Which therapist should I try?

I've been seeing a psychiatric nurse practitioner for both my meds and my therapy since April 2008. There were some brief times when I went to another provider due to insurance changes. I am back to her now.

We are stalling in therapy and getting nowhere. She does not really specialize in DBT, and I'm a Borderline. She has given me workbooks on DBT but it's clear it's not her strong point.

A new therapist came into town and my psych nurse referred me over to her, for therapy only, and still seeing the psych nurse for meds. This therapist specializes in DBT - it's her main form of therapy. I met her and she seems nice.

Problem is, she's not on my insurance. So if I see her, my payments go to a different deductible and basically I will never meet my deductible this year. Meaning my prescriptions are full-price as well, instead of being $10 bucks after I meet my deductible. It's a big deal.

So who should I see?

Continue seeing my psych nurse? See this new therapist and just eat the cost? Or see another provider in town?

I've already been to quite a few of the options in my town, and didn't really like them. One psychologist sexually harassed me so much that I was scared of him. I'm in a small town so there's not many options.

What do you think?

How much of a hardship if you eat the cost?

It sounds like it's what you want to try, so maybe try it if you can afford it?

If you can't, then remember that there's usually multiple ways to reach a goal, and that includes healing from bpd.

Good luck,
-Far

I didn't take your poll because I wanted to choose 2 things. I would look for others on your insurance but if that doesn't work out, can you afford this T? I think that you need a therapist, so get one somehow.

Since the therapist is new to the area, she may be in the process of contracting with various insurance companies...something that can be a drawn-out process. Maybe you can call her and find out if she is in the process with your insurance. If she is, waiting for the contracting to be done and then seeing her may be your best option! If she is not doing that, then maybe your call would encourage her to consider it...if you can't see her because she's not contracted, how many other clients is she missing out on for the same reason?

I couldn't take the poll...it just feels like I'd be telling you what to do, and I don't want to screw that up.

It does sound like DBT would help you, have you asked around to see if there is a DBT skills group in the area? Or maybe the T that's not on your insurance has a group you can be a part of while keeping the NP as your T?