Right now, my biopic would be rated PG13. That’s a cumulative rating. Like most of us, my 20’s were mostly R-rated, filled with inappropriate behaviors that matched my intoxication with freedom by living a time zone away from my parents. As the distance grew, so did the level of responsible, irresponsible behavior. I was never arrested. I didn’t get fired from my job as a new teacher. I also didn’t treat my body with the level of care and respect that I should have…and I knew it.
Surviving those years allowed me to calm down and earn a PG rating of life. Life’s spotlight intentionally shifted away from me as my levels of self-care and self-love began to match the care and love I had for others. I became your favorite underdog biopic. Think Rocky or Kundun.
Now that I’m in my 40s, I am embracing the decade of f*#k-its. Like most of my compadres of the same age, my skin is stretched to the size that I’m comfortable in (metaphorically, of course) where attitude reign supreme whether deserved or imagined. Just like Patch Adams, I celebrate the parts of me that caused the insecurity of my 20s and played up the sensitive side that brought me love (husband and son) in my 30s.
Your Identity Acronym
In order to help clients, I need to understand their biopics. Most therapists focus on one theory, cognitive behavioral theory (CBT), systems theory, just to name some popular ones. But, working with real clients means understanding how thoughts, feelings, biology, and relationships all factor into WHY they need help and HOW to help them. Thank goodness for Arnold Lazarus and his multimodal therapy acronym, BASIC ID.
- Behavior: No secret decoder ring necessary. Separate your thoughts from your actions. What are you DOING that is getting in the way of a goal? What can you DO to put yourself back on track? Basic Madlibs treatment plan: Give me a verb.
- Affect: This one is difficult because it is dependent on your emotional intelligence. Not only is the challenge identifying your feelings, but in order to understand and treatment plan for the conflict leading you into therapy, you need to work on the triggers for those emotions. You also need to put those feelings on a sliding scale, rage to irritation, sadness to depression, etc. The chain link of BASIC ID actually begins here by connecting the behaviors with the emotions; it’s the old chicken or the egg, psychology style.
- Sensations: The focus is on the mind-body connection. Hands tingling, heart racing, limbs that seem to be slogging through a sea of Elmer’s glue just to walk to the door…Your feelings may be easier to understand by discussing their physicality. It’s important to focus on how your body responds when relaxing. Practicing mindfulness is essential to this aspect of therapy.
- Imagery: I tend to think in pictures, so this one is easy for me. But, as you combine your actions, emotions, and physicality, memories will begin to stir. Before you flinch…GOOD memories are vital to any treatment plan. Connecting to past success in dealing with current stress is a major focus of my practice. It’s easy to lose sight of how many obstacles you have overcome on your own when you have to seek help from a professional to solve your current problem. Tapping into the memories of the “you” who can slay giants, at age 6 or age 60, builds up great momentum toward success.
- Cognitions: Keep in mind, BASIC ID is not a literal, step-by-step process. It’s a clever way for therapists (and clients who want to learn) to conceptualize the presenting problem and create a treatment plan for A WHOLE PERSON. Your self-talk, self-image, and self-concept are words with immense power.
- Interpersonal functioning: So many of my clients come to me because someone else told them they have a problem. Your support network is key. Learning who to have cheering you on and with whom a relationship has run its course is important to managing life’s stressors. How much those people have contributed to your overall mental health, or lack thereof, is essential to creating a path to a strong version of yourself.
- Biological dimension: Horrible wife confession: I often tease my husband about having low blood sugar when he is a few items short on the “Honey Do” list. It is impossible to parse out the difference between the sensations of illness or medical conditions and those attributed to mental health illnesses. Are you tired because you caught the flu from your son or are you depressed? The beauty of this method of diagnosis and treatment is the permission for therapists to consider both with dismissing either.
People are beautifully complex. The treatment models that try to disqualify thoughts and amplify feelings or focus on relationships without figuring out real sensations are limiting. The healing process truly begins, and lasts, when you can understand and accept all parts of you and your life. It’s not magic. It’s pretty basic…