Nothing to say in therapy

Hi! First post here.

My problem in therapy is that I've got nothing to say. I'm on lexapro and my head is empty most of the time. Also, I've been in therapy before, (a long time ago) and I think rehashing childhood etc isn't the way to go.

My general problem now is lack of motovation, interest, and often a lack of energy.

Last time I said not much and almost fell asleep on the couch..it was pleasant enough but perhaps not productive..

Why are you in therapy then? What do you hope to achieve?

Maybe you have "nothing" to say because you think that what you really have to say will not be accepted, or even heard?

What I did was focus on problems of today and only went back in the past if it helped me to work through one of the problems of today (and every problem of today can be traced back).

You write that you lack motivation/interest/energy so I'm assuming that these things are bothering you. What is it that you want to do but cannot because of these things?

Are you feeling helped by the Lexapro, or numbed by the Lexapro perhaps?

Even having nothing to say is something to talk about. Not knowing what you want, but wanting motivation to do something is something to talk about. What are your thoughts about having nothing to say? What are your thoughts about what you might say, but don't. What are your thoughts about your therapist's response(s) to your having nothing to say, or response(s) to what you might say if you felt it was important enough to put words to?

Keep talking and explore what there is about having nothing to say.

maybe talk about how you have no motivation or energy maybe you are on to much lexapro

perhaps the "silence" is something you need to communiate more than anything else at this point?

Motivation and interest especially can be Therapy goals. A T can be more of a "life coach" when we need that from them more than we need to be rehashing old stuff. Sometimes thinking of my T as a life coach makes it easier to talk about every day things that are bugging me.
The med fog is also something I would bring up. Meds are ment to help improve your life not to put you in such a fog that you can't get things done.

Soniyou? Uh...did we talk too much?.....Where are you?

I was at work, had to go at a meeting..

I definitively think that the Lexapro has something to do with it, I was a bit freaked out by the "mental silence" when it started working. I've mentioned that to the T, and also that I'm looking into natural dopamine enhancers to get out of the no motivation rut.

I like the coach idea, I'd like to discuss paths for the future more than anything else.

I've only had a few sessions with this T. He decided that instead of sitting and talking to eachother, I should lie on a couch and he sits behind me...I'm not sure of that solution...

That is the classic psychoanalytic position. I think it is supposed to reduce the amount of interference between the patient and the T, so the patient can express herself more easily -- and also so the T can do things unobserved by the patient! It works for some and not for others, I suspect.

With my previous T's I sat sort of half facing them. With this approach it's like talking to myself..which sort of underlines the sense of "nothingness"..leading to me just laying there and listening to the cars swish by on the outside..

this is how i was when i first went on effexor xr. i felt pretty good but a bit like a vegetable, lol. i happened to read an article in the paper that told how somtimes ADs can really zone you out. my doc split my dose into twice daily smaller doses and the problem completely cleared up. i wasn't ever able to tolerate much of the AD because if i tried to increase it that stupid zoned out feeling returned. i'd let your pdoc know about this and they can probably adjust it or switch you to a better AD.