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I dont know how to proceed... choosing between therapists

  • Post starter Post starter frustrated
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I've been where you are - sort of. My first T was CBT and she was warm and kind and I felt validated for the first time ever. I was very attached. She did what your T does, tell me thing we would work on things we needed to discuss but then we never got around them after mentioning in one session. I'd bring her things written, we would read them, she'd asked me how I felt about them and that was that. She always said I was doing a good job - even when I felt I was wasting my time, not talking about what I wanted to talk and getting really frustrated. She never pushed in any direction so I never really moved forward unless something really important happened (normally bad) that I just couldn't avoid talking about. But even then, it was one session and done with it. Sessions were 60 minutes sharp. Ending was never abrupt cause we always started about 10 minutes late and she had the front desk call her to let her know when the next patient had arrived so it was like having a bell ringing when there were only ten more minutes to go.
I stayed with her for three years and my only improvement was to be able to realise that it wasn't working, that I needed something else and that it was on me to get it - which is actually a huge improvement but I don't know how much of that I owe to her therapy and how much to my own pain, hard work by myself and desire to get better.

I looked for a trauma specialist and the difference is huge.

She is also warm and kind and I feel validated but in a deeper and more meaningful way. Not just "all thoughts are ok and all feelings are ok and we accept them" like CBT did but more like "all thoughts are ok cause they're yours, but pain is not ok and you don't have to accept it. There is nothing wrong with ugly thoughts, but they're not desirable, we accept they're there but we must understand them so we can change the things that are causing pain cause it's not ok to feel bad". And we actually work towards feeling better.
Sessions are hardly ever just 60 minutes. If I get upset, she takes notice and takes the time to bring me back to a calmer state. She doesn't let me leave her office if I'm upset in any way. One session got extended to almost two hours because I just couldn't stop talking. I paid for it cause I felt it was the right thing to do but she considered part of her work with me that day and was ok with not charging for it.
When I talk to her, I often have the impression that she is ten steps ahead of me. Never had that with my previous T. I used to feel like I was working really hard with my previous T. Like therapy was a difficult thing that I had to do and was complicated and made me feel awful many times but that was part of the process. Trauma T makes it so much easier. Trauma is painful, sessions are hard, but the time between sessions has improved so much! I used to mull over everything in between sessions before, getting sessions ready, figuring out what I needed to talk about... I was doing all the work. This T does most of that work for me, she knows how to lead me to talk about things, she reads me very well and knows when I need to go deeper or get out of something.

I haven't tried psychodynamics but I'd recommend to end it with your CBT therapist, and keep the new one while you start looking for a trauma T. It really is different.

Good luck!
 
This is a hard situation. I had a T like your T2 for two years. Very clinical. She had high ratings and was no doubt very intelligent and good at her job. We didn't have contact between sessions, and it never even occurred to me to do so because I didn't feel any sort of attachment. It felt like work. And in two years I didn't notice any change. My T now that I've seen for 2 years isn't a trauma specialist but is perfectly suited for me. We interact between sessions: she sends me articles, and allows emails and responds to them (that's how I've given her the bulk of my information because I just can't stay present and articulate things) and that has ended up being key for me. The first one, because I had to dissociate to talk, I think the whole time I was checked out. So I could give accounts of trauma but never do any of the emotional work that needed to be done. And somehow she didn't recognize that. This one from very early on recognized dissociation and has given me tons of books to read on all of my symptoms. I've gained such a clearer picture of what's going on with me. I haven't seen a ton of change yet in my day to day life, but I've gotten so much better at seeing my patterns and recognizing what I can do to stabilize myself. And we are working hard at my inability to be vulnerable and emotional with people. Something I wouldn't have approached I don't think if he setting was more clinical. So, for me it doesn't come down to modalities as much as relationship. I don't know if the same would be true for you but I guess it's worth considering. I kind of agree with people who are saying maybe neither of them are the best option for you. Or have a talk with T1 about the kind of progress you want to be seeing. Those talks can be really helpful. It's worth it to look for exactly what works for you. Don't worry. Something will!
 
Client centred therapy has been some of the most challenging I've ever done - if you get the right therapist they will challenge you in ways you couldn't imagine. No, they won't draw up a road map of what comes next - that's the role of more manualised modalities like CBT/DBT, the therapist will work at your pace and respect you as the expert of your experience. Done well it's incredibly hard work and the modality that actually enabled me to process deep seated relational trauma.

It's not for everyone but can be highly effective.
 
Thank you so much for everyone who replied to my thread. I have read each post carefully.

After reading all the responses, i have decided to look for another T.

I have found one, he is part of a big practice. (franchise type seems like).
On their webpage it said we are a group of 25 therapist...and they collaborate on ALL the cases...so you get 25 heads for the price on one.

not comfortable with that.
is that common in big practices?

the ones i had been seeing ...were solo.
 
Thank you so much for everyone who replied to my thread. I have read each post carefully.

After reading all the r...
There are 7 that collaborate at my therapy office, but I don't think it is as involved as I had imagined in my head. When I started with this emdr T, she didn't seem to know any of my history.
And she would have been part of those staff meetings when I waswith my cbt-T.

They keep it like a case number with no names attached for the sake of privacy. My guess is that they only bring up cases if they are unsure of what to do.
 
I'd ask what that "collaboration" looked like, I don't mind at all that my T might talk about me in supervision occasionally, but there was a point in time that I did very much struggle with how she might get talk about me - we discussed it quite a lot at one stage. There's no way on earth I'd want to be the subject of discussion between a group of 25 therapists. Mine either knows what she's doing, or not and if she's struggling I'd want that discussed in a 1:1 setting with someone who could mentor her. I wouldn't go for someone who from the outset says they collaborate on all cases with 25 other people. Everyone will have their own opinion on how your T should work with you and it could lead to confused, inconsistent practice if they're considering 25 different views.
 
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