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I've heard of therapists, who based on their availability and what they feel is best for the client, decide on a certain amount of visits/amount of time/amount of contact. I have recently dropped a session per week and reduced the length of the sessions I do have by about 25%, mostly because of T's schedule, but also I think he feels like I'm ready to handle it. It's really hard, because things have been so unstable lately in other areas of my life, but I accept it and trust that he is looking after my best interest, because he has proved it time and again.

I guess this would be another one where again, I would say to just go in with your feelings... "Hey, I want more sessions and you're not giving them to me and I don't understand why, which makes it more painful and confusing. Could you please explain it to me? Or can we talk about how upsetting it is for me?"

For the record, I have asked for extras and been denied recently, and have had to talk about how hard I'm finding it to have less time at the moment (though I get triggered into feeling manipulative when I share my feelings, like T reads them as an expectation or demand to change, when I just want him to hear it's hard). I guess I'm saying I'm not recommending you do anything (talk to your T) that I'm not making myself do either. Wink
TAS I see my therapist five times per week. It is in no way because I'm wealthy, but because I'm ill and the government subsidises 90% of the fees.

I'm inclined to agree with AG and I say that with the utmost love and concern. Im not sure you're ready to face your pain and demons. that's no slight on you, its a very, very difficult process and you have to be in the right place in your life to do it and have an amazing therapist by your side who you trust and is able to contain you and your experience.
(((TAS)))

My T only believed in once a week - except for emergencies - until I came along. I felt so bad about myself and only felt good when I was in T's presence, with him mirroring all that positive stuff back to me. When I left his office, my negative thoughts about myself would take over. I also have a lot of emotional stuff to work through and I need the support of the twice a week visits.

But, I couldn't always do them. It was too hard to be "seen".

Honestly, I have had trouble with certain boundaries. Some of them feel so sharp that they cause me intense pain. When the boundaries are really causing a problem, there is a reason why. That particular issue ut the difficulty with the boundary itself may indicates that the hurt is still preverbal and hurts too much to be processed yet. I don't think it means other things can't be processed.


But the best thing to do is to talk to your T. You have to talk to him and keep talking to him. Forget about what others here get or have. You need to shape your relationship with your therapist.

(((TAS)))
AG my T is a psychoanalytic psychotherapist. And you're right that its not affordable to go five times per week for most without insurance and psychoanalysis has long been the domain of the wealthy. Session frequency differs from person to person and therapist to therapist. I'm almost embarrassed sometimes to write about how much I need my T when I see him so often. I don't think that means I'm seeing him too often I think it reflects that there has been so little emotional care, love and practical help offered throughout my whole life.
Hey guys! I just got in...long day. Thank you for your replies ! I definitely am planning on asking him...working up the courage...

Catalyst: Why does contact increase the transference?
Smiler
AG: I asked this question because I wondered if the style of therapy the therapist used determined the number of sessions. I do ask a lot of questions...however, when you say I offer little feedback, I am unsure of what you mean by that...

Good night All! Will write more tomorrow.

All the best,
T.
This is in reply to talking to the Therapist about this...as of late, it seems as if all he does is tell me no. So, I am not exactly thrilled about asking for something and almost certain he will tell me no. I really have to work at not feeling he is against me...honestly, in some ways, I do respect him because he is firm. I have pushed him pretty hard and he will stand his ground. Sometimes, it does make me feel he does have my best interest at heart...other times, I have a strong dislike for that firmness.

Honestly, at this point, I can't tell if I am fighting him or the attachment. Maybe there is no difference. I am in a desperate place and what it would cost me if I left therapy is too great. There are certain things that are not worth losing and if I left therapy, I feel that I would make some rather unsound choices.

T.
Blanket Girl: Honestly, I left a message requesting two appointments a week...because I want to get this done and over with. He did not reply...probably won't either. You are righr, though. If I have trouble opening up in one, it doesn't make sense for two...I was just thinking maybe if I came in more I would feel more comfortable, I don't know...maybe just thinking backwards...

Smiler T.
Well, one thing I notice is you ask a lot of stuff when out of the office. For example, when you asked for referrals and told him when you would be showing up to pick them up, you contacted him outside of session, which he has told you he will not respond to. It now sounds as if you are asking for extra sessions over the phone/message as well. If I were him, I would see this as still pushing outside contact boundary he has set. If he has truly told you he will not respond to out of session contact, then he is being consistent about that. You need to bring this stuff up IN session. Even my T, with his liberal contact policies, doesn't discuss those sort of things outside of our sessions. He will "hear" me on it, but he expects me to bring it into session.

Again, the point of sharing your feelings is not to make him do what you want. It's to have your feelings heard, to talk through what they mean, what parts are about now, what parts are about stuff that happened a long time ago, patterns you learned, etc. It's to realize that he can't give you what you never got when you needed it (no one can), to grieve and mourn and express how awful it feels, and to have that pain met with support and compassion, learning that there are other things your T (and others) can offer you in life once the fear and pain and unmet needs from your past no longer keep you from having healthy relationships.

It may be that your T will eventually let you have these things, or maybe not. He, like any other person, has a right to set what he is willing to give in any relationship, personal or professional. You have a right to decide whether those boundaries are something you can work with and try to go elsewhere if you cannot. But, the fact is, you will not be able to structure every single relationship in your life with boundaries that make you perfectly comfortable. You're not in charge of anyone's boundaries but your own. So, you have the option of using this "laboratory" of a therapeutic relationship to work out why it is so scary and painful to not have control or shut yourself down to any relationship, including this one, in which your needs and feelings do not dictate how the other person behaves all the time. For the record, that is most relationships, and all healthy ones.

It's possible that going in more often would help you feel safer, and more secure. But, that's not something to say, "Well, I hope it works out this way, so let's try it and maybe that will fix my discomfort with therapy or my therapist." It's something to go in there and say, "The way it is now is causing me all this pain and confusion and we need to talk about it, regardless of whether or not you're going to change."

I think I'm going to have to stop replying in these threads, because I'm starting to feel really unheard and I know from your other thread that isn't the intention. But, it's incredibly frustrating to repeatedly say that I've been where you are, as have most of us, and tell you the way through it, but you're unwilling to consider anything other than changing your T. I don't think it's impossible that as you work together, your relationship with your T or his boundaries will evolve or be negotiated, maybe they will or won't. But, if I were him, seeing that you are fixated on being in control of the boundaries and the terms of the relationship, I would probably think it was MOST important not to make you more comfortable in the short term, but to help you tolerate that discomfort in the short term order to uncover what is behind that pattern, so you can grow. If he just gives you want, you may feel safer, but you will never understand the source of all your pain, confusion, negative transference, and fear in relationships. As others have said, there is nothing wrong with it, but, you seem unprepared to show up and do the work right now. The work is not to change your T until you feel completely safe and comfortable all the time. It is to learn where the unsafety and discomfort you experience, even with a safe person, comes from, to be supported through the pain of those discoveries, and grow through little risks until your pain and fear no longer unconsciously motivates and controls your life.

It is incredibly hard work. Not everyone can do it at any given time in their life. Sometimes I consider taking a break from it myself. You are either ready and willing, or you are not. Does that mean you have to show up in session and spill all of your guts at once to go there? No. It does mean you have to show up and take those little risks, even if it takes a whole session to say, "When you won't let me talk to you outside of session and won't give me an extra session per week, it makes me feel ____________," and exploring together from there, as long as it takes. That's what this work is. It's not, "Do things on my terms and then I will share everything with you." If he did that, many of these needs wouldn't even surface in the first place.

I don't know. It feels like everything I say just evaporates into the air. Maybe I don't make any sense or something. I'm not mad about it. I'm just...feeling helpless...because I have felt how you feel and it trapped me badly and I want to help, but it feels like nothing I say will matter.
Yeah, in short. Stop contacting him out of session - to your T you are just going against his boundaries -time and time agan. If you want 2 x weekly - then ASK HIM TO HIS FACE. You need to talk about this. Not write it, not leave messages, not email, not text - to his face in a session.

NO point in having 2 x sessions per week unless you show willingness to speak face to face, address your problems and reduce the amount of agitation you feel towards him.

I believe when you truly are ready to start communicating and start working WITH your T in your relationship with him that he will then trust you enough that he will negotiate on some of these issues.

Tas, your therapist is there to work with you on your problems - but you keep making HIM the problem. He isn't the problem. And probably another T won't be the problem either - if you going to see a therapist week in week out - you have to talk through the issues, tough and easy ones.

We are going to keep giving you the same answers. Because there is no other way to get through this.

Somedays.
My solution to dealing with them is that I see two different therapists. One refuses to explain, the other will explain. One does phone calls, the other will take email and so forth. I found, for me, it kept me out of fighting as much with the one who will not explain. They both only work part time, so getting a second appointment with either would be tough just in terms of timing. I don't think there is a universal explanation to cover the ways each therapist practices -it is not a real science and I think they mostly just make up what they will and will not do. But I don't think a person can make anyone do something different if that person doesn't want to do it. One can find other ways to get what one thinks or knows they need or want. I am not a big believer that a therapist is correct when they say something is in a client's best interest. They have no idea what is in my best interest. I do, however, believe if they only want to see someone once a week, that is their choice. Just don't try to tell that person it is for their benefit.
Catalyst...thank you. I am definitely not a fan of transference. It may highlight issues that need to be dealt with...but sometimes it gets in the way.

AG: Thank you for the reply. I can tell you my intention is not any of what you stated, as far as not answering questions, little feedack, etc. I am not sure if that even matters, because it seems as if I am being evaluated on how much I say back. I certainly don't mean to offend anyone.

Anonymously: I want you to know what you said or say does not fall on deaf ears. I am sorry you feel that way. I could understand why you might feel that way.

I guess if someone posts, each person has to decide if they truly want to reply. I personally read and at times, reread what has been given to me via words. I may not be doing things right on here, but, once again, not my intention.

All the best,
T.
Thank you Stoppers and SomeDays! I do ask a lot of questions out of session...but to be honest, I go in with the intent of asking them...it seems I forget...and once we start wading through sh**...I completely lose the questions...

Stoppers...that is definitely something to think about. We all know what we need vs. what we want. Smiler

T.
Tas, you have to take a list of your questions with you - we have all done this from time to time. When I get in session, I am so relieved to be near my T I forget that I even need therapy - so I forget everything. I have to have a list to work from. Or I have emailed my T beforehand and she can prompt me if I forget, so until you are at that stage with your T - take a written list!
((((TAS)))))

quote:
I am in a desperate place and what it would cost me if I left therapy is too great. There are certain things that are not worth losing and if I left therapy, I feel that I would make some rather unsound choices.


This is the perfect reason to stay in therapy. Our reasons for being in therapy and what we get out of it and whether or not it's worth the money are all personal decisions.
Thank you Irish Girl... Smiler I am not sure about being my lovely self Wink Thank you.

I am going to keep doing what I need to do...no matter how uncomfortable it is...if I ask the same tbings over and over until I get it...

I want to understand...if I can understand and wrap my head around it...I feel that is half the battle...

T.
Thank you Poppet! I do take in what everyone says on the board...as we all contribute to one another based upon our experience.. I take it in...sometimes, it tales reading more than one time for it to sink in...Yes, we all do have different ways we approach things...My approach is to ask, ask, ask because I want to get it, understand it and apply it.

Thank you for sharing with me...

SmilerT.
For the record, my feeling unheard was not me feeling unappreciated. I can tell you appreciate getting feedback. You continuing to ask questions is evidence of that. By unheard, I mean, it feels like literally I can't tell if my posts are even getting read, or if they are too long and get skipped. You say you are trying to wrap your head around it all, which is an awesome endeavor, but rather than following up on what you don't understand, you start a new thread.

This is not intended as a judgment at all, nor was my last post. It's intended to show a pattern of interaction. I do see you sometimes following up with questions to understand better what people mean, but the participation you invest in your own thread does not allow us to better understand where you're coming from, so we can hone our answers. We're all here because we either find your questions thought-provoking or we want to help. It is, in fact, not your job to reward our participation with certain types of responses or by changing your behavior. Our feelings in response to these interactions are ours to deal with, and decide how to proceed.

My main goal for replying in your threads is to be helpful. I am not a therapist, but I have a lot of experience from the inside of attachment issues, both in therapy a and throughout my life. As I told someone else recently, it is very hard work, the hardest I have ever done...and it makes me sad to see someone putting themselves through all the pain and confusion that goes along with it while not putting themselves in a position to find the growth and healing that has made it worthwhile to so many of us to keep going. I could be understanding wrong, but from my limited vantage point, it seems like you're experiencing all of the difficulty of struggling with what closeness and safety mean (i.e. what the meant in your past, because of other relationships), and receiving none of the benefits that those small risks I mentioned will give you over time. I feel deeply like I want to help you do that, because I understand how awfully painful this is, and when it doesn't seem like the wisdom others (with much more experience than myself) and I give, I start to feel helpless, which is a trigger.

To reiterate, I am responsible for me and my feelings. I know it's possible that this post will not help you and that will make me feel frustrated, and it is my choice to participate anyway. Just like I feel sad that you feel judged by other's trying to offer insights into your relational patterns, but I know in my own heart that is not my intention, and from experience with others here, not their intention...they wouldn't be posting here if they didn't want to help. So, while I certainly don't want you to feel judged, I hear that you feel that way, accept it as how you're receiving our attempts to help, and while I'm sorry in an empathetic way have to know you're feeling that way, I'm ok with letting that be where you're at without feeling responsible for it. In the same way, I don't want you to feel responsible for fixing my discomfort. But if I didn't communicate it, instead running from an interaction that is triggering me without giving myself a chance to be heard, there is no potential to relate going forward.

My fear was enough people feeling unheard would result in an eventual migration away from your threads. I've had that happen, and it really sucks. Because of that, I'm really appreciative of those people here (many of whom are posting in this thread) who made themselves vulnerable enough to tell me how my responses to their posts were being interpreted, how it made them feel. It hurt at the time, because my mind went, "I am bad and unlikable and hurt other people when I try to share myself, so I should always be alone." But, because they risked to tell me something of how they were experiencing our interactions, I was able to grow in my interactions and better take in what others were offering me. I became better able to communicate what I needed (to be heard, to have advice, to be related to, etc.) so it as more likely for me to have interactions that felt positive on both sides. The worst thing that could happen is everyone feels confused about where you're at, what you need, frustrated at being unheard or unable to help, and slowly retreats.

If there is something you're still trying to wrap your mind (or your heart) around that any of us have said, I encourage you (if it's not too scary) to fully explore your confusion with these wonderful people who are all here specifically with the intention of understanding, relating to, exploring with, and helping you...kind of like your T, but without quite so much training. Rather than start a new thread that is ostensibly about boundaries within the therapeutic or other relationships, why not ask questions clarifying what you don't understand about what we're saying or tell us how it makes you feel in more detail, what experience s from your past it reminds you of, etc., if that feels safe to do? It's ok if not. A good example would be in the thread you elaborated yourself that the point of communicating feelings was to change people. That is a huge realization that probably has a ton of past messages behind it that it would be helpful to explore (more with your T, but it can sometimes feel safer to start on your own, or rather anonymously). If you can stick with a conversation long enough, maybe we can understand better and you can help us see where there is a disconnect between what we're saying and what you are hearing, thinking, or feeling.

Lastly, as valuable as it is to understand how therapy works, my T has advised me and I have found it true, that overly obsessing and intellectualizing, actually can bypass or avoid (as a defense mechanism) a more important, but often terrifying, experiential understanding. I often want to wrap my head around things completely, figuring if only I can understand it fully enough, it will make sense and no longer be so scary and hard. One word here...false. The changes that need to be made, and others can speak to the science of it, seem to be in another level of our brain. Just understanding how the therapeutic relationship works, how and why it is safe, will not allow for growth and healing from deep-seated behavioral patterns and messages about ourselves, others, and relationships, from our childhoods. It is going to have to be a little scary and confusing if you are going to grow, because the truth is probably that these patterns come from scary, painful, confusing experiences.

Again, there is no way out but through. You can't understand your way over it or stretch everyone else's boundaries to get around it. It's like that children's song/book about going on a bear-hunt. We have to go THROUGH it. So, knowing that, you just have to decide if you still want out and if you do, whether you are ready to put one foot in front of the other, even an inch, and see that there is actually a path to walk in front of you, not just a sheer rock face into the abyss. It means showing up to the scheduled sessions, maybe with a paper in hand that says five words about how it feels to not be able to have what you want from T, so you don't forget...and then talk about it in person. It's ok to say, "I just can't!" or, "I'm not ready yet..." No matter what, it has to be your choice and no one else's.

I'm sorry if what I write is too long or doesn't make sense (thanks to all those who reassured me on that account). I'm more than happy to answer questions about anything I've said. There is no judgment for your struggles. Only empathy and hope and desire to help, for you to be able to receive the acceptance and help that others, including your T, are holding out to you.

(((Hugs)))
What a thoughtful comment, Anon. I certainly hear and agree with what you've said. Just wanted to say that.

TAS, I agree with what Anon has said. I too thought it was really significant what came out of your other thread regarding the role you have assigned to feelings (feelings should be used to change others). That's a huge realization. Just my two cents.
I think the idea that because a lot of advice has been bestowed, the recipient should now quit asking and be different if not all fixed is a bit unrealistic. It is easy to spot where one believes another should do something different. And the struggle (questioning - even the same questioning repeatedly) may take longer or go in different paths for one person than it does for another. Perhaps the questioning itself is a path to change.
I don't believe that people don't take advice of others as an act at the advice giver. The fact that someone cannot or does not hear my advice (and just because I think it is "good" advice does not make it so for the recipient) does not mean they are not working in the way they need to at the time.
(((BG)))

Sending big hugs. I don't know about you but it never ceases to amaze me when transference is still operating in my life. Unfortunately for me, it's still way too often but I'm chipping away at it. It's awesome when we can see it and let go of it. It's all good stuff. Hope you don't stop responding altogther.

(((STOPPERS)))

You are very wise. If I had a dollar for everytime I asked my T, "so are you going to terminate me?" and he said "no" I'd at least have enough money to take the kids out to dinner and the movies.

(((TAS)))

I'm no expert but sometimes just establishing the relationship with the therapist IS the therapy and sometimes it takes a really long time. Hang in there.
One thing I know for sure is no one here knows what Tas's therapist is thinking or what his intentions are.

When I started seeing my T she said she wanted to see me twice a week. Then as it turns out we only sometimes see each other twice a week because she is getting more busy etc. It is hard for me but of course I had to accept it or leave. I have so far accepted it.
The T I had before this T called me every single day and talked to me. She did this even if I did not call her or email her. After about a YEAR I started to wonder about this behavior of hers. I lost interest in seeing her. I didn't really care about her phone calls or emails. I was increasingly suicidal. Now I see this new T and I think it's been a hard transition for me. At first she said I called her more than she was comfortable with. So I backed off but she still remains defensive. I finally pointed out to her how she is still defensive and she seems to be getting better about it. In fact she is starting to call me back more now and be kinder on the phone. We have only seen each other for 3 months. I have been having an extraordinarily hard time with intense grief over the loss of my mom, dad and dog in a 2 year span. Plus I have had intense flashbacks of severe childhood abuse. I mean severe. She is reaching out to me more now and it is helping. There is still much for the two of us to iron out and hopefully that will happen.

(((Tas))) I think you were brave to ask this question.

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