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Therapist Wants To Terminate Me As A Patient?

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Usually when I feel this way, I leave or quit whatever activity it is I am doing. I retreat.
I know that feeling! When I started therapy, I told myself that was an impulse I was going to have to fight. (And I was right.) You know what they say, if what you've BEEN doing hasn't worked, you have to try something different.

Sounds like you actually HAVE made a lot of progress. I guessing that there was a time, not too long ago when you actually WOULD have quit. Good for you, for sticking it out and asking the question. Good for him for the prompt answer.

I really wish I could just hide from the world right now.
I get that feeling too. But, I just want to let you know, I'm glad you're IN the world and I'm glad you're willing to drop in here and share stuff like this. I learn a lot from you. (And, I've had the "Are you planning on firing me as a client? You ARE, aren't you????" conversation with my T a couple of times too. He actually told me once that, I was probably the least likely client for him to "fire". At first I was relieved, then, after I thought a bit, I wondered if that meant I was really screwed up..... We can't actually put a positive spin on stuff, can we?)

Hang in there @desiderata310 !
 
ugh. no I am unable to put a positive spin on things in my life.

To make matter more... confusing.. after asking me if I wanted the explanation on Wednesday, I got another text Thursday saying he would email it that day.

Since it's essentially midnight here, I won't get it today (thursday) either. Tomorrow I go to therapy again. I guess... I might get it handed to me?

Whatever.

I just want to run away.
 
damn it.. just about in tears... He just replied: I ABSOLUTELY am not trying to terminate you as a client, I promise
Reality checking - one could simply say, ask, don't presume. Presumptions are the mother of all f*ckups, is one saying. You presume to think what someone else is thinking, or going to do, and all you've successfully achieved is lying to yourself. It is a lie, because you concocted a scenario in your head by yourself involving another person... thus we lie to ourselves when presuming. Even if you are correct, it is still a presumption and still a lie at that time you presume.

I would actually say, really well done on stopping yourself, sending an email, and asking for clarification, instead of continuing from the original statement made and running off on a tangent of presumption. That is what you need to practice, well done for doing it. Asking, clarification for meaning, that is what really helps keep control of PTSD.
 
Could be he wants to be there when you read it, who knows? In any case, he sounds like he cares. I hope your session goes well! I'll be thinking of you.
 
Asking, clarification for meaning, that is what really helps keep control of PTSD.
It also seems to be one of the hardest things for me to do.

I am literally sick with fear about this afternoon's session. Why? I ALWAYS feel like I am in trouble the session after I email or text OR a session following a flashback/bad dissociation. This constitutes a triple whammy in my book: flashback/I contacted him which forced him to respond/ he promised something twice and didn't deliver which feeds back into the feeling that he's trying to get rid of me as a client. I REALLY don't want to go to my session this afternoon.

UGH.

It is possible that since whatever was being discussed made me flashback that he wants to be there yes, but why not just SAY that and tell me we will go over it in session? I could email him again but he has a pretty full day of clients today and won't be able to respond anyway.
 
Something happened during session and I stared to go into flashback and he seemed exasperated when I came back.

What?

My read is that there are therapists and then there are trauma therapists. This guy may not be up to snuff. I think a lot of people who become Ts envision leisurely days of prattling with minimally troubled, well heeled professionals about their niggling marriage problems.

Seeing you go full throttle into flashbacks and telling you that you "could go about my life and probably manage pretty well" seem alarmingly incompatible to me. I think he wants to fill your slot with an easier patient or he just doesn't have the tools for working with PTSD.
 
Therapy was very different today.

When I walked in the overhead lights were out and he was quick to ask if that was ok. He was trying to get rid of the harsh light in the room. It DID help some but then so did the fact that it was Friday afternoon and most everyone in the office block had decided to leave early.

My therapist felt really terrible that I got the impression that he was trying to get rid of me as a client. He reassured me that he actually enjoys working with me (?!) and is honored that I am trying to trust him enough to work through all of this with him.
He said that much of what was going on with me was cognitive bias and that I had taken things from past sessions and assembled them into an explanation that supported the belief that he is going to turn on me. It's true, I figure it is only a matter of time before he does.

He explained something that had not occurred to me. We've been trying very hard to 'normalize' for a while but he realized that I have been starting behind the 8 ball so to speak. I walk in to his office and get triggered. The office is small and in a office block with other professions. The walls are thin and translate the sound very easily so there is TONS of banging and clomping going on- even with a white noise generator in the room.

We had talked about making neuro pathways and he was becoming concerned that we were getting to a place where we were establishing a mindset of me being triggered just on the ride over to his office.. I no longer sit in the waiting room because I find it so difficult to sit there and listen to the person before me and all the other noises around me. He had suggested cutting back to one day a week because he was worried that just being in therapy was making me worse. He said he would would watch me get better over a few days, come in for a session, get triggered but hold it together and come back for the following session, get triggered and flashback. He finally saw the pattern: it was a constant roller coaster. He was concerned that I was going to finally quit or worse. My last session was kind of the last straw for him. He said that he watched me get more and more wound up during the session. What we were talking about was not something that SHOULD have caused a flashback. We were talking about my 'defense system' which he said was really complex. It had been a really noisy day and I was constantly jumping during the session and was on high alert. He said he can't remember anything that would have possibly triggered me in particular but felt it was a commulative effect of being in that room

We talked about the fact that he needs a base line. I admitted that I doubt that he has EVER seen me when I wasn't triggered.

So he talked with me about trying optional spaces. He can't move his practice just yet and is willing to look for another place where he could borrow office space for a while but in the meanwhile, he wanted to try another option with me. He had done some reading on nature therapy and we had jokingly talking about doing this because we are both outdoor types. He suggested that we try therapy on a local trail- with the understanding that this might be more triggering. He said to be fair, he understands that I don't trust him completely and so we will have to make sure to communicate how I am doing and feeling next week so that we don't trade one trigger for another.

So for the next month - assuming that everything works out, we will meet on a trail and walk and do therapy that way.

oh, and he admitted that he was worried that if he sent me the email that I would get triggered at home.

Whew.

I kinda want to cry but it's tears of relief.
 
Yay! Good work to both you and your T! He sounds amazing, and you have done an excellent job working through this with him, every step of the way.

I actually have done therapy walking on a trail myself and it helped me talk and stay present. It had it's own challenges, but it was helpful all the same. I really hope it helps for you too.

Even more, it is so good how you and him are both so bravely working through this.
 
That's such great news, @desiderata310. Really, really tough stuff. Your T sounds like a solid, stand-up practitioner.

Try and remember that notion of how we assemble information to support our own world views, and that if you've got that tendency (hello PTSD!) it's so important to question - or examine - any conclusion that reinforces negative sense of self.

And try and remember this thread next time you think your therapist is done with you. I honestly think those feelings come in waves: the more stressed we are, the likelier it is for us to see things backwards.
 
This whole story is something I hope to remember, the next time I start "interpreting" without enough information to "know". Sounds like the 2 of you are a good team. I'm impresses with how hard BOTH of you are working on this. Thanks for sharing!
 
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