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Difficulties in therapy
July 24, 2001
10:20 pm
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LilyBart
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Hello,

I've been on therapy for a year, because of depressive symptoms and terrible loneliness. Neither of them seem to have improved since that time. My problem now is that I cannot open myself to my therapist, I feel blocked, uncomfortable and intimidated by her approach to my most painful issues. The result is the terrible silence during all my sessions. I end up feelind worse after therapy, thinking that the only thing I did was spending my time and money for something useless to me. My therapist's orientation is psychoanalitic. I'm in doubt if the problem is mine(as I have a hard time trusting people, which makes me an introvert) or is her orientation. I don't know what to do, I don't have the openness or the courage to say the truth to her, even though I know that's what I should do.
What do you think?

July 25, 2001
12:34 am
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counslr336
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Lilybart. Your therapist should know by now after one year that the approach to your problems is not clicking in. I know that you have the courage and that you will talk to your therapist about this.If you can not do it verbally, send a letter detailing how you feel about the sessions.There is evidence that therapy sometimes not only does not help but also actually makes things worse. Negative outcomes are associated sometimes with the client and sometimes with the therapist. And some times it falls on both sides.Clients who are poorly motivated, or who expect helping to be painless become more dysfunctional thruogh therapy. Therapist who underestimate the severity of client"s problems,experience interpersonal difficulties with clients,USE POOR TECHNIQUES, overuse any given technique,or disagree with clients, the helping process can make things worse rather than better. Discuss the problem with your therapist. The sooner the better. It is your well being that is at stake here. You can do it!!! Good luck.

July 25, 2001
2:20 am
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Zip190
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I agree with counslr336 that your psychologist should understand that things are not clicking, and that this is hindering improvement. Psychologists are taught at an early level that the rapport/relationship between client and counselor is one of the best indicators of the potential of the client’s improvement. And if that rapport is missing (no matter what technique is used), it takes much longer, if not impossible to make the needed improvements.
Most people find that the best treatment for depressive symptoms is the Cognitive/Behavioral approach. And I would personally suggest finding a psychologist with this orientation, or an eclectic orientation (they use a lot of Cog/Behav as well).
Explain to your current Psychologist that you do plan to continue counseling (just with someone else). The psychologist will understand.
Hope this Helps 🙂

July 25, 2001
4:02 am
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fall
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I think that the problem is mostly related to your therapist. So, I suggest to leave her and to find someone else.Seems to me that your therapist is not competent enough for you ,not necessarily because she is psychoanalytical of course.

Good Luck.

July 25, 2001
1:16 pm
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Molly
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You don't owe her an explanation in case that is holding you back. Make some calls interview other counselors, look into the group process, that could even in its self help with some of your stated issues, you can also utilize this site, just start typing, its usually pretty safe here.

July 25, 2001
7:09 pm
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LilyBart
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Thanks everyone...
Reading your thoughts is both encouraging and inspiring to me!
My next session is on Tuesday, and I'll let you know what will happen.
Thanks again.

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