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I left a message after monday's session with my T saying that I wasn't sure I could do therapy because the topics I want to work on are so difficult that talking about them at all is overwhelming and painful. I'm afraid I am never going to be able to talk about them and that maybe I've reached the point where I'm not going to be able to change anymore. When I went to my session last night I felt differently and I wanted to discuss some other things that have happened recently. T, however, wanted to discuss my feelings of hopelessness and my fear about expressing myself more.

It was a difficult session and I spent the first half feeling like T was fed up with me, my struggle to talk, my not trusting him, my avoidance of difficult emotions. T talked about a group program on Managing/Working with Difficult Emotions that might be a helpful adjunct therapy for me. I felt like he was giving up and trying to getrid of me and by the halfway point I asked him straight out if he wanted to quit. He responded no and that he wasn't the one who felt hopeless.

AS the session progressed I realized that besides feeling sad, abandoned, hopeless and afraid, I also felt angry. I was angry enough to tell him the truth about the fact that I felt like over the years we had talked about trying things in therapy to help me when I was extremely upset and he always agreed to try them but didn't suggest them later or he completing avoided the request. Like a few months ago when we were discussing handshakes (which we have at the end of the sessions and the sometimes at the beginning now) I asked if we could have an extended handshake while we were sitting almost like holding hands for 2-5 minutes like an exercise where we set a timer, I work on really being aware of holding his hand vs. shaking it at the end while I'm trying to pack up and leave his office quickly. He didn't respond either with a yes or a no or an invitation to discuss my feelings or ideas about it.

I told him I was trying to do therapy the way I thought he wanted (talking from the expected chairs in his office). He told me that he was willing to do different things (sit on the floor for example) if I asked him to or felt it was helpful. I said I thought while he said he was open to doing things difficult what he didn't say (and how he responded to my suggestions) felt to me like he was shutting the discussion down, which shut me down, which I can now see probably contributed to feeling hopeless about therapy.

This is from my email I sent him last night after the session.
quote:
Part of me was surprised when you said that you thought I had spent the last 4-6 months feeling like I couldn't do therapy because I couldn't deal with the amount of pain that occurred afterwards. I feel like I have spent less time being overwhelmed with difficult emotions surrounding therapy. By that I mean that less sessions leave me overwhelmed overall but when I have been overwhelmed it has been as painful as ever, if you understand what I mean. Of course that feeling may be contributing to me belief that I can't talk about difficult things. I may have found it easier to tell you that I felt hopeless about therapy because I couldn't manage the painful feelings that arose rather than admit some of the other things that I expressed towards the end of the session. At times it might have been more honest to say I fell hopeless because I think you are avoiding trying things I think would help me and avoiding talking about them so I am trying to do this the way I think you want therapy to be and since I keep ending up feeling overwhelmed and being in pain then it must be my fault I can't deal with therapy. I also realize as I write this that I believe that part of the pain in therapy isn't coming from what I'm trying to discuss but from your reaction or non-reaction to me when I try to discuss things that I think will help me when I am struggling. Which explains that in the midst of feeling very sad and hopeless during the session tonight I also felt angry.


When I went to sleep last night I felt like the session had been productive and that we should talk more about boundaries and what was possible around touch and I spent time writing down my thoughts about it. I woke up this morning feeling more afraid than hopeful, like I had started the process that would lead to us stopping to work with each other. I am not sure why but suddenly I feel like I'm on the edge of a cliff and I stepped off without looking like a safe spot to land.
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hi incognito... i don't have much time right now but I wanted to suggest that you do things in therapy without asking or having long conversations debating about it with T.

For example, why don't you just walk in one day and sit on the floor. That is what I did. Our entire previous conversation around this was me saying to T when he offered to do anything help the process along... what if I want to sit on the floor? He said well then we sit on the floor.

Some months passed where we never discussed this again and one day I was very upset and so I walked in, grabbed a pillow and my blanket and just sat on the floor. T walked in and saw me there and didn't miss a beat. He just sat down across from me and we talked and had a good session. Like the Nike ad... Just Do It!

Good luck
TN
Thanks for reading TN.

Unfortunately there are so many things that are impossible to just do without discussing first and even in your example me just doing it doesn't work with my therapist. We have discussed sitting on the floor and we have had some sessions on the floor but twice I have sat on the floor and he continued sitting in his chair and after 15 minutes I got tired of looking up at him and feeling like he was looking down at me so I got up and moved to the couch. The other things I've suggested aren't things that I can do without his agreement like holding his hand or trying a 1.5 hour session.

The first time I asked for a 1.5 hour session he said yes but they can be difficult to schedule never discussed why or how they could be scheduled. Sometimes he doesn't respond to my suggestion for a longer session or he wonders aloud if I had a longer session then I would still not speak freely until the last 10 minutes. I've agreed that is possible if I am afraid of getting into the subject but over time I have felt that isn't the reason it takes me so long to speak more freely. I just can't walk in and start. I need time every session to feel him out, check that he hasn't changed, explore my own feelings, fight the part of me that keeps telling me to shut up or I'll drive him away, that anyone I speak freely to will leave. I can rarely do that in less that 30-40 minutes (it used to be 45-50 minutes). I think 1.5 hours weekly would be more productive than 1 hour twice a week now. Unfortunately he responded to my email this morning with an email that sounded like he didn't understand my email. He didn't acknowledge me asking for a 1.5 hour session at all. He just reiterated what he said last night that I have told him in the past that I haven't been able to manage the painful feelings that therapy brings up for me.

I guess the session only felt important to me.
Instead of suggesting have you asked plainly, such as "I'd like to hold your hand right now, may I?" Or "I need to sit on the floor but I don't feel comfortable, can you sit down with me?"

What I hear, and this of course of course may not be true in the slightest, but I hear a suggestion being made and then the expectation T will suggest, want it, or pursue in some manner. I know talking about ideas itself can be triggering and maybe he doesn't know when to offer or wants you to directly ask for it. "I have time in my schedule this month, when can we do the 1.5hour session?"

Sometimes with friends I don't know well we will talk about "yea a new movie is coming out in a couple of weeks, we should see it together". We don't decide a time then, and unless someone actually talks about the details it's never going to get scheduled. Its probably my own triggers that are reading in to what you're saying (again cuz I could be totally off and you have been direct). If the day the movie came out came and I still wanted to go I wouldn't call and say "we sure should see that movie some time" (if a friend bated me like this I'd be annoyed I'd rather 'I want to see that movie, when can we get it scheduled?).

So maybe instead of "just do it" maybe just say it?
Cat, I think you are right that I am not always direct enough. I hope that saying I would like to do something (hold hands, longer session) will lead to him thinking about it and offering. It is interesting that you said you would feel baited if a friend did this and I realized I don't do this with friends or my husband. I find it is so much harder to be direct with T because I'm so afraid of losing the relationship. I did send him a much shorter email askng for a 1.5hour session next week and he said we could make our Monday session 1.5 hours.

Monte, I've read and reread your post several times because I think you describe perfectly what I'm not doing. I feel like I can't go back and revisit things again even though my T says we can. It seems unfair like I should have said everything I have to say the first time. I write things down to tell T and then when I get in my session I edit them as I read so I get the idea across but I avoid some of the most vulnerable and difficult parts. I appreciate your description of what you think holding hands might mean to my inner child. I am much farther away from being able to articulate it. I will let you know how Monday's session goes.

Liese, I do think things are getting better between me and my T but so slowly. I have written less on the internet about therapy over the last couple of months but there have been a lot of things to digest and many fewer sessions that have left me feeling hopeless and wrong. I agree that your hijack about Monte.

Liese, how is therapy going with your new T?
Hi Cogs,

Thanks for asking. It's going well. She's great. Talk about feeling emotionally safe. What a big difference. She has been away working although we skype even when she's home so it doesn't feel like she's away. Her emails are lovely and never trigger me the way my Old therapist's emails did. Just from the reading I have done, I feel confident that she is on top of her game. She is really smart. She gets supervision if something bothers her.

She's confident that she is competent but I never feel below her the way I felt below my OldT. She is much more accomplished than he is so it amazes me that I don't feel that way. It's all just part of who she is and part of who he is, I guess. I know she is much more accomplished than me but I feel like an equal, not less than. The only complaint I have is that I find some of the experiential exercises a little uncomfortable but I do them anyway because I think they are helpful. As time goes on, I have more and more respect for her.

My new T thinks my Old T committed malpractice by telling me he didn't find me lovable. I had expected that answer so I wasn't crushed though I do cry about it sometimes. If true, I feel disgusting doing intimate therapy with someone who didn't find me lovable but I try not to think about it.

My OldT really doesn't have a great understanding of his own psychodynamics let alone when they interact with his clients. He improved his own life in a surface kind of way, the kind of way CBT improves your life. He hasn't done the deep work and it is very obvious now to me. It's interesting that he didn't disclose because he likes to keeps his needs out of the room but his needs became very apparent in the way that we interacted.

Probably many smart people fall under the impression that they can learn anything but my gut is he is not gifted at the psychodynamic thing. I think that there should be some kind of limitation on the types of therapy therapists can practice but don't know what that would look like.

If you go to CBT school, you can only do short-term CBT therapy? When a client comes in for a consultation, it should be mandatory that the therapist should talk about the different modalities and what would be a good fit for that client? Any therapist has to go through training and get certified in a certain area before they can practice them? The longer therapy goes on, the more room there is for something to wrong and that's when you really need someone who is competent in the room with you.

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