Seeking Longer Conversations in Mental Health Therapy: A Patient's Perspective

Q: Seeking Longer Conversations in Mental Health Therapy: A Patient's Perspective

Hello： First of all, thank you for your letter. <br>Currently, most general hospitals' psychiatric outpatient clinics indeed face the issue of having too many patients, which limits the duration of consultations. <br>To address this problem, some physicians have established speci

I'm not sure what to do?

Every time I visit the therapist, I find it quite good to talk to the doctor, but the time is always rushed.
The doctor asks me some questions, and while I have thought through my answers, by the time we meet again a month later, he probably forgets, and I become vague about whether I should just go to pick up my medication or express what’s on my mind.
Time really flies; after leaving the hospital, I feel satisfied for a day or two, but then what should I do next? Will just taking medication be enough? Next week I have a final exam, and today I spent the whole day reading a novel by Camus.
I fell into it again, not intentionally, but I was just so happy to read for such a long time.
However, my mood was quickly pulled away by my own half-understanding.
If I don’t clarify things for myself, will my future life continue like this? In any case, can I have longer sessions with you so that the doctor can focus more on me, allowing me to gain clearer insights into what is right or wrong? Is there a way to achieve this? I feel so tired, so frustrated, and I’ve become quite arrogant.
The key question is how I can seek longer dialogue therapy sessions, as I believe this would be better for me.

Yiyi, 30~39 year old female. Ask Date: 2007/06/26

Dr. Li Zhengfeng reply Psychiatry

Hello: First of all, thank you for your letter.
Currently, most general hospitals' psychiatric outpatient clinics indeed face the issue of having too many patients, which limits the duration of consultations.
To address this problem, some physicians have established special psychotherapy clinics.
These clinics operate on an appointment basis, allowing for dedicated time slots for individual patients.
If you need this service, you can request it from your physician.
However, not every physician offers this type of special clinic.
Wishing you a speedy recovery.
Thank you.

Reply Date: 2007/06/26

More Info

Seeking longer conversations in mental health therapy is a common concern among patients who feel that their treatment is rushed or superficial. It’s understandable to want more time to discuss your feelings, experiences, and the complexities of your mental health. Here are some insights and suggestions based on your situation.

Firstly, it’s important to recognize that mental health professionals often have tight schedules, which can limit the time they can spend with each patient. However, this doesn’t mean that your needs are any less important. If you feel that your sessions are too brief to cover everything you want to discuss, consider the following strategies:
1. Communicate Your Needs: At the beginning of your next appointment, express your desire for longer sessions or more focused conversations. Let your therapist know that you feel rushed and that you would benefit from more time to explore your thoughts and feelings. Many therapists appreciate direct communication and may be willing to accommodate your request if their schedule allows.

2. Prepare for Sessions: To make the most of the time you do have, consider preparing notes or a list of topics you want to discuss before your appointment. This can help you stay focused and ensure that you cover the most important issues. If you find that certain thoughts or feelings arise during the week, jot them down so you can bring them up in your next session.

3. Consider Different Therapy Formats: Some therapists offer longer sessions or different formats, such as group therapy or workshops, which might provide a more in-depth exploration of your issues. Ask your therapist if they offer any alternative formats that might suit your needs better.

4. Explore Other Therapeutic Options: If your current therapist cannot provide the time you need, it might be worth exploring other therapists who can offer longer sessions or a different approach. Finding the right fit is crucial for effective therapy, and sometimes a change can make a significant difference.

5. Self-Reflection and Journaling: In between sessions, engage in self-reflection or journaling. Writing down your thoughts and feelings can help clarify your emotions and provide you with insights to discuss during your therapy sessions. This practice can also help you feel more grounded and prepared for your next appointment.

6. Medication Management: While medication can be an essential part of treatment, it’s often not a standalone solution. Discuss with your therapist how your medication is affecting your mood and daily functioning. If you feel that medication alone is not sufficient, emphasize the importance of therapy in your overall treatment plan.

7. Mindfulness and Coping Strategies: Incorporating mindfulness practices or coping strategies into your daily routine can help manage anxiety and improve your overall mental health. Techniques such as deep breathing, meditation, or engaging in creative activities can provide relief and help you feel more centered.

8. Advocate for Yourself: Remember that you are your own best advocate. If you feel that your needs are not being met, don’t hesitate to voice your concerns. Your mental health is a priority, and it’s essential to find a therapeutic approach that works for you.

In conclusion, seeking longer conversations in therapy is a valid request, and there are several ways to approach this situation. By communicating your needs, preparing for sessions, exploring different therapeutic options, and incorporating self-reflection practices, you can enhance your therapeutic experience. Remember, therapy is a collaborative process, and your input is crucial in shaping your treatment journey.

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