Life in a Bind – BPD and me

My therapy journey, recovering from Borderline Personality Disorder and Generalized Anxiety Disorder. I write for welldoing.org , for Planet Mindful magazine, and for Muse Magazine Australia, under the name Clara Bridges. Listed in Top Ten Resources for BPD in 2016 by goodtherapy.org.


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Getting the most out of therapy

I am a big fan of welldoing.org, an “independent psychotherapist and counsellor directory and information resource for people who want to enhance their health and wellbeing“. I wish I had known about them when I was first looking to start therapy and had no idea what the (sometimes subtle) differences were between the numerous different types of therapy. I wish I had known about them in the early months when the process of open-ended psychoanalytic therapy made little sense and was not quite what I had expected. However, better late than never, as they say! I am now a follower and regular reader and gain a great deal from the varied and interesting articles by therapists from different ‘traditions’ as well as by clients facing particular difficulties or dilemmas. I was fortunate enough to have received referrals to three potential therapists (of which my current therapist is one) from my ex-therapist, just before we finished our sessions together. However, for those who have made the difficult decision to enter therapy but do not know how to find a therapist or what type of therapist they should be looking for, welldoing.org can get you started by matching you with someone, based on a short questionnaire.

This week, I wanted to share the links to Part 1 and Part 2 of an excellent article on welldoing.org by therapist Joshua Miles, called ‘How to get the most out of therapy‘. These are easily amongst my favourite posts on the site; they are helpful now, and I know that they would have been even more so had I come across them in the early stages of my therapy. I think that there are numerous misconceptions about therapy ‘out there’ amongst those who have never taken part in the process; as well as simply a lack of information about what it is really like, and about how ‘change happens’. As Joshua Miles points out, it is not always about giant discoveries. As he also points out, the process is not simple or easy, and although the benefits are enormous and the process can be beautiful and fulfilling, it can also involve “a great deal of upheaval and change”. I have been in therapy for three years now, and try as I might to address his misconceptions, my husband still tends to think of my therapy evening as a ‘night out’ and is surprised when I don’t always come home feeling better and happier!

Joshua Miles’s excellent post covers some key components of therapy which, if understood and taken on board, can really help clients to ‘get the most out of therapy’. In Part 1 he addresses the vital area of trust: in our therapist, in the therapeutic process, and in ourselves; and he also talks about the importance of prioritising therapy, and of using the time between sessions to ‘process’ the material. In Part 2 he discusses another vital area and what some might say is the key agent of change in therapy – the therapeutic relationship. He also talks more broadly about the importance of communication, and being as open and honest as possible.

I can highly recommend both parts of this article for anyone looking for an excellent summary of the key components of the process of therapy, and how to get the most out of it. I think it is helpful not just for clients (particularly in the first few months), but also for those (such as my husband!) who are not in therapy but who may be interested in finding out more, or in supporting someone who has taken the courageous and important step to commit to this difficult but exhilarating journey…..

 


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Trust: The High Hurdle of Therapy

I believe that for me, this is one of the most important blog posts I am ever likely to read. The topic is trust – trust in therapy, but also trust in other relationships as well. It is a large part of what can make any relationship sometimes therapeutic, and sometimes not (to use Dr Stein’s phraseology).
I don’t want to say too much about this post -it speaks volumes, about an immensely difficult and often painful topic. One of the things that makes it so extraordinary is that a number of metaphors are used to convey the nature of trust and how it is built up. The metaphors are both extremely illuminating, and incredibly beautiful.
It’s a wonderful piece of writing; it’s an intellectually interesting and effective way of conveying a complex concept and revealing its core. But most importantly (and effectively) for me, it’s utterly emotionally convicting, and goes straight to the matter of my heart.

Dr. Gerald Stein

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All relationships are either therapeutic or non-therapeutic. Or perhaps I should say, sometimes therapeutic and sometimes not. A relationship with a counselor is not exempt from this complication. Bloggers in treatment suggest that no other topic so unsettles the soul.

The heart is easily torn. A therapist tries to get inside a patient in a way more intimate than most sexual encounters. The client is expected to strip down before the healer in a metaphorical sense. Remember, our custom of shaking hands derives from the need of two souls to prove they are unarmed — that to be near is not to risk injury. Even without weapons, however, danger is there.

Partners in friendship, love, and therapy make assumptions. Sometimes these unstated beliefs undermine the possibility of understanding and trust. Trust is like a garment made out of words and expressions; actions and expectations. In the space of less than…

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