Thera-spraining Psychotherapy: What it is and What it is not.

Posted by: Denise Hall on June 13, 2016 12:34 pm

This blog post is meant to unravel the puzzle that is therapy. In the past therapy was considered only for people with serious
mental health issues. Therapy has become much more accepted as a way of changing one’s life,
recovering from grief and trauma, relationship breakups and family and parenting issues. In
fact, there is evidence to suggest that it can be very beneficial in relieving depression and other
issues. It also is effective in reducing the need for pharmaceutical intervention in some
situations.

What does the therapy process look like? Contrary to what some people think, therapy is an
active process requiring work, openness and cooperation on the part of the person seeking
therapy. The therapist does not change you, they are, in effect, a facilitator of change. How
much you change (or even whether you change) is up to you.

Well what does therapy do? Therapy changes the brain as Norman Doidge the author of The
Brain That Changes Itself” aptly illustrates. Having a skilled person validating your experience,
listening with nonjudgement, and focusing on your strengths does wonders for most brains that
have a tendency to focus on the negative side of any experience and produce emotions such as
shame and guilt. Therapy can help you think differently about your situation and with
understanding comes clarity. It also helps you remember who you truly are and encourages you
to accept your strengths as well as your human flaws.

Knowing you are not alone and that someone really understands what you are going through
has immense therapeutic value. Family and friends can be supportive too but most of us would
rather not burden friends too much and usually most people just keep their feelings to
themselves.

Therapy is also preventative. It prevents and/or mitigates conditions such as high stress,
depression, anxiety, chronic pain and PTSD that left untreated can cause associated physical
conditions such as stomach ulcers, cardio/vascular events, panic attacks, isolation, suicide,
physical deterioration, musculoskeletal challenges and debilitating pain, and addiction
to opioid medication.

What therapy does not do? Most of us in our ever increasingly complex and fast-paced world
are looking for a magic bullet or a quick solution that will alleviate or solve a difficulty. Therapy
is not a quick fix for many reasons including that situations are usually complex and accrue over
time. Healing takes time. Untangling the many factors in a situation is a process and our
defense mechanisms often get in the way. We usually need a safe place to freely explore the
landscape around issues causing frustration and pain. Many people have never had a safe place
to do this.

Another thing therapy costs money, upwards from $100.00 to $200.00 per hour. Depending on
the qualifications of the therapist. Most psychotherapists have a Master’s degree and are certified by
provincial or national bodies (for more information on practice requirements for psychotherapists
across Canada, please see https://www.ccpa-accp.ca/profession/regulation-across-canada/).
Psychologists are regulated provincially as are registered social workers. I definitely would
recommend counselling or therapy with someone who has had rigorous education, training and
supervision.

The good news is that it might not take a lot of sessions to get you feeling better about your
situation and feel like you are gaining more control over your life. For complex issues involving
trauma it can take much longer. I remember a therapist telling me that if personal growth was a
priority then I would find the money to pay for therapy. I do not see it as simple as that now
that I have been a therapist for years. Most people have competing priorities these days and
therapy is usually put on the back burner. Although it is likely to be beneficial, managing a
household, paying rent and food costs are a high priority in most everyone’s life.

Although there are some options for therapy with psychiatrists that practice therapy, employer
funded programs and government and community organizations, there are usually wait lists,
number of sessions is time-limited, and acute conditions take priority. The Globe and Mail
published an article last fall that made the case very well for government funded mental health
services accessible to everyone. Many countries do provide therapy and the cost to taxpayers is
outweighed by the reduction in cost in the general health budget and employer funded
disability plans.

A word of caution about therapy though; growing as a person can change your life priorities
and the relationships with those around you. It also can be challenging! Opening yourself up to
someone maybe for the first time is scary. We are afraid usually of being judged by others. The
evidence for addressing issues rather than suppressing them is strong. Unexpressed feelings
can manifest themselves in health conditions, chronic pain and addictions. Many people have
tried self-medicating when issues have become too much leading them into a dangerous
trajectory.

I am hoping this blog post helps you understand what therapy can do for you. Remember you
are the captain of your own life when you take part in psychotherapy. What you get out of it is
up to you and I encourage you to shop for a therapist that fits for you and that you feel safe
with. In case you would like to speak to me further about your situation, I am available for free
30-minute telephone consultations if you would like to explore it for yourself at 604-562-9130
or email [email protected].




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

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