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Talking to a therapist

Started by fionats, February 04, 2007, 01:55:46 PM

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fionats

I've been a bit quiet for the last couple of weeks – after the excitement of deciding that this time it's for real after a number of start/fear/guilt/purge episodes in the past I've been reflecting on where I should to go from here. Proper counseling / therapy seems like a good start, but my previous experiences of therapy have left me a little disillusioned – though with hindsight I have to accept some if not most of the blame.

I approached my first therapist with the thought that 'I am TS, I am going to transition, so don't challenge me on that, just help me do it'. After a wave of fear/guilt/shame I purged and so the second was 'I have these feelings about being TS but they have go away, so help me get rid of them'. Neither approach worked particularly well! Part of it may have been my inability to truly open up to them, but I never felt quite sure how they were helping me.

So I guess my question is that I need help actually approaching and talking to a therapist - sort of pre-therapy therapy if you get my meaning. I'm sure the problem is with me not the therapists and I know I'm sort of answering my own questions here - just be honest etc - but i feel really scared this time.

Fiona
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Steph

Quote from: Fiona Jayne on February 04, 2007, 01:55:46 PM
I've been a bit quiet for the last couple of weeks – after the excitement of deciding that this time it's for real after a number of start/fear/guilt/purge episodes in the past I've been reflecting on where I should to go from here. Proper counseling / therapy seems like a good start, but my previous experiences of therapy have left me a little disillusioned – though with hindsight I have to accept some if not most of the blame.

I approached my first therapist with the thought that 'I am TS, I am going to transition, so don't challenge me on that, just help me do it'. After a wave of fear/guilt/shame I purged and so the second was 'I have these feelings about being TS but they have go away, so help me get rid of them'. Neither approach worked particularly well! Part of it may have been my inability to truly open up to them, but I never felt quite sure how they were helping me.

So I guess my question is that I need help actually approaching and talking to a therapist - sort of pre-therapy therapy if you get my meaning. I'm sure the problem is with me not the therapists and I know I'm sort of answering my own questions here - just be honest etc - but i feel really scared this time.

Fiona

Hello Fiona.  I think that your biggest mistake with your first experience with therapy is that you went in with preconceived ideas.  There is no way that therapy can be of any help unless you go in with an open mind and a willingness to open up, be truthful, and sincere.  Just because you think you are something doesn't mean that you are.  Yes, generally speaking we are the best judge of who and what we are, but not always.  Often there are significant issues that can cloud our judgement, or interfere with our logic, and muddy the waters, and this is where a therapist can help clear the waters by helping you to focus on the issues that are causing you to feel the way you do.

So the next time you go for therapy don't go in with your mind made up, be open and be willing to discuss the issues and be truthful and don't hold back, and hopefully your next experience will be more fruitful.

Steph
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Fyrstar

I hold a deep distrust about therapists, even though I will be forced to visit one for a year to get the final operation.

I don't want a therapist to try to talk me out of transitioning.  My sister didn't have to have a therapist talk her into staying a female.  What comes naturally comes naturally, and I don't need some quack hiding behind a desk telling me that I don't want to do it.  Oh, yeah, I have to pay for that opinion too.

I'm deeply distrustful of any psychoblahblah.  My two cousins are psychotherapists AND psychologists, and they try to get in my head EVERY Thanksgiving, and EVERY Thanksgiving they are 100% wrong.  If I need help, I will seek it.  If I don't, don't force me to fix what ain't broken.  I don't go to a doctor when I'm feeling well to have the doctor try to tell me that I really feel sick.

I'm getting madder and madder the more I write about therapists.  Sorry about that.

Here's something for you to think on that my first (and last) therapist told me:

Prove that you regard yourself as a female (to which I replied, "Prove that I exist.")
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Steph

Quote from: Fyrstar on February 04, 2007, 04:08:18 PM
I hold a deep distrust about therapists, even though I will be forced to visit one for a year to get the final operation.

I don't want a therapist to try to talk me out of transitioning.  My sister didn't have to have a therapist talk her into staying a female.  What comes naturally comes naturally, and I don't need some quack hiding behind a desk telling me that I don't want to do it.  Oh, yeah, I have to pay for that opinion too.

I'm deeply distrustful of any psychoblahblah.  My two cousins are psychotherapists AND psychologists, and they try to get in my head EVERY Thanksgiving, and EVERY Thanksgiving they are 100% wrong.  If I need help, I will seek it.  If I don't, don't force me to fix what ain't broken.  I don't go to a doctor when I'm feeling well to have the doctor try to tell me that I really feel sick.

I'm getting madder and madder the more I write about therapists.  Sorry about that.

Here's something for you to think on that my first (and last) therapist told me:

Prove that you regard yourself as a female (to which I replied, "Prove that I exist.")

It is unfortunate that you paint all therapists with such a large brush and it is also unfortunate that you have had such a bad experience with them to feel that way.  It is unfair to group all therapists that way and to call them quacks as although there are obviously those who are better equipped to deal with our TS issues there are some who are not.

Too often we hear of perfectly sane, rational individuals who didn't need to be told what or who they were and ended up regretting SRS.  I had two therapists and both were excellent, caring, and who made no attempt to convince me that I was anything other than what I thought I was.  I would recommend that you take the therapist for what they are, a safe guard so that you don't make a terrible mistake.  Don't forget if you are not comfortable with a therapist you can choose another.

Steph

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Maud

I went FT before seeing a gender specialist type so I don't have much experience (my regular one didn't pretend to be able to deal with my gender issues), but if you're serious about this then therapists shouldn't be able to hold you back, you don't need anyones permission to go FT and 99% of the work prior to going FT is something you have to do for yourself, my relationships with the medical profession revolve around my transition and how they can help me with it, bar the pills everything I've done I've done for myself and you need to establish that that is what your doing, what you must do and what you will do until you feel comfortable in your own skin.

Once the ball is rolling with this they'll get on your team and work with you and not against.
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Brianna

As usual, I agree with Mawd,

One of the principles of licenced and ethical therapy is self-determinism - letting the patient determine where they want to go. It seems to me that any therapist would be there to support you.

It is true that there is a massive amount of education is needed - but I think that Mawd is right. Most of the work has to be done between your ears.

Brilala, your illustrious party princess

PS- Sometimes when I hear people tell me they didn't find their therapist supportive, I wonder about the following.

I find most issues with people can be solved with a simple exercise of imagining themselves in your shoes. If you DIDN'T listen to your therapists concerns and address them in an open, honest and adult manner, wouldn't you be asking them to abrigate both their licence and training?
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LostInTime

When I sought out a therapist (ok, when one was heavily recommended by a few people in the community that were afraid I was going to kill myself) I told her the truth.  That I did not like therapists and the last shrink I had been forced to see (doctors confused a biological problem with a psychological one), I did mental jumping jacks all around him.

She built up trust between the two of us and we ended up being friends for a bit.

Another thing I was honest about was the fact that I had no idea where I was on the gender spectrum.  I did know, but did not want to admit it to myself.  Her patience and guidance really helped me come to accept myself and take steps to improve my life.

So, just be honest and keep an open mind.    I have met more than one person who "just knew" that they were TS and did not want anyone talking them out of it.  The problem was that they were not and trying to be something that they were not was horrible.  One person never went fulltime and is happy.  Another untransitioned, moved, and has been having the best time of his life.
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fionats

Yes, but I have been honest with them each time, it's just that after a while I've changed my mind on what the truth actually is...

I keep referring to the 'what would you do if you weren't afraid' and the blue pill/pink pill game, and every time I choose the pink option, but then I get scared of the loneliness and rejection I will/may experience. So where does that leave me? (Don't answer that, I guess I'm just thinking out loud)

I'm sitting here typing this feeling that at the moment I'm just living day to day waiting for the time that I am strong enough to take that hidden path off the main road, and become the woman I know I am. But just reading around this forum it's pretty clear that unless you are really strong, that day never comes.

Sometimes it gets so very hard to understand why this is happening to me and why I feel that I'm just living in some sort of horrid limbo, waiting for my real life to begin.

This is turning in to a ramble, so I'm going to stop now.

Fiona
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LostInTime

I am more popular and more social now than I have ever been in my life.  The trick is to get out there and meet people.  I found something I was interested in, checked out the local groups, and went from there.  Now I have a whole circle of friends who never knew me as what's his name.  They only see me as the woman that I am and we can all have a good time.  They are also there when I stumble and stop me from disappearing when things go bad.

Did I lose friends?  yes and one was like the brother I never had, was even his best man at his wedding.  It hurt, yes.  But it is also his loss.

Being afraid should only warn you of danger, not stopping you from action.  Fear is the greatest motivator in the world.

back in the day, songs really had the way to make me think about what was going on at the time.

"From where I stand at the crossroads edge,
there's a path leading out to sea.
And from somewhere
deep in my mind,
sirens sing out loud
songs of doubt
as only they know how.
But one glance back reminds, and I see,
someone else not me."

That one was a biggie, kept playing it over and over.

"I can't believe it's now happening to me... Oh, couldn't it wait a few hundred years
Destiny can't rest you see, now it's time, time to cry your tears! Now cry!"

the above I related to figuring things out and knowing what I must do but being afraid to step forward.

"Most of this is memory now
I've gone too far to turn back now
I'm not quite what I thought I was but
Then again I'm maybe more"

Again, relating to the knowledge of where I was heading and still struggling against myself.  Excuses.  Self doubt.

I was never really that strong of a person.  I put on the airs that I was because it was expected of me.  First born.  Only son.  Male.  I was supposed to be strong, look out for my family and for myself.  Scouts, sports, weight lifting.  All were started because of my parents.  I was a thin rail who looked very femme.  Wish I had been strong enough to say no to the scouts and the weight lifting.  I enjoyed soccer and my femme body was a plus until I transformed it into a mass of muscle.

I have had to be strong for others.  Actually place myself in harm's way to protect someone else.  Carry a gun.  Be the big, strong man for them.  I did it and hated the fact that I was trapped in the male existence.

When I went FT I told myself that I ended up being completely unpassable then I would not go any further.  Why do that to myself?  Different problems kicked in when I was not only passable but considered pretty by some (I don't see it, but who am I to argue with another's perception when it is something that is so subjective as the topic of beauty?).  Every road block that I placed in front of myself, I overcame.

Yes there were setbacks.  yes there were tears.  Yes friends came and went.  Through it all I had one constant, I was being true to myself.  Yes, there were setbacks.  I stepped forward, through the pain.  yes there were tears.  I cried when I had to and dried my eyes after.  Chin up and never let them wear you down.  Yes friends came and went.  I was much better for the experience.

I am not saying that your fears are not founded in reality nor that they are inconsequential.  They are very real and the problems you pose do need to be addressed.  it is always darkest before the dawn and friends come from the oddest places at times.

YMMV.
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