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AnxiousandAlive124
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Default Jun 26, 2015 at 04:13 PM
  #1
So, to start off, for a few weeks my T has been feeling I've been struggling, going in circles, etc. Recently she has mentioned a clinic for anxiety and depression issues (I'm guessing a higher level of care). Problem is, I mentioned I still want to see her as my t (that the issues aren't related to her, just an issue within myself and slow at getting going so to speak). She has mentioned before she isn't going anywhere when I almost cried at the idea of her maybe not wating to see me anymore basically. In a way its hard to shake the feeling its not at least somewhat about her not wating me around anymore has anyone been through a similar situaiton here? What was the outcome? Were they really just trying to be nice about wanting to refer you on?
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Default Jun 26, 2015 at 05:50 PM
  #2
I think one could do both so it does not necessarily lead to being an indirect way of getting rid of a client.

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Default Jun 26, 2015 at 05:53 PM
  #3
I've experienced both a T being nice about referring me on in that way, and a T genuinely being concerned about where I was headed so she wanted to make sure I had adequate support & expertice around.
A T has a duty to make sure you are getting the care you need and deserve. Depending on T's working environment (one of the T's who referred me on did so b/c she was restricted in what she could offer by the clinic policies), she may well just want additional support around for you. The T I had (and am returning to after I move) who wanted to make sure I was supported continured to see me while I was also attending a specialized program. Even if insurance had denied payment, we would have worked somethign out so that I could keep seeing her... My most recent T I believe would have continued to see me if I had been seeing her elsewhere. The clinic through which I received services has relatively strict guidelines around what they can offer a client. T said that she would have liked to keep seeing me, but clinic policy restricted that. I am choosing to believe she was genuine when she said that.
I think a lot of the time we read into things based on past experiences. I tend to think most people hate me and would rather me be gone. I read that into T's words and actions a lot, even when it's the furthest thing from her intentions... T and I had a few conversations around being genuine and meaning what we say (both on her end and mine). Maybe you could have a conversation with your T around whether or not she is being genuine? It may just be that she feels you need more support that she can provide by herself at this time. She may be willing to keep seeing you while you also get services at the other clinic, or be planning on you returning to see her (if there is some conflict around "duplication of services" if you were to see both her and someone at the clinic). I would recommend asking though.
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Default Jun 27, 2015 at 07:11 AM
  #4
I haven't experienced a t mentioning another service before, but I have still had that fear of losing my t. It's a really strong abandonment fear that a lot of people have in t. Unless your t has mentioned specifically that she can't work with you, I would say your fear may stem from an abandonment issue ? Maybe ?
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Default Jun 27, 2015 at 08:41 AM
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I've had both my T and Pdoc suggest second opinions, possible changes, etc. I never saw it as a way to get rid of me. They were genuinely concerned that I might be needing something different than they were providing, or that they were missing something. I chose to stay with them both, but I did take their advice to have further testing done and to go to another pdoc for a second opinion. It was valuable information and helpful as we proceeded.
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Default Jun 27, 2015 at 09:04 AM
  #6
Quote:
Originally Posted by AnxiousandAlive124 View Post
So, to start off, for a few weeks my T has been feeling
What do you think/feel? Are you struggling? If you are struggling with having T there, I would look for "more" somewhere or a different way of working?

Have you looked at books/workbooks or anything if you don't want to see someone else in addition to T? I think focusing too much on difficulties you do not think are related to your T or worrying about losing your T could be a way of avoiding working with your T on what the two of you can work on. I think you have to decide what you want to address and then work on that and let the other go for the moment.

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Default Jun 27, 2015 at 09:41 AM
  #7
My ex-T wanted me to seek a "higher level of care". Now she's an ex-T and not by my choice My ex-T abandoned me. She didn't even help me seek appropriate care. And she told me to never contact her again.

I hesitate posting this because I don't believe my experience is the norm. Least I hope not. Why I haven't given up on therapy yet.

I would ask your T for clarity. Ask her about the clinic, if she's trying to refer you. Tell her you want to stay in therapy with her. You won't know what's going on unless you ask, it happens, or she tells you. So best to ask if you're worried about it.

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Default Jun 27, 2015 at 08:07 PM
  #8
You can seek a higher level of care that is more targeted and different in approach, yet still see your individual T. If she wasn't clear about this I would definitely ask her if she means for you to seek an adjunct therapy in addition to her or if she is suggesting you seek out a new T altogether. That's a reasonable question that she should answer.
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