I have been in my new job as a clinical psychologist for one month now, so it’s time for a update. I still can’t believe how fast the time has gone, it feels like the day is over before it even began. This is good, since it means that I am engaged. There is seldom a dull moment, and at the end of the day I look back and realize I have learnt something new. Already I have touching moments that I will carry with me until I take my last breath.
I have met many interesting people with a plethora of problems. Some with depressions, one with panic attacks, several with traumatized childhoods and also people with anger issues, AD/HD and personality disorders. Since I still see new patients, I haven’t had many conversations with anyone yet, and for many we are still getting to know each other. Finding the correct diagnosis is important, and we can’t move on before we have pinpointed what needs to be looked at more closely.
But even if we haven’t started on direct treatment yet, this first phase is hopefully already a step in the right direction. Although it’s necessary to go through some surveys and standardized questions, there is room for therapeutic work.
The first phase of therapy is often about stabilizion and education. By getting to know oneself better, the path for change is created. For traumatized victims, learning about how trauma effects the body, is crucial. For people with panic attacks, knowing the symptoms and normalizing them, helps a lot. If you understand what happens, it’s easier to start coping with it. In some ways, fear of symptoms is what many struggle with the most. When we face or monsters in a controlled way, we can finally watch them from afar and act like we want to.
Elizabeth Gilbert described in her book ‘big magic’ how she looked at fear: Fear is always with her, telling her that she should be careful. Prodding her to not take chances, because she might get hurt. She has learnt to thank her fear, because it wants to protect her. At the same time she also tells her fear that it can be there and monitor her surroundings if it wants to, but she must take command. She soothes herself by accepting that she will feel terrified and unsafe, at the same time as she assures herself that she can cope with what comes.
Many of my patients are still afraid. And that’s okay. We all are, often. I will not promise a rose-garden, but I want to explore the area they walk in no matter what is there.