Find the Switch — 2

In an earlier post, I stressed the importance of finding the driver for symptoms and behaviors— the “switch,” as Freud called it. Kyle VanBlaircom referenced this post in a recent podcast and we discussed it for a bit.

I keep this vintage postcard in my consultation room and use it for patient education.

What might the driver or switch be? Typically early attachment experiences that coalesced into personality patterns — patterns that keep showing up in the present and cause suffering.

Finding the driver takes time. According to Drs. Jonathan Shedler and Enrico Gnaulati, “Meaningful change began at about the six-month mark, and clients who stayed in therapy for a year did substantially better. Those who stayed for two years improved still more. There [is] an unmistakable dose-response curve […].” ✸


Series Installments
Find the Switch
Find the Switch — 2
Find the Switch — 3
Find the Switch — 4