Interview with a Therapist: Anonymous, Part 2

If you missed it, here's Part 1 of the interview.

In Part 2, we talk about the stigma of going to therapy and taking medication, the definition of mental health, the role of spirituality in the therapist/client relationship, and more.

This interview has been edited for clarity.

Photo by Eje Gustafsson

Q. Any thoughts on the social stressors that might lead to a mental health crisis, such as losing a job, unemployment, divorce, abuse, trauma, etc. and how the church might address these?

All those things are considered losses—it's the same as losing a person in your life. Divorce can affect you as much as the grief of losing a loved one and so can losing a job. They impact you in the same way as far as pain and the loss of who you are, your identity.

I think the church should address [divorce]. I feel like no one likes to talk about it. People get divorced. People lose their jobs. There are a lot of freelance [workers] who are constantly without work—that can affect you.

Luckily, if you find a good community group where you're able to discuss [these things] and be vulnerable, hopefully they'll be supportive. That's happened in one of our small groups. People have started opening up about their trauma and the group has been very supportive.

Q. In your experience, are Christians more or less resistant to seeking professional help?

They're more resistant. Because they feel like God is going to heal them already, or if they go to a therapist there is something wrong with their spiritual faith.

Some people feel like going to a therapist is very taboo, like dating someone who works for the IRS. No one likes the IRS.

Usually, it's seen as a last resort [in] getting help. And it shouldn't be. It should be one of the first things that you do if you feel like you're not being the person that you want to be.

"If you go to a therapist, then there's something wrong with you."

And that's not what it is. You're going to someone who has experience and can help you achieve your goals.

The worst thing I've heard was someone who was sexually abused (the family was Christian) was told, “God will make you forget that and make it go away.”

Forgetting about it is not really dealing with it.

Q. Any thoughts on integrating your spiritual life with your practice?

I think for me, it's being open. People think that psychologists aren't Christians, and that's not true. I've prayed for some of my clients—not in the room. But I've been open spiritually to whatever they bring into the room.

And that really helps me get a sense of what's going on. Because we have all these senses and a spiritual sense is something that I feel like people leave out. [But] it's a part of you—you can't leave yourself out of the room.

You bring your whole self into a room to help integrate what the client wants to do—what their goals are, what they want to achieve—and they sense that.

I never talk about God in the room unless my clients ask me:
“Do you believe in God?”
“Yes.”
I'm not going to lie.

I've had [times] where I was going through a spiritual process, and the client started a random conversation, just talking about God. So you never know.

If you incorporate every aspect of yourself into a room, your client will see that and they'll connect with it—because you're being your most authentic self. You're being vulnerable to them, so that they can be vulnerable to you.

Q. Any thoughts about the intersection between being a therapist and being a Christian?

I will say that there was a moment where I was very rational and I didn't incorporate that—especially in my early years in clinical work. I didn't incorporate that because I didn't understand how to.

And then one day I was like, “Well, it's a part of me, why am I leaving that out?”

Once that clicked, I was able to work further with my clients than just at the superficial level. I was able to do deeper work because they sensed that I'm bringing myself into the room wholly—I'm there and I'm present.

And then we were able to share more—without me having to disclose anything [about religion]. Just that open energy and being able to share and be vulnerable actually helped me help them in their work. It's so weird. But it did.

Q. It's interesting, because I've gone to therapy, and I don't think my therapist was a Christian (that I can tell). It makes me want to know, [laughing] I wonder if they believe in God?

I mean, you can ask them.

But that's the thing—you have to be in a place where you feel comfortable asking your therapist—It's a very personal, private relationship, it's very intimate. It's very strange, but it's an intimate relationship that you have with someone.

If you're not able to ask them these types of questions, then what is going on in the room?

Yes, therapy is focused on you, but I think there's nothing wrong with asking your therapist a question. It might actually surprise them.

Q. Sometimes I like it when therapists tell you something about themselves, because it feels a little less one-sided.

It feels authentic.

Q. How do you help a friend you think might be going through a mental health crisis?

If it's just something that's been going on for a couple of days, then you might want to wait a month or two to ask them about that again. But if it's been going on for years and someone hasn't been getting any help, then you can be like, “Have you thought about therapy?”

Oh, I almost forgot: there is also a huge stigma against medication.

And I think being open, “Have you thought about medication?” I don't think there's anything wrong with it, some people do need it.

I don't think everyone needs it, but that's for a psychologist and a psychiatrist to assess. So just being open about it and supporting your friend if they're taking medication—like I said, “If it helps you, that's great.” But I don't hear that from many people.

Q. Because you don't want to be like, “You should be on meds!”

But just being supportive of their struggle. 

The medication part is always [about] whether the client wants it or not. No one is ever going to force them to take it.

It's like, “Hey, this is an option for you. Therapy is an option for you. Different types of therapy are an option for you, what do you think? Do you think it would help, would you even try it?”

Even suggesting things like this without judgement is so important—having friends feel comfortable talking about these things.

Q. I feel more comfortable suggesting therapy because I go to therapy, but the medication thing I feel like I don't know much about it. But taking away the stigma—thanks for bringing that up.

I almost forgot about it, but I'm like, “That one's big. That's really big.” [laughing]

Q. Especially in the Christian world.

“Your healing will come from God,” but what does that look like?

Q. "You're not supposed to take medicine"—

But maybe I do, people take antibiotics.

Q. Right, they take it for physical stuff. Anything else you want to add?

I think that mental health is not exclusive of the church, it's part of it—it's there, people are struggling. And I think it should be taken into account when someone comes to you for advice or help.

It's just like [any other] field, like a doctor who's a Christian or a therapist who's a Christian. I don't think that you have to pick one or the other.

Spirituality is just as important as mental health and together they really help a person have breakthrough [in their life]. I use spirituality in my own individual life along with mental health practices, just to maintain mental health.

Q. What's your definition of "mentally healthy"?

It's not having a perfect life—that's not what mental health is—it's being able to cope with difficult things in your life. And even being able to be happy. [laughing] Yes, it's very hard. It's very hard.