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Monday, March 12, 2018

How To Forge A Happy Marriage

Back in the 1980s, when I was doing my first degree in psychology, I came across a piece of advice. 

Men's Needs, the book said, run roughly on these lines:
1. Sexual Fulfilment
2. Recreational Companionship
3. An Attractive Spouse
4. Domestic Support
5. Admiration

Women's Needs, the book said, run roughly on these lines:
1. Affection
2. Conversation
3. Honesty and Openness
4. Financial Commitment
5. Family Commitment

The book was HisNeeds, Her Needs by Willard Harley Jr., a US family therapist, and published in 1986. If I remember correctly, these lists were compiled from talking to his clients.

When I read it, part of me was thinking, “This man is talking to and about white middle class Americans so how much does this really apply to me?” and also, “Well, it’s not very scientific, is it?” Also, I wasn’t too convinced that sex isn’t in the average woman’s top five. 

However, the lists did strike me.

How often have you heard a man moan, “She used to love hearing all about my job successes, but these days she just doesn’t care!”  That’s him missing admiration.

Or hear a woman say, “For once I’d like to be able to snuggle without having to a) beg for it, and b) having to follow it with a bonk!” That’s her missing affection.

Today I still have issues with the lists (and perhaps by now he’s updated them to reflect modern life) but I do use them. 

My weekends, for example, are for Us. I know it drives a lot of my friends insane because weekends in Malaysia are always chock full of weddings, dinners, birthday parties etc. However, while I value my pals, I value Tom more, and he isn’t keen on those kinds of events.

So our weekends are reserved entirely for us. We don’t do anything fancy. Most of the time we have a nice home cooked special lunch and then a film marathon on Saturdays.

More often than not, we talk all the way through them. For example, at the moment we’re watching Columbo and Lewis and it’s helping us work out the Perfect Murder. We’re pretty sure that if we decided on marital homicide, we’d get away with it.

Weird? Possibly. But we enjoy it. 

On Sundays, we do the fun lunch again and then we go out. It’s nothing fancy; just our local but we love it.

Again, we talk up a storm. It’s yap-yap-yap for two to three hours, about everything from the news to what’s going on at work. Me, I figure that covers Recreational Support for him and Conversation for me, plus with the chatter and the dressing up so we look nice, we cover a lot of the rest of the lists.

It’s not very glam, is it? But for us, going out to fancy places and doing the romantic wine-and-dine thing is stressful. We enjoy a home cooked meal in front of the telly and then a night out a stone’s throw away from home.  It’s what we did when we dated.

And that is, I think, the essence of the “needs” lists. Dressing up, talking, being affectionate, open conversations, admiration, commitment, and sex - they’re very reflective of what happens when you’re dating - or courting, if that is a better word. 

I don’t think there is such a thing as a recipe for a happy marriage. However, I do believe that many people forget to transfer the dating aspect of their courtship into their married life.

If anyone were to ask, that would be my number one tip for a good relationship: incorporate the things that made dating work for you into your everyday relationship.

What do you think?

Want to talk to me? You can find me here on Facebook. It’s my private timeline, but it’s open to the public, so just drop by; no friend request needed.

If you're looking for a counselling psychologist working online for stress and depression management, contact me via email at happy@lepak.com. I work online via Skype and Messenger. My current charges are RM100 or US$30 over Paypal.

Monday, February 12, 2018

"I've got a problem with my boss, so why do you want to know about my mum?" Short answer: 'cause you're a special snowflake. Yes, really!

If you've not been into it before, you might worry about what happens during a therapy session.

So here's an example of how you might typically tackle a common problem, in the hope it helps sheds some light on the process.

Suppose you make an appointment to discuss an office problem. "My boss gives me orders, and when I ask a question, he yells," you say. "It's gotten to the point where I'm shaking just at the thought of talking to him. What do I do to fix this?"

The thing is, I can't tell you how to fix it straight off. I know what works for me, but not what works for you. You are a unique human being with your own style, character and circumstances.

Yes, you're a special snowflake! 

So what I have to do, is to get to you know you really well, and reasonably quickly. (Because you're paying me and you don't want to be hanging around for weeks on end)

So what are the steps to figure it out?

#1 I ask, "Tell me about the last three times your boss yelled."  We examine the situations in detail so I can see exactly what's going on. At the end of this, I have a better idea of your feelings, your personal style, your boss' personal style and so on.

#2 As a boss is an authority figure, I then look to see how you handle authority figures generally. So I ask, "How do you fight with your mum?" I might also ask about your dad, your teacher at school, your older sibs, former bosses - whatever works.

#3 At this point, I have a good idea of who you are, and of your personal style. The next step is to see if you already have successes in this area. So I ask you, "Have you ever been in a word fight and turned it around?"

#4 We now have lots of information about you and the situation, so now we look at general principles of how issues like your are resolved by other people. Generally, this involves me explaining theories and examples.

#5 Now we pick through everything, and we decide on an approach that a) suits your style and situation, and b) that has some good evidence for working with others.

And at this point, we go on to practice (modeling, we call it) in a safe space, and then we work up to you going out solo.

As you can see, most of it isn't rocket science but it does take a bit of work, especially when it comes to steps 4 and 5 which are often where clients get the most benefit.

I hope this helps, and if you're looking for a counselling psychologist working online for stress and depression management, you know how to contact me. I work online via Skype and Messenger. My current charges are RM100 or US$30 over Paypal.

Sunday, February 4, 2018

When scolding leads to lies...

On Saturday I left a bag of tangerines and pineapple at the hawker centre. When I went back the next morning, the man at the stall said, “Yes. No. Oh, I threw it away.”
I said, “You threw away perfectly fresh fruit? Come on, you know that’s not true.”
I knew he’d eaten it. He knew he was lying. 
So he said, “I will compensate you” and I said, “Man, it’s just fruit. Forget it. But don’t lie to me next time, okay?”

I bought my breakfast as usual and replaced the fruit but I was thinking about it on the way home, and I believe this is symptomatic of something else.

When someone leaves perishables, you keep them for a few hours. That’s only fair. But if at the end of that day nobody comes, you don’t chuck out perfectly beautiful, nicely wrapped tangerines and pineapple. That would be a waste. You eat them.

Okay, they were commercially wrapped so you could keep them up to three days. So maybe he could have put them in the fridge and kept them an extra day. But hey, it’s not a gold watch. It’s not money. It’s just bloody fruit.

So why didn’t he just say, “Oops, when you didn’t come back, I ate them”?

I think it’s because people are so stressed at the moment that they yell for nothing at all. It’s not uncommon to see people screaming at staff for bringing the wrong drink or the wrong dish. All that aggro has created a situation where people lie automatically, just to avoid a scolding.

What do you think? See the discussion here.

Sunday, January 21, 2018

“If it’s quackery, why is it working for me?”

One of the things I find fascinating about psychology is that it’s a field riddled with controversy.
“If it’s quackery, why is it working for me?”

The definition of psychology is that it is the scientific study of the human mind and its functions, especially those affecting behaviour in a given context. However, when you don’t have universal agreement on the definition of basic terms like normal and healthy, then you’re going to have a lot of fights over what’s proper.

As psychology is constantly evolving, there are a lot of discredited theories. That’s okay because we’re all learning. (Go the end of the article for a list - Freud is on it!)

To make it more complicated, there are con artists working in the mental health field.

Mental health attracts con artists for many reasons, including:
Scared=Easy Target: Desperate people don’t think clearly so they are easy to fool
$$$ Fast Money: Desperate people will part with money quickly, hoping that paying over hard earned cash will magically help them find a ‘fix’
Power Opportunity: It’s easy to influence frightened people. Cons and nuts find that being The Guru is an easy way to power.
From what I’m hearing, many of the ones here in Malaysia call themselves ‘Dr’, talk a lot about the unconscious, and the really cheeky ones run urine and blood tests - all at extortionate prices.

I’ve blogged before about how to avoid those. Today I’m focusing on a sensible question I’ve been asked,  “If it’s quackery, why is it working for me?”

The answer isn’t a simple one but here are some points to consider.

#1 How much time do you spend on your mental health?
If the answer is, “Erm.... dunno. Minutes a month.” then you have to consider that spending a whole hour every week on identifying your issues is helpful all by itself.

Sometimes, all you need is to focus on what’s up and you can find the solution for yourself.

#2 Being upset means you don’t think straight
For most of us, thinking about a problem goes like, “Oh hell, I’m upset. Why am I feeling so bad? This sucks. I hate this.” And on and on and on for hours.

This is not helpful.

Sometimes just sitting down with a person who can help you focus on unraveling your thoughts is enough to clear the fog.

#3 Empathy goes a long way
When I said earlier that psychology is full of controversy, Freud springs to mind. Some of his theories were absolutely insane, yet he did some excellent work.

If you read his books and papers, it’s very easy to see why he was effective: he was genuinely interested in people and he was a kind, thoughtful man.

Sometimes, just having an understanding ear is enough to help.

This of course begs another question: “So if I see a quack who has good intentions, an empathetic attitude, and I’m willing to spend the time, what’s the problem?

A wacko quack can cause real damage
Just this: a wacko quack can cause real damage.

Think about it in terms of fixing a car. If you see blue smoke coming out of the engine, you can take it to a cowboy mechanic and one of two things happens: you strike lucky and it’s fixed, or you pay your money and you end up with a vehicle that blows up.

It’s the same with mental health. 

Want to find a pro? Quacks make up fake associations so the best thing is to ask about qualifications. Look for someone who has a basic Bachelor’s degree in psychology as well as a Masters in a mental health field that includes several hundred hours of supervised practical clinical work. 

Want to work with me? Click to see qualifications and how I work. I work online via Skype and Messenger and from home, so I can keep prices down. I charge US$30/RM100 per session. The first twenty minutes where we see if we can work together are free. Email me at happy@lepak.com for an appointment. 

If you’re curious why rubbish is increasingly popular, you can read a classic like Carl Sagan’s Demon-Haunted World or check out Prof Patrick Grim who's one my favourites, or throw the terms pseudoscience into Amazon to see a list of current publications. It’s an awesome field, and worth taking a look at.

Curious what psychological theories are considered nonsense by insiders? Here’s a paper you’ll love. (Skip straight to page 518 for the list.) Pseudosciences included:
o       Jungian sand tray therapy for treatment of adolescent and adult disorders
o       Neuro-Linguistic Programming (NLP) for treatment of mental/behavioral disorders
o       Rage reduction therapy for depression
o       Freudian dream analysis for treatment of mental/behavioral disorders

Sunday, January 14, 2018

I Can't Pay For Therapy; How About Working With A Student Therapist?

This was written in response to a chat with a friend :-)

If you can’t afford therapy, one option is to work with a student therapist. There are pros and cons, so here’s a short list of things to take into account when you make your choices.

Students tend to be open to exploring options. That can be good if standard therapy approaches haven’t worked for you.

Students need hours, so they tend to favour long sessions. That’s good if you have issues that need lots of time to address.

It’s free. As students aren’t qualified, they can’t charge. At least, that’s the rule of thumb in Malaysia. I am hearing of other countries where students charge money; I find that very difficult in terms of ethics. See my next points.

Your student therapist is still learning, and that has implications. It’s just like asking a student doctor to give you an injection or medical exam; sometimes they’re terrific and sometimes they’re a bit clumsy.

As you’re not dealing with a fully qualified person, your sessions are not private. Your student therapist will be talking about your case with her supervisor, her tutor back at school, and then the examiner will see the notes as well.  In my school, we were also asked to present cases we were working on in class. In addition, your case may be evaluated by a licensing board.

All this checking and double checking is to make sure everything is being done right.

Should you be worried? Usually student therapists are pretty good about anonymising information and destroying notes after. But to be certain, ask for details. 

When students do their practice hours, everything needs to be documented and checked. This is to prevent fraud. This means contact hours are face-to-face sessions held in the supervisor’s place of work. This has implications for you because when the student therapist has completed her hours, she leaves. To prevent your sessions from halting abruptly, ask your student therapist how she will plan for this.

If you want online therapy, this may be difficult: students typically don’t work online or across borders because of the way hours need to be supervised and documented.

I knew when I was studying that I wanted to work online so I planned specially for it. I took an extra course in online therapy. On top of that, I also did an extra project, working online with overseas clients. Throughout, I leveraged my Masters Degree supervisors to make sure I was on the right track and I had an overseas teacher as well.  If you want to work online with a student, just ask how she’s getting her supervisors to work with her.

Note: I’m in Malaysia and I write from a local perspective. As countries have their own laws governing licensing and practice, you may have different or additional issues to deal with.

My advice: if you’re in doubt about a mental health provider or service, ask your family doctor to direct you to the proper organisations in your country. Mental health practitioners know it’s a minefield for the general public to find good quality help, and they tend to be generous about helping you find someone proper.

Want to work with me? I work online via Skype and Messenger and from home, so I can keep prices down. I charge US$30/RM100 per session. The first twenty minutes where we see if we can work together are free. Email me at happy@lepak.com for an appointment.

Wednesday, January 10, 2018

"Why is therapy never cheap?" - and why I'm only charging US$30 per session

One question pops up fairly often, "Why is therapy never cheap?" So here are some thoughts.

#1 We’re slow to start. It takes about seven years of school, Bachelors plus Masters, and apart from the classes, you need to spend roughly 1000 hours on unpaid internships that include some 300 therapy hours. Getting that done takes a year, sometimes more. So getting to the point where we can work costs a bomb.

#2 We do a lot of stuff you don’t see. You talk for an hour, but the second you leave, we’re writing up session notes. Then, before we talk next time, we read through the notes to prepare. While it varies, for every hour we talk, I tend to spend an hour on notes and prep.

#3 We're always studying. Every job involves constant learning but psychology is particularly intensive. I do constant journal sweeps as well as reading new publications, attending lectures and taking short courses. It costs money to stay current.

So there you go. As it is, I'm very affordable at RM100/US$30 per session. I'm keeping costs down by working online, and I have other revenue streams. Also, living in Malaysia means my cost of living isn't as high as in some other countries. Even so, it's not good ROI on my education investment. Frankly, the second the economy comes up again, so are my prices.  

Want to ask me about online therapy? Write to me at happy@lepak.com