Therapy: Part 2

My thoughts and observations following my second CBT session on 20/09/2019.

Covered in this session

  • Wellbeing check
  • Discussed goals
  • Discussed incident where I met up with work colleague
  • Homework set
  • Feedback on session given
  • Next appointment time agreed

Homework

To add goals to my planner and to review/complete the CBT diagram based on my meeting with my colleague (thoughts, feelings, behaviours).

Reflections

I wasn’t feeling particularly positive about the session after the last one went badly, but as I have promised my partner that I would do my best to engage with it I tried to remain open-minded.

During the break between sessions I had struggled with the goal-setting homework as I felt totally at a loss to identify what changes might improve my mental health, so I plucked a few generic ones out of the air – goals that on an intellectual level I thought were probably pitched right. I then emailed my therapist to explain how I had struggled to devise them. I needn’t have bothered; during the session she told me that the goals were ‘great’ and that we would discuss how I get on with them at my next session. Again, she missed the point.

At this point I felt pretty overwhelmed and upset as I really expected that she would discuss how I might go about meeting my goals rather than skip over them so quickly, but I guess there just wasn’t time..? It was very disappointing to receive no advice about how to achieve the goals I had set. This was quite triggering for me as it is essentially what my manager did for two years at my job, before I left to go on maternity leave. I would have pressed the therapist for more support/guidance, but at the time I was giving her the benefit of the doubt (I wasn’t sure if she was going to come back to it)… But then we ran out of time anyway.

The next item on the agenda was to discuss the meeting I had recently had with my colleague, as I had felt pretty low afterwards and realised that it was probably a good example of a situation that I struggle to process. However, rather than offering any advice, my therapist’s reaction was to 1. Offer empty platitudes about how hard I must have found it and 2. Turn it into homework, to be discussed next time! Not exactly what I was after.

Overall I was disheartened that more wasn’t covered in the session. The therapy format seems to be too introspective, with little practical advice. More time was allocated to risk assessment and providing feedback on the session than to addressing any issues I was actually having.

Frustrations

I’m not sure if the problem is me or the therapist, but we just don’t seem to communicate very well. I find her input either vacuous or patronising and considering I have actually attempted to articulate my concerns to her, she doesn’t seem to understand where I’m coming from at all.

Once again I finished the session feeling worse than at the start. I was (and still am) confused about how the therapy will progress in future sessions and at which point it will be determined that the sessions have run their course. A new experience for me is a sense that I might get dropped by my therapist! I fear that as the therapy is ‘outsourced’ they will be wanting to get me ticked off ASAP to keep their statistics looking favourable. This is the opposite situation to when I was paying for sessions privately and was anxious that the psychologist was working too slowly. I’m never happy, eh?

Conclusions

I was left feeling more lost at the end of the session than ever. My misgivings about the type of therapy and this therapist in particular continue to weigh heavily on my mind. I think I need to evaluate the potential worth of continuing with this.

Mood at start of session: Anxious

Mood at end of session: Frustrated/Deflated

Has anyone else had a similar experience with therapy? I would love to hear from you.

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