Clients often say that something they value about therapy is the opportunity to take an hour out of their week to reflect on their life. It sounds pretty obvious or even easy, but we tend to fill our lives with events, relationships, work and activity. Stopping in order to evaluate, particularly with another person in conversation, less so.
Related to this is the idea that life is understood (by looking) backwards – one can see a train of thoughts or decisions which led in a certain direction that was taken. In therapy, you can view your life as it is lived and therefore there is opportunity for choice and change.
Mindfulness and therapy share some common ground. Mindfulness practice offers the opportunity to observe ones patterns in life as they arise, and choose to do things in a different way. With therapy the process of talking about your life means that you are not only the protagonist you are also the narrator or witness of your own experience, and therefore choosing to do things a different way becomes a possibility.
Sometimes I notice that if there has been a break in the therapy, for example to due holidays being taken, the process of change seems to slow down, and sometimes old patterns start to creep back in. This would appear to be consistent with developments in neuroscience whereby it is observed that pathways are formed in the brain due to our experiences, which might be stressful ones. The process of therapy helps to modify neural activation patterns which have developed, eg around anxiety and depression, and provide new experiences which change these patterns in the brain. However, it is possible that the old patterns can re-emerge if old neural pathways are activated.