On the Couch: Burned Out Therapist
Thursday, Lafayette, Indiana
I’ve been practicing counseling and psychotherapy for 20 years. And despite my busy schedule and travel I continue to see people seeking help. On several occasions I have been asked if I ever feel burned out listening to the problems of others. In fact, one reader sent me a note sometime ago that said the following:
Dear Dr. Will
I admire your work and dedication to healing troubled people. I was wondering, are there ever cases where you throw in the towel? Are there some patents who are so screwed up that you admit they cannot be helped? Does a therapist ever give up? If so, then what?
Sincerely,
Leonard, Chicago, Illinois
Dear Leonard,
Thanks for the inquiry and it is a good question. Although you did not mention this in your letter I was wondering if this applied to anyone you know personally? The fact is there is always progress that can be made with a person, assuming they keep coming back to meet with their therapist. Certainly there are individuals who are so unbalanced and resistant to counsel that their progress is painfully slow. Some people are unable to progress because they have personality problems. Others stay stuck because they have organic mental problems. Still others are constantly confronted by bad circumstances that keep them down. All we can do is encourage them to keep trying - keep pushing - don’t give up!
Self-defeating: You show up at a formal wedding wearing gray sweatpants
Life-defeated: On your way to a wedding your car suddenly catches fire
Self-defeating: At an important work gathering you loudly mock the religion of the company’s top client
Life-defeated: Immediately after leaving a prayer meeting you are mugged
Self-defeating: When introduced to a vision impaired person you comedically mug to get laughs from others
Life-defeated: After leaving a hearing test at your doctor’s office you are struck by an object and blinded
Self-defeating: After a bad call at your young son’s soccer game you run on the field and assault the referee
Life-defeated: You reluctantly volunteer to referee a school soccer game and are assaulted by a deranged parent
Self-defeating: Despite complaints from neighbors you keep a rank smelling compost pile in your front yard
Life-defeated: An hour before hosting a big party the sewer backs up into your living room
Self-defeating: You always answer your cell phone in the movie theater
Life-defeated: Because you politely turned off your cell phone during a movie you miss a radio station promotion awarding you two million dollars
Self-defeating: You keep untrained pit bulls loose in your poorly fenced yard
Life-defeated: While running away from a vicious dog you accidently run into a car and are successfully sued by both the car owner and the dog’s owner
Self-defeating: At the office Christmas party you make romantic overtures to your boss’ underage daughter
Life-defeated: You are inadvertently hit by a flying glass meant for someone else and you lose an eye
Self-defeating: You have not mowed your grass in seven months
Life-defeated: While wandering through tall grass your dog is attacked by a nesting wild animal
Self-defeating: At the supermarket checkout line you create a diversion and cut to the front of the line
Life-defeated: The line at the supermarket is so long that your milk spoils and you become violently ill and are hospitalized
It was sixty-eight years ago today an American icon was born. Legendary toon Bugs Bunny began what was to become a five decade run that would forever read rewrite the image we have of “cute little bunny rabbits.”
Every artistic expression reveals something of the unconscious imagination of the creator. Whenever we see a painting, a written character or a television detection, even a silly cartoon, we are getting a glimpse into the psyche of the individual who brought it to life. And if we stop and reflect upon the images and themes in the expression, we frequently can find themes that resonate with our own life as well. In television and film, whether the theme is deep and ominous or silly and even inane, we get a glimpse into the mind of the person behind the image.
With the exception of a few mopping up visits to France and England, Barack Obama’s excellent adventure in Europe is about over. And this can’t come soon enough for the John McCain campaign, relegated to eating sausages and German restaurants and talking about the price of groceries in the catchup while in a supermarket. While McCain draws flies, Obama draws 200,000 curious Germans to hear him speak in Berlin. While the McCain campaign arranges events that have the feel of a professor at a local book signing for a scholarly book, Barack Obama stars in his one-man show that feels like a U2 concert.
And really, why not? Aside from any, albeit legitimate concern about preparedness, competency or judgment, to millions around the world it is especially stunning that America might be on the verge of electing an African-American as president. Because as much as we here like to avoid the subject, our reputation around the world includes distain for our shameful history of racial animus. On the heels of an administration that has been among our most conservative, it certainly seems an unexpected eventuality that a person of color might prevail against a woman and a traditional white male.
I have been seeing several commercials featuring the legendary Texas oil baron, T. Boone Pickens making his pitch for a dramatic investment in wind and solar power to help alleviate the energy crisis battering every segment of American society. According to Pickens’ plan, by ratcheting up wind power to meet out electricity needs, we will have enough leftover natural gas to fuel our cars.
And of course I recognize that there is financial self-interest involved here for this man. He’s investing huge amounts of his money to build a gigantic wind farm in a rural part of Texas. And I’m sure he expects to make a lot of profit from this. Well, bully for him. This doesn’t bother me lick.
The impact of the nation’s economic slow down are felt everywhere. From the obvious pressures of gas prices and the mortgage crisis, virtually every business is feeling the pinch. And this month even Starbucks has announced that it is closing 600 stores around the country! I didn’t see that coming.
It is likely that many Starbucks aficionados, now denied their daily cup of venti soy hazelnut vanilla cinnamon white mocha with extra caramel, will suffer significant emotional and physical withdrawal symptoms. The slide down the java ladder to cheap consumer coffee is sure to alter their sleep habits and gastrointestinal routines. And these disturbances are sure to have a further impact on their mood. Their families and co-workers will feel the mounting frustration and irritation caused by their soy loss. Relationship balances will be unhinged and profit margins squeezed! The Starbucks crisis will have a domino effect that can lead to social chaos and global ruination. 
I realize of course that there is a vast distinction between the harmless bugs and the more toxic critters. But frankly I cannot tell the difference. Whether a spider suspended in the air or a moth fluttering around my porch light they all creep me out. If that makes me a wimp, well, spit in your eye. I don’t care.
I have a friend, Dr. Tom Turpin, an eminent entomologist at Purdue who works hard to demystify the world of insects. He is devoted to helping us understand the mysterious universe of bugs. He loves bugs. And good for him! Nonetheless, from my point of view this is appeasement of an enemy that will soon rise up and swallow us all! I know I sound like an hysteric, and perhaps I am. I hope I am wrong, but it is foolish to take chances.
It was this week in 1955 that Walt Disney created the “Magic Kingdom,” outside of Los Angeles and lured visitors from around the country and the world to come to his escape. Disneyland captured the imagination of America, and in fact became associated with America itself. To millions around the world, especially those living in poverty and oppression, Disneyland represents the possibility they can only imagine. Every character associated with Disneyland is gentle and upbeat, from sweet Mickey Mouse through harmless Daffy Duck and the gentle dimwit Goofy. Walt Disney created an alternate universe that was far more appealing than the reality most people were living.
Any visitor to Disneyland, or its franchise Disney World in Florida, knows that while the motivation may be to take the children for a fun and safe vacation, understands that the adults often enjoy the escapist experience every bit as much. In fact, for the parents visiting Disneyland or Disney World, it is a common experience to desire to be there without the responsibility of watching over their kids. In other words, most adults also need a Disney experience. There is no one who would not revel in the delights of an adult Disneyland. And for many, there is such a place. It’s called Las Vegas.
Although I am certainly a person with clear opinions, I am also willing to admit readily but for many large social problems I operate the way most citizens do: on the basis of the (usually limited) knowledge available to me. So while I have a point of view about such hot button issues as the war, politicians and global warming, in fairness I have to say that my information is based on impressions gleaned from the media I can access. I have no friends in the CIA or any others who operate “behind the curtain” of secrecy. So with that caveat, I am pretty convinced nonetheless that the American Healthcare system is an abominable mess. Further, I have no confidence that too few people are profiting obscenely at the expense of the rest of the population getting screwed to the wall by our system.
Now I am certainly not anti-competition. Quite the contrary. I love that our local Best Buy and Circuit City have to compete for my business. It’s in my interest to have both stores do well. But obviously this is not the case with our local health-care providers. For several years before I was on Sally’s health-care plan, I had to pay for our coverage independently. Although we are not young, we are very healthy. About five years ago my monthly premium for health care was around $650. Two years ago, the last year we were covered, my premium was $1350! This is just nuts! It’s damaging, obscene and from my point of view immoral.


