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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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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.

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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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False Rape Accusations

This is Luke Harwood from Essex, UK. When he was sixteen, a girl filed a rape complaint with the police against him. The police officers believed her story, but felt that Luke was innocent because the incident she described didn't constitute rape; she was misunderstanding what rape is. They explained it to her, and she withdrew her complaint. However, two years later she told a friend that Luke was a rapist, but that the police wouldn't press charges against him. She probably thought she was just telling her story, reaching out for support. Her friend, however, felt that justice needed to be served, tracked Luke down with two of her friends, and brutally murdered him. All three were sentenced to life in prison on multiple charges, including perverting the course of justice. Luke was eighteen years old. He had a son, Archie, and was expecting a daughter, Lilly-Rose. He was killed because of a false rape accusation. The prevalence of false rape accusations is a controversial topic; everyone seems to agree on the numbers, but interprets them differently. Here are the numbers (sources are listed on the bottom of this page): 2% of rape accusations were proven true, i.e. the accused was convicted of rape. 2% were proven false, i.e. the accuser committed perjury. 63% were never investigated because the alleged victim never filed a police report. 33% were a combination of unfounded claims (i.e. the incident described by the alleged victim does not constitute rape) and...

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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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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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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.