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The Relearning Blog

no b.s. exercises

the exposed therapist
relationships
navigating change
emotional stuff
the self

The world of psychotherapy has expanded expediently in the past couple of years with emerging new therapists and their private practices. Addressing mental health and ensuring that there are sufficient resources available for the public is crucial. However there remains question and concern of therapists and their practice or lack thereof with boundary setting. What am I basing this on? I have had clients share their experiences of previous therapists disclosing their own personal challenges in sessions. Some therapists crying longer and louder and clients leave their sessions feeling like they need to hold space for their therapist rather than the other way around. It does happen, it is happening and can be an incredibly harmful experience for clients. It is necessary to explore, discuss and understand the importance of boundary setting between a therapist and their client. It appears as to what may have been an obvious practice in the therapy world once upon a time may not be the case today. 

Boundaries are important in creating a secure, safe and healthy client-therapist relationship. They are crucial for establishing a professional and ethical space in which therapy can take place. Only with strong boundaries we allow clients to be vulnerable and able to explore their thoughts, feelings and experiences without fearing judgment. These are the building blocks of a true therapeutic relationship. 

It is the therapist’s responsibility to create the boundaries. 

To give you an example the following are what boundaries may look like

Confidentiality: Your therapist’s role is to uphold strict confidentiality to protect your privacy. They are not to disclose any personal information about their clients and sessions without consent. There is an exception to this rule when there are specific legal or ethical situations where a disclosure is mandated (i.e. – harm to self or others). 

Emotional boundaries: Your therapist can empathise, nurture, support and co create a secure attachment with you without becoming personally involved or emotionally dependent. The balance between being supportive and maintaining objectivity is key.

Physical boundaries: Your therapist respects your physical space, asks if physical touch is ok (i.e.- hand on knee for comfort or a reach to touch your arm, handshake, hug or even touch during a guided/relaxation meditation). When appropriate and foremost consensual, this can support the therapeutic process. However physical contact is generally limited in a therapy session.

Financial: Your therapist has provided you with transparent information around the fees, cancellation and late fee policy. Your therapist might be understanding of a one off event with late payment or last-minute cancellation (hey life happens right) but appropriately addresses this with you if it starts to become a pattern. 

You have a right to a boundaried therapist

Ideally, your therapist should be receiving training and supervision to ensure they uphold these boundaries effectively throughout their practice. You have a right to a boundaried therapist so your mental health and therapy journey can feel safe, secure and fully supported. If this is your first time in therapy or your tenth time giving it a go, you are allowing yourself the opportunity to learn and experience a healthy, caring, supportive and boundary-ed relationship. This learning can sometimes feel like your new blueprint for relationships. It can extend into other relationships and model what healthy boundaries can look like, and more importantly, feel like. By addressing boundary issues directly, you can ensure that your therapy journey is supportive of your mental health goals.

Some tips for you if your therapist is unboundaried

Think it over: Reflect on the event or therapist behaviours that concerns you. Has there been a violation, inappropriate or discomfort with therapists’ personal disclosures, etc.? What is your gut feeling?

Talk it out: You can discuss your concerns directly with your therapist. Although this may feel daunting, it is important to express how you perceive the boundary issue and what you are uncomfortable with. You can do this calmly and respectfully.

Clarity: This may be a misunderstanding. Seeking clarification from your therapist about their boundaries, the therapeutic frame and their approach will help if there has been a misstep in communication, etc.

The response: A professional therapist will be open to discussing your concerns and any issues that arise. They will take your concerns seriously and work towards repairing any injury within the therapeutic relationship and in rebuilding the professional relationship.

Reporting ethical concerns: If you feel that there are ethical violations you may consider reporting them to their licensing board or professional association. These organizations have support in place to address ethical complaints and ensure accountability. 

Don’t give up hope! Seek out another therapist: It would be discerning and may dissuade you from seeking out another therapist. Please don’t give up and continue to prioritize your mental health and well being by seeking out support from another therapist. 

Therapists are human too, we have feelings, common lived experiences with our clients often mirroring our own fears, judgments, shame, joy, excitement, happiness, etc. However, there is a power imbalance between client and therapist leaving no room and opportunity to become friends. Setting boundaries with clients means we are conducting ourselves in a professional and ethical manner, protecting our clients interests and establishing trust. Boundaries also help in preventing dependence which allows clients to feel empowered, grow and develop skills to live healthier lives. 

If you are searching for a safe space in therapy, you can find an ethically sound and boundaried therapist at Relearning Human. Connect with us @relearninghuman.com

Authored: Kavita Patel RSW and co-founder of ReLearning Human

Your therapist is not your friend. Why boundaries are important in a client-therapist relationship.

Relationships

“Between stimulus and response there is a space. In that space lies our freedom to choose our response. In our response lies our growth and our freedom” – Viktor Frankl.

Your phone dings and you immediately check for a message while eating dinner with your family

You walk by a bakery and start salivating and tears come to your eyes before your brain clues into your memories of freshly baked bread 

You see crumbs on the floor and become angry at your roommates (is that just me?)

An email comes through and you immediately start thinking “it’s my day off, why are they emailing”  

As humans we are constantly observing and reacting to stimulus (sights, sounds, emotions, thoughts). When we are moving about life in a reactive state, there isn’t time or space for our logical mind to kick in. Reading this you might think “well, I’m pretty logical and self-aware, I don’t need therapy”.  Think again. 

If you sometimes:

  • Avoid conflict or shut down and retreat in conflict 
  • Feel defensive and criticized with feedback 
  • Blame other people or situations for your problems 
  • Have blow up fights (including hypothetical fights in your mind)
  • Replay conversations in your mind and overthink
  • Feel blindsided or surprised by other peoples actions 

You might not be as aware as you think and that’s OK. Very few people are intrinsically self aware (I’ve never met someone who is). You can practice self-awareness and see great changes  through this simple practice. 

Stop what you are doing 

  • When you feel yourself reacting – stop. Freeze. Say something like “I’m reacting” or “I’m reactive” (if you’re a nerd like me you can say “My amygdala has taken over”).

Take a breath – get our of your mind and into your body

  • Tune into your body and create intentionality around your breathing. Notice how your lungs expand and contract with every breath you take. Slow everything down. If your mind is racing, keep breathing and focusing on your breath until it starts to slow. 

Label what’s going on (this is the hardest part because we don’t like to feel those damn emotions) 

  • I feel angry, I feel anxious, I feel upset, I feel overwhelmed, I feel some kind of way 

Problem solve

This will look different for everyone. For me it includes breathing, prioritizing, asking for help, taking a break (2 mins), letting go of tasks, journaling, emailing my therapist in a panic, feeling through the emotion. 

Everyone’s process and problem solving will look different because we are all wired differently. What works for you might be detrimental for someone else. It’s important that you find a plan that works for you. Explore ReLearning Humans No B.S. Resources and team members anytime. You don’t have to do this alone, we are here to support when you are ready. 

Moving from reaction to response

No B.S. Exercises

Humans are not so different from computers. As humans, we are only able handle so much before we start to lag, short circuit, overheat and explode. Our bandwidth (pun intended) to manage information, experiences and stimulus depends on a number of factors including hormones, our sleep, weather, over-all health and nourishment, feelings of connection and many others. 

One of the challenging things about being human is that we actually haven’t evolved that much AND we believe we are much more evolved than we are. Our nervous system is still wired to constantly be on the lookout for anything that might impact our ability to survive. Yes, I am referring to the email notification, text message or upcoming doctor’s appointment that has us in a mental frenzy. 

What your mind perceives as dangerous is out of your control. What is within your control is how you respond when your brain jumps into survival mode. Being aware when your survival brain has taken over is a learned skill. Once you become aware of that, you can train your brain and body to cool down and respond instead of react.

One of the ways we can “restart” our system is by breathing. Slowing down and tuning in to our breathing signals to our parasympathetic system that we are safe, there is no danger and it can calm the f*** down. Use this breathing sphere to slow the pace of your breath and reset your system.

Brain Reset: Calm Your Nervous System with Breathing

No B.S. Exercises

I decided to write on this particular topic as I have recently experienced the greatest loss of my life. I am grieving the loss of my sister. My person. She transitioned in December 2022. She fought Leukemia (AML) and lung GVHD (graft vs host disease she developed in her lungs from her stem cell transplant). If I were to write she lost her battle to cancer, I’m pretty sure she would deliver me a cosmic pinch on my arm.

As a mental health practitioner and may I remind myself and you, a human first, we are so often challenged with having (yes, the “I should” because I am a therapist) to practice “healthy” coping, implementing self care techniques and “doing the work” as I often share with my clients. However, as a human, when you are faced with these human challenges, all this shit often goes out the window.  Sometimes in order to merely survive we dive headfirst into isolation, numbing and avoidance, anything to prevent feeling the unsurmountable pain, both physical and emotional. 

Here are some of the ways I am experiencing and navigating with my grief and loss. Some of these reminders and choices may also help you navigate yours. Is it possible to cope and continue to live with and through your grief & loss. 

Some of the things you may experience after the loss of your loved one:

Fatigue   

Overwhelm with all the “feels” 

Grief fog  

Loss of appetite or increase in appetite.

Inability to be around people (those you love, maybe?)

Difficulty sleeping

Anxiety

Depression (extreme sadness)

Isolating yourself

Consuming yourself with your lost loved one 

This is not an exhaustive list of the symptoms you may experience. All the symptoms you experience are normal after losing someone you love. 

When you are ready to heal and take steps forward in healing, these are some tips that may help you:  No one knows the best way to heal but you!

Grieve in your own way. That is the only way.

I talk to my sister and hear her what her response would be and feel her presence. I incorporate her into my life in any which way I can (yesterday I made Shepards pie. It’s not my favorite but it is hers). And it’s ok. However, it feels isolating and most days I feel a little, a lot crazy.

I am learning to accept that no two people will grieve the same way. Sometimes it’s easy to feel guilty, angry and isolated when you don’t grieve in a certain way or the way people around you, or the world wants you to grieve. Let go of the guilt when you are ready, it will not help you heal and allow yourself permission to grieve exactly the way you need to in the moment. It’s ok.

Self care. Even when you’d rather not.

Grief engulfs every aspect of your life, it is a full body and mind experience and can be entirely debilitating and so confusing. The last thing I wanted (want to do some days) is get out of bed, exercise, at times I did not want to allow myself any opportunity to experience joy and moments of happiness. Guilt can be very loud sometimes, and you wonder why and what’s the point of taking care of myself? And you do it anyway.  Only you know what your capacity is, what you can and can not handle.

Here are some of the ways that I have been able to take care of myself. You may be able to resonate with some and try:

Spending lots of time in nature

Going to the lake at my sister’s (your loved ones) favorite spot (if possible, of course)

Exercising (this means movement of body)

Nourishing my body with healthy meals and drinking lots of water

Breathwork, Somatic exercises (this may not feel safe for everyone) Meditation.

Painting, cross stitch

Therapy 

Journalling 

Working less (saying ‘No’)

Zoning out, into my grief binge watching television (yes this is ok)

Practicing non-judgment and self compassion when I turn to alcohol or substances to numb the pain.

Reaching out for support from those who know what’s up. 

The exact dates and time frame is unclear however not long after my sister transitioned, I joined the Princess Margaret Hospital support group for bereaved family members at Wellspring. It was the start of feeling less isolated and enabled me to understand and fully accept that not everyone grieves the same. There were family members with unresolved anger towards their loved ones, denial (I was in this group) and still with courage and vulnerability we were able to share, feel seen and heard in the most difficult time.  Along with the support group I continued with my individual therapy sessions with my therapist (yes, every therapist should have a therapist!) and have had many conversations and continue to do so with those that have also lost loved ones. There is a comfort and ease when you know they get it. You don’t have to say much at all, and this means everything.

Surround yourself with people you love and love you. When you want to.

It’s not always easy to do. Most often being around people you love and creating new memories is a bittersweet and sometimes a painful experience, a reminder that your loved one is not here anymore. So, surround yourself with people you love when you want to because although your loved one is not here in physical form, there are others around who do love you and love for you to be around in any emotional state you’re in. Just as you are. Shifting your mind to what you still have and to want to create for your life and future is necessary in your healing journey.

Keeping memories alive and celebrating the life of your loved one

I think I’ve made it somewhat of a mission of mine to ensure that my sister is remembered and celebrated. We had a weeklong celebration for her where we released her ashes on her birthday in Jamaica as per her wishes. We are fortunate that we were able to grant her this wish. I have built strong connections with some of her dearest friends, and they share their memories of my sister. Together we are keeping her memory alive through the tears and the laughter.  There are photos of her in my home, some of her belongings that are the dearest to me and my family. Her clothes are still in her closet at my parents home. Periodically we step in and smell her clothes. Talk to her in her childhood bedroom and feel maybe a little closer to her. Beautiful paintings that she painted during her last two years on earth are placed all over the home. She is remembered, missed, loved and celebrated every day. 

You can keep memories of your loved ones alive. Creating an album, memory journal, recordings of your thoughts are some other ways you can do this for yourself and share with family and friends if it feels right for you.

Leaning into your faith and spiritual beliefs

I am a Buddhist by practice and what I mean by that is I chant/pray and create clear determinations daily for my life, the one I wish to create for myself. It is also the time (well one of many times throughout the day) in which I connect and feel closer to my loved ones that have transitioned. It is when I have conversations with my sister and wish her love and light in her continued journey. It’s what allows me to have hope in my healing journey and connectivity to all things within me and around me. It is my grounding. My anchor.

If you have religious or spiritual belief lean into this part of you for support and guidance through your grief and your healing.

Trust in time

My clients hear me say this, A LOT. Trust in timing or to be more accurate, “I trust in timing”. Time does heal. Maybe not entirely heal but what I am experiencing is that there are moments when the grief feels lighter and a little more manageable. I haven’t experienced this consistently though. Grief is not linear, sometimes we feel like we are doing quite well and managing and then the next moment, day or week we are feeling the intense loss and fall into the depths of our sadness all over again. I wake up some days with the thought of, “is this true?”, “Oh no she’s really not here”. With time however, these periods in between feel more spread out. 

Take time to heal, do not rush your process and be kind and gentle with yourself. You can do this and you are not alone. Your brain is trying to make sense of a new reality without your loved one in it the way they used to be. You are relearning to live essentially with loss, building a new life around your grief, hence time is an essential component in your process.

Try to take good care of yourself (when you can) & Breathe.

This blog is dedicated to my sister & soulmate Janki Patel. Her last words in her eulogy she left for us… 

You are strong. You are brave. You are loved. And you are enough just the way you are. All is well. Until we meet again.

Authored: Kavita Patel Co-founder of Relearning Human

For support, connect with our Relearning Human therapists.

Grief: Navigating Loss When Your Mind Feels Fucked

The Exposed Therapist