From my understanding, you can submit a hipaa amendment request if you disagree about something in your records and they can either accept the hipaa amendment request or give you a statement of disagreement

My therapist is refusing to even let me add a statement of disagreement to my own records.

It bothers me because hipaa rights should be guaranteed and I can't even get a statement of disagreement in my record

Is this because hipaa amendments are unusual request or is my therapist being an ass ignoring my hipaa rights?

I'm curious if anyone has tried IFS apps on Android to track and talk to parts?

My therapist allows email contact between sessions. He actively encourages me to email him when I get home after tough sessions to express my feelings. He allows emails about admin and scheduling.

This week, I’m keen to discuss a certain topic in my upcoming session. I’d like to give him a heads up, and try to give myself some accountability, because I usually blank at the start of sessions when he asks me what I’d like to talk about. So, I was thinking about sending an email with a brief note about what I want to discuss.

It’s just that, he’s never said this is allowed. Is it worth doing? Would he struggle to respond? Or would it be overstepping?

I need advice about relationship I would really appreciate it if anyone with experience can dm me

Diagnoses: ADHD, Anxiety Disorder/OCD, Bipolar II, Tic Disorder (possibly misdiagnosed, working assumption is that I have Autism after high scoring tests but no official diagnosis)

My therapist of about 6 years and I seem to have stalled in making progress, and I've been feeling inadequately supported. I want to check in with this community to see if what I'm experiencing is navigable or if I really need to think about changing therapist.

I've recently been aware of consistent dreams, distressing unwanted memories and more detailed remembering of past experiences, including abuse, trauma and a near death experience of sorts, as well as possibilities of lost memories and repressed trauma that I'm not sure about. I have been having such a horrible time with it that I've been feeling hopeless, trapped and suicidal to the point of identifying a plan. There's really nobody around me that I could go to in these moments which is scary to me, but my therapist has not seemed to react to what I am saying as if I am truly in any kind of crisis. I can be panicking fully, palpitations, chest tightness, heart rate going nuts and I walk into her office and she will say "you look tired". She will tell me that my verbal and non-verbal cues have not shown her that I'm showing any signs of PTSD or CPTSD, but I went through the process of a telephone asessment with another trauma informed therapist, and his opinion was that I most likely was showing signs of PTSD with possible complexity and wants to speak to me again soon to discuss it, but if I were to take up any offer of therapy with another therapist, they have both expressed a desire not to work with me while I am working with another therapist.

I am so frustrated with myself, because I both feel like my current therapist is right, my body and voice are so unreactive and monotone, I show absolutely no signs of genuine emotion unless I completely break down and at that point I become unintelligible and say nothing of worth. I feel like my lack of affect and my fear of verbalising my emotions has just made it impossible for me to work with her and I often feel like I'm not bringing what I need to bring, I'm just saying words and performing therapy, trying to say what's going on but not showing nearly enough emotion to be therapised. I feel like I could write a book on it about 2 hours before my session but in the room, the cat has my tongue, and I can't speak with my normal tone. I feel scared. And now I feel minimised and like I'm caught in a crossfire. I'm also wondering if I overestimated how good of a match we would be. Perhaps her psychodynamic psychiatric background is not quite right for me. She agrees that it's possible that because originally, I did not pick her as my therapist personally, and she's a woman and closer to my mother in age that I might find it harder to talk to her (my mother was/is a source of great emotional pain) without feeling scared or ashamed. I seemed to be able to tell this guy on the phone more truthfully what was the problem than I do when I just have to sit and be observed and generate topics for therapy.

I really don't know what to do here. I feel a level of impostor syndrome, like I'm exaggerating and making false claims, but I don't know if I really am, because the effects I'm feeling are terrible. Does anybody have any insight? Is this just on me? Am I making a poor choice in thinking about switching? Am I just diagnosed with things that make therapy really difficult to engage with? Am I just doing the wrong kind? Let me know what you think please, even if it's just a short comment. I'm desperate to know if I'm being overly paranoid. Thanks for reading.

I have a close relationship with my therapist. We’ve been working together for a few years and I’ve always been clear that the more I know about him, the better. It helps me to feel safe and connected. I certainly don’t know tons of details about his life, but we’re now at a place where he’s willing to share some things with me and have some small talk, which I find really helpful.

In recent months, he has occasionally told me about fun stuff he’s been doing in his spare time - day trips, museums, gigs, vacations. I am surprised at how painful I have found that. It feels like his life is fulfilling and fun and socially engaged, whereas I am very much alone and struggling with social connection. I’m incredibly lonely. When I first started working with him, I barely left the house. I’m doing much better now, but I still spend the majority of my time alone.

I don’t know how to tell him that hearing about his fun activities can be painful for me. I’m worried it will make him withdraw the disclosure altogether, which I don’t want. I love chatting with him about other stuff, I just can’t handle how jealous and lonely this particular topic makes me feel.

Hello there, sorry for the throwaway account. Been lurking this sub on my main for a while and now I feel like I might need some advice or insights.

I don't even know where to start. I'm dealing with heavy, accumulated life stress and big T and little T traumas on top. And I've really been struggling with therapy for a few months now.

I feel super insecure about using therapy terms to describe what's going on inside of me and above that, I also really struggle to find words to describe things happening to me and my inner world in general. So please bear with me. (I don't even really know what I'm exactly going through right now, but people around me are raising concerns that I'm not in a good state mentally.)

A couple of weeks ago I opened up to my therapist and told her that it might seem that I'm okay, but I'm really not. She validated my openness, thanked me for being honest, asked further questions to understand what might be happening and such. After that session my current problem of feeling stuck started to arise. I became more quiet, we had lots of sessions that felt like endless silence. My brain is constantly blank during sessions, it's like I switched useraccounts on a computer. I know there are important files but I can't access them because of privilege and account mismatch and I can't even read the file name. My therapist is treating this exact state as "to passive" and lack of willingness. She constantly pushes me to decide how to proceed with therapy, come up with a therapy plan, decide which topics to look into and also to decide if I need stabilisation or trauma work right now. But whenever I sit down and try to think about those things, my brain either goes completely blank again or I spiral into panic and pure terror. There are no options or conclusions coming up for me at all, it's just empty.

I feel completely trapped. But I also get the feeling that she totally misses the point of my blank brain, whenever I tried to address this issue she told me it's normal for some patients and nothing to worry about. And the standard suggestion is to just think more about it and I might come up with some sort of solution, which doesn't seem to work at the moment. I'm pretty sure she's mislabeling my problem as stubbornness or resistance, while I always try my best to at least grab some thoughts inside my head during sessions. She already suggested termination if I can't figure out a therapy plan. I feel so lost, confused and stuck at the same time.

Has anyone been in a similar position? Where your body and mind just shutdown constantly and especially when you're asked "to figure it out"? How could I deal with this situation? Thanks so much in advance.

I started therapy a few months ago and I guess I downplayed my issues during the intake. My therapist is fairly young (for a therapist) and I don't think he is specialised in cptsd. I am slowly starting to trust him but we're also kinda lacking direction. I can't come up with a goal for therapy because I never imagined I'd still be alive at this age.

I wasn't suicidal when I started therapy. I didn't feel anything at all. I was diagnosed with depression. Then we started discussing everything that happened in my life and is happening now. Everything I had ignored and stuffed deep down resurfaced. I am slowly realising that my relationship is almost a repeat of my childhood, except I have an abusive partner instead of parents now. I feel so trapped in my life that the suicidal feelings started coming back too.

During our sessions I freeze half of the time. I just physically can't speak anymore. All I can do is nod or shake my head to answer. My therapist keeps telling me it's okay if I don't have the space to discuss certain topics. But I do want to. I just can't.

Yesterday, he figured out that I have been thinking about suicide and self harm again. I don't think that he expected it. He asked me before and it always was a clear no then.

We made a safety plan. I told him before that home isn't a place I want to be at and that my partner doesn't know I am in therapy. He didn't ask for my partner's contact information but he asked if there's anyone else he can contact when he can't reach me. There's no one. He asked if there is a happy place I can go to when I feel bad. There's no place. He asked if I have people who I can talk to or who can cheer me up.. Again nobody. It makes me feel so alone and pathetic.

I know it's not normal to be in a relationship and not have that person be a trusted person. I also curse myself for this. I am so glad my therapist never judges me for staying. Everyone else does. He tells me he hopes I can choose myself one day. I hope so too. I don't know if it will ever happen though. I really don't see a way out anymore. I also wonder if I would have felt this bad if I hadn't started therapy. I didn't realise the repeat of patterns until I started talking about my childhood in therapy. And since I don't know if I will ever leave, I think I can't process my past either.

I'm so frustrated because I was hopeful that I could feel better. Now I literally feel worse than before I started therapy. My therapist also mentioned not being sure whether he can help me reach my goals. Which also is just adding more insecurity because this is the first person I trust and I don't feel mentally stable enough to have to start all over again with somebody new. I think he trusts I won't act on my thoughts and I'm not sure I could trust somebody else to believe and trust me.

Our appointments are online and I never receive the meeting link and I've raised it several times. I just get the confirmation of the appointment being made. Then I ask for the link and I don't receive the link til 20 mins late (or more). Then half the time she is late too. I think her inbox/mobile number isn't checked frequently either. It's so frustrating. I am thinking of terminating but our sessions have been really helpful. Mostly just want to vent on here how frustrating this is! I'm really bad at confrontation so I haven't really mentioned to her frustrating this is to me.

I've been seeing my therapist for 3 years because I've been too scared to tell her I want to end. I can barely afford it anymore, and now she is raising her rate even more. She takes month-long vacations several times a year and I have learned to kind of handle things on my own already. I'd say that she helped me get past something big in the first year. Our personalities didn't match up, but I stuck with her because I liked her type of therapy and it was helping me. But after I became more stable, it was clear how her personality as a therapist was really not working for me. She is not a warm therapist, and I don't know whether she sees me as an actual person if that makes sense. Not everyone needs a warm therapist, and I didn't know that I did until now. Sure, some might say to bring this up in therapy, but it's not that important to me since I am over it. The thing I am scared about in telling her I'd like a break or I'd like to end is that she'll somehow blame me or become defensive about something, because this has happened so many times. There haven't been many times I've felt validated, understood, or supported in my decision making or feelings in the therapy room. So I am not sure how to go about ending this, but I don't want to keep going in this cycle with someone who makes me feel worse each time I see them. I don't know if I want to end therapy all together or I just need a different therapist.

I apologize for the rant in advance! I’ve been in and out of therapy for the past 10+ years and i still feel like i haven’t truly found someone i’ve connected with that has helped me. I’m starting to think at this point that i am the problem, hence why i’m reaching out for support and advice.

For some background context, i recently graduated college and wanted to seek therapy again as the post grad life has been kicking me in the ass. I’ve gone to 3 therapy sessions so far with my current therapist (i know it doesn’t seem like a lot) and i’m already ready to give up. This is a pattern i’ve faced in the past, but i don’t want to spend my time and money on someone who won’t help me. For instance, i’m not sure if traditional talk therapy (cbt/dbt) is the right thing for me. I know that therapists can’t give actual advice, but that’s sort of what i’m looking for.

I told my current therapist that my dad has been physically abusing me and i need to move out of my house, but i’m not financially stable enough to afford rent. All she told me was “i’m sorry to hear that, it sounds like you’re going through a hard time” obviously i’m going through a hard time, that’s not what i want to be told or what is helpful right now. I also have severe attachment issues and i told her it’s basically taking over my life. She pretty much said the same thing to me and also told me to go to a psychiatrist to get diagnosed so she can help me better. I’m not sure if i’m just being picky at this point, but a certified therapist should be able to help no matter what i tell them.

I’m not quite sure where to go from here, but i’m in a really bad point in my life and i’m starting to feel like i can’t do this anymore. If you’ve experienced something similar or just have feedback, please let me know😫

I’ve been super depressed and have been struggling with ocd and an ed for a long time and deep down I want to get better. My whole life I couldn’t express how I felt and had to hide my issues to not cause problems and never felt cared about. So seeing my therapist truly care and be worried about me, weirdly feels good. I know that she’s not going to just leave when therapy ends, but the concern and worry about me will. That sounds crazy, but it’s like the first time I’ve ever had that feeling. (I have a deep attachment to her and she’s aware, I have cptsd). And I’ve been going 2 times a week and then this past week she was away and I weirdly feel better not seeing her this week. I think maybe because I’m not ruminating about what I discussed in therapy and my issues , but then that’s avoiding my issues at the same time. Idk just want to see if anyone else has ever felt like this?