How can counsellors navigate their self-doubt and their inner critical voice as they deliver therapy? Hear from Joshua Fletcher, author of And how does that make you feel? in this wide ranging interview which discusses his motivation, his life as a therapist and author and the vital importance of authenticity.
In today's episode:
You can find Josh on instagram @anxietyjosh and his book And how does that make you feel is published by Orion and is available in traditional and audio format.
Setting up in private practice? Download my free checklist HERE
Need ideas for how to get clients? Download my free handout 21 Ways for Counsellors to Attract New Clients HERE
You can also find me here:
The Good Enough Counsellors Facebook Group
Josephine Hughes on Facebook
Josephine Hughes on YouTube
My website: josephinehughes.com
The information contained in Good Enough Counsellors is provided for information purposes only. The contents of this podcast are not intended to amount to advice and you should not rely on any of the contents of this podcast. Professional advice should be obtained before taking or refraining from taking any action as a result of the contents of this podcast.
Josephine Hughes disclaims all liability and responsibility arising from any reliance placed on any of the contents of this podcast.
I quite like imposter syndrome and self
-doubt because it stops you from becoming
2
:an egoist as such.
3
:I used to think that self -doubt as a
therapist was something that was bad.
4
:Now I realize it's probably one of the
best traits that you can have.
5
:So if you're a therapist with self -doubt,
imposter syndrome, think people are better
6
:than you or whatever, yeah obviously if
it's consuming we work on that.
7
:But never lose some of it because having
self -doubt makes you try.
8
:It holds you accountable.
9
:You never think you're the finished
article.
10
:So today I'm welcoming Joshua Fletcher,
AKA Anxiety Josh on Instagram and TikTok,
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:the writer of three books on anxiety.
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:And we're here to talk about his latest
book, which is a UK top 100 seller on
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:Amazon.
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:And it's called, And How Does That Make
You Feel?
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:with the subtitle, Everything You Never
Wanted To Know About Therapy.
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:So Josh has a master's in counseling
psychology.
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:He's got extra training in CBT for anxiety
and he's a member of the BACP.
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:He regularly appears in the media
discussing mental health with features in
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:The Guardian, The Times and The Daily
Mail.
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:He co -hosts a podcast called Disordered,
which is a self -help podcast for people
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:who struggle with anxiety.
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:And I want to talk about the numbers.
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:His following on social media is upwards
of 250 ,000 people and his podcast,
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:has been loaded over 150 ,000 times, which
is amazing.
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:So welcome, Josh.
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:Thanks for coming onto the Good Nuff Pet
Counselors podcast.
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:And I know everybody's really looking
forward to hearing from you.
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:So welcome.
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:Hi, Josephine.
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:Thank you for having me on.
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:I really appreciate it.
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:Yeah.
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:Also, what a lovely introduction.
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:Can I employ you to introduce me to every
room I walk into?
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:Everyone stop.
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:60 seconds of introduction and then I'll
walk it.
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:No, thank you.
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:That's all right Gleaned gleaned from
what's available for about you on online.
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:So yeah, so I'm gonna start by asking you
a question I know you're not even going to
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:be able to answer Which is you may have
guessed who is Daphne?
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:No, no, and that's the end of the podcast.
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:Thanks for having me on see you later
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:dear, I knew you would say that because
obviously confidentiality is a really big
44
:part of the whole book I mean, it's quite
a focus throughout the book.
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:Isn't it you talk about confidentiality?
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:It's quite a lot yeah, I mean with the
book and And how does that make you feel
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:is was basically a book written to for?
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:Therapists for people who are interested
in therapy if people have been to therapy
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:people struggle with anxiety because
that's my passion
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:providing psychoeducation and I wanted to
write something that was a bit different
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:from the usual self -help, you know,
because if you're a therapist listening,
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:you've probably, you know, you've gone
through loads of books, some of them are
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:fascinating, interesting.
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:I've got loads of counseling books with
sticky notes and stuff on, but they're a
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:type of book, aren't they?
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:I wanted to write a book that was just
easy reading, fun and allow people to feel
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:seen and...
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:Also to practice what I preach, which is,
you know, I believe the best therapists
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:are human, authentic therapists that come
with flaws, what's and all.
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:I hear a lot from anxious people, not
anxious therapists, you know, am I good
61
:enough, this and that, and I just thought,
well, I'm gonna just write what I do and
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:see what happens.
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:Confidentiality's a big one, of course.
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:There was a rigorous ethical process
around it, which I can talk more about
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:later on in the podcast if you'd like, but
you know, you don't.
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:You don't put a book to publication
without obtaining consent and well,
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:multiple consent as well as an ongoing
process and putting in those ethical
68
:considerations.
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:Yeah, because I mean, one of the people
asked, and I think we need to sort of
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:really get this out of the way right at
the start.
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:They sort of said, how do you, did you
remember word for word what your clients
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:said and the gestures, the action and the
actions they showed and your own verbal
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:responses?
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:So let's just get that one out of the way.
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:No, no, is the answer to that.
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:No, it is not word for word.
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:It's more of a paraphrasing.
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:The people in this book, the client in air
quotes case studies that is based on,
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:they're actually an amalgamation of
several stories in here and several
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:things.
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:They're not just one person.
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:And sorry to spoil that, but obviously you
have to do various ethical things.
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:And the most ethical thing I could do is
not make.
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:the four people in this book based on four
individuals.
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:But they are an amalgamation of different
people, different stories and things I
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:hear in this practice.
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:Obviously I've made sure clients past and
present make sure they're aware of this,
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:obtain consent all the way through it.
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:Been so well supported through it and
yeah, everyone's on board with it and
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:they're happy with the outcome.
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:Spoiler there, to break some of the
mirage, they're not.
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:all just one person.
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:I get loads of people emailing and stuff
like, who is it?
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:I've tried to Google who it was.
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:I was like, yeah, of course you tried to
Google who it was.
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:That's a compliment to the writing, thank
you.
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:But no, there isn't transcripts I've
written up, unfortunately.
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:Yeah.
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:Yeah.
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:I know.
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:It's a shame to spoil the illusion because
I sort of had this idea, especially with
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:the lighter thing, that it must have been
Dame Helen Mirren.
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:And I thought, no, no, it obviously isn't
because it's obviously not a real person,
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:but it still makes you sort of think,
well, I wonder, you know, you do like to
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:speculate, don't you?
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:I don't think we'd be human if we didn't.
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:No, of course, that's what I wanted as
well.
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:I wanted to speculate and think about it.
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:And I'm just trying to, I was trying to be
a bit shrewd, I think.
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:And I think we're all fascinated by
celebrity culture as well.
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:So I thought one of the client cases, if
you've not read the book, by the way,
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:there's four different client case
studies.
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:The first one we're introduced to is
someone called Daphne, who is a Hollywood
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:celebrity actress.
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:The second one is a man called Levi, who
is a security doorman of a nightclub.
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:The third person is Zara, who is a newly
qualified doctor and GP.
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:And the fourth one is a young lad called
Noah, who moves to the city, wants to
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:build up the confidence to reveal the
secret that he's been holding on to.
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:and they all have different things that
they bring to therapy and throughout the
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:book I wanted to use these client case
studies as a stealth help, a kind of
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:device.
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:So I talk about what therapy is like, the
inner voices of the therapist, which I'm
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:sure we'll talk about, and drop in lots of
psychoeducation about anxiety disorders,
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:which is what I love.
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:It's not great when you're out with your
mates.
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:Can we talk about anxiety disorders?
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:Like, no, mate, just watch the football.
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:But yeah, just like I think stuff like
OCD, panic disorder, panic attacks, social
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:anxiety, depression, and use these client
case studies to kind of explain, look,
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:this is how it can present.
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:Yeah, so that's what I've used these
client case studies in AirQuotes for.
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:I was going to say, it must have been
quite difficult though, that whole
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:publishing process.
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:I've got an article coming out shortly and
you know, I had to obtain permission.
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:for literally everything I said about
them.
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:And I hadn't sort of really been aware of
really how much permission I would need to
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:seek in order to be published.
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:And, you know, because you're working with
publishing professionals as opposed to
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:therapy professionals, was there some
guidance for you in how to sort of share?
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:Did they have a legal department?
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:I mean, how did it work with all that sort
of stuff?
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:yeah, they've got a huge legal department.
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:Obviously, as a publisher, they've got to
do their due diligence to make sure
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:that...
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:that they don't get sued.
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:Of course, but I worked with my own
supervisor, informed my own membership
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:body, and it was very similar to when I
did my master's thesis.
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:I did my master's thesis on the
experiences of people with panic disorder
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:seeking treatment.
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:And you have to go through the ethics
department on that, not only obtaining
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:initial consent, continuous consent, and
the right to withdraw.
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:And that's always been there, as well as
things like aftercare,
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:providing, you know, the doors always open
for anyone who feels that.
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:But I've written it in a way where no one
can identify themselves.
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:Yeah.
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:And like you say, it's amalgamation of
different people, isn't it?
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:Yeah.
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:Yeah.
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:And I sent it out to all clients past the
previous let -loan.
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:This is the project I'm doing.
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:It's not about you.
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:Yeah.
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:But if you do have any qualms about it,
just let me know, you know.
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:And this was an ongoing thing for two
years.
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:that is an interesting one, particularly
on a therapist podcast.
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:I've been on many podcasts and people are
like, they just, fair enough, I'm sure
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:it's all right.
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:But actually as therapists, we're like, I
wonder, did he do that?
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:And I'll say, a lot of work.
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:Yes, sounds like it.
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:A lot of work.
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:And then it's just crossing my fingers.
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:Anyone who's done their thesis or masters
and they've interviewed people, maybe
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:they've done a phenomenological analysis
or had volunteers just crossing their
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:fingers like two days before submission.
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:don't pull out, please don't, but at the
same time respecting like actually, well,
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:if you do, that's fine.
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:Because I know this is something that
you've talked about quite a lot.
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:I mean, I'm veering off a little bit, but
it does sort of appear a little bit in the
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:book is your sort of concern about
quackery, shall we say, people who maybe
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:aren't qualified therapists, aren't
necessarily very ethical and that part of
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:being in sort of in the media or, you
know, as somebody who's well known as a
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:therapist, that this is actually something
that you've almost sort of, I wouldn't say
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:exactly campaigned about, but certainly
got a concern about, haven't you, about
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:how people might be persuaded to work with
people who aren't necessarily qualified?
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:Yeah, it's a concern for me and for others
and my colleagues too is that...
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:It's a combination of things, isn't it?
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:It's like access to therapy for people in
the UK is very tricky and there's long
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:waiting lists.
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:We're not necessarily educated on the
different modalities of therapy.
191
:I've had some great therapy and I've had
some horrendous therapy and it's about
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:finding the right one, so I write about
that.
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:It breaks my heart when people go to
therapy once and there's no therapeutic
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:connection or the modality wasn't correct.
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:And I write about this in the book as
well, and like, I've tried therapy, it
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:wasn't for me.
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:And I think I use an analogy in the book,
don't I?
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:It's like saying you tried sport once, and
all you tried was lawn balls.
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:Which, nothing against lawn balls, you
know?
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:But you couldn't say the whole of sport
was rubbish because you didn't like lawn
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:balls.
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:And so I wanted to put that in there, I
wanted to celebrate therapy and when
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:therapy works.
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:There's a lot of quackery on there, I am
online.
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:and I do prance around in front of a
camera for Instagram and all that stuff,
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:providing the psychoeducation that I'm
passionate about.
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:But in that sphere, it's a double -edged
sword.
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:So you've got some amazing information
there from people passionate about their
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:work.
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:And then you've got a breadth of
misinformation, particularly around mental
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:health.
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:And particularly in my world, it's
anxiety.
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:You've got lots of encouraging compulsive
behaviors and safety behaviors which
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:aren't gonna help people.
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:get better and obviously it's a very
monetized world to be in says the guy
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:sitting on a podcast promoting his book.
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:But I mean, like the people who offer
things like behind paywalls and
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:subscriptions and things like that, and I
have the magic technique to help you get
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:better.
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:I find that really, yeah, really
distressing.
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:But on the plus side, there's some really
good stuff out there as well.
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:It's a difficult one, isn't it?
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:Because, I mean, especially for you,
because you see people day in, day out who
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:are really suffering.
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:And so to think that they're being sold
maybe a quick fix, that's not
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:necessarily...
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:really going to make a difference to them.
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:It must be quite hard.
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:Yeah, it's tricky.
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:And in the UK, it's particularly prevalent
because we're the only, one of the few
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:developed Western countries where therapy
isn't regulated.
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:So, anyone can call themselves a therapist
and that does frighten me, but I'm not
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:going to go on that ranty tangent today.
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:Another time maybe, another time.
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:So I just want to circle back actually,
because this is a question that I think,
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:I get this much, much less than you, I
would imagine.
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:But you know, I do get people who say,
it's so amazing to meet you face to face.
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:Because, you know, I've got very, compared
to you, very, very small sort of, you
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:know, following, but amongst counsellors,
I'm sort of reasonably well known.
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:And I think that's sort of like, it can be
quite challenging.
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:I noticed sort of in the Facebook groups,
you're quite humorous in coping with that
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:sort of fandom or adulation.
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:What's it like to?
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:to sort of have that in sort of in the
therapy community or, you know, a bit
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:wider because you have such a large
following on as a sort of influencer.
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:Relatively speaking.
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:influencer.
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:It's content creator now, Josephine.
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:Come on, don't use that word.
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:Yeah, it's a strange one.
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:It's not the level of fandom that you
think.
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:I like respect, the respect I receive and
I like it.
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:And actually it brings out my imposter
syndrome.
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:You know, when you get people who perhaps
more experienced than me.
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:trained in things I'm not trained in and
they come up to me and say, you know, it's
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:really lovely to me, it's a privilege.
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:And I'm thinking you're way more
experienced than I am, you know, and
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:you're probably better than me.
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:But, you know, thank you and I appreciate
it.
260
:I don't, I quite like impulse syndrome and
self doubt because it stops you from
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:becoming an egoist as such.
262
:Don't get me wrong, there's an ego there,
but it's not like keeping it in check.
263
:And I think it's...
264
:I used to think that self -doubt as a
therapist was something that was bad.
265
:Now I realize it's probably one of the
best traits that you can have.
266
:So if you're a therapist with self -doubt,
imposter syndrome, think people are better
267
:than you, whatever.
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:Yeah, obviously if it's consuming, we work
on that, but never lose some of it because
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:having self -doubt makes you try.
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:It holds you accountable.
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:You never think you're the finished
article.
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:I saw a therapist once many years ago and
I walked in.
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:And the whole therapy room was just like a
shrine to this person's achievements.
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:And I was like, and I was like, I'm not
going to connect with this person.
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:I'm already scared of the power dynamic.
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:I already have a problem with authority.
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:You know, whereas some of the best therapy
I've had is with a newly qualified
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:therapist who's really enthusiastic,
trying to do everything right and made me
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:feel comfortable.
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:And I much prefer that than.
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:Jimmy 50 degrees on the wall, you know
what I don't, yeah.
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:I think it's really interesting as well
because I think there's something around
283
:that need to display all your things on
the wall, your certificates on the wall,
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:but perhaps it's actually indicative of
imposter syndrome.
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:Maybe, yeah.
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:In a funny sort of way.
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:Yeah, yeah.
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:Yeah, it could be.
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:Do you know what, so on my wall I've got
the British history timeline that I'm
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:trying to memorize and some silhouette art
of Lord of the Rings.
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:Stranger Things and Harry Potter and a
picture picture of my brother and some
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:plants Yeah, we hear about the plants
don't we?
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:Yeah, always the plants.
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:Yeah.
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:Yeah are yours are yours almost dying like
mine.
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:They always have I never keep them alive.
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:Yeah Welcome a client in here's a
nurturing place where we get better and
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:they just look around there's just like a
dead eye dranger in the corner Yeah, I
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:mean I've been quite lucky that I've sort
of
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:worked with people who've kept the plants,
you know, rented rooms and she's actually
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:got green fingers, so.
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:Unfortunately, I don't have to keep them
alive myself, so.
303
:But like, I think the really lovely thing,
and I mean, it's interesting actually,
304
:because you describe the way your critic
is, but actually, towards the end of the
305
:book, your critic was making me laugh out
loud because of the sort of some of the
306
:things that he was saying, because you
have got that sort of ability to.
307
:to sort of poke a bit of fun at yourself
really when you use the inner voice of the
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:critic.
309
:But I think that's what's one of the
really lovely things about the book is we
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:get these different conversations.
311
:And actually before I came on the podcast,
because I was a bit late getting ready for
312
:it to be honest, and I had about 10
minutes to eat my dinner before we came on
313
:to meet each other.
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:me too.
315
:I can still feel it digest.
316
:thank you.
317
:Biology.
318
:Yeah, I think it was a biology speaking
and I had my ryevita and I spilt hummus on
319
:my hand there you go You know, it's like
because you say you've got this change of
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:of shirts and everything and one of the
sort of funny things in the book is how
321
:Levi keeps a surprising you and Making you
spill your food as he comes through the
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:door yogurt soup everything.
323
:Yeah So Levi's the the bouncer client case
study who's big and scary and
324
:to provide a bit more context of what
we're talking about.
325
:One of the USPs of the book is that I
share with you my inner voices of the
326
:therapist.
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:And there's 13 of them.
328
:I cannot even remember them.
329
:Yeah, there's, hold on, there's anxiety.
330
:So the anxiety, you know, the voice of
worry that's talking.
331
:I want you to imagine all these voices
around a thought table in your brain.
332
:The chair of the meeting is volition,
which is the voice that chooses the
333
:appropriate voice to go with.
334
:This applies not just in the therapy room,
but in life but you get volition is is the
335
:chair and then you've got anxious voice
who's worried and shouting over everyone
336
:biology what Josephine just referred to
particularly if you're a therapist who's
337
:desperately needs a wee and you're like
why Why did I drink two coffees and then
338
:let the client in what what am I doing?
339
:which leads to critic critics like
340
:why did you have two coffees like that?
341
:And then anxiety voice says, you know,
holding your wee in is bad for you.
342
:You're going to prostate's going to
explode and all that stuff.
343
:You've got the voice of detective.
344
:That's that voice that we all have as
therapists.
345
:We want to find out more and search for
meaning.
346
:Analytical voice, which is trying to use
counseling theory to pair up like, you
347
:know, here's this person's conditions of
worth or their schema, or this can add to
348
:the formulation.
349
:doing in CPT or whatever.
350
:You've got compassionate voice, which is
the voice what makes a great therapist,
351
:along with empathy voice.
352
:I'm getting through them here.
353
:I'm going to want to roll.
354
:I should have wrote them down.
355
:And you've got empathy voice.
356
:My favorite voice is irreverence.
357
:It's just when we get intrusive, weird
thoughts.
358
:I put that in the book.
359
:Just like, why am I thinking about that
now?
360
:It is quite funny though, is it?
361
:Yeah, and I have a lot of people message
me like I'm so glad you included that I
362
:thought I was being weird I wasn't being a
good enough counselor.
363
:Yes, just got good enough counselor in
into the title of the podcast They've
364
:literally said I'm not a good enough
counselor because I'm having these
365
:thoughts like everyone gets those thoughts
You listen to volition though and what
366
:gives you go with volition decide where to
put your attention because we're gonna get
367
:those thoughts I get them in the therapy
room still I've I'm bad at many things in
368
:life, but therapy is something I'm pretty
good at and
369
:One of the best parts of being a good
therapist is realizing that, whoa, you're
370
:going to have all these things and
thoughts going on in your head, but going
371
:with volition and going with what feels
right at that moment for your client.
372
:Because you haven't mentioned intuition.
373
:I'm sort of interested in that you said
volition's in charge because often, I
374
:don't know often, but when I was reading
it, I was sort of thinking quite often,
375
:you go with that intuition, don't you?
376
:Go with what intuition says.
377
:Yeah, intuition.
378
:Yeah, I forgot about that.
379
:That's the one I forgot.
380
:Thanks, Josephine.
381
:Intuition, yeah, the nudge from the gut
where it just feels right and that happens
382
:in the therapy room Sometimes, you know
not all the time, but there's sometimes
383
:your intuition just says Against rhyme and
reason Why not try this, you know and I
384
:think intuition often crops up as a result
of you know, good relational depth that
385
:you have with a client and Yeah, it crops
up now and then in the book particularly
386
:at poignant points
387
:It's really interesting, because what came
up for me then was thinking about
388
:sometimes when I've gone with my intuition
and I've got it wrong.
389
:I can remember one particular occasion I
went to ask this question and I thought,
390
:this is either going to be the most
amazing intervention ever, or it's going
391
:to be a total disaster.
392
:And it was the second, it was a total
disaster.
393
:dear.
394
:And I have become one of those therapists
where people say,
395
:How could a therapist have ever said that?
396
:And I look back on that and think, dear,
have you had anything where you look back
397
:and you just think, my goodness.
398
:it's happened to me, loads, all the time,
and it will.
399
:Don't get me wrong, I'm not just rolling
the dice and taking gambles every three
400
:minutes with clients, but yeah, when you
get to a certain point, yeah, you're
401
:right, it feels like this is either going
to make a breakthrough or go the other
402
:way.
403
:I can remember one particularly in my
personal life.
404
:I was in personal therapy.
405
:through lots of trauma myself, was afraid
to open up about it because I'm a six foot
406
:two northern man and I just thought I'll
give it a go and I just splurged and told
407
:her everything and was like this is what's
happened and it was you know and she kept
408
:the space so beautifully and made me feel
safe and then I mean you couldn't have
409
:summarized everything I'd splurged if you
tried and so she sat there after I
410
:finished speaking.
411
:tears down my face, anxious, feeling very
vulnerable.
412
:And she just took a moment, contemplated
what I said, and she said, that sounds
413
:really shit.
414
:And it was a lovely thing to say.
415
:Yeah, yeah.
416
:I tried that three weeks later, and the
other person was like, why do you swear?
417
:Whoops.
418
:It's amazing, isn't it?
419
:It just goes to show how it's like, it's
the moment, isn't it?
420
:And it's that relationship, and yeah.
421
:Yeah, I really liked how authentic it was
when she said it's just like, that sounds
422
:really shit.
423
:Yeah, because there's nothing, there's
nothing, you can, you know, you can fall
424
:back on the old, it sounds like that
you've been through trauma.
425
:Well, yeah, of course.
426
:But it's just, I've got nothing to say,
but I'm going to say something and I'm
427
:going to say the most authentic thing I
can.
428
:And it worked, it was lovely.
429
:There's just nothing like that empathy
when somebody really shows you that
430
:compassion and empathy together.
431
:It's just...
432
:There's just nothing like it, is there?
433
:No.
434
:I think that's the heart of therapy to be
shown that.
435
:Yeah.
436
:No.
437
:Yeah.
438
:So someone actually asked, and this is
going back to sort of thinking about you'd
439
:be quite well known.
440
:I mean, obviously we had your reaction.
441
:You sort of described how you reacted when
the door opened and this famous actress
442
:suddenly appeared and said, hi, you know,
I think I'm a bit late for the
443
:appointment.
444
:And obviously there was that part of you
that was like, my God, this is someone
445
:really famous.
446
:Do you think you being well known has an
impact on, because obviously you must
447
:attract, because you're well known, you
attract particular types of people, like
448
:somebody who's famous, but also does it
interfere in any way, you being well
449
:known, because people see such a lot of
you outside of therapy on Instagram and
450
:that sort of stuff?
451
:Well, in terms of how does it mean people
knowing who I am outside of this, how does
452
:it affect the therapy here?
453
:It's a really good question.
454
:I think for me, this is where specializing
in a niche really helps.
455
:So obviously I've not always been a
notable figure in our space, but when I,
456
:cause I specialize in anxiety disorders,
who's openly discussed my own past with
457
:anxiety disorders.
458
:I think it can help people know who I am
because it cuts like there's a trust there
459
:that's built.
460
:Obviously you've got to build the trust in
the therapy room, but I think.
461
:me being open and honest as a man as well.
462
:When I see guys, it's like differs a bit
to seeing guys on my training where it
463
:took a long while to establish the trust.
464
:But here it's like, here's a guy who's
been vulnerable in public.
465
:I feel more comfortable now to open up
because I know he has.
466
:I found that particularly.
467
:That's really interesting.
468
:Yeah.
469
:And not just with guys and people like
that.
470
:On the f -
471
:So that's lovely when people come and they
expect they know what kind of therapy I'm
472
:they they kind of seen what I'm like my
personality Which I like to think I'm very
473
:authentic in an outsider therapy room on
the flip side though is that if you are
474
:Known on social media or people seen you
on TV or whatnot there's can be a tendency
475
:to maybe Put someone who you've seen put a
lot of hope on that person to help fix you
476
:or put you on some kind of pedestal and
that can actually...
477
:Get in the way?
478
:Yeah, get in the way, yeah.
479
:Yeah, why haven't you fixed me yet?
480
:You're supposed to be the best at this.
481
:And I'm like, well, you know...
482
:And coming back to that imposter syndrome
as well, how that must make you feel that
483
:someone's coming in with a great deal of
expectation as well.
484
:That this sort of sense of maybe pressure
to somehow measure up to people's
485
:expectations.
486
:I don't know if you feel that, if it makes
you anxious or...
487
:Absolutely, yeah.
488
:My Impost Syndrome really comes out when
I'm still struggling with claustrophobia
489
:quite a bit.
490
:I have sensory issues because of autism.
491
:When I feel trapped or in a space where I
can't get out or whatever, I'm really
492
:anxious and quite visibly.
493
:And yeah, that might happen in public.
494
:Someone might see me being anxious and
stuff.
495
:I think I used to be like ashamed of that
and feel like a fraud, but now I'm like,
496
:nah, you know, that's just my thing that
I'm dealing with.
497
:And I say that to any other therapist who
struggles with anxiety.
498
:If you struggle with panic attacks,
intrusive thoughts, OCD, I'm really into
499
:reading about PMDD and the menopause and
perimenopause at the moment because it
500
:overlaps with anxiety disorders quite a
lot.
501
:That doesn't make you any less of a
therapist.
502
:If anything, it gives you more empathy and
the ability to...
503
:step more into the frame of reference of
your anxious clients.
504
:And I've had to reframe that to myself.
505
:Yeah, because I was going to say, I don't
know about what you were taught, but often
506
:people are taught that if they've actually
experienced, they've got lived experience
507
:of something, that that then gets in the
way of offering therapy.
508
:So I think sometimes people shy away from
a niche and...
509
:I help people with marketing their private
practices and I often find when I actually
510
:talk to them and they talk about their
favourite clients who they've worked with,
511
:it's usually someone who fits into that
space of something that they've actually
512
:experienced themselves and yet we're
taught that this is something that gets in
513
:the way.
514
:Have you experienced, what's your sort of
thinking about that?
515
:It can be a gift and a curse.
516
:I think I've heard it can really help, but
it can also not.
517
:So like, I...
518
:I have the utmost respect for people who
specialize in grief.
519
:I couldn't, I still work on my own grief.
520
:I talk about it in the book a bit.
521
:I imagine seeing five clients a day
talking about grief.
522
:I couldn't do it.
523
:I couldn't do it.
524
:And if you're doing that, fair play.
525
:Whereas I know people, know therapists who
have became grief specialists.
526
:So working for crews, bereavement, people
like that.
527
:because of their own grief, and I just sit
there, marvel.
528
:I'm like, that's incredible, you know?
529
:So it depends, like I've lived experience
for grief, but I would not be great at
530
:specializing.
531
:Don't get me wrong, grief comes up in the
therapy room as anything does, but you
532
:know, when it's the specific focus of
therapy, like going to places like cruise
533
:bereavement and things like that, that
probably wouldn't help me.
534
:It just depends.
535
:Also, if you're,
536
:A therapist who is still learning or to
just face a therapist who hasn't got much
537
:empathy, you might struggle to step into
the other person's frame of reference
538
:because everything that they're talking
about is firmly planting you in your own
539
:because you can relate to it and it brings
up so much power of and reminders.
540
:So that's how it can also go against you.
541
:So it depends.
542
:Like I, when I work with people with OCD,
543
:I know what it's like to have OCD, I'll
have it for the rest of my life, I manage
544
:it very well, but when someone's talking
about it, it's really powerful, because
545
:then it's almost like, yeah, and it sounds
like, and I imagine it's like this, and
546
:they're like, my God, yeah, you've nailed
it.
547
:I was like, yeah, I know, I've been there.
548
:Yeah.
549
:Yeah.
550
:Yeah.
551
:I think that's part of it, sometimes it
gives you that almost like advanced
552
:empathy, doesn't it?
553
:Because you can almost imagine where
people are going with it.
554
:You have to check it out with them,
because you don't know for sure, but often
555
:you can.
556
:you're pretty much sort of familiar with
where it might take them.
557
:And I think it does give you that almost
fluidity in working with someone perhaps.
558
:That's been my experience in terms of
working with what's been in my experience.
559
:Yeah.
560
:And I always, it depends what kind of
therapist you want to be, but I think a
561
:niche is helpful, particularly from that
point of view.
562
:And what made you decide on anxiety then?
563
:Because obviously you didn't want to, you
know, grief wasn't a possibility.
564
:Trauma informed was already taken, so I
did something.
565
:Yeah.
566
:No, no.
567
:Just to put a little interjection in at
this point is that in one part of the
568
:book, Josh describes the different
modalities and talks about the different
569
:fashions and says he thinks the latest
fashion is going to be trauma informed.
570
:But I have to say, with my finger on the
pulse, I think the latest fashion is IFS
571
:actually.
572
:I think it's internal family systems.
573
:No, you're right.
574
:You're so right.
575
:It is internal.
576
:And in the anxiety disorder world, it's
inference -based CBT, ICBT.
577
:So those two will be the latest fashions
that we'll be seeing this summer.
578
:So going back to sort of anxiety,
obviously trauma -informed was taken.
579
:So go on, tell us about what made you
decide to become anxiety, Josh.
580
:I donned the cape of anxiety, Josh,
because when I was younger, it was in my
581
:young 20s, I was...
582
:Diagnosed with three different anxiety
disorders very accurate anxiety disorders
583
:as well So if anyone is part of the drop
the disordered brigade, you know listen up
584
:because actually this saved my life I was
diagnosed with panic disorder with
585
:agoraphobia obsessive compulsive disorder
and God generalize anxiety I was not very
586
:well this happened after a nervous
breakdown.
587
:I was looking after my terminally unwell
brother I just recently left uni with no
588
:money
589
:a weird cannabis addiction and broke up my
girlfriend, moved back in with my mom.
590
:And then my younger brother, yeah, got
diagnosed with terminal cancer at the age
591
:of 14 years old.
592
:Then I went and got started a job at a
pupil referral unit, which won't surprise
593
:you, it was quite a stressful job.
594
:I love that job, but it was quite a
stressful job.
595
:And one day in the morning, I still
remember the moment, I walked into the
596
:staff room at the pupil referral unit.
597
:or the Wednesday or something like that, I
don't know.
598
:Made a cup of tea and I was stirring the
tea bag, dropped the spoon, made a louder
599
:bang than usual and I just looked up and
everything looked weird.
600
:I was like, my God, what have I done?
601
:Like my whole reality looked different.
602
:I now know that this was the start of
dissociation and a panic attack.
603
:I had no idea what was going on then.
604
:I wasn't really struggling with anxiety or
anything.
605
:I was just really stressed and burnt out.
606
:being a carer in a job.
607
:So I had no idea.
608
:I felt like I wasn't in my own body.
609
:People's faces looked like clay.
610
:I was really scared.
611
:Really freaked you out, I should think.
612
:It really did.
613
:I went home and mum picked me up.
614
:I didn't leave the house for six months.
615
:That's the agoraphobia.
616
:Also OCD because I was ruminating and
trying to fix myself.
617
:Became very unwell.
618
:And then I discovered the works of one of
my heroes, Dr.
619
:Claire Weeks, who is an Australian
psychologist.
620
:I think she died in like the eighties or
something.
621
:She said,
622
:hero and she wrote a book about basically
anxiety disorders and what they look like
623
:and I was like this is what anxiety is
I've never really used the word anxiety
624
:until I actually read about what it was
then I found some other books as well read
625
:one by Paul David and this was like 12
years ago so I said no like social media
626
:or anything like that I was just doing all
these things the best I can trawling
627
:forums frightening myself from forums
until I found
628
:the psycho education where someone was
telling me what was up with me and that
629
:started my recovery.
630
:I was like, I'm not going bananas and this
is a thing that happens.
631
:And yeah, I was a teacher at the time, I
loved teaching, but there was no
632
:information for me and I was very lucky
actually that I stumbled across this
633
:information because my doctors didn't
help.
634
:So I was a teacher, that was it.
635
:And then I thought, how can I combine my
love for teaching with...
636
:how passionate I am that I was not
educated about this.
637
:So I just started to be a therapist and
that's how it started.
638
:That's how anxiety Josh started.
639
:Actually anxiety Josh, the name started at
the beginning of COVID where my friend
640
:says, are you on social media?
641
:I was like, no.
642
:He's like, you should do an Instagram.
643
:Now's a good time.
644
:I was like, why?
645
:He's like, cause everyone's going to lose
their minds cause we're going into
646
:quarantine.
647
:I was like, okay.
648
:And so I just started doing videos,
reassuring videos about anxiety, what it
649
:looks like, agoraphobia.
650
:how it's exacerbated and it went from
there.
651
:I was going to say it must have really
taken off though for you to have built up
652
:this massive following in quite a short
time really because it's only sort of four
653
:years really since the start of COVID.
654
:And has it all sort of been videos?
655
:What sort of things do you do to get
people to follow you?
656
:Videos, I do some carousel posts with
little nuggets of information.
657
:You can slide across and absorb them.
658
:I use humour a lot in my social media.
659
:I like people to feel seen.
660
:Yeah, that's what I wanted to do.
661
:I think the majority, we can't speak for
everyone, but the majority of people when
662
:they see that and know that I'm someone
who's been through it and are making a
663
:laugh and a joke about it and getting on
my life, I think for a lot of people
664
:that's very assuring and it gives them
hope and that's why I like to be.
665
:I love Brené Brown and I think this is
sort of like the point that Brené makes is
666
:that when you're vulnerable, when you're
prepared to be vulnerable, that is such
667
:a...
668
:rate leveler, isn't it?
669
:And this is what really helps us to make
connection with each other, is when we're
670
:prepared to be vulnerable, when we're
prepared to open up, it enables other
671
:people to be vulnerable.
672
:I mean, Rogers would have said it's
congruence, you know, deep, deep
673
:congruence begets more congruence, which
begets more congruence.
674
:But I think Brene's brought it up to date
and talks about vulnerability.
675
:And I think this is often what's missing
in this whole celebrity culture, isn't it?
676
:Is that people, especially on Instagram,
aren't particularly vulnerable.
677
:And...
678
:you're actually breaking through that
mould in order to help people be real,
679
:aren't you?
680
:Yeah, being authentically vulnerable.
681
:I think there is a trend at the moment on
social media with people recording
682
:themselves crying in their cars.
683
:yeah, yeah.
684
:Yeah, that's not quite what I'm talking
about.
685
:Why did she break up with me?
686
:But yeah, in general it's...
687
:yeah, thanks.
688
:I'm trying.
689
:I used to be really socially anxious.
690
:I was never really that.
691
:I think for me, I just, something just
clicked.
692
:I lost my brother and lost my dad and lost
my grandma in the space several years.
693
:The anxiety disorder, everything like
that.
694
:And I think when I lost them, I was like,
it just doesn't really matter what people
695
:think.
696
:I care what people think.
697
:If I care, it's gonna sound really bad.
698
:I care what people think when I.
699
:really value and respect them.
700
:So like I was at a conference the other
day and no, this last year actually, I
701
:think David Veal was there and some
people, well respected people and I was
702
:like, now I suddenly really care what
people think.
703
:But general day to day stuff, like I
don't, you know, I've just put my
704
:authentic self out there and in the age of
social media, you're just a drop in the
705
:ocean.
706
:You know, you're not, you're not doing.
707
:Parkinson live on a Saturday night where
everyone's watching you, you're just
708
:someone else, scrolls past, and if you
catch their eye for a bit, that's great.
709
:I think that's a really reassuring thing,
and I'd really love my listeners to hear
710
:that, because one of the things that
therapists really, really worry about, the
711
:ones that I work with, because obviously I
work with a lot of people who don't feel
712
:very confident, don't feel good enough, is
they're so worried about what people will
713
:think.
714
:And to a certain extent, I think what
you've said is...
715
:You're just a drop in the ocean and people
just scroll past, people don't really even
716
:notice half the time, do they?
717
:No, everyone's just focused on themselves
and I don't mean that in a bad way.
718
:Just like I think everyone's default mode
network is to kind of go in and consider
719
:what they need, you know, whether it's
basic needs or whatever or daydreaming or
720
:whatever.
721
:But of course, I saw people with imposter
syndrome, social anxiety, things like
722
:that, where our foreign response has been
conditioned usually when we're younger by
723
:unreasonable...
724
:households or being bullied or being an
abusive relationship when that foreign
725
:response is conditioned of course it's
going to fire off when you're walking
726
:through Tesco or if you slightly do
something brave and do some you know or do
727
:something incredibly brave and do some
public speaking and put yourself out there
728
:your foreign response is going to think
just warned you and suggest you to you
729
:what if all these people like those
unreasonable people no they don't know you
730
:it's okay you're all right one of them
might be a knob but
731
:the vast majority won't be and actually I
found that most people have empathy.
732
:Yes.
733
:Really is.
734
:So I've got so much going through my head.
735
:I'm trying to think.
736
:Because one of the things I wondered
actually, as you mentioned about autism as
737
:well, I sort of do wonder sometimes
whether, because often we just say things
738
:as they are.
739
:And I think sometimes that can actually
help us on social media and that, you
740
:know, we'll just, well, this is how it is.
741
:It just depends on, obviously it's a huge.
742
:Neurodiverse spectrum some people are you
know on one on one end will have you know
743
:active mutism where they just want to
anything and others do mine was different
744
:mine just more I just became more
confident after actually going to therapy
745
:and working on my stuff and challenging my
identity and the unhelpful parts of my
746
:identity and I just got a bit more
confident with that and trying to for over
747
:the last year focusing more on what
748
:the good things people say to you.
749
:Whereas opposed to how's that guy, you
know, have a hundred people, a hundred
750
:people in a room clapping and then one
person isn't and you spend all weekend
751
:like, why didn't that one person clap?
752
:What did I do?
753
:Or same with book reviews, you know,
thankfully I had some amazing reviews from
754
:How's That Make You Feel, like
overwhelmingly positive reviews.
755
:And like any book, you know, you're going
to get people that don't like it.
756
:From my previous books, I used to...
757
:worrying that why did that person not like
me as opposed to focusing on the 99 %
758
:people that really enjoyed it.
759
:What's changed for me is actually focusing
on the positives, actively focusing on the
760
:positives and really trying to and making
it a habit and never going on Goodreads
761
:and that's what's happened.
762
:Here's a 5 ,000 word essay on why I didn't
like this person's book.
763
:And yeah, because I don't think that helps
really, does it?
764
:And there's something about letting go of
it, isn't there, once it's out there,
765
:that, you know, you focus on the sort of
creating, and once it's created, you
766
:actually haven't got any control over how
it's going to be received, have you?
767
:No.
768
:Just go, I just read it over and over
again.
769
:I thought, I'm happy with that.
770
:Do you know what's really surprised me,
actually, Josephine, is that I thought the
771
:book wouldn't go down well with
therapists.
772
:and the opposite's happened and I thought
it would be a book popular amongst maybe
773
:the general public and then therapists
turn around and go, this is heresy, what
774
:are you doing?
775
:And I didn't want them to think that.
776
:I've not written it purposely
controversial.
777
:I just wanted to show some rawness and
realness and actually the support from
778
:pretty much every therapist I've spoken to
has been wonderful.
779
:But even for the therapists that probably
don't like it, they've been respectful
780
:enough to...
781
:I'll tell him.
782
:Well I think it is that rawness and
realness and it's a bit like lifting the
783
:curtain at the end of The Wizard of Oz.
784
:You know, you sort of see who's this
magician behind the screen, who's the
785
:wizard and it's actually just someone
sitting on a chair behind the curtain.
786
:I use that analogy a lot for OCD.
787
:It's a good one, isn't it?
788
:It's like, it's big and scary and then you
look behind and it's like, it's just that.
789
:That's all you are.
790
:Yeah.
791
:So I guess,
792
:I mean, this is a very personal question
and someone's sort of asked, you know, how
793
:are you getting on without your brother?
794
:And I was wondering, you know, towards the
end of the book, when you talk about, you
795
:go for your interview with the, to go on
your, I guess your counseling psychology
796
:masters and your intuition is about
talking about your brother as to why you
797
:decided to go into therapy.
798
:And I suppose when I read that, I sort of
was wondering is...
799
:And because you have been very successful,
you have published books, you have got
800
:hopefully a thriving practice now you've
got all these followers, I hope that's the
801
:case, I'm making an assumption there.
802
:But do you think it's, I guess I suppose
having listened to you, is it your
803
:brother's death that motivated you or is
it more that whole what you've just
804
:described about your anxiety and wanting
to reach out to people in that sense?
805
:Yeah, I think losing my brother is a big
motivator.
806
:I think it's one of the sides of grief
that drives me.
807
:I think I was very, I wasn't actually very
ambitious when my brother was around.
808
:I was quite content.
809
:I was, my ambition was to be a teacher and
chill out and that'd be great, you know?
810
:And I was really excited to have that.
811
:I think when I lost Harry, I think it was
something part of me died with it.
812
:And I think what I've done and revealed in
my own therapy is that,
813
:I try to fill that void by trying to push
and drive myself as much as I can and
814
:actually make my existence more worthwhile
to me, probably because of a survivor, you
815
:know, a lingering survivor guilt and just
want to do something quite, quite special.
816
:You know, all my loved ones tell me that I
need to slow down and stop and do these
817
:things that I've already achieved that.
818
:But I think losing my brother, I think.
819
:And I'm still in therapy, I love therapy,
but like I've uncovered that actually, you
820
:know, there's, I try to fill some of the
void by trying to be extraordinary.
821
:And part of my homework in therapy is to
not be, is to realize it's okay just being
822
:ordinary.
823
:But yeah, I think the manner in which I
lost him as well, which is very harrowing.
824
:Yeah, I don't know.
825
:I try to keep him with me as close as I
can.
826
:I'm not a spiritual or religious person,
so I...
827
:I don't see him in glimmering in the trees
and I don't hear him talking to me.
828
:But I would like to see sometimes that
since his illness and since his passing
829
:and what I've done and this wouldn't have
happened if he hadn't have passed away or
830
:become ill, I'd like sometimes to imagine
that I see him in the crevices of people's
831
:smiles when they're doing really well in
their anxiety therapy, when they've done
832
:something really brave.
833
:I think, well, that...
834
:there's something in that, isn't there?
835
:I think it's, I really identify with what
you're saying about this drive and it can
836
:be very intense, can't it, to want to work
and want to, you know, and it's fun as
837
:well.
838
:I mean, it's, I think it's fun to write,
it's fun to create, it's fun to be out
839
:there on social media and do that sort of
stuff, but it can be difficult to hold it
840
:back sometimes, I think.
841
:Yeah.
842
:I've got more into my mindfulness
recently.
843
:That was a trend, a fashion, wasn't it?
844
:I've got into my mindfulness recently
because I think when you are driven and
845
:you are, and I've got very obsessive,
fixating tendencies.
846
:Wow, how did I develop OCD?
847
:Sometimes when you're so driven and you're
so chaste, and this applies to anyone
848
:though, if you're chasing a feeling of
trying to feel enough,
849
:to try to satisfy that inner satiation of
trying to feel enough.
850
:You miss the world going by now and then.
851
:And I'm guilty of that right now, at the
moment of this.
852
:And I think I need to try to be in touch
with that.
853
:The voices in the book, inner critics,
sometimes that can become the loudest
854
:voice at the table.
855
:I think you need to get in touch with
religion and be like, why don't we listen
856
:to kind of compassion for a bit now
because...
857
:You know, we don't want to get rid of
critic and can be quite helpful.
858
:Like last week, like 1 a you've not put
the bins out, you know, fine, get up and
859
:put the bins out at 1 a But in general,
yeah, I mean, don't fall into that
860
:consuming drive to constantly better
yourself.
861
:And you know you're this person when
you're the person that has a to do list
862
:that's never ending.
863
:You're always saying I should, which is an
anxious thought.
864
:I should be doing this, should be doing
that, should be doing that.
865
:No, just stop.
866
:Like you should be not shoulding.
867
:Put I shouldn't be shoulding at the top of
your should list and then worry about how
868
:matter and weird that's become.
869
:Yeah.
870
:Yeah.
871
:Thank you.
872
:I was sort of aware that the time has gone
by so, so quickly.
873
:I guess cause you know, one of the sort of
questions that somebody asked cover is how
874
:do you manage to be so articulate with
your psycho education?
875
:Do you think that's your teaching
background that's, that's coming in there?
876
:Definitely.
877
:And,
878
:I used to teach year fours, so eight to
nine year olds.
879
:So if you enjoyed the book, you have the
reading age of an eight to nine year old.
880
:I did enjoy it.
881
:I read it on Audible.
882
:I listened to you on Audible.
883
:You've got a lovely speaking voice.
884
:I think you come across very well on
Audible.
885
:Thank you.
886
:Yeah, no, it's always been something I was
good at.
887
:Terrible at admin as a teacher.
888
:Terrible at admin now.
889
:Terrible at notes.
890
:terrible at lesson plans, all right at
studying, good at essay writing, slow at
891
:essay writing, but they're usually good
essays, but they take me forever.
892
:But one of my favorite things I like about
myself, that's a sentence I've been
893
:working on, did not really mean anything
several years ago.
894
:My favorite thing I like about myself is
the ability to take loads of boring
895
:information and present it as something
engaging and entertaining if need to be.
896
:And that really helps, I should think,
with your...
897
:I mean with sexual media and with...
898
:Working with clients and writing the book
as well.
899
:Yeah.
900
:Thank you.
901
:thank you so much for coming along I'm
just aware that I don't want to keep you
902
:for ages Yeah, thank you so much.
903
:I mean there's lots of people have sort of
written lots of questions I think we've
904
:covered quite a few of them and so I just
want to say thank you so much for coming
905
:on the show and obviously people will be
really interested to to hear all about you
906
:and What's the next thing so I shouldn't
really say that we as we've just been?
907
:talking about slowing down but have you
got I think you might have another book in
908
:the offing yeah so the publisher really
liked the book thank by the way thank you
909
:for having me on I really appreciate it
it's really nice to talk to other
910
:therapists as well really is it's nice
yeah the publisher liked a book they want
911
:a second one I probably can do a similar
format I might keep the voices and just do
912
:four different yeah another four
characters and talk about other subjects
913
:that perhaps need to be spoken about
914
:with more antics of my personal life,
which you will find in How Does That Make
915
:You Feel.
916
:Yeah, dude, I'm still lucky doing some
promotional stuff for this book, so I'm at
917
:the Bath Literary Festival this year, so
if you're in Bath, come say hello or throw
918
:fruit at me.
919
:I don't mind.
920
:I need my five a day.
921
:We did have someone who said there's any
chance you're coming over to Tenerife
922
:because I live in Tenerife.
923
:So if you could find a book festival
that's happening in Tenerife, I know that
924
:one of our members would be very happy.
925
:Yeah, I'll try and wrangle that with the
public.
926
:They really want this over in Tenerife,
you know, pay for it for me.
927
:Yeah, so yeah, just doing little things
like that and yeah, I've started to think
928
:of the next book.
929
:Nothing, nothing, nothing, no pen to paper
yet.
930
:Yeah, just still going with this one and
reopening my practice more.
931
:I've only seen a couple of clients now,
but I'm going to see a few more and
932
:that'll be nice.
933
:Yeah, I was going to say it must be
balancing all these different things.
934
:Have you found that you're doing fewer and
fewer clients as you get more and more of
935
:this sort of work?
936
:Yeah, I've only seen two clients in the
last few months.
937
:Obviously, it's not fair to keep a client
caseload when you are jumping around doing
938
:times interviews and whatever.
939
:It's not fair.
940
:on them, but the two clients I do are very
flexible and there's an understanding
941
:there which I really appreciate.
942
:Yeah, definitely, definitely gonna do some
more client work, probably a bit later in
943
:the year.
944
:I hit Burnout not so long ago and I'm just
coming out of that.
945
:Yeah, I'm gonna, I'm doing more of that
being in the world a bit as opposed to
946
:that drive stuff.
947
:And yeah, and then crack on.
948
:And then write the second book and
completely forget all the advice that I
949
:gave myself.
950
:thanks so much for coming on.
951
:Thank you.
952
:It's been absolutely brilliant to meet you
and So so great to get to know you a bit
953
:better.
954
:So thank you for coming on and thank you
for the book I really enjoyed it and I
955
:know that so many other therapists have
enjoyed it too because it just is like I
956
:said, it's Picking let's letting people
see really but what's behind the curtain
957
:and that's reassuring to you.
958
:If you think you're doing a bad job read
this
959
:Thanks so much anyway.
960
:Thank you.
961
:Thanks for listening.
962
:Do come and join my Facebook community,
Good Enough Counselors.
963
:And for more information about how I can
help you develop your private practice,
964
:please visit my website, JosephineHughes
.com.
965
:If you found this episode helpful, I'd
love it if you could share it with a
966
:fellow therapist or leave a review on your
podcast app.
967
:And in closing,
968
:I'd love to remind you that every single
step you make gets you closer to your
969
:dream.
970
:I really believe you can do it.