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It's Not Always Depression: Working the Change Triangle to Listen to the Body, Discover Core Emotions, and Connect to Your Authentic Self-Hilary Jacobs Hendel

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Fascinating patient stories and dynamic exercises help you connect to healing emotions, ease anxiety and depression, and discover your authentic self.   Sara suffered a debilitating fear of asserting herself. Spencer experienced crippling social anxiety. Bonnie was shut down, disconnected from her feelings. These patients all came to psychotherapist Hilary Jacobs Hendel seeking treatment for depression, but in fact none of them were chemically depressed. Rather, Jacobs Hendel found that they’d all experienced traumas in their youth that caused them to put up emotional defenses that masqueraded as symptoms of depression. Jacobs Hendel led these patients and others toward lives newly capable of joy and fulfillment through an empathic and effective therapeutic approach that draws on the latest science about the healing power of our emotions.   Whereas conventional therapy encourages patients to talk through past events that may trigger anxiety and depression, accelerated experiential dynamic psychotherapy (AEDP), the method practiced by Jacobs Hendel and pioneered by Diana Fosha, PhD, teaches us to identify the defenses and inhibitory emotions (shame, guilt, and anxiety) that block core emotions (anger, sadness, fear, disgust, joy, excitement, and sexual excitement). Fully experiencing core emotions allows us to enter an openhearted state where we are calm, curious, connected, compassionate, confident, courageous, and clear.   In It’s Not Always Depression, Jacobs Hendel shares a unique and pragmatic tool called the Change Triangle—a guide to carry you from a place of disconnection back to your true self. In these pages, she teaches lay readers and helping professionals alike   • why all emotions—even the most painful—have value. • how to identify emotions and the defenses we put up against them. • how to get to the root of anxiety—the most common mental illness of our time. • how to have compassion for the child you were and the adult you are.   Jacobs Hendel provides navigational tools, body and thought exercises, candid personal anecdotes, and profound insights gleaned from her patients’ remarkable breakthroughs. She shows us how to work the Change Triangle in our everyday lives and chart a deeply personal, powerful, and hopeful course to psychological well-being and emotional engagement.

Book It's Not Always Depression: Working the Change Triangle to Listen to the Body, Discover Core Emotions, and Connect to Your Authentic Self Review :



For many years I'd been seeing doctors who had diagnosed me with major depression and social anxiety. I tried the "gold standard" approach of Cognitive Behavioral Therapy (CBT) and the newer mindfulness-based Acceptance and Commitment Therapy (ACT), as well as medication, meditation, exercise, and countless other things everyone always recommends. They all helped somewhat, but I couldn't help feel that they never touched the heart of my emotional pain. One day, I happened to read Hilary Jacobs Hendel's op-ed in The New York Times titled "It's Not Always Depression, Sometimes It's Shame." The story of "Brian", whose parents had provided for him materially but neglected him emotionally, spoke to me, and something crucial clicked when Hendel called his experience "a form of trauma." When I saw that Hendel was publishing a new book with the same title as her article, I jumped at the chance to buy it.Trauma was a word I had always associated with experiences like warfare, car accidents, rape, or natural disaster. But reading her article sent me on a path of searching, which eventually led me to the work of Bessel van der Kolk, Pete Walker, Beverly Engel, and others who recognized that things like abuse, neglect, bullying, or other more workaday adverse experiences can result in similar symptoms as those more obvious traumas. In this book, Hendel calls these "small t traumas" (as opposed to "Big T Traumas"), and makes the point that "we are all a little traumatized." Such "small t traumas" are often easy to overlook, but can deeply wound our ability to feel what we really feel and (by extension) be who we really are. In this book, Hendel teaches you how to reconnect with your emotions and with your true self, what she calls "the openhearted state", characterized by calm, compassion, clarity, connectedness, confidence, and courage.It's taken me several months to get through the book. Hendel really wanted to get as much of the healing potential of therapy (particularly the style of therapy she practices, Accelerated Experiential Dynamic Psychotherapy) into the book as possible and make it as accessible as possible, using plain language. The result is admittedly more pragmatic than immediately inspiring. It makes for a slow read, especially if (like me) you want to contemplate the information and apply it to your life. It's not easy work, and may require working through it with a therapist. But this is vital information in a world which seems to revolve around running from our emotions, and each page is brimming with empathy and compassion for her clients and for her readers. Hendel was doing a brave and risky thing in making this information, heretofore available only to mental health professionals, widely available in a book for the general public. Diana Fosha, the founder of AEDP, expresses in the Foreword to this book a veiled apprehension about having her life's work loosed upon the world, out of her careful guardianship, though I don't think she need worry. This book is thus a gift of deep compassion, and I'm extremely grateful she put in the work and dedication to get this information out to as many people as possible. I especially appreciated the inclusion of specific techniques for working with emotions like anger, anxiety, and shame; in addition, Hendel goes into considerable depth about the nature of trauma, the factors that can contribute to our anxiety or shame, and offers moving, relatable stories from her own therapy practice.It's not a perfect book. The Change Triangle she uses is a helpful shorthand for our uneasy relationship with our emotions, but I'm not convinced that this framework (developed for clinicians) will be successful as self-help tool for a general audience, due to the level of self-awareness required. (I note that, to date, many of the positive reviews are by therapists and not laypeople.) What's more, I don't feel Hendel emphasized the potential pitfalls of trying to do this work on your own. AEDP is a deeply interpersonal form of therapy, and this comes across in both Fosha's Foreword, and Hendel's moving clinical vignettes. Especially when we're dealing with trauma, the presence of a compassionate other is vital. I previously read Tina Gilbertson's delightful  Constructive Wallowing: How to Beat Bad Feelings by Letting Yourself Have Them , which covers much the same ground as Hendel, and I find myself using her T-R-U-T-H technique more than the Change Triangle, though they accomplish essentially the same thing. But Hendel's book adds a wealth of information from neuroscience, attachment theory, emotion research, and clinical practice that will be valuable to anyone interested in going deeper.
As a psychiatrist and therapist for over 40 years I have always encouraged my patients to pay attention to how they are feeling and thinking. To deny or avoid one's true feelings and emotions leads to a multitude of problems and symptoms from states of depression to anxiety and everything in between.This practical and clearly written self-help book written by a gifted therapist helps the reader learn the incredible importance of understanding and accepting our core emotions and the variety of ways we use defenses and other emotions (anxiety, guilt, and shame) to protect us (even though they cause us pain as well).It is filled with examples from her personal life and her work with patients to help you understand the importance of discovering and accepting your emotional responses and how to use that knowledge to better navigate your life.She introduces you to The Change Triangle, a conceptual tool, a map, to understand our emotions and discover what we are doing with them that limit our awareness and growth.Without jargon or overly technical explanations, she presents the latest theories and discoveries in cognitive psychology, neuroscience and mindfulness meditation. She distills this knowledge into a multitude of useful tools and skills to better understand, acknowledge and use our emotions to enhance our lives.She describes clearly and compassionately the various ways we have of avoiding emotions with the layers of defenses, protective feelings, and automatic emotional reactions.Her approach reminds us and focuses on our innate health and teaches how to use that more effectively.The book is filled practical techniques of observation and mindful awareness skills to help one become more in touch and accepting of our core emotions. The book offers hope and direction.The author is a trained and obviously skilled therapist and writes openly about her own struggles and discoveries. She writes with openness, compassion and humor that offers the reader the opportunity to understand what she is feeling and how she thinks and how she guides her patients to help them discover their true power.This gives us a window into how our minds work and how important it is to pay attention to our bodies and our emotions whenever interacting with others (and ourselves).And most important this book offers hope for gaining understanding, acceptance and healthy ways to manage our deepest feelings.Larry Drell, MDAnxiety And Depression Therapy ServicesWashington, DC

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