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Her philosophical approach to therapy has become a global phenomenon, and inspired a new book. Could a session with her change Sophie McBain’s life?

The existential therapist Emmy van Deurzen moved to the UK inspired by RD Laing, the Scottish anti-psychiatrist who said insanity is a “perfectly rational adjustment to an insane world”. It was 1977 and Van Deurzen, who is Dutch and had studied philosophy and psychology in France, found work with the Arbours Association in London, a therapeutic community based on Laing’s ideas, in which people in crisis, psychiatrists and therapists lived together as equals. It was a rude awakening.

Arbours aimed to create space for people to “explore their madness”. “Now that was a very interesting idea,” Van Duerzen says, “but in practice it meant that people self-medicated, with alcohol and pot, and it was not a happy situation.” The residents were often very depressed or psychotic, and it was common to be woken up at night because someone was seeing things or had become suicidal. Van Deurzen came to believe that anti-psychiatry had “lost courage”: it had proposed a different way of thinking about madness, but having released people from asylums and taken them off neuroleptic drugs, it was “kind of leaving them to it”. “And this is what I realised wasn’t good enough,” she says. When people are experiencing a mental health crisis, they need help to make sense of what has happened to them, and to find their way to healing. “From that moment on I just knew: nobody’s doing this. I’m going to have to do it myself,” she says.

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