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  #51  
Old Oct 20, 2019, 02:41 PM
maybeblue maybeblue is offline
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Originally Posted by guilloche View Post
OMG. I haven't read the rest of the thread, but I had to jump in here.

First, NO - you did not do anything wrong. In fact, the paragraph where you talk about being overwhelmed during the session because of your emotions, tell her that you didn't understand what she was doing, and ask for her to be more clear and collaborative - WOW. I thought that was amazing and perfect. I mean, seriously, SUPER GOOD JOB on a) figuring out what was going on with you and b) ASKING FOR WHAT YOU NEED.

I found it very respectful, you didn't come across as blaming or accusing her or as hostile, and I would imagine that most therapists would be glad to have this. It reminds them about how you work and what you need, and would help them work with you in a more effective way. It's great!!!

When she says this: "I am a DBT therapist. It's all I know how to do. So you can be assured we aren't doing supportive therapy."

It feels like a red flag to me. Are there really therapists out there who are just DBT and literally don't know ANY other therapy skills? That seems so limited and improbable to me. Honestly, it sounds like she has a huge pile of her own issues that she hasn't dealt with, and might be using this as a really useful way to avoid getting triggered by other people? Like, "oh no, you have emotional problems - well that's not really my domain. I can tell you what skill to use, but don't expect me to actually summon any kind of empathy, because that's not really what I'm trained to do. Sorry, Charlie!"

It frustrates me, and again, I'm really surprised. It seems very... weird and offputting and de-humanizing to me (but I haven't done DBT myself, so grain of salt!)

But THIS... THIS RIGHT HERE: "I don't want to get burned out by answering too many texts or between session phone calls."

OMG - this just sets me off. It sounds like she's making YOU responsible for HER emotional state. It's not your responsibility to help her not get burned out, that's on her... she can choose to not respond to texts, she can do self-care, she can ask you to not text as much or give you a limit (on content or number of texts). But it really, really bugs me to see her talking about her own emotional state here, as if you did something wrong.

You didn't! Of course you didn't! She's responsible for her own mental health - your job is to show up and work on your own stuff.

(This may be a bit of a trigger for me, so apologies if I'm a bit... over-enthusiastic here )

I do think that... in retrospect... you might have held off on the discussion (after she posted that) until you got to session. It feels like a lot to try to unpack via text, especially when she's saying that she doesn't want to burn out. But, I still think it's her responsibility to deal with that - not to just throw you out!

Like, I'd expect her to say something like, "Good points. Let's talk about it at the next session." - that's it! Fairly simple, not burnout-inducing, a polite way to say, "Hey, I don't want to have this discussion via text" - plus then you guys could have actually discussed what was going on in a more productive way (since it can be hard to understand things via text, right?) - easier to clarify and get into details.

And... oh wait, I missed this part. So, you literally ended with this: "I am sorry if I was too long winded. I don't need to talk about it more right now. Thank you for not dumping me." -- and her response was to dump you (via text)?!?!?!?!?

I am so incredibly speechless at this point. And, I am so sorry! That is just.. incomprehensible to me. Like, seriously... I'm floored.

I know, you said you don't want to quit. I get that! Are you sure you're OK with continuing working with this person, who honestly is likely to cause you more pain (based on her reactions so far)? I mean, she's not likely to get *better*... my experience has been that therapists with red flags only get worse, even when you actively try to work on things and fit into what they want/need from you as a client, this is about unresolved stuff on her part and it just... isn't likely that she's going to transform herself into a good therapist while working with you. (I'm so sorry!)

"So did I do anything wrong or rude?"

Nope! I thought you were respectful and doing your best to make your needs known. I think your therapist handled things incredibly badly, and honestly, doesn't sound like she's done the work she needs to to be an effective, good therapist. She doesn't sound like someone who should be seeing people in therapy! Even in DBT... omg... especially in DBT (where I'm assuming that the majority of people struggle with BPD-type issues, which can be really hard for Ts to deal with) - she just seems... incompetent.

I'm so sorry. I don't really have any great advice. I'd dump her too, but I know that's not what you want. *hugs*
The thing is that she isn't incompetent. Not at all. The burnout thing isn't out of line for DBT therapists to say. One of the things about DBT is that is different from some other therapies is that the therapist discloses her own feelings and reactions about the client's behavior.

The part that is confusing to me is that generally they try to repair the relationship rather than run away. Or at least that is what clients are supposed to do. She did tell me in a later text that if we could make therapy effective for both of us she would continue to work with me. What I don't know is what "effective" means to her...and if I can live with whatever she wants. I could live with, and will suggest that I just not text her. I could live with not calling her either.

I probably could not live without expressing my opinions during session, although I don't think she has to agree with me.
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  #52  
Old Oct 20, 2019, 02:58 PM
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Out There Out There is offline
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If you have to suppress your own authenticity and feelings or what you say in order to maintain a relationship , this mirrors something from childhood that is dysfunctional and maladaptive. I don't really get " Oh , this is DBT so that doesn't apply " No healing comes from it , it's not healthy and it's not therapeutic. It's like you having to think how you MUST behave to make yourself acceptable in this relationship , and if you don't behave like that , there's something wrong with you. Disclosing the T's own feelings and reactions sounds like a green light to blame and shame. You won't feel like you can express your opinions in case your T burns out ? What's healthy about this ?!! Sorry you've been put in this position.
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  #53  
Old Oct 20, 2019, 03:33 PM
Anonymous42119
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Originally Posted by maybeblue View Post
The thing is that she isn't incompetent. Not at all. The burnout thing isn't out of line for DBT therapists to say. One of the things about DBT is that is different from some other therapies is that the therapist discloses her own feelings and reactions about the client's behavior.

The part that is confusing to me is that generally they try to repair the relationship rather than run away. Or at least that is what clients are supposed to do. She did tell me in a later text that if we could make therapy effective for both of us she would continue to work with me. What I don't know is what "effective" means to her...and if I can live with whatever she wants. I could live with, and will suggest that I just not text her. I could live with not calling her either.

I probably could not live without expressing my opinions during session, although I don't think she has to agree with me.
It sounds like what a child would say about their abusive parent, insofar that the child has been emotionally abused, expressed that emotional abuse to others, and then when others side with the child's pain, the child then "makes excuses" for their emotionally abusive parent. --There are similarities here in the transference-counter-transference relationship with you and your T.

Here's a suggestion: Take a look at the following websites. Continue to keep us updated and informed, as we want to support you with this issue you raised, but also consider reaching out to other sources and see what they say. Here are the websites:

TELL (therapy abuse dot org): TELL: Therapy Exploitation Link Line

TELL: Emotional Abuse in Psychotherapy | TELL: Therapy Exploitation Link Line

NOTE: You can email TELL and one mental health professional will reply to you. Explain to them **everything** you have explained to us here on PC. They will respond with an answer from the perspective of therapists who advocate for those who have been abused in therapy.

Good Therapy: How to Recognize Abuse in Therapy and What to Do About It

NOTE: You can see if there is a contact you can reach out to through Good Therapy if you are not convinced with any of the concerns other have presented. It's okay for you to seek many opinions on this, especially if you are having trouble letting go of a therapist whom you're attached to and/or whose opinion about you is *familiar* and therefore "acceptable." To me, it sounds like you're in an enmeshed relationship with your therapist at this point - at least from your own POV and explanation in quotations above; instead of you being consistent with your lamentations about your T, you've now changed it, per your quotation above, to your standing up for your T. PS: Did your T actually tell you all of the above? It still doesn't seem like your T has set clear treatment goals or boundaries for your relationship; it appears that your T is using "role play" or "Gestalt" without realizing it, even though your T claims that she is a "DBT-only therapist."

Patch: What is Therapist Abuse? | Odenton, MD Patch

Surviving Therapist Abuse: Treatment Abuse Checklist – Surviving Therapist Abuse

Better Help: https://www.betterhelp.com/advice/co...iAAEgIHk_D_BwE

NOTE: After reading the articles above, let us know what you think. Reading the articles above and reaching out to us here ARE RATIONAL AND WISE STEPS to help you when you're feeling distressed.

Many abused children grow up without knowing what is abusive, and they often think that what is "familiar" is actually "relational" and/or "normal," but their radar for detecting red flags is completely hindered with constant, ongoing brainwashing vis-à-vis cumulative and concurrent and ongoing/continuous traumatic stress in childhood. As an adult, it is no wonder that your "traits" are compromised, or your relations to yourself and others are confusing when you're not getting the results you expect yet you're feeling abused yet you revert back to familiar ways to make excuses for your abuser - only, now, you're in adulthood and having to make choices for yourself that you've never learned.

It really upsets me that you're hurting and now it seems like you're masking your pain with familiarity with your abusive T. Your T is unethical and abusive, but emotional abuse is so hard to detect and therefore to prosecute or set policies on. Nevertheless, you have a right to walk away from a situation that is not helpful for you. You have a right to be RESCUED (or to rescue yourself and therefore walk away) FROM BRAINWASHING and GASLIGHTING and STONEWALLING! In essence, we on PC have also went from supporting you to now trying to rescue you, when in essence, YOU ARE THE ONLY ONE WHO CAN MAKE THAT CHOICE to do what is best for you. WE ON PC WILL CONTINUE TO OFFER HELP TO YOU (((SAFE HUGS))), but we will continue to stand by what we are seeing as an abusive, unethical T.

I'm so very sorry you are struggling with this. It's hard to see someone have many opportunities to get out of an abusive situation and then stay in it. It's like witnessing a victim of intimate partner violence or domestic violence; it's hard when those who try to help continue to see the victim stay with their abusive other. In many ways, a therapeutic relationship can become so enmeshed that it may feel to both parties like an intimate partner violence when escape is countered with fears of letting their abuser down, relating to the abuser's issues and therefore wanting to help the abuser, fears of what will happen to you if you leave (as opposed to what will happen to you if you stay), self-blame when it comes to everything, gaslighting (which places blame on you instead of on the abuser), etc. It's hard to see, but that doesn't mean we aren't here to continue to remind you about the abuses that we're hearing from your own testimony about your relationship with your T.

Can you read the articles, reach out via contacting TELL, and let us know what you feel after having read those articles?
Thanks for this!
koru_kiwi, Out There
  #54  
Old Oct 20, 2019, 03:39 PM
Anonymous42119
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Originally Posted by Out There View Post
If you have to suppress your own authenticity and feelings or what you say in order to maintain a relationship , this mirrors something from childhood that is dysfunctional and maladaptive. I don't really get " Oh , this is DBT so that doesn't apply " No healing comes from it , it's not healthy and it's not therapeutic. It's like you having to think how you MUST behave to make yourself acceptable in this relationship , and if you don't behave like that , there's something wrong with you. Disclosing the T's own feelings and reactions sounds like a green light to blame and shame. You won't feel like you can express your opinions in case your T burns out ? What's healthy about this ?!! Sorry you've been put in this position.
I agree wholeheartedly and fully with @Out There.
Thanks for this!
Out There
  #55  
Old Oct 20, 2019, 03:41 PM
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I also agree with what @guilloche said and so eloquently explained!
Thanks for this!
Out There
  #56  
Old Oct 20, 2019, 03:42 PM
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Originally Posted by BethRags View Post


I agree entirely. It is nothing short of tragic that many mental health professionals are profoundly imbalanced people who refuse to look at themselves honestly, but are all too willing to gaslight their patients. A sick power-trip.
I agree completely with @BethRags assessment of the situation described!
Thanks for this!
*Beth*, Out There
  #57  
Old Oct 20, 2019, 04:13 PM
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Out There Out There is offline
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This is probably really difficult for you Maybeblue , to be hearing these things from us here at PC. What is so ironic is that we go to therapy trying to heal from what's happened in childhood , and like to think we can trust these people. There are many advocates on this thread for you waving red flags about this. We cannot rescue you from this situation , no. But please rescue yourself from it and continue your processing and healing. When I look at situations when many people are saying pretty much the same thing , I ask myself how many people can be wrong ?
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  #58  
Old Oct 20, 2019, 08:14 PM
maybeblue maybeblue is offline
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I really do appreciate everyone's advice and support. The "I don't want to get burned out" is a limit setting technique and it's in the DBT treatment manual. She has never expressed any negative feelings toward me before, which is one reason this is so surprising to me. It seems out of character.

I would not disagree with anyone in saying that the way she quit the relationship (through text message) was 100% wrong. The thing is that nobody, including me knows *why* she did it. I am assuming or guessing that she did it because of something she doesn't like about me. But another possibility is that she feels incompetent or thinks that she has been harming me or lacks the skills to treat me. That's one reason why quitting through text message is so wrong. It's not fair to me to not tell me why. It's also probably unethical. But she did offer me a session to talk about it and I'm going to go to find out why because I would rather know than not know and wonder for the rest of my life. Even if it is negative about me. Then at least I can think about it and see if there is any truth to it. Otherwise I'm just replaying sessions in my head trying to guess what it was, and I'll do that for months. I know me. I'm also taking my husband with me for moral support.

I think that I am more attached to the therapy than the therapist. I will say that she is a good teacher. She has explained some of those skills in a way that I can actually understand. I haven't worked with her long enough to be enmeshed I don't think. If it were easy to get into another DBT program I might do that. But it isn't. I drive 2.5 hours to see this therapist and she is the closest DBT certified therapist there is. You don't have to be certified to be a DBT therapist, but there are no DBT groups near me at all. I live in a rural area. And to be honest, I don't think I would attend a therapy group in my small town. I am somewhat prominent in certain areas and I mostly hide my mental illness.

I don't know if I can get past the text message thing and work with her again. It will depend on how she responds when I bring it up. I do agree about getting advice from other people. I appreciate the TELL and other resources. What I have already done is reach out to her licensing board (anonymously) and also to the DBT certification site (also anonymously) to see if I can get some advice. It's the weekend so I haven't heard back, but I'll let you know what I hear. I really am not eliminating the possibility of reporting her to her board. I'm not defending her actions on quitting through text message at all. But I do still believe that the "burned out" thing was consistent with what I have read about DBT.

I really do appreciate the support.
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  #59  
Old Oct 20, 2019, 08:50 PM
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@maybeblue

The "burnout" in the manuals you are referring to are for therapists, not for clients.

You, as the client, are NOT responsible for your T's feelings. Your T should never have disclosed her feelings. Your T is responsible for her own burnout, not you. Your T is responsible for creating platforms to reduce burnout in their job, including the administration of DBT. You are not nor will you ever be responsible for that. If she puts that on you, which she already has, that is gaslighting. Gaslighting is a form of emotional abuse. Blaming you for her burnout, no matter how you acted or behaved, is her issue. It will always be her issue. It is never your fault.

The training manual is supposed to be for therapists only.

The DBT workbooks or worksheets are for clients.

There's a difference. You are not responsible for the training manual. You are the client.

You can hear what your T says, and you will have an opportunity to stand your ground if she uses gaslighting tactics. You can choose whatever you feel is best for you, but we're here to provide feedback from what we're reading.

It sounds like you have a strong enough sense of self to know what you want, in this case, you want to find some answers. You can use that same strength to figure out what you don't want and didn't want what happened to you.

You say that you're not attached, but most people who are not attached and receive a disrespect like this will walk away. Those with attachments will want closure and an explanation. With all the best intentions, a closing or exiting discussion may or may not provide closure; it may serve to cut at wounds more deeply, especially if the offender uses that to further stonewall, gaslight, or change the topic. But, some people learn through living the experience (i.e., "the hard way"), and so to each his or her own in such regard.

We just don't want to see you hurt.

I hope you get some supportive feedback from other sources. I'm glad you were able to reach out.

Also, although it is so easy for those who are helping (i.e., us here on PC) to express or share in the same pain that you are feeling or are avoiding feeling, but in the end, it's healthy for us here on PC to support you in whatever capacity we can support you, but that we all know that only you can face your own pain (supporters, therapists, or others cannot feel the pain for you, as much as it feels validating to hear from others the pain which you feel but are not able to feel or express, for whatever reason). Again, you are not responsible for anyone else's feelings. In the same vein, we are not responsible for your pain. None of us are responsible for our therapists' feelings. Our therapists are not responsible for our feelings. Those in positions of power, however, are responsible for creating toxic environments, toxic relationships, harm (not feelings, but harm to their clients, including emotional/psychological harm; even though we are responsible for our behaviors and feelings in response to such harms - different things, but hard to differentiate when we're in the middle of it).

Best of luck to you! We're here to support you, but we just hope you are able to identify the (true) feelings you have in this manner. We've heard both feelings from you, but they seem like shift changes instead of integrations, if that makes sense. In other words, it seems you shifted from feeling hurt by your T to now feeling open and hopeful for your T; it seems like you went from a hurt/hopeless feeling to a strong/hopeful feeling - two different sides of a pendulum, as opposed to an integrated "I'm going to feel upset for being harmed, and I'm going to hold the other person responsible, but I will see what the person will say without making excuses for the other person, and without disrespecting myself by staying in the relationship or hoping for something that is strongly unlikely to be fruitful, no matter how profusely apologetic the T seems at that final meeting."

We're all offering you tools to help you stand up for yourself, face your feelings, face your truths, and find a different T so that you can get the treatment you deserve.

I'm sorry your area doesn't offer as many DBT groups and/or T's. That must be hard for so many there. (((safe hugs)))

We do care. We just hope that the meeting turns out okay and that you're not shortchanged or further hurt.
Thanks for this!
Anonymous45127, Out There
  #60  
Old Oct 20, 2019, 09:04 PM
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Anastasia~ Anastasia~ is offline
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I know that this is a difficult thing to go through. It makes it difficult if you, or anyone, is sensitive. Sometimes it is just not a good fit. I was with a therapist for seven years, and although some of it was positive, some of it damaged me more.
I really feel for you, Whatever choice you make, you will be okay. If you stay, you can always leave later or whenever. If you decide to quit, that will be okay, too. Maybe there will be a DBT class in the near future. I know this feels like two difficult choices, but if you chose one choice, you aren't stuck in that choice.
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  #61  
Old Oct 20, 2019, 09:11 PM
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It's so ironic that people on here would make better therapists than people who actually ARE therapists. They really are Clowns R Us sometimes.
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  #62  
Old Oct 21, 2019, 02:47 AM
maybeblue maybeblue is offline
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Originally Posted by lillib View Post
@maybeblue

The "burnout" in the manuals you are referring to are for therapists, not for clients.

You, as the client, are NOT responsible for your T's feelings. Your T should never have disclosed her feelings. Your T is responsible for her own burnout, not you. Your T is responsible for creating platforms to reduce burnout in their job, including the administration of DBT. You are not nor will you ever be responsible for that. If she puts that on you, which she already has, that is gaslighting. Gaslighting is a form of emotional abuse. Blaming you for her burnout, no matter how you acted or behaved, is her issue. It will always be her issue. It is never your fault.

The training manual is supposed to be for therapists only.

The DBT workbooks or worksheets are for clients.

There's a difference. You are not responsible for the training manual. You are the client.

You can hear what your T says, and you will have an opportunity to stand your ground if she uses gaslighting tactics. You can choose whatever you feel is best for you, but we're here to provide feedback from what we're reading.

It sounds like you have a strong enough sense of self to know what you want, in this case, you want to find some answers. You can use that same strength to figure out what you don't want and didn't want what happened to you.

You say that you're not attached, but most people who are not attached and receive a disrespect like this will walk away. Those with attachments will want closure and an explanation. With all the best intentions, a closing or exiting discussion may or may not provide closure; it may serve to cut at wounds more deeply, especially if the offender uses that to further stonewall, gaslight, or change the topic. But, some people learn through living the experience (i.e., "the hard way"), and so to each his or her own in such regard.

We just don't want to see you hurt.

I hope you get some supportive feedback from other sources. I'm glad you were able to reach out.

Also, although it is so easy for those who are helping (i.e., us here on PC) to express or share in the same pain that you are feeling or are avoiding feeling, but in the end, it's healthy for us here on PC to support you in whatever capacity we can support you, but that we all know that only you can face your own pain (supporters, therapists, or others cannot feel the pain for you, as much as it feels validating to hear from others the pain which you feel but are not able to feel or express, for whatever reason). Again, you are not responsible for anyone else's feelings. In the same vein, we are not responsible for your pain. None of us are responsible for our therapists' feelings. Our therapists are not responsible for our feelings. Those in positions of power, however, are responsible for creating toxic environments, toxic relationships, harm (not feelings, but harm to their clients, including emotional/psychological harm; even though we are responsible for our behaviors and feelings in response to such harms - different things, but hard to differentiate when we're in the middle of it).

Best of luck to you! We're here to support you, but we just hope you are able to identify the (true) feelings you have in this manner. We've heard both feelings from you, but they seem like shift changes instead of integrations, if that makes sense. In other words, it seems you shifted from feeling hurt by your T to now feeling open and hopeful for your T; it seems like you went from a hurt/hopeless feeling to a strong/hopeful feeling - two different sides of a pendulum, as opposed to an integrated "I'm going to feel upset for being harmed, and I'm going to hold the other person responsible, but I will see what the person will say without making excuses for the other person, and without disrespecting myself by staying in the relationship or hoping for something that is strongly unlikely to be fruitful, no matter how profusely apologetic the T seems at that final meeting."

We're all offering you tools to help you stand up for yourself, face your feelings, face your truths, and find a different T so that you can get the treatment you deserve.

I'm sorry your area doesn't offer as many DBT groups and/or T's. That must be hard for so many there. (((safe hugs)))

We do care. We just hope that the meeting turns out okay and that you're not shortchanged or further hurt.
I do appreciate your care and your point of view. Just in general though I do disagree that the therapist should never share personal feelings about or toward a client. I think that they should do it in a respectful and effective way...but when a person says "when you do ____, I feel ___," they aren't making you responsible for their feelings. They are disclosing the effect that your behavior had on them.

I haven't read the whole DBT treatment manual, partly because it's long and boring, but I do own it and I have read enough of it to know that I agree with quite a bit of the philosophy behind it. One of the bits of wisdom it has is that therapists make mistakes, and that both client and therapist "therapy interfering behavior" should have equal weight in the session.

Am I responsible for the treatment manual? No. Absolutely not. But the thing is that I don't really trust these guys that much either. Nor do I trust doctors. Whenever I leave a doctor appointment I google my diagnosis to make sure that they aren't going to accidentally kill me. I have also been known to hire online consultant doctors, mostly from India or somewhere to get a second opinion. Doctors don't much like this, and seem to have a belief that I should "trust" them just because they are doctors. I think that's just silly. I do mostly trust that they won't kill me on purpose. I'm not that paranoid. But anyone can make a mistake.

Terminating a client-therapist relationship in text is a huge mistake. I'm not willing to call it abuse yet, but it is a mistake. Abuse seems more deliberate. A mistake could be careless. Both can be harmful.
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  #63  
Old Oct 21, 2019, 02:55 AM
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@maybeblue

I'm sorry if I came across as pushy with advice. It's just I was hurt by an unethical research mentor (principal investigator) who was dealing with burnout in his job and then blamed it on me (probably others as well). He included his feeling retraumatized from his own memories of early childhood abuse, which indicated that he had unresolved issues of his own, which affected his work. Anyway, my three different therapist I had (all at different times, consecutively, two within the VA system) told me that he was unethical. All of them. I didn't want to believe them. It took me a while to finally leave that toxic environment. It took me a while to accept the warnings that my therapists were offering me.

Your situation may or may not be different. Only you know that. I just don't want you to get hurt. But it's brave of you to face the situation, so that's a good thing. It's wise of you to look in the manual to understand, so that's understandable. I don't know much about DBT or BPD to know what it is you need in therapy, so maybe you need this. If so, then more power to you!

Keep us posted on how things go. For your sake, I hope things go well.

Be safe. (((safe hugs)))
Thanks for this!
Anonymous45127, Out There
  #64  
Old Oct 21, 2019, 06:12 AM
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LonesomeTonight LonesomeTonight is offline
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Just wanted to comment that my T is *not* DBT, and he believes in sharing his reactions and feelings with his clients. I said how I had been under the impression that clients should be able to say most anything (aside from like a personal threat) to a T, and they should just be fine with it. He said he disagreed with that, how he's not a robot. And he said, "You affect me, LT." He also said he does that, at least with me, in part to let me see how I might be affecting other people, how others might react to things I say or do (but might not actually tell me). It's upsetting at times, like when he said at one point a few months ago that he felt frustrated by me and "trapped" into responding to some emails on a Friday night. But when I shared how his saying those things worried me, like that he was sick of me, he said he also wanted to show me that he (or others) can be frustrated with me without it threatening the relationship as a whole. (I tend to worry about upsetting or angering people and fear abandonment if that happens, which leads to me being kind of a people pleaser.) As painful as it can be at moments (and once it led to me briefly terminating), it's also taught me quite a bit.

However, about that one comment your T made, I agree that it's not a client's responsibility to prevent their T's burnout. It's up to them to set and hold their own boundaries. When T told me he'd felt "trapped" into replying that one Friday night because he was concerned about my safety, I said he could have just said he was unable to reply more that night--could I say for sure that I'd be safe? And if not, call this crisis line or go to the ER. That I'd have understood about that because I know what his general time boundaries are in replying to a client. That I hadn't expected him to reply until morning (certainly not to the second email before then). So it was his choice to break his own boundaries. I would think your T could set a limit on number of calls/emails/texts a week or a time limit on calls, etc. My T partly deals with those boundaries by not allowing texts except for scheduling, only allowing scheduled phone calls (though a brief call during crisis could be OK), and charging if emails take him more than 15 minutes to reply to (so he's getting compensated for his time, though he often allows a bit more time than that for me without charging).
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Old Oct 21, 2019, 07:18 AM
maybeblue maybeblue is offline
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Quote:
Originally Posted by LonesomeTonight View Post
Just wanted to comment that my T is *not* DBT, and he believes in sharing his reactions and feelings with his clients. I said how I had been under the impression that clients should be able to say most anything (aside from like a personal threat) to a T, and they should just be fine with it. He said he disagreed with that, how he's not a robot. And he said, "You affect me, LT." He also said he does that, at least with me, in part to let me see how I might be affecting other people, how others might react to things I say or do (but might not actually tell me). It's upsetting at times, like when he said at one point a few months ago that he felt frustrated by me and "trapped" into responding to some emails on a Friday night. But when I shared how his saying those things worried me, like that he was sick of me, he said he also wanted to show me that he (or others) can be frustrated with me without it threatening the relationship as a whole. (I tend to worry about upsetting or angering people and fear abandonment if that happens, which leads to me being kind of a people pleaser.) As painful as it can be at moments (and once it led to me briefly terminating), it's also taught me quite a bit.

However, about that one comment your T made, I agree that it's not a client's responsibility to prevent their T's burnout. It's up to them to set and hold their own boundaries. When T told me he'd felt "trapped" into replying that one Friday night because he was concerned about my safety, I said he could have just said he was unable to reply more that night--could I say for sure that I'd be safe? And if not, call this crisis line or go to the ER. That I'd have understood about that because I know what his general time boundaries are in replying to a client. That I hadn't expected him to reply until morning (certainly not to the second email before then). So it was his choice to break his own boundaries. I would think your T could set a limit on number of calls/emails/texts a week or a time limit on calls, etc. My T partly deals with those boundaries by not allowing texts except for scheduling, only allowing scheduled phone calls (though a brief call during crisis could be OK), and charging if emails take him more than 15 minutes to reply to (so he's getting compensated for his time, though he often allows a bit more time than that for me without charging).
I agree about sharing real emotions in the therapy relationship because I am confused about how some people respond to me sometimes and it could be effective although painful. I think that the burnout thing was a warning. I expected to have a discussion about it at the next session. I did not expect therapy to end without explanation. I think that's the opposite of DBT and pretty much any other therapy. And I don't know if I can get past that hurt and form a relationship with her again. I do feel stuck because of the limited options and the difficulty of finding someone with whom I click. And the DBT was helping. That's the horrible part.
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Old Oct 21, 2019, 09:02 AM
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I think these posts point to something important which is, apparently, often not effectively dealt with or addressed in therapy. Certainly was not for me.

Quote:
Originally Posted by LonesomeTonight View Post
Just wanted to comment that my T is *not* DBT, and he believes in sharing his reactions and feelings with his clients. I said how I had been under the impression that clients should be able to say most anything (aside from like a personal threat) to a T, and they should just be fine with it. He said he disagreed with that, how he's not a robot. And he said, "You affect me, LT." . .
Yes, that was my impression, too. Had been for years.

Quote:
Originally Posted by LonesomeTonight View Post
. . .He said he disagreed with that, how he's not a robot. And he said, "You affect me, LT." He also said he does that, at least with me, in part to let me see how I might be affecting other people, how others might react to things I say or do (but might not actually tell me). It's upsetting at times, like when he said at one point a few months ago that he felt frustrated by me and "trapped" into responding to some emails on a Friday night. But when I shared how his saying those things worried me, like that he was sick of me, he said he also wanted to show me that he (or others) can be frustrated with me without it threatening the relationship as a whole. (I tend to worry about upsetting or angering people and fear abandonment if that happens, which leads to me being kind of a people pleaser.) As painful as it can be at moments (and once it led to me briefly terminating), it's also taught me quite a bit.
. . .
I think it could lead to a lot less grief for clients, and better understanding sooner it this was explained up front. I would have been glad to know that I was going to get something like that. I think I could have handled the upset better if I had known what is was "for". My last therapist DID reject me, which eventually 6 months later resulted in me connecting that horrible feeling with some feelings I had had as a child. . .Which I had apparently dissociated or numbed out, which led to me not understanding and/or responding to a lot of social stuff my whole life.

So, reexperiencing some rejection "helped" . . .but then what. . .After being a people pleaser, then what. . .That's what's continuing to be a bear of a problem for me.

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Originally Posted by maybeblue View Post
I agree about sharing real emotions in the therapy relationship because I am confused about how some people respond to me sometimes and it could be effective although painful.. . ..
Yes, I agree.

I've come to believe that I have lacked a good sense of self AND others. Enmeshment, people pleasing, all that kind of stuff -- I was in therapy for years without much help on those, as I have repeatedly said. So that's the part about me, my lacking that therapy is/was supposed to help with?

But then, for effective living, there's the understanding other people part, too. Interpersonal skills in DBT was not helpful to me, because I believe I did/do not pick up on things about other people. Once the trauma was mostly un-numbed, I may be somewhat better at doing it now, but it's still a struggle

Quote:
Originally Posted by LonesomeTonight View Post
. . .
However, about that one comment your T made, I agree that it's not a client's responsibility to prevent their T's burnout. It's up to them to set and hold their own boundaries. When T told me he'd felt "trapped" into replying that one Friday night because he was concerned about my safety, I said he could have just said he was unable to reply more that night--could I say for sure that I'd be safe? And if not, call this crisis line or go to the ER. That I'd have understood about that because I know what his general time boundaries are in replying to a client. That I hadn't expected him to reply until morning (certainly not to the second email before then). So it was his choice to break his own boundaries. I would think your T could set a limit on number of calls/emails/texts a week or a time limit on calls, etc. My T partly deals with those boundaries by not allowing texts except for scheduling, only allowing scheduled phone calls (though a brief call during crisis could be OK), and charging if emails take him more than 15 minutes to reply to (so he's getting compensated for his time, though he often allows a bit more time than that for me without charging).
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. . .I think that the burnout thing was a warning. I expected to have a discussion about it at the next session. I did not expect therapy to end without explanation. I think that's the opposite of DBT and pretty much any other therapy. And I don't know if I can get past that hurt and form a relationship with her again. I do feel stuck because of the limited options and the difficulty of finding someone with whom I click. And the DBT was helping. That's the horrible part.
If the comment about burnout was a "warning", then I think in your best interest it should have been made so explicitly. Maybe the hurt "tells" you she was and maybe still is not a safe person?

It's great that the DBT was helping. Maybe there are other ways to get and continue with some of what it was offering in other ways.
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Old Oct 21, 2019, 10:16 AM
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I'm also someone who prefers if a T verbalizes their feelings and reactions. They will typically act it out in other forms anyway (I believe OPs termination via text was that, for example), which can be much more confusing and annoying than putting it into words. It can be informative and also makes the relationship more natural. I personally trust people who are fairly expressive more easily with private material. But it shouldn't be excessive, at the expense of therapy and the client's feelings. A T talking about their burnout with a client is way too much, IMO, even if honest.

I don't tend to be very good at picking up on other people's feelings either - exactly why I prefer if they verbalize these things. And I actually don't like when others try to read and interpret me from apparent non-verbal, indirect signs because I have been misunderstood so many times that way. One reason why I prefer directness - both giving and receiving. Unfortunately, many people cannot handle it very well and seem to prefer their own interpretations or illusions. I really think that is not effective communication.
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Old Oct 21, 2019, 01:01 PM
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Originally Posted by Xynesthesia2 View Post
I'm also someone who prefers if a T verbalizes their feelings and reactions. They will typically act it out in other forms anyway (I believe OPs termination via text was that, for example), which can be much more confusing and annoying than putting it into words. It can be informative and also makes the relationship more natural. I personally trust people who are fairly expressive more easily with private material. But it shouldn't be excessive, at the expense of therapy and the client's feelings. A T talking about their burnout with a client is way too much, IMO, even if honest.

I don't tend to be very good at picking up on other people's feelings either - exactly why I prefer if they verbalize these things. And I actually don't like when others try to read and interpret me from apparent non-verbal, indirect signs because I have been misunderstood so many times that way. One reason why I prefer directness - both giving and receiving. Unfortunately, many people cannot handle it very well and seem to prefer their own interpretations or illusions. I really think that is not effective communication.
I think that the "acting out" interpretation is probably a good one. My interpretation about the "burn out" comment was that it was that it is probably a standard response when clients text too much or for reasons that they aren't supposed to. "Hey, remember texting is for coaching and here is why: I don't want to get burned out answering too many of them." Or "I allow coaching via text, but that's all. The reason is if every client texted me a million times, I would get burned out and then I wouldn't be helpful to anyone." That was my interpretation and I was not going to text her again that week for sure. But then she texted me.

I hate text messaging. In my opinion the only thing that it is good for is "hey is 8PM ok?" "no...how about 9?" I would have preferred to talk to her on the phone or in email.
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Old Oct 22, 2019, 06:34 PM
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So...I met with her. Essentially what happened is this: her team told her she was reinforcing a behavior that she didn't like of me calling or texting for reassurance. This was causing her to feel burned out. So somehow or other she got it into her "wise mind" that she should send me a text terminating the relationship. I called and asked for a session and her team said yes of course you don't fire someone by text you idiot (although probably not like that) and so we had the session.

She said that she needed to "make repairs" for the text and for reinforcing a behavior that she didn't want. Also, she told me that by me asking for the session I was "being more skillful than her." Then she told me that I couldn't use phone coaching for a month. So at the time I was in "please take me back" mode and agreed. But then I get to thinking...she harmed me by firing me by text and then said something about "needing to make repairs" and then I get punished. But I didn't do anything wrong. If she even one time had clarified boundaries around coaching I would have stuck to them. I like boundaries.

A few days ago I started looking at other DBT programs, and one of them called me back and I got to talk to a very nice DBT therapist and I said that I wasn't sure if I wanted to make an appointment or not (or actually get on their waiting list), but then I told her that I was already in a DBT program and something didn't feel right to me, but I wasn't sure if it was OK or not OK. So I told her the whole story and she said "that's not making repairs." She told me that where she works "repairs" will sometimes be an apology and sometimes be something like a soda or a coffee. And in DBT both the client and the therapist are supposed to do this. Also she said that my therapist should have asked me to cut down from "five texts a day" to maybe "one." And I said I was really only doing two a week. She also agreed with people on this site that the therapist's burnout was not my fault.

She suggested that I do a DEAR MAN, which is a way of skillfully asking for what you want (that is if I wanted to stick with the therapist). I want to stick with her for now because she was helpful and because I want to practice my interpersonal effectiveness skills and because I don't want to reinforce her texting behavior by going away and leaving her alone. But I want a real repair. So I think I'm going to ask that phone coaching be restored and maybe a nice card telling me what a wonderful client I am. Ideas?
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Old Oct 22, 2019, 07:08 PM
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So...I met with her. Essentially what happened is this: her team told her she was reinforcing a behavior that she didn't like of me calling or texting for reassurance. This was causing her to feel burned out. So somehow or other she got it into her "wise mind" that she should send me a text terminating the relationship. I called and asked for a session and her team said yes of course you don't fire someone by text you idiot (although probably not like that) and so we had the session.

She said that she needed to "make repairs" for the text and for reinforcing a behavior that she didn't want. Also, she told me that by me asking for the session I was "being more skillful than her." Then she told me that I couldn't use phone coaching for a month. So at the time I was in "please take me back" mode and agreed. But then I get to thinking...she harmed me by firing me by text and then said something about "needing to make repairs" and then I get punished. But I didn't do anything wrong. If she even one time had clarified boundaries around coaching I would have stuck to them. I like boundaries.

A few days ago I started looking at other DBT programs, and one of them called me back and I got to talk to a very nice DBT therapist and I said that I wasn't sure if I wanted to make an appointment or not (or actually get on their waiting list), but then I told her that I was already in a DBT program and something didn't feel right to me, but I wasn't sure if it was OK or not OK. So I told her the whole story and she said "that's not making repairs." She told me that where she works "repairs" will sometimes be an apology and sometimes be something like a soda or a coffee. And in DBT both the client and the therapist are supposed to do this. Also she said that my therapist should have asked me to cut down from "five texts a day" to maybe "one." And I said I was really only doing two a week. She also agreed with people on this site that the therapist's burnout was not my fault.

She suggested that I do a DEAR MAN, which is a way of skillfully asking for what you want (that is if I wanted to stick with the therapist). I want to stick with her for now because she was helpful and because I want to practice my interpersonal effectiveness skills and because I don't want to reinforce her texting behavior by going away and leaving her alone. But I want a real repair. So I think I'm going to ask that phone coaching be restored and maybe a nice card telling me what a wonderful client I am. Ideas?
@maybeblue

Sometimes we choose toxic relationships because they are unconsciously "familiar" to us. Wanting to stay in a relationship with your "so-called repairing" DBT T, after having heard from professionals and peers on PC, is indicative of the familiarity and a sort of "Stockholm Syndrome," IMHO. The "repair", like you pointed out, was not a repair at all. Your asking for a reinstatement of the phone coaching, after she "punished" you with restricting that privilege as a sort of "retaliatory repair/behavioral treatment" response, will only bring on more disappointment for you. If you were to utilize probability, based on the patterns of your T's behaviors, your T is likely to say no, stick with her own "retaliation/punishment," and cause you to feel at fault (i.e., gaslighting, but in a passive aggressive way, which reinforced poor boundaries, poor interpersonal effectiveness skills, and unrealistic DEAR MAN outcomes).

You are unrealistically expecting her to be kind to you, after your T had already received correction and reprimands from others. It is highly unlikely that the damages caused by your T in the first place will be repairable since it sounds like your T may have unresolved borderline traits of her own (and/or experiences with being victimized by those with borderline traits); many people choose the field of psychology to work out their own issues and then attempt to become professionals who treat those same issue; unless those issues are resolved, there will be counter-transference and mistakes made, including therapy abuse.

You were brave enough and wise enough to contact a different DBT group. You can leave, but what is really keeping you with your old DBT group? It is denial if you think it is anything other than attachment; attachment to your T for unconscious familiarity with your T's behaviors (maybe that parallel that which you had experienced in childhood) is what is keeping you attached to your old DBT group. You claimed that it wasn't attachment, but to deny that is indicative of the nature for which borderline traits were born - denial of your self, denial of your true needs, making excuses for the abuser, triangulating the situation by asking for advice that you will not take until people start agreeing with you, which then removes the opposite stimulus you sought, which then causes the dialectical behavior of black-and-white thinking to emerge, which then causes confusion for everyone who is trying to help you. The healthiest choice would be to thank them all for their last meeting, but that you will move on to a healthier DBT group.

Staying in the "drama" of that situation is also indicative of borderline traits. It's not healthy, but it's familiar, and it serves its purpose to feed into black-and-white/dichotomous/polarized thinking patterns. You feel you are "bad," so to be treated badly is familiar and offers you a chance to attempt to counter that in an unhealthy, toxic way by stating that you're "good," whenever others take on the responsibility through triangulation to make the decisions for you, and then when those decisions are presented to assert for you (instead of you asserting for yourself) that you are a good person who deserves better treatment, you go back to feeling like the bad person who needs punishment, and then when people agree with you (through triangulation) that maybe you know what is best for you (i.e., your decision to stay in a toxic environment, because we don't know you or your needs as well as you know them yourself), then you switch back from I'll stay to "maybe I should go." This swinging pendulum of choices, which is exacerbated and made alive through triangulation in many cases (or in seeking answers that only you yourself can choose), is the black-and-white thinking.

Truth is, even if we were to give you an answer, you will be indecisive and bounce back and forth until, after all thoughts and avoided feelings have been exhausted, you will finally make a decision, or a decision will be made by the T for you (i.e., your T's termination a second time).

We are here to support you and to offer you feedback, and to comfort you when you feel bad. But here I see no expression of feelings, which is the point of all this black-and-white thinking - avoiding feelings. You may be avoiding the feeling of being betrayed by your parents and then having this behavior from the T reinforce those harms done to you. You may be avoiding the feeling that a final confirmation of your T's wrongdoing is harmful to you and was not right; you have a right to feel sad and angry about that, without acting on that anger, but still feeling the feelings and knowing that those feelings represent the "wise mind" thoughts of, "I don't deserve this treatment, and I have proactively found an alternative with a new DBT group, so I will leave this toxic environment."

Your T is a projection of your desire/longing to reconcile with your parent who neglected you; if your T could take you back, then maybe it could reconcile the pain within you to have your abusive parent take you back; maybe all the pain will go away again - that is transference, that is projection, and that is irrational thinking - sometimes on an unconscious level.

Your T cannot repair the relationship or the pain you have from childhood; your T cannot repair the damage she had already caused in the present-day relationship between you and her. Your T made mistakes, but those mistakes will take time for your T to learn on her own, not through you.

You deserve to feel feelings, and to be comforted by those here who can help stand alongside you with your feelings. Being afraid of feelings and swinging the black-and-white pendulum only creates more confusion for you.

I'm glad the meeting went well in your eyes, but please see what is healthiest for you and try to use some of the DBT skills that you are intelligent enough to work out. DBT skills are not meant to make excuses for other people or to stay in toxic relationships; they are meant to help you build more empathy for yourself and others *while*, at the same time, allow you to regulate your emotions (including expressing them, not stuffing or avoiding them) and use your wise mind to know when to walk away from a potentially toxic/damaging relationship. What you have learned so far, by your T's example, is the WRONG WAY to use DBT. That's not healthy. Your T may not have transference issues with the others in the DBT group, or maybe she has. That is not your concern. The burnout she experienced was never your concern. Her lack of boundaries was on her. Her transference with you was on her.

You can take or leave this suggestion of mine, which is entirely your choice. I care, but I also care about the truth, and so I'm doing what I can to be both honest and caring toward you. Please, know that only you can make this decision. We can help you to make the decision, but we cannot make the decision for you.

We also feel your pain, but it is important that you feel and express your pain in a healthy way. Avoiding it through making excuses for your T only worsens that pain, and prolongs it.

(((safe hugs)))

Maybe other people here on PC will have a better response. I just wanted to be authentic when expressing my support for you. Please know that I do care. This is not a rejection or anything of that sort. I just want you to find the right help for you, and for you to be in a safer, nontoxic environment, so that you can get the healing you deserve. I may make mistakes myself in my assumptions of what goes on in the unconscious and the stuff about borderline, since I really don't understand it all too well, but I do understand what I'm seeing and hearing, and it is painful to see and hear someone with such intelligence as yourself negate her own intelligence in lieu of approval from a T who acted unethically.
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Old Oct 22, 2019, 07:10 PM
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But wait... it's not really on you to worry about not reinforcing her behaviors, surely? Iirc, you're a therapist. However, you aren't the therapist in this situation and I don't think you'll be helping yourself by making this therapist's issues your concern. Keep it moving is my advice.
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Old Oct 22, 2019, 09:36 PM
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@lillib Actually what I was asking was for ideas for a real repair. But I might post a new thread for that. I never said that I wasn't "attached," I said that I wasn't "enmeshed." There's a difference. The other DBT program has a 3 month waiting list and it's an hour further from my house. So it's not like I could just quit this therapist and go there tomorrow.

I think that you are interpreting a little too much when you bring in theories of my childhood. I'm not willing to label this as a "toxic" relationship at this point. Frankly what I think her problem is that she felt like I was contacting her too much, but didn't want confrontation about it so she let it slide hoping it would go away until it built up and she sent an impulsive text. She promised me that she would never do it again to me or to another client. I think I'll give her a chance. She might have borderline traits. If so I bet that helps her understand clients better.

I don't quit relationships impulsively. However, I do have limits. If/when they are reached, I will leave this relationship, but I want to see if I can learn more from her in the meantime.
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Old Oct 22, 2019, 10:03 PM
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@lillib Actually what I was asking was for ideas for a real repair. But I might post a new thread for that. I never said that I wasn't "attached," I said that I wasn't "enmeshed." There's a difference. The other DBT program has a 3 month waiting list and it's an hour further from my house. So it's not like I could just quit this therapist and go there tomorrow.

I think that you are interpreting a little too much when you bring in theories of my childhood. I'm not willing to label this as a "toxic" relationship at this point. Frankly what I think her problem is that she felt like I was contacting her too much, but didn't want confrontation about it so she let it slide hoping it would go away until it built up and she sent an impulsive text. She promised me that she would never do it again to me or to another client. I think I'll give her a chance. She might have borderline traits. If so I bet that helps her understand clients better.

I don't quit relationships impulsively. However, I do have limits. If/when they are reached, I will leave this relationship, but I want to see if I can learn more from her in the meantime.
I hope it works out for you, and I hope you find the ideas you need for a repair.

Leaving would not mean impulsivity. If it were someone else who left, the action would not be impulsive. It would be a wise choice for that person, given the situation. Labeling that impulsive would be a stretch, given the circumstances.

But more power to you for staying. I hope it works out.
  #74  
Old Oct 22, 2019, 10:29 PM
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Maybeblue -
This is a tough position to be in. Me personally, I don't know if I could ever trust the T again if she terminated with me in any fashion let alone through a text. However, I tend (not always) to have extreme attachment to my Ts. If ex-T would have taken me back, I probably would have gone back. In one sense, I'm glad she's gone. Looking back, she did do the best thing for me, just in the wrong manner.

Since you are choosing to stay with her, I think you should definitely continue the conversation with her about her terminating, her "burnout", and her "punishing" you. I've never been in a DBT program, but my Ts do know DBT and I've been in a few DBT groups. I've never heard of punishment as being a healthy approach. Taking away phone coaching for a month is NOT a boundary. That is a punishment. Taking away phone coaching altogether could be a boundary as well as a punishment, but then you wouldn't be doing a real DBT program. Why should you be punished for her lack of boundaries anyways? She is the one who deserves punishment imho.

I do think you should use your skills to communicate your thoughts and feelings. It's great practice.

I hope it all works out for you. If not, maybe keep that other DBT T as an option.
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Old Oct 22, 2019, 11:35 PM
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Maybeblue -
This is a tough position to be in. Me personally, I don't know if I could ever trust the T again if she terminated with me in any fashion let alone through a text. However, I tend (not always) to have extreme attachment to my Ts. If ex-T would have taken me back, I probably would have gone back. In one sense, I'm glad she's gone. Looking back, she did do the best thing for me, just in the wrong manner.

Since you are choosing to stay with her, I think you should definitely continue the conversation with her about her terminating, her "burnout", and her "punishing" you. I've never been in a DBT program, but my Ts do know DBT and I've been in a few DBT groups. I've never heard of punishment as being a healthy approach. Taking away phone coaching for a month is NOT a boundary. That is a punishment. Taking away phone coaching altogether could be a boundary as well as a punishment, but then you wouldn't be doing a real DBT program. Why should you be punished for her lack of boundaries anyways? She is the one who deserves punishment imho.

I do think you should use your skills to communicate your thoughts and feelings. It's great practice.

I hope it all works out for you. If not, maybe keep that other DBT T as an option.
I'm not entirely sure I can get over it either to be honest. And I'm probably going to start looking for other options just in case. I am on the waiting list for the other DBT program, but it really isn't very practical because of the long drive.
Hugs from:
Anonymous42119, here today, LonesomeTonight, Out There, ScarletPimpernel, SlumberKitty, Taylor27
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