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Old Sep 21, 2010, 06:44 AM
sittingatwatersedge sittingatwatersedge is offline
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Recently posted on another thread >>> I doubt [the previous client's jovial] attitude after session has much to do with why she's going to therapy, unless it's to have someone to talk with, but I doubt any self-respecting T would do that

really would they not? Darn!
After this therapy is "done", whenever that might be, I was sort of making plans in the back of my mind that in future, I might arrange to keep a T at hand on a permanent basis, just to have Someone On My Side, a wise counsel I could draw on when needed, you might say. The ultra rich do; why not me?
Do you think that a T would not take someone who didn't have a specific goal to work toward and then terminate?

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  #2  
Old Sep 21, 2010, 07:03 AM
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WikidPissah WikidPissah is offline
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hmmm....you know to be honest, I think everyone has a goal to work toward. Even the most together people have little things they'd like to change about themselves. I don't see why a T wouldn't remain a "sounding board" at a later date....probably not weekly, but maybe monthly??? Would insurance fork up the dough if there wasn't a dx though??
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  #3  
Old Sep 21, 2010, 07:54 AM
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jexa jexa is offline
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SAWE, lots of T's are fine with being a sounding board for a while, if you're getting something out of it, but some won't be comfortable billing your insurance if you are no longer struggling emotionally/behaviorally. And some will encourage you to stop "using" therapy -- for some people, going to therapy and not trying things on their own can keep them stuck. So I think there are different reasons why a T might want to try to "kick you out" if things are all better. But I don't think a T will try to make you leave before you are feeling ready to deal with it. If you aren't ready, I think that can be a problem to talk about in T, too.
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Old Sep 21, 2010, 07:58 AM
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Sannah Sannah is offline
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I'm trying to read between the lines on this one SAWE. I sense that you were triggered by this?
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  #5  
Old Sep 21, 2010, 08:03 AM
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Perna Perna is offline
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T's aren't in it for the money; most don't make that much, actually. The insurance companies don't pay what they charge and, if they're on their own and don't take insurance, they have to pay rent/mortgage on an office, which is just as expensive as a home with phone systems and sometimes a secretary/bookkeeper, etc. It's a small business and I don't know anyone who gets that wealthy with a really small business like that. They have to pay taxes on that too, remember.

But T's are there to do therapy; anything less is like saying a lawyer wouldn't mind just sitting in a law office or a doctor, in a doctor's office, etc. without doing any legal work/medicine. The reason they became T's was the T-work! They're not high-priced friends/buddies/gurus. If you want that, buy a "coach" http://www.lifecoach.com/
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  #6  
Old Sep 21, 2010, 08:17 AM
Fartraveler Fartraveler is offline
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Quote:
Originally Posted by sittingatwatersedge View Post
Recently posted on another thread >>> I doubt [the previous client's jovial] attitude after session has much to do with why she's going to therapy, unless it's to have someone to talk with, but I doubt any self-respecting T would do that

really would they not? Darn!
After this therapy is "done", whenever that might be, I was sort of making plans in the back of my mind that in future, I might arrange to keep a T at hand on a permanent basis, just to have Someone On My Side, a wise counsel I could draw on when needed, you might say. The ultra rich do; why not me?
Do you think that a T would not take someone who didn't have a specific goal to work toward and then terminate?
Yes, there is supportive therapy, for people who just need to have someone who they know will be there. And T's usually say when that even if you leave, you can come back if you need to.

I know that my own T has a few people, former clients, who just come in once or twice a year to touch base with her. And I also have seen her at times when I wasn't OK to do therapy, and she changed her tone to accommodate my needs.

I think that the sort of thing you are suggesting is totally reasonable.
Thanks for this!
sittingatwatersedge
  #7  
Old Sep 21, 2010, 08:47 AM
sittingatwatersedge sittingatwatersedge is offline
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Quote:
Originally Posted by Sannah View Post
I'm trying to read between the lines on this one SAWE. I sense that you were triggered by this?
nope, not triggered, just surprised to see the comment and wondering whether the long range thought I'd had might be one that no self respecting T would accomodate (note: the poster did not say that. it occurred to me , I wondered it, & thought I would throw it out here for comment).

BTW, no question of insurance coming into this, just private $$. I was envisioning a now and then thing, when a question or a need might arise and I coudl use some help; not regular visits, or frequent ones necessarily.
It just seems that the Ts as a whole are very together, wise people and it would be great to have that resource to draw on when needed, even if not in a regularly structured arrangement.
Thanks for this!
Sannah
  #8  
Old Sep 21, 2010, 08:49 AM
Melbadaze Melbadaze is offline
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Sitting, whats it matter what someone elses therapy does or doesnt do? I've come out of therapy making light sometimes, but believe me thats just to prepare myself to cope on the "outside" between sessions after an extra intense session.
  #9  
Old Sep 21, 2010, 08:56 AM
sittingatwatersedge sittingatwatersedge is offline
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Thanks Fartraveler!

A wide range of replies here but at least it seems I'm not all that far out.

My T is >70 now, so by the time THIS messed up client is "done", she may break her custom and not say, feel free to come back any time if you want to.
Guess we will see. In the meantime I will be working hard.
  #10  
Old Sep 21, 2010, 10:15 AM
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sunrise sunrise is offline
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Quote:
Originally Posted by sittingatwatersedge
Do you think that a T would not take someone who didn't have a specific goal to work toward and then terminate?
I think a T would ask you at the first appointment, why you are there. Some Ts might be more restrictive on what they work on with clients. They might be more medically oriented and choose to work only with clients who are mentally ill. Other Ts have a broader scope of practice. There are many reasons to do therapy, and a number of them are not about mental illness. Some people go to therapy to improve their lives, get help to achieve personal growth and satisfaction, learn to communicate better, get support through a crisis like the death of a loved one, etc., but they aren't necessarily sick. The comment on insurance is an interesting one. I pay out of pocket for my therapist so don't/won't have that ethical dilemma. I can understand that therapists might not want to keep billing insurance if the person is mentally healthy, but working on goals such as personal growth, etc. So maybe there would come a time when the therapist would say, "hey, dear client, you aren't depressed anymore, so I can't keep billing insurance, but I am happy to keep working with you on your life goals" or something like that. Has anyone had that happen?

About the woman who is jovial when leaving therapy--good for her! Sometimes I feel really good after therapy, which isn't necessarily a bad thing, and it doesn't mean we just sat around chewing the fat. Plus, sometimes when I do think we are sitting around "just" talking, my T has another name for it, such as we were building the relationship or doing ego work, etc.

SAWE, I do think you could find a therapist who would provide what you may be looking for one day.
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  #11  
Old Sep 21, 2010, 10:55 AM
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BlackCanary BlackCanary is offline
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Ha, I love the idea that the ultra-rich have a therapist on standby ;-)
Or, perhaps it's New Yorkers that all have an analyst?

I'd say my current goal is something like this:
I want to be happy - and I'm not always happy. I want to have great relationships with the people I love, and I know that's not how it is going in all cases. I'd sure like to have a better relationship with my mom, and I know the years for that are getting shorter. I'd like to not be anxious about dying too young.
Nothing you can really stick a DSM tag on, but still there is stuff to do.
IMHO, I have a lifetime of therapy work ahead of me.
You will want a therapist who is willing to let you decide when you are "done"?
Mine told me I'll know when it's time, I'll feel like I have nothing to say!
  #12  
Old Sep 21, 2010, 08:41 PM
anonymous31613
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i don't go to t on a regular basis, when actively dealing with CSA and PTSD and such i did go weekly, sometimes twice a week
that was years ago.
i now go only when i need too, sometimes once a week for a month, then not at all for seven or eight months, then maybe once or twice or maybe again six or eight sessions. No problems billing ins that i have ever heard of... t says, just come back when you feel like it. i have depression so maybe that is why, mostly i think it just depends on the t and their rules
  #13  
Old Sep 21, 2010, 09:22 PM
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ECHOES ECHOES is offline
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I am reading "Staring at the Sun" by Irvin Yalom, a psychotherapist. In it, he talks of a person who was his patient for 30 years. I like that!
  #14  
Old Sep 21, 2010, 11:11 PM
cmac13 cmac13 is offline
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I have been with my therapist for19 years; I like that!
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