Christina Uong Christina Uong

Self-Worth: How To Feel Valuable Without Constant Achievement

One of the most common patterns I encounter in my practice is the struggle with self-worth. Most of us have been trained to believe that self-worth is a reward. Do more, achieve more, accomplish more, and you'll feel good about yourself. Fail, fall behind, or rest for a moment, and suddenly you are worthless. It's a rhythm that drives millions of people, but it's also a trap.

The Problem with Achievement-Based Worth

The problem isn't ambition itself; rather, it is the belief that your value depends entirely on constant achievements. When self-esteem hinges on achievement, it becomes fragile. But what if self-worth didn't have to work that way? What if feeling valuable didn't require accomplishments or the approval of others?

Recognizing Achievement as Just One Lens

The first step is recognizing that achievement is just one lens for measuring life. Success, accolades, and progress are external signals, they reflect effort in the world, not inherent value. Your mind can trick you into thinking that what you do defines who you are, but that equation is flawed. It's like assuming a tree only has worth if it bears fruit every season. A tree still exists, grows, and contributes to its environment even when not producing. People, too, have intrinsic value that persists whether they are performing or resting.

Separating Identity from Output

Once this distinction is clear, the next step is separating identity from output. Instead of asking "Am I enough?" in relation to tasks, start asking, "Who am I at my core?" This requires paying attention to moments when you feel steady, content, or engaged without pressure. It could be reading a book, observing nature, or simply sitting quietly. These activities aren't achievements in the conventional sense, but they provide data about what you find meaningful, what aligns with your values, and how your mind works when it's not under the weight of constant expectation. Slowly, the practice of noticing your own existence, your preferences, and your capacities begins to build a sense of worth that is independent of output.

Valuing Effort Without Outcome

Another important element is acknowledging effort without outcome as enough. When you approach life with curiosity, persistence, or even experimentation, you are already engaging with the world meaningfully. The results may not always match your expectations, but the process itself has value. This mindset reduces the emotional volatility tied to success or failure because self-worth is no longer a mirror reflecting achievement—it becomes a steady baseline built of presence, reflection, and intentional engagement with your own life.

Responding to Setbacks Differently

Finally, this approach changes the way you respond to setbacks. If your identity isn't chained to external success, failure doesn't feel like collapse. Each challenge or disappointment provides insight into your priorities, habits, and limits. Self-esteem becomes a feedback system, not a scoreboard. Over time, you start to internalize the truth that your value isn't conditional. It's a constant that exists whether you're resting, learning, failing, or excelling.

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Christina Uong Christina Uong

The Collective Struggle of a Nation: When Politics Becomes Trauma

A Collective Struggle

I recently attended a seminar discussing something we're witnessing over these past few years, at an unprecedented scale: people are experiencing collective trauma triggered by our current political climate. This isn't just affecting patients, clinicians are struggling too, managing our own anxiety and sense of powerlessness.

What concerns me most is how many people have stopped engaging with facts altogether. It's easier not to think critically, and it feels safer to trust those in authority, even when they're spreading misinformation. On a national and global level, it is deeply frightening. We're being bombarded with one troubling incident after another, creating a constant state of bracing for the next disaster. This relentless cycle is itself a form of trauma.

When Current Events Trigger Past Wounds

I've noticed a significant shift in my clinical practice. More clients are reporting anxiety, powerlessness, restlessness, and fear. They're struggling with sleep and feeling scattered in ways they've never experienced. What's particularly striking is when people suddenly recognize these symptoms in themselves; symptoms that weren't present before in their adult lives.

For those with childhood or adolescent trauma, today's political landscape is especially dangerous. It's like navigating a minefield of ongoing triggers that reawaken buried wounds. People find themselves reacting as they once did when they were young and defenseless.

What I Recommend to My Clients: Finding Empathy in Divisive Times

One antidote to the powerlessness and divisiveness we're experiencing is cultivating empathy, both for ourselves and others. In a political climate that often demands we choose sides and dehumanize those who disagree with us, practicing empathy offers something radically different. It doesn't mean condoning harmful actions or abandoning your values. Rather, it means recognizing the fear, pain, and vulnerability in people, even those whose views upset us. When we can step back from the reactionary stance that keeps us braced for the next trauma and instead connect with our shared humanity, we create small pockets of healing. Empathy can feel like an act of resistance against the dehumanization happening around us—a way of reclaiming our capacity to feel and connect rather than just react and defend.

Furthermore, I encourage people to limit their news consumption if it's affecting their ability to function. That said, I recognize that therapy can be a crucial safe space during chaotic times.

For everyone right now, clients and therapists alike, having a solid support system and practicing self-care isn't optional. It's essential.

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Christina Uong Christina Uong

The Therapeutic Relationship as a Catalyst for Personal Growth

It all begins with an idea.

From Theory to Practice: How Psychotherapy Has Evolved

For decades, psychotherapists operated under a foundational assumption: they were neutral observers, blank canvases on which clients projected their unresolved childhood conflicts and family dynamics. This model treated the therapist as a detached screen for transference rather than an active participant in the healing process.

Today's understanding is fundamentally different. We now recognize that the authentic relationship between therapist and client is not peripheral to treatment—it is often the primary vehicle for meaningful, lasting change. Both participants arrive with their own deeply ingrained relational patterns, shaped by early family experiences and unconscious patterns developed throughout their lives. These invisible patterns inevitably influence how they interact with one another.

The Critical Art of Paying Attention

This shift in perspective places heightened responsibility on therapists to remain attuned to the subtle moments, reactions, and unspoken dynamics that emerge in session. What might appear to be a simple therapist error or an inconsequential interaction could actually signal something profound about the client's relational world.

When we miss these signals, the consequences can be severe. A therapist's inattention might inadvertently perpetuate the very unhealthy patterns a client is seeking to resolve. Worse, it may push a client away from treatment entirely, just when they're beginning to open up about their deepest struggles.

A Personal Case Study: When Mistakes Become Meaningful

I experienced this firsthand when I made a rare scheduling error (twice) with one particular client. Years of error-free scheduling made it striking when I made the same mistake twice with one client. This break in pattern felt significant.

Rather than dismissing these mistakes as mere administrative oversights, I saw them as a window into something deeper happening between us. When I brought this up with my client, we discovered something revealing: throughout his life, his parents and friends had consistently made him feel like an afterthought. By unconsciously recreating this experience within our sessions, we had uncovered a core relational wound.

What could have derailed his therapy became instead a turning point. This enactment illuminated his patterns in a way that words alone never could have, transforming a potential rupture into a crucial breakthrough in his treatment.

The Relationship as the Medicine

In my experience, the therapeutic relationship itself holds transformative power. I sometimes wonder whether the specific techniques, interpretations, or theoretical frameworks matter less than the quality and depth of the connection we establish. If a client and I were to focus exclusively on the nuances of our relationship, its rhythms, ruptures, and repairs, we might still be engaged in the most vital work of therapy.

What makes this relationship unique is my presence as an active participant, not merely an observer commenting from the sidelines. I'm not just hearing about the client's relationships through their perspective; I'm part of a living, dynamic relationship with them.

This allows me to help clients recognize long-standing patterns in real time and, critically, to offer something many have never experienced: a consistent, healthy relational connection. For some, this might be profoundly different from their past or current relationships, a corrective emotional experience that can reshape how they relate to themselves and others for years to come.

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