My T normally says things that are helpful, or makes me think about things in a different way and I tell her when it's been useful.
Once though, she really dropped the ball with how she phrased something and it was incredibly offensive and triggering. I sat with it through the rest of the session, then emailed her about it before the next session. She apologised straight away and said it was a poor choice of words and wouldn't happen again.
If I hadn't raised it as an issue with her it could have turned into a major rupture, so yes it's definitely better to let your T know when something they say helps or harms.
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