In the day and age where the reliance on evidence-based approaches in the therapeutic space are widely utilized to treat those suffering with an array of struggles, we need to keep in mind that the structure and the formulation of care is only part of the key to providing well-rounded and empathic treatment for those in need.
A phenomenon I have noticed while working in the field with a diverse population of individuals is the human drive to have certainty. Certainty has a differing meaning from individual to individual. In other words, one can argue that there is no one certainty. Some might say that death is as certain as it gets—but even then, there are those who believe in some type of existence after we draw our last breath. So, when it comes to the human experience, is there anything truly certain? The answer is dependent on you and how you make meaning of your experiences.
As an active, practicing counselor, I cannot help but notice a common thread amongst those that I have worked with and am continuing to work with. That common thread being some level of discomfort with uncertainty. The manifestation of pain that derives from this discomfort reveals itself uniquely from individual to individual. At times it shows itself as anxiousness about the past, present, or future. Other times it shows itself as obsessive thought patterns fueling compulsive actions to gain a fleeting sense of control. Then there are the times it shows itself by robbing one of hope, ultimately leading to a sense of despair and a melancholic outlook. It comes in an infinite number of disguises, some of which we have identified and categorized. We commonly refer to these as psychological diagnoses. We have Generalized Anxiety, Obsessive-Compulsive Disorder, Major Depression… basically, from my point of view, the Diagnostic and Statistical Manual of Mental Disorder (DSM) is a guide to understanding the unique variations of the manifestation of uncertainty within the human presence.
