Permission to be wobbly

Acknowledging the impact of change

This week I’ve been thinking about transitions and changes. This is partly because of a transition in my own life – I’m about to move house and move country, and having done it (in the opposite direction) two years ago, I’m keen to acknowledge the effect that this is likely to have on me. And someone very close to me has also had a very big change in their life, and so it’s brought into sharper focus the impact that change can have on us.

I wonder whether there are certain changes that culturally we ‘expect’ to have a bigger impact than others – whether we’re ‘allowed’ to be rocked more by one event than another, and in the same vein whether we therefore permit ourselves to ‘feel’ more in response to one change than to another. If I apply this to myself, when my mum died, I think I was really good at grieving, for want of a better way of putting it. Somehow it seemed uncomplicated; I’d got lots of messages from people that it was OK to start crying at random moments (and I did), I sought out hugs from people (sometimes to their surprise), I accepted offers of help gratefully. On the other hand, when I moved to another country, while part of me thought “this might be a bit tricky”, another part was very much focused on the idea that I was lucky to have this opportunity and therefore it would be ungrateful or weak to be discombobulated by the experience – viewing myself as an entitled middle-class snowflake fussing about a first world problem.

Thankfully I’ve got better in recent years at voicing my discomfort, and a number of conversations with people helped me recognise that, from an outsider’s perspective, stopping working for the first time in my adult life, leaving my home, friends and family and moving to a country where I didn’t speak the language, had the potential to be quite challenging. That didn’t quiet the voice inside me, that told me I ‘should’ be better at living the dream – “Oh for goodness sake, embrace the challenge!” –  but it did help me pay attention to what fears or anxieties that voice might be trying to drown out, and to learn a lesson about allowing myself to find the change difficult.

These are fairly significant changes. But changes that, on the face of it, may ‘look’ small, can still have a big effect, yet we have a tendency to dismiss them – “it’s not worth getting upset about”. The problem is that in telling yourself something isn’t worth getting upset about, there’s an implicit message that by being upset, there’s something wrong with you. So then not only are you feeling uncomfortable, you’re feeling ‘bad’ for feeling uncomfortable – a double whammy.

There can be all kinds of reasons why you might find a particular change difficult. It can upset your routine, which is what gives structure to how you function day to day. It can tap into deep-seated fears or decisions that you made as a small child of how your life ‘should’ be – decisions that you might not be aware of consciously but that direct how you live your life as an adult. It can trigger memories of past experiences that were traumatic in some way. (Years ago I remember getting a small promotion at work. I knew I ‘should’ seize this as a career opportunity, but the offer triggered memories of an earlier experience in another company where I had been given more responsibility, little support and eventually was disciplined because I was isolated and didn’t know how to speak up. Is it any wonder I didn’t welcome the promotion with open arms?)

Perhaps most importantly, it’s hard to think of any change that doesn’t bring some loss with it. A new baby is cause for celebration, but it can also mean a loss of freedom and control for the parents. So there may be a part of us that is experiencing grief, even when a change may be perceived as positive.

It’s important, too, to pay attention to the cumulative impact of changes. In my example of moving countries, there were a number of linked changes – job, social connections, language, environment – but sometimes we experience lots of little unconnected changes that, added together, can really rock our foundations. Maybe you move jobs. Oh, and your best friend just had a baby. They couldn’t be around for you when your pet died two months ago, or when your sister moved away from the area. We might see some changes as positive or dismiss them as unimportant – but that can mean ignoring or minimising the effect they have on our equilibrium. Imagine yourself standing in a boat, and having three waves knocking into you from three different directions, and how that throws you off balance. It’s all very well people saying ‘the only thing that doesn’t change is change’; knowing that doesn’t help when you’re in the middle of it! I’m not saying change is bad – sometimes things are as they are, and we can’t stop change – but acknowledging the effect of it can help us adjust.

Just take a moment, now, to reflect on a change that you may have experienced – big or small – and to sit for a few minutes with your mind on that change to see what comes up for you. What is or was the impact of that change on you emotionally, physically, mentally? Do you allow yourself to feel that impact or do you push it away? Can you offer yourself some compassion for feeling off-kilter? Is there something you can do, for yourself, gently, to ease that feeling?

If you give yourself a hard time when you find things difficult, therapy can really help you unpick those feelings that you feel you ‘shouldn’t’ be feeling and can give you more understanding of, and compassion towards yourself.  It is OK to find change hard and to take care of yourself through a transition. Maybe you can give yourself permission to be wobbly.

Therapist heal thyself

This week I’ve been fighting a bug. (You don’t need to feel sorry for me, I’m doing a great job at that.) As I decided each day whether to go ahead with client appointments I’ve been reflecting on what was The Best Thing To Do – for me and for my clients. Never an easy one to figure out, this is even less clearcut with online work when the factor of “Is it in the best interest of my clients to be infected with my snotty bug?” is removed. And I don’t have the additional effort of hauling myself through the cold to a rented room in the city.

I’ve been remembering an article I read when I first started working with clients which spoke of the ethical requirements of self-care. That as therapists we have a professional obligation to look after ourselves so that we are in the best possible position to look after others. At the time I read it this was gold for me; if I had a duty to look after myself it meant that I would do it, as I could circumnavigate the internal messages that told me I was being self-indulgent.

Doing self-care ‘right’

The downside of my interpretation of this requirement is that my tendency to ‘do things right’ then kicks in, in the area of self-care, too; I find myself asking myself if I’m short-changing clients by working when I’m not 100% in peak physical and mental condition (i.e. coming down with a cold). That battles against the belief that my clients need me, that I’m letting them down by cancelling. (As counsellors we sometimes forget that our clients continue to live and function OK the other 167 hours of the week that we’re not with them.)

I’m sure my perspective is skewed by being inside the therapy world, but sometimes it feels to me that counsellors are particularly demanding of themselves and each other in the need to do things right. Counselling attracts people who care, who want to do well for others, who want to ‘make people happy’. But sometimes we can be blinded to the value of making mistakes, of having to make a judgment call in a fuzzy situation. Black and white decision making is so much easier!

Is it OK for counsellors to have needs, too?

Self-care isn’t all chocolate cake and scented candles, as has been pointed out before. In this context – of whether or not to cancel appointments – it’s not just a question of feeling sorry for myself and curling up under a blanket. Even where I may have felt anxious in anticipation, often I feel energised after an appointment – something about being so focused on that person, about being allowed a little way into their world, about our relationship, about the magic that happens in therapy. Is depriving myself of that feeling self-care? The total focus that I bring to a counselling session means that sometimes I feel as I’m ‘coming back into the world’ afterwards. It’s therefore an opportunity for me to be centred on something other than feeling under-the-weather – surely a form of self-care?

And as therapists we often feel uncomfortable talking about the reality that our work is also our livelihood – we don’t like the idea that we’re charging people a fee for ‘being nice to them’. (Reframe: therapists are people you pay to teach you how to care for yourself.) We need to make a living, and I would be dishonest pretending that potential loss of earnings isn’t a factor – financial survival is self-care too. There’s a practical business aspect to this though: we need to be ‘good-enough’ therapists otherwise our clients won’t come back. If we’re putting ourselves under pressure or making a habit of working when we’re not up to it, that won’t help the bottom line.

Giving it our best guess

All of the above comes with the caveat that we need to not push ourselves to extremes – either of overwork or of self-care! As an example; today I felt I was functioning at 85%; I went ahead with the appointment; I did feel I had more energy afterwards but I knew also that I had recovery time, a buffer of a few hours before the next client.

I have worked in jobs where I would go in when I was feeling rubbish – ‘presenteeism’ we called it in the HR world – because there was stuff that I could do that took less of my energy, and because I believed I had to ‘look keen’. I’ve also worked in jobs where I really needed to be 100% fit to cope with the demand of the role. Being self-employed, the only person I’m fooling is myself, and I just need to make a judgment and make the best of the situation.

As a therapist part of my work is modelling behaviour to the clients I work with. What am I modelling if I feel like shit and go to work anyway for the sake of my client? That the other person is always more important than the self, that I have to rescue them?

Sometimes there’s no formula

Instead I need to check each day as it comes with the information that I have; am I fit enough to work? And check at the end of the day; was I a good-enough counsellor? If some days I decide I would have been better taking the day off, that’s information for the future. And that way I’m modelling what it is to be human, that there are very few black and white decisions and that being human is good enough.

***As a footnote: the week after I wrote this, the bug really kicked in, totally flooring me. At one point I started to wonder if I would ever be well again. This was a good reality-check to my musings; there was no way I could have worked in that state – I could barely even think, let alone ‘focus on my client’. It was a reminder that sometimes there are black and white decisions!

References:

‘therapists are people you pay……’

What self care really means