DO I NEED THERAPY?

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In song and in dance I express myself as a member of a higher community. I have forgotten how to walk and speak. I am on the way toward flying into the air - dancing. My very gestures express enchantment. I feel myself... A God. Supernatural sounds emanate from me. I walk around enchanted... in ecstasy like the Gods I saw walking in my dreams. I am no longer an artist. I have become... a work of art. Welcome to the Pleasure Dome.

No, seriously - do I need HELP? HELP? HELP?

In the pub tonite I happened along an auld aquaintance - one who still seeks the need of the SNIFTER OF COKE in the toilets yet seemed to think himself worthy to advocate therapy. He said that I was under the mistaken impression that I was HERO in my own Soap Opera and was thus blaming parents/friends/laziness/shadow-persona/Fate/God for my own shortcomings. I'd never blamed myself for anything, apparently. No. He knew this for a fact, even though I presume he wasn't around for the salient details of my life, including that time I stood next to a third-story open window wondering how sure I could be of landing on my head back in 1992. I could, apperently, not control my own destiny.

This was the point at which I told the entire pub that I HAVE A TINY PENIS and proceeded to snog a fellow employee with tongue - though not before telling the Old Buddy that he was a valued mamber of my supporting cast and that Season Five couldn't have had the kind of ratings it had without him.

Mind you, I didn't give him the beating he deserved. Do I need his therapy? Or is he A CUNT whose pathetic attepts to co-opt me into his twatty religious sect are beneath my notice?

Al, Friday, 16 November 2001 01:00 (twenty-three years ago) link

Need you ask, my friend? I think you should offer to analyze him and see how badly he wibbles.

Ned Raggett, Saturday, 17 November 2001 01:00 (twenty-three years ago) link

Spike his drink with strong LSD and then start feeding his analysis back to him.

DG, Saturday, 17 November 2001 01:00 (twenty-three years ago) link

No, what you surely need are the catchy pop hits of the band THERAPY?. Some teeth-grindingly awful indie-metal will soon show you what's what, what?

alext, Monday, 19 November 2001 01:00 (twenty-three years ago) link

Screw that! Forget about that! I don't wanna hear about anything like that!

MarkH, Monday, 19 November 2001 01:00 (twenty-three years ago) link

Therapy's worth a go but you'd probably get bored. Fancy a pint, though?

Tom, Monday, 19 November 2001 01:00 (twenty-three years ago) link

(Homer Simpson voice) mmmm... pint...

Al, Monday, 19 November 2001 01:00 (twenty-three years ago) link

eight years pass...

anyone who's been in therapy -- talk to me. tell me what to expect.

Aspergers Makes My Pee Smell Funny (Eisbaer), Friday, 28 May 2010 13:54 (fourteen years ago) link

There's a zillion different types. What type are you doing?

Christine Green Leafy Dragon Indigo, Friday, 28 May 2010 14:18 (fourteen years ago) link

none right now. i'm going through pre-qualification with my insurer right now. i'm not at the point where i'm trying to suss out the different types of talk-therapy out there. maybe i should post after i do that.

i also can't help shake the feeling that psychotherapists are just glorified witch-doctors. i went to therapy when i was an undergrad, and it seemed really pointless at the time.

Aspergers Makes My Pee Smell Funny (Eisbaer), Friday, 28 May 2010 14:35 (fourteen years ago) link

T, i have had both very good and very bad experiences in therapy. to generalize: the helpful therapists gave me homework, called me out on the cognitive (and verbal) contortions I used to permit myself bad or unuseful or maladaptive behavior and thought patterns, and really – to use a stupid metaphor – held my feet to the fire. they checked in with me weekly, and expected actual and honest and measurable reports of my progress. most significantly, the therapists would redirect me if I got off track during our sessions (distracted, evasive, avoidant, storytelling) and focus our sessions on Actual Significant Issues. They did not just accept the malarky I wanted to talk about.

The bad therapists I had were overly friendly, permissive, too concerned with making me comfortable, establishing a meaningful therapeutic relationship, "a long plan", etc., and did not measure or appreciate the significance, cost, and necessity of a single hour (or two) during the course of my week where i intended to deal with Serious Shit. These sessions felt more like a confessional or a litany, and instead of dealing with woes and discomforts all I would end up doing taking a steaming mental shit on the floor of the therapist's office.

I would recommend you look for somebody who will challenge you, and give you honest (and hard) truths, as opposed to platitudes and comfort. But YMMV.

ampersand (remy bean), Friday, 28 May 2010 14:50 (fourteen years ago) link

thanks remy. though how does what you describe as a "helpful therapist" differ from what a good friend can do (as long as they take the same approach that the helpful therapist takes)?

Aspergers Makes My Pee Smell Funny (Eisbaer), Friday, 28 May 2010 14:52 (fourteen years ago) link

I think a good counselor (psychotherapist, clergyperson, social worker) is useful in ways a friend is not because:

(1) professional duty and detachment means a therapist will tell you where you are wrong without undue regard for hurting your feelings. a friend may not be able to tell you your fantasy of X is untenable and harmful, but a counselor will have no problem doing exactly that - and will probably be bound to do so by professional ethics.

(2) a therapist has good tools and training and the virtue of experience. s/he may end up hearing dozens and dozens of cases each week, and will learn with time which advice and assignments and repatternings of behavior work effectively, and which doesn't. most friends have personal and anecdotal evidence, at best.

(3) it's a lot easier to be totally honest with a stranger than a friend. you may not wish to admit to a friend that you are only a mediocre X – but to a therapist it will be easy. telling a friend that, oh, i dunno, 'i might have a touch of the old oedipal complex' might be easy at the time you say it –– but could prove embarrassing five years later.

ampersand (remy bean), Friday, 28 May 2010 15:04 (fourteen years ago) link

i also can't help shake the feeling that psychotherapists are just glorified witch-doctors.

I have to resist the urge to lecture you here - at any rate, this feeling of yours is not rooted in the truth. but if you have this preconception, it's going to take you a while in therapy to develop the bond of trust you need in order to get the most out of it.

I don't think that hearing "what to expect" on the subject of therapy will be any more useful than when friends/strangers tell you "what to expect" from a marriage - which is therapy's closest analogue. You and another person are going to embark on a journey toward a better understanding of who you are. in that understanding lies the key to unimaginable happiness, in my experience, and in it hides the escape hatch from the depths. there are therapists with whom you won't click, but it'll be hard to tell if you're going in with the idea "this is probably bullshit."

the crucial differences between a therapist and a friend:
1. a therapist does not judge you. in any way. when you think that they are doing so, that's your own baggage. your friends may say they don't judge you, but that's a little different. when you come to understand the therapeutic space as one in which your ugliest, darkest secrets will not be judged, that's incredibly liberating.
2. a therapist is bound by confidentiality. your friends will promise not to talk to anybody else about what you talk to them about. that promise has a time limit, most likely, and they can be plied with drink. what you say in a therapist's office stays there forever.

I am as you might gather a strong believer in the benefits of psychotherapy.

henceforth we eat truffle fries (underrated aerosmith albums I have loved), Friday, 28 May 2010 15:15 (fourteen years ago) link

FWIW – re: college therapy experience – is a lot of the therapists on college campuses are not yet pros, they're students who, as part of their prep/training before graduating, work on campus helping other students. So they're not pros. In my experience, it's been a notable difference in quality between therapists who are pros who have a few years under their belts, and ones I've seen on campus who were students, who all matched in some way remy's highly OTM description of Bad Therapists. Not that you even have the option of seeing a campus counselor type anymore, but just to say the experience you had would not be representative of the potentials in therapy.

breaking that little dog's heart chakra (Abbott), Saturday, 29 May 2010 16:19 (fourteen years ago) link

my college therapist wasn't a student, i'm guessing that she was in her late 30s/early 40s. i don't know whether she was a *bad* therapist, or if it was just a matter of me not finding her method of psychotherapy very useful. it was a bunch of students sitting around in a room talking about whatever it was that was bothering us at the moment. and the therapist didn't really give us any advice -- she would just let us go on and on and on ... That's why it seemed pointless at the time. But that may have been her style/school of therapy.

Aspergers Makes My Pee Smell Funny (Eisbaer), Saturday, 29 May 2010 16:50 (fourteen years ago) link

anyway, i will take J0n's advice and just do it. can't judge till i go through it, i think. and since everyone is urging me to go to therapy, i think that they are onto something.

Aspergers Makes My Pee Smell Funny (Eisbaer), Saturday, 29 May 2010 16:51 (fourteen years ago) link

i imagine the warnings are there not to get your hopes too high for a particular, random therapist, but also reiterate that therapy can and in fact does work for many people in many cases; but it also doesn't work in similar frequency

Nhex, Saturday, 29 May 2010 16:52 (fourteen years ago) link

yeah but dude on the real, especially in this loathsome accelerated age: you're gonna have a hard time not beginning to evaluate & grade the whole process somewhere around the first five minutes of the first session. it is disorienting. my for real advice: try to withhold judgment & just do it for 3 months minimum. just get into it. I personally think an mfcc or msw is the way to go btw. have fun. it'll change yr life is my prediction.

henceforth we eat truffle fries (underrated aerosmith albums I have loved), Saturday, 29 May 2010 17:15 (fourteen years ago) link

Witholding judgement is key. One of my closest friends has been seeing a therapist...she was hugely resistant at first, ready to toss it in after one session. I told her to give it time, and she came around to seeing the benefit.

This might sound trite but one of the biggest obstacles to therapy is believing that you are worth the trouble.

VegemiteGrrrl, Saturday, 29 May 2010 17:48 (fourteen years ago) link

and that your therapist may actually be able to help you

ampersand (remy bean), Saturday, 29 May 2010 18:09 (fourteen years ago) link

i know what an MSW is, but what is an MFCC?

Aspergers Makes My Pee Smell Funny (Eisbaer), Saturday, 29 May 2010 18:39 (fourteen years ago) link

Motherfucking Cranium Changer

ampersand (remy bean), Saturday, 29 May 2010 18:50 (fourteen years ago) link

how many sessions should one allow before deciding to continue on with the same therapist? i mean, obviously there are situations where you know for sure that the person is helping you break through stuff etc..
but in the past, i have not been sure if a) i'm not working hard enough on the process or b) the therapist is just not a good match.

hobbes, Saturday, 29 May 2010 21:31 (fourteen years ago) link

my college therapist wasn't a student, i'm guessing that she was in her late 30s/early 40s. i don't know whether she was a *bad* therapist, or if it was just a matter of me not finding her method of psychotherapy very useful. it was a bunch of students sitting around in a room talking about whatever it was that was bothering us at the moment. and the therapist didn't really give us any advice -- she would just let us go on and on and on ... That's why it seemed pointless at the time. But that may have been her style/school of therapy.

yeah, the therapy that has worked for me has been A) one-on-one and B) lots of feedback & questioning from the therapist

ᵒ always toasted, never fried (crüt), Saturday, 29 May 2010 21:40 (fourteen years ago) link

btw pre-revive this reads like an Ask A Drunk thread

ᵒ always toasted, never fried (crüt), Saturday, 29 May 2010 22:01 (fourteen years ago) link

two weeks pass...

I was just thinking about this...the clinic I was going to wanted me to have an annual appointment with their psychiatrist. The psychiatrist was a middle-aged dude and he was listening to Michael Savage in his office during our meeting, which I thought was maybe not appropriate. Anyway, I said, "My dad listens to Michael Savage," prompting him to ask if my dad knew X trivia item about Michael Savage. I had no idea. He said, "Call your dad." I said, "It's long distance, are you sure?" He said, yes, so we put my dad on speakerphone. He grilled my dad about minor points of Michael Savage trivia, and my dad knew none of them. "Looks like you don't really appreciate Michael Savage," the psychiatrist said to my dad before we ended the call.

breaking that little dog's heart chakra (Abbott), Wednesday, 16 June 2010 15:32 (fourteen years ago) link

that does not strike me as professional behavior

congratulations (n/a), Wednesday, 16 June 2010 15:35 (fourteen years ago) link

lol

Nhex, Wednesday, 16 June 2010 15:37 (fourteen years ago) link

Yeah, it was like the second least professional therapy experience I ever had.

breaking that little dog's heart chakra (Abbott), Wednesday, 16 June 2010 15:38 (fourteen years ago) link

It was so funny & weird that I didn't want to stop it, though...I was thinking, 'how far can this go?' It can go as far as a self-entitled stranger insulting my dad over speakerphone.

breaking that little dog's heart chakra (Abbott), Wednesday, 16 June 2010 15:39 (fourteen years ago) link

Looks like you don't really appreciate Michael Savage.

sent from my neural lace (ledge), Wednesday, 16 June 2010 15:40 (fourteen years ago) link

Abbott, you mistook what the clinic meant about the annual appointment -- the middle-aged guy was the patient.

Ned Raggett, Wednesday, 16 June 2010 15:40 (fourteen years ago) link

you were billed for that??!

progressive cuts (Tracer Hand), Wednesday, 16 June 2010 15:41 (fourteen years ago) link

assuming not this guy btw

# Michael Savage (musician), singer of American rock band Pigmy Love Circus

sent from my neural lace (ledge), Wednesday, 16 June 2010 15:41 (fourteen years ago) link

Tracer Hand, I didn't pay a cent at this place. I guess you get what you pay for.

breaking that little dog's heart chakra (Abbott), Wednesday, 16 June 2010 15:42 (fourteen years ago) link

yeesh, physician heal thyself indeed!

Loathsome Dov (Jon Lewis), Wednesday, 16 June 2010 15:43 (fourteen years ago) link

Yeah, it was like the second least professional therapy experience I ever had.

...what was the first?

peacocks, Wednesday, 16 June 2010 15:52 (fourteen years ago) link

"I'm on a tight schedule, do you mind if I whip up dinner for my kids while we do this?"

WHERE did Sandy Denton get the audacity to leave the dressing room w (Stevie D), Wednesday, 16 June 2010 15:55 (fourteen years ago) link

^ i've heard this from dusky voiced beauties on sexlines tbh

Remember when Mr Banhart was a replicant? (darraghmac), Wednesday, 16 June 2010 15:58 (fourteen years ago) link

ten months pass...

what are all your experiences of therapy like?

i have been considering it lately, due to a combination of factors. i'm not feeling majorly down, in fact a little better than usual, but i think in a weird way it feels a good time to go as a result of that, in that i feel i can rationally see some problems and it'd be better to do something before life creates situations that makes them harder to deal with.

i guess it's a combination of lack of trust in myself, or not knowing when i am doing the right thing or the wrong thing, or whether i should be more self confident or less, or how to change or whether i need to. along with this i have a lot of trouble trusting people and feel a lot more introverted than at other times in my life, not that this would appear obvious to those around me, but the disconnect there is prob another problem.

further to all the above i never really talked through my chronic illness properly with anyone and i feel i should at some stage.

i guess underlining all the above is just an essential unhappiness which has become resignation to some extent.

i know everyone is prob reading thinking if the above means i need therapy then everyone should be signed up, but can i benefit from it does anyone think?

i feel like if it could help me to regain the impetus i had in my teens and early 20s, even a little bit, or some kind of impetus and self assuredness, then it'd be worth it.

Will.Have.Known (Local Garda), Wednesday, 4 May 2011 13:35 (thirteen years ago) link

and also just...erratic behaviour, one day over the moon the next disgusted, etc etc...no pattern to any of my moods.

Will.Have.Known (Local Garda), Wednesday, 4 May 2011 13:36 (thirteen years ago) link

go to therapy, but look for a "hard" therapist and not just one who waits for you to talk yourself out. you can always call around and interview them on the phone – ask them what their approach is – and look for one that fits with your goals. I think cognitive - behavioral therapists are better at giving homework, asking you to do real work on yourself, etc., as opposed to the old model of 'let's enable your narcissistic rambling for an hour every week'

ignore the man behind the parentheses (remy bean), Wednesday, 4 May 2011 13:38 (thirteen years ago) link

Ugh. I've started seeing several over the years but never kept it up because each one I've seen (maybe 4 or 5 in total) was of the "one who waits for you to talk yourself out" variety. I know what my issues are and think about them ALL the time. I don't want to just talk about it. In fact I'm tired of talking about it. I want someone to give me feedback and help prompt change. The last one I saw told me that she didn't think CBT would work for me because I was too smart. I have no idea WTF that meant but it sounded like BS and I never went back.

\(^o\) (/o^)/ (ENBB), Wednesday, 4 May 2011 13:45 (thirteen years ago) link

^^^ i thank you for typing that out for me. having the same exact problem, only minus the trying.

i need someone who will be really "hard" i guess because i am EXTREMELY stubborn and not likely to enjoy this at all.

anyway ronan, i don't think this is a bad idea. have been considering it myself but haven't taken the next step. the last year has been pretty tough and i would like to know what to make of it.

deez m'uts (La Lechera), Wednesday, 4 May 2011 14:10 (thirteen years ago) link

The last one I saw told me that she didn't think CBT would work for me because I was too smart.

this is indeed straight-up bullshit, btw.

i can tina turner (elmo argonaut), Wednesday, 4 May 2011 14:18 (thirteen years ago) link

I KNOW

That's why we had to break up.

Have done CBT before and it was somewhat helpful btw.

\(^o\) (/o^)/ (ENBB), Wednesday, 4 May 2011 14:25 (thirteen years ago) link

CBT is really great if you have identifiable problems and behaviors you want to work on and change (which is why its great for anxiety-related issues), but (ime, and judging by the experience of friends) is a lot less helpful for... "working through issues" or what have you.

i mean its all related, ppl should do what works best for them, but given the way ronan is describing what he's looking for i think oldish-school "narcissistic rambling" therapy could be just as helpful. sometimes the best thing is to just talk to someone who is unconnected to your life for an hour every couple weeks!

ban drake (the rapper) (max), Wednesday, 4 May 2011 14:27 (thirteen years ago) link

...the clinic I was going to wanted me to have an annual appointment with their psychiatrist. The psychiatrist was a middle-aged dude and he was listening to Michael Savage in his office during our meeting, which I thought was maybe not appropriate.

LOL!!..

dell (del), Wednesday, 4 May 2011 14:28 (thirteen years ago) link

CBT is really great if you have identifiable problems and behaviors you want to work on and change (which is why its great for anxiety-related issues), but (ime, and judging by the experience of friends) is a lot less helpful for... "working through issues" or what have you.

Yes, this makes sense to me. Also my anxiety was pretty under control at the time so perhaps that was part of what she was getting at and just didn't phrase it correctly. We weren't a good fit in general mainly because of what I mentioned earlier. She would just look at me and nod the whole time and I found it really unhelpful. I think M is right though and that for some people the opportunity to talk to someone unconnected can be what some people find most helpful, it just hasn't been for me.

\(^o\) (/o^)/ (ENBB), Wednesday, 4 May 2011 14:36 (thirteen years ago) link

I just called one of those "stressed? griefy? etc? call us" employee assistance hotlines and the guy tried to talk me into seeing a counselor again –––––––––––––––– and he correctly identified (and helped me realize) that I have developed an extreme distrust of counselors/therapists over the years. Looking back over the years, I can see where it got fucked up with every single one of them. I have this little narrative that therapy helped me out but it's not so simple as that.

The anonymous phone guy was VERY easy to talk to, mostly because I'll never have to see him again! Or that he has a copy of something dumb like THE COURAGE TO HEAL that makes me judge him. Just, ok, I got problems, bye, let's never do this again!

ms fotheringham (Crabbits), Thursday, 13 September 2012 01:22 (twelve years ago) link

Maybe you are looking for reasons to reject them in the end? The by-far best therapist I ever had used to quote Tony Robbins, so I had to let go of my anti-self-help-book prejudice. Anyway, sounds like you are going through some really hard stuff and I feel for you. Seeing someone sounds like a good idea.

look at this quarterstaff (Hurting 2), Thursday, 13 September 2012 02:08 (twelve years ago) link

I think it breaks down to:
- the truly bonkers therapists detailed upthread (eg the one who made me call my dad w/Michael Medved trivia questons mid-session)
- got misdiagnosed w/bipolar and was on like extreme (and extremely expensive) medications for years and years and did not start having anything like a normal work life or normal emotional life until AFTER going off meds
- they gave me a guy therapist after I got raped and I was too much like 'hmm I must not judge humanity for its many penises' Polyanna to say no, and eventually I would go home imagining him masturbating while thinking about our sessions (I think this is called 'transference' and also 'awful')
- I did have a good marriage counselor because she saw through all our bullshit but it did lead to a divorce
- didn't really help that my former mom-in-law is a therapist, and insane, and when I got raped she told me it was MY fault because I repressed a memory of my dad molesting me (my dad never molested me (this is why I would get judgey about someone having THE COURAGE TO HEAL))
- and now ILX is my therapist, sorry everyone!!

ms fotheringham (Crabbits), Thursday, 13 September 2012 02:51 (twelve years ago) link

ugh. therapy can be kind of dangerous really. It's so crucial when it's good, but it can be so terrible when it's bad.

FWIW both of my mother's parents were therapists and she played therapist with me (to an inappropriate degree) my whole life. So I can relate to mistrusting therapists.

in re the guy therapist, though, (and here I'm going to go playing therapist I guess) -- I think there are times when you can actually benefit from trying to sit with those awful and uncomfortable transferrence feelings about a therapist, and that's supposed to be part of the process and all, although obviously I don't advocate doing it to the point of nauseau and trauma

look at this quarterstaff (Hurting 2), Thursday, 13 September 2012 03:18 (twelve years ago) link

ps I didn't know that's what "The Courage To Heal" was -- yuck

look at this quarterstaff (Hurting 2), Thursday, 13 September 2012 03:21 (twelve years ago) link

yeah seeing a male therapist for that was a MISTAKE

thanks for listening Hurting. Want to say I hope you don't think I was going ham on you on the feministy thread. Sorry for being such a ridiculous and petulant provocateur.

ms fotheringham (Crabbits), Thursday, 13 September 2012 03:29 (twelve years ago) link

nah I didn't figure you were talking about me specifically, I was just trying to provide some context for at least some instances of "the woman seems to be doing all the child-rearing." I mean other times there's just stupid male expectations at play, for sure.

look at this quarterstaff (Hurting 2), Thursday, 13 September 2012 03:35 (twelve years ago) link

One thing I can say is that you're probably right about how you'd feel if you had kids -- that sounds very much like what new moms, including my wife, have told me about the rage they often feel, so if you ever do it, at least you won't have unrealistic expectations.

look at this quarterstaff (Hurting 2), Thursday, 13 September 2012 03:37 (twelve years ago) link

I mean not all the child-rearing but all the child-CHASING. Like I go out with friends – mom, dad, and toddler – dad's playing mandolin and drinking whiskey with the boys, mom's the one following the little making sure she's not falling into the pool. Or doing all those child-time-occupying games. "Can you count how many fallen apples there are on the ground, sweetie?" And when moms needs to use the bathroom or take a break with some wine, it's not dad that's swapped out to watch the kid, it's me. Which, I love their kid and don't mind. But that is the face of liberal hipster parenting I've seen play out at a lot of parties.

ms fotheringham (Crabbits), Thursday, 13 September 2012 03:40 (twelve years ago) link

I must not judge humanity for its many penises

sorry i lol'ed

real men have been preparing manly dishes for centuries (elmo argonaut), Thursday, 13 September 2012 13:25 (twelve years ago) link

one year passes...

So, I'm seeing a counsellor for the second time in my life after finally reaching a plane of despair too great to ignore anymore. Had one session with her so far and think it might be constructive.

I initially found it hard to open up, which is weird considering my many anxious and grievously desperate cries of help to friends for understanding and help...which accomplished nothing. It felt like a brief purge, but solved nothing and I felt sick of going round and round in circles. I'm hoping talking to an actual counsellor will be more productive, but I can't imagine anyone being able to get me to solve my problems. But perhaps that's because there are some things I'm holding back?

I dunno what the point of this post was, I just didn't want to revive the depression thread again, maybe get some more insight from therapy veterans?

president of the people's republic of antarctica (Arctic Mindbath), Tuesday, 21 January 2014 02:37 (eleven years ago) link

I'm not a veteran and I'm not sure I have much insight but my experience has been that if, in any way, you manage in therapy to express something that you would have kept inside you, formless and wordless, then therapy is/has been worth it

licorice oratorio (baaderonixx), Tuesday, 21 January 2014 10:18 (eleven years ago) link

Dude, it's good to have sought help, and I really hope that it will be productive for you. The only thing I can say with any confidence is that: you have been living in your own mind for decades, and you are the expert on the inside of your own head. If you feel like it will be constructive, then it probably will be constructive for you!

Learning to really open up is difficult, and it often takes time. I was in therapy for much of my teens, and it was really helpful at that time, but unfortunately, it also taught me "How To Talk To Therapists And How To Express 'Emoting' To Therapists In A Way That Convinces Therapists" - which is not actually the same thing as opening up. Opening up takes trust - trust in your therapist (so that feeling that it will be constructive is good!) - but also trust in yourself.

If you've experienced a lot of crazy-shaming (either externally or internally) or had people pull away from you when you've told them how bad it's really got inside, it can be hard to let yourself open up all the way. If you're really used to holding back or hiding bits of yourself in order to seem more presentable or less crazy to others, it's difficult to actually convince yourself "no, really, I can say *anything* in this space, even the really really bad stuff."

A good therapist will actually be trained in breaking that "round and round in circles" feeling. Or at least getting you to look at the circle from outside, and saying "what is this circle? let's look at the actual circle rather than engaging the thought in it" rather than letting you run round it in a counter-productive way. (At least, that's what I've found useful in a therapist.)

Maybe this is helpful to you! Maybe it isn't! I apologise if it's not. I hope that you have a good experience with it. Maybe other people here can provide you more helpful advice?

our lives, erased (Branwell Bell), Tuesday, 21 January 2014 10:33 (eleven years ago) link

what BB raises reminds me of what I was trying to get at when I started a thread on "when to quit therapy?" which was kinda killed by being moved to 77.
One of my lingering questions has always been: is this threapist any good? is this therapy doing me any good? Since, for most people, experience with therapists will be extremely limited - it's pretty hard to know what makes a good one.

licorice oratorio (baaderonixx), Tuesday, 21 January 2014 10:43 (eleven years ago) link

The only thing I can tell you is that what makes a therapist "good" is your sense that this therapist is *doing* you good, that you feel better, that you are able to live your life with more ease, and get along better with others. (And also, if you are lucky to have friends or loving family and a wider community, that they will notice - or tell you if asked - you seem so much happier/more at ease.)

There isn't really a abstract, external, objective "good" or "bad" here; there is only "works for you" vs "does not work for you". And the only person who can judge that is you (or, perhaps, if you have friends/family who have known you very well for a very long time). I wish I had an easier, more definitive answer for you! Sorry this isn't more helpful, but saying anything more concrete would really feel like I was spinning bullshit, or trying to impose mine own standards on others.

our lives, erased (Branwell Bell), Tuesday, 21 January 2014 11:01 (eleven years ago) link

I've found that you can't weed out the good therapists from the OK ones until after the first few cathartic sessions. At least for me. Every therapist I went to seemed great for the first few sessions until we got some basic stuff under control, and then it just started to feel not so helpful.

I don't know if it's an option for you, but trying out a few therapists until you find one who works well with you is worth it, in my opinion. After 2 years of off and on therapy with various therapists that I would find unhelpful after a few months, I've finally found an amazing therapist, and I'm so glad I didn't try to stick it out with those other therapists when they stopped working for me.

(As for what makes them good, BB is right in that you will either find the sessions to be helpful or not helpful. The guy I'm seeing now is the first one where we've had consistently positive sessions--not every single one was as equally therapeutic as the other but I've been with him for almost a year and have never left a session wondering if it's even worth it to continue. With all my other therapists, usually by the 4th or 5th session, I started to wonder if therapy was worth continuing.)

rayuela, Tuesday, 21 January 2014 18:33 (eleven years ago) link

You need patience with therapy. Remember you are starting from scratch with a professional who knows nothing about you, and they need some time to even grasp what your issues really are. I would also say you have to look at the overall process over time and not just whether each session feels "therapeutic."

For me, at least, a good therapist was able to kind of "interrupt" my damaging mental processes and challenge them. And also, to get me to break the ice of my elaborate rationalizations and start to be aware of the feelings beneath them, which I was scarcely aware existed.

signed, J.P. Morgan CEO (Hurting 2), Tuesday, 21 January 2014 19:43 (eleven years ago) link

Yes def good to get a feel for your overall sense of progress!

rayuela, Tuesday, 21 January 2014 21:41 (eleven years ago) link

thanks for the detailed input, everyone. as this is a state-run thing, I only get 9 sessions lasting around an hour each (although my therapist has said she's willing to add extra time outside of the mandated ones if need be).

I think things will be OK. I'd definitely want to pursue that mental "interruption", as my mind is like a runaway horse once it gets going.

president of the people's republic of antarctica (Arctic Mindbath), Tuesday, 21 January 2014 22:52 (eleven years ago) link

ten years pass...

maria started seeing this older clueless therapist who is not the swiftest (like maybe she's new at it.) and to test her out maria mentioned that she grew up with a gay mom and that she was bisexual and the therapist got all nervous and said "well...uh...uh..i know it can be hard..uh...for people to deal with hobophobia..."

hahaha!

maria is on the lookout for a new therapist.

scott seward, Wednesday, 9 October 2024 15:45 (three months ago) link

I wonder what the quality control is for independent therapists. are they using evidence based techniques??

| (Latham Green), Wednesday, 9 October 2024 15:49 (three months ago) link

maria said that this therapist would basically repeat back everything that maria said to her only in a longer way. which took up more then half of her time there! didn't sound ideal.

scott seward, Wednesday, 9 October 2024 17:04 (three months ago) link

I dont think it’s great that dudes can just set up their own practice and rake in $$$ while providing no useful service whatsoever besides a listening board. No accountability, no on-the-job training or whatever when new developments arise, no collaboration with other therapists, just a total shit sandwich.

brimstead, Wednesday, 9 October 2024 17:22 (three months ago) link

My last ex and I talked about couples counseling before it ended (we didn't end up going), but I was shocked at how expensive it was... I spoke with one woman who was quite nice, almost ready to book an appointment - she said it was $275 for a 50 minute session, but the first session should be double-length to really get to know each other so that would be $550! I almost had a heart attack

Andy the Grasshopper, Wednesday, 9 October 2024 17:23 (three months ago) link

many people I have talked to who went to therapy thought it was no use and this is very disappointing. Maybe there should be some kind of other certification or Yelp or something. I mean who is measuring the outcomes of these therapists? If peopel think it is no good they just stop going

| (Latham Green), Wednesday, 9 October 2024 17:36 (three months ago) link

Don't you have to have some kind of training or certification? Or you can just call yourself a therapist?

Andy the Grasshopper, Wednesday, 9 October 2024 18:10 (three months ago) link

of course you need some kind of training or certification. a quick google search will clear that up for you. i'm sure it's different everywhere/regionally/nationally but obviously there is some standard of training.

it's like accreditation for higher ed aiui -- there are accredited schools (good) and unaccredited schools (bad) and sadly it's on the customer/student/client/patient to determine if a care provider is sufficiently accredited.

Piggy Lepton (La Lechera), Wednesday, 9 October 2024 20:56 (three months ago) link

Psychologist here. It's a pretty confounding landscape. There are absolutely certifications needed in order to use certain terminology, but as LL says, there are wide variations from state to state in the US and surely from country to country as well. Profession names like "psychologist" tend to be well regulated. "Therapist" is tricky because there are all sorts of therapists - physical, respiratory, etc., but generally people can't use that word if they aren't accredited in some way, in some profession. "Counselor" is even more slippery. "Coach" aiui is totally unregulated, which is why you see lots of people who fancy themselves therapists hanging out their "life coach" shingle without any training or accountability whatsoever. And some of them are great! But if you're making an investment, nice to maximize the chances that you'll get someone who actually has some expertise to offer you.

Andy the Grasshopper - not sure where you're located but that is exorbitant. Not so much the hourly rate (although I totally get how much of a nonstarter it is for most people), but asking for double length. I am assuming that is an out-of-pocket quote from a therapist who doesn't take insurance. When you bill insurance, there are higher reimbursement rates for initial sessions to help offset the fact that they may be longer, but it is not double, and ime private pay folks may charge like 150% of their usual for an intake, but not double. Whether or not the average therapist takes insurance is another thing that varies widely by region - in wealthy urban areas people tend to get away with being private pay only, whereas elsewhere it can be hard to fill a caseload that way. But even when someone doesn't take insurance, good therapists who have their shit together should be offering to support you with submitting reimbursement paperwork so that you can get at least a portion of their oppressive rates back.

Lavator Shemmelpennick, Thursday, 10 October 2024 14:49 (three months ago) link

Oh one more thing to add -- in many states and disciplines you have to accrue supervised hours after getting a degree but before you can sit for a licensing/certification exam. So there are also lots of unlicensed folks operating out there under someone else's supervision. That should all be disclosed at the outset, and is more likely to be in a larger institution like a big group practice or a community mental health center. But people can pay someone to supervise them when working independently too in some circumstances. Paradoxically, while those folks are generally very green, it can be a perk that you sometimes also get the benefit of their supervisor's wisdom filtering back into the work, and at the very least there's some accountability there that can disappear once they are able to strike out on their own. But there's no question that results vary wildly in all of these cases. Ultimately psychotherapy is such an inexact and individualized science that there's bound to be a lot of trial and error involved to find someone who is both actually good/knowledgeable, and a good fit for a particular client. Which sucks because it can be so hard to find a therapist that the idea of shopping around and trying a few, which is highly recommended, is often a pipe dream.

Lavator Shemmelpennick, Thursday, 10 October 2024 14:56 (three months ago) link

I am happy to use this thread as an "ask a therapist" space anytime. I'm in Massachusetts btw

Lavator Shemmelpennick, Thursday, 10 October 2024 14:59 (three months ago) link

thanks for the offer!

scott seward, Thursday, 10 October 2024 17:44 (three months ago) link

Andy the Grasshopper - not sure where you're located but that is exorbitant

This was in the Silicon Valley, where everything is expensive. She did not accept insurance, as far as I recall... and I'm with an HMO that has their own team of therapists ('pick from one of seven'), but I highly doubt that includes couples counselors

Andy the Grasshopper, Thursday, 10 October 2024 17:51 (three months ago) link

Lavator Shemmelpennick my concern is over time, years after getting a degree, are therapists keeping up with current research?

I am interested in the TEAM version of CBT - https://feelinggoodinstitute.com/what-is-team-cbt-therapy

One thing that seems good about it is there is an element of testing the therapy sessions to see if the patient is actually getting anything out of them

I agree psychology tends to cover such a nebulous terrain of human life - very complex problem with complex solutions. And the blurry line between what is medicine and what is philosophy

| (Latham Green), Friday, 11 October 2024 14:47 (three months ago) link

It's likely they have to do periodic continuing medical education courses to keep up with the latest stuff. That's been the case with the doctors I've worked with over the years. They weren't psych docs but I bet it's similar.

I'm almost done with my course of CAT and while it's been interesting I don't think it's helped as much as I'd have liked and now I'm at a loss for what to do next.

Benson and the Jets (ENBB), Friday, 11 October 2024 15:11 (three months ago) link

Never heard of CAT before. SOunds like its meant to be kind of a quick treatment. I like bibliotherapy and I've been enjoying this

https://www.newharbinger.com/9781886230354/feeling-better-getting-better-staying-better/

| (Latham Green), Friday, 11 October 2024 17:24 (three months ago) link

Any pharmacist up in here? Seems like an awful job

Heez, Sunday, 13 October 2024 22:58 (three months ago) link

Why

Humanitarian Pause (Tracer Hand), Sunday, 13 October 2024 23:22 (three months ago) link

I am happy to use this thread as an "ask a therapist" space anytime. I'm in Massachusetts btw

― Lavator Shemmelpennick, Thursday, 10 October 2024 15:59 (four days ago) bookmarkflaglink

Likewise, I’m in training if you want to, uh, “Ask an inexperienced therapist”

Chuck_Tatum, Monday, 14 October 2024 00:19 (three months ago) link

x-post - Pharmacists have to take A LOT of shit from people.

Benson and the Jets (ENBB), Monday, 14 October 2024 09:27 (three months ago) link

They do! My local chemist is responsible for the area’s methadone patients’ scripts and it’s both exasperating and heartbreaking for them as practitioners.

guillotine vogue (suzy), Monday, 14 October 2024 09:47 (three months ago) link

three months pass...

So, I had a session with my therapist today and I noticed a guitar case in her room. She’s maybe 40, very sweet and kinda soft spoken. We click really well. So at the end of the meeting we’re wrapping things up and small talking, and I ask her about the guitar.

She tells me that someone gave her the guitar and a guy across the hall from her office teaches guitar so she started taking lessons, going on about a year.

I asked her what she likes to play the most, and she pauses for a second and says “Do you know GG Allin?”

“What?!? Yes…”

“I like to play his songs. He’s kinda crude and... you know, I have to be really polite and proper here. I can let something out when I play that.”

The next session might be my last because I’ve been feeling a lot better for a while and i’m bummed that I don’t get to see her anymore. I imagine people don’t usually become buddies with their therapists, but she’s the coolest person in this town.

Cow_Art, Wednesday, 29 January 2025 17:45 (two days ago) link

Ok, she rules

a ZX spectrum is haunting Europe (Daniel_Rf), Wednesday, 29 January 2025 17:47 (two days ago) link

Now that’s a different kind of interaction. Very nice

Glower, Disruption & Pies (kingfish), Wednesday, 29 January 2025 18:05 (two days ago) link

haha that is not what i was expecting yikes

Tracer Hand, Wednesday, 29 January 2025 18:08 (two days ago) link

"well I'm something of a murder junkie"

maf you one two (maffew12), Wednesday, 29 January 2025 18:10 (two days ago) link

would you say she's been a good *Mentor* to you? (hi-hat splash)

Andy the Grasshopper, Wednesday, 29 January 2025 18:15 (two days ago) link

She’s seen some shit

Evan, Wednesday, 29 January 2025 18:25 (two days ago) link

I have a bass. She and I need to start a band.

From therapy sessions... to JAM SESSIONS

Cow_Art, Wednesday, 29 January 2025 18:43 (two days ago) link

"kinda crude"

Benson and the Jets (ENBB), Wednesday, 29 January 2025 21:39 (two days ago) link

some of The Jabbers stuff is downright catchy

Andy the Grasshopper, Wednesday, 29 January 2025 21:49 (two days ago) link


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