therapy

Liz Bierly 6-02-2023
Paul (Harrison Ford) wears a light blue dress shirt and hat and sits on a black park bench next to teenage girl Alice (Lukita Maxwell), who's sitting cross-legged while wearing a gray hoodie.

From Shrinking

HOW WOULD YOUR life change if you stopped filtering your thoughts and instead shared what was really on your mind? This is the question at the heart of Apple TV+’s Shrinking, a tear-jerker of a comedy that follows therapist Jimmy (Jason Segel) and his teen daughter Alice (Lukita Maxwell), who is grappling with the loss of her mom and the emotional withdrawal of her grieving dad. In the months following his wife’s unexpected death, Jimmy turns to women and substance use to numb his pain. As Jimmy checks out of actively parenting, other people in Alice’s community step in — including the neighbor Liz (Christa Miller), who makes dinner for Alice and cheers her on at the soccer games her dad has forgotten. After a particularly flagrant parenting fail on Jimmy’s part, Liz confronts him, saying, “I have to ask: Is this you forever?” Jimmy’s response is relatable to many who have lost themselves in the wake of losing a loved one: “I don’t know.”

Yet with assistance from Liz, candid conversations with co-therapist Gaby (Jessica Williams), and unwavering friendship from Brian (Michael Urie), viewers watch Jimmy return to himself. And in the process, he breaches all guidelines about boundaries between patients and clients.

Katie O'Dunne 11-17-2021
An illustration of a fractured collage of a person's face as they hold their neck

Illustration by Blake Cale

EVEN IN MY earliest memories, I was consumed by terrifying worries and did everything in my power to alleviate my deepest fears. When I was 8, I can remember being plagued by guilt following the death of my aunt to cancer, worrying that it was somehow my fault. Intrusive thoughts and images flooded my mind at night, and I called my parents into my room to confess, seeking reassurance that I was not a dangerous monster. As I grew older, my fears began to consume every single area of my life that was important to me. By college, I was afraid to sleep out of fear that I had left the stove on or the door unlocked. And by graduate school, I moved through my day wondering if I had called people derogatory names or written horrific things in birthday cards before blocking the memories out. I repeatedly checked the stove, took pictures of locks, and called friends to make sure I hadn’t somehow caused harm. At the time, I was unaware that these acts, known as “compulsions,” only made my condition worse.

In my early 20s, I learned that I was experiencing the symptoms of a diagnosable mental illness known as obsessive-compulsive disorder (OCD). OCD is often represented in television and movies as something laughable—think Tony Shalhoub’s Monk. In reality, OCD is far more serious: a debilitating disorder defined by unwanted obsessions that terrify the sufferer and compulsions repeated over and over to alleviate overwhelming fear, guilt, or anxiety. Some obsessions might relate to more commonly known themes of contamination or organization, while others might include culturally taboo themes involving violence or sex. But they are all equally painful to those caught in OCD’s grasp.

We all have thoughts—happy, sad, violent, intrusive, and strange. But those with OCD tend to place more value on these thoughts, concerned that they may be true. When time spent experiencing these obsessions and engaging in compulsions impedes functionality, that’s when it becomes a disorder. But even in my struggles, I feared documentation of an official diagnosis would negatively impact my pursuit of ordination. I had always heard that we should turn our worries to God, so I wondered what those approving my psychological evaluations for ministry would think if they viewed me as in need of mental health treatment that could not be solved through prayer.

Susan K. Livio 8-27-2013
N.J. Gov. Chris Christie in March, L.E.MORMILE / Shutterstock.com

N.J. Gov. Chris Christie in March, L.E.MORMILE / Shutterstock.com

New Jersey’s newly enacted ban on gay-to-straight conversion therapy for minors violates a licensed therapist’s obligation to “respect the rights of clients to make decisions,” according to a federal lawsuit filed by a Christian counselors group and professionals who use the practice.

The law, signed by Gov. Chris Christie on Aug 19, bars any licensed therapist, psychologist, social worker, or counselor from using therapies to change sexual orientation of children under age 18. Offenders jeopardize their licensed status under the new law, which does not apply to clergy or anyone who is not licensed by the state.

New Jersey is the second state in the nation to ban therapy that purports to change a child’s sexual orientation from homosexual to heterosexual. California enacted the first ban, but Liberty Counsel, a national religious-based legal and public policy group, filed an injunction it before it took effect earlier this year. A judge overseeing the case heard arguments in April and has not issued a decision.