After a year of talking, planning, debating, and ruminating, I recently decided to make a big professional move, leaving a full time job to focus more on my private practice and the professional world of Lauren Schiffer Therapy. I gave my notice on a Friday and met a close friend for brunch on Sunday. We had a lot of catching up to do. She had been sick for a few weeks, so we hadn’t been able to see each other, I had been too busy at work to write anything close to a thoughtful e-mail, she had a recent dating fiasco to share and we had plans and details of a mutual friend’s upcoming wedding to discuss. As we were waiting for the check, I told her about my resignation. She was extremely happy and excited for me, but was also a bit shocked and teased, “Next time, when someone asks you what’s new, you lead with that.” She was right. This news was big, exciting, important, but for some reason it took me all of brunch to get to it.
In psychotherapy this is casually referred to as a “doorknob,” a very important statement, fact, or topic that a client brings up right at the end of the session, often literally when their hand is on the doorknob. The therapy session is almost over, and there isn’t enough time to sufficiently address the topic. There are many practical and theoretical explanations for the doorknob statement. Sometimes the client is embarrassed by the topic and has been trying to relax, get comfortable or gain enough courage to address the issue. Other times the client knows an issue will be important information in their treatment, but might not be ready to dig too deeply, so brings it up at the end. This can be an enormous relief, “Phew, I got that off my chest,” without being too overwhelming. Whether conscious or unconscious, it can even be a way to test the therapist’s reactions and boundaries. “If I think she’s judging me, at least the session is over and I can get out of there.” “Will she extend the session longer than normal if something big comes up with only five minutes left?” “Will she remember this for next time, even if I say it at the very end?”
This can be exasperating, funny or even scary for the therapist, depending on the statement. While each response needs to be tailored to the client and their needs, when there are no safety issues, I often let my client know that I think it is an important topic, thank them for brining it up, mention that we don’t have enough time to discuss it today, and explain that since it is so important, we should start with it next time. Then I make sure to start with it next time. If this becomes a pattern with a client, I will point this out, see if we can explore why important things don’t come up until the end, and find ways to address it.
In addition to my private practice, I also work at the health and counseling center of a large university. In a college setting the doorknob not only happens at the end of a session, but also to the end of the semester, the December Doorknob. For most of the school, the last few weeks in December are a ghost town. Students hand in final projects, sit for exams and then get the heck out of there. It’s a time for faculty and staff to finish grades, reflect, plan for next semester and maybe clean off their desks, if so inclined. But right until the last day, my colleagues in the counseling center are humming along, business as usual. We even have intake appointments the week after final exams are over, with students coming to share all the difficulties they’ve been having this semester on the day, or even morning before they head home for a three week break.
The most memorable December Doorknob this year was a client who came in for an intake appointment hours before she would be leaving for home for winter break, and three weeks before she would be leaving for a semester abroad. I could not help but feel frustrated, wondering why she waited until the last minute, wondering what she expected me to do for her in a one-shot appointment. After some reflection, I had to admit that a great deal of my exasperation came from my own sense of helplessness. Knowing that our work together would not continue, and the entire therapeutic relationship would consist of only 45 minutes, I didn’t feel there was anyway I could help her solve her problem, or make any changes. But it was the client herself that helped me remember how therapeutic even getting through the door can be explaining, “I promised myself I would come in and tell someone about this before the end of the semester and I wanted to keep that promise.” In that moment a December Doorknob takes on a different symbolic meaning, it becomes a fulfilled promise, the start of change, opening a new door.
As the year draws to an end, what are your doorknobs? What it that thing you keep meaning to do? What do you need to say? What is the promise you made to yourself? Instead of waiting for the new year to make resolutions, to put off making changes until the calendar changes, put your hand on the doorknob and turn.