I want to post an appreciation of how celebrities have used the media to speak about their Mental Health issues. My hope is that when people read about how famous people have suffered they will feel empowered enough to talk about their own mental heath and seek help if they need it.
Prince Harry talked about his struggle
I am so glad that recent feature in the Daily Telegraph where Prince Harry talked about struggling to come to terms with his Mothers death her sought counselling. He talked about trying to deal with his grief without punching someone.
Post-partum psychosis in the News
A story in the BBC News of 13 March talked of Sally Wilson’s experience of her experience of Post-partum Psychosis PP following the birth of her daughter. This morning listening to BBC Radio 4 I heard Hannah Bissett talk about what happened after the birth of her child where she too suffered from PP. She spoke on behalf of Action on post-partum psychosis for more information use what is postpartum psychosis. In the news there was the tragic case of Alice Gibson-Watt who took her life after suffering from the same condition.
From personal experience
My Mother suffered from PP in the 1950’s after my birth and was kept in a Nursing Home for two years because of the obsessive behaviour and the strange ideas that she had. She escaped the Nursing Home one night, coming home in her nighty. My Father and my Grandmother managed to accommodate her back into our home, with help from my older sister who was three years old at that time. Due to the stigma associated with mental health my Mother was never able to normalise her condition and suffered bouts of mental illness throughout her life. If society had been more open to talking about mental illness, I believe that her life would have been easier and she would have felt accepted.
I like what Karen Kissel Wegela says in her piece in the Lion’s Roar about basic sanity and neurosis; You’re Basically Good – The Benefits of Contemplative Psychotherapy. I was taught that given the right conditions we as human beings move towards health. There is so much talk about sickness and treating the symptoms that the causes seem to be forgotten about.
Using Brilliant Sanity
In her presentation of what she calls “contemplative counselling and psychotherapy” there is a focus on the inherent sanity which she also refers to as Brilliant Sanity. The contemplative therapist uses their capacity to hold clarity, compassion, mindfulness and awareness. Karen says Thich Nhat Hanh says that we are “inter-are” when in relationship and explains that there is an exchange between the present experience of the therapist and the client. Our “ego” tries to hold onto a separate abiding sense of self, this is doomed to failure as we are always changing. Brilliant Sanity does not always stay with the therapist, this is where the challenge is for the therapist to be vulnerable and let the client hold the brilliant sanity sometimes.
Easing the pain through loving kindness
Of course the past has an importance in the therapy work but the emphasis once again is on enquiry – why is the past that happened in the past manifesting in the present? Karen talks about the Buddhist teaching of that there is pain in life, but we add unnecessary suffering by trying to hold onto our sense of who we are. What eases the pain is loving kindness which can be towards ourselves and others. Repressing emotions only gives rise to them bursting out inappropriately. The therapeutic relationship needs to be robust and have enough trust within it to allow the repressed emotions to be processed. Karen also champions the value of the therapist having a mindfulness based meditation practice. The practice develops the ability for the therapist to be more friendly with their own issues, and once again the shared experience of this with the client promotes the clients’ ability to hold their issues with non-judgemental mindfulness, awareness, curiosity and compassion.
Couples counselling is the process of helping intimacy in relationship to work again. Couples work is what called marriage guidance counselling. Relationships in life can offer a great sense of fulfilment and connection. Opening up to intimacy in a relationship can be a profound source of angst in our lives. Only when we are able to respect ourselves, then we can we form lasting, loving relationships. Couples counselling is two people who are having difficulties communicating.
With support take time and listen to each other
Couples develop bonds with each other. They form a trusting beneficial relationship. Couples work is offering witness to how relationship are. Bringing awareness to problems. Facilitating people in relationship to move back to a beneficial, respectful association. In busy daily life relationships are prone to ignored. Sometimes the relationship that has worked becomes tired or even habitual. Couples work, gives time with a therapist hearing problems. Opposing views.
If not checked conflict can fall into unhelpful, neglectful patterns of behaviour. The therapy room offers a safe place for couples to talk about their problems. Together couples work towards a solution. Using the mutual desire for the relationship to work.
Making the relationship work again
Once the therapist is able to ease an open and frank exploration. The couple can make the relationship work again is the responsibility of the couple. The therapist can only help ease, and where appropriate educate. Hold the difficulty that is being shared by the couple. The couple themselves have to do the hard work of making the relationship work again.
The couple need to put into practice what they have agreed to work on before returning to the therapy room. I see couples on a two weekly basis for 90 minute sessions, to practice what they have agreed.