NHS Therapy struggles

I’ve spent years masking, forcing eye contact, small talk, pretending I’m fine. Now CBT asks me to notice thoughts, change behaviour, practise responses. Even though they try to adapt it, it still feels like “act normal”, which for me = mask again. I'm struggling to understanding what they want me to do.

The scripts are hard to remember, my memory’s worse, and concentration’s gone. Instead of helping, therapy just makes me panic. They’re now talking about referring me to step 3.

Has anyone else been through this?

Parents
  • Yes I've had issues with NHS therapy. CBT is not suitable for neurodivergency unless it is adapted so I would take it with a pinch of salt. I'm not 100% sure what step 3 would offer you because for me step 3 was high intensity CBT. I would raise the issue of your neurodivergency and that CBT isn't suitable for your needs unless it's done by an expert in adapted CBT. I wouldn't let them push you into a life of masking. In the long run it only makes mental health worse.

Reply
  • Yes I've had issues with NHS therapy. CBT is not suitable for neurodivergency unless it is adapted so I would take it with a pinch of salt. I'm not 100% sure what step 3 would offer you because for me step 3 was high intensity CBT. I would raise the issue of your neurodivergency and that CBT isn't suitable for your needs unless it's done by an expert in adapted CBT. I wouldn't let them push you into a life of masking. In the long run it only makes mental health worse.

Children