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What to tell your therapist first time you meet them

The thought of seeing a therapist for the first time can be anxiety provoking, even if you saw other therapists before. For many people a big part of this anxiety is wondering what to tell this new therapist during the first session. While obviously this depends on what do you want from them, there are a couple of ideas below - not to use as directions, but simply as an invitation for creativity. Maybe reading what other people discuss with their therapists on first session would help you clarify what is it that YOU want (or don't want) to talk with your new therapist about.

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My abuser and me: So much in common

To my father...my abuser. Have decided it's time to get a bit of balance into my thinking about me and you. Truth is we share so much...sometimes reacted to some of it in different, sometimes in similar ways. Both grew up without the parental support we deserved - you because your father died in the Spanish flu epidemic and your mother did not cope well on her own...tended to put her kids second as she sought to find a new husband and life for herself. Me? Don't really need to go into details about your and my relationship (you know that well enough) but, it was not all down to you...like your mother, my mother (your wife) did not always cope with the situations she found herself in. Tried her best I am sure but did not, or chose not, to see (at the time the limited options) to protect my sibs and me. I often wonder did you really not care for me as much as your behaviour would suggest or like me did you learn to tough things out rather than express your pain to a world that seemed not to care? Did you as a child dream that someone would save you...take some of your too heavy burden on their shoulders? That you could be as carefree as the other children around you appeared to be. Did you like me fear that your mother would leave you, worry how you would cope? In my case I was luckier than you were. My mother did not take my sister and leave 13 year old me and my younger brothers with a step-father who barely knew us...move overseas...set up a new life with a new...

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Grounding Techniques

Emotions are a good thing to have: they let us know what feels good (so we know to keep it), and what feels bad (so we know to change it). Without emotions we would be clueless as to where do we want to go with life. That’s how it’s supposed to work anyway. Unfortunately, trauma can shake us up pretty badly, and some things might not fall back into place right away. We end up having emotions that aren’t guiding us towards a better life, but that keep us stuck in pain and misery instead. Moreover, these emotions often flood us at the wrong time: when we are at work, driving, grocery shopping, babysitting, or trying to have a calm evening with a partner. Suddenly, completely out of the blue, anxiety hits us below the belt, or we start replaying old trauma in our head as if it were happening all over again, or we get furious at our perp, or deeply sad about our ruined childhood, or get an irresistible craving to get wasted/high, or an urge to self-injure. Aside from bad timing – these feelings can get quite overwhelming, and thus hard to manage. While technically valid and understandable, they aren’t helping us in the here and now. There’s no reason for us to be relieving that traumatic experience while we are driving to work. If we need to do it – we’ll pick a better timing and surrounding for it, such as our therapist’s office for example. And meanwhile we can’t allow all those old feelings to overwhelm us at random, so we need to distract our mind from...

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Journaling

Many abuse survivors struggle with depression, addictions, unhealthy relationships, even suicide thoughts. One of the reasons it's happening is that abuse robs you of your identity, so once it's over - you feel lost and unsure of who you are anymore, and try to fill your life with unhealthy distractions. Another reason is that abuse causes a lot of conflicting feelings: pain, anger, fear, frustration, love, confusion, self-blame, hope. Talking of these feelings is hard, and even the most supportive friends can't listen 24/7. Journaling resolves both of these problems. It allows you to express your thoughts, feelings, desires, plans, hopes - free of judgment or limitations. To re-discover who you are and what you want to do with your life. This page lists a few of the most common approaches to journaling - pick the one that seems most inviting, or experiment with them all.

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Financial Abuse

Financial abuse is a situation where someone robs you of your money or other assets by playing on your vulnerability or taking advantage of your trust. For example, convincing you to give them your paycheck, stealing your cash, draining your savings account, maxing out your credit cards, making you sign over your house, or using your name to open loans. Sometimes it's done openly (e.g. "sign your house over to me now or I'll kill you"), but often it's disguised as "helping you manage your finances". Financial abuse usually happens in domestic relationships, i.e. between spouses or adult children and their elderly parents, but can also happen between friends, siblings, dating couples, remote relatives, neighbors, etc. It results in financial troubles (like getting evicted from your own house), stress and anxiety, shame, and damaged family relationships. Financial abuse is a crime, but rarely gets reported and prosecuted because it's painful to admit, embarrassing to talk about, and very confusing. However, avoiding the problem doesn't solve it; the more you know about it, the better protected you are.

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Emotional Abuse

All humans need to be treated with dignity and respect, regardless of age. Parents have legal, physical, intellectual, emotional, and financial power over their children in order to care for them, to ensure their safety, welfare, appropriate development, etc. Using this power for any other purpose is wrong, just like it's wrong to mistreat prisoners of war. Children are in an even more vulnerable position because they don't process information the same way adults do; their brains are still developing, so what might be a stupid joke to an adult can cause serious trauma to a child. Young children believe what their parents tell them, and emotional abuse can cause them to draw very inaccurate conclusions about themselves and their place in the world. Older children understand that they're being mistreated, but have no recourse: they can't yell back, cut their parent off, or sue for harassment. They are stuck without options, forced to endure maltreatment. Taking advantage of this vulnerability is abusive. Emotional abuse of children is usually a part of any other type of abuse (e.g. physical, sexual, or neglect), and is mostly treated as an aggravating factor rather than a separate crime. It lacks legal definition, which makes it hard to address when it's the only type of abuse inflicted on a child. It's nearly impossible to prosecute in criminal court, but Child Protective Services work independently of law enforcement, and might remove the child from their parent's custody...

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Did I Consent?

There's a wide spectrum of coercion between enthusiastic consent and brutal force, and many people are unsure where's the line between an unfortunate misunderstanding and a violent felony. Some internalize the blame and hold themselves responsible even for things that were entirely out of their hands. Others prefer to blame someone else, even for things that were within their control. Unwanted sexual intercourse can be traumatic no matter if you were forced or reluctantly agreed. It can leave long-lasting impact: anxiety, depression, loss of trust towards people, problems with sexuality, etc. If you experienced unwanted sex and struggle with these (or any other) issues, you deserve support and sympathy, regardless of how the incident might be classified legally. However, legal status of things does matter if you're planning to accuse the other person of rape. This page does not constitute legal advice because laws vary slightly depending on your location, but might give a general idea about what consent is and isn't, by illustrating the concept with real life examples. All names and identifying details have been changed for privacy reasons.