Social media

Social Media Buzz

Social Media Buzz (Photo credit: ivanpw)

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There’s a big debate in the therapy world: to social media (as yourself), or not. Many people I’ve seen talk about ‘how to keep yourself safe (by which they mean anonymous) online. Being careful to lock your facebook down, not having your name on your twitter etc.
I decided to go the other way. My facebook is relatively locked down, but it’s more personal than anywhere. Still, if you know my name you can find me, and I have therapy people on there as well as friends. I do wish they would let you customise things a bit more though. But I run a trainee group on facebook and one on email as well, and I use my real name everywhere. The irony is that I am much more open now than I was before I started this path, and that continues to surprise me.
My twitter account is here. please feel free to follow me.
I have another twitter that is almost entirely separate. Only a couple of people that I know well are on both, and it doesn’t link to my name, my location or anything else. Likewise, I have other personal parts of me on the web that don’t have my name and never will – for those, my name isn’t important. I don’t market myself for therapy through twitter, but I don’t see myself changing my account when I go into private practice. This is who I am – the professional me. I once accidentally found one of my therapists on twitter. Their name was unusual and i found them by accident (they had replied to one of the big people in psychotherapy and it came into my timeline). As I scrolled through their tweets to double-check, I saw that they called a family member ‘a slag’. I brought it up in therapy, but it wasn’t the reason I left. I think that so far, I would stand by everything I have written.
I also have a linkedIn account under my name. If you know my full name it’s easily findable. Presently I don’t market my placement through twitter, but when I go into private practice I might. At that point, my name might be listed as my full name. If clients find me, that’s ok. This is me. I am sharing myself more than I am sharing anything; I am certainly not sharing them. If we need to have a conversation, that’s fine. Much like last week’s post about disclosures we make ‘by accident’ (this week I am wearing a rainbow necklace. Friends bought it for my birthday. I don’t change my jewellery often, so I’ll probably still be wearing it when I next see clients. Some of them might ask. they might not. We’ll see), although these are disclosures I make on purpose, there may be moments where I have professionally done something stupid because I am a human being. If that’s the case, we can talk. And if we can’t talk and the client moves on, I will probably be sad, and will learn from the interaction. But mostly I try to be careful about what I do online.
I think my message here is: Be yourself. On purpose.
If you can’t be your (named) self, that’s fine too, but the problem comes with quasi-anonymity, when you think you’re anonymous and you do something daft. Try not to do that 🙂

Find a therapist who works for you

English: Sunrise at North Point Park, Milwauke...

English: Sunrise at North Point Park, Milwaukee, Wisconsin Français : Lever de soleil à North Point Park, Milwaukee. (Photo credit: Wikipedia)

My course is accredited by UKCP. UKCP rules say that students on MSc courses have to have 40 hours a year of personal therapy. That therapy must be delivered by a therapist who is ‘UKCP registered or equivalent’. My institution has added another layer of complication to that and requires that students’ therapists must also have masters degrees. If you live in an area not massively close to an institution, (as 2/3 of my cohort do) then it can be very hard to find someone locally who fits those requirements AND your requirements.

From the beginning I knew I would struggle. There were two people locally that my insitution would accept ‘on spec’ for me. I didn’t get on witht he first one (although I know someone else who thinks they are amazing, so it just goes to show!) but luckily for me, i got on ‘ok’ witht he second one, and figured I’d give it a go. That relationship broke down within six months. I managed to find another therapist who didn’t have an MSc, but who did have a postgrad qual, and I was able to see her for a while. Unfortunately for me, I didn’t feel very heard in the counselling session, and didn’t feel like I wanted to continue.

This has been going on for me for over a year now, and my institution were good enough to recognise that their ‘MA/MSc’ rule was causing me problems, so they let me bend it, and lo, there were 25 counsellors within a 10mile radius who fit UKCP criteria. So I returned to a therapist that I was seeing several years ago (and who I would have gone straight back to if I could).

I have gone from thinking ‘oh grief. therapy again’ to ‘hurrah! therapy!’. it feels SO much better – i feel ‘got’, I have someone whose style meshes with mine, who makes me feel heard. and I think ‘THIS is what therapy is about’, and also, it helps me to feel better about my OWN workings as a therapist.

So, to any students/trainees (or indeed, ANYONE) out there who are ‘grinning and bearing’ therapy, CHANGE THERAPIST! Getting your hours in is a waste of your time if you are seeing a therapist who’s the wrong fit for you. Getting a therapist who’s on your wavelength will feel so much better, and will make you feel so much better about being a therapist also.

As a related note- if you’re struggling with requirements, talk to your training institution. You might well find there’s leeway.

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When theory gets in the way

 

sky day 341

sky day 341 (Photo credit: maureen_sill)

I’m a person-centred (trainee) therapist. To me, that means that I don’t rely on elaborate theories about the human condition; I rely ON the human condition. For me, it’s about communication (or not!) with the person sitting opposite me. Still, we have to do SOMETHING with our four-year MSc outside of the person-centred ‘necessary and sufficient conditions’, or it would be pointless, and so we do learn some theories from both our own, and other approaches (if just for information).

Recently I had a training weekend. I learnt a lot about shame – or so I thought, anyway. Shortly after that training weekend, I had a client who was talking about shame. It went like this:

Client: …shame… things.. shame

Me (in my head): Shame! client is talking about shame! I’ve just learnt shame! There are theories. What are those theories?

Client: Keeps talking

Me (in my head): Should have paid attention to those theories. what WERE they?

Client: Still talking

Me (in my head): Shut up brain, and LISTEN!

 

So, the theory (or at least the fact that I had been present for some doesn’t appear to have gone in. Perhaps I have shame issues and this is a defence. One to bring to my new therapist when I see her this week..) REALLY got in the way of listening to the client. Luckily for me, the interchange in my head just took a second or two before I was able to apply the OTHER bit of theory commonly referred to as ‘bracketing’ – where you recognise that the client has provoked something in you that is about YOU, not about THEM and you say ‘hello stuff, now please move over so I can listen to my client’.

Theory – it’s useful, but in small doses. Also, should have paid more attention in class.

 

Finally – finding an image for ‘shame’ or ‘preoccupation’ is hard! Have a cloud. It’s not mine, but if it was mine, the best I could do right now would probably be my cats, and the only thing they’re preoccupied with at present, is sleeping.

 

 

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Seeing clients when you’re sick

Cold?

Cold? (Photo credit: foshydog)

 

 

 

 

 

 

 

I have a cold. It’s not the end of the world – I am not usually someone who has to retire to bed when a cold happens upon them, so I wasn’t that phased by the thought of a full day’s work, followed by an evening (two nights in a row) of clients.

So I merrily trucked up to my placement and sat down to work, having first done a LOT of nose-blowing and cough-sweet-sucking, and thankfully got through both sessions without an awful lot of either sniffing or coughing. What I DIDN’T realise however, was just how HARD it was going to be. I spent my evening feeling like i was a long.. long.. way away, and whilst I did stay present in the room, I was very much aware of how much harder it was to stay there. It felt to me, like the client and I had good sessions (hopefully they will feel the same!), but my goodness was it hard work!

 

I count myself lucky at this point: I have a chronic condition that flares up every so often. Thus far, it hasn’t flared up (badly) on a client night, so it hasn’t impacted me, but this has opened my eyes as to what it might be like, and has forewarned me to make sure I give myself extra space and time to recover, so that my clients don’t suffer.

 

It was an odd feeling – to have something present that meant it was harder for me to connect. I wasn’t distracted at all – there was nothing else i wanted to think of, but I felt like I was struggling to pull myself in to the space, where I wouldn’t usually. I was aware that it was there – it felt a bit like looking down a toilet roll tube, and I could just about pull myself in, certainly in the case of one client, to enable some work to happen that felt very good for them. It shows me at least, that i CAN work when I’m sick, but that possibly I just need to pay more attention to that fact, and go in ‘armed’ as it were (probably with more tissues…)

 

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Help make better counsellors

This is a plea to all readers of this post (counsellors, potential counsellors, clients and potential clients, everyone) to help make us trainees into better counsellors. How? By simply signing a petition. This post will explain why I think it’s important from my own point of view.

If you look to move on from this, ask yourself why. Why doesn’t it matter enough to take a couple of minutes to sign and do some good? I realise that’s confrontational, but I think it’s important to examine. Feel free to leave me a comment with your point of view 🙂

Changes in acknowledging diversity

Diversity word cloud

This month is LGBT history month. A month where we (all) celebrate LGBTness in a variety of ways. There have been films, talks, discussions, debates, all kinds. Also this month, the winter Olympics are being held in Sochi, a place where it’s exceedingly difficult to be LGBT (those human rights issues are explored much better in other places). But even in the rest of the world, athletes who happen to identify as LGBT are the target for homophobia on twitter. Also in the news this month is the Huffington Post’s article on homophobia in universities. I’ve seen some – ‘less than parliamentary’ responses to lgbt history month myself this month, from ‘just your average person’.

And so my preamble brings me closer to my point. I’m a trainee therapist. That’s what this blog is all about. And one of the things we haven’t had so far in our training is any specific training on diversity (and this seems to be repeated across many institutions – it’s certainly not just a problem where I am training). We have had a day on disability run by someone with a disability, which was excellent, and really served to uncover some of the thoughts, feelings and doubts we had about disability – many of my cohort not feeling we had had much contact with individuals with disabilities. It opened our eyes.

But for sexuality and race? Well, I exist within the class, as a queer (white) person, and there are also a couple of people of colour within the class. And this has so far been where our teaching happens. I have more than once been asked to answer in depth questions on gender and sexuality, and I see my POC classmates being asked to educate on race. I also see the microaggressions that happen. For me personally, I’ve heard (not about me) ‘she was bisexual, but she’s chosen to be straight now’ (in fact, on checking, the person in question had felt no such change in their identity and was simply dating someone of the opposite sex’. I’ve heard (addressed to me) ‘why do you want to work with those [queer] people?’.

In my day to day life, I often hear from people ‘your friend’, when the person with me is clearly my partner. My partner is misgendered when with me, because I am more clearly ‘female’ on first glance (long hair) than she (short hair). I have been asked just last month by three people at the same company if I had a husband, and no note was made after the first time, that I had a female partner. The third time I was asked, I got cross and explained it wasn’t appropriate and was told that the man asking the question hadn’t done anything wrong and I had no right to be cross (needless to say, we didn’t buy from them).

THESE THINGS ARE EASY TO DO if you don’t know they’re a problem. And the thing is – it might be something that you only need to be told once in order not to do it. But how many times do you think I’ve heard similar things from people? Countless. There’s one of me, and a lot of people ‘not me’ who are just making ‘one mistake’. It gets wearing.

As far as class, I don’t mind being an educator, but I’m not an expert on sexuality. It interests me as a topic and so I study it, but still, my experience of being queer is very different to someone else’s, and I have no firsthand lived experience of trans* issues, but as the only person who has any experience (it feels), I am reduced to being The Educator. I’d feel a lot better about sharing my experiences and in pointing out where people were going wrong, if I wasn’t the only point of reference my classmates had.

The alternative is that my classmates (and potentially all classes with no queer people in) go out in to the therapy world with no understanding of what it’s like to be queer, and no understanding of the things that they are saying that might be harmful. The same very much goes for race and disability and other diversities.

And although I do take to heart that my classmates want to learn and ask questions, I worry that if it wasn’t for people who were willing to out themselves AND to educate (or just to educate if their diversity is ‘apparent’) then we as students risk going out in to the world of therapy and making those mistakes without even seeing that we are doing them.

For example. As a queer person, if someone says to me ‘my partner’ and doesn’t gender their partner, that’s immediately a small flag of ‘their partner may be the same sex, or the opposite, or not identify in the binary’. It’s very easy as a straight person (I’ve seen many people do it – often to me) to just assume that that’s another way of saying ‘my opposite sex partner’ and proceed on that basis, thus forcing someone in to the closet. This is *not* what we want to be doing to our clients. We don’t want to silence them, we don’t want to layer assumptions on to them. We don’t want to have created a secret within them, or made them feel in any way inferior – because if you assume heterosexuality is the norm, you ‘other’ your client. The feeling then becomes a feeling of ‘less’ness – otherwise wouldn’t queerness be on the same level?

I’ve spoken here mostly about sexuality because that is the identity I am most comfortable with exploring – the only one within the petition that I have personal experience of. I get some similar types of comments on disability. I have for example, said to my counsellor ‘I’m having a bad day’ and got the response ‘but you look well’. That counsellor is no longer my counsellor, for reasons that include having heard that comment said on a few occasions. I recently had to explain to my last counsellor what ‘gender binary’ was, which again ‘othered’ me.

It’s not enough to think that as person-centred trainees and counsellors that we embody Rogers’ 6 conditions and all will be well – if we are not educated on a topic and we don’t know it, we risk causing offence.

For example – how many people reading this know what ‘cisgender‘ means? Most people reading this WILL be cis (hi to all of you who aren’t! :)). It’s a term heard in LGBT circles and widely discussed within feminism, but it’s entirely possible you won’t heard of it if you’re not active in those circles. Doesn’t sound like a big thing? It’s not. But if your client says they’re cis (or not) and you KNOW that word, your client feels heard on a deeper level than if they have to stop and explain to you what it means.

For all the reasons above (and apologies for the length of the post – I’ve been thinking this over for a while), please sign this petition, which arose from the PCSR‘s ‘taboo conference‘ to help make a better change for generations of counsellors and most importantly, *clients*, to come.

For anyone who wants a good book on sexuality and gender, I recently starting reading Christina Richard’s and Meg Barker’s new book Sexuality and gender for health professionals and it’s excellent. It gives a chapter by chapter look at each of the most common terms (and then a more detailed breakdown) across sexuality, gender, and relationship structures. It’s easy to read and provides useful information whether it’s your first time looking at some of this or whether you’ve done previous research.

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self-care

Caring for myself is not self-indulgent

Caring for myself is not self-indulgent

As a trainee, you’ll hear this term a lot. If, like me, you’ve grown up having to be self-reliant, ‘self-care’ often hasn’t come into the equation. ‘Getting through’ has been the thing. I’ve had a lot of therapy (thanks, course-mandated therapy!) both before and during this course and I’m far better at self-care than I realise, I suspect, but i don’t THINK about it a lot.

I was forced to recently however, and so I thought it was worth putting out there for others.

Let me tell you a story: A long time ago (2012 in fact), I was the only eye witness to a car accident that ended in the death of someone. I went through the process of giving statements etc, and the prosecution decided I was a credible enough witness that the case could go to court. Fast-forward to over a year later and the day arrived. My evidence as a witness for the prosecution would make the difference between ‘guilty’ or ‘not guilty’ and so as you can imagine, it was a stressful day*. I had a decision to make – the hearing was the day I have clients, and I had to decide what to do.

Various factors led to me deciding to keep my client’s appointment (and I am glad of that – blog post on that to come!), but I knew that in order to keep the appointment and be fully present I had to VERY effectively bracket, and to do that, I had to ‘indulge’ in some good self-care otherwise I just wouldn’t be able to put it down.

When the day came, after I was done in court I went home with deliberate intent to do some self-care, and I did all the things that would make me feel better. I started by playing some phone app board games (ticket to ride is a GREAT app) curled up on the sofa with my partner. Later in the afternoon I went for a run (I say ‘went’; it’s a treadmill) for half an hour with Zombies, run! in my ears. It’s a great distraction, quite aside from the distraction that is ‘running three miles’.

Other self-care things I do include getting my partner (if she is home when I am done) to put the kettle on and I get met with a mug of hot chocolate when I get in – often quite late in to the evening (my placement is 5.30-9.30). Sometimes, taking the time to curl up for even 10 minutes with a book, or watch an episode of CSI (guilty pleasure) are things that help to wind down afterwards, as well as prepare for beforehand (generally the day before in my case).

I suspect it doesn’t really matter what it is that works for you, but I want to stress that it ISN’T an indulgence; if we are to be as good a therapist (trainee) as we can be, we MUST take care of our emotional health first. We cannot help a client if we are drowning. If that includes taking ‘time out’ from placement or our place of study, then that’s what needs to happen. I know that doesn’t happen easily, and should be thought about, but the principle applies – if we are not capable of being there for our client, then we shouldn’t BE there for the client.

*the verdict was ‘guilty’

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The hooks and barbs of life

Harpagophytum procumbens

Looks pretty vicious, doesn’t it? But the whole plant looks much less scary:

 

Harpagophytum plant

I was talking to a classmate today about not being held, and how that not being held was uncomfortable, even painful. And I became aware that there are two things here. There is the very real pain that I am feeling now, and the OTHER very real pain that is coming from the hook of the barbed plant.

 

You see, I think that many (if not all of us) have these things. It would be close I think to Rogers’ ‘conditions of worth’ where we internalise values imposed on us by others.

 

We also experience hurts. Sometimes, by playing in a place where we accidentally come across such a barb as above, where we don’t really notice what’s happened until it’s stuck. Sometimes we can get that barb out. Sometimes we can get most of it out, and we don’t realise until later. Sometimes people tell us it’s safe to play there, thinking that we won’t notice, or that we won’t tell. Sometimes we are too busy trying to avoid the GIANT BARB OF DOOM that we just don’t notice a dozen smaller barbs that have stuck in.

 

And then throughout our lives, we continue to Not Notice. Sometimes this not noticing is genuine, and sometimes we spend an awful lot of time and energy Not Noticing the barbs. Either way, I suspect that we spend a lot of time protecting the site of the barb, which may be red and angry, or it may have healed over almost completely. We protect it. We feel a niggling pain but because we are Not Noticing the barb, we pass it off as something else.

 

Then one day, perhaps we fall over and bash it, or perhaps someone says ‘what’s that?’ and we must look at it, we are confronted with the thought that ‘oww; this hurts!’ and we have a choice. We can go on protecting and Not Noticing, or we can take a look at the problem.

Perhaps we are lucky and have a therapist, and perhaps we are that therapist who has a client who has found a barb. Perhaps we have seen that barb and asked them what this curious thing is. As a person-centred therapist it would feel too directive to me, to DEMAND that a client look at the barb, but it would also feel like collusion to notice that something was there and pretend it wasn’t.

And then as we attend to the very real present hurt that has occurred in the bumping of the hurt, we must also attend to the removal of the hurt, which is often very dug in, not to mention sore, possibly slightly infected.

 

It seems to me that as clients, and as (trainee) therapists with such clients, that we (and they)  are much better meeting them where they are, and holding in them in all of Rogers’ conditions.

 

This post brought to you by a) meanderings and b) a reading of this paper