The Therapy Journal

This is where psychotherapy steps out of the session and into conversation. From our defences that shape our daily lives to the emotions that drive our choices, these pieces explore the human mind through a psychodynamic lens.

Whether clinical or cultural, every post asks the same question: what happens when we stop avoiding our feelings?

Where therapy meets everyday life

Knowing Isn’t the Same as Changing
reflections Rick reflections Rick

Knowing Isn’t the Same as Changing

You can explain your attachment style, trauma responses, and relationship patterns in detail, and still repeat them. Insight alone does not interrupt behaviour. When emotional activation rises beyond your tolerance, the nervous system defaults to familiar strategies for relief. Real change depends on increasing your capacity to stay with difficult feelings without acting on them.

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Mentalisation and Fragility: Reflections from a Workshop
reflections Rick reflections Rick

Mentalisation and Fragility: Reflections from a Workshop

When working with emotional fragility, strengthening the capacity to think under pressure often comes before deep emotional work. Mentalisation, understanding behaviour in terms of thoughts and feelings, provides a stabilising foundation for therapy. When affect rises too quickly, reflection can narrow or collapse. Slowing the process and restoring shared thinking allows emotional work to unfold more safely.

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What It’s Actually Like to Stand Between Two Ways of Working
reflections Rick reflections Rick

What It’s Actually Like to Stand Between Two Ways of Working

What happens when the model that once organised your work no longer feels sufficient? Insight may be present, yet under pressure little changes structurally. This reflection explores the shift from meaning-making to structural thinking, tracking anxiety, understanding defences, and building capacity before integration. For therapists between modalities, this uncertainty can signal development.

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