psychotherapy: what is it and why and, and, and....

I'm writing this because I feel the need to; I see others asking questions about the their lives on this site and sometimes I think these could / should be dealt with by a therapist!

But in truth I've started questioning the therapy I've received over the last 40+ years - on and off.

I've had good jobs, earned good money and underneath have always felt troubled.
My first therapist told me that I could do or be anything I wanted to be but I had no idea what that was!!

So now I want to jump to the time before the covid lockdowns and I was feeling disturbed. Living with a wonderful man in a same-sex-marriage but still feeling disturbed. I hit the google search and asked something like "when is to much therapy too much?" or "how do I know when I should stop therapy?"

I have friends that a psychotherapists. Wonderful people BUT even they have their problems. I started to question why, why, what, what..etc., etc., it is to much to type here for a first entry...

PLUS!! It didn't help when my current therapist - a German psychiatrist - went to sleep during what I would say was a fundamental to me of understanding something about how I processed 'my stuff' and then developed my inner dialogue after being molested at 6 on the way home from school.

The google search lead me to an article by Jonathan Alpert, in the New York Times from 2012 and entitled "In Therapy Forever? Enough Already". Unfortunately, this article is behind a paywall now - Opinion | In Therapy Forever? Enough Already (Published 2012)

However, a few key points from the article were:

Proponents of long-term therapy have argued that severe psychological disorders require years to manage. That may be true, but it’s also true that many therapy patients don’t suffer severe disorders. Anxiety and depression are the top predicaments for which patients seek mental health treatment; schizophrenia is at the bottom of the list.

In my experience, most people seek therapeutic help for discrete, treatable issues: they are stuck in unfulfilling jobs or relationships, they can’t reach their goals, are fearful of change and depressed as a result. It doesn’t take years of therapy to get to the bottom of those kinds of problems. For some of my patients, it doesn’t even take a whole session.


Why? I believe it’s a matter of approach. Many patients need an aggressive therapist who prods them to face what they find uncomfortable: change. They need a therapist’s opinion, advice and structured action plans. They don’t need to talk endlessly about how they feel or about childhood memories.

and the final nail in my coffin was:

If a patient comes to me and tells me she’s been unhappy with her boyfriend for the past year, I don’t ask, as some might, “How do you feel about that?” I already know how she feels about that. She just told me. She’s unhappy. When she asks me what I think she should do, I don’t respond with a return interrogatory, “What do you think you should do?” If she knew, she wouldn’t ask me for my thoughts.

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Please remember if reading this, this is my experience. My ego might like to believe that I 'know THE truth' but I can only know MY truth.

It is not that I have not benefitted from the therapy I have received, but, now retired and still having problems with relationships and not moving forward easily in my life.. this should have been dealt with in my twenties!!!

The best therapy I have had is when the therapist has asked specific questions. The one that changed my world was seeing a Work Related therapist and in the 4th session, of my only allowed 6 sessions in total; I was asked "how is it with you and money?"
I broke down and cried. I was earning a nice income and had no money. I then started, at his advice (I had done this before but it nearly drove me crazy) to track my spending). Clearly, I was over spending and being way to generous with friends and going out to eat, much more than I should. After three months - I re-evaluated my habits of spending and became more conscious.
I was such an idiot. I was paying off my over burdened credit card debt of some several thousand each pay day but hadn't noticed that the amount was only half of what I was actually spending!!! Duhhhhh... So to be clear... I had calculated that I needed to pay 200 off my credit card each pay but in fact I was spending 400 in the same time period. That stopped immediately and I increased the payments to match my debt and desperately started not spending or at least paid in cash. My debt was finally paid off after a year or two.

But, my point is that this kind of question from a therapist was more helpful for me than the 'why do you think you parents separated' or 'how did you feel about that?'.
All important to know... BUT during the lockdowns and after the article by Jonathan, I delved into Jordan Peterson. I know that Jordan is not everyone's cup of tea.. but some of his older lectures when he was a Uni Professor are, for me, brilliant.

There is one lecture where he talks about (my words) dealing with your daily life. If I find the URL I will post it for sure, but in the meantime... Jordan sometimes questions how people want to achieve a lot and cannot, but, they are not organised in their daily lives.
I don't think the two are mutually tied together, but, his approach seemed to be - you need to take care of yourself, first. Eat breakfast for example, make your bed, go for a walk.. these little things can give meaning to ones life!

I will finish this first post with : I realise now that I needed a therapist that specifically chased after me for daily activities and not the on going avoidance that I can dish out. It has happened this way sometimes but not enough. I went to my first gay bar because of my Straight therapist at the time. BUT, I needed this over and over with lots of talking about the experience in depth rather than going to my parents or "you can do anything".

edit: I fixed up some spelling and grammar mistakes and added one or two words but nothing seriously changing.. one or two words gave a tiny bit more information.
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D
As I saw the tittle of your post, I needed to share my experience after reading the whole post.

I was with a psychology for 4.5 years and in the end I was responding my own questions and very little of them were answered by her. At the same time, was seeing a psychiatrist and I was always asking questions and never gave me an answer. He just said I was depressed and needed medication. Sessions were only me talking! This was 12 years ago, and none of them went to the root of my problem. So, I quitted mental health till 2018, because I continued with ups and downs in my mood. Never had an accurate diagnosis.

I agree with you, therapists who makes you questioning help a lot than those who encouraged you.

My actual therapist found in one year the root of my depression and gave me a diagnosis! I guess therapy is expensive everywhere, so I don't think to be more than I need. But also, If I already found the root of my problem there's no reason to continue.

In the end, humans beings are always changing and facing challenges in all life aspects. So, If after being discharged I need more help I would look for it.

Therapy is not in my case forever. The thing is to find a good doctor, the root of your problem and possibly the meds you might need.

I was supposed to be discharged this May, but took bad work and personal decisions, and had a relapse.

I'm better now, and continue with my therapist but I want to reach a point where I can find the tools to follow on my own.

I write this as my experience!

Thank you for sharing your experience!

Thanks for reading! My best regards!
 
D
As I saw the tittle of your post, I needed to share my experience after reading the whole post.

I was with a psychology for 4.5 years and in the end I was responding my own questions and very little of them were answered by her. At the same time, was seeing a psychiatrist and I was always asking questions and never gave me an answer. He just said I was depressed and needed medication. Sessions were only me talking! This was 12 years ago, and none of them went to the root of my problem. So, I quitted mental health till 2018, because I continued with ups and downs in my mood. Never had an accurate diagnosis.

I agree with you, therapists who makes you questioning help a lot than those who encouraged you.

My actual therapist found in one year the root of my depression and gave me a diagnosis! I guess therapy is expensive everywhere, so I don't think to be more than I need. But also, If I already found the root of my problem there's no reason to continue.

In the end, humans beings are always changing and facing challenges in all life aspects. So, If after being discharged I need more help I would look for it.

Therapy is not in my case forever. The thing is to find a good doctor, the root of your problem and possibly the meds you might need.

I was supposed to be discharged this May, but took bad work and personal decisions, and had a relapse.

I'm better now, and continue with my therapist but I want to reach a point where I can find the tools to follow on my own.

I write this as my experience!

Thank you for sharing your experience!

Thanks for reading! My best regards!
I am glad to read of your experience. It sheds light on how this whole industry seems to be ‘very unscientific’… without a diagnosis.

It is important to hear what you are saying as this is similar to my own story but in hindsight… talking and talking - which I love to do.. but actually, not getting anywhere but feeling like I was… I think I will talk about this in another post! It is important to know this and especially if one is a beginner in Therapy.

I had a ‘thing’ happen with a female psychiatrist. I was with a woman at that stage and not facing up to my homosexuality - yet, had been actively homosexual before hand - and over six months the psychiatrist was slowly talking me into staying with this woman, with whom I lived and loved but wanted to leave (and should have left years before but didn’t due to my own feelings of sexuality confusion and my own weakness) and slowly I realised she was not actually listening to what I was saying. I went to a previous male psychologist (gay) and he said: you just need to bite the bullet and leave the woman I was with. It took me three months and a lot of pain to achieve this.

I left the psychiatrist as well before I left the woman I was with. I told her some bullshit story. I wish I had the courage to tell her the truth and that might be something like: you are not listening to me and you are full of bullshit and actually I think you might be homophobic. (of course I can say it this way 40 years later).



Thank you for sharing and reading.
 
D
I am glad to read of your experience. It sheds light on how this whole industry seems to be ‘very unscientific’… without a diagnosis.

It is important to hear what you are saying as this is similar to my own story but in hindsight… talking and talking - which I love to do.. but actually, not getting anywhere but feeling like I was… I think I will talk about this in another post! It is important to know this and especially if one is a beginner in Therapy.

I had a ‘thing’ happen with a female psychiatrist. I was with a woman at that stage and not facing up to my homosexuality - yet, had been actively homosexual before hand - and over six months the psychiatrist was slowly talking me into staying with this woman, with whom I lived and loved but wanted to leave (and should have left years before but didn’t due to my own feelings of sexuality confusion and my own weakness) and slowly I realised she was not actually listening to what I was saying. I went to a previous male psychologist (gay) and he said: you just need to bite the bullet and leave the woman I was with. It took me three months and a lot of pain to achieve this.

I left the psychiatrist as well before I left the woman I was with. I told her some bullshit story. I wish I had the courage to tell her the truth and that might be something like: you are not listening to me and you are full of bullshit and actually I think you might be homophobic. (of course I can say it this way 40 years later).



Thank you for sharing and reading.
Thank you for sharing again. It was my case too with the last psychology, 12 years ago. I was dealing with same sex attraction and this psychology was homophobic too and felt uncomfortable with the sessions.. part of me wanted to heal my mind and have a life with a woman but I was doing nothing with the gay attraction, it was there and still is. It was a type of healing gay attraction therapy and religious stuff. So, I said to myself, this doesn't work and I will be the same person with gay attraction, no matter what.
I consider myself bisexual but I haven't had enough time in a relationship to decide where is my place. Etiquettes are painful too!

As one good friend which I met here said, I must be true to myself and love me!

The psychiatrist, whom I see now, told me the root of my depression which is loneliness and feeling ok about who I am.

I am working in caring for myself, be stable enough and find my own path with my sexuality and being comfortable with.

It is taking time because I am seeing it's far away from my religious (catholic) practice.

Thank you again for sharing and reading!
 
D
Thank you for sharing again. It was my case too with the last psychology, 12 years ago. I was dealing with same sex attraction and this psychology was homophobic too and felt uncomfortable with the sessions.. part of me wanted to heal my mind and have a life with a woman but I was doing nothing with the gay attraction, it was there and still is. It was a type of healing gay attraction therapy and religious stuff. So, I said to myself, this doesn't work and I will be the same person with gay attraction, no matter what.
I consider myself bisexual but I haven't had enough time in a relationship to decide where is my place. Etiquettes are painful too!

As one good friend which I met here said, I must be true to myself and love me!

The psychiatrist, whom I see now, told me the root of my depression which is loneliness and feeling ok about who I am.

I am working in caring for myself, be stable enough and find my own path with my sexuality and being comfortable with.

It is taking time because I am seeing it's far away from my religious (catholic) practice.

Thank you again for sharing and reading!
thank you :)

this: As one good friend which I met here said, I must be true to myself and love me!

I was in love with a man many years ago and then he turned out to be 'my heart breaker'. I was deeply disturbed about us splitting up. I was addicted. I would stalk him. It was truly horrible. BUT.. I realised that some of my behaviour had to be acted out before I could move on... but one thing I did do was go to a Clairvoyant. I was desperate and I have a leaning to spiritual 'things'. The one thing this guy said to me was: you will get over him when you love yourself more than you love him!

So I worked on that for many years. I honestly can say that I love my self more than I love him. We are friends now and he was not the right person for me - this I found out many years later and in a sense, I'm glad it didn't work out.

I think you are on a good path when working on loving your self and at least dealing with accepting your self.

One thing about my own depression, I've found, is the anger underneath or at least 'disappointment'. Sometimes this is a killer. Expectations. Hidden expectations from ?? that I didn't know about. I learned this at German language schools. I had expectations about how they should be run, lessons conducted but didn't know until I'd started and struggled.. if that makes any sense? It does for me.. but I'm short of time right now and answering to quickly.

Loneliness is a horror too. Gets me in the pit of my stomach. As if, despite me having a wonderful partner, I'm the only person on this planet ... of course.. going back to my theme of this blog.


Why wasn't this dealt with when I was younger... ?? it fucks me up actually... I slowly get to deal with my shit but... it fucks me up...
 

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