¶ Welcome to the Therapist Hot Seat
Hi guys , welcome back to PreviewLions podcast . This is Sarah and Whitney in special episode today . So Whitney is going to be in the hot seat , and not in the sense of our hey , whitney , questions , which we do love , but it is going to be . What does a therapist do ?
And we're going to deep dive into Whitney and into therapy and to , like you know , I think the common thing I've always thought about my own therapist is does she really practice what she preaches ? What does she do when this happens ? You know , what is she thinking when I'm telling her this update of craziness that's occurring , like what is she really processing ?
And today is again , we're trying to normalize therapy . Talk about mental health . Therapists are real people too , and we're going to dive into it , whitney . So let's start what is a typical Whitney therapy day .
¶ A Day in Whitney's Therapy Practice
So typical therapy day is I usually have six clients . Sometimes I bump it up to seven , just kind of depends , like , especially if we have a holiday or something that I may kind of fluff up my numbers for the rest of the week to have more availability . So I typically have six , maybe seven clients a day .
My niche , as everybody knows , is maternal mental health . So I do see a lot of mamas that are either pregnant , they are postpartum , and I even have some clients that I saw them during their pregnancy and were even two years postpartum . Because , honestly , pregnancy and baby is not the end . All be all to our mental health . No one is a mean from life .
Life will keep lifing and so there's a lot of people that I've maintained for a few years just because that's what's been needed . So I see people for an hour , so I usually I set my timer for about 50 minutes into the session .
That way we wrap it up , we schedule their next appointment and so if I'm lucky , fingers crossed that I'm able to have a potty break in between my people , get my sip of water , kind of you know , regulate myself and jump into the next one . I do prioritize my lunch break because sister has to eat and my brain needs that break .
So typically I either have lunch from 12 to one or one to two , just kind of depends on my day and how early in the day I get started . Tuesdays and Thursdays I start at 8 am , so I bump my lunch up to noon because I could not do five appointments without a break . That's a lot for my brain .
And you said you mentioned brain reset , pause . What is that ? Because people are like huh , because I've always said this to Whitney , because some days we will do podcasts , and we used to do like three hours of podcasts at once and mass record , and then you'd go see Clint . I thought , whitney , my brain is so tired , how does your brain input that , or how ?
So what is some things you do to keep your mental sanity ? Because people are unloading on you ? It's true .
This is hard things .
So if you which I don't think we have any listeners that follow me on Instagram because I do have a private Instagram , because my kids and internet safety and all the things but I do have what I call my emotional support diet Dr Pepper Frequently , I do have that because that is my source of caffeine , because fun fact about me I'm allergic to coffee , so I
have to get my caffeine from other sources . So if I know it's a heavier day , I start my day with my Diet Dr Pepper , or that's what I get with lunch . So that's one way is I kind of have that there ? I do actually make sure that I drink water throughout the day . Number one , because we need to be
¶ When Therapists Get Triggered Too
hydrated . Number two , it actually grounds me if I'm meeting with a client in something that they say almost triggers me .
Okay , let's pause there . So therapists get triggered .
Oh , a thousand percent . So if y'all have been listening for a while , most of you know that we had just a lot of death kind of back to back a couple of years ago .
We had three deaths in two months within my family and so I mean I just know that grief and death and all of that is just maybe a more vulnerable spot for me , especially when we look at the months from October to December . It's just going to be a harder time of year for me .
And I'm well aware of that client and it was their intake session and nowhere in that intake paperwork did it mention death and grief . It just talked about , you know , wanting to cope with depression , anxiety .
Fair enough , they come in and turns out that they had lost a child Like their child was an adult when they passed away and it was like a chronic illness and there were several similarities with dates from their experiences with death to my experiences with death . And I was sitting there like how am I not going to just sit here and sob ?
So I would actually sip on my water and use that as a tactile grounding technique during that session . And when I tell you that was probably one of my most delightful clients Like I absolutely loved meeting with that person .
But oftentimes I knew , okay , this might be triggering for me , right , but as a therapist , we actually have something in our code of ethics that talks about something called counter-transference , and that is where I project my issues onto a client , almost expecting them to be my therapist , almost like a role model . Think of it like that .
And so that's again star code of ethics . It's unethical for us to do that . However , I also can't prevent being triggered by similarities . Okay , that's just like . Again , no one's immune . There's no way I could avoid that . But what I can do , it is manage my reactions .
So , with that , if I could ever feel myself kind of getting teary eyed or just upset , I would just take a swig of water and just kind of do that a little bit . So that is one way I try to regulate myself in session . If need be , if I need to do that in between sessions , that's definitely something that I do .
One really good way to kind of regulate our nervous systems and kind of force ourselves to get out of fight or flight is if you kind of shake a little bit and I know that that sounds silly , but really like , think of Taylor Swift's Shake it Off , like you're literally moving your shoulders and your arms . Just kind of doing that .
You're re-regulating your nervous system . You're getting some of that nervous physical energy out . Typically , if I do have a couple of minutes in between people , I can shut the door to my office and do that . Nobody sees it , nobody knows about it , it's quiet , all of those things .
I don't have to worry about disrupting the therapist next to me , that I share a wall with things like that . So those are some things that I can do . If I need to like , get out lotion or a candle or sanitizer and do the deep breathing with that .
That's another way that I try to ground myself and just say that was a tough session , but it's okay , that's , it's going to be okay kind of thing , and utilize those grounding thoughts along with it .
No , I love that . And then you know , I think too , we always are wondering . So cause ? You are a lifetime listening and your mind is doing gymnastics , figuring out , cause it's ? People tell me this all the time . You got to listen more than you speak , right ? And so you are listening and you're evaluating and you're also teaching .
So what tips and tricks have you ? You know , because that's a lot to process in of . You're helping people redirect thought patterns . You're helping people learn new coping skills . You're de-escalating people , right ? yes , always what has been valuable , that you have learned , that now you implement in your day-to-day with that .
¶ Mental Gymnastics of Diagnosis
That's a very good question . I think some of it is . I have really learned how to take a pause , that I don't have to have the answer immediately .
Oh , I love that . I love that , and I think people in this day and age , because everything's so fast . It's like Whitney , you asked me something . I have to reply in two seconds . It has to be the right answer and perfect .
Exactly , and therapy has taught me that I don't have all the answers . For starters , I don't have all the answers , and it's okay that I express I don't have all the answers . I'm taking a minute to think on that , or I'll tell people because I mean , honestly , there are several diagnoses that look very similar to each other .
You know , we look at something like bipolar disorders , we look at borderline personality disorder and we look at complex PTSD , we look at anxious attachment styles or avoidant attachment styles . All of those can have very , very similar symptomology .
And so when I'm talking to someone , it's literally like I have a ping pong ball in my brain of , well , we checked a box over here and we checked one here , but I didn't do this over here and we did do this over here . And like it's constantly going back and forth and I will tell clients .
I'll say , you know , in full transparency , I kind of have some mental gymnastics going on , like I'm thinking that we're clicking boxes for different things , but I don't want to jump the gun on something .
But , admittedly , if you were going to someone for therapy , not for medications , admittedly , if you are going to someone for therapy , not for medications , not for medications and not for an evaluation of something specific , then the goal is not necessarily a diagnosis .
The goal is to work through things and to equip people better and to cope better , and so I think , having that knowledge going in , you may not walk out of your first therapy appointment with a diagnosis .
That's pretty appropriate , I was going to say I would argue I wouldn't want it . The first one you know , unless I was blatantly like you know came in and was like this all started post my birth . This , you know , and this happened during my birth and this is now . I can't sleep , I'm having panic attacks , you know .
I think there would be certain ways you know , presentations that I could lay it out or be situational therapy , Right . But if you're like my whole life I've noticed I've struggled with X , y and Z or this happened with my family and that's you know . Like you have 50 minutes , that is not enough time to unpack your whole life .
A lot of times it's not even enough time to unpack a situation .
Correct .
You got to introduce characters to your therapist , you got to say this is this person , this is this person , this is this situation . And two I think it is important to say your therapist will only know what you tell them .
And then that sense of if you leave out a lot of parts , whitney's mental gymnastics has to go ding ding , ding , ding ding , versus you filling in the whole situation and saying , well , I did say this and do this , or I , full transparency , whitney did X , y and Z .
Right and I will say it's a little bit of a catch 22 because insurance requires a diagnosis to bill . So oftentimes I will do a diagnosis and treatment plan . More often than not , with adjustment disorders that can present with anxiety or depression or both , I can start there to satisfy insurance and then I can really dig deeper with people .
I mean , everybody has adjustment issues . Let's just say that .
Right . Adjustment disorder is a honestly , it's a very good umbrella . It satisfies a lot of things . I can build a really solid treatment plan with an adjustment disorder .
Yeah , and I think that's a huge thing .
Yeah , if someone comes to me and they've had a traumatic event and we have , you know , we're having nightmares , we're having flashbacks , we're having hypervigilance that one I usually feel pretty comfortable saying well , we have some PTSD . Honestly , most people that struggle with PTSD know that they already struggle with it .
I'm not telling them something they don't know .
Yeah , what now ? When you are done with your clients , you're going home . Now , whitney , well , you've never taken off the mom hat or wife hat or family hat , but let's say you're switching those Cause I think I hear from a lot of women it's very difficult to move from maybe your work face , your mom face , to this .
Now you're having this conversation or this role and we're doing a lot of things at once
¶ Transitioning Between Work and Home
. How do you get kind of a any things you want to share of how our listeners can be like that's a great way from like transitions . This is how a tip to transition those modes , or this is a transition to I had a bad day at work , or that was really heavy , or I I'm seeing this client , but I know my child's sick and the nurse just called .
You know kind of those , right ?
so one thing that did help was we actually moved over the summer and before we moved I was seven minutes from work , which was very nice . I'm not gonna lie , it was super nice to have that . Now I'm about 15 20 minutes from work , so still not a terrible commute .
That has helped me actually get some music in where I'm about 15 , 20 minutes from work , so still not a terrible commute . That has helped me actually get some music in where I'm not having to really use my brain .
Okay , so you , whitney , unplug .
I do . I have to unplug a little bit . If the weather is good , I will open my sunroof just because I enjoy the sun . I love the sun . It's nice to kind of get that airflow going . It's nice to just kind of decompress . Yeah , I will say I think it's been easier for me as a therapist to leave work at work versus when I worked in the hospital .
Hospital was a different story because you got to , you saw a lot of things and you can't unsee things .
Yeah .
You know I will say do I hear some very heavy and traumatic stories from my clients ? Absolutely I do . And there are days that I walk out of here and it's heavier than it usually is , and that's when I have to tell myself okay , if I genuinely brought my best to therapy that day , did I give my clients the best that I was able to give them ?
Then it's okay that I leave it at work . Yeah , it actually is okay that I do that , Because then , if I bring it home , I'm not actually giving my family what I have left .
Yeah , I think that's a huge thing and it is . I think it's so hard to not let things just all run together . Some people are fans of mom and it's like , well , everything really is like your house . You know it takes like .
You just feel like you don't get changes in the environment , you don't get breaks , and that from the work-from-home that can feel the same way too . Right , if some way to check in that mind , check out that mind on certain situations or certain events . I think that's a huge thing . And Whitney's a runner . I know a lot of people know this .
But you run and that is your huge outlet and that is a you know you find time and space for long runs , marathon runs .
Yeah , halves . I have yet to find the courage slash motivation to do a full , and part of that is I really don't have the time to train for a full marathon , and that's okay . I'm just not there in my life . I don't have a huge desire to do a full marathon , and that's okay .
Me and Jenny have grand plans to do Dopey at Disney one day together , but I have decided that my youngest needs to be in like first or second grade , where my oldest and her can ride the bus home , kind of .
Thing .
Yeah , yeah , like I need there to be a little more independence and like they're not going to burn the house down before we get home , kind of thing .
Yeah , no , I love that . And then what other tips and tricks can you , as a therapist , that you , I think it's really you know ? Do you practice what you preach ? You know ? Does Whitney , when she is out and about , you know ? And anxiety strikes or fight and flight happens to you , you know , do you ? Is it one of those things ?
Cause , you know , as a nurse , I know nurses are the worst patients ever in general and we tend to not really do our preventative healthcare or these things . So , therapists , when it comes to mental health , what does that I mean ? Do you guys practice what you preach ?
We kind of have to if we're going to stay in this profession .
¶ Therapists in Fight-or-Flight Mode
So you know this story because I texted you , because I was stuck in fight or flight .
But , I had taken my kids to the park one day just me and typically I have no concerns about doing that because it's a small park , I can see my kids and there was a situation where there was a man there that had what could have been a weapon it was like a two by four essentially and he had done something threatening towards another woman there that was
walking her dog . When my brain figured out what was happening , I scooped up my youngest and I told my oldest . I was like run to the car , just go get in the car I will explain later . Just get in the car . And it was in the point like I put my four-year-old in her car seat I didn't even buckle her .
I got in the driver's seat and I drove about two blocks down the road to another parking lot , got her buckled and got home and I was rattled , rattled over that whole situation , to the point where I got home and I told my husband I was like do I call the police ? And he was like yes , yes , you need to call them , they need to know what's going on .
Like I was so rattled that I just thought I've got to get out of here kind of thing . And you know , after I called the police and all that , my daughter was next to me and she just kept asking me questions and I just kept saying I know you're worried , this is why we had to leave , but we're okay now .
And I had to keep saying that grounding , thought over and over of we're safe , we're okay , we're not harmed . We were actually not directly threatened , I observed it . I observed it and I hopefully prevented what could have been a bad situation kind of thing . And so even that next day I was still very much like peak fight or flight , like I was struggling .
And that's when I reached out to the other therapists that I work with . I'm like , hey , how can I get myself out of fight or flight , cause your girl is struggling over here ? And that's when someone said , well , you need to try and shake it out . And I was like , yes , that's what I need to do .
And that physical movement helped me actually work it out of my body . We can't as a therapist I can't actually stay in fight or flight or panic and actually serve my clients .
You have to get back to like a baseline and recharge recenter and I think that everybody needs that's the goal , right ? I mean there was , I remember that there was a . This is not the same level , but so the other day I dropped my oldest off and then we have to drive over to short distance to my youngest school .
Well , my youngest has his Lava , which is a little lovey kind of like you know , little stuffed animal thing . They only make one .
I've tried to find multiples , they're not a thing I would highly advise that's a veteran mom tip If you are going to introduce a lovey or a lot you know , get one that they make like five of and like store them and because , yeah , buy in bulk , buy in bulk , because that unique one that you can't replace again , that's a whole thing .
So he usually , when drive off , he waves to my oldest . He's like bye , bubba , love you .
I have warned and warned and warned him not to hold Lala in that hand when I say we were crossing over one of the worst intersections where I live and I see it fly , an orange flying through the air , landing in the middle of the intersection , and my everything went to a thousand like that fight or flight . Well , he lost it . I dropped him off at school .
I got him kind of calmed down and I told the teacher , whatever . And so I had to drive back through said intersection okay to get home . And I was like I prayed . I was actually like God , if it is your will for me not to die and get this lava , please , you know .
And when I say Whitney , I pulled up in this intersection and I see it and I'm like , oh my gosh . So I went into a parking lot . I had to go through the bushes . The people probably thought I was homeless A . By the way , I was dressed at that moment for drop off . B . I came through the bushes and I ran as fast as I could .
I grabbed the Lala , dove back through the bushes , drove off . But I was in such a fight or flight I had to take a cold shower . I was going back . I was like what is everything I know to do ? And it took a cold shower . And then I am the type that I have to physically do something .
So I went and I worked out and I like had to lift weights , but I could not get that out of my system . Granted , that was like you know that child . I'll probably tell him of what I did to risk my life for the rest of his life for this .
But , it's one of those things that I couldn't like go about my day and do the meetings and do the test I needed Because , like you said , just so ramped up . Yeah . Yeah , it was scary how much my nervous system , even hours after , was like .
Yeah , just jolted .
Uh-huh . You know I think that's a huge thing is people need to be equipped of how to reset the nervous system and we have some good tips on like toolbox tips . But I think that's a great episode we can do in the future .
It's just a whole episode on nervous system regulation in ways , because , yeah , that was a moment , but as we finish the conversation , what is one thing that you want listeners to know about therapists
¶ Final Thoughts on Therapist Reality
?
Oh , that we have our own issues too . Again , I've said it , I think several times this episode like we're not immune from life .
Yeah .
And , you know , to my clients who have shown me grace , I appreciate it because , like I've got kids and they're going to get sick , yeah , I'm going to have to , you know , like cancel as well , just because life does that to us .
We are not perfect , we are not going to get it perfect and hopefully , if you have a therapist , they extend that same grace to you yeah , and you know , majority of the therapists that I know have therapists themselves and I think that is key and you know it's a we're appreciative .
And I think that is key and you know it's a we're appreciative , and I think it's always wonderful to pull back the curtain to people who we say these are , you know , trustworthy , they're great , they're tools equipped and like just to say you look at them and say we're in this together and to really lean in and therapy's not , shouldn't be this big , scary ,
taboo thing .
Right , absolutely not . It's there when you need it and you don't have to do it lifelong . Yeah , that's the thing . It doesn't have to be a lifelong thing . It could be that you just needed to get through some stuff .
Yeah , I read something recently and I forget the term for it , but they were saying like earthquake or lifequake , I think it's called a lifequake , and it was essentially saying that you're either beginning , ending or in the middle of a lifequake . And it was essentially saying that you're either beginning , ending or in the middle of a lifequake .
And that is like life events that could be deaths , that could be transitions , that could be becoming a mom , that could be sending a kid off to college , that just these quakes of life that will make us feel unshaky at times or need of that extra support , and that it is .
You know , it's always hills and valleys , but thank you , whitney , for being on the hot seat and letting us get to know our favorite therapist even a little bit more . Yes , all right listeners , hope you enjoyed this fun , kind of just different episode .
But again , if you are looking for therapy , if you're a Preview Alliance mom , all you have to do is text us support and we will get you settled . But if you are not and you are interested , postpartum Support International has a really great find a therapist directory . Psychology Today is amazing .
You can search by your state , your insurance , maternal , mental health or PTSD , ocd , things that maybe you're struggling with . Just start there , and we always encourage you to know that the first step of seeking help is often the hardest , and after that it's all downhill from there . So thank you , guys , and we'll be back next week Sounds good Bye guys .
Maternal mental health is as important as physical health . The previous alliance podcast was created for and by moms dealing with postpartum depression and all its variables , like anxiety , anger and even apathy . Hosted by ceo founder sarah parkhurst and licensed clinical social worker whitney gay , each episode focus on specific issues relevant to pregnancy and postpartum .
Join us and hear how other moms have overcome mental health challenges , as well as access tips and suggestions on dealing with your own challenges as moms . You can also browse our podcast library and listen to previous episodes at any time . Please know you're not alone on this journey . We're here to help .
