10 things Catholics (and others) should know about therapy

For World Mental Health Day, I’ve updated a thing I wrote a few years ago. It’s all still true! And since then, other members of my family have started seeing therapists, too. We’re so dang mentally healthy around here, I don’t even recognize us.  

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I’ve been seeing a therapist for several years now. I make a point of mentioning it because a lot of Catholics (and others!) are resistant to the idea of therapy. I understand much of that resistance, so I thought I’d share my experience. Here are some basic observations:

1. Therapy is not a replacement for confession or spiritual direction. You may end up addressing the same behaviors in both therapy and confession or spiritual direction, but you’ll learn different things about where they come from and how to deal with them. If you go to therapy, it doesn’t mean you think you’re not responsible for your actions. It means you’re serious about trying to change them.

2. At the same time, therapy is not incompatible with Catholicism – or it shouldn’t be. Ideally, they should dovetail. In my case, I’d made no progress trying to conquer certain behaviors through prayer and confession, so I turned to therapy to help me learn practical ways to do it.

3. It’s far better to see a good therapist who doesn’t know much about your Faith than it is to see a faithful Catholic who’s a second-rate therapist. I went in with the idea that I’d listen with an open mind to whatever my therapist could offer, and I’d do the job of filtering out whatever was incompatible with my faith, and I’d integrate whatever was compatible. Once I got to know and trust the fellow, I let him know that I felt defensive about my Faith, and that I was afraid that he’d see my religion as something to be cured – that he’d see my big family and my spiritual obligations as the things that were dragging me down.

He said that it’s true that some therapists see religion as an unhealthy thing, and they may or may not be aware that they have this prejudice; but he said that most of the good therapists he knows will want to treat the whole person, and that includes their spiritual life; so he encouraged me to be more open about matters touching on religion. I have done this, and it’s worked out well.

This makes sense, because I have made a deliberate effort to integrate my faith into every aspect of my life, so it’s not as if I can compartmentalize it anyway.

At the same time, occasionally bringing up matters of faith with someone who doesn’t share my religion has made me examine pretty closely what I really believe and why. It’s all been to the good, even if it was an uncomfortable and somewhat frightening experience. 

4. Therapy is not for losers. Knowing there’s a problem and not going for help is stupid. Knowing there’s a problem and going for help is what adults do, for their own sakes, and for the sakes of the people they live with. 

5. Of course it’s hard to get started. Important things usually are. It is hard to make the first phone call, especially if you have to make lots and lots of phone calls, and explain over and over again that you need help, until you find someone who is taking new patients and accepts your insurance. Just keep calling. Set a goal per day – say, six phone calls – and just keep plowing through. If possible, if you need it, ask someone to make the phone calls for you. Just get the ball rolling.

6. Don’t assume you can’t possibly afford it. Therapy might be covered by your insurance, or they might offer a sliding scale fee structure, so at least make some calls and find out. If you call an office that does not take your insurance, ask them if they can recommend someone who does. Also ask at your parish. There may possibly be some grant money available. 

7. You might not find the right therapist at first. Give it several sessions, and if things seem really off, it’s completely normal and useful to say so and try someone else. The whole point of this is to help you, and if it’s not helping, then what are you doing?

I was set to see a therapist for an introductory visit, and she didn’t return my phone calls, and then left a message saying she would call back, and then didn’t. So I fired her before I even met with her. If I want to get treated like crap, I can just hang out with my four-year-old at home for free.

8. Therapy isn’t magic. You have to actually do the things throughout the rest of the week. Just showing up for your appointments isn’t going to help anything.

9. Even when it’s working, it takes a while. Things often get harder before they get easier. It’s normal to have ups and downs, and it’s normal to regress at a certain point. You should be seeing some progress at some point, but don’t expect to be on a dazzling upward trajectory from day one.

10. Therapy is smarter than you think, smarty.  So give it a chance, even if your therapist uses words or ideas that sound goofy at first. If you have a decent therapist who seems intelligent, responsive, and respectful, then keep an open mind.

I had a hard time, for instance, getting over the word “mindfulness.” I was like, “But I do not balance crystals on my forehead when I get overwhelmed by yoga pants shopping, so get away from me with your mindfulness nonsense!” Well, it happens that I went in for help changing some behavior that I do out of habit, that I do without thinking, and that I do when I feel like I’m not in control of my responses. So guess what I’m working on? Mindfulness. La di dah.

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If you’ve had a good (or a bad) experience with therapy, what would you add? What would you like your fellow Catholics to know?

Image via MaxPixel (Creative Commons)

How to celebrate World Mental Health Day like the crazy bitch you are

On a bus? It’s only courteous to apologize to everyone for the noise your head is making.

Primal scream therapy has been largely debunked. Instead, try emptying your mind, relaxing your muscles, opening your throat, and then, for as long as you can sustain it, make a noise like a wabbit*. I think you’ll find it immensely liberating (for other people).

Throw glitter on people, so they will understand what a strong person you are! Or something! I don’t know, I saw it on a meme.

If you can’t find your pants, simply stand in the middle of the house and shout, “PANTS! PANTS! PANTS! PANTS! PANTS!” until someone comes running with your pants. I know you’ll think I’m just saying this because it was on a TV show, and you’re right; but on the other hand, it actually works. It sometimes takes a while, e.g.. when no one else is home, but this is when persistence counts.

Hey, why don’t you smoke a lot of pot? That will help! Smart smart smart!

Those “hippe-dippie” calming mantras are actually surprisingly effective, and can really ease anxiety and restore your sense of peace and proportion. Just be sure you have found one that is completely unique to you. If you accidentally use someone else’s mantra, they will know, and — you know what, nothing bad will happen, probably. It’s just something to keep in mind. You know what, it’s probably fine. Don’t worry about it.

Break into your therapist’s office after hours and hang up all his friggin’ pictures. The Ansel Adams and the generic tree landscape, and that dreadful framed inspirational poster with the kayak, that have all been leaning up against the wall since your intake visit, marking the spot where they are supposed to be hung. And also the clock that always shows 9:53, with the unopened package of batteries balanced on top of it. Seriously. Is this just to make you feel more sane in comparison, or what? Is this some kind of social experiment? Is that even ethical? Why 9:53???

When did you last eat something? Fingernails doesn’t count. Geez, go have a spoonful of peanut butter and then we can figure out if existence is really empty and meaningless or not. I’m not saying it’s not. I’m just saying, have some peanut butter.

Always remember: It’s okay to shoot your TV screen for saying “Flappity flippers!” one more time. You warned it.

*(“WABBIT!!! WABBIT! WABBIT!”)

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Image: Asiir at English Wikipedia (Asiir) [CC BY 2.5 (http://creativecommons.org/licenses/by/2.5)], via Wikimedia Commons