Two Shrinks Over Drinks AGAIN!

In this episode for our series, Shrinks Over Drinks, I talk with Dr. Niklas Torneke, a Swedish psychiatrist who has authored three books in English and more in Swedish. Two of his books in English have been very instrumental in my journey into ACT (Acceptance and Commitment Therapy), RFT (Relational Frame Theory), and behaviorism. He is an authority when it comes to the uses of language and metaphors from an RFT perspective.

I have myself seen how his work has informed me inside the counseling room and how much it helps people see through the veneer of language.

Listen on Spotify!

https://podcasters.spotify.com/pod/show/nathaniel-chua/episodes/Blogcast-64-Two-Shrinks-Over-Drinks-AGAIN-e2accoc

Anger Management Interview – Video

Hi everyone!

In this episode from MakiAlam with hosts Pelita Uy and Angelo Almonte, I discuss the recent reports about an irate employer who physically abused a housekeeper.  For all of you who have anger issues like I do, I hope you learn a few things here.

Another Two Shrinks Over Drinks! With Dr. Emily Sandoz!

If you prefer to listen to this video interview, you can click the play button below:

Two MORE Shrinks Over Drinks! Part 2

This is the second offering of our Two Shrinks Over Drinks series. This time we have a friend, who’s also a doctor and co-author of a book entitled, “Mastering the Clinical Conversation: Language as Intervention.”

Here you get another chance to eavesdrop on two MORE shrinks caught in a casual conversation. If you have ever wondered what it is like to listen to a couple of psychologists/counselors talk over a drink, well, here’s your chance!

In this second part of the chat with Matthieu, we discuss the following:

– Matthieu’s views about the DSM
– Movies that he saw from an ACT perspective and his views about the characters in the movie Les Miserables
– How clinging to rules can lead to loneliness and sometimes even suicide
– Hierarchical thinking and its relation to our choices of behaving
– What role psychologists play in changing behavior in society for the good

 

 

Two MORE Shrinks Over Drinks! Video! Part 1

This is the second offering of our Two Shrinks Over Drinks series. This time we have a friend, who’s also a doctor and co-author of a book entitled, “Mastering the Clinical Conversation: Language as Intervention.”

Here you get another chance to eavesdrop on two MORE shrinks caught in a casual conversation. If you have ever wondered what it is like to listen to a couple of psychologists/counselors talk over a drink, well, here’s your chance!

We talk about a myriad of topics and it took two hours to do! In fact, this could have been topics that are fit for a whole day’s chatter!

So this will be the first part wherein we talk about:

– Dr. Villatte’s ACT story

– Philosophical framework in counseling or psychotherapy

– What Skinner referred to when he wrote about a pre-scientific way of explaining human behavior

– What we mean by an approach that has precision, depth, and scope; how this can affect the way therapists choose their approach or models of therapy, and how this can assist clients make decisions on the kind of therapy they want

Are you depressed?

by Nathan Chua

No, you’re not.  You are called by a name, and I don’t think your parents or guardians would name you, “Depressed!”  Yes, this is kind of a play on words, but it can also serve as a reminder to you that your depression doesn’t define you.  I have met a good number of clients who have come to me saying that they have been diagnosed with major depression and subsequently medicated for something they are supposed to have that causes the depression…some sort of brain disease.  It no longer surprises me when clients come to me and say that they had a chat with their provider for 15 minutes and voila, they are labeled as being stricken by something that is called major depressive disorder or MDD!  Sad to say you’re broken and you need some fixin’!  

These conclusions are made in the service of a manual that says someone has a problem with depression when it lasts for a couple of weeks or more, plus a few other criteria listed.  Most people who get such a diagnosis often end up feeling like they have very little control over their choices regarding how they want to spend their time.  Much of their time from thereon will be focused entirely on getting rid of this depression.  They begin to adjust their lives and expectations about their lives and their relationships around a diagnosis.  People have to be careful about my feelings.  They shouldn’t say anything that can trigger my depression or sense of self-worth.  All of a sudden a mask is worn throughout their remaining existence.  

A few words about our sadness:

I have recently shared this thought experiment about our sad feelings.  It speaks about how understandable our negative feelings are.  If you were in a funeral wake to visit the friends and loved ones of the departed, wouldn’t you be surprised if anyone came in without at least a tinge of sadness in their face?  If you lost someone you cared for, would you think you’re abnormal for feeling sad?  Wouldn’t you once in a while even after years following the death of a loved one, still feel a sadness that comes with a reminder of the person who once meant so much to you?  Wouldn’t that be about just being a person who has feelings?  And yet we have a system or a culture that says you only have a couple of weeks to get over your sadness.  

The loop:

I remember an expert sharing that depression as we interpret it today, is not about the presence of sadness, but the unwillingness to feel sadness.  The loop happens when you and I try to get rid of our feelings of sadness.  This can come in many different forms.  We may try to distract ourselves, opt out of activities we enjoy, ruminate about the guilt and the what ifs, and some of us even take substances.  The sad news is unless you have a major brain injury or you are close to that age when you get hit by Alzheimer’s, you will experience sadness sooner or later.  No amount of avoiding can help you on your way to being unable to feel.  Take it from me, there are times I wake up feeling sad for no particular reason at all.  That’s just the case about feelings.  They visit us once in a while and they come and go of their own accord.

In short, the loop kind of looks like this, you don’t only feel sad, but also feel sad that you are sad.     

It’s not what you are, it’s something you have:

You are not a walking depression.  You can just observe.  Take a full day without any medication and see if you will feel sad 24 hours non stop.  Chances are you will find that your sadness only visits you in spurts.  And when it is a longer spurt, chances are you are trying to suppress it.  The problem with that strategy is that the more you try to forget about your sadness, the more you remember.  Because trying to forget something only reminds you of what you have to forget!

The meaning behind the sadness:

Finally, this article won’t be complete without some kind of redemption.  If our sadness were meaningless then I would be first to recommend that all of us should find ways to escape it.  For example, if you were being physically or verbally abused by a partner or a guardian, this is needless pain that all of us can and should avoid.  But the kind of sadness I speak about here does stand for something.  Our sadness means we have lost something or someone of great value to us.  We have sad feelings for a reason.  We are sad for the loss of a loved one because…we loved them!  If our sadness stood for something as life-changing and powerful as love, then why should we be ashamed of it?  

I remember an author and psychologist mention that we have tears come out of our eyes because they were meant to be seen.  I often say this to my clients, your tears today tell me something about you that any form of running away from or medicating your way out of your sadness cannot.  They tell me something about you that makes me feel connected to you.  You’re just as human as I am. 

So next time you lose someone or something that matters to you, take a moment and look at the other side of the coin.  This moment is precious because your sad feelings tell you you have lost someone precious.  And for you to feel the pain of the loss, is the essence of why it is both difficult and a privilege to be part of the human species.                   

Your Everyday Wedding Vows

by Nathan Chua

“…for better, for worse, for richer, for poorer, in sickness and in health, to love and to cherish…”

This is for all the June brides and grooms out there!

When we hear this vow at wedding ceremonies, some of us can’t help but sense the daunting task ahead for the couple.  However, what’s lost in these words involves one of the main reasons why couples don’t end up fulfilling these promises: context or changes in the couple’s contexts.  Many marriages end not in particularly distressing times.  I don’t have the data on this, but just by my experience in working with couples, the best of times do not shield a relationship from conflicts that may lead to separation or an unhappy co-existence.   

Some changes in context come in the form of challenges to their dreams of what constitutes a happy marriage, or the rules that they thought would be followed faithfully.   For better, for worse, for richer, for poorer, in sickness and in health, all describe a context wherein couples commit to standing their ground and being with each other in the most trying times.  These are changes in context that are descriptive of major crises that heighten the solemnity of the event.  Perhaps few couples realize that the moments when there are no crises can also set their course.  Maybe an in-law is coming for an unwanted visit, a child is having trouble at school, a car breaks down and a daily routine drive is disrupted.  Mundane as they seem, couples who are different, will want to handle these situations differently.  Ergo, we hear one of the most perplexing yet tragic complaints from couples.  Their fights seem to come from nowhere.  Trivial matters become issues that make or break the relationship.     

We all operate differently depending on the context.  I know I write better when I am in a secluded, well-lit, and quiet place.  You may work better when you hear white noise from your favorite mini-component stereo system.  Can you imagine how a young couple sharing a small space has to deal with the potential conflict in the context of important deadlines?  In other words, there is a confluence of stressful events.  

Let’s take another example of a young professional who came to like a partner who was highly responsible and hardworking as they were dating.  The eventual boyfriend who she ends up marrying, was very prompt on their dates but could only devote one night a week for a date.  She liked that about him as her previous boyfriend was usually just hanging around her, sleeping on the couch and occasionally, shooting drugs.  In the dating context, this new guy was an oasis.  That context however, changes when they begin to chart their course as a married couple.  All of a sudden, that once a week date feels like a concession.  The boyfriend and now husband is not addicted to drugs but addicted to work!  It’s now the couch surfing boyfriend that’s the oasis.  Well, at least he was present most of the time.  Another example is a partner you married or committed to because he was very close and loving to his family.  I remember some sayings that mothers would usually advise their daughters that however their boyfriends treat their mothers, is the way they can expect to be treated as wives.  In fact, your boyfriend was so close to his mom and family, he wanted you to all live in one place.  You know where this is going. 

So here’s my tip for all of you June brides (or grooms) out there.  Be aware that any positive quality about anything, which includes your fiance (fiancee), has a flipside not a darkside.  Take social media for instance.  They have a flipside depending on usage.  Your partner’s most likable qualities have a flipside depending on where you are in your matrimonial odyssey together.  To put it simply, not all qualities are likable in all contexts. The trick is to be aware of this and see how you can handle your differences effectively.  Remember that wedding vow represents not just your contexts in crises situations, but also your everyday ones.  So be more conscious of your everyday wedding vows to avert self-inflicted crises.