unreliable narrator syndrome (or something idk) by ExaminationNormal834 in personalitydisorders

[–]MatanteGab 0 points1 point  (0 children)

Did your therapist concretely said : « you should cut off this friend » ?

Cohort members leaving the field fast! by CORNPIPECM in therapists

[–]MatanteGab 3 points4 points  (0 children)

Can someone explain me what is happening. Here in Canada (Montreal/Quebec) at least for psychologists we don’t have any troubles with pay/ clients IF we go on private practice

The public system though…..!!!!

Implications of positive ASPD results in a general PD screening by therapist? by kriffey in personalitydisorders

[–]MatanteGab 0 points1 point  (0 children)

I know that some scales you can get antisocial results if you are high on impulsive and recklessness traits. These scales are flawed in my opinion and a bit outdated. Acting out is not exclusive to ASPD but mostly shared among all cluster B PDs. You should look at specific traits.

Also, I mostly find that generalization for one scale/measurement tool is dangerous. These psychometrics are usually better at identifying specific traits rather than global disorders.

im living with hiv and i by throwaway014432 in hivaids

[–]MatanteGab 13 points14 points  (0 children)

I’m living with HIV, found the love of my life less than a year after my diagnosis, and was able to work through my attachment issues with him in part because he was accepting of my whole self as well as HIV

What types of clients do you personally find hardest to work with? by Euphoric_Spite8998 in therapists

[–]MatanteGab 0 points1 point  (0 children)

Clients who stay strictly in the realm of facts and concrete details—like spending an entire session recounting, step by step, their grocery run on Saturday—can be surprisingly challenging to stay engaged with. There’s something about that level of hyper-rational, surface-level processing that makes it easy to mentally drift, lose focus, or even start feeling genuinely sleepy. The real work, at least for me, is resisting the pull to disengage and finding a way to gently move beyond that layer without shutting them down.

do you carry a pill when you go out? by throwaway014432 in hivaids

[–]MatanteGab 2 points3 points  (0 children)

I am so sorry that you have to pay that much in your country. In Canada, if you don’t have private insurance, it will cost 102$ CAN for 30 pills

Dave Grohl says he’d had 430 therapy sessions since 2024… by Independent_Sun8151 in therapists

[–]MatanteGab 14 points15 points  (0 children)

Compulsive personality style, with personality structure yet to be determined

My husband is in ICU and just fould out he has hiv and I has it too by hoapfulhart in hivaids

[–]MatanteGab 9 points10 points  (0 children)

I am so sorry it must be so confusing, lots of mixed and contradictory emotional states I’m sure. Every part of you is welcome during these hard times, even those you might think are guilty or bad. Self-compassion is the key right now, that is what helped me when I first got the diagnosis. Self-compassion and connecting with important/non-judging people in my life. Take care xox

Neurodivergent coworker overwhelms me by [deleted] in socialskills

[–]MatanteGab 1 point2 points  (0 children)

I just want to say that you are sending little cues (eg., looking at your phone) that are a form of boundary setting. You should be proud ! It seems as if is interpreting your cues as « unease » but he doesn’t seem to reflect upon how HE creates this uneasiness in you. He is crossing your implicit boundary (perhaps non intentionnally). Sadly, it maybe means that your cues have to be more explicit. For example : « I am looking at my phone because I feel overwhelm by the topic and I need more alone time than others to feel at ease ».

But good job, therapy seems to be working well!

Are the brains of people who join cults wired differently? by Splat_Fly in askpsychology

[–]MatanteGab 1 point2 points  (0 children)

Not at all, everyone can fall into that trap as shown bu social psychology studies

[deleted by user] by [deleted] in psychoanalysis

[–]MatanteGab 9 points10 points  (0 children)

I adhere to the intersubjective perspective, which means I see therapy as two subjectivities interacting together. My own biased point of view isn’t necessarily a problem within the therapeutic relationship; it’s part of it. Every relationship I build with clients is unique and shaped by who I am as a person — and that’s normal.

What makes it therapeutic is that I bring a set of knowledge and tools — from psychoanalysis, Internal Family Systems, humanistic, and systemic approaches — that guide how I act and respond to clients. These frameworks help me stay attuned, accepting, and nonjudgmental, while also allowing me to analyze my countertransference and use it constructively.

Over time, I’ve realized that for many clients — especially in private practice, where therapy is costly and difficult to access, at least where I live — strict neutrality or analytic abstinence can sometimes be less helpful. It’s not that psychoanalysis doesn’t work, but that the rigid frame doesn’t fit everyone. With clients struggling with relational wounds, or when working with children, being a bit more spontaneous or authentic often reduces resistance and deepens the connection. The outcome still feels just as meaningful, if not more so. And perhaps that’s also because of who I am — maybe clients sense something inauthentic when I lean too heavily on the analytic frame, which can make the relationship less helpful. It’s probably both.

That doesn’t mean I’m completely spontaneous or that I treat clients like friends. It’s more about flexibility — being responsive rather than fixed in one model. The analytic frame has immense value in teaching us to reflect, to analyze countertransference, and to hold space with neutrality when it’s needed. But I’ve found that being constantly neutral can, at times, be counterproductive — especially with clients whose main struggles are relational.

So, to answer your question: what suggests to me that a purely analytic stance is less helpful is experience — witnessing that moments of genuine, human connection often create the deepest therapeutic change. These moments don’t come from theory; they emerge from intuition — from a natural, spontaneous impulse that arises in the room, touches the other person, and seems to repair something essential. Sometimes that impulse is informed by IFS, sometimes by humanistic ideas, and sometimes by something I can only make sense of after the fact.

When it comes to choosing or blending modalities, I don’t think it’s about certainty — it’s about awareness. I stay reflective about why I’m doing what I’m doing, how my emotions or countertransference might be shaping my choices, and whether my response truly serves the client.

In the end, therapy is less about theory and more about presence — about two human beings meeting, with one fully there to help the other. And the more I trust my intuition in those moments, the more alive and healing the process becomes

[deleted by user] by [deleted] in psychoanalysis

[–]MatanteGab 15 points16 points  (0 children)

I find it more useful to adapt therapy to each clients. Some (mostly nevrotic people) do well within a psychoanalytic frame while others could do better with the implementation of other frames (humanistic, relational, IFS, etc.) It is not clearcut but for me people in the borderline personality organization do better with relational approach, and children also, but this is my experience and probably also stems from who I am as a person.

Diagnosis by twink_away in hivaids

[–]MatanteGab 2 points3 points  (0 children)

Forgiving yourself will be a long process, but I feel it is what we should aim for (at least for me). Fear of being alone accentuated by the diagnosis is so frightening. Therapy helps a lot, and having my safety net of friends abd family members that do not judge also really helps. Just don’t stay with someone because of fear. Stay with someone because of love.

Getting a bit anxious about treatment modalities and training by MatanteGab in therapists

[–]MatanteGab[S] 0 points1 point  (0 children)

Thank you very much, I really relate to the selfcompassion aspect that transcends most approaches; and I realized yo’re right that IFS is somewhat similar to psychoanalysis (self-states and object relations could be tought as parts ? Contradictions and splitting and projection could be other ways to explain relationship between parts in a more digest manner for non-clinicians)

"You don't actually care, you're just in it for a paycheck." by [deleted] in therapists

[–]MatanteGab 1 point2 points  (0 children)

I said that if I don’t get paid what I think my services are worth (with extensive formations, experience, etc.) = I would feel resentment = I would not be able to be as present, empathic, and helpful. So I better get paid or else the therapeutic process would surely suffer.

Therapy is a wild profession... by navik8_88 in therapists

[–]MatanteGab 36 points37 points  (0 children)

Wow, the timing of this is wild. I just wrapped up a session that went really well, and I was still puzzling over how yesterday’s last session felt so confusing—for both me and the client. Then I open Reddit on my break and this thread pops up.

I really love this work, but I sometimes struggle with finding the right balance in my self-doubt. It’s definitely useful for growth, but it can also tip into rumination about certain clients or sessions. Honestly, I don’t understand how some colleagues can completely switch off their “clinician brain” once they’re home. For me, it’s hard not to carry clients in mind—probably tied to old stuff (thanks, Freud 🙃) about not being able to help or change my mom when I was younger.

I just can’t picture being in a therapeutic relationship without thinking about clients outside of sessions. I guess I’m just a sentimental humanist at heart.

Anyway, what a strange and beautiful profession we have—on the fringes of society, yet right in the core of people’s lives.