I have, but I don't really see anything that addresses what I had happen to me. It just doesn't even seem to be on the radar. I've read goodtherapy articles multiple times and not found anything useful - in fact some of the signs of "bad therapy" were actually things that I think were
missing from therapy being able to be helpful to me. Like I needed way more focus on diagnosis prior to problem-solving and way more openness to the idea of actually blaming my family for some things.
I think part of the problem is so many of these lists are themselves only written with mood disorders in mind. ADHD, which is what I mentioned upthread, is not a mood disorder. And what might be good or helpful therapy for a mood disorder is going to be totally useless or even harmful for something like ADHD. It's also not really a transference-countertransference issue at all. It's just a matter of the therapist persistently trying to apply the fix for a superficially similar problem. Mood disorder treatment does not and will never make any significant improvement for a client with executive functioning issues. Similarly, no treatment at all is ever going to make significant progress for someone who's still being abused and isn't aware of it.
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Originally Posted by maybeblue
That is really tough. It is hard to tell. And sometimes therapy isn't a safe place and the therapist is wrong. And sometimes clients (myself included) don't want to change patterns of behavior that aren't helpful simply because they are used to them. And it's hard to tell which is which. And then there is also "abusive or unethical therapist" and "bad fit for me" therapist, which are different too.
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I think there's other categories too, honestly.
I don't feel like "unethical" quite describes my experience, at least not in the way it's usually meant. I don't like it because it has sort of a deliberate feel behind it, like the therapist knows they shouldn't be doing something and is doing it anyway. At the same time I think there was more going on than just "bad fit." I feel like "bad fit" implies just sort of a personal mismatch, and I definitely think there was more going on than that.
I think it's a competence issue, really. In my case, I'd say that a lot of therapists simply aren't equipped to spot anything other than depression or anxiety. And I think it
ought to be a basic expectation of a therapist that they are able to determine when something is outside of their competence and refer appropriately - even if that referral is to someone who can do a more complete evaluation. What often actually happens is therapists are only looking for mood disorders so the client ends up diagnosed with one no matter what, especially since they can be vague enough to cover a lot of other issues. And this is going to cause problems if the client isn't correctly diagnosed.