Joshua Fletcher became a Psychotherapist specialising in anxiety after struggling with anxiety in his early 20s and suffering from panic disorder and obsessive compulsive disorder.
In his book, And How Does That Make You Feel? Everything You (N)ever Wanted To Know About Therapy, Joshua Fletcher takes you into his therapy room and shares the therapeutic relationship he develops with four of his patients.
Part memoir, Fletcher is clear early on that finding the right modality of therapy is important, as is finding a therapist that feels right for you. I wasn't aware of all the modalities in this field and the author provides a brief overview of each one.
Unique to this book - at least to my knowledge - Fletcher uses a writing technique that incorporates his inner voices with the text of his book. He refers to them as 'characters at a big round thought table, each voice squabbling, debating and fighting for attention' in his mind. Fletcher has named each of his inner voices, and the ones that pop up throughout his therapy sessions include:
Analytical: seeing things from the perspective of counselling theoryAnxiety: the voice of worry that focusses on threats and unlikely catastrophesBiology: hunger, fatigue, pain, discomfort, toileting, temperature etc.Compassion: the willingness to understand and helpCritic: a judging voiceDetective: the voice that searches for clues and meaningEmpathy: trying to imagine and experience how they are feelingEscapist: the voice encouraging me to avoid difficult feelingsIntuition: a nudge from the gut that goes beyond rationale and reasonIrreverence: bizarre and unexpected thoughts that creep into the therapy roomSaviour: the desire to 'save' a person outside the realms of professional dutyTrigger: jealousy, anxiety, anger, defensiveness and associated traumaVolition: choosing to listen to a more appropriate voice than the one that initially arises
The Inner Voices of the Therapist
How this works is that he provides details of the session and shares the moment when these inner voices intervene, naming them as he goes. For example, in the case a patient mentions they have a secret they've been hiding for many years, his Detective inner voice will wonder what it is. It seems as though he's constantly receiving information from his inner voices and what emerges is a balancing act between his training, medical knowledge and the comments offered by these voices.
The more I thought about it, the more I realised we all have these to a certain extent but I never thought to name them. I certainly have Biology, Compassion, Critic, Detective, Empathy and Intuition for starters. This insight into a therapist's inner thoughts - or voices - gives the reader some idea of what a therapist is thinking while listening to their patients and it's heartening to know that therapists are often dealing with competing approaches.
Narrating the audiobook himself was a terrific choice and Fletcher changes the names of each of the patients so they can't be identified. One of the patients included was a very famous actress and I was desperate to know who she was. Referred to as Daphne, I understood why the author couldn't share her identity in the book yet it still felt incredibly frustrating not to know who she was. So much so, I found myself wondering if it would have been better to choose someone without a public profile that would keep the reader guessing. Or was that the point?
Another of the patients had an odd relationship with his wife in a scenario that was so unusual I wondered whether it was chosen because it was so strange. Given Fletcher's speciality in anxiety, maybe these four patients were an accurate representation of his patient list but at least two of them seemed to me to be outliers or extraordinary cases and it was hard to learn from their progress.
And How Does That Make You Feel? Everything You (N)ever Wanted To Know About Therapy by Joshua Fletcher will appeal to those considering therapy for the first time or readers curious to know what happens in the therapy room and what the therapist 'really' thinks.
For those who want to know more, Joshua Fletcher is known as Anxiety Josh on social media and has a new book out next month called Same Time Next Week? Living With Anxiety in the Modern World.
Narrating the audiobook himself was a terrific choice and Fletcher changes the names of each of the patients so they can't be identified. One of the patients included was a very famous actress and I was desperate to know who she was. Referred to as Daphne, I understood why the author couldn't share her identity in the book yet it still felt incredibly frustrating not to know who she was. So much so, I found myself wondering if it would have been better to choose someone without a public profile that would keep the reader guessing. Or was that the point?
Another of the patients had an odd relationship with his wife in a scenario that was so unusual I wondered whether it was chosen because it was so strange. Given Fletcher's speciality in anxiety, maybe these four patients were an accurate representation of his patient list but at least two of them seemed to me to be outliers or extraordinary cases and it was hard to learn from their progress.
And How Does That Make You Feel? Everything You (N)ever Wanted To Know About Therapy by Joshua Fletcher will appeal to those considering therapy for the first time or readers curious to know what happens in the therapy room and what the therapist 'really' thinks.
For those who want to know more, Joshua Fletcher is known as Anxiety Josh on social media and has a new book out next month called Same Time Next Week? Living With Anxiety in the Modern World.
Carpe Librum!























































