On Doctors, Trusting Your Body and Why You Can’t Make an Appointment With Me Right Now

Early on in my Grave’s Disease diagnosis, a client of mine told me solemnly, as though I was being initiated into a secret cult, “Don’t tell your doctors about the emotional parts of your disease—never tell them about the depression or the anxiety. If you tell them that those seem to be symptoms too, they’ll never believe you about the physical stuff. They’ll try to give you head meds and you’ll never get real treatment.”

Now, at the time, I was a younger, more hopeful version of myself. Sure, I had been told I was a fruitcake by a handful of doctors who had missed both my Grave’s Disease and Gallbladder Disease symptoms. Those doctors had sent me on my way with assurances that there was nothing amiss except new motherhood and lack of sleep. Like the compliant patient I was, I believed them. I laid awake at night arguing with my symptoms, explaining to them that they were not, in fact, real. And why wouldn’t I? Having been an absurdly healthy person all my life before my autoimmune diagnosis, my previous interactions with physicians had all been pleasant and straightforward. “Ah, Mrs. Cox, you clearly have strep throat. Let’s go ahead and take care of that for you!” Or, “Ah, Mrs. Cox, it looks like you have Poison Ivy. That’s an easy fix!”

There I was, floating along confidently on a sea of mutual warm regard with my care providers. I presented with symptoms that spoke for themselves. The doctors reached confidently into their white coats and gave me the absolute assurance of my diagnosis. We liked one another. I was a good patient. They were good doctors. Kumabaya and all that.

Things began to get a little pricklier in this wonderland of love after my second child. I was unbearably, unimaginably hot. I took two shirts with me wherever I went because I sweat through the first one nearly immediately. My hands shook and I couldn’t see straight. Any previous understandings I had of the word ‘tired’ were replaced by the kind of bone-crushing exhaustion I could only remember accompanying a particularly vicious flu. All of this was served up with a side of resting heart rate far up over 100. I went to a revolving door of PCPs, then to an OB, an eye doctor and a chiropractor who promised to tell me if my Ayurvedic Dosha was disturbed. I would have met with a dancing voodoo priest and sacrificed a chicken to the ancestors to get answers at that point.

Desperately, I tried to explain that I felt wrong–that something was really, really wrong. Now in my docs’ defense, most Graves patients lose weight and I rapidly gained it instead. But, everything else was an exquisitely consistent textbook presentation of hyperthyroidism. When I finally found a doctor who held my hands while I cried and said, “I don’t know what this is, but I can promise you that I’ll look until I find it,” I was barely walking.

Want to know what my first endocrinologist said once I finally got diagnosed and my knight in shining armor PCP referred me out for thyroid treatment? This MF’er looked me up and down with barely-concealed incredulity and said, “How could you let yourself get this way?” I just blinked at him. I didn’t even have the strength to fight back.

I think I speak for all patients with chronic illness when I say that we don’t expect our doctors to know everything at first glance. We’re ok with them riding along with us to figure it all out as long as we are assured that they’re still looking. Mostly, it seems like the problems we face in getting our physicians to adequately treat us are rarely a crisis of education or intelligence on the part of the clinician. Rather, it’s a crisis of curiosity. I’m not anyone’s therapist at the moment, so I feel that I can say in salty language that I want to start a federation that doctors can join called ‘We’re Fucking Curious.” It will save those of us who are medical weirdoes a lot of time. We’ll only approach the docs who can tolerate a little uncertainty as we go. And also, we can honestly tell you about our mood struggles without you punishing us by refusing to do blood tests and whatnot. WFC for the win. If I make t-shirts, who wants one?

Don’t get me wrong. I happen to really love doctors. I treat a bunch of them in my practice, and I can tell you right now that they are all bowed under the pressure of broken healthcare systems that work them too hard, bury them under paperwork and allow very little work-life balance. They got into this field to help people, to ease suffering, and to contribute to the world. I firmly believe that the PCP who diagnosed my Grave’s Disease is a sainted human, and that my current PCP and endocrinologist should get some kind of award that involves unlimited tacos and spa days for putting up with me.

But, that brings me to the present moment and why you can’t make an appointment with me right now. I’m jacked up and nobody knows why. It’s scary. I hate it. I was hanging out in Key West on vacation, drowning my troubles in the bosoms of the drag queens on Duval one moment, then my whole left side was numb and tingly the next. And, it’s simply stayed that way—for three months without respite. There is more to this story than that—an autoimmune relapse, a shady chiropractor and a handful of other oddball symptoms. But, I’ll just leave you with the abridged version of it. I was worried I could not provide good care because I have good days and bad days. I didn’t want to give anyone second best. So, I closed my doors and referred out all my clients to colleagues that I am very jealous of because they get to meet with my clients. My clients are—trust me on this–the best clients.

Over the last three months, while an army of specialists from various disciplines tried to sort out my angry left side, my Graves Thyroid Disease flared up and came to town for a hoe down. I’m not surprised by it. When I get stressed out, I can count on an autoimmune flare. It’s just part of my normal. But I was absolutely surprised when my PCP (unfortunately, not the nice man who diagnosed me) initially refused to pull blood for a thyroid panel. He went hard. He not only told me that this business with my left side was all in my head, but also insisted that I face the fact that I have an “anxiety syndrome” and needed to begin psychotropics that very day. I begged him to check my thyroid, and he finally relented because, let’s be honest, Graves patients are compellingly histrionic when we’re flared. I may have also grabbed him by the shoulders and cried like my mama had died.

But, I shouldn’t have had to beg. It’s astonishing to me in retrospect that I actually did. But, I was terrified. And he was the one in the white coat.

Graves Disease, for the uninitiated, causes anxiety and panic that mimic a true mood disorder. Honestly, I don’t blame him for taking one look at me and assuming I was out of sorts. I was. But, I have a disease that can cause exactly that sort of thing. It’s kind of the low-hanging fruit to investigate. Mostly, I was absolutely floridly panicked that if we didn’t identify and treat a Graves flare, we would miss a more troubling neurological disease that could also cause the twitches and tics my Graves produces. Spoiler alert: my autoimmune illness was in fact relapsed. I was right about it because as it turns out, I have lived in this body for over 40 years and am kind of hip to when it’s sick.

The worst part of this for me is that I absolutely liked and trusted this doctor and had seen him for years. I think he’s smart and kind and probably the absolute best sort of physician to see if you show up with an ear infection. But, he abandoned ship on trusting my self-report when I got complicated. And that makes me feel some kind of way about me and about him.

I treat depression and anxiety as my whole gig. I think they’re compelling and real and that medication is a boon to suffering people. But, I also know that many studies have found that women’s physical symptoms are ignored, downplayed and untreated exponentially more than men’s are. That’s not even touching the crisis we are facing in this country regarding woefully (and lethally) terrible health care for women of color specifically. Women die more often from lack of intervention. What if I had been the kind of patient who was shamed into taking anxiety medication when instead my hyperthyroidism is flared? What if I had allowed this guy to make me embarrassed of insisting on answers to my physical problems? I would have ended up seriously, life-threateningly ill.

When I get physician referrals to therapy for anxiety and depression, I always do a careful inventory of what kind of labs have been done on that client. I have caught a shocking amount of thyroid havoc that should have been diagnosed before that person was sent to me to beat their head against a wall in therapy. That’s not to mention the many other disease processes that can impact emotional health about which I’m less intimately informed and catch less well. One of my deep, dark horrors is subjecting a client to unhelpful therapy that will never work optimally because their bodies are sick. I follow up on this stuff religiously, and I hope that all mental health workers do as well.

I love therapy. I’ve devoted my life to it, and I go myself as I think every human should. But, I can tell you right now that the most gifted clinician in the world can’t disabuse your body of symptoms driven by physical issues. I’m living proof of that. We can work with those symptoms and the extraordinary grief that comes along with learning to cope with a life-changing diagnosis. But we must do that with all the information in front of us including what you actually have, and how that uniquely impacts emotional functioning. You know, like rational people who want to take good care of ourselves with extravagant compassion.

The point of this blog, personal though it is, is to encourage all of you to take a stand for your own health. If your doctor won’t listen to you, get a new one. Make the care team you have communicate with one another and be collaborative in your treatment. That absolutely includes anyone who is taking care of your mental health. My new PCP’s mom has a chronic autoimmune illness. He gets it when I tell him that something is off, he believes me, and he looks for it. Honestly, at the end of the day, that’s all we want our doctors to do for us. We want them to look for it when we tell them something is wrong so that we can have options for care.

I’m glad that doctors are attending carefully to patients’ mental health along with their physical health. The suicide rates in this country alone demand that kind of holistic care. But this needs to be done in tandem with careful attention to physical symptoms, especially with women and people of color, whose pain and discomfort is too often written off as somatizing.

Usually, I end these blogs with some kind of invitation to reach out for a session. But, I’m still getting my legs under me health-wise. So for now, please take good care of yourselves. If you’re looking for a great therapist, feel free to reach out to me and I’ll be happy to recommend someone I’d send my own mama to see. Be well!

Your Partner in Healing,





On Couples Counseling and Why “They” Like you Better Than Your Partner Does

If I had an official tally of the questions most couples asked one another in session, this one would be pretty close to the top:

“They like me at work/school/the neighborhood/church so why don’t YOU like me?”

Have you ever wondered why all the folks in your community-facing life seem to think you’re a rocks star, while your very own partner can’t seem to get on board with your greatness? Read on.

  • You’re Nicer to “Them” Than You are to Your Partner: I’m guilty of this myself. There is a vast difference between the shrieking, pre-coffee harpy that greets my husband every morning and the caffeinated, meditated therapist that greets you in the office. You wouldn’t believe it. Except you would, because in some fashion you’ve been there yourself.

There is some version of us that our partners see that isn’t flattering, and it isn’t the self we portray to all the people who think we’re consistently reasonable humans. Sometimes it’s a tough workday. Maybe it’s a terrible parenting week or an intractable illness that brings it out the tyrants in us. But I think it’s often something much more pedestrian. The devil in the details is comfortably taking for granted that while we’re demonstrating our most naked ugliness, our loved ones will be holding the space equally with that other, lovelier version of us. They will do that—until they can’t. Until it’s too tiring, or their own resources are low, or until it makes them feel like they’re allowing someone to beat up on them to a degree that’s outside their values. That invisible line can creep up suddenly and unexpectedly.

We should do our best to bring our most sacred, kind selves home. If we don’t, it’s rather like saving the good china for company, isn’t it?

  • You Make More of an Effort to Communicate Effectively with “Them”: If you have a misunderstanding with your boss, your child’s teacher or your neighbor, you are unlikely to throw up your hands and say something along the lines of, “Are you (bleep) serious? You always do this. You know what, I’m not talking about this with you until you can be less of a jerk about it.”

I mean, you might deeply and truly want to do that. You might envision it in tantalizing detail in your head. But, you won’t do it. You’ll say something that both conveys your desire to get on the same page and also doesn’t torch the village. It makes sense that we don’t always edit this way at home. The stakes are pretty high with our partners—we want to be really seen and heard for who we actually are. The pursuit of that radical authenticity can be painful.

You have a choice, however, in how you express to your partner that they’re not picking up what you’re putting down. If more often than not, that choice veers towards impatience, tuning that person out, or strong-arming them through words or silence to get your way, no wonder you’re not feeling the love.

  • There’s no History of Relational Trauma or Infidelity Between you and “Them”: When couples come to see me after one of them has been unfaithful, I do my best to be honest about the fact that the relationship won’t be exactly like it was before the infidelity. That’s normal, and there is plenty of room for it to be in some way better. But, everyone still has to deeply acknowledge that the old maps won’t work because we’re looking at new territory. That different terrain has to be explored together thoroughly and in great detail.

If you’ve cheated on your partner, it doesn’t make you a bad human. However, if you want to save your relationship, you have to develop a renewed curiosity about your partner’s emotional landscape. You have to check in frequently and acknowledge that just as much as you’re tired of watching him or her suffer, that person is really, really over suffering. When you think your partner is just punishing you, remember how double edged that knife really is. They have to first cut themselves up contemplating the abandonment of the betrayal in order to secondarily cut you up for doing it.

Even when it’s hard, if you want to keep your partnership, it’s worth it to face the pain together. It’s also worth it to develop a shorthand to acknowledge when the memory of the affair is particularly painful.

Would you like to explore how you can develop congruence among all your relationships? Want to get your marriage back on track with better communication and healing from past missteps? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual counseling, couples counseling or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


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On The New Year, Taking Myself Less Seriously and Going at Your Own Speed

Last FalI I traveled to Carlsbad, CA to do a meditation teacher training with one of my teachers, the inimitable Davidji. Here he is in all his tattooed, wild-maned glory. My sister calls him my Meditation Santa Claus, and to her credit, says this only sometimes and usually behind my back. 

When the retreat was over on Sunday morning, I decided to head over to the meditation gardens at the Self Realization Fellowship in Encinitas, a short distance away. SRF was founded by Paramahansa Yoganda, one of the first great yoga masters to teach in the west.  I am far from his only fan. “Yogananda’s masterwork, “Autobiography of a Yogi” was the only book on Steve Jobs’ Ipad. Jobs arranged for the attendees of his memorial service to get a copy of it as his last gift to them. If you’d like to check it out, Ananda.org has a free copy of it online here: https://www.ananda.org/autobiography/#contents

Just as an aside, if you haven’t read “Autobiography of a Yogi” yet, I highly encourage you to do the Audible version and listen to it in your car. Sir Ben Kingsly narrates it, and you’ll feel incredibly enlightened gnawing on your McMuffin while discovering the secrets of the cosmos. Roll down your windows at the stoplights and look meaningfully at your fellow commuters when he gets to the part about “stillness is the alter of the spirit.” Hang a mala from your rearview mirror and peel off bassing Snatam Kaur for extra credit.

Anyway, blissed out on spiritual sustenance and a week spent drifting in and out of meditation, I wanted to go pay my respects to Yogananda’s legacy. Intent on an afternoon sitting in silent gratitude, and smelling more than a little like Sandalwood oil, I hopped into an Uber and headed for the SRF compound. I’ll save the story about how the Uber driver both looked like Dave Grohl and gave me a fairly long, pedantic speech about everything from cello strings to politics for another blog. The commentary might be less than enlightened.

When you arrive at the SRF grounds, a very nice guard helps you out of your chariot and admonishes you to remain silent in your travels through the meditation garden. Trekking my way to the outer perimeter of the property to a cliff overlooking the ocean, I plopped down under a tree and readied myself to bask in the energy of my fellow meditators and the long line of other seekers who had sat in this very spot before me. And, for about 30 minutes I had a rather profound sense of this connection. Opening my eyes, I drifted out of meditation and into thought…thoughts about how I was kinda rad for being the type of person who troubles herself to do this. Thoughts about how past versions of me would have thought this was all too anti-clinical and woo woo to engage in very seriously.

“Look at me.” I mused smugly. “Look at me on a pilgrimage to the home of one of the finest spiritual leaders of our time. Here I am, out on a cliff contemplating the universe after spending a week in meditation with a great living master.”

I was feeling myself. A lot. With each layer of self-congratulatory navel gazing I puffed up a little more, holding myself aloft on waves of mystic reverie. And then, because the universe always manages to demonstrate its vast sense of humor, I opened my eyes, gazed over the cliffs and observed the following hanging there in the ultramarine vault of the heavens:

Yes, yes y’all. That IS a plane advertising a fine adult entertainment establishment. Among the many other delicacies one can find on offer, I hear that they have an excellent buffet.

When the universe pokes gentle fun of you, you know it. What could I do but laugh?

I hope that 2018 is a year that brings all of us continued opportunities to work joyfully on self improvement, to pursue connected and tuned in lives, and to get a good giggle at ourselves when necessary. As Ram Dass says, “You can’t pretend to be pure; you can only go at your own speed.”

Do you have stories about your own self-realization follies you’d like to share? Want to learn how to mediate and access the stillness and silence within? Why don’t you come on in so that we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

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On Pet Adoption, Beagles Nearly Named Larry and Losing Loved Ones


It’s been a rough year.

My wonderful Aunt Yvonne was diagnosed with cancer and then passed away within the span of 6 months. My Uncle had a heart attack. My mom had a pacemaker placed. And I, for my part, ran through the tight constellation that is my family aghast with pain and panic, worrying that another bright light would suddenly blink out on us for good.

I can’t say that the specific suffering of losing a family member to cancer has much to recommend it. Mostly, because of the insidious nature of it, you wonder how it had time to steal up on the person you love so quickly and so completely. You wonder if it can do that to you too. And, as you enter and leave the sterile cocoon of the oncology ward, you fight off a rising sense of terror that there is something terribly malicious about the universe offing nice people in this way before they’ve really had a chance to fight. You pray a lot. You eat more apples.

It’s good when someone moves on to whatever is next and out of the pain. But, it’s horrifically empty for a while for the rest of us. Watching my cousin, who at 30 still seems so impossibly young to me, lose her Mama was possibly the worst thing I have ever witnessed without looking away. Watching my uncle compulsively clean the house the night of my Aunt’s funeral because he couldn’t bear the thought of her beautiful home looking unkempt for visitors was a close second.

But, I think I’ve been making a relatively good show of it. Despite a bit of compulsive working out to show my body that the recent autoimmune relapse has not slowed me down one bit, thank-you-very-much, I’ve soldiered on. Clients have been helped. Children have been educated. Christmas is bearing down upon us and presents have been procured and wrapped.

I think I might owe a lot of that shocking good will to the surprise addition of a mangy beagle to my household.

I don’t really like dogs all that much. And when I have had one, it has been a foo-foo dog. Like, if Paris Hilton could have carried it around in a purse the size of a popsicle circa 2004, that’s my jam. I still have an elderly Chihuahua that I named after a particularly violent inmate at a prison I once worked in during the early aughts. She’s adorable, but a bit like a cat. Lola won’t walk on a leash, bites fairly indiscriminately and rules the house with a tiny iron paw. I love her. I really do. But, I don’t think anyone could call Lola doggy in any real sense of that word. She’s just kind of regal and scary.

Dan and I had long ago decided that we would be “out of the dog business” when Lola shuffles off this mortal coil and heads homeward to savage the hands of small children in the afterlife. So, I was at no risk of coming home with any canine hangers-on when I took my daughter to the county animal shelter one afternoon in August. We go there sometimes to snuggle with the kitty cats because the nice people at the shelter don’t care, and the cats love the attention.

I had debated going anywhere at all that afternoon. The weather was gloomy and I was tired from a long haul at work. However, my daughter is a tiny, living version of an adorable, ruddy-cheeked doll. How can you turn that face down?  Seriously. You can’t.

So, Lily Belle and I spent our afternoon cuddling a long list of really patient felines, washed our hands, and prepared to head out of the shelter. But something just stuck in my throat. I felt a weird pull. Looking down at Lily Belle with a sheepish grin, I asked her if she wanted go check out the doggies. She half-heartedly agreed, sleepy already on the heels of her adventures in catdom. We went into the kennels.

If you’ve never been into the kennels at a kill shelter, wait until a time when you’re on really solid emotional ground. I mean, unless you deeply need a good cry that day, and then be my guest. The people who work and volunteer at these centers are inevitably sweet, supportive and eager for you to take home a new pet. But, that doesn’t stop the whole place from reeking of sadness and fear. Not every wonderful animal is going to have a happy ending there. It’s palpable.

Down at the end of runs filled with friendly, eager little faces there was a last, quarantined dog. More out of curiosity than anything else, I peered into the enclosure, straining to see the animal hiding at the back. An emaciated Beagle trotted up to the midpoint of the cage, stopped strangely short there, and slouched against the wall staring at me. I locked eyes with him and felt a strange sense of dizziness and connection.

Lily Belle began to cry and demanded to be picked up, panicking in the stink and the noise of the kennels. I thought about leaving. Instead I flagged down a shelter worker and asked in a tone that attempted nonchalance about the dog on the end.

“Oh, we don’t know much about him yet. He just got here. He’s not fixed and he’s got heart worms. They think he’s pretty old—might be about 8.”

“Can I go in with him a minute?” I inquired, hoping to settle for myself that this was an ordinary experience.

Motioning me into the adjoining run, the shelter employee lifted a little door that connected it with the beagle’s enclosure. The dog stuck his head through and looked around at me, at the increasingly apoplectic toddler on my hip, and at the shelter lady waiting just beyond the door. He walked through and rested his head on my knee, gazing quietly up me and at Lily Belle. I reached down to pet his head and he jumped up with both paws. I could feel the BBs imbedded under his skin and noticed there was no fur in wide patches on his ears.

I loved him immediately.

In that moment, something in my heart seized up and exploded. I couldn’t have left him in that place if I had tried.

The next few days were a blur of bringing my other children to the shelter to visit, calling approximately every vet in a two-city radius to see if anyone would treat his heart worms for under the price of a small car, and convincing my astonished husband that we needed another dog. And not just a teeny, foofy dog, but an elderly ex-hunting beagle that probably wasn’t house trained and might destroy our living room the first night.

Tone stentorian, lip quivering, I told Dan that I was adopting this dog no matter what because I had to save him from the pound. I talked to a client of mine who is friends with a member of a beagle rescue. I planned to treat the dog’s heart worms so that he was more adoptable, even if it wasn’t with us. In other words, I had completely lost my mind. My friends and family, none of whom had experienced me as a dog person, marveled at the fever pitch of my devotion. A few asked if this might be a lingering reaction to a tumultuous period of loss.

It became clear the second that the shelter people handed me the leash when I went to pick up the beagle (who was going to be named Larry or Hunter at this point) that he was not house trained. Hunter/Larry sauntered out into the lobby, surveyed all present, and proudly lifted his leg on a velvet tablecloth by the entryway. Then, having no compunctions about walking appropriately on a leash, he unceremoniously dragged my oldest son out the door and into the parking lot.

“What am I going to do?” I moaned to my friend Laura in the car. “He’s going to pee all over the house and Dan is going ask me to take him back.”

“Just tie his leash around your waist whenever he’s out of his crate for the first few weeks,” she advised. “Wherever you go, he goes. You’ll notice if he’s going to lift his leg.”

Later that night, I began to call Hunter/Larry the name I had heard in my head the first time I saw him—Homer.

At the time, drifting around my house in tandem, I thought Homer was tethered to me. Me, his savior who had beneficently shown up in the pound to save his life. But now I wonder if it wasn’t the other way around entirely. Maybe it was me tethered to him out there in the chop beyond the breakers. And in his quiet, sturdy way he has been wholly present with me as I have tried to find the shore.

Pondering that thought at a mediation teacher training on the west coast a few months later, I asked a fellow teacher what she made of this lunatic proposition.

“Oh,” Karen said with a conspiratorial, half-lidded smile. “When an animal is your animal, they call you in. He called you, and you went. He was always supposed to be yours.”

I considered this silently, pushing a half-eaten piece of fish around my plate in the incandescent noon of a Southern California day.  Walking back into session that afternoon, I felt a bit lighter and oddly contented.

Even now, Homer is snoring quietly as my feet as I write this. We aren’t tied together literally anymore, but that doesn’t seem to matter. He’s my shadow and constant companion. Lola bites him on the face sometimes. It’s just what she does. And, Homer, for his part, surveys her Buddha-like before allowing her to snuggle up into his side anyway.

Here, my friends, is the public service announcement that you must have known is coming:

If you’re going to get the gift of a new pet for the holidays, please adopt.

There are so many wonderful shelter animals just like Homer who have a tremendous amount of love and value to bring into the lives of the humans who rescue them. When you adopt, you are not only saving the life of the pets you welcome into your home, but also saving the lives of other animals that can now move into the space opened up in the shelter.

Beyond the obvious benefits to the animals, pets of nearly every persuasion positively impact the emotional and cognitive health of just about everyone. An exceptionally creepy 2016 study looked at (and found) the benefits of “insect therapy” for elderly people. It involved crickets. Crickets, y’all. I’m pretty sure you can adopt those from your back yard for free. Just don’t bring them to session with you.

I hope that each and every one of you has a wonderful holiday season full of love, laughter and togetherness with family and friends (both human and furry). I’m looking forward to seeing everyone in a dynamic 2018.

Would you like to process a loss that has changed your life? Want to figure out how to move on with grace and self-patience in the new year? Have photos of your elderly dog to share? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

Google +: Holly Cox







On Wax Myrtles, Anxiety and the Impermanence of Thoughts

I have a deep and abiding animus towards my neighbor’s wax myrtles. This is the story of how, one day in May, they tried to kill me.

If I owned a blowtorch, and didn’t worry about Johnny Law showing up to cart me off, I would lay waste to those bastards (the trees not the neighbors) with extreme prejudice. Also, I’d do it in a leather jacket or something so that at least the visual of a slightly rotund, middle-aged woman screaming invectives at the silent trees was a little less lunatic and a little more badass.

The thing about wax myrtles, in case you aren’t familiar with them, is that they are prodigious breeders with clever, creeping root systems. My anonymous backyard neighbors never trim their trees, so the limbs cascade over our fence and parachute hopeful little invaders into my flowerbeds. Frantic weeding doesn’t seem to forestall waist-height wax myrtles from choking my rose bushes or shooting up through the hedges. Once the intruders are established it’s nearly impossible to pull them up. They’re now defiant little trees holding fast to the soil with concrete tentacles.

Earlier this summer, as my daughter bounced merrily on the trampoline, I went about my usual rounds, grumbling and excommunicating all the wax myrtle saplings to a green trashcan by the deck. At some point in my angry circuit, I must have also grabbed a handful of poison ivy. Sitting at dinner with my friend Sarah later that night, my arm began to itch. Since we’d been talking politics I thought I just had hives. But, when I woke up the next morning, an angry rash was already slithering up the right side of my body.

“Dude. That’s gross. I’ve never seen anything like that.” the doc chuckled cheerfully, while writing me a script for 4 medications. The abridged version of the next few days is that one of those medications conspired with my Grave’s Disease to explode my heart and kill me. I would have died with an infected, elephantine arm in a mostly clean shirt my husband got at a software conference. The indignity of it. Later, standing on my back porch impotently contemplating a week’s worth of newly rooted interlopers, I imagined the taciturn wax myrtles back there howling vicious, mute victory in our battle for territory.

When clients tell me that they have increasingly anxious thoughts crowding out the useful thoughts, I think about my crusade against the wax myrtles and sympathize. Sometimes, it seems that no matter how diligently one tries to keep a clear mental landscape, anxiety has other ideas. For every fragrant flower of a thought there’s a weed. And, when you try the wrong fixes (drugs, alcohol, insert vice of choice here) it turns out like the poison ivy—you get royally effed up for your efforts. The thoughts are still there waiting for you when you get back from that vice anyway. And now they have more ammo too.

I’d like to tell you that with ninja-like discipline, we all can achieve perfectly clear minds. But some of us just aren’t blank slate people. We’re always going to have active, creative minds that devise internal torture chambers of the most intimately perfect kind. We can’t decide not to have thoughts. To be honest, you can’t even decide not to have really weird, screwed up, disturbing thoughts. The mind does what the mind does. The key is in deciding what orientation you will have to those thoughts:

Decide to be a professional thought tourist rather than a professional thought homesteader.

Take a look and accept that there will be something else to look at a moment from now. No guilt. Please never feel like a failure because you have moments of entertaining thought patterns that you don’t like. Instead, give yourself credit for developing the capacity to recognize that those thoughts will be as transitory as the pleasant ones. Those of us who have battled anxiety and have gotten a “win” have done it not by having perfect thoughts. Rather, we have stopped letting those anxious thoughts have special status.

Let me belabor the point a minute in case my obnoxious use of mixed metaphor wasn’t illuminating enough. You can’t decide not to have scary thoughts. But you can decide to view them as a room you walk through on your way to somewhere else. And somewhere else. And somewhere else again. Mindfully, you look at the thought and observe it. You wouldn’t feel shame about mindfully looking at a nice thought and observing it. Be an equal opportunity thinker. Everything arises for a moment, and everything passes away. Focus on noticing the thought and the body process and noticing even that pass away too. If you focus on not having the thought, you might as well come help me weed wax myrtles next spring. Your effort is not in the most useful place.

If you’d like to learn some mindfulness practices to help you become the river rather than the rafter? Would you like to develop a better sense of humor about your anxiously creative brain? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

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On Concert T-Shirts and Other Life Souvenirs We Can Stand to Release

There is a running joke in my family that Jason Isbell is trying to kill me. You know, Jason Isbell of the “best songwriter of his generation” muckety-muck and acclaim? Each time (of the three times) I’ve bought a ticket for one of his shows, I have been laid low by an absurdly strong plague, reduced to an afflicted puddle of self-pity on the couch.

There has been Norovirus. There’s been Strep. The flu stopped in for a visit, ushering in a double ear infection. Speculation arose in my friend circle that a vortex rending the fabric of space and time would spin out of the sky were I to actually attend a Jason Isbell show. Fortunately, all that really happened was that I drank an overpriced soda and shamed the really tall guy in front of me into jamming out a bit to the right. I may have been disappointed by the complete absence of cosmic spectacle. I may also have been a bit loopy on cough syrup and total lack of restorative sleep.

If you don’t know who Jason Isbell is, just Google his name and any combination of the words “redemption,” “gut-wrenching” and “Southern Gothic.” Then, spend a few hours thumbing through the resulting wordgasms penned by keyboard jockeys punch-drunk with rhapsodic Isbellitis. It’ll get you right up to speed.

I’m telling you all of this, gentle reader, to punctuate the improbable truth that the one time I actually made it see the famous Jason Isbell–the ONE time I actually arrived and heard this dude play–I hadn’t even gone to see him.

Nope. I dragged myself there (ear infections and all) to hear the opening act.

Amanda Shires, an extraordinary fiddle player, singer and songwriter was slated to perform beforehand at the Raleigh show. She’s Isbell’s wife, and stayed onstage to accompany him during the main event. But, I wanted to see her perform her own stuff. And, because the world doesn’t know its you-know-what from a hole in the ground sometimes, she isn’t yet well-known enough to do the big tours he does. I had already resigned myself to road tripping alone to Nashville just to hear her play for an hour.



You’ve probably experienced this yourself, but there are some artists that you’re very aware you’re enjoying with the totality of that artist’s fan base. For instance, even when you’re alone in your car, if “Don’t Stop Believing” comes on, it always kind of feels like if you rolled down your windows at the stoplight, everyone else would be singing along too. It’s a shared musical thought we all could narrate together at any minute. But, there are other performers you keep like a secret you have just for yourself. When you show up to an event of theirs, it’s almost jarring that other people are even there, singing those familiar words. And each of those strangers carries inside themselves a personal meaning and a living song—just like you do.

So there I was, at my first Amanda Shires concert, also seeing Jason Isbell as the free gift with purchase. And, what else does one do to seal in that memory but buy a t-shirt? (If you’re not the kind of person who buys a t-shirt at concerts, I can’t even with you.) Standing in the heat of the merchandise line behind a gentleman who truly could have benefited from a trip down the personal hygiene aisle, I noticed that there were no Amanda Shires t-shirts. None. There were only Isbell t-shirts. I stood there anyway, hoping that the guy behind the merchandise table could pull a few from some magical stack I couldn’t see. But, there simply weren’t any.

I half-heartedly bought a stretchy, grey Jason Isbell shirt. It wasn’t the souvenir I wanted or expected. But, I keep trying it on, noticing it doesn’t fit and then shoving it back in my top drawer to take up space anyway.

And damn it, y’all, isn’t that just like life a lot of the time?

Sometimes…sometimes at especially pivotal moments, the universe just doesn’t give you the takeaway you envision. Your souvenir is second best or it’s actively terrible. Life packed your bag not with what you deserved, but with some other grotesque, unwanted care package. And there you are. Holding it. Staring warily at it. Trying to figure out how to hoist it up onto your back so you can stay the course on a road that suddenly seems a lot longer.

It’s the affair your wife had with a coworker after you took care of her through more sickness than health.

It’s the addiction your teenager developed even though you tirelessly sacrificed for him to have a wonderful childhood.

It’s the panic attacks you have as you try to make sense of being violently attacked when you were just out buying cereal in your sweat pants.

Maybe it’s not even one singular thing, but it’s the thousands of small, wretched souvenirs you are toting around from traversing the landscape of a marriage that’s crumbling or a job that breaks your spirit and insults your intelligence. As Charles Bukowski said, it’s often “not the large things that send a man to the madhouse…no, it’s the continuing series of small tragedies that send a man to the madhouse…not the death of his love but a shoelace that snaps with no time left…and the dread of life is that swarm of trivialities…”

When you’re dreading the weight you’re carrying along with you, trivial or not, it’s time to edit the collection. You can only be an emotional Sherpa for so many things. Your heart is not a democracy in which everyone gets a vote on filling up the empty spaces with the detritus of his or her own struggles. Edit. Trim down the hurt.

I floridly hate therapists and life coaches who tout that there’s one fail-proof way to logic through the hard times. I don’t think there is, and I don’t trust anyone who believes in one-size-fits-all emotional solutions. Rather, we have to trust that for each of us there is a process towards health that may not be immediately apparent, and which also might require some careful trips down blind alleyways before presenting itself. The process is in and of itself the important part. Discovering the emotional vehicle by which you’ll take a stand against hoarding people, feelings and memories that no longer serve you is a sacred journey. Will you meditate? Write letters you may or may not send? Discover activism? Teach yoga to women at the domestic violence center downtown? Rediscover your faith in something?

Therapy is a place where you figure out why and how to do the work. Consider it the platform from which you begin to discern just how much of you is available for change.

Few things give me the sads more quickly than a scared, traumatized client who believes she has Law of Attractioned an atrocity into her life that can only be healed by thinking perfectly good, magical thoughts. That’s not to say that I don’t think we have the majority stake in creating our experiences. But, our authorship is always in collaboration with the universal intelligence, our bodies, people around us, larger societal realities, and other things over which we absolutely cannot have sole dominion. And anyway, groundedness doesn’t require perfection as its primary fuel. Simply put, emotional health is a commitment to looking at all the parts as they move and recalibrating when new information arrives.

My impression, both personally and professionally is that resilience happens when we make good friends with the idea that we are often holding the space with thoughts, experiences and sensations that suck. Periods of pain are not avoidable. They can be the forges in which we are shaped into something rad by the fires of hardship. But let’s be honest, they can also be the pigsties in which we get drenched in crap. Poetic, I know. I’m a woman of the pen.

I invite you to take a good look at the things you’re carrying around, particularly the ones that no longer render happiness or useful pain. Then, engage in some process (therapy, meditation, retreats, creating art, helping someone else) that helps you curate the emotional relics that are worth keeping around. Souvenirs of past experiences are wonderful when they continue to create meaning in your life. Otherwise, they’re like my Jason Isbell shirt—uncomfortable, not quite what I wanted, and taking up space I could be using for things that are a better fit.

Would you like to come in and rifle through your emotional inventory? Is it time to reorganize your ledger of relational debts? Do you just want somewhere to show off your latest concert tee? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

Google +: Holly Cox






On the Merits of Meditation for Mothers and Other Reluctant Superheroes

One afternoon 5 years ago, I hunkered down on the cold, sticky floor in my pantry with my head between my knees, gazing down at a single, lonely cheerio by my right toe. Beck warbled out from the cell phone I had tucked under my arm so it wouldn’t be baptized in the glop on the wood boards.

I breathed.

I panicked.

In the next room, my oldest son unceremoniously crashed something into something else. And there I sat, contemplating the sheer vertical wall of obligation that I felt to my work, and my family, and the dogs, and my mother, and to the thirsty garden had I left to sprout weeds in the back of my house. Beck continued his muffled serenade from my armpit, balefully strumming along. “Baby you’re a lost, baby you’re a lost cause.”

I needed something I couldn’t even define. It wasn’t relaxation exactly, but rather reconnection. I wanted my life to intersect again with something that I had become untethered from a long time ago. But who can really articulate a gut thing like that? And if you can’t take it out of the abstract, how can you find a solution for it? When, a few months later, a friend of mine suggested I try meditation, I rolled my eyes at her. “Yep, because if I could simply sit and not think about stuff, I would just effing do that, Suzan. Meditation sounds like an excellent way for me to make myself even more anxious and frustrated trying not to think thoughts. Sorry, I have a busy mind. I don’t think I’d be any good at it.”

The thing is, I was woefully misinformed about what meditation really involves. Rather than believing it to be a gentle process of helping all my mind-body horses pull in the same direction, I thought it was about brutally censoring my interior process and forcing the body to fall into line. Believe me, gentle reader. If that were the case, I wouldn’t suggest it to you, because frankly, I couldn’t do it myself.

Culturally, we  have rendered busyness and stress poetic so that we can anesthetize ourselves to the fact that they’re poison apples. To make sense of frighteningly frenetic lifestyles, we cultivate a kind of self-congratulatory resignation to crushing ourselves ever more completely between the cogs of the hustle. We’ve grown so used to lives with no expansiveness—no space to be bored or contemplative or simply unoccupied, that we don’t know how to slow down. Not doing feels like death or failure or maybe both.

I’m worried for my generation and for the youth of today. As much as I am the absolute person for whom social media was created (because I really do enjoy photos of your dog dressed up at Halloween) I fear that it robs us of the ability to be dimensional humans.  What if we love creating these electronic shadow boxes because somehow they’ve become a stand in for the genuine presence and human interconnectedness we instinctively know is needed? Hey, at least we can check up on our friends and family at lunch and stoplights. Done. Relationships accomplished. And, it’s been documented online so it must be real. Worse still, sometimes we prefer the online version of ourselves to the more complex version that’s walking around in daily life. You know, the one in which people see you at unflattering angles and have uncrafted, unpredictable conversations. This social busyness without real substance has a narcotic quality that when consumed in unchecked quantities, drives us away from our core.

The landscape of what clients are asking from therapists has changed dramatically over the past decade. Folks who came in complaining of crippling anxiety or deep feelings of meaninglessness used to be a subset of what I saw in my office. But now, it’s the most common thing I’m asked to address, no matter how high functioning the client may otherwise be. This terrifying feeling of being adrift on the white waters, headed for rocks is a root issue. And those roots bear fruit in the form of loneliness, burnout and a genuine sense of frazzled dread. People are dragging themselves to counseling to ask (no, beg) for a way to pump the brakes in a world that won’t give them permission to slow down at all.

But here’s the thing: we’re all appropriately anxious. Why wouldn’t we be? We’re doing too much of the wrong things and not enough of the meaningful ones that can make us feel anchored. There isn’t a therapist walking this good, green earth who can talk you through selling out your core need for groundedness. You don’t want that kind of voodoo anyhow. Rather, you need to change your approach. Behaviorally. You have to choose reconnection with yourself, and choosing it means actively engaging in it. Purposefully.

Meditation is one of the most powerful ways I know of to foster calm and presence, and to combat anxiety, rage and overwhelm. There are a host of impressive physiological benefits associated with a meditative practice, including increased wellness in brain, heart and immune function. But when I teach it in my practice, I am offering it as an antidote to busyness and all the attendant emotional and spiritual catastrophes that result from failing to remind yourself that you, as much as anyone else, deserve your compassion, tenderness and focus. I don’t know how to wave a magic wand and help you ignore your problems so that you can keep forging ahead. But, I would love to ride along with you as you return to yourself and discover how to be present with whatever exists at that moment—good or bad. That is joyful living.

I think most people don’t meditate because they have heard or imagined some really persuasive reasons about why it’s difficult, time-consuming or only for patchouli-scented weirdoes. I mean, disclaimer here; I can’t claim that I’m not a patchouli-scented weirdo. I still listen to way too much Deep Forest, and not in an ironic, “I’m so 90s” kind of way. But I’m also just like you—type A, over-scheduled, worried about how many of my children I’m raising to be outright serial killers, and in general, just doing the best I can to hold it all together. In the spirit of us being life twinsies, let me debunk three of the biggest stumbling blocks to starting a meditative practice.

1) I have to be able to clear my mind and stop thinking: No. No you don’t. Really. Seriously. I’m not even kidding right now. Soak that in for a minute. Instead, the process of meditation is about noticing the thoughts as they drift by, and then gently coming back to whatever you’ve chosen to focus on for that session. It’s noticing and returning over and over again with a spirit of compassion for yourself. As you progress, it’s about being present in the gap between the thoughts. This is a much different, and more honest experience than hoping against hope that your mind will simply stop doing its schtick.

I struggled with the idea of meditation for years because I happen to be a person who likes to engage in a great deal of recreational thinking. I’m a writer and a professional problem solver for heaven’s sake. Thinking is kind of my jam.

It didn’t help that my very first meditation teacher told us imposingly that we just needed to “clear the mind completely.” There I sat on my meditation pillow, breathing in the bliss of the people around me, developing a cramp in my crossed legs and in general NOT succeeding in clearing my mind even a little. My practice at that time in my life was impressively short-lived because I felt like a failure. “Whatever those folks have that enables them to clear the ol’ mental movie screen must be special about them,” I mused, deflated.

Later, I had the good fortune to learn with really wonderful instructors who helped me understand that meditation is developing an ability to be present with thoughts, emotions and sensations without chasing them, and to also be present with the gap between the thoughts as well should that arise. The space between thoughts is what most people mean when they think about clearing the mind. But the gap, cool as it is, is transitory for all of us. Every meditator in the world is a thinking person who experiences thoughts as part of the meditative experience. In other words, you and I don’t have to panic about having perfectly normal brains. Rather, we can practice being present in that moment, whether it’s a gap moment or a thought moment. That alone is a special and rare experience in a world in which life compels us to keep running, planning and executing at all times.

One of the teachers I’ve been privileged to learn from is Swami Atmavidyananda Giri, a senior monk with Kriya Yoga International. Yes, I know his name makes him sound like he’s sitting around in his bare feet wearing a cool monastic robe. Spoiler alert: he actually totally is. “Meditation,” he said, “is not about imagining, it’s about perceiving. If you are trying to pretend that you are not having thoughts at all, or are pretending that you’re having different thoughts than the ones you’re having, that is imagination. That is not presence. Instead, we observe the thoughts and do not pretend that they are not there. “ I loved this because it allowed me to cultivate being the watcher rather than being the thought slayer.

Many times when we meditate, we are using a point of focus like the breath or a mantra. When you notice that you have wandered off, simply acknowledge that you have drifted and gently come back. As another wonderful teacher of mine, Davidji, notes, the noticing that you have wandered off towards a thought is the very essence of mindfulness. In that moment of noticing, you were truly awake. If you have noticed that you’re thinking of something else, (and you may notice this many times during a session) simply return to the object of your focus. Davidji likens the experience to being on a swing set—drifting from focus to thought and back again. Even Swami Atmayidyananda, when asked if he ever thinks while meditating, replied that sometimes notices he is having the thought, “I am meditating.”

2) I need an altar, 3 hours and a $150 mala I saw on Instagram: Let’s be honest here. It is so tempting to look at those clean, sun-burnished ritual spaces in Yoga magazines and assume that meditation will be supercharged by a special space or fancy equipment. But it doesn’t require that. It requires you. Period. That’s all.

At least several times a week, I meditate in my parked car. That’s the space where I don’t have children, the phone in my office, or my dog competing for attention. Parents, you know you spend 10 minutes in the parking lot at Target listening to the radio or flipping through Facebook. Since you’re going to be there anyway, allow yourself to close your eyes, watch your breath and meditate for 10 minutes instead. Space in schedule made. I suppose it’s possible that one day someone will think I’m dead in my car and tap on my window. But, that just gives me the option to open my eyes and scare the Bejesus out of them. Score.

When I’m at home, I meditate on my son’s orange velour video game chair. I got it on Amazon for about $30, and it allows me to sit on the ground with my legs crossed and a bit of back support. Sure, it looks like some wannabe Romeo from the 70s with a gold chain and lots of curly chest hair would have been pleased to have it in the back of his slightly-creepy panel van. However, that chair gets the job done.

I’m don’t mean to imply that it wouldn’t be awesome and entirely worthwhile to intentionally create a beautiful space in which to practice every day. Rather, I want you to know that the most beautiful, sacred thing you bring into your practice is your authentic presence. That curious, reflective place lives inside you all the time no matter where you meditate. The more you visit it, the more you pave a superhighway back there rather than the bumpy dirt road that seems to be the only way in now. You can access this space in the most ordinary of places, with time you have carved out from the schedule you already have, no handmade mala blessed with the tears of a Himalayan monk required.

3) I Already Have Other Ways to Relax: Sometimes, when I introduce meditation as an adjunct to psychotherapy for clients suffering from existential overwhelm and anxiety, they note that they already knit, play tennis or read to blow off steam. While I love macramé cat scarves as much as the next person, I’m not suggesting that you meditate as a vehicle for relaxation. Of course, meditation may offer some relief from tension. But, as your therapist, I want you to cultivate a deep mind practice in order to reconnect, not relax.

When anxiety, and all of its accompanying dread, cyclical thinking and runaway body sensations arise, we come unmoored from processing the present moment effectively. Instead, we are trapped in our heads, planning and ritualistically rehearsing worst-case scenarios. Provoked with people and processes that drive us into reacting mode, we lose the ability to alight anywhere for long. For happiness and ease to exist, the capacity for centeredness must be cultivated with care. We have to remember, sometimes moment-by-moment, how to return to ourselves and to the now. If you would like to get realigned on a deep level, practice meditation in order to grow your ability to reach that place and stay there.

Would you like to discuss how to reorient to a more robust version of yourself? Are you curious about how mediation can compliment psychotherapy? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

Google +: Holly Cox



Why an Ideal You is More Important Than an Ideal Partner

Vulnerability with a partner when trust has been lost can feel like jumping off the edge of the world without a safety net. We only like to extend ourselves if we can snatch that exposed feeling back. When we can say, “Well, I don’t care that you didn’t respond to my bid for attention because you’re a jerk anyway,” it feels a lot safer. I mean, who wants to be the Dodo who continues to ask someone (who only questionably likes you) to support you when you’re ragged and fragile?

Well, you do.

Yeah, you.

I don’t care if you click off this blog and go watch fail videos on Facebook now. You still saw this. You’ll be thinking about it while you’re staring, glassy-eyed, at cats falling into bathtubs 14 different ways. Might as well hang around so I can give you the skinny on how to make your relationships warmer.

Relationships that fundamentally forbid showing your tender parts are not intimate. They’re transactional, sure. They may get “the business of us” done. Kids will be squired towards adulthood, dogs will be walked and taxes will be paid. You might even fit in some good sex here and there. But, partnerships in which you’re gaurded lack personal authenticity. Frankly, tucking in the feels all the time is a hell of a lot of work. That exploding thing you do when you least expect it? It’s because you’re relationally tired. That zoning out thing the other one of you does with regularity? That’s also because you’ve got a bad case of the relationship tireds.

You can put on a façade for your boss, and your mother-in-law, and for that one aunt who reminds you that you were a lot thinner when you were 24. (Am I the only person who had that aunt? Bueller?) But when you’re with your boo thang? No, you have to be you or you’re going to be a miserable, mean-spirited caricature of yourself instead. And, you won’t do that because you’re actually a miserable bastard. You’ll do it because you have begun to lack the reserves to pretend anymore.

When couples come in with high levels of conflict, I work pretty hard at demanding that they change their communication patterns. However, I work a bit more on asking them to articulate their ideal selves as partners.

Who do you really want to be as a husband/wife/girlfriend/boyfriend?

How does that best version of yourself communicate?

What does your ideal version of yourself contribute emotionally, sexually, financially and spiritually to your union?

What would be the first signs that you are beginning to transform into the partnered you that you most respect?

I think the litmus test of a good relationship is not just how your partner behaves towards you. Rather, it’s how able you are to blossom into the spouse you’re capable of being—the compassionate, passionate, engaged you that is hiding under all the layers of aggression or ambivalence that has calcified the relationship.

When you’re asking yourself if you should stay or if you should go, one of the pivotal questions must be, “Can I safely and joyfully perform the best version of myself in this relationship?” I want couples to speak about this with one another at length in session. They should know who they’d be getting if change were to happen in the relationship.

Making space for your partner to live into his or her potential is no small feat. It requires incredible courage and resilience, and an ability to recognize fledgling efforts at evolution. Moreover, it requires you to support a partner you may be angry with (for lot of good reasons) during a planting season when the ground looks barren so that the reaping season is ripe with juicy collaboration.

Do you want to have a conversation about how you can be deliberate in the way you partner? Do you want to figure out if your partner can support that best version of you? Why don’t you come on in so we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

Google +: Holly Cox

On Going to Concerts in Hurricanes and New Year’s Resolutions

A few months ago, Hurricane Matthew raged outside my back door. As I watched the trees convulse against the house, and the rain-lashed fence bow and release, I made the only decision a sane music fan could make. I went to a concert. Like, anyway.

You see, gentle reader, I’ve had tickets for Jason Isbell twice. Twice has some bit of unexpected mayhem gone down that prevented me from getting to the show. Take if you will, the charming Norovirus that manifested in Florida after I flew all the way down for the performance. So, I just wasn’t going to give my John Paul White tickets up to the gaping maw of Mother Nature without protest. Sorry, Universe. Not this time.

The downpour marched on in ragged, unorganized sheets. I shrugged on a worn pair of Chucks and my husband’s favorite hoodie and prepared to be the only idiot in the village that came to the venue. I may have been foolish, but I was not disappointed. John Paul White was exactly as I imagined him—all wry humor and pathos telegraphed out to us through an epic pair of pipes and a mostly pressed suit. I sat with my wet sneakers propped up on the edge of stage because so few people came that they moved us all up to the first few rows. And then, I got to pose for a photo with old dude himself.

I have a muddled relationship with meeting authors or entertainers I admire. I feel compelled to do it if the opportunity arises. Because, if you can breathe the same air with badassery, you probably shouldn’t pass that up. But mainly, I prefer my own, secret understanding of who they are and what they do. I feel awkward about encountering the real thing. The actuality can be kind of intrusive in the face of who I imagined.

So, when John Paul White suddenly materialized in the flesh while I was busy buying a concert T-shirt, I stood in line to meet him, awash in equal parts eagerness and reluctance. For the record, he was extremely nice, and possessed of the practiced availability of someone who knows that he represents some idiosyncratic abstraction for each of us. Here’s the photo: 14502945_10208371363575307_6444982498755663642_n


It’s nice, right? We might both look like we’re going to a funeral or maybe the podiatrist, but it’s a nice shot. Now, kiddies, here comes the point of this blog, other than to humble brag that I met John Paul White in the middle of a hurricane:

My camera app still up, I ran out into the rain to wait for my husband and happened to pass by two members of the opening act, The Kernal and His New Strangers. I had never heard of them before that night.

I “knew” John Paul White. So, do you think a single thing came out of my mouth to him about how much I admire his lyrics or musicality? Do you think I told him that my 2-year-old daughter refuses to listen to any song but a very specific one of his on the way to preschool? That I recommend one of his songs to clients sometimes? Nope, I said none of that because I “knew” him, and it all somehow seemed established and therefore less open for examination.

But, I was happy to rhapsodize to the heretofore unknown Kernal and Cotton about how their harmonies had been so tight and surprising that I simultaneously got shades of the Eagles and the Judy Bats. And, oh yeah, I also kind of thought The Kernal resembled what would happen if David Foster Wallace and Christopher Lloyd had a love child. I asked why the band was called the New Strangers. I asked for a photo or five. Now, look at the difference between the photo of me, The Kernal, and Cotton and the one with John Paul White: 14502685_10208371374375577_1633006656388846154_n


You know what you notice in that second picture? Curiosity about the moment and the people I was with just then. Joy in discovery. Mainly, it was that I was present in that second photo because I was having more fun posing for it than I was imagining who I would show to afterwards. I was just there.

I have one job as a therapist, and it’s the same job no matter what issue you come in to address. The whole point of therapy—pick any problem you want–is to develop a capacity to be where you are, right now. To look into trauma and hold the space with it so you can be here now. To look at your partner and acknowledge, in the face of history and vulnerability and disappointment where you are together right now. To look at physical sensations that may be scary or painful or aggravating and be with them just as they are, now. All of that is fruit of the same root—a strong aversion to tuning into this moment when some far-flung future or past are so much friendlier or at least familiar. Also, my apologies to Ram Dass for stealing his schtick. He’s not wrong though.

I’m the sort of person who has a million New Years Resolutions every year. I think I just like to hedge my bets that something gets done. This year, however, I’m putting myself on the spot. I’m looking at the root of all the emotional chaos that creates the peccadillos of which I am most guilty—overwork, disconnect from source energy and consuming rather than creating. I’d like to tune into the most basic meaning of mindfulness—being available to what is, right this minute, right where I am.

Just as a brief programming note on that—I don’t think we’re all struggling with mindfulness because we’re pathological. On the contrary—humans have extraordinary emotional ingenuity that forges more pathways forwards and backwards in our imaginations than reality could possibly present. It’s kinda rad when those powers are engaged in a user-friendly way. Like, you know, when you’re psyching yourself up to run a marathon or going back over memories that no longer trigger because you’ve done hard work on them.

I hope all of you out there have a wonderful holiday season and a very happy start to 2017. If you want to show me your pictures of random encounters with famous people (I have some with Al Gore and Carrot Top to trade) or you just want to have a few life-editing conversations, give me a ring. I’d love for you to come on in so that we can talk about it.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


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On Getting Older, Changing Your State and the Merits of a Personal Theme Song

I’m not quite 4o yet, but I sure am breathing heavily down 40’s neck, warming up her collar and whispering the tidings of my imminent arrival. I’ve done all the requisite machinations of a woman teetering off the edge of her youth and into a robust, and hopefully juicy middle age. I have fewer you know whats to give about how people judge me and what they may think. I’m doing all the things. You know, cutting my hair, learning to roller skate and thinking about getting a tattoo. Then, upon deciding that I am too afraid of needles to approach the tattoo with a 10-foot pole, I have bought myself a tiny, fierce new car. I’ve never been one for an ostentatious ride. I feel conspicuous in it. But, I think it’s everyone’s duty at some point in life to (literally and metaphorically) put down the windows, pump up your jam and roll out like you mean it.

Hopefully, unless we have had to cope with misfortune or trauma, our early years are a hothouse of blooming creativity and extravagant imagination. More often, youth is the place where we collect the experiential odds and ends we need to be really interesting humans further down the line. Forging an existence that has purpose  is a constant, iterative process of intentional engineering. If youth offers anything extraordinarily delicious, it’s a lack of expectation as one is becoming to know who you’re supposed to be. We’re allowed to make it up as we go, giddy with discovery and sensitive to meaningful newness. What I liked most about my twenties was trying on hats–journalist, therapist, swing dancer, poet. I stamped my own individuality all over my life. And, if I have learned anything about happy people in general, particularly the older ones, it’s that they continue to remain awake to the option to create themselves over and over again. Their dreams don’t stop taking up the really good real estate in their own lives. I’m talking psychological beachfront condos, baby!

To that end, I have decided that I need a theme song. You know–an intro and an outro. A slick beat that heralds my desire to be intentional, and kind of bad ass as well. I need something that will effect an immediate state change in me whenever and wherever I desire it–no matter if I’m hearing it through my stereo or in my head. Here’s an example of the hilarious Peter MacNicol gearing himself up to face a difficult situation via his musical spirit animal, Barry White.

This isn’t, of course, anything new. Anyone who loves Tony Robbins or any of the NLP folks will recognize the idea that when you’re stressed or stumped, purposely changing your state by physical movement, affirmations or meditation is a quick, easy way to ritualize a return to the productive zone. That’s the place we call flow, where we can create and thrive. I teach my clients lots of tricks to do this state change stuff, so they can manage it in meetings, traffic or even while they’re doing leisure activities. When you come in, we can try some of the intellectual widgets that have worked for other people and you can also develop a few idiosyncratic ones of your own. History is full of folks who used their own experiences, culled from years of living as themselves, to combat undesirable mental and emotional roadblocks. The incomparable Leonard Cohen, for instance, chants, “Pauper sum ego, nihil habeo” before performing. That’s Latin for, “I am poor, I have nothing.” This incantation is intended to “reduce the weight” he and his fellow musicians feel before heading onto stage. To someone else, that wouldn’t be a useful approach. But, it works for Leonard. It’s essential to figure out how you best do you, and then to do that. Not for nothing, Keith Richards just eats a shepherd’s pie. Because, you know, Keith Richards.

If we can help you notice the state changes you experience in times of stress, anger, hopelessness, anxiety or overwhelm, we are more than a few steps down the road to mindfully creating a blueprint for your own happiness and contentment. If you’re able to be very present in moments that ordinarily would have “just happened” to you, what interesting changes could you invite? There is a process of creativity to assembling a tool box. And I am here to tell you that it is fun, interesting work.

What will you be doing in the next few weeks to improve your chances of conjuring up a life at your highest vibration? Me? I’ll be listening to my new theme song…and feeling good.

Your Partner in Healing,


Are you looking for individual, couples or group therapy in Raleigh? Call me today to schedule a consultation to learn how counseling can help you. Please contact me at (919) 714-7455 or email me at holly@lotustherapycenter.com. Visit me on the web at www.lotustherapycenter.com or:

Twitter: HollyCoxLMFT


Facebook: Lotus Therapy Center

Google +: Holly Cox