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Counselling in Manchester

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The 5 Stages Of Grief

07/01/2011 By Ian Tomlinson

5 Stages of grief and grieving manchester psychotherapyGrief is a common issue facing clients but it’s not reserved just for those that have had someone close to them die. Why is grief such a common issue? This article aims to answer this question and explain the stages of grief. My next article will give some suggestions for dealing with grief.

We can lose someone close to us in all sorts of different ways. People don’t need to die on us for us to feel their absence. Often during the therapeutic process it’s important to grieve the loss of an ideal that we have held close and thought essential. It hurts when we finally realise that the relationship we had with our parents was not perfect, or that they did not look after us the way they should have done, the way any small child deserves to be looked after. It hurts when we realise that our partner letting us down has destroyed our idea of what an intimate relationship should be like. Giving ourselves permission to grieve these losses is an important step in realising our full potential in the here and now.

The stages of grief are well documented in relation to death. Kubler-Ross proposed that there are five stages of grief that people go through. In this post I will briefly discuss these stages. It’s important to appreciate that the stages outlined below are not fixed in stone and it may be that you experience them in a different order or not even experience certain stages at all. There is no normal with so much of the human psyche, we do what we do and that’s ok.

Stage 1 – Denial, shock and disbelief

When you first realise your loss you may completely deny that you have lost anything at all. You may be so amazed with the realisation that it’s hard for you to get your head round it. When you discuss your childhood with a therapist it’s not uncommon to discover that events that have taken place in your past were more important than you initially perceived them to be. This may be the way you were treated as a child, the absence of a significant caregiver as you grew up, the significance of abuse that you suffered as a child. Blocking these things out is a very clever strategy when you are little. You can’t do anything about them because as a kid you are powerless. But it may be useful to allow yourself to feel the feelings associated with these events or relationships when you are an adult. As an adult you are able to look after yourself and have all the faculties to guarantee your own survival.

Stage 2 – Anger

Once you have accepted that the event in question did happen, or the relationship really was a poor one you may experience anger. This may vary from mild consistent annoyance to outright rage. It’s OK to feel angry. Chances are you feel that you should not have been put in that situation or the other party should have treated you better or looked after you in a much more loving way. It can be really useful to express this anger to a sympathetic friend or your therapist. I also advise you to avoid confronting the individual concerned about the issue at this stage of the grieving process. Sometimes it’s best to strike whilst the Iron is cold and you have had time to work it through and process your feelings. If it’s a loved one you have lost you may feel angry that they have left you (or died) or you may feel angry at yourself for not preventing it.

Stage 3 – Bargaining

Bargaining is when we attempt to rationalise the situation and work out how it can be avoided. You may start to think that you have somehow misinterpreted the situation or you are overplaying it. When faced with death, Kubler-Ross mentions individuals thinking how they can delay or cheat the final event.

Stage 4 – Sadness

At this point sadness may hit. As I said before, these stages won’t be clear cut and it’s very likely that you will have already experienced a great deal of sadness. It’s important to allow yourself to feel sad. What’s happening here is that you are processing the loss. Go with it, don’t try to push it away or distract yourself. It’s healthy and you will not feel sad forever.

Stage 5 – Acceptance

This is the point at which you will accept the loss you have experienced. You can now move on and form new relationships, get a new job or think of your deceased loved one without falling to pieces.

There is no set time period for these stages. You should not try to speed the process up or slow it down. Just accept it and you will come out the other side. From there you can move on.

If you think you would benefit from help and support from a counsellor, please call me on 07966 390857 or use my contact form to get in touch.

If you want to read my post on 5 ways of coping with grief, click here.

Filed Under: Individual Counselling Tagged With: counselling, death, emotions, grief, interpersonal relationships, relationship break up, relationship breakdown

Counsellor Or Therapist – What’s The Difference And How Do I Choose One?

22/12/2010 By Ian Tomlinson

Are counsellors and therapists different and how do I choose?You will notice that on my site I mix up the terms “counselling” and “therapy”. Is there a difference? For all intents and purposes there are no differences when I use these terms and I think that is pretty common across my peers too. Counsellors and therapists do have different qualifications and have gone through different processes to get “certified” but that should not necessarily make any difference to potential clients. Research has shown that all of the different modalities are about as effective as each other and what is important is the relationship you have with your counsellor.

Counselling for Individuals

If it’s individual counselling you are looking for then you are spoilt for choice! There are at least four Transactional Analysis centres I can think of off the top of my head that are training establishments for TA psychotherapists (like me) which puts a great choice of therapists on the market. Many of the local colleges train person-centred counsellors just to add to the mix and there are other modalities out there too that you may be interested in.

Counselling for Couples

For couples counselling things become a little more limited. Many therapists shy away from couples or marriage counselling. This is because the training that we therapists and counsellors receive is almost entirely aimed at working with individuals. If you try to apply a model aimed at individuals to a couple it doesn’t work – there is one too many people!! Many counsellors are also scared at the prospect of having a couple sat in front of them who evidently don’t like each other very much and could explode into an argument at any moment! It’s easier then (and safer) for counsellors to stick with individuals only.

I am somewhat of a rarity (some say oddity!) in that I have sought specific training in Imago Relationship Therapy which is solely aimed at working with couples. I did this because I too felt under trained and wanted to do a good job with my couple’s clients. The training has helped me feel like a safe pair of hands for those that work with me. I love the ideas behind Imago Relationship Therapy and have been interested in it for many years.

Things are different in the USA. There are lots of therapists out there working solely with couples and therapists have much more access to training too. I have to travel down to London to be trained in Imago Relationship Therapy and my trainer flies in from Montreal, Canada,where she lives (this makes her arms very tired!) I guess in American culture if you have a problem with your marriage then you go out, seek help from someone qualified and get it fixed. In the UK we seem to go for the “stiff upper lip – put up and shut up” approach or just get divorced, which I feel very sad about.

How do you know who to work with?

As an individual looking for counselling or therapy I would advise you to start on the internet and check out a few websites. What is your impression of the person who has designed the site? Do they show passion and enthusiasm for their subject? Do you feel connected to them when you read their stuff? There may be more practical aspects that help you narrow things down if you have particular requirements. You may want to work with a male or female therapist – if it’s a male therapist you want then this will make things slightly more challenging as it’s a female dominated industry with about 30% of therapists being male – we are a rare breed!

For a couples counsellor or marriage counsellor I would do the same but ask what specific training your prospective therapist has had in order to train them to work with couples. A two day workshop five years ago is not going to be as useful as a year or more’s intensive training in a dedicated model aimed at couples. Again, if you want to work with a particular type of counsellor then for couples therapists it becomes even harder. I am the only person with training in Imago Relationship Therapy in Manchester. The nearest other individuals I know of are in Lancaster (a fellow trainee) and Sheffield. There are lots of Imago Therapists in London but that’s a hell of a distance to drive for a one hour therapy session!

Once you have identified someone who you think you may like to work with give them a ring and talk to them. They may have no availability or you may decide after chatting to them that they are not the person for you.

If they do have availability and you do like the sound of them then go have an initial session and see how you feel. You can walk away at any time and you are not committed to seeing any therapist for a set number of sessions.

Therapy is a personal thing and you need to feel safe whilst you are doing it. It is also life changing. There are plenty of great therapists out there, if you think that you may want to try me out then ring me on 07966 390857 or use my contact form above to get in touch.  I look forward to hearing from you 🙂

Image: Salvatore Vuono / FreeDigitalPhotos.net

 

Filed Under: Individual Counselling Tagged With: counsellor, couples counselling, couples therapy, Imago Relationship Therapy, marriage counselling, marriage guidance, relationship counseling, relationship therapy, therapist

Marriage Counselling – Is It Easy?

27/11/2010 By Ian Tomlinson

marriage counselling in manchesterWhen couples come to me for couples counselling they are often surprised at the relatively small amount of time we spend looking at what has gone wrong in the relationship. Sure, I will ask each partner why they have come to couples counselling and what they hope to get out of it, but unless there is an urgent need, I will not dissect and invest time in the negative aspects of their history together.

I use Imago Relationship Therapy when working with couples. Imago theory does not believe that people do stuff in their relationships just to piss their partner off! We do things for a reason. We are trying to get our needs met. We often go about doing this in completely the wrong way because we are human and we are fallible.

Part of the therapeutic process undoubtedly involves dialoging about how we have been hurt by our partner. In Imago this is done safely and calmly. Couples dialogue is used throughout all processes in Imago Relationship Therapy. This involves checking out that your partner is OK to listen to what you have to say, and then having what you say mirrored, validated and empathised with by your partner. It sounds easy and yet it can be difficult to learn and is powerful when mastered. It is also the subject of a whole separate blog post. 90% of my marriage counselling sessions are spent with the couple dialoging with each other. The focus is on ownership of feelings and connection with your partner. Yelling at each other achieves nothing and just reinforces negative patterns of behaviour so is discouraged – you probably have been doing that at home and look where it has got you.

Much time in Imago is spent learning how to do things differently. Imago teaches us to break out of the old habits and put new, more useful ones in their place. These new habits allow the relationship to grow, accentuate the positive, remove the blame and replace it with honesty and intimacy.

I’m not pretending that couples get there overnight. Many couples find couples counselling tough, and a few come a couple of times, realise the amount of effort they are going to have to put into fixing their relationship and decide to break up. I feel sad when that happens, but at least they have made a decision that they have often been putting off for months. The couples that hang in there and stick with it move through the awkward phase they experience with couples dialogue and then slowly find their relationships transforming to a whole new level. They start to see their partner as an ally, and they “get” why they both do the bad stuff in their relationship. They learn how to ask for what they want in a safe way and start to appreciate what their partner needs.

When you come see me for marriage counselling at Manchester Psychotherapy I am going to do my best to keep you together. Imago theory believes strongly in long term relationships for all couples, straight or gay, married or cohabiting. Your partner is likely to be a perfect fit, that’s why you have such an emotional connection. Imago Relationship Therapy helps shift those emotions further into the positive.

Image: graur codrin / FreeDigitalPhotos.net

Filed Under: Couples Counselling Tagged With: closeness, couples counselling, couples therapy, interpersonal relationships, marriage, marriage guidance, relationship counseling, relationship therapy

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