Some things to bear in mind about therapy - Social Anxiety Forum
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post #1 of 5 (permalink) Old 06-07-2008, 11:38 PM Thread Starter
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Some things to bear in mind about therapy

This is a repost from a reply I made in another board. I realised it contains some important elements that others may find helpful.

Something else to bear in mind is that not all therapy is the same. Many people seem to think that if they have seen a therapist then they have "done therapy" when in fact one therapy can be the equivalent of going for a jog once a month and another can be like an action hero movie star workout. Its not like brand names - "coke is pretty much the same as pepsi ... a chrysler is pretty much like a dodge ...". The different schools of therapy are entirely different types foodstuff and vehicles. Some types: Psychodynamic, TFT, DBT, ACT, CBT, Hynotherapy, Mindfulness, Eclectic, Spritual, Schema, Rogerian, Faith healing, Energy Therapies and so on. If you go to a 'cheaper' therapist who wants to combine crystal healing and chakra work with 'the odd bit of CBT', and then calls that 'choosing the best combination for you', then you are not going to acheive anywhere near as much as if you were with someone who rigorously applied a structured programme of CBT, ACT, Mindfulness or Schema. Unfortunately, the crystal healer will weigh in at $40 a session and the CBT'er will be more like $100. You get what you pay for - but again - not all therapy is 'therapy'. This is unfortunately is where the real world of commerce overlaps with mental health, and therapists have livings to make as well. To take a mabbe an inappropriate (or just plain lame) metaphor: Just like a guy who can fix 15 truck engines a day, he will earn more than a guy who can only fix 1. If you do yuour research and are careful about who you accept as a therapist, then your chances of recovery are far higher than if you just pick someone solely on the basis of price. Remember - you are investing in your LIFE when you go to therapy - its not just a hobby, and neither does anyone owe you a cure. Its harsh but true - there is a price - but if it means the restoration of your life, I feel that its a fair cost to cover.

In addition - if you do not fully share ALL OF YOUR SYMPTOMS, THOUGHTS AND FEELINGS with the therapist, and instead pick and choose which ones you decide to tell him or her, or are not honest about your goals (eg really you just want to get laid but you say that you want to overcome SA ... I did that one for a while ), they are not psychic. If you dont tell them for example that you have severe attacks of paranoia involving the thought of others trying to harm you (like I did), for fear of being shamed or them laughing at you or not agreeing or doing something bad, then there is no way in this world they can guess. If you are trying to shoehorn yourself into a diagnosis that you gave yourself by reading websites and choose to edit out any of your symptoms that you feel do not fit your own diagnosis, then they cannot help you with what is happening underneath and the symptoms you choose not to mention. If you have deep emotional issues with trust, entitlement (being judgemental or feeling superior to others), dependence or a severe dislike of being told what to do, then these character traits themselves will interfere with therapy. Some therapies like schema are designed to work with exactly these kind of issues. But without honesty there can be no therapy and you will not progress until such time as you CAN be honest. Some therapists are better than others at making you comfortable and again THE STYLE THEY PRACTICE will have a huge bearing on this too.

This is admittedly only my opinion, but is based on several years personal experience of (7 types of formal) therapy, many years of reading and of trying most every trick out there. If you would like to know what I have tried, you can see it in all its (questionable) glory HERE

On to concentrate on bright things Stuck around in hopes to help, didnt seem like there was much left I could do anymore ... good luck and comfort to those who are on their own path and hope for those yet to take their first step! Much Love
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post #2 of 5 (permalink) Old 06-09-2008, 09:49 AM
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Re: Some things to bear in mind about therapy

thanks, this is extremely helpful. no one ever talks bout this, they all just go : do this therapy, or do that therapy, and thats it
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post #3 of 5 (permalink) Old 07-05-2008, 08:30 PM
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Re: Some things to bear in mind about therapy

It's the therapist too, in my opinion. How many are dedicated and really good at what they do?.........I went to a psychologist (actually a husband and wife team - with another therapist, also )in Flagstaff, AZ. and they make all these big claims online about the level of expertise and all the therapies she does. He's supposedly the Managing Director or whatever....well after I got burned I found out they both used to be School Psychologists, and that's just a title, in some cases (he's got an MA...she really is a PhD, however), and they act like it's nothing unusual that he's set up other people's business (practices) for them, and their ad (and her picture - she's not bad looking) are on about 25 different sites, one of them is Yahoo, even.
The point is that, I wish I had looked before I went instead of this was not how it seems in the ad at all but it would have been wise to be suspicious just because of the amount of stuff they put on their site, which was much more that what I've seen elsewhere (name, therapies, degree, and that's about it) Her information goes back to high school, and the types of skills and therapies she does are a huge amount....but how well, and if well trained in them......that's not stated (in one case, anyway, which is the main "selling point" - CBT). I hope this doesn't worry you, it's just a rather extreme example - I never had one this bad but this once, although there have been some others who had some of the same issues and weren't helpful either.
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post #4 of 5 (permalink) Old 07-05-2008, 08:52 PM Thread Starter
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Re: Some things to bear in mind about therapy

Correct. I usually talk about this side of the coin a lot too, just not in this post. Thanks for the heads up. A bad therapist can make a good therapeutic style SUCK.

On to concentrate on bright things Stuck around in hopes to help, didnt seem like there was much left I could do anymore ... good luck and comfort to those who are on their own path and hope for those yet to take their first step! Much Love
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post #5 of 5 (permalink) Old 07-05-2008, 11:31 PM
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Re: Some things to bear in mind about therapy

Yup, I don't have insurance so I pay 180 bucks per session. I'm glad I have 4k saved up in the bank because I'm so bad right now I can't even hold a job. If I didn't have that money I would be in worse shape than I'm in now.

quietrob56, yeah, I would never try to find a therapist online. Anyone could buy an ad on Yahoo and claim they are the greatest thing since sliced bread. I got mine through my family doctor. Go with people you trust.
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