Quote:
Originally Posted by amandalouise
Im in the other side of the coin on this. here in america the way our mental health system is set up ......now..... is that treatment providers are now held accountable for a clients progress or lack there of.
what that means is a therapist has to document things like the client and therapist setting goals, reason why they are in therapy, and actively working on those goals and or making some sort of progress with working on those goals. many states now have it set up that every so many months the treatment provider and client revisit why the client is in therapy, what they want to work on (what they want to do to help get better, goal setting and so forth).
|
I'm not sure where you are; this is not how my therapy has gone. I'm in USA. And I use insurance.
If I was to bring up feelings of not wanting to get better, as I have in the past, we'd be curious as to why that is at this moment. What part is feeling that, what my fears are, how I imagine being better would be like and so on. My T would not immediately jump to the thought that I wasn't working on getting better. She'd probably even see the fact that I brought up that feeling/though as a sign of getting better; being more open with her about my fears.
I do periodically bring up how I feel in terms of progress or stagnation - so in a way we do talk about goals. It is not so formal nor does discussing any of it immediately change the course of my therapy/treatment.
In fact there was a period of time in my therapy that we took a break from therapizing without taking a break from seeing each other. It was after a rupture and we both knew that if I stopped going, I wouldn't return as that is my pattern. I didn't want to lose my connection to her; but I needed a break from having my every thought, feeling, action, ... analyzed. For 6 weeks I went to session and we did jig saw puzzles. I tried to talk sooner and it didn't go well, so we waited until it felt right for me.