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Old 04-01-2021, 05:23 PM   #211
smashingjj
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Old 04-01-2021, 05:42 PM   #212
Ram27
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oh

but we'll get out of iraq someday, right

 
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Old 04-02-2021, 08:52 AM   #213
bright_doom
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Originally Posted by reprise85 View Post
I thought for a while I could get away with not having a social life if I was able to do work I really enjoyed that I could help people through. But that has not happened and I don't know if it would have worked anyway.
I legit asked my one friend recently how people make friends, lol. And he said the same thing my therapist did: You have to put in effort and do new things. Have to be willing to be uncomfortable and to look dumb. Which all seems true but I wish there was some other way.
I can hosestly say that alot of my favourite memories of my life have been when I've been by myself, doing my own thing. So I've never really placed that much value on having an active social life, which was kind of reaffirmed to me in my early-mid twenties whenever I did step out of my comfort zone socially, and 9 times out of 10 it would be what I would consider a negative experience and I should have just stayed home instead.

I guess the problem is you keep yourself to yourself for so long that you have no one/nowhere else to vent to exept an old 90's board about the squish squash

 
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Old 04-02-2021, 10:48 AM   #214
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Yeah I think the small sample size and the inevitability of having anxious experiences in new situations really makes it hard to keep doing it even when I do try.

 
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Old 04-10-2021, 01:57 AM   #215
killtrocity
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like a piece of SHIT

 
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Old 04-10-2021, 11:15 AM   #216
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just straight programming and being kind to my neighbors

24/7

 
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Old 05-02-2021, 01:44 PM   #217
Run To Me
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Who has tips for 1st time therapy sessions

Pretty friekin nervous about it. Not sure what to cover or “work on” or whatever. Or even what it will be like

 
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Old 05-02-2021, 01:45 PM   #218
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like a piece of SHIT
Thanks for reminding me of these laffs (which have been buried apparently under my neverending series of alcoholic blackouts of the aughts)

 
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Old 05-02-2021, 02:05 PM   #219
reprise85
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Who has tips for 1st time therapy sessions

Pretty friekin nervous about it. Not sure what to cover or “work on” or whatever. Or even what it will be like
Will prob ask you why you decided to come to therapy, basically if there is a certain event you can pinpoint or if it's been slow burning, etc, or if it's a certain symptom

They may have you take a written assessment (multiple choice/true false type) but probably not.

Will probably ask about:
1. family history of mental illness
2. your history of all illness (mental/physical)
3. trauma history which can be short or extensive, including medical trauma/head injury along with mental/physical/sexual abuse and neglect, etc
4. substance abuse history (please be honest with this or at least don't deny you do smoke weed "sometimes")
5. sexual and spiritual orientations
6. current support system
7. if you talk about depression they will ask if you are suicidal or have ever been, if you talk about anxiety they will ask about panic attacks, severe trauma they will ask about flashbacks, basically all the extreme manifestations that would indicate a likely/easy diagnosis
8. if you've ever been arrested/convicted etc

They might ask you about specific symptoms (appetite, if you enjoy life, how your sleep is, if you ever feel really really good (manic), if you can concentrate, if you enjoy work, etc) if they don't come up organically.

It is really important to be compatible with your therapist. For me that includes liking them as a person. I think you can get a sense of this within the first few sessions. You are paying for them to listen but not to care, and there's a difference. They have to actually be a caring person to be good at talk therapy IMO with the possible exception of strict CBT.

So yeah I'd expect it to be general "so what brings you to therapy..." and based on your answers it will flow through all of those steps. It might take multiple sessions to get through them all and I'm probably missing some stuff.

I recently started seeing a new psychiatrist so I had a lot to start with and pretty much knew how to go through it all, first time is tough though for sure. Just answer their questions as best as you can. It's normal to feel overwhelmed and emotional or just the opposite. And this may sound dumb but you might lie and that's okay. Try not to but you will come out with stuff when you're ready. That goes for things you've done/bad habits (like drug use) and stuff done to you. Assuming you have decent health insurance or can otherwise afford long term therapy, you have a lot of time.

Last edited by reprise85 : 05-02-2021 at 02:12 PM.

 
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Old 05-02-2021, 02:16 PM   #220
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Proud of you buddy

 
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Old 05-02-2021, 03:21 PM   #221
Run To Me
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Quote:
Originally Posted by reprise85 View Post
Will prob ask you why you decided to come to therapy, basically if there is a certain event you can pinpoint or if it's been slow burning, etc, or if it's a certain symptom

They may have you take a written assessment (multiple choice/true false type) but probably not.

Will probably ask about:
1. family history of mental illness
2. your history of all illness (mental/physical)
3. trauma history which can be short or extensive, including medical trauma/head injury along with mental/physical/sexual abuse and neglect, etc
4. substance abuse history (please be honest with this or at least don't deny you do smoke weed "sometimes")
5. sexual and spiritual orientations
6. current support system
7. if you talk about depression they will ask if you are suicidal or have ever been, if you talk about anxiety they will ask about panic attacks, severe trauma they will ask about flashbacks, basically all the extreme manifestations that would indicate a likely/easy diagnosis
8. if you've ever been arrested/convicted etc

They might ask you about specific symptoms (appetite, if you enjoy life, how your sleep is, if you ever feel really really good (manic), if you can concentrate, if you enjoy work, etc) if they don't come up organically.

It is really important to be compatible with your therapist. For me that includes liking them as a person. I think you can get a sense of this within the first few sessions. You are paying for them to listen but not to care, and there's a difference. They have to actually be a caring person to be good at talk therapy IMO with the possible exception of strict CBT.

So yeah I'd expect it to be general "so what brings you to therapy..." and based on your answers it will flow through all of those steps. It might take multiple sessions to get through them all and I'm probably missing some stuff.

I recently started seeing a new psychiatrist so I had a lot to start with and pretty much knew how to go through it all, first time is tough though for sure. Just answer their questions as best as you can. It's normal to feel overwhelmed and emotional or just the opposite. And this may sound dumb but you might lie and that's okay. Try not to but you will come out with stuff when you're ready. That goes for things you've done/bad habits (like drug use) and stuff done to you. Assuming you have decent health insurance or can otherwise afford long term therapy, you have a lot of time.
Thank u thank u thank u for taking the time to write this out. This really helps so much. Must spread etc

 
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Old 05-02-2021, 04:34 PM   #222
killtrocity
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I second all of that. Also idk what your world view is like, but for me, progres didn't really start happening til I started to get away from the idea of like "here's a doctor to cure my ailment" with respect to therapy. It's a very western, objective, reductionist form of thinking. You gotta do the work, and step number one is being 100% honest with your therapist but most of all yourself. Therapy should be relational and not too clinical. But ultimately if it works for you that's all that matters. It took me years just to acknowledge emotions from my childhood. Nothing super traumatic, just like general feelings of inadequacy and neglect rooted in German Catholic post-WWII upbringing

Like my guy doesn't even bother with DSM-V diagnoses (at least in my case), because complex PTSD isn't even in it despite overwhelming mountains of quantifiable evidence. It's still a very very young science highly driven by philosophy of individuals and insurance quotas

 
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Old 05-02-2021, 04:55 PM   #223
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my therapist has diagnose for reimbursement and yeah it was annoying AF when complex ptsd wasn't added to the DSM V, but it is in the ICD-11 which many insurances use

what's funny is my therapist used to not ******* one of my diagnoses due to its controversial nature and worrying about pushback, but in the last few years has changed her mind because she decided not putting it was adding to the idea that it is rarer than it is or not accepted or w/e. and that IS in the DSM. in conclusion, fuck the DSM

 
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Old 05-02-2021, 04:58 PM   #224
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also funny if you go by the DSM PTSD diagnosis I like barely qualify at this point but I totally have complex ptsd. like I don't have exaggerated startle response, in fact the opposite because i just dissociate at startle and appear to have no response (ok I looked at the criteria and i definitely fit PTSD still but i definitely fit CPTSD way better)

 
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Old 05-03-2021, 05:37 AM   #225
teh b0lly!!1
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Quote:
Originally Posted by Run To Me View Post
Who has tips for 1st time therapy sessions

Pretty friekin nervous about it. Not sure what to cover or “work on” or whatever. Or even what it will be like
my 0.001 cent(s):

if at any point you find yourself feeling like something is not right with your therapist for any reason at all, as silly as it may be, feeling like you're not being fully listened to, or getting the slightest spider sense tingle of incoming judgement, or simply feeling no chemistry between the two of you, then cut your losses ASAP and move on. 2-3 meetings should probably give you a clear indication either way.

my unforunate experience with a toxic therapist really mortally damaged my outlook on the whole thing, and i haven't been back ever since. i'm not saying this to scare you off or plant seeds of anxiety - the takeaway is that it's vital that you feel absolutely safe, and nothing less will do. trust yourself completely, and do not compromise.

congrats on making the first step and taking care of yourself. good luck

 
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Old 05-03-2021, 07:30 AM   #226
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and if you have to pee, RUN to pee!
it doesn't matter if you're only two minutes into the session, or if the session is almost over. just RUN to pee!

 
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Old 05-04-2021, 08:23 AM   #227
teh b0lly!!1
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no. i completely disagree. for 150$ an hour? fuck that.

the best way to operate in that situation is to keep an empty plastic bottle on hand (also favorable for compulsive troubled water sippin mid-convo a-la Bruce Cairhann) and urinate into it while maintaining intense eye contact with your therapist and preferably grinning as you're getting your money's worth.

have i mentioned yet that my former therapist was abusive towards me?

 
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