Help with talking therapies (not speech therapy)

Hi, I've read some topics on similar sounding issues, but I've not found any (at least after a cursory search) which discuss my particular issue. Can anyone offer any advice? My current experience is detailed below:


After some not insignificant shuffling between different therapies and therapy types (and following a diagnosis of depression and anxiety), I was diagnosed with ASD.

However, at each stage (and with each therapist) I have had significant problems in communicating with the therapist (generally, I'll freeze-up and not be able to answer any questions beyond yes or no). As well as this, I become oblivious to my surroundings; I think the best I can describe this is that I become disassociated with events occurring around me.

This has other more pressing effects; largely that I cannot remember after a session what has occurred and that I have missed an opportunity to discuss any concerns I have. This makes these sessions a waste of both the therapist's and my own time, so leaving me in a worse state than when I entered a particular session.

One strategy I have attempted is to write down any concerns or experiences before a session and hand this to the therapist as a session begins. However, I am so perturbed by doing this that it makes my experience of a session much worse (although I have therefore communicated an issue, I am not able to discuss or further investigate any questions raised).

I feel that I am doing or expecting something at odds with what is required/expected here.

My current therapist is practicing CBT. My opinion is that these sessions are designed to help identify items/areas/experience/stimuli which ‘trigger’ a negative response and so help identify ways to respond more appropriately.

Obviously, due to me essentially ‘blanking’ my sessions, I don’t feel that my memories here are absolutely accurate, but I don’t think this is what is happening. My sessions seem to be more a discussion (or lecture, as the case may be) on the topics raised in my provided notes.


To simplify; I suppose I am asking: Does anyone have any advice on how I can become more comfortable talking to the therapist about myself, and so how do I get the most out of my visits?

Parents
  • Former Member
    Former Member

    One CBT therapist may be good for one person but not another. However, you don't really need a brilliant therapist if you understand CBT properly. They should help you to learn how to use it by yourself when you are on your own.

    One trick I use to challenge myself when I am feeling bad or having a problem is to ask what an ordinary person of average intelligence and average emotional skill would do in the situation. They would probably make a quick choice based on having enough information to make a choice that they can live with. They wouldn't do a comprehensive and detailed flawless piece of logic. You have to accept that you will make mistakes and that you can live with that. It is useful to let yourself live with ordinary, imperfect decisions rather than immaculate Mr Spock style decisions.

    I think it might be useful for you to take your problem with trusting the therapist to the next therapy session. This one question may take more than one session but you have to tackle this problem sooner or later. Ask yourself whether your lack of trust is reasonable or excessively cautious?

Reply
  • Former Member
    Former Member

    One CBT therapist may be good for one person but not another. However, you don't really need a brilliant therapist if you understand CBT properly. They should help you to learn how to use it by yourself when you are on your own.

    One trick I use to challenge myself when I am feeling bad or having a problem is to ask what an ordinary person of average intelligence and average emotional skill would do in the situation. They would probably make a quick choice based on having enough information to make a choice that they can live with. They wouldn't do a comprehensive and detailed flawless piece of logic. You have to accept that you will make mistakes and that you can live with that. It is useful to let yourself live with ordinary, imperfect decisions rather than immaculate Mr Spock style decisions.

    I think it might be useful for you to take your problem with trusting the therapist to the next therapy session. This one question may take more than one session but you have to tackle this problem sooner or later. Ask yourself whether your lack of trust is reasonable or excessively cautious?

Children
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