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How To Please A Psychologist??

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Hi Cusumbo,

I know these things can be very painful and confusing. I also believe that it is seldom a cut and dried situation where the T is wrong/bad or right/good. There are usually a mass of complex issues that become entangled and play a part. The only important part of this then is how you actually feel. You feel what you feel. Neither your T or you can magic that away.

What I think is most important, despite it being really difficult, is to check with your T that your perspective or understanding of what you think he meant is correct. We can't mind read and sadly it is easy for human beings to misunderstand each other as we are all unique. Also the intense feelings from the past can affect understanding and meaning too.

The other truth is that just pretending you don't have these feelings or questions does not work. In order to speak about the horrible trauma stuff we need to feel secure in the T relationship. At the moment you don't.

I think if you do try to talk about this directly, clearly and assertively and he does shut you down and not take it seriously then you have a problem here. Nothing else is truly a problem as as Maddog said there is much that can be worked out and many undercurrents that can cause discord in the T relationship. But you need to be able to have open communication to have effective safe and helpful T. His ego and your need for him to like you or fear of loosing the relationship are not things that should interfere with that.

Would you feel comfortable actually sharing the letter with us as that may help to get others perspective? I would also still be interested to hear what qualities as T you found lacking in him in the paper you gave him.

As for boundaries, from what you say it seems that maybe you have poor boundaries. Having fixed rules about interacting (emails phone calls etc) is good T practice regardless but if you have problems knowing where boundaries should be and keeping them it is very important he has definite rules in place for you. It's not so much about dependence and more about good safe T practice and helping you to learn boundaries. But that really does not answer this problem of it not being OK to bring up your questions, concerns or to question him. If that is true and if it is what he meant then that isn't healthy.

As for feeling he cares for you. For some of us our T's could stand on their heads ad turn purple and we still would not trust that they care. But we need to have the option of discussing everything and anything. Yes getting stuck in ruminating over issues is not healthy but from from you say here it does not seem that you have been doing that.


One question. You said you made great progress first of all and more recently become stuck. If you had to identify one reason for becoming stuck in T then what would it be? What changed for you?

Hopefully you can work this out but I really think keeping quiet isn't going to do it sadly.
 
I wish I had the email but I deleted it. Actually I deleted anything I have written in the past year!

I know I have boundary issues - but is there not a more gentle way? E.g "I know I invited you to write to me - now I wish to change my mind. These are the reasons why... How do you feel about that? Etc"

He said "you can either take this as further rejection or listen to what is being said"
I am struggling so much to make sense of what is being said.

A few of you keep saying I should raise it with him...I don't feel I can do that - part of me wants to run, another curl up in a ball...
 
Hi,

I totally sympathise and think getting this in an email is pretty harsh. It also sounds like he agreed to you contacting him via email before. Is that right? Are you sure you actually stepped over boundaries at all? If he said you could do so then you never did anything out of step.

I know a fair amount about T approaches but am afraid I only have limited knowledge of a neuropsychology approach. This is my best guess though: As far as I know they specialise in evaluating people and that can be anything from ADD to brain injuries to depression. PTSD obviously very much affects the brain but that is only part of the story of course as diagnoses is one thing and therapy another. I think they are very behaviour/physiological based so that would very much fit with your description of him. If it was me I would absolutely only go to someone who specialised in trauma. I would imagine that some neuropsychologists do and some don't. I would also want to be sure that they specialise in the type of trauma I have experienced.

I have a similar history to you and I could only contemplate doing T with someone kind and patient and who specialises in that type of trauma. Yes, they need to have tough strong boundaries but also need to be kind and help me feel safe. This type of trauma is so interpersonal and so greatly affects how much we trust others. We can't be forced to trust. It just makes things worse if someone attempts to do that.

If you are struggling a lot to think of speaking to him about how you feel then there are two things to think about. The one is if you struggle to stand up for yourself in other relationships and the other if this is just him. If it is the second then that really is concerning. If it is the first then it is even more important you speak up. Believe me I know how difficult that is. Even if it is the first it still brings up serious concerns about how he is handling this.

Still listening if you want to answer those previous questions I asked. ;) And also more information about how you have overstepped boundaries etc. It would help us to be able to help you more. No pressure though. I really feel for you because I have been so destroyed by issues with T. For me a lot of it was to do with my sensitivities but that is even more reason why I should have had an understanding and knowledgeable T. Non trauma T's have really caused me much grief. I so wish I had known what I know now.

Take care.
 
Thanks. Yes he did invite me to write. I am a writer so can be prolific (especially at the moment!)

But I told him to just read and discard - I didn't need or expect a reply.

That he could take anything relevant and use it in sessions.

Some of my content was explicit - but within context - and I said things I can't say in therapy (eg content of some of the flashbacks) and also how I am a bit screwed up sexually and type of things I imagine.

I also talked about good days and good things. It wasn't all bad.
It felt like someone was there.

He said in his email that if I continue to have crazy self talk (saying I feel crazy on verge of breakdown etc) and if I continue to question his competence - then he cannot help me.

I feel scared about going tomorrow - trying to work out how to act like I don't feel like I am crazy or on verge of breakdown - and that I trust him and don't doubt him!
 
Hi,

You might want to run your sentences on from each other and break them up into paragraphs as it is a forum rule. It's just so that people can read things more easily. :)

I actually think what you were doing before is totally fine! He said you could and you still said not to feel he has to answer them. That shows you were concerned about boundaries. If he wanted to change things then that is fine but he should have done it nicely and in person in my opinion. I think him using the word "crazy" at all in that context is very insensitive. If you feel you are on the verge of a breakdown him telling you he can't help you unless you basically just shut up seems ridiculous. If you didn't have problems you needed to work out then you wouldn't need T!:rolleyes:

I feel scared about going tomorrow - trying to work out how to act like I don't feel like I am crazy or on verge of breakdown - and that I trust him and don't doubt him!
I can totally see why you feel like that and I would be likely to do so as well. Totally. Try to trust yourself and your intuition. You are the only expert on you and no one else has direct access to your brain. Remember that you are employing him to help you. There are lots of other T's out there.

Good luck. Remember you can't do therapy "wrong" despite what he has made you feel.
 
It is 9am.

I have reread all of these posts. Thank you everyone for listening and giving me a space to write. I really appreciate it.

I feel anxious and panicked this morning. Maybe I will not go at all. I am actually afraid to see him.

Part of me wants to just say how right he was and how he is so great for helping me snap out of it. Then to do that dance with him for the future months whilst I try to heal alone.

It is another huge stress that I actually can't cope with. Dare I say - that makes me feel like I am going crazy or on the verge of breakdown!! Best I shut-up and pretend I am fine. That is what society wants, including him.
 
Hi Cusumbo Solo, Just read your thread not the rest of the comments below. I faced a similar experience in my last session. My psychologist said something quite similar to what you have quoted. He said he could only work with me but I had to work with him as well.He gave me a metaphor, of being at the beach and in the cold water. I walk in and the cold water hits my toes then my knees.. what do you do now? I could not get out of it there was no way out. The only way was to dive in the water and go with the cold waves and work on it.

I came home and cried and cried. He asked me to put myself in his shoes and speak to me as if I was the psychologist I said to him, well if you want an easy solution out of this, then go and end your life.

Later I sat down and wrote what I would really say, I realized as I was writing I was so frightened to take the step forward to heal. I am very frightened of having to go through every experience I faced again. I am too tired and exhausted. I have memories and thoughts every day and to go in detail at the sessions was frightening me even more. I have a session tomorrow and I am frightened to even go to it now. But deep down I know I have to.

If you do not feel comfortable with you psychologist look around you will find someone else, I know it is difficult to start all over again but think about your recovery because you have to do it for yourself.
 
Cusumbo, go for your session and tell him how you feel about what he said to you and what you have felt since your last session.
 
I will go today. He is the expert and maybe he is right.
I need to listen and then decide.
I will see if he raises it or not.

Or else he is just human and seeing me stuck just got really frustrating to him.
 
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