A Personal Perspective: The Gestalt therapy session that helped me the most.


When I was at my lowest point with intense anxiety and depression, a Gestalt therapy brain exercise changed my life for the better.

Steve, my husband of 12 years, had passed away eight months prior from very aggressive brain cancer and life had lost its meaning.

Who was I without him? Why should I continue working in my private practice? For whom? We had no children (I used to explain that we had no children because, after 12 years of marriage, we were still on our honeymoon). Should I even continue living? Chances that I would find a man I could be in love with as much as I was in love with Steve were minimal. My future looked grim. Grim was not the right term. It was pitch-black.

Being a physician and prescribing medications, I knew I probably needed to take an antidepressant treatment. Yet, I resisted: “Let me try one more thing. Let me try Gestalt therapy.”

Gestalt therapy is a form of psychotherapy (developed by Fritz Perls) that brings awareness to the present moment. Gestalt therapy makes you focus on what you are feeling inside your body in the moment and on what random thoughts are attached to those feelings.

I was familiar with Gestalt therapy because I had done several sessions myself in the past and had successfully treated several of my patients suffering from anxiety.

I decided to visit my Gestalt therapist.

Bringing my awareness to my body after making me breathe deeply and relax, my Gestalt therapist asked me what I was feeling. I said that my stomach, chest, and throat felt tight.

Was there a random image associated with that feeling?

I could only see pitch-black all around with no light anywhere in my life, and I felt chained to a huge heavy black ball. I tried to look away from the dark but couldn’t. The huge black ball became the only thing I could see.

At this point, my therapist pushed me to do one Gestalt exercise that changed my life. For that exercise, my therapist said, I had to come from the point of view of curiosity, full acceptance and embrace whatever I would discover, and trust that it would get me to a better place.

My therapist said, “Since you can’t go away from the dark, let’s go into the dark and describe what you see.”

It was a very scary exercise. I wouldn’t recommend doing that exercise alone, but you can do it with a therapist guiding you.

And into the dark, my therapist by my side, I dove.

For a long time, I couldn’t see anything but black, but my therapist told me to continue looking into the black ball, to imagine going deeper into it and seeing it in more detail. What was the ball made of? Was it homogeneous or not? Were there different stones in there?


As I continued looking into the dark with my eyes closed, I began seeing different shades of black. The ball wasn’t homogenous. I found that fascinating.

As I continued going deeper, like looking through an imaginary microscope, a few scintillating dots appeared. I focused on the dots. They were like golden stars in a black sky.

As I kept my eyes closed, the few scintillating dots transformed into gold. After a few minutes, the gold was so bright that it was the only thing I could see. I was astonished to see how ugly the ball was from the outside but how beautiful it was inside.

I was also astonished that the tightness in my stomach, chest, and throat had lifted. I was actually feeling quite good.

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