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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 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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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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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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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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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...

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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.