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Jianna Heuer, LCSW

Street Address
New York NY 10038
917-830-8962
Psychotherapist

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Jianna Heuer, LCSW

  • Home
  • Relationship Therapy
  • Life Transitions
  • Tarot
  • Blog
  • Workbooks
  • About Me

Working Hard and Still Feeling Stuck

July 16, 2026 Jianna Heuer

Recently, I was a finalist for an award for something I’ve been working on for years. At first, I was elated just to be chosen in any capacity. After 36 hours, I wanted to win. One week later, I got the form email telling me I lost. The highs and lows of that week made me think about how this dynamic arises in the therapeutic setting.

Most of my clients work hard in therapy. They come to every session with thoughts about themselves and their lives and divulge their feelings about the most intimate aspects of their inner world. Many of them practice skills or habits outside of the therapy room to improve their routines and patterns. All of them hit walls where, no matter how hard they work, parts of themselves or their lives seem stuck.

I know how discouraging, enraging, and upsetting this can be because I too have been through it. Not just with this award but on an emotional level as well. As someone who began their career being trained in modern psychoanalysis, I have been in therapy myself with the same therapist for my entire career. Together, we have weathered many moments when I felt like I hadn’t made progress in various aspects of my healing. In those moments, I felt like all the work I had done was for nothing, and I wanted to quit. I never did fully quit, but in some of these periods, I have taken a break from therapy for a month or two. In the breaks, I never had any "Aha!" moments, but I did get some space from dealing with that issue on a weekly basis, which is what I needed at the time. Sometimes our defenses dictate what kind of work we are capable of, and my defenses were not ready to relinquish control long enough for a breakthrough.

In our society, we learn that if we work hard, success follows. Sometimes that is true, but often people are doing all the right things yet cannot make progress in therapy or in life. There are many reasons for this: institutional oppression, burnout, structural obstacles, intergenerational trauma or stress, and unhealthy relationships that keep us tethered to our patterns, leaving little room for change and making people feel like failures.

But sometimes success can be defined in different ways. Of course, in my mind, success was winning the award.  My friends, family, and even my own therapist reminded me that being a finalist is a success in and of itself. It is something that can be celebrated and used to increase my chances of winning another award of its kind down the road. It’s something to be proud of. I’ll admit that the day I found out I lost, I was not able to take in any of the encouraging things they were saying. But a few days after the news arrived, I added the accolade to my website and felt it was a new level of achievement.

When change doesn’t come quickly despite great effort, one may feel disappointed, hopeless, and self-critical. In therapy, I help people to sit with these uncomfortable emotions and explore what it means to struggle through them. We get curious about the feelings that arise when their effort doesn’t pay off, how past experiences may echo in what they feel now, and how perceived failure in the past plays into their current reaction to being unable to move into a new space within themselves.

Therapy is more than solving a problem. It is a place to experience emotions safely and build a greater capacity to endure difficult emotional experiences. What allows that to happen is the therapeutic relationship, which takes time to build but creates the conditions in which the skills being taught become emotionally possible to use.

While it may be hard for my clients as they go through the process, I see progress in less obvious, smaller shifts that precede a big behavior change. When a client understands what’s triggering them, feels less shame, or recovers more quickly from setbacks, that is success. When I see them tolerate difficult emotions longer and have more compassion for themselves, that is progress. Eventually, I do see these small changes culminate in the behavior change they were originally looking for.

I was hit harder than I thought by the disappointment of not winning. To me, that is an indicator that there is something I don’t understand about myself regarding rejection or competition, and I’m curious to find out more while also sitting with uncomfortable feelings for now. So I will talk about those feelings in therapy; I will explore what comes up with as much openness as I can, and I know progress is not measured in “feeling better” about it but instead in my being able to relate to the feelings in a new way through a deeper understanding of myself.

Tags success, failure, emotional learning, sitting with feelings, hard work, stuck, disappointment, therapy, capacity, competition, curiosity

Becoming Comfortable Being Disliked

May 7, 2026 Jianna Heuer

I have a friend whom everyone likes. I mean, really, it seems like all my other friends meet this person and they are like, “She is so great, can I get her number?!” But recently we were talking, and she pointed out someone who I am friends with who doesn’t seem to like her. She said she just knew, it’s a vibe.

“Does it bother you?”

“It used to. But not anymore.”

“What changed?”

“I like myself. I don’t really need that external validation anymore. Sure, it stings at first, but then it kind of just passes.”

Being disliked is a form of rejection and unfortunately even for the most amicable people it is a part of life. I know this friend I’m writing about worked hard in therapy, learning to tolerate the feeling of rejection, to no longer need to people-please, and to let go of the pressure she feels to appease people. Many of these feelings she carried with her for so long were seeded in her childhood with a parent who couldn’t attune to her. So as a child she always tried to gain their approval by being pleasing. That behavior followed her in to adulthood, not just with that parent but with most people in her life.

The fear of being disliked as someone in your thirties or forties is rarely about the present.

Being disliked or not cared for as children equates to a lack of safety in our brains. If you cant get a caregiver to pay attention, you may not get basic needs met like being fed or changed. Many of us experience caregivers who lack basic attunement skills, and that leaves us feeling like we need to do something to get people to care about us, and if we don’t, we are bad or unworthy in some way.

This is where the inner critic is born. This voice tries to course-correct us to be more pleasing in social interactions, in order to protect us from judgment and disappointment. The problem is it is created in childhood and sometimes no longer serves us properly as adults. In therapy, we work on understanding this critical part. Whose voice is it you have internalized? A family member? Teacher? It’s usually not your own.

We all want to be liked and accepted, but some people NEED to be because of these childhood wounds. They develop strategies to ensure they are not left on their own like people-pleasing, over-explaining, and being guarded-defense mechanisms used to avoid rejection.

Do you find yourself doing these things? You may struggle with tolerating the discomfort of being disliked.

Learning to tolerate the feeling of someone not connecting with your or out right judging or not liking you is hard but it is possible. Understanding and seeing that you may be triggered or being reactive in moments of perceived disregard can help you to be able to handle the emotions that come up in these circumstances. You can also learn to fight the impulse to act in ways that are no longer right for you if you give your self space to understand your reaction and where it is really coming from.

What helps us to tolerate when others aren’t interested in engaging or are put off by us is liking and knowing ourselves.

If you like you it is a lot easier to take someone else not being interested in being close. Get to know yourself. What do you value? What makes up the core components of your identity? What do you like about yourself? What would you like to improve? Being comfortable in who you are allows you to handle being disliked more easily and frees you from the need for external validation.

In Confidence Tags values, confidence, dislike, acceptance, therapy, friendship, Self Worth

How I Use Tarot as a Therapeutic Tool

April 16, 2026 Jianna Heuer

The first time I used tarot in a session, it happened organically. A patient was talking about a subpar tarot reading they had over the weekend, and they said, “Oh, you probably think that’s dumb.” I answered honestly, “Not only do I not think it’s dumb, but I also have a deck right here and use it myself.” She asked me to pull a card for her, and I offered to do it at the end of the session. With an affirmative nod, she circled back to the weekend and how her friends hadn’t come through for her, and a new part of our dynamic was born. That was two years ago, and she still asks for a card at the end of each session.

I don’t always give patients what they ask for. I use self-disclosure only when clinically necessary. I don’t tell them what to do in a tricky situation(I do ask a lot of questions to help them get to the answer on their own). Sometimes they ask me my opinion, and I respond by asking them why my opinion would be useful. In most cases, therapists respond with a well-thought-out question in return to encourage curiosity and lead them towards insight.

So, why did I say yes to this request?

In 2021, I began studying tarot. I used the cards in a few ways, but mainly as a grounding force during a time when things felt particularly unstable in the world. I asked the cards every morning after I meditated, " What do I need to know today?, pulled a card, studied the imagery, consulted the tiny guidebook, and metabolized the message, all the while doing square breathing. I found the practice calming, and it stimulated more insight into my emotional landscape. Back then, it never occurred to me to use tarot in my therapy practice. Until that one patient asked me to. After that session, I noticed a change in this particular patient. She thought about the card between sessions. She noticed that the theme came up in her life during the previous week and was more frequently questioning why she had done what she did and how those actions had impacted her emotional world. The cards seemed to aid in her self-reflection.

I do not use tarot in psychotherapy sessions to be predictive. I incorporate it as a reflective tool to support psychodynamic exploration with both individuals and groups. I invite patients to engage with the imagery of the cards as a way to project and process unconscious thoughts, emotions, and relational patterns that may be difficult to access directly. In group settings, tarot can foster shared insight and dialogue, helping members deepen empathy and better understand both their own inner experiences and the dynamics within the group.

In session, I ask patients who are interested in using tarot to take a few grounding breaths and close their eyes. We both focus on what the patient is interested in knowing more about as I shuffle the cards. When they say “stop," I divide the cards into three piles and, intuitively, choose the card that feels right. Together, we explore the meaning of the card to the patient using guiding questions:

What do you see in the imagery of the card?

What do you feel in your body when looking at this card?

How does it connect to what we have been talking about?

Is there anything else it brings up emotionally?

Once we have explored these questions, we discuss the meaning assigned to the card, and I ask, “What will you take with you after interacting with this card? What are the questions you will ponder or insights you will hold on to?”

The benefits of incorporating this into my therapy practice have been numerous. I’ve seen patients gain a much deeper understanding of themselves. Sometimes the cards elicit new memories to explore. Patients start new creative and grounding practices based on the cards we have pulled. It seems to open up exciting opportunities for them to see the situations they find themselves in and their identity in a new light.

When I started offering therapeutic groups that use tarot, I did a quick Google search for new places to advertise to find people interested in this kind of exploration. I found myself joining a 4000-member Facebook group called “Therapist who Tarot.” I could not believe there were so many other clinicians out there utilizing Tarot and so many more intuitive practices (mediumship, astrology, and so much more).

Through this group, I also found the first tarot certification course ever to be offered in the United States, “Tarot Certificate Program: The Clinical Use of Tarot Card Imagery in Psychotherapy.” I signed up for the first open weekend (September 2026). By mid-January, when I learned of it, all three of the other trainings were already full, and I’m not surprised. In the last few years, I have encountered a new level of people searching for meaning in once more novel mediums, such as witchcraft or tarot.

Tarot gave me a sense of control when I felt uncertain-perhaps that is what people are seeking, as recent history has exposed us to an immeasurable amount of chaos in our daily lives.

Utilizing tarot in therapy isn’t for everyone, and I respect that. However, if you find yourself in the mood to mix it up with some spicy psychology and want to use tarot for insight and growth, you now know where to find someone who can help you do it.

References:

https://students.bowdoin.edu/bowdoin-science-journal/science/its-in-the-cards-a-dive-into-tarot-card-psychology-interpretation-and-therapeutic-applications/

https://cascadia-training.com/course/tarot-certificate-program-march-2027/

https://www.vogue.com/article/tarot-and-oracle-decks-rising-popularity

In Tarot Tags tarot, witchcraft, insight, growth, therapy practice, New York City, financial district, group therapy, therapy, psychotherapy