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Deborah Cohen, MFT, MPH
Psychotherapy and Counseling - Marriage and Family Therapist
Davis, CA and Sacramento, CA
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Soul Wisdom Therapy Newsletter July-August 2010 The Awakening to Spirit Groups in Sacramento and Davis: a Non-Church Based Spiritual Community Do you have an ongoing spiritual practice that involves some deep inner work? A spiritual practice such as meditation or prayer or other ways to disconnect from your ego and to connect with your inner light and with God/Spirit/Source/Universe? (What I will refer to as “Spirit” in this article, meaning, the life force energy that connects all sentient beings.) Do you long for this connection? Do you have a community where you can gather with others of like mind and heart to nurture and grow the practices of self-inquiry and meditation? Do you long for this? Do you feel stuck in your habits and harbor a strong desire for meaning, fulfillment, and connection with Spirit? I have the honor and privilege of facilitating the Awakening to Spirit group in Sacramento. (A new group will start this fall in the Davis community.) This group is for adults who do not feel they fit in with an organized religion. Instead, they are drawn to mystics and spiritual teachers, such as Eckhart Tolle, Byron Katie, Louise Hay, Wayne Dyer, and Deepak Chopra. The Awakening to Spirit (ATS) group consists of a two-hour, once a month meeting on Saturday mornings (10 am to noon). We begin with a group meditation, followed by a check-in of group members regarding what is currently feeding their spiritual journeys, and what is challenging meaning and connection. Then we engage in a group spiritual exercise, which may consist of a technique to help people get to their deepest truths or shift destructive egoic patterns, or to inquire into who they are and to connect more deeply with their Higher Selves. A little about me. I have been on a “spiritual path” for about 25 years. I am a longtime student of a spiritual teacher, Leslie Temple Thursten, and of other spiritual teachers, such as Eckhart Tolle, Adyashanti and Gangaji (the latter two being teachers of Eastern meditation who hail from the Bay Area). I am also an ordained Minister for Corelight—the nonprofit that Leslie Temple Thursten founded that is not actually a church, but rather an organization for the study of enlightenment. As an ordained Corelight Minister, I do not run my own congregation, but rather I facilitate the ATS group. The Sacramento Awakening to Spirit group has been meeting monthly for the past three and a half years, and membership is growing. We meet in a woman’s home in Sacramento. The Davis group will meet in a comfortable group room at a therapy office in West Davis. Davis group members will need to pay a small, $10.00 fee per month for the use of the meeting room. Otherwise, there are no costs to attend these Davis meetings. If this group speaks to you or you’d like to learn more about the group, please email me.
Soul Wisdom Therapy Newsletter May-June 2010 Learning to Relate More Effectively Do you want to learn better communication skills and more effective relationship skills? Then consider joining a co-ed relationship skills therapy group.
Do other people you know ever provide you with honest feedback about how you relate? Do they tell you if you do and say things that make them uncomfortable? I am guessing that this probably does not happen for you, since most people were never taught to be constructively critical with their friends and family and state difficult feelings in a tactful, compassionate way.
In my Relationships Skills Group, the group members are learning to relate by relating as well as by discussing what they understand about their relationship difficulties.
In a process therapy group, you learn better communication skills through the process of observation and by receiving feedback from therapy group members about your attempts to relate more effectively and authentically. This provides you with first-hand knowledge of what works well and what doesn’t. For instance, if you feel you are boring, or if you aren’t sure why you can’t make and/or maintain healthy relationships, or if you are seen as too blunt and direct, the group will help you to better understand what isn’t working and how to improve your skills while remaining authentic to who you are.
Have you ever wondered what the advantages of being a part of a therapy group might be over working individually with a psychotherapist? One obvious advantage is the cost; group therapy is much less expensive.
There are also a number of other advantages. First, if you want to become more skilled in relating to others, a process therapy group, such as my Relationship Skills Group, will provide you with the perfect place to learn and practice authentic relating, through the use of effective communication. With my assistance and the assistance of other group members, you will receive feedback on how you are perceived by the others in the group. For example, if you are seen as being standoffish, or too pushy, or using confusing body signals, the group will let you know. You will practice relating in new and different ways to see how this works for you. And you will have the opportunity to witness how others relate. You may also be unconscious about how others are affected by your nonverbal body language such as your facial expressions. Finding this out from group members can save you years of confusion and frustration about why others turn away or feel alienated from you.
My Relationship Skills Group typically has 6-8 members who meet once a week for 90 minutes, and remain in the group as long as they like, after a 12-week initial commitment. The group feels like an extended family for those group members who stay long enough to bond with others in the group. In fact, often others in the group end up reminding a group member of his/her own family and friends. This is part of why the group process is so rich and engaging. The group provides an opportunity to work through problem relationships by practicing communication skills with someone in the group who reminds the group member of the friend or family member who is difficult to relate to. I hope you will consider joining such a process therapy group either with me or with another therapist. You will learn more about how others see you than you ever would in individual therapy. Soul Wisdom Therapy Newsletter March - April 2010 The Use of Mindfulness in Psychotherapy
One of the things I offer to my therapy clients is "mindfulness based therapy." A client of mine once quipped, "my problem is that my mind is already too full!" So, what does it mean to "be mindful," and how does that look during a therapy session? Let me explain.
To be mindful means to notice what is happening or what is arising in each moment: thoughts, emotions, body sensations, sense perceptions, whatever you can become aware of in your "field of experience." It’s like being a scientist and observing yourself and "what is," instead of how you’d like things to be different. But you also notice when these and other judging thoughts arise. Ideally, you just witness or observe without judging, and when judging thoughts arise, you notice these too and then let them go. True mindfulness is moment to moment, nonjudgmental awareness.
We are born with this innate ability, but we quickly lose our connection with it.
So, you may wonder, why is mindfulness valuable in therapy? As a psychotherapist, I am aware that most clients come to see me because they are dealing with some stress in their lives and some negative self-judgments. Mindfulness is a wonderful antidote to these.
Stressful feelings come about largely because of a resistance or a struggle with what is happening in the moment. When we practice mindfulness, we begin to learn that when we face unpleasant experiences or circumstances that we are unable to change, we can either struggle against them or we accept them. As soon as we say "yes" to what is before us, we relax and the stress-related emotions and sensations go away. This is also true regarding judgments, including negative self-judgments. When we let these go, we start to realize that maybe we really aren’t the negative things we judge ourselves as being, or at least not all the time. We begin to realize that when we become more mindful, we become more conscious of our experience and then we have more choices in how we relate to our experiences, and to ourselves.
To be mindful, simply ask yourself, "what’s happening now?" and become aware of everything you are able to take in in this moment, with interested curiosity and without judgment. For example, as I am typing this article, I am aware of the warmth of the computer keys when my fingers touch them. I notice my breathing is soft and settled. I hear my husband practicing his saxophone in the background. I feel the hardness of my desk chair beneath me. And I feel a bit of a stiff neck. I also notice the colors and shapes of the objects on my desk, the words appearing on the computer screen, and a feeling of peace and calm inside of me.
In my therapy groups, the group members observe with mindful awareness their interactions with other group members. They observe their thoughts, emotions, judgments and body sensations. They allow these observations to inform how they effect and are affected by the others in the group. This process assists group members in expanding their awareness of how they relate to others.
In sum, mindfulness is an integral part of mental, emotional and spiritual health and wellbeing. When you are mindful, you can connect more deeply and authentically with yourself and the world around you. You begin to see your judging mind more clearly, and you see the choices available to you in each moment. Your mind becomes both clearer and more focused. Anxious feelings often disappear because when we are mindfully focused in the present moment there is no reason for anxious thoughts to overtake us. It is also easier to break bad habits when we live more mindfully. But rather than take my word for it, try it!
To start, try this exercise: tune in to your breathing at different times of the day, or while meditating. Become aware of your thoughts and feelings at these moments, just observing them without judgment. Be aware of any changes in the way you see things and feel about yourself.
Soul Wisdom Therapy Newsletter January - February 2010 Working with Dreams in Therapy Processing dreams during therapy sessions is often a rich and rewarding experience. I believe that our dreams come to us to teach about ourselves, and if we listen to their messages, we can learn about our deepest desires, fears, and even receive answers to why we are here and how to best move forward in our lives. Dreams messages often provide us with information in the form of symbols, metaphors, and even puns. It is a fun and creative process to “solve the puzzle” of these ways in which dreams communicate with us. For example, a dream about missing car keys could represent the loss of awareness of how to move forward in one’s life, or awareness of one’s “next steps.” A therapist can help you to tease apart the meaning of your dreams. I love to creatively help my clients work with dreams, using methods like having my client imagine that s/he is each of the characters of the dream, and looking at how each character represents a part of her/himself. It can also be valuable to dialogue with the characters in the dream during therapy or on your own, and to ask them what they are trying to show you. As Rev. Jeremy Taylor has said that dreams always have more to teach us. We could conceivably work on a dream for many hours, even days, and still look at the dream months later and see additional meaning in it. A good way to work with your dreams at home is to have a notepad or journal and a pen light next to your bed. When you wake from a dream during the night, write down the main points of the dream, and when you get up in the morning, fill out the dream in as much detail as you can, writing it in present tense and feeling back into the dream. Then give the dream a title that summarizes it. I highly recommend that you keep a dream journal for all of your dreams. There may be “themes” to your dreams, and the themes may be a way your deeper wisdom is trying to get you to pay attention to something in your waking life. The same applies to dreams that recur –they recur for a reason, and I suspect the reason is that you aren’t getting the message the dream is trying to send. Another great thing to do with dreams is to draw or paint aspects of the dream you are drawn to, or to create a mandala that represents the dream. Then ask your depiction of the dream what it has to tell you and gaze at it for awhile until answers come. Rev. Taylor has written a number of very good dream books, such as The Wisdom of Your Dreams: Using Dreams to Tap Into Your Unconscious and Trasnform Your Life. His books give you more ideas for working with your dreams. Also, Patricia Garfield’s books, such as her book Creative Dreaming, are very helpful. Rev. Taylor has said, “dreams come to us for our healing and wholeness.” Our own deeper soul wisdom has so much to teach us if we would just listen and reflect.
Ask Deborah
Question: My daughter often has nightmares that a monster is trying to get her. What do you recommend I do to help her? Answer: Have your daughter draw the monster. Then hold her picture up to her so that the monster is facing her. Tell her the monster is trying to get her attention to tell her something that is actually helpful for her. Then have her talk to the monster and to imagine it is talking back. You might also tell her that the next time she has a dream with the monster, if she can remember to do so, she should try to turn around and face the monster instead of running from it, and ask the monster what it wants to tell her, just like she just did. If she is able to do this, the monster will usually not be scary anymore, and may even disappear or transform itself. It will usually never appear again as a scary thing. _____________________________________________________________________________
November - December 2009 Truth Telling in Therapy As a psychotherapist, I always hope that my clients are willing and able to tell me the truth, as best as they are aware of it. But I am aware that most clients have a hard time doing this, even with their therapist. As my clients work with me in therapy, a big part of their work is becoming aware of their truth and being able to express it in a safe and comfortable way. Once they are able, it no longer keeps them in a place of self-rejection.. In fact, the ability to know and speak one’s truth sets us free. Truth-telling is something most of us struggle with. We even struggle to tell the truth about ourselves to ourselves. Why is this? First, we often don’t tell ourselves and others the truth, because it’s emotionally painful. We don’t want to be hurtful, even to ourselves. It often seems more comfortable to live in a fantasy “bubble” that feels less painful than the truth would be. Another reason we don’t tell the truth is that we want others to like us, especially our therapist. Therefore, we make the decision, often unconsciously, to withhold painful information. Clients may also withhold truth from their therapists because they may not feel ready or able to work through their current painful circumstances and internal reality. Occasionally a client will suddenly terminate therapy without telling me why, even when I explain that I can handle their truth, even if that includes some anger at me. It’s actually “therapeutic” for clients to tell their therapists the truth as often as possible, including why they want to end therapy prematurely. I encourage my clients to do their best to tell me if they are uncomfortable with anything I have said or done during our sessions together. This helps my clients’ ability to share uncomfortable truths with others in their lives. One downside to my clients telling me their truth is that they may share something that I am required to report to authorities. If so, the information is no longer confidential. I always tell clients during our first session together that if they tell me about someone who is (or if they themselves are) harming a child, a disabled adult, or an elder adult over sixty-five, I am required to report this information to either Child Protective Services or Adult Protective Services. It is always a very difficult situation for me when I need to report this abuse and break my client’s confidence, especially since my client has told me something truthful and difficult. Something I never see discussed much, if at all, is the fact that much of why people seek psychotherapy is because they don’t tell the truth, and ignoring it “comes back to bite” them. For example, when a client has an eating disorder, the client often hides the eating disorder, or hides “in” it, and is unable and unwilling to tell themselves and others what the eating disorder does to destroy the client’s body. The eating disorder voice always lies to my clients, telling them things like “if you eat less and weigh less, you will be much happier.” (This can be true for the short-term, but lower body weight is never part of longer-term happiness.) Actually, almost every mental health issue for which someone seeks therapy involves some way in which truths are ignored or denied. In my Authentic Relationship Skills therapy group, adult men and women practice being with and expressing their truths with each other, however painful. When they do this, they find their truths are accepted and embraced. The truth can feel humiliating, but as a spiritual teacher once said, humiliation leads to the ability to be humble, or without ego. Telling the truth to ourselves and others is always a huge part of our growth and healing. It’s an important reason to see a therapist and an important thing to work on in therapy and in the rest of our lives. When we tell the truth, we are in integrity with ourselves. We feel more self-acceptance and before long, greater self-confidence. Ask Deborah Question: I heard that there is an official diagnosis for women like me who overeat and binge, Is this true? Answer: Yes, the diagnosis is called “Binge Eating Disorder.” The criteria are as follows: “an eating disorder marked by repeated episodes of binge eating and a feeling of loss of control. The diagnosis may be based on a person's having an average of at least two binge-eating episodes per week for six months.” _____________________________________________________________________________ September and October 2009 What is Hypnotherapy and How Does It Help? Hypnotherapy, (the therapeutic use of hypnosis), is often misunderstood by the public. It is thought to be similar to “stage hypnosis,” where a hypnotist seemingly puts a volunteer “under a spell”, wherein the volunteer “loses control” and does whatever the hypnotist suggests. With stage hypnosis, the truth is that the volunteer who is receptive to being hypnotized will have a loss of inhibition, at least to some extent. However, the volunteer will not do anything against his/her beliefs. Hypnotherapy, however, is simply a way to connect with the subconscious mind to effect positive change. Through a process of deep relaxation, the client can make changes such as stopping addictions like binge eating or smoking, as well as to adapt to (and often decrease) pain, overcome insomnia, and heal from past traumas that are still causing current anxiety and distress. Under hypnosis, clients who struggle to make healthy decisions can dialogue with different inner parts of themselves to eliminate inner confusion and come to a more integrated, wiser solution. Hypnotherapy can also be used to gather deeper messages and wisdom from one’s dreams, and to improve confidence and to more easily access intuition. Almost anyone can be hypnotized. Hypnosis is a state we experience everyday. Who among us hasn’t had the experience of driving a long distance along a highway and suddenly finding oneself with no memory of what took place during the last hour of driving? This is similar to being in a hypnotic state or “trance”, whereby time speeds up as we enter a state of deep relaxation and have access to another, deeper level of consciousness besides our conscious, “surface” minds. The therapeutic value of hypnotherapy is gradually becoming more widely recognized, especially when it comes to healing from addictions such as nicotine. Many physicians and scientists now see the value of hypnotherapy and refer their patients to psychotherapists such as myself who offer hypnotherapy. One of the ways I utilize hypnotherapy is for healing from past traumas such as accidents and sexual abuse. After leading my client through an induction -- the initial stage of hypnotherapy where the client becomes deeply relaxed but is totally aware of what is happening in the therapy room -- I have my client connect with a current or recent event that caused the client deep feelings of dissatisfaction or emotional pain. As the client connects with these feelings, I lead the client through an “affect bridge” to the past, where the client connects with a memory of experiencing similar painful emotions. The client has a conversation with the person who seemingly caused the client’s emotional pain. For example, the client may recall being age six and receiving a beating from his drunk father. I would then have the client stay in the memory and talk to his father about his (the client’s) feelings regarding what the father did to him, as if the client were six and the beating was happening now. Then I would ask the client what conclusions the client drew (subconsciously) about what took place. I would also ask the client what decisions he made about how to be in relationship to his father. (For example, the client may have concluded that his father didn’t love him and the client may have then decided to avoid his father when the father drank.) The last part of the hypnotherapy session involves the client connecting with his inner wise, adult self who is able to have a conversation with the six year old child-self, where the adult tells the child the things the child longed to believe about himself but couldn’t, like that the child was loveable and didn’t deserve the beating. This is a very healing experience for my clients, who still carry around inside themselves these wounded, “frozen” children. I tape the hypnotherapy sessions and my clients benefit greatly from listening to the tape between our sessions.
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