As a psychotherapist, I have worked with many individuals who are high powered, high income Wall Streeters. Even in the best of times, many of them are beset with emotional and psychological challenges in spite of their enormous wealth. Given the literal free fall of the economy that we’re currently experiencing, many are now facing the hugest hurdle of their lives; and I’m not simply speaking financially.

Those who are so fortunate to earn vast sums of money and accumulate enormous assets tend to place a disproportionate amount of their attention on what should simply be one facet of their lives. As unimaginable as it may be, billionaires may still suffer from self-esteem issues that plague many of us. Those who are driven to succeed in such a way are often compensating for other deficits in their lives. These may include challenges with interpersonal relationships and emotional intimacy. People who tend to be strong type A personalities are so inclined because they are very uncomfortable in the more intimate exchanges of relationships, so they default to the arena in which they feel more comfortable.

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From time to time, many of us tend to experience an occasional insight. An insight is simply the ability to change our filter and look at things differently. In moments of insight, there’s a sudden burst of clarity where there had previously been static; there is an epiphany of movement. It’s the a-ha moment. When we are firmly entrenched in our beliefs and rooted in our certainty, we’re not typically open to insights. To have an insight we need to temporarily suspend our beliefs and open to new possibilities. We’re not so much working on the insight as we are creating the groundwork for it to come forth. In other words, we’re getting out of our own way, and opening to new considerations. Without insights we’re shackled to a fixed and stagnating reality in which little changes. It tends to look as if life is just replaying itself, day in and day out.

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A newly referred client came into my office some months ago and shared with me that she had struggled with anxiety her entire adult life. She had been in therapy with the same person for well over six years and had made little progress. I inquired as to what she had learned from their work together. If I actually had hair on the back of my neck, it no doubt would have stood straight up upon hearing her response. “He told me the best that we could do we be to try and manage my anxiety,” she offered. So many mental health professionals are literally trained to believe that matters of anxiety and depression can at best be managed, and often with the associated medication to achieve the lessening of symptoms. This speaks to their mindset of pathology and the absence of a deeper understanding of the relationship between thought and anxiety or depression. The limitations of such a worldview are limiting and produce a self-fulfilling prophecy of failure.

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