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Confused about situation with my therapist

112 replies

TerracottaWorrier · 13/01/2025 17:27

It's long, but it's got paragraphs 😉

I have online therapy twice a week for trauma. Being abused and neglected as a child. Domestic violence. Cheerful stuff. I've been talking to my therapist since the summer and it's been really good for me. I've begun to trust him more and more and show more of myself to him without feeling scared.

This year has seen a lot of upheaval for me but I'm days away from moving to the other side of the world for work. I've spent most of my adult life doing this but this is the first one I'll do alone, since I'm now divorced. My therapist knows this, of course.

We usually have our sessions on Monday and Friday. Last Thursday evening he messaged me and asked if we could move our Friday session to Saturday. I suggested we just wait until Monday instead (because honestly I feel a bit gross about being so needy that my poor therapist would work weekends).

Previously when we rescheduled (generally moving our session a couple of hours backwards or forwards) he would refund the booked session and set it back up as a new one, which I expected to happen this time, as usual. But Friday came and the session wasn't cancelled or refunded and I was still getting reminders through the app that it was scheduled. I ignored this but it felt a bit odd.

All through Saturday I expected a message giving me a time for Monday (today) but I didn't receive one, and all through yesterday I felt very anxious anticipating it since it was so late. At 7 pm yesterday I contacted him on WhatsApp asking what time our session was and although he read the message, he didn't reply.

Finally, at midnight last night I messaged him again and said I assumed Monday's session wasn't going ahead and asked that he refund me for Friday's session which he had cancelled. He replied immediately and apologised and said he was just about to set up his bookings for the week. It's worth bearing in mind that we're on different parts of the planet so it was earlier in the day for him than it was for me.

But by this point I was actually furious. And distressed. I have a lot of little and probably somewhat inconsequential things I need to do before I leave, like get new nails and my eyebrows sorted. These kinds of things need booking and I wasn't able to get them done Friday because he cancelled too late for me to know I'd have the day free, and I wasn't able to book anything for today because I didn't know what time our session was going to be or if it was even going ahead.

My therapist seemed quite surprised that I was as upset as I was, and originally I didn't want to continue with him as my therapist because I felt really very hurt that he was being so casual with my time and also leaving me on read on WhatsApp when I tried to clarify. In the process of our WhatsApp discussion last night, he sent me a message which had been written by chatgpt and which had evidently been done in this manner because he accidentally pasted chatgpt's intro when he sent it to me. I was pissy and told him maybe me and chatgpt could just figure it out between us. He's not a native English speaker although he is fluent in English, but he said he was using chatgpt to guarantee his grammar.

Eventually I agreed to have today's session as normal.

We spoke about all this a bit in our session today, but I feel in some ways worse for doing so. I've had a lot of relationships with men who lie to me or gaslight me, who neglect my needs, who minimise their actions or their effect on me, and my therapist has been the person who has helped me see this pattern. I tend to stay in relationships with these men because I'm scared of being alone or think I'm being too hasty in cutting them off. But I feel like I'm now in a similar dynamic with my therapist. I do think his actions were unreasonable and unprofessional.

I felt anguish when he told me the reason he'd acted this way was because his elderly mother had had a fall, but I also felt quite sick because I feel like I don't want to carry any of his emotional burden. Previously, I have worked through quite extreme anxiety before telling him about sexual abuse I experienced as a child and most of my anxiety about telling him was not wanting to burden another human with the knowledge. I managed to do that by somewhat dehumanising him, I suppose. I was hoping at some point to talk through with him that one time I got anally raped in 2023, but I need him to not have feelings in order for me to do this. Now I feel like he has feelings and they are something I'm meant to be able to give space to. And I just cannot. I don't want to. I do not burden my students with my private life ever ever ever, because I want to be a safe space for them. I feel like he's not a safe space for me now he's a guy whose mum falls over and who uses chatgpt to reply to me and who leaves me on read and who stole my final two free days in the UK by not being reliable.

But I'm scared of moving into this new stage of my life without his support. But I feel deeply uncomfortable with how similar this feels to every other time I've been let down by a man and accepted it because I was scared of being without them or because I felt bad for them.

Of all the weeks that my therapist could have done this, this is probably the hardest for it to happen in. I feel like I've compromised my values in order to ensure his ongoing support of me. I thought by paying all this money to someone neutral I wouldn't end up feeling hurt or exploited, but I do. Am I being too sensitive?

For extra context, he is a very experienced and very very qualified therapist. I'm lucky to have such a fancy therapist. He is usually lovely and totally supports me in being me, and I have felt much stronger and more sure of myself since we started working together. But fuck. He feels like just another guy who got my trust and then shit on me at the moment.

Can I have some perspective, please?

OP posts:
Loonaandalf · 14/01/2025 21:46

GMF · 14/01/2025 19:54

@TerracottaWorrier that is quite an unusual way of contracting & many would say an unboundaried way of working. I think you need certainty & consistency & would personally as another PP mentioned raise how much of a concern it is for you & request a regular schedule on the same days per week & the same time moving forwards. I mean I’d feel anxious with this arrangement if it were my hairdresser let alone my therapy! He should be managing these boundaries & keeping the whole thing secure that’s his job. FWIW.

I agree, it’s very unboundaried and I suspect because he’s in another country with lax guidelines and professionalism around therapeutic relationships. OP are you sure he’s a qualified psychotherapist or is he a counsellor? Some countries allow people to claim they are therapists without formal professional registration. I ask because he seems so chill and has not contained your relationship.

sunshine244 · 14/01/2025 21:44

Personally I wouldn't be involved with therapy that wasn't on a regular schedule. The routine and predictability of sessions I've always found helpful (although occasional changes are of course fine too).

I do think it's unreasonable you would expect a reply over the weekend. If it was me I would have asked what the time was for Monday at the point the previous session was booked and if that didn't work leave it until Monday.

I have had a lot of childhood and DV trauma to unpick. My most recent therapist was absolutely amazing but insisted on time limited sessions (a few months). Partly due to stopping dependency but she also said it gives time to really fully reflect and consider progress. I was annoyed at the time as I felt the sessions ended before we had covered everything I wanted. But actually a year later I can absolutely see it's been the best thing. I can return if I want but so far I don't need to. I've realised that the coping skills and areas we worked on can be adapted to consider other issues we didn't work on. Perhaps taking a break would be something to consider?

Loonaandalf · 14/01/2025 21:42

Balloonhearts · 14/01/2025 11:40

That actually isn't the case. NHS therapy is very very different to private practice. Therapists in private practice deal with you directly, not through an office and its very normal to text regarding scheduling conflicts. Even in NHS therapy, I had my therapists number and could message him if I was stuck in traffic.

Many private therapists work from their homes and see clients in person there.

Any relationship dealing with people's emotions and mental health is going to be deeper and more emotionally fraught than what you would have with, say, a doctor or beautician.

Therapy relies on a strong bond between you and the therapist. Not so much for things like CBT, you can do that from a workbook but trauma therapy and attachment work is very different.

She is overreacting in a normal way for the stage of therapy she is at and her therapist appears to be perfectly capable of handling that. Boundaries are his job, not hers.

Edit: I also second the poster who says that female therapists are not automatically better for female clients. I've had 2 of each. Both the women were useless and judgemental and had no understanding of PTSD whatsoever.

One man was really kind and understanding but lacked experience to handle trauma and the other man has been the best accidental decision I ever made, even going out of his way to sign up for extra training specifically because he didn't know how best to help me.

Female to female isn't always the best choice.

Edited

It is the case, I work in the field. I would be violating nhs professional and therapeutic guidelines if I was to text my clients unless it was just an automated admin message to confirm or cancel an appointment. Anyway it’s not the point here, there is something off with the boundaries here, the OP’s emotions/ boundaries/ vulnerability have not been contained well.

MummySam2017 · 14/01/2025 21:31

CorsicaDreaming · 14/01/2025 20:53

Good luck with your journey OP. I hope it goes well. Focus your energy on that at the moment it sounds like a huge upheaval for you 💐

I agree. You’ve got a big change ahead of you, so it makes sense to put your therapy to the side whilst you adjust and revisit it when you have the capacity to. Best of luck, OP x

CorsicaDreaming · 14/01/2025 20:53

Good luck with your journey OP. I hope it goes well. Focus your energy on that at the moment it sounds like a huge upheaval for you 💐

TerracottaWorrier · 14/01/2025 20:27

Honestly, I feel like I don't have the mental space to give to my relationship with my therapist right now. I'm trying to move to the other side of the world in around 36 hours time. Maybe this will be a great moment in my therapy journey or maybe he's playing fast and loose with the dynamic. I have another session booked and paid for at a totally arbitrary time on Friday which I'm probably not going to be able to attend since I'm still going to be on a plane most likely, but the whole thing felt so sketchy and sad yesterday that I didn't have the energy to say anything other than OK when he suggested we book it and then I can just cancel if I can't make it.

OP posts:
TiredEyesToday · 14/01/2025 20:05

As you know, OP, a large part of psychotherapy is the dynamic between the patient and the therapist. I too needed a “perfect” therapist (abandonment issues, ptsd etc all stemming from inadequate/abusive parents) and needed my (older, female) therapist to be the safe reliable mother figure id never experienced. So when she (once) fucked up, saying something that showed she hadn’t understood what I meant, it felt like a major betrayal.

However -

it was actually a really good opportunity to work through- in a healthy, well boundaried way, with an expert- how to navigate a scenario / dynamic shift like that, that would inevitably come up again in my life outside of therapy. So although ir did change the tenor of my sessions with that therapist, I realize now it moved them into a new phase- a phase where I was preparing to take my “new” perspective/ psychological tools and awareness, and apply them.

Could this be a new stage of your therapy journey too?

GMF · 14/01/2025 19:54

@TerracottaWorrier that is quite an unusual way of contracting & many would say an unboundaried way of working. I think you need certainty & consistency & would personally as another PP mentioned raise how much of a concern it is for you & request a regular schedule on the same days per week & the same time moving forwards. I mean I’d feel anxious with this arrangement if it were my hairdresser let alone my therapy! He should be managing these boundaries & keeping the whole thing secure that’s his job. FWIW.

crinkletits · 14/01/2025 19:43

Is there a possibility that you've swung the other way. Not in being too sensitive but looking at situations with new and fresh eyes when you're just learning the ropes with these new eyes? How would you have felt both these circumstances before any therapy?

TerracottaWorrier · 14/01/2025 17:44

@GMF our only agreement is I see him twice a week. At the end of our session he suggests a day for our next session and I say if that works and any time constraints I might have. He then sets it up on the system at his convenience and I confirm and pay. I don't specifically know what time the session is until I get sent the notification.

I find it stunningly relaxed and don't love it being like this. But I have always assumed that this comes down to a cultural difference.

OP posts:
GMF · 14/01/2025 17:25

OP can I just what is your agreement re when & how you have your sessions? Are you given a fixed time every week for eg? Why do you have to wait until a certain day to know the time of your appointment? Also how comfortable are you with him offering weekend options? From the start have you had to change times & dates? Just curious as to the nature of the arrangement.

TerracottaWorrier · 14/01/2025 16:54

CorsicaDreaming · 14/01/2025 16:49

I think @TanginaBarrons makes some really valid points @TerracottaWorrier - would you be able to let him read this thread and then work through the issues with you?

The fact you want to mask how angry you feel and not tell him (although I agree with you, not go off on one, but allow him to know how deeply this has affected you) is probably really important for your ongoing therapeutic work with him. He doesn't have a crystal ball so unless you tell him, the importance of this may get overlooked in your upcoming move and his focus on supporting his mother.

I have told him I'm pissed off. He said, what are thinking right now?, and I said, I'm thinking that I'm annoyed with you, and then we discussed it.

I may read parts of this thread to him if I can't articulate my thoughts any more elegantly, but I'm not showing him it. I don't want him to know any of my social media particularly.

OP posts:
CorsicaDreaming · 14/01/2025 16:49

I think @TanginaBarrons makes some really valid points @TerracottaWorrier - would you be able to let him read this thread and then work through the issues with you?

The fact you want to mask how angry you feel and not tell him (although I agree with you, not go off on one, but allow him to know how deeply this has affected you) is probably really important for your ongoing therapeutic work with him. He doesn't have a crystal ball so unless you tell him, the importance of this may get overlooked in your upcoming move and his focus on supporting his mother.

TerracottaWorrier · 14/01/2025 14:57

LoyalMember · 14/01/2025 14:13

Therapists have families, lives, and problems like everybody else. It's not helpful you going off on one at him.

Edited

Where did I say that I went off on one to him? I was very polite when I told him I was upset. My fury is not something I would impose on him. It was something I felt not something I acted out.

OP posts:
TanginaBarrons · 14/01/2025 14:38

There is a huge amount of transference going on for you here. I am a therapist and hope that I would recognise this and be working through it with you. Your expectations of the therapeutic relationship are inappropriate and clearly much work needs to be done. Whether he is the therapist to work through this with you, I don't know.

I would suggest you bring up all that you have written in this thread with him - if he is as well qualified and experienced as you say he should be able to decide how to go forward with you after this rupture but he does need to know how you feel. You certainly can't just go back to "business as usual".

Sparko99 · 14/01/2025 14:28

Personally I think the most healing thing for you is to work through this with him. Your experience in the past I'm guessing it's that people who've let down haven't validated your rightful hurt feelings. I t sounds like your therapist is willing to take responsibility for letting you down.

Chipsahoy · 14/01/2025 14:19

Just another thought, I hate not having my therapy at set times and day. My newest therapist, he would schedule people into what I considered to be my a lot and it really bothered me. So I told him that it bothered me. And now I have it every week same time, with the understanding that should he need to change it to another long term slot that’s ok, but I don’t want chopping and changing.
Could you ask for a fixed slot?

LoyalMember · 14/01/2025 14:13

Therapists have families, lives, and problems like everybody else. It's not helpful you going off on one at him.

Chipsahoy · 14/01/2025 14:11

This is a rupture and should he be a decent therapist, working through it could very well strengthen your relationship.
I’ve had extensive therapy for childhood and adult sexual trauma and abandonment.
My main therapist for the trauma, I was with 6 years. He’s human. He messed up a few times. He also had to learn what would really trigger and make allowances. And further more work on those triggers.

My suggestion would be to be completely honest. And work through it. Any therapist worth their salt, should welcome all feedback and should work through your issues as to why you’ve reacted how you have but also to repair his rupture in the relationship.. by being sure to communicate better about sessions going forward.

metoo62 · 14/01/2025 13:02

TerracottaWorrier · 14/01/2025 11:44

And he does have to reply to me outside of fucking work hours if he fails to schedule our next appointment. Or he can refund me. But he cannot just keep my cash and expect I'll be available whenever is next good for him.

You don't know why he didn't. If he was in the middle of a emergency, maybe he sorted things with his clients out as soon as he could. He has refunded you now, so move on, and get another therapist. It is very clear you actually don't trust him, and that you feel betrayed because you really believe he couldn't be bother, instead of believing the most plausible explanation that it is that he wasn't able to until later due to an emergency. You are too emotionally involved with this therapist. It isn't healthy to feel like this because in an emergency he could not text you to rearrange an appointment.

Jellycatspyjamas · 14/01/2025 11:55

in the UK you would never text your therapist, not in the NHS anyway, you’d be lucky to even get an email response, rescheduling should be done over the phone with number withheld. Conversation outside sessions should be brief/ minimal. You are over reacting OP and you are not treating this as a professional relationship.

It’s perfectly normal to phone, text and email a therapist in the UK, the NHS model isn’t relevant to private practice. While conversations outside of session may be limited, they need to be long and detailed enough to deal with the matter at hand.

A professional therapy relationship is quite different to any other in that it is both personal and professional. Depending on the type of therapy all the thoughts, dynamics and misgivings that are part and parcel of relationships show themselves. In the context of a therapeutic relationship the OP isn’t overreacting, she’s reacting in a way that is consistent for - which is what happens in therapy. It’s then the therapists job to work with that reaction to repair the relationship. Treating therapy like a GP appointment just doesn’t work, which is one of the problems with the NHS model.

ChoccieCornflake · 14/01/2025 11:47

Nothing useful to add regarding the therapist, but a massive WELL DONE for recognizing your feelings and the reasons for them, and working through them rather than acting immediately. That level of insight into yourself is really rare and shows how good a job you are doing in healing yourself! Onwards and upwards, and may 2025 and your new move be fabulous for you!!

And some unmumsnetty hugs, just in case you need some

TerracottaWorrier · 14/01/2025 11:44

And he does have to reply to me outside of fucking work hours if he fails to schedule our next appointment. Or he can refund me. But he cannot just keep my cash and expect I'll be available whenever is next good for him.

OP posts:
Jellycatspyjamas · 14/01/2025 11:43

I sometimes do online tuition sessions and I think my agency would be very annoyed if I cancelled a session without refunding or rescheduling. I also think the time to tell me he had a family emergency (if he wanted to) was when he cancelled on Thursday night, not when we had our session yesterday. And I think he should have replied to my message when he read it, even if it was just to tell me he would set up the session later.

In an ideal world he would have responded exactly as you describe however we don’t live in that world. He may not have been able to tell you about his mum when cancelling the meeting - he may have been upset and focussed on clearing his diary. It’s likely he checked his WhatsApp to check for anything urgent, but didn’t have capacity to respond to anything less urgent.

I remember needing to phone clients to cancel sessions at very short notice. It was all I could do to say I needed to reschedule, I couldn’t explain why because it was too immediate and I’m sure my clients found it difficult. I needed to do it because my client list is confidential so I couldn’t have someone else take care of it who might have been more on top of things. It’s very hard, and you need what you need but sometimes it’s just not possible to focus on your work practices when you’re dealing with a personal crisis.

Balloonhearts · 14/01/2025 11:40

Loonaandalf · 14/01/2025 03:19

There’s a lack of boundaries here on your part OP and the therapist could do more to instil boundaries also. He shouldn’t be texting you, but I know other countries have relaxed guidelines regarding this, in the UK you would never text your therapist, not in the NHS anyway, you’d be lucky to even get an email response, rescheduling should be done over the phone with number withheld. Conversation outside sessions should be brief/ minimal. You are over reacting OP and you are not treating this as a professional relationship.

That actually isn't the case. NHS therapy is very very different to private practice. Therapists in private practice deal with you directly, not through an office and its very normal to text regarding scheduling conflicts. Even in NHS therapy, I had my therapists number and could message him if I was stuck in traffic.

Many private therapists work from their homes and see clients in person there.

Any relationship dealing with people's emotions and mental health is going to be deeper and more emotionally fraught than what you would have with, say, a doctor or beautician.

Therapy relies on a strong bond between you and the therapist. Not so much for things like CBT, you can do that from a workbook but trauma therapy and attachment work is very different.

She is overreacting in a normal way for the stage of therapy she is at and her therapist appears to be perfectly capable of handling that. Boundaries are his job, not hers.

Edit: I also second the poster who says that female therapists are not automatically better for female clients. I've had 2 of each. Both the women were useless and judgemental and had no understanding of PTSD whatsoever.

One man was really kind and understanding but lacked experience to handle trauma and the other man has been the best accidental decision I ever made, even going out of his way to sign up for extra training specifically because he didn't know how best to help me.

Female to female isn't always the best choice.

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