Dysfunction = Function Trying to Happen



            Our brains are not stupid. They just appear to be sometimes. I try to tell this to every person who comes into my office dealing with dysfunction in their lives. Many times, people end up feeling ashamed, or foolish for the things they do. But while these things are not usually the best way to handle a problem, they are not without purpose. There is a beautiful, implanted logic in the part of us dedicated to self-preservation that always comes into play, even when the reasoning is really roundabout.
            Let me give you an example: A woman is living with her husband of one year. (I feel like they need names, so let’s call them Steve and Mindy.) Before they were married, they dated for three years. Steve has never cheated on her and they are thinking about having kids next year. The husband gets a promotion at his job, which requires more travel. Instead of being home most nights, he will be gone two weekends of the month. His wife is excited for his promotion, and although she will miss him, is secretly looking forward to doing pedicures and staying up late watching Grey’s Anatomy reruns while he's gone.
She kisses him goodbye on the day of his first business trip. Her day progresses fairly normally. But, about an hour after she comes home from work, when her husband usually joins her in eating take-out, she starts feeling an odd clutching in her chest. Her heart starts racing. She gets dizzy, and has to sit down on the ground. Suddenly she can’t breathe. Mindy extricates her cell phone from her purse pocket and dials her neighbor, who helps her to the hospital. She gets there and they diagnose her with a panic attack. She’s stunned. She never has had a mental problem in her life. Surely that can’t be what it is?
            She feels silly but tells her husband about the episode on the phone that night. He expresses concern, but accepts her reassurance that it was just a weird one-night thing. Unfortunately, it happens again, the next night he leaves. It gets worse until she starts having them in the middle of the day as well as at night. Even when he’s at home, she starts feeling shaky if he’s not in the room with her at all times. What’s going on?
            The mistake that often gets made here is that this – a panic attack, a sudden burst of anger, a convenient memory loss -  is a random occurrence. A firing of neurons that went haywire. But things happen, with rare exception, for a reason. In a situation like this, you need to look for the logic in the dysfunction.
            For Mindy, the trigger is clearly first activated when Steve’s job requires him to go out of town overnight. What might that link into in Mindy’s mind? The history that we’re missing (and Mindy would probably be reluctant to tell us) is that Mindy was abandoned at three by her mother, who was so coked out of her mind she didn’t know she had left her young daughter behind. She was alone in a squalid hotel room until a maid came in sixteen hours later. She was returned to her grandparents’ custody and raised in a  loving and secure environment from then on. Mindy never saw her mom again. She hardly thinks about the abandonment on regular basis and would consider her life to be fairly normal, boring even.  
            But this piece of history tells us the logic. Mindy had internalized early on that people we love can leave us and never come back. Though now the situation was different, she had never loved anyone as much as she loved Steve, and they were planning a future together. When Steve left and wasn’t home when he was supposed to be, her mind went, “Mindy, pay attention. We’re in trouble again. He’s abandoned us, like your mom. Something bad is happening! Do something, Mindy!”
            See? It’s not a random occurrence. Deep down, the dysfunction (aka the panic attacks) has the purpose of trying to draw her attention to a problem.
            Our brain doesn’t like it when we don’t deal with things. Beyond an immediate block to protect ourselves from trauma, it doesn’t cooperate well with buried issues. This issue was so buried Mindy didn’t even know it was one. But the evidence was in her reaction to Steve’s absences.
            All the painful, irritating, and problematic reactions we have are trying to tell us something. Sometimes it can be trying to point to an organic cause, such as chemical imbalance in depression, but oftentimes it’s just saying that “you need to deal with this already.” It’s trying to help.
            So when you get stuck with a dysfunction, look for the logic. The point of origin it leads back to will tell you what the real problem is, and help you meet that need in a healthy way, instead of a dysfunctional one. 

How to Find a Therapist

  Since I can't be available to everyone for individual sessions  :-)  I thought I'd jot down a few pointers for those who are looking to find a therapist of their own. It's a very personal and often difficult decision. I can't help you decide who to see, but I can give you a framework to decide for yourself.


  I would recommend starting with what you would like to change about yourself or your situation. Do you need relationship counseling? Therapy for anxiety or depression? Counseling for your child or teenager? Therapists often specialize in specific fields, so you should choose one with knowledge or experience in your area.  Here are a few ways to locate a therapist with your preferred area of expertise:


  Using Google or another search engine, combine search terms like “therapist” and “counseling” with your particular need and zip code. (Example: Counselor OCD 76103). 


  Psychologytoday.com has an excellent database for finding therapists in your region with information on all their areas of expertise. (I know this because I'm listed there!) The site also provides information on what the costs might be, and whether or not they will take your insurance.  My favorite part, though, is that Psychologytoday.com also allows each therapist to write a personal statement that can help you understand his or her philosophy of care.


  A third option that is still good, if old-fashioned, is the phone book. You can find several listings in your area under “Counseling Services.” The phone book will have less up-front information, but you have the benefit of talking to a real person on the phone when you call, which allows you to ask more specific questions.


  The second step is to check the qualifications of the therapist that interests you. Each state has slightly different rules about how its counselors are certified, but each should have a way to verify those licensed to practice.  Look up “[your state] counselor license” in a search engine and you should find a link that will take you to the state board of counselor examiners, which lists each counselor by name and license number. Another thing you are likely to see while you’re researching potential therapists are various letters after their names.  These letters represent their particular license type or degree. Here’s a sample:


Psy.D. – Doctor of Psychology, a relatively new doctorate tailored more specifically for people who want to provide counseling services.
M.D. – Psychiatrist, the only type of mental health professional allowed to prescribe medication. Generally psychiatrists will be more focused on pharmacological therapy (drugs) than talk therapy, although there are rare exceptions.
LPC – Licensed Professional Counselor. This license is earned after a master’s degree in psychology or a related field. There are other similar names for this, like LMHC (Licensed Mental Health Counselor) and LPCC (Licensed Professional Clinical Counselor).
LPC-Intern – Licensed Professional Counselor Intern. This person has completed at least a master’s degree and passed the licensing exam for their state. They must complete a certain number of hours counseling while supervised by a licensed counselor before they are granted a license. They generally cost less than LPCs who already have their license.
LADC – Licensed Alcohol and Drug Counselor. Substance addiction differs from typical problems in therapy, and this additional training is important if that is your area of need.
LMFT – Licensed Marriage and Family Therapist. Regular LPCs and LPC-Interns also see couples and families, but this person has additional training in this area.         
              
          There are so many more types of licensure available than could be represented here, so if you find something you don't understand, please don't feel uncomfortable in looking it up. It's important that you know!


         The next step in finding the right therapist actually occurs during the first visit to the office of the therapist you’ve chosen. Here’s what is normal to expect in the paperwork or initial session:


        Questions about your background, including past trauma.
        Current medications.
        Establishing a fee.
        Who you would like your emergency contact person to be.
·      
         The paperwork should also cover your right to confidentiality and exceptions to those rules. Unless you are underage, your sessions are completely confidential. The only exceptions to this rule are generally if a therapist discovers abuse of an elder, child or disabled person, if you are suicidal, or if a judge waives confidentiality and orders disclosure. Should there be any other exemptions from confidentiality, ask for the rationale behind them. You should make sure you’re comfortable with the reason before you see this counselor.


         The last step deals with the first time you meet with a counselor. Be sure to pay close attention to your initial reaction to that person.
·           Do they make you feel safe? Are they comfortable with your questions? 
·           When they talk to you, do you feel like it’s a conversation of equals, or are you being “talked down” to? 
·           Does their style of counseling suit you as a person?'
            
         If you get to the point of meeting with a counselor, or even after you've seen them for a session or two, but still don't feel comfortable, start the process over with someone else. In the end, you came for help.  You deserve to get the most effective help possible. It's okay, we can handle the rejection. 


 If you liked what you saw, or have any questions, please let me know! You can subscribe or comment below.

'Til Next Session
       Stephanie Ann Adams

Undefined: not precisely limited, determined, or distinguished

I'm teaching myself blogging - meaning there are some hits and some misses. I found this fantastic theme at bloggerthemes.net and I was so excited to get it. But unfortunately I am running into issues with one part of it.

These beautiful swirly designs to the left of the posts are very happy to my right brain, but frustrating to the left. They have a pesky imperfection that I can't figure out how to eliminate: the word "undefined" repeated twice in the middle of the design, the second painfully split and stacked "unde" on top of "fined."

I have gone all through the html trying to figure out how to take those words out. No luck. Obviously. It's such an irritant, because the rest of the blog theme is so perfect for my purposes I cannot stand to give it up and start the search for a new theme over again.

It bothers me when things are undefined. I like a simple plan. A + B = C. Problem solved. I am very solution oriented in the therapy sessions I conduct. Most of my clients like that. We all like knowing that we have something to do next.

But what about when the solution is undefined? When you are utterly helpless to take the next step? People come into counseling usually because they don't know what else to do. They've tried everything they know and would like someone else to take a fresh look at it. But what if I can't "solve" it for them?

What happens when you can't immediately skip through a problem to a solution? What about when you have to sit with it, like a child painfully twisting their napkin in their lap? Staring at the hated brussel sprouts. Hoping to outlast mom's ordinance against leaving the table before they are done.

I do believe most of the time that there is a way to be proactive against the things you want to change in your life. But some things aren't that clear-cut. There is no right way to deal with grief, for example. You can't put it in a flowchart and coast down the river to relief. You have to let it be undefined. Release control, sit with it, and make your peace with it. Usually that is when the solution comes to you.

I don't know the next step to take clearing the undefinition from my theme, but I do believe there is a point at which it will be solved. I will discover how to change it, or make my peace with it the way it is. Maybe that's why it's there. To remind me.

You can't solve everything. But everything comes to a resolution, one way or another.

'Til Next Session,
Stephanie Ann Adams

Undefined definition from http://wordnetweb.princeton.edu/perl/webwn?s=undefined