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Does anyone else think this or struggle with this...(hopefully I can express what I'm feeling correctly)how can your therapist say they really care but it seems like this care can be turned on and off. Do they continually to care even away from us? My therapist knows how much struggle I'm going through right now that I would think he'd reach out and ask how I was doing or check on me, esp if he hasn't heard from me? I just can't seem to grasp he cares if he doesn't do this? Maybe I'm mixing up friendship here? Because friends would do this but your therapist isn't suppose to check up?
I don't know if I truly explained myself well here.
Thanks for any insight on this.
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Fuzzball1933:

I have been thinking about this very thing the last few days...I don't know what to say because I am baffled by this concept myself. The last few days have been very difficult (he knows with the death of abuser, etc.)and I have been asking the very same questions which unfortunately is leading me to want to quit. I wish there was an easier way through this.

I struggle with this as well and hopefully others' experiences and insight will help you. I am sorry I can not be much help but I know how difficult this can be and wanted you to know you are being thought of. Smiler

T.
fuzzball--
I do think I know where you are coming from. Often, the relationship feels one-sided when you think of it in this context.

I have to say, I have had 3 male therapists over the years, and none of them have ever called me up just to ask, "How are you doing?" It's really up to the client to call in and schedule an appointment, if there is a need to make contact. I'm not sure calling you on the whim that they are "thinking of you" is in their job description...lol. I only get a call or a text if the appointment time needs to be changed or he is running late.

With the amount of clients that they see, I'm sure they have to compartmentalize and separate certain things. Not that they don't think of you from time to time, I'm sure they do. But, I know it's hard when you yearn for that from time to time.

Hope you can come to terms with this.

For what it's worth,
LJB
My T cares and aids my attachment through consistency of all sorts and it's profoundly healing. If I reach out and ask her to check on me, she will. A therapist can't read your mind, and some just don't initiate contact. I have a T who doesn't but I do know with certainty she cares and with certainty if I am in pain and ask her to be there (and show me she cares) she is there consistently and timely. Thinking a T "should" know to contact you is a set up for disappointment. Maybe T wants to contact you, but cannot know (not a mind reader, can't assume) if you need or want it and also can't assume or may not think it would be helpful unless you asked.

So, I suggest asking for support in tough times, even if the person "knows" it's tough.

Hug two
My T has a very liberal contact policy but that only involves ME contacting HIM. He does not contact me unsolicited unless he is cancelling/changing an appointment. He has said in the past that he would not want to intrude on my life. Also, many T's feel that by contacting the client to see how they are doing would imply that the client is not doing well or cannot handle life on their own and that the T has no confidence in them. He leaves it up to me to make any needs known to him for contact, reassurance or for anything else. We need to learn to ask for what we need and as hard as that is, it's a good life lesson. I'm sorry it's so painful for many of you. I can see both sides. The best thing to do is to talk it over with T and get his point of view. It may help even if you don't get the check in calls.

TN
Fuzzball,

From the post Learning developmental skills: Identifying and Expressing needs on my blog:

quote:
But I think the hardest part to get over was the feeling of why did I have to ask? If someone really loved me, wouldn’t they care enough to know what I needed? I mean if I had to ask then what I was given wasn’t valid or real, right?

There was a time when we should have had an attuned caregiver identifying and meeting our needs without our having to ask, in fact we didn’t know what we needed or how to ask. They had to teach us that. In that first year of life, we don’t talk, we cry. When we feel some kind of discomfort, we make it known by protesting. And our attachment figure answers that protest and sets about figuring out what is going on. Is our diaper wet and needs changing? Are we scared and need soothing? Are we hungry? Are we tired? and then they meet that need. As we get older, and encounter our emotions, an attuned caregiver will literally identify what is going on for us. “You’re getting really grumpy, you’re tired and need to get some sleep.” So we match what we are experiencing in our body and in our feelings and connect with “oh that’s what grumpy and tired feels like, when I feel that way I need sleep.” If we did not have that consistently, and most abused kids didn’t, we really long for it. To have someone attend to us so closely that we would know beyond a shadow of a doubt that we mattered to them.

So having to express our needs can make us feel like it doesn’t count when someone meets them. But learning to take care of ourselves, means taking responsibility to reach out to others and make the need known. The loving response is that when someone hears that need expressed, they move to meet it, to provide for us that which we ask for. So BN quite stubbornly refused to give me something I was capable of asking for, but wouldn’t out of fear. He TRUSTED me to attend to myself. And so he would wait patiently until I could actually express it and then respond swiftly and surely.

I do want to be clear here that taking care of yourself does NOT mean you find everything you need inside yourself. We’re just not built like that, we need our connections and significant relationships to meet our needs, we cannot know ourselves outside of relationship. What it does mean is that you reach out to other people to get your needs met and know you are loved by their willingness to provide that for which you asked.

I think the healing we do in therapy is to learn to recognize that our deep longing for what we didn’t get is NOT wrong. What we are longing for are integral human needs. It’s HEALTHY to long for those things. And to recognize that the needs we still have, to connect, to be understood and to be heard, are also not childish but healthy. And even though we can’t go back into the past and get our needs as children met, we can learn in the present to understand our needs, move closer to other people and get our needs met now. We cannot go back to recover that which was lost, but we can go forward to claim that which is found and thrive.
Thank you to each of you for replying. I'm taking it all in and thinking about it. My T has called me quit often to check up on me, or sent an email just to say how are you today? I guess I find when I really want/need it it never happens. I just emailed him with this awful dream and how I felt abandon by him. The last part I wrote: So I'm needing something from you. I need to feel I'm not alone, care, checked on.
He responded within his break and answered this:
Wink.....hang in there!
Then I always finding myself I wanted more. I wanted I'll see you tomorrow, I'm here be safe or something like that. It just feels so routine his response. Like um hang into what?
I'm going to reread everyone's response. Thank you all for taking the time to respond. Going through a rough time at home and my dads death anniversary is coming up....one day at a time.
(((FB1933))) Its nice that your T has called you quit often to check up on you, and also sends you emails to see how you are doing, he sounds very warm and caring toward you. I'm sorry you are struggling with not having consistent contact you need with him after sessions, but he may have quit a few clients he is trying to keep up with after hours, plus trying to recharge his own batteries and have a person life. My T does not allow contact after sessions, except only in a specific "true emergency". I use to feel hurt and thought he did not care enough, but I've learned that I'm glad he doesn't allow after hour contact, because I would have been hurting and stressed out waiting for his replies, and I honestly hurt less not depending on hearing from him. Please don't feel alone with issue, its very understandable why you feel this way. If you can, please be honest with your T and tell him what your feeling, and ask him to explain to you "specifically" what you can expect from him with after session contact.
Eme..very true in what you say. I realize I'm not his only client and he needs his space from his work. I see him tomorrow and might talk to him about this, I'm afraid he will take away from me if I do though!
Blt...I can see what TN brought up may be the case too....
I sometimes just long for support because it's such a warm welcome.... Smiler
It's so nice to read everyone's post, it really does help to read them! Ty!!
From articles I've read, the therapist gives the patient motherly love by being sympathetic and caring in the session, but the week you have to wait provides the "frustration" to make you deal with separation issues. That's what I've read.
My problem is getting up the nerve to even ask for extra help, as my childhood was with caregivers who didn't want to be asked or bothered. I agree with catalyst that we need to ask and not assume. It's just a bummer to be so afraid to ask and risk being turned down. I know my post doesn't help feelings much, but it does explain some things.

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