Psychology, mental health, and recovery are often discussed in overly formal language, making the process of healing seem complex and intimidating. This can discourage people from believing in their ability to improve. However, beneath the jargon lies a straightforward approach that can effectively address most mental health challenges. While some neurological and genetic conditions may exist, they are less common than often assumed. Even these conditions can be managed and mitigated through a modified version of this approach.
Clinically speaking, early childhood trauma often leads to insecure attachment styles and maladaptive survival strategies. These strategies persist beyond their usefulness, evolving into mental health struggles. Once labeled as disorders—such as depression or anxiety—these struggles can seem beyond an individual’s control, reserved only for scientific intervention. The numerous diagnoses, treatment techniques, and theories, with their complex names, place intuitive ideas in the mysterious realm of advanced science. This can create the impression that the untrained have no business developing their own understanding of their challenges and how to address them.
However, the truth is that in the 1970s, psychiatrists reframed mental health and treatment to align with other medical disciplines in order to earn the respect of the medical community, which they lacked at the time. The writing of the DSM-III was driven by this desire for respect from other types of doctors, rather than a true need to create a more medical framework for mental illness. This was revealed in the book Mad in America by Robert Whitaker. What this tells us is that you should not feel intimidated by the complexity surrounding mental health and recovery. You may not even need professional assistance to recover, and I’ll describe a reliable method for doing so below.
A Crucial Caveat
This isn’t to propose that therapy and medication don’t have value. Medication is like a brace for a broken bone—it can reduce symptoms but rarely returns you to full health. Therapy, if you struggle to do it on your own, can help you recognize the link between your symptoms and formative experiences. A therapist can ease the effort of identifying problematic thoughts and behaviors, reprocessing emotions, and replacing old, harmful beliefs with healthier ones. Yet, the most significant work happens outside therapy sessions—something often overlooked. Many people struggle with therapy because they expect change to come solely from sessions rather than personal effort between them.
The first step in recovery is understanding that childhood neglect, mistreatment, or, less commonly, later trauma forces you to adopt coping mechanisms that, while useful at the time, become obstacles in adulthood. If you don’t recognize this, those outdated strategies can turn into persistent mental health challenges. However, once you connect your past experiences to your current struggles, you can begin to dismantle these beliefs. By observing your reactions and questioning their validity, you create space for healthier beliefs and behaviors. Practicing new, positive habits daily and consistently retelling your empowering story eventually replaces old patterns. If you find this process difficult, a therapist can help make it more manageable.
My Personal Journey
I know this firsthand. As a child, my hyperactivity led to expulsions, ridicule, and even family conflict. This chronic rejection convinced me I was worthless. By age 12, I learned to mask my true self and harbor a secret belief in my own excellence to combat the incessant negative feedback. This helped me navigate a relatively normal adolescence but left me terrified of rejection. After college, my insecurities resurfaced, leading to isolation and substance dependence. At 25, I realized I needed to take control of my life.
First, I identified the root of my self-worth issues: my childhood experiences. I saw how my belief in my unworthiness was a learned response, not a truth. From there, I began to unlearn my old self-image and replace it with a healthier one. To overcome my low self-worth and social anxiety, I exposed myself to public spaces and monitored my assumptions. I noticed that people weren’t judging me; they were focused on their own lives. I repeatedly reminded myself, “You are not being rejected.” I initiated small interactions—asking for the time, commenting on books—and tested whether people responded negatively. They didn’t. Each positive experience reinforced a new belief: I was not an outcast. Gradually, I built confidence, extended conversations, and formed relationships. When I made mistakes, I reminded myself that learning social skills is a universal process, not proof of my unworthiness.
Over time, my old beliefs no longer made sense. I had seen too much evidence disproving them. I was not broken; I was injured. I was not worthless; I’d been misunderstood. I observed this through my rehabilitation and reframed my story so often that it became impossible to deny. My recovery wasn’t easy—just as physical rehab isn’t—but it was absolutely possible.
Then, I addressed the impulsivity that had caused my rejections. Here, I was facing a neurological divergence, not the result of experience. I didn’t need to trace it to a cause in my history; I simply needed to do the work. I practiced balance exercises that forced me to stay present. I counted to ten repeatedly, refocusing whenever my mind wandered. I observed slow changes—like water cooling—that strengthened my patience and attention.
How Therapy and Techniques Often Overcomplicate the Process
Clinically, I applied techniques from cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), exposure therapy, narrative therapy, and psychiatric rehabilitation. But if I had initially been told I needed to apply all those seemingly advanced strategies, I might have felt helpless. If I had been confronted with terms like ADHD, insecure attachment, impaired top-down control, attenuated mesolimbic pathways, a hyper-active amygdala, multiple personality disorders, and substance use disorder, I might have believed that only highly trained professionals held the key to my recovery. I might have surrendered my own agency, feeling powerless to wield this complex science. Instead, I focused on what was within my control: doing the work.
The Path to Healing
Healing is not a mystery. In most cases, it begins with recognizing the link between past experiences and present struggles, then systematically disproving the harmful beliefs formed in response to trauma. You achieve this by setting small, attainable challenges and gradually building on them as you progress; by consistently invalidating old beliefs while telling and retelling a new, empowering story; and by practicing healthier behaviors that reshape your thinking. The world is not out to get you, and you are not inherently flawed. You are simply recovering from psychological injuries or, less commonly, adapting to a neurological divergence—much like recovering from physical ones—with patience, effort, and persistence.
Healing is not easy, but it is not beyond you. The key is to recognize that you are not dealing with a broken brain or an unchangeable personality; you are unlearning survival habits that no longer serve you. You are learning adaptive skills, just as you might learn any other skill. And with consistent effort, you can reclaim your mental well-being.
“Yet, the most significant work happens outside therapy sessions—something often overlooked”. “Healing is not easy, but it is not beyond you. The key is to recognize that you are not dealing with a broken brain or an unchangeable personality; you are unlearning survival habits that no longer serve you. You are learning adaptive skills, just as you might learn any other skill. And with consistent effort, you can reclaim your mental well-being.”
Great article, Mat. You are absolutely correct. Guide your own healing as you are expert. Don’t ever give that power away to professionals. Being a therapist means “empowering” clients not power over or control of them. Professionals can be helpful guides but the client does the heavy lifting. Counteracting the story, narrative one has is the key.
Report comment
Thinking you need a therapist is self-defeating.
Report comment
I agree, and this would be my criticism – it is YOU who healed Mat Costanzo through understanding yourself and the nature of your struggles, and your self-insight shows in this article, but thinking you need a therapist to heal just derails you and delivers you into the hands of useless vampires that exploit you financially by taking responsibility for a healing process that naturally is self-healing, not being healed by the infinite wisdom of some socially conditioned computer brained factory farm therapist or psychiatrist. I know you get this Birdsong and have been chirping this all along but others don’t seem to be grasping this important point! So mental health treatment is an obstacle to self-healing. Human to human, honest conversations are always healing, but being an honest human being is not a profession!
Report comment
“being an honest human being is not a profession!” isn’t that a sad truth of reality?
But us truth tellers, will not be so easily silenced.
Report comment
LOVE that you say, “being an honest human being is not a profession”!
Mat’s emphasis on self-healing resonates with me, but the fact that he’s turned it into a career makes me wonder about his sincerity.
Report comment
I respect that observation, though the goal of the career is to work to change the dominant paradigm. I believe in activism both within and outside of the system. Believe me, I’m a chronic thorn in the side of the system I work in. I’m here to work for the recovery model. It needs advocacy on the structural level or people will just continue to be funneled into the systems that exist today.
Report comment
Keep up the good work.
Report comment
Keep fightin Matt! Its good you are a thorn in their effed up druggie system!
Report comment
Soldiers trading war stories over a drink or smoke is peer counseling. Been happening since before history. Mom, Dad and I were all USAF NCOs. Born on base in England. Class of 1971 Yamato HS. In between Dad did two years in Vietnam. Started veterans counseling 1976. Psych degree 1981. 2012 closed VVAW office to care for disabled wife.
2005 rich folks wanted to pay vets to do peer counseling outside VA. They required them to have certification. There were no vet specific training program. Founded Vet Net, got pledges for $500,000, put them in contact with DBSA, Depression Bipolar Support Alliance. They created curriculum and started training.
Thousands of vets are alive now who wouldn’t be without the work of their fellow vets.
Report comment
This statement is not universal:
“The first step in recovery is understanding that childhood neglect, mistreatment, or, less commonly, later trauma forces you to adopt coping mechanisms that, while useful at the time, become obstacles in adulthood.”
The first step in recovery is recognizing that you have one life—just one. No matter what you’ve been through—whether your past has been good, bad, or somewhere in between—you are here now. The question is: how do you make the most of this life, this once-in-a-lifetime moment, to take even one step forward?
And as for the idea that childhood experiences are a fixed template for your entire life—that’s a Western construct. Try telling that to someone who was born into slavery in American history. That narrative erases resilience and choice. It’s not healing—it’s gaslighting
Report comment