What’s the difference between a counsellor, a psychologist and a psychiatrist

What’s the difference between a counsellor, a psychologist and a psychiatrist

As a counsellor, people often ask what is the difference between what I offer and seeing a psychologist.

 

Counsellors have been trained in the art of listening and supporting people. Counsellors do not put as much focus on mental health diagnoses or use as many assessments as Psychologists.

Counsellors can have anywhere from a 2-year Diploma Qualification to Degree level and post graduate training. (I have a Masters Degree as well as a Bachelor).

A good tip is to look for a counsellor who is accredited with the Australian Counselling Association.

Counsellors usually charge between $90- $180 for a session and many have rebates for Private Health Insurance but are not currently able to offer Medicare rebates. Many people prefer to see a counsellor as they do not need a GP referral, and some people don’t feel comfortable talking about their personal lives with their GP.

Counsellors use many of the same modalities as Psychologists. All Psychologists in Australia hold a general registration with the Psychology Board of Australia and have extensive training and experience as part of that registration, usually 6 years of training.

Psychologists are experts in how the mind functions and often assess people for different mental health and behavioural disorders.

Unlike Psychiatrists, Psychologists cannot prescribe medications. The Australian Psychological Society suggests Psychologists charge $260 for 50 minutes and Medicare rebate may be available (between $84 and $128 back.) People with a mental health diagnosis, disability, chronic medical condition, recent or current pregnancy and Aboriginal and Torres Strait Islander people can receive up to 10 bulk billed sessions per year.

A Psychiatrist is a medical Doctor who works specifically with Mental Health issues. They take comprehensive mental health assessments and provide clinical diagnoses and treatment plans including prescribing psychotropic medication such as antidepressants.

It takes up to 11 years of training to become a Registered Psychiatrist. Psychiatrists generally work with people with complex conditions such as schizophrenia, severe depression and bipolar disorder. Fees range from $300 to over $400 but Medicare will often provide a rebate so your out-of-pocket cost would be between $40 and $170. Some Psychiatrists bulk bill.

If you would like to learn more about Ella’s extensive qualifications and experiences see; https://ellashannon.com/about-ella.html#/

 

How can emdr help me to heal?

How can emdr help me to heal?

 People come to counselling for a wide range of reasons.

Some want to heal from traumatic experiences in their past such as childhood abuse, sexual assault, growing up with critical parents or other specific events.

But many people see a therapist because they just don’t feel inspired or joyful in their lives. They move through life with moments of happiness, but their main state is one of anxiety or just feeling down.

EMDR is a wonderful type of therapy that can support people back to a state of lightness and ease.

EMDR stands for Eye Movement Desensitisation and Reprocessing. It was developed in the 1980’s and has grown more and more traction with thousands of therapists around the world now offering EMDR to their clients. 

There are different theories about how it works, the way I like to understand it is more of a metaphor.

When things happen in our lives, they are ‘digested’ by the brain into memories- filed away as things that happened in the past with a beginning, middle and end. But some things occur that get stuck, they remain in the mind ‘undigested’ and fester, like food in the belly that can’t quite go down and continues to make us feel sick. They haven’t been filed away as a story that happened in the past and instead remain ‘open’ in the form of sensations, negative feelings and thoughts about oneself and sensory input (eg certain smells or colours). This happens obviously with big traumas like being attacked, but also with things that may not seem like a big deal such as being embarrassed at school in front of the class, or someone saying something cruel to us.

Clients often say to me, ‘but it was so many years ago, it seems silly I could still be affected by such a small thing’.

Yet when memories are not ‘digested’ as described above, they are still being experienced now, and the information continues to influence the present.

For example a 7 year old girl was teased by friends at school swimming for being ‘fat’. Now whenever she is invited to the beach or the pool she experiences self-loathing and body shame. After some sessions of EMDR, she is no longer influenced by the negative thoughts she learnt at this time many years ago, she can feel free to enjoy her body without the hang-ups of the past.

EMDR helps people to identify memories that may be ‘undigested’, and to work out what negative thoughts about themselves they picked up at the time, that continue to run the show in the present. Through a process of bilateral stimulation, which usually involves moving the eyes back and forwards, these memories are reprocessed and no longer create disturbance in the present.

EMDR therapy will never take away something that is true, and won’t remove bad memories all together, but after EMDR therapy, people report being able to think back to the good parts of their childhood, or their relationship with someone who has died for example, without the disturbance and painful emotion that came with it before doing EMDR therapy.  

EMDR therapy can be of use to anyone who is willing to address their past and who wants to free themselves of old patterns and ways of thinking.

The process takes at least 6-8 sessions, and some people commit to long term EMDR therapy to really go back and process all the different memories that are affecting them.

For more information on EMDR see the Australian EMDR Association: www.emdraa.org

 

Help! I have no libido

Help! I have no libido

One of the most common reasons for seeking a sex therapist is a perceived lack of libido.

Libido is another word for ‘sex drive’, how driven you are towards being sexual and how often you feel sexual desire and arousal.

It can be helpful to understand that desire and arousal are different things. Sexual desire is the feeling of wanting sex (whether this is acted upon or not), and sexual arousal is the physiological sexual response of being turned on.

For most people during their youth, sex drive was strong and they regularly felt a lot of desire and arousal at the same time. But arousal isn’t necessary for sexual desire. You can desire to be sexual for lots of reasons than just feeling turned on. Perhaps you want to feel close to your partner, or to express your love to your partner, or to relax, to seek pleasure and many other possible reasons for desiring sex. Often once the sexual interaction has begun, the arousal will start to build.

If time is taken and opportunities are created to build arousal- sex can be satisfying, even if there is not as much arousal as perhaps previously experienced.

Sometimes if it’s been a while since being sexual,  bodies are out of practice, and it takes time to awaken to feeling sexual and aroused.

Have fun practicing and enjoy whatever you do feel.

Yet people often attend counselling because they can’t access any desire at all, and being sexual is just not something they feel able to experience or go towards at the moment.

The role of therapy is to help you understand yourself and exploring the reasons why desire is not present is an individual process.

It often starts with looking at the quality of the relationship.

Do they feel respected, appreciated, and loved?

Do they feel loved, but more as a friend and not as a lover?

Equally important is a person’s relationship with themselves and their own body. Societal messages tell us that we are ‘not good enough’ in order to try and sell us things- these messages run deep and body shame and lack of self-esteem can ensure that the sexual, erotic, playful parts of ourselves hide away.

Lack of desire can also be a symptom of underlying health issues, so it is always good to get a full medical check-up to rule out any biological factors that are preventing sexual desire and arousal.

A really common reason that many people have a lack of libido is that they are feeling too overwhelmed with managing daily lives and young children, and especially if they feel that they are managing an unfair proportion of household tasks- sex is the last thing they feel like and it can feel much more like a chore than a reward.

Once these elements are explored and attended to, there are lots of exercises and practices that will start to stir libido up again.

Sexual energy is life-force energy.

 

It’s the part of us that feels inspiration and joy at life. This energy can be stirred up through dancing, laughing, playfulness and doing activities that make us feel alive. Through wearing clothes that feel sexy and through practicing to perceive oneself as a sexual being again. Learning to touch yourself in a pleasurable, slow and sensual way can build up sexual longings and desires. For many people this process will include overcoming shame and stigma about sex and what it means to be alive in your own pleasure, enjoying your body and the body of your lover.

If you need support in this process, sex therapy can be a wonderful support along the way.

 

Can relationship counselling help recover from an affair

Can relationship counselling help recover from an affair

A common reason that people seek couple counselling is at the revelation of an affair.

The knee-jerk reaction is to ask the person who betrayed to leave and end it there, but many couples choose to try counselling first and see if healing may be possible. And yes couples can absolutely come back from affairs, but it does take work and it does require making some changes.

Trust is such an important foundation for a healthy relationship, and so rebuilding trust is crucial if the couple is to go forward after an affair. The pain of betrayal affects couples who practice ethical non-monogamy too, when agreed upon boundaries are transgressed feelings of pain, jealousy, shame, anger and sadness are natural. Sometimes there is also a feeling of relief, as the person who was betrayed realises that their intuition or ‘hunches’ were actually correct, and the person who betrayed can come clean and doesn’t have to keep up the exhausting process of lying.

When couples come to me for therapy after an affair has been revealed, there is a process that needs to take place over the next weeks and months.

Affairs don’t happen in isolation, and there may be things that the betrayed partner was doing before the affair that the person who betrayed may want to address.

But the first step is putting the focus on the person who was betrayed as it can be a massive shock to come to terms with all at once. They will need time to understand what has happened and to ask as many questions as they need,. However, I encourage the betrayed partner to be careful in their questioning. It’s totally understandable to want to know details, but once you know something you can’t ‘unknow’ it, and many people have been traumatised by images in their mind about what their partner has done behind their back.

So absolutely find out things like who, how often and where, but ask yourself, is it really helpful to know how the affair partner’s body compares to yours? Or which positions your partner most enjoyed with them?

Once you understand what has been happening, then it is really important to try not to pick at it like a scab that is trying to heal.

Instead of rehashing what happened over and over, if you want to move on and have a chance at continuing the relationship, the person who betrayed needs to share how and why the affair happened. It’s not always because the relationship was stagnant or that sex hadn’t been fulfilling in the primary relationship, there are many, many reasons people cheat. But the person who betrayed owes it to their partner to try and work out why it happened, if they decide they want to commit and continue as a couple.

This work of really dissecting why an affair happened and then choosing if both really want to stay together is powerful.

 

So many couples live on autopilot. Taking each other for granted but not putting in much effort. An affair can sometimes be a wonderful opportunity to live more intentionally, to prioritise the relationship, to rekindle a passionate sex life, to grow together rather than apart.

 

I often say to my clients that an affair can be a wound that festers and continues to infect their happiness, but if they choose to move forward together and commit to working on things, it can be a battle scar that is a symbol of their strength.

Chakras and Relationships – vishuddha

Chakras and Relationships – vishuddha

Tantric practitioners have a different understanding of Chakras than that of the new age system. Rather than seeing chakras as spiritual organs that open and close, chakras are understood as different levels of consciousness available to us as part of the human experience, and each person will have more or less activation at each level. Some of this is nature and nurture (what you were born with and how you were raised) and some of this can be influenced by how you live your life and what daily practices and disciplines you subscribe to.


Many of us have some activation on the first 3 chakras, particularly Muladhara the base, which is our sense of stability and security in the world. Many people have a lot of activation at the level of Svadhisthana; this level of consciousness has us grasping after pleasure, wanting to look a certain way to appeal to what others think and sucks us into whatever tastes sweet or is in fashion. Manipura the solar chakra is about power, confidence, discipline and will. It is the ability to delay immediate gratification for longterm gain and is also related to being able to surrender yourself to a higher ideal.

Most people in modern society have much more activation of Svadhisthana than Manipura, therefore when a person comes along with a strong activation at the level of Manipura; the rest of the people with lots of Svadhisthana are very drawn to follow them. Sadly, it is easy to think of many leaders who have taken advantage of this willingness to follow those with a strong arousal of Manipura and they lead with much disharmony,
Tantric practitioners spend a lot of their daily practice building Manipura so that they are not easily led, so that they can stand strong against temptation and live by their values.

Anahata, the heart chakra, is even more rare. That is why someone like Jesus, who had a massive activation of the sacred heart stood out so dramatically from everyone else, and why his message (when distilled from the problems religion has caused) still has a positive influence on many people worldwide. Most of the rest of us have moments of heart activation, but we are largely dominated by the activation of the first 3 chakras, and also ‘live in our minds’ with some activation of Ajna chakra too.

Having more than a little activation of Vishuddha, the throat chakra is also uncommon. This chakra is about purity, gracefulness, refinement of the senses and the highest level of creativity. Svadhisthana gives us Walt Disney movies and pop music hits, while Vishuddha gave us the Sistine Chapel and Mozart.

A person with a strong activation at the level of Vishuddha finds it very difficult to be part of modern society. They are delicate and sensitive, it is like hearing fingernails down a blackboard when they are around people discuss anything besides Truth, Love or Spirituality.

These refined humans are drawn to monasteries and retreats, or you might find them at home painting, meditating or enjoying the stillness of nature.

So to talk about Vishuddha and relationships is difficult. If one person in a couple is awakened at this level, they will seek a lot of alone time. They will prefer to pray or mediate than sit and watch Netflix. Sexuality at this level is extremely rare, as the person with lots of activation here is more likely drawn to periods of celibacy. Although if this level is reached during love making, it is like communing with the angelic realm. It is a level of exquisite purity that takes you to states of consciousness beyond space and time to where knowledge begins and where worlds are born and destroyed.

If Vishuddha activation arises in one person in a relationship, communication is needed regarding how worldly needs and desires will be fulfilled, as the other party may feel lonely and unimportant. Meditating together, reading sacred poetry and being in nature together may help to sustain the connection between you, and these activities can also help to bring a deeper activation of Vishuddha to all of us.

To live a full and rich life, it’s wonderful to be able to access to all 7 levels of consciousness, and in a society that often values that which is crass and cheap some more refinement, purity and grace would not go astray..