“Insight does not equal change”

Part of an occasional series about phrases that this therapist finds himself repeating, often.

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As a clinician in private practice, one of the phrases that I frequently hear myself saying is this: “Insight does not equal change.” In therapy, this most often emerges at the beginning of treatment or sometimes when we have reached a plateau. This phrase itself is a sort of “light bulb moment” where we realize that just because we understand something does not mean it will change.

Since much of my time is spent working with children and adolescents this necessarily means working with the parents of children and adolescents. And when working with parents, there is often a pull toward explaining a simple behavior in a complicated way.

And yes, the beginning of the behavior may have its roots in some deep object-relations, Freudian soil, but this insight does not equal change. And change is what is usually desired by the patient and their family.

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Let’s try an example: “anger issues”. This is sort of a catch-all label for when a child reacts with anger to some event. Now, a good assessment is important so that we can see whether there is some depression or anxiety present. We should look for dietary changes, assess whether there is the possibility of mood changes related to undiagnosed diabetes, thyroid difficulties, or some other medical issue.

Another common root cause for an “angry” child may be the anger or depression displayed by a parent. And one should certainly assess for some sort of abuse or neglect. Any of these (in addition to some root in the Freudian soil) could be part of what we are seeing when we see “anger”.


But then what do we do? This is where getting stuck on the cause may keep us away from the intervention.

So taking our example again, let’s imagine that once we think through this display of “anger” we see that the child is actually anxious and fearful. Remember that at the bottom of anxiety is the “fight or flight” mechanism. So some of us run from trouble; some of us get angry when we get scared. Just think of all those videos you might have watched of people punching their “friends” who jump out and scare them.

So some of the best interventions for anxiety have to do with either expending or soothing that anxious energy. This may mean getting regular exercise or it may mean reacting calmly and with understanding to your child instead of yelling at them to “STOP BEING ANGRY!!!”

Often intervention means stopping, removing yourself from the situation and taking a good, deep breath.

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Remember that our bodies and brains are tied together. You are not just teaching your brain some neat, new trick. We have to communicate with our bodies, sometimes as the first step.

But the reason that I point out that “insight does not equal change” in this situation is that these interventions will take small efforts over time. The interventions themselves will build and build; just because you recognize that your child is feeling anxiety underneath that anger does not mean that everything will suddenly be different.

The clouds are not going to part. The light is not shining down. The “Hallelujah Chorus” is not playing. Insight does not equal change. Change happens slowly, over time.

And while yes, a good assessment for the source of a behavior is helpful, there are also times that we simply won’t know where some behavior started. Children (and adults for that matter) do strange things sometimes. It may be worth spending more time on what reinforces a behavior than where the behavior started.

For those of us that call ourselves “adult” now, we think about how some behaviors are reinforced simply because they make us feel better, even for a short period of time. Some of our habits around eating or drinking can fall into this category; even when we may deal with our underlying frustration, sadness, or worry, there is still a habit left to change and steps to take.

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Even as the adults, we may have some wonderful insight into the “why” or “source” of a behavior, but changing that behavior is where the work is.

Changing behavior is often slow and a sometimes tedious effort.

Behavior change is step-by-step. And while there may be some big steps along the way, the path is made by many of those short, repetitive efforts.

So yes, spend some time looking at the situation, the context, the behavior itself. Assessment guides intervention. But place your effort on finding ways to facilitate change. Insight is good, but “insight does not equal change”.

Originally published on Medium.com on February 21, 2019

Writing Your Story Again

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My wife and I have been DEEP into the editing process with our publisher. Much of this entire process of publishing has been new to us. We received a book contract, signed it, and sent our manuscript to the publisher. Then we received a “developmental edit”, which was more about style and larger issues. For example, our editor wanted us to better connect some of the scripture we had cited to our proposed exercises or to clarify some of our thoughts or stories.

There is a sort of pause that many of us take when receiving criticism. It can dig down into some old beliefs about “what if we can’t do this” or “are we good enough”.

And although we did have a sort of pride in our work, we did need the editing.

As we worked through what our editor had proposed, again and again we could see the places where our wording was vague … or that ideas that seemed clear to us needed to be fleshed out for the reader.

We had started writing this work five years ago. Yet this process of working through the manuscript alerted me to the ways in which my own thinking and feelings about anxiety had changed. We had grown and changed through these years, with experience and with knowledge.

Yet to learn and grow through this process, we had to stop ourselves from wincing at some errors and problems in wording; instead, we needed to look for the lessons along the way.


We all can use some “revision” and “rethinking”.

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on Unsplash

Any of us can get very stuck in our thinking. Try talking to someone about their opinions on any sort of political or religious issue and you will quickly find where people are very reluctant to revise or rethink a deeply held opinion. The same is true for feelings about ourselves, about our worth or value or competence in the world.

The challenge is to allow just enough flexibility in our “vision” and our “thinking” for change to be possible. It only takes a bit of space, a breath, to imagine a world where our fear or sadness is relieved, even just for the space of that breath.

For me, as a therapist, I know that part of the work of therapy is talking about some of the events that have led us to have fearful and negative narratives about ourselves. Then, with the help of a guide, we can rethink, revise, and rewrite what those events mean to us.


Remember to approach any work on yourself with grace and understanding.

As my wife and I continued through the edits, we found ourselves, again and again, erring on the side of grace. There were multiple places where we remembered that whoever may be reading this book would often be blaming themselves for the times when they felt panicky and fearful. The best approach is one of grace and understanding, not criticism or judgment. The same is true for any of us that are doing some new work with ourselves.

Be gentle as you look at yourself; treat yourself with the sort of kindness with which this God of love sees you.

Once you are able to see that vision of God’s love for everyone, even you, then consider what “revisions” that you need to make in your own life and relationships.


We all have to let go of some control.

As my wife and I have moved through this process of writing, submitting, editing, and submitting again, of choosing a title, and all these next steps with a cover and marketing … we are learning to let go of control … of the book.

Yes, of course, there was a bit of a sigh for both of us as we hit the [send] button that submitted our initial manuscript to the publisher. As we have edited and revised, there was another [send] moment as we sent our editor our revisions and comments and concerns.

We practice letting go … of our control.

This practice of letting go is as easy as taking a deep breath, then having a long, slow exhale. The more challenging parts of letting go are about our work or our parenting. Or perhaps the difficult piece to let go has to do with past hurts and wrongs. Whatever it is we use to define ourselves, there is a gift to receive in our giving it away, of opening our hands instead of holding a closed fist.


Reach out to others. Work with them.

Working with others and trusting their expertise can feel scary, but it is worth it. All along this path, from working with an agent to our interactions with our publisher, this journey has been one of reaching out and trusting.

For some of us, reaching out and opening our hands to others for help and support can be frightening. We have been hurt before. It is hard to trust that someone else will be there for us. Sometimes our own thoughts about what is “right” will conflict with others.

This work is not just about you; it is for all of us.

We are all in some sense a “work in progress”. One point we return to again and again in the book is how much the “journey of faith” is just that … a journey. Yes, there is a beginning, but there are many points of struggle and resolution, of “revision” and “rewriting” along the way.

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My hope is that as we move along this way, and as many of you journey with us, that we do so with openness to God and each other.


If you are interested in following along on this journey, go to my “books” page, enter your email, and receive updates as we make our way toward publishing.

“Anxiety is a body event.”

Part of an occasional series about phrases that this therapist finds himself repeating, often.

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As a clinician in private practice, one of the phrases that I hear myself saying over and over, often in this way is this: “Remember, anxiety is a body event.”

So what does this mean?

First, this statement, “anxiety is a body event”, reminds us that when we feel anxiety, it is made up of physical sensations. While you may not have all of the symptoms, people often describe an increased heart rate, sweating, tingling fingers, chest tightening, chest pain, nausea or pain in their stomach, feeling hot, and changes in breathing that usually show up like quick, short breaths.

These symptoms are often followed along by a deep sense of fear, of feeling closed in and needing to get out. You may feel as if you are about to die. This can also show up like an overwhelming irritability that may lead you to lash out at people around you. Anxiety is about “fight or flight”, so some of us are likely to want to run . . . and some of us get ready for a fight.

And all of this is NORMAL and NATURAL; we need this system! The problem is that this system has been triggered by some internal or external event that has bypassed your “thinking” brain and is talking directly to your body first. This reaction is about survival, and correct or not, your lower brain has decided to pull the switch to help you live through whatever is happening.

Emphasizing the body is important because that is where we need to first target our interventions.

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Depending on who the client is, sometimes we will take crayons or a pen and draw our nervous system together, linking our anxious brain with our lungs, our heart, our muscles, making a stop by the adrenal glands sitting on top of the kidneys, all the way down to our feet, since running is something that anxiety will often lead us to want to do.

So with that understanding of how anxiety, something that starts in our brain, affects our body, that leads me to the perhaps more important place.

Second, this statement, “anxiety is a body event”, reminds us that we need to talk to our body first before we talk to our “thinking” brain.

It is a common mistake. I see lots of parents who try to reason with their child that “No, there is a not a monster under the bed.” The child remains scared, so the parent thinks that saying this LOUDER and THREATENING some punishment will surely make this situation go away. At that point, the child has probably gone into “freeze” mode due to the anxiety getting worse, not better.

The quiet of “freeze” mode may look like calm, but actually this child is more scared, more worried about what you as the “big scary adult” are going to do next.

And even though I have used the example of child and adult, you can easily see where this happens between two adults, especially adults in a relationship. I will often have the spouse come in with a patient to learn about what anxiety is so that they can respond in a way that helps the situation be better, not worse.

This is why interventions with anxiety are often activities like focusing on the breath in your belly, taking a warm bath or shower, taking a walk, petting the dog, getting or receiving a hug.

In order to calm a “body” event, you have to talk to the body.

The body only understands soothing and calming, not communication filled with words like “But that isn’t real!” or “For the last time, you are not about to die!” Even though anxiety sometimes starts in the thoughts, most often the future-oriented, “what if” variety, it proceeds to the physical very quickly. The physical body is where the intervention must first be targeted.

So with all that “in mind”, remember that anxiety is a body event. We feel it physically, but that also means that the key to working through it in therapy and at home is physical too.

Originally published on Medium.comJason B. Hobbs LCSW, M.Div on May 17, 2018.


If you are interested in the subject of anxiety, my wife and I have a book forthcoming from Kregel Publications. Go here to follow the progress. Release date is expected to be Fall 2020.

“Our hurts return at different ages and stages.”

Part of an occasional series about phrases that this therapist finds himself repeating, often.

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As a clinician in private practice, a phrase that I hear myself repeating often is “Our hurts return at different ages and stages”. This phrase generally arises in working with the parents of a child or maybe even a young adult when some early difficult event in their life seems to have returned.

We feel like we have circled all the way around to the exact same spot again.

You may feel defeated or may say, “But I thought we had beat this” or “I thought I was done with talking about this.”

But here we are … sometimes dealing with the same problematic behavior. Sometimes we are treading through the trauma again, although there is something different this time around.

We feel like we are in the same place, yet it is different, all at the same time.

Our hurts do change us. Much in the same way that a physical injury means that we have to adjust; we find a new way of moving through the world and often a change in how we view the world. The world won’t be the same again. And there is a way that this change unfolds again and again, over the lifespan.


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Children go through developmental stages, with discrete tasks to work through.

Depending on when the trauma happened, there may be a great deal of self-blame associated with it. Children often see themselves as the center of the universe, therefore they often see themselves as having a major role in an event, even if the trauma was certainly not caused by them.

For instance, if the trauma is the loss of a parent, a child may have worked through the difficulty at the earlier age. But when moving into adolescence, the absence of that parent means something different to them. Even in their physical self, that child may look for their missing parent in their facial features or in the way that their body is maturing. “You look just like your mother when you …” is common for children to hear.

In addition, there is the realization that this missing parent will never watch them play soccer. The missing parent will not have a chance to criticize who they are dating. The child will not hear, “I’m proud of you” from the parent who is no longer present.

The original absence of the parent was a trauma, but the absence continues as the child moves into a new stage of their lives.


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Young adults hit milestones in their lives that remind them of the original trauma.

As the child turns into an adult, there are new questions about identity and finding one’s place in the world.

For the young adult who has experienced difficult events in their life, identity questions lead them to look to how their identity has changed with respect to what has happened to them, and specifically the trauma.

Who am I now? How do I tell my story?

Another aspect of identity is about relationships. Relationship questions arise because learning to be intimate with someone (whether emotionally or sexually) may bring up some of the violations that occurred with the original trauma.

So even though they may have worked through an aspect of the trauma at the age it occurred, we should be aware that it may come around again … in a different way perhaps … in a different guise.


But … we didn’t circle around to the exact same place; it is more like a spiral.

Yes, we may finish with the trauma at that stage, but it does not mean that we don’t find it waiting for us at the next stage.

This is not necessarily a pessimistic stance. Because the spiral shape of change represents growth and development, not stasis.

Circling around and around again would be frustrating for you as a person, but also for parents who are raising children affected by trauma.

Being realistic about the nature of trauma means moving into a recurrence of symptoms with curiosity, seeing this as an opportunity for growth.


In a way, it should not be a surprise that you (or your child) encounter a different aspect of the trauma as you move into different developmental stages. But if it does feel like a shock or surprise, then simply step back, take a deep breath, and think about what you might need in that moment.

  • What worked before to help you through may work again.
  • The lessons you learned then may need to be adapted to a new age and stage.
  • And this new older you has the opportunity to see the hurt in a different and potentially healing way.

So when you find that you are working through the hurt again, recognize that this may be another “age or stage”. There may be new meaning and potential for healing here too … if we are willing to walk through it.


Originally published on Medium.com.