4 MIN READ | Psychotherapy

This is your brain on therapy (Part 1)

Dr Dan Metevier

Reading Time: 4 minutes

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What really happens to your brain when you go to a therapist? Hey, be kind!

Let’s start from the very beginning (a very good place to start). In the beginning, our brains have a lot of “hardware,” estimated at one hundred billion brain cells, but they have very little “software.” We only have “programs” that let us do things like cry, sleep, poop, suck, poop again (and did I mention poop? Oh, and cry too).

[perfectpullquote align=”right” cite=”” link=”” color=”” class=”” size=””]The connections we can make in our brain reflect the “genetic potential” we receive from our parents. It’s like your parents each had a deck of cards and threw in some of them to give you your hand.[/perfectpullquote]

As we grow up, our brains act like little organic computers that program themselves by creating or undoing connections between brain cells, estimated at about 10,000 connections per cell, or about one quadrillion (that’s a one with 15 zeroes after it) possible connections in all. That’s a lot!


The connections we can make in our brain reflect the “genetic potential” we receive from our parents. It’s like your parents each had a deck of cards and threw in some of them to give you your hand. So, you play with the cards you were dealt, so to speak. If both your parents throw in a “smart” card, then you have a good chance at being smart. The same holds true of height, eye colour, hair colour, temperament, attention deficit, bipolar disorder, alcoholism, and so on. You would have the “potential” (possibility) for those but may or may not “realise” (acquire or fulfil) that potential.

The connections we do make in our brain reflect how we use (realise) this deck of cards (potentials) to deal with our environment as we grow up. If Person A has an easy, pleasant, nurturing childhood, their brain will get “wired up” or “programmed” to process that kind of input. If Person B has a rough, abusive, lonely childhood, their brain gets programmed to deal in some creative manner (sometimes called “a defence mechanism”) with that kind of life.

Person A can readily deal with nice, pleasant, friendly people, but may have difficulty knowing what to do with a mean, unpleasant, abusive person because they have no program to process input from that kind of person. They may assume the mean person is just having a bad day (or life) and will change sometime in the future. This assumption may get them into trouble.

Likewise, Person B can deal in some way with abusive, mean people, but may have difficulty knowing what to do with a healthier person. They have no program to process input from a healthy person. To them, abusive behaviour seems “normal” and they feel in some way comfortable, or at least familiar, with it. Person B may even find they are attracted to abusive others again and again because that’s the kind of person their brain (thus far) can deal with.

What kind of picture forms in your mind right now? Do you recognise any of this in yourself or others you know?

Both Person A and Person B can benefit from going to therapy (therapy is not just for crazy people any more). Person B has probably suffered through a string of bad relationships, not knowing why, or unable to figure out, how to establish or keep a healthy relationship. Person B’s brain does not “do” healthy. Person A, on the other hand, may have stumbled across a relationship that doesn’t make sense or may even have traumatised them, since Person A’s brain doesn’t “do” unhealthy.

Enter therapy. Please! (Apologies to Henny Youngman.) So let’s say Person B seeks relief by entering therapy with a relatively healthy therapist (not guaranteed, by the way, but that’s a whole other “Oprah”). At first, Person B may feel uncomfortable with the therapist because his or her brain doesn’t process input from the healthy therapist. Luckily, however, Person B’s brain has “plasticity” (fancy word meaning it can change) and during every encounter with the therapist, Person B’s brain gets slightly rewired or reprogrammed.

Almost regardless of what happens during these encounters, as long as the therapist behaves in a healthy manner, Person B’s brain creatively adapts to deal more effectively with “healthy.” Person B’s brain cells slowly undo unhealthy connections and create healthy connections. After a while, Person B finds they too can act in healthy ways and they can enter and maintain healthy relationships (well, healthier, at least).

Person A can benefit from working with a healthy therapist, too. Possibly some brain-expanding education, role-playing, or other method provided in therapy will help add to the existing programs in Person A’s brain that they can call upon when encountering unhealthy people.

So, your brain-on-therapy makes subtle shifts, disconnections, reconnections, new connections, and so on, leading to greater and greater health. One day you will wake up in the morning and realise your life feels much better.

This is the feeling of your brain after therapy. (Click here for Part 2 of this series.)

Editor’s note: This article was originally published on Dan Metevier’s blog. Read the original article.


Dr Dan Metevier practises clinical psychology just north of San Diego in California, USA. He works with adults and elders to guide them back to relationships that work for them regardless of their past history, individual issues, or depth of conflict. His work integrates a wide range of perspectives, including brain science, trauma therapy, gender roles, and monogamous sexuality. Dr Dan, as his clients call him, spent 21 years in the computer industry before pursuing his deep interest in psychology. He has been married for 35 years, has an adult daughter, two granddaughters, and a 19-year-old dog named Petunia.You can engage with him on Twitte@DrDanMetevier.


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