"Lee Bull's work is concerned with the way that idealism or the pursuit of perfection - bodily, political or aesthetic - might lead to failure or disaster."
We’re all built of different parts: we’re not easily defined; rather we are a multitude of experiences. Often we think that there’s a kind of ourselves that feels the most like our ‘true self’, and the rest is a façade. Almost as if the real you is imprisoned and often only known to you. The façade or wall then becomes something which isn’t you. By thinking of it that way you may end up feeling powerless and isolated.
A more helpful way of looking at it might be to consider that the wall you have built is you as well. The part of us behind the wall is often vulnerable and overlooked, whilst the wall is often cold, rigid and tense.
One of the difficulties is that once we become aware of that, there is often an instant urge to get rid of one or the other. We want to push the vulnerable part even further down, or make the wall disappear without having a feel of it and getting to know it first. In the former situation, you end up creating more distance between you and the people around you; in the latter, you might lose a source of your power and your boundary.
Acknowledging that you aren’t just the overlooked part within, but also the hard exterior isn’t just a rhetorical difference. Doing so is the beginning of a process of integrating more parts of yourself into a whole. Letting yourself express both parts with a friend or a professional who you feel connected to can be powerful. You can really begin to get a sense of the purpose of your wall, as well as get to know its limits. Similarly, by sharing the vulnerable part of you with a person you feel safe with allows space for a response you may not have expected. We’re usually convinced that we know how someone will react to something. That conviction is often based on previous experiences where significant people in our lives failed to respond to us in a way that we needed.
Taking ‘safe risks’ by sharing both parts of you with someone you trust can reduce loneliness and help you become more flexible about who you experience yourself to be. You can learn that it is OK to be vulnerable at times, as well as not giving yourself a hard time for having the ability to create distance and keeping yourself safe.
The way to quieten our inner opposites isn’t to try and get rid of one or the other but to acknowledge that you’re more than one thing, giving each part a voice and seeing how they relate to each other. Perhaps what’s needed more than anything is work on our tolerance of tension, our ability to hold more than one thing as valid. We can then be free of the pressure that there is an inner true self, deep inside of us waiting to be discovered and a wall around it that needs to be knocked down. Instead we can focus on what is already here – a dialogue between them waiting to happen.
As published on Health Unlocked.
Powerlessness is one of the first words people usually use when talking about an experience when anxiety or panic takes over. There is a sense of vulnerability in feeling this 'thing' take control; often anxiety and panic are experienced and perceived as though they aren't part of the self. As the pulse increases and the breathing becomes impaired, pressure follows.
Pressure to look a certain way to those around you and wishing to get over it in private without anyone else picking up on it. What is important to say, is that the thoughts that follow, of wanting to stay composed and wishing it was over, are not merely responses to the overwhelming sense of anxiety but are active contributors to how overwhelming it feels. The difficulty then is not that you’re unwell, but that you’re unwell and want to seem well.
It often seems to go something along these lines: If I pretend I don’t feel overwhelmed, I won’t be overwhelmed. This might work, at times. The risk however is that in those moments you seem well to friends and colleagues, but it isn’t your lived experience, and so it becomes a fragile performance. A desperate attempt to not let people, and yourself, see and experience a part of you that is vulnerable.
The importance of your response to anxiety and panic
Both myself and the people I work with as a therapist find it useful to try to make a distinction between what you are actually aware of in your body and the thoughts that follow. The thoughts – ‘I need to make it stop’ or ‘when is it going to end’ or ‘I hope no one realises how anxious I feel’ – are often what prompts you to spiral into overwhelm.
What helps to make that distinction is to notice what is happening and staying with that. Instead of trying to jump ahead as if it weren’t happening, make it clear to yourself that it is happening and it is okay for it to be happening. When you begin to feel as though you’re losing your footing and your breathing is becoming uneven, try not to make it stop or forcefully slow your breathing. Rather go along with it with awareness, don’t try to go slower or faster than your symptoms, just go with them, keep them company. People often tell me this helps to take the pressure off and make it a more bearable experience. They express that paradoxically what makes it go away is to try to not make it stop.
The importance of letting others respond to your anxiety and panic
Often there is fear: If people knew that I was suffering then they’d realise that I’m not as together as I want them to think I am. Actually, sharing your struggles with people often helps them relate to you and gives them a chance to surprise you with a response that you weren't expecting. This isn’t always the case though, so first try taking small risks: being seen by people you trust and building on these experiences, because these are the very experiences that will take away some of your anxiety’s power. Then you can begin to build more authentic relationship with others and own your experience.
How therapy can help with anxiety and panic
All of us feel anxious, to different degrees, at different times. Although these experiences share common qualities, counselling and psychotherapy can help you unearth the unique ways and contexts in which you encounter anxiety and suffer from panic attacks. Therapy can support you to uncover your deeply seated ideas of how you should be seen by others and how you shouldn’t be seen. By exploring your own relationship with vulnerability you can come to an understanding of how that shapes your relationship with people around you. Doing this work is not in an attempt to try to change you, but to support you to know yourself more so when anxiety kicks off you’re better equipped.
As published on welldoing.org.
David Darvasi is a therapist working in London
What attracted you to become a therapist?I became aware quite early on how much I enjoyed talking with and listening to people. I’ve taken that role in my family without awareness, it was my way to cope with some of the difficulties that went on. Being a therapist means embodying that role again, but with awareness this time. As soon as I started training, it instantly felt right, I felt at home. I’ve also had the opportunity to meet some incredible people doing therapeutic work and felt inspired by their ability to support others.
Where did you train?I did an Introduction to Counselling course at Birkbeck, University of London. I was then drawn to the Gestalt approach to counselling and psychotherapy and have completed a BACP accredited training programme in counselling at the Gestalt Centre, London.
What sort of people do you usually see?I see people of all ages, from early twenties to late seventies at the moment, and people with various gender identities, sexualities and relationship structures. I try to be as true to myself and as inclusive as I can in the way that I present myself online. Being part of the LGBTQ+ community, perhaps more LGBTQ+ people are drawn to me, who often share that they feel safer knowing that we share an important aspect in our belonging to the world. In terms of difficulties people bring, I often support clients who feel stuck in some way, experience anxiety attacks, have relationship issues or who have suffered trauma. Often people just need to have someone to talk to outside of their circle of friends and families.
What do you like about being a therapist?Being a therapist feels like an enormous privilege. I like how each therapeutic relationship is different and people relate to both counselling as a process and to me differently. Being with them in a contained space and trying to understand the depths of their struggle is something that deeply moves me. Supporting people to be more at peace with themselves and trying to extend the boundaries of who they experience themselves to be is endlessly interesting to me. Therapy preserves some of the intimate human to human contact that seems to be rarer, or at least less apparent with the way things go.
What is less pleasant?Although I like solitude, working as a therapist can be isolating. I pay attention to keep in touch with colleagues and friends as well as network and join professional gatherings and workshops to continue to be part of various groups of therapists.
How long you’ve been with welldoing.org and what you think of us?It’s coming up to a year since I joined welldoing.org. To put it quite simply, it is the best directory I’m currently on. I enjoy contributing as well as reading other therapist’s articles. The team behind it is professional yet manages to be personal, always available and helpful in a way that feels genuine. The word community is not just a word with welldoing.org, it is that rare thing where it is felt.
Do you ever suggest books or apps to clients?I don’t. I do read books now that I didn’t care for two years ago. I remember calling up a friend and saying how much I love a book, she laughed that she suggested that very book to me some time ago. I think however good a book or app is, it needs to be found at the right time when the reader is ready or interested enough to engage with it. Clients do bring in books though at times and I love hearing what they find helpful or exciting.
What you do for your own mental health?I write poems and I’m working on a novel at the moment. I go to exhibitions with my partner and try to see friends often. I also see a therapist weekly. I jog whenever I can and try and travel frequently, even if it is just for a weekend break.
What’s your consultation room like?I have three consultation rooms, two in Shoreditch and one in Camden. They’re all functional and serve their purpose. I like the ones in Shoreditch for their location and feel at home in Camden as that is where I trained.
What do you wish people knew about therapy?I wish more people would give it a go so they could see if it works for them or not. Therapy certainly isn’t the only way to ‘get better’ or to know oneself more. It is at its most potent when both people in the room believe in its use and therefore engage with it. There needs to be a sense of connection between therapist and client for that to happen, once that connection is in place therapy can be a nourishing, powerful experience. And so it is important that people try out different therapists to find a professional they feel safe with and can connect to.
What have you learnt about yourself in therapy?I’ve learnt that my therapy is about me and it is okay for it to be about me. I feel my self-worth has strengthened, I respect and care for myself more. I’ve come to realise that real growth happens relationally and that I need to be willing to let some of my control go and give into experiences more.
As published on Welldoing.org
The reality is that 1 in 4 people will be affected by their mental health at some point in their life. The World Health Organisation states that nearly two-thirds of people suffering from a known mental disorder never seek professional help.
‘Where there is neglect, there is little or no understanding. Where there is no understanding, there is neglect.’ – WHO
Today, on World Mental Health Day, we want to talk about how we can all help to remove the stigma that’s attached to something that affects so many of us on the day to day. As you can likely guess, we’re not professionals, so we reached out to our friend David Darvasi, a professional counsellor, to put together a list of things any one can do to improve your mental health and the conversations that surrounds it.
Think of it as Health
Using the term ‘mental health’ is helpful, in that it makes it more straightforward to talk about specific aspects of our experience and emphasise the importance of it. However, on a day to day basis, it might be easier to simply think of it as health. We now know that our emotional experience is intertwined with our physical well-being. Whenever you go through loss, experience anxiety, have relationship difficulties, or whatever it may be, it impacts you as a whole.
By taking time to pay attention to your emotional experience, you’re inevitably doing something good for your body and overall physical health too. If you begin to think of it like that, instead of needing to set a reminder to listen to that mindfulness app you downloaded, looking after your mental health starts to become an integral part of a conscious, healthy lifestyle.
Take Pauses in Your Seeking
Western pop culture tells us that we should constantly be on the lookout for new experiences, and strive to be our ‘best’ selves. Whilst it is important you nourish the part of you that yearns to discover and be out of its comfort zone, that kind of constant seeking can result in you feeling like nothing is ever quite enough – including you. With that outlook, your life can become solely about seeking; and you can get lost in the act of doing that. It is then easy to lose touch with what you’re actually after. By paying a bit more attention to where you are and how you feel rather than where you want to be and how you want to feel, you can gradually reconnect with yourself and what’s most important to you.
Listening is Therapeutic (for Both Sides)
Due to the fast pace of modern living and the multiple devices we surround ourselves with, our attention can become fragmented, and listening in an open way becomes a real challenge. The impact of this can be most felt in the relationships that mean the most to us. We confuse hearing with listening. Hearing is essentially data collection, and it can be useful when we need to respond quickly to a situation at work, but it can undermine intimacy with a person we love. Listening involves an element of actually taking in what you’re hearing, to let what you hear impact you. Lending an ear and giving space to your friend without rushing to fill in that space with advice or reassurance can feel therapeutic for both of you. Besides, by becoming more supportive, you also get a bit of time off your own struggles.
Connect Through Your Vulnerability
Good times and being happy have become a sort of mantra, and everyone wants to have just that, and at the snap of a finger. All of the people you follow on Instagram seem to be better looking than ever, hanging out in dreamy places with interesting people, eating gorgeous looking food. No wonder it’s hard to feel connected at times! Scrolling through it all, of course you end up colluding with the idea that “living life to the full” somehow means that you need to be happy all the time.
But we’re human. We experience fear, anxiety, hurt and loss. It’s harder to acknowledge these experiences as, inevitably, we feel lonelier when we do. Our bodies end up holding onto the pain that we ignore, and it becomes an undercurrent that’s always there. It’s easy to develop a fearful attitude to pain, and with that, we isolate ourselves even more. Try consciously checking in with yourself to see how you’re feeling as you go through your day. It’s not a thought exercise as such, so try to be patient as it may take some time for you to reconnect with your body that way. Then, seek and nurture connections with people where being vulnerable feels safe.
Living life to the full is to be open to all sorts of experiences. You might even find that happiness occurs naturally when you feel connected.
As published on The Modern blog by Grana.
I remember a person walking into the charity where I worked a couple of years ago, fleeing from his country where he had to face torture and the prospect of marrying a woman even though he identified as a gay man. He said to me, ‘I just can’t believe that there’s a place here just for us’. He then made telling remarks of how hard his life been as a gay man when he said ‘the only thing is that the rainbow flag above the door is too colourful’. He concluded that ‘it’s just too cheery for what it represents’.
People who are on the LGBTQ+ spectrum, including non-binary genders and people who are in relationship structures that are non-monogamous, need to be supported with awareness and acceptance. In an ideal world a service where LGBTQ+ people experience a sense of safety wouldn’t need to be a specialist service. However, from listening to clients it is unsettlingly clear to me how often they feel unheard and misunderstood in services that are not LGBTQ+ aware. It shouldn’t come as a surprise though, as we’ve had decades of pathologising people on that spectrum even, or especially so, in mental health literature and services.
Although the American Psychiatric Association removed homosexuality from its official Diagnostic and Statistical Manual for Mental Disorders in 1973, it was only in 1986 that all references to homosexuality as a psychiatric disorder were removed. This came following the hard work of lots of committed individuals who dared to challenge the status quo. Progress often takes a painfully long time and we know all too well that the complex issue of oppression wasn’t gone by making changes to a psychiatric manual. The trauma of maltreatment has had a lasting impact.
We also need to remember that people who enter these services are often from countries where revealing their gender and sexual identities can cost them their lives or put them at risk of being tortured, abused and imprisoned. The research paper by the International Lesbian, Gay, Trans and Intersex Association that was published just last year was a crucial reminder of how widespread the problem still really is. It reported that in 74 countries same sex sexual contact is a criminal offence. It further stated that in 13 countries, being gay or bisexual is punishable by death. Let alone countries where LGBTQ+ people continue to experience violence. Whilst the report was focused on gay, lesbian and bisexual rights, it is strongly believed that similar laws and practices are targeting the Trans communities as well. Seeing the letters of ‘LGBTQ’ or one of its variations in an institution often gives an instant sense of relief to those who are yearning for a safe place.
Whilst I feel privileged to be able to talk to people and learn from them it is a shame that so little is still being taught on sexual and gender diversity on counselling and psychotherapy training courses. Most colleagues I talk to have barely, if that, had a workshop on the subject of the LGBTQ+ spectrum. So it is no wonder we end up with support services with well-meaning mental health practitioners who are completely unaware of the struggles LGBTQ+ people experience.
Some argue that services that are exclusive in their support of people of sexual and gender minorities further a division in society. I would argue that inevitably a division is already there and we cannot effectively support people by alluding to the oblivious notion that every service is for everyone. Living in a society where everything often feels exclusively heteronormative people who in their identities and/or practices fall outside of that need to be seen and heard. LGBTQ+ services need to exist to respond to the needs and safety of many and we need to stay vigilant in continuing the work for a more whole and integrated society.
Services in London:
East London Out Project
As published on welldoing.org
The science of anxiety is being talked about more and yet the hands on ways of supporting one another gets little attention. Witnessing your partner going through an anxiety attack can be as overwhelming as experiencing it. Your partner may need to reach out for professional support or may already be in counselling, yet anxiety attacks can happen anytime and knowing how to respond can be crucial.
Some of the signs of an anxiety attack are accelerated heart rate, sweating, trembling or shaking, sensations of shortness of breath and chest pain. There is often a crippling sense of alertness and a feeling of being outside one’s body. It can be a lonely experience. Having someone’s presence who the person feels safe with can be of enormous support in itself.
Ways you can support themThe first thing you might do is shift the question ‘Why is this happening to my partner?’ to the statement, ‘This is happening to my partner’, so you can focus on them fully. Understanding the potential triggers behind an anxiety attack can wait.
Seeing a loved one in distress can be disorienting so you need to attend to your own experience. Have a feel of your feet on the floor, attend to your breathing and sit near to your partner. You need to show, even if it’s a little scary, that you can be with them through such experience. Stay with clear statements such as ‘I’m here with you.’ or ‘I have my feet on the floor and I’m not going anywhere.’ Sharing what you’re doing can support them in attending to their experience. Your partner might also have a sense of shame as you’re sitting with them, so once their symptoms are lessening you might want to establish eye contact and signal that it is okay, that they’re okay.
What to look out forAs your partner is most likely experiencing a sense of powerlessness too, asking questions can escalate their symptoms further. Trust that they will articulate what they need once they’re able to. Similarly, instructing a person to take deep breaths often just adds pressure on them and strengthens the sense that they have little control over their breathing.
Rushing to reassure your partner by hugging them might also not be helpful. Remember that they’re at their most vulnerable and no matter how close you are to them, they might still experience this as an intrusion. It is also important that anxiety attacks or anxiety as such doesn’t get assigned to your partner as if it is ‘their thing’ as we all have to deal with some amount of anxiety and anyone at any point in their lives can experience such struggle.
Anxiety attack or heart attack?Some of the symptoms of an anxiety attack and a heart attack can be similar. Some distinctions that may support you in differentiating them are that anxiety often produces sensations in the whole of the body that are dissimilar to those of a heart attack, such as a tingling sensation in the feet or tightness in the throat. Whilst your partner can feel as though they need to vomit or have a sense of dizziness, vomiting or passing out generally occur more often when someone is having a heart attack. It is always best to seek immediate medical support though if you’re having doubts which one your partner is experiencing.
Self-supportOnce there’s a sense of stability you might want to withdraw and have a bit of space, be it as simple as getting a cup of coffee or going for a walk. You might also want to reach out for professional support. Remember that supporting a loved one through an anxiety attack is a courageous task and no easy undertaking. Self-support does not mean you need to rely on yourself solely but that you’re able to reach out for help when you feel overwhelmed.
Hear from others who have experienced anxiety here: www.anxietycentre.com
As published on welldoing.org
David Darvasi registered MBACP counsellor
Following a successful fundraising project the Free Trans Counselling pilot will start in September. There are still places to receive brief structured counselling free of charge. If you're a transperson living in London and have been thinking about counselling but have not had the means to pay for it, please get in touch.
To book an initial session just send an email to the address above or leave a message on the number listed.
I'll be running on the 10K Pride Run on the 12th of August and need help to launch the Free Trans Counselling Project. I've noticed that the professional emotional support that is available for a transperson living in London is limited at best. There are long waiting lists at various services and they really don't get the support they need when they actually need it. Services where it is ensured that they meet with respect and the same kind of care that a cisgender person would receive are pushed to their limits due to the lack of funding that is available. The Free Trans Counselling Project would serve as a pilot for a more extensive project in future, it would help to increase the chances of getting funding for it. Essentially, your help wouldn't just contribute to the immediate support I'd be offering but would strenghten the basis for a greater idea.
Please, visit the fundraising site for more information -
Free Trans Counselling Pilot
Thank you for taking the time.
Making sense of our experiences is an important aspect of life, and one of the main reasons why people seek therapeutic support. As I work with individuals I often find myself feeling for them in their sense of hurry. Their first response to their difficulty is to try to understand the reasons that have led to it and to feel different, as quickly as possible. Drawing from my own experience and working with clients it seems as though we believe that our rational brain can rush in and solve the difficulty without having to engage with the emotional impact we’re left with.
When there seems to be an emerging sense of loss, anger, sadness, exhaustion or whatever it may be, our default response often is to explain it away. What gets lost in this compulsion for meaning is the process of experiencing. You might find yourself wanting to step ahead and manage a difficulty before getting to know it. It is then easy for feelings to remain unclear, and the more abstract they are the more unbearable it might seem to be with them. One of the implications of this process is that you may end up with an intellectual explanation that carries you forward for the time being and yet a sense of dissatisfaction remains.
There are societal and cultural, as well as personal and historic, experiences that may have led you to rely solely on your thinking as a means to come to terms with difficulty. There is no struggle that involves only thoughts; there’s an emotional layer to everything. It might not be apparent, but it is there. This emotional layer needs space to be felt, it needs to be engaged with. The search for meaning consumes a vast amount of energy, as does tolerating feelings before we can make sense of them. Working with people in therapy it becomes clear that once there is space given to feelings to emerge, thoughts do catch up and meaning is created in a way that feels more powerful. This way meaning evolves from experience rather than expecting an experience to come about from reasoning.
As challenging as this process may be, it is as rewarding. Clients share a sense of feeling less isolated, more accepting with what comes up for them and often tap into their own sense of direction. We need to support one another to have the patience and resilience to engage with often unclear feelings first and trust that meaning will emerge in time, without force.
As pusblished on Welldoing.
The aim of this brief article is to offer you an alternative understanding of depression, to locate it not in the private world of the individual but in relation. As a counsellor, I see various people coming through my door who either have been diagnosed with depression or feel a sense of hopelessness and end up self-diagnosing themselves as depressed. The title of this article is not meant to just present a shift in our language but a shift in our understanding.
Part of the struggle when one goes through depression is that it feels static, as if something alien took over one’s body and pushed it right down to deep, consistent melancholy. The colours are faded, everything feels measured and a sense of inability to move, to shift, to change overwhelms the individual. It can feel incredibly isolating as if it were to happen in one’s own private world.
Thinking about depression as depressing helps me in seeing how I am depressing in the room with my client. Noticing how my client and I relate supports us in understanding how they’re relating to people around them and vice versa. The person who is labelled as depressed is often seen as the lone one with the problem and that swiftly takes any responsibility off their environment. And so the family and friends of the person tackling the problem as if it belonged to the individual without realising that they’re relating to that individual and that they are part of this depressing. My aim is to keep my client company and see what their and my part in that dynamic is. We also work collaboratively on how we might gradually break out of that depressing and move towards different ways of relating to each other.
The word 'depressing' is also more suited as everything is changing all the time. Changing the noun 'depression' to the verb 'depressing' might in itself give you a sense of hope that what you’re going through is a process. Your sense of feeling low now will be different to your sense of feeling low tomorrow. It may vary so subtly that it will take all your energy to acknowledge that it isn’t the same as yesterday but it will come as a relief when you’re able to notice the small shifts in your feelings. Try not to evaluate it as better or worse but just note that it isn’t static.
An important aspect of depressing is a sense of holding back emotion in relation, which might be anger or an outward expression of sadness or joy. This is often due to the lack of support around you in allowing space for you to express whatever may be going on for you. Noticing how you’re holding emotion back in your body, how you’re tensing up in your shoulders, how you’re guarding that space in your chest can arm you with a sense of responsibility.
Counselling can give you the space to feel less isolated and more empowered. Depressing, like everything, happens in relation. It is a process, which you don’t need to bear the weight of on your own.
Roubal J., Depression – A Gestalt Theoretical Perspective, British Gestalt Journal, Vol 16, N1, 35-43, 2007
As published on Welldoing - https://welldoing.org/article/depressing-instead-depression
You’re continuously surrounded by stimuli and so you might find yourself going along and distracting yourself from how you feel, from how you actually are. Some of these distractions are more socially acceptable than others, for example overworking or extensive use of social media are far more acceptable in this society than substance abuse. The nature of the underlying dynamic is similar if not quite the same. Ultimately, it’s never about the thing you choose as the distraction but the need to escape. And, of course, you do need to escape every now and then, but doing just that for the sake of it feels as if something needs to be challenged.
What becomes difficult is that even though your attention is occupied by, for example, reading a social media thread and ignoring your partner next to you, you don’t stop feeling. What needs to be said is that this dynamic doesn’t discriminate either so feelings that are part of living, be it loneliness, anger, anxiety, fear, boredom or even joy get pushed down. Your ability to experience and express feelings weakens and so what connects you to others as a feeling being fades.
Looking at this phenomenon from a compassionate stance is crucially important. First, notice that we all do this. Let this bind us for the time being until we figure out how to find our feeling space again, until we learn how to be with whatever is going on for us, instead of chasing the illusion that distraction will lead to moving on.
Working on myself and supporting clients, it has become clear that the more I attempt to experience fully whatever I’m feeling, the sooner it’ll go away. Something shifts on a feeling level and when I manage to gather enough courage to meet it, be it disappointment or rejection, face to face there’s a sense of relief, a sense of completion that then carries me forward.
Learning to be with the pains of living and finding your feeling space is no easy task and we need to empathically support one another to do that. Paradoxically though, staying with whatever you’re experiencing has the most potent ability to transform your relationships with others and restore a sense of connection to yourself. Distractions around you will not lessen, so learning the skills and resilience to stay with your experience is needed more than ever before, so is a dose of kindness to the part of you that yearns to escape.
Counselling can give you the space to do just that, to strengthen your resilience and skills to stay with whatever is going on for you as long as you need to, so you can have a sense of completion, build relationships that feel more alive and reconnect with yourself.
As published on Counselling Directory.
Practical ways to support one another
(as published on welldoing.org)
This brief article is aimed to support you if you were to self-injure or if someone close to you has just disclosed that they self-injure and you’d like to know how to best respond. Self-injury can take many forms; there’s a misconception that it is only cutting or scratching oneself. People develop different ways to hurt themselves.
There are numerous ideas on the function of self-injury. Some people talk about the need to replace emotional pain with physical pain. Some people may self-injure in an attempt to feel more, at a time that they feel numb. Others discover that their self-injuring releases anger that they’re unable to share with others. One thing every person I work with feels strongly about though, is that their self-injuring is part of their way of coping. Giving yourself or your loved one a no-self-injury ultimatum is never helpful, in fact it can do more harm.
When supporting people who self-injure that initial reaction of acceptance is crucial, and the same goes for you if you were to be that person, that self-acceptance is key. As you’re listening to them disclosing this, remember that they trusted you with that information and keeping that trust is something you need to attend to. You may find yourself feeling unsettled as you’re listening to the various ways self-injury takes place but remember that we all hurt ourselves at times, even if not in external, visible ways. We do injure ourselves emotionally; harsh self-criticism is a good example of that. Try not to think differently of the person now that you know this about them and remember, we’re all in this together. As you’re having that intimate dialogue you may understand something more about yourself too.
It is pivotal that once you’ve listened to that person, you gently ask more about how they’re looking after themselves after moments of self-injury. Do this to get a sense of how they’re managing it all. Often there may be a sense of shame for the individual, so hear them out and sit with them a bit with whatever is going on for them now that they shared this with you.
If you did all that, you’ve already done so much for them. Make sure that you’re looking after yourself too. Supporting a loved one who self-injures isn’t easy and you may want to encourage them to seek professional support. Initially you may be the only one who knows this about them, but it doesn’t have to be this way. To fight the stigma and lack of awareness there are places you can go to for support, and you can pass these on to that person. The more support the better, given that it is the right kind of support.
On a finishing note, even as you’re reading this you may feel overwhelmed and lonely. It makes sense that you do; it is hard to deal with as there’s so much stigma around. Hear me out though when I say, there are people out there who understand that struggle and ready to support you in whatever ways they can.
As published on welldoing.org - https://welldoing.org/article/self-injury-awareness-day-practical-ways-support-one-another
This gem of a film lets us into the private world of a short-term foster care centre for at-risk teens, supervised by Grace (Brie Larson) and her boyfriend, Mason (John Gallagher Jr).
Grace finds refuge from the emotionally erratic work at the centre at home with her loving, good-natured partner. But the forthcoming departure of Marcus, a neglected boy who is about to turn 18, and the arrival of Jayden, a withdrawn, self-harming girl, forces her to face her own wounds.
The film’s central characters have a refreshingly natural and human approach to making contact. Grace and Mason meet the teenagers wherever and however they are, without imposing anything onto them. Due to their previous experiences of neglect and abuse, it seems that the young people are not ready to risk other relationships. Caretakers Grace and Mason find beautifully intimate but bearable ways to make contact with Marcus and Jayden, picking up on what each young person is drawn to and sensitively approaching them through those activities. This seems to allow the teenagers to express themselves more fully and genuinely.
I couldn’t help but see the parallels with the ‘conversations’ that are taking place in the therapy room. I often experience the client’s fear that I will react as others have done in their past, and this inhibits them in reaching out for intimacy. I have learnt not to expect trust to form overnight but to work sensitively at their pace, providing a consistency of which they have had little or no experience.
Grace and Mason often encounter rage as they attempt this, and they respond with real understanding and compassion, recognising that behind the fury lies a yearning for human contact. We then see how Grace is having to process her own hurt, being ‘held’ by her partner, and how this enables her to be more available to herself, as well as to others. As therapists too we need to be ‘held’, through personal therapeutic support and clinical supervision, in order to process our own hurts and become more available to ourselves and our clients.
As published in Therapy Today, also available here http://www.therapytoday.net/accessible.php