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How To Answer This Open Ended Question.

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watundah

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Last week and this week my therapy session seemed to drag.
Last week and this week, I was exhausted from lack of sleep. I am always quiet in therapy and even more so when tired. Both last week and this week, my therapist asked me what she "could do for me".
Now, last week I was 15 minutes from the end of session when she asked so I just said 'nothing'..
This week, she asked me again, and I am not sure what I am supposed to say to this.
I told her I didn't know.
A separate time today she asked me what I needed and I said a nap and a cup of coffee...so she gave me half of her coffee in a separate cup! Nice gesture.

I feel like I am supposed to have a poignant answer, but really I just need her to keep prodding me along like she has been and continues to do. I am not sure what she's looking for. Is she not sure how to help me anymore?
Perhaps that's my answer, but I really do NOT know what I need from her.
To help me find a faster formula to healing, perhaps???
 
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I feel like I am supposed to have a poignant answer, but really I just need her to keep prodding me along like she has been and continues to do.
Maybe that's what she's looking for. Maybe she just wants to make sure that there isn't something specific you need at this time.

To help me find a faster formula to healing, perhaps???
Wouldn't that be nice. But maybe she does have some suggestions that might help.

If it were me talking to my therapist, I would say that you don't know how to answer her question other than what you said above, but you'd be open to suggestions of things that might help even more. My therapist always laughs when I answer that question "what do you need?" with "for you to have a magic wand" and then she says she wishes she did, but that it didn't work that way. Hope this helps in some way.
 
It drives me nuts when my T asks me this question. I'm like "you're the expert here, not me". But lately I've found that I actually have an answer sometimes. Sometimes I need for him to rearrange furniture. Or stop asking me about a certain event for a little while. I recommend you keep pondering this question, you might be surprised what pops into your brain.
 
I suppose that is true re: giving it more thought. And I like the idea of lobbing it back with openness toward her suggestions. Part of me thinks this is one way she is pushing me to take more ownership of the way the sessions go.
 
I think is so nice of her for asking you that. It sounds like she really cares. And the part with her sharing a coffee with you is really sweet and kind. You are lucky to have such person for you therapist.

I guess she doesn't mind you if you don't answer the mentioned question, but I suggest you should take advantage of the offered opportunity and try to make a session better for yourself. Everybody is different so she is trying to find out what would work best for you. Give her a hand bcs that way you are helping yourself. You are the one who knows the best what works for you.
 
Mine asks me that as well. I, too, don't have a realistic answer. I want to say "make all of the bad go away" and then see what happens..lol. And then sometimes he asks me if there is anything that is going on in my head he can help with or that I want to discuss. It is hard! I hold out hope that one day as I untangle all of the knots that I will pull on the rope enough that it breaks free.... Maybe next time your t asks you can start with exactly what you typed here. You may find that your therapist has some ideas that might help you untangle the knot!! Good luck. Sending support.
 
Oh, the £1m question! Mine asks "what do you need" or "what do you need from me?" and I find them the most difficult questions to answer ever. Usually my answer after a long pause is "nothing". Sometimes it's "I don't know." I think though that even these answers probably tell a therapist something - if I don't know what my needs are or if I do know but can't ask/don't know how to express them, that is probably useful info for my therapist.

She doesn't ask me so much anymore as I told her a few times that I never know how to answer and that, whenever she asks, my mind goes blank and I start to panic. So, I think she started to think that asking the question was counter-productive if it induced anxiety! But, every now and again, up the question comes again and it floors me just the same as always...

Perhaps try to let go of the belief that you're "supposed" to be replying in a certain way as this implies that you think there's a "good" or "right" answer. So, for instance, if you let go of the thought that you're "supposed to have a poignant answer" what would that mean for you? It might give you more permission to ask for some other kind of non-poignant thing. And she might be able to help with that. You did that with the coffee and nap answer (though I get the feeling that you maybe thought that was a flippant answer and that, therefore, it was wrong/not what you were supposed to say?) But - you asked for that because you knew you felt tired, so what you really needed was a rest (a nap) but because you were with her at that time, the alternative was something to pep you up (the coffee) and she met that need for you by sharing hers with you.

I honestly don't think you need to be concerned that she's asking you the question because she's run out of ideas herself. I'd say she's probably wanting to see if you know/can express your needs and then, if you can and she can help meet the need, I think that's what she wants to be able to do. Of course, she may not be able to fulfil every need you ever express there and then herself - but she may be able to help you work through how to get that need met elsewhere/some other way/from yourself.

So - I would try to go back to basics with it and not over analyse what you're "supposed" to say - keep it simple. Unless you have something poignant, in which case, say that ;-) I guess simple things in the moment could be things like: a hug (doesn't have to be asking for a hug from her); some comfort (whatever that may mean for you - physical touch, comforting words, just someone's presence - and again it doesn't have to be from her); a snack because you're hungry/your energy has dropped/you're finding it hard to concentrate; a cushion because you don't feel very comfy; some air (window to be opened or 2 mins outside then come back in); to stand up for a bit because you feel stiff/stuck; to change the subject and talk about something different for a little while; to just sit quietly for a bit and not feel pressure to talk...

But I also think"I don't know" is a very valid answer. And if it has become a default answer and you haven't really actively tried to tune in to what you might need, this might be a good opportunity to try to dig around a little to see what comes up. And if you still don't know, that answer is definitely good enough. As is "I've no idea how to answer that question....what am I supposed to say?" - that could lead to an interesting discussion if you say it in such a way that it opens up a conversation rather than shutting it down.

And please know that I really, really struggle with all this stuff - not knowing how to answer this question, not generally knowing what I need, not knowing how to express it if I do know, not actually wanting to show/admit that I need anything because I hate "feeling needy", thinking there must be a "right" answer so wanting to say the thing I "should" say... I understand the frustration that comes with all that. But I think sometimes we put more pressure on ourselves than we need to and that doesn't help in this whole, difficult process.
 
I've just had a thought - perhaps it would be helpful to try to practise this on ourselves outside of therapy sessions? If we struggle with knowing what we need, perhaps a good idea would be to check in with ourselves at various points in the day to consciously try to tune in with what we need in that moment and to try to get into a habit with that so that we become more aware of and attuned to our needs. And then it might not floor us so much when our therapists ask and we feel put on the spot and then have nothing to say and then feel rubbish because we haven't come up with a decent answer. A bit like when people say it's good to practise grounding skills when things are good, not just when you're having a meltdown ;-)

I don't know...I don't know if this is a bit contrived/cheesy. But, I wonder if actively, consciously trying to tune in with what we need when we're on our own is maybe a useful first step? I think I might try it...
 
I don't think it's cheesy or contrived at all. Therapy is supposed to carry one outside of session and routinely asking this question is a good way to get used to tuning in to yourself and your needs.

I'm terrible for knowing what my needs are and then asking for help to meet them, I may start trying this myself!
 
Thanks, all.
Maybe it does loop back to us survivors preferring to stand alone vs. appearing needy or weak or we just do not know how to ask for help and get our needs met. I know that fits for me. And it is tough to know when you've spent most of your life taking care of yourself how to accept it.

I will continue to mull..
 
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