I’ve spent more time in therapy than I care to think about. More hours on that bloody couch than I’ve spent in the shower, brushing my teeth, or on the phone with telemarketers, because let’s face it, when I’m home, there really are no decision makers at my house. If I calculate one hour a week for 12 years, that’s 600 hours, which is 25 DAYS. What do I have to show for it? Lots of wisdom and advice. Journals and journals of it. But for your sake, I’ll just list 12. And after you get done reading my shrink insights, I want you to tell me yours, because I’m compiling such pearls for a writing project.
1. Know your triggers.
From the first year of therapy: know your triggers. If a conversation about global warming, consumerism, or the trash crisis in the U.S. is overwhelming you, simply excuse yourself. If you’re noise-sensitive and the scene at Toys-R-Us makes you want to throw whistling Elmo and his buddies across the store, tell your kids you need a time-out. (Bring along your husband or a friend so you can leave them safely, if need be.) For me it’s best if I don’t hang out in a bar with a crowd of drinkers, you know, if I don’t want to drink myself.
2. Count to four.
I can’t remember if I learned this pearl in therapy or in first grade. All I know is that breathing is the foundation of sanity, because it is the way we provide our brain and every other vital organ in our body with the oxygen needed for us to survive. Breathing also eliminates toxins from our systems.
Years ago, I learned the “Four Square” method of breathing to reduce anxiety:
- Breathe in slowly to a count of four.

- Hold the breath for a count of four.

- Exhale slowly through pursed lips to a count of four.

- Rest for a count of four (without taking any breaths).

- Take two normal breaths.

- Start over again with number one.
3. Hunt down unrealistic expectations.
Yep, I identify those bad boys every week. I record them on a sheet of paper or (on a good day) in my head and then revise them about 2,035 times during the day. Cataloged are things like: “penning a New York Times bestseller in my half-hour of free time in the evening,” “being homeroom mom to 31 kids and chaperoning every field trip,” and “training for a triathlon with a busted hip.” Listing the more realistic possibilities of actions I can take to inch toward my broad goals (being a good mom, an adequate blogger, and a healthy person) can be extremely liberating.
4. Celebrate your mistakes.
Alright, celebrate is an awfully strong word. Start, then, with accept your mistakes. But I do think each big blunder deserves a round of toasts. Because almost all of them teach us precious, rare lessons that can’t be acquired by success. Nope, the embarrassment, humiliation, self-disgust … all those are tools with which to unearth the gold. Just like Leonard Cohen writes in his song, “Anthem” that a friend of mine tapes to his computer as a reminder to ignore the perfectionist in him:
Ring the bells that still can ring,
Forget your perfect offering.
There is a crack in everything,
That’s how the light gets in.
5. Add some color.
My therapist often points out that I am color blind. I see the world in black and white. Example: either I am the best blogger in the entire blogosphere or I should throw my iMac into the Chesapeake Bay and become a water taxi driver. Either I am the most involved mom in David’s school or I am a slacker parent who should let a more capable mom adopt her son. Does this kind of thinking sound familiar? In order to get a pair of glasses on my inner zebra, then, my therapist helps me add a few hues to every relationship, event, and goal so that I become a tad more tolerant of life’s messiness, unresolved issues, and complicated situations that can’t be neatly boxed up.
6. Believe in redemption.
Redemption is an odd thing. Because identifying the broken places in your heart and in your life can be one of the scariest exercises you ever do, and yet only then can you recognize the grace that comes buried with every hole. If the journey to the Black Hole of despair and back has taught me anything, it’s this: everything is made whole in time … if you can just hang on to the faith, hope, and love in the people and places around you long enough to see the sun rise yourself. Absolutely nothing is forsaken, not even those relationships and memories and persons that you think are lost forever. Most things are made right in time. So you don’t always have to get it right on the first try.
7. Compare and despair.
The last thing you should do when you’re stressed–which I always do when I’m stressed–is start looking around at other people’s package (job, family support, balanced brain) and pine for some of that. I grow especially jealous of non-addict friends who can enjoy a glass of wine with dinner or those with moms nearby that offer to take the kids for sleepovers. But I don’t have all the information. The mom who takes the kids for the night might also have an opinion for every piece of furniture in your house and her own spare key to your home so she can pop in whenever. So comparing my insides to someone else’s outsides is a fruitless and dangerous game to play, especially when I’m stressed.
8. Learn how to recharge.
Many folks know how to have fun and recharge their batteries. Mentally-ill addicts like myself have to learn this from scratch. With the help of their therapist. After some experimentation I know that spending quiet time by the water (kayaking, running, biking in warmer months), reading spiritual literature, and watching a movie with a friend are all ways that will nurture me so that I can better tolerate stress.
9. Team up.
Think of the buddy system from Boy Scouts. Teaming up with someone means that you have to be accountable. You have to report to someone. Which brings down your percentage of cheating by 60 percent, or something like that. Especially if you’re a people-pleaser like me. You want to be good, and get an A, so make sure someone is passing out such reviews.
Also, there is power in numbers, which is why the pairing system is used in many different capacities today: in the workplace, to insure quality control and promote better morale; in twelve-step groups to foster support and mentorship; in exercise programs to get your butt outside on a dark, wintry morning when you’d rather enjoy coffee and sweet rolls with your walking partner.
10. Categorize your problems.
My therapist is an organizer, so she likes to sort my problems into categories. The effect is fascinating: you feel like you have less of them. When we agree to tackle a class of problems — say “boundaries issues” — then a few tweaks here or there can be applied to a variety of situations. I don’t have to spent time with each hiccup along the way.
11. Make a self-esteem file and read it.
It was my therapist who first told me to ask some friends to list some positive qualities about me, and to keep those lists in a folder that I could read when my self-esteem was below sea-level. Today that folder is the first thing I’d grab in a fire (alright, after the kids). It serves as my security blanket on many afternoons.
12. Look backwards.
Another great exercise my therapist taught me is to look backwards and cull from my past the strengths I used in certain situations. This means that on the afternoons my depressed brain believes death is preferable to life, I say to myself something like: “Self, you have been sober for 20 years!! Weaklings can’t pull off a stunt like that. You’ve got the right stuff, girlfriend. Just hold on.” (The soundtrack to “Rocky” is playing in the background, of course.)
What have you learned?
34 comments
very nice posting. Will go in my files of articles to share with patients who have appreciable insight and interest in change.
thank you for sharing.
therapyfirst, board cert psychMD
The most important thing I learned was to pay attention to songs running through my mind, to thoughts that pop up out of nowhere, to scenes on TV that cause an especially strong emotional reaction. These are messages from my unconscious, and I can learn from them.
Hi great post!
I think the things we learn are the things we are there to learn:
how to trust wisely
how to pay attention to and learn from one’s internal world
how to be accountable for our own happiness and not that of others.
I blogged on this a while back which may be of some interest
http://tiny.cc/zU1ow
Best
BTC
Thanks for your feedback! t
I’d really like to contribute to your list but, unfortunately, I’ve never been to therapy. Now, before you start envying me, let me just say – I’ve never had the money. So through all these years of crisises and what-not conditions, I’ve had to be my own therapist. I bet I’ve done a lousy job but still… here’s one trick I use.
When I’m sick and tired of it all and feel like taking the next train to The Middle of Nowhere, I just tell myself that I will. “No problem, sure, why not”. So this same-old-cronic-friday-the-13th day will be the last of its kind. I just have to live through it patiently and tomorrow I’m packing my stuff. And when I find myself not bonded to anything in sight, once of a sudden it all seems shiny and new. I’m free, the stress is gone. And I miss my life already. So relaxed about seeing the dishes, the enemies, the everything for the last time, that I savor every moment. Plus, having that little secret that soon I’ll be gone and happy, leaves me with a smile all day. And in the end, I’ve liked my little imaginary pre-holiday celebration so much that I feel like I can take another.
I’ve spent a lot of time in therapy but most of it was against my will and not too fruitful. I did learn a breathing technique that actually works for me, after learning a bunch that were like yours and required counting and just stressed me.
The one that works for me is simple: make the exhale longer than the inhale.
I’ve learned far too much about how therapists are merely human and very fallible.
I’ve learned that nobody understands me but sometimes it’s enough if they just try.
I have learned that all things shall pass,that everyone makes (many many many) mistakes,that it is ok to have feelings,ok to cry…I have learned that God is Big enough for all of us…no matter what and that honest hard work in thearpy reaps grand results…even if it seems to take forever.
Those are great. I haven’t learned anything from my therapist yet. I wish he would start teaching me things soon though.
My therapist taught me that while medication is helpful and recommended, it won’t completely erase what I have been through. At some point I have to talk about it. When it comes to talking about “stuff” in therapy it really is going to be okay afterwards, he’s still going to be there and not dismiss my feelings or tell me I’m being stupid.
Very good therapy suggestions. I’ve learned CBT and progressive relaxation. When I feel down, a walk around my backyard; especially when the sun is out and the birds are chirping, cheers me up.
I’ve been in therapy a long time. I need someone to validate my feelings as I don’t get that here at home.
Thank you for a good article.
Regards, Sara
Thanks for your list. I found a wonderful therapist because I saw everything in my life as “broken” – I was broken. She helped me to focus on the areas where I wasn’t “broken” and the strengths I had – and that was incredibly helpful to me. She also encouraged me to continue to write – even if I’m not on the NY Times Best Seller list (yet), I have much to share… Loved your post!
I learned in therapy to separate what I do from who I am. People like what I do or hate what I do, but what I do is not me. I am and have always been perfect. I continue to work on my behaviors that help me like me more and to have a positive effect on others. I changed my life by changing my behaviors which meant changing my beliefs about myself and other people. Great therapist!
I learned from my therapists to recognize distorted thinkings such as:
over personalizing
black and white thinking
labeling (judging)
mind reading (assuming I know what the other person is thinking)
and others
Being able to recognize my thinking distortions has helped me be able to cope to negative social interactions
Your article is great and I thank you!
Two really helpful things my therapist taught me are;
1. Never Make Assumptions! If you are assuming another’s feelings, thoughts, or the meaning of their behavior, be direct and ask. Often enough, my assumptions have been dead wrong prior to inquiring.
2. Do Something Differently (especially if your way isn’t working). Insanity is doing the same thing over and over again and expecting different results.
GREAT POST!!!
MY THERAPIST HAS TAUGHT ME THAT EVEN WHEN I THINK I CAN’T GET PAST MY TROUBLED LIFE ONE DAY TO REMEMBER THERE WILL BE ANOTHER DAY AND THAT DAY IS TOMORROW. DON’T WORRY ABOUT YESTERDAY BECAUSE TODAY IS ALREADY HERE!
I usually go to therapy to deal with issues (read ‘arguments’) that arise around the relationship with my spouse. We could never see each other’s point of view; my therapist has 2 things to say about this (she had more I’m sure, but these 2 stick out because they are so helpful):
– Do you want to be right, or do you want to be happy?
– Understand different perspectives and separate realities
I never knew that 2 people could see or experience the exact same event (even like turning the TV on or off) in completely different ways…
So now when my spouse and I can’t agree… instead of arguing, I say ‘it may be that way in your world, however, it’s like this in my world’. That way we both see another perspective on a situation or event, without claiming that either one is 100% right 🙂
I prefer being ‘happy’ to being ‘right’, don’t you?
My therapist has taught me to just keep trying, to recognize things that make me unhappy, and how to get what I need from other people if the people who are supposed to provide it can’t
I learned that to trust is to truly feel safe and I learned the value if not being alone with a nightmare. It wasn’t east and it certainly didn’t happen overnight and now that it’s over I miss the safety of those hours but I have learned and time may not heal but it goes by and you are the one that makes choices to deal with your issues or not. Therapy gave me someone to be accountable to and that person is now me which is a blessing in itself. I never trusted me before.
Here’s the most useful thing that my therapist taught me. An old folk adage:
“Never try to teach a pig to sing. It wastes your time and annoys the pig.”
Another way to put it is, it does no good to try to change the way other people are. You can’t change other people, only your own reaction to them.
My therapist taught me ‘I’ comes before ‘U’ in the alphabet, meaning ‘I’ have to take care of me first before I can take care of ‘U’ or anyone else.
These are all things you could have learned from a $10.00 self-help manual, a women’s magazine or a blog. Definitely not worth the hours spent in therapy if this is all you got out of it.
These are good. You’ve gained a lot of good info. I loved the scene in Harvey, when James Stewart says he’s learned it’s more important to be nice than it is to be smart.
mysteryshrink.com
I’ve learned that I DO NOT have to like my mother … or anyone else who enjoys taking pot shots at my self esteem.
Some things can’t be fixed, let it go …move on to something that can.
Learn to say “I’m sorry you feel that way.” And don’t add another word.
Not everyones opinion is valuable. I get to choose.
An ol’ AA buddy said this one. I never spend time bemoaning the fact that I can’t play the violin and never will because I’m tone deaf. I try to do the same about drinking.
There’s more than 50 ways to skin a cat. So if ya got a cat (problem) that needs skinning bad..keep trying till ya find the right way.
When you separate wants from needs you usually find out you have everything you need and then some.
Loved your post and your sense of haha…you ARE an awesome writer. Marthe
MY THERAPIST TAUGHT ME
I NEEDED TO NURTURE MYSELF AS MY PARENTS NEVER DID
IT IS OK NOT TO BE PERFECT
JUST BECAUSE THEY’RE YOUR BOSS, DOESNT MEAN THEY’RE RIGHT
THIS TOO WILL PASS
DON’T TAKE THINGS AT FACE VALUE
I saw a therapist only twice. I learned two things from her that I will carry with me for life:
1. I am an intelligent woman. Trust my instincts.
2. Do 3 things for myself every day that I enjoy and that is good for me. (In a way, it is like feeding yourself) For me it is exercise, read or do a puzzle, and work on a project that benefits my home/area.
1. Be willing to be vulnerable in therapy, to approach past beliefs once adopted to keep me safe, but that are no longer useful, and to release them and fill their place with love and light.
2.Find the place in my body where the memory resonates and find out what it needs and go in and give it. If I find fear in my stomach and the image of a child being beaten, I can rescue the child in my imagination and nurture it.
3.Universal human needs are nothing to be ashamed of, but rather to be honored even if they are unmet. Imagine that they are met. Feel that deeply. A shift occurs then, and instead of loss I feel more calm.
4.As one of the previous writers said: trust yourself and do something enjoyable for yourself every day! If you are not all right with your self, you can’t be even aware of others’ needs much less able to respond instead of blindly reacting.
A wonderful post–and beautifully written, too.
I’ve learned to cultivate the ability to laugh at my mistakes– and find friends who do, too. I have AD/HD, and when I recount a goofup to a friend, I can “spin” it so we both find it very funny!
(There’s an insight in there about “reframing” that someone else might be better at articulating. I’m still working hard on learning to reframe!)
I’ve learned that I always feel better after 30 minutes of breathing-hard cardio exercise. It gave me blessed relief during a mean depression years ago, and has staved off the “black dog,” as I think Winston Churchill called it, a few times since.
DEAR Therese J. Borchard …
I LEARNED THAT TO ATTEND UNIVERSITY AND STUDY ENGLISH LITERATURE WILL AND DOES CONTRIBUTE TO MY PERSONAL GROWTH… SOMETHING I HAVE BEEN MISSING AND LONGING FOR…
BEST WISHES…
GERSHON…
WOW this was WONDERFUL!! I have a family of Bipolar kids and husband.(adopted so from several sources and degrees) and this was MOST helpful for me to be able to Que into areas of weakness and to build strength effectively. It is hard for me a NON-BIPOLAR to understand and hone in on ways to be helpful. Thanks so MUCH!!
I’ve learned to look inward at myself from my therapist and to be a more responsible person for my actions, instead of focusing the blame onto others.
hi therese, i have been in therapy for … 15 years. off the top of my head, because i have short term memory loss, i’d say that even though i didn’t believe in myself sometimes, she did. another thing i learned when i would bring up something, which eludes me now, but let’s say i would think that something i said, or did was something that made me different, and she would simply tell me that everyone does whatever it was, that i was like everyone else, in other words, normal. Normal? ME?
i carry a lot of guilt that i still try to shake off. in the middle of a crisis, when i have to make a decision without her input, she would tell me i did the right thing. even though i did the right thing, as hard as it was, for instance, confronting someone who i think wronged me. she would tell me i did the right thing, as hard as it was, because confrontation and rejection are my two hardest demons to overcome. it’s been that way since i was a kid. but she still is teaching me that i do things like everyone else. i HATE confronting someone, i feel like they will hate me for the rest of my life, even though it was something that i had no choice in doing. and after the confrontation, comes the feeling that i will be rejected by those i had to confront. is any of this making any sense to you? raised Roman Catholic in a home with critical father who drank, not all the time, but was critical, nonetheless. i better shut up now. i guess i wrote so much because this was a real recent confrontation and i haven’t accepted that maybe they will forgive me and still love me any way. thanks for letting me vent.
Thanks. This helps. I’m one of the lucky ones in that I didn’t repeat what was done to me like my mother and her family. I will never understand that, how any mom can hurt a child. Or put them where they are being abused, sexually too, and the mom abuses you for telling anyone and trying to get help. she made sure everyone thought I was crazy and lied by the time I was 5 years old. Her family all think the same thing, now 45 years later. I’ve a lot to get over and STILL trying to do that. That is my biggest frustration, just wanting to not have dark days and trigger events on thousand of memories of events I hardly remember, just the fear, anger, confusion and pain.