I went to what I thought was a support group that my psychiatrist runs, for adults with AD(H)D. It turned out to be group therapy.
She had an agenda, that she guided and directed the group through and towards. She lectured from time to time; she drew conclusions and presented them as "the" way to feel & think about things.
In some ways, she was as indelicate as a bull in a china shop; however, there was also a sharp mind behind the questions, conclusions, directing. She knew what she wanted us to think, and she took us there, by leading, pretending to guide, snapping at our heels like a sheepdog if we weren't quite drinking the Koolaid she was dispensing, by running us into the pen she had decided was where we needed to be.
There wasn't much support, and what support she gave to others in the group eventually morphed into her adapting what they'd said, into her agenda for where she wanted things to go.
Now, before this group session I'd had an appointment with her, which went fine, since we'd made some things clear last time. Such as the notion that I am my own person, in my own life, and I am the best one to decide what works for me, and not her.
That obviously applies to anything, but when you go to a group thing like this you try to leave yourself open to learning something, gaining some support, or insight, or something . . . by the time you realize there's a sheepdog at your heels, you've gone a ways down a path that may not be for your good. You do your best to keep from bursting into tears through the rest of the appointment, to keep from going where it is that the sheepdog is pushing you, but you are already falling down that mountain.
So there's a knife in my heart, and you'd think it'd be relatively easy to pull it out by discounting the source; obviously she's not a sensitive nor observant nor supportive nor respectful therapist. Why would one give much weight to what she wants, what she says?
It's not that simple, however. I wish it was. See, the things I thought and felt, the places I went to, the conclusions I found, well, there's a train of thought and feeling that I had during this process. Both she and the group were stimuli in that process, but I can still follow the path in my mind and heart that led me to a really bad place.
I am having difficulty discounting that, erasing it, setting it aside, or whatever. I can't un-think how I got there.
I feel it's a therapist's professional responsibility to not command the direction of things, to not make conclusions AND present them as what IS, to not herd you towards a prticular destination.
A good therapist, even if they had a particular destination in mind for you, even a general one, that they felt was healthier for you, they would discuss things, perhaps point out paths you might not have considered, discuss how you feel about them, objectively weigh the pros and cons, but they'd never take the reins and grab you and pull or shove you down a path of their choosing. That's part of what I mean by herding.
I feel like a therapist should respect the vulnerability of the patient(s) and use care and concern, among other things, when working with them.
To not just willy nilly, but purposefully, push patients down a path that they don't know where it's going, and by the time they have some idea they are so distressed that just about anything at that point will settle in and try to take root . . .that is bad therapy, at the least.
Of course, I'm an adult and not just turning myself over to go wherever she wants, but I didn't realize until after this happened, how vulnerable going to something like this makes you, even if you are nervous, scared, and wary. I had made a decision some time ago to try to learn what I could from whatever the source, sometimes having to set aside my feelings about the source and just consider the infomation. This, too, made me vulnerable, besides all my other psychological/emotional issues.
I ended up in a very bad place. Much of that is me, but the therapy itself and the manner of it, is also a big factor.
I'm starting to think, now, that what she said in our amicable appointment a month ago, that whatever she says, it's my choice what I decide is useful for me, is partially an excuse for her brash, forceful "therapeutic" manner. That she can excuse quite a few things by saying or thinking that the patient can chuck it all out, if he/she wants.
If this is so, then she's at the least rather irresponsible. The people who go to see a psychiatrist are often vulnerable in a variety of ways, and many are not equipped to fend off or sort through her forceful assertions, her "therapy" if you will.
So I think that her expecting her patients to be confident enough and self-aware enough to discount what she says if it's not best for them is disingenuous at the least, irresponsible and harmful at worst.
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