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Therapist forcing psychiatric consult . . .

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Therapist forcing psychiatric consult . . .

Postby radioactivepie » Sun Jan 19, 2014 5:18 pm

Hello everyone. Though I have been reading blogs for months this is my first time responding. I could really use some feedback from anyone who would like to share. The past few days have been rough.

Over three years ago I started seeing a therapist after a 25 year break from any kind of therapy, including psychiatry. Lots of trauma in my background from childhood, adolescence, and early adulthood. From foster care to group homes to homelessness. I learned to depend only on self.
I started hearing voices at age 20. Voices that had their own personalities and appeared separate from self that I could converse with. It almost drove me insane but I learned how to live with them and lived this way for 25 years without breathing a word to anyone. It was not easy! I did not know the voices origin and it scared me immensely. I thought if people found out that I would be documented as ‘crazy’. I had only myself to depend on and knew if I fell that no one would be picking me up. I learned to hide my inner world and remain passable. I learned to survive.

I obtained a university degree and had a career for a number of years. I was afflicted by memory loss, forgetfulness, moodiness, frequent dissociation and a lifetime of nightmares but I learned to cover.

Over three years ago I lost my career and opted to go to therapy. It took close to 2 years before I told my therapist of the voices. She did not appear to judge or see me as crazy. She often referred to complex PTSD and appeared to normalize the voices referring to them as parts. Last year she informed me that due to the complexity of the trauma that she would be seeing another therapist more experienced with dissociation for ongoing consultations. I see my therapist once a week.

Two weeks ago I went into crises and almost walked off a job I was doing. (I now have my own business.) I could not think clearly, and could not do the job. It was like I was stupid. Words did not flow. I was also forgetting where I was putting things. I managed to stick it out knowing if I walked that I would be committing business suicide. My head became loud, my world heavy. I left a message for my T letting her know I was not feeling well and was considering going to the doctor to get meds. She called me back and supported this decision telling me how reaching out is a sign of strength.

Well, I didn’t end up going to a doctor. I couldn’t get around the stigma of doing so and felt it could harm my business should people find out about the dissociation and the voices. I also believe I risk being diagnosed as psychotic, schizophrenic, borderline etc. There is a centralized medical database where I live and my diagnoses whether right or wrong would be open for all medical staff to see.

Feeling messed up psychologically I dropped pieces of a journal off to my therapist’s office. I wanted her to know exactly what was happening to me.

When I saw her for my appointment she was visibly upset and appeared angry or resentful. I had never seen her like this before. (Maybe she was upset because I disturbed her during her time off or I was too much for her.) The first five minutes into the session she snapped at me to listen to her. I have no idea what she said but her choice of wording left me feeling humiliated and closed down. She said she could no longer contain ‘it’ by herself and kept firmly repeating I NEED . . . “I NEED a team working with you. I NEED you to have a psychiatric evaluation. I can’t do it alone! Your life is one of pain. You need to have a consultation”.

She told me she did not see the usefulness of my journal entries and that a synopsis is better. Maybe she didn't but why be so cold and mean about the approach. I wanted her to read it so she would have a clear picture of how my mind works.

She went on to speak of the crisis calls. (In three plus years of seeing her I have rarely been in crises and never to this extent.) I remember shutting my eyes for a few minutes . . . a wall went up. I felt she was beating me down intentionally. I felt like a burden.

She then asked if I remembered my last phone call to her. I told her I did and that it was to tell her I was okay and back to normal. She asked me the real point of the call and asked me to repeat what I had asked of her. I could not remember anything in particular and pulled my journal from my pocket. She angrily asked “doesn’t it concern you that you can’t remember?’ She followed by how I asked her to believe I have DID. I told her I would not have done that and referred to my journal where I specifically stated a need to know if she believed in DID, not if she believed I had it. (She has no power for diagnosis.) She told me she had it on Voicemail and asked if I wanted to hear it. I told her no and asked her to listen to it herself. She did so and realized she had made a mistake. She did not apologize for the mistake.

I also noticed during the meeting that the office was unusually quiet. No white noise. I made a comment about this but she did not get up to turn anything on. It is not soundproof in her office. I am now thinking this might have been a safety protocol. I have never been a threat to her. :(

I never missed appointments, was taking therapy seriously and was trusting her.

Normally I see her once a week. During this period there was a lot going on in my life and she was away for two weeks out of the month. I struggled with contacting her. She knew this.

She told me my life was one of pain and I needed medication for depression and anxiety. I do not get depressed for long. It comes in waves and will pass in minutes or hours. It comes as a heaviness or darkness. I have not hurt myself in 25 years. I am not a danger to myself or others. I feel it should be my choice to see a psychiatrist. She presented it as an ultimatum.

After leaving her office I left a couple of tearful messages. I slept on it and in the morning cancelled therapy altogether. She has not responded. I am confused and very hurt. I don’t think I will ever be in therapy again. I feel very violated and alone! I thought we had a good relationship.
Last edited by radioactivepie on Sun Jan 19, 2014 6:15 pm, edited 1 time in total.
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Postby debetoile » Sun Jan 19, 2014 5:44 pm

Hugs, that doesn't sound good and maybe it's a good thing your not seeing her again as it seems that she can't cope, doesn't know how to handle you...and didn't bother to ask anyone else for advice in order to help you. I hope there is someone you can see though. How about contacting your old therapist letting her know your in a crisis and could do with her support until you can find someone else specialised. Therapists like that annoy me
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Re: New here! Looking for Feedback.

Postby radioactivepie » Sun Jan 19, 2014 6:03 pm

I believe she doesn't know how to work with me. She was receiving consult from a more experienced therapist. I am not sure what has been happening in that respect or why it is no longer working for her. I do not have an old therapist. I was not in therapy for 25 years and that was in another city. I had been seeing this Therapist for over three years and I thought she we were close until now.

I think she can't cope or doesn't want to invest the time. :( She also spoke of legal or moral responsibility. However, I find it ironic considering she has not responded knowing full well the condition I was in when I left her office. It looks like she is more concerned about her reputation should something happen while under her watch (like I decompensate or do something to myself - Also, I have not self harmed in 25 years.) It surely can't be about my well being. Maybe she thinks I will lose it so badly that I will end up at the hospital for treatment. :(
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Re: Therapist forcing psychiatric consult . . .

Postby Caeri » Sun Jan 19, 2014 8:03 pm

So sorry you are going through all this.

It may be that she was feeling that she was in over her head. And she may have asked you to get the psych evaluation based on her concern that you were in crisis and wanting to be sure that she treats you correctly and doesn't drop the ball or miss something important with you.

I know it hurts immensely when things go south with a trusted therapist. I hate that her tone and words were so sharp and dramatically different during your last session. And that things are to the point that you don't want to return to her.

I very much understand your concern about your medical records and not wanting a dissociative disorder to show up on them.

It could be to your advantage to seek out a T who specializes in trauma and dissociation.
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Re: Therapist forcing psychiatric consult . . .

Postby radioactivepie » Sun Jan 19, 2014 9:09 pm

Thank you both for your responses and support.

I agree that she is likely wanting to be sure she is treating me correctly and would like others to be on board and sharing in the decision making process. I struggle with her presenting it as an ultimatum. Because it is a need of hers I feel as though she can not accept any other option than this one. She did not verbalize another option no matter how many times I said I couldn't and wouldn't see a doctor. I also have trauma history related to psychiatry from my time with CPS. She is aware of all of this. I don't know how to go back to her. I cancelled therapy this coming week for a few reasons: I feel she gave me an ultimatum which I can't accept. I also now have tremendous shame for reaching out to her while in crisis. I also feel she tried to shame me intentionally. I wish none of this had of happened. She is the only person I have ever shared myself with to that capacity. I have lost faith. If this can't be rectified (dependent on her contacting me and taking it from there, I doubt I will go back to therapy. It took me over 3 years and thousands of dollars to get to the level of trust I had with her. This all makes me feel nauseous and sickened inside. I have cried often the past few days. Thank you so much for listening.
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Re: Therapist forcing psychiatric consult . . .

Postby riverside » Mon Jan 20, 2014 2:26 am

hi there

I was on here tonight with no intention of posting replies but i read your post and was totally outraged by how youwas treated.

YOU ARE NOT THE ONE WITH THE PROBLEM... please keep saying that to yourself.

She has projected her own insecurity about her own ability to help heal you . She has turned it into oyou health problems being the reason she feel she can not help.

YOU ARE NOT THE PROBLEM


This is so typical of T's that are not well enough equipt to be helping people with muti trauma's. I have had a T like this and he ended up tell me that i should just accept i wont ever get better!!! WTF?!?!


ok - are you in uk / america other place? I hope this is not to personal a question i only ask it so i can give you the best advice.

PLEASEEEEEEEEEEEEEEEEEEEEE do not stop Thearpy. It is an answer but only with the right one. I am thinking you didnt have a choice if she treated you or not?

If you can tell me where about you are if you private funded, govermemnt etc then i can best tell you your rights. BUT

i can tell you for sure that it is a NEVER thing for a T to 'DEMAND' answers, even if the demand is in tone more than vocab. It is ovious to any one with psyc training that suing this tone can create emotional flashbacks and shut down communication.

As for her saying your journal entries are not helpful - SHE IS BEING PLAIN LAZY. My T spent two hours reading my journal with me because she felt it was the best way to understand my internal world. I am sure other people will also tell you using a journal during dissciative thearpy is normal STANDARD practice.


THIS IS NOT YOUR PROBLEM

You did the right thing showing the journal and i bet it took guts! you reache dout for help and got a slapped wrist for it!! nice one, i think not.


I am sure in her world she had good intentions but it was totally unprofesional of her.


I am sorry if my tone comes across as angry, what you have gone through has put fire in my belly because i know what it feel like.


Please dont shut yourself down, keep posting on here because at least you know you will always get POSITIVE support even if it is not profesional.


Do you have an SO? Some one that could go back to her office and sort it out? ASK TO BE TRANSFERED COMPLETLY TO A DIFFERENT t EXPEREIENCED IN DISSCIATIVE DISORDERS? (sorry didnt mean caps that time)

If its ok, my littles are sending you out safe hugs . They have picked up on something i think!! Hope that was ok, they mean only safe kid hugs by it.


best kind wishes
post back soon

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Re: Therapist forcing psychiatric consult . . .

Postby radioactivepie » Mon Jan 20, 2014 6:33 pm

Thank you so much Riverside. This message could not have come at a better time. I ended up calling her this morning asking for a closure meeting because it was playing on my mind a lot. She seemed very nervous on the phone but very firm. She did not apologize for anything and spoke of how there were three crisis calls in two weeks and how she has not been able to stabilize me. (These were almost back to back and while she was away for a two week period.) I had not felt this level of distress in many years. I was opening up to her more. Parts were being listened to, or so I thought. It was the first time I had ever exposed my inner world and we were starting to get into it. Anyways back to the call with the T a few minutes ago, she said she would mail a letter to me of her recommendations that I need a psych. consult before she will work with me. I told her to not mail me anything. I went off on her. I told her she advertises as a trauma therapist but appears to only be educated to the simple PTSD level. (She claims to have made her decision based on consultations with other professionals). I told her she was a coward and I swore more than once. It was an easy way out for her! I didn't see it coming and I never thought she had it in her. I thought she had more of a moral compass. She knows every time I have tried to reach out I have been shafted. I realize she really didn't care about me. I will not get a consultation! I am not interested in going back to therapy at this time. It took me 3 and a half years to get to the stage I was at with her. This is one cold, mean ass world. I don't understand. I will stick to this board. People like yourself may help me more. At least we know what the other might be going through.

She is the only one in the world who knows anything about the voices and parts. That makes this even more painful. She works for a private firm. I would not go to anyone else there.

Big hugz.
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Re: Therapist forcing psychiatric consult . . .

Postby radioactivepie » Tue Jan 21, 2014 4:35 pm

Update: Last night I left a message for my T letting her know I am willing to see a Psychiatrist. The thought of losing her makes me feel very sick.

When she gave me the ultimatum it felt like the end of the world and a huge betrayal of trust. I am now thinking she had to push hard and use the tough love approach or I would never go.

I continue to believe it is my right to decide whether I see a Psychiatrist or not but I also recognize it is her right to choose not to have me as a client. Hard reality. Currently I feel she has my best interest at heart but could not see any other way. Confused and scared.
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Re: Therapist forcing psychiatric consult . . .

Postby riverside » Tue Jan 21, 2014 5:48 pm

Hey there,

Crap that you are feeling so low. Glad you ate reaching out for support.
Could you ask the consult be with the dissociative centre in Norwich?

Would be the best way of getting you both the right support.

I stand by what I said-her manner is out of order.though you may feel she is your only hope there are plenty of psychologists that work with dissociation in UK.

Got to go for now but will post more later.

Give yourself some tlc, test yourself to some thing you enjoy.
Look after your self

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Re: Therapist forcing psychiatric consult . . .

Postby radioactivepie » Tue Jan 21, 2014 10:00 pm

Hey there,

Thanks River. It hurts very badly. It appears she hasn't been able to be honest. She just returned a call to me saying she was sending the letter to me but she could no longer be my therapist. I hung up the phone in shock. I can't believe she left me in crisis like this. WTF! It feels like I could crawl out of my skin. As I write this I am getting the sense it is all for the better. I have to cut her from my emotions or I feel as though I could go insane. Sometimes, I feel I am cursed. This has placed a hole in my heart.
I am not in the UK River.
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