A Therapist’s Pandemic

As I make changes to my website about re-opening my office and re-locating, I am sitting in a corner of my guest room, where there have been no guests for 16 months. If I stretch my arms out to either side, I hit a wall on one side and a bed on the other. This workspace in my home has accommodated the transition from in-office work to at-home work for the duration of the worst stages of the pandemic.

I will be grateful to not be boxed into a roughly 3’x4′ space in a crowded room, using a dresser as a desk. I want to see smiles and feel the energy of being in rooms with people. Many times, while I listened to my clients over video, I wondered what I might have felt about what they were experiencing if we could be in the same room. What might I have picked up on or understood if I could have felt their experience more thoroughly, instead of through machines miles away and sometimes with spotty WiFi?

Yet, while I am eagerly anticipating a return to what we describe as “normal,” I feel something in my belly, and wonder what will be difficult about it. I’ve grown somewhat accustomed to working in this altered way. What might I miss? There are little things, like access to a second cup of coffee steps away, my dogs within petting distance, my kids’ laughter on the other side of the wall, not having to wear shoes. I’ll miss seeing clients in THEIR world instead of in my office, seeing their cats walk along the couch behind them, meeting their kids. As activities outside the home are ramping up, will I still find time for the things I enjoyed when life was slower?

I’ve known people who were very sick from this illness, and some whose loved ones have died, alone and too young. I’ve known people who have been impacted by the loss of work and who have ached for human contact, especially during the earliest months. These comparisons make me grateful for my 3’x4′ space in an unused room in my house and for the abundance that has carried us through more easily than most.

I know better than to dismiss my own concerns, however small they may seem in comparison to others’. But it’s hard not to, when others have felt the blow of the pandemic in ways I haven’t. Right alongside the caution not to take my relative safety for granted is that knot in my stomach in response to the re-opening of everything, the invites for get-togethers coming in, the pressure to travel and to make up for lost time. They co-exist: the gratitude and the apprehension.

The pandemic has been unique for therapists. Perhaps not since 9/11 have therapists and clients felt the same ground shake underneath their feet. Therapy is a lot like being in a boat in choppy waters, extending poles and ropes to someone in the water who is trying to stay afloat. The therapist maintains a certain level of stability in which to bring to safety someone who is in danger of drowning. We aren’t typically, or supposed to be, in the water with you. In fact, if we are going through something similar as you, we are advised to consider referring you to someone who is more “in the boat” than “in the water,” so to speak.

This pandemic made being in the water with you inevitable. Like many of you, I was scared, restless, bored, unable to concentrate, overwhelmed, unsure what my operating instructions were, confused by conflicting information, angered by others’ behavior, discouraged by conflict, grateful, humbled, powerless, and sometimes enormously inspired. During this past year and a half, I coped poorly and I coped well. I both wasted and utilized the time. Probably more than anything, the narrowing of my world created an opportunity to look closer at things.

The Japanese have a style of pottery called Kintsukuroi. A piece is created by first being formed, then broken, then repaired. The glue used to repair it traditionally contains gold or silver lacquer to enhance the beauty. The lesson is that something that has been healed from damage is not the same, but may be considered more beautiful.

Photo Credit: https://vikramkamboj.com/2015/12/kintsukuroi-the-japanese-art-of-embracing-broken-and-flawed-things/

Right alongside each other co-exist the brokenness and the healing.

As you leave your homes, go back into your offices, you’ll see cracks. You’ll see sharp edges. You might cut yourself as you handle the pieces.

You’ll see glue. Make sure you’re looking for it.

I hope you’ll see flecks of gold and silver. Grab them.

It’s all out there. It’s among and between us. It’s inside us, the cracks, the glue, the precious metals.

See you soon.

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Making A Gate: Loosening Boundaries – Part Three

In part one of this series on Boundaries, I suggested that “boundaries in need of attention” may require EITHER strengthening or loosening. Part Two discussed “building fences,” my metaphor for strengthening boundaries. In this third and last part of the series, I’d like to address the potential for LOOSENING boundaries, or “making a gate.”

Having strong boundaries is a good thing – mostly. Strong boundaries mean you don’t go crashing around in other people’s business and you expect other people not to crash around in yours. Chances are, if you have strong boundaries, you are very independent and require little of others. Perhaps you don’t want to accept things from others because that then opens the door to want things from you. People likely admire your reserve, your strength, and your independence, and perhaps your professionalism.

If the strength of your boundaries is fully a good thing, then leave it.

Boundaries can be TOO strong, however. While people can be a hassle, and a source of discomfort and hurt, connecting with people is linked to happiness in many ways. CL Yen found in 2014 that people who were better connected with others in their life reported more significant levels of happiness. Conversely, people with few reported attachments rated higher for depressive symptoms (Yen, CL. Why are people with insecure attachments unhappy? International Journal of Psychology, 2014 Oct;49(5):404-8.), Another study asked people on a commuter train to connect with others, keep to themselves, or behave as normal. Those who connected reported an improved sense of well-being, though many participants across all three groups predicted the opposite, believing they would be happier if they were disconnected. The researchers concluded that “those who misunderstand the consequences of social interactions may not, in at least some contexts, be social enough for their own well-being” (Epley, N. and Schroeder, J. Mistakenly seeking solitude. Journal of Experimental Psychology: General, 2014 Oct;143(5):1980-99.).

Ask yourself the following questions to see if perhaps your boundaries might be too strong.

1.) Am I lonely?
2.) Am I angry or resentful a lot of the time?
3.) Do I have trouble giving and receiving touch?
4.) Do I spend a lot of my time alone?
5.) Do I feel sorry for myself or feel martyrdom?
6.) Do I see others having a good time and feel angry or sad?
7.) Do I doubt myself a lot?
8.) Do I have trouble trusting others?
9.) Are there very few people who really know me?
10.) Do I tend to stay in my comfort zone and opt out of potential gain to maintain my comfort?

If you answered affirmatively for many of these questions, your boundaries might be too strong. You have protected yourself to the point of being isolated and you might be missing out on some meaningful connection.

WHY THE HIGH FENCE?

If you think you might need to construct a gate and let some people into your life more, first let’s respect the fence for the job it does to protect you and your relationships. Do you understand why you build such a high and strong fence around yourself? Kids who grow up without a lot of support learn to do for themselves. They also learn to be skeptical of others’ ability to do for them and therefore protect themselves from hoping that someone could understand and meet their needs. OR, sometimes we lack the confidence in ourselves to be adequate with people, and we go into a self-imposed exile to keep ourselves from disappointing others. OR, as Socrates once said, “Sometimes you put walls up not to keep people out, but to see who cares enough to break them down.” Perhaps past hurts cause us to fear more hurt and we make a protective commitment to ourselves not to allow it.

Whatever were your original reasons for keeping people out, or keeping your distance, ask yourself how you will still feel safe if you have a gate. How will you justify the risk of opening yourself to others, knowing that there is potential hurt or strife involved? How will you comfort yourself when things don’t go as well as you hoped, so you don’t give up on people and remove the gate? I ask you to carefully consider these questions before changing anything and opening up a gate to others or yourself. While I do believe it will be worth it over time and that you can benefit from better connections in your life, you must respect your own fears that are the reasons for your boundaries.

Note that I use the metaphor of a gate, and I do not suggest you take down your fence. That is to show respect for the fence and the protective boundary it provides.

CONSTRUCTING A GATE

How do we put this gate into our fence? The first step is to understand and honor the important roles played by both the fence AND the gate.  We make a commitment based on our belief that the gate is a good and healthy thing and we continue to honor our fence for the job it does to keep us safe from harm and disappointment.

Second, we have to look at our beliefs about people. As a mental health professional, I can tell you that most people are basically good. Anti-social Personality Disorder refers to a unique personality construct that is characterized by thoughts and behaviors that defy social norms and the harmony of living in community with one another. Someone with Anti-social Personality Disorder is generally not regarded as someone to be trusted with another person’s needs, as they are too busy meeting their own and will disregard yours in an effort to satisfy their own needs. It is important to understand that people with this disorder represent less than approximately 3% of our population, though they represent roughly 70+% of prison populations and in substance abuse clinics and can represent between 3-30% of people in treatment. What this means is that most people do NOT have anti-social personality disorder, and are therefore not so disregarding of other people that they should be regarded with suspicion and strict boundaries.

That being said, the third step is to choose wisely who, what, when, where, why, and how. As in Part Two in setting better boundaries, start with a small change and give it time to play out. Allow enough time to see how it goes and to get used to it yourself. Maybe it doesn’t go as smoothly as you’d hoped and you need to fine-tune something about it. A change that reduces a feeling of protection should be made slowly and progressively, meaning increasing a little over time.

DO NOT use things going wrong as an excuse to shut construction down! Instead, look at what was learned from the interaction and how it gives you information about your fences and your gates.

CONCLUSION

In my work, we talk a lot about boundaries. Boundaries with clients protect our clients from feeling used by us and protect clinicians from feeling worn out by their work. However, some really meaningful interactions between therapist and client – and human to human – happened because someone stopped worrying about being self-protective and became generous of spirit. They took a chance and it was honored and appreciated. The taking of the chance itself was the most meaningful part of the interaction.

If you think your boundaries might be too rigid, you are probably right. With time, practice, and maybe some consultation with someone you trust, a balance between the privacy you need and the connection your spirit also needs can be achieved.

“And then the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” – Anais Nin

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