[THREAD] one of the questions I often get asked is how does therapy enable recovery? It is basically just talking to your therapist, how does that enable us to feel better? A lot of people who are skeptical about whether therapy will work or not use this argument.
Let’s dive into the why. One benefit for therapy is the setting. We can’t find in real life a confidential environment, where the listener offers empathy and understands fully what the other person is going through. While they seem simple, they don’t really exist organically.
Furthermore, while talking is the main method that therapy uses, it is not the only one. Many forms of therapy such as CBT rely heavily on written exercises, especially outside of the therapy session. Those exercises enable the client to continue working outside the session.
We also focus a lot on changing the way we think and behave in order to help our mental health. Learning those skills and making those changes unlocks changes that will stop those spirals of depression and anxiety and enable a slow upwards trend towards recovery.
Often we think that a therapist is the main reason why improvements occur. It is actually the client. The best a therapist can do is teach the skills and motivate the client to do the work. It is the client who then applies those skills and works towards their own recovery.
We are enablers. They are the ones who do most of the lifting. There are also many studies of people who had an MRI while undergoing therapy and it showed that therapy increased certain chemicals and activated regions of the brain associated with recovery. There is something
biological that happens when we undergo therapy. Whenever we are feeling depressed or anxious, we have a hard time getting out of those spirals by ourselves. We are psychologically stuck. Getting out of on our own is often very hard to do. A therapist will help untangle it.
These are some of the ways in which a therapist can help enable recovery. However, when recovery happens, it is not the therapist who did the most work but the clients who use their own resources and the guidance they receive to recover. They are the true heroes 💚💚

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More from @bazzapower

27 Oct
[THREAD] Let's talk about what depression makes us do. Given that it is the leading cause of psychological disability around the world, depression can make some changes within us and it is important to recognize them and seek help when you notice some of these changes.
One of the first changes is withdrawal. We tend to stay away from social situations or connecting with friends even if it used to make us happy before. We also feel a lack of self-esteem, sometimes going all the way to self-hatred. We are quick to pin down all the problems on us,
even those that we have no control over. We also start to feel disorganized. We can't gather the energy to do much so we start to become disorganized whether it is our house, or missing appointments and deadlines because we didn't write them down or have time to focus on them.
Read 8 tweets
25 Oct
[THREAD] I want to take a moment to share a small exercise that can be very helpful and is super easy to do. This is especially helpful for those of us who have had anxiety or depression for a long time. This is because we tend to internalize that depression and anxiety so much.
We start to believe more and more the thoughts that come with them. That's problematic because they are external and don't reflect who we truly are or really believe in. But overtime, they kind of wear us down. Therefore, we need to get used to keep a list.
On one side of the list, we can put thoughts that we believe are truly ours. On the other side, we put those thoughts that we believe come from our depression and anxiety. How do we separate the two? It will mainly come with evidence.
Read 7 tweets
23 Oct
[THREAD] I want to touch on gender differences in mental health. It is a very tricky topic in the sense that there are a lot of environmental issues at play that can skew the numbers a lot. When you look up mental illnesses, they tend to put the percentage of men and women.
There are a few problems with that. First of all, it doesn’t take into account non-binary and transgender individuals. This is problematic because it really doesn’t help with the validity of these numbers. Also, it doesn’t take into account so many factors.
For example, we will notice that women are more likely to have depression and anxiety. However, women also live in a patriarchal society where constant inequality, oppression, and fear for safety will make anyone feel more anxious and depressed.
Read 8 tweets
22 Oct
[THREAD] let’s talk about how hormonal imbalances can cause mental health symptoms and how to deal with them. The connection between the two is well known and there are many conditions that would affect it such as PCOS.
In those cases, the symptoms would be higher during those periods of hormonal imbalances. The most common mental health issues related to those would be depression and anxiety. We often underestimate the role of hormones in mental health, but they are very important.
They carry messages from our brain to our bodies, activate or deactivate many bodily functions and regular our moods and behaviours. Many studies that PCOS in particular is strongly linked with increased depression and anxiety. The mental health symptoms can also be severe.
Read 10 tweets
21 Oct
[THREAD] I want to talk about agoraphobia a bit. It is a process that happens when we have too many panic attacks or anxiety outside and therefore slowly withdraw more and more in our house. The idea of going outside or in open spaces scares us (almost opposite of claustrophobia)
The reason why this happens is because when we have anxiety attacks, they are more likely to happen outside where there are so many stressors that can trigger those attacks. Therefore, our mind starts to associate the outside world as a dangerous place.
After a while the idea of going outside in itself becomes enough to trigger that panic attack. It is something that can really impact our work, social life an general well-being. The longer it goes on, the more likely it is to become a habit and the harder it is to go outside.
Read 8 tweets
13 Oct
[THREAD] Let's talk about repetitive (obsessive) thoughts a little bit. It is a bit of a misconception that they happen only with OCD. Almost all mental health conditions have some form of obsessive or repetitive thinking. How do they happen and what we can do to alleviate them?
Given that we get around 80k thoughts a day, it is impossible to remember all of them. Usually, the ones that our brain deems important happen because we attach emotions to them. Those emotions act like a filter that trap the most important thoughts.
When we are depressed or anxious, our brain will mostly attach emotions to the thoughts that are consistent with the theme of our general mental health. Because they are deemed important, our mind will keep bringing them back.
Read 8 tweets

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