Dr. Christine Chang, Ph.D.

California Licensed Psychologist | Focused on Grief, Anxiety & Trauma

Anger Well: Healing Cultural Trauma and Experiencing the Power of Anger

Christine Chang

Just to share the English version of my old article.


Anger, as a core emotion, represents a weighty form of “inner work,” whether in clinical practice or in daily life. Regardless of whether it is our own resentment or facing the fire of others, it brings not only physical discomfort but often triggers a cascade of layered emotions—such as shock, fear, guilt, and shame. These layers lead many to feel they should not be angry, making them unwilling to approach the feeling of anger and causing them to expend even more effort resisting it. At times, our aversion to, repression of, and unfamiliarity with anger actually allow impulses to overflow, resulting in more regret and remorse.

To anger well is a form of personal cultivation, a healing of the past, a confrontation with injustice, and a return to the essence of existence.

Emotional theories posit that each core emotion has a distinct adaptive function. The purpose of anger stems from the fact that the people and things we love and value—ranging from concrete objects to abstract values, dignity, freedom, and a sense of security—have been subjected to actual or perceived attack, threat, oppression, or unfair treatment. Anger is intended to protect. It provides a powerful message, reminding us that boundaries are being violated, needs are going unmet, or what we cherish is being harmed or abandoned.

Perhaps counterintuitively, much ancient wisdom actually teaches us how to be with anger, rather than how to avoid or suppress it.

The True Location of Anger

Duke Ai asked which of the disciples loved to learn. Confucius replied, “There was Yan Hui who loved to learn. He did not transfer his anger, and he did not repeat a mistake. Unfortunately, his appointed time was short and he died. Now there is no one like him; I have not yet heard of anyone who loves to learn as he did.” — The Analects, “Yong Ye” chapter.

Confucius describes Yan Hui as one who “did not transfer his anger,” meaning that his anger was not directed toward others or places; he did not practice the displacement of anger. Within the context of “loving learning,” this can be understood as refraining from blaming unrelated parties for one’s frustrations. Only by bravely taking responsibility for mistakes and making changes can one truly “not repeat a mistake.” Interestingly, Confucius’s concept of “not transferring anger” resonates with the defense mechanisms of psychoanalytic theory. Anger should go where it belongs, rather than being projected or displaced.

Additionally, Confucius did not ask people to endure anything unreasonable or contrary to ritual propriety (Li). Reading the Ba Yi chapter of the Analects closely, Confucius’s anger is visible everywhere. He encouraged Ran You to stand up and say no; toward the inappropriate behavior of rulers, he was at times sarcastic and at others bluntly critical, showing no restraint.

The chief of the Ji family was about to sacrifice to the Tai mountain. The Master said to Ran You, "Can you not save him from this?" He answered, "I cannot." Confucius said, "Alas! will you say that the Tai mountain is not so discerning as Lin Fang?" — The Analects, “Ba Yi” chapter.

Confucius said of the head of the Ji family, who had eight rows of pantomimes in his area, “if this can be endured, what cannot be endured?” — The Analects, “Ba Yi” chapter.

Confucius remarked that the Ji family used the dance formation reserved for the supreme ruler in their own courtyard; if such an act could be tolerated, what then could not be tolerated? Here, Confucius clearly marks the purpose of anger as protecting boundaries. The “man-eating” traditional ethics (Lijiao) were the product of later power-holders who, for the convenience of their reign, distorted or cherry-picked ancient philosophy. Generation after generation, this has shaped our internalized collective trauma, in which avoidance is mistaken for politeness and denial is used to soothe wounds—causing us, generation after generation, to miss the chance for authentic love.

The Arising and Passing of Anger

Turning inward, Buddhism illuminates the finiteness of our internal emotions. In the sutras, anger is frequently characterized as “ill-will” (Vyapada).

“There being ill-will in him, a monk knows: ‘There is ill-will in me.’ There being no ill-will in him, he knows: ‘There is no ill-will in me.’ He also knows how there comes to be the arising of unarisen ill-will, how there comes to be the abandoning of arisen ill-will, and how there comes to be the future non-arising of abandoned ill-will. — Maha-Satipatthana Sutta, Dhammānupassanā, Nīvaraṇa.

Observing the arising and passing of “ill-will” reminds us that even such an intense emotion has a beginning and an end. It surfaces, and it fades. Anger is like a cloud in the sky—it can gather, and it can disperse; it is like a breath—there is an inhalation and an exhalation. Anger is like climbing a mountain; that ridgeline always has a starting point and an exit. Many people fear anger as if, once touched, they can never be rid of it; that is fear obscuring “knowing.” To be mindful of the presence or absence of anger—neither forcing it nor fleeing from it—is to coexist with it, allowing “ill-will” to complete itself as a phase. This process is often referred to in psychotherapy as emotion processing.

The Fluid Nature of Anger

The Chinese medical classic Huangdi Neijing (The Yellow Emperor's Inner Canon) describes the flow and interaction among the body, emotions, and nature, emphasizing the generating-and-overcoming cycles among the elements. This dynamic nature of emotion provides the very foundation for emotional healing.

The Emperor said: “I have heard that the ancient sages, in discussing the physical form of man, distinguished the viscera and bowels, defined the meridians, and harmonized the ‘Six Unions.’ Each follows its own channel... the responses between the external and internal are reflected in the surface and the core. Is this indeed so?”

Qi Bo replied: “The East generates Wind; Wind generates Wood... Wood generates the sour taste; the sour generates the Liver; the Liver generates the tendons... In the mind, it is Anger. Anger injures the Liver, but Grief overcomes Anger. ...The South generates Heat; Heat generates Fire... In the mind, it is Joy. Joy injures the Heart, but Fear overcomes Joy. ...The Center generates Dampness; Dampness generates Earth... In the mind, it is Pensiveness. Pensiveness injures the Spleen, but Anger overcomes Pensiveness. ...The West generates Dryness; Dryness generates Metal... In the mind, it is Grief. Grief injures the Lungs, but Joy overcomes Grief. ...The North generates Cold; Cold generates Water... In the mind, it is Fear. Fear injures the Kidneys, but Pensiveness overcomes Fear.” — Huangdi Neijing, Suwen, Chapter 7: “Great Discourse on the Phenomenal Correspondences of Yin and Yang.”

Specifically, the phrase “Anger injures the Liver” signifies that anger affects the liver and that the two are mutually expressive. Based on the theory of the Five Elements (Wu Xing), the Wood element is linked to spring, the liver, anger, wind in the climate, and tendons in the body. Their interaction reflects a dynamic equilibrium between the internal and the external; “Anger injures the Liver” precisely captures this elemental interconnectedness. The liver is also responsible for dredging and dispersing, meaning that when anger arrives, it must be expressed—much like the smooth transition of the four seasons. To go against the seasons is to invite illness; anger, when orderly and measured, should be allowed to flow according to its natural tendency.

The aforementioned “Grief overcomes Anger” does not encourage replacing anger with sorrow. Rather, it suggests a mutual restraint and tension between these two forces. The Huangdi Neijing observes the ebb and flow, and the tensions among emotions, suggesting that release and “digestion” are key to balance; blind suppression leads to blockages across all aspects.

In contemporary psychotherapy, we often observe that after a person fully experiences their grief, a deep, powerful anger immediately follows. That “disallowed” anger is indeed often buried under layers of sorrow and shame. Only by melting the grief can one experience the transformative power of anger.

Anger with Deliberation

The Book of Proverbs in the Old Testament repeatedly cautions against being easily provoked to anger.

“A quick-tempered person acts foolishly, and a person of evil devices is hated.” — Proverbs 14:17.

“Whoever is slow to anger has great understanding, but one who has a hasty temper exalts folly.” — Proverbs 14:29.

“Better a patient person than a warrior, one with self-control than one who takes a city.” — Proverbs 16:32.

“A person’s wisdom yields patience; it is to one’s glory to overlook an offense.” —Proverbs 19:11.

Where the Chinese text says “not easily becoming angry,” the English versions use terms such as “quick-tempered,” “quick to anger,” or “slow to anger.” Proverbs admonishes us to be slow to anger, to anger well, to anger with weight and deliberation. The existence of anger is vital, but the sense of urgency within that anger must be tempered; one should not be easily agitated. Only by slowing down can we discern what our anger is trying to say and the actions it is prompting us to take.

The Old Testament frequently mentions the wrath of God, yet it always stems from a clear cause; the emotion is never groundless. God issues repeated warnings before His anger is unleashed, with the aim of calling people to turn back and change, making the functional significance of the emotion self-evident.

“The Lord is compassionate and gracious, slow to anger, abounding in love.” — Psalms 103:8.

The Book of Psalms also mentions that God is “slow to anger.” In the original Hebrew, this phrase—אֶרֶךְ אַפַּיִם (’erekh ’appayim)—literally translates to “long of nose.” God has a very long nose, signifying that He is slow to move toward wrath. It is my own interpretation that this Hebrew imagery—God’s long nose—is exceptionally vivid. A long nose makes the process of inhalation and exhalation more distant and deliberate. This cycle of breathing solidifies the experience of anger, slowing the resentment down so that the wrath does not erupt impulsively. In psychotherapy, breathing is the most effective method for anchoring anger. God’s “long nose” may serve as a reminder of the centrality of breath to the process of anger.

Many ancient classics emphasize the importance of getting in touch with anger and how to “digest” it: Confucius encourages us to face anger directly; the Buddhist sutras provide meticulous observations of the arising and passing of emotions; the Huangdi Neijing teaches us to flow with the natural momentum of the body, emotions, and elemental cycles; and the God of the “long nose” in Christianity perhaps suggests using our breath to slow our anger down.

Our tendency to suppress rage, resist emotional experience, or deny its existence is, in itself, an opening—an opportunity to decipher the architecture of cultural trauma. By rereading the cultural classics that have been misappropriated or hollowed out, and by mourning the dignity sacrificed for the sake of survival, we transform anger from a burden into a path toward healing. To face and fully experience this anger is to awaken a dormant individual and collective strength. It allows us to trace the lineage of our pain, giving voice to the neglected while challenging the artificial injustices and inequalities of our world. 1



References:


1 Original text written in Chinese by the author; translated and adapted by the same.


Reconnect with the Body

Christine Chang

It was several years ago at an AEDP training that I found myself, once again, seated in one of those typical conference chairs designed for average-sized male bodies. As someone 5 feet tall (4'11" on my driver's license), I perched awkwardly, legs crossed tightly, tucked close beneath me, rotating from left to right like a hinge, trying to find comfort. I leaned forward, then back, quietly performing a choreography of dissonance. A chair like that was always uncomfortable, yet always tolerable—because I wasn’t there as a body, but as a brain.

At the time, I thought of my body as a vehicle for my learning, a container for my soul, a tool that carried me from concept to concept. It was natural—I had years of experience shaping my body to be invisible, especially in spaces where achievement mattered more than embodiment. Whatever my body felt—ache, fatigue, compression—was background noise, static.

A colleague sitting beside me noticed my small frame in the oversized chair. She casually checked in with me, and without trying to fix anything, returned from the class break with a shoebox. I was stunned by how simply my ‘shortage’ could be resolved. As my feet finally grounded, I felt profoundly seen and cared for. It startled me into awareness: my body had been silently enduring for years, a neglected companion in my pursuit of knowledge and grades. How long had I been treating my body as irrelevant? How long had I left it behind and alone?

My reflection didn’t end as my body kept finding opportunities to emerge. A couple of years ago, I joined a BIPOC SE training led by Efu Nyaki. The virtual course held about 50 participants, and she began with a long, intentional check-in, asking each person’s name, location, and something about their surroundings. Internally, I was impatient: ‘I came to learn about SE, not about my classmates’ middle names and houseplants!” With pen in hand, brain sharp and ready, I waited for the ‘real’ teaching to begin. But instead of theory or technique, I was met with what felt like trivia, anecdotes, and fragments of lives.

Just as my patience was thinning, my irritation—the uneasy burning sensation on my skin—cracked open an a-ha: maybe this was the teaching. My impatience itself was the very disconnection I was called to heal. To orient to space, to be with each other, to arrive fully, not just cognitively, was the lesson. In that realization, something loosened. My shoulders dropped. I saw how easily I abandon my body when I’m expected to use my brain. As if only one part of me was allowed to show up. For the rest of that class, I wondered with trepidation and yearning whether the invitation was actually calling for something fuller: there is space for your entirety.

My performance-driven disconnection from my body has deep roots. One is that, growing up in Taiwan, I went through two national examinations—one for high school and the other for college. That meant, for me, that my entire six years of adolescence were dedicated to studying. Studying until midnight, on weekends, even during family trips—my body became a test machine. Although I was good at it, even now, I still occasionally have dreams where I panic when I face an exam paper with no idea how to answer (Yes, it is Math). Later in life, I realize that during every exam, I was laser-focused, holding my breath, driven to deliver the correct answer as quickly as possible. My nervous system slipped into micro, repeated freeze responses—survival mechanisms disguised as academic discipline.

It has been a long, winding road to reconnect with my body, and the reunion hasn’t been purely sweet. I began noticing various sensations: tickling, tingling, little signals surfacing when I sat too long. I started to learn the somatic distinctions between hunger, pain, and boredom as I tried to eat, and between joy, relief, and satiety as I became full. The awareness was disorienting, the numbness confusing. Turning toward the very part of me I once abandoned requires patience, curiosity, and lots of grief.

This journey makes me wonder: perhaps the essence of ‘body positivity’ is not simply about redefining beauty standards, as they remain social constructs we can endlessly argue about, or celebrating what our bodies can do for us, another form of over-instrumentality. Rather, it is about cultivating a relationship with this one and only physical existence we've been given.

Through my own reconnection, I realize that I am always loved by my body—by each cell, fiber, and every inch of my flesh and blood—even when I don’t listen to it. Every breath liberates me and grounds me simultaneously. My body humbles me.

When I sit with clients now, I carry this knowing along with two yoga blocks to support my back. I notice when someone arrives only from the neck up, when the brilliant mind works overtime to distract from what the body holds. I pay attention to our breath, posture, and the subtle cues that signal disconnection or resistance. Sometimes it’s the smallest shift—a shoulder drop, a deeper exhale—that signals a return, a whisper: Welcome home.

*To read the full text in Chinese, please click this link.

Solstice Soundscapes: Embracing Joy and Vitality Amidst Complex Trauma

Christine Chang

In celebration of the summer solstice, I have curated a Spotify playlist—a special collection of music created especially for Asians and Asian Americans. Each artist is Asian-identified, honoring the beautiful diversity within our community. This isn't your typical meditation playlist; it's a journey through sounds that capture joy, desire, and vitality, all deeply rooted in the landscapes of contemporary Asian culture.

For those who have borne the weight of complex trauma, safety and peace can feel foreign, intimidating, and even triggering. Amidst the shadows of pain and the resilience of survival that many Asian and Asian American communities know too well, it is vital to reclaim our laughter and smiles as well as the moments of inspiration and aspiration. It is important to remember the warmth of a gaze or the sunlight.

It is also important to remember that Asian history is rich with traditions that celebrate vigor and vitality. Literature, art, and poetry from various Asian cultures exude a profound appreciation for the beauty of nature, interpersonal connections, and different emotions. These historical expressions whisper to us that yearning for pleasure is a fundamental part of our heritage, ever-present and waiting to be woven back into the fabric of our modern lives.

As the sunshine reaches its peak, let us ride on the spirit of the sun. Through this music, I invite you to reflect on the essence of being Asian in the here and now.

https://open.spotify.com/playlist/6HkjF7gRft6P9HjDq3Nmgz?si=46e7a78338744b71 

  1. Summer Solace - Paella

  2. Summer - Joe Hisaishi with London Symphony Orchestra

  3. Indian Summer - Anoushka Shankar 

  4. Summer Solstice - Sophia Thakur, Latir

  5. Asturias - Youn Sun Nah

  6. Hala lala laya - Aleen Masoud, Apo & the Apostles 

  7. Late Summer Storm - Lullatone 

  8. On the Summer Solstice - aspidistrafly 

  9. Summer - Sanoli Chowdhury

  10. Summer - Joe Hisaishi (This is a different version of Joe Hisaishi's "Summer." This one concludes the journey of the playlist better.)

Read more:
https://www.instagram.com/p/Ct9kr2fP5M_/?igsh=MWQ1ZGUxMzBkMA==

Exploring the Depths - The Impact of Parental Narcissistic Traits on Adult Children

Christine Chang

Within the labyrinth of harm woven by parents with narcissistic traits, children often seek refuge in the veil of vagueness, shielding themselves from the piercing arrows of instability and emptiness. Vagueness becomes an infinity mirror, endlessly reflecting the harsh reality of being unseen by parents with narcissistic traits. In my opinion, vagueness represents one variation of the gray rock method, a coping mechanism against inevitable pain.

However, lurking within the shadows of vagueness are fears: the dread of being relegated to the periphery, the terror of solitude, and the burden of unwarranted culpability. The fear of being deprioritized, abandoned, or blamed engulfs the children's every interaction, casting a shadow over their sense of worth and belongingness. Fear and anxiety are the emotional burden of these children growing up. When being unseen becomes the essence of attachment, vagueness, as well as dissociation, manifest as the relational wounds of the adult children, whether with others or with themselves.

Amidst the cacophony, an incessant whisper of invisibility haunts the desire to be acknowledged by the unavailable parent due to their narcissistic traits. For adult children, this journey to form interpersonal intimacy is fraught with challenges, marked by a perpetual reluctance to accept, to embrace, or to receive any authenticity from others. The receptivity is never modeled or completed, and oftentimes it is unsafe. The ownership of the self, molded by the parent with narcissistic traits, remains a shape-shifting enigma, ever resistant to formation. The formation of self-ownership needs to be rooted in separating and grieving over the persistent echo, which reverberates the attachment of the unattached.

Thus, in this intricate dance of existence, the threads of the dilemma of attachment weave a tapestry of complexities, where vagueness becomes a fortress, fears cloak the path to self-discovery, receptivity hasn’t fully developed, and the structure of the self remains unattachable. These may be the deepest wounds of adult children —they never truly feel seen by the parent with narcissistic traits, by themselves, and perhaps they never feel embraced by reality.

Healing starts with drips of reality– a safe, responsive, and available reality.

The Inspiring Journey of Immigrant Parents - My observations and invitations

Christine Chang

It may seem counterintuitive, but many immigrant parents do indeed aspire to adopt Western-style parenting practices when they move to a new country. Western parenting tends to emphasize the development of individual identity and autonomy. It allows and encourages children to express their thoughts, feelings, and opinions openly. Parents tend to use praise and rewards to reinforce desirable behaviors and offer acceptance and problem-solving to help support children in making their own choices and decisions.

Many immigrant parents are eager to shield their children from the hardships they experience. Growing up, many immigrant parents often learn more about the values of obeying authority, enduring hardship without asking for help or questioning, and adhering to the singular correct answer as dictated by society. While those values could be adaptive in the home culture at some point, many immigrant parents often strive to give their children a new and enriching experience when they relocate to a different place.

At the intersection of the impact of generational and cultural trauma, the immigration process, and the role and responsibility of parenthood, immigrant parents are navigating uncharted territory where they don’t have many role models in the community. Immigrant parents may find themselves grappling with the everyday concepts of freedom, independence, and autonomy that differ from what they learned from textbooks or movies. The lack of familiarity with the cultural nuances and limited access to support and resources can lead to misunderstandings and misinterpretations. For example, immigrant parents may have limited exposure to what it truly means (and why it is important) to develop personal interests that bring joy and fun. This can be attributed to the emphasis the upbringing placed on survival, practicality, and pragmatism. Consequently, facilitating their children to cultivate personal choices can feel apprehensive and daunting. It requires not only an understanding of personal agency but also a bottom-up bodily experience of joy and selfhood. Similarly, when it comes to dealing with disagreements with their children, many immigrant parents feel overwhelmed. Their upbringing might have presented them with only two approaches: obedience and conformity, or dismissiveness and abandonment. As a result, it can be unfamiliar for parents to lead a dialogue of different emotions and needs with each other, negotiate solutions, and navigate diversity and differences.

In light of this, I would like to offer a few ideas that I invite immigrant parents to consider on the parenting journey.

  1. The best part of raising children is probably getting another opportunity to grow up again in the way you want. Let’s be curious about the self, including family history, emotional wounds, and potential influences on parenting approaches. Becoming more aware of the beliefs, values, perspectives, and behaviors will allow you to intentionally shape and refine them.

  2. When confronted with children's errors, disagreements, conflicts, and difficult emotions, take a deliberate step back, or even momentarily pause. Slow the self down. Find ways to anchor the self first. Notice that the sense of urgency or anxiety usually comes from a memory or a trauma response.

  3. It is challenging to raise children in a country different from one's place of origin. Immigrant parents are teaching their children to fish in unfamiliar waters. Acknowledge the courage and resilience within each of you. Recognize the strength and adaptability it takes to navigate the complexities of being an immigrant parent. 

It seems as though it was only yesterday when you were navigating uncharted territories and transitioning to a new society. Yet, here you stand, building a family and nurturing the next generation. Regardless of the path that brought you to this land, you have arrived. Let’s embrace grace and patience as you cultivate your roots and nurture new branches here.

Rethink “I-statement”

Christine Chang

An "I-statement" is a non-accusatory and non-defensive way of expressing ourselves. It begins with the word "I" and is used to describe personal feelings about a certain matter. Therapists and communication specialists often recommend utilizing "I-statements" as a means of effectively conveying our feelings without making the other person feel attacked or judged. For instance, instead of saying, "You're being annoying," it is suggested to say, "I feel annoyed by the sound you are making." This approach ensures that the listener understands that the focus is on the speaker's feelings rather than blaming the listener.

While an "I-statement" may imply that changes need to happen, it is not used to create behavioral changes in others. Making our feelings known to ourselves and others (e.g., using I-statements) is about clarifying our own internal world and helping others understand us better. Communicating our feelings to other people is different from trying to change their behavior or convince them of our perspectives. An "I-statement" is not a demand; it is the beginning of a further dialogue.

Crafting an "I-statement" is challenging as it requires taking ownership of our feelings without expecting others to bear responsibility for them. It necessitates an understanding of the equal value of emotions in individuals. Meanwhile, making an "I-statement" is a profoundly intimate act, allowing us to be vulnerable with others. It requires a sense of safety and trust. It is also a mini exercise in democracy because it points toward more discussions and collaborations.

Crafting an "I-statement" may be particularly challenging for people who have experienced collective trauma – the oppression against the formation of the self and the sense of humanity. There can't be an "I-statement" without a sense of "I,” while the subjectivity of "I" is what's injured by collective trauma. Making an "I-statement" is about reclaiming the existence of "I" independently and unapologetically. The existence of “I” itself is sufficient and enough.

Hearing an "I-statement" from others may also be particularly stressful for people who have experienced collective trauma – the oppression that creates a fear-based mindset and an extremely low tolerance of difficult emotions. When difficult emotions are always perceived as a threat or problem that needs to be erased or fixed, “I-statement” instills a sense of urgency and shame. Being able to listen to other people's "I-statement" means honoring their emotions as it is, and engaging in discussions about the changes based on our mutual interest.

When we say, "I feel annoyed by the sound you are making," we share a part of ourselves with the listener. When we hear, "I feel annoyed by the sound you are making," we receive an opportunity to better understand the speaker. For both, it is an invitation to deeper conversations and connections. The "I-statement" brings us closer so we can work together to figure out the changes that may be needed.

Making the Most of Online Therapy During Covid-19

Christine Chang

By Christine Chang, PhD & Snehal Kumar, PhD*

The impact of the pandemic has been very palpable. During this stressful time, we may realize we need support and also notice that there might be barriers and ambivalence to getting and maintaining professional help. For example, we might have concerns about using online therapy when we might be more comfortable with the idea of meeting a therapist in person. We might also have increased worries about finances that may make us want to “put off” therapy, especially if it’s in a format that may make us uncomfortable.

While some people like online therapy as much as or more than in-person therapy, many people understandably have reservations about it. It is important to notice our discomfort about online therapy. What great self-awareness! By exploring and addressing this discomfort, we could have an opportunity to learn what may bring us a greater sense of safety, understanding, connection, and healing while maintaining social distance. As psychologists, we would like you to get the support and care you need, especially during and after the global pandemic crisis. 

There are ways to make the most of your online therapy experience and to look for affordable care. Here are some suggestions that you could try, so that way you can take care of yourself even in these difficult circumstances. 

Negotiating Technology 

Talk with your therapist about the options they offer to help maintain care while practicing social distance. Video therapy has numerous benefits, such as non-verbal communication, a sense of closeness, and flexible hours and locations. For some people though, video therapy is not a convenient option because it requires devices (e.g., a computer, internet, a camera), software, and the account set-up process (e.g., passwords). For some people, a phone therapy session could be more straightforward. Using technology can bring up uncomfortableness and different emotions for different people. We encourage you to talk to your therapist because therapy is a space for your healing and growth. We can choose the medium that makes the most sense to our pace at the point. We don’t need to use new technology just because we have it.

Navigating Financial Safety 

During these times, you may be more concerned about your finances than usual. There might be ways for you to still get the care that fits your financial needs. For example, some therapists might offer a sliding scale or reduced fee slots, to new as well as existing clients. If you have insurance that covers mental health, it might be helpful to learn more about your coverage to help you make decisions - for example, some plans may cover a large percentage of your session costs even if your provider is not affiliated with their panel), while some plans may offer coverage only if you work with a provider on their panel. In addition, many training institutes and university mental health graduate programs offer lower-cost sessions. It can be helpful to consider the frequency of care, length of care, and your goals to help you budget for therapy. The pandemic crisis and shelter-in-place order urge us to take extra care of our health, and our mental health can help us make decisions that enhance our physical health and even our financial well-being. We encourage you to discuss your needs and options with therapists to see what might work for you.

Co-Creating Emotional Safety 

Safety is always the most fundamental element in therapy. Safety includes physical, emotional, relational, and even technological aspects. Some people gain a sense of safety from being together and present with each other and some people experience it from having more space and structures. In therapy, it is most effective to maintain and deepen the sense of safety through having clarity about expectations and strategies to help create the right kind of environment. 

It is important to have ongoing communication about how these expectations and strategies impact your experience in therapy. For example, in conversation with your therapist, you might realize you prefer phone sessions to video because it is easier to talk about your experience this way. As a way to create a helpful environment, you and your therapist may make a plan in case the call drops in the middle of the session (eg., texting your therapist to let them know, calling them back). Similarly, you might look for a private place to speak to your therapist before your session and pay attention to how you feel at different levels of privacy.

Honoring the Mental Commute

Sometimes therapy can be intense. Therefore, we need some time before entering the therapeutic work and after leaving it, just like the “old” commute time to the therapy office. 

Creating a “mental commute time” may help ground with our present. In the “old” days, whether it’s driving or being on a bus or subway, our commute forces us to be slightly more present than our laptops do. Changes in the visual horizons and physical movements allow us to recognize that we’re moving literally and figuratively, even when what comes up in a session is tough. That our past is a part of us, not all of us. A commute time also serves as a space of mindfulness to recalibrate from our work in therapy to what we need and want to do next. While you may not have a literal commute anymore, you could consider other strategies that might help, for example, going for a short walk or even looking out of your window.

We hope these suggestions help you in your journey towards growth and healing during this difficult time. The absence of in-person presence can be a loss to both the client and therapist, and it takes courage for us to receive and offer help using a new medium. We encourage you to share your concerns and worries about technology and how it may impact the therapy relationship and quality with your therapist because your input is so helpful in collaboratively crafting a meaningful experience for you.

*This article is co-authored by Snehal Kumar, PhD. She is a licensed psychologist practicing in NYC. She specializes in counselor training, self-worth, mindfulness, burnout, and diversity concerns. Visit her website at https://www.drsnehalkumar.com

Grief from afar

Christine Chang

Grieving at a distance is not uncommon.  For many students, immigrants, migrant workers, and people who lost their loved ones to sudden unexpected death, the absence of physical closeness during the end of loved ones' lives could be painful. Certainly, the Covid-19 global pandemic also results in similar experiences of grieving and loss. We are not allowed to be with our loved ones or participate in rituals that bring comforts or spiritual meanings due to shelter-in-place, social distancing, and other public health measures. The loss of physical presence and rituals is palpable. 

Not being physically present with loved ones who are dying or to witness their passing may leave us feeling anxious, angry, and guilty. We may wonder about the last moments of our loved ones and worried about their possible loneliness. We may put the blame or judgment on something (e.g., social distancing rules), someone (e.g., other family members), or ourselves.  We may wish and imagine we could’ve done something else, something different to change the circumstance. Fear, anger, and guilt are all common and normal reactions when we face the death of loved ones. These emotions are uncomfortable and could be scary at first sight. It is important to process and metabolize painful feelings with people who are supportive, responsive, and reliable. 

It might be challenging to find a source of solace when traditional rituals and physical togetherness are not accessible. One way to start the healing is to intentionally acknowledge the loss and the beginning of the grieving process. Forming meaningful narratives for both the loved ones and us helps ground the cognitive part of the brain. Engaging in creative alternatives to honor the loved ones and our relationship with them helps orient bodily sensations and emotional experiences.  It is painful to notice multiple losses here: our loved ones, the opportunities to say goodbye, and the most intuitive ways to receive support. 

Grieving from far away is hard because facing death and separation alone activates our ultimate fear, whether it's about our loved ones or ourselves. It is important to recognize how we would like to show up for others and for others to show up for us. It is also a time to see how we may show up for ourselves. Grief needs to be seen, so does our ability to love, care, and connect. 

Our Collective Grief

Christine Chang

The COVID-19 pandemic forces all of us to face unique challenges that lead to difficult emotions. These emotions could be shock, confusion, anxiety, disorientation, frustration, disappointment, and guilt. Among the emotional experiences, grief is often overlooked and denied because it could be overwhelming to a lot of us. Grief is the response to a loss. Facing the COVID-19 pandemic, we are experiencing a collective loss. We lost a sense of normalcy. Our physical beings are assigned new roles, tasks, locations, and positions. Our psychological beings are asked to show up or not to show up in a way that’s not familiar. We lost the world we knew. Below are some thoughts of how we may go through the grieving process together. 

Name the loss. Name it as grief.
We lost our routines. We lost a sense of familiarity, stability, and safety. We lost the ways we knew how to connect with each other and how to set boundaries. We lost our usual coping. This is a collective loss. We are grieving together.

Grief needs to be witnessed.
Grief can’t be solved. Grief needs to be seen. It can be seen by eyes, by the body sensations, by emotional expressions, or even by our imagination. In the time of the pandemic, we are all in this together and we are all impacted. I see your grief, and my grief needs to be seen. We witness each other’s grief.

Don’t judge each other’s grief. Don’t compare suffering.  
The judgment doesn’t help in grieving because it provokes shame and demands punishment. Neither shame nor blame brings back what we lost.

There is no short-cut to bypass the painful emotions.
Emotions are real. That means emotions have a start and an end. Let it run its course. When it became so unbearable, we may learn ways to manage it at the moment. 

Find gratitude in what we do about the loss. Find it in what we do after the loss.
Loss happened. Loss is not a lesson or a blessing in disguise. We don’t try to find meaning in loss. We find meaning in us.  We don’t find meaning in trauma. We find meaning in resilience. 

Know the stages of grief and loss to describe, not prescribe.  
The five stages of grief and loss (denial, anger, bargaining, depression, and acceptance) provide a framework for us to understand ourselves. Note that grieving is not a linear process. 

References and Resources

That Discomfort You’re Feeling Is Grief. https://hbr.org/2020/03/that-discomfort-youre-feeling-is-grief?utm_source=facebook&utm_campaign=hbr&utm_medium=social

David Kessler and Brené on Grief and Finding Meaning. https://brenebrown.com/podcast/david-kessler-and-brene-on-grief-and-finding-meaning/

Kübler-Ross E (1969). On Death and Dying. Routledge. https://books.google.com/books/about/On_Death_and_Dying.html?id=X2MskIklkqIC

Kessler, David ( 2019). Finding Meaning: The Sixth Stage of Grief. Simon and Schuster. https://books.google.com/books?id=H920DwAAQBAJ