Clinical Psychology and Therapy Services ~ Herefordshire

Category: Understanding mental distress

Change old patterns

A Therapy Analogy

One that I come back to time and time again, is neural networks in the brain, as well trodden paths.

If we’ve been used to feeling, thinking or acting in a certain way, based on what made sense to us when we were much younger, we might very easily (likely without awareness) just always feel, think or act in that way, because that “way” has a well rehearsed pattern, very literally wired into our chemistry.

We might begin to recognise that that response is unhelpful but even then it can be really hard to catch it before it plays out in our reality.

The well trodden path

Well trodden paths are much easier to walk. Even when they don’t feel good, or cause us problems in the longer term, they are our automatic response and while we might dislike the route, it’s comfortable, like a smelly old shoe.

In therapy, often my work is to help someone identify that old pattern.

Importantly we explore and understand why it began – because there is inevitably an entirely sensible function, even to the most complicated “patterns” and responses.

Then we spend some time spotting it together as it happens, perhaps between sessions, or perhaps between us.

We work out how someone might want to swap their old patterns, for newer, more helpful ones. Responses that are more appropriate to how life is now.

Finding new paths

Then we practice walking the new path. This can be so hard because the path is far less accessible. There may be brambles and bracken, nettles and fallen down trees. Initially it takes MUCH more energy than the old path. In this work you are literally creating new neural pathways, but they are far less automatic. This is the hard work of therapy.

A client recently created his own twist on this idea by talking about making new paths in the snow. He said that therapy was like someone holding a hairdryer ahead of him 🤣.

I loved that. It can get a bit sparky 🔥 but mostly I hope, the experience is one of someone walking alongside you, helping to navigate, and guide you back to your goals when you are inevitably distracted by the old.

Is stress making you ILL?

Your stress response is working for your safety but for many of us – the pressures of everyday life can feel like “stress” is the constant state.

Why do I always end up back here?

It’s not you, it’s your nervous system

Ever feel like you’re caught up in old patterns of thinking, feeling and doing with no clue how to escape? Here is a helpful analogy we use often in therapy:

What is Nervous System-informed Therapy?

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Attachment and the Nervous System: How early attachment experiences can show up every day in your body, and how Nervous system-informed therapy can help.

Re-thinking mental “illness”

What if what underlies these distressing experiences was less often understood as a mental illness, and more often recognised as an adaptive response to adversity, social inequality and the associated stress and trauma?

It’s not me, it’s my nervous system

It can be helpful to know that your reactions, behaviour, emotional responses and thought patterns in any moment will likely occur much faster than you can control with any positive thinking or snazzy distraction technique. Its really helpful to have strategies available, but the truth is, your experience is determined much less via conscious choice and much more by your early experience and the way your nervous system learned to respond to the world.

Crying is healthy

Crying is a natural, (mostly) available, wonderful and (underused?) bodily function.


Do you cry much? Sadly, I think there is shame and insecurity attached to crying in our culture. I can recall times when the pain of holding back tears has been far worse than the pain driving them. Perhaps on some level we have grown up with an idea that crying is baby-ish or weak.

Good enough

In psychology, and particularly attachment theory, the concept of “good enough” refers to a parent who best serves their developing child by being “enough” rather than perfect. I love this. While a child needs an attentive and loving parent, they also benefit from seeing the reality of life, the struggles, emotions and challenges in manageable amounts.

Can I call it Trauma?

Our understanding of, and access to information about the impact of adversity on our humanness (minds – bodies – spirits – communities) has exploded over the past 20 years, and we are exponentially clearer that going through difficult things shapes our physical, spiritual and mental health.

Am I mentally ILL?

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The role of the body in mental Illness distress

Campaigns working to reduce stigma (whose aims I wholeheartedly support) have likened mental health problems to a broken arm, arguing that mental and physical health should be seen as equal. It’s a totally reasonable idea. However recovery from a physical injury is, often like the cause, a reasonably straight forward, individual, process. The same is not true of mental distress and so the analogy, while well intentioned, is not really accurate or helpful.

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