7cough9Senior Contributor
How to tackle my perceived "resistance to change" in therapy?
My talk-therapist (lets call her Dr D) has become frustrated with me, and declared me to be repeatedly resistant to change, even occasionally combative. I am inclined to reject the claim when stated as strongly and as generalised as that. However, I understand there is a recurrent pattern in my behaviour and judgements over my life and over the year of seeing Dr D which could be reasonably interpreted that way.
My homework from Dr D is to think about why I am resistant, presumably in order to open up options to remedy that obstacle. But I am at a loss how to proceed. I expect that if it was that easy to uncover in a fortnight, then I would have found at least some of the needed clarity at some point in my previous multiple decades of talking, writing and reading about my maladjusted life.
I have done extended work on my mental illnesses and personal struggles, and intermittently seen variously positive or disappointing results from professionals, programs and peer support groups. I have suffered discouragement with and/or skeptical rejections of SSRIs, SNRIs, CBT, DBT, non-directive psychodynamics, Twelve-Step programs, mindfulness meditation, EFT, the healing power of the Holy Spirit, etc etc.
I have accumulated multiple candidate ideas about what is critical for some change, many of which I have shared with Dr D. She seemed to dismiss most of them as either too abstract and academic, or too situation-specific, or too much about distancing from my own emotions and experiences, or too depersonalised to give me any way to take responsibility.
For an example, I have had chaotic sleep patterns for years. I recently started trialling a new medication, requiring me to establish a consistent routine rising, eating then dosing before 8AM in order to avoid problems with the medication suppressing my appetite or later interfering with my sleep. Applying myself to this, I chose to work first on my morning routine.
Unfortunately I did not concurrently tackle my browsing-social-media-til-after-1AM habit, which meant my earlier rising produced sleep debt and fatigue that muddled the potential benefits of the medication. In settling for that partial approach, I tended to see it as doing the best I can with my limited self-control and attention. Dr D apparently sees it as me sabotaging the medication trial, or as yet again blaming the professionals for not giving me an infallibly easy and complete solution. Presumably I should be taking more responsibility and doing my own problem-solving to get on top of both my sleep and my medication in a way that works for me.
So, is there some single deep choice or reason that explains me not being fully enthusiastic and engaged about trialling the medication? One that also serves to throws light on my alphabet soup of past discouragements and rejections above? It seems unlikely.
Should I be trying some recovery workbook exercises like those built abound finding your place on the "stages of change" model aka James O. Prochaska's Transtheoretical model?
Writing a one-act play about splitting myself into an enthusiastic active persona versus a passive negative persona and having them talk it out?
Analyzing some calculus of pros and cons, maybe including the imagined rock-bottom catastrophe that would make any imperfect remedy seem worth trying?
Something else? What?