Therapy


 

 One of the most frequently asked questions about therapy is whether it is worth the expense?  Certainly beginning a course of therapy is a financial commitment and of course we want to know if it is likely to ‘pay off’.

 A study by Chris Boyce at the University of Warwick, England reported by the Bet Israel Deconess Medical Center, has found some interesting results. By examining data from thousands of people who had provided information about their mental well-being, it was found that the increase in happiness from a $1,329 course of therapy was so significant that it would take a pay raise of more than $41,542 to achieve an equal boost in well-being. This means that therapy could be perhaps as much as 32 times more cost-effective at improving well-being than receiving money. 

 Boyce explains that “often the importance of money for improving our well-being and bringing greater happiness is vastly over-valued in our societies. The benefits of having good mental health, on the other hand, are often not fully appreciated and people do not realize the powerful effect that psychological therapy, such as non-directive counseling, can have on improving our well-being.”

 

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866605_piggy_bank_1 A few weeks ago I found out that it was 80% likely I had caught swine flu. Interestingly, despite all I had heard, it wasn’t all that bad: a headache, sore joints and muscles and of course the well-publicised high temperature. In fact, it was so much less dramatic than I had anticipated, I had apparently contracted it at least eight days prior to diagnosis.

 

 When the headache didn’t shift and I started to feel pretty lousy, I went to the local clinic and it was here that I truly began to feel miserable. When the secretary understood there was suspicion of swine flu, she physically jumped two steps back, curled her mouth into a look of extreme disgust, told me not to move and left the room. A few moments later she returned dangling a surgeon’s mask like toxic waste, barking: “Put this on! Don’t sit near anybody!”

 Feeling pretty humiliated, angry and sorry for myself I looked around the waiting room, to be looked back at by sets of staring, anxious eyes. The patients were spread out more or less evenly. There was no free area for me to sit in, so, feeling pretty weak from the fever, I put on my mask and sat on the floor. Eventually a corner became free and I parked myself there, trying to ignore the stares, the whispering about my suspected condition and the pregnant lady voicing her, of course valid, concerns about me waiting with everyone else.

 The frustrating and humiliating story goes on – the wait from nurse to doctor (who both incidentally were very kind and helpful) was all in all an hour and 40 minutes. For me, however, although we all enjoy a good moan now and again, this is not the most interesting part of the story…

 A couple of things struck my attention over my period of unwellness. Firstly, how automatically our reactions of fear and disgust can be revealed by our faces (and how hurtful this can be to others). Different cultures are expressive to different extents (see this). For this secretary (of note the second secretary behind the desk facially expressed warmth and concern), despite working in a clinic which had diagnosed many cases of swine flu, could not ‘reign in’ her automatic reaction for the sake of professionalism.

 Secondly, how influenced we are by thoughts, words and knowledge. Up until my trip to the clinic I wasn’t too bothered by my symptoms. As soon as I found out there was an 80% chance I had swine flu, I felt significantly worse. Each time I measured my, continually fluctuating, temperature, my sense of illness/wellness altered according to the number on the thermometer. This is some of the theory behind Cognitive Behavioural Therapy – that the thoughts we have, or the reactions we have to physiological experiences, effect our mood and well-being.

 Certainly the most powerful reflection on contracting an infectious illness which can evoke fear or disgust in some, is the nominal insight to the lives of those who live daily with diseases such as HIV, disabilities or disfigurements. 

 Incidently, as an epilogue to this story, it wasn’t swine flu after all.

 

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 In the aftermath of shock following the shooting at the Tel Aviv Gay and Lesbian Association building last month, sexuality issues have become a popular discussion in the media. A number of articles of late have been focused on whether it is possible to ‘convert’ homosexual men and women to heterosexuals (for example click here.)

1069414_gender_symbols These articles cite the American Psychological Association’s (APA) recent statement that “there is insufficient evidence to support the use of psychological interventions to change sexual orientation” and, moreover, attempting to alter a person’s sexual orientation through aversive treatments can cause harm, such as loss of sexual feeling, suicidality, depression and anxiety.

 Undoubtedly, articles such as these and the APA’s consideration of this can bring about important and helpful change. A resolution has been passed urging mental health professionals not to recommend to their clients that they can change their sexual orientation through therapy or any other methods. A Brazilian psychologist has been publicly reprimanded by Brazil’s Federal Psychology Council for suggesting she could “cure” homosexuals.

 However, these articles leave me with different questions: I am curious to think about why the focus has been on whether it is possible to ‘convert’ homosexuality, instead of thinking about the difficulties we have as individuals and as a society, regardless of who we are attracted to sexually, in managing this difference.

 

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 As an English speaker living in Israel life can be exciting and exhilarating! But sometimes the pressure of living within a new culture can become a little too much and we can become overwhelmed by the ‘Aliyah rollercoaster’! In any case finding help and locating resources in a foreign language and culture is difficult, but during these times of distress especially, it can become almost impossible to find the help we need.

712793_you_are_here For this reason I wanted to concentrate in one page links to useful information for the English speaker in Israel. I also list these resources on my links page, but here I will go into a little detail about what each site offers.

 I would say for those who are classed as ‘olim chadashim’ or ‘toshavim chozrim’, the first port of call is to turn to one of the olim support organisations. They provide varied and excellent services, including help with finding employment and managing beaurocracy. The Ministry of Absorption will provide essential information and assistance to olim from any country as will The Jewish Agency.

 Esra is a social and community organisation in the central Sharon area of Israel that was set up to help English speakers integrate into Israeli society through social, cultural, educational and civic activities. Members are also able to volunteer in its community projects.

 There are a number of very helpful organisations developed specifically for immigrants from particular countries. North American and British olim can be in touch with Nefesh B’Nefesh. More specifically, Americans and Canadians can gain support from the AACI and British olim from the UJIA . South Africans can contact Telfed and Australians the ZFA .

 Of course any English speaker, oleh or not, can be in touch with their embassy of consulate. 

  If you feel that your difficulties are more of an emotional nature than it may be important to speak with a psychologist. When looking for a psychologist you should check that they are licensed and qualified. You can check that the psychologist’s license with the Register of Israeli Psychologists. Every psychologist will be registered on this site if they are licensed. You can also check out their credentials further if they have a website or, for example, if they have a profile on the networking site: LinkedIn

  It is also important to be aware of the national support organisations. Eran provides a confidential 24-hour, 365 day a year emotional support hotline for people feeling alone, depressed or in crisis. The hotline number is 1201. There are also special departments for senior citizens, soldiers, Russian and Arabic speakers and an internet hotline for youth. 

 Enosh is non-profit association for Mental Health which aims to promote mental health issues, provide rehabilitation services and support during recovery from mental health problems, encourage independent living within the community and fight stigma. It offers to its members: supported housing, vocational rehabilitation, social rehabilitation, holidays in Israel and abroad, mentoring, family counseling and support and continuing education programmes. 

 Na’amat provides support services to women, children and families in Israel. It offers educational programmes, legal counselling, domestic violence intervention, single parent family support groups and cultural enrichment programmes. Emunah promotes religious and zionist ideals through volunteering in community projects and provides spiritual and emotional support for religious women.

 The ‘Agudah’ provides individual, social and community support and information services to the Gay, Lesbian, Bisexual and Transgender (youth and adult) community and their families.

 The Association of Rape Crisis Centers provides confidential, crisis-oriented assistance to victims of sexual assault and those close to them. The 24 hour crisis line number is 1202 for women and 1203 for men.

 If you are having difficulty managing alcohol or drug misuse you can turn to Alcoholics Anonymous or Narcotics Anonymous.

 

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