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Therapist - is it her or me?

Discussion in 'LGBT Later in Life' started by Dragonbait, Sep 14, 2013.

  1. Dragonbait

    Dragonbait Guest

    So. I have had five sessions with my therapist, I've seen her weekly since I started, and I just feel like I'm wasting my time. It's not that I view therapy as a waste of time, but that I feel like I'm getting nothing from the time I'm spending with her - other than discouragement, that I'll never find a way to come to grips with my myriad of issues.

    I've shared this feeling (that my therapist is useless) with a friend, who told me to give it time, that it's me, that I'm stuck in a mechanical interchange mode and I need to breakthrough to dig deeper, but I don't know how to achieve that breakthrough without guidance. If I could do this on my own I wouldn't need a therapist, would I?

    So I guess I'm posting this, curious to hear from other people, how long do I give this before I either look for a new therapist or just give up? I'm trying not to be impatient and understand that things take time, but how much?
     
  2. Hi Dragonbait,

    Personally, I think 5 sessions is enough. If the ice isn't sufficiently broken by now, I don't know that it will ever be. Maybe the two of you just don't have chemistry as people? There are several people in my daily life where it seems like conversation just hits a brick wall.

    I'm assuming that these sessions are not cheap...so you might want to consider someone else to help you sort through your issues. Usually there will be a local website that "grades" doctors, including therapists? Don't know what it's called, but I'm sure that one exists.
     
  3. biAnnika

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    Two thoughts:

    (1) Is your therapist a specialist in LGBT issues? You probably really need someone who is, and may find yourself spinning your wheels if not (even if the issues don't seem to have anything to do with your sexuality).

    (2) There is absolutely nothing wrong with raising your feelings with your therapist and discussing that. Your concerns about needing guidance to reach a breakthrough are valid...so don't be afraid to ask for that guidance.

    But in general, I agree that 5 sessions should be enough to know whether you connect with this therapist.
     
  4. Dragonbait

    Dragonbait Guest

    Yup. As you've heard me say, I've got a whole laundry list (I actually took a print out with me when I saw her last - that fact will give away a few of them right there) so I tried to choose someone that "specialized" in at least a few of the ones that are highest on my priority list. It really looked like she covered them all, and there weren't many - especially in my vicinity - that did. Then from among those, the calls to select one to start with were a trip unto themselves. By the time it came down to it, I felt like she was basically my only choice - or at least the only one that met all of my criteria.

    So if any of you have a therapist you really like, how did you find them?

    Maybe I just need to find a good bartender instead. :beer:
     
  5. EscapeArtist

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    Unfortunately I endured 1.5 years of shrink-shopping before I finally gave up. That was 7 years ago and only now am I re approaching the issue. I think its important to remember that the doctor-patient dynamic is paramount, and if you're uncomfortable, ultimately it wont be helpful. I recommend shopping around some more. What have you got to lose after all?
     
  6. Tightrope

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    I'm having that issue right now. You go through the toggles, everything looks hunky-dory, and then they are not taking new clients or something on their profile, be it their picture or what they have to say, rubs me the wrong way because it's too far left or too far right. If you're 5 visits in, that's not that far. What about your #2 and #3 persons? Could you give them a try? Is it a chemistry thing? Is it that the therapist just kind of sits there and absorbs it all, which they have to do, but you project that even going forward they won't engage you in the manner in which you typically communicate? If someone has a very different communication style from mine, I wouldn't be their friend and I probably wouldn't want them as a health provider either.
     
  7. bingostring

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    I found a suitable therapist through a LGBT support organisation. I wanted a male therapist, and preferably a gay one, who I thought would intuitively know half the issues I wanted to talk about and have empathy. The organisation had a list of local LGBT therapists.

    Have you expressed your frustration direct to your current therapist ??? To at least alert her to the fact she is disappointing you ? She may have a response worth hearing at least.
     
  8. Tightrope

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    That's true. It would be interesting. She could either be informative, defensive, or give a not very satisfying answer that will be convoluted so you really don't get anything out of it. Basically, if the experience continues to leave you flat, this may not be the therapist for you. Again, you know better than any of us do.

    For me, the "cold fish" therapist is a no go. And it was fairly easy for me to tell from the get-go that that was their overall style.
     
  9. PeteNJ

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    Move on. And I highly highly recommend a therapist who specializes in CBT - cognitive behavioural therapy -- especially if you want to get your life moving forward.

    All the best!
     
  10. Dragonbait

    Dragonbait Guest

    EscapeArtist - you're scaring me. I'm already 46, I don't want to waste any more time, let alone years just trying to find someone I click with! I guess I just don't want to bail prematurely if it's going to take me a couple of months to get comfortable enough or for her to get to know me enough to actually help.

    But from the response I'm getting here, sounds like I'm back to the search engines. Lovely.

    ---------- Post added 14th Sep 2013 at 03:49 PM ----------

    That's exactly the way it went for me in my first search. A picture or phrasing on their website would put me off (they don't need to be good looking - they just can't remind me of any of the people I've got issues with!), or I'd call and be put off by their voice or what they did and didn't say on their voice messages. Spoke to one woman who seemed really great, but I had a very hard time understanding her as she had a very strong accent, and I didn't think I wanted to be struggling through language barriers at the same time I'm working on mental barriers.

    And the one I'm seeing now does exactly what you described. Pretty much just sits there, nods, and looks at me, all the while petting her lapdog. When I sat there yesterday, 15 minutes into my appointment, after telling her that I'm really feeling very good and like a huge weight had been taken off me after enduring something I'd been dreading, she just smiled at me, as if to say, "Oh good, so we're done then?" when she knows I've got this whole long list.

    But at the same time, I cannot self-direct this. I need someone who knows what I want to work on and will help me confront those things. After 40-some years of masterfully avoiding and hiding, this stuff isn't just all going to come streaking out on its own.

    ---------- Post added 14th Sep 2013 at 03:54 PM ----------

    I really had to laugh at your question. Do you know how many issues I would have to overcome to be able to express my frustration directly to my current therapist?! Nope, hiding frustrations and avoiding direct confrontation of any sort is my modus operandi. I need the therapist just to get me to the point that I can confront my therapist! :bang:

    ---------- Post added 14th Sep 2013 at 04:00 PM ----------

    Cold fish is pretty much the description that would best fit. Even when I ask a direct question about why I subconsciously put myself in a situation diametrically opposed to "classic behaviour" and in direct conflict with what I actually like and want, she just smirks. What is that?

    One thing that you wrote in the above triggered something for me though. Yesterday when I was waiting for her to see me, the mail carrier came in and was trying to figure out where to leave her mail. I just shrugged and said I didn't know, so she knocked on the Dr's inner door, and when asked the Dr responded very rudely, "Just leave it on the table!" like she was a frustrated mother yelling at a child.

    I wish I knew what to take from witnessing that, other than the fact that it made me very uncomfortable.
     
  11. bingostring

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    Well, expressing your "customer dissatisfaction" is what you would do if your dentist drilled the wrong tooth, or your surgeon cut out your spleen instead of your appendix. I would discuss this with her. If you stay silent... she will just sit there petting her dog and smiling at you. And taking your money!!

    Does she seriously have a dog on her lap?? I think that is another sign that she is not very professional. Seriously ... the space is exclusively for you, not for her to pet the dog or drink tea.
     
  12. Dragonbait

    Dragonbait Guest

    Thanks Pete. Since reading your post I've read three different articles/explanations of CBT online, but you've made me curious. Why do you so strongly recommend CBT? What in your own experience makes you think it would work well for me?

    I don't know one therapeutic approach from another, but would really like to know what to look for and why!
     
  13. Tightrope

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    There's that time tested adage: listen to your gut. It'll work out, one way or another.
     
  14. Dragonbait

    Dragonbait Guest

    Yeah, you'd think so, wouldn't you? I know most people would express dissatisfaction. As a matter of fact, that's exactly what I would advise as well. But for me there's a huge wall between what I know I should do, and what I actually do. What I would actually do in any of those example is get upset, walk out and find a new dentist, dr., surgeon, hairdresser, landscaper, whatever, and try to get them to repair the damage. (let's just tic that one off on that list of mine)

    ---------- Post added 14th Sep 2013 at 04:18 PM ----------

    Oh, and neglected to answer that one. Yes. She actually does. At first I thought he might be there for pet therapy or something (and I'm not a huge dog lover so it wouldn't work for me) but she never actually takes her hands off the thing, so I'm guessing it's really not meant for her patients' benefit.
     
  15. Tightrope

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    Petting her dog is just unbelievable. It's almost like that's a "security blanket" for her. Being in a professional line of work doesn't mean someone is professional. Look at those plastic surgeons who have gotten into trouble for fondling their patients when anesthesized. I think what happened is that the patients woke up to these transgressions as the anesthesia was wearing off.
     
  16. Choirboy

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    I'm curious--what is it that people to therapists to work on? I saw one maybe 10 years ago for a couple of sessions, but it was mainly to get me through some temporary depression and frustration, and she basically gave me a few positive suggestions on how to deal with it and I moved on. I did recognize (and did not mention to her) that my interest in guys was complicating the issue, but that wasn't really my main problem at the time. Maybe I'm just ridiculously accepting of things? But I guess I've never felt like I had any problems that I thought a therapist would help me with. I'm certainly not flawless. I have some shyness and social anxiety; I'm not always as assertive as I suppose I could be; I definitely have a tendency to try and rescue people. But I've never felt any real, overwhelming dissatisfaction with who I am, and starting the coming-out process hasn't changed that--if anything, I feel MORE secure and confident, rather than LESS. I don't know if that means I'm too egotistical or in denial to see my own problems? Or to even SEE them as problems? I just feel kind of generally well-adjusted and happy, but it seems like everyone I know is seeing a therapist, so I keep wondering--am I missing something?
     
  17. Dragonbait

    Dragonbait Guest

    Well, short of posting my own - rather personal - list of all the things I'd really like to work on with a good therapist, the simplest way to answer you would be to just explain it using your own words.

    You "just feel kind of generally well-adjusted and happy".

    I don't.
     
    #17 Dragonbait, Sep 14, 2013
    Last edited by a moderator: Sep 14, 2013
  18. Chip

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    First, dragonbait, your therapist sucks and you need a new one. She sounds neither insightful, analytical, intuitive, or even particularly engaging, all things that are important for a competent therapist.

    As for the sort of therapist you need: Let me first dispel the idea that an LGBT person needs to have a gay therapist. Baloney. A good therapist with experience and understanding in LGBT issues (or even... no experience but deep understanding and insight abilities) will be able to help you address your issues. I'd much rather have a highly talented straight therapist than a mediocre gay one.

    Second, CBT (Cogintive-Behavioral) is not the be-all, end-all. It has value for some specific issues (anxiety, obsessive/compulsive behaiviors, some types of depression) but if your issues are about understanding yourself, adjusting and accepting yourself, dealing with shame or self-worth issues (which nearly every gay person has a lot of), then CBT isn't going to be very helpful, and someone with a strong background in insight-based approaches (humanistic, existential, psychodynamic, are three common terms used to describe this) will be much more helpful. Unfortunately, many therapists today focus on CBT because insurance loves it since CBT gets people in and out in a handful of sessions... often by band-aiding the problem rather than actually solving the core issue.

    More than anything, finding someone you connect with, who will interact with you, push you, challenge you, and make you do the work is who is probably going to help you the most. Going over a laundry list of your issues won't help find the right person... getting a feel for how they "click" with you will. And once you find that person, you should be able to just start right in with the issues you've got and, with a good therapist, likely that will lead to other issues/pieces you didn't even know were there... which will help you understand and resolve the issues once and for all.
     
  19. Zac

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    Find a new one, might take you a while to find one you click with but it will be worth it
    I love mine!
     
  20. OneSpirit

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    Dragonbait,
    I know it's frustrating to start over and find someone else, but I hope you will do so. I lucked out with finding mine- but the most important component for me was someone who would be spiritually on the same wave-length as me, so that's where I began (asking friends "does anyone know of a good new-agey type counselor?" - Sure thing, someone said, "As a matter of fact, I do."
    You need a compassionate, engaging environment - not distant, dog-petting indifference.