Engaging in therapy can be a new experience for many. And it’s even more daunting because one usually goes to therapy when they vulnerable, exposed, empty, hopeless etc. Through therapy you are actually putting yourself in a position when you will need to talk about your pain, vulnerability, emotional or relationship difficulties. Sometimes you are facing all of the above at the same time and it just feels too exposing and shameful to go and talk to a stranger about it. This is normal and almost every client, even those with previous experience with therapy have such fears and dilemmas. However, your therapist fully understands this very ‘human’ challenge and coupled with their knowledge and experience, is able to facilitate your change.
Category: Psychotherapy Resources
There are many types of eating disorders but the most prevalent ones are know to be anorexia nervosa, bulimia and binge eating disorder (BED). Nutritional nervosa, which is characterised by obsessing over nutrition also seems to be gaining importance with the rise of clean eating. As with any other disorder, a person does not need to be officially diagnosed with an eating disorder for them to be suffering from it’s symptoms. One may present with traits of an eating disorder but not meet official diagnostic criteria of one. Apart from the behaviour related directly to the condition itself, eating disorders are often accompanied by anxiety, depression and obsessive compulsive traits.
Ending psychotherapy or counselling should ideally be a part of therapy itself and as such a part of reparative therapeutic relationship. If done appropriately, endings can have a therapeutic impact also and can offer the client a new experience as to how relationships in life can be handled. Even though therapy relationships can differ based on the approach used and also based on the “depth” of psychotherapeutic work, ending therapy should ideally be planned ahead and agreed as part of treatment.
Psychotherapy or counselling relationship should ideally terminate when the end goal is met. This is the goal that the client and therapist set as their therapy goal (in transactional analysis we call them treatment contracts). This kind of ending is an ideal one. However, sometimes we find a client terminating psychotherapy or counselling relationship unexpectedly—prior to therapy coming to its natural end. I will focus on the latter scenario of terminating therapy in this post.
What you will find reading this post is my own personal reflections on starting a private therapy practice in a big city—be it in counselling or psychotherapy. I am sure there is no cookie cutter approach to it—especially given that geographic location is such a massive factor to a therapist’s work—but I guess anyone can learn from anyone else’s experience. At least somewhat. And if they choose to.
Borderline personality disorder (BPD) is a developmental disorder of the self. It is characterised by extreme emotional reactions, impulsivity, difficulty of properly engaging in relationships and diminished sense of self. Individuals with borderline personality disorder have difficulties with their sense of self, their self-esteem and self-worth. Relationships are a measure of gaining their sense of self and that is why they put great importance onto others, which is why they may often come across as overly pleasing sometimes.
Obsessive-compulsive personality disorder (OCPD) is a developmental disorder that needs to be differentiated from obsessive-compulsive disorder (OCD). It is important to know that obsessive-compulsive personality disorder (OCPD) resembles OCD much less than the name suggests if we take a look at the DSM criteria—in the way that OCPD is not characterised neither by obsessions nor by compulsions. However, looking at OCPD as a point on neurotic spectrum leading to OCD might be a better way to look at it—also when facing with OCPD or OCD in therapy.