counseling seattle

When the Cause of a Sexless Relationship Is - Surprise! - the Man

The New York Times published a brillant essay from gynecologist Jen Gunter about sexless relationships and the implicit understanding that it's often the woman's fault. 

"Our society seems almost built on the erroneous idea that all men want sex all the timeso I imagine it would be hard for men to admit to a lower libido, even anonymously. I have lied about my weight on many forms. That doesn’t make me a broken person; it just proves that a cloak of invisibility doesn’t hide you from yourself. The most damaging lies are the ones we tell ourselves."

Relationship problems rarely get better on their own. Addressing sexual incompatibility in your relationship with a trusted therapist can be helpful in moving forward.

Self-Compassion

We can be really hard on ourselves.

"You could have done better."

"Why did you say that?"

"I should be able to do more?"

Often, we think (and hope) our criticisms are motivating. Instead, their destructive and painful. 

Self-compassion offers a kinder, gentler way to speak to ourselves. Check it out for yourself.

What I'm Reading

Constructive Wallowing, by Tina Gilbertson
I'm not far into it yet, but Tina Gilbertson suggests wallowing, or allowing yourself to feel "negative" feelings, leads to a fuller life. Instead of pushing "negative" feelings aside, accepting and embracing difficult feelings gives you power and understanding over yourself.

So, what is it you practice anyways?

This first in a multi-part series exploring the types of therapy I practice.

I've been a big believer in Cognitive Behavioral Therapy (CBT) since studying it in graduate school. The simple premise behind CBT is that your thoughts influence your feelings, which influence your behavior. Understanding this pattern allow you to change it, right at the core.

Say you're in a meeting with your boss and she's not saying much. 'Is she annoyed with me?' you think. 'Maybe what I'm saying is totally off base.' These thoughts might make you anxious and start second guessing everything you're saying. These emotion-filled thoughts are called automatic thoughts, and they pop up based on beliefs about ourselves and the way the world works. Instead of automatically thinking your boss was annoyed, wondering if your boss was tired or preoccupied may change how you behave.

Automatic thoughts rely on perceptions about yourself and others called core beliefs. Core beliefs are developed from childhood experiences, cultural influences, your environment and more. Common core beliefs often follow themes of abandonment, un-lovability, defectiveness, helplessness, and entitlement.   

I have to be in control to be ok.

I'm unsuccessful.

If I don't succeed, I am worthless.

It's not ok to ask for help.

I'm stupid.

I'm bound to be rejected.

Challenging these automatic thoughts is the key to accessing and changing these core beliefs. Asking yourself questions like "Am I jumping to conclusions?" or "Am I condemning myself as a total person based on a single event?" or "Am I using all-or-nothing thinking?" can help challenge these thoughts. 

Noticing these automatic thoughts and changing them to a more realistic view can relieve distress. Changing the thought pattern from 'My boss is thinks I've done a terrible job; I'm worthless' to 'She's had a busy day and isn't saying much; Can I ask for feedback?' will change your behavior.

CBT is effective in treating:

  • alcohol use and abuse
  • substance abuse
  • depression
  • anxiety
  • chronic pain
  • chronic fatigue
  • eating problems
  • health problems
  • relationship problems
  • sleep problems

It's a short-term, problem-focused therapy that aims to systematically change the way you think about yourself and the world. 

Pokemon Go: Helping Players' Mental Health

It's only been out for days, but Pokemon Go is taking the world by storm. The app-based game combines the virtual world with the real world by tasking players to hunt Pokemon in the real world. 

Intended or not, players are getting out and about, what researchers have proven to be effective in treatment of depression

It's a great step in the gaming world, connecting the virtual and real worlds to encourage movement and socialization.