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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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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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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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Neglect

Neglect means failure to provide adequate care to the child in one's custody. It's by far the most common (and the most lethal) form of child abuse, yet the least spoken about. Many people struggle placing "child abuser" label on a parent who didn't mean to harm their child, who struggles with various hardships and failed to do their job as well as they should have. However, visiting one's problems on a child is inappropriate because the child has no remedy: they cannot divorce their parents and live independently. Without adequate care, they get sick or even die; those who survive often suffer serious psychological trauma, chronic physical illnesses, and/or developmental problems, sometimes irreversible. Overcoming parental hardships is a part of being a parent. People who can't afford bare necessities can apply for government assistance or reach out to charities. People who don't know how to maintain a clean house can google tutorials or hire a cleaning lady. People who aren't sure how to care for their child can take parenting classes. At the end of the day, the parents are obligated to either provide appropriate care to their child or surrender him/her to the authorities. Failure to do so constitutes child abuse.

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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....

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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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Cycle Of Abuse

The cycle of abuse theory was developed in 1979 by Lenore E. Walker, a licensed psychologist who interviewed 1,500 women involved in domestic violence and noticed that their stories followed a similar pattern. She described it as a controlling patriarchal behavior of men who felt entitled to batter their wives. In reality, both men and women perpetrate domestic abuse on their partners, and the pattern is similar regardless of gender. It doesn't apply to every abusive relationship, but many survivors find it relevant. The cycle consists of four main phases that repeat over and over, alternating abuse with reconciliations. It makes you unsure if you're being abused or making a big deal out of nothing, since the relationship includes both the good and the bad times. Also, reconciliation phase often involves mutual apologies and promises (e.g. "I won't punch you again if you don't provoke me"), which makes the situation appear normal; all couples fight and reconcile, so you lose perspective on the difference between a healthy relationship and a violent one. This on-and-off nature of violence allows it to gradually intensify over the time without you noticing it, like a frog in a pot of boiling water. Each incident isn't drastically worse than the previous one, so you don't know where to draw the line, and end up tolerating things you wouldn't dream of tolerating when the relationship just started. Recognizing the pattern might help break free from it.