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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Looney Tunes on July 8, 2008, at 20:02:46
As most of you know, I left my old T after a time period of 6 months of bickering, anger, and just down right feeling horrible in "the relationship" and worse about myself.
Note: The only other T that I had as an adult, I had a great relationship with, but I found "by accident." I was hospitalized and met that T. Needless to say, I worked with him for many years and he "knew how to handle me."
I have no idea how to find another T that can "handle me?" Do I contact EAP or just pick up the phone and call and ask about their expertise? I thought that the ex-T worked with "people like me" but he later told me that he had not in a long time. I DON'T WANT to GO THROUGH THAT AGAIN. :(
Any advice for finding a T for a "difficult client?"
(PTSD/BPD/dissociates/eating disorder/self-harm, foster kid with major trust issues)Thanks everyone.
Posted by Looney Tunes on July 8, 2008, at 20:04:17
In reply to Searching for a new T -for a DIFFICULT client, posted by Looney Tunes on July 8, 2008, at 20:02:46
...with the "difficult," but that is what he said all the time...so I used it.
Posted by Fallsfall on July 8, 2008, at 20:18:24
In reply to Searching for a new T -for a DIFFICULT client, posted by Looney Tunes on July 8, 2008, at 20:02:46
http://www.dr-bob.org/babble/psycho/20031213/msgs/290414.html
Hi Looney Tunes,
I wrote this post a while ago, but some people have found it to be helpful.
I would also suggest that you talk to the therapist with whom you were successful about what type of therapy will be most helpful for you.
If you have BPD, look into DBT therapy. It is based on "Skills Training Manual for Treating Borderline Personality Disorder". She also wrote a text on the subject. Though I see that there are a lot of newer books on the subject. I did DBT 13 years ago and it was helpful to me.
Some people do well with Cognitive Behavioral therapy, others do better with Psychodynamic therapy, or interpersonal therapy, and there are other kinds too.
Do interview potential therapists and trust your instincts. You seem well motivated to make good use of therapy.
Good luck!!
Falls
Posted by Lucie Lu on July 9, 2008, at 20:22:35
In reply to Searching for a new T -for a DIFFICULT client, posted by Looney Tunes on July 8, 2008, at 20:02:46
LT I still cannot get over a T who would have the nerve to tell a client, over and over, that he/she was "a difficult client." If he finds you difficult, isn't it just as likely that his professional abilities are, shall we say, limited? Anyway, clearly, you were not a good match. Dump him.
FF made some really good suggestions. Since you do seem motivated, you could take it upon yourself to learn about different types of therapy used to treat BPD. Many people have found DBT very helpful. (Note that I am not even agreeing about this diagnosis, it's just a place to start.) Whatever the diagnosis, from what you say you do have a trauma background. There are Ts who specialize in trauma and have a lot of experience in that area. You might look into that maybe try calling your state branch of the APA (American Psychological Assoc) and ask if there are trauma Ts in your area. But it shouldn't be necessary there are plenty of excellent Ts who should be able to deal quite well with trauma clients without specializing as such.
Another thing you might try is to schedule a meeting or two with a T (again maybe get a name from the APA?) with the goal of reviewing your history, issues and what you're working on, and together trying to identify what type(s) of therapy might work best for you? If the visit is framed as a "consult" then you both might feel more comfortable and able to be objective rather than both wondering whether you two could necessarily work together. Insurance coverage also might be an issue, in which case that would probably affect the types of therapy you could most comfortably afford and would have to be one of your considerations.
Anyway, good luck LT and keep us posted!
Lucie
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