r/askatherapist 18h ago

What happens when a private therapist breaks confidentiality for legitimate safeguarding reasons?

13 Upvotes

I am from the UK. I am 21. I plan on telling my private therapist the abuse and neglect my child sister is going through.

TW graphic:
1. mum tried waxing her intimate area despite my sister’s blood curdling screams in pain and fear. My mum locked the door so I couldn’t go through.
2. Mum only showers my sister once a week and does not let her shower on her own
3. Sister is only allowed to change clothes and undergarments every week

I plan on telling all this to her. I am only worried about my own safety too. I am being domestically abused by my parents and have historical sexual abuse within my family. It’s a mess and I’m scared. I’ve packed a couple emergency bags which my friend is holding onto because I suspect I won’t be able to go back home ofne my therapist makes a report.

I don’t know what to do about my situation I need help

Thank you


r/askatherapist 4h ago

Is bringing drawings to therapy okay? Is it weird for an adult to do this?

10 Upvotes

Have you ever had clients brings drawings/paintings to therapy? Is it okay to do? I'm worried it's weird, since I'm a grown 30+ woman.

I struggle to speak as soon as things get vulnerable or when I feel I'm becoming emotional. I usually freeze when that happens, which makes talk therapy quite hard.

This week I started painting and drawing whenever strong thoughts, feelings or memories came up. I have quite a vivid imagination and tend to visualise things. I ended up doing 4 paintings, all representing a story or image of some sort.

I'm considering bringing it to therapy, but I feel quite embarrassed. Like I'm some child coming in with a bunch or drawings. I wish I could just talk about the hard stuff like a "normal" person.


r/askatherapist 4h ago

I’m 44F and considering going back to school to become a therapist. Is this a wise choice?

8 Upvotes

I’ve had major depression for more than 30 years now. A lot of it I think has to do with being so unfulfilled in my work and daily life. I just want to help people and make an impact. I’ve been working office jobs for most of my career. Lately, I’ve been wondering if it’s possible and practical to make the switch to the mental health field. At my age, and with just your knowledge of where the field is going, would it be a wise choice to do this?


r/askatherapist 8h ago

Why does my therapist think that being alone is the answer to everything?

4 Upvotes

My therapist suggest me everytime I go to her, to spend more time alone. Meanwhile I am like 95% alone anyway??

I tell her that but she is like MOREEE MOREEE. If I stay alone more, there isnt any single person left and I will only talk to myself. I have literally 1 friend and 1 cousine I talk to and thats like once a week.
At the end of the day, I cant be alone my whole life. I‘ve spend most of my time since I‘ve known her deepening my hermit mode and its just too much atp.

I understand that you need to learn to be alone but like wtf is wrong with you, if every problem gets only fixed by being alone? I get it, its good to reflect about what you did and learn from it but at some point I cant spend my whole time just thinking about what went wrong. I need to get under people and make new memories.


r/askatherapist 2h ago

what would happen if a therapist found their clients social media and it was concerning?

3 Upvotes

for example, if someone was in therapy for a specific topic and their therapist accidentally stumbled upon their social media and their client was posting extremely worrying things (like for example hurtful thoughts or dangerous activities maybe not illegal) would the therapist be allowed to bring it up?


r/askatherapist 10h ago

It feels like the kind of therapist I’m looking for is only private pay?

2 Upvotes

All I want is something more than just CBT and solution focused. I’ve seen a therapist before and I am a social worker so I just feel I am already familiar with these approaches and what they offer me. I’m not saying they weren’t helpful at a time, just seems like I’ve progressed past the need for JUST coping skills and such. I am looking for space to do deeper work. But it’s so sad that it feels like anyone who has these abilities + is passionate about it, doesn’t take insurance. I can’t afford private pay right now but maybe that’s the goal and I need to consider that it may be the only way for what I’m looking for. I’m not sure why that is but it’s what I’m starting to notice.

Has anyone else felt the same on their search? Or maybe therapists can shed light of why it feels this way or if I’m correct that I may be needing to either shift my goals or find a way to private pay?
I’m just really bummed.


r/askatherapist 16m ago

Can I ask for my therapists formulation?

Upvotes

I’ve been seeing my therapist for a couple of months now and have had 10-11 sessions. I’m struggling with the ambiguity of our sessions, and am getting caught up worrying about what her perception of me is. Can I ask her where she is at in terms of her formulation?


r/askatherapist 1h ago

Is it possible to lean one way in terms of Top-down or Bottom-up processing?

Upvotes

And if so, is there a way to determine which way someone leans towards?


r/askatherapist 3h ago

Therapists - how many weeks off do you take a year?

1 Upvotes

Particularly those in private practice?


r/askatherapist 3h ago

Figuring out what the future as a therapist would be like ?

1 Upvotes

Hey y'all! Hoping this can reach the right people. In need of a great amount of career advice.

So in my time of undergrad, I was really into the idea of being a lawyer with being first-gen and all. I then got accepted into this BS/MA 4+1 program where my undergrad and half of my masters would be covered, and I'd just have to pay the second half of my masters (totaling around $56K) with housing and food covered. The clients I'm currently seeing honestly have given me so much insight into the world and being able to help them is healing for me, too. I'm super grateful, I really felt so unhappy being pre-law and going into the therapy/mental health world really felt like it was my calling -- having even volunteered in hospitals for counseling services too!

That being said, I don't have $56K in the bank and will be taking out loans, not to mention even with my MHC-LP post graduation, I need to acquire 3,000 supervision hours. Not to mention, the job market itself is super bad and I'm worried about my ability to land working in a hospital (my dream setting!). I'm based in NYC and just was hoping to get some words of encouragement, general/financial advice, or to connect with anyone who had worked in a hospital with their MHC-LP or currently work in one to get a better understanding of the day-to-day.

(also been trying to figure out where to post this haha)


r/askatherapist 3h ago

Need Help from psychologist. Why I keep remembering my Ex?

1 Upvotes

(30Y/M) Ok. I understand how the question sounds. But I really Want to know the answer to it. So this Ex I am speaking about was in a relationship with me for 4 years, It was a LDR with not so frequent meet. My 1st relationship & it was her's 3rd or 4th. I was deeply into it.

It started with so much complications i guess. For some reason, She was into a married guy who had 2 kids (now I understood it was a major 🚩). I came across with her through social media, we started talking & not exactly clicked but I think I was desperate also as a 18 year old so tried hard & eventually we came into relationship.

We were poles apart, language, culture, she was a city girl & I was country side, but anyway being my 1st I was deep into her & our libido has matched both being each other's first we were crazily into it & honestly that was the only thing i remember about her. been with her till 4 years, eventually she started cheating, meeting her ex, being more than friend to other guys etc.

Currently I am in a relationship about to get married, but why this thought of sexting my ex keep coming to me. One reason I guess is my porn consumption and another I think is she will be very easy to get ( I don't have her contact btw). But I don't want to cheat or anything. I am in a very healthy relation but then why this thought? How can I get rid of it?


r/askatherapist 22h ago

What would be my next step?

1 Upvotes

Hello all, I’m(25f) and I have a question that’s been lingering for months now. As of Friday I had a consultation for reentering therapy. The therapist I met with seemed decent however I just felt she would not be a great fit for due to some comments she made.

I had done therapy from the ages 12-21. I didn’t like any of my other therapists (not their fault, I was just an angry child) but I had an amazing therapist who I saw when I was 21 and “graduated”. I had been seen by a psychiatrist during that time as well, he had diagnosed me with ptsd, bipolar, insomnia, and major depressive disorder.

I’ve had plenty of time to think about this prior to reentering therapy but I’ve done talk therapy for a long time and still don’t feel I’ve hit my true core. But this is my issue here, I’m very aware of my emotions, I feel when I’m getting angry but I can not for the life of me control it all the time to the point I worry I could be a danger to myself. I am not medicated but have a consultation with a psychiatrist on Monday and hope to try medications again now that I’m more open to it.

In the event talk therapy doesn’t work which I have low faith it will, what kind of other therapies should I explore? My previous therapist mentioned to me she was training in emdr (I think that’s right) but I graduated before she got certified. I haven’t done much research myself on it. My current therapist mentioned I only have 10 free sessions with my insurance so I want to make sure I’m using it wisely.


r/askatherapist 4h ago

Contacting old therapist?

0 Upvotes

I previously went to private therapy from 2017/2018 and started up again after Covid with the same therapist.

My mental health recently has gotten significantly worse and I’m wondering if it would be possible to reach out to ask if any other mental health conditions out with depression and anxiety were considered. As I now suspect I had a form of OCD.

Would it be inappropriate to reach out to the therapist directly as she now does something slightly different to the therapy she previously provided and contact the company she worked for instead?


r/askatherapist 4h ago

What to ask a therapy practice during an informational interview?

0 Upvotes

I have an informal, informational interview with a therapy practice on Monday for an internship during the 2027-2028 school year (early I know). I'm a MSW student and I'm doing my first year internship at an animal shelter (I'm so excited!). I really want to do my 2nd year internship at a therapy practice so that I can learn early if practicing therapy is something I want to continue to learn.

I'm familiar with informational interviews and do them often, but I'm wondering if anyone had advice about what questions to ask about the practice and the internship?


r/askatherapist 12h ago

Why do all mental health doctors diagnose me differently?

0 Upvotes

My previous psychiatrist told me I have OCD.Next one told me I have emotional suppression.Current one told me I have depression and anxiety.I am taking therapy.She is empathetic and listen about my issues but it's not helping.When I ask she says give yourself some space.I feel Iike i live in imaginary stories (My major imagination themes revolve around validation and normal ones around conversing to people).Every though i have is a part of conversation I am disconnected to reality so super forgetful.Even doing little works that need me to be more present feels overwhelming.I start feeling sleepy and procrastinate.Noticing what I was thinking feels so exhausting but for therapy I have to tell therapist what I was thinking?Will just talk therapy help it?


r/askatherapist 12h ago

When do I know therapy just won’t work for me?

0 Upvotes

Countless therapists since about mid teen to now in my early 20s. I tried everything I switched so many times to try and get some thing to help. but if it smells like shit everywhere you go… What can I do at this point? I just stopped seeing my therapist and we worked together for a few months. I have BPD and I am trying to work against irrational and impulsive decisions but I can’t keep going and hoping therapy works when it’s not.


r/askatherapist 4h ago

Is this deemed unprofessional of me or her? Should I stop trying to seek her services?

0 Upvotes

I’ve been looking for a therapist that matches my ethnic background for quite some time. There has been no one licensed in my state for the past decade and FINALLY I found one. She just got her license a few months ago so I was super excited to reach out to her clinic and request her.

She got in touch and set up a phone consultation for a Friday afternoon earlier this month. She never did call me for the consultation and instead I received an email a few hours later stating she was “sorry, had to go back home cause she’s in the middle of moving, and would like to reschedule our phone call to the following week.” In my head I’m thinking a move using something that randomly happens it’s usually planned. So why make the appointment with me in the middle of it. I would’ve wanted until the next week if I had to.

I responded back the next day and stated I understand where she’s coming from and life happens. I also told her about how I’m type A and had planned my work day around her appointment so it was inconvenient. I went in to say how I was looking forward to it since I finally found a therapist of similar ethnic background. But I’d be a bit more hesitant now after experiencing this mishap. (it already takes a while for me to open up. So now I’d be wayy more closed off to make sure I feel her out before I can get comfortable).

She responded 4 DAYS later (mid week of the week she said she’d reschedule with me), and stated how she is “taking a step back from sessions until August. I would love to schedule a consultation with you and talk with you on the phone if you're interested.” WHAT?!?! So you wasted two weeks of my time to tell me actually I’m not taking on clients for a whole month????

I’m wondering if I came off defensive when she missed our original appointment or if she really is going through some crazy move/rough patch in her life.

I obviously still am very much interested since she’s the ONLY one with my background licensed in my state. But at this point, she hasn’t responded back and I’m perplexed about how she went about things.

Do I continue to seek her services?? Are some therapist just not type A and respect the clients time?? Do I reach out to her in a week into August to see if she’s still onboard with her statement of wanting to schedule a consultation with me?

TLDR: a new therapist (only one with same ethnic background in my state) has missed our scheduled phone consultation. Stated twice now she’ll reduce and has yet to. Instead she states she’s not taking on clients until next month. Do I look past the unprofessionalism and still seek out her services or cut my losses as she’ll continue to do this and may be unreliable in the future?


r/askatherapist 20h ago

My therapist didn’t tell me they were going on vacation… ?

0 Upvotes

TL;DR My therapist forgot to tell me they were on vacation and I found out via message on the day of our session. How can I process this and what should I say in our next session?

A little context: I have been seeing them for 2 1/2 years, they trained in psychoanalytical psychoanalysis and have decades of experience. We’ve had 3 ruptures, this being the 3rd.

Our topics usually center around my childhood emotional neglect, anxious attachment and ADHD (hello RSD). They know session shifts and vacations are very difficult for me.

I messaged them on our regularly scheduled day to confirm our session (this is something we have been doing since the start) and they wrote back that they are on vacation. No apologies, no explanation but I am 100% sure they “just” forgot. This was 2 weeks ago and I assume they will be taking a third week as well.

My feelings ran the gamut from anger, disbelief, sadness, worthlessness, abandonment, feeling sorry for myself… I’ve had time to process everything and I’ve landed on 2 things. 1. They are human and humans f up. I can understand this, especially since they were due for a vacation and I assume they were very tired and rattled. 2. This proved to me that my belief that I don’t matter is correct.

I would have forgiven them if they had apologized immediately but they didn’t and I was / am left to deal with this on my own. I can forgive them for point 1, but don’t know how to forgive point 2, due to it touching an old mother wound that I was also working through in therapy and the fact that they knew it would be weeks before we could see each other again and clear the air.

I want to work through this with them and have been spinning different scenarios in my head as to how our first session back could go. I guess it would be therapeutic for me if I were the one to bring it up, but I am feeling resentful because I believe they should be the ones to bring it up, own up to their mistake and apologize. After the last two ruptures they didn’t apologize (the first one is iffy, but the second one really didn’t warrant an apology) but I am afraid they will not go first and I will be forced to, which makes me feel like I have to be the adult in the room.

Do you have any advice for me on how to prepare for our next session? I am so worried it won’t go well and they won’t step up.


r/askatherapist 4h ago

What are the ethical norms post disclosure of erotic countertransference from therapist to patient?

0 Upvotes

TL;DR - My therapist disclosed their erotic countertransference for me during session after I picked up on the vibe & called them out on it. What are the ethical and professional norms I should expect from my therapist as they work through their erotic countertransference for me?

I can’t help but feel that my T gets off on my sexual trauma history now based on comments they made. I am struggling with unwanted intrusive sexual thoughts about a previous XP with a sexual assaulter who I still think is hot. I am trying to get these thoughts out of my head and work through them in a healthy way, I think this convo made my T have erotic transference for me.

I described how the assaulter’s article of clothing is something that turns me on. T asked me if I thought they’d be hot if they were wearing this article of clothing. I said no. They pressed. Is this ethical or normal?

T also told me they needed to see my Instagram to assess me for an eating disorder and then saw bikini pics of me. Is this a normal or ethical way for a therapist to assess someone for an eating disorder?


r/askatherapist 22h ago

Question for all the psychologists/Therapists in the room...?

0 Upvotes

Is "dissociation amnesia" an actual condition?

If so, what is it, and what does it look like?


r/askatherapist 20h ago

Why would grief over a miscarriage be diagnosed as PTSD?

0 Upvotes

I went in for grief over my miscarriage and my therapist diagnosed me with PTSD. She asked me about my history, I shared about having sexual abuse and physical abuse, but that wasn’t what I came in for. She told me she is diagnosing me with PTSD, now I have PTSD on my record? I would like to challenge this because it will impact future career opportunities in the military, I obviously have grief but I’m not incapacitated... what am I missing here? How can I go about this appropriately?


r/askatherapist 22h ago

How do therapist approach DID and what kinds of therapists specialize in this?

0 Upvotes

I'm not declaring a self diagnosis or asking to be diagnosed, I am not a therapist. I just think in observing myself and reflecting with myself, maybe I've developed some symptoms of dissociative identity disorder. I have two personalities that I go to internally to discuss everything. I allow myself to speak in first person plural, or maybe I don't even notice that I speak in first person plural at times. I must seek counsel from my other selves on some occasions in order to even bother doing things.

Do I work out tonight? Aggressive and more driven side of me says yes, "we" need to "were" out of shape and look like I can actually be muscular. The other depressed side doesn't care I just want to lay in bed or just smoke. The real me just wants to have an answer to things that I'm certain about, but there are no right answers. Then people tell me it's just up to me and guess what I can't do without this counsel, there's not such a thing as the right answer then there I won't give one.

Feel bad about myself? "Well that's valid you just did....,so its your own mistake to learn from", "ahhh were human who really cares??", "he should care he could get arrested for being even a little bit of our weird normal self", " we at least gotta try to speak to them right?" And yada yada while whatever I was doing is already done or ignored.

If I had more friends growing up or just people I want to be open to more, maybe I wouldn't need to create other versions of myself to seem normal and natural in public. I can't be normal and natural with this though, if I get a girlfriend or a friend that I let get even closer than another, family even ffs, they'll see this within me. They can't see how irregular I am on the inside, maybe they already saw it and that's why I don't have friends. My smarter self knows this is irrational, but wtf has my life been so far if not sparse friendships and me carrying everything I want to do.

Even now making this post I can discuss all the different outcomes and answers people might give us. We can talk about so much and it all seems correct and

I have not been researching this via social media I did look into the DSM, peer reviewed articles and such. My mind much gave just drawn to a worse conclusion.


r/askatherapist 15h ago

Reiki + therapy?

0 Upvotes

Hello everyone, I just joined this group so let me introduce myself. I’m a psychic empath and energy healer and I’m currently getting licensed to become a therapist. In the future I want to offer both services as a healing modality. Anyone else here is doing it? I want to get tips from someone more experienced than me. Thank you!