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I feel there's a difference between types of therapy..... talk therapy, is much more problematic in this regard than somatic, activity orientated therapies such as dance, equine, art, yoga, meditation etc. These therapies have less reliance on the "relationship" between therapist and client...

This is a bit odd. If he is forgeting and it is important for you, ask him what he puts in his notes. It is normal for therapists to keep notes, both as an aide memoire, and to refer back to in order to see longer term trends in the case. Check out what his record keeping policy is and go from...

As suzetig says.... find a new therapist. The CBT/DBT one sounds like he's not doing CBT/DBT. You are paying for him to do a job, not be your friend. This is a bit blunt.... and in no way means "Im paying, you fix me", but it does mean you would expect to see change after around 200 sessions of...

Depends where you are..... Mental health is different in each English NHS trust, and then different again in Scotland, Wales and N Ireland.

If you are anxious about telling your therapist, it's hardly an indication of being manipulative... quite the reverse. It's one of those things that good therapists take in their stride. That being said, there are quite a few anxious therapists out there who get freaked by suicidal ideation...

What's out there depends on your location in the UK. Mental health provision in England is fragmented as each area does it's own thing. In Scotland it's a bit more together, but the Central Belt has considerably more provision. My experience has been that most trauma treatment is done either by...

If you think your therapist is OK, go back and have an "ending" session with them. This makes it easier for everyone if you might want to resume therapy with that therapist/practice. If you are doing Exposure type therapy, the drop out rate is high, switching to a different approach make it...

How the therapist reacts depends on the personality of the therapist and their training. Some types of training very much frown on the therapist showing any kind of emotional reaction. Others use their internal emotional response to the client to judge when to offer comfort. AS junebug says...

You are right to be wary. The initial slip up could be put down to human error, but it's not cool for a therapist to refer to a client's name when there are clients present. I think hearing your name triggered your subconscious (we are finely tuned to picking up our own name). Your...

Just talk about it, tell your therapist what you are thinking...... because what you are thinking is likely a fantasy, rooted in the past. A good therapist will be able to help you work out what is triggering these fantasies, and therefore see them for what they are.... fantasies. Over time...

The idea of pushing one's SUDS level up to get "faster" results is unlikely to work and is as simplistic as taking expecting to get better faster if one doubles the dosage of a medicine..... or thinking that people learn to swim faster if the instructor throws novices in the deep end of the...

The stress level is associated with hormones such as cortisol. Blood tests can measure this, but not in real time in a therapy situation. If you read Van Der Kolk, Cozolino, Schwartz, Levine etc you'll get an idea that PE isn't as successful a therapy as it's made out to be.

Because SUDS is subjective, there isn't an "ideal score". Therapists know that each client has a different SUDS scale, so you can't compare scores across clients. It's like a new vocabulary that's co-created in the therapy room. The background to this comes from Cozolino.... The Neuroscience...

Someone who says they can relieve PTSD in one session is either gullible themselves or manipulative. I've come across several well meaning people making impossible claims for a technique because they have paid thousands for "training" and are caught in a Ponzi situation without realising it...

A good therapist will help you work out why you feel this way. They will also guide you along the path of change. It will take time.... and there will be bumps on the road. The probable objective is to be able to have close relationships, like the one with your therapist without them being...

If you want to keep it out of your current therapy find a therapist of the sex you are not attracted to. AS @Ragdoll Circus says.... this allows progress to be made in other areas, HOWEVER since the issue is in an area that will cause problems in finding a partner it is possibly a good idea to...

The clue to the limitations with CBT/DBT is in the name... they are behaviour therapies. If the client's behaviour "improves" that is the measure of success..... unfortunately it may just be the client conforming/adapting to the new environment created by the presence of the therapist. THere's...

Run a mile.... Any therapist who says therapists don't need therapy doesn't know much about therapy. Personal therapy is regarded as an essential part of quality therapy training. For a therapist to say "I have no problems" means they have a big problem. Therapy is not just for "problems", it's...

Depends on the context. Apparent competence could be a strong defence, Transactional analysis would use it's five Driver behaviours to describe this eg "Be Perfect", "Be Strong", "Try Hard", "Please Others" and "Hurry Up". These help us cope with the world and hide our...

There's a high chance that this is associated with the Exposure therapy. With Prolonged Exposure Therapy you are deliberately inducing a stress response in the body. This will inevitably produce physical side effects. These may be muscular pain, issues with digestion/cramps/stomach or gut...

For me suicidal ideation comes and goes. As joeylittle says, a sense of having something to live for trumps suicidal ideation. Your therapist's use of the phrase "apparent confidence" could have all sorts of meanings, so if you wonder what it means the only person who really knows is the...

If the therapist is initiating touch in a therapeutic relationship where the client feels IN ANY WAY unable to communicate their true feelings then things are on a slippery slope..... because the therapist isn't aware enough of the dynamics within the relationship to make an accurate therapeutic...

If your therapist can't model good scheduling and organisation, it subconsciously undermines the whole process. My therapist schedules several sessions in advance, up to a month, date time, location. If they or I need to change anything we sort it when we meet for a session, or do it over...

If you look at the psychotherapy journey, in the first stages, there is a lot of projection/transference going on so a beginning client isn't going to form a good bond with a therapist who triggers negative transference. This first stage of therapy is often about learning to talk openly with...

In the UK, it takes a trial by jury before a judge can pass a sentence that includes someone being placed on the sex offenders register. For trial to happen the police start from the premise of needing a witness willing to testify and some corroborating evidence. Hearsay (ie your therapists...