Table of Contents
Do you tell your therapist everything?
What can I tell my therapist? The short answer is that you can tell your therapist anything – and they hope that you do. It’s a good idea to share as much as possible, because that’s the only way they can help you. Therapists are required by law to disclose information to protect a client or a specific individual identified by the client from “serious and foreseeable harm.” That can include specific threats, disclosure of child abuse where a child is still in danger, or concerns about elder abuse. Your therapist’s relationship with you exists between sessions, even if you don’t communicate with each other. She thinks of your conversations, as well, continuing to reflect on key moments as the week unfolds. She may even reconsider an opinion she had or an intervention she made during a session. Therapy notes are private, so you don’t have to show them to your client, according to federal law. You can choose to share them, if a client asks, but many states allow you to make this decision yourself. They typically include information about the presenting symptoms and diagnosis, observations and assessment of the individual’s presentation, treatment interventions used by the therapist (including modality and frequency of treatment), results of any tests that were administered, any medication that was prescribed, …
Do I tell my therapist everything?
What can I tell my therapist? The short answer is that you can tell your therapist anything – and they hope that you do. It’s a good idea to share as much as possible, because that’s the only way they can help you. They see their job as helping you find your own answers, and they know that silence can help you do that. Sitting in silence allows a lot of things to rise up inside you—thoughts, feelings, and memories you might not normally experience. And that is what your therapist is hoping you’ll talk about. Although therapists are bound to secrecy about past crimes, there is a fine line as to whether or not therapists must keep present or future crime secret. If you are actively engaged in crime or plan to commit a crime that you disclose to your therapist or counselor, they may need to report that to the police. Therapists may take patients’ nonverbal signs of distress as a cue to change topics, but this may be at the peril of the treatment. Therapists must monitor their own body language so as not to convey discomfort or disinterest, which may keep patients from sharing. Googling a therapist can raise feelings of guilt for some clients, and I think that it is useful in therapy to discuss the relationship as openly as you feel able. I would suggest that having a conversation with your therapist around your internet search could be a great opportunity for good work in therapy. Therapists keep a close eye on you because: It helps them take in not just the content of what you’re saying, but how you’re saying it, your body language, and other subtle cues. Eye contact is one of many active listening skills that help them listen to you more deeply and show you they’re fully present.
Should I tell my therapist my secrets?
The amount of information you share with a therapist is entirely up to you. After all, you’re the client. Still, the more honest you are with your therapist, the better. Giving your therapist a window into your thoughts, feelings, and experiences provides them with context and details, so they can best help you. In the end, there isn’t a huge need to ask your therapist if they like you—especially if you’re making progress in therapy. Because you wouldn’t be making progress if there wasn’t some sort of positive connection between you. But it’s actually a good thing to ask them. Your relationship with a therapist can be one of the most meaningful, insightful, and productive collaborations you’ll have in your life. But it should ultimately come to an end — and that’s by design. “Therapy isn’t supposed to be forever,” says licensed therapist Keir Gaines. “There is an endpoint.” Yes. We care. If you feel genuinely cared for by your therapist, it’s real. It’s too hard to fake that. A safe emotional environment can be achieved through a calm talking voice, a slower speaking pattern, and thoughtful language. Every therapist should be attentive to the fact that each client moves at their own pace. For some, this might be fast and for others, it might take time.
Will a therapist keep your secrets?
Psychotherapy is, for the most part, confidential. Patients of mental health providers like psychiatrists, psychologists, and social workers reasonably expect that their in-therapy disclosures will remain private. Question 1: False. Patients do not have a right to access their own psychotherapy notes. However, the provider can choose to provide a copy of the patient’s psychotherapy notes to the patient consistent with applicable state law. It’s natural and not uncommon to feel close to your therapist and want to be friends with them. However, building a personal relationship with them goes against most mental health counseling codes of ethics. It may also impact your therapeutic process and lessen therapy’s benefits. American Counseling Association. The therapist will ask questions about your presenting concerns, as well as your history and background. Most likely, you’ll find yourself talking about your current symptoms or struggles, as well saying a bit about your relationships, your interests, your strengths, and your goals.
Should you be 100 honest with a therapist?
Therapists & counsellors expect trust in the sense that both parties understand and are committed to spend every session building it. The most critical component of trust is honesty, so consider being upfront about the fact that you do not trust a therapist 100% with certain information to be good practice at honesty. Therapists are people just like you Most therapists entered the mental health field because they had to work on themselves or they experienced a life-changing event in the past. Therefore, they may be drawn to clients who can relate to their circumstances. All therapists are legally required to maintain confidentiality for their clients. Confidentiality means that a therapist cannot confirm or deny even treating the client if someone asks. Furthermore, they cannot discuss any revealing contact information, such as a client’s name or demographics, outside of the session. Yes, it’s more likely that therapy will do good than harm. But the dark secret in the mental health world is that therapy can cause harm. People who’ve been to a bad therapist can tell you: bad therapy is worse than no therapy at all. A bad therapist can shut down your healing process instead of helping it along.
Why am I scared to tell my therapist things?
There are a few things that might contribute to this: you may not have developed the level of trust you need to feel safe with the therapist you are working with, you may be fearful of being judged by the therapist, or maybe you are afraid that opening the pain of the past might be too much to handle. An interesting aspect of therapy is an experience called “transference.” Transference means that the feelings you have for someone important in your life are unconsciously transferred to another person—in this case the therapist. We all have feelings like that; it’s quite normal. After you unpack your feelings, your therapist might provide you with some insight in response or help you deconstruct and synthesize what you just shared. They also might give you a task or something to think about if they think it’s important for your process. Therapists often jot down the significant dates, names of important people, and descriptions of symptoms. This becomes even more important when documenting information that could be written up in an abuse report or other legal proceedings. Back to Fictional Reader’s question about why it may be difficult to look a therapist in the eyes. Some possible root causes range from guilt, shame, anxiety, low self-esteem, shyness, past abuse, depression or autistic spectrum disorders to varying cultural norms and cognitive overload. We walk a fine line of being on your side but making sure that you are grounded and can maintain proper boundaries. So yes, we as therapists do talk about our clients (clinically) and we do miss our clients because we have entered into this field because we remain hopeful for others.
How honest should I be with my therapist?
No matter what happens in the “real world” when you disclose certain information, it’s going to be different in a therapist’s office. Your therapist has likely heard it all, and the more honest you are about what you’re going through, the better they’ll be able to support you. Is Therapy Confidential? In almost every instance, therapy is absolutely confidential. You therapist is required to maintain confidentiality about everything said in sessions between the two of you, just like a doctor is required to keep your records private. As for the treatment records, it would generally be a mistake for anyone to destroy the records after the death of the practitioner, even if done to protect patient privacy. Records are kept for the benefit of both the therapist or counselor and the patient. Sometimes the therapy session is the only space a client has available to sit in silence, feel accepted unconditionally, and just be. We can provide that unconditional positive regard for those clients. Silence is not failure for the therapist. In fact, it can sometimes be the biggest sign of success. If you work with two therapists it’s in your best interest that they communicate with each other. This coordination helps your therapists plan your treatment and diminish any confusion or harm that could occur when working with two professionals at the same time. Some people find it incredibly beneficial and helpful to unpack their feelings with their therapist, especially if they’ve been seeing them for a long time. That said, it’s perfectly fine to send a text or an email if you feel that the conversation is going to be too much.