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Disloyalty is the new Second Opinion

The Psychology of Change

Disloyalty is the new Second Opinion

When the bond that heals you becomes the cage that holds you back.

“You have been coming here for and you still look at the door when you think I am not watching.”

“I look at the door because I am wondering if the person on the other side of it would find me as difficult as you do.”

“And would that be a good thing or a bad thing?”

“It would be a different thing and right now I think I am hungry for different.”

She has a name written on the back of a receipt and it was given to her by a friend and it describes someone who works in a way that sounds closer to what she needs. The receipt is from a cafe in Marylebone and it has been sitting in the small fold of her wallet for .

The ink is starting to fade against the dark leather and the edges of the paper are soft and gray from being touched. She has not called the number and she has not even looked at it while she is in her regular session on Tuesdays. It feels like she is carrying a weapon or a love letter to a rival and she is terrified that the person sitting across from her will be able to see through the leather and see the betrayal she is carrying.

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If she wanted a new dentist she would just book one and she would not feel a single spark of guilt. If her accountant missed a filing deadline she would send a short and cold email and she would move her files to a different firm across town.

There is no heartbreak in a tax return and there is no moral weight to a root canal because you pay for a result and if the result is better elsewhere then you go to the elsewhere. But in this room the product is the person and the person is the product and that changes the math in a way that almost no one is ready for.

We are told that trust is the goal and we are told that the bond is the thing that heals us. This is true and it is the foundation of the work but it has a shadow that we do not talk about. When you build a relationship that is designed to be the most honest space in your life you also build a cage.

You cannot walk away from the person who saw you cry for a hundred hours without feeling like you are killing a part of yourself. You are not just changing a provider and you are not just shifting your budget. You are breaking a promise that was never spoken but was always there in the room.

The Ghost of the Master Shipwright

In the middle of the the master shipwrights of London held a kind of power over their workmen that would feel like a haunting today. A young man who wanted to learn how to plane oak and how to set a keel had to give himself over to a master for and in those years he was not allowed to marry and he was not allowed to leave the town.

17th Century Guilds

The Master Bond

The master owned the hands and the secrets. Seeking a new way was a strike against the soul.

Modern Therapy

The Clinical Bond

We sit in small rooms and go back to old ways, fearing that a second opinion betrays the secret.

The master owned the hands and the master owned the secrets and to seek a different way of carving a figurehead was seen as a strike against the soul of the yard. We think we have escaped this because we have consumer rights and we have the internet but when we sit in a small room with a therapist we go back to the old ways. We give our secrets to a master and we feel that to seek a second opinion is a strike against the bond.

The Red Screen of Stagnation

I tried to log into my bank account this morning and I typed the password wrong five times. On the fifth time the screen turned a flat and angry red and it told me I was locked out for my own safety. It is a strange kind of safety that keeps you away from your own resources because you made a human mistake.

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Locked out for your safety.

Is your therapy keeping you safe, or just keeping you away from your resources?

Therapy is often like that red screen because you get locked into a way of working and you stay there for your own safety even when the safety starts to feel like a limitation. You know the way the air feels in the room and you know the way the clock ticks on the wall and you stay because the thought of explaining your mother to a new person feels like more work than staying in a place that no longer moves you forward.

Moving the Tudor Brick

My friend Ivan is an archaeological illustrator and he spends his days in muddy pits across the city drawing the things that other people have forgotten. He tells me that the hardest part of his job is not the drawing but the seeing because when you look at a wall that has been built and rebuilt over you have to decide which layer matters.

The Tudor Layer (Persistence)

The Industrial Layer (Attachment)

The Roman Foundation (Deep Truth)

Needs New Tools

Ivan’s Layers: Sometimes the top brick must be moved to see the older story underneath.

“He says that people get a strange kind of vertigo when they realize that the thing they have been leaning on for years is just a thin skin over a much older story.”

– Ivan, archaeological illustrator

If you focus too hard on the Tudor brick you will miss the Roman stone that is sitting right underneath it. He sits there with his fine pens and his ink and he tries to show the truth of the layers but he knows that most people just want the top layer to be enough because the top layer is what they recognize.

This is the sharp reality of the work we do on our own minds. We stay in the top layer because we are loyal to the person who helped us find it. We mistake the length of time we have spent in a chair for the progress we have made in our lives. We read persistence as satisfaction but very often it is just attachment and attachment is a heavy thing to carry when you are trying to grow.

A House with Many Rooms

The traditional model of the lone practitioner is a beautiful thing but it is also a dangerous one because it puts the weight of the entire world on just two people. If the fit starts to slip or if the language is not quite right there is nowhere to go but out into the cold and that is why so many people stay in rooms that have gone stale.

Clinical Innovation

A practice like Mind a Porter changes that geometry because it is a house with many rooms and many languages and many ways of looking at the same problem.

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Change Clinicians

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New Perspectives

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Shift Focus

It allows you to change the approach or the clinician or the focus without having to burn the whole house down and start from the beginning. It turns a moral crisis into a clinical choice and it takes the weight of betrayal off the shoulders of the person who is just trying to get better.

Loyalty in a professional setting should be to your own health and not to the ego of the person you are paying. If you are staying because you do not want to hurt the feelings of someone who is trained to handle your feelings then the relationship has stopped being therapy and has started being a burden. The work is meant to make you free and that includes the freedom to leave.

The scrap of paper in her wallet is still there and it is still a secret but it is not a weapon. It is just a possibility. We spend so much of our lives trying to be good and trying to be faithful but the most important faith we can keep is with the person we are becoming.

If that person needs a different room and a different voice and a different way of being seen then the most loyal thing you can do is walk through the door. We often think that the end of a relationship is a failure of the work but in this world the end of a relationship is often the proof that the work has succeeded.

You have reached the edge of what that specific bond can teach you and now you are ready for the next layer. Ivan would tell you that you cannot see the Roman stone until you are willing to move the Tudor brick and he would be right. The goal is not to stay in the pit forever but to find the truth that is buried at the bottom and sometimes that requires a different set of tools and a different set of eyes.

The ink on the receipt is fading but the need for change is not and the longer she waits the more the paper feels like a lead weight in her pocket. She is not a shipwright in the and she is not bound by a contract of oak and iron.

She is a person in a room and the door has never been locked from the outside. The only person holding the key is her and the only person she is truly betraying is the one who is waiting for her to finally take a breath and call the number.

“A scrap of paper in a wallet is a small anchor that can hold back a ship from the very ocean it was built to cross.”

The guilt of leaving is a tax we pay for the intimacy we sought and it is a price that many people pay for years after the value has gone. We stay because it is easier to be unhappy in a familiar way than to be brave in a new way.

But the room was never meant to be a home and the person in the chair was never meant to be a master. They were a guide for a specific part of the map and when the map changes it is okay to find a new guide who knows the new terrain.

We must learn to see the difference between being a good patient and being a person who is actually getting well because they are not always the same thing and the difference is usually found in the weight of the secrets we keep from the person who is supposed to know them all.

Mind a Porter creates a space where that transition is not a crime but a part of the process and where the focus stays where it belongs which is on the person who is trying to find their way home.