Despite being seen three times a year by a psychiatrist to review the nuts and bolts of my OCD, depression and anxiety and the effect prescribed fluoxetine and anxiolytics are having on my general health, I now have another sort of review in my psychodynamic group therapy. Every six months we take stock of our goals, risks and achievements. I volunteered to go first in this new uncharted territory of therapy as it gave me less time to dwell on it and arouse the many critical thoughts that may have disabled me from benefiting from this event.
Reviewing myself or letting myself be reviewed, as a group activity, was odd, firstly because it is the only time, unless you want to have the spotlight in group, you are thrust into the group’s crosshairs. I was grateful for only having a week to ruminate over what initially felt like a bureaucratic hoop, but in all fairness I think I forgot about it by the weekend and only brought it back to mind the morning of my next session.
Refusing to be cowed and rendered defeated by my thoughts I considered the individual points of the review in my allotted fifteen minutes at the start of the session and found that, without being completely aware I was doing so, I do actually keep a mental ledger of where I was at the start of my therapy and where I am now. With so much food for thought from each session over the weeks months and now years my mind has mulled over the problems presented to me, not just about my own psyche, but those reflected to me by others around me. I consider it one of my greatest achievements to take into account the way others might see me differently to my perceived view of myself and find I am able, albeit in an analytical fashion, to accept these observations to reflect and think about without drowning in a sea of my self-made negativity.
I have never formally looked at what therapy is doing for me in such depth verbally or mentally, so viewing myself, my thoughts, emotions, goals and progress in this way clarified what my goals are from here on out. It was encouraging to see the positive work my ever chattering mind can do, even when I don’t feel in focus of the sessions I have weekly. It appears, as I have always suspected you don’t need a therapist to be with you daily but a mental voice that represents a therapist does exist in my cognitive choir. This maybe why I don’t feel defensive about the way I feel or come across and am altogether willing to consider the effect my behaviour has on others and on myself.
To date I am grateful for the increased self-awareness I have developed in therapy. I am glad I appear to cope with the depression and anxiety I have more constructively whilst being more aware of their origins. Each session seems to increase my arsenal of tools to augment or mute my analytic thinking and self-reflection leading to a neuroplastic change that benefits me a little at a time. I am burdened with fleeting dark thoughts on a daily basis but I am finding more balance with the lighter thoughts I seem to be able to generate.
I may have a few chronic illnesses, but my OCD and whatever else keeps it company, has to date affected me the most in my life and I have tools I am getting better at handling to cope with the condition. I know what my next step is in my self-development, and here’s hoping I generate the impetous to take it before the next review.
I love what you said about not necessarily needing a therapist, but integrating the mental voice of a therapist into your daily thoughts. I think realizing that I could be that mental voice for myself was one of my biggest breakthroughs, and it’s still one of my biggest strengths that I lean on now that I’m out of therapy. I wish you all the best in the rest of your journey, and thank you so much for sharing this.
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Thank you, I think it’s a huge breakthrough to learn to trust yourself to be objective and probably the most valuable tool to come out of therapy on the road to self-regulation. I’m not sure I can be that constant voice of reason yet, but I trust my therapist to let me know when I am ready to move on.
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