Tag Archive - counseling

Can Depression Offer Us a Gift?

In Thomas Moore’s book, Care of the Soul, he writes eloquently about the gift that depression may offer people. It’s an opportunity to embrace emotions that we often don’t deal with, leading us to a better understanding of ourselves and how we want to direct our life. Though he acknowledges that depression can become debilitating to many people, he still posits the idea that there is a side to it (even in the most extremes cases of debilitation) that can be a gift to us, and that as friends and family of someone who is depressed, we play a crucial role. Moore writes:

“When as counselors and friends, we are the observers of depression and are challenged to find a way to deal with it in others, we could abandon the monotheistic notion that life always has to be cheerful, and be instructed by melancholy. We could learn from its qualities and follow its lead, become more patient in its presence, lowering our excited expectations, taking a watchful attitude as this soul deals with its fate in utter seriousness and heaviness. In our friendship, we could offer it a place of acceptance and containment.”

Depression is a very important topic that is often not talked about, especially when it strikes men. But in in our silence on the matter many men are not able to find the help they need. My hope is that the posts I have written the last couple of weeks on this topic have at least peeled back some of the veil of silence and helped you to begin to think more on this issue…especially if you have a loved one in your life who is suffering from it.

Check out my last three articles on the topic:

The Angry…I Mean, Depressed Male: Do You Know Him?

Communication: What ‘To Say’ And ‘Not To’ Say To A Depressed Man

Pressed to the Ground: A Theological Re-Frame of Depression

And though there are many books on this subject, here are three that I have found to be helpful and insightful.

Unmasking Male Depression: Recognizing the Root Cause to Many Problem Behaviors Such as Anger, Resentment, Abusiveness, Silence, Addictions, and Sexual Compulsiveness by Archibald Hart

I Don’t Want to Talk About It: Overcoming the Secret Legacy of Male Depression by Terence Real

Let Your Life Speak: Listening for the Voice of Vocation by Parker Palmer

New Directions: 5 Changes in My Life and Career

The last year and a half of my life has been a complete whirlwind. That’s the best word that I can use to describe all the things that have been going on.

So today, I’m excited to announce several different events and changes that have happened and that are on the horizon.

First: As many of you already know, I signed a book deal with Moody Publishers back in March. The manuscript has been completed (edits and all), and is on its final leg before it hits the e readers in February (I believe), and the bookshelves on March 1. I’m thankful for everyone who has been involved in this process. If you are interested, you can pre-order your copy of The Anxious Christian: Can God Use Your Anxiety for Good?

Second: I resigned my job from HopeWorks Counseling one month ago, and I’m excited to announce that I have ventured off into a new practice at Auxano Counseling. This move allows me to really focus on several things that I’m excited about. So if you need/want counseling, or know someone who does, I am now taking referrals at my new practice. Auxano is located in the beautiful Willow Bend Wellness Building in Plano, TX, and I’m excited to be a part of the great practitioners in that building.

Third: I have officially launched a new counseling website that better conveys the three things I’m passionate about–therapy, writing, and speaking/teaching. Check out the site and the beautiful design by Ryan Smith. If you are wanting a new site, I recommend Ryan.

Fourth: I’ve launched a new monthly newsletter that you can subscribe to. Each month you will receive information, tips and resources on a variety of topics such as family, marriage, anxiety, emerging adulthood, transitions, youth ministry and more.

Fifth: I’m currently in the midst of working on a new self-care/counseling group that is for youth pastors. The group will launch in Jan/Feb. (in Plano, TX) of 2012 and will equip youth pastors in better understanding who they are (identity issues), how to set proper boundaries, manage their emotional reactivity, practice self-care, take care of their marriages/family, etc, etc. Stay tuned for more details. If you are interested in being a part of this limited group of 6-8 youth pastors, please send me an email.

Thanks for all of your support and encouragement in my endeavors.

Openness and Authenticity Are Not Enough

I’m currently reading a really great book, Restoration Therapy: Understanding and Guiding Healing in Marriage and Family Therapy by Terry D. Hargrave and Franz Pfitzer. In fact, I can’t recommend it enough.

But as I was reading last night this section of the book jumped off the page at me. It jumped off the page at me because they finally said what I have been thinking before regarding the role and risk of openness and authenticity, but have been unable to formulate myself.

There is a culture (Millennials, certain church environments, etc.) that highly values openness and authenticity, but it is often just about being those things…rather than what those things can lead to. So for example you hear people say, “This is just who I am…either you accept me or you don’t.” Or “I’m just being real.” Or, “I’m just being honest with you…that’s how God created me.”

We like talking about our flaws and imperfections in an authentic way with others. But the purpose of being authentic is not just about sharing our flaws and imperfections…nor is just about being open in order to be accepted for who we are. Rather, true openness and authenticity reflect back to us ways in which we need to grow as people. But too many of us stop short from allowing that reflection to transform who we are…we seem to just be content frolicking in our flaws and imperfections, demanding that others just accept who we are…because after all we tell ourselves, “Hey, this is just me…this is just who I am…God made me this way.”

But God wants more from us…He wants us to grow and to be transformed not only individually but in our relationships with others.

Glad I came across this passage that really brought some clarity to this issue for me.

“A person is only being human and worthy of respect and admiration when open about flaws and imperfections so he or she can deal with them honestly.

Openness is essential for us to be able to trust in relationships because it allows us to deal constructively with these elements of imperfection. If I know that I am imperfect, am unreliable in the way I perform my responsibilities, or irresponsible toward justice in relationships, then deep down I know that everyone copes with the same problem. When one is open about these flaws, the person is openly acknowledging that areas of deficiency; this makes it much more likely that the person will use the openness as an opportunity to correct shortcomings and to grow. Openness alone about flaws without addressing the shortcoming is unfortunate in relationships because it demands that the other relational partner simply adjust to the shortcoming and live as if a problem cannot be corrected or is actually no problem. While we agree acceptance in relationships is important (Jacobson & Christensen, 1998), we do feel that untrustworthy and unloving behavior in relationships is unacceptable….Openness is not about saying, ‘This is the way I am, and to be in a relationship with me means that you take me as I am.’ Rather, it means, ‘This is what I see in myself, and I believe that I can be better.’ When openness points towards growth, our imperfections and flaws and those of our relational partners actually pull us together more clearly in an intimate bond.” (pp. 27)

Our Emotions and Grace

“Many years ago I was driven to the conclusion that the two major causes of most emotional problems among Christians are these: the failure to understand, receive, and live out God’s unconditional grace and forgiveness; and the failure to give out that unconditional love, forgiveness, and grace to other people….We read, we hear, we believe a good theology of grace. But that’s not the way we live. The Good News of grace has not penetrated the level of our emotions.”

What’s So Amazing About Grace by Philip Yancey (quoting counselor David Seamands)

Why ‘Pastors’ Become Therapists

Several weeks ago I was at The Hideaway Experience doing co-therapy along with another former ‘pastor’ turned therapist. It’s not unusual to find therapists and counselors who were former pastors, but I think that vocational movement is often looked at with a sense of skepticism. That somehow, when a pastor leaves the pastorate to do counseling, they somehow also leave God behind in the process.

But what I am finding to be true in my own life and in the lives of many other therapists and counselors who were former pastors, is that they feel that God is now more alive and present than He ever was in their pastoral work. That is not to say that God was not or is not alive and present in both contexts. But what it does perhaps call attention to is the nature of pastoral work and pastoral identity and what that really means in our contexts, especially the North American context.

Eugene Peterson in his new book and memoir, The Pastor: A Memoir, says this:

“The vocation of pastor has been replaced by the strategies of religious entrepreneurs with business plans…..

I wonder if at the root of the defection is a cultural assumption that all leaders are peole who ‘get things done,’ and ‘make things happen.’ That is certainly true of the primary leadership models that seep into our awareness from the culture—politicians, businessmen, advertisers, publicists, celebrities, and athletes. But while being a pastor certainly has some of these components, the pervasive element in our two-thousand-year pastoral tradition is not someone who ‘gets things done’ but rather the person placed in the community to pay attention and call attention to ‘what is going on right now’ between men and women, with one another and with God—this kingdom of God that is primarily local, relentlessly personal, and prayerful ‘without ceasing.’”

As my friend and I (both former pastors now turned therapists) talked about that night at The Hideaway was the fact that for some of the first times in our lives we felt like we were free to be a pastor. But being a pastor didn’t come for us in the context of the Evangelical American Church, but rather in the mix of intense therapy work with couples who were struggling to put the pieces of their lives and marriages back together. There we were eating dinner with the couples, doing therapy, praying with them, crying with them, celebrating with them…witnessing all that life has to offer.

We felt like pastors.

But in the Church we as pastors often aren’t very pastoral. Instead we spend our time on budgets, on architecture plans, raising money and developing curriculum. All good things but it often pulls us away from what I think Eugene Peterson is describing when he says pastors “the person placed in the community to pay attention and call attention to ‘what is going on right now’ between men and women, with one another and with God…”

Instead of a pastor “paying attention” and “calling attention” to what is happening in a church community’s context, we end up taking on areas of specialization.

For example there is the 45 minute a week keynote speaker (aka preaching pastor). But many pastors who fulfill this role often remove themselves from the role of being a pastor to their people. They make statements and set boundaries that communicate something like “I’m too busy to spend time with you, so don’t expect me to ever come to dinner with you, or email you, etc.” They leave someone else to do the marrying, burying and hospital visits…the very things that make up the daily fabric of life. Perhaps they have removed themselves perhaps from the very act of pastoring.

I just wonder if in the process of specializing ministry positions the very essence of pastor then becomes lost. So now we have to designate someone to do pastoral care…i.e. to do the very things that a pastor does but that no pastor wants to do.

I have been a pastor (by title) for the last 13 years. But over the course of that time I have always struggled with who and what a pastor is. My expectations and the expectations of the churches I worked for were often very different. That is okay. But there should at least be some clarity when we talk about pastors then, because maybe we are all coming at it with different definitions. One way that that clarity manifested itself to me in ministry as a pastor was by the type of books we were recommended to read on staff (business books, leadership books, vision casting book, planning books, strategy books….all okay stuff in moderation, but what happened to the books on pastoral care, prayer, hospitality, spiritual direction, death, etc.?)

The books we read often indicate what kind of pastor we desire and strive to be.

In my 7 years as the college pastor (actually director since my denomination will not call me pastor unless ordained) at Bel Air Presbyterian Church, I honestly think my students would say of me that I was a good pastor…meaning I was good at “paying attention” and “calling attention” to what was happening in our community and pointing out the work of God in our midst. But I was not a good pastor in the context of how it is defined in the Evangelical American context. I wasn’t much good at budgeting and planning and coming up with strategies that would grow our ministry tenfold over a two year period. I could get by for a while, but I was not gifted at that, nor was I passionate about that.

Ultimately I had to make a decision on what type of pastor I wanted to be.

So what does one do when they feel like they are good at pastoring by “paying attention” to and “calling attention to” the work of God in people’s lives, but they are not good at being a “religious entrepreneur?”

They become a therapist.

I have found that in therapeutic work I am more of a pastor than I have ever been in my church ministry work. I am privy to parts of people’s lives that they would never share with me when I was their pastor, and in that interaction I have seen the work of God in ways that I was never witness to when I was in the pulpit.

Let me end by saying, I love being a pastor (I’m still on staff of a church), and if I could be the type of pastor in a church that Eugene Peterson talks about, then I’m totally open to that. But for now, I love being a therapist and I love the pastoral work that I get to do in that context.

I just wonder if we need to re-think…re-define…re-imagine who and what a pastor is in our modern day, Evangelical American Church context.

How do you wrestle with this as a pastor?

Is it something you struggle with?

“The Power of Vulnerability”: Implications for Our Identity, Relationships, and Vocation

Brene Brown: The power of vulnerability

This is just a great, great TED talk by Brené Brown, Ph.D., LMSW, who is a research professor at the University of Houston Graduate College of Social Work.

She has spent the past ten years studying vulnerability, courage, authenticity, and shame. Brené spent the first five years of her decade-long study focusing on shame and empathy, and is now using that work to explore a concept that she calls Wholeheartedness. She poses the questions:

How do we learn to embrace our vulnerabilities and imperfections so that we can engage in our lives from a place of authenticity and worthiness? How do we cultivate the courage, compassion, and connection that we need to recognize that we are enough – that we are worthy of love, belonging, and joy?

[HT: Michael Chapman]

Sabbath Keeping versus Margin Keeping: Practices We Must Foster

Exchanges between friends on Twitter often raise some great questions.

On November 24 Tyler Braun posted the following:

Challenging post from @MarkBatterson on maintaining margin: http://bit.ly/gMJmjP // I lose it far too often.

My reply to Tyler was:

@tylerbraun almost everyone who ends up in therapy with me has no margin…it’s a consistent theme and issue that affects EVERYTHING!

And my good friend from the church I grew up in Phoenix with, Anna Broadway, replied with:

@tylerbraun @rhetter How would ya’ll say margin in his/your use compares to rest/sabbath? Is sabbath practice a means of protecting margin?

So how does margin compare to Sabbath? And is keeping a Sabbath a way of protecting margin? Those are great questions.

I talk quite frequently in my work with families in both the counseling and church ministry setting about the topic of margin in their lives. I talk about creating “white space” on the calendar, where there is nothing scheduled. It is protected time for families and members of the family to just be…to rest…or to participate in something that hasn’t already been planned. It’s a time to be free of “should”, “have to”, “tasks”, and to simply rest. It’s a great time of connection in families, as they are free to be creative, and do things that aren’t demanded of them.

Margin, “white space”, boundaries…whatever term you use, it is essentially the same. It’s the act of creating space that is free of busyness and activities.

I see this task of creating space and margin as being very different from Sabbath.

Genesis 2:3: Then God blessed the seventh day and made it holy, because on it he rested from all the work of creating that he had done.

Sabbath keeping is something that I believe we as Christians should want to do. It is a day where we rest in the work that God has already done. It is a laying down of our wants, abilities and demands, and to be content in what God has already accomplished in our lives. It’s a discipline of saying I don’t have to produce, or do something in order to be right before God. It’s an act of being versus doing. This is reflected in the New Testament, especially at Jesus’ baptism in Mark 1:9-11, where Jesus identity is in his being in relationship with his Father, and not in his doing.

Creating margin, “white space”, boundaries, I view as something that we do on top of Sabbath keeping. It is built in times that are focused on rest, and allowing the creativity in a family/ourselves to come to fruition. Many families/individuals over-schedule their lives with busyness and activities like sports and hobbies because they have somewhere lost the ability to just be with one another outside of having to always do things with one another. There is a distinction there, though subtle, can have huge impacts on our relationships with one another.

I believe we protect the Sabbath because that is something we do to foster our relationship with God, and to state that we are dependent upon him, rather than ourselves.

I believe we protect margin, “white space”, and boundaries in our lives because that is something we do to foster our relationship not only with ourselves, but with those we live, work, and play with.

When an individual, or family loses the ability to foster a Sabbath, or create margin in their lives, I know that there are usually deeper things at work. Often individuals and families are afraid to just be by themselves, or with another, without something planned to do. That fear and hesitation points to the very need to create that space and practice a Sabbath.

Any thoughts that you all have on Sabbath, margin, creating “white space”, etc.? I would love to hear them.

Paying for Counseling (Reframing the Discussion Around Cost)

[image by tenaciousme]

I get it…paying for counseling is a big commitment, and can often be a hindrance for those seeking it out. Even though I’m in the counselor’s chair now, I still pay for my own counseling. So I can empathize with you.

I have had the same questions about the cost of counseling as you have had. And at one point, I put this question to my counselor (basically, how do you convince someone that paying for the cost of counseling is a good investment). He responded to me with something like this:

“Rhett, if I told you that you could pay $3,000 (that would have been about a 30 sessions at the time)…a dollar amount that most people don’t think twice about spending in clothes or trips or entertainment over that same period of time…but this $3,000 would change your life and marriage in a positive way…would that be worth it to you?”

“Of course it would be worth it!” I said.

You see, we spend all kinds of money on things. Things that we need, things that we don’t need, things that we want. How we spend our money says something about what is important to us because we have spent a lot of time and exerted a lot of hard work to get that money.

So if someone says to me, “I can’t afford marriage counseling,” yet I know they don’t think twice about buying the newest iPad, hipster jeans, weekend trip, or nice dinner out on the town — then I may wonder how important their marriage is to them, or how important it is for them to work on their issues. Maybe it’s not that important after all.

It’s not unusual for a couple to come to counseling and the husband tell me that they can’t afford counseling, yet he just bought a new boat. Something doesn’t add up here.

A few years ago I saw a counselor a little over a 100 times in less than a two year period. It was not only a huge commitment of time and energy, but a very big financial commitment as well. But I can easily say that that counseling was the catalyst that helped me grow the most that I have ever grown in my life. I didn’t know that going in, and so there was a risk there, not knowing if the financial investment was going to translate into the change I wanted. But I knew that getting into counseling was more important than spending that money on other things.

You see, people spend money on what is important to them, so if counseling is important, they will find the money, save the money, set the money aside, etc.

You can find counselors ranging from $20 to $300 and up. So there is some counselor that will fit into the price that you can afford.

So let me ask you the same question my therapist asked me, but with a different dollar amount:

“If I told you that a $1,000 worth of counseling (7-10 sessions) would change your life, your marriage, your family, and help you work through some personal issues, would that be worth your investment?”

If you need counseling, don’t put it off. There is always a way that it can be paid for. There are counselors who use sliding scale fees based on one’s income. There are those who take insurance. There are those who do some pro-bono work as well. Or maybe you have to put eating out off for a few months. Or postpone that trip to the beach. Or maybe you really don’t need the newest technological gadget, big screen tv, boat or car.

If finding counseling is worth it to you, you will find a way to make it happen.

Was the money you spent to see a counselor worth the financial investment you made? Why or why not?

If you couldn’t originally afford counseling, what did you do to save money for it?

Warning Signs: When Couples Should Seek Professional Counseling Help

Striving for a healthy, thriving marriage–and simply trying to avoid divorce are two very different goals for therapy.

One is proactive and the other is reactive.

I’ve noticed that the proactive group is often quicker to get professional help for their marriage than the latter group.  The reactive group often finds themselves in the counseling office as a last resort.

Being proactive–being intentional about your marriage makes all the difference in the world.

I have been asked quite frequently recently, “When should a couple go to counseling?  What are some warning signs that we should seek professional help?”

As I have thought about this question I have come up with a few suggestions (some based on my own experience as a married person and on my experience as a therapist; and some based on other professional’s advice). Here are ten reasons when a couple should go seek professional counseling help. There are many more, but this is a start:

  1. Do premarital counseling.  If you are married and you didn’t do this, well, it’s water under the bridge.  But if you aren’t married at this point, I would highly recommend this as good premarital counseling can help couples bring issues to awareness that are often avoided, and can help equip couples to work through the conflict.
  2. Go to counseling when there aren’t any issues/As an opportunity for growth. In reality there are always issues that we can address in our marriages, but it’s better to seek help before issues gain a stronghold in your marriage.  See counseling as an opportunity to learn and grow, rather than a place to try and fix.
  3. When the Four Horsemen make an appearance (Criticism, Contempt, Defensiveness, Stonewalling). Marriage researcher John Gottman talks about the Four Horsemen at length in his book The Seven Principles for Making Marriage Work.  Gottman talks about these as being predictors of divorce in couples, and so it is best to get help before any of these become habitual in your marriage.
  4. When you notice resentment towards your partner. Resentment is one of those feelings that if not dealt with quickly can slowly, but surely creep into your relationship and become a cancer.
  5. When you are experiencing a major life transition. Life transitions such as marriage, birth of children, loss of loved one, beginning/loss of a vocation can bring about all kinds of emotions and challenges.  It can be helpful to have someone help you sort through these things.
  6. Barriers to communication. At various points in our relationships certain barriers arise that inhibit effective verbal communication.  I say verbal, because the reality is, we are always communicating to one another.  Having a professional help you work through the barriers to effectively communicating is a great reason to seek help.
  7. Lack of intimacy in the relationship. There are various kinds of intimacy in a relationship (see previous post), but if you notice a tapering off, or absence of intimacy in the relationship, it can be advantageous to have someone help you work through the problem.
  8. Focus is taken off of marriage and placed onto other things (i.e. vocation, children, friends, etc.). Anytime a couple moves their focus away from working on and having a strong and healthy marriage, other aspects of their lives suffer.  Lots of couples become so focused on other things that the marriage begins to deteriorate.
  9. When you become too busy. Lots of couples make the excuse of busyness as a reason to not be able to come into counseling.  When you become too busy to work on your marriage, then you know you have a problem.
  10. Whenever your partner suggests you do marriage counseling. Lots and lots of therapist’s offices are filled with couples where one suggested counseling 2-3 years ago, but the other partner resisted or thought it was not necessary.  Now they are in counseling because the partner who initiated it years ago has had enough and is ready to leave.  Don’t wait that long.

What reasons would you suggest for when a couple should seek professional counseling help?

What If? The Scariest and Most Crucial Question in a Relationship

I feel like I do some of my best thinking and reflecting while out on a run. And while I was running yesterday a few stanzas from the Coldplay song, What If? really stuck out to me…

What if you should decide
That you don’t want me there by your side
That you don’t want me there in your life

Ooh ooh-ooh, that’s right
Let’s take a breath, jump over the side
Ooh ooh-ooh, that’s right
How can you know it, if you don’t even try
Ooh ooh-ooh, that’s right

Every step that you take
Could be your biggest mistake
It could bend or it could break
That’s the risk that you take (Coldplay, What If?)

The song stuck out to me for several reasons…

  1. There is a great amount of relational anxiety in the relationship being described.  The artist doesn’t know if the person will be there by their side…it’s an option the other person has, completely out of the control of the other.  The artist doesn’t know if they will “bend or break”…and there is an element of risk involved.  The risk involves anxiety, but to not push through the anxiety may forfeit the opportunity for the relationship and for growth.
  2. As people we love the words and songs of poets and artists.  We love the songs about relationships, especially ones that involve an element of risk and not knowing.  We wonder, “Will that person be there on the other side” in the romance movies we watch and the songs that we sing.  BUT, we don’t like to have this experience ourselves.  It’s all fine and dandy to sing about and to watch on the silver screen, but when it comes to taking these risks and venturing forth through the anxiety in our own relationships, we often choose to sit on the sidelines, seeking comfort and security.
  3. This is the predicament of all relationships.  At some point you will have a choice before you…two options (marriage and sex therapist David Schnarch refers to it as Two-Choice Dillemas).  Do you stay in the place of comfort and safety which is actually a threat to your relationship, or do you venture out into the unknown, facing the anxiety, hoping for growth in the relationship.

These reasons make us all ask “What If? in our relationships, our families, our faith, our vocations and more.

I love how David Schnarch puts it:

How do you find the trust to go “exploring” with your spouse? Many couples think it’s based on safety and security, which means staying in the comfort cycle. Trust can be based on a pact you’ll never leave the inner circle (comfort/safety), or developed from a trip through the growth cycle. But the trust that results is totally different: before you’ve ventured into the outer circle (growth), trust is based on blind faith. It lacks the safety and security of knowing how you’ll do when “what if” happens; it is an uneasy trust, an untested trust. What’s actually required is the leaf of faith, because real safety follows rather than precedes your first trip through the growth cycle. Trust based on shared mutual experience and hardship–watching what your partner and you do under pressure and adversity–is solid and resilient. (Passionate Marriage, David Schnarch)

So hold onto yourself, face your anxiety and take the leap knowing that if you don’t, then you may also forfeit any opportunities for relational and spiritual growth.

Anxiety is the dizziness of freedom, which emerges when the spirit wants to posit the synthesis and freedom looks down into possibility, laying hold of finiteness to support itself. Freedom succumbs in this dizziness. Further than this, psychology cannot and will not go. In that very moment everything is changed, and freedom, when it again rises, sees that it is guilty. Between these two moments lies the leap, which no science has explained and which no science will explain. (The Concept of Anxiety by Soren Kierkegaard)

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