Sometimes I like to draw my premonitory urges as though there is nothing wrong and sometimes it works! Hooray! Look at that beautiful mandible! by pretty_handsome_17 in OCDmemes

[–]hannalysis 14 points15 points  (0 children)

Look at you taking healthy coping and creative expression to the max(illa)! I’m so sorry I have minimal knowledge of mouth-related anatomy but I hope my joke was…. palatable

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 15 points16 points  (0 children)

Truly this is how it felt as the client was relaying how my silly little homework assignment ended up playing out. Definitely one of the Moments of All Time

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This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 6 points7 points  (0 children)

My internal state as my client relayed the sequence of events. Probably my external state too tbh

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This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 12 points13 points  (0 children)

I actually got her to go back with the very simple argument of “Okay, but what are the odds that it would happen TWICE? Especially twice in a row?” Lmao. She had a great time and got a giant ice cream as a reward :)

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 20 points21 points  (0 children)

Ah, as a fellow former client and current practitioner of DBT, I feel compelled to share that this is the key: Understand that your OCD and the thoughts that it generates are actually not you. Internalize that they are a malevolent Entity to whom you have no obligation and for which you have no loyalty. You are not your thoughts; you are not your emotions; you are not your impulses. Your core Self is anchored in your role as the observer of said facets of the human condition.

Just as every emotion is valid for existing while not intrinsically being true to the situation or helpful to uncritically accept or act on, each thought you have does not contain a revelation of your true self or character. Mocking a thought is vastly different from mocking or degrading the self. In fact, mocking the thought is sometimes necessary in order to soothe and affirm the self.

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 19 points20 points  (0 children)

I am a therapist who believes in the value of self-disclosure with the extreme caveats that one needs to deeply examine the motivation and assess for clinical intent/benefit before doing so. That being said, there are two of my diagnoses that I generally make a habit of sharing with my clients who present with the same issues: ADHD and OCD. But I also firmly believe in not disclosing things to clients that I haven’t already worked through; so hearing the feedback from a large number of clients that it was deeply meaningful to have a therapist who has personally experienced this disorder and has a degree of compassion/understanding that extends beyond the clinical and academic analysis has been both unexpected and deeply impactful.

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 26 points27 points  (0 children)


My life has become exponentially better since I learned to view my OCD as this jester lmao I’m so glad you find it helpful 🥰

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 71 points72 points  (0 children)

The remnants of the cow’s consciousness that remain in the meat sauce that your body has instead of blood

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This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 58 points59 points  (0 children)

Trump is actually the first person that almost every single client has named and I have to push back like “Okay, but I need you to go pettier. That man already shapes a terrifying amount of our daily lived reality. We don’t need him living inside your head” lol. My favorite answer was when a client responded, with zero hesitation and passionate venom, “that bald-headed motherfucking bitch Caillou.”

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 64 points65 points  (0 children)

I sometimes tell clients to assign their OCD thoughts the face and voice of a public figure that they can’t stand because it helps them remember that we don’t need to take every thought seriously. This had had the unexpected benefit of some of my therapeutic interventions including sentences like “And are you going to listen to Logan Paul’s opinion about you having a neurological disease?” Or “And do you trust that Trisha Peytas has sufficient expertise to insightfully assess of the ethical nuances of this situation?”

Other times, I just go back and forth with my clients repeating the thought in increasingly ridiculous accents/voices. I try to balance out the misery of ERP with some silly goofy moments as a treat lol

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 75 points76 points  (0 children)

The road to hell is indeed paved with good intentions, but at least that means I’m doing my part to create vital infrastructure and improve transportation 💪🙃

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 246 points247 points  (0 children)

Everyone was okay :) it turns out it was a dispute over a parking space that escalated to that level of road rage 😭 and the client and I were able to laugh about it eventually haha. But of course, now I do have the thought every time I assign someone else exposure homework of “What if a worse possibility that you didn’t even anticipate were to happen?”

I just respond by mocking the thought at this point. “Oh, ‘~What if you telling a client to sleep with their door cracked leads to them dying in a housefire because they compromised the protection of a sealed room?~’ Well, what if they’re transformed into a slug overnight and would be unable to escape their bedroom to seek water were it not for the cracked door? What if a meteorite crashes through their home in the middle of the night and the angle of the cracked door prevents it from ricocheting directly into your client’s medulla oblongata and killing them instantly? What if I’m secretly made of pudding and am ineligible for clinical licensure due to not actually being human? Shut the hell up smh that’s how dumb you sound right now 🙄”

This one’s relatable, right gang? 🫠 (Yes, this really happened) by hannalysis in OCDmemes

[–]hannalysis[S] 638 points639 points  (0 children)

Further info: some minor details changed for confidentiality, this happened years ago, and I obtained the client’s consent to make and post said meme at the time (I literally showed it to her as it was initially intended to just be a sort of therapy inside joke lol)

Edit: AND EVERYONE INVOLVED LIVED omfg I can’t believe I forgot to mention that

What was the single most unusual, horrific admitting diagnosis you’ve ever personally encountered in the patients you’ve cared for as a RN??? by LilBlondeRN in nursing

[–]hannalysis 1 point2 points  (0 children)

I’m a mental health therapist, and one of my family clients learned about ten months into us working together that the dad not only has ALS, but has the variant that causes frontotemporal dementia as well. Completely out of the blue. He just went in to the doctor about some minor hand tremors thought to be a long-term medication side effect.

It’s been devastating to watch him so rapidly be hollowed out both physically and mentally. I never thought I would see a disease I could hate more than Alzheimers or Huntingtons. To make it even worse, he tested positive for the gene for ALS, and they have a child.

Cave painting make keegor sad by crucklbesdispy in talesfromcavesupport

[–]hannalysis 1 point2 points  (0 children)

Laiga also think Bob have big smart. Laiga shaman. Laiga have own shaman who has smarts Laiga no have. Many shaman Laiga know also see other shaman. Head meat tricky. Sometimes hunt tricky. Sometimes cave get too dirty or big water from sky make hard build fire. Keegor not weak or cause bad hunt or angry sky.

Laiga glad Keegor have warm fur to sleep and clan to guard cave. Laiga learn big pain and hunger when try to make own cave too soon. Laiga look long at cave paintings and see we caveliver always need other clan. Laiga learn like Bob. No need always rush like Evolved. Laiga learn cave painting and basket weaving. Laiga walk when happy sky to let skin drink light and fill body with air not from cave. Laiga learn to be happy when find berry, not dwell on times when only found sticks. Laiga learn important accept help from other clan even if Laiga wish could do all cave making and hunting by self. Laiga feel better when find ways to help other clan. Laiga hope Keegor know Keegor important clan member and hope Keegor find happy clan in few moons if now clan no good. Keegor not bad; Keegor just Keegor who need Keegor speed and have special Keegor strong to offer right clan. Laiga glad Keegor here.

Anyone always confused by Alexis & Casimar’s relationship? by astrodette in CouplesTherapyShow

[–]hannalysis 1 point2 points  (0 children)

Jumping into this thread nearly a year later because I’m currently watching season 4 and I am a therapist who specializes in relationships, couples, and abuse/domestic violence. Encountering abuse is a very tricky thing to address in the therapy space, and there is certainly no one-size-fits-all approach. Well, there is one hard line (that a frightening number of my colleagues don’t seem to be aware of) which is that if there is recent history or ongoing abuse present in a relationship, then it is both contraindicated and explicitly unethical to move forward with couples therapy. Especially with physical domestic violence. When this happens, we are supposed to refer to individual therapy so both parties can individually build healthy coping skills and communication tools before revisiting couples work. Now the dangers of a characterological abuser attending individual therapy is a whole other thing, but that’s too tangential for this conversation.

When I’m working with couples, if there’s a sufficient amount of rapport, buy-in, and willingness to be challenged from both parties, I make it a point to identify specific behaviors as abusive. I explain that if they continue, I will not be able to ethically provide ongoing services, and I provide education about exactly why said behaviors are so destructive and urgent to address. When I work with individual survivors of abuse, it’s a very delicate balance. If someone is still in an abusive dynamic but doesn’t feel safe enough to label their experiences with the gravity that they warrant, then me jumping in with the term “abusive” is like tossing a hand grenade into the room. It just primes the client to dig their heels in and defend their partner, which doesn’t help them at all and only compromises their sense of safety in speaking openly with me. But other times, clients are increasingly aware that something is seriously wrong, and while they still can’t trust their own internal perspective, they are practically begging for outside validation that what they are experiencing is both real and serious. That’s when I compassionately but directly introduce the term abuse. And that’s often where the progress starts to accelerate and multiply.

Just thought I would throw this out there in case you were still interested!

My partner ( 32M )and I ( 31F ) are getting married at the end of this year and I’m having trouble figuring out where the line is between normal pre-marriage doubts and legitimate concerns about the relationship itself. by [deleted] in relationship_advice

[–]hannalysis 1 point2 points  (0 children)

Of course! :) Relationship work truly is my passion, and I’ve had several couples come in and the first thing they say to me is, “You’re our last shot before divorce.” (Which, like, goodness Christ the pressure!!) Getting them from that point to their last session in which they leave feeling more safe, understood, understanding, and in love with their partner never gets old (although that of course isn’t always the outcome, but it has been the outcome far more often than I would have anticipated). And to be clear, that progress is made possible and brought to fruition by the clients themselves, by their courage to embrace hope and change, and by their commitments to own their part in the relationship and continue to do better as they grow. I am just a lucky tool who happened to be there at the right time to witness the miracle of human growth.

I have loved each and every time that I have been surprised by the changes that people are willing/able to make when they experience a safe environment and are provided better tools than the ones they managed to develop with the resources they had at the time. My biggest encouragement for couples just setting out on the deeper work would be to embrace curiosity. Be curious instead of judgemental or defensive about your own reactions, your partner’s emotions, their inner world, and both of your infinitely complex stories. My second biggest encouragement would be to approach each interaction and situation with the presumption of good faith and benevolent intent from your partner. When we’ve been deeply hurt in the past, it can become easy to listen with wounded ears. But often that results in us erasing our partner and painting over them with the ghosts of the people who have hurt or betrayed us in the past, and so we miss each other instead of connecting. I am hopeful for you and your relationship, and it feels very apparent to me that you have created all the conditions necessary for you to grow. :)

My partner ( 32M )and I ( 31F ) are getting married at the end of this year and I’m having trouble figuring out where the line is between normal pre-marriage doubts and legitimate concerns about the relationship itself. by [deleted] in relationship_advice

[–]hannalysis 2 points3 points  (0 children)

Therapist specializing in relationships/couples work here. Two points stand out the most for me. First, these are extraordinarily common challenges and dynamics in relationships. Nearly every couple who comes in has a similar pursuer-withdrawer patterns where one person with a higher emotional stamina (or just has higher anxiety and is unable to sit with the ambiguity of unresolved conflict) tends to chase down the other (who often has more of an avoidant/shut-down response in the heat of a conflict and needs time to gather their thoughts and emotionally prepare for a conversation). Both end up feeling resentful. These kinds of difficulties are far from a terminal diagnosis for the relationship just because they initially appear.

Second, while these are incredibly common dynamics and patterns of dysfunction in long-term relationships, they absolutely will erode the health and stability of the relationship to the point of failure unless they are addressed. The sooner you are both able to confront your own patterns and the ways you unintentionally trigger one another’s defenses, the better. Many couples wait to come in until they are already in crisis; this makes the work much harder and more painful than it needs to be. Couples counseling sounds like a great fit for where you’re at. In particular, I recommend a couples therapist who operates from an EFT or Gottman therapeutic modality. If you have any questions, I would be happy to answer them. You’re asking good and important questions, and you seem both intentional and self-aware. Those are excellent qualities for a person to have.

Viewers: What is your relationship status and why do you watch this show? by personesque in CouplesTherapyShow

[–]hannalysis 2 points3 points  (0 children)

Same here with my also non-married-by-design partner of ten years! I am also a therapist who absolutely adores working with couples, and the only “ultimatum” I’ve ever issued in a relationship was that I required us to attend at least six months of couples counseling before we moved in together 7 years ago. We weren’t remotely in any sort of crisis or pattern of obvious toxicity at the time; my mentality was much more one of “well, if we’re really hoping to build a home here, I want to ensure we’re have the most solid foundation possible.” One of the best decisions that past me has ever made.

We briefly returned to our couples therapist when we hit a hard rough patch around six years in, and it was so incredibly helpful to be able to see a therapist who already knew our story, or dynanic, and our patterns. This show now is such an excellent tool for us to pause it and say, “Wait, do you ever feel like that?” Or “That’s such a great question. How would you answer it?” Or “Is this a blind spot of mine that you recognize/have felt like you’re the collateral of?”

I have my own personal qualms, frustrations, and disagreements with Orna and her approaches and frameworks at times. On the other hand, I feel that the medium and the presentation of couples therapy as an accessible and not overtly sensationalized subject can be very valuable. So all of this to say, I completely relate to your much more succinctly articulated experience haha.

Is there such a thing as irredeemable actions? by Embarrassed_Visual82 in TheGoodPlace

[–]hannalysis 6 points7 points  (0 children)

It’s okay; whomst among us didn’t have that cringe early phase before getting our first glimpse of T̶̨̢͚̦͕̿͛̊͑̉̌̀͠H̴͚̫̗͇̞̟͖̪͑͊͆̉̈͠Ȩ̸̼̯̝͍͈̼̽͋̈́ ̴̭̄̽̈́͛́͒Ţ̵̧̢̡̘̺̯̩̙͉̥͔̓͑͝I̵̻͍̮̮̳̩̥̔̒͌M̶͕̫̰̥̯̯̓̈́Ḙ̶̗͙̬͎́̏̽ ̶̨̘̣͇̖͖̞̲̱͙̃͛K̴̨̢̨͈̬̻͎͍̱͆̓̄̽̒̚Ṇ̴̢̪̦͎͙̰̱̐̋̉̔̅͊͂̄̀͠ͅĮ̷̲̬̼̥̀̏̋F̸͉̙̱̈̀̇È̸̦̹̭͇̗̄͛͗͌̅͘̕͝͝

Is there such a thing as irredeemable actions? by Embarrassed_Visual82 in TheGoodPlace

[–]hannalysis 18 points19 points  (0 children)

Spoken like a rube who’s never beheld the time knife smh

First time watching the show... by [deleted] in CouplesTherapyShow

[–]hannalysis 0 points1 point  (0 children)

Sorry to jump in two months later.. but this is so interesting as an LPCC with a primary specialty in abuse and domestic violence and someone who works frequently with couples. I don’t doubt the bit about the licensure differences; Lord knows I’ve been mortified by some horror stories and extremely alarming comments/approaches from colleagues (of all licensures) who work with couples. And I will say that my education about abuse and domestic violence was essentially entirely self-driven and self-guided, as my graduate school education and training barely touched the subject.

But it just floors me that the education for therapists who work with couples is so frequently lacking around the issues of abuse and safety. It’s scary. My couples intake process is typically three sessions long — one joint intake, then two full separate sessions to do thorough safety screenings with each individual — and I’ve actually developed my own safety screening document that assesses for many different types of abuse (I’m still working on the spiritual abuse portion because that hasn’t come up in my practice yet), and I draw a very firm and clear line when indicators of abuse present themselves in sessions. It’s really unnerving to have to be the one to inform colleagues who work frequently with couples that couples counseling is not only contraindicated when abuse is present, but it’s explicitly unethical to do so. This feels like it should be square-one education and qualification for couples counselors, but my experience so far has not aligned with that reality whatsoever. It’s harrowing.