Dependence On Therapy

Since we’ve started working together, my therapist has mentioned quite a few times, that she doesn’t want me to become dependent on therapy. Whenever she’d say that, I’d feel uncomfortable and get defensive. Even though she would tell me that she didn’t say I was dependent on it, I still took it as an attack. And I think I have figured out why it bothers me so much. Deciding to see a psychologist (or any mental health professional) is terrifying. I was terrified when I first reached out to my therapist. Deep down inside, on an unconscious level, I felt ashamed.

Even up to today, that shame is still there. It’s died down a lot, but a few fragments of it still exist. The man who calls himself my dad contributed to that most of all. He’s told me so many times how some people need therapy, while others have strong minds, so they can deal on their own. How do I take it? I take it as him telling me, and thinking, that I’m weak because I’m getting help, when I should just suck it up and get on with life the way he does. So here my therapist is telling me that she doesn’t want me to become dependent on therapy, and in my mind it sounds like an affirmation that therapy is “bad, so you shouldn’t get used to it”. I know that’s not what’s being said, but that’s the way my overly sensitive, reactive mind takes it.

I see now why regular therapy sessions are so important. It’s not about being dependent on it. How do you become dependent on the process of therapy? It’s damn hard sometimes, and even if I’m okay during a session, it hits me afterward and sometimes I just want to crawl under the covers and shut the world away for the rest of the day. There were many times that I didn’t want to have a session. Where I wanted to cancel. But I knew that those were probably the times when I should have one. So I didn’t cancel, no matter how much I wanted to.

I read a lot of your blogs, and from what I’ve read, the majority of you have weekly sessions, some of you twice weekly, and you’ve also expressed a hesitation and even downright resistance to attending a session from time to time. So I know I’m not alone in this.

As my therapist mentioned during our short phone call on Monday (which was strangely helpful, which I didn’t expect it to be- mostly because I didn’t know what to expect in the first place), I need structure. I thrive on it. I feel unstable, and everything feels chaotic without it. My nervous system feels under threat. When things are structured, I feel calmer.

When I had 3 therapy sessions a month, I felt more secure. It felt more structured than it does now. Now it’s just all over the place.

Sometimes we open up a topic, but there’s not enough time in a single session to really delve into it. Then having to wait two or three weeks, I don’t want to talk about it anymore. I don’t want to talk about something painful, difficult and shameful, and have two or three weeks go by before we can pick up on where we were. It feels like something is lost, and it gets disrupted. I know that the nature of therapy is that just because it seems something has been worked through, it might come up in future sessions again. Sometimes we think the work may be complete, only to discover that it actually isn’t.

Even when I write down things to discuss in the next session, it’s not quite the same. Those emotions that I felt, that were so extreme, die down, and it feels pointless to talk about it. If I do talk about it in our next session, those emotions are a distant memory, and I talk about the situation, or whatever it was, without really connecting with my inner world.

I think it’s important to have that safe, consistent space every week. I don’t show up just to see my therapist. I show up because I want to do the work. If you’ve got a physical illness that requires you to see your doctor every week for a checkup, does that mean you’re dependent and happy to go for those checkups every week? No. You do it because you know it’s important.

In keeping an open mind, if a person can become dependent on therapy, is that necessarily a bad thing? We’re dependent on work for an income. Which enables us to live, to pay rent, have food to eat, etc. So why would it be any different with therapy? The purpose of therapy is to help you heal and to craft the life you want to live. To help us grow, giving us valuable tools in order to function optimally in life. We’re still doing the work during and between sessions. But knowing that the next session is only a few days away helps, as you can more easily bring up any observations, experiences, etc in the next session, as it will still be fresh in your mind. Which, brings that sense of continuity.

Of course, right now I can’t afford to have regular therapy sessions. But when I’m able to, I’m definitely going to invest in it. The point of this post is just to share my view on how I don’t believe that one can truly get “dependent” on therapy, and why I think regular sessions are so important. I’m grateful for my therapist, who really tries to bridge that gap between sessions, and keep the therapeutic relationship safe and secure, which has been so helpful.

A while ago, I heard someone say that attending therapy is a form of self-care. I hadn’t thought of it that way before.

It will be interesting to hear your thoughts on this. I like hearing different opinions and view points, so please let me know what you think about this topic.