"What to Look For in an Eating Disorder Treatment Center" is an article in the New York Times. I wish it had gone a little beyond its content.

“Unless you can change the behavior, no amount of insight-oriented therapy is helpful,” said Dr. Angela Guarda, the director of the Eating Disorders Center at the Johns Hopkins Hospital in Baltimore.

Yes, I agree that behavior needs to be addressed first. But at least a little insight is required so people can gradually move beyond the eating disorder behaviors into the psychological work needed. What made an eating disorder the best option for self-care needs to be addressed so the person is really free from leaning toward or falling into an eating disorder again.

Unfortunately, too many treatment situations and insurance criteria measure recovery in terms of behavior. The behaviors are symptoms. Slowing down and stopping the eating disorder behaviors are what's needed for the real recovery work to begin.

Please address at least one of the questions below in the comments. Your response can help many others.

You've been in a conversation that speeds into brief, passionate discourse and hurtles on to furious speech, familiar emotional agony, indignation and hurtful stalemate. Right? You've been in several or maybe many. Here's what may be happening. * info re picture below.

Suppose you see or know or suspect that an employee has an eating disorder. What should you do? Here's a guest article by Joy Nollenberg, director of The Joy Project addressing this issue. She wants readers to know that legal issues abound in this realm and that her words are not legal advice. In other words, check out your legal position before embarking on a workplace confrontation.

There may be times when someone in the workplace appears to be very ill with an eating disorder. This can be a difficult situation with many potential pitfalls. It's important to keep these points in mind.

"Sleep that knits the raveled sleeve of care." William Shakespeare

A person with an eating disorder often misinterprets body signals. You may tend to avoid sleep when you are tired. When feelings of tiredness turn into food cravings, rather than getting the rest you need, trouble is brewing.

When you suffer from an eating disorder, you've made an unconscious contract that involves your mind, spirit and body. Your contract states that any thoughts or feelings that are painful or disruptive must be blocked. Your body must process its energy so you can remain unaware of your authentic responses.

So you eat or starve or binge and purge or compulsively or mindlessly eat to block your feelings and thoughts. Over time, the contract gets refined so you can feel almost anything and register the feeling as hunger.

When you feel tired, you may experience fatigue as a trigger to eat. This situation develops into a pattern where you may avoid sleep by eating instead of sleeping.

                                              Courage to think and know who you are often begins in depth psychotherapy

Courage Now: Psychotherapy as an Act of Courage and Resistance

By Joanna Poppink, MFT

Private Depth Psychotherapy for Women in Midlife and Beyond

Courage Now: Summary

Psychotherapy as an Act of Courage and Resistance explores how depth psychotherapy can serve as a powerful response to personal pain and collective injustice. Drawing on the author’s experience with renowned psychoanalyst Hedda Bolgar—who resisted Nazi oppression—the piece argues that therapy is not just self-care but moral action.

In a world where truth is censored and vulnerability punished, therapy helps individuals cultivate emotional resilience, inner authority, and the capacity to act from conscience. Featuring quotes from Carl Jung, Viktor Frankl, Audre Lorde, Toni Morrison, and others, the article positions psychotherapy as a space for liberation, truth-telling, and courageous self-examination.

                                                                                                              Life disruption: Small protections matter

 

Life Disruption: How Inner Strength Prepares Us 

By Joanna Poppink, MFT

Licensed Psychotherapist – Depth-Oriented Healing for Adults

Life disruption preparedness is more than stored extra water, canned goods and board games in the closet. We often think of planning as a practical activity—saving money, assembling emergency kits, and organizing documents. But there's another layer to preparation, one that psychotherapy addresses: emotional and psychological readiness.

Before a crisis strikes—whether it's personal, collective, or existential—your ability to face what's difficult to imagine can become a quiet strength. You don't just plan for what to do. You prepare for how to be.

What Is Life Disruption?

 Emotional Holding and Inner Strength

 

Depth Psychotherapy: Understanding Emotional Holding

 

In the realm of depth psychotherapy, the emotional holding often leads us to necessary discomfort. This may sound counterintuitive—especially in a culture obsessed with quick relief and emotional "fixes." Nevertheless, if we hope to truly recover from eating disorders, trauma, or long-standing emotional pain, we need to understand a crucial distinction: the difference between comfort and holding.

Both have value. However, each serves different purposes—and only one supports lasting transformation.

 

Reflection in depth psychotherapy

 

 

Depth Psychotherapy: How to Get the Most Out of It

 

The Mindset That Supports Depth Psychotherapy and Real Healing.

What it really takes to grow, change, and heal from the inside out.

 

Depth Psychotherapy: How to Get the Most Out of It

 

The Mindset That Supports Depth Psychotherapy and Real Healing
What it really takes to grow, change, and heal from the inside out

 

What Is Depth Psychotherapy?

Depth psychotherapy is more than talk therapy. It’s a path of healing that goes beneath surface behaviors and symptoms to address the unconscious roots of suffering. This kind of therapy is especially meaningful for those of us who feel stuck, lost, overwhelmed, or caught in patterns we can’t seem to change—no matter how much we’ve tried.

Whether we’re beginning therapy for eating disorder recovery, trauma, anxiety, grief, or navigating a major life transition, the mindset we bring to depth psychotherapy makes a difference. In fact, our approach can determine how deeply the work takes root.

 

The Mindset That Supports Depth Psychotherapy and Real Healing

 

1. Begin with the Self

In depth psychotherapy, the journey always begins with the self—not as a fixed identity, but as something alive, changing, and layered. Like water, we must give ourselves space to move, to soften, and to reveal our deeper truths.

Therapy doesn’t begin with answers. Instead, it begins with willingness—the courage to change and the humility to not yet know how. Over time, this orientation becomes foundational.

Ultimately, a conscious, honest relationship with ourselves becomes the root system from which all other meaningful relationships grow: with others, with our story, with the unconscious, and with what is sacred.

2. Cultivate Humility Over Performance

Healing isn’t about proving our strength or demonstrating insight. Rather, depth psychotherapy invites modesty. It asks us to show up without performance. Therefore, we don’t need to impress or get it “right.”

What matters is our devotion to the process—returning to it with openness, even when it feels slow, painful, or unclear.

Over time, therapy deepens when we stop evaluating our progress and begin trusting that the work itself is the progress. As a result, we start measuring healing not by milestones but by presence.

3. Be in the World, But Not of It

As we continue in-depth psychotherapy, we learn to live in the world without becoming absorbed by its distractions, speed, or rigid expectations. That doesn’t mean shutting down or becoming avoidant. On the contrary, it means staying inwardly spacious.

We begin listening for the symbols, dreams, emotional shifts, and unspoken longings that guide a different kind of knowing. Meanwhile, we learn to attune to what is both ordinary and extraordinary.

Eventually, we hold the capacity to wash the dishes while also tending to the soul. In doing so, we cultivate a psyche that is both grounded and alive.

4. Prepare the Ground Before Growth

Real progress often follows deep internal correction. Like a garden that must be cleared of weeds before it can bloom, the psyche must be cleared of outdated defenses, distorted beliefs, and unconscious loyalties before something new can take root.

At first, stillness often comes. Depth psychotherapy honors the value of pausing, reflecting, and letting the dust settle. Only then does a more authentic direction begin to emerge—not from willpower, but from truth.

As a result, the path may still look the same on the surface, even while profound reorganization is taking place within.

5. Tolerate What We Once Rejected

One of the most powerful—and complex—skills we develop in depth psychotherapy is learning to stay with what we once avoided. Not everything that arises in the healing process will feel good or make sense. For example, some truths may conflict with our self-image or with others' expectations. Some emotions may seem too messy, too painful, or too inconvenient to let in.

And yet, healing requires this kind of inner strength. It means allowing what is unwanted to exist—without controlling it, pushing it away, or pretending it’s not there.

The grief that lingers. The anger that resurfaces. The longing we hoped had vanished. These are not failures. Instead, they are thresholds.

In fact, our capacity to tolerate emotional discomfort without collapsing, fleeing, or judging it is what makes deep healing possible.

Insight alone is not enough. More importantly, patience with the emotional truth of our lives—especially when it challenges our habits of control—is what liberates the psyche.

6. Let the Process Be Enough

In our results-driven world, depth psychotherapy can be quietly radical. It asks us to stop grasping for outcomes and instead attend to the process itself. Insight doesn’t always come with resolution. Sometimes, progress looks like sitting through confusion, naming an emotion, or noticing a shift in our body’s response.

Bit by bit, we begin to trust the moment-to-moment work. When we stop chasing transformation and show up for what is real, something in us begins to change in lasting, subtle ways.

Consequently, we start to recognize that healing is not an event—it’s a way of being.

7. Beware of Hurry and Bypass

There is a gentle warning here: we must not rush. We must not assume that awareness equals healing. Also, we must not bypass the uncomfortable places by turning every insight into a checklist.

Depth psychotherapy is not a fix.  It's a practice of staying conscious and balanced over time.

While our therapist may offer guidance, containment, and reflection, ultimately, it is our own inner presence that carries the work forward. In the end, we must learn to balance ourselves.

Moreover, this kind of balance can only be achieved through practice, not performance.

Ancient Wisdom Still Applies in Depth Psychotherapy

The temple at Delphi once bore two inscriptions that remain relevant to therapy today: “Know thyself” and “Nothing in excess.”

To know ourselves—not conceptually but through sustained inner experience—is the heart of depth psychotherapy.

To bring nothing in excess—neither urgency, avoidance, nor self-judgment—allows the work to unfold with honesty and depth.

In this way, these ancient teachings reflect the rhythm of real healing: engaged, balanced, and quietly transformative.

Healing Means Reclaiming the Whole Self

In depth psychotherapy, we do more than resolve problems. We recover lost parts of the self. We make space for what was once pushed away. We bring light to the shadow and voice to the silence.

We create the conditions for the psyche to become whole again. Therefore, integration becomes our goal—not perfection.

Of course, this work is not fast. It is not always easy. However, it is alive, soulful, and real. And it calls for a particular mindset: humility, receptivity, patience, and strength.

This is what makes depth psychotherapy work.
This is the path to true healing.

Summary for Depth Psychotherapy Principles

Beginning depth psychotherapy is not about getting quick answers—it’s about cultivating a mindset that allows for real transformation.

In depth-oriented therapy, we do more than manage symptoms; we enter a relationship with ourselves that is honest, steady, and soulful.

By approaching therapy with humility, patience, and curiosity, we prepare the inner ground for lasting change.

The work invites us to reclaim lost parts of the self, to tolerate emotional truths, and to resist the cultural pressure to hurry or to perform.

This is not easy work. But it is real, and it leads us toward greater freedom, wholeness, and inner peace.

Frequently Asked Questions (FAQ)

Q: What’s the difference between depth psychotherapy and regular therapy?
A: Depth psychotherapy goes beyond symptom management. It explores unconscious material, early life experiences, defenses, and inner symbolism to foster lasting, soulful change.

Q: How can I prepare myself mentally before starting therapy?
A: Come with openness, not certainty. Therapy asks for humility and a willingness to experience—not just analyze—our inner life.

Q: I’ve been in therapy before but didn’t feel real progress. Will this be different?
A: Possibly. Depth therapy focuses on deeper emotional truths rather than strategies or behavioral tips. Progress can look subtle at first but often creates more lasting shifts over time.

Q: Can depth psychotherapy help if I don’t know what’s wrong—just that something feels off?
A: Yes. Often, we begin therapy with only a vague sense of disconnection or distress. That’s enough. The clarity tends to emerge through the work.

Q: How long does depth therapy take?
A: This is long-term work. There is no quick fix. But if we're ready to slow down, be honest, and stay with the process, it can be life-changing.

Q: Do I have to talk about my childhood?
A: Not always, but early experiences often shape how we relate to ourselves and others. We go there only as it becomes relevant and safe to do so.

Ready to Begin?

Therapy isn’t just about feeling better. It’s about being more fully alive.

If you’re ready to begin depth psychotherapy with a seasoned guide, I offer virtual sessions for adults in California, Oregon, Florida, and Arizona. I specialize in eating disorder recovery, trauma, and the inner life of high-functioning women navigating change, loss, or longing.

Contact me for a free consultation. This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Resources

📚 Books

1. The Art of the Psychotherapist by James F. T. Bugental
   
   

2. Lover, Exorcist, Critic: Understanding Depth Psychotherapy by Alan Michael Karbelnig
   
   

3. Classical Adlerian Depth Psychotherapy: Volume I by Henry T. Stein
   
   

4. Deep Play: Exploring the Use of Depth in Psychotherapy with Children edited by Dennis McCarthy
   
   

5. Psychodynamic Therapy: A Guide to Evidence‑Based Practice (2nd ed.) by Summers, Barber & Zilcha‑Mano
   

6. The Doctor and the Soul: From Psychotherapy to Logotherapy by Viktor E. Frankl
   
   

7. Reaching Through Resistance: Advanced Psychotherapy Techniques by Allan Abbass MD
   
   

8. Working at Relational Depth in Counselling and Psychotherapy (2nd ed.) by Dave Mearns & Mick Cooper
   

9. Dreamwork in Holistic Psychotherapy of Depression by Greg Bogart
   
   

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🌐 Websites & Articles

• Depth Psychotherapy – Kara Swedlow, PhD (overview of unconscious roots and therapeutic process)
  
  

• Anderson Depth Therapy – Depth Therapy Reading List (annotated bibliography)
  
  

• Why Depth Therapy is More Enduring Than a Quick Fix of CBT (Reddit discussion, citing efficacy)
  
  Joanna Poppink, MFT, is a depth-oriented psychotherapist specializing in midlife and older women's particular challenges, trauma integration, and healing from eating disorders. She offers virtual psychotherapy in California, Arizona, Florida, and Oregon. For a free telephone consultation, write to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

 

 

 

 

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