Is counseling really worth all the risks?

by Nathan Chua

Just like probably most of you, I have had questions about whether counseling is worth the effort and the risks involved.  Common reasons would be:

  • The stigma attached to seeking assistance from a mental health practitioner,
  • Talking to a stranger about very private information is scary,
  • Counselor might not be as good as you would expect,
  • it could even worsen your situation.

I have also asked some of the experts in my field that I know.  Why would risking talking to a stranger be worth it when these problems would soon go away anyway?

Here are some examples of what I mean:

  • Well, I haven’t had anxious feelings lately because my partner and I haven’t had anything to fight about.  
  • I haven’t had any trouble with my addictions, I just stayed away from the places that tempted me to indulge and besides I’ve recently had a religious epiphany! 
  • Yes, it was tough for a while but the memory of my departed loved one has not been as present as it had been, after a year of grieving and also keeping myself busy with work and my kids really helped.  
  • I didn’t have to have those tough moments at work, I just asked for a transfer to another department to avoid that boss I couldn’t work with.
  • Hey, we were close but drifted apart because we had a disagreement.  It is what it is.  I’ll live.

Well, here’s a metaphor that I would like to share with you to sort of provide my answer to these objections about counseling.  If someone you know got rich because of a process of growing a business and learning from mistakes, compared to someone you know that got rich because that person inherited a large sum of money, then you and I can say that both achieved the same outcome.  But the processes were different.

The point here is that there are places and moments where and when you can stay away from the hard stuff that comes with life, but where are you going to go where the thought of the substance, trauma, or abuse or failure or loss, doesn’t go?

Counseling is an invitation to you to join in a process, a journey, through the direction you thought you were capable of taking if only those nasty experiences weren’t there for the ride.  And maybe they won’t stop riding along with you.  So the work is about how it is that you can bring those painful experiences with you as you stay the course.  

And I would bet that that course was established by that younger version of you before you came across this thing between your ears that continues to remind you of past pains, continues to judge, and to compare and stop you from being that innocent you, who just wanted to see and be seen, to love and be loved, to accept and be accepted.  In a way it’s sort of a journey towards regaining our innocence.  There is a term for that innocence throughout humankind’s history: the ancients called it spirituality and in contextual behavioral science, we call it you-as-context.  

Let me end with a quote from Dr. Steven C. Hayes, the instigator of ACT or Acceptance and Commitment Therapy, that can partly explain what it means when we lose our innocence and regain that spiritual sense of ourselves:

“Language has been said to have produced a “loss of innocence” in humankind. The story of Adam and Eve is perhaps a reflection of this thought. Spirituality is said by some to reestablish a kind of “experienced innocence.” Like the Zen koan that asks “does a dog have Buddha-nature?” We find that we cannot really go back, but that spirituality (you-as-context) offers one possible solution to the dilemma. Through a second type of contingency-shaped behavior, it may weaken automatic rule-control and allow the direct contingencies themselves to take more control. As one Eastern monk puts it “When I am hungry, I eat; When I am tired, I sleep.”

Hope to see you soon, here at One Life Only.

Nathaniel Chua’s First International Talk Now on the One Life Only YouTube Channel!

Listen to this on Spotify:

Is Your Funny Valentine Still Around?

by Nathan Chua

Having a long term relationship primarily involves two things.  Can you guess what they are?  The answer could be as simple as acceptance and change.  Just like the lines in the Serenity Prayer by Reinhold Niebuhr, a big part of the work I do in individual, couple, and family sessions can actually come to just these two options as people face challenges in their relationships with themselves and their significant others.   

I often ask a few questions to my couples once they get to the feedback session, “If you’ve seen a few of those silver or golden anniversary celebrations, what do you notice is usually part of the ceremony?  Do you see the couple face each other and say something about their relationship?  What do you often see included in their speeches for one another?”  After a few guesses and not hearing what I expect them to say, I would add that couples usually talk about the funnier parts of their history together.  In fact, couples call each other by their pet names which, especially in Filipino culture, could be endearingly funny.  So the answer to the question is humor.  

Why is humor important?  Because humor signifies a level of acceptance that couples have for each other, knowing that certain things are difficult for them or their partners to change.  It also involves a greater awareness of their benign albeit hidden intentions.  If one is messier than the other, the neater partner usually only sees a lazy and defensive partner.  But once the messier partner feels accepted while the neater partner sees how much the former is trying their best to keep up with the neatness, the human compassionate side starts to kick in.  Because like it or not, your partner will probably forget the way you want the stuff on the kitchen counter to be arranged.  In other words, it’s not going to be perfect most of the time.  

Acceptance: 

Let’s first talk about acceptance and why it could be your road to change.  Please note though that acceptance is never something that we can demand from each other nor from ourselves.  Here’s a quote from Dr. Andrew Christensen et.al.:

“Change is the brother of acceptance, but it is the younger brother. When acceptance comes first, it paves the way for change,” Christensen, Doss, and Jacobson. 

It is understandable for couples to come to therapy thinking that they’re there to follow certain rules about how to change their partners or how to change the way they communicate with one another.  Anyway, isn’t this the reason why they came to see a trained counselor in the first place?  Well, if you find your counselor providing simple solutions to many of your communication problems, then maybe that’s a sign you might have to go elsewhere.  Why?  Because those very same simple solutions are probably nothing new to what you are already doing.  If psychology was done this way then there is no need for its study.  All we would need is some good old common sense.  For example, simple solutions like making plans for a partner to pick up their socks when they remove their shoes and put them in the hamper.  Couples who agree to these types of interventions usually end up fighting about the rules learned in counseling.  It can also breed resentment in the partner who is not sided with by the counselor.  Moreover, these are new rules to again fight about.  Well, one of you is not following the agreement which means another demand and another source of frustration.     

It is through acceptance that what we see in our partners as defects turn into the differences they were between you from the very start.  Humor is a big part of this process of accepting that your partner will not be your clone.  It is also through acceptance that we humans feel moved to change.  When others accept us in all our uniqueness, we find the space to feel compassion when we sense that our partner is accepting us even if we snore too loud at night, or cleaning up after us even when they had a long day at work.  That compassion is what can trigger more lasting change.  It is self-motivated and not coming from an outside expert who probably doesn’t know the full context of your relationship.

Change: 

“If we want things to stay as they are, things will have to change.”

― Giuseppe Tomasi di Lampedusa

The change we are looking for, is a change from within.  If you go to a counselor and feel like he or she is taking either side of the equation, then that means your counselor is not doing anything that you and your partner haven’t already tried.  Your counselor is just adding another voice to either side of the argument.  You go home with a full set of rules that are hard to remember in flight and hard to maintain as old habits are difficult to eradicate.  In other words, we slip into our old patterns just like all humans do.  

Deliberate change can be done in order to avert cumulative annoyance.  When I say deliberate it means that the change is coming from a more mindful partner who is capable of seeing the world behind your partner’s eyes.  Knowing your partner’s sensitivities and unique history of past relationships with family, friends, ex-romantic partners and many more is your template to doing things more slowly in the face of challenging situations.  In fact, if there is indeed a rule that universally applies to any relationship struggling or otherwise, it is simply to slow down and become more mindful or aware of your differences, sensitivities, context, and ways of communicating. 

So slow it down and try to get a wider perspective in the heat of the moment.  Remember what you wanted to be when you first said yes to the relationship.  Can you say yes to the full package and continue to persevere towards your best aspirations you have for yourself in the context of a long term relationship?  You can’t slice your partner in half because they come in one package.  You only have to remember what you cared about deeply as you jumped into this relationship.  Maybe that holds the key and having a good sense of humor about your differences can be one of those endearing things about your partner. 

Nathan Chua’s Presentation in November 2023 to an International Group!

On November 17, 2023, Nathan had the privilege of presenting a talk for an international audience of therapists from Low or Middle Income Countries (LMIC) about Integrative Behavioral Couples Therapy.  Certificate of Presentation below:

Certificate of Presentation for Nathaniel Chua given for his talk in front of an international group of therapists from Low or Middle Income Countries or LMIC.

 

Invitation to all counselors and therapists!

Attention counselors and therapists from the Philippines. Nathaniel Chua will be one of the speakers in an upcoming conference for therapists from LMIC or Low or Middle Income Countries, sponsored by the Association for Contextual Behavioral Science (ACBS)! He will give a one hour talk about Integrative Behavioral Couples Therapy: An ACT-Consistent Approach for Couple Therapy. He will be the lone speaker from the Philippines.

“Everyone involved in the organising of the conference does so voluntarily. No honorarium is provided. All collected funds will be channelled to DNC training funds and various chapters within developing nations to support future activities within developing nations.”*

Other speakers are Steven Hayes, Louise McHugh, Lisa Coyne, and Emily Sandoz

Here’s the link to the event:

*https://contextualscience.org/acbs_lmic_international_conference_2023?fbclid=IwAR1L_som8-_9M8jAYeq9gZkLQ0khSbc0SXheFLi8Lz7dK_oPKjBhlaZuH-U#

ACBS LMIC International Conference November 2023

Nathaniel Chua, founder of One Life Only Counseling Services will be one of the keynote speakers in this upcoming virtual conference organized by the Association of Contextual Behavioral Science (ACBS) called LMIC (Low or Middle Income Countries) International Conference on November 17, 2023.

He will be speaking about Integrative Behavioral Couples Therapy (IBCT): An ACT (Acceptance and Commitment Therapy) Consistent Approach for Couples.

Click here to know more!