Above all, the spiral approach is relational at its core. It recognises that mental health exists in a field of relationships—between neuron and neuron, between child and parent, between therapist and client, and even between humans and the larger ecology. Healing moves in spirals, not straight lines.
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By tuning into these sensations (rather than ignoring them), I gain clues into what the client might be feeling beneath the surface. It's like having an extra antenna for empathy.
We are, in a very real sense, reflections in a shared human mirror. Therapy is thus not just two individuals exchanging words, but two open nervous systems engaging in a reciprocal dance, each influencing the other. This attunement is not merely a theoretical concept but a palpable neurobiological process, where the therapist's empathetic resonance helps to activate and reorganize the client's own neural pathways for connection and self-regulation.
Sarah, a 32-year-old marketing executive, sought therapy for debilitating social anxiety that was affecting her work performance. She described feeling "transparent"—as if everyone could see her nervousness and was judging her harshly. In meetings, she would over-analyse her every word and gesture, becoming increasingly self-conscious and unable to focus on the actual content of discussions. This constant internal monitoring left her exhausted, unable to fully engage with life or form genuine connections. Beyond professional settings, Sarah found herself increasingly isolated. Invitations to social gatherings were declined, and the idea of dating filled her with dread. The fear of being 'seen' and judged extended to every aspect of her life, creating a suffocating sense of loneliness despite her professional success.