Goals of Counseling: What is it all about anyway?

by Nathan Chua

I remember a person who shared with me that she had been with her therapist for several years.  She felt it helped her in terms of managing her anxieties and anger issues.  She went on to share that she needed her weekly sessions to get some relief from all the emotional struggles that go on during the week.  This type of counseling is called supportive counseling which certainly has its place in the field.  In my graduate studies, I can certainly attest to the fact that I used to do this type of work in dealing with my test cases to begin my training in listening or counseling skills.  With this person who shared her experience though, the weekly sessions have become a psychological crutch, just like taking a break from her cares for at least an hour a week. *

Counseling work is more than just being supportive.  The goal is more about having clients learn, as experientially as possible, skills that can be brought to their everyday lives.  The counseling room becomes the lab where these skills are introduced and tested.           

I don’t really mean to be simplistic here but I thought the title can help us focus on knowing what goes on inside the work I do and its ultimate goals.  If we come up with something that would make it simpler and more understandable, then we would have done a better job in assisting people in appreciating what all these working sessions are for.  

If you wish to change the way things are in your relationship with your partner, then you need to try different things.  In ACT or Acceptance and Commitment Therapy linggo, we call that expanding behavioral repertoire.  It is also referred to as flexibility skills.  If you start a conversation with your spouse with a criticism or a “You” statement every time, you are more than likely to get defensiveness in return.  And so on and on you go with the circular arguments that often lead you to ultimately just avoid each other or get into a massive shouting match.  

Unfortunately, we are the creatures who think that we can do the same things over and over again and come up with the results we want, even if the evidence clearly shows the contrary.  We like to follow rules and rule-following becomes the dominant reinforcer of our behaviors, and not the actual contingencies that show up.  We can see this if we break down the process of how people get hooked to the slot machine or some form of gambling addiction.  Although it is true that there is a one in a billion chance that you might hit pay dirt, the addicted person is not aware of the consequences happening as they continue this obsessive behavior.

Taken in these terms, we in this helping profession are after you getting out of your comfort zones.  Comfort zones are places where we want to end up that give us the short term feel-good moments.  Being able to analyze your spouse and find out what’s wrong with them, can give you that sense of accomplishment that you know something they don’t.  Getting that high in front of a slot machine when you win a small pot can be intensely rewarding at the moment.  However, the long term consequences eventually show up.  You no longer become the spouse you want to be.  The more you criticize your partner, the more they snap back.  Slowly eating away at the relationship you once thought will go smoothly through the years.  The more you gamble, the more you end up piling up debts and spending countless hours unable to do anything else that could have otherwise been spent more productively and meaningfully. 

I’d like to borrow a phrase from a book to help you, my readers, understand how counseling works.  The work is about being comfortable with the uncomfortable.  Maybe it’s time you tried another approach to your spouse, even if it feels embarrassing or extremely “so not you.”  Maybe you need to sit with those urges to gamble and find out what really is behind the pull towards the addiction so that you can find alternatives to spend all that energy on.  To paraphrase a well-known ACT therapist, Kirk Strosahl, maybe there’s something more important here than what you feel. 

If you are like the person I discussed in the first paragraph of this post, then be wary.  That’s because the counseling work is making you feel comfortable!  If you start to do things that are uncomfortable with the help of your counselor, then you might be on the road to being comfortable with being uncomfortable.  That’s also when you know that your work with your counselor is worth all that time and energy.  Maybe you’re on to trying something different that moves you towards what I regularly use in my discussions with my clients: being the person you want to be, and living the life you want to live.

*The example here is an amalgam of different cases that do not refer to any person in reality.