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So I had a meeting with the clinical psychologist of the mental health intake team here in London to see what sort of therapy would suit me better to move to here from my other city where I attend low cost counselling once a week.

I didn't hold back with my issues. I declared what my daily difficulties were and my transference issues with my therapist.

In short, I feel EXTREMELY attached to my therapist, erotically as well. Sometimes I'll wake up in the morning and crave her as a sexual partner etc. I've told her this. I'm as honest as I can be as much as I can be because I want to sort this all out and get the help I need. Threat of leaving her due to external circumstances caused me to become very depressed all of a sudden, suicidal and self-harmed. I felt completely alone and helpless.

I was diagnosed as BPD about a month ago or so. I am finally coming to terms with the fact that I probably am.

So it came as a shock to me when I described what I go through; how my anxieties stop me from holding down a job, how I feel cut off from the world, insecurities, attachment issues to the world etc, to which he replied after some thought;

'I'm sorry, the NHS can't offer you one to one therapy support in the way that you need it'

I agreed with him that 1 to 1 therapy once a week was not enough. It is damaging. The distance from her causes me to internalize the pain and create an ambivalent attachment to her which distresses and depresses me too much. I have craved her so much that when the threat of therapy stopping came along, the whole world seemed to collapse around me. I even have ambivalent attachments to my best friends.

He suggested an intensive course of group therapy that lasts for 18 months. He said that I need to get a date to end therapy (Even the mere conversation caused me to feel very low for two days after that). I agreed to it.

I guess I'm disappointed and angry because HELLO, I have a debilitating illness here that's caused me life to spiral into chaos (financially, emotionally, mentally) in which I believe I need 1 to 1 sessions more regularly than once a week to be able to speak to someone (I talk to myself a LOT because in my life, I've been severely frustrated at not having a voice), and there is a lot of solace in speaking to someone who is compassionate about my issues.

In saying this, my attachment to my therapist is ridiculously strong. My identity started merging into hers to the point where I took up a Psychology undergraduate part time course to 'become' her in which I dropped it after a few months because I could not handle the emotional tensity of studying and dealing with the transference and having made a quick whim move to London overnight.

I'm starting to wonder if 1 to 1 sessions are good, therefore, if my attachment is so ridiculously strong, 1 to 1 sessions may not be good because I must go into a subconscious infant mode where I literally feel like I need to merge with the therapist.

But I worry because I want to integrate into the world and the literature states that the best way to work through BPD is to have group therapy AND 1 to 1 help.

This was really difficult news to deal with. I was almost 100% sure that I would safely be able to cross over to a new therapist and that this therapist would help me grieve my current one but not so.

I'm going to have to grit my teeth with the grief and hope that I do not get bad. I'm forcing myself to detach from her by putting a stop on my heavy fantasies of her being someone she never will be because if I don't, then I fear I'll cope really badly with the end of it.

I'm just disappointed with the UK NHS here and am wondering if anyone has any advice they can give, specifically anyone living in Britain with BPD and goes to therapy.

It's either that or I try to force myself to work and pay for my own therapy more than once a week.

Or not attend 1 to 1 therapy anymore and use a DBT workbook or something to help me through my issues..
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Aw FMG, how awful....I'm so sorry that the society health has failed to provide what you truly needed. Frowner un fortunately when it comes to the dollar, people and their real needs rarely can matter. That is a pretty deep existential pain, to realize that society will fail your needs.

As far as your "ridiculous" attachment- I cannot think it is ridiculous at all. So you have found a person, at last, who will listen with their whole attention, and care, for you? who doesn't long for such a thing?

I know I do. I still miss my T from last year. He was the first I met to "hear me." I guess that must be why. It's hard to find a person who can truly listen and understand! I don't think that it is at all unusual to need and desire and crave such a thing. It is a need never met, which grows in intensity the longer it is unmet. I hope things work out and that you will find the love from another human person you so badly need. May all of us find that, too.

Hugs,

BB
Forgetmenot.,

I feel so bad for you. Frowner

The UK health system is very unique, and even though I don't live there, I hate it sometimes...their ostensible devaluation of mental health in comparison with other medical issues. BPD is a serious condition.

It was good you were honest and upfront. See, you have so many positive traits. I always thought you were very insightful, and you have many strengths. You really endure a lot of suffering. I think many therapists would love to have you as their patient.

But if you don't have the ego strength right now to get one-on-one therapy in the way you need, know that DBT therapy is sometimes a step to individual therapy. If you complete the group program, they may then decide that the next course of treatment is individual therapy. Some people go that route (so I read).

quote:
But I worry because I want to integrate into the world and the literature states that the best way to work through BPD is to have group therapy AND 1 to 1 help.


I also thought it was important to have individual therapy along with the group sessions. I wonder if you can appeal that decision, or get a second opinion; have you thought of that? Borderline is distinguished, in part, by troubles regulating distance/closness with significant others, so I agree individual therapy is imperative.

Also wondered if your therapist could make some modifications that would make therapy with her more tolerable. since I started therapy with my current therapist, I have experienced similar feelings as you described, but I think to a lesser degree. My therapist said he does things different with me than the next patient, etc. More self disclosure, etc. Sometimes we have those intense dynamics with one therapist but not another. It could be that she has some qualities that your caregivers were seriously lacking..and because of that, it makes the transference more intense. I don't know.

Sorry I can't offer advice about the UK health system. I do know that psychoanalytic institutions are notorious for offering very low cost therapy, so maybe you could google PA training schools in your area. Not that your therapist is replacable, just thinking of possibilities for you to get the help you need.

Frowner Hug two

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