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How to Tell If Therapy Is Actually Working: 4 Signs of an Effective Therapist

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Most people can't tell whether their therapy is working until they've spent months, and a lot of money, finding out. In this episode of The Shift Show , ShiftGrit founder and registered psychologist Andrea McTague sits down with Brendon Braithwaite , who came up through ShiftGrit's internship program and is now a staff mental health therapist. They get candid about what actually separates effective therapy from spinning your wheels, and the concrete signs you can look for, starting before you even commit. The conversation moves past the usual "is my therapist a good personal fit?" toward four markers that tell you far more: 1. A clear game plan. Can your therapist explain what therapy with them will actually look like, the intake, the early sessions, the framework underneath it? "We'll just get to know you and talk about your problems" is a red flag. 2. A moving needle. The thing you came in to work on should change, and not over a five-yea...

Starting Strong, Struggling to Sustain

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Feature image for the ShiftGrit Pattern Library: Starting Strong, Struggling to Sustain. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. Many people with ADHD or executive functioning differences find themselves starting strong on projects or goals, only to hit a wall when the novelty fades . This start-then-stall cycle is deeply frustrating and can fuel self-criticism. Understanding the psychological and environmental roots of this pattern is key to making sustainable change. Root Causes Behind the Struggle This pattern is rarely about laziness or a lack of willpower. At its core, it is often linked to underlying limiting beliefs, such as the persistent feeling that "I am defective" or the sense that "I am falling behind" compared to others. Emotional or physical factors often contribute, including chronic criticism or unrelenting standards from caregivers, or growing up in a household with high emotional volatility or neglec...

Watching Your Hairline Like It’s a Countdown

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Feature image for the ShiftGrit Pattern Library: Watching Your Hairline Like It’s a Countdown. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. For many, hair loss is not just a cosmetic worry, it strikes deep at the core of self-worth and identity. If you find yourself obsessively monitoring your hairline, the psychological impact of going bald may be more layered than it looks on the surface. Often, the distress tied to thinning hair stems from earlier experiences and limiting beliefs about attractiveness, acceptance, and value in society. Beyond the Hair: Social and Emotional Triggers Hair loss can activate longstanding beliefs such as “I am less than” , "I am unattractive" , or "I am unwanted" . External factors, like conditional approval or achievement-based worth , chronic or persistent criticism , and shaming , whether at home, in school, or in the media, can root these limiting beliefs from an early age. Social interaction...

Feeling Lonely Even Around People Who Love You

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Feature image for the ShiftGrit Pattern Library: Feeling Lonely Even Around People Who Love You. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. It can feel confusing and painful to experience loneliness even when surrounded by people who genuinely care for you. Feeling lonely around people who love you is more common than many realize. This disconnect is not always about the quality of your relationships, but often about deeper patterns and beliefs that shape your sense of connection and belonging. Understanding Loneliness in Close Relationships The ache of loneliness can persist despite caring partners, friends, or family. For some, this stems from long-standing internal scripts, such as the limiting belief of being alone or feeling unwanted . These beliefs often have roots in childhood environments where emotional closeness may have been uncertain or conditional. Repeated experiences with parental absence or inconsistent availability , emotional...

Going Back to Love That Never Feels Safe

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Feature image for the ShiftGrit Pattern Library: Going Back to Love That Never Feels Safe. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. On-again, off-again relationships often leave clients caught in a cycle of returning to love that never truly feels safe or secure. The feeling of being repeatedly drawn back is not about weak willpower or poor choices. According to ShiftGrit's overview of this pattern , this cycle is rooted in deeply held beliefs and early relational experiences that frame love as something to be earned rather than freely given. Why Unsafe Love Feels Familiar This recurring pull to unsafe relationships is shaped by limiting beliefs such as "I am not good enough" or "I am responsible" . For some, these beliefs develop in childhood through patterns like overvigilance and inhibition , where one becomes hyperaware of others' demands at the expense of their own needs. Many clients find that non-nurturing ...

Bracing for Rejection Before You Walk In

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Feature image for the ShiftGrit Pattern Library: Bracing for Rejection Before You Walk In. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. Feeling the anticipation of rejection before even entering a social setting is a common experience, one that impacts how we approach relationships, work, and everyday interactions. The mind rehearses possible outcomes, anxiously scanning for signs that you won't fit in or be accepted. For many, this hypervigilance results in physical tension, overthinking, and even avoidance, which can reinforce the limiting belief that rejection is not just likely, but inevitable. The Anticipatory Cycle of Rejection This fear often appears before a social event even begins, shaping our expectations and behaviour. You might find yourself stuck in the cycle of overvigilance, constantly looking for threats or signs of social failure. The Overvigilance/Inhibition pattern describes how this constant bracing for disappointment ca...

When Your Partner’s Affair Becomes a Verdict on You

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Feature image for the ShiftGrit Pattern Library: When Your Partner’s Affair Becomes a Verdict on You. Identity-Level Therapy framework, ShiftGrit Core Method (TM) and Reconditioning. If you're struggling with the emotional fallout of infidelity, it's common to internalize the betrayal, reading a partner’s affair as evidence that you were not enough. The ShiftGrit Pattern Library explores this painful experience on its in-depth page on when a partner’s affair becomes a verdict on you . Here, we examine how these patterns disrupt your sense of self, why they recur, and the steps toward meaningful recovery. Self-Blame After Infidelity Affairs challenge more than trust, they can destabilize self-worth and identity. That intrusive belief, “I am not good enough” , may surface or intensify after infidelity. When this limiting belief takes hold, the event becomes less about the partner's choices and more about perceived personal deficiencies. This cognitive distortion is often a...