Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 158-159 | Adicionado: terça-feira, 10 de dezembro de 2019 07:38:37
Nothing is more desirable than to be released from an affliction, but nothing is more frightening than to be divested of a crutch. —James Baldwin
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 198-201 | Adicionado: terça-feira, 10 de dezembro de 2019 07:42:36
a supervisor once told me, “There’s something likable in everyone,” and to my great surprise, I found that she was right. It’s impossible to get to know people deeply and not come to like them. We should take the world’s enemies, get them in a room to share their histories and formative experiences, their fears and their struggles, and global adversaries would suddenly get along. I’ve found something likable in literally everyone I’ve seen as a therapist,
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 224-226 | Adicionado: terça-feira, 10 de dezembro de 2019 07:45:31
As a therapist, I know a lot about pain, about the ways in which pain is tied to loss. But I also know something less commonly understood: that change and loss travel together. We can’t have change without loss, which is why so often people say they want change but nonetheless stay exactly the same.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 240-242 | Adicionado: terça-feira, 10 de dezembro de 2019 07:47:20
Our training has taught us theories and tools and techniques, but whirring beneath our hard-earned expertise is the fact that we know just how hard it is to be a person.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 243-243 | Adicionado: terça-feira, 10 de dezembro de 2019 07:47:35
Of all my credentials as a therapist, my most significant is that I’m a card-carrying member of the human race.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 261-264 | Adicionado: terça-feira, 10 de dezembro de 2019 15:56:08
These shared demons are testament to the fact that we aren’t such outliers after all. And it’s with this discovery that we can create a different relationship with our demons, one in which we no longer try to reason our way out of an inconvenient inner voice or numb our feelings with distractions like too much wine or food or hours spent surfing the internet (an activity my colleague calls “the most effective short-term nonprescription painkiller”).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 274-275 | Adicionado: terça-feira, 10 de dezembro de 2019 23:08:10
A therapist will hold up a mirror to patients, but patients will also hold up a mirror to their therapists.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 278-278 | Adicionado: terça-feira, 10 de dezembro de 2019 23:09:04
We are mirrors reflecting mirrors reflecting mirrors, showing one another what we can’t yet see.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 312-315 | Adicionado: terça-feira, 10 de dezembro de 2019 23:14:24
There are many ways to tell a story, and if I’ve learned anything as a therapist, it’s that most people are what therapists call “unreliable narrators.” That’s not to say that they purposely mislead. It’s more that every story has multiple threads, and they tend to leave out the strands that don’t jibe with their perspectives. Most of what patients tell me is absolutely true—from their current points of view.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 321-322 | Adicionado: terça-feira, 10 de dezembro de 2019 23:15:29
tonight’s silence sounds different. If you’ve ever been in love, you know the kind of silence I’m talking about: silence on a frequency only your significant other can perceive.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 324-325 | Adicionado: terça-feira, 10 de dezembro de 2019 23:16:11
In my office I can sit through marathon silences, but in my bedroom I last no more than three seconds.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 352-353 | Adicionado: terça-feira, 10 de dezembro de 2019 23:18:53
consider the possibility that an alien has invaded Boyfriend’s body or that he has a burgeoning brain tumor of which this personality shift is the first symptom.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 365-366 | Adicionado: terça-feira, 10 de dezembro de 2019 23:20:24
“If the queen had balls, she’d be the king.” If you go through life picking and choosing, if you don’t recognize that “the perfect is the enemy of the good,” you may deprive yourself of joy.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 375-377 | Adicionado: terça-feira, 10 de dezembro de 2019 23:21:52
How do you sleep soundly next to a person and plan a life with her when you’re secretly grappling with whether to leave? (The answer is simple—a common defense mechanism called compartmentalization. But right now I’m too busy using another defense mechanism, denial, to see it.)
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 386-388 | Adicionado: terça-feira, 10 de dezembro de 2019 23:23:22
His eerie silence earlier was his way of bringing this up. And although we go round and round on this until the sun peeks through the shutters, we both know in a bone-deep way that there’s nothing else to say.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 406-408 | Adicionado: terça-feira, 10 de dezembro de 2019 23:25:51
Therapy elicits odd reactions because, in a way, it’s like pornography. Both involve a kind of nudity. Both have the potential to thrill. And both have millions of users, most of whom keep their use private.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 418-419 | Adicionado: terça-feira, 10 de dezembro de 2019 23:27:18
During an initial burst of pain, people tend to lash out either at others or at themselves, to turn the anger outward or inward.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 430-431 | Adicionado: terça-feira, 10 de dezembro de 2019 23:28:31
There’s a popular saying, a paraphrase of a Robert Frost poem: “The only way out is through.” The only way to get to the other side of the tunnel is to go through it, not around it. But
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 439-440 | Adicionado: terça-feira, 10 de dezembro de 2019 23:29:46
Unless he’s a sociopath, it doesn’t jibe at all with what I saw for the past two years.” “Exactly,” I say. “Which means he’s a sociopath.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 454-455 | Adicionado: terça-feira, 10 de dezembro de 2019 23:31:33
One step. They may not be able to imagine their depression lifting anytime soon, but they don’t need to. Doing something prompts you to do something else, replacing a vicious cycle with a virtuous one.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 455-456 | Adicionado: terça-feira, 10 de dezembro de 2019 23:31:50
Most big transformations come about from the hundreds of tiny, almost imperceptible, steps we take along the way.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 522-524 | Adicionado: terça-feira, 10 de dezembro de 2019 23:40:13
I wasn’t depressed; I was just bored. I hadn’t considered that if the only thing that keeps you going all day is knowing you’ll get to turn on the TV after dinner, you probably are depressed.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 664-666 | Adicionado: terça-feira, 10 de dezembro de 2019 23:56:46
Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of “feeling felt.” This matters more than the therapist’s training, the kind of therapy they do, or what type of problem you have.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 691-692 | Adicionado: terça-feira, 10 de dezembro de 2019 23:59:37
High-functioning patients are those who can form relationships, manage adult responsibilities, and have a capacity for self-reflection.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 709-710 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:01:18
Next Caroline names a good therapist I also know relatively well, so I tell her that he won’t work out for my friend because there’s a conflict—therapist shorthand for “Their worlds collide, but I can’t reveal more.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 752-752 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:06:02
(during internship, we learned to sit close to the door in case “things escalated” and we needed an escape route),
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 771-776 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:08:55
An interesting paradox of the therapy process: In order to do their job, therapists try to see patients as they really are, which means noticing their vulnerabilities and entrenched patterns and struggles. Patients, of course, want to be helped, but they also want to be liked and admired. In other words, they want to hide their vulnerabilities and entrenched patterns and struggles. That’s not to say that therapists don’t look for a patient’s strengths and try to build on those. We do. But while we aim to discover what’s not working, patients try to keep the illusion going to avoid shame—to seem more together than they really are. Both parties have the well-being of the patient in mind but often work at cross-purposes in the service of a mutual goal.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 789-790 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:11:04
Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in people’s adult relationships too,
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 805-807 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:12:50
Over the years, I’ve handed tissue boxes to patients countless times, but I’d forgotten how cared for that simple gesture can make someone feel. A phrase I first heard in graduate school pops into my head: “the therapeutic act, not the therapeutic word.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 810-814 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:13:31
I’m telling Wendell everything I knew about Boyfriend’s history of avoidance without realizing that what I’m unintentionally illustrating is my avoidance of his avoidance—about which apparently I knew quite a bit. Wendell tilts his head slightly, a questioning smile on his face. “It’s curious, isn’t it, given what you knew about his history, that this is such a shock to you?” “But it is a shock,” I say. “He’d never said anything about not wanting a kid in the house!
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 810-812 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:14:34
I’m telling Wendell everything I knew about Boyfriend’s history of avoidance without realizing that what I’m unintentionally illustrating is my avoidance of his avoidance—about which apparently I knew quite a bit.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 837-839 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:21:20
He’s trying to establish what’s known as a therapeutic alliance, a trust that has to develop before any work can get done. In the early sessions, it’s always more important for patients to feel heard and understood than it is for them to gain any insight or make any changes.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 840-841 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:21:58
He knows what all therapists know: That the presenting problem, the issue somebody comes in with, is often just one aspect of a larger problem, if not a red herring entirely.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 901-902 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:27:31
In idiot compassion, you avoid rocking the boat to spare people’s feelings, even though the boat needs rocking and your compassion ends up being more harmful than your honesty.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 946-946 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:31:48
We use, rather than suppress, our feelings to help guide the treatment.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 981-983 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:35:01
I lower my voice so that he almost has to lean in to hear me. Neuroscientists discovered that humans have brain cells called mirror neurons that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous systems and help them stay present.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 988-989 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:35:43
People often mistake numbness for nothingness, but numbness isn’t the absence of feelings; it’s a response to being overwhelmed by too many feelings.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1002-1003 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:37:28
If it takes from birth to the day they arrive in our offices to develop whatever is troubling them or if a problem has been incubating for many months, it makes sense that they might need more than a couple of fifty-minute sessions to attain the desired relief.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1004-1006 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:37:51
Patients want our patience but may not have much patience themselves. Their demands can be overt or tacit, and—especially in the beginning—they can weigh heavily on the therapist.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1007-1010 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:38:42
therapists know that at first, each patient is simply a snapshot, a person captured in a particular moment. It’s like a photo of you taken from an unfortunate angle and with a sour expression on your face. There might also be a photo in which you’re glowing, caught opening a present or mid-laugh with a lover. Both are you in that fraction of time, and neither is you in your entirety.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1065-1066 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:45:21
He says that I want Boyfriend to explain himself to me—and that he is explaining himself to me—but that I keep going back because his explanation isn’t what I want to hear.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1085-1087 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:47:27
“There’s a difference between pain and suffering,” Wendell says. “You’re going to have to feel pain—everyone feels pain at times—but you don’t have to suffer so much. You’re not choosing the pain, but you’re choosing the suffering.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1119-1120 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:51:03
“The truth does not change according to our ability to stomach it.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1124-1125 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:51:40
“Your feelings don’t have to mesh with what you think they should be,” he explained. “They’ll be there regardless, so you might as well welcome them because they hold important clues.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1148-1149 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:54:09
There is a continuing decision to be made as to whether to evade pain, or to tolerate it and therefore modify it.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1154-1155 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:54:54
Our notion of the future can be just as powerful a roadblock to change as our notion of the past.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1157-1159 | Adicionado: quarta-feira, 11 de dezembro de 2019 00:55:33
When the present falls apart, so does the future we had associated with it. And having the future taken away is the mother of all plot twists. But if we spend the present trying to fix the past or control the future, we remain stuck in place, in perpetual regret.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1312-1314 | Adicionado: quarta-feira, 11 de dezembro de 2019 20:08:59
everyone who comes to therapy worries that what they think or feel might not be “normal” or “good,” and yet it’s our honesty with ourselves that helps us make sense of our lives with all of their nuances and complexity.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1403-1404 | Adicionado: quinta-feira, 12 de dezembro de 2019 12:44:55
(the upside of being a therapist’s child is that nothing gets shoved under the rug; the downside is that you’ll be totally screwed up anyway).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1534-1541 | Adicionado: quinta-feira, 12 de dezembro de 2019 23:25:55
The most recent version of the Diagnostic and Statistical Manual of Mental Disorders, the clinical bible of psychological conditions, lists ten types of personality disorders, broken into three groups, called clusters: Cluster A (odd, bizarre, eccentric): Paranoid PD, Schizoid PD, Schizotypal PD Cluster B (dramatic, erratic): Antisocial PD, Borderline PD, Histrionic PD, Narcissistic PD Cluster C (anxious, fearful): Avoidant PD, Dependent PD, Obsessive-Compulsive PD
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1549-1551 | Adicionado: quinta-feira, 12 de dezembro de 2019 23:27:26
personality disorders are ego-syntonic, which means the behaviors seem in sync with the person’s self-concept; as a result, people with these disorders believe that others are creating the problems in their lives. Mood
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1834-1838 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:39:31
I even felt that this breakup might be worse than a divorce in one particular aspect. In a divorce, things have gone badly already, thus leading to the split. If you’re going to mourn a loss, isn’t it better to have an arsenal of unpleasant memories—stony silences, screaming fights, infidelity, massive disappointment—to temper the good ones? Isn’t it harder to let go of a relationship filled with happy memories? It seemed to me the answer was yes.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1875-1877 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:43:26
Jack Kornfield said: “A second quality of mature spirituality is kindness. It is based on a fundamental notion of self-acceptance.” In therapy we aim for self-compassion (Am I human?) versus self-esteem (a judgment: Am I good or bad?).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1897-1900 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:46:45
for many people the pain of a divorce is only partially about the loss of the other person; often it’s just as much about what the change represents—failure, rejection, betrayal, the unknown, and a different life story than the one they’d expected. If the divorce happens at midlife, the loss might involve coping with the limitations of knowing someone and being known again with the same degree of intimacy.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1915-1917 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:48:33
All therapists do this: What material is extraneous? Are the supporting characters important or a distraction? Is the story advancing or is the protagonist going in circles? Do the plot points reveal a theme?
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1917-1923 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:49:07
The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure; as the surgeons operate, they keep checking in with the patient: Can you feel this? Can you say these words? Can you repeat this sentence? They’re constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back off so as not to damage it. Therapists delve into a mind rather than a brain, and we can see from the subtlest gesture or expression if we’ve hit a nerve. But unlike neurosurgeons, we gravitate toward the sensitive area, pressing delicately on it, even if it makes the patient feel uncomfortable. That’s how we get to the deeper meaning of the story, and often at the core is some form of grief.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1930-1932 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:50:52
People want to be understood and to understand, but for most of us, our biggest problem is that we don’t know what our problem is. We keep stepping in the same puddle. Why do I do the very thing that will guarantee my own unhappiness over and over again?
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1937-1939 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:51:33
Wendell and I had a conversation, even if no words were exchanged. He watched me grieve, and he didn’t try to make things more comfortable by interrupting or analyzing the issue. He let me tell my story in whatever way I needed to today.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1945-1946 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:52:08
Honesty is stronger medicine than sympathy, which may console but often conceals.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1965-1966 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:54:28
therapy can’t help people who aren’t curious about themselves. At some point I might even say something like “I wonder why I seem to be more curious about you than you are about yourself?”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 1990-1991 | Adicionado: sexta-feira, 13 de dezembro de 2019 08:56:52
Our experiences with this person are important because we’re probably feeling something pretty similar to what everyone else in this patient’s life feels. Knowing
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2034-2036 | Adicionado: domingo, 15 de dezembro de 2019 23:54:02
Rather than steering people straight to the heart of the problem, we nudge them to arrive there on their own, because the most powerful truths—the ones people take the most seriously—are those they come to, little by little, on their own.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2092-2095 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:00:59
Carl Jung coined the term collective unconscious to refer to the part of the mind that holds ancestral memory, or experience that is common to all humankind. Whereas Freud interpreted dreams on the object level, meaning how the content of the dream related to the dreamer in real life (the cast of characters, the specific situations), in Jungian psychology, dreams are interpreted on the subject level, meaning how they relate to common themes in our collective unconscious.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2202-2203 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:13:05
You can’t go through psychotherapy training and not be changed in some way, not become, without even noticing, oriented toward the core.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2211-2212 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:14:33
often different parts of ourselves want different things, and if we silence the parts we find unacceptable, they’ll find other ways to be heard.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2218-2219 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:15:25
So many of our destructive behaviors take root in an emotional void, an emptiness that calls out for something to fill it.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2235-2237 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:17:33
Beyond hearing and seeing, there’s something less tangible but equally important—the energy in the room, the being together. You lose that ineffable dimension when you aren’t sharing the same physical space.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2311-2313 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:25:27
I don’t know what to do with this information, so I do what therapists are taught to do when we’re having a complicated reaction to something and need more time to understand it. I do nothing—for the moment. I’ll get consultation on this later.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2316-2317 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:26:04
there’s a difference between a criticism and a complaint, how the former contains judgment while the latter contains a request. But a complaint can also be an unvoiced compliment.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2322-2323 | Adicionado: segunda-feira, 16 de dezembro de 2019 00:27:36
Once we know what we’re feeling, we can make choices about where we want to go with them. But if we push them away the second they appear, often we end up veering off in the wrong direction, getting lost yet again in the land of chaos.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2348-2349 | Adicionado: segunda-feira, 16 de dezembro de 2019 09:34:02
I can’t call up the therapist of my patient’s wife for no clinically relevant reason and without both patients signing consent forms.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2375-2380 | Adicionado: segunda-feira, 16 de dezembro de 2019 09:36:46
Anger is the go-to feeling for most people because it’s outward-directed—angrily blaming others can feel deliciously sanctimonious. But often it’s only the tip of the iceberg, and if you look beneath the surface, you’ll glimpse submerged feelings you either weren’t aware of or didn’t want to show: fear, helplessness, envy, loneliness, insecurity. And if you can tolerate these deeper feelings long enough to understand them and listen to what they’re telling you, you’ll not only manage your anger in more productive ways, you also won’t be so angry all the time. Of course, anger serves another function—it pushes people away and keeps them from getting close enough to see you.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2463-2465 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:18:32
As the late psychotherapist John Weakland famously said, “Before successful therapy, it’s the same damn thing over and over. After successful therapy, it’s one damn thing after another.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2467-2470 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:19:05
therapy is about understanding the self that you are. But part of getting to know yourself is to unknow yourself—to let go of the limiting stories you’ve told yourself about who you are so that you aren’t trapped by them, so you can live your life and not the story you’ve been telling yourself about your life.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2503-2504 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:22:17
There is a way out—as long as we’re willing to see it.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2510-2512 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:23:45
you can have all the insight in the world, but if you don’t change when you’re out in the world, the insight—and the therapy—is worthless. Insight allows you to ask yourself, Is this something that’s being done to me or am I doing it to myself? The answer gives you choices, but it’s up to you to make them.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2523-2524 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:25:14
Therapists are always weighing the balance between forming a trusting alliance and getting to the real work so the patient doesn’t have to continue suffering.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2525-2528 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:25:31
As in nature, if you plant the seeds too early, they won’t sprout. If you plant too late, they might make progress, but you’ve missed the most fertile ground. If you plant at just the right time, though, they’ll soak up the nutrients and grow. Our work is an intricate dance between support and confrontation.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2635-2638 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:37:25
suicidal thoughts—known as suicidal ideation—are commonplace with depression, most people respond to treatment and never act on those hopeless impulses. In fact, it’s as patients begin to get better that the risk for suicide increases. During this short window, they’re no longer so depressed that eating or dressing seem like monumental efforts but they’re still in enough pain to want to end it all—a dangerous mix of residual distress and newfound energy.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2672-2673 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:41:18
it’s becoming common to live into one’s nineties, so what happens to these sixty-year-olds’ identities during the decades they still have left?
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2693-2694 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:44:25
Andrew Solomon wrote in The Noonday Demon: “The opposite of depression isn’t happiness, but vitality.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2794-2796 | Adicionado: segunda-feira, 16 de dezembro de 2019 23:54:27
there were two notable exceptions, and both proved to be the best decisions of my life. In each case, I was nearly forty. One was my decision to have a baby. The other was my decision to become a therapist.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 2903-2904 | Adicionado: quarta-feira, 18 de dezembro de 2019 05:20:36
Often when patients see our humanity, they leave us.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3000-3001 | Adicionado: quarta-feira, 18 de dezembro de 2019 05:31:18
If something isn’t working, do something different, therapists are taught in training when they’re hitting a wall with a patient, and we also suggest it to our patients: Why continue doing the same unhelpful thing over and over?
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3055-3057 | Adicionado: quarta-feira, 18 de dezembro de 2019 11:11:50
By the time I finally shut down my laptop, the night was over and I felt guilty, empty, and exhausted. The internet can be both a salve and an addiction, a way to block out pain (the salve) while simultaneously creating it (the addiction). When the cyber-drug wears off, you feel worse, not better.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3292-3296 | Adicionado: sexta-feira, 20 de dezembro de 2019 09:07:37
In projection, a patient attributes his beliefs to another person; in projective identification, he sends them into another person. For instance, a man may feel angry at his boss at work, then come home and say to his spouse, “You seem angry.” He’s projecting, because the spouse isn’t angry. In projective identification, on the other hand, the man may feel angry at his boss, return home, and essentially insert his anger into his partner, actually making the partner feel angry.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3302-3303 | Adicionado: sexta-feira, 20 de dezembro de 2019 09:09:39
patients occasionally walk out if they feel besieged by intense feelings.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3309-3312 | Adicionado: sexta-feira, 20 de dezembro de 2019 09:10:42
Sometimes when people don’t show, they do it to punish the therapist and send a message: You’ve upset me. And sometimes they do it to avoid not just the therapist but themselves, to avoid confronting their shame or pain or the truth they know they need to tell. People communicate through their attendance—whether they’re prompt or late, cancel an hour beforehand, or don’t show up at all.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3336-3339 | Adicionado: sexta-feira, 20 de dezembro de 2019 09:13:20
In my informed-consent paperwork that I give to patients before they start treatment, I recommend that they participate in at least two termination sessions. I discuss this with new patients at the outset so that if something upsets them during treatment, they don’t act impulsively to rid themselves of the uncomfortable feelings. Even if they do feel it’s best to stop, at least the decision will have been reflected upon so they can leave feeling that they made a thoughtful and considered choice.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3443-3445 | Adicionado: sexta-feira, 20 de dezembro de 2019 23:05:00
I’ll use a different barometer to judge how it went: Did the patient feel understood? It always amazes me that someone can walk into a room as a stranger and then, after fifty minutes, leave feeling understood, but it happens nearly every time. When it doesn’t, the patient doesn’t return.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3449-3450 | Adicionado: sexta-feira, 20 de dezembro de 2019 23:05:41
If I’m to learn anything in this traineeship, my supervisor emphasizes, it’s that I can’t help anybody unless I’m authentic in that room.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3506-3511 | Adicionado: sexta-feira, 20 de dezembro de 2019 23:12:54
People with conversion disorder aren’t faking it—that’s called factitious disorder. People with factitious disorder have a need to be thought of as sick and intentionally go to great lengths to appear ill. In conversion disorder, though, the patient is actually experiencing these symptoms; it’s just that there’s no identifiable medical explanation for them. They seem to be caused by emotional distress that the patient is completely unconscious of. I didn’t think I had conversion disorder. But then again, if conversion disorder was caused by an unconscious process, how could I know? Conversion disorders
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3565-3566 | Adicionado: sábado, 21 de dezembro de 2019 13:44:13
I’m going into this future with Boyfriend, focus on that. Which is also why I ignored any hints that we might not be well suited for each other. If that future went away, I would have to contend with an unwritten book and a failing body.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3580-3581 | Adicionado: sábado, 21 de dezembro de 2019 13:45:36
It’s important to disrupt the depressive state with action, to create social connections and find a daily purpose, a compelling reason to get out of bed in the morning.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3696-3697 | Adicionado: domingo, 22 de dezembro de 2019 00:03:49
Sometimes “drama,” no matter how unpleasant, can be a form of self-medication, a way to calm ourselves down by avoiding the crises brewing inside.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3700-3702 | Adicionado: domingo, 22 de dezembro de 2019 00:04:50
Taped up next to my files is the word ultracrepidarianism, which means “the habit of giving opinions and advice on matters outside of one’s knowledge or competence.” It’s a reminder to myself that as a therapist, I can come to understand people and help them sort out what they want to do, but I can’t make their life choices for them.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3703-3704 | Adicionado: domingo, 22 de dezembro de 2019 00:05:18
people resent being told what to do. Yes, they may have asked to be told—repeatedly, relentlessly—but after you comply, their initial relief is replaced by resentment.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 3785-3786 | Adicionado: domingo, 22 de dezembro de 2019 13:20:45
It’s not uncommon for patients to go through an entire session talking about this or that, only to spill something important in the last ten seconds
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4189-4190 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:36:18
I make a mental note to store towels in my office.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4194-4194 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:37:00
described his constant worry as “a relentless need to escape a moment that never ends.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4211-4212 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:38:58
I remember something I learned during my internship: “Avoidance is a simple way of coping by not having to cope.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4238-4239 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:41:54
like my patient, I’ve come up with my own way to cope. If I screw up my life, I can engineer my own death rather than have it happen to me. It may not be what I want, but at least I’ll choose it.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4240-4241 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:42:24
I try to wrap my mind around this paradox: self-sabotage as a form of control. If I screw up my life, I can engineer my own death rather than have it happen to me.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4250-4251 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:43:54
Yalom wrote in Existential Psychotherapy, our awareness of death helps us live more fully—and with less, not more, anxiety.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4267-4268 | Adicionado: segunda-feira, 23 de dezembro de 2019 23:45:45
Uncertainty, I’m starting to realize, doesn’t mean the loss of hope—it means there’s possibility.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4473-4479 | Adicionado: terça-feira, 24 de dezembro de 2019 10:14:17
In the 1980s, a psychologist named James Prochaska developed the transtheoretical model of behavior change (TTM) based on research showing that people generally don’t “just do it,” as Nike (or a new year’s resolution) might have it, but instead tend to move through a series of sequential stages that look like this: Stage 1: Pre-contemplation Stage 2: Contemplation Stage 3: Preparation Stage 4: Action Stage 5: Maintenance
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4486-4489 | Adicionado: terça-feira, 24 de dezembro de 2019 10:15:34
therapists aren’t persuaders. We can’t convince an anorexic to eat. We can’t convince an alcoholic not to drink. We can’t convince people not to be self-destructive, because for now, the self-destruction serves them. What we can do is try to help them understand themselves better and show them how to ask themselves the right questions until something happens—either internally or externally—that leads them to do their own persuading.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4490-4492 | Adicionado: terça-feira, 24 de dezembro de 2019 10:16:10
Contemplation is rife with ambivalence. If pre-contemplation is denial, contemplation might be likened to resistance. Here, the person recognizes the problem, is willing to talk about it, and isn’t opposed (in theory) to taking action but just can’t seem to get herself to do it.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4494-4495 | Adicionado: terça-feira, 24 de dezembro de 2019 10:16:37
People often start therapy during the contemplation stage.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4498-4499 | Adicionado: terça-feira, 24 de dezembro de 2019 10:17:03
Here people procrastinate or self-sabotage as a way to stave off change—even positive change—because they’re reluctant to give something up without knowing what they’ll get in its place.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4500-4501 | Adicionado: terça-feira, 24 de dezembro de 2019 10:17:43
Although often maddening for friends and partners to witness, this hamster wheel is part of the process; people need to do the same thing over and over a seemingly ridiculous number of times before they’re ready to change.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4882-4884 | Adicionado: quarta-feira, 25 de dezembro de 2019 17:37:25
Like most patients, I want my therapist to enjoy my company and have respect for me, but, ultimately, I want to matter to him. Feeling deep in your cells that you matter is part of the alchemy that takes place in good therapy.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4888-4891 | Adicionado: quarta-feira, 25 de dezembro de 2019 17:38:40
unconditional positive regard doesn’t mean the therapist necessarily likes the client. It means that the therapist is warm and nonjudgmental and, most of all, genuinely believes in the client’s ability to grow if nurtured in an encouraging and accepting environment. It’s a framework for valuing and respecting the person’s “right to determination” even if her choices are at odds with yours. Unconditional positive regard is an attitude, not a feeling.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 4904-4905 | Adicionado: quarta-feira, 25 de dezembro de 2019 17:40:41
I feel genuine affection for my patients all the time—their tender places, their bravery, their souls. For, as Wendell is saying, their neshamot.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5039-5040 | Adicionado: quinta-feira, 26 de dezembro de 2019 00:18:28
It turns out that sessions to which patients come with neither a crisis nor an agenda tend to be the most revelatory ones. When we give our minds space to wander, they take us to the most unexpected and interesting places.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5048-5049 | Adicionado: quinta-feira, 26 de dezembro de 2019 00:19:39
The only thing that remains is the noise machine that ensures no one can hear what’s being said on the other side
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5057-5058 | Adicionado: quinta-feira, 26 de dezembro de 2019 00:20:45
A flight to health is a phenomenon in which patients convince themselves that they’re suddenly over their issues because, unbeknownst to them, they can’t tolerate the anxiety that working through these issues is bringing up.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5087-5089 | Adicionado: quinta-feira, 26 de dezembro de 2019 00:24:44
Some patients even flirt overtly, often unaware of ulterior motives (throwing the therapist off balance; deflecting from difficult topics; regaining power if feeling powerless; repaying the therapist in the only way the patient knows how to given his or her history).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5126-5127 | Adicionado: quinta-feira, 26 de dezembro de 2019 00:27:52
when a new patient comes in, I ask not just “What brings you here?” but “What brings you here now?” The now is the key. Why this year, this month, this day, have you decided to come talk to
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5235-5236 | Adicionado: quinta-feira, 26 de dezembro de 2019 09:16:01
People imagine they come to therapy to uncover something from the past and talk it through, but so much of what therapists do is work in the present, where we bring awareness to what’s going on in people’s heads and hearts in the day-to-day.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5245-5249 | Adicionado: quinta-feira, 26 de dezembro de 2019 09:17:32
The inability to say no is largely about approval-seeking—people imagine that if they say no, they won’t be loved by others. The inability to say yes, however—to intimacy, a job opportunity, an alcohol program—is more about lack of trust in oneself. Will I mess this up? Will this turn out badly? Isn’t it safer to stay where I am? But there’s a twist. Sometimes what seems like setting a boundary—saying no—is actually a cop-out, an inverted way of avoiding saying yes. The challenge for Charlotte is to get past her fear and say yes—not just to therapy, but to herself.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5294-5295 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:14:55
regularly made an effort to remember one of the most important lessons from my training: There’s no hierarchy of pain. Suffering shouldn’t be ranked, because pain is not a contest.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5411-5412 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:29:08
The price of loving so deeply is feeling so deeply—but it’s also a gift, the gift of being alive. If we no longer feel, we should be grieving our own deaths.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5413-5413 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:29:34
The grief psychologist William Worden takes into account these questions by replacing stages with tasks of mourning.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5416-5416 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:30:06
you can’t mute one emotion without muting the others. You want to mute the pain? You’ll also mute the joy.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5422-5426 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:31:14
Just as your physiological immune system helps your body recover from physical attack, your brain helps you recover from psychological attack. A series of studies by the researcher Daniel Gilbert at Harvard found that in responding to challenging life events from the devastating (becoming handicapped, losing a loved one) to the difficult (a divorce, an illness), people do better than they anticipate. They believe that they’ll never laugh again, but they
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5469-5469 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:36:07
the best way to defuse an emotional land mine is to expose it).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5489-5493 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:38:58
is called a paradoxical intervention. Given the ethical considerations involved, a therapist has to be well trained on how and when to use paradoxical directives, but the idea behind them is that if patients believe that a behavior or symptom is beyond their control, then making it voluntary, something they can choose whether or not to do, calls that belief into question. Once patients realize that they’re choosing a behavior, they can examine the secondary gains—the unconscious benefits it offers
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5576-5577 | Adicionado: quinta-feira, 26 de dezembro de 2019 21:47:47
Research shows that people tend to remember experiences based on how they end, and termination is a powerful phase in therapy because it gives them the experience of a positive conclusion in what might have been a lifetime of negative, unresolved, or empty endings.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 5994-5998 | Adicionado: sexta-feira, 27 de dezembro de 2019 09:15:23
Therapists call this process rupture and repair, and if you had parents who acknowledged their mistakes and took responsibility for them and taught you as a child to acknowledge your mistakes and learn from them too, then ruptures won’t feel so cataclysmic in your adult relationships. If, however, your childhood ruptures didn’t come with loving repairs, it will take some practice for you to tolerate the ruptures, to stop believing that every rupture signals the end, and to trust that even if a relationship doesn’t work out, you will survive that rupture too.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6028-6029 | Adicionado: sexta-feira, 27 de dezembro de 2019 09:19:11
the heart is just as fragile at seventy as it is at seventeen. The vulnerability, the longing, the passion—they’re all there in full force. Falling in love never gets old.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6042-6044 | Adicionado: sexta-feira, 27 de dezembro de 2019 09:20:56
I’ve told her about the many relationships I’ve seen implode simply because one person was terrified of being abandoned and so did everything in his or her power to push the other person away. She is starting to see that what makes self-sabotage so tricky is that it attempts to solve one problem (alleviate abandonment anxiety) by creating another (making her partner want to leave).
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6045-6046 | Adicionado: sexta-feira, 27 de dezembro de 2019 23:17:04
“Every laugh and good time that comes my way feels ten times better than before I knew such sadness.”
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6127-6127 | Adicionado: sexta-feira, 27 de dezembro de 2019 23:25:00
Every hour counts for all of us, and I want to be fully present in the therapy hour I spend with each one.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6144-6144 | Adicionado: sexta-feira, 27 de dezembro de 2019 23:26:49
Our duty to protect our patients’ confidentiality doesn’t end with death.
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Maybe You Should Talk to Someone (Lori Gottlieb)
- Seu destaque ou posição 6146-6146 | Adicionado: sexta-feira, 27 de dezembro de 2019 23:27:12
if I attend a patient’s funeral and somebody asks how I knew the deceased, I can’t say I was the therapist.
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