Amy Dann Psychotherapy
|Posted on September 22, 2020 at 5:05 AM|
Nature is a wonderful healer, and walking in the great outdoors is definitely one of my ‘therapies’. Being out among the elements somehow seems to contain me and take me out of myself at the same time. I feel comforted, and de-stressed, particularly when I walk by the sea. My thinking becomes clearer, and if I have been emotionally overwhelmed or burned out, the landscape calms and soothes my frazzled nerves.
Walk and talk therapy takes us beyond the four walls of the therapy room, allowing the natural world to become the therapeutic space. Walking side by side with a therapist can feel less static and intense than sitting face to face, and can allow difficult issues to be addressed with greater ease. Walking increases blood flow, which can help make thinking more fluid and increase creativity and insight. Research also shows that walking in nature can reduce symptoms of depression, anxiety and stress, as well as decreasing negative emotions and increasing positive ones.
In these days of eco crisis and uncertainty about our future, walking and talking therapy can also reconnect us to the natural world in meaningful, personal ways, increasing our appreciation for nature and its capacity to support and sustain us.
I offer walk and talk therapy along Felixstowe seafront, and if you are interested, or would like to find out more, please email [email protected], or get in touch via the Contact page.
|Posted on September 15, 2020 at 2:50 AM|
Person centred therapy is about creating a climate of genuine warmth, understanding and trust, in which real and deep communication is possible and there is the freedom to explore, understand and resolve the challenges that you are encountering.
It is a type of non-directive therapy, which means that rather than applying techniques or explanations to psychological distress, the therapist connects with you where you are, in whatever you’re experiencing, through empathy, unconditional positive regard, and a genuine desire to understand your unique experience from your point of view.
In person centred therapy the client takes the lead, deciding what is discussed, and controlling the speed and direction of the conversation. As your therapist, I will follow you, making sure along the way that I understand, as far as possible, the feelings you express and circumstances you describe, as you experience them. I will be my authentic self, honest and open as far as seems helpful and appropriate, in order to facilitate an open and honest environment within the therapeutic relationship.
The person centred approach was developed by the American psychologist Carl Rogers, and its central philosophy is that we all have an innate capacity for self-healing and growth – what Rogers called the “self-actualising tendency” – an inner drive towards personal fulfilment and the realisation of our own potential, however each of us may define that. He recognised that this growth-seeking drive was best facilitated in therapy by the therapist being non-directive, empathic, accepting, non-judgemental and genuine.
This does not mean there is any expectation for you to “grow” during your therapy: person centred therapy is about meeting you exactly where you are and holding space for your subjective experience, so that you can explore and reflect on what is happening for you without the pressure of meeting any external expectations.
If you would like to find out more, or if you like the sound of person centred therapy and think it might be for you, please don’t hesitate to get in touch.
|Posted on February 13, 2019 at 1:10 PM|
Love After Love by Derek Walcott
The time will come
when, with elation
you will greet yourself arriving
at your own door, in your own mirror
and each will smile at the other’s welcome,
and say sit here, Eat.
You will love again the stranger who was yourself.
Give wine. Give bread. Give back your heart
to itself, to the stranger who has loved you
all your life, whom you ignored
for another, who knows you by heart.
Take down the love letters from the bookshelf,
the photographs, the desperate notes,
peel your own image from the mirror.
Sit. Feast on your life.
The subject of self love comes up often in therapy, and many clients respond to it with resistance, sometimes even hostility. Perhaps because it isn’t an idea that gets much attention elsewhere. Our relationship with ourselves isn’t something we talk about, ordinarily. Many people are aware of the idea that we must love ourselves before we can love others, but there is a lack of clarity over what that actually means, and it feels like just another piece of received wisdom – a little hollow.
But self love is important. It is an answer to loneliness; in the writer and poet Brendan Behan’s words: “At the innermost core of all loneliness is a deep and powerful yearning for union with one’s lost self”.
Oriah Mountain Dreamer, in The Invitation, asks, “Do you like the company you keep in the empty moments?” Many people struggle with only themselves for company. The idea that we should find someone else to spend our life with is everywhere, constantly reinforcing the idea that we are not enough on our own. That we need someone else to validate us.
Derek Walcott’s poem speaks to the unacknowledged, unappreciated presence in our lives – us. Sure, at times we all need the presence and support of others, practically, emotionally..., and relationships are important, but so is our relationship with ourselves. The only person who can, always has, and always will be there for us, is us. We owe it to ourselves to like and love who we are. In the words of the illustrious Dr Phil, “Your life is created from the inside out, so you must get right with you on the inside.” There is no-one else like you.
And if we are ok, really, authentically OK on our own, then being with another becomes a choice, not a need.
With a strong sense of self love as our foundation, we come to relationships whole. We don’t require the other person to complete us. They are free to be the unique individual that they are, without having to make up for anything we are missing. Maybe that is when true relationship becomes possible.
|Posted on December 17, 2018 at 9:55 AM|
Dictionary definition: (n/vb) belief/ve in the reliability, truth, honesty or ability of someone or something.
If trusting means to believe that something or someone is good, honest, true etc., doesn’t it imply a leap of faith, perhaps in the absence of evidence – of proof that the person, or thing, is trustworthy?
Does trusting start with “trusting myself enough to put myself into everything I do”? This suggests that when it comes to our ability, or otherwise, to trust, the most important relationship is the one we have with ourselves. If I have a strong sense of self, if I feel I know, like and value who I am – if I am OK with myself – the actions and the behaviour of others have less power to destabilise me. This does not mean I cannot feel hurt if an important relationship goes wrong, or someone I am close to behaves in a way that causes me pain. It means that even amidst that pain or grief, the core of who I am remains unaffected, unchanged: I recognise that other people’s behaviour is about them, and not a reflection of my own worth.
So can I trust others only when I have learned to trust myself? Or is trust perhaps something which emerges out of relationship, out of sharing, gradually, our vulnerability and seeing that it is received with love? If I put my trust in someone else, am I liable to forget to trust myself? Is it possible to have such blind faith in someone that we forget to listen to our own instinct, intuition and judgement, and act contrary to our nature, to our own flow?
Certainly trust is central to every relationship. Often hard-won in the first place, it can be easily lost, and difficult to retrieve once lost: “Breaking someone’s trust is like crumpling up a perfect piece of paper. You can smooth it over, but it’s never going to be the same again.”
Mistrust, or difficulty trusting, when we have troublingly low expectations of other people’s behaviour, is sadly usually based on experience. Our capacity for trusting is influenced by our earliest experiences of relationship: with our parents, or whoever cared for us in infancy. When parents or caregivers engage with us from the very beginning, mirroring our facial expressions – our earliest attempts at relationship – and continue to respond to us with genuine warmth, attentiveness, acceptance, consistency and sensitivity as we grow and develop, we form what’s known as secure attachment – think of the toddler confidently running away to play, assured that mum or dad, or whoever cares for them, will still be there if they need to ‘return to base’. This is the basis of trust; we acquire our pattern for trusting within our formative relationships. If our caregivers are unpredictable and inconsistent, or abusive, we will have difficulty learning to trust, and may grow up expecting, either consciously or unconsciously, others to be hurtful, mean or to let us down. Furthermore, we do not learn to trust ourselves. A secure attachment to caregivers over time becomes internalised, and we grow up with a strong and secure ‘sense of self’. Without this, we can lack the self-assurance to rely on others and take healthy risks.
Trust is crucial to therapy: Therapy is a relationship that can be used to heal the damage left by “previous ruptures in relationships”, – by previous betrayals of trust. The therapist needs to be up to the task of earning a client’s trust, with understanding, patience and empathy. Each client who enters therapy takes a leap of faith, sharing private truths that often have not been previously revealed even to close family and loved-ones, and in doing so trusts the therapist, who is in effect, in the beginning at least, a complete stranger.
The client’s trusting must be reflected by the therapist behaving in a trustworthy manner, by being responsible for his/her own actions and requiring the client to be likewise, for theirs. The therapist may say that they are trustworthy, but the client must have proof, and the skill comes in communicating their trustworthiness to the client. Trust is like an interpersonal bridge, carefully constructed across the gap between the therapist and client by the therapist being receptive, empathic, consistent (not perfect), predictable (not inflexible), and maintaining ethical boundaries.
Offering clients freedom of choice, encouraging them to decide for themselves right from the start if the therapist is the right person to work with, communicates trust – effectively saying, “I want you to be free to go away, free to choose to come back”. Trust can only flourish in a non-traumatic, non-coercive environment, and a working alliance is established only once the client has actively chosen the therapist.
So if we recognise in ourselves a difficulty trusting, if our trust was broken so early in life that we were not able to develop a secure sense of self, therapy, which can act like ‘re-parenting’, can help. Self-trust is invaluable, and while it may be something we need to work on more than once, its benefits can be felt in all our relationships, including, first and foremost, the one with ourselves.
Trust in ourselves comes first. Everything else proceeds from that.
|Posted on November 27, 2018 at 4:30 AM|
More or less a hundred years ago, Freud recognised that anxiety may be the price we pay for civilisation. Life today is faster, more frantic and over-stimulating than ever before, showing no sign of slowing down any time soon, and anxiety rates seem to be consistently on the rise. According to The Mental Health Foundation, in 2013, there were 8.2 million cases of anxiety in the UK.
Most of us will experience anxiety at some time in our lives, and for many of us it will arise in response to a specific occasion or set of circumstances, such as a job interview, school exam or first date, subsiding again once the nerve-wracking event has passed. For some, however, anxiety is a more frequent visitor, bringing ongoing disruption to day-to-day functioning. Certain situations like driving or travelling long distances, social occasions, workplace meetings or not having access to toilet facilities, for example, can give rise to persistent and overwhelming anxiety for some people.
What is Anxiety?
Anxiety results from the triggering of our fight/flight response, when the part of our brain whose job it is to protect us – the amygdala – senses a threat. As a client once pointed out, if someone has a gun to your head, some level of anxiety is appropriate. Our fight/flight response is a fundamental survival mechanism, and to that extent, the anxiety that goes along with it is necessary and helpful. So we wouldn’t want to get rid of it altogether.
The problem arises when we experience anxiety so often or so greatly that it disrupts normal life, arising in response to everyday events and situations that aren’t life-threatening; instead of being functional, it becomes dysfunctional. This is sometimes referred to as generalised anxiety disorder.
It can sometimes feel as if the world today sets us up for anxiety. As technology increases the pace of life further and faster all the time, our brains and bodies can struggle to keep up. 24hr rolling news alerts us to events and disasters around the world that are beyond our influence or control. Smartphones are our constant companions, competing for our attention even when we aren’t using them. Research has shown that the mere presence of your smartphone can reduce cognitive capacity, contributing to a state called ‘continual partial attention’. Advertisers compete for our cash by telling us we aren’t enough without their products. The availability of seemingly endless streams of TV channels, and on-demand movies and box sets are keeping us up later at night than is healthy. When it comes to distraction, the possibilities feel endless. This is sold to us as a good thing, but what if it is making us more anxious by contributing to what is called ‘FOMO’ - the fear of missing out?
In his brilliant book, “Notes on a Nervous Planet”, Matt Haig writes about his experience of anxiety as a “kind of overload”, and asks what happens when overload has become almost a way of life, fuelled by our modern world.
What can we do about anxiety?
The challenge is to simplify, disconnect, unplug, and come back to ourselves. We can do a lot to lower our general anxiety levels by reducing the amount of time we spend each day looking into a screen of one type or another... For example, checking social media can sometimes feel like the modern equivalent of looking out the window for a few moments’ distraction. However, gazing at the view can restore perspective, but scrolling on social media is likely to do the opposite.
We can take time to pause, breathe, and reflect, get off the exhausting merry-go-round of ‘beginning – middle – end – next’. We can create space between things….connect with nature. Studies have shown that regular time in or looking at nature has lots of mental and physical health benefits. Research also shows that in children, regular, direct contact with nature can increase self-esteem and resilience, and improve cognitive ability and creativity, flexibility and self-awareness. I bet it can do that for all of us.
We can remind ourselves of the time before smartphones and multiple gadgets and non-stop streaming, and focus on just one thing at a time again, and reap the rewards of concentrated attention and energy. We can go to bed earlier, so that we wake up naturally rather than needing an alarm (which nowadays means that many of us sleep with our phones by our beds). Our consumer culture tells us we might be missing out on all the fun, but we won’t be, and instead we might find there is so much to gain, through a reduction in anxiety and depression, and reconnection with ourselves.
Of course, some anxiety is personal, specific to us as an individual, and may be triggered by situations or events that remind us of trauma, often childhood trauma. There may also be underlying issues, and we may need the help of a professional counsellor to explore and understand what is going on, for us.
As a general rule, what we resist, persists, and so the first step towards change and healing is to accept where we are right now; acknowledge the anxiety, get curious about it – when and where does it arise, and what can you do differently, to reduce it. You, are in control! Some anxiety may be a necessary component of our fight/flight response, but persistent, debilitating, everyday anxiety is not something we have to live with.
|Posted on November 20, 2018 at 4:45 AM|
Of all the different benefits clients report that they get from therapy, the one that comes up more than any other, and is often the first to be felt very early on in therapy, is the benefit of talking to someone who is completely unconnected to the issue the client is struggling with. Someone who isn’t emotionally invested in either the situation or anyone associated with it.
It is clear that there is a big difference between sharing our troubles with people we know, and sharing them with an impartial outsider, but what makes the difference, and is unburdening ourselves to a therapist any more beneficial than seeking support from a friend?
The clue is in the word burden, which is what a vast majority of us wish to avoid becoming. We would rather bear the weight of our worries alone than ask a friend or loved-one to share it. The problem becomes even greater if what is troubling us involves the people we love, and we can’t share our feelings for the added reason that we might upset someone. Nobody wants to ‘stir up a hornet’s nest’, or ‘open a can of worms’ and risk damaging relationships with those they love – the very people from whom they derive support.
The risk of damage to ourselves is seldom underestimated either. Although more rarely acknowledged out loud, the anxiety around making ourselves vulnerable to the people we see every day is also a factor. It could be that we are worried about letting people down – we may have partners or parents or friends that we look up to and respect, and the expectations we have of ourselves in those relationships inhibit our capacity for vulnerability, usually because we are afraid of being judged, or because we think we might become a disappointment by revealing what we perceive as our weaknesses.
No wonder, then, that one of the greatest effects clients report in the initial stages of therapy is relief – the effect of the weight set down just by being able to talk about difficult issues without fear of judgement or of harming the listener. It seems it is sometimes easier to be a burden to a stranger than to a friend. On the whole, clients also understand that a therapist is trained to reserve judgement, and bound by a code of ethics that dictates a level of confidentiality which cannot always be relied upon between even the closest and most well-meaning of loved-ones. And if they have allowed themselves to be really seen and heard, complete with all the things that most of the time may be kept hidden – anger, hurt, sadness, shame... the feeling of vulnerability that accompanies such openness can be left behind when they leave the therapy room.
Perhaps in the short-term counselling can, among other things, act like a safety deposit box, in which some of the things that may be making life difficult are placed for safekeeping with the therapist, who is trained to hold onto them, without judgement, until such time as the client is ready to take them out again, examine and integrate them. Or from another perspective, therapy can offer a place to practise being vulnerable by sharing the things we are afraid of sharing, when not sharing them has become unsustainable.
|Posted on May 18, 2018 at 8:55 AM|
What is stress? One way of looking at it is as the effect produced by any kind of change. But life is always changing, right? What is that saying – “the only constant in life is change”? In fact, we need a certain amount of change to keep us sane, because also, sometimes, “a change is as good as a rest”.
OK, so the right amount of change is important, because it keeps us alive, stimulated and motivated. Too little and we become bored and our lives seem to lack purpose. But every time we encounter change, our mental map of the world gets redrawn. Sometimes it gets redrawn only temporarily, like when a colleague is off sick and we have to cover their workload for a while, but at other times the redrawing can be more permanent, as it is, for example, when we change job, move house, or lose a loved-one. When we are under pressure or life is very busy it can feel like we are having to make too many alterations to our map all at once, and we can end up feeling stressed – tired, angry, anxious, unwell.
So what can we do to take care of ourselves at these times?
First of all we need to feel we have support, someone to turn to who will listen and try to understand and, if necessary, take the reins for a while so that we can rest and recuperate. This may be a professional, such as a counsellor, who can shoulder some of our emotional burden and help us explore any underlying issues, or it might be a friend or family member, who can help in a more practical way by taking over responsibility for something until the pressure we feel under subsides – a grandparent picking up the kids from school, for example, or a partner taking over the housework for a week.
Rest is also vital. When we are stressed we dream more and so get less of the restorative deep sleep we need. We go to bed tired and strung out, and wake up tired and groggy rather than refreshed and ready to face a new day. When we are rushed off our feet or under a lot of pressure, allowing ourselves time to decompress before we go to bed can improve the quality of our sleep. We can do this by going for a walk, sitting quietly, meditating, taking a bath...anything that restores calm and allows the fight/flight response to deactivate. Decompression is best done away from technology, as TV, social media etc will only increase stimulation. Playing or listening to music is good, but “conscious repose” is ideal. Be aware of the desire to comfort eat when stressed, and beware inertia too – I don’t know about you, but I find that the more I do, the more I want to do (just like the less I do, the less I want to do). During a hectic week recently, I found myself adding more pressure by deciding to swap round two of the rooms in my house. I got as far as measuring up to see if the furniture would fit before I realised what was happening. My “distraction” defence mechanism was activated, and my mind had found me a pleasant project with which to avoid the other less appealing jobs on my plate, but if I had gone ahead, all I would have done was pile on more pressure by adding to my To Do list, and increase the likelihood of my not finishing anything. This would undoubtedly have left me feeling more stressed. Definitely one mental map change too far!
When our mental map of the world is changing fast, routine can anchor us in the familiar and help guard against emotional overload; taking meals at regular intervals and finishing work on time, avoiding the temptation to work longer to try and achieve more – literally, enough...is Enough! Busyness is not a virtue. Going to bed and getting up at the same time each day, and allowing ourselves time off all count against the effects of stress too, so have that cheat day, and stick to date night or movie night if that’s what you normally do, even (especially) when it might feel like obligations are getting in the way.
So change can add interest to our lives, but too much can leave us reeling. Change can feel good, and at other times it can feel bad. But difficult changes can be beneficial, because we need a certain level of frustration in life to help us define and maintain our boundaries. In other words, we find out what is important to us and where our limits are – what we will stand for and what we won’t – when we encounter frustration. When we’re born we don’t have any awareness that we are separate, distinct from the rest of the world, and it is only through the natural frustration of our needs (a feed not arriving precisely on cue, for example), that we begin to experience ourselves as separate. So in a very literal way, early-life frustration teaches us where our edges are, first our physical ones, then later our mental and emotional ones. This process continues throughout life, and if we can learn to meet frustration with self-awareness and self-reflection, we can use it to better understand ourselves and live by our values, building an ever stronger and clearer sense of who we are.