Tag: nervous system

  • Your Brain Isn’t Male or Female. So, Why Are People Still Selling You That Story?

    A cracked anatomical brain sculpture viewed from above, split down the centre to reveal grey matter underneath. Male and female gender symbols are embedded in the outer surface, both rusting and breaking apart with the shell.

    On neuroscience, neurosexism, circular arguments, and what actually helps in a therapy room.


    It was around 2018. I was sitting in a module on my counselling training course, watching a tutor walk us through exercises built on the idea that the left and right hemispheres of the brain do fundamentally different things. I was uncomfortable. I knew this had been debunked years earlier. When we broke into small groups, I said so.

    The response I got was something like: “It’s just a metaphor.”

    I didn’t find that acceptable then, and I don’t now. A metaphor that borrows the authority of neuroscience to push a particular way of working isn’t a metaphor. It’s a marketing claim dressed up in designer clothes.

    I already knew what a brain binary viewpoint cost

    By the time I sat in that training room, I’d had fifty years to think about what happens when you sort people into categories and tell them their biology explains it.

    At Grammar school in the 1960s, the binary was explicit. Boys studied sciences and woodwork. Girls studied arts and home economics. I was a boy who spent every hour I could playing guitar, writing songs and poetry, drawing and painting. The school’s message was consistent. I should be heading towards sciences, engineering, towards something suitably male.

    I didn’t cooperate. I followed their agenda and failed fast. I left school with almost no qualifications and spent the next decade teaching myself the things I’d actually wanted to learn. The further I got from the state system, the more accessible real education became.

    That was social pressure enforcing a binary. Nobody was talking about brain science then.

    The circular argument hiding in plain sight

    Here’s the problem at the centre of the male/female brain industry. It has become a circular argument.

    The research finds minor statistical differences in brains that have already spent decades being shaped by social conditioning. Girls steered towards language and relationships. Boys steered towards spatial reasoning and independence. Generations of different experience, different expectation, different permission. And then researchers scan those brains, find some small average differences, and present those differences as the explanation for the social conditions that produced them.

    That’s a circular argument. The conditioning comes first. The differences, such as they are, come after. Nobody can tell you what brains would look like without the conditioning, because no brain has ever developed without it. And nobody can tell you what those differences might look like in fifty years, as expectations shift and more people are permitted to be more fully themselves.

    Cordelia Fine, who coined the term neurosexism, spent two books systematically dismantling these claims. Researchers like Daphna Joel have since shown that when you look at actual individual brains rather than group averages, you find a mosaic: each brain is a unique combination of features, and the overlap between males and females on almost every measure is enormous. The variation within any gender category dwarfs the average difference between categories. Knowing someone’s gender tells you almost nothing reliable about how their brain works.

    The binary is a social category being laundered through neuroscience.

    The story of brain binaries

    This isn’t new. For decades, the wellness and self-help industry has been built, at least partly, on the idea that brains divide neatly into camps. Left brain versus right brain. Male brain versus female brain. The model changes; the logic stays the same. Take a real but complicated picture, flatten it into two categories, and sell people a route from one to the other.

    The left-brain/right-brain model had a long run. By the time it was being taught on my counselling course, the neuroscience community had largely moved on. The actual research shows that almost everything we do cognitively involves both hemispheres working together. The division was always a simplification; it became mythology.

    The male/female brain version is following the same arc, just more slowly. And when you look at who’s producing this content, it’s worth spending thirty seconds on what’s attached to it. Often there’s a workshop programme, a supplement range, or both. The bold claim about your brain type is the unique selling point. It’s what makes the product feel necessary.

    What I see when it arrives in my therapy room

    This material circulates heavily in relationship spaces. Couples come in having absorbed it. And when they do, it tends to function as a way out of a harder conversation.

    Rather than sitting with a particular behaviour as something specific and personal, rooted in someone’s history, their upbringing, their culture, the ways they learned to survive, it gets explained away as “that’s just how men are” or “it’s my female brain.” The behaviour becomes fixed, inevitable, outside the reach of curiosity or change. I’ve noticed how often that move relieves anxiety in the short term and shuts down real work in the longer term.

    I’ve also sat with clients who’ve spent time and money following these threads. They’ve done the programmes, bought the products, and ended up in a therapy room saying none of it worked. The question they usually arrive with is: “What’s wrong with me?”

    Nothing is wrong with them. Something is wrong with the premise they were sold.

    What actually helps

    The wellness industry’s version of this problem and the neuroscience industry’s version share the same shape. Both offer you a category to belong to, a framework that explains you, and then a product or a programme to help you work within it. Both require sustained effort: researching, optimising, tracking, striving. The category does the work of making the striving feel necessary.

    What I notice in the therapy room runs in the opposite direction entirely. The moments that matter tend to involve people becoming less busy, not more. Less convinced that the right framework will finally unlock them. More able to simply be present to what’s actually there.

    Nervous system regulation isn’t a metaphor or a supplement. When someone feels genuinely safe, something opens that no brain category can open for them. That’s the ground on which real change happens, and it can’t be reached through effort. It can only be reached by reducing the pressure, relaxing into life rather than powering headfirst into it.

    Your brain isn’t male or female. It’s uniquely yours, shaped by everything that’s happened to you, still capable of change. That’s a considerably more demanding thing to sit with than a binary. It’s also the only place the real work starts.


  • Why Are So Many Men Dying by Suicide?

    Middle-aged man sitting alone at a kitchen table looking out at rain, untouched cup of tea beside him — male isolation and mental health

    I work with a lot of men, both individually and in couples. It’s not unusual, often several weeks in, for a man to describe either a suicide attempt, a threat he’s made to take his own life, or a period of days, weeks or months when suicidal thoughts have been running around in his head. Often, he’s never shared this with anyone else before sharing it with me. It’s as if there’s nowhere for these thoughts to go. And even coming to therapy wasn’t specifically about suicide. It was much more about relationships, about how to be a man, about how to fit into the world that Western society has created for men.

    In the UK, men account for around three-quarters of all suicide deaths. Middle-aged men are consistently the highest risk group. Suicide is the biggest killer of men under 50 in the UK. Around 15 men die every day, taking their own lives. Those numbers are shocking, but they don’t tell you what it actually feels like to be that man. This piece is about that.

    What the culture teaches men

    In white Western culture, men are discouraged from emotional language, particularly in connection with themselves. They’re permitted emotional expression around football, or in the currency of male banter, but the deeper register is closed off early. This does not mean they have no capacity for emotional language, just that they have not been encouraged to use it.

    I turned eighteen, and my father invited me to the pub. Before we went in, he said: No sex, religion or politics. He went to the pub most nights and rarely talked about anything emotional. He’d raise his glass and say, ” Don’t let the bastards get you down”. It seemed he didn’t begin to have an emotional life he could actually talk about until he was retired, tending his garden, and several years sober. That was his generation, but I don’t think it’s as different now as we’d like to believe.

    What that cultural shaping produces is something I see clearly in the men who sit across from me. It no longer surprises me that when a man begins talking about his relationships, the patterns, the reason he’s turned to alcohol or something else to numb the pain, we quickly arrive somewhere unexpected.

    It’s like I’m talking with a seven-year-old boy who just wants to do his best but doesn’t know how he’s supposed to be or what he’s supposed to do. Without good guidance, he made some poor decisions, and those decisions are now making his life miserable. He didn’t fail. He was never taught.

    When the performance becomes unsustainable

    Male friendships and networks often function only while everyone’s performing a version of okayness. The pub, the workplace, the football: all of it is conditional on not needing anything real from each other. The moment genuine vulnerability appears, the network has nowhere to put it.

    This became unsustainable for me in my twenties. I was drinking too much, driving cars too fast, writing one off, making poor choices in relationships, feeling like life was driving me somewhere I didn’t want to go, rather than me being in the driving seat. By great good fortune, I met my lifelong partner and moved away from the city. But it’s noticeable that I retained no friendships, no connections from that time. No one checked in on me once I’d moved away. Not one person.

    That’s not unusual. It’s the ordinary texture of male isolation.

    What happens in the body

    When a man has spent decades learning it’s not safe to be seen as he really is, the people around him feel they don’t know him. They can’t predict his reactions. They sense a coldness or distance, even if they can’t name it.

    I spent many years with what I can only describe as a limiter: something that stopped me from being fully seen. What that meant in practice was staying in jobs where I wasn’t fulfilled, resenting what I was doing, rather than speaking out and moving on to something better suited to me. I see versions of this constantly: men who can’t make decisions, men who feel like a disappointment to everyone, men who carry a secret conviction that something is broken about them that nobody must discover, or they’ll use it against them.

    In the body, this shows up as tightness and reactivity. When those feelings become overwhelming, some survival action is taken: withdrawing, disappearing, or self-medicating. Sometimes something more final.

    Why men don’t come to therapy

    The cultural script says that need equals weakness. Asking for help is a confession of failure.

    Many men arrive in therapy only when crisis forces them: a relationship ending, a breakdown, a moment that couldn’t be hidden any longer.

    Some arrive earlier, if the framing feels right. What tends to work is an approach that’s practical and non-pathologising, that’s curious about experience rather than focused on diagnosis, that doesn’t require a man to already have the language for what he’s feeling before he walks through the door.

    Therapy isn’t another set of rules or requirements to stick to. It’s a space where a man can begin to recognise his actual wants and desires, how to regulate his own emotions, and how to choose connection rather than push the people around him away. That connection begins with connecting with yourself. And in my experience, that’s what gives life its purpose and meaning.

    If you’re reading this

    If you’ve been holding something alone for a long time, it’s worth a conversation. You don’t need to know what to say or how to say it. You can make contact, and we can take it from there.

    If you’re affected by anything in this article

    If you’re struggling right now, you don’t have to manage it alone.

    In the UK, you can contact the Samaritans any time, day or night, on 116 123 — calls are free.

    CALM (Campaign Against Living Miserably) runs a helpline for men at 0800 58 58 58, open 5pm to midnight every day, and also offers a webchat if calling feels like too much.

  • Are You Stuck in a Pattern of Your Own Making?

    The Locked Brain and the Surfboard

    A brain locked in a pattern of its own making, A free surfing brain.

    Look at the image at the top of this post. Have you ever felt stuck in a pattern, just like this image suggests?

    On the left, a skull, chained and padlocked, sealed inside a glass case. On the right, a living brain, richly coloured, roots trailing like a nervous system still reaching, perched on a surfboard.

    I’ve been sitting with that image all week. It does something that a thousand words of neuroscience struggle to do. It says it in one frame.

    What neuroscience is telling us about trauma and the brain

    Recent advances in our understanding of the brain have given us a useful idea. In a healthy mind, neural networks move fluidly between states, integrating, separating, reconfiguring in response to what’s happening. The system is flexible. It can be surprised, moved, changed by experience, and return to itself afterwards.

    Neuroscientists call that metastability.

    Trauma destroys it. The brain locks into a narrow loop, stuck on one channel, unable to shift. Not because something is stored in the tissue, but because the system has learned that movement itself is dangerous. Stay still. Stay defended. Stay right.

    That’s the skull in the glass case. And the padlock, if you look carefully, is on the inside.

    The ocean, the board, and what I learned before I had words for it

    I grew up in Bude. The sound of the ocean was a constant companion; I could just peek it from my attic window. I learned to read weather in it before I knew what I was doing: the ebb and flow, the change in rhythm before a storm. There was information in that sound, and something settling in it too. I didn’t have the word for it then, but I was learning something about what it means to move with what’s coming rather than brace against it.

    Many of my clients surf. It would surprise me if they didn’t. We live on the North Cornwall coast, and the sea is always there. I understand the flow state they’re describing, that quality of complete absorption where thinking stops and something else takes over. For me, it’s jazz piano. Facing the technical demands of the music, at a certain point, I’m no longer planning or deciding. I’m simply in it, and whatever wants to come out comes out. The board and the keys are different instruments for the same thing: the brain finding its way back to the freedom of childhood imagination.

    When guilt becomes the padlock

    Can you imagine a client whose flow state is surfing, and yet he can barely get to the beach? Not because of injury or illness. Because the responsibilities of work and family have slowly closed around him, and somewhere in that closing, pleasure started to feel like selfishness. The paddle out, the hour in the water, the thing that restores him most reliably, now arrives wrapped in guilt. So he doesn’t go. The padlock goes back on, this time not from trauma in any clinical sense, but from the accumulated weight of obligation and the gradual withdrawal of giving himself permission to be fully alive.

    That’s metastability collapsing in ordinary life. The system can’t move toward what would restore it because moving has come to feel dangerous, self-indulgent, and wrong.

    When being right becomes a matter of survival

    And then there’s a different kind of locked brain. Can you imagine a client who must never lose an argument? Not because they’re arrogant, but because somewhere along the way, losing ground came to feel like losing themselves entirely. The self is too fragile to risk contact without armour. So arguments get created where none exist. Positions get defended past the point of reason. And the people around them, partners, friends, colleagues, gradually stop trying to reach them. The very rigidity designed to protect the self ends up isolating it.

    That’s the glass case with the padlock on the inside. The system can’t be moved, can’t be influenced without feeling annihilated, and can’t lose an argument and still find itself intact on the other side.

    Two very different people. The same image.

    What the therapy room actually offers

    What the therapy room offers, when it’s working, is a place where movement becomes possible again. Where the client who’s locked out his own pleasure can sit with someone who takes his aliveness seriously. Where the client who can’t lose an argument can be genuinely met without being beaten, and discover that the ground doesn’t disappear when they yield a little.

    That’s not technique. It’s not cognitive retraining or processing stored content. It’s the therapist being present enough, free enough in themselves, to model what metastability actually feels like in a human body, in a room, in a relationship. The surfer who knows how to ride uncertainty rather than lock it away.

    Healing isn’t excavation. It’s the return of movement.

    Neuroscience is catching up with what relational practitioners have always known. Flexibility, genuine contact, the productive uncertainty of real relationship: these aren’t nice extras. They’re the thing itself.

    The brain on the surfboard isn’t free because nothing bad ever happened to it. It’s free because it has learned to move again.

  • I’m a therapist: Why I Still Go to Therapy

    Personal Therapy for therapists. A man seated and composed , a double exposure with stormy seas.

    A personal account of what personal therapy makes possible in the consulting room

    Eight years ago, my daughter died by suicide. That fact sits in the room with me every time I work with a client. Most of my long-term clients know it. It’s not something I hide, and it’s not something I’ve resolved. It’s something I carry, and part of my job is to know, at any given moment, how I’m carrying it.

    This article is about one session where that carrying became difficult, what happened next, and why I believe the answer to the question “Do I really need personal therapy?” is, for most therapists, yes.

    Something in the room

    A client I have worked with for some time was talking about the circumstances around her partner’s suicide. She knows about my daughter. That’s part of how we work; I use disclosure as a relational tool, and she had found it useful to know that I had some personal proximity to the kind of loss she was carrying.

    As the session progressed, I became aware of growing anxiety in my body. Not thought-level anxiety, the kind you can reason with, but something lower and more physical. I realised she was building towards telling me the specific details of how her partner was found.

    I asked her to stop, just for a moment. I needed to regulate. I sat with what was happening in my nervous system, and then I was honest with her: I asked whether we could skirt around those particular details, at least for now. She understood immediately. She was not distressed by the request. Because we had a relational contract, because she knew something of my history, and because I had named what was happening rather than trying to manage it covertly, we could make a joint decision about how to proceed. That’s how I work.

    But the session left something unfinished in me.

    The next morning

    I had a fortnightly appointment with my personal therapist the following morning. I’ve been seeing her for five years. I didn’t know what I was going to bring; I rarely do. What was most alive when I woke was a dream.

    In the dream I was in a war zone. There was chaos around me. I was carrying a large assault rifle and being pursued. I took shelter in a cafe. A few minutes later one of my pursuers came in and sat down, ordered coffee, appeared to settle. I was standing in the corner, my rifle propped beside me, and I had to remain still and upright in order to keep it concealed.

    My therapist asked me how I had felt on waking from the dream. I told her: calm. Not relieved, not shaken, calm. In the dream I had known what I needed to do and I had been doing it. She asked whether there was any present-day connection. I went straight back to the session the day before.

    What the body was holding

    We began to look at my nervous system response in that session: the anxiety, the physical signal, the decision to stop. The obvious thread led to my daughter’s death. And as we followed it, I realised something I had not consciously registered before: I had never told anyone the specific details of how she was found. Not my own therapist, not my supervisor, not anyone.

    I’m not going to tell you those details here. But I want to tell you what happened when I told her.

    I asked my therapist if it was all right to go through it. She held the space. With a great deal of shaking and trembling, I told her everything. As the account came out of me, something began to shift in my body. By the time I had finished, it was as though something in my nervous system had dissolved, or at least loosened its grip. The weight of those specific images, held silently for eight years, had been witnessed.

    My supervisor cannot do that work with me. Supervision holds the work; it is where I bring clinical material, ethical questions, and relational dynamics I cannot see clearly. But when something is lodged not in my thinking but in my body, supervision is not the right container. My supervisor has said to me on more than one occasion: “You should take that to personal therapy.” She is right to say it.

    What this makes possible

    After that session with my therapist, I knew what I wanted to do. I wanted to be able to offer my client the quality of listening I had withheld. Not because I had been wrong to stop, I had been right to stop, but because I now had more capacity than I had before. Something had been processed that had been blocking me. Next time we meet, I’ll share something of that process with her. We will decide together, as we always do, how to proceed.

    This is what personal therapy makes possible. Not the absence of response, therapists are human beings, and we respond, but the ability to stay present with what is difficult rather than being pulled under by it. The difference between a nervous system that can be with a client’s account and one that cannot is not intelligence or training. It is the degree to which our own unprocessed material has been worked with.

    If you’re carrying something and you haven’t given it a proper place to land, it will find one in the room. It will show up in what you cannot hear, what you deflect, what you subtly redirect. Your clients will feel it even when they cannot name it.

    A professional necessity, not a personal indulgence

    There are therapists who treat personal therapy as a requirement to be fulfilled during training and then quietly set aside. I understand the logic: time is limited, fees accumulate, and once you’re qualified the external pressure disappears. But the argument for continuing is not about compliance. It’s about what you’re actually offering in the room.

    I have been in practice for a number of years. I still carry material that surfaces unexpectedly. I still dream things that turn out to be directly connected to my clinical work. I still need a space where I’m the client and someone else is holding the frame. That’s not a sign of inadequacy; it’s a sign of ongoing engagement with the work.

    I don’t go to therapy purely for my own benefit. I go to be in a position to serve my clients better.

    If this article has brought up difficult feelings

    This article discusses suicide and suicide bereavement. If you’re struggling, please reach out.

    Samaritans

    Free, confidential support available 24 hours a day, 7 days a week.

    Call 116 123 · jo@samaritans.org


    SOBS — Survivors of Bereavement by Suicide

    Peer support from people who have been bereaved by suicide.

    Call 0300 111 5065 · Monday to Friday, 9am–9pm

    More crisis support resources on my Help and Support page →

  • 5 Essential Therapy Insights for Personal Change

    How I Work:

    Five Everyday Essentials That Support Change in Therapy


    When people think about therapy, they often imagine big breakthroughs or sudden moments of clarity. In my experience, the real change is quieter. It grows through small shifts that slowly reshape how you feel, how you relate, and how you understand yourself.

    Over time I have noticed five everyday movements that help people move toward steadier, more grounded living. They are not rules or techniques. They are simply the patterns that tend to emerge when therapy feels safe and supportive.

    If you would like the full article, you can download it here:


    1. Recognising emotional signals


    Many people arrive in therapy thinking they only feel things when they are overwhelmed. But there are often earlier signs. A breath that tightens. A flutter in the stomach. A sense of heat rising. Therapy helps you notice these small cues without judging them. When you can recognise what your body is telling you, you gain more choice and more space to respond.


    2. Exploring relationship patterns


    We all learn how to relate to others in childhood. Those early patterns often follow us into adult life, even when the original situations have changed. You might find yourself walking on eggshells around a partner or boss in the same way you once did as a child. Therapy offers a safe place to look at these patterns with curiosity and compassion. When you understand where they came from, you have more freedom to relate in new ways.


    3. Sitting with discomfort


    Difficult emotions do not always need to be fixed or pushed away. Sometimes the most healing thing is to stay with a feeling for a moment, connected to yourself and your breath. This is not the same as tolerating pain. It is about noticing what comes up without running from it or turning against yourself. Many people find that this simple practice becomes a turning point in therapy.


    4. Understanding protective parts


    When you start to notice your reactions more clearly, you may see that the parts of you that panic, shut down or flare up are not flaws. They are protective responses that made sense at another time in your life. Therapy helps these parts feel safer so they can soften and update. The aim is not to remove them but to understand them, so they no longer have to work so hard.


    5. Valuing small changes


    Change rarely arrives in one big moment. More often it comes from small, steady shifts that build over time. A breath before reacting. A clearer boundary. A kinder inner voice. A new understanding of what you need. Therapy supports these micro-movements because they are the ones that last.


    For a deeper exploration of these themes, you can read the full article here:


    My integrative approach


    Many influences have shaped my way of working. Writers, researchers and therapists across the field have shaped how I think about change. I draw on relational, psychodynamic, and body-based ideas, but I do not follow a rigid method. Instead, I weave together the threads that support each person in front of me.


    Just as clients gently unfurl, I do as well. My work continues to evolve as I learn, reflect and meet each person as who they are. Therapy is not a fixed process. It is a relationship. It is two people unfolding at their own pace, finding steadier ways forward together.