The perception of neediness and emotional dependency often carries negative connotation in our society: in psychotherapy; individuals, particularly those unfamiliar with the process, may hold a doubtful view of clients or patients who lean heavily on their therapist for support. There's even a cynical notion that therapists intentionally foster emotional dependency to gain an advantage. It's a prevailing belief that emotional dependency within psychotherapy is seen as undesirable.
Emotional dependency in psychotherapy is a nuanced and delicate aspect of the therapeutic relationship. It involves a client's reliance on their therapist for emotional support, validation, and guidance. Understanding and navigating this dependency is important for nurturing a healthy and transformative therapeutic experience. In this blog, I explore into the complexities of emotional dependency in psychotherapy and look into the sensitive of addressing it with compassion and insight.
Defining Emotional Dependency
Emotional dependency is a natural aspect of human connection. It arises when an individual look to another, often a therapist in the context of psychotherapy, for emotional sustenance, comfort, and validation. This reliance stems from a genuine need for support, often rooted in past experiences or present challenges.
In psychotherapy work, a certain level of emotional dependency is needed as part of the therapeutic process. Clients or patients struggle with profound pain and confusion, especially those with a history of unstable relationships, may find themselves relying on their therapist for an extended period. When life feels unmanageable, especially for individuals from troubled backgrounds lacking essential emotional tools and self-awareness, seeking and depending on external support becomes crucial for personal development. Without this foundation, progress and grow in therapy become nearly difficult to achieve.
It's important to note that most clients or patients entering therapy are not inherently willing or enthusiastic about developing emotional dependency. In fact, resistance to dependency is a common initial concern in therapy. Despite experiencing significant pain and a sense of hopelessness that prompts them to seek professional help, many clients struggle with the idea of depending on their therapist. This aversion often stems from early experiences in childhood, where vulnerability and neediness were associated with potential threat or hurt.
For individuals from difficult or less privilege backgrounds, the concept of needs often relates to frustration and disappointment, triggering anxieties related to abandonment and a sense of powerlessness when relying on others for what is needed. These clients may carry deep distrust about the genuine care and willingness of others to provide for their needs, which can be further complicated by the necessity to pay for psychotherapy services, leading them to question the genuineness of the therapist's concern.
These issues often surface early in the therapeutic process, revealing themselves through the transference. While many perceive the transference as a distortion of reality, such as reacting to the therapist as if they were a parent, it actually serves as a nature of a person's emotional struggles, offering a first-hand experience of the psychological challenges they battle with. So, if an individual holds an aversion to neediness and emotional dependency and struggles to establish consistent, meaningful relationships, these same difficulties will manifest in their therapeutic relationship with me in their treatment. They may attempt to maintain emotional distance, unreliable commitment. In such cases, my initial role often involves helping these clients recognise the consistent theme in their various relationships, both inside and outside of therapy - a profound struggle with tolerating their own needs.
In a recent case with my client work, these very issues took centre stage in our therapeutic relationship. Right from the beginning, my client expressed a fear of forming any form of dependency on me. Their past experiences were marked by both physical and emotional abandonment from their parents, leaving them with a doubt towards the reliability and goodness of others. They often struggle with the intense emotional disturbance with binge eating as a means coping mechanism, opting for food over human connection. Committing to our sessions proved to be a challenge; they struggled with committing our sessions, starting - then stopping therapy multiple times. This uncertainty sometimes led to abrupt session cancellations, accompanied by anxieties that I might allocate their time to another patient/client.
Rather than maintaining a therapeutic focus on interpretation, which involves helping them confront and tolerate their fears regarding emotional dependency, I made the mistake of extending open-ended support, regardless of whether they facilitate it. My intention was to reassure them and express my reliability, setting me apart from the unreliable figures in their life. However, they perceive this new setting frame of flexibility as to regulate their feelings of dependency, resulting in frequent cancellations. When I offered to reschedule, they expressed a preference not to make up sessions, as it allowed them to avoid feeling excessively dependent to me. It was at this occasion that I realised I had unconsciously given them a means to avoid the very dependency they needed to experience in order to make progress — specifically, in this client case; giving up their eating disorder and discovering healthier coping methods within the context of a therapeutic relationship.
When I realised of my mistake and revising my framework to no longer reserve a regular hour for them, but still maintaining an open availability for them to schedule sessions as needed, they became upset and ultimately chose to terminate our sessions. I can understand with their reaction; returning back the offer likely felt similar to another form of abandonment. You’d think that after over than 10 years of practice, I would have been able to avoid such mistakes, but this serves me as a humbling reminder of the complexity inherent in therapeutic dynamics.
This experience has been a humbling reminder that attempting to compensate for a lifetime of abandonment and indifference through changes in cancellation policy is a form of arrogance. In the future, when faced with similar challenges, I will endeavour to do what I should have done from the start: provide the client with what they truly need – a consistent and reliable presence, capable of setting reasonable limits and maintaining them.
Understanding the Burden of Shame and Guilt
Shame and guilt are complex and often deeply ingrained emotions that can significantly impact our mental health and wellbeing. As a counsellor or psychotherapist at Misma Counselling Service, I believe it’s crucial to understand these emotions and explore how they can affect our lives. I think - for me, that the dynamics of shame and guilt is perhaps one of my reasons that lead me to want to study the mind, as I wished to understand the ability to undermine our pursuit of a good enough life.
Shame: The Feeling of Inadequacy
Shame is a powerful and painful emotion characterised by a profound sense of inadequacy, unworthiness, and self-loathing. It often arises from a belief that we are fundamentally damaged or morally wrong in some ways. Unlike guilt, which tends to focus on specific actions or behaviours, shame goes much deeper, attacking our very sense of self.
Shame can manifest in various ways, from social withdrawal and self-isolation to self-destructive behaviours like substances abuse, addictions or eating disorders. It can be especially challenging to cope with shame because it tends to be hidden in the shadows of our subconscious, influencing our thoughts, feelings, and behaviours without us even realising it. As a therapist, I see how hard it is when patients realise such destructiveness expressed in shame which can take different shapes and forms. This painful realisation is often accompanied by confusion, hopelessness, and sometimes even more destructive resentment.
Guilt: The Weight of Responsibility
Guilt, on the other hand, is related to a specific action or behaviour that we perceive as wrong or hurtful. While guilt can serve as a healthy moral compass, prompting us to take responsibility for our action and make amends, it can also become overwhelming and harmful to our wellbeing.
Excessive guilt can lead to rumination, where we replay past mistake in our minds, creating a never-ending cycle of self-blame. This can be particularly complicated and difficult, affecting our self-esteem and causing anxiety and depression.
But why do we have these feelings? Why is that from time to time we feel overwhelmed and down, then we choose what’s bad for us, things will mess up aspect of our lives that we so much want to grow and develop? Why do we find ourselves tangled with unhealthy and destructive cycles, be them in behaviours or feelings? It’s just doesn’t make sense to pursue something that lead to suffering. Why so?
The Interplay Between Shame and Guilt
Shame and guilt are interconnected emotions that can reinforce each other. For instance, experiencing guilt for a perceived wrongdoing or fault can trigger feelings of shame if we internalise that wrongdoing as a reflection of our worthiness. On the other hand, unresolved shame from the past can make us more susceptible to feeling guilty, even for minor transgressions.
One important thing to recognise is the inner conflict, a struggle between the desire for feel valued and the fear of making mistakes. This conflict is met with counterproductive self-criticism. It’s akin to an internal version of Newton’s law, where every action is met with an opposing force, each driven by its own instinctual energy. While occasional self-doubt and mistakes are normal, if these feelings persist, they can impede our personal grow and wellbeing.
Freud can help us understand this conflict, a bit more. Freud suggested that real guilt comes from our hidden intentions. Doing something wrong isn’t what makes us feel guilty; it’s the awareness of our wrongful intentions. Legal guilt is about breaking the rules, while moral guilt is about our personal sense of right and wrong.
In his early theories, Freud talked about the “id”, which is the like part of us that interacts with the world around us. The “ego” then changes the environment so we can make the most of what it offers to satisfy our desires or needs. Later on, Freud (in 1923) introduced the word “superego” to describe the part of our mind that the ego adopts to help control the id. Freud studied the mind and how people behave, but there’s an underlying belief that human behaviour can be understood like the laws of physics, which predictable patterns.
In simple term, feeling guilty is like feeling anxious, especially when we’re torn between love and hate. It’s easy to see how guilt is connected to the inner struggle of loving and hating someone at the same time. Freud went even deeper to explain that these feelings are linked to our basic instincts.
In my therapy sessions, I often encounter various ways in which shame and guilt can affect people. These feelings are usual unconscious, and a big part of therapy process is helping patients to recognise and work through with the anxiety they bring.
I can give some simple examples of such unconscious meaning behind shame and guilt and what they do:
Neurotic: Some individuals, for some reasons, view a parent o a loved one as someone who has not succeeded in life, perhaps as someone weak or powerless. Unconsciously, they may form a kind of unhealthy attachment to this struggling parent. This can lead to feelings of shame and a determination never to surpass them. The idea of growing, improving and becoming better is then seen as something shameful, with a looming sense of guilt and punishment as a consequence. Achieving wellness is met with an internal judgement, enforced by a harsh and unkind part of the mind. Furthermore, some people believe that if they were to let go of this struggling figure they identify with, and try to create a separate, improved life, they would be contributing to their demise. For instance, they may worry the loved one might harm themselves, perhaps through excessive drinking. So, a life dominated by feelings shame and guilt unfolds, in all an attempt to avoid the greater destruction they fear would happen if they were to break this unhealthy attachment.
Punishment: Punishment through shame and guilt can be a way of penalising oneself. But what’s the crime? It’s for having desires, feelings, thoughts, or fantasies that are considered forbidden, and often harmful – thus to be pushed away from the unconsciousness. This helps the person avoid confronting certain destructive aspects of themselves, which may be directed towards loved ones. Inside us all, there exists a part that acts as our own internal judge, making us feel guilty if we go against our own set of rules. Freud termed this the “superego”, an internalised version of our parents that monitors and can punish us if we step out of line. Consequently, guilt arises from a demanding superego, penalising the person for what it believes is an internal transgression, which may not always align with external moral or legal standards.
Omnipotent: Some individuals may undermine their own progress as a defence against the unconscious fear of reaching great heights and attaining immense power, which in their imagination could unleash potential harmful aspects of themselves (like intense envy and greed). Consequently, some choose to stay in a state of powerless and weakness out of concern for potentially harming their loved ones. This sense of guilt acts like an internal safety mechanism, functioning as a form of self-protection.
Masochism: Masochism refers to finding a kind of weird satisfaction in feeling pain. So, in this case, shame and guilt can lead to a strange pleasure from hurting oneself or going through situation that cause pain and suffering.
Based on what I’ve seen in my therapy sessions and learned from my studies, it’s clear that shame and guilt can be harmful and also serve as a way to protect oneself. However, unless a person recognises the consequences of their self-undermining patterns and actively seeks to change them, it’s likely that shame and guilt will persist in their life.
Through psychotherapy, individuals have the opportunity to confront and understand the more harmful aspects of themselves. This process allows for these destructive feelings to be experienced, managed, and ultimately transformed within the therapeutic relationship. Patterns of shame and guilt are examined within the therapy setting, providing a change to unravel, process, and restructure them in the way the patient relates, behaves, and feels. Psychotherapy can also help find a balance between feelings of love and hate, lessening the destructive urges as they emerge in the therapeutic process.
In our modern society, discussion around men’s health often focus on physical wellbeing, leaving mental health in the shadows. However, it’s crucial to recognise that mental health is just as important as physical health for leading a fulfilling and balanced life. In this blog post, we’ll look into the significance of men’s mental health, common challenges they face, and practical strategies to promote mental wellbeing.
Understanding the Stigma
Unfortunately, there still exists a pervasive stigma surrounding men’s mental health. Society often perpetuates the notion that men should be strong, stoic, unemotional, and resilient in the face of adversity. This expectation can lead to reluctance to seek help or discuss their feelings openly. It’s essential to break down these barriers and create a safe space for men to acknowledge and address their mental health.
Common Mental Health Challenges:
Strategies for Promoting Men’s Mental Health
Prioritising men’s mental health is an important step towards achieving holistic wellbeing. By breaking down the stigma surrounding mental health, understanding the common challenges men face, and promoting healthy coping strategies, we can create a supportive environment where men feel empowered to take charge of their mental wellbeing. Remember, it’s not a sign of weakness to seek help; it’s a sign of strength and self-awareness. Together, we can foster a culture of mental health awareness and support.
#men's mental health awareness #mentalhealthawareness #mensmentalhealth
"I was able 'to sit' with my feelings and emotions. I no longer have the need to binge or purge this emotions" shared my client who worked through their eating disorders.
Understanding eating disorders can be challenging if you haven't experienced them yourself. While many are familiar with anorexia and bulimia, there are lesser-known disorders like AFRID (Avoidant/Restrictive Food Intake Disorder). Diagnosing these disorders is complex due to the overlapping symptoms, and they may manifest differently at various stages of one's life.
If you're experiencing symptoms of an eating disorder like extreme anxiety around food, avoiding certain foods, or binge eating, it's important to understand that it's not your fault. In fact, studies suggest that about half of the risk for eating disorders can be attributed to genetic factors. These disorders are typically caused by a combination of factors, including genetics, personality traits, and external influences like trauma, cultural ideals, social pressure, or other mental health conditions.
Feelings of anxiety, loneliness, depression, a sense of loss of control, and low self-esteem can all be warning signs of an eating disorder. However, a common thread among people with these disorders is difficulty in expressing and coping with their emotions or feelings.
The link between emotion avoidance