Sarah Nyhan

oooh. i like that. assuming your view of “effectively” is an opinion, it
sounds to me that you are saying she does not handle your confessions of
self-harm as you would desire. maybe she is not seeing them as they really
are. she is thinking they are of a medical nature. she probably isn’t
asking you what happened before you cut. she probably isn’t asking you how
you felt before, during, and after. she probably is well-meaning but going
down a different track than you would like her to. my opinion – it’s never
about self-harm. what is behind the self-harm? that’s like treating a
heart attack with medicine but never getting to the root cause of the heart
attack and working on corrective and preventive medicine. am i right? i
really don’t care if i’m right. what i want you to consider is whether your
therapist is right for you. not all therapists are bad, but from experience
i can tell you that the majority don’t have a clue about self-harm and if
they do, they don’t know how to dig below the surface and see what is really
going on. your money – you decide who you want to see. you don’t have to
be rude about it. i told a therapist once, “i don’t think i’m getting
anywhere during our sessions. something just isn’t jiving. i don’t feel
like i can say everything.” he was cool about it and asked if he could help
find someone else for me. he knew little was happening during our sessions.
i just think he felt i was too fragile to cut off. which is understandable.
he recommended my last therapist – an excellent one at that – the best i
ever had. any decent therapist isn’t going to recommend you to someone who
they know is less effective than them. the point is – you must be assertive
and tell your therapist what you are feeling. or he/she will never know and
nothing will ever change.