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smoking for attention

Smoking for attention

    Smoking for attention

    This client could not stop smoking. She went into hospital recently with some sort of pulmonary obstruction. She did not smoke or even feel like smoking when she was in hospital. But the moment she left hospital she started back smoking.

    Clearing the need to smoke

    I got her to think of a picture of her feelings about smoking. She said "It is a huge cigarette rammed into my gob". I used this as material for a Metaphor Replacement Therapy. I got her to describe the cigarette she was picturing. "It is black and brown. It is being pushed down into my throat." "I can't breathe." I asked her "What would you like to have happen to that huge cigarette rammed into you gob?" She said "blow it up. Or shred it." I asked "which do you prefer?" "Blow it up" So we did. She blew it up in a great explosion. Bits were floating through the air and she could breathe.

    I then asked her to check if there was anything left of those feelings of smoking. She said "there are still some cravings."

    Working on her cravings 

    MRT on her feelings of cravings. So I asked her what the cravings looked like. She said they were there in her chest. They were "black with a bit of yellow. Not that big." I encouraged her to start making changes to the images she was getting. "Getting more yellow." The yellow was getting stronger, but she could change the image more than that.

    I was thinking of lungs and the image of balloons came to my mind. I used this imagery to convert the cravings into black and yellow balloons and get them to rise up into the sky. She was comfortable doing this. They shrank and went up and popped in the air.

    I finished with some direct suggestion about "feeling good, capable, worthwhile, having a role in the family and so much to look forward to, etc."

    Then I gave her images of flicking a switch, going through a closed door, changing clothes, and suggested she would find the right thing to represent how she was changed.

    Smoking for attention

    We started talking about her upbringing and why she felt bad about herself.

    Her mother was a total slut, she went out drinking, fighting, totally ignored her children,  but brought her daughters up to be complete prudes. She mentioned that her mother and other men were into voyeur sex and all sorts of things. She mentioned a rumor that her supposed father might not be, and her grandfather was the real father. Nobody knows.

    We talked about smoking. She smoked since she was fourteen. "It was surprising that I kept at it, because is made me really sick. So sick my grandmother had to nurse me. It was lovely."

    I then suggested that perhaps she kept on with the smoking because that was the only way she ever got any attention? She thought about that and said "You know, I think you are right". She then told me about moving to a new school and pretending to be sick so that she could have time with her mother. "Maybe I am smoking for attention". "I have felt rejection all my life."

    This client hated smoking when she started, they made her sick. But being sick meant she got attention.

    Smoking for attention maybe a common reason for smoking.

    Open post
    metaphor in therapy

    Metaphor in hypnotherapy

      The role of metaphor in hypnotherapy

      Sometimes it happens in therapy that you just don't know what to do next. For me, it is usually when I ask a client to try to access the feelings about their behavior, or perhaps about things that happened earlier in their life, and they're can't find an emotion for me to work with. When that happens, I always use Metaphor in Hypnotherapy.

      If your client cannot find an emotion then your options are fairly limited. You cannot go for a regression to the Initial Sensitizing Event, because you need an emotion to link to the original event. Or you can focus on the surface problem and use Direct Suggestion hypnotherapy. Another option, is to put your client into trance and either just give them a very relaxing experience, or teach them how to do self hypnosis. This often reduces the stress that underlies their problem, and gives them a temporary relief.

      Metaphor in hypnotherapy

      Sometimes your client cannot find an emotion, or is too frightened of the emotion. In that case,  metaphor therapy is the best way. You can use behavior-centred metaphors, or you can opt for using a generalised metaphor.

      What I mean by behavior-centered metaphor is something that is specific to this client and their particular behavior. When you first talk to your client you are trying to find out what their problem is, and how they see it. If the problem is  procrastination, then you can narrow it down to a phrase your client uses to define their problem. They might say "I feel like I'm stuck". Or "I just cannot get started, and I'm easily distracted". For each of these  you can invent a vivid story about someone just like them, who does some action which is metaphorically identical to what they need to do.

      Generalized Metaphor in hypnotherapy

      Alternatively, you can ignore the specific problem the client has brought to you. In almost every case, your client's problem is actually connected to some issue they had when growing up. You can use a generalised metaphor as a non-specific therapeutic approach. Put your client into trance. Then tell them a long metaphor story about how they can let go of whatever it is that is causing the anxiety. The traditional method is about "dropping the stones". In that metaphor you suggest in trance that they are carrying a backpack. The backpack is full of bricks. They can take the backpack off and tip out the bricks. The basic metaphor is usually dressed up in some fancy location, with added details that relate directly to the client's personal experience. If you are not good at making up stories, then there are many collections of healing metaphors you can use.

      But there is never any reason to feel "stuck" yourself when you don't know what to do next in therapy.

      Open post
      My friend John

      My Friend John Induction as therapy

        Combining the My Friend John Induction with Therapy

        This client has a long history of emotional abuse by his parents. We spent a long time going over his recent past and his early childhood. He used to be a heavy drinker. Now he is ashamed of his behavior in the period when he was drinking. He still meets people from that time and feels embarrassed about what he did, and what they think of him. I think he is very afraid of any sort of public humiliation such as he had as a child.

        On the other hand he doesn't like people telling him what to do. He said that he has "contrariness".

        Clearing Feelings of Shame

        I decided to do metaphor replacement therapy on his feeling of shame about his past behavior. He said it was like a purple cloud. Full of smoke. I asked him "and what do you feel about that purple cloud?" He said "sad". I got him to change its shape and I asked him "what happens to clouds over time?". He said they get smaller. I got him to imagine the rain. He said it was yellow. I eventually got the cloud to disappear.

        He said that it was great to get rid of that feeling but he still wanted to be able to stop smoking. "Are you not going to do anything about my smoking?".

        I felt I had to do something about his smoking even though we were well over time. I really wasn't sure what to do that might help him stop smoking. He smokes because he is trying to avoid his feelings. If we can eliminate the source of those feelings, we will eliminate the need to smoke at the same time. But he wants to stop smoking right now.

        My Friend John Induction

        I didn't actually have a plan at this point, so I did a simple relaxation induction. He kept squirming around and scratching and moving and clearly was not in trance.

        So I decided to do a My Friend John Induction. As I started on the induction I realized that I had the option of changing it. At this point I had still not worked out what I was going to do in terms of getting him to stop smoking. It suddenly occurred to me that I could get him to tell himself to stop smoking since he didn't like being ordered to do things by other people. I could take advantage of his "contrariness".

        So I suggested to him that it wasn't a stranger who was in the other chair. It was a copy of himself. I told him to imagine that another version of him was sitting on that chair and wanted to go into trance. I told him to repeat the instructions "get yourself into a comfortable position, allow yourself to relax, feel your breathing slowing down, et cetera." Then I continued with the rest of the My Friend John Induction until he was in trance.

        My Friend John the Therapist

        As soon as I was satisfied that he was in trance, I use the other copy of himself to do a sort of reverse My Friend John. I got the other "him" to tell him to repeat the instructions in his own mind. The instructions were along the lines of "You are ready to stop smoking. You know it is time to stop. You know that you can stop smoking. You are the kind of person who can stop smoking easily, quickly, and permanently." And so on.

        Once again I learned, if you're unsure what to do, trust your unconscious mind, and it'll come up with what you need. I think this might become my standard way of using the My Friend John Induction and combining it with therapy.

        Open post
        Benefits of depression

        Benefits of depression

          Surprising benefits of Depression

          I had a client come in to me today who complained of procrastination. He is a successful manager of an IT team with 50 people reporting to him. He is very well paid, and highly respected, and an expert in five IT disciplines. And he is very unhappy.

          He told me that he was frustrated at not achieving enough. And yet at the same time, he feels resentful at the way other people take advantage of his success. Other people dump work on him, give him extra responsibilities, put him in charge of things. Because they know that he will get it done. And he lets it happen because he always puts other people first. He has no boundaries.

          I have seen this client twice before. In our first interview, it became clear that he has dysthymia, a form of depression. This  is very common, but usually not diagnosed. People who have dysthymia just think that they are lazy or angry or withdrawn by nature. They are in fact ill. Dysthymia and anxiety underlie a great deal of the behavior that I deal with every day.

          Reframing depression

          This client had his 50th birthday coming up, and felt that his life was slipping away from him. He was working endless hours and felt that he was getting nothing but money in return. Even that didn't help. His wife was using him and spending the money as fast as he earned it. He told me that he "just feels empty".

          I pointed out to him all the good things he had in his life. And he said "Yes, but think of what I could have achieved if I hadn't felt this way." He looked very surprised when I said to him "the reason you have your success at work, and your high salary, and your ability to run complex international projects is because of your depression. Depression is making you successful."

          "What are you talking about? This depression has been the curse of my life." I then had to explain to him that in fact all of his professional success was a side effect of his depression.

          Benefits of depression

          Mild depression causes circular thinking. In circular thinking you go over the same things again and again. You over analyse things. You worry about things all the time. These are ideal traits in a project manager.

          Mild depression also causes perfectionism. People with perfectionism are always looking to be better and better. And they get annoyed when they don't reach their own expectations. And this causes them to take action, to get angry, irritated, and to be moved to do something about it until it does reach their high standards.

          Another side effect of depression is the inability to form deep and meaningful relationships. You are not unfriendly, but you are completely comfortable in your own company. Again, this is an ideal trait in a project manager. You can communicate well with people on a business level but don't get bogged down in social relations when you have to put the hard word on people.

          Similarly, people with dysthymia are easily bored. They have to be doing something all the time. And need constant stimulation. So they check every last detail of whatever it is they're working on, and build checklists, and schedules, and plans, and everything else to keep their mind occupied.

          The fifth main area of depression is around self esteem. People with depression feel not good enough, worthless. When things go wrong is always their fault. They get validated by achieving external results. They can perform extremely well on some external task, but when it comes to looking after themselves and their own interests they tend to self sabotage.

          Accepting the benefits of depression

          This is exactly what my client was doing. He is working himself into an early grave. He is getting lavishly rewarded by his employers, but inside it all seems pointless. And he still feels worthless.

          I have met several clients were very successful in business because they need to check every detail, they're willing to spend endless hours at work, they are constantly striving to reach a level of perfection that is unreachable.

          It is ironic that the thing that makes them unhappy is also the thing that makes them successful.

           

           

           

          Open post
          collateral damage

          Collateral damage from childhood

            Collateral damage

            It is said that "nobody escapes childhood unscathed". My client today told me about a very bad childhood. His mother was unemotional, withdrawn, and seldom showed him any affection. His father was erratic. The only real interaction with his father was constant criticism and being told that he was not good enough. Nothing he did was ever right. He grew up feeling empty and alone and alienated.

            His parents were not just abusive to him. They were constantly fighting, throwing things and insulting each other. Each of them moved out at various times and came back. The family atmosphere was a constant battleground of tension and occasional violence.

            I would not have been surprised if the client came to me to deal with the fallout of this emotional abuse. What he actually came to me for was something quite different.

            The real cause of the collateral damage

            He has recently learned that his father is autistic. This explains the erratic behavior and the irrational parenting style. It doesn't make the emotional abuse any less damaging, but it does put a different perspective on it.

            My client was struggling with this part of his life. He resented, even hated his father for what he had done to him. But now he realizes that his father was actually ill. In some ways his father really couldn't avoid his behavior.

            My client is now conflicted. He hated his father, and sort of felt comfortable with that. But now he has to reassess everything he ever thought about his father. He still has to suffer from the emotional damage he got as a child. But now he also has to suffer again as an adult, and try to see his upbringing as something that he should forgive and understand. And this comes very hard to him. He still feels angry, but now he feels guilt about feeling angry.

            Damaged parents cause damaged children

            In our society we are familiar with the idea that parents can be very disappointed by their children. Some children have ADD, or other behavioral problems and make life hell for their parents. But we don't seem to have any kind of ready-made response about abusive parents.

            As we grow up, those are the only parents we know, and we assume that they are perfect. In fact, society expects all parents to be perfect.  In this case, after talking to the client, I'm fairly sure that his mother has some form of depression. It seems likely that his mother and his father got together because they both recognized a damaged person in each other. And were willing to start a relationship because they probably felt they weren't going to get a better deal anywhere else.

            The effect on my client was basically just collateral damage. Maybe we should get clients to bring their parents to therapy?

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            Stop Drinking Start smoking

            Start smoking to Stop Drinking

              Start smoking to stop drinking

              My client was an events manager who cannot stop smoking. He says that when he stops he gets cravings. He read the Alan Carr book one time, and stopped for three years. Then he started again.  Nothing unusual about that.

              He stopped himself smoking for four months. Then he deliberately started again in order to be able to cut down on his drinking. He works in the hospitality industry and tended to binge drinking because it was available all the time. He thought that if he started smoking, he could stop the drinking. Apparently it worked. He did stop drinking but now he is smoking, and he can't stop.

              Patterns of smoking

              The pattern of repeatedly starting smoking, then stopping, and then starting again is a good indicator of Black and White thinking. A lot of smoking is caused by B & W thinking. I suspected that this client was smoking because he had high expectations and a touch of depression.

              I showed him the list of symptoms of dysthymia, and he said that he recognized parts of his behavior in every section. We discussed this for a while. I explained how dysthymia is a common form of depression, and affects many parts of your life, including your habits. I told him it was mainly an inherited problem, and he likely got it from his father or his mother.  He told me that his father in fact is an alcoholic. And it was clear that his father has all the symptoms as well.

              Inheriting Smoking

              I explained that his father probably had dysthymia. We spent quite a lot of time going over how his behavior fitted perfectly with the drivers of dysthymia. This all came as a revelation to my client.

              He could now see that many of the things that he was using as excuses or reasons for his own behavior were in fact not true. Depression was a much better explanation.  He confessed that he had long worried that he might have depression. But refused to go into it, because he was even more worried that he might have schizophrenia!

              He recognized that his dad was driven by some sort of 'demons'. At some level he feared that he too had these demons. And didn't want to end up an alcoholic as well. Having dysthymia as a rational explanation was a great relief to him.

              Ending stop smoking to stop drinking

              I did a standard hypnosis session aimed at helping him deal with his emotional problems. Once he has stabilized his behavior he will be ready to tackle the smoking. One step at a time. The real issue is not that he felt he had to start smoking to stop drinking. The real issue is that same unconscious behavior was driving both, as it had with his father.

              He was amazed and delighted by hypnosis and the calming effects of trance. He said that "I want to come back and do this every week". Great.

              Open post
              Permission to stop smoking

              Permission to stop smoking

                Permission to stop smoking from beyond the grave

                My client today was a farmer's wife from Middleton. She wants to stop smoking. In the past, she has been able to stop for short periods but always starts again. She is on medication for depression. She shows many symptoms of lassitude, indifference and inability to let go.

                Although she has depression,  she does not show the typical busy mind or black and white thinking. I think the medication is protecting her from these things. She said she smokes because of stress and lack of willpower. When she stops she starts overeating. She needs to stop because she has emphysema. But she has this whole depressive "what's the point?" attitude to things, including her own health.

                Cause of her depression and smoking

                She has felt this way for seven years. Her daughter died after a long illness of cancer. She partly feels guilt because she might've been able to do more, but mostly it is just depression and grief as far as I can see. I suggested to her that she needs to get a goal in order to give her something to live for.

                She said that every night when she closes her eyes she sees her daughter. She finds this very distressing.

                Stop Smoking Visualization Therapy

                So I first tried metaphor replacement therapy on the grief. She could not get the feeling. I did notice that her eye lids were flickering. She said her basic problem is that "I cannot let go". I could not get her to visualize any feeling, so I stopped that therapy. It was obvious that I needed to do something to resolve the issue about her daughter.

                I then did a visualization of walking along a river bank, and coming to a bridge to the other side. In the visualization there is a person standing on the bridge.  I suggested that the person on the bridge was female by constantly using the pronouns "she" and "her" but I did not suggest it was any particular person.

                The person on the bridge said 'I have been waiting a long time for you to come here." And the person on the bridge encourages the client to shed any guilt or regret. Then that person gives a form of power to the client.

                Permission to stop smoking from the Other Side

                Finally, there was a long dialogue between her and the person on the bridge. The talk was of forgiveness and acceptance and moving on. I then had the two of them hug, and whisper a special message between them that no one else could hear.

                After she came out trance, she said "It was my daughter waiting on the bridge!" "We said goodbye, and I won't be seeing her again at night. I can rest now."

                Open post
                alternative therapies for phobias

                Alternative Therapies for Phobias

                  Alternative Therapies for Phobias

                  My client was a young woman who I saw previously about her problem with public speaking and dealing with authority. This week she said she had a problem with dating. Friends want to set her up on a date with a nice man. And she cannot bring herself to meet him. So we started talking about her reluctance to go on a date.

                  She hates the idea of being forced to do something. I began to explore this idea. "Why do you hate being forced to do something?" "I hate feeling judged." She then told me that her sister once said "I know exactly why you are shy in public".

                  Creating the phobia of authority

                  When she was 10 or 11 years old my client went with her school class to the swimming bath. The teacher asked "Can anyone swim a whole length of this pool?". My client tentatively put up her hand. The teacher told her to go ahead and try to swim it. She swam about halfway, then got tired, and pulled herself the rest of the way along the side rail.

                  The teacher said to her "No, you didn't swim the whole length. Go back and do it again". My client protested that she had done the  length. But to no avail. The teacher made her get in again and try to swim the whole length again. She tried and tried, and then said she wouldn't do it. The teacher then said "well, no one else is going to go swimming until you have completed a length."

                  By this time the whole class was standing around the pool looking at her. All the kids wanted to swim. She was stopping them having fun. My client felt awful. No one else would be allowed to go swimming until she had completed a length unaided. So she tried again, and again, and finally was able to complete the whole length of the pool without touching the side or the bottom.

                  She got out of the pool and went to the changing room and just felt that she wanted to disappear. She felt humiliated. The teacher came along afterwards and said "Now, don't you feel much better knowing that you have done the length?" All my client felt was resentment.

                  One incident many phobias

                  In looking at alternative therapies for phobias, this story perfectly illustrates how incidents in childhood can get converted into adult phobias. It explains the reluctance to go on a date. It also explains the fear of public speaking, and the fear of speaking to people in authority.

                  Her three problem behaviors are all metaphoric to the swimming pool incident. In the swimming pool incident there was an authority figure telling her to do things that she didn't want to. There was a whole group of people looking at her, and in her mind, judging her. She was under intense pressure, if she could not complete the length, no one in her group could go swimming.

                  And in her mind, they would all blame her. She couldn't complete the length, she couldn't not complete the length. She was being judged by a teacher, and being judged by all her classmates. This is a perfect example of a psychological bind.

                  One incident, many therapies

                  What I thought was most interesting about this case is that we had already cleared most of her issues before we knew the actual cause. I had seen this client previously. I had used metaphor replacement therapy to deal with the feeling she had about speaking up in a room full of work colleagues.

                  She had reported back the following week that the feeling of dread had disappeared and she was able to speak freely at a meeting that she had organised. At the second session, she wanted to get rid of a fear of speaking to people in authority. This was cleared by metaphor parts therapy. After the second session, she reported back that she felt entirely comfortable talking to her bosses now.

                  There are many alternative therapies for phobias. If I had known about the story of the swimming pool I would have used some form of regression most likely. I am fairly sure that regression would have worked just as well as the metaphor therapies.

                  Reframing as therapy

                  Just to make sure, I told my client to close her eyes and think about being back in that swimming pool. I told her to imagine that she is in the water looking up at the teacher. I told her to imagine the teacher is saying "You're not getting out until you do another length!". And then I told her to imagine reaching up, grabbing the teacher by the ankles, and tumbling her into the water, while saying "Now you do the length, bitch!".

                  My client laughed at this. And I told her that she would never be able to un-see that incident again. This seemed to afford her no end of amusement.

                  She later emailed me:  "Over the weekend I traveled for a birthday weekend with friends. We visited a beautiful waterfall near Napa. As you know, I'm not the most confident swimmer and will avoid swimming over my head. At the waterfall, it had a giant rope swing for the public to do 'bombs'.

                  I walked up to take a look at the view (its very high). I decided I was going to do  the cliff jump. This is by far one of the most terrifying things I've done. Particularly, as the water was well over my head below.

                  It took me a few minutes to compose myself, but my final words before jumping into the murky green waters were "take that *teachers name*" (or words along those lines). I was with a group of 5 friends who all cheered me on. It was an exhilarating feeling. Now, when ever I reflect back to that terrible instance at school, I'll be thinking of the new (more positive) experience I had."

                  Open post
                  clearing childhood abuse

                  Clearing Childhood Abuse

                    Clearing Childhood Abuse

                    My client today told me that he had three things wrong with him. Fear of spiders. Loss of memory. And he couldn't remember the third thing (!). Later on he said the third thing was frightening dreams.

                    He was carrying a red-and-white tea-towel. He kept pushing it into his mouth and rubbing it around and pulling it out again. I had extreme difficulty understanding what he said.

                    I thought that he said that he had no tongue. But I thought that can't be right because how could he speak at all if he had no tongue?

                    He later told me that he had tongue cancer and eventually had to have his tongue removed. He showed me a patch on his forearm where surgeons had removed some skin and sewed it onto the stump of his tongue. To everyone's amazement he was able to speak after a fashion. It took a while to get my ear attuned to what he was saying. But eventually I could understand him quite well.

                    He has had a terrible life and what is most remarkable is that he is still quite cheerful about the whole thing. He said that he had a very bad childhood. His step father constantly beat him, terrorized him, made him fear for his life. Even though her father had died 20 years ago, he was still terrified by the thought of him.

                    Clearing Fear of Spiders

                    I really didn't know what to do with him. He had so many things going on, and he was so bad at speaking that I decided to go with the original thing, the fear of spiders. He wasn't just afraid of them, he was terrified of them.

                    "I have a memory that I think has  something to do with my fear of spiders." I told him to think about that fear of spiders that he gets. He immediately began to get a feeling. It was filling his chest. "What  is it like?" "Like a lot of spikes." It was black, rough, heavy, and hot. It seemed to be made of hard metal. He said that if it was put away he could be happy and he could do anything.

                    I got to think about what happens to metal over time. He said "it rusts". I developed the idea of rust and eventually the thing began to crumble. I got him to imagine stamping on it, and breaking it down into a pile of rust and he just swept that away.

                    Clearing Childhood Abuse

                    He was already in trance so I decided to keep going. I told him to remember his father's abuse. And how he felt about that. He immediately started exhibiting extreme distress. He was moving around in the chair, obviously frightened of getting a beating. I asked him what that feeling was like. He said "a ball of fire". This ball of fire was so troubling to him, so terrifying that he couldn't go near it, he couldn't see it, couldn't touch it, couldn't do anything.

                    Because he couldn't get near it, I told him to imagine a chair in front of him, and to put the ball of fire in the chair. He said it was black. A ball filled with much anger. It was red and black. It was hot. I suggested to him that there might be something else there something that he could use. Some asset. He said "my mother is there".

                    I asked him to imagine his mother standing next to a sink. My idea there was that she could use some water to put the burning ball out. I developed this idea and he was able to see his mother putting water on the ball  to get rid of the ball. She put it out. After that it became a fairly simple process to clear it. I gradually got him to allow the ball of fire to cool down and he started blowing it out. Eventually it was on the floor and it turned into a pile of ashes. He then scattered them into the water somewhere.

                    Outcome

                    He was very impressed by the process. He sat there almost stunned for a few minutes. And then he said "I don't know what it is, but something has changed. Something has really changed. For the first time in years I think we have got to the heart of it. All those other counselors and therapists were just going round the edges. You really got to it."

                    I had trouble getting him to leave.

                    Open post
                    drinking problem

                    Problem Drinking Bind

                      Problem Drinking Bind

                      My client came because she is having problems in her relationship with her husband. This is making her feel very bad about herself. This is a follow on from our previous session. She originally came because of problem drinking and couldn't control it.  I now learn that her husband has depression and is blaming her for everything goes wrong in his life. She is reacting to this tirade of blame by drinking.

                      And when she drinks she is saying things back to him. He is then taking the things that she says, and throwing them back in her face.

                      And the process is deteriorating. He is deep in depression and throwing out any kind of insult to her that will make him feel better. He is only interested in how he feels right now. He is unhappy, nothing works, he is fully depressed.

                      Problem Drinking Bind

                      He is attempting to trap her by saying "I can only change once you have changed". Then he makes it impossible for her to  change. He says that he won't change until she stopped drinking, but she is drinking in reaction to his behavior in the first place. They are busy building a negative circle. They are in a problem drinking bind. The more depressed he gets, the more he hurts her, and the more she drinks to escape it. But drinking makes her lash out at the unfairness of it all, and he feels justified in blaming her for that. He won't change until she does, and she can't change because of what he does.

                      So now she is reacting to what he is saying by blaming herself. He is triggering feelings from her childhood. Growing up, she got beaten for no reason, and nothing that she did was right. So these unjust accusations are sending her into panic mode. Reliving  all these feelings are making her drink at night. And so the cycle continues.

                      The way out of problem drinking

                      I told her that she had done nothing wrong. Her husband is a victim and she is a victim. She needs to stop reacting to him with intellectual analysis. She needs to start putting up a shield project to protect herself from all the things that he is throwing at her in his pain.

                      I told her that perhaps the best way forward is to get some sort of pharmacological solution. Not for her, but for him. He needs to get some medication to help him deal with the pain that he feels. As soon as he is begins behaving rationally again she can get into the pentathlon of exercise, diet, thinking challenges, socialisation and planning. That is the way out for her.

                      She knows how to do that. But she has been so focused on her own pain that she hasn't really thought about how to get out of this thing.

                      Sometimes the way to fix yourself, is to fix somebody else.

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