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Scared To Talk To My Therapist About Disability

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GhostedGirl

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I've been looking into a disability claim for my PTSD. I've been struggling to work for years and I just want out, I can't take it.

The disability advocate says that I will need a letter from my therapist saying that I absolutely can't work in any capacity. But my therapist is so gung-ho about trying to help me get over my symptoms, I don't think she'll do it.

I'm so scared to ask. I'm afraid she'll think I'm trying to ask her to lie or just giving up.

But I do. I do want to give up. I'm constantly worried about losing my job, losing my home. And i have no safety net, I can't just move in with my parents.

I don't know if she'll understand, she really doesn't seem to understand at all how bad things are. Maybe that's my fault.
 
It kinda sounds like she's making you feel invalidated which is not good. You're supposed to get the opposite feeling from therapy I believe. Maybe try to tell her you're really struggling right now and need some time off work to get back on your feet? That you're scared of not being able to hold yourself up because you can't work? If she says no maybe tell her it upsets you that you're not getting the support you need from her? Maybe if you have a supportive doctor and family member who knows what you're going through they can let her know you really do need it? It's your T but after all of that if she still says no I would be wondering if this T is actually good for me or not. I hope things work out well for you.
 
I've been looking into a disability claim for my PTSD. I've been struggling to work for years and I...

Taking time away from your job is not giving up, that is an incredibly hard decision to make. Giving up a career is not the easy way out, in fact I think it's harder.

I think it shows progress in that you're aware of what you need to do to get to that healthy place. Oftentimes the longer and harder we push ourselves and force this independence at all cost, the more emotionally in debt we become. Sooner or later it catches up with us. The sooner we choose to make the decisions we need to make for our health, the sooner we will be healthy.

Just because your therapist believes in you and your ability to heal, doesn't mean she will think you're giving up. She may feel like you need to make the decision to quit your job yourself, it's a huge decision with potential huge consequences and extremely important to feel comfortable in your decision.

Are you communicating with her regularly so that she is aware that you're struggling? Sometimes it's hard for people to know exactly what we're going through because they're not around us every day for hours and hours and can't hear all of the thoughts inside our mind. It's hard to be extremely real about our struggles, because no one wants to be thought of as weak, but it takes incredible strength to admit/choose to sacrifice your career, security, income etc...to choose life, health and healing.
 
Disability is one of those things that, let's face it, is just plain scary for a number of reasons.

Personally, I'm scared of going out and be dependent on the government for my basic needs. I am out currently on FMLA and short-term disability for a TBI. It's not fun. It's actually very difficult and scary for me. I've worked hard to never be dependent on anyone and yet, here I am back at that place- even if only temporarily.

One of the most difficult things to grasp is that disability-especially for metal illness- can be both fluid and lies on a continuum. What might be very true for you today may not be true about you in a year.

Could it be that your therapist sees potential for you that you do not see for yourself? Absolutely. My therapist LOVES to herald the amazing attributes of the plasticity of the brain. Yes, to the point where sometimes I would like to throat punch him. BUT he has a point! Why bother going to therapy if the point is not to get BETTER, to feel BETTER? Otherwise we would just be wasting our time and money rehashing things.

I'm in therapy long term. I know that. But I also know that I hope one day to be well and NOT go to therapy. I am certainly a different person than I was three years ago when I entered. I'm not healed, I'm not whole, YET. But progress is made and that fluid motion towards being whole continues. THAT HOPE keeps me going back every week. Seriously, dude is nice and all, but not nice enough to spend that much money on chatting with every week.:cautious:

The question at hand however is whether you and your therapist see things eye to eye about the here and now. THAT is the question you two need to discuss. Not your potential at some future date, but your ability to function in the here and now. Your potential needs to be discusses as well, and I think that you will hear that your therapist may be the annoying cheerleader that mine is as well. THAT'S A GOOD THING. That means there's something there that she sees that you do not. But that will open the door for the conversation about where you see yourself right now.

Nothing but good comes from this.

Your therapist needs to hear from you how difficult it is in the HERE AND NOW so that she can assist you in coming up with a strategy to make all of this easier.

What could all of this mean for you? It could mean that you could receive accommodations at work or depending on your job and training, maybe working from home if that is available to you.(this is something I have for when I am in a highly symptomatic period of time and it helps).

Does that mean full SSD? It could. It could mean that in the short term while you two work to help you heal so that eventually you get back your life and the ability to work. It could mean that she helps you get better coping strategies in place and FMLA while you work intensely on immediate issues at hand.

Getting full social security disability for PTSD is difficult. BEYOND difficult.

I'm curious: you say you want to give up. Could it be that you're afraid and this feels too big to overcome? I don't ask that to be mean. I really don't.

Again, different perspective. When I was told I needed to take time off for the TBI, I had ZERO information. I just knew that my symptoms were getting worse and I went straight to catastrophic thinking (Oh HEY, that's a PTSD thing) And was really upset that I might wind up on disability.(I'm unable to sit up at a computer for longer than an hour without having to lie down. It's been kind of terrifying) My therapist saw this and helped pull me back from the ledge. I needed reminding to take things one small step at a time and not try to eat the whole whale in one giant bite (Thanks Shel Silverstein)

Go to your therapist with your concerns. Ask the question and tell her about where you see yourself currently with your ability to cope with day-to-day AND how exhausted your big picture thinking has left you.

Guaranteed she's going to be your biggest cheerleader but she needs to know where you are now, warts and all.
 
I'm sorry the disability system with which you're working requires the opinion of a therapist. The system with which I'm familiar (USA SSDI) required a medical opinion (a medical doctor, MD) and while therapeutic records were sent in support, it all boiled down to the opinions of my current and recent doctors. I'm not sure if the system has changed, but my guess is that the SSDI system still relies on the opinions of MD's with greater weight than therapists. Have you contacted whomever has authoritative knowledge regarding your disability system to see if it really is up to the therapist or if a doctor's opinion is more important? (Every disability system is different so it's hard to figure out what each one wants in terms of "proof" that you can't work.)
 
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