The Role of Intuition (ESP?) in Psychotherapy

ThirdEye

While working on an article about virtual psychotherapy for The Atlantic, I began to think about the role of intuition in the work we therapists do: how it functions and what enables us to understand the way a client is feeling without being told. In part, we’re responding to visual cues. Even when clients are silent, we may “pick up” on their feeling states by reading their facial expressions and body language, often without knowing that we’re doing it. When I first began working by Skype, I was relieved to find that my intuition continued to function via video camera and screen.

Another word for intuition in this case would be empathy. When I work by Skype, I’m able to empathize with clients who may be thousands of miles away, thanks to a high definition picture that allows me to absorb the non-verbal cues contained in their posture and facial expressions. But might there something else involved? Is it possible – bear with me! – that a kind of extra-sensory perception is at work?

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Seasonal Affective Disorder and the Healing Power of Sunlight

Sunsprite
The effect of sunlight upon mental health has been obtruding into my consciousness of late.

To begin with, when I needed continuing education hours to renew my license, I took an online video course a couple of months ago focused on borderline personality disorder. In one segment of this class, the presenter stressed the importance of self-care for people who struggle with BPD. He discussed how sleep deprivation exacerbates their symptoms; he also talked about the role of alcohol and caffeine in aggravating insomnia. Regular exercise (especially cardio-vascular exercise) during the day helps people to sleep better at night. So does limiting exposure to blue light in the evening – the kind of light emitted by TV and computer screens. The presenter also talked about recent studies showing that exposure to bright sunlight helps to alleviate depressive symptoms in most people.

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My Idea of Friendship

FriendshipOne day many years ago, my friend Ann told me she had scheduled an appointment with a surgeon to discuss whether to undergo a hip replacement. She and her doctor would be evaluating the results of x-rays and a recent MRI. As a candidate for this type of surgery, Ann was young, in her late 30s, but she was in more-or-less constant pain as a result of a car accident many years earlier when her hip joint had been shattered. She walked with a limp. When she told me about the upcoming appointment, Ann seemed quite apprehensive. I knew she was preoccupied with her decision, whether or not to go under the knife.

I fixed the date of Ann’s appointment in my memory and recalled it from time to time as the day approached. Throughout the day itself, I kept her in mind then called that evening to find out the results. She had decided to have the surgery, she told me. We talked at length about what the surgeon had said, the nature of the operation, and how much relief she could expect. A few days later, she left a message on my answering machine: “Know who else called to ask about my surgery? No one.” Besides family members, not one of her other friends had reached out to her. She seemed grateful that I had kept her in mind.

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Benzodiazepines and Dementia

ValiumI haven’t written about my opposition to the widespread use of psychiatric medications in quite some time, mostly because I feel I’ve already said most of what I have to say on this issue. (See the collection of posts under the heading “The Medicalization of Mental Health,” to be found at the lower right of this page.) But a new study was recently released which demonstrates a link between the use of benzodiazepines and the risk of developing Alzheimer’s disease. While this study says nothing about the long-term effects of SSRIs, the history of benzodiazepine usage offers a cautionary tale as to how little we truly understand about a drug’s side effects during the years immediately after psychiatrists and physicians begin prescribing it.

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