How Counseling Works: A Plain Language Summary in Simplified Chinese Characters and English

The following is a plain language summary of how counseling works. With great assistance from Chinese instructors, I have written what I can in both Simplified Chinese Characters and English. What remains in English is still beyond my vocabulary to translate. For myself and others learning to read Simplified Characters, pinyin is included.

心理咨询如何用简单的语言总结
xīnlǐ zīxún rúhé yòng jiǎndān de yǔyán zǒngjié
A Plain Language Summary of How Counseling Works

在西方的心理咨询中,我们把“内心体会”定义为意识的感受和想法。平时,在东方的思维方式中,感觉和想法是在一起的,不是分开的。
Zài xīfāng de xīnlǐ zīxún zhōng, wǒmen bǎ “nèixīn tǐhuì” dìngyì wéi yìshí de gǎnshòu hé xiǎngfǎ. Píngshí, zài dōngfāng de sīwéi fāngshì zhōng, gǎnjué hé xiǎngfǎ shì zài yīqǐ de, bùshì fēnkāi de.
In western counseling, our “inner experience” is defined as awareness / consciousness of feelings and thoughts. Usually, in eastern thought, feelings and thoughts are seen as together, not separate.

无论从东方还是西方,人类都希望能用他们的意志力解决问题。
Wúlùn cóng dōngfāng háishì xīfāng, rénlèi dōu xīwàng néng yòng tāmen de yìzhì lì jiějué wèntí.
Whether from east or west, all humans want to be able to solve problems using their willpower.

然而,在西方的心理咨询中这是假设:如果人们成为意识到自己的感受和想法, 这创造了一个远景. 在这个远景中,也许就看到了解决问题的可能性。当人们看到现实的本来面目时可能性就会打开。
Rán’ér, zài xīfāng de xīnlǐ zīxún zhōng zhè shì jiǎshè: Rúguǒ rénmen chéngwéi yìshí dào zìjǐ degǎnshòu hé xiǎngfǎ, zhè chuàngzàole yīgè yuǎnjǐng. Zài zhège yuǎnjǐng zhōng, yěxǔ jiù kàn dào liǎo jiějué wèntí de kěnéng xìng. Dāng rénmen kàn dào xiànshí de běnlái miànmù shí kěnéng xìng jiù huì dǎkāi.
However, in western counseling, this is the hypothesis: If people can become aware of their feelings and thoughts, a vista opens. In that vista, possibilities for solving problems can be seen. When people see reality as it is, possibilities open.

所以,解决个人问题时,和使用意志力相比,意识对我们的内心体会有更帮助.
Suǒyǐ, jiějué gèrén wèntí shí, hé shǐyòng yìzhì lì xiāng bǐ, yìshí duì wǒmen de nèixīn tǐhuì yǒu gèng bāngzhù.
Therefore, for solving personal problems, compared to using willpower, it is more helpful to use our awareness of our inner experience.

. . . . .

所想要的和可能的之间的差距导致了我们内心的痛苦。
Suǒ xiǎng yào de hé kěnéng de zhī jiān de chājù dǎozhìle wǒmen nèixīn de tòngkǔ.
The gap between what is wished for and what is possible causes our inner pain and suffering.

Gap between what's wished for and what's possible

为了帮助我们内心的痛苦:
Wèile bāngzhù wǒmen nèixīn de tòngkǔ:
To help with our suffering:

第一,我们会帮助你对这差距导致的痛苦使用自我慈悲。我们用自我仁慈来安慰自己。
Dì yī, wǒmen huì bāngzhù nǐ duì zhè chājù dǎozhì de tòngkǔ shǐyòng zìwǒ cíbēi. Wǒmen yòng zìwǒ réncí lái ānwèi zìjǐ.
First, we use self-compassion to help ease the inner pain created by the gap. We comfort ourselves with self-kindness.

自我慈悲 zìwǒ cíbēi self-compassion
自我仁慈 zìwǒ réncí self-kindness

第二,我们会帮助你慢慢地适应和接受什么是可能的。
Dì èr, wǒmen huì bāngzhù nǐ màn man de shìyìng hé jiēshòu shénme shì kěnéng de.
Second, with self-compassion and self-kindness, we help ourselves to slowly adjust to, adapt to, and accept what’s possible.

适应 shìyìng adjust, adapt

第三,我们发现价值观和优先事项,然后根据这些决定下一步。
Dì sān, wǒmen fāxiàn jiàzhíguān hé yōuxiān shìxiàng, ránhòu gēnjù zhèxiē juédìng xià yībù.
Third, we discover values and priorities, then, based on those, decide next steps.

价值观 jiàzhíguān values
优先事项 yōuxiān shìxiàng priorities

Here are some other terms and ideas that may be useful.

意识意识,了解 yìshí, liǎojiě awareness, consciousness
意识到 yìshí dào to become aware of
了解自己的心理 liǎojiě zìjǐ de xīnlǐ to understand one’s own
psychology; to be psychologically-minded

These concepts can overlap and intersect:

真实的自我 zhēnshí de zìwǒ true self; authentic, genuine, real self;
separate from, and unaffected by, external pressures 外在压力 wài zài
yālì, such as corporate, familial, religious, societal, cultural, or national expectations.

核心自我 héxīn zìwǒ core self; innate traits as an individual human;
stable and unaffected by external events, whether the events are
experienced as joyful or painful.

When I use the term “true self,” I am merging both of those concepts.

. . . . .

当人们看到现实的本来面目时可能性就会打开。
Dāng rénmen kàn dào xiànshí de běnlái miànmù shí kěnéng xìng jiù huì dǎkāi.
When people see reality as it is, possibilities open.

此外,当人们,不最小化也不最大化,看到现实的本来面目时可能性就会打开。
Cǐwài, dāng rénmen, bù zuìxiǎo huà yě bù zuìdà huà, kàn dào xiànshí de běnlái miànmù shí kěnéng xìng jiù huì dǎkāi.
Moreover, when people neither minimize nor maximize, but see reality as it is, possibilities open.

当事情一起发生并产生更大的积极影响时,协同效应就会发生。
Dāng shìqíng yīqǐ fāshēng bìng chǎnshēng gèng dà de jījí yǐngxiǎng shí, xiétóng xiàoyìng jiù huì fāshēng.
Synergy happens when things come together and create a bigger positive effect than they would alone.
Inner wisdom

当人们意识到他们的感受和想法时,协同效应产生了。这个可以成为”内在智慧 。“
Dāng rénmen yìshí dào tāmen de gǎnshòu hé xiǎngfǎ shí, xiétóng xiàoyìng chǎnshēngle. Zhège kěyǐ chéngwèi” nèizài zhìhuì.“
When people can become aware of their feelings and thoughts, synergy is created. That synergy can be termed “inner wisdom.”

协同效应 xiétóng xiàoyìng synergy
内在智慧 nèizài zhìhuì inner wisdom

Although “depression“ and “anxiety” are common terms, they are so diversely used and defined that they’re not very useful. Becoming aware of the real, specific, precise feelings and thoughts created by the gap between what one wished for, what has happened, and what is now possible – and then helping oneself with those feelings and thoughts – is more directly helpful.

Using their inner wisdom, people can become aware of their true self’s needs and wants, strengths and preferences, values and priorities, and derive strategies to live lives of integrity and personal meaning.

A comprehensive explanation of how to develop awareness skills is here.

. . . . .

有时候,当一个人经历过不好的事情时,它会觉得自己是受害者。他们需要夺回他们的”力“:自己力量,权力和生命力。
Yǒu shíhòu, dāng yīgè rén jīnglìguò bu hǎo de shìqíng shí, tā huì juédé zìjǐ shì shòuhài zhě. Tāmen xūyào duóhuí tāmen de” lì “: Zìjǐ lìliàng, quánlì hé shēngmìnglì.
Sometimes, when a person has a bad experience, they can feel like a victim. They need to get their power back: their personal power, their sense of authority, and their life force.

经历 jīnglì experience
受害者 shòuhài zhě victim
夺回 duóhuí take back
力量 lìliàng personal power
权力 quánlì authority; power
生命力 shēngmìnglì vitality; life force; power

怎么做?
Zěnme zuò?
How?

记得你的个人价值。
Jìdé nǐ de gèrén jiàzhí.
Remember your value.

从过去对你的价值观和优先事项上转移你的注意力.
Cóng guòqù duì nǐ de jiàzhíguān hé yōuxiān shìxiàng shàng zhuǎnyí nǐ de zhùyì lì.
Shift your attention from the past to your values and priorities.

转移 zhuǎnyí shift
注意力 zhùyì lì attention
价值观 jiàzhíguān values
优先事项 yōuxiān shìxiàng priorities

. . . . .

Stability results from providing care for one’s heart, mind, and body. To support personal growth and personal psychological work, people need as much stability as possible.

稳定 wěndìng stability
心灵, 思想, 和身体 xīnlíng, sīxiǎng, hé shēntǐ heart, mind, and body

  • Here is a self-care checklist 自我安慰清单 zìwǒ ānwèi qīngdān.
  • Here are exercises that can help people become aware of their
    values and priorities 价值观 jiàzhíguān values | 优先事项 yōuxiān shìxiàng priorities.

. . . . .

Awareness gives access to inner wisdom.我是我的想法和感受。
I am my thoughts and feelings.
我意识到我的想法和感受。
I am aware of my thoughts and feelings.
我意识到我的想法,感受,和内在智慧。
I am aware of my thoughts, feelings, and inner wisdom.
内在智慧 nèizài zhìhuì inner wisdom

The concept of “inner wisdom” is informed by:

Inner wisdom and how the brain works

The content of the post is informed by cognitive theory-based therapy protocols, including cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and cognitive processing therapy; acceptance and commitment therapy, (ACT), Internal Family Systems (IFS), schema therapy, strengths-based therapy protocols, and existential therapy.

The content is written in plain language to help people understand upon a first reading and to help dispel misinformation.

I am indebted to Hou Huiying for her help in translating these sentences. Any errors are mine.

Graphics by Ren Jing.

Last updated 9/12/2023

This content is for informational purposes only and is not a substitute for medical or professional advice. Consult a qualified health care professional for personalized medical and professional advice.

An Update on Helpful, Effective Thinking for 2023

Please fill in the blanks with the first thought that comes to mind.

I. Become aware of one’s thinking about life.

“Life should provide __________. Life should have __________. If life doesn’t provide or have __________, life is not as valuable as it would otherwise have been.”

Become aware of the interrelationship between what happens, thoughts that are belief-based or wish-based, thoughts that are fact-based, and feelings.

“When __________ happened, I thought it shouldn’t have happened because life shouldn’t be that way. I shouldn’t have to __________. Since life should have __________and should provide __________. I felt betrayed because I trusted life to be the way I believed it was and should be. I felt disappointed in myself, in others, and in my life.”

II. Become aware of one’s thinking about one’s self.

“I should (circle) feel/think/do/have __________. If I don’t, I am not as valuable as I would otherwise have been. If I am not as valuable as I could be, I will not be adequately appreciated or loved. If I am not adequately appreciated or loved, I experience unbearable pain.”

Again, become aware of the interrelationship between what happens, thoughts that are belief-based or wish-based, thoughts that are fact-based, and feelings.

“When ______ happened to me, I thought it shouldn’t have happened. I thought that if I had said or done something different, or were different, it wouldn’t have happened. I believe I am responsible for how people feel, think, act, and are doing and, thus, I failed. This made it my fault and I was to blame. I judged myself as incorrect, incompetent, and inadequate. I felt ashamed of myself. From these reprimands, I felt overwhelmed with pain.”

III. Are the thoughts realistic?

“Reality is complex. Some aspects of my thoughts are realistic; some aspects aren’t. If I imagine a pie chart:

In January 2020, I estimate ____% of my thoughts were realistic and _____% were unrealistic.

Today, in 2023, I estimate ____% of my thoughts are realistic and _____% are unrealistic.”

IV. How can I help myself?

  • I can see reality as it is.
  • Within reality, realism gives me power. I neither idealize nor vilify, not myself, others, institutions, or the world.
  • I am real. I am not composed of other people’s beliefs, expectations, needs, and wants. I am not the victim of life, of how I was born, of how I was raised, or of what’s happened to me. I co-travel with my traits and my history.
  • As a result of making heroic, conscious choices to see reality as it is, I can identify problems and create solutions. I can adjust, adapt, and accept as needed.
  • I can become aware of self-judgment and replace it with
    self-kindness. Prolonged, inner states of activated intensity, and of under-activated despondency, frequently result from two sources: harsh self-judgment and envisioning being harshly judged by others.
  • As a result of awareness and self-kindness, I can use my inner dialogue to regulate my emotions at will.
  • Although I wish I had one or more people to appreciate and love me adequately, I see that, even if I did, during most of the 168 hours of each week, I’m on the job solo. I’m responsible for my inner state.
  • I may have some influence but cannot cause what human adults feel, think, want, say, or do. I am not causal. Why not? Human adults are separate, independent, autonomous beings who choose their own words and actions.
  • Unless I attempt to violate their independence by using emotional, relational, financial, and/or sexual favors, or persuasion, manipulation, shame, coercion, and/or force, I co-travel with the decisions other humans make.
  • I appreciate and love myself for handling the joys and sorrows of the human condition. I can feel compassion for everyone, everywhere, for having to handle the same.

V. My primary tasks are:

  1. to discover and understand my values, strengths, preferences, interests, and priorities;
  2. to become aware of what I need and want;
  3. to identify unmet needs and unfulfilled aspirations;
  4. to estimate what’s likely and unlikely;
  5. to see that opposites can both be true, that most factors occur within the context of a continuum, not as all good or all bad;
  6. to derive strategies to help myself precisely with what
    I want to do, not with a) what I wish or want others to do, or
    b) what others want from me;
  7. to shift and re-shift my attention to my values and priorities;
  8. to do what I define as mine to do in the time I have.

VI. How else?

Given the broad goals of making a life for myself and being of service to others, given the constraints of 2023 and the uncertainties of the future, how else might I help myself?

VII. Clarity

To the tasks of being myself, of navigating the opportunities and hardships inherent to the human condition, in my situation, in these times:

The primary personal strength I bring is __________________.

The primary value powering my efforts is __________________.

The primary priority giving me direction is __________________.

. . . . .

Therapy protocols derived before 2020 held a fundamental premise. People were free to take independent action on their own behalf.

In particular, cognitive theory celebrated human capability. Once individuals became aware of what they were feeling and thinking and directed their attention to reality-based thoughts, they could then build lives and relationships based on reality as perceived by logic, reason, and evidence.

For the past three years, I have heard an on-going note of distress in the narratives of many of the clients I met with online, in the thousands of voices I heard in the listening, watching, and reading I did during these years of isolation, and in my own inner experience.

Indeed, awareness, itself, can ease distress, regardless of the situation, even the most dire. This is the core of existential therapist and Holocaust survivor Viktor Frankl’s premise. During the pandemic, surely, we had the time to become aware.

However, engagement in action and engagement with others are the mechanisms by which awareness is directed toward effective, skillful living. With limited opportunities to leave our dwellings and connect with people, the limits of current therapy protocols were exposed.

I posit that cognitive theory-based protocols need an update that emphasizes self-reliance. Why? Our ability to take action and to connect with others was truncated. The external was impossible. The internal was possible.

This post is an an imagining of the pandemic-informed worksheet that would be added to updated, 2023 editions of cognitive theory-based manuals, such as  Cognitive Processing Therapy for PTSD: A Comprehensive Manual by Patricia A. Resick, Candice M. Monson, and Kathleen M. Chard, Guillford Press, 2016.

At essence, this worksheet champions and fosters the powerfully kind and determined inner dialogue that sustains and guides when one is on one’s own.

. . . . .

To explore and discover tools and insights related to the tasks, I use the term “awareness skills” and have them outlined in about 3,000 words here.

Image: iStock

All content on this site is for informational purposes only and is not a substitute for medical, professional, and/or legal advice. Consult a qualified professional for personalized medical, professional, and legal advice.

An Invalidating Environment

Emotion dysregulation is posited as a central component of many human troubles, including those that evolve into mental disorders. The primary, evidence-based therapy protocol for helping people learn skills to regulate emotions is dialectical behavior therapy (DBT), invented by Marsha Linehan, Ph.D.

An invalidating environment

Having experienced “an invalidating environment” as a child is considered a precursor to having difficulty regulating emotions as an adult.

Why care about “an invalidating environment?”

Consciously or unconsciously, directly or indirectly, partnerships, families, schools, companies, workplaces, communities – even entire nations – can create invalidating environments.

In essence, an invalidating environment is one in which people are told what they feel, think, and perceive about themselves, others, and what’s going on isn’t right, true, reasonable, or adequate, especially if they are feeling distressed or having trouble solving a problem.

The subtext is: “You shouldn’t feel the way you feel, you shouldn’t think the way you think, and you shouldn’t see things the way you do.”

Definitions and examples of “an invalidating environment” follow.

Excerpted from Cognitive-Behavioral Treatment of Borderline Personality Disorder by Marsha Linehan, Ph.D., 1993:

“An invalidating environment is one in which communication of private experiences is met by erratic, inappropriate, and extreme responses. In other words, the expression of private experiences is not validated; instead, it is often punished and/or trivialized. The experience of painful emotions, as well as the factors that to the emotional person seem causally related to the emotional distress, are disregarded. The individual’s interpretations of her own behavior, including the experience of the intents and motivations associated with the behavior, are dismissed.”

“Invalidation has two primary characteristics. First, it tells the individual that she is wrong in both her description and her analyses of her own experiences, particularly in her views of what is causing her own emotions, beliefs, and actions. Second, it attributes her experiences to socially unacceptable characteristics of personality traits. The environment may insist that the individual feels what she says she does not (‘You are angry, but you just won’t admit it”), likes or prefers what she says she does not (the proverbial ‘When she says no, she means yes;), or has done what she said she did not. Negative emotional expressions may be attributed to traits such as overreactivity, oversensitivity, paranoia, a distorted view of events, or failure to adopt a positive attitude. Behaviors that have unintended negative consequences for others may be attributed to hostile or manipulative motives. Failure, or any deviation from socially defined success, is labeled as resulting from lack of motivation, lack of discipline, not trying hard enough, or the like. Positive emotional expressions, beliefs, and action plans may be similarly invalidated by being attributed to lack of discrimination, naivete, overidealization, or immaturity. In any case, the individual’s private experiences and emotional expressions are not viewed as valid responses to events.”

The American Heritage Dictionary defines invalidate as “to make invalid; nullify.” Here are links to definitions of valid and invalid.

In a 2018 systematic review, Musser et al. identified specific traits of an invalidating environment.

“Across measures, the most highly represented aspect of the invalidating environment was misattribution of the child’s emotional experience or expressions to negative characteristics of the child. Misattribution was embodied in items such as blaming one’s child for their being sexually abused, or asserting that their feelings or behavior is the result of negative attitudes or ulterior motives.”

“Discouraging of negative emotions was the second most represented aspect of the invalidating environment. Items which measured this aspect included instructing one’s child to stop crying, or warning them that discussion of their negative emotions will make them feel worse.”

“Parental communication of the child’s emotional inaccuracy to the child was the third most represented aspect. An example of an item which measured this aspect is a parent responding to their child’s expression of pride by telling them not to be so confident. Communications of inaccuracy as well as misattribution could be found in reference to the child’s expression of both negative and positive emotions.”

“Oversimplification of problem solving or minimizing of difficulties was the least represented aspect of the invalidating environment. Items such as telling the child that their problem is easily solvable or that they are overreacting were found to align with this construct.”

Here are some subtle examples of invalidating and validating statements in each of the above categories.

1. Misattribution of the child’s emotional experience or expressions to negative characteristics of the child.

Invalidating: “Why are you upset? You’re being too emotional.”

Validating: “You seem upset. What’s up?”

2. Discouraging of negative emotions.

Invalidating: “Why are you so upset? There’s nothing to cry about.”

Validating: “It makes sense that you would feel upset about this. Shall we talk about it now or a little later?”

3. Parental communication of the child’s emotional inaccuracy to the child.

Invalidating: “Feel proud of your hard work?! You’re just lucky!”

Validating: “You worked so hard for this. I appreciate and respect your courage, effort, and tenacity.”

(The above example is a paraphrase of an exchange actor Will Smith describes in his memoir Will about his father’s response to his artistic and financial successes.)

4. Oversimplification of problem solving or minimizing of difficulties.

Invalidating: “If you just did it right, you wouldn’t have these problems.”

Validating: “I see how much you care and how hard you are trying. Let’s see if we can work out other ways to do this.”

5. Shift of topic to the self or domination of the “air time.”

Invalidating: “That’s too bad. What I did in that situation was _____.”

Validating: “Tell me more.”

How does emotion dysregulation result from an invalidating environment?

Children look to their caregivers to help them make sense of their feelings, thoughts, words, and actions. If caregivers consciously or unconsciously, directly or indirectly, communicate that what children are feeling, thinking, and perceiving isn’t correct, disorientation results. Children learn they can’t trust the reality of their own inner experiences or the accuracy of their perceptions of what’s happening. Paired with other traumas and attachment wounds, children are denied learning the skill of “mentalisation,” defined by Campbell and Lakeman in 2021 as the ability to “accurately reflect on and think about the thoughts, feelings, motivations and behaviour of oneself or others.” Missing this sense of order, the inner sensation is an alarming, terrifying sense of spinning in chaos. Distress is constant, although many learn to mask or suppress distress, or distract themselves from it.

As adults, freed from caregivers, people with emotion regulation challenges can seek what offers a sense of safety and control. Some methods work well in society – excellence in academics, sports, arts, or work – and some are problematic: use and overuse of substances, over- or undereating, bingeing and purging, shopping, gambling, and having multiple sexual partners, for example.

(Verywell Mind also offers a helpful exploration of “an invalidating environment.)

How does dialectical behavior therapy (DBT) help people regulate their emotions?

At essence, DBT pairs what we know about enjoying and enduring the human condition with brain science. As an I-statement, it looks like this:

“If I can ask myself what I’m feeling and thinking, that simple act eases the emotion centers in my brain and activates the cognitive centers. Using my own cognitive functioning, I can look at the facts and use logic and reason to decide what would be most helpful for me to say or do next – or not say or not do.”

Here’s the inner dialogue a person might use while regulating emotions.

This bears repeating:

Consciously or unconsciously, directly or indirectly, partnerships, families, schools, companies, workplaces, communities – even entire nations – can create invalidating environments.

Examples:

  • “Don’t be so sensitive.”
  • “You’re overreacting.”
  • “You misunderstood me.”
  • “Look on the bright side.” (From Medical News Today: “Toxic positivity imposes positive thinking as the only solution to problems, demanding that a person avoid negative thinking or expressing negative emotions.”)
  • “You’re getting yourself worked up about nothing.”
  • “That’s not the way we do things here.”
  • “You’re just not working hard enough/doing it right/________.”
  • “If you hadn’t _________, if wouldn’t have happened. You were asking for it.” (False attribution of causality is a form of gaslighting and results in victim blaming.)
  • ”You’re misperceiving the situation.”
  • “You need to change your thinking.”
  • “You’re just in a slump/phase.”
  • “If I were you, I would __________.” (Here’s an excellent post from Tiny Buddha on what a person really hears when given unsolicited advice.)
  • “See? You didn’t need to get so upset about that.”
  • Silence. Giving people the silent treatment – termed “stonewalling” by the Gottmans – or cutting off all contact  – often termed “ghosting” – communicates that the person isn’t valid or important enough to even merit contact.

The inner narrative of a person who makes an invalidating statement may be:

“I feel uncomfortable with what you are feeling, thinking, saying, and/or doing, or with what happened to you, so I’m going to try to make you change or make you responsible so I can feel better.”

What can adults do to possibly begin to transform an invalidating environment into a validating one?

1. Take courageous responsibility for what they are feeling and thinking.

Denying, resisting, avoiding, suppressing, and misidentifying feelings can be a cultural norm. Protest this! The human brain has evolved to feel emotions. Feelings provide crucial data about what’s going on and can offer guidance about helpful, useful, effective next steps.

2. See reality as it is, neither less nor more, neither positive nor negative.

Although we might wish it were otherwise, feel terrible about what’s happening, and long to spin it differently, acknowledge reality as it is and attempt to see and discern its complexity.

3. Use I-statements rather than you-statements.

People who share who they are and what they see – rather than tell others who they should be and how they should think and do things – powerfully communicate that other people matter and are worth talking with about what’s really important.

Say what needs to be said. There is a good formula from the field of “nonviolent communication”: When X happens (stated objectively; not “when you are a jerk”), I feel (emotions; not “I feel you are an idiot”), because I need Z (deep needs like “to be safe, respected, emotionally close to others, autonomous and not bossed around”).
– Rick Hanson, Ph.D., Stay Right When You’re Wronged

4. Co-create solutions.

When people share their genuine, inner experiences, that’s usually paired with expressions of inner wisdom. This occurrence is the essence of relational effectiveness. Genuinely spoken words in a validating environment can catalyze synergistic problem-solving of surprising effectiveness and beauty.

. . . . .

Of possible additional interest:

Last updated 2/7/23

Image: iStock

This content is for informational purposes only and is not a substitute for medical or professional advice. Consult a qualified health care professional for personalized medical and professional advice.

Becoming One’s Own Cognitive Therapist

A fundamental premise of cognitive theory-based counseling protocols is that, once people learn cognitive skills, they can take over as their own cognitive therapists.

What does this mean exactly?

A cognitive therapist uses the research-backed elements of cognitive theory to help a person acquire cognitive skills.

“Cognitive theories are characterized by their focus on the idea that how and what people think leads to the arousal of emotions and that certain thoughts and beliefs lead to disturbed emotions and behaviors and others lead to healthy emotions and adaptive behavior.”
DiGiuseppe, et al., 2016

A person with cognitive skills, in the context of self-kindness, becomes aware of having felt, thought, spoken, or acted automatically, regains consciousness, deliberately frees themselves from getting boxed in by beliefs about what one should or shouldn’t be and do in favor of making principle-based decisions, sees reality as it is, and makes helpful, criteria-based choices about what to say or do next – or not say or not do.

Boxed in by beliefs

“Take back your consciousness.”

At essence, a person with cognitive skills can become aware of when they need to say to themselves, “Take back your consciousness.”

People who seek counseling often realize that ways of feeling, thinking, speaking, acting, studying, working, and/or relating are interfering with their own intentions for themselves, and with their ability to relate effectively with themselves, partners, children, family members, instructors, co-workers, and/or community members.

Very often, these ways are unconscious and automatic, born of temperament, brain traits (such as sensory sensitivity or attention variations), childhood or later trauma, family of origin challenges, and learnings from families, communities, education, culture, nationhood, and the media.

A conscious self-embrace

Use of a set of research-informed counseling protocols – categorized as applied “cognitive theory” – can help people use awareness of their thoughts and feelings to identify these automatic ways, begin to see facts and realities as they are – however unwished-for they might be – assess probabilities, derive strategies, and make conscious choices based on their needs, wants, strengths, preferences, values, and priorities.

My work with clients is primarily informed by these cognitive theory-based counseling protocols: cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and cognitive processing therapy (CPT).

“Cognitive” can be considered a cold term, but cognitive-based counseling is anything but. The entirety of one’s feelings, thoughts, and experiences are courageously and deliberately honored and addressed. People map out what occurs, what’s in their hearts and on their minds, then use all that data to decide what would be the most realistic, helpful action to take. This meticulous examining is nothing short of heroic. Kindness, mercy, and bravery reign.

“Getting cognitive” also does not mean becoming robotic. One’s full humanity is seen, known, and appreciated. Reality is approached, not avoided. Reality is complex and dynamic; reality delivers unexpected shocks and sucker punches. Cognitive skills can’t undo what’s done, or make people “un-feel,” “un-think,” or “un-experience.” What they do is give people the power to help themselves through experience of all kinds, including hardships.

Self-kindness becomes direct rather than indirect. Rather than “giving oneself a break,” granting an indulgence, or engaging in a distraction, people can pause, use their attention, become deeply aware of what would be truly kind, and do that. With practice, self-kindness can feel moving, ecstatic, powerful, and peaceful, all at the same time.

Why become one’s own cognitive therapist and gain cognitive skills?

Even if only partial consciousness exists through ever-present stressors at home or work, immediately after shock or loss, after brutality or injury, or through congenital brain traits, accompanied by one’s consciousness, one can co-travel kindly and effectively with one’s experiences: inner and outer; past, present, future; kind or cruel; expected or unanticipated; desired or undesired.

In particular, a person can take back consciousness:

  • from despair;
  • from naturally and understandably feeling powerless, helpless, hopeless, victimized, overwhelmed, and in chaos by the facts of one’s existence: past traumas, past losses, the pandemic, memories, nightmares, symptoms, nearly automatic substance use, emotional and physical pain, and current incidents and situations;
  • from replaying a past event in hopes of figuring out what might have made it go differently;
  • from alarming and re-alarming one’s brain from replaying a past event;
  • from taking troubling experiences in short-term/working memory into deeper, long-term memory through repetition (a “flashcard effect”);
  • from attempting to anticipate, plan for, and script future events;
  • after having developed an intense inner state to regain cognitive functioning;
  • from learned actions intended to relieve intense inner states, such as use, overuse, or ill-use of substances – food, caffeine, nicotine, alcohol, marijuana, prescribed and non-prescribed drugs – eating unintended foods and eating more than intended; purging; words and actions born of impulse, anger, and rage; many others.
  • after involuntary occurrence of intrusive memories, thoughts, and nightmares;
  • from attention going “there” instead of “here,” i.e. where it was intended to go and stay;
  • from symptoms and traits of disorders such as trauma and stress disorders, obsessive-compulsive disorder, attention deficit disorder, mood disorders, personality disorders, autism spectrum, and others.

Why take back one’s consciousness?

Outcomes. Simply put, people want to feel better and to do better. Based on decades of research, cognitive therapies help many people feel better and do better, much of the time, better than other therapies, and better than doing nothing.

Once one has one’s consciousness back, what does one do with it?

Co-travel. Co-travel with what is happening. Keep the self and one’s identity separate from one’s inner and/or outer experience. Operate from within one’s consciousness. State, for example, “I feel fear” rather than “I am afraid.”

Consider precise, person-centered language. Note the differences between “I am a person in remission from addiction” and “I am an addict.” Compare “I am a person who, at times, experiences anxiety” to “My anxiety is bothering me.”

How does one take back one’s consciousness?

Consider this sequence:

  1. Become aware of having a sense that something is a bit “off” and say to oneself, “Take back your consciousness.”
  2. Access the portion of one’s consciousness in which resides a) one’s inner wisdom and true self, b) awareness of this knowledge: one’s needs, wants, strengths, preferences, values, and priorities, and c) one’s cognitive skills.
  3. Engage self-kindness and banish belief-based self-judgment and self-criticism.
  4. Become aware of what one is feeling.
  5. Sort feelings into primary* and secondary** feelings.
  6. Kindly and humanely help oneself with primary feelings.
  7. Use secondary feelings as data about one’s thoughts. Ask, “What thought caused that feeling?”
  8. Identify thoughts as beliefs or facts.
  9. Shift one’s attention to thoughts about facts and reality.
  10. Comfort oneself if realities are painful or fervently wished otherwise.
  11. Using the criteria of one’s self-knowledge, values, and priorities for direction, imagine options, assess probabilities, then choose.
  12. Derive implementation strategies.
  13. Appreciate, acknowledge, and accept: “This is the best I can I think of with what I know at this time and with the resources I have.”
  14. Based on the above criteria, say or do – or don’t say and don’t do.
  15. Take back one’s consciousness again and again if any one of these occurs: second-guessing, self-criticism, self-judgment, repetitive thoughts (“noodling,” ruminating, listing), replaying past troubles, or anticipating future dire consequences.

Always, always practice self-kindness.

We are human, humans have extents and limits, reality is complex, and we each have such a short time on the planet to work things out. Kindness is merited.

. . . . .

*Primary feelings are natural feelings that go along with being human and happen automatically without thought: mad, sad, glad, afraid, surprised, disgusted, alarmed (includes fight-flight-freeze response).

**Secondary feelings happen as a result of thoughts – often thoughts that are opinions, beliefs, or rules – that cause feelings of shame, guilt, humiliation, self-blame, mistaken other-blame, regret, rage, dread, panic, despair, nostalgia, jealousy, righteousness, vengeance, and “ideations,” i.e. intrusive thoughts or fantasies of harm to self or others. Secondary feelings that result from thoughts cause suffering through 1) escalating natural feelings, 2) causing painful feelings, 3) creating a sense of “no escape,” which can result in feelings of rage, helplessness, and hopelessness, 4) increased reactivity vs. conscious choice, and 5) creating troubled interactions with others.

Photo images: iStock

This content is for informational purposes only and is not a substitute for medical or professional advice. Consult a qualified health care professional for personalized medical and professional advice.

If You Are Having Trouble Regulating Your Emotions, Try This

Become aware of having an intense inner state.

Activate self-kindness and self-efficacy. Think, “I am going to help myself with this.”

Adjust the intensity of one's inner state

Name the primary feeling(s). Activate executive functioning structures and functions in your brain.

Primary feelings are natural feelings that go along with being human and happen automatically without thought: mad, sad, glad, afraid, surprised, disgusted, alarmed (includes fight-flight-freeze response).

Name the secondary feeling(s).

Secondary feelings happen as a result of thoughts – often thoughts that are opinions, beliefs, or rules – that cause feelings of shame, guilt, humiliation, self-blame, mistaken other-blame, regret, rage, panic, dread, despair, nostalgia, jealousy, righteousness, vengeance, and “ideations,” i.e. intrusive thoughts or fantasies of harm to self or others.

Ask yourself, “What thoughts caused these secondary feelings?”

Ask yourself, “What happened that activated this feelings-thoughts pairing?”

Ask yourself, “What are the facts about this trifecta of events, feelings, and thoughts?”

Think, “Given this data, what are my options to supportively and realistically help myself with this?”

Options come from:

The content of this post is intended to serve as text to copy and paste into a document to tape to the refrigerator or into the notes feature on a phone for easy reference. Plain language is used with a minimum of clinical terms. Clinical terms are linked to further explanations.

Image: iStock

The content of this post is informed by Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), Cognitive Processing Therapy (CPT), Acceptance and Commitment Therapy (ACT), Positive Psychology, and other work. it was synthesized and compiled by Anne Giles, M.A., M.S., L.P.C.

This content is for informational purposes only and is not a substitute for medical or professional advice. Consult a qualified health care professional for personalized medical and professional advice.