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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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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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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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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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Tips for Secondary Survivors

Many people experience trauma in their lives: car accident, death of a loved one, 911, hurricane Sandy. These things leave us overwhelmed, scared, confused, in pain. We might struggle trying to understand why did this have to happen. We might constantly relive traumatic memory, or avoid reminders of it. We might be denying the impact it had on us, or be angry and look for someone to blame for our pain. We might start questioning people in general, world, or God. Or we might blame ourselves. Abuse is a type of trauma that is inflicted on one person by another. Maybe I was raped, or beaten up, or yelled at daily and played mind games with, or maybe my parents did things that a parent isn't supposed to do to a child. The effect it had on me might be compared to a natural disaster, except abuse is perpetrated by a specific person (which I might have had a strong emotional bond with), often as a repeating pattern rather than a single occurrence, and usually isn't something I could talk of freely. I'll never be the same after such an experience, but I can repair the damage, re-adjust, grow, and have a happy, healthy, productive life. Takes time though. Often - years. Each survivor faces their own unique issues, but there are some common traits that many survivors share, and many supporters find confusing, frustrating, disturbing, or otherwise difficult to handle. Here's an attempt to explain a few of them. Abuse royally messed up my relationship skills. Part of the abuse...

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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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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...