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Therapy, Change & Reflection
Reflections on the therapeutic process, the importance of the therapeutic relationship, and how psychological change unfolds over time. Including insights from well-known therapeutic thinkers


Noticing Patterns in Therapy: How Repeating Relationship Patterns Begin to Change
Many of us come to therapy because we notice the same patterns repeating in our lives. This might include recurring relationship difficulties, familiar emotional reactions, or a sense of getting stuck in similar situations despite reflection and effort. “Why does this always happen to me?” can be something we ruminate on. One reason certain patterns can feel so persistent is that many of them are relational; they developed through early and ongoing relationships and tend to b
elizabethkeanthera
Jan 22


Feeling Like a Burden in Close Relationships
Feeling like a burden to others is a deeply painful and often hidden experience. For many people, this belief does not arise when they are alone, but within close relationships. It can show up just as care is offered, when support is available, or when vulnerability might deepen connection. At these moments, an internal voice may quietly say, “I should not need this,” or “They already have enough to deal with.” This response is a meaningful adaptation shaped by earlier relati
elizabethkeanthera
Jan 17


When Christmas Feels Heavy: Understanding the Emotional Difficulties of the Festive Season
For many people, Christmas is described as a time of joy, connection and celebration. Yet in therapy rooms all over the world, a very different story often appears. Instead of comfort, the season can bring loneliness, pressure, exhaustion or a sense of emotional overwhelm. If this is your experience, you are far from alone. The Pressure to Feel Happy at Christmas Mental health organisations regularly highlight that Christmas can intensify difficult feelings. The pressure to f
elizabethkeanthera
Dec 10, 2025


Listening to Grief: How Therapy Supports Healing and Connection
Listening to Grief Grief has a way of reaching into every part of us. It touches the body, the mind, and our relationships. It is not just a single emotion, but a complex process that unfolds over time. When we grieve, we are experiencing the body’s and mind’s way of responding to loss, and although it can feel unbearable, grief is part of being human. When the World Feels Different Many people describe grief as disorienting. The world can feel strange, as if the ground benea
elizabethkeanthera
Nov 19, 2025


Healing from Childhood Trauma: Learning What Was Never Yours to Carry
Some words have a way of cutting straight through the noise, landing in the body before the mind even works them out. It was never yours to carry is one of those phrases for me. So many of us move through life weighed down by things that don’t truly belong to us. A parent’s unspoken expectations. The responsibility of keeping the peace in a chaotic home. The shame or guilt that was passed down through generations. The pressure to be perfect, to succeed, to take care of every
elizabethkeanthera
Oct 3, 2025


Growth, Truth, and the Courage to Stay Present
Growth is often spoken about as if it is a straightforward path. Work hard, push yourself, and you will improve. But when we look more closely, real growth has less to do with effort and more to do with honesty. It is about how much of our own truth we can face without immediately turning away. For many people, it feels easier to avoid certain parts of themselves. We all have protective strategies: distraction, minimising, perfectionism, or focusing only on others. These stra
elizabethkeanthera
Sep 29, 2025


The Only Constant in Life is Change: Psychology, Attachment and Growth
The phrase “The only constant in life is change” is often attributed to the Greek philosopher Heraclitus. Though it may sound simple, this truth has profound psychological implications. Change is unavoidable, yet many of us struggle to tolerate it. Whether it is a career shift, a relationship ending, or a stage of life transitioning, change can stir anxiety, grief, and resistance. Understanding why change is difficult, and how therapy can help us move through it, is central
elizabethkeanthera
Sep 13, 2025


The Psychology of Decision-Making: How Feeling Safe Helps You Tolerate Uncertainty
The capacity to make decisions depends on feeling safe enough to tolerate uncertainty. Decision-Making Beyond Rationality Decision-making is often described as a rational process, but psychology and clinical practice show it is also profoundly relational and embodied. Choices are not only about weighing pros and cons, but also about how safe we feel in the presence of uncertainty itself. Attachment and a Secure Base From an attachment perspective, when early caregivers provid
elizabethkeanthera
Sep 2, 2025


Understanding Hate: A Clinical Perspective on Anger and Emotional Pain
“I imagine one of the reasons people cling to their hates so stubbornly is because they sense, once hate is gone, they will be forced to deal with pain." - James Baldwin Hate is a powerful and often destructive emotion. It can feel sharp, energising, and protective. For some, it may even feel easier to sustain anger or hatred than to face what exists beneath it. James Baldwin’s observation captures this dynamic with striking clarity. Hate can act as a shield against vulnerabi
elizabethkeanthera
Aug 23, 2025


Rupture and Repair: How Disconnection Can Lead to Deeper Connection
In any close relationship, moments of misunderstanding, tension, or emotional distance are inevitable. Whether in therapy, family life, or intimate partnerships, there will be times when we feel unseen, misunderstood, or misattuned. In psychotherapy, these moments are referred to as ruptures . A rupture might be small, such as someone missing an emotional cue, or more obvious, such as a disagreement or withdrawal. While many people worry that a rupture means the relationship
elizabethkeanthera
Aug 14, 2025


Building Connection in Relationships with Emotional Attunement
Healthy, connected relationships are built not just on shared values or practical compatibility but on the ability to be emotionally present with one another. Many couples experience moments of disconnection even in loving relationships. These moments are often not due to a lack of love but a lack of emotional attunement. Emotional intimacy requires vulnerability. It involves the ability to name one’s internal state and feel seen, understood and accepted in return. When we ca
elizabethkeanthera
Aug 2, 2025


Why the Relationship Matters in Therapy: Reflections from Irvin Yalom
When people think of therapy, they often imagine insight, strategies, or healing from past wounds. But at its core, therapy is a relationship. A human-to-human connection that, in many ways, becomes the vehicle for change. Psychiatrist and existential psychotherapist Irvin Yalom has long emphasised that the relationship between therapist and client is not just a backdrop for healing. It is the healing. In his words, “It is the relationship that heals, the relationship that h
elizabethkeanthera
Jul 11, 2025
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