A Return to the Interwebs. Happy New Year!

Consider this my Christmas Letter for 2017

Relaunched the website tonight. I’d taken it offline while I looked for a job. I go back and forth on this issue–should I let prospective employers see what I’ve written here or should I not? Will my writings help my career or harm it? I have no idea. But, now I have a job, so there.

I have a job! As a counselor. Good thing, since I woke up on Christmas to an email from the Federal Student Loan Servicing Company, reminding me that I was half way to the end of my Student Loan Repayment Grace Period.  Yay! I won’t get thrown in debtors’ prison. Yet.

And I’ll be in private practice soon, since my job affords me time to see clients on my own as well. I will be working three, twelve hour shifts each week, so I will have a few other days in which to start building my own practice.  I am very excited about both of these opportunities and couldn’t have imagined or hoped for a better outcome and transition into the mental health counseling field.

On the homefront, my 27 yo kid has moved in with me for awhile and I am completely digging having her around. It’s a chance at redemption for me. How often do we get an opportunity to have a real life “Do-Over?” I am one lucky mother.

Speaking of Mother, she has moved to a memory care facility. We reached a bit of a crisis point after Thanksgiving with a pulled tooth, a root canal, and a bottle of pain meds. Suffice it to say that her level of needed care exceeded my level of competency. She has a roommate who has a PhD in Sociology, so Mother is both duly impressed and thrilled to have someone to talk to who is at about the same stage of Alzheimer’s. They arrived within a week of one another, and both seem content (generally) with each other.

Charlie (or Chuck, as I like to call him), Mom’s shitzu, moved too, and seems quite happy to be there along with a handful of other dogs, a couple of hedgehogs, a Siamese cat, a tankful of fish, a cage of birds, and a chinchilla.

The transition to the facility was as awful and wrenching as I imagined it would be. Mom was none too happy with me that night, but I had to move her for her own safety. Who wants to have to make that sort of decision for someone? I certainly never imagined I would have to. And, I am thrilled to have my life back, my time and my home back. You can’t know what it’s like until you live it.

I spent the holidays working. Mom spent Christmas and Christmas Eve with my kids and their other mom. I am grateful for everyone’s love and caring these past few weeks, these past sixteen months. I couldn’t have done this on my own.

Happy New Year!

Pam

C is for Counseling, or How I Got into this New Gig

 

CTurns out that April is Counseling Awareness Month. Isn’t this just a serendipitous turn of events? I’m writing a blog a day, A to Z about my adventures as a graduate student in Mental Health Counseling and the American Counseling Association is making it a special month. Pretty sure I can’t take credit, but still . . . (maybe tomorrow I’ll tackle Delusional and Diagnosis).

I have a long history with counseling. I started seeing a psychologist in 1992 and have been in therapy of some sort consistently since then. For a long time, I thought of myself as having a serious character defect. I was young. I didn’t really understand how counseling worked, or could work. I had only a vague notion of Freud and his couch and Woody Allen’s neuroses.

Prozac and SSRIs hit the market about the time I began therapy* and not long after my psychologist diagnosed me with depression, she and my general practitioner agreed I would do well to try the new wonder-drug, Prozac. And, honestly, I looked forward to some relief. At 29, in 1992, I was a fairly new mom of an adopted bi-racial daughter, in a relationship with a woman 13 years my senior. I had just sold the bookstore I started, owned, and operated for three years, and I had moved back home full-time after living 90 miles away for most of each week. To complicate things, my fundamentalist Christian parents were only just beginning to adjust to my, er, lifestyle (as we called it then) and its unconventionality.

There’s more, but that’s enough. You get the idea. I was a stress monster. The crinkling of a tissue set my teeth on edge. The noise of someone actually blowing their nose sent me over the edge. The first time I swallowed one of those little green and white pills, I felt like I was taking communion. I crossed myself and sent up a prayer.rumi

After four weeks of taking that precious little capsule every morning, I no longer cared who sneezed or how loud. Irritation rolled off my back. The grey veil that separated me from the rest of the world lifted, and I started seeing in color again. Cliché, I know, but accurate. Everything sparkled. I got a good job as the bookstore manager at the local technical college with a great boss as well as health and retirement benefits. Did the little pill have anything to do with my new job? I believe happier, less-stressed, less-depressed people tend to have more self-confidence and do better in job interviews, so yes. But I digress.

I felt good, and I loved talking to my therapist. I loved paying someone to listen to me. I loved the 50 minutes of uninterrupted attention. I could do this for a living, I thought. I’d love to listen to people’s stories, to help them make sense of their feelings, to help them gain the confidence to reach for their high dreams. I had no idea that someone who went to counseling could actually ever become a counselor. I thought my diagnosis and being on meds precluded me ever being in the field.

I had never heard of Jung’s Wounded Healer. I was an English major who, stupidly and stubbornly, avoided all social science classes. The books cost too much. The classes met on Fridays. What can I say?

I wanted to get off the meds, though, yet every time I quit taking them, things in my life would head south, and the psychologist would exhort me to stay on the meds. I got stuck in a loop and never really got to the issues that were causing me to become depressed. I’d just start popping the pills again, and things would improve. Etc.

franklquoteI spent about twenty years with the psychologist before I found a new therapist, and the woman I chose to see was an LMHC (Licensed Mental Health Counselor). I didn’t know what the difference was when I made the switch, I was just seeking someone a little more flexible and spiritual, a little less dogmatic and not so pharmacologically oriented. Turns out the switch worked very well for me then. I made several changes in my life at the same time: I got a new job, I relocated, I started taking writing classes and running, and found new community with both activities.

The psychologist got me up and out of the depression and quite literally saved my life on many occasions. And the LMHC has helped me move forward from there, developing self-confidence, practicing mindfulness, introducing me to non-Western philosophies. I have learned so much about myself, about why I am the way I am, and how I can move forward.

I’ll never be done working on myself, but it turns out, I can become a counselor anyway, not in spite of my past, but because of it. Jung believed that disease of the soul could be the best possible form of training for a healer. And as Victor Frankl wrote, “What is to give light must endure burning.” By these measures, I am perfect for this job.

*for a more in-depth—but still inadequate—explanation of the differences among therapy, counseling, psychotherapy, and psychology see this previous blog

Getting My Counseling Feet Under Me (or I’m Two Years into This Program, are We Done Yet?)

Writers and therapists live twice—first when they experience events and a second time when they use them in their work. Mary Pipher, Letters to a Young Therapist

A few months ago, I met up with a former therapist, a woman I hadn’t been to see in about 20 years and who had since retired. I wanted to talk to her about adoption and addiction since she had been known as something of an adoption guru while she was still practicing. As I explained my course of study and my intentions for becoming a counselor, she exhorted me to pick a theory, a modality to call my own. “You need to decide which theoretical model you’ll work from,” she said. “You need to pick one to ground yourself in and work from there.” She then ticked off a list: Bowen, Adler, Rogers, Jung. I looked across the table at her and shrugged. “I think they all have something to offer,” I said. “I guess if I had to describe my orientation, it would be diverse.”

“That won’t do,” she exclaimed. “You need to be grounded in something. Anything. Just pick one. Bowen is good.”

parents cartoonI shook my head slowly at the thought of Murray Bowen taking up permanent residence in my head. Sure, I can see the value in looking at a person’s issues through the lens of intergenerational patterns and family systems, but as my only, primary orientation? No. So many others had much more to offer, from Jung’s wounded healer to the post modernists and narrative therapy, feminist theory, attachment theory. I couldn’t imagine latching onto just one way of being a counselor when so many modalities offered so many ways to work with people with a variety of needs.

And now this quarter we added Carl Rogers’ Person Centered Therapy and his Unconditional Positive Regard, along with Fritz Perls and Gestalt, John Cabot-Zinn’s mindfulness as well as Pema Chodron to the mix. I am even more convinced that limiting myself to one theoretical lens would be a mistake. Shortsighted.

The metaphor is overdone, but apt—the more tools I have in my tool belt, the more useful I can be to more people. Every client is going to be different. I need to be able to adapt. There aren’t many similarities between working in technology and working as a counselor, except this one: sometimes there are a variety of ways to approach a problem and finding a good solution is often a matter of “testing and tweaking” to see what works best.

As a writer, reader, and storyteller, I’ve always found narrative therapy to be the modality that draws me in. I am attracted to counseling for the same reasons I am a writer—I want my misery, and indeed everyone’s—to be meaningful. As Mary Pipher writes in her Letters to a Young Therapist, as counselors and writers, we get to use our experiences twice and encourage others to do the same. Additionally, I am attracted to narrative therapy’s post-modernist bent, the idea that it is not the individual who is sick, but the culture in which the individual lives. That depression, anxiety, PTSD for example, are legitimate responses to living in a culture that too often demands we abandon our authentic selves. Not to mention that we live in a world that insists on dividing us by race, socioeconomic status, ability, sexual orientation, gender, ethnicity, religion, and more.chickencouch

I began this graduate program with the vague notion that I would emerge in two years, somehow qualified to sit and listen to people for a living. As I progress through each quarter, I become evermore convinced that two years is not nearly enough time in which to prepare me to not just listen to people’s stories, but to help them make sense of their stories, make meaning in their lives, forge on into the future with hope and a sense of purpose, with a deeper understanding of what serves them, what doesn’t, how to make good choices, how to hold onto their dreams, how to have a voice, leave an abuser, nurture their children, their relationships, find meaningful work.

How do I become that mirror, sounding board, holder of stories, cheerleader, confidant, advocate?

From the client side of the couch, I have found Gestalt and mindfulness to be the most effective therapeutic methods. Most breakthroughs in my personal therapy have come when I’ve been talking to the chair, role playing, or acting something out with my therapist. Mindfulness and meditation have worked for me outside of the therapist’s office as a way to self-regulate and deepen personal awareness. So, it’s not really surprising that over the course of this quarter I have gravitated to both, though I see Gestalt methods as being more relevant to therapy and mindfulness as a useful (and indeed maybe even necessary) adjunct for clients to use between sessions.

Gestalt therapy with its focus on the body/mind connection, lends itself well to supporting other interventions and modalities. Rogerian Person-Centered Therapy (PCT) with its mandate for unconditional positive regard seems like it should underlie every therapeutic encounter, particularly the initial few sessions.

chairGestalt works well, too, with mindfulness, attachment, and sensorimotor therapies, which focus not only on how the body holds trauma and past experiences, but also on awareness and connection between the client and therapist. By encouraging clients to stay in the here and now, Gestalt leaves room for the therapist to introduce the client to mindfulness techniques which support being present and staying in the moment when things get emotional or difficult in session.

In my initial session with my practice client, employing PCT worked well to establish rapport and an initial baseline of trust. Once we got to the primary issue, however, Gestalt would have been a great way in to exploring how she was feeling in the “here and now.” I might have employed the empty chair technique had the session gone longer—I could have had my client talk to any number of representatives from her past: her parents, her younger self.

I also might have had her explore her stress about her issue and how it was sitting in her body—what does the stress feel like? Look like? How big is the stress? What color is it? Where does she feel it the most? My therapist often tells me to invite my distressing emotion in rather than trying to banish it. “Invite the stress in,” she says. “Ask it what it wants. Have tea with it.” This technique, of anthropomorphizing the disturbing emotion or feeling and dwelling on it, illustrates one way of working with an issue. When we avoid something, it gets bigger and more intense. By inviting our distressing emotion in and asking it to stay, by getting to know it, we rob it of its power.

In our second practice session, I employed both Gestalt and mindfulness (as well as Roger’s unconditional positive regard), encouraging the client to make her physical agitation bigger (I had her stand up and shake out her anxious feelings) and to incorporate some breathing techniques. This session took the client deeper emotionally than the first session, even though both sessions lasted about 20 minutes and demonstrated my improved ability to sit with a client in their discomfort. I was able to witness her experiencing emotion and hold the experience rather than try to rush her through it in order to alleviate my own discomfort.

As always, I need to be mindful of my clients’ particular culture. Every client, regardless of how they present at first glance, brings with them an individual set of circumstances that sets them apart from every other client. To be an effective therapist, I must refrain from making assumptions, and instead listen, learn, ask clarifying questions, and give the client the space and safety they need in order to fully reveal themselves, their wants, their needs, their problems.lucy

Probably one of the most challenging aspects of counseling this quarter has been keeping tabs on my biases, assumptions, and privileges. While I am nearly always aware of my sexual orientation, my age, and do think a lot about race and how these parts of my identity might influence my interactions with a client, I’m not always thinking about ethnicity, socioeconomic status, or disability. We are, often and on the surface, a homogenous population at Antioch. I have not counseled a person of color or a person with a visible disability. I’m sure I’ve worked with clients who come from a different socioeconomic background, and though I am currently as broke as the next graduate student, I do have to remind myself that I come from a relatively privileged background and have robust support systems should I need them.

As this quarter wraps up, I feel as if I am finally getting my counselor feet under me, that I can work effectively and comfortably within a specific therapeutic framework. This quarter is the first time I have experienced authentic connection with a client, where I seem to have actually helped another person via a counseling session. I am excited to hear my clients’ stories, to listen to them as together we find meaning in and a way out of their suffering.

A Whole New Me–Coming Out Again

I have a confession to make. I am not what I seem. You have known me, Dear Reader, only on the surface for the past 25 years. I’ve been keeping this burning secret at the very bottom of my soul, trying to keep people out, away from the real me.
I know, I know.  How many coming outs can a gal have in a lifetime? I’ve had two official ones so far: once at 16 when my parents stumbled quite accidently upon my very first lesbian affair and took me to be exorcised (in their defense, lesbians were a lot more frightening in the very early 80s—mullets, flannel, white sneakers), and once in my early 20s when I renounced god and embraced Sappho once and for all.
But really, as I type, it occurs to me that pretty much every day is a coming out if I want to live as authentically as possible. Every day I come out when I don’t censor myself: at the bank, the grocery store, the staff luncheon. I come out when I refuse to change the pronoun when I’m talking about my wife. I come out when anyone sees and asks me about my wedding ring. I come out when I talk about my memoir. It’s getting easier. But I’m not completely comfortable doing it. You’d think, after 34 years I’d be better at it. So, yeah, I may have had two official coming stories, but it’s a lifelong adventure.
I still think twice about it too—I don’t make any overtly lesbian gestures or comments without first thinking about it. Checking the crowd. Weighing the dangers. The Dangers: alienating co-workers—which could make the largest part of my day hellish. Being judged by wait staff, which might result in something bad happening to my food. Being denied service. Being kicked out of a cab. What might the danger be? If I can ascertain a good amount of safety, I will, say, grab my wife’s hand as we walk in our neighborhood. Even grocery shopping together feels like exposure and vulnerability.
I know I’m not supposed to, but I really do care what people think. I’m trying to get over it, though. And tonight, as a step in that direction, I am coming out again, as something else.
Tomorrow is the beginning of something amazing. Tomorrow is the end of my life as I’ve known it for the past 25 years. Tomorrow, I become a stay-at-home writer, full time. Fully supported by My SugarMama (formerly known as The Little Woman).
It’s a whole new kind of coming out—and I have been emphatically undecided about telling people about this new me. I’ve been afraid of what people will think: Career suicide. Poverty. She’ll ask for money. She can’t hack it. She’s nuts.  
Shocking isn’t it? I’ve quit my job. I have said no to the man. Life is too fucking short to spend most of my time on earth miserable. I tried, but I could not just decide to be happy. No more than I could decide to be straight. I am not cut out for this shit. And neither are most people if this article is even remotely accurate (and I’d say this guy is absolutely right on).  And like being a lesbian, choosing happiness over misery is absolutely no reflection on anyone I work with (well, except on maybe one person). It’s all about me (My SugarMama will concur). What makes me whole.

Clearly, I would not be doing this without my best supporter and best friend, best lover and wonderful wife Nancy. I’m a lucky woman. And for that I thank her.