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  #51  
Old Jul 17, 2014, 07:50 AM
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Leah123 Leah123 is offline
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Originally Posted by Freewilled View Post
Hi Leah,

Sometimes when we get really far along into something that we are desperate for to work out, it makes it near impossible to disengage. Especially if we are vulnerable at the time. I agree about finding a therapist in-person and maybe even one who has experience with potential addiction stuff. I also like what your T said about how overdoing something good can actually make it not as effective, or whatever. I would apply that here, although it IS her responsibility to set the boundaries on this stuff. I'm not sure why you defend her is it because it's hard to accept she might really be out of line here? I see her as being unethical when it comes to a lot of this stuff.... Charging for her thinking is wrong. If that is the case, you should be able to dictate how much thought you want in response. Like *10 minutes of your thought time only, please*. If she has to stop mid-sentence, so be it! I don't pay for any thought outside of session that my T may or may not choose to use on me.

In fact, we had a recent email thing that happened that might relate. My T has always been open to emails from me and has encouraged me to write, if needed. Sometimes he has blatantly done so about particular topics. I don't write often, maybe 1x/month. But I wrote him recently and it appeared he took a lot of thought, and maybe time, to respond. My email was fairly short and to the point. I wasn't asking for anything in return. He chose to do that - HIS issue. But I noticed that during our next session he confirmed that he put a lot of thought into it.....Since then, I noticed he changed his language and has encouraged me to talk to him the next session or write if it's "urgent." /:

At first, it sort of pissed me off. Like wtf!? And I let my mind run wild like maybe because I didn't agree with his thoughts in that particular email all the way, that he was punishing me somehow. But you know what? Actually, it shows my T's boundaries. NOT because I did anything wrong at.all. but maybe because he saw how much he was getting over invested (?) or he just didn't want to spend so much time or whatever it was....the point is that it's HIS *professional* responsibility, and his alone, to take care of his stuff. Thank God he is gentle with me and doesn't say something like "geez Freewilled! You took up much of my thought time so I will charge you more. And it can't be a set rate either, because who knows how much time I will need to think in the future?" No. That will not fly. Because I can't even control that, right? Honestly, my email to him was short and was in no way asking for a long reply. I hoped he would read it and we could discuss it the next time, you know? He chose to respond in more depth and to take it on emotionally or mentally or whatever. What I appreciate is he didn't blame me for that because it's not my fault! He simply requested what he needed - that I email if it's urgent or bring it to the next appt. Don't get me started on your T initiating emailing you and then charging your response (no matter the length!) Inappropriate, IMO.

I'm sorry, Leah. I don't think there's any way to make all of this stuff ok. You can dissect each action and each decision she makes separately and everything. Some stuff might be ok, sure. But stepping back and looking at it from a big-picture perspective should show it's not working. The big picture is easier for others to see from the outside and much harder to see from within, in my experience

Take care whatever you decide to do.
She wanted to explain what goes into email replies. The difference between $50 and $75 email sessions. Her rates are more than fair. She certainly spent at least an hour an a half on the last email session but wanted to charge $75 instead of the $150+ which it would've cost at her regular rate, a significant discount. This is further a compromise from the traditional setup for the site where what she allowed as one email would have been three separately billed sessions, so she's making a concession there to help me save money as well.

As for the big picture, my sense is that because I primarily post here with concerns, what you call the big picture is only 5% of the relationship.

I find it odd you don't think charging for time spent is valid: do you stop the clock in sessions if your T stops talking?

I think some may have the sense that she charges whatever she wishes and overcharges. What we're actually talking about here is the difference between a $50 and a $75 session, and the reality is there's a significant difference in length in these sessions sometimes, and at either rate, she's giving me at least a 50% discount.

If you think that her telling me she is fed up is grounds to terminate or that our sessions have gone 20 minutes long a couple times since she started helping me manage the time.... well, we have different standards for things that can be worked through.

And to say the therapy isn't working.... I think you must've missed the posts discussing my progress. I've made huge gains with her in my parenting, marriage, school, pursuing my interests, etc. and working through some trauma. It hasn't been easy and there have been occasional snafus like this, but no need to throw the baby out with the bathwater.

As for the email with your therapist, it is entirely different than email with mine, except that yes, email is as time consuming as any other form of communication and worth paying for. I can certainly understand your provider not charging for an occasional once-a-month email, and mine wouldn't either, but we utilize email as part of the therapy, regularly, and at length, so it's really apples and oranges. And it sounds like it wasn't a very direct conversation you two had at all about it, that you're making assumptions and he is... well, I don't know, because all he did was tell you he put a lot of thought into it.

P.S. It's rare she checks on me, and I understood why she did in this case. She did tell me in the past I didn't need to feel compelled to reply at length, as I mentioned several times in this thread, she wouldn't have charged me to just reply telling her how I was and that I needed a break or was watching my budget. I decided to reply at great length and request a reply. That wasn't the best decision, I'm not perfect. In retrospect, it would've probably been better to send a short reply, but she didn't bill me for nothing, she billed me for an extensive session. And when I have raised billing issues in the past, she has always been open to addressing it. There are many situations where things have worked out perfectly, but I didn't post about those here.

Last edited by Leah123; Jul 17, 2014 at 08:11 AM.
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  #52  
Old Jul 17, 2014, 08:07 AM
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Freewilled Freewilled is offline
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Originally Posted by Leah123 View Post
She wanted to explain what goes into email replies. The difference between $50 and $75 email sessions. Her rates are more than fair. She certainly spent at least an hour an a half on the last email session but wanted to charge $75 instead of the $150+ which it would've cost at her regular rate, a significant discount. This is further a compromise from the traditional setup for the site where what she allowed as one email would have been three separately billed sessions, so she's making a concession there to help me save money as well.

As for the big picture, my sense is that because I primarily post here with concerns, what everyone might see as the big picture is only 5% of the relationship.

I find it odd you don't think charging for time spent is valid: do you stop the clock in sessions if your T stops talking?

I think the board may have the sense that she charges whatever she wishes and overcharges. What we're actually talking about here is the difference between a $50 and a $75 session, and the reality is there's a significant difference in length in these sessions sometimes, and at either rate, she's giving me at least a 50% discount.

If you think that her telling me she is fed up is grounds to terminate or that our sessions have gone 20 minutes long a couple times since she started helping me manage the time.... well, we have different standards for things that can be worked through.
Leah,

Of course we all have different standards, but that's ok. In fact, that's the point. We all have our own boundaries and have to decide what is ok and not ok for us, individually. I just find it odd that you post a thread in which you are upset about something like this and when people respond with concern or outline what they see, you seem to get a bit defensive. It's your choice, no one else's. If you are ok with that, then fine. If her fees are reasonable, then what's the problem? If she is entitled to billing for her time, what's wrong? If her saying good God, Leah and that she is fed up is fine with you and if it's only 20 min over here and there, then.........

I feel that the comparison about do I stop the clock when my T stops talking is not even relevant here. He doesn't change the agreement and I don't either - actually you prove my point. I don't tell him I refuse to pay the normal $100 fee or whatever but think it's only worth $80 today....because we have already made an agreement and it doesn't change from either side without respectful discussion. His time is HIS time and he can ask for what he wants in compensation - then *I* have the choice to try to negotiate (if compromise can be found), stay with it the way it is and deal, or leave.
  #53  
Old Jul 17, 2014, 08:18 AM
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SeptemberRain SeptemberRain is offline
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Hi Leah- I've been following your posts for some time now. I really agree with what Jaybird said a few pages back, about how you have this pattern of posting here in what seems to be a lot of emotion, getting responses by people who are concerned/trying to help, but then backtracking and defending your T while simultaneously disregarding what you originally wrote. Your feelings in this DO matter. Your T writing that she is "fed up" is, to me, not very appropriate. Yes, everyone makes mistakes. This seems to be a mistake, IMO. The thing is, your reaction to it at first seemed to be, WTF T! But you've totally backtracked, offered a higher fee, and tried to understand every angle from which your T may be coming. It just seems like you TOTALLY disregard whatever you are feeling. Instead of trying to understand your T and where she may be coming from, how about you stick with YOUR feelings?

Sorry, I know I'm rambling, but I just have seen this pattern keep coming up. Also, the time thing. You have made it clear that you're struggling with time. It doesn't really matter how you began therapy and what your dynamic was then. Therapy is dynamic, always changing. If you are having trouble with time management as well as financial planning, it is so your T's job to help with that. The past, as I see it, is irrelevant. You've asked for help and your T is just ignoring it. I really strongly feel that this is your T's job to help manage. She should be helping you wrap things up within the time you allotted.

Anyway, obviously these are just my opinions. Good luck in your journey!
Thanks for this!
Freewilled, Leah123, Oceanwave
  #54  
Old Jul 17, 2014, 08:20 AM
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Leah123 Leah123 is offline
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My therapist changed the agreement slightly: she did tell me email sessions would be more than $50 for long ones (though either way it's a 50% discount at least) and the only slipup was that instead of asking me first if $75 was okay for the most recent one, she said she hoped it was okay when she sent the invoice.

She later clarified that she would drop the rate if I let her know it was too high, but the thing is... the rate is more than fair, but I wanted to address sticking with the protocol, and I was just feeling stressed about money- but my financial stress doesn't make her time less valuable.

As for rates, we have discussed it and compromised. That part is settled.

I think you're missing nuance regarding my agreement with her: we had agreed that she might charge more for lengthy sessions. And after doing this for a few weeks, I've reevaluated and believe $75 makes much more sense than $50, though she was willing to stick with a standard of $50.

And you don't do email therapy, so... you might not have the context for those type of sessions. The occasional email you send him without expectation of a reply is significantly different than what we're doing.
  #55  
Old Jul 17, 2014, 08:22 AM
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Leah123 Leah123 is offline
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Originally Posted by SeptemberRain View Post
Hi Leah- I've been following your posts for some time now. I really agree with what Jaybird said a few pages back, about how you have this pattern of posting here in what seems to be a lot of emotion, getting responses by people who are concerned/trying to help, but then backtracking and defending your T while simultaneously disregarding what you originally wrote. Your feelings in this DO matter. Your T writing that she is "fed up" is, to me, not very appropriate. Yes, everyone makes mistakes. This seems to be a mistake, IMO. The thing is, your reaction to it at first seemed to be, WTF T! But you've totally backtracked, offered a higher fee, and tried to understand every angle from which your T may be coming. It just seems like you TOTALLY disregard whatever you are feeling. Instead of trying to understand your T and where she may be coming from, how about you stick with YOUR feelings? How her saying that made you feel.

Sorry, I know I'm rambling, but I just have seen this pattern. Also, the time thing. You have made it clear that you're struggling with time. It doesn't really matter how you began therapy and what your dynamic was then. Therapy is dynamic, always changing. If you are having trouble with time management as well as financial planning, it is so your T's job to help with that. The past, as I see it, is irrelevant. You've asked for help and your T is just ignoring it. I really strongly feel that this is your T's job to help manage. She should be helping you wrap things up within the time you allotted.

Anyway, obviously these are just my opinions. Good luck in your journey!
I'm not disregarding what I'm feeling. Some concrete things I've done are cancel the next session, raise my concern with her directly, and renegotiate the fees based on my comfort level. And she and I are going to have a conversation about her unhelpful comments.

My T isn't ignoring it at all: she sincerely apologized for letting me go an extra 15 minutes the other day and offered to lower the email fee. She also stuck with her offer of $50 going forward, offering it to me even after I told her I wanted to pay more. And she explained that the system we use doesn't finalize invoices til after I accept them, so that she wanted me to know I could always discuss fees, they weren't final, and we would work something out.

As far as my Ts job to help with time management, she is, just not perfectly and that's an issue, and something we are addressing. However, the difference between prior and now is that I have cut the cost of therapy by more than 50% now that we've shifted, so that is a significant cutback. It's new though, this shift, and true that I don't trust it: that will take time.

She's also given me discounted email to help with the financial stress and free brief phone check-ins.

I do appreciate the input from posters, have commented on many and tried to thank all. I do consider all the feedback: not terminating doesn't mean I haven't appreciated the feedback.
  #56  
Old Jul 17, 2014, 08:26 AM
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woundedsoul woundedsoul is offline
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Originally Posted by Leah123 View Post
Thank you.

Ironically, we were planning to tackle that topic of creating structure in the course in our Friday session, but I think I need to cancel the session. It's too up and down, therapy is a stressor now, not a help. It's still a good idea though: I set up a meeting with the professor for Friday and I will ask him to help me. I am paying them so much... seems like he should be able to spare 20 more minutes to help me with this. The last independent study was my first one ever and was terrible. I lost my 4.0 on it.
How do they grade you on independent study for crying out loud? What in the h**l happened to real classes where you actually learned things? See, this is why college here in the US is so darn expensive. They make us pay for classes like independent study. How many credits are you getting for that class? Like you need all that added stress. Sorry, I just hate the way University is such a big rip off here. It's all about the money.
Thanks for this!
Leah123
  #57  
Old Jul 17, 2014, 08:33 AM
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Leah123 Leah123 is offline
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Originally Posted by anilam View Post
Yes you are thinking a lot about her feeling/ needs/ emotions- where are yours? Is this a pattern from your RL?
On another note I think it'd be better to just tell her you didn't appreciate her response/or whatever you wish/ than wait and hope shell think about it and apologize herself...
Yes, I agree about waiting a bit, I'm taking a break now.

As far as my feelings, I did tell her I was fed up with the inconsistencies. I also need to tell her when we have the conversation how surprised I was by her reaction and that I don't even understand what makes her feel so defensive, but that I need her to be more clear with me, not reactive. That I feel frustrated and disenchanted.

And she'll probably want to know the underlying feeling, the basic feeling, and that would be sad. Sad because of how she pushed me away with her language. She laid out a plan, I want her to stick to it exactly. She didn't and what's more, when I pointed that out, and that it had happened twice so I was skeptical, she reacted instead of helping.

That's what needs to be said.
  #58  
Old Jul 17, 2014, 08:36 AM
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SeptemberRain SeptemberRain is offline
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My T isn't ignoring it at all: she sincerely apologized for letting me go an extra 15 minutes the other day and offered to lower the email fee. She also stuck with her offer of $50 going forward, offering it to me even after I told her I wanted to pay more. And she explained that the system we use doesn't finalize invoices til after I accept them, so that she wanted me to know I could always discuss fees, they weren't final, and we would work something out.

It just seems like such a headache. Go over 15 minutes...ooops! How about I lower the email rate? Then you write over what she had in mind and she has to think for a longer amount of time...then the fee is back up (and maybe more than before?) It just seems so confusing and wishy-washy to have the fees be in constant flux. How confusing for you! It seems like each week, each email correspondence is a guessing game. Doesn't bode well for someone trying to control and manage their finances?

Also, she seems to have complete control in all of this. What she deems as too long, well, that's no sweat off her back, just increase the fee! Without even asking first, which was the agreement. Why even have agreements in the first place? It doesn't seem like she has kept to them?
Thanks for this!
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  #59  
Old Jul 17, 2014, 08:36 AM
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Freewilled Freewilled is offline
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Originally Posted by Leah123 View Post
My therapist changed the agreement slightly: she did tell me email sessions would be more than $50 for long ones (though either way it's a 50% discount at least) and the only slipup was that instead of asking me first if $75 was okay for the most recent one, she said she hoped it was okay when she sent the invoice.

She later clarified that she would drop the rate if I let her know it was too high, but the thing is... the rate is more than fair, but I wanted to address sticking with the protocol, and I was just feeling stressed about money- but my financial stress doesn't make her time less valuable.

As for rates, we have discussed it and compromised. That part is settled.

I think you're missing nuance regarding my agreement with her: we had agreed that she might charge more for lengthy sessions. And after doing this for a few weeks, I've reevaluated and believe $75 makes much more sense than $50, though she was willing to stick with a standard of $50.

And you don't do email therapy, so... you might not have the context for those type of sessions. The occasional email you send him without expectation of a reply is significantly different than what we're doing.

I wonder how you would respond if someone came on here and said the following:

*The therapist can charge whatever she wants because it is HER time, so complaining isn't fair to your T.

*Your T writing you that she was just fed up and saying good God, Leah....well, that's to be expected. She's just human and you upset her.

*There are probably a zillion reasons for why she forgot to talk to you first about the charge for the email and just said that she hoped it was ok....it's not something to get upset over.

*Your T doesn't need to manage the time - you do. So do it.

*Your T's rates sound more than fair and valid. You are actually getting a very good deal/rate.

*This sounds like it's more about your stressors in life and not anything about your T.

Do you honestly think you would be ok with that? If I'm missing what would be more helpful to you (and I believe I could be totally missing it somehow...) please let me know.

Leah, yes I don't do email therapy. I can't relate or share my concerns, then? If so, I'm not sure how many helpful responses you hope to get here....since I'd imagine the high majority of posters here see in-person rather than online Ts.

I hope you know I had good intentions when I responded to this post and I'm in no way trying to be hurtful. I'm honestly just confused on what you want as far as responses go
Thanks for this!
Leah123
  #60  
Old Jul 17, 2014, 08:37 AM
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Leah123 Leah123 is offline
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Originally Posted by woundedsoul View Post
How do they grade you on independent study for crying out loud? What in the h**l happened to real classes where you actually learned things? See, this is why college here in the US is so darn expensive. They make us pay for classes like independent study. How many credits are you getting for that class? Like you need all that added stress. Sorry, I just hate the way University is such a big rip off here. It's all about the money.
LOL I *totally* agree with you.

Jeeze, for all this debate about my Ts fee protocol, the real issue should probably be me paying a huge sum to this university for the equivalent of 3 hours of their time last month. It's kind of outrageous. If I didn't need the course for my degree, I would have definitely dropped it. But it's required and there was no other option, unless to drop out and find a new school, and I'm just not up to dealing with anything like that. I've been wanting this degree for more than 15 years, and I'm only 11 months away. Gotta keep my eyes on the prize.
  #61  
Old Jul 17, 2014, 08:46 AM
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Leah123 Leah123 is offline
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Originally Posted by Freewilled View Post
I wonder how you would respond if someone came on here and said the following:

*The therapist can charge whatever she wants because it is HER time, so complaining isn't fair to your T.

*Your T writing you that she was just fed up and saying good God, Leah....well, that's to be expected. She's just human and you upset her.

*There are probably a zillion reasons for why she forgot to talk to you first about the charge for the email and just said that she hoped it was ok....it's not something to get upset over.

*Your T doesn't need to manage the time - you do. So do it.

*Your T's rates sound more than fair and valid. You are actually getting a very good deal/rate.

*This sounds like it's more about your stressors in life and not anything about your T.

Do you honestly think you would be ok with that? If I'm missing what would be more helpful to you (and I believe I could be totally missing it somehow...) please let me know.

Leah, yes I don't do email therapy. I can't relate or share my concerns, then? If so, I'm not sure how many helpful responses you hope to get here....since I'd imagine the high majority of posters here see in-person rather than online Ts.

I hope you know I had good intentions when I responded to this post and I'm in no way trying to be hurtful. I'm honestly just confused on what you want as far as responses go
Well, you know, I simply see room for me to have concerns without it rising to the level of termination.

Of course you can share your feedback and I appreciate it, but you can't expect me to agree with every opinion, can you? If I acted based on individual replies... I'd be doing 10 different things.

I've found 90% of the replies I've gotten in this thread to be helpful, so.... from that we can judge perhaps what I was looking for.

I've been helped a great deal just by being able to vent, getting support, and validation and perspective. I do feel that a few posters lump together my past concerns with this one, which is totally understandable, but do not see the concrete changes between past and present.

Past when I was doing seven hours a week plus email sessions, versus present averaging 2.5 or hours of sessions and one email session, though the .5 is the unscheduled/extra issue.

Past when I was non-stop pushing for more time versus present where I've been able to cut back a lot more.

Past where I gave her no part in the time-management versus present where I've agreed to let her do that. Am I bothered that she's not doing it perfectly? Oh yes. But is it better that we're going 25% over than 110% yes. It's not nothing, and I think it's going to get better. (It may not seem like much to some, but having my mother in my house last week and school fall apart and a problem at work and my daughter home all week, well, it's probably good that the main effect was an extra $100 in therapy. That's a huge improvement over last year, for sure.)

That's all. I just feel like occasionally facts and context get overlooked, and that does bother me, and I do feel defensive after reading a minority of the posts, when I explain the reality is X, Y, Z, and feel that all that's addressed is Z.

P.S. Rereading those statements, I would have been very open to many of them, not sure if you expected an opposite reaction, but I always think the reality is in the middle.

Last edited by Leah123; Jul 17, 2014 at 11:40 AM.
Thanks for this!
Aloneandafraid, Freewilled
  #62  
Old Jul 17, 2014, 08:50 AM
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LOL I *totally* agree with you.

Jeeze, for all this debate about my Ts fee protocol, the real issue should probably be me paying a huge sum to this university for the equivalent of 3 hours of their time last month. It's kind of outrageous. If I didn't need the course for my degree, I would have definitely dropped it. But it's required and there was no other option, unless to drop out and find a new school, and I'm just not up to dealing with anything like that. I've been wanting this degree for more than 15 years, and I'm only 11 months away. Gotta keep my eyes on the prize.
Independent study courses have been around forever. I had two of them if I remember right back in the 80's working on my degree because there were only 4 of us at the university receive degrees in secondary reading (everyone else was elementary). I my case, I researched certain aspects of my field, wrote papers, had conferences with the professor from time to time.
Thanks for this!
Leah123
  #63  
Old Jul 17, 2014, 08:54 AM
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I see, Leah. I think that you mentioned possibly taking a break though, and as a result, put that option on the table. I would be very hesitant to mention termination as an option unless the op mentioned the possibility of it first....

I don't disregard other parts of your relationship with your T. I respond to what's written in a post though, and feel I did so. I'm just sorry if it wasn't helpful. I guess we all can take what works for us and leave the rest, like at meetings

*And I'm pretty sure I did not say terminate (?) as you're implying....I thought I said it was your choice, your boundaries, etc. right? That it didn't seem to be working as is, but your choice in how to handle it. I'm sorry if it sounded otherwise.
Thanks for this!
Leah123
  #64  
Old Jul 17, 2014, 09:07 AM
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Leah123 Leah123 is offline
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Originally Posted by Freewilled View Post
I see, Leah. I think that you mentioned possibly taking a break though, and as a result, put that option on the table. I would be very hesitant to mention termination as an option unless the op mentioned the possibility of it first....

I don't disregard other parts of your relationship with your T. I respond to what's written in a post though, and feel I did so. I'm just sorry if it wasn't helpful. I guess we all can take what works for us and leave the rest, like at meetings
Ah, we may've had a mixup. By break I meant a session or two.

I do have issues with time management, serious ones when it comes to therapy, not because the time is problematic, it was very helpful, mostly, but because of the expense. And I have money troubles: I'd say at least half are circumstantial:

My husband's heart failure
My husband's unemployment
Pet bills
Underemployment (am working on that now, but it's still going to be difficult)
The recession, which gutted my investments

And half are not. Half are impulse control issues, overoptimism, living beyond my means. I've been working on that. My major success so far has been to stop using retirement funds to bail myself out. I stopped that practice about four months in to therapy, so my financial *stress* is much higher, because I'm not taking shortcuts anymore that will cost me later. It's a lot to figure out, and I'm trying.

I do understand that the majority believes it's up to the therapist 100% of the time to manage the time. But I feel a gap when trying to talk about online counseling sites like the one I use: it's not set up like that at all, it is a different model. So instead of beginning with that presumption of 1 hour sessions like most clients are restricted to, we began from a place 180 degrees different- therapy on call, much more client directed, much more freedom, much more consequences, good and bad.

It's been an intense experience, and wonderful. Not easy. Not traditional.

Last edited by Leah123; Jul 17, 2014 at 10:56 AM.
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  #65  
Old Jul 17, 2014, 09:16 AM
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Leah123 Leah123 is offline
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Originally Posted by SeptemberRain View Post
It just seems like such a headache. Go over 15 minutes...ooops! How about I lower the email rate? Then you write over what she had in mind and she has to think for a longer amount of time...then the fee is back up (and maybe more than before?) It just seems so confusing and wishy-washy to have the fees be in constant flux. How confusing for you! It seems like each week, each email correspondence is a guessing game. Doesn't bode well for someone trying to control and manage their finances?

Also, she seems to have complete control in all of this. What she deems as too long, well, that's no sweat off her back, just increase the fee! Without even asking first, which was the agreement. Why even have agreements in the first place? It doesn't seem like she has kept to them?
I saw in the thread about email that a poster mentioned half sessions, and I guess that's a good way to view our email sessions:

that therapist did free calls up to 10 minutes, more than 10 minutes was billed as a half session.

That's similar to what we do.

A quick checkin is free.
An email session is billed as half-an-hour of time, though I know she spends more than that.
An extensive email session is billed typically at .75 hours, though again, she spends a lot more time than that on it.

So... the rate may flux, but it's not without parameters. She did make mistakes with this, and the second time I called her on them, and she said she was fed up. (The first time, she was apologetic. Both times she offered a credit.) So yeah... that has to be fixed. Should be a fun session.

I'm irritated, but I think it will work out. It's a bump in the road, and I'm incredibly stressed lately, which doesn't help, but I don't think it's an insurmountable obstacle. We are off track though, sigh, hopefully get back on soon.
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  #66  
Old Jul 17, 2014, 09:40 AM
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I guess my bottom line is I think she handled this wrong. I think she should try and understand why this is important to me rather than implying it's not important. I'm guessing she feels defensive that she's messed up or angry that I didn't drop the subject after she promised to ask in the future before increasing the rate, but I won't know til she tells me.

Maybe the little break will help me get some perspective on how she can best help me. It's been rough, lately... cutting back and more outside stressors probably contribute a lot to that, and I'm just feeling... like our therapy is.... ineffective? But I don't know if I expect too much from it. I'm such a goal-oriented person. I actually completed so many goals... maybe I'm searching for new ones that I can manage. The big one, the future of my marriage, seems too big sometimes. I find it very hard to talk about something for an hour without hope of resolving it. I probably need to break that one down into manageable chunks. I work best with finite topics. I want to work and make progress, measurable progress, all the time. Even if progress is just helping me feed grounded when I dissociate, all the way up to reenrolling in college like I did to be able to do meaningful work with my life. I am starting to think I should just change jobs or something- it's harder and harder to manage 60 hours a week lately... but it surely doesn't seem wise or likely lucrative to give up working from home, fairly flexible hours, for a new job while I'm just a year out from my degree and can pursue a job in a different field...

I'm so tired.

So tired.

Maybe I just need a session to sort out her stupid response to me and then pick a goal. Maybe the goal is just living with a one hour session limit, haha, revisiting the DBT skills to tolerate my distress at being cut off.

And I think she wants to hear about my breakdown, when I was younger. I've been dancing around it for a while now. Mentioned it before, but not really.... sat with it for a while, sigh.

Sometimes it's hard to see the point.

Often when I don't see the point and do it anyway, it helps a lot. I will say she has often had excellent insights about what I needed to talk about. Sigh.
I do find it ironic she was encouraging me to complain last session, that it was okay, normal for therapy, no problem, but she meant about my husband, haha. When the bill came later and I complained about that, ha... she was not so open.

P.S. Maybe I should give myself more credit. I did have a major talk with my husband a couple weeks ago, the 'state of the marriage' talk. Very honest. And I refinanced my house: will save me a ton in interest and allowed me to pay off my car and a couple other bills. And I've officially turned over time-management to my therapist, 100%. And... I managed my mom's visit without killing anyone, or most of the other nasty side effects that come along. And I took a B in that awful independent studies course... my first non-A in this program- trading my sanity and quality time with family for a grade, managing the anxiety of feeling that anything less than perfect is a complete failure. That shows me re prioritizing in meaningful ways.

I have to remember, sometimes when I feel so off track... I might not be as off track as I feel, at least not everywhere, just hard to see it while in it.

But I seriously need to work through the money thing. I've completely redone my budget, but... needs serious work.

P.P.S. She just wrote to acknowledge the cancellation tomorrow. I wanted to tell her I missed her, but instead I told her I'd clearly hit a nerve, and just as she sometimes felt disconnected from me and wanted to know what was going on, I felt disconnected from her and wanted to know what was going on. Sigh. I need a life. I have a life and a half, but... need to concentrate on it more, ha.

Last edited by Leah123; Jul 17, 2014 at 10:58 AM.
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  #67  
Old Jul 17, 2014, 12:29 PM
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Leah

I think the overwhelming message I'm getting from your posts is that your current lifestyle is just not sustainable. It wouldn't be for anyone!! 60 hour weeks, study, looking after your child, chunks of energy expenditure on tense moments in your marriage, and trying to grapple with your 'stuff' in therapy. You're full up. It's too much. Frankly I'm surprised you have been able to think clearly enough to do the work needed for postgrad study. Let alone have any quiet headspace to process therapy schiz.

Can you take a break from your course for a bit, even a semester? Or get an extension for some projects? You really need some time to rest.

Is your husband doing his fair share of housework/ parenting? How is his health now?

I'm not going to suggest downscaling your workload, because I have a sense that's not a realistic option at the minute?

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  #68  
Old Jul 17, 2014, 02:06 PM
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I think you hit the nail on the head.

I need to simplify and lower expenses as much as possible. I have been working on this, but am challenged to do more as school and work have gotten more complex lately.

Short term, I'm going to ask my husband to give me a half day of quiet this weekend, let him take my kiddo out to the zoo or something for the day, since I've watched her all week. I just lost my temper and cursed twice in front of her this morning, not handled her defiance well: I very very clearly need a break. I apologized and we made up, but I hate her to hear me curse, to be so mad.

I think even half a day free will be a help: honestly... if I could have four hours to nap and a couple hours to take a walk and get a coffee or something, I'm sure I'd feel at least 10% more civilized.

Long term... I do not know.

It is very complicated, the work situation, because I get to work at home which lets me be available for my daughter, and because I earn SO much of my income from overtime.

Of course, I'll have to deal with changing soon anyway if I pursue a new job post-degree, but it does seem a lot easier to stick w/this job a year or so than to quit, find a new one, and then reassess post-degree. I think about starting an internship in the industry or something, sigh, but can't really afford it right now.

I think... trying to limit my therapy focus a bit will help. I get interested in things like the forum and analyzing everything, you know, that therapy mindset, and it can be time-consuming.

Although we had this snafu... I think my therapist is probably even more committed to the session times now because she's irritated I brought it up and said she was frustrated with herself for messing up Monday, so that should help w/the budget, which will help w/the financial stress.

And I am letting my daughter go to camp next week, so, that will hopefully take a bit of pressure off.
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  #69  
Old Jul 17, 2014, 02:45 PM
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Hi Leah. I wish I had some good advice for you but your life seems so overwhelming and busy, that the only thing I can suggest is to try to let some things go. I don't know what, though. I don't understand the arguing about the emails and the price. It seems like you're dwelling on that to avoid other topics, but I know that's probably not true.

I can't imagine working 60 hours/week, even at home. Plus going to school!! I'm tired just reading about your life.

I realize I'm not being too helpful, but I want you to know that I care about you and I hope that you can get everything worked out before you collapse from exhaustion! I'm glad your daughter is going to camp. Do you do yoga or mindfulness for relaxation? Or something???
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  #70  
Old Jul 17, 2014, 03:05 PM
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Thank you so much Rainbow.

I think it's not so much the extra $25 and that she didn't ask in advance (although I really am trying to watch all my expenditures) but that I don't feel like I can rely on her, and she got fed up when I expressed that.

In one sense, I know I can rely on her. I am 100% sure she cares about me and 100% sure she will be available to me as best as she can, barring illness, emergencies, etc. So I know that. And I do believe, based on one and a half years of working very closely with her, that if I finally said to her "I do not have the money for therapy." She would say, okay, Leah, we will work this out, and I think she would probably give me at least one hour of session time and an email at the site's minimum rate of $30/h and I don't know the email minimum, but if I were in a financial crisis... I do trust her to keep her word on not dropping me. She has told me she'd see me for free as well, so I think she'd even go as far as seeing me offsite if that was necessary, but it's not. I have bills, but do pay them all, just need to get my debt under control.

But I do not know if I can rely on her to help me with money, and I've just gotten to the point of trusting her enough and seeing that I need to be able to rely on someone for help with it. So, this is scary for me. Financial control is something I have always maintained. I've been pushing and pushing myself to open up to her about financial issues these last few months. To agree to let her manage the time was huge for me, and she knows it.

So that's the real issue. That she offered a plan, two really, the email plan specifics and the managing time specifics. The reality is... it's not black or white. She's doing a lot better with limits than I did. But while I'd give myself a D in therapy management, I can only give her maybe... a B? And I just need to be able to rely on her. I need her to be great at this. I need something dependable in my life... and I've pretty much chosen it to be her. And, she came up short. That's my dilemma.

As for the other topics, while I don't like them, I have talked about all of them with her in the recent past, i.e. the last couple weeks, and always cover all the difficult topics w/her head on. My breakdown is one we've discussed briefly a few times and it has been painful, but need I guess to discuss at a new level, make new connections.

I do a little bit to relax, but would like to do more, make a habit.

I got a massage yesterday. On Sunday I listened to a PTSD guided audiotape/relaxation hypnosis program. I've been trying to take naps. I did get some time for hubby and I child-free to give us a break Sunday night/Monday morning. So... I'm trying. And I did have therapy Monday.

I have touchstones to help me a bit too, with the mindfulness, like a statue of Quan Yin on my desk, favorite music, etc.

I think I just need a destressig intensive!

Sad to think that was going to be a focus tomorrow in session- I'd listed my seven main stressors and we were going to work to make them better, sigh.

P.S. You know, you've made me realize that is what I need to tell her, the underlying issue, not the technicality but my fear that I can't rely on her. That I finally showed her I couldn't handle the money issue and that, having put it into her hands, she's going to drop me. Sigh.

I didn't put it that way before, didn't tell her I was afraid of that, I criticized her and told her I was fed up. Maybe it'll go better if she works out her reaction and then I can tell her my fear.
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  #71  
Old Jul 18, 2014, 04:10 PM
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My therapist apologized for using harsh language in the original and a subsequent email. She also did a no-charge, lengthy email so we could discuss the situation at length, and spent some time on it on the phone as well, along with refocusing to help make the therapy better going forward. I've been struggling and need some relief, so I'm hopeful our Monday session will be helpful.

I'm going to pay $75 for three days of email sessions, at my suggestion, which is $25 per day, equivalent to 15 minutes of her time per day, more than fair I think as I'm pretty sure she must spend more than 15 minutes reading and replying. If/when my emails taper off, I'll revisit the issue, but for the next year, I'm going to be working 60 hours a week, a full time college student, head of a small professional organization at my university, occupied raising my daughter, and working on my personal life, and I need the support. It's good to have someone to depend on reliably in the midst of this temporarily insane phase of my life.


Last edited by Leah123; Jul 18, 2014 at 07:38 PM.
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  #72  
Old Jul 22, 2014, 12:26 PM
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I really feel like she is taking advantage of you. It is her responsibility to watch the time and make sure that when the time is up, either the session ends, or you know that you will be charged more (and exactly how much) from that point on. And these emails, I'm sorry, there should at least be some set price that you can count on paying. And if she's the one that is contacting you, then that definitely should be a no charge, since you didn't initiate contact. I think that she is violating the medical rules of ethics, because she knows that you have difficulties with adhering to boundaries, and you've told her this and asked her to keep you on track, and her being the professional, she can't have these issues within her practice. She can't just say"oh, well I just didn't want to stop you when it was time because you were just seemed like you really needed to keep talking." Ok, we're seeing psychiatrists. We really need to talk, all the time, every time we see them, and even when we're not seeing them. We could talk to them every day and it wouldn't be enough. So that is why they have to be the professional, and be able to end the session when the time is up. Maybe you should go and try out a few new therapists. I just kinda feel like she's using you to fund her new vacation home, and her kids college funds, you get my drift, right? I don't want to hurt your feelings, but I think we have to look out for each other, because nobody out there is going to look out for us. So, just be careful, and and least, call around and ask other therapy offices how much there sessions are, and ask about the same services that you are getting, and prices and see what they say. Maybe that will give you an idea. I'm not sure if they'll give prices over the phone, but doesn't hurt to ask.
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  #73  
Old Jun 30, 2015, 02:35 PM
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I was rereading this old thread (about 11 months old) for perspective. I'm feeling topsy turvy.

I really appreciated everyone's comments.

My therapeutic relationship has evolved financially for the better.

First, I made more cutbacks. Then, about three months ago, my therapist, seeing how much I was struggling financially after my dog had some sky-high medical bills and in general, decided that to continue offering me consistent care, she would invite me to become a client directly, instead of working through the online agency where we began, so I wouldn't have to cut back further. That eliminated mandatory billing and billing by the minute, along with their 50% platform-use fee.

So, now I pay a flat rate once per month that includes 90 minutes per week of live session time plus unlimited emails. And we are both comfortable going a few minutes over now. The cost's nearly 75% lower than where I began, and 50% lower than where I ended after cutbacks. It's expensive enough to make me appreciate it and not so expensive as to completely stress me out. She's also included an emergency session and brief check in at no extra charge. I do appreciate the simplicity of our new arrangement and feel that for a therapist with her credentials and experience, the fee is more than fair.

Last edited by Leah123; Jun 30, 2015 at 06:26 PM.
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  #74  
Old Jun 30, 2015, 08:33 PM
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This is great to hear!

Are you getting more sleep and enjoying the long, sunny days?
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