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Cultivating Mentoring Relationships for Psychotherapists

“It’s important that you feel held.” These words of my clinical supervisor echo in my mind whenever I am in a helping process with someone in distress. And rightly so, for I received those words when I myself was going through distress – managing my first complex case as a starting psychotherapist. My client that time just experienced a terrible trauma and attempted suicide. They survived, thankfully, but I remember feeling overwhelmed, distressed over my client’s safety, and doubtful of my own efficacy. My clinical supervisor made space for me to share my inner process of working with this client; listening attentively, guiding with reflective questions, and, when necessary, sharing advice and her own experience as a beginning therapist. It was her generous sharing of both her technical expertise and compassionate presence that enabled me to replenish my reserves to support my client. Eventually, my client was able to find her path towards safety and thriving; and I also grew to be more competent and confident in my skills. That space became my concrete experience of the parallel process in therapy work; being made to feel held so that one can, in turn, also cultivate a safe holding space with clients and colleagues.

Beyond a space to experience the parallel process in therapy work, having mentoring relationships has been found to positively impact both the professional and personal life of a clinician. Mentoring is defined as “a personal and reciprocal relationship in which a more experienced professional acts as a guide, role model, teacher, and sponsor of a less experienced professional” (Johnson, 2017). Benefits of having a network of mentoring relationships include strengthening one’s clinical competence, self-confidence, and self-identity as a clinician, connections, and career opportunities. Studies show that those who receive mentoring tend to feel more committed to their profession, accelerate their professional development, access more opportunities, and may even earn more than those not receiving mentoring. In the sometimes isolating and emotionally taxing context of therapy work, being connected to a “constellation of mentors” can help nourish one’s socio-emotional well-being and replenish one’s compassion. And while getting a mentor can just happen organically, we can also be more intentional in cultivating our personal “board of mentors” with the following steps:

What is my personal and/or professional vision and mission? What are my values and goals? What skills, knowledge, or opportunities would support these? 

    Once these are clear, it’s easier to identify one’s mentoring needs. What kind of exposure, guidance, and role model would best support one’s goals? Mentoring relationships can range from more formal clinical supervision under structured training programs and academic mentoring, or more informal such as having coffee conversations with more proficient others. It can focus on seeking guidance regarding specific skills, current or future role, one’s profession. But it can also focus on non-work matters such as fitness, spirituality, financial proficiency, that support work-life balance and self-care. While early-career professionals profit the most from highly structured and technical supervision, mentoring relationships for mid-career professionals tend to grow less formal and more collegial peer coaching. These can be found in joining special interest organizations, networking with peers in events, or one’s informal network of professionals. Meanwhile, those in the advanced level of their career often take on the guiding role.

    While it may be daunting to proactively strike a relationship with a potential mentor, it can be affirming to know that mentoring relationships can also be rewarding for mentors. Evidence suggests that having mentees can feel fulfilling, generative, and re-energizing on the side of a more senior professional. Other challenges may be more logistical, such as challenges in availability, limited access to groups or programs providing mentoring, or limited local specialists in the area we would like to be mentored in. To these concerns, it may help to cast wide one’s net and list down all potential guides, as well as leveraging on technology and teleconferencing to access possible guides outside of one’s immediate location. Once the list is set, you can check out these tips and sample templates for reaching out to potential guides.

    Keeping the mentoring relationship warm and mutually rewarding is beneficial for all involved. In reality, many potential mentors already have busy schedules, so cultivating the attitude of a mentee that is a pleasure to guide and finding ways to contribute to a mentor’s goals can make the relationship more reciprocal. Mentors are found to gravitate towards a mentee who is proactive, strives for excellence, is open and responsive to feedback, collaborates with the mentor’s goals, and demonstrates commitment to growth.

    Concrete ways to keep the engagement productive and reciprocal may include preparing well for mentorship meetings, following through on one’s commitment, and determining what you can bring to the mentoring relationship. For more formal interactions, setting parameters on when to close the formal mentoring relationship (but keeping the connection open) would be helpful. The APA expounds more on guidelines for both mentors and mentees here

    To sum, cultivating mentoring relationships is beneficial across the arc of one’s professional development as a psychotherapist. To strengthen your constellation of guides, you can:

    • Reflect on your values and mentoring needs.
    • Reach out to potential guides.
    • Build a reciprocal relationship with them.

    If you’ve done all these and find yourself remembering a guide who made an impact on you in the past, this might be a good time to touch base with them again. Or perhaps consider paying it forward and becoming a mentor yourself.

    References:

    • American Psychological Association. (2012). Introduction to mentoring: A guide for mentors and mentees. Retrieved from https://www.apa.org/education-career/grad/mentoring
    • Phan, J. (2021, March 10). What’s the right way to find a mentor? Harvard Business Review. Retrieved from https://hbr.org/2021/03/whats-the-right-way-to-find-a-mentor
    • Johnson, W. B. (2017). Mentorship in the life and work of the private practitioner. In Handbook of Private Practice: Keys to Success for Mental Health Practitioners (2017th ed., pp. 222-234). Oxford University Press.
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    Thoughts on Thinking

    “I think, therefore I am!” Ever since the renowned philosopher René Descartes introduced this concept, the paradigm of the world has shifted. Our thoughts are more than just the little voice in our heads that we hear when we read or think to ourselves. Some go as far as to suggest that one can simply put our mind over matter, or that our problems are all just in our heads. While this may sound invalidating to our subjective experiences, there is a sense of truth in it, as entire modalities in psychotherapy have anchored their effectiveness in addressing our thoughts. 

    Issues brought upon by our thoughts in daily living include how irrational thoughts, automatic negative thoughts, cognitive distortions, and the like can lead to ineffective behaviors that hinder us from truly living. Fast forward to today, I would playfully argue with Mr. Descartes that, thanks to him, we now live in a world where overthinking is rampant, we spend a lot of time in our heads, and how we often try to headbutt our way through life. 

    From philosophers to psychologists, let us take a look at modern perspectives about thoughts. 

    Photo credit: albanycounselingservices.com

    Fundamental to Cognitive Behavior Therapy (CBT) is the concept of the cognitive triangle. The cognitive triangle shows that our thoughts, feelings, and behaviors are all interconnected. Changing one of these parts can affect the others. Understanding this triangle can help us recognize patterns in our thinking, manage our emotions more effectively, and make positive changes in our behavior. While we may have limited control over what happens to us, we have more power to determine our lives when we focus on our patterns of thinking (Beal, 2023). 

    Delving deeper into this thought, we discover various patterns in thinking that have the potential to restrict us from fully experiencing life. These patterns, often observed and addressed by psychotherapists trained in Cognitive Behavioral Therapy (CBT), encompass a range of cognitive distortions, such as catastrophizing, black-and-white thinking, and overgeneralization to name a few. These distortions skew our perception of reality, which could lead to behaviors and emotions that are not based on reality. 

    Additionally, overthinking or rumination, characterized by repetitive thoughts, can consume our mental energy and hinder our ability to focus on the present moment. The Latin origin of the word “rumination” is “ruminatio,” derived from the Latin verb “ruminare,” which means “to chew over again” or “to ponder.” Similarly, irrational thoughts, fueled by unfounded fears or beliefs, can perpetuate negative self-talk and limit our confidence and potential for growth.

    Life offers many paradoxes, and finding the middle path is the main idea when it comes to Dialectical Thinking. This mindset of seeking balance in opposing truths is central to the practice of Dialectical Behavioral Therapy (DBT) and can be observed when we attempt to reconcile two seemingly contradictory beliefs. One particular dialectic that has personally helped me become more compassionate toward myself and others is the idea that we are all striving to do our best while simultaneously having room for improvement. One can imagine that the pressure of wanting to be the best can leave people feeling burnt out. Dialectical thinking reminds me that it’s acceptable to have expectations and standards for ourselves while also granting ourselves the compassion we deserve. 

    When it comes to our emotions, adopting the mindset of thinking “both-and” rather than “either-or” can help create more space to allow us to experience all of our feelings. Recognizing that we can feel both happy and sad, both love and hate someone, enables us to acknowledge and process emotions that we may initially resist. It’s normal to experience mixed emotions, and sometimes even seemingly contradictory emotions about the same thing. Through dialectical thinking, we can embrace the nuances and paradoxes of life, allowing for a richer and more authentic emotional experience. 

    When it comes to our thoughts, have you ever considered who is the thinker? We now know that thoughts are very powerful and faulty at the same time, it would be helpful to build a relationship with our thoughts that allows for more freedom and choice. One of the ways we can do that is through the practice of Cognitive Defusion

    We can do this by simply rephrasing our inner chatter and adding the statement of “I am noticing” to whatever thought or emotion you might be thinking or feeling. For example, when you catch yourself thinking about the uncertainties of the future, you might normally think to yourself, “I am worried about the future”. To create more space, you can change the thought to “I am noticing that I am thinking about the future.” 

    When we develop the ability to watch our thoughts and adopt the mindset of being the thinker of our thoughts, we can create space for us to choose how to proceed mindfully. It does not make the future any more or less certain, but at least we can give ourselves more freedom to choose how to proceed. Try it out and see how this feels for you! 

    Image from DBT® Skill Training Handouts and Worksheets by Marsha M. Linehan

    Another concept that can help us be more skillful in thinking is the concept of the wise mind. We may have heard about how we can be left-brain dominant (analytical) or right-brain dominant (creative). DBT introduces the concept of a balanced approach that integrates both types of brain function. This balanced state, known as the wise mind, encompasses the rational and analytical qualities of the left brain as well as the intuitive and creative aspects of the right brain.

    In the wise mind, individuals can draw upon both analytical reasoning and intuitive insights to navigate various situations and make informed decisions. It involves tapping into a deeper level of understanding that transcends mere logic or emotion, allowing for a more holistic and integrated approach to problem-solving and life in general. 

    As we delve into the intricate web of our thoughts, emotions, and behaviors, we have learned from Mr. Descartes that thinking is the way to go! While our thoughts hold sway over our perception of reality, as seen in the Cognitive Triangle, it becomes evident that there are limitations to our thoughts. From cognitive distortions to overthinking, it’s important for us to identify the shortcomings of our thoughts. While certain thoughts and feelings might initially seem contradictory or opposite, learning to rest in the reconciliation of such ideas can help create more space in our minds and hearts. It can be quite easy for us to overidentify with our thoughts, which is why it’s important to remember that we are not our thoughts and that we have power over these thoughts. Lastly, it is equally crucial to honor and acknowledge the wisdom of our emotions. Striking a harmonious balance between rational thought and heartfelt intuition is key to living in the wise mind. So again, to Mr. Descartes, 

    “I think and feel, therefore I am.” 

    Anonymous

    References:

    • Beal, D. G. (2023). Cognitive behavior therapy (CBT). Salem Press Encyclopedia of Health. 
    • Casabianca, S. S. (2022). Cognitive distortions: Negative thinking. PsychCentral. Retrieved from 
      https://psychcentral.com/lib/cognitive-distortions-negative-thinking#list-and-examples 
    • Codington-Lacerte, C. (2023). Acceptance and commitment therapy (ACT). Salem Press Encyclopedia. 
    • Linehan, M. M. (2015). DBT® skill training handouts and worksheets. Guilford Press. 
    • Moglia, P. (2023). Dialectical behavioral therapy (DBT). Salem Press Encyclopedia of Health.