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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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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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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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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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Emergency Escape Plan

Being involved in a violent relationship is kind of like living on top of a volcano. Some people leave once they realize it and never look back. Others run off during the eruption, wait out the danger, and come back once things calm down. Many go back and forth a few times, but eventually leave for good. Whatever your long-term plan is (staying or leaving), it's crucial to ensure your basic safety in the here and now, while you're still sharing the house with your abuser and the volcano can erupt any minute. The beauty of an emergency escape plan is that you don't have to hide it, because it's applicable in any emergency: fire, flood, earthquake, burglary, etc. Any reasonable person would commend you for being conscious of safety, your partner won't question your motives, and your friends and family won't suspect abuse (if you wish to keep it secret). You can even disguise your plan as a joke, a game, or a hobby (e.g. zombie apocalypses). It consists of simple adjustments that are easy to implement, but that would drastically increase your chances of surviving violence at home, and eventually escaping it.

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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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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.