We often talk about healing as a return to wholeness, a remembering of who we are beneath the pain, defenses, and patterns we’ve learned to survive. One powerful path back to this wholeness is parts work.
Parts work is a therapeutic approach rooted in the understanding that the mind is not a single, unified voice but a collection of inner parts, each with its own emotions, needs, and roles. You might recognize this in your own experience:
"Part of me wants to rest, but part of me feels guilty."
"Part of me is excited for change, and part of me is terrified."
These aren’t contradictions, they’re inner parts, each trying to help in the only way they know how.
At the heart of parts work is this truth: all parts are welcome. Even the parts we judge, avoid, or wish away.
The Internal System: Understanding Your Inner Landscape
In parts work the mind is seen as a complex inner world made up of many “parts” that interact like members of a family. Some are loud, some are quiet, some are protective, and some are in pain but all of them have a purpose.
Rather than pathologizing these inner voices, parts work helps us understand and relate to them, recognizing that even our most reactive or sabotaging behaviors often come from a place of self-protection.
Let’s explore the three main categories of parts:
🧳 Exiles – The Wounded Ones
Exiles are the parts of us that carry emotional wounds, often from early experiences of trauma, neglect, abandonment, or shame. These are the childlike parts that felt scared, unloved, or overwhelmed, and they were often pushed out of awareness to protect the system from being flooded with pain.
You might recognize an exile part when deep emotions like grief, loneliness, unworthiness, or fear suddenly bubble up, seemingly out of nowhere.
Because their pain feels threatening to the system, other parts work overtime to keep exiles hidden.
🛡️ Managers – The Planners and Protectors
Managers are proactive parts that try to control your environment, thoughts, and behavior to prevent pain. They work hard to make sure the exiles stay buried and don’t get triggered. Managers might show up as perfectionism, people-pleasing, overthinking, controlling tendencies, or relentless productivity.
Their motto is: “If I can keep everything in order, we’ll be safe.”
While they often seem “functional,” managers can become rigid and exhausting when they're overburdened.
🔥 Firefighters – The Emotional First Responders
Firefighters are reactive protectors. When an exile gets triggered and threatens to bring pain to the surface, firefighters jump in fast to numb, distract, or escape. They might use substances, dissociation, bingeing, rage, impulsivity, or withdrawal to quickly shut things down.
They often act out of desperation. Their interventions may feel chaotic, but they’re trying to save the system from collapse.
At the center of all of this is something profound:
🌿 The Self – Your Inner Healing Intelligence
Beyond your parts is your Self, a calm, clear, compassionate presence that is not wounded, reactive, or stuck. It’s who you truly are beneath your adaptations and pain. From the Self, you can lead your inner system with curiosity and care. Healing happens when your parts trust the Self enough to soften, speak, and be witnessed.
In ketamine-assisted psychotherapy, this access to Self is often enhanced. The medicine can quiet the usual defenses and allow exiles to surface in a safe and supported way. Our job as therapists is to help you stay connected to Self, so you can meet your parts not with fear but with understanding.
Why It Matters in Healing
When we work with parts in therapy, especially in ketamine-assisted psychotherapy, we can enter altered or softened states of consciousness that allow these parts to emerge more clearly. A protector part might finally feel safe enough to speak. An exiled child part may come forward with grief or longing.
Rather than bypassing or trying to "fix" these parts, we invite them in with respect and curiosity. We listen. We understand the roles they’ve taken on. We offer them what they’ve always needed - connection, care, and the presence of Self.
A Reflection for You
Take a moment today to check in:
What part of you feels loud right now?
What might it be protecting you from?
What would it say if you truly listened?
When we honor the many voices within, we begin to move from fragmentation to harmony, from surviving to truly living.
Want to explore parts work in your healing journey?
Our therapists are here to walk beside you. Reach out to schedule a consultation or learn more about how parts work is integrated into our ketamine-assisted psychotherapy model.