The therapist is seeing the situation differently, and that itself may be helpful. When therapist and client are not in the same narrative, there is space for change.

It may be important not to accept the stories and points of view presented in therapy but to be always on the alert for alternative explanations. Almost always, after a long and passionate tale of woe and desperation, full of explanations and the assignment of blame, I offer an alternative point of view.

In some way, this is what I want to convey to April. We all wish we could just eliminate the dysfunctional parts of us. In pushing against what we do not like in ourselves, we get more knotted up. The shame, discomfort, embarrassment, and pain just reinforce the hold the whole thing has over us, and, in the process, we over-identify with an aspect of ourselves that does not need to define us so completely. Seeing this overidentification clearly is what I think of as insight.

But, as important as it is to understand the sources and details of one’s pain, understanding is rarely enough. My patients come to therapy wanting the burden of their accumulated experience lifted. Yes, they want to make sense of their lives, but that is not usually their fundamental or exclusive aim. First and foremost, they are trying to get over their accumulated trauma in order to feel less fearful, isolated, forlorn, helpless, alone, anxious, or depressed. They might not be able to say it so clearly, but they are reaching for things

beyond thought, trying to make contact with essential capacities that have been sacrificed in their efforts to adapt, adjust, comply, cope, or conform.

She separated herself from life so that she could finally heal her soul. We have seen this theme over and over, how the dark night is fulfilled in some form of withdrawal from active life.