Who am I, Anyway?

This slideshow requires JavaScript.

 

 

 

So many of our clients (and let’s be honest, ourselves as well) are eager to look inward and find out who they are.  For so many years, many of them have been labeled the “addict”, the “screw up” etc. and they don’t know who they are outside of those labels.  With that in mind, I often run a group that focuses on our roles within our family and with that, I love to bring in Caroline Myss’ archetypes.

When I first saw these Archetype cards in a grad school course, I immediately was hesitant because I could not get past thinking of them as Tarot cards which was not something I was personally going to bring into my sessions. However, these are far from Tarot cards, rather they are a list of archetypes that we can chose as being part of our personal support team and we chose based on how closely we associate with the light and shadow aspects of each archetype. Caroline Myss has written numerous books about archetypes and how individuals are made up of 12 archetypes, all of which are included in the box of archetype cards.

Of those 12 archetypes, we all share 4 “survival” archetypes that include; The Prostitute, The Saboteur, The Victim and The Child.  Once again, there are a variety of different child archetypes and it is again about finding the one that speaks most strongly to you and how you view yourself.

In terms of groups, I often give a brief background about each archetype (a book is included in each box of cards for reference) and I will then open it up to the group and allow them to go through the box and pick out archetypes that they identify within themselves.  This is a great exercise because each archetype has both “light” and “shadow” attributes and allows a greater discussion as to what strengths can come out of aspects of ourselves we often consider negative and vice versa.

An important note: for our clients that often get into black and white thinking, this exercise can be a challenge.  When I tell clients, “we all have the archetype of prostitute”, there is often push back and initial discomfort for that fact so it is important to be sure to follow that up with a conversation about the symbolism of prostitute.  An attribute of being the prostitute can be the negotiation of our own morals or ethics for financial gain; it is not necessarily saying that we all sell our bodies for financial gain.  With that in mind, it is important that you are well versed and educated in Caroline Myss’ theory and how it relates to archetypes before engaging in this exercises, but I would encourage others to give it a try! I have found it highly effective with men and women and individuals of all ages.

Soundtrack to Your Life

mix tapehttp://www.geekytechnews.com/wp-content/uploads/2012/07/7-80s-music-tapes.jpg

This blog started as a place to get some ideas for group and I intend to keep that goal going.  At my current agency, I continue to do groups, largely in the Substance Use field and as such, I have plenty of opportunities to fill our groups with psychoeducation but also with activities!

One activity I recently brought to the group was having all group members make a line on a piece of paper to represent their life.  Then, they were to place major life events on their timeline. After filling in their timeline with life events, they were to come up with a song that helped them identify with that moment.  As group members did this exercise, they were encouraged to play some of their music for the group (with the rule it could not be offensive).  This allowed for a more relaxed atmosphere and encouraged bonding between group members.

At the end of the group, members were encouraged to share what they felt comfortable sharing with other members of the group. They were encouraged to go home and create a playlist for the soundtrack of their life.

There are many variations you can do with this, for me, I encouraged clients to pick out the positive moments in their life to help identify songs and encouraged them to stay away from the negative moments.  Sometimes, we do the entire life, both positive and negative. Sometimes, you can do only future hopes and dreams and make it almost a dream board but through music.  No matter what you choose, it’s just helpful for them to get in touch with their emotions and thoughts in a different medium than just speech or writing which we tend to focus on in groups.

What do you all think? Any suggestions?

Back in the Thick of Things

Hi Everyone! I couldn’t believe when I opened my email and saw that my last blog post was TWO YEARS ago. In that time I have graduated my Master’s program, had my daughter, took a year off to be with her and began working at a new agency where I am officially an outpatient therapist (goodbye “intern” title!)

I had no idea how huge the change would be from intern to THERAPIST; foolishly I thought, “Hey, I was working full time hours between my job and internship, how much different could it be?” VERY different. For one, let’s talk caseload. I remember as an intern thinking I had a decent caseload with all TEN of my individual clients and a couple of groups.  Now, with a caseload over 6 times that amount and a number of groups, I look back on my intern self and can’t help but laugh.

However, something that I was surprised about was the change (or should I say lack of change) that I felt in myself.  During the first few months, I thought I had to bring every question to my supervisor as I was so accustomed to doing so as an intern. I remember going to my supervisor to discuss terminating a client and them saying to me, “Of course you may, you don’t need my permission”.

RIGHT. I’m a professional now.

This got me thinking.  Why didn’t I believe in my own abilities yet? I had the same educational background as my peers. I had a couple years in the field through internship and work, yet here I was, ACTING like a professional, but feeling like I was just playing make believe. It’s taken a few months of working to finally begin to feel like I am not posing as a therapist, rather that I am one that is practicing.

There’s always more to learn, but it’s important for us to be confident in ourselves with what we do know and to be OK with asking about all of those things that we don’t know quite yet.

 

Post-Acute Withdrawal Syndrome (PAWS)

I remember when I was tasked with discussing PAWS with my clients and told that the topic would be covered over the span of two nights.  How am I possibly going to stretch this topic out to 6 hours??  Wrecked with self-doubt, I put my most creative energies to work and walked into the group still struggling with an idea on how to make this topic interesting.  As everyone was checking in I realized that I wasn’t really teaching them about PAWS, they were already experiencing it themselves, I was just opening their eyes to what was happening in their bodies!  With that in mind, I started group asking for everyone to talk about the differences they have felt in themselves while in recovery (excluding initial withdrawal symptoms) and within 15 minutes, they had compiled a list that included every symptom of PAWS.

Engaging the group in this way allows the clients to take ownership of their own learning. They didn’t need to be “taught” about the topic, they knew it and were just vocalizing it to the rest of the group. In addition, having the clients discuss their own symptoms in this way normalized the feelings that were happening in the room. No longer was it just one person who was having trouble with their memory, it was many.

Something I have found interesting was their fascination with the science behind PAWS. Often times when we are discussing a topic, the conversation will go back to the physiological reason behind the topic.  When discussing PAWS, it is important for you as the facilitator to be knowledgeable about the physiology behind it and for that I would suggest reading an oldie but a goodie, Stay Sober by Terence Gorski (excerpt can be found here).

Once you are finished discussing the many symptoms of PAWS, it is essential to have a discussion about managing symptoms. Gorski’s reading provides many talking points that should be included in the group discussion and one of the most important topics that should be covered is managing STRESS!!  

Speak to the group about the various ways we place more stress on our bodies and how we should work on being as LEAST stressed as possible during recovery.  Stress exacerbates the symptoms of PAWS. What are some ways to destress?

  • Cut out or limit the amount of caffeine intake! Human beings were not always caffeine dependent and today it seems we have taken caffeine consumption to a whole new level.  I remember when drinking caffeine to stay awake was when my mom would have her morning coffee.  Now that has turned into the morning coffee, and then 3 or 4 more other morning coffees thanks to the Keurig machines in every office. Don’t even get me started on Monster and Redbull!
  • Exercise!! It’s the word nobody wants to hear, but it is essential in managing stress.  Tired of the treadmill at the gym? Go outside!! Hiking can be done almost anywhere and it’s free so there’s really no excuse for avoiding it.
  • Watch a movie/tv.  Now, I’m not saying spend all of your free time in front of the television, but sometimes it’s essential to just unwind and watch something for pure entertainment, come on guys, “New Girl” is back and I know you are all wondering what’s going on with Nick and Jess…
  • Read a book.  I had to include this after I encouraged everyone to become zombies in front of the tv, but it works! Get lost in another world and become someone else for a change. If you’re stuck on what to read, Harry Potter is always getting into some great adventures and provides an excellent outlet for you to release the kid side of you for a few hundred pages.
  • Laugh with friends.  I’m not sure about you, but when I hang out with my friends I tend to be laughing at least 90% of the time.  Laughter is a natural destresser both physiologically and mentally so give it a try! Worst comes to worst, you will enjoy yourself anyway and have a much needed catch up session.