Hello, friends. In this episode, I take a look at two very different but interesting questions related to self-disclosure in therapy, and coping with persistent depression, intrusive thoughts, and suicidal ideation where these feelings are brushed off in therapy.
I’m not sure if this is appropriate for the podcast. I wanted to ask – What is your opinion on the use of self-disclosure with clients as a mental health professional? When do or don’t you self-disclose? How has it impacted you and how do you think it has impacted your clients?
Hi Dr. Duff. Thanks so much for your podcast. I find so much comfort in your show and am grateful for all you do. I have been depressed on and off for the past 20 years. This last “on” has been the worst and, with the exception of a couple of good months last summer, lasted for the past 2 years. I have been seeing a counselor for the past year and am on yet another SSRI. Neither of these things are new for me. I think I walk a fine line between intrusive thoughts and suicidal ideation. Most days, I think I’d like to be hit by a small car, be incapacitated for a few days, things like that. I’m an elementary school teacher and by the time I get home at the end of the day, I have no energy left to pretend or care for myself or stop the thoughts from coming. That said, being with the kiddos all day is also a great distraction and often better than the weekends.
When I’m low, I feel this strong pull to revert back to my old coping methods of self-harm. Usually, I’m too exhausted to act on anything though. Again, I want to emphasize that I have no intent in ending my life. I still find times to look forward to the future and make plans to travel, visit family and even one day be a mother. I’m exhausted of always feeling this way though and it’s taking a huge toll on me. I’ve spoken to my counselor (and past counselors) at length about this and they always brush it off as no big deal. Am I wrong to be concerned about this? I really like my counselor but I also want someone to acknowledge how much I’m hurting and that it’s not going away. Or maybe this is just my normal? Should I stick with him or look for someone new? Sorry for the long question. Thanks in advance for taking the time to read it.
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Episode 289 – Related Posts
As well as listening to the podcast, you can also find my thoughts on the questions in written format in these related posts!
Question 1 – Is Self-Disclosure in Therapy Ever Okay? – Duff The Psych
Question 2 – Suicidality and Intrusive Thoughts: Why isn’t my therapist interested? – Duff The Psych
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