Category Archives: therapy

therapy

Getting it outside your head

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I have been thinking and working a lot with productivity lately. One of the aspects of this learning process for me has been the benefits of externalization.

What I mean is this: I by nature keep everything inside. I let things root around in my head, create a life of their own, and become monsters that are way larger and more scary than they really should be.

Any good counselor or psychologist will do this. If you can get something written down on paper so that you can look at it with some level of objectivity, you can see it for what it is and not let the voices in your head make it into a monster.

This happens in the Psalms all the time. In Psalm 88, for example, the Psalmist is hurt and angry with God because he is near death and it appears like God has cast him away (v. 14). His words are hard and bitter, and they free him (and us) to be straight up with God and not afraid of the consequences. God is a God of mercy, not wrath.

So when something is eating at you, write it down. Tell someone else. Get it out of your head so that you can look at it for real. Take it to God in prayer. This process will be helpful to you, whether you are talking about the big things of life or the nagging thought that you need to call and make a dentist appointment.

Be at peace, friends. Let it out!

-DMR

book reviews, natural remedies, sadness, stimulation, therapy

Who Switched Off My Brain? (Book Review)

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Who Switched Off My Brain?
By Dr. Caroline Leaf

A parishioner of mine recommended this book to me, and so I read it a couple weeks ago. I checked it out from the library, so I don’t have it in front of me, but I wanted to give a brief review of it at least.

The author is I believe an evangelical Christian of some stripe. Basically what the book does is tries to explain in lay terms how the brain works, and the role that what she calls toxic thoughts and emotions have on your physical, mental and spiritual well being.

I found the book extremely helpful. It is easy to read, explains a lot of the things that many of us sort of know or suspect but can’t really explain, and does so in a positive, useful fashion. If you are trying to get a grip on how your mind works and why, this is the book for you.

I would also say that it would reinforce cognitive therapy in a general sense. Which I count as a very good thing.

My only caveat on the book is that because of her american evangelical background, she looks at forgiveness simply as a choice that one makes, and not as a gift given by God through the Word and faith. This didn’t distract me overmuch, but it is a caution. This, by the way, is also my general caution regarding cognitive therapy. It is a good and salutary method of counseling, as long as we can understand the role of God’s Word in creating faith in the process.

Anyway, it’s a good book. I recommend it, and I’ll probably buy it somewhere along the way here.

-DMR

book reviews, children, depression, family, suicide, therapy

The Yellow Wallpaper

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The Yellow Wallpaper and Other Writings, by Charlotte Perkins Gilman, is not what one would consider “normal” reading for Lutheran pastors. Ms. Gilman was a turn of the (20th) century proto-feminist, advocated group raising for children (“it takes a village”), and any number of peculiar to downright evil ideas.

She also had a brilliant insight into the mindset of depression and anxiety.

In the signature short story in the above book (The Yellow Wallpaper), the protagonist has been diagnosed with melancholy. Her husband is a doctor, and believes that the best thing for her is to be kept away from all human contact. Despite her ongoing objections, she is made a virtual prisoner in her own home, a cottage they have rented until she gets better.

Of course, she doesn’t get better.  She goes slowly mad, and becomes obsessed with the yellow wallpaper in her upper room where she spends all her time.  The patterns in the paper become alive, she starts to see people on the other side of the paper.  It consumes her, until she finally cannot take it anymore and commits suicide.

Now the element of this story which I found so intriguing is the role of her husband.  He is a doctor, so he is an expert.  She cannot question his judgment, because that would be both unseemly and totally counterproductive.  So she is forced to accept his diagnosis even though everything within her says it is wrong.

The parallels between this and modern approaches to depression and other mental illnesses is striking.  What “camp” you fall into will determine your diagnosis.  Traditional medicine.  Homeopathy.  Good ole’ American willpower.  The “Luther” view of sing more hymns loud, drink more and be with people more (more on this little topic in another post).  Some will say drugs are the only way to go.  Therapy must be the answer.  Others will say that prayer is the only way.  Still others meditation, sunlight,  etc.  But it is surprising to me how completely exclusive these approaches can become.

The reality is that the mind is an incredibly complex thing, truly a wonder of God’s creation.  Just as there are many causes for depression, even so there may be many roads out of depression.  What we must be on guard against is presuming that one view or approach is the end all only way to come to a right way out.

In this path we walk, our Lord has given us many tools for healing.  God will see you through, no matter what path you may end up talking along the way.

-DMR

depression, therapy

Venting on the WSJ on Depression

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HERE is an article by a WSJ columnist in their Opinion Journal section about depression in America. It really ticked me off.

It ticks me off because the author says this at the end of the article:

I suspect, however, that cultural differences can account for only so much. Economics must also be at work. Consider Jean-Baptiste Say’s famous insight that supply creates its own demand. We know this to be true about, for instance, personal computers: There was never any demand for PCs until Steve Jobs put one on the market and persuaded consumers it was something they should have. Just so with depression: Is there a country on earth where Prozac is more widely prescribed, or therapy more readily available, than the U.S.? It should hardly be surprising, therefore, that Americans now find themselves so depressed.

None of this is to say that depression is not, for those who suffer acutely from it, a serious matter or that it doesn’t warrant attention and care. But it is also true that what we now call “depression” is something previous generations also knew, albeit with different names: melancholy, unhappiness, “the blues.” In song, in church, in labor, in philosophy and in the bonds of family, community and tradition they were often able to find genuine consolations.

Such consolations still exist, though we no longer think of them as cures. Given how badly our own “cures” seem to be working, perhaps it would be well if we did.

Well, here’s the problem. There is nothing magical about the word “depression”. It is used colloquially for probably a dozen different diseases, maybe more. Some of those diseases are more common in different places. But generally speaking, any kind of illness of the mind can fall under the category of depression.

Furthermore, it is not simply a matter of consolation or of being happy. What a silly thing to say. The goal of life is not to be happy at the end of the day. Our goal as Christians is to be in communion with Christ, and to find our rest in Him. Even most other religions or secularists will recognize that “happiness” is not everything. I’m all for happiness, but please. Is that a medical diagnosis?

The same may be true for the word consolation. It evokes images of patting someone on the back when they’ve had a bad day, or simply sitting down and listening to a friend. Again, I’m all in favor of consolation. Consolation may be found in many different places, some of which the author listed. Consolation (I would suggest) is a portion of the healing which must come about in order to recover from depression. But it is not the “cure”.

Mr. Stephens, your article cited a lot of statistics, and pulled the public conversation about depression backwards, not forwards. I hope that you never have to suffer as we have suffered, but if you do, you will find your own words as painful as I do.

-DMR

PS Yes, I’m in a crabby mood today.

psychology, stress, therapy

Going bananas over cognitive reframing

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For as he thinks in his heart, so is he. -Proverbs 23:7


cognitive therapy
n.

A form of psychotherapy using imagery, self-instruction, and related techniques to alter distorted attitudes and perceptions.

Cognitive reframing is a type of cognitive therapy where the basic premise is this: as you think about yourself, so you are. So the question basically is this: can you rethink how you view your world, and particularly the stressors or other events in your life so that you can handle them?

First the theological question. How does this jive with a biblical view of original sin? The problem with most psychological theories is that they begin with the false premise that man is either inherently good or morally neutral. This is why psychotherapy methods based on the works of Jung or Freud are inherently suspiscious, if not flawed from the start. Neither of these jive with a biblical view of human nature.

Cognitive reframing, however, works not with underlying questions or good and evil, but with the question of behavior. When certain events occur in your life, it has a physiological and psychological effect upon you. The high from a great run. The low from getting fired. A family meal. A friend or family member dying, or even simply moving away. Sex. All of these and more clearly have both mental and physical aspects to them.

That really is at the foundation of understanding many aspects of depression. Depression is a mental illness that has physical manifestations. Furthermore, one suffering from depression can have “trigger” events that will send them into a mental and physical tailspin. Stress. Family. Work. A combination. Particular parts of work or family life. You get the idea.

The premise behind cognitive reframing is how we view these events mentally will shape our mental outlook as well as our physical outlook to things. No, this is not some Zig Zigler type motivational nonsense (you may see Little Miss Sunshine for a great parody on that). What cognitive reframing teaches us is that we can change our mental outlook on things, just as a good counselor or psychologist can.

My counselor tells me that they could raise my body temperature by several degrees just by talking to me about heat in great detail. If this is true, is it so hard to believe that we can reframe how we look at things?

For me, we’re talking about stress. Stress triggers a mental and physical overload, so that I cannot function. I may know at some level that I’ll be fine, I’ll handle it, and that there is a future. But my mind and my body is telling me otherwise. My brain gets foggy. I can’t think. I can hardly move or listen. In really bad cases, it probably isn’t safe for me to drive.

But what if I can think of these trigger events differently? What if instead of looking at them as “stressful” I look at them as “pickles” or “opportunities” or “bananas”? Crazy? Maybe. But try it. Consistenly try it. It works.

Think through the events that drag you down, that make you crazy, that turn you into that zomebie or down that deep, dark hole. Come up with a word for those events that are absurd. Take the fear out of them, and with it, you will find that over time, events that terrified you or filled you with dread will come back to the realm of normalcy, or at least a whole lot closer.

Here is one link to cognitive reframing I found interesting. There are others I’m sure.

-DMR

psychology, stress, therapy

Going bananas over cognitive reframing

1 Comment

For as he thinks in his heart, so is he. -Proverbs 23:7


cognitive therapy
n.

A form of psychotherapy using imagery, self-instruction, and related techniques to alter distorted attitudes and perceptions.

Cognitive reframing is a type of cognitive therapy where the basic premise is this: as you think about yourself, so you are. So the question basically is this: can you rethink how you view your world, and particularly the stressors or other events in your life so that you can handle them?

First the theological question. How does this jive with a biblical view of original sin? The problem with most psychological theories is that they begin with the false premise that man is either inherently good or morally neutral. This is why psychotherapy methods based on the works of Jung or Freud are inherently suspiscious, if not flawed from the start. Neither of these jive with a biblical view of human nature.

Cognitive reframing, however, works not with underlying questions or good and evil, but with the question of behavior. When certain events occur in your life, it has a physiological and psychological effect upon you. The high from a great run. The low from getting fired. A family meal. A friend or family member dying, or even simply moving away. Sex. All of these and more clearly have both mental and physical aspects to them.

That really is at the foundation of understanding many aspects of depression. Depression is a mental illness that has physical manifestations. Furthermore, one suffering from depression can have “trigger” events that will send them into a mental and physical tailspin. Stress. Family. Work. A combination. Particular parts of work or family life. You get the idea.

The premise behind cognitive reframing is how we view these events mentally will shape our mental outlook as well as our physical outlook to things. No, this is not some Zig Zigler type motivational nonsense (you may see Little Miss Sunshine for a great parody on that). What cognitive reframing teaches us is that we can change our mental outlook on things, just as a good counselor or psychologist can.

My counselor tells me that they could raise my body temperature by several degrees just by talking to me about heat in great detail. If this is true, is it so hard to believe that we can reframe how we look at things?

For me, we’re talking about stress. Stress triggers a mental and physical overload, so that I cannot function. I may know at some level that I’ll be fine, I’ll handle it, and that there is a future. But my mind and my body is telling me otherwise. My brain gets foggy. I can’t think. I can hardly move or listen. In really bad cases, it probably isn’t safe for me to drive.

But what if I can think of these trigger events differently? What if instead of looking at them as “stressful” I look at them as “pickles” or “opportunities” or “bananas”? Crazy? Maybe. But try it. Consistenly try it. It works.

Think through the events that drag you down, that make you crazy, that turn you into that zomebie or down that deep, dark hole. Come up with a word for those events that are absurd. Take the fear out of them, and with it, you will find that over time, events that terrified you or filled you with dread will come back to the realm of normalcy, or at least a whole lot closer.

Here is one link to cognitive reframing I found interesting. There are others I’m sure.

-DMR