Author Archives: Arthur Breur

Why “I Should Be Over This By Now” Is Rarely True

A specific, self-critical thought shows up with striking regularity across many different kinds of clinical presentations: “I should be over this by now.” Grief that persists longer than expected, anxiety that has not resolved despite genuine effort, the lingering effects of a difficult relationship or experience — clients frequently layer this belief about timeline on top of whatever they are actually struggling with, adding a second source of distress to the original one.

Where the Belief in a “Normal” Timeline Comes From

Popular understanding of emotional processing, including outdated but persistent models like the “five stages of grief,” has created a widespread but largely inaccurate expectation that difficult emotional experiences follow a predictable, linear timeline toward resolution. In reality, grief and other significant emotional processes are considerably more variable, non-linear, and individual than these popular models suggest — with genuine variation not just between different people, but between different losses or difficult experiences within the same person’s life.

Why the Self-Criticism Compounds the Original Difficulty

The belief that one should already be over something functions as an additional layer of judgment on top of the original pain, and this compounding effect is not trivial. A person grieving a loss while also believing their grief is somehow excessive or prolonged experiences something meaningfully different, and often worse, than a person experiencing the same grief without that additional layer of self-criticism. The self-judgment itself becomes a legitimate target for clinical attention, separate from the original grief or difficulty.

What Actually Predicts a Longer Process

Certain factors are genuinely associated with a longer or more complicated emotional processing timeline: the significance and complexity of the relationship or experience involved, whether the loss or difficulty was sudden versus anticipated, whether it involved circumstances carrying additional layers of guilt, ambiguity, or trauma, and the amount of ongoing support available during the processing period. None of these factors are within a person’s control in the way that “trying harder” or “moving on” implies, which means self-blame for a longer timeline is generally misplaced and rarely reflects anything about a person’s character or effort.

Complicated Grief as a Distinct Clinical Presentation

When grief significantly exceeds what would be expected given these factors, and when it substantially impairs functioning over an extended period, this can represent complicated or prolonged grief, a distinct clinical presentation deserving its own specific treatment approach, separate from generic reassurance that grief simply takes time. Recognizing this distinction matters because complicated grief responds well to targeted treatment, whereas simply waiting longer, on the assumption that time alone will resolve it, often does not fully address what is actually happening, and can leave someone stuck in a form of grief that a more targeted approach could meaningfully shift.

Releasing the Timeline Requirement

Much of the therapeutic value in addressing this pattern comes simply from releasing the requirement that healing follow an externally imposed schedule, which paradoxically often allows the underlying process to move more freely once it is no longer also fighting against self-judgment about its pace.

Your Timeline Is the Only Relevant One

There is no universal schedule for healing from grief or difficult experience, and abandoning the search for one is often itself a meaningful step in the process. Clients who reach this point frequently describe a genuine easing, not because the original difficulty has resolved, but because they have stopped fighting their own pace alongside it.

R. M. Andrews & Associates provides therapy in Portland and via telehealth for grief, complicated grief, and other difficult emotional processes that do not follow an expected timeline.

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Transactional Analysis and the Scripts We Learned in Childhood

Many clients arrive in therapy having noticed a repeating pattern in their relationships or life choices that they can describe accurately but cannot seem to interrupt through insight alone — the same type of partner chosen repeatedly, the same self-sabotaging decision made at a similar point in each new opportunity, the same relational dynamic recreated across otherwise unrelated relationships. Transactional Analysis, developed by Eric Berne, offers a specific framework for understanding why these patterns feel so automatic: the concept of the life script.

What a Life Script Actually Is

A life script, in this framework, is an unconscious life plan formed in early childhood, based on decisions a child makes about themselves, others, and the world in response to their formative experiences and the messages, explicit and implicit, they received from caregivers. These decisions are made with a child’s limited cognitive and emotional resources, often as the best available strategy for securing safety, attention, or approval within a specific family system — and then carried forward into adulthood largely unexamined, continuing to organize behavior long after the original circumstances that made the decision adaptive have changed.

Parent, Adult, and Child Ego States

A foundational concept in Transactional Analysis is the division of personality into three ego states: the Parent (internalized attitudes and behaviors absorbed from caregivers and other authority figures), the Adult (a state capable of processing present reality directly, without distortion from the past), and the Child (the ego state carrying the emotions, needs, and adaptive strategies formed in actual childhood). A person can shift between these states, sometimes rapidly, and much interpersonal difficulty stems from an interaction occurring predominantly from Parent or Child states rather than from the more grounded, present-focused Adult state.

Games as Repeated, Scripted Interactions

Berne’s concept of “games” describes recurring, largely unconscious interpersonal patterns that follow a predictable sequence toward a familiar, if uncomfortable, payoff — often reinforcing the life script’s core beliefs about self and others. A person whose script includes the belief that they will ultimately be abandoned may unconsciously structure relationships in ways that make abandonment more likely, not from a wish to be hurt, but because the pattern confirms a deeply held, if painful, sense of the world as predictable.

Rewriting the Script

The therapeutic goal in Transactional Analysis is not simply insight into the script’s content, but active, deliberate “redecision” — consciously identifying the early decisions that formed the script and making new decisions from a more resourced Adult state, informed by an accurate read of present circumstances rather than by outdated childhood conclusions. This process tends to require both cognitive understanding and genuine emotional engagement with the original material, since intellectual insight alone rarely dislodges a script’s grip.

Why This Framework Resonates With Depth-Oriented Work

Transactional Analysis integrates naturally with depth-oriented and Jungian approaches, since both frameworks take seriously the idea that early, largely unconscious material continues to organize adult behavior until it is directly examined and consciously revised. Combining the two often gives clients both a clear structural map of the pattern and a deeper, more symbolic understanding of its origins.

Interrupting the Automatic

Understanding a pattern as a script rather than a fixed personality trait opens the possibility of genuinely rewriting it, rather than simply managing its recurring effects. Clients who reach this point often describe a specific, memorable shift — the moment a familiar pattern first became visible to them as a choice rather than an inevitability.

R. M. Andrews & Associates offers Transactional Analysis–informed therapy in Portland and via telehealth for clients working to identify and revise longstanding relational patterns.

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Psychedelic-Assisted Therapy Preparation and Integration: What Oregon Clients Should Know

Oregon’s regulated psilocybin services framework, established through Measure 109, has generated substantial public interest in psychedelic-assisted approaches to mental health, alongside real confusion about how these services are actually structured and which providers do what within that structure. Understanding this landscape matters for anyone considering this work, both to set accurate expectations and to understand what preparation and integration therapy specifically offers.

The Structure of Regulated Psilocybin Services in Oregon

Oregon’s framework separates the administration of psilocybin itself — which occurs at licensed service centers under the supervision of state-licensed facilitators — from the therapeutic preparation and integration work that surrounds that experience, which can be provided by licensed mental health clinicians with relevant training, working alongside but separately from the licensed facilitation process. These are related but distinct roles, and clients benefit from understanding which role a given provider is offering before beginning work with them.

What Preparation Actually Involves

Preparation work in advance of a psilocybin session focuses on setting clear intention, building psychological readiness, addressing any specific fears or concerns about the experience, and establishing a therapeutic container and relationship that will support meaningful integration afterward. This phase also typically includes appropriate risk screening considerations and setting realistic expectations, since psychedelic experiences are unpredictable by nature and do not reliably produce the specific insight or outcome a client may be hoping for going in.

Why Integration Is Often the More Clinically Significant Phase

The psychedelic experience itself, however significant, is frequently less clinically important than what happens afterward. Insights, emotional material, or symbolic content that surface during an altered state require deliberate integration work to translate into lasting psychological change — without this work, even a profound experience risks remaining a vivid memory disconnected from actual behavioral or psychological shift in daily life. Integration therapy typically involves processing the content of the experience using established therapeutic frameworks, connecting what arose to ongoing patterns and material already present in a client’s life, and supporting the sometimes difficult work of translating insight into sustained change over weeks and months, not just the days immediately following the experience.

A Necessary Clarification of Services

It is important for prospective clients to understand precisely what is and is not being offered by any given provider. R. M. Andrews & Associates provides preparation and integration therapy for clients engaging with Oregon’s regulated psilocybin services; this practice does not provide psilocybin administration or facilitation services directly, and clients pursuing the administered psilocybin experience itself will do so through a separately licensed service center and facilitator.

Who This Work Tends to Suit

Preparation and integration work tends to be most valuable for clients who are already engaging, or planning to engage, with Oregon’s licensed psilocybin services and want a therapeutic relationship specifically equipped to support the psychological dimensions of that process, from initial intention-setting through the sustained work of integrating what arises. It can also serve clients processing a prior psychedelic experience that occurred outside this structured framework and now warrants dedicated integration support.

An Emerging but Structured Field

As Oregon’s regulated framework continues to mature, understanding the distinct roles within it — facilitation versus preparation and integration therapy — remains essential for anyone considering this work, ensuring expectations align with what each part of the process actually provides. This clarity benefits clients directly, reducing the likelihood of confusion or unmet expectations as they move between different providers within the broader system.

R. M. Andrews & Associates offers psychedelic preparation and integration therapy in Portland, grounded in clinical certification in Psychedelic-Assisted Therapy and Research, for clients navigating Oregon’s regulated psilocybin services.

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Consensual Non-Monogamy in Couples Therapy: A Non-Pathologizing Approach

Couples practicing consensual non-monogamy who seek therapy frequently encounter a specific and disheartening obstacle before the actual clinical work can even begin: a therapist who treats the relationship structure itself as the presenting problem, rather than taking the couple’s stated structure at face value and addressing whatever they actually came in to work on.

Why This Bias Persists in the Field

Much of mainstream couples therapy training was developed within, and implicitly assumes, a monogamous relationship framework. Diagnostic instincts trained on monogamous assumptions can misread ordinary non-monogamous relationship dynamics — jealousy that arises occasionally, for instance — as evidence that the structure itself is the source of distress, when in fact jealousy occurs in monogamous relationships as well and is not, by itself, diagnostic of anything being fundamentally wrong with a relationship’s agreed-upon structure.

Starting From the Couple’s Own Framework

A non-pathologizing approach begins by taking a couple’s chosen relationship structure as a legitimate starting point, not as a hypothesis to be tested or corrected. This means engaging with the couple’s actual stated concern — communication difficulty, a specific boundary violation, differing needs between partners — using the same clinical tools that would apply to any couple, rather than redirecting the conversation toward whether non-monogamy itself is advisable for them. Couples who have previously encountered this redirection elsewhere often arrive already braced for it, which is itself worth naming early in treatment.

Where Gottman-Based Work Applies Directly

Much of the Gottman Method’s framework translates directly to non-monogamous relationships without modification: the distinction between solvable and perpetual problems, the emphasis on building genuine understanding of a partner’s underlying needs, and the identification of corrosive communication patterns like contempt and stonewalling apply regardless of relationship structure. Some elements do require adaptation — agreements around disclosure and outside relationships function analogously to but are more complex than monogamous commitment agreements, and typically require more explicit, ongoing negotiation than most monogamous couples engage in.

Jealousy Deserves Curiosity, Not Automatic Correction

Jealousy in a non-monogamous relationship is common and does not, by itself, indicate the structure is wrong for the couple. Useful therapeutic work treats jealousy as information worth exploring — is it pointing toward an unmet need in the primary relationship, a specific boundary that needs renegotiating, or simply a difficult feeling to be worked through without requiring a structural change in response. Assuming jealousy automatically indicates non-monogamy is the wrong choice forecloses this more useful exploration before it can happen, and often mirrors the same reflexive judgment the couple may already be encountering elsewhere.

Working With External Stigma

Beyond internal relationship dynamics, couples practicing consensual non-monogamy often navigate real external stigma — from family, from other providers, sometimes from friends — that can place additional strain on the relationship. Therapy that acknowledges this external pressure directly, rather than treating relationship strain as purely internal to the couple, offers a more complete and accurate picture of what the couple is actually managing, and helps distinguish strain caused by outside judgment from strain generated within the relationship itself.

Competent Care Starts With Genuine Neutrality

A therapist’s actual neutrality about relationship structure, demonstrated through practice rather than only claimed, is often the single clearest signal to a non-monogamous couple that they have found the right provider. This is usually evident within the first session, in the specific questions a therapist asks and does not ask.

R. M. Andrews & Associates offers Gottman-informed couples therapy in Portland and via telehealth for relationships of all structures, including consensual non-monogamy, from a genuinely non-pathologizing clinical stance.

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