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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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Addictions

Addiction is such a heavy topic, with so many stereotypes, judgments, blame, and shame attached to it. Truth is, many people are addicted to one thing or another: alcohol, coffee, drugs, cigs, sex, gambling, internet, drama, video games, psychotherapy, shopping - you name it. Many of them live fairly functional lives, and would be insulted if someone categorized them as addicts. Addiction only becomes a problem when you spend more time/money on it than you're comfortable with, neglecting/sacrificing other areas of your life; when the habit in question becomes a bigger part of your life than you'd like it to be - or when it starts hurting other people. It can be an unpleasant topic to think about, if the price you're paying for your habit isn't really worth it for you. However, avoiding the problem rarely resolves it, while looking into it might turn out to be helpful, especially if you're in fact fine with the costs of your habit and it's just the peer pressure that's making you feel like you need to change something. First of all, it's you and you only, who gets to decide if your habit is a problem or not. Societal norms/expectations/attitudes fluctuate rather widely, over time and across the globe. A little over a century ago society had an issue with masturbation; people were getting locked up in mental asylums, some even committed suicide over their inability to quit "this sinful addiction" which they weren't even comfortable naming - and now we teach our children that...

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Why Do I Keep Going Back?

It's no secret that many victims of domestic violence go back to their abusive partners, or pick new ones that act just the same. This seemingly bizarre pattern causes much confusion in both the victims and their supporters. You wonder "why do I miss him, why do I want to come back to her, why do i keep falling for the wrong guys, I saw it coming yet still signed up for it, what's wrong with me, does it say 'abuse me' on my forehead," etc. Your friends and family question your sanity, attempt to "rescue" you against your will, or simply assume that you must be getting what you deserve and keep asking for. It's not your fault you're getting abused, but understanding why it's happening could help you prevent it from repeating over and over like a broken record.

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Neglect

Neglect means failure to provide adequate care to the child in one's custody. It's by far the most common (and the most lethal) form of child abuse, yet the least spoken about. Many people struggle placing "child abuser" label on a parent who didn't mean to harm their child, who struggles with various hardships and failed to do their job as well as they should have. However, visiting one's problems on a child is inappropriate because the child has no remedy: they cannot divorce their parents and live independently. Without adequate care, they get sick or even die; those who survive often suffer serious psychological trauma, chronic physical illnesses, and/or developmental problems, sometimes irreversible. Overcoming parental hardships is a part of being a parent. People who can't afford bare necessities can apply for government assistance or reach out to charities. People who don't know how to maintain a clean house can google tutorials or hire a cleaning lady. People who aren't sure how to care for their child can take parenting classes. At the end of the day, the parents are obligated to either provide appropriate care to their child or surrender him/her to the authorities. Failure to do so constitutes child abuse.

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Growing Up In A DV Environment

I grew up in a violent situation, where the adults around me were not only violent with me, but were also violent with each other. Domestic violence was really confusing for me as a kid. Then I had the fortunate opportunity of living in a completely different situation with my adoptive Mom and Dad, and the contrast between the two situations was drastic. I read something a while back that made me think about the situation. I remember really strongly how I felt as a kid when the adults around me fought with each other, argued and were violent with each other, were disrespectful towards one another, and treated each other as less than a person. Their actions had a huge impact on me--I was afraid the majority of the time, I didn't feel safe, cared about, or stable, my world felt like it was always on the brink of crumbling, and I had no way to get myself out of the situation or to improve it, so I felt really trapped. Considering I didn't have anything to compare this environment to, I figured this was just the way it had to be--that adults argued, fought, were violent, etc.--and I often felt as if these things were my fault. Fortunately, once I got out of the abuse situation and my Mom and Dad adopted me, I found out that relationships and conflict within relationships could be drastically different. My Mom and Dad often disagreed with each other, had arguments about a multitude of things, didn't see eye to eye sometimes, but they never treated each other with anything less...

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Tips for Attention Seekers

Attention can be a hard subject for abuse survivors. It's a basic human need, like food and water, but during abuse attention often resulted in pain. We want to be noticed, but we're scared of getting hurt; we want to rely on others, but we're afraid of rejection; we want to reach out, but we don't know how to do it constructively. Some people seem to get by with very little attention: they view it as a valuable resource, are frugal with it, and spend it wisely, only asking for the exact type of attention that they need. Others can't seem to get enough, asking for any type of attention they can get, which frustrates everyone around them and drowns them in negative backlash, destroying their self-esteem. Getting the right type of attention is a skill like any other, it takes trial and error, and a lot of practice. This page lists a few basic tips on how to make it work.

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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.