Therapeutic Insights

Plaque displaying Billi Silverstein's senior accreditation in psychotherapy with the MBACP.

Why My Approach in Psychotherapy Is Different!

The difference is not simply that I work in depth, but in how that depth is held and explored.

Apr 242 min read

Coping with change requires more than simple adjustment to new circumstances. It calls for a reorganisation of internal experience, particularly when familiar structures of identity, routine, or relationship are altered. From a psychotherapeutic perspective, change can activate deeply held expectations about safety, belonging, and control. The nervous system often interprets uncertainty as potential threat, even when the change is desired. Anxiety, irritability, or emotional withdrawal may therefore emerge as adaptive responses rather than signs of fragility. When individuals understand these reactions as meaningful signals, they can begin to engage with change in a more reflective and less reactive manner. In the therapeutic space, the task is to develop an observing mind that can notice shifts in mood, thought, and bodily sensation without immediate judgement. This involves cultivating tolerance for emotional complexity and allowing contradictory feelings to coexist. One may feel

Adaptation and Identity: The Inner Work of Living Through Change

Coping with change requires more than simple adjustment to new circumstances. It calls for a reorganisation of internal experience, particularly when familiar structures of identity, routine, or relationship are altered.

Feb 202 min read

Billi Silverstein
Psychotherapy

Therapeutic Insights

Why My Approach in Psychotherapy Is Different!

Adaptation and Identity: The Inner Work of Living Through Change

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