Quote:
Originally Posted by lolagrace
But we see, time and time again here on PC, people who don't tell their T's how things are going with their own therapy and they know the therapist probably doesn't realize it. They aren't mind readers. They can probably tell if a person's condition is deteriorating, but whether a client feels comfortable with the direction their therapy is taking, or whether a client wants some sort of change in approach may be much more subtle, particularly if the client presents as pretty much status quo. Those kinds of discussions have to be happening in therapy, and if the client doesn't naturally bring them up, then the therapist does probably need to (and in my experience absolutely will).
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I've had two good therapists and several bad ones. One of the good ones checked in regularly. My current one and I have a great relationship - he doesn't check in, which is ok because we work really well together, but I'm not sure he would. I have no idea how he deals with things when they are going awry.
None of the bad therapists ever brought up any of those issues. I suspect from my own experience that it is actually not all that common for therapists to do so. I was very unhappy with several of these therapeutic relationships, but the therapists didn't make a whole lot of space to talk about it. Several of them really didn't seem all that aware of what was going on in the room.