I´ve seen a psychiatric nurse training to become a therapist for some months now and I always felt it would be temporary and that she wont´be able to help me. There´s no real chemistry and she doesn´t have the skills to offer proper therapy.

The other day she asked me about how I feel about our contact and as she´s within public health care I´ve never shared with her what I think about the sessions with her. She´s in a position where she´s also evaluating me for a possible psychotherapy and by that I´ve refrained from critique in any form.

But as she now wanted to hear what I think and also because she has never been supportive or warm towards me I decided to fill out a WAI form (Working Alliance Inventory) and write a few comments to that and send that to her by post. The WAI score was of course low and indicated a bad alliance.

Now I´m expecting her to get back to me in some form, either by talking negatively about me when consulting with the psychotherapist or that she won´t try to get me a proper alternative to a psychotherapist either. She works in a facility within public health care where there are a range of other counsellors and similar.

I think this is rather common even if it´s not outspoken as at least here in Sweden, they can easily refer to a "medical evaluation" done by some random doctor and then deny a patient treatment or offering a treatment the patient doesn´t want or won´t be helped by.

What are your thoughts on this?