by yakusoku » Mon Sep 19, 2011 10:02 pm
Well, it sounds a little bit like my therapist...he:
-From early on, encouraged me to use texts to check in with him on a regular basis. Has never discouraged it, has always said it blesses him to know how I'm doing and that I he is a safe place I can go to with stuff. However, he has also flat out told me that he will not always be able to respond, and he doesn't. If it is serious, or a direct question, or I specifically ask him to, he will respond eventually. But, very little in the way of back and forth conversations, unless it was about scheduling. I can only remember a couple of instances in a whole year that we had back and forth conversations that weren't in a near crisis situation.
-He started offering phone sessions and knew I was broke, so offered them for free, because he felt called to. I told him I was uncomfortable with this and asked if it was OK with his boudnaries if I paid partial on these, so I was paying him 1/2 rate for those. We have since gone on insurance, switched to Skype, and I pay the full copay.
-He encourages me to write and send my journals to him, but he has only ever once replied to an email (the first one I sent him ages ago). We go over them in session. He does not process actual content via email.
-He would frequently allow sessions to run over. He does it with all his clients, but it was more problematic for me, because CT didn't trust him to not become roadkill to the kids, who just want to stay forever and ever. Once we told him that, he became much better with the time boundaries. He fixed it straight away.
-We do double sessions now as a matter of rule. Sometimes he only has time for 1.5 hours, but that is the minimum we do for both office and Skype sessions. He is only in my area on Monday/Tuesday, and it is stabilizing to have the two sessions a week. If he has time, our Tuesday sessions are always two hours and always at the end of his day, in case we need a bit more time to wrap up. We tend to start late, because he runs over with others. Last week, our session was 2.5 hours, but it was in his other office, 45 minutes from my home, and it took the kids a long time to get acclimated to a new room and get over the stress of going to a new place all by ourselves.
-He does a bit of self-disclosure, but not for the purpose of being comforted, just enough to be human. He has made some mistakes in that area, saying things that he ought to have thought better of that freaked us out a bit...but, I told him and he seems to be paying better attention to that now too.
So, yeah, my T has a bit of a case of fuzzy boundaries, but it makes the relationship feel more real and the kids would reject the relationship otherwise. Anytime something has felt problematic or he has noticed it causing issues, we have discussed and addressed it. And, without his fuzzy boundaries, we would not be discussing touch as a possible therapeutic tool (just handshakes and high fives and quick hugs and such). I sometimes rail against how dependent I feel, but it is just uncomfortable to me, because I never had anyone safe to depend on. I have found the more I observe where he actually does have boundaries and holds them and the more CT lets him take care of them, the less panicked everyone is. And, he actually does have firm boundaries about some things; it's just hard for me to trust that the liberal boundaries he has around communication are really what he says they are. However, he has been 100% consistent in his inviting me to rely on him as a resource in that way. But, these kind of things need to be talked about and addressed. If I had it to do over as someone now experienced with therapy, I would make the boundaries conversation my whole first month!
The whole thing with suddenly changing her mind about your diagnosis, though...that would be very distressing to me. It felt like flipping a coin or something. Heads - Ego States, Tails - DID/DDNOS!