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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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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.

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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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Emotional Abuse

All humans need to be treated with dignity and respect, regardless of age. Parents have legal, physical, intellectual, emotional, and financial power over their children in order to care for them, to ensure their safety, welfare, appropriate development, etc. Using this power for any other purpose is wrong, just like it's wrong to mistreat prisoners of war. Children are in an even more vulnerable position because they don't process information the same way adults do; their brains are still developing, so what might be a stupid joke to an adult can cause serious trauma to a child. Young children believe what their parents tell them, and emotional abuse can cause them to draw very inaccurate conclusions about themselves and their place in the world. Older children understand that they're being mistreated, but have no recourse: they can't yell back, cut their parent off, or sue for harassment. They are stuck without options, forced to endure maltreatment. Taking advantage of this vulnerability is abusive. Emotional abuse of children is usually a part of any other type of abuse (e.g. physical, sexual, or neglect), and is mostly treated as an aggravating factor rather than a separate crime. It lacks legal definition, which makes it hard to address when it's the only type of abuse inflicted on a child. It's nearly impossible to prosecute in criminal court, but Child Protective Services work independently of law enforcement, and might remove the child from their parent's custody...

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Physical Abuse

Physical violence is a crime, regardless of the age of the target, their relationship to the perpetrator, or any other circumstances. However, it affects children differently than it affects adults. First, children are completely dependent on their abusers (legally, financially, physically, and psychologically); they can't divorce their parents and move out, which leaves them no option but to suffer the abuse until someone rescues them. Second, children aren't fully developed physically; their bodies are more fragile because they are still growing, so a light smack on the back of a head, which would be of no consequence to an adult, can cause traumatic brain injury and death to a child. And third, children aren't fully developed mentally; they can't form an accurate understanding of their situation, which results in serious psychological trauma and various maladjustments, sometimes life-long. Many perpetrators of child abuse take advantage of this, presenting their actions as a perfectly acceptable parenting technique, punishment for the child's misbehavior. This page might be hard to read, as some people subject their children to torture, as defined in The United Nations Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. However, avoiding this topic doesn't work, because survivors of this type of abuse often end up unsure what to call their experience, whether it's OK to talk about it, and whether it ever happened to anyone else....