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I get impatient with being in therapy sometimes. I feel like I've made progress, and given this, shouldn't "have" to keep going. I know--I don't have to go. It's my choice. But I hesitate, at the moment, to stop, for multiple reasons:

1. I stopped a few times in the past, once for a period of several years. I wanted to feel like I was making my choices independent from my T. I was paralyzed, though, when an authority figure in my life appeared (!!) to be becoming preoccupied with me--and the choices I made to cope with that were decidedly unhealthy.

2. There is a lot happening in my family right now. A lot. Spanning multiple arenas. Support is not a bad thing under these conditions, and I tend to not ask for much of it. I tend to make my relationships about the other person. This is not possible in therapy--at least not with a competent, ethical therapist.

3. I have had multiple losses and absences from my life in the recent past...meaning less support.

4. For me, "getting support" is, unfortunately (maybe?) more about making sure I can function to meet the needs of my family...but maybe I will continue to increase the degree to which I value myself and not feel like getting what I need just because I need it is selfish. I am getting better with this. My sense of myself is that I now feel visible, most of the time. Like I exist. That's improvement. But there is still significant room for growth there.

So...I had a session yesterday. I've felt distant from my T recently, and when that happens, my sessions tend to feel more social than therapeutic. But I was trying--and part of that involved relaying an important disagreement I'd had with a family member.

Suddenly, I couldn't think very clearly. I couldn't remember what had happened. I tried--kept trying--and eventually was able to remember and discuss some of it.

It was so disorienting, though. Dismaying. I have to wonder if it is actually good for me to try to power through those experiences. I know what it is--"dissociation"--but having a clinical understanding does not translate into a personal understanding, all of the time.

It's hard sometimes.

It's so hard.

I want to get better, to be all of the way better, and to transcend having needs.

I don't even know if this is making sense, let alone if any of you will have any idea how to respond.

Anyway, thank you for reading.
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((((Exploring))))

As I read it, you've expressed a lot of different thoughts here:

-maybe making progress should mean that you don't need to go to therapy

-you recognize that in the past, you made some less healthy choices while out of therapy

- you have many legitimate reasons for needing support right now

- you aren't used to putting your needs ahead of others

- you're feeling disconnected from T and are concerned that you're not really working (social time instead)

- you do have things to talk about but get lost when trying to do so

My thoughts/opinions, FWIW:

I don't think making progress is necessarily the measure of whether or not one needs to be in therapy. Perhaps NOT making progress indicates time for a change, whether that means quitting, taking a break, finding a new T or trying a different approach.

I take psychotropics and when I get to feeling pretty good, I am often tempted to stop the meds, thinking, "I can handle this...see how stable I am?" This has NEVER been a good choice for me. Not exactly the same, but you get my gist?

We all make unhealthy choices or revert to old ways of coping, whether we are in therapy or not. Hopefully, when in treatment, we make them less often. I guess the big clue is how unhealthy the choices become when not in therapy.

You do name several things that indicate having the support (of a T?) could be helpful right now. This is the part of you who knows you have needs and wants to take care of yourself. Listen to her!

Drifting in therapy happens. I've had Ts where the session always began with chit-chat. Yes, it was friendly, easy, but I recognize now, for me, that it was a waste of time. I am paying for therapy, not a BFF. I'm all for an opening hello and greeting, but if it goes on for longer than 3-4 minutes, I'm wasting time, money and opportunity.

Disconnection in therapy happens. For me, this is a time to pay attention to what is going on in the dynamics between me and T. And to talk about it, truthfully and openly. Gotta get back on track. Dealing with the disconnection is just as important as the other work. And probably prerequisite.

Dissociation in therapy happens. It just does. The material often lends itself to that. My belief is that one needs to not fight it. It happens for a reason. Explore the dissociation. When does it happen? Where do you go? How does it feel? What are you avoiding?

I think for all of these things - drifting, disconnection and dissociation - it is important to pay attention to what is happening in the moment. (Or at least go back to look at that.) It provides important information about what is going on for you and in therapy. These aren't bad things. They just ARE.

Yes, it is hard. Really hard. But you're doing the work. You're thinking, analyzing, processing. You can do this inside or outside of therapy.

It makes sense to me, and you're welcome for reading.

And good luck with being "all of the way better" and "transcend[ing] having needs." Wink

-RT
((Ex))

This does happen to me, I am an impatient person (especially with myself) in general. I work gruelingly hard and get triggered if I feel as though I'm not. I have many sessions with T that seem social, but connecting and being able to find value in relationships and sharing is something I've needed to get through. Wading through trying not to feel endangered.

I think it's okay to go off and on as needed or even as support to stave off going off then deep end. I know for me the goal is keeping me out of the hospital even though I consider that a rather extreme "goal" it is truly the support that aids that. Eventually the need for support will change to other things - like to manage just my anxiety or something.

The "help me explore if I need this" conversation is a good one to have with T. Some people need or want therapy long term, life-long term in some cases. Anyway... This same stuff does happen to me, as well as times of distress admit also feeling progress. I consider progress (for me) to be limited mood swings, less intensity about my t or relationship with her, and expanding and using my reaources... This would include knowing when I need therapy or not and also taking responsibility for my own feelings and well being by using and building what I have. Building lasting relationships and holding my boundaries is important too so I guess I monitor my values, needs and actions being congruent and go from there.

Health looks like all sorts of things.

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