Monday, February 23, 2015

~It’s ok to be Angry!!! ~


The idea that anger is a ‘negative’ and undesirable emotion to feel, or express is one which exists in many different arenas. This seems to be especially true in ‘new age’ spiritual and/or therapeutic communities where the suppression and ‘management’ of angry sentiment is covertly and sometimes overtly encouraged. As a spiritually and holistically oriented psychotherapist I have to say that I couldn’t disagree more with what I perceive to be a largely fear-based concept. Indeed, I am of the opinion that anger, when validated and channeled constructively can be an extremely healthy and positive thing, with the power to catalyze forward movement and individual and social change. Consider the following examples:

Barry has slowly been growing more and more disconcerted by the fact that each week his passionate sentiments about global war and genocide, when brought up at the Buddhist prayer circle he participates in, are referred to as ‘negative’ and ‘inappropriate’ subjects for contemplation within that particular community. Eventually he consciously decides to voice his feelings at the next congregational meeting. During the group share he verbalizes his anger at being silenced upon numerous past attempts to share his perceptions and perspectives about various forms of social injustice with the community. After the meeting a couple of other group members, inspired by his openness come to him and privately validate his concerns. At a later date he decides to write a letter of complaint to the religious leaders of the organization, in which he articulates his anger and discusses why he thinks that the dichotomy between peaceful living and social justice organizing is a false one. He also makes recommendations as to how the organization can change some of their practices to be more inclusive and less exclusive when it comes to emotional expression. At length he decides to take up running as a way of further discharging his frustrations;
Janet is brutally assaulted in a date rape situation. She receives a mental health diagnosis of PTSD. A few months later she joins a psychodrama therapy group in which she is encouraged to express and channel her feelings of rage through role play, role reversal, enactment and sharing. One of the group facilitators refers her to a non-profit organization which offers self defense training classes for women. It is over an hour’s drive away but Janet goes anyway. Three months into the class Janet becomes inspired enough to open up her own school in her local community where no offerings of that nature currently exist;
Hector is a 12 year old boy who has been struggling noticeably (emotionally and behaviorally) within his school setting. In the past six months he has been sent to the principal’s office, numerous times, for defiant, oppositional and instigatory behavior directed towards authority figures and some of his peers. During one such occasion he is directed to stay after school to serve detention time, which is to be hosted by his art teacher. At the time of the detention, the art teacher (a former counselor) says to Hector: “I have noticed you becoming very frustrated, very quickly these days. It seems like you are very angry. Have you noticed that about yourself? Do you know what you are so angry about?” Hector quickly proceeds to tell her that he hates his mother and wishes she were dead. Not long thereafter Hector is referred to an expressive arts therapist who encourages him to ‘talk’ about his angry feelings by using/creating visual art as a vehicle for communication. Later on, when Hector’s mother is invited to join him for a session it comes to light that Hector’s mother has been using corporal punishment as a way of disciplining him, which frequently goes above and beyond a mere spanking. Hector’s mother is subsequently referred to a therapist who helps her address the deep seated anger and resentment she has been holding towards her father for years, and misplacing onto her son, Hector.
The preceding examples are ‘good-case scenario’ illustrations of three individuals who have chosen and/or been invited to acknowledge, express and channel their angry emotions with a view to psychological restoration and healing.
A very real danger exists when people are forbidden (implicitly or explicitly) to express their angry feelings: when individuals attempt to suppress, repress or disguise angry emotions, for a long enough period of time, there can be truly negative consequences which can play themselves out in a variety of ways:
On an individual level, a person who is unable to express their anger eventually turns it inward, towards the self (as there is nowhere else for it to go), where it manifests as depression. Further manifestations of this type of depression may include various forms of self injury, such as head banging, cutting, addictions and other attacks against the self. Additionally, internalized anger and suicide are correlated. When anger energy remains unexpressed for a long enough time it turns into a type of stagnant resentment, and negativistic way of moving in the world which may ultimately manifest into various forms of (serious) physical dis-ease;
On an interpersonal level, people who are fearful of expressing their anger directly may become hostile towards others (usually friends and/or lovers) in indirect ways. This is often referred to as passive aggressive behavior, where the repressed, angry (often perceived by acquaintances as quiet) person may invoke extremely angry responses in friends and lovers due to their own, largely unconscious efforts to communicate their anger and resentment in covert ways. The ‘flip’ side of this is misplaced or displaced anger, in which the same fearful person might overreact to people (usually strangers perceived to be unable to hold them accountable) showing large displays of anger and aggression over relatively small, insignificant things. Some examples of this may include road rage, becoming extremely angry with customer service representatives/telemarketers over the phone and/or lashing out at small children or pets;
On wider community and societal levels, calamitous instances in which apparently “insane” individuals run amok are frequently, at least partly attributed to the cumulative, stifled, ultimately explosive rage of the individual perpetuating the crime (s).
Closing thoughts:
Unless confirmed otherwise, it is generally a good idea to assume that people who are feeling angry have genuine, valid reasons to feel the way they do (not the other way around), even if the original source of the anger is deeply buried.
Prohibiting people from expressing angry sentiment is a type of oppression which can morph into depression and/or aggression with very serious consequences.
Encouraging others to discuss their feelings freely is a good habit to adopt! The closer a person is to the original source of anger the less convoluted, and potentially distressing the expressed feelings are likely to be, to the speaker and anyone in earshot; it makes sense for adults to be attuned to these types of emotions in young people with a view to promoting their (prudent) expression. If we notice ourselves feeling very uncomfortable around reasonable expressions of anger it can perhaps be helpful to acknowledge and explore our own issues with anger and conflict, rather than labeling or shaming the openly angry person.
 
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Tuesday, January 27, 2015

A Holistic View on Psychopharmacological Interventions



 
Not all practitioners who consider themselves holistically oriented share the same beliefs about the applicability of psychotropic medication as this relates to health and wellness concerns.


For example, while integrative psychiatrists generally view psych meds as a form of treatment which may be used in combination with alternative/complementary strategies, traditional naturopathic doctors tend to shun the use of pharmaceutical drugs in accordance with a philosophy which underscores restoring balance within the body by locating *root* causes and addressing them; so the body can facilitate its own natural healing process *without* the use of surgery, drugs or any other type of medically invasive procedures.

Due to the overwhelming amount of things that are known and unknown about the potentially harmful (side) effects of psychotropic medications, it is my personal and professional belief that practitioners are obligated to unabashedly explore the issue of medications with their clients. While I have zero desire to judge anyone for choosing to take psychotropic medications, within the scope of my practice I am invariably interested in working with people to ensure that their choices are as informed as possible. 

This may include encouraging people to engage in their own consumer medication information research; consulting with folks surrounding the most important questions to ask prescribers prior to a psychiatric evaluation and/or advocating on behalf of my clients on request. I am most in my element acting as a guide for people who desire to learn about an array of natural health approaches in conjunction with reducing and/or graduating completely from psychotropic medications.

How do you embrace change in your life? How can we be more open to necessary changes?


Within the therapeutic setting, one thing that many people seem to have in common with regard to a personal ‘quest for truth’ is an awareness that they are in the midst of some sort of life transition.

One of the things I often try to convey to folks through my work is that in order to embrace necessary change in our lives, it is fundamental that we are first able to recognize and understand that our lives are never-ending cycles of (self) transformation, the pace and process of which is not able to be measured from person to person, or situation to situation.  If the essence of life hinges on transformation, then, it makes sense for us to invest in learning about change as a phenomenon.

The Universe is a vast, expansive and infinite space, brimming with possibility and potential! It is fully invested in our personal growth and healing (processes which are facilitated, in part, by our loving, spirit guides), and ever keen for us to take advantage of the potential truths and freedoms inherent in change. The great news is that all of us have spirit guides belonging to us, who are kindly focused on leading us to the highest transformative possibilities. The vast majority of us do not receive news of such possibilities from patron saints yielding banners decrypted with who, what, where and when, as they relate to our individual change opportunities! More often than not, the winds of change are breathed to us through chronic feelings of emptiness and unhappiness; growing awareness of stuck negative behavior patterns; strong gut feelings (positive or negative); repeated sightings of certain animals; balanced advice from caring and trusted friends/partners; vivid or precognitive dreams; déjà vu experiences and/or weirdly synchronistic events.

Paying attention to the preceding signs is important: it behooves us to listen to our intuition, and confirmations of such, so that the necessary changes to our personal/life development can be entered into with as much ease and control as possible.  Changing our attitude towards the dissonance, boredom, anxiety and despair so often felt in certain situations, from one of “this must just be my fate”, to one that recognizes stagnant and unhealthy situations as invitations to move forward, is paramount when it comes to exercising our ability to “take the bull by the horns”, so to speak, and take the steps necessary to create and embrace change in our lives.

While the Universe is patient, and supports and encourages us to take charge of our own destiny, when we continue to ignore our intuition we run the risk of giving up our agency with regard to change: rather than embracing our opportunities to navigate life changes with comfort, curiosity and excitement, we wait to be bolstered into change amidst circumstances that may be filled with grief, suffering, danger and/or trauma.

In short, remembering, and striving to pay attention to the many signals we are given is a wonderful way to ensure gentle alignment with our true path(s).





Friday, November 14, 2014

What is a 'Holistically Oriented' Psychotherapy Practice?

My name is Cheryl Alexander, and I run a lively psychotherapy practice in downtown Chicopee, a small to medium-sized city, located on the Connecticut River in Hampden County, Massachusetts, USA. I feel exquisitely blessed to have people, from so many different walks of life drawn to me and the services I offer. Many of the folks I meet with are curious about the holistically oriented component of what I do. “What does ‘holistically oriented’ mean, exactly?" I am often asked. I will attempt to answer that question here!




As a holistically oriented psychotherapist, my interest lies in assisting people to strive towards becoming whole, integrated individuals, and responding to them in the same manner. When people come to me suffering from what they perceive to be a mental health issue - let’s say ‘depression,’ for example - I meet with them and offer them a space to process what they are going through; I validate their experiences, and, as a licensed behavioral health clinician, I am able to apply a number of different theoretical approaches including CBT, insight-oriented psychotherapy, self psychology, ego psychology or object relations to explore the particular manifestations of depression with the person. However, recognizing that the mind, emotions, body and spirit are inextricably linked, I might also ask them questions pertaining to how they exercise/move their body; what they are putting into their body (food, drink, vitamins, legal/illegal drugs, etc); whether they have had a physical and/or blood work done recently; what their social/support network is like and whether or not they maintain a spiritual/contemplative practice…and…I may make *suggestions and/or referrals accordingly.


In my view, an effective holistically oriented practitioner adopts and espouses an ideology of well-being which includes spiritual, mental, emotional and physical aspects of living - each of which are closely interconnected and carefully balanced - and understands that if *any part* of the person is out of balance, a chain reaction occurs which in some way affects the other areas. For example, a person who is depressed may fail to engage in proper hygiene, adequate exercise and/or healthy eating habits, potentially leading to physical problems, and a person who is in extreme physical pain may become significantly depressed. Likewise, somebody suffering with gastrointestinal or cardiovascular issues may benefit from gaining a greater sense of awareness as this pertains to recognizing the link between physiology and anxiety, and a person struggling with panic attacks, insomnia and/or mania could benefit from knowing that they might be able to offset any discomfort coming from these symptoms by reducing or eliminating their caffeine intake.


The saying “The whole is greater than the sum of its parts” is generally attributed to the Greek philosopher Aristotle (384 BC – 322 BC), however, as it is frequently misunderstood I will try to highlight its relevance to health and wellness holistic thought here:

Imagine a circle. Divide this circle into four equal parts. Recognize that this circle represents a complete human being. Next, in your mind’s eye, label the parts of the circle ‘mental’, ‘emotional’, ‘physical’ and ‘spiritual’. If we consider the parts alone we are regarding four different fragments of a person, but the parts reassembled into a circle would once again represent a whole person, which as a single integrated system is greater than the four quarters (fragments) alone. In holistic healing we must remember that each of these fragments is part of a whole – the whole person – not a separate entity, and we cannot consider one without the other.


*As a holistically oriented psychotherapist I may refer people to other holistic alternative practitioners, such as acupuncturists, massage therapists, yoga teachers and naturopaths.
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***Reiki/Energy Psychology is a complementary and holistic therapy which brings about healing on physical, mental, emotional and spiritual levels. This service is currently offered in my practice.