For 3 years we have been seeing family therapists. The goal has always been to help my wife, Max, and me to be a family as we work through his ADHD, Asperger’s, and Bipolar issues.

It hasn’t been easy. This is not because Max has been resisting us; even though he has. And it isn’t because we haven’t been learning anything; because we have.

It is because there hasn’t been any consistency. We have gone through 5 or 6 different therapists. As each one comes in we have to start from the beginning. And they all start with what I call “the happy face” pages. That is, Mom, Dad, and Max are handed our own piece of paper. They have a number of faces drawn on them; each with a different emotion. One is happy; one is sad; one is angry; and so on.

As we go from individual to individual we must choose a face and describe what it means to us. Quite often we pick the one that we are feeling at that moment and talk about it.

The next week there will be another session similar to this. Then the following week we get another variation.

But we never see any changes!!

And Max doesn’t like to sit in these sessions. He is a doer. He doesn’t like just sitting around and talking about his feelings. It is okay if he is working on his bicycle while doing it. But he isn’t going to stare at a piece of paper and chatter on and on.

As usual our current therapist started just like all of the others: with “the happy face”. He soon discovered this wasn’t working for any of us. He changed things up to make sure Max is involved. And now he comes in with a schedule:

  • We do 5 minutes of check in. That is, how is each one of us feeling today? Pick out a day since the last meeting that meant a lot to us and talk about it.
  • Following that is a formal meeting which lasts about 20 minutes where we now talk about different issues. This is the time that Max hates the most and we generally cannot get him involved.
  • Then we continue our conversation for 20 minutes through play. But we don’t do it by sitting on the couch. Recently we all moved out to the driveway and stood in a circle far enough away so that we could toss a ball to each of us. Before throwing it we would specify who was going to get it. That person would then say something nice about us. For example, Max has the ball and he wants to throw it to me. I would say something like “you are a great engineer.” He would then toss the ball to me and it is my turn.
  • At the end it is Max time. For the last 15 minutes Max takes the therapist off to see his new project. Mom and Dad retreat back to the house.

This week something different happened. We went through the 5 minute check in and as expected Max would not get involved in the formal session. We continued on without him. The therapist brought out several sheets of paper which contained the following diagram:

As you can see it is a triangle. At the bottom right is the word “Actions”. On the bottom left is “Feelings”. At the top is the word “Beliefs”.

Our first goal was to list some of the actions that Max does that bothers us:

  • Swearing
  • Yelling and screaming
  • Smashing
  • Poking
  • Inappropriate attention-getting

The words on the diagram are related. What are the feelings that Max has that are causing these actions? We came up with the following:

  • Anger
  • Anxiety
  • Fear
  • Sadness
  • Insecurity
  • Loneliness

Since Max isn’t here we are just guessing that these are what he is feeling. They aren’t numbered because they don’t necessarily correspond one on one with his actions. For example “sadness” does not necessarily incur “poking”.

Just like actions are caused by feelings; feelings are a result of the beliefs we have about ourselves. In this case we came up with:

  • “Nobody loves me”
  • “Nobody understands me”
  • “I’m a horrible person”
  • “I can’t do anything right”
  • “I’m stupid”

These were our best guesses as to how Max feels about himself.

What I have described here is the furthest along we have ever gotten during the last 3 years of therapy. Forget about everything else I’m now seeing something we can work with in helping our family.

But this wasn’t the only surprise for this session. Max joined us once we had gotten this far. He came and sat between his Mother and me and looked at what we came up with. We showed him his actions and we told him how they were connected to his feelings. He looked through the list and pretty much agreed to what we had.

We then explained how beliefs fit into the picture and how they cause the feelings which spark the actions. We told him we didn’t really know what he believed but we had made some guesses. He read the list and nodded but then he said something else:

“I feel worthless.”

He said it very quietly.

We were stunned. We had always thought that we had done our best to build him up: “You did a great job on that project”, “Thank you for cleaning the sink. It looks very nice.”

But now we are seeing that something is being lost in translation. And the worst part is this path feeds on itself. What I mean is:

  • Max feels worthless
  • It makes him angry, sad, insecure, and lonely.
  • So he screams, swears, and smashes things.
  • People get angry with him so he feels more worthless and this continues the circle.

We’ve had a break through! Finally after 3 years! This is wonderful!

So now what do we do with this information?

But as the psychologist says to his patient, “Our time is up. We will continue this at our next session.”

So this week we should be discovering the next step.

Could this help in your family situations?