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THE INTEGRATED THERAPIES JOURNAL

From my experience as an expat psychologist


In my life and practice as a psychologist, I often get faced with the need to find adaptive ways to process situations and events that have a high emotional charge, or load.


It can be a blessing to feel everything and so much, but sometimes the intensity or the novelty of what is happening in our lives, takes us to places that we don't feel we can control, or manage, effectively.


Depending on the content and the characteristics of what we're dealing with, we can feel angry, sad, anxious, blessed and confused, and all of these - and more - at the same time.


Getting to know, name and witness our emotions, as they arise and guide us in more or less conscious decisions, is crucial in living a fulfilling life. One that we feel we can inhabit with our whole self, and one that we don't have to hide from. Stepping up in taking the responsibility for what we're creating (and instead dropping it for what we're not), is fundamental in starting a shift from victimhood and helplessness, to confidence and agency.


 

Here are some of the ways I help my clients in achieving that:



Grounding in the Here and Now: One of the core principles of the way I do therapy is the emphasis on staying in the present moment. When emotions become overwhelming, it can be helpful to focus on our immediate sensory experiences. Paying attention to our breath, the sensations in our body, or the surroundings. Through this, we stay connected to the here and now rather than getting lost in the intensity of our emotions.


Expressing and Owning Emotions: It is important to acknowledge and express your emotions rather than suppressing or denying them. We give space and permission to feeling whatever there is without judgment. I encourage you to use statements such as "I feel angry" instead of "You make me angry."


The Empty Chair: This technique involves imagining a person or a part of the self in an empty chair and having a dialogue with it. This allows feelings and projections to be processed and owned. We sometimes also discover perspectives of a situation which weren't conscious before.


Practicing Suspending Judgement: When we start assessing and exploring situations and reality through our dialogue, and judgements come up, I encourage you to see them and name them, while at the same time suspending them. We strive to give space to whatever judgement is present, even the ones arising between us, and then move away from the need to naming it right or wrong. We simply put it in brackets and we move on.


Exploring the Polarities: Often polarities or conflicting parts of oneself come out when we start seeing all the sides of an experience. Sometimes they're cooperative and collaborative with each other, and sometimes they're very conflicting. By exploring and integrating these parts, we achieve a greater sense of self-awareness and emotional balance.


Integrating and Giving Closure to any Unfinished Business: Once we have explored and expressed emotions, I help you integrate the experience. This may involve finding closure, resolving conflicts, or developing a deeper sense of resolution with whatever happened.


Homework and Self-Exploration: Whenever it is relevant and appropriate, we may come up with ways you can continue to grow in between therapy sessions. It has included paying attention to specific dynamics, journaling, mindfulness practices, or experimenting with new ways of responding to emotions and situations.


Overall, we strive to engage with emotions in an experiential way, while gaining insight, healing emotional wounds, and developing healthier ways of relating to ourselves and the world.

In my personal practice, I have found that these principles can be a huge asset in helping clients who moved countries in navigating new situations. In my work, I integrate those with my personal experience and intuition, to help expats, people of mixed backgrounds, or simply English-speaking folks, in navigating, adapting and flourishing into their new lives in Italy and elsewhere.







Updated: Oct 23, 2023

And how it works

Gestalt therapy is a form of psychotherapy that was developed by Fritz Perls, Laura Perls, and Paul Goodman in the 1940s and 1950s. It is based on the principles of Gestalt psychology, which emphasizes the importance of understanding the whole person, their thoughts, emotions, behaviors, and experiences in the present moment. The word "Gestalt" comes from the German word meaning "shape" or "form," and in this context, it refers to the idea of perceiving the whole picture rather than just individual parts.

The main goal of Gestalt therapy is to help individuals gain self-awareness and insight into their thoughts, feelings, and behaviors. It aims to increase personal responsibility and encourage clients to take ownership of their actions and choices. Gestalt therapists believe that unresolved issues from the past can interfere with living fully in the present, so they focus on the "here and now" experiences of the client.

 

Here are some key principles and techniques used in Gestalt therapy:


Holism: Gestalt therapy considers individuals as integrated wholes, not just a collection of separate parts. The therapist helps clients become aware of their thoughts, emotions, and physical sensations as interconnected aspects of their experience.


Awareness: Clients are encouraged to pay attention to their ongoing thoughts, feelings, and bodily sensations in the present moment. By increasing self-awareness, clients can better understand their reactions and patterns.


Contact and Resistance: Gestalt therapists pay attention to how clients make contact with others and the world around them. They explore patterns of avoidance, withdrawal, or confrontation to help clients understand their coping mechanisms.


Dialogue and Experimentation: Gestalt therapists often engage in a direct and interactive dialogue with their clients. They may use role-playing, empty-chair techniques, or other experiments to help clients gain insight into unresolved issues or conflicting feelings.


Taking Responsibility: Clients are encouraged to take responsibility for their feelings, actions, and choices. This empowers them to make changes in their lives and break free from old patterns that may no longer serve them.


Unfinished Business: Gestalt therapy believes that unresolved past experiences can create emotional and behavioral issues in the present. By addressing and completing these "unfinished business" situations, clients can experience healing and growth.


Supportive Environment: The therapist provides a supportive and non-judgmental environment where clients can explore their thoughts and feelings without fear of criticism or rejection.


It's important to note that Gestalt therapy is not a one-size-fits-all approach, and its effectiveness depends on each one's personality, preferences, and specific concerns. Like all forms of therapy, the success of Gestalt therapy depends on the therapeutic alliance between the client and the therapist and the client's willingness to engage in a co-created process of self-exploration and personal growth.











Psychologists who specialize in working with expats need to possess certain characteristics and skills that enable them to effectively address the unique challenges and needs of expatriates.


 

Some of the main characteristics of psychologists for expats include:



Cross-Cultural Competence: psychologists for expats have a strong understanding of different cultures and possess cultural sensitivity. They are familiar with the challenges faced by individuals adapting to a new culture and can navigate cultural differences with respect and empathy.


Language Skills: proficiency in multiple languages is beneficial for psychologists working with expats. It allows them to communicate effectively with clients who may have limited fluency in the local language.


Intercultural Communication Skills: psychologists for expats have extensive experience in intercultural communication. They can effectively bridge the communication gaps that may arise due to cultural differences and language barriers. They possess the ability to understand and interpret nonverbal cues and cultural contexts.


Flexibility and Adaptability: psychologists working with expats are adaptable and open-minded. They recognize that each person’s experience is unique and can vary widely. They can tailor their approaches and interventions to suit individual needs and adapt to different cultural backgrounds.


Empathy and Understanding: psychologists for expats demonstrate empathy and understanding towards the challenges faced by expatriates. They create a safe and nonjudgmental space where clients can openly express their concerns, frustrations, and emotions related to their expat experience.


Experience with Transitions and Adjustment: psychologists specializing in expat counseling possess knowledge and expertise in the psychological processes associated with transitions and adjustment. They understand the stages of cultural adaptation, the impact of culture shock, and the complexities of identity development in an intercultural context.


Counseling and Therapy Skills: psychologists for expats are trained in various therapeutic approaches and techniques that can help individuals cope with the psychological challenges they face. They are trained professionals and utilize interventions such as cognitive-behavioral therapy (CBT), solution-focused therapy, somatic exercises or narrative therapy to address issues related to expat life effectively.


Resourcefulness: psychologists for expats are resourceful and well-connected. They have access to a network of professionals and resources that can provide additional support and guidance to expatriates in areas such as legal matters, education, career development, and social integration.



It's important to note that while these characteristics are valuable for psychologists working with expats, each individual will benefit from a different approach. When seeking the assistance of a psychologist as an expat, it's beneficial to inquire about their specific experience and training in working with expatriates to ensure they can meet your unique needs effectively. This is why I encourage all who are curious, to book a free discovery call with me. During the call, we'll be able to get to know each other and lay the foundation for the work that we can do together.




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