Can Therapy Help You Change?
 
Wednesday, December 08, 2010

By: Darlene Lancer, JD, MFT

Is it possible to truly change? Does therapy help? Many people have turned their lives and fortunes around, while others spend years trying to change with or without therapy, but never seem to progress. What makes the difference? Certainly, there are skilled and unskilled psychotherapists. Therapy can make a huge difference and help you traverse the obstacles to change, but success lies in the individual.

You are changing constantly – your temperature, cells, thoughts, and fluids – but the longer you repeat a physical or mental pattern, the more it becomes ingrained and resistant to change. For most people, change seems hard, writes psychiatrist Scott Peck in The Road Less Traveled, because they drift into a mode of being or bad habits, and allow external events and circumstances.

For most people, change is possible, but it’s difficult if you have a character disorder. Hence genetics and early upbringing are factors. If you’re depressed, treating the depression in therapy is the first step in change. On the other end of the spectrum, if your self-esteem, self-discipline, and support system are good, change is easier. Personality type matters, too. People who are anxious or are fearful are less likely to try new behavior, even if their present condition is less desirable – fear of the unknown is for them worse than the pain of the familiar. Consider the two characters in the film, Papillion. After escaping a brutal prison camp in French Guyana, Steve McQueen’s character jumped from a cliff onto an ocean raft to seek a new life, while Dustin Hoffman’s character preferred to remain isolated on the island, free, but still a prisoner of the island.

Below is outlined the process and discussed some of the obstacles. Although there are distinctions between internal change, such as growing in self-esteem, and external change, both begin within.

Confronting the Problem. Problems challenge you to grow. Dr. Peck points out that problems call forth your wisdom and strength. But, generally, people rationalize, blame others, repress, procrastinate, and deny as a defense against pain and problems and the discomfort involved in change. Often a problem has gone unnoticed for years, but has worsened over time.  Sometimes people endure long-term misery to avoid short-term pain. Either an event brings the problem into view, or it’s often the growing stress and pain that finally motivates change.

Confronting a problem is an acknowledgement of reality. You’re facing the facts that call for a solution, rather than sweeping the problem under the rug. An attitude of acceptance is the beginning of change. This differs from resignation, which denies your power and ability to change. The brain begins a creative process of seeking insight, answers, and resolution. Alternative options that hadn’t been considered begin to emerge.

Self-Responsibility.  Often people come into therapy feeling hopeless and helpless. Change begins if they can be honest and accept some responsibility for their contribution to their situation. Alcoholics Anonymous, successful in saving and changing thousands of lives, also emphasizes rigorous self-honesty as the key to recovery. As long as you blame others or external circumstances, you deny your power to effect change and achieve happiness. Even if you’re truly a victim in an abusive relationship, you have the power to effect change once the locus of control shifts from the perpetrator to yourself. Eldridge Cleaver famously said, “If you are not part of the solution, then you are part of the problem.”

Like therapy, A.A. recommends a thorough self-examination. Introspection into the cause of your problem is a prerequisite to change. Taking responsibility implies that today’s choices are the seeds of tomorrow’s change or stagnation. The realization that you alone are the authority for your life and your choices can be daunting. With it comes not only responsibility, but freedom. Many people want to escape that freedom, because they fear the shame of failure or are not used to making their own decisions. Morgan Freeman’s character in Shawshank Redemption could not tolerate freedom after years of imprisonment. In contrast, his wrongly convicted counterpart, played by Tom Hanks, had no guilt. His self-esteem and uplifted other inmates and motivated him to seek and enjoy his freedom.

With honesty and insight, deeper change becomes possible. Facing the truth may feel humiliating, painful, or frightening. For a martyr to discover that she is selfish or for a bully to face his vulnerability is an assault on their ego and self-concept. But witnessing is itself a shift in consciousness that lays the groundwork for new behavior.
 
Action.  Although insight is essential to change, it alone is not enough. Action is required. A decision must be made. It comes when you are ready, and cannot be forced. Even getting out of bed each morning is preceded by a decision to act. Bigger decisions – a divorce, career change, and relocation – can be frightening. Sometimes, it entails facing unknown, such as life after a divorce, or facing an abuser’s wrath when standing up to intimidation.

Entering new territory requires courage. Sometimes change happens because the pain of the problem outweighs the fear of the unfamiliar. Faith can help tip the balance in favor of risking an undetermined future. Meditation is a valuable preparation, because you practice letting go of control, if only momentarily, and resting in emptiness. Encouragement and support from friends, family, a mentor, or therapist is vital when traversing difficult changes.

Motivation.  Good self-esteem suggests you’ve felt the power of self-efficacy in the past. You’ll have the confidence and motivation to manifest your heart’s desires. That is the best reason to change, rather than for external or practical rewards. When you’re inspired, you’re infused with energy and power. It stimulates your creativity, promises a better future, or connects you to a larger purpose. It fills you with positive emotions that can overcome fear and motivate action - even in the face of death. Love mobilizes parents to protect their children, disregarding their own safety.

Often people resolve to change or get excited about an idea, but within days or weeks, they’ve lost interest and can’t motivate themselves to act. Usually, they’ve talked themselves out it. Their inner dialogue proclaims that they lack the skill, that their idea was unoriginal, impractical, too difficult, or too costly, or they deny the pain of the problem they face, employing using the defenses described above. Commonly, their parents voiced those obstacles to their childhood dreams, were autocratic, or too passive in teaching them how to accomplish goals. There are those who lack all inspiration. They don’t know what they want and don’t get excited by anything. Treatment for depression may be indicated. They need help connecting to themselves before action is possible.

Self-Discipline. Neither insight nor motivation is sufficient. It’s been said that success is 99 percent perspiration and one percent inspiration. The same is true for change.  It requires focus and sustained effort over time before results are noticeable. Many lack this self-discipline. They get sidetracked by fleeting distractions or become easily discouraged when quick results aren’t forthcoming. Self-discipline and the ability to exercise your will is a developmental task a child learns to delay gratification. This enables them to develop their skills and study in school.

Psychoanalyst Allen Wheelis in How People Change notes that discomfort accompanies change – whether a new manner of relating to reality or the confusion and incompetence experienced when tackling something for the first time. You may feel awkward and anxious, but will succeed by continually exerting your will-power. The process is not a straight path, but a spiral of movement forward, slips, stagnation, and leaps ahead. It is easy to get discouraged and be swayed by the pull of habit, but persistence pays off.
You may have tried repeatedly to change a habitual pattern or attitude to no avail. It may be that an internal shift is required before anything external can change or change permanently. You finally reach a hopeless impasse when the ego has exhausted its efforts. You may need to let go, give up control.  Then almost miraculously in ways you could never have conceived, change happens, not by you, but to you. Others may notice before you do. This is often the process when giving up an addiction, and also is the cornerstone of Anonymous programs based on the A.A. model. If you’re confronting an addiction, you’ll need support until new habits have become a solid part of your self-definition.

Lasting Change.  Finally, for change to last, in addition to motivation and self-discipline, you must be committed to yourself and the goal, and it must be congruent with your core beliefs. If your motive was to achieve others’ approval or monetary gains, then once achieved you may return to your prior behavior. Thus, it’s important to examine your original motive for changing to ensure that it expresses your true self and fosters your highest good.

Many people make changes on their own. If it’s been difficult for you, consider that therapy can lift depression, and you move through the challenges outlined above. It can raise your self-esteem, facilitate insight, and can guide you in facing the unknown and maintaining new behavior.

Copyright Darlene Lancer 2010


Darlene Lancer is a Licensed Marriage and Family Therapist in Santa Monica, with a broad experience, working with individuals and couples for more than twenty years. Her focus is relationships and career goals, helping clients lead fuller lives. Formerly an attorney in the corporate and private sectors for 18 years, she's familiar with career challenges and transitions. Both in private practice and as a Senior Mediator in Los Angeles Superior Court, she mediated Divorce and Child Custody and Visitation Disputes.She's also worked extensively in the field of addiction and co-dependency at numerous hospitals and treatment facilities. Helping substance abusers and their families find recovery has been a rewarding part of her practice. She's familiar with 12-Step Programs, but has a client-centered philosophy, encouraging each person to determine his or her own abstinence and treatment goals.