What ELSE does a therapist do?

In 2021 I wrote a post about what therapists actually do. After years of witnessing nervous glances and obvious discomfort post-job reveal it prompted me to think about how to describe my work simply, without the mystery attached to it. At the time it felt revelatory as it dawned on me that in essence, therapists are awareness builders. We support our clients to create pauses in their experience so that they can develop awareness for their behaviors, feelings, and internal motivations. Without this awareness, our blind spots can hold us hostage and emotions remain in control. So here I am, two years later, pondering once again the foundations of my profession. This time, the thought was not prompted by strangers’ glances, but instead by my own internal experience. This work is beautiful, and this work can be hard. I witness discourse on social media platforms about therapist burnout and the toll it takes on our mental health to give of ourselves as we do. But…where exactly does our energy go? So I began thinking about this and as I followed the trajectory of a session I believe I have stumbled upon yet another important aspect of our job. So, are you on the edge of your seat yet? Ha, ok…maybe not, but here we go. We..are…drum rollSpace Holders. Yes, as therapists we hold a lot of space. You may hear this term often in our pop-culture, “holding space.” But, what does it mean? Frankly, before I sat down to think this through I didn’t have a concrete way of explaining it other than that it was an energy, a vibe (scientific…I know.)

Let’s think about the words together – to hold and space. To hold is a verb, an action; supporting or carrying something. It is not passive, we are creating an experience in our body and in the body of the recipient as we hold it/them. And then, space. The Oxford English Dictionary defines space as a continuous area or expanse which is free, unoccupied, and available. When I feel into the energy of space, it makes me want to take a long, cleansing *DEEEEEP BREATHHHH!* Ahh, space feels good. Space is not empty, it is not a cold void, but instead it is clear, abundant, and uncluttered. I liken holding space to the operating system of a screen and projector. Space (or the screen) is there to allow the images that need to show up to have a place to do so. The projector (or the holding) has no plans other than to play the images contained on the film. So, “space” in the context of therapy is an open, energetically tended to area that remains unbiased, allowing things to arise naturally so that they have the opportunity to be held and seen. Holding space is the act of remaining without agenda, listening intently to the words and accompanying affect of the recipient, while embodying a compassionate, nonjudgmental stance. As content arises, the therapist can be the projector and simply allow it to be seen or the therapist may also act as the screen and mirror it back. This allows the client to hear their own experience from a voice that is outside of themselves. Holding space allows the recipient the experience of ultimate containment. They are being seen and heard as they are. In this exchange there is no initiative to change anything and the magic exists in simply being with them as they discover these parts of themselves.

As we hold space we enter into an energetic agreement with our clients to be the shared screen for their internal material to rise so that it can be seen together. There is a co-creation occurring here that allows clients to be held and reflected in their own experience without the explicit or implicit needs of another, of the greater culture, or any other force that may pull on them to “be” a particular way. The client can come as they are, without the guilt, shame, or blame, and simply be witnessed. This is an experience quite unique to therapy that unfortunately the world rarely provides (as too often we are met with guilt, shame, or blame in one way or another.) As clients show up this authentically with another human their emotional capacity expands. It can be a deeply corrective and loving experience. In our personal relationships we can be so inwardly focused on our own emotions, our own needs, our own desires, or our wish to fix or change or alter the other that the space gets cloudy. The truth is, it would be impossible in our personal relationships to consistently offer this level of support. It requires a great deal of focused attention and therapists spend years training to do this (outside of my work, I can totally do some fogging!)  But, this is one of the absolute beauties of psychotherapy, to have someone hold sacred, authentic space for you, that is just for YOU, so that you can be seen and held as you are, and for you to know that as you are, is exactly as you should be. To receive space is as experiential as it is curative. If this is something you’ve never experienced in any of your relationships, I recommend you try it! It is truly magnificent (shout out to my therapist for all the space she’s held and for teaching me so well! 💕)

This is not to say that therapists don’t ever have agendas, because… that would be a lie! Ha 😉 We are aware of and monitoring our clients’ wellbeing as we work to support them in improving their mental health, which may at times include concrete goals. However, holding space is an essential offering that is rich in benefits. One of the most profound hidden gems in this exchange is seeing and hearing your own experience reflected through the voice of the space-holder. The steady, gentle, accepting voice that witnesses and shares your story as it is in its deepest truth. As you experience this over and over again you begin to internalize this nonjudgmental voice and it allows you to see yourself through this lens. This is not a linear road and acceptance may come in bits and pieces, but, as this skill comes online it gives you the chance to love and accept yourself in an entirely new way. To see yourself as perfectly imperfect. We are reparenting ourselves here! Becoming the steady loving voice in our own story that gives us permission to just be exactly as we are. This…this, is healing.

So yes, Awareness Builders + Space Holders + XYZ…stay tuned for more.

Sending you all the space you need to be held, seen, and unconditionally accepted just as you are…right here, right now.
With love,
Dr. Alix

The Corridor of Fear

You’re pacing a narrow corridor. It’s darkly lit. The light bulbs flicker on and off, making eerie noises. The hallway is suffocating and there seems to be no way out. When you come to one end you immediately about-face and turn to the other. Your body is as shaky as the lights. Your mind is racing, heart fluttering. You can feel the terror and dread set in. Your mind is thick, dense, and foggy. Nothing seems to make sense. Will anything ever be ok? You pace back and forth…between fear and fear. This is The Corridor of Fear. It holds you tightly in its grips. It reveals only problems, no solutions. It shows only darkness, no light. It keeps you stuck in its confines as you spiral deeper and deeper into its energy. Feeling like there is no way out. No where to go. The overwhelming feelings of powerlessness and stress ravage you until you are rendered emotionally paralyzed. Digging yourself deeper and deeper until all seems dismal. Trapped between fear and fear. Here you are.

Ok. So I know this opener is a bit dramatic (my high school English teacher would be proud) but guys, does this not accurately describe the experience of depression and anxiety? The feeling of being caught in an energy so thick, so seemingly large, that you cannot find your way out? Not only does suffering from it feel like absolute garbage, but so often you can’t make heads or tails of what’s happening until things in your life are already damaged – your health, relationships, work. The energy of depression and anxiety feed on you like ultimate parasites. Forcefully entrapping you into their web of lies and darkness. They take your thoughts and with what seems like herculean force, drag you into the depths of misery as they force you to compulsively obsess about what isn’t right, what needs to change, and how bad it all is.

This is all happening in your own mind. In your own internal world. The place you have learned to trust as your home-base. This makes it immensely difficult to zoom out and see that you are being preyed upon by these evil bloodsuckers… IF you are lucky enough to even realize what is happening at all. Gaining the perspective required so that you can witness the source of your stuckness requires great presence, strength, and determination. But it’s worth it, I promise. Just like breaking free from jail, you let yourself out of the worry holes, shame spirals, and bleak outlooks. When you find your way home and come back to yourself you realize that everything is pretty much right where you left it. All that other stuff, all those other worries…LIES. Lies that kept you stuck. Lies that kept you trapped. Lies that kept you pacing between fear and more fear.

Just like a real life horror film, anxiety and depression are AS BAD if not worse than the scariest villains in Hollywood. This evil technology implants itself into you…making you think, it IS you, and then lures your mind into a narrow, dark, scary place…without you even understanding what is happening. It feeds on you as you create more dark energy…as you become its power source. The more you worry, fear, and embed negativity into your life, the more powerful it becomes, and the more trapped you become by it. Obsessing over what went wrong, who is “mad at you”, and what a failure you are, literally gives these supervillains life. Yuck. 

So, I want you to notice. Are you pacing up and down The Corridor of Fear? Do your thoughts move seamlessly between worry and worry? Are your thoughts focused on negative past events or possible future failures? Do you speak so unkindly to yourself that if you spoke to a friend that way, they’d say you were being toxic? Do you obsess about the things you wish were different, unable to appreciate the beauty that you have right now? If the answer to these questions are, YUP…well, now you know where you are. You are trapped in The Corridor of Fear. I want to hand you a key to get out. You may feel ready, but I also want you to know, these supervillains will fight back. As soon as you step out, they will try to suck you right back in…so this is a process that takes time. Be gentle with yourself as you begin to notice and build this new quiet strength.

I now present you with *your escape route*. Open your eyes and scan the room/space you are in. Come into the present moment. Breathe. Notice where you are, your actual surroundings. Is everything ok, right in this second? (If not…like if your house is on fire, or your are bleeding profusely, then I want you to go take care of that now!) If so (meaning there is no imminent crisis), wonderful! You are letting yourself out. Begin to slowly come back into your body, feeling your feet on the ground, feeling your breath move your belly up and down. Think about what is ok. What you DO have. Open up to the wonders of what it means simply to be ALIVE. To be experiencing air, and water, and food, and music, and entertainment. Move into the simple beauties that exist all around you (like a comfy blanket or some pretty artwork.) If you notice your thoughts being magnetized back towards the shit-heap…then it means the supervillains are realizing their power source is dying (we can expect this to happen) so just come on back to all that is good right now. Moment to moment… to m o m e n t… to m. o. m. e. n. t. Keep on practicing this, every single day. Until it becomes a habit and the Corridor of Fear has released you from its grips.

…and today my friend you are on your way to becoming a superhero. Keep on fighting the good fight against those evil supervillains. You got this.

Sending you love in all ways,
Dr. Alix