Can we manage our neurology through effective communications?
When Life Shifts, Start With the Story You Tell Your Body
Something changed. A contract ended. A visa renewal stalled. A diagnosis arrived, or someone you love said words you hoped never to hear. Before you had time to think, your body had already answered.
Your heart raced. Your breath went shallow. Your stomach tightened. This is your nervous system doing its job, sounding the alarm the way it was built to. For a few minutes, that alarm protects you. When it keeps ringing for weeks, it starts to shape how you see everything.
How we take it in
We internalize hard moments in two ways at once. The body records them as sensation: tight shoulders, restless sleep, a jaw that stays clenched. The mind records them as story: “I always end up here.” “I should have seen it coming.” “This will never get better.”
The body and the story feed each other. A frightening story keeps stress hormones high, and a body flooded with stress hormones makes the frightening story feel true. Many of us get stuck in that loop.
Where Solution Focused Brief Therapy comes in
Solution Focused Brief Therapy (SFBT) does not ask you to relive every detail of the problem. It asks a different question: what do you want instead? When we picture a preferred future in real detail, the parts of the brain that plan and hope come back online, and the alarm begins to quiet.
Here are four questions I use with clients. Try them slowly.
- What are your best hopes? Name what you want to start, in your own words, rather than only what you want to stop.
- When has this been even a little better? Look for the exceptions: the day the worry was lighter, the conversation that went well. What were you doing then?
- On a scale of 0 to 10, where are you today? If you are at a 3, ask what is keeping you from a 2. That answer is evidence of strength you already have.
- What would one point higher look like? Skip the whole journey. Picture only the next small, visible step.
Start with the body
These questions work best once your body has settled a little. Before you sit with them, take three slow breaths: in for four counts, out for six to eight. A longer exhale tells your nervous system the immediate danger has passed, and the thinking brain returns.
The problem is real. So is the part of you that has carried you through hard changes before. SFBT simply turns your attention toward that part and invites it to lead.
Your body knows the way back to steadiness. Your questions help it find the path.
If you are navigating a change and would like support, I would be glad to talk. If distress ever feels overwhelming, call or text 988 any time.
Read on...
Strategies to Improve Clinician-Patient Communication Experiences for Patients With Neurologic Conditions
Ronald M. Allen
AnnMarie Cross
3 days ago