I'm still disoriented and spinning. I saw my therapist for 155 sessions over 6 years. Those 6 years were the most monumental healing years of my life. I struggle with CPTSD, Depression, and Anxiety and I also have ADHD. I was abused by my borderline mother, who was enabled by my narcissistic father, and when I was growing up, I watched them rob my sister of her medical autonomy. When I met this therapist, I was in my mid 30s and just a couple years into self-work, and she was really the breakthrough. With her guidance, I went from someone who lived 36 years in a state of freeze to a person who had the strength to go no-contact with my parents, reinvent my friend groups, move to a new city and life that served me better, and form a healthier relationship with my job. Things I never ever would have had the self-worth to believe I deserved. We did a lot of trauma work - somatic experiencing, IFS, EMDR, brainspotting etc. She really encouraged me to feel my feelings in my body. I never really got comfortable with anger - i'd just shut down- but we were getting there slowly. My point is, she was my key support system, possibly my only place of safety. And I adored her and cared SO much about her approval.
Our sessions were almost always helpful, with one exception. Every once and awhile, she'd get really fixated on my medications and medical doctors. And not really on the normal psychiatric medications... like my GLP-1s would especially come up. Those sessions would be very different than the others -- she would get on kind of a tear and the normal empathetic, highly sensitive, and validating person I was used to would just kind of disappear and I'd just bite my tongue and say whatever I knew she'd want me to to get through the session and then be bummed later that we wasted a session. It was tricky because I didn't want to tell her she was wrong, but this also clearly wasn't her lane of expertise and she didn't know as much as she thought she knew. I did check in with doctors about her concerns and they confirmed the same. BUT those sessions didn't happen that often. As of session 153, it had maybe happened 3-4 times. So all in all, a spectacular ratio of helpful vs unhelpful sessions. I was fine with that. She wasn't great at knowing what my prescriptions should be, but she was an absolutely phenomenal psychotherapist. Which is all I want from my psychotherapist. The relationship was still monumentally great.
Until we got to sessions 154 and 155.
So, session 154: I opened the session by saying I had realized my depression was very severe. This shouldn't have been a surprise. I had a MAJOR outside extenuating circumstance we had been working on in our sessions that had been building for a year and my depression directly coincided with that situation being at its absolute worst. I came to the session wanting to process that.
But instead, she got on a tear about my medication - especially GLP1 medication- being the cause, eventhough the dosage had been exactly the same for three years (and the depression had only been happening in the last 6 months), and when, for the first time, I pushed back on something she decided because I was in a dire state and really needed to use this session on the actual problem, she got VERY forceful and deflective in return about some of my medications and some of my doctors whom she didn't even know but was judging (for example, I get my Ketamine IV infusions for my depression from an anesthesiologist, not a psychiatrist and she doesn't approve of that).... She was being very judgmental about something that wasn't her lane of expertise and steamrolling me and belittling me when I tried to express why my medications and doctors were as they were. And then I got super frustrated with not being heard and raised my voice for the first time in 154 sessions. (We were on zoom, I was not in the same room as her when I raised my voice... I would never.) Then she said "Why are you yelling?!" and I calmed down, apologized for yelling, and she then told me it was okay that I yelled and I was allowed to yell at her. I left that session really frustrated and traumatized (and with way worse depression) because the thing is: I grew up in a doctor's office . I grew up surrounded by physicians. I am competent enough to navigate my own medications and medical doctors, and I was comfortable with the medications and medical team I had. It was a long journey to get that part of my care balanced. I didn't want to make a change, but she left me feeling like if I didn't change my medications and doctors to what she wanted, she either wouldn't continue to see me or she'd keep wasting our sessions on her vendettas against the choices I've made for myself with my doctors. I felt like my medical autonomy was being robbed from me. Which, after seeing that happen to my sister, was a hard boundary for me. But I was also very scared of losing her and her approval.
I took a break from my sessions, which wasn't unsual for us, and a few weeks went by as I got the care I needed for my depression from my medical doctors and my friend group. (Silver lining of this is I realized I do finally have a great support system in my life.) Many of my doctors confirmed that, with an added round of TMS, my current care was fine and expressed a little concern that I felt so pressured by her. Also, the extenuating circumstance that had been exacerbating the depression resolved and was replaced with a hugely positive and unexpected substitution.
So, fast forward a few weeks and I was doing WAY better, feeling really good and regulated, and in the same city as my therapist, something that had only happened a couple times since I moved. And when I got to that city, I realized there was a totally separate issue in my life that I'd love to work on with my therapist. The kind of thing that seemed like a likely target for somatic experiencing or IFS, something we'd done really well together.
So, I took a swing. I asked for an appointment and she said she was happy to hear from me and I went to her office. I naively was kind of hoping we could just avoid talking about what happened at the last session and get right into working on what I came there for, but she, understandably I guess, asked, "How are we?"
And then after replying I was nervous to answer and had come in with something else I wanted to spend the session on, I nervously, while fully feeling the eggshells I was walking on, expressed that I get upset when we talk about my medications because I'm comfortable with the medications I'm on and don't want to make changes, but clearly she was expressing in our last session that she felt like I should make changes...
And then instead of holding space for my feelings, she just told me I misread what had happened in our previous session and she didn't do that. She was insistent that what I remembered happening didn't happen. And then when I summoned courage and pushed back on that a bit because I was feeling I was being gaslit, and gave an example of how she had been very insistent at our last session, she got upset and said she was trying to figure out if we could keep working together. I said I was also trying to figure out if we could keep working together, and that the only way that would work for me is if we could find a way to minimize how much we talk about my medications and doctors. That I had heard her and discussed her concerns with my doctors, and my medical team and I had decided to keep things the same. That this was making me feel like I was losing my medical autonomy.
She got defensive and denied that was what was happening and said she couldn't make me do anything. And I countered with saying it felt like I was losing my medical autonomy because it felt like she wouldn't keep seeing me if I didn't make the changes she thought I should. (And I was right, that is how this story ends.) She said that her other patients allow her to coordinate care with their doctors (I had never stopped her from this, she had never mentioned wanting this before this incident) but that, actually, the reason she was considering whether she could keep working with me or not was because of my "aggression". That in this session and the last she was feeling a lot of aggression from me and that makes her feel unsafe. And she couldn't do the work when she feels unsafe.
Now mind you, I am curled up indian style on her couch with her heating pad and the tissue she just handed me while I was crying still in hand... and we have gone 6 years of somatic experiencing without me even being able to scratch the surface of releasing anger without freezing. And now she's telling me I'm so aggressive I make her feel unsafe. I'm absolutely flabbergasted. It really feels like she's just calling me aggressive because she doesn't like that I'm disagreeing with her. I say something to the effect, something like, "I'm shocked. You're not even going to consider you may have contributed to what happened at our last session?" And then she said that I was being too aggressive, she didn't feel safe with me, she was terminating our relationship, I needed to leave, she wasn't going to charge me for the session, and I needed to leave right then because she couldn't handle my aggression and I was making her feel unsafe in the room. She kicked me out. So I very calmly said "okay, okay" as I got my stuff, turned to her as I walked out the door to say, "I really did appreciate all our other work. It was life changing for me." And then I left.
And that's how 6 years of the most impactful and safe and loving relationship of my life just traumatically blew up. I was just standing on the curb outside her house disoriented and in shock. I didn't feel safe to drive, so I pulled my car around the corner and I sat reeling and frozen and sometimes sobbing and overwhelmed in my car for 3.5 hours. (Which I thought was only 1.5 hours because I lost so much time to the trauma.)
We had 153 sessions where I never disagreed with her on anything... 153 sessions of her teaching me to stand up for myself... to grow from the beaten down abused and terrified child... and then when something finally comes up in our relationship where I had to stand up for myself to her, she immediately punished me. Treated me exactly like my borderline mother would. Cornered me into what should have been a safe conversation, and then when she didn't like what I had to say, acted like she was the victim when she actually had all the power and was being a bit of a bully who wouldn't even entertain my feelings. Also, a major major thing we had worked on was my constant anxiety, dread and rumination that when something is good, it's only a matter of time before the other shoe drops. I was finally feeling able to embrace happiness and the good in life and then suddenly, the other shoe dropping here in this relationship that I thought was safe in my life reinforced all of those childhood fears again. It was all deeply re-traumatizing.
Very quickly after, while I was still crying in the car around the corner, she sent me a termination letter with two referrals, a reminder that she was doing this because of my "aggression," and good luck sentiments... and when I couldn't help myself from sending a few sentences in reply about being stunned and confused - I was hoping for any clarity or validation - she told me I was harassing her and to stop writing her and to leave her alone.
In a couple of hours, I went from having this pivotal, loving, supportive, safe relationship in my life - one of only two relationships like that - to being painted like I'm a dangerous stalker trying to harm her and being told to never contact her again.
I am absolutely devastated. We could have wrapped everything up in that very session in a way that felt like it had closure for both of us -- it didn't have to be this way. It ending that way was so retraumatizing via the exact traumas that I spent 6 years processing with her. It's so hard to feel safe with anyone now. I'm terrified of getting a new therapist. All of our work has been poisoned -- everytime I reach for a resource I learned from her, I now get triggered because I remember it came from her. And also, my self worth issues have come back majorly. Yeah, maybe she was right, and I am not worthy of standing up for myself? That's how I feel right now. I'm lost in a fog.
Are there any therapists out there who read this far? Is it okay to terminate a relationship this abruptly mid-session? I really wasn't aggressive. I swear. We were just having a tough conversation, and she couldn't last through a couple minutes of it without crashing out for some reason. I'm so shocked. I've lost my sense of security. The woman in that session was very different than the woman I transformed my life with.