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Relationships

Mumsnet has not checked the qualifications of anyone posting here. If you need help urgently or expert advice, please see our domestic violence webguide and/or relationships webguide. Many Mumsnetters experiencing domestic abuse have found this thread helpful: Listen up, everybody

Is paid therapy worth it?

32 replies

Minihippyme89 · 05/05/2023 18:52

I really need to get some professional help to help me get over a lifetime of issues. I am already on antidepressants but I need talking therapy. This is something i have never done before. NHS waiting times are far too long, I want to start getting help and feeling better so I can get on with my life asap so I am willing to pay for this.

The reason I ask if paying is worth it is because my abusive exhusband went to counselling when I ended our marriage. Obviously I don’t know what he told them but he came away blaming me for absolutely everything. I told him at the time you have basically paid someone to tell you what you want to hear. I don’t want someone to tell me what I want to hear, I want to get genuine help for my problems even if they tell me things I don’t want to hear. But I don’t want to spend a lot of money on something that won’t help. Can anyone who has been through this advise please. Thank you for reading.

OP posts:
Spirographcity · 06/05/2023 16:26

Theconceptoftime · 06/05/2023 09:49

I can see how passionate you are so it makes sense that you will blindly defend therapy. I do think it can be dangerous in certain circumstances. There is a lot of evidence that suggests counselling can make some people worse.

I don't always think it is down to the therapist either. Say you have an abuser that goes to therapy. Even if the therapist challenges them it isn't always about the therapist. Some people will just hold on to the bits from therapy they want to believe, such as their feelings being validated but forget their behaviour being challenged. Some people just don't have the social and emotional capacity to come out of therapy with a clear and balanced understanding. These individual factors are just yet one other thing.

I don't think it is all bad and I have seen the wonders therapy can do. I have had so much lovely feedback from clients and supervisors too. The OP was especially considering the point of people paying to be told want they want to hear. Some people only hear what they want to hear. Hence, we have been discussing this point in particular.

I do think that in order for any service to provide a good service it needs to be constantly questioned though. It isn't just about there being a couple of bad practitioners making a whole service bad. It is thinking how can we go about addressing these possible factors if they are indeed factors?

Like I say I am just questioning myself at the moment. I don't know if as society we are placing too much emphasis on placing problems on the individual. I'm questioning it all. It doesn't mean that anyone is wrong or right and people are free to choose what they feel is best for them.

I was not blindly defending therapy but I can see how that fits into your narrative. I was redressing the balance of your unreasonably negative view. I didn't say it could never be dangerous but your earlier posts do not reflect any positive outcomes. I accept that counselling doesn't work for everyone and not all therapists work ethically and safely but that is the same for many treatments.

As for abusers, you wouldn't work the same way with them as with someone who was a victim of abuse. There would be far less validation, for example, and more challenge. As the OP describes herself as being previously in an abusive relationship, your example is hardly relevant.

If you'd said in your original posts that counselling isn't for everyone and you may find it doesn't work for you but for many people it really helps, then I wouldn't have disagreed with you.

Part of reflective practice is constantly questioning the service you provide and checking in with your clients and in your supervision, so yes counsellors do do this.

As for too much emphasis going on individual responsibility rather than society, I would agree with this, however, improving one person's life can have a knock on effect. So someone with complex grief who is a parent, will impact on their children's life, their partner's life, their work colleagues and their friends. Helping someone relieve themselves of their grief can improve the lives of a number of people as a knock on effect. It's not really the responsibility of counsellors to change society but they can enhance the lives of more than just the clients they see.

Cranarc · 06/05/2023 17:40

I've been doing therapy privately for about 9 months. I knew the initial problem lay with my childhood but had no idea how to process any of it or how to address my emotional reactions now. I tried an online platform initially as I was scared of face to face but the online approach was CBT and while there were some useful aspects it became clear that was not a good fit for me. I moved to face to face sessions with a psychodynamic approach. My therapist has helped me in so many ways. She does not tell me what I want to hear - nor does she tell me what to do. (Though she has recommended books and suggested I try a few things such as journalling, meditation and the like. We will discuss what I have tried and how I feel it does or doesn't work for me.) She will gently question my approach to things. If I cannot explain why I feel or think a certain way we will explore together the options that might apply. It's very painful at times and around the six month mark I found myself seriously questioning whether I would ever feel better. When I discussed it with her and looked back over my notes of past sessions I realised that actually I felt a lot better and my emotions are far less volatile. It's just that progress is not linear and I was at the time in a one step back section of a two steps forward one step back pattern.

If there are deep-seated childhood issues then it really does take a long time, though. I think sometimes people might not appreciate this. A previous poster mentioned people she knows who have come out hating their mums. I've certainly had that feeling, and the feeling that I must retain anger at mine as self-protection. My therapist has always discouraged that, while understanding why I might have found it necessary in the moment. I also think people might have a false idea of what it might mean to be 'cured'. The problems don't magically go away. Other people do not suddenly become nice. You do not forgive everyone and become all sweetness and light. You learn to understand yourself, to manage your emotions, and to behave in a way that is healthy for you and those around you.

Minihippyme89 · 06/05/2023 21:23

Thank you everyone for taking the time to reply to me, it really is appreciated.

I know why I feel the way I do, I know why I was treated the way I was, I am not willing to forgive or have a relationship with these people however I do need to find a way to move forward. I can’t even go for a lie down without being consumed with intrusive and negative feelings, I have to be busy all the time and have noise around me to distract me but that’s not what I want, I want peace. I have built a nice life for myself and my lovely children, I want to enjoy it. I don’t know if anyone can relate but it’s like I’ve got a constant pressure at the front of my head, like a brooding feeling. I get advice like meditate, read, go for a walk, a spa day etc, these are just distractions, I need to get to the root of what is causing my negative feelings. I went on holiday to Spain a couple of weeks ago and it was lovely and relaxing but the pressure in my head started 2 days before I had to come home because I knew I had to come home.

Anyway, I’m rambling on. But thanks again everyone

OP posts:
Arxx · 06/05/2023 21:28

I had never been to therapy and didn’t really believe in all of that. Last year my anxiety reached a point where I’d ended up off work sick as I just physically couldn’t do it anymore. It was mainly around work and the pressure it involved that would lead to me having panic attacks, barely being able to speak/breathe and all the while I tried to hide it and act like I was fine. It started to spill over into my normal life as a form of social anxiety in some situations, particularly as soon as someone asked me about work. I went to an anxiety ‘expert’ for an intense 4 week course (one session per week). From one week to the next I didn’t feel it was doing anything. He did hypnotherapy and did a lot of talking through each issue. By the last session I still wasn’t convinced that I was magically transformed. I didn’t ever go back to that job but within a few weeks noticed that I was going to big events (weddings, funerals etc) and was chatting to people without any anxiety creeping in. I would have relied on medication before but wasn’t taking anything. I now feel so much better. I don’t know if it’s partly because my mind just shuts it down now by telling it I’ve had therapy and I’m fine 🤷🏼‍♀️ But I am still a bit amazed/confused that it actually seems to have worked

DepartureLounge · 07/05/2023 02:51

@Minihippyme89 I've got no special expertise other than my own experience which I'm happy to share.

I went through a big break-up last year and looked for a therapist who would help me unravel the fallout from that and the general mess of my self that had become apparent over the 2-3 years while the relationship was in its death throes. Like you, I also had a lot of unresolved childhood issues (including some NC relationships) and it was quite hard to know where to begin tbh.

This is how I found my therapist. First I did a search of the BACP directory based on my postcode. I live somewhere quite densely populated, so that threw up a lot of possibilities. Next I ruled out male therapists, anyone who only did online consultations, and anyone whose profile showed no photo. Then I went through everyone left and picked out people who I felt "looked nice" (obviously very subjective but I guess at some level I was looking for someone "like me" who might under other circumstances have been a friend, if that makes sense). Also, because I knew I had a lot of longstanding unpacked baggage, I also kept in the mix anyone with hypnotherapy or EMDR experience, in case I needed help cutting through my crap. Finally, I read the CVs of everyone left and picked out about half a dozen to approach. There was one in particular who I thought I might click with, and she ended up being the only one with a slot for me (in fact she was just finishing up with a client and squeezed me in for a couple of weeks before there was space for me to have my own weekly slot).

Daft as that process may sound, it worked for me. Over the years I've tried counselling or therapy several times but never had much choice about who I saw, and it never worked. My current person is on my wavelength, keeps up and mostly gets the tone right with me. I've been seeing her for about 8 months and I feel comfortable enough now that if she hits a bum note or a session 'feels wrong', I feel able to say so and explain why, which is a healthy relationship dynamic that tbh I've never had before.

If you had a bad childhood, my strong advice would be to look for someone who can use EMDR as well as talking, because it can help you cut through old memories to their emotional content, which in my experience can surprise you even if your memories are very vivid and you thought they were complete. I've been impressed at how efficient a process that can be, which is important when you're funding sessions privately, even if you also (like me) like to go old school and just talk in other sessions.

To address the thing about therapists "telling you what you want to hear", I think this is a misunderstanding someone might come away with if they only did a few sessions and then gave up. Therapists seem (someone will correct me if I'm wrong, I'm sure) to try and create a relationship of unconditional support for you, a bit like being the ideal parent most of us never had, so you can feel safe enough to be honest and let your guard down. One aspect of that is accepting at face value what nowadays tends to get called 'your truth'. You tell them it how you see it, without them jumping on your version of things and picking holes in it. But they are validating your feelings rather than your opinions, because in reality what's mostly under discussion is not 'what happened' but 'how you felt about it', and what flows from that is something only you need to understand. Your therapist is a facilitator not an adjudicator. Eventually, you will come to understand (for instance) that something was abusive or controlling or not your fault, or actually was more your responsibility than you accepted at the time, but all of those insights are the fruits of the work you will do, not some assessment of events that you pay your therapist to provide you with. That said, they can and will challenge you too once the trust and sense of safety is in place, or mine does anyway.

I am so sorry for what you've obviously been through, both recently and a long time ago. Like you, I was looking for peace and had reached a point where all the spaghetti in my head, as you so beautifully put it, was affecting my physical health, and things were quite close to crisis point. I can't really afford my sessions but think they're worth every penny so I commit to them, and I recognise that already things are massively better, even though I probably also have a long way to go. Some sessions are more dynamic than others but I get something out of all of them, often leave feeling much clearer and lighter, and almost always do even more work in my head during the week than in the consultation room during the hour.

Sorry for the essay, but I hope some of this is helpful to you. Flowers

Notsandwiches · 07/05/2023 03:14

I had therapy for 18 months from a clinical psychologist. I think I got more benefit from my reading around the subject than I got from the therapy itself. I am far more self aware now, able to recognise unhelpful patterns of behaviour (and where they come from) and make changes.

Feelingss · 17/05/2023 22:08

I’m a clinical psychologist and I’ve also had therapy in the past. I think it can be incredibly helpful for people if they are at a point where they feel they want to make changes or feel a bit stuck. Similarly to another poster therapy isn’t there to agree with people; it’s about validating feelings and gently challenging some thoughts/behaviours that may be inadvertently maintaining difficulties.
Best of luck OP.

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