What is One Life Only Counseling about?

Hi everybody! We have recently updated our definition of what One Life Counseling is all about. In our zeal and dedication to provide you with the best possible results in your quest to change your lives for the better, we began our new journey towards a process-based approach to our work. This applies to all our clients including couples and families.

We will never be satisfied unless we find the best possible and most effective approaches that empower you and help direct you to a path of growth and personal satisfaction in living the kind of life you have long wanted for yourself and your loved ones!

We have put the updates in italics.

Here’s what you can expect from One Life Only Counseling:

You can be assured that your information with be kept completely confidential.

You will be respected regardless of your religion, gender preference, ethnicity, economic status, and even your personal lifestyle and values.

Your counselor will not impose his or her values and beliefs on you.

We use brief, scientific, and evidence-based approaches to address your concerns. These approaches are known to produce the best results that require only a handful to about a dozen sessions for you to experience life-changing results, as against years of seeing a therapist which can, at its worst, foster dependency.

Since 2019, we have adopted new therapy approaches that do not categorize people into sets of symptoms. They are process-based approaches to therapy that are now gaining appreciation from thousands of experts in the field who have found the current symptom-reduction, syndromal approaches less than adequate in addressing the human condition. The process-based approach has been found to be effective in many areas of concern ranging from common mental health concerns like depression and anxiety to even work and sports performance.

Since 2019, we have been very excited to offer this type of a radically different approach to therapy that is not just about relieving symptoms, but rather helping people towards creating lives imbued with meaning and purpose.

This is content is the subject of our first podcast in our One Life Only Counseling Spotify Channel! If you wish to hear this on Spotify, click here!

What happens when we biomedicalize mental health?

by Nathan Chua

If we were trained to look at the ads we see everywhere from our mobile devices to the busy highways we go through in our regular commute, we can pretty much sum up what they’re selling us in one word.  Would you like to venture a guess?  That new car, that shimmering bottle of beer (that in reality is rather bitter and awful-tasting), that outfit, or even that loan that you have to pay off in a matter of a month to 20 years, are invariably supposed to make us feel good!  So what in one word are they selling us?  Happiness!

Having this in mind, the helping-people business has not been above the culture of the times.  It is understandable that for about a century now, the field of psychology has devolved into an endeavor of classifying us into a set of symptoms or syndromes.  The goal then becomes removing or lessening the four out of seven or the five out of nine signs that you are, for example, a borderline personality.  This is what experts have called symptom-reduction therapies.  Let’s remove your anxiety and depression so you can start moving on with your life, at least to the level of “normality.”  To borrow from one of the pioneers of Acceptance and Commitment Therapy, it’s sort of like looking at how a fountain works by trying to figure out the different colors and patterns, and seeing how these can be explained.  

Unfortunately, such endeavors have only left places where people have been almost literally drugged out of existence.  It turns out that removing these “negative” emotions has a costly side effect: not feeling at all!  There has been no science to determine that there is a germ or microbe or gene that causes mental problems.  The drugs only serve to numb us–something that dead people can do better than we who are alive.  

Too much anxiety?  Well, here’s a drug to keep you relaxed.  Too much depression, well here’s something to perk you up.  It can go so bad as to make those who take these medications dependent on them.  As another expert has said, it’s become so prevalent that in their country, the chemicals that are used in these antidepressants are now found in their water.  Moreover, there are now drugs to treat the very side effects that such medications can create.  And with trained eyes, you can sum up what these drugs are selling in one and the same word again–Happiness!  The objective is to remove those feelings and thoughts first before you can start living a worthwhile life.  

Fortunately, the group of people that Dr. Steven Hayes has assembled, have come up with something called process-based therapy.  Dr. Kirk Strosahl who likened the way symptom reduction therapies work to explaining or addressing the phenomenon of a water fountain by the numerous colors and patterns that it makes, explains it this way:  That if we were engineers studying how this fountain works, we will see that underneath it, is a simple combination of processes that a few tubes combine to do, to make it look intricate.

I have seen it in the people I have met in my work, where they come in with glassy eyes, looking enervated and lifeless.  It breaks my heart to see this.  In my work, I would love to see the exact opposite happening to my clients.  I would love to see them bubbling with energy and enthusiasm for what life has to offer.

The culture nowadays provides for an environment where people (and that includes me) are unintentionally tricked into believing that life is about feeling good.  The meaningful life has become about having the right kind of car, job, or even partner.  Got this or that and you and I will be happy all the time.  Well, first of all, that goal is impossible.  Secondly, some of the most meaningful parts of life revolve around something we did that was hard and anxiety-causing.  

I often use the following vignette to give my clients a new perspective towards life and what it is that we come to therapy for:

“If you look back at a graduation ceremony of a child, or a wedding, or any of these momentous occasions, don’t you at some point want to shed a tear?  Why?  Is it because raising a child and putting them through school was always happy and joyful?  Is culminating a long-term relationship during a wedding all just about having fun?  Or was it more like, you went through a lot of hardship and trials and somehow made it through together?  The most meaningful and purposeful moments were hard, full of ups and downs, and of unpredictable and anxiety-causing moments!  The tears would mean you somehow pulled through and made it!  You did the hard thing, the brave thing!  That’s why you come to me for counseling.  Not just to be happy but always pursuing that which gives you purpose and meaning, until you breathe your last!  And that’s how that wiser part of you says you were meant to live.” 

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.

Grief Counseling Module with Russ Harris

Nathan just finished another training module with renowned author and ACT therapist from Australia, Dr. Russ Harris!

What is in your “born-again experience” and how can you make your newfound spirituality last?

by Nathan Chua

Growing up exposed to faith traditions, I remember always looking forward to spiritual retreats.  Not only do I get to have time off from school or work for free or at a discounted rate, I also get to meet new people or have more bonding opportunities with friends or schoolmates.  However, it is often a big question among retreat-goers as regards how long the effects of such a religious experience will last into their mundane lives.  Of course, being in a situation where everybody is smiling and having a break from the usual busyness of life, provides an idyllic setting that makes it easier to be kinder and more loving.  No doubt there are doubts if there is an actual spiritual side to any one of us.  Maybe we are just ordinary folks not really destined to consummate lives that are anything close to the clergy who facilitate these events.

Well, what my fellow retreat-goers and I couldn’t figure out in those days, I think some good ol’ science has posed an answer to.  In most other approaches I have encountered in my more than a decade’s long journey into counseling, I think ACT or Acceptance and Commitment Therapy stands out as unique in its inclusion of values into what I thought was supposed to be a valueless undertaking.  Before 2019, I used to think that my job was confined to helping people find a way out of their mental miseries and the rest was up to them.  In ACT though, there is that very powerful component of pursuing a values-based life.

So how do spiritual retreats work?  Why do they have such an impact on us?  How do we keep that spiritual revival going in real world settings?  To answer the first two, these retreats function as a way to help us get back in touch with our values.  These values are chosen patterns of behaving that are consistent with our deepest aspirations for ourselves.  These values never actually leave us, they just become obscured when life as we know it, gives us the challenges of work and the important but difficult relationships we have.  

Our minds have evolved into an evaluative, problem-solving tool that takes over when challenges to these values are present.  Your kid starts to act nastily towards you.  Your boss makes a comment that you found offensive.  Your spouse forgets your birthday.  How are we supposed to still be kind and loving in these situations?  

Dr. Steven Hayes mentioned in one of his talks, that the problem-solving mode of mind can be described as analytical and predictive.  In other words, it wants to find out how we got into such a situation and how we can get out of it quickly and painlessly.  And these modes of mind are focused on the past and the future; unable to recognize what’s going on in the present.  Our minds pretty much work in a way that suggests we take the fastest way out of troublesome thoughts and feelings that come along at work and in relationships.  For example, the recalcitrant child is making us feel angry and frustrated.  The problem-solving mode of mind figures out how we got to this point by thinking that the child has been spoiled, and then suggests the quickest way to solve the spoiled child and get out of our frustrated feelings is to just try to control the child by yelling and screaming at them.  Goodbye sweet, kind, and loving us that came out of the retreat!  It is easy to see how these spiritual revivals are only as good as the few days or the few weeks after.  Simply said, it is more likely that we live out or become aware of our values or what is truly meaningful and important to us, when the situation is well-protected from the challenges of life outside these exclusive retreat enclaves.

And how do we keep the spiritual fire burning when like all good things, the retreat must come to an end?  In ACT, I have learned quite a few ways to do it.  The first step however is to get out of the mindset that all good things are about good feelings.  A good way to challenge this “good feelings equals good life” idea is to notice the not-so-good feelings that come with living our values.  Anything important to us usually comes with a price.  If it were easy then we wouldn’t really care about it.  We hurt because we care.  Our sadness from a loss is because we loved.  We get angry because something has violated our sense of justice.  We experience anxiety because there’s something worth our trouble that we want to accomplish.     

As we keep our final destinations in sight, committing to something also involves taking small steps towards them.  After having been able to return to these values, we can take action no matter how small in that direction we go.  Make it a point today to call a friend you haven’t reached out to in a while.  Go buy ice cream for your kid just because.  Stand up for yourself and don’t take a sip of alcohol in your weekly gathering with your alcoholic friends.  Small steps to break your patterns can put you back in touch with those values you cherish and also understand that situations, thoughts, and feelings have no control over you, but you do.  Start doing the uncomfortable stuff and then take time to savor the results as a reward.  It will likely be worth all the struggle! 

Every so often I do get some calls inquiring about whether I do a faith-based approach in my practice or not.  I welcome anyone and everyone from all faith traditions to come see me.  I’d rather spread the word that I am inclusive, not exclusive.  Why?  Because while we may be subject to different rules of faith, we are all subject to the same rules of science.  For me, there is no conflict.  In fact, what I am learning now from ACT as an evidence-based approach to therapy, just showed me how much traditional faith-based practices have been affirmed by the science behind ACT, albeit thousands of years late.

I always feel a sense of sadness when people turn away from what ACT science can do for them, without first investigating if it is in sync with their faith.  I hope, if you’re one who is looking for a faith-based approach to therapy reading this post, that you give me and this science I use, a chance to help you because it has tremendously helped me.  Call or better yet, text me.  I’d love to go on a journey with you towards a more meaningful and purposeful life you may have yet to experience!

How to be OK even when everything else is not

by Nathan Chua

Multiple deadlines, challenges at home and at work, you’re about to lose your job, someone in the family has a serious ailment, pressure is coming from all sides…life happens and is coming at you like a savage beast hungry for a fight to the death!  These are the times when people come to see me.  The world has turned against my clients and there seems to be nothing they can do that has succeeded in changing anything.  In fact, the more they try the worse the outcomes become!

It is also during these moments that our minds go on overdrive, drilling judgmental thought after judgmental thought into our consciousness.  The key here is to reach a level of awareness of what is within or outside our control.  If you ever wondered what it is that makes us feel that we are living ineffectual lives, it is our misdirected efforts to control that which is not subject to control.  

Just be the human being that we had become through billions of years of evolution!  We have an assortment of wonderful tools inside our nervous system.  Turning against these evolved functions, is like working against gravity.

Ultimately, what happens to us in life is not within our control, but our responses are.  The goal of psychology as a field of scientific study is to bring to bear what it is that makes us live ineffectually and then find ways to change or interrupt that process to get us moving towards a different, more effectual, and more life-enhancing direction.  So it really does not matter as much what happens to us, as how we face them.  How we handle ourselves in those moments is where we can bridge the gap between what we are and what we aspire to be.

The question we could keep in mind is, “Did we handle it well?”  Here’s a paraphrase of Dr. Darin Cairns words reminding us that we can be okay even when everything around us tells us we’re not.   

“I can’t promise you everyone’s going to like you.

I can’t promise you that people will always know you exist.

I can promise you this, if you like you at that time, if you liked how you lived it, then you’ll like that you were true to what you believed in.

That you liked how you handled yourself in terms of whatever you value, then you’re always ok.

You’re ok when you’re popular, you’re ok when you’re alone, you’re ok after a breakup, you’re ok when you’re scared to death, and you’re ok when you’re hurting. 

You don’t have to stand tall but you do have to stand up.  You don’t have to think that you’re better than anyone, you don’t have to have anyone praise you, but you do have to be willing to exist for you.”

So to you my friend, I can say that no matter how dire your circumstances are at this moment, take a look at yourself ahead of you by a year or so, and ask yourself, “Would your future you like how you, the present you, handled the situation?”  I hope that brings you back in touch with what truly matters for you in each and every moment that comes.  No matter how not okay these moments can get, you can be okay knowing you stood up for you! 

Listen to the podcast version of this post on Spotify! Click here

Did you like you in your moments?

by Nathan Chua

Most people come to therapy with goals that have to do with being in control of their emotions and also hoping to get some assurance from an old and wise person that they are doing the “right” thing.  Some of these goals are like, “I want to feel more confident.”  “I want to get rid of this depression so I can do things that I have been wanting to do but can’t.”  “I want to know if I am making the right decisions with regard to my relationships.”  Unfortunately, all of these are not within our control and the more we try to do so, the more ineffectual and undesirable we feel about ourselves.

You are not alone.  I had long thought that psychotherapy and counseling were about achieving the goals mentioned above.  After all, who wouldn’t want to make all the right decisions all the time?  Who wants to feel anxious and have the people around them see their trembling hands?  Who wouldn’t want to feel happy once they figured all of these out?  I am the problem that should be fixed!  Who wouldn’t want to be the smiling faces you see in the billboard ads?

Unfortunately, that is a difficult if not impossible task.  No one alive can control emotions, thoughts, and outcomes.  Only the dead can shut out feelings and thoughts and inevitably get the same results…nothing.  Moreover, unless you suffer a major head injury, your mind is going to work up those thoughts and feelings multiple times every day.  No matter how hard we try we can’t control our thoughts and emotions; and we most certainly cannot control the results of our efforts.  

Here’s a paraphrase of Darin Cairns’ words, a therapist from Australia working with a client who has resorted to avoiding difficult thoughts and feelings by not engaging with others.  He said this as he made his client realize the futility of his control agenda.

“I am not gonna promise you this [moving towards relationships] is not gonna hurt.  In fact, I am gonna promise you it will hurt.  I have no intention of making you happy.  I’d like to help you have a meaningful life so that you can have all the feelings you want, because I don’t know about you but that sounds like an awesome outcome, compared to just being happy.  If you want to be happy all the time, first of all you can’t do it, but if you do achieve something like it, we call it mania and we’d lock you up.”

Not everything that makes our lives purposeful and meaningful is about pursuing happiness and avoiding difficult feelings.  Additionally, if we only did the things that we knew would have guaranteed results, think about how many of the things you would love to do, just does not present such outcomes.  

I loved playing basketball when I was younger and I still love it now as a fan.  Playing the game is not all fun.  In fact, there will be anxious moments, times when you don’t like what your teammates are doing, and boring practices.  It’s a microcosm of life.  We play the game of life knowing we will come across anxious moments in the pursuit of what we want.  We won’t be smiling all the time, but it sure beats watching funny movies all day just to feel happy.  Like it or not, we enjoy doing hard stuff, not just happy stuff!  

Many times our thoughts and feelings get in the way of us pursuing the things that we know will make our lives more meaningful.  That job you’ve always wanted, that business you’ve dreamed of starting for so long, that date you always wanted to have with this person you met at your local fellowship group, and many more, are some examples of what can be scary but ultimately life-giving.  Like a basketball player, you don’t know if you’d one day become a champion or just win the neighborhood pick up game.  You don’t know if that date will say yes or no.  You don’t know if you will get the job or that the business will succeed.  But can you take all that uncertainty and anxiety with you in pursuit of something that’s truly important to you?

So the question is, will you take whatever these feelings are and still pursue what you want?  Are these hopes and dreams worth the anxious moments, the sweaty palms, and racing heart rates?  Are you willing to feel everything that comes with going for your best hopes for your life?  Are you going to play the game regardless of the possibility that you would lose?  

I learned this from Darin Cairns.  It is not really about what the other people think about what you did or how well you did in the pursuit of something important, but how much you liked yourself as you did them.  Did you like you in those moments as you pursued being you?  You’d probably be surprised, because you’ll see from hindsight, that the times when you were most proud of yourself, weren’t really the happiest times at all.  In fact, they were the most difficult and trying of times; and you probably liked the way you went through them.  You liked you in those moments…and that was all that mattered, regardless of what you felt and what results you might have or have not gotten!

The Chess Game In Our Heads

by Nathan Chua

One of the awesome features of ACT (Acceptance and Commitment Therapy)  is the use of metaphors that makes counseling work more experiential and interesting.  One that has recently become my favorite is how an ACT therapist, Chris McCurry, uses the chess metaphor so effectively.  Here’s how I remember some of the ways he describes the chess game and how it is similar to the way our minds work.

Our minds have different thoughts with varying degrees of importance and likeability.  Some are quite important while others are part of our mundane thoughts, like our plans to go grocery-shopping for the day.  The important ones can refer to our sense of meaning and purpose, our thoughts about how we can face life’s tragic aspects, or our important relationships that require our attention.  Now, as chess is a game of two sides of a battle, one side can represent our more positive thoughts while the other will be our negative ones.  In McCurry’s illustration, he says that even if we feel like the positive side may have the upper hand at any given moment, there will always be at least one piece of the negative side that remains.  We can attest to this fact simply by checking in with our personal experiences.  How many times have we enjoyed a vacation and said we don’t have any single negative thought in mind?  Probably not!  If you are married, did you do so with nary a negative thought?  On the other hand, how many times have you been caught up in negative thoughts and still have that little tiny voice inside you that says: You’re alright, don’t worry!  As you can see, neither one can totally eliminate the other.  

In Russ Harris’ version of the chess metaphor for the mind, he shares that each white piece actually generates a black piece and vice versa.  Positive thoughts remind us of our negative ones!  You can test this with your own experience.  See what you sense if someone like me told you that you are the nicest kindest person on the planet!  See what your mind does with that information.  I can also start with a negative judgment.  You are the worst most unlikeable person on the planet!  See what you mind does with that too.  

Did you sense that in the former your mind tells you:  Hogwash!  I am a kind person but certainly not all the time or not compared to everyone else?  On the other hand, did your mind do the same opposite-thinking while hearing me tell you that you are the worst person on the living earth!  Your mind may say something that goes like this:  Yeah, you’re right, sometimes I do feel that way, but that can’t be right all the time!

As you can see in these illustrations that there are no winners in this game that we play in our minds.  It is unwinnable as McCurry describes it.  So it is hopeless trying to be the positive pieces in this war in our heads.  The negative pieces just aren’t leaving for as long as we are alive and with our nervous systems functioning as they are as I write and as you read this post.

The question now is:  Then who could we be in this chess game so that we can get out of this war and move on with our lives?  The answer is the chessboard!  We are the containers of these thoughts but we are not them!  And being the containers, we don’t really need to care who wins or loses in this game.  We can remain as witnesses to this war!  

If you are able to write down your thoughts, then this is a practice in metacognition!  Noticing your thoughts and noticing that you are noticing them!  That’s a part of you that notices everything that goes on in your life!  And with this capacity, we can then choose the particular course of action that is most effective for what is unfolding in front of us!

Furthermore, I love that Chris McCurry also uses the chess game to illustrate life and its tragic elements.  As we play the game, we will eventually lose pieces as we go through it.  The object of the game is to keep playing with the pieces you have left.  This is a bigger metaphor actually of not just our minds but of life itself.  If we live long enough, we will experience the bitter sweetness that life presents.  As Steven Hayes, the developer of ACT writes in his best-selling book, 

“You have only so much time on this earth, and you don’t know how much.  The question “Are you going to live, knowing you will die?” is not fundamentally different than these questions:  “Are you going to love, knowing you will be hurt?” Or, “Are you going to commit to living a valued life knowing you will sometimes not meet your commitments?” Or, “Will you reach for success knowing you will sometimes fail.”  The potential for pain and the sense of vitality you gain from these experiences go together.  If your life is truly going to be about something, it helps to look at it from the perspective of what you would want the path your life leaves behind to mean.”    

Life gives us but one chance and it doesn’t come without moments when we have to say goodbye to our youth, old friends, and loved ones.  Like the game of chess, let’s make the most of what we have at present and live our One Life Only as well as we can. 

How language can affect your mental health

by Nathan Chua

Ah, the functions of language!  Until recent years, I have never thought about how language played a role in our ability to sustain our mental health.  As the theory behind this new approach that I am using is framed upon language and how we use it, I would like to introduce you to a few terms that we use in a way that can cause us to experience unnecessary depression, excess anxiety, and even attempts at suicide!

The first expression we use quite a lot in the field of counseling is the word, “healing.”  I remember in the years I spent in graduate school, this word was used quite liberally.  In fact, there was even a book that had, as part of its title, the words, “wounded healer.”  Healing though connotes the idea that we are somehow broken and that we need to be put together like a puzzle or a broken vase in a clinical setting.  

Reality though would tell us that this can be nothing more than a figure of speech that at the least, could be considered unhelpful.  Because nothing inside of us is really broken.  It is rather a form of learning to resort to certain strategies that provide instant relief from emotional pain that end up unproductive and futile; and thereby rendering us feeling more ineffectual and deserving of our sad fate.  We are whole and complete.  What we suffer when we are said to be having some psychological problems is that of being stuck in a pattern of behaviors that do not serve our best interests.

The next phrase or term I have learned to be used in unhelpful fashions is the idea that comes from stories of people who supposedly went from being dead to surviving a coma. It is often said that they see a great white light and felt immense peace!  Attempts at suicide are basically logical responses to removing the difficult feelings brought on by our attempts at living what comes as meaningful to us.  It is better to die, since one:  it will remove the painful emotions we experience from our pursuits for meaning and purpose, and two:  there will be unimaginable bliss thereafter.  Unfortunately, allow me to paraphrase an expert in behavioral analysis who said in jest that there has so far been no one on record to have answered a survey from death that talks about how much better it is on that side.

The last term for this post is the word, confidence.  We often combine this with the word, “feel.”  This means that confidence is a feeling that we need to achieve in order to do something of significance.  As Dr. Steven Hayes likes to use etymologies in his work, the word actually means having full trust or faith in Latin.  We have somehow in our modern usage of the term used it to mean that it is something we feel rather than something we do.  We can still put our full faith in ourselves even as we feel anxious about doing a certain task. 

Remember that the best way to live is to focus on what we do rather than what we feel, because there is the possibility of redemption in the former.  Our feelings are subject to change and outside of our control.  If we hang our hats on them, we will find ourselves stuck in a cycle of frustration, and eventually see ourselves as broken vessels that need to be pieced together, or brought to a place where we choose to end it all permanently for temporary relief from the varied emotions we experience that come with truly living.

Do you need counseling?

One Life Only Counseling Services

Counseling for Individuals, Couples, and Families

Do you need counseling for depression, anxiety, trauma, relationship (marriage, family) problems, insomnia, anger management problems, infidelity, teen parenting issues, grief processing, addiction, procrastination, work performance, and even weight issues?

We are here to provide you with evidence-based approaches that are backed by reliable and valid scientific research!

We provide both in person and online video counseling for your convenience.

Please text (preferred) or call:

Mobile Number: +63 917 886 5433 (LIFE)

Available also on Viber and WhatsApp!

(The best option is to message this number through Viber or WhatsApp and we will gladly call you back or reply!)

Email:

info@onelifeonly.net

Connect with us through Facebook, follow us through Spotify and YouTube.

Our offices are located in Quezon City, Metro Manila, Philippines.

CMS Clinic

2nd Floor Back to the Bible Building

135 West Avenue, Quezon City, Metro Manila, Philippines

and

M Place South Triangle

8004 Mother Ignacia Avenue, Quezon City, Metro Manila, Philippines

Discussing sunk cost fallacy with Pia, Daiana, and Emma on Kada Umaga, Net 25 last July 16, 2025
Nathan Chua spoke with Pia Guanio Mago about parenting on Net 25’s Kada Umaga, June 2025
Interview with Chinkee Tan and Christine Bersola-Babao on MagBadyet Tayo about financial conflicts in relationships, October 23, 2023

The counselor is also an author!

Nathaniel Chua is the author of 

Better People, Better Country: A Psychological Blueprint for a New Philippines,

published under the pen name Starfly Chua.
The pen name was chosen in homage to his grandfather and his ethnic Chinese roots, and reflects a preference for allowing ideas to stand on their own—without emphasis on personal visibility or status.

Here are selected endorsements from international colleagues and clinical experts:

This book is a fascinating personal exploration and cultural adaptation of contextual behavioral science applied to psychotherapy. It takes you, with great clarity and humility, from the philosophical foundations of functional contextualism all the way to its practical applications in Acceptance and Commitment Therapy. The way it addresses the challenges of psychological well-being in the Philippines makes it a particularly valuable contribution.

Dr. Matthieu Villatte, PhD, Co-author of Mastering the Clinical Conversation: Language as Intervention

Better People, Better Country offers a transformative shift in perspective, moving from rigid cultural rules that invite moral shaming toward one of contextual understanding. Both deeply personal and extensively practical, Starfly Chua provides a psychosocial blueprint for change and progress at multiple levels of human existence. This book is an invaluable resource for the people of the Philippines because it moves beyond the exhausted cycle of demanding ‘better people’ and instead provides the tools to build ‘better contexts’ — systems that naturally support prosocial values that benefit citizens and country alike.
 
Lou Lasprugato, MFT
Peer-Reviewed ACT Trainer
 
For far too long, theories of human behavior and psychology have been relegated to the therapy room, used in private, and often at the individual level. We now have advanced psychological theories that can explain and help foster change at the societal level.
Chua reaches for the same shining star that famed behavior analyst B.F. Skinner once reached for, applying cutting edge behavior change technology to the community at large—not just for the purposes of greater mental health—but for more workable societies. Chua doesn’t just reach for this star, he grasps it firmly. Laid out in this book is a set of common sense reforms that could revolutionize the Philippines and the world at an achievable cost: our own willingness.
 
Jacob Martinez 
Practicing Counselor
Wisconsin, USA
 

Nathaniel Chua is also a member of an international organization called the Association for Contextual Behavioral Science (ACBS). He once became chair of the Diversity, Equity, and Inclusion Special Interest Group (DEI-SIG) of ACBS; the first Non-North American to do so.

 

 

Nathaniel Chua has a Master’s Degree in Counseling and continues to learn more of the most cutting-edge approaches to working with the human condition.

Below is Nathaniel Chua’s first virtual talk held on November 17, 2023 in front of an international group of therapists from Low or Middle Income Countries (LMIC).  He is the first from the Philippines to do this:

What is One Life Only Counseling about?

  • We value and respect your privacy and we keep what you share confidential.
  • You will be respected regardless of your religion, gender preference, ethnicity, economic status, and even your personal lifestyle and values. We are LGBTQIA+ friendly!  
  • Your counselor will not impose their values and beliefs on you.  We welcome people from all faith traditions—or even none at all.  We understand that spirituality and belief can be deeply personal, sometimes a source of strength, and at other times a place of struggle.  Our goal is not to impose but to create space where your values, practices, and questions are respected. Whatever faith tradition you belong to, you are invited to bring your whole self into the counseling process.

Nathaniel Chua, MA

Functional Contextualist Therapist 

The Philippines’ ACT & IBCT Specialist

  • We mainly use ACT and IBCT which are both models of therapy that are based on functional contextualism – a science-based approach that focuses on what works in your unique life context.  Both approaches help individuals, couples, and families move past stuck patterns, handle difficult emotions, and build more meaningful lives and relationships.

What is functional contextualism?

Functional contextualism starts with this simple truth: behaviors don’t happen in a vacuum. Every action, every thought, every feeling occurs in your unique context — and all of them serve a purpose.

What we mean by behavior?

Behavior isn’t just what you do outwardly. It also includes inner actions like thinking, remembering, or imagining. Some behaviors can be observed; others happen quietly inside you.

What we mean by context?

Context is more than the physical space you’re in. It includes your personal history, your memories, and the people who have shaped your life — whether they’re with you now or live only in your mind.

What we mean by function or purpose?

Every behavior is influenced by what happens before and after it. The “function” is the role that behavior plays in helping you cope, adapt, or move toward something important to you.

What we don’t believe or practice:

We don’t see you as “broken” or as a set of symptoms to fix. Outside of major physical damage or impairment, there’s no solid science proving that everyday behavior is caused by some permanent biological flaw.
You’re not a checklist of traits scored four-out-of-seven or five-out-of-nine. You’re a complex, whole, and freely choosing individual whose actions make sense in the context of your life.

Beyond Diagnostic Labels

We don’t use DSM diagnoses because your life is more than a checklist of symptoms.  Real change begins with understanding your whole story, not fitting you into a category.

Medication as a Last Resort

While medication can sometimes be necessary, it’s never the first step we recommend.  We focus on approaches that build lasting strength, skills, and choice – empowering you without unnecessary dependence.

You’re More Than a Number

We don’t use psychometric testing, because no score can capture who you are.  We choose to listen, explore, and work with you through open, genuine conversations that honor your unique journey.

An Approach That is Recognized by the WHO!

The approach we use is also one that is endorsed by the World Health Organization as an effective psychological tool for coping with any kind of life crises!  It can be described as a kind of psychological vaccine that has been found to be effective in improving and promoting mental resilience in the face of many, if not all kinds of life challenges.  

Here’s a paraphrase from Dr. Steven C. Hayes in my interview with him on April 5th, 2022:

“Here’s what the World Health Organization, the best public health and scientific group in the world says about this protocol, this extensively tested protocol is helpful for anyone who is stressed, for any reason, in any circumstance.”

Since being established in 2009, it was in 2019 that we have been very excited to offer this type of a radically different approach to therapy that is not just about relieving symptoms, but also about helping people towards creating lives imbued with meaning and purpose.

Here’s a video about what makes One Life Only Counseling Services different:

You can read the written version of this video through this link: https://www.onelifeonly.net/about/what-makes-one-life-only-counseling-services-different/

Here is a recent interview for an article on Philstar Life featuring Nathaniel Chua and a legal practitioner about marital sexual consent:

https://philstarlife.com/news-and-views/928796-consent-rape-marriage-explainer

May 14, 2025 Nathan Chua was one of two guest resource persons at the UST campus with third year psychology students. Topic was about bulimia and anorexia.

 

Recent certificate given to Nathan Chua for presenting a talk about couple’s therapy in front an international audience of therapists from Low or Middle Income Country (LMIC).  He is the first and so far the only one from the Philippines to accomplish this.

Nathan Chua is probably one of the very few therapists in the Philippines who’s been on mainstream media to talk about ACT and functional contextualism in a way that stays faithful to the model.

Being faithful to the model means therapy isn’t about throwing techniques together like ingredients in a salad.  The “therapy salad” approach mixes bits and pieces without coherence, often leaving clients confused.  An integrative approach, on the other hand, is guided by a unifying framework – methods are chosen and blended with purpose, creating a clear, consistent direction that serves client’s goals.  

In other words, therapy isn’t about randomly mixing different techniques.  That can feel confusing, like tossing ingredients together without a recipe.  An integrative approach means everything fits together with a clear purpose – so the tools and methods used actually connect and support your journey.

Every step we take together has a purpose, not just a mix of techniques.

Here are some of the testimonials that people have given for our work. 

From a parent:

My son was diagnosed with Major Depressive Disorder. He’s been undergoing therapy each year between June to September. He’s given synthetic meds in between therapy but i am not seeing consistent progress.
We needed to find a psychiatric support that can really help him.

It was a blessing indeed when i met one of the resource speaker from our community event that introduced us to sir Nathaniel.

Here’s an excerpt from my son’s long message to me …. “learning a lot through this therapy and had a ton of realizations din so i wanna say thank u so much ma…”

One life Only counselling services is truly effective and i hope it can help more people who suffers from mental health concerns.

From a partner:

Nathan is amazing! We learned so much about our relationship in just a few sessions. He also gives reading references, which helps a lot to navigate the information he provides in his session. Overall, would recommend to any couple in need of counselling.

From a husband:

Me and my wife ran into a bad patch due to outside pressure put onto our marriage.
I decided to book a set of appointments with one life and I can say it help so much I wish we went years ago. We have an amazing marriage and friendship.
Best thing we ever did.

Please click the link below for more: 

https://share.google/RV5f9DYNVeURSGIJ8

Interview with Julius Babao and Christine Bersola Babao, October 25, 2023
Guest resource person with Boy Abunda on his show The Bottomline
July 2024 interview on Kapuso Mo Jessica Soho about jealousy and anger

He has also done interviews on YouTube with the developers of ACT and IBCT.

Interview with Dr. Steven C. Hayes, the developer of ACT, April 5, 2022
Interview with Dr. Andrew Christensen May 14, 2022

Here is a live interview on Kada Umaga on Net 25 starting at the 25 minute mark:

Here’s a solo interview of Nathan Chua with an ACT Matrix Expert and Counselor from the United States, Jacob Martinez:

Interviews with the experts:

Here are two interviews with the two experts that have had a huge impact on my work in recent years.  They are with Dr. Steven Hayes and Dr. Andrew Christensen.  Here are the videos: