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Old Mar 06, 2022, 08:47 PM
Etcetera1 Etcetera1 is offline
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Member Since: Jan 2022
Location: Europe
Posts: 319
Quote:
Originally Posted by retro_chic View Post
Over the weekend there has been extensive flooding in my city. Literally thousands of homes have been destroyed, roads are cut off and public transport has been cancelled all week. Naturally, I was wondering what would be happening with my therapy session which was today. Given the circumstances, I expected an email from T detailing her plans and making sure I was still able to commit to the session.
Exactly at what time did you expect the email from her? How early? Did she know beforehand how early you will want a notification under such extreme circumstances? She needs to be informed in time of your expectations if timing of communication is of such importance to you.

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Well I waited and waited to hear from her and nothing. There have been cases in the past where she said she would "get back to me" but didn't so I ended up emailing first. This time I thought "let's wait and see how long it takes her".
My opinion is, I would not take a messaging personally that's about a discussion of impersonal circumstances and conditions i.e. scheduling of sessions. Even if the person is close to me, even if I am very attached to them. I find making the outright impersonal into a personal topic just blurs things and makes it harder to communicate in a discussion.

In general, if you wish to test her attitude towards you, this is not the best kind of opportunity to do so. It would be way too ambiguous an opportunity for that. Most situations will simply be too ambiguous for that. Since this is a close, attached relationship for you, IMO best to drop any intent to test, and just simply bring up your issues with trusting her attitude, and talk it out with her. If you find you absolutely cannot trust her enough to discuss that trust issue with her, it's time to find a new therapist where you can build better trust.

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I waited until early afternoon yesterday before I caved and emailed her checking she was okay and asking what the plan was for the session. I didn't get a response for several hours so I texted her too because I was starting to get worried now. Finally, I get a reply 6 hours later saying she had checked the latest advice which was to stay off the roads so we would be doing telehealth.

In session today, I expressed my dissatisfaction with T's lack of communication and she said she wasn't planning on emailing me at all and was just going to go ahead with an in person session as normal. It wasn't until she got my messages that she checked the current advice and decided to do telehealth. I was flabbergasted. I said "how was I supposed to know the session was going ahead if you weren't going to tell me? There are roads cut off, no public transport, homes destroyed and I'm expected to assume everything is going ahead as normal? Seriously??". She was kind of just like "yeah, if you don't hear from me then assume the session is on". I was like don't you think these are extenuating circumstances?
I agree that under such extreme circumstances it's normal to want to make sure that the session will still happen as usual and whether it will be in the office or online. I would also be uncomfortable with the ambiguity and would just ask them for information as soon as I think of the issue, plus let them know that I'm still able to come (or not).

As for her not checking advice, yeah, I guess she's a fallible human being.

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The second part of this conversation is about her cancellation policy. I almost cancelled my session today because my boss had asked me last minute to come into the office. My session is first thing in the morning and I was stressing about the logistics of getting into the office. I decided against cancelling because I can't afford the $200 fee. I've seen this T for almost 3 years now and only cancelled once but was still charged. I brought this up today and T explained she enforces this rule regardless of circumstance. I said that doesn't seem fair especially in these current circumstances of a natural disaster. T said she always tries to arrange a "make up session" but I reminded T that I don't have that sort of flexibility in my work schedule so just have to cop the fee. It just doesn't seem fair at all. This conversation wasn't going anywhere and T just said she didn't want to argue which made me feel like there was no point in me even talking about it anymore even though I am still upset.
I'd again try to not involve any personal feelings in assessing the issue and would discuss it as an impersonal matter to try and find a solution, compromise, whatever. Either way, I'd definitely mention that I think under extreme or special circumstances there should be no charge. That just seems reasonable to me. Whether such special circumstances include unexpected changes with the work schedule, that's I guess at the therapist's discretion as a service provider. Say, if the unexpected changes happen frequently, then it's just not workable for most providers to cover for all of it. But a rare special or extreme circumstance, sure. I would see that as perfectly reasonable to waive the fee then.

If she won't do it even then, or simply won't accommodate your preferences for the regular schedule, it is up to you to decide if you are willing to work with her under those conditions. Up to you to evaluate if the pros are still worth it more than the cons. That's completely and entirely in your control to evaluate and decide that. Managing your attachment is also in your control. See more on that a bit below.

Quote:
Originally Posted by retro_chic View Post
This is not the only time I've been at T's every whim. Originally my session was after work as that is what suits me best and T said she could accomodate that. Several months in and T says that time doesn't work for her because she's too tired by the evening. Despite the fact that I have a work meeting every morning that conflicts with the new session time she's offering, I have to disrupt my work schedule to accomodate her needs.
You don't *have to* disrupt your work schedule. You can find another therapist, you can even find another therapy approach if psychoanalytic doesn't work for you anymore.

And if I were you, I'd again want to see it as, my own decision on whether I'm willing to adjust to the therapist's schedule, leaving her personal needs out of it. I do subscribe to the camp that sees therapy and the therapist as a professional service being provided by a service provider who's supposed to be an expert at providing it. As providing therapy definitely requires expertise if you want to have it actually working and improving your issues and symptoms. I will again admit that I don't see psychoanalytic therapy as evidence based enough, at all.

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Next thing was when T went on maternity leave and said she would be back after 6 months for in person sessions. She contacts me towards the end of the 6 months saying she's going to do telehealth for a couple of months to ease back in. I asked if we could move the session 30 mins earlier (which would have been my usual session time) and she said she couldn't, explanation given. Once those few months were up, T decides she's not ready to go back to the office so online sessions it is for the rest of the year.

Then at the beginning of this year when she said she was thinking about returning to the office, she said she wasn't 100% sure and would confirm with me before next session. It gets to the day before the session and I still haven't heard from her. I send an email asking and she responds saying she's unwell and we will have to do in person the following week.

This is a pattern of behaviour and whenever I bring it up she "validates" my feelings but shows no interest in changing her behaviour at all. I'm just expected to sit back and accept this "as part of the relationship". I have no control over anything that happens, it's all up to T.
What do you mean by, this is a pattern of behaviour? How would you put it into words as to what the pattern is?

I can see one pattern, which is, she doesn't seem to have time to notify you early of all the changes. I don't know how many other clients she has to manage scheduling for, or how much she's aware of your need to be notified early enough. Or how early is early enough for you.

I would still not see it as part of the personal relationship, as it's just about scheduling sessions. If I were her, I would not even be willing to discuss my personal reasons (such as being tired in the evening) for why I wanted to move the sessions. I'd be courteous in notifying the clients but would not discuss in such depth. My clients can either decide to accept or not accept the change. (Maternity leave sure, I could share that reason, but not how I feel in the evenings. That's completely in the sphere of my personal, private life.)

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There just seems to be no compromise on T's part at all and I have no choice but to go along with it. I am very attached to this T and like her a lot but this hard for me to accept. Do you think I'm overreacting? I'm still so upset by this.
Not the first time that I'll say this on here.... if I were to find myself this attached to a therapist that I make the impersonal into personal too, I'd just run. I admit that I personally don't find it helpful for me to get that attached. There is a reason why I no longer try to do "deep" therapy like that. Let alone psychoanalytic therapy.... Or if I was trusting the therapist enough, I'd try to make it an opportunity for discussion on my emotions about it and figure out how to bring it up and make it into such an opportunity for learning more about my feelings, myself, trust and intimate relationships in general.

So, it's fine to be upset by all this, I mean, fine to feel upset, and of course don't invalidate it by calling it "oh I'm just overreacting" right away, but you can try and view it as a chance to process the feelings in the context of the attachment and the relationship.

Quote:
Originally Posted by retro_chic View Post
Having seen this T for almost 3 years now, she would have been well aware that I would have been worried and need reassurance.
I would suggest doing some cognitive-behavioural analysis on that. It's common to assume what the other person thinks or feels, but it's always just a guess, never reality. Without further information or disclosure from that person, it's not a reality or actual fact. Same applies here even if it's a bit different (as a parallel). Whatever reasoning you think she should be able to think of right away, it may not be the reality. Unless you explicitly told her before about this issue and she already let you know that she fully understands your wishes.

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Her not giving that is part of why this is so hurtful. I will be bringing up her comment about not wanting an argument next session because that does not cut it for me. I have had three T's in the past leave me for various reasons and this one has stuck around so that counts for something.
I understand that it feels hurtful. Just be aware and prepared that she might see that as an argument, too. I hope she will be able to understand that you are not "just trying to argue" but that you genuinely are looking for a resolution and for your feelings to be understood. And maybe some help with processing them, by viewing the "argument" as a good opportunity for that.

Quote:
Originally Posted by retro_chic View Post
I don’t think you are grasping the gravity of the situation. Literally thousands of people have been without power, internet, road access or public transport. How am I supposed to know T was not one of them? Secondly, how can she just assume I have a way of contacting her and getting to the session? These are extenuating circumstances and I expect a basic level of communication. The fact that she hadn’t even bothered to check the road conditions until I contacted her says it all.
Says "all", as in?

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As for the cancellation policy, I expect a bit of flexibility here. Applying the same rule to someone who cancels because “something came up” vs their home has been destroyed by natural disaster is beyond ridiculous. T’s explanation for this lack of flexibility was she had a client years ago claim they were sick but she later found out they weren’t. She also said she wants to keep the relationship between us “clean”. How’s that working for her?
I agree that it would be ridiculous but I'm not aware that she actually said that? Since your cancellation was about work, not about the natural disaster ruining your day? And yeah, I can understand the need to keep things clean as in, on professional terms, and yeah, that would not have to be ruined by having clear exceptions for extreme circumstances. Which would either be well-defined in advance, or with a decent explanation given to the client if the particular situation is not covered by previous definitions.

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To say I have the option of finding another T just shows your lack of understanding of the significance of the therapeutic relationship. I have invested so much of myself into this T, building trust and overcoming relational traumas. I have also formed a strong attachment to her in this time and to just quit and start with someone else would be extremely traumatic. I rely on this T as my emotional support which again, appoints her more power. I need her more than she needs me and she knows it. Her lack of flexibility takes advantage of this fact.
It is fully in your power to decide how much power you want to grant someone else, yes even in an attached relationship. If I were you, I would want to focus on how to achieve that. It's part of having interdependence in a relationship.

Furthermore, just my opinion about therapy, but I would disagree that the therapeutic relationship is supposed to be about giving up power like this. I'm strongly convinced that that would just not be helpful to the client in the long run.

The significance of the therapeutic relationship is not to do with making the client emotionally dependent and powerless. It's supposed to be quite the opposite! It's supposed to be rather empowering, helping with developing interdependence, and so on and so on. If therapy does not achieve that, it's not working. Either the therapist or the approach or both is/are not matching for the client.

(Very personal view: I get it that having to experience difficult emotions, feelings can require putting the control aside and previous intellectual assumptions. But then (general) you have to recover back to your normal way of being, fast enough, without becoming so dependent emotionally on a therapist.)

I wouldn't be sure that her lack of flexibility is necessarily about trying to take advantage of her clients. Does this possibility fall in line with what you've experienced so far over the years of the rest of her character? Where do your current trust issues with her come from? All that's maybe worth a look. Whether on your own or with her (if you can trust her enough to discuss this with her).

And if you find she's deliberately tried to make you attached and dependent to her beyond a point where it does feel out of your control, then it's time to leave, IMO. But it would be hard to prove such manipulation from this little information. It would need more information and analysis and some understanding of your gut feelings to decide that. That it's deliberate manipulation, or her lacking expertise for your case, or her approach not working for you and so on. That's how I see it.

And finally, as far as leaving this therapist to find another one, you don't have to switch so abruptly if it helps have a transitioning period to make it less traumatic. You can even start therapy with the new therapist before fully leaving this one if that helps make it smoother.

Hope some of this helped. I wish you the best luck to all this!!

Last edited by Etcetera1; Mar 06, 2022 at 09:19 PM.
Thanks for this!
AliceKate