By Concentric Owner & Counselor Jennifer Larson, LCPC, NCC

In only a few more days, 2017 will come to a close. It will be a time to think ahead – many will ignite their New Year’s resolutions. While I may not routinely come up with New Year’s resolutions, I do think about and write down my personal desires and goals throughout the year. And, I have decided that I will come up with a New Year’s resolution for 2018. Before I share my resolution, I would like to share part of my roadmap that has led me to this juncture.

As I have engaged in reflection, I found myself returning back to a perpetual theme that would emerge and re-emerge over this past year. One particular theme is what I will name as the ‘non-self-disclosing' therapist vs. the 'self-disclosing' therapist wrestling match. I have no idea when the sport of wrestling season begins and ends, but I can tell you this particular wrestling match has persisted season after season. And, my hope for 2018 is the self-disclosing therapist will take the lead and possibly bring the wrestling match to a close someday soon.

Let’s start back when these 2 wrestlers first met. Perhaps they were both first introduced way back when, before the days of graduate school as 'non-self-disclosing' me vs. 'self-disclosing' me. In my formative years, I grappled with how much to disclose and how much not to disclose my vulnerabilities. And if I did, I chose wisely with a very select few. Some would say this is normal as we need privacy and boundaries while others may offer a difference of opinion. Now, let’s fast forward to when I enter into graduate school where I am confronted again with choosing and deciding on how much to disclose. This time it is focused more on me as an emerging therapist, not me personally. In the earlier stages of education, students learn about various theoretical orientations and the relevance and implications of non-disclosing and disclosing to one’s clients.

Just after the start of the millennium, I recall being enthralled with the tug-of-war game that was played during a semester course on ethics. Our instructor was instrumental in leading the charge on getting all of us graduate students to really explore how to handle ethical dilemmas that can and will mostly likely confront a professional counselor, social worker, or psychologist. Depending on the topic, some students would sinuously form into 2 teams, tugging and vying for one end (yes, it’s okay to self-disclose to a client; yes, it’s okay to hug certain clients upon closing a session), while the other group pulled and vied in the other direction (no, it’s not okay to self-disclose and hug a client). It was one of my favorite graduate courses as our professor and the course curriculum gave us the space and freedom to think critically and to share our perspectives and beliefs. Some topics called upon us to unequivocally unite together whereas other topics had students participating in the game of tug-of-war, and well some (ahem) left all of us pooling together in the middle, gray area -- scratching our heads saying, “It just depends, it’s not so black-and-white.”

Does a therapist merely act as a ‘blank slate’ allowing for one to free associate more easily? Or does a therapist offer some disclosure about their experience and feelings in relation to one’s client (countertransference)? As therapists, do we divulge some our personal, relatable experiences, such as, “I share the same fear of heights as you do – here are tools that have been helpful to me.” To disclose or not became even further embedded post graduate school during professional training courses and consultation. And for good reason, this particular topic warrants so much attention in the world of psychotherapy. I understand the clinical relevance and implications – I get it.

Over the past 15 years with greater professional and personal life experiences, I have found myself continuing to think about the inquiry of the self-disclosing therapist. At times, I have put forth a tidbit of self-disclosure when I believed it to be ‘clinically appropriate’ or when it simply felt right. The self-disclosing therapist is not uncommon for some psychotherapists, and it's probably still one of the more debated issues in the field. Over the past year or so, the inquiry in my mind has expanded beyond the closed doors where therapist-client, supervisor-supervisee, and consultant-consultee relationships are formed, maintained and evolve.

Questions continue to knock on my door, such as, do I as a therapist share my story (or stories) with others publicly? Is there value in therapists who choose to open up in a more public forum? How about us therapists taking our practice even further by exercising vulnerability and using our voice through other outlets? Are age and credibility in the field some of the salient determinants when choosing to publicly divulge as a professional? What is too much to self-disclose in written form? Could casting a wider net be detrimental to a therapist’s profession?

While these particular questions have lobbed around in my head for just over a year now; admittedly, they have not been all ‘heady’ taking up rent in my mind. Sometimes (and many times), I would simply experience this feeling inside of me – near my heart or gut – nudging me to share more and to share with more people. Stop thinking so much and just take action. Take the leap and have faith. Even a call to duty would emerge from within as well. But why and for what purpose? The answers didn’t seem readily available to me. And then over the past few months, it all became clearer.

Earlier in 2017, I learned about On The Table and the #BreakTheSilence initiative by The Kennedy Forum. I was immediately pulled in as I loved the mission and purpose of this initiative. Bring people together to give people an opportunity and space to talk about mental health in effort to reduce the stigma that still hovers around and shrouds the already cocoon existence of mental health. The idea is that when more people talk about a topic – in this case mental health and addiction – a positive rippling effect can ensue.

The more people talk about mental health…

The easier it will be for all of us to talk about it.
Better yet, the easier it will be for all of us to talk about it without feeling shame, crazy, or embarrassment.
The more we will feel safe and free of judgment.

The more people talk about mental health, the more…

People will seek out help.
We will honor and view mental health as another facet of humanity and life, just as we do with other areas, such as our physical health.
We will advocate for change across cultures, families, and even within the helping professional field.
Opportunity for positive changes within the health care insurance industry.

The continual, cascading effect. The more people talk about mental health and addiction…

The more we will become intimate and experience love.
The more we will be empathic and compassionate.
The more we will be more understood and connected.
The healthier we will all become and the more lives will be saved.

Who doesn’t want to experience these things for themselves and others?

Concentric Counseling & Consulting hosted its first On The Table Discussion on May 16, 2017. The turn out and experience was inspiring and moving. We even shared people’s stories, experiences and solutions for people to read in our blog. However, the Concentric’s therapists served as hosts and guides – we were not active participants in this discussion. No self-disclosing. This is not a terrible thing, but the knocking on my door didn’t go away. Should we have re-considered actively participating in this dialogue? Sharing would mean ‘more people’ talked about mental health and addiction, right?

There have been other initiatives and movements this year, including one of the more recent ones that started in October 2017. The #MeToo movement gained momentum and traction which has given people collective permission to break free of the shackles that have promoted and reinforced silence, inequality, sexual harassment, discrimination, and assault, shame, and for some, the cocoon existence of mental health. The #MeToo movement encouraged women to share their stories in effort to give people permission to break their silence to unite and to bring greater awareness about the prevalence of sexual misconduct. The more people talk about their experiences and hardships, the same effects will occur as with the more people talk about mental health and addiction. Movements like these promote the cascade effect which in turn promote movements – a positive feedback loop.

All of these experiences along my personal roadtrip have touched and impacted me. And, while I recognize that I am helping people, I have also recognized that choosing (more times than not) the non-self-disclosing therapist may just not be as helpful. I believe in the importance of using one’s voice, honoring one’s experiences with integrity and respect, and I want to help become a part of the bigger picture. I want to talk more about mental health and addiction publicly in effort to help achieve with many others a positive cascade effect. It won’t be easy for me, that I know. Truthfully, I am not quite sure where to start, what I will disclose about and which platforms to traverse. What I do know is I now have a clearer understanding of the persistent themes that knocked on my door. My deeper desires and hopes for all by talking about mental health.

So, my New Year’s resolution for 2018 is for me as a therapist is to start leaning in, to become more of a self-disclosing therapist by sharing more publicly some of my own mental health challenges and triumphs. Happy New Year Everyone!

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