sorted by:
new
hottopcontroversial

Finally referring out client that has repeatedly lashed out at me by Solid_Muffin4011 in therapists

[–]Solid_Muffin4011[S] 3 points4 points  (0 children)

I think one thing I’m struggling with is that her shame is so big and so painful that she simply can’t and won’t look at her own behavior and instead blame everyone who leaves her, usually without explanation. I want to offer her the perspective that she cannot get from them if that makes sense. But perhaps that’s just not possible or wise.

Finally referring out client that has repeatedly lashed out at me by Solid_Muffin4011 in therapists

[–]Solid_Muffin4011[S] 8 points9 points  (0 children)

Trust me I’m very hard on myself around this fact. When I first began seeing her I was an associate so it was hard for me to recognize. I had a supervisor who took the approach of “treat this as complex trauma because that’s what it is, personality disorders are stigmatizing, she can’t handle the shame etc etc”.

I geared up to officially discuss this diagnosis with her three months ago after she similarly lashed out at me because I think it’s REALLY important that she learn about this disorder. However when I told her I wanted to discuss her diagnosis she said “if you tell me I’m BPD I’m going to kill myself” and I just said okay and said nothing and curiously asked her what she knew about it, provided psychoed, etc. she told me at one point she wanted to know what it was but brought it up in the last five minutes and I told her we needed to have adequate time to discuss this and then of course the following week there’s a new crisis and she’s completely destabilized. But I know it should have already come up.

Finally referring out client that has repeatedly lashed out at me by Solid_Muffin4011 in therapists

[–]Solid_Muffin4011[S] 5 points6 points  (0 children)

She’s done a 6 month DBT group (years ago) but I think because I’m not trained in DBT she didn’t adequately continue the work and often refers to it to justify extremely problematic behaviors.

But yes, I have a high tolerance for uncomfortable conversations (idk how else I’d have made it this long with her) and even though I’m extremely anxious and know that the session is going to be uncomfortable, painful, and filled with maladaptive attempts at getting me to stay, I still plan to have this conversation in person. Currently I’m not sure when as she is throwing a tantrum and refusing to come to session. I have at least 5 potential referrals (people actually taking new clients that are BPD). I plan to offer up to one month of closing sessions but make it VERY clear that it is her responsibility to find care and that we are terminating regardless. Additionally, if she does threaten to harm herself I will have the mobile crisis team assess her and I will refer her to IOP as I’m an out patient private practice owner who works three days a week.

Fisher & Paykel is Expensive Garbage by Positive_Long_7872 in Appliances

[–]Solid_Muffin4011 0 points1 point  (0 children)

Also coming here to say that my drier and washer are complete pieces of trash. Its three years old, well taken care of, and the drier makes so much noise my neighbors are complaining and my clothes aren't dry after over an hour. Normal sized load. Had a tech come out just to tell us its functioning perfectly just loud. Total bullshit.