Navigating Therapy: How to Address Concerns with Your Psychologist

Q: Navigating Therapy: How to Address Concerns with Your Psychologist

Hello： First of all, welcome to your correspondence. <br>Psychotherapy typically involves a course of treatment. <br>During this process, patients have the right to request to terminate therapy or switch therapists. <br>This is a common occurrence for psychiatrists or psychologis

I'm sorry, but I need more context or specific information to provide assistance. Could you please elaborate on your situation or question?

I would like to ask for your advice.
I am the person who consulted you last time regarding my condition of depersonalization.
I have encountered a troubling situation.
I have been in psychological therapy for a year, and while my mood fluctuates, my therapist is genuinely dedicated.
However, whenever I feel unhappy and cannot consult her due to time constraints, I tend to look for related psychological consultations online.
After a year, I feel that my progress in therapy has not been significant, and I am anxious to improve more quickly.
Recently, during our session, I candidly expressed my feelings and needs to her, including that I had sought advice from other free therapists online.
By chance, I met a client who is also a psychologist, and I discussed some of my inner doubts with her, including why I sought therapy and how long I have been in treatment.
My client asked me how I felt about the effectiveness of the therapy over the past year, and I responded that there has been progress, but it seems insufficient.
She suggested that, based on her experience with past clients, a year might be too slow, and perhaps I should consider changing therapists, as my current therapist might have limited capabilities.
I shared this with my therapist and honestly told her that I had been seeking help through other channels.
After listening, she thanked me for my openness and mentioned that if necessary, she could refer me to another therapist.
She also expressed concern about whether my previous questions indicated that she had not handled things well during our sessions, which made her anxious.
She noted that I often mention other therapists during our sessions, saying, "I notice you have many therapists around you." This statement echoed in my mind multiple times.
We shared an awkward laugh, and our session ended with a discussion about switching to another treatment method next week and consulting a psychiatrist.
When I discussed this with the doctor, he responded, "Your therapist is very dedicated and serious about her work.
Also, you tend to be overly polite and often uplift others, which sometimes leads you to suppress your own feelings.
You should learn to express your own emotions."
However, after this incident, I felt a sense of guilt and as if I had said something wrong, possibly revealing a lack of trust in my therapist.
I wonder if my expression of wanting to improve my condition quickly might have hurt her feelings.
I do not actually want to change therapists because it takes a long time for me to trust someone.
So, dear friend, what should I do? How can I express my apologies and thoughts? Honestly, my therapist mentioned that she felt anxious about this situation, and she also noted that I have been mentioning other therapists frequently.
The psychiatrist pointed out that I am too polite and often uplift others.
I genuinely do not understand the implications of these comments.
Did my expressions lead to misunderstandings? Please help me with your insights on what I should do.
I feel quite helpless.

Māo, 20~29 year old female. Ask Date: 2007/05/18

Dr. Li Zhengfeng reply Psychiatry

Hello: First of all, welcome to your correspondence.
Psychotherapy typically involves a course of treatment.
During this process, patients have the right to request to terminate therapy or switch therapists.
This is a common occurrence for psychiatrists or psychologists.
In fact, most therapists would gladly agree to this.

Reply Date: 2007/05/18

More Info

Navigating therapy can be a complex and emotionally charged experience, especially when you feel that your progress is not meeting your expectations. It’s commendable that you have taken the initiative to communicate your feelings and concerns with your psychologist, as open dialogue is crucial in any therapeutic relationship. Here are some insights and suggestions on how to address your concerns effectively.

First, it’s important to recognize that therapy is often a non-linear process. Progress can be slow and may not always be evident, which can lead to feelings of frustration and impatience. It’s common for clients to experience ups and downs in their emotional states, and this variability does not necessarily indicate a lack of progress. Your feelings of being stuck or not improving as quickly as you would like are valid and should be acknowledged.

When you expressed your concerns to your psychologist, it was a brave step. It’s essential to maintain this level of honesty in your sessions. Your psychologist’s response to your feedback is also significant. If they acknowledged your feelings and expressed gratitude for your openness, this indicates a willingness to engage in a collaborative therapeutic process. It’s crucial that you feel comfortable sharing your thoughts and emotions without fear of judgment or misunderstanding.

Regarding your feelings of guilt after discussing your thoughts about potentially changing therapists, it’s essential to understand that seeking the best possible care for yourself is not only acceptable but necessary. If you feel that your current therapist may not be meeting your needs, it’s worth exploring other options. However, this does not diminish the value of the work you have done together. It’s possible to appreciate your therapist’s efforts while also recognizing that you may need a different approach or perspective.

If you are concerned about how your comments may have affected your therapist, consider addressing this directly in your next session. You might say something like, “I want to clarify that my intention was not to undermine your efforts. I appreciate the work we’ve done together, but I’m feeling a bit stuck and exploring other options.” This approach can help clear the air and reinforce your commitment to the therapeutic process.

Additionally, it may be beneficial to discuss your feelings of anxiety and the pressure you feel regarding your progress. Your therapist can help you explore these feelings and develop strategies to manage them. It’s also worth considering whether your expectations for progress are realistic and how you can set achievable goals for yourself within the therapeutic framework.

Lastly, if you continue to feel that your needs are not being met, it may be worthwhile to seek a consultation with another therapist. This doesn’t have to mean abandoning your current therapist; it can simply be an opportunity to gain new insights or approaches that may complement your existing work. Remember, therapy is a personal journey, and finding the right fit is crucial for your healing process.

In conclusion, navigating therapy requires open communication, self-reflection, and sometimes the courage to seek change. It’s okay to express your needs and desires for your treatment, and doing so can lead to a more fulfilling therapeutic experience. Trust your instincts, and remember that your mental health is a priority.

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