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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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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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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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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...

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Post-Traumatic Stress Disorder

Abuse is a serious psychological trauma, often involving threat to life, so it's not surprising that many of us struggle with PTSD, the same condition that's experienced by many combat veterans. PTSD is not a weakness, and cannot be overcome by willpower, i.e. sucking it up and pretending you're fine till it passes. It's a mental health condition that needs to be diagnosed and treated by a mental health professional. DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) criteria for PTSD include a history of exposure to a traumatic event (that meets specific stipulations), and symptoms of four different types: intrusion, avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Symptoms of each type need to be present for more than one month, causing significant distress or functional impairment (e.g. loss of employment), and cannot be due to medications, substance abuse, or other illnesses. This page lists and illustrates the four types of PTSD symptoms, so that survivors would seek professional help if they need it, and supporters would better understand what their loved one is going through and why they act the way they do.

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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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False Rape Accusations

This is Luke Harwood from Essex, UK. When he was sixteen, a girl filed a rape complaint with the police against him. The police officers believed her story, but felt that Luke was innocent because the incident she described didn't constitute rape; she was misunderstanding what rape is. They explained it to her, and she withdrew her complaint. However, two years later she told a friend that Luke was a rapist, but that the police wouldn't press charges against him. She probably thought she was just telling her story, reaching out for support. Her friend, however, felt that justice needed to be served, tracked Luke down with two of her friends, and brutally murdered him. All three were sentenced to life in prison on multiple charges, including perverting the course of justice. Luke was eighteen years old. He had a son, Archie, and was expecting a daughter, Lilly-Rose. He was killed because of a false rape accusation. The prevalence of false rape accusations is a controversial topic; everyone seems to agree on the numbers, but interprets them differently. Here are the numbers (sources are listed on the bottom of this page): 2% of rape accusations were proven true, i.e. the accused was convicted of rape. 2% were proven false, i.e. the accuser committed perjury. 63% were never investigated because the alleged victim never filed a police report. 33% were a combination of unfounded claims (i.e. the incident described by the alleged victim does not constitute rape) and...