Three Reasons Why Traditional Talk Therapy Still Matters in the Age of TalkSpace and BetterHelp, Plus a Bonus

In the age of TalkSpace, BetterHelp, and Cerebral, traditional talk therapy is getting a bad rap. While these app-based services helped to create greater accessibility to mental health services, the pandemic has moved most mental health services online. Masked in-person visits provide social connection for those who want to leave the house, while the ease of commuting only 20 steps to your appointment is also an option. As a therapist trained in providing mid and long-term therapy, there are several reasons why I believe traditional talk therapy still matters. 

Longevity of relationship 

There are some clients I’ve known through job changes, a miscarriage and pregnancy, heartbreaks and new relationships. I’ve seen them through milestones and walked with them through peaks and valleys. 

There’s something sacred about being known and seen, when the relationship goes deep and is built through seasons of life and living. While texts and emails can be ways to connect, they are no quick fixes or replacement for a consistent human connection. This doesn’t mean you need to stay in therapy for a long time; clients come and go and come back, now with kids and new problems to tackle. The difference is they don’t have to start from scratch. 

Know how you tick

It takes time to get to know someone and be known. Some people are slow to warm up so rapport and progress can’t be rushed. Overtime, I get to know how clients respond across situations and we notice patterns. It's common for me to say in sessions, “We know this about you…” or for clients to say, “You know me so well I can say this to you…”

This deep knowing doesn’t come through brief interactions over text or voice note. This deep knowing allows for us to pivot when a modality doesn’t work, or for us to learn how to best help you. Are these conversations with your friends too hard? Let’s slice it thinner. I see that you like going on a monologue. We can take turns and I’ll reflect and make recommendations. You tend to make changes from something we talked about months ago? Now is a good time too.

Let’s do you.

Witness to your process and progress 

As both a recipient and provider of therapy, I’ve seen how progress takes time. The potential for change is understood in the history and context of the person being seen, not quick remedies to be doled out. And there’s something very healing about someone noticing those changes, witnessing that growth and reminding you how far you’ve come. “Do you remember how that used to bother you so much and now it’s just a shrug?” “You’re really noticing what’s showing up for you and pausing before reacting! Are you seeing that too?” “You’re opening up to your partner in ways you haven’t before. Wow! That’s huge!”

Who is there to see you when you’re struggling and when you’re making strides? A therapist who knows you and has been with you can be that person for you. 

A bonus: Safe parameters around the work

Most people think that traditional talk therapy requires weekly sessions, but it really depends on what you need, what your schedule allows, and what’s within your budget. Regardless of the cadence, there’s space in between sessions to process the work, without a need to constantly engage on that topic. The fact that you’ve paid into an online counseling platform like TalkSpace means you’d want to make the most out of it. I have the most beef about the messaging function which touts 24/7 accessibility to your therapist without creating safe parameters for the work. 

It is good and healthy to take a break from your problem and go on to live your life. You have other things going for you. Where you notice you’re struggling, come back to your next session and talk about it. Use the therapy space to contain your problem and know that your therapist will hold it for you until you return. There’s safety in knowing this important work has boundaries; it’s there to protect you and your therapist from burnout.

Making traditional talk therapy work 

While traditional talk therapy can feel more structured, be more cost prohibitive, and doesn’t have a flashy platform, there are ways around it. Structure is not always a bad thing and your therapist might be able to provide flexibility for shorter or less frequent sessions. Unlike online counseling platforms, talk therapy is covered or can be reimbursed by your health insurance plan. Many therapists also have a certain number of reduced fee spots reserved for under-resourced clients. 

Lastly, therapists came into this work to help people, and tech platforms that are built for therapists are not the most user-friendly. So, when you see therapy practices cobbling multiple systems together to provide a service to you or there are glitches in the systems they use, please know they’re doing the best they can with the resources they have. 

There’s help for you

Regardless of how you go about nurturing your mental health, there’s help for you. We have a team of licensed mental health professionals who will take the time to get to know you and meet you in real time. We’ll make recommendations tailored to you and your needs and see you through your process and your progress. 

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. She’s grateful to her therapist who witnessed her ugly tears around family issues in grad school and saw her gush over the man she ended up marrying, to the eventual meeting of this man for couples counseling. There’s comfort in being known and accepted through time.

How to Talk to your Partner to Get at the Heart of the Matter

Photo by David Dvořáček on Unsplash

Change my partner!

Sometimes, couples come into our offices and they want to see behavioral changes: “He needs to not log back into work after the kids are in bed…” or “They need to go out with their friends less often!” or “I can’t stand her telling me what to do throughout the day!”

“They need to STOP!!!”

During these incidents, emotions run high and they get stuck on what the partner needs to do differently for the relationship to improve. As a couples therapist, I’m often attuned to what’s really going on underneath. What message does it send you when your partner does this or that? And even then, it’s much safer and less vulnerable to focus on behavioral changes. I slipped into a moment like that myself a few weeks back. 

Here’s what happened. 

Lost track of time

Husband plays online board games on Monday and Wednesday. It’s his time with his friends and I totally support him. One of these nights happened to fall on the second Seattle heat wave and we usually would move the portable AC unit from his office to our bedroom to help cool down the space for sleep. Husband is usually done by 10:30pm-ish, but on this night, he totally lost track of time. 

His gaming session was lively and I waited and waited and waited. Surely he’ll be done by 11pm. Right when I’d think about interrupting him, I’d tell myself he can’t be that much longer. At my wit’s end, I finally peeked in and said, “I need the AC.” 

Husband sprang up from his chair and said, “Oh shit!” apologizing profusely when he reached the bedroom. I was fuming and couldn’t muster up any helpful words. Husband then returned to finish the game, as he couldn’t possibly leave his team high and dry. It was at that time I remembered how it takes time for the AC to cool down an inside temperature of 96F.

Needless to say, I couldn’t fall asleep. 

What’s really going on

My husband came to bed eventually and I said the easier thing, “We need to set up a time limit for board game night so that you are done by 11pm.” Definitely casting blame, I was asking for a behavioral change to prevent future occurrences. Husband then got hung up on problem solving with me: “Are you saying I need to be done by 11pm or I need to have the AC in here by 11pm?”

By now, it’s late and pointless to get into a board game curfew. So instead of insisting on the behavioral change, I went to the heart of the matter: “I felt forgotten when you had the AC blasting in your office while the bedroom was steaming hot and I have to get up early for work tomorrow.” Husband apologized, said he got carried away with the game and asked that I interrupt him earlier next time. 

What’s different about this interaction is that I told him how I truly felt and he heard me, without dismissing or minimizing my experience. To tell him I felt forgotten was significantly harder than focusing on what he needs to change. It required me to be in touch with that hurt and to own my vulnerability. And, seeing his impact on me in this way, that tugged at his heart string in a deeper way.

On the outside perhaps the result looks the same, regardless of approach: We’d both work to prevent this from happening in the future. I can come in to interrupt him sooner and he can try to remember that if the AC is still blasting in his office at 10:30pm at night, the unit is likely needed elsewhere. If you look a little closer, however, there’s a difference: I could either try to micromanage him, which leads to emotional disconnection. Or, when his behavior has an impact on me, I could share what it brings up for me and how it affects me.

Because I did the latter in this case, he was receptive, and it brought us closer together. 

Future late nights

Last week, my husband came to bed late again, but this time it was work-related. I went into his office to say goodnight and asked him to give me a kiss when he comes to bed. The next morning, I asked if that happened and he said yes. He said I moved briefly but was otherwise asleep. It felt sweet to know that he remembered. That’s all that mattered. 

Go beyond behavioral changes

When you come into our office, we want to help you get to the heart of the matter. When you bring up what you want to see change in your partner, our couples therapists are here to help you go deeper. We don’t just want to help you change your behaviors; we want to help you feel closer and more connected to your partner.

Don’t settle for less.

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. As with many of these posts, her husband gave permission to share their moments of humanity. She wouldn’t be able to do this work without his support and his kisses.

A Therapist’s Story: Why it can be Harder for People from Marginalized Communities to Show Emotional Vulnerability

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As a therapist and fellow human being, I love Brené Brown. She challenges the notion that we need to have our sh*t together, hide our vulnerability or be alone in our shame. She encourages us to take risks, surround ourselves with arena-minded people and embrace our imperfections. What’s not to love about that? 

More recently, I’ve been thinking about how this might show up for people from marginalized communities. What does being vulnerable and taking risks look like for people from underrepresented groups?

A caveat

As a 1.5-generation Chinese Canadian woman living in the US in a stable home environment, I know I have a lot of privilege, but that doesn’t always translate to feeling emotionally safe in my environment. I do not pretend to fully understand or speak to the complex sociocultural identities of different marginalized groups. We are not all the same and we have our unique experiences and identities. As a WOC, I am, however, trying to shed light on the possibility that taking risks and giving perfectionism the middle finger can be harder for people from marginalized communities. 

To more fully understand someone’s current experience, we often need the back story. 

My back story

I was born in Hong Kong, a British-ruled colony that was handed back to China in 1997. For the first eight years of my life, I was with my people. Everyone looked like me and there were no issues with representation. The sense I got was that White people were seen favorably in HK. Some spoke Cantonese and held high government jobs, though I didn’t see it for myself. Impossible western beauty standards of pale skin, large eyes and “the straight nose” prevailed, but I didn’t think much of it as a kid. My parents modeled hard work and that was that. 

As uncertainty about the handover loomed, many  people considered migration. My family immigrated to Vancouver, BC, Canada when I was eight years old. I remembered answering a question from my teacher on the second day of class, “What color was the plane you flew in from?” 

“White and green,” I answered quietly.

I was so nervous to speak out loud in front of everyone. I went from being with people like me to being one of two Asian students. The other kid was a CBC, a Canadian Born Chinese, so even then, it’s not like we were kindred spirits. Kids mocked my English fluency (or their lack of) and the soy-marinated drumsticks my mom packed for my lunch. One time, two popular White girls pulled my chair from behind me so I might land on the ground. I noticed the chair moving and instinctively put my hand between my legs to grab a hold of the seat and heard, with giggles, “Oh, look at where her hand is!”

Kids tease each other all the time and I’ve heard much worse bullying stories. But, there’s an added element of wondering if I was picked on because of my race. Sometimes, it’s an obvious yes. Other times, it’s much more subtle. 

In the first few years, my sister and I changed schools often. Where we lived, there wasn’t a qualified English as a Second Language (ESL) program to help me go beyond my second grade Hong Kong (British) English level. Finally at Kingswood Elementary, we went through ESL classes with Mr. Kibblewhite,  whom nearly every student had a crush on. Given the influx of immigrants coming into Vancouver at the time, we were kicked out of ESL, not because we were proficient, but because of limited resources. 

At various times, I made friends with Elaine, Roy, Frank, David, Xavier and Susan who were CBC, white, Flipino and Black. There weren’t a lot of people who looked like me but I also wasn’t the only one who was different. We laughed; we joked. I had a place and it was with a diverse group of beautiful people. Life was simpler then and those were good times. 

My parents, in the meantime, worked their tails off starting their own telephone and alarm installation company as a condition for Canadian immigration. They had limited connections and had to break ground on foreign land. Mom was an English major, but couldn’t always find the right words to express herself. For dad, speaking English was like doing physical labor. Try going to a foreign country and using their language to get by, not for fun, but for survival. They felt that exhaustion.

A growing majority minority

In the late 80’s and early 90’s, Vancouver’s demographics began to change. Mass migration from HK and Taiwan meant that people who looked like me flooded the city, the province, the country. I moved through middle and high school with Chinese-speaking peers. Chinese businesses, shops, restaurants, malls and grocery stores started to pop up everywhere. Because of accessibility to my own culture, I reconnected to my roots and started listening to pop Chinese music, passing notes in my native tongue and drinking lots of bubble tea. It was a different kind of belonging.

We were slowly becoming the majority minority.

Meanwhile, my parents' business picked up. Serving mostly their own people and a blooming market, there was more work than there were hands to do it. Many decades later, they recall a very kind white-identified regional manager at Panasonic who visited their warehouse often and took them to their first Canadian fine dining experience. They were very sad when he passed away from cancer at a young age.

College days

By the time I went to college at The University of British Columbia (UBC), it was easy to spot Asian people on campus, especially in economics and computer science classes. My Department of Psychology and Family Studies was predominantly White but I joined a CBC college group where it was yet another kind of belonging. My Chinese speaking and writing ability deteriorated and my English proficiency increased again. During a class in Family Life Education, I disagreed with the professor on an assignment and my parents asked me to stand down. “Don’t rock the boat. Write what they want to hear.” I rebelled and stated my point of view. I got a C+ for that assignment, the lowest grade since I declared my major. My parents thought that was a lesson for me and it was: speaking out against authority can be costly but I also don’t regret it one bit. 

Two and a half hours south

I got my green card my senior year in college through my aunt’s family petition 15+ years earlier. Post-college, I came down to Seattle to work for a local Chinese non-profit organization before getting into Seattle Pacific University (SPU) for grad school. Being one of three Asians in the cohort, I was back to hustling. We were a tight-knit group and I made a lifelong friend, but there was something about being in the US, only 2.5 hours away from home, that made me keenly aware I was different from the dominant culture. 

I didn’t have my community with me; I had to make new ones. I have to fit in to get in. I clearly remember a conversation with a White classmate about our skin colors. The word, “Yellow” came up. I held my hand next to her pale white skin and said, “When I think about yellow, I think about this,” pointing to a canary yellow on my pencil case (remember one of those?! I still have said pencil case). “Our skin colors aren’t that different.”

Looking back, I was denouncing a part of my cultural and racial identity in favor of the White dominant culture. If we’re not that different, you’ll accept me, right? If I work hard enough, I’ll make it here, right? These thoughts point to the need to assimilate, but it also conveyed uncertainty. I do not know for sure that my efforts paid off.

Alas, I found people like me: 1.5 generation Asian working professionals who came to the states for college, or, ones who were  born here but came from an immigrant family. There is an ease to our shared experience. To this day, they remain my closest friends. 

Emotional vulnerability as a woman of color

As I consider my early years of studying and working in the US, I’ve been shaped by various cultural expectations of what it means to be a WOC. Don’t rock the boat. Work hard. Try to fit in. Smile and be nice. As the only person of color in a very supportive practicum group, I was afraid to take up space, so much so that when my practicum supervisor said gently that the most valuable resource people can give me is their time, I broke down. Six months into my first job, my supervisor picked up on my tendency to be hard on myself. Here are her words, verbatim: “Ada, I don’t expect you to be perfect!”

Being emotionally vulnerable requires me to be okay with falling short, to sit with people’s grace and/or judgment and my own shame, to be honest with what I might need in the moment and to courageously ask for it. Everything about that goes against the grain of what I’ve been taught to do to “make it,” to be successful as a WOC. But Brené is inviting me to let my guard down, because to be vulnerable is to be courageous. Does she know what she’s really asking of me?

Emotional vulnerability in marginalized communities

I then consider other marginalized communities where it hasn’t always been safe to be driving while Black, to be the first Hispanic in your family to graduate from college, to come out as queer, to be neurotypical but not a child prodigy, to be undocumented, to be fat-bodied, to be living paycheck to paycheck, to keep showing up even when you feel misunderstood or at times, “othered”. When your basic hierarchy of needs are not always met and you get the message that you need to stop exerting so much control over your environment and your outcome, that can be a total heart and mind fu*k. 

I argue that when people from marginalized communities are accepted, welcomed and fully celebrated for who they are, then they have more energy to risk being emotionally vulnerable. To experience this sense of belonging without the need to act a certain way or otherwise risk being racially profiled, favorably or not; that’s emotional and physical security. If Brené is inviting all people to come forward and show their cards, then we need to be aware of the additional layers of complexity and risk this might pose for marginalized groups. They might have more to lose. 

While equity and liberation movements continue to work at removing systemic barriers to access, it is not an even playing field and we shouldn’t treat it as such. It is in the safety and security of a responsive and inclusive environment that we learn to come forth as more fully ourselves. It is in these corrective emotional experiences, new experiences that correct earlier ones, for the better, that courage in vulnerability can show up. 

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Ada Pang is the proud owner of People Bloom Counseling, a Redmond psychotherapy practice. She helps unhappy couples find safety and connection in their relationship. She also helps cancer thrivers and their caregivers integrate cancer into their life stories. While she has written many blogs, this one took the longest to write. She encourages you to listen to the narrative of people different from you. 

5 Ways to Spread Love During a Pandemic

Photo by Brigitte Tohm on Unsplash

I love my friends and family. But I sometimes neglect to show it. It’s not enough to feel it. People need to receive help and support from others - now more than ever. Isolation and loneliness is common in modern life, but during a pandemic it’s rampant. Just checking in on someone and reminding them that you care can lift their spirit out of a depression spiral.

I have to admit I haven’t been in a very giving mood lately. I’ve been so caught up in my own worries and the state of the world, thinking of others’ needs has felt draining. But the season of love has reminded me of all the rituals we used to do to show love for each other, and it’s important to continue to extend love and care. Valentine's day isn’t just for couples! Single folks and coupled ones alike can find fun ways to share the love.

I don’t know about you, but I’ve felt that giving presents can be more fun than receiving. Receiving a gift can feel awkward - I sometimes feel like I’m being put on the spot. But coming up with personalized gifts for loved ones can make you feel warm all over.

Here are 5 easy ways to show you care - even when it doesn’t come naturally

1. Do something to help a neighbor: shovel their walkway, offer to go on a grocery run. If you’re not sure what will help, ask what they need to feel supported. 

2. Send a postcard to a loved one letting them know you’re thinking of them - from whatever city you’re at. You’re stuck wherever you are - but most everyone else is too! When no one is traveling anyway, tell your friends something about your home base they don’t know and share what you’re doing to pass the time at home.

3. Get crafty. Make something for your friends or partner even if it feels silly. If you’re not feeling very artsy or inspired, use a kit like a terrarium making kit, a photo album app, or those Paint by Numbers posters. If you spent time on it, it doesn’t have to come from within for you to put love into it and give you a sense of accomplishment. The act of art is also therapeutic - so do it even if for yourself. 

4. Bake some treats for your pals and drop off care packages around town. 

5. Surprise a friend with delivery - many local companies have converted to delivery rather than in-person in the pandemic. If you can afford to splurge on this, support them and keep them in business. 

I get it - with many of us feeling serious compassion fatigue, doing things for others can feel impossible. If that’s the case, ask yourself what you need and see if you can give it to yourself. Do any or all of these things for yourself. Bake yourself your favorite treat, buy yourself small things that bring you joy, write yourself a note about how you’re doing. These small gestures might just revive you enough to help you reach out to others as well, down the road.

I hope you had a good Valentine’s day this year, even if it didn’t look like it usually does. 

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Karen Lenz is the Office Whiz and Insurance Guru at People Bloom Counseling. She writes blog posts as a human navigating this world, a client sitting across from a therapist, much like you. She doesn’t celebrate Valentines Day officially, but she tries to at least make it a nice, conflict-free, easy day. This year she checked in on her loved ones, baked some treats, and played silly online word games with her family.

Happy Zoom-giving! How a Pandemic is Forcing us to Shake Things Up

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One thing is for sure - this Thanksgiving will look very different than past Thanksgivings. We can’t gather like we normally would. It is partly lonely and sad, but the silver lining is that we’re not forced to spend hours around the table with people we fundamentally disagree with. I mean, we all know that if this was a normal year, the hot topic this holiday season would be how in the heck we’re gonna sit around a table and be civil with relatives after that election. 

Evaluating what matters

This year, we have a chance to reevaluate what really matters in the holiday season. What do we really want out of this holiday? Why do we celebrate it? Inarguably the origins of Thanksgiving was not a festive time for Native Americans. Considering this, what can we do instead during the holidays that feels right, and that we can be whole with?

Since many of us are not gathering anyway, we have time to think about whether we really wanted to gather in the first place, and if so, why and how we want to do it. We have an opportunity to reflect on what our generation (whatever generation you’re in - just go with it) wants out of life. We don’t have to follow certain traditions just because it’s the way we’ve always done them. So this year, let’s come up with a new way to celebrate!

Let’s rebrand Thanksgiving!

What are we really celebrating?

It’s time to question old conventions, create new traditions and break out of old norms. Let’s say we all agree that the holiday itself is a tricky one to condone, historically. Instead of continuing to teach our children the narrative that pilgrims and natives were one big happy family, we can teach them the history of colonialism. And if we want to gather as a family for late November festivities, we can still do that! Almost everyone I know is conflicted about Thanksgiving’s origin story. So let’s discard the illusion of perfect harmony between the colonists and tribes, and create something new to celebrate, not tied to our sordid history. 

Having grown up Jewish and now picking and choosing my favorite parts of the religion to observe, I’m all about picking the best things out of traditions and discarding the old archaic customs that need updating. When we do that with Thanksgiving, the focus of this day for me becomes: celebrate family, be thankful for everything ya got, cuz none of it is guaranteed, and eat well.

Coming up with a new tradition

Does this holiday have to revolve around a history with inherently problematic roots? Hint: no, the answer is no, it does not. Instead, is there a different label you’d want to put on it? If colonialism doesn’t sit well with you, but you still love family, food and thankfulness, then we should be able to have those things without an outdated holiday as the backdrop. This is a fun one to brainstorm with your kids. You can come up with new names for the holiday as a family. This year, the obvious choice and my vote is Zoom-giving!

Ada Pang, one of our clinicians often says, “A publicly recognized holiday in America is just a day on the calendar.” With Thanksgiving, it’s even a different date every year! So, who’s to say it has to be celebrated on Nov 26th this year? If you really miss certain family and friends, do another version of Zoom-giving when it is safe to gather again. Whole turkey might not be available in August, but who’s to say turkey has to be a part of this holiday anyway? Poor bird.

How do you want to do family time?

This year, give yourself permission to not do too much. If you want to forego everything and order takeout and watch Netflix - by all means! But you shouldn’t need a pandemic to be true to yourself. If you were to ponder plans for future holidays - what do you hope to gain from family time? Who do you want to invite? It’s ok to relieve yourself of the pressure to be a super host and accommodate people who test your boundaries.

If from now on, you want to only celebrate No-drama-november with your nuclear family, then can you let yourself do that going forward? Or, if you want to celebrate with your chosen family rather than your family of origin, then Friendsgiving it is - guilt free. Even if you can’t throw out all the traditions in just one year, see if you can renegotiate what you’d like to keep.

As for me, I’m making all the traditional dishes and delivering to relatives - we’ll all eat separately. It means I get to drop by to say hello, do my good deed, but not spend so much time together that we overstay our welcome or get burned out. And then I get to eat in peace. To be honest - I’m a little bit in love with this idea, and am considering doing this every year instead of the traditional big family dinner. It took a pandemic to realize that all those big family dinners did was make me feel claustrophobic. 

If you create new ways to celebrate, what’s the worst that would happen? Who’s to tell you otherwise? Is it expectations? Societal pressure? The patriarchy? Emotional labor camps? The answers are in the questions. You can let go of all of that noise. Or, at least some of that noise.

How do you show gratitude?

In the same way that we say we don’t need some random saint to tell us to show our love for each on Valentine's day, we also don’t need no stinkin’ holiday to tell us to be thankful! Then again, there’s nothing wrong with the reminder to be thankful on a certain day of the year. We can embrace this positive message without the Thanksgiving brand.

What if we made a special effort to show or express gratitude for the new Thanksgiving 2.0? You could keep a gratitude journal, or put notes in your thankfulness jar every day. Write your friends a thank you note just for being a friend. Tell your spouse you love them and what you’re thankful for about them. The list is endless.

Eating well is an ethos of its own

This is the fun one. If you’re a fan of the traditional Thanksgiving feast, you can still gather just as you always did around the table, with turkey, stuffing, and mashed yams with marshmallow goop on top. You don’t have to give anything up if you don’t want to. The new rebranded holiday you come up with can still center on good old fashioned T-G food. But if you do stick to this, make sure it’s what you really want. I imagine there are mothers out there who can’t stand the mush that is Thanksgiving food, but slave away on it anyway as a labor of love. That’s ok, but it’s also ok to mix in new foods you actually love as part of your new customs. Or go nuts - you can decide that from now on, you will celebrate with spaghetti bolognese, garlic bread and some vino. Because...why not? You can create your own path. You do you in other ways. Now do you with the holidays too, and do it wholeheartedly. 

The mantra this year is - question everything and do the things that bring you joy. If nothing else, this pandemic has helped us take a good look at all the motions we go through, and maybe it’s time to consider whether we really need some of those motions. 

Happy Tofurkey day, Friendsgiving, November family fun day, or whatever you want to celebrate to get through the madness that has been 2020! If you need some Zoom-giving debrief, our clinicians are here for you!

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Karen Lenz is the Office Whiz and Insurance Guru at People Bloom Counseling. She writes blog posts as a human navigating this world, a client sitting across from a therapist, much like you. She’s going to miss seeing everyone in person this holiday season, but she’s really looking forward to the traditional Thanksgiving food, even all the different forms of colorful mush.

Now Say you’re Sorry!” Everything you Need to Know about Apologies in Two Blogs - Part II

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If you’ve ever had a rift in your relationship, you know that apologizing is hard to do, and sometimes we could use a manual for doing it right. In Why Won’t you Apologize?, Dr. Harriet Lerner devotes a whole book to the art of apologizing. I’ve borrowed from her work to give you the keys to a stellar apology! In my last blog, I discussed the “why’s” of apologizing - why it matters, and who it is for. In part II, I identify the important elements for both the giver and the receiver of the apology. Being mindful of these things can help you make the repair process smoother with your humans, which translates to more time getting along and less time in tension and conflict. 

Born defensive

In her book, Lerner refers to the mischief of defensiveness.* We are wired for defensiveness  -- we want to protect the idealized image we have of ourselves. This is particularly difficult if you struggle with a shaky self-worth. When you’re in that space, you’re more likely to skew the words and hear “you are bad,” and you can easily drop into a shame-shit-storm. In those moments, you’re more vulnerable to fuse who you are with what you’ve done. 

Here comes our defenses! Our subconscious brain fights and says “I’m not bad, I can’t be bad, that doesn’t fit with the image I have of who I am.” And the words come out in some version of “I’m not wrong, you’re wrong.” But we cannot offer a genuine apology in this space… because in this space, we cannot listen carefully to the hurt party’s anger and pain. Instead, we listen defensively and listen for what we don’t agree with. We listen to correct the inaccuracies, the exaggerations, the “not true” part of what our person is telling us. This prevents us from hearing them out and understanding them; this protects us from the shame of acknowledging our own mistakes. 

Start with listening 

Good apologies first require good listening.* The first step in being a good listener involves being tuned into ourselves enough to recognize when we aren’t ready to listen. Check in with yourself first. Are you feeling anxious, angry, or distracted? If so, let the speaking party know you’d like to listen to them but you’ve got too much white noise happening within. Ask to come back to this conversation after you have some time to ground yourself. You can do this by taking some deep breaths, going for a walk, getting your to-do-list done, or practicing grounding techniques (a quick Google search will help you find a variety of these). Figure out what you need in order to show up wholehearted and present for your person. Then follow these guidelines:*

• Once you’re ready to engage, look for signs you’re getting defensive. Take a look at your body’s signals of an escalated nervous system (feeling tense, guarded)...and again, breathe. Lerner says we cannot listen with an overheated system. 

• Listen to discover only what you can understand and agree with. You shouldn’t be mentally making our case. 

• Ask questions about the parts that you don’t understand. Ask clarifying questions so that you’re really understanding what the hurt person is saying. Tone is everything with this; we cannot be curious and furious at the same time. 

• Offer your apology. 

• Let the hurt person know that you’ve heard, seen, and understood them. You can do that by reflecting back to them what they’ve said, acknowledging the feelings they shared, and summarizing with a validating statement such as “I get why this was hurtful,” or, “that makes a lot of sense to me.” 

• Thank the person for their honesty. Let them know you’ll continue thinking about this, invite further conversation, and make a plan for how you can do better. 

Acknowledge our differences 

Once you’re out of the listen-and-apologize piece, you can discuss where you disagree. Lerner emphasizes that this should not be conflicting with what you’ve already said, rather, acknowledging aspects of what your person shared that you might see differently.* We won’t agree with our person in every area all the time, and that’s okay. Intimacy requires coming to terms with our differences and learning to respect and appreciate our partner for the ways in which we’re different. We want to explore and understand these differences with curiosity and acceptance, rather than fighting to come out on top. 

Hurting, party of one?

When you’re the hurt party and it’s time to share your point of view, there are also some important rules to follow.*

• Keep it simple, and don’t over-talk. 

• Don’t blame or shame. This is VERY important, because blaming and shaming is likely to activate the other person’s defenses and you’ll be far less likely to get the acknowledgment you need. Do not blame, instead, assertively state your experience. 

• Use “I feel” statements, rather than “you” statements. E.g, “I felt hurt when you left me behind on the running trail.” Use your feeling words. 

• Don’t accuse or assume ill-intent. I (me, Abby) can speculate that most of us don’t do and say things with conscious intent to harm people we care about. 

• Don’t demand an apology. We want to stand on high ground as we present this information, recognizing we have zero control over the other person’s response. The healing comes from owning our story. 

Owning fault is hard

If apologizing were easy, Lerner wouldn’t have written her book and I wouldn’t have written this two-part blog. We come armored with weapons to protect our sense of self and who we believe ourselves to be in the world, but those weapons can wound. Owning our mess-ups is vulnerable, as we come with all of our imperfections and hope that the person we hurt will meet us with grace. It’s a fragile process, and it takes time and practice to master. But for the sake of our loved ones, ourselves, and our precious relationships...it’s worth tending to the cuts. 

If you’re struggling in your relationship and need help learning to offer healthy apologies, or receive them, our clinicians can help! 

*Borrowed from Why Won’t You Apologize? By Harriet Lerner, PhD (2018).

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Abby Erickson is a Licensed Mental Health Counselor at People Bloom Counseling, a Redmond psychotherapy practice. She helps people with anxiety and social anxiety learn ways to better manage their angst. She also helps people struggling with low self-esteem and body image issues be comfortable in their own skin. Since the pandemic, she has been providing counseling via telehealth. She’s enjoying not having to wear real pants. Down time in the age of Coronavirus has welcomed wine nights, hiking, and spending time with her roommate. 

“Now Say you’re Sorry!” Everything you Need to Know about Apologies in Two Blogs - Part I

Photo by Eric Ward on Unsplash

Welcome to humanity

We all mess up, say things we don’t mean, and hurt people we love. Emotions can make us impulsive and impair our better judgment. This is especially the case during a pandemic when we’re already stressed. We are human, and therefore imperfect beings. When the inevitable happens and we do care about our partner, we really need to work towards repairing the relationship. Repair usually requires an apology. But why is it that hearing “I’m sorry” feels so important to us? And, why is it so hard to offer up these same words to others? Harriet Lerner lays these answers out beautifully in her important work, Why Won’t You Apologize? (2018). Here is what I took away from it.

Why an apology is important: it “gifts” in more ways than one

Lerner refers to three “gifts” of a proper apology. The first is a gift to the hurt person. We’ve all been that person who is hurt, waiting for an apology. We feel unseen. We obsess, ruminate, grit our teeth, or distance when we feel wronged by another. And it’s hard to let that go until something gives. The gift of apology repairs that person’s emotional safety after a rupture in a relationship, and allows the hurt party to let go of the yucky feelings and move forward. 

Apologies are also a gift to the apologizer. It’s hard to apologize, of course...apologizing requires vulnerability. We don’t know how the other person will respond - will they accept our admission to the mistake and in turn, our imperfection? Apologizing can be scary because it can make us feel like we are giving up something, waving the proverbial white flag, perhaps providing ammo to be used against us at a later time! But in actuality, a genuine apology bolsters self-respect and self-worth because it’s a sign of maturity. We are owning the part of the interaction where we’ve messed up. If the hurt party is open enough to hear us, their respect for us might just go up a notch. 

The final gift is to the relationship. Apologies are necessary to work towards repairing relationship ruptures. All relationships have disagreements and conflicts from time to time; how frequently those conflicts arise depends on how attuned we are to our partner’s needs and sensitivities, as well as our own capacity to regulate our emotions. But it’s how the conflict is handled that counts. This is supported by literature around couples therapy, which universally stresses that ruptures are inevitable, and it’s the repair that’s most important for maintaining healthy and mutually satisfying intimate relationships. 

Genuine vs. half-assed apologies

Look, we’re not stupid. We can sense when an apology is not genuine, when the person saying the words are just trying to get it over with. Imagine the tone, “Well, SOR-RY!” or the words “I’m sorry you feel this way,” as if there was something wrong with you for feeling that way. Whether we’re the person giving the apology or receiving it, in the absence of a genuine apology that offers empathy and contrition, half-assed apologies can wreak havoc on connection. It often leaves the hurt party more hurt, upset and distant. And if it happens over and over in a relationship, it can tear apart an otherwise well meaning couple. 

Think of it as a compilation of small cuts that receive inadequate care. Without antiseptic, bandage, and attention...they scar, over and over again. One cut doesn’t do harm, but many little cuts signal a threat to our sense of emotional safety and get our defenses up. No wonder one argument leads to a totally different unresolved issue! We’re less likely to share our true feelings, make bids for closeness, and trust that our person will show up to help us heal, bandage in hand.

Learning to accept apologies

As important as the apology itself is, the hurt party needs to be willing to receive the apology,  as long as the trespass is not abusive. If we dismiss the apology by saying, “Eh, not a big deal..no need to apologize...it is what it is,” we send the message that their words or actions didn’t warrant a repair. When your partner genuinely wants to make amends, that response can come across as minimizing their efforts. As noted earlier, the apology is for the apologizer too. 

In a different scenario, if we keep shaming the person for their mistake, even when they’re genuinely apologizing, we reinforce that apologies are no good here -  aka, “Your apology doesn’t fix anything and I’m gonna stay mad at you anyways!” That’s you holding the grievance over your partner in a way they can never pay back. You’re essentially ignoring the cut or shoving it in their face without allowing them to tend to it. 

Instead, try this: thank the apologizer for the apology. “I appreciate you for owning your part. Your apology means a lot to me.” This is the most helpful response for mending the wound and the relationship. It honors the cut and opens the doors for proper healing...scar tissues don’t stand a chance here!

The 9 elements of an effective apology*

Now that we’ve covered why apologies are important, genuine versus half-assed ones and the essence of accepting apologies, let’s talk about what makes for an effective apology. 

So what exactly makes a “good” apology? Lerner highlights nine keys to an apology that works: 

1. No “buts”. “I’m sorry, but…” cancels out whatever was said prior to the “but.” It infers to the hurt party, “I’m sorry but I’m actually not that sorry.” 

2. Apologize for your actions/words, not for the hurt person’s response to those actions/words. Don’t say, “I’m sorry you feel that way,” because it implies that the hurt person is to blame for receiving the trespass as they did. Instead, we must take accountability by saying, “I’m sorry I did/said that to you.” 

3. A good apology offers restitution. In other words, try to make up for it. If you bailed on a commitment, reschedule and be sure to show up.

4. Be mindful of over-doing your apology. If you apologize profusely and don’t let up, this interrupts the repair exchange. As Lerner delicately notes, it’s annoying. What’s more, if you over-apologize and add things like, “I’m the worst, I’m such a piece of shit!” you’re victimizing yourself and requiring the hurt party to then tend to your self-deprecation. Please don’t do that, it’s unfair. 

5. There shouldn’t be an expectation that the other person apologizes as well. If you eff’d up, you eff’d up. Take ownership for your role in the conflict. If the other person also eff’d up, they should be able to come to that conclusion on their own. It doesn’t matter who started it. 

6. Mean it when you say it won’t happen again. True apologies require that you stop repeating the same harmful behavior. This can be difficult with habitual responses, but if you’re genuinely sorry, you need to make a conscious effort to stop doing/saying the harmful thing. 

7. Apologies shouldn’t be used to silence the other person. Depending on the delivery, apologies can be used to get the other person to shut up. This makes me think of the ol’, “Yes dear, I’m sorry dear, you’re right dear.” This is dismissive, disingenuous, and you’re being an ass-hat. 

8. Don’t apologize just to ease a guilty conscience. A true apology should not serve to make you feel better if it might harm the other person. It’s not an apology if it’s for the sake of your own healing. This might be the case when someone is setting boundaries and has requested that you give them space and stop contacting them.

9. Expect nothing in return. Finally, when we apologize, you shouldn’t be asking the hurt party to do anything. You shouldn’t expect forgiveness or reassurance that you are well-intended. You give the apology for the other person’s sake and that’s it. No strings attached.  

Easy-peasy, right? *Buzzer sound.* This stuff is hard AF, but such important work. In my next post, I’ll share more about our defenses during apologies and the step-by-step process on how to actually give and receive them.  

In the meantime, need help making repairs in your relationship? I’ll be here. 

*Borrowed from Why Won’t You Apologize? By Harriet Lerner, PhD (2018).

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Abby Erickson is a Licensed Mental Health Counselor at People Bloom Counseling, a Redmond psychotherapy practice. She helps people with anxiety and social anxiety learn ways to better manage their angst. She also helps people struggling with low self-esteem and body image issues be comfortable in their own skin. During her time at home, she's drawing from the challenges and wins in her own relationship to help couples and individuals feel more secure in their most important relationships.

Why your Old Coping Skills Don’t Work During a Health Crisis and What to Do About it

Photo by Marvin Meyer on Unsplash

In Washington State, it has been 7.5 weeks since the first reported COVID death and six weeks since the shelter-in-place order. This all feels like a long time ago and also only a few weeks ago. We’ve all done our best at coping, at taking things day-by-day. Whether you’re a frontline worker, employed and working from home, or someone out of work, if you find that your old coping skills are not working like they used to, you’re not alone.  

There are a number of reasons why the usual coping methods haven’t worked:

1. Your access to coping strategies is limited. If you used to grab coffee with a friend, workout at the gym, or grocery shop for fun, those coping skills are no longer available to you. Meeting virtually is not the same, it’s hard to put structure around your online workouts and you’re needing to readjust your mask while dodging shoppers who are not respecting your six feet bubble. Whatever adaptation you’ve made to cope with the added stress has its limits.

2. You’re dipping in and out of survival mode. If you feel like you’ve gotten into a routine last week, there’s no guarantee that this next week will stay the same. If you had a work crunch where your self-care went out the window for just a few days, the impact of getting takeouts, staying sedentary and feeling socially disconnected can easily be amplified during a pandemic. It can be hard to maintain your gains. 

3. You have less bandwidth for curiosity and exploration. Pre-COVID, when there isn't a global state of threat, transition and overwhelm, you have more bandwidth to approach your children’s questions, your partner’s bad day, or the problem at work with curiosity. “What’s going on?” “Help me understand…” “How do I solve this?” On the other hand, when we’re under constant threat and stimulation, even a neutral event can make the best of us more irritated or withdrawn.

Emily Nagoski, a famous sex educator, describes two opposing responses when rats were placed in a normal stress, highly relaxed or highly stressful environments. Rats tend to either approach or avoid. In her TedTalk titled, “The keys to a happier, healthier sex life,” the lab rat experiment starts at minute 5:12 -

If you’re feeling more like, “Wah! What the hell is going on?!” that makes a lot of sense.

So when your usual coping skills are not working like they used to, what do you do? 

1. Develop new ways of coping. This seems like a no-brainer, but we all have a tendency to do more of the same while expecting different results. You will visit a coffee shop again, work out at the gym and leisurely gather items on your list at the grocery store — just not now. What are some things you can do now? Can you imagine building a vegetable garden for the first time, taking walks and discovering new streets in your neighborhood, or finally dusting off your sketchbook? Is an online yoga class more tolerable with a friend? When you gather your social circle and everyone actually put on real clothes and order pizza from Tutta Bella, would that make Zoom movie night feel more “together”?

2. Be okay with some ups and downs and take baby steps. If you didn’t take care of yourself as well as you could have before, it is okay to start today. Expect that you’ll be thrown off schedule at times, and then get back on. Do you need to safeguard your Sundays to prepare for the week? How much takeout is too much? Would doing 20-minutes of a workout be better than doing none? Just as the cumulative effects of stress are felt over time, so are the cumulative effects of self-care.  

3. Reach out for help when you want it, not just when in need. If you’re used to toughing it out, now is not the best time. You don’t have to wait until you’ve hit rock bottom to ask for help. Your difficulties make sense and your friends can come alongside you to share your burdens. Dare to ask for a check-in, a card, a care package, a surprise. Be patient because it’s more effort making it to the post office, because Amazon deliveries take longer. And for once, stop thinking about giving back. Just receive and know that this is someone else thinking and caring for you. 

If you need help, don’t hesitate to reach out. We’re here for you.

Warmly,
Ada

If there’s a way to Tell Frontline Workers They’re Doing a Phenomenal Job

You’re doing more than a good job. You’re phenomenal. 

You're the engine that makes all things go
And you're always in disguise, my hero
I see your light in the dark
Smile in my face when we all know it's hard
There's no way to ever pay you back
Bless your heart, know I love you for that
Honest and selfless
I don't know if this helps it, but

Good job, you're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah
You're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah

Six in the morning
And soon as you walk through that door
Everyone needs you again
The world's out of order
It's not as sound when you're not around
All day on your feet, hard to
Keep that energy, I know
When it feel like the end of the road
You don't let go
You just press forward

You're the engine that makes all things go
And you're always in disguise, my hero
I see your light in the dark
Smile in my face when we all know it's hard
There's no way to ever pay you back
Bless your heart, know I love you for that
Honest and selfless
I don't know if this helps it, but 

Good job, you're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah
You're doin' a good job, a good job
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah 

The mothers, the fathers, the teachers that reach us
Strangers to friends that show up in the end
From the bottom to the top, the listeners that hear us
This is for you, you make me fearless

You're doin' a good job, a good job (Oh)
You're doin' a good job
Don't get too down
The world needs you now
Know that you matter, matter, matter, yeah

-Alicia Keys, ‘Good Job’

You matter, a whole lot. Thank you.

Finding Small Moments of Joy and Connection Through the Health Pandemic

Photo by taylor hernandez on Unsplash

Wow! What an incredibly stressful time full of unknowns! As we’re all sheltering-in-place, please be kind to yourself and those around you. Maybe get out of the house and take a walk, do an online exercise class or try a new recipe. Read a book you’ve been putting off, share something new with your children that you loved as a child… Engage in activities that will help you feel healthy and sane.

Connection is more important now than ever

Reading through some of our previous blog posts, I was struck by something Karen said about our need for connection:

So many people live in solitude and wish they had more connection. We all know that feeling lonely is emotionally distressing, but science also confirms that it can lead to a whole slew of health problems. And conversely, people who are well connected live longer and happier lives.

Karen called it “The loneliness epidemic,” and that phrase certainly is hitting home for a lot more people during this outbreak. Not everyone has pets or a partner or children at home to help them through this time. Some people are not only staying home under a mandatory shelter-in-place order, but they are also doing it completely alone.

Connection with others is what buffers us during times of stress. The more stressed we are, the more we need to feel connected to others. To know that we’re in the company of people who care and understand normalizes our experiences. Their connecting with us helps to lower our cortisol levels. Their presence, even on a screen, can help to co-regulate our emotional ups and downs. 

If you know of someone in your life who feels alone right now, please reach out and check on them. It can mean the world to them. 

A heartwarming sense of community all around

It’s one of the most amazing things I’ve seen come out of this whole scary, crazy time in the world: a renewed sense of community. I’ve been connecting with friends over video chat everyday, scheduling virtual happy hours with people I love near and far but have not previously taken the time to do so with. It’s been refreshing and given me something to look forward to each day. This helps to break up my week when the days feel blurred together. Though I don’t live alone, it has reminded me that my network is not as small as it sometimes feels.

Good things are still happening from the safety of our homes

There is so much scary stuff going on in the news, and everyone is probably experiencing information overload. But in the safety of our homes, people are dancing, playing, creating, and loving. And I have some good news as well amidst all the chaos!

My boyfriend of five years popped the question during the first week of the stay-at-home order! It’s a strange time to get engaged, but it was such exciting news to share with our loved ones. We made a huge effort to make phone and video calls to share it before we posted it on social media. 

We had a family member who wanted to buy us dinner to celebrate, but due to the outbreak we will not be able to see them for who knows how long. They sent us a photo of their credit card and told us to find the nicest restaurant in Seattle that we could that was still offering takeout. We brought dinner home with a bottle of wine and ate with our family over FaceTime. It wasn’t traditional, but it was lovely.

While we are living with a cloud of dread over us, we also continue to live our lives from our homes, the sweet moments, the family time - good and bad, is still happening and life quietly goes on.

Some of these changes are for the good

My boyfriend, er, FIANCE and I fortunately have not yet grown sick of each other. I have actually felt our connection grow during our forced togetherness because we are taking the time to do things we never have the time to do. We have been taking walks around our neighborhood a few days a week. We are watching documentaries and learning new things. People out on the street are saying hello to each other, even if it’s from six feet away. I’m appreciating the smells of trees, the beautiful sight of cherry blossoms when I go outside.

I’m hopeful that some of the social changes happening will stick around long after this pandemic. I want to hold onto our desire to connect again, to appreciate the outdoors more, to be more creative.

I hope you are finding a new appreciation for simple things too.

Reach out  - we are here for you

If you or anyone you know is experiencing the loneliness epidemic, please reach out to us. We are a dedicated team of clinicians ready to connect with you online. We know a thing or two about working from home, trips to the store, everyone being home and how to creatively connect with people who matter to us. 

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Sarah Reijnen is the Director of First Impressions at People Bloom Counseling, the latest addition to our tribe. It has been a crazy time to begin training for a new job! While learning the ropes as the new intake whiz, she is also in the midst of completing her  internship in Marriage and Family Therapy. She loves sunshine, paddle boarding and dogs of any kind.