Dear Future Therapist,
I need to write you this letter because I feel I owe it to you to know what you’re in for. I’ll understand if you choose not to work with me. I can be a difficult client to work with. I recognize this and try my best to be open and honest; but sometimes, my triggers and my thoughts get the better of me. I ask for your patience. I’m not so easily persuaded to “speak my mind.” In fact, oftentimes, I struggle to speak at all. First and foremost, I will need your help in reminding me that I am there to work through difficult “stuff” and talking about these experiences will lessen their hold over me. At least, I’m assuming that this is the goal of therapy. Correct me if I am wrong.
I have a long history of psychiatric instability — a total of 10 hospitalizations for psychiatric emergencies and 4 attempts to take my own life. I have worked with more therapists than I can remember, but none have managed to break through that protective barrier I place between me and the world. I do not trust easily. It may take longer than we have to work together for me trust you completely. My only hope is that I find some benefit in working with you. I will question the process of therapy throughout our time together. Recognize this as an attempt on my part to avoid certain topics. Remind me that I told you this when the need arises. I can’t guarantee you that this will help because more often than not, I will “flee my mind” rather than confront the obvious. Help me understand why I do this.
I am stubborn to a fault. In this case I need a firm hand to call me out on such behavior. I guarantee you that I am more frightened to “express” my anger than you are to provoke it. I once had a therapist tell me that being strong-willed is not a character flaw. While that may be true, my stubbornness is not always a demonstration of strong will but sometimes, a defense mechanism to avoid taking responsibility.
I’ve lived through a great many painful experiences, some truly traumatic for me. I desperately need to work through these in order to “move on” in my life. I’ve been “stuck” for far too long. Try as I might, I haven’t been able to do that alone. I need help. I wish I could offer you some helpful suggestions or insight in this task, but I’m afraid that it is up to you to find an approach that will benefit my progress in helping me help myself. I’m out of ideas. I don’t understand the concept of “letting go.” It’s as foreign to me as “forgiveness” because I see no executable action in either. Help me understand exactly what these mean.
I’m overly sensitive. I rely on my intuition completely to guide me through this messed up world. I may not show them often but know that my emotions are locked up tighter than the vault at Fort Knox, yet I trust that these parts of myself hold great wisdom. If you can reach them, that is far more than most have been able to do. I do, however, need help in recognizing when I am being irrational. Too often I find myself drowning in the depths of that rabbit hole, unable to see the light of day. I’ve been told in the past that I dissociate from my emotions. I don’t recognize when I do this. In advance, I’m sorry. Please, again, have patience with me and help me recognize my triggers. Also, I may not always recognize exactly what emotion I am feeling. Continuously ask me to identify, label them. Teach me how to properly “process” emotions. I want to understand.
I often experience my thoughts as loud voices. I usually won’t express this or so much as talk about them. I haven’t in the past due to fears and anxiety surrounding the stigma attached to “hearing voices.” I leave it up to you whether or not to address this. I may never verbally express my concerns over this, but these fears are more disturbing than the voices themselves. My “inner voices” have an obsession with death, dying, and suicide. I’ve found that if I practice mindfulness, acknowledge but don’t engage these lines of thought, I can usually distract myself into a more positive mindset. I may or may not need assistance in guiding these thoughts to more productive areas of interest like art, music, or writing. Creativity is most certainly the most beneficial and rewarding avenues to divert my attention away from this line of thinking. Give me assignments to distract me when needed. Guide my thoughts.
At this time in my life, I won’t deny that I’m struggling. I know that I am. Most days, I don’t even care if I live or die; but I desperately need someone in my life to say, “Stop. Think about this for a minute. You are not (or are) thinking rationally about this. Let’s take a different perspective.” I’ve isolated for many, many years. Know that this won’t be easy for either you or me. But if you’re willing, I need — I want — the help.
Thank you for your consideration,
This post was inspired by Girl In Therapy’s post DEAR POTENTIAL THERAPIST… To her, I will say: Thank you for reminding me that letter writing is one of the most effective methods of purging the mind of frustration. It’s also an excellent healing technique. Truly, thank you. This felt good to write. Maybe, it will even help me when it comes to my next therapy experience, should I ever consider taking that on again.
On a side-note, today I was asked, “How are you?” by a department store clerk. After answering my usual, “I’m doing okay. How are you?” She answered, “Blessed and highly favored.” I thought to myself and said as much to her, “What a wonderful sentiment. I like that.” In my mind, I see that statement as a faith confession. I’m often on the look-out for statements such as this. It’s not overly religious. Rather, it’s a statement of intention. And, yeah, I really like that. She told me to feel free to use it. I think I just might.