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Non-trauma Therapist Hugged Me. I Do Not Like It.

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Justmehere

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I am trying to get an independent evaluation done by a therapist who is not my trauma therapist. I need to do this in order to return to school and finish my degree. I have a great trauma therapist, but I feel more comfortable having the evaluation come from someone not connected to my trauma. My trauma therapist says she is willing to help in they eval, supports me going back to school, and is ok with my decision to keep my work with her separate from this.


I went to a therapist that my insurance company referred me to in order to get the evaluation. This therapist, let's call her therapist G, said that if she could not help, she would help my insurance company understand what I need. She has met with me for two sessions.

It has been a nightmare. G was 20 minutes late for the first appointment. She was going over on time with her previous client. She told me that this happens all the time and that is why when I arrive, I should knock on the door. The sound of knocking on doors used to be a huge trigger of mine. It's not so bad anymore, but it still feels like in invading the session of other people to knock, and feels like I'm being invaded when other people knock on the door when I'm in session. My trauma therapist always says it is her job to manage the time, it is my job to do the other hard work of therapy. Am I unreasonable to think this would apply outside of trauma therapy too?

I didn't tell G about this. Not yet anyhow. In the first session she disclosed to me that she feels panicky when talking about my insurance company. I agree it is a hard company to deal with, but when I told her they sometimes make me nervous to deal with and I hope you can help me with that in terms of getting this eval done.... She said to me, "I accept payment from them as a provider, and I'm glad to help, and I can relate to how you feel about them. I feel a little panicky myself right now." Then she told me how she failed an audit by them, and expects to be reaudited any day. She then explained she will be taking extra detailed notes because of this pending new audit that she feels a lot of pressure about. The first session was supposed to be an hour, but it went an hour and a half.

During the second session she told me that she vaguely knows with disassociation is, but she wouldn't know what to do about it. She says the only technique she uses In therapy is "talking and yoga techniques."

In the middle of the session, she asked me if I was hungry. I said no... She said she felt REALLY hungry. She asked if it was ok if she ate. I said sure, and it was kind ok in the moment. Now that I look back, I didn't like it. We spent 5 minutes with her yammering on about protein bars and trying to offer me one repeatedly. I didn't want to eat in session. So she have me one to eat later. My service dog stared at her while she ate. Then she asked me how she could find more resources on service dogs for her other clients. Then she said it would be bad boundaries if she asked me to train a dog for them. Um yeah...

She then asked about family history, trauma history and what I was doing this weekend. I shared only what I was ok sharing.

At the end of the second session she hugged me. She didn't ask, she just full on hugged me. Not a side hug either. I'm not against hugging, it didn't trigger me, but I didn't like it. I hug friends. I have a few colleagues that I have hugged (they have offered first) and it's mostly an ok thing.

But a therapist hugging me? Without asking? On the rare occasion I'm not fighting how much I'm scared of my trauma therapist, or rather the trauma therapy work we do, I do occasionally want a hug from my trauma therapist... But never so much as to even ask, let alone actually accept a hug from my trauma therapist. But G, she just up and hugged me as I stood up to walk out. I didn't even get a step towards the door. I was so confused I half hugged back for a nanosecond with one arm and then stared at the floor and ran out.

Both sessions with therapist G were scheduled for an hour and started 20-30 minutes late and went over on time by another 30 minutes. She was visibly anxious and self disclosed significant info in the second session. I really didn't need to hear about her camping fears just before I go camping myself...

Right now, I'm trying to figure out how to tell my insurance that therapist G needs to go back to therapy school, and probably therapy. They are telling me I need to keep seeing her before they will approve sending me to a psychologist for a more formal eval.

I appreciate my private trauma therapist (who bills through victims comp and self pay, and not my insurance) more than ever. I am in tears, feeling so grateful for a therapist who knows how trauma injures, and how to heal, inside and out. she has boundaries too unlike therapist G!

Ugh. Why did therapist G just hug me like that?


Needing to vent. Also wondering if my reaction is too strong, or not strong enough. Therapist G has automatically scheduled me for next week. I either have to put up with her or talk to my insurance - who did audit her and she failed that audit. But they still sent me two letters reffering me to her specifically.

P.s. Sorry for the child-ish title. I think my inner kid is a little irked and stirred up.
 
Makes one suspicious they are referring people to her so that they can deny claims by anyone she's seen when she fails another audit. But then, I'm a little on the paranoid side.

I'd say its time to call your insurance company, and keep calling, until you get one of those (rare) helpful people who can get something done. Whether it's allowing a referral from your trauma therapist, or providing an alternate path to a psychologist eval (like doctors note, or letter of requirement from your school, or what have you), or simply gives you another referral to a different evaluator. Remind them, repeatedly, about current-nincompoop failing their own audit.
 
Can anyone else do your evaluation? Some thoughts, just my opinion:

20 minutes late isn't acceptable, especially without anyone coming out at about 5 minutes and apologizing for running late, etc. But even then...20 minutes?!! I dumped a hair-dresser over this because it was such an insult to my time. If I'm running 5-10 minutes late for anything, I always call. For me, anything beyond 10 minutes verges on really disrespectful and/or unmanageable. And consistently a little late would be just as bad.

The billing stuff and audit stuff is her problem. Maybe it makes her anxious, but does she need to let you know unless there is a problem you need to help solve? I'd be really annoyed by hearing about those challenges. It might not be a fair comparison, but seems like a teacher complaining about the school board to her students.

Hugging, in this context, without permission, seems unacceptable. My grandma can hug me without my permission.

I don't think you're over-reacting. I'd be instantly turned off by any one of these. I sincerely hope you have other options.
 
I got to the end now. I think you need to speak to your insurance company and tell them to find someone else - even if that means reporting this woman to be evaluated herself. Presumably she is a member of a professional organisation that you could complain to? I don't understand what the audit is, or what it involves, but if she's failed it, I don't understand why they're still using her?
 
I can totally see why you would be irked she sounds at best rather unprofessional - bad time keeping makes me very anxious - eating in session is a massive no no - worrying you with her fears - not helpful and then to top it off hugging without asking, really not ok !

The trouble is if you don't do or say anything you are going to spend the session worrying if she's going to do it again. I really think you could do without a clueless T maybe talking to the insurance company is the best way to go .
 
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Here's a few words for ya....'Shambolic and feckless and out of her depth.' I don't even have the energy to start on why you shouldn't put yourself through it with her.

Talk this over with your regular therapist. Tell her everything, even what you said about hugging in relation to both T's, then figure out a way to get through your evaluation without having to micro manage the professional who's supposed to helping you.

She's a mess, mess, mess.
 
Wow, my thoughts mirror everyone else's here. If it was me, I couldn't go back! I would keep calling your insurance like Solara said and basically harass them until they do something about it. Is she a private therapist or in with a group?

My T sometimes runs over, but it has never been over 10 minutes, normally only 2-4 minutes. She is in with a group though, so I check in at the desk. I could NOT knock on my T's door to let her know I was there, even if she didn't have someone else in there. I do get panicky when anyone is late, especially my T. So she has tried to schedule me right after lunch so she isn't late on Tuesdays. But on Thursdays she can't, so she has me scheduled as the last person for the day so that I know even if she goes over with the previous client, we can go over on ours.

The eating and talking about her worries is a HUGE no no! It seems like she takes up a LOT of your session talking about irrelevant stuff. My T did ask me about PTSD service dogs when I first told her about training my own, but she asked just enough so she could do some research herself.

A hug on the second session? NO WAY! I'm not even sure I would want one from my T that I've been with since April! Sometimes I think a hand touch or something would be nice, but I know my T has firm boundaries and it makes me comfortable. She has a way of encouraging me and "embracing" me with words to fill those needs. She really tries to establish positive thoughts about myself… to me that is worth more than a hug and makes her a great T!

I am sorry you are dealing with this. I agree with the others who has said to try to get your trauma T on board and help you find another evaluator!
 
Your temporary therapist makes me feel like I would make a decent therapist. :O_o:

My T sometimes eats during session, but I have dealt with subclinical anorexia for a number of years so it's a way of modeling eating without anxiety. Your situation sounds like a totally different context, and as such, that is inappropriate. I think you can see from all of our responses that you are not overreacting.

I do have one question: you said the hug wasn't triggering, but I can see it was clearly upsetting for at least a part of you. It might be worthwhile to explore that more. It was definitely inappropriate, but maybe you can work with a therapist to process the situation some more.
 
BTW... Your last q about your reaction being too strong/not strong enough?

My vote is dead on. You've seen her twice; The first time you were uncomfortable but willing to give her the benefit of the doubt. The second time she was gracious enough to remove all doubt. Nope. Not someone who is going to work for you. Molto bene. Next!
 
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