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Old Mar 15, 2013, 11:07 AM
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amandalouise amandalouise is offline
Wise Elder
 
Member Since: Mar 2009
Location: 8CS / NYS / USA
Posts: 9,171
Quote:
Originally Posted by WePow View Post
This is a poll about trust.... a big issue in therapy!
yes I totally trust my therapist...I believe trust in a client therapist relationship goes both ways...in order for a therapist to be trustworthy the client must also be trustworthy...

example

what if I dont tell my therapist things, or only tell her part of the situation...without the whole issue how can the therapist do whats right for/by me, how can my therapist show me she can be trusted if I hid the information that she may need to help me...

situation...abused as a child, that causes me to have issues today like nightmares, flashbacks, trust issues, relationship issues, work issues,....

therapy session...

therapist... how are you?
client....(thinking I cant trust this person) says ok, still having those picture things in my head.
therapist (thinking that doesnt give me much to go on) what kind of pictures?
client ...(thinking. I dont trust you so Im not going to tell her) just pictures of things from the past
Therapist..(pictures from the past ...that can be a hallucination, delusion, flashback, imagination...lets see if this client is willing to go further on this) can you give me a bit more about this?
client (thinking heck no, you....) they are just pictures from when I was a kid things that happened to me.
therapist..(not knowing the whole story all I can go on is guessing) what kind of medications are you on?
client - Abilify.
therapist(ahhh so this person has depression and possible psychotic symptoms like hallucinations, delusions so the "pictures" are probably hallucinations/ delusional thoughts.)

now same situation with a client who is showing their therapist they can be trusted...

Therapist...how are you doing today?
client...not so good, I keep having these picture thingys happening.
therapist..(thinking thats not much to go on) what kind of pictures?
client ..(thinking oh crap why did I tell her the truth, I dont want to talk about this) do we really need to talk about this?
therapist..I cant help you if you dont talk to me. I understand its hard to talk about this kind of stuff but thats the only way I can help you, I cant read your mid so you need to tell me whats on your mind.
Client...taking a deep breath..ok its about when I was sexually abused. its like one minute I'm fine and the next its like its happening all over again, its so scarey.
Therapist...(ahhh shes having flashbacks) whats happening is called having a flashback. its your minds way of processing what happened to you. we can approach this in a few different ways, ....

in the first situation my therapist went the completely wrong direction based on my with holding information and thought I was having a psychotic event and needed my medications changed and referred me to my psychiatrist.

in the second situation my therapist knew what was going on, came to the correct idea of what was happening based on my being trustworthy (telling her everything without hiding things from her) and was able to help me through it with the correct treatment options which helped to end my flashbacks.

the client therapist relationship is a two way street, one cant be trustworthy and help if the other is not trustworthy.