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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.
Question 1:
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?
Question 2:
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
Sponsor:
This episode of Hardcore Self Help is sponsored by BetterHelp and MasterClass
If you are in a mental health slump, consider reaching out to a licensed professional to help. BetterHelp has a large counselor network and you can begin chatting with someone very quickly. Check out betterhelp.com/duff to get 10% off your first month.
MasterClass gives you the chance to learn from the world’s best minds – anytime, anywhere, and at your own pace. Check it out now and get unlimited access to every MasterClass. and as a special offer for listeners, you get 15% off an annual membership! Go to masterclass.com/duff for 15% off MasterClass.
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