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Therapist Refuses To Tell Me What's Wrong

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Mammo

Silver Member
Hi all,

My T essentially refuses to tell me "what is wrong with" me. He does this because I think he's concerned that it's "rumination" and will lead to me internally beating myself up.

Maybe this is partly true, but part of me genuinely wants to know why I get so depressed. I want to know what is wrong with me, as otherwise I am left simply feeling insane.

Eh...thoughts? Has anyone else had any experience of this? Do I just accept that he won't answer this?

Appreciate your views
m
 
My first T used to tell me that all my "quirks" were normal. My current T tells me that they are normal given my childhood. This subtlety makes all the difference.

Maybe your not asking the "right" question so that he (within his personal limitations) can anwser what you need. What are you trying to know, maybe we can help you rephrase the question?
 
I want to know what is wrong with me, as otherwise I am left simply feeling insane.
Do you want to know what is 'wrong' with you in terms of wanting a diagnosis from him, or do you want him to give a name to your symptoms, or are you looking for him to explain why you have the symptoms you do, or something else?

'What's wrong with me?'is quite a big general question and I can't imagine any T wanting to list or point out all their client's negative points for them. If you're asking for help understanding why you're reacting the way you do to things though, I think that's a bit different. Perhaps reframing the question might help?

I think my T would probably try and reframe the idea of there being something 'wrong', like Willkat, she tends to go more with reassuring me that my reactions are normal or expected given the things I've been through. Is your T trying to turn it around to that?

Sorry if I've completely missed what you're saying.
 
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My T always tells me it's developmentally appropriate and that my upbringing explains what is going on now and of course I know I have PTSD. I like focus more on action steps than diagnosis though because that's what will change things.
 
ah... yeah somewhat vague of me - sorry everyone.

I guess I'm looking for a "diagnosis" in the first instance, and then to understand the "why" behind whatever diagnosis e.g. biological; childhood(?); or is it me thinking the wrong/distorted way?

sorry for not explaining better
 
My t does not like labels and ocassionally we discuss my desire for a diagnosis and she side steps the question which can be annoying. It can feel like the message is that nothing is "wrong" with me and I should just suck it up, that I'm not "damaged" enough to warrant a diagnosis and thus I'm not "damaged" enough to "need" help. I've had issues with minimization all my life, and this event just feels this way to me. Maybe you feel something similar?
 
Hey @ghotiff - bit similar, I think there's clearly things "wrong" with me - unless everyone else spends their time contemplating their own demise...(no? thought not...).

I've always assumed this is just "me" and my personality/character; other messages have been that I have a "broken-brain" (monoamine hypothesis) and it's all down to biology; and other think it's "trauma".

For all I know, maybe I literally have no need/right to even be on this forum if that makes sense.
 
Is this a psychiatrist, psychologist, psychotherapist, counsellor? Because only some are 'allowed' to give an actual medical diagnosis, if it's a mental illness or a personality disorder.

How long have you known this T? Maybe they haven't quite figured you out yet, don't know enough of your story... And maybe they just don't know yet.

*Also keep this in mind as well, often people can be misdiagnosed for years or often even for DECADES, as in my own case and I've met many online who've had a misdiagnosis for decades as well. This may sound discouraging but for others this is actually hopeful. I had the wrong diagnosis on my damn health chart for DECADES. anyone in the health care system can see it. I'd see an ENT and he'd say, "you're bipolar?" No. Actually I'm not. Took decades to get that off my chart. And to get off the meds I was wrongly given, for DECADES.

Also, there are some diagnosis' that professionals are not terribly eager to share with a patient or will very slowly drop hints as some diagnosis' are dificult to accept, carry stigma and some diagnosis can push some people over the edge. ( for example the diagnosis of Borderline. It is common for them to tell the family but not the patient. (No believers can google this fact). I met a gal a couple years ago... Something was very wrong but she had good stuff too, like everyone. As we continued our friendship I did some research. A LOT of reading. I knew she was borderline. I printed some stuff off and gently gave it to her. Extremely intelligent gal. She couldn't wait to see me again, she was incredulous that FINALLY she found what was wrong with her and headed to her shrink. The psychiatrist and her family confirmed that they had always known that she had BPD but they always thought she'd suicide. Suicide was not an unfamiliar thing with her. Her last attempt she had, she tried to take her children with her (kill them). Had to break off the friendship bc she began stalking me... ANYWAYS that is one diagnosis they often hesitate to share ...

Sometimes a person has more than one or several diagnosis and they think that this would overwhelm them. As for myself, C-PTSD, GAD, agoraphobia, ADHD.

If they think a person is in pretty delicate shape, they may not want to share a heavy diagnosis.

Also, some people are hard to diagnose because they 'present' themselves well. (Re: presentation- I have a family member that's a narcissist, presents herself well but when employers start to see their true colours this family member is constantly being fired for controlling manipulative behaviour and trying to over ride the boss.) So presentation counts. Sometimes we unconsciously try to hide stuff because a person becomes accustomed or adept to hiding their garbage (shortcomings, dysfunctions) in public but carries some of that 'hiding' behaviour into a professionals office.

And like others have said, sometimes a counsellor will say that they want to focus on learning new skills/behaviours, focus on the positives.

@Mammo you're not the only one. I think about my demise EVERY SINGLE DAY. There are others in this position as well.

If I had any sort a diagnosis however, even the ones I have, I'd sure want to know, so I know how frustrating you must feel. It used to drive me nuts feeling like I didn't know what was wrong with me. But I know all my short comings and symptoms and dysfunctions. I also know what I don't have. All I want is healing.
 
Hi @imok - thanks for replying.

My t is a clinical psychologist, so I imagine he'd be qualified to give a diagnosis...otherwise, why would he have a copy of DSM IV on his bookshelf...

I've been seeing him since February, which I appreciate isn't a very long time, but I would say he has a pretty detailed picture of my background, thinking, feelings etc - I wrote all this crap down in a 92 page book...complete with illustrations (I kid you not) - so if he doesn't know me by now...hahah.

I take your point re: sometimes therapists may not want to tell their patient the "diagnosis" - I admit, if he said he thought I had BPD or something similar, I'd probably be pretty upset about that, as it's a very pejorative term. Re: delicate state...hmm, no more than normal, though maybe my normal isn't quite so "normal" eh?

Though, I would ask, do I still not have a "right" of sorts to know? Otherwise it feels like the cart is being put before the horse here...

His feedback is that he thinks I will just take any such labels and "ruminate" over them, and turn them into some things to beat myself up with...I guess this would depend on what the label is...?!

so do you reckon I just give up hope on getting an "answer" then?
 
Yes a psychologist can legally give a diagnosis.

As far as your 'rights' go (re: 'don't I have a right to know?'), I don't know the answer to that question... I wonder who you could ask... It would be nice to find out the answer to that...

A therapist I saw said 'he didn't like to label' as well. i never appreciated that either. Seems to be a phrase they use, doesn't it! I don't know what to say. Maybe yours does have a diagnosis, maybe you could press him again for an answer. I have to admit that I would feel the same way at times as well in therapy over the years. I just need to try to get well from my last therapists suggestions and other modems of healing I'm looking into. Mine told me however that I'm not bipolar so that was a relief, he thinks I'm really suffering from trauma after trauma after trauma.....

I'm sorry I don't know what the answer is but keep us posted.

By the way I should clarify (should anyone get offended) that BPD is not hopeless. But for some it's a scary diagnosis. The gal I mentioned previously is working very hard to understand and manage hers, I'm glad she found out and has hope now instead of always wondering and struggling what the heck was wrong with her. Her case is very severe, like in the movies. Instead of 'fighting an unknown', now she is working towards progression and learning management skills.
 
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I don't think anyone ever fully knows 'why' in terms of why we are the way we are. It is a mad mix of biology and environment, and you'll never know which one has the greater responsibility in most cases. oftentimes it's best to figure out the exact problem and push forward in healing. It's human nature to want to know why, but the truth is that knowing why doesn't bring as much relief as people expect, much of the time.
 
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