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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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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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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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How To Deal With A Narcissistic Mother

Mother is supposed to love and support you unconditionally, approve of you as a person, root for you even if you messed up and everyone turned away from you - mom is the one person in the world who will always be there for you. She is also the one who was supposed to teach you right and wrong, and whose judgment you relied on completely. It was her opinion of your character that you based your self-worth on. Nobody likes to be called selfish, ungrateful, disrespectful, rude, cruel, etc, especially by their own mother, so we would go to great lengths to earn our mother's approval, love, and support. That's what causes strained relationships between mothers who suffer from Narcissistic Personality Disorder and their adult children: this approval, love, and support will never happen. Bashing people with mental health issues is a pointless exercise, but if you aren't ready to cut your mom off - there are things you can do to not let her impairments affect your quality of life.

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Stages Of Healing From Abuse

While every survivor's path is unique, there are some common stages we all go through. It is rarely a straight sequence, as we tend to move on from stage to stage too fast, which results in jumping back and forth - from anger to acceptance only to discover that we missed grief, or to realize we have more anger than we used to think and we need to revisit the anger stage, or to walk through a few of these stages again, regarding another instance of abuse that we didn't think much of at first. This page is by no means a recipe to healing, it's simply sharing our experience. Walking this path can at times feel like it's hopeless, getting worse, or going in circles. Sometimes it truly is. This is why a roadmap might be helpful.

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Info for Teens

Everybody has the right to happiness. With adults it's their headache to reach it. With minors - it's society's job to provide you with a healthy, safe, supportive environment where you can thrive. Nobody can make you happy but yourself, but adults responsible for you (like your parents, your teachers, your doctors, your local police officers - everyone around you) have the responsibility of providing you with your basic needs, things no one can be happy without. Society cares about you, wants you to reach your full potential and turn out a happy, healthy, smart, responsible, well-adjusted individual. This is why we have laws in place to make sure you get what you need to do that: You have the right to a safe home, adequate clothing, school supplies, food, medical care. When you don't have a winter coat, your home has no electricity, you haven't seen a dentist in years, there's no food in the fridge, or mom and dad yell at each other every night so you can't focus on homework - this is a bad environment to be in because you can't function like this. Nobody can thrive while cold, hungry, or sick. You have the right to education and guidance. If you can't read - you won't get very far in life, you know. If you don't know how to do laundry - it's going to be hard once you move out of your parents' house. If you never learned how to balance a checkbook - things will be rough when you get your own bank account and start paying your own bills. You have the right to learn all...

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Living With Agoraphobia

i've been struggling with agoraphobia for the majority of my life. It's waxed and waned over the years, swelling and receding in its severity, but it's never fully gone away. There have been times where it was so severe i've been bedbound for a few days. There has been times where it was held back, and going outside wasn't a big deal. There are times where i can go outside easily with trusted companions, but cannot step foot out my door to even check the mailbox on my own. Each time i've battled the extreme 'flareups' that agoraphobia throws at me, i'd had different approaches, depending on where in particular the irrational fears were stemming from. This current bout, though, has been one of the most difficult to fight, and one of the longest stretches i've had to endure it. i started to write about it on Fort about a year ago, at first just venting frustrations, but the thread grew into more than just an explosion of emotions - it shows glimpses of my journey, thoughts, plans, ideas, failures, successes... When i was approached about sharing this particular battle of mine more publicly on Fort, i felt a little bit honored. i often feel that Agoraphobia is misunderstood. i know i'm still attempting to wrap my head around it, even after all these years of living with it. It's a very lonely, isolating condition, and at its worst, it's completely irrational, yet totally unbudging against all forms of logic. And if putting my story out there will help reach others, to...