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#1
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Ok, I really need some help/advice right now. I hope it's ok I'm starting yet another thread even though I've already started a few (and I've only been here for a few days). I feel like perhaps I'm annoying, which worries me. I just really need support nowadays (support I don't get from people "in real life"). Also, I hate the fact that I'm so insecure I feel like I need to apologise for writing and that I feel like I need to explain myself. Anyway, I need to vent and I appreciate all the help I can get. Sorry in advance for the wall of text.
About two hours ago I got home from my fourth therapy session (I've had one single session and three double sessions so far) and I seriously don't know what to do with myself right now. I don't feel well at all. I feel very low, confused and frustrated. There's this incredibly uncomfortable and almost painful feeling in my chest/pit of my stomach and I feel like I'm a prisoner in my own mind. Every thought entering my mind turns into anxiety and deeper depression. You know, I'm not sure what I expected from therapy but right now I don't see how it's ever going to make me better. I don't want to give up and I'm not planning on doing so but I don't see how CBT is going to help. I understand the concept behind it. I find it pretty logical and I know that I need to work on things, but we've had four sessions (or seven if you count a double session as two sessions) and we've gotten nowhere. My therapist (who is really nice by the way) keeps repeating the same things. He keeps telling me how CBT works and how I should try certain things in order to lower my anxiety level. I tell him something that makes me anxious, he asks what my thoughts are, tries to identify the thought pattern and then he usually says something like "What's the worst than can happen? Yeah, perhaps you should avoid this thing you fear. Perhaps the worst will happen but I don't think it will and I don't think you should avoid the situation. I think you should just do it" etc. Like I said, I don't know what I expected from therapy but I think I sort of thought that I'd get to just talk about things before starting to work on them. I thought I'd get some help making sense of things and understanding why things are the way they are. I thought perhaps someone would want to just listen to me for once and to understand me. Now I feel like my therapist is sort of belittling my problems though he's told me several times that "I don't mean to be disrespectful to you and I don't want to make you angry but I don't really think it's good to respect the way your anxiety makes you think. We need to rattle things up a little bit." We also talked a bit about compulsions today. My therapist says he thinks I clearly have OCD though mine is based on the compulsions themselves rather than obsessions. By that I mean that I don't really have "classic" OCD intrusive thoughts. I carry out compulsions because I feel the urge to do so and if I don't do it things feel wrong or uneven (but I don't get super anxious). During the session my therapist asked me about some of the compulsions and then he asked me if I wanted to get rid of them. I couldn't answer that question. I just sat there silently. Is it wrong/weird to say that I in a strange sort of way sometimes (not always) like my compulsions? They make me feel safe and it's like they're a part of my personality. A part of who I am. Feeling like that "stirs up" my very irrational fear of maybe being some kind of pathological liar. What if I lie about my mental illness? What if I exaggerate things? What if I imagine things? What if I'm actually healthy but I've managed to lie to myself and the professionals so now we all think I'm mentally ill? Now I'm sitting here and I feel like I want to cry (and I'm not really a cryer). I want to punch things. I want to scream. I want to pace around in my room. I want to hit my head. I want to hide in my bed. I want to go to sleep so this day can just end. I can't really deal with my life on my own anymore so I really need my therapist to help me. But I need him to help me and not just get rid of my symptoms (not sure if that makes sense). I'm not even sure what I've written is coherent enough to understand and once again I'm sorry for this being so long. I just don't know what to do anymore. Even posting this makes me anxious. |
![]() 1stepatatime, AnnaBegins, anonymous112713, Anonymous33425, Arha, FeelTheBurn, growlycat, Melody_Bells, refika, tinyrabbit
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![]() Marsdotter
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#2
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This makes sense to me, neutrino. (And I don't think there's any limit to the number of threads that are appropriate to start. Sometimes we're just in a place where we start a lot of threads, sometimes we aren't. If a third of the front page was only threads started by one person maybe it would be a little excessive, for a few hours before other threads made it up there, but you're not even close
![]() Anyway. I have a close friend who does CBT - he is the only person I know in RL I talk about therapy with, so that's why I use him as an example - who definitely gets to talk to his T about background stuff, even childhood issues. I don't think it's unreasonable to expect that from a CBT T. Not wanting to change, even though it might lead to a "better" life, is something I recognise very much. I talk to my T about it, and he has told me that it is neither unusual nor weird to feel like that. Change happens slowly, though, and I have had time to adjust to the changes that have happened to me. And nobody can impose change on us from outside, so it's not really something to fear. Quote:
I'm sorry you are feeling so low right now. Could you print out the post you made and show it to your T? It's coherent (trust me, I teach academic writing, I can spot incoherence from quite far away) and might lead to your T understanding more fully what you need from him. Feel free to PM me if you like. ![]() |
![]() neutrino
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#3
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You mentioned you wanted to talk more about how you feel about things before trying to branch out and confront the anxieties. Do you think you could share that with your therapist? That you want to understand your feelings?
A psychodynamic or psychoanalysis route would be a way to properly investigate your feelings and actions in a deeper route, but is less focussed on strategies to deal with anxiety. |
![]() Melody_Bells, neutrino
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#4
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Anyway, even though I get the thoughts about faking etc I know I'm mentally ill on days like this one. Quote:
Thanks again. |
#5
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Maybe. Not sure how to though.
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#6
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No need to apologize about length -- not that I can really speak for anyone but myself, I'm both new here and pretty verbose.
I wanted to comment and see if it helps. First of all, it takes a while to get comfortable with therapy, at first I was a bundle of nerves. I have been in therapy for years on and off, did some in 1987-1990 with 3 different ones. Two women one man. I lasted all of a session with the man, he was weird and creeped me out. I quit for a long while, then in 1999 went back, and have been with that same therapist for years now, out of that 14 year period, I have done about 10 years with her. So, take away one, you won't always click with a therapist. Some are obviously better than others. Some may have personality clashes with you. You have both a right and a responsibility to yourself to find a therapist who feels right to you. That being said, it takes a while. I would say at least 6-8-10 sessions to know for sure if you are comfortable or not with the person. If not, I would say move on graciously after explaining why, and say "no hard feelings." A good therapist will accept this and perhaps even help you find someone else so there is no gap in treatment. It is hard, it can be very painful at times. Nothing good comes without hard work, so keep that in mind. The gain is worth the pain. Generally, you "get to work" pretty fast. If you want to slow it down, just tell the therapist. One reason they start getting down to business fast is because of the finances of it, insurance plans if they pay for it at all sometimes limit to a certain number of sessions or a certain amount they will pay, IIRC. Usually, one or two sessions to "get the back story" then it's off to the races. I have been using certain CBT techniques. I was dubious at first, but it does help me a lot. For me, it boils down to one simple goal, rewriting the tape that goes through my mind from "worthless scum of the earth" to "a pretty great guy if the truth be known". The methods are pretty simple, too, diversion/distraction from negative thoughts and reinforcement of positive thoughts. I like it. If the T does something you don't like or aren't comfortable, you should tell him or her. The therapist-client relationship only works with honesty, and they are trained, and should be able to, set aside their own feelings to work according to the guidelines and ethics of their profession. Best of luck, you should find good advice and support here. |
![]() neutrino
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#7
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I could have pretty much wrote your post.
I'm finding the CBT stuff really difficult and stressful too. I don't have enough trust in my T to be able to really talk to him about how all the CBT stuff makes me feel - which isn't good. It actually makes me feel worthless and frustrated and like there is no point at all in me going to see him! (Considering I didn't want to go in the first place and only went because it seemed it was expected of me...). I already KNOW hot to correct my thoughts; I've done it for years. I already DO exposures for myself and I know where my limits currently are and where I'm pushing them and he wants me to go a LOT further than I can right now. I feel like he wants me to be going so much faster than I'm able to and that he's going to get really frustrated with me. I don't even know what sort of therapy WOULD help, if any, but I really don't know if CBT will be it. So... I think I get where you're coming from.
__________________
"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..." "I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am. |
![]() neutrino
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#8
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Ok, now I feel really stupid for writing that long post (still meant everything I wrote though). When I wrote it I had what I call a "depression attack". I don't really know what they are but they're like panic attacks only it's depression instead of anxiety. My depression is a bit ... weird. I'm constantly depressed. It's like my standard mood is depressed (and it has been for the last 10 years). Then I have episodes where I get incredibly low for weeks before I go back to the "normal depression" again. Besides all of that I have those "depression attacks" I mentioned. They can hit me whenever and wherever and yesterday was really bad. Can anyone relate to this?
Anyway, after I wrote the post I paced around in my room and almost cried for a while. Then I spent the next 30-60 minutes or so lying in foetal position in my sofa before taking some antihistamines to make me tired. Went to bed and slept for 10 hours. Now it's Friday morning and I'm still feeling low but at least I've calmed down a bit. Sorry for the hysteria yesterday (I don't know why I'm so scared of you people being annoyed with me). Thank you for the replies by the way. I appreciate it. I still don't know what to do but I guess I'll have to figure it out one tiny step at a time. I really wish my therapist could have seen what happened yesterday (and today) though. Then he'd see how bad it is when I'm not in his office. |
![]() AnnaBegins, Anonymous33255
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![]() AnnaBegins
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#9
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No one is annoyed, people are glad to help.
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![]() neutrino
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#10
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I completely understand not wanting to give up your compulsions. It can be scary to venture into the unknown. And by now, your brain is wired to automatically go to those compulsions when you are feeling anxious. It is amazing how the brain can train itself. And once it gets into the groove, it can be very hard to break away from those old habits.
What CBT is supposed to do is help to lay new neural pathways in your brain. So basically, to train your brain other methods of coping with your anxiety, so that you don't automatically go to compulsing as your go-to way to calm yourself. Believe me, its not easy. What your therapist is saying by just do it is that at some point, you have to just give it go. His/her job however, is to gradually expose you to the unpleasant feelings, so that you can know that when you do just go for it, that nothing bad is going to happen to you. So in a way, its his job to be able to accurately judge whether or not you are ready. He must feel like you are ready to just dive in headfirst. I understand your frustration. I hate to tell you this, but many times with OCD, you have to get better before you feel better. Because OCD is such a complex thing, getting better means doing exactly the opposite of what you want to do and what makes you feel better- which is compulse. But the less you compulse, the easier it is to resist. And eventually, the complusing stops all together. Hang in there!
__________________
Life isn't about waiting for the storm to pass. It's about learning to dance in the rain. ![]() ![]() |
![]() Favorite Jeans, neutrino
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#11
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__________________
"Beneath the dust and love and sweat that hangs on everybody / there's a dead man trying to get out..." |
#12
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#13
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Sometimes I try to find what I call "little kid stuff" to do to help make myself feel a little better. Like making a million calorie hot fudge sundae with crazy toppings (I have a serious sweet tooth). Or rolling around on the grass with my dog. Or coloring. I dunno - maybe it reminds me of a simpler time when I felt safer.
__________________
"Beneath the dust and love and sweat that hangs on everybody / there's a dead man trying to get out..." |
#14
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Anyway, I really hope you'll feel better soon. We have to try to get through this, ok? |
#15
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That's what's so hard, though. The trusting. |
#16
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Maybe a CBT T isn't what you are looking for? I went to a CBT T once and I prefer phycodynamic. Wother has a point, not all T's are a good fit for everyone. Sometimes people just need to talk and get it all out before they are ready to learn ways to deal with things.
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![]() AnnaBegins
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#17
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__________________
"Beneath the dust and love and sweat that hangs on everybody / there's a dead man trying to get out..." |
#18
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#19
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He's actually reinforcing my beliefs that crying in front of people is bad, although I don't think that's his intent. When he does nothing, it makes me feel like he is disgusted with me, that all he wants is this useless fat lump of **** to get out of his office and never come back. I understand that he needs to establish boundaries and that the last thing either of us want is transference, but...I just wish that he cared about me enough as a person - not a family member, not a close friend, not anyone he thinks about in a romantic way but simply as a person he has gotten to know and does not want to see in this much pain - to offer some sort of comfort and/or support.
__________________
"Beneath the dust and love and sweat that hangs on everybody / there's a dead man trying to get out..." |
#20
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Last edited by neutrino; Aug 24, 2013 at 12:51 PM. Reason: Added a sentence. |
#21
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"In a therapy context, transference refers to redirection of a patient's feelings for a significant person to the therapist. Transference is often manifested as an erotic attraction towards a therapist, but can be seen in many other forms such as rage, hatred, mistrust, parentification, extreme dependence, or even placing the therapist in a god-like or guru status." The way I would define it, transference to me would be me falling in love with my T or expecting him to take the place of my father. Neither scenario would be good for either of us. I'm trying to write him a letter today expressing all of this but I'm not sure when I'll be seeing him again. I had to cancel my upcoming session with him because I can't take any more time off work right now and the next week is one I usually skip because my responsibilities at work require me to work a tremendous amount of overtime once a month. Even if/when I do see him again, I dunno if I'll have the courage to give him the letter. I'm too afraid he'll laugh at me or tell me I'm being silly or have no reaction at all other than thanking me for being honest. I also feel like asking my T to care about me as a person is pathetic...what kind of horrible being has to ask for something like that?
__________________
"Beneath the dust and love and sweat that hangs on everybody / there's a dead man trying to get out..." |
#22
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Can you ask your therapist to break down your work into smaller more manageable bites? When I read your first post I felt overwhelmed at the thought of trying to apply new skills to every feeling and situation after only 4 sessions. (Maybe that's not what your T intended but that's what I took away from your post.)
It sounds like you're aching to be listened to. I'm not sure how you can get that patient non-judgemental listening while simultaneously being coached to retrain your thoughts and actions. (Because you're being judged on how well you're applying your new CBT skills.) I'm not the hugest fan of CBT for myself but I appreciate miswimmy's perspective about it and definitely see a role for it in targeting certain symptoms. I'm not sure you can have it both ways though. At least not in 20 sessions. What is your priority? Can you try out your CBT skills to manage one type of compulsion that you choose to target? Can you set aside a part of each session just to be heard and have your T promise not to jump in and tell you how to CBT your feelings away? Maybe? |
#23
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Good on you for writing a letter. I find writing much easier than talking though it's really scary to hand in what you've written. I wish I could give you some sort of advice but I don't really feel like I'm qualified to do so as I find similar situations difficult myself. I really hope it works out for you though! Quote:
You're right. I'm aching to be listened to. No one has ever really taken the time to really listen to me and the things going on inside my head. No one has ever taken the time to understand me. I've never felt understood and I've always felt so different. Would a psychodynamic therapist listen to me more than a CBT therapist? I know I need to deal with my fears eventually but I don't know if now is the right time. I definitely need help now, I just don't know if CBT is right for me at this precise moment in time. |
#24
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Would a psychodynamic therapist listen to me more than a CBT therapist?
Yes. |
![]() neutrino
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