Monday, February 18, 2013

"So Am I Crazy?"

I have been asked this question in counseling more times than I can count, and each time it surprises me.  This may not be news to you, but I want to be sure you know we don’t use the term ‘crazy’ in the field of psychotherapy!  The word actually was used many years ago as a term to describe someone who was psychotic, who was behaving in bazaar ways.  But using it today to describe someone who is psychotic is like using the word ‘crippled’ for someone who has a physical disability.  Sadly, there are people who have mental illness with psychosis—typically, people who suffer with schizophrenia.  This is a serious illness, and it is nothing to joke about.  Psychosis is treatable, and, schizophrenic people need the same love and respect that you and I need.

But why then might someone jump to the most extreme (and demeaning) word (‘crazy’) after talking about his problems when coming to counseling?  Because of the stigma about counseling that exists in our culture.   I think the real question being asked is, “Are you going to judge me because of my problems, symptoms, worries, behaviors?”  Well, I’m not going to judge you.  I’m already biased in favor of counseling because that’s what I do, and I think it’s helpful for you and for your relationships—even (and sometimes, especially) your relationship with God!  I think we all need counseling at some point in our lives, and for some of us, for more than one season.  Remember, I see counseling as a form of discipling.

But the question is asked because our culture is judgmental.  We fear being seen as ‘crazy’ because having problems means you have a weakness or a flaw, something embarrassing or even shameful. I wonder how many people pretend they have no problems (or, not very big ones) to avoid being considered ‘crazy’.  And I would guess their problems still show up no matter how much effort they make (through drugs, alcohol, excuses, control, work, perfection, worry…) to keep them from showing.  I liken this to sitting on a beach ball in a pool, trying to balance on it, keeping it under water.  Eventually, it pops up, defeating all your efforts to keep it hidden. 

I think the more appropriate question to consider is “Am I broken?” My response to that question is, ‘Yes, you and I both!’ because we are.  My side of the table represents brokenness just like your side.  We all need truth, we all need love—the truth and love of Jesus Christ.  How does that relate to counseling?  I’m so glad you asked!

The logo of the Christian Counselors Collaborative or CCC (the counseling program grown out of the counseling department at ACAC), which depicts a flame, is taken from Psalm 119:105:

   “Your Word is a lamp to my feet and a light to my path.” 

 
God’s truth, appropriately given in love, helps define what the current situation really is (shines a light onto one’s ‘feet’ for orientation and true understanding) and helps show the direction ahead for walking in that truth (shines a light onto one’s ‘path’ beyond—usually with new ways to think, do, and be).  This is a process which can take time.  Counseling is the perfect setting for such a process. 
I also like the verses found in Psalm 40:1-3 as a description of the process of God’s direction and healing: 


“I waited patiently for the Lord; he turned to me and heard my cry.  He lifted me out of the slimy pit, out of the mud and mire; he set my feet on a rock and gave me a firm place to stand.  He put a new song in my mouth, a hymn of praise to our God.  Many will see and fear and put their trust in the Lord.”

 
To me, this describes God’s mercy and love towards us when we are so broken.  All we have to do is cry out and wait.  And I think that waiting is not passive, but seeking, expectant.  If we are seeking truth, He will not withhold it from us.  He lifts us out of our sorrow, trouble, brokenness.  (This is usually felt in counseling when a client can express fears, feelings, behaviors, without condemnation; our Lord does the same).  He sets our feet on a solid rock (His truth, often learned in counseling, corrects lies some of us believe).  He puts a new song in our mouths (a heart freed from condemnation, freed from resentments, anger, grief—through repentance and forgiveness; a heart of thankfulness and praise, from a renewed relationship with God).  And many will see the changes, and will hear our testimonies of His faithfulness. 

Hmm.  Is this ‘crazy’?  Then by God’s grace, I’m certifiable, and blessed to be so!

Blessings,
Priscilla

MSW, LCSW, ACS
Founder and Executive Director
The Christian Counselors Collaborative
www.cccpgh.org

Disclaimer:  I am a professional, licensed clinical therapist in the state of PA, but this blog is not a therapeutic venue—anything I state here is not for treatment or to address anyone’s specific emotional or mental health need.  If you are experiencing immediate distress, call 911.  If you would like to consider counseling with the CCC, please call Tom Laird at 1.855.222.2575.

Tuesday, January 8, 2013

What Is Christian Counseling?

The concept of ‘professional counseling’, even ‘professional Christian counseling’, is challenging to many Christians.  There is a belief among some Christians that counseling is secular, that all answers to life’s struggles can be found only in scripture, without the use of tools from psychology or psychiatry.  This approach, which holds the premise that all our issues come from our sinful state, is called ‘Nouthetic’ counseling.  I am not going to argue with the concept that scripture speaks to all our needs!  I won’t even argue with the concept that at the base of all our problems is our sinfulness, and that the way to healing is through our repentance and adherence to God’s truth!  Absolutely, I agree.  But to assume that all of us share a capacity to look at our pain and suffering in accurate and helpful ways, is to assume that we surpass our sinful state in ability to perceive correctly, and to assume we know what to do to make changes in our lives.  I think we can use help in doing so, and that there are tools in the profession of counseling which can legitimately aid in reaching God’s truth for our lives.

I see counseling as a form of discipling.   In Christian counseling, a therapist seeks the Holy Spirit’s guidance (with use of scripture and prayer) to walk alongside someone who is suffering or struggling in some way, to help comfort (2 Cor. 1:3,4) and help renew the mind (Romans 8:12).  Much of counseling is learning right thinking, correcting what Pastor Rock Dillaman (Allegheny Center Alliance Church) refers to as ‘stinkin’ thinkin’’.  We often believe lies (without knowing it!) about ourselves, about life, about God, which we learn from our environment, even in some cases, from people who love us.  And we know who the source of all lies is.  We hear all kinds of ‘scripts’ about life, own them, and then find ourselves in opposition to what God intended for us to feel and believe.  Counseling offers a way to learn truth, and to be accountable to that truth.

Some Christians think that going to counseling means you are lacking spiritual fortitude, faithfulness, or closeness to God.  None of us has all the answers, and none of us is immune to needing help!  That unfortunate (and prideful) mindset prevents many from getting their needs met—whether it’s asking for directions when driving, or asking for guidance in dealing with a struggle.  Going to counseling, from my perspective, means you are willing to receive what He has for you—new understanding, and new ways to live.  That takes acknowledging a need.  It takes vulnerability.  It may not be comfortable, but it is worth the risk!  If you seek counseling with a heart willing to learn from Him, then God will not disappoint you.  I have seen it over and over in my 26 years of counseling others.  I have also seen it in my own personal experience getting counseling.

As I move forward in this blog, I hope to address a few more concerns about professional Christian counseling, and eventually talk about some issues which we all struggle with, and some issues specific to certain emotional needs.  I hope this is informative, but more, I hope this will be encouraging to anyone who is hurting, and who might consider seeking counseling help.  I welcome feedback, opinions, and experiences with counseling (both good and bad).  Looking forward to next time!

Priscilla Ortlip

MSW, LCSW, ACS
Founder and Executive Director
The Christian Counselors Collaborative

Disclaimer:  I am a professional, licensed clinical therapist in the state of PA, but this blog is not a therapeutic venue—anything I state here is not for treatment or to address anyone’s specific emotional or mental health need.  If you are experiencing immediate distress, call 911.  If you would like to consider counseling with the CCC, please call Tom Laird at 1.855.222.2575.