist, it is often difficult for me to sit with my clients when they are so vulnerable. In a way, I empathize so much, that I start to feel vulnerable myself. This is a process for me and for every therapist.
I believe that once you can have a vulnerable conversation, one where you express and sit with your true and unpleasant feelings/thoughts, in the therapeutic setting, you can start to be vulnerable in your every day life. State dependent learning anyone? Take that client I mentioned earlier, he was exercising his “vulnerability muscle” if you will. Soon, he was able to have more emotion-focused conversations with his wife, where he would admit his insecurities about their marriage. This brought them closer and wouldn’t have happened had he not practiced and become more comfortable with being vulnerable.
My challenge to you, is to make yourself emotionally vulnerable to someone once a week to start flexing your “vulnerability muscle.” For me, this is usually admitting to someone that I do not know the answer and will have to look it up, asking for directions, or admitting I was not fully listening to a friend or family member when they were speaking. Each time I do something like this, I become more comfortable with being emotionally vulnerable and I would hope this makes me more equipped to sit with vulnerability in the therapy room. My hope is that it would also allow my clients to be more vulnerable with me in session. After all, if you cannot be vulnerable with your therapist, who is un-biased and non-judgmental, with whom can you be?
Acceptance and Commitment Therapy Portrayed in Grey’s Anatomy Scene
/in Acceptance and Commitment Therapy In Real Life, From the Therapist's Chair, Individual TherapyDoes anyone out there watch Grey’s Anatomy? If not, no judgment, if so, no judgment. I was catching up on episodes when I came across this scene that was so on the money with a type of therapy I use in session that it inspired me to wrote a post!
To set the scene for those who are not familiar, (or who have not seen the episode–SPOILER ALERT!!) Amelia, whose brother just tragically died, tells Owen that she is handling it very well and is doing “amazingly.” She also admits to have gotten some prescription drugs that she might take (she is a former prescription drug addict) due to not being able to “manage” her emotions anymore.
Owen (in a very Acceptance and Commitment Therapy kind of way) explains that grieving after the loss of a loved one is very “normal” and that feeling sadness/pain is a part of life. Instead of allowing painful emotions and feelings to happen and moving through the pain, he realized that they both run from their pain. She takes prescription medication and bottles up her emotions. He enrolled in the army again and leaves the country on duty. He expressed that they are supposed to “feel, love, hurt, grieve” and they are “supposed to break” and that that is the whole point of being alive. Owen, I couldn’t have said it better myself!
Clients often say to me in session, “I wish I never felt sad again” or “I wish I never felt heartache again.” That’s all fine, but personally, I would choose to feel painful emotions. If we allow ourselves to feel pain and work through it, we give up the struggle with the painful emotion and are better able to move past it. If one never feels pain or unpleasant emotions they also block out the ability to feel the pleasant ones such as joy, love, and happiness.
Who would have thought– all that insight in one Grey’s Anatomy clip!
Note: This clip seems to no longer be available on Youtube. Sorry!
How Climbing Mt. Rainier Strengthened My Marriage
/in Life Outside the Office, New AdventuresWhat I thought I signed up for was a tricky hike alongside a mountain. What I got was snowshoeing for 5 hours, at times at a 45 degree incline! The weather was phenomenal (65 and sunny!), so it was about 40% physical struggle and 60% psychological/mental struggle. I found that if I kept my focus a few inches ahead of where I was walking, I did not psych myself out as much by looking too far ahead (at the very steep mountain) or too far behind (at the very steep mountain).
I don’t know about you, but when I am put in situations where my life feels threatened, I tend to lash out (i.e. yell) at the person who put my life in danger. In this case, it was my husband. We had almost reached our destination, Panorama Point, when I slipped and fell, keeping myself from sliding down the snow-covered mountain using my knees and trekking poles. I fell into the snow and couldn’t move. This is when the lashing out really started. Even though my husband had stopped me from sliding further down the mountain, that didn’t stop me from telling him how much I regretted doing the climb and how much he was not being helpful to me at the time. What can I say? I’m only human!
My husband recognized that I was “freaking out” and asked another climber to assist me by making foot holds so that I could stand back up and continue ascending. “She’s not listening to me at this point,” he told the helpful stranger, “so maybe she will listen to you.” Of course, I wasn’t listening to him! I had lost confidence in my ability to climb further and truly wanted to call it quits! I was also mad at him for even fathoming doing such a dangerous task in the first place! Once I realized that I could in fact get myself standing, I began climbing slowly up. With the encouragement of my husband, I continued to climb until we both safely reached the top of the point.
It was then that I realized how proud I was of my husband. When I was clearly being critical of him, he did not get defensive and make the situation worse. Instead he recognized the frightened state I was in and did not personalize what I was saying to him. Without his encouragement, I would have never gotten over my fall and would have never believed in myself enough to continue climbing. He really does have a special gift to not personalize my attacks. If he had, both of us probably would have slid down further, not reached our destination, and felt defeated. Instead, I felt triumphant and accomplished!
I’d like to think that he is able to handle these situations so well because I am such a gifted couples therapist, but some skills just can’t be taught. Talk about an awesome shared experience! This has been one we will remember for the rest of our lives. When he asked if I’d like to go back, “You bet,” I said. “As soon as possible!”
Next destination will be Camp Muir and who knows, maybe someday the Mt. Rainier Summit!
“Our greatest glory is not in never falling but in rising every time we fall.” ~ Confucius
Picture taken of view from Panorama Point on Mt. Rainier
Welcoming New Hellos
/in From the Therapist's Chair, New AdventuresIt has been difficult for me to say goodbye to the clients I have gotten to know for the past three years. These clients have shared with me their struggles, triumphs, their secrets, and their pain. I am forever grateful for the therapeutic relationships I have formed. I learn something new every day from a client and I make it a point to tell them that –whether it is a new restaurant, book, TV show, or way of thinking about the world.
A friend of mine recently said, “Attachment is a funny beast. Through the ebb and flow of life our attachments whittle closer to our core, becoming a complex source of compassion, pleasure, and pain.” I’ve become attached to my clients.
Many clients see their therapist as a constant support in their life, someone who will always be there, even if they are not. They get attached. Attachment makes it hard to say goodbye. To anyone who has ever seen a therapist, and had that therapist leave their place of work, please know this process is just as hard on the therapist as it is on the client.
One of my favorite quotes is by William James: “We must be willing to let go of the life we have planned, so as to accept the life that is waiting for us” and I believe I did just that. New beginnings mean new attachments, I believe I am ready. I am welcoming new hellos!