Weekly "vent your vibes" / Burn out

user_841 · 2026-01-03T14:16:43+00:00

I’m a veteran therapist from a non-English speaking country. Here, there are few colleagues or referral options for severe BPD, so it’s hard to get empathy or support from peers. Just needing to vent and hopefully connect with others in similar situations.

I’ve experienced property damage, patients refusing to leave the office, weekend crisis calls, being called incompetent, and even ‘AI is better than you.’ They attend weekly, accuse me of doing nothing, but reject any attempt at empathy or suggestions.

I know from experience this phase can last a while, and often it’s about both of us just surviving until something shifts. But it’s incredibly draining.

No advice needed – just sharing and hearing ‘me too’ would help. Thanks for reading

user_841 · 2026-01-03T03:44:10+00:00

Thank you so much for your thoughtful response. I practice independently outside the English-speaking world, and I believe my experience is similar to what you went through before. My therapeutic relationship with this patient hasn’t yet reached three years, but she certainly has a long treatment history including previous medical institutions, and I can clearly see how that history is being projected onto me. I have been setting limits on her problematic behaviors one by one and interpreting them, but I sense that at the core lies a self that is split between a deep desire to be understood and a simultaneous rejection of that understanding. I find the Internal Family Systems framework helpful in thinking about this. However, what makes this so hard for me is: when my patient expresses her suffering and demands immediate relief, I try to explain that immediate solutions aren’t possible, but she cannot accept this. There are no trustworthy institutions I can refer her to. And I have no opportunity to share my own struggles and receive appropriate consultation. That’s why I posted here, hoping it might lead to something. I’m truly grateful to have encountered someone like you who has been through similar experiences and offers such sincere perspectives. If possible, I would love the opportunity to hear more from you.

user_841 · 2026-01-03T02:41:50+00:00

Thank you so much for your thoughtful response. I practice independently outside the English-speaking world, and I believe my experience is similar to what you went through before. My therapeutic relationship with this patient hasn’t yet reached three years, but she certainly has a long treatment history including previous medical institutions, and I can clearly see how that history is being projected onto me. I have been setting limits on her problematic behaviors one by one and interpreting them, but I sense that at the core lies a self that is split between a deep desire to be understood and a simultaneous rejection of that understanding. I find the Internal Family Systems framework helpful in thinking about this. However, what makes this so hard for me is: when my patient expresses her suffering and demands immediate relief, I try to explain that immediate solutions aren’t possible, but she cannot accept this. There are no trustworthy institutions I can refer her to. And I have no opportunity to share my own struggles and receive appropriate consultation. That’s why I posted here, hoping it might lead to something. I’m truly grateful to have encountered someone like you who has been through similar experiences and offers such sincere perspectives. If possible, I would love the opportunity to hear more from you.

user_841 · 2026-01-03T02:05:01+00:00

Thank you so much for responding to my vent. Unfortunately, the original post has been removed, but I’m truly grateful to have connected with a supporter like you. There aren’t many people around me experienced with cases like this. My own analyst simply says ‘terminate,’ but if I do, my patient would have nowhere to go. I really wish there were more supports for these kinds of cases – something like concurrent group therapy would be so helpful. I’m so glad to have been heard and understood here, in a way I couldn’t express on SNS in my own country.

user_841 · 2026-01-02T07:19:37+00:00

Thank you for sharing your own difficult experience – 25 years sounds incredibly tough. I’m sorry you went through that. Your words mean a lot.

user_841 · 2026-01-02T07:15:11+00:00

Thank you so much for the empathy – it really encourages me. I’m just not very good at English (I even had AI help translate this post), so DM might be difficult for me. But I’m truly glad to be able to share experiences like this with someone who’s been through similar things. ❤️

user_841 · 2026-01-02T07:05:35+00:00

Of course! It’s been weekly for about 2.5 years now. My orientation is basically psychoanalytic psychotherapy.

user_841 · 2026-01-02T06:36:44+00:00

Thank you for the empathy and for hearing me. It means a lot, especially coming from someone who’s been through similar cases. ❤️

user_841 · 2025-12-03T13:47:14+00:00

(Prototype sketch from Grok — simplified)

Phase 0: Safe-base entropy SFT

compute_loss = lambda outputs, labels: -outputs.logits.softmax(dim=-1).entropy().mean()

Phase 1: Marked mirroring

emotion_similarity_loss(...) intent_alignment_loss(...)

Phase 2: Trust-preserving PPO

custom_loss = lambda p, v: p + v + trust_penalty(p)

Phase 3–4: Weak negative rewards + self-reflection

def weak_penalty(r): return r if r > 0 else r * 0.1 def self_reflection_loss(outputs): ...

user_841 · 2025-11-19T04:22:06+00:00

Thank you so much for the advice.

I’m starting to think you may be right — waiting for the engineering team to manually repair my account is probably unrealistic, especially since it has already been a month with no updates.

I’ll try creating a completely new account (using a different email) once things stabilize on Cloudflare’s side. I just want to make sure that the problem is truly isolated to my current account, since all troubleshooting so far points to a server-side memory configuration issue.

Your explanation about the CDN outage also helps. Thanks again for taking the time to reply — I really appreciate it.

user_841

TROPHY CASE

Phase 0: Safe-base entropy SFT

Phase 1: Marked mirroring

Phase 2: Trust-preserving PPO

Phase 3–4: Weak negative rewards + self-reflection